Digital Commons Network^™

Changing Student Perspectives On Alcohol, Smoking & Vaping Through The Use Of Tetrahymena, Courtney Hausner, Douglas L. Chalker, Alexandra Forgerson, Carol E. Colaninno, Alison Brockhouse, Rachel Ruggirello

Institute for School Partnership: Research & Publications

We describe the redesign and classroom testing of an Advancing Secondary Science Education through Tetrahymena (ASSET) module addressing adolescent alcohol, smoking, and vaping. Using the 5E instructional model, the module has students investigate how alcohol, cigarette smoke extract, and vape extract affect the ciliated protozoan Tetrahymena, an accessible proxy for effects on ciliated human respiratory cells. Students analyze public health data, conduct guided and self-designed investigations, and create outreach posters communicating evidence-based risks to peers. We report on observations from two classroom implementations, describing gains in students' ability to articulate toxicology concepts, connect cellular findings to whole-body health, and express …

Clinical Data Integration: Impact On Quality Outcomes, Sora Park Choi

Yale School of Nursing Digital Theses

Clinical Data Integration: Impact on Quality Outcomes

Hospital readmissions continue to contribute substantially to poor patient outcomes and rising healthcare expenditures in the United States, with nearly 20% of Medicare beneficiaries readmitted within 30 days. Fragmented health information systems also impede care coordination and restrict providers’ capacity to deliver timely, high-quality care. This Doctor of Nursing Practice (DNP) project developed, implemented, and evaluated a provider dashboard that integrates real-time clinical and operational data to support primary care providers within a large multistate independent provider association.Guided by the Lean Six Sigma DMAIC framework, this quality improvement project was conducted with 10 …

Improving Patient-Centered Communication To Reduce Falls In A Suburban Community Hospital, Shaun Craig Dickson

Yale School of Nursing Digital Theses

Inpatient falls remain a significant and often preventable patient safety concern that cause harmand increase health delivery costs for health systems across the United States. Communication barriers between bedside clinicians and their patients are a known contributor to falls. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a structured communication intervention could reduce falls by improving communication in a suburban community hospital. This project was implemented on a 30-bed Observation-Medical-Surgical unit. Nurses and Patient Care Technicians (PCTs) were trained in using the Plain Language, Engagement, Empathy, Empowerment and Respect (PEEER) Model of Communication to deliver individualized fall …

Unmasking Impression Management: Large Language Models For Detecting Socially Desirable Responding In Open-Ended Situational Judgment Tests, Barret Vermilion

Graduate Studies Theses and Dissertations 2026

Socially desirable responding (SDR) — the tendency to present oneself in an overly favorable light — remains a persistent validity concern in industrial-organizational psychology. Contemporary theory frames SDR as multidimensional, distinguishing agentic impression management (AM; inflating competence, dominance, and achievement) from communal impression management (CM; inflating warmth, cooperation, and prosocial qualities). Existing measures of AM and CM rely on self-report, which captures these constructs only at the level of generalized trait-like tendencies rather than as they naturally unfold in applicants' own language. This dissertation proposes a text-based alternative: detecting AM and CM in open-ended situational judgment tests (SJTs) of Big …

Optically-Pumped Semiconductor Optical Amplifiers, Dhruvkumar Desai

Graduate Studies Theses and Dissertations 2026

Semiconductor optical amplifiers (SOAs) offer a low-cost, compact solution for power amplification needs in an optical communication system compared with the dominant erbium-doped fiber amplifiers (EDFAs). They can also provide a wide gain bandwidth. However, conventional electrically-pumped SOAs suffer from larger noise figures, low saturation power, and polarization dependence, in comparison with EDFAs. We propose an optically-pumped SOA (OP-SOA) that will maintain the benefits of conventional SOAs while closing the gaps in other amplifier performance metrics. The underlying reasons for optical pumping are twofold. First, optical pumping allows higher carrier injection and thus "population inversion." Second, optical pumping decouples carrier …

