Digital Commons Network^™

Enhancing Hand Hygiene Compliance Among Icu And Nicu Visitor Families: The Impact Of Advanced Nursing Roles, The Barriers And Challenges: A Review, Siti Azuna Abu Bakar, Khin Thandar Aung, Sahrom Abdullah

Individual Open Access Articles

Proper hand hygiene is crucial for preventing,, infections in intensive care units (ICUs) and neonatal intensive care units (NICUs). Despite the awareness among healthcare personnel and visitors of its importance, compliance with regulations is often inadequate. Advanced nurse educators and infection control professionals can significantly improve these habits. This review investigates whether advanced nursing positions improve hand hygiene among ICU and NICU families, as well as visitors, focusing on enhancing hand hygiene programs, identifying effective solutions, recognising practice shortcomings, and providing recommendations. The methodology involved a search of databases, including PubMed, CINAHL, Scopus, and Google Scholar, using relevant keywords related …

Dramatic Biases In Terrestrial Nitrogen Fixation In Earth System Models Revealed By Natural Isotope Signatures, Maoyuan Fang, Shushi Peng, Philippe Ciais, Daniel S. Goll, Benjamin Z. Houlton, Ying-Ping Wang, Yilong Wang, Pan Liu, Joshua B. Fisher, Pierre Regnier

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Biological nitrogen fixation (BNF) is the primary input of new reactive nitrogen to natural terrestrial ecosystems. However, this flux is poorly constrained due to its unclear drivers and associated control mechanisms. Here, we extend the existing theory of nitrogen (N) isotope mass balance to estimate BNF rates and then use a Bayesian approach to constrain the BNF rates in natural terrestrial ecosystems by using measurements of natural N-isotope ratios (δ¹⁵N) in plants (δ_P) and soil (δ_S). Together with pairwise δ_P and δ_S measurements from 18 forest sites covering diverse climates and thousands …

A New Scheme For Simple Asymmetric Bivariate Copulas And Applications, Rachid Bentoumi, Farid El Ktaibi, Christophe Chesneau

All Works

Bivariate copulas play a central role in modeling the dependence structure between two random variables and serve as a fundamental tool in various applied fields. In this article, we develop a new theoretical framework aimed at constructing simple asymmetric bivariate copulas of the form C(u, v) = uv [ϕ(v) + u(1 − ϕ(v))^], (u, v) ∈ [0, 1]². This framework relies on a tuning univariate function to achieve the desired asymmetry. We study this pioneering scheme, emphasizing its theoretical foundations, and illustrating it with several examples. More precisely, we establish important properties of the proposed copulas …

Meta Transfer Learning For Brain Tumor Segmentation Using Nnunet In Meningioma And Metastasis Cases, Mehnaz Tabassum, Antonio Di Ieva, Sidong Liu

Staff Scholarship - Australia & Dubai

In recent years, numerous algorithms have emerged for the segmentation of brain tumors, driven by advancements in deep learning techniques, where the objective is to identify and delineate various tumor sub-regions. While deep learning models like nnUNet have shown promising results in glioma segmentation, their effectiveness in segmenting other brain tumor subtypes, such as meningiomas and metastases, remains uncertain, especially when the available dataset lacks representative examples. To address this challenge, we propose a meta-transfer learning approach, which involves fine-tuning the nnUNet model on datasets containing meningiomas and metastases while leveraging the knowledge acquired from glioma segmentation. This approach aims …

Fs Personnel Committee Minutes 2025-10-28, Northern Illinois University

Faculty Senate Archives

No abstract provided.

