Digital Commons Network^™

How A Holistic Approach To People Of Reproductive Age Can Support Access To Preconception Care For People Living With Health Conditions: Findings From A Realist Evaluation, Heather Hopper, Kerryn Husk, Kate Maslin, Jill Shawe

School of Nursing and Midwifery

This realist evaluation explored how access to preconception care works for people with pre-existing health conditions, for whom, and in what contexts. Thirty one participants (women of reproductive age, partners, and healthcare professionals) were interviewed using qualitative realist methods. Iterative analysis refined 35 initial programme theories into 13 middle range theories. The theory reported here identifies healthcare professionals’ knowledge of sexual and reproductive health, understanding of pregnancy planning, and enquiry regarding pregnancy intention as key mechanisms. In the context of diagnosis or review, these resources support holistic and individualized preconception care, enabling improved preconception health and reduced adverse maternal and …

Left Behind In Lockdown: A Scoping Review Of Covid-19’S Impact On The Lives Of Transition-Age Foster Youth, Johanna K P Greeson, Sarah Wasch, John Gyourko, Antonio R. Garcia, Hannah Bennett, Kate Greco, Liya Cha

Faculty Scholarship

This scoping review asked: What is known about the scope and nature of research on the COVID-19 pandemic and its effects on older youth with foster care experience in the United States, including the types of studies, samples and outcomes examined? Guided by the Joanna Briggs Institute framework and PRISMA-ScR, we searched 11 databases and grey literature sources (October2024 to January 2025). Eligible studies were United States based, published from 2020 onward and included primary data on foster youth or relevant professionals. Thirty-two studies met inclusion criteria. Most studies were descriptive or cross-sectional, reflecting early phases of the pandemic. Mapping …

Quality Improvement Project: Building Competence And Confidence: Updating Nursing Faculty Knowledge Of The Flipped Classroom Model, Jamie Newman

Doctor of Nursing Practice Projects

The increasing complexity of healthcare requires undergraduate nursing education to move beyond traditional lecture-based instruction toward teaching strategies that promote clinical judgment. Although the flipped classroom model is shown to support these outcomes, faculty at the project site reported uncertainty and inconsistency in flipped classroom implementation. The purpose of this quality improvement project was to evaluate the impact of a structured, evidence-based faculty development intervention on undergraduate nursing faculty confidence, readiness, and competence to implement the flipped classroom model. Guided by Lewin’s Change Theory and the Stetler Model of Evidence-Based Practice, this quality improvement project used a quantitative, pre-experimental one-group …

Quality Improvement Project: Implementation Of The Surgical Safety Checklist To Improve Adherence To Time-Out At In-Office Procedure, Funke Osaremwinda

Doctor of Nursing Practice Projects

Surgical errors in ambulatory and in-office procedural settings continue to rise despite well-established safety standards, such as the time-out (TO) protocol. Literature consistently links non-adherence to the TO protocol to preventable events such as wrong patient, wrong site, or wrong surgery. At the cardiovascular ambulatory clinic where the quality improvement (QI) project was implemented, the baseline needs assessment indicated inconsistent TO practices and the absence of a standardized tool to support TO. The purpose of this project was to improve adherence to the TO safety protocol through staff education and implementation of the evidence-based World Health Organization (WHO) Surgical Safety …

Quality Improvement Project: The Impact Of Hypertension Management Education In Primary Care, Toyin K. Aliu

Doctor of Nursing Practice Projects

Hypertension (HTN) is one of the leading causes of clinic visits and prescription medication use in primary care settings. Despite the availability of evidence-based guidelines to improve HTN management, adherence in clinical practice is often lacking. At the project site, 30% of patients have uncontrolled HTN. This is attributed to providers’ inadequate knowledge of the JNC-8 HTN management guidelines and inconsistent adherence to them. This project aimed to improve hypertension management in a primary care setting by educating providers on the JNC-8 guidelines to enhance adherence to evidence-based practices over six weeks. The purpose was to align medical providers with …

