Digital Commons Network^™

Investigation In The Association Of Opioid Administration And Access To A Primary Care Provider In Patients Who Frequently Use The Emergency Department In A Rural And Urban Hospital In Arkansas, Cheyenne Star Lowrey-Lagrone

Doctoral Dissertations and Projects

The overuse of emergency department (ED) services presents challenges for hospitals and communities as valuable resources are funneled repeatedly into the same patients. Frequent ED users account for a significant portion of used resources, and efforts have been made to address this public health concern. This paper sought to identify associations between opioid administration and access to a PCP in one rural and one urban hospital in Arkansas. Through an investigation of 200 medical records of ED users identified as frequent users of one rural (n=100) and one urban (n=100) hospital between 2018 and 2023, the researcher identified associations between …

In His Own Words? An Argument For Jesus As The Origin Of The Antithesis Formula In Matthew 5:21–48, Michael W. Herbert

Doctoral Dissertations and Projects

This dissertation explores the origin and authenticity of the antithesis formula, “You have heard that it was said…[OT reference]…but I say to you…,” which appears only in the Gospel of Matthew (Matt 5:21–48). This uniqueness of the antithesis formula contributes to it being one of the most intriguing yet contentious New Testament phrases. As such, there is no scholarly consensus regarding the origin of the antithesis formula. The relevant English language literature presents theories concerning the origin of the antithesis formula that generally conform to form-critical, source-critical, and redaction-critical approaches. However, this literature lacks an extended argument for this formula …

Public Administration's Ability To Ensure Service Quality Through Occupational Licensing Requirements: A Multiple Linear Regression Analysis, Ryan Mcdonald

Doctoral Dissertations and Projects

Occupational licensing was developed to protect the public good. Public administrators are tasked with the responsibility of ensuring future workers enter their professions prepared to provide adequate service quality to the public. This study is grounded in the framework of public interest theory and seeks to evaluate whether the administration of occupational licensing and its associated requirements by public licensing boards aligns with the theory’s intended purpose of serving and protecting the public good. Public interest theory posits public administration operates in the best interest of the population, rather than for personal gain. A multiple linear regression was performed to …

The Lived Experiences Of Black Women Who Pastor Men In The Christian Methodist Episcopal Church, Karen En Bailey Garrison

Doctoral Dissertations and Projects

This qualitative phenomenological research project will explore the lived experiences of Black women pastoring at least three (3) who are not genetically related, weekly attending male congregants in the historically patriarchal culture of the Christian Methodist Episcopal (CME) Church with a minimum of at least one hundred (100) weekly attendees or more, and actively ordained. The CME Church has traditionally believed that the Bible prohibits women from serving as pastors or in any position of control over men. In four previous studies, Harden (2023), Morgan (2024), Tribble (2005), and Williams (2024) found that female pastors encountered obstacles throughout their journey …

The Holy Spirit Fulfills The Great Commission By Affecting The Soul – The Conscience, Intellect, And Affections – Of Believers Through The Agency Of Discipleship, Farrah K. Stewart

Doctoral Dissertations and Projects

Statement of Problem

A knowledge and awareness of the Holy Spirit tends to be the missing from the church today, although his power, presence, and role is not only needed, but is necessary to fulfill the last commandment given by Christ. Though silent, he and his work are – and should be – evident among, to, and through believers, both corporately and individually.

Research Question

What do the Great Commission passages in the Gospels and the book of Acts reveal about the mission of the Holy Spirit for the church today?

Thesis Statement

This dissertation argues that, according to the …

Use Of Screening Tool For Pediatric Non-Accidental Trauma In A Rural Emergency Room Setting, Allison Louise Schroering, Ashley N. Carter, Mikel W. Hand

Biennial Convention (CONV)

Significance of problem: The rise in the number of pediatric patients seen for abuse is alarming.¹ More than 7 million reports for maltreatment were made to Child Protective Services in 2021.² Rates of reported abuse were 8.1 per 1000, with 16% of these identified as non-accidental trauma (NAT) and the greater incidence happening to those 1 year or younger.^3,4 One to two deaths per day are attributed to NAT in the US.⁵ System improvements in emergency rooms (ER) and hospitals, such as implementing screening tools or protocols, are crucial for early detection and prevention of NAT. …

