Digital Commons Network^™

For Pete's Sake: A Comparative Analysis On Quantum Review After Pete V. Boland, Joseph X. Kehrli

Louisiana Law Review

No abstract provided.

Guiding The Story World: A Comparison Of Diegetic Cues In A Snow White Vr Narrative Game, Jiayi Xu

Dartmouth College Master’s Theses

Virtual reality (VR) narrative games must guide players through complex story worlds without undermining immersion, yet prior work rarely compares different forms of in-world guidance under tightly controlled conditions. Designers routinely mix diegetic text, character behavior, and environmental motion, but it remains unclear how these cue families differentially shape cognitive load, task performance, and narrative experience when they convey the same instruction.

This thesis investigates how three common diegetic cue types—diegetic text, non-verbal gestures from a non-player character, and environmental motion and highlights—affect players in a first-person VR retelling of the Snow White story. In a between-subjects laboratory study, each …

Diurnal Behavioral Outcomes And Bbb Integrity In Adult Male Shr And Wky Rats, Pallavi Shrivastava, Oluchukwu D. Biose, Riya Dahal, Abdallah Jwayyed, Rukayat A. Raji, Huijing Xia, Eric Lazartigues, Ifechukwude J. Biose

School of Graduate Studies Faculty Publications

Day and night neurobehavioral tests were performed for Spontaneously Hypertensive rats (SHR) and Wistar Kyoto rats (WKY) to establish an optimal testing window. Also, blood–brain barrier (BBB) integrity in brain areas related to cognition was measured to determine strain-specific differences. Six months old male SHR and WKY were randomly divided into day (i.e., 9–11 a.m.) and nighttime (i.e., 7–9 p.m.) testing regimen. Neurobehavioral tests included: Y-maze spontaneous alternation, open field, novel object recognition (NOR), and tail suspension test (TST). BBB integrity was measured in the cortex, hippocampus and striatum. WKY showed higher recognition memory at night compared to SHR and …

Node-Attributed Spatial Graph Partitioning: A Kullback-Leibler Divergence Based Approach, Valentin Nechita

Electronic Theses and Dissertations

This thesis presents a novel approach to node-attributed spatial graph partitioning (NSGP) that addresses limitations in existing homogeneity measures. We introduce a Kullback-Leibler (KL) divergence-based formulation we name KLD that measures attribute similarity by comparing each node’s distribution to its subgraph centroid, providing a computationally efficient method of measuring homogeneity. Integrated within a multilevel graph partitioning framework and Fiduccia-Mattheyses refinement, our approach achieves approximately 90% runtime reduction compared to the baseline Clustering and Local Refinement (CLR) algorithm while maintaining comparable partition quality. Applied to COVID-19 infection data combined with American Community Survey demographics across U.S. FIPS codes, KLD successfully identifies …

Investigating The Mechanisms Of Microbial Interactions Using A Model Cystic Fibrosis Polymicrobial Community, Bassam El Hafi

Dartmouth College Ph.D Dissertations

Cystic fibrosis (CF) airway microbial communities are complex ecosystems where interspecies interactions influence pathogen survival and disease progression. We leverage a CF-relevant in vitro four-species model composed of Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus sanguinis, and Prevotella melaninogenica, alongside a microbiome dataset with over 4,000 respiratory samples from publicly available sequencing data of CF patient samples, to explore the dynamics of microbial interactions in CF. On a broader scale, we performed microbial network analysis to examine how the latest modulator therapy, elexacaftor/tezacaftor/ivacaftor (ETI), might influence CF microbial communities. Our analysis revealed a reduction in node connections and …

Ask Me 3® In Action: Advancing Health Literacy In Pediatric Acute Care, Yaseming Medina

2025

EBP

Literature Review: Parents and caregivers’ understanding of how to provide safe and effective care at home is vital. However, elevated levels of stress and limited health literacy face significant challenges in understanding discharge instructions. Patients who understand heath instructions make fewer mistakes when they take their medicine, follow treatment plans, and prepare for medical appointments. Patients have reported higher satisfaction and found that the use of Ask Me 3 was helpful in learning more about their medical condition.

