Digital Commons Network^™

Bioelectrochemical Systems: Prioritizing Energy Density, Long-Term Stability, And Validation, Luana C.I. Faria, Steffane Q. Nascimento, Filipe C.D.A. Lima, Graziela C. Sedenho, Thiago Bertaglia, Rodrigo M. Iost, João C.P. De Souza, Senentxu Lanceros-Méndez, Shelley D. Minteer, Serge Cosnier, Ariel L. Furst, Frank N. Crespilho

Chemistry Faculty Research & Creative Works

Pioneering work in bioelectrochemistry, particularly the employing of yeast cells to generate electrical current, had substantially favored the comprehension of bio electrochemical reactions. This foundational research has boosted the development of bio electrochemical systems (BES), which are significant for sustainable energy solutions. BES technologies, such as biobatteries, bio supercapacitors, and enzymatic and microbial biofuel cells, harness organic and biological systems to provide environmentally friendly alternatives for energy storage and conversion. Despite their potential, these technologies face challenges in achieving competitive energy densities and long-term stability compared to traditional accumulators and converters. Here, we introduce a new Ragone plot for BES, …

Political Empowerment Of West Java Pdi-P Women’S Cadres In The 2024 Legislative Election, Ahmad Rifki Nurfebriansyah, Mudiyati Rahmatunnisa, Ratnia Solihah

Jurnal Wacana Politik

The involvement of women in political parties cannot be ignored. This is because gender equality allows democracy to function properly. PDI-P is the only party that has the highest level of women participation. West Java is one of the crucial provinces in both the 2024 General Election or Regional Election. This study aims to explore how women’s empowerment is carried out by PDI-P West Java in each stage of their politics and what the results are. Qualitative research is conducted by collecting primary and secondary data. Primary data is conducted by interviewing selected informants and secondary data trough related document. …

Clientelism And The Erosion Of Legislative Oversight: Examining The House Of Representative (Dewan Perwakilan Rakyat, Dpr) Role Under President Joko Widodo (2014–2024), Muhammad Tri Andika Kurniawan, Suseela Chandra Devi

Jurnal Wacana Politik

This article investigates the weakening of legislative oversight by The House of (Dewan Perwakilan Rakyat, DPR) during President Joko Widodo’s tenure from 2014 to 2024. Despite the expanded constitutional authority granted to the DPR following the 1998 political reforms, the quality of oversight function has diminished markedly in the Jokowi era. Drawing on theoretical and empirical literature, the article argues that this erosion is not solely the result of institutional shortcomings or inadequate reform, but is primarily driven by pervasive clientelistic relationships between the president and party elites. Such clientelism entrenches political patronage, enabling the executive to exert significant influence …

Spectral–Spatial Transformer With Multiscale Convolutional Attention For Hyperspectral Image Classification, Junde Chen, Wenzhao Li, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

Hyperspectral image (HSI) classification plays a vital role in remote sensing by leveraging rich spectral and spatial information for accurate material recognition. However, existing methods, particularly Transformer-based approaches, still face challenges in effectively modeling multiscale spatial–spectral features, preserving local details, and maintaining robustness to noise. To mitigate these limitations, we propose TMCANet, a spectral–spatial Transformer with multiscale convolutional attention, designed to effectively leverage both local and global contextual dependencies for HSI classification. Our design is guided by three core strategies: first, a convolutional feature extraction module, consisting of four convolutional layers, to learn hierarchical spectral multiscale representations and enhance local …

The Hidden Link Between Hiv And Cardiomyopathy: Unraveling Hiv's Impact On The Heart, Toluwalase Awoyemi, Oluwaremilekun Zeth Tolu-Akinnawo, Andrew Greek, Oluwakemi Adenuga, Chukwuebuka Asogwa, Isaac Ekundayo, Olamide Odusola, Oyinlola Fasehun, Mercy Ajayi, Onyinye Ugoala, Luther-King Fasehun, Adeleke Oluwaseun Dorcas, Michael Angarone

