Digital Commons Network^™

Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner

Walden Dissertations and Doctoral Studies

Black individuals with end-stage renal disease (ESRD) have an excessive risk of mortality and experience ongoing inequities in end-of-life (EOL) planning. This basic qualitative study, informed by Sulmasy's biopsychosocial-spiritual model, explored social workers' perspectives about approaches that consider the interplay of physical, psychological, social, and spiritual aspects for mitigating barriers to EOL planning among Black dialysis patients. Data were obtained from semi structured interviews with 10 licensed dialysis social workers in Virginia and Maryland. Thematic analysis with descriptive coding, reflexive journaling, and peer debriefing was employed to analyze qualitative data to ensure trustworthiness. Six themes were identified: (a) building trust …

Associations Between Devices, Flavors, Ease Of Acquisition, And Use Of E-Cigarettes Among American Youth, Sasha Anderson

Walden Dissertations and Doctoral Studies

Abstract Initiation of use of e-cigarettes is attributed to many factors and must be understood to curtail health-related problems such as cardiovascular and pulmonary diseases that are associated with use of tobacco products. This study used the Social Cognitive Theory to analyze how curiosity and peer influence could be possible predictors of e-cigarette use among youth in the United States. Predictors of flavor preference and acquisition were also examined. Data were acquired from the Centers for Disease Control and Prevention’s 2018 National Youth Tobacco Survey (N = 20,189). Statistical tests to determine existing relations and associations were binary and multinomial …

Examining Emergent Patterns Of Behavior In White Female Sexual Homicide Offenders, Kristin Bemis

Walden Dissertations and Doctoral Studies

The majority of studies on sexual homicide offenders (SHOs) have been conducted on male sexual homicide offenders (MSHOs). In many aspects, this is due to society’s reluctance to view women as capable of sexual murder. There have only been a handful of studies conducted on female sexual homicide offenders (FSHOs). However, these studies found substantial differences between MSHOs and FSHOs, as well as between White FSHOs and Black FSHOs. Since prior studies on FSHOs have all been quantitative, this study employed a qualitative case study approach to analyze FSHOs. Using rational choice theory, 12 White FSHO cases were examined, using …

Enhancing Diabetes Self-Management Education And Support Knowledge And Awareness Among Nurses, Tamba Sam-Manimoi

Walden Dissertations and Doctoral Studies

Diabetes mellitus (DM) affects 12% of the United States population at an annual cost of $412.9 billion. In the local clinic, 20% of the patient population has a diagnosis of DM. Despite the importance of diabetes self-management education and support (DSMES) in managing DM, patients are often not educated on this important strategy. Leadership identified that patients were reporting a lack of knowledge regarding DSMES practices and that the nurses lacked the necessary knowledge and awareness to educate patients in DSMES. Thus, the purpose of this DNP project was to determine if an educational intervention focused on DM and DSMES …

Social Vulnerability And Perinatal Risk: Demographic Determinants Of The Impact Of A Natural Disaster On Pregnant Women, Kjersti M Aagaard, Melissa A Suter

Faculty, Staff and Students Publications

Objective: Despite growing research on disaster-related health impacts, pregnant individuals remain understudied. This study explores the sociodemographic characteristics of pregnant women affected by Hurricane Harvey.

Methods: A cross-sectional analysis of 4,951 pregnant individuals (511 directly impacted) was conducted to identify predictors of disrupted healthcare, financial loss, and mental health outcomes.

Results: Social and structural vulnerabilities significantly influenced disaster impact. Pregnant individuals who were foreign-born racial/ethnic minorities (16.7% non-Latinx Black, 10.2% Latinx vs. 8.3% non-Latinx White), low-income (13.0% vs. 8.0%), less educated (12.5% vs. 7.6%), reliant on public healthcare (81% vs. 33.5%), or with limited maternity care access (11.4% vs. 54.8%) …

Serum Response Factor Is Essential For Endometrial Function And Prevention Of Inflammatory Fibrosis, Peter F Lais, Shu-Yun Li, Xin Xu, Erin Smithberger, David Cunefare, Charan Ganta, David Olson, Eunhee M Jeong, Jae-Wook Jeong, Bruce A Lessey, John P Lydon, Francesco J Demayo

Faculty, Staff and Students Publications

Pregnancy requires a supportive uterine environment facilitated by steroid hormone–regulated differentiation of endometrial stromal fibroblasts into decidual cells and tight control of inflammation. Serum response factor (SRF) is a widely expressed transcription factor essential for mesenchymal cell growth and differentiation with noted roles in hormonal regulation of muscle tissues but little characterization in reproductive organs. Here, we reveal that endometrial SRF is dysregulated in human endometriosis and is critical for female reproductive success in mice through regulation of endometrial stromal and epithelial cells. Immunohistochemical analysis identified decreased endometrial SRF expression in infertile endometriosis patient tissues. RNAi-based SRF knockdown in human …

