Digital Commons Network^™

Key Strategies To Entrepreneurial Sustainability In The Information And Communications Industry, Agabi Godwin Onugba

Walden Dissertations and Doctoral Studies

Many businesses in the information and communications industry fail within the first 5 years, yet the existing empirical research has not sufficiently explained how surviving businesses achieve long-term sustainability. Startup business leaders are concerned about the high failure rate and the lack of evidence-based strategies that support sustained operations beyond 5 years. Grounded in Porter’s five forces theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore successful strategies that information and communications industry startup business leaders use for long-term business sustainability beyond 5 years. Purposeful sampling was employed to select six startup leaders in the …

Staff Education Project To Improve Hypertension Medication Adherence In An Underserved Clinic, Margaret Mboe Etukeni

Walden Dissertations and Doctoral Studies

Hypertension is one of the most common chronic conditions managed in primary care. The identified practice problem for this staff education project was the lack of structured staff training and inconsistent provider knowledge regarding evidence-based strategies to improve medication adherence among patients with hypertension. Poor medication contributes to preventable complications such as stroke, heart failure, and kidney disease. The purpose was to evaluate if an educational intervention could improve provider knowledge related to medication adherence strategies in an underserved clinical setting. The practice question guiding the project was: In clinical staff working in an underserved clinic, does a staff education …

Perceptions Of Community College Faculty Regarding Online Student Engagement Challenges And Recommendations, Jana Allen-Bishop

Walden Dissertations and Doctoral Studies

The problem addressed through this study is that local community college faculty members struggle to develop student engagement in online courses. The purpose of this basic qualitative study was to explore community college faculty perceptions about challenges with student engagement in online courses and recommendations for fostering that engagement. The conceptual frameworks for this study were Knowles’ theory of andragogy and self-directed learning, as well as Mezirow’s transformative learning theory. Data were collected through semistructured interviews with eight community college faculty members teaching online courses. Through open and axial coding the following themes emerged: faculty noted that their own technological …

Spartan Daily, February 4, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 6

Protocol For Personalised Prediction Of Persistent Postsurgical Pain, Katherine J Holzer, Harutyun Alaverdyan, Ziqi Xu, Madelyn R Frumkin, Karen A Frey, Stephen H Gregory, Thomas L Rodebaugh, Chenyang Lu, Christopher R King, Denise Head, Thomas Kannampallil, Simon Haroutounian

2020-Current year OA Pubs

INTRODUCTION: Persistent postsurgical pain (PPSP) affects up to 15% of patients after major surgery, impairing physical function, quality of life and increasing risk for long-term opioid use. Current PPSP prediction models rely on static or retrospective data and fail to incorporate dynamic perioperative factors. The Personalised Prediction of Persistent Postsurgical Pain (P5) study aims to develop individualised, multimodal prediction models by integrating preoperative behavioural, psychophysical and neurocognitive assessments and high-frequency symptom monitoring.

METHODS AND ANALYSIS: P5 is a prospective, single-centre cohort study enrolling 2500 adults aged 18-75 undergoing major surgery at a tertiary academic hospital. Participants complete baseline surveys, cognitive …

Time Trends In The Male To Female Ratio For Autism Incidence: Population Based, Prospectively Collected, Birth Cohort Study, Caroline Fyfe, Henric Winell, Joseph Dougherty, David H Gutmann, Alexander Kolevzon, Natasha Marrus, Kristina Tedroff, Tychele N Turner, Lauren A Weiss, Benjamin H K Yip, Weiyao Yin, Sven Sandin

2020-Current year OA Pubs

OBJECTIVES: To examine changes in the male to female ratio in diagnoses of autism spectrum disorder (ASD) over a 35 year period, providing temporal trends in diagnosis (incidence rate), the male to female ratio, and the age-cohort specific cumulative male to female ratio (cMFR).

DESIGN: Population based, prospectively collected birth cohort study.

PARTICIPANTS: 2 756 779 liveborn children recorded in the Swedish medical birth register between 1985 and 2020.

SETTING: Sweden.

