Digital Commons Network^™

Coloring Outside The Lines: Factors Facilitating Divergent Thinking, Michelle Baca Reinke

Master's Theses

Divergent thinking involves producing a multitude of unique and diverse ideas. The ability to “color outside the lines” is crucial to business, education, and social domains. The flexibility, originality, and fluency dimensions of divergent thinking are commonly assessed using the Alternative Uses Task, which involves generating uses for common objects. Prior research suggests that high identification (first-person perspective) with schema-inconsistent experiences increases flexibility, while semantic density (degree of conceptual associations) impacts originality and fluency inversely. However, their combined effects across multiple divergent thinking dimensions remain unexplored. The present research investigated the interactive effects of identification (high, low), schema consistency (consistent, …

The Unseen Struggle: Poems From The Abyss, Victor Ihechiluru Unachukwu

All ETDs from UAB

The Unseen Struggle: Poems from The Abyss is a collection of seventy poems. The poems cracked into the experiences of Nigerians—enduring social, political, and environmental oppression. Socially, ethnic divisions and limited education restrict opportunity; politically, corruption and repression silence dissent; environmentally, resource exploitation devastates livelihoods. Through poetry, I constructed a fictionalized Imo and Abia State, rendering these struggles visceral without requiring the reader’s physical presence. Drawing on personal experience, I employed sensory, auditory, and visual imagery to immerse readers in the systems that dictate and constrain Nigerian life. As a Nigerian living in America, I intertwine real events with familial …

Effectiveness Of Pharmacist-Led Intervention For Hepatitis C Patients - A Systematic Review, Geraldo Surya, Angelica Angelica, Zerra Rizki Amalia, Diflaa Kayla Nisrina, Widya Norma Insani

Pharmacology and Clinical Pharmacy Research

Pharmacist-led interventions, encompassing patient education, adherence monitoring, and personalized care, have emerged as a critical strategy to optimize treatment outcomes in Hepatitis C (HCV) management, particularly in improving Sustained Virologic Response (SVR) and mitigating drug-related challenges. This review evaluates evidence from randomized controlled trials (RCTs), cohort studies, and retrospective analyses to assess the impact of pharmacist-led interventions on key HCV treatment outcomes, including SVR, medication adherence, and management of adverse drug reactions (ADRs) and drug-drug interactions (DDIs). A systematic search was conducted on PubMed database for studies published between January 2000 and December 2024 following PRISMA guidelines. The search strategy …

Trauma Resuscitation With Low-Titer Group O Whole Blood Or Products: Study Protocol For A Randomized Clinical Trial (The Troop Trial), Jan O Jansen, Claudia Pedroza, Luis Leon Novelo, Tianyao Hao, Gina R Dewildt, Charles F Coton, Kiran Mansoor, Shannon W Stephens, Marisa B Marques, James R Stubbs, Jillian R Richter, Henry E Wang, John B Holcomb, Stacia M Desantis

Faculty, Staff and Student Publications

Background: Hemorrhage is the most common cause of potentially preventable death after injury. Balanced transfusion with red blood cells, plasma, and platelets (component therapy, CT) has been shown to reduce mortality, and is the standard of care. Low-Titer Group O Whole Blood (LTOWB) is an attractive alternative to CT, but existing evidence comprises observational studies, and a small single center pilot randomized controlled trial, which evaluated a type of whole blood that is no longer in use. The aim of the "Trauma Resuscitation with Low-Titer Group O Whole Blood Or Products" (TROOP) trial is to compare the effectiveness and safety …

Beyond The Individual: Community Socioecological Correlates Of Mass Shootings In A Cross-Sectional Analysis, Barbara (Basia) E. Lopez

Walden Dissertations and Doctoral Studies

Mass shootings represent an urgent and persistent threat to public safety in the United States, yet most research has focused on individual-level characteristics, leaving community-level socioecological conditions comparatively underexamined. This study addressed this gap in knowledge through an examination of the statistical correlations between community-level characteristics and mass shooting incidence using Ostrom’s social-ecological systems theory as a guiding framework. A cross-sectional quantitative design was employed using secondary data from The Violence Project, the U.S. Census Bureau, Neighborhood Atlas National Data Archive, and publicly available law enforcement and policy records. Multiple regression analysis was performed to test both main and interaction …

