Digital Commons Network^™

Conflict, Hamdy A. Abdelrahman Hassan

All Works

No abstract provided.

Quality Assessment Of Pathology Board-Exam-Style Mcqs Produced By Chatgpt3.5: A Comparative Study, Arianna B. Morton, Zunaira Naeem, Allison F. Goldberg, Alexis R. Peedin, Joanna Chan

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Residents preparing for pathology board exams frequently use multiple-choice questions (MCQs) from question banks (QBs) like PathDojo and PathPrimer, which can be costly. ChatGPT, a free tool, has been used to generate MCQs for other tests like the SAT. This study compared the quality of pathology MCQs created by ChatGPT versus commercially available study questions for the American Board of Pathology’s (ABPath) certifying exams. A rubric adapted from the National Board of Medical Examiners’ (NBME) question writing guide was validated by two pathologists using commercially available pathology board exam questions. This rubric was then used to evaluate MCQs from commercially …

Design And Synthesis Of Peptide Based Systems Of Intranasal Rna Delivery, Tamara Damjanovic

Electronic Theses and Dissertations 2020 - Present

A promising strategy that could be used to treat many central nervous system (CNS) diseases, including Parkinson’s disease, Alzheimer’s disease and brain cancer, is through gene silencing by short interfering RNAs (siRNA). siRNA induces gene silencing by targeting complementary mRNA for degradation. However, a key challenge in the development of siRNA-based therapies for the CNS diseases is their transport across the blood–brain barrier (BBB) and blood-cerebrospinal fluid barrier (BCSFB). To facilitate the transport of siRNA across the BBB and BCSFB we have designed a siRNA delivery system based on the 17-mer naturally occurring cyclic peptide odorranalectin (OL) carrying multiple positive …

Sex Differences In Atherosclerotic Coronary Artery Disease Patterns, Kazumasa Ikeda, Daniel Munhoz, Sofie Brouwers, Jeroen Sonck, Hitoshi Matsuo, Toshiro Shinke, Hirohiko Ando, Brian Ko, Simone Biscaglia, Fernando Rivero, Thomas Engstrøm, Ketina Arslani, Antonio Maria Leone, Domenico Galante, Lokien X Van Nunen, William F Fearon, Evald Høj Christiansen, Stephane Fournier, Liyew Desta, Andy Yong, Julien Adjedj, Javier Escaned, Masafumi Nakayama, Ashkan Eftekhari, Frederik M Zimmermann, Koshiro Sakai, Tatyana Storozhenko, Bruno R Da Costa, Gianluca Campo, Colin Berry, Damien Collison, Thomas Johnson, Tetsuya Amano, Divaka Perera, Allen Jeremias, Ziad Ali, Bernard De Bruyne, Frederic Bouisset, Takashi Kubo, Nobuhiro Tanaka, Kazuhiro Satomi, Nils P Johnson, Carlos Collet, Takuya Mizukami

Faculty, Staff and Student Publications

Background: Sex differences in coronary artery disease (CAD) have been increasingly recognized, as women present with distinct clinical characteristics and outcomes compared with men. This study investigated the impact of sex on pathophysiological CAD patterns (focal versus diffuse) in stable patients undergoing percutaneous coronary interventions (PCI).

Methods: We conducted a subanalysis of the PPG Global (Pullback Pressure Gradient Global Registry) study, a multicenter, prospective trial including 993 patients (236 [23.8%] women and 757 [76.2%] men) with hemodynamically significant CAD, defined as fractional flow reserve ≤0.80. The pullback pressure gradient metric categorized CAD patterns as focal or diffuse. Patient-reported outcomes were …

Spatial And Temporal Variation In Wave Overtopping Across A Coastal Structure Based On One Year Of Field Observations, Jennifer Brown, Gerd Masselink, Margaret Yelland, Christopher Stokes, Timothy Poate, Robin Pascal, David Jones, John Walk, Christopher Cardwell, Barry Martin, Peter Ganderton, Julie Gregory, Ruth Adams, Joseff Saunders

School of Biological and Marine Sciences

Coastal managers worldwide must prepare for changes in annual wave overtopping events due to climate change and sea-level rise. Research often assesses overtopping discharges by extreme events at a sea wall crest, typically using data from physical models or empirical rules based on scaled experiments. Here, we analyse a unique 1-year field dataset of coastal wave overtopping, from SW England, to determine the number of individual waves, regardless of their size, overtopping two locations across a coastal structure. The coastal conditions causing the most frequent overtopping differ from those driving it landward, complicating hazard communications for multiuse infrastructure. These data …

Interpersonal Violence Within Same-Sex Relationships: Survivors’ Perspectives Of Counselor Competency, Cheryl Ann D' La Rotta

Walden Dissertations and Doctoral Studies

Survivors of same-sex intimate partner violence (IPV) face negative mental health consequences. A lack of research exists on how social support, emotional and coping regulation, and counselors’ behaviors, knowledge, and skills affect the help-seeking behaviors and therapeutic outcomes of survivors of same-sex IPV. Addressing the gap is important because recent studies report an increase in same-sex IPV but low levels of help-seeking behaviors in response. If unaddressed, IPV can affect the well-being and safety of those partnered individuals. The purpose of this qualitative hermeneutic phenomenological study was to explore the experiences of same-sex IPV survivors who received therapeutic counseling. The …

