Digital Commons Network^™

Opioid Use Disorder Within The Emergency Department: Not All Skin Infections Are Equal, Jennifer E. Pletcher

Graduate Doctoral Dissertations

The emergency department (ED) is where two health crises commonly converge, the opioid crisis and cellulitic infections while simultaneously being the front door to the healthcare system at large. The aim of this dissertation is to fill the gap in knowledge about specific skin and soft tissue injury and severe infection (SSTI) with comorbidity of opioid use disorder (OUD) (OUD SSTI) population and demonstrate inequities as compared to the SSTI and severe infection without OUD comorbidity (non-OUD SSTI) through the lens of the Conceptual Model of Nursology for Enhancing Equity and Quality: Population Health and Health Policy. The Nationwide Emergency …

Elbow Patches To Eye Patches: A Phenomenographic Study Of Scholarly Practices, Research Literature Access, And Academic Piracy, Lance Eaton

Graduate Doctoral Dissertations

Changes to academic publishing in the form of digital technologies and copyright law over the late 20th century have created increasing roadblocks for scholars to consistently and conveniently access research literature in their pursuit of scholarly work. As a result, academic pirate networks (APNs) such as Sci-Hub and Library Genesis have risen to fulfill the unmet needs of scholars. This study examined the experiences of scholars using APNs with a focus on how scholars make sense of their experiences with participating on APNs. By identifying meanings that scholars attributed to their participation on these networks, the study clarifies how these …

Notions Of Sovereignty: European Union Involvement In Independence-Seeking Regions, Kathryn Butterworth

Graduate Doctoral Dissertations

This study examines alternative ways of conceptualizing sovereignty through European Union involvement in the issue areas of conflict management, capacity-building, and human rights promotion in four independence-seeking regions: Western Sahara, Somaliland, Abkhazia, and Transdniestria. Document analysis and in-depth key informant interviews were used to develop a theory of European Union involvement in independence-seeking regions.

The theory of European Union involvement proposed in this study rejects state-centric notions of sovereignty as the only mode of understanding sovereignty and holds that independence-seeking regions (ISRs) enact various sovereignties through their existence. Further, the theory formed in this research suggests that state-centric notions of …

Living In Action: A Critical Phenomenological Study Of School-Based Mental Health Counselors’ Engagement In Social Justice Practices, Kerry Whiterell

Graduate Doctoral Dissertations

This study argues that a problem facing school-based mental health counselors is that neither traditional counseling psychology practices nor the public educational system in the United States were designed to meet the needs of students experiencing intersectional oppression. This study therefore described and compared traditional counseling psychology theory and practices with that of liberation psychology, and outlined social justice frameworks that are applicable to school-based mental health counselors. The overarching research question for this study then asked, “What are the experiences of social justice-oriented mental health counselors who work within public schools in Massachusetts?” To answer this question, a critical …

The Mediation Effect Of Resilience And The Moderation Effect Of Hospital Magnet Status On The Relationship Between The Practice Environment And Turnover Intentions Among Acute Care Nurses, Elizabeth Fraser

Graduate Doctoral Dissertations

ABSTRACT

THE MEDIATION EFFECT OF RESILIENCE AND THE MODERATION EFFECT OF HOSPITAL MAGNET STATUS ON THE RELATIONSHIP BETWEEN THE PRACTICE ENVIRONMENT AND TURNOVER INTENTIONS AMONG ACUTE CARE NURSES

May 2025

Elizabeth Helena Fraser, B.S.N., Elms College

M.S.N., Emmanuel College

Ph.D., University of Massachusetts Boston

Directed by Professor Sun S. Kim

The U.S. healthcare system has long suffered a critical nursing shortage, intensified since the coronavirus disease 2019 (COVID-19) outbreak. The shortage is a complex national crisis compounded by the high turnover of qualified nurses. Turnover is when a nurse leaves an organization for another nursing position or leaves the profession …

Give Them Their Roses: Honoring Student Affairs Professionals Of Color Combatting Secondary Racial Battle Fatigue At A Historically White Institution, Julián X. Latshang, Julián X. Latshang

