Digital Commons Network^™

Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu

Walden Dissertations and Doctoral Studies

Falls are a significant health concern for the elderly population and a major cause of injury and functional decline among older adults, yet fall prevention practices are inconsistently applied in primary care. The purpose of this project is to evaluate the impact of staff education on fall risk screening and prevention for adults aged 65 years and older using the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) framework. This project employs a pre–post quality improvement design in a primary care clinic. Clinical staff received education on STEADI-based fall risk assessment, documentation, and evidence-based interventions. Data were collected through chart …

The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker

Walden Dissertations and Doctoral Studies

Many parolees struggle with successful reintegration into society. Further research was needed to assess the benefits of parole for both parolees and former parolees in Guyana, the only English-speaking country in South America. The insights of ex-parolees may make the country’s parole process more meaningful to offenders’ rehabilitative experience and overall social reintegration. The purpose of this qualitative study was to understand the effectiveness of rehabilitative activities in the social reintegration of ex-parolees into Guyanese society. The risk–need–responsivity model, general strain theory, and social support theories provided a framework for the investigation. The focus was on ex-parolees who had been …

A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a nurse-led, evidence-based staff education initiative designed to improve the prevention and detection of elder abuse in the home by caregivers within an outpatient primary care setting. Elder abuse places older adults at risk for physical harm, neglect, medication mismanagement, and violations of autonomy and patient rights. Elder abuse remains a pervasive and underrecognized problem in nursing practice, often resulting from limited staff education, inconsistent screening practices, and uncertainty regarding mandatory reporting requirements. The practice-focused question examined whether implementing a nurse-led targeted education program guided by the ADDIE instructional design model and …

Preferred Social Support Systems Of Black Women With Fibromyalgia Syndrome And Mood Disorders, Briana Beverly

Walden Dissertations and Doctoral Studies

Black women managing Fibromyalgia Syndrome (FMS) and mood disorders navigate complex health care experiences within systems that often fail to recognize their needs. Health care disparities, cultural expectations, and systemic barriers create distinct interpretive contexts for this population, who often encounter delayed diagnoses, inadequate treatment, and dismissal of their symptoms despite often reporting higher levels of pain severity. Using the biopsychosocial model as a conceptual framework, this qualitative study utilized interpretative phenomenological analysis to explore how Black women make sense of their experiences across physical, psychological, and social dimensions. Data were collected from semi-structured interviews with six participants. Key findings …

Colorism And The Black Family: Effects Of Colorist Messages Among Black Women, Carolyn Frink

Walden Dissertations and Doctoral Studies

The problem examined in this study is how colorism affects Black families. The purpose of this qualitative case study was to explore the lived experiences of Black women and the colorist messages they received from family members, how those messages were internalized, and the messages perceived effects. The conceptual framework for this study was based on the colorist-historical trauma framework, and data were obtained through individual interviews with Black women ages 22–70, from various socioeconomic backgrounds and selected through purposeful sampling. A multiple case study approach was used to examine similarities and differences among the participants. A thematic analysis was …

An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro

Walden Dissertations and Doctoral Studies

The purpose of this interpretive phenomenological analysis (IPA) study was to understand how CMHC students experience and create meaning of site supervision during internship under the new CACREP (2024) Standards. The bulk of the literature on this topic comes from allied social sciences and little research is available in the clinical mental health discipline. As such, there is a need to better understand this experience from the perspective of CMHC students. The study was grounded in interpretive phenomenology and used the rigorous IPA process to explore students’ lived experiences of supervision. I conducted a study using semi-structured interviews with eight …

Perspectives Of Early Childhood Degree Students, Mentors, And Faculty On Quality Field Experiences, Carmen Cook

Walden Dissertations and Doctoral Studies

There is a need for high-quality practice-based field experiences as a component of early childhood teacher preparation programs. This need had been deemed critical and was prioritized by both national and local organizations in a Midwest state. Little research had focused on the quality of field experiences. Guided by Dewey’s progressive education and Vygotsky’s social cultural theory, the purpose of this basic qualitative study was to explore the perspectives of students, mentor teachers, and faculty on what constitutes high-quality field experiences and what components of the field experience are most important. Semistructured interviews were conducted with 16 early childhood degree …

Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning

Walden Dissertations and Doctoral Studies

The problem that was addressed in this study is that third through fifth grade students continue to score below district expectations on the Georgia Milestones Assessment System in narrative writing. Guided by the Ofsted inspection framework, the purpose of this basic qualitative study was to understand the experiences of upper elementary teachers teaching writing in Title I classrooms. Data were collected through semistructured interviews with 10 participants who taught upper elementary grades. Through thematic coding, four themes emerged outlining (a) the instructional success teachers experienced teaching narrative writing, (b) the instructional challenges of teaching narrative writing, (c) teachers’ beliefs about …

Review Of Treating Callous-Unemotional Traits In Children, Jalyn Dubois

Undergraduate Research (Journal)

Psychopathy is a complex disorder characterized by callousness, empathy deficits, and a lack of guilt. While psychopathy cannot be diagnosed until adulthood, these callous-unemotional (CU) traits emerge during early childhood. Interventions aimed at reducing these traits at an early age are generally more effective than treating adults. Literature regarding these child interventions is muddled, inconsistent, and highly limited by methodological challenges. This review synthesizes this conflicting body of research in an attempt to determine best practices. Traditional parent management training (PMT) evidenced mixed results, improving when modified to emphasize the use of positive reinforcement and parental warmth. Treatment gains were …

Confinement And Consent: A Comparative Analysis Of Sexual Abuse In Finnish And U.S. Prisons, Madison A. Greico

Binghamton University Undergraduate Journal

The Bangkok Rules and The Basic Principles for The Treatment of Prisoners are a specific outline of protections and rights for individuals( Bangkok specifically about women) within prisons adopted by the United Nations compromising states. While The United States is a leader in the United Nations and adopted this set of rules, their failures of commitment are extremely apparent. Every year, thousands of prison rapes occur behind bars in New York alone by the very guards meant to protect them. In Finland, another United Nations member, however, has virtually no record of sexual abuse within their prisons. In investigation of …

A Semantic Knowledge-Enhanced Assessment Method For Spectrum Effectiveness Of Low Earth Orbit Constellations, Yiqing Liu, Qiuyang Zhang, Chunyu Liu, Yao Xue, Zhiwei Wei, Yan Feng

Journal of System Simulation

Abstract: In order to scientifically assess the spectrum effectiveness of low earth orbit constellations, the problems of insufficient adaptability of the traditional assessment framework and inaccurate estimation of KPIs under sparse data conditions were solved, a semantic knowledge-enhanced assessment method for spectrum effectiveness of low earth orbit constellations was proposed. A comprehensive multi-level, all band, and multi-dimensional spectrum effectiveness assessment framework covering link level, system level, geographical level, and service application level was constructed. A KPI intelligent prediction agent model integrating semantic knowledge and machine learning was proposed to quantify text-like design parameters using SentenceTransformer, so as to rapidly …

Simulation Method For Multi-Crew Construction Processes Based On Large Language Model-Powered Agent, Yifan Wang, Bin Yang, Congjun Wang

Journal of System Simulation

Abstract: Traditional construction simulation methods typically rely on predefined rules or static scheduling mechanisms, making it difficult to simulate interactive decision-making under complex constraints by dynamically adapting multi-crew construction scenarios. As a result, workforce idleness caused by process dependencies and spatial occupation fails to be solved. A simulation method for multicrew construction processes based on a LLM-powered agent was proposed. The distributed crew agents endowed with construction scenario understanding and reasoning capabilities were constructed, as well as a centralized project manager agent. A “single-manager and multiple-crew” decision-making mechanism for multi-agent interaction in construction was designed. Autonomous decision-making and coordination mechanism …

The Lumberjack, February 18, 2026

Cal Poly Humboldt's Student Newspaper

The student newspaper of Humboldt State University.

