Digital Commons Network^™

System For Generating Auditable Product Definitions With An Adaptive Conversational Agent, Bakul Patel, Teginder Singh, Ramakrishnan Neelakandan

Defensive Publications Series

Defining products for regulated industries may be challenging, as some tools, such as passive document editors, static forms, and general-purpose conversational agents, can lack adaptive, domain-specific guidance and may be unable to produce auditable records. Systems and methods are described that can assist with these challenges using a conversational artificial intelligence system. The system can employ a large language model and a dynamic questioning engine to interpret a user's natural language responses. By referencing a configurable knowledge base of domain-specific information, for example regulatory frameworks, the engine can adaptively adjust its line of questioning. From the elicited information, the system …

Presence-Triggered Predictive Caching Of Media Content, D Shin

Defensive Publications Series

On-demand digital media streaming systems may experience playback latency, such as buffering, as content can be retrieved reactively after a user makes a selection. The described systems and methods can address this by using a presence signal to trigger a predictive process. A presence signal can be generated, for example, when a user’s computing device (e.g., a smartphone, smart watch, or wearable device) connects to a local network (e.g., a Wi-Fi network) or enters a geofence. Upon receiving this trigger, and with appropriate user permissions being granted, a predictive modeling engine can analyze the user’s content consumption history and context …

Adaptive Verification Of Generative Models Via Parallel Reasoning Generation, Neel Mohbe, Piyush

Defensive Publications Series

Generative models may produce outputs that appear correct but lack verifiable reasoning, and methods to generate such reasoning sequentially can introduce significant latency. The disclosed technology describes an adaptive verification framework where a prompt triage model can assess a query's potential risk level. Low-risk queries may bypass verification, while higher-risk queries can trigger a parallel process where a primary model generates an answer as a causal proxy model concurrently constructs a structured reasoning graph. A heuristic verifier can then programmatically audit this graph for aspects such as logical coherence and factual grounding. This system provides a method for generating auditable …

Centralized Multi-Channel Power Architecture For Independent Charging Of Peripheral Devices, Yao Ding, Diego Liu

Defensive Publications Series

A system and method are described for managing power in a system with a charging enclosure and multiple peripheral devices, such as wireless devices or other portable electronics. In some configurations where peripherals have dissimilar battery levels, a single power converter in the enclosure can result in energy inefficiency and heat generation in the peripheral with a lower state of charge. The described architecture can centralize charging regulation within the charging enclosure. The enclosure may incorporate a multi-channel charger that provides an independent, dynamically adjusted power output for each peripheral. This control may be based on real-time battery status data …

Budget And Collection Management Communication Strategies, Tools, And Methods, Evan Rusch, Heidi J. Southworth, Daardi Sizemore Mixon, Lisa Baures, Nat Gustafson-Sundell, Joe Holtermann

Library Services Publications

Many libraries face challenging budget situations. Communication with departments and administration about budget management and related changes to collections can be crucial to maintain constructive relationships and to improve cooperative planning. Academic libraries often rely on librarian liaisons to communicate directly with departments, but additional communication efforts are sometimes pursued. Libraries could learn from one another by sharing their communication strategies, tools, and methods. Our library has recently focused on collections communication across a range of projects and audiences. These projects have included a budget reduction plan and major print deselection project, as well as ongoing, prospective budget management. The …

2025 November 17 - Faculty Senate Agenda And Minutes, Faculty Senate, East Tennessee State University

Faculty Senate Agendas and Minutes

No abstract provided.

"We Blink With One Eye Open. They Sleep With One Eye Close": A Qualitative Analysis Of Conflict And Resolution From The Perspective Of Correctional Staff, Staci M. Richardson

Morehead State Theses and Dissertations

A thesis presented to the faculty of the Caudill College of Arts, Humanities and Social Sciences at Morehead State University in partial fulfillment of the requirements for the Degree Master of Arts by Staci M. Richardson on November 17, 2025.

From Urban Models To Rural Realities: Adapting Hepatitis C (Hcv) Care For Underserved Communities, Caitlin A. Mccain

2025 Fall Honors Capstones Projects - Archive

This literature review examines how Hepatitis C (HCV) screening and care programs can better serve underserved populations, particularly Spanish-speaking rural communities in border states. The research supports the Hep C- Colonias Advancing & Restoring Esperanza (C.A.R.E) program’s mission by incorporating recent findings from 32 studies gathered through PubMed, Medline and Google Scholar. Hep C C.A.R.E expanded from the HepVISTA expansion project provides HCV screening, education, vaccination and linkage to care for uninsured patients at partner sites in Laredo and Maverick County. Results indicate that while HCV elimination is feasible, significant gaps persist among rural uninsured and minority populations. Effective strategies …

