Digital Commons Network^™

Effectiveness Of A Multifaceted Educational Program For Patients Receiving Oral Anticoagulants, Yu-Hsia Tsai, Meei-Fang Lou, Chi-Tai Kuo, Her-Kun Chang, Kuo-Liong Chien, Bih-Shya Gau, Lai-Chu See

International Nursing Research Congress (INRC)

Background: Atrial fibrillation (AFib) is a common arrhythmia associated with elevated risks of stroke and mortality. Oral anticoagulants (OACs) are prescribed to reduce stroke risk, yet many patients lack sufficient understanding of their use. Effective educational strategies are crucial for enhancing medication safety and minimizing complications.

Purpose: This study evaluated the effectiveness of a multifaceted, interactive education program for patients with AFib taking OACs. Grounded in the Health Belief Model, the intervention was delivered via a mobile application (App). Its effectiveness was compared to a control group receiving a printed brochure. Outcomes included patient knowledge, health beliefs, and medication satisfaction. …

Dating Violence And Help-Seeking Among Taiwanese Young Adults: A Gender Perspective, Wen-Li Hou

International Nursing Research Congress (INRC)

Background: Dating violence (DV) is a growing public and mental health concern among young people [1,2]. Gender-role internalization and power inequality shape both DV occurrence and help-seeking [3,4], yet Taiwan-specific qualitative evidence is limited.

Purpose: To explore DV and help-seeking among Taiwanese young adults from a gender perspective and to examine how gendered power imbalances affect coping and help-seeking behaviors.

Methods: This qualitative study used semi-structured interviews guided by the Knowledge–Attitude–Behavior (KAB) framework [5]. Nine young adults (eight women, one man; aged 19–26 years, M = 22.1) were recruited through purposive sampling. Interview transcripts were analyzed using content analysis to …

Reduced Executive Function In Older Adults With Chronic Diseases And Subjective Cognitive Decline, Cheng-Chen Chou, Yuan-Mei Liao, Jong-Ni Lin

International Nursing Research Congress (INRC)

Background: Chronic diseases are common worldwide and are closely associated with cognitive decline. Subjective cognitive decline (SCD) refers to self-perceived worsening of memory or cognitive ability. Individuals with SCD have a two-fold higher risk of developing dementia and often experience reduced physical function, emotional problems, lower quality of life, and an increased risk of falls. However, research on cognitive function and related factors among older adults with chronic diseases who report SCD remains limited.

Purpose: To compare cognitive and executive function in older adults with chronic diseases with and without SCD, and to identify factors associated with cognitive and executive …

Collaborative Community Partnership To Support Foster Families Caring For Medically Complex Children, Christine Rae Platt, Sally Ann Martens, Nyah Haltom, Michael Thomas, Brandon Thatcher

International Nursing Research Congress (INRC)

Background: Children in foster care experience disproportionate health challenges, particularly those with medical complexity or disabilities. Foster families often report unmet needs related to health literacy, access to care, and caregiver support. Recognizing these challenges, a university-community partnership was established with a state foster care foundation to assess current gaps and identify opportunities to strengthen health and resource support for foster families.

Purpose: To assess the needs of foster families caring for medically complex or disabled children and to collaboratively develop feasible, culturally competent strategies to address identified gaps in care and resources.

Methods: A community-based participatory approach was used …

Clay, Culture, & Change: Southern Folk Pottery & The Tennessee Valley Transformation, The Reece Museum, East Tennessee State University, Rack Cross

The Reece Museum Exhibition Publications

An exhibition by artist Rack Cross, Clay, Culture, and Change explores the ceramics of Southern Appalachia that have been associated with land and water for generations. Pottery once functioned as a necessity for storage and transport. When the the Tennessee Valley Authority (TVA) transformed river systems in the twentieth century, the Holston Valley and surrounding regions experienced rapid and widespread change. Flood control and electrification changed lifestyles on farms and beyond. Because of this massive transformation, folk pottery also shifted from primarily utilitarian ware to include more decorative and collectible pieces. In the artist’s opinion, face jugs, with their sculpted …