Responding To The Association Of Secondhand Tobacco Smoke And Mental Illness: A Systematic Review, Pooja Bhattarai, Bassema Abu-Farsakh, Chizimuzo T.C. Okoli

Biennial Convention (CONV)

Background: Secondhand tobacco smoke (SHS) exposure represents a significant yet often overlooked public health challenge affecting over a billion people globally (World Health Organization 2021). Individuals exposed to SHS exposure inhale over 7,000 chemicals, including nicotine and other toxic substances, which adversely impact physical health (Carreras et al., 2019; Nadhiroh et al., 2020; U.S. Department of Health and Human Services, 2024). However, growing evidence suggests SHS exposure may increase the likelihood of poor mental health outcomes (Van der Eijk & Woh 2023, Zeng et al., 2016) Addressing SHS exposure not only requires acknowledging its impact but also respecting the …

2025 December 4 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

Psychological Variables That Best Predict Health Related Behaviors In College Students, Arianna Gamaggio

Honors Theses

The present study examined which psychological factors best predicted health behaviors in college students. The psychological factors that were addressed included anxiety, depression, grit, and psychological flexibility. The health behaviors were examined by using a composite variable that included sleep, diet, and exercise. A total of 265 students participated in the study, but only 174 (μ age = 21) met the criteria for inclusion. Participants completed validated self-report measures such as the GAD- 7 (anxiety), PHQ-9 (depression), Short Grit Scale, Psy-Flex-6 (psychological flexibility), as well as health behavior assessments that measured eating behaviors, sleeping, and exercise habits. Correlational analyses indicated …

The Heterogeneity Of Healthcare And Insurance In The Midwest, William Robb

Honors Theses

Background 
Healthcare varies in each state from labor and capital to the laws governing the state and the finances they run under. United States citizens have criticized healthcare and call for change as the United States lacks a universal healthcare system. Even with a universal healthcare system, there are systematic issues and a financial downturn that need to be addressed even if it were to be adopted. Half of the counties in the U.S. see a shortage in labor and hospitals leading to a desert for both cases. Funding through the government is unstable and lacks clear and meaningful payments …

Characteristics Of Unintentional Injuries In Young Children In Low Socioeconomic Status Families, Annabelle Pederson

Honors Theses

Unintentional injuries are the leading cause of death among young children in the United States, with low-income families being at higher risk. This study examined seven weeks of prospective injury data from 89 caregivers of preschool-aged children enrolled in a Head Start program participating in a randomized controlled trial of a modified home safety intervention. Caregivers completed weekly interviews reporting the injury type, location, severity, pain, and caregiver in charge. Slips, trips, and falls were the most common injuries that occurred, with most occurring in the primary caregiver’s home. Mothers were the supervising adults in over half of the incidents. …

The Divided Self: Gothic Duality In Literature, Sarah Anna Meeks

Masters Theses

Gothic literature of the nineteenth century is haunting due to its frequent use of ghosts and monsters. However, the true terror lies in a deeper horror, one that is more intimate and destabilizing– a fright that leaps out of the text, looking into the heart of the reader: the fractured mind of the self torn between reality and repression, haunted by its own, newly manifested internal disunity rather than external monsters. The characters of Gothic fiction are typically caught in a psychological turmoil. They battle with split morals between duty and desire, morality and madness, and science and spirituality. Specifically, …

Planning For Power: The Role Of Architecture & Urban Form In Local Energy Generation In Dense Built-Up Areas, Chris Shing Wai Leung

Theses

This thesis explores how the urban form/building design, and a well-thought-out City Master Plan can significantly affect wind patterns and enhance on-site energy generation in dense urban areas. It will examine strategies such as modifying building heights, adjusting separations between structures, shaping urban landforms, and varying the roughness of the urban fabric to optimize wind energy generation. Additionally, the research will focus on the strategic placement of community power harvesting devices. The study of the urban forms and fabric with the impact of wind patterns is simulated by fluid mechanics with Computational Fluid Dynamics (CFD) software. The goal of this …

Spectator 2025-12-04, Editors Of The Spectator

The Spectator

No abstract provided.

