Digital Commons Network^™

Lack Of Patient-Centered Care Relative To Evidence-Based Practice In Clinical Diagnosis And Treatment Of Endometriosis In The U.S.: A Review, Piper E. Scoskie

Honors Theses

This scoping review examines the impact of combining Patient-Centered Care (PCC) and Evidence-Based Care (EBC) on clinical outcomes and patient satisfaction in the diagnosis and treatment of endometriosis in the United States. In particular, the review aims to (1) examine the body of research from the United States to learn more about the connection between PCC and EBC and their collective impact on patient satisfaction and clinical outcomes in the treatment of endometriosis; (2) identify the gaps in existing research and practice, specifically regarding PCC procedures, varying patient populations, and longitudinal investigations; and (3) provide recommendation for future research and …

Heart Failure Education For Nurses Within An Acute Care Setting, Mitzy Dawkins-Julien

Walden Dissertations and Doctoral Studies

Successful management of heart failure, a chronic condition that progressively worsens over time, can be clinically challenging, expensive, and time-consuming. Heart failure can be managed with suitable treatment modalities to sustain full and active lifestyles for patients. It is essential to provide evidence-based education to nurses to support patients diagnosed with heart failure and improve patient outcomes. Bedside nurses are ideally placed to positively impact patients’ ability to care for themselves when diagnosed with heart failure by providing a high-quality, evidence-informed education. This project focused on evaluating nurses’ confidence and knowledge about heart failure, providing heart failure education, and reevaluating …

A Multi‐Sector Mixed Methods Study Of Stroke Services In The Philippines: Insights From Government Officials And Organisational Leaders, Sarah Buckingham, June Ann De Vera, Lorraine Faeldon, Bridie Kent, Angela Logan, Aira Ong, Nena Marie Santos, Paula Melizza Valera, Jonathan Marsden

School of Nursing and Midwifery

ObjectivesThis study aimed to illustrate the state of stroke care and rehabilitation in the Philippines through the perspectives of local government officials, policymakers, and organisational leaders. It sought to identify challenges, opportunities, and recommendations for improving stroke policies and services across different administrative levels.MethodsMixed-methods approach involving a structured survey of 131 local government officials and in-depth interviews with eight key stakeholders. Survey participants included Department of Health (DoH) officials, local chief executives, policymakers, Local Government Unit (LGU) employees, and representatives from non-government agencies. Interviewees comprised leads and managers from the DoH and representatives from organisations including the Philippine Academy of …

Cover And Contents

Turkish Journal of Veterinary & Animal Sciences

No abstract provided.

Using Genai To Develop A Peer-To-Peer Feedback Assignment That Fosters Online Student Interaction, Karen Edwards

Teaching Online Pedagogical Repository

This TOPR strategy demonstrates that with the help of generative Artificial Intelligence (GenAI) tools (e.g., ChatGPT40; Claude3.5 Sonnet), online instructors can quickly develop interactive student feedback activities that foster critical thinking skills while building a community of learners (Fowlin, et al., 2025).

Frost Heave Of Clayey Soils Treated With Cement Or Lime, Ammon K. Hymas

Theses and Dissertations

The objective of this research was to measure and compare the effects of portland cement and lime at low, medium, and high concentrations on the frost-heave susceptibility of multiple clayey soils with varying plasticity indices. The scope of work included laboratory frost-heave testing of three clayey soils sampled from Monticello, Utah; Bloomington, Indiana; and San Antonio, Texas. Each soil was tested with two stabilizers, cement or lime, at three concentrations, as well as with no treatment. Two replicate samples were prepared for each combination, for a total of 42 specimens. The frost-heave testing procedures for this research involved preparing specimen …

Partial Replication Of The Severe Outcome Questionnaire (S-Oq): Determining Benchmarks Using Ecologically Valid Data, Joshua J. Allen

Theses and Dissertations

Background: The Severe Outcome Questionnaire (S-OQ) is a self-report tool whose most recent manual was published in 2008. It measures the treatment progress of the seriously mentally ill (SMI). Objective: 1). Partially replicate the outpatient and inpatient admission, change, and internal consistency data. 2). Provide a manual extension including admission and change data for new settings of care and include treatment modality benchmarks. Method: OQ Measures provided an archival data set drawn from six different community mental health organizations from around the United States covering 101 different clinics (N = 25,511; Male = 11,524, Female = 13,987). We constructed normative …