Minimizing Performance Overheads For Crash-Consistency In Disaggregated Persistent Memory, Khan Shaikhul Hadi

Graduate Studies Theses and Dissertations 2026

Compute express link (CXL) enables persistent memory disaggregation with memory pooling and hardware managed multi-host memory sharing capability, resulting in better resource utilization, increased scalability. Persistency-aware applications need to manage crash consistency across the system which results in significant performance overhead. This dissertation systematically investigates performance overhead to achieve crash consistency in disaggregated persistent memory and proposes solutions to enable persistency-aware application scaling for distributed system. First, we study persistent parallel programming to scale computation capability beyond single processor and determine the underlying hardware limitation to adopt lock-free data structure. We propose hardware support to design durable atomic instruction (DAI) …

Pseudo-Boiling Of Supercritical Co2 In A Parallel-Flow Microchannel And A Micro-Jets Impingement Device And Single-Phase And Two-Phase Heat Transfer Of Subcritical Co2 Jets, Pranzal Ahmed

Graduate Studies Theses and Dissertations 2026

Carbon dioxide (CO2) is gaining attention as a low-toxicity, zero-ozone-depletion refrigerant with a global warming potential of 1, making it an attractive alternative to synthetic HFCs/HFOs. Near its critical point, CO2's thermophysical properties change sharply with small shifts in temperature and pressure — a behavior that can be exploited to enhance heat transfer in trans-critical power cycles and electronics cooling. This dissertation experimentally investigates heat transfer during the pseudo-boiling of supercritical CO2 in a parallel-flow microchannel and a micro-jet impingement device, alongside CO2 flow boiling and single-phase water heat transfer in micro-jet impingement. Using microfluidic devices instrumented with embedded resistance …

Learning Weibull Loss Severity Models From Truncated And Censored Data, Majed Alkhasha

Graduate Studies Theses and Dissertations 2026

In modern actuarial science and risk management, due to various loss control mechanisms, observed severity losses are typically left-truncated at the deductible, right-censored at the policy limit, and scaled by a pre-specified co-insurance factor. This results in two types of actuarial payment random variables: payment-per-payment (PPP) and payment-per-loss (PPL). To learn ground-up Weibull loss severity models from PPP and PPL sample data, we implement two estimation techniques: Maximum Likelihood Estimation (MLE) and the dynamic Method of Trimmed Moments (MTM). MLE is employed to obtain efficient estimates of the Weibull shape and scale parameters. However, MLE may assign unnecessarily large point …

Did They Think I Was Rude? The Emotional And Relational Consequences Of (In)Congruence Between Perpetrators’ Self- And Meta-Perceptions Of Workplace Rudeness, Nicholas C. Andriese

Graduate Studies Theses and Dissertations 2026

Workplace rudeness negatively impacts employees and costs organizations millions of dollars each year. Although much is known about the consequences of workplace rudeness, little is known about how perpetrators make sense of and respond to their (potentially) rude behavior. In this dissertation, I propose that perpetrators consider not only their self-perceptions of rudeness, or how rude they believe their actions were, but also their meta-perceptions of rudeness, or their beliefs about how rude another person perceived them to be. Because rudeness is subjective and people vary in their perceptual accuracy, self- and meta-perceptions of rudeness are unlikely to consistently …

Connecting The Existing Fiber Infrastructure To The Future With Antiresonant Hollow Core Fibers, Timothy Bate

Graduate Studies Theses and Dissertations 2026

Optical fiber systems based on solid-core silica waveguides underpin modern telecommunications, high-power laser delivery, precision sensing, and coherent optical systems. However, nonlinear effects, material absorption, and thermal limitations within silica increasingly constrain further scaling in both optical power and transmission performance. Antiresonant hollow-core fibers provide a promising alternative by guiding light predominantly in air, substantially reducing nonlinear interactions, latency, and optical damage while enabling transmission regimes inaccessible to conventional solid-core fibers. Despite rapid advances in antiresonant hollow-core fiber attenuation and power handling, one of the largest remaining barriers to widespread adoption is reliable integration with the existing solid-core fiber ecosystem. …

