Digital Commons Network^™

Early Ambulation In Post-Operative Medical-Surgical Patients, Rebecca Telemaco Rn

Nurse Residency

In adult post-operative patients on a medical surgical floor, does initiating early ambulation during the night shift, compared with delaying ambulation until daytime, lead to improved recovery outcomes such as reduced postoperative complications or shortened?

Positioning The Surgical Patient, Jennifer Condon Rn, Bsn

Nurse Residency

For patients undergoing surgery does implementation of AORN standard for safe positioning practice compared toa non-standardized approach improve surgical outcomes?

Universal Classroom Design, Michelle Dodson Landry

Women’s Leadership

This research seeks to bridge the gap between K–12 inclusion practices and the realities of higher education by exploring how universal design, institutional support, and educators’ belief systems can create more inclusive environments and support students to have higher grades and more intrinsic mastery of the subject matter. It is not enough to mandate inclusion; we must actively build systems that support all learners, regardless of whether their disability is visible, diagnosed, or self-identified. This study looked at the efficacy of universal classroom design in raising the median grade in a course. The median grade in this course has historically …

2025 Fall Commencement Program, The University Of West Alabama

Commencement Programs

No abstract provided.

Resolving The Energy Efficiency Paradox: Leveraging Benefits For Saudi Arabia’S Building Sector, Fateh Belaïd, Mahelet G. Fikru

Economics Faculty Research & Creative Works

This article examines the economics of energy efficiency in Saudi Arabia's building sector, centering on the "energy efficiency paradox," the observed under adoption of cost-effective technologies despite their clear benefits—such as reducing energy use and associated emissions. We show that a mix of market barriers and behavioral biases—including split incentives, informational gaps, and the value-action gap—constrains adoption of energy-efficient solutions. Recent modeling suggests that improved air-conditioning labels could save up to 80 TWh of electricity annually, though rebound effects may erode some of these gains. Our analysis shows that tackling market failures is necessary but not enough. Strong building codes …

Aged 539 Graduate Internship Report - Bellevue Senior Elementary School, Aimee M. Snell

Agricultural Education: Graduate Internship Reports

This paper assesses and reflects on how Bellevue Senior Elementary School's single teacher agriculture elective class is growing and how well it aligns with the California Department of Education (CDE) standards of a quality agriculture program at this time. The development of a POA for an after school Ag Discovery Club modeled after the FFA Organization is also included in this document.

Aged 539 Graduate Internship Report – Kerman High School, Anne Dykstra

Agricultural Education: Graduate Internship Reports

This project reviewed the agricultural education program at Kerman High School. The report highlights both program strengths and areas requiring further development, including student retention, pathways, and facility improvements. Based on the findings, the research identified additional course offerings and curriculum updates to enable the program to improve in the coming years.

Aged 539 Graduate Internship Report – San Marcos High School, Stephanie Navarrete

Agricultural Education: Graduate Internship Reports

This project report includes documentation required in meeting the quality criteria for secondary-level programs of instruction in agriculture. The supporting documents include information to prove that San Marcos High School is meeting the requirements. This document also provides an overview of San Marcos High School agriculture program.

Aged 539 Graduate Internship Report- El Capitan High School, David Reyes

Agricultural Education: Graduate Internship Reports

This graduate internship portfolio demonstrates the development and implementation of a comprehensive agricultural education program at El Capitan High School. It includes evidence of meeting California Agriculture Education standards through classroom instruction, SAE supervision, and FFA leadership activities. The document showcases key program components such as course outlines, advisory committee materials, program plans, recruitment efforts, budget processes, and professional development. A major focus of the internship was creating structured curriculum resources including pacing guides for the introductory agriculture course to strengthen instructional continuity and student engagement. Through program organization, collaboration, and leadership development, this internship highlights meaningful progress in advancing …

Organizational Diagnosis Toolkit, Ann Marie Lindley, Catherine Nolan, Connie L. Halvorsen, Franki C. Hand, Isys S. Mccormack, Jennifer A. Hance, Jess Beutler, Kelsey Spaulding Caras, Sara German Jimenez, Stephanie Graves

Capstone Projects

The complexity of organizations requires organizational diagnosis to be an iterative process tailored to the context, needs, and uniqueness of each organization. This toolkit is designed to walk a consultant or leader through a structured diagnostic approach and the various resources that can be leveraged along the way. It is organized into four sections: foundational diagnostic frameworks and models, practical consulting, case-study application, and reflection and learning. It was created by students in the Western Michigan University Organizational Change Leadership masters and doctoral programs as part of the course OCL 6460, "Organizational Diagnosis and Consulting," under the supervision of Professor …

Continuing Education Committee Update: Upcoming Webinars, Sofia A. Slutskaya

NASIG Newsletter

No abstract provided.

