Digital Commons Network^™

Changing Culture Through Shared Passion: How We Found Our Identity In The Medical Icu, Lorrie Sluti Bsn, Rn, Ccrn, Alison Griffin Bsn, Rn, Ccrn, Megan Massey Bsn, Rn

MaineHealth Maine Medical Center

The purpose is to examine the cultural transformation of a Medical Intensive Care Unit after the COVID-19 pandemic; highlighting how the development of a Unit-Based Practice Council restored unit identity, nursing job satisfaction, and improved patient outcomes.

Yspiwrites Anthology: Selected Fiction, Art, And Poetry, Angelica Esquivel, Ypsiwrites

YpsiWrites Featured Writing

No abstract provided.

Clinical Outcomes Of A Multidisciplinary Pediatric Program For People With Type 1 Diabetes Experiencing Elevated A1c And Frequent Admissions, Shelley Watts, Katherine Doyle, Blanca Cruzescalante, Caitlin Dinh, Pamela Rodgers, Perrin White, Abha Choudhary

2026

No abstract provided.

America’S Recount Addiction, Derek T. Muller

Book Chapters

Election recounts are costly and rarely change the results. By narrowing recount laws and relying on more precise safeguards, states can cut costs, deliver final results more swiftly, and reinforce public confidence in elections.

Imprint: NYU Global Access Publications, 2026, Open Access Since 2026.

Evolution And Spread Of Regionally Adapted Newcastle Disease Virus Isolatesfrom Live Bird Markets In Nigeria 2023–2024, Mohammed Usman Sajo, Dongyeop Lee, Jean Nepomuscene Hakizimana, Augustino Chengula, Abdul-Dahiru El-Yuguda, Dong-Hun Lee, Gerald Misinzo

All Grantees Publications

Newcastle disease (ND) virus (NDV) infection ranks among the most important poultry diseases globally. In Nigeria, ND remains a persistent menace to poultry production, marked by recurrent outbreaks. However, there is limited understanding of the evolutionary changes and transmission dynamics of the virus in the region. A molecular epidemiological study was conducted to elucidate the evolutionary and transmission patterns of NDV in Nigeria. Phylogenetic analysis of seven NDV isolates from cases recorded between 2023 and 2024 in four Northeastern states exhibited genetic diversity and formed distinct clusters that correspond to the prevailing subgenotype XIV.2. The maximum clade credibility (MCC) tree …

Patterns, Pressures, And Pathways : An Ethnographic Study Of Discipleship In Nepali-Speaking Immigrant Churches In The United States, Ram Kumar Budhathoki

ATS Dissertations

No abstract provided.

Another Voyage Into Paul's Climactic Journey : Acts 27:9-44 From Literary And Historical Vantage Points, Matthew R. Peterson

ATS Dissertations

No abstract provided.

Transformational Leadership And Employees’ Organizational Citizenship Behavior: Examining The Role Of Perspective-Taking, Job Satisfaction, And Organizational Trust, Marie A. Smith

Dissertations

The study surveyed employees in the service and helping professions (for example retail, healthcare related, hospitality), to examine the impact of transformational leadership on employee organizational citizenship behavior (OCB). Specifically, it tested job satisfaction and organizational trust as possible mediators to the transformational leader to employee OCB relationship and evidence of perspective-taking as a possible moderator to either of these mediated relationships. The study employed PLS-SEM as the method of analysis and examined the influence of transformational leadership, and employee job satisfaction and trust, on employee OCB. The social exchange theory’s reciprocal nature and the leader-member exchange (LMX) theory, based …

Front Matter

Journal of Air Law and Commerce

No abstract provided.

In The Heavens As It Is On Earth: Embracing Federalism To Supervise And Promote U.S. Non-Governmental Entities’ Non-National Activities In Outer Space, Steven E. Bartz

Journal of Air Law and Commerce

Most of the law governing outer space is public international law, which applies, with limited exceptions, directly to nation-states (states) only. The application of international law to nongovernmental entities’ (NGEs), such as natural persons and companies with distinct legal personage, activities in outer space occurs through a state’s domestic legal implementation of that international law. The United States is a party to several treaties that govern the exploration and use of outer space (the Applicable Treaties), which, through the Supremacy Clause of the U.S. Constitution, become “the supreme Law of the Land.” The Applicable Treaties were written and went into …

University Of Richmond Magazine - Summer 2026

University of Richmond Magazine

No abstract provided.

