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Proportionality: Can’T Live With It But Can’T Live Without It, Geoffrey S. Corn

International Law Studies

Perhaps no other word in the international humanitarian law lexicon evokes more interest and emotion than proportionality. How States implement the rule of proportionality is perhaps the most hotly debated aspect of international humanitarian law. The indeterminate nature of the rule allows for its meaning to conform to whatever its reader wants it to mean. This is a consequence of the variables related to key provisions of the rule: How do we assess military advantage? What makes an anticipated military advantage “concrete and direct”? And most problematic of all, what is the meaning of the term “excessive”? All of these …

Updates In Contemporary Management Of Singleton Pregnancies Complicated By A Short Cervix, Moti Gulersen, Vincenzo Berghella, Eran Bornstein

Department of Obstetrics and Gynecology Faculty Papers

Singleton pregnancies complicated by a short cervical length (≤25 mm) are at significantly increased risk for spontaneous preterm birth. Several treatment strategies aimed at reducing this risk and improving perinatal outcomes have been evaluated, including vaginal progesterone, cervical cerclage, and cervical pessary. This review summarizes the latest evidence regarding the efficacy of these interventions. Vaginal progesterone and/or cervical cerclage have been identified as proven evidence-based practices for preterm birth prevention and improve neonatal outcomes. Vaginal progesterone reduces the risk of preterm birth < 35 weeks by 27% (relative risk 0.73, 95% confidence interval 0.58-0.90). Cervical cerclage has been shown to reduce the risk of preterm birth < 35 weeks by 30% (relative risk 0.70, 95% confidence interval 0.55-0.89) in patients with a short cervical length and prior preterm birth. In contrast, recent data suggest that cervical pessary should no longer be considered a management option for these patients. A continued focus on individualized, evidence-based approaches remains essential to optimizing outcomes in this high-risk population.

Gender In Translation: How The Contemporary Bible Is Challenging Androcentric Language In Translation Through Gender-Accurate And Feminist Hermeneutical Lenses, Matthew T. Gennard

Masters Theses

This Thesis surveys the changing practice of gender-accurate translation from the late nineteenth century to the present, with special consideration for the three key principles of gender-accurate translation: Generic ‘he,’ androcentric lexemes, and pronoun substitution. These focus areas are derived from an analysis of the five translation guidelines produced during the late twentieth-century gender-neutral controversy. The loss of individuality when introducing pronominal interchange or the masculine representative hermeneutical lens has left scholars divided on gender-accurate practices. This study surveys the sociohistorical development of the feminist hermeneutical lens and the changing linguistic trends of contemporary language, which challenge androcentric assumptions in …

Pigs For The Dispossessed Goat Demon: Jesus’ Exorcism In Mark 5 And Animal Interest, Michael Joseph Gossett

Masters Theses

This thesis explores how a historical-literal reading of Mark 5:1-20 can be defended against objections that claim Jesus caused or allowed unnecessary animal suffering. Contextual insights gleaned from 2nd Temple Watchers Traditions and Greco-Roman polytheism illuminate plausible symbolic value present in the deaths of the Gerasene swine. The context of Mark 5:1-20 presents a supernatural conflict compatible with Christian theology and rebel angel theodicies. Jesus’ actions concerning the Gerasene pigs are not necessarily unjustifiable examples of animal mistreatment.

Kid Power: Mastering Asthma Management To Keep Hospitals Away!, Kriste L. Moret

Master's Projects and Capstones

Problem: Pediatric asthma remains a leading cause of preventable hospitalizations, particularly in California’s Central Valley, where environmental and health disparities worsen symptoms. Many children are discharged without understanding their Asthma Action Plan (AAP) or feeling confident in symptom management.

Context: On a unit in a community hospital in this high-risk region, asthma-related admissions persisted. Gaps in discharge education highlighted the need for a structured intervention. The Institute for Healthcare Improvement (IHI) Model for Improvement (MFI) guided this effort.

Intervention: A nurse-led, developmentally appropriate asthma education bundle was implemented. Teaching began on admission and was reinforced using teach-back, color-coded AAPs, culturally …

Best Practices To Prevent Nurse Burnout And Reduce Turnover In The Hospital, Bernice Marie Yale

Master's Projects and Capstones

Abstract

Problem Nursing is facing a crisis in workforce well-being, and trends indicate signs and symptoms of burnout. Increasing turnover rates, emotional exhaustion, staff depersonalization, and team disengagement have resulted in a perceived toxic environment in a hospital-based microsystem.

Context A 4-month project was initiated to improve morale and communication. Several assessment tools were utilized to foster a high-performing team and reinforce principles of Watson’s theory of caring.

