Digital Commons Network^™

Teaching Individuals With Autism To Mand For Choice-Making Opportunities, Sarah T. Kong

Doctoral Dissertations - College of Arts and Sciences

The integration of choice-making opportunities into behavior analytic treatment has produced improvements in the lives of individuals with autism. Although researchers have focused on improving staff presentation of choice-making opportunities (Van der Meer et al., 2017), this approach places choice-making under the stimulus control of staff initiations and may result in missed opportunities for the child to make choices when it is most valuable to them. We evaluated the effectiveness of a mand training procedure to teach individuals with autism to request choice-making opportunities. Single trials were interspersed into participants’ typical treatment programming and contexts were designed to establish the …

Challenges, Trends, And The Role Of Lstm In Ai-Based Predictive Maintenance Of Electrolyzers For Solar Hydrogen Systems: A Review, Yani Koerniawan Kuatno, Muhamad Zahim Sujod

Turkish Journal of Electrical Engineering and Computer Sciences

The transition toward low-carbon energy systems has increased interest in hydrogen as a clean energy carrier, with solar-driven water electrolysis emerging as a promising technology due to its high efficiency and compatibility with renewable energy sources. However, dynamic operating conditions and intermittent renewable input accelerate electrolyzer degradation, reducing reliability and system lifespan. Predictive maintenance (PdM), supported by artificial intelligence (AI), offers a data-driven approach to anticipate failures and improve operational durability. This review systematically investigates AI-based PdM approaches for electrolyzers, with an emphasis on long short-term memory (LSTM) networks and Internet of things (IoT) integration. Following PRISMA 2020 guidelines, 35 …

Exploring Which Ehr Interventions Improve Heart Failure Hospitalization Outcomes Across 10 Hospitals, Sheraz Qamar, Andres Alvarado, Thomas Buckwalter, Patricia C. Henwood, Dana Jordan, Cara Martino, Jeffrey Riggio, Charlotte Sacksteder, Jared Vanderzell, Alan Kubey

Department of Medicine Faculty Papers

BACKGROUND: Heart failure (HF) remains a major cause of mortality and hospitalization despite advances in guideline-directed medical therapy (GDMT). Electronic health record (EHR)-based clinical decision support tools may improve care delivery, but their impact on outcomes remains ill-defined.

PROJECT RATIONALE: As part of a system-wide HF quality improvement initiative, we evaluated 2 EHR interventions: an evidence-based HF admission order set promoting early diuresis and GDMT optimization, and a templated HF documentation tool (HFNOTE) designed to capture clinical complexity.

PROJECT SUMMARY: We analyzed 4,865 HF hospitalizations across 10 hospitals between December 2024 and June 2025. Overall risk-adjusted mortality index was 0.83 …

Evaluating Electronic Health Record Intervention Efficacy In Enhancing Inpatient Initiation Of Guideline-Directed Medical Therapy, Sheraz Qamar, Trisha Sindhu, Charlotte Pirquet, Benjamin Richter, Charlotte Sacksteder, Tatianna Branch, Jeffrey Riggio, Cara Martino, Patricia C. Henwood, Alan Kubey

Department of Medicine Faculty Papers

BACKGROUND: Heart failure (HF) is a leading cause of hospitalization, morbidity, and mortality. Despite evidence supporting guideline-directed medical therapy (GDMT), prescribing remains suboptimal, particularly at hospital discharge.

PROJECT RATIONALE: Hospitalization provides an opportunity to initiate or optimize GDMT, but workflow barriers and practice variation limit implementation. To address this gap, our system implemented a system-wide HF quality improvement initiative featuring evidence-based order sets and an electronic health record smart phrase ("HFNOTE") to centralize and standardize documentation and encourage GDMT use.

PROJECT SUMMARY: We analyzed 2,859 HF hospitalizations across 10 hospitals between December 1, 2024 and June 30, 2025. Use of …

Caregiver Perspectives On Barriers And Facilitators To Adolescent Asthma Self-Management, Sangita Pudasainee-Kapri, Mei Rosemary Fu, Mary Wunnenberg

International Nursing Research Congress (INRC)

Background: Asthma is the most prevalent chronic disease in children and adolescents, disproportionately affecting minority adolescents from lower-income families (CDC, 2022). Adolescents from low-income and marginalized communities often face unique challenges with asthma control and management due to multiple adverse social and environmental factors. Caregivers play a critical role in daily asthma management (Margolis et al., 2019), however, self-management behaviors in minority families may be influenced by several individual and system level factors (Khan et al., 2021; Holley et al., 2017).

