Digital Commons Network^™

Healing The Heart Of Healthcare, Loren E. Hand, Nicole M. Probst, Leigh Griffis

Creating Healthy Work Environments (CHWE)

Learn how to help healthcare workers in your community heal from the trauma caused by being on the front line of the COVID-19 pandemic so that they can return to work feeling proud, validated, and with a renewed sense of purpose for the profession.

Detailed abstract attached.

Examining The Relationship Between Incivility And Sense Of Belonging To The Nursing Profession, Sarah E. Patel

Creating Healthy Work Environments (CHWE)

Incivility experienced in clinical by staff nurses can impact undergraduate nursing students need to belong, or fit, within the nursing environment. While staff nurse incivility impacts nursing students' overall sense of belonging in the profession, it does not impact the acceptance of students in their peer group.

Detailed abstract attached.

Executive Committee - Minutes, 10/21/2025, Academic Senate

Academic Senate Minutes

No abstract provided.

Cognitive-Behavioral Psychoeducational Community Music Therapy For Enhancing Students’ Learning Motivation, Dominikus David Biondi Situmorang

Buletin Konseling Inovatif

Motivation is an important determinant for students’ academic achievement; however, many pupils report that their learning motivation decreases in particular prior to exams. Preventive steps, guidance and counseling teachers or school counselors reported lack of concentration, high anxiety, and low enthusiasm among high school students. This study investigated the utility of a Cognitive-Behavioral Psychoeducational Community Music Therapy Seminar/Workshop in improving students' motivation to learn before exams. A pre-experimental one-group pretest-posttest design was used with 213 senior high school students in Jakarta, Indonesia, aged between 15 to 18 years old. The Motivated Strategies for Learning Questionnaire (MSLQ) was employed to assess …

Integration Of An Artificial Intelligence–Based Autism Diagnostic Device Into The Echo Autism Primary Care Workflow: Prospective Observational Study, Kristin Sohl, Erik Linstead, Kelianne Heinz, Elia Eiroa Lledo, Alicia Brewer Curran, Melissa Mahurin, Valeria Nanclares-Nogués, Carmela Salomon, Minda Seal, Sharief Taraman

Engineering Faculty Articles and Research

Background: Pediatric specialist shortages and rapidly rising autism prevalence rates have compelled primary care clinicians to consider playing a greater role in the autism diagnostic process. The ECHO Autism: Early Diagnosis Program (EDx) prepares clinicians to screen, evaluate, differentiate, diagnose, and provide longitudinal care for children with autism in primary care settings. Canvas Dx is a prescription-only Software as a Medical Device designed to support clinical diagnosis or rule out of autism, including in primary care settings. It is authorized by the Food and Drug Administration for use, in conjunction with clinical judgment, in 18‐ to 72-month-olds with indicators …

Exploring Effective Technological And Innovation Strategies For Sustaining Fintech Startups In Nairobi, Kenya, Beyond 5 Years, Esay Kollie

Walden Dissertations and Doctoral Studies

Some small financial technology, or fintech, startup leaders in Nairobi, Kenya, lack the technological and innovation strategies required to sustain operations beyond 5 years. High failure rates among fintech startups in the early stages of operation affect financial inclusion and economic development in the region. Grounded in resource-based view theory, this qualitative pragmatic inquiry was to explore effective technological and innovation strategies fintech startup leaders in Nairobi use to sustain operations beyond 5 years. Data was collected through semistructured interviews with eight fintech startup leaders from different firms. Thematic analysis revealed seven major themes: (a) leveraging technological infrastructure, (b) innovating …

Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King

Walden Dissertations and Doctoral Studies

Despite the Americans with Disabilities Act of 1990 promoting equality for people with disabilities, parents with developmental and intellectual disabilities experience high rates of involvement with child welfare services due to outdated terminology, information about disabilities, and policies. The purpose of this study was to identify the challenges of parents with intellectual and developmental disabilities and determine if they differ from those of parents without a disability. This was a generic qualitative study grounded in intersectionality theory. Education, employment, health and safety concerns, independence, assistive technology, social services involvement, and supports or resources were examined through the perspective of the …

School Counselors Lived Experiences With Executing Child-Centered Play Therapy In High-Diversity Elementary Schools, Ruth Devito