Modeling Nutrient Functions: Strengthening The Reliability And Applicability Of Ecosystem Service Models For Land Use Decision-Making, Mariam Gabriela Valladares Castellanos

LSU Doctoral Dissertations

Effective water quality management requires a clear understanding of both the magnitude and spatial distribution of nutrient retention and export across dynamic landscapes, given their direct implications for drinking water supply, ecosystem integrity, fisheries, and recreational uses. Equally important is anticipating trade-offs from management actions, which can alter ecosystem functioning and the flow of services. Modeling tools provide a means to predict nutrient outcomes, evaluate these trade-offs, and support decision-making; however, their utility is often constrained by persistent challenges, including model uncertainty, limited applicability in data-scarce regions, and insufficient empirical foundations to inform scenario-driven decision-making. This dissertation addresses these gaps …

Impact Of Transplant Conditioning, Npm1 Mutations, And Measurable Residual Disease In Flt3-Itd Acute Myeloid Leukemia, Mark J Levis, Geoffrey L Uy, Et Al.

2020-Current year OA Pubs

We conducted a post hoc analysis of data from Blood and Marrow Transplant Clinical Trials Network 1506 (MORPHO), a randomized trial of gilteritinib vs placebo as posttransplantation maintenance for patients with FLT3-ITD-mutated acute myeloid leukemia (AML) undergoing allogeneic hematopoietic cell transplantation (HCT), focusing the interactions between conditioning regimen intensity, measurable residual disease (MRD), and NPM1 comutation status reported from diagnosis. Comparing FLT3-ITD MRD before and after conditioning, there was no difference between myeloablative conditioning (MAC) and reduced-intensity conditioning (RIC) in eradication or reduction of FLT3-ITD MRD. For participants who were FLT3-ITD MRD negative before HCT, there was no difference in …

Comparative Analysis Of Targeted Rna-Seq And Optical Genome Mapping For Detecting Gene Rearrangements In Acute Leukemia, Chi Young Ok, Guilin Tang, Sanam Loghavi, Shimin Hu, Qing Wei, Mark J Routbort, C Cameron Yin, Iman Sarami, Sofia Garces, Nitin K Agarwal, Raja Luthra, Hong Fang, Fatima Zahra Jelloul, Julian Bryan, L Jeffrey Medeiros, Keyur P Patel, Gokce A Toruner

Faculty, Staff and Student Publications

Background/Objectives: Gene rearrangements involving oncogenes are major drivers in acute leukemia, influencing disease classification, prognosis, and therapeutic decision-making. Targeted RNA sequencing (RNA-Seq) panels capable of detecting intergenic and intragenic fusions across multiple genes are increasingly used in diagnostic settings. However, comparative evaluation with orthogonal technologies remains limited.

Material and Methods: We compared the performance of a 108-gene anchored multiplex PCR (AMP)-based RNA-Seq panel with that of Optical Genome Mapping (OGM) in 467 acute leukemia cases. The cohort included 360 cases of acute myeloid leukemia (AML), 89 B-lymphoblastic leukemia (B-ALL), 12 T-lymphoblastic leukemia (T-ALL), and 6 cases of mixed phenotype …

Early Intratracheal Budesonide To Reduce Bronchopulmonary Dysplasia In Extremely Preterm Infants: The Budesonide In Babies (Bib) Randomized Clinical Trial, Namasivayam Ambalavanan, Waldemar A Carlo, Kayla J Nowak, Laura Elizabeth Wiener, Shirley S Cosby, Abhay J Bhatt, Kristi L Watterberg, Brenda B Poindexter, Martin Keszler, Carl T D'Angio, Luc P Brion, Vivek Narendran, Carrie A Rau, C Michael Cotten, Matthew M Laughon, Abhik Das, Matthew A Rysavy, Anna Maria Hibbs, Janell Fuller, Karen M Puopolo, Anup Katheria, Ravi M Patel, Jennifer R Bermick, Abbot R Laptook, Irina Prelipcean, Myra H Wyckoff, Ryan Moore, Stephanie L Merhar, Robin K Ohls, Bradley A Yoder, Marta Perez, Sarvin Ghavam, Lauritz R Meyer, Valerie Y Chock, Sara B Demauro, Wesley M Jackson, Deepali Handa, Michele C Walsh

Faculty, Staff and Student Publications

Importance: Extremely preterm infants are at high risk for bronchopulmonary dysplasia (BPD) and death. Multiple small randomized clinical trials showed that a combination of budesonide with surfactant compared with surfactant alone reduced BPD or death.

