Digital Commons Network^™

Rural Project Management Practices: Exploring A Challenging Project Management Environment, Crystal Rose Kowalke

Student Projects for Graduate Degrees

Project professionals managing rural projects should have working knowledge or experience that allows them to work efficiently and effectively given the unique constraints and challenges of rural project work. Rural being defined in project management context as: A place with few available resources and increased logistical considerations. Unfortunately, obtaining the experience for remote projects management requires investment in time and human resources. Whether it is by the company or the subject matter expert assigned to coach/train the new project professional, this presents an issue of time and resources used to train each new project professional and get them up to …

Ud In The News Nov. 22-30, University Of Dayton

News Releases

UD President Eric Spina wrote an op-ed for the Dayton Daily News about how international students contribute to our academic, intellectual, economic and cultural vibrancy. Local media also featured UD's Nativity exhibit and new partnership with IBM.

Faculty List

Washington Law Review

No abstract provided.

Bridging The Language Gap: The Impact Of In-Person Versus Remote Interpreter Services On Medication Adherence And Patient Safety In Adult Spanish-Speaking Patients, Ashley E. Alarcon Martinez, Jocelyn N. Lopez Maradiaga

Nursing | Student Research Posters

Background: Significant health inequities are caused by language barriers between patients and health care staff, resulting in miscommunication among adult Hispanic patients with low English proficiency, reducing medication adherence, impairing patient safety, and raising the possibility of medical errors. To address this issue, interpreter services, both in-person and remote translation, have been introduced in healthcare settings to enhance communication. Objective: The purpose of this study is to investigate the differences in patient safety and medication adherence between in-person and remote translation services for adult Hispanic individuals with limited English proficiency in healthcare settings. Methods: The proposed research involves five local …

Integrated Pest Management Adoption, Pesticide Handling And Knowledge Gaps Among Cotton Farmers In Tanzania: Implications For Human And Environmental Health, Sospeter Jibunge Charles

Journal of Humanities and Social Sciences

The global demand for cotton has risen significantly due to its extensive use in the textile and manufacturing industries, making it one of the most valuable cash crops worldwide. However, this growing demand for cotton production is severely threatened by the currently emerging pests which are intensified by the occurring of climate change and variability. As a result, many smallholder farmers have increasingly turned to chemical pesticides use to control the pests and maintain cotton production. But, while pesticides are effective in controlling pests and improving yields, their improper use and mismanagement pose serious risks to human health and the …

Perceptions Of Mississippi Parents Of Youth And Young Adults With Autism Regarding Relationship Training And Sex Education, Peter Mccormick

Honors Theses

This study used analysis of variance (ANOVA) to determine if there was a significant difference between the age of a parent with a youth or young adult with ASD (autism spectrum disorder) and the age of their child when they plan to discuss the three sex education and relationship training topics of sexual intercourse, sexually transmitted diseases, and contraception. The results of the ANOVA were not significant for the sex education and relationship topics of sexual intercourse F (2, 22) = 1.485, p = 0.248 and contraception F (2,22) = 3.059, p = 0.0667. However, the results of the ANOVA …

Where Is Dance In Education? Perspectives On The State Of Dance In Independent Schools Across The Midwest And How One School Community Fits Into The Larger Picture, Megan O'Toole

Master's Theses

The goal of this study was to examine the current state of dance education in independent K-12 schools in the Midwest region of the United States. The researcher developed four essential questions to guide the study:

Q1 Which schools had dance programming, and which schools did not have dance programming?

Q2 For the schools that had dance programming, what did the dance programs look like?

Q3 What factors influenced a school’s decision to include dance programming?

Q4 What factors influenced a school's decision to exclude dance programming?

