Toward Neurosymbolic Reinforcement Learning Via Editable Specifications, Vedant Khandelwal, Hong Yung Yip, Amit Sheth

Publications

Reinforcement learning systems are commonly adapted to new settings by retraining or fine-tuning policies. This default is costly, difficult to audit, and poorly aligned with structured requirement changes such as revised safety rules, new operational constraints, or updated user preferences. We argue for an alternative abstraction: adaptation via edits to an external, human-readable specification that the agent consults at execution time. We propose conditioning decision-making on an editable knowledge graph encoding (i) rules capturing action applicability and high-level effects, (ii) hard constraints defining feasibility, and (iii) soft preferences shaping tradeoffs among feasible behaviors. Requirement changes become graph edits, not policy …

State Of The University Annual Report - 2025-2026, Office Of The President, East Tennessee State University, University Marketing And Communication, East Tennessee State University

Office of the President State of the University Annual Report

No abstract provided.

Nh 4-H Hippology Contest Entry Information, Unh Cooperative Extension

UNH Cooperative Extension

No abstract provided.

J Mich Dent Assoc January 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons. The January 2026 (Volume 108, No. 1) issue of the Journal is published in a print format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

This issue includes feature articles on Pediatric Dentistry and 2025 Life Membership recipients.

Regular monthly contributions include:

• Editorial …

Procedural Apartheid? How Racial Harassment Cases And Their Proponents Are Subject To Separate And Unequal Due Process, Suzette M. Malveaux

Scholarly Articles

This article makes three unique contributions. First, it introduces the theoretical framework and coins the term “procedural apartheid.” Simply put, when race is invoked as the basis for misconduct, procedural protection is meted out inequitably, often to the detriment of people of color. This phenomenon is situated in the law’s larger project to preference colorblindness over race-conscious ameliorative efforts. The article invites the reader to broadly consider where separate and unequal proceduralism exists because of the centrality of race. This article deploys the term “apartheid”—not literally, but strategically—to highlight the systemic legal and racial nature of this hierarchical divide.

Second, …

Beat By Beat: Empowering Communities With Lifesaving Cpr Skills, Allyssa Mb Hutchins

Doctor of Nursing Practice Projects

Introduction: This doctoral project was created to increase bystanders' willingness and ability to perform CPR by building their confidence in performing it effectively. A total of 13 participants participated in this project to increase knowledge and confidence in CPR interventions.

Background: Cardiac arrests remain a leading cause of death, yet research indicates that rural communities have lower rates of bystanders trained and willing to assist. Increasing CPR awareness and eliminating barriers to care for classes can improve CPR confidence and have a positive community impact.

Methods: Three 4-hour CPR classes were held in Zirconia, NC, at no …

Integrating Lactation Education Into Centering Pregnancy To Enhance Maternal Confidence And Lactation Initiation Rates, Courtney Barbee

Doctor of Nursing Practice Projects

Introduction: Breastfeeding remains the gold standard for infant nutrition providing physical and psychological benefits for both mother and baby. The inadequacy of lactation education and support continue to hinder breastfeeding initiation in the rural areas of North Carolina. Integrating a board-certified lactation consultant into the Centering Pregnancy model provides an evidence-based strategy to improve maternal confidence and increase lactation initiation rates within the target community.

Method: Using a quality improvement framework, the project targeted expecting mothers participating in Centering Pregnancy. Pre- and post-surveys assessed confidence levels after receiving two educational sessions with a board-certified lactation consultant.

Results: …

Combating Pressure Injuries In Critical Care: A Dnp Project On Nursing Education And Prevention Strategies In The Icu, Tijuana M. Johnson

Doctor of Nursing Practice Projects

Hospital-acquired pressure injuries (HAPIs) are preventable complications that significantly increase patient morbidity, mortality, length of stay, and healthcare costs, particularly in intensive care units (ICUs). At a rural 146-bed hospital, the ICU pressure injury rate of 1.17 per 1,000 discharges exceeded the national benchmark of 0.58 per 1.000 discharges, identifying a critical gap in prevention practices. This Doctor of Nursing Practice (DNP) project aimed to improve ICU nurses' knowledge of pressure injury prevention and reduce unit-based educational intervention grounded in Patricia Benner’s Novice to Expert Theory and implemented using the Plan-Do-Study-Act (PDSA) quality improvement framework.