Cybersecurity Risks Of Freight Rail As Critical Infrastructure, Kira Sun

Discovery Undergraduate Interdisciplinary Research Internship

Our project implements simulated train engineers to operate model train engines on a hybrid twin of a freight rail system. We can then use the model and simulate cyber-security attacks to demonstrate the risks and effects of the attacks. Using existing model train hardware and an Arduino running open-source software, DCC-EX and JMRI, we can control the train engines and various track components and sensors. We program each engine to make safe decisions about what speed and direction to take, using information provided by the various sensors and light signals around the track. When attacks occur, the engines can have …

November 17 Elections, Census & Redistricting Update, Jeffrey M. Wice

Elections, Census & Redistricting Updates

No abstract provided.

Quality Improvement Project: Improving Competency Of Behavioral Health Technicians In Vital Sign Technique, Ashley Buescher

Doctor of Nursing Practice Projects

Untreated hypertension or hypotension can lead to serious health problems, including death. Proper technique is essential when obtaining a blood pressure reading to improve patient safety. The goal of the quality improvement project was to improve competency in blood pressure technique by implementing standardized training. The initiative addressed discrepancies in blood pressure readings in the intake unit of a behavioral health hospital. Using the Stetler Model of Evidence-Based Practice and John Kotter’s 8-Step Change Model, a single sample, pre-post design was implemented over 4 weeks. The American Heart Association's blood pressure guidelines and the Teach-Back Observation Tool were used in …

Exploring Psychological Empowerment Among Hiv Support Groups, Harit Agroia, Leyla Mousli, Rock Braithwaite, Silvia Boron, Rene Padilla

Journal of Social, Behavioral, and Health Sciences

Support groups can provide members with space to discuss life issues, foster a sense of community, and promote connections with others. For people living with HIV, support groups can improve knowledge and awareness of tools and resources for HIV management, reduce stigma, improve social competence, and overall health. Studies that have connected empowerment and support group structures in populations with HIV have found promising results; however, a dearth of research demonstrates how applying theoretical frameworks can improve understanding of factors that increase empowerment among support group participants. The purpose of this phenomenological study was to apply the Psychological Empowerment Theory …

Staff Education To Improve Clinical Staff Knowledge Of The Social Determinants Of Health In A Public Health Setting, Alba Gisel Ayala

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed a critical knowledge gap among clinical staff regarding the application of Social Determinants of Health (SDOH) within a local health department. Although SDOH screening tools and the statewide NCCARE 360 referral system were in place, inconsistent use hindered integration into patient care and limited efforts to advance health equity. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional framework, an educational intervention was developed and implemented to enhance staff knowledge, confidence, and integration of SDOH principles into workflow. Thirty-five clinical staff members participated in pre- and post-intervention assessments. Data …

Special Education Teachers' Experience Implementing Constant Time Delays On Young Adults With Autism Spectrum Disorder To Improve Employment Stability, Ayodele Salihu

Walden Dissertations and Doctoral Studies

Individuals with autism spectrum disorder (ASD) often encounter challenges in securing and maintaining employment. With appropriate support, they can gradually develop the functional and social skills necessary to perform job tasks independently, fostering long-term employment and greater autonomy. Achieving independence depends on both the cognitive abilities of individuals with ASD and the instructional strategies educators employ to engage them effectively in the learning process. Constant time delay (CTD) is an evidence-based practice that has demonstrated significant benefits for individuals with ASD in skill acquisition and task mastery. This qualitative study explored the experiences of special education (SPED) teachers in implementing …

Susan Mcmasters V. Restaurant Brands International Inc

2025 Decisions

USDC for the Western District of Pennsylvania

Nashyrah Day V. New Jersey Department Of Corrections

2025 Decisions

USDC for the District of New Jersey

Quality Improvement Project: Improving Patient Appointment Adherence Through Staff Education On Health Literacy, Christine A. Johnson- Nganbou Kamkeu

Doctor of Nursing Practice Projects

Non-adherence to appointments remains an impediment to health continuity. It has been especially pervasive in rural settings. Numerous scholarly articles in the healthcare literature support enhancing health literacy in organizations and training in effective communication to promote patient appointment compliance. Hence, the purpose of the quality improvement (QI) project was not only to encourage appointment compliance but also to enhance the application of the Teach-Back Method through health literacy education. The theoretical perspective and practice application, according to Lewin’s Change Theory and the PDSA approach, included a four-week intervention period, during which the Agency for Healthcare Research and Quality (AHRQ) …

Quality Improvement Project: Responding Effectively With The Use Of A Defibrillator And Crash Cart: An Educational Intervention For Medical-Surgical Nurses, Josilyn Lusk

