Digital Commons Network^™

Stewardship In Action: Reducing Unnecessary Antimicrobial Use In Long-Term Care, Mariatu Sulaiman

Walden Dissertations and Doctoral Studies

Antimicrobial overuse in long-term care facilities (LTCFs) contributes to antimicrobial resistance, avoidable healthcare costs, and adverse drug events, particularly when antibiotics are prescribed for asymptomatic bacteriuria rather than symptomatic urinary tract infections (UTIs). Evidence-based clinical practice guidelines, including the McGeer Criteria, provide standardized approaches for differentiating true UTIs from asymptomatic bacteriuria and supporting appropriate antimicrobial prescribing. The purpose of this evidence-based practice project was to evaluate the development and implementation of a clinical practice guideline incorporating the McGeer Criteria into an antibiotic stewardship program in an LTCF. The practice-focused question examined what evidence supports strategies for reducing unnecessary antimicrobial use …

Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …

Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik

Walden Dissertations and Doctoral Studies

Operating room scheduling inefficiencies in acute care hospitals contribute to delays, prolonged turnover times, cancellations, underused capacity, overtime, higher costs, and reduced timely access to surgery. This integrative review examined evidence-based, systems-oriented scheduling and workflow strategies to improve operating room utilization, reduce delays, and enhance operational efficiency. Guided by general systems theory, a structured search identified 196 database-level records; 28 articles underwent full-text review, and 20 sources were retained for thematic synthesis after critical appraisal using the Johns Hopkins Evidence-Based Practice criteria. The thematic analysis revealed four main themes: standardized workflow coordination, data-driven scheduling and decision support, integrated resource and …

Changes In Psychological Adjustment Among Laryngectomized Patients Through Nursing Intervention: Rct, Kumiko Kotake, Kaori Haba, Mami Kurita, Ichiro Ota, Kazuyo Iwanaga, Yoshimi Suzukamo, Ichiro Kai, Aya Takahashi, Yoko Ishibashi, Yoriko Hara, Hirokazu Uemura

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine changes in psychological adjustment among laryngectomized patients through nursing interventions and to verify the effectiveness of these interventions.

Methods: Of the 76 hospitalized laryngectomy patients who received the study explanation and provided consent, 74 were included. The intervention involved providing information through interviews and a guidebook. The study method involved conducting follow-up surveys at preoperative, pre-discharge, and three months, six months, and one year post-discharge to examine the temporal changes in psychological adjustment. This study used the Nottingham Psychological Adjustment Scale for laryngectomized patients. The higher the subscale score, the greater …

The Gap Kalamazoo Instrument To Evaluate Therapeutic Communication Of Pre-Licensure Nursing Students, Tracy J. Perron, Mary Thomas, Chelsea Lebo, Romy Zemer

International Nursing Research Congress (INRC)

Background: Effective communication among healthcare teams is essential for patient safety and satisfaction. Communication is a core competency for students in nursing education.

Purpose: This study aims to adapt the Gap-Kalamazoo Communication Skills Assessment for nursing students to enhance their communication skills and align with the American Association of Colleges of Nursing Essentials competencies.

Methods: This tool was tested with junior and senior nursing students at two institutions, with data collected through self-evaluations, peer evaluations, and faculty evaluations during clinical and simulation experiences.

Results: The results showed a high reliability of the tool (Cronbach’s Alpha 0.832 for seniors, 0.880 for …

Silver Linings Among Youth Living With Hiv: An Integrated Mixed Methods Analysis, Emily Anne Barr, Mary Catherine Lingwall, Himabindu Reddy Basani, Joanna S. Vennekotter, Alyssa Goldsmith, Joseph Crane, Leah Jane Anthony, Re'undre Malone, Veronica Brady

International Nursing Research Congress (INRC)

Purpose: Youth living with HIV experience stigma, mental health challenges, and barriers to engagement in care. Silver linings are positive shifts in perception, connection, or opportunity that arise from adversity. This project examined silver linings across two studies of youth living with HIV and explored associations with stigma, trust, mental health, and viral suppression.