University Bands

Bailey School of Music Concert Programs

Brandon Meeks & Rachel Sorenson, Conductors

Beyond The Barriers Of Silent Walls And Systemic Chains: How Do Black Boys In A Southern Urban Context Develop Both Racial/ Ethnic And Scholarly Identities And How Do They Navigate The Systemic Barriers That Shape Their Identity Development?, Meah Yvette King

Electronic Theses and Dissertations Archive

This dissertation offers a critical examination of the intersection between racial/ethnic and scholarly identity development among Black male adolescents, specifically those aged 18-19, within the socio-cultural and educational context of a Southern urban environment. By exploring the lived experiences of these boys, the study investigates how they navigate pervasive systemic barriers, including institutionalized racism, racial stereotyping, and inequitable educational practices, all of which significantly shape their academic trajectories and racial self-conception. Grounded in the theoretical frameworks of Critical Race Theory, Social Identity Theory, and Bioecological Systems Theory, this qualitative inquiry employs a robust multi-method approach, integrating semi-structured interviews, life mapping, …

How Trauma, Recalled Emotion Socialization, And Current Emotion Regulation Collide: Implications For Emerging Adult Psychopathology, Emily Arden Velandia

Electronic Theses and Dissertations Archive

Most adults have experienced at least one traumatic event, which can impact emotion competencies. Limited research exists examining how childhood emotion socialization, which forms regulatory skills, and current emotion regulation function together after trauma exposure. This study used latent profile analysis to identify subgroups of emerging adult college students based on their lifetime trauma exposure, recalled emotion socialization towards anger and sadness, and current use of cognitive reappraisal and experiential avoidance. Two latent profiles emerged: (1) the Lower Trauma, Supported group whose parents engaged in more modeling and coaching of negative emotions, and (2) the Higher Trauma, Mixed Socialization Behaviors …

Exploring The Lived Experiences Of African American Students Enrolled In Developmental Education Programs At Community Colleges, Marilyn Hayes-Barbee

Electronic Theses and Dissertations Archive

There has been an overrepresentation of African American students enrolled in developmental education programs at community colleges for many years. As a result, African American students often drop these courses, leave college, and do not persist to degree attainment. There is limited research on African American students’ voices in developmental education, and no attention to the overrepresentation of Black students in the program, which reveals a gap in the current literature. Drawing on Critical Race Theory in Education (Ladson-Billings & Tate, 1998), the purpose of this qualitative study is to describe the lived experiences of African American adult students enrolled …

Implementation & Evaluation Of A Self-Measured Blood Pressure Monitoring Program To Improve Hypertension Management, Sarah Marie Geoghan Marold

Doctoral Dissertations & Projects

Introduction: Hypertension affects nearly half of the population in the United States and, if left untreated, can precipitate chronic and life-threatening conditions. Self-measured blood pressure (SMBP) monitoring is an effective solution to diagnosing and managing blood pressure. The aim of this QI project was to improve hypertension management in a Midwest urban healthcare clinic by implementing an SMBP program. Methods: A quality improvement project and evaluation of the implementation of an SMBP program in a small urban Midwest healthcare clinic. Results: A total of 32 patients received SMBP monitors, 25 patients were included in the final data …

Stereotyping In Language (Technologies): An Examination Of Racial And Gender Stereotypes In Natural Language And Language Models, Messi Lee

McKelvey School of Engineering Graduate Student Theses & Dissertations

This dissertation examines stereotyping across natural language and language technologies through three interconnected studies. The first chapter applies a contemporary model of race relations from social psychology to investigate America's racial framework within American English, revealing how language encodes hierarchical associations between racial/ethnic groups and attributes of superiority and Americanness. The second chapter extends this analysis to Large Language Models (LLMs), finding that these language technologies portray socially subordinate groups as more homogeneous compared to dominant groups. The third chapter investigates stereotyping in Vision Language Models (VLMs), showing that these language technologies generate more uniform representations for women than men …

Crashing The Party: How Textualism And Legislative History Can Work Together, John Cannan

Faculty Publications

Textualists must moderate their distaste for legislative history and acknowledge the role of congressional sources in statutory interpretation—even those they themselves approve of. Doing so would enhance their statutory analyses. Decisions arising from 2016 litigation by hospitals against the U.S. Department of Health and Human Services, culminating in Azar v. Allina Health Servs., 139 S. Ct. 1804, 204 L. Ed. 2d 139 (2019), demonstrate how textualist inflexibility can undermine their own principles. For example, notable advocates of that interpretive school—then-Judge Brett Kavanaugh and Justice Neil Gorsuch—overlooked statutory text, which they so highly prize, in reaching their determinations. Textualists often describe …

