Digital Commons Network^™

Implementing A Screening Tool To Increase Palliative Care Referrals For Patients With Metastatic Cancer, Rebecca N. Hegwood

Doctor of Nursing Practice Projects

Background: Palliative care (PC), when prescribed early for patients with metastatic cancer, has proven beneficial to the oncology patient and family by improving quality of life, decreasing stressors, and preventing premature discontinuation of therapy.

Purpose: This Doctor of Nursing quality improvement project aimed to determine if implementing a screening tool for patients newly diagnosed with metastatic cancer would increase PC referrals.

Project Design: The Five Item Palliative Care Screening Tool evaluated patients with a new metastatic cancer diagnosis. Secondary data was used to initiate a PC referral if the patient scored a five or greater on the screening tool. Project …

Implementation Of A Triage Assessment Area To Decrease Left Without Being Seen Rates In The Emergency Department, Margaret Mary T. Steed

Doctor of Nursing Practice Projects

Background: Left without being seen (LWBS) is a concern for emergency departments (EDs) nationwide. LWBS involves patients who sign into the ED and leave prior to being seen by a medical provider. LWBS has been linked to increased wait times in the ED.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project is to aid with decreasing LWBS rates in a local ED. Many tools aid with decreasing LWBS rates, including nurse-initiated protocols and standardized order sets. Despite available tools, LWBS rates remain elevated at 0.95% for the local ED.

Project Design: The evidence-based DNP quality improvement project …

Increasing Colorectal Cancer Screening Rates For Patients Without Insurance, Andrea F. Day

Doctor of Nursing Practice Projects

Background: Colorectal cancer is a leading cause of cancer-related death in the United States (U.S.), ranking as second most prevalent overall. Despite many initiatives, screening rates remain low, especially among clinic patients without insurance. The lack of an evidence-based screening protocol exacerbates these issues and increases the risk of advanced cancer and death. Initial data showed that 0% of patients were screened according to recommended guidelines.

Purpose: The project implemented a standard screening protocol to increase colorectal cancer screening rates in a rural Alabama free clinic for patients ages 45-64 lacking insurance.

Project Design: This quality improvement …

Improving The Detection Of Refractive Errors In First And Third Graders, Tameka J. Bolden

Doctor of Nursing Practice Projects

Background: Vision is a crucial component of the learning process, with academic tasks being heavily dependent on visual acuity. Undetected or diagnosed visual impairments can significantly alter a student’s educational performance and overall development. Currently, in Alabama, kindergarten, second, and fourth grade students are the only students to receive routine vision screenings; therefore, regular screening for visual acuity and eye issues is critical for school health programs. Early screening, diagnosis, and correction of refractive errors prevent permanent visual impairment and support academic success by reducing educational barriers and delayed cognitive impairment.

Purpose: This project aims to improve the early detection …

Influenza And Chronic Obstructive Pulmonary Disease: Correlating Adult Immunization With Exacerbation Reduction After Implementation Of The Global Initiative For Obstructive Lung Disease Recommendations In A Rural Clinic, Jessica Semyonova

Doctor of Nursing Practice Projects

Background: Patients with chronic obstructive pulmonary disease (COPD) may experience exacerbations of the disease, leading to disease progression, decreased lung function, increased mortality, and decreased quality of life. However, one of the clinician’s best tools in preventing exacerbations may be the distribution of annual influenza immunizations.

Purpose: This project aimed to determine whether implementing an influenza vaccination protocol would increase influenza vaccination uptake and decrease COPD exacerbation rates.

