Digital Commons Network^™

Evaluating Current Practices In Operative Nontechnical Skills Training And Feedback In General Surgery Residency: A Mixed Methods Approach, Madeline Cloonan

Theses & Dissertations

Background: Non-technical skills (NTS) are the interpersonal and cognitive abilities that are critical to accomplishing high-risk tasks. Deficiencies in NTS, including communication, teamwork, leadership, and decision-making, are linked to errors in the operating room. Structured training and feedback in NTS remain inconsistent and have not been integrated into daily training. This dissertation addresses this gap by evaluating current NTS training and feedback practices and developing a rubric to enhance the effectiveness of NTS feedback.

Methods: We conducted five complementary studies to assess current NTS training and feedback. The first was a systematic review aimed at identifying intraoperative NTS training interventions …

Multimodal Characterization Of Systems-Level Robustness In The Cellular Organelle Network, Aline Arra

Arts & Sciences Graduate Student Theses and Dissertations

Eukaryotic cells house mesoscopic and macroscopic complex systems that work in tandem for proper cellular function. A defining feature of eukaryotic cells is their mesoscopic network of membrane bound compartments called organelles. While each type of organelle has their own individual functions, there are vital cellular processes that come from the interactions between them, such as organelle biogenesis and metabolic regulation. A central question in cellular biophysics is to what degree is cellular function robust or fragile to breaks in the organelle network. These interactions can be explored by genetically deleting inter-organelle protein tethers called organelle contact sites. Here we …

Toddler Meal And Snack Hack Picture Version, Kate Graves

UNH Cooperative Extension

No abstract provided.

Toddler Meal And Snack Hack, Kate Graves

UNH Cooperative Extension

No abstract provided.

Experiencing Race, Racism And Racialization In Transnational Contexts: Racial Literacies Of First-Year International Asian Students., Nasiba Norova

Graduate Doctoral Dissertations

This research focused on exploring the racial literacies of first-year international East Asian (EA) students, specifically examining their perceptions of and experiences with race, racism, and racialized groups in various social and educational contexts in both their home countries and the United States. The study used critical ethnography to examine the perspectives of EA international students and composition faculty. It involved multiple semi-structured interviews, journal entries, racial literacy autobiographies, site document analysis, and class observations to understand how students perceived exposure to race, racism, and racialized groups and how faculty viewed the importance of racial education for international students in …

Sox2 Regulates Foregut Squamous Epithelial Homeostasis And Is Lost During Barrett’S Esophagus Development, Ramon U Jin, Yuanwei Xu, T Mamie Lih, Yang-Zhe Huang, Toni M Nittolo, Blake E Sells, Olivia M Dres, Jean S Wang, Qing K Li, Hui Zhang, Jason C Mills

Faculty, Staff and Students Publications

Esophageal adenocarcinoma is increasingly prevalent and is thought to arise from Barrett's esophagus (BE), a metaplastic condition in which chronic acid and bile reflux transforms the esophageal squamous epithelium into a gastric-intestinal glandular mucosa. The molecular determinants driving this metaplasia are poorly understood. We developed a human BE organoid biobank that recapitulates BE's molecular heterogeneity. Bulk and single-cell transcriptomics, supported by patient tissue analysis, revealed that BE differentiation reflects a balance between SOX2 (foregut/esophageal) and CDX2 (hindgut/intestinal) transcription factors. Using squamous-specific inducible Sox2-KO (Krt5CreER/+ Sox2Δ/Δ ROSA26tdTomato/+) mice, we observed increased basal proliferation, reduced squamous differentiation, and expanded metaplastic glands at …

Exploration Of Language And Identities Among Study Abroad Participants In Non-Anglophone Context: Experience Of Asian International Students Studying Abroad In Belgium, Long Yat Ding

Journal of Comparative & International Higher Education

This Research Summary examines the study abroad experiences of Asian international students who study in non-anglophone Belgium. This research investigates how the experiences of mobility programme participants impact individual identity, with a focus on national, regional, and global citizenship identity. Eighteen qualitative in-depth semi-structured interviews were implemented. Mixed lived experiences and reactions towards national, regional and global identity after participation in mobility programmes were identified. Findings showcase non-anglophone European Higher Education and the study abroad experience of non-anglophone speakers from Asia in the post-COVID-19 era. The Research Summary provides a critical snapshot of Asian International students’ lived experience, especially under …

