Digital Commons Network^™

An Experimental Investigation Of Federal Messaging On Public Support For Enforcement- And Treatment-Based Approaches For Opioid Overdose Prevention In South Carolina, Lídia Gual-Gonzalez, Hunter M. Boehme, Peter Baker, Melissa Nolan Ph.D., Mph

Faculty Publications

Background

As the opioid overdose crisis continues to produce excessive morbidity and mortality in the United States, government agencies have applied various approaches to prevent overdoses, including law-enforcement efforts (e.g., arresting people who use drugs, interrupting drug traffickers, etc.) and treatment-based approaches (e.g., naloxone, medications for opioid use disorder, etc.). Public perception and support of these approaches are relevant for informing policy, allocating resources, and effectively implementing community interventions to prevent drug-related harms.

Methods

Using an embedded informational survey design, we experimentally assessed whether public support for strategies to prevent overdose in South Carolina is influenced by language from federal …

Intrinsic Motivation Teaching Experiences Of Middle School Educators 4 Years After The Pandemic, Carmy Aristor

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has altered the educational landscape, significantly impacting middle school educators’ intrinsic motivation to teach. While research has extensively addressed the immediate impacts of the pandemic on education, there remains a gap in understanding how middle school educators make sense of their intrinsic motivation teaching experiences 4 years after the pandemic. Grounded in intrinsic motivation as the conceptual framework supported by the self-determination theory (SDT), the purpose of this qualitative study was to gain an understanding of the intrinsic motivation teaching experiences of middle school educators 4 years after the pandemic. The central research question examined the lived …

African American Women’S Lived Experiences Of Adultification Bias And Emotional Well-Being, Carolyn Lovette Lanier

Walden Dissertations and Doctoral Studies

While existing studies have explored the manifestations of adultification bias in various contexts, there is a significant gap in the literature regarding research on the emotional well-being of African American women who have navigated this bias. The purpose of this study was to understand how adultification bias manifests in the lives of African American women, to illuminate the nuances of how adultification bias unfolds in the lives of African American women, and to examine its presence within their emotional realms. The theoretical frameworks of adultification bias and emotional well-being ground the study. The key research questions centered on the specific …

Relationship Of A Business Simulation Course To Act Applied Math Outcomes, Brenda Lorraine Savage

Walden Dissertations and Doctoral Studies

Little evidence links the use of business simulations to advances in the higher order thinking skills that high school students need to prepare for careers in finance. The problem for this study was that students in three southern high schools had limited success on the ACT Applied Math Assessment, and there was a need to explore the relationship of a newly implemented stock market trading simulation course to student success on the assessment. Kolb’s experiential learning theory, which was aligned to the simulation activities, guided the study. The purpose of this quantitative predictive study was to determine whether participation in …

Attitudes Toward Seeking Mental Health Services Among Young African American Same-Sex-Oriented Men, Anthony Earl Fox

Walden Dissertations and Doctoral Studies

In 2018 suicide was the second leading cause of death for young people between the ages of 15 and 24 (CDC, 2018). Suicide and other factors like HIV, depression, and oppression may serve as barriers to seeking counseling among African American same-sex-oriented men ages 18-26. Due to a previous gap in the literature regarding barriers to seeking counseling, this study may support counselors in finding ways to address the disparity in counseling utilization among this population. Grounded in queer and social identity theories, the purpose of this quantitative study was to examine if adverse childhood experiences, current civic unrest, HIV, …

Relationship Between Participation In Employee Wellness Programs And Health-Related Quality Of Life Among Health Care Workers, Ana Williams

Walden Dissertations and Doctoral Studies

Employee wellness programs are available in many health care organizations but remain underutilized by health care workers. Low employee participation in these wellness programs can negatively impact employees’ health-related quality of life (HRQoL), which, in turn, may adversely influence patient care and overall health outcomes. Despite this, little is known about which factors, such as perceived barriers and benefits, job category, or work shift, are associated with participation. This study addressed that gap by exploring how these variables relate to employee engagement in wellness programs and their potential impact on HRQoL. Guided by the health belief model, this study examined …

The Relationship Between Hand Grip Strength And Cognitive Function In Middle-Aged And Elderly People In China: A Cross-Sectional Analysis Based On Charls Data, Haiwei Li, Jing Zhang, Peipei Cheng, Liwei Guo, Xuemei Sui M.D., M.P.H., Ph.D.

