Digital Commons Network^™

Strategies Health Care Leaders Use For Telemedicine Utilization And Subsequent Revenue Enhancement, Wesley Raymond Wingate

Walden Dissertations and Doctoral Studies

Health care leaders face challenges in increasing the utilization of alternative synchronous health care platforms, such as telemedicine, which enable real-time virtual consultations, which can influence in-person clinic visits and impact organizational revenue. Rising demand for accessible health care, and ineffective telemedicine implementation limits patient access and overall organizational sustainability, increasing the need for evidence-based strategies critical for health care leaders to improve both service delivery and financial outcomes. This qualitative pragmatic inquiry, grounded in the health belief model, aimed to explore strategies used by health care leaders in the South Texas region to implement telemedicine effectively. The participants included …

Innovative Partnerships To Expand School-Based Health Capacity In Rural Communities, Robyn Thomas Pitts, Amy K. Mcdiarmid

DU Rural Summit Conference Proceedings

Our nation's youth are in dire need of increased access to high-quality school-based mental health (SBMH) services. In Colorado’s rural areas, the school psychologist-to-student ratio is 1:2,128— over four times the recommended level. Our team secured $4M in federal and state funding to implement an innovative partnership strategy for strengthening rural SBMH capacity. We describe how innovative partnerships enabled us to overcome systemic barriers to training future school psychologists as they live, work, and learn in rural settings. Our culturally sustaining approach to program design, implementation, and evaluation leverages family-school-community partnerships to expand rural SBMH capacity.

Profiling Of Physical Activity Usage In Selected Urban Green Spaces In Marikina City, Trizsa Jasmin C. Ty, Alberto L. Dimarucut, Camille B. Castro, Danielle Naomi L. Uy

CSID Journal of Infrastructure Development

Urban Green Spaces (UGS) play an important role in providing opportunities for physical activity in urbanized cities. This observational cross-sectional study aims to profile two selected UGS, namely Marikina River Park and Marikina Heights Park Complex, in Marikina City, in the context of their use for physical activity and recreation. Interviews with two government officials were conducted to collect data on the historical background of the selected parks. Systematic observation, using the System for Observation of Play and Recreation in Communities tool, was conducted to observe park visitors and their physical activity for four days in each park. Each park’s …

Circular Thinking In A Technological Age: Designing For A Regenerative Future, Mohammed Ali Berawi, Perdana Miraj, Mustika Sari

CSID Journal of Infrastructure Development

Architecture, engineering, and construction sector is experiencing challenges related to environment and economic aspects. It consumes vast amounts of resources and energy and contributes heavily to global carbon emissions. Academics and industry leaders are trying to explore various strategies to combat climate change by shifting toward circularity. It is a systems-based approach that prioritizes regenerative design, responsible consumption, and closed-loop resource use. At the heart of this shift lies the interplay between circularity, technology, and the environment that can reshape how we live, produce, and consume. But this transformation is not simply about adopting greener practices; it’s about rethinking the …

The City As The Classroom: The Case Of “Start ‘Em Young Advocacy” At Silliman University, Philippines, Novee Elarmo Maestrecampo Jr., Giovanni Tuballa Macahig

CSID Journal of Infrastructure Development

This case study highlights the value of engaging with communities as real-world environments for practical and reflective learning. It suggests that students can develop insights and acquire knowledge through interactions with diverse groups and locations, even within urban settings. The paper presents the experience of implementing the “Start ‘em Young Advocacy,” a student-led, environment-focused, and project-based initiative within the Civic Welfare Training Service (CWTS) under the National Service Training Program (NSTP) at Silliman University, Philippines. In collaboration with the City Social Welfare and Development Office (CSWDO), CWTS students worked with thirty daycare centers. Using Kolb’s Experiential Learning Theory as a …

Agricultural Extension In An Urban Informal Settlement During Covid-19: The Effectiveness Of The “Tanimang Bayan” Initiative In Sitio San Roque, North Triangle, Quezon City, Patrice Bianca R. Yapjoco

CSID Journal of Infrastructure Development

The COVID-19 pandemic exposed deep inequalities in food access, particularly in urban informal settlements. This study examines the effectiveness of the “Tanimang Bayan” initiative, an urban agriculture project implemented in Sitio San Roque, Quezon City, as a form of agricultural extension during the pandemic. The research adopts a qualitative approach, drawing on data from key informant interviews, participant observation, and secondary sources. Findings indicate that the initiative provided a localized response to food insecurity by enhancing access to fresh produce and promoting community-led production. It also supported collective action and self-organization among residents, strengthening their autonomy in navigating structural limitations. …

