Digital Commons Network^™

35 Individuals With Huwe1-Related Neurodevelopmental Disorder And Suggested Clinical Evaluations, Mindy H. Li, Deziree L. Coleman, Kelsey Hogan, Danielle Luz, Lindsay Bhandari, Newell Belnap, Tiffany Busa, Charles Coutton, Klaus Dieterich, Svetlana Gorokhova, Clara Hildebrandt, Rachel Logan, Milena Mariani, Manuela Morleo, Vincenzo Nigro, John Pappas, Rachel Rabin, Kelly Schoch, Angelo Selicorni, Vandana Shashi, Rebecca Spillman, Jennifer Sullivan, Charlotte Tardy, Samantha A. Schrier Vergano, Brock Grill, Kristin Baranano

Department of Pediatrics Faculty Publications

HUWE1 (HECT, UBA, and WWE Domain Containing E3 Ubiquitin Protein Ligase1, OMIM 300697), located at Xp11.22, encodes a ubiquitin ligase that is highly conserved across species. Genetic variants in HUWE1 described in multiple independent studies cause X-linked intellectual disability, including in the patients identified by Juberg, Marsidi, and Brooks. This report describes 35 additional cases of individuals with variants in HUWE1 and suggested guidelines for clinical management. Our study includes several female cases, which have not been widely reported previously. Our findings confirm earlier reported clinical features including developmental delay, autism, hypotonia, short stature, and dysmorphic facial features as well …

Empowering Caregivers, Protecting Patients: An Ambulatory Central Line Quality Improvement Initiative For Education And Follow-Up, Elizabeth Martinez, Belinda Bordeaux, Stephanie Langevin, Cristina Herrera, Mary Smith, Merissa Doyle, Barbara Stein, Kimberly Poshar, Marissa Dunlap, Allison Silva, Eric Werner

Department of Pediatrics Faculty Publications

Introduction: Preventing ambulatory central line-associated bloodstream infections (A-CLABSIs) is challenging due to inconsistent education, follow-up, and home care practices. Pediatric intestinal failure (IF) patients are particularly vulnerable. This institution aimed to decrease its IF A-CLABSI rate by 25% within 2 years through a standardized, step-by-step central line care education program.

Methods: Using the Toyota problem-solving method, the team reviewed data and performed a root cause analysis of the prioritized problem, implementing a 2-phase education program. Phase 1 delivered in-hospital education using videos, handouts, and hands-on teaching with skill demonstration. The existing pediatric central line skills class was expanded and offered …

Planning A Clinical Practice Guideline Revision For A Core Set Of Outcome Measures In Adults Undergoing Neurologic Physical Therapy, Part 1: Assessing Dissemination And Scholarly Uptake, Jennifer Moore, Jane E. Sullivan, Marghuretta D. Bland, Wendy Romney, Elizabeth Anderl, Zeynep Gulen Erkoc, Kristen Potter

Physical Therapy Faculty Publications

Introduction

Clinical Practice Guidelines (CPGs) facilitate evidence-based decision-making and standardising care, yet their dissemination and scholarly uptake vary widely. The Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation CPG (Core Set) has been broadly referenced within neurologic physical therapy. As the next revision approaches, understanding its scholarly influence, citation patterns, and published feedback is essential. This study evaluated the dissemination and use of the Core Set across the peer-reviewed literature and identified areas for refinement.

Methods

A medical librarian conducted comprehensive searches of Web of Science, CINAHL, and Scopus to identify peer-reviewed English-language articles citing the …

Planning A Clinical Practice Guideline Revision For A Core Set Of Outcome Measures In Adults Undergoing Neurologic Physical Therapy, Part 2: Determining Stakeholders' Uptake And Recommendations, Jane E. Sullivan, Kristen Potter, Marghuretta D. Bland, Elizabeth Anderl, Wendy Romney, Zeynep Gulen Erkoc, Jennifer Moore

Physical Therapy Faculty Publications

Objective: To determine the uptake and recommendations for revision of the 2018 Clinical Practice Guideline (CPG): Core Set Outcome Measures for Adults with Neurologic Conditions Undergoing Rehabilitation.

Design: Online Survey

Setting: Online with participants from multiple settings.

Participants: Licensed physical therapists (PT) or physical therapist assistants (PTA) or a non-PT supervisor of PTs and/or PTAs.

Interventions: N/A.