Interventions Optimization of required daily leader rounds to encourage patient participation, and monthly 1:1 “direct report” rounds (n=65) were conducted to assess well-being, workplace stressors, and promote job satisfaction.

Measures To improve …

Dosimetric Comparison Of Organ-At-Risk Constraints Across Multi-Resolution Levels In Eclipse Planning Optimization, Ji Hyun Jeon

Masters Projects

Background: In inverse treatment planning, the timing of applying organ-at-risk (OAR) constraints during the optimization process can influence dosimetric outcomes. This study investigates the effects of introducing OAR constraints at different stages of the multi-resolution optimization process within the Eclipse Treatment Planning System (TPS).

Purpose: To determine the optimal resolution level for applying OAR constraints that achieves the best dosimetric balance between target coverage and normal tissue sparing.

Methods: Thirteen prostate cancer treatment plans were generated using an anonymized pelvic CT dataset from The Cancer Imaging Archive. All plans were developed in GVSU Virtual Eclipse TPS using the Photon Optimizer …

An In-Depth Exploration Into College Students’ Information Acquisition And Evaluation Behaviors During The Covid-19 Infodemic, Nien-Tsu Nancy Chen, Kimmy Kee, Bianca T. Villalobos, Miriam Ortiz, Hyesun Lee

Psychological Science Faculty Publications

Introduction: This study examines how vaccination-inclined and vaccination-hesitant U.S. college students acquired and evaluated COVID-19 vaccination information.

Methods: In 2021, we conducted 26 focus group discussions and used thematic analysis to identify patterns in information acquisition behaviors and trust in information sources.

Results: Findings revealed mismatches between frequently used and most trusted sources. Public health agencies were highly trusted but not commonly consulted first. In contrast, social media were frequently used for information scanning despite being the least trusted. Interpersonal sources (e.g., family) were identified as both a most and least trusted source. They were trusted for their good intention …

Radioactive Contamination And Climate Warming Affect Physiological Performance Of Chornobyl Barn Swallows, Zbyszek Boratyríski, Timothy Mousseau, Anders Pape Møller

Faculty Publications

Global warming and degradation of natural habitats are the two main factors causing ecophysiological stress on individuals and risk for biodiversity. Hyperthermia is a common response to stress in homeothermic animals, in particular to heat, pathogens and environmental contamination. Resilience of biological systems to global warming may be deteriorated in polluted habitats. Here we investigated how body temperature of a wild bird, the barn swallow (Hirundo rustica), responded to global warming while simultaneously exposed to radioactive contamination from the Chernobyl accident. Our results showed that both high air temperatures (t = 15.55, df = 335, p <  0.0001) and elevated environmental radioactive contamination (t = 5.18, df = 8.09, p = 0.0008) increased internal body temperature of individuals. The additive effect suggests that birds might suffer hyperthermia in locally contaminated habitat (1.47% body temperature increase) while simultaneously exposed to globally rising temperatures (1.95% body temperature increase), potentially reducing the fitness of individual and the maintenance of breeding colonies. The cumulative and interactive negative effects of multiple stressors, such as those emerging from increasing habitat degradation and climate change, will likely contribute to biodiversity losses globally.

Associations Between Social Drivers Of Health And Breast Cancer Stage At Diagnosis Among U.S. Black Women, Mollie Barnard, Bo Qin, Marc Emerson, Etienne Holder, Matthew Dunn, Shromona Sarkar, Nuo Xu, Yutong Li, Christine Ambrosone, Elisa Bandera, Julie Palmer, Melissa Troester, Terry Hyslop

Department of Pharmacology, Physiology, and Cancer Biology Faculty Papers

U.S. Black women have disproportionately high breast cancer mortality, partly due to later-stage diagnoses. We examined how social drivers of health (SDOH) relate to stage at diagnosis by analyzing data from 4,995 breast cancer survivors in the Black Women's Health Study, Carolina Breast Cancer Study, and Women's Circle of Health Studies. SDOH were self-reported and stage was ascertained from medical records. We used polytomous logistic regression to estimate odds ratios (ORs) for diagnosis at stages III/IV or II versus stage I (referent), adjusting for age, insurance status, and income. Meta-analyzed results indicated that underutilization of screening mammography (OR = 3.21, …

Nyls Appoints Michael Goodyear As Associate Professor Of Law, Dean Anthony W. Crowell

NYLS Community News

No abstract provided.

