Digital Commons Network^™

An Interview With Stijn Vanheule, Phd Following His Talk: “The Clinic Of Psychoanalysis In Times Of Capitalism”, Stijn Vanheule

Middle Voices

An interview with Stijn Vanheule

Molecular Mechanism Of Wdfy4-Mediated Cross-Presentation By Type 1 Conventional Dendritic Cells, Ray Andrew Ohara

Arts & Sciences Graduate Student Theses and Dissertations

Type 1 conventional dendritic cells (cDC1s) are a subset of antigen-presenting cells required for the activation of T cells during anti-viral and anti-tumoral immune responses. cDC1s specialize in cross-presentation (XP), or the MHC-I presentation of exogenous antigens, which allows them to prime antigen-specific CD8+ T cells. In classical MHC-I presentation, cytosolic antigens are processed through the endoplasmic reticulum (ER), relying on both proteasomes and transport associated with antigen processing (TAP). In contrast, the molecular mechanism of XP remains less understood, especially in regard to how the antigens are processed, how the peptides are loaded, and why this function is specialized …

Transesophageal Echocardiogram Training For Student Registered Nurse Anesthetists, Sophie Hesse, Annie Krippene, Christian Shelton

Doctor of Nursing Practice (DNP) Student Projects

Background and Significance: Transesophageal echocardiography (TEE) is a vital diagnostic tool in perioperative care. At Barnes-Jewish College Goldfarb School of Nursing (GSON), Student Registered Nurse Anesthetists (SRNAs) formerly received limited TEE instruction, consisting primarily of didactic content. This quality improvement project aimed to enhance SRNA proficiency in TEE by integrating online and simulation-based training.

Review of Literature Findings: Simulation-based education has been shown to improve knowledge, skill, and confidence compared to lecture-only methods (Bloch et al., 2017; Chenkin et al., 2023; Pezel et al., 2023; Weber et al., 2019; Zhao et al., 2021).

Methods: Guided by the Iowa Model and …

Riding The End-Tidal Wave: Enhancing Nurse Confidence And Clinical Competence On Capnography Waveform Interpretation, Megan Monda, Kirk Wallis, Rachel Zehner

Doctor of Nursing Practice (DNP) Student Projects

This quality improvement project addressed inconsistent use of end-tidal carbon dioxide (ETCO2) monitoring among nurses in the Cardiac Procedure Center (CPC) at Barnes-Jewish Hospital. Although capnography detects respiratory compromise earlier than pulse oximetry, limited staff education contributed to variability in waveform interpretation and clinical response. Guided by Kurt Lewin’s Change Model and the Plan-Do-Study-Act cycle, four structured one-hour educational sessions were delivered to CPC nurses and supplemented with hands-on practice and visual cognitive aids. Pre-, immediate post-, and two-week post-education surveys evaluated changes in knowledge, confidence, and clinical skill. Mean knowledge scores improved from 65% at baseline to 75% immediately …

Enhancing Anesthesia Clinicians’ Knowledge And Confidence In Prophylactic Antibiotic Selection For Patients Receiving Concomitant Therapeutic Antimicrobials, Nicholas Rangel, Michela Williams, Amber Theisen

Doctor of Nursing Practice (DNP) Student Projects

: Background and Review of Literature: Antibiotics are essential for preventing surgical site infections (SSIs), but improper selection can contribute to antimicrobial resistance, increased costs, and patient harm. Studies show that clinical decision support (CDS) tools can improve antibiotic prescribing practices using evidence-based guidelines.  Purpose: This project aimed to integrate a revised CDS tool into the workflow of a anesthesia clinicians at a midwestern academic medical center, incorporating allergy-specific guidelines and antimicrobial substitution recommendations for patients on concomitant therapeutic antimicrobials (CTA) to improve decision-making. Methods: This project used pre- and post-surveys to assess clinicians’ knowledge, confidence, and satisfaction in selecting …

Quality Improvement Project: Evaluating The Effectiveness Of Chlorhexidine Gluconate Bathing Education On Staff Perceived Knowledge, Kaonta Spencer

Doctor of Nursing Practice Projects

A community hospital set strategic goals to achieve Vizient top-decile performance and drive continuous improvement by reducing surgical site infection (SSI) rates. The purpose of this quality improvement project was to support this goal by implementing an evidence-based educational intervention to improve nurses' perceived knowledge and self-reported ability with the chlorhexidine gluconate (CHG) bathing protocol for hysterectomy patients. Guided by Lewin's Change Theory, the Iowa Model Revised, and the Iowa Implementation Framework, the educational intervention applied a structured approach to address behavioral and organizational barriers contributing to protocol noncompliance. A quantitative, quasi-experimental pre- and post-intervention design was used to evaluate …

