Digital Commons Network^™

A Dynamic Web Design Strategy For Increased Customer Engagement And Sales, Sherline Jones

Walden Dissertations and Doctoral Studies

Nonprofit organizations risk losing customers, revenue, and mission impact when leaders fail to adapt digital strategies to evolving customer expectations. Nonprofit leaders are concerned because digital strategy adoption is essential to strengthening sustainability and expanding mission-centered services. Grounded in the Baldrige Excellence Framework, the purpose of this qualitative single case study research project was to explore effective strategies nonprofit business leaders use to leverage technology to attract new customers, retain existing customers, and increase sales. The participants were two senior leaders from a Florida nonprofit organization in the southern United States. Data collection included semistructured interviews, internal archival data, and …

Acalabrutinib Monotherapy As A First-Line Treatment For Cll: 3 Years Follow-Up Of The Real-World Epic Study: 3-Year Follow-Up Of The Real-World Epic Study, Toby A. Eyre, Nicolás Martínez-Calle, Shankara Paneesha, Mohsen Norouzi, David L Tucker, Harriet Sarah Walter, Alison Boden, Mari Kilner, Neil Phillips, Piers Em Patten, Nimish Shah, Meghna Ruparelia, Sharon Oddy, Tan Tsawayo, Francesco Forconi, Helen Wardle, Tobore Gbemre, Chris Gregory, Lucy B. M. Cook, David J Allsup, Anna Morris, Christopher J C Knechtli, Jenni Davies, Joy Galani, Helen Marr, Claire Hutchinson, Stella Williams, Joe Hickey, Hannah Harding, Sukhjit Hunjan

Peninsula Medical School

Clinical trials indicate that acalabrutinib, a second-generation Bruton tyrosine kinase inhibitor, is safe and effective for treating patients with chronic lymphocytic leukemia (CLL), but real-world evidence on its clinical effectiveness is limited. This ongoing multicenter retrospective chart review included UK adults with previously untreated CLL who received acalabrutinib monotherapy as part of a UK-wide early access program. These patients received their first dose of acalabrutinib between 1 April 2020 and 1 April 2021. Data from 282 patients (male patients, n = 156 [55%]) collected from 29 sites across the United Kingdom revealed a median age of 73.9 years (interquartile range …

Spherical Video–Based Vr Training For Nurses' Workplace Violence Management, Wen-Chii Tzeng, Yen-Yin Lin

International Nursing Research Congress (INRC)

Background: Workplace violence is a major global public health concern that undermines the physical safety, psychological well-being, and professional performance of nurses. Effective responses require increased sensitivity to environmental cues and interpersonal dynamics. However, nurses' workplace violence management cannot be cultivated through classroom instruction or text-based materials alone. This gap necessitates innovative, sustainable, and immersive learning approaches.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of a spherical video–based virtual reality training programme aimed at helping nurses manage workplace violence.

Methods: A convergent mixed-methods study was employed. This study included nurses from a tertiary medical centre in Taiwan. The training …

Developing And Validating A Nursing Leadership Competency Framework For Hospital Nurse Managers, Wen-Chii Tzeng, Ling-Yu Chien, Yao-Mei Chen

International Nursing Research Congress (INRC)

Background: Nursing leadership competencies are essential for ensuring care quality, organizational performance, and professional advancement. However, in Taiwan, leadership development has been limited by the absence of a validated, tiered competency framework that reflects both local practice contexts and global standards.

Purpose: To develop and validate a nursing leadership competency framework for hospital nurse managers in Taiwan.

Methods: A three-phase design was employed. Phase 1 involved a systematic review of international and domestic literature to generate preliminary competency domains. Phase 2 used focus group interviews with nurse executives, managers, and educators to refine and contextualize the framework. Phase 3 conducted …

Save A Pulse: Bridging Nurse Confidence And Team Performance Through In-Situ Simulation, Kimberly Morrison, Anna Oh, Zainab Alzawad, Staeci Morita, Sean Garvey, Soo Young Lee

International Nursing Research Congress (INRC)

High-quality cardiopulmonary resuscitation (CPR) directly influences cardiac arrest survival, yet many hospitals struggle to achieve consistent performance. Although simulation-based training is widely used, confidence may not reliably align with proficiency for physically demanding CPR skills. Save a Pulse, a Rapid Response nurse-led in-situ simulation program, was developed to strengthen nurses' cardiac arrest response using structured team training and objective feedback. This study aimed to assess nurses' confidence and CPR performance using a multimethod assessment of self-reported confidence, facilitator observations, and SimPAD® metrics.