A regional study was conducted to understand the trends associated with current dance …

The Impact Of Using The Visual, Auditory/Aural, Reading/Writing, And Kinesthetic (Vark) Model In Ballet Class: A Multifaceted Approach To Teaching Ballet Technique To Children Ages Nine To Twelve Years Old, Angelle Cain Wise

Master's Theses

The purpose of this study was to generate data that would measure the impact of the application of the Visual, Auditory/Aural, Reading/Writing, and Kinesthetic (VARK) Model learning styles on student comprehension and execution of movement in ballet class. The researcher sought to answer these questions:

Q1 Does teaching students’ using their preferred learning style help them understand the movement thoroughly?

Q2 Does teaching students’ using their preferred learning style help them execute the movement more precisely?

There was a total of twelve participants ages nine to twelve years old and two observers, whom were colleagues of the researcher. A set …

So You Think You Can Teach Dance?: Evaluating Effective Indicators And Assessments For Teaching Ballroom Dance In A High School Setting, Alyssa Arnold

Master's Theses

The purpose of this study was to determine the most effective learning indicators of ballroom dancing for high school dance educators in Utah’s DSD so that a later date, updated rubrics and assessments could be created and presented as artifacts to DSD’s Fine Arts Supervisor for future teachers. The researcher sought to answer the following questions:

Q1 How are teachers currently assessing students’ ballroom dancing?

Q2 What are the most important learning indicators to teachers?

Q3 Are the learning indicators in alignment with the required standards?

This research took place over two sessions held during students’ regularly held ballroom dance …

Navigating The Terrain: Sense Of Belonging In Geology Field Camps, Ezra J. Hammersfeld

Master's Theses

Social success and feelings of belonging within academic settings play critical roles in students’ continued engagement. Students who feel like they belong are more likely to perform better academically, create feelings of academic self-efficacy, and be more satisfied with their educational experiences (Aelenei et al. 2020; Baker 2013; Chen et al. 2020; Hoffman et al. 2021; Rosenthal et al. 2013; Smerdon 2002; Walton et al. 2012). I examine sense of belonging through analysis of secondary data focused on college student experiences in geology field camps. I approached the study using modified grounded theory (Charmaz 2014) in order to best capture …

Integrating Dance Into Early Childhood Education For Children With Developmental Disabilities: A Curriculum-Based Approach, Stephanie Stine

Master's Theses

The purpose of this thesis was to examine the effects of a structured dance curriculum on the social-emotional learning (SEL) and gross motor development of preschool-aged children with disabilities, specifically those ages three to five, as well as to explore teacher and specialist perceptions of dance as a tool for supporting children’s development. The study was conducted in collaboration with an early childhood education center. Twenty-eight children, ages three to five, participated in ten creative movement sessions designed to promote coordination, balance, and expressive engagement through themed lessons emphasizing emotional awareness and imaginative play.

Quantitative data were collected through observation …

Virtual Reality Protocol Development For Bone Marrow Aspiration And Biopsy In Adults With Blood Cancers, Maria Motta

Doctoral Scholarly Projects & Capstones

Patients with hematologic malignancies such as leukemia, multiple myeloma, and lymphoma frequently undergo bone marrow aspiration and biopsy (BMAB) procedures throughout their treatment trajectory. At a comprehensive cancer research hospital in southern California, these procedures were commonly performed on an outpatient basis by nurse practitioners and physician assistants while patients remained awake under topical anesthesia. Despite these measures, patients consistently reported significant pain and anxiety during BMAB procedures (Glennon et al., 2018). Current literature supported the use of virtual reality (VR) as an effective non-pharmacologic intervention to reduce pain and anxiety in cancer populations (Ahmad et al., 2020). However, the …

The Case For Selective Non-Transparency In Ai-Mediated Work: A Workers Rights Framework, Daniel Plate, James Hutson

