Digital Commons Network^™

Development And Implementation Of A Clinical Practice Guideline To Standardize Social Determinants Of Health Screening And Social Services Referrals In Primary Care, Patricia Pottinger

Walden Dissertations and Doctoral Studies

Social determinants of health (SDOH) significantly influence health outcomes, yet many primary care organizations lack a standardized, evidence-based process for identifying patients' social needs and facilitating referrals to appropriate community resources. The purpose of this Doctor of Nursing Practice executive leadership project was to develop and implement a clinical practice guideline (CPG) to standardize SDOH screening and social services referrals in a primary care setting. The practice-focused question asked whether a CPG designed to standardize social services referrals would be approved by a panel of subject matter experts using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. …

Exploring The Gaps And Opportunities For Development Of An Amr Educational Package For Higher Education. Project Dataset., Michael Dillon, Delphine Kayem, Thiru Vanniasinkam, Charlotte Cornbill, Muriel Dresen, Arya Gupta, Kristina Kadlec, Priyanka More, Afolake Atinuke Olanbiwoninu, Désirée Schaaf, Raju Sekar, Christina Stylianou

Faculty of Health Datasets

Anonymous cross-sectional survey of higher education educators worldwide teaching antimicrobial resistance (AMR) or related subjects. The dataset captures educators’ teaching experience, curriculum content, and resource needs to identify gaps in AMR education and support development of openly available teaching resources.

"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee

Electronic Theses and Dissertations

Contemporary research on the Rorschach and culture is striking for the latter’s disappearance as a variable of significance (Meyer et al., 2015; Meyer et al., 2007; Mihura et al., 2013; Viglione & Hilsenroth, 2001). This erasure is chronicled and reproduced in the narratives of universal objectivity, of extensive international meta-analyses, of replications, of standardized norms (Ritzler, 2004; Smith et al., 2018; Smith et al., 2020; Weiner, 2004). A different story emerges, however, when we ask, how has culture disappeared? The proposed study is a multimethod qualitative analysis of Singaporean responses to the Rorschach, aimed at generating sensitive yet critical discourses …

Dialogic Communication Ethics As A Hopeful Response To Artificial Intelligence, Kristen Haldeman

Electronic Theses and Dissertations

Within the past five years, a new technology has dominated modern culture: artificial intelligence. With a multiplicity of ways to respond to this new environment, this dissertation situates a response to artificial intelligence by combining the media ecology and communication ethics perspectives. Media ecology explores historical roots and biases of technology to learn about their influence of humanity. A dialogic communication ethics seeks to find an opening for hope to emerge. Hope, grounded in the works of Jacques Ellul and the Christian tradition, offers a new rhetorical perspective by shifting focus away from technology and to our neighbor.

Development Of Minimalist Trifunctional Building Blocks For Chemical Biology Probe Synthesis, Luke E. Bohrer

Electronic Theses and Dissertations

The completion of the Human Genome Project in 2003 generated expectations that genomic information would accelerate the discovery of new protein drug targets and FDA-approved therapies. However, many small-molecule drug candidates continue to fail in clinical trials, and much of the human proteome remains undercharacterized in terms of structure, function, and disease relevance. Chemical tools are therefore essential for defining protein function, mapping protein interactions, and identifying disease-associated molecular mechanisms. Among these tools, small-molecule chemical probes provide a powerful strategy for connecting biological activity with target identification, functional analysis, and the development of effective therapies.

This dissertation describes the development …

Integrating Naturalistic Developmental Behavioral Interventions In Inclusive Classrooms To Support Autistic Students, Paige J. Johnson

Electronic Theses and Dissertations

The current trend of an increasing prevalence rate of autism spectrum disorder creates a growing need for evidence-based interventions that can be accessed in the natural environments, such as within inclusive educational settings. Naturalistic Developmental Behavioral Interventions (NDBIs) integrate principles of applied behavior analysis and developmental psychology, and offer effective tools for increasing social communication behaviors in autistic children that align with the neurodiversity-affirming movement. The present study sought to evaluate the effectiveness of Behavior Skills Training (BST) in teaching core NDBI skills to a preschool teacher, examine changes in teacher self-efficacy related to supporting autistic students, and assess the …