PICO: For parents of pediatric patients seen in an acute perioperative setting, how will the use of the Ask Me 3 …

Educational Policy, Implementation, And Challenges: A Case Study Of Administrative Practice In Using Student Growth Measures For Instructional Improvement In A K-12 School District In Northern New Jersey, Dean Robinson

Theses and Dissertations

This qualitative single holistic case study explores how school administrators in a Northern New Jersey district implement student growth measures (SGMs) mandated by the New Jersey Department of Education. Grounded in Lipsky’s (1980) theory of street-level bureaucracy, Wright’s Connected Actions Roadmap (2022), and Argyris and Schön’s (1978) theory of action, this work examines how administrators in the case study navigate policy mandates while addressing the demands of leading their schools. Data was collected through two rounds of semi-structured interviews with eleven administrators, supplemented by field notes. Thematic analysis revealed five areas: administrative agency in balancing compliance and authenticity, collaboration as …

Housing Market Responses To Constrained Mobility Rights - Evidence From A School Enrollment Reform For Migrant Children, Yilin Hou, Jinghua Qi, Yugang Tang

Center for Policy Research

Mobility matches open housing markets. With constrained mobility and partially open housing markets, market responses reflect the constraints. We study this mechanism by examining disparity in access to public schools across socio-economic groups, focusing on properties near primary schools accessible to migrant students under social integration policies in a Chinese megacity. Using a difference-in-differences approach, we uncover complex spatial and market dynamics: while house prices close to ordinary primary schools remained relatively stable, house prices farther away declined markedly. This differential impact suggests the interaction between a potential "peer effect" and an "amenity effect." The rental rates showed little change …

Cohort Profile: The Pharmacogenomics And Pharmacokinetics Study In Ghanaian Hiv Patients (Genopharm-Gh), Nicholas Ekow Thomford, Oksana Ryabinina, Joel Adu Twum, John Anyimadu, Samuel Badu Nyarko, Akwasi Anyanful, Martins Ekor, George Boateng Kyei

2020-Current year OA Pubs

BACKGROUND: The GenoPharm-GH project initiated in 2019, as a longitudinal, multi-site observational cohort study aimed at bridging gaps in understanding the influence of host genetics, pharmacokinetics and comorbidities on treatment outcome among persons living with HIV (PLWH) in Ghana.

METHODS: The study is ongoing prospective, longitudinal, multi-site cohort associated with diverse projects being conducted throughout health facilities across Ghana. So far 2044 persons living with HIV (PLWH) aged ≥ 8 years have been registered. These participants are on treatment with antiretroviral therapies (ART). Viral suppression, treatment adherence (self-reported and pill count), clinical data, genetic variations, coinfections, and comorbidities are being …

Single-Cell Transcriptomic Analysis Of Hpv-Related Multiphenotypic Sinonasal Carcinoma Uncovers Myb-Hpv Association, Avishai Wizel, Matthew D A Spence, Michael Mints, William Britton, Ogoegbunam Okolo, Victoria Yu, Isabel Cioffi, Salvatore Caruana, Scott H Troob, William C Faquin, Derrick T Lin, Itay Tirosh, Sidharth V Puram, Anuraag S Parikh, Yotam Drier

2020-Current year OA Pubs

Human papillomavirus (HPV)-related multiphenotypic sinonasal carcinoma (HMSC) is a rare tumor that morphologically resembles high-grade adenoid cystic carcinoma (ACC) but exhibits indolent clinical behavior. Both demonstrate MYB proto-oncogene upregulation, though HMSC lacks the MYB translocation characteristic of ACC. We performed single-cell RNA sequencing on an HMSC tumor and compared expression patterns with published ACC and oropharyngeal squamous cell carcinoma (OPSCC) datasets. Malignant HMSC cells clustered separately from ACC and lacked bicellular luminal and myoepithelial differentiation. A greater proportion of HMSC cells expressing HPV-related genes (HPVon) expressed MYB (83% vs. 62%, p = 0.022) and MYB targets (p = 6.4 × …

Energy Management Of Battery Supercapacitor Hybrid Storage In Electric Vehicles With Solar Integration: Review, Islam Sayed, Yousef Mahmoud

Faculty Articles

Hybrid energy storage systems (HESS) integrating batteries and supercapacitors offer a promising solution to overcome the limitations of battery-only architectures in electric vehicles (EVs). By leveraging the high energy density of batteries and the high power density of supercapacitors, HESS can enhance power delivery, improve energy efficiency, and extend battery lifespan. The effectiveness of HESS, however, is largely determined by the energy management system (EMS) that coordinates power flow under dynamic driving conditions. Unlike existing reviews, this work addresses common gaps in the literature, including the lack of industrial energy storage component examples, limited coverage of recently developed EMS strategies, …

Fee Multipliers In Class Actions, Andrew J. Trask

Louisiana Law Review

No abstract provided.

Adequate Representation In Group Litigation, Elizabeth Chamblee Burch

Louisiana Law Review

No abstract provided.

