Digital Commons Network^™

Getting To The Heart Of The Problem: Blood Pressure Management Through Medication Adherence, Mallory G. Livengood

Evidence-Based Practice Project Reports

Clinical hypertension affects one in four adults globally, making it the most common chronic condition. Despite its widespread impact, hypertension can be prevented, as it represents the most modifiable risk factor in preventing cardiovascular disease. The primary purpose of this evidence-based project was to determine whether a one-month follow-up with a healthcare provider improved medication adherence through enhanced hypertension management. Twelve eligible participants were selected from a primary clinic located in Northwest Indiana, based on their newly initiated anti-hypertensive medications or who required a medication adjustment due to poor hypertension management. Each participant’s preferred method of communication was noted, and …

Breastfeeding Promotion For Infants With Neonatal Abstinence Syndrome (Nas), Olivia Czerwonka

Evidence-Based Practice Project Reports

Neonatal abstinence syndrome (NAS) is the exposure in utero to drugs with the incidence in the United States increasing from 4 to 6.3 per 1000 births (Wei et al., 2023). The purpose of this quality improvement project was to implement a breastfeeding support intervention to increase breastfeeding frequency and reduce hospital length of stay of newborns with NAS. A tailored multicomponent guideline based upon the current Ten Steps to Successful Breastfeeding as established by WHO and UNICEF (2017) was implemented. Mothers of infants diagnosed with NAS were recruited using convenience sampling from a Northwest Indiana Hospital. Key stakeholders within the …

The Case For A Measured Approach To Second-Generation Litigation Finance Reform, Robert Weber

Buffalo Law Review

For the past decade and a half, third-party litigation finance (TPLF) has become an important part of the U.S. civil litigation system, helping litigants (especially plaintiffs) relieve litigation-related financial stresses and prosecute claims to enforce their legal rights. In response to the industry’s appearance, a first generation of TPLF regulation unfolded from roughly 2010 until 2022. This first-generation reform program was a state law phenomenon, with a dozen or so states enacting a series of tentative and piecemeal reforms. Over the past three years, and in response to intense policy demands of business groups like the Institute for Legal Reform …

Hey Siri—Can The Police Search My Period Data?, Tyonna J. Acoff

Buffalo Law Review

No abstract provided.

Front Matter, Buffalo Law Review

Buffalo Law Review

No abstract provided.

“Justice” By Deception: The Immigration Regime’S Longstanding Reliance On Fraud And Coercion, Lori A. Nessel

Buffalo Law Review

No abstract provided.

Back To The Drawing Board? Overdraft Fees, The Congressional Review Act, And The Cfpb’S Path Back To Consumer Protection, Kaitlin Ainsworth Caruso

Buffalo Law Review

No abstract provided.

Shadows, Not Substance: Trump V. United States, Presidential Criminal Immunity, And Bribery, Lennon Greco

Buffalo Law Review

No abstract provided.

Survey Of Student Perceptions And Use Of Artificial Intelligence When Reading Primary Literature In The Biological Sciences, Erin L. Zimmer, Michael I. Zimmer

Biology Department Faculty Articles

Artificial intelligence (AI) tools are increasingly used by students in higher education, yet little is known about how they are applied when reading primary scientific literature. This study investigated how undergraduate biology students use AI while engaging with primary research articles and how such use influences confidence, engagement, and perceived learning. Using a mixed-methods design across two institutions, we collected pre-course surveys assessing prior AI experience and attitudes, weekly self-reported AI usage logs during a semester-long primary literature–based course, and post-course surveys evaluating changes in practices and perceptions. Students entered the course with broad familiarity with generative AI but expressed …

Magnifying Genius: Culturally Responsive Leadership And One School’S Story Of Teacher Empowerment Implementing An International Baccalaureate Middle Years Programme, Ryan Hansen

LMU Theses and Dissertations

Limited research exists on how principal leadership has shaped teacher empowerment and collective efficacy in public schools implementing the International Baccalaureate Middle Years Programme (IB MYP; International Baccalaureate Organization [IBO], 2020a).This qualitative study was grounded in culturally responsive leadership (CRL; Khalifa et al., 2016) and leader–member exchange (LMX) theory (Graen & Uhl-Bien, 1995; Northouse, 2022) as interpretive lenses and examined a leadership problem of practice at Hiller School, a diverse, high-needs public K–8 campus serving students in Grades 6–8. The study centered on how leaders foster teacher agency, identity development, relational trust, and intentional co-leadership during the early stages of …