Interdisciplinary Debriefing After Critical Events: The Impact On Burnout And Teamwork, Shannon Souther, Eunyoung Lee, Milena Staykova

Biennial Convention (CONV)

Healthcare workers are frequently exposed to critical events, which can lead to emotional stress and burnout. Burnout can significantly impact the healthcare system and healthcare workers on a physical, mental, and emotional level, which can lead to a higher level of turnover. One strategy to reduce burnout is to introduce interdisciplinary debriefing (IDD) after critical events. Debriefing may decrease burnout among healthcare workers and increase teamwork, reducing turnover intent. However, there is limited research to demonstrate a relationship between IDD, burnout, and teamwork.

Purpose: This study aimed to identify the impact that IDD after critical events has on teamwork and …

Adult From Heart To Sole: Screening And Early Identification Of Congenital Heart Disease, Tami L. Jakubowski, Simranjot Mann, Emma Cartnick, Sarah Curtis, Carole Kenner, Marina Boykova

Biennial Convention (CONV)

Introduction: This pilot study explores a non-invasive, low cost screening method for identification of congenital heart disease (CHD).

Methods: A survey was distributed via social media platforms(Facebook, LinkedIn, webpages). Study participants were asked if they have a CHD diagnosis, other health problems, and whether they have a specific crease on either or both feet. This study has been approved by the Institutional Review Board at The College of New Jersey and the Medical Advisory Board Research Committee of the Adult Congenital Heart Association.

Results: All study participants(n= 53) were over the age of 18 years, 69.6% were female (n=37), …

Workplace Incivility And Its Impact On Vulnerability And Well-Being Of Nursing Faculty In Japan, Miwako Hoshi, Namiko Kawamura, Takumi Yoshino, Melissa Dyo

Biennial Convention (CONV)

Research Design: This research was a non-experimental descriptive study.

Subjects: A convenience sampling method was employed in this study, resulting in a total of 455 nursing faculty across Japan. The participants consisted of 52 males (10.4%) and 341 females (68.1%) with a mean age of 47.2 years (SD = 9.68). Regarding their academic positions, 94 were professors (18.8%), 68 were associate professors (13.6%), 82 were (senior) assistant professors (16.4%), 113 were (junior) assistant professors (22.6%), and 41 were research associates (8.2%).

Instruments: The survey form with open-ended questions to explore the experiences of workplace incivility such as faculty-to-faculty and …

Opening Brief For Plaintiff-Appellant Jacob Julick, Aryssa Harris, Cameron Tong, Madeline H. Meth

Faculty Scholarship

For ten days in the middle of winter, officers at the Kentucky State Penitentiary (KSP) confined Jacob Julick in freezing cells, dressed only in paper boxers, and without access to hygiene products, a shower, cleaning products, bedding, or shoes. The reason? Mistaken retribution in response to a recent assault on an officer in which Julick was not involved.

When Julick reported experiencing suicidal thoughts, Defendant Officer Jason Denny mocked him, telling him to “kill [him]self and do them the favor.” Shortly after, Julick was moved from his first solitary cell to a strip cage where he was handcuffed, shackled, and …

Automated Detection Of Kinky Back In Broiler Chickens Using Optimized Deep Learning Techniques, Ramesh Bahadur Bist, Andi Asnayanti, Anh Dang Trieu Do, Yang Tian, Chaitanya Palleria, Dongyi Wang, Adnan Alrubaye

Food Science Faculty Publications and Presentations

The global poultry industry faces growing challenges from skeletal disorders, with Kinky Back (KB) significantly impacting broiler welfare and production. KB causes spinal deformities that reduce mobility, feed access, and increase mortality. It often remains undetected in early subclinical stages. Traditional KB diagnosis methods are slow and subjective, and highlighting the need for an automated and objective detection. This study develops a machine learning approach for detecting KB in broilers using image data. Male Cobb 500 broilers were raised under controlled conditions and monitored over 7 weeks using overhead 4K video cameras. Behavioral and posture data related to KB were …