Child Poverty: Understanding The Emotional Labor Of Social Work Professionals, Aamir Terry

Walden Dissertations and Doctoral Studies

Child Poverty: Understanding the Emotional Labor of Social Work Professionals by Aamir Terry MSW, Walden University 2019 BS, Central State University 2008 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Social Work Walden University November 2025

The Experiences Of African Americans Seeking Health Care Services, Sandy Latreice Sullivan

Walden Dissertations and Doctoral Studies

Health care experiences are shaped by life events and cultural background, making engagement with providers individualized. African Americans have historically reported distrust of health professionals due to targeted mistreatment. The purpose of this generic qualitative study was to explore the experiences of middle-aged African American adults receiving care from non-African American health care providers. Rosenstock’s health belief model was the framework for the study. Nine participants were recruited from social media using purposeful sampling. Data were gathered through semistructured interviews held on Zoom. Saldana’s four-step qualitative data analysis process was utilized to analyze the data. The results of the data …

African Americans’ Perceptions Of The Impact Of Childhood Community Violence And Historical Oppression On Parenting, Iyabo Adediran

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) can have detrimental impacts on lifelong functioning. Although African Americans experience disproportionately higher rates of community violence, one type of ACE, the potential long-term impacts of exposure to such violence and of historical oppression on their parenting practices in adulthood, was little understood. In this qualitative study, an ethnographic approach was used to explore African American parents’ perceptions of how early exposure to community violence (before age of 18) and the intergenerational transmission of historical oppression influenced their current parenting practices. The conceptual framework, which integrated Engel’s biopsychosocial model and Bowen’s family systems theory, provided a …

Middle-Class Black Women, The Strong Black Women Role, And Seeking Treatment For Depression, Kendra Griffin

Walden Dissertations and Doctoral Studies

This qualitative study explored how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman (SBW) role. This study investigated how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman role and how they interpret this role in relation to coping with depression. Guided by a social constructionist framework, the study used a qualitative design. Eight women who identified as middle-class, experienced depression, and endorsed the SBW role participated in semi-structured interviews. Braun and Clarke’s six phase thematic analysis revealed six themes: therapy as cultural …

Implementation Strategies For Microservice Architecture In The Banking Sector, Gururaj Achar

Walden Dissertations and Doctoral Studies

Information technology (IT) leaders in regulated banking face significant risks related to system complexity and cybersecurity when implementing large-scale systems. Although microservice architecture (MSA) offers enhanced scalability and agility, IT leaders lack specific strategic guidance for its effective adoption within highly regulated banking environments. Grounded in the Technology Acceptance Model, the purpose of this qualitative, pragmatic study was to explore effective MSA adoption strategies for IT architects and managers transitioning legacy systems to support risk and compliance management. Data were collected through semistructured interviews with seven banking IT leaders and were analysed using thematic analysis. Three themes emerged: adoption drivers …

The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson

Walden Dissertations and Doctoral Studies

The Strong Black Woman (SBW) schema has been explored during the past two decades; however, limited research has been conducted on the phenomenological experiences of Black women who identify with the characteristics of the SBW schema and their impact on Black and African American marriages. The purpose of this study was to explore the lived experiences of married African American women in modern day marriages who endorse the characteristics of the superwoman schema. This qualitative study was an interpretative phenomenological analysis and focused on the lived experiences of this population. Individual interviews of 12 married African American women who identified …

Food Insecurity, Educational Attainment, And Type 2 Diabetes In African Americans In Rural Southern Us, Dana Elaine Lowe

Walden Dissertations and Doctoral Studies

Abstract Rural African Americans experience a higher prevalence of Type 2 diabetes compared to their White counterparts, yet little research has explored the roles of food insecurity and educational attainment in this disparity. The purpose of this quantitative, correlational study was to examine whether food insecurity and educational attainment were associated with the prevalence of Type 2 diabetes among African Americans aged 18 to 65 years in rural Southern United States, using the World Health Organization’s social determinants of health framework. Data from the 2019-2022 IPUMS National Health Interview Survey (N=793) were analyzed both descriptively and using multiple logistic regression …

Child Occupant Safety In The United Arab Emirates: Crash, Injury, And Anthropometric Analysis, Muhammad Uba Abdulazeez

Thesis/ Dissertation Defenses

The United Arab Emirates (UAE) has one of the highest rates of child occupant injuries and fatalities globally. A comprehensive review of the literature revealed very limited research on child occupant injuries and fatalities in the UAE. All but two of the identified studies relied on data from Al Ain-based sources namely - Al Ain Department of Preventive Medicine, Al Ain Hospital, and Tawwam Hospital - and were restricted to that city. Furthermore, most of these studies were conducted nearly 30 years ago with the two most recent ones (conducted over a decade ago) based on crash data that was …

Indigenous And Tribal Nation Scientists And Universities, Elizabeth A. Sumida Huaman, Stephen J. Smith

Critical Internationalization Studies Review

No abstract provided.

