Towards Breach Hypothesis Based Predictive Autonomous Cyber Defense Ecosystem: Proactive Prevention Of Imminent Threats And Productivity Losses, Yogesh Chavarkar

Master's Theses and Doctoral Dissertations

As cyberattack tools and techniques get sophisticated and persistent, reactive cybersecurity has been unable to effectively prevent breaches and compromises. Organizations and institutions with large complex environments have wide vulnerable exposure with higher chances of a cyberattack. This also increases overall security and financial risk. Possibility of repetitive attacks from cyber threats increases, too, despite the use of standard defense measures. Security tools and system vulnerabilities often need manual patching and updates to keep the environment secure and functioning effectively. Productivity suffers from manual trade-offs in keeping the systems secure from adverse impact. Persistent high-severity cyberattacks, despite continued reactive defensive …

The Prevalence Of Diabetic Retinopathy In American Indians Or Alaska Natives And Non-Indigenous Americans: A Systematic Review And Meta-Analysis., Caberry W. Yu, Keean Nanji, Anubhav Garg, Michele Zaman, Jane Jomy, Abdullah El-Sayes, Catherine Sun, Shreyas Bhat, Mark Phillips, Dena Zeraatkar, Jinhui Ma, Enrico Borrelli, Sunir J Garg, David H. Steel, Tien Yin Wong, Sobha Sivaprasad, Charles C. Wykoff, Varun Chaudhary

Wills Eye Hospital Papers

TOPIC: To estimate the prevalence of diabetic retinopathy (DR) in adult American Indian or Alaska Native (AIAN) and non-AIAN patients with diabetes.

CLINICAL RELEVANCE: Although diabetes mellitus is more prevalent among AIAN patients compared with non-AIAN patients, the evidence is inconsistent regarding whether AIAN patients have a higher prevalence or severity of DR.

METHODS: We searched Ovid MEDLINE, EMBASE, and Web of Science databases from inception through February 23, 2025. We included primary studies evaluating the prevalence of DR in Americans with diabetes. The prevalence of (1) DR, (2) diabetic macular edema (DME), (3) proliferative diabetic retinopathy (PDR), (4) vision-threatening …

Epanorama January 2026, Southern Adventist University

Panorama Parent Newsletter

This digital issue of Panorama includes a president's message, FAFSA reminder, the THRIVE initiative, and more.

Strengthening Workforce Stability And Operational Efficiency In The Transition To Practice: A Quality Improvement Project, Alana L. Lemoine

Master's Theses and Capstones

Abstract 

Background: The transition to professional practice is a challenging period for new graduate nurses, and inadequate support can contribute to high turnover and reduced job satisfaction. Structured mentorship programs have been proposed as an effective strategy to improve retention, support professional development, and enhanced perceived impact during the first year of practice for new graduate nurses.

Local problem: Within a single microsystem, new graduate nurses faced challenges related to access to formal mentorship and support throughout the transition to practice. Baseline data indicated that only 50% of nurses had access to active mentorship, and retention rates in 2024 were …

Promoting Equitable Access To Postpartum Hemorrhage Education: A Quality Improvement Project Using Educational Interventions For Night Shift Nurses, Michelle Stella

Master's Theses and Capstones

Abstract

Background: Postpartum hemorrhage (PPH) is a serious condition that can lead to maternal morbidity or mortality following the birth of their child. It is important for nurses to be properly educated to manage this condition quickly and efficiently. Night shift nurses often face barriers to accessing educational opportunities during their shift because most education is tailored to daytime hours.

Local Problem: At the project site facility, night shift nurses perceived inconsistent access to education compared to day shift nurses. This gap highlighted the need for more flexible educational modalities to meet the needs of night shift nurses.

Methods: This …

Increasing Nursing Perceptions On Advanced Directives Through Education To Promote Patient Centered Care, Michelle Strong

Master's Theses and Capstones

No abstract provided.

