Digital Commons Network^™

Post-Stroke Fatigue In Saudi Arabia: A Call To Action, Saad Z. Alqahtani

Saudi Medical Journal

Post-stroke fatigue (PSF) is a major consequence of stroke, with a prevalence of approximately 42–53% among stroke survivors. However, over the last 2 decades, only a few studies have explored PSF in Kingdom of Saudi Arabia (KSA). Findings from these studies show that PSF negatively impacts the quality of life of individuals with stroke. Furthermore, they emphasize the need for education for both health care providers and patients regarding PSF. This call-to-action mini narrative review identifies knowledge gaps and provides recommendations for both researchers and policymakers, including the need for standardized management and the exploration of hospital environment settings. Specifically, …

Impact Of Treatment On The Health-Related Quality Of Life Of Children With Cancer In Saudi Arabia, Fayzah Hussain Alhussain, Amany Anwar Saeed Alabdullah

Saudi Medical Journal

Objective: The impact of cancer on health-related quality of life (HRQOL) is considerable, particularly for children undergoing oncological treatment. While research has addressed HRQOL in childhood cancer survivors, less attention has been given to those actively undergoing treatment, including in Saudi Arabia. This systematic review aimed to address this gap by quantitatively evaluating studies reporting on the HRQOL of children in Saudi Arabia during their active cancer treatment phase. We also compare these findings with studies from around the world, emphasising demographic, medical and parental predictors of HRQOL. Methods: A comprehensive search of relevant databases (MEDLINE, CENTRAL, Embase, PsycINFO and …

Tiered Energy Storage Architecture For Next-Gen Low Voltage Direct Current Data Centers, N/A

Defensive Publications Series

High-density artificial intelligence and machine learning workloads introduce rapid and extreme power transients, which traditional data center power distribution and energy storage systems struggle to manage, leading to voltage and frequency oscillations. To address this, a tiered energy storage architecture is described for low-voltage direct current (LVDC) data centers. This architecture precisely maps specific energy storage technologies to distinct physical locations and time scales. Rack-level storage, utilizing high-power capacitors or supercapacitors, is placed immediately adjacent to the payload to mitigate sub-millisecond power fluctuations. Bus and row-level storage, including lithium-ion batteries or supercapacitors, functions as a critical intermediary buffer for seconds …

Dream-State Consolidation Transformers For Long-Horizon Artificial Intelligence, Johny Manuel-Devadoss, Joanna Johnson, Jayden Jack Johnson

Defensive Publications Series

Contemporary transformer architectures achieve strong performance through large-scale parameterization, retrieval augmentation, and extended context windows. However, persistent token-level retention scales poorly for lifelong or long-horizon cognition due to increasing computational cost, retrieval interference, context fragmentation, and memory saturation. This paper proposes a speculative but computationally grounded framework termed Dream-State Consolidation Transformers (DSCT), in which artificial systems alternate between online inference phases and offline consolidation phases. During online operation, systems process high-resolution episodic information from external environments. During offline consolidation, episodic traces are replayed under stochastic perturbation and compressed into semantically stable latent representations.

Unlike conventional persistent-memory systems, DSCT prioritizes abstraction …

Defensive Publication: Ble Peripheral Mitigations For Adaptivity Requirements, Braxton Davis

Defensive Publications Series

A method and system are provided for ensuring regulatory compliance for Bluetooth Low Energy (BLE) peripheral devices operating in a wireless communication environment. The approach addresses scenarios where a central device may not cooperate with peripheral-driven interference reporting or adaptive frequency hopping spread spectrum (AFHSS) requirements. The method involves identifying interfered channels and, for transmissions on such channels, limiting transmissions to short control signals (SCS-Only Transmissions) or adjusting transmit power to a reduced level, such as 10 dBm. For compliant channels, higher transmit power may be maintained. This allows for independent peripheral compliance, improved range, and enhanced link quality without …

Learning‑Based Framework For Secondary Power Grid Effective Resistance Prediction, Prateek Pendyala, Sandeep Gajbhare

Defensive Publications Series

Secondary power grid resistance verification in integrated circuit design may be hindered by the iterative nature of traditional sign‑off extraction tools. These tools may require compute time for each iteration, creating a bottleneck during the identification of resistance violations in low‑power architectures. A hierarchical machine learning framework is disclosed for the early estimation of effective resistance. In the framework, spatial tile‑based partitioning is combined with adaptive piecewise linear regression to analyze instance‑specific and spatial‑neighborhood attributes. Additionally, resistance is categorized into data‑driven zones, and zone‑specific regressors are employed to provide continuous resistance predictions. For design modifications, an incremental update scheme allows …

