Digital Commons Network^™

From Text To Test: Pre-Lecture Reading Boosts Medical Students’ Comprehension And Retention, Hamad A. Alfahaad, Mohammed Y. Alasmary, Emad M. Masuadi, Henk G. Schmidt

Saudi Medical Journal

Objective: Medical students frequently attend lectures without prior review of the related literature when preparing for examinations. It raises the question of whether studying the material in advance could enhance their learning outcomes during lectures. Methods: A total of 102 medical students from a Saudi Arabian university took part in this research. Participants were assigned to one of 2 cohorts: one read a 4-page passage before a 15-minute lecture, while the other attended the lecture before reading the passage. Knowledge acquisition was measured using a test that assessed their ability to recall concepts administered 3 times—prior to the session, post …

National Heart Center/Saudi Heart Association 2025 Guidelines For Cardiovascular Diseases Prevention And Risk Assessment, Jamilah S Alrahimi, Laith Hussain-Alkhateeb, Ali M. Albarrati, Owayed M. Alshammeri, Talal S. Alghamdi, Ada M Al-Qunaibet, Nada A. Alnaji, Rasha A. Alfawaz, Waleed M. Alharbi, Waleed A. Alhabeeb, Fahad M. Alnouri, Adel A. Tash

Saudi Medical Journal

Objectives: To develop an evidence-based clinical guideline for the prevention and management of cardiovascular diseases (CVDs) in Saudi Arabia, tailored to local epidemiology and healthcare needs. Methods: A multidisciplinary task force comprising cardiologists, public health specialists, and epidemiologists from different healthcare sectors in Saudi Arabia developed the guideline. Evidence synthesis was based on a comprehensive literature review and adaptation of international guidelines, particularly the 2021 European Society of Cardiology recommendations, contextualized to the Saudi setting. Results: The guideline provides recommendations for both primary and secondary CVD prevention. Primary prevention emphasizes risk assessment incorporating genetic, lifestyle, and clinical factors, as well …

De-Skilling Or Re-Skilling? The Case For Smarter Writing Assignments, John Lande

Faculty Publications

This article challenges the assumption that AI inevitably leads to the de-skilling of law students.  Some faculty understandably fear that students will use AI to bypass critical thinking and avoid meaningful effort.  This article reframes AI as a potential catalyst for improving legal education rather than inherently a threat.

Concerns about de-skilling generally are based on the assumption that faculty will not change traditional writing assignments.  This article analyzes why these assignments often fail to help students develop strong analytical and writing skills. These include limited instruction in basic writing skills, poor design, lack of feedback, and faculty inertia in …

Comúnia, María Sanjurjo Sánchez

Grado en Diseño de Interiores

COMÚNIA stems from a desire to reinterpret the day center as an extension of everyday life. Moving away from clinical or institutional settings, the project proposes a domestic, warm, and familiar environment—an architectural space that supports individuals with early-stage Alzheimer’s without constantly reminding them of their condition. The design draws inspiration from the interplay between homes and the neighborhood square, viewing these areas as settings for social interaction, autonomy, and shared memories. Each floor represents a different way of experiencing the day: the main floor functions like a town square—a space for socializing and activity; the upper floor offers a …

Efficient And Fair Resource Unit(Ru) Allocation Methods For The Ofdma Mechanism Under Ieee 802.11ax, Yang Yu

Doctoral

The IEEE 802.11ax standard was approved in February 2021. This standard allows users to access different channel bandwidths to transmit their packets under the Orthogonal Frequency Division Multiple Access (OFDMA) mechanism. As the number of Internet users and the number of Internet applications increase, the allocation of channel resources has been a challenge in WLANs. Different types of applications, such as real-time video conferencing, online gaming and large-scale data transfers, generate different requirements in terms of throughput, latency and reliability. Consequently, the diversity in users’ channel bandwidth demands is increasing. Under the OFDMA mechanism, the packets can be allocated into …