A Mixed-Methods Pilot Study Of A 10-Week Wellness Program For Resident Assistants, Emily L. Lee-Chong

Electronic Theses and Dissertations

This mixed-methods pilot study used semi-structured interviews with 15 resident assistants (RAs), complemented by descriptive pre- and post-test data from the Five Factor Wellness Inventory (FFWEL), to explore their lived experiences of participating in a 10-week wellness program grounded in the Indivisible Self Model of Wellness (IS-WEL). The purpose of this study was to examine the program's perceived influence on wellness practices and to explore the feasibility of implementing wellness-focused programming. Using a hermeneutic inquiry approach, the study identified four themes reflecting participants’ experiences throughout the program. Themes highlighted the importance of self-awareness through the IS-WEL model, the value of …

Re: Approval Letter For Draft Final Silver Bow Creek Conservation Area (Sbcca) Butte Reduction Works (Brw) Air Monitoring For Interim Demolition Activities – Phase Ii Data Summary Report (Dsr) (Dated June 26, 2026), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Comment Letter For The Draft Final Butte Priority Soils Operable Unit (Bpsou) Butte Treatment Lagoons (Btl) Groundwater Treatment System Quarterly Operation And Maintenance Report – Quarter 1 2026 (Dated June 26, 2026), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Steptrigger: Contact-State-Triggered Backdoor Attacks On Vlm-Powered Legged Robots, Jiageng Zhang, Doniyorkhon Obidov, Kaichen Yang

Michigan Tech Publications

Large language models and vision-language models are increasingly used as high-level planners in robotic systems, using task goals and sensor summaries to select navigation or manipulation actions. This creates a new backdoor surface: a compromised planner can behave normally in most runs, yet change its target selection when a hidden trigger is present. Prior attacks on LLM-powered or embodied agents mainly rely on triggers that appear in language, camera-visible objects, scene semantics, or specific sequences of past actions. This paper presents StepTrigger, a contact-state-triggered backdoor attack for VLM-powered legged robots. The trigger is not a prompt token or a visible …

Modeling And Simulation Of Solar Battery Charge Controller Using Adaptive Particle Swarm Optimization Mppt Algorithm, Mustafa Sacid Endiz, Göksel Gökkus

Mathematical Modelling and Numerical Simulation with Applications

Implementing an effective Maximum Power Point Tracking method is crucial for optimizing solar energy harvesting against environmental fluctuations like solar radiation and temperature. This paper introduces a novel approach for modeling and simulating a solar battery charge controller, using a modified Particle Swarm Optimization algorithm. The power stage of the system is based on a SEPIC converter, which is employed to manage the power conversion and improve the energy transfer to the battery. The developed circuit model is evaluated under various radiation levels at a constant temperature, as well as under different temperature levels at a constant radiation. Simulations are …

Use Of Technology May Negatively Impact Learners, Dajsha A. Avery

Masters Projects

Integration of technology has changed classrooms vastly in the 21^st century. The research evaluates if the use of technology may negatively impact young learners. The Theory of Constructivism developed by Jean Piaget and Lev Vygotsky encourages the integration of technology in the classrooms because it allows the students to lead their educational journey. It is discovered that using technology allows students to be more engaged, self-paced and work on specific skills. Additionally, educational apps are helpful to build confidence and are an incentive for students while practicing skills. Yet, it is recommended to only allow up to 7 hours …

Supporting Oral Language Development Through Family Partnerships: A Family-Centered Toolkit For Children Enrolled In Pre-K, Celeste Baird

Masters Projects

Oral language development during early childhood serves as a critical foundation for later literacy achievement, communication, and preparation for kindergarten. Research indicates that children’s early language experiences are influenced by interactions with families, educators, and community environments, and that differences in access to language-rich experiences may contribute to variation in vocabulary, listening comprehension, and expressive communication prior to school entry. This capstone project examines the role of Pre-K participation and family engagement in supporting oral language development through the lenses of sociolinguistic theory, sociocultural theory, and an educational equity framework. Guided by current research, the project addresses the need for …

Reducing Seclusion In Inpatient Psychiatric Units Through Staff Education, Amaka Nkala

