Digital Commons Network^™

Inpatient Stroke Quality Improvement, Briyawna N. Wyatt

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Inpatient nursing documentation for stroke care is essential for meeting quality metrics, maintaining continuity, and supporting timely decisions. Gaps can lead to inconsistent care, metric failures, and reduced staff confidence. This quality improvement initiative aimed to improve metric compliance, documentation consistency, and nursing knowledge and satisfaction. A three-part intervention included targeted education, a standardized documentation verification form, and ongoing feedback from stroke champions. Outcomes measured were metric compliance, knowledge (pre/posttests), documentation completeness (Venous Thromboembolism (VTE), education, Modified Rankin Scale), and staff satisfaction. Results showed significant improvement in nursing knowledge (p < .005), reduced metric fallouts, and better documentation across all indicators. Staff satisfaction increased by about 20%. Overall, combining education, standardized tools, and continuous feedback improved documentation practices, enhanced compliance with stroke metrics, and increased nursing knowledge and satisfaction, supporting better care processes and patient outcomes.

An Exploration Of Student Approaches Towards Note-Taking In Medical School, Salah Eldein Elkattawy

Yale Medicine Thesis Digital Library

During medical school, students are exposed to a vast amount of knowledge they are expected to learn, understand, and apply to the care of patients. Various study strategies have been adopted by students over the years to facilitate this process, such as spaced repetition flashcards, the use of learning aids such as mnemonic devices, and the use of third-party resources to supplement their learning in the classroom. Instructors have also recognized the value in certain formats of classroom instruction, such as case-based learning or team-based learning, in keeping students more engaged and in reinforcing their learning in an interactive manner. …

Chapter 16 - Representing Clients Who Are Mentally Ill Or Intellectually Disabled, Anthony G. Amsterdam, Randy A. Hertz

Trial Manual for the Defense of Criminal Cases

There are, however, some clients who are not competent to make decisions affecting their own welfare; and counsel may need to take special measures in these cases. If counsel reasonably believes that mental illness or an intellectual disability has so severely “diminish[ed]” the client’s “capacity to make adequately considered decisions in connection with the representation . . . [that] a normal client-lawyer relationship with the client” cannot be maintained, and if counsel furthermore “reasonably believes” that the client “is at risk of substantial physical, financial or other harm unless action is taken and [that the client] cannot adequately act in …

Other Eyes: The Dilemma Of Authorship And Autobiography In Sylvia Plath, John Ashbery, And Cristina García, Kevin J.B. O'Connor

Theses and Dissertations--English

This dissertation analyzes authorship in contemporary American literature, harnessing the writings—prose and poetry—of Sylvia Plath, John Ashbery, and Cristina García to challenge traditional classification and periodization schema. Hewing to the notion of authorship as a dilemma—a simultaneity of forces pressing upon the author, demanding a response—each chapter unravels critical moments of authorial expression that continually inscribe the importance of praxis and futurity. Comprehending authorship as a relational dilemma to be brooked, and indeed, overcome in a panoply of gestures, frees it theoretically from the perils of prior models by drawing attention to authorship’s agential and multi-modal aspects. Melding archival research …

Benjy's Personhood In The Sound And The Fury, Addison D. Tighe

Theses and Dissertations--English

This thesis will take a look at the way Benjy Compson’s character in William Faulkner’s novel The Sound and the Fury can be used to form an anti-eugenic argument. By taking a close look at the historical context of America’s twentieth century eugenic movement, the ways in which the novel presents an argument of personhood for those with disabilities come forth despite the eugenic pressures of the time. By taking the time to closely read Benjy’s section within the novel, a mix of disability studies and feminist disability studies, and understanding the complexity of character and stream of conscious writing, …

Entre Irse Y Quedarse: Sociolinguistic Effects Of The H-2a Program In The U.S. And Mexico, Hayden D. Holman

Theses and Dissertations--Hispanic Studies

This dissertation examines stabilized circular migration as a distinct sociolinguistic condition through a study of Mexican participants in the U.S. H-2A temporary agricultural worker program. Whereas much migration scholarship presumes linear settlement and cumulative immersion, the H-2A program institutionalizes repeated cycles of departure and return between specific origin and destination communities. This patterned mobility produces recurrent immersion in an English-dominant environment followed by re-centering in a Spanish-dominant community, creating conditions of cyclical activation and recalibration of linguistic repertoires.

