Digital Commons Network^™

Spaces Of Empowerment: A Study On University Multicultural Spaces & Civil Rights, Keana Balalio

McNair Summer Research Program

Following the 1960s Civil Rights Movement, American universities dedicated offices and centers to multiculturalism. This project questions how identity-centered spaces for empowerment operate in relation to efforts for institutional integration. This study proposes the term space(s) of empowerment to describe identity-based areas at universities [and other institutions] that encourage gathering of historically marginalized communities, their allies, and institutional supervisory support. The concept draws on architectural literature regarding political and economic power dynamics of space. Beginning with the University of San Diego’s United Front Multicultural Commons (UFMC), study includes reproductions of floor plans and memories. Analysis draws from Michel de Certeau’s …

Where Pipes Meet The Water: Urban Infrastructure In Tijuana, Joab Barrientos

McNair Summer Research Program

Tijuana's rapid urban growth and industrial development have placed significant pressure on its water infrastructure, resulting in ongoing pollution concerns in the Tijuana River Watershed and elsewhere in and beyond the city. In many areas of the city, rapid urban growth has outpaced the building of critical infrastructure like sewage and stormwater systems. These factors have left neighborhoods at risk for a long time. At the same time, industrial growth has often relied on old infrastructure or happened without the right systems in place. Although poor water quality has been a problem for years, few studies have used spatial analysis …

Implementation Of Medication Administration Education To Increase Medication Technician Knowledge And Confidence, Nicole C. Yan

Master's Projects and Capstones

Problem: Medication technicians have minimal formal training and education in medication administration. Insufficient knowledge and a lack of confidence present safety concerns, such as medication errors, which decrease the quality of patient care.

Context: The setting is an assisted living facility in the San Francisco Peninsula that provides around-the-clock patient care, promoting independence in a safe and home-like environment for 53 patients.

Interventions: The proposed intervention involves implementing a quality improvement (QI) project to educate medication technicians on medication administration safety. The educational sessions, completed in two in-person sessions, include a PowerPoint lecture, interactive case studies, and group discussion.

Measures: …

Empowering Medical-Surgical Nurses To Conquer Burnout: Building Resilience And Wellness, Catherine P. Morante

Master's Projects and Capstones

Problem: In the healthcare industry, nurse burnout is a well-documented issue that affects the well-being of both healthcare professionals and their patients. Burnout manifests as intense exhaustion, depersonalization, and diminished personal accomplishment (Okoniewski & Verni, 2024).

Context: Burnout affects patient outcomes and drives up costs (Dall’Ora et al., 2020). When nurses are overwhelmed, attendance is affected (Unpublished confidential document; 2024). Resilient nurses are essential to a healthy, reliable workforce (Unjai et al., 2024).

Interventions: From May to July 2025, a 12-week initiative was launched to reduce the effects of nurse burnout in the workplace. Evidence-based interventions were implemented, incorporating educational …

Illuminating Leadership Excellence: An Evidence-Based Qi Intervention Reigniting Nurse Leaders From Burnout To Brilliance Using Caring Science And Reflective Practice, Matthew S. Elliott

Master's Projects and Capstones

Abstract

Problem: A 2024 assessment at a 250‑bed Northern California medical center revealed that 76% of 16 inpatient nurse leaders met "high‑burnout" criteria on the Maslach Burnout Inventory, and leader turnover had climbed to 25%, more than triple national benchmarks, threatening patient care quality, financial stability, and alignment with Magnet® and employee engagement goals.

