Digital Commons Network^™

The Master Engineering Compliance Atlas: A Unified Architecture For Automating Global Regulatory Governance, Ai Safety, And Cyber Risk, Ramkumar Bharathan

Defensive Publications Series

This technical disclosure presents the "Master Engineering Compliance Atlas," a comprehensive framework designed to bridge the gap between complex global regulations and modern software engineering practices. As regulatory landscapes fragment across jurisdictions, this document provides a unified methodology for harmonizing requirements from major frameworks, including Sarbanes-Oxley (SOX), GDPR, the EU Digital Markets Act (DMA), the Digital Services Act (DSA), the EU AI Act, NIST SP 800-53, and ISO 27001.

Unlike traditional legal summaries, this framework focuses on technical implementation, offering specific architectural patterns, "L7" control designs, and automation strategies to achieve "Compliance as Code." It introduces a "Mega-Matrix" that maps …

Exploring Communication Strategies With Esports Fans: Signaling Physical Location And Popularity, Gavin Nolin, Ismail Karabas, Skylar King

Faculty & Staff Research and Creative Activity

Purpose

Using signaling theory as a theoretical foundation, this study aims to investigate how consumers respond to message framing emphasizing physical location and popularity of an esports team. Additionally, this research looks at how power distance belief, need for uniqueness, sense of power and pride in community are associated with consumer intentions (e.g. support likelihood, watch likelihood, follow on social media likelihood) as a function of physical location versus popularity-signaling in team communication with prospective fans. Design/methodology/approach

This research uses an experiment to test the effects of physical location and popularity-signaling on consumer intentions toward an esports team, as well …

How Experiencing Eudaimonic Emotions Through Music Shapes Prosocial And Altruistic Behavior: Introducing A Unified Model Of Music-Listening-Induced Eudaimonia (Ummie), Rebecca Tukachinsky Forster, Daniel H. Spitz, Tal-Chen Rabinowitch, Roni Granot

Communication Faculty Articles and Research

This paper introduces the Unified Model of Music-Listening Induced Eudaimonia (UMMIE), which offers an integrated novel theoretical framework to explain how music listening promotes prosocial and altruistic outcomes. Drawing on communication and psychology research, UMMIE maintains that elicitation of eudaimonic emotions can be appraised inwards, towards oneself, and thus contribute to the individual's personal growth, wellbeing, and development, or outwards, by connecting to something bigger than oneself, to humanity in general, which could possibly then lead to enhanced prosocial and altruistic attitudes and behaviors. The model specifies musical, situational, and individual variables that serve as moderators and increase the likelihood …

Adolescent Sexting: An Exploration Of Teacher’S Perspectives Of The Relationship And Sex Education (Rse) Based Curriculum, Grace Byrne, Leigh-Ann Sweeney, Sinead Tobin

Irish Journal of Applied Social Studies

Sexting has emerged as a normative aspect of adolescent sexual exploration in Ireland and internationally. While much attention has been given to the risks and negative aspects of sexting, contemporary literature highlights the potential positives associated with adolescent sexting. Within this precarious context, little is known about the attention sexting commands within formal education of adolescents in Ireland. To better understand teachers’ perspectives of the positionality of sexting within Relationship and Sex Education (RSE) curriculum in Ireland, the researchers employed a qualitative interpretivist approach in interviewing eight RSE teachers actively delivering sex education in Irish secondary schools. Teacher’s narratives were …

The Clinical Pharmacist As Principal Investigator—2026, Dave L. Dixon, Leo F. Buckley, Raniah Aljadeed, William L. Baker, Samuel C. Greer, Amy Y. Kang, S. Casey Laizure, Abbie D. Leino, Robert Maclaren, Milap C. Nahata, Tien M. H. Ng, Elaine Nguyen

Pharmacy Faculty Articles and Research

The American College of Clinical Pharmacy (ACCP) first described the role and history of the pharmacist as principal investigator (PI) in 2000. An update was published in 2010, citing evidence from NIH and the ClinicalTrials.gov registry that showed an increase in the number of individuals with a Pharm.D. degree engaging in pharmacist-directed research. The 2025 ACCP Publications Committee was charged with providing an update to the 2010 paper. Key findings include a substantial increase in the total amount of federal funding awarded to schools of pharmacy (SoP) between 2011 and 2023, a modest increase in the number of pharmacists receiving …

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.

Circadian Rhythm Disruption Is Related To Self-Diagnosis Of Mental Illness, Ruth E. Propper, John Kang, Michael Sawyer

Department of Psychology Faculty Scholarship and Creative Works

Purpose

The goal of this research was to examine the relationship between self-reported circadian disruption during the week and on weekends, and self-diagnosis of mental illness. It was hypothesized that circadian disruption would be associated with mental illness self-diagnosis.