This 13-month pretest-posttest study occurred across 23 inpatient units at a large academic hospital. Shockable and nonshockable scenarios …

Burnout And Job Satisfaction As Mediators Of Nurse Turnover Post-Pandemic, Yulia Gendler

International Nursing Research Congress (INRC)

Background: The COVID-19 pandemic has exacerbated the global nursing shortage, leading to increased turnover intentions among nurses due to heightened workplace stress, burnout, and job dissatisfaction. This study investigates the mediating effects of burnout and job satisfaction on the relationship between professional identity, occupational stress, and nurses' turnover intentions. Additionally, it explores the impact of socio-demographic factors on these relationships in the post-pandemic era.

Methods: A cross-sectional study of 338 nurses across four hospitals in Israel was conducted between June 2023 and January 2024. Self-reported questionnaires were utilized to measure turnover intentions, with professional identity and occupational stress as predictors …

Lessons Learned Using A Decision-Making Model To Develop The Tell Tool For Gamete Donation Families, Patricia Ensweiler Hershberger, Alison L. Miller, Mary B. Richardson, Yolanda Smith, Alison Walsh, Agatha M. Gallo, Kirby Adlam, Susan C. Klock, Lauri A. Pasch

International Nursing Research Congress (INRC)

Background: The history surrounding the use of donated gametes and/or embryos is shrouded in secrecy due to long standing concerns about protecting future parents and their donor-conceived children from stigma and even unlawful birth [1]. Estimates indicate about 23% of parents worldwide disclose the genetic origins to their children [2], approximating the 14% disclosure rate we found in our 12-year longitudinal study among U.S. parents [3]. We created an innovative digital tool called the Tool to Empower Parental TeLling and TaLking or the TELL Tool to support parents’ decision processes about informing their 1–16 year old children about their genetic …

Under Pressure: Negative Urgency And Disordered Eating In The Context Of Parental Differential Support, Hamide Gozu, Jenna K. Rieder

College of Humanities and Sciences Faculty Papers

Disordered eating behaviors are prevalent in emerging adulthood and may be shaped by family dynamics. This study examined associations among maternal and paternal differential support, weight-shape concerns, and binge eating and compensatory behaviors in emerging adulthood, while testing the moderating role of negative urgency. Participants were 517 emerging adults from across the United States (ages 18-29; M = 22.60, SD = 3.81; 76% female). Participants reported on parental differential support, weight-shape concerns, eating behaviors, and negative urgency. Using moderated-mediation analyses, we found that weight-shape concerns mediated associations between differential support and eating behaviors. Unequal maternal support and paternal favoritism showed …

Tinyml-Based Embedded Vision System For Ic Detection In Microcontroller Manufacturing, Mark M. Pallones, King Harold A. Recto, Rynne Daven A. Barrios

Electronics, Computer, and Communications Engineering Faculty Publications

Mixing of microcontroller unit (MCU) integrated circuits (ICs) during the final testing stage of semiconductor manufacturing can lead to material waste, production delays, and customer dissatisfaction. This issue often occurs when standard JEDEC Matrix Trays (JMTs) are reused without confirming that all ICs have been removed after testing, a process typically performed through manual inspection and therefore susceptible to human error due to high test volumes, small IC package sizes, and visual similarity between IC packages and tray surfaces. This study develops an automated IC Detection Test System using embedded vision to determine whether JMT trays are empty prior to …

Examining Conditional Indirect Media Effects Through Normative Perceptions: The Role Of Traditional Family Gender Role Expectations And Stigmatizing Beliefs In Human Papillomavirus Vaccination, Moonsun Choi

