Digital Commons Network^™

Illness, Isolation, And The Fight For Dignity In 1930s North Dakota, Ali Thykeson

History Hawks: A North Dakota History Zine

Behind the Walls of San Haven explores life at North Dakota's tuberculosis sanatorium in the 1930s. Through patient letters, archival photographs, and historical research, the zine reveals how medical practices, public attitudes, and state policies shaped the experiences of those confined to the institution. It highlights the human stories behind San Haven and the reforms that emerged from its challenges.

The Weight Of Expectations, Camille Peck

History Hawks: A North Dakota History Zine

Discover the struggles men and husbands faced during the Great Depression in North Dakota, under intense social pressures from their wives and society as a whole.

A Look Into A Volunteer Soldier's Time, Phoebe Burke

History Hawks: A North Dakota History Zine

Going through the journal from Adam S. Mischel, a veteran of the Spanish-American War, and his experiences. This man was a volunteer who chose to leave North Dakota to go and fight for his country.

Educational Policy Committee Minutes, Clemson University Board Of Trustees, 2026 February 5, Clemson University Board Of Trustees

Minutes

No abstract provided.

Fort Hays State University Tiger Weekly, February 06, 2026, University Relations

Tiger Weekly Newsletters

No abstract provided.

Early Detection Of Infectious Diseases: A Review Of Recent Advances In Pathogen Identification, Molecular Tools, And Metabolomics-Driven Biomarker Discovery, Patrica Ivy Agorsor, Michael O. Eze

Chemistry Faculty Research & Creative Works

The recent COVID-19 pandemic has heightened public interest in noninvasive methods for early diagnosis of infectious diseases. In addition, various government agencies have implemented "infectious disease preparedness" to mitigate future outbreaks. This review highlights conventional and advanced methods for infectious disease diagnosis with an emphasis on emerging mass spectrometry methods. Conventional methods for pathogen identification, such as culture-based techniques and molecular methods, have limitations with respect to sensitivity, specificity, and turnaround time. Recent advances in high-resolution mass spectrometry have revolutionized the field of infectious disease biomarker discovery. These techniques enable the comprehensive profiling of metabolites in various biological samples, identification …

The Normal Gem, December 1889, Vol. Ii, No.3, Florence State Normal School

Documents

Four pages of the December 1889 edition of The Normal Gem newspaper.

The Normal Gem: A Monthly Journal Devoted to the Interest of Education in Alabama existed as one of the University of North Alabama’s earliest student news publications. The publication derives its name from the university’s designation as the Florence State Normal School, the first state-supported teachers' college south of the Ohio River, which existed from 1872 through 1928 until the name was once again changed to Florence State College. The newspapers within the collection feature reflections on student life and education from October of 1889 through November of …

Digital-Era Dawn Raids And Proportional Enforcement Approach, Ahmed Saim Pehlivanli, Zeki Emre Kurt

Yearbook of Antitrust and Regulatory Studies

Dawn raids remain a cornerstone of competition law enforcement, yet their execution has grown complex in the digital era. Messaging platforms and remote devices increase the risk of on-site deletions, prompting authorities in Türkiye and the EU to adopt a strict-liability stance: any deletion after inspections begin is treated as obstruction per se, regardless of intent, recoverability or probative loss. While this maximises deterrence, it raises concerns of proportionality, privacy and legal certainty. This article argues that enforcement can remain effective and proportionate by shifting towards a harm-sensitive model. Drawing on Turkish and EU decisions, it highlights outlier cases in …

Toward Integrating Clinical And Non-Clinical Associates Of Suicidality To Inform Potential Intervention Points Among Youth In Nairobi Metropolitan, Kenya, David Ndetei, Danuta Wasserman, Victoria Mutiso, Kamaldeep Bhui, Jenelle Shanley, Christine Musyimi, Samantha Winter, Pascalyne Nyamai, Samuel Walusaka, Veronica Onyango, Eric Jeremiah, Tom Lee Osborn, Monica Swahn, Andre Sourander, Daniel Mamah