Relationship Between Doctor Communication And Patient Satisfaction In Inpatient Units In California, Sandra Viehoever

Walden Dissertations and Doctoral Studies

Effective doctor communication is an important determinant of patient satisfaction in inpatient units. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures patient satisfaction and influences reimbursement rates under the Hospital Value-Based Purchasing Program. The purpose of this retrospective quasi-experimental quantitative study was to examine the possible relationship between doctor communication and patient satisfaction in inpatient units in California. The Donabedian framework provided the theoretical framework to examine possible relationships between the variables. Publicly available data were collected from 290 hospitals in California that participated in the HCAHPS survey between July 2022 and June 2023. Results of …

Strategies To Reduce Waiting Times In A Hospital Emergency Department, Gillian Denise Browne-Farrell

Walden Dissertations and Doctoral Studies

Leaders of the emergency departments (EDs) globally, especially in the United States face persistent challenges addressing staffing issues in the ED and increased wait times. The purpose and review question for this integrative review was to investigate strategies and best practices to decrease waiting times in a hospital ED. The Theory of Constraints framework served as the theoretical foundation for this review. An examination of the literature published within the past five years identified 101 relevant articles. From these articles, 30 empirical and non-empirical articles were selected for further analysis using the Johns Hopkins evidence-based practice model and six major …

Management Responses To Staff Speaking Up In The Nhs: A Scoping Review, Melika Ghorbankhani, Aled Jones, Alison James, Ben Hannigan, Dominic Roche

School of Nursing and Midwifery

Staff speaking up about patient safety concerns is crucial to improving care and learning from mistakes. Poor management responses to speaking up can result in missed opportunities to prevent harm and hinder staff learning. This scoping review explored the literature on managers' responses to staff-raised patient safety concerns in the NHS, identifying key factors that influence these responses and suggesting strategies for improvement. Arksey and O'Malley's five-stage framework was used to systematically analyse studies from databases such as MEDLINE, PubMed, EMBASE, APA PsycINFO and CINAHL. The review included 25 studies published between 2005 and 2023. Eleven identified studies were based …

Efficacy Of Angiotensin Receptor Blockers (Valsartan, Candesartan, Losartan) In Lowering Blood Pressure: A Systematic Review, Shafa S. Maharani, Dika P. Destiani

Pharmacology and Clinical Pharmacy Research

Hypertension is a significant health issue that significantly increases the risk of cardiovascular disease. Angiotensin II receptor blockers (ARBs) are commonly used in Indonesia to treat hypertension, yet comprehensive comparative efficacy data within this drug class remain limited. This review seeks to evaluate the blood pressure-lowering efficacy of three particular angiotensin receptor blockers (ARBs)—Valsartan, Candesartan, and Losartan—in individuals diagnosed with hypertension. This systematic review identified randomized controlled trials (RCT) obtained from PubMed and Google Scholar using several keyword combinations. Among 20 RCTs with 6.425 patients treated with three ARBs, all included studies demonstrated significant blood pressure reductions. The mean reductions …

A Force To Be Reckoned: Strategic Equity Sense Leadership Of Unit-Level Higher Education Leaders, Jin M. Mims

LMU Theses and Dissertations

The #BlackLivesMatter (#BLM) movement in 2020 pressured higher education institutions to address their oppressive and exclusive systems. As these institutions communicated their diversity, equity, and inclusion, (DEI) commitments and processes, it was those who took charge to facilitate the operational and cultural change for their respective area through the DEI lens, those who assumed DEI roles in their designated units, actualized the ground-level work of designing and implementing DEI programs and policies to produce the institutional progress reported by the university’s executive leadership. I will refer to those change agents as Unit-level DEI Officers (UDOs). Meanwhile, the current body of …

Rsph4a-Pcdx: An Index To Predict Lung Function Decline In Primary Ciliary Dyskinesia, Gabriel Román-Ríos, Gabriel Rosario-Ortiz, Marcos J Ramos-Benitez, Ricardo A Mosquera, Wilfredo De Jesús-Rojas