Methods

Using previously collected data wherein undergraduate students completed a series of questionnaires we examined Weekday bedtime/waketime variability, measured via question two from the Sleep Disorders Symptom Check List -- 25, and calculated social jetlag score, examining these as a function of Mental Illness Diagnosis Category and Sex.

Results

Increased circadian disruption was significantly associated with more self-diagnosed mental illnesses ( …

‘The Truth Was, Most Biodiversity Was Redundant’: Caring About Mass Extinction In Ned Beauman’S Venomous Lumpsucker, David Sergeant

School of Law, Humanities and Social Sciences

This essay reads Ned Beauman’s Venomous Lumpsucker as exploring the gap that exists between caring about mass species extinction and taking meaningful action to prevent it. The novel, at first, undermines the conventional reasons for caring; however, one of its protagonists is then revealed as having become willing to die for the issue. Equally, the reason for this change proves strangely hard to locate. This essay argues that the real reason for caring about species extinction in Venomous Lumpsucker is connected to a transcendence of the self that aligns the novel with both science fiction and spiritual traditions; however, this …

Transdisciplinary Perspectives On Ai: The Fourth Annual Conference Of The European Culture And Technology Laboratory, Connell Vaughan, Ioana Madalina Moldovan, Silivan Moldovan, Noel Fitzpatrick

Books/Book Chapters

The fourth annual conference of the ECT Lab+ was hosted by Technical University of Cluj-Napoca over two days in October 2024 at the Cluj Innovation Park. The conference brought together experts from the Arts, Humanities, Social Sciences, Technology, and other fields to discuss and reflect on the advent of Artificial Intelligence and how the associated technologies are transforming how we live, work and study. Under the title Transdisciplinary perspectives on AI: Alternative Histories, Current Practices and Possible Futures the conference moved beyond simplistic technophila and technophobia to consider whether we can co-evolve with these new technologies which combine machine learning …

Mucosal Melanoma: Mechanisms Of Its Etiology, Progression, Resistance And Therapy, Sofie-Yasmin Hassan, Thomas W. Flanagan, Sarah-Lilly Hassan, Sybille Facca, Youssef Haikel, Mohamed Hassan

School of Graduate Studies Faculty Publications

Mucosal melanoma (MM) is a rare, aggressive cancer whose incidence has increased continuously over the years. This subtype of melanoma arises from melanocytes on hairless surfaces, typically in the respiratory tract, gastrointestinal (GI) tract, and urogenital tract. The most common sites of occurrence include the head and neck, the anorectal region, and the vulvovaginal region, while the rare sites of MM are the urinary tract and the upper and lower GI tract, including the esophagus, duodenum and the gallbladder. MM arises in melanocytes of the ectodermal mucosa that originate from neural crest cells and migrate through embryonic mesenchyme to their …

Digital Neuropsychology And Social Anxiety: The Effect Of Observer Presence And Personality On Stress And Cognition, Ava M. Dixon

Master's Theses

This study examined how observer presence and social anxiety influence stress and cognitive performance during neuropsychological assessments, focusing on the potential benefits of unsupervised digital testing environments. Eighty university students were randomly assigned to observed or unobserved digital neuropsychological conditions and completed assessments of social cognition and executive functioning and questionnaires of social anxiety and personality. Participants also completed measures of state anxiety and heart rate variability at baseline and after cognitive tests. The findings indicated that observation led to higher subjective anxiety, but it did not produce significant interactions with social anxiety on stress or cognitive performance. Post-hoc analyses …

The Mediating Role Of Self-Efficacy And Symptom Distress In Cancer Patients, Kailei Yan, Hsiao-Lan Wang, Brent Small, Victoria Marshall, Amanda Elliott, Danielle Tometich, Theresa M. Beckie, Susan C. Mcmillan

Biennial Convention (CONV)

Cancer symptoms significantly impact the quality of life (QOL) among cancer patients (Almståhl et al., 2019; Bashir et al., 2020; Nayak et al., 2019). Self-efficacy plays a key role in managing symptoms and improving QOL (Cox-Martin et al., 2020; Erickson et al., 2021; Frensham et al., 2020; Thieser et al., 2021; Wu et al., 2019). Symptom distress, defined as the suffering from symptom occurrence, predicts QOL in cancer patients with symptoms (Badana et al., 2019). However, it is not clear whether self-efficacy and/or symptom distress mediate the effects of symptoms on QOL. This study seeks to explore if and how …

