Digital Commons Network^™

Maternal Mortality 2025 Report To The Tennessee General Assembly, Tennessee. Department Of Health.

Tennessee Maternal Mortality

No abstract provided.

Lindenwood Digest, December 10, 2025, Lindenwood University

Lindenwood Digest

This edition of the newsletter focuses on end-of-semester updates and upcoming holiday activities as the university concludes the fall term. In "Porter's Post-It," the President reflects on finals week and outlines his upcoming travel to the Department of Education in Washington, D.C..

Key administrative announcements include a call for Computer Science project proposals for Spring 2026 and the introduction of new accountability plans regarding Standard Operating Procedures (SOPs) for staff and academic administrators. The digest highlights campus events such as the Salvation Army Toy Drive, holiday performances at the Scheidegger Center, and employee wellness "Brown Bag" sessions. Additionally, the newsletter …

Law As Performance: Sovereignty, Legal Indeterminacy, And The Chinese Private Security Industry, Alexandrya Pouliot

Theses and Dissertations

This thesis examines how the legal indeterminacy of international law facilitates state evasion of accountability through the use of private military and security companies (PMSCs) as proxies in extraterritorial operations. Focusing on China’s deployment of PSCs to safeguard Belt and Road Initiative (BRI) projects, it argues that ambiguities within the doctrines of attribution and responsibility under the Articles on the Responsibility of States for Internationally Wrongful Acts (ARSIWA) create a permissive legal environment that enables states to outsource coercive functions without incurring formal liability. Drawing upon Hobbesian Realist theory, Carl Schmitt’s concept of the sovereign exception, and insights from Critical …

High School Science Experience For Students With Cognitive Disabilities: A Pilot Study, Cassandra Wychers

Honors Theses

Although education has become more adaptive, inclusive of all students who learn differently including for people with cognitive disabilities, closer examination may reveal that high school science classrooms are still challenging learning spaces. Science is an important part of the school curriculum as it teaches students about engaging in the world around them while also encouraging skills involving evidence, inquiries, and critical thinking. All students are entitled to learn science in their classrooms even if they have a cognitive disability (Apanasionok, et al. 2019). Although there are many complexities to defining disability in the world and in education, this study …

Actionable Insights From The Liahona 2, Yoshihiko Ariizumi

Spiritual Proficiency

The original data exceeded 350 pages of Japanese text, resulting in a total of 37 different summarized principle/action plan sets. What is fascinating is that, while a certain amount of conceptual overlap is expected, intriguing new perspectives constantly emerge. Therefore, I highly recommend reviewing all 37 sets repeatedly (only a portion of which is included in this document). You will find countless hints for spiritual growth hidden throughout, often leading to significant breakthroughs.

This 63-page article is filled with treasures. Towards the end, you will also find shorter supplementary articles on techniques such as how to "zoom out" (gain an …

From Liahona To Talk: An Inspired Method 2, Yoshihiko Ariizumi

Spiritual Proficiency

In my previous series, Actionable Insights from the Liahona, I introduced many principles that felt like tightly cut jewels. This time, I'm changing the tempo and delivering those same principles set to a heart-stirring melody. I've set aside the rigid outlining and repackaged the principles with relatable stories and humorous metaphors that I hope will make you chuckle and think, "Oh, I know that feeling!" My wish is that this new approach helps these vital principles to gently drop anchor deep within your heart.

Expressing Diversity And Anxiety Among Graduate Psychology Students, Paola G. Garcia Betancourt

Walden Dissertations and Doctoral Studies

This quantitative study examined the relationship between motivational factors that contribute to challenges in expressing diversity and the levels of anxiety experienced by graduate psychology students when discussing racial topics. The study was grounded in critical race theory, which posits that racism is embedded within social and institutional systems and influences interpersonal and educational dynamics. The purpose of the study was to determine whether motivational factors, as measured by the Color-Blind Racial Attitudes Scale, predicted anxiety levels, as measured by the Patient-Reported Outcomes Measurement Information System Emotional Distress Anxiety Short Form, and whether racial background moderated this relationship. Data were …

Covid-19 Vaccine Acceptance Among People Who Smoke In Rural Southwest Georgia: Perspectives And Influencing Factors, Shadé Owolabi, Helen Singer, Katherine Reilly, Łucja T. Bundy Ma-Edm, J.K. Veluswamy, Carla Berg, Regine Haardörfer, James Hotz, Ajay Gehlot, Michelle Kegler

Journal of the Georgia Public Health Association

Background: The COVID-19 vaccine is a critical tool in reducing COVID-19 related morbidity and mortality. Unfortunately, vaccine hesitancy is an ongoing public health challenge, especially in certain geographic areas and sub-populations. This study assessed factors associated with COVID-19 vaccine uptake and hesitancy among individuals who smoke in rural communities in southwest Georgia, one of the first COVID-19 “hot spots” in the U.S.