Project Design: An influenza vaccination protocol was implemented over an eight-week period. During that time, data was gathered and compared to data from the previous year when a vaccination …

Enhancing Patient Outcomes: The Sepsis Navigator Approach, Temeka L. Parker

Doctor of Nursing Practice Projects

Background: Sepsis is the leading cause of hospital mortality, accounting for over $20 billion dollars in total healthcare costs and more than 5 million deaths annually worldwide. The increased burden of sepsis led the Centers for Medicare and Medicaid (CMS) to institute a quality core measure known as the Severe Sepsis and Septic Shock Management Bundle (SEP-1) as a protocol for sepsis treatment. CMS reports national SEP-1 compliance at 62% and 61% for Alabama. The undisclosed project site reports a much lower SEP-1 compliance average of 49% over six months. Compliance with the SEP-1 bundle improves overall patient outcomes and …

Commit To Sit: Does Purposefully Sitting With Adult Medical-Surgical Patients At A Rural Hospital Impact Patient Satisfaction?, Jolie A. Puckett

Doctor of Nursing Practice Projects

Background: Patient satisfaction surveys encourage patients to provide feedback about their experiences with healthcare organizations, and the surveys also play a critical role in identifying gaps in care that may contribute to patient harm. Effective communication between nurses and patients is crucial for delivering high-quality healthcare; therefore, initiatives to enhance this communication should be explored and implemented.

Purpose: This quality improvement project aimed to evaluate whether sitting with patients improved patient satisfaction scores for a medical-surgical unit within a Northwest Georgia inpatient facility.

Project Design: A pre- and post-design method was utilized to compare patient satisfaction scores before and after …

Utilizing Text Messaging To Increase Annual Mammogram Screening Compliance, Lacey B. Santa Cruz

Doctor of Nursing Practice Projects

Background: Routine mammography can lessen breast cancer deaths, but many patients do not follow the current screening guidelines. Limited access to mammography and insufficient awareness lead to missed screening appointments.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to improve annual mammogram adherence among women aged 40-74 by implementing an electronic medical record (EMR)-based text reminder system.

Project Design: Secondary patient data was collected from a privately owned, rural family practice clinic. Using the Mobilize-Assess-Plan-Implement-Track (MAP-IT) quality improvement framework, the project implemented a text message reminder intervention through the EMR. Eligible patients received a text reminder …

Persistent Imbalance: Women’S Representation In North American Pediatric Cardiology Leadership Roles.Persistent Imbalance: Women’S Representation In North American Pediatric Cardiology Leadership Roles, Alaina K. Kipps, Audrey C. Marshall, Neha Bansal, Holly Bauser-Heaton, Nadine Choueiter, Devyani Chowdhury, Aarti Dalal, Molly Ehrlich, Lindsay R. Freud, Supriya S. Jain, Pei-Ni Jone, Kristin Laraja, Dalia Lopez-Colon, Sonal T. Owens, Christina Ronai, Ritu Sachdeva, Corey Stiver, Nicole Sutton, Terrie Vasilopoulos, Jennifer Co-Vu

Department of Pediatrics Faculty Papers

BACKGROUND: Despite recent gender parity of physicians entering pediatric cardiology, representation of women leaders lags their male colleagues.

OBJECTIVES: We sought to better understand the variation in women in leadership roles in pediatric cardiology.

METHODS: The gender of physicians in 16 prespecified leadership positions was collected by survey between July 2022 and January 2023 from pediatric cardiology programs with >5 cardiologists in North America. We analyzed the association of women leaders with center size (based on surgical volume), geographic region, presence of categorical fellowship program, and gender of division chief and department chair.

RESULTS: Across 99 centers, a median of …

Investigating Individual Variability In Autistic Identity And Its Moderating Effects On Mental Health And Quality Of Life, Sydney Richelle Terroso

Theses and Dissertations

The autistic community has long voiced the mental health of autistic adults as a key clinical and research priority. Autistic identity, or the recognition and embrace of core autistic traits as integral to an individual's identity as a whole, may be a potential target for therapeutic approaches aimed at supporting well-being and quality of life. The current study investigates individual differences in self-reported autistic identity scores by demographic factors and by features of autism and health history using online survey data from N=225 autistic adults. Additionally, with a subset of the participants who completed an interconnected study of current mental …

Social Comparison Target Selections As Health Information Preferences: Exploring Contextual Influences Among Women In Midlife With Elevated Risk For Cardiovascular Disease, Emmanuel Lapitan