Clinical And Demographic Profiles Of Pediatric Burn Patients: A Descriptive Retrospective Analysis, Gifty Osei Berchie, Susanna Aba Abraham, Christiana Okantey, Benjamin Kofi Anumel

Biennial Convention (CONV)

Introduction: Burn injuries are a leading cause of preventable mortality and disability among children, with approximately 96,000 pediatric cases globally each year (Asefa et al., 2024). In low- and middle-income countries, particularly in Africa, children account for nearly 90% of burn cases, with those under five being most vulnerable due to developmental factors, lack of supervision, and domestic hazards. Socioeconomic challenges such as overcrowded living conditions and inadequate safety measures exacerbate the risk (Mok et al., 2023). Burns are primarily caused by scalds from hot liquids, contact burns, and flame injuries linked to unsafe cooking practices and improper storage of …

Community Engagement Within Doctoral Dissertations In Nursing, Sarah Elise Janek, Rahim Z. Miller, Miles C. Perry, Adrian Williams, Rosa M. Gonzalez-Guarda, Kathryn E. Muessig, Marta I. Mulawa

Biennial Convention (CONV)

Community engagement is increasingly recognized as a key research approach across disciplines with the goal of promoting health equity (Key et al., 2019), yet the benefits and best practices for incorporating this approach within doctoral dissertations remain understudied. Other health sciences, such as social work, have recorded student and community benefits in conducting community-engaged dissertations (Yan et al., 2021), but there remains a significant gap of considerations for nursing dissertations. This presentation seeks to discuss the benefits, challenges, and pathways of community-engaged dissertations informed by an ongoing doctoral dissertation in nursing focused on sexual health equity. This dissertation engages community …

Alzheimer's Disease And Related Dementia Among Black Adults Stratified By Nativity, Setor Kofi Sorkpor, Yijiong Yang, Brittany Lane, Hongyu Miao, Jing Wang

Biennial Convention (CONV)

Purpose: This study aims to explore the prevalence of Alzheimer's Disease and Related Dementias (ADRD) among US-born and non-US-born Black individuals, identifying risk factor differences and informing targeted interventions.

Methods: A retrospective cohort study was conducted using data from 77,069 Black individuals in the All of Us Research Program. Two cohorts—US-born and non-US-born individuals with ADRD—were analyzed, with 1:1 propensity score matching applied to balance key demographic and socioeconomic factors. Statistical analyses were performed using R and Python, with significance set at α = 0.05.

Results: Of the 72,311 US-born and 4,758 non-US-born Black individuals, 1:1 propensity score matching resulted …

Mentoring: Taking The Scary Out Of Clinical Inquiry, Rebel L. Heasley, Brandee Duncan

Biennial Convention (CONV)

The Institute of Medicine challenged healthcare workers to ensure that 90% of decisions were evidence-based by 2020. As of 2017, it was estimated that only about 18% of decisions were evidence-based (Melnyk & Fineout-Overholt, 2023). Research has shown a correlation between a culture of evidence-based practice (EBP) and improved patient outcomes. However, nursing confidence and competence in EBP are barriers to implementation (Bridges et al., 2024). Historically, nursing projects at this community hospital were quality or performance improvement projects. With Magnet designation came the expectation of nursing excellence and unparalleled safety, quality, and service. Nurse (RN) residents must now complete …

How Human Personality Will Change With The Use Of Artificial Intelligence, John Mayer

UNH Personality Lab

INTRODUCTION: Human personality changes in response to new habits, situations, and maturation, among other causes. As people interact with artificial intelligence (AI), their personalities are likely to change, from their emotional responses to their self-concept.

METHODOLOGY: This theoretical account draws together empirical studies of how personality changed in response to past technological innovations, changes in personal interactions observed in people’s AI usage, changes that arise from the use and disuse of cognitive skills, and works on the self-concept. Research reports in the review were selected according to their relevance and quality.

THEORETICAL STATEMENT: While AI becomes increasingly human-like, humans increasingly …

Physician Peer Review: Just Culture And Practical Implementation In An Emergency Department, Christian Fromm, Monica Colicino, Merle A. Carter, Elizabeth M. Datner

Einstein Health Papers

BACKGROUND: Although regulatory agencies require hospitals to engage in peer review to maintain accreditation, quality assurance review processes are not standardized, and well-structured peer review of clinical cases involving medical errors and adverse events governed by Just Culture principles is not widespread. We implemented such an emergency department (ED) physician peer review process and performed an analysis of cases that underwent review.

