Digital Commons Network^™

Navigating Sexual And Gender Diversity: A Quality Improvement Project To Increase Provider Cultural Competencies For Sexual And Gender Minorities In Mental Health Outpatient Facilities, Shermeen Chandani

Doctor of Nursing Practice Final Project Abstract

Purpose: Sexual and gender minority (SGM) populations experience healthcare disparities related to stigma, discrimination, and limited provider cultural competency. In outpatient psychiatric settings, non-affirming practices can negatively affect patient engagement, trust, and continuity of care. This quality improvement project aimed to enhance staff sexual and gender minority cultural competency (SGMCC) and strengthen affirming clinical processes.

Background: The project was implemented across two outpatient psychiatric clinics with approximately 28 multidisciplinary staff members. At baseline, no formal SGM cultural competency training or standardized documentation practices for preferred names and pronouns existed.

Methodology: A Plan–Do–Study–Act framework with a pre/post-test design was used. The …

Implementation Of Behavioral Emergency Response Team In Triage, Brianna Millen

Doctor of Nursing Practice Final Project Abstract

Introduction: The aim of this project is to improve the admission process of psychiatric patients in the emergency department (ED) by implementing a Behavioral Emergency Response Team (BERT). The goal is to reduce wait times, decrease patient aggression, and enhance overall patient and staff safety.

Background: Emergency departments are experiencing an influx of psychiatric patients presenting with acute psychosis. Long wait times often lead to increased agitation, requiring physical or chemical intervention. Literature suggests that timely care can reduce aggression and psychiatric admissions. Currently, no similar interventions exist at Houston Methodist West Hospital.

Methodology:

This quality improvement project follows a …

About Face: Does Men’S Facial Symmetry Affect Evolutionary Trait Ratings?, Emma G. Kelly, T. Joel Wade

Faculty Journal Articles

Some past research indicates that facial symmetry increases ratings of attractiveness. However, more recent research finds that facial symmetry does not affect ratings of men's attractiveness, or is not an important component of men's facial attractiveness. But, prior research has not examined whether facial symmetry affects evolutionary trait ratings. The present research sought to fill that dearth by investigating whether male facial symmetry influences women's ratings of men's attractiveness and evolutionary traits. No significant effects for facial symmetry occurred. However, there were significant effects for ratings of evolutionary traits regardless of facial symmetry. Of the 19 traits, the traits: status, …

Justice And Restitution In Post-Nazi Romania: Rebuilding Jewish Lives And Communities, 1944-1950, Stefan Cristian Ionescu

History Faculty Books and Book Chapters

On 23rd August 1944, following the collapse of the pro-Nazi dictatorship of Ion Antonescu, Romania changed sides and abandoned the Axis to join the Allies. Justice and Restitution in Post-Nazi Romania explores the hopes, struggles and disappointments of Jewish communities in Romania seeking to rebuild their lives after the Holocaust. Focusing on the efforts of survivors to recuperate rights and property, Stefan Cristian Ionescu demonstrates how the early transitional government enabled short term restitution. However, from 1948, the consolidated communist regime implemented nationalizations which dispossessed many citizens. Jewish communities were disproportionality affected, and real estate and many businesses were lost …

Privileging Genetic Privacy, Natalie Ram

Emory Law Journal

Right now, research is being done on the genetic material or genetic information of practically every person in the United States, often without their knowledge or consent. These vast stores of research materials offer a tempting target for law enforcement, who have sought to obtain DNA profiles from as many sources as possible. This Article makes the case that this scenario should trouble us—and also that there are existing legal tools that could guard against it.

In so doing, it makes four contributions to the existing literature. First, it identifies the unique features of research genetic data that make …

Investigation Using Single Point Incremental Forming (Spif) To Fabricate Patient-Specific, Titanium Orbital Floor Implants, Elizabeth M. Mamros, Lauren E. Blaha Md, Christian A. Kauffman Md

Faculty Conference Papers and Presentations

The floor of the human orbit is composed of thin bone that is prone to traumatic fracture. This leads to a loss of support for the eye, which can cause vision changes. Therefore, fractures may need surgical reconstruction using a thin, sheet-like implant. Titanium implants are available off-the-shelf in standard sizes, but fitting to each patient’s unique anatomy requires surgeons to cut, file, and bend these plates. This can be time-consuming and imprecise. To both save time and ensure a perfect fit for the patient, a custom plate can be created prior to surgery. This investigation focuses on single-point incremental …

Spanish-Speaking Interpreters’ Perspectives: How Latinx Immigrant Caregivers Navigate The Special Education Process, Lizeth B. Tomas Flores