Methods: An integrated mixed methods design was used. The first study (Colorado, USA) was a cross-sectional survey of 109 youth that assessed stigma, mental health, trust in the healthcare relationship, viral load, and one open-ended item on silver linings. The second study (Texas, USA) included semi-structured …

Usa V. Frank Monte, Iii

2026 Decisions

USDC for the District of New Jersey

Wilson Brito-Hidalgo V. Attorney General United States Of America

2026 Decisions

Agency

Scott Phillips V. Archdiocese Newark

2026 Decisions

USDC for the District of New Jersey

Pre-Implementation Factors For Active Music Engagement (Ame): Barriers And Facilitators To Integrating An Evidence-Based Dyadic Intervention Into Pediatric Oncology Care., Kristin M. Story, Elizabeth Harman, Kristin Stegenga, Jelena Golubovic, Sheri L. Robb

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Pediatric cancer treatment is a difficult and distressing experience that often results in sustained, interrelated distress in young children and parents, and traumatic stress symptoms for some parents. Few evidence-based interventions address this dyadic distress. Active Music Engagement (AME) is a manualized, evidence-based music play intervention that significantly reduces distress in child/parent dyads and mitigates traumatic stress and improves well-being among highly distressed parents and those experiencing sociodemographic risk. Successfully integrating AME into standard care requires a systematic understanding of implementation factors. This study aimed to identify site-specific barriers and facilitators that influenced successful AME delivery during a recently …

The Fate Of Microplastics In The Littoral Zone Of A Whole-Lake Microplastic Addition Experiment, Ren Staggs

Theses

Microplastics (MPs) are ubiquitous across all ecosystems, but the physical fate of MPs within specific littoral compartments in lakes is poorly understood. Here, we describe the fate of MPs across five littoral compartments: water, macrophytes, periphyton, rocks, and sediment, to contribute to a whole-lake MP particle budget as part of the pELAstic project, which has been adding polyethylene (PE), polystyrene (PS), and polyethylene terephthalate (PET) MPs to an entire lake over three years in a whole-ecosystem experiment at the IISD-ELA. We quantified MP abundance across three particle size fractions (>212, 106–212, and 106–53 µm) by sampling each compartment at …

Peritoneal Ovarian Cancer Growth In The Omentum Proceeds Independently Of Mature Adipocytes, Rachel L Mintz, Jichang Han, Emily G Butka, Alexandre Gallerand, Shuai Gao, Ayoung Kim, Sarah Ning, Nicole K H Yiew, Mary Wohltmann, Galina Fedotova, Wei Zou, Nan Zhang, Samantha A Morris, Bernd H Zinselmeyer, Gwendalyn J Randolph

2020-Current year OA Pubs

The omentum, a specialized adipose tissue within the peritoneum, is a primary niche of ovarian cancer dissemination. Omental adipocytes are widely thought to promote tumor growth by supplying lipids, supported in part by studies using global FABP4 deficiency. Here, we directly test whether mature adipocytes are required for peritoneal ovarian cancer growth using mice congenitally lacking mature adipocytes within the peritoneal cavity, including the omentum. Across several ovarian cancer models (ID8p53

Listening, Learning, Accommodating: A Critical Look At Inclusive Research Help, Michelle Lee, Laura Beane, Kristina Lang, Jillian Speck, Kristina Clement

Faculty Articles

Research consultations continue to be a valuable means of connecting with users and supporting their research needs. As we’ve received an increasing number of research consultations where one or more accommodations have been requested, the Kennesaw State University Libraries have been exploring ways to provide accommodations in research consultations. Since there is a lack of research on this specific facet of research consultations, this literature review focuses on the related topics of assistive technology in libraries, accommodations in library services and spaces, and library anxiety to show how these topics relate to providing accommodations in research consultations. The objective of …

Sac Newsletter 2026, South Asia Center

Newsletters from the South Asia Center

No abstract provided.