Student Publications

This comprehensive review examines the complex relationship between human immunodeficiency virus (HIV) and cardiomyopathy, focusing on the underlying molecular mechanisms, clinical manifestations, diagnostic approaches, and treatment strategies. It highlights the significant global health burden posed by HIV and its potential to cause long-term cardiovascular complications. The review investigates the pathogenesis of HIV-associated cardiomyopathy. It elucidates the intricate cellular and molecular pathways involved, including the actions of neutrophils, monocytes, macrophages, and lymphocytes in cardiac inflammation. Key signaling pathways such as TNF-NF-κB and the caspase-1 inflammasome are detailed, as they contribute to cardiac infection and injury. The clinical manifestations of HIV-associated cardiomyopathy …

Systematics And Phylogeography Of Mundochthonius Chamberlin, 1929, In The Pacific Northwest (Chelicerata, Pseudoscorpiones), Amanda Rai Montoya-Cowan

Dissertations and Theses

Understanding the processes that drive genetic divergence and species formation is central to evolutionary biology. Invertebrates with low dispersal ability, such as pseudoscorpions, are especially prone to cryptic diversification due to their occupancy of niche microhabitats and sensitivity to landscape barriers. Despite their ecological roles as predators and bioindicators, pseudoscorpions remain one of the least studied arachnid groups, with limited taxonomic resolution and few integrative studies. This research focuses on the genus Mundochthonius in the Pacific Northwest, particularly M. pacificus, a morphologically conserved species whose true diversity and distribution remain poorly understood.

Field surveys guided by a GIS-based habitat …

Loss Of Ptdss1 In Tumor Cells Improves Immunogenicity And Response To Anti-Pd-1 Therapy, Jielin Liu, Shelley Herbrich, Sreyashi Basu, Yulong Chen, Ashwat Nagarajan, Swetha Anandhan, Sangeeta Goswami, Liangwen Xiong, Baoxiang Guan, Padmanee Sharma

Faculty, Staff and Student Publications

PTDSS1 (phosphatidylserine synthase 1) encodes an enzyme that facilitates production of phosphatidylserine (PS), which mediates a global immunosuppressive signal. Here, based on in vivo CRISPR screen, we identified PTDSS1 as a target to improve anti-PD-1 therapy. Depletion of Ptdss1 in tumor cells increased expression of interferon-γ (IFN-γ)-regulated genes, including B2m, Cxcl9, Cxcl10, and Stat1, even in the absence of IFN-γ stimulation in vitro. Loss of Ptdss1 in tumor cells also led to increased expression of MHC-I, enhanced cytotoxicity of CD8+ T cells, and increased frequency of an iNOS+ myeloid subset. A gene signature derived from the …

Report Of The National Expert For The United States In Mapping Third Party Litigation Funding In The European Union, Maya Steinitz

Faculty Scholarship

Commercial third-party litigation funding (“TPLF”) is not centrally regulated in the United States.  It is subject to the overlapping jurisdiction of state and federal courts, state and federal legislatures, regulatory agencies, and bar associations. Legislation, regulation, and oversight of TPLF is being undertaken at each of those levels – much of it centered around the questions of when and whether TPLF should be disclosed; how to mitigate conflicts of interest created by TPLF (including the potential for claimants to lose control over their case to funders); and the identification of any foreign individuals, entities, or countries that may be providing …

A Qualitative Exploration Of Child, Caregiver, And Clinician Perspectives On Mental Health In Children With Osteogenesis Imperfecta, Justin H Qian, Andrew D Wiese, Clarissa Gonzalez, Whitney S Shepherd, Hannah Cho, Gianna M Colombo, Julia M Morales, Selena Guo, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Kara Ayers, Members Of The Bbdc, Marie-Eve Robinson, Chaya N Murali, Brendan Lee, V Reid Sutton, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Osteogenesis imperfecta (OI) is a heritable connective disorder with clinical manifestations including bone fragility and short stature. Previous research identified psychosocial themes related to mental health among children with OI and their caregivers, such as independence, social isolation, depression, and anxiety. Several studies have also examined clinicians of individuals with OI for their perspectives on mental health among their patients. However, no known studies have compared psychosocial themes among all three participant groups concurrently. This qualitative study examined mood and anxiety, along with risk and protective factors, from perspectives of youths, parents, and clinicians. Semi-structured interviews were conducted, which were …