Human-Centered Governance Of Climate Resilience: Integrating Sustainability, Equity, And Mental Health, Chelcee A. Pangerl

Graduate Studies Theses and Dissertations 2026

This dissertation examines how sustainability and resilience are defined, implemented, and experienced across three levels of climate governance: household perception, community experience, and federal policy. Climate resilience is often evaluated through infrastructure performance, emissions targets, restoration timelines, and preparedness systems, yet these measures do not fully capture how residents experience uncertainty, support, equity, and mental health. To address this gap, the dissertation develops and applies the Integrated Policy Framework for Sustainability and Resilience (IPFSR). IPFSR organizes six domains into three functional categories: policy outcomes, human-centered dimensions, and implementation mechanisms. Sustainability and operational/physical resilience are treated as policy outcomes; mental health …

The Case For Friction In Ai-Mediated Information Seeking And Learning, Susan G. Archambault, Priya Kizhakkethil

Librarian Publications & Presentations

Introduction. This paper challenges the assumption that frictionless AI-mediated information seeking represents progress. We argue that AI systems eliminating productive friction, such as uncertainty, exploration, and reflective processes, undermine intellectual virtues essential for critical thinking in an AI-saturated information environment.

Method. This conceptual article employs a theory synthesis approach, drawing on library information science (LIS) theories of information behaviour, experience, and literacy, virtue epistemology, and human–computer interaction (HCI) friction design literature.

Analysis. We map intellectual virtues such as curiosity, thoroughness, and intellectual humility onto the Association of College and Research Libraries (ACRL) Framework for Information Literacy for Higher Education, building …

Empowering Caregivers, Protecting Patients: An Ambulatory Central Line Quality Improvement Initiative For Education And Follow-Up, Elizabeth Martinez, Belinda Bordeaux, Stephanie Langevin, Cristina Herrera, Mary Smith, Merissa Doyle, Barbara Stein, Kimberly Poshar, Marissa Dunlap, Allison Silva, Eric Werner

Department of Pediatrics Faculty Publications

Introduction: Preventing ambulatory central line-associated bloodstream infections (A-CLABSIs) is challenging due to inconsistent education, follow-up, and home care practices. Pediatric intestinal failure (IF) patients are particularly vulnerable. This institution aimed to decrease its IF A-CLABSI rate by 25% within 2 years through a standardized, step-by-step central line care education program.

Methods: Using the Toyota problem-solving method, the team reviewed data and performed a root cause analysis of the prioritized problem, implementing a 2-phase education program. Phase 1 delivered in-hospital education using videos, handouts, and hands-on teaching with skill demonstration. The existing pediatric central line skills class was expanded and offered …

Planning A Clinical Practice Guideline Revision For A Core Set Of Outcome Measures In Adults Undergoing Neurologic Physical Therapy, Part 1: Assessing Dissemination And Scholarly Uptake, Jennifer Moore, Jane E. Sullivan, Marghuretta D. Bland, Wendy Romney, Elizabeth Anderl, Zeynep Gulen Erkoc, Kristen Potter

Physical Therapy Faculty Publications

Introduction

Clinical Practice Guidelines (CPGs) facilitate evidence-based decision-making and standardising care, yet their dissemination and scholarly uptake vary widely. The Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation CPG (Core Set) has been broadly referenced within neurologic physical therapy. As the next revision approaches, understanding its scholarly influence, citation patterns, and published feedback is essential. This study evaluated the dissemination and use of the Core Set across the peer-reviewed literature and identified areas for refinement.