Theses and Dissertations--Educational, School, and Counseling Psychology

The study examined the experiences of Spanish-speaking interpreters working with Latinx immigrant caregivers during the special education process, their perspectives on how caregivers and the IEP professional committee members participate in the process, aiming to gain a better understanding of how Latinx immigrant families navigate the special education process. Interpreters play a crucial role in the special education process for families from culturally and linguistically diverse backgrounds, as they facilitate the transmission of information between caregivers and special education teams. Interviews were conducted with six special education interpreters in a southwestern suburban school district in the United States. A qualitative …

The Impact Of Whiteness Among Black College Students' Racial Identity, La'quida Reneé Smith

Theses and Dissertations--Educational, School, and Counseling Psychology

Although the impact of racism is well-documented in both conceptual and empirical research on the experiences of Black college students, some scholars have pointed out that many of the negative, race-based experiences these students face on college campuses extend beyond overt acts of racism (e.g., individual racism, institutional racism; Gusa, 2010; Hargons et al., 2022; Ingram & Wallace, 2019; Le et al., 2020; Smith et al., 2011; Tyler et al., 2022). Whiteness has been identified as an overt factor shaping the lived experiences of Black individuals (Leonardo, 2009; Matias, 2016; Tyler et al., 2022) and is, therefore, believed to impact …

Library Committee Report, 2025-01, Elizabeth Mamo

Rochester Regional Health authored publications and proceedings

The Library Committee is a requirement of the RGH Medical/Dental Staff and is facilitated by Dr. Scott Schabel. After RGH and Unity merged, the Libraries formed one department and expanded access and services to all RRH sites. The Library committee, composed of staff from across the health system, provide feedback and share library news with their teams. The committee meets 2x/year via Zoom.

This report highlights library activity from 2024.

The Militarization Of Space: The Cold War And The Space Race, Malin Wahl

Pell Scholars and Senior Theses

The weaponization of space during the Cold War would have posed a significant threat to global security if left unchecked. The Cold War showcased the ideological rivalry between the United States of America and the Union of Soviet Socialist Republics and their development of a nuclear arsenal. Space was an unexplored domain that actors thought could be weaponized and even become a strategic advantage if a war between these superpowers broke out. The decision to not militarize space, not place orbital weapons in space, and not utilize weapons of mass destruction came from a standoff in which both parties could …

The War On Knowledge And How Everyone Is A Part Of The Problem: Through The Lens Of Science Communication And The Trump Administration, Aidan D. Valcich

CEG 450 Cultural, Environmental, and Global Studies Capstone

Science communication as an emerging field of study has become increasingly important in the age of the internet and rapid information dissemination. The work of science communication focuses on the complexities of communicating sciences between experts and non-experts such as politicians and laymen. The importance is not only communicating the science but also why everyone, not just the experts, should care. In what has been called the War on Knowledge, there has been an increase in attacks against science and academia. A major example of this is in the United States during both of the presidential terms of Donald Trump. …

Signs Of Inequality: Addressing Deaf Healthcare Accessibility, Lillian G. Shay-Duran

GLO 100 Introduction to Global Studies: Policy Analysis Papers

Despite advancements in accessibility and accommodations, there remains a significant gap in healthcare access for the Deaf community. This paper explores some causes and effects of this gap such as miscommunication, ableism, and discrimination as key issues that are damaging to the Deaf community and lead to further health problems and stress. It also examines the difficulty of acquiring an interpreter through social, political, and economic lenses. This paper analyzes policies in action that address the rights of the Deaf community to adequate communication, and it gives recommendations to better support the Deaf community in navigating the healthcare system. Advocacy …

Scalable Machine Learning Framework For Adaptive Irrigation Management Of Maize And Soybean In The U.S. Midwest, Precious N. Amori, Derek M. Heeren, Yeyin Shi, Eric Wilkening, Ivo Z. Goncalves, Guillermo R. Balboa, Daran R. Rudnick, Abia Katimbo, Randall S. Ritzema

Department of Agricultural and Biological Systems Engineering: Faculty Publications

Conventional soil water balance (SWB) irrigation scheduling tools, such as FAO-56-based Spreadsheets and the Spatial Evapotranspiration Modeling Interface (SETMI), rely heavily on manual inputs and periodic field measurements, leading to delayed recommendations and missed opportunities to prevent crop stress. More critically, these tools lack the computational scalability and adaptability to leverage the high-frequency, high-volume datasets now available through modern sensing technologies. As precision irrigation increasingly depends on integrating spatially and temporally nuanced field information, there is a pressing need for decision-support systems that can process Big Data efficiently and respond in real-time. To overcome these limitations, we developed and validated …