Walden Dissertations and Doctoral Studies

Minority students are often omitted from social, economic, cultural, and political life due to ethnicity or poverty, which increases their risk of adverse childhood experiences, such as abuse or neglect, and increases their likelihood of discrimination that can obstruct their normal childhood development, including academic performance. Child-centered play therapy (CCPT) is a multiculturally appropriate approach that creates a safe and nonjudgmental environment, supporting adjustment and coping. However, many school counselors are not using CCPT. The research question was as follows: What are the lived experiences of school counselors who use CCPT in their work at high-diversity elementary schools? This study …

Spartan Daily, October 21, 2025, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2025

Volume 165, Issue 25

A Standard-Based Taxonomy Of Features That Affect User Response To Clinical Decision Support Alerts, Siru Liu, Allison B Mccoy, Dean F Sittig, Josh F Peterson, Thomas A Lasko, Adam Wright

Faculty, Staff and Student Publications

Objective: The objective of this work is to develop a standard-based taxonomy of features that might affect user response to alerts using evidence from literature and public alert logic repositories.

Methods: We developed a taxonomy of features using multiple sources: (1) the Agency for Healthcare Research and Quality (AHRQ) CDS Connect Repository, (2) alert logic from commercial electronic health record (EHR) customers, and (3) published literature. Three categories (patient, provider, environment/context) were used a priori to develop the taxonomy. The final taxonomy was mapped to the Fast Healthcare Interoperability Resources (FHIR) standard for development of standardized CDS services.

Results: Aggregating …

Coaching Fast–Coaching Slow: Applying Positive Psychology, Behavioral Economics And Neuroscience To Leadership Coaching, Ray Forbes

All Faculty and Staff Scholarship

What can the rapidly expanding esoteric field of Neuroscience or Brain Science possibly offer the very pragmatic “hands on” Leadership Coaching profession? How can research findings from the fields of Positive Psychology and Behavioral Economics be productively used by the practicing Leadership Coach? Does a choice of coaching style and speed of interaction actually matter in producing successful coaching outcomes? This paper will explore answers to these questions, discuss some of the relevant research and offer practical applications and insights that can be used by the practicing leadership coach to become more effective. The intent of this work is to …

Decision-Making During A Crisis: A Case Study Of How A University Responded To The Covid-19 Pandemic, Ryan Joseph Iocco

Electronic Theses and Dissertations 2020 - Present

Scant research is available on how university leaders make decisions and communicate those decisions to their stakeholders during times of crisis. The purpose of this case study was to better understand the decision-making process used by administrative leaders at a higher education institution during a time of organizational crisis. This study examined decision-making by higher education leaders within and across different functional areas at a single higher education institution between February 2020 and September 2020, following the onset of the COVID-19 pandemic. Data was collected through interviews and document analysis. Although research exists on decision-making during crises, there is limited …

Fort Brooke After 200 Years: A Public Heritage Approach, Alex F. Fawbush

USF Tampa Graduate Theses and Dissertations

Fort Brooke, established in 1824 at the mouth of the Hillsborough River, shaped the growth of Tampa and Florida’s west coast for nearly sixty years and served as the nucleus for the forced removal of Indigenous people. Though the Fort itself has long since vanished beneath the modern city, archaeology has preserved its legacy. Excavations since the 1970s have uncovered rich assemblages of ceramics, glass, military equipment, faunal remains, and domestic refuse. These materials reveal daily life at the post, highlighting the interactions of soldiers, Seminoles, African Americans, white settlers, and Cuban fishermen, while also uncovering the deeper prehistoric, referred …

The Orange Glow In The Sunshine State: Three Visions Of Plato In Florida (1970-1990), Ryan Mcgahan

USF Tampa Graduate Theses and Dissertations

The PLATO network, a collection of mainframe computers, terminals, and educational software, has received an increasing amount of scholarly attention in the last decade as a social precursor to the modern internet. Existing histories have neglected to investigate the ways in which PLATO and its related business enterprise worked to accelerate the shift in university governance away from classical liberal ideas centering the public good and towards a more profit-centered neoliberal rationality. By tracing the rise of PLATO in Florida universities, this paper argues that PLATO aided and was aided by the shifting priorities of American universities in the 1970s …