Purpose: This study aims to understand caregivers’ perspective on multilevel barriers and facilitators to adolescent asthma self-management in Camden …

Ehr-Based Quality Interventions Associated With Differential Gdmt Prescribing In Community Versus Academic Hospitals, Trisha Sindhu, Charlotte Pirquet, Sheraz Qamar, Tanay-Veer Gandhi, Patricia C. Henwood, Cara Martino, Jeffrey Riggio, Jared Vanderzell, Charlotte Sacksteder, Alan Kubey

Department of Medicine Faculty Papers

BACKGROUND: Institutional barriers are associated with suboptimal guideline-directed medical therapy (GDMT) prescribing at heart failure discharge.

PROJECT RATIONALE: Practice variations between academic medical centers (defined as "teaching" hospitals with residents) and community hospitals are poorly understood. Evaluating how diverse settings respond to quality improvement strategies is vital.

PROJECT SUMMARY: A multicenter study across 10 electronic health record-unified hospitals evaluated 3,535 heart failure encounters. Phase 1 implemented educational work groups and financial incentives; phase 2 introduced clinical decision support systems. Community hospitals responded significantly to phase 1 education/incentives, with mean discharge of GDMT agents rising from 2.19 to 2.44 (P = …

Feasibility And Acceptability Of Perioperative Application Of Biofeedback-Based Virtual Reality Vs Control For Pain And Anxiety In Children And Adolescents Undergoing Surgery: Pilot Randomized Controlled Trial, Anna Lin, Brenna Rachwal, Lindsey Asti, Zandantsetseg Orgil, Isabela Santiago, Lili Ding, Susmita Kashikar-Zuck, Christopher King, Sara Williams, William Black, Peter Minneci, Vanessa Olbrecht

Department of Anesthesiology Faculty Papers

BACKGROUND: The impact of biofeedback-based virtual reality (VR-BF) on pain and anxiety in pediatric surgical patients remains unexplored.

OBJECTIVE: The objective of this study was to evaluate the feasibility and acceptability of perioperative VR-BF use in children and adolescents.

METHODS: We performed a single-blind, 2-arm, randomized pilot trial. Children aged 12 to 18 years undergoing surgery with expected moderate-to-severe postoperative pain and more than 1 overnight admission were randomized (1:1) to the intervention or control group. Participants in the intervention group received VR-BF using ForeVR (functional outcome response to engaging virtual reality [VR]), a novel, gamified digital intervention that integrates …

Exploring Factors That Influence Child Marriage In Mozambique: A Collaborative Research Project, Karla Adu, Brenita Nicholas-Edwards, Jaime Paulo Mathe

International Nursing Research Congress (INRC)

Child marriage affects nearly 1 in 5 young women globally.¹ UN Sustainable Development Goal 5 specifically set a target of eliminating child marriage by 2030.¹ While the prevalence of child marriage is decreasing worldwide, sub-Saharan Africa is experiencing rising levels.² Mozambique has the 8th highest rate of child marriage in the world, with 48% of girls married before the age of 18 and 13% married before the age of 15.³

Child marriage is a complex issue, rooted in poverty and cultural norms. Factors linked to child marriage include limited access to education, job opportunities, and reproductive …

Ecological Determinants Of Youth Marijuana Use: A Longitudinal Mediation Model, Ricardo Zamarripa Ortega, Christopher Browning, Jodi L. Ford

International Nursing Research Congress (INRC)

Purpose: This study explores how activity space collective efficacy strengthens families to buffer against depressive symptoms, which may lead to substance use. By identifying these pathways, we aim to improve prevention strategies.

Methods: Data from the Adolescent Health Development in Context study (n = 1,538) were used for mediation models with 10,000 bootstrap draws. The main predictor was activity space collective efficacy. Mediators were family support and depressive symptoms. The outcome was marijuana use. Models controlled for age, sex, race, caregiver education, and baseline marijuana use.

