Digital Commons Network^™

Connected Pastors: The Importance Of Having Safe Support Systems In Ministry, Karin A. Hines

Senior Honors Theses

Pastors minister to broken people, but sometimes they need help themselves. Many pastors do not seek help or do not have anyone safe to go to, often for fear of losing their influence or job. This thesis argues that sharing one’s life with safe people is essential, especially for those who are in high-stress professions. It explores pastoral support systems, examines comparable stigmas against seeking help in other fields, analyzes the science of sharing and isolation and their effects on the brain and body, and considers the Bible’s instructions on living in community for one’s personal well-being. Pastors require intentional, …

Florence Normal College Quarterly, Faculty Of Florence Normal College

Documents

Faculty Quarterly Journal of Florence Normal College, March 1911.

Isass Brave New Continuing Medical Education World: The Stifling Of Innovation In Spine Surgery Through Overrestriction Of Collaboration, Morgan P. Lorio, Kai-Uwe Lewandrowski, Óscar L. Alves, Avelino Parajón, Matthew Scott-Young, Hansen A. Yuan, Alex R. Vaccaro

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: in 2020, the accreditation Council for Continuing Medical education (aCCMe) released the Standards for Integrity and Independence in Accredited Continuing Medical Education, effective january 1, 2022, to ensure that accredited activities are accurate, balanced, evidence-based, and clearly separated from marketing and sales. although these aims are broadly supported, implementation may have unintended consequences in procedure-intensive specialties such as spine surgery, where surgeon–industry collaboration often drives device innovation, clinical trials, and dissemination of new techniques.

OBJECTIVE: To examine how current interpretations of ACCME eligibility and financial-relationship standards may affect continuing medical education in spine surgery and to propose practical adaptations …

Introduction To Computer-Aided Design Using Solidworks® : A Structured Approach To Parametric Modeling And Design Intent, Swapnil Moon

Open and Affordable Textbooks

This textbook introduces computer-aided design (CAD) using SOLIDWORKS® through a structured, design-centered approach that emphasizes parametric modeling and engineering reasoning. Rather than focusing solely on software commands, the material develops foundational skills in design intent, constraint-based modeling, and feature relationships to create robust, adaptable models.

The content is organized progressively, beginning with basic sketching and feature creation and advancing to complex part modeling, assemblies, motion studies, and engineering drawings. Each chapter builds upon prior concepts, reinforcing systematic modeling practices and promoting the development of system-level thinking required in real-world engineering design workflows.

Designed for undergraduate students with little or no …

Nurturing The Nurturers: Caritas Literacy Wellness Program, Pakeeza Ali

Doctoral Projects

Burnout, compassion fatigue, and emotional exhaustion remain significant concerns among oncology staff in high-demand ambulatory settings. This quality improvement project implemented the Caritas Literacy and Resilience Training Program (CLARITY), a microlearning-based intervention grounded in Watson’s Caring Science Theory, to support self-caring behaviors and emotional resilience among oncology staff in an ambulatory cancer center. A quasi-experimental, mixed-methods design was used, incorporating pre- and post-intervention survey data and qualitative focus group feedback. Quantitative outcomes were assessed using the Watson Caritas Self-Rating Score (WCSR) and post-intervention ratings of perceived effectiveness of the microlearning format. Wilcoxon signed-rank tests were used to examine pre-post change …

Randomised Controlled Trial Comparing Antibiotic Cement Bead Pouch Versus Negative Pressure Wound Therapy For The Management Of Severe Open Tibia Fracture Wounds: Beads Versus Vac (Bvv) Protocol, Lucas S Marchand, Gerard Slobogean, Nathan N O'Hara, Anthony D Harris, David W Grainger, Lehana Thabane, Mohit Bhandari, Gregory J Della Rocca, Patrick J Kellam, Robert D Zura, Debra Marvel, Jeffrey L Wells, I Leah Gitajn, Kyle J Jeray, Robert V O'Toole, Zachary M Working, Roman M Natoli, Patrick F Bergin, Jennifer E Hagen, Ashley E Levack, Ernesto Guerra-Farfan, Gregory M Schrank, Joan N Hebden, Franca Mossuto, Cassandra Tsoutsounakis, David Pogorzelski, Hailey Pineda, Sofia Bzovsky, Sheila Sprague, Bvv Investigators