Faculty Scholarship

This article advances a labor rights argument for selective non-transparency in AI-mediated work, framed through educational labor yet generalizable across the United States. The central claim asserts that blanket requirements to disclose all AI-assisted methods reconfigure managerial power by converting process knowledge into a surveillance substrate, thereby diminishing autonomy, chilling professional judgment, and enabling rapid deskilling. Synthesizing U.S. labor and privacy frameworks—especially interpretations of the National Labor Relations Act regarding electronic monitoring—alongside emerging state initiatives on automated decision systems, the analysis demonstrates how expansive process transparency risks infringing protected concerted activity while normalizing function creep in algorithmic management. Empirical literature …

Adsorption-Based Electrochemical Assay For Nucleic Acid Detection On 2d Nanomaterials, Prabhangshu Kumer Das

Dissertations

Electrochemical biosensing based on the adsorption of nucleic acids onto two-dimensional (2D) nanomaterials offers distinct advantages over conventional techniques, including enhanced sensitivity, selectivity, and simplified probe immobilization. Significant efforts have been directed toward developing sensing platforms that exploit the high surface area and unique physicochemical properties of materials such as graphene oxide (GO) and molybdenum disulfide (MoS₂) to achieve efficient signal transduction. This adsorption-based approach eliminates the need for complex surface modifications or labeling, as nucleic acids interact with 2D surfaces through π–π stacking, van der Waals forces, hydrogen bonding, electrostatic interactions, and ion bridging.The efficiency of nucleic acid immobilization …

Is Universal Health Coverage Really Better? Unintended Consequences Of The 2019 Amendment Of The National Health Insurance Act For Humanitarian Sojourners In South Korea, Minji Ju, Minah Kang, Eunice Y. Park

Department of Public Health Scholarship and Creative Works

Background: South Korea achieved universal health coverage (UHC) through the National Health Insurance (NHI). However, humanitarian sojourners under temporary stay permits were initially excluded. Alongside recommendations from the National Human Rights Commission of Korea (NHRCK), the 2019 Amendment of the NHI Act expanded eligibility of the NHI. While this marked significant progress toward greater universality in health care, it also led to unintended consequences for humanitarian sojourners. Methods: This study employed a two-fold approach aligned with the trajectory of the Amendment. First, we conducted semi-structured in-depth interviews to analyze diverse perspectives on the universality of health coverage, the benefits of …

Chasing The Dream And Buying The Promise In A Conceptual Framework For Consumer Decision-Making, Casey H. Prentice

Communication & Theatre Arts Theses

The American dream is a concept that is echoed across our society, and while the data show Americans do not overwhelmingly believe in the dream, marketers continue to pair it and the issue of economic prosperity in their agendas. Through a novel framework that overlaps a deeply studied mass communication theory with a decision-making framework used in marketing, this paper demonstrates a new lens to understand how marketers identify strategies and tactics, build agendas, and make sales by touting the American dream. As separate entities, decision-making models and agenda setting theory are powerful, but together can create an environment that …

Violence As An Ecology: Women Making Safety In Khayelitsha, Melissa J. Miller-Felton

Graduate Program in International Studies Theses & Dissertations

This dissertation asks how women in Khayelitsha make safety in a place where danger has become ordinary and where the afterlives of colonialism and apartheid still determine who waits, who walks, and who arrives home. What began as a study of risk and protection grew into an inquiry about time, dignity, and responsibility. I call the framework that emerged an ecology of violence—a way of seeing how harm gathers across generations and infrastructures, and how care, exhaustion, and survival intertwine within it.