Where Have You Been? Backtracking Microplastic To Its Source Using The Biomolecular Composition Of The Ecocorona, Amanda L. Dawson, Utpal Bose, Sophia Escobar-Correas, Kuok Yap, David J. Craik, Cassandra L. Pegg

Research outputs 2022 to 2026

Microplastics are a diffuse contaminant with various global sources, pathways, and sinks. This study aimed to backtrack microplastics across environments using metaproteomic and eDNA metabarcoding information stored within the ecocorona. Pristine polyamide (PA) fibers, polyethylene terephthalate (PET) fibers and fragments, and PET and PA preincubated in bovine serum albumin (BSA) were deployed into a tank housing Penaeus monodon to develop an ecocorona. Upon collection, BSA was detected within the ecocorona, along with P. monodon proteins, using mass spectrometry. BSA preincubation influenced the diversity and abundance of ecocorona proteins with pristine microplastics having more significantly enriched proteins. Most ecocorona proteins reflected …

Sustainfed-Llm: Renewable Energy Aware Client Selection For Energy Efficient Federated Training Of Large Language Models, Sunbal Iftikhar, Hassan Khan, Steven Davy

Research Outputs: 2025-Present

Federated Learning (FL) offers a decentralized approach to training large language models (LLMs), addressing critical concerns around data privacy and transmission costs. However, FL's inherent distributed training paradigm can lead to increased energy consumption and carbon emissions, especially with random or uninformed client selection. To tackle this issue, we propose SustainFed-LLM, a novel Q-learning-based client selection framework that integrates real-time renewable energy availability, carbon intensity data, and fairness considerations. By dynamically assessing client performance, spare capacity, and sustainability metrics, SustainFed-LLM optimizes client participation to minimize environmental impact while maintaining model accuracy. SustainFed-LLM significantly reduces energy consumption by up to 50%, …

Emergency Department-Initiated Palliative Care Screening Among Older Adults: A Systematic Review And Meta-Analysis Protocol, Dimitri E Lin, Satheesh Gunaga, Fabrice I Mowbray, Eric D Isaacs, Daniel Markwalter, Naomi George, Alison E Hay, Rita Manfredi, Erica Westlake, Murtaza Akhter, Jason K Bowman, Naomi Rebollo-Lee, Brian Gacioch, Alexander D Ginsburg, Justin Kenneth Brooten, Sarah Pajka, Katie Selman, Paul Bain, Joshua J Davis, Shan Liu, Kei Ouchi

Faculty, Staff and Students Publications

Introduction: The rapidly growing population of older adults (individuals aged 65 years and older) presents a new set of challenges for healthcare providers in the emergency department (ED), given the prevalence of severe and life-threatening conditions among this group, such as chronic cancer, Alzheimer's disease/dementia and congestive heart failure. ED encounters often represent a critical point in an older patient's trajectory of care and can thus be an important opportunity for various interventions such as palliative care consultation. Therefore, identifying those who will benefit most from palliative care is of high importance, especially in determining the course of future treatment. …

Everolimus And Low-Dose Tacrolimus After Heart Transplant In Children: A Randomized Clinical Trial, Christopher S Almond, Kevin P Daly, Erin L Albers, Juan C Alejos, Rebecca Ameduri, Scott R Auerbach, Lynsey Barkoff, Aliessa P Barnes, Matthew J Bock, Arene Butto, Waldemar F Carlo, Chesney D Castleberry, Maryanne R Chrisant, Shriprasad R Deshpande, William J Dreyer, Melanie D Everitt, Brian Feingold, Selena Gonzales, Seth A Hollander, Steven J Kindel, Gloria L Klein, Ashwin K Lal, Jacqueline M Lamour, Joanne Lee, Minmin Lu, Irene D Lytrivi, Shelley D Miyamoto, Elfriede Pahl, David M Peng, Thomas D Ryan, Tajinder P Singh, Jennifer A Su, David L Sutcliffe, A Marian Ybarra, Steven Zangwill, Joseph W Rossano, Lynn A Sleeper

Faculty, Staff and Students Publications

Importance: Studies suggest that everolimus may reduce the risk of rejection, cardiac allograft vasculopathy (CAV), chronic kidney disease (CKD), and cytomegalovirus (CMV) after heart transplant. Everolimus use is controversial because of data demonstrating higher infection deaths when everolimus is introduced de novo after transplant. It is unclear whether everolimus is safe and effective when initiated at 6 months posttransplant in children, a population in which median graft survival is limited to 15 years and randomized clinical trials are lacking.