Context: Root causes included pandemic‑era promotions without development support, a task‑oriented leadership culture, and eroding psychological safety (Press Ganey engagement ≈ 30%). An integrative logic model positioned Watson's Caring Science as the theoretical base, Schön's Reflective Model for adaptive learning, and the Prosci ADKAR change framework …

Enhancing Client Intake Efficiency In The Removal Defense Program: A Nursing-Led Quality Improvement Initiative, Johnny Linares, Julia Tran Ngo, Daniel Orea, Atheana Yadira Lopez

Master's Projects and Capstones

This quality improvement project focuses on optimizing the intake process for the Removal Defense Program at a nonprofit immigration legal office serving asylum-seeking clients. The existing intake relied on unstructured, phone-call-based intake interviews that gathered incomplete information, leading to inconsistent documentation, reduced efficiency, and significant client processing delays. A structured, multilingual, and multiplatform new-client admission protocol coupled with the implementation of a client-facing resource guide for waitlist clients were co-developed and implemented using the Lippitt Change Theory framework. Utilizing a mixed methods approach, the study involved staff interviews and observational assessments with staff members from the program. Baseline intake process …

Increasing The Feasibility, Impact, And Equity Of The Medicare Annual Wellness Visit (Awv) With A Practice Tailored Awv Intervention: A Stepped Wedge Clinical Trial Protocol, Chi-Hong Tseng, Neil S. Wenger

Faculty Scholarship

Background Older adults vastly underutilize evidence-based preventive health services and screenings that reduce illness, morbidity and mortality. The free-to-patient Medicare Annual Wellness Visit (AWV) is an opportunity to enhance preventive healthcare use, but also is underused. Objectives To evaluate the effect of a practice-tailored intervention on the sustained use of Medicare AWVs and on guideline-recommended preventive services and racial/ethnic disparities in 3 types of practice settings. Methods This is a stepped wedge cluster randomized controlled trial. The intervention will be implemented at the practice level in 24 primary care practices across the country (8 community-based, 8 academic, and 8 serving …

Genetic And Environmental Factors Contributing To The Pathogenesis Of Vertebral Osteomyelitis Caused By Enterococcus Cecorum In Broiler Chicken, Ummu Syauqah Al Musyahadah, Andi Asnayanti, Anh Dang Trieu Do, Adnan Alrubaye

Poultry Science Faculty Publications and Presentations

Enterococcus cecorum (EC) is the primary cause of Vertebral Osteomyelitis (VO) in poultry, characterized by a hock-sitting posture with legs extended forward. The disease begins with intestinal colonization, where pathogenic strains of E. cecorum establish themselves in the gut within the first week of a bird's lifecycle and translocate to the bloodstream later, reaching the organs, which finally infect the birds' Free Thoracic Vertebrae (FTV). Several factors contribute to the initiation and progression of the disease. Environmental factors such as heat stress, high blood sugar levels, prior infections, overcrowding, and rapid growth conditions weaken immunity and stimulate the emergence of …

The Pastoral Ministry Perspective Of Church Librarians, Ka Lim Cheung

The Christian Librarian

This article explores the pivotal role of church librarians from a ministry perspective, highlighting their importance in fostering spiritual growth and knowledge dissemination within congregations. It articulates the essence of ministry, emphasizing accountability to God and the spiritual significance of knowledge, as rooted in biblical teachings. The article outlines the multifaceted responsibilities of librarians, including resource management, communication, and relationship building, while advocating for a holistic approach that addresses congregants’ diverse needs. Furthermore, by highlighting the values of empathy, service, and hospitality, the article illustrates how librarians can create a welcoming atmosphere that encourages engagement with faith. It also explores …

Beyond A Monoracial Paradigm: Parents Practicing Racial Humility In The Racial Socialization Of Mixed-Race Children, Katherine Johnson

Sociology

Interracial parents face unique challenges in racially socializing their mixed-race children, but this socialization is imperative to their overall well-being and self-esteem. Using critical multiracial theory, the author argues that the interracial parents included in this study overwhelmingly understand the harm of promoting a monoracial paradigm of race when raising their children. They demonstrate this by implementing racial humility in their socialization practices to support and encourage the formation of a positive racial identity in their children. Drawing upon in-depth, semistructured interviews with 19 sets of interracial parents in the United States, the author identifies four themes related to how …

Implementing Strategies To Reduce Hospital Readmission Reduction Program Readmissions By Improving Discharge Planning In Nonprofit Hospitals, Joy Nwagboliwe Chukwu