Graduate Doctoral Dissertations

This dissertation explores the phenomenon of Secondary Racial Battle Fatigue (SRBF) and its impact on student affairs professionals of color in higher education. Grounded in critical qualitative inquiry and the lived experiences of participants, this study examines how emotional, behavioral, and physiological effects of SRBF manifest both through professionals’ direct racialized experiences and their roles supporting students enduring racial trauma. Framed by Racial Battle Fatigue (Smith, 2010) and Secondary Traumatic Stress (Figley, 1995), the research addresses three guiding questions: (a) How does SRBF manifest in professionals of color? (b) In what ways does it emerge when supporting racially traumatized students? …

From Erasure To (Re)Vision: Blackgirls In Education, Nicole E. Mclaren

Graduate Doctoral Dissertations

Blackgirls can grow up, attend school, and never have a teacher who looks like them. Their teachers may never tell them they could become great teachers someday, or school may not be an affirming place they can imagine returning to as educators. Black women make up only 6% of K-12 teachers, and this research shares the life stories of fourteen Blackgirl educators from that notable group, highlighting the challenges they faced on their journey to becoming teachers. This interview-based study uncovers some of the emotional and institutional scars Black women carry. Findings show that the path to and staying in …

Multilingual English Teaching: Challenges And Possibilities In The Secondary Mainstream Classroom, Vannessa Quintana Sarria

Graduate Doctoral Dissertations

This dissertation examines how multilingual English language teachers (MLETs) reshape mainstream secondary education through asset-based, linguistically inclusive pedagogies. Using an ethnographic, participatory design grounded in second-generation Cultural Historical Activity Theory (CHAT), the study investigates a Sheltered English Immersion (SEI) program at East Summer High (ESH), a public, four-year high school located northwest of Boston, Massachusetts. ESH serves approximately 1,394 students and offers a range of academic and vocational programs, including structured SEI pathways that support English Learners (ELs) at various proficiency levels, such as SEI-1, SEI-General Education, and SEI-Special Education. Over three years of immersive fieldwork, data sources include in-depth …

Physical Activity And Body Image In Early Onset Cancer Patients, Madeleine Z. Pollard

Graduate Masters Theses

Abstract: Cancer is the leading cause of death among Americans under the age of 85 (Brown et al., 2012). There are increasing rates of cancer diagnoses in adults aged 18-49, which is described as an early onset (EO) diagnosis. Despite high survival rates (Lewis et al., 2021), EO cancer patients are at increased risk for long-term physical and psychological challenges associated with both the disease and its treatment (Haque et al., 2023). Cancer diagnosed during these critical periods of life can significantly impact self-perception and body image, which are critical to identity formation and quality of life (Castonguay, et al., …

Take As Needed For Pain: An Analysis Of Consumption Of Bottled Products And 19th-Century Working-Class Experiences At The Hassanamesit Woods Augustus Salisbury Site, Grafton, Ma, Matthew Becue

Graduate Masters Theses

Industrialization rapidly changed the cultural and socioeconomic landscape of Central Massachusetts in the mid-19th century, shifting the region from a primarily agricultural society into one increasingly focused on industrial manufacturing. This, combined with the emerging middle class, created new class structures and expressions that were ever more defined by labor, ethnicity, and consumption habits and behaviors. Due to their location on the outskirts of town, the types of labor they performed, and in some cases their status as immigrants, those living at the Hassanamesit Woods Augustus Salisbury (HWAS) site in Grafton, Massachusetts from 1850 to 1890 would have likely been …

Vol 5 May '25 Full Issue, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

Louisiana Public Health Association Conducts Research On Extreme Heat, Sundée Winder

Journal of the Louisiana Public Health Association

No abstract provided.

Proceedings Of The 3rd Multidisciplinary Scientific Conference (Mdsc), Sultan Qaboos University

Sultan Qaboos University Medical Journal

No abstract provided.