In Re: National Football League Players Concussion

2026 Decisions

USDC for the Eastern District of Pennsylvania

Heidy Mejia Saquic De Julaj V. Attorney General United States Of America

2026 Decisions

Agency

Usa V. Rodney Blake

2026 Decisions

USDC for the Western District of Pennsylvania

The Rise And Fall Of Lateral Electrical Surface Stimulation (Less) Through The Lens Of Srs Archives, Ali Rezazadeh Shirazi, Jay I. Kumar, Katie Dold, George H. Thompson, Andrew G. King, Richard M. Schwend, John P. Lubicky, Jay Shapiro, Behrooz A. Akbarnia

Student Publications

Purpose: Lateral electrical surface stimulation (LESS), commercially known as the ScoliTron™, emerged in the late 1970s as a noninvasive alternative to bracing for adolescent idiopathic scoliosis. Early clinical reports generated considerable enthusiasm and adoption, but the technique was ultimately abandoned. This study examined the rise and fall of LESS through a combined analysis of the Scoliosis Research Society (SRS) archives and published literature, with the goal of understanding factors that influence the adoption, evaluation, and abandonment of innovation in scoliosis care.

Methods: A structured historical review was conducted using archival materials from the Scoliosis Research Society (SRS), including meeting abstracts, …

Peptoid-Peptide Hybrid For Selective Targeting And Elimination Of Breast Cancer Stem Cells, Evan Chen

Chemistry Theses

Breast cancer remains one of the deadliest diseases in the world and poses a great threat due to its resistance to common chemotherapeutics. Recent studies propose the theory of cancer stem cells, a subpopulation of self-renewing progenitors as the root cause of therapy resistance. The presence of cancer stem cells explains the occurrence of tumor relapses as they would continue to self-renew after initial treatment. Due to this challenge, development of a novel therapeutic to target and eliminate cancer stem cells is a promising strategy for increasing survival rate in breast cancer patients. Previous studies have discovered a synthetic peptoid, …

Stop Blaming My Users: Illumination Of The Technocentric Mythos Bias, Ervin H. Frenzel, Richard Lightcap

Journal of Cybersecurity Education, Research and Practice

 Abstract -This conceptual essay addresses the need for systemic and systematic transdisciplinary analytical techniques within cybersecurity and technical security. This conceptual essay is contingent upon recognition that cybersecurity is not simply technical in nature, it does not need an adversary, and more importantly it is based upon systems engineering and systems thinking.  The essay contributes a socio-technical attribution chain and field-specific ontology/taxonomy which distinguish user-triggered events from root causes, latent conditions, technical debt, validation failures, governance failures, and attribution bias before assigning responsibility to end users. It systematically defines an ontology inclusive of developer technical debt, organizational debt arising from …

Teachers' Perspectives: Literacy Recommendations For Newcomers With Limited Language Proficiency, Rachel Edmunds

Theses and Dissertations

Although multilingual literacy instruction has expanded in recent years, less is known about how teachers can support newcomers with limited language proficiency in Grades 4-6. This gap is significant as many teachers report feeling underprepared to meet the needs of their multilingual learners, especially those with limited language proficiency. The purpose of this qualitative study was to explore the literacy practices and strategies that teachers found effective when working with students who are multilingual newcomers with limited language proficiency (NLLPs) in Spanish and English in Grades 4-6 along with their implementation experiences. Drawing from Vygotsky's sociocultural theory, this qualitative study …

Looking Inwards, Turning Away: A Review Of Rehan Abeyratne’S ‘Courts And Lgbtq+ Rights In An Age Of Judicial Retrenchment’, Jwalika Balaji

Socio-Legal Review

This review engages with Rehan Abeyratne's book Courts and LGBTQ+ Rights in an Age of Judicial Retrenchment, which examines judicial responses to LGBTQ+ claims over the past two decades across three jurisdictions — the United States, India, and Hong Kong. Abeyratne argues that the apex courts in these countries have grown more inward-looking and have enabled the rise of illiberal and authoritarian forces; however, LGBTQ+ rights have emerged as an exceptional site where these courts continue to extend minimal remedies and adopt a tone of empathy, positioning themselves as the last bastion of liberal constitutionalism. Focusing on recent developments …

