Average, Maddeline Borkhuis

Floodwall Magazine

No abstract provided.

The Pope, American Politics, And The Battle For Tolkien’S Soul In The Twenty-First Century, Kelsey A. Fuller-Shafer

Journal of Tolkien Research

This essay considers the contemporary ramifications of the use of Tolkien’s works and personhood in the political and cultural dialogues of the United States. Tolkien’s fiction was recently cited by Pope Leo XIV, the first pope from the United States, in his encyclical letter in May of 2026 reacting to artificial intelligence, in the same era that tech billionaires are selecting names for their AI companies from Tolkien’s legendarium. These actors find themselves not just in a dispute about ethical usage of AI, but also as commentators on and subjects to the growing political divide in the United States, and …

Examining Alternative Principal Licensure In Ohio: How Licensure Pathway And Poverty Level Explain Variance In Student Performance, Chris Willis, Christy Galletta Horner, Todd Cramer, Paul Johnson, Bradley Contat

Mid-Western Educational Researcher

The rise of alternative principal licensure raises questions about the effectiveness of leaders that are less rigorously prepared. In Ohio, the alternative principal pathway consists of six credit hours of coursework and three years of on-the-job practice; far less formal coursework than traditional licensure (which also requires on-the-job experience) In this cross-sectional study using publicly available data (N=3189), we used weighted least squares regression to examine the role of principal licensure pathways in explaining variance in student outcomes while accounting for poverty level. Principal licensure pathways accounted for a small amount of variance in student outcomes (performance index) over and …

Message From The Editor, Richard F. Roadcap Dds

Virginia Dental Journal

No abstract provided.

Va Dent J April, May And June 2012

Virginia Dental Journal

No abstract provided.

“Pride Runs Through Our Veins”: A Qualitative Investigation Of Black Parents’ Ethnic-Racial Socialization Practices Among Black Youth With Disabilities, Nicole A. Telfer, Danielle J. Allen, Noreen Yazejian, Iheoma U. Iruka

Developmental Disabilities Network Journal

While ethnic-racial socialization (ERS) practices are crucial in Black/African American families, little is known about ERS practices in Black families of Black children with disabilities. In the current study, we investigated ERS practices among Black/African American parents’ who are raising children with disabilities and how this may influence children’s outcomes. A total of N = 8 Black/African American parents were invited for semi-structured interviews to explore more deeply their ERS practices among their children with disabilities. Several themes emerged from the data, which highlights ERS practices from a DisCrit lens, as well as the overall experiences of parents and their …

Overview And Acknowledgments, Mathew Schmalz

Journal of Global Catholicism

An overview and introduction to the present issue on Inter-Spiritual Dialogue.

The Emotional Labor Of Clinicians And The Need For Reflective Support, Benedicta Olonilua, Bs, Evan Nardone, Md

The Medicine Forum

Physicians who work in Palliative Care or adjacent fields like Oncology often bear a unique emotional weight in addition to the typical responsibilities that come with the job. The nature of their work puts them in frequent contact with serious illness, dying, and grief. Additionally, they are often required to engage in conversations that are not only medically complex but also deeply personal and, at times, emotionally charged. While this emotional labor is an inherent part of the job, it can become especially heavy when there is no space to process it. Over time, this can build up and eventually …

A Clinical Assessment: Counseling Families On Timing Of Colorectal Cancer Screening, Bertilia Tavarez, Md, Hamzah Shariff, Md, Breanne Mcdermott, Bs, Sanjna Shelukar, Md, Limi Jamma, Md, Sonali Shah, Md, Akash Patel, Do, Christopher Henry, Md, Aaron Martin, Md

The Medicine Forum

Colorectal cancer (CRC) remains the second most common cause of cancer mortality in the United States. Current recommendations advise initiating colonoscopy at age 40, or 10 years earlier than the youngest affected first-degree relative (FDR), in individuals with a family history of CRC or advanced polyps (AP). Despite these guidelines, their translation into routine clinical counseling is not well defined. This study examines how often patients with CRC or AP receive guidance about early screening for FDRs.