Copyright Notice, Chicago-Kent Journal Of Intellectual Property

Chicago-Kent Journal of Intellectual Property

No abstract provided.

Table Of Contents, Chicago-Kent Journal Of Intellectual Property

Chicago-Kent Journal of Intellectual Property

No abstract provided.

Copyright Dilution Under Constitutional Scrutiny, Edward Lee

Chicago-Kent Journal of Intellectual Property

No abstract provided.

Unfair Learning: Genai Exceptionalism And Copyright Law, David Atkinson

Chicago-Kent Journal of Intellectual Property

No abstract provided.

Algorithmic Chopin—Musical Authorship In The Age Of Artificial Intelligence, Eyal Brook

Chicago-Kent Journal of Intellectual Property

No abstract provided.

The Unsettling History Of Settled Expectations, Sara Tonnies Horton, Henry Thomas

Chicago-Kent Journal of Intellectual Property

No abstract provided.

Supporting Clinical Instructor Confidence Through Online Education Program Training, Minerva Gonzales

Creating Healthy Work Environments (CHWE)

Utilization of clinical instructors has always been vital to support academic achievement of nursing students. Hiring full time nursing faculty is challenging for a multitude of reasons and most faculty are stretched thin. According to Ross, Dunker, Duprey, Parson, & Humphries (2022), it is estimated that 75,000 qualified nursing students are denied admission annually due to a shortage of nurse faculty and clinical sites. In the last year, one West Texas nursing program had a decrease in nursing faculty and relied heavily on clinical instructors. Although clinical instructors are required to hold a master’s degree in nursing, most are not …

Integrated Development Environment For Digital Test Applications Based On Cloud-Edge-End Architecture, Wenguang Yu, Qun Li, Hongjie Dang, Hao Chen, Ping Yang

Journal of System Simulation

Abstract: Digital test applications need to be constructed using the unified digital test development tool. After analyzing the features of digital test applications such as large-sample autonomous run, high computational efficiency requirement, and diverse task scenarios, this paper proposes the integrated development environment (IDE) for digital test applications based on cloud-edge-end architecture. The layered expandable architecture, the hybrid integration framework of multi-source heterogeneous models, and the cloud-edge-end collaborative deployment architecture are designed for the IDE of digital test applications. The IDE supports the rapid development, integration, and execution of digital test models and enables development of digital test applications on …

Research On System And Application Framework Of Tactical Wargaming Simulation Driven By Ai4s, Dayong Liu, Qisheng Guo, Zhiming Dong, Xuehuan Qiu, Zhuoli Liu

Journal of System Simulation

Abstract: Tactical wargaming simulation, as a crucial tool for combat analysis, simulation training, and equipment demonstration and test, has become a significant means for generating combat effectiveness. Integrating AI into simulation not only enhances simulation efficiency but also diminishes reliance on humans. To assist professionals engaged in tactical wargaming simulation in mastering AI application methods, fostering a systematic mindset, and understanding evolving trends, this paper provided a concise overview of the principles behind AI for science (AI4S). Subsequently, it conducted an analysis of AI4S's application effectiveness in tactical wargaming simulation, established an AI4S-driven wargaming simulation system, and elucidated its composition, …

Knowledge Closed-Loop Driving-Based Intelligent Game Confrontation Simulation, Quan Liu, Yu Wang, Linyue Liu, Hao Chen, Jian Huang

Journal of System Simulation

Abstract: For human-machine intelligence integration and collaborative intelligence enhancement, a “knowledge-model-data-knowledge” closed-loop paradigm for combat simulation is proposed to guide the design of a DRL-based game confrontation simulation architecture. By building a combat priori knowledge-guided DRL agent model, mining and analyzing the time series data of agent interactions generated during simulations, and extracting combat posterior knowledge that expands the cognition boundaries of commanders, the knowledge closed-loop driving mechanism for intelligent combat simulations is achieved. The experimental results indicate that the proposed mechanism can effectively endow the combat simulation system with intelligence growth capabilities, providing valuable reference for the deepening …