Quality Improvement Project: Improving Interdisciplinary Care In Nursing Education Through Simulation, Anna Williams

Doctor of Nursing Practice Projects

Interprofessional education (IPE) is essential in preparing nursing students for effective teamwork and communication in clinical practice and is supported by the literature as improving these outcomes. However, limited faculty training in interprofessional simulation design contributes to reduced IPE opportunities within nursing curricula. A needs assessment at the project site identified a lack of structured, hands-on training for simulation faculty, resulting in decreased faculty confidence and limited implementation of IPE simulations. The purpose of this quality improvement project was to evaluate whether a structured training intervention improved simulation faculty self-efficacy in developing and implementing IPE simulations. Bandura’s Self-Efficacy Theory guided …

Quality Improvement Project Reducing Attrition Rates In Nursing Students: Evaluating The Enhanced Student Success Program, Jason Grigg

Doctor of Nursing Practice Projects

The high attrition rate in the Associate of Applied Science in Nursing (AASN) program created an opportunity to develop the enhanced Student Success Program (eSSP). This is a faculty-based quality improvement project designed to increase support for students at risk of withdrawal from the AASN program. The aim of eSSP is to reduce attrition rates, however, this project evaluated only short-term changes in faculty confidence. Using Lewin's Change Model and the Theory of Planned Behavior as a guide, this QI implemented a one-group pre-post experimental design to determine whether a short eSSP training program, combined with a 5-week implementation period, …

Quality Improvement Project : Educating Critical Care Nurses On Braden Scale And Sskin Care Bundle To Impact Pressure Injuries, Andrea Garrett

Doctor of Nursing Practice Projects

Hospital-acquired pressure injuries (HAPIs) increase patients' risk of infection, prolonged hospitalization, death, and healthcare costs. The Agency for Health Research and Quality (AHRQ) has shown that implementing a standardized skin assessment process and a care bundle helps prevent skin injuries. A critical care unit (CCU) at an acute care 339-bed hospital in Southaven, MS, has seen an increase in HAPIs. This quality improvement project aimed to educate CCU nurses about the Braden Scale and the SSKIN care bundle to impact pressure injuries in the CCU within 8 weeks. Education on the Braden Scale and the Skin, Sensory, Keep Moving, Incontinence, …

Quality Improvement Project: Gpt Prompts As Tools For Cultural Competence In Undergraduate Nursing Education, Elizabeth K. Hobbs

Doctor of Nursing Practice Projects

In rural nursing programs, student exposure to diverse cultures is limited, which can hinder development of cultural competence. Artificial intelligence (AI) simulation is an evidence-based strategy to improve cultural competence and clinical decision-making, a practice gap exists due to lack of structured, accessible tools. This quality improvement project evaluated whether Generative Pre-trained Transformer (GPT)–based structured prompts would increase culturally inclusive simulation activities and improve faculty perceptions of usefulness and ease of use at a rural community college. The guiding PICOT asked: Among nursing faculty, how does the use of GPT-based structured prompts, compared to an unstructured approach, impact perceived usefulness, …

Quality Improvement Project: Evaluating The Impact Of Provider Education On Sbirt On Screening For Suds, Faith Ogala

Doctor of Nursing Practice Projects

Substance use disorder (SUD) is a serious public health issue in people with psychiatric disorders. However, diagnosis and treatment are often delayed, leading to poor treatment outcomes and increased social and economic costs. The purpose and aim of this Doctor of Nursing Practice (DNP) project was to educate providers on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model to facilitate the timely diagnosis of SUDs in patients with dual diagnoses. The key outcomes were provider knowledge and SBIRT implementation rates. The Donabedian Model of Healthcare Quality assessed the outcomes, whereas Lewin’s Change Model guided implementation. The project employed …

Establishing A Standardized Suicide Risk Screening Policy For Psychiatric Providers: Closing Gaps In Provider Accountability And Clinical Documentation, Fadekemi Olude