Genetic Associations With Pulmonary Embolism Among Those With A Deep Vein Thrombosis: The International Network Against Venous Thrombosis Consortium, Susana Lozano-Esparza, Gabrielle E Shakt, Jennifer A Brody, Angel Martinez-Perez, Matthew P Conomos, Marine Germain, Katharine R Clapham, Maris Teder-Laving, Astrid Van Hylckama Vlieg, Anni Kauko, Florian Thibord, Ohanna C L Bezerra, Girish N Nadkarni, Gaëlle Munsch, Therese Haugdahl Nøst, Ellen L Goode, Yuekai Ji, Daniel I Chasman, Alexander P Reiner, Constance Turman, Kerri L Wiggins, Colleen M Sitlani, Juan Carlos Souto, Pamela L Lutsey, Tiffany Bellomo, Estonian Biobank, Million Veteran Program, Ruifang Li-Gao, Aleksi Kristian Winstén, Ming-Huei Chen, Ron Do, Lénaick Gourhant, Kristian Hveem, Sebastian M Armasu, Noémie Saut, Nathan Pankratz, Franco Giulianini, Jeffrey Haessler, Mingyang Song, Robert Olaso, Eric Boerwinkle, Daniel Dochtermann, Jose Manuel Soria, Stephen S Rich, David Smadja, Satoshi Koyama, Frits R Rosendaal, Teemu Niiranen, France Gagnon, Ha My T Vy, Neil Zakai, Catherine Lemarie, Anne Heidi Skogholt, Jean-François Deleuze, James S Pankow, Paul M Ridker, Yuxi Liu, Kenneth M Rice, Saiju Pyarajan, Mary Cushman, Jospeh Emmerich, Bruce M Psaty, Pradeep Natarajan, Andrew D Johnson, Marc A Rodger, Pierre Suchon, Francis Couturaud, Pierre-Emmanuel Morange, Weihong Tang, Charles Kooperberg, Christopher Kabrhel, Maria Sabater-Lleal, David-Alexandre Trégouët, Alisa S Wolberg, Scott M Damrauer, Nicholas L Smith

Children’s Nutrition Research Center Staff Publications

Background: Venous thromboembolism (VTE) includes deep vein thrombosis (DVT) and pulmonary embolism (PE), the latter of which often originates from DVT and can be fatal.

Objectives: The aim of this study was to identify causal genetic factors that alter risk of PE among those with a presumed DVT.

Methods: Using a case-only design of VTE, we conducted meta-analyses of genome-wide association studies (GWASs) in the International Network Against Venous Thrombosis Consortium. Among participants diagnosed with VTE, each study identified those who had a clinically reported PE, with or without a clinically reported DVT; those remaining had isolated DVT. Logistic regression …

Hill, Patricia Evridge, San Jose State University

Emeritus and Retired Faculty Biographies

University of Texas at Dallas, Humanities, Emphasis in History, Ph.D. 1990

University of Texas at Dallas, Humanities, Emphasis in History, M.A. 1984

Southern Methodist University, History Major; Spanish Minor, B.A. 1979

Lifetime Texas Teaching Credential Grades 6 through 12, History and Spanish, 1980

Artificial Intelligence Mechanisms In The Limit Of Crimes And Law Enforcement, Saad Mefleh Alsuwaileh

Journal of Police and Legal Sciences

This study explores the potential of employing technological mechanisms and modern innovations brought about by the Fourth Industrial Revolution, particularly advancements in the field of information technology, in the domains of criminal investigation, crime prevention, and law enforcement. It aims to analyze the impact of these technologies on crime control efforts and the promotion of justice.

The significance of the study lies in highlighting the power of technology in processing and analyzing massive volumes of data with greater speed and accuracy, thereby enhancing the efficiency of criminal investigations and the ability to predict and prevent crimes. The core research question …

Applying Artificial Intelligence Within Decision Support Systems And Its Role In Improving Proactive Thinking And Reducing Security Threats: The Mediating Role Of Data Quality, Hany Shaaban El Anany

Journal of Police and Legal Sciences

The study aimed to identify the impact of applying artificial intelligence within decision support systems in improving the level of proactive thinking and reducing security threats in government institutions in the Arab Republic of Egypt, as well as to examine the mediating role of data quality in this relationship, at a significance level of (α ≤ 0.05). The study sample consisted of (360) participants working in the departments of information technology, decision support, and cybersecurity within government institutions and national authorities that rely on AI-enhanced decision support systems.

The study adopted the descriptive analytical method and used a questionnaire as …

Legal And Functional Status Of The Public Prosecution Office In The Moroccan Judicial System - A Comparative Analytical Study, Hatim Anouar

Journal of Police and Legal Sciences

Over the past decade, Morocco has chosen to embark on an experiment aimed at making the Public Prosecutor’s Office independent of the executive branch, by severing any links that might bind it to the Minister of Justice, and by enshrining this independence not at the constitutional level, but at the legislative level. Although this initiative continues to face numerous challenges and issues, it has not been accompanied by a review of the legal and operational status of the Public Prosecutor’s Office, which gives rise to many problems and contradictions.