Elementary Mathematics Teachers’ Experiences Addressing Student Learning Loss, Regina Lashonda Bynum-Gray

Walden Dissertations and Doctoral Studies

The problem was the COVID-19 pandemic-related learning loss of Grade 3–5 students in mathematics within Texas public schools (TPS). Studying this problem was important to address learning loss to avoid other academic issues. The purpose of this basic qualitative study was to explore TPS Grades 3–5 mathematics teachers’ instructional practices and the support needed to improve students’ pandemic-related learning loss. The conceptual framework that was used in this study was learning loss recovery, which consists of evidenced-based practices grouped into four categories: opportunities for additional learning time, assessment, student social and psychological wellness, and support for teachers. This study included …

School Administrators’ And Instructional Coaches’ Perceptions Of Instructional Coaches And Their Duties, Jessika Renee Washington

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was that instructional coaches were asked to complete administrative duties by administrators at an eastern school district (ESD, a pseudonym), which is contrary to best practices advocated by professionals in this field. The purpose of the study was to examine school administrators’ perceptions on the role and the time needed by instructional coaches as well as instructional coaches’ perceptions on their time needed for their coaching at ESD. The conceptual framework was Piaget’s theory of constructivism. For this basic qualitative design, semistructured interviews were conducted with six administrators and four instructional coaches …

Parapneumonic Empyema Complicating Community-Acquired Pneumonia: Etiology In The Era Of Pneumococcal Vaccination And Role Of Molecular Diagnosis, Antonio C Arrieta, Stephanie Osborne, Lindsay R Grant, Bradford D Gessner, Anne J Blaschke, Kristina G Hulten, Delma J Nieves, Ashley Miller, Cody Bender, Raul Isturiz, Ronika Alexander, Shannon M Nielsen, Linda B Lamberth, Alejandro Cane, Adriano Arguedas

Faculty, Staff and Students Publications

Background: Impact of pneumococcal conjugate vaccines (PCVs) on pneumococcal disease is well described; pneumococcus is infrequently identified by culture in pneumonia. Yield is higher when pleural fluid is cultured. Polymerase chain reaction (PCR) in pleural fluid samples improves pathogen identification, particularly in the case of S. pneumoniae.

Methods: Healthy children with empyema who underwent pleural fluid drainage were eligible. Demographics and PCV immunization status were collected. Blood/pleural fluid cultures were obtained. Pleural fluid samples were sent for PCR for pathogen. Serotyping was done by Neufeld-Quellung reaction on pneumococcus isolates, and PCR in culture negative cases.

Results: From December 2018 to …

Unmet Supportive Care Needs In Patients With Advanced Cancer And Its Impact On Distress, Kayla W Miranda, Benjamin L Musher, Hoda J Badr

Faculty, Staff and Students Publications

Purpose: Patients with advanced cancer endure considerable physical and emotional distress without sufficient supportive care. This cross-sectional study examined the relationship between cancer-related symptoms, supportive care needs, and distress levels in patients with advanced lung, head and neck, or gastrointestinal cancers.

Methods: 158 patients were assessed for symptom burden and distress levels using the M.D. Anderson Symptom Inventory (MDASI) and unmet needs using the Supportive Care Needs Survey (SCNS-34) within one month of treatment initiation. Pearson correlations and multiple regression analyses were used to explore associations between supportive care needs and distress.

Results: Distress levels were moderate across the study …

Effects Of Pharmacologic And Genetic Manipulation Of Gaba-A Receptors On Network Activity, Peter Michael Lambert

Arts & Sciences Graduate Student Theses and Dissertations

GABAA receptors (GABAARs) are the primary inhibitory neurotransmitter receptors in the central nervous system. A rich diversity of receptor subtypes are produced by the combination of various GABA receptor subunits into a heteropentameric chloride channel. Inhibitory signaling through GABAARs occurs on timescales ranging from fast synaptic events lasting milliseconds to tonically active receptors providing standing inhibitory tone. GABAARs are modulated by many clinically important drugs including anesthetic, hypnotic, anxiolytic, and antidepressant agents. Of note, GABAARs are modulated by neurosteroids, which have recently been developed as novel therapeutic agents for psychiatric disease. The synchronized activation of GABAARs through coordinated activity of …