Results: Collective efficacy predicted increased family support (cross-sectional β = 0.134, 95% CI [0.065, …

Dacum-Based Job Analysis And Educational Needs Assessment Of Community Disability Care Coordinators, Haesun Lee, Gyeonga Kang, Ju Young Yoon

International Nursing Research Congress (INRC)

As of 2024, 2,631,356 individuals in South Korea are registered as persons with disabilities, representing 5.1% of the total population. They are at increased risk of preventable secondary health conditions and chronic diseases, further exacerbated by social and environmental barriers such as limited mobility, insufficient provider awareness, and inadequate disability-friendly healthcare infrastructure. These challenges underscore the need for a multidisciplinary team-based approach, in which care coordinators play a critical role. However, despite the establishment of Regional Health and Medical Centers for Persons with Disabilities, coordinators’ roles remain poorly defined, and structured training programs are lacking.

This study was conducted in …

The Safer-Ai Use™ Framework: A Systems Approach For Ethical And Responsible Ai In Nursing Education, Marie Kelly Lindley, Heather S. Cole, Amber Senetza

International Nursing Research Congress (INRC)

Purpose - To introduce the SAfER-AI Use™ Framework, a systems-based conceptual model to guide educators in the ethical and responsible use of generative AI.

Background - Generative AI is entering nursing education faster than leaders can evaluate its risks. Educators increasingly use large language models (LLMs) for assessments, scenarios, rubrics, and accreditation tasks, yet LLMs generate fluent but non–human-derived output that may contain inaccuracies or bias. Recent scholarship describes AI exemplars and risks (1), faculty needs and readiness (2), and calls for policy engagement (3). Yet discipline-specific conceptual models are lacking, especially those addressing the human–AI interface and safeguards at …

Developing A Near-Peer Teaching Clinical Placement Model To Enhance Students’ Self-Efficacy Beliefs, Beth Pierce, Thea Van De Mortel, Jeanne Allen

International Nursing Research Congress (INRC)

Near-peer teaching (NPT) involves senior students teaching junior students from the same discipline (Zheng & Wang, 2022). While NPT is integrated extensively in medicine, it recently gained traction in nurse education (Irvine et al., 2018). Near-peer teaching in classrooms/laboratories has been found to enhance senior nursing students’ leadership and teaching skills and junior nursing students’ knowledge and psychomotor skills (Irvine et al., 2018; Zhang et al., 2022). Less is known about its integration in nursing students’ clinical placements (Pierce et al., 2024), nor its influence on their self-efficacy beliefs, both essential to future clinical performance (Abusubhiah et al., 2023).

This …

Degree Assortativity And Estimation Of Degree Distribution In A Contact Network Of People Who Inject Drugs, Peter Geissert

Dissertations and Theses

This dissertation analyzes data from a respondent driven sampling (RDS) study of people who inject drugs in Portland, OR.  The objective was to assess assumptions for the use of weighted estimators to estimate a population physical contact (syringe sharing) network degree distribution.

Visualization of degree distribution for social and physical networks, Kolmogorov-Smirnov tests of difference, and kernel tests of equivalence were used for comparison of distributions. Spearman's rho and GAM non-parametric regression models were used to test for association and assess non-monotonic relationship. The validity of Markov chain assumptions for RDS was assessed using a transition matrix, Markov chain graphs, …

Kindra O\'Bryant V. Dcp&P

2026 Decisions

USDC for the District of New Jersey

Multilayered Childhood Adversity And Mortality: A Population-Based Cohort Study Of 1.2 Million Individuals, Naja Hulvej Rod, Signe Kær Bennetsen, Leonie K. Elsenburg, Clive E. Sabel, David Taylor–Robinson, Dora Kovacs, Adrian G. Zucco, Tjeerd Rudmer De Vries

School of Geography, Earth and Environmental Sciences

Background: Childhood adversity is multi-layered, extending beyond the family to include broader neighbourhood and health contexts. We aimed to investigate how these multiple layers of childhood adversity relate to the risk of death in young adulthood. Methods: Children were followed from birth into young adulthood (16–42 years) using nationwide register data on multi-layered childhood adversity and mortality. Individual adversity included perinatal adversity (preterm or small-for-gestational-age) and mental and physical health-service use. Family adversity included five distinct groups using group-based multi-trajectory modelling based on 12 adversities. Neighbourhood adversity included material deprivation in small-area geographical zones. We evaluated associations of these layers …

Successful Treatment Of Recurrent Epithelioid Trophoblastic Tumor (Ett) With Pembrolizumab After Pembrolizumab: A Case Report And Review Of Literature In Treatment Of Ett, Sarah Mokma, Sarah Alnaif, Nicholas Cardillo

Abington Jefferson Health Papers

BACKGROUND: Epithelioid Trophoblastic Tumors (ETT) are rare, which makes an optimal treatment regimen difficult to determine. Since PD-L1 is expressed in placental tissue and in gestational trophoblastic neoplasia (GTN), immunotherapies such as pembrolizumab have been proposed as possible treatments.