METHODS: We formed an ED physician peer review committee at our institution guided by Just Culture principles, including promotion of a culture of safety to encourage open reporting of errors and near misses, and top-down leadership commitment to …

Variation In State Policies On Sideline Medical Coverage Of High School Athletic Events, Marcus Allen, Aravind Athiviraham, Darlington Nwaudo, Lutul D Farrow, Aossm Bold Study Group, Matthew Matava

2020-Current year OA Pubs

BACKGROUND: Certified athletic trainers (ATs) are the primary source of sideline coverage for high school athletic events, providing an essential role in student-athlete health. However, there is a paucity of literature evaluating the existence of state requirements regarding the presence of ATs and mandatory sideline medical coverage of high school athletic events.

HYPOTHESIS: It was hypothesized that there is significant variation among state policies on sideline medical coverage and AT requirements for high school athletic events.

STUDY DESIGN: Cross-sectional study.

METHODS: A 17-question survey was emailed to the executive directors (or analogous position) of the state high school athletic associations …

Using Mixed Reality-Driven Virtual Coach Technology In Promoting Mobility Among Older Adults, Michael Joseph S. Dino, Ma. Kristina Malacas, Rommel Hernandez

Biennial Convention (CONV)

Objective. Physical inactivity among older adults remains a global burden, leading to a variety of health challenges and even mortality. This study evaluated the impact of a novel virtual humanoid coach-driven physical exercise program among older adults.

Method. A non-randomized (quasi) experimental research was conducted in two community senior centers. The recruited participants (n = 130) were primarily female older adults with a mean age of 66.40 and agreed to be purposively assigned to either experimental or control groups. Trained healthcare providers performed health assessments at three time points using valid and reliable tools. Descriptive statistics, t-tests, and RM-ANOVA were …

Menopause And Motherhood: Shaping Women’S Lived Experiences, Michelle M. Ness

Biennial Convention (CONV)

Motherhood is a multifaceted role influenced by various transitions during midlife, including changing relationship dynamics with children and significant others and the onset of menopause. Mothers often shift from hands-on caregiving to an advisory role with their adult children during this time. This shift coincides with hormonal changes associated with menopause, exacerbating physical and psychological symptoms, including hot flashes, mood swings, and sleep disturbances. The hormonal changes associated with menopause profoundly impact women's emotional well-being and interpersonal relationships, potentially increasing susceptibility to mood disorders such as depression and anxiety. Additionally, the increased demand for balance between family responsibilities and professional …

An Er Pilot Study Utilizing A Novel Mobile App For Just-In-Time Teaching And Performance Feedback, Jennifer Wilde, Emily Calabro

Biennial Convention (CONV)

Purpose/Background: Emergency departments (EDs) present a challenging environment for new graduate nurses (residents), often impacting proficiency and retention. This pilot study aimed to evaluate the effectiveness of an ED Train the Trainer (T3) program utilizing a novel mobile app to enhance resident proficiency, confidence, and retention, as well as preceptor confidence. The program addressed the transitional gap between academic preparation and clinical practice by focusing on critical thinking and task management skills, leveraging technology to provide just-in-time learning and real-time feedback.

Methods: After IRB approval, a time-series design was employed. The T3 program incorporated various learning modalities, including face-to-face sessions, …

Recipe For Success: Mixing A Savory Partnership With Hr In Cooking Up A Nurse Leader Succession Plan, Lourdes Moore, Jacqueline Brock, Maureen Padilla

Biennial Convention (CONV)

Succession planning is vital to transformational leadership which advocates for ongoing leadership development.¹ In 2016, Nursing strategically cooked up a savory nurse succession plan program with a secret sauce-Human Resources (HR). The plan’s purpose was to establish a cohort of leaders with skills and knowledge continuity, manage risk of retirements, and offer overall leader development.² Strengthened in 2022, the Nursing-HR partnership added key ingredients: a defined plan with leadership competencies, alignment to organizational culture and priorities, and multi-layered development.^3,4 The plan consists of five courses (phases).

1. Assess: Target critical roles with high-level oversight: chief nursing officer …

From Insight To Impact: Cns Consults In The Cvicu, Sarah Beldin, Kristina Boudreau

Biennial Convention (CONV)

Clinical Nurse Specialists (CNSs) are frequently consulted for their expertise, but formalizing this process via the electronic medical record (EMR) provides new opportunities for direct correlation of utilization of the CNS as a patient intervention to outcomes improvement. This project established a structured CNS consult process in the Cardiovascular Intensive Care Unit (CVICU), enabling multidisciplinary team members to order CNS consults tied to various concerns and access detailed post-consult notes in real time.

