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Updates In Contemporary Management Of Singleton Pregnancies Complicated By A Short Cervix, Moti Gulersen, Vincenzo Berghella, Eran Bornstein

Department of Obstetrics and Gynecology Faculty Papers

Singleton pregnancies complicated by a short cervical length (≤25 mm) are at significantly increased risk for spontaneous preterm birth. Several treatment strategies aimed at reducing this risk and improving perinatal outcomes have been evaluated, including vaginal progesterone, cervical cerclage, and cervical pessary. This review summarizes the latest evidence regarding the efficacy of these interventions. Vaginal progesterone and/or cervical cerclage have been identified as proven evidence-based practices for preterm birth prevention and improve neonatal outcomes. Vaginal progesterone reduces the risk of preterm birth < 35 weeks by 27% (relative risk 0.73, 95% confidence interval 0.58-0.90). Cervical cerclage has been shown to reduce the risk of preterm birth < 35 weeks by 30% (relative risk 0.70, 95% confidence interval 0.55-0.89) in patients with a short cervical length and prior preterm birth. In contrast, recent data suggest that cervical pessary should no longer be considered a management option for these patients. A continued focus on individualized, evidence-based approaches remains essential to optimizing outcomes in this high-risk population.

Gender In Translation: How The Contemporary Bible Is Challenging Androcentric Language In Translation Through Gender-Accurate And Feminist Hermeneutical Lenses, Matthew T. Gennard

Masters Theses

This Thesis surveys the changing practice of gender-accurate translation from the late nineteenth century to the present, with special consideration for the three key principles of gender-accurate translation: Generic ‘he,’ androcentric lexemes, and pronoun substitution. These focus areas are derived from an analysis of the five translation guidelines produced during the late twentieth-century gender-neutral controversy. The loss of individuality when introducing pronominal interchange or the masculine representative hermeneutical lens has left scholars divided on gender-accurate practices. This study surveys the sociohistorical development of the feminist hermeneutical lens and the changing linguistic trends of contemporary language, which challenge androcentric assumptions in …

Pigs For The Dispossessed Goat Demon: Jesus’ Exorcism In Mark 5 And Animal Interest, Michael Joseph Gossett

Masters Theses

This thesis explores how a historical-literal reading of Mark 5:1-20 can be defended against objections that claim Jesus caused or allowed unnecessary animal suffering. Contextual insights gleaned from 2nd Temple Watchers Traditions and Greco-Roman polytheism illuminate plausible symbolic value present in the deaths of the Gerasene swine. The context of Mark 5:1-20 presents a supernatural conflict compatible with Christian theology and rebel angel theodicies. Jesus’ actions concerning the Gerasene pigs are not necessarily unjustifiable examples of animal mistreatment.

Kid Power: Mastering Asthma Management To Keep Hospitals Away!, Kriste L. Moret

Master's Projects and Capstones

Problem: Pediatric asthma remains a leading cause of preventable hospitalizations, particularly in California’s Central Valley, where environmental and health disparities worsen symptoms. Many children are discharged without understanding their Asthma Action Plan (AAP) or feeling confident in symptom management.

Context: On a unit in a community hospital in this high-risk region, asthma-related admissions persisted. Gaps in discharge education highlighted the need for a structured intervention. The Institute for Healthcare Improvement (IHI) Model for Improvement (MFI) guided this effort.

Intervention: A nurse-led, developmentally appropriate asthma education bundle was implemented. Teaching began on admission and was reinforced using teach-back, color-coded AAPs, culturally …

Best Practices To Prevent Nurse Burnout And Reduce Turnover In The Hospital, Bernice Marie Yale

Master's Projects and Capstones

Abstract

Problem Nursing is facing a crisis in workforce well-being, and trends indicate signs and symptoms of burnout. Increasing turnover rates, emotional exhaustion, staff depersonalization, and team disengagement have resulted in a perceived toxic environment in a hospital-based microsystem.

Context A 4-month project was initiated to improve morale and communication. Several assessment tools were utilized to foster a high-performing team and reinforce principles of Watson’s theory of caring.

Interventions Optimization of required daily leader rounds to encourage patient participation, and monthly 1:1 “direct report” rounds (n=65) were conducted to assess well-being, workplace stressors, and promote job satisfaction.