In this ecology, violence is not a single act but a confluence of registers—slow, structural, colonial, and …

Molecular Response To The Non-Lytic Peptide Bac7 (1-35) Triggers Disruption Of Klebsiella Pneumoniae Biofilm, Robert L Beckman I V, Berta Martinez, Flor Z. Santiago, Gabriela N. Echeverria, Bruno V. Pinheiro, Marcelo D. T. Torres, Logan Suits, Shantal Garcia, Paeton L. Wantuch, Cesar De La Fuente-Nunez, Prahathees Eswara, David A. Rosen, Renee M. Fleeman

2020-Current year OA Pubs

Klebsiella pneumoniae is becoming increasingly difficult to treat as multidrug-resistant (MDR) strains become more prevalent. The formation of biofilm heightens this threat by embedding bacterial cells in a polysaccharide-rich matrix that limits antibiotic penetration. Here we dissect the anti-biofilm bovine host-defense cathelicidin peptide fragment bac7 (1-35), exploring its anti-biofilm mechanism, evaluating its ability to curb colonization of the vital organs by hypervirulent K. pneumoniae, and testing its breadth of activity against diverse clinical isolates. Transcriptomic profiling revealed that bac7 (1-35) simultaneously compromises the bacterial membrane and inhibits ribosomal function, a dual assault that precipitates rapid biofilm collapse and blocks bacterial …

The Non-Communicable Disease E-Cohort For Hypertension In Latin America: Concept, Survey Development And Study Protocol, Patricia J Garcia, Laura Espinoza-Pajuelo, Hannah H Leslie, Margaret E Kruk, Catherine Arsenault, Agustina Mazzoni, Jesus Medina-Ranilla, Javier Roberti, Marina Guglielmino, Ezequiel Garcia-Elorrio

2020-Current year OA Pubs

Non-communicable diseases like hypertension cause substantial morbidity and mortality in low- and middle-income countries, where limited access to high-quality care contributes to millions of preventable deaths annually. Traditional assessments of health system performance often rely on structural indicators and cross-sectional, overlooking patient experiences and care processes. In Latin America, amid rising cardiovascular disease, longitudinal tools are needed to guide improvements in healthcare delivery models, particularly for chronic diseases such as hypertension. The NCD e-Cohort is a prospective, longitudinal, mixed-mode (in-person and phone) survey designed to assess health system quality in Latin America. Developed by the QuEST Network, it integrates validated …

A Roadmap To Scale Up Person-Centred Care In The Hiv Response: Recommendations From A Global Consensus-Building Process, Lina Golob, Elvin H Geng, Et Al.

2020-Current year OA Pubs

INTRODUCTION: World Health Organization global normative guidance recommends person-centred care (PCC) approaches to reduce HIV-related mortality and morbidity and to improve health-related quality of life (HrQoL). However, consensus on the priority PCC elements and guidance on how different stakeholders can realize PCC principles at the health systems, service delivery and individual client-healthcare worker (HCW) levels are lacking. We conducted a global consensus-building process to define core PCC elements and develop recommendations for implementation at scale.

METHODS: We used a multi-phase process to build consensus and prioritize recommendations, consisting of a literature review, five stakeholder consultations (34-43 participants each) between July …

Clinical Characteristics And Real-World Outcomes In Patients With Mucopolysaccharidosis Ii Over 18 Years: Final Report Of The Hunter Outcome Survey, Joseph Muenzer, Jaco Botha, Hernan Amartino, Roberto Giugliani, Paul Harmatz, Christoph Kampmann, Bianca Link, Shuan-Pei Lin, David Molter, Julian Raiman, Maurizio Scarpa, Anna Tylki-Szymańska, Siddharth Jain, David A H Whiteman, Barbara K Burton

2020-Current year OA Pubs

BACKGROUND: Mucopolysaccharidosis II (MPS II) is a rare, progressive, X-linked lysosomal storage disease. Enzyme replacement therapy (ERT) with intravenous (IV) idursulfase has been approved for the treatment of patients with MPS II since 2005. The Hunter Outcome Survey (HOS; NCT03292887) was established as a condition of approval to monitor the long-term safety and effectiveness of idursulfase. Here, we report the final results from HOS.

