Digital Commons Network^™

Vaccine Hesitancy And Uptake During Pregnancy: Investigating The Role Of Emotional Mental Imagery, Julie L. Ji, Zoe Bradfield, Lies Notebaert, Joshua Lake, Catherine Hughes, Jane Warland, Julian Basanovic, Colin Macleod, Margie Danchin, Christopher C. Blyth, Katie Attwell

School of Psychology

Background Vaccine hesitancy and suboptimal vaccine uptake pose significant threats to public health, but modifiable psychological factors underpinning them are under-investigated. We examined the prevalence of spontaneous emotional mental imagery relating to infectious diseases and perinatal vaccines and its unique associations with vaccine hesitancy and uptake behaviour. Methods In a two-part longitudinal study, a sample of 411 English-speaking pregnant women attending a large public maternity hospital in Western Australia completed a baseline survey assessing levels of vaccine hesitancy and vaccine uptake (status and timing) during pregnancy for influenza, pertussis, and COVID-19. Vaccine uptake data were collected through official immunisation records. …

Current State And Needs Of Clinical Laboratories In Latin America: A Cross-Country Assessment., Alejandro R. Molinelli, Elizabeth L. Palavecino, José C. Jara-Aguirre, Kerry Cosby, Allison Targowski, Barbara Goldsmith, Rosa Sierra-Amor, Juan D. García, Alicia Algeciras-Schimnich, Eugenio H. Zabaleta, Veronica I. Luzzi, Jessica M. Colón-Franco

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

The Association for Diagnostics & Laboratory Medicine (ADLM) aims to improve health by providing education to laboratory scientists worldwide. Different regions of the world face unique challenges shaped by their national and regional contexts. However, the needs of clinical laboratories worldwide remain largely understudied. To address this gap, we conducted a comprehensive needs assessment survey among laboratory professionals in the Latin American region. The survey was distributed to over 2708 individuals across Latin American countries and yielded 148 responses. Most respondents were from urban areas (74%) and worked in private hospital laboratories (45%), with microbiology (25%) and chemistry (23%) identified …

Outcomes With Cerclage For Short Cervix ≤20.9 Mm Before 24 Weeks In Singletons Without Prior Preterm Birth: A Focused Meta-Analysis Of Randomized Controlled Trials, Rupsa Boelig, Kypros Nicolaides, Orion Rust, Katsufumi Otzuki, Sietske Althuisius, Gabriele Saccone, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

No abstract provided.

Cefepime Pharmacokinetics In Critically Ill Children With Multiple Organ Dysfunction Syndrome Using Volumetric Absorptive Microsampling, Victor Amajor, Amanda Bwint, Steven Shein, Janet Hume, Courtney Rowan, Leeanne Flygt, Matthew Malone, Erin Stenson, Scott Weiss, Matt Zinter, Sujatha Kannan, Mary Dahmer, Ryan Nofziger, Manjunath Pai, Athena Zuppa, Nathaniel Rhodes, Mark Hall, Marc Scheetz, Kevin Downes

Department of Pediatrics Faculty Papers

Up to half of critically ill children experience multiple organ dysfunction syndrome (MODS), which worsens outcomes and increases mortality risk. Cefepime is a broad-spectrum antibiotic commonly used in pediatric sepsis, but its pharmacokinetics during MODS has not been evaluated. We performed a prospective, observational study of critically ill children with MODS who were administered cefepime and collected up to 15 whole blood samples over 3 days using volumetric absorptive microsampling (VAMS). We performed nonlinear mixed-effects modeling to develop a population PK model for cefepime in children with MODS. We then reran our final population PK model using estimated plasma concentrations …

Purposeful Rounds: A Structured Fall Prevention Plan: Final Report, Cincerlyn Lewis

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls are the most frequently reported preventable events in hospitalized patients.  Falls in the project unit were increasing, and a gap analysis revealed variation in how nurses assessed fall risk and implemented interventions. Evidence indicated that inconsistent rounding undermined situational awareness and delayed identification of patient needs. This gap highlighted the need for a structured, evidence‑based rounding process to improve consistency and reliability.

Aim of the project: The Purposeful Rounds (PR) project aimed to implement a structured process to improve rounding consistency and staff responsiveness, while reducing fall rates over a 12‑week period.

Review of the Evidence: Evidence-based literature …

Poor Adherence To Established Clinical Guidelines In Outpatient Bladder Cancer Management, Melanie Boren

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: The outpatient urology practice encountered challenges with adherence to Clinical Practice Guidelines (CPGs), primarily due to unfamiliarity and lack of operational accountability. This led to a low adherence rate of only 40% among patients with bladder cancer. Key issues included inadequate training and knowledge gaps regarding CPGs.

