Digital Commons Network^™

Medical Journals As Complex Adaptive System (Cas) Reports: Reframing Journals As Structured Detection, Interpretation, And Feedback Systems In Healthcare, James Espinosa, Alan Lucerna

Rowan-Virtua Research Day

Background Healthcare operates as a complex adaptive system (CAS) characterized by distributed agents, nonlinear interactions, and emergent behavior. Effective adaptation depends on mechanisms capable of detecting and redistributing signals from across the system.

Objective To conceptualize the medical journal as a structured CAS report and to examine its role in supporting system awareness among clinicians.

Conceptual Model Recurring journal sections—including original research, reviews, editorials, clinical cases, perspectives, humanities, and letters—function as distinct sensing and signaling channels. Together, they provide a multi-dimensional representation of system activity.

Implications Journals serve not only as repositories of knowledge but as adaptive communication nodes that …

Cannabis Use Disorder And Executive Function - A Literature Review, Jonathan Perumpail

Rowan-Virtua Research Day

Cannabis use disorder (CUD) is recognized as a psychiatric condition characterized by persistent and problematic cannabis consumption that leads to marked functional impairment. Growing evidence suggests that chronic CUD exerts significant effects on executive functions such as inhibitory control, cognitive flexibility, goal-directed behavior, and decision-making. This literature review integrates findings from 25 studies focusing specifically on individuals with objectively diagnosed CUD to explore the effects on cognition in this patient population. Across studies, deficits in executive function are consistently observed, with adolescents and early-onset users demonstrating increased vulnerability. Neuroimaging studies reveal structural and functional alterations in the prefrontal cortex and …

A Case Of Successful Survival In A High-Risk Elderly Patient With Copd After Endotracheal Intubation, Julia Cueto Oms-Ii

Rowan-Virtua Research Day

Exacerbations of chronic obstructive pulmonary disease (COPD) leading to acute respiratory failure (ARF) is one of the major causes of mortality worldwide, thus typically having poor outcomes. Risk factors such as the need for invasive mechanical ventilation (IMV), severity of disease, comorbidities, and increased age are predictors of increased mortality rates in COPD patients. Noninvasive ventilation (NIV), like bilevel positive airway pressure (BiPAP) or high flow nasal cannula (HFNC), is the initial standard of care for acute exacerbations of COPD. However, longer periods of NIV and failure of NIV therapy can lead to delayed endotracheal intubation and higher mortality rates. …

The Ramifications Of German Ostpolitik: How Germany’S Foreign Policy Influenced The Russia-Ukraine Conflict, John Aton

Senior Theses

German Ostpolitik, established during the Cold War, was the main foreign policy of Germany emphasizing international cooperation and diplomatic engagement with Russia. As the Russia-Ukraine conflict remains active, the challenges of this particular foreign policy’s adoption are evident within certain actions and decisions Germany made in the pursuit of mutual cooperation with Russia. By conducting a thorough analysis of the historical events in German Ostpolitik’s formation and its security policy, while assessing Germany’s leap for economic interdependence alongside Russia, this paper reveals a troubling dynamic where certain actions taken under the doctrine of German Ostpolitik influenced Germany to misjudge and …

Ketamine With Opioids Vs. Ketamine With Non-Opioid Analgesics For Vaso-Occlusive Crisis In Sickle Cell Disease: A Prisma-Style Scoping Review, Akhil Tumpudi

Rowan-Virtua Research Day

Vaso-occlusive crises (VOCs) are the hallmark of Sickle Cell Disease (SCD) and a leading cause of hospitalization. Pain management relies heavily on opioids, but repeated exposure carries risks including tolerance, hyperalgesia, and adverse effects. Ketamine, an NMDA receptor antagonist, has emerged as an adjunctive agent with potential opioid-sparing effects (1–3,7). Systematic reviews suggest ketamine may reduce pain scores and possibly opioid requirements, though pooled results remain inconsistent (5,6,8). While ketamine + opioid regimens have been studied, the feasibility, efficacy, and safety of ketamine combined with non-opioid analgesics for VOC remain largely unknown. Understanding the comparative effectiveness of these approaches is …

A Preliminary Study On Composing For Reed Quintet, John O. Ford

Recital Papers

This paper is for the composer that aspires to write for the reed quintet ensemble. It discusses the ensemble’s short history and explains analyses of different reed quintet works to identify roles, pairings, and combinations of the five instruments and their timbral and textural capabilities.

Neuro Visual Training For Post Tbi Rehabilitation: A Three-Patient Case Series, Isha Shashi, Joseph Clark, Aidan Butler, Kevin Kohmescher

Rowan-Virtua Research Day

Abstract.