A pre-and post-intervention design was …

Enhancing Uncontrolled Hypertension Compliance And Self-Management In A Senior Center, Kimberly D. Strickland

Doctor of Nursing Practice Projects

Hypertension is a complicated, chronic condition that affects individuals worldwide. The prevalence of this condition has increased nearly 48% in the last decade in America. This project served to determine if participants in a targeted area/community would show increased knowledge and awareness of hypertension after implementation of educational sessions. A post-session survey was provided to determine if the educational sessions were effective. Data was collected and analyzed that showed an increase in awareness and knowledge regarding the prevalence of hypertension, diet modification, lifestyle, and compliance.

Building Clinical Competency In Central Line Care: A Nurse-Focused Initiative To Prevent Clabsis, Glenda A. Robbins

Doctor of Nursing Practice Projects

Central line-associated bloodstream infections (CLABSIs) are a significant yet preventable source of increased morbidity, mortality, and healthcare costs in acute care settings. Despite established evidence-based prevention bundles, inconsistent nursing adherence remains a primary contributor to elevated CLABSI rates. A 241-bed acute care hospital reported CLABSI rates above the national benchmark. This Doctor of Nursing Practice (DNP) project utilized Neuman’s Systems Model. The intervention consisted of a structured educational module on central line care and maintenance, including pre- and post- knowledge assessments. Additionally, standardized daily central line visual audits were reinforced by the Vascular Access Team. A total of 363 bedside …

Narrating Institutional Becoming: Faith, Leadership, And Identity Reconstruction During A College-To-University Transition, Viviene H. Dyer

Dissertations

Problem

The contributions of faith-based higher education institutions to the tertiary landscape in small island developing states are insufficiently addressed in the scholarly literature. Consequently, there is limited understanding of how these institutions navigate organizational transitions and respond to capacity gaps that the public sector is unable to fill within dynamic cultural and regulatory environments. This gap is especially evident for Seventh-day Adventist institutions, whose efforts to preserve mission and identity during periods of institutional change remain underexamined and poorly documented.

Purpose

The purpose of this narrative inquiry study was to examine how university administrators influenced the development and ongoing …

Continuity And Development In The Eschatological Sabbath: Themes In Seventh-Day Adventist Thought (1842–2020), Joseph Nesbit

Dissertations

The Topic

This dissertation explores continuity and development in the eschatological understanding of the seventh-day Sabbath within selected Adventist theological writings from its Millerite origins to the contemporary scholarship of Jo Ann Davidson. The eschatological aspects of the Sabbath have played a central role in both pioneer and contemporary Adventist thought, particularly in its identification as the seal of God in Revelation and as a sign of covenant loyalty in the final crisis. While this understanding has displayed remarkable continuity in its essential themes, it has also undergone significant maturation in tone, scope, and theological emphasis. By tracing both enduring …

The Symphony Of Justice: An Intertextual Study Of Social Justice Material Between The Torah And The Psalms, Daniel Gordan

Dissertations

Do passages dealing with social justice in the Torah and the Psalms together comprise an intentionally composed grand symphony, or do they merely form an ad hoc patchwork quilt in which their echoes of similarity are mere coincidences?1 Literary interactions between the Torah and the Prophets of the Hebrew Bible have been a focus of biblical scholarship, but the intertextual connections between the legal corpus of the Torah and poetry in Psalms have not received sufficient attention. Scholars have noticed some thematic similarities, but there are no systematic studies that analyze these interactions to determine whether they involve reuse and, …

The Impact Of Culturally Diverse Student Populations On High School Mathematics Teachers’ Preparations And Practices In Southern Union Conference Of Seventh-Day Adventists, Carla Thrower