Aim of the Project: The project aimed to improve patient care and outcomes in bladder cancer treatment by enhancing patient retention and adherence to treatment protocols. Evidence-based interventions were implemented to optimize care delivery and support adherence to prescribed treatments.

Review of Evidence: A literature review highlights the effectiveness of nurse navigator …

The Mental Health Of Athletes: Channeling Frustration, Aggression, Internal/External Behaviors In The Real World To Improve Performance, Jabari Johnson

Dissertations

This qualitative study examined how college athletes, 18 years and older, experience and interpret internalizing behaviors and externalizing behaviors within contact and non-contact sports, and how those experiences are shaped by gender, racial/ethnic background, and socioeconomic status. The study addressed a gap in the literature by centering athletes’ own perspectives on how emotions, coping, identity, and performance intersect within collegiate sport contexts. A purposive sample of 12 athletes completed a demographic questionnaire and participated in semi-structured interviews conducted in person between December 2025 and February 2026. Interview transcripts were deidentified and analyzed using reflexive thematic analysis following Braun and Clarke’s …

The Effects Of Functional Coaching On Increasing Functional Play Behaviors In Adults, Abby L. Pattengale

Theses and Dissertations

Play is a critical developmental context for children with autism spectrum disorder (ASD), supporting cognitive, social, communication, and adaptive skill development. However, many adults, specifically registered behavior technicians (RBTs), demonstrate limited engagement in developmentally appropriate play behaviors, which can restrict the quality of play-based interventions, which are essential for effective treatment. However, little research has examined interventions designed to improve adult play behaviors. The purpose of this study was to evaluate the effects of functional coaching on increasing adult functional play behaviors during therapy sessions with children diagnosed with ASD. Two RBTs participated in the study, and two children receiving …

Improving Iv Access Outcomes In Obstetric Care Through A-Diva Scale Utilization And Point-Of-Care Ultrasound, Parth S. Patel, Matthew T. Komorowski

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Obstetric (OB) patients frequently present physiological changes, including edema, obesity, and peripheral vasoconstriction, that increase the risk of difficult intravenous access (DIVA). Multiple IV attempts can delay time-sensitive therapies in obstetric emergencies and increase patient discomfort and provider workload. Research studies have supported the use of the Modified Adult Difficult Intravenous Access (A-DIVA) scale to assess patients for DIVA, and the use of point-of-care ultrasound (POCUS) guided peripheral intravenous access (PIVA). In 2025, a preceding Doctor of Nurse Anesthesia Practice (DNAP) project implemented A-DIVA in the Labor & Delivery (L&D) unit of an OB department and found that 35% of …

Hope College Magazine, Volume 58, Number 1: Summer 2026, Hope College

Hope College Magazine

No abstract provided.

Fy 2024-2025 Annual Report (Lwlc), Lwlc Faculty And Staff

LWLC Publications

No abstract provided.

Relationships Between Shared Group Properties: Theory, Measurement, Estimation, And Adjustment, Mark A. Maltarich, Paul D. Biese, Nichelle C. Carpenter

Faculty Publications

Teams researchers, meta-analysts, and others often study relationships between group-level constructs measured by aggregating individual-level variables, but it is well-known that group-mean correlations are influenced by individual-level relationships. We review multilevel issues and current practices in estimating and adjusting group-mean associations. We give special attention to comparisons across levels of analysis, and to adjustments for estimating population parameters. A Monte Carlo simulation study indicates that the two most commonly used adjustments in meta-analysis are ineffective in estimating population-based effect sizes. They frequently overestimate true relationships, sometimes severely. Indeed, simulations show that common adjustments move estimates away from population values in …

Dnp Final Report: Implementing The 5-2-1-0 Lifestyle Framework To Address Elevated Bmi In Pediatric Primary Care, Mary K. Williams

DNP Final Reports

Pediatric obesity remains a significant public health concern, particularly in rural areas where access to specialty care is limited. Primary care settings provide an important opportunity for early identification and intervention through family-based lifestyle modification. The purpose of this quality improvement project was to evaluate the feasibility and preliminary impact of implementing the 5-2-1-0 healthy habits framework, developed by researchers at Penn State, in a rural pediatric primary care clinic to promote improved lifestyle behaviors among children with elevated body mass index (BMI).