Carlos Baires-Rivas V. Attorney General United States Of America

2026 Decisions

Agency

Strategic Information System Leadership And Information System Function Performance In Universities In Kenya: A Pls-Sem Analysis, Joseph K. Muchina, James M. Njihia Prof., Agnes N. Wausi Prof.

International Journal of Applied Management and Technology

Information systems as enablers have evolved from an efficiency and effectiveness focus to enterprise-wide performance, placing strong demands on information system leadership. Emerging leadership models call for collaborative practices. Information systems leadership in higher education is a challenging task. Universities' top management team members and their information system executive counterparts lack a common and shared vision and understanding of information systems capabilities and roles. As the highest-ranking officers in organizations, they make strategic IS decisions. Yet, noting that existing approaches are ineffective, there is a growing concern about the kind of leadership needed to guide the institutions. Four sets of …

Parental Thermal Environment Affects Offspring Resilience To Winter And Spring Weather Anomalies, Ruzhuo Chen, Mariel Dunn, Caroline A. Curtis, Mariana Abarca

Biological Sciences: Faculty Publications

Recent increases in the frequency and intensity of thermal anomalies can result in recurrent stressful weather events. Among annual insects, this phenomenon may expose parents and offspring to a succession of different weather anomalies (e.g. summer heatwaves and late spring frosts). Parental stress can alter offspring physiology and performance, potentially affecting their tolerance of environmental variation. We investigated the transgenerational effects of thermal anomalies on a univoltine wetland butterfly. We induced parental thermal stress by exposing pupae to a constant temperature, ranging from stressfully cold to stressfully hot (10 ◦C, 26 ◦C, 28 ◦C, 32 ◦C), for three days. Offspring …

Systematic Contextual Biases In Segmentnt Potentially Relevant To Other Nucleotide Transformer Models, Mark T.W. Ebbert, Anna Ho, Madeline L. Page, Bram Dutch, Blake K. Byer, Kristen L. Hankins, Hady Sabra, Bernardo Aguzzoli Heberle, Mark E. Wadsworth, Grant A. Fox, Bikram Karki, Caylin Hickey, David W. Fardo, Cody Bumgardner, Yasminka A. Jakubek, Cody J. Steely, Justin B. Miller

Biostatistics Faculty Publications

Recent advances in large language models have extended to genomic applications, yet model robustness relative to context is unclear. Here, we demonstrate two intrinsic biases (input sequence length and nucleotide position) affecting SegmentNT results, a model included with the Nucleotide Transformer that provides nucleotide-level predictions of biological features. We demonstrate that nucleotide position within the input sequence (beginning, middle, or end) alters the nature of SegmentNT’s raw prediction probabilities, which can be standardized to improve prediction consistency. While longer input sequence length improves model performance, diminishing returns suggest a surprisingly small input length of ∼3072 nucleotides might be sufficient for …

Actionable Hydrologic Data To Information With National Water Model-Based Derived Dataset, Cutting-Edge Data Services, And Agentic Ai System, Sujan Chandra Mondol

Theses and Dissertations

Hydrologic data are the cornerstone of many complex hydrologic research and operational workflows that produce useful hydrologic information for water resources decision-making, flood risk communication, and water availability implications. The National Water Model (NWM) is a valuable source of hydrologic data, particularly for its extended coverage of unmonitored streams and the large-scale continuity of hydrologic processes. Precomputed secondary datasets derived from this simulated data, such as streamflow indices, can improve operational efficiency through thresholding. Disseminating the data through modern technologies, such as application programming interfaces, is required for ready integration into applications. However, if extraction requires an intermediate service, there …

"Tithing Is An Insurance Premium": A Framing Analysis Of Speaker Innovation And Diachronic Trends In Latter-Day Saint Religious Discourse, Reid Empey