The Rider (2026-02-16), Daniela Chapa-Reyes

The Rider Archives

Vol. 11, No. 19

Disproportionality Of Multilingual Learners In Special Education: A Mixed Methods Study Exploring The Relationship Between Teacher Self-Efficacy And Sheltered Instruction, Jessica Braynor

Theses and Dissertations

Abstract Jessica Braynor DISPROPORTIONALITY OF MULTILINGUAL LEARNERS IN SPECIAL EDUCATION: A MIXED METHODS STUDY EXPLORING THE RELATIONSHIP BETWEEN TEACHER SELF-EFFICACY AND SHELTERED INSTRUCTION 2025-2026 Hajime Mitani, Ph.D. Doctor of Education in Educational Leadership This study addressed the issue of disproportionality of multilingual learners (MLs) in Special Education. Using mixed-methods explanatory sequential design, the study examined the relationship between sheltered instruction implementation, domain-specific self-efficacy (pedagogical-content, linguistic, and sociocultural), and referrals of MLs to Intervention & Referral Services (I&RS) and Special Services. Quantitative data were collected from general education teachers using measures of Sheltered Instruction Observation Protocol (SIOP) implementation and self-efficacy, along …

Translating Low-Level Features Into Student Friendly Explanations Using Xai, Ben Johnson, Keith Nolan

Research Outputs: 2025-Present

An alarming decline in Gaeilge proficiency has renewed education efforts, fueled by the rise of AI in recent years. This research presents the development of a deep learning framework designed to evaluate spoken Gaeilge (henceforth Irish) proficiency of learners by quantifying student voice sample similarity to everyday Irish speaker truth samples, combined with explainable AI (XAI) techniques used to generate proof-of-concept student-friendly feedback. While automatic speech recognition (ASR) systems for high-resource languages like English have access to large, detailed datasets, the Irish language relies on a limited availability of speech resources, that challenges traditional model development. We address these gaps …

Towards A Framework For Bias Evaluation Of Ai Agents In Agentic Workflows, Gary Condon, Musfira Jilani

Research Outputs: 2025-Present

Multi-agent AI systems, with minimal human oversight, are increasingly deployed in high-stakes domains like hiring, healthcare, and criminal justice. However, existing bias evaluation methodologies focus on isolated Large Language Model responses, failing to address sequential agent interactions where biases can propagate through decision chains undetected. Current approaches suffer from three limitations: absence of multi-stage bias tracking, inability to distinguish systematic discrimination from model non-determinism, and risk of contamination when agents infer bias evaluation intent. This study presents a novel evaluation framework incorporating demographic swapping methodology, contamination prevention architecture, and statistical analysis for multi-agent workflows. The framework employs dual presentation systems …

An Explainable Multimodal Framework For Real-Time Bitcoin Forecasting, Dipesh Badal, Abdelsalam Busalim, Donghyeok Lee

Research Outputs: 2025-Present

High-frequency crypto forecasting requires systems that are accurate, explainable, and designed for human decision-making. Bitcoin presents a unique challenge for Human-Centred AI (HCAI) due to its volatility and sensitivity to heterogeneous technical, fundamental, and sentiment signals. This paper presents an explainable multimodal framework for Bitcoin forecasting at 15-minute resolution. We align five modalities - market data, on-chain metrics, the Fear & Greed Index (FGI), news, and Reddit - onto a unified, leakage-safe 15-minute grid. We evaluate tree-based, sequential, and Multimodal Fusion Block (MFB) models for next-interval log-return prediction using chronological splits. Results show that while short-horizon prediction remains challenging, multimodal …

Quality Improvement Project: The Influence Of Education On Provider Self-Efficacy And Utilization Of The Columbia Suicide Severity Rating Scale (C-Ssrs), Doreen Nwaogwugwu