Acceptability Of The Proposed Congestion Charging System In The Central Business District Of Baguio City, Philippines, Ericka Renee A. Lanigt, Sandra S. Samantela, Ma. Catriona E. Devanadera, Casper Boongaling Agaton

CSID Journal of Infrastructure Development

The City Government of Baguio is proposing a congestion charging system in the Central Business District (CBD) to address the ongoing issue of traffic congestion in the city. Although it is an effective tool, low public acceptability hinders its implementation. This study aims to assess Baguio City residents' acceptability regarding the CBD's congestion charging system. Specifically, it seeks to (1) identify the factors that influence residents’ acceptability of the proposed system, (2) evaluate whether there is a significant difference in acceptability across different road users (private vehicles, public transportation, cycling, and walking), and (3) provide recommendations for transportation policy planning …

Sustainable Pedagogical Space: Water Risk Reduction Management Through Permaculture Pedagogy, Susi Andriani Simanjuntak, Yuqin Zhou, Si Wen Li

CSID Journal of Infrastructure Development

This study explores a Permaculture design approach to promote water conservation and reduce water dependency, particularly in response to plastic pollution. Permaculture emphasizes water ethics, conservation principles, rainwater harvesting (via tanks, soil, land, and biomass), greywater reuse, and biological remediation techniques for water recycling and purification. The study applies a contextually adapted environmental pedagogy based on Permaculture for primary school students in North Sumatra, Indonesia, focusing on sustainable water conservation and plastic litter risk reduction. A case study method was employed, targeting schools that voluntarily participated. The approach highlights three commonly overlooked dimensions in environmental education: community connection, place-based authenticity, …

Maximizing Limited Resources In Rural Schools: Toward Effective Gifted Programs, Celeste Dc Sodergren

DU Rural Summit Conference Proceedings

Participants will receive knowledge and tools to support the implementation of local norms and universal screening within the boundaries of rural gifted programming. Participants will examine the variables impacting gifted identification and programming in rural school districts, evaluate rural gifted identification scenarios, and will explore ways to adapt universal screening and local norms to their own rural school districts' identification process.

Why Rural Matters 2025: A Preview And A Forward Look, Jerry Johnson

DU Rural Summit Conference Proceedings

This presentation will provide a preview of the Why Rural Matters 2025 report that is currently in progress, including an overview of statistical gauges and indicators, topical essays, and key findings. Additionally, and looking forward beyond the report, presentation and discussion will engage the topic of cuts to federal programs that provide extant data essential for projects like Why Rural Matters and consider the implications for scholars, practitioners, and the general public.

When Spotlights Fade: Local Newspaper Closures And Financial Advisor Misconduct, Zhi Li, Qiyuan Peng, Rui-Zhong (R.Z.) Zhang

Business Faculty Articles and Research

Using individual records of about 950,000 financial advisors, we find that the probability and intensity of financial advisor misconduct significantly increase after local newspaper closures. The impact is more pronounced in counties with a higher proportion of seniors, minorities, and individuals with lower education levels. Male advisors are more likely to commit misconduct following newspaper closures than female advisors. The sensitivity of advisors’ job turnover to misconduct decreases after closures, suggesting a lower cost of committing misconduct. Our evidence indicates that local newspapers play a distinct role in mitigating financial advisor misconduct, as media exposure raises the costs of misbehavior.

Combining Submicron Spectroscopy Techniques (Afm-Ir And O-Ptir) To Detect And Quantify Nanoplastics In Snow From A Utah Ski Resort, Sara L. Belontz, Janice Brahney, Caroline E. Caplan, Eoghan Dillon, Ting Yan, Gerardo Dominguez

Watershed Sciences Faculty Publications

Atomic force microscopy-based infrared spectroscopy (AFM-IR) and optical photothermal infrared (O-PTIR) spectroscopy are cutting-edge techniques used for precise nanoscale chemical analysis, capable of detecting and characterizing particles smaller than 1 μm. In this study, we applied both techniques to analyze snow subsamples collected from Beaver Mountain, Utah. Quantification by AFM-IR identified a concentration of 1.50 × 10^–1 μg/mL of poly(3-hydroxybutyrate-co-4-hydroxybutyrate), a copolyester known for its biodegradability and biocompatibility and that was the only polymer detected. Notably, 96% of particles had thicknesses below 1 μm, with the smallest particle recorded at 14 nm in height, demonstrating the advantage …

The Dynamic Responses Of The Mouse Gut Microbiome To Dietary Supplementation With Various Anthocyanin-Rich Foods In The Context Of A Western Diet, Abby D. Benninghoff