Impact Of Area Of Deprivation Index On Ophthalmology Consultation In The Emergency Department, Anna Mcevoy, Andrew Chen, Leona Ding, Shu Feng, Karine D. Bojikian

Journal of Academic Ophthalmology

Purpose: To evaluate if individual sociodemographic and Area of Deprivation Index (ADI) are associated with receiving an Ophthalmology consultation when self-presenting to the Emergency Departments (EDs) with an eye-related chief complaint. Methods: Retrospective review of patients presenting to Harborview Medical Center and University of Washington Medical Center EDs between 2/2022 and 1/2023. Individual sociodemographic were obtained from medical records; ADI was calculated based on the patient's home address. Encounters were categorized as emergent, nonemergent, or could not be determined based on final diagnosis. Chi-Square and ttest were used for categorical and continuous variables, respectively. Odds ratios (OR) and confidence intervals …

Global Health Content On U.S. Ophthalmology Residency Program Websites, Nitya Devireddy, Nguyen Truong, Michael Wilkinson, Seth M. Pantanelli

Journal of Academic Ophthalmology

Purpose: There is high interest among ophthalmology applicants and current trainees to participate in global health experiences. The purpose of this study was to investigate the availability of information on global healthcare opportunities for prospective ophthalmology residency applicants on program websites, and to determine whether there is a correlation between residency program characteristics and availability of global opportunities for prospective trainees. Methods: All ACGME accredited U.S. postgraduate training programs in ophthalmology were included, except those without a website. A cross-sectional review of program websites was conducted from January to March 2023 to evaluate for the presence of 11 predetermined criteria. …

20-Year Trends In Clinical And Research Roles Of Women Physicians In Thyroid Eye Disease, Kerri M. Mcinnis-Smith, Jessica A. Kraker, Blake T. Langlais, Yanhan Ren, Victoria J. Palacios, Lilly H. Wagner

Journal of Academic Ophthalmology

Purpose: To evaluate the role of women physicians in thyroid eye disease (TED) research and clinical care and describe relevance for academic medicine and patient access.

Methods: A cross-sectional study of TED-related publications indexed on PubMed in 2000, 2010, and 2020, and of completed or currently active clinical trials was conducted. Author, journal, and principal investigator (PI) characteristics were noted. Author/PI gender was determined from institutional profile or subsequently via a previously described Google-based algorithm. American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), American Board of Ophthalmology (ABO), and American Thyroid Association (ATA) information was obtained via …

Integrating Artificial Intelligence And Evidence-Based Guidelines Into Nursing Education, Allyson Kornahrens, Kerriann Latten

International Journal of Transformative Teaching and Learning in Higher Education

Artificial Intelligence (AI) and emerging technologies are transforming the healthcare system and patient care delivery. Due to this, there is an essential need for faculty to incorporate AI into the nursing curriculum to educate students about its use and improve preparation for clinical practice. This practice-based article addresses the integration of AI into nursing education for students using AI-driven academic learning activities. These activities, created in alignment with the American Association of Colleges of Nursing (AACN) Essentials, explore clinical decision-making by comparing AI recommendations to evidence-based guidelines. Students are tasked with reflecting on AI’s accuracy and the ethical implications of …

Pedagogy Of Dialogic Communication: Becoming Aware Of Our Unconscious Belief, Leonard J. Shedletsky

International Journal of Transformative Teaching and Learning in Higher Education

Norms of the classroom limit our learning about ourselves. Hidden scripts guide our behavior. Beliefs we are unaware of are often behind our responses to ideas. Unconscious beliefs are connected to our immediate, spontaneous responses, referred to as intuitions in social intuitionist theory. Intuition is what we believe and can access at high speed without being aware of what we believe, without being aware of our reasons for believing it, and without knowing how we came to this belief or how we access it in memory. We experience intuitions as knowing something all at once. We know what we like, …

Hear Me: Ensuring Students Are At The Center Of Student Voice Work, Erin Karlgaard

Essays in Education

Student voice inclusion in schools remains underutilized, in spite of being discussed for decades as a way to improve experiences for students in schools. This article discusses voice inclusion, levels of voice inclusion, provides considerations for effective voice implementation, and highlights the role of teacher reflection in creating lasting and meaningful student voice experiences in schools.