Committee Reports

NASIG Newsletter

No abstract provided.

Implementation Of An Institution-Specific Checklist To Improve Compliance With Discharge Round Completion In A Neonatal Intensive Care Unit, Lee A. Lawson

Student Scholarly Projects

Practice Problem: Effective discharge planning for premature infants in the NICU requires collaboration and coordination among multidisciplinary interprofessional (IP) teams. Ineffective communication during care transitions is a well-documented contributor to adverse patient outcomes, including prolonged hospitalization.

PICOT: For multidisciplinary, interprofessional teams in the NICU (P), how does the introduction of an institution-specific discharge checklist (I), compared to the current unit discharge process (C), affect multidisciplinary, interprofessional team compliance with completing weekly discharge rounds (O) within 6 weeks (T)?

Evidence: The reviewed literature supported the use of a discharge checklist tool to facilitate effective team communication and care coordination with parents …

Aged 539 Graduate Internship Report- Bear Creek High School Agriculture Department, Fatima E. Castellanos

Agricultural Education: Graduate Internship Reports

This report provides an evaluation of the Bear Creek High School Agriculture Program. The analysis highlights both program strengths and areas requiring further development, including SAE participation, pathway coherence, and student retention. Overall, the findings demonstrate that intentional planning and strong community partnerships contribute significantly to the program’s effectiveness and continued growth.

From Dialogues To Diffusion Of Generated Nursing Knowledge Of A Low-Middle Income Country, Miriam Vargas-Vilela, Luisa Orellana, Daisy Sonia Garcia

Biennial Convention (CONV)

After the pedagogical dialogues between the nursing faculty of the Seattle University and the Bolivian University of Saint Francis Xavier, a goal of working on research studies that would contribute to standardizing global nursing care was identified.¹ Thus, they completed a study on the Bolivian Nurses' Response to the COVID-19 pandemic. This study highlighted the lack of generated nursing information for nurses to safely perform during the pandemic.² Learning that few manuscripts were published after the nursing master programs were introduced in Bolivia in 1996,³ the faculty engaged in a two-phase project on knowledge diffusion of maternal …

Anesthesia Informed Consent: An Objective Structured Clincial Examination, Joshua Powell

Doctoral Projects

Informed consent is a fundamental component of anesthesia practice and is recognized as professional Standard IV by the American Association of Nurse Anesthesiology (AANA). Despite its importance, anesthesia providers often face challenges in effectively obtaining consent from patients. Within The University of Southern Mississippi (USM) Nurse Anesthesia Program (NAP), a need was identified to strengthen student competency in conducting anesthesia informed-consent discussions. This project developed and implemented an Objective Structured Clinical Examination (OSCE) as a standardized, evidence-based approach to teach and assess informed-consent skills in alignment with the American Association of Nurse Anesthesiology (AANA, 2019) standards. The intervention was designed …

The Effectiveness Of A Chronic Care Management Program On Hospitalization Rates And Quality Of Life In Chronic Kidney Disease Patients, Sophie Burris

Doctoral Projects

Chronic Kidney Disease (CKD) is a progressive condition that distinctively affects underserved rural communities due to limited access to healthcare, provider shortages, and transportation barriers. Chronic Care Management (CCM) has emerged as a patient-centered, initiative-taking approach that emphasizes care coordination and self-management support. The purpose of this doctoral project was to evaluate the impact of implementing a CCM program in Caucasian females over the age of 40 with CKD residing in an underserved rural community post hospitalization. The Chronic Care Model (CCM) is the framework that guides the doctoral project which compared outcomes in patients enrolled in a CCM program …