Doctor of Nursing Practice Projects

Psychiatric providers in outpatient settings often experience inconsistent confidence and incomplete documentation when conducting suicide risk screening, contributing to missed opportunities for early identification of at-risk patients. This quality improvement project addressed the need for standardized suicide risk screening at an urban outpatient psychiatric clinic. The purpose was to evaluate documentation using the Columbia-Suicide Severity Rating Scale (C-SSRS). Using a pre-post intervention design guided by Lewin's Change Theory and the Donabedian Model of Quality Improvement, a 60-minute training session was delivered to 31 psychiatric providers. Participants completed pre- and post-intervention General Self-Efficacy Scale (GSES) surveys. Chart audits (N = 1,970) …

Quality Improvement Project Ai-Powered Conversations: Enhancing Nursing Students’ Interview Skills, Judy K. Staley

Doctor of Nursing Practice Projects

Professional communication is an essential skill for nursing students, particularly in job interviews. Deficits in professional communication can negatively impact future employment and accreditation outcomes. Current practices in faculty-led mock interviews can be limited by time constraints and the need for consistent feedback, underscoring the need for a more consistent and effective method supported by current evidence-based literature. The purpose of this quality improvement project is to evaluate whether integrating AI-assisted mock interviews into faculty-led practices influences faculty perceptions of student preparedness. Guided by Kotter’s Change Model and supported by the constructivist framework, the project aimed to enhance the effectiveness …

Final Project Report Asme E-Hpvc Team, Vivien Allen, M. Bourgeois, Dawson Durr, Matthew Link

Engineering Senior Design Reports

This report details the final design produced by the ASME e-HPVC senior design team at the end of a year-long design project. The overall task given by the ASME president is to create a vehicle capable of competing in the ASME e-Human Powered Vehicle Competition (e-HPVC) at the end of two year long design projects. The key goal of this year’s project is to design the vehicle and key safety features and confirm that they meet the specification in the rulebook for the competition.

The final design has two key subsystems, the bike and the Rollover Protection System (RPS). Work …

Theoretical Study Of Electronic Properties Of Functionalized Monolayers: Cu, Ag, Au, And Pt Atomic Wires On Graphene, H-Bn Monolayer, Silicene, And Phosphorene, Mythreyee T. Aasuri, Mukesh K. Choudhary, Narender Kumar, Ravindra Pandey

Michigan Tech Publications

The structural and electronic properties of graphene, h-BN monolayer, silicene, and phosphorene monolayers functionalized with Cu, Ag, Au, and Pt atomic wires were investigated using van der Waals─corrected density functional theory. These atomic wires form stable, functionalized monolayers that exhibit physisorption on planar monolayers and chemisorption on nonplanar ones. This results in either linear or bent configurations of the atomic wires, depending on the interface strength, leading to distinct electronic states. A weaker interface induces metal-induced gap states near the Fermi level, whereas a stronger interface results in covalently hybridized states farther from the Fermi level. Analysis of the electron …

Final Project Report Organic Textiles Heated Material Press, Maddie Mueller, Daniel Pinzon, Samira Turino, Mikayla Potts

Engineering Senior Design Reports

Eco-material sheets often shrink, warp, or cure unevenly during drying, making it difficult for Makerspace users to prepare repeatable samples for testing and prototyping. The Organic Textiles project addressed this problem by designing and validating a makerspace-compatible thermo-mechanical press for post-processing already formed eco-material sheets. The final prototype uses heated aluminum platens, guided vertical compression, closed-loop temperature control, and a laptop-based graphical user interface to soften, press, and cool representative sheets under controlled conditions.

The final design met several major project objectives. The closed-loop temperature control system maintained platen temperature within ±2 °C at tested setpoints of 45 °C, 55 …

A Case For Mtor Pathway Screening In Early Epilepsy Diagnosis, David Seamons

Student Works

Mutations in the mTOR pathway can give rise to epileptic seizures in patients. While a variety of antiepileptic drugs are available to treat epilepsy, a large proportion of patients will experience refractory seizures (Chen et al., 2018). Additionally, patients with mTOR-related epilepsy may experience reduced efficacy in traditional therapeutic options to treat seizures (French et al., 2016; Hadzsiev et al., 2023; Kato et al., 2022; Moloney et al., 2023). Mutations resulting in mTOR-related epilepsy are genetically inherited; however, some variability in family histories of epilepsy may be due to second-hit somatic mutations in focal areas of the brain (Dawson et …

Improved Simulation, Bayesian Estimation, Phase Activation, And Non-Cartesian Reconstruction In Fmri, John Bodenschatz

Dissertations (1934 -)