Objective: To evaluate the safety and efficacy of everolimus combined with low-dose tacrolimus to prevent major adverse transplant events (MATEs) in …

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

2025-10-21 Master Of Education Arts - Secondary, Morehead State University. Faculty Senate., University Graduate Committee.

Faculty Senate Records

Proposed revisions to the Master of Arts Education for the Secondary track approved on October 21, 2025.

2025-10-21 Master Of Education Arts - Middle Grades Revision, Morehead State University. Faculty Senate., University Graduate Committee.

Faculty Senate Records

Proposed revisions to the Master of Arts Education for the Middle Grades track approved on October 21, 2025.

2025-10-21 Master Of Arts Education - Elementary Revisions, Morehead State University. Faculty Senate., University Graduate Committee.

Faculty Senate Records

Proposed revisions to the Master of Arts Education for the Elementary track approved on October 21, 2025.

Coupling The Parflow Integrated Hydrology Model Within The Nasa Land Information System: A Case Study Over The Upper Colorado River Basin, P.Eyman Abbaszadeh, Fadji Zaouna Maina, Chen Yang, Dan Rosen, Sujay Kumar, Matthew Rodell, Reed Maxwell

Civil and Environmental Engineering Faculty Publications and Presentations

Understanding, observing, and simulating Earth's water cycle is imperative for effective water resource management in the face of a changing climate. While NASA's Land Information System (LIS)/Noah-MP is widely used for land surface modeling, its ability to represent groundwater processes is limited. In contrast, the ParFlow hydrologic model explicitly simulates subsurface water movement. This study explores the effectiveness and usefulness of the newly coupled modeling framework, ParFlow-LIS/Noah-MP (PF-LIS/Noah-MP) over the Upper Colorado River Basin (UCRB). The framework integrates the strengths of both models to provide a physically based representation of surface and subsurface processes and their interactions. Unlike standalone LIS/Noah-MP, …

A Quality Improvement Project To Standardize Sexual Dysfunction Screening In Primary Care, Ashley M. D’Anna

Electronic Theses and Dissertations 2020 - Present

Sexual health is an essential aspect of overall well-being but is often overlooked in primary care due to provider discomfort, time constraints, and lack of standardized screening protocols. This quality improvement (QI) project aimed to implement a consistent approach to screening for sexual dysfunction using the Arizona Sexual Experiences Scale (ASEX), a validated five-item tool assessing sex drive, arousal, orgasm, and satisfaction. Guided by Swanson’s Theory of Caring and Pender’s Health Promotion Model, the project emphasized compassionate, patient-centered care and the promotion of health-enhancing behaviors.

Using the Plan-Do-Study-Act (PDSA) framework, the ASEX tool was incorporated into annual wellness visits following …

The Impact Of Sglt2 Inhibitors On Pulmonary Artery Pressures And Pulmonary Hemodynamics In Patients With Heart Failure: A Systematic Review, Kritick Bhandari, Maria Qadri, Rochak Dhakal, Sagun Ghimire, Gyanendra Jora, Santosh Basyal, Et. Al.

Michigan Tech Publications

Background: Heart failure is a major global health burden associated with high morbidity and mortality. Elevated pulmonary artery pressures (PAP) are linked to worse outcomes in heart failure patients. Sodium–glucose cotransporter 2 (SGLT2) inhibitors, initially developed for diabetes, have demonstrated cardiovascular benefits, but their specific effects on pulmonary hemodynamics remain unclear.

Methods: This systematic review analyzed randomized controlled trials and observational cohort studies evaluating the effects of SGLT2 inhibitors on mean pulmonary artery pressure (mPAP) and pulmonary artery systolic pressure (PASP) in heart failure patients. A comprehensive search of PubMed, Embase, Cochrane Library, and Scopus databases was conducted until August …

A Hybrid Model For Youth Engagement In Adolescent Health Studies: Insights From The Teen Research Advisors Program At A Midwestern Pediatric Academic Medical Center In The United States., John Tumberger, Alaina N. Burns, Michael Bartkoski, Mariah E. Brewe, Amelia Whittier, Kendyll Gethers, Ailisi Bogdon, Emerie Peterson, Stephani L. Stancil

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Engaging adolescents in research ensures studies are relevant, ethical, and beneficial while fostering authentic and applicable findings. Traditional in-person advisory boards face barriers to equitable participation, highlighting the need for innovative, flexible models tailored to specific research programs and individuals with lived experience. The primary aim of this article is to describe a novel hybrid youth advisory board suitable for informing ongoing operations of a research program while supporting youths' education and career exploration. Our secondary aim was to evaluate initial impact over the first 2 years of the program (2023-2024).