Methods: We conducted qualitative interviews (n=23) using a semi-structured interview guide, informed by the Integrated Behavioral Model (IBM), that assessed vaccine-related behavior, intention to be vaccinated, perceived risk, social norms, attitudes, and environmental barriers and facilitators …

The Elements Necessary For A Successful Startup, Ciaran Mcgurran

Faculty Curated Undergraduate Works

This paper seeks to uncover what really goes into a startup company to get it off the ground, keep it afloat and growing, and mitigate competition through a case study focus on a software-aided investment-strategy building company. Through an interview of the founder and CEO of the case company as well as first-hand experience working in the company, this paper will seek to gain an understanding of the necessary elements and planning that must go into a startup company for it to have success. Additional online texts also provide supplementary general information on startups and how the planning process is …

Financial Barriers Of Emu Nursing Students, Deanna Gower, Melissa Kachaturoff, Meriam Caboral-Stevens

Biennial Convention (CONV)

Student loan debt for undergraduate BSN and Master’s prepared nursing students is growing. Many nursing students take out student loans to pay for their educational expenses. While some students apply for and obtain scholarships and grants, Eastern Michigan University (EMU) School of Nursing (SON) has had scholarships go unutilized during the annual scholarship cycle. Nursing student loan repayment can be a financial burden for nurses and their families. The purpose of the survey was to examine what financial barriers nursing students experience while enrolled at EMU SON. This study was performed utilizing a survey via google forms and data was …

Understanding The Influence Of Parental Knowledge And Awareness On Conversations About Osec, Trey Gottman

Biennial Convention (CONV)

Current literature suggests that parents’ lack of knowledge and awareness of OSEC may negatively impact their willingness to initiate conversations about the topic with their children, acknowledge warning signs of OSEC, and seek relevant educational sources regarding OSEC. The purpose of this study is to explore parents’ knowledge of OSEC, whether they are currently having conversations about OSEC with their children, and their interest in educational resources about OSEC through convenience sampling with a simple questionnaire. This study finds evidence supporting the idea that, regardless of parents’ knowledge of OSEC, they are having conversations with their children about the topic. …

The Use Of Storytelling In Covid-19 Vaccine Promotion: A Scoping Review Of Interventions And Campaigns, Suha Ballout, Sabreen A. Darwish, Patricia J. Kelly, Teresa Keller, Ross Shegog, Basil H. Aboul-Enein

College of Nursing Faculty Papers & Presentations

BACKGROUND: The development of the COVID-19 vaccine, a groundbreaking scientific advancement, also fueled vaccine hesitancy mainly due to vaccine misinformation and the limited public understanding of the new technology and its rapid pace of development and deployment. A variety of public health communication strategies have been used that include engaging the community in identifying and developing messages, using culturally appropriate communication methods, applying behavioral health principles, and storytelling. The purpose of this scoping review was to assess the most relevant evidence from the research literature on storytelling interventions to mitigate COVID vaccine hesitancy during the pandemic.

METHODS: A scoping review …

Implementing An Ehr Handoff Tool To Improve Care Transitions For Patients Requiring Inpatient Dialysis, Jolly Mathews

Doctor of Nursing Practice Final Project Abstract

Purpose

The Quality Improvement (QI) project aimed to implement an electronic health record (EHR)-based SMART phrase handoff tool to improve patient safety outcomes, such as reducing Clinical Emergency Response Team (CERT) activations by 20% during dialysis treatments, minimizing treatment delays, and decreasing communication errors during care transitions. 

Background

The lack of a standardized handoff process led to adverse patient events and prolonged hospital stay. Joint Commission identifies communication failures as a leading cause of sentinel events and recommends using structured handoff tools.

