Digital Commons Network^™

Impact Of An Education Intervention Provided To Staff Regarding Depression In The Lgbtq+ Patient Population, John D. Plasch

DNP and Student Works

This Doctor of Nursing Practice (DNP) quality improvement project addressed gaps in depression recognition among LGBTQ+ patients by implementing a targeted educational intervention for healthcare staff in a primary care clinic serving a large LGBTQ+ population. LGBTQ+ individuals experience disproportionately high rates of depression, yet missed screening opportunities and limited provider knowledge contributed to underdiagnosis at the project site. Guided by Kurt Lewin's Change Theory and the Plan‑Do‑Study‑Act (PDSA) model, the project used a quasi‑experimental pre‑/post‑design to evaluate changes in staff knowledge and self‑efficacy using the Learning Self‑Efficacy Scale (L‑SES). The training improved staff awareness of LGBTQ+-specific depression risk factors, …

2026 Commencement Program For The School Of Nursing And Health Sciences And The School Of Engineering And Computational Sciences, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The School Of Nursing And Health Sciences And The School Of Engineering And Computational Sciences – Accessible Version, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The Girard School Of Business, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The Girard School Of Business – Accessible Version, Merrimack College

Commencement Programs

No abstract provided.

Graduate Commencement Exercises Program, May 14, 2026

Bryant University Commencements

No abstract provided.

Psychometric Framework For Coexistence With Large Carnivores, Benjamin Ghasemi, Gerard Kyle, Tara Teel, Rebeca Niemiec, Kevin Crooks, Jenny Anne Glikman, Neil H. Carter, John A. Vucetich, Michelle L. Lute, Stewart Breck, Beatrice Frank, Dana Hoag, Jonathan Salerno, Lily M. Van Eeden, Jeremy T. Bruskotter

Michigan Tech Publications

Human–carnivore coexistence is essential for biodiversity conservation, yet measuring the attitudes and behaviors that support it remains methodologically challenging. We developed psychometric scales to assess willingness to coexist with carnivores and the underlying beliefs of this coexistence through an iterative expert elicitation process grounded in risk perception theory and moral psychology to ensure strong content validity. The scales measure willingness to coexist and encompass individual and collective behaviors and their cognitive antecedents: perceived positive consequences, perceived negative consequences, and ethical considerations. We validated the scales based on three representative samples of Colorado residents (n = 434, 442, 433) focused on …

Swept Into The Crisis: A Phenomenological Study Of Staff And Adaptive Leadership During The Pandemic, Alexandra Deremer

Electronic Theses and Dissertations

Beginning in the fall of 2020, the pandemic created unparalleled challenges as schools reopened following extended closures, requiring school communities, with staff at every level, to rapidly adapt to evolving protocols, expanded job responsibilities, and ongoing uncertainty. This phenomenological study explored how building staff, such as custodians and teachers, perceived the leadership behaviors exhibited by principals during the implementation of COVID-19 disinfecting mandates and changes to school operations. Using Heifetz et al.’s (2009) adaptive leadership framework as a foundation, the intent of this research was to address three specific research questions that centered on staff perceptions of administrators’ response plans …

Choosing Play: A Quantitative Case Study On The Impact Of Play-Based Learning Compared To Direct Instruction In An Urban Kindergarten, Deborah Mary Arlauskas

Educational Studies Dissertations

Choosing Play: A Quantitative Case Study on the Impact of Play-Based Learning Compared to Direct Instruction in an Urban Kindergarten examines the academic and behavioral outcomes of kindergarten students in two urban public schools: one implementing a play-based instructional approach grounded in JEDI (justice, equity, diversity, and inclusion) practices, and the other using direct instruction. Rooted in Froebel’s original purpose for kindergarten to nurture the whole child through play, social connection, and interaction with nature, this study returns to the developmental intent behind the creation of kindergarten itself. Standardized literacy performance was measured using the Measures of Academic Progress (MAP) …

The Lead, End-Of-Spring 2026, Lindenwood University

The Lead

Newsletter from the Lindenwood University College of Education and Human Services.