Walden Dissertations and Doctoral Studies

Non-profit healthcare administrators in United States hospitals face the challenge of hospital readmissions, especially due to the CMS Hospital Readmission Reduction Program (HRRP), which affects reimbursement. The purpose and review question for this integrative review was to research evidence-based strategies that could be implemented to improve the discharge planning process in non-profit hospitals and reduce readmissions for patients with HRRP diagnoses. A review of literature identified 126 articles for analysis, with 25 studies selected for quality assessment using the Johns Hopkins Nursing Evidence-Based Practice Model and the Research Evidence Appraisal form. The Donabedian framework provided a structured approach for evaluating …

Exploring Strategies For Mitigating Toxic Behaviors And Improving Employee Retention In Organizations, Roy Lydell Rucker

Walden Dissertations and Doctoral Studies

A lack of mitigation strategies for middle manager toxic leadership can negatively affect organizational retention outcomes. Business leaders are concerned with a lack of effective strategies to counteract these behaviors and improve retention. Grounded in the toxic leadership theory, this study aimed to explore executive leaders’ strategies for mitigating toxic leadership and enhancing retention, guided by the toxic leadership framework. A qualitative, pragmatic inquiry design employed purposive sampling of nine C-suite executives from U.S. technology small and medium-sized enterprises (SMEs). Data were collected via semistructured interviews and organizational documents. Thematic analysis, employing iterative coding and constant comparison, yielded six themes: …

Nonprofit Organizational Effectiveness And Executive Leaders, Karen Renee Solomon Edwards

Walden Dissertations and Doctoral Studies

U.S. nonprofit organizations provide important services to society as an integral sector within the community. This necessitates organizational effectiveness. The problem explored in this research concerned how nonprofit executive leaders defined organizational effectiveness and perceived their role in creating and sustaining it within their organization. There was limited scholarly literature regarding a common understanding of how executive leaders defined organizational effectiveness within a nonprofit, and how they perceived their role in creating and maintaining it. The purpose of this basic qualitative study was to explore how nonprofit organization executive leaders defined organizational effectiveness and perceived their role in creating and …

Exploring The Role Of Accessibility In Enhancing User Experience: Trends, Challenges, And Opportunities Across Digital Platforms, Adiba Khan

Harrisburg University Dissertations and Theses

Accessibility was a fundamental aspect of enhancing user experience (UX) across digital platforms, ensuring equitable access to information and services for a diverse range of users, including individuals with visual, auditory, cognitive, or motor impairments. As digital products became increasingly central to education, commerce, and communication, the need for inclusive design grew. This study explored the intersection of accessibility and UX, with a specific focus on how accessibility-driven design improved usability, user satisfaction, engagement, and the overall quality of digital interactions. Grounded in Agile project management principles, the research examined how early integration of accessibility into the software development lifecycle …

Effect Of Histidine Tag On The Enzymatic Activity Of Pseudolysin And Its Interaction With The Streptomyces Metalloprotease Inhibitor (Smpi) Protein, Adewale Adeboye Adewole

Electronic Theses and Dissertations

Pseudolysin (PLN) protein is a major virulent factor in Pseudomonas aeruginosa infection. PLN belongs to the family of zinc-dependent metalloproteases. It is naturally inhibited by a smaller protein called streptomyces metalloprotease inhibitor (SMPI), secreted by Streptomyces nigrescens. Previous and current studies demonstrate that the interaction between PLN and SMPI offers unique mechanistic insights for drug development against infections caused by P. aeruginosa. This study investigated the effect of N-terminal Histidine (His) tag on the enzymatic activity of PLN and its interaction with SMPI. His-tagged PLN and SMPI proteins were expressed in bacteria and purified by affinity chromatography …

Post-Drought Growth Recovery Of Tea (Camellia Sinensis) Under Different Techniques And Doses Of Biofertilizer Applications, Nabila Ragil Wiharti, Intan Ratna Dewi Anjarsari, Yudithia Maxiselly

Jurnal Kultivasi

Drought stress is a major limiting factor affecting the growth, yield, and quality of tea (Camellia sinensis). The present study aimed to analyze the success of post-drought growth recovery of tea in response to different techniques and doses of biofertilizer applications. Field experiments were conducted from January to August 2024 in the experimental garden of the Research Institute for Tea and Cinchona, Gambung Blok A8, Bandung. This work was arranged in a split-plot design, consisting of a main plot with two biofertilizer application techniques (foliar feeding and soil drenching) and subplots with four levels of biofertilizer dosage (control (B1), 15 …

Subsets Of Follicular Lymphoma 3b Have Divergent Outcomes: Results From The Prospective Multicenter Mer And Leo Cohorts, Patrizia Mondello, David Russler-Germain, Brad Kahl, Et Al.

