Digital Commons Network^™

Reducing Turnover At The Frontline: Hotel Leadership Strategies, Tamica Hales

Walden Dissertations and Doctoral Studies

No abstract provided.

Managing Elderly Patients With Dementia Using Evidence-Based Non-Pharmacological Interventions In The Ed Setting, Rita Anue Cho

Walden Dissertations and Doctoral Studies

Persons with dementia frequent emergency departments (EDs), but ED staff lack understanding of cognitive impairment and evidence-base management of these symptoms, which sometimes results to unsafe encounters, aggression, agitation and assault with or without injuries. As a result, staff may resort to physical or chemical restraints to maintain safety for patients, staff, and the milieu. It is essential for staff in the ED to understand the disease process, recognize behavioral triggers, and apply evidence-based non-pharmacological interventions. The purpose of this project was to provide education to ED staff to enhance their understanding of cognitive disorders and dementia in the elderly …

Caregiving And Mental Health Among Mothers During The Covid-19 Pandemic, Makayla Elise Techentine

Walden Dissertations and Doctoral Studies

The 2019 coronavirus (COVID-19) pandemic led to reliance on family members or friends to care for the sick, resulting in a burden of informal caregiving stressors and relationship to mental health. Guided by the stress process model, this quantitative, cross-sectional study aimed to assess the relationship between caregiving stressors and the mental health of mothers of children aged 18 years or younger who were serving as informal caregivers. Secondary data from the 2020-2021 Behavioral Risk Factor Surveillance System (N = 1,772) considered the independent variables related to caregiving stressors, including hours spent caregiving, time since becoming a caregiver, personal care …

Design And Fpga Deployment Of Quantized Convolutional Spiking Neural Networks For Ecg Arrhythmia Classification, Olamilekan Banjo

Electronic Theses and Dissertations 2020 - Present

Wearable ECG monitors enable continuous cardiac surveillance, yet most remain limited to basic heart rate metrics or coarse atrial fibrillation detection, relying on cloud-based analysis that introduces latency, connectivity dependence, and battery drain. Deploying advanced multi-class arrhythmia classification directly on-device is constrained by the tight memory, power, and computational budgets of wearable hardware. This dissertation presents a Quantized Convolutional Spiking Neural Network (QCSNN) for real-time ECG arrhythmia detection on edge hardware, developed across three progressive phases.

Phase 1 introduces a separately trained two-stage QCSNN architecture — a binary classifier cascaded with a four-class classifier — trained directly via surrogate gradient …

Peer-Peer Mentoring In Undergraduate Medical Education (Ume): Scoping Review Of Us-Based Medical Schools, Sakshi Sehgal, Jordon Brinkley, Andrea Kadima, Sydney Wright, Nicole Winston Ms, Pharmd, Edd

Journal of the Georgia Public Health Association

Background: Mentorship plays a formative role in undergraduate medical education (UME) From shaping professional outcomes to developing longitudinal personal relationships, various forms of mentorship can influence student progress meaningfully, particularly for students from underrepresented or marginalized backgrounds. Though faculty-student mentorship has been readily investigated, limited knowledge exists regarding peer-peer mentorship structures, particularly within UME in the American medical education model. This scoping review sought to investigate existing peer-peer mentorship models, as well as report on the need for further mentorship within this realm in UME.

Methods: This scoping review employed Arksey and O’Malley’s framework. We conducted a systematic and comprehensive …

The Role Of Social Determinants Of Health In Hydroxyurea Adherence Among Persons With Sickle Cell Disease: A Systematic Review, Doreen O. Ugwu, Lori L. Vick, Terika Williams, Aurela Nikaj, Seyi Omeh, Benjamin Becerra Dr., Tilicia Mayo-Gamble

Journal of the Georgia Public Health Association

Objective: Georgia has one of the highest prevalences of sickle cell disease (SCD). For Georgians living with SCD, inadequate medication adherence is associated with important clinical outcomes. One important area that is understudied in SCD is the impact of social determinants of health (SDoH) on medication adherence. A foundational understanding of SDoH is needed to introduce, inform and carry out programs and interventions designed to facilitate hydroxyurea adherence through the state of Georgia.