METHODS: HOS was a multicenter, long-term, observational registry that enrolled patients with a biochemically and/or genetically confirmed diagnosis of MPS II who were untreated or treated with idursulfase and/or bone marrow transplant. Patients were enrolled prospectively …

Novel Leadless Atrial And Ventricular Pacing System With Subcutaneous Implantable Cardiac Defibrillator: A Case Of Cross-Platform Device Compatibility., Nicholas Bradley, Ankur Shah, Anish Amin

Heart and Vascular Articles

No abstract provided.

Contemporary Chronic Limb-Threatening Ischemia Care In The United States-Part 1: A Path Toward Multispecialty Collaboration., Eric A Secemsky, Ehrin J Armstrong, Venita Chandra, Raghu Kolluri, Parag J Patel, Peter A Schneider, Niten Singh

Heart and Vascular Articles

Care for patients with chronic limb-threatening ischemia (CLTI) is complex, and it is most effective when conducted with collaboration across multiple specialties. A recent upward trend in major limb amputation among patients with CLTI warrants a renewed effort to optimize care for this multifaceted condition. The Vascular InterVentional Advances (VIVA) Foundation, a not-for-profit 501(c)(3) organization, convened a Vascular Leaders Forum in 2024 to initiate an open, multispecialty discussion about the state of CLTI care in the United States and current challenges around delivery and access to such care. The forum comprised representatives from vascular surgery, interventional cardiology, interventional radiology, vascular …

Contemporary Chronic Limb-Threatening Ischemia Care In The United States-Part 2: Designing Clinical Device Trials., Eric A Secemsky, Ehrin J Armstrong, Venita Chandra, Raghu Kolluri, Saher S Sabri, Niten Singh

Heart and Vascular Articles

Head-to-head research comparing invasive revascularization strategies for chronic limb-threatening ischemia (CLTI) is sparse, partly due to challenges in conducting randomized controlled trials in the CLTI space. These include the expense of head-to-head trials, optimizing patient selection criteria for real-world applicability, and identifying optimal study end points. The Vascular InterVentional Advances (VIVA) Foundation, a 501(c)(3) not-for-profit organization, convened a Vascular Leaders Forum to initiate an open, multispecialty collaborative discussion of these challenges and ways to optimize the design of medical device trials in CLTI. This article summarizes the current landscape of clinical studies of CLTI revascularization strategies and options for designing …

Scai Position Statement On Intracardiac Echocardiography To Guide Structural Heart Disease Interventions., Mackram F Eleid, Christine J Chung, Matthew J Daniels, V Vivian Dimas, Andrew M Goldsweig, Harsh Golwala, Eric M Horlick, Matthew J Price, Carlos E Sanchez, John T Saxon, Markus D Scherer, Gilbert H L Tang, Dee Dee Wang, Omar K Khalique

Heart and Vascular Articles

As structural heart disease interventions rapidly evolve, demand for minimally invasive intraprocedural imaging techniques has increased. Intracardiac echocardiography (ICE) has emerged as a valuable imaging modality, offering real-time, high-resolution visualization of cardiac structures without the need for general anesthesia. This position statement from the Society for Cardiovascular Angiography & Interventions outlines the clinical applications, advantages, limitations, and implementation strategies for ICE in guiding transcatheter structural heart disease procedures. The document details standardized ICE imaging protocols and views for interventions involving the mitral, tricuspid, and pulmonary valves, as well as left atrial appendage occlusion atrial septal defect, and patent foramen ovale …

Responsible Adoption Of Multimodal Artificial Intelligence In Health Care: Promises And Challenges., Ghazal Azarfar, Sara Naimimohasses, Sirisha Rambhatla, Matthieu Komorowski, Diana Ferro, Peter R Lewis, Darren Gates, Nawar Shara, Gregg M Gascon, Anthony Chang, Muhammad Mamdani, Mamatha Bhat

