Digital Commons Network^™

Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi

Walden Dissertations and Doctoral Studies

Background: Primary care nursing faces an escalating burnout crisis threatening patient safety and organizational sustainability. Internal data reveals 68% of primary care nurses report high emotional exhaustion scores on the Maslach Burnout Inventory (MBI), significantly exceeding the national average of 45%. Annual voluntary turnover of 28% results in direct replacement costs exceeding $750,000, with associated increases in absenteeism (15% higher) and overtime costs (22% higher) compared to regional benchmarks. Purpose: This quality improvement project implemented a comprehensive multi-departmental resilience and stress reduction program to reduce nurse burnout, improve retention, and enhance patient safety outcomes in a primary care setting serving …

More Than A House, Charles Veenstra

Faculty Work Comprehensive List

"In order to be a home, a family must follow certain principles which are laid in creation: husband and wife together with children if God provides them."

Posting about belonging from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

More Than a House

2025 November 14 - Audit Committee Agenda And Minutes, Board Of Trustees, East Tennessee State University

Board of Trustees Agendas and Minutes

No abstract provided.

Severe Myocarditis In The Pediatric Patient: A Simulation For Emergency Department Management, Prayerna Uppal, Anita Thomas, Robyn Wing, Lauren Kinneman, Cassandra Koid Jia Shin, Daisy Ciener, Jean I. Pearce, Claire Smith, Jennifer Reid, Kimberly Stone, Katina Summerford, Katherine Wolpert

School of Medicine Faculty Publications

Myocarditis in a pediatric patient can present with a variety of signs and symptoms, leading to a broad differential diagnosis. Delays in the correct identification of myocarditis and the initiation of appropriate interventions can have a detrimental impact on patient outcomes. In this case, a simulated five-year-old patient with myocarditis and secondary cardiogenic shock presents to the emergency department (ED). The goals of this simulation curriculum were to familiarize trainees and ED providers with the often nonspecific presentation of pediatric myocarditis, educate the care team about crucial interventions that positively or negatively impact the patient's stabilization course, and reinforce the …

2025 November 14 - Academic, Research And Student Success Committee, Board Of Trustees, East Tennessee State University

Board of Trustees Agendas and Minutes

No abstract provided.

2025 November 14 - Full Board Of Trustees Agenda And Minutes, Board Of Trustees, East Tennessee State University

Board of Trustees Agendas and Minutes

No abstract provided.

Ethical And Legal Concepts For Pt, Clarence Chan

Open Educational Resources

This course introduces the topics of medical ethics and legal issues as applied to physical therapy practice. Students will have the opportunity to apply legal and ethical theories and concepts to analyze and discuss issues faced by healthcare practitioners. Ethical and legal standards set forth by the legal system in the United States, the Standard of Practice of New York State, and the American Physical Therapy Association core ethics documents will be explored. Students will also become familiarized with the various aspects of administrative, financial, quality improvement, and personnel management information as related to health care practice in the United …

Mechanism Of Anticancer Action Of Bifidobacterium: Insights From Gut Microbiota, Hoang Do, Esther Asiamah, Mayanijesu Olorife, Arathi Pillai, Sakshi Patel, Ponniah Selvakumar, Sidhartha D Ray, Ashakumary Lakshmikuttyamma

College of Pharmacy Faculty Papers

Bifidobacterium has captured major attention recently because of its health benefits and extensive research highlighting its potential in cancer treatment and prevention. Evidence suggests that bifidobacterium can actively fight against various types of cancer, including those of the colon, lungs, breast, and stomach. Research indicates that several species of bifidobacterium can potentiate the action of chemotherapy, immunotherapy and radiation therapy in battling tumors, and reducing their adverse effects. Bifidobacteria shows its multipronged effect by modulating various immunomodulatory and inflammatory signaling pathways, potentially leading to the suppression of tumor growth. Moreover, different species of bifidobacteria are known to regulate signaling molecules …

How Life Enrichment Farms Promote Independence, Health, And Well-Being Through Vocational Skills And Sensory Processing Skills, Olivia Stanek