Main Outcome Measures:  An online survey was developed to determine respondents' knowledge, perceived benefits, challenges, gaps, and modifications made to the 2018 CPG as well as to ascertain respondents' recommendations for the CPG revision. Data were analyzed descriptively by respondent role (clinician, educator/researcher, …

Explainable Multi-Horizon Wind Power Forecasting Via Aquila-Optimized Machine Learning Models, Mostafa A. Abdelnaby, Nahla B. Abdel-Hamid, Eman M. El-Gendy, Mahmoud M. Saafan

Mansoura Engineering Journal

The inherently unpredictable nature of wind energy necessitates the development of sophisticated forecasting models to ensure grid stability and optimal distribution. In this research, we propose a novel and systematic approach to wind power forecasting (WPF) across diverse timescales. This approach leverages the power of various machine learning (ML) models, metaheuristic hyperparameter optimization, and utilizes explainable artificial intelligence (XAI). The developed methodology is based on the Aquila optimizer (AO), capable of automatically adjusting different ML models for four different time periods (30 minutes, 6 hours, 24 hours, and 36 hours) on the data collected from the Gabal El-Zayt wind power …

A Novel Superaug Adaptive Data Augmentation Strategy For Metabolic Syndrome Prediction: The First Egyptian National Cohort Study With Multi-National Comparison, Nihal Elsonny, Ashraf Elsharkawy, Abeer Tawakol, Amira Y. Haikal

Mansoura Engineering Journal

Metabolic Syndrome (MetS) is a multifactorial disorder associated with an increased risk of cardiovascular disease, type 2 diabetes, and obesity-related complications. Early and accurate prediction of MetS remains challenging due to heterogeneous data sources, class imbalance, limited sample sizes in regional studies, and poor generalization across populations.

This study introduces a comprehensive machine learning framework for predicting MetS and its prognostic factors using two heterogeneous datasets: a newly collected Egyptian clinical cohort and the U.S.-based (NHANES) [CDC, 2023] dataset. For each dataset, multiple experimental pipelines are developed, integrating preprocessing, feature selection, data augmentation, hyperparameter tuning, and ensemble modeling. …

Preserving The Identity Of Historic Coptic Orthodox Monasteries In Egypt Under Contemporary Pressures: Case Studies Of St. Bishoy And St. Anthony Monasteries, George Medhat Adeeb, Mohamed Khairy Amin, Mohamed Ahmed Al-Sherbiny

Mansoura Engineering Journal

Historic Coptic Orthodox monasteries in Egypt (HCOMEs) represent an important component of Christian heritage, integrating architectural value with enduring spiritual traditions that reflect both tangible and intangible dimensions. However, contemporary development and changing functional demands are generating transformations that may affect their identity if not carefully managed. Despite extensive scholarship, limited research has systematically examined these transformations through a structured evaluative approach. This study addresses this gap by developing and applying an analytical and evaluation framework to examine how contemporary pressures influence the historical, architectural-spatial, and spiritual identity of HCOMEs, and to assess the effectiveness of monastic responses. The framework …

The Multiwalled Carbon Nanotube-Incorporated Cfrp Laminates Interlaminar Fracture Toughness, Nikhil Janardan Rathod, Markala Karthik, Harshvardhan P. Ghongade, Javed Sikandar Shaikh, Rahul Soma Deshmukh

Mansoura Engineering Journal

The structural integrity of carbon fibre reinforced polymers (CFRPs) suffers from damage caused by interlaminar cracking and delamination which diminishes their performance capabilities. This study provides an experimental analysis of the impact of carboxyl-functionalized multi-walled carbon nanotubes (MWCNTs) on the Mode I interlaminar fracture toughness of CFRP laminates. The researchers created composite specimens by using epoxy systems which included MWCNT loadings of 0.1 wt% 0.2 wt% and 0.3 wt% together with an unmodified control. The researchers conducted Double Cantilever Beam (DCB) testing according to ASTM standards to ascertain the rate of critical strain energy release (G_IC) of the material. The …

Data Collection Algorithm Based On Regression Analysis, Aiming To Minimize Data Processing Delays In 6g-Enabled Iot Networks, Archana Rajendra Mane, Sachin Vasant Chaudhari

Mansoura Engineering Journal

Researchers are currently investigating 6G wireless communication technologies because they can offer ultra-low latency, high data rates, and smarter network management than 5G. IoT services have spurred the development of cutting-edge technologies such as quantum communications, terahertz (THz), and artificial intelligence (AI), all of which are expected to be included into the subsequent generation of 6G networks. This paper presents a regression-based data collection algorithm for 6G-enabled IoT networks that dynamically prioritizes data through Random Forest regression. With a Mean Absolute Error (MAE) of 0.62 ms and a Root Mean Squared Error (RMSE) of 0.83 ms, the proposed method can …