Effects Of A Basketball Match On Heart Rate Variability In Collegiate Intramural Players, Unobatsha Mbaiwa

Master's Theses

Heart rate variability (HRV) is a standard non-invasive physiological marker used to asses the autonomic nervous system (ANS) function and cardiovascular adaptability. HRV reflects the natural variations in time between successive heartbeats (R-R intervals), which come as a result of the interaction between sympathetic and parasympathetic branches of the ANS (Shaffer & Ginsberg, 2017). Higher HRV compared to an individual's baseline is normally considered an indicator of greater parasympathetic (rest/digest) influence and more effective physiological recovery, whereas lower HRV relative to baseline is associated with sympathetic (fight/flight) dominance, fatigue, and increased physiological strain. Since the standardized HRV measurement criteria were …

Millard Freeman "Mid" Mcknight Papers,1950s-1970s, Millard F. Mcknight

Center for Restoration Studies Archives, Manuscripts and Personal Papers Finding Aids

No abstract provided.

The Political Economy Of Fashion Sustainability Regulation, Meital Peleg Mizrachi, Rachel Chambers

UC Law Business Journal

The global fashion industry is one of the world’s most polluting and exploitative sectors, emitting more greenhouse gases than all international flights and maritime shipping combined, driving extensive water contamination and waste, and relying on labor conditions that remain chronically unsafe and underpaid. Regulation has attempted to respond, but with limited success. Existing sustainability oversight—ranging from import bans and human rights due diligence statutes to environmental taxes and voluntary industry frameworks—remains fragmented and unevenly enforced, shaped by geopolitical tensions, protectionist agendas, and shifting policy priorities. This Article reviews the rapidly evolving landscape of fashion sustainability regulation over the past decade …

The Effects Of Food Insecurity And Child Health On Educational Achievement In Virginia Counties, Peyton T. Randall

Honors Projects

This study examines the relationship between county-level socioeconomic and demographic factors and student performance on Virginia Standards of Learning (SOL) math and reading assessments in 2023. Using data from 127 of Virginia’s 133 independent counties and cities, this study conducts an ordinary least squares (OLS) regression. The analysis shows a strong negative association between food insecurity, measured by the Identified Student Percentage eligible for free school lunch (ISP), and chronic absenteeism with SOL pass rates. These findings show food insecurity and absenteeism as key drivers for achievement disparities, suggesting a need for further interventions and broader research using school-level and …

College Algebra With Review, Lanee Young Ph.D., Jayme Goetz

All Open Educational Resources

This text is disseminated via the Open Education Resource (OER) LibreTexts Project (https://LibreTexts.org) and like the thousands of other texts available within this powerful platform, it is freely available for reading, printing, and "consuming." The LibreTexts mission is to bring together students, faculty, and scholars in a collaborative effort to provide an accessible, and comprehensive platform that empowers our community to develop, curate, adapt, and adopt openly licensed resources and technologies; through these efforts we can reduce the financial burden born from traditional educational resource costs, ensuring education is more accessible for students and communities worldwide. Most, but …

Automating The Precision Measurements Of Higgs Boson Couplings In The H → Zz* → 4l Decay Channel, Sully Billingsley

Physics Theses and Dissertations

As a way to test the Standard Model of Physics, the couplings of the Higgs boson to other particles is studied by measuring the production cross-sections of the Higgs boson using the ATLAS detector at the Large Hadron Collider. The cross-sections are measured in the \HZZ  decay channel, where $\ell = e, \mu$. Two sets of measurements were performed on increasing amounts of data collected from proton-proton collisions and a center-of-mass energy of 13.6 TeV. The first set of measurements was collected between 2022 and 2023 corresponding to an integrated luminosity of 56 fb$^{-1}$ while the second set adds data …

Building A Road To Mitigate Ambulance Patient Offload Time (Apot), William J. Manguil

Doctoral Projects

Emergency departments (EDs) worldwide are experiencing increased utilization resulting in care delays for patients seeking urgent treatment. Despite critical circumstances that warrant emergency medical services (EMS) response, patients arriving to the ED via ambulance remain vulnerable to delays in care due to prolonged ambulance patient offload times (APOTs). The amount of health care providers and treatment space necessary to initiate care are both limited and often strained resources which dictate the need for innovative interventions to prevent patient harm. The following project outlines the interventions implemented at the project site to improve APOT as a means to enhance patient safety …

2026 May 21 - Tennessee Weekly Drought Summary, Tennessee Climate Office, East Tennessee State University

Tennessee Climate Office Weekly Drought Summaries

No abstract provided.

