Digital Commons Network^™

Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke

Walden Dissertations and Doctoral Studies

Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …

Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga

Walden Dissertations and Doctoral Studies

This Doctoral Project was an educational project designed to improve standardized depression screening processes among the clinical staff of a behavioral health agency. This project addressed the gap of irregular implementation of the Patient Health Questionnaire-2 (PHQ-2) and PHQ-9 at this facility. The clinical practice issue being addressed by this project was, "Among clinical workers conducting depression screening, how does having a staff education program influence knowledge, confidence, and screening accuracy of the PHQ-2 and PHQ-9. Instructional intervention was developed based on the (Analyze, Design, Develop, Implement, Evaluate (ADDIE) model of instructional design. The program was delivered through standardized in-person …

Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson

Walden Dissertations and Doctoral Studies

Unmet social determinants of health (SDOH) contribute significantly to poor health outcomes, increased healthcare utilization, and persistent inequities in access to care. In a primary care organization, the inconsistent identification and management of patients’ social needs resulted in variable documentation, limited referrals to social work services, and avoidable emergency department (ED) utilization. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an executive leadership systems implementation proposal to standardize the identification and referral of at-risk patients through the integration of a validated social needs screening tool into the electronic health record (EHR). The guiding practice-focused question …

Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal

Walden Dissertations and Doctoral Studies

Preventable medical errors continue to challenge healthcare systems and highlight the critical role of leadership in shaping organizational safety climates. Healthcare leaders need to understand this dynamic as a primary indicator affecting patient outcomes. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and the safety climate within an integrated healthcare system in Northern California. Avolio and Bass’s full range leadership model and Neal and Griffin’s organizational safety climate theory grounded this study. The participants comprised 2,352 clinical and nonclinical staff who completed the safety attitudes questionnaire and the …

Law Enforcement Officers’ Experiences With Secondary Traumatic Stress And Coping While Working With Child Molesters, Aaliyah Blanding

Walden Dissertations and Doctoral Studies

This study was focused on law enforcement officers’ experiences with secondary traumatic stress and coping while working with child molesters. Lazarus and Folkman’s cognitive model of stress and coping were used to examine how law enforcement officers manage stress, focusing on their cognitive processes and thought patterns. Using a basic qualitative approach, eight law enforcement officers who work with child molesters in the state of South Carolina were interviewed to hear their personal experiences. Interviews were semi-structured interview questions via a video-conferencing platform. The data were analyzed and coded using Braun and Clarke’s six-step thematic analysis. The study’s findings confirmed …

The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker

Walden Dissertations and Doctoral Studies

Many parolees struggle with successful reintegration into society. Further research was needed to assess the benefits of parole for both parolees and former parolees in Guyana, the only English-speaking country in South America. The insights of ex-parolees may make the country’s parole process more meaningful to offenders’ rehabilitative experience and overall social reintegration. The purpose of this qualitative study was to understand the effectiveness of rehabilitative activities in the social reintegration of ex-parolees into Guyanese society. The risk–need–responsivity model, general strain theory, and social support theories provided a framework for the investigation. The focus was on ex-parolees who had been …

Strategies To Recruit And Retain Imaging Ancillary Staff For Healthcare Organizations, Stephania Poveromo

Walden Dissertations and Doctoral Studies

Hospitals and healthcare facilities in the United States continue to face persistent shortages of ancillary imaging technologists, creating significant challenges for hospital administrators. The purpose of this integrative review was to identify effective strategies for recruiting and retaining imaging staff in hospitals. The review question concerned what best practices and strategies healthcare administrators can use to improve the recruitment and retention of ancillary imaging staff. The theoretical frameworks for this research, strategic human resource development and Maslow’s theory of human motivation, provided a lens for understanding organizational enhancement and employee engagement, respectively. Following the application of inclusion and exclusion criteria, …

The Impact Of Face Masks On Social Perception Is Age-Dependent, Farid Pazhoohi, Maryam Rostami-Aghoui, Sepide Pazhouhi, Keina Aoki, Alan Kingstone

School of Psychology

Human faces are critical for social communication, enabling individuals to make rapid judgments about traits like trustworthiness and competence. Previous research suggests that face masks can enhance perceptions of trustworthiness and, to a lesser extent, competence, although findings on competence are more variable and context-dependent. Additionally, age-related facial cues influence social judgments, with older and younger faces being evaluated differently. This research examined the impact of face masks on perceptions of trustworthiness and competence across two age groups: young adults (Study 1) and old adults (Study 2). Study 1 revealed that face masks increased perceptions of trustworthiness and competence for …

Lyari: A War Unseen, Sammi Deen

MSJ Capstone Projects

This capstone explores the conflict in Lyari Karachi and its enduring aftermath on the locals. It examines the lived experiences of conflict victims, their families and the profound psychological traumas resulting from prolonged violence. The study highlights how the conflict continue to shape everyday life in Lyari.

