Digital Commons Network^™

Personalizing Ai Models Using Low-Rank Adaptation And Direct Preference Optimization, Saravanan Ganesh, Yi Li, Yunfei Hu, Krystal Kallarackal, Kelvin Nguyen, Chu-Cheng Lin

Defensive Publications Series

Aligning a large language model (LLM) to individual preferences is difficult to perform at scale. This disclosure describes techniques that leverage direct preference optimization (DPO) and low-rank adaptation (LoRA) to enable scalable alignment of artificial intelligence (AI) models. With user permission, user’s edits to suggestions from the model are obtained. The context of the user’s written data or interaction with the LLM is obtained. The user’s edits serve as training data to contextually fine-tune the model using LoRA and DPO. Training data is created as a side product of the user's tasks assisted by the LLM. The training data is …

Enhanced Deixis In Video Conferencing With Floating Video And Synthesized Gestures, Xun Qian, David Kim, Ruofei Du

Defensive Publications Series

In traditional video conferencing with screensharing, presenters struggle to reference specific on-screen elements effectively due to the limitations of small video feeds and basic pointer tools. This disclosure describes video conferencing (VC) techniques for enhancing the ability to point (deixis) in a videoconference using synthesized hand gestures. The video feed of the presenter is integrated into the shared screen, while synthesized hand gestures are overlaid to align with speech and pointer movements. With user permission, a multimodal machine learning pipeline accepts as input shared screen content, pointer/controller data, and ongoing speech to generate gestures and to determine optimal video placement. …

Federated Ai Learning In Healthcare: Comprehensive Framework For Managing Urgent Care Denials, Kush Sharma

Defensive Publications Series

Federated learning (FL) represents a paradigm shift in artificial intelligence (AI) by enabling collaborative model training across decentralized entities—such as hospitals, insurance providers, and clinics—without requiring the exchange of raw patient data. This approach is particularly transformative in healthcare, where data privacy regulations like the Health Insurance Portability and Accountability Act (HIPAA) in the U.S. and impose strict limitations on data sharing. In the context of urgent care denials—such as rejected pre-authorizations, triage prioritization errors, or resource allocation decisions—FL offers a way to improve AI-driven decision-making while preserving patient confidentiality.

This elaborates on a federated AI framework designed to address …

Machine Learning System And Method For Predicting Risk Of Drilling Component Failure, Baker Hughes Company

Defensive Publications Series

The invention addresses the problem of drilling tool failure risk assessment in the oil and gas industry. Tool failure in drilling operations can lead to significant financial losses, downtime, and safety risks. The invention aims to provide a solution for predicting and preventing these failures, which is crucial for maintaining safe and efficient drilling operations.

The invention proposes a solution by combining data-driven techniques with expert knowledge. It begins with data collection, including historical data on tool performance, and involves data cleaning and pre-processing. Relevant features are identified, and a predictive model is developed using machine learning techniques. The model …

Quantum Smart Entangled Fusion Reactor, Peter Branton

Defensive Publications Series

The invention relates to a compact, high-efficiency energy generation system employing

quantum-entangled hydrogen isotope fusion within nanoscale confinement structures. It

comprises a multiplicity of individually controlled fusion traps formed at nanometer scale, each

configured to receive pre-entangled pairs of hydrogen isotopes such as protium, deuterium, or

tritium. Each trap is stimulated by attosecond-timed electromagnetic resonance pulses to induce

fusion via quantum tunneling. Fusion events are monitored and optimised through an integrated

artificial intelligence (AI) control layer that ensures only coherence-validated, phase-aligned

pairs are activated. The system includes capacitive and inductive energy reclamation

components, and operates in inert gas environments without …

Volume 7 Complete Issue, James W. Gallagher

The Geographical Bulletin

Volume 7 Complete Issue

The American State Capital, A Twentieth Century Growth Pole, Frederick A. Hirsch

The Geographical Bulletin

A fall-out of our avoidance of " capes and bays" geography has been a " benign neglect" of political capitals. In addition to the mental block arising from past tedious memorizations of their existence has been a second factor of sparseness of cases. The United States with fifty state capitals has more than the number of capitals in most of the other federally organized sovereignties. The scientifically oriented among academic geographers have preferred to analyze phenomena in greater abundance such as central places or stream beds.