Roles Of Cpsa And Slamf1 In The Innate Immune Response To Mycobacterium Tuberculosis, Steven Grigsby

Arts & Sciences Graduate Student Theses and Dissertations

Mycobacterium tuberculosis (Mtb), the causative agent of tuberculosis (TB), possesses an arsenal of virulence factors to evade host immunity. Not only is Mtb able to evade innate immunity, but adaptive immunity also often fails to adequately control Mtb infection. A mechanistic understanding of how Mtb establishes infection and evades immunity is critical to the development of a protective vaccine and novel therapeutics. The Mtb protein CpsA protects Mtb against the host NADPH oxidase and LC3-asociated phagocytosis of the innate immune system. Consequently, a ΔcpsA mutant is initially attenuated in vivo but eventually reaches the same bacterial burden in the lungs …

Community-Level Analysis Of Anti-Asian Hate Crime, Jisoo Cho, Jinuk Jeong, Christopher Han-Fai Seto

Publications and Research

Motivated by the surge in anti-Asian hate crimes during the COVID-19 pandemic, this study examines the community characteristics associated with the likelihood of their occurrence from 2020 to 2023 through interracial conflict and social disorganization perspectives. Analyzing data from the New York City Police Department and the American Community Survey across 2,198 census tracts, we find that communities with higher levels of Asian population, racial heterogeneity, and residential instability have higher odds of experiencing anti-Asian hate crime. However, concentrated disadvantage and defended neighborhoods (White, Black, and Hispanic) are not significant across all estimated models. These findings have important implications for …

A Multi-Sector Mixed Methods Study Of Stroke Services In The Philippines: Insights From Government Officials And Organisational Leaders: Sarah Buckingham, June Ann De Vera, Lorraine Faeldon, Bridie Kent, Angela Logan, Aira Ong, Nena Marie Santos, Paula Melizza Valera, Jonathan Marsden, Sarah Buckingham

School of Nursing and Midwifery

ABSTRACTObjectivesThis study aimed to illustrate the state of stroke care and rehabilitation in the Philippines through the perspectives of local government officials, policymakers, and organisational leaders. It sought to identify challenges, opportunities, and recommendations for improving stroke policies and services across different administrative levels.MethodsMixed-methods approach involving a structured survey of 131 local government officials and in-depth interviews with eight key stakeholders. Survey participants included Department of Health (DoH) officials, local chief executives, policymakers, Local Government Unit (LGU) employees, and representatives from non-government agencies. Interviewees comprised leads and managers from the DoH and representatives from organisations including the Philippine Academy of …

The Glass Vessels From Ashqelon, Semadar Hotel, Natalya Katsnelson, Ruth E. Jackson-Tal

'Atiqot

No abstract provided.

A Newly Excavated Tumulus In The Refa’Im Valley, Jerusalem, Ianir Milevski

'Atiqot

No abstract provided.

Khirbat Sha‘Ira: Excavations Of A Rural Settlement From The Middle Bronze Age Ii In The Vicinity Of Tel Afeq (Aphek), Martin Peilstökcker

'Atiqot

No abstract provided.

Notes On T He M Aterial Culture Of W Estern G Alilee In The Early Bronze Age Ib In Light Of The Abu Edh-Dhahab Excavations, Nimrod Getzov

'Atiqot

No abstract provided.

Front Matter, Front Matter

'Atiqot

No abstract provided.

Ict Services In Anambra State Academic Libraries: Availability And Utilization., Nnaemeka Uchenna Uchenna Ezeonyi, Norbert Amaechi Agbanu Prof., Ozioma Ebuka Ezeibe

Library Philosophy and Practice (e-journal)

This study investigated the Availability and Utilization of ICT services in Anambra State Academic Libraries. The study adopted the descriptive survey research design and was guided by two research questions and one null hypothesis. Two researcher-structured instruments were used to collect data for the research. The population of the study were the 75 library staff of the libraries under study, which include Chukwuemeka Odumegwu Ojukwu University Library, Nwafor Orizu College of Education Library and Anambra State Polytechnic Mgbakwu Library. This population was small and manageable. Therefore, the census method of sampling was adopted. 61 instruments were returned, representing approximately 81% …

Early Islamic Bronze Weights From Ramla, Raz Kletter

'Atiqot

No abstract provided.

Fish Remains From ‘En Gedi, Omri Lernau

'Atiqot

No abstract provided.