2020-Current year OA Pubs

Suicide is a significant global public health concern, particularly among adolescents, with substantial implications for economies, societies and individuals' mental well-being. Understanding its patterns and intention and psychosocial determinants in a given context can suggest potential intervention points. This population-based cross-sectional study aimed to document suicidal ideas, behaviors and intensity among youths aged 14 to 25 in the Nairobi metropolitan area and associated socio-economic position, demographic indicators and potential intervention points. A diverse sample of 1,972 participants was recruited from urban and peri-urban settings within the Nairobi metropolitan area. Data analysis included descriptive statistics, chi-square tests and logistic regression. Our …

Defining Clinically Relevant Responses In Erectile Function: An Smsna Position Statement, Mohit Khera, Raymond C Rosen, Petar Bajic, Helen Bernie, Martin Gross, Johanna Hannan, Sevann Helo, Lawrence Jenkins Ii, Carol Podlasek, Daniel Watter, Matthew Ziegelmann, Tobias Köhler

Faculty, Staff and Students Publications

Background: To date, no scoring system has adequately defined clinical efficacy of erectile dysfunction (ED) therapies when evaluating differences between cohorts or in meta-analytic studies.

Aim: To outline the minimal criteria required for any therapy to be considered clinically effective in the treatment of ED.

Methods: An analytic review was performed of standardized ED questionnaires, with a particular emphasis placed on the International Index of Erectile Function, Erectile Function Domain (IIEF-EFD), and the minimally clinically important difference (MCID) concept. The data were used to create a societal position statement and recommendations on best practices within clinical trials to determine treatment …

Overcoming Host Restrictions To Enable Continuous Passaging Of Gii.3 Human Norovirus In Human Intestinal Enteroids, Anil Surathu, B Vijayalakshmi Ayyar, Carmen V Apostol, Hoa Nguyen Phuc, Khalil Ettayebi, Aaya Boussattach, Xi-Lei Zeng, Sarah E Blutt, Harsha Doddapaneni, Donna M Muzny, Cristian Coarfa, Ramakrishnan Anish, B V Venkataram Prasad, Robert L Atmar, Sasirekha Ramani, Mary K Estes

Faculty, Staff and Students Publications

The establishment of human intestinal enteroids (HIEs) as a model for human norovirus (HuNoV) replication has been transformative for studying this leading cause of gastroenteritis. However, indefinite passaging of HuNoVs in HIEs remained a challenge, necessitating the use of patient stool samples as viral inocula. Using RNA-seq, we identified CXCL10, CXCL11, and CCL5 as up-regulated chemokines, suggesting their potential as host restriction factors. TAK-779, a CXCR3/CCR5/CCR2 antagonist, enhanced GII.3 HuNoV replication and viral spread in a dose- and time-dependent manner, enabling successful passaging of GII.3 HuNoV in two different HIE lines and generation of viral stocks. Sequencing passaged virus revealed …

The Mosaic, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

The Drivers Of The Gender Gap In Financial Inclusion For Entrepreneurial Development: Empirical Analysis From Tanzania, Cornel Joseph, Chakupewa Joseph Mpambije

Business Management Review

The gender gap in financial inclusion is a significant concern for both the academic community and policymakers, as it represents a critical factor influencing the development of entrepreneurship in Tanzania. Using the World Bank’s Findex database of 2021, this paper examines the drivers of the gender gap in financial inclusion for entrepreneurial development in Tanzania. The study adopts the Fairlie decomposition to examine the contribution of these factors to the gender gap in access and usage of financial services. The empirical results from the Fairlie decomposition analysis confirm the existence of a gender gap in access to financial services in …

Shoulder Strength And Total Arc Range Of Motion: Associations With Upper-Extremity Joint Kinetics And Ball Velocity In Adolescent Baseball Pitchers, Tomohiro Ide, Stephen J. Thomas, Takato Ogasawara, Adam B. Rosen, Brian A. Knarr, Kazuma Akehi, Samuel J. Wilkins

Department of Exercise Science Faculty Papers

BACKGROUND: Adolescent baseball pitchers are vulnerable to upper-extremity injuries because of the repetitive, high-stress nature of throwing movements. While shoulder strength and range of motion (ROM) are commonly measured, they are often interpreted in isolation during injury prevention assessments.