Communication ETDs

This dissertation examines how indirect media effects operate through normative perceptions within a gendered and stigmatized health context of HPV vaccination. Specifically, this study investigates how these normative mediation processes are conditioned by traditional family gender role expectations at the norm formation stage and stigmatizing beliefs about HPV vaccination at the normative influence stage. A cross-sectional survey was conducted with mothers of children aged 9 – 12 in the United States in June 2025. The key findings show that while gendered perceptions of HPV vaccination persist, the underlying normative mechanism operated in similar ways across gender-referent contexts. Injunctive norms were …

Uv Damage Mapping Reveals Different Impacts Of Xpd Mutations On Global Genomic And Transcription-Coupled Dna Repair, Allyson Hoag

Biomedical Sciences ETDs

Nucleotide Excision Repair (NER) is a fundamental cellular process that removes bulky and helical distorting lesions from the genome through the separate responses of its two subpathways – global genomic (GG-NER) and transcription coupled (TC-NER) DNA repair. The pathways converge with the recruitment of the TFIIH complex, a key step that is mediated by the translocase and helicase activities of  its XPD subunit. Germline mutations in XPD result in the clinical disorders, Xeroderma Pigmentosum (XP) and XP combined with Cockayne Syndrome (XP/CS). The goal of this thesis was to understand if XPD XP and XP/CS mutations differentially impact GG-NER and …

Mapping And Modeling Threat-Evoked Brain States After Early Life Adversity, Taylor W. Uselman

Biomedical Sciences ETDs

Early life adversity (ELA) increases lifelong neuropsychiatric vulnerability. Yet how ELA reorganizes brain-wide activity and circuit coordination across later experience remains unclear. This dissertation tests the hypothesis that ELA alters adult brain-wide activity and responses to threat through disrupted coordination among neural systems that regulate emotional experience, including prefrontal-limbic and monoaminergic systems. Longitudinal manganese-enhanced MRI of adult mice exposed to standard or fragmented early care, combined with computational processing and statistical modeling, quantified brain states before, during, and long after innate predator threat. These studies established that acute threat evokes large-scale, distributed brain activity that evolves over time. ELA potentiates …

Prenatal Alcohol Exposure Induces Vulnerability To Mild Stress Through Heightened Limbic Glial Activation And Cytokine Release, Justine R. Zimmerly

Biomedical Sciences ETDs

Fetal alcohol spectrum disorder (FASD) results from prenatal alcohol exposure (PAE) and is linked to development of mood disorders, which in turn are driven by dysregulation of the sympathetic nervous system, the neuroendocrine hypothalamic-pituitary-adrenal (HPA) axis, and the central nervous system (CNS) neuroimmune response to stressors. PAE alters brain glial activation and proinflammatory cytokine expression through secondary challenges such as psychological stressors. The goals of the experiments presented in this dissertation were to 1) examine peripheral glucocorticoid receptor function following mild acute stress in adult PAE offspring, 2) characterize a sensitized cytokine stress response in the hippocampus, medial prefrontal cortex, …

Wildfire Impacts On Fluvial Hydrology From Watershed To National Scales, Paige G. Tunby

Civil Engineering ETDs

Wildfires alter the water quantity and quality in downstream river networks. Fires promote biodiversity, maintain habitat, and provide many ecosystem services in a fire-adapted landscape. However, changes in the natural fire regimes can alter ecosystem function and threaten the water security of impacted downstream communities. The magnitude, timing, and persistence of these impacts are difficult to predict due to the lack of high-resolution datasets with adequate coverage to evaluate spatiotemporal trends after a fire. This dissertation moves us beyond the status quo to evaluate post-fire fluvial responses across scales, from the event-scale impacts after the Hermit’s Peak-Calf Canyon wildfire in …