Theses and Dissertations

Insufficient physical activity (PA) heightens the risk of chronic illnesses including cardiovascular disease (CVD), particularly among women in midlife with conditions such as hypertension. Behavioral interventions often use psychoeducation and skills training to increase PA, but how individuals interact with health-relevant information and how this relates to daily PA behavior is unclear. Health information preferences vary between individuals, but whether they vary for the same individual across contexts has been understudied. In particular, the role of contextual factors in predicting social comparison (i.e., evaluating oneself relative to others to obtain information about oneself) are not well understood. The purpose of …

The Evolution Of Agriculture Marketing: Harnessing Data Analytics To Understand Generational Shifts And Influencer Trends, Lexi Schweigert

Theses

The findings reveal that data analytics plays a crucial role in shaping marketing strategies in agriculture. Generational shifts, particularly among Gen Z and Alpha, are driving changes in consumer preferences and expectations. Influencers are also playing an increasingly important role in shaping the perception of agriculture and food among these generations.

Customizing Ai Strategies Across Multiple Generations, Matthew Harrer

Theses

This project investigates how artificial intelligence can help brands and marketers connect more effectively with Generation X, Millennials, and Generation Z. The literature review lays the groundwork that focuses on consumer behaviors and the integration of AI into digital marketing practices for each generation. The second part of the project involves a secondary data analysis of 21 recent marketing surveys and reports that explores topics related to trust, personalization, and social media. By integrating the findings into an insightful guidebook, marketers will be able to maximize these insights into clear actionable strategies.

Elisabetta Sirani’S Timoclea: Baroque Agency And The Aesthetics Of Feminine Rage, Shaylen Grace Gardner

Theses

This thesis examines Timoclea Kills the Captain of Alexander the Great (1659) by Elisabetta Sirani as a foundational example of feminine rage within the Baroque period. By framing Timoclea’s violent act not as an outlier or solely reactive gesture, but as a deliberate, composed assertion of power, Sirani constructs a model of feminine agency that defies patriarchal expectations of female submission and passivity. Through interdisciplinary analysis grounded in feminist theory, formal visual analysis, and retrospective cultural studies, this research argues that Sirani’s Timoclea exemplifies the Baroque’s strategic use of socially acceptable iconography to veil explicit challenges to gendered expectations. This …

Supporting On Their Own Terms: Eu Institutions’ Discourses On Mindanao, Vincent Carlo A. Legara

European Studies Department Faculty Publications

This paper critically examines the nature and dynamics of European Union (EU) engagement in Mindanao. The southern Philippines is historically home to Muslims, with a special region that is the Bangsamoro Autonomous Region of Muslim Mindanao (BARMM), formerly known as the Autonomous Region in Muslim Mindanao, where Muslims compose the majority of the population. Muslim Mindanao gained greater autonomy in 2019 after decades of violent conflict and the persistence of weak democratic institutions. Since the 1970s, Muslim secessionist movements have clashed against government troops for independence. These have contributed to poor human development indicators in Mindanao. The EU, previously the …

Students Earn Nsf Fellowships And Honorable Mentions, Jordan Karnbach

University of Mississippi News

OXFORD, Miss. – The National Science Foundation has recognized three University of Mississippi students for their research in engineering and chemistry through the 2025 NSF Graduate Research Fellowship Program.

Feedback Frequency And Skill Learning In College Athletes: "A Multivariate Analysis", Andrew Gannon

Doctorate in Kinesiology

This study aims to look at feedback frequency with college athletes through augmented feedback with a novel sports skill. While there is research on feedback frequency, much of that research has been conducted using children and general population college students as participants; there is very limited research on athletes as participants. Athletes possess a unique characteristic as they are typically advanced in motor skills and routinely receive feedback in the practice of their sport. Participants in the study were NCAA Division II college athletes (N=82) from one of nine sports. Using a modified golf putt, participants tried to land a …

Using The Observational Medical Outcomes Partnership Common Data Model For A Multi-Registry Intensive Care Unit Benchmarking Federated Analysis: Lessons Learned, Aasiyah Rashan, Daniel P Püttmann, Nicolette F De Keizer, Dave A Dongelmans, Ronald Cornet, Otavio Ranzani, Wangari Siika, Matthew Smith, Steve Harris, Abi Beane

Anaesthesiology, East Africa

Objective: Federated analysis is a method that allows data analysis to be performed on similar datasets without exchanging any data, thus facilitating international research collaboration while adhering to strict privacy laws. This study aimed to evaluate the feasibility of using federated analysis to benchmark mortality in 2 critical care quality registry databases converted to the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM), describing challenges to and recommendations for performing federated analysis on data transformed to OMOP CDM.

