Digital Commons Network^™

Celebrating Academic Excellence The 2026 Lindenwood Showcase, Lindenwood University

Archived Lindenwood Press Releases

No abstract provided.

What Safety Data Misses, And How We Learn To See It, Mike Rayo

Grand Rounds

ACCME Objectives

1. Differentiate reliability, robustness and resilience (graceful extensibility).
2. Differentiate incident-based, capability-based, and adaptation-based perspectives.
3. Understand how different perspective miss what systems can hide.
4. Understand the benefits and difficulties of an Operational Health Management program.

ANCC Learning Outcomes

1. Maintain and advance knowledge and skills related to pediatric conditions seen in our region.
2. Increase collaboration across professions of the healthcare team.

Spectaor 2026-05-21, Editors Of The Spectator

The Spectator

No abstract provided.

Indocyanine Green Focused Near-Infrared Fluorescence Lymphography Localization In Treatment Of Chyle Leak After Mastectomy With Targeted Left Axillary Sentinel Node Biopsy For Breast Cancer., Bradley C Kruithoff, Dawn Cox, Mark Cripe

Women’s Health Articles

We present a woman in her 60s who underwent bilateral mastectomy with left axillary targeted lymph node biopsy in the setting of high grade invasive ductal carcinoma of the left breast with metastasis to a left axillary lymph node. Her postoperative course was complicated by high output milky drainage from her left axillary surgical drain, consistent with a chyle leak, after confirmatory testing demonstrated drain fluid with high triglyceride content. The patient failed non-operative management consisting of low-fat diet and compressive measures. Ultimately, the patient returned to the operating room where indocyanine green near-infrared fluorescence lymphography was used to localized …

The State Of Georgia's Healthcare System And The Uninsured Children In Coastal County, Staci L. Mitchell

Walden Dissertations and Doctoral Studies

No abstract provided.

Exploring The Social Structures Developed By The Internally Displaced Persons (Idps) To Govern Their Lives During Displacement, A Burkina Faso Case Study, Abdou-Salam Savadogo

Walden Dissertations and Doctoral Studies

No abstract provided.

Implementation Of Vanderbilt Acuity Tool In The Emergency Department, Ogemdi Millicent Asaa

Walden Dissertations and Doctoral Studies

No abstract provided.

``Evaluation Of Molybdenum Content In 99Mo/99mTc Generators Eluate'', Sunnia Shafiq, Hafiz Khush Naseeb Ahmad, Hina Manzoor, Sadiqullah Sadiqullah, Hashir Saeed, Muhammad Sadiq, Shehla Iftikhar

Journal of King Abdulaziz University: Engineering Sciences

Objective This study aimed to assess the reliability and purity of technetium-99m (^99mTc) generators produced by the Pakistan Institute of Nuclear Science and Technology (PINSTECH), known as PAKGEN, by evaluating the molybdenum (⁹⁹Mo) breakthrough levels over five years. Maintaining low ⁹⁹Mo levels is crucial for patient safety and high-quality diagnostic imaging in nuclear medicine. Methods: 189 PAKGEN ^99m Tc generators were tested at the Centre for Nuclear Medicine and Radiotherapy (CENAR) in Quetta, Pakistan, from December 2019 to December 2023. Each generator was eluated daily from Monday to Saturday, and the molybdenum content in the …

Optimizing Gated Rnns, Joshua Paul Fechete

Honors Projects

Gated recurrent neural networks such as Long Short-Term Memory (LSTM) and Gated Recurrent Units (GRU) help fix instability present in normal recurrent neural networks. This allows them to be used for various real-world tasks, and due to their architecture, they are uniquely qualified to handle variable sized input such as text. However, even before training can begin on a machine learning model, various hyperparameters must be chosen to decide how the model will be architectured. Choosing good hyperparameters is vital for creating a model that performs well but is not larger and more computationally expensive to run than it needs …

Organizational Redevelopment: A Systematic Approach To Behavioral Health Mergers, Acquisitions, Or Consolidations, Inesha Shairon Trahan

Walden Dissertations and Doctoral Studies

No abstract provided.