MAIN OUTCOME MEASURE: Age-period cohort analysis investigating associations between ASD and age at diagnosis, calendar period, birth cohort, and sex, quantified by incidence rate ratios and associated two sided …

The Lumberjack, February 04, 2026

Cal Poly Humboldt's Student Newspaper

The student newspaper of Humboldt State University.

Efficiency, Concentration, And Diversification: Portfolio Lessons From Indian Technology Equities, Davinder K. Malhotra, Shaurya Batra, Rahul Singh

School of Business Faculty Papers

This study examines the extent to which Indian technology equities generate sufficient returns relative to their inherent volatility and assesses whether intra-sector diversification can improve outcomes in this dynamic, high-risk sector. Drawing on data from January 2020 to April 2025, ten leading firms are analyzed using an integrated approach that incorporates traditional risk-adjusted indicators, downside-sensitive metrics, and a six-factor model featuring momentum. The results show clear heterogeneity in performance. Mid-cap innovators such as Persistent Systems and Coforge deliver positive and, in some cases, statistically significant alphas, while large-cap stocks including Infosys, Tata Consultancy Services (TCS), and Wipro provide stability but …

Geochemical Fate Of Lead In Contaminated Residential Soils Following Application Of Amendments For Lead Immobilization, Hadeer Saleh, Washington Braida, Zhiming Zhang, Rupali Datta, Dibyendu Sarkar

Michigan Tech Publications

Background: Lead (Pb) persists in urban soils, where its partitioning among geochemical fractions governs mobility, bioavailability, and human health risk. These fractions are strongly controlled by soil physicochemical properties, necessitating site-specific remediation strategies. Methods: This study developed a site-specific Pb immobilization framework linking amendment selection to soil geochemistry and sustainability considerations. Pb-contaminated residential soils from three U.S. cities, San Antonio (alkaline), Baltimore (acidic), and Detroit (near-neutral), were treated with gypsum, biochar + lime, and alum, respectively. Changes in Pb speciation were tracked using sequential extraction over 7, 30, and 90 days. Results: All amendments significantly reduced exchangeable Pb (F1) and …

Passed Down Like Prayer: The Burden And Inheritance Of The Superwoman Schema, Keyishi Shante Peters

Tennessee State University Alumni Theses and Dissertations

This qualitative phenomenological study examined how Black Baby Boomer and Millennial women perceive and internalize the Superwoman Schema (SWS), a cultural expectation emphasizing strength, emotional restraint, and self-sacrifice. Grounded in Black feminist thought, the analysis explored how the SWS is passed down like prayer, quietly inherited, spiritually charged, and embedded in the everyday practices of survival. Four themes emerged: Being Everything to Everybody, Carrying It All Until It Breaks You, We Were Taught Not to Say No, and Learning to Put the Cape Down. Baby Boomers often described the SWS as a necessary legacy forged through historical struggle, while Millennials …

The Bg News February 04, 2026, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. February 04, 2026. Volume 105-Issue 16.

New Host And Distributional Records For Helminth Parasites (Monogenoidea, Trematoda, Cestoda, Nematoda) Of Arkansas Reptiles (Testudines, Ophidia), C. T. Mcallister, C. R. Bursey, T. J. Fayton, S. E. Trauth, H. W. Robison

Journal of the Arkansas Academy of Science

Over the last decade or more, our collaborative research has provided noteworthy information on the helminth parasites of reptiles of Arkansas. Because several species still need to be surveyed from the state, some for the first time, there has been a general void of information on their parasites. We therefore examined 10 reptiles, including seven species/subspecies of turtles, as well as three species/subspecies of snakes for helminth parasites. Found were 24 taxa of parasites, including two monogeneans, 14 digeneans, one tapeworm, and seven nematodes. We document several new host and distributional records for these parasites from some reptiles of the …

The Heart’S Hidden Influencer: Epicardial Adipose Tissue In The Pathogenesis Of Heart Failure, Aobo Li, Avilash Mondal, Jianli Zhao, John Zhang, Xin-Liang Ma