The study investigates two interrelated questions: (1) how sustained participation in stabilized circular mobility shapes participants’ spoken repertoires, contact-induced features, and language …

Visual Genealogies Of Disability In Mexican Visual Culture, Daniela Calvache Garcia

Theses and Dissertations--Hispanic Studies

Disability in Mexico is a visually constructed category, shaped by a long genealogy of representation in which images of bodily difference actively participate in defining power and the management of all bodies. The discursive forces that define disability as unproductivity reduce body-minds to the service of the economic system, affecting our relationship with death, illness, reproduction, size, youth, and beauty. Across the Mesoamerican visual space, such representations have long unsettled dominant systems of truth about bodies. This dissertation examines how conceptions of disability are produced, negotiated, and reimagined through three historical moments and cultural expressions: Pre-Hispanic Mayan imagery, Mexican colonial …

Una Lima Multicultural: La Cultura Material De Las Mujeres Afroperuanas Durante Los Siglos Xvi Y Xvii, Rebeca Ponce Ochoa

Theses and Dissertations--Hispanic Studies

Uno de los valores más importantes de una sociedad es la cultura adquirida a través del conocimiento, de la tradición y de la historia donde el intercambio de experiencias en la ciudad limeña hizo posible la construcción de una cultura material. Los documentos producidos, adaptados y aceptados a un determinado contexto social refuerzan la identidad, la cultura y la memoria de una colectividad.

Por ello, esta investigación tiene como objetivo analizar los autos de fe y los testamentos de mujeres afroperuanas en los siglos XVI y XVII como parte del material cultural que ayudan a pensar y reconstruir el pasado. …

The Association Between Learned Helplessness And Future Outlook And The Mediating Effects Of Parental Support, Engagement, And Closeness, Allison N. Loosle

Theses and Dissertations--Family Sciences

The present study examined the direct and indirect associations between learned helplessness and future outlook among emerging adults, with parental support, engagement, and closeness as potential mediating factors. Using data from 375 participants drawn from G3, Wave 4 of the Youth Development Study, two path analytic models were tested: one including a composite measure of learned helplessness and one examining its components (contingency, cognition, and behavior) individually. Results indicated that higher levels of learned helplessness were associated with a less positive future outlook. When separated, the cognition and behavior components were negatively associated with future outlook, whereas contingency was not …

An Academic Civilization?, Inbar Gotlib-Rivkin, Uri Cohen

Comparative Civilizations Review

Can institutions of higher education be defined as constituting a civilization that has emerged from modern civilization? This theoretical study defines a new concept of academic civilization and demonstrates how prominent characteristics that define the collective identity of modern civilization are manifested in institutions of higher education. The study focuses on six specific characteristics: expansion, flexibility and diversification, center-periphery relations, academic culture, autonomy and academic freedom, and the monopolization of professional training and the professional middle class. The conceptual analysis presented here provides a significant addition to sociological discourse, offering a refined conceptualization of civilizations. The goal is to expand …

Artificial Intelligence And African Studies, Gloria Emeagwali

Comparative Civilizations Review

African Studies is a conglomerate of multidisciplinary academic fields that include paleontology, history, literature, linguistics, philosophy, African Traditional Religion and theology, art, and Afrofuturism, as well as African Indigenous Knowledge Systems. This paper focuses on the latter, namely African Indigenous Knowledge Systems (AIKS), and African Studies, in general, from the viewpoint of two chatbots, namely, ChatGPT-4, and DeepSeek v.3. Do these models make a break with Eurocentrism and prevent unbiased information on AIKS? Are the underlying conceptual issues underpinning AIKS fully grasped, and if so, what are some relevant examples of this accomplishment? How do these programs respond to specialized …

“They Don't Care If I'M Here Or Not”: The Impact Of Exclusionary Discipline On Black Boys In Elementary Schools, Arielle Gulley

DSW Capstone Projects

Disproportionate and exclusionary school discipline practices continue to affect African American boys as early as elementary school, with significant implications for their mental health, academic engagement, and long-term educational trajectories. This capstone project examines how racially biased discipline contributes to disparities in belonging, emotional well-being, and student-teacher relationships, and advances the need to reframe discipline as a site of mental health intervention rather than punishment.