Enhancing Walking Culture In Egyptian Cities As An Approach To Energy Harvesting, Kareem M. Ali

Mansoura Engineering Journal

It has become possible to generate clean energy based on the physical effort of individuals, whether during the use of sports equipment or by converting kinetic energy (walking steps) into electricity instead of it being wasted effort. The World Health Organization’s recommendation to walk for at least half an hour daily helps to enhance public health. Therefore, the research proposes dedicating pathways within cities built with energy-generating technology from pedestrian movement and organizing regular walking races to help produce more electrical energy. This would provide part of the urban environment’s electricity needs, reduce the carbon footprint, and enhance public health. …

Enhance The Design Of Low-Cost Fast Charging Battery Systems For Electric Mobility Systems, Omar Matar, Abdalrahman S. Alneklawy, Yara M. El-Hawary, Ahmed M. Elbeshbeshy, Ali Shoman, Ahmed R. Alagmy, Ahmed Mashaly, Arwa G. Saheen, Sahar S. Kaddah, Basem M. Badr

Mansoura Engineering Journal

The need of electric mobility (E-Mobility) systems increases daily, where the E-Mobility systems contribute in decreasing gas emissions from transportation Electric motorcycles (E-Motorcycles) are one of the E-Mobility systems, which reduce the problems resulting from traditional fossil fuel exhausts. This paper discusses the design and development of low-cost battery systems for E-Motorcycles, where a fast charging system is simulated, analyzed, and deployed to charge a battery package that outputs 72V & 8A at rated performance. Research and analysis of different power converter topologies are performed with respect the cost and system performance. A battery tester circuit is designed and built …

Exploring The Role Of Cinema In Architectural Perception Of Biophilic Design., Walaa Abdou Abd Elrazik, Mona Awad Abu El-Enein, Mahmoud M. Saafan

Mansoura Engineering Journal

With rapid urbanization transforming the built environment, biophilic architecture offers a sustainable approach that integrates natural elements to promote well-being and ecological balance. As a powerful storytelling medium, cinema shapes architectural perceptions by depicting both the presence and absence of biophilic principles in future urban landscapes. This study investigates how cinematic depictions of biophilic architecture influence audience understanding and appreciation. Using film content analysis, case studies, and surveys of architectural professionals, this research examines selected film scenes, evaluating the emotional and perceptual impact of biophilic versus non-biophilic environments. Findings indicate that films effectively highlight key biophilic features such as natural …

A Digital Paradigm For Shaping Smart Sustainable New Cities In Egypt, Hayam M. Omayer, Eman H. Ayad

Mansoura Engineering Journal

Shaping the future of cities is a crucial responsibility that depends on today’s developers and designers. In light of the ongoing technological advancements across all fields, cities are obliged to harness this accelerated continuous progress to rescue from global challenges facing communities. Rapid urbanization, population growth, fragile infrastructure, and many other threatening environmental issues have prompted many governments across the world to expedite the digital transformation of cities to achieve sustainable urban progression. In Egypt, planning for smart cities is still taking its first step. Various significant economic, environmental, and social challenges are confronted. This research explores the pivotal role …

The Effectiveness Of Tech Support Fraud In Damaging Older Individual’S Financial Security, Vanessa Perera

Theses : Honours

This study discovers the tactics employed to create detrimental effects upon older people impacted from fraudulent tech-support incidents. It examines social engineering, and financial confusion of older people. This is significant considering adaptations towards digital banking and payment management. This research looked at online and active over 65s. Using largely qualitative approaches over 65s were interviewed and responses validated against cyber-professionals’ responses. This identified three key findings: older adults feel confused and misunderstand tech support scams; threat actors build trust by pretending to offer technical help but use this to deceive their victims; and older adults face serious social and …

Author Bios, Author Bios

Intertidal

Intertidal Vol. 3 Author Bios

Retour Et Maintien Durable Au Travail En Contexte De Petites Et Moyennes Entreprises, Iuliana Nastasia, Marie-France Coutu, Valerie Lederer, Alexandra Lecours, Romain Rives, Marie-Elise Labrecque

Rapports de recherche scientifique

L’incapacité au travail reliée aux troubles musculosquelettiques (TMS) constitue un fardeau important à l’échelle mondiale. La gestion des invalidités et le retour et maintien durable au travail (RMDT) sont essentiels pour prévenir l’incapacité au travail. Des principes de la gestion des invalidités et des bonnes pratiques de RMDT sont établis pour la grande entreprise. Même si plusieurs recherches indiquent l’existence de contraintes particulières pour les petites et moyennes entreprises (PME), peu d’études décrivent les actions de prévention d’incapacité au travail ou les principaux facteurs de difficulté et de succès pour un retour et maintien durable au travail (RMDT) dans ce …