PURPOSE: To determine the relationship between clinical measures (shoulder ROM and strength) and throwing arm joint kinetics in adolescent baseball pitchers.

STUDY DESIGN: Descriptive laboratory study.

METHODS: This study was conducted in a laboratory setting. A total of 43 adolescent baseball pitchers (age, 15-18 years) were recruited through convenience sampling. Participants underwent clinical assessments of shoulder ROM and isokinetic concentric strength …

The Western Curriculum And Identity Conflict Among Pakistani Students, Tauqeer Abdullah, Johar Ali

Makara Human Behavior Studies in Asia

Education systems play a critical role in shaping students’ cultural identities in an increasingly globalized world. In Pakistan, the growing presence of international schools following Western curricula exposes students to values that often diverge from local traditions. Drawing on Erikson’s identity theory, Berry’s acculturation model, and Tajfel and Turner’s social identity theory, this study examines how Western curricula influence students’ self-perception, identity conflict, and cultural alienation. Data were collected from 324 students (179 males, 145 females) enrolled in O-level and A-level programs across five international schools in Lahore, Punjab, using a cross-sectional survey design. The results indicate that Western curricula …

Staff Education To Improve Consistent Utilization Of The Phq-9 Depression Screening Tool, Ekaette Akpabio

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed the inconsistent use of standardized depression screening tools in an outpatient behavioral health setting. The purpose of the project was to implement a structured staff education intervention to improve clinician knowledge, confidence, and consistency in PHQ-9 documentation. Guided by the Johns Hopkins Evidence-Based Practice Model, the project involved delivering targeted education to behavioral health clinicians and evaluating practice implications. Findings support that staff education promotes improved documentation practices, supports accurate symptom assessment, and enhances patient safety. Incorporating standardized screening education into onboarding and ongoing professional development may contribute to sustainable, evidence-based mental …

Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky

Walden Dissertations and Doctoral Studies

Burnout is a significant concern in nursing practice as it is linked to emotional exhaustion, decreased job satisfaction, compromised patient safety, and increased nurse turnover—especially in high-acuity settings. Targeted education is essential to supporting nurse well-being and sustaining high-quality care This doctoral project entailed the implementation of a structured, practice-focused educational intervention to address nurse burnout and limited awareness of mental health resources in an acute care setting. The guiding question was, among acute care nurses, does participation in a one-day educational workshop on burnout and available mental health resources improve knowledge and awareness of burnout prevention compared to before …

Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown

Walden Dissertations and Doctoral Studies

Mental health conditions affect 59 million individuals annually in the United States, translating to one in every four adults. Given this, mental health has emerged as a critical component of an individual’s overall health and well-being, with nurses being pivotal in identifying and addressing mental health concerns. However, research indicates that nurses often lack the knowledge and awareness to conduct mental health assessments. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on mental health assessments increased knowledge and awareness among nurses working in a local organization. A total of …

Staff Education Project Staff Education To Increase Knowledge Of The Patient Health Questionnaire-9 Screening Tool, Linda Ejem

Walden Dissertations and Doctoral Studies

This staff education doctoral project focused on educating nursing staff about the Patient Health Questionnaire-9 (PHQ-9) for depression screening in inpatient psychiatric care. Addressing this issue is crucial, as poor adherence leads to missed diagnoses and treatment, increased hospital visits, and poor patient outcomes. Low adherence to the PHQ-9 depression screening protocol has emerged as a significant practice gap. The purpose of this doctoral project was to increase nursing staff knowledge of the PHQ-9 depression screening tool in psychiatric care through staff education. The practice-focused question was: Does education on PHQ-9 depression symptoms improve nursing staff knowledge as compared pre- …