Methods

A medical librarian conducted comprehensive searches of Web of Science, CINAHL, and Scopus to identify peer-reviewed English-language articles citing the …

A Comparative Analysis Of The Efficacy, Safety And Mechanism Of Action Of Flebogamma Dif, Fostamatinib And Romiplostim In Immune Thrombocytopenia, Mary Akinyemi, Kamna Ravi, Furong Tian, Baljit Singh

Research Outputs: 2025-Present

Immune thrombocytopenia (ITP) is an autoimmune disorder characterized by immune-mediated platelet destruction, resulting in a platelet count below 100 × 10⁹/L and an increased risk of bleeding complications that significantly impair quality of life. Despite advances in ITP management, the unpredictable and heterogeneous nature of the disease continues to challenge treatment selection. This review compares the efficacy, safety, and mechanisms of action of Fostamatinib, Flebogamma DIF, and Romiplostim in adult and pediatric ITP patients. Peer-reviewed studies published over the past 20 years, including randomized and non-randomized clinical trials, observational studies, and real-world evidence, were screened for relevance, with …

Warm Mix Asphalt: Key Issues, Performance Challenges, And Modeling Advances, Mahmoud Owais, Marwa Awad

Mansoura Engineering Journal

Warm Mix Asphalt (WMA) has emerged as a sustainable alternative to conventional Hot Mix Asphalt by enabling asphalt production and compaction at reduced temperatures, thereby lowering energy consumption, emissions, and worker exposure to heat and fumes. Despite these advantages, the field performance of WMA remains influenced by technology-specific mechanisms, additive–binder compatibility, aggregate characteristics, moisture susceptibility, compaction quality, recycled material content, and climatic conditions. This review provides a critical synthesis of major WMA technologies, including foamed systems, chemical additives, organic waxes, hybrid additives, bio-based modifiers, and WMA mixtures incorporating reclaimed asphalt pavement. Particular attention is given to how these technologies affect …

Preserving The Identity Of Historic Coptic Orthodox Monasteries In Egypt Under Contemporary Pressures: Case Studies Of St. Bishoy And St. Anthony Monasteries, George Medhat Adeeb, Mohamed Khairy Amin, Mohamed Ahmed Al-Sherbiny

Mansoura Engineering Journal

Historic Coptic Orthodox monasteries in Egypt (HCOMEs) represent an important component of Christian heritage, integrating architectural value with enduring spiritual traditions that reflect both tangible and intangible dimensions. However, contemporary development and changing functional demands are generating transformations that may affect their identity if not carefully managed. Despite extensive scholarship, limited research has systematically examined these transformations through a structured evaluative approach. This study addresses this gap by developing and applying an analytical and evaluation framework to examine how contemporary pressures influence the historical, architectural-spatial, and spiritual identity of HCOMEs, and to assess the effectiveness of monastic responses. The framework …

Enhancing Clinical Judgement In Pre-Licensure Nursing Students Through Active Learning Strategies Of Unfolding Case Studies And Simulations For Postpartum Hemorrhage, Lisa M. Alley

Doctor of Nursing Practice Projects

New graduate nurses lack the appropriate clinical judgement to provide optimal, safe, quality care, as evidenced by the report of errors in health care (Rodziewicz et al., 2024). The purpose of this project was to provide an evidence-based intervention that used an unfolding case study and simulation to further develop clinical judgement among undergraduate nursing students in a rural ADN program. The project used a pre-test and post-test to measure students' improvement prior to versus after the learning experience and debrief. This project also introduced a DASH tool, which is a debriefing assessment for simulations in healthcare, to help students …

The Desecration Of Sacred Spaces In The Dead Sea Scrolls And Pre-Nicene Latin Christianity: A History Of Interpretation Of The Eschatological Motif Of The Defiling Enemy In Apocalypticism, Rodrigo De Galiza Barbosa

Dissertations

Problem

The motif of the polluting enemy in the sanctuary is an important point of departure in the articulation of community boundaries in Hebraic-Christian culture. This particular motif has the potential to explain, at least in part, how Jewish and Christian communities would have understood the apocalyptic evil other and, from this understanding, set boundaries for their holy communities. Texts such as Dan 8 and 2 Thess 2 have been the locus classicus of the so-called antichrist, and ever since their interpretation has shaped how Christians and Jews have understood the enemy to their respective communities. In the history of …