Honors Theses

There is limited knowledge about life enrichment farms and their role in supporting individuals with disabilities. This project aimed to highlight how occupational therapy can collaborate with these farm-based programs to promote independence, health, and well-being among younger adults with autism spectrum disorder and other developmental disabilities. An evidence-informed approach and qualitative research methods were used to explore this question, including a literature review and an interview with AACORN Farms, a life enrichment farm located in Michigan. Findings were further examined through occupational therapy activity analysis to identify the vocational, sensory, and meaningful engagement opportunities embedded within the various areas …

Childhood Events And Counseling Experiences Of Chinese And Korean American Transracial Adoptees, Mele Kramer, Lee Stadtlander

Journal of Social, Behavioral, and Health Sciences

From the 1950s through 2024, transracial adoptions—particularly of Korean and Chinese children—have been increasingly prevalent in Western societies. While these adoptions provided children with opportunities to grow up in loving and supportive families, they also introduced unique challenges related to identity, cultural integration, and self-esteem. This basic qualitative study aimed to explore the lived experiences of Chinese and Korean transracial adoptees (TRAs) within their adoptive families, in their interactions with counseling, and their perceptions of the effectiveness of counseling interventions. The study was grounded in Relational-Cultural Theory (RCT) and the Openness to Communication framework to examine the experiences of 19 …

Embodiment, Relationships, And Sexuality: An Ethical Analysis Of Extended Reality Technologies, Erick Jose Ramirez, Laura Clark, Sydney Campbell, Julian Dreiman, Dorian Clay, Raghav Gupta, Shelby Jennett

Philosophy

Communication technologies change the way we relate to each other and ourselves. In this essay we analyze the effects that extended reality (XR) technologies are likely to have on conceptions of the self, romantic relationships, and other associated concepts like sexual orientation. While these technologies are in their infancy, key psychological and philosophical concepts are already being explored. We begin by defining extended reality and the family of technologies that make it possible. We pay special attention to the way these immersive technologies ground the experiences of presence which can become virtually real. These experiences provide a useful framework for …

Validation Of A Two-Item Short Form Of The Perceived Health Competence Scale, Devika Nair, Jacquelyn S Pennings, Hayden B Bosworth, Kenneth E Freedland, Sunil Kripalani, Elisa J Gordon, Gurjeet S Birdee, Justin M Bachmann

2020-Current year OA Pubs

BACKGROUND: Perceived health competence is a construct encompassing individuals’ confidence in managing their health and health-related behaviors. The 8-item Perceived Health Competence Scale (PHCS-8), developed to measure this construct, has established psychometric properties including test-retest reliability and predictive validity for health behaviors and clinical outcomes. We aimed to validate the 2-item Perceived Health Competence Scale (PHCS-2), an abbreviated version of the PHCS-8, for use in clinical and research settings where respondent burden is a primary concern. METHODOLOGY: We conducted a psychometric validation study using pooled data from 482 participants across two cohort studies conducted in an integrative medicine clinic. Participants …

Effects Of Experiences Of Widowhood Practice On Young Widows’ Well-Being In Southeastern Nigeria, Ijeoma Josephine Edinoh

Walden Dissertations and Doctoral Studies

In Nigeria long-standing sociocultural norms dictate widowhood practice, which widows are expected to undergo when they lose their husbands. The impact of this ancient culture, which has continuously been encouraged from generation to generation to date, has been devastating for widows. The purpose of this generic qualitative study was to investigate the effects of widowhood practices on the well-being of young widows in southeastern Nigeria. Feminist theory was the conceptual framework. Through semistructured, audio-recorded interviews conducted via Zoom, data were collected from 10 young widows between age 18 to 45 in the southeastern Nigeria. After the data were collected, Braun …

Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker

Walden Dissertations and Doctoral Studies

Prostate cancer screening has been a focus of scholars since the late 20th century, as researchers have sought to address persistent disparities in early detection and mortality rates among African American men. Researchers have demonstrated that cultural beliefs, mistrust of the medical system, and limited access to healthcare significantly influence prostate cancer screening behaviors within this population. However, researchers have yet to establish how younger African American men specifically interpret prostate cancer risk and how their beliefs and attitudes shape decisions regarding screening participation. The purpose of this study was to explore the beliefs, perceptions, and attitudes of younger African …

The Inner Workings Of The Flipped Classroom, Kimberly Y. Resendiz

Honors Theses

This paper will be exploring what a flipped classroom is; specifically how teachers use the flipped classroom. First, it is important to note that the flipped classroom is a relatively new method that has popped up as early as the early 2000s. In general, this method allows for teachers to switch the environments in which learning the concepts and doing an activity are switched. The purpose of this paper is to explore the implementation of the four pillars of the flipped classroom, as well as the benefits and challenges STEM teachers face when using flipped classrooms. I have collected data …

Arnold Berleant And The International Institute Of Applied Aesthetics: Introduction To The Panel Discussion, Arto Haapala

Contemporary Aesthetics (Journal Archive)

No abstract provided.

