Digital Commons Network^™

The Diamond Minutes: Rethinking The Earliest Link Of The Trauma Chain Of Survival, Guglielmo Imbriaco, Sonia D’Arrigo, Francesco Limonti, Tim Nutbeam, Alberto Cucino

Peninsula Medical School

Matters arising.Trauma remains one of the leading causes of death worldwide, particularly among children, adolescents, and working-age adults. Despite major advances in trauma system and hospital-based care, a significant proportion of fatalities occur in the prehospital setting, often within minutes and before arrival of emergency medical services (EMS) [1]. Observational analyses consistently suggest that between one quarter and nearly half of trauma-related deaths occur before hospital arrival [2]. A recent prospective multicentre study involving over 1,000 patients with haemorrhagic shock demonstrated that, despite improvements in trauma centre capabilities, including whole blood resuscitation, hybrid operating rooms, and endovascular haemorrhage control, the …

Be Trauma Informed: A Pilot Evaluation Of A Podcast Intervention To Improve Trauma-Informed Care Knowledge, Attitudes, And Practices Among Pediatric Critical Care Nurses, Elizabeth Devries

Dissertations (1934 -)

Trauma-informed care (TIC) is integral to pediatric critical care (PCC) but accessible, scalable education is limited. This mixed-methods pilot study developed and evaluated Be Trauma Informed, a two-episode podcast educational series designed to increase PCC nurses’ TIC knowledge, attitudes, and trauma-informed practices while also assessing implementation outcomes of feasibility, necessity, acceptability, fidelity, safety, and beginning effectiveness. The curriculum for the podcast series was developed by the primary investigator with stakeholder input from PCC and TIC experts. The podcast was professionally produced, and episodes were distributed on major podcast platforms. Using purposive convenience sampling, PCC nurses within the United States completed …

Using Chatgpt Ai To Analyze Clinical Judgment In Immersive Virtual Reality Simulation From Prelicensure Nursing Students, Shari Ann Fehrenbach

Dissertations (1934 -)

This retrospective, descriptive study examined how clinical judgment was demonstrated across two immersive virtual reality simulation (IVRS) experiences in a cohort of Direct Entry Master of Science in Nursing (DEMSN) students using a generative large language model artificial intelligence, ChatGPT, for categorization of clinical judgment cognitive processes. The National Council of State Boards of Nursing (NCSBN) Clinical Judgment Measurement Model (CJMM) guided the study (NCSBN, 2022). Nurse expert-derived CJMM-aligned scoring rubrics were applied to deidentified, developer-generated IVRS performance reports, and ChatGPT categorized whether rubric actions were demonstrated and generated case-level, scored excel files. Total CJMM and cognitive component scores were …

Development Of Telenutrition Education And Counseling Protocol To Improve Diet Quality In Individuals With Spinal Cord Injury, Adrianne Widaman, Benjamin Dirlikov, Ramya Gopalan, Shelley Wood, Maria Sol Casas, Kazuko Shem

Faculty Research, Scholarly, and Creative Activity

Background: Cardiometabolic disease (CMD) is a leading cause of death for individuals living with chronic spinal cord injury (SCI), with a mortality rate due to CMD being higher than individuals without SCI. Telenutrition (TN) interventions tailored to health and accessibility needs of individuals with SCI may mitigate cardiometabolic risks. Objectives: To describe the development and validation of a telehealth-based medical nutrition therapy (MNT) within a clinical trial investigating the effectiveness of modifying diets to improve cardiometabolic health in persons with chronic SCI. Methods: The adaptive module-based MNT education content was developed in 3 phases by a multidisciplinary team. The first …

Comparing The Effects Of Suicide Stigma Reduction Interventions On Adult Help-Seeking Intentions: An Experimental Investigation, Max Stivers

LSU Master's Theses

With relatively few individuals who experience suicidal thoughts and/or behaviors (STB) engaging in formal treatment, one critical aspect of bridging the treatment gap is to reduce barriers to their seeking help (WHO, 2014). Stigma regarding suicide and mental health help-seeking has been identified as a barrier to care, inspiring development of interventions and public health campaigns targeting stigma reduction as a means of increasing help-seeking attitudes, intentions, and behavior (Corrigan et al., 2004). However, because efforts focusing specifically on reducing stigma may fail to address other logistical and psychosocial barriers to engaging with treatment, their broader impact in promoting help-seeking …

