Digital Commons Network^™

The Difference Of Self-Efficacy Between General And Special Education Teachers In Rural Elementary Co-Taught Classrooms: Quantitative Causal Comparative, Tilnisha Pritchard Rosser

Doctoral Dissertations and Projects

This quantitative causal-comparative study examined differences in teacher self-efficacy between general and special education teachers in co-taught classrooms within a rural school district in the southeastern United States. A convenience sample of 162 participants (99 special educators and 63 general educators) completed the short form of the Teacher Self-Efficacy Scale (TSES), which assesses instructional strategies, classroom management, and student engagement. The Mann-Whitney U test was used to compare student engagement scores, and a one-way ANOVA analyzed differences in instructional strategies, classroom management, and total self-efficacy. Findings indicated no significant difference in instructional strategies; however, special educators demonstrated significantly higher scores …

Re: Butte Priority Soils Operable Unit (Bpsou) Final Insufficiently Reclaimed Sites Field Sampling Plan (Fsp): Bres No. 26 – Cripple Dump, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

September 25, 2025, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.

September 25, 2025, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.

The Prospector, September 25, 2025, Utep Student Publications

The Prospector

No abstract provided.

Trajectory Of Iron And Red Cell Parameters In Moderately Anemic Iron-Deficient Pregnant Women Receiving Daily Iron-Folic Acid Supplementation: A Prospective Cohort Study, J. P. Akshaykirthan, Manjunath S. Somannavar, S. Yogeshkumar, M. S. Deepthy, Umesh Charantimath, Amaresh Patil, Mrutyunjaya B. Bellad, Richard Derman, Shivaprasad S. Goudar

Global Health Articles

Background/Objectives: The objective is to study the trajectories of hematologic and biochemical markers in moderately anemic pregnant women receiving oral iron supplementation throughout pregnancy. Methods: This prospective cohort study was conducted from August 2021 to September 2023 involving 315 pregnant women from rural areas of Belgaum, Karnataka, India, with hemoglobin levels between 7.0 and 9.9 g/dL and serum ferritin < 30 ng/mL and/or TSAT < 20%. Participants received iron-folic acid supplementation (IFAS) as per Anaemia Mukt Bharat guidelines. Blood samples were collected to measure various hematologic and iron markers and compared across each visits. Results: We report a complete adherence rate of 95.3% for iron and 97.8% for folic acid supplementation throughout pregnancy and also observed significant improvements in hemoglobin (9.36 (8.55, 9.74) to 12.03 (11.49, 12.72)) g/dL, hematocrit (29.93 ± 2.87 to …

Approach To Ophthalmic Surgery Involving The Anterior Vitreous: A Clinical Practice Update From The American Society Of Retina Specialists, Matthew R Starr, Christina Y Weng, Lejla Vajzovic, Kevin J Blinder, Judy E Kim, J Michael Jumper

Faculty, Staff and Students Publications

When encountering diseases of the anterior vitreous and peripheral retina (ie, the "middle segment" of the eye), vitreoretinal (VR) surgeons are specifically trained in surgical techniques for managing the vitreous and visualizing the peripheral retina during anterior vitrectomy, and therefore they are well equipped to address the complications of surgery involving the anterior vitreous space. This clinical update reviews and compares the current literature discussing techniques and patient outcomes related to complete pars plana vitrectomy versus incomplete, subtotal pars plana vitrectomy, and addresses the proposition of developing an abridged training curriculum for non-VR surgeons to acquire the knowledge and skills …

Smarcal1 Is A New Osteosarcoma Predisposition Gene, Maryam Rafati, Lillian M Guenther, Laura E Egolf, D Matthew Gianferante, Jung Kim, Kevin Wang, Bin Zhu, Logan G Spector, Nathan Anderson, Katherine A Janeway, Donald A Barkauskas, Douglas S Hawkins, Ana Patiño-Garcia, Philip J Lupo, Michael E Scheurer, Lindsay Morton, Gregory T Armstrong, Yadav Sapkota, M Monica Gramatges, Massimo Serra, Claudia Hattinger, Katia Scotlandi, Irene L Andrulis, Jay S Wunder, Mandy L Ballinger, David M Thomas, Meredith Yeager, Michael Dean, Douglas R Stewart, Aurelie Vogt, Jia Liu, Belynda D Hicks, Wen-Yi Huang, Maria Teresa Landi, Adriana Lori, W Ryan Diver, Sharon A Savage, Stephen J Chanock, Lisa Mirabello