CASE PRESENTATION: The case presented is a 50-year-old postmenopausal female who presented with postmenopausal bleeding and a large, fungating cervical mass. Cervical biopsies confirmed ETT. The patient underwent primary debulking surgery with radical abdominal hysterectomy, bilateral salpingo-oophorectomy, and sigmoid colon resection. The patient was diagnosed with a FIGO Stage IV ETT due to tumor extension to sigmoid colon with a high-risk …

Dissecting The Dissection Laboratory: Elements For Designing A Human Anatomy Laboratory: The Human Anatomy And Physiology Society (Haps)-Anatomical Donor Stewardship (Ads) Committee, Lab Resources Subcommittee, Rhiannon E. Robinson, Abbey Breckling, Danielle N. Edwards, Nicole Geske, Burhan Gharaibeh, Bobbie J. Leeper, Molly Ostwald, Mary Schilling, Bridgett Severt, Kelsey Stevens, J.P. Swigart, Jonathan J. Wisco, Melissa Zolnierz, Jeremy J. Grachan

Faculty and Staff Publications

The human anatomy dissection laboratory is a critical component of anatomical and medical education. Development, maintenance, and stocking of these laboratory spaces have unique demands, with all of the challenges in running a laboratory with Biosafety Laboratory Level 2 (BSL-2) classification, housing a large volume of tissues saturated with volatile chemicals, and safeguarding human beings all within the same space. At times, educators or laboratory managers may be tasked with helping to design a new anatomy laboratory from scratch, to give input on the renovation of an existing laboratory space (which may or may not have been used with human …

Lsab Minutes September 2026, Shawna Battle, Maryke H. Barber

WRL Newsletters

No abstract provided.

Zoonotic Fish Parasites That Pose Risks To Human Health In Türkiye, Ahmet Özer

Turkish Journal of Zoology

Fish-borne zoonotic diseases have been documented as the causative agents of considerable problems for humans on a global scale. This paper, for the first time, reveals the current zoonotic parasites of fish from wild and cultured hosts in marine, freshwater, and aquarium environments, as well as in native, endemic, and introduced hosts across different geographical areas and seas in Türkiye, based on published data to date. According to the latest global reports, zoonotic fish parasites in Türkiye are dominated by nematodes (17 species), trematodes (11 species), and cestodes (four species), followed by acanthocephalans (two species) and myxozoans (two species). The …

Cover And Contents

Turkish Journal of Zoology

No abstract provided.

Otolith Morphological Variations Reveal Intraspecific Diversity In Two-Spot Barb, Pethia Ticto (Hamilton, 1822), Inhabiting The Riverine Ecosystem, Insha Hassan, Lubna Yasmeen, Mohd Sadiq, Ameer Hamza, Mohammad Afzal Khan

Turkish Journal of Zoology

The intraspecific variation in otolith wavelet coefficients, contours, and morphometric variables (six size and nine shape indices) was analyzed to discriminate stock variation in Pethia ticto collected from four selected sites along the River Ganga (Narora, Kanpur, Varanasi, and Bhagalpur). The wavelet coefficients extracted revealed symmetrical yet site-specific contour variations, particularly along the rostral, dorsal, and posterior margins, with the fourth-level wavelet explaining 98% of the cumulative accuracy and being selected for contour analysis. Permutational analysis of multivariate dispersion (PERMDISP) (F = 6.11, p = 0.002) and permutational multivariate analysis of variance (PERMANOVA) (F = 8.42, R2 = 0.179, p …

Predictors Of Psychological Strain In College Students In The Context Of The Covid-19 Pandemic, Randy M. Ludwig

Journal of Social, Behavioral, and Health Sciences

The coronavirus disease 2019 (COVID-19) pandemic exacerbated the traditional challenges of being a college student. This study examined the factors associated with the mental health difficulties many college students faced during the pandemic. Factor analysis was used to uncover a latent variable called psychological strain, which was composed of mental instability, mental health strain, sadness, anxiety, and unhappiness. An exploratory path model was created to determine which factors most closely related to psychological strain. Of the 14 factors considered, 11 were significant predictors. Overall, the most important risk factor was found to be social isolation (total effects = .437), while …

Virtual Lunch And Learn: Efficient Database Translation, Stefanie Lapka

TMC Library Newsletter (2015-)

Searching across multiple databases is an important part of a comprehensive literature search—but translating a search strategy from one database to another takes more than simply copying and pasting.