Coaching For Emotional Resilience And Reflective Growth: Applying The University-Based Coaching Framework In Pre-Service Teacher Supervision, Dana L. Morris

Education Faculty Publications and Presentations

Teacher preparation is an emotional as well as a cognitive process in which pre-service teachers must develop both reflective judgment and the emotional resilience needed for demanding instructional contexts. This study examined how university-based supervisors enacted the relational spaces of the University-Based Coaching Framework (UBCF) and how these enactments shaped pre-service teachers’ emotional and reflective development. Drawing on qualitative analysis of coaching discourse among three supervisor-preservice teacher pairs, the comparative case study identifies distinct coaching identities that emerged from supervisors’ patterned relational moves. These identities corresponded to varying intensities of UBCF space enactment and produced differential pathways through a reflective-motional …

Gvsu Undergraduate And Graduate Catalog 2026-2027, Grand Valley State University

Course Catalogs, 1963 - Current

Grand Valley State University 2026-2027 undergraduate and graduate course catalog. Course catalogs are published annually to provide students with information and guidance for enrollment.

The Importance Of The Proline Residue In The Ldiapa Motif Of Cholera Toxin, Akash Bharathan

Honors Undergraduate Theses

Cholera is currently on its seventh global pandemic, disproportionately affecting developing countries. Vibrio cholerae, the bacterial etiologic agent, is able to cause infection by adhering to intestinal epithelial cells and secreting cholera toxin (CT), an AB-type exotoxin that dysregulates signaling pathways. Previous research by the Teter lab has shown that Hsp90, a host cytosolic chaperone, is required for CT to enter the cytosol where it produces toxic effects. Hsp90 binds to CT at two specific motifs, RPPDEI and LDIAPA. The prolines in the RPPDEI motif are essential for binding, but the proline in the LDIAPA has yet to be …

Barriers To Healthcare For Traditionally-Aged Lgbq+ College Students, Parker Long

Honors Undergraduate Theses

Seeking and receiving high-quality healthcare are key components of healthy living. Greater access to high-quality healthcare is associated with higher quality of life (Bunker, 2001). Despite the many benefits of quality healthcare, many people face barriers to accessing quality healthcare, resulting in poorer physical and mental health outcomes (Jatrana & Crampton, 2021). Individuals who identify as LGBQ+ face serious health disparities as a marginalized group. The current research was designed to examine and address these specific barriers to accessing high-quality healthcare among LGBQ+ traditionally-aged college students in order to inform ways to improve access to care. Specifically, this study investigated …

Structural Batteries For Aerospace Applications, Tariqullah Wardak

Honors Undergraduate Theses

There is increasing pressure on the aviation sector to lower carbon emissions and switch to entirely electric and hybrid propulsion systems. However, the feasibility of standard lithium-ion batteries for long-range aircraft is limited, as they add substantial weight and occupy significant volume. Structural batteries, which combine load-bearing capability with energy storage, offer a potential pathway to lighter and more efficient aerospace systems.

This work investigates a carbon-fiber-based structural battery that utilizes carbon fiber as both a current-collecting, load-bearing electrode and a component of the composite structure. In contrast to lithium-ion chemistries, a zinc-based aqueous electrolyte is chosen for better environmental …

Aquatic Invasive Species Survey And Treatment On Lake Umatilla And Lake Celilo 2024-2025 Report, Jacob Rose, Gabriel E. Campbell

Center for Lakes and Reservoirs Publications and Presentations

Flowering Rush (Butomus umbellatus) is an invasive aquatic plant in the Pacific Northwest that threatens salmon habitat. The Center for Lakes and Reservoirs staff surveyed for this and other aquatic species from 2024 and 2025 in the Columbia River in Lake Umatilla and Lake Celilo. This document summarizes their survey efforts including their protocols, data, and small-scale removal efforts.

Teaching Cross-Cultural Communication In Law School: Lessons From Medicine, Social Work, And Business, Mireille Butler, Jaclyn Celebrezze

Articles

Legal clients in the United States are increasingly multilingual and multicultural. More than 71 million people living in the United States communicate in a language other than English. Consequently, the lawyer’s duty of shared understanding is taking on new meaning. With the advent of ABA Ethics Opinion 500, cross-cultural communication skills are a lawyer’s ethical duty and a law school’s mandate. Additionally, ABA Standard 303(c) and the potential of increased experiential learning credit requirements make clear that immediate curricular changes are needed. To prepare for the modern practice of law, tomorrow’s lawyers need to develop cross-cultural skills while in law …

Forget Me Not? Machine Unlearning’S Implications For Privacy Law, Jevan Hutson, Cedric Whitney, Jay T. Conrad

Articles

Generative AI systems are increasingly relied on and are already actively reshaping how we think about privacy and data protection law. Models ingest and process vast amounts of personal and sensitive data, challenging assurances of compliance with legal frameworks like the General Data Protection Regulation (GDPR) and the California Consumer Privacy Act (CCPA) with increasing intensity. Machine unlearning is an emerging tool in practitioners’ attempts to address these challenges: the act of selectively removing or suppressing specific data, such as personal data that a data subject requests be deleted, from AI models as means of complying with legal obligations or …