Objective: To determine if early intratracheal administration of a combination of budesonide (0.25 mg/kg) mixed with surfactant, compared with surfactant alone, reduces physiologic BPD or death by 36 weeks' postmenstrual age in extremely preterm infants.

Design, setting, and participants: This double-masked randomized clinical trial was conducted from April 2021 to June 2024 in the 17 centers of the United States Neonatal Research Network. Infants 22 …

Factor Structure Of Food And Physical Activity Parenting Practices Among Us Fathers By Ethnicity And Survey Language: A Cross Sectional Study, Salma M A Musaad, Louise C Mâsse, Alicia Beltran, Oriana Perez, Teresia M O'Connor

Children’s Nutrition Research Center Staff Publications

Background: Parenting practices contribute to children’s eating and physical activity behaviors, and thereby their risk of obesity and associated medical conditions. Fathers may engage in different parenting practices than mothers. The objective of this study was therefore to establish psychometrically sound tools in English and Spanish for measuring Physical Activity Parenting Practices (PAPP) and Food Parenting Practices (FPP) for Hispanic and non-Hispanic fathers of diverse races for use in future studies, such as evaluations of family-based obesity interventions targeted at fathers.

Methods: We conducted a preliminary assessment of the psychometric properties of a reduced version of the PAPP and FPP …

Grapes Gone Sour: Navigating Corruption In Cisg Contracts, Ingeborg Schwenzer, Cesar Pereira, Lorenzo Galan

National Law School Business Law Review

No abstract provided.

Formation And Dramatic Significance Of The “Separation” System In Ming Dynasty Southern Opera Scripts, Zhiyong Chen

Theoretical Studies in Literature and Art

The practice of “fenchu” (separation) marks a pivotal development in the Ming dynasty's chuanqi playwriting system, manifesting as either “implicit” or “explicit” separation within early Southern Opera texts. The late Ming period saw enhancements in the separation methodologies within actors' performance manuscripts and reader-oriented printed editions, improving upon the character entry and exit strategies from the Song, Yuan, and early Ming operas. This led to the formulation of separation standards that reconcile character transitions, scene consistency, and narrative cohesion. The emergence of the separation mechanism in Southern Opera is attributed to multifaceted causes: for performance scripts, it facilitated …

The Movement For The Popularization Of Literature And Art: Development And Transformation, Yanqiu Zhao

Theoretical Studies in Literature and Art

The major issues and fundamental perspectives concerning the popularization of literature and art can be broadly categorized into six aspects: the direction of development, the object of service, the subject of creation, the content and form, the language, and the evaluation of the May Fourth and New Culture Movements. While the theory and practice of the popularizing literature and art hold positive significance, they are also subject to biases and limitations. Mao Zedong, rather than merely perpetuating the ideals and objectives of the movement, deconstructed, synthesized and reformed its content and issues. He proposed his own insights and solutions to …

Balispirit Festival As A Regenerative Event Transformation Model: The Tri Hita Karana Framework In Support Of Sustainable Spiritual Tourism, Maha Dewi

Journal of Indonesian Tourism and Policy Studies

The global tourism sector is undergoing a transition toward Regenerative Tourism (RT). RT emphasizes active ecosystem restoration and community empowerment, surpassing the objectives of passive sustainability. In Bali, this transition appears in the Trilogy of Serenity, Spirituality, and Sustainability. This study examines the BaliSpirit Festival (BSF) as a case study that operationalizes the local Tri Hita Karana (THK) philosophy. This philosophy integrates spiritual (Parhyangan), social (Pawongan), and environmental (Palemahan) harmony as its foundation. The study uses a descriptive-analytical qualitative methodology to evaluate BSF's practices in advancing Sustainable Spiritual Tourism (SST). Results show BSF has established a culturally grounded regenerative event …

Digital Marketing Opportunities For The Advancement Of The Tourism Industry Case Study: Indihome Pt. Telekomunikasi Indonesia, Abiyyu Sangaji

Journal of Indonesian Tourism and Policy Studies

Digital marketing is becoming increasingly important in the tourism industry as a way to reach a wider target market and increase sales. This study uses a qualitative descriptive method aimed at exploring digital marketing opportunities in the tourism industry through a case study of IndiHome PT. Telekomunikasi Indonesia. The results of the study indicate that digital marketing can provide significant opportunities for the tourism industry, particularly in terms of the use of social media, websites, and engaging visual content. Furthermore, the results also show that the use of data and analytics can help companies optimize their digital marketing campaigns. However, …

Carlos Ferran, Dba, Ed.D., Km, Carlos Ferran

Faculty Research Mixer

No abstract provided.