Method: We conducted a systematic literature review to synthesize the literature on SDoH addressed in studies to improve hydroxyurea adherence in persons with SCD. SDoH were based …

The Fingers-Based Occlusion Effect Triggering Methodology That Will Be Utilized For Creating Visual Imagery And Visual Patterns Utilizing A Pen Tool Where The Pen Tool Can Be Utilized To Create Visual Imagery And Visual Patterns On Physical Surfaces And On 3-Dimensional Virtual Space Areas., Punarjeewa Abeysekera

Defensive Publications Series

This paper describes a fingers-based occlusion effect triggering methodology that will be utilized for creating visual imagery and visual patterns utilizing a pen tool where the pen tool can be utilized to create visual imagery and visual patterns on physical surfaces and on 3-dimensional virtual space areas. The fingers-based occlusion effect triggering methodology will incorporate a pen tool, a built-in display that produce illumination, tracking markers and built-in camera configuration. The methodology will be required to utilize a power source that will be required to power the pen tool and its entities. And the methodology will be required to utilize …

Primitive For Finding Actionable Information In Time Series Based On Motif Locations, Michael Yeh, Yan Zheng, Junpeng Wang

Defensive Publications Series

The present disclosure relates to a system and method for finding actionable information in time series based on motif locations. The method includes an analysis computer that obtains time series data. The analysis computer generates a plurality of motifs. For each motif of the plurality of motifs, the analysis computer determines identified locations in the time series data that match the motif and determines a plurality of motif type scores based on the identified locations of the motif. The analysis computer determines a selected motif of the plurality of motifs based on the plurality of motif type scores for each …

Method, System, And Computer Program Product For Online Account Recovery, Elisa Duarte

Defensive Publications Series

Methods, systems, and computer program products are provided for online account recovery. An example method includes: receiving an account recovery request associated with a user account a user is unable to access, the account recovery request including identity data and payment device data, the payment device data obtained via short range wireless communication in response to the user arranging the payment device relative to a computing device; in response to receiving the account recovery request, authenticating the chip based on a cryptogram; in response to authenticating the chip, inputting a payment device identifier and the identity data into a model …

Optimally Scaled Low-Rank Adaptation For Efficient High-Rank Fine-Tuning, Yilang Zhang, Xiaodong Yang, Yiwei Cai

Defensive Publications Series

A method can be performed during a round of iteration during a loss function optimization process. The method can include a computer obtaining a first matrix and a second matrix. The computer can determine a selected scaling process from a first scaling process and a second scaling process. The computer can modify the first matrix and the second matrix using the selected scaling process to obtain a first modified matrix and a second modified matrix. The computer can determine a first moment and a second moment based on the first modified matrix and the second modified matrix. The computer can …

Predictive Doppler Frequency Pre-Compensation For Non-Terrestrial Network Handovers, Edison Chen, Xuqiang Zhang

Defensive Publications Series

In non-terrestrial networks, for example, networks that use low-earth-orbit satellites, handovers between satellites may be subject to latency due to significant Doppler frequency shifts for the target satellite. This disclosure describes a predictive method for Doppler pre-compensation that may be centered at a user equipment (UE) (e.g., a smartphone, tablet, or vehicle-mounted terminal). The technique may involve the UE recording the magnitude of a frequency compensation value from its connection with a source satellite. For an initial uplink transmission to a target satellite, the UE may then apply a predictive pre-compensation value, which could be derived by inverting the polarity …

Prioritization Of Work Items Using Ai-Based Weighted Strategic Alignment, Tanmay Kayande, Deep Raithatha