Vested Property Rights: Examining The Louisiana Supreme Court's Approach To Substantive Due Process In Bienvenu V. Defendant 1, William Voitier

Louisiana Law Review

No abstract provided.

Assessment Of Traffic Related Air Pollution Effects On Indoor Air Quality In Educational Buildings, Ahmed Gouda Mohamed, Mohamed Sherif Dr., Fahad Alqahtani Dr., Yousif Deeb Eng.

Civil Engineering

This study assesses the impact of traffic-related air pollution (TRAP) on indoor air quality (IAQ) within a Riyadh school. The main objectives are to pinpoint factors influencing IAQ and to evaluate the effectiveness of existing ventilation and filtration systems. Air quality Egg sensors monitored nitrogen dioxide (NO2), carbon monoxide (CO), and particulate matter (PM1.0, PM2.5, PM10) levels both indoors and outdoors over 30 days. Findings revealed average indoor PM2.5 and PM10 concentrations of 14.09 µg/m3 and 18.15 µg/m3, respectively, while outdoor concentrations averaged 20.63 µg/m3 and 27.88 µg/m3. A strong positive correlation was observed between indoor and outdoor PM levels, …

Neutrophil Lymphocyte Ratio As A Marker Of Skin Disease Activity In Older Children With Juvenile Dermatomyositis, Shreya Swaminathan, Nidhi Naik, Susan Shenoi, Sarah Vandenbergen, Jessica L. Turnier, Zilan Zheng, Jessica Neely, James S. Andrews, Christian Lood

Student Papers, Posters & Projects

BACKGROUND: Neutrophils contribute to the pathogenesis of many autoimmune diseases. While the neutrophil to lymphocyte ratio (NLR) is associated with disease activity in adult dermatomyositis, its clinical utility in juvenile dermatomyositis (JDM) is unknown.

METHODS: Demographic, medication use, autoantibody profile, disease activity markers, and laboratory data from 97 JDM patients was collected using retrospective chart review. Patients were age-stratified (0–9 vs. 9–21 years of age), as white blood cell count stabilizes at 9 years. The relationships between NLR with JDM disease activity measures were analyzed using spearman’s correlation.

RESULTS: Patients were primarily white (56.7%) and female (71.1%). Older children had …

Comparative Analysis Of Robotic-Assisted, Laparoscopic, And Open Radical Nephrectomy: Utilization, Costs, And Clinical Outcomes, Daniel Huang, Costas D. Lallas, Raegan M. Davis, Scott W. Keith, Patrick J. Moeller, Inkyu K. Kim, Anushka Ghosh, Francisco Aguirre, Rasheed A. M. Thompson, Emmanuel F Drabo, Vittorio Maio

College of Population Health Faculty Papers

BACKGROUND: Minimally invasive approaches, including laparoscopic (LARN) and robotic-assisted radical nephrectomy (RARN), have gained adoption over open surgery (ORN) for renal cancer, despite RARN’s higher costs. This contemporary study evaluates trends in RARN, LARN, and ORN use and compares their hospital costs, clinical complications, and mortality rates.

METHODS: Patients undergoing radical nephrectomy (2016–2019) were identified from the National Inpatient Sample (NIS). Procedures were classified as RARN, LARN, or ORN using ICD-10 and Procedure Coding System codes. Patient demographics and comorbidities, hospital characteristics, length of stay (LOS), clinical complications, and hospital costs were analyzed. Trends in utilization were assessed, and regression …

Satisfaction And Barriers To Online Learning Among Omani Undergraduate Nursing Students: A Cross-Sectional Study, Jansirani Natarajan, Mickael A. Joseph, Dooa S. Al Jabri, Juhaina N. Al Shabibi, Sheikha H. Al Quwaiti, Bushra K. Al Bahri

Sultan Qaboos University Medical Journal

Objectives: This study aimed to assess Omani nursing students’ satisfaction with online learning and perceived barriers that may hinder the seamless integration of online theory courses into the nursing curriculum. Methods: This descriptive cross-sectional study was administered to nursing students at Sultan Qaboos University, Muscat, Oman, in the Spring 2024 semester. The 34-item Distance Education Learning Environment Survey and the 22-item Barriers to Online Learning Scale were used. Descriptive statistics and t-tests/ANOVA examined associations. Results: A total of 155 respondents were included (response rate = 73.1%); most respondents were female (n = 126, 81.3%), aged 18– 22 years (n = …

Enablers Towards Men's Engagement At Child Welfare Clinics In Ghana, Veronica Adwoa Agyare, Lillian Akorfa Ohene, Luke Laari, Lydia Aziato