A Reading Curriculum Teaching “Text-To-Self" Connections Using Literature With Diverse Characters At The Early Elementary Level, Elise N. Buzza

Masters Theses/Capstone Projects

This research project’s focus was to answer the question of how can texts featuring realistic diverse characters be used to teach “text-to-self” connections at the kindergarten level? With a rapid increase of diverse demographics in the classroom, students’ accessibility to diverse literature becomes crucial. While the need for diverse literature is heightened, students and teachers instead are met with curriculum that’s focus remains on animal characters. Researchers argue that with a lack of diverse visibility in literature, this presents a significant issue pertaining to a reader’s engagement. Thus, “text-to-self” connections become vital. This is when readers use their experience to …

Character Education: Morning Meetings On Responsibility And Citizenship; A Curriculum Development, Kelsie Fike

Masters Theses/Capstone Projects

This project explores character education, morning meeting, and social emotional learning (SEL). It highlights a need for the curriculum being created and how it can be accomplished in a morning meeting format. It also highlights interactive read alouds, reflective writing, interactive discussion, and interactive drama. The purpose of this capstone project is to create a curriculum that educates on the character education traits of responsibility and citizenship. The curriculum is supported by Ohio’s SEL standards. It is also research supported. The project’s aim is to create a curriculum that can be differentiated and adapted to fit the various needs of …

Final Scholarly Project: Evidence-Based Practice Guidelines For The Perioperative Management Of Blood Glucose Levels In The Cardiac Surgery Patient, Chelsey Benner

Doctor of Nursing Practice Scholarly Projects

Cardiovascular disease is the leading cause of mortality worldwide, necessitating a high demand for cardiac surgery. A unique stressor for cardiac surgery is an increased surgical stress response involving hyperglycemia. Perioperative hyperglycemia contributes to adverse postoperative outcomes following cardiac surgery. Current evidence examines blood glucose control and its effect on adverse postoperative outcomes, including sternal wound infections, acute kidney injury, prolonged mechanical ventilation, and an increased length of stay in the intensive care unit. Despite the link between hyperglycemia and poor postoperative outcomes, most facilities lack standardized guidelines for the perioperative management of blood glucose levels in cardiac surgery patients. …

Final Scholarly Project: Development And Initial Validation Of An Evidence-Based Guideline For Presurgical Medication Hold Times, Alyscia Defrancisco

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Presurgical testing is a critical component for preventing surgery delays and postsurgical complications. A major focus of presurgical testing is educating patients on hold times of medications prior to surgery. Medication guidelines vary across ambulatory surgery centers.

Methods: Creating a standardized evidence-based medication guideline could improve some surgical complications. This project is the creation and pilot evaluation of an evidence-based medication guideline. After the development of the guideline participants attended an educational session. The evaluation of the effectiveness of the guideline, used a preintervention and postintervention questionnaire. The participants of the project are presurgical testing practitioners at …

Final Scholarly Project: The Administration Of Transversus Abdominis Plane Blocks In Patients Undergoing Anesthesia For Open Ventral Hernia Repairs, Brennon Pinion

Doctor of Nursing Practice Scholarly Projects

Ventral hernia repairs are the only definitive treatment for umbilical or abdominal hernias. These procedures are prevalent and often lifesaving but also carry high risks of adverse effects. Some of the problems that follow include postoperative ileus, increased opioid use, and prolonged length of stay. Due to the rate of complications, there was a need to improve these outcomes. One way to improve outcomes is to implement superior anesthetic techniques. This Final Scholarly Project (FSP) followed the Plan-Do-Study-Act (PDSA) model to conduct evidence-based practice (EBP) and quality improvement (QI) sections. The plan phase included a thorough literature search and analysis …

Development Of Evidence-Based Clinical Practice Guidelines For Pediatric Preoperative Anxiety, Whitney R. Stant