Corporate Reputation: The 'Currency' Of Communication, Kleon Battersby

Student Theses and Dissertations

The purpose of this research was to show how and why businesses rely on reputational currency as a resource when conducting business and how that reputation can be affected. The first part of the study was conducted using peer-reviewed articles, public-facing, and managerial articles from credible online sources. The second part uses a case study strategy, projecting the findings from the literature review into a single case on JP Morgan. This business corporation is an ideal choice for this topic because they use reputational currency as a tool to remain ahead of their competition, form business partnerships, and establish new …

Large-Scale Groundwater System Characterization Using Pressure Responses To Barometric Perturbations Caused By The 2022 Hunga Tonga-Hunga Ha'apai Volcanic Eruption, Anhua He, Yang Liu, Fan Zhang, Huamei Zhang, Ramesh P. Singh, Yanzhang Wang

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Hunga Tonga-Hunga Ha'apai volcanic erupted on 15 January 2022, causing Lamb waves to propagate throughout the global troposphere. However, reports on volcanic eruptions–pressure fluctuations and water level dynamics are lacking. We quantified the propagation processes of Lamb waves induced by the Tonga volcanic eruption. Barometric pressure data collected at 1-min intervals at 485 meteorological stations in China showed that the eruption induced an atmospheric pressure event with an amplitude of ∼2 hPa over an hour and a wave speed of 295 m/s. Concomitant groundwater levels were available at 338 wells to find the barometric response to the volcanic event. The …

Theoretical Insights Into The Atomic And Electronic Structures Of Polyperyleneimide: On The Origin Of Photocatalytic Oxygen Evolution Activity, Yi-Qing Wang, Zhi Lin, Ming-Tao Li, Shao-Hua Shen

Journal of Electrochemistry

Polymeric perylene diimide (PDI) has been evidenced as a good candidate for photocatalytic water oxidation, yet the origin of the photocatalytic oxygen evolution activity remains unclear and needs further exploration. Herein, with crystal and atomic structures of the self-assembled PDI revealed from the X-ray diffraction pattern, the electronic structure is theoretically illustrated by the first-principles density functional theory calculations, suggesting the suitable band structure and the direct electronic transition for efficient photocatalytic oxygen evolution over PDI. It is confirmed that the carbonyl O atoms on the conjugation structure serve as the active sites for oxygen evolution reaction by the crystal …

Staff Education Program On Strategies To Manage Disruptive Patient Behavior, Lazare Ngah Shadzeka

Walden Dissertations and Doctoral Studies

The practice concern was the absence of a consistent method of providing structured training on the management of disruptive patient behaviors to staff in a mental health ambulatory care clinic. This clinical gap is important because it heightens the risk of workplace violence, staff burnout, and suboptimal patient care outcomes. The doctoral project practice-focused question was, How does a focused staff education program on dealing with disruptive patient behavior impact nursing staff abilities and confidence in an outpatient clinic setting? Thus, the purpose of this doctoral nursing project was to develop and implement a staff education program aimed at enhancing …

The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike

Walden Dissertations and Doctoral Studies

Immigrants from Cameroon residing in the United States are at risk of mental and psychological distress; however, very few of these immigrants seek appropriate treatment for their existing mental health conditions. Limited research exists on this population’s experiences of mental health care access in the United States. This qualitative study aimed to improve understanding of the mental health care access experience of immigrants from Cameroon residing in the United States. The theoretical and conceptual frameworks underpinning this research were Douglas’ cultural theory and Andersen’s health services model. The research question for this qualitative descriptive inquiry asked how Cameroon immigrants describe …

Enhancing Staff Knowledge On Fall Prevention For Elderly Patients In Home Care Settings, Through Staff Education Initiatives, Anna Ngwafu

Walden Dissertations and Doctoral Studies

Summary Falls are one of the leading causes of injury for older patients in homecare settings, affecting patient safety and quality of care. Patient falls contribute to morbidity, mortality, and healthcare costs. A fall often results in injuries which can be fatal. Over 30% of individuals who are 65 years or older experience falls on an annual basis. In these older adults, the leading cause of death is unintentional falls. Although there are evidence-based strategies for preventing falls, there are still gaps in staff knowledge. The purpose of the DNP project was to develop, implement, and evaluate a staff education …