Implementing The Steadi Fall Risk Screening Initiative Within A Primary Care Setting To Improve Patient Safety, Haleigh Marie Brown

Doctoral Projects

Falls among older adults are a significant public health issue and the leading cause of injury-related illness and death in people aged 65 and older. While evidence-based guidelines exist and awareness of fall risks has increased, many primary care settings do not use standardized fall risk screening protocols. This gap results in missed opportunities for early identification and prevention. To address this need, the Centers for Disease Control and Prevention (CDC, 2019) created the STEADI (Stopping Elderly Accidents, Deaths, and Injuries) Toolkit, which offers healthcare providers a structured approach to assess, manage, and reduce fall risk.

This doctoral project aims …

Point-Of-Care Gastric Ultrasound For Preoperative Assessment Of Gastric Contents: An Objective Structured Clinical Examination, Joshua Mann, Michael Sykes

Doctoral Projects

Pulmonary aspiration remains a leading cause of anesthesia-related mortality. The current nil per os (NPO) guidelines are proving unreliable in the presence of delayed gastric emptying due to comorbidities and the increasing use of glucagon-like peptide-1 (GLP-1) agonists. Gastric point-of-care ultrasound (POCUS) use provides a non-invasive, evidence-based, and cost-effective approach to assess gastric content and volume directly. However, limited formal training exists for advanced practice registered nurses (APRNs), and this lack of training contributes to the lack of its utilization. This doctoral project evaluated the effectiveness of an educational intervention that incorporated a didactic lecture as well as a hands-on …

Generating Predictive Gene Expression Signatures For Alzheimer's Disease Using Postmortem Brain Tissue, Ashley Duche

Pharmaceutical Sciences (PhD) Dissertations

Background: Alzheimer’s Disease (AD) is a progressive neurodegenerative disorder characterized by the accumulation of amyloid-beta (Aβ) plaques and tau protein aggregates. These pathological features develop in specific brain regions, but why some areas are more vulnerable to early AD-related changes remains unclear. To address this, predictive gene expression signatures were developed to explore the molecular mechanisms underlying regional susceptibility to AD pathology.

Methods: This was performed using postmortem brain (PMB) tissue from participants in the Religious Orders Study and Memory and Aging Project (ROSMAP), Mayo Clinic, and Mount Sinai Brain Bank (MSBB) to generate gene expression signatures from six brain …

Take Root And Rise: The Indiana State University Strategic Plan, Indiana State University

Office of the President

ISU Strategic Plan, December 2025

Subculture And Identity As An Escape From The Societal Norms Of Power Imbalance And Authoritative Abuse, Sarah Goldberg

Bachelor of Fine Arts Theses

No abstract provided.

Gc Minutes 2025-12-01, Northern Illinois University

Graduate Council Archives

No abstract provided.

Large Language Models As Machines Of Beauty: Cognitive Averaging, Latent Space Geometry, And The Entropic Foundations Of Aesthetic Preference, Daniel Plate, James Hutson

Faculty Scholarship

This study advances the position that large language models (LLMs) and human perceptual systems are governed by a shared computational drive toward prototypicality, entropy reduction, and aesthetic coherence. Drawing on developmental evidence that infants exhibit early preferences for facial symmetry and averageness, the analysis situates aesthetic preference within broader research on processing fluency and predictive coding, emphasizing that biological perception rewards stimuli that reduce uncertainty and support efficient information compression. This foundation is used to examine how LLMs, through cross-entropy optimization, perplexity minimization, and latent space clustering, converge on high-density representational regions that operate as statistical prototypes of linguistic and …

Transportation Practitioners' Reflections On Addressing Transportation Barriers For Vulnerable Populations In Nebraska, Aysan Esmaely

Community and Regional Planning Program: Theses

This study examines transportation planning practices and challenges in Nebraska, with particular attention to how planners and agencies address the needs of vulnerable populations. Using a qualitative approach, thirty-five transportation planners, practitioners, and service providers were interviewed. Participants were selected based on their professional in transportation planning and service delivery. The study explores what institutional and funding barriers planners and practitioners face, and what strategies they consider most effective for improving access and inclusion. Findings reveal that limited funding, fragmented authority, and the absence of a coordinated regional planning framework significantly constrain transportation development across Nebraska. While metropolitan areas such …