Faculty, Staff and Students Publications

Osteosarcoma, the most common childhood bone tumor, can occur in rare cancer predisposition syndromes; however, most cases are sporadic with no known predisposing factors. We investigated the frequency of SMARCAL1 putative pathogenic variants in our large ongoing study of 2,119 osteosarcoma cases, their relation to patient characteristics, and the population prevalence. Our analysis uncovered a higher frequency of SMARCAL1 pathogenic variants across three osteosarcoma case sets (1.8%, n = 2,119) than in 2,625 comparably sequenced cancer-free controls (0.3%; P <  .001). Cases with SMARCAL1 pathogenic variants had significantly improved overall survival compared to cases without these variants (hazard ratio 0.36, 95% CI 0.14-0.96, P = .034). In the UK Biobank (469,557 exomes), there was a 33-fold increased risk of osteosarcoma in individuals with SMARCAL1 pathogenic variants. These results identify SMARCAL1 as a new osteosarcoma predisposition gene and thus warrant follow-up to identify the mechanisms by which SMARCAL1 contributes to the etiology of osteosarcoma.

Lysosomes Signal Through The Epigenome To Regulate Longevity Across Generations, Qinghao Zhang, Weiwei Dang, Meng C Wang

Faculty, Staff and Students Publications

The epigenome is sensitive to metabolic inputs and crucial for aging. Lysosomes act as a signaling hub to sense metabolic cues and regulate longevity. We find that lysosomal metabolic pathways signal through the epigenome to regulate transgenerational longevity in Caenorhabditis elegans. Activation of lysosomal lipid signaling and lysosomal adenosine monophosphate-activated protein kinase (AMPK) or reduction of lysosomal mechanistic-target-of-rapamycin (mTOR) signaling increased expression of a histone H3.3 variant and increased its methylation on K79, leading to lifespan extension across multiple generations. This transgenerational pro-longevity effect required intestine-to-germline transportation of histone H3.3 and a germline-specific H3K79 methyltransferase, and was recapitulated by …

Synthesis, Structure-Activity Relationships, And Antitumor Activities Of Quinoxiline-Containing Inhibitors Of The Protein-Protein Interactions Between Transcription Coactivator Af9/Enl And Dot1l/Af4, Chandra Bhushan Mishra, Xin Li, Bala Krishna Moku, Sehun Kwak, Dnyaneshwar N Garad, Yongcheng Song

Faculty, Staff and Students Publications

Mixed lineage leukemia (MLL) gene rearrangements cause ~75% of acute leukemia in infants and 5-10% in children and adults with poor clinical outcomes. Protein-protein interactions (PPI) between frequent MLL fusion partners AF9/ENL and AF4 or histone methyltransferase DOT1L are drug targets for MLL-rearranged (MLL-r) leukemia. Sixty-seven quinoxiline compounds were synthesized and tested for their ability to inhibit such PPIs. Compounds 16, 17, 59 and 63 were found to be potent inhibitors with IC50 values of 0.35-1.5 μM. Structure-activity relationships are discussed. Potent inhibitors can suppress expression of MLL target genes Myc and Meis1 and selectively block proliferation of MLL-r and …

Synthetic Social Engineering Scenario Generation Using Llms For Awareness-Based Attack Resilience, Jade Webb, Faranak Abri, Sayma Akther

Faculty Research, Scholarly, and Creative Activity

Social engineering is found in a strong majority of cyberattacks today, as it is a powerful manipulation tactic that does not require the technical skills of hacking. Calculated social engineers utilize simple communication to deceive and exploit their victims, all by capitalizing on the vulnerabilities of human nature: trust and fear. When successful, this inconspicuous technique can lead to millions of dollars in losses. Social engineering is not a one-dimensional technique; criminals often leverage a combination of strategies to craft a robust yet subtle attack. In addition, offenders are continually evolving their methods in efforts to surpass preventive measures. A …

Montana Kaimin, September 25, 2025, Students Of The University Of Montana, Missoula

Montana Kaimin, 1898-present

Student newspaper of the University of Montana, Missoula.

Kenyon Collegian - September 25, 2025

The Kenyon Collegian

No abstract provided.