Sharing Patient-Generated Health Data With Electronic Health Record: A Standardised Provenance And Context-Rich Information Model And Clinician Evaluation, Abdullahi Abubakar Kawu

Dissertations

With the advent of Patient-Generated Health Data (PGHD) through wearable, mobile, and home monitoring systems, there is immense potential for ongoing monitoring and patient engagement. But integrating PGHD with Electronic Health Record (EHR) is challenged by sub-optimal support for contextual metadata and its relevant elements, lack of semantic interoperability among disparate systems, poor knowledge regarding the factors that impact clinician acceptance, and absence of globally agreed standards for data exchange. This thesis explores how contextually relevant patient-generated health data can be shared with EHRs through a FAIR standardized information model that ensures semantic and syntactic interoperability.

The study addresses six …

Visual Analytics For Interpretable Quantum Computing, Shaolun Ruan

Dissertations and Theses Collection (Open Access)

Quantum computing has entered a stage of increasing practicality. Many quantum hardware vendors such as IBM, Rigetti, Honeywell, and IonQ now enable experiments on real devices in the Noisy Intermediate-Scale Quantum (NISQ) era. These platforms show computational advantages in domains such as optimization, machine learning, and materials science. However, they remain limited by hardware noise and the absence of human-interpretable information. Existing visual metaphors, such as the Bloch Sphere for single-qubit states or circuit schematics for algorithm design, struggle to convey multi-qubit entanglement or measurement probabilities in ways accessible to human reasoning. Likewise, the rise of variational quantum circuits and …

The Impact Of Executives’ Social Networks And Digital Capabilities On Firm Performance In Dynamic Environments, Lijun Men

Dissertations and Theses Collection (Open Access)

With the acceleration of digital transformation, improving firm performance in complex and dynamic market environments has become a central challenge for companies. This study examines the effects of executives’ social networks and firms’ digital capabilities on firm performance. Further, it investigates the moderating roles of digital capabilities and environmental dynamism in these relationships. Using panel data for Chinese listed firms from 2005 to 2024, we conduct empirical analyses with fixed-effects models. The results indicate that executives’ political, business, and academic networks all contribute positively to firm performance, underscoring the importance of executives’ social networks in resource acquisition, information flows, and …

The Impact Of Corporate Mergers And Acquisitions On Performance From The Perspective Of Growth Pressure, Jiandong Wang

Dissertations and Theses Collection (Open Access)

Against the backdrop of economic volatility and intensified industry competition, firms generally face multidimensional growth pressures, including historical growth pressure, social growth pressure, and market competition pressure. Growth pressure is not only related to firms’ operational stability, but also profoundly influences their strategic choices, particularly merger and acquisition (M&A) behaviour.Grounded in performance feedback theory, this study constructs an integrated analytical framework encompassing growth pressure, M&A strategic decisions, and M&A performance, and systematically examines how different types of growth pressure affect firms’ M&A decisions, as well as how M&A performance varies across different firm characteristics and different types of M&A.

The …

The Effects Of Attending Prediabetes Prevention Workshops On Improving Students' Awareness, Knowledge, And Interest, Madelene Hamann

DNP Research Projects

Abstract

Objective:This DNP project evaluated the effectiveness of a five-week educational intervention on adolescents’ knowledge of prediabetes, awareness, and intentions to adopt healthy lifestyle behaviors. Method and Intervention:Youth aged 13 to 18 years participated in five 40-minute school-based workshops. Outcomes were measured using the Adolescent Diabetes Awareness Test (ADAT), Health Belief Model (HBM), and Centers for Disease Control and Prevention (CDC) workshop evaluation. Effect sizes and 95% confidence intervals (CIs) were used to determine clinical relevance. Results:The intervention had a large, clinically relevant effect on prediabetes knowledge and awareness measured by the ADAT (Hedges’ g = 1.10) …

Empowering Dietary Change: A Culturally Competent Nutrition Intervention For Hispanic Patients At The Agape Clinic, Ariana N. Smith