A retrospective review was performed using electronic health records from an urban academic center. Patients diagnosed with CRC or AP between January 2019 …

Women Managers And Employee Well-Being In Guinea: What Role Does The Iglo Model Play In Workplace Resources?, Zinsou Daniel Nakou, Fatoumata Ibrahima Camara, Ibrahima Bah, Serge Francis Simen Nana

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This research examines the impact of women managers on employee well-being through a mediation model introducing the IGLO framework of workplace resources at the individual, group, leadership and organizational levels. The study adopts a quantitative hypothetico-deductive approach using data collected from 100,000 observations between 2022 and 2024 and processed with SPSS. The results show that a higher proportion of women managers is associated with improved employee well-being, notably through reduced work stress, higher work engagement, greater job satisfaction and stronger workplace cohesion. More broadly, women managers can act as agents of change by improving workplace resources at several levels, including …

Islamic Fintech And Financial Inclusion In Morocco: Perceptions, Uses And Prospects, Inas Bennani, Said Lotfi

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

Islamic FinTech is considered a potential lever for financial inclusion. This study identifies the factors that hinder or promote its development in Morocco. Using a mixed methodology, an online questionnaire was completed by 70 professionals from the financial, technological, institutional and academic sectors. Quantitative data were processed using SPSS, while responses to open-ended questions were analysed thematically using the framework proposed by Braun and Clarke (2006). This dual approach demonstrates the potential of Islamic FinTech in Morocco in terms of inclusion, particularly among entrepreneurs and women. The results point to barriers to adoption, including limited financial education, inadequate regulation and …

Prevalence And Factors Associated With Depression In Pediatric Epilepsy Patients At Maharat Nakhon Ratchasima Hospital, Paneeta Panjanya, Manachawee Maneeratchakit, Vitchayaporn Emarach Saengow

Journal of Child Science

Background: Epilepsy is a chronic neurological disorder commonly associated with depressive symptoms, which can negatively affect quality of life. Early identification through screening is therefore important in pediatric epilepsy care. Objective: To determine the prevalence of depressive symptoms and associated factors among pediatric patients with epilepsy at Maharat Nakhon Ratchasima Hospital. Methods: A cross-sectional study was conducted among patients aged 10–15 years with epilepsy attending the Pediatric Epilepsy Clinic between May 2024 and June 2025. A total of 141 participants were included. Demographic, family, and epilepsy-related data were collected. Depressive symptoms were screened using the Thai version of the Children’s …

Physical Development Of Children Born From Adolescent Mothers: A Descriptive Evaluation Compared To World Averages, Sebahat Aydos, Aysel Köksal Akyol

Journal of Child Science

Background: Adolescent motherhood is a globally prevalent phenomenon that has been the subject of scientific research for many years. However, comprehensive scientific studies focusing on the physical development of children born to adolescent mothers remain quite limited. Objective: The aim of this study was to compare the height, weight, and head circumference development of infants and children born to adolescent mothers with the World Health Organization Multicenter Growth Reference Study (WHO MGRS) data. Methods: The study sample consisted of 2,209 infants and children born to adolescent mothers in Turkey, whose records were extracted from the Infant/Child Follow-up Data Set of …

Investigating The Factors Impacting Consumer Intentions To Purchase Energy-Efficient Appliances, Yusra Memon, Raheela Haque

Business Review

Energy-efficient appliances protect the environment through reduced energy usage, lowering pollution, and preserving natural resources. Hence, this research is aimed to examine the factors influencing Pakistani consumers' intentions to purchase energy-efficient appliances. This research adopts a quantitative approach and purposive sampling technique, and the data was collected from 350 respondents belonging to major metropolitan cities of Pakistan i.e. Karachi, Hyderabad, Lahore, Islamabad, while SPSS and AMOS were used for data analysis. The study supports a number of important relations suggested by the Value–Belief–Norm (VBN) theory in the framework of buying energy-efficient appliances (EEAs) in Pakistan. Biospheric values (BV) significantly forecast …

Standardized Infection Prevention Protocol To Reduce Surgical Site Infections In Pediatric Neurosurgery, Pisey Kareth

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Surgical site infections (SSIs) are a significant concern in the pediatric neurosurgical patient population and are associated with increased morbidity, longer hospital stays, and increased medical expenses. The absence of a standardized preoperative infection prevention process led to variability in perioperative care practices and infections at the practicum site.