Doctor of Nursing Practice Projects

Appropriate and timely use of a defibrillator and crash cart is essential for patient survival during cardiac arrest, yet many medical-surgical nurses report limited preparedness due to inconsistent, non-standardized training. The purpose of this DNP project is to evaluate the impact of a structured didactic and simulation-based educational intervention on nurses’ self-assessed preparedness to respond to life-threatening events and their perceptions of educational best practices. The aim of the project is to demonstrate measurable improvements in nurses’ self-reported preparedness in responding to emergent events and their perceptions of effective teaching and learning strategies. Guided by Tanner’s Model of Clinical Judgment …

Enhancing Emergency Department Staff Competency In Ultrasound-Guided Venous Access At A Rural Critical Access Hospital: A Quality Improvement Project, Ryan M. Sand

Doctor of Nursing Practice Projects

Patients meeting difficult intravenous access (DIVA) criteria often experience multiple failed intravenous (IV) access attempts, delayed diagnostics, and treatment initiation, particularly in rural emergency departments with limited resources. This quality improvement (QI) project evaluated whether targeted ultrasound-guided peripheral venous access training would improve staff self-efficacy, confidence, and self-reported procedural execution at a rural critical access hospital. Guided by Lewin’s Change Theory and Benner’s Novice to Expert Theory, a quasi-experimental pre-/post-intervention design was implemented. Nurses and paramedics completed the validated Peripheral Intravenous Insertion Confidence Assessment before and after a didactic and psychomotor training program. Statistical analysis included an independent samples t-test …

Quality Improvement Project Assessment Of Emergency Department Staff Knowledge On Use Of Emergency Severity Index In A Critical Access Hospital: Implementation Of Emergency Department-Based Education Program., Amanda Taylor

Doctor of Nursing Practice Projects

In rural emergency departments, accurate triage is vital to ensuring patient safety and maximizing limited resources. This quality improvement project aimed to strengthen triage practices by enhancing nurses’ understanding and confidence in using the Emergency Severity Index (ESI), a standardized tool for assessing patient acuity. Ten registered nurses at a seven-bed critical access hospital participated in a structured educational program, guided by Lewin’s Change Theory and Benner’s Novice to Expert Theory. The intervention included hands-on training, real-world scenarios, and self-assessment surveys. After the program, nurses showed significant gains in both knowledge (mean scores rose from 70.0 to 88.9, p < .001) and confidence (from 13.5 to 23.2 out of 25). While the small sample size and short timeline were limitations, the results highlight the value of ongoing education in improving triage accuracy and patient care. This project offers a practical model for rural hospitals seeking to enhance emergency nursing practice and promote consistent, evidence-based decision-making.

From Nicu To Neighborhood: Supporting Premature Patients Beyond The Hospital, Bob Underwood, Jermine Harriet Romald

Pediatrics in Practice: A CME Podcast

In this episode, we chat with neonatologist Harriet Romald, MD, FAAP, to explore the critical role pediatricians play in the long-term care of premature infants. From NICU discharge to developmental milestones, we discuss how pediatricians and neonatologists collaborate to ensure continuity of care, monitor common health challenges and navigate social determinants that impact outcomes. Whether you're new to caring for former NICU patients or looking to deepen your understanding, this conversation offers practical insights and the latest updates in neonatal follow-up care.

Click here to stream the podcast episode.

Face Card Declined: The Deepfake Threat To Biometric Security In Financial Systems, Hazel Fernandez

Washington and Lee Law Review Online

Once limited to entertainment and disinformation, deepfakes are now extending into the financial sector, where voice and facial impersonations exploit biometric authentication systems to facilitate fraudulent transactions. This evolution exposes gaps in existing legal and regulatory frameworks, raising critical questions about consumer protection and institutional safeguards. This Note argues for a reconceptualization of deepfake harms as both a privacy and a financial security issue. It examines the illusion of consent generated by synthetic impersonation and insufficient statutory protections. The analysis examines the patchwork of federal, state, and international laws governing data privacy and artificial media, highlighting the gaps that allow …

Estrogen And Obesity Synergistically Suppress Protein S Via Hif1Α, Enhancing Thrombosis Potential, Mohammad A. Mohammad, Narender Kumar, Sonali Ghosh, Ashley L. Paysse, Claudia Leonardi, Vijaya Pilli, Ma Lorena Duhaylungsod, Eric Lazartigues, Diana Polania-Villanueva, Sadaf Nouman, Logan A. Barrios, Rima Chattopadhyay, Rafika Yasmin, Alaina Guilbeau, Manoj Kumar, Tina H. Nguyen, Jovanny Zabaleta, Li Li, Luis Del Valle M.D., Mallory T. Barbier, Samarpan Majumder, Laurent O. Mosnier, Samarpan Majumder

