Digital Commons Network^™

Re: Comment Letter For The Butte Priority Soils Operable Unit (Bpsou) 2025 Butte Reclamation Evaluation System (Bres) Field Evaluation Summary Report And Technical Recommendations Proposal, Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Dnp Final Report: Community-Based Advance Care Planning Education For Older Adults: A Quality Improvement Project, Teresa Hill

DNP Final Reports

Background: Advance care planning (ACP) supports patient autonomy and promotes care aligned with individual values and preferences. Despite these benefits, fewer than half of adults aged 50–80 have completed formal ACP documentation, and community-dwelling older adults rarely engage in ACP before serious illness, representing a persistent gap in early engagement.

Purpose: This quality improvement (QI) project evaluated the effectiveness of a community-based ACP educational intervention in improving ACP knowledge, confidence, and engagement among older adults.

Methods: A nurse facilitator trained in the Five Wishes framework delivered a structured, 60-minute ACP workshop at a senior center in North Texas. A pre–post …

Enhancing Staff Knowledge Of Prenatal Depression Screening And Follow-Up Protocols, Gladys Ajohmbu Esunji

Walden Dissertations and Doctoral Studies

This staff education project addressed inconsistent staff knowledge of prenatal depression screening and follow-up protocols in an outpatient behavioral health practice serving prenatal patients. Prenatal depression is a nursing practice concern because delayed identification and inconsistent follow-up may affect maternal well-being, infant outcomes, family functioning, and timely access to behavioral health support. The practice-focused question was: According to the evidence, among clinical staff in an outpatient maternal mental health setting, what is the impact of structured staff education on adherence to prenatal depression screening on follow-up protocol knowledge? The purpose was to improve clinical staff knowledge through a structured education …

Identifying Symbolic Modeling Of Grooming Precursors In Social Media, Heath Landress

Walden Dissertations and Doctoral Studies

Short-form video platforms such as TikTok and Instagram Reels increasingly circulate dating and lifestyle advice that may normalize coercive relational scripts. A key challenge for preventing technology-facilitated child sexual exploitation is that early grooming precursors can be communicated through audiovisual design choices, such as tone, pacing, setting, and editing, that make manipulative narratives appear benign. The purpose of this qualitative multimedia content analysis was to identify recurring observable patterns that provide a form of symbolic modeling, through which relational and boundary-shaping cues associated with early-stage sexualized grooming are framed as ordinary dating or lifestyle advice in public TikTok and Instagram …

Effectiveness And Ethics Of Biometrics In Homeland Security, Aaron Akintayo Akindiya

Walden Dissertations and Doctoral Studies

Homeland security agencies increasingly deploy biometric technologies, including facial recognition and fingerprint scanning, to enhance identity verification and threat detection at airports and borders. However, these technologies raise ethical concerns regarding privacy, algorithmic bias, data protection, and civil liberties. Limited research captures the perspectives of frontline professionals who implement these systems. This study explored how homeland security professionals perceive the balance between effectiveness and ethics. Guided by the technological determinism theory, semistructured interviews were conducted with 13 professionals from U.S. Customs and Border Protection, Transportation Security Administration, and Immigration and Customs Enforcement. Thematic analysis revealed four themes: effectiveness in enhancing …

Locoregional Therapy Pressure-Enabled Drug Delivery For Liver Cancers, Thomas Eggleston, Bassem Fayek, Jacqueline Kowalke, Mina Makary

Student Papers, Posters & Projects

Hepatic malignancies account for a substantial portion of global cancer mortality, with hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma (IHC), and metastatic liver disease representing the most common diagnoses. While surgical resection and liver transplantation remain curative options for eligible patients, most patients are diagnosed at stages unsuitable for surgery. This has shifted medical management towards locoregional therapies (LRTs) which are often catheter-directed. Of these interventions, the use of conventional end-hole catheters for therapeutic infusion has been a mainstay of treatment, but this method is constrained by retrograde particle escape and elevated tumoral interstitial fluid pressure. Together, these factors limit drug penetration …

Re: Conditional Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Draft Final Unreclaimed Sites: Ur-46 Site Evaluation Summary Report (Sesr), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Butte Priority Soils Operable Unit Diggings East Final 100% Remedial Design Package Submittal, Josh Bryson

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Patient-Specific Mobilization To Prevent Functional Decline And Falls, Samantha Michelle Amen, Pearl Paras

International Nursing Research Congress (INRC)

To implement a patient-specific mobilization strategy aligned with functional capacity, aiming to improve mobility, reduce functional decline, and lower fall-with-injury rates across 21 medical centers in the Northern California region of Kaiser Permanente.

This project addresses a critical gap in hospital care by replacing generic mobility goals with individualized plans, improving patient safety and functional outcomes. It aligns with the conference’s focus on innovation and evidence-based practice by demonstrating how tailored interventions can reduce harm and enhance interdisciplinary care delivery.

A real-time dashboard was implemented to operationalize patient-specific mobility goals. Nurses enter the Current Level of Function (CLOF) by 10:00 …

Effect Of Role Ambiguity On Turnover Intention: A Moderated Mediation Model, Heejin Lim, Seung Eun Lee

International Nursing Research Congress (INRC)

Purpose: Given nurses’ high turnover and its impact on patient safety and quality of care (Wu et al., 2023), reducing their turnover intention is crucial. This study aimed to (a) test the direct effect of role ambiguity on turnover intention, (b) examine the indirect effect via burnout, and (c) investigate whether physician–nurse collaboration moderates the path from role ambiguity to burnout and, consequently, the conditional indirect effect (moderated mediation) on turnover intention.