Identification And Characterization Of A Metal Binding-Independent Rift Valley Fever Virus Endonuclease Inhibitor, Cara D Kirby, Gai Liu, Farheen Fatma, Maris R Pedlow, Narendran G-Dayanandan, Nitin Sharma, Zachary D Frey, Rachael E Rush, Steven C Cardinale, Andrzej M Krezel, Amy L Hartman, Terry L Bowlin, Daisy W Leung, Gaya K Amarasinghe

2020-Current year OA Pubs

The viral cap-snatching mechanism, facilitated by the endonuclease (EndoN) domain of viral polymerases, is critical for viral gene transcription and translation and is therefore an attractive target for antiviral development. The successful development of EndoN inhibitor XOFLUZA (Baloxavir marboxil) has opened the possibility that the EndoN domain of negative-sense RNA viruses (NSVs) can be targeted in a similar fashion. Rift Valley Fever Virus (RVFV) belongs to the

Improving Communication And Collaboration: How Using A Communication App Improves The Online Student Learning Experience, Gina L. Solano, Jennifer Miller

Journal of Educational Research and Practice

Due to the isolation of asynchronous learning, online university students face challenges that can impact performance, increase anxiety, and lead to dropout. This study explores the use of communication apps, such as WhatsApp, Nectir, and GroupMe, to enhance engagement, peer socialization, and learning in graduate-level online courses across New York from Spring 2022 to Spring 2023. Data from purposeful sampling reveals that these tools reduced anxiety, improved confidence in asking questions, and provided timely support for assignments. The qualitative study aimed to identify strategies to boost student success, constructive dialogue, and motivation. Results suggest that communication apps effectively mitigate isolation …

The Simcomp Tool For Simulation-Based Learning: Advancing Competency-Based Nursing Simulation, Heather S. Cole, Megan P. Lippe, Donna Guerra

International Nursing Research Congress (INRC)

Background: Simulation-based learning experiences allow undergraduate nursing students to develop competence and confidence through deliberate practice with immediate feedback on the learner's performance. As nursing education shifts towards a competency-based framework, faculty require robust tools to evaluate student performance in simulation settings effectively. The purpose of this Delphi study was to develop the SimComp Tool – a competency-based evaluation tool aligned with the AACN (2021) Essentials: Core Competencies for Professional Nursing Education.

Methods: Utilizing the Delphi technique, we engaged a diverse panel of experts to refine and reach consensus on competency-based simulation evaluations. Panelists rated aggregated responses using a Likert …

Exploring Interprofessional Collaboration In A Rural Community’S Pandemic Response Efforts, Susan E. Young, Stephanie R. Duea

International Nursing Research Congress (INRC)

Introduction: Community resilience refers to the capacity to prepare for, respond to, and recover from extreme events¹. While community leaders, health departments, faith-based organizations, and other agencies can greatly influence an area’s socioeconomic, physical, and mental well-being², building capacity through community competence involves interprofessional collaboration, community action, and empowerment³.

Methods: This qualitative study investigated the collaborative response by healthcare and community leaders to the recent pandemic in a rural North Carolina county. A community competence framework guided the inquiry by exploring the extent to which participants collaborated to identify problems, establish a working consensus, …

Ai Use In The Management Of Adults With Type 2 Diabetes Mellitus In Primary Care: A Narrative Review, Adelina Ailarov, Vicky Chen, Sergine Delma

International Nursing Research Congress (INRC)

Type 2 diabetes mellitus (T2DM) is a chronic condition marked by insulin resistance and impaired glucose metabolism, leading to significant morbidity and mortality. The integration of artificial intelligence (AI), particularly machine learning (ML), into primary healthcare is enhancing predictive and diagnostic accuracy in T2DM management. This narrative review aims to summarize current AI applications in the prediction and management of T2DM among adults in primary care and to provide evidence-based clinical recommendations for nurse practitioners (NPs) on integrating AI tools into their practice. A search of PubMed, EMBASE, and CINAHL databases was conducted. The inclusion criteria limited studies to English …

Factors Influencing Health-Promoting Behaivors Of Adults In Cambodia, Youngran Yang

International Nursing Research Congress (INRC)

Purpose: Cambodia is with NCDs responsible for 64% of deaths in 2018. Health-promoting behaviors play a vital role in reducing the risk of NCDs. The aims of the study is to identify the determinants of health-promoting behaviors among adults living in Cambodia.