Improved Daily Communication To Reduce On-Time First Case Start (Fcots) Delays In The Operating Room: A Quality Improvement Project, Autumn Tourangeau

Master's Theses and Capstones

BACKGROUND: First Case On-Time Starts (FCOTS) are a key indicator of perioperative efficiency and influence operating room (OR) utilization, staff productivity, patient satisfaction, and healthcare costs. Baseline data from an ambulatory perioperative unit demonstrated persistent variability in FCOTS performance and inconsistent interdisciplinary communication regarding surgical delays.

Local Problem: Inconsistent communication and documentation of first-case delays limited interdisciplinary awareness of workflow barriers and contributed to ongoing variability in FCOTS performance.

Intervention: A standardized, HIPAA-compliant daily communication process was implemented, consisting of an end-of-day email summarizing FCOTS delays and the documented reasons for delays. Educational materials and standardized documentation tools were introduced …

Improving Equipment Safety And Operational Efficiency In The Labor And Delivery Setting Using A Standardized Bedside Equipment Checklist: A Quality Improvement Project, Clara E. Lane

Master's Theses and Capstones

Background: Timely and effective neonatal resuscitation depends on the immediate availability and functionality of emergency equipment. Within labor and delivery settings, equipment failures or delays in obtaining necessary supplies and equipment can be detrimental to neonatal health outcomes. Standardized equipment verification processes have been recommended to improve equipment readiness and reduce preventable delays in care provision during neonatal emergencies.

Local Problem: Baseline observational data within the labor and delivery microsystem identified inconsistencies in equipment verification processes, resulting in variable equipment readiness across the microsystem. Staff reported variations in room preparation, safety checks, and concerns related to missing or malfunctioning equipment …

Introducing Education For Sensory Approaches In Mental Health-Related Emergency Department Visits: A Quality Improvement Project To Enhance Patient-Centered Care, Jesse O'Neill

Master's Theses and Capstones

Background: Barriers to specialty care access have resulted in emergency departments (ED) operating as temporary psychiatric hold facilities for their communities. Patients boarding in the ED are demonstrated to use a disproportionate percentage of facility resources with minimal benefit to the patient. The Institute for Healthcare Improvement identifies the impact of the healthcare environment on patient outcomes and suggests staff training to foster trauma-informed practice culture (Schall et al., 2020).

Local Problem: High-stress healthcare environments can escalate maladaptive patient behaviors and the use of restrictive interventions. Traditional use of restrictive interventions lacks supportive evidence and contradicts person-centered care goals (Molloy …

Implementing A Standardized Patient Report Sheet To Improve Timeliness And Efficiency Of Patient Handoff Reports: A Quality Improvement Project, Brian F. Mclaughlin

Master's Theses and Capstones

Abstract

Background: A successful patient handoff report is a foundational element of nursing care, it encompasses the patient's medical history, current treatment plan, patient-centered goals, and notes of consideration. Blazin et. al. (2020) identified unsuccessful patient handoff reports as the root cause of many medical errors. Improving the patient handoff report process provides opportunities for increased registered nurse job satisfaction, reduced medical errors, and increased time efficiency.

Local Problem: Anecdotal discussions with nursing staff on an adult medical-surgical unit  revealed frustration with the patient handoff reporting process. Nursing staff cited interruptions, lengthy patient handoff report times, and the need to …

Cheshire Advisory Council Agenda & Minutes 2026, Carl Majewski

Advisory Council

No abstract provided.

Early Microglial Response To Amyloid Plaques Drives Sleep Loss In Alzheimer’S Disease, Nicholas J. Constantino, Riley E. Irmen, Matthew J. Lanning, Sierra M. Turner, Clair C. Ashley, Caitlin M. Carroll, Evan M. Neary, Dave Rubinow, J. Andy Snipes, Shannon L. Macauley

Physiology Faculty Publications

Introduction: Sleep disruption is an early feature of Alzheimer's disease (AD), but the cellular mechanisms linking amyloid pathology to sleep loss remain unclear.

Methods: Electroencephalography/electromyography (EEG/EMG) recordings, quantitative EEG analysis, and sleep deprivation were performed in APPswe/PSEN1dE9 (APP/PS1) mice at different stages of pathology relative to normal aging. Amyloid burden and microglial density were quantified with whole-brain light-sheet microscopy. CSF1R-mediated microglial depletion explored effects of microglia on sleep loss.