Staff Education To Improve Timely Intake Response And Follow-Up Communication, Evelyn Noel

Walden Dissertations and Doctoral Studies

A lack of staff knowledge regarding timely intake response and follow-up communication processes resulted in inconsistent management of client follow-up at the private mental health clinic in Florida. This gap in practice guided the practice-focused question: Does educating mental health clinical staff on timely intake response and follow-up communication improve staff knowledge in managing client follow-up processes in a private mental health clinic, as evidenced by pre- and post-surveys? This educational initiative employed the analysis, design, development, implementation, and evaluation (ADDIE) model, the Johns Hopkins evidence-based practice (JHEBP) model, the Walden University DNP Project Checklist, and the DNP Project Process …

The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy

Walden Dissertations and Doctoral Studies

The Family and Medical Leave Act (FMLA) provides unpaid, job‑protected leave only for eligible workers, and rules tied to hours, tenure, and employer size often exclude mothers working part-time. Research on U.S. family and medical leave has documented inequities in access to job protections. The lived experiences of African American/Black mothers navigating this gap remain underrepresented. The purpose of this narrative qualitative study was to explore the lived experiences of African American/Black mothers who worked part-time without mandated job protections, with specific attention to FMLA. General systems theory provided the theoretical framework, and an Afrocentric paradigm centered African/African American/Black voice …

Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson

Walden Dissertations and Doctoral Studies

This staff education project addressed a practice gap in a psychiatric facility where nonclinical staff frequently submitted incomplete referral documentation for patients with co-occurring medical and psychiatric conditions. Due to the facility’s inability to provide acute medical stabilization, medical clearance is required before nurse practitioners can determine admission appropriateness. The project question was, Does educating intake staff on a standardized referral checklist improve knowledge of referral criteria, as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model informed evidence translation, and the analysis, design/development, implementation, and evaluation (ADDIE) instructional design model underpinned the development and evaluation …

Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu

Walden Dissertations and Doctoral Studies

This doctoral project implemented a staff education program to promote nursing knowledge of resilience training and stress management at an outpatient mental health clinic. Workplace stress contributes to medication errors and to poor Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Nurse Communication scores, both of which undermine patient safety. The practice-based question was: Does resilience education enhance stress management strategy knowledge from pre- to post-education? The purpose was to evaluate whether structured resilience education improved nursing knowledge of stress management, guided by the analysis, design, development, implementation, and evaluation (ADDIE) model. Using the Johns Hopkins evidence-based practice (JHEBP) …

Staff Education To Medical Surgical Nurses On Structured Discharge Checklist, Johnmary Odinigwe

Walden Dissertations and Doctoral Studies

Inconsistent discharge practices among medical-surgical nurses contribute to communication gaps, patient confusion, and preventable adverse outcomes following hospital discharge. Nurses, as frontline providers of discharge education, play a critical role in ensuring safe and effective transitions of care. This Doctor of Nursing Practice (DNP) project addressed a practice gap in nurses’ knowledge of implementing a structured discharge checklist. The purpose of this staff education project was to evaluate whether a structured discharge checklist education program would improve medical-surgical nurses’ knowledge of standardized discharge education practices. A pretest–posttest design was used to assess changes in knowledge among 36 medical-surgical nurses. Participants …

Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran

Walden Dissertations and Doctoral Studies

As Generation X (GenX) women near full retirement age, concerns about retirement preparedness have increased due to limited time to save and greater dependence on employer-sponsored retirement plans. The purpose of this qualitative single case study was to explore Gen X women’s perceptions of their retirement preparedness and to identify themes that influence effective retirement planning. Life cycle theory, the theory of reasoned action, and vested interest theory ground the conceptual framework for this study, which together explain how individuals anticipate future needs and engage in intentional financial behaviors. The study primarily focused on participants’ perceptions of retirement preparedness and …