School-Based Teen Dating Violence Prevention Programs: A Systematized Review, Chloe L. Marsh

Educational Specialist, 2020-current

Teen Dating Violence (TDV) is a prevalent issue for many adolescents and can be defined as physical, sexual, and psychological aggression and harm that can occur in-person, online, or through technology. TDV victimization can have devastating impacts for youth, and school-based TDV prevention efforts have been highlighted as a means of addressing this issue. However, there is limited research on how prevention programming influences student beliefs and behavior. This study sought to reveal how programming influences student outcomes and which elements of highlighted prevention efforts are associated with greater benefits. A systematized review was conducted to address these research questions. …

Lgbtqia+ Inclusion In K-12 Education: A Systematized Review Of U.S. South Atlantic Region Educational Policy, Benjamin Little

Educational Specialist, 2020-current

LGBTQIA+ students experience disproportionate rates of discrimination, bullying, and mental health challenges within their educational settings, while educational policies shaping school climate vary considerably across jurisdictions. The purpose of this systematized review was to identify trends in the structure and implementation of LGBTQIA+ inclusion policies across K-12 state-level public education systems within the U.S. South Atlantic region and to examine how these policies addressed the needs of transgender youth and LGBTQIA+ students of color. This review synthesized publicly available state education documents, legislative materials, and nonprofit policy reports using a systematized review methodology guided by PRISMA principles and qualitative theme …

Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga

Educational Specialist, 2020-current

Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …

Black Maternal Mental Health: Counseling Considerations For Prenatal Depression And Anxiety, Morgan Renee Williams

Educational Specialist, 2020-current

The maternal mortality rate of Black women in the United States is four times higher than white women (Centers for Disease Control and Prevention, 2020). The CDC defines a maternal death as “the death of a woman while pregnant or within 42 days of termination of pregnancy… but not from accidental or incidental causes” (Centers for Disease Control and Prevention, 2024, para. 1). This statistic is a consequence of the inequality within and outside of the American healthcare system (National Academies of Sciences, Engineering, and Medicine, 2020). For the purposes of this research, Black women are defined as any women …

Neurodiversity In Counseling: Counseling Strategies For Supporting Neurodiverse Clients, Emily R. Plowright

Educational Specialist, 2020-current

Neurodiversity recognizes the natural differences in human functioning, including the unique ways that individuals think, learn, and process information. The neurodiversity movement views these differences as valuable, challenging historical beliefs that label them as deficits. Despite growing awareness of neurodiversity, counseling research and practice have largely overlooked the unique needs of neurodiverse clients, resulting in barriers to accessing mental health care. This paper addresses the concept and models of disability to provide context for understanding neurodiversity. Neurodiverse identities, such as attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), specific learning disorders (SLDs), and tic disorder, are explored through their diagnostic criteria …

What’S Behind The Mask: The Diagnostic Divide In The Female Autism Phenotype, Shelley Gies Alston

Educational Specialist, 2020-current

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by differences in social communication and restrictive, repetitive behaviors; however, women are diagnosed at significantly lower rates than men. This study examined whether DSM-5-TR diagnostic practices may contribute to the underdiagnosis and delayed identification of ASD in individuals assigned female at birth (AFAB), with attention to masking behaviors, gendered social expectations, and clinician interpretation of symptoms. Grounded in the Female Autism Phenotype (FAP), a retrospective mixed-methods study surveyed 12 AFAB individuals aged 18–24 who self-identified or were formally diagnosed with ASD. Participants completed a 44-item online survey including Likert-scale and open-ended …

A Continuous Improvement State Of Mind: An Exploration Of The Roles Of Individual Mindsets In Generating Positive Performance Trajectories, Aaron V. Kakiel

Industrial-Organizational Psychology Dissertations

Organizations that operate under fixed-entry systems—where the option to replace personnel is limited—must rely heavily on internal development to enable upward mobility. While prior research has examined individual trait predictors of longitudinal performance, less is known about how malleable psychological states jointly shape performance trajectories over time. Drawing on the Transtheoretical Model (TTM) as a framework for developmental change, this longitudinal study investigated how three modifiable states—self-concept clarity, feedback orientation, and goal orientation—interacted to influence continuous improvement across multiple developmental cycles. Using a cohort of college students at a U.S. military academy observed over three and a half years, the …