This project aimed to formalize CNS consults in the CVICU using EMR integration to enhance interdisciplinary collaboration and improve patient outcomes. By enabling team members to request …

Exploring Variations In Emotional Intelligence And Burnout Among Nursing Students, Carrie Ann Bailey, Lynn Beeler, James Lewis

Biennial Convention (CONV)

The purpose of this research is to further validate a clinician language centric self-assessment of emotional intelligence and burnout to determine if there is a difference in the subscales that measure Emotional Intelligence between the accelerated baccalaureate student nurses (ABSN) and the traditional baccalaureate student nurses (BSN). Junior level traditional BSN students and first semester ABSN students were recruited and surveyed using the Maslach Burnout Inventory and the Scale of Emotional Functioning in Medicine. Demographic data was also compared between the two groups. Data was analyzed using Independent-Samples Mann-Whitney U Test. Results: The two groups of students were significantly different …

Representing Rns And Mas: Reflections On Patient Portal Messaging Experiences And The Future With Ai, Carlene Lugtu, Cynthia Dorantes Cortez, Briana Williams, Chrystal L. Lewis

Biennial Convention (CONV)

BACKGROUND: Though meant to enhance health care delivery, the electronic health record (EHR) has evolved to be the predominant tool used amongst clinicians. The EHR is also intensifying stress among clinicians, especially with the growing volume of patient communications through patient portals messages (PPM, better known as the In-Basket).1 This academic health science center had an dramatic rise in PPM from 332,000 messages total between fiscal years (FY) 2014 to 2018 to 1.6 million messages in FY 2023 without additional staff. Generative artificial intelligence (AI) products and subsequent explosion of large language models may transform PPM responses.2–6 Discussions …

Innovative Teaching Strategies: Linking Social Determinants Of Health To Diabetes Management, Christine A. Sump, Donna L. Rose, Nicole Frazier

Biennial Convention (CONV)

With an estimated 38.4 million Americans having diabetes (Center for Disease Control [CDC], 2024) and well-documented diabetes disparities, it is imperative that social determinants of health (SDOH) and its impact on diabetes outcomes be an integral part of undergraduate nursing education. Literature supports a direct relationship in SDOH to diabetes prevalence, complications, and patient outcomes (American Diabetes Association [ADA], 2024; Hill-Briggs & Fitzpatrick, 2023). There is much literature describing learning strategies in diabetes education. However, there is minimal literature regarding SDOH research in nursing curricula (Lee & Wilson, 2020; Liu et al., 2023). There was no literature support found that …

Seeking Zero: Development Of A System-Wide Clabsi Prevention Policy, Daniel Martin, Cindy Beckett, Kady Martini, Todd Tussing, Emma Kociba

Biennial Convention (CONV)

In September 2024, at a 17-hospital Midwest United States healthcare system, quality assurance and nursing staff identified that a standardized system-wide central line-associated bloodstream infection (CLABSI) prevention and maintenance policy did not exist. This revelation occurred after an investigation noted an increase in CLABSIs, an issue compounded as each of the organization's hospitals were without system-level guidance on the prevention of CLABSIs. Therefore, using the PICOT question “In high-risk patients (P), how do system-wide best practices/strategies (I) compared to current practice (C) affect CLABSI (O)?, a systematic review of the published literature was conducted using CINAHL, PubMed, Scopus, and Embase …

Oh My…Emotions Can Influence Social Media Use Among Pre-Licensure Baccalaureate Nursing Students, Julie Skrabal

Biennial Convention (CONV)

Background: Nursing students use social media (SM) daily, leading to the challenge of maintaining clear boundaries when managing professional and personal information (Daigle, 2019). As boundaries blur, information posted to SM becomes unprofessional. This is a concern among educators despite having guidelines and SM policies in place regarding professional use. Although limited research is available, a few studies demonstrated unprofessional SM use. Sadd (2019) found 22% of students surveyed posted inappropriate information they did not want others to see. Duke et al. (2017) discovered 100% of nursing students posted information on SM that they would not want prospective employers to …

Women’S Experiences With Traditional Medicine For Treatment Of Cervical Cancer: A Qualitative Study, David Asakitogum, Lydia Aziato, Lillian Akorfa Ohene

Biennial Convention (CONV)

Background: Over 60% of patients with cancer in sub-Saharan Africa used traditional medicine for cancer treatment (Alegbeleye et al., 2020, Mwaka et al., 2020). The common predictors of traditional medicine use include being a female (Kristoffersen et al., 2022, Aboufaras et al., 2023). However, there is limited empirical information about the experiences of women with traditional medicine usage for the treatment of cervical cancer. The current study explored the experiences of women who used traditional medicine for the treatment of cervical cancer in Accra, Ghana.

Methods: An exploratory qualitative research design was used in this study. A semi-structured interview …