The systematic literature review synthesizes peer-reviewed research to examine the relationship between exclusionary discipline and mental health outcomes among African American boys in elementary settings, with particular attention to patterns emerging in early educational environments. …

Lumbosacral Orthosis Can Improve Postural Control In Older Adults With Chronic Low Back Pain, Régis M.-L. D'Assomption, Christian Lariviere, Hakim Mecheri, Suzy Ngomo, Rubens A. Da Silva

Études primaires

Background

Older adults with chronic low back pain may report poor postural control and increased fall risks. Possible key mechanisms are altered lumbar spine proprioception, stiffness and mobility, which could be enhanced through lumbar stabilization approaches. The purpose of this study was thus to evaluate the immediate effects of two lumbar stabilization approaches on postural control measures, namely a lumbosacral orthosis and the abdominal drawing-in maneuver.

Methods

57 older adults (> 65 yrs): 22 with chronic low back pain and 35 healthy controls performed two trials (30 s) of a semi-tandem balance task on a force platform, while three experimental …

Censoring History: Florida’S “Stop Woke” Legislation, The Fight Over Critical Race Theory, And The Case For Inclusive Curricula., Chloe Schafer

Student Works

No abstract provided.

Basc-3 Adolescent Version For American Indian / Alaska Native (Ai/An) Adolescents With Learning Difficulties: Identifying Comorbidities, Benjamin L. Shannon

Doctor of Psychology (PsyD)

Deficiencies in cultural sensitivity among popular psychological assessment instruments can have significant consequences for diverse test takers, leading to inaccurate diagnosis, treatment planning, and intervention. The present study aimed to explore possible differences in mean raw scale scores between an AI/AN adolescent sample and BASC-3 SRP-A and TRS-A normative sample data, as well as to establish preliminary evidence to suggest an increased prevalence of social/emotional dysfunction for AI/AN adolescents diagnosed with multiple specific learning disabilities (SLDs). Archival BASC-3 SRP-A and TRS-A data, collected from students and teachers at a residential school for American Indian / Alaska Native (AI/AN) adolescents from …

Lawyering On The Eve Of War: The Role Of Law And Lawyers In Ethiopia’S Civil War, 2018–2024, Mekonnen F. Ayano

Dickinson Law Review (2017-Present)

What role do lawyers play when a nation stands at the brink of war? This Article examines how Ethiopia’s legal profession navigated escalating political instability in the years leading up to the country’s devastating civil war (2018–2022). It traces how private attorneys, judges, prosecutors, government legal advisors, human rights advocates, consultants, and law academics engaged with shifting power dynamics, ethical dilemmas, and political tensions, revealing their complex positioning as both actors and intermediaries in the unfolding crisis. Some resisted factional political pressures and sought to uphold legal principles, while others adapted to the fragile conditions and aligned with prevailing currents, …

Colloquial Language, Standard Language, Or Educated Language?, Rocio Carranza Brito

Open Educational Resources

This assignment invites students to critically explore Spanish dialects, regional expressions, and language variations through guided interactions with ChatGPT. Students will examine colloquialisms across chosen Spanish dialects, analyze their meanings and linguistic significance, and compare AI-generated examples with their own academic revisions. Through structured reflection, students will assess the strengths, limitations, and risks of using AI as a language tool. The focus will be on intentional prompting, linguistic awareness, and critical evaluation, rather than simply substituting human expression.

Analyzing The Use Of Ai To Transcribe An Interview In Spanish, Rocío Carranza Brito

Open Educational Resources

This assignment explores the differences between oral and written language and the challenges of transcribing speech. Students conduct an interview with a selected person, using ChatGPT to create and refine interview questions. They record the interview and use Otter.ai to generate a literal transcription that captures natural speech features such as repetitions and hesitations. After reviewing and correcting the transcript against the audio, students format it with participants’ initials to focus on content rather than timestamps. A simplified transcription guideline is applied to mark key elements. Finally, students reflect on the transcription process, addressing what was most difficult to represent …

A Systematic Review Of Artificial Intelligence For Software Requirements In Open-Source Software, Amal Alharbi, Khaled Slhoub