In this article, the author seeks to shed light on the …

The Impact Of The Interaction Between Negotiation Strategies And Tactics On Enhancing Security Crisis Management At The General Headquarters Of Ras Al Khaimah Police, Abdulrahman Obeid Al Khatri

Journal of Police and Legal Sciences

The study falls within the context of emphasis on negotiation as a strategic tool in the management of security crises owing to challenges that have become so complicated and dynamic against security institutions. According to reports by the UAE Ministry of Interior, more than 1,200 different types of security crises have been recorded within the last five years. This can range from field to organizational and emergency crises. Therefore, there is an immediate requirement for developing new negotiation methodologies through which response capacities can be boosted to make swift and precise decisions during critical moments.

This study has tried to …

Criminal Investigation Of Crimes Committed In A Metaverse Environment: A Comparative Analytical Study, Hussein Abdelmoaty Abdelnaby

Journal of Police and Legal Sciences

The world is undergoing a radical transformation in the nature of social spaces and human interactions, driven by the emergence of advanced virtual environments such as the "metaverse," which represents a multi-dimensional digital extension of the real world. This transformation has led to the emergence of new forms of criminal activity occurring within this immaterial space, raising fundamental questions about the adequacy of traditional legal and procedural frameworks—particularly criminal investigation mechanisms—in keeping pace with these developments.

This study aims to analyze the key legal and procedural challenges associated with crimes committed in the metaverse and assess the adequacy of the …

Investigating Learning In Immersive Virtual Reality, Andrew Negrette

Master's Theses

Students often struggle with learning challenging subjects throughout their education. This also tends to lead to lower enjoyment and science self-efficacy for learning. Some subjects may be better represented in 3-dimensional spaces utilizing immersive virtual reality (IVR). Recently, IVR headsets have become more accessible and affordable and therefore are in wider use. The purpose of this study was to investigate whether differences in science selfefficacy, enjoyment, presence and knowledge retention exist between IVR and controls on an ocean acidification lesson. I predicted that participants taking the lesson in IVR would score higher compared to a laptop on all measures, due …

Spatial Heterogeneity And Temporal Trends Of California Extreme Heat Using High-Resolution Earth System Model Simulations, Eleni Konstantelos

Master's Theses

Extreme heat threatens California’s diverse landscapes and populations through intensifying and geographically shifting patterns. This study examined the temporal trend and spatial heterogeneities of California’s extreme heat for 1994–2015. The analysis was based on the fully coupled Energy Exascale Earth System Model version 2 (E3SMv2), specifically its 25-km regionally refined configuration. While the Desert/Inland region exhibited the highest number of days ≥ 35 °C and the highest heatwave severity, Central Valley showed the fastest increase in the number of days ≥ 35 °C and heatwave events, as well as the fastest increases of days exceeding various heat index thresholds over …

Match Made In Ml: Developing Compatibility Relationships In Evidential Reasoning Approaches With Machine Learning, Ella Jolie Thomas

Master's Theses

The presented expectation maximization informed evidential reasoning model extends the ability of the evidential reasoning calculus to support decision making by integrating an adaptive model learning capability. Compatibility relationships in Evidential Reasoning models are traditionally built by human domain experts. This process is labor-intensive, especially for large and complex models. Additionally, when new data becomes available, compatibility relationships must be reconstructed. Using machine learning and the expectation maximization algorithm, it is demonstrated that compatibility relationships can be constructed that learn relationships between domain knowledge that is used to make decisions. Using drug development as a domain of application, a traditional …

Interpretable Wellness Prediction From Passive Wearable Sensor Data Using Large Language Models, Cheng-Huan Yu

Master's Theses

This thesis presents a unified framework for multi-target wellness prediction using passive wearable sensor data and large language models (LLMs). The study integrates two complementary paradigms: prompt-based regression and representation-driven classification. In the first stage, structured wearable representations derived from daily physiological signals are used to prompt LLMs to predict stress, fatigue, sleep quality, and readiness. Two input representations are evaluated: statistical summaries and hybrid inputs combining statistical summaries with raw sensor values. To improve interpretability and prediction consistency, the second stage introduces a representation-centric classification framework in which wearable signals and wellness targets are discretized into categorical levels. Multiple …