Shoplifting: Analyzing Spatial And Temporal Patterns, Elizabeth Petrenko

Dissertations and Theses

Shoplifting has contributed to significant losses in Oregon, reaching nearly $956 million in 2022. While overall property crime in Portland, Oregon, dropped between 2023 and 2024, reported shoplifting incidents increased by 50.0%. In Oregon, stealing property worth $100 or less is third-degree theft and a Class C misdemeanor. Second-degree theft involving stealing property between $100 and $1,000 is a Class A misdemeanor. Although often classified as petty or minor theft, shoplifting imposes strain on retailers, consumers, and communities, which raises questions about the spatial and temporal distribution of this crime. This study uses Portland Police Bureau (PPB) offense data to …

Electronic Research Notebooks And Partnership Checklists: Fostering Cultured Collaboration In Evidence Synthesis Projects Using Labarchives And Swirl-Sr, Gary Kaplan, Mslis, Ahip, Abby Adamczyk, Mlis, Ahip, Emmett Booth, Mlis, Ahip, Stephanie Roth, Mlis, Ahip

Academic Commons and Scott Memorial Library Staff Papers and Presentations

Background

Librarians providing evidence synthesis services often face project management challenges, from tracking progress on search strategy development to clarifying team roles. Librarians have a variety of tools to address these challenges.¹ We propose using electronic lab notebooks (ELNs), which standardize how scientists record research progress. Institutions have adapted ELNs to protect intellectual property and improve rigor and reproducibility.

Although many published systematic reviews report following guidelines such as PRISMA, they still lack rigor and reproducibility.² Therefore, one of the authors developed the Standards for Working with Research Librarians-on Systematic Reviews (SWiRL-SR) checklist to facilitate collaboration and improve …

A Quantitative Study On Broadband Access Rates In K-12 Schools And Student Academic Achievement, Tonya Michelle Todd

Electronic Theses and Dissertations

As technology evolves, so do K-12 educational platforms and policies. However, research into broadband access’s influence on student academic achievement is limited and some are outdated. Without adequate knowledge on the topic, educational and policy leaders are at risk of misallocating educational technology funds. Given the substantial monetary investment involved in the implementation of this public education policy and the limited research on the influence of broadband access rates on student academic achievement, the purpose of this study is to investigate whether the SC Educational Technology Plan’s broadband expansion influenced student academic performance.

This quantitative study sought to determine whether …

Usa V. Devon Williams

2026 Decisions

USDC for the Middle District of Pennsylvania

Your Land Is My Land: Why Utah's Public Land Belongs To The United States, Corey Gardner

Penn State Law Review (2003 - Present)

No abstract provided.

Asian American Multiraciality And Cultural Wealth In Higher Education, Marielle Song Lyons

Master's Theses

Multiracial Asian American college students endure pervasive and commonplace monoracism, multiracial microaggressions, and deficit-based narratives in higher education, which negatively impact their sense of self, belonging, and mental health. Through narrative methodology, the present qualitative study captures the stories of three multiracial Asian American undergraduate students and how they are making sense of their racialized experiences and cultural wealth in higher education. The results of this study suggest that (a) multiracial Asian Americans experience monoracism and multiracial microaggressions, which shape their understanding of cultural legitimacy and impact their behavior, sense of self, and relationships with others; (b) monoracism and multiracial …

Meeting Their Needs: Experiences Of Uc Berkeley International Graduate Students Navigating Financial Strain, Ryann M. Hirt

Master's Theses

Of prior research on student experiences with financial strain, little has specifically focused on international student experiences in higher education while studying in the U.S., in tandem with financial strain. This qualitative study, through utilization of narrative methodology, explores the ways in which international students–in particular, graduate students–experience and navigate financial strain during their studies at a large, R1: Doctoral university: the University of California, Berkeley. The research was guided by three questions: (a) What are UC Berkeley international students’ stories of navigating financial strain? (b) What are the experiences of UC Berkeley international students with external and internal (campus) …

The Effectiveness Of Mastery Learning On Student Achievement Across Stem Disciplines: A Meta-Analysis, Francis Siangco Estabillo

Doctoral Dissertations

Mastery learning has been one of the most extensively researched instructional strategies in education, studied continuously since the 1960s. Prior meta-analyses have consistently found positive effects of mastery learning on student learning outcomes, however, none have examined its effectiveness on student achievement explicitly within science, technology, engineering, and mathematics (STEM) disciplines.