Methodology

The project was implemented at a dialysis unit at Texas Medical Center, Houston. A SBAR (Situation, Background, …

Exploring The Struggles Of Minorities In Low-Income Communities With Affording And Financing Housing In San Antonio, Daniel Maes

Honors Program Theses and Research Projects

Affordability of housing has emerged as a major socio-economic issue in San Antonio, Texas,

especially among minority groups and other low-income groups. This thesis provides an analysis of the underlying factors that lead to housing unaffordability and the systemic factors that deny

these groups of people a chance to live in stable and affordable houses. This paper combines both primary survey data of local residents and secondary governmental and academic data, which

allows identifying the intersection of income differences, increased property prices,

gentrification, and the lack of affordable housing to worsen the affordability crisis. The

evaluation of the perception of …

Elementary Teachers’ Use Of Sphero Robots To Teach Computational Thinking, Marquita Jackson

Walden Dissertations and Doctoral Studies

The power of play has often been used in K–5 classrooms, but it has not always been implemented as a way to teach computational thinking skills. The use of educational robots such as Sphero have been explored, but not with young learners. The research problem addressed through this study was the lack of understanding of K–5 teachers’ experiences in using Sphero robots to teach computational thinking. The purpose of this basic qualitative study was to explore K-5 teachers’ experiences in implementing Sphero robot activities and specifically to teach computational thinking. The conceptual framework included Magana’s T3 model and Angeli’s computational …

Nonlinear Excitation Control Of Multimachine Systems Via The Invariant-Set Design, Ehab Bayoumi

Mechanical Engineering

Power grids are inherently vulnerable to many uncertainties. All power networks are prone to instability because of the uncertainties inherent in the operation of power systems. Rotor-angle instability is a challenging issue, and if not properly managed, could give rise to cascading failures and even blackouts. This paper addresses the generator excitation system’s state feedback sliding mode control (SMC). The global system is divided into multiple subsystems to achieve decentralized control. A disturbance is defined as the influence of the system as a whole on a specific subsystem. The state-feedback controller is to be designed taking into account the disturbance …

Longitudinal Quality Improvement Project To Increase Colorectal Cancer Screening For An Underserved Population In A Resident Physician-Led Primary Care Clinic., Vivek Vardhan Jasti, Sarah N Grebennikov, Mariah Barlow, David Y Lo, Shail M Govani, Miram Chan, Aimee E Willett, Christopher Barlow

Medical Education Articles

BACKGROUND: The overall rates of colorectal cancer (CRC) in the US population have been declining steadily over the past 30 years, in large part due to timely cancer screenings. Despite the emergence of new screening modalities, a large portion of the population has not completed CRC screening in accordance with guidelines. Adequate and timely screening can prevent or detect CRC in earlier stages. Various factors have been identified that influence screening completion. Lower screening rates have been associated with the underserved population, especially in the immigrant community and patients with inadequate access to healthcare. In the USA, primary care clinics …

Sorting It Out, Liza Bondurant, Jane M. Wilburne, Dana Pomykal Franz, Jamaal Young

Publications

We describe a card sorting activity called a Q-sort that teachers can use to foster reflection and discussion.

Seed Amplification Of Msa Alpha-Synuclein Aggregates Preserves The Biological And Structural Properties Of Brain-Derived Aggregates, Fei Wang, Victor Banerjee, Carla Barria, Santiago Ramirez, Tyler Allison, Damian Gorski, Haley Evans, Quynh Nguyen, Danielle Harrison, Rabab Al-Lahham, Nicole De Gregorio Carbonell, Michelle Pinho, Sanne Kaalund, Jonas Folke, Susana Aznar, Luis Concha-Marambio, Mohd Ishtikhar, Venkata Kps Mallampalli, Sandra Pritzkow, Mohammad Shahnawaz, Matthew L Baker, Irina Serysheva, Claudio Soto

Faculty, Staff and Student Publications

Parkinson's disease (PD), Dementia with Lewy bodies (DLB), and multiple system atrophy (MSA), are characterized by the misfolding and aggregation of alpha-synuclein (αSyn). Compelling evidence showed that αSyn aggregates exist as distinct conformational strains in different synucleinopathies. Recently, we reported that the αSyn Seed Amplification Assay (αSyn-SAA) can amplify and distinguish αSyn strains from PD and MSA. In this study, we investigate whether MSA-seeded, SAA-amplified αSyn fibrils retain the biological and structural properties of the αSyn seeds present in MSA brains. We study the biological activities of both brain-derived and SAA-amplified αSyn aggregates using an αSyn "biosensor" cell model and …

Imposter Phenomenon And Mental Health Among African American College Students: The Role Of Internalized Racial Beliefs, India Montague

Electronic Theses and Dissertations Archive

Imposter phenomenon (IP; i.e., feelings of fraudulence) has shown deleterious effects on mental health with high prevalence in African American college students. Literature suggests that internalizing stereotypes could increase the risk of developing IP. However, little research has actually explored whether internalized racial beliefs exacerbate the effects of IP on mental health. This study used hierarchical regression to examine internalized racism (IR; i.e., negative beliefs about one’s race) and colorism beliefs as moderators of the relationship between IP and mental health outcomes in 92 African American college students (Mage= 20.39, 82.6% female) at historically white institutions (HWIs). IP was a …