Faculty, Staff and Student Publications

Introduction: Early open fracture management aims to minimise the risk of complications. For the most severe open fracture wounds, multiple irrigation and debridement surgeries are required to overcome severe wound contamination, to reassess the evolving tissue injury or to temporise and plan further surgery. When multiple irrigation and debridement surgeries are needed, uncertainty remains about how the open fracture wound should be managed to best minimise complications. The primary aim of this trial is to compare the antibiotic cement bead pouch vs negative pressure wound therapy in the management of patients with severe open tibia fracture wounds.

Methods and analysis: …

Fluid Belonging, Soft Boundary, Jingyi Liu

MFA in Visual Art

This thesis conceptualizes cultural identity as a fluid and dynamically generated process shaped through the experience of migration. Drawing on contemporary art practices and theoretical frameworks of diaspora and hybridity, the thesis is structured around four interrelated dimensions: fluid identity, memory fragmentation, material interaction, and spatial displacement.

Within the artist’s practice, traditional techniques are reactivated as both cultural signifiers and material approaches that adapt and transform across shifting contexts. Fragmentation is understood not as the loss of information but as a mode of reassembly. Materials such as ink, textile, and dye function as active agents that carry time and cultural …

Should I Stay Or Should I Go?: Evaluating The Role Of Climate And Weather Stressors On Moving Decisions In Southeast Florida, Arielle Perry

Electronic Theses and Dissertations 2020 - Present

As climate and weather hazards intensify, Southeast Florida communities face mounting pressures that increasingly influence patterns of migration and immobility. This research examines evidence of climate migration in high flood-risk neighborhoods in Fort Lauderdale by exploring why some populations choose to stay, while others leave, in the context of a changing climate. Using focus group discussions, I investigate how climate and non-climate related factors shape mobility outcomes among residents in the city. Migration outcomes were primarily influenced by negative climate and weather hazard experiences, discontent with existing public in-situ adaptations, and non-climate disamenities, which eroded participants’ sense of place. Voluntary …

Corporate Personhood And The Scope Of Constitutional Rights, Jadyn Cooper

Harriet L Wilkes Honors College Theses 2020 - Present

In 2010, the Supreme Court, in Citizens United v. FEC, held that corporations have a First Amendment right to freedom of speech. Soon after, privately held corporations were effectively granted the First Amendment right to exercise religion, in Burwell v Hobby Lobby. Should corporations have these rights, or are rights reserved for “persons”? I argue that for-profit corporations, as artificial entities, lack the capacities for personhood and moral agency, including the capacity to express speech or exercise religion, without the use of a human agent. Since corporations are not moral agents, they don’t possess rights inherently and shouldn’t be granted …

Challenges To Artificial Intelligence-Enabled Digital Technology Adoption In Farms: A Multi-Method Approach, Guoqing Zhao, Shaofeng Liu, Xiaoning Chen, Huilan Chen, Xinyi Li, Guoste Pivoraite

Plymouth Business School

Artificial intelligence (AI)-enabled digital technologies have the potential to transform agriculture by supporting decision-making and automating operations. However, their limited adoptions and scholars’ atheoretical explorations constrain our understanding. Drawing on the technology-organization-environment (TOE) framework, we investigate the challenges hindering the AI-enabled technology's adoption in farms using a multi-method approach, including semi-structured interviews, thematic analysis, total interpretive structural modeling, and fuzzy cross-impact matrix multiplication applied to classification analysis. Our finding shows novelty in several aspects. First, we identify 13 challenges, some of which are underexplored, such as the absence of effective intermediaries in promoting agricultural technology. Second, we developed a hierarchical …

The Transformational Role Of Perceived Self-Efficacy In Combating Online Exam Anxiety, Ana Pereles, Carmen Romero-García

Higher Learning Research Communications

Objective:This study investigates how university students’ perceived self-efficacy influences anxiety levels during online examinations, a pressing issue amplified by disruptions caused by coronavirus disease 2019 (COVID-19) and the rise of artificial intelligence (AI)–driven assessment concerns. The aim is to analyze the relationship between self-efficacy and online test anxiety, identifying effective strategies to mitigate its effects.