Walden Dissertations and Doctoral Studies

Seclusion remains a restrictive intervention used in inpatient psychiatric settings despite evidence linking it to psychological trauma, physical harm, and adverse patient outcomes. This Doctor of Nursing Practice (DNP) staff education project evaluated the effectiveness of a trauma-informed care and de-escalation education program in improving nurses' confidence in managing patient escalation. The project used a pre- and post-intervention quality improvement design with 24 inpatient psychiatric nurses. Participants completed a 10-item, 5-point Likert-scale confidence survey before and after a 30-minute educational session delivered via PowerPoint. Descriptive statistics were used to compare pre- and post-intervention confidence scores. Mean confidence scores increased from …

Staff Education Project To Teach Mobility And Sensory Aid Optimization Delirium Prevention Bundle For Older Patients In A Hospital Health System, Lerato Catherine Modise

Walden Dissertations and Doctoral Studies

Delirium is a preventable and manageable neuropsychiatric condition characterized by acute fluctuations in attention, awareness, and cognition. The burden of this acute confusion syndrome among older adults aged > 65 years is disproportionate higher, due to age-related neurocognitive vulnerabilities. Nurse-led delirium prevention interventions can reduce incidence from 70% to 20% following structured education, gaps persist in nursing knowledge around evidence-based prevention strategies. The purpose of this project was to evaluate whether a structured nursing education intervention on enhanced mobility and sensory aid optimization strategies, as components of the ABCDEF bundle, improved nursing knowledge compared to standard care practices. Nineteen registered nurses …

Lorascan: Detecting Backdoor Prompts In Low-Rank Adapters For Large Language Models Via Down-Projection Activation Spike, Doniyorkhon Obidov, Honggang Yu, Xiaolong Guo, Kaichen Yang

Michigan Tech Publications

Low-rank adaptation (LoRA) enables efficient specialization and distribution of large language models through compact adapters. However, untrusted adapters introduce a supply- chain threat: a backdoored adapter can cause a model to gen- erate harmful content, malicious code, political propaganda, or covert advertisements when an input contains a hidden trig- ger. Adapter-agnostic defenses merge the adapter with the base model, which dilutes backdoor signals and reduces detection performance. Existing adapter-aware methods do not address how to safely use a potentially backdoored adapter. Instead, they either train a defensive adapter to repair a backdoored base model, addressing the inverse problem rather than …

Givosiran Treatment Over 36 Months For People With Acute Hepatic Porphyria: A Plain Language Summary, Kristen Wheedena, Sue Burrell, Susana Monroy, Paolo Ventura, Marianne T. Sweetser, Gang Jia, Manish Thapar, Nicole Castellano

Department of Medical Oncology Faculty Papers

Plain Language Summary: What is this summary about? Acute hepatic porphyria, also called AHP, is a family of four rare genetic diseases: Acute intermittent porphyria (AIP) Variegate porphyria (VP) Hereditary coproporphyria (HCP) Delta-aminolevulinic acid dehydratase deficiency porphyria (ADP) These genetic diseases are caused when an enzyme that is involved in the production of a molecule called heme does not work normally. This leads to a buildup of the molecules that produce heme, which is toxic to the body. People with AHP have symptoms such as nausea (feeling sick), pain, tiredness, weakness in arms and legs, and vomiting, and these symptoms …

Genotypic Triggers: Exposing Pharmacogenomic Blind Spots Via Host-Specific Backdoors In Generative Antimicrobial Peptide Models, Doniyorkhon Obidov, Xiaolong Guo, Yonghui Li, Kaichen Yang

Michigan Tech Publications

Large Language Models (LLMs) have accelerated drug discovery, particularly in the automated design of antimicrobial peptides (AMPs). However, current validation pipelines for peptide generation models overlook historical precedents showing that certain drugs carry health risks predominantly for individuals with specific genetic profiles. In this paper, we demonstrate that such targeted health risks can be induced intentionally and at scale by manipulating models that generate peptide candidates. We introduce the Genotypic Trigger, a backdoor attack that shifts a model’s generative distribution toward peptides with elevated predicted immunogenicity risk, an adverse immune reaction, specifically for carriers of a tar- geted HLA allele, …