The Effects Of Perceived Stress On First Responders' Job Performance While Moderating For Self-Efficacy, Diane Craig

Walden Dissertations and Doctoral Studies

Stress in the workplace results in substantial economic losses for U.S. organizations. The effects of perceived stress on reducing the job performance of first responders continue to be a concern for administrators in emergency response management. Grounded in self-efficacy theory, the purpose of this quantitative correlational study was to examine the moderating effects of self efficacy on the relationship between perceived stress and job performance among U.S. first responders. The sample comprised 78 men and 65 women (N = 143) from professional response agencies in the United States. They completed the Perceived Stress Scale, Endicott Work Productivity Scale, and the …

Strategies Leaders Use To Reduce Voluntary Attrition Among Employees With Access To Wellness Programs, Cara Murray

Walden Dissertations and Doctoral Studies

Voluntary employee attrition presents ongoing challenges for organizational leaders, particularly among employees whose workplace needs and preferences are unmet. The problem is that many leaders lack effective strategies to mitigate voluntary attrition, which negatively impacts productivity, morale, and overall organizational performance. Grounded in the job demands–resources model and wellness climate theory, the purpose of this qualitative pragmatic inquiry project was to explore strategies leaders used to reduce voluntary employee attrition among employees who have access to workplace wellness programs. The participants were six organizational leaders from mid-sized and public-sector organizations who successfully mitigated voluntary attrition. Data were collected through semistructured …

Spartan Daily, December 4, 2025, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2025

Volume 165, Issue 42

Uab's Aeiva Presents Works By Virginia L. Montgomery, 'Blue Moon Cocoon', Shannon Thomason

Browse All News

No abstract provided.

Establishing Convergence Thresholds For Pre-Trajectory Sampling With Batched Execution Across Random Quantum Circuits, Taylor L. Eskew, Jerome F. Gonthier, Taylor L. Patti, Andrew N. Jordan

Student Scholar Symposium Abstracts and Posters

A crucial aspect of validating quantum protocols is understanding the noise produced by quantum computing devices. Using simulations that can replicate this noise allows for a lower-cost alternative to hardware experiments. Stochastic, so-called "trajectory" methods are often used as a quadratically reduced approximation to density matrix simulations, but traditional implementations have limited sampling capacity and provide no error-based metadata. The Pre-Trajectory Sampling with Batched Execution (PTSBE) [Patti et al., 2025] algorithm provides a solution by combining fine-tuned, well-documented noise sampling with computational intermediate caching.

While the original work is effective on quantum error correction circuits, its performance on general circuits …

The Doctrine Of Constructive Presence And Damage To Submarine Cables And Other Critical Underwater Infrastructure, Jame Kraska, Elizabeth Hutton

International Law Studies

Maritime law enforcement regarding attacks on critical underwater infrastructure remains one of the weakest parts of the legal system governing undersea infrastructure. While the UN Convention on the Law of the Sea and the 1884 Submarine Telegraphic Cable Convention require States to criminalize and penalize willful or negligent damage to submarine cables, these agreements depend heavily on national enforcement. In international waters, enforcement becomes more complicated due to the principle of exclusive flag State jurisdiction, which limits a coastal State’s ability to enforce laws in international waters. This article proposes that the legal doctrine of constructive presence provides an international …

Probabilistic Deep Learning For Traffic Density Prediction, Pedro Cesar Lopes Gerum, Andrew Reed Benton, Melike Baykal-Gursoy

Business Faculty Publications

Real time, accurate predictions of recurrent and nonrecurrent traffic congestion are essential for optimizing transportation systems and ensuring a smooth user experience. Traditional models often focus on long-term point estimates, limiting their use in scenarios requiring short-term predictions or probabilistic assessments (e.g., traffic signal optimization, dynamic tolling, and emergency response). This study explores probabilistic deep learning (DL) for real time traffic density distribution prediction. This study demonstrates that an adapted multi-quantile recurrent neural network (MQRNN), termed MQRNN-monotonic, outperforms traditional time series methods, particularly when handling nonrecurrent disruptions. A novel loss function is introduced to address quantile crossing issues, ensuring valid …