In fMRI it is desirable to obtain images with high contrast and low noise at a high spatio-temporal resolution. Doing so allows for a more reliable assessment of capturing brain dynamics in higher detail. Many techniques have been employed and tested to collect more images per unit of time and/or increase spatial resolution, while maintaining a high quality image. This has been done using in-plane and through-plane acceleration with promising results (SENSE, GRAPPA, CAIPIRINHA, CAIPIVAT). Following a description of work done towards a unified fMRI simulation software package, this dissertation will present work towards three methods to enhance fMRI time …

New Nurse Faculty Mentorship: A Quality Improvement Project, Kimberly B. Porter

Doctor of Nursing Practice Projects

The ongoing nursing faculty shortage limits program capacity and makes it harder to retain novice nurse educators transitioning from clinical practice to academia. The literature highlights issues such as insufficient mentorship, role confusion, and a lack of structured support as key factors contributing to early faculty attrition. This quality improvement (QI) project aimed to implement and evaluate an evidence-based mentorship program to improve perceptions of mentorship effectiveness among new-to-academia nurse faculty in a School of Nursing in Arkansas. The purpose was to implement and evaluate a mentorship program designed to improve perceptions of mentorship among new-to-academia nurse faculty. The project …

Molecular Catalysts For Electrochemical Nitrogen Activation Toward Sustainable Ammonia Synthesis, Jin-Xiu Han, Hao Xue, Xian-Biao Fu

Journal of Electrochemistry

Homogeneous electrocatalytic nitrogen reduction reaction (NRR) provides a powerful framework to interrogate molecular nitrogen-fixation pathways under mild conditions. By tuning the metal center, ligand architecture, and reaction medium, these systems enable capturing key intermediates and delivering mechanistic insight at the molecular-level resolution. Nevertheless, advances remain constrained by highly reduced operating potentials, intense competition from the hydrogen evolution reaction (HER), limited durability in turnover, and inadequate long-term stability.

In this review, we take electron delivery to the molecular active site as the guiding principle for organizing homogeneous electrochemical N₂ activation and transformation. We classify reported systems into direct electron transfer …

Water-Driven Solid Electrolyte Interphase Governs Continuous-Flow Ammonia Electrosynthesis, Peng-Bo Liu, Sheng-Liang Zhai, Ji Huang, Zhong-Shuo Zhang, Jie Zeng, Shao-Feng Li

Journal of Electrochemistry

Flow-cell architectures have emerged as a powerful platform for continuous and stable lithium-mediated nitrogen reduction (Li-NRR), enabling ambient-condition electrochemical ammonia synthesis and offering a promising alternative to Haber-Bosch processes. However, Li-NRR is exceptionally sensitive to trace water, and even minor variations in water content can profoundly alter interfacial chemistry. Here, we systematically investigate how initial water concentration affects Li-NRR performance in a continuous-flow cell. Excess water drives the formation of a thick solid electrolyte interphase (SEI) layer, which may impede nitrogen access to metallic lithium and hinder lithium-ion transport. As a result, the ammonia Faradaic efficiency collapses from ~61% to …

Insertion Of Noble Metal Free Cathodic Catalyst Layer With Fe-N-C Catalyst For Boosted Performance Of Pemfc, Shi Zhou, Muhammad Tariq, Asif Nadeem Tabish, Muhammad Salman, Fan-Di Ning, Muhammad Rayyan Tayyab, Ran-Ran Peng, Meng-Geng Hao, Wen-Mu Li, Xiao-Chun Zhou

Journal of Electrochemistry

Economical Fe-N-C catalysts are considered as promising alternatives to platinum group metal catalysts for proton exchange membrane fuel cells (PEMFCs). Despite exhibiting robust activity on rotating disk electrodes, their performance within membrane electrode assemblies often experiences limitations, such as decreased O₂ diffusion, high H₂O₂ formation, low proton conduction, and a lower electron transfer number. In this study, key factors, including proton transport, electron conduction, and gas diffusion within air-breathing PEMFCs, have been investigated by adjusting cathode catalyst layer (CCL) compositions. From the experimental results, the optimal peak power density was obtained when the loading of Fe-N-C …

Associations Between Smoking Habits And Weight-Related Behaviors Among People Who Smoke In The United Arab Emirates: A Cross-Sectional Study, Sharifa Alblooshi, Maryam Hassan Dawood, Dana N. Abdelrahim, Marika Lo Monaco, Falak Zeb