Dissertations

The Problem

Across the United States and within faith-based schools recent social and political currents have amplified tensions around culture and belonging in classrooms, particularly for students from racially, ethnically, linguistically, and socioeconomically diverse communities. Evidence indicates that when schooling practices overlook students’ cultural identities or normalize a single cultural frame, students can experience marginalization and reduced access to equitable opportunities to learn (Gay, 2018; Ladson-Billings, 1995; Milner, 2010). In mathematics, a subject often perceived as culture-neutral these dynamics may surface through curriculum choices, participation norms, and expectations that do not meaningfully connect to students’ lived experiences (Aguirre, Mayfield-Ingram, & …

Validation Of The Touch/Bonding Sense Of The Five Senses Model Of Intimacy As A Spiritually Based Whole-Person Lifestyle Approach To Intimacy In Dating And Marital Relationships, Karen J. Holland

Dissertations

Problem

Intimacy is in crisis and is being culturally defined and redefined through a number of influencing factors. These include the ongoing development of individualist and narcissistic relationships; the fragmentation of human wholeness; the influence of social media and an increasingly entertainment focused society; the permeation of technology influencing personal choice and lifestyle, including the use of generative AI; and the diminishing influence of Judeo-Christian principles and values as key drivers in the development of life-long marriage relationships. This study seeks to address the need for establishing a foundation for relational intimacy based on the biblical relationship demonstrated by God’s …

Role-Differentiated Ai Competencies And Curriculum Implications For Health Professions Education: Qualitative Study, Yuyi Park, Yejin Han, Hyeongjo Kim, Solmoe Ahn, Frederick William Kron, Jihyun Lee

Department of Family and Community Medicine Faculty Publications

Background: As AI fundamentally transforms the healthcare landscape, medical education curricula have struggled to keep pace with these technological shifts. While current research has established a foundation for general AI literacy, less attention has been given to the role-specific competencies required for the diverse functions that healthcare professionals perform in an AI-integrated environment. Although existing tiered and domain-based competency models have clarified general AI competency requirements, they offer limited guidance on how such competencies should be differentiated according to the roles healthcare professionals perform in practice.

Objective: This study aimed to explore how AI-driven changes in healthcare shape competency requirements …

Building Capacity For Change At The Inter-Lakes School District: Modifying Professional Development To Support The Transformation To Competency-Based Education, Erica Pappalardo

Doctor of Education

Since 1998, the New Hampshire Department of Education has supported the integration of competency-based education (CBE), promoting a shift from traditional time-based models toward mastery-based, personalized learning. While important progress has been made through pilot programs and local innovations, full system-wide transformation remains incomplete. Many districts, including the Inter-Lakes School District (ILSD), continue to face challenges in dismantling entrenched structures and fully operationalizing CBE principles. One critical gap is the lack of a clearly defined, job-embedded professional development (PD) model that prepares educators to lead the shift to learner-centered, competency-based practices, a pathway to disrupt traditional systems. This study investigates …

When Play Fades And Screens Rise: Teachers' And Parents' Lived Experiences Of The Push-Down Of Academics In Kindergarten, Rachel L. Hunter

Doctor of Education

In the span of a single generation federal mandates have transformed kindergarten from a place of play into an academic pressure zone. This study is grounded in early childhood education, child development, and educational policy, with a focus on heightened academic expectations in kindergarten alongside the rising influence of digital technology in young children’s lives. It addresses two questions: (1) How has the reduction or elimination of play in kindergarten impacted children’s peer-to-peer engagement? and (2) What role, if any, does digital technology play in compounding this shift? This phenomenological study employs qualitative, transformative action-research methods to examine the lived …

Developing A Socioculturally-Informed Esl Curriculum For First-Grade Students In Public Schools, Russul R. Abtan

Doctor of Education

Most English as a Second Language (ESL) programs in US elementary schools do not accommodate developmental, linguistic, and cultural needs of young learners, which leads to insufficient language uptake and future academic-related issues. This study examines how an English as a Second Language (ESL) language arts curriculum for first grade can be developed within the framework of the sociocultural theory and developmentally appropriate practices. Research indicates a difference between existing ESL curricula the linguistic, cognitive and emotional needs of young learners. This project integrates key components of Krashen’s Input Hypothesis and Cummins’ BICS/CALP model by drawing on Vygotsky’s sociocultural theory …