2020-Current year OA Pubs

Follicular lymphoma (FL) 3B is considered an aggressive lymphoma, however recent studies have challenged this paradigm. Additional controversy involves the clinical implication of pure FL3B (FL3Bp) vs FL3B with concurrent diffuse large B cell lymphoma (DLBCL) (FL3Bc). To address these questions, we performed a pooled study of the MER and LEO cohorts comparing 464 newly diagnosed, R-CHOP-treated patients with FL1-2 (n = 216), FL3A (n = 170), FL3B (n = 78) and 739 DLBCL. Among FL3B patients, 19 (24%) had FL3Bc and 59 (76%) FL3Bp. Baseline characteristics and outcomes were similar between the two FL3B subtypes. Compared to FL1-3A, FL3B …

Lipid-Mediated Gating Of A Miniature Mechanosensitive Mscs Channel From Trypanosoma Cruzi, Jingying Zhang, Aashish Bhatt, Grigory Maksaev, Yun Lyna Luo, Peng Yuan

2020-Current year OA Pubs

The mechanosensitive channel of small conductance (MscS) from E. coli (EcMscS) has served as the prevailing model system for understanding mechanotransduction in ion channels. Trypanosoma cruzi, the protozoan parasite causing Chagas disease, encodes a miniature MscS ortholog (TcMscS) critical for parasite development and infectivity. TcMscS contains a minimal portion of the canonical EcMscS fold yet maintains mechanosensitive channel activity, thus presenting a unique model system to assess the essential molecular determinants underlying mechanotransduction. Using cryo-electron microscopy and molecular dynamics simulations, we show that TcMscS contains two short membrane-embedded helices that would not fully cross an intact lipid bilayer. Consequently, drastic …

Hsp70 Is A Chaperone For Il-33 Activity In Chronic Airway Disease, Omar A. Osorio, Heather E. Raphael, Colin E. Kluender, Ghandi F. Hassan, Lucy S. Cohen, Deborah F. Steinberg, Ella Katz-Kiriakos, Morgan D. Payne, Ethan M. Luo, Jamie L. Hicks, Derek E. Byers, Jennifer Alexander-Brett

2020-Current year OA Pubs

IL-33 is a key driver of type 2 inflammation and implicated in pathology of chronic obstructive pulmonary disease (COPD) and asthma. However, the mechanism for IL-33 secretion and regulation in the context of chronic airway disease is poorly understood. We previously reported an airway disease-associated isoform IL-33Δ34 that escapes nuclear sequestration and is tonically secreted from epithelial cells. Here, we describe how this IL-33Δ34 isoform interacts with HSP70 within cells and is targeted to secretory organelles through coordinated binding to phosphatidylserine (PS) and delivered to compartments for unconventional protein secretion (CUPS). Once secreted, extracellular HSP70 (eHSP70) in complex with IL-33Δ34 …

Exposotypes In Psychotic Disorders, Walid Yassin, Bryan Kromenacker, James B. Green, Carol A. Tamminga, Elisabetta C. Del Re, Pegah Seif, Cuihua Xia, Ney Alliey Rodriguez, Elliot S. Gershon, Brett A. Clementz

School of Medicine Publications

Psychiatry lags in adopting etiological approaches to diagnosis, prognosis, and outcome prediction compared to the rest of medicine. Etiological factors such as childhood trauma (CHT), substance use (SU), and socioeconomic status (SES) significantly affect psychotic disorder symptoms. This study applied an agnostic clustering approach to identify exposome clusters “Exposotypes (ETs)” and examine their relationship with clinical, cognitive, and functional outcomes. Using data from individuals with psychotic disorders (n = 1,350), and controls (n = 623), we assessed the relationship between the exposotypes and outcomes. Four exposotypes were identified: ET1 characterized by high CHT and SU; ET2, high CHT; …

