Digital Commons Network^™

Lived Experiences Of Homebound Adults With Health Access Needs, Margaret Henderson-Lee

Electronic Theses and Dissertations Archive

Homebound adults represent a medically vulnerable and rapidly growing population at heightened risk for unmet healthcare needs. Although quantitative studies document disparities in utilization and outcomes, less is known about how homebound individuals experience healthcare access. Grounded in Husserlian transcendental phenomenology, this qualitative study explored the lived experiences of homebound adults facing healthcare access barriers and examined how those experiences align with Levesque et al.’s patient-centered conceptual framework of access. Twenty homebound adults were recruited from a single residential care setting in the southeastern United States. Data were collected through semi-structured interviews and analyzed using an inductive phenomenology approach. Initial …

Oxytocin And Vasopressin Receptors Mediate Dopamine Release In The Nucleus Accumbens, Rebecca Chari Crenshaw

Electronic Theses and Dissertations Archive

Oxytocin (OXT) is a potential therapeutic target for substance use disorders due to its modulatory effects on mesolimbic dopamine function. While OXT activity in the nucleus accumbens (NAc) influences dopamine release, the receptor mechanisms underlying these effects remain unclear. Oxytocin receptors (OXTRs) and vasopressin 1A receptors (V1aRs) are both expressed in the NAc and may differentially regulate dopamine function. This study examined how selective activation and blockade of OXTRs and V1aRs within the NAc modulate phasic and tonic dopamine release using in vivo amperometry in male and female mice. Intra-NAc OXT decreased phasic, but not tonic, dopamine release. Similarly, activation …

Enhancing Psychiatry Residents’ Knowledge And Comfort With Clozapine Prescribing Through Educational Interventions, Christopher Stewart, Alexander Hunter, Faith Franzwa, Quan Huynh, Jennifer Stettler, Nauman Ashraf, Dawny M. Barnhart

Student Publications

Introduction: Clozapine is the most effective antipsychotic for treatment-resistant schizophrenia but remains underutilized due to safety concerns and monitoring complexity. Recent discontinuation of the Clozapine Risk Evaluation and Mitigation Strategy (REMS) program reduced regulatory barriers but shifted responsibility for monitoring to clinicians. Psychiatry residents may lack adequate training and confidence to prescribe clozapine safely in this new context. The goal of this study is to evaluate the impact of a structured educational intervention on psychiatry residents’ knowledge of clozapine prescribing and management.

Methods: This study was a single-institution quality improvement study using a pre-post design. Participants were psychiatry residents from …

True North: Full Issue Download

Quill & Scope

Silence is embedded into the life of medical students. Silence pierces the air when you are standing in the back of a patient room observing the conversation, feet aching, wondering if your presence is unnecessary and overwhelming for the patient. We are transient members of the healthcare team. We contribute to patient medical records with out notes and bedside conversations, yet we lack power in the system---the authority to sign orders, be responsible to true coordination of care, the autonomy that residents wield to make healthcare decisions.

It is easy to lose your sense of self in this silence. We …

Heat Pump Water Heater Cta-2045 Implementation Guidance For Maximizing Demand Response Impact, Dana Kahiwahiwa Paresa

Dissertations and Theses

Residential flexible loads, such as heat pump water heaters, have great potential for grid reliability services; however, their effectiveness depends on reliable performance in response to coordinated grid service requests. While the ANSI/CTA-2045-B protocol standardizes communication, it does not mandate specific functional behaviors, creating a mismatch in which the device may comply with the communication protocol but fail to meet performance expectations. This manuscript demonstrates the need for a ANSI/CTA-2045-B implementation guide by quantifying these discrepancies through gray-box conformance testing of market-available units followed by large-scale simulations.

Field testing results revealed a significant conformance gap. Tested units exhibited an average …

Fort Hays State University Tiger Weekly, May 08, 2026, University Relations

Tiger Weekly Newsletters

No abstract provided.

The Battle Of Tupelo Hospital Cemetery National Register Nomination, Madeline K. Weems

Electronic Theses and Dissertations

On July 14, 1864, the Battle of Tupelo, or the Battle of Harrisburg as it is also known, occurred within fifteen miles of the community of Palmetto in northeast Mississippi. As the battle ensued, wounded and dying soldiers were transported to different sites in and around Tupelo, including the home of Dr. William Henry and Jane Calhoun in Palmetto that served as the main hospital. The bodies of some of those soldiers still remain on the former Calhoun Plantation, including the grave of D. D. Drake. This public history capstone thesis evaluates this Civil War era cemetery’s history and integrity, …

Nivolumab Plus Ipilimumab For Chemotherapy-Refractory Metastatic Castration-Resistant Prostate Cancer: Results From The Randomized Portion Of The Phase 2 Checkmate 650 Trial, Padmanee Sharma, Russell K Pachynski, Et Al.

2020-Current year OA Pubs

We report on the randomized portion of the phase 2, open-label CheckMate 650 trial (NCT02985957), in which docetaxel-experienced, biologically male patients with chemotherapy-refractory metastatic castration-resistant prostate cancer were randomized 2:2:1:2 to nivolumab 3 mg /kg plus ipilimumab 1 mg /kg (n = 73), nivolumab 1 mg /kg plus ipilimumab 3 mg /kg (n = 74), ipilimumab 3 mg /kg (n = 38), or cabazitaxel (n = 74). Primary endpoints were objective response rate and radiographic progression-free survival; key secondary endpoints included overall survival, prostate-specific antigen response rate, and safety. This portion of CheckMate 650 was not designed to statistically compare …

Inflammatory Markers In The Emergency Department And Ptsd Symptoms In The Aurora Study: A Longitudinal Cohort Study, Kristen Nishimi, Stacey L House, Et Al.