Tavr In Older Adults With Cardiogenic Shock: Current Practice And Future Direction, Min Ji Kwak, Jorge A Irizarry-Caro, Paola Rodriguez Martinez, James Going, Jessica Lee, Dana Giza, Nuzah Amjad, Ana Leech, Rachel Jantea, Renee Flores, Nahid Rianon, Abhijeet Dhoble

Faculty, Staff and Student Publications

Aortic stenosis (AS) is one of the most common types of valvular heart disease in older adults, with age being significantly associated with the development of AS. The transcatheter aortic valve replacement (TAVR) procedure, since it was first performed in 2002, has emerged as a preferred treatment option for patients who are at intermediate to high surgical risk due to advanced age or medical comorbidities. Older adults with severe AS may present with acute decompensated heart failure leading to cardiogenic shock (CS). Among patients 65 years and older with AS presenting for TAVR, 4.1% were reportedly in acute CS. Regardless …

Optimization Of Renewable Energy Systems: Comparative Analysis Of Advanced Algorithms And Photovoltaic-Electrolyzer Performance For Cost Reduction And Efficiency Enhancement, Mohamed-Amine Babay, Mustapha Adar, Ahmed Chebak, Mustapha Mabroukia

Journal of Electrochemistry

The increasing demand for cost-effective and efficient renewable energy solutions presents significant optimization challenges in hybrid energy systems. This paper addresses these challenges by conducting a comparative analysis of three advanced optimization algorithms—Lévy Flight Optimization (LFO), Archimedean Optimization (AO), and Quantum Gorilla Optimization (QGO)—to minimize the Total Net Present Cost (TNPC) and Levelized Cost of Energy (LCOE) in hybrid renewable energy systems. The study integrates critical cost parameters such as Capital Expenditure (CAPEX), Operational Expenditure (OPEX), replacement costs, and salvage values into an advanced optimization framework. Three system configurations are evaluated: Wind Turbines and Fuel Cells (WT/FC), Photovoltaic Systems and …

Building The Vision

Vision and mission statements

No abstract provided.

Structural And Functional Characterization Of Sos Pathway Genes (Sos1, Sos2, Sos3) In Avicennia Marina: Insights Into Salinity Stress Tolerance, Mariam Obaid Alzaabi

Thesis/ Dissertation Defenses

Abiotic stress is a major challenge for agricultural productivity. Salinity stress is a vital environmental constraint that significantly limits plant growth and reduce crop yield worldwide. Halophytes, such as Avicennia marina, offer unique opportunities to dissect adaptive mechanisms underlying salt tolerance. This study focuses on the structural and functional characterization of the Salt Overly Sensitive (SOS) pathway genes (SOS1, SOS2, SOS3) from A. marina. Full-length cDNAs of AmSOS1, AmSOS2, and AmSOS3 were cloned and characterized. The sequecne analysis of these genes compared to the respective orthologs revealed high similarities and conservation of all important domains. For AmSOS1 and AmSOS3, one …

Digital Transformation In Indonesia Healthcare Systems Towards Intelligent Accountability: A Critical Discourse Analysis, Ghina Fitri Ariesta Susilo

Journal of Global Awareness

This research studied the digital transformation implemented in the Ministry of Health in Indonesia. It happened after the COVID-19 outbreak forced the government to act more rapidly to provide real-time information. To date, the digital transformation initiative in the Ministry of Health Indonesia aims to reach more intelligent accountability by establishing a Digital Transformation Office (DTO). This study used critical discourse analysis to study how the discourse of technology became a government tool, particularly using social media accounts created by DTO. The result shows that DTO’s work and progress since its establishment from the perspective of social media discourse aim …

Protein Word Detection Using Text Segmentation Techniques, Ashish V. Tendulkar, Sutanu Chakraborti, Ganesh Devi