Thrombin-Induced Myofibroblast Differentiation Is Regulated By Myocardin And Novel Effector Genes In Ipf Fibroblasts, Christiana Okeke

Biotechnology Theses

Idiopathic pulmonary fibrosis (IPF) is a progressive interstitial lung disease characterized by fibroblast activation, excessive extracellular matrix (ECM) deposition, and irreversible respiratory decline. In this study, we investigated the role of myocardin and its downstream effectors, RGS5, DLGAP5, and TAGLN, in thrombin-induced myofibroblast differentiation and ECM remodeling using primary human IPF fibroblasts. Myocardin knockdown significantly attenuated thrombin-induced expression of profibrotic genes, including FN1, COL1A1, PAI-1, ACTA2, and CNN1, as well as the novel effectors RGS5, DLGAP5, and TAGLN, confirming myocardin as a central regulator of fibrotic signaling. Silencing RGS5 produced minimal effects on gene and protein expression despite minor downward …

Identification Of Proteins With Immune Stimulatory Activities From The Culture Filtrates Of Nontuberculous Mycobacteria, Christian Albert Agyei Acheampong

Biotechnology Theses

Nontuberculous mycobacteria (NTM) are the mycobacterial species other than Mycobacterium tuberculosis, which causes tuberculosis, and Mycobacterium leprae, which causes leprosy. Diseases caused by NTM are on the rise in the United States and are steadily becoming a significant public health problem globally, particularly in developed countries. Despite the ability of NTM pathogens to interact with the host immune system, the proteins responsible for eliciting host immune responses remain unidentified, making the accurate and timely diagnosis of the disease a challenge. In this study, we tested the hypothesis that NTM strains secrete proteins that stimulate immune responses. Our study …

Mapping And Framing Circular Economy In The Sixth Assessment Report Of The Intergovernmental Panel On Climate Change: A Systematic Text Analysis, Marta Castellini, Nadezhda Ushakova, Sergio Vergalli

Fondazione Eni Enrico Mattei Working Papers

Although the circular economy (CE) is recognised as a key climate mitigation strategy, its integration within global climate frameworks, such as those developed by the Intergovernmental Panel on Climate Change (IPCC) in its Assessment Reports, remains unclear. This study provides a systematic analysis of how the circular economy is framed in the climate-mitigation context of the IPCC Sixth Assessment Report using a mixed-methods approach that combines computational text analysis with qualitative content analysis through sentence-level manual coding. Eight Chapters relevant to the mitigation were examined and findings show that CE is most frequently framed as a supporting strategy (44.3%), followed …

Underlying Mechanisms In The Relationship Between Ptsd And Irritable Bowel Syndrome, Jillian B. Heymann

Dissertations

Current bodies of knowledge support the relationships between posttraumatic stress disorder (PTSD) and irritable bowel syndrome (IBS), pain catastrophizing and PTSD, and pain catastrophizing and IBS. However, much less is known regarding how pain catastrophizing influences the relationship between PTSD and IBS. Additionally, while correlations between some demographic and trauma-related symptomatology have been elucidated in the relationship between PTSD and IBS, their impact as potential moderators on the relationship between PTSD and IBS has yet to be fully examined. Examining a student sample from a large midwestern university, the present study aimed to investigate the potential mediating and moderating roles …

Decolonizing The Home: Anti-Racist Parenting In Asian American Families And Its Effects On Children's Mental Health, Danielle Angela R. Soriano

College Honors Program

Few studies in the field of psychology have investigated how anti-racist and anti-colonial parenting styles are practiced, especially within the Asian American community. The current study aims to investigate how anti-colonial and anti-racist parenting practices are explicitly manifested and their relationship with mental health in Asian American communities. This study concludes by proposing new directions in literature and exploring how anti-colonial approaches can support positive mental health outcomes in children and adolescents. By borrowing questions from the California Department of Education Parent Engagement Module Series and developing new items tailored to our participants’ demographics, we found that the majority (n …

From Evidence To Practice: Improving Diabetic Patient Outcomes By Increasing Statin Utilization, Elizabeth Mcfalls

Evidence-Based Practice Project Reports

Cardiovascular disease (CVD) prevention in patients with diabetes is essential, as heart disease remains the leading cause of death within this population (American Diabetes Association, n.d.). The purpose of this evidence-based project is to improve patient outcomes by enhancing adherence to statin therapy. A thorough literature review yielded 246 pieces of moderate-to-high-quality evidence; of these, eight articles were appraised in detail and selected for project inclusion. The strongest evidence identified four meaningful interventions. Thus, a multimodal approach was indicated for this project. This included addressing barriers to therapy, creating practice nudges, implementing a shared decision-making (SDM) tool, and utilizing clinical …

