Digital Commons Network^™

Evaluating The Active Learning Experience Of Prelicensure Nursing Students By Role And Level In Simulation, Delisa Flynn

Dissertations

As the complexity of healthcare continues to grow, it is essential that nursing graduates enter the workforce with strong clinical judgment, confidence, and practice readiness. Simulation is an active learning strategy that creates a realistic, hands-on experiences for learners. Despite its widespread use, the impact of simulation roles within a simulated experience (participant versus observer) on student engagement remains unclear, particularly across different levels of nursing education. This study investigated differences in active learning engagement among sophomore and senior prelicensure nursing students (N = 161) based on their assigned role in a high-fidelity simulation scenario. Grounded in Kolb’s Experiential Learning …

Adolescent Social Media Use And Complete Mental Health: Examining The Intersections Of Identity, Social-Emotional Skills, And Social Support, Reese Hyzer

Dissertations

Social media and technology use have become ubiquitous for today’s adolescents. With the rise in technology use, mental health disorder diagnoses have also increased. Despite the increase in concern for both adolescent social media use and mental health, many schools, parents, and youth service clinicians do not have the knowledge or resources to intervene effectively. The current study explores two research questions. The first is to evaluate the moderating effect of social-emotional skills and social support on the relationship between social media use and mental health through structural equation modeling (SEM). The second research question is to explore whether this …

Agenda (9-5-2025), California State University, San Bernardino - Associated Students, Incorporated

Associated Students, Incorporated records

No abstract provided.

Minutes (9-5-2025), California State University, San Bernardino - Associated Students, Incorporated

Associated Students, Incorporated records

No abstract provided.

The Impact Of A Major Educational Shift On Cognitive Load: A Cross-Sectional Study Of Uae University Students, Yousef Aljawarneh, Hasan Al-Omari

Journal of Social, Behavioral, and Health Sciences

The shift to remote learning has significantly influenced cognitive load among university students, impacting their ability to learn and comprehend effectively. In this study, we assessed cognitive load among students at the Higher Colleges of Technology (HCT) in the United Arab Emirates (UAE) during the COVID-19 pandemic. Using a cross-sectional descriptive design, we collected data from 2,085 students via self-administered questionnaires between February and May of 2021. The sample was predominantly female (78.5%) and single (91.3%). The Cognitive Load Scale (subscale range: 0-40) revealed moderate mean scores of 19.59 for intrinsic load (ICL) and 16.69 for extraneous load (ECL), with …

Educating Staff To Use The Teach-Back Method For Patient Education Toward Increasing Adherence To Psychotropic Medication In A Mental Health Setting, Robert Kalugo

Walden Dissertations and Doctoral Studies

Educating Staff to Use the Teach-Back Method for Patient Education Toward Increasing Adherence to Psychotropic Medication in a Mental Health Setting by Robert Kalugo MS, Walden University, 2024 BS, Massachusetts College of Pharmacy and Health Sciences, 2016 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2025

Preparation And Support For Leadership Role In A Jamaican University, Tracy-Ann Keisha Dacres

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that academic leaders receive limited preparation and support at a Jamaican university, which poses challenges to effective leadership, teaching quality, and institutional success. Based on Katz’s three-skilled model, the purpose of this basic qualitative study was to explore academic leaders’ perceptions of their preparation and support to carry out their leadership roles in a Jamaican university. Semistructured interviews were conducted with eight purposefully selected academic leaders with a minimum of 4 years of experience. Through axial and thematic coding, the following nine themes emerged: (a) leaders rely on different pathways for …

Dynamical Regulation Of Blood Pressure And Cognitive Function, Joshua Sweigert, Tara Gruenewald, Margie Lachman, Teresa Seeman, Maxine Weinstein, Tse-Hwei Choo, Martina Pavlicova, Ramakrishna Mukkamala, Richard P. Sloan

Psychology Faculty Articles and Research

BACKGROUND

Blood pressure (BP) is not steady. It varies over intervals from months to consecutive cardiac cycles, and this variation contains meaningful information beyond mean BP. Variability over multiple clinic visits (VVV-BP) and during 24-h ambulatory monitoring (ABPV) is positively related to risk of stroke and coronary artery disease and negatively associated with cognitive performance. Beat-to-beat BP variation, often quantified as low frequency variability (0.04–0.15 Hz, LF-BPV), is less well-studied. Here, we examine the relationship between LF-BPV and cognitive outcomes in 1953 participants from the Midlife in the US study.