Methods: A cross-sectional study was conducted, and through stratified sampling, 268 adults aged 19 years or older residing in Phnom Penh participated. A structured questionnaire was used. The Health-Promoting Lifestyle Profile II questionnaire was used to assess health-promoting behaviors across six subscales. Data analysis was performed using the SPSS version 23.0.

Results: A total of 267 adults participated. …

Examining The Perceptions Of A Nurse’S Treatment Towards A Patient Through A Role-Play Simulation, Mark Steven Brown, Veronica Valazza

International Nursing Research Congress (INRC)

The purpose of this mixed method research is to assess a group of University nursing students’ perceptions in relation to their attitude, level of comfort, and sense of professionalism when attempting to provide optimal care for a patient with an intellectual disability who has entered an emergency room hospital in need of medical assistance.

This research project will include a group of RN to BSN nursing students viewing a role-play simulation scenario taking place in a learning and simulation center at a suburban University. After viewing the role-play simulation depicting an interaction between a male patient with an intellectual disability …

Asthma Adherence And Self-Management In Pediatrics: A Quality Improvement Project, Harroop S. Kaur, Nancy S. Goldstein

International Nursing Research Congress (INRC)

The purpose of this pilot project was a quality improvement initiative aimed to assess various interventions designed to enhance treatment adherence amongst pediatric patients in an understaffed, underserved, rural area. It had three goals: boost interdisciplinary understanding of asthma, promote self-management amongst pediatric patients with asthma, and reduce additional clinic and emergency department visits, as well as hospitalizations.

Asthma, a chronic condition characterized by airway inflammation, affects over four million children in the US, impacting their quality of life. The condition manifests through a series of symptoms like wheezing. Without proper management, severe asthma can cause lifelong complications in pediatric …

Health Coaching Intervention To Increase Nursing Student Resilience, Self-Compassion, And Well-Being, Yvonne Creighton, Deborah Lee

International Nursing Research Congress (INRC)

There is a nursing shortage in the United States, with worsening projections over the next ten years. Reasons for the shortage are multifactorial and include both individual and institutional causes. A majority of nurses express feelings of stress, fatigue, and frustration which contribute to burnout and leaving the profession, worsening an already pressing problem. Nursing students are entering a complex healthcare field that they may be unprepared for. They experience stressors in school that may even prevent them from completing school and entering the profession. Seeing the need to address this issue while students are in the throes of their …

Nurse Strong: Building Resilience Through De-Escalation, Carrie Ann Bailey, Lynn Beeler, Robin Hicks, Vikki Meloy, Staci Wheeler, Darren Gilbert

International Nursing Research Congress (INRC)

In 2015, the American Nurses Association called upon nursing faculty to develop and create workplace violence prevention programs. In response to the ANA, our innovative educational experiences show how the implementation of scaffolded experiences in self-defense, de-escalation, and leadership within an accelerated nursing program better prepares students for the realities of practice. In healthcare, especially in fast-paced settings, nurses often face challenging situations that require quick decision-making, conflict management, and assertive leadership to maintain safety for all. Workplace violence continues to increase in prevalence in the healthcare setting. Scaffolding—a progressive, structured approach to skill development—enables students to build foundational skills …

Meaningful Mentoring: Creating A Belonging Environment For Faculty Retention, Tonja Marie Padgett, Kimberly Hodges, Angela Opsahl, Lucinda Hill, Jennifer L. Embree, Margaret Moorman

International Nursing Research Congress (INRC)