Management Of Acute Myeloid Leukemia: A Review, Chetan Jeurkar, Lana King, David Baek, Lindsay Wilde, Gina Keiffer, Margaret Kasner

Kimmel Cancer Center Faculty Papers

Background/Objectives: Acute myeloid leukemia (AML) is a heterogeneous hematologic malignancy with historically poor outcomes, particularly among older adults and patients harboring high-risk molecular features. Advances in genomic profiling have enabled the development of targeted therapies, reshaping treatment algorithms beyond conventional cytarabine-anthracycline induction and hypomethylating agent-based regimens. This review summarizes current evidence and emerging therapeutic strategies across four evolving areas: menin inhibition, FLT3 inhibition, IDH inhibition and treatment approaches for TP53-mutated AML. Methods: We reviewed published clinical trials, preclinical studies, and ongoing clinical trials evaluating targeted therapies in AML. Emphasis was placed on agents with regulatory approval or substantial clinical development, …

A Positive Roi, Healthy Workforce, And Increased Retention Through Transition To Practice, Jamie Emery, Emily Calabro, Heather Coleman, Robin Peterson

Creating Healthy Work Environments (CHWE)

Background and Purpose: In 2023, 32.8% of all newly hired RNs leave within the first year, constituting more than a quarter of all RN separations. The average turnover cost for a bedside RN surpasses $52K, and each percentage shift in RN turnover will result in an extra cost/savings of approximately $380K annually for the average hospital. Further, the current national RN vacancy rate stands at a critical 15.7%.

The American Nurses Association (ANA) has called for a greater focus on recruiting and retaining nurses through residency or fellowship programs that transition nurses into new practice settings using evidence-based criteria.

In …

Enhancing The Professional Well-Being Of Us Nurses Through Healthy Nutrition, Emily Daly Matthews, Emma Kurnat-Thoma

Creating Healthy Work Environments (CHWE)

Poor diet is the leading cause of mortality in the U.S. due to the direct relationship with diet-related chronic diseases including cardiovascular disease (CVD) and type 2 diabetes (T2D) which disproportionally affects underserved communities and exacerbates U.S. health disparities. ^1,2,3 The U.S greatly needs effective, evidence-based policy solutions to significantly improve nutrition and foster an equitable and sustainable food system to improve health and reduce diet related chronic disease.⁴ Approximately half of nurses in the United States have poor diet according to a 2018 systematic review.⁵ Healthy nutrition policy solutions should be implemented in the nursing workplace to …

Comparative Safety, Efficacy, And Predictors Of Complete Occlusion Of Flow Diverter Devices In The Treatment Of Unruptured Distal Anterior Cerebral Artery Aneurysms, Hamza Adel Salim, Luca Scarcia, Frédéric Clarençon, Orabi Hajjeh, Motaz Daraghma, Davide Simonato, Yan-Lin Li, Eimad Shotar, Kevin Premat, Pascal Jabbour, Stavropoula Tjoumakaris, Michael R. Gooch, Marios Psychogios, Nikos Ntoulias, Peter Sporns, Ajit S. Puri, Jasmeet Singh, Anna Luisa Kuhn, Ameer E. Hassan, Oktay Algin, Markus A. Möhlenbruch, Sophia Hohenstatt, Riccardo Russo, Mauro Bergui, Oded Goren, Matthew J. Kole, Nourou Dine Adeniran Bankole, Richard Bibi, Gregoire Boulouis, Takeshi Morimoto, Fumihiro Sakakibara, Raoul Pop, Ciprian Juravle, Joanna W. K. Ho, Ãngel Ferrario, Virginia Pujol Lereis, Jared Cooper, Chirag D. Gandhi, Giancarlo Salsano, Lucio Castellan, Arturo Consoli, Alessandro Sgreccia, Eytan Raz, Charlotte Chung, Julien Burel, Chrysanthi Papagiannaki, Umair Rasheed, Khawaja Muhammad Baqir Hassan, Hong Tao, Zhe Ji, Riitta Rautio, Matias Sinisalo, Maria Ruggiero, Elvis Lafe, Valerio Da Ros, Luigi Bellini, Joseph Domenico Gabrieli, Francesco Causin, Michael R. Levitt, Kate Carroll, Zachary Abecassis, Antonio Armando Caragliano, Sergio Lucio Vinci, Guillaume Bellanger, Christophe Cognard, Gaultier Marnat, Lisa Saleille, Nicola Limbucci, Francesco Capasso, Mariangela Piano, Claudia Rollo, Alexis Guedon, Francesco Arpaia, Andrea Romi, Fortunato Di Caterino, Alessandra Biondi, Erwah Kalsoum, Mykola Vyval, Adrien Guenego, Than Nguyen, Mohamad Abdalkader, Thibault Agripnidis, Aman B. Patel, Vitor Mendes Pereira, Maurizio Fuschi, Alessandro Pedicelli, Vivek Yedavalli, Max Wintermark, Andrea M. Alexandre, Adam A. Dmytriw, Creta Investigators