This project included pediatric patients ages 5–16 years presenting for well-child visits with a BMI at or …

Adaptive Sports Program & Wellness Initiatives For Individuals With Intellectual/Developmental Disabilities Beyond The Service Cliff, Jordan Pare, Erin K. Wells

OTD DEx Reports - College of Pharmacy and Health Sciences

Young adults with Intellectual and Developmental Disability over the age twenty-one face significant barriers to accessing support in mental health, physical activity, and social communication opportunities due to the loss of federal educational entitlement at this age. Individuals with a disability who lose their educational funding at age twenty-one may be forced into underfunded and uncoordinated systems for support, also known as the service cliff. This paper evaluates the benefits of implementing an adaptive sports program for this population, which research suggests can foster social and physical needs while influencing executive functioning in mental health. The benefits of providing education …

Toward Intentional Praxis: A Design Thinking Multi-Case Study Of Cognitive-Constructive Toolkit Implementation In An Elementary Professional Learning Community, Azam Nathaniel

Dissertations

Among several learning theories that were dynamic and constantly evolving with time, cognitive and constructive theories were predominant in the field of education. However, these theories often included overlapping and contrasting concepts, contributing to confusion in terminology among teachers and limited explicit use in instructional practice. Within the context of K-12 education, teachers demonstrated conceptual awareness of cognitive and constructive learning theories; however, the theories were not a part of day-to-day conversations and were minimally identified in practice. Instead, the theories were implicitly applied as teachers balanced competing professional responsibilities, including daily routines, syllabus requirements, district standards, new initiatives, differentiated …

Breaking Barriers: Empowering Mothers Through Occupation-Based Education, Jessica J. Valencia, Justine Faghihifar, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

This capstone project evaluated the implementation of an occupational therapy-informed educational program for mothers, with children under the age of 18, who have experienced intimate partner violence at Genesis Women's Shelter & Support. The purpose of the project was to promote occupational engagement through education focused on stress management, sleep and rest, routines and habits, memory and attention, parenting and communication, and leisure participation. A needs assessment informed the development of a six-week bilingual intervention consisting of group and individual sessions. Program outcomes were evaluated using pre- and post-intervention assessments, participant feedback, and clinical observations. The project demonstrated improvements in …

The Effect Of The Continuous Care Model On Self-Practices And Quality Of Life Among Preeclamptic Women, Amira Ahmed Altweel, Salma Abd-Elatty Moawed, Amr Mahmoud Riad, Shaimaa Hassan Mohamady

Nursing

No abstract provided.

The Role Of Complexity In Structural Transfer: A Corpus Study From Turkish And Bulgarian, Sarah Joy Russell

Theses and Dissertations

This study the explores the need to examine the increasingly varied methods of quantifying morphological complexity in regards to their ability to influence structural borrowing across languages, with particular attention to the distinction between enumerative complexity (enumeration of all of the morphemes and distinctions in a system) and integrative complexity (entropy-based calculation of the class distinctions of the system). While existing models in contact linguistics often assume that structurally simpler languages are more likely to serve as sources of grammatical transfer, such accounts typically rely on enumerative measures of complexity alone and do not fully account for the role of …

Black Brilliance By Design: Culturally Affirming Strategies For High School And Postsecondary Success, Kirsten E. Thornton

Education Dissertations

College and career readiness and access programming aims to prepare students for postsecondary enrollment and success. The intentional implementation of college and career readiness programming was introduced to address the achievement gap in educational outcomes, including but not limited to: graduation rates, college enrollment, college retention, and viable career opportunities. However, Black students who graduate high school and are not adequately academically and socially prepared for postsecondary education compared to their white and non-white counterparts. Current college and career readiness frameworks lack a culturally-relevant lens necessary to effectively address the unique needs of the Black communities in achieving college readiness. …

Co-Designing Multimodal, Multilingual Text Sets: Centering Caregiver Choice, Katie M. Crook, Emily Howell, Lindsey W. Rowe, Hazel Vega Quesada, C. C. Bates

Publications

Early literacy instruction in the U.S. often centers monolingual, English-dominant practices that marginalize multilingual learners and their families. This qualitative design-based research study examines a family literacy initiative that engaged caregivers and teachers as co-designers of a multilingual, multimodal literacy resource bag. Using the MultiSemiotic Architecture Framework, we analyzed qualitative data to explore how collaborative text selection can advance linguistic justice in early childhood education. Findings highlight five themes that shaped intentional text selection and supported multilingual home literacy practices: content, language, cultural relevance, curricular alignment, and collaborative modifications. By centering families' cultural and linguistic resources, the project disrupted monolingual …

Math 119: Math For Elementary School Teachers Syllabus, Seth Lehman

Open Educational Resources

OER course syllabus for Math 119, Math for Elementary School Teachers, at Queens College

Commedia Dell’Arte - Serious Funny Business, Caleb Dransfield

Course Materials

[From Introduction]

Picture this. It’s the year 1570. You fi nd yourself in Venice for the fi rst time and you are delighted by the unique culture around you. It’s a city built on the water, streets are replaced by canals. St Mark’s Basilica, the Doge’s palace, and the piazza do not disappoint. The Rialto is a hive of markets and vendors. As you wander the city you encounter something you haven’t seen before. A wooden stage erected, backed by a simple cloth. Onstage, actors in masks are leaping about and speaking to each other animatedly. Even with your limited …

Poetry Personified, Joseph Midolo

Course Materials

[From Introduction]

This chapter introduces several important elements of poetry, including figurative language, sound devices, Mood & Tone, theme, and common poetic forms. Throughout the chapter, readers will examine examples of poems and literary devices while learning how poets use language to shape meaning and emotion. Students will also practice identifying poetic techniques and analyzing how these elements work together within a text.