Berleant’S Critique Of Aesthetic Disinterestedness Revisited, Again, Harri Mäcklin

Contemporary Aesthetics (Journal Archive)

No abstract provided.

Arnold Berleant’S Engagement With The Aesthetics Of Engagement, Fotini Vassiliou, Katerina Bantinaki

Contemporary Aesthetics (Journal Archive)

No abstract provided.

First-Line Met Tyrosine Kinase Inhibitors Versus Immunotherapy ± Chemotherapy For Patients With Met Exon 14 Skipping Mutant Metastatic Nsclc, Hong Chen, Eleonora Gariazzo, Francesco Mantuano, Edoardo Garbo, Mihaela Aldea, Valentina Santo, Don Gibbons, Hai Tran, Francesco Paoloni, Guilherme Rossato De Almeida, Giulio Metro, Andrea De Giglio, Francesco Gelsomino, Xinan Wang, Marcello Tiseo, Julia Rotow, Andrea Ardizzoni, J Jack Lee, Mark M Awad, Alfredo Addeo, Lingzhi Hong, Marcelo V Negrao, Pasi A Jänne, John V Heymach, Jianjun Zhang, Biagio Ricciuti, Xiuning Le

Faculty, Staff and Student Publications

Purpose: First-line treatment options for MET exon 14 skipping-mutant metastatic non-small cell lung cancer vary because of differences in drug approvals and clinical experience. This study investigates factors influencing outcomes with first-line MET tyrosine kinase inhibitors (TKI) versus immune checkpoint inhibitors (ICI) ± chemotherapy.

Experimental design: Clinicopathologic data were collected from patients with metastatic MET exon 14 skipping-mutant non-small cell lung cancer treated with first-line MET TKI or ICI ± chemotherapy at five centers. Primary endpoints were real-world progression-free survival (rwPFS) and overall survival (OS) to first-line MET TKI versus ICI ± chemotherapy. Subgroup analyses by clinical and tumor characteristics …

Improving Emergency Care Through Standardized Post Event Debriefing, Kiersten Ash, Madison Boyce, Katie Dolan, Jessica Mccann, Jessica Morones, Katherine Yaworsky

Nursing Research and EBP Day 2025

No abstract provided.

“For Haitian Culture, Being Older [Is] A Blessing”: Perceptions Of Aging, Elderhood, And Dementia In A Haitian Born Sample, Melissa K. Eustache

USF Tampa Graduate Theses and Dissertations

This thesis investigates how first-generation Haitian immigrants in the United States understand and interpret dementia within the intersecting contexts of culture, migration, and biomedicine. While dementia is constructed as a pathological “loss of self” and a public health epidemic, in American biomedical and popular discourse, this study examines how Haitian-born individuals—socialized within a non-Western cultural and spiritual framework—make sense of cognitive decline and impairment in ways that diverge from Western biomedical narratives. Guided by theoretical orientations from medical anthropology, including Mark Nichter’s idioms of distress, Margaret Lock’s local biologies, and neuroanthropology, this research explores how cultural models of illness, aging, …

Manipulating Morphology, Optical Properties, And Dynamics Of Chemical Vapor Deposited 2d-Transition Metal Dichalcogenides And Their Heterostructures, Himal Pokhrel

Electronic Theses and Dissertations Archive

Transition metal dichalcogenides (TMDs) are among the most promising groups of two-dimensional (2D) materials for applications in electronics, optoelectronics, electrocatalysis, energy storage, and spintronics. However, large-scale, high-quality growth of 2D TMDs remains a challenge, and research is ongoing to develop controllable fabrication methods for 2D TMDs, with the aim of their potential applications in various domains. In this dissertation, we present a comprehensive investigation into the growth, morphology, optical, electronic, and interfacial properties of 2D transition metal dichalcogenides (TMDs) and their heterostructures, with a primary focus on MoS2 and WS2 synthesized via plasma-assisted and salt-promoted low-pressure chemical vapor deposition (LPCVD) …