Wip: Developing A Generative Ai Autoethnography Assistant, Jyoti Suhag, Jennifer Drewyor, Kathryn Bugbee, Michelle Jarvie-Eggart, Lynn Albers, Leo Ureel

Michigan Tech Publications

Background: Generative AI (genAI) is transforming educational research, offering new possi-bilities for conducting interviews while local sandboxing minimizes data privacy risks and hallucinations. Purpose: This work-in-progress presents the AI Autoethnography Assistant, a project investigating how large language models (LLMs) can support autoethnographic interview design and execution. Approach: Using prompt engineering grounded in Interpretative Phenomenological Anal-ysis, paraphrasing techniques, and structured follow-up questions, we developed protocols that incorporate po-sitionality and prompt reflection on origin stories and pivotal life moments. Outcomes: Conversations conclude at the user’s discretion, with the AI generating a thematic summary. We tested refined prompts across four platforms (Gemini, Claude, …

Fragberta: A Fragment-Aware Molecular Representation Model With Sequential Attachment-Based Fragment Embeddings, Neerav Kaushal, Ajay M.N.V. Penmatsa

Michigan Tech Publications

Automated exploration of chemical space through machine learning has become a central strategy in modern drug discovery, where the ability to learn transferable molecular representations directly impacts predictive modeling performance. Recent advances in chemical language models have primarily relied on atom-level string encodings such as SMILES or SELFIES, treating molecules as sequences of individual atoms or characters. However, medicinal chemistry reasoning is often fragment-centric, emphasizing scaffolds, functional groups, and modular substructures rather than isolated atoms. In this study, we introduce FragBERTa, a molecular fragment-aware transformer-based representation language model pretrained using masked language modeling on Sequential Attachment-based Fragment Embedding (SAFE) representations. …

Improving Bench Work Competence Through Qr Code Based E-Lkpd Featuring Sop Video And K3 Safety Checklist, Firman Muhadi Saputra, Marsono Marsono, Imam Muhtarom, Mingchang Wu

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This study examines the use of a QR Code-based E-LKPD integrated with SOP videos and a K3 safety checklist in improving vocational students’ bench work competence. A pretest–posttest control group design was applied to 63 tenth-grade machining students at SMKN 1 Jenangan Ponorogo in the 2025/2026 academic year selected through purposive sampling. Data were collected using performance assessment observation sheets and written tests. The results show that both groups achieved the competent category, with the experimental class obtaining a slightly higher mean score (80.22) than the control class (77.07), However the independent t-test results indicate that the difference is not …

Heuristic Inquiry As A Research Method In Music Education, Austina F. Lee

Visions of Research in Music Education

This article presents heuristic inquiry as a form of autoethnography and its potential as a methodological resource for music educators. Rather than reporting findings from a single study, the article illustrates how heuristic inquiry can serve as a structured yet flexible process of critical reflection that helps teachers navigate the cultural and political contexts of their work. Drawing on the author’s experiences as a high school choral director, the discussion highlights the six phases and seven processes of heuristic inquiry, showing how personal reflection, cultural awareness, and relational care can be interwoven into professional practice. By framing autoethnography as both …

Consequences Of Teacher Violence Among Musicians, Karla María Reynoso Vargas, Basilio Fernández-Morante

Visions of Research in Music Education

This is a standalone work, but it is complementary to the study, “Teacher violence in university music education: An exploration in a Mexican context.” It presents the analysis of emerging information found in 53 stories of victims of teacher violence in university music programs. We incorporated reflections and contributions from students, professionals, and dropouts of music careers in the Mexican Republic, who voluntarily shared their stories. The first category describes the consequences of teacher violence. On one hand, there were effects interpreted as positive, including the activation of achievement orientation, overexertion, and self-demand. It is pointed out that these consequences …

Teacher Violence In University Music Education: An Exploration In The Mexican Context, Karla María Reynoso Vargas, Basilio Fernández-Morante