Mentoring the new faculty role can help with the retention and recruitment of new nursing faculty (Busby et al., 2022; Baker & DePiro, 2019), as well as aide in faculty preparedness. This presentation will share insights into the development of a mentoring program for new faculty coming from a clinical background. We designed a comprehensive new faculty mentoring program to increase faculty preparedness and retention. Based on feedback from past program evaluations, academic leadership interviews, and a literature review, a 10-month mentoring program was designed and implemented on three regional campuses for 28 new faculty. All newly hired faculty attended …

Asynchronous Virtual Intervention For Diabetes Foot Care: A Storytelling And Empowerment Program, Hsiao-Hui Ju, Jeffery Alford, Dina White, Daphne Hernandez

International Nursing Research Congress (INRC)

Purpose: Diabetic foot ulcers (DFU) lead to serious health complications, including a 65% recurrence rate within 3 to 5 years, a 20% chance of amputations, and up to a 70% mortality rate over five years^1,2. Furthermore, recent studies indicate that the overall incidence of amputation has increased¹. These trends underscore the urgent need for effective DFU prevention strategies^3,4. This pilot study investigated digital storytelling videos as a tool⁵ to empower adults with type 2 diabetes to enhance foot care knowledge and practices.

Methods: Participants were recruited from a primary care group by a …

Psychiatric Observation Unit, Patient Outcomes, And Boarding, Brandi Baugh

International Nursing Research Congress (INRC)

Background: The deinstitutionalization of mental health facilities occurred after the Community Mental Health Act, which aimed to transition mental health care from institutions to community centers to deliver psychiatric crisis intervention (Hung et al., 2020). Due to a lack of funding, the Acts' goals were unmet, causing patients to seek care in emergency settings and creating the revolving door phenomenon (Stien et al., 2022). Emergency departments had an increase in patients with mental health conditions of 6.6% to 10.9% over ten years (Kim et al., 2022). Boarding is defined as patients in the emergency department requiring transfer to an outside …

From Scotland To Montana: A Global Collaboration, Marcy Nell Hanson, Margaret Lawson, Hazel Sinclair

International Nursing Research Congress (INRC)

Purpose: To build a partnership with Drug Liasion Midwife leaders of the Vulnerability in Pregnancy (VIP) program, leading to improved perinatal substance use care in Missoula County, Montana.

Background: Perinatal substance use is a global maternal health concern leading to increased maternal and infant morbidity and mortality. In the United States (US) the incidence of neonatal abstinence syndrome (NAS) increased from 1.6 to 8.8/1,000 live births between 2004 and 2016 and neonatal opioid withdrawal syndrome (NOWS) increased from 1.2 to 8.8/1,000 live births between 2000 and 2016 (Kameg, 2021; Kramlich et al., 2018; Patrick et al., 2020). In 2020 in …

A Systematic Review Of Caregiver Burden Of Children With Adhd, Nadia Abed Amro, Lila De Tantillo

International Nursing Research Congress (INRC)

Background: Raising a child with Attention Deficit Hyperactivity Disorder (ADHD) is a key challenge for the primary caregiver. This systematic review aims to identify major burdens facing primary caregivers of a child with ADHD.

Methods: The electronic databases CINAHL, PubMed, and Google Scholar were searched for studies published in English from 2017 to 2023 assessing the challenges facing caregivers of a child with ADHD.

Results: Eleven articles included in this review revealed that caregivers of children with ADHD have poor quality of life and high-stress levels. Supportive parenting programs can be effective for improved coping and adaptation mechanisms with children …

Lighting The Way: Cultivating The Next Generation Of Nursing Faculty Through A Mentorship Program, Salomé Maria Loera, Jill J. Dombrowski, Cari Selzer, Eileen Veronica Caulfield

International Nursing Research Congress (INRC)

Nurses are crucial to global healthcare delivery and equity. The International Council of Nurses has recently identified the worldwide nursing shortage as a health emergency (Buchan & Catton, 2023). In the U.S., nursing schools have been forced to reject thousands of qualified applicants due to a shortage of faculty (American Association of Colleges of Nursing, 2024). Effective mentorship and orientation are essential for ensuring a smooth transition into academic roles, fostering faculty success, and addressing the shortage. The U.S. National League for Nursing (NLN) has recognized mentorship programs as vital for cultivating a supportive work environment, promoting professional growth, and …