Staff Education To Nurse Practitioners On Proper Std Treatment, Jolanda Monique Amey

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project implemented a structured staff education project to strengthen nurse practitioner knowledge related to the diagnosis and treatment of sexually transmitted diseases in a public health setting. Nurse practitioners often serve as the primary providers of sexually transmitted disease care for underserved and uninsured populations. Maintaining current knowledge of Centers for Disease Control and Prevention (CDC) treatment guidelines is essential to reducing reinfection, limiting transmission, and promoting safe, evidence-based care. When guideline knowledge is inconsistent or outdated, opportunities for appropriate treatment may be missed. The practice-focused question guiding this project was “Among nurse practitioners in …

Malaysia’S Social Media And Virtual Communities: Investigating Digital Engagement, Social Problem Management, And Economic Mobility, Muhammad Ridhwan Sarifin, Nur Hafizah Yusoff, Muhamad Hariz Muhamad Adnan

Makara Human Behavior Studies in Asia

This study explores the evolving role of social media in shaping users’ digital engagement, social problem management, psychological well-being, and economic mobility in Malaysia. A total of 374 respondents participated in an online survey, selected using purposive sampling to capture active users across diverse age, income, and educational backgrounds. The study employed a structured questionnaire with Likert-scale items to evaluate perceptions of virtual community participation. Linear regression and moderation analysis were conducted to determine how social media usage predicts social issue management, emotional and social needs fulfillment, and economic opportunity access. Digital literacy was tested as a moderator between social …

Dupilumab Beyond The Airway: Decreased Morbidity In A Real-World Analysis, Emma J. Anisman, Spencer Short, Emma Tam, Benjamin F. Bitner, Abdulghafoor Alani, Marc Rosen, Mindy Rabinowitz, Damaris Pena Evertz, Elina Toskala, Gurston G. Nyquist

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

Background: Post hoc analyses of clinical trials have characterized dupilumab's adverse effects, yet the real-world impact in chronic rhinosinusitis with nasal polyps (CRSwNP) and asthma is not well described. This study aims to characterize the risks of lymphoma, cardiovascular events, eosinophilia, joint pain, inflammatory arthritis, and sleep apnea in dupilumab-treated CRSwNP and/or asthma patients compared to those not taking dupilumab, and to other biologics.

Methods: This retrospective cohort study used TriNetX, a de-identified database containing over 100 million patient records. Demographics and adverse effects associated with immunotherapy use were collected.

Results: We identified 21,249 dupilumab-treated CRSwNP and/or asthma patients. After …

The Normal Gem, October 1889, Vol. Ii, No. 1, Florence State Normal School

Documents

Two pages of the October 1889 edition of The Normal Gem newspaper.

The Normal Gem: A Monthly Journal Devoted to the Interest of Education in Alabama existed as one of the University of North Alabama’s earliest student news publications. The publication derives its name from the university’s designation as the Florence State Normal School, the first state-supported teachers' college south of the Ohio River, which existed from 1872 through 1928 until the name was once again changed to Florence State College. The newspapers within the collection feature reflections on student life and education from October of 1889 through November of …

Large Magnetoresistance And Quantum Oscillations Observed In Superconducting Β-Irsn4, Smita Speer, Yuriy V. Pershin, Joanna Blawat, John Singleton, Rongying Jin

Faculty Publications

Diverse quantum phenomena have been observed in TSn₄ transition metal (T) stannides, includ ing superconductivity, nontrivial topology, and large magnetoresistance (MR) at low temperat ures. Here, we report the experimental and theoretical investigation of tetragonal β-IrSn4 (space group I4₁/acd) with the lattice parameters a = 6.362(3) Å and c = 22.723(0) Å. The temperature dependence of the electrical resistivity indicates that β-IrSn₄ is a good metal with Fermi-liquid behavior above the superconducting transition at T_c ∼ 0.7 K. Magnetic susceptibility measure ments indicate it is non-magnetic. However, positive transverse MR with …