Results: Amyloid plaques caused non–rapid eye movement (NREM) sleep loss that did not worsen with increased plaque burden. Aging reduced REM sleep and eliminated sleep rebound. Amyloid pathology was associated with …

Skeletal Muscle Methylome-Transcriptome Disruptions During The Onset And Progression Of Colorectal Cancer-Induced Cachexia, Ana Regina Cabrera, Ronald G. Jones, Eleanor R. Shrems, Francielly Morena, Yuan Wen, Tyrone A. Washington, Kevin A. Murach, Nicholas P. Greene

Physiology Faculty Publications

Cancer cachexia is a wasting condition, primarily affecting skeletal muscle, impairing patients’ quality of life, prognosis, and survival. The molecular triggers are incompletely defined, but given prior evidence for epigenetic plasticity in muscle, we speculate that dysregulated DNA methylation plays a role in muscle transcriptional alterations mediating cachexia severity. We aimed to describe and integrate the cachexia methylome and transcriptome. We used a time course approach in a mild cachexia model (colon-26, C26) coupled with a severe cachexia genetic model (Apc^Min/+) in both biological sexes to assess the methylome across degrees of cachexia pathology. The muscle methylome and …

Agricultural Evidence Synthesis At A Critical Juncture: Quality Gaps And Implications For Evidence-Based Agriculture, Chao Cai, Jane Yatcilla, Justyna Czader, Sylvie Brouder, Jeffrey Volenec

Libraries Faculty and Staff Scholarship and Research

Systematic reviews and meta-analyses have become essential tools for synthesizing evidence to guide agricultural policy and practice, yet whether these syntheses are themselves conducted with sufficient rigor has rarely been systematically assessed. This study provides a field-wide assessment of reporting quality in agricultural evidence synthesis, examining whether existing reviews are conducted with sufficient transparency and rigor to support the policy and practice decisions they are meant to inform. We drew a random sample of 244 systematic reviews and meta-analyses from a bibliometric dataset of 1,709 articles published between 1997 and 2023, evaluating reporting quality using a 12-indicator rubric across four …

Andante: Introduction, Ilaria Serra

Andante: An Introduction

Cover art: Dorothy Tennant (1855-1926), Al gioco

Problems And Possibilities Of Namelessness In Late Antiquity And The Early Middle Ages, Jamie Wood, Hope Williard, Máirín Maccarron, Julia Hillner, James R. Burns

Medieval People

No abstract provided.

Full Journal

Pastoral Liturgy

No abstract provided.

Perceptions Of Managerial Roles In Physician Leadership Among First- And Final-Year Medical Students: A Cross-Sectional Study Using Mintzberg’S Framework, Sari Huikko-Tarvainen, Timo Tuovinen, Petri Kulmala

Health Professions Education

Purpose: This study investigated how medical students – as future physicians – perceive the relevance of Mintzberg’s ten managerial roles to physician leadership, and whether these perceptions change throughout medical education.

Method: In 2021, all first‑year (n = 116/116) and 98% of final‑year (n = 107/109) students at the University of Oulu, Finland completed a web‑based survey rating Mintzberg’s ten managerial roles in fulfilling physician leaders’ leadership work on a 5‑point Likert scale. Item reliability and internal consistency were examined with Cronbach’s α. Because Likert data are ordinal, medians and interquartile ranges (IQRs) were calculated, and group differences were tested …

When The Wind Is Right, Luke Matthew Kuennen

Graduate Student Theses, Dissertations, & Professional Papers

Rural Ukrainian Life Under, After, and Near Russian Occupation

Ukraine is endowed with several significant economic assets and plays a crucial role in global trade, particularly due to its rich agricultural resources and strategic location in Eastern Europe. Ukraine's agricultural strength largely stems from its geography and the quality of its soil. The country has about 41 million hectares of arable land, which is approximately 70% of its total land area. The soil is primarily chernozem, or black soil, which is highly fertile and rich in organic matter. This makes Ukraine's land among the most productive in the world.