Theses and Dissertations

Religious language relies on shared metaphor and frames that contextualize religious experience and practice. Current approaches to frame semantics (Fillmore 1982) and cognitive metaphor (Lakoff & Johnson 1980) lend important insight into religious language, particularly in describing the role that figurative language serves in a religious speech community. However, a vital component of many religious speech communities is the presence of and engagement with a scriptural canon, which often contains metaphorical and framing language that religious speakers can directly reference. Yet, past conceptualizations of speech communities have not accounted for this engagement with a shared canon. To illustrate the role …

Synthetic Strategies For Bioactive Peptides: From Aggregation Inhibitors To The Total Synthesis Of Tunicyclin C, Stephanie Graciela Garcia Morin

Theses and Dissertations

In Alzheimer's disease (AD), a brain protein called "tau" abnormally clumps and forms neurofibrillary tangles (NFTs), causing damage to brain cells. Ac-PHF6-NH2 is a hexapeptide segment of tau protein that plays a dominant role in tau aggregation and is used as a model to design tau protein aggregation inhibitors. In this research we synthesized four dehydroamino acid (□AA) containing PHF6 analogues with △Abu (derived from L-threonine) and △Val (derived from □-OH-Valine) at position 2 or 3 via dehydrations or azlactone ring-openings as key reactions. We evaluated their proteolytic resistance, ability to inhibit aggregation of PHF6, and impact on the morphology …

Measuring Proteostasis Changes In Apolipoprotein E Mouse Models Using Quantitative And Kinetic Proteomic Methods, Ariel E.A. Denos

Theses and Dissertations

Alzheimer's Disease (AD) is a neurological disorder associated with brain mass loss and cognitive decline. It affects millions of elderly people and is currently uncurable. Since 1906, when the disease was first described, researchers have uncovered many components of AD pathology. However, it is now evident that curing Alzheimer's Disease will require intervention before the pathological onset of amyloid beta plaque deposition, tau neurofibrillary tangles, and associated neuronal loss. Studying AD from the perspective of early intervention requires special attention to small changes that may disrupt the normal processing of cells. Cells undergo a natural cycle of creation and destruction …

Multi-Band Extinction Modeling In Early-Type Galaxies With Circumnuclear Disks, Nonnie Bash

Theses and Dissertations

In this thesis, we present a spatially resolved, multi-band dust-attenuation method for correcting the stellar luminosity models used in dynamical supermassive black hole (BH) mass measurements. If uncorrected, dust extinction effects may dominate over other systematic uncertainties when determining the BH mass ($M_\mathrm{BH}$). We expand on a simple dust-attenuation method that treats the circumnuclear disk as a thin dust layer embedded in the galaxy midplane. Using a Multi-Gaussian Expansion, we create a three-dimensional stellar luminosity model to calculate the fractions of stellar light originating in front of and behind the disk along each line of sight. We infer the pixel-by-pixel …

Standardizing Gestational Diabetes Mellitus Education To Improve Patient Knowledge And Care Consistency In A Prenatal Clinic Setting, Wynn Zara

Master's Projects and Capstones

The gestational diabetes mellitus (GDM) group visit framework aims to improve consistency of GDM education by standardizing referral processes, educational materials, staff workflows, and patient communication. Although evidence-based GDM education supports patient self-management and improved maternal-fetal outcomes, variability in education delivery contributed to inconsistent care within the outpatient maternal-fetal medicine setting. This quality improvement project was conducted in an outpatient maternal-fetal medicine clinic in Santa Clara County serving pregnant patients diagnosed with GDM. To address this gap, a standardized GDM group visit framework was developed and implemented using structured educational resources, referral criteria, and communication workflows. The intervention was evaluated …

Children Second Dialect Acquisition In North America, Iqbal Nurul Azhar, Mohammad Halili