Method: A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was conducted. Searches in Scielo, Web of Science, Scopus, ProQuest Education, Google Scholar, and Dialnet databases included peer-reviewed articles in education, psychology, social sciences, and computer sciences, published …

Neural Mechanisms Underlying Jung’S Active Imagination: A Review And Hypothesis, Charles R. Fox

Journal of Conscious Evolution

Active imagination is a key technique of Jungian analysis. Despite its centrality, and its potential importance beyond Jungian psychology to the area of systems neuroscience, psychology, and consciousness studies, there are no known neurological mechanisms underlying this psychological phenomenon. There is a history of using the types of mental imagery used in active imagination to explore consciousness. The development and use of active imagination is briefly reviewed, and a case is developed that the neurology underlying active imagination would be fruitfully explored by considering it a special case of mystical experience. Active imagination primarily uses the right hemisphere processing of …

Mogad Is The Most Common Cause Of Isolated Optic Neuritis In Children, Chaitanya Aduru, Akansha Chandrasekar, Kyla Blasingame, Jonathan Rosen, Jesse M Levine, Karla Salazar, Madhuri Chilakapati, Rod Foroozan, Victoria Hardwick, Jonathan M Yarimi, Nikita Shukla, Timothy E Lotze, Kristen S Fisher, Alexander J Sandweiss

Faculty, Staff and Students Publications

Objectives: The study aimed to characterize the clinical features, etiologies, and outcomes of isolated, first-time pediatric ON in the post-MOG-IgG era.

Methods: This was a single-center retrospective cohort study at Texas Children's Hospital of patients diagnosed with first-time ON between 2018-2024, with follow-up data collected through 2025. Inclusion criteria required monocular or binocular subacute vision loss with supportive paraclinical signs. Subjects were excluded if they had a prior history of demyelinating disease or extra-orbital demyelinating lesions on initial brain/spine MRI. Primary outcomes were the proportion of MOG-IgG seropositivity, retinal nerve fiber layer thickness, and visual acuity at onset and most …

Investigating Causal Associations Among Inflammatory Proteins, Blood Metabolites, And Alzheimer’S Disease Risk, Shuai Liu, Jingjing Zhu, Hua Zhong, Dan Zhou, Quan Long, Zichen Zhang, Xiaochen Yang, Qing Wu, Chao Cheng, Jianyong Wu, Hung N Luu, Jing Wang, Bingxin Zhao, Chong Wu, Youping Deng, Lang Wu

Faculty, Staff and Students Publications

Alzheimer's disease (AD) is a prevalent degenerative neurological disorder with limited treatment options. Prior studies reported specific metabolites and inflammatory proteins to be related to AD risk. However, the intricate relationship between inflammatory proteins, blood metabolites, and AD risk in European population remains unclear. Genetic instruments for 1,091 metabolites and 736 inflammatory proteins were derived from two recent comprehensive genome-wide association studies. Univariable Mendelian Randomization was employed to assess potential causal effects of metabolites on AD risk, potential effects of inflammatory proteins on metabolites, and effects of inflammatory proteins on AD risk. Multivariable MR (MVMR) was further applied to disentangle …

Syrah: A Pipeline To Maximize Spatial Transcriptomics Data Output, Carolyn Brewster, Frederick G Mann, Blair Benham-Pyle, Alejandro Sánchez Alvarado

Faculty, Staff and Students Publications

Spatial analysis of gene expression patterns has been a key technique for revealing the potential functions of genes. Traditionally, these analyses conducted using in-situ hybridizations and other labor-intensive protocols were constrained to examining only a few candidate genes per sample. However, the advent of spatial transcriptomic techniques like Slide-seqV2 has transformed this field, enabling massively parallel exploration of gene expression patterns within their tissue contexts by pairing spatial locations with RNA sequencing. Despite its potential, Slide-seqV2 datasets often produce fewer usable reads than expected. We have identified that a significant source of errors in the technology stems from the chemical …

