Digital Commons Network^™

Pain Acceptance In Chronic Postoperative Pain: Concept Analysis

Faculty, Staff and Student Publications

Purpose: Chronic postoperative pain (CPOP) is a potential outcome of otherwise successful surgery that can persist for months, with its prevalence varied by surgical type, genetic predispositions, and psychosocial factors. Pain acceptance offers better outcomes to these patient populations by fostering a willingness to experience pain without resistance. This analysis examines how pain acceptance contributes to psychological well-being, helps reduce opioid misuse, and enhances quality of life, even in the presence of CPOP.

Design: The concept analysis approach follows Walker and Avant's framework (2019).

Methods: A literature search across PubMed, Web of Science, and CINAHL yielded 276 articles, of which …

Explainable Machine Learning Surrogate Modeling For Exit Gradient Prediction In Hydraulic Structures Using Numerical Simulations, Prayas Rath, Jianting Zhu, Kevin M. Befus

Geosciences Faculty Publications and Presentations

Accurate prediction of exit gradients is essential for designing impounding hydraulic structures, such as dams and levees, to mitigate seepage-induced piping failures. Conventional analytical methods often neglect boundary effects and anisotropy, limiting their applicability in complex geological settings. This study develops an XGBoost-based machine learning surrogate model trained and tested on 8,000 MODFLOW numerical simulations to predict exit gradients under varying hydraulic and geological conditions. The data set covers numerous parameters, including anisotropy, head differences, structure width, cut-off wall depth, aquifer thickness, and uninterrupted riverbed length. The coefficient of determination for test data is 0.88, demonstrating reliable exit gradient prediction …

A Multi-Source Remote Sensing-Based Geocommunication Tool For Global Flood Monitoring And Management, Ebrahim Hamidi, Brad Peter, Hamed Moftakhari, Hamid Moradkhani

Geosciences Faculty Publications and Presentations

Global warming is expected to increase the frequency of extreme flooding, making rapid and accurate flood mapping crucial for effective risk assessment. Many governmental agencies and organizations are developing flood risk assessment tools; however, due to the lack of observational records, some rely on probabilistic generated data, uncalibrated simulations, or terrain-based methods, all of which are subject to various types of uncertainty. Although remote sensing provides valuable flood data with global coverage, single-source reliance is constrained by satellite revisit rates, resolution, weather conditions, and sensor limitations. To address these challenges, this study introduces a user-friendly application on the Google Earth …

Adapting To Change In Amenity-Oriented Communities: Innovative Strategies For Shifting Social And Environmental Needs, Emma L. R. Epperson

All Graduate Theses and Dissertations, Fall 2023 to Present

Amenity-oriented communities are places with significant and desirable natural amenities that are highly visited and plentiful within the Intermountain West. These high rates of visitation create complex challenges such as congestion in recreation spaces and in towns and increase costs of living. These communities are typically rural and often do not have the resources, funding, or infrastructure to combat these challenges. Although tourists provide financial stability and other amenities to these towns, local wellbeing is highly impacted. Outdoor recreation and the nature connections derived from outdoor experiences are major contributors to wellbeing in amenity communities. This research investigates the changes …

Understanding Hydroclimate In The Contiguous United States: Roles Of Temperature Vs Precipitation And Subtropical Pacific Warming, Grace Esenam Affram

All Graduate Theses and Dissertations, Fall 2023 to Present

This study investigates the physical drivers and mechanisms of hydroclimate variability across the Contiguous United States (U.S.), using a combination of observable data, reanalysis data, land modeling, and coupled climate model experiments. One of the major findings is that the historic 2021 drought event across the Western U.S. was primarily driven by a severe lack of precipitation rather than increased temperatures. The study further finds that anthropogenic forcing has substantially increased the risk of this extreme drought by approximately 26 times relative to a world without the influence.