My capstone provides overview of the Lyari conflict, followed by an in-depth analysis of its social and human consequences. It documents the impacts on locals’ communities, particularly victims’ families, and illustrates how the conflict not only devastated lives but also contributed to the spread of drug abuse, lawlessness, and a culture of unaccountability, …

The Effect Of Digital Dentistry On Clinical Practice And Patient Outcomes, Jonathan Blackwell, Jeffery Talbot

Annual Research Symposium

This poster presents findings from a cross-sectional study and literature review evaluating the impact of digital dentistry on clinical efficiency, patient outcomes, and practitioner perceptions. The study examines awareness, clinical applications, perceived advantages, and barriers to adoption of technologies such as CAD/CAM systems and intraoral scanning. Results highlight how educational background influences perceived usefulness and identify key factors affecting the integration of digital workflows into clinical practice.

2026 Hillsborough County 4-H Presents, Carrie A. Finke

UNH Cooperative Extension

Hillsborough County 4-H is excited to once again bring you Hillsborough County 4-H Presents!/Activities Day,  Saturday April 18^th, 2026 at Crotched Mountain School 1 Verney Drive Greenfield, NH.  The Event will begin with registrations starting at 12:30pm with various categories of events taking place starting at 1pm.

What is 4-H Presents?  4-H Presents is an opportunity for 4-H youth to demonstrate their presentation skills and subject matter knowledge. Every 4-H member is encouraged to give a presentation each year. A 4-H presentation can be a demonstration, action exhibit or public speech. Through presentations, youth learn to research a …

2026-02-18 Is Ai Inescapable In Higher Education?, Maddie Rodriguez

The Spectator Online

No abstract provided.

2026-02-18 ‘The Tempest’ Sweeps Into The Lee Center’S 20th Anniversary, Keagen Brooks-Torres

The Spectator Online

No abstract provided.

2026-02-18 Su Student Coalition Demands Regarding Immigration Authorities, Spectator Editorial Board

The Spectator Online

No abstract provided.

2026-02-18 Editorial: Are We Jesuits Or Are We Cowards?, The Spectator Editorial Board

The Spectator Online

No abstract provided.

Development And Diffusion Of The Social Capital Index (Soci), Dean Kyne, Daniel P. Aldrich, Dominic Kyei

Sociology Faculty Publications

Social capital influences community disaster preparedness, response, and recovery. In 2020, Kyne and Aldrich introduced the Social Capital Index (SoCI), a pioneering, publicly available county-level measure capturing bonding, bridging, and linking social capital across the United States. Since then, the SoCI has been widely adopted across disciplines and applied in diverse research contexts. Five years later, emerging theoretical developments and expanded data availability offer an opportunity to reassess its diffusion and strengthen its methodological foundations. This study addresses three objectives: (1) revisiting the conceptual roots that informed the original index, (2) examining its diffusion through citation and co-citation analyses of …

Model Free Sliding Mode Control For Uavs, Aashrita Mandalapu

Theses

Sliding Mode Control (SMC) is a robust and adaptable control strategy recognized for its ability to withstand uncertainties, disturbances, and parameter variations. Although the straightforward implementation of SMC along with its insensitivity to modeling inaccuracies make it effective for a wide range of applications, it still relies heavily on an accurate system model. In dynamic environments where system characteristics vary over time, a model-independent SMC framework becomes necessary. So, a Model-Free Sliding Mode Control (MFSMC) approach is proposed as a compelling solution for complex nonlinear systems where deriving an accurate model is difficult. In contrast to conventional SMC approach, MFSMC …

Cell-Cell Communication As Underlying Principle Governing Color Pattern Formation In Teleost Fishes, Marleen Klann, Lila Solnica-Krezel, Et Al.