Introduction:

Post-concussion syndrome (PCS) often presents with persistent symptoms following mild traumatic brain injury (mTBI), leading to significant delays in recovery. This case study explores the efficacy of a novel rehabilitation approach, of intensive NeuroVisual Training (NVT), in treating PCS for three patients presenting with chronic symptoms. We initiated an intense training program for 1 week, 8 hours per day, and call this a bootcamp.

Methods:

This is a three-patient case series. All patients were evaluated using traditional NeuroVisual assessments and cognitive assessments. All patients were greater than 6 months post-injury. All underwent a full 5-day bootcamp specifically tailored …

Integrated Solar And Regenerative Braking System For Off-Grid Charging Of An Electric Motorcycle, Christian Soolany, Dhimas Oki Permata Aji, Sigit Suwarto, Setya Permana Sutisna, Furqon Furqon

Journal of Mechanical Engineering Science and Technology (JMEST)

This study introduces an off-grid charging system developed for a modified 110 cc electric motorcycle. The system incorporates a portable photovoltaic (PV) array and a regenerative braking feature, aimed at improving the motorcycle's energy efficiency. The setup includes a 72 V, 20 Ah lithium-ion battery, a 240 Wp portable PV array, and a 2 kW Brushless DC (BLDC) motor with regenerative braking to enhance the energy available on board. From the experiments, the vehicle demonstrated an average energy consumption of 44.9 Wh/km and achieved a range of about 32 km per charge. The PV system generated between 200 and 270 …

Pattern-Aware Graph Neural Networks For Handling Missing Data, Minett Tran, Taehee Jeong

Faculty Research, Scholarly, and Creative Activity

Missing data is ubiquitous in real-world datasets. Traditional methods either discard incomplete samples or apply imputation techniques that ignore potentially informative missingness patterns, implicitly assuming that missingness occurs randomly. However, missingness patterns might provide additional information. We propose pattern-aware graph neural networks that explicitly encode which features are missing alongside observed values. We used four encoding strategies-learned embeddings, frozen random embeddings, statistical features, and hierarchical representations-across seven UCI datasets with naturally occurring missingness. Our Pattern-aware methods achieve substantial improvements over baselines, with an average improvement of 17% in balanced accuracy and 22% in F1-macro across all datasets. Our code and …

Statistical Cryogenic Characterization Of Commercial 14nm Finfets For Analog Applications, Wesley Xi, Le Minh Long Nguyen, Vikram Magendar, Hiu Yung Wong

Faculty Research, Scholarly, and Creative Activity

Cryogenic devices at 4.2K are indispensable in the control electronics for large-scale quantum computers. Due to its small manufacturing volume, a standard commercial foundry process is likely to be used in the near and medium terms. Moreover, 77K electronics are promising for high-speed server applications. Besides digital circuits, analog circuits with non-minimal channel length are particularly important in quantum computing control. In this paper, special structures are designed to characterize the device properties of medium- and long-channel length devices at 292K, 77K, and 4.2K in a commercial 14nm FinFET process. About 100 structures were measured for both NMOS and PMOS. …

Stability Of Sufentanil Sublingual Microtablets (Dzuveo) In Extreme Cold Weather Conditions: An Experimental Study, David Mcconnell, Hayley Manners, Paul Sutton, Nicola Gawman, Tim Parham, Jonathon Lowe

School of Geography, Earth and Environmental Sciences

Introduction Extreme cold weather environments are challenging for medication storage and delivery, particularly for injectable analgesics vulnerable to freezing and device failure. These risks may compromise pain management in austere or operational settings where temperature control cannot be maintained. Sufentanil sublingual microtablets (sold in the UK as Dzuveo) provide an oral analgesic option with manufacturer-reported sub-zero stability. Evidence describing the effects of sustained extreme cold exposure and repeated freeze–thaw cycling on chemical stability and delivery system function is limited.Methods We conducted a laboratory study assessing the effect of sustained freezing and repeated freeze–thaw exposure on sufentanil sublingual microtablets (30 µg …

Exploring Resilience And Positive Psychology – Mental Health Clinicians’ Perspectives On Schizophrenia Within The Criminal Justice System, Shaquanna Ferguson

Walden Dissertations and Doctoral Studies

No abstract provided.

Exploring Healthcare Leadership Strategies To Address Cyberattacks And Assess Their Effectiveness And Compliance, Luana Hippolyte

Walden Dissertations and Doctoral Studies

No abstract provided.