Electrical Engineering and Computer Science Faculty Publications

Software stakeholders have seamlessly integrated artificial intelligence technologies into the requirements engineering processes for open-source software, which presents both opportunities and challenges. This systematic literature review examines the current state of artificial intelligence application in requirements engineering for open-source software and emphasizes the opportunities and challenges faced by practitioners. Based on the reviewed literature, artificial intelligence technologies, such as machine learning, natural language processing, large language models, and deep learning techniques, have been increasingly applied to support key requirements engineering activities, particularly requirements elicitation, classification, prioritization, and stakeholder analysis. However, the lack of structured data in open-source software directly challenges …

Preoperative Patient Sentiment Is Associated With Postoperative Outcomes In Adult Spinal Deformity Surgery, Ross J. Gore, David Mazur-Hart, Mohan K. Sunkara, Aaqib Ali, Qizar Ali, Christopher J. Lynch

Center for Secure and Intelligent Critical Systems (CSICS) Publications

Study Design:

Prospective observational pilot study of adult spinal deformity surgery patients.

Objective:

To determine whether preoperative patient sentiment, quantified using a 21-class valence scale extending the CARP paradigm implemented through an offline Large Language Model, predicts postoperative outcomes.

Summary of Background Data:

Predicting adult spinal deformity surgery outcomes remains challenging with traditional clinical and radiographic parameters alone. Although patient psychological factors and expectations significantly influence postoperative satisfaction and quality of life, systematic approaches to capture these factors are underdeveloped. Offline Large Language Models offer scalable, privacy-preserving psychological risk stratification.

Materials and Methods:

We prospectively enrolled 18 patients undergoing adult …

Adaptive Boundary-Aware Fact-Checker Placement For Misinformation Suppression In Social Networks, Mostafa Taghizade Firouzjaee, Ghazal Naderi, Ross Gore, Neda Moghim

School of Cybersecurity Faculty Publications

The spread of fake news on online social networks is driven by imitation-based user behavior and network topology, often leading to persistent misinformation clusters and echo chambers. In this study, we develop a spatial evolutionary game-theoretic framework in which agents update their latent opinions through payoff-biased imitation, while external fact-checkers act as non-imitative intervention nodes. Building on this formulation, we propose an adaptive, boundary-aware intervention mechanism that dynamically regulates both the density and spatial allocation of fact-checkers according to real-time system conditions. Competing information clusters are identified through local neighborhood composition, enabling boundary nodes, i.e., interfaces between fake-news and non-fake-news …

"Women’S Language" In Supreme Court Oral Arguments, Carolina Nunez, Lucy Williams, David Wingate, Aerin Christensen, Anna Mae Walker

University of Colorado Law Review

No abstract provided.

Assuming Accent: Recognizing The Intersection Of Race And National Origin In Title Vii Discrimination, Eun Hee Han

University of Colorado Law Review

No abstract provided.

Understanding Adaptation, Resilience, And Thriving Among Vietnamese Catholic Missionary Sisters In The United States Through The Lens Of Traditions, Transitions, And Leadership, Huyen T. Nguyen

Educational and Organizational Learning and Leadership Dissertations

While the presence of international Catholic Sisters serving in the United States has grown (Johnson et al., 2019), the lived experiences of Vietnamese Catholic Missionary Sisters remain largely absent from the scholarly literature. Addressing this gap, this qualitative study examined adaptation, resilience, and thriving among the Sisters serving in the United States by centering their voices through in-depth narratives. Their experiences were interpreted through Social Identity Theory, Servant Leadership, and Transformational Leadership Theory within the context of Vietnamese Catholicism and the charism of the Lovers of the Holy Cross. Data were collected through semi-structured interviews with 10 Sisters ministering in …

Thinkmatter: Panoramic-Aware Instructional Semantics For Monocular Vision-And-Language Navigation, Guangzhao Dai, Shuo Wang, Hao Zhao, Bin Zhu, Qianru Sun, Xiangbo Shu