Toward A Clinically Actionable, Electronic Health Record-Based Machine Learning Model To Forecast 90-Day Change In Hemoglobin A1c In Youth With Type 1 Diabetes: Feasibility And Model Development Study, Erin M. Tallon, David D. Williams, Cintya Schweisberger, Colin Mullaney, Brent Lockee, Diana Ferro, Craig Vandervelden, Mitchell S. Barnes, Angelica Cristello Sarteau, Anna R. Kahkoska, Susana R. Patton, Sanjeev Mehta, Ryan Mcdonough, Marcus Lind, Leonard D'Avolio, Mark A. Clements

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Clinicians currently lack an effective means for identifying youth with type 1 diabetes (T1D) who are at risk for experiencing glycemic deterioration between diabetes clinic visits. As a result, their ability to identify youth who may optimally benefit from targeted interventions designed to address rising glycemic levels is limited. Although electronic health records (EHR)-based risk predictions have been used to forecast health outcomes in T1D, no study has investigated the potential for using EHR data to identify youth with T1D who will experience a clinically significant rise in glycated hemoglobin (HbA1c) ≥0.3% (approximately 3 mmol/mol) between diabetes clinic visits. …

The Impact Of Scan Spans On The Accuracy Of Three Intraoral Scanners: A Comparative Study, Lynn Labban, Louis Hardan, Cynthia Kassis

International Arab Journal of Dentistry

Objectives: In modern dentistry, intraoral scanners (IOSs) have become indispensable tools for capturing accurate digital impressions of patients’ dentition, facilitating the design and fabrication of various dental restorations. However, the accuracy of these scanners can be influenced by factors such as scan span, which refers to the extent of the area scanned during impression taking. Understanding the impact of scan span on scanner accuracy is crucial for optimizing clinical outcomes and ensuring the reliability of digital models. The aim of this study was to evaluate and compare the accuracy, encompassing both trueness and precision, of intraoral scanners (IOSs) across different …

Enhancing Nurse Manager Satisfaction And Well-Being For Long-Term Retention, Will Carson

International Nursing Research Congress (INRC)

Nurse Managers play a pivotal role in healthcare organizations, but are leaving the profession at an alarming rate. To address this challenge, The American Nurses Credentialing Center developed a comprehensive Nurse Manager Retention Toolkit in partnership with Vanderbilt University. The toolkit, based on a systematic literature review of 31 peer-reviewed articles and a series of focus groups, addresses critical factors influencing nurse manager satisfaction, well-being and retention.

Promoting Reproductive Knowledge Among Youth Through A Summer Health Camp, Adejoke Bolanle Ayoola, Esther K. Afolabi, Zach B. Devries, Stacy L. De Ruiter, Esther Idowu, Vanesa B. Blas

International Nursing Research Congress (INRC)

Unplanned pregnancies are associated with adverse pregnancy and birth outcomes such as low birth weight, preterm birth, admissions into neonatal intensive care unit and significant cost of care. A strategy to reduce unplanned pregnancy is to provide more accurate information on reproductive physiology and conception risk to increase young people’s understanding of reproductive changes and improve pregnancy planning. This study examined the effect of a summer Health Education And Leadership Training for a Hopeful future (HEALTH) camp on the reproductive anatomy and sexual health knowledge of camp participants

Methods: This is a simple descriptive pre- and post-assessment study. The one-week …

Integrating Social Determinants Of Health Into Advanced Health Assessment: A Sustainable Model, Heather Jones, Beth Ammerman, Elizabeth Kuzma

International Nursing Research Congress (INRC)

Social Determinants of Health (SDOH), including economic stability, access to quality healthcare and education, neighborhood characteristics, and social context, are critical factors influencing the health and well-being of individuals and communities.¹ These factors are recognized as core objectives by Healthy People 2030² emphasizing the need for healthcare providers to address SDOH in clinical settings. The purpose of this initiative was to integrate content on SDOH into an Advanced Health Assessment for Advanced Practice Nurses (APNs) course, a foundational course for all APN students. Building content in this course sets the stage for further integrating this essential content and …

Characterizing Prenatal Substance Use: A Leading Cause Of Maternal Mortality, Lisa M. Blair, Alexandra Nowak, Biyyiah A. Lee, Dennette Fend, Marvin Allan Schilt-Solberg

International Nursing Research Congress (INRC)

Introduction: Prenatal substance use is of global concern due to its contributions to adverse maternal and child health outcomes and maternal mortality.¹ Substance use disorder (SUD) and other mental health concerns are the leading cause of maternal mortality in the U.S.,^2,3 where overall rates of maternal mortality are two to three times higher than other high-income countries.² Prenatal use of licit and illicit substances contribute to maternal mortality though a range of mechanisms, including overdose, cardiovascular complications, and suicide.⁴ This study characterized substance use and SUD among a nationally representative sample of pregnant women.