The Lived Experiences Of Facilitators Navigating Group Cohesion In Online Interpersonal Psychotherapy Groups, Jason Woodford

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Staff Knowledge Of Evidence-Based Strategies To Support Antidepressant Medication Adherence Through Psychoeducation And Automated Reminder Tools In An Outpatient Mental Health Clinic, Flavine Tembu

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Hypertension Control Among Middle-Aged, Black, Female Patients Through Staff Education On Evidence-Based Joint National Committee Guidelines, Afolake Oyinlola

Walden Dissertations and Doctoral Studies

No abstract provided.

Executive Leadership System Improvement Recruiting A Critical Resource In Medical Surgical Nurses, Vanessa Chavez

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Use Best Practices For Implementing And Utilizing The Digital Depression Screening Tool In An Outpatient Psychiatric Clinic, Robert James

Walden Dissertations and Doctoral Studies

No abstract provided.

Secondary English Teachers’ Experiences Of Barriers To Implementing Differentiated Literacy Instruction, Andrea Carson Johnson

Walden Dissertations and Doctoral Studies

No abstract provided.

Maternal And Mental Health Action Plan To Improve Perinatal Outcomes Across The Continuum Of Care In A Community-Based Hospital, Hannah Simmons

Walden Dissertations and Doctoral Studies

No abstract provided.

Implementation Of The Prapare Social Determinants Of Health Screening Tool, Munachiso Iheonunekwu

Walden Dissertations and Doctoral Studies

No abstract provided.

Underdiagnosis Of Bipolar Disorder And Under Utilization Of The Mood Disorder Questionnaire, Sandeep Grewal

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education On Post Discharge Follow Up Care To Improve Staff Knowledge, Collins Scott

Walden Dissertations and Doctoral Studies

No abstract provided.

Trauma-Informed De-Escalation Staff Education For Outpatient Psychiatric Nursing, Alice Sesay

Walden Dissertations and Doctoral Studies

No abstract provided.

Exploring Child Trafficking Survivors' Experiences: Support, Revictimization, And Justice Institutions, Max Lubin

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education On Crisis Management Protocol For Aggressive Behaviors In Patients With Developmental Disabilities, Kenneth Mbuen

Walden Dissertations and Doctoral Studies

No abstract provided.

Living Archaeology: A Comparative Perspective On How Archaeologists Can Study And Document The Present, Alia S. Moran

Honors Capstones

Archaeology has long remained a social science that has tended to exclude sustained consideration of contemporary societies in the analysis of material culture. In recent decades, approaches such as ethnoarchaeology and the archaeology of the contemporary have expanded the field to include the study of present-day societies through material culture. Inspired by my involvement in the Thais in Illinois Project, which focused on documenting the Thai American immigrant experience in the greater Chicago area to produce an oral history collection, alongside other goals, this thesis intends to further explore how archaeological practice can be used to understand everyday issues in …

The Effect Of Climate Change On California’S Agricultural Economy, Anmol Singh

Honors Capstones

This study examines the relationship between climate variability and agricultural production in California, focusing on major specialty crops including almonds, walnuts, pistachios, and grapes. Using annual data from 1993 to 2023, the analysis evaluates how temperature and precipitation influence agricultural output while controlling for differences across crop types. The study employs ordinary least squares regression models using the natural logarithm of crop production as the dependent variable. In addition to a baseline linear specification, an extended nonlinear model including squared temperature and precipitation terms is estimated to test for potential nonlinear climate effects.

The results indicate that temperature has a …

The Effects Of Misinformation And Source Credibility On False Recall In College Students, Ashlee Smolenski

Honors Capstones

Eyewitness testimony if often treated as strong evidence in legal systems, yet psychological research consistently shows that memory is not a perfect recording of events. Instead, memory is reconstructive and vulnerable to distortion. The present study examined whether exposure to misleading post-event information and differences in perceived source credibility would influence false recall in college students. Using a 2 x 2 factorial design, participants watched a brief video of a car accident and later received either misleading or neutral questions presented by a high credibility (police officer) or low credibility (elderly man) source. It was predicted that misinformation would decrease …

Invisible Shipwrecks And Neurological Endangerment: The Trade-Off In Seeking Asylum - Reframing The Neurobiological Cost Of Forced Migration, Eisha Giran

CISLA Senior Integrative Projects

Forced migration along the Spain–Morocco route represents one of the most visible humanitarian crises of the twenty-first century, yet its neurological dimensions remain insufficiently examined. This paper investigates how prolonged displacement and trauma reshape neural systems involved in stress regulation, memory, and emotional processing. It introduces the concept of neurological endangerment, defined as a condition of prolonged and inescapable threat exposure during forced migration in which stress-response systems remain chronically activated, opportunities for recovery are structurally constrained, and cumulative neurobiological risk persists beyond the period of immediate danger.

To address the gap between biological measurement and lived experience, this paper …