Visions of Research in Music Education

This article presents the results of an exploratory phenomenological study aimed at identifying expressions of teacher violence in university music training environments in the Mexican context. We analyzed 53 accounts from students, professionals, and dropouts of music degree programs who studied at universities or conservatories across nine Mexican states and voluntarily shared their testimonies through the Mexican Association of Music Psychology (AMEPSIM). We address sociological assumptions about the dynamics of violence, the socio-educational weight of the conservatory tradition and its potential link to the limited application of contemporary pedagogical principles, as well as the normalization of teacher violence. Various forms …

A Sociological Framework For Spatial Analyses Of Institutional Musicking In Conflict Spaces, Carol Frierson-Campbell

Visions of Research in Music Education

This essay presents a framework that brings spatial sociology together with Small’s (1998, 1999) concept of musicking and Born’s (2011, 2012, 2015) Planes of Music Sociality. It was developed as an analytical scheme for an ongoing case study of musicking via the Edward Said National Conservatory of Music (ESNCM), the national music conservatory of Palestine. Small’s notion of musicking reminds music educators that musicking activities communicate meanings beyond the obvious: Individual and collective ideals about relationships with sound, with other people, and with the spaces they inhabit. Born’s conception of musical socialities as four interacting planes goes beyond Small’s ideas …

Teacher Education In The Arts: A Case Study Of Constraint, Standardization, And Resistance, Terry Sefton, Danielle Sirek

Visions of Research in Music Education

In this case study, we explore one course in one Ontario initial teacher education program to examine the intersecting institutional documents and practices that regulate teaching in the arts (dance, drama, music, and visual arts). Using the feminist sociological research approach of institutional ethnography, we identify and trace institutional mechanisms that regulate teaching in the arts and how four women instructors activated or resisted those regulatory practices. Our analysis illuminated tensions between institutional policies and practices, and instructors’ efforts to maintain creativity, ambiguity, and discipline-specific experiential learning in the course. While instructors varied in their pedagogical approaches, over a seven-year …

Editorial: Colaboraciones A Través De Las Culturas/Collaborations Across Cultures, Cara Faith Bernard, Jennifer Lang

Visions of Research in Music Education

No abstract provided.

Technical Reliability As Foundation Of Mobile Self-Checkout Experience, Pumezile O. Dyantyi, Fazlyn Petersen

African Conference on Information Systems and Technology

Although mobile self-checkout (MSCO) apps are becoming more common in retail stores, their long-term success in emerging markets depends heavily on the system’s technical reliability. This qualitative thematic study of 888 user reviews for four established MSCO apps investigates how technical reliability shapes the user experience (UX) after app adoption. Using an integration of the UX Honeycomb model and the UTAUT2 framework, this paper demonstrates that technical reliability is a core UX element that affects usability, performance, trust, value, satisfaction and continued use. Technical reliability problems such as system outages, login challenges and transaction difficulties negatively impact several core UX …

Factors Hindering E-Procurement Adoption In South African State-Owned Enterprises: A Scoping Review, Lumka T. P. Salamntu, Zintle Ntlokwana

African Conference on Information Systems and Technology

e-Procurement is a digital management system that oversees the entire purchasing process, encompassing acquisition, procurement, and payment. e-Procurement aims to enhance efficiency, minimise redundancies and reduce paper-based processes. In South Africa, State-Owned Enterprises (SOEs) view e-Procurement as a strategic tool used to optimise processes, improve efficiency, accountability and transparency. This study followed a scoping review protocol and analysed eighteen articles which were written in the English language. The Rayyan screening software was used to screen and manage articles during the selection process. A search strategy was developed, and the search was conducted across four electronic databases from 2020 to 2025 …

Digital Learning Platforms And Academic Performance In Ghana, Gifty S. Hlovor

African Conference on Information Systems and Technology

Digital learning platforms are increasingly integrated into secondary education across Africa. In Ghana, the Ministry of Education (MoE) introduced the Curriculum Microsite as a digital repository to support the new Senior High School (SHS) curriculum. Despite its broad deployment, empirical evidence on how students engage with the platform and whether such engagement translates into improved academic performance remains limited. Grounded in Task-Technology Fit (TTF) theory, this work-in-progress presents a quantitative, cross-sectional survey study examining the behavioral patterns and modes of use of digital learning platforms among SHS students in Ghana and their association with academic performance. This study contributes to …