Doctor of Nursing Practice Projects

Suicide remains one of the leading causes of death worldwide, underscoring the critical need for consistent, evidence-based suicide risk screening in mental health facilities. Despite being a validated, evidence-based tool, the use of the Columbia Suicide Severity Rating Scale (C-SSRS) is often hindered by inadequate provider training. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the impact of provider education on self-efficacy and utilization of the C-SSRS in an outpatient mental health clinic. This quality improvement project used a quasi-experimental, one-group pretest-posttest design guided by the Health Belief Model, Lewin’s Change Theory, and the …

Novel Technique For Enhancing The Therapeutic Efficacy Of Coenzyme Q10 In Transdermal Drug Delivery Systems For Skin Rejuvenation, L. M. Hettihewa, K. G. P. Wasana, Y. M. Imendra, G. P. C. Weerasooriya, W. M. K. M. Rathnayake

Journal of Innovation in Science, Engineering and Technology

Coenzyme Q10 (CoQ10) is a very imperative compound for electron transport chain in mitochondria and exerts its effects as cutaneous antioxidant. All human cells have CoQ10, and sometime deficiency had been identified due to genetic defects or with ageing. Supplements with COQ 10 are commonly used enteral and dermal application for the prevention and treatment of aging. Delivery of dermal CoQ10 is very limited due to its poor penetration and unstable compounds. systematic review was conducted by our research group through electronic databases using preclinical and randomized controlled trials to evaluate the efficacy and stability of improved delivery systems of …

Body Mass Index And Clinical Phenotypes Of Primary Dysmenorrhea In Female University Students: Evidence From Sri Lanka Using Walidd Scoring, H. K. A. N. Senanayake, K. L. A. S. I. Liyanarachchi, J. K. M. Jagoda, S. A. S. A. Maheepala, L. C. Mallawa, P. W. T. M. Dayarathne, Y. T. R. Somisena, L. M. Hettihewa

Journal of Innovation in Science, Engineering and Technology

This research investigates the relationship between body weight and the severity and characteristics of primary dysmenorrhea among female undergraduates in Sri Lanka, using the WaLIDD Score as an evaluative tool. The study aims to assess the practicality of the WaLIDD Score in native settings, examining its correlation with pain intensity, pain location, and common medication patterns, while addressing gaps in previous research conducted in Sri Lanka. A quantitative cross-sectional study was conducted among 389 female university students aged 19–27 years from both state and non-state universities in Sri Lanka, selected through stratified random sampling. Participants with chronic or menstrual diseases, …

Conceptual Analysis Of Ārthavavaha Srotas (Female Reproductive System): A Review Of The Theories And Literature, Pushpa Kulanatha, H. L. M. G. Sajeewani

Journal of Innovation in Science, Engineering and Technology

The reproductive health of females during their fertile years is foundational for individual well-being and societal prosperity. The purpose of this study was to bridge the analytical and epistemological gaps currently existing in the literature regarding Ārthavavaha Srotas (ĀvS), the Ayurvedic concept of the female reproductive system. A comprehensive literature review was conducted using forward and backward searches to analyse authentic Ayurvedic texts (Caraka and Sushruta Samhitas) alongside contemporary research articles published between 2014 and 2024. The analysis identified ten specific aspects of the ĀvS where prior interpretations were superficial or unclear. The results of this study epistemologically validate ancient …

Understanding Rhetoric Using Meth, Hugo Castellano

English Student Showcase

Professor: Khimen Cooper-DeHoyos Faculty Readers: Tawnya Hillin-Smith and Jason Carney    Class: English 1301/Spring 2026

Understanding Perceptions Of A Peruvian Local Market Program: A Reflexive Thematic Analysis, Rosmery Ramos-Sandoval Dr., Jano Ramos-Diaz

The Qualitative Report

Despite growing global interest in short food supply chains (SFSCs), little is known about how consumers in developing countries perceive these models, especially through digital platforms like social media. This study investigates how Twitter users represent and perceive SFSCs in the context of the Peruvian government´s “De la Chacra a la Olla” program. The study analyzed 1,167 tweets from Peruvian Twitter users referencing the hashtag #DeLaChacraALaOlla between 2014 and 2020, using reflexive thematic analysis within an exploratory case study framework to examine consumer perceptions of SFSCs. The analysis revealed three key themes in consumer perceptions of SFSCs on Twitter: direct …

Implementation Of A Dedicated Rapid Response Nurse, Brandie Kopsas-Kingsley

Creating Healthy Work Environments (CHWE)

Background/Significance of problem: Rapid Response Teams have been used to reduce the incidence of intrahospital decline. While these teams excel at providing emergent responses during times of critical illness, they generally lack a proactive approach.