METHODS: Adolescents aged 12-21 with prior involvement in …

Algorithmic Collusion Among Ev Charging Stations With Independent Reinforcement Learning Agents, Yulin Zeng, Yiheng Zhao, Yuanliang Li, Yefeng Yuan, Jie Gao, Hepeng Li, Xiao'ou Yang, Hohyun Lee, Yuhong Liu, Jun Yan

Faculty Research, Scholarly, and Creative Activity

Recent advancements in reinforcement learning (RL) have significantly enhanced the autonomous decision-making capabilities of energy systems. In the realm of electric vehicle (EV) charging stations, operators aim to autonomously learn optimal pricing strategies based on local observations and user behavior. Traditional multi-agent reinforcement learning (MARL) approaches often assume cooperative settings with reward sharing or communication, real-world EV charging infrastructures are typically decentralized and competitive. This paper investigates the potential for tacit collusion in such realistic, non-cooperative environments. By leveraging decentralized MARL, we show that independently trained agents can still exhibit emergent collusive behaviors. Our findings highlight a critical need for …

High-Stakes Exams Inflate A Gender Gap And Contribute To Systematic Grading Errors In One Introductory Physics Series, David J. Webb, Cassandra Paul

Faculty Research, Scholarly, and Creative Activity

Previous research has suggested that changing the percentage of the course grade associated with exam grades in science, technology, engineering, and mathematics courses can change the gender gap in the course. It has also been shown that high-stakes assessments yield the lowest (relative) scores for female students. Previous research by the authors has shown that implementing retake exams can eliminate the gender gap in introductory physics courses. This paper explores several different hypotheses for why retake exams are associated with a zeroed gender gap. Two independent measurements comparing exams with different stakes are used in support of the argument that …

Contextualizing Introductory Computer Science: Insights From African Faculty, Ethel Tshukudu, Ismaila Temitayo Sanusi, Oluwakemi Ola, Sally Hamouda, Linda Marshall, Oluwatoyin Adelakun-Adeyemo, Emma R. Dodoo, G. Ayorkor Korsah, Sandani Luvhengo, Jack Parkinson

Faculty Research, Scholarly, and Creative Activity

Contextualizing computer science education has been recognized as a key factor in enhancing student engagement and learning outcomes. This study investigates the initial perceptions of university computer science faculty in Africa regarding the benefits, adoption challenges, and institutional support required for the successful integration of contextually relevant materials into introductory computer science (CS1) courses. Faculty then assessed a set of previously developed contextually tailored materials, grounded in Banks' Additive Approach to curriculum reform and aligned to the CS curricula 2023. The research adopted qualitative methods, gathering data through open-ended surveys from 22 CS faculty across 9 African countries. Thematic analysis …

Occurrence Of Delphinids Off Egmont Atoll, Chagos Archipelago: Detection, Characterisation, And Temporal Variability Of Vocalisations, Udayanga Sampath, Clare B Embling, Danielle V Harris, Tom B Letessier, Isha Shyam, Simon N Ingram, M F M Fairoz, Samina Sharmin Rouf, Asha De Vos

School of Biological and Marine Sciences

Passive acoustic monitoring techniques are useful for studying vocally active marine species, particularly in remote and difficult to access areas. In this study, three months of acoustic recordings were collected off Egmont Atoll, Chagos Archipelago in the central Indian Ocean to detect, characterise, and investigate temporal variability of delphinid whistles. A subsample (3.6% of the total dataset) was used to manually annotate whistles and test automated whistle detectors. Higher frequency whistles (6-25 kHz, n = 126) were manually classified into six categories: upsweep (56%), convex (19%), downsweep (13%), concave (5%), sine (4%), and constant frequency (3%). An automated whistle detector …