Optimising Drowning Prevention Counselling Through A Physician Maintenance Of Certification (Moc) Quality Improvement (Qi) Initiative, Shabana Yusuf

Faculty, Staff and Students Publications

Drowning is the leading cause of death in children 1–4 years old in the USA. Paediatricians play an important role in giving anticipatory guidance on drowning prevention. This quality improvement initiative aimed to increase the rate of drowning prevention counselling with provision of educational materials to caregivers of children aged 0–10 years during clinical encounters in an outpatient setting.

We refined a previously published Texas state educational programme that included evidence-based counselling strategies across three Plan Do Study Act (PDSA) cycles, with the addition of preintervention baseline counselling phase during expansion of the programme nationally to 17 and 21 states …

Global Trends And Forecast Of Cardiovascular Diseases, Cancer, And Shared Risk Factors: Insights From The Gbd 2021, Srinithy Nagarajan, Silingga M Jauhari, Yiming Chen, Li L Tan, Anurag Mehta, Muhammad S Khan, Mark Muthiah, Derek Hausenloy, A M Richards, Dennis T Ko, Christian D Mallen, Eric A Secemsky, Mark Y Chan, Paaladinesh Thavendiranathan, Nicholas W S Chew, Mamas A Mamas

Faculty, Staff and Students Publications

Background: Cardiovascular disease (CVD) and cancer share multiple risk factors and are the leading causes of morbidity and death worldwide. This study aims to examine historical and projected trends of the combined CVD-cancer global estimates and their shared risk factors.

Methods: Death and disability-adjusted life years (DALYs) associated with CVDs, cancers, and their risk factors were obtained from the GBD (Global Burden of Disease) 2021 study. Historical estimates from 1990 to 2021 and forecast data from 2025 to 2050 were examined across age groups, regions, sociodemographic index, and sex.

Results: In 2021, CVD-cancer resulted in age-standardized DALY rates of 8009 …

Fraggin’ The Superhero Genre: Parody And Carnival In Dc’S Lobo, Ryan L. Johnson

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

This essay examines the DC anti-hero Lobo as an ideal example of the constructive, creative power of parody and Bakhtinian carnival. Unlike Bakhtin’s assertion that carnival since the Renaissance has lost its spirit of play and become purely destructive, Lobo uses grotesque violence to create just as much as he destroys social norms. Ultimately, the mini-series under consideration provide a valuable tool for students to understand carnival, parody, and its power as criticism.

The Connect With Kindness Curriculum: Integrating Heart, Brain, And Whole-Child Development Through Holistic Education, Tatyana V. Tsyrlina-Spady, Amy N. Spangler, Katerina Bodovski

Journal of Contemplative and Holistic Education

This paper presents Connect with Kindness, a holistic, trauma-informed, and child-centered curriculum designed to foster emotional literacy, empathy, and moral imagination through lived experiences of kindness. Grounded in the pedagogical legacies of Johann Heinrich Pestalozzi, Janusz Korczak, and Vasyl Sukhomlinsky—and enriched by contemporary insights from neuroscience and psychology—the curriculum reflects a contemplative and relational approach to education. Drawing on over 1,800 multimedia submissions from children in 45 countries, Connect with Kindness elevates children’s voices as co-creators of learning and encourages deep reflection through nature-based experiences, art, peer dialogue, and community engagement. By integrating Dr. Bruce Perry’s neurodevelopmental model and …

Stolen, Lost, And Replaced: Testimonios Regarding Chicana Responsibilities To The Spanish Language, Fawn-Amber Montoya, Ashley Martinez

International Journal on Responsibility

Using testimonio, the authors address how the Spanish language represents a component of Chicana identity. They illustrate how geography, history, and colonization impact Chicanas’ relationship with the Spanish language. Using testimonio allows the writers to explore the Spanish language in the United States through their personal experiences.