Methods: Pooled …

Differences In Nurses’ Perceptions Of The Work Environment, Joanne D. Muyco, Alexis Elizabeth Hayes

International Nursing Research Congress (INRC)

Nurses play a critical role in delivering safe, high quality patient care. However, nurses continue to face staffing shortages, turnover, workplace violence, and challenging work environments. Research shows that work environments have a direct impact on nurses and the quality of care provided. Nursing leaders are in a prime position to advocate for healthy work environments that will sustain the nursing workforce and provide nurses with a workplace that is safe, empowering, and satisfying. This research study was part of a larger non-experimental descriptive study on healthy work environments. The study assessed how nurses in different professional roles within a …

Covid-19 Vaccine Acceptance And Hesitancy Among People Living With Hiv In Kenya: Lessons Learned, Sheila Shaibu, Constance Shumba, Peterson Kiraithe, Maureen Akolo, Eunice Wambui Ndirangu-Mugo

International Nursing Research Congress (INRC)

The roll out of the Covid 19 vaccine encountered vaccine hesitancy globally (Rahbeni et al., 2024). In East Africa approximately four out of ten people expressed hesitancy towards vaccination (Alie, Abebe, Negesse, Adugna, & Girma, 2024). By the end of 2023, only 21% of Kenyans had received the complete Covid primary series and only 4% had received at least one Covid dose booster vaccine (WHO, 2023). Although Covid 19 is no longer a threat, some variants may emerge (UN, 2023). People living with HIV (PLHV) are more vulnerable to COVID 19 infection and experienced worse clinical outcomes than others. Therefore, …

Nursing Students' Lgbtq+ Healthcare Knowledge And Attitudes: A Roadmap For Interventions, Judith Bacchus Cornelius, Charlene Downing, Ryan Michael Oducado, Evangelos C. Fradelos, Riksa Wibawa Resna

International Nursing Research Congress (INRC)

Purpose: While awareness of LGBTQ+ health needs is rising, these topics remain underrepresented in nursing curricula, often due to limited faculty preparation and absence of standardized guidelines (Dalbey, 2023; Moore et al., 2023). This educational gap affects nursing students’ readiness to care for LGBTQ+ patients, particularly in non-Western settings, where cross-cultural research is limited (Ozcan et al,, 2021; Wang et al., 2022. This study examined nursing students' knowledge and attitudes toward LGBTQ+ healthcare across five countries—the United States (U.S.), South Africa, the Philippines, Greece, and Indonesia.

Methods: A quantitative descriptive study was conducted with 150 third-year undergraduate nursing students who …

The Universal Humanuniverse Living Experience Of Feeling Lonely: A Parsesciencing Inquiry, Maria Elizabeth Wheelock

International Nursing Research Congress (INRC)

Feeling lonely is a universal humanuniverse living experience. Universal humanuniverse living experiences are phenomena that occur throughout a lifetime and experienced to some degree by everyone. Feeling lonely within the context of the humanbecoming paradigm is a phenomenon concerned with living quality since individuals structure personal meaning in choosing to feel lonely or not from moment to moment. Feeling lonely has not been substantially investigated within nursing.

The purposes of this inquiry were to (a) discover the discerning extant moment of feeling lonely, (b) enhance understanding of the universal humanuniverse living experience of feeling lonely, (c) add to the body …

Developing A Database Of Community And Medical Resources For Gender-Affirming Care, Grey Mitchell

International Nursing Research Congress (INRC)

Transgender and gender-diverse (TGD) care has gaps in the understanding and meeting of non-medical needs of TGD patients.^1-7 The current evidence skews towards overmedicalizing aspects of a TGD person’s care and says very little about what aspects are missing from comprehensive TGD patient care.^1-8 This project aimed to provide resources via a web page on the web site for a Community Health Center (CHC) in King County, Washington to address these gaps with the types of resources that TGD patients have specifically requested of their providers at this CHC. A survey was created, sent to primary care providers …

Empowering Black/African American And Latina/Hispanic American Women Through Lupus Awareness, Chizoba Anako, Celicia Little, Tomilola Afere, Marvel Onwumere

International Nursing Research Congress (INRC)

Background: Approximately 1.5 million Americans and at least 5 million people worldwide are affected by some form of lupus (Lupus Foundation of America, 2023), and recently approved lupus therapies remain inaccessible to many patients due to the lack of coverage by healthcare systems, disproportionately affecting individuals from lower socioeconomic backgrounds (Mosca et al., 2024).