Preventing G/J Tube Dislodgement: A Device And Communication Innovation, Sarah Clark

2026

The Problem
G/J tube dislodgement is a frequent complication in pediatric patients
Leads to:

• Emergency department visits
• Hospital admissions
• Delays in nutrition/medication

Impact on Patients & Families:

• IV placement (traumatic)
• Radiation exposure
• Overnight hospital stays

Impact on Nurses & System:

• Increased workload (admissions, coordination)
• Occupied inpatient beds for stable patients
• Inefficient care processes

Aims/Objectives
Aim: Reduce unplanned G/J tube dislodgements and related hospital utilization.
Objectives: Develop a breakaway connector prototype

Implementation and Evaluation
Setting: Pediatric inpatient & outpatient system
Participants: Nurses (bedside, GI, IR), caregiver, innovation team
Process:
Roundtable discussions → identified workflow gaps
Communication/workflow audit
Developed device …

Scholarly Productivity Of Non–Pharmacy Practice Faculty In U.S. Schools And Colleges Of Pharmacy, 2019–2023, Osama A. Shoair, Sierra Pollard, Faith Fosuhene-Apenteng, Michael Pimentel-Galvan, Abrar Elagami, May H. Abdelaziz

Pharmacy Faculty Publications and Presentations

Purpose: Scholarly productivity is central to academic advancement, institutional benchmarking, and accreditation in pharmacy education. This study evaluated the national scholarly productivity among non–pharmacy practice (NPP) faculty in U.S. schools and colleges of pharmacy and assessed variation in publication output across faculty and institutional characteristics.

Methods: A retrospective bibliometric analysis was conducted between January 2019 and December 2023. Faculty were identified using the American Association of Colleges of Pharmacy Roster of Faculty and Professional Staff and classified as biomedical and pharmaceutical sciences (BPS) or social and administrative sciences (SAS). Publications were retrieved from Web of Science and characterized …

Redefining Family Law, 2026: New State Laws From 2025, Family Law Quarterly 2025–2026 Editors, New York Law School

Redefining Family Law: State Legislative Updates

This is the fifth annual Family Law Quarterly article discussing new state family laws that were enacted in the previous year. The article discusses 34 laws from 27 states, New York City, and the District of Columbia, grouped into the following categories: (1) Child Welfare, (2) Parents’ and Children’s Rights, (3) Parentage, (4) Child Custody and Visitation, (5) Financial Support, (6) Domestic Violence, and (7) Technology and Artificial Intelligence. Specific topics of the laws featured in this article include, among others: • Restrictions on anonymous reports of child abuse and neglect (New York); • Protections for gender-affirming and reproductive health …

Senescent Fibroblasts In Aging And Pulmonary Fibrosis, Sara B. Palega, Aiwei Y. Borengasser, Yan Y. Sanders

Microbiology & Molecular Cell Biology Faculty Publications

Aging is a major risk factor for many chronic lung diseases, including Idiopathic Pulmonary Fibrosis (IPF), a fatal and incurable disease characterized by progressive fibrotic remodeling. Age-associated structural alterations, impaired regenerative capacity, and dysregulated cellular signaling collectively create a pro-fibrotic microenvironment. A central driver of this pathological shift is the accumulation of senescent cells, which undergo irreversible growth arrest and develop a robust pro-inflammatory senescence-associated secretory phenotype (SASP). Emerging evidence identifies senescent lung fibroblasts as critical mediators of IPF pathogenesis. These cells promote excessive extracellular matrix deposition, myofibroblast differentiation, and tissue stiffening, while simultaneously impairing epithelial regeneration. Together, these effects …

Single-Cell Transciptomic Analysis Reveals Age-Related Remodeling Of Brain Endothelial Cells, Hai Duc Nguyen, Summer Siddiqui, Diana G. Bohannon, Robert V. Blair, Hong-Wen Deng, Alexandre Prat, Woong-Ki Kim

Microbiology & Molecular Cell Biology Faculty Publications

Blood–brain barrier (BBB) integrity naturally declines with age. Brain endothelial cells (ECs) and pericytes (PCs) form the BBB, and aging impairs tight junctions, likely via altered PC-to-EC signaling. However, the molecular mechanisms underlying this impairment remain unclear. Using single-cell RNA sequencing, we profiled 68,316 brain ECs expressing 15,564 genes from young and old mice. Unsupervised clustering and annotation revealed five distinct EC subtypes—Capillary EC1, Capillary EC2, Arterial EC, Venous EC1, and Venous EC2—defined by marker genes Mfsd2a, Plvap, Bmx, Nr2f2, and Vcam1, respectively. Aging shifted EC subtype distribution, with reduced Capillary EC1 (45% vs. 57%) and increased Arterial …