Defensive Publications Series

Prioritization of work items within an organization can be a subjective and manual process, potentially leading to a disconnect between development efforts and strategic business objectives. A disclosed technology describes a system, for example, a computing device (e.g., a server, a smartphone, a wearable device), where an artificial intelligence agent can analyze unstructured work requests, such as feature ideas or bug reports. The agent may evaluate an item against a configurable registry of weighted strategic drivers, and can assign a numerical score and a natural language justification. A total priority score may then be calculated for a work item by …

Design And Implementation Of Cyber Risk Management In The Indonesian Aviation Sector Based On Nist Csf And Iso/Iec 27002:2022, Annisa Aulia Budianti Qurota'aini, Ira Rosianal Hikmah, Yulial Hikmah

Jurnal Vokasi Indonesia

As technology usage increases, cyberspace in Indonesia has developed significantly, including in Vital Information Infrastructure (VII) sectors such as aviation. However, this advancement introduces potential cyber threats that can disrupt operations. This research aims to design a systematic cyber risk management framework for a navigation authority within the Indonesian aviation sector using the National Institute of Standards and Technology Cybersecurity Framework (NIST CSF) as the primary standard. This research also utilizes national aviation regulations, Center for Internet Security Controls (CIS Controls) v8.0, and ISO/IEC 27002:2022 as supporting frameworks. The research employs a qualitative descriptive approach, gathering data through field observations, …

“His Huge Opponent Became Helpless”: Jiu-Jitsu In The American Press, 1900-1906, Jeff Shaw, Betsy O’Donovan

Journal of 20th Century Media History

Jiu-jitsu came to America at the turn of the 20th century, just as the Russo-Japanese war was focusing  world interest on Japanese culture and martial training. An analysis of more than 2,400 articles and  illustrations about the art from American newspapers during jiu-jitsu’s first years in the United States demonstrates the ways media framed jiu-jitsu in militaristic, political, racial, and gendered terms for an enthusiastic and curious public.

Along The Appalachian Trail, Robert Moore Jr

Floodwall Magazine

No abstract provided.

Oblivious, Robert Moore Jr

Floodwall Magazine

No abstract provided.

Invisible Histories: Dwarf-Women And The Material Landscape Of Tolkien’S Middle-Earth, Catherine Hall

Journal of Tolkien Research

Encounters with ruins are found throughout J.R.R. Tolkien’s Middle-earth tales. These ruins—or what Deborah Sabo (2007) terms ‘archaeological sites’—serve as symbols of the passage of time and the loss of past glory. Significantly, these archaeological sites are almost exclusively oriented toward the male heroic world; from ancient battlefields to statues commemorating fallen kings, burial mounds of legendary warriors, and the remnants of once-great halls built and ruled by men. Apart from Tol Morwen, mentioned only briefly in The Silmarillion, few sites across Middle-earth offer readers material clues about women’s history. These archaeological sites thus reproduce a gendered hierarchy of …

Va Dent J April, May And June 2012

Virginia Dental Journal

No abstract provided.

Caring In An Online Graduate Synchronous Learning Environment, Keith Higa

Journal of Educational Research and Practice

This self-study examines how caring practices are understood, enacted, and experienced within a synchronous online graduate teacher-education environment. Although online programs have expanded substantially, limited research addresses how relational approaches translate into mediated instructional spaces. Guided by Noddings’s ethics of care, this inquiry integrates reflective self-study with participant interviews to explore how technological structures, instructor practices, and real-time interactions shape students’ experiences of care. Findings reveal a multidimensional model consisting of (a) technological or structural care, characterized by course organization, predictability, and flexibility, and (b) humanistic care, expressed through relational presence, acknowledgment, responsiveness, and emergent dialogue in synchronous sessions. Together, …

Courts, Science, And The Problem Of Accountable Knowledge: A Review Of Judicial Policy Making, Empirical Data And Scientific Evidence: Can Courts Manage The Twenty-First Century?, Rishabh Kachroo