When …

Ghostly Grieving In Theatre’S Now Also The Dramaturgy Of Perception And The Body In Contemporary American Ghost Plays, Jacob Mann Christiansen

Graduate Student Theses, Dissertations, & Professional Papers

“Ghostly Grieving in Theatre’s Now Also” explores how contemporary American plays and playwrights stage the dead as a way of understanding theatre’s unique language for dealing with the shared, complex human experience of grief. Focusing on theatrical ghosts and other “impossible” presences, I articulate how these figures function as dramaturgical devices. I also argue that theatre’s ghosts “set the stage” (as it were) for communicable meaning-making by inviting audiences into the tasks of creation and mourning.

My work draws on performance theory (especially phenomenological accounts of theatrical storytelling), on dramaturgical analysis, and on grief studies. In this dissertation project, I …

Developing Identity After Goodbye: Social Identity Theory And How Adolescent Survivors Navigate Suicide Loss, Elizabeth Susan Lawton

Graduate Student Theses, Dissertations, & Professional Papers

Adolescents who lose a loved one to suicide, known as suicide-loss survivors, face a disruption to identity development, a life stage defined by identity formation (Adler et al., 2018) and group belonging (Pittman & Richmond, 2008). Suicide bereavement is complicated not only by grief but also by stigma, which can fracture social ties and undermine self-concept. Social identity theory (SIT) provides a framework for examining how young adults, now ages 18 to 30, reconstruct their social identities after experiencing suicide loss in adolescence. Research in other stigmatized contexts shows that adopting positive in-group identities can buffer against stigma and protect …

The Subadults Of Casas Grandes: A Bioarchaeological Study, Holli Kaye Mcdonald

Graduate Student Theses, Dissertations, & Professional Papers

Across the span of nearly eight hundred years, from AD 700-1450, the societies of the Casas Grandes region waxed and waned and left an astounding representation in the archaeological record. Best-known through the temporally older site of Convento (occupied during what is known as the Viejo Period) and the later site of Paquimé (occupied during the Medio Period), gradual cultural expansion and florescence across this period are witnessed through a variety of findings across decades of anthropological investigation.

Along with the artifacts and architecture unveiled during initial excavations at Paquimé and Convento, remains of 654 individuals were catalogued as well. …

The Forensic Implications Of Hydrochloric Acid (Hcl) Exposure On Dna Preservation In Human Teeth, Shaelyn Lee Zimmerman

Graduate Student Theses, Dissertations, & Professional Papers

Identity is a human right, and forensic anthropological methods are often aimed at returning identity to decedents. Three main pathways are used for the identification of human remains: fingerprints, dental records, and DNA analysis. Identification efforts may be hindered when perpetrators attempt to obscure the victim’s identity. In cases where corrosive substances, such as hydrochloric acid (HCl) are used, dental comparison and fingerprinting often fail and genetic analysis becomes the best chance of achieving personal identification.

Previous studies have shown teeth are an excellent source of DNA. Large, multi-rooted teeth, such as molars, are often preferred because they contain the …

Labor Savings From Mechanical Rice Transplanting In Bangladesh, India, Nepal, And The Philippines: A Systematic Review And Meta-Analysis, Rodrigo S. David

ASEAN Journal on Science and Technology for Development

Rice production in South and Southeast Asia faces serious challenges, including acute labor shortages and rising wages, which threaten regional food security. Mechanical rice transplanting offers a promising solution; however, evidence on labor savings, especially region-specific data, remains inconsistent. This systematic review and meta-analysis aimed to quantify labor savings from mechanical versus manual transplanting across Bangladesh, India, Nepal, and the Philippines.

Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search was conducted across four major scientific databases (2000–2026) using Boolean search terms for mechanical transplanting and labor outcomes. Of 284 initial records, 52 met eligibility …

Album Production: A Pedagogical Tool In Collegiate Brass Performance, Alex Doolittle

Theses and Dissertations

This graduate research project investigates the value of musical album production within collegiate brass performance training and pedagogy. Within the collegiate sphere, brass pedagogy has long centered on live performance, such as juries, recitals, and ensemble participation as a primary performance tool; however, the 21st-century musical landscape is deeply rooted in technological and digital artistic dissemination. This study is used to push the boundaries of how technology can be interpreted in brass pedagogy by asking: How does album production function as a pedagogical tool in collegiate brass performance training?