Aim of the Project: The aim of the project was to reduce the incidence of SSIs among pediatric patients undergoing neurosurgical procedures who were initially evaluated in an ambulatory setting.

Review of the Evidence: Evidence supports the implementation of bundled infection prevention strategies as a more effective approach to reducing …

Mindfulness To Reduce Psychotropic Prescriptions In Home-Based Elderly Patients, Mojisola Akinola Olusegun

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Home-based adults aged 65 years and older receiving care at a community behavioral health center exhibited high psychotropic polypharmacy, with over 80% prescribed two or more psychotropic medications, exceeding The Center for Medicare and Medicaid services (CMS) guidance for safe use. This pattern heightened risks for adverse drug events, functional decline, and avoidable healthcare utilization, while exposing a practice gap characterized by underuse of non-pharmacologic interventions.

Aim of the Project: The Doctor of Nursing Practice (DNP) project aimed to determine whether integrating a structured Mindful Breathing and Meditation (MBM) program into routine services could reduce psychotropic medication burden …

Optimizing Daily Central Line Review: A High-Reliability Qi Project, Heather Khan

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Prolonged central line use increases the risk of infection. At baseline, central line utilization in a 21-bed medical intensive care unit exceeded organizational goals and the national median. Gaps in the central line review process and variation in staff knowledge contributed to overutilization.

 Aim of the Project: The project team aimed to improve patient outcomes by reducing the central line standardized utilization ratio (SUR) from 0.93 to the national median of 0.79 over 12 weeks.

Review of the Evidence: Evidence supports standardization, use of decision-support tools, measurement, and auditing to reduce central line utilization. Leadership engagement, safety culture, and …

Identifying Palliative Care Needs In The Emergency Department, James Sullivan

All Doctor of Nursing Practice (DNP) Scholarly Projects

This quality improvement project evaluated the implementation of the Palliative Care and Rapid Emergency Screening (P‑CaRES) tool to improve early identification of unmet palliative care (PC) needs among adults with advanced, life‑limiting illnesses presenting to a community emergency department (ED). The problem addressed was the absence of a standardized PC screening process, resulting in delayed recognition, missed referral opportunities, fragmented care, and repeated ED utilization. Guided by Plan‑Do‑Study‑Act cycles and the OhioHealth Change Management Model, the project integrated P‑CaRES into ED workflows, provided staff education, and established structured referral pathways. Over 12 weeks, clinicians completed 65 screenings; 57 patients met …

Reducing Catheter-Associated Urinary Tract Infections In Progressive Care, Kelli S. Bylsma

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Catheter-associated urinary tract infections (CAUTI) harm patients and increase healthcare costs. In fiscal year 2025, the progressive care unit reported a CAUTI rate 2.5 times the National Healthcare Safety Network benchmark of 1.0 infection per 1,000 catheter days. A gap analysis revealed that the project site lacked a policy mandating chlorhexidine baths for catheterized patients, resulting in suboptimal catheter hygiene and ineffective bactericidal intervention.

Aim of the Project: The aim of the quality improvement project was to reduce CAUTI rates by 50% through daily chlorhexidine baths for catheterized patients in the progressive care unit.

Review of the Evidence: Recent …

Pressure Injury Prevention Bundle Implementation In An Acute Care Unit, Hannah K. Pobi

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Pressure Injuries are quality indicators that reflect the quality of care delivered to patients. With a hospital-acquired pressure injury rate above 12%, the project site exceeded the national benchmark average of 5-8% for acute inpatient settings. The cost of managing hospital acquired pressure injury ranges from $20,900 to $151,700 per patient, compounded by complications in a patient’s treatment plan.