Incorporating The Use Of Puppets And Puppetry-Based Approaches In Nutrition: A Scoping Review Of Interventions, Basil H. Aboul-Enein, Nada Benajiba, Majd Jan, Sarah Ali Alasmari, Patricia J. Kelly, Stephen F. Gambescia, Elizabeth Dodge

College of Nursing Faculty Papers & Presentations

Puppetry-based activities could serve as a low cost and manageable intervention in improving health-related outcomes. This review aims to identify the research to date and gaps in practice of the role and application of puppetry interventions in nutrition education. A scoping review was conducted using the PICOS framework and PRISMA-ScR guidelines, identifying studies across eight databases between January, 1980 and July, 2025.Twenty-five studies were identified, with the majority (n = 19) aimed at pre-school and school-aged children. Fifteen studies used quasi-experimental, pre-post designs. The use of hand and finger puppets was common, as well as videos and puppet theatre. …

2026 Phi Beta Kappa Induction Ceremony Program, Phi Beta Kappa, Psi Of California Chapter At Chapman University

Phi Beta Kappa Induction Ceremony Programs

The 2026 Induction Ceremony for the Psi of Chapter California was held on May 12, 2026 at the Hilbert Museum of California Art at Chapman University. In this ceremony, 27 outstanding students and one honorary member were inducted into Phi Beta Kappa.

Please click here to view photos from the ceremony.

Two-Year Retrospective Evaluation Of Frailty To Optimize Postoperative Spinal Fusion Outcomes In Adults Aged 65 And Older, Sheri Loo

Doctoral Projects

Many older adults over the age of 65 have both spinal stenosis requiring spinal fusion surgery and frailty. As life expectancy has increased, many older individuals will undergo elective spinal fusion surgery to decrease their chronic pain in pursuit of improved quality of life. There is currently an underutilization of frailty screening for risk stratification of postoperative complications. A retrospective chart review over a two-year period from July 2023 to June 2025of adults aged 65 and older who underwent posterior spinal fusion surgery, involving 126 participants, was completed. We assessed the correlation between frailty and postoperative outcomes, discharge disposition, and …

Leveraging Mobile Health To Prevent Coronary Artery Disease Through Physical Activity Promotion Among Underserved Youth, Alina Yang, Jessh M. Mavoungou, Matthew C. Miller, Zarmina Amin, Zan Gao

International Journal of Physical Activity and Health

Coronary artery disease (CAD) develops earlier than often recognized, with underserved youth facing disproportionate cardiometabolic risk. Low participation in moderate-to-vigorous physical activity (PA) is a key driver. This viewpoint explores how mobile health (mHealth) technologies can serve as tools to increase PA engagement among underserved youth, guided by a combined Self-Determination Theory and RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. It highlights current barriers to mHealth adoption, limited cultural relevance, engagement challenges, and accessibility gaps, and presents key considerations for designing culturally informed, age-tailored, and youth-centered mHealth interventions. Overall, the paper calls for a more inclusive and targeted approach …

Political Will In Decentralized Forest Governance: Developing A Typological-Relational Model From The Formalization Of Customary Forests In Indonesia, Antonius Mulyadi, Yeremias Keban, Hakimul Ikhwan, Ahmad Maryudi

Forest and Society

Political will is widely recognized as a decisive determinant of policy reform; however, its relational and institutional dynamics in decentralized governance remain insufficiently understood. This study examines how political will is generated, sustained, and operationalized in the recognition of customary forests (hutan adat) in Indonesia, focusing on the interaction between institutional configurations, actor networks, and advocacy coalitions. The research is anchored in an integrated typological-relational framework that combines Brinkerhoff's four dimensions of political will (initiative, alignment, commitment, and policy solution) with core mechanisms of the Advocacy Coalition Framework. An embedded comparative case study design was applied to two …

Guilty Until Proven Innocent: Stories Of The Unfulfilled Promise Of The American Criminal Justice System, Abigail Clark