Quadriceps And Ankle Weakness In Inclusion Body Myositis: Impact On Descending Balance Control And Rehabilitation Strategies - A Systematic Review, Woohyoung Jeon, Ashley Dalby, Melinda Hermanns, Manuel Lubinus

Nursing Faculty Publications and Presentations

Background

Inclusion Body Myositis (IBM), a progressive neuromuscular disorder, is characterized by quadriceps and ankle muscle weakness, leading to impaired balance control and increased fall risk during functional activities. Existing research highlights inconsistent evidence on fall risk reduction and a lack of standardized rehabilitation protocols, creating gaps in effective management. This systematic review aims to synthesize evidence on the impact of muscle weakness on balance and fall risk and evaluate rehabilitation strategies, including task-specific interventions, to improve functional outcomes in IBM patients.

Methods

Following PRISMA guidelines, we conducted a systematic search of MEDLINE, Embase, and the Cochrane Library from inception …

Mepolizumab Improves Outcomes In Patients With Crswnp With One Or More Prior Nasal Polyp Surgeries, Joseph K. Han, Joaquim Mullol, Martin Wagenmann, Laura Walrave, Lingjiao Zhang, Ana R. Sousa, Peter Howarth, Claire Hopkins

Department of Otolaryngology (ENT) Faculty Publications

BACKGROUND: Patients with chronic rhinosinusitis with nasal polyps (CRSwNP) often undergo multiple nasal surgeries. The Phase III SYNAPSE study (GSK ID:205687; NCT0308579) demonstrated that mepolizumab reduces the need for repeat surgery. We explored whether outcomes differed based on the number of prior surgeries. METHODOLOGY: This post hoc analysis of SYNAPSE stratified patients by history of 1 or more than 1 prior surgery. Patients were randomised to receive mepolizumab or placebo every 4 weeks, alongside standard of care, for 52 weeks. Outcomes included change from baseline in endoscopic nasal polyp (NP) score, visual analogue scale (VAS) scores for nasal obstruction, loss …

Dietitian-Led Nutrition Care Across The Cellular Therapy Continuum Supports Weight And Strength Recovery, Ashley Pagano Ms, Rdn, Ldn, Samantha Okerson Rdn, Erin Levine Rd, Cso, Ldn, Deanna Yerg Ms, Rdn, Ldn

Clinical Nutrition Service

No abstract provided.

High-Osmolality Medication Exposure And Length Of Stay In Icu Patients With Rectal Tubes, Kimberly Cephas Ms, Rdn, Ldn, Rachel Geosits Ms, Rdn, Cnsc, Ldn, Matthew Fair Pharmd, Hope Kincaid Mph, Cph, Alison Sutter Mph

Clinical Nutrition Service

No abstract provided.

Fumigant Toxicity Of Essential Oils From Chemotypes Of Curry Tree (Murraya Koenigii) Against Adult African Malaria Mosquito (Anopheles Gambiae Sensu Stricto), Clarence M. Mang’Era, Fathiya M. Khamis, Ahmed Hassanali, Paul O. Mireji

All Peer-Reviewed Publications

The toxicity of fumigant formulations of essential oils (EOs) from curry tree (Murraya koenigii (L.) Spreng (Rutaceae)) against African malaria adult mosquito (Anopheles gambiae sensu stricto (Giles, 1902) (Diptera: Culicidae: Culicini)) was evaluated to identify most effective chemotype of the curry tree against the mosquitoes. Ninety-two compounds (91.78%–96.47% coverage) in the EO profiles were identified, among which EO isolated from curry tree chemotype from Kibwezi was most toxic. This chemotype had a median lethal dose (LD50) of 3.6 × 10⁻³ mg/cm³ (95% CI: 2.70–4.58) and a lethal time (Ti50) of 1.91 ± 0.086 h (p < 0.001). The equivalent LD50 of EOs of chemotypes from Mombasa, Makindu, and Malindi in Kenya was 4.9 × 10⁻³, 6.6 …

This Land Is Our Land: Creating Abortion Safe-Havens In Federal Enclaves Using The Nondelegation Doctrine, Callie Fucarino

American University Journal of Gender, Social Policy & the Law

In a post-Dobbs world, the legal status of abortion care is in the hands of the states. Healthcare providers and people seeking abortion care must either take legal risks or betray their morals and oath to care for their patients to follow the law in certain restrictive states. What remains in flux is the status of abortion rights on federal lands. There is currently no federal law that criminalizes abortion, but many states prohibit it. Within some states that have restricted abortion, there lie federal enclaves—certain specified land that the United States government owns, where federal law controls. At first …