2020-Current year OA Pubs

The diverse pigmentation patterns of animals are crucial for predation avoidance and behavioral display. This diversity arises from interactions among distinct pigment cell types, yet mechanisms generating pattern variation across teleost fishes remain incompletely understood. In zebrafish, Turing models have been proposed to explain stripe patterns, but it is unclear if they apply to other fishes. Here, we investigate the Snowflake mutant of the anemonefish Amphiprion ocellaris, which displays enlarged white bars with irregular boundaries. Using genome-wide association mapping and targeted sequencing, we identify a missense mutation (E42K) in gja5b, encoding the gap junction protein Connexin 41.8. CRISPR/Cas9-mediated genome editing …

Beyond Subsidies And Mandates: Testing A Simple Behavioral Mechanism To Drive Health Insurance Coverage, Wendy Netter Epstein, Hansoo Ko, Christopher Robertson, Kevin Wilson, David Yokum

Faculty Scholarship

Uninsured individuals face reduced access to care, financial risk, and higher mortality. Although public programs and private subsidies have lowered uninsurance, these mechanisms remain incomplete and politically unstable. We evaluate whether a low-cost outreach intervention can increase health insurance enrollment without altering plan prices. Using a randomized field experiment involving 16,477 uninsured Maryland households, we assigned households to a no-contact control or to receive email and postcard outreach featuring affordability messaging alone or combined with responsibility or community framings. Outreach increased qualified health plan enrollment by 0.699 percentage points and total coverage by 0.967 percentage points relative to control. The …

Advances In Understanding Multimodal Ai Systems, Monika Shah

Electronic Theses and Dissertations Archive

Multimodal AI systems integrate computer vision, natural language processing, and knowledge representation. While deep learning has made immense advances in tasks such as Visual Captioning (VC) and Visual Question Answering (VQA), it is hard to decipher knowledge encoded within these models to verify, evaluate and explain the behavior of these models. In this dissertation, we propose to i) develop a probabilistic framework to evaluate uncertainty in captioning models using Markov Logic Networks (MLNs), a well-known statistical relational model ii) disentangle knowledge grained in fine-tuning from preexisting knowledge encoded in pre-trained captioning models using a Neuro-Symbolic extension of MLNs called Hybrid …

Peer-Led Community Interventions Can Reduce Bronchiolitis Hospital Admissions By Influencing Parental Health-Seeking Behaviour, Danielle Edge, Ruth Kearns-Smith

School of Nursing and Midwifery

ContextBronchiolitis is a leading cause of infant hospital admission, placing seasonal pressure on paediatric services. Admission rates vary widely and are strongly associated with socioeconomic deprivation, reflecting differences in disease burden and healthcare utilisation.1 Despite rising admissions, PICU admissions have remained stable, indicating no increase in disease severity.1 Hospitalisation is therefore not inevitable and may reflect health-seeking behaviour. Evidence suggests that parental knowledge alone does not alter attendance, as these decisions are shaped by anxiety, perceived vulnerability and social norms.2 3 Parent champions have been proposed in bronchiolitis as an upstream intervention to address these influences.4 The study by Lee …

Comparative Safety, Efficacy, And Predictors Of Complete Occlusion Of Flow Diverter Devices In The Treatment Of Unruptured Distal Anterior Cerebral Artery Aneurysms, Hamza Adel Salim, Luca Scarcia, Frédéric Clarençon, Orabi Hajjeh, Motaz Daraghma, Davide Simonato, Yan-Lin Li, Eimad Shotar, Kevin Premat, Pascal Jabbour, Stavropoula Tjoumakaris, Michael R. Gooch, Marios Psychogios, Nikos Ntoulias, Peter Sporns, Ajit S. Puri, Jasmeet Singh, Anna Luisa Kuhn, Ameer E. Hassan, Oktay Algin, Markus A. Möhlenbruch, Sophia Hohenstatt, Riccardo Russo, Mauro Bergui, Oded Goren, Matthew J. Kole, Nourou Dine Adeniran Bankole, Richard Bibi, Gregoire Boulouis, Takeshi Morimoto, Fumihiro Sakakibara, Raoul Pop, Ciprian Juravle, Joanna W. K. Ho, Ãngel Ferrario, Virginia Pujol Lereis, Jared Cooper, Chirag D. Gandhi, Giancarlo Salsano, Lucio Castellan, Arturo Consoli, Alessandro Sgreccia, Eytan Raz, Charlotte Chung, Julien Burel, Chrysanthi Papagiannaki, Umair Rasheed, Khawaja Muhammad Baqir Hassan, Hong Tao, Zhe Ji, Riitta Rautio, Matias Sinisalo, Maria Ruggiero, Elvis Lafe, Valerio Da Ros, Luigi Bellini, Joseph Domenico Gabrieli, Francesco Causin, Michael R. Levitt, Kate Carroll, Zachary Abecassis, Antonio Armando Caragliano, Sergio Lucio Vinci, Guillaume Bellanger, Christophe Cognard, Gaultier Marnat, Lisa Saleille, Nicola Limbucci, Francesco Capasso, Mariangela Piano, Claudia Rollo, Alexis Guedon, Francesco Arpaia, Andrea Romi, Fortunato Di Caterino, Alessandra Biondi, Erwah Kalsoum, Mykola Vyval, Adrien Guenego, Than Nguyen, Mohamad Abdalkader, Thibault Agripnidis, Aman B. Patel, Vitor Mendes Pereira, Maurizio Fuschi, Alessandro Pedicelli, Vivek Yedavalli, Max Wintermark, Andrea M. Alexandre, Adam A. Dmytriw, Creta Investigators