Browse all Datasets

Background/Objectives: Chronic inflammation and Western-style diets elevate colorectal cancer (CRC) risk, particularly in individuals with colitis, a feature of inflammatory bowel disease (IBD). Diets rich in polyphenol-containing functional foods, such as cocoa, may reduce gut inflammation and modulate the gut microbiome. This study examined the effects of cocoa polyphenol (CP) supplementation on inflammation and microbiome composition before, during, and after colitis in mice fed either a healthy or Western diet. We hypothesized that CPs would attenuate inflammation and promote distinct micro-biome shifts, especially in the context of a Western diet. Methods: A 2×2 factorial design tested the effects of basal …

The Meaning And Essence Of Depression And Loneliness In Widowhood: Discovering The Healthy Construct Of Self-Efficacy, Christine M. Ward

Doctoral Dissertations and Projects

The purpose of this phenomenological study will be to describe the lived experience of widows aged 65-80 who lost their husbands within the past five years in one of three counties in Washington State: Pierce, Kitsap, or Mason. The two theories guiding this study will be Bowlby’s Attachment Theory and Bandura’s Social Learning Theory, (SLT), as they relate to post-loss identity and mourning. Both serve as vital tools for surviving and recovering from the impact of losing a spouse. When these affectional attachments are lost, a widow’s quality of life can be lessened or even damaged. A widow will go …

Let's Chat About Spoken Discourse: A Tutorial To Support Use Of Spoken Discourse Analysis When Providing Aphasia Clinical Services., Manaswita Dutta, Laura L. Murray, Hyejin Park, Elizabeth Burklow, Arpita Bose, Hana Kim, Kathryn Greenslade, Amy E. Ramage, Collean Combs, Anusha Balasubramanian, Marianne Casilio

Speech and Hearing Sciences Faculty Publications and Presentations

Spoken discourse is integral to everyday communication; improving discourse outcomes is a primary goal for individuals with aphasia and their families. Consequently, the application of discourse analysis in aphasia assessment and treatment has gained increasing attention in both research and clinical settings. Despite its recognized value among researchers and clinicians, several barriers-such as limited time, inadequate training, and lack of resources-continue to impede the widespread use of discourse analysis into clinical practice. To facilitate its broader adoption, speech-language pathologists require access to comprehensive resources that include information on discourse tasks, outcome measures, psychometric properties, and practical examples of how to …

Strategies Minority Small Business Owners Use To Obtain Access To Capital, Marchelle Ronique Yearby

Walden Dissertations and Doctoral Studies

Minority small business owners (MSBOs) often experience significant challenges in securing business capital, which is critical for sustaining and growing their businesses. MSBOs are concerned with the lack of business capital because it restricts their ability to expand operations, innovate, and generate employment within their communities. The purpose of this qualitative multiple-case study, which was grounded in the financial inclusion theory, was to identify and explore strategies MSBOs employ to secure access to capital. The participants were nine MSBOs in the Southeastern United States, each of whom had successfully maintained and secured working capital to sustain a profitable business for …

Pretty And Problematic: The Use Of Music In Guadagnino's 'Call Me By Your Name', Brandon L. Foskett

Deliberately Queer Journal

Tension in the reception of the American-Italian film Call Me by Your Name (dir. Guadagnino, 2017)—as a beautiful film that implicitly condones a problematic narrative—is shaped in part by its compilation soundtrack. Already lauded as a timeless masterpiece in cinematography, sensuality, and music, the film also receives steadfast criticism regarding its portrayal of homosexuality and alleged condoning of interage desire between Elio, a 17-year-old Italian-French boy, and Oliver, a 24-year-old American man. In this paper, I analyze five musical episodes from the film, including The Psychedelic Furs’ “Love My Way,” Ravel’s Une barque sur l’océan, and Sufjan Stevens’s “Mystery …

Cover And Contents

Turkish Journal of Biology

No abstract provided.

Incidence, Risk Factors And Clinical Outcomes Of Pericardial Effusion In Left Ventricular Assist Device Patients, Muhammad Zubair Khan, Yevgeniy Brailovsky, Mohammad Alfrad Nobel Bhuiyan, Gregary D. Marhefka, Abu S. M. Faisal, Adrija Sircar, Parker O'Neill, J. Eduardo Rame, Sona Franklin, Muhammad Waqas, Hadia Shah, Indranee Rajapreyar, René J. Alvarez

Division of Cardiology Faculty Papers

BACKGROUND: Development of pericardial effusion in patients with left ventricular assist devices (LVADs) can be detrimental to health outcomes. This study aims to elucidate the prevalence and risk factors for pericardial effusion in patients with LVADs.