Faculty Publications

This study explores the relationship between hand grip strength (HGS) and cognitive function in China’s middle-aged and elderly population. We employed a cross-sectional design using data from 4535 participants aged ≥ 45 years from the 2015 China Health and Retirement Longitudinal Study national dataset. The relationships between HGS and various dimensions of cognitive function, as well as the association between HGS and cognitive impairment, were investigated using ordinary least squares regression models and logistic regression models. Dose–response relationships between HGS and cognitive impairment were modeled using restricted cubic spline curves. Subgroup and sensitivity analyses were performed to assess the robustness …

The Impact Of Teaching Multiple Responses On Resurgence Of Target Behavior And Persistence Of Alternative Responding., Brittany H. Loder-Lafferty, Amanda N. Zangrillo, Alexandra M. Cicero, Cynthia P. Livingston, Jessica P. Tran, Mark Connelly

Manuscripts, Articles, Book Chapters and Other Papers

This study evaluated the effects of teaching multiple alternative responses on the resurgence of a target response and the persistence of an alternative response in an applied setting. Using a between-participants design, we examined how teaching multiple alternative responses impacted resurgence and persistence upon exposure to extinction. Additionally, we investigated the role of preference in response allocation and shifts in participant preference following extinction. Results indicated resurgence across both conditions, with no consistent difference in severity between single and multiple alternative response conditions. However, within-session analyses revealed greater persistence of the alternative response for participants taught multiple alternative responses, suggesting …

Specialization Of Sesquiterpene Lactone Metabolites In Liriodendron Plant Defense, Colin Galliano, Era Srivastava, David C Rowley, Kathryn M Ramsey, Divita Mathur, Matthew J Bertin

Faculty, Staff and Students Publications

Tulip trees (Liriodendron tulipifera and Liriodendron chinense), members of the Magnolia family, are known for their distinctive morphology and ecological significance, but their chemical diversity remains understudied. In this study, we report the identification and characterization of an array of sesquiterpene lactones (SQLs) produced by L. tulipifera. Through comprehensive chemical analysis, including high-resolution mass spectrometry and nuclear magnetic resonance spectroscopy, we identified a series of STLs with distinct bioactivity profiles. Notably, one of these compounds exhibited antibacterial activity but was only present in L. tulipifera, being absent in L. chinense. Additionally, some STLs demonstrated significant …

Mental Health In Prisons: Examining Variations In Disorders Across Custody Levels, Ariel Bysiek

Dissertations and Theses

The United States has a significantly large prison population with the number of people currently in a correctional facility being 1.9 million. Concern has been increasingly growing related to treatment of individuals in prison, particularly when it comes to solitary confinement. Many people believe that solitary confinement is unnecessarily cruel and debilitating to AIC's mental health. Studies have found contradicting information as to whether solitary impacts mental health. Part of the reason for this contradiction stems from the lack of measurement systems that are appropriate for AICs. The measures used in studies are meant for the general population, not individuals …

Dwelling, Kelly Erin Mclysaght

Dissertations and Theses

dwelling explores the network of connections between time, the self, and physical space. People and place are layered, and memories haunt these blurred spaces. Poems follow several lines of questioning: what lingering presence does abuse leave in the body and in the home? Is it possible to inhabit and share space with these presences, and if so, what does that mean for identity, relationships, and safety? Through repetition, image, and syntax, dwelling constructs a maze, enacting the conflicting desire to both linger in memory and run from it, holding the haunting beauty of grief and loss alongside anger and alienation.