The Intersection Of Religion & Politics In The United States: Analyses At The Federal And State Level, Cristina Melissa Pimenta

Electronic Theses and Dissertations 2020 - Present

This project examines the intersection of religion and politics in the United States, particularly concerning Christian Nationalism. Existing scholarship has linked the religio-political ideology to several culturally relevant issues, including xenophobia and nativism, racism, homophobia and transphobia, and anti-vaccine rhetoric. My dissertation continues this research by exploring the impact of Christian Nationalism on reproductive rights and, in turn, on gender equality. I assert that as the saliency of Christian Nationalism in the United States has increased, gender equality has decreased. I also argue that the higher the saliency of Christian Nationalism in an individual state, the lower the gender equality …

Teaching Isixhosa As A First Additional Language In Former Model C Schools: Implications For Educator Experiences In The Harry Gwala District, Kwazulu-Natal, South Africa, Lundi Nomlala, Lwandile Ncam

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This paper explored educators' experiences of teaching isiXhosa as First Additional Language (FAL) in former Model C schools in the Harry Gwala District, KwaZulu-Natal, South Africa. The study aimed to understand practical teaching approaches that enhance linguistic diversity and improve IsiXhosa proficiency while addressing systemic challenges. A qualitative case study design was employed, using semi-structured interviews with five IsiXhosa FAL teachers across three schools. The findings revealed the need for partnerships between schools and communities, curriculum revision, including mentorship and professional development for teachers, collaborative learning, and the effective use of technology. However, challenges such as unequal language recognition, insufficient …

Obesity And Cardiometabolic Risks In Thai Children: A Comprehensive Cross-Sectional Analysis, Nitiroj Bongkotwilawan, Nantika Paiboon, Therdpong Tempark, Orapa Suteerojntrakool, Chansuda Bongsebandhu-Phubhakdi

Journal of Health Research

Background: Childhood overweight and obesity are increasing globally, posing significant cardiometabolic risks. Despite extensive studies in developed countries, data on the prevalence and risk profiles of cardiometabolic abnormalities in children from Southeast Asia remain limited

Methods: This cross-sectional study involved 270 Thai children aged 6–13 years, recruited from primary schools in Bangkok. Anthropometric measurements were performed to determine weight, height, and BMI. Blood pressure and fasting blood samples were analyzed for lipid profiles, glycated hemoglobin (HbA1c), and serum glutamic pyruvic transaminase (SGPT) levels. Participants were categorized into normal weight, overweight, and obese groups based on BMI standard deviation scores (SDS). …

Design Of Air-Entrained Concrete For Airport Pavements Through Local Aggregate Utilization: Performance Optimization And Economic Analysis, Li Wentao, Rizwan Qadir, Arslan Mushtaq, Hilal Khan, Kamran Jillani

Journal of Sustainable Construction Materials and Technologies

Airport pavement construction in developing countries faces critical challenges balancing international performance standards with economic constraints, while limited research exists on optimizing air-entrained concrete mixes using locally sourced materials for cost-effective solutions. This study investigated the development of economical air-entrained concrete mix designs for airport pavements utilizing Pakistani aggregates and systematic cement content optimization. Comprehensive experimental evaluation included material characterization through petrographic analysis, alkali-aggregate reactivity assessment via accelerated mortar bar testing, and mechanical property development across cement contents from 360-450 kg/m3. Air entrainment was achieved through controlled admixture dosing while maintaining target slump of 50mm. Results demonstrated that locally sourced …

Evidence-Based Clinical Practice Guidelines For Postspinal Hypotension In Pregnant Women, Grace Mackey