Musical Measures: Nurse Education On Music-Based Interventions To Reduce Patient Restraints, Crystal D. Tucker

Doctor of Nursing Practice Projects

The use of physical restraints in acute psychiatric settings poses significant risks to patient safety, including physical injury and psychological distress. Evidence supports the need for alternative, non-pharmacologic interventions to reduce reliance on restraints. This Doctor of Nursing Practice quality improvement project aimed to evaluate the impact of an educational intervention on nurses’ knowledge and confidence in implementing music-based interventions, specifically binaural beats, to manage patient anxiety and agitation.

The project was conducted on a medical observation and behavioral health holding unit and utilized a pre- and post-intervention design. Registered nurses participated in educational sessions on music-based interventions and were …

A Case Study Of California Postsecondary Faculty Collaboration On Rubric Development To Foster Student Learning, Emmanuel Kwadwo Frimpong

Dissertations

Although perceived as the ‘gold standard’ strategy for conquering complex problems, collaboration can be ignored by intellectuals who prefer to work independently. This oversight may occur even in the face of challenging problems such as assessment of scholarships, institutional effectiveness, strategizing, and even the crafting of effective rubrics for assessing student learning. The scholarly literature clearly reveals that real difficulties often refuse to respond to routine assignments or common bureaucratic patterns. Additionally, 21st century conflicts may require creative solutions involving interdependence, joining of forces and brains, or vision sharing. Effective assessment of student learning within higher education may reflect just …

Associating Emotional Intelligence, Cultural Intelligence, And Inclusive Leadership: A Correlational Study Of Seventh-Day Adventist Pastors And Church Leaders In Canada, Damson Anim Oppong

Dissertations

Problem

In an increasingly polarized world, church leaders are expected to foster inclusion, belonging, and unity within diverse congregations. Inclusive leadership (IL), supported by emotional intelligence (EQ) and cultural intelligence (CQ), may offer a relational leadership posture well-suited to this challenge. Growing evidence suggests that relational qualities such as EQ and CQ help leaders develop inclusive communities, foster belonging, and bridge differences (Thomas & Inkson, 2017; Wise, 2022). Emotional and cultural intelligence are studied increasingly in organizational settings, but little is known about how they affect inclusive leadership in faith-based institutions, such as among pastors and church leaders in the …

Counselors' Lived Experiences Of Moral Injury: A Social Ecological Perspective, Lisa M. Belknap

Antioch University Dissertations & Theses

This study explores the lived experiences of counselors who encountered moral injury when sociopolitical, institutional, and organizational conditions constrained their ability to practice in alignment with their personal morals, professional values, and the counseling profession’s code of ethics. Participants (N = 15) included licensed counselors who self-identified as having experienced moral injury in response to directives from legitimate authorities that conflicted with professional ethics, social justice commitments, or client welfare. Grounded in social ecological systems theory, this phenomenological study employed a confidential, cross-sectional online survey. Reflexive thematic analysis identified seven themes: (a) Profit Over People, (b) Structural Forces Contributing to …

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

The Use Of Mindfulness In Empirically Supported Treatments In Psychology, Timothy Stewart

Antioch University Dissertations & Theses

After gaining popularity in the United States of America (USA) in the 1960s and 1970s, Buddhist mindfulness was introduced to clinical psychology and investigated for its potential psychological healing effects. In the years since, mindfulness has been widely used in empirically supported treatments (ESTs) in clinical psychology in the USA to treat a wide variety of psychological conditions and disorders. This dissertation examines and compares conceptualizations and implicit understandings of mindfulness in early (Theravāda) Buddhism and in ESTs in clinical psychology in the USA. Through textual narrative analysis of two Buddhist sutta and 10 clinical psychology journal articles, this study …