AIM: To elucidate risk factors associated with the presence of pericardial effusion in patients with LVADs and compare the clinical outcomes of those with and without pericardial effusion. The secondary goal is to determine the incidence of pericardiocentesis and pericardial window placement in patients with LVADs experiencing pericardial effusion.

METHODS: Data were obtained from the National Inpatient Sample database between 2016 and 2018. Statistical …

Cultural And Structural Barriers Influencing The Mental-Health-Seeking Behaviors Of South Asians In Dallas, Texas, Judith Jose

Walden Dissertations and Doctoral Studies

Despite being one of the fastest growing immigrant populations in the United States, South Asians experience disproportionately high rates of untreated mental health conditions while reporting low utilization of professional mental health services. This qualitative phenomenological study explored the cultural and structural barriers that influence mental-health-seeking behaviors among South Asians residing in Dallas, Texas. Guided by the health belief model and principles of cultural competency, this research investigated how perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy intersect with cultural stigma, religious beliefs, generational dynamics, and systemic obstacles. Semistructured interviews with 12 South Asian adults revealed seven major …

An Exploratory Analysis Of Automated Deception Detection For Mental Health Applications, Sayde Leya King

USF Tampa Graduate Theses and Dissertations

Deception in mental health settings can undermine therapeutic relationships, compromise treatment efficacy, and impact patient outcomes. Yet, research shows that mental health clinicians often perform no better than chance at detecting deceptive behavior in therapy. Automated deception detection, leveraging artificial intelligence (AI) and multimodal behavioral cues—such as eye gaze, body gestures, and facial expressions—offers a promising alternative. However, most existing research focuses on high-stakes legal contexts, limiting its applicability to mental health settings.

This dissertation addresses this gap by pursuing three key research objectives using a mixed-methods approach. First, we investigate mental health clinicians’ perspectives on AI-assisted deception detection through …

Efficient Methods And Algorithms For Analyzing Stochastic Systems, Mohammad Ahmadi

USF Tampa Graduate Theses and Dissertations

This dissertation addresses the challenges of stochastic analysis of safety-critical systems with biological components, where unexpected behavior can lead to catastrophic events. Two fundamental challenges hinder the analysis of such systems: their typically large or infinite state spaces, and the extreme rarity of error states of interest. While Monte Carlo simulation can analyze biochemical systems without storing the state space, accurately estimating rare event probabilities becomes computationally prohibitive. Conversely, probabilistic model checking excels at analyzing extremely low probability events but becomes impractical for systems with large or infinite state spaces due to memory constraints.This work proposes two main contributions to …

Non-Profit Mental Health Organization: Overcoming Employee Turnover With Retention Strategies, Navpreet Brar

Walden Dissertations and Doctoral Studies

This professional administrative study explored the root causes of employee turnover at a nonprofit mental health organization, where turnover had reduced treatment consistency, increased emotional distress among clients, and decreased staff morale. The purpose of this study was designed to develop effective strategies to enhance retention, improve employee engagement, and support high-quality patient care through an application of the social exchange theory. The study addressed four practice-focused questions: (a) What are the underlying causes of turnover at this organization? (b) How can effective strategies be developed and implemented to reduce turnover? (c) How can the organization enhance employee engagement to …

American Kestrels (Falco Sparverious) In Row Crop Agriculture Of The Lower Mississippi Alluvial Valley Of Northeast Arkansas: Factors Influencing Nest And Roost Box Use, Nest Success, And Effects On Agricultural Pests, Ty Spencer Sharrow

Student Theses and Dissertations

Utilizing birds of prey for pest control is a sustainable, environmentally friendly approach to pest management that can benefit not just the environment and human health but also the birds themselves. The American Kestrel (Falco sparverius; hereafter ‘kestrel’) is one such species that can provide pest management services while benefiting from nest boxes used to attract them in agricultural areas. I examined how box and habitat characteristics influenced kestrel box use for nesting, winter roosting, and nest success in the row crop-dominated landscape of northeast Arkansas’ Lower Mississippi Alluvial Valley. In addition, I assessed kestrel impact on pests by systematically …

Pneumococcal Colonization Dynamics Among Young Children With And Without Respiratory Symptoms During The First Year Of The Sars-Cov-2 Pandemic., Liset Olarte, Brian R. Lee, Dithi Banerjee, Douglas Swanson, Christopher J. Harrison, Rangaraj Selvarangan

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Non-pharmaceutical interventions to mitigate the spread of SARS-CoV-2 were implemented across the United States in 2020. These public health measures might influence pneumococcal colonization in younger children and their subsequent risk of invasive pneumococcal disease. Our objective was to evaluate pneumococcal colonization rates in children ≤ 5 years of age with and without respiratory symptoms during the first 12 months of SARS-CoV-2 pandemic (April 2020 - March 2021).