In this project, I used an auto-ethnographic case study design, serving …

Analysis Of Risk Factors And Current Programs For Addressing Injuries In Children And Adolescents, Jahfel Nial Jones Iii

Theses and Dissertations

Unintentional injuries are a leading cause of morbidity and mortality among children and adolescents in the United States. These injuries result from various causes, including motor vehicle crashes, falls, suffocation, and poisoning. This capstone project examines the prevalence, risk factors, and prevention strategies for unintentional injuries among infants, children, and adolescents. Using a public health approach, this research explores evidence-based interventions and community-based programs that effectively reduce injury-related mortality. The project also incorporates data and insights from the Safe Kids Columbus program at Piedmont Columbus Regional, where various injury prevention initiatives have been implemented.

Findings revealed that motor vehicle crashes …

Medullary Nephrocalcinosis In A Patient With Medullary Sponge Kidney: A Case Report, Sagal Khalif

Bachelor of Science in Diagnostic Ultrasound Projects

Medullary nephrocalcinosis is characterized by calcium deposition within the renal medulla and is often associated with recurrent nephrolithiasis, metabolic, or congenital renal conditions. This case involves a 70-year-old female patient whose medical history includes both a prior diagnosis of medullary sponge kidney and multiple occurrences of kidney stone formation. She presented for evaluation of dysuria and hematuria. Renal ultrasound was performed and demonstrated echogenic renal pyramids, consistent with medullary nephrocalcinosis. Additional computed tomography (CT) imaging was performed to assess the extent of the calcification and evaluate for new or persistent kidney stones. This case demonstrates the importance of continued imaging …

The Critical Role Of Transthoracic Echocardiography In The Evaluation Of Acute Renal Infarction, Gurjeet Dosanjh

Bachelor of Science in Diagnostic Ultrasound Projects

Acute renal infarction is a rare and frequently misdiagnosed condition that often presents with nonspecific abdominal or left flank pain. Renal infarction is commonly associated with cardioembolic etiologies, making echocardiography evaluation essential. In the case presented, a 60-year-old male had presented with a sudden onset of left flank pain, and a computed tomography (CT) confirmed renal infarction. A transthoracic echocardiogram was performed to assess cardiac structures, function, and potential intracardiac thrombus. Results showed the diagnosis of moderately reduced left ventricular systolic dysfunction with exclusion of a cardioembolic source, timely investigation of anticoagulant therapy, and a reduced risk of irreversible damage. …

Using Network Models To Understand Biological Signaling Architecture, Russ White, Emily Brown Reeves, Gerald L. Fudge

Faculty Publications

Engineers have developed abstract network models to better understand the recurring problems faced by communication systems. This paper argues that these models can be generalized to describe biological communications systems given that they share many requirements with human-designed systems, including functional requirements and physical constraints. Leveraging collaboration, biologists and engineers can work together to use well-understood communication systems, designed to carry data across a computer network, as a model for analyzing less well-understood biological communication systems in order to make predictions and uncover previously unknown functionalities. To illustrate this approach, we apply the Recursive Internet Network Architecture model (RINA) to …

Advancing Occupational Therapy In Sports: Bridging The Gap In Mental Performance, Gianna N. Scarantino

Occupational Therapy Student Scholarship

Occupational Therapy’s (OT’s) role in sports mental performance remains an underrecognized and emerging area of practice, with limited awareness among OTs, a lack of available educational resources, and currently no established pathway into the field. The purpose of this doctoral capstone project was to increase awareness of OT’s role in sports mental performance through the development and evaluation of a comprehensive educational resource. The educational resource included a digital portfolio, recorded PowerPoint lecture, educational Instagram content, and a Linktree that organized all project materials into one accessible location. Four licensed OTs completed a Qualtrics pre-resource knowledge checklist, reviewed the educational …