Enhancing Inference Of Differential Gene Expression In Metatranscriptomes From Human Microbial Communities, Evan M Lee, Nathan P Mcnulty, Matthew C Hibberd, Jiye Cheng, Kazi Ahsan, Hao-Wei Chang, Barak A Cohen, Jeffrey I Gordon

2020-Current year OA Pubs

Metatranscriptomic (MTX) sequencing quantifies gene expression from the collective genomes of microbial communities (microbiomes), enabling assessment of functional activity rather than functional potential. While differential expression testing is essential for RNA-sequencing analysis, current metatranscriptomic approaches have only been benchmarked on simulated data, resulting in a lack of standard practices for analysis of real datasets. Here, we use mock communities (defined mixtures of microbial cells with known properties) to quantitatively assess robustness and susceptibility of current approaches to various confounders including organisms' low relative abundance, differential abundance, low prevalence, global transcriptional output changes, and compositional effects. We show that no current …

Sowing Imbalance From The Start: Power, Role Socialization, And Graduate Assistants In Ncaa Division I Power Four Athletic Departments, Kaitlin Pericak, Daniel Springer, Brittany Washington, Rachel Silva

Journal of Issues in Intercollegiate Athletics

Graduate assistantships represent early entry points into intercollegiate athletics and serve as critical sites of professional socialization. Guided by Mead’s (1934) role theory and Foucault’s (1975/1977) concept of power, this study examined how graduate assistants (GAs) negotiated their dual roles as students and employees within Division I Power Four athletic departments. Semi-structured interviews with 10 current GAs revealed how organizational expectations normalized overwork, positioned the master’s degree as a compulsory credential, and sowed imbalance that shaped participants’ identities and well-being. Findings demonstrate how GAs internalized structured constraints and reproduced organizational norms, framing overwork as a necessary rite of passage. These …

Creating Strategy-Focused Universities Using The Balanced Scorecard And Accreditation Framework, Mohammed Fayazuddin, Balaji N, Sankar Ganesh

Journal of Global Management Research

The Balanced Scorecard (BSC) is a versatile framework for performance measurement and strategic management. It has been widely successful in helping businesses and institutes of higher education (IHE) implement strategies and achieve their mission and vision by maintaining a balance between financial and non-financial metrics. Globally, numerous universities have adopted the BSC to enhance quality and address the needs of stakeholders effectively.This study explores the adoption of the Balanced Scorecard in universities, examining its advantages, prerequisites, and challenges. It also establishes a link between the four perspectives of the BSC—financial, customer, internal process, and learning and growth—and the thirty-four key …

Green Corporate Responsibility And Sustainable Human Resource Management (Hrm) Functions, Sundara Boopathi R, Shanmugam Sundararajan

Journal of Global Management Research

In order to encourage employee sustainability behavior and achieve long-term organizational success, Green Corporate Responsibility and Sustainable Human Resource Management (HRM) departments place a strong emphasis on incorporating environmental principles into HR processes. Within the context of Green Corporate Social Responsibility (GCSR), this study investigates how Sustainable Human Resource Management (Green HRM) functions affect Organizational Sustainability through the mediating roles of Pro-environmental Behavior (PEB) and Pro-environmental Psychological Climate (PEPC). based on the Resource-Based View (RBV), Social Exchange Theory (SET), and Ability-Motivation-Opportunity (AMO) theory. By incorporating six essentials Green HRM practices-green hiring and selection, green training and development, green performance evaluation, …

Identifying Skill Gaps And Upskilling Priorities For C-Level Executives Using The Analytic Hierarchy Process (Ahp) Analysis, Mohamed Riyazhkhan, Mohsin Aziz, Krishna Murthy, Abdul Azeez K M, George Anthony Fernando