Doctor of Nursing Practice Scholarly Projects

Preoperative anxiety is a problem that occurs frequently in pediatric patients. Preoperative anxiety creates physical and psychological changes that impact a child’s surgical experience. Pediatric patients who experience preoperative anxiety may also experience prolonged postoperative care, long-term psychological complications, and increased postoperative pain. Sedating medications are often administered to prevent and treat preoperative anxiety. Commonly, midazolam is administered intranasally to prevent preoperative anxiety. Midazolam increases the risk of cognitive impairment and respiratory depression. Dexmedetomidine is an effective alternative to midazolam. Dexmedetomidine is a highly selective alpha-2 agonist and provides arousable sedation without respiratory depression. Dexmedetomidine is safe and effective at …

Guidelines For Intraoperative Use Of Quantitative Neuromuscular Monitoring, Alex Thompson

Doctor of Nursing Practice Scholarly Projects

Chemical paralysis with neuromuscular blocking agents is common practice in anesthesia. Adequate reversal of these medications is essential for postoperative recovery and return to physiologic baseline. Inadequate reversal may lead to residual paralysis and respiratory complications such as hypoxemia, upper airway obstruction, atelectasis, and pneumonia. Quantitative neuromuscular monitoring was introduced as an objective measure of adequate recovery from neuromuscular blockade. The American Society of Anesthesiologists recommends utilizing quantitative neuromuscular monitoring before tracheal extubation in their 2023 practice guidelines, as the research involving quantitative neuromuscular monitoring shows a reduction in postoperative residual paralysis rates and adverse respiratory complications postoperatively. In this …

Evidence-Based Practice Guidelines For Perioperative Use Of Dexmedetomidine In Pediatric Congenital Cardiac Surgery, Kayla Thomsen

Doctor of Nursing Practice Scholarly Projects

Tachyarrhythmias are common postoperatively in the congenital cardiac surgery population. About 1% of the population is born with congenital heart disease (CHD), with 50% of patients undergoing surgery for CHD experiencing arrhythmias. Complications can arise from postoperative arrhythmias, including hemodynamic instability and myocardial depression, having catastrophic health repercussions. Despite the high prevalence and complications, there is no standard practice for postoperative tachyarrhythmia prevention in the chosen population, and prevention is at the provider's discretion. However, literature exploring the effects of dexmedetomidine notes promising results for using the drug for postoperative tachyarrhythmia prevention. The project aims to address the lack of …

Implementation Of Guidelines For Preprocedural Ultrasound In Neuraxial Placement For Obstetric Patients With Scoliosis, Luther Nyirenda

Doctor of Nursing Practice Scholarly Projects

Neuraxial anesthesia including epidural, spinal, and combined spinal-epidural, is used with 65% of parturients in the United States for the management of pain and discomfort. Conventional landmark palpation has been the mainstay technique for neuraxial anesthesia, but unfamiliar spinal anatomy can lead to incomplete blockade or an increased incidence of complications. Scoliosis causes lateral curvature and rotation of the spine leading to arthritis and soft tissue changes that can present obscure anatomical landmarks, cause difficulty in needle passage, and result in inadequacy of local anesthetic efficacy. The literature illustrates that preprocedural ultrasound is recommended for needle placement in parturients with …

Final Scholarly Project: Enhanced Recovery After Surgery (Eras) Guidelines For Pancreaticoduodenectomies, Rebecca Wheeler

Doctor of Nursing Practice Scholarly Projects

A pancreaticoduodenectomy, or Whipple procedure, is the only curative option for pancreatic cancer. For those eligible for tumor resection, the Whipple procedure is a difficult surgery for both the patient and provider. Complications following pancreaticoduodenectomy are numerous and include infection, delayed gastric emptying, high hospital costs, and pancreatic fistulas. Enhanced Recovery After Surgery (ERAS) protocols exist to provide evidence supporting standardization of practices that lead to the improvement of these patient outcomes. An ERAS protocol for the pancreaticoduodenectomy, first established in 2012, is inconsistently implemented in healthcare facilities. Researchers collected data involving the use of the Whipple procedure ERAS guidelines …

Development Of Evidence-Based Practice Guidelines For Utilizing Erector Spinae Plane Blockade For Patients Undergoing Cardiac Surgery, Gabrielle Metoyer