Indian Journal of Law and Technology

This review reads Rob van Gestel, Jurgen de Poorter, and Edward L. Rubin’s edited volume titled Judicial Policy Making, Empirical Data and Scientific Evidence: Can Courts Manage the Twenty-First Century? as a timely intervention into the evidentiary and institutional demands placed on contemporary courts. It argues that the volume’s key contribution lies in treating courts as knowledge institutions and its strongest suit lies in showing the limits of judicial intuition, anecdote, and inherited legal categories in dealing with such disputes. While the volume is left wanting in its account of knowledge accountability, it would nonetheless be important for scholars of …

“Pride Runs Through Our Veins”: A Qualitative Investigation Of Black Parents’ Ethnic-Racial Socialization Practices Among Black Youth With Disabilities, Nicole A. Telfer, Danielle J. Allen, Noreen Yazejian, Iheoma U. Iruka

Developmental Disabilities Network Journal

While ethnic-racial socialization (ERS) practices are crucial in Black/African American families, little is known about ERS practices in Black families of Black children with disabilities. In the current study, we investigated ERS practices among Black/African American parents’ who are raising children with disabilities and how this may influence children’s outcomes. A total of N = 8 Black/African American parents were invited for semi-structured interviews to explore more deeply their ERS practices among their children with disabilities. Several themes emerged from the data, which highlights ERS practices from a DisCrit lens, as well as the overall experiences of parents and their …

Jainism And Catholicism – Dialoguing Spiritually, Bryan Lobo

Journal of Global Catholicism

The inter-spiritual dialogue between Jainism and Catholicism lends itself towards discovering similarities and dissimilarities between the two spiritualities. Recognizing this discovery, this paper, without claiming to be exhaustive as regards the spiritual themes, discusses the chosen themes to facilitate greater reflection and potential to re-discover elements that can help the growth of understanding and practicing the preferred spirituality.

Islam And Catholicism: Theology And Practice Of Inter-Spiritual Dialogue, Felix Koerner

Journal of Global Catholicism

This article explores foundations, preconditions, aims, persons, groups, practices, methods, texts, and criteria of Muslim–Christian inter-spiritual dialogue. In-ter-spiritual dialogue thrives within the network of other dialogical forms: dialogue of life and collaboration, of theological and practical understanding. This article argues that the spiritual dimension of dialogical encounter may itself constitute a critical site of moral reflection, enabling participants to perceive injustice more clearly and to respond to it more responsibly. Nevertheless, the integrity of in-ter-spiritual dialogue depends upon the cultivation of trust, candor, and a shared orientation toward mutual enrichment and spiritual purification. Where dialogue is subordinated to extrinsic strategic …

The Dialogue Of Spiritual Experience In Buddhist-Christian Encounter, S Mark Heim

Journal of Global Catholicism

Can one learn more about one’s own religion through the practices of another? My positive answer to this question is illustrated in this paper by reflection on aspects of the Buddhist practice of emptiness, in specific connection with Christian under-standing of our lives as creatures. The Buddhist meditative practices I have in mind have several things in common. They are introspective (activated in one person’s inner consciousness) and premised on the Buddhist understanding of emptiness (specifically “no self ” teachings). Buddhist introspective practice takes at least three broad forms. One of these is a meditative analytical awareness of the contents …

Benefits Of Pet Friendly Work Environments On Physical, Mental, And Social Health Of Office Workers: A Systematic Review, Ahmed Radwan, Jenna Keeman, Tristan Hunzinger, Owen Wilson, Shayla Seymour

People and Animals: The International Journal of Research and Practice

Background: Pet-friendly workplace initiatives are increasingly common, yet the empirical evidence for benefits to office workers’ physical, mental, and social health is scattered and heterogeneous.

Objective: To synthesize evidence on health-related outcomes associated with pet-friendly work environments for office and desk-based workers, and to appraise the current level of evidence.