Additionally, the study reveals that the Pacific Meridional Mode (PMM) characterized by …

Trauma Whipple At A Community Level 1 Trauma Center: A Case Report, Jessica A. Nicholson, Andrew G. Nicholson, Mahmoud K. Abd-El-Hafez, Pankti Shah, Mark J. Lieser, John M. Chipko

Student Publications

The Whipple operation is oftentimes considered one of the most challenging and complex abdominal operations, usually reserved for duodenal and hepatopancreatobiliary malignancies. In cases of duodenal and/or pancreatic trauma with disruption of the biliary systems, a Whipple reconstruction can be performed. Such operative traumas are rare and carry with them a high level of morbidity and mortality. This case report presents a challenging 46-day clinical course of a 22-year-old African American female, who suffered multiple gunshot wounds, resulting in severe abdominal injuries. These injuries included a grade 3 duodenal injury, grade 4 pancreatic injury, and a grade 4 renal injury. …

2025 August, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for August of 2025.

Revolutionizing Alzheimer’S Diagnosis: A Hybrid Deep Learning Approach For Enhanced Mri Analysis, Hassan A. Ahmed, Syed H. Ahmed, Kyle Nash

Business Faculty Publications

Alzheimer’s Disease (AD) is a neurodegenerative disorder that primarily affects the elderly, causing cognitive decline and memory loss. Traditional diagnostic methods, such as neuropsychological tests and cerebrospinal fluid analysis, are invasive and time-consuming. Neuroimaging techniques like MRI and PET provide valuable insights but require manual analysis by specialists. This study proposes a hybrid model combining EfficientNetB0, a deep learning architecture, with Convolutional Neural Networks (CNN) to automate AD detection in MRI scans. The model uses data from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) dataset, which includes over 200 MRI scans and clinical information. Our results show that the hybrid model …

An Evaluation Of Training Strategies Among Healthcare Professionals During The Covid-19 Pandemic: A Cross-Sectional Survey Study, Darshani D. Singh

Theses & Dissertations

Background: During Spring 2020, the COVID-19 pandemic temporarily displaced healthcare workers from suspended clinical work areas to inpatient critical care areas. Nurses were rapidly uptrained for unfamiliar roles in critical care using a variety of instructional formats.

Purpose: The purpose of this survey study was to evaluate the effectiveness of eight training strategies on healthcare workers' perceived competence, confidence, and satisfaction during the first wave of the COVID-19 pandemic.

Methods: This cross-sectional, retrospective, investigator-developed survey study examined the effectiveness of eight training strategies used during the COVID-19 pandemic on three outcomes for professional registered nurses. The three outcomes were self-reports …

The Role Of Social Protection Programs In Reducing Poverty In Iraq: An Analytical Study, Nadia Lutfi Jaber, Thaer Mahmoud Rashid Al-Ani

Journal of Economics and Administrative Sciences

This research paper deals with SPP and their role in reducing poverty in Iraq. The study aimed to identify the impact of economic empowerment policies and programs and their effectiveness in generating income, in addition to social protection network programs, to verify the credibility of the hypothesis presented in the research. The analytical method and both the deductive and inductive approaches were relied upon. The results indicated that SPPs are effective tools for improving the conditions of people with low incomes, enhancing their productive capacities, providing sustainable job opportunities, and achieving social justice. This study examines the impact of SPP …

Understanding The Physical Health Associations Of Intra-Individual Variability In Life Satisfaction Among Older Adults, Frosch Y. X. Quek, Kenneth Tan, David Chan

Research Collection School of Social Sciences

It is well established that inter-individual differences in life satisfaction positively predict health, but it is less clear how intra-individual variability in life satisfaction across time could influence health, particularly across individuals with different satisfaction levels. To address this gap, we analysed a large panel dataset from a national sample of 8,674 older adults, aged 50–70 (M = 59, SD = 5.42) in Singapore who completed surveys over 53 consecutive months. Results from multi-level modelling showed an interaction between variability in life satisfaction and life satisfaction mean on physical health. Specifically, there was no association between variability and health among …