School Closure As Education Policy Failure: A Quantcrit Analysis Of Reform-Resistant Schools In Memphis (2010–2025), Stacy Hubbard Patton

Electronic Theses and Dissertations Archive

High-stakes accountability policies have reshaped urban school governance by linking standardized test performance to decisions about intervention, restructuring, and closure. Although these systems are designed to improve low-performing schools, prior research suggests that accountability classifications reflect broader structural conditions, including racial segregation and concentrated poverty, rather than isolated instructional deficits, with schools serving Black and Latino students in historically disinvested communities bearing a disproportionate share of these consequences. This study examines the 2010–2025 achievement trajectories and survival-to-closure patterns of reform-resistant schools in Memphis–Shelby County Schools, guided by Quantitative Criticalism (QuantCrit) as both a theoretical and methodological framework. School-level administrative records …

Local And Indigenous Knowledge, Innovation, And Sustainable Development: Creating Sustainable Futures Amidst Crisis Conditions At The Community Level, Carlos Andrés Arias

Dissertations and Theses

In 1987, the Brundtland Commission's Our Common Future (1987) made clear the need to reject longstanding development processes and focus on sustainable development. The Commission stressed that actual sustainable development integrates three elements: social development, economic development, and environmental protection. Though developed nations have achieved economic growth through conventional and extractive development practices, these practices have intensified natural disasters driven by climate change, increased food insecurity, and deepened poverty. This has acutely impacted Indigenous and local communities, many of whom face crisis conditions, such as war, terrorism, civil disorder, and their aftermath. Even so, many of these communities successfully implement …

After The “Partner Run”: The Dewey & Leboeuf Diaspora, Andrew Granato

UC Law Business Journal

“Partner runs”—mass, near-instantaneous departures of partners from distressed law firms—are a distinctive feature of the American legal profession, produced by an interaction of legal ethics rules, partnership governance, and bankruptcy law. A partner run means that even large and profitable law firms can abruptly liquidate. Given this fragility, it is urgent to learn: do partner runs and the governance law that enables them impose lasting harm on the legal profession by permanently damaging the careers of the lawyers caught in them?

This Article provides the first comprehensive empirical examination of this issue using the 2012 bankruptcy of Dewey & LeBoeuf, …

California (+6.5) Vs. Sportsbooks: Cooperative Federalism & The Future Of Sports Gambling In California, Kyle Geffon

UC Law Business Journal

No abstract provided.

Reducing Catheter-Associated Urinary Tract Infections Through Staff Education In A Nursing Home Setting, Aderonke Abimbola Abatan

Walden Dissertations and Doctoral Studies

No abstract provided.

Comparison Of Efficacy Of Autologous Platelet Rich Plasma Versus Silicone Products For Treatment Of Scars, Sanjay Kumar Giri, Ahana Bandyopadhyay, Santanu Suba, Sweta Singh, Bramhadatta Pattnaik, Gaurav Chhabra

Sultan Qaboos University Medical Journal

Objectives: This study aimed to compare the efficacy of intralesional autologous platelet rich plasma (PRP) injection in post-traumatic and post-surgical scars to a control group managed with silicone-based products. In addition, this study aimed to determine the success rate via aesthetic result, symptom improvement and outcome in terms of complications using autologous PRP on scars caused by burns or trauma. Methods: This randomised controlled trial study was conducted from August 2022 and February 2024 at the Departments of Burns and Plastic Surgery, Surgical Gastroenterology and Obstetrics and Gynaecology, AIIMS, Bhubaneswar, India. Intralesional autologous PRP injections were administered to post-traumatic or …

Upjohn Regional Economic Outlook, Iryna V. Lendel, Chloe Wieber, Sevrin Williams, Gerrit Anderson, Lee Adams, Emily Petz

Reports

No abstract provided.