Beyonce´, The Womanist Entertainer: Womanism, Anti-Racism And Cultural Pride In Beyonce´ Knowles Carter’S Music, Nena Carpenter

Antioch University Dissertations & Theses

This research explores the latter portion of Beyoncé Knowles-Carter’s career and her distinguishing herself as a womanist/feminist icon. Beyoncé Knowles-Carter has been regarded as a popular music icon since her days as the lead singer in the R&B group Destiny's Child. The group’s music, including songs like "Say My Name" and "Independent Women", have often been recognized by cultural critics as empowerment anthems for women and girls. When Beyoncé performed at the Video Music Awards in 2014, the sample of Chimamanda Ngozi Adichie's 2013 Ted Talk on feminism in her song "Flawless" precipitated a more focused discourse about the authenticity …

Against Audiepistemic Injustice: Claiming Deaf Futurity, Pamela R. Conley

Antioch University Dissertations & Theses

This dissertation proposes a new theoretical framework: Audiepistemic Injustice (AEI). Expanding upon existing theories of epistemic injustice (EI), I identify AEI as the systemic marginalization and dismissal of deaf ways of knowing. AEI is a multidimensional phenomenon rooted in the nineteenth century, when auditory and linguistic biases became codified across education, law, and literature. This interdisciplinary study interrogates three nineteenth-century literary narratives as primary case studies to examine AEI: (1) Ivan Turgenev’s “Mumu,” (2) Guy de Maupassant’s “The Deaf Mute,” and (3) Abigail Bradley Hyde’s “The Deaf and Dumb Child: A True Narrative.” I synthesize these literary works with legal …

Improving Staff Knowledge And Consistency In Sat And Sbt Practices In The Critical Care Unit: A Quality Improvement Initiative, Morgan Crapo

Master's Theses and Capstones

Abstract

Background: Spontaneous Awakening Trails (SATs) and Spontaneous Breathing Trials (SBTs) are key components of the ICU Liberation Bundle and have been associated with shorter durations of mechanical ventilation, reduced intensive care unit (ICU) length of stay (LOS), and improvement in patient outcomes. Despite having strong evidence supporting their use, implementation remains inconsistent due to knowledge gaps, workflow barriers and interdisciplinary communication challenges.

Local Problem: This quality improvement (QI) project aimed to improve critical care nurses’ knowledge and confidence regarding the implementation of SATs and SBTs through an evidence-based educational intervention.

Methods: Guided by the Plan-Do-Study-Act (PDSA) framework, this QI …

Improving Timely Pain Reassessments And Documentation Using Nurse Education And Visual Reminders: A Quality Improvement Project, Madison Grace

Master's Theses and Capstones

Background: Effective pain management requires nurses to complete and document an entire pain assessment cycle, including the initial assessment, intervention, and reassessment (Wolters Kluwer, paragraph 5, 2020). Timely reassessments are essential for determining whether interventions were effective or if additional actions need to be taken to improve patient pain and comfort. Despite established hospital policies and guidelines, inconsistencies in timeliness of pain reassessments and associated documentation are a common challenge faced.

Local Problem: Baseline chart audits on a 22-bed combined pediatric and adult medical-surgical unit identified opportunities to improve adherence to timely pain assessments and documentation. With only 65% percent …

Implementing A Nurse Re-Education Program To Promote Timely Use Of The Jada® System In The Postpartum Hemorrhage Cascade: A Quality Improvement Project, Maegan E. Doody

Master's Theses and Capstones

Background: Postpartum hemorrhage (PPH), defined as blood loss greater than 1,000 mL after delivery, is a leading cause of maternal morbidity in the United States. Identification of risk factors and timely intervention are critical to improving maternal outcomes after delivery. First-line interventions include manual uterine massage, uterotonic medications, and antifibrinolytic medications; however, when bleeding is not well controlled, the Jada® System (Jada) is a newer vacuum-induced hemorrhage control device with a high efficacy and safety profile, particularly when implemented earlier in the hemorrhage cascade.

Local Problem: In 2025, the annual rate of PPH within the microsystem was 7.29%, …