Faculty, Staff and Student Publications

Primary ciliary dyskinesia (PCD) is a rare, genetically heterogeneous disorder that impairs mucociliary clearance and leads to progressive lung disease. This study aimed to characterize lung function decline in a genetically homogeneous cohort of Puerto Rican patients with

Management Of Postoperative Pain In Septorhinoplasty: A Systematic Review, Caitlin M Coviello, Uma R Ramesh, Beatriz Varman, Krista L Olson, Sunthosh K Sivam

Library Staff Publications

Objective: Septorhinoplasties are a common surgery. Effectively managing postoperative pain and identifying opioid reduction techniques is of critical importance. This systematic review characterizes the literature regarding the management of postoperative pain with opioid-based and opioid alternative therapies in patients undergoing septorhinoplasty.

Data sources: Medline (Ovid), Embase (Elsevier), Cochrane Library (Wiley), and Web of Science (Clarivate).

Review methods: A literature search was conducted using multiple medical subject headings (MeSH) and keywords with adherence to preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. Full-text analysis was performed by two independent reviewers using the Critical Appraisal Skills Program (CASP) and National …

Quantile Index Predictors Using R Package Hyper.Gam, Tingting Zhan, Misung Yi, Inna Chervoneva

Department of Pharmacology, Physiology, and Cancer Biology Faculty Papers

MOTIVATION: Evaluation of single-cell protein expression from immunohistochemistry images is used increasingly in biomedical research. Many proteins are used solely for phenotyping cells in the tumor microenvironment. Other proteins with meaningfully quantitative expression levels provide so-called functional protein biomarkers. There is still a limited number of methods and software tools available for utilizing the entire distributions of single-cell expression levels.

RESULTS: We present the R package hyper.gam, providing a supervised learning framework for deriving biomarkers based on single-cell distribution quantiles. The single-cell data are first converted into sample quantile functions, which are then used as predictors in scalar-on-function regression models …

Limosilactobacillus Reuteri Enables Oral-To-Systemic Absorption Of Iberiotoxin For Treatment Of Collagen-Induced Arthritis In Rats, Mohamed R Kady, R Nicholas Elston, Lauren J Snyder, Jorie D Fleischman, Madilyn J Brandt, Duolong Zhu, Robert A Britton, Christine Beeton

Faculty, Staff and Students Publications

Background: Rheumatoid arthritis (RA) is an autoimmune disease characterized by joint inflammation and damage in which fibroblast-like synoviocytes (FLS) play a central role. Invasiveness and proliferation of FLS in RA is dependent on activity of the KCa1.1 potassium channel. Peptide blockers of KCa1.1, such as iberiotoxin (IbTX), can be delivered subcutaneously to treat animal models of RA. We tested whether an engineered probiotic oral delivery platform could effectively deliver IbTX systemically in a rat model of RA.

Results: A plasmid for inducible secretion of IbTX was constructed and transformed into probiotic Limosilactobacillus reuteri ATCC PTA-6475 to generate LrIbTX. No differences …

Inhibition Of Epithelial Cell Yap-Tead/Lox Signaling Attenuates Pulmonary Fibrosis In Preclinical Models, Darcy Elizabeth Wagner, Hani N Alsafadi, Nilay Mitash, Aurelien Justet, Qianjiang Hu, Ricardo Pineda, Claudia Staab-Weijnitz, Martina Korfei, Nika Gvazava, Kristin Wannemo, Ugochi Onwuka, Molly Mozurak, Adriana Estrada-Bernal, Juan Cala-Garcia, Katrin Mutze, Rita Costa, Deniz Bölükbas, John Stegmayr, Wioletta Skronska-Wasek, Stephan Klee, Chiharu Ota, Hoeke A Baarsma, Jingtao Wang, John Sembrat, Anne Hilgendorff, Jun Ding, Andreas Günther, Rachel Chambers, Ivan Rosas, Stijn De Langhe, Naftali Kaminski, Mareike Lehmann, Oliver Eickelberg, Melanie Königshoff