Clinical question/project purpose: Is a dedicated Rapid Response Nurse role effective in improving the culture of safety and reducing Rapid Response Team activations? The purpose of this project is to implement a dedicated Rapid Response Nurse (RRN) role that aids nurses in identifying patients at risk of decline or who are currently declining.

Search of literature/best evidence: A literature search was completed for full-text, …

On The Automatic Image Captioning Task In Italian: A Human-Centric Approach, Valentina De Amicis, Rajesh Jaiswal, Fernando Perez-Tellez

Research Outputs: 2025-Present

Automatic Image Captioning (AIC) combines two distinct machine learning disciplines, Computer Vision (CV) and Natural Language Processing (NLP), forming a challenging research landscape. Much research has been carried out for AIC in the English language facilitated by the availability of English language datasets. However, this is not true for other languages. The aim of this work is to investigate existing AIC models' compatibility for the Italian language. The scope of this research will be aimed to reduced complexity, improved efficiency, and readily trainable models on smaller datasets while maintaining an acceptable level of caption quality. The popular Show and Tell …

Modeling Spasticity: A Systematic Review, Gaby Gonzalez Chan, Jonathan Marsden, Alexander Besinis, Pablo Borja, Hilary Gunn

School of Health Professions

Spasticity, a type of hypertonia characterized by a velocity-dependent increase in muscle tone, is associated with damage to the brain and/or spinal cord in different neurological conditions. However, secondary non-neurological factors, such as soft tissue changes, can complicate the assessment and differentiation of the underlying causes. Accurate assessment is crucial for effective treatment planning, with clinicians relying on passive movement to grade the ‘feel’ of the spastic limb. This review aims to identify and evaluate the feasibility of spasticity models or simulations for clinical teaching. Models based on human spastic limbs were examined, with no restrictions on specific conditions or …

Sting-Induced Blood-Brain Barrier Opening Combined With Radiotherapy Potentiates Antitumor Response In A High-Grade Glioma Model, Shashwat Tripathi, Hinda Najem, Lisa Hurley, Ruochen Du, Crismita Dmello, Heba Ali, Kathleen Mccortney, Karl J Habashy, Peng Zhang, Craig M Horbinski, Lara Leoni, Ryan J Avery, Rimas V Lukas, Timothy L Sita, David R Raleigh, Sean Sachdev, Roger Stupp, Maciej S Lesniak, David M Ashley, Daniele Procissi, Michael A Curran, Irina Balyasnikova, Amy B Heimberger

Faculty, Staff and Student Publications

Radiation therapy (RT) is the standard of care for glioblastoma but is not curative. Triggering the cGAS/stimulator of interferon genes (STING) pathway with potent agonists, such as 8803, exerts activity across high-grade glioma preclinical models. To determine if the combination of 8803 with RT warrants consideration in the up-front treatment setting and to clarify the underlying mechanisms of therapeutic activity, C57BL/6J mice harboring intracerebral CT-2A or QPP8v gliomas were treated with RT, intratumoral 8803, or both. The treatment with the combination resulted in 80% long-term survival in the CT-2A model but not in the radiation-resistant QPP8v model. This therapeutic effect …

Mutant Kras In Brain Endothelial Cells Promotes Vascular Inflammation And Impairs Vascular Integrity In Brain Arteriovenous Malformation, Jung-Eun Park, Bridger H Freeman, Hyejin Park, Sehee Kim, Adrian E Bafor, Ohnmar Myint, Song Gao, Zhen Xu, Jakob Körbelin, Jaroslaw Aronowski, Peng Roc Chen, Eunhee Kim, Eun S Park