Journal of Global Awareness

Literature in Molecular Biology is abundant with linguistic metaphors. There has been works in the past that attempt to draw parallels between linguistics and biology, driven by the fundamental premise that proteins have a language of their own. Since word detection is crucial to the decipherment of any unknown language, we attempt to establish a problem mapping from natural language text to protein sequences at the level of words. Towards this end, we explore the use of an unsupervised text segmentation algorithm for the task of extracting "biological words” from protein sequences. We demonstrate the effectiveness of using domain knowledge …

Music As Medicine: The Impact Of Music On Pain Reported After Surgery, Anastasia Pike, Gregory T. Chesnut

Journal of Global Awareness

The impact of music on subjective reporting of pain and anxiety has been increasingly described in medical literature. Multimodal methods of alleviating postoperative pain and anxiety, including the use of live or recorded music in perioperative settings, have been shown to improve patient-reported pain levels and, in some studies, to result in decreased opioid usage. The overprescription of opioids after surgery can contribute to long-term abuse or trafficking of medications, and the use of non-opioid medications, alternative methods of pain relief, and environmental/auditory stimuli offer new mechanisms to promote safe opioid prescribing while improving both pain control and patient wellbeing. …

How Far Does It Go? An Analysis On The Extent Of Spinal Cord Injury In Post-Traumatic Patients, Sravani Mannuru, Sarvani Uppati, Kelsey Baker

Research Colloquium

Background: Spinal cord injury causes debilitating functional loss in post-trauma patients. Previous studies have showed that an area of edema (tissue damage and swelling) occurs at the level of spinal damage and may be related to the amount of functional loss in the patient and their associated recovery potential. We hypothesized that the extent of the injury is greater than previously studied and may better explain functional loss and recovery potential.

Methods: We retrospectively analyzed five T2-weighted MRI spinal cord images from post-trauma patients ages 32-67. Patients had a clinically diagnosed spinal cord injury that affected the cervical …

Vitamin B12 Deficiency And Subacute Combined Degeneration, Bhargavi Akkineni

Research Colloquium

A 23 year old male with no pertinent past medical history presented to ED with acute worsening ataxia and paresthesia of upper and lower extremities with an onset of 5 days. Patient denied recent vaccinations, respiratory or GI illness, prior episodes of ataxia or paresthesia, bowel or urinary incontinence, and camping or tick bites. On physical exam, patient exhibited hyporeflexia in upper and lower extremities, along with impaired proprioception and detection of light touch and vibration, but patient’s motor strength was preserved. MRI of brain revealed no abnormalities. MRI of C-spine demonstrated an abnormal T2 signal within the cervical spinal …

A Case Of Infective Endocarditis In Aortic Stenosis Status Post Tvar, Bhargavi Akkineni, Gabriel Lopez

Research Colloquium

A 80 year old woman, with a past medical history of aortic stenosis status post TVAR, sick sinus syndrome with permanent pacemaker placement, and hypertension, presented to ED with generalized body weakness and persistent fevers with an onset of three days. On physical exam, patient was tachypneic, tachycardic, febrile, and she exhibited a motor strength of 1/5 in her left upper extremity with intact motor strength in all other extremities. CT of head revealed chronic small vessel ischemic changes, and an MRI of the head, obtained consequently, depicted multifocal bilateral supratentorial acute infarcts. Patient’s physical findings also prompted for blood …

The Impact Of Covid 19 Infection On Graves' Disease, Shadi Jafari-Esfahani, Semenawit B. Burka, Edwardo D. Luna

Research Colloquium

Background: Although there are not many studies regarding the effects of Covid-19 infection on Graves’ disease, few case reports demonstrate the association between the two. The SARS-CoV-2 uses the angiotensin II converting enzyme to gain entry into cells. This results in hyperactive immune response involving Th1 and Th17 lymphocytes which activates proinflammatory cytokines; IL-6 and TNF-alpha. Research shows elevation of IL-6 in patients with Graves’ disease.

Case report: A 22 years old man with no past medical history presented to the Emergency Room for the complaint of generalized weakness and dyspnea of one day. He had associated dry cough, palpitations, …