2020-Current year OA Pubs

BACKGROUND: Systemic inflammation is hypothesized to contribute to post-traumatic stress disorder (PTSD) vulnerability. Few studies have examined inflammation shortly after trauma as a predictor of later PTSD symptoms. We examined whether inflammation from the emergency department (ED) post-trauma is associated with PTSD symptom severity over the following 6 months.

METHODS: Our sample included 742 AURORA participants, a longitudinal cohort of patients in 29 EDs across the United States after a traumatic stressor, followed up to 6 months. Plasma cytokines were assessed from a study blood draw in the ED: an inflammatory index (standardized sum of generally pro-inflammatory markers interleukin [IL]-6, …

An Analysis Of Web-Based Languange Learning On Students Speaking Anxiety, Alfi Syahrina, Zarfina Yenti, Monalisa Monalisa

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This study explores the use of Duolingo as a web-based language learning tool and its influence on students’ speaking anxiety at MTs Nurul Falah Kota Jambi. Speaking anxiety remains a significant affective barrier in English as a Foreign Language (EFL) learning, particularly in traditional classroom settings where students often experience communication apprehension, fear of negative evaluation, and test anxiety. Employing a qualitative case study design, this research involved approximately 15 students who had used Duolingo for at least six weeks, along with one English teacher for triangulation. Data were collected through semi-structured interviews and classroom observations and analyzed using thematic …

Nature As The Foundation: A Shift In Pedagogy, Mary Moroney-Fernandez

The Cicadian

Somewhere in the United States right now, a child is sitting beneath fluorescent lights while the world outside continues without her. This paper argues that her confinement is not accidental, but rather theoretical. Examining the divergent frameworks of Friedrich Fröbel and Jean Piaget, it traces how American public schooling absorbed a vision of learning organized around cognitive individualism while displacing Fröbel's relational vision of child and nature. Drawing on reflection, historical analysis, and research, this paper contends that lasting reform requires confronting the foundational assumptions that built the classroom in the first place.

The Pebble In The Shoe, Marcos Fernandez Tous

The Cicadian

This piece offers an introspective reflection by an educator at the University of North Dakota, blending phenomenological perspectives on the nature of education with the embodied experience of participating in a sweat lodge. Framed by a meandering walk across campus, the narrative interweaves several thematic threads: the tension between clarification and explanation, the values that should guide technology education, and the role of nature with its inherent, chaotic vitality. Although the text adopts a stream‑of‑consciousness approach, it does so without leaning on the established stylistic traditions of Proust, Joyce, or Faulkner. The work is also poetic in tone, suggesting that …

Private Assistant Agent, Bao Le '26

Senior Scholarly and Creative Symposium

Our brain has limited fuel: every time we make a decision, it costs fuel. A Personal Artificial Assistant will help preserve that fuel by handling secretarial tasks and scheduling a daily timetable for its user. Personal Assistant Agent (PAA) is an AI assistant running as a text-based Windows desktop application to help users in scheduling and give reminders like a secretary. Users interact with the PAA conversationally. This project is a system of reasoning and a modular memory pipeline that makes any Large Language Model (LLM) behave like a personal assistant. The Language model is isolated inside a function to …

Four Ways To Jumpstart Your Practice’S Marketing In 2018, Kelsey Leavey

Virginia Dental Journal

No abstract provided.

Vda Strategic Plan- Setting The Course For The Future, Joseph Bernier Dds

Virginia Dental Journal

No abstract provided.

A Glimpse Into Membership, Sarah Mattes Marshall

Virginia Dental Journal

No abstract provided.

Communication Our Ethical Responsibility, Blakely N. Pond Dds

Virginia Dental Journal

No abstract provided.

You're A Member Of The Vda - Now Join Us On Facebook, Shannon Jacobs

Virginia Dental Journal

No abstract provided.

Message From The Editor, Richard F. Roadcap Dds

Virginia Dental Journal

No abstract provided.

Va Dent J January, February And March 2018

Virginia Dental Journal

No abstract provided.

Hidden In Plain Sight: A Critical Examination Of The Sec’S Climate Disclosure Rule And Shortcomings In Addressing Multinational Instances Of Industrial Pollution, Charity Christina Williams

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Smash And Grab: How Cultural Property Theft And Destruction Erase Civilizations, Katie-Ann Miller

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Ending The Stigma: Abolishing India’S Marital Rape Exception And Post Abolition Practices, Hibah Hasan

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

The Conceptual Architecture Of America First—Ideological Transactionalism And The Case Of Cuba, Larry Catá Backer

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Are There Gender Disparities In Chinese Legal Education? – An Empirical Enquiry, Peter C.H. Chan, Haojin Duan

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Author Bios

Creative Nonfiction Magazine

No abstract provided.

Everything Gets Worse: An Antarctica Story, John O'Connor

Creative Nonfiction Magazine

No abstract provided.

Seep, Mieke Eerkens

Creative Nonfiction Magazine

No abstract provided.

79, Brian Broome

Creative Nonfiction Magazine

No abstract provided.

Without A Map, Meredith Hall

Creative Nonfiction Magazine

No abstract provided.