Ambulatory and Primary Care Articles

Clinicians rely on various data modalities-such as patient history, clinical signs, imaging, and laboratory results-to improve decision making. Multimodal artificial intelligence (AI) systems are emerging as powerful tools to process these diverse data types; however, the clinical adoption of multimodal AI systems is challenging because of data heterogeneity and integration complexities. The 2024 Temerty Centre for AI Research and Education in Medicine symposium, held on June 17, 2024, in Toronto, Canada, explored the potential and challenges of implementing multimodal AI in health care. In this Review, we summarise insights from the symposium. We discuss current applications, such as those used …

A Reversal In Fortunes: A Case Of Triumphant Retrograde Intubation., Vishal Tharani, Nickolas Meier

Ambulatory and Primary Care Articles

A 48-year-old male presented to the emergency department in respiratory distress, with a history of poorly controlled asthma and a remote history of pulmonary embolus. After failing a non-invasive ventilation trial and numerous treatments for presumed status asthmaticus, he was planned for intubation. During the procedure, a large supraglottic mass was visualized, obstructing the airway and preventing successful orotracheal intubation via video laryngoscopy. Securing the airway was complicated by cardiac arrest, likely hypoxia-driven. The patient underwent a successful retrograde intubation followed by post-cardiac arrest stabilization. This case highlights the technique and its role in difficult airway management.

Blistering Bulbs: The Hidden Dangers Of Garlic As A Home Remedy., Riley Bunstine, Christopher M Lloyd

Ambulatory and Primary Care Articles

We report a case of a 46-year-old male who developed a second-degree chemical burn after application of crushed raw garlic to his left wrist. When crushed, garlic activates the enzyme alliinase that converts alliin into allicin. In controlled concentrations, allicin has been shown to have a wide array of therapeutic benefits; however, its use as an unregulated home remedy carries a significant risk of toxicity. This patient applied crushed garlic to his left wrist and left this poultice in place for five hours, hoping to ease wrist pain from a previous car accident. Upon removal, he felt an intense burning …

Current Practices And Trends In Surgical Decision-Making For Children With Lennox-Gastaut Syndrome: A Cross-Sectional Survey By The Pediatric Epilepsy Research Consortium, Michelle Y Chiu, Renée A Shellhaas, Et Al.

2020-Current year OA Pubs

OBJECTIVE: The objective of this study is to characterize contemporary surgical management practices and factors influencing surgical decision-making in the management of Lennox-Gastaut Syndrome (LGS) across pediatric epilepsy centers in the United States.

METHODS: A 45-item cross-sectional survey was developed and distributed to Pediatric Epilepsy Research Consortium centers. Domains included institutional demographics, surgical evaluation timing and goals, presurgical workup, procedural utilization and outcomes, and barriers to surgery. Descriptive statistics and thematic analysis were performed.

RESULTS: Thirty-two pediatric epilepsy centers participated (38% response), the majority comprising pediatric epileptologists at Level 4 National Association of Epilepsy Centers. Most centers (66%) considered surgery …

Realizing The Americans With Abilities Act: Promoting Civil Rights & Capabilities In The Service Of Individuals With Brain Injury, Zachary E. Shapiro, Tiffany Li, Kaiulani S. Shulman, Melisa Olgun, Chantelle Van Wiltenburg, Molly Teague, Emma Kromm, Brandy Allen, Elliot E.C. Ping, John D. Bowers, Rebecca Harris, Nayla Basma, Apurv Hirsh Shekhar, Gregory E. Antill, Megan S. Wright, Joseph J. Fins

UC Law Journal

Brain injuries often result in varying degrees of impairment to communication and cognitive processes, impeding an individual’s ability to engage in daily activities, participate in social interactions, and achieve independence. This paper builds upon our legislative proposal from Designing An Americans With Abilities Act: Consciousness, Capabilities, and Civil Rights, published in the Boston College Law Review in 2022. That paper proposed new legislation called “The Americans with Abilities Act” (“AWAA”), a comprehensive framework for the effective development, uptake, and utilization of advanced assistive technology (“AT”). These technologies aid individuals with brain injuries in realizing their capabilities and reintegrating into broader …