METHODS

Participants completed the Brief Test of Adult Cognition by …

Modeling The Impact Of Mmr Vaccination Strategies On Measles Outbreaks In Texas, Kaiming Bi, Thuy Nguyen, Boya Peng, Trudy Krause, Cecilia Ganduglia Cazaban, Janelle Rios, Cici Bauer, Catherine Troisi, Eric Boerwinkle, Aanand D Naik

Faculty, Staff and Student Publications

No abstract provided.

Advances In Indole Chemistry: Regiodivergent Annulations And Bridged Azacycle Synthesis, Zachary Tihomir Protich

Dartmouth College Ph.D Dissertations

An important aspect for the research and development of new drug therapies is the ability to use modular synthetic methods to rapidly access structurally diverse drug-like building blocks. Nitrogen-containing heterocycles represent one of the most prevalent structural motifs found in pharmaceutical agents and biologically active natural products. However, despite their ubiquity, existing methods for accessing these structures often remain limited in scope, efficiency, and structural diversity, particularly when targeting densely functionalized or sterically demanding scaffolds from simple starting materials.

To address this problem, the research described in this dissertation focuses on the design and development of (3+2) annulation reactions for …

Sga 57 Senate 2025-09-05 Minutes, Niu Student Government Association Senate

Student Government Association Archives

No abstract provided.

Competency Alignment And Competency-Based Education In Higher Education: Institutional Perspectives From Illinois’ Early Childhood Workforce Initiatives, Erika Gustafson Dietz

Dissertations

Competency-based education (CBE) has gained attention as a model for expanding access to postsecondary education and aligning workforce preparation with industry needs. In Illinois, state-supported initiatives have sought to integrate competency alignment into professional development and higher education programs for the early childhood workforce. This mixed-methods study examines how postsecondary ECE programs in Illinois are implementing CBE, the extent to which competency alignment influences program design, and how institutional leaders and faculty perceive CBE adoption. Findings indicate that while state-supported initiatives have increased institutional engagement with competency alignment, CBE adoption remains partial and selective rather than fully transformative. Programs are …

Special Education Disproportionality In Illinois: What Are We Doing?, Kaelyn Chanel Green

Dissertations

This mixed-methods study examined special education disproportionality in Illinois to determine current trends, root causes, and responses to significant disproportionality as reflected in Comprehensive Coordinated Early Intervening Services (CCEIS) plans. Quantitatively, repeated measures analyses of risk ratios over a five-year span revealed that although many districts had reduced overall risk ratios, racial and disability-based disparities persisted. Qualitatively, inductive content analysis of 32 CCEIS plans identified four primary root causes—deficiencies in Multi-Tiered Systems of Support (MTSS) and Response to Intervention (RTI), inadequate Social and Emotional Learning (SEL) supports, cultural and linguistic barriers, and vague or misaligned problem statements. Most action plans …

How School Psychologists Narrow The Socioeconomic Opportunity Gap: The Practices And Beliefs Of School Psychologists In High-Performing, High-Poverty Schools, Nora Durgin

Dissertations

The purpose of this study is to examine the practices and beliefs of school psychologists working in high-performing, high-poverty (HP/HP) schools in order to make recommendations for how their practices can be replicated in other high-poverty schools to help narrow the socioeconomic opportunity gap. Results indicate that school psychologists engage in the major professional activities of school psychology practice to a similar degree as is documented in the existing literature. Despite relatively lower levels of engagement in delivering mental and behavioral health services, school psychologists view the practice to be highly impactful on students’ academic achievement. The school-wide activities commonly …

The Development And Validation Of The Measure Of Critical Reflection, Yea Jin Chang