Department of Emergency Medicine Faculty Papers

Abstract – Heart failure (HF) is a complex, multifactorial clinical syndrome with diverse etiologies and phenotypic manifestations, affecting millions of people globally. HF is broadly classified into 3 subtypes: HF with reduced ejection fraction, HF with mildly reduced ejection fraction, and HF with preserved ejection fraction. Each subtype exhibits distinct pathophysiological mechanisms, clinical trajectories, and therapeutic responses, posing significant challenges in terms of diagnosis and management. Epicardial adipose tissue (EAT), a metabolically active visceral fat depot situated in close proximity to the myocardium, plays a dual role in physiological and pathological states, offering potential utility as a biomarker and therapeutic …

Staff Education To Clinical Staff Within An Outpatient Psychiatric Practice, Ivy Dzifa Dzivenu

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Follow-Up And Continuity Of Care Protocols Through Staff Education In An Outpatient Mental Health Clinic, Bimpe Omobolade Adedo

Walden Dissertations and Doctoral Studies

In this DNP staff education project, I aimed to solve two main issues which disrupted patient treatment continuity: better documentation and follow-up care practices. The existing gaps in knowledge have led to missing scheduled appointments, missing medical information, and weak communication between hospital staff and clinic staff resulting in disorganized patient care. The main goal of the project was to improve staff understanding of post treatment procedures, maintenance systems, and medical recordkeeping requirements. Ten clinical staff members participated in education. Pre- and post-knowledge assessments were used to evaluate knowledge change. The normalized learning gain formula served to measure the extent …

Agricultural Water Management In A Changing Maryland: Stakeholder Experiences And Attitudes Towards Weather Variability, Alternative Water Sources, And Related Factors, Michele Romolini, Alexa C. Siglar, Paul T. Leisnham, Amanda K. Rockler, Masoud Negahban-Azar, Adel Shirmohammadi

Center for Urban Resilience Scholarship

The state of Maryland has experienced significant but commonly overlooked impacts on water quality and quantity. Future climate change is predicted to further reduce water availability, with nontraditional water sources such as treated recycled wastewater (TRW) as one potential way to mitigate impacts. We conducted semi-structured interviews with 17 Maryland stakeholders—including farmers, extension agents, state agency personnel, and academics—to explore their perceptions and experiences with 1) past, existing and future weather variability; 2) freshwater and reusable water use and management in agriculture; and 3) related factors impacting agricultural water management. Qualitative coding of interview transcripts produced 27 categories containing 291 …

Infectious Causes Of Acute Febrile Illness In Belize, 2020-2022, Adrianna Maliga, Shannon E Ronca, Russell Manzanero, Roberto Melendez, Sarah M Gunter, Allison Lino, Joy Mackey, Andres Espinosa-Bode, Beatriz Lopez, Rafael Chacon-Fuentes, Freedom M Green, Oluwadara Okeremi, Sarah Strobel, Daniel P Rehm, Flor M Muñoz, Loren Cadena, Melissa Diaz-Musa, Francis Morey, Emily Zielinski-Gutierrez, Gerhaldine Morazan, Kristy O Murray

Faculty, Staff and Students Publications

Acute febrile illness (AFI) surveillance networks can play a key role in identifying emerging pathogens and promoting global health security, especially for vulnerable populations in low- and middle-income countries. In January 2020, the Belize AFI Surveillance network was formed, and 5,643 participants were enrolled over the first 3-year period across 11 participating public hospitals. Using real-time polymerase chain reaction testing for vector-borne pathogen detection and BioFire® diagnostic testing for respiratory and gastrointestinal pathogens, the causes of illness were examined in relation to 54 pathogens in these participants. In response to the coronavirus disease 2019 pandemic, surveillance was expanded to detect …

Gene Regulatory Programs Of Nk Cells Show That Ncam1 (Cd56) And Kirs Are Controlled By Genetically Polymorphic Distal Regulatory Elements, Mariam A. Salem, Aditi Varkey, Matthew D. Estrada, Kruthika Sharma, Caprice D. Eisele, Nitin Chakravarti, Dean A. Lee, Aharon G. Freud, Bethany L. Mundy-Bosse, Patrick L. Collins