Toward A Theoretical Model Of Shared Leadership And Innovation In Family Business, Pamala J. Dillon, Leslie Blake-Davis, Eugene See, Mengjie Xu, Craig L. Pearce, Charles C. Manz

EKU Faculty and Staff Scholarship

We advocate shared leadership as a key mechanism for unlocking innovation in family businesses. Family businesses, however, typically emphasize hierarchical leadership, reflecting the family power structure, which can pose challenges for successful innovation by limiting resources and knowledge sharing between family and non-family members. Shared leadership, enabled by both empowering from formal hierarchical leaders, as well as self-leadership practices across the organization, can help to overcome this challenge by leveraging the familiness, and related social capital, present in family businesses. Exploring the impact of shared leadership on innovation, familiness and social capital are proposed to improve innovation in the family …

A Causal-Comparative Study Of Middle School Students’ Social-Emotional Learning And Sense Of Community In Collaborative And Non-Collaborative Learning Environments, Edielou Saroca

Doctoral Dissertations and Projects

The purpose of this quantitative, causal-comparative study was to determine if there is a difference in social-emotional learning and a sense of community between middle school students whose teachers engage in collaborative learning structures and teachers who do not. This study is important because it addresses a gap in the literature regarding the impact of collaborative learning on middle school students’ social-emotional learning and sense of community. This study provides information and support to educational institutions to manage challenging behaviors in the classroom and enhance social-emotional and sense of community skills. The sample comprised 140 middle school students who attended …

Differentiated Instructional Practices In Gifted And Talented Elementary Classrooms In Central Georgia: A Holistic Multiple-Case Study, Olethia Marie-White Calhoun

Doctoral Dissertations and Projects

The purpose of this case study was to explore the factors influencing teachers' attitudes toward gifted education among elementary gifted-endorsed teachers at schools in central Georgia. Gifted education remains an underexplored and underfunded area within the United States (U.S.) educational system, leaving many high-ability students without the support they need to thrive. This researcher investigated the factors influencing elementary teachers' attitudes toward gifted education and how these attitudes, along with teachers' sense of self-efficacy, affect the implementation of differentiated instructional methods in central Georgia schools. Grounded in Gagné's differentiated model of giftedness and talent (DMGT), a gap in the literature …

Spirituality And Perceived Insider Status: A Study Of Organizational Commitment Of African American Female Leaders In Fortune 1000 Companies, Toni Y. Stubbs

Doctoral Dissertations and Projects

This quantitative study examined the relationships among spirituality, perceived insider status, and organizational commitment among African American female leaders within Fortune 1000 companies. Using a cross-sectional design, the research gathered data from 119 participants through online surveys that included the Spiritual Well-Being Scale (SWBS), the Perceived Insider Status Scale (PIS), and the Organizational Commitment Questionnaire (OCQ). Analyses included Pearson correlations and mediation modeling to address the research questions. The results revealed a strong, statistically significant relationship between perceived insider status and organizational commitment. Although spirituality did not directly predict organizational commitment, it demonstrated a small but significant mediating effect between …

Sustaining The Score: A Narrative Inquiry Comparing California Teacher Induction And Adult Ensemble Participation For Music Educator Longevity And Growth, David Haley Green

Doctoral Dissertations and Projects

The relationship between music educators' participation in adult ensembles and any perceived benefits to their teaching careers remains underexplored. At a time when teacher recruitment and retention rates are unsustainable, this information can help provide ways to engage educators in a way that benefits both themselves and the academic success of their students. This qualitative study examines the perspectives of music educators across a wide variety of ages and grade levels. This study compares explicitly the formal, mandated support of California’s teacher induction program with the informal, voluntary support found in adult ensembles. Many music educators in California began their …

The Influence Of School Closing Mandates On Student Performance During The Covid-19 Pandemic: A Case Study, Cody Ryan Ratliff

Doctoral Dissertations and Projects

The purpose of this embedded single case study was to describe the lack of student needs support during the COVID-19 pandemic for parents of middle school students at a county board of education in West Virginia. (Chiwona et al., 2020; Devereux et al., 2020; Dunn et al., 2020). The theory guiding this study was Abraham Maslow’s (1943) theory on the hierarchy of needs, which demonstrated an impact on student performance. This qualitative single-case study utilized an embedded approach. The central research question this study aimed to answer was to describe how a lack of necessary resources affected students during the …

Pneuma And Logos: Strengthening Sermon Preparation Through A Spirit-And-Word Approach To Biblical Exegesis, Natalie Barnoske