Frequent Pattern Mining With Optimized Gated Recurrent Units For Automated Waste Classification Systems In Smart Cities, Anupriya Garg, Ratish Kumar

Mansoura Engineering Journal

Efficient waste segregation into biodegradable and non-biodegradable categories is a crucial requirement for sustainable smart city development. While Convolutional Neural Network (CNN)-based approaches have demonstrated promising performance, their high architectural complexity and limited adaptability often restrict real-time deployment. This paper proposes BnBCNet, a lightweight waste classification framework that reformulates image-based waste segregation as a sequential learning problem using Gated Recurrent Units (GRUs). To further enhance classification performance, Grey Wolf Optimization (GWO) is employed for hyperparameter optimization, while Adam optimizer is used for network weight updates. Experiments conducted on a publicly available waste segregation image dataset demonstrate that the proposed BnBCNet …

Democratizing Restitution: Trust As An Equitable Approach To Competing Claims On Cultural Heritage Objects, Britta Redwood

Articles

As formerly colonized states began to win their independence in the mid-twentieth century, a growing chorus of voices called on museums in London, Paris, Berlin, and other European cities to return objects taken during the colonial period. Having largely ignored these requests until recently, museums throughout Europe and the United States have begun negotiating returns of these objects to their rightful owners. There is a growing recognition among Western cultural institutions that continuing to hold cultural heritage objects taken under conditions of coercion or violence is morally untenable. More recently, some scholars have argued for a human rights approach to …

Impact Of Exercise And Cognitive Behavioral Therapy On Anxiety And Depression, Ranjita Subedi, Rachel Affeldt, Abigail Bentley, Gavin Gump, Madison Mitchell, Taylor Rodgers, Bayley Mullins, Libbie Woodland, Sophia Rubenkoenig

Nurse Residency Posters

OhioHealth Grant Medical Center

Impact Of Fast Track On Emergency Department Length Of Stay, Kayce Carrick Bsn, Rn, Kelsey Richmond Rn, Stacy Duncan Rn

Nurse Residency Posters

Facilitator: Melissa Harper, BSN, RN

OhioHealth O'Bleness Hospital

Impact Of Intentional Leadership Styles On Staff Nurse Satisfaction And Retention, Monica Patrick Rn, Camie Mitchell Rn, Amelia Kennedy Rn, Rachel Geiger Rn, Zachary Foster Rn, Katherine Leahy Rn

Nurse Residency Posters

Facilitator: Tess Wagner, BSN, RN

OhioHealth Riverside Methodist Hospital

Reducing No-Show Rates In A Rural Family Medicine Clinic Through Personal Phone Call Reminders, Joyce Bumgardner

Doctor of Nursing Practice Projects

Background: Missed patient appointments cost the healthcare industry billions annually, reducing provider accessibility and practice revenue. At a rural family medicine office in western Lincoln County, North Carolina, new patient no-show rates exceeded 10%, surpassing the healthcare system’s goal of 5% or less. Automated appointment reminders via text, phone, and email were already in place, but did not adequately address the problem. New patient appointments occupy a 40-minute time slot, twice that of established patients, increasing the impact of each missed appointment.

Purpose: The purpose of this quality improvement project was to determine whether personal phone call reminders made with …

The Role Of Healthcare Leaders’ Perceived Emotional Intelligence In Staff Acceptance Of Artificial Intelligence Tools, Daniel Brian Mcswain

Doctor of Business Administration Dissertations

Artificial intelligence tools are increasingly used in healthcare, but successful implementation depends on more than technical deployment. Staff acceptance is one important factor that influences whether AI tools are used in practice. Traditional technology acceptance research has emphasized perceived usefulness, ease of use, social influence, and facilitating conditions. Less attention has been given to the role of emotional intelligence and trust during an AI-related change. The purpose of this research was to examine the relationship between healthcare leaders’ perceived emotional intelligence and their clinical team’s behavioral intention to use AI tools. The study also examined whether age moderated this relationship …

Gratitude Journaling And Mindfulness To Mitigate Burnout In Mental Health Staff, Jennifer Davis

Doctor of Nursing Practice Projects

Burnout among mental health professionals in inpatient behavioral health settings negatively affects staff well-being, job satisfaction, and patient care quality. This Doctor of Nursing Practice (DNP) quality improvement project evaluated the effectiveness of an 8-week mindfulness and gratitude journaling program implemented on a rural behavioral health unit in North Carolina. Guided by Jean Watson’s Theory of Human Caring, the intervention aimed to enhance resilience and workplace wellness through daily mindfulness and reflective journaling practices. A repeated cross-sectional design using anonymous pre- and post-intervention surveys was conducted with 30 staff participants. Thirty participants enrolled in the study, and 24 completed the …