Belonging Without Borders: A Missionary Kid Reflects On Nursing School, Julia Beth Stamp

Wisdom & Compassion: The LUSON Journal

This reflective essay examines the experience of pursuing a nursing degree while living far from home as a Missionary Kid. It explores how the absence of close family ties during nursing school intensified feelings of loneliness, challenged motivation, and strained emotional well-being. Interwoven with personal narrative and supported by recent literature, the reflection highlights the way that community— through peers, mentors, and faculty— emerged as a vital source of resilience. The essay argues that resilience in nursing education is not the product of individual grit alone but grows from interdependence and the willingness to seek and receive support. Through recounting …

Sacred Lessons In The Last Moments: Faith Integration And Holistic Nursing, Meredith Lemmi

Wisdom & Compassion: The LUSON Journal

No abstract provided.

What Methods Do Pre-Licensure Bsn Students At A Christian University Use To Improve Resilience: A Qualitative Case Study, Beth Kelley

Wisdom & Compassion: The LUSON Journal

The purpose of this mixed-methods single-case study was to explore methods that pre-licensure Bachelor of Science in Nursing (BSN) students at a Christian university used to improve their resilience. Lazarus and Folkman's Transactional Model of Stress and Coping (1984) was employed as a theoretical framework, and the study asked: What methods did pre-licensure Bachelor of Science in Nursing (BSN) students at a Christian university use to manage stress and improve resilience? A convenience sample of 91 students was obtained to complete the demographic questionnaire, the Brief Resilience Scale, and the Perceived Stress Scale. Of those students, 25 volunteered for interviews …

Advancing Holistic Nursing: Bridging The Gap In Spiritual Care, Rachel Joseph

Wisdom & Compassion: The LUSON Journal

No abstract provided.

Volume 3, Issue 1 - Complete Issue

Wisdom & Compassion: The LUSON Journal

No abstract provided.

Tax Trends, E. S. Linett

Tax Adviser

No abstract provided.

Agribusiness: Operating As A Corporation, William L. Lucas, Arthur O. Wilkonson

Tax Adviser

No abstract provided.

Why Indigenous Children's And Young Adult Literature Matter

Occasional Paper Series

No abstract provided.

The Healing Power Of Diverse Voices, Brian Lee Young

Occasional Paper Series

No abstract provided.

“I’M From The Federal Government And I’M Here To Help”: An Examination Of How Firekeeper’S Daughter Educates About Settler Colonialism, Robert Petrone

Occasional Paper Series

This essay offers an examination of various ways Angeline Boulley’s best-selling, award-winning Indigenous Young Adult novel, Firekeeper’s Daughter attends to and educates about settler colonialism. At the core of this analysis is the guiding question: In what ways does Firekeeper’s Daughter illuminate the ongoing social structure of settler colonialism within the context of what is currently known as “The United States”? Specifically, this analysis focuses on the topics of Native identity, including colonial mechanism of blood quantum; and the ways institutions such as the FBI operate from values and epistemologies of compartmentalization and deficit notions of Native Peoples. Across this …

Why Indigenous Children’S Literature Matters: A Native Hawaiian Perspective, Julie Kaomea

Occasional Paper Series

No abstract provided.

Making Connections To The Local: Exploring The Role Of Indigenous Literature In Early Childhood Education, Lori Huston, Dr. Jan Hare, Ashleigh Janis, Leigh Kweon

Occasional Paper Series

Indigenous children's literature is a vital resource for nurturing cultural understandings and appreciation from an early age for both Indigenous and non-Indigenous children. This paper presents insights gathered from a workshop titled "Nurturing Indigenous Childhoods Through Themed Picture Books: Making Connections to the Local," which emerged as a culmination of our collaborative work on a massive open online course (MOOC) centered on Indigenous pedagogy in early childhood education. We curated a list of Indigenous children's books and engaged in discussions on the significance of Indigenous literature in nurturing cultural identity and literacy learning. In doing so, we aspired to create …

An Indigenous Feminist Reading Praxis For Imagining Anti-Colonial Futurities: Honouring The Spirit And Intent Of Katherena Vermette’S Writings, Jennifer Brant, Erenna Morrison, Jasmine Rice, Gayatri Thakor

Occasional Paper Series

We conceptualize Indigenous literatures as integral tools for supporting teachers on their journeys toward truth and reconciliation. As such, we intentionally offer our work as a pedagogical guide for introducing Indigenous Children’s and Young Adult Literatures (ICYAL) in secondary level English courses, asserting that the delivery of such works must be taught in ways that align with anti-racist praxis, acknowledge varied experiences of racism, sexism, and gender-based violences, and promote liberatory thinking. Indeed, while Indigenous literatures are excellent pedagogical tools to engage conversations about social justice and anti-Indigenous racism, they must be paired with key lessons that dismantle harmful, disrespectful …

Tax Trends, E. S. Linett

Tax Adviser

No abstract provided.

Viewpoint: The Tax Reduction Act Of 1975: A Brief Review For Individual Taxpayers, A. James Golato

Tax Adviser

No abstract provided.