Aim of the Project: To reduce the prevalence of HAPIs in a step-down unit to below 8% by implementing the Pressure Injury Prevention bundle. The PIP bundle, an evidence-based intervention, primarily aimed to educate the nursing team on its …

Systematic Errors In Judging The Performance Of Others, Michael J. Benson

Psychology ETDs

The well-documented tendency of people to be poor estimators of their relative abilities can be problematic in real life. These errors in are highly asymmetric: the worst performers dramatically overestimate their relative ability, whereas the best performers underestimate theirs (Kruger & Dunning, 1999). There are two possible causes of this misjudgment of relative ability: 1) participants are poor estimators of their own performance, or 2) participants are poor estimators of the comparison group’s performance. Kruger and Dunning (1999) attributed overestimation in the worst performers to the former problem but attributed the underestimation in the best performers to the latter problem. …

Professional Dispositions In Coaching Education: Icf-Credentialed Coaches’ Perspectives On Development And Assessment, Michelle Renee Thompson

Electronic Theses and Dissertations

This qualitative phenomenological study examined how professional dispositions were defined, experienced, and assessed in coaching education within the rapidly expanding field of professional coaching. The problem addressed was the lack of a clear understanding of professional dispositions in coaching and the absence of a systematic dispositional assessment comparable to that in counselor education. The researcher’s purpose was to explore how credentialed professional-level coaches defined and identified professional dispositions for effective coaching engagements and how these dispositions aligned with constructs in other helping professions. The researcher collected data through semistructured videoconference interviews. Purposeful and snowball sampling yielded 16 U.S.-based coaches who …

Attendance And Academic Performance: A Comparison Of 4-Day And 5-Day School Week Schedules In Texas High Schools, Cynthia Miles

Electronic Theses and Dissertations

This quantitative cross-sectional comparable study examined the differences in academic performance and attendance in Texas public high school campuses between those operating on a 4-day instructional week and those operating on a 5-day instructional week. The study used a quantitative, cross-sectional comparable design. The analysis included campus-level data from the Texas Education Agency’s Texas Academic Performance Reports. The independent variable was instructional schedule—either a 4-day or a 5-day instructional week. The dependent variables included campus attendance rates and student performance on the English I and Algebra I End-of-Course (EOC) STAAR (State of Texas Assessments of Academic Readiness) assessments of ninth-grade …

A Perspective As Observed By Public Middle School Teachers On A Lack Of Empathy Demonstrated By Public Middle School Students, Gail P. Hall

Electronic Theses and Dissertations

The purpose of this qualitative descriptive study was to explore a perspective as observed by public middle school teachers on a lack of empathy demonstrated by public middle school students. The research analyzed how public middle school teachers in the southern region of Texas described their perception of how a lack of empathy demonstrated by public middle school students impacted students during the school day. The study involved 10 selected participants who participated in a semistructured open-ended interview on the Google Meet platform. The participants consisted of 90% female and 10% male, with a combined total of 91 years of …

The Roles Of Shame In Ex-Christians' Personal Experiences And Deconversion Journeys, Anaya Bruno

Florida Atlantic Undergraduate Research Journal

Although the benefits of religion on individuals’ mental wellbeing have been well-studied, research exploring aspects of religion that may prove harmful to mental wellbeing is limited. This study explores the roles of shame in the experiences of ex-Christians that led to their deconversion. The study’s results have implications for understanding the experiences of religious trauma, considering that chronic shame has been linked to the development of trauma. Respondents, recruited via Reddit, answered survey questions about the ways in which they perceived shame to influence their religious experiences, personal experiences, and religious deconversion. Inductive thematic analysis was utilized to derive themes …