DNP Research Projects

Abstract 

Type 2 diabetes disproportionately affects Hispanic adults and may be more difficult to manage among uninsured and underserved populations experiencing barriers to healthcare, nutrition education, and culturally appropriate resources. The purpose of this Doctor of Nursing Practice quality improvement project was to implement and evaluate a brief, culturally tailored nutrition education intervention for Hispanic adults with elevated A1C receiving care at The Agape Clinic in Dallas, Texas. A quantitative, quasi-experimental, within-subject design was used. The intervention provided bilingual, low-literacy education focused on A1C, portion control, added sugars, and culturally familiar foods. Thirty-eight participants enrolled in the project, and 11 …

Utilizing Youth Mental Health First Aid: A Community-Based Prevention Strategy To Increase Teh Confidence Levels Of Seventh-Day Adventist Adults In Assisting Youth With Mental Health Distress, Sarah Hillebert

DNP Research Projects

Abstract 

Objective: Youth Mental Health First Aid (YMHFA) is an initiative from the National Council for Mental Wellness that trains adults in identifying and responding to adolescents exhibiting mental health distress. This DNP project evaluated the effectiveness of YMHFA in increasing the mental health literacy and confidence scores of Seventh-day Adventist (SDA) adults. Method: quality improvement, pretest-posttest quasi-experimental design was used. Participants were SDA adults aged 22 to 74 who work with youth in school, church, or camp settings (n=19; Mean age = 48.5 years, SD = 10.5). The quantitative MHFA 2.1 measured mental health literacy and confidence to intervene, …

Implementing A Mental Health Workshop To Mitigate Burnout And Improve Job Satisfaction Among Psychiatric Technicians: A Mixed-Methods Case Study, John P. Smith

DNP Research Projects

Abstract 

Burnout among psychiatric technicians contributes to emotional exhaustion, decreased job satisfaction, workforce instability, and reduced quality of patient care. Despite increasing recognition of healthcare worker well-being as a priority, limited evidence exists regarding interventions specifically designed for psychiatric technicians. The purpose of this Doctor of Nursing Practice project was to implement and evaluate a structured mental health workshop designed to reduce burnout and improve job satisfaction among psychiatric technicians employed in inpatient, outpatient, and group home mental health settings. A mixed-methods case study utilizing a quasi-experimental pretest-posttest design was conducted with a convenience sample of 41 participants. Quantitative data …

Improving Pid Control With Bayesian Optimization For Adversarially Robust Federated Learning, Adrian Pena, Sergei Chuprov, Raman Zatsarenko, Leon Reznik

Computer Science Faculty Publications

Federated Learning (FL) often suffers from unstable convergence and reduced robustness under non-IID data and malicious attacks. In this paper, we present FedPIDAvg_tuned, a control-theoretic aggregation framework for improving stability and adversarial robustness in FL. In particular, our approach combines a server-side Proportional–Integral–Derivative (PID) controller with Bayesian optimization to tune controller gains for different data and attack conditions. The PID controller regulates global model updates through feedback on loss dynamics, providing adaptive scaling that improves stability and convergence. The tuned gains are applied within a trust-weighted trimmed-mean mechanism to remove adversarial or outlier updates. Using the Flower framework, we evaluate …

The Impact Of A Social Wellness Intervention On The Perception Of Social Support Among Working Adults, Jannysse Gray

DNP Research Projects

Abstract 

Objective: Social isolation and loneliness have detrimental effects on physical and mental health. For working adults, these experiences may impact work attendance, performance, satisfaction, and retention, leading to burnout, fatigue, grief, and disengagement. Barriers to developing and nurturing healthy relationships, such as competing work and family responsibilities, or a lack of resources or energy, can contribute to this problem; therefore, this group was chosen for the intervention. This project aimed to raise awareness of the importance of social connections and to analyze whether an online educational intervention was associated with improved perceptions of social support among working adults. Methods: …

Cohabitation And Child Educational Outcomes: An Examination Of Family Stability And Transition In Australia, Shana Pribesh, Emily E. Pulsipher, Mikaela J. Dufur, Jonathan A. Jarvis, Ashley Weisman, Yuanyuan Yue