Surveyception: An Exploration Of Deceptive Survey Forms, Muhammad Danish

Computer Science ETDs

Survey platforms such as Google Forms and Microsoft Forms are widely used for feedback, data collection, and engagement, but scammers increasingly exploit them to distribute phishing and deceptive attacks. This thesis presents a large-scale study of survey-form abuse across ten major providers. We collected 140,000 forms from three sources: public posts on X, search-engine results, and web pages from the top 10 million DomCop-ranked domains. Using automated filtering and manual qualitative review, we identified 2,645 forms requesting sensitive information and classified 566 as scams. These forms used techniques including phishing, private-secret theft, account and personal-data harvesting, financial deception, and psychological …

Myeloid Mmp14 Couples Extracellular Proteolysis To Inflammatory And Metabolic Remodeling During Obesity, Long J Shao, Fathima Elizondo, Feng Gao, Elizabeth L Lieu, Bharati Reddi, Maryam Elizondo, Iqbal Mahmud, Kristin Eckel-Mahan, Philipp E Scherer, Xin Ge, Huaizhu Wu, Sean Hartig, Kai Sun

The Brown Foundation: Institute of Molecular Medicine

Macrophages orchestrate tissue remodeling, inflammation, and metabolic dysfunction in obesity, but the role of macrophage-intrinsic extracellular proteolysis in immunometabolic regulation remains unclear. Matrix metalloproteinase-14 (MMP14), a membrane-bound protease, is strongly induced during monocyte-to-macrophage differentiation and further elevated in adipose tissue macrophages from high-fat diet (HFD)-fed mice. Pharmacological inhibition or myeloid-specific deletion of Mmp14 impaired macrophage differentiation, proliferation, migration, phagocytosis, and inflammatory activation in response to obesity-associated adipose tissue signals. Mechanistically, MMP14 promoted inflammatory programming by increasing endotrophin generation and enhancing TLR4-NFκB signaling. MMP14 also reprogrammed macrophage lipid metabolism by suppressing lipolysis and promoting lipid accumulation, altering metabolic communication with neighboring …

Final 2022 Unreclaimed Sites Sampling: Ur-07 Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Naturalistic Aided Language Intervention For Children Who Have Multiple Disabilities Including Visual Impairment, Naomi Nattress

Speech and Hearing Sciences ETDs

ABSTRACT

This dissertation examined aided AAC interventions for individuals with multiple disabilities, including visual impairment, across three original studies. Chapter 2, a meta-analysis, found limited rigorous research for this population while showing that individuals at early symbolic stages with diverse visual profiles can successfully engage with AAC when appropriate adaptations are provided. The pilot study in Chapter 3 indicated that caregivers and graduate student clinicians can learn and implement naturalistic AAC techniques and VI accommodations with high fidelity through structured coaching. The mixed methods study in Chapter 4 introduced the ImPAACT-VI program, showing strong outcomes in educator performance, students’ symbolic …

Recovery Through Connection: The Role Of Positive Social Interactions In Early Alcohol And Opioid Recovery Outcomes, Hannah Avery Carlon

Psychology ETDs

Recovery from substance use disorder (SUD) is influenced by both positive emotional functioning and social connectedness. However, empirical research has yet to examine how these two protective factors interact to influence recovery. The present study aimed to address this gap by exploring positivity resonance, or the shared experience of positive emotions, in the first year of recovery. In Aim 1, we examined change trajectories of positivity resonance and recovery capital over the first year of recovery among adults with alcohol use disorder (AUD; n=470) and opioid use disorder (OUD; n=61), the associations between these change trajectories (1a), and …

Understanding The Long-Run Effect Of Historical Redlining Practices, Yujian Lu

Geography ETDs

Historical redlining practices initiated by Home Owners’ Loan Corporation (HOLC) in the 1930s have produced enduring persistent socioeconomic and environmental disparities in U.S. cities. This dissertation examines their long-term impacts on social vulnerability, urban flood risk, along with public discourse about redlining practices. Results indicate that neighborhoods with HOLC grade A (greenlined) exhibit the lowest overall social vulnerability, while those graded D (redlined) face the highest across U.S. cities. In Chicago, associations between redlining practices and flood risk disparities are stronger than in Los Angeles, reflecting place-specific characteristics among environmental, socioeconomic, and demographic factors shaping flood risk disparities in long …