Efficacy Of Lactobacillus Rhamnosus And Its Metabolites To Mitigate The Risk Of Foodborne Pathogens In Hydroponic Nutrient Solution, Esther Oginni, Robin A. Choudhury, Veerachandra Yemmireddy

School of Earth, Environmental, & Marine Sciences Faculty Publications

Hydroponic nutrient solution (HNS) has been established as an ideal conduit for pathogen contamination and proliferation. This study evaluated the efficacy of lactic acid bacteria and their metabolites in mitigating the risk of foodborne pathogens in HNS when compared to conventional chemical treatments. Hoagland’s HNS were prepared according to the manufacturer’s instructions and inoculated with Salmonella Typhimurium, Escherichia coli 0157:H7, and Listeria innocua at 105 CFU/mL cell concentration. These nutrient solutions were subjected to treatment with various concentrations of Lactobacillus rhamnosus live cells, a cell-free extract (CFE) of L. rhamnosus metabolites, sodium hypochlorite and peroxyacetic acid at 22 ± 1 …

Dual-Function Polyester Nanoparticles For Amplified Anti-Inflammatory Effects, Ingrid M Heyns, Abiodun T Wahab, Raghu Ganugula, David Sheikh-Hamad, M N V Ravi Kumar, Meenakshi Arora

Faculty, Staff and Students Publications

This study investigates a dual-acting drug delivery system using naringenin (NAR) as a folate receptor ligand to enhance intestinal uptake and encapsulated NAR for combating inflammation. The dual-acting systems were tested in vitro on cisplatin-induced human kidney-2 cells and in vivo in a mouse model of cisplatin-induced acute kidney injury (AKI). NAR-loaded passive nanoparticles [P2Ns(NAR)] and dual-acting systems [P2Ns-NAR(NAR)] showed notable advantages over unformulated NAR, reducing the required dose by up to 57 and 79%, respectively. These nanoparticles modulated immune responses, restored T cell function, and shifted macrophage polarization from proinflammatory M1 to tissue-repairing M2. In addition, P2Ns-NAR(NAR) alleviated AKI …

Correction: Development And Extensive Sequencing Of A Broadly-Consented Genome In A Bottle Matched Tumor-Normal Pair, Jennifer H Mcdaniel, Vaidehi Patel, Nathan D Olson, Hua-Jun He, Zhiyong He, Kenneth D Cole, Alexander A Gooden, Anthony Schmitt, Kristin Sikkink, Fritz J Sedlazeck, Harsha Doddapaneni, Shalini N Jhangiani, Donna M Muzny, Marie-Claude Gingras, Heer Mehta, Sairam Behera, Luis F Paulin, Alex R Hastie, Hung-Chun Yu, Victor Weigman, Alison Rojas, Katie Kennedy, Jamie Remington, Isai Salas-González, Mitch Sudkamp, Kelly Wiseman, Bryan R Lajoie, Shawn Levy, Miten Jain, Stuart Akeson, Giuseppe Narzisi, Zoe Steinsnyder, Catherine Reeves, Jennifer Shelton, Sarah B Kingan, Christine Lambert, Primo Baybayan, Aaron M Wenger, Ian J Mclaughlin, Aaron Adamson, Christopher Kingsley, Melanie Wescott, Young Kim, Benedict Paten, Jimin Park, Ivo Violich, Karen H Miga, Joshua Gardner, Brandy Mcnulty, Gail L Rosen, Rajiv Mccoy, Francesco Brundu, Erfan Sayyari, Konrad Scheffler, Sean Truong, Severine Catreux, Lesley Chapman Hannah, Doron Lipson, Hila Benjamin, Nika Iremadze, Ilya Soifer, Gat Krieger, Stephen Eacker, Mary Wood, Erin Cross, Greg Husar, Stephen Gross, Michael Vernich, Mikhail Kolmogorov, Tanveer Ahmad, Ayse G Keskus, Asher Bryant, Francoise Thibaud-Nissen, Jonathan Trow, Jacqueline Proszynski, Jeremy Wain Hirschberg, Krista Ryon, Christopher E Mason, Mital S Bhakta, J Zachary Sanborn, Elizabeth M Munding, Justin Wagner, Chunlin Xiao, Andrew S Liss, Justin M Zook

Faculty, Staff and Students Publications

No abstract provided.