Effects Of Nurse-Led Standardized Kangaroo Mother Care (Kmc) Protocol On Nicu Length Of Stay, Physiological Stability, And Bonding: Evidence-Based Recommendation For Translation Into Practice, Madison Capul, Maria Bejarano, Tionette Kirk-Banks, Kelly Mcmillin, Onyinyechukwu Ubaezuonu, Amabelle Simsuangco, Charity Msamalia Chimwala-Selico

General Submissions: Clinical Settings Materials

Background: Preterm and low birth weight infants in the neonatal intensive care unit (NICU) are at high risk for physiological instability, prolonged hospitalization, impaired bonding and breastfeeding, and increased mortality, with costs reaching up to $233,000 per stay (Broughton et al., 2022). The Kangaroo Mother Care (KMC) protocol improves thermoregulation, stability, bonding, breastfeeding, and survival; however, its implementation remains inconsistent due to the lack of standardized nurse-led protocols.

Purpose: The purpose of this study was to evaluate whether implementation of a standardized nurse-led Kangaroo Mother Care protocol, compared to current inconsistent practice, would improve NICU length of stay, physiological stability, …

Keeping Families Together: Companion Animals As A Public Health Imperative, Lori R. Kogan, Rebecca Niemiec

Journal of One Health Systems

Contemporary US public health frameworks emphasize social, economic, and environmental determinants of health, yet largely overlook the reality that most households include companion animals regarded as family members. This omission has tangible consequences during crises such as housing instability, illness, domestic violence, or disasters, when families are often forced to choose between their own safety and the safety of their animals. We argue that this represents a significant public health failure. Drawing on interdisciplinary evidence, we propose that companion animals function as a social determinant of health, that forced separation constitutes a public health harm, and that Human-Animal Support Services …

Signs Of Belonging: Community Identities Of Deaf Elders In Central And Coastal Massachusetts, Nelia Eaddy

Undergraduate University Honors Capstones

This study focuses on shared experiences and themes of community identities within the elder Deaf community of central and coastal Massachusetts. Lived experiences and linguistic journeys shape our overall senses of belonging and identities; subsequently, they profoundly affect our relationship to our communities (Eastaugh, 2019). This research study discusses how concepts of belonging shift as individuals age within their community and how that impacts their sense of belonging and experiences with language. Communities where individuals feel a sense of belonging encourage identity development. The experiences of elders who identify as “Deaf” (due to their language preference and cultural influences) within …

2026 Commencement Program For The School Of Nursing And Health Sciences And The School Of Engineering And Computational Sciences, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The School Of Nursing And Health Sciences And The School Of Engineering And Computational Sciences – Accessible Version, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The Girard School Of Business, Merrimack College

Commencement Programs

No abstract provided.

2026 Commencement Program For The Girard School Of Business – Accessible Version, Merrimack College

Commencement Programs

No abstract provided.

Agentic Synthetic Data Generation For Automated Model Development, Frederick Eugene Diehl

Theses and Dissertations

Large Language Model research has made large strides in capabilities from sentiment analysis to writing code. These advancements have been realized thanks to research into specific capabilities such as prompting techniques. Language models today have demonstrated the ability to create content, transform, and classify. These capabilities are not limited to academic exploration but also found in commercial products that are positioning themselves from application augmentation to personal assistants. These commercial products tend to steer towards single actions such as “summarize this article” or “write a function that performs action...” In parallel research has continued to advance towards more advanced constructs …

Automatically Constructed Preference Pairs For Chain-Of-Thought: Consistency Gains With Accuracy Tradeoffs, Cameron Scolari, Lanyu Shang

Honors Thesis

We investigate preference optimization over chain-of-thought (CoT) reasoning using automatically constructed preference signals derived from the accuracy and internal consistency of a model. Our results show that framing reasoning as a preference learning problem improves both the accuracy of the final answer and the structure of the model outputs. We observe a non-monotonic relationship between performance and the Direct Preference Optimization (DPO) scaling parameter β, where moderate values maximize accuracy while lower values improve stability, highlighting a tradeoff between optimization strength and reliable generation. We further identify a tradeoff between reasoning consistency and accuracy. Increasing the consistency weight improves agreement …