Measures To improve …

How Parents Experience Language During Iep Meetings: A Study Of Elementary School Parents' Perceptions Of Their Children, Michael Anthony Mooren

Dissertations (1934 -)

This qualitative hermeneutic phenomenological study explored how parents of elementary-age students receiving special education services experience the language used by educators during Individualized Education Program (IEP) meetings, and how this language affects their perceptions of their children. The literature review focused on the explanation of four language assumptions that served as foundational components of the study. Seven parents participated through purposive sampling, completing surveys leading up to and semi-structured interviews immediately following their child's annual IEP meeting. The analysis involved coding and led to an interpretation of four key findings that focused on collaborative, emotional experiences; accessibility of clarified language …

Backing Away From Esg? The Effect Of Sovereign Rating Downgrades On Corporate Sustainability, Periklis Boumparis, Chris Florackis, Omrane Guedhami, Sushil Sainani

Faculty Publications

We examine how sovereign rating downgrades affect firms' environmental, social, and governance (ESG) policies, leveraging the sovereign “ceiling” rule as a quasi-natural experiment that generates exogenous variation in corporate credit ratings. Under this rule, firms originally rated at or above the sovereign rating (bound firms) face a higher likelihood of downgrade following a sovereign downgrade. Using a difference-in-differences (DiD) setting, we find that bound firms experience a decline in ESG performance following a sovereign downgrade. This decline occurs only after the downgrade, not before, validating the parallel trends assumption. Our analysis further indicates that this effect is not driven by …

Dosimetric Comparison Of Organ-At-Risk Constraints Across Multi-Resolution Levels In Eclipse Planning Optimization, Ji Hyun Jeon

Masters Projects

Background: In inverse treatment planning, the timing of applying organ-at-risk (OAR) constraints during the optimization process can influence dosimetric outcomes. This study investigates the effects of introducing OAR constraints at different stages of the multi-resolution optimization process within the Eclipse Treatment Planning System (TPS).

Purpose: To determine the optimal resolution level for applying OAR constraints that achieves the best dosimetric balance between target coverage and normal tissue sparing.

Methods: Thirteen prostate cancer treatment plans were generated using an anonymized pelvic CT dataset from The Cancer Imaging Archive. All plans were developed in GVSU Virtual Eclipse TPS using the Photon Optimizer …

An In-Depth Exploration Into College Students’ Information Acquisition And Evaluation Behaviors During The Covid-19 Infodemic, Nien-Tsu Nancy Chen, Kimmy Kee, Bianca T. Villalobos, Miriam Ortiz, Hyesun Lee

Psychological Science Faculty Publications

Introduction: This study examines how vaccination-inclined and vaccination-hesitant U.S. college students acquired and evaluated COVID-19 vaccination information.

Methods: In 2021, we conducted 26 focus group discussions and used thematic analysis to identify patterns in information acquisition behaviors and trust in information sources.

Results: Findings revealed mismatches between frequently used and most trusted sources. Public health agencies were highly trusted but not commonly consulted first. In contrast, social media were frequently used for information scanning despite being the least trusted. Interpersonal sources (e.g., family) were identified as both a most and least trusted source. They were trusted for their good intention …

Proportionality: Can’T Live With It But Can’T Live Without It, Geoffrey S. Corn

International Law Studies

Perhaps no other word in the international humanitarian law lexicon evokes more interest and emotion than proportionality. How States implement the rule of proportionality is perhaps the most hotly debated aspect of international humanitarian law. The indeterminate nature of the rule allows for its meaning to conform to whatever its reader wants it to mean. This is a consequence of the variables related to key provisions of the rule: How do we assess military advantage? What makes an anticipated military advantage “concrete and direct”? And most problematic of all, what is the meaning of the term “excessive”? All of these …

Evaluating The Effectiveness Of The Comprehensive Unit-Based Safety Program In Reducing Hospital-Acquired Infections, Peta Ann Anderson

Walden Dissertations and Doctoral Studies

This doctoral project is an evaluation of a quality improvement initiative that applied a mixed method approach to evaluate the impact of the Comprehensive Unit-based Safety Program (CUSP) on hand hygiene (HH) compliance and healthcare-associated infection rates. The project was conducted in the United States of America (USA), Florida in an acute care hospital. The practice problem addressed was the persistent low adherence to HH protocols among healthcare staff, a critical issue in nursing practice due to its direct link to preventable patient harm. Quantitative data demonstrated a substantial reduction in infection rates following the implementation of the CUSP program. …

Staff Education To Increase Staff Knowledge On Pressure Injury Prevention, Sunita Khati