Women Are Discriminated Against On The Basis Of Sex: Anti-Trans Epistemologies In Australian Universities, Emily M. Gray, Jacqueline Ullman, Mindy Blaise

Research outputs 2022 to 2026

This article offers an analysis of qualitative data from a multi-phased project entitled Understanding and Addressing Everyday Sexisms in Australian Universities. The project’s key aim was to improve the ways in which gender-based discrimination is understood and addressed in Australian universities. It achieved this aim through adopting a situated, intersectional, and creative approach to data generation and analysis. The authors examine data from phase three of the project, a large-scale survey that was distributed across 12 of Australia’s 39 public universities, yielding 1257 responses. The survey was designed to encourage academic staff of all genders to participate and aimed to …

Structured Interactions With Llms To Support Ltl: Supplemental Information, Karenna Kung, Maanas Punuru, Alicia M. Grubb, Paola Spoletini

Computer Science: Faculty Publications

This repository contains the supplemental information for the paper: "Structured Interactions with LLMs to Support LTL", which investigates how students interact with and can be supported by LLM explanations while translating linear temporal logic formulae into English natural language.

Cross-Cultural Communication Challenges In Multicultural Hospitality Teams: A Case Study Of The Arlington Hotel, Dublin, Lorrana Rosendo Da Silva

Business ETD Collections

This study investigates intercultural communication challenges within multicultural teams in the hospitality sector in Dublin, focusing on how linguistic barriers, cultural expectations and the dynamics of subgroups influence staff collaboration and day-to-day coordination. The research employs a qualitative case study at the Arlington Hotel, utilizing four semi-structured interviews—two with managers and two with employees—analyzed using thematic analysis. The findings indicate that, particularly during periods of high operational pressure, differences in English proficiency and understanding of accents can affect the clarity of instructions and the confidence to seek clarification. Furthermore, subgroups based on language or nationalities were described as useful in …

Member Engagement And Retention Challenges In The Latin Cycling Club Dublin, Sarideth Ailin Solis Lopez

Business ETD Collections

This study investigates participant engagement and retention challenges at Latin Cycling Club Dublin, a volunteer-run, non-profit community cycling group based in Dublin, Ireland. The group brings together Spanish-speaking people and others interested in Latin culture who ride together for hobby, social connection, and health improvement. Despite having 259 Instagram followers, 125 Strava participants, and 112 WhatsApp group members, only 8 to 12 people join rides on a regular basis, representing a drop-off of approximately 90 to 93%. The same small core group attends most rides, while the majority of followers remain inactive. Female participation is below 10%, and non-Spanish speakers …

Social Drivers Of Healthcare Access In Pediatric Autoimmune Disease: A U.S. Analysis (2022–2023), Kevin Okifo

Yale Medicine Thesis Digital Library

Background: Prior studies in adults have demonstrated that social drivers of health contribute to disparities in disease burden, management, and healthcare access among individuals with autoimmune disease (AD). There is emerging pediatric evidence suggesting similar patterns, but national-level data describing how social and structural factors shape healthcare access for children with AD remain limited. The aim of this study is to identify the sociodemographic and structural factors associated with healthcare access among children and adolescents with AD in the United States. Understanding these factors can support meaningful advances that will optimize patient-centered care and wraparound services for pediatric AD.Study Design: …

Health Communication Challenges In The Digital Era: Two Empirical Investigations, Neeraj Gautam Patel

Yale Medicine Thesis Digital Library

Background: The quality and availability of health information consumed by the general public have undergone dramatic changes in the 21st century with the rise of digitization and the internet. These include the growth of direct-to-consumer (DTC) advertising of prescription drugs on television and online media, changes in health content on traditional news media platforms, and the propagation of health misinformation and disinformation on social media and other websites. Understanding the nature and sources of these changes can inform efforts and interventions aimed at improving the general public’s understanding of health information. One area of interest within regulated health communication is …