Dissertations

Critical reflection, a component of critical consciousness, is defined as a metacognitive ability that is engaged when identifying, critiquing, and transforming social oppression. This study developed and validated the Measure of Critical Reflection, with items that assess participants’ cognitive ability to critically reflect and are framed to be generalizable across time and social contexts. Items were generated through literature review and interviews with critical consciousness educators and data was collected across two samples for factor structure analysis (N = 300) and replication and validation (N = 286). Results confirmed that a unidimensional model was most appropriate to represent the data …

Investigating Queer Asians' Accultrative Resilience And Wellbeing, Yiyu Cheng

Dissertations

This dissertation examines the role of resilience factors in moderating the effects of acculturative stress on the well-being of queer Asian Americans. A total of 181 survey responses were collected from queer-identified Asian Americans over the age of 18 residing in the United States. Using hierarchical multiple regression analysis, this study explores three models incorporating two identity resilience factors (ethnic identity salience and queer identity salience), two community resilience factors (ethnic community support and queer community support), and two intersectional resilience factors (queer Asian identity salience and queer Asian community support). Well-being was assessed through life satisfaction, negative affect, and …

“Buying Time Or Doing Harm?”: Tracing Contestation And Consensus In Debates On Puberty Blockers For Trans Youth, Dana R. Lavergne

Dissertations

The use of hormone blockers and other forms of gender affirming medical care for trans youth has emerged as a site of medical and political contestation, with 26 states passing legislation outlawing their use (Movement Advancement Project, 2024). Drawing from a multiple-methods approach, this dissertation examines the ways in which this contestation emerged and has been framed both in political case law and digital spaces, which a specific attunement toward how medical discourse is used to support arguments calling for either the allowance or ban of hormone blockers. This dissertation highlights the ways in which the families of trans youth …

Drawing The Curtain: A Grounded Theory Analysis Of The Conceptualizations Of Culture, Ethnicity And Race In Professional Training Materials For Child Life Certification, Kia Lee Ferrer

Dissertations

Objectives: Certified Child Life Specialists (CCLS) are pediatric healthcare professionals primarily working in hospital settings to support children and families in navigating the developmental challenges of hospitalization, illness, and enduring medical treatment. Recognizing the presence of racial and ethnic health disparities, coupled with the field’s notable lack of diversity (98% White female), the child life workforce is increasingly acknowledging the undeniable evidence that discriminatory behaviors adversely affect a child’s life and well-being. As advances in the social sciences increasingly reveal that discrimination functions as a "socially transmitted disease" in a child's life, I predict that the failure of child life …

Forgive As We Are Forgiven: Reframing A Trinitarian Model Of Forgiveness In A Post-Genocide Rwanda, Deogratias Mbonyumugenzi

Dissertations

This dissertation seeks to develop a theological model of forgiveness rooted in a relational conception of the Trinity. The central argument of this dissertation is that the model of forgiveness practiced in post-genocide Rwanda and the forgiveness modeled by Jesus, and testified to in the New Testament and developed in the Christian tradition, are good, but not sufficient to address the kind of trauma and human disrepair, as well as the devastation of communities, inflicted by genocide. Rather, a theology of forgiveness modeled on a relational conception of the Trinity and its practical implications for a Trinitarian ecclesiology and anthropology …

Youth And Parent Knowledge And Perceptions Of Spina Bifida: Associations With Neurocognitive Factors, Self-Management, And Quality Of Life, Olivia Emery Clark

Dissertations

Spina bifida (SB) is a common congenital birth defect with multiple and varied medical, physical, and psychological impacts. The objective of these studies is to examine youth and parent condition-related knowledge in the context of SB and associations with executive function, quality of life, and medical self-management. Collectively, these studies examine both qualitative and quantitative multi-informant data from youth with SB, their parents, and their teachers. The first study used growth analyses to examine changes in condition-related knowledge over time, predicted by executive dysfunction and inattention, and predictive of medical self-management skills. The second study used qualitative coding methods to …

Effectiveness Of A Classroom-Based Stress Awareness And Coping Skills Program Among Adolescents From Diverse Backgrounds, Adriane Van Zwoll