Walden Dissertations and Doctoral Studies

Pressure injuries (PIs) are unfortunate events that can impact all healthcare system stakeholders. In-patient nursing units such as medical surgical (med surg) units are facing challenges in nursing practice in initiating prevention measures and reducing the incidents of hospital-acquired pressure injuries (HAPIs). The nursing staff’s lack of knowledge can lead to nursing practice issues, poor patient outcomes, and be costly. The purpose of this Doctor of Nursing Practice (DNP) staff education project was to educate nursing staff in initiating pressure injury (PI) prevention measures to avoid HAPI events in the hospital. The practice-focused question examined if providing education to med …

Staff Education To Improve Stroke Management Knowledge Among Medical-Surgical Emergency Department Overflow Staff Nurses, Andrea Terri Branch

Walden Dissertations and Doctoral Studies

Summary This quality improvement initiative aimed to enhance stroke knowledge through an evidence-based staff education program for medical-surgical emergency department (ED) overflow nurses. The impetus for the project stemmed from recognition of the need for enhancing prompt response and communication during acute stroke events. Variations in stroke knowledge among nursing staff contributed to delays in recognizing and responding to stroke symptoms. The practice-focused question guiding this Doctor of Nursing Practice (DNP) project addressed whether the implementation of an evidence-based stroke education program could improve nursing knowledge. The purpose of the project was to evaluate whether an evidence-based stroke education program …

Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa

Walden Dissertations and Doctoral Studies

Objective This project aimed to enhance nursing staff knowledge and engagement in evidence-based fall prevention strategies, addressing the practice problem of inconsistent staff education and the absence of a standardized fall prevention protocol, contributing to high patient fall rates in acute care settings. Design The project employed an educational session both in-person and online. A pre- and post-test education design, utilizing knowledge assessments (pre-test and post-test) and qualitative feedback to evaluate the impact of a structured education program on nursing staff knowledge related to fall prevention. The education module focused on risk assessment tools, including the Morse Fall Scale, and …

Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint

Walden Dissertations and Doctoral Studies

This quality improvement project is a staff education initiative designed to address psychotropic medication noncompliance in an outpatient behavioral health clinic setting. The project arose from the identification of a significant gap in staff knowledge and confidence related to medication adherence strategies. Medication noncompliance in psychiatric care is associated with symptom exacerbation, increased hospitalization, and poorer patient outcomes, making it a critical issue in nursing practice. The practice-focused question guiding the project was: In an outpatient behavioral health clinic setting, does implementing a structured staff education program improve staff knowledge and confidence in addressing medication noncompliance? Analytical strategies included a …

The Association Between Unemployment, Income, Education, Healthcare Access, Mental Health And High-Risk Hiv Behavior In The United States, Tia Smith

Walden Dissertations and Doctoral Studies

High-risk HIV behavior remains a critical public health concern in the United States, particularly among socioeconomically and psychologically vulnerable populations. Despite extensive prevention efforts, a gap persists in understanding how structural and mental health factors jointly contribute to HIV risk. This study addresses that gap by examining the association between socioeconomic status (SES), including income, education, employment, and healthcare access, and mental health status (diagnosis of depression and days of poor mental health) on high-risk HIV behavior at the individual level. Guided by the social determinants of health (SDOH) theoretical framework, the study utilized secondary data for over 40,000 adults …

Nyls Appoints Michael Goodyear As Associate Professor Of Law, Dean Anthony W. Crowell

NYLS Community News

No abstract provided.

Parent's Help-Seeking For, And Care Of, A Sick Or Injured Child During Covid-19 Pandemic Lockdowns: A National Online Survey In Türkiye, Bahar Aksoy, Sarah Neill

School of Nursing and Midwifery

Aim: This study aimed to investigate how COVID-19 lockdowns in Türkiye influenced parents' actions when their child was ill or injured and how they perceived the impact of the lockdown on the severity of their child's illness and the treatment received. Methods: This descriptive, and cross-sectional mixed method was conducted with 104 parents whose children experienced illness or injury during the pandemic lockdowns between July and September 2022. Data was collected through online survey using snowball sampling method. Descriptive statistics and pearson's chi-square test were used for statistical analysis, while free-text data was subjected to thematic analysis. Results: Of the …

An Exegesis Of Matthew 18:15-17 And The Hermeneutical Challenges Of Unrepentant Sexual Immorality, Jennifer Morris