Doctoral Dissertations and Projects

Powerful preaching results from honoring the Word and Spirit as active participants in the sermon preparation process. However, the influence of postmodernism and the lack of resources clarifying this convergence point have led to a polarization of perspectives in biblical exegesis. Therefore, this DMIN action research project designed, implemented, and evaluated a Pneuma and Logos Approach to biblical exegesis based on five essential pillars of hermeneutics, derived from William Oliverio’s Pentecostal Hermeneutics in the Late Modern World. By integrating inductive skills of biblical exegesis with holistic habits of Lectio Divina, this project proposes that stronger sermon preparation skills can be …

Sulfated Dietary Fiber Protects Gut Microbiota From Antibiotics, Fuqing Wu, Xiaoqian Annie Yu, David Angeles-Albores, Susan E Erdman, Eric J Alm

Faculty, Staff and Student Publications

Background: Antibiotics, while essential for combating pathogens, also disrupt commensal bacteria, leading to gut microbiota imbalance and associated diseases. However, strategies to mitigate such collateral damage remain largely underexplored.

Result: In this study, we found that fucoidan, a marine polysaccharide derived from brown seaweed, provides broad-spectrum growth protection against multiple classes of antibiotics for human gut microbial isolates in vitro and for fecal communities ex vivo. This protective effect is dependent on the structural integrity, molecular weight, and sulfur content of the polysaccharide. Transcriptomic analysis showed that while fucoidan had minimal impact on baseline gene expression, it counteracted about 60% …

Development Of A Customizable Web-Based Dashboard For Remote Blood Pressure Monitoring: Feasibility And Usability Implementation Study, Joshua Wollen, Thuy Nguyen, Charles Coton, Gina Dewildt, Gabretta Cooksey, Audrey Cohen, Nicholas Hoang, Munachi Okpala, Michael Gonzalez, Mengxi Wang, Chigozirim Izeogu, Elmer Bernstam, Charles Green, Sean Savitz, Jose-Miguel Yamal, Anjail Sharrief

Faculty, Staff and Student Publications

Background: Effective blood pressure (BP) management is essential for several disease states, including secondary stroke prevention. Remote BP monitoring used in combination with an electronic data capture (EDC) system offers potential for improved BP control for patients. While such systems currently exist, there are many patient-, provider-, and system-specific challenges these systems currently do not address. In addition, such systems are rarely described transparently and comprehensively in the literature with enough detail to be reproduced by other clinicians.

Objective: This study aims to describe the development and design of a web-based EDC system tailored for remote BP monitoring and management …

Effective Leadership Strategies To Reduce Project Delays Resulting From Risk Management, Safiriyu Adebola Koya

Walden Dissertations and Doctoral Studies

Walden University College of Management and Human Potential This is to certify that the doctoral study by Safiriyu Adebola Koya has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Hyuk Kim, Committee Chairperson, Doctor of Business Administration Faculty Dr. Yvonne Doll, Committee Member, Doctor of Business Administration Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 Effective Leadership Strategies to Reduce Project Delays Resulting from Risk Management by Safiriyu Adebola Koya MBA, Southern New Hampshire University, 2022 BS, …

Evaluating The Effectiveness Of The Comprehensive Unit-Based Safety Program In Reducing Hospital-Acquired Infections, Peta Ann Anderson

Walden Dissertations and Doctoral Studies

This doctoral project is an evaluation of a quality improvement initiative that applied a mixed method approach to evaluate the impact of the Comprehensive Unit-based Safety Program (CUSP) on hand hygiene (HH) compliance and healthcare-associated infection rates. The project was conducted in the United States of America (USA), Florida in an acute care hospital. The practice problem addressed was the persistent low adherence to HH protocols among healthcare staff, a critical issue in nursing practice due to its direct link to preventable patient harm. Quantitative data demonstrated a substantial reduction in infection rates following the implementation of the CUSP program. …

Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion

Walden Dissertations and Doctoral Studies

The United States has the largest correctional system and the highest incarceration rate in the world. Within this system, correctional officers (COs) serve as the primary point of contact with inmates. Existing literature suggests that the nature of inmates’ offenses often influences COs’ perceptions. Moreover, safety equipment plays a critical role in maintaining security within prison environments. Understanding COs’ experiences and perceptions regarding their safety equipment is therefore essential. The research problem is that little is known about COs’ lived experiences with and perceptions of the safety equipment they carry to keep safe from inmate severe assault. The purpose of …

The Experiences Of Physical Therapists Trained In Instrument Assisted Soft Tissue Mobilization For Self-Care, Edward Bezkor