Enhancing Clinical Judgement In Pre-Licensure Nursing Students Through Active Learning Strategies Of Unfolding Case Studies And Simulations For Postpartum Hemorrhage, Lisa M. Alley

Doctor of Nursing Practice Projects

New graduate nurses lack the appropriate clinical judgement to provide optimal, safe, quality care, as evidenced by the report of errors in health care (Rodziewicz et al., 2024). The purpose of this project was to provide an evidence-based intervention that used an unfolding case study and simulation to further develop clinical judgement among undergraduate nursing students in a rural ADN program. The project used a pre-test and post-test to measure students' improvement prior to versus after the learning experience and debrief. This project also introduced a DASH tool, which is a debriefing assessment for simulations in healthcare, to help students …

Enhancing Mass Casualty Incident Preparedness: Bridging The Gap Between Education And Practice, Emily M. Coggins

Doctor of Nursing Practice Projects

The increasing amount of mass casualty incidents (MCIs), such as natural disasters, large-scale emergencies, and active shooter events, has emphasized the need for healthcare professionals to respond effectively. Traditional undergraduate nursing curriculum often offers limited opportunities for students to practice disaster preparedness through simulated experiences. This DNP project was created to evaluate the effectiveness of implementing an MCI training simulation to increase the confidence and competence of senior pre-licensure nursing students when responding to a mass casualty event. The project implemented a 1-day, simulation-based MCI event for senior nursing students enrolled in an Adult Health II course. The event included …

Hands-Free Tech For Fall Prevention, Sierra Dixon Rn, Jessica Gillam Rn, Bryan Hatheway Rn, Taightam Hicks Bsn, Rn, Kelsey Tignor Bsn, Rn, Hailie Tomsik Rn, Jeremiah Waworoendeng Rn

Nurse Residency Posters

Facilitator: Kasey Gillen, MHA, BSN, RN, NPD-BC

OhioHealth Mansfield Hospital

Cross-Cultural Communication Challenges In Multicultural Hospitality Teams: A Case Study Of The Arlington Hotel, Dublin, Lorrana Rosendo Da Silva

Business ETD Collections

This study investigates intercultural communication challenges within multicultural teams in the hospitality sector in Dublin, focusing on how linguistic barriers, cultural expectations and the dynamics of subgroups influence staff collaboration and day-to-day coordination. The research employs a qualitative case study at the Arlington Hotel, utilizing four semi-structured interviews—two with managers and two with employees—analyzed using thematic analysis. The findings indicate that, particularly during periods of high operational pressure, differences in English proficiency and understanding of accents can affect the clarity of instructions and the confidence to seek clarification. Furthermore, subgroups based on language or nationalities were described as useful in …

Analysis Of Employee Retention In The Irish Hospitality Sector, Ali Okan Yazicioglu

Business ETD Collections

This study investigates the organisational and external labour market factors influencing employee retention in the Irish hospitality sector. The sector faces persistently high turnover rates, yet existing literature has largely focused on internal factors such as leadership and working conditions, overlooking broader labour market dynamics. To address this gap, a qualitative research design was adopted, involving semi-structured interviews with six participants (three managers and three kitchen staff) working in hospitality establishments in Dublin’s Temple Bar area. Thematic analysis was applied to identify key themes related to working conditions, management practices, job satisfaction, employee retention, and labour market factors. The findings …

Key Factors Influencing Consumer Booking Decisions On Booking.Com, And The Role Of Trust In Online Reviews, Deisiane Soares

Business ETD Collections

This study examines the factors influencing accommodation booking decisions on Booking.com, with a particular focus on the role of trust in online reviews. Using a quantitative survey, the research analyses how consumers evaluate key factors such as price, location, ratings, and user-generated reviews. The findings show that while online reviews help reduce uncertainty and build trust, they are not the main driver of booking decisions. Instead, price and location are the most influential factors, with trust in reviews acting as a supporting element. Trust is also found to be conditional, depending on review consistency, detail, and recency. Hence, the study …

Exploring The Challenges Faced By Home Care Workers In Dublin, Camila Melo Dos Santos

Business ETD Collections

This study explores the challenges faced by home care workers employed by private healthcare providers in Dublin, and how the workers perceive the training and organisational support available to manage job demands. Using a mixed methods approach, quantitative data was collected through a survey that received 24 responses, and qualitative data from four in depth interviews. The findings identify time pressure as the most significant challenge, and discovered that formal training is available but it is not considered relevant by the workers, who rely on their experience to deliver the service. Organisational support was perceived as inconsistent, with lack of …