Biennial Convention (CONV)

Globally, male involvement in Maternal, Child and Reproductive Health Care is a concept envisaged to improve children's and women's wellbeing (Angusubalakshmi et al., 2023; Nambile Cumber et al., 2024). Men are encouraged to be involved in prenatal care through to Wellbaby Clinics (WBC), also called Child Welfare Clinics (CWC). Most African countries have aligned to this concept as a strategy (Lusambili et al., 2021) to help attain Sustainable Development Goal 3, Good Health and Wellbeing for All Ages by 2030 due to men’s role as providers and decision makers in family settings. In Ghana, some men are engaged in their …

Exploring Lived Experiences Of Significant Others As Caregivers To Partners With Spinal Cord Injury, Lisa A. Lumley

Biennial Convention (CONV)

According to the World Health Organization, 250,000 to 500,000 people worldwide have suffered a spinal cord injury. Significant others may become caregivers responsible for meeting the needs of the dependent partner. The focus of this study is on significant other caregivers’ experiences providing care for partners after a spinal cord injury.

The effects of stress from providing care may be detrimental to caregivers' psychological and physical well-being. Psychological distress, such as anxiety and depression in caregivers, is a significant public health issue that affects the quality of life for millions of individuals. There is a lack of studies focusing on …

High-Throughput Screens Identify Genotype-Specific Therapeutics For Channelopathies, Christian L. Egly, Alex Shen, Tri Q. Do, Carlos Tellet Cabiya, Paxton A. Ritschel, Suah Woo, Matthew Ku, Brian P. Delisle, Brett M. Kroncke, Björn C. Knollmann

Physiology Faculty Publications

Genetic diseases such as ion channelopathies substantially burden human health. Existing treatments are limited and not genotype specific. Here, we report a 2-step high-throughput approach to rapidly identify drug candidates for repurposing as genotype-specific therapy. We first screened 1,680 medicines using a thallium-flux trafficking assay against Kv11.1 gene variants causing long QT syndrome (LQTS), an ion channelopathy associated with fatal cardiac arrhythmia. We identified evacetrapib as a suitable drug candidate that improves membrane trafficking and activates channels. We then used deep mutational scanning to prospectively identify all Kv11.1 missense variants in an LQTS hotspot region responsive to treatment with evacetrapib. …

The National Landscape On Wellness Culture And Well-Being Best Practices In Healthcare Systems And Academic Institutions: Results From The Fourth National Summit On Promoting Clinician Well-Being, Megan Amaya, Bernadette Mazurek-Melnyk, Josh Winn, Jeff Messinger

Journal of Wellness

Introduction: The health of our nation’s healthcare workforce continues to decline. A comprehensive, whole-system, evidence-based approach is key to a successful wellness initiative and is the foundation for culture change. Building a culture of wellness leads to better mental health outcomes, healthier lifestyle behaviors, higher levels of engagement and job satisfaction, improved patient satisfaction and employee retention, and a positive return (ROI) and value on investment (VOI).

Methods: The purpose of this cross-sectional, descriptive, anonymous survey was to assess the organizational wellness culture of participants who attended the National Summit on Promoting Well-being and Resilience in Healthcare Professionals. …

Drug-Related Emergency Department Visits In Qatar: A Prospective Cohort Study, Maguy Saffouh El Hajj, Ashraf Elmalik, Sara F. Mahmoud, Farah Zahrah, Moza Alhail, Zeana Alkudsi, Alla El-Awaisi, Ahmed Awaisu, Ziyad R. Mahfoud

Pacific Faculty Work

Introduction: Medication therapy is linked to increased risks and preventable adverse drug events (ADEs). ADEs significantly burden healthcare systems by raising hospitalization rates, emergency department (ED) visits, prolonged hospital stays, morbidity, and mortality. The main study objective was to determine the incidence, severity, and preventability of drug-related visits to the ED of two large governmental hospitals in Qatar. Methods: This prospective observational cohort study was conducted in hospital EDs using systematic random sampling to select patients. Data were collected from electronic healthcare records and patient interviews. ED visits were assessed for ADEs using predesigned and tested tools. Results: One thousand …

Regulating Privacy Policies On Digital Platforms, Michele Bisceglia, Alessandro Bonatti, Fiona Scott Morton

Cowles Foundation Discussion Papers

We study how privacy regulation affects menu pricing by a monopolist platform that collects and monetizes personal data. Consumers differ in privacy valuation and sophistication: naive users ignore privacy losses, while sophisticated users internalize them. The platform designs prices and data collection options to screen users. Without regulation, privacy allocations are distorted and naive users are exploited. Regulation through privacy-protecting defaults can create a market for information by inducing payments for data; hard caps on data collection protect naive users but may restrict efficient data trade.