Laura Honegger, Ph.D., Lcsw, Laura Honegger

Faculty Research Mixer

No abstract provided.

Embracing Artificial Intelligence And Digital Health In Cancer Care, Pavitra P. Krishnamani

Advances in Cancer Education and Quality Improvement

Digital health technologies like AI, telemedicine, and wearables are revolutionizing cancer care by enabling earlier detection, personalized treatment, and improved patient support and access.

High Turnover On The Menu - Understanding Post-Covid Employee Retention Rates Within Public Assembly Venues In New York City, Liberty University

Sport Leadership Summit

This study explores food and beverage employee turnover rates within sport venues in New York City. The topic holds public interest due to the documented correlation between guest satisfaction and employee satisfaction. It is ethical and feasible, focusing on real-world management challenges in the hospitality industry. By narrowing the scope to a specific population, the study aims to provide actionable insights into employee retention in a post-Covid landscape.

Development Pathways In Soccer - A Comparative Study Of U.S. Academies, Ncaa Programs, And European Systems, Liberty University

Sport Leadership Summit

This study seeks to compare the soccer development pathways of U.S. youth club academy systems, NCAA collegiate programs, and European youth club academy systems. Along with this, the research aims to identify what creates a factor of success. Additionally, it will focus on what specifically the club and college systems are doing collectively to develop their rosters. This comparison offers value in that it provides cumulative information on the biggest developmental soccer programs in the world. Additionally, it brings to light the differences amongst the pathways to better showcase factors of success and allow for future improvements to be made …

Private Equity And Llc Models In College Athletics - Emerging Revenue Strategies In The Power Four, Liberty University

Sport Leadership Summit

Prompted by the University of Kentucky’s formation of a not-for-profit LLC as a revenue strategy, this study investigates the impact and future implications of LLCs and private equity in NCAA athletic departments. The rationale is rooted in the growing financial pressures and opportunities following the House settlement, with athletic directors seeking innovative ways to generate revenue. This research aims to understand how these models affect revenue generation and distribution across Power Four programs.

Social Media Marketing And Fan Engagement - A Quantitative Study Of Nba Strategies, Liberty University

Sport Leadership Summit

This study investigates how different forms of social media marketing—specifically pictures, graphics, and reels—impact fan engagement in the NBA. As digital platforms increasingly replace traditional media, understanding which strategies most effectively engage fans is crucial for sports organizations. The study is grounded in existing research and uses Instagram analytics to assess engagement metrics, offering practical insights for marketing teams.

The Beauty Of Uniquity - A Regression Analysis Of Mlb Pitchers With Anomalous Arm Angles, Liberty University

Sport Leadership Summit

This study examines the effect of arm angle on pitcher success and the potential for injury prevention based on arm angle. With the rise of advanced metrics like Statcast, pitcher mechanics—especially arm angle—have become key indicators of performance. The research explores how different arm angles influence pitch movement, velocity, and injury risk, suggesting that pitchers with a “low ¾ arm angle” may best balance performance and long-term arm health.

The Correlation Between Tommy John Surgery And Pitching Velocity, Liberty University

Sport Leadership Summit

This study investigates the relationship between increasing fastball velocity and the rising number of Tommy John surgeries (UCL reconstructions) among Major League Baseball pitchers. The rationale is to understand whether higher pitching velocities contribute to injury risk and to equip coaches and trainers with tools to identify warning signs and prevent future injuries.