Regenerative Writing: The Rhetorics Of Indigenous Futurisms As Pedagogical Praxis, Madeline R. Mendoza

English Language and Literature ETDs

This dissertation explores how land-based writing and Indigenous Futurisms can reshape writing pedagogy in higher education, focusing on English courses at the University of New Mexico. At the center of this project is the Land Memoirs assignment, which I designed to encourage students to engage land as a living relative and active participant in the learning process. Through the frameworks of Indigenous Futurisms, Land as Pedagogy, Rhetorical Sovereignty, and Pueblo understandings of marking, I analyze the rhetorical choices across student multimodal narratives, reflections, and interviews to examine the assignment’s pedagogical impact. My findings reveal epistemic differences in how Indigenous …

Keeping Communities Safe Through An Alternative First Response Model: Predictors Of Civilian First Responders’ Self-Efficacy In Handling Crisis Situations, Jasmine Desiderio

Organization, Information and Learning Sciences ETDs

The expansion of civilian alternative first responder models reflects a national shift toward community-based approaches to crisis intervention. Grounded in Albert Bandura’s social learning theory, this study examined the extent to which demographic characteristics are associated with crisis self-efficacy, explored how perceptions of the responder role relate to confidence, and identified supports necessary for effective crisis response. A convergent parallel mixed-methods design was employed with civilian first responders in Albuquerque, New Mexico. Quantitative data were collected with the Crisis Self-Efficacy Scale, and semi-structured interviews gathered qualitative data. Exploratory regression analyses (n=31) were not reliably associated with crisis self-efficacy, while role …

Transforming Faculty Development: Organizational Citizenship Behavior, Arts-Based Design, And Communities Of Transformation In Stem Education, Kristen L. Ferris

Organization, Information and Learning Sciences ETDs

This dissertation investigates the relational conditions enabling institutional transformation and diversity, equity, inclusion, and justice (DEIJ) within STEM higher education. Despite needs for systemic change, sustaining faculty engagement remains difficult due to entrenched power dynamics, lack of pedagogical training, and political repression. To address these barriers this research introduces Organizational Citizenship Behaviors (OCB) as an analytic lens and functional infrastructure for change.

Through three papers, this study 1) establishes OCB via a systemic literature review as an actionable metric for faculty development; 2) details the design of a cross-institutional Community of Transformation (CoT) as a design case; and 3) Presents …

The Dental Hygienist Perspective On Laser Use For Nonsurgical Periodontal Therapy, Tammie A. Nyce Mrs.

Dental Hygiene ETDs

The purpose of this study was to assess the perceptions, attitudes, and experiences of dental hygienists regarding the use of lasers in the non-surgical treatment of periodontal disease.  A descriptive survey was distributed via email to current active and inactive members of the American Dental Hygienists’ Association. The sample consisted of practicing dental hygienists who had received training in laser use and lived in states that allowed laser use by dental hygienists.   Those dental hygienists who are not practicing clinically, who are not trained in the use of lasers, and who do not have experience using lasers in the treatment …

Establishing Thermal Bleaching Thresholds For Montastraea Cavernosa On Florida’S Coral Reef, Olivia Faris

Electronic Theses and Dissertations

Marine heatwaves are increasing in frequency and duration, with widespread bleaching events and mortality impacts observed on Florida’s Coral Reef. However, thermal bleaching thresholds for corals in Southeast Florida are not well established, limiting the ability to forecast or manage response to thermal stress events in the region. This study was designed to establish bleaching thresholds for Montastraea cavernosa, a reef-building stony coral, in Southeast Florida. Ex-situ experiments were conducted where triplicate M. cavernosa fragments of multiple genotypes were exposed to acute thermal stress or held at intermediate temperatures to simulate chronic stress. Thermal performance curves based on photosynthetic …

Assessment Of Anaerobic Co-Digestion Of High Strength Organic Feedstocks Diverted From Landfills, Sumaiya Sharmin