3r-Stadte Furs Leben Gestalten [Designing 3r Cities For Life], Lily Kong

Research Collection School of Social Sciences

What does it mean for a city to be resilient in today’s world? In July this year, over 100 city leaders, scholars, and industry partners gathered at City Dialogues in Vienna, co-convened by Singapore Management University and Urban Innovation Vienna, to reflect on the critical question of urban resilience. Held alongside the Mayors Forum of the World Cities Summit 2025, the dialogue provided a timely opportunity to share how cities can navigate complexity—not only in response to disruption, but also in pursuit of sustainable and inclusive futures. Inspired by SMU City Dialogues, I explore here how cities can bounce back, …

Associative Coding Of Conditioned Fear In The Thalamic Nucleus Reuniens In Rodents And Humans, Tuğçe Tuna, Michael S Totty, Muhammad Badarnee, Flávio Afonso Gonçalves Mourão, Shaun Peters, Mohammad R Milad, Stephen Maren

Faculty, Staff and Student Publications

The nucleus reuniens (RE) is a midline thalamic structure interconnecting the medial prefrontal cortex (mPFC) and the hippocampus (HPC). Recent work in both rodents and humans implicates the RE in the adaptive regulation of emotional memories, including the suppression of learned fear. However, the neural correlates of aversive learning in the RE of rodents and humans remain unclear. To address this, we recorded RE activity in humans (BOLD fMRI) and rats (fiber photometry) during Pavlovian fear conditioning and extinction. In both rats and humans, we found that conditioned stimulus (CS)-evoked activity in RE reflects the associative value of the CS. …

Abundance Of Gratitude, Renee Kaufmann

Journal of Communication Pedagogy

Editor's note

Theorizing With Purpose: A Five-Step Approach To Motivate And Guide Students In Communication Theory Courses, Weixu Lu

Journal of Communication Pedagogy

This study addresses the challenges of effectively teaching communication theories to undergraduate students by highlighting the gap between the need for developing higher-order, transferrable knowledge and the learning needs of novice learners. To bridge this gap, it introduces a novel five-step model integrating motivation, direct instruction, revisiting, assessing, and invention steps into the teaching process. Assessment results from two semesters were compared to evaluate the efficacy of this model, showing significant improvements in students’ comprehension of communication theories, ability to theorize communication phenomena, and proficiency in formulating research questions based on theoretical insights. These findings suggest the potential of the …

If It Walks Like A Duck: Self-Identification, Definition, And Experiences Of Non-Traditional Doctoral Students In The Communication Discipline, Laura C. Bruns, Sara V.A. Kaufman, Ana Lisa Padron Eberline, Meredith L. Pruden, Erin Perry, Elise P. Taylor, Deborah J. Danuser

Journal of Communication Pedagogy

This study aimed to understand experiences of nontraditional doctoral students pursuing their PhD in Communication. Although the term “nontraditional student” exists in the literature (Cox & Ebbers, 2010; Stone & O’Shea, 2019), there is little consensus about demographics of nontraditional doctoral students (NTDS), nor their experiences navigating these programs. Using qualitative, thematic analysis of survey responses (n = 52), this critical mixed-method study found three themes— age, experience, and education gap—as defining identity factors, barriers, and benefits. Participants described themselves as nontraditional due to different lived experiences from graduate peers, resulting in feelings of “Otherness” within their programs. These findings …

Communicatively Enhancing Belonging By Meeting The Motivations Of First-Generation College Students In The Classroom, Miles C. Coleman, Brooke Hoffman, Angela Cirucci

Journal of Communication Pedagogy

First-generation college students’ (FGCS) experiences can be accompanied by lower senses of belonging when compared to continuing-generation college students (CGCS). This article explores some instructional communication best practices for supporting belongingness by meeting the motivations of FGCS with phrasings, framings, and designs of course content that might cultivate resonance with that which drives students. Specifically, strategies are discussed for meeting the motivations of FGCS as they might be shaped by imposter syndrome, negative affect, and orientations toward upward mobility.