Faculty, Staff and Student Publications

Somatic KRAS (KRASG12V) mutation in endothelial cells (EC) induces brain arteriovenous malformation (bAVM) that could lead to vascular instability and ultimately bleeding. However, the causes of bAVM instability remain unclear. Here we demonstrate that KRASG12V expressing cultured ECs (KRAS-G12V-EC) have increased expression of pro-inflammatory mediators and reduced expression of blood-brain-barrier (BBB) junction constituents. The conditioned medium from KRAS-G12V-EC can activate BV2-microglia (BV2-MG) and conditioned media from this primed BV2-MG can compromise the expression of EC-junction constituents when added to wild-type ECs. In an in vitro BBB model, KRAS-G12V-EC form a dysfunctional EC barrier that is further disrupted, leading to lower …

Development Of Animation-Based Cooperative Learning Media On Lampung Folk Tales To Improve Learning Outcomes In Elementary School Students, Aprilia Nursanti, Farida Ariyani, Ryzal Perdana, Hendri Firmansyah

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

This study aimed to develop and examine the feasibility and preliminary effectiveness of an animation-based learning medium integrated with Cooperative Learning for teaching Lampung folk tales in elementary schools. The study was motivated by low student achievement and the limited availability of culturally contextualized digital media in local language instruction. Using a Research and Development (R&D) approach, the learning media was developed through the ADDIE model, encompassing Analysis, Design, Development, Implementation, and Evaluation. The participants consisted of 25 fourth-grade students from SDN 3 Rajabasa, Bandar Lampung. Expert validation indicated a high level of feasibility, with an average score of 88%. …

Discourses On Homosexuality And The Paradox Of The Closet In The New Life (2023) By Tom Crewe, Paramita Ayuningtyas, Shuri Mariasih Gietty Tambunan, Asri Saraswati

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

This article offers a critical examination of Tom Crewe's biographical novel The New Life (2023), focusing on its representation of homosexual subjectivity in Victorian England—a historical context defined by restrictive moral norms and punitive legal regimes that criminalised same-sex relationships. Drawing on Michel Foucault's theory of discursive power, Eve Kosofsky Sedgwick's concept of the closet, and Michael Boucai's topology of the closet, the study demonstrates that the novel portrays the closet not merely as a private site of concealment but as a complex social mechanism shaped by legal regulation, gender norms, and class-based power relations. Building on this theoretical framework, …

The Prospector, Februrary 16, 2026, Utep Student Publications

The Prospector

No abstract provided.

Automated Quantification Of Movement Qualities In The Human Upper Extremity After Stroke Using A Wearable Robot., Yoon No Gregory Hong, Kyoungsoon Kim, Sheng Li, Marcia K O'Malley, Ashish D Deshpande, Jinsook Roh

Faculty, Staff and Student Publications

Background: Stroke is a leading cause of long-term adult disability, with approximately 80% of survivors experiencing upper extremity (UE) motor impairments. Conventional tools like the Fugl-Meyer Assessment (FMA) are widely used but limited by ordinal scales and subjective visual observation. While wearable robotics offer high-resolution data, their clinical translation is hindered by a lack of standardized protocols and limited interpretability for clinical decision-making.

Objective: This study aimed to develop an objective, standardized, and clinically interpretable method to quantify UE motor qualities by integrating wearable robotic technology with traditional clinical assessment tasks.