Multigenerational Teachers And Staff Experiences, Perceptions, And Preferences On Organizational Change Communication In Schools, Chrystal Louise Fields

Walden Dissertations and Doctoral Studies

Organizational leaders’ failure to adopt effective change communication strategies in schools exacerbates teacher and staff shortages, compounding factors that undermine student outcomes and overall school effectiveness. Multigenerational teachers and staff must understand change communication strategies as a leading indicator of unsuccessful workforce and organizational change in schools. Grounded in social constructivist theory and conceptually informed by Goffman’s frame analysis, the purpose of this qualitative descriptive case study was to explore how multigenerational teachers and staff experience change communication as recipients and agents of change in schools. The participants consisted of 16 multigenerational teachers and staff members across four generations from …

Psychopharmacologic Management Of Serious Mental Illness In State Prisons, Clarel Neuvieme

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on developing and evaluating an evidence-based clinical practice guideline (CPG) for the psychopharmacologic management of serious mental illness (SMI) in a state correctional health system. The project explored a critical practice gap: the unavailability of standardized, evidence-based prescribing and monitoring protocols for incarcerated individuals diagnosed with schizophrenia, major depressive disorder with psychotic features, or bipolar disorder. The evidence-based project was structured around the central question: “Will an interprofessional team achieve consensus on updating the clinical practice guideline for psychopharmacologic management of serious mental illness in state prisons, thereby improving consistency and quality …

Responding With Change: Transforming From Content To Competency-Based Education, Charlotte S. Connerton, Theresa Marcotte, Ashley N. Carter, Susan A. Seibert

Biennial Convention (CONV)

Background: Changes in nursing education are underway as the American Association of Colleges of Nursing (AACN) endorsed a shift from a content-driven pedagogy to Competency-Based Education (CBE) (AACN, 2021). This seismic shift in long-held teaching and learning practices is daunting for faculty, however, with intentional design for professional development, faculty can gain knowledge in CBE, confidence in trying new strategies, and adopt a different mindset to embrace CBE (Competency-Based Education Network, 2021; National League for Nursing, 2024; Wittman-Price & Gittings, 2021).

Purpose: Using Roger’s (1962) Diffusion of Innovation theory as a theoretical framework, this quality improvement project aimed to transform …

Managing Newborn Emergencies By Escaping, Angela M. Schooley

Biennial Convention (CONV)

Development of clinical judgment skills requires active learning strategies. Escape rooms are a unique teaching methodology to support students’ clinical skills (Woodworth, 2020). Participation in active learning strategies such as escape rooms helps students transfer knowledge to practice (Stringfellow, 2021). Students participating in escape rooms report enhanced knowledge, improved ability to prioritize, and increased ability to synthesize data to guide actions (Kubin, 2020). A concern with using game based learning is the retention of the knowledge (Reinkemeyer et al, 2022, Tavares, 2022). While escape rooms are rated favorably by students, more rigorous research is called for to explore the benefits …

Transformer Network On Global Self-Attention Mechanism For Brain Tumor Segmentation, Ammar Awni Abbas Baghdadi, Mohammed Al-Mukhtar, Ammar S Al-Zubaidi

Baghdad Science Journal

Transformers are a specific category of neural network design. Transformers often depend on extensive pre-training on a large scale and exhibit a notable degree of computational complexity. The disadvantage of using this method is a significant increase in computational complexity, which necessitates a significant commitment of time and computing resources in order to successfully work with these models. Transformer networks possess the desirable benefit of extracting distant characteristics effectively via their self-attention mechanism. In this paper, the Global Self-Attention Transformer module is applied to tackle these issues. The model is based on a segmentation problem called Brain-GS that works as …

Rhode Island Democratic Gubernatorial Primary Muddied By High Number Of Undecided Likely Voters 11/24/2025, Unh Survey Center

All UNH Survey Center Polls

The 2026 Democratic primary for governor of Rhode Island remains unclear, as a plurality of likely voters are undecided on their choice of candidate. Helena Foulkes currently holds a slight lead over prospective candidate and Speaker of the RI House Joe Shekarchi and incumbent Governor Dan McKee. McKee is very unpopular among likely Democratic primary voters and suffers from low job approval among Rhode Islanders overall. Rhode Islanders would like state officials to intervene to keep Our Lady of Fatima and Roger Williams Medical Center open, with many state residents reporting they or their family used one or both hospitals. …