Tenth Anniversary Celebrations Of Aga Khan University Karachi

University anniversary celebration materials

No abstract provided.

Invitation Cards Of Aga Khan University - 10th Anniversary

University anniversary celebration materials

No abstract provided.

Convocation Ceremony Of The Aku Medical College, 1992 - Invitation Card

Inaugural addresses and related documents

No abstract provided.

An Analysis Of Potential Factors Influencing College Sport Communicators Feels Of Being Overworked And Underappreciated, Kelly P. Elliott, Natalie Bunch, Tyler Williams

Journal of Issues in Intercollegiate Athletics

CSCs play pivotal roles, balancing the preservation of student-athlete narratives with the real-time demands of media-driven communication. However, a persistent challenge has emerged: many CSCs experience a pronounced sense of being overworked and undervalued. This study aims to explore predictors contributing to CSCs' feelings of being overworked and underappreciated, investigating factors like years of experience, career motivations, reasons for institutional selection, and tenure plans to understand their impact on CSCs' perceptions before employment. Researchers sent a survey instrument that included Likert scale, closed-ended items related to feelings over being overworked and underappreciated to CSCs. The primary analysis involved an independent …

“I Want To Continue Athletics And I Also Want To Study”: Exploring International Student Athletes’ Transition Experiences To The Naia Affiliated Colleges, Kibaek Kim, Karina Jolly, Chris Corr, Jinwook Han

Journal of Issues in Intercollegiate Athletics

There are over a million international students pursuing their degrees in U.S. universities. Among them are 25,000 international student-athletes (ISAs) who are enrolled in National Collegiate Athletic Association (NCAA) affiliated Universities. While studies have been striving to foster and support this population’s successful transition to the U.S., few studies are available that deal with international student-athletes competing in the National Association of Intercollegiate Athletics (NAIA) affiliated universities. Hence, based on the transition theory, this study utilized focus group interviews to explore the transition experiences of ISAs competing in NAIA. Based on previous studies that explored the transition experiences of ISAs …

Do They Belong? Inquiries Into The Perceptions Of The Black Male College Athlete Identity In Higher Education, Marcis Fennell, Kayla Martinez, C.Keith Harrison, Whitney Griffin, Nick Kopka

Journal of Issues in Intercollegiate Athletics

This qualitative study examined attitudes about Black male college athletes (BMCA)in predominantly White higher education institutions. To investigate the experience in the classroom, the purpose of this study was to inquire into the perception of the BMCA identity from the identity of the non-college athletes (NCA). Using the social identity complexity model, we sought to understand the perceptions that influence group formation among college students. The present study employed the film elicitation technique to examine the NCAs’ perceptions of the legitimacy of the BMCA identity in higher education during faculty interactions and its correlation to ingroup formation. The findings from …

Meet The Fars: An Examination Of The Background, Roles, And Appointment Of Faculty Athletic Representatives At National Collegiate Athletic Association Member Institutions, Chris Corr, Christopher Atwater, Mark S. Nagel, Richard Southall, Rick Eckstein, Marek Taškár

Journal of Issues in Intercollegiate Athletics

As many National Collegiate Athletic Association (NCAA) member institutions continue to engage in athletic centric decision-making processes, academic integrity and the campus experience for college athletes is often marginalized. Mandated by the NCAA to represent athletes’ academic interests, the faculty athletics representative (FAR) position is designed to occupy a central role in maintaining the primacy of academia among college athletes. FARs, however, exist within an institutional setting muddled by competing and contradictory logics. Accordingly, given the inherent juxtaposition between the operation of collegiate athletics and the stated role of FARs, the present study sought to examine the characteristics and positional …