This comprehensive meta-analysis investigated the effectiveness of the mastery-learning instructional strategy on student achievement across STEM disciplines in K-12 and higher-education contexts. A systematic literature search yielded 85 studies with combined sample sizes of 10,244 participants that met the inclusion criteria. Heterogeneity was assessed using Q,I^{2 …}

Returns To Green Tasks In Europe: Evidence From Online Job Vacancies, Leanne Cass, Federico Fabio Frattini, Aurélien Saussay, Misato Sato, Francesco Vona

Fondazione Eni Enrico Mattei Working Papers

There is growing evidence that green jobs have higher skill requirements, but whether they offer sufficient wage incentives to encourage workers to acquire those skills remains unclear. We study the green wage premium and its drivers to isolate the average return to green tasks using online job vacancy (OJV) data for EU countries over the period 2018-2023. We develop a transparent LLM-based approach to classify job vacancies as green when they list at least one green task. Green jobs pay a premium of 5.5% relative to comparable postings within the same occupation, and this estimate is little changed when controlling …

Improving Graft-Versus-Host Disease Documentation Through Provider Education On An Epic-Based Gvhd Documentation Flowsheet, Emily Shearon

Doctoral Projects

Graft-versus-host disease (GvHD) is a common and serious complication following allogeneic hematopoietic stem cell transplantation (HSCT). Accurate documentation of GvHD severity and management is essential for clinical decision-making, interdisciplinary communication, and regulatory reporting to organizations such as the Foundation for the Accreditation of Cellular Therapy (FACT) and the Center for International Blood and Marrow Transplant Research (CIBMTR). Despite the availability of structured documentation tools within the electronic health record (EHR), their utilization is often inconsistent. The purpose of this quality improvement project was to evaluate whether a targeted provider-focused intervention could improve completion rates of a standardized GvHD documentation flowsheet …

Improving Early Detection Of Dementia In Primary Care, Terry E. Smith

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Dementia remains under-detected in primary care despite recommendations to assess cognitive health during Medicare’s Annual Wellness Visit (AWV). Persistent gaps in clinician knowledge and workflow standardization contribute to delayed diagnosis and missed opportunities for early intervention. Strengthening early detection practices is essential to improving outcomes for individuals with dementia. This project aimed to improve early detection of dementia by implementing a brief clinician education program and evaluating its impact on dementia knowledge, mild cognitive impairment (MCI) diagnostic coding, and utilization of the Cognitive Assessment and Care Planning Visit (CACPV). The DNP (Doctor of Nursing Practice) project was conducted in two …

A Decade Of Coffee Research In Indonesia, Philippines, And Vietnam (2015–2024): Bibliometric And Thematic Insights For Philippine Coffee Science, Analiza D. Resurreccion, Christian P. Gopez, Henry Leen A. Magahis, Leslie Anne L. Liwanag, Feorillo A. Demeterio Iii

Forest and Society

Coffee is a key agricultural commodity in Southeast Asia, with Vietnam and Indonesia ranking among the world's leading producers, while the Philippines faces declining output and fragmented research efforts. This study compares coffee-related research in Indonesia, Philippines, and Vietnam from 2015 to 2024 to inform strategies for strengthening Philippine coffee science. A mixed-methods scientometric and thematic approach was applied to a corpus of Scopus-indexed journal articles. Descriptive bibliometric indicators were used to examine research productivity, citation visibility, collaboration structures, institutional participation, funding composition, and disciplinary coverage. Longitudinal patterns in selected indicators were assessed using non-parametric trend analysis (Kendall's τ and …