Substitution Du Dichlorométhane, Caroline Couture, Jérôme Lavoué, Philippe Sarazin, Isabelle Valois, Maximilien Debia

Rapports de recherche scientifique

L’exposition aux solvants organiques est une préoccupation majeure en santé et en sécurité du travail. Selon CAREX Canada, 22 000 travailleuses et travailleurs canadiens étaient exposés en 2016 au dichlorométhane (DCM), incluant 5 600 travailleuses et travailleurs québécois. Le DCM est notamment utilisé comme solvant dans les décapants à peinture et les dégraissants, comme milieu réactionnel dans la synthèse de produits pharmaceutiques et de pesticides et comme solvant pour l’extraction de substances organiques. En plus de ses effets irritants et cancérogènes, le DCM peut être responsable d’une carboxyhémoglobinémie par production endogène de monoxyde de carbone lors de sa transformation métabolique. …

Facteurs Facilitants Et Défis Liés À L'Implantation D'Une Intervention Visant La Prévention Des Troubles Musculosquelettiques En Contexte De Travail Saisonnier : Une Étude Dans Le Secteur De La Transformation Alimentaire, Marie-Ève Major, Hélène Clabault, Isabelle Feillou, Nicole Vézina, Audrey Goupil, Nicolas Roux

Rapports de recherche scientifique

Les troubles musculosquelettiques (TMS) sont largement répandus dans les pays industrialisés. La population des travailleurs saisonniers serait particulièrement touchée et le secteur de la transformation alimentaire ne fait pas exception. Ceci peut s’expliquer par une activité marquée par des conditions de travail difficiles où s’entremêlent de fortes contraintes organisationnelles et temporelles, et qui ont des conséquences sur les conditions physiques et psychosociales du travail qu’il est d’usage d’accepter, puisqu’elles sont perçues comme passagères le temps d’une saison. Un tel contexte est même identifié comme pouvant représenter une incompatibilité avec une prise en charge et un suivi des problèmes de santé. …

Évaluation Et Caractérisation De L'Exposition Aux Fumées De Soudage Et Leurs Composantes Métalliques Lors D'Activités De Soudage Au Québec, Michèle Bouchard, Jairo Buitrago-Cortes, Naïma El Majidi, Jonathan Côté, Denis Dieme, Marc Mantha, Philippe Sarazin, Capucine Ouellet, Loïc Wingert

Rapports de recherche scientifique

Problématique et objectifs :

Les fumées de soudage sont classées comme cancérogènes chez l’humain et sont associées à un risque accru de plusieurs autres effets sur la santé des soudeurs. L’objectif général de cette recherche était d’établir la nature et le niveau d’exposition aux composantes métalliques lors d'activités de soudage chez des apprentis soudeurs au Québec, en effectuant des mesures dans différentes matrices biologiques et dans l’air lors d’un suivi longitudinal.

Méthode :Cette recherche a été réalisée dans des écoles d'apprentis soudeurs de la région de Montréal, où les techniques de soudage les plus courantes sont utilisées. Elle a …

Application Of Genetic Algorithm In Container Vessel Stowage Planning With Carbon Tax Considerations, Ming-Feng Yang, Wei-Hao Su, Ko-Meng Hu, Yu-Hsuan Li

Journal of Marine Science and Technology–Taiwan

This study developed a method for optimizing stowage planning for container vessels, a crucial aspect of international trade logistics. Over 80% of global trade depends on containerized transportation; thus, effective stowage planning is essential for minimizing transportation costs and enhancing operational efficiency. In the proposed hybrid optimization approach, integer programming is combined with a genetic algorithm to generate optimal stowage plans. The key factors considered in this method include load capacity limits, stacking constraints, and carbon tax regulations. The proposed method involves maximizing space utilization while minimizing logistics costs, with particular emphasis on reducing port dwell times. The findings of …

Exploring The Red Sea Crisis’S Supply Chain Disruption Impacts On The Shipping Industry, Po-Hsing Tseng, Nick Pilcher

Journal of Marine Science and Technology–Taiwan

Since October 7, 2023, the Houthi militia in Yemen has continuously attacked Israel and its nearby ships in the Red Sea. This crisis has impacted on global ship operations, freight rates, and shipping networks, since this conflict seriously affects the international trade between Europe and Asia and brings many unpredictable butterfly effects (e.g. supply chain disruption, and high transportation costs in shipping and air cargo). This papero explores its impact on the supply chain and suggests potential solutions;, and to consider perceptions on who should be responsible for the crisis, and who will actually shoulder the responsibility for the crisis. …