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

This article aims to examine the causes, social contributing factors, and the linguistic consequences of Second Dialect Acquisition (SDA henceforth) in children in North America, drawing on relevant articles. For children growing up in a monolingual region but then must live in a new space, acquiring second dialect can pave them to improve their communication skills, adjust their social and identity belonging. Yet why, how, and the linguistic consequence of SDA require further studies. We used the thematic synthesis in reviewing the existing related literature based on three steps: article identification, selection, and analysis. Six causes of SDA were found: …

Development And Validation Of The Global Impact Of Chronic Illness Scale – Universal, Abigail Kukay

Theses and Dissertations

The current manuscript presents the development and validation of the Global Impact of Chronic Illness Scale – Universal (GICIS-U), a novel measure of chronic illness impact through three separate studies. The pilot study aimed at measure development, which included item selection and two rounds of item refinement using feedback gained through four focus groups. Study 1 consisted of an exploratory factor analysis (EFA) to determine factor structure of the measure. Participants were 183 individuals recruited from an online participant pool and social media outlets who completed the refined GICIS-U online. Results of the EFA suggested a six-factor structure, of which …

Engineering Education Beyond The Engineering Classroom: Three Studies On Behavioral Nudges, General Education Completion, And Honors Program Participation, Andrew Harrison Volk

Theses and Dissertations

Engineering education extends well beyond the engineering classroom. Engineering undergraduates progress through general education courses, institutional support structures, and enrichment opportunities operating outside their major. The administrative offices that shape these non-engineering experiences typically operate independently of engineering departments, and the structural decisions they make can shape the engineering student's experience without engineering's input. This dissertation examines three settings in which decisions outside engineering matter for engineering students. Study 1 reports a PRISMA-format systematic review of nudge interventions in higher education, developing a four-category typology of nudge types (informational, environmental, process-oriented, and in-name-only) and a six-category typology of application domains. …

Thermomechanical Characterization And Modeling Of An Smp-Epoxy Composite For Deployable Space Structures, Ap Anshuman Behera

Theses and Dissertations

Deployable space structures can be stowed in a compact form and later allowed to their operational shape. Carbon fiber reinforced polymer (CFRP) composites have been utilized as a material candidate due to their increased strength-to-weight ratio and tailored performance. Current challenges associated with CFRP composites are driven by the viscoelastic nature of the polymer matrix causing long-term stowage effects and deployment issues such as shape deformation and incomplete recovery. In this study, a shape memory polymer (SMP) is presented as a potential option in mitigating these issues. An epoxy SMP is synthesized and experimentally characterized and its performance in the …

Scan Statistics For Nonhomogeneous Poisson Processes: A Method For Cnv Detection, Asanka Rathnayaka Duwage

Theses and Dissertations

This dissertation studies scan statistics for detecting localized changes in non-homogeneous Poisson processes. The motivating problem arises from genomic sequencing data, where tumor and normal read locations may differ over short regions due to copy number variation, while the underlying event intensity varies across the domain. In this setting, methods based on homogeneous Poisson process assumptions are not appropriate. The dissertation develops and studies scan-based methods for detecting local differences while accounting for non-homogeneous structure. Three related approaches are considered. The first develops a scan statistic for a nonhomogeneous Poisson process and uses extreme value calibration after transformation under the …

Simulating Wind-Induced Temporal Variability In Gnss Transmissometry Via Coherent Bistatic Scattering, Brantley Allen Forrest

Theses and Dissertations

Global Navigation Satellite System Transmissometry is a technique for forest remote sensing. Interpreting these measurements requires physically based models to relate observed signal behavior to underlying biophysical parameters. A limitation of current electromagnetic modeling approaches is the assumption that vegetation optical depth is static. In practice, forest canopies, and therefore vegetation optical depth, are dynamic systems continuously influenced by wind. These geometric changes alter the scattering environment and introduce temporal variability in the received signal, particularly through phase-sensitive multipath interactions. This thesis presents a methodology for simulating wind dynamics for first-order scattering. The approach integrates a procedural, stochastic aeroelastic wind …