Dissertations

The ongoing youth mental health crisis in the United States, worsened by the COVID-19 pandemic, has highlighted the urgent need for accessible and effective school-based interventions. This dissertation evaluates the effectiveness of Stress Less: Resilience for Success™, a single-session, classroom-based stress awareness and coping skills program implemented by NAMI Metro Suburban in diverse middle and high schools in the western suburbs of Chicago from 2018 to 2024. Using the CDC’s Framework for Program Evaluation, this study analyzes secondary data from 7,225 pre-test and post-test surveys and is complemented by qualitative informational interviews with current and former NAMI staff and volunteers …

Situational Safety: Exploring The Relationship Of Environmental Change & Sense Of Belonging For Gsm Students In Academic-Required Internships, Nancy Goldberger

Dissertations

This research focused on recently enrolled undergraduates in programs including an academically required internship that bridges the transition between being a student at an IHE to being a professional in the field. Students who identify as LGBTQIA+ comprise a group referred to as Gender and Sexual Minorities (GSM) (Smalley, et al., 2018). The purpose of this research is to explore differences in the sense of belonging between students who identify as GSM their IHE versus experiences during their internship. The conceptual framework for this study draws on Maslow’s hierarchy of needs (1943), Chickering’s seven vectors of student development (1969), and …

Association Between Body Mass Index And Uterotonic Use In Postpartum Hemorrhage: A Retrospective Cohort Study, Cece Cheng, Bryce T Munter, Michaela Y Lee, Claire D Sundjaja, Natasha D Paul, Margaret M Klausmeyer, Nastassia A Yammine, Patrick S Ramsey, John J Byrne

Faculty, Staff and Student Publications

Background/Objectives: Our primary objective was to determine whether patients with a higher body mass index (BMI) who experienced postpartum hemorrhage (PPH) required ≥2 uterotonics more often than those with lower BMI.

Methods: We conducted a retrospective cohort study that included all patients who experienced a PPH between 1 August 2020 and 31 July 2022. Extracted data included patient demographics, PPH risk factors, details regarding the labor course and hemorrhage management, and maternal and neonatal outcomes, such as mode of delivery, etiology of hemorrhage, need for nonpharmacological management, neonatal Apgar scores, requirement for phototherapy, neonatal intensive care unit (NICU) admission, and …

An Evolutionary Preamble Towards A Multilevel Framework To Understand Adolescent Mental Health: An International Delphi Study, Federica Sancassiani, Vanessa Barrui, Fabrizio Bert, Sara Carucci, Fatma Charfi, Giulia Cossu, Arne Holte, Jutta Lindert, Simone Marchini, Alessandra Perra, Samantha Pinna, Antonio Egidio Nardi, Alessandra Scano, Cesar A Soutullo, Massimo Tusconi, Diego Primavera

Faculty, Staff and Student Publications

Background/objectives: Adolescence is a sensitive developmental window shaped by both vulnerabilities and adaptive potential. From an evolutionary standpoint, mental health difficulties in this period may represent functional responses to environmental stressors rather than mere dysfunctions. Despite increasing interest, integrative models capturing the dynamic interplay of risk and protective factors in adolescent mental health remain limited. This study presents a holistic, multi-level framework grounded in ecological and evolutionary theories to improve understanding and intervention strategies.

Methods: A two-round Delphi method was used to develop and validate the framework. Twelve experts in adolescent mental health evaluated a preliminary draft derived from the …

Identifying Bio-Behavioural Signatures Of Persistent Opioid Use Risk In Trauma Injury Patients: A Protocol For A Prospective Cohort Study, Joy M Schmitz, Jin Ho Yoon, Bruno Kluwe-Schiavon, John A Harvin, Preethi H Gunaratne, Darrion Mouton, Kandice Motley, Erin E Fox, Jessica Vincent, Megan Tarbet, Consuelo Walss-Bass

Faculty, Staff and Student Publications

Introduction: Exposure to prescription opioids following traumatic injury can increase the risk of developing tolerance, persistent opioid use and opioid use disorder. The mechanisms underlying opioid tolerance or dependence are not well understood, and no biomarkers predict risk. Opioid exposure causes epigenetic modifications, including alterations in microRNA (miRNA) expression. Several miRNAs, which regulate synaptic plasticity, are hypothesised to underlie substance use disorders and influence µ-opioid receptor levels, modulating opioid tolerance. This project aims to develop a bio-behavioural signature to predict persistent opioid use and chronic pain up to 6 months post-discharge.