Resumen

Usando “testimonio”, las autoras abordan cómo el idioma español representa un componente de la identidad chicana. Ilustran cómo la geografía, la historia y la colonización afectan la relación de las chicanas con el idioma español. El uso de “testimonio” permite a las autoras explorar el idioma español en los Estados Unidos a …

Two-Year Skeletal Adaptations In Development And National Level Female Figure Skaters, Chelsea Wong, Leigh Gabel, Erik Groves, Kelly Quipp, Steven Boyd, Lauren Burt

International Journal of Exercise Science

International Journal of Exercise Science 18(3): 1297-1309, 2025. https://doi.org/10.70252/ZSKN7069 Figure skaters typically have higher bone mineral density (BMD) than the general population. However, the current literature is limited to cross-sectional studies. The objective of this study was to determine two-year changes in volumetric BMD, bone microarchitecture, and estimated bone strength in elite national and development level Canadian figure skaters. Eleven female figure skaters aged 14+ years were recruited for this longitudinal study. Measurements occurred annually. High-resolution peripheral quantitative computed tomography (HR-pQCT) scans of the radius and tibia underwent three-dimensional image registration. Total (Tt), cortical (Ct) and trabecular (Tb) volumetric BMD …

The Science And Economics Of 3d-Printed Filament Recycling, Michael Domingo, Dane Freund, John Mcswiggin, Adam Meadows

Sustainability Conference

In recent years, 3D printing has grown rapidly, both in homes and commercially. This has led to increased demand for plastic filaments, many of which contribute to plastic waste. This project explores the potential of recycling household plastics into 3D printing filament, promoting sustainability and creating a circular economy. Materials like PLA, PETG, ABS, and polypropylene can be recycled or even composted. Existing research has shown that recycled filaments can maintain comparable tensile strength to their virgin counterparts, depending on the recycling process. Furthermore, implementing circular economy practices for plastics could save billions annually by mitigating pollution and reducing landfill …

Localized Nuclear Utility For Erau Environmental Improvement, Timothy Schroeder, Jacob Blanton, Christopher Anderson

Sustainability Conference

The reliance of Embry Riddle Aeronautical University (ERAU) on energy supplied by Florida Power & Light (FPL), which currently draws large amounts of power from fossil fuel sources, is continuously suboptimal both environmentally and financially. This study proposes assessing the feasibility of deploying a campus scale nuclear reactor tailored to ERAU’s power consumption profile. This serves as a path toward reducing greenhouse gas emissions and limiting dependence on external fossil fuel generation. The methods used are primarily literature review(s), and numerical analysis on comparable use cases. The literature reviews focused on design theory and yield of nuclear reactors on a …

Advancing Environmental Monitoring At Verde River Headwaters State Park Through Integrated Remote Sensing Technologies, Ronny Schroeder, Noah Morales, Colton Weeks, Reiner Zimmermann, Erika Podest, Hank Vincent

Sustainability Conference

The establishment of Verde River Headwaters State Park in Chino Valley, Arizona, marks a significant conservation milestone with the acquisition of 734 acres of the historic Del Rio Springs Ranch by the Trust for Public Land in March 2024. Now under the stewardship of Arizona State Parks & Trails (ASPT), this site encompasses Sullivan Lake, Del Rio Springs, critical riparian habitats, and historically significant landmarks including the 1863 Arizona territorial capital and 1920s Fred Harvey Farm structures. This initiative yields substantial benefits, including annual water savings within the Prescott Active Management Area, the extension of the Peavine National Recreation Trail, …

Evaluating The Pollutant Permeation Index (Ppi) For Regional Air Quality Assessment: A Study Of Los Angeles And California Regions, Jivar Afshar, Arezoo Khodayari, Sina Taghvaee

CSU Journal of Sustainability and Climate Change

Air pollution poses significant challenges by affecting public health, increasing the prevalence of air quality-related diseases, and contributing to climate change. Federal, state, and local governments are implementing various regulations and policies to mitigate these effects. However, assessing the effectiveness of localized air pollution regulations remains complex, often relying on extensive data collection methods, such as emission inventories. This paper introduces the Pollution Permeation Index (PPI), a novel method that simplifies the evaluation of health burdens resulting from pollutant migration between neighboring regions. The PPI method employs straightforward calculations to quantify how pollutants, including Ozone (O₃), fine Particulate Matter (PM …

Solvent Extracts Of Pulvigera Papillosa (Orthotrichaceae) Show No Antimicrobial Properties In Disk Diffusion Tests, Ryan A. Solorzano, Justin Paulin, Grayson Prater, Michael Lanier

Humboldt Journal of Microbiology

Abstract As antibiotic-resistant bacteria become more prevalent, the search for novel forms of antibiotics in the natural world has become an increasingly worthwhile endeavor. Many mosses have been found to contain antimicrobial properties, including those in the family Orthotrichaceae. Pulvigera papillosa, an Orthotrichaceous moss native to California, has thus far not been investigated to determine whether it contains antimicrobial properties. Extraction techniques using polar and nonpolar solvents have proven to be effective in extracting the secondary metabolites that allow mosses to defend themselves against a hostile microbial world. This study takes a preliminary look into the antimicrobial properties of P. …