An Integrated Value Chain Analysis Of Large Cardmom (Amomum Subulatum Roxb): A Case Of Bhutan, Laxmi Chetri, Muneer Ahmad Magry

Forest and Society

This study explores the value chain of large cardamom in Tsirang, Bhutan, through a field survey of 260 households engaged in cardamom farming, using a semi-structured questionnaire. The findings reveal a relatively simple value chain: upstream actors include both male and female farmers who cultivate, harvest, and dry the cardamom, while downstream actors are primarily male local and regional traders who purchase, transport, store, and export the product. Women are largely confined to upstream roles, with limited or no participation in downstream activities. The relationship between farmers and traders is predominantly transactional, lacking formal contracts or advance financing. A cost-benefit …

Co-Occurring Clonal Hematopoiesis Exhibits Strong Selection And High Leukemia Risk, Kara M Barnao, Irenaeus C C Chan, Duc Tran, Yin Cao, Kelly L Bolton, Et Al.

2020-Current year OA Pubs

Clonal hematopoiesis of indeterminate potential (CHIP) and mosaic chromosomal alterations (mCAs) are two types of clonal hematopoiesis (CH) associated with hematological parameters and malignancy risk. Here we show, in genomic data from 546,090 biobank participants, that co-occurring CH (≥2 CH mutations detected) is present in 1.6% of cancer-free individuals and shows strong evidence for selection (up to 804x enrichment). Co-occurrence is more frequent in those with a prior cancer (3.6%), suggesting treatment-induced selection. Acquisition of CHIP usually precedes mCAs with co-occurrences manifesting stronger phenotypic disruptions in telomere attrition and hematologic parameters than component CH events. Individuals with co-occurring CH have …

Evaluating The Effect Of Implicit Bias Training On Healthcare Staff In An Outpatient Mental Health Clinic, Mah Awoh

Walden Dissertations and Doctoral Studies

No abstract provided.

Volume 35, Issue 2: Contents

Washington International Law Journal

No abstract provided.

Axitinib-Pembrolizumab And Adverse Event Management In Patients With Advanced Renal Cell Carcinoma, Neil Shah, Yaa Ababio, Anthony Eccleston, Dharanija Rao, Scott Kelly, Jane Chang, Sarah Lucht, Caleb Paydar, Bryce Van Doren, Emily Bland, William John, Sarah Giegerich, Jalyna Laney, Bruce Feinberg, Kevin Zarrabi

Kimmel Cancer Center Faculty Papers

IMPORTANCE: Understanding approaches to managing treatment-related adverse events (AEs) in immunotherapy and tyrosine kinase inhibitor-based treatments in a clinical setting is critical for reaching optimal patient outcomes.

OBJECTIVE: To investigate the management of AEs in community practices during first-line axitinib plus pembrolizumab therapy for advanced renal cell carcinoma (aRCC).

DESIGN, SETTING, AND PARTICIPANTS: This study comprised a cross-sectional electronic physician survey and a multisite, retrospective cohort study of the medical records of US patients with aRCC who initiated first-line axitinib-pembrolizumab between April 22, 2019, and January 31, 2024. Data were analyzed from September 18 to December 20, 2024.

EXPOSURE: First-line …

Titanium Dioxide: An Inquiry Into The Mechanisms And Implications Of Exposure In Gut Dysbiosis And Metabolic Disorders, Meghan Gardiner

Senior Honors Theses

Titanium dioxide (TiO₂) is one of the most prevalent food additives utilized in commercial products in the United States. While TiO₂ was originally hailed as a nontoxic and cost-effective additive, studies are beginning to reveal that TiO₂ is not as safe as it once seemed. TiO₂ may contribute to the development of insulin resistance and metabolic disorders through direct and indirect mechanisms. The compound induces gut dysbiosis, leading to alterations in bacterial metabolites and pro-inflammatory cytokines, which results in the selective resistance of glucocorticoid receptors. Additionally, TiO₂ itself can translocate from the gut to …

Vol 6. May '26 Cover, Publishing, And Table Of Contents, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

Community Engagement To Rebuild Confidence In Public Health, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.