Increasing Hpv Education And Vaccination Uptake In Women Aged 27-45: A Clinic Based Approach, Michelle Wakefield

International Nursing Research Congress (INRC)

BACKGROUND: Human Papillomavirus (HPV), the most common sexually transmitted infection, is linked to cervical, anal, vulvar, and oropharyngeal cancers. Despite its impact, only 16% of women aged 27-45 have received an HPV vaccine dose, partly due to recent vaccine recommendation changes. This project aimed to improve HPV knowledge and vaccination rates among women in this age group at a private obstetrics and gynecology practice in Southwestern Indiana.

METHODS: Targeting unvaccinated women aged 27-45, this quality improvement initiative (January–April 2024) provided verbal education on HPV and assessed patient knowledge via a Likert scale survey. Staff received training on vaccine …

Home Oxygen Fires: A Statewide Retrospective Review Of Injuries And Fatalities, Mary Auber, Sue Anderson, Karla S. Klas

International Nursing Research Congress (INRC)

Purpose: Determine statewide home oxygen fire incidence and reduce risk.

Introduction: Patients using home oxygen therapy (HOT) face a high risk of burns and death. Smoking is the primary cause, and the number of HOT users who smoke is rising. HOT fires are a growing problem, threatening the lives of patients, family, friends, neighbors, home health workers, and first responders. Unfortunately, there is no way to accurately track HOT fires and outcomes. This project aimed to analyze statewide burn center, fire, and EMS data of HOT fire-related burns to better understand the scope of the problem, address fire prevalence, and …

Resilience In Health Science Education: An Integrative Review, Kylie Padron Newsom, Michelle Nichols, Susan D. Newman, Teresa M. Stephens, Diana Layne

International Nursing Research Congress (INRC)

Healthcare worker burnout in the US has reached crisis levels, leading to harmful consequences for healthcare workers, patients, communities, and the healthcare system (Murthy, 2022). Burnout-related turnover costs $9 billion for nurses and $2-6 billion for physicians annually (Murthy, 2022). Symptoms of burnout appear even before entering the workforce, with 44% of medical students and 30% of nursing students affected (Murthy, 2022). One way to decrease burnout is through resilience which reduces stress and anxiety while improving well-being (Stephens, 2013). The American Association of Colleges of Nursing (2021) and the National Academy of Medicine (2019) support incorporating resilience into education …

Rethinking Nursing Education: Supporting Neurodiversity In Nursing Classrooms, Kelly Walker, Megan Arbour, Jane Houston, Maria Milazzo

International Nursing Research Congress (INRC)

Neurodiversity is an inclusive term that describes the range of neurological or neurocognitive variation naturally found in the human population (Legault et al., 2021). Neurodivergence has historically been labeled and classified as a disability (Armstrong, 2017). Examples of neurodivergent diagnoses include specific learning disabilities in reading, writing, and math: dyslexia, dysgraphia, dyscalculia; autism; ADHD, or others. Estimated prevalence data suggests that 15-20% of adults are neurodiverse (Doyle, 2020). The Yale Center for Dyslexia reports that 20% of the general population are dyslexic (The Yale Center for Dyslexia and Creativity, 2022). Prevalence estimates of ADHD range from 3-7% (Song et al., …

Multimorbidity Treatment Burden Predicts Self-Care In Multimorbid Patients With Hypertension, Hyerin Yoo, Jihyang Lee, Kyoung Suk Lee

International Nursing Research Congress (INRC)

Background & Purpose: Patients with multimorbidity experience unique challenges in performing self-care due to the complexity of dealing with multiple diseases simultaneously. The burden of managing multiple conditions and its impact on patients’ well-being (i.e., multimorbidity treatment burden) can negatively affect their ability to engage in recommended self-care regimens. While most studies have focused on disease burden, an outcome of disease progression that is often less modifiable, the relationship between multimorbidity treatment burden and self-care remains less explored. Therefore, the purpose of this study was to determine whether multimorbidity treatment burden was an independent predictor of self-care in patients …