Faculty, Staff and Students Publications

Idiopathic pulmonary fibrosis (IPF) is a progressive and lethal disease characterized by excessive extracellular matrix deposition. Current IPF therapies slow disease progression but do not stop or reverse it. The (myo)fibroblasts are thought to be the main cellular contributors to excessive extracellular matrix production in IPF. Here we show that fibrotic alveolar type II cells regulate production and crosslinking of extracellular matrix via the co-transcriptional activator YAP. YAP leads to increased expression of Lysl oxidase (LOX) and subsequent LOX-mediated crosslinking by fibrotic alveolar type II cells. Pharmacological YAP inhibition via verteporfin reverses fibrotic alveolar type II cell reprogramming and LOX …

Mississippi Libraries Volume 87, Number 1 And 2

Mississippi Libraries

Complete issue of Vol. 87, Nos. 1 and 2 of Mississippi Libraries

"Things That Were, Things That Are, And Things That Yet May Be": The Matter Of Time In The Faërie Realms Of Tolkien's The Lord Of The Rings, Noelia Ramos

Journal of Tolkien Research

Tolkien’s feelings and relationship to Celtic themes are more nuanced than a simple binary of aversion versus passion. As he professed to Stanley Unwin—"Needless to say they are not Celtic!" (Letters #19)—his stance encompassed both resistance and fascination. His essay On Fairy-Stories, originally delivered as the Andrew Lang Lecture in 1939, can be seen as an early foundation for concepts later developed in The Lord of the Rings (1954–1955). In this context, the concept of fiction and the secondary world—particularly regarding the nature of time—is notably prominent, drawing parallels to the Celtic Otherworld.

This study aims to analyze …

Slis Notes: The Ai Elephant In The Room, Stacy Creel, Andrew Sims

Mississippi Libraries

Notes and updates from the Director of the School of Library and Information Science at The University of Southern Mississippi. This column discusses the emergence of new AI tools and their potential effects on libraries.

Stabilization Of Cr³⁺ Using Iron Rich Slag-Derived Phosphate Cement: An Integrated Solution For Heavy Metals And Hazardous Solid Wastes, Ting Huang, Hongyan Ma, Zhongqiu Luo, Xintao Zhou, Zhengqing He, Peiwen Lv, Xiunan Cai, Pingyan Wang

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

A novel iron-based phosphate cement (IPC), derived from iron-rich smelting slag (ISS), was developed as a sustainable and efficient binder for the stabilization/solidification of trivalent chromium (Cr³⁺). The mechanical properties, hydration behavior, microstructure, leaching toxicity, chromium chemical forms, and environmental safety of chromium-stabilized iron phosphate cement (CIPC) were thoroughly evaluated. The results showed that, with a mass ratio of ISS to ammonium dihydrogen phosphate (ADP) of 2.0, and even with the addition of 20 % chromium nitrate nonahydrate (CN), the compressive strength of CIPC reached 4.2 MPa after curing for 28 d. Furthermore, chromium leaching was well below …

A Convergent Parallel Mixed Method Design Analysis Of Sponsorship And The Advancement Of Women In The Workplace, Shaparak Malek-Morvai

Masters Theses & Specialist Projects

Sponsorship is vital for advancing women's careers but is often inconsistently applied. Limited programs for women seeking leadership roles and a lack of sponsors can hinder progress. This study used a mixed-methods approach, combining quantitative survey data from 73 participants with qualitative insights. Sponsors advocate for protégés, emphasizing visibility, promotion, and networking, while mentorship offers guidance and coaching. Many leadership roles confuse sponsorship with mentorship, as noted by Helms et al. (2016). However, the key difference lies in influence. The study had four objectives: to explore women's perceptions of sponsorship, analyze how roles and tenure influence these perceptions, enhance discussions …

Competence To Stand Trial And Criminal Responsibility: The Effect Of Pretrial Publicity On Insanity Verdicts, Hannah Hennessey

Masters Theses & Specialist Projects

Despite the legal distinction between competence to stand trial (CST) and criminal responsibility (CR), the potential for jurors to conflate these constructs due to pretrial publicity (PTP) remains an under-examined issue in forensic psychology research. Therefore, the current study investigated whether exposure to PTP about a defendant’s CST influences jurors’ CR verdicts. A national sample of jury-eligible adults (N = 598) was recruited through Prolific. Participants were randomly assigned to read one of three mock PTP news articles: (1) the defendant was CST, (2) the defendant was previously found incompetent to stand trial (IST) but was later restored to competency, …

Newsletter Fall 2025, University Libraries

Annual Reports & Newsletters

No abstract provided.