Kimmel Cancer Center Faculty Papers

Owing to their immunoprotective properties, natural killer (NK) cells are critical for the innate immune response to pathogens, as well as a new wave of cancer immunotherapy that harnesses natural cytotoxicity. We sought to study the genetic and epigenetic drivers behind human-specific NK cell receptors, so that we can better understand the underlying cellular function. Here, we present a transcriptomic, proteomic (CITE-seq), and chromatin (single nuclei ATAC-seq) profiling of human peripheral NK cell subsets, which was then compared with genomic databases. Through integrative multi-omics, we demonstrate that CD56^bright versus CD56^dim NK cell subsets have differential distal regulatory element …

Job Stress, Emotional Exhaustion, And Work-Family Conflict: A Moderated Mediation Model, Sina Eslamdoust, Jeeyoon Jeong, Ji Hoon Lee, Ye Dai

Business Analytics Faculty Publications

Despite extensive research on work-family conflict (WFC), questions remain about when and why job stress translates into family domain interference. Drawing on Conservation of Resources (COR) theory (Hobfoll, 1989), this study examines whether emotional exhaustion mediates the relationship between job stress and WFC, and whether authoritarian leadership moderates this process. Using data from 1,095 U.S. employees, we find that emotional exhaustion serves as a key mediating mechanism, consistent with resource depletion arguments. More importantly, we demonstrate that authoritarian leadership significantly amplifies the stress-exhaustion relationship through mechanisms identified in prior research: reduced autonomy, increased monitoring, and blocked recovery. These findings extend …

Newsletter 2026.02.04, Fcrh Honors Program

What's Going On, Honors? (2025-26)

No abstract provided.

Prevention, Consultation, And Advocacy, Terrance Mcclellan

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

My goal is to prevent depression among single mothers ages 20–30 in low-income areas of Southeast Missouri by expanding access to community-based emotional support, parenting resources, and skills training that strengthen coping and resilience.

Significant Findings

Young single mothers in Southeast Missouri, especially those in their twenties, often carry the emotional and financial weight of raising children on their own, which puts them at higher risk for long-term stress and depression when support is limited (Tafet & Nemeroff, 2016; NAMI Missouri, 2025). Many face persistent barriers such as high childcare costs, reduced access to mental health providers, transportation …

Doctrinal Intent Versus Institutional Reality: The Gulf Countries' Antitrust Objectives, Nora Memeti

Yearbook of Antitrust and Regulatory Studies

This paper examines the intriguing contrast between the ambitious goals of antitrust laws in the Gulf countries and the reality of their enforcement. While this region seeks to protect competition and curb monopolistic practices, only Kuwait and the Kingdom of Saudi Arabia (KSA) have made significant strides in achieving these ideals.

Through a comparative legal analysis, this paper examines how the statutory objectives of competition law in Qatar, Bahrain, Oman, and the UAE often remain more rhetorical than substantive, with enforcement primarily symbolic. In contrast, Saudi Arabia demonstrates some enforcement activity, although its alignment with legislative objectives remains uncertain. Kuwait's …

The Parthenon, February 04, 2026, Baylee Parsons, Kaitlyn Fleming, Abby Ayes, Ella Hatfield, Davina Synder, Scott Price, Lilli Ross, Trista Honaker

The Parthenon

No abstract provided.

Multiparent Recombinant Inbred Lines Crossed To A Tester Provide Novel Insights Into Sources Of Cis And Trans Regulation Of Gene Expression, Fabio Marroni, Alison M Morse, Adalena V Nanni, Nadja Nolte, Patricka Williams-Simon, Luis G León-Novelo, Rita M Graze, Paul Schmidt, Elizabeth King, Lauren M Mcintyre

Faculty, Staff and Student Publications

To understand the relative importance of cis and trans effects on regulation, we crossed multi-parent recombinant-inbred lines (RILs) to a common tester and measured allele-specific gene expression in the offspring. Testing the difference of allelic imbalance between two RIL × Tester crosses is a test of cis or trans, depending on the RIL alleles compared. The study design also enables to separation of two sources of trans variation, genetic and environmental, detected via interactions with cis effects. We demonstrate the effectiveness of this approach in a long-read RNA-seq experiment in female abdominal tissue at two time points in Drosophila melanogaster. …