Growth Trends In Abundance And Diversity Of Synthetic Microbial Communities Over Varying Thermal Conditions, Mariska M. Kessler, Jocelyn Wolfinger, Destiny S. Alcaraz

Humboldt Journal of Microbiology

Microorganisms create various communities that act as the foundation of ecosystems. Abiotic factors such as temperature variability and environmental fluctuations are known to produce shifts in the abundance and diversity of microbial communities, but our current understanding is limited. In this study, we aimed to address this gap by observing abundance and diversity growth patterns under different temperature conditions within individual species and communities. Samples of 4 isolates and 4 artificial communities were grown at constant and fluctuating temperatures. Results found that the isolate samples had the highest abundance under constant high temperatures, whereas the community samples had the highest …

Elucidating The Relationship Between Water Quality And Antibiotic Resistance Of Rainwater Microbes Across Western Humboldt County, Theo P. Murphy, Eve Wendley, Justice Laskowski, Tyler Paredes

Humboldt Journal of Microbiology

Limited studies have been conducted regarding the fecal contamination and microbial dispersal through rainwater, with no known studies investigating the potential connection between antibiotic resistant microbes and water quality in rainwater. This study seeks to identify the presence of a correlation between water quality and incidence of antibiotic resistance in rainwater microbes. We hypothesize that there will be a correlation between these two variables. We additionally anticipate a high incidence of fecal contamination across rural and urban collection sites alike, with fecal contamination being more prevalent in rural areas than urban locals. To determine water quality, we measured the concentration …

Temporal Prediction Model For Executing Orchestration Functions In Optical Network, Anonymous

Defensive Publications Series

[0001] The present disclosure relates to systems and methods for a temporal prediction model for executing orchestration functions in optical networks. Predictive modeling for provisioning optical services and functions within an optical communication network involves a trained temporal prediction model (“model”). This begins with collecting execution times from each device and interface for various orchestration functions, followed by timing processes at each network element (NE), including issuing, acknowledging, executing commands, and waiting for devices to reach a ready state. The model then establishes correlations between different functions and their provisioning times based on network complexity. Temporal dependencies are recorded between …

Accidental Daily Dosing: Severe Methotrexate Toxicity In A Patient With Rheumatoid Arthritis, Sidra Memon, Kavitha Vemuri, Syed Uzair Mahmood, Darshit Patel

Advances in Clinical Medical Research and Healthcare Delivery

This case highlights a crucial complication of oral methotrexate therapy: toxicity due to dosing errors. A patient’s daily dosing regimen, instead of the intended weekly schedule, led to a significantly excessive cumulative dose of methotrexate over a short period, resulting in severe hematologic and mucosal toxicity. This underscores the importance of clear patient education and vigilant prescription practices to prevent such errors.

Compassion Fatigue And Burnout In Community-Based Psychiatric Staff, Faith Carini-Graves

Advances in Clinical Medical Research and Healthcare Delivery

Community-based psychiatric staff, such as the Youth ACT teams that are being initiated across New York State, are at risk for compassion fatigue due to their proximity to the trauma of their patients. This literature review explores current evidence that is available on the topic and grapples with what can be done to support psychiatric staff who work in the community with patients who experience trauma.

Plasmacytoma As The Initial Presentation Of Multiple Myeloma: A Case Report, Chantelle Martin, Sidra Memon, Austin Kim, Saleha Asghar

Advances in Clinical Medical Research and Healthcare Delivery

We report an unusual case of a woman who presented with nonspecific symptoms of unilateral facial mass and bleeding from her lower lip over several weeks. The mass was found to be relatively fixed and irregular with destruction of facial bone as evidenced by imaging. Initial investigations indicated the possibility of multiple myeloma, which was later confirmed with serum protein electrophoresis and bone marrow biopsy. Cervical lymph node biopsy confirmed presence of plasmacytoid cells positive for CD 20.