Does Educator Preparation Align With State Standards? A Factor Analysis Of Missouri’S First-Year Teacher Survey, Ximena Uribe-Zarain, Beth Kania-Gosche, Mark Hogrebe

Mid-Western Educational Researcher

First-Year Teacher Surveys (FYTS) are essential for evaluating teacher preparation programs (TPPs), providing crucial feedback from recent graduates about their training and readiness for real-world teaching. This study focuses on Missouri’s FYTS, utilizing Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) to investigate the survey's factor structure and its alignment with the state's nine teaching standards. The study sample consisted of 1,424 first-year teachers who completed the FYTS during the 2023 academic year. EFA revealed eight distinct factors, largely corresponding to the original standards, while CFA results supported the multidimensional factor structure with significant item loadings. Although model fit …

A Qualitative Study Understanding The Effects Of Eye Movement Desensitization And Reprocessing In Equine Therapy, Linsey Adams, Tara Rava Zolnikov

People and Animals: The International Journal of Research and Practice

This qualitative descriptive study investigates the efficacy of EquiLateral™, an equine-assisted EMDR protocol, in treating PTSD. Amid increasing global cases of stress-related disorders, particularly in the United States, the study explores the experiences of current and former clients engaged in EquiLateral™ therapy with a licensed therapist. The absence of standardized procedures in equine-assisted therapy research has left a gap in understanding specific activities that effectively reduce PTSD symptoms. Through semi-structured interviews, the study captures participants’ experiences and perceptions, revealing transformative impacts of EquiLateral™ therapy on managing PTSD. Nine thematic findings emerged: life-changing, present moment, calmness, safety and trust, manageability, changed …

Introduction To Thomas Aquinas, Thomas Aquinas

Hannah Arendt Marginalia - All

New York, Modern Library [1948] Call #: BX890 .T62 E6 1948

Contains underlining, marginal lining and endpaper notes

PDF Information: 59 pages – 40.1 MB

The Human Condition, Hannah Arendt

Hannah Arendt Marginalia - All

[Chicago] University of Chicago Press [1958]

Call #: HM211. A7

contains marginalia, marginal lining, editing, endpaper notes and “Hannah’s corrections” see late edition (front page)

PDF Information: 36 pages – 3 MB

Nicomachen Ethics, Aristotle

Hannah Arendt Marginalia - All

Indianapolis: Bobbs-Merrill, 1962Call #: B430.A5 O7

Contains marginalia, underlining, marginal lining and endpaper notes.

PDF Information: 247 pages – 94mb

Politics, Aristotle

Hannah Arendt Marginalia - All

The Modern Library, 1943 Call #: JC71.A41 J6 1943

Arendt copy contained ephemera. Seven handwritten notes, and one typed note were found between pages of book. The notes would appear to function as extended marginalia, though most of the original locations have been lost. Arendt Ephemera file, folder 009.

PDF Information: 63 pages- 31mb

Collected Shorter Poems, W. H. Auden

Hannah Arendt Marginalia - All

London, Faber, 1966

Call #: PR6001.U4 A17 1966

Contains marginalia, underlining, marginal lining and endpaper notes

PDF Information: 20 pages – 5 MB

Operator Information Quantities Of Semigroups Associated With Functions Of The Number Operator, Ryo Inayoshi, Kimiaki Saito

Journal of Stochastic Analysis

In this paper, we present recent developments on the operator information quantity acting on white noise functionals. In particular, we give a stochastic expression of the operator information quantity of a semigroup generated by some function of the number operator through a white noise delta distribution centered at an infinite dimensional Ornstein-Uhlenbeck process.