Department of Neurosurgery Faculty Papers

BACKGROUND: Flow diverters (FDs) are increasingly used for cerebral aneurysms, including distal anterior cerebral artery (DACA) aneurysms, but comparative data between devices in this challenging location are limited.

OBJECTIVE: To compare the safety and efficacy of Pipeline, Silk Vista Baby (SVB), and FRED Jr. FDs for unruptured DACA aneurysms and identify predictors of complete occlusion.

METHODS: We retrospectively analyzed 166 patients treated with FDs at 39 centers in 14 countries (2018–2022) from the CRETA registry. Outcomes included aneurysm occlusion (O’Kelly–Marotta [OKM] scale), complications, retreatment, modified Rankin Scale (mRS) scores, and independent predictors of complete occlusion using multivariable Cox regression.

RESULTS: …

Resource-Efficient Continuous Learning Framework For Edge Real-Time Video Analytics, Shuxia Wu, Junjie Zhang, Delong Chen, Zheyi Chen

Journal of System Simulation

Abstract: By deploying lightweight models at the network edge, edge systems can provide services of real-time video analytics. However, due to the data drift caused by the discrepancy between model training and actual deployment, it is challenging to construct lightweight models that match real-world environments. To address this challenge, a resource-efficient continuous learning framework for edge real-time video analytics (CL4VA) was proposed. A region of interest-granularity predictor for accuracy degradation was introduced to efficiently select key samples from real-time video streams. A two-layer mixed sample pool was constructed to adaptively trigger the model's continuous learning and avoid the issue of …

Reinforcement Learning Based Method For Uav Team Orienteering Optimization Under Multi-Constraint Condition, Can Yang, Kai Chen, Feng Zhu

Journal of System Simulation

Abstract: Traditional optimization methods struggle with efficiency, while reinforcement learning approaches often yield low solution quality and high training costs. In response, this paper proposes an attention mechanism-based reinforcement learning method. A dynamic attention strategy network with multi-information fusion is designed to improve solution quality. A visibility-graph approach is employed to simplify threat zone constraints and speed up convergence, and a decoding sequence reordering mechanism is introduced for further performance optimization of the solution. The simulation results show that the method generates high-quality solutions within milliseconds, achieving total rewards that approach or even surpass those obtained by traditional solvers …

Strike Strategy Planning Method Of Unmanned Ground Vehicles Based On Improved Ppo Algorithm, Bingkun Wang, Yue Wang, Mei Yang, Pengnian Zhang, Bohao Fan, Jie Tang

Journal of System Simulation

Abstract: An improved PPO algorithm based on the hybrid action space and gated recurrent unit (GRU) is proposed to address the limitations of predefined strike rules in maximizing the hitting accuracy of unmanned ground vehicles and the difficult coupling and optimization of continuous motion planning and discrete strike decision-making. The environmental model and target model are built for the process of unmanned ground vehicles' strike missions, coupled with a three-layer model for unmanned ground vehicles that fuses kinematic constraints, situational awareness, and dynamic decision-making. Two distinct policy networks are employed, including the continuous motion planning network for path planning, and …