The Boundaries Of The Pastoral World, James Gillespie

Electronic Theses and Dissertations Archive

This dissertation looks at several examples of early modern pastoral in order to examine how physical movement into and out of the pastoral setting informs the degree of realism implied by that setting. While the pastoral stops short of articulating the actual social, political, and material concerns of those who literally live in the countryside, it does regularly call to mind a literal rural world. This degree of realism relates the pastoral and non-pastoral settings such that the pastoral environment can represent the complexities of urban life. This pastoral representation translates the difficulties of life in the city or at …

Vibrato In The Singing Voice: A Survey Of Vibrato Practices In The Studio For Teachers And Coaches, Anna Alyce Tarver

Electronic Theses and Dissertations Archive

Historically variable in its terminology, “vibrato” was not used until the nineteenth century. Coaches and teachers recognize it as a signature of healthy, expressive singing, except in some stylistically appropriate contexts. However, it continues to raise questions. Little data has been reported on vibrato outside of general characteristics. Only a few sources exist examining the knowledge and skillset of teachers of singing. This survey aimed to gain information on what instructors and coaches are told about vibrato in comparison to what they experience in the voice studio. An anonymous mixed-method survey was distributed to 201 professional voice teachers and coaches; …

A Scalable Cybersecurity Model For Academic Makerspaces, William Faircloth

Cybersecurity Undergraduate Research Showcase

Academic makerspaces have become integral hubs of innovation on university campuses, providing students with access to industrial-grade operational technology (OT) such as 3D printers and CNC machines. However, the security posture for these spaces has overwhelmingly focused on physical safety, creating a significant cybersecurity gap. This oversight leaves networked OT vulnerable to cyberattacks, which threaten student intellectual property, expensive equipment, and the integrity of the broader institutional network. This research addresses this critical vulnerability by developing and implementing a secure and scalable cybersecurity model at the Old Dominion University Computer Science Makerspace, founded on two core principles: robust network segmentation …

Deconstructing Tycoon 2fa: A Static Analysis Approach To Threat Intelligence And Automated Defense, Daniel A. Austin Jr

Cybersecurity Undergraduate Research Showcase

It's gotten much easier to be a cybercriminal. We're seeing a boom in "Phishing-as-a-Service" (PaaS) platforms, which sell advanced phishing attacks as a ready-to-use product. This means almost anyone can now get the tools to launch sophisticated attacks, even if they don't have a lot of technical skill.

This research dives into one of the most prominent threats, the Tycoon 2FA phishing kit. This kit is dangerous because it's designed to bypass Multi-Factor Authentication (MFA) using what is known as an Adversary-in-the-Middle (AiTM) attack.

This paper covers how I built and tested a set of Python-based tools to perform "static …

Re: Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Unreclaimed Sites Ur-46 Temporary Best Management Practices Work Plan (Dated October 17, 2025), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

2025 Field Evaluation Of Reclaimed Sites Summary Report, Butte-Silver Bow Department Of Reclamation And Environmental Services

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott

Walden Dissertations and Doctoral Studies

For this Doctor of Nursing Practice project in physical medicine and rehabilitation (PM&R), the focus was on enhancing education for acute care nurses about the benefits of inpatient rehabilitation for appropriate patients. The practice problem was the underutilization of inpatient rehabilitation despite its proven benefits in improving patient outcomes and reducing readmissions. With this project, I aimed to educate nurses on identifying suitable candidates for inpatient rehabilitation, thereby improving patient care transitions and outcomes. The practice-focused question revolved around assessing the effectiveness of educational interventions in increasing nurse knowledge and referral rates to inpatient rehab. Analytical strategies included pre- and …

Editorial: Migration And Health: A Human Rights Perspective - Conference Insights And Beyond, Noemi Rodriguez, Mira Goral, Justine Mcgovern, Allison Squires, María Isabel Roldos

Publications and Research

No abstract provided.