Learning About Gujarati: Cultural Identity And Family Language, Vritti Sodha

Florida Atlantic Undergraduate Research Journal

Language loss is a prevalent problem that is occurring in immigrant families in the United States. Since regional languages such as Gujarati are not used outside of households and community gatherings, it is not given much importance to learn. In order to combat this problem, community centers hold Gujarati classes for students of all ages to help preserve the language, but the lack of motivation to learn the language still remains. This is because a student needs to have a connection to the language to be motivated to learn it, which can be made through active learning. This study examines …

Exploring Gender Differences In Perceptions Of Ai's Impact On Social Media, Samkit Bothra

Florida Atlantic Undergraduate Research Journal

Artificial Intelligence (AI) is increasingly shaping social media through content personalization and moderation, raising questions about its influence on public opinion and trust in digital news. Gender plays a key role in shaping perceptions of AI’s impact, with men and women potentially viewing its applications differently. This study explored gender-based perspectives on AI’s role in social media, focusing on its effects on information credibility and privacy. Data from 155 participants, collected via Amazon Mechanical Turk, were analyzed using IBM’s SPSS. The first hypothesis proposed that women would be more skeptical than men about AI's use in news, citing greater concerns …

Dnp Final Report: From Academic Chaos To Professional Preparedness: Time Management And Goal Setting To Support Self-Efficacy In Undergraduate Nursing Students, Cristy Baker Mrs.

DNP Final Reports

Low perceived self-efficacy among undergraduate nursing students may contribute to stress, burnout, and challenges with academic success and program completion. Evidence suggests that interventions focused on time management and goal setting may support students' confidence.

The purpose of this improvement project was to implement time-management and goal-setting interventions and evaluate changes in perceived self-efficacy among undergraduate nursing students. Guided by Bandura's Self-Efficacy Theory and the ADKAR Change Model, the project examined the changes in perceived self-efficacy following the implementation of the interventions. The PICOT guiding the project was: In undergraduate nursing students (P), how does implementing time management and goal-setting …

Adlm Guidance Document On Incorporating Gender Diversity In Pathology And Laboratory Medicine, Tiffany A Thomas, Gabrielle N Winston-Mcpherson, Ina Amarillo, Alisha D Berry, Caroline J Davidge-Pitts, Sridevi Devaraj, Zil Goldstein, Brad S Karon, Brooke M Katzman, Mahmoud A Khalifa, Hung S Luu, James H Nichols, Tracy L Stockley, Michelle R Stoffel, Dina N Greene, Matthew D Krasowski

Faculty, Staff and Students Publications

Background: The first international clinical standards of care for the gender-diverse population were formulated in the late 1970s. In the last 15 years, multiple subspecialty societies within the United States have developed clinical care guidelines for those with gender dysphoria, including gender-affirming hormone therapy (GAHT) and surgical treatments. To date, there are no pathology- and laboratory medicine-specific recommendations in the United States for the gender-diverse population.

Content: This document outlines pathology- and laboratory medicine-specific recommendations for providing optimal care to the gender-diverse population, with a predominant focus on the adult population. The scope of this document focuses on the following …

Homework Adherence In Exposure-Based Cbt For Youth With Obsessive-Compulsive Disorder: Clinical Outcomes And Predictors Across Treatment, Abigail E Pine, Qimin Liu, Eric A Storch, Daniel A Geller, Brent J Small, Sabine Wilhelm, Joseph F Mcguire

Faculty, Staff and Students Publications

Exposure-based cognitive behavioral therapy (CBT) is the frontline treatment for pediatric obsessive-compulsive disorder (OCD), but not all youth fully respond to this treatment. While multiple factors may influence CBT response, homework adherence in CBT is a modifiable target that can improve treatment outcomes. This report examines the relationship between homework adherence and clinical outcomes in a large sample of youth with OCD who received exposure-based CBT. Here, 137 youth with OCD between 7 and 17 years old (M = 12.42, SD = 2.88) participated in a randomized controlled trial of exposure-based CBT. Homework adherence was monitored weekly, and OCD severity …