School of Graduate Studies Faculty Publications

Venous thromboembolism (VTE) is a leading cause of morbidity and mortality, with risk heightened in premenopausal women with obesity or use estrogen-based oral contraceptives. When both risk factors are present, the thrombosis risk increases substantially. Protein S (PS), an essential anticoagulant cofactor, is downregulated by both estrogen and obesity, but the molecular basis for this suppression remains poorly defined. We investigated the effect of estrogen and obesity on PS expression using plasma samples from 157 women stratified by BMI and contraceptive use, alongside 40 mice categorized as lean or obese with or without estrogen pellet treatment. The levels of PS …

Record Of The Late Jurassic Cordilleran Margin From Detrital Zircon Analysis Of The Galice And Mariposa Formations, California And Oregon, Kathleen D. Surpless, Calvin Barnes, Aaron Yoshinobu

Earth and Environmental Geosciences Faculty Research

Details of the Late Jurassic tectonic evolution of the North American continental margin remain controversial, but a clear understanding of Late Jurassic tectonics is essential for understanding subsequent terrane accretion and displacement. Upper Jurassic strata of the Galice Formation in the western Klamath Mountains province and the Mariposa Formation in the Western Sierra Nevada metamorphic province were deposited along the margin of North America during this critical time. The Galice and Mariposa Formations have long been correlated, and these strata are the youngest rocks deformed during Late Jurassic Nevadan deformation in Oregon and California. Published and new detrital zircon age …

The Echo: November 17, 2025, Taylor University

2025-2026 (Volume 113)

No abstract provided.

Annual Comprehensive Financial Report, Washington County, For The Year Ended June 30, 2025, Tennessee. Comptroller Of The Treasury.

Tennessee County Audit Reports

No abstract provided.

Radiation Hardness Study Of Finfet And Gate-All-Around Fet Sram, Albert Lu

Master's Theses

Radiation, such as alpha particles or neutrons, is hard to control and can come from sources such as trace impurities or cosmic rays from space. These can then strike a semiconductor device, such as a Static Random Access Memory (SRAM) cell, and cause the SRAM to have its bit flipped. This bit flip is often just a temporary effect and is thus called a single event upset (SEU). Although it is temporary, a bit flip can cause severe consequences, such as affecting program functionality by causing incorrect data to be used. This is made worse in critical environments that need …

Quality Improvement Project: Creation Of An Ebp Healthy Lifestyle Program: An Evidence-Based Development Program, Devanee Ray

Doctor of Nursing Practice Projects

Nursing education is the foundation of healthcare itself. However, several things influence nursing students’ academic success. A lack of overall health habits is a significant contributor. Generally, this lack is due to a lack of education. The goal of this quality improvement Doctor of Nurse Practice (DNP) project was to develop an educational program that addresses the identified knowledge gaps. The aim was to develop the program to promote student success and pilot-test the program to determine its impact among masters-level nursing faculty. Using Lewin’s Change Theory and Orem’s theory of self-care, the educational program was piloted over a seven-week …

Staff Education For Nurses To Increase Nursing Staff Knowledge On Hospital-Acquired Infection Prevention, Mimi M. Farride

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on a staff education initiative aimed at reducing hospital-acquired infections (HAIs) in healthcare settings. HAIs contribute to patient morbidity, extended hospital stays, and increased healthcare costs. Despite established infection control policies, inconsistencies in adherence had highlighted the need for targeted education. The central practice question guiding this project, conducted in a hospital setting, was, “How did implementing a comprehensive infection prevention education program for healthcare staff influence their knowledge?” The primary goal was to educate staff with the skills needed to minimize infection risks and enhance patient outcomes through effective prevention techniques. …

Staff Education For Catheter-Related Urinary Tract Infection Prevention In Intensive Care, Ascar Boinett

Walden Dissertations and Doctoral Studies

This doctor of nursing practice (DNP) staff education project was conducted to address inconsistent adherence to catheter-associated urinary tract infection (CAUTI) prevention bundles in an adult intensive care unit (ICU). CAUTIs remain a leading cause of morbidity, extended hospital stays, and increased healthcare costs. The project aimed to improve nurses’ knowledge and attitudes regarding CAUTI prevention through structured education and the integration of daily catheter reassessment checklists into practice. A quantitative pretest–posttest design was used to measure changes in participants’ knowledge and attitudes following two 45-minute educational sessions. Forty-two ICU nurses participated in the intervention. Data were analyzed using descriptive …