Join us for September's Lunch & Learn to explore database translation. Register to attend this virtual session.

Resources Feature: Explore Public Opinion Data With Roper Ipoll, Joanne Romano

TMC Library Newsletter (2015-)

Looking for public opinion or survey data? Roper iPoll, available through the TMC Library, provides access to nearly one million survey and poll questions and responses covering decades of public opinion research.

Explore Roper iPoll through the TMC Library’s A–Z Databases: https://bit.ly/4rixZFk

History Of Medicine Seminar Returns For Fall 2026, Alice Sherwood

TMC Library Newsletter (2015-)

The History of Medicine Seminar is back for the Fall 2026 semester! This longstanding collaborative series brings together the TMC community for conversations exploring the history of medicine, archival collections, philosophy, and morally relevant questions in medicine.

View the Fall 2026 History of Medicine Seminar schedule

Black Existential–Spiritual Counseling: A Content Analysis, Miles Matise

Journal of Social, Behavioral, and Health Sciences

Black American existential–spiritual counseling integrates existential philosophy with the unique cultural, historical, and spiritual contexts of Black Americans to address their psychological and spiritual needs. Rooted in the lived experience of systemic oppression, alienation, and the quest for identity and freedom, this counseling approach emphasizes meaning-making, personal responsibility, and authentic living. It acknowledges the interconnectedness of spirituality and psychology, recognizing the importance of the Black church, music, and communal values in fostering resilience and empowerment. Drawing on existential themes, such as mortality, freedom, loneliness, and purpose, this approach supports clients in navigating sociocultural stressors and generational trauma through a spiritually …

Caregiver Burden And Health-Related Quality Of Life Among Parents Of Children With Duchenne Muscular Dystrophy, Ahmed K. Bamaga Bamaga

Journal of Medical Rehabilitation Science

Background: Caring for a child with Duchenne muscular dystrophy (DMD) places significant physical and emotional demands on parents and may negatively affect caregiver quality of life (QoL). This study assessed caregiver burden and QoL among parents of children with DMD.

Methods: This study included 77 parents of children with genetically confirmed DMD recruited from two pediatric neurology and pediatric neuromuscular clinics (King Abdulaziz University Hospital and Alsalama Hospital, Jeddah, Saudi Arabia). Caregiver burden was assessed using the 22-item Zarit Burden Interview (ZBI), and caregiver QoL using the Short Form-36 (SF-36) physical and mental component summary scores (PCS, MCS). Group comparisons, …

Neonatal Outcomes In Twin Pregnancies With Birthweight Discordance: A Five-Year Retrospective Cohort Study, Marjan Mahboubi, Shadya Mohammed Salim Al Saeghi, Hansa Dhar, Dina Mohamed Abd El Fatah, Rowaida Elraih Omran Mensour, Qamariya Khalfan Saud Ambu-Saeidi

Sultan Qaboos University Medical Journal

Objectives: This study aimed to evaluate neonatal outcomes associated with birthweight discordance in twin pregnancies managed at a regional tertiary care centre in Oman. Methods: This five-year retrospective cohort study (2020–2024) was conducted at Nizwa Hospital, Nizwa, Oman, and included twin pregnancies of ≥ 24 weeks' gestation. Birthweight discordance was defined as ≥ 20%. Multivariable logistic regression analysis was performed, adjusting for gestational age at delivery, chorionicity, preeclampsia and gestational diabetes mellitus. Results: A total of 226 twin pregnancies were included, of which 45 (19.9%) had birthweight discordance ≥ 20%. Discordant pregnancies were delivered at an earlier gestational age than …

Common Ground Newsletter Fall 2026, Missouri University Of Science And Technology

Common Ground

- Q&A Experiences

- Shaping the next generation

- Chi Epsilon earns four awards

- Summer Camps

- Design Team Results

The Current - Volume 37 Issue 02, Nova Southeastern University

Student Newspapers

No abstract provided.