Electronic Theses and Dissertations

The increasing generation of high-strength organic wastes such as food waste and fats, oils, and grease (FOG) presents challenges for landfill capacity and waste management. Anaerobic co-digestion offers a sustainable alternative by converting these wastes into renewable energy and nutrient-rich digestate. This study evaluated the co-digestion performance of single fruit waste residuals and mixed food waste with wastewater sludge to identify substrate combinations that maximize methane production while maintaining process stability. Laboratory-scale batch experiments were conducted under mesophilic conditions using thickened waste activated sludge (TWAS) with varying proportions of food waste and co-substrates, including seaweed, aquatic weed, grease trap waste, …

Functionalization Of The Amine Group For Access To 4-Imidazolidinone-Sulfadiazine Hybrid Derivatives And Study Of Their Biological Activities, Sabaa A. Yousif, Rafid S. Dawood

Baghdad Science Journal

The work successfully synthesized twelve novel derivatives of 4-imidazolidinone bearing a sulfadiazine moiety using a one-pot reaction. This was done by condensation of sulfadiazine with twelve different aldehydes to afford the corresponding imines as intermediates, which were then followed by a cyclization reaction with glycine to furnish the desired products 1-12 in 56-85% yields. The structures of these products were identified by FT-IR and ¹H NMR spectroscopy. In addition, a number of the produced compounds demonstrated diverse antibacterial and antioxidant activities. In terms of the antibacterial activity, the compounds 1, 2, 3, 4, …

Technology Platform (Peer Plus) Supporting The Work Of Peer Recovery Coaches And The Communication Needs Of Individuals In Recovery From Substance Use Disorder: Protocol For An R21 Development And Usability Trial., Amanda Coupe, Jessica Pater, Rachel Pfafman, Victor P Cornet, Elisabeth Andrews, Mindy Flanagan, Dana Albright, Abhinay Balasani, Christopher Becker, Brian Parise, Erik Hess, Tammy Toscos

Health Services and Informatics Research

BACKGROUND: Substance use disorder (SUD) represents a significant public health concern in the United States. SUD recovery is complex and individualized, and support provided by peer recovery coaches (PRCs) can improve outcomes. The PRC-client relationship requires bidirectional mediated communication that is often informal but should be trackable, efficient, and aligned with health care privacy and security regulations. Current workflows and available apps do not meet these needs, illustrating the opportunity for client-centered technology tools. We have developed Peer PLUS (People Leveraging Urgent Support; Parkview Health System, Inc), a HIPAA (Health Insurance Portability and Accountability Act)-compliant mobile app and client management …

Investigation Of Radiation And Heavy Metal Hazards In Nutritional Supplements For Athletes, Sarah Amir Abdalabass, Ahmed Fadhil Mkhaiber

Baghdad Science Journal

Nutritional supplements are widely consumed worldwide. This study assesses uranium isotopes and radon concentrations in nutritional supplements using CR-39 detectors to evaluate potential radiological health risks. In addition, the concentrations of selected heavy metals were quantified using atomic absorption spectroscopy (AAS), The results indicated that the activity concentrations of uranium isotopes (U²³⁸, U²³⁵, and U²³⁴) were (6.07 ± 0.5 Bq/kg), (0.2 ± 0.02 Bq/kg), and (6.2 Bq/kg), respectively. The average total annual effective dose (AED) and the risk of excess fatal cancer per million population (RECFPMP) were (0.0006 ± 0.00005 mSv/y) and (2.2 ± …

Urban Climatic And Health Impacts Of Aerosols, Yuezhi Li

McKelvey School of Engineering Graduate Student Theses & Dissertations

Aerosols, also known as particulate matter (PM), strongly influence the climate and pose considerable risks to human health. As short-lived climate forcers, aerosols alter the Earth’s radiative budget by absorbing and scattering incident solar radiation, thereby affecting global and regional temperatures, atmospheric circulation, cloud formation, and precipitation patterns. From a public health perspective, exposure to particulate matter, particularly fine and ultrafine particles, has been associated with a wide range of adverse outcomes, including respiratory diseases, neurodegenerative disorders, and premature mortality. In addition, aerosols can transport pathogens and represent a critical pathway for the transmission of airborne infectious diseases. Despite contributing …