College Honors Program

Enshrined in the 14th Amendment of the Constitution is the promise that all persons within the jurisdiction of the United States “shall receive equal protection of the laws.” For Black Americans, this promise has been routinely unfulfilled– not only during the “Jim Crow” era, but also continuing after the Civil Rights era into the present. Instead of equal justice under law, Black Americans have been subjected to systematic dehumanization and the erasure of constitutional rights, often leading to a presumption of Black guilt rather than innocence within the criminal justice system and within white public rhetoric. Broken promises of equal …

Evaluating The Impact Of A Standardized Intimate Partner Violence Screening Tool In A Clinical Setting, Dylan Bogucki

Evidence-Based Practice Project Reports

Intimate partner violence (IPV) is defined as any act of violence, including physical, sexual, stalking, or psychological aggression by an intimate partner, former or current. Despite being preventable, IPV remains a leading nonobstetric cause of morbidity and mortality among women, which highlights the need for systematic screening in clinical settings. The purpose of this quality improvement project is to identify women who have previously experienced or are currently experiencing IPV and to connect them with appropriate resources. Twenty-one studies were identified, all demonstrating moderate to high methodological quality and supporting the need for routine IPV screening in women’s health settings. …

Redefining Skincare For Sensitive Lives, Ashlyn G. Sierra Ms

Honors College Theses

This study outlines how a skincare company that is both ethically and effectively developed for people suffering from eczema could create accessible, affordable products as well as maintain its commitment to being inclusive. The study uses scientific data regarding eczema in order to examine why certain aspects of skin care are helpful or dangerous when it comes to individuals who suffer from eczema, in addition, it provides an assessment of current skin care product offerings that are designed for people with eczema. Using the Wise Leadership Framework, the study presents a hypothetical business plan for a new, eczema-based skin care …

Statutes Of Unjust Limitations: An Argument In Favor Of Increasing The Statute Of Limitations For Civil Cases Of Adult Sex Crimes In Texas, Athina E. Castañon

The Scholar: St. Mary's Law Review on Race and Social Justice

This Comment argues that Texas’s current five-year statute of limitations for civil claims arising from adult sex crimes is unjust and misaligned with modern trauma research. While Texas has enacted meaningful legislation for child survivors, adult survivors who experience sexual violence after the age of eighteen remain subjected to an arbitrarily short filing window that fails to account for the psychological, social, and economic barriers to reporting and litigation. Drawing on historical context, trauma-informed research, and a comparative analysis of reform efforts, this Comment demonstrates how rigid statutes of limitations disproportionately harm survivors and undermine access to civil justice.

The Compassionate Heart Patient Questionnaire: Validation And Reliability Of A Novel Measure Of Relationship-Centered Care, Dustin Willis, Everett Lohman, Lida Gharibvand, Andrew Sullivan, Lee Berk

Journal of Patient-Centered Research and Reviews

Purpose: To establish the validity and reliability of the Compassionate HEART Patient Questionnaire (CHPQ) for measuring relationship-centered care and exploring associations between patient ratings and mood state changes in patients with persistent pain.

Methods: Thirty-nine adults with persistent pain (> 3 months) completed pre-/post-interaction Profile of Mood States assessments and rated providers using the Consultation and Relational Empathy (CARE) measure and the novel CHPQ following physical therapy evaluations. Psychometric properties were assessed through factor analysis, concurrent validity (correlation with CARE), and internal reliability (Cronbach's alpha). Pre-post mood changes were analyzed using Wilcoxon signed-rank test.

Results: The CHPQ demonstrated good internal …

Landscapes Of Home And Maps Of The Heart: Using Art To Understand The Meaning Of Home For First And Second Generation Immigrants In Worcester Massachusetts, Sophie Sundaram

Fenwick Scholar Program

Landscapes of Home and Maps of the Heart: Using Art to Understand the Meaning of Home for First and Second Generation Immigrants in Worcester Massachusetts explores how individuals with histories of migration understand and experience “home,” and how those understandings can be translated into visual form through portraiture. Developed through conversations with Worcester community members, the project combines studio practice with methodological approaches drawn from sociological and anthropological fieldwork, including participant interviews, relational research practices, and community-based engagement.