Operational Risk Evaluation Of Oil Tankers Via Multivariate Gaidai Reliability Framework Incorporating Memory Effects, Oleg Gaidai, Shicheng He, Jinlu Sheng, Yan Zhu, Alaa Elsayed, Mahmoud El-Wazery

Journal of Marine Science and Technology–Taiwan

The retreat of Arctic Sea ice may exert a major impact on economy，potentially transforming the nature of commerce between Asia, Europe, and the Americas. Projections indicate a 40% reduction in transit distance and a 30% decrease in voyage time between Europe and northwest Asia compared to traditional routes such as the Suez Canal. However, even during summer navigation, fragmented floating ice persists, generating stochastic ice loads on vessel bows and hulls through complex ship-to-ice interaction. For structural design, statistical extrapolation methods are required to accurately assess excessive areal bow/hull stresses. This study proposes a novel multi-modal structural damage risk assessment …

New Insights Into Decapod Chemical Communication: A Focus On The Hydrothermal Vent Crab Xenograpsus Testudinatus, Jishnu Panamoly Ayyappan, Mark June S. Consigna, Li-Chun Tseng, Jiang-Shiou Hwang

Journal of Marine Science and Technology–Taiwan

Chemical communication in decapod crustaceans has been extensively studied for over 150 years, with most of the research focusing on sex pheromones. These crustaceans inhabit chemically complex environments and rely on diverse chemical signals for essential behaviors such as mate recognition, predator avoidance, and social interaction. This review synthesizes key findings from studies on shrimp, crayfish, lobsters, and crabs, the most well-documented taxa in crustacean chemical ecology. Various appendages, including the first and second antennae, mouthparts, and walking legs, are involved in chemosensory detection. Special emphasis is placed on chemical communication in extreme environments such as hydrothermal vents (HVs), with …

Geo-Chemical Fractionations Of Phosphorus In Sediments Of Thuy Trieu Lagoon And Cam Ranh Bay, Vietnam, Phu H. Le, Ngoc H. Pham, Dung T. Le, Tuan Linh T. Vo, Binh V. Tran, The V. Ho

Journal of Marine Science and Technology–Taiwan

The geochemical fractions of phosphorus (P) and its bioavailability in sediments of Thuy Trieu Lagoon and Cam Ranh Bay were investigated. Twenty-four surface sediment samples were collected in the dry season (Jun 2024) and the rainy season (Oct 2024). A sequential extraction procedure was applied to identify the phosphorus (P) fractions in sediments, including Exchangeable P (Ex-P), iron-bound P (Fe-P), aluminum-bound P (Al-P), calcium-bound P (Ca-P), and residual P (Res-P). Total P (TP) ranged from 214.9 to 2365.2 µg.g^-1, and the Ca-P fraction was the dominant chemical form in sediments. Based on the results of Pearson correlation and …

Beyond Basic Needs : Exploring The Antecedents And Outcomes Of Seafarers’ Well-Being, Chian Liou, Cheng Kuo Sung, Kimberly Hsiu-Chin Lee, Jiunn Liang Guo

Journal of Marine Science and Technology–Taiwan

Given the importance of seafarers’ mental health and the limited literature on this topic, this study aims to explore the causes and consequences of seafarers’ well-being. A questionnaire survey was conducted, and the data were analyzed using structural equation modeling and hierarchical regression analysis. Consistent with the predictions of the happy and productive worker thesis, this study found that the more satisfied the seafarers are with the shipping company’s seafarer policy, the higher their well-being tends to be, leading to a more positive work attitude. Interestingly, the study found that a company effect is significantly present in this correlation; that …

Advanced Navigational Risk Assessment For Lianyungang Jurisdictional Waters Using Bayesian Network And Risk Matrix, Tie Xu, Kun Xiong, Qinyou Hu

Journal of Marine Science and Technology–Taiwan

In response to the increasingly dense navigation and frequent accidents involving commercial and fishing vessels in the waters under the jurisdiction of Lianyungang in recent years, which have led to complex and severe navigational risk issues, this study proposes a quantitative analysis of navigational risks in the waters of Lianyungang jurisdiction using a combined Bayesian Network (BN) and Risk Matrix Method (LS) navigational risk assessment model. Risk factors are extracted based on accident data and literature review, correlation analysis is utilized to identify the dependency relationships among risk factors, and the findings are integrated with expert inquiry as prior information …