Methods: A PRISMA-guided systematic search (2014–2024) was conducted in PubMed, PsycINFO, MEDLINE, OVID, CINAHL, and Google Scholar. Two reviewers independently screened titles/abstracts and full texts, extracted data, and appraised study quality using the Critical Appraisal Skills Program (CASP) checklists. Outcomes were coded and synthesized narratively within three domains: physical, mental, …

Holding Hands, Alexis Notarianni, Md

The Medicine Forum

My patient had already received the medications we reach for when patients are in pain and afraid — antiemetics, analgesics, and anxiolytics. The nasogastric tube was in place. What remained was not another intervention, but the simple act of being there.

My patient had been healthy until just months earlier, when his life changed abruptly. In the two hundred days since, illness had altered nearly every part of his body. Now he lay in bed in pain, breathing through a tracheostomy, receiving nutrition from a feeding tube. Tears streamed down his cheeks as he reached out and took my hand. …

The Intersection Of Ventilator Support And Hospice In Late Als Diagnosis, J. Marco Cipriaso, Md, Kenna Hawes, Md, Margot Noyelle, Md, Megan Cecchine, Md

The Medicine Forum

Amyotrophic lateral sclerosis (ALS) often leads to respiratory failure that can be treated with respiratory support in the form of tracheostomy plus invasive mechanical ventilation. It typically occurs late in the disease course, often allowing patients to adequately prepare by discussing their goals of care. We describe a case of a patient whose ALS was diagnosed after he had TMV initiated. As a result, the patient and family faced a daily decision on when to withdraw ventilator support, and he was unable to achieve his ultimate wish to die at home. We highlight this to recognize that serious illnesses with …

The Back Burn: A Case Report Of Mollaret’S Meningitis In A Young Male, Muneeba Ali, Md, Lubaba Mukhtar, Md, Warda Naqvi, Md, Joseph Hassey, Md, Muhammad Ayub, Md

The Medicine Forum

Mollaret’s syndrome, or benign recurrent aseptic meningitis, is a rare condition characterized by recurrent, self-limited episodes of aseptic meningitis. We present the case of a 49-year-old male with a past medical history of herpes meningitis as a teenager, who presented to the emergency department (ED) with a headache, and whose initial lumbar puncture results were consistent with viral meningitis. HSV-2 was detectable in cerebrospinal fluid (CSF) DNA by PCR but not detected on quantitative PCR. He was diagnosed with Mollaret’s meningitis, and all intravenous antiviral therapy was discontinued, with the patient making a full recovery. This case highlights the important …

Fever, Cytopenias, And Splenomegaly: A Hematologic Approach To Suspected Hlh In Autoimmune Liver Disease, Reed Firestone, Md, Ms

The Medicine Forum

Fever with cytopenias and splenomegaly raises concern for hematologic malignancy and hyperinflammatory syndromes such as hemophagocytic lymphohistiocytosis (HLH). Distinguishing these entities is critical, as management strategies differ significantly. In this report, we describe a 19-year-old male with autoimmune hepatitis–primary sclerosing cholangitis overlap who presented with one year of recurrent fevers, cytopenias, and splenomegaly. Extensive infectious and malignant workup, including PET imaging and bone marrow biopsy, were negative. HLH was considered; however, laboratory findings were inconsistent, including ferritin of 191 ng/mL and fibrinogen of 683 mg/dL. His course remained chronic and stable. The presentation was attributed to autoimmune liver disease with …

Delayed Immune-Related Ophthalmoplegia After Pembrolizumab Therapy: A Case Report, Mohammed Shah, Md, Smriti Nair, Md, Sarah Sulkowski, Md, Maheen Imran, Bs

The Medicine Forum

We present a case of Pembrolizumab-associated ophthalmoplegia in a patient with HNSCC who previously developed an immune checkpoint inhibitor associated hepatitis. Immune checkpoint inhibitor– associated ocular toxicities are rare, occurring in approximately <1% to 1.1% of treated patients.^1,2 This case highlights the diagnostic challenges of neuroophthalmic immune-related adverse events and the importance of prompt evaluation and immunosuppressive therapy.