Materials and Methods: To identify as many challenges as possible and to be able to complete the benchmarking phase, …

Serving Others Using Generative Ai, Kenneth C. Arnold

University Faculty Publications and Creative Works

Ken Arnold, computer science professor at Calvin University, explores the idea of use Generative AI as a tool to help us serve others.

Artificial Insights Or Historical Fidelity? Crafting An Ethical Framework For The Use Of Genai In The Restoration, Reconstruction And Recreation Of Movable Cultural Heritage, David Ocón, Chunzhi Yin, Jose Luna

Research Collection School of Social Sciences

This article explores the ethical considerations surrounding using Generative Artificial Intelligence (GenAI) in preserving movable cultural heritage, focusing specifically on its application in restoration, reconstruction, and recreation. While GenAI offers innovative methods for preserving and recreating cultural heritage, it also presents significant ethical challenges. The article reviews current studies on the role of GenAI in heritage preservation alongside relevant ethical guidelines and proposes a tailored ethical framework for its application in movable heritage. The framework addresses several critical ethical concerns, including cultural integrity and sensitivity, accuracy and authenticity, intellectual property rights, sustainability and social impact, and governance and ethical accountability. …

Editorial: The Role Of Diagnostics In Eliminating Schistosomiasis As A Public Health Problem: Trend And Need, James Mwansa, Moses J. Chimbari, Nilanjan Lodh

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

The Ethics Of Consent: Reflecting On The Case Of R/Changemyview, Casey Fiesler, Jessica Vitak, Michael Zimmer

Computer Science Faculty Research and Publications

The SIGCHI Research Ethics Committee was established in 2016 in recognition of how the shifting technological landscape has complicated research ethics in HCI. Our research community has also taken up the call to help understand and guide this complex space, examining topics such as research taking place on online platforms without explicit consent, the use of bots as confederates in field experiments, debriefing for large-scale experiments, HCI research that involves or implicates marginalized populations, and ethical considerations for studying social media platforms such as Reddit.

Non-Traditional Socio-Environmental And Geospatial Determinants Of Alzheimer's Disease-Related Dementia Mortality, Skanda Moorthy, Jean-Eudes Dazard, Zhuo Chen, Shruthika Palanivel, Salil Deo, Sanjay Rajagopalan

Student Scholarship

Importance: Recent data point to the impact of non-traditional environmental and social factors on Alzheimer's Disease-Related Dementias (ADRD) mortality. Our study aimed to determine the extent to which antecedent air pollution, social vulnerability, and geospatial features in the environment associate with ADRD mortality. Design: This was a cross-sectional study conducted across the mainland United States. County level Social Vulnerability Index (SVI), particulate matter air pollution (PM2.5) were linked to ADRD mortality. Patient Rule Induction Method (PRIM) was used for delineating and characterizing “bumps” or spikes in mortality. SHapley Additive exPlanations (SHAP) values were used to rank variables by predictivity and …

Predicting Emotions Across Schizotypy Levels, Elyssa M. Barrick, Sarah Hope Lincoln

Student Scholarship

Successfully navigating the social world requires making accurate predictions about others. Individual differences in emotion prediction–the ability to predict someone's subsequent emotion given their current emotional state–can lead to variability in social success. In this study (N = 1024) we found evidence that individuals with heightened schizotypy displayed worse emotion prediction accuracy. This difficulty with emotion prediction was associated with increased loneliness, diminished social support, and smaller social networks, partially mediating some of the social difficulties in individuals with heightened schizotypy. Individuals with heightened schizotypy showed disruptions to key sources of affective information, meaning they had less reliable information about …

Designing A Portable And Accessible Diffuse Reflectance Spectroscopy System For Real-Time Detection Of Cervical Intraepithelial Neoplasia, Allison Scarbrough, Diana Moses, Tongtong Lu, Bing Yu

Biomedical Engineering Faculty Research and Publications

Significance: Over 80% of cervical cancer cases occur in lower-to-middle income countries (LMIC’s). This is partly because current screening techniques lack affordability, accessibility, and/or reliability for use in LMIC’s.