Charleston, Sc Branch Pilots Association And Noaa Ports, Christopher Diveglio

Benefits of Ocean Observing Catalog (BOOC)

The Charleston, SC Branch Pilots Association (end user 1) make “go-no-go” decisions based on data from the National Water Level Observation Network (NWLON), Official NOAA Tide Predictions and Physical Oceanographic Real Time System (PORTS) sensors for tall, deep draft vessels transiting through Charleston Harbor and into the associated tributaries. Data from these sources allows more precise calculations of clearances of at the Don Holt Bridge at North Charleston, SC. The NWLON and PORTS are sponsored by CO-OPS which is the source for accurate, reliable, and timely tides, water levels, currents, and other oceanographic data. The vision of CO-OPS is to …

The Experience Of People Living With Dementia (Pwd) In Participating In Virtual Cognitive Stimulation Therapy (Vcst)—A Qualitative Systematic Review, Hau Ying Chan, Heather Bullen

Student Journal of Occupational Therapy

Background: This systematic review aims to explore the experiences of people living with dementia (PwD) participating in virtual cognitive stimulation therapy (vCST). With the global shift of cognitive stimulation therapy (CST) online during the COVID-19 pandemic, little research has explored how PwD experience telehealth interventions. This is the first qualitative systematic review on the experience of PwD participating in vCST.

Methods: Following the Joanna Briggs Institute (JBI) methodology for qualitative systematic reviews, a comprehensive search was conducted across six databases and the grey literature from January 1, 2013, to August 31, 2023.

Conclusion: Two synthesized findings were identified from two …

How To Shape Digital Competences Among Pre-Service Teachers: A Global Expert Analysis, Łukasz Tomczyk, Francisco David Guillén-Gámez, Maria Lidia Mascia, Julio Ruiz-Palmero

Journal of Media Literacy Education

The article explores how to shape digital competences among pre-service teachers within the university education system. It addresses the challenges posed by the rapid development of the information society and the growing digitisation of education, necessitating the redefinition of existing teacher education models. Using the Delphi method, 36 media education experts from six continents were interviewed between June and August 2022. They identified 12 versatile solutions to enhance the effectiveness of digital competence formation in academia. These solutions aim to improve the content, methods, and forms of teacher education, ensuring future pedagogical staff are better prepared to integrate ICT into …

Disinformation Awareness Via Sms? Exploring A New Modality For Boosting Adult Media Literacy, Jannie Lilja, Ester Tottie, Niklas Eklund, Tobias Lindé, Gunhild Hoogensen Gjørv

Journal of Media Literacy Education

Given a rapidly evolving disinformation environment, many initiatives are currently being developed to counter the harmful impacts of disinformation. The aim of this study is to explore how an SMS intervention, as a hitherto untested modality for raising awareness of disinformation with promising potential and wide reach, could boost media literacy among adults. We probe the effects on a national sample of adult Swedish respondents (N = 2536). An initial survey is followed by a five-week text messaging intervention and concluded with a second survey. Respondents’ objective ability to identify false information, and their subjective perceptions of attitude and …

Trans* Educators In Early Childhood Through Secondary (Pk-12) Schools: An Exhaustive Literature Review, Chris Cyan Divens

Journal of Queer and Trans Studies in Education

This literature review provides documentation and analysis for 22 years of empirical, English-language research on trans* educators in early childhood through secondary (PK-12) education. A total of 87 publications from six different continents provide a basis for researchers and policymakers interested in better understanding this historically marginalized population. Findings include a diverse array of methodological and theoretical approaches as well as several meta-level findings concerning the varied circumstances of trans* educators. There is a need for additional research to address persistent gaps as well as for sweeping policy change and collective action to improve the unacceptable conditions of trans* educators.

Food Literacy Program Among Adults In A Primary Care Setting, Marie K. Williams

Student Scholarly Projects

Practice problem: The increase in preventable chronic diseases is associated with food illiteracy, which arises from a lack of understanding of nutritional value and dietary guidelines (Silva et al., 2023).