Masters Theses

Sexual immorality (πορνεία) is mentioned twenty-five times in the New Testament. In one of the earliest cases of church discipline, Paul addresses a particular example of sexual immorality, namely incest, where a member of the Corinthian church is engaging in consensual sexual relations with his father’s wife (1 Cor. 5, New International Version).¹ Church discipline can be viewed with a negative connotation; however, disciples of Christ understand He rebukes and disciplines those He loves (Heb. 12:6; Rev. 3:19) through His Word (“rebuking” and “correcting” in 2 Tim 3:16).² Thus, the scriptural basis for church discipline practices are the …

An Assessment Model For Linking Changes In Pelagic Habitat State To Impacts On Human Wellbeing, Matthew P. Faith, Siân E. Rees, Angus Atkinson, Mike Best, Eileen Bresnan, Michelle J. Devlin, Matthew M. Holland, Holly J. Niner, Clare Ostle, Paul Tett, Abigail Mcquatters-Gollop

School of Biological and Marine Sciences

Plankton monitoring datasets help inform indicators for marine biodiversity assessments under the European Union Marine Strategy Framework Directive and United Kingdom Marine Strategy. These indicators are used to assess long-term changes in the state of the pelagic habitats of the Northeast Atlantic which then guide policy formation and implementation to achieve Good Environmental Status. Across all ecosystems, environmental change has the potential to impact upon human wellbeing by changing the quantity and quality of ecosystem services. Here, we develop a socio-ecological assessment model that can describe how variations in pelagic habitat state, evidenced by plankton indicators, can impact human wellbeing. …

Autopathography And Identity In Head Above Water: Reflections On Illness By Shahd Alshammari, Reham M. Samir

Pharmacy

Disability/illness is an enigma that we experience but whose implications we have not fully fathomed. One's sense of self is impacted by disability/ illness. Autopathographies gave people with disability/ chronic illness a chance to share their life with a disability or a chronic illness, which also reflects on identity. Moreover, identity is influenced by social stigma as well as gender. This paper examines the impact of Multiple Sclerosis (MS) on the life and sense of self of the Kuwaiti writer and scholar, Shahd Alshammari's The paper also analyzes the relation between disability, gender and race drawing attention to the impact …

Plasma Based Synthesis Of Titanium Dioxide Nanoparticles And Their Characterization, Vedant Singh

Electronic Theses and Dissertations Archive

Titanium dioxide has peaked significant interest due to its unique physical and chemical properties, making it highly valuable in a range of applications such as photocatalysis, solar energy conversion and biomedical devices. The use of plasma-based synthesis techniques offers several advantages over conventional methods such as higher purity, precise control over particle size and the ability to tailor phase composition. This study presents the successful design, construction and operational validation of a custom-built Inductively Coupled Plasma reactor (ICPr), tailored for gas phase nanoparticle synthesis, under low pressure conditions. The reactor’s ability to generate stable plasma in both E- and H-modes …

Daily Prebiotic Consumption Of Sweet Potatoes Shifts Abundances Of Key Gut Microbial Taxa Connected To Gut Health, Alexis Gallegos

Electronic Theses and Dissertations Archive

Diet plays a large role in maintaining a healthy gut microbiome, which impacts many aspects of human health. Sweet potatoes contain high levels of resistant starches and dietary fiber which healthy gut microorganisms can metabolize. We tested if daily sweet potato consumption for thirty days shifts gut prokaryotic communities and the phylogenetic diversity of short chain fatty acid (SCFA) functional genes. Selected functional genes are known to be important for human health associated with butyrate and propionate production pathways. To do so, we collected fecal samples from healthy adult volunteers, before and after daily sweet potato consumption and conducted metabarcoding …

Exploring Mental Health Issues And Health-Seeking Behaviors Among Bangladeshi International Students: A Qualitative Study, Md Monir Hossain

Electronic Theses and Dissertations Archive

This qualitative study explores the mental health experiences and help-seeking behaviors of Bangladeshi international graduate students in the United States. Based on in-depth interviews with sixteen students at the University of Memphis, I examine their mental health challenges, coping strategies, and the impact of cultural stigma. Participants report depression, anxiety, and somatic symptoms linked to academic pressure, financial stress, housing issues, and social isolation. Cultural stigma and institutional barriers discourage formal help-seeking, leading most to rely on self-help and peer support. However, some students avoid even informal support due to fear of judgment, gossip, and exploitation within their community. The …