Doctor of Nursing Practice Scholarly Projects

Abstract

Postspinal hypotension (PSH) in pregnant women undergoing a cesarean delivery is a common yet significant problem for the safety of the mother and fetus. The physiological effects of a spinal injection may compromise uteroplacental flow, predisposing the fetus to hypoxia and acidosis. Maternal consequences of prolonged hypotension include unstable hemodynamics, loss of consciousness, and nausea. Historically, healthcare providers have used crystalloid preloads and reactive phenylephrine boluses to correct hypotension. However, recent evidence suggests that these interventions have limited effectiveness. Thorough research led to the development of clinical guidelines that propose providing a 500 mL 6% hydroxyethyl starch preload or …

Evidence-Based Practice Guidelines For The Risk Stratification And Anesthetic Management Of Geriatric Surgery Patients At High Risk For Postoperative Cognitive Dysfunction Undergoing Non-Cardiac Surgery, Patrick M. Garvey

Doctor of Nursing Practice Scholarly Projects

As the global geriatric surgical population rapidly expands, managing complications like postoperative cognitive dysfunction is increasingly essential, given its adverse impacts on recovery, quality of life, and healthcare costs. Postoperative cognitive dysfunction can lead to extended hospital stays, delayed recovery, and significant cognitive decline, particularly among elderly patients exposed to general anesthesia. This quality improvement final scholarly project develops and hypothetically implements evidence-based practice guidelines for anesthetic management in geriatric patients at high risk for postoperative cognitive dysfunction undergoing non-cardiac surgery. This Doctor of Nursing Practice (DNP) project uses preoperative cognitive assessments, such as the Mini-Cog tool, to identify patients …

Proposed Evidence-Based Practice Consideration: The Use Of Remimazolam Tosilate Instead Of Propofol For Endoscopic Procedures Under Monitored Anesthesia Care In The Elderly Population, Tayler Lynn Detwiler

Doctor of Nursing Practice Scholarly Projects

Endoscopic procedures are essential for diagnosing and managing gastrointestinal conditions, particularly in a growing elderly population. The selection of sedative agents significantly influences patient safety and procedural outcomes. Propofol, the traditional choice, is successful but associated with risks such as hypotension, bradycardia, and respiratory depression, particularly in elderly patients. This hypothetical Doctor of Nursing Practice (DNP) project explores the use of remimazolam tosilate (RT), a novel ultra-short-acting benzodiazepine, as an alternative to propofol during monitored anesthesia care (MAC) for elderly patients undergoing endoscopic procedures. The project utilizes a randomized controlled trial (RCT) design to compare RT and propofol regarding hemodynamic …

Evidence-Based Practice Guidelines For Lung Protective Ventilation In Adult Patients Undergoing Abdominal Laparoscopic Surgery, Marco A. Spada

Doctor of Nursing Practice Scholarly Projects

The rise in abdominal laparoscopic surgeries has underscored the need for improved ventilation strategies to reduce postoperative pulmonary complications, such as atelectasis, ventilator-induced lung injury, and pneumonia. These complications can increase hospital stays, healthcare costs, and mortality. This final scholarly project investigates the impact of lung protective ventilation in adult patients undergoing abdominal laparoscopic procedures and proposes guidelines for implementation. Lung protective ventilation strategies, including low tidal volume ventilation, individualized positive end-expiratory pressure, and recruitment maneuvers. Current research shows potential in mitigating postoperative pulmonary complications by improving intraoperative oxygenation and lung compliance. Using the Johns Hopkins Evidence-Based Practice model, this …

Evidence-Based Guidelines For Intraoperative Quantitative Neuromuscular Monitoring, Noah Graham

Doctor of Nursing Practice Scholarly Projects

Nondepolarizing neuromuscular blocking agents are routinely used medications vital to anesthetic care. When administering neuromuscular blocking agents, monitoring neuromuscular blockade depth and degree of recovery is a standard of nurse anesthesia practice to facilitate adequate recovery. If not adequately reversed, postoperative residual neuromuscular blockade can cause severe complications. Traditional qualitative neuromuscular monitoring practices largely contribute to the continuing high incidence of postoperative residual neuromuscular blockade, as supported by research that qualitative monitoring methods are insensitive to the depth of blockade and clinical situations, providing unreliable physiologic information. As recommended in practice guidelines by the American Society of Anesthesiologists, quantitative neuromuscular …