Purpose: Guided by the Lupus Foundation of America’s (LFA) campaign theme, "Be Fierce. Take Control.", the initiative emphasizes health empowerment and self-advocacy.

Methods: This study used a simple random sample of 36 undergraduate students at Bowie State University. Informed consent was obtained before participation. After Institutional …

A Systematic Review Of Symptoms In Adolescents With Ckd, Rileigh M. Fagan, Janet S. Carpenter, Heather K. Hardin, Rebecca J. Bartlett Ellis

International Nursing Research Congress (INRC)

Background: Childhood chronic kidney disease (CKD) affects an estimated 15 to 75 children and adolescents per million worldwide. As a disease and symptom multiplier, childhood CKD is burdensome and leads to decreased quality of life. It is essential to explore current knowledge of the symptom experience in adolescents with CKD to help reduce burden and improve quality of life. The purpose of this systematic review was to explore the state of the science of the symptom experiences in children and adolescents with conservatively managed CKD.

Methods: This systematic review included articles identified through searches in Scopus, PubMed, Cumulative Index to …

Integrating Telehealth Simulations To Prepare Advanced Practice Registered Nurse Students, Michelle Spencer, Carly Edgar, Cara Young

International Nursing Research Congress (INRC)

Introduction: Telemedicine improves patient care access and has a positive economic impact. In 2018, the National Organization of Nurse Practitioner Faculty (NONPF) proposed integrating telehealth competencies into the advanced practice registered nurse (APRN) education curriculum. This project aims to implement telemedicine educational content addressing the telehealth competencies for the APRN student, including didactic and simulation components to enhance students’ competence and confidence with telemedicine care.

Methods: This quality improvement project implements an evidence-based approach to educate APRN students on telemedicine. The NONPF telehealth competencies are introduced to 37 family, pediatric, psychiatric-mental-health nurse practitioner, and clinical nurse specialist students enrolled in …

Measuring Hospital Case Management Practice Environment: Adaption And Validation Of The Pes-Nwi, Kristen A. Berryman, Rula Btoush, Olga F. Jarrin

International Nursing Research Congress (INRC)

The Practice Environment Scale of the Nursing Work Index (PES-NWI) has been used to measure the work environment across diverse nursing populations for over two decades (Lake, 2002; Lake et al., 2023). Case management, a specialty nursing practice centered around care coordination, aims to meet the clinical and financial goals of medically and socially complex individuals across the care continuum (Luther et al., 2019). Hospital case management practice is complex, and case managers often face work barriers, including unclear scope of practice and insufficient training upon entering the specialty (Anderson & Hewner, 2021; McLaughlin Davis & Morley, 2022). There is …

Implementation Of A Multidisciplinary Educational Assessment To Enhance Pressure Injury Prevention, Olivia Paige Manning, Tamara Oliver, Anne Schoening

International Nursing Research Congress (INRC)

Purpose: To develop and implement a multidisciplinary, role-specific educational assessment aimed at identifying knowledge gaps and training needs related to HAPI prevention among key inpatient care teams.

Background: Healthcare-acquired pressure injuries (HAPIs) remain a significant challenge across inpatient settings, requiring collaborative, multidisciplinary prevention strategies. The Center for Disease Control and Prevention reported that pressure injuries affect more than 2.5 million Americans a year resulting in 60,000 deaths. Education and role-specific knowledge among staff are critical components in addressing gaps in HAPI prevention.

Methods: A multidisciplinary HAPI prevention team at a midwestern Level I Trauma Center in partnership with Creighton University …

Interpreting And Applying Microbiome Data For Evidence-Based Practice, Jessica M. Johnson

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to demonstrate how microbiome data is presented in the literature and evaluate the effect of inconsistencies in reporting on the interpretation of microbiome data for research and clinical practice.

Background: Examination of the relationship between the microbiome and human health is a burgeoning area of research^1-5. However, across microbiome literature, there is an inconsistency in reporting concerning bacterial taxonomies, abundance values, ranking, and alpha and beta diversity. This inconsistency demonstrates the need for greater consistency in reporting microbiome results so that researchers and nurses can compare results across studies.

Methods: Using …