Should Judicial Opinions Be Read Like Statutes?, Margaret H. Lemos

Faculty Scholarship

Should judicial opinions be interpreted with an eye to their purpose, context, or the intent of their authors, or should interpreters focus on the ordinary meaning of the text? Opinions present the same sorts of interpretive puzzles as other legal texts, and yet they have been omitted from the debates over interpretive methodology that dominate the fields of constitutional and statutory interpretation. The omission is no accident: the Supreme Court has stated repeatedly—and with increasing frequency in recent years—that judicial opinions are not to be read like statutes. Yet neither courts nor commentators have explained why the principles that ground …

The Ywca Goes To The Countryside: The Rural Work Of The Chinese Young Women’S Christian Association, 1926-1947, Elizabeth Littell-Lamb Phd

Asia Pacific Perspectives

This is the first study of the Chinese YWCA’s rural work. The decision to “go to the countryside” in part grew out of a critique by Chinese YWCA women of its Westerninfluenced agenda. That critique led the YWCA national committee to establish rural work as a first step toward a China-centered agenda. Key aspects of that agenda were the empowerment of rural secretaries in the field and the inclusion of rural women as members. The empowerment of rural secretaries contributed to the democratization of professional relationships within the association. The inclusion of rural women as members allowed the YWCA to …

Machine Learning For Wearable Sensor-Based Human Movement Rehabilitation: A Five-Year Systematic Review, Yassine Benachour, Farid Flitti, Lina Maloukh, Aicha Beya Far, Elhocine Boutellaa, Mohamed Bentoumi, Marwa Chendeb El Rai, Nour Aburaed, Khaled Ali, Moez Rehman, Sultan Mosleh, Rania Dghaim, Sadok Bouamama

All Works

Wearable-sensor-based human movement analysis is an increasingly important component of digital health and rehabilitation, enabling objective monitoring and data-driven personalization of therapy. In parallel, machine learning (ML) methods have rapidly expanded for interpreting multimodal movement signals, yet the evidence base remains heterogeneous and difficult to benchmark. This PRISMA-guided systematic review synthesizes recent ML approaches for wearable human motion analysis in rehabilitation-oriented health applications. We searched IEEE Xplore, PubMed, and Scopus for English-language studies published from 2021 to 2025 and extracted information on sensor modalities, ML task formulations and model families, dataset characteristics, validation protocols, and reported performance metrics, together with …

Mapping Multiclass-Targeted Hate Speech In Online Discourse: An Open Dataset, Sanaa Kaddoura, Sumaia Al-Kohlani

All Works

Online social networks have become central spaces for public discourse, where hostile and discriminatory language toward social groups can cause psychological and social consequences for marginalized communities. Although multiple public hate speech datasets are available, many rely on binary categorization practices that obscure linguistic, cultural, and contextual variation across targeted groups. As a result, minority and less visible forms of hate speech remain insufficiently documented and analyzed. This discussion paper examines methodological limitations in existing hate speech annotation schemes and presents a re-annotation framework applied to the HatEval2019 dataset. The proposed framework introduces target-specific multiclass labels that distinguish subcategories of …

Ottoman Wikālas In Cairo: Islamic Architecture Beyond The Mosque, Yumna Moussa

Theses and Dissertations

This thesis traces one of the largest architectural typologies in Cairo: the wikāla, a type of urban caravanserai unique to Egypt. Estimated to have reached more than five hundred buildings by the 18^th century, the wikāla was the building of choice for most patrons in Ottoman Cairo. This study initially investigates the evolution of commercial architecture within the Islamic city. It then explores the defining architectural features of Cairene wikālas built between the 16^th and 18^th centuries—their plans, decorative/iconographic programs, and urban distribution—based on waqfiyyas, chronicles, travelers’ accounts, and photographic archives. Since many of …