José Angel Gutiérrez: Professor, Politician, And Political Activist, Natalie Thomas

Cuaderna Vía

No abstract provided.

Finding Forever: Views On The Past And Present In Mexican Literature, Porfirio López

Cuaderna Vía

No abstract provided.

The Quest For Acceptance, Alberto Balam Navarro

Cuaderna Vía

No abstract provided.

Full Issue, Cuaderna Via Editors

Cuaderna Vía

No abstract provided.

David Finfrock Diary Entry, David Finfrock

David Finfrock Antartica Exploration

David Finfrock's diary from his trip to Antarctica in December 2002.

Culturally Responsive Occupational Therapy Treatment Guide For African-American And Hispanic People With Eating Disorders, Desere N. Cooper

Student Capstone Papers

This capstone project addressed the critical need for a culturally responsive approach to occupational therapy in the treatment of African-American and Hispanic with eating disorders (EDs) in the United States. Although EDs impair physical, cognitive, and psychosocial functioning, these communities often encounter systemic barriers such as cultural stigma, food insecurity, and inadequate assessment tools rooted in Eurocentric norms—that contribute to underdiagnosis, limited access to care, and poorer outcomes. The central issue addressed was the absence of clear, culturally relevant guidance for occupational therapy practitioners working with these underserved populations. The project was informed by a comprehensive literature review and synthesis …

Southeastern Librarian 73(2) Summer 2025 (Full Issue)

The Southeastern Librarian

Complete issue of The Southeastern Librarian Volume 73 Number 2

Nanofluid-Enhanced Hvac&R Systems (2015–2025): Experimental, Numerical, And Ai-Driven Insights With A Strategic Roadmap, Aung Myat, Md Mashiur Rahman, Muhammad Akbar

Mechanical and Manufacturing Engineering Faculty Research

Heating, ventilation, air conditioning, and refrigeration (HVAC&R) systems account for a significant share of global energy demand, prompting intensive research into advanced thermal enhancement techniques. Among these, nanofluids—colloidal suspensions of nanoparticles in base fluids—have shown promise in boosting heat transfer performance. This review provides a structured and critical evaluation of nanofluid applications in HVAC&R systems, synthesizing research published from 2015 to 2025. A total of 200 peer-reviewed articles were selected from an initial pool of over 900 through a systematic filtering process. The selected literature was thematically categorized into experimental, numerical, hybrid, and AI/ML-based studies, with further classification by fluid …

Now More Important Than Ever: Understanding Censorship, Fighting Book Challenges, And Celebrating Banned Books Week, Rachel Hooper, Stephanie White, Jennifer Long

The Southeastern Librarian

Although censorship is an international problem with a long history, American public and school libraries have faced increased censorship efforts from parents and politicians concerning materials available to children over the past few years. Just this past year, book challenges resulted in heated debates and book removals from the library shelves across the U.S. Now more than ever, it is important to understand censorship, keep abreast of recent legislation and developments, fight book challenges, and celebrate Banned Books Week. While there have been some setbacks in fighting book challenges, library advocates are encouraged by recent success stories. The American Library …

The Life And Music Of Booker “Bukka” White: Recalling The Blues, Tim Dodge

The Southeastern Librarian

David W. Johnson Jackson: University Press of Mississippi, 2024 ISBN: 9781496817518 260 p. $99.00 (Hbk)

Awaiting The Colorado River 24-Month Study, John Fleck, Anne Castle, Eric Kuhn, Jack Schmidt, Kathryn Sorensen, Katherine Tara

The Traveling Wilburys of the Colorado River

No abstract provided.