Televised Youth Sport And Athlete Well-Being - A Study Of The Little League World Series, Liberty University

Sport Leadership Summit

This study analyzes the commercialization of the Little League World Series (LLWS) and its psychological effects on young athletes, including stress, identity, and enjoyment. The rationale stems from growing concerns about media pressure and public attention on children in sport. The study is ethical, feasible, and valuable for understanding how televised youth events may impact athlete well-being and development.

Designing An Electronic Patient-Reported Outcomes Information Infrastructure Supported By The Re-Aim Implementation Framework, Amy C. Moreno, Angela Peek, Toshiko S. Stein, Kevin R. Shook, Sara M. Ali, Laia Humbert-Vidan, Aileen Chen, Miriam Lango, Anna Lee, Michael Spiotto, William H. Morrison, Adam S. Garden, Jack Phan, Steven J. Frank, Katherine Hutcheson, David I. Rosenthal, Clifton D. Fuller, G Brandon Gunn

Advances in Cancer Education and Quality Improvement

Objective: Patient-reported outcomes (PROs) contain valuable information that can be leveraged by providers to perform timely interventions and improve quality of life and survival. However, the implementation of electronic PROs (ePROs) remains a challenge from technical and evaluation perspectives. Our objective was to construct a robust electronic health record (EHR)-integrated ePRO information infrastructure founded on RE-AIM (reach-effectiveness-adoption-implementation-maintenance) principles.

Materials and Methods: We used Epic Systems as our EHR platform to build the MD Anderson Symptom Index Head and Neck Module (MDASI-HN) for release to all patients undergoing evaluation and/or treatment in our HN Radiation Oncology clinics. RE-AIM metrics were …

Destined To Fail [Book Review], Jessica Schomberg

Disability in LIS (DisLIS)

A deep dive into the eugenical ideas that grounded the work of influential educator and psychologist Carl E. Seashore. While Seashore was working a century ago, the author demonstrates how his ideas continue to influence education today.

Clinical Instructors In Gynecologic Oncology: Addressing Gaps In Cancer-Related Care And Gynecology Training Deficiencies, Sadhvi Batra, Ann Marie Mercier, Robert Wenham

Advances in Cancer Education and Quality Improvement

The shift toward minimally invasive techniques and sub-specialization in gynecology has reduced generalist surgical experience, prompting new training roles to better manage complex benign conditions and cancer survivorship.

Exploring Patient Perspectives On The Availability And Demand For Patient-Friendly Resources In Non-Small Cell Lung Cancer, Danielle Brazel, Aakash Desai, Fawzi Abu Rous, Jill Feldman, Eric Singhi

Advances in Cancer Education and Quality Improvement

Introduction: The growing emphasis on patient-centered care, along with the rise of open-access publications and online platforms, has increased patient demand for education about their medical conditions. In this context, patient-friendly language summaries of fundamental cancer clinical trials may be valuable resources for patients to learn more about their disease and treatment options.

Methods: We surveyed patients diagnosed with non-small cell lung cancer (NSCLC) to assess the availability and need for easy-to-understand resources related to treatment decision-making and side effect profiles. Patients were also provided an example patient-friendly language summary and asked for feedback.

Results: One hundred fourteen patients responded …

The Use Of Firgun To Improve Burnout And Workplace Civility In A Pediatric Cancer Center, Karen Moody, Jerry Stein, Deena Levine, Arshia Madni, Clark R. Andersen, Amy Heaton, Alakh P. Rajan, Demetrios Petropoulos, Jian Wang, Deborah Kramer

Advances in Cancer Education and Quality Improvement

Burnout afflicts 35% to 44% of pediatric oncology physicians, nurses, and interprofessional staff and is related to excessive workloads and emotional exhaustion. Conversely, a healthy work environment is a protective factor for burnout among physicians and nurses. Meaningful recognition is a published standard necessary for creating a healthy work environment. This study aimed to reduce staff burnout through firgun, defined as a heartfelt way to express accomplishments of another person. Pediatric oncology staff completed a firgun educational module and logged acts of firgun during a 3-month study period. Validated measures assessing burnout, workplace civility, well-being, work-life balance, and perceived …