STEMPS Faculty Publications

Cohabitation has become an increasingly common context for childrearing, yet children living with cohabiting parents often exhibit poorer academic outcomes than peers with married parents. This study examines whether these disparities stem from cohabitation itself, subsequent family transitions, or underlying mechanisms related to resources, stress, or selectivity. Using data from the Growing Up in Australia: Longitudinal Study of Australian Children (LSAC), we follow 920 children born to cohabiting parents and track family structure changes alongside teacher-rated literacy and mathematics performance from ages 6 to 11 years. Generalized estimating equation models show that, although children whose parents transitioned to single-parent or …

Redefining Educational Technology: A Critical Collaborative Inquiry, Aras Bozkurt, Helen Crompton, Robert Farrow, Agnes Kukulska-Hulme, Jon Dron, Richard West, Agnieszka (Aga) Palalas, Matth Bower, Junhong Xiao, Ahmed Tlili, Danah Henriksen, Angelica Pazurek, Henk Huijser, Thomas K. F. Chiu, Petar Jandrić, Katy Jordan, John Curry, Royce Kimmons, Mutlu Cukurova, Thomas Reeves, Gwo-Jen Hwang, Peter Shea, Jason Lodge, Martin Weller, Davy Ng, Tutaleni Iita Asino

STEMPS Faculty Publications

Educational technologists have not settled on a fixed definition of the field and likely never will. However, attempting to define the field helps to understand the epistemological meanings that shape what the field sees, values, and considers worth pursuing. Through a critical historical review spanning over a century, alongside theoretical engagement with the concepts of entanglement and distributed agency, this paper identifies three key insufficiencies in current educational technology frameworks. These are the persistence of an instrumental-facilitative paradigm that treats technology as a resource deployed by human agents; the theoretical dissolution of the pedagogy-technology dichotomy that existing definitions have not …

Authorship Nonsense, Jessica Litman

Articles

Copyright law’s primary device for promoting progress is to bestow rights on the authors of works. Rights vest automatically and last for a very long time. Authors’ choices to retain, license, or transfer those rights fuel opportunities to communicate the works to their audiences. The copyright system’s mechanisms for determining who authored works (and therefore automatically obtained copyright rights) should be both accurate and reliable, since misidentifications will undermine the law’s working as intended.

This article examines authors’ creation of works and copyright law’s handling of authorship disputes. Many works result from creative collaboration. Although the copyright statute incorporates mechanisms …

Junior Public Health Service Officer Mentor Program: Developing New Leaders In The United States Public Health Service Commissioned Corps For Workforce Retention, Felecia Annetta Bailey

Yale School of Nursing Digital Theses

Junior Public Health Service Officer Mentor Program: Developing New Leaders in the United States Public Health Service Commissioned Corps for Workforce Retention

Mentorship is a critical tool for preparing junior personnel for senior roles, professional development and retention within organizations; however, formal mentorship is often lacking or insufficiently tailored to the needs of diverse workforces, particularly in organizations comprising uniformed service members and civilian employees. This project was designed to provide targeted mentorship for Public Health Service (PHS) Commissioned Corps junior officers and to modify an existing mentoring program that primarily served civilian personnel.

The project aimed to modify the …

Optimization Of Social Determinants Of Health Data With Z Code Utilization In Inpatient Care, Felicia Cordia Alleyne

Yale School of Nursing Digital Theses

The U.S. healthcare system is characterized as being costly, wasteful, and fraught with inequity, due to historical disparities and contemporary challenges such as the aftermath of the COVID 19 pandemic and recent international policy changes that raise the costs of materials and imports. There is evidence to support that with the use of social determinants of health screening tools that are associated with a standardized data capture approach can contribute to value-added clinical and financial changes, resulting in improve care, reduce healthcare disparities, and reduce healthcare costs. This DNP project piloted the implementation of a training protocol for a social …