Journal of Global Management Research

C-level executives, or chief-level executives, play a significant role in corporate development, and their roles and responsibilities are essential for sustaining organizational effectiveness in an increasingly competitive business environment. They also constitute a fundamental component of organizational management systems (Julie & Emory, 2006). In this research, data were collected exclusively from C-level or C-suite executives (CEO, CFO, COO, and CHRO) from leading corporations in Oman and India. This study investigates three representative cases related to managerial functions across various corporate organizations. The first case examines the job descriptions associated with C-level executives, the second case explores the identification of skill …

Taman Kota Sebagai Ruang Publik Dalam Meningkatkan Intraksi Sosial, Reakreasi, Dan Ekspresi Budaya Masyarakat Perkotaan, Tar Isa Wulan Dari

Jurnal Sosial Humaniora Terapan

Urban parks represent a strategic form of public space that plays a significant role in supporting social life in urban communities. This study aims to analyze the role of urban parks as public spaces in enhancing social interaction, recreational activities, and cultural expression among urban residents. The research employs a literature review and descriptive analysis of relevant previous studies. The findings indicate that urban parks function as social interaction spaces that bring together diverse community groups regardless of age, social status, or cultural background, thereby strengthening social cohesion and a sense of belonging. In addition, urban parks provide recreational facilities …

Feedback Menus: Expanding Student Choice In Response To Writing, Andrew Testa

Journal of Response to Writing

This Teaching Tip introduces the Feedback Menu, a flexible protocol designed to promote student agency and feedback literacy in writing instruction. By allowing students to select the focus and mode of feedback they receive, the Menu helps tailor response to individual learning needs and supports meaningful revision at any stage of the composition process. The protocol is adaptable for use in first-year composition, professional writing, multilingual, and upper-division courses, in both face-to-face and online formats. Concrete implementation steps, sample menu items, and considerations for different teaching contexts are provided.

More Than Treating Errors: Bridging The Gaps And Expanding The Agenda For Scholarship On Teacher Written Feedback For L2 Writers, Lynn Goldstein, Robert Kohls

Journal of Response to Writing

Teacher written feedback is a central area of L2 scholarship and writing teacher education yet considerable research has focused on written corrective feedback (WCF) with considerably less attention paid to discourse-level (DLF) teacher written feedback. Our article identifies the gaps in the current teacher written feedback scholarship, explains why these gaps are problematic, and provides detailed recommendations for an agenda that examines teacher DLF and students’ use of this feedback. Our goal is to encourage scholars to explore new avenues of research that better take into account what writing “is” and “does” as well as take into account the linguistically …

Composing In Relation: Rethinking Multimodal Feedback As Rhetorical Design, Angela Laflen

Journal of Response to Writing

This qualitative study investigates how writing instructors compose feedback in multimodal digital environments, focusing on the rhetorical and relational dimensions of their design choices. Drawing on social semiotics and multimodal composition theory, the study analyzes feedback artifacts, instructor interviews, and student surveys from six first-year writing courses. Findings reveal that instructors engage in complex feedback design work across communication modes, often without formal training or shared frameworks. Instructors tended to default to text-based habits shaped by genre memory but adapted their strategies in response to communicative breakdowns and student needs. The study identifies three core themes: reliance on print-era conventions, …

Examining Automated Writing Evaluation Error Coverage In Relation To Uptake And Retention, Mohaddeseh Mehrzad, Mohammad Rahimi, Stephanie Link

Journal of Response to Writing

Despite the current widespread use of Automated Writing Evaluation (AWE) feedback, many issues regarding its efficacy still remain unresolved. Recent studies mainly focus on correctly detected errors with a lack of attention on the comprehensiveness of error detection, or error coverage. Error coverage is interesting because little is known about the capacity of AWE systems to fully detect common second language (L2) errors. It is also important to investigate the potential effect of such capacity on student uptake and retention, which are important constructs in fostering L2 writing development. To this end, the present study compared teacher feedback and AWE …

Navigating Feedback In Collaborative Writing: The Impact Of Student Backgrounds And Expectations On Transitions To New Academic And Social Spaces, Lindsey Gruber, María Fernández–Agüero

Journal of Response to Writing

This article examines how international students navigate feedback from a supervisor while working on a group writing project in a diverse English medium of instruction (EMI) bachelor’s program at a public university in Denmark, where no formalized writing or language support resources are offered in the students’ first year of instruction. Data were collected in qualitative, semi-structured interviews with 11 students who were identified through a survey of a first-year bachelor of arts cohort. Results from the survey showed that despite using a supervision model of education, few students perceived changes in feedback compared to their secondary school experiences, and …