A Diversity Dilemma: A Qualitative Research Study On The Past And Present Racial And Cultural Demographics Of Formal Music Education Students, Destiny Deberry Stone-King

Masters Theses

This thesis study examined the relationship between the preference for popular music, racial identity, and the decision to participate in school music courses and ensembles, aiming to understand how the interaction of these factors influences the demographics of music students. The researcher analyzed previous research on music preference, the history of music education in the United States, commentary on the music education system, and personal accounts of music educators and former music students. The researcher used a historical qualitative research design and meta-analysis to answer three research questions: 1) How does a musician’s racial identity, musical preference, and musical training …

Harnessing Emergent Multiple Scattering Resonances In A Photonic Glass Structure For Photoelectrochemical Energy Conversion, Ashlyn G. Descarpentrie, Robert H. Coridan

Chemistry & Biochemistry Faculty Publications and Presentations

Light trapping nanostructures are often necessary to improve carrier collection yields in semiconductor photoelectrodes with intrinsically poor electron transport. Photonic crystal templates can generate tailorable light trapping via periodic and precise nanostructure, though this is not a scalable strategy for photoelectrochemical (PEC) applications. It is therefore critical to identify alternative mechanisms for light trapping that tolerate disorder. Light trapping in disordered media is generated by the diffusive transport caused by multiple scattering. In some cases, multiple scattering can generate resonances that resemble those observed in photonic crystals. While resonant multiple scattering is a disorder tolerant light trapping mechanism, it is …

Dosimetric Evaluation Of Clearsight Bolus Versus Superflab Bolus For Vmat Head And Neck Treatment, Courtney M. Williams

Masters Projects

This study compares the dosimetric performance and fit accuracy of ClearSight and Superflab boluses in head and neck (HN) volumetric modulated arc therapy (VMAT) treatment plans, focusing on dose distribution and air gap volumes. A RANDO anthropomorphic phantom was used to simulate HN VMAT treatment for oral cavity cancer with positive lymph nodes, prescribed 70 Gy in 35 fractions. Four configurations were tested: ClearSight bolus over a thermoplastic mask (CSO), ClearSight under a mask (CSU), Superflab over a mask (SFO), and Superflab under a mask (SFU). Five computed tomography (CT) scans, one without bolus and four with bolus, were performed …

Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion

Walden Dissertations and Doctoral Studies

The United States has the largest correctional system and the highest incarceration rate in the world. Within this system, correctional officers (COs) serve as the primary point of contact with inmates. Existing literature suggests that the nature of inmates’ offenses often influences COs’ perceptions. Moreover, safety equipment plays a critical role in maintaining security within prison environments. Understanding COs’ experiences and perceptions regarding their safety equipment is therefore essential. The research problem is that little is known about COs’ lived experiences with and perceptions of the safety equipment they carry to keep safe from inmate severe assault. The purpose of …

The Experiences Of Physical Therapists Trained In Instrument Assisted Soft Tissue Mobilization For Self-Care, Edward Bezkor

Walden Dissertations and Doctoral Studies

Physical therapists and physical therapy students are susceptible to overuse and postural-related injuries related to computer work, lifting, and transferring patients. An effective technique for musculoskeletal dysfunction is instrument assisted soft tissue mobilization (IASTM) self-care. The purpose of this phenomenological qualitative study was to better understand the lived experiences of physical therapists and physical therapy students who are trained in IASTM self-care. The theoretical foundation for this study was the health belief model (HBM), which proposes that one’s beliefs strongly influence behavior change. In alignment with HBM, research questions related to the participants’ beliefs regarding the perceived threat of not …

Pneuma And Logos: Strengthening Sermon Preparation Through A Spirit-And-Word Approach To Biblical Exegesis, Natalie Barnoske

Doctoral Dissertations and Projects

Powerful preaching results from honoring the Word and Spirit as active participants in the sermon preparation process. However, the influence of postmodernism and the lack of resources clarifying this convergence point have led to a polarization of perspectives in biblical exegesis. Therefore, this DMIN action research project designed, implemented, and evaluated a Pneuma and Logos Approach to biblical exegesis based on five essential pillars of hermeneutics, derived from William Oliverio’s Pentecostal Hermeneutics in the Late Modern World. By integrating inductive skills of biblical exegesis with holistic habits of Lectio Divina, this project proposes that stronger sermon preparation skills can be …