Rigor And Academic (Re)Socialization: The Faculty Role In Student Success Curriculum, Kendra Knight, Stephanie Grau, Elissa Foster, Jay Baglia

Journal of Communication Pedagogy

In the post-pandemic learning era, communication faculty experience tensions among expectations for flexibility, sensitivity to students’ well-being, and our commitment to the academic rigor of our courses. These tensions, we argue, may be resolved through offering academic (re)socialization as a stand-alone element of the communication curriculum. This essay explicates the development and implementation of a for-credit workshop-style course aimed at bridging gaps in student academic capital laid bare by the COVID-19 learning crisis. “Communication Fundamentals for College Success” is a collaborative effort among six communication instructors to support practical and socio-emotional skills that undergird students’ transdisciplinary intellectual growth. We reflect …

Rethinking The Reach Of The Basic Course: Diversity And Interdisciplinarity As Catalysts For Reinvigorating The Foundations Of The Discipline, Narissra Maria Punyanunt-Carter, Sydney E. Brammer, Ryan J. Martinez

Journal of Communication Pedagogy

Communication scholars have significantly advanced knowledge across various subjects and in basic course classrooms, yet face obstacles in conveying their importance to students and wider communities. Challenges like COVID-19 disruptions, inadequate teacher pipelines, and limited diversity in education hinder interdisciplinary communication, leading to insufficient funding and support. Neglecting diversity perpetuates systemic inequalities, limiting perspectives in syllabuses. Advocating for inclusivity and exploring practical implications of communication, such as organizational communication and societal engagement, enhances the field’s value. Prioritizing research with theoretical and practical implications, particularly in diversity, equity, and inclusion, empowers marginalized voices and promotes understanding. Embracing these efforts ensures communication …

Critical Communication Pedagogy At The End Of The World, Tyler S. Rife

Journal of Communication Pedagogy

This essay draws upon my experiences teaching the undergraduate course, “Communication at the End of the World,” to argue for an approach to critical communication pedagogy (CCP) contextualized by and reflexively responsive to planetary-scale ecological crises. I outline how five commitments have come to guide my classroom’s explorations through our topic of “end-times” communication: (1) Anthropocentrism and speciesism participate in the maintenance of social hierarchy; (2) environmental justice and social justice are intimately entangled projects; (3) ecological crisis is (re)made concrete, embodied, proximal, and implicative; (4) critique of language involves critique of humanism and humanist historicization; and, (5) ecologically just …

Editor’S Note: Toward A Transgressive Communication Pedagogy: Reflections And Directions In/For Dark Times, Lionnell Smith

Journal of Communication Pedagogy

This essay introduces a special section marking the 30th anniversary of bell hooks’s Teaching to Transgress, exploring its relevance within the current sociopolitical climate marked by intensified assaults on diversity, equity, and inclusion (DEI) in education. Grounded in hooks’s vision of education as a practice of freedom, this essay proposes a framework of transgressive communication pedagogy— an approach that champions radical love, political agency, and open dialogue to resist hegemonic educational structures. The featured contributions in this section examine transgressive practices across diverse contexts: community-based intercultural teaching, intersectional identity work, support for Black students in minority-serving institutions, decolonial approaches to …

Teaching To Transgress In Intercultural Communication Contexts In Utah: A Plática Approach, Leandra H. Hernández, Sidi Meyara, Stevie Munz

Journal of Communication Pedagogy

Reflecting on legislative changes in Utah and their implications for teaching topics related to social justice, this plática explores the challenges and the possibilities that exist in our pursuit of liberatory pedagogy. Relying on the work of bell hooks and Chicana feminist scholars, we argue that despite the challenges posed by restrictions to DEI, educators should rely on critical communication pedagogical approaches to promote transparency and intentionality, model vulnerability, build community relationality, and recognize our collective humanity. Recognizing teaching as an embodied experience, we argue through engaging in self-reflection and relying on critical pedagogical approaches, we are able to equip …

Transgressing Media History, Ashley R. Kennard

Journal of Communication Pedagogy

Traditional Mass Media History courses serve to uphold the status quo. Born out of the white supremacist, capitalist patriarchy, the myth of the inventor provides a powerful example of one of the ways these traditional ideologies and pedagogies persist. However, through building community, being vulnerable, co-constructing knowledge, including diversity, and rewriting history, a counter- hegemonic, transgressive approach to teaching communication history in the spirit of bell hooks is possible. This starts by creating transformative and inclusive communication classrooms that serve to dismantle the myth of the inventor.