PICOT: (P) In adult primary care patients aged 30-75 years, (I) does the implementation of evidence-based food literacy program (C) compared to standard practice (O) improve food literacy (T) in eight weeks?

Evidence: Using a validated food literacy questionnaire effectively measures improvements in food literacy. Customized programs that fill knowledge gaps are essential for enhancing overall food literacy. Intervention: Customized educational tools were provided to participants based on their knowledge …

2025 July 24 - Academic Council Agenda And Minutes, Academic Council, East Tennessee State University

Academic Council Agenda and Minutes

No abstract provided.

For The Greater Good: Civil Commitment For Addiction Amid The Overdose Epidemic, Steven P. Meerschaert

Cleveland State Law Review

America is facing a reckoning born of its own duality. Our society is gradually embracing an increasingly permissive stance on recreational drug use, while at the same time we lament the human costs of addiction. What the media has dubbed the “opioid epidemic” has seen increases in drug addiction diagnoses and opioid-involved overdose deaths nearly every year since 1999. In a rush to designate guilty parties and to crown a “gold standard” for treatment options, we have focused on theoretically flawed approaches that fail to follow the science precisely. At the same time, we dismiss validated treatment modalities in their …

Improving Large Language Models’ Summarization Accuracy By Adding Highlights To Discharge Notes: Comparative Evaluation, Mahshad Koohi Habibi Dehkordi, Yehoshua Perl, Fadi P. Deek, Zhe He, Vipina K. Keloth, Hao Liu, Gai Elhanan, Andrew J. Einstein

School of Computing Faculty Scholarship and Creative Works

Background: The American Medical Association recommends that electronic health record (EHR) notes, often dense and written in nuanced language, be made readable for patients and laypeople, a practice we refer to as the simplification of discharge notes. Our approach to achieving the simplification of discharge notes involves a process of incremental simplification steps to achieve the ideal note. In this paper, we present the first step of this process. Large language models (LLMs) have demonstrated considerable success in text summarization. Such LLM summaries represent the content of EHR notes in an easier-to-read language. However, LLM summaries can also introduce inaccuracies. …

From Surviving To Thriving: The Oxygen Mask Approach For Middle Management, Lydia Marque

Master's Projects and Capstones

Problem: Middle managers in healthcare experience high levels of stress, heavy workloads, and burnout. At a large medical center in Northern California, middle managers reported low perceptions of organizational support for well-being despite an abundance of available resources.

Context: Baseline data indicated a perceived support score of 6.5 out of 10 on the Employee Interest Survey and a People Pulse Culture of Health score of 60 for assistant nurse managers (ANMs), both below regional benchmarks. These findings suggested inadequate engagement with organizational well-being resources.

Interventions: A six-month performance improvement initiative, guided by the ADKAR change model and …

Designing Well-Being Intervention Trials For People With Progressive Multiple Sclerosis: The Importance Of Understanding Usual Care Comparators, Marcia Finlayson, Silvia Poli, Federico Bozzoli, Giampaolo Brichetto, Lars Bø, Isolde Martina Busch, Ulrik Dalgas, Nikos Evangelou, Amanda Farrin, Jennifer Freeman, Helena Jidborg, Daphne Kos, Claudia H. Marck, Daniel Ontaneda, Jessica Podda, Michela Rimondini, Polly Swain, Emma Tallantyre, Lauren A. Taylor, Roshan Das Nair

School of Health Professions

Well-being captures an individual’s capacity to lead a mean ingful and engaged life. Interventions to address well-being go beyond managing symptoms or supporting daily activity performance. Designing trials to evaluate the effectiveness of such well-being interventions can be challenging. One such challenge is determining what the comparator or control arm should be. Several trials of complex interventions use usual care as a comparator, but this can be particularly challenging when planning trials across multiple countries and health care systems. Therefore, trial design decisions must be informed by a good understanding of what constitutes usual or routine well-being interventions across locations. …