Nursing Primary Care To Better Health, Kristen Dulling

Yale School of Nursing Digital Theses

The national nursing shortage and the rising cost of nursing is threatening sustainability of

the RN role on the care team in ambulatory care settings. There is a critical need to develop a

care model that defines the value of RNs on the primary care team by improving access and

effectively reducing cost by mitigating turnover and role dissatisfaction. This DNP project

developed and implemented a care model across four primary care settings that shifted

workflows for vaccine administration, prior authorizations, and emergency department follow up

calls from RNs to other roles on the care team. Capacity created allowed the …

Addressing Social Determinants Of Health To Reduce Missed Appointments In Primary Care Setting., Omolara Goyea

Yale School of Nursing Digital Theses

Background: Missed appointments impose a significant financial burden on the U.S. healthcaresystem, costing over $150 billion annually, with individual physicians losing an average of $200 per unused time slot (Gier, 2017). Unmet Social Determinants of Health (SDOH), such as transportation barriers, negatively impact primary care services and contribute to missed appointments (Brown et al., 2020; Fiori et al). The missed appointment rate in the United States ranges from 12% to 50% of scheduled appointments (Boone et al., 2023). Objective: This quality improvement project aimed to develop, implement, and evaluate a telehealth protocol specifically tailored for patients who identified transportation as …

The Effect Of Polypharmacy On Nurse’S Workflow And Healthcare Expenditure In Post-Acute Care, Rachel Hudec

Yale School of Nursing Digital Theses

This DNP project modified a deprescribing initiative to engage frontline nursing staff. The intervention included a comprehensive educational curriculum, clinical guidelines, and a system to track nurse workflow and financial metrics. Guided by Donabedian’s conceptual model, the project was piloted in a large municipal PAC facility. Methods included twelve in-person training sessions for 93 nurses, pre- and post-knowledge tests, a program evaluation, medication pass times, and tracked the costs deprescribed medications over six months.Nursing knowledge significantly improved, with mean test scores rising from 41.39 to 90.64 (p < .001). Medication pass decreased by 18%, reducing the time per resident from 7 to 5.7 minutes. Financially, the initiative saved over $21,000 in six months, with a projected annual savings exceeding $42,000. Integrating nurses as leaders in deprescribing enhances clinical competency and operational efficiency. These findings provide a compelling case for standardizing an interdisciplinary deprescribing program to improve financial sustainability, nursing efficiency and resident safety in the PAC setting.

Nurturing Novice Nurse Development Through The Legacy Mentor Model: Building The Infrastructure And Stabilizing The Workforce In A Healthcare System, Maureen Scanlan

Yale School of Nursing Digital Theses

There is a historically high nurse turnover rate with a limited supply of experienced registered nurses across healthcare organizations. The retirement of senior nurses, referred to as Legacy Mentors, leaves inexperienced ones without valuable support and guidance. This project aimed to implement and evaluate a mentorship program to improve intent to stay among novice nurses in their first year of practice in an acute care setting. The novice nurses were paired with Legacy Mentors. A total of 32 nurses participated in 16 mentee/mentor pairs. The program consisted of six one-hour sessions over three months, which focused on wisdom sharing, community …

Implementing Hepatitis C Screening And Treatment In Primary Care, Michele Castellano Wetmore

Yale School of Nursing Digital Theses

AbstractHepatitis C (HCV) is a curable hepatic disease. With direct-acting antivirals, it can be treated in 95% of cases. When left untreated, it can cause severe liver disease, including hepatocellular carcinoma and even death. The World Health Organization’s (WHO) goal is to eliminate HCV by 2030. This Quality Improvement (QI) project, conducted at a Federally Qualified Health Center (FQHC) from 8/4/2025 to 11/4/2025, will address the barriers to elimination and show that providing local services closes gaps. Screening and treating HCV within primary care has become a strategic approach to enhance access to treatment. This involves developing and utilizing a …

The Effect Of Verbal De-Escalation Simulation Training Using Artificial Intelligence On Nurse Leader’S Self-Efficacy, Mary Vitullo

Yale School of Nursing Digital Theses

Per year, rates of verbal workplace violence (V-WPV) are estimated to occur in 38.8 per 100 nurses, which is decreasing leader retention (NIOSH, 2020, Chang, Hsu, & Ouyang, 2022). Increasing the confidence of nurses in handling V-WPV through simulated training programs increases their intent to stay (Ming et al., 2019).