Aim: To develop an optical technique for cervical cancer screening that is affordable, accessible, and reliable for use in LMIC’s.

Approach: We developed a portable diffuse reflectance spectroscopy (DRS) system, which costs < $2500 USD to manufacture, and employs a Raspberry Pi to extract the absorption (μ_a) and reduced scattering (μ'_s) coefficients of biological tissue. The system was subject to travel and intentional rough handling. It was further used to capture 320 DRS spectra taken from 64 tissue-mimicking phantoms. Two …

Declaration In Support Of Petition

Catholic Dioceses in Bankruptcy

No abstract provided.

Language Brokering Conditions The Indirect Association Between Mexican‐Origin Adolescents' Academic Discrimination And Educational Expectations, Su Yeong Kim, Yayu Du, Chantal Alvarado, Wei Xiang Sim, Wen Wen, Tianlu Zhang, Jingyi Shen

Research Collection School of Social Sciences

Mexican-origin adolescents, a significant portion of the US Latino population, often experience a decline in educational expectations from early to late adolescence. Contextual factors such as academic discrimination and language brokering for parents may contribute to this decline. This study investigates the indirect effect of academic discrimination experienced in middle school on educational expectations in young adulthood through high school grades and engagement, and the moderating role of language brokering experiences in these relations. Data were collected from 604 Mexican-origin adolescents across four waves from 2012 to 2023. Academic discrimination experiences in middle school were negatively associated with school grades …

Analysis Of Vision Transformers And Domain Adaptation In Long-Range Facial Recognition, Zachary Michael Swanson

Department of Electrical and Computer Engineering: Dissertations, Theses, and Student Research

Atmospheric turbulence presents a significant barrier to long-range facial recognition, introducing severe geometric distortions and blur that degrade image quality. This thesis investigates deep learning approaches for mitigating these effects, with a focus on transformer based architectures and domain adaptation strategies.

An in-depth benchmarking study was performed using convolutional neural networks (CNNs) and vision transformers (ViTs) on the Husker BRIAR Research Collection from up to 500m (HBRC-500) face dataset. The results demonstrated that vision transformers, particularly hierarchical vision transformers like the shifted-window (Swin) transformer, outperform CNN-based models at long distances due to their ability to model global spatial relationships and …

Biocomputing Approach To Modeling And Modulating Calcium Signaling, Sehee Sun

School of Computing: Dissertations, Theses, and Student Research

Biocomputing is an emerging field that seeks to perform computational tasks using biological substrates and processes. Unlike conventional computing systems based on silicon hardware, biocomputing leverages the parallelism, energy efficiency, and complex dynamics of living systems. Among various cellular mechanisms, calcium (Ca2+) signaling stands out as a central regulator of diverse biological functions, offering a promising basis for programmable logic and control in living cells.

This thesis introduces a novel framework for modeling and modulating Ca2+ dynamics using biologically inspired Boolean logic circuits. Specifically, we propose the Ca2+ Boolean Logic (CaBL) model, in which Ca2+ fluxes and interactions are abstracted …

Beyond Chatbots: The Emergence Of Autonomous Ai Agents In Libraries, Nikesh Narayanan

All Works

This chapter explores how generative AI and agentic AI are redefining library services through enhanced interactivity, personalization, and scalability of support. The rise of machine learning, and specifically natural language processing (NLP) with large language models, brought a new wave of capabilities to library chatbots. Moving beyond single-turn question-answering chatbots, the concept of autonomous AI agents (or agentic AI) in libraries represents a significant leap in capability. An autonomous agent is an advanced form of AI that can understand and respond to inquiries, then take action without human intervention. When they are given an objective, they can generate tasks for …