Doctor of Nursing Practice Scholarly Projects

In the United States, the aging population and high rates of cardiovascular disease leads to increased cardiothoracic surgeries. Analgesia for cardiac surgeries often involves high-dose opioids. However, with an ever-increasing opioid epidemic and adverse effects on the postoperative healing process, recent literature seeks to decrease opioid consumption by utilizing alternative methods of analgesia. The American Association of Nurse Anesthetists recommends the use of regional anesthesia techniques to reduce the incidence of undertreated postoperative pain that can occur from opioid-sparing methods of analgesia. This project aims to create an evidence-based analgesia guideline for adult patients undergoing cardiac surgery. Interventions will include …

Project-Based Learning To Promote Reading And Writing Skills And Student Engagement In Fourth Graders, Anne E. Eichhorn

Masters Theses/Capstone Projects

The purpose of this project was to incorporate project-based learning (PBL) into instruction alongside of a teacher directed curriculum while promoting literacy skills and social studies content. The literature review discusses what PBL is, its history, various frameworks, and benefits and challenges. The frameworks focused on in this project include the Buck Institute for Education’s (n.d.) Gold Standard PBL, High Quality Project Based Learning’s (2018) A Framework for High Quality Project Based Learning (HQPBL Framework), Duke’s structure (2014) along with Battelle for Kids (2024) twenty-first century skills. A new framework was developed to create a PBL curriculum alongside the scripted …

Development Of An Evidence Based Orientation Model For The Newly Graduated Nurse, Sandra L. Takach

Doctor of Nursing Practice Scholarly Projects

Healthcare in the acute hospital setting experienced a significant increase in highly acute patients with multiple comorbidities requiring competent, experienced clinicians who can provide high quality, safe care. The nursing shortage paired with the post pandemic hospital environment has altered the landscape of nurses entering the workforce and created a gap in competency of the bedside nurse. A loss of tenured nurses who typically onboard and mentor the novice nurse coupled with less than adequate clinical preparation of those graduating college led to elevated levels of stress and staggering turnover rates for the newly graduated nurse. Research validates efficient orientation …

Impact Of Professional Development On Teacher Perceptions Of Culturally And Ethnically Diverse Students, Stephanie Kirk Mcmillan

Curriculum and Instruction (Ed.D.) Dissertations

Deficit thinking is when we view another as having less potential based on preconceived notions defined by our backgrounds and, oftentimes, society. A predominantly White teaching force is encountering more cultural and ethnic diversity in their classrooms than ever before. Professional development for teachers is historically beneficial and promotes change in teaching and pedagogy. This study utilized a mixed-methods methodology that examined the effects of professional development on teachers’ knowledge and skills as they pertained to culturally responsive teaching. Descriptive statistics and t-tests were used to test the study's questions. This study surveyed teachers before and after a professional development …

No Lawyer, No Jail: A Critical Case Study Of Pragmatism And The Flaws Of “Purposeful” Decision Making In Argersinger V. Hamlin, Alisa Smith, Sarah K. Stice

Seattle University Law Review

By releasing conference notes and internal communications, Supreme Court Justices provide insight into the otherwise private decisionmaking process, shedding light on how case outcomes and legal reasoning are framed and negotiated. The watershed case of Argersinger v. Hamlin (1972) extended the constitutional right to counsel to some, but not all, misdemeanor defendants. The case was argued twice, and the Court relied on empirical and authoritative sources to answer complex and practical questions about requiring counsel. This case study employs critical discourse analysis to uncover what influenced the Justices’ decisions and how they framed, shaped, and constructed social realities to foreground …

Medical Illustrations Of Human Facial Muscles And Heart Anatomy, Molly G. Ecroyd

Honors Projects

Wrote a research paper on the history, careers, and future of medical illustration. I created twelve drawings total, six of the musculature of the human face and six of an enlarged human heart. I worked hands-on with a real human heart in the cadaver lab and used a human face model for reference in my drawings. The human face drawings were drawn from the anterior and lateral views. The human heart drawings were drawn from the anterior and cross-sectional views.