A two-pronged training program allowed nurse leaders to learn de-escalation techniques and then apply that knowledge in a life-like simulated environment. The education included a pre-work module on V-WPV de-escalation and a simulated scenario using an artificial intelligence conversational agent.

The aims of the project were: to develop a model, …

Exploring Parent-Child Reminiscing Style And Internal-State Talk When Discussing Positive And Negative Shared Events, Komal Verma Miss.

Theses and Dissertations (Comprehensive)

Conversations between parents and children about past events play a critical role in children’s social, emotional, and cognitive development. Parents scaffold their children in learning to recount details of their autobiographical memories by creating a space to reflect on internal states, specifically emotions and cognitions. Parents with an ‘elaborative’ reminiscing style are responsive to children’s utterances and ask open-ended questions (e.g., What do you remember about...?). Parents who are less ‘elaborative’ typically ask narrow questions like Did you like it?” that do not encourage conversation. Children whose parents use an elaborative reminiscing style have children who produce the most detailed …

Exploring Engagement With The Ecoschools Platform: An Interactive Display Board Exploratory Evaluation, Kaitlyn E. Ashmore

Theses and Dissertations (Comprehensive)

This study explores strategies to enhance engagement with EcoSchools Canada, an online sustainability platform used across Canada. Through an exploratory case study involving two Waterloo Region District School Board (WRDSB) schools, the research evaluates the effectiveness of interactive tools such as an Interactive Display Board (IDB) and action cards in fostering student engagement, self-efficacy, and action competence in sustainability initiatives. Through examining user experiences and feedback from Eco-teams and staff, the findings aim to identify if and how these interventions serve as valuable complements to EcoSchools activities. Although not a standalone solution, these tools facilitate deeper involvement when integrated within …

Nanoparticle Carriers Enhance The Prophylactic Antiviral Effects Of Dsrna In Vitro And Ex Vivo, Shayne Oberhoffner, Stephanie Dewitte-Orr, Starla Richardson, Leah Haile, Dominique Daniels, Erin Cooper, Aizah Ijaz, Janet Velasquez Perez, Mathilde Peruzzi, Bertrand Collet, Paul Craig, Kristof Jenik

Theses and Dissertations (Comprehensive)

Aquaculture now outpaces traditional capture fisheries as the world population and demand for sustainable protein sources increases. Wild and farmed species are increasingly susceptible to pathogen spread as global temperatures rise and stocking densities increase. Despite the devastating losses experienced by aquaculture due to viral infections, there remain few effective prophylactic antiviral therapeutics. Long double-stranded (ds)RNA is a uniquely viral molecule produced by nearly all viruses during their replication cycle, and its detection by salmonids like rainbow trout (Oncorhynchus mykiss) and chinook salmon (Oncorhynchus tshawytsha) leads to the establishment of a defensive antiviral state. Previous in vitro studies demonstrated a …

Adapting To Uncertainty: Effects Of Environmental Instability On Zebrafish Behaviour, Britney Sekulovski

Theses and Dissertations (Comprehensive)

This thesis addresses how animals cope with unpredictability by testing how environmental stability changes the behaviour of zebrafish (Danio rerio) in two complementary experiments. In Experiment 1, fish lived for three months in either a Dynamic environment (water temperature, feeding times, habitat complexity, group size, and membership fluctuated) or a Stable environment (all factors constant). Across seven behavioural assays, measuring individual behavioural differences, collective movement, social memory, and information use, Dynamic condition fish were found to be more sensitive to social cues and more likely to conform to recent social information, independent of the quality of the information …