Implementation Of Evidenced Based Practice Guidelines For Reducing Emergence Delirium In Elderly Patients Undergoing A Total Hip Replacement, Luke D. Kleinfelder

Doctor of Nursing Practice Scholarly Projects

A total hip replacement is a common surgery for the elderly population, as it is a successful treatment option for hip fractures and end-stage osteoarthritis, a common condition associated with aging. Recovery from surgery is critical, and any postoperative complication can delay recovery, increase cost, lengthen hospital stay, and lead to a poorer long-term surgical outcome. One of the most common and severe postoperative complications for elderly patients following general anesthesia is emergence delirium. Traditional practice focuses on treating the symptoms of emergence delirium reactively instead of proactively and lacks standardized guidelines. Recent literature found a promising decrease in the …

Integrating The Transversus Abdominis Plane Block Into An Eras Protocol For Bariatric Surgery Patients, Jordan Neibarger

Doctor of Nursing Practice Scholarly Projects

This Doctor of Nursing Practice (DNP) project investigates the integration of the Transversus Abdominis Plane (TAP) block into Enhanced Recovery After Surgery (ERAS) guidelines for bariatric surgery patients, aiming to improve postoperative outcomes by reducing opioid consumption, time to ambulation, and hospital length of stay (LOS). Bariatric patients who undergo sleeve gastrectomy or Roux-en-Y gastric bypass (RYGB) frequently encounter challenges with postoperative pain, increasing opioid use, delaying postoperative time to ambulation, and increasing postoperative hospital LOS. Prolonged postoperative hospitalization increases the financial impact on the healthcare system, and bariatric patients who have a longer postoperative LOS have a higher rate …

Proposed Evidence-Based Practice Guidelines For Using Esmolol To Blunt The Sympathetic Stress Response To Laryngoscopy And Intubation, Maya Kurdi

Doctor of Nursing Practice Scholarly Projects

Direct laryngoscopy (DL) and endotracheal intubation (ETI) are standard procedures performed during general anesthetic induction, which provoke a sympathetic stress response that can result in intraoperative hemodynamic instability. Traditional agents like lidocaine and fentanyl, commonly used to mitigate the stress response, have limitations and can lead to adverse effects. Recent literature suggests that esmolol, an ultra-short-acting, cardio-selective beta-1 adrenergic receptor antagonist, may be an effective alternative due to its rapid onset, short duration, and minimal side effects. This final scholarly project (FSP) aims to develop evidence-based practice guidelines for using esmolol as an adjunctive induction agent. A systematic literature review …

Heads Up! Designing A Nursing Assessment Tool For Early Recognition Of Intracranial Hypertension Post Head Injury, Sergio A. Dondiego

Honors Capstones

This meta-analysis identifies noninvasive clinical predictors of intracranial hypertension (IH) post head trauma to develop a multi-criteria IH screening tool designed for nurses to wear on their badge reels. High-sensitivity predictors were prioritized to assist in early IH suspicion. Findings suggest that radiographic-measured abnormalities including an optic nerve sheath diameter (ONSD) 5.6 mm and signs of significant head trauma via computed tomography (CT) were highly effective for predicting IH and were therefore defined as major criteria for the assessment tool. Other significant examination findings include a Glasgow Coma Scale (GCS) score 8 and atypical pupillary reactivity. While age showed conflicting …

Learning English Through Movies And Tv Series, Zilola Makhmadalieva

Language Study as a Gateway to the Humanities

No abstract provided.

Two Sides Of The Same Cycle: Understanding The Experiences Of Domestic Violence Survivors And Perpetrators, Avery M. Blevins

Honors Theses

Domestic violence has been a prevalent concern throughout society for many years but has recently begun to cumulate awareness from policymakers, people in the community, and individuals in service professions. There have been various changes made to the way that we define and understand domestic violence which has further led to the need to explore and educate on this concern. This paper aims to understand the experiences of both survivors and perpetrators that led to such violent circumstances. This creates a more multifaceted understanding of domestic violence and aids in implementing effective resources to both prevent and intervene in violent …