Transgressing Linguistic Supremacy: Reimagining Public Speaking Through Culturally Sustaining Pedagogy, Sergio Fernando Juárez

Journal of Communication Pedagogy

This essay reimagines public speaking education through a culturally sustaining and transgressive lens that challenges dominant norms of language, professionalism, and communication competence. It critiques the ways in which public speaking courses often reinforce linguistic supremacy by privileging standardized English and marginalizing multilingual and culturally grounded speech practices. Drawing on concepts such as translanguaging, Culturally Sustaining Pedagogy (CSP), and transgressive pedagogies, the author calls for a shift in pedagogy that centers students’ lived experiences, community-rooted knowledge, and linguistic norms. Rather than asking students to conform to hegemonic standards, this approach empowers them to speak on their own terms, resist assimilationist …

Centering Sponsorship And Mentorship In Central, Bringing Coherence To Our Future, Kathy J. Denker, Tiffany J, Bell, Madeline S. Pringle, Grace Sikapokoo

Journal of Communication Pedagogy

Presidential Spotlight from 2025.

Journal Of Communication Pedagogy, Complete Volume, 2025

Journal of Communication Pedagogy

No abstract provided.

A Focused Ethnography: Mental Health Therapists In Pediatric Integrated Care, Melanie Agustin

Counseling & Human Services Theses & Dissertations

The scope of practice for Licensed Professional Counselors (LPCs) and counseling residents (LPC-R) in integrated behavioral health (IBH) settings is grounded in accredited, theory-informed education and training. The benefits of IBH models are well-documented, however there is limited research that addresses how counselors develop professionally and clinically function, while navigating within pediatric inpatient environments. This qualitative dissertation used a focused ethnographic design to explore the lived experiences of ten purposively sampled counselors (n = 10) through demographic surveys, field observation, and semi-structured interviews. Reflexive journaling bracketed researcher bias, and thematic analysis, supported by NVivo and new member checking, guided interpretation. …

A Methodology For Model-Based Certification, Jay Albert Silverman

Engineering Management & Systems Engineering Theses & Dissertations

A need for a single source of knowledge for design decisions has led to the development of a new field of systems engineering, model-based systems engineering (MBSE) (Delligati, 2014). System certification is defined as affirming that regulatory requirements for a system have been met (Goodwin & Juzaitis, 2006). System certification is a specific application of system validation. System verification can be defined as ensuring that the system of interest (SOI), as designed, is in accordance with the design inputs/requirements. System validation can be defined as ensuring that the SOI, as designed, meets the defined system needs (Wolfgand, Katz, & Wheatcraft, …

Recommended For You Streaming Platform Recommendation Algorithms And Consumer Rights, Margaret Wilson

Canadian Journal of Law and Technology

Streaming platforms are becoming increasingly popular with consumers. In Canada, recent studies have suggested that 55% of Canadians use video streaming services, like Netflix, on a daily basis. Similarly, up to 30% stream audio content daily on platforms like Spotify.6 The federal government has recognized that the broadening use of these technologies creates new challenges for consumer privacy and has proposed updates to consumer privacy laws in Bill C-27. With the dissolution of the 44th Parliament on March 23, 2025, Bill C-27 died on the roll and will not be adopted. As proposed legislation, Bill C-27 signalled the direction of …

Navigating The Shadows: Evaluating Privacy Protections Against Dark Patterns, Matt Gaulton, Dominique Kelly, Dr. Jacquelyn Burkell

Canadian Journal of Law and Technology

Privacy dark patterns are user interface design strategies that manipulate individuals into disclosing personal information or consenting to data practices they may not fully understand or intend. This paper critically evaluates the effectiveness of Canadian, American, and European privacy frameworks — specifically, the Personal Information Protection and Electronic Documents Act (PIPEDA), the California Consumer Privacy Act (CCPA), and the European Union’s General Data Protection Regulation (GDPR) — in addressing the regulatory challenges posed by privacy dark patterns. We argue that PIPEDA is significantly less equipped to counteract such manipulative practices, particularly in comparison to the GDPR and CCPA, due to …