Check Before You Trust: Teaching K–12 Students To Evaluate Digital Information, Elexia Hertel

Resources for Educators

[First paragraph]

Students in K–12 schools encounter digital information every day, but they are not always prepared to decide whether that information is credible, useful, biased, incomplete, or misleading. This chapter is written specifically for K–12 school library and classroom instruction, not for academic library users or college-level research instruction. Its primary audience is upper elementary, middle school, and early high school learners who are beginning to conduct research, cite sources, compare online information, and participate in digital life.

Risk Of Fracture Following Androgen Receptor Pathway Inhibitors In Men With Advanced Prostate Cancer, Grace Lu-Yao, Nikita Nikita, Scott W. Keith, Krupa Gandhi, Amy L. Shaver, Swapnil Sharma, Christina Steinbock-Malfer, Hushan Yang, Christopher Yang, Kevin K. Zarrabi, Stephen J. Freedland, William K. Kelly

Kimmel Cancer Center Faculty Papers

BACKGROUND: This population-based study aimed to quantify fracture risk after androgen receptor pathway inhibitors in advanced prostate cancer patients by preexisting health conditions.

METHODS: Patients were identified from the Surveillance, Epidemiology, and End Results-Medicare files who received abiraterone acetate with prednisone or enzalutamide between January 1, 2013, and December 31, 2020. Health and fracture history were based on claims 1 year before androgen receptor pathway inhibitor with follow-up through December 31, 2020. The main outcome of the study was the cumulative fracture risk after first date of androgen receptor pathway inhibitor. Fine and Gray subdistribution hazard model was used to …

Subcutaneous Nodules On The Elbows Of A Teenager, Arman Haveric, Jayci G. Rhein, Jason B. Lee, Shayan Waseh, Sylvia Hsu, Afton R. Metkowski

Department of Dermatology and Cutaneous Biology Faculty Papers

No abstract provided.

Social Mobility Beliefs Predict Competence Stereotype Gaps Between The Poor And Rich, Gregory Tee Hng Tan

Dissertations and Theses Collection (Open Access)

The poor tend to be viewed as less competent than the rich. This dissertation examined whether social mobility beliefs shape perceived rich-poor competence gaps. When society is seen as highly mobile, people may attribute economic outcomes to internal abilities than external constraints, thereby widening the rich-poor competence gap. Conversely, perceiving low mobility may shift explanations away from internal abilities toward external constraints and narrow the gap. Four studies tested this theory. Study 1 examined the relationships between self-reported mobility beliefs, attributions, and competence of rich and poor targets among Singapore and UK participants. While higher mobility beliefs predicted stronger internal …

Peaks Island Star : July 2026, Vol. 46, Issue 7, Service Agencies Of The Island

Peaks Island Star, 2026

The Peaks Island Star is the newsletter of the island's service agencies and other community news.

“We're Just Relics Of A Bygone Era!”: The Portrayal Of Librarians In Short Films, Alessandro Camarra

Staff publications

While on the hunt for examples of "librarian" characters portrayed in popular culture, it can be thrilling when said characters make an appearance in feature length films or Hollywood blockbusters. However, sometimes a higher level of satisfaction can be found when examples come from smaller, more personal, projects.

One person films a three-minute clip of their friend wearing glasses and a fake "bun" wig, then uploads it to YouTube. Another person works all semester on a half-hour documentary of their university library, then submits it as the final project for their Film Studies class. Not to mention examples that go …

Study Of Onshore And Offshore Upwind And Downwind Wind Turbine Configurations: Performance Differences And Aerodynamic Characteristics, Ahmed Ismail

Mechanical Engineering Theses

The aerodynamic performance and loading behavior of large- scale wind turbines depend heavily on atmospheric inflow conditions and rotor orientation. While upwind turbines remain the most common design in the industry, recent progress in materials, aeroelastic modeling, and control systems has sparked renewed interest in downwind configurations. This study aims to assess how ABL characteristics and rotor orientation affect the aerodynamic performance of a utility- scale wind turbine. A CFD framework was built in ANSYS Fluent to model the NREL 5 MW Reference Wind Turbine. Transient simulations employed the SST k–ε turbulence model under various inflow conditions: uniform, onshore, and …