Department of Neurosurgery Faculty Papers

BACKGROUND: Flow diverters (FDs) are increasingly used for cerebral aneurysms, including distal anterior cerebral artery (DACA) aneurysms, but comparative data between devices in this challenging location are limited.

OBJECTIVE: To compare the safety and efficacy of Pipeline, Silk Vista Baby (SVB), and FRED Jr. FDs for unruptured DACA aneurysms and identify predictors of complete occlusion.

METHODS: We retrospectively analyzed 166 patients treated with FDs at 39 centers in 14 countries (2018–2022) from the CRETA registry. Outcomes included aneurysm occlusion (O’Kelly–Marotta [OKM] scale), complications, retreatment, modified Rankin Scale (mRS) scores, and independent predictors of complete occlusion using multivariable Cox regression.

RESULTS: …

Optimizing Traffic Signal Timings Using Real Time Data Analytics, Hamad Abdulla Binsultan

Theses

City traffic jams have become a major challenge for contemporary cities, causing delays, increased fuel consumption, and other environmental impacts. Conventional traffic signal controlling systems usually depend on fixed or preset signal plans that are incompetent to adjust themselves with changing traffic conditions. Traffic signal timings are optimized across the intersection health of the system by processing real-time data analytics. Through real-time data analytics, traffic flow efficiency is improved while waiting time at signalized intersections is reduced. Using traffic real-time data like vehicle counts, vehicle types, time of day and day of the week to see howtraffic behaves under different …

How Place Makes Us Human, Rachel Ann Brickner

Creative Nonfiction Magazine

No abstract provided.

Secrets, Or Lies?, Anita Huslin

Creative Nonfiction Magazine

No abstract provided.

It's Time To Stop Talking About Global Warming, Andrew C. Revkin

Creative Nonfiction Magazine

No abstract provided.

The Power Of Something Greater Than Yourself: An Interview With Al Roker, Joe Fassler

Creative Nonfiction Magazine

No abstract provided.

Finding The Major Questions Doctrine, Chad Squitieri

Pepperdine Law Review

The major questions doctrine has been invoked primarily in the rulemaking context, where it requires agencies to identify particularly clear statutory authority before promulgating rules of “major” importance. Some scholars have suggested that the doctrine is a tool that should be limited to agency actions that are purportedly “legislative” in nature (e.g., rulemakings)—meaning the doctrine would not apply in other contexts, such as agency adjudications and enforce-ment actions that may not be similarly “legislative.” This Essay responds by arguing that the major questions doctrine is best understood as a limit on executive authority—meaning the doctrine could apply across a wider …

The Market Theology Of The Early Church: Some Theological Contributions To The Dismal Science, Jacob Sheldon Feiser

Journal of Religion and Business Ethics

This Article seeks to make three modest contributions. First, this Article serves to correct a failed historiography of the early church. While no patristic scholar argues that the early church professed a sort of proto-communism, other disciplines, namely, economics and business, perpetuate a misapprehension of how the early church thought about property and markets. Second, this Article offers an intellectual survey of both Ante-Nicaean and Nicaean/Post-Nicaean church fathers on property and markets. Through this survey, this Article seeks to demonstrate a general theme of the acceptance of private property, capital accumulation, market exchange, and arbitrage. Finally, this Article supports two …

The Price Of Writing, Jennifer Niesslein

Creative Nonfiction Magazine

No abstract provided.