Methods: Ten healthy individuals and ten stroke survivors performed …

Social Prescribing For Refugee Populations: A Protocol For A Rapid Realist Review Of International Evidence, Victoria Touzel, Anna-Lena Esser, Kerryn Husk, Doreen Reifegerste

Peninsula Medical School

BackgroundSocial prescribing addresses complex individual health and social needs through person-centered referral from healthcare into community settings, supporting wellbeing and integrated care. While evidence for majority populations continues to expand, no review has yet synthesized evidence specifically for refugee populations, despite this group facing profound social and systemic barriers. As such, this protocol defines the research objectives for a rapid realist review that will identify what approaches to social interventions work for refugee populations, for whom they are effective, and under which circumstances.MethodsA rapid realist review will be conducted to identify relevant evidence from both social prescribing interventions and social …

Relationship Between Navigation Success, Diagnostic Accuracy, And Ventilation Strategy: Retrospective Chart Review Of 224 Consecutive Navigational Bronchoscopic Procedures Performed Under General Anesthesia, Basavana Goudra, Prarthna Chandar, Divakara Gouda, Harrison Yang, Ganan Muhunthan, Suvan Sundaresh, Michael Stuart Green

Department of Medicine Faculty Papers

Background: Navigational bronchoscopy (NB) enables precise sampling of peripheral and central pulmonary nodules using shape-sensing or electromagnetic guidance. A major challenge is anesthesia-induced atelectasis, which alters lung anatomy, reduces registration accuracy, and is known to lower diagnostic accuracy. To counteract this, ventilatory protocols such as the Ventilatory Strategy to Prevent Atelectasis (VESPA) and the Lung Navigation Ventilation Protocol (LNVP) have been recommended. Their adoption and clinical impact, however, remain uncertain. Methods: We conducted a retrospective review of 224 consecutive NB procedures performed under general anesthesia at a single academic medical center (January 2020–August 2024). Demographic, anesthetic, and ventilatory data were …

Communicative Legitimacy: The Supreme Court's Hidden Cultural Binaries In The U.S. Civil Sphere, Steven Arrigg Koh

Faculty Scholarship

How does the U.S. Supreme Court establish its legitimacy? Over the last two hundred years in U.S. society, the Court has interpreted the U.S. Constitution on watershed issues such as slavery, segregation, and marriage equality. And yet the Constitution is just 7,591 words. A puzzle thus emerges: how does the Court intelligibly interpret this short text for U.S. society? This article develops a new theoretical and empirical cultural sociological account of such Supreme Court decision-making, which it calls “communicative legitimacy.” According to this theory, which draws on Jeffrey Alexander’s civil sphere theory, the Court consistently and inevitably draws on a …

Author Correction: Intracranial Directed Connectivity Links Subregions Of The Prefrontal Cortex To Major Depression, John Myers, Jiayang Xiao, Raissa K Mathura, Ben Shofty, Victoria Gates, Joshua Adkinson, Anusha B Allawala, Adrish Anand, Ron Gadot, Ricardo Najera, Hernan G Rey, Sanjay J Mathew, Kelly Bijanki, Garrett Banks, Andrew Watrous, Eleonora Bartoli, Sarah R Heilbronner, Nicole Provenza, Wayne K Goodman, Nader Pouratian, Benjamin Y Hayden, Sameer A Sheth

Faculty, Staff and Students Publications

No abstract provided.

Strspy2.0: Unlocking The Potential Of Long Reads For Forensic Dna Profiling, Courtney L Hall, Rupesh K Kesharwani, Katherine E Mcbroom Henson, Bupe Kapema, Nicole R Phillips, Fritz J Sedlazeck, Roxanne R Zascavage

Faculty, Staff and Students Publications

Forensic human identification relies on length-based differences in short tandem repeats (STRs) across autosomal and Y chromosomes, which require separate reactions and provide limited resolution. While next-generation sequencing offers greater discriminatory power, most platforms are expensive and restricted to traditional lab settings. Nanopore sequencing has the potential to change this with the real-time, portable MinION sequencer. However, forensic-specific tools that generate STR profiles compatible with established length-based databases are lacking. To address this, we developed STRspy2.0, which simultaneously profiles autosomal and Y-STRs using nanopore reads. STRspy2.0 produced accurate profiles for 54 multiplexed control libraries and 41 mock casework samples (blood, …