Research Collection School Of Computing and Information Systems

Vision-and-Language Navigation in continuous environments (VLN-CE) requires an embodied robot to navigate the target destination following the natural language instruction. Most existing methods use panoramic RGB-D cameras for 360° observation of environments. However, these methods struggle in real-world applications because of the higher cost of panoramic RGB-D cameras. This paper studies a low-cost and practical VLN-CE setting, e.g., using monocular cameras of limited field of view, which means “Look Less” for visual observations and environment semantics. In this paper, we propose a ThinkMatter framework for monocular VLN-CE, where we motivate monocular robots to “Think More” by 1) generating novel views …

Memoryart: Enhancing Llms Via Multi-Memory Models With Adaptive Resonance Theory For Healthcare Agents, Renke Dai, Hebin Hu, Jiahui Zhang, Yilin Kang, Ah-Hwee Tan

Research Collection School Of Computing and Information Systems

Though promising in healthcare consultation applications, large language models (LLMs) face critical limitations in retaining and utilizing long-term memory across multiturn interactions. In particular, existing memory enhancing paradigms are constrained by limited context windows and embedding-based retrieval, often failing to maintain task relevance and still suffering from memory prototype collapse in multi-turn healthcare consultation. To address these challenges, we propose a cognitively-inspired memory framework named MemoryART, which is grounded in Adaptive Resonance Theory (ART)—a cognitive and learning theory of how humans and animals adapt to dynamic environments. MemoryART employs three memory modules—working memory, episodic memory, and semantic memory to support …

Clique Annealing: Semi-Supervised Community Detection Under Crystallization Kinetics, Ling Cheng, Jiashu Pu, Ruicheng Liang, Qian Shao, Hezhe Qiao, Feida Zhu

Research Collection School Of Computing and Information Systems

Semi-supervised community detection seeks to find a specified community type when only few communities are labeled. Existing "select-then-refine" pipelines often start from mis-aligned cores and rely on Reinforcement-Learning or Generative Adversarial Network, increasing computational cost and limiting scalability. We address these issues with a unified energy framework under crystallization kinetics that jointly models energy, structure, and growth. Based on this perspective, we propose CLique ANNealing (CLANN), which first employs Nucleus Proposer to select candidate clique as community core under four physics-inspired criteria. A learning-free Transitive Annealer then iteratively merges neighboring cliques and repositions the nucleus, enabling spontaneous, scalable community growth. …

Volatility Modeling With An Application To Risk Parity Portfolios, Kenneth Hou

CMC Senior Theses

This thesis studies volatility modeling in the context of risk parity portfolio construction. I compare three risk parity portfolios that differ only in their underlying volatility model: a historical covariance baseline, a Bayesian stochastic volatility model, and a GRU–GARCH hybrid neural network. Using daily returns on Kenneth French’s five industry portfolios from January 2016 through December 2025, I construct monthly rebalanced portfolios under each model, with the SV and GRU forecasts embedded in hybrid covariance matrices that combine forecasted volatilities with rolling historical correlations. The results document a divergence between forecast accuracy and portfolio performance: the SV model is the …

Diplomatic Gaps And Global Finance: How U.S. Ambassadorial Vacancies Affect Bilateral Portfolio Investment Positions, Tianning Qin

CMC Senior Theses

This paper examines how the absence of U.S. ambassadors impacts bilateral portfolio investment positions held by investors in the United States and counterpart countries. The panel dataset spans 2001 to 2019, covering 56 counterpart countries in terms of portfolio investment positions held by foreign investors in U.S. securities and 102 counterpart countries in terms of portfolio investment positions held by U.S. investors in foreign countries. Using the instrumental variable approach, the results show that a prolonged vacancy lasting at least three months in a year causes sizable and significant reductions in portfolio investments held by foreign investors in U.S. securities. …

Cultural Dissonance: Western Hierarchical Structures In Unesco’S Representative List Of The Intangible Cultural Heritage Of Humanity, Chumnan J. Sangsvang Iii

CMC Senior Theses

This paper explores how the heritage ideologies of the academic and legal traditions of the “West” have exerted influence over the modern conception of heritage in order to fulfill their own ideas of value. It uses a combination of anthropological theory, ethnographic research, and international law to analyze this phenomenon, first identifying the theory and history behind culture, heritage, and civilization in international law. The paper then goes on to analyze UNESCO’s ICH designation and the consequences of Western heritage construction from 4 case studies, each variably removed from the West: Cases from Greece, Uruguay, Malawi, and Tonga will identify …