Grounded in Worcester, a city shaped by multiple waves of migration and cultural diversity, the project investigates how senses of home are …

Academic Senate - Minutes, 05/12/2026, Academic Senate

Academic Senate Minutes

No abstract provided.

Reducing Nurse Burnout In Medical/Surgical Units In South Carolina Acute Care Hospitals, Jessica D. Robinson

Walden Dissertations and Doctoral Studies

No abstract provided.

Barriers Inhibiting African American Male Nurses’ Promotion To Leadership Positions, Amaziah Ali Dominic

Walden Dissertations and Doctoral Studies

No abstract provided.

Choosing A Primary Care Provider: A Formative Qualitative Study To Identify Patient Preferences, Chris Gillette, Jan Ostermann, Sarah O'Neal, Aylin A. Aguilar, Kandice Lacci-Reilly, Jessica Valente, Chris Everett, Robin Gibson, Sonia Crandall, Laiton Steele

Journal of Patient-Centered Research and Reviews

Purpose: (1) Identify what characteristics patients evaluate when choosing their primary care provider (PCP), (2) characterize how provider characteristics factor into patients’ choice of PCP, and (3) develop a list of features for a quantitative preference study in the form of a discrete choice experiment (DCE).

Methods: We used a cross-sectional, qualitative study to accomplish the objectives. We recruited participants from an internal medicine clinic and the general public in North Carolina. We used convenience and purposive sampling to recruit participants as a single sample. All participants completed a semistructured interview. We then used a reflexive thematic analysis to analyze …

Speech Acts In Children With Autism: A Pragmatic Study Of Communication Skills In Selected Igbo Autistic Teenagers, Oluchukwu Ann Anueyiagu, Ngozi Christiana Ikegwuonu

Journal of Innovation and Teacher Professionalism

This study examines the speech acts of selected Igbo autistic teenagers from a pragmatic perspective, with the aim of understanding how culture influences their communicative competence. The study is anchored on Searle’s Speech Act Theory and Hymes’ Ethnography of Communication framework. It investigates how autistic teenagers within the Igbo socio-cultural environment produce and interpret communicative functions such as requesting, informing, apologizing, questioning, and expressing emotions. A qualitative case study design was adopted, involving three autistic teenagers purposively selected from special schools and therapy centres in Anambra State, Nigeria. Data were collected through naturalistic observations, audio and video recordings of spontaneous …

The Impact Of Trump Administration Immigration Policies On Connecticut Educators And Families, Elena C. Bielesz

Honors Scholar Theses

Anti-immigrant rhetoric, policies, and practices, which have grown increasingly prevalent due to the current national political climate, have adverse effects on the mental health of immigrant families and the teachers that support them in Connecticut. This study seeks to represent the opinions of Connecticut K-12 MLL (Multilingual Learners) Education Teachers and Administrators whose daily lives are impacted by the anti-immigrant and anti-refugee policies and procedures. The study employed a human subjects-based approach supported by a review of related literature. MLL Educators from around the state of Connecticut were interviewed. These interviews found that while immigration-based trauma and stressors are common …

Automation, Migration, And Development: Geography Of Job Precarity In South Asia And North Africa, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

This article examines how accelerating automation and the adoption of artificial intelligence (AI) in advanced economies reshape labor markets across the Global South through interconnected channels of production, migration, and remittances. Drawing on the theories and practices of economic geography, labor economics, and development studies, the analysis conceptualizes automation as a transnational shock that contracts demand for migrant labor while simultaneously amplifying employment precarity in labor-surplus economies. The article advances a geographically grounded framework linking technology adoption in core industries with labor displacement, youth unemployment, and urban labor saturation in South Asia and North Africa. It further highlights the macroeconomic …

Effective Strategies Psychiatric Hospital Leaders Use To Retain Staff To Avoid Turnover Costs, Christian Azuka Obiajulu Ossai

Walden Dissertations and Doctoral Studies

No abstract provided.

Law Enforcement Perceptions And Lived Experiences Concerning Homelessness, Pedro Osbaldo Preciado

Walden Dissertations and Doctoral Studies

No abstract provided.