Paying The Education Debt: How Community Colleges Can Lead In Restoring Higher Education Access In U.S. Prisons, Tammy Zimmer

Instructional Leadership Abstracts

Discusses paying education debt with respect to how community colleges can lead in restoring higher education access in United States prisons.

"The question is no longer can we provide higher education in prison, it’s will we. For those of us already engaged in this work, the answer is clear. I invite you to join us."

Efficacy Of Infliximab Versus Vedolizumab In The Management Of Immune Checkpoint Inhibitor-Induced Colitis: A Systematic Review And Meta-Analysis., Shreya Shambhavi, Harmanjeet Singh, Ganesh Ramaprasad, Murod Khikmatov, Varun Vankeshwaram, Kumar Ashish, Carlos Valladares, Tanushree Bhatt, Seth D Cohen

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Immune checkpoint inhibitors (ICIs) can cause severe gastrointestinal immune-related adverse events (irAEs), often leading to treatment interruption and increased morbidity. Immune-mediated colitis (IMC) ranges from mild diarrhea to life-threatening colitis, sometimes requiring urgent intervention. While corticosteroids are the first-line treatment, selective immunosuppressive therapy (SIT) with either infliximab or vedolizumab is used for steroid-refractory or dependent cases. However, standardized practices are lacking, and treatment decisions are largely left to provider discretion. This study compares infliximab and vedolizumab for IMC, focusing on remission rates, recurrence, SIT dosing, and systemic steroid exposure duration.

METHODS: We identified six retrospective cohort studies that compared …

“Literally Made Me Cry”: The Impact Of Course Material Costs On University Of Kentucky Students, Stephen Krueger

Library Reports and White Papers

The Student Course Materials Cost Survey was administered September 16 – October 6, 2024. It was open to current students at the University of Kentucky (UK). The goals were to help UK Libraries better understand how the cost of course materials affects students at UK and to provide a snapshot of student spending across the university. The questions were based on similar research done at other institutions in Virginia (Virginia Course Materials Survey, 2021) and Florida (2022 Student Textbook and Instructional Materials Survey, 2022). Other work based on those surveys includes the 2023 Illinois Course Materials Survey (CARLI, 2023) and …

Embracing The Bot: Japan’S Love Affair With Ai Learning, Dan Rosen

UC Law SF International Law Review

No abstract provided.

Exploring The Connection Between Emotional Intelligence And Academic Achievement In Senior Nursing Students, Kimberly Smith

Dissertations

The need for nurses is now greater than ever, with a projected shortage of nearly five million nurses by 2030. Several factors exist that hinder the number of practice-ready nurses, causing nursing programs worldwide to explore and re-examine admission practices and increase student retention rates. The American Association of Colleges of Nursing (AACN, 2024) reported that over 100,000 students were denied enrollment in baccalaureate and graduate nursing programs in 2024, indicating that maximizing admission processes is crucial in addressing the current nursing shortage. This emphasizes the need for greater participation to ensure that all students have access to the educational …

Establishment Of Neonatal Sepsis Predictors Utilizing Non-Invasive Monitoring Techniques, Dalton Janssen

Dissertations

Neonatal sepsis remains one of the leading causes of global neonatal mortality. Reactionary approaches for diagnosis and treatment have dominated the tactics in addressing neonatal sepsis but clinical intuition is an untapped resource that could lead to earlier prediction of sepsis onset. Nurses and other staff with specialized training and experience who have served as routine caregivers for a specific patient are able to identify when the patient’s status is altered. This clinical intuition may be substantiated by referencing specific patient trends in non-invasive measures over time. This retrospective, exploratory study examined whether variation in non-invasive monitoring variables could serve …

Smokejumper Biographies For 1964 Rookie Class, National Smokejumper Association

Smokejumper Biographies by Rookie Year

This document contains short biographies of smokejumpers who rookied in 1964.

Smokejumper Biographies For 1963 Rookie Class, National Smokejumper Association

Smokejumper Biographies by Rookie Year

This document contains short biographies of smokejumpers who rookied in 1963.