A Comparative Analysis Of Cognitive And Social Outcomes In Toddlers With Speech Delay (Sd) Versus Autism Spectrum Disorder (Asd), Francisca Atem

Liberty University Research Week

The dissertation is a comparative analysis of cognitive and social performance between toddlers aged 18 to 36 months with Autism Spectrum Disorder (ASD) and Speech Delay (SD). Although both groups show early communication difficulties, their developmental patterns are vastly different, and they should be adequately separated to inform intervention planning and future developmental prognoses. Firmly rooted in the context of Developmental Psychopathology, Social Pragmatic Theory, and the Ecological Systems Theory by Bronfenbrenner, this qualitative study aims to investigate ways in which toddlers with SD and ASD are different in their cognitive functioning, including executive functioning, nonverbal IQ, and problem solving, …

A Phenomenological Study On The Connection Between Perceived Funding And Hbcu Athletic Staff Self-Efficacy, Ashley Keys

Liberty University Research Week

No abstract provided.

Socio-Legal Framework For Vulnerability: Using Public-Private Partnerships As A Tool For Disaster Management, Latisha Nixon-Jones

Pepperdine Law Review

As disasters continue to grow in size and intensity, the question arises: can governments effectively meet local and regional disaster response and recovery needs? This Article examines the history of utilizing public-private partnerships (PPPs) to enhance government functions in disaster management. The primary objective of this Article is to assess whether involving private entities in governmental roles is an effective strategy for building resilient communities and ensuring public safety, particularly for vulnerable populations. Existing literature focuses on the financial and logistical aspects of PPPs with mere mentions of legal importance. To address these failures, this Article proposes a novel socio-legal …

Create @ State 2026, Arkansas State University - Jonesboro

Create@State

Proceedings for 2026

Music Enhances Theta Brainwave Activity Regardless Of Tuning Frequency, Robert Somerville, Davis Raz, Jettson Yarborough, Luc-Shalom Kouame

Liberty University Research Week

No abstract provided.

A Lack Of Cultural Diversity In Leadership In Multinational Corporations, Amelia Smalls

Liberty University Research Week

Organizations increasingly rely on culturally diverse teams to support global collaboration and innovation. However, many organizations continue to struggle to translate workforce diversity into improved communication, team cohesion, and performance outcomes. This study examines how leadership behaviors influence communication dynamics and relational processes within culturally diverse teams in multinational organizational environments. Guided by transformational leadership theory, servant leadership theory, and leader–member exchange (LMX) theory, the research explores how leadership practices shape communication clarity, team cohesion, and organizational effectiveness. A qualitative research design supported by descriptive survey data was employed. Data was collected from 33 professionals working in multinational organizational contexts …

Vaccine Or No Vaccine? A Sudden Rise In Ancient Diseases, Krista Coipel, Atika Ali, Ifeoluwanimi Shobayo, Naa Komley Commey

Liberty University Research Week

Introduction/Background: In recent years, numerous vaccine-preventable diseases such as measles, tuberculosis, and polio, that were previously deemed controlled or eradicated have reappeared in different communities. The decline in vaccination rates, fueled by misinformation, obstacles to access, and vaccine hesitancy, presents an escalating threat to public health. This study investigates the connection between vaccination behaviors and the resurgence of these "ancient" diseases, within the framework of the Healthy People 2030 objectives.