The Artful Aging Project, Maria Carmelita Fernandez, Sah'neya Fryer, Kathleen Morris, Maya Price

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

As the older adult population in Sacramento County continues to expand, addressing age-related declines in fine motor function, cognition, and social well-being has become increasingly critical. Such declines can compromise activities of daily living, reduce independence, and exacerbate risks associated with social isolation. Evidence suggests that art-based interventions may mitigate these effects by enhancing motor coordination, promoting social engagement, and stimulating cognitive processes. The Artful Aging Project was designed to evaluate the effectiveness of structured art activities in improving fine motor skills and social wellness among older adults served by the Stanford Settlement Neighborhood Center (SSNC). Grounded in community-based participatory …

(R2131) Analysis Of Map/Ph/1 Retrial Inventory Queueing System With Constant Retrial Rate, Bernoulli Vacation, Breakdown, Delayed Repair, Balking, (S, S) Policy And Emergency Replenishment, G. Ayyappan, M. Thilakavathy

Applications and Applied Mathematics: An International Journal (AAM)

A single server retrial queueing-inventory model is investigated in this study. In Bernoulli vacation, after providing service to the customer, the server may opt to avail vacation or start the service to subsequent customer. During the busy period, breakdown and balking may occur. The inventory is replenished to an (s, S) policy and the replenishing time is assumed to adopt an exponential distribution. Furthermore, assume that an emergency replenishment of one item with zero lead time takes place when the on-hand inventory level decreases to zero. We integrate the emergency replenishment into the system to ensure customer satisfaction. For our …

(R2094) On Mds Bisymmetric Rhotrices Using Self-Dual Bases And Conjugate Elements Of Finite Fields, Shalini Gupta, Ruchi Narang, Manpreet Singh

Applications and Applied Mathematics: An International Journal (AAM)

Bisymmetric matrices have wide range of applications in statistics, engineering problems, information theory and computer science including coding theory and cryptography. In cryptography, a rhotrix being a couple matrix doubles the security of the cryptosystem. Here, we construct maximum distance separable (MDS) bisymmetric rhotrices using self-dual bases and conjugate elements of finite fields. MDS rhotrices are very crucial for the designing of block ciphers and hash functions in cryptography.

Muscle Impulse Transducer: Research, Pre-Pilot Experiments, And The Design Of A Pilot Study For Quadriplegic Spinal Cord Injured Subjects For The Development Of A Novel Device, Marta Oreglia

Master's Theses

Paralysis due to spinal cord injury is a challenging condition that affects millions of people around the world. The Muscle Impulse Transducer (MIT) is a novel, wearable device that can be used to improve grip strength in the hand by using functional muscle impulses as a trigger for stimulus delivery to weakened or paralyzed nerves, to induce contraction of a paralyzed or paretic muscle. The MIT is still in development, with proof of concept [1], and functional prototypes [2] achieved. In this thesis, research was conducted on the best methods for functional electrical stimulation, EMG data collection, and nerve stimulus …

Molecular Pathway Dysregulation In Chronic Liver Disease: Metabolic And Mechanotransductive Drivers Of Hepatic Pathophysiology, Samantha Harvat

Department of Chemical and Biomolecular Engineering: Dissertations, Theses, and Student Research

Metabolic dysfunction–associated steatotic liver disease (MASLD) represents a rapidly growing cause of chronic liver injury, yet the molecular interactions linking metabolic stress, inflammation, fibrosis, and hepatocellular carcinoma (HCC) remain incompletely defined. This thesis integrates transcriptomic analyses across multiple GEO datasets to identify coordinated metabolic, inflammatory, and mechanotransductive pathways that collectively drive disease progression.

Analysis of human liver biopsy datasets (GSE126848 and GSE89632) revealed consistent suppression of glycolysis, β-oxidation, and oxidative phosphorylation across MASLD and MASH samples, accompanied by modest compensatory TCA cycle activation. These alterations reflect impaired metabolic flexibility, mitochondrial stress, and increased ROS susceptibility. Concurrently, cytokine-network enrichment demonstrated activation …