Risk Management Practices In The Healthcare Supply Chain: A Cross-Sectional Survey Of Professionals In Saudi Arabia, Maha Ghamedi

MUSC Theses and Dissertations

Healthcare supply chain disruptions threaten the quality of patient care, and can increase costs, particularly in systems reliant on global suppliers. This study examined the risk management practices of healthcare supply chain professionals in Saudi Arabia. A cross-sectional survey of 72 professionals from hospitals, regulatory agencies, and other healthcare organizations revealed that 72.2% experienced supply shortages in the past year, most often involving general medical supplies, specialty medicines, and essential medicines. The most frequently reported risks were supplier shortages, reliance on single-source suppliers, and logistics disruptions, while cybersecurity threats were rarely cited. Although 76.4% of organizations reported having formal risk …

An Evidence-Based Intervention To Increase Trypanosoma Cruzi, A Neglected Parasitic Infection, Diagnosis In Rural And Moderate-Size-City Us Clinics, M K. Lynn, Hunter M. Boehme, Jeffrey Hall, Patrick Kent, Alain H. Litwin, Quang H. Pham, Melissa Nolan Ph.D., Mph, Prisma Chagas Team

Faculty Publications

Background

Chagas disease is a chronic, insidious parasitic infection (Trypanosoma cruzi) that slowly develops to irreversible organomegaly over several decades. The disease is traditionally acquired in endemic Latin American countries during childhood; < 1% of foreign-born adult residents in the United States have been diagnosed or treated with this potentially fatal disease. Low physician knowledge is a primary factor leading to misdiagnosis.

Methods

Starting in April 2022, a 4-part T cruzi clinical education intervention began, which included (i) 2 grand rounds presentations to >100 internal medicine providers; (ii) implementation of a “clinical Chagas champions program” incorporating 14 key clinical staff at varying departments and administrative levels educated on their specific role related to T cruzi screening, diagnosis confirmation, clinical management, and medical billing; ( …

A Democratic Rule Of Law, Jedediah Britton-Purdy

Law and Contemporary Problems

No abstract provided.

Effects Of Spent Coffee Grounds On Improvement Of Resistive Switching Characteristics In Natural Rubber-Based Memory, Muhammad Awais, Nadras Othman, Mohamad Danial Shafiq, Feng Zhao, Kuan Yew Cheong

Electrical and Computer Engineering Faculty Research & Creative Works

The recent upsurge in environmental awareness provokes the widespread usage of green materials in sustainable electronic applications. Herein, the effects of spent coffee grounds (SCGs) on natural rubber (NR)-based resistive switching (RS) memory are systematically investigated. This study presents the fabrication of a metal-insulator-metal (MIM) structure using NR incorporated with SCGs (0 to 8 wt.%) as a memristive layer and sandwiched between electrodes. A significant improvement in the ON/OFF ratio from 10⁴ for pure NR to 10⁷, read memory window increased from 2.03 to 2.45 V with improved stability even after 130 cycles of switching is achieved …

Effects Of Rapid Shearing Depending On Environmental Factors: Acrylic, Modacrylic, And Polypropylene Fibers, Charles K. Jin

Student Theses

Textiles can often be found damaged in forensic casework, and analysis of these defects can yield valuable information. Different methods of fiber fracture leave behind varying alterations in structure on individual fiber ends, leading to their possible identification and connection to a case. Interactions between high-speed impacts and synthetic fabrics composed of thermoplastic fibers are classified as rapid shear or high-speed tensile breaks. In these situations, unique fiber end characteristics can form due to excessive heat generation that is unable to dissipate quickly enough to prevent fiber end morphology from changing.

This study aimed to explore how different external conditions …

Guatemalan Maya Women’S Attitudes Towards Biomedical Contraception After Migrating To The United States, Shreenaya Prabu, Iris Parshley, Robert Malkin

Maya America: Journal of Essays, Commentary, and Analysis

Medical providers in the United States who discuss the use of contraceptives with Maya women migrants might discover strong reluctance and complex beliefs about the social and physical benefits of biomedical contraceptive measures. This research report presents information about contraceptive usage among Maya in Guatemala and how usage or attitudes toward contraception might have changed while living in the United States. The research team, during 2024, interviewed six adult female Guatemalan Maya refugees over Zoom to understand their thoughts toward contraceptive use before and after migrating. Discussion points included: lack of sexual education in Guatemala, health concerns arising from using …