Moral: Multimodal Reasoning For Autonomous Language Models With Sensor-Grounded Spatial Bev Rendering, Ambarish Govindarajulu Kaliamurthi

Master's Theses

Autonomous-driving vision-language models describe scenes fluently but reason poorly about metric, safety-critical spatial relationships because they do not read sensor geometry in a grounded way. This thesis presents MoRAL (Multimodal Reasoning for Autonomous Language Models), a two-stage fine-tuning pipeline that teaches a compact 2-billion-parameter VLM to decode a physics-encoded Bird’s Eye View (BEV) representation – LiDAR distance as color, object class as cluster shape, radar Doppler velocity as directional wedges – and then trains it to reason over that representation for driving decisions. Stage 2 then fine-tunes on 57,696 teacher-generated chain-of-thought examples across eight question types, using Cosmos-Reason2-8B as teacher …

Superresolution Spectroscopy Of Atomically Thin Semiconductors And Moiré Heterostructures, Chien-Chu (Charity) Wei

Master's Theses

Atomically thin semiconductors and moir’e heterostructures provide an important platform for studying quantum phenomena shaped by reduced dimensionality, interlayer coupling, strain, and local structure. In MoS2, the transition from bulk to monolayer form changes the material from an indirect to a direct band gap, while stacked and strain-engineered systems can produce spatially varying moir’e potentials on nanometer length scales. Because these effects are highly localized, conventional far-field optical spectroscopy is often limited in its ability to resolve them directly. This thesis explores superresolution vibrational spectroscopy as a route toward probing local behavior in atomically thin semiconductors and moir’e heterostructures. Far-field …

Remote Reality: Exploring The Outcomes Of Psychological Contract Breach On Telecommuting Employees, Karen L. Ng

Master's Theses

The purpose of this study was to investigate the relationship between psychological contract breach (PCB) and attitudinal outcomes, specifically job satisfaction, organizational commitment, and turnover intent, within the telecommuter population. Results of an online survey administered to 213 participants revealed strong support of all hypotheses: PCB was negatively associated with job satisfaction and organizational commitment and positively associated with turnover intent. Exploratory analyses revealed moderating effects of remote work frequency and organizational tenure with PCB and attitudinal outcomes. High-frequency remote workers and longer-tenured employees showed stronger negative reactions to PCB, indicating their amplified vulnerability to breaches. Age and gender showed …

Effects Of Variable Light On Sexual Competition In Kelp Species, Jaycee Lanza

Master's Theses

As foundation species, kelps significantly influence the structure and composition of their surrounding habitat by modifying environmental conditions, including light levels, currents, nutrient availability, sedimentation, and seawater chemistry. Light, in particular, is a critical resource that varies greatly within kelp forests, affecting kelp reproductive processes such as gametogenesis, fertilization, and recruitment, which are vital to population persistence. Biological factors, such as density-dependent competition for resources and sexual competition with other kelps, can also affect such processes. To understand how environmental variables influence kelp populations, it is crucial to recognize their combined effects. This study investigated the impacts of light levels …

The Zeal Instruction Set Architecture, Joseph A. Gerani

Master's Theses

The Instruction Set Architecture of a CPU (Central Processing Unit) determines what type of instructions the CPU is able to understand, how those instructions are encoded, and what it should output upon receiving those instructions as input. There are currently three popular ISAs meant for the consumer market: x86, RISC-V, and ARM, as well as a fourth that mostly now exists in the server market by the name of Power. One of the most important parts of an ISA is for engineers to be able to understand it and make use of it. If an ISA is too complicated, nobody …

Impacts Of Physical Extremes On The Reproductive Output And Dispersal Of Stephanocystis Osmundacea, Jessica J. Franks

Master's Theses

Population replenishment is vital for species survival and depends on reproductive output and recruitment success. Many marine organisms rely on both short- and long-distance dispersal to sustain and expand their populations. Marine dispersal involves microscopic or planktonic stages that are influenced by currents, physical processes, and biological traits such as planktonic duration and sinking behavior. Depth and light gradients affect primary producer growth, impacting reproduction, especially in morphologically plastic seaweeds. This study examined how depth-related factors influence reproductive morphology, reproductive output, and dispersal of the subtidal brown seaweed Stephanocystis osmundacea in central California. Using field, lab, and computational methods, depth-driven …