Member Engagement And Retention Challenges In The Latin Cycling Club Dublin, Sarideth Ailin Solis Lopez

Business ETD Collections

This study investigates participant engagement and retention challenges at Latin Cycling Club Dublin, a volunteer-run, non-profit community cycling group based in Dublin, Ireland. The group brings together Spanish-speaking people and others interested in Latin culture who ride together for hobby, social connection, and health improvement. Despite having 259 Instagram followers, 125 Strava participants, and 112 WhatsApp group members, only 8 to 12 people join rides on a regular basis, representing a drop-off of approximately 90 to 93%. The same small core group attends most rides, while the majority of followers remain inactive. Female participation is below 10%, and non-Spanish speakers …

The Impact Of Multicultural Staff On Service Performance And Customer Loyalty: Evidence From A Dublin Beauty Spa, Paulina Veronica Flores Lopez

Business ETD Collections

The present research explores the relationship between multicultural staff service performance and loyalty within the context of a beauty spa in Dublin. The investigation focuses to understanding how employee cultural diversity affects customer experience and service delivery in a highly interactive service scenario.

A quantitative research methodology was adopted, based on survey information collected by 50 clients and 25 employees. Key variables, including employee performance, intercultural communication, Human Resources practices, customer satisfaction, and customer loyalty, were analysed using descriptive statistics. Additionally, the interpretation of the results was supported by the analysis of qualitative insights from open-ended responses.

The findings show …

Adapting International Marketing Strategies To Local Markets: A Case Study Of Zambrero In Ireland, Júlia Megale Freitas Pimenta

Business ETD Collections

As companies expand into increasingly globalised markets, they face the strategic challenge of balancing global standardisation with responsiveness to local market needs. This study examines how the balance between standardisation and local adaptation influences customer perception in the international fast-casual food sector. While standardisation can provide economies of scale, operational efficiency, and consistency in global brand identity, adaptation allows companies to respond to differences in consumer preferences, cultural expectations, and competitive conditions. Drawing on international marketing and branding literature, the study considers how these strategies influence perceptions of brand identity, authenticity, value, and customer loyalty across different national markets. Particular …

Country-Of-Origin Cues And Indian Consumers’ Skincare Purchase Intention: A Research Proposal For Reliance Retail’S Tira Beauty, Mohammed Ismail Shareef

Business ETD Collections

This study investigated how Indian consumers perceive the "country-of-origin" (COO) cue when evaluating skincare products from Tira Beauty. Specifically, this study focused on COO for both Indian-origin and foreign-origin skincare to determine if there is a link between origin, consumer trust in brands, attitudes toward brands, and intentions to make purchases. Using a qualitative methodology and three semi-structured online zoom interviews with Indian consumers who are familiar with Tira Beauty, the study identified themes within the interview responses and analysed them using manual thematic analysis in Microsoft Excel. Results indicate that COO influences initial perceptions of products; however, it does …

“I Don’T Always See A Future For Me Here”: Oppressive Political Pressures On Lgbtq+ College Students’ Well-Being, Jodi Linley, Olivia M. Copeland, Kathleen J. Buell, Cindy Ann Kilgo, Megan Pendleton, Alex C. Lange, N F. Tennessen

Journal of Queer and Trans Studies in Education

In recent decades, colleges have broadly supported LGBTQ+ students. Now, institutions have shuttered LGBTQ+ initiatives in response to political pressures, with little consideration for the effects on students. This study answers the question, what current policy factors do LGBTQ+ college students describe as affecting their well-being, and in what ways? We analyzed 426 responses from a multi-institution study of LGBTQ+ students. By and large, students feel anxious and fearful as they navigate the current climate. Our analysis illustrated numerous factors, from the President and his administration to states and general emboldened violence, and the real and potential consequences of those …

The Law Of Quitting, Andrew K. Jennings

Faculty Articles

Throughout life, people enter countless positions of authority and trust in relation to one another and the public. These positions include, among many others, being a public official, being a corporate director, and being an employee. Law announces prerequisites for starting such positions, as well as incumbents’ rights and obligations once in them. But no office holds forever. Indeed, incumbents often choose to exit positions before they would otherwise end by expiration, removal, or death. Yet law governs such voluntary relinquishment—often called “resignation” or, more generically, “quitting”—largely as afterthought. That is, law expansively attends how positions of authority and trust …