Ifnγ-Driven Skewing Towards Th1 Over Th17 Differentiation Underlies Crs And Neutropenia In Car-T Therapy, Payal Goala

USF Tampa Graduate Theses and Dissertations

CAR-T therapy has improved overall and complete response rates, andprolonged progression free survival of patients with relapsed/refractory hematological malignancies. The short-term and long-term impacts of anti-CD19 CAR-T products on the immune landscape of B cell malignancies has garnered considerable attention in recent years. Most notably, a subset of patients experience high-grade cytokine toxicities, including cytokine release syndrome and immune cell-associated hematologic toxicity that manifest as prolonged cytopenia. Whereas etiology of CRS is more well established, the mechanisms leading to CAR-T associated cytopenia remains elusive. Rejeski et. al. showed that severe cytopenia in patients post CAR-T treatment led to frequent infections …

Ananda And The World Brotherhood Communities Movement, Prisha Kirby

Communal Societies

No abstract provided.

Empowering Students For Success In The Workplace, Amelia Baker, Brian Wooten, Ahmad Ali, Christine Ziegler, Judy Craven, Nicole Phillips, Justin Lawhead

Symposium of Student Scholars

Although a bachelor's degree is commonly viewed as a pathway to career success, many students graduate without the practical skills and real-world knowledge needed to thrive in the workplace (Song, 2025). Employers are placing greater importance on critical thinking and soft skills such as communication and collaboration—areas that traditional academic programs may not always prioritize. In spring 2025, a multi-institutional team developed and completed a research study evaluating the curriculum of a course focused on preparing students for the workforce. Individuals in business, government and/or non-profit communities reviewed the current course curriculum and offered insight for emerging trends needed to …

Defining The European Union’S Top Public Health Priorities: What Can Be Gleaned From Its Multi-State Interdisciplinary Systems?, Mattie Frascella, Thierry Leger

Symposium of Student Scholars

Delineation of the European Union’s (EU) contemporary public health agenda is examined within the evolving architecture of a ‘European Health Union.’ Five interdependent domains are synthesized: climate and planetary health, digital transformation, resilient systems and workforce development, non-communicable disease (NCD) prevention, and cross-sectoral and global leadership. Mutual reinforcement is essential for achieving equitable outcomes. The climate pillar reframes environmental disruption as a public health emergency, embedding adaptation, mitigation, and Planetary/One Health approaches across EU initiatives. The digital pillar examines the European Health Data Space and adjacent tools (telemedicine, e-prescribing, mobile health) as infrastructure for secure interoperability, research, and quality improvement. …

Review Of Yearning For The New Age: Laura Holloway-Langford And Late Victorian Spirituality, John L. Crow

Communal Societies

No abstract provided.

Review Of God's Forever Family: The Jesus People Movement In America, Mark A. Noll

Communal Societies

No abstract provided.

Being The Change: Food, Nonviolence, And Self-Sufficiency In Contemporary Intentional Communities, A. Whitney Stanford

Communal Societies

No abstract provided.

Mummyjum: The Shaker-Pilgrim Encounter Of 1817-1818, Christian Goodwillie

Communal Societies

No abstract provided.

From Storage Closet To Creative Oasis: How To Set Up An Atelier And Outdoor Space For Young Children, Catherine Lynch, Cynthia Dicarlo

Spark! Innovations in Early Childhood Education: A Research-to-Practice Journal for Educators

Creating meaningful learning spaces doesn't always require a big budget or new construction—sometimes, all it takes is a storage closet, a bit of imagination, and a deep respect for children’s ideas. In this article, I’ll share how we transformed underutilized spaces at our school into a vibrant atelier and outdoor classroom and offer tips to help you do the same.

Supporting Best Practices In Family Engagement: Our Week Of The Young Child Experience, Michelle Fazio Brunson, Faith S. Birdwell, April Giddens

Spark! Innovations in Early Childhood Education: A Research-to-Practice Journal for Educators

Family engagement is a collaborative process where early childhood professionals, families, and children build positive, goal-oriented relationships. Incorporating family engagement into preschool programs is not merely beneficial but essential for promoting holistic child development in programs where children feel safe, cared for, and secure. In this article, we share the benefits of effective family engagement activities for families with young children and describe how we celebrated the National Association for the Education of Young Children's 2025 Week of the Young Child.