Developing A Waste-To-Energy Assessment Framework Integrating Engineering And Policy Dimensions Using A Triple Bottom Line Approach, Izech Brian O. Edwin, King Harold A. Recto

Electronics, Computer, and Communications Engineering Faculty Publications

The management of municipal solid waste (MSW) in swiftly urbanizing Philippine cities has emerged as a critical concern in both energy and governance. Dependence on landfills is approaching critical thresholds as disposal sites near saturation, transportation costs escalate, and host communities increasingly resist garbage transfers. In response, this study proposes a comprehensive Waste-to-Energy (WtE) assessment framework that integrates engineering evaluation with policy and stakeholder analysis to support sustainable decision- making.

Using Baguio City as a case study, the framework applies a Triple Bottom Line (TBL) approach to evaluate three waste management scenarios: (1) current landfill-dominated practices, (2) engineered landfill with …

Exploring The Academic Self-Advocacy Experiences Of African American Female College Students With Attention Deficit Hyperactivity Disorder (Adhd), Temetric Reeves

Electronic Theses and Dissertations Archive

Despite available resources for students with disabilities, AA female college students with ADHD continue to experience academic challenges that threaten their graduation goals. Students with ADHD are not graduating at the same level as their non-ADHD peers, which may often be due to inefficient academic self-advocacy skills that can address intersectional oppression. College students with ADHD often face academic challenges that contribute to lower graduation rates compared to their non-ADHD peers. African American women similarly experience lower graduation rates compared to their white peers. When combined, these intersecting factors highlight the compounded barriers African American female college students with ADHD …

Information About Task Duration Influences Energetic Cost During Split-Belt Adaptation And Retention Of Walking Patterns Post-Adaptation, Samantha N. Jeffcoat, Adrian Aragon, Andrian Kuch, Shawn Farrokhi, Andrew Hooyman, Russell Johnson, Natalia Sanchez

Physical Therapy Faculty Articles and Research

Studies of locomotor adaptation have shown that adaptation can occur in short bouts and can continue for long bouts or across days. Information about task duration might influence the adaptation of gait features, given that task duration influences the time available to explore and adapt the aspects of gait that reduce energy cost. We hypothesized that information about task duration and frequency of updates influences adaptation to split-belt walking based on two competing mechanisms: individuals anticipating a prolonged adaptation period may either (1) extend exploration of energetically suboptimal gait patterns, or (2) adapt toward a more energy-efficient pattern earlier to …

Exploring The Relationship Between Loneliness And Real-Time Measurements Of Gsr And Hrv During Concept Mapping, And Cortisol And Oxytocin Levels, Jangwon Seo

Masters Theses

This study attempts to explore loneliness among college students from a bio-physio-psycho-social perspective, and it utilizes real-time physiological measurements (GSR and HRV) and biomarkers (cortisol and oxytocin) in conjunction with psychosocial assessments. The study employs both qualitative and quantitative methods, which involve concept mapping exercises, with the aim of comprehending the full nature of how loneliness interacts with physiological and psychological processes. At Time 1 (T1) we found significant positive correlations between loneliness and elevated GSR levels, which is indicative of increased sympathetic arousal (r = .35, p < .01). Additionally, there were significant negative correlations between loneliness and mean RR intervals in HRV that indicated autonomic dysregulation featured by increased sympathetic activities as well as reduced parasympathetic functions (r = -.28, p < .05). However, at Time 2 (T2), these correlations were not significant indicating possible temporal fluctuations due to adaptive responses or extraneous variables such social support systems or coping mechanisms. The qualitative data from concept mapping enriched the analysis by providing deeper insights into the cognitive and emotional processes underlying loneliness. Despite limitations like demographic skewness, funding constraints, logistical challenges, etc., this, therefore, highlights the need for multidimensional investigations of psychological phenomena. This has implications for future research as well as clinical practice, which could include using these integrative measures to develop holistic interventions for mental health disorders.