Quality Improvement Initiative: Implementing Wellness Visit (Wv) Education To Improve Staff Self-Efficacy, Preston T. Holifield

Doctor of Nursing Practice Projects

Preventive care delivery is a cornerstone of value-based primary care, yet non-provider staff often lack the confidence and training to engage patients in Medicare Annual Wellness Visits (AWVs). Non-provider staff included Registered Nurses (RN’s), Licensed Practical Nurses (LPN/LVN’s), Secretaries, Medical Aids (MA’s), and Practice Managers (PM’s). This quality improvement project aimed to evaluate whether a brief educational intervention could improve self-efficacy among non-provider staff related to AWV discussions and workflow. Conducted in two primary care clinics in Southeast Missouri, this one-group pretest-posttest study involved six participants and utilized the General Self-Efficacy Scale (GSES) and Learning Self-Efficacy Scale (LSES) to measure …

The Effectiveness Of Telehealth For The Management Of Chronic Disease, Mariam Odunewu-Smith

Honors Capstones

Telehealth made a wide appearance in the medical industry during the Covid-19 pandemic due to the necessary decrease of physical interaction. It has continued to thrive and populate more patients since then. The benefits of telemedicine include quick, reliable one-onone sessions with a healthcare provider virtually, and is overall less costly compared to in person visits. Seeing a medical provider online is helpful in aiding patient recovery and management of chronic diseases. It is used to significantly improve the quality of life in the patients seen today. A literature review was conducted using databases such as PubMed and ScienceDirect. Papers …

The Race To Erase: Destruction Of Government Documents Undermines Freedom-Of-Information Laws, Frank D. Lomonte

Seattle University Law Review

In August 2019, reporters with Chattanooga’s daily newspaper, the Times Free Press, filed what seemed to be a routine request for access to emails and other public records held by their local county government. The seemingly unremarkable request set the newspaper’s staff on a months-long journey of unpleasant surprises. The first was a demand to pay the county $717 in advance before being allowed to inspect the documents. The second was that—during prolonged haggling over the fee assessment— the county attorney’s office simply destroyed almost all of the disputed records. Third, and most glaringly, the journalists discovered that Tennessee law …

When You’Re Arrested For A Felony In Seattle, You’Ll Meet Me., Austin Field

Seattle University Law Review

In this Essay, Austin Field, a practicing public defender, uses a first-person perspective to describe what it is like to meet a criminal defendant for the first time. He explains the process from start to finish, detailing everything from the way he introduces himself to how bail works.

"I’ll ask you for your name. Most of the time, you tell me. I check your name against my list. On any given day I’m supposed to interview between five and fifteen people. I have a lot of questions for you. We only have about ten minutes."

The Public Square In A Private-Property Obsessed Country: What New York City’S Pops Regulations Get Right And Why Other Cities Should (Mostly) Copy Them, Carson Mcgregor

Seattle University Law Review

When New York City (NYC) was first becoming the metropolitan monolith it is today, it had a problem: the city streets were chock full of skyscrapers, and sunlight, air, and usable open space were at a premium. In response, the City promulgated its first Privately Owned Public Spaces (POPS) regulations, which allowed developers to build skyward in exchange for providing public space on the street level. Unfortunately, in July of 2023, the New York Times (NYT) discovered that New Yorkers received only a fraction of what they were promised. Building owners received billions of dollars’ worth of added floor space, …

Volume 48 Masthead, Seattle University Law Review

Seattle University Law Review

Volume 48 Masthead

Defining Deference: Impacts Of Abandoning Chevron On Emerging Technology Governance And Administrative Law, R. Aubrey Davis Iii

Seattle University Law Review

Emerging technologies, particularly Artificial Intelligence (AI), often lead to unforeseen legal outcomes. Notable abuses in areas such as facial recognition, employment bias, and housing discrimination are well known. However, legislative responses to these issues either have been largely reactive or there has been no legislative response at all. In lieu of legislation, agencies have sought to fill the gap. For example, the Federal Communications Commission (FCC) recently proposed a rule mandating voter notification for all AI-generated political phone calls citing the Telephone Consumer Protection Act (TCPA) of 1991 as authority. However, the TCPA was originally passed to curtail telemarketing, not …