All Works

Background: Smoking is one of the leading global public health problems, and is complicated by multiple reasons for its prevalence and associated health problems. An understanding of the influence of smoking activity on weight management is essential to formulate successful health programs. Aim: The objective of the present study was the investigation of the association between smoking habits and weight management among adult people who smoke in the UAE. Methods: A cross-sectional study was conducted with 232 participants who completed a 36-item questionnaire assessing their smoking habits and weight management practices. Results: The sample consisted mostly of males (75.4%) aged …

Forget-Me-Not: Facilitating Social Vibrancy In Spaces Designed For Alzheimer's Disease, Torilyn Mossner

Honors Theses

The objective of this capstone project is to create a foundation for vibrant community interactions and connections that support those living with Alzheimer’s disease, their loved ones, and the broader members of the community through interior design. This work is relevant because Alzheimer’s disease affects 1 in 9 people over the age of sixty-five worldwide. Without a cure, as people continue to age, there is going to be a constant need for development of care. Additionally, design should go a step further than healthy living and begin to prioritize creating a vibrant life and community integration for those living with …

Utilization Of Natural Pumice Stone As A Low-Cost Ion Exchanger For Lead (Pb(Ii)) Removal: A Kinetics, Isotherms And Mechanisms Studies, Ahmad Sulaiman

Baghdad Science Journal

Pumice is one of the raw materials that is widely available, especially in the ``Middle East region and Turkey''. In this research, an ion exchanger was prepared from Syrian pumice by converting it into a low-silica ion exchanger (P_Na) for the removal of Pb²__MATH₀__⁺ uptake was 4.3 mmol/g (308.15 K). Removal efficiency was 100% at low concentrations and >80% at medium/high concentrations. The adsorption kinetics followed a pseudo-first-order model, and the equilibrium data fit well to Langmuir, Freundlich, and Redlich-Peterson isotherms (R² > 0.99).

Spartan Daily, April 28, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 38

Key Issues For Speed Safety Cameras: Results From A Semi-Structured Interview Of Agencies In The United States, Sophia Semensky, Miguel Figliozzi

Civil and Environmental Engineering Faculty Publications and Presentations

Speed safety cameras (SSCs) are a recognized countermeasure for targeting speeding-related crashes, injuries, and fatalities. SSCs have been introduced in various cities and are steadily expanding in use both in the U.S. and internationally. The extensive literature review of domestic and international documents and research papers reveals that the U.S. has been comparatively slow to adopt SSCs, with some other countries implementing these systems more extensively and earlier. Many local agencies are eager to learn SSC best practices and implementation lessons within the U.S. context. In this research, key issues related to SSC implementation are explored through semi-structured interviews with …

Cognition Is Not Content: A Structural Account Of Processing Conditions, Griselda Poe

Publications and Research

Human cognition has been described in terms of content. This description becomes insufficient once artificial systems make output observable apart from subject attribution, intention, and relational context. Under this contrast condition, what becomes visible is a layered structure in which output, reconstruction, evaluation, and termination do not necessarily coincide. The same input may register as complete under one processing condition while remaining unresolved under another. This separability means that content-based description does not merely omit an additional variable: it can mislocate a processing difference as a difference in meaning, personality, intention, ability, or attitude. This is not a proposal for …

Contests Of Masculinity: The Model Program, Notre Dame, And Collegiate Football, 1945-1972, Brian Michael Burns

Dissertations (1934 -)

This dissertation examines how collegiate football functioned as a contested site for defining masculinity and institutional identity in the United States between 1945 and 1972. Focusing on the leadership and interactions of the National Collegiate Athletic Association (NCAA), the National Football Foundation (NFF), and the University of Notre Dame, the project argues that these institutions promoted competing models of masculinity that reflected broader tensions between moral authority, institutional control, athletic success, and social change in postwar America. This dissertation argues that postwar collegiate football did not express a single dominant masculine ideal but instead became a site of ongoing institutional …

University Theatre Guild Guide, Maria Perez

Honors Theses

The WMU Theatre Guild Assistant position is one of the primary assistantships in the Arts Administration department. The Theatre Guild Assistant works alongside Emily Duguay, the Director of Arts Administration, Joan Herrington, the Director of the School of Theatre and Dance, and the WMU Theatre Guild Board to manage their daily operations and help develop donor events. The University Theatre Guild Guide explains the details and processes this position follows. This guide is broken down into four sections. The first section is the Introduction. The Introduction includes congratulations from the past Theatre Guild Assistant and a short breakdown of the …