Walden Dissertations and Doctoral Studies

Physical therapists and physical therapy students are susceptible to overuse and postural-related injuries related to computer work, lifting, and transferring patients. An effective technique for musculoskeletal dysfunction is instrument assisted soft tissue mobilization (IASTM) self-care. The purpose of this phenomenological qualitative study was to better understand the lived experiences of physical therapists and physical therapy students who are trained in IASTM self-care. The theoretical foundation for this study was the health belief model (HBM), which proposes that one’s beliefs strongly influence behavior change. In alignment with HBM, research questions related to the participants’ beliefs regarding the perceived threat of not …

Msw Degree Completion: Foster Care Alumni’S Perceptions Of Barriers, Resilience, And Success, Christa Martinez

Walden Dissertations and Doctoral Studies

This capstone research project involved examining foster care alumni who successfully graduated from Master of Social Work (MSW) programs as full-time students. The purpose of this study was to address resilience factors and this population’s perceptions of barriers, resilience, and success in terms of completing full-time MSW programs and career outcomes. The resiliency theory and a strength-based-perspective were frameworks for this research. This basic qualitative research study involved using purposive sampling, and 11 foster care alumni were interviewed who graduated from full-time MSW graduate programs in the United States. Through thematic analysis, themes emerged were lack of economic resources impacting …

Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint

Walden Dissertations and Doctoral Studies

This quality improvement project is a staff education initiative designed to address psychotropic medication noncompliance in an outpatient behavioral health clinic setting. The project arose from the identification of a significant gap in staff knowledge and confidence related to medication adherence strategies. Medication noncompliance in psychiatric care is associated with symptom exacerbation, increased hospitalization, and poorer patient outcomes, making it a critical issue in nursing practice. The practice-focused question guiding the project was: In an outpatient behavioral health clinic setting, does implementing a structured staff education program improve staff knowledge and confidence in addressing medication noncompliance? Analytical strategies included a …

The Association Between Unemployment, Income, Education, Healthcare Access, Mental Health And High-Risk Hiv Behavior In The United States, Tia Smith

Walden Dissertations and Doctoral Studies

High-risk HIV behavior remains a critical public health concern in the United States, particularly among socioeconomically and psychologically vulnerable populations. Despite extensive prevention efforts, a gap persists in understanding how structural and mental health factors jointly contribute to HIV risk. This study addresses that gap by examining the association between socioeconomic status (SES), including income, education, employment, and healthcare access, and mental health status (diagnosis of depression and days of poor mental health) on high-risk HIV behavior at the individual level. Guided by the social determinants of health (SDOH) theoretical framework, the study utilized secondary data for over 40,000 adults …

Monte Carlo Stellar Evolution Models And Their Application On Globular Clusters, Jiaqi Ying

Dartmouth College Ph.D Dissertations

Stellar evolution models serve as fundamental tools in astronomy, essential for interpreting the interiors and evolutionary stages of stars, and have wide applications in astronomy, from searching for exoplanets to estimating the age of the universe. This thesis explores the inherent uncertainties arising from the complex physics used in stellar evolution models. By adopting a Monte Carlo approach to vary over 20 key stellar evolution parameters, we quantify their impact on model predictions, highlighting substantial influences on age, luminosity, and temperature. Through a detailed analysis of Milky Way globular clusters (GCs), this work rigorously investigates the uncertainties inherent in stellar …

Improving Self-Care In Nursing Professionals, Tina R. Kinnear

Master's Projects and Capstones

Abstract

Background: Nurses in high-acuity settings like telemetry units face intense physical and emotional demands, often leading to burnout and secondary traumatic stress. This project aimed to integrate self-care into nursing culture through leadership and evidence-based strategies to support resilience and well-being.

Problem: At a telemetry unit in Stanislaus County, 67% of nurses reported burnout or secondary traumatic stress despite institutional focus on well-being. Barriers like high patient acuity and lack of standardized self-care practices persist. In addition, the unit has consistently scored below the 65% benchmark on the Glint People Pulse “Culture of Health Index,” with survey engagement …

Enhancing Patient Safety: Fall Prevention Through Video Education, Fithawit T. Zere

Master's Projects and Capstones

Abstract

Problem: Globally, hospital falls remain a leading cause of injuries, increased costs, short and long-term disability and emotional impact on patients/families. Despite required prevention measures, a local hospital experienced rising fall rates during 2024 (n=71);13 of these occurred in the Med-telemetry microsystem. Although multiple strategies and financial investments occurred, nursing compliance with the fall prevention “bundle” remained suboptimal.

Context: Thirteen falls resulted in $182,000 in 2024. A quality improvement (QI) project was initiated over 12 weeks after routine audits revealed inconsistency in application of several components of the required bundle: particularly, the fall prevention video upon admission.

Interventions: A …