Staff Education On Standardized Appointment Reminder & Follow-Up Protocol, Sambila V. Zangre Congo

Walden Dissertations and Doctoral Studies

Inconsistent staff performance in making appointment reminders and follow-up calls contributed to workflow variability and reduced patient engagement in outpatient primary care settings. This DNP Quality Improvement Project intended to enhance staff knowledge, confidence, and consistency in implementing standardized reminder and follow-up call protocols using an evidence-based educational intervention. A quantitative pre/posttest design was used to evaluate changes in staff competency, supported by descriptive and comparative analyses of test scores, percentage changes, and qualitative feedback. Seven clinic staff members attended the PowerPoint education session, and pretest and posttest data were used to address a practice-focused question about standardized communication workflows. …

Engaging Clinical Teams Through Leadership, Workplace Culture, And Job Satisfaction, Garidanielle Matsey

Walden Dissertations and Doctoral Studies

Current literature does not adequately address the factors that lead to and prevent burnout and poor work performance among inexperienced clinicians and clinical supervisors working in group private practice. Exploring supervision experiences, specifically leadership style, employee engagement, and internal communication, may provide insight into the experiences of novice mental health professionals and their supervisors in addressing burnout and enhancing work performance. Through a qualitative single-case study design informed by interpretative phenomenological principles, data were collected in semistructured interviews with five behavioral health leaders from a two-location group private practice who hold dual roles as clinicians and supervisors. The interview data …

Staff Education On Implementing Exercise For The Management Of Depression In Adults In A Comprehensive Mental Health Facility, Afolasade Jarrett

Walden Dissertations and Doctoral Studies

In a comprehensive mental health facility, patients diagnosed with major depression continue to experience depressive symptoms despite treatment. Despite using standard treatment with antidepressants and psychotherapy, facility data showed that 40% of these patients are still experiencing depression symptoms that negatively impact their overall functioning and quality of life. There is evidence supporting exercise as an effective strategy for depression treatment. Therefore, a staff education project was proposed to educate staff about exercise for depression management in adults. A thorough literature search in four databases yielded 12 articles with high quality evidence supporting educating staff to use exercise for depression …

Relationship Between Perceived Leadership Styles And Millennial Membership Growth In Nonprofit Churches, Larry Latham

Walden Dissertations and Doctoral Studies

Despite the widespread decline in church membership and attendance among all mainline denominations, there was a particular concern about retaining the millennial generation. Church leaders need to understand this concern as a key indicator of millennial retention in nonprofit churches. The purpose of this quantitative study was to examine the relationship between millennial membership growth and perceived leadership styles, including authoritative, partnership, democratic, team oriented, relationship oriented, serving, people oriented, task oriented, and goal oriented leadership. The social exchange theory and resource-based view theory grounded this study. The archival data from 2011 to 2022 comprised 17,012 Millennial participants from 665 …

Staff Education To Enhance Nursing Knowledge Of Central Line-Associated Bloodstream Infection Prevention Bundles On A Solid Organ Transplant Unit, Amina Cole-Kangbai

Walden Dissertations and Doctoral Studies

I conducted this staff education quality improvement project to develop and implement an education program addressing nurses’ knowledge gaps on evidence-based, central line-associated bloodstream infection (CLABSI) prevention bundles on a solid organ transplant unit. CLABSIs are preventable infections disproportionately affecting immunocompromised transplant patients, increasing morbidity, mortality, and costs. Addressing this issue is critical because nurses provide frontline central line care, and their knowledge directly influences patient safety.

Exploring Leadership Strategies To Foster Effective Employee Engagement, Antonwaun Johnson

Walden Dissertations and Doctoral Studies

Employee disengagement is an organizational disruption that erodes trust, weakens culture, and undermines the performance systems leaders depend on to drive results. Functional leaders are concerned with employee disengagement because it can lead to poor organizational performance and affect organizational success. Grounded in leader–member exchange (LMX) theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies functional leaders use to foster employee engagement in a working environment to enhance organizational success. The project participants were six functional leaders working in an e-commerce order fulfillment center in the southeastern United States. Data were collected through semistructured interviews and …