Methods: Peer-reviewed journal articles, public health surveillance reports, and policy documents were systematically gathered through academic databases such as PubMed, Google Scholar, EBSCO and CDC/WHO repositories. Search terms employed included …

Metamodernism In Music, Kara Lewis

Liberty University Research Week

The progression of history, along with its technological, philosophical, and cultural shifts, is reflected in the music humans create and relate to. The shift towards a metamodern philosophical framework within the last two decades of Western culture has influenced the of music today. Our concept and description of metamodernism is taken from Timotheus Vermeulen’s and Robin van den Akker’s 2010 article, “Notes on Metamodernism.” They posit that metamodernism is defined by oscillation between “modern enthusiasm” and “postmodern irony” (pg. 1) and between “modern commitment” and “postmodern detachment” (pg. 2). It is of crucial note that this oscillation is not balance, …

Is Everything Awesome? Cultural Apologetics In A Metamodern Age, Alexander Lee, Dara Huamanchumo Ascanio, Isaiah Johnson

Liberty University Research Week

Contemporary apologists have emphasized that engaging with culture in an insightful and respectful way is a powerful tool for evangelism (Chatraw & Allen, 2018). In this vein, children’s media, born in a specific cultural setting, has a formative impact on upcoming generations, an avenue of influence that should be explored for its implications in apologetics. To do this, the research explores themes highlighting the transition between postmodernism and metamodernism by comparing the films Toy Story (1995) and The Lego Movie (2014). The project figures characters in Toy Story as representing the shift from modernism to postmodernism, while characters in The …

Instructors’ Lived Experiences Of Using Authentic Assessments In College Calculus Courses Across The United States: A Phenomenological Study, Christy Kains

Liberty University Research Week

The purpose of this transcendental phenomenological study was to describe the lived experiences of instructors with authentic assessments in college calculus courses across the United States. The theory guiding this study was Astin’s student involvement theory, which provided a framework to study the involvement of students in higher education. The central research question for this study was: What are the lived experiences of instructors who utilize authentic assessments in college calculus courses across the United States? This study used a qualitative design following the transcendental phenomenological approach of Moustakas. The sample included 12 instructors from two-year and four-year colleges in …

“Be Early, Be Loud, Wear Red”: An Ethnographic Study Of The Performance Of Liberty University Football Fan Identity And Boundaries, Cathryn Thomas

Liberty University Research Week

Social identity theory explains how college sports fandom can shape both social and personal identities, particularly through the formation of in-groups and out-groups based on identification with a team and opposition to rivals. Sports fans often communicate and behave in ways that signal their membership in the in-group while simultaneously distinguishing or excluding out-group members. This study examines how Liberty University football fans perform these in-group behaviors and how they mark boundaries with out-group members. Through observations made during a Liberty University Homecoming football game, the study deepens understanding of how sports fans construct belonging and unbelonging, and how these …

How Enneagram Types And Communication Styles Influence Political Party Affiliation, Hadley Hunt

Liberty University Research Week

The purpose of this research is to explore how political party affiliation is associated with personality differences, as shown through Enneagram types. This study will use a quantitative survey method. Data will be collected using a survey through Qualtrics. Participants will be asked to disclose their Enneagram type and political party affiliation. This research is needed to better understand how personality traits influence political identity. It is relevant because political conversations are becoming more polarized, and understanding communication differences could potentially reduce misunderstanding and conflict. This research helps communication scholars understand the connection of personality and ideology shape communication styles.

Perceived Coaching-Based Leadership As A Predictor Of Employee Communication Quality, Rachel Gaines

Liberty University Research Week

Effective workplace communication plays a critical role in employee engagement, collaboration, and overall organizational effectiveness. Leadership behaviors significantly influence communication climates; however, limited research has examined how coaching-based leadership specifically predicts the quality of employee communication. The purpose of this quantitative correlational study is to examine whether perceived coaching-based leadership predicts the quality of employee communication in organizational settings. Coaching-based leadership emphasizes behaviors such as reflective thinking, developmental feedback, and supportive guidance, which may foster communication environments characterized by clarity, openness, and constructive feedback. Data will be collected from approximately 100–150 working adults across sectors, including healthcare, education, and nonprofit …

On Speaking Up: Fluency Isn’T Intelligence — Living With A Stutter In A World That Expects Perfection, Dalton D. Conden

The Penguin Review

I-I-I-I’ve lived most of my life in the space between words—the pause, the breath, the moment of uncertainty where my voice decides whether it wants to cooperate. People often assume stuttering is a tiny inconvenience, like forgetting your keys or having bad Wifi. A stutter doesn’t fade just because you enter adulthood, college, or leadership roles. It grows with you. It travels into classrooms, meetings, speeches, and any moment where your voice becomes your first introduction to the world.