STUDY DESIGN: This is a retrospective cross-sectional study evaluating pneumococcal colonization rates, density and serotype distribution across three study periods (April-July [Period 1], August-November [Period 2] and December-March [Period 3]) after …

Retrospective Study Of Elective Intracranial Tumor Surgery Waiting Time At A National Referral Hospital In Indonesia, Sayyid Abdil Hakam Perkasa, Habibah Nurul Rahmah, Abrar Arham

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Elective surgery waiting times are a key measure of healthcare system performance and service quality. Long wait times can lower patients’ quality of life, worsen symptoms, reduce treatment effectiveness, and increase financial stress. We aimed to provide a descriptive analysis of elective surgery waiting time for Intracranial Tumors at Mahar Mardjono National Brain Center Hospital in 2023. This study is a descriptive retrospective cross-sectional study using data from Electronic Health Records (EHR). The study sample included all elective intracranial tumor surgeries performed in 2023. A total of 371 elective intracranial tumor surgeries were analyzed. The median age of patients was …

Analisis Hubungan Sikap Dan Tuning Dengan Kepatuhan Perawat Dalam Ketepatan Identifikasi Pasien Di Rumah Sakit X Kabupaten Banyuwangi Tahun 2024, Lusyana Putri Kusuma Wardhani, Ica Imelida, Syifa’Ul Lailiyah, Nyoman Anita Damayanti, Dian Santo Prayoga

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient safety is a top priority in healthcare services, including in the prevention of identification errors. Accurate patient identification is one of the Patient Safety Goals mandated by the Joint Commission International (JCI) 2024. The issue addressed in this study is the low compliance of nurses with patient identification procedures at Hospital X in Banyuwangi Regency. This study aims to analyze the relationship between nurses’ attitudes and tuning with compliance in implementing patient identification. A quantitative approach with a cross-sectional design was used. Data on attitudes and tuning were collected through questionnaires, while compliance data were obtained from direct observations …

Wmu Board Of Trustees Formal Session Thursday June 26, 2025, Wmu Board Of Trustees

WMU Board of Trustees Meetings

Acceptance of the Agenda
Approval of the Minutes (April 17, 2025 and April 23, 2025)
Remarks by the Chair of the Board
Remarks by the President
Updates by the Faculty Senate President
Updates by the Western Student Association President
Updates by the Graduate Student Association President
Western Michigan University Employee Graduates
Montgomery Essential Needs Program Presentation
Public Comments Regarding Action Items

Action Items

• Academic Tenure and Promotion
• Student Housing and Meal Rates 2025/26
• Fall 2025 Differential Tuition Rates
• Fall 2025 Tuition and Required Fee Rates
• General Fund Fiscal Year 2025/26 Operating Budget
• President Emeritus Status for Edward Montgomery

Consent Items …

Bridging The Gap: Exploring Veteran Students' Transition From Military Service To Higher Education, Edward Lewis King Sr.

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Transitioning from military to civilian life can present many challenges for military personnel. Veterans often face difficulties adjusting from the structured and hierarchical environment of the military to the more fluid and unstructured nature of civilian life and the flexibility of higher education. The purpose of this qualitative, narrative inquiry study was to explore the challenges veterans face when transitioning from military service to higher education. The secondary purpose was to develop a webinar series, King Veteran Success 360, to mitigate obstacles student-veterans encounter during this transition. Schlossberg's transition theory was the theoretical framework that guided this inquiry to identify …

U.S. Young Adults’ Family-Building Intentions In The Event Of Infertility And Knowledge Of Associated Costs, Jean Marie Place, John Horowitz, Minh Nguyen, Maya Guinn, Brennan Peterson

Marriage and Family Therapy Faculty Articles and Research

Introduction: Infertility affects approximately 8.5% of married women in the United States, yet there is limited understanding of how young adults anticipate and prepare for potential barriers to biological parenthood. As reproductive planning increasingly intersects with social, medical, and financial considerations, it is important to examine how emerging adults perceive and approach family-building options. This study aims to explore college students' intentions regarding childbearing, their openness to non-traditional family-building methods, and their awareness of the associated financial costs.

Methods: A cross-sectional survey was administered to undergraduate students (mean age = 20) at a Midwestern public university. Most participants had not …