Rare Case Of Visual Hallucinations In A 60-Year-Old Female With A Recurring Pituitary Macroadenoma, Angelica Alday, Farah Qureshi, Kayvan Mirhadi

Advances in Clinical Medical Research and Healthcare Delivery

Pituitary adenomas are the third most frequently occurring primary intracranial tumor and are benign neoplasms that can have profound clinical implications. While most of these masses cause hormone hypersecretion, they may also be clinically silent until they elicit symptoms of mass effect, including severe headaches and visual field defects such as bitemporal hemianopia. This report highlights an atypical presentation of a pituitary adenoma that could be valuable for internists to consider when forming a differential diagnosis for patients with hallucinations. We discuss a case of a 60-year-old woman with a recent history of multiple emergency department visits for ongoing urinary …

A Rare Case Of Systolic Heart Failure In A 32-Year-Old Man, Neha Narayanan, Paulina N. Goodermote, Mohammad Jawish

Advances in Clinical Medical Research and Healthcare Delivery

There is limited data about heart failure in individuals below 65 years of age, despite the increasing incidence and rapidly progressive nature of heart failure in this patient population. This case of a 32-year-old African American male highlights the importance of early diagnosis and rapid transfer to higher level care given the quick progression of his systolic heart failure. This case also aims to discuss the common etiologies behind heart failure in young adults, highlighting how crucial it is to consider this diagnosis in an individual with polysubstance use. We hope this case report sheds light on the rising incidence …

Building Resilience Against Coastal Climate Risks, San Diego Regional Climate Collaborative, Brenda Castruita, Marius Van Dongen, Brandi Upshaw

San Diego Regional Climate Collaborative

The South Carlsbad Climate Adaptation Project (Project) is an initiative led by the City of Carlsbad (City) designed to address the growing risks of coastal erosion and sea level rise within the city. The Project focuses on a one mile segment of South Carlsbad Boulevard that runs directly along the coast and has experienced decades of coastal erosion, shoreline retreat, and recurring flooding–all of which are expected to intensify due to climate change. In an effort to protect critical infrastructure, natural resources, and public safety, the City has been evaluating the long-term viability of the current roadway and exploring various …

The Role Of A Luxury Brand For The Professional Competitiveness Of Brazilian Business Women, Irene Raguenet Troccoli, Patricia Da Silva Leite, Joyce Gonçalves Altaf

Journal of Marketing and Consumer Behaviour in Emerging Markets

This qualitative article explores the significance of a luxury women’s shirt brand in fostering the professional competitiveness of Brazilian Generation Y women. It does this by identifying the personal values that motivate women to wear these shirts, based on the Means-End Theory. This theory was operationalized using the Soft Laddering technique and complemented by non-participant observation. The result is that these shirts play a role in securing respect – primarily professional, but also personal – from third parties for the wearers, helping them to perceive themselves as successful in their careers. This study is the first to examine the ability …

Civilization, Brutality, And The Cherokee Nation During The Civil War, Sabrina L. As'ous

ATU Theses and Dissertations 2021 - Present

This thesis explores the role that the Cherokee Nation played during the Civil War in Indian Territory and in the border states. The Cherokee people were divided in loyalties between the Traditionalist Party led by Cherokee Chief John Ross and the Treaty Party of Major John Ridge. After the Treaty Party signed the New Echota Agreement with the United States Government, the Cherokee were expelled from their homelands in the Southeast and relocated to Indian Territory. With the murders of his family members, Stand Watie assumed the role of the leader of the Treaty Party and aligned with the Confederate …

Systematic Review Of Elementary Cybersecurity Education: Curriculum, Pedagogy, And Barriers, Na Liu, Siyu Long, Florence Martin

Journal of Cybersecurity Education, Research and Practice

Abstract -As children increasingly engage with digital platforms, the need for effective cybersecurity education has become urgent. This systematic review synthesizes 81 studies published between 2017 and 2024 to examine global curricula research focus and topics, pedagogical approaches and assessment methods, and key challenges in elementary cybersecurity education. The findings reveal six major thematic categories: student awareness, parental mediation, teacher engagement, curriculum design, community and policy support, and pedagogical innovation. Among instructional strategies, game-based learning and narrative storytelling emerge as the most frequently explored. Despite this growth, major gaps remain in curriculum consistency, teacher preparation, assessment rigor, and stakeholder coordination. …

Enhancing Early Sepsis Detection: Outcomes Of An Educational Program In An Emergency Department, Courtney Mettes

Dissertations

Systemic inflammatory response syndrome progressing to sepsis presents a significant challenge in emergency departments (ED), where delayed recognition and treatment increase morbidity, mortality, and costs. This project evaluated whether implementing the Evaluation for Severe Sepsis Screening Tool (SSST) alongside an existing sepsis best practice advisory (BPA) could reduce the interval from sepsis BPA alert to initiation of lab work and treatment in adult patients (18 years and older). A quasi-experimental design compared retrospective control data (n = 81, Group 1) with prospective project data (n = 34, Group 2) over eight weeks. ED nursing staff received specific education on …