Methods and analysis: The study will use a prospective …

Re: Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Draft Final Insufficiently Reclaimed Sites Field Sampling Plan (Fsp): Bres No. 26 – Cripple Dump (Dated August 21, 2025), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Settling Defendants Bmfou Annual Report Consent Decree For The Butte Mine Flooding Site Cd, Cv 02-35 Bu-Rfc Remedial Action – Implementation Of The Remedy Horseshoe Bend Water Treatment Plant 2024 Annual Report, Mark Thompson, Dave Griffis

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Regulation Of Food Intake By Connexin43 Via Adipocyte-Sensory Neuron Electrical Synapses, Xi Chen, Xing Fang, Hong Zhou, Jieyi Meng, Yang He, Leon G Straub, Andrew Lemoff, Clair Crewe, Shangang Zhao, Yong Xu, Yi Zhu

Duncan NRI Faculty and Staff Publications

Background and objective: Connexin43 (Cx43), encoded by Gja1, forms gap junctions between adjacent cells. In adipose tissue, it is upregulated during adipose beiging while downregulated by high-fat-diet (HFD) feeding. Adipocyte-specific Gja1 overexpression enhances adipose tissue beiging in response to mild cold stress of room temperature. Moreover, those mice display a surprising decrease in food intake, but the mechanism remains unclear. This study investigates how adipocyte Cx43 influences feeding behavior.

Methods: Mice with adipose tissue-specific Gja1 overexpression (Adipoq-Cx43) were fed with HFD. Food intake, weight gain, substrate utilization, and serum lipolysis were assessed. RNA-seq, proteomics, and cytokine measurements were employed to …

Cocoa Polyphenols Modulate The Mouse Gut Microbiome In A Site-Specific Manner, Marcus Hayden, Eliza C. Stewart, Mohammed F. Almatani, Jeremy Case, Samuel Rice, Giovanni Rompato, Korry J. Hintze, Abby D. Benninghoff

Animal, Dairy, and Veterinary Science Student Research

Background/Objectives: The dietary modulation of the gut microbiome is a promising strategy for mitigating gastrointestinal diseases, such as inflammatory bowel disease (IBD) and colitis-associated colorectal cancer (CAC). Cocoa powder is rich in polyphenols, including (−)-epicatechin and (+)-catechin, which have been associated with beneficial effects on gut health and microbiome modulation. Importantly, changes in the bacterial populations associated with the gut mucosal layer may have different health impacts compared to changes in cecal or fecal microbiomes. This study investigated the effects of cocoa polyphenol supplementation on microbiome composition across the cecal, fecal, and mucosal compartments in a mouse model of colitis. …

Establishing Best Practices Guidelines For Collaborative Research In Global Surgery: Developing A Delphi Survey, Ramitha Eshan Ruwanpathirana, Swati Deshpande, Sophia Abdulhai, Mathilde Djeneba Billau, Sumeja Catic, Theresa L Chin, Julia N Harrison, Pratyush Kumar, Maria Cecilia T Leyson, Helen W Li, Katayoun S Madani, Arthur Serumaga, Margaret Tarpley, Grayson Wright, Nia N Zalamea, Joshua S Ng-Kamstra

Faculty, Staff and Students Publications

Background: Collaborative research in global surgery has resulted in the rapid development of the field via knowledge creation and dissemination, research capacity building, and direct improvements in the delivery of clinical care. Yet the establishment and maintenance of trans-boundary collaborations carries significant risk to health systems, clinicians, patients, and researchers, particularly if such collaborations are not developed thoughtfully and with appropriate guardrails. In recent years, there has been significant growth in the literature on the pervasiveness and impact of neocolonialism on global health research.

Methods: To harness the benefits of global surgery research collaboration while mitigating these risks, we reviewed …