Talking Climate: Does Peer Anxiety Amplify Or Alleviate Climate Change Worries?, Emma Tupone

Student Theses

As the climate crisis intensifies, climate change anxiety (CCA) has become increasingly common, yet it remains unclear whether discussing climate concerns with peers alleviates or amplifies distress. This study examined how climate conversations related to daily climate change anxiety, optimism, and pro-environmental behavior (PEB), as well as whether the perceived emotional tone of conversation partners shapes these associations. Using an 8-day daily diary design (N = 121), participants reported their daily climate-related emotions, engagement in private and public PEBs, and perceptions of peers’ climate anxiety and optimism following climate-related conversations. Results indicated that engaging in climate conversations was associated with …

The Greater Good?: Tradeoffs Between Social Connection And Status In Decision-Making Scenarios, Jonah M. Dratfield

Student Theses

Strong social relationships have consistently emerged as predictors of well-being in the psychological literature. However, research has not distinguished between the intrinsic social value derived from these relationships and the status derived from them. We constructed the novel Relationship Orientation Scale to explore this gap, utilizing binary decision-making scenarios in which individuals were forced to pit these two goods against one another. Across two studies, we found that individuals displayed a significant, but by no means universal, preference for intrinsically rewarding social relationships. We found, also, that social media use and comparison orientation were negative predictors of relationship orientation, whereas …

Efficacy Of Continuous Pegcetacoplan Treatment For Subfoveal Geographic Atrophy In Age-Related Macular Degeneration: 36-Month Results From Oaks, Derby, And Gale Open-Label Extension, Dilsher S. Dhoot, Sunir J. Garg, David M. Brown, Ivan J. Suñer, Ehsan Rahimy, David S. Boyer, Kineta Naidu, Chao Li, Caroline R. Baumal, Robyn H. Guymer

Wills Eye Hospital Papers

PURPOSE: To report efficacy of intravitreal pegcetacoplan treatment over 36 months in eyes with subfoveal geographic atrophy (GA).

PATIENTS AND METHODS: The GALE (NCT04770545) open-label extension trial adds 12 months of results to the 24-month Phase 3 OAKS (NCT03525613) and DERBY (NCT03525600) trials, representing up to 36 months of continuous pegcetacoplan treatment. They included a heterogeneous population of eyes with subfoveal GA (63%). Pegcetacoplan-treated eyes enrolling in GALE continued at the same interval of pegcetacoplan monthly (PM) or every other month (PEOM). Patients' eyes in sham monthly or every-other-month arms crossed over to receive pegcetacoplan in GALE at the same …

Staff Education To Improve Mental Health Prescribers’ Knowledge On Polypharmacy And Deprescribing Strategies For Older Adults, Mercy Oluchi Eke

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Staff Knowledge And Confidence In Delivering Sleep Education And Administering Sleep Quality Assessment Tools, Beverly Britton

Walden Dissertations and Doctoral Studies

No abstract provided.

Be Prepared For Your Nurse Practitioner Clinical Readiness Exam, Elizabeth Heavey, Renee Biedlingmaier, Colleen Burgoyne, Carnel C. Jackson

Milne Open Textbooks

This text contains case studies and review questions for nurse practitioner students; focusing on the 3Ps of nurse practitioner education (Pharmacology, Pathophysiology, and Physical (Health) Assessment) to help NP students prepare for their clinical courses and pass their clinical readiness exam.  It includes cases commonly seen in entry-level NP practice.  In addition to the three individual sections of the text that focus on cases applying content from each of the distinct courses (Pathophysiology, Pharmacology, and Physical Assessment), we included summative case studies at the end of the book that connect all three areas in a single case. Because these three …

Comparative Environmental Jurisprudence: A Multi-Country Analysis Of Rights Of Nature Applications, Lillian C. Johns

Senior Honors Projects, 2020-current

This thesis examines three distinct cases, Ecuador, the United States, and India, in their conceptualization and implementation of the Rights of Nature and environmental jurisprudence. Although the Rights of Nature have gained global traction as a response to accelerating ecological degradation and as a potential legal mechanism for addressing it, issues with implementation and enforcement consistently arise. The outcomes in each case are largely shaped by institutional design, political context, and legal cultures. Ecuador’s constitutional recognition of the Rights of Nature, the United States multilevel recognition, and India’s judicial assertions of ecological personhood represents divergent pathways for articulating environmental rights. …