Design/Methods: This descriptive, correlational study analyzed data from 507 registered nurses in South Korea collected between October and December 2024. Eligible participants had at least one year of …

Using An Outcome-Based Education Design To Drive Dissemination Of Nursing Work, Kathleen Bradley, Ningning Guo

International Nursing Research Congress (INRC)

Nursing work dissemination often begins with a national podium or poster presentation. Submitting an abstract to these professional conferences can be challenging and time-consuming for novice writers. The American Nurses Credentialing Center (ANCC) Outcome-Based Continuing Education (OB-CE) model was used as a framework to design a hands-on Abstract Writing Workshop to help learners embark on their dissemination journey (ANCC, 2021; ANCC, 2025).

In September 2022, an environmental scan revealed less than fifty percent of projects were disseminated beyond the unit of improvement. Additionally, many nurses lacked knowledge and skills of abstract writing, often the first step in the dissemination process. …

In Re: Richard Murphy

2026 Decisions

USDC for the District of New Jersey

Alemah Mcmillian V. Geico Indemnity Co

2026 Decisions

USDC for the District of New Jersey

Modeling Comparative Judgments With Machine Learning, Monoshiz Mahbub Khan

Theses

Many tasks can involve analyzing data points and assigning unbound numerical scores or labels. However, without a well-defined standard or point of comparison, such data annotation can require significant cognitive effort from human judges. To mitigate this issue, I propose the use of comparative judgments. Comparative judgments involve pairs of data points and a comparative label instead of a direct one. This process would only ask the human judge to compare the pair of data points and decide which one should have a higher label, but would not ask for the exact value. Moreover, ranking or sorting based tasks with …

Oregon State Rank Assessment For Ithuriel's Spear (Triteleia Laxa), Lindsey K. Wise

Institute for Natural Resources Publications

Oregon state conservation status assessment for Ithuriel's spear (Triteleia laxa)
 using NatureServe methodology, 2026.

Vertical Alignment As A Systemic Strategy For Sustaining Workforce-Aligned K–12 Engineering Initiatives: A Collective Case Study Of District-Wide Microelectronics Integration, Greg J. Strimel, Victoria Constantine, Deana Lucas, Emily Haluschak, Yubin Lee, Morgan Hynes, Selcen Guzey, Tamara J. Moore

School of Engineering Technology Faculty Publications

Background

In response to the 2022 CHIPS and Science Act, a K–12 workforce development initiative was launched to embed microelectronics education across US school districts. To promote sustainability, the initiative employed a district-wide vertical alignment strategy that progressively integrates microelectronics content and engineering-related career experiences from kindergarten through high school. While vertical alignment is often used for curriculum planning, its broader potential as a systems-level strategy remains underexplored.

Purpose

This study investigated how vertical alignment functions within a K–12 engineering workforce development initiative, focusing on enablers/barriers toward expanding and sustaining integration efforts. The research questions addressed stakeholder experiences with the …

When Should You Worry About Pediatric Snoring?, Sarah Gubara, Samira Naime

Pediatrics in Practice: A CME Podcast

My child snores — when is it a problem? Snoring and obstructive sleep apnea are the focus here. Samira Naime, MD, Pediatric Pulmonologist and Sleep Medicine Physician at Children's Mercy, explains how to spot worrying signs, when to try allergy treatment or nasal steroid and when to consider a sleep study. She also covers which labs allow outside ordering and when referral to sleep medicine is appropriate.

Click here to stream the podcast episode.

Radiation Effects On The Amd Versal Running An Automatic Modulation Classification Model, Allan D. Howe

Theses and Dissertations

With the recent increase of interest into artificial intelligence (AI), graphics processing units (GPUs) have been used as the main hardware architecture for AI computation. Because of their high power consumption and large size, it is necessary to consider other architectures to perform AI computing in outer-space where size, weight, power, and cost (SWaP-C) are tightly constrained. One such architecture is the Advanced Micro Devices (AMD) Versal Adaptive Compute Acceleration Platform (ACAP), which can achieve acceptable AI throughput at a lower power and size compared to a GPU. As the Versal ACAP gets used in space applications, it is necessary …

Cultural Humility, Reformation Of Power Structures, And Cultural Competence As Seeds And Fruits Of Interculturality, Doug Herbek

Obsculta

This piece examines how interculturality both promotes and is fostered by cultural humility, reformation of power structures, and development of cultural competence. As we pursue interculturality, we incarnate the Gospel. In the process, local church leadership becomes inclusive and integrative, worship becomes more heartfelt, and community and unity are fostered as we celebrate our differences.

Butterfly On The Way To Emmaus, Myrissa Donaldson

Obsculta

No abstract provided.

An Introduction To The China Land Sales Data Set: The Universe Of Land-Use-Right Transfers In China 2000-2022, Yilin Hou, Lin Li, Qiang Ren

Center for Policy Research

The China Land Sales Data Set (2000-2022) includes the universe of land-use-right sales in China in the first 23 years of the 21st century, a period of the fastest mass urbanization and intense infrastructure construction in China’s history, that accompanied the rapid growth of China’s economy and household income. For this reason, this data set carries substance in many ways for anyone who needs to understand the occurrences in China of that period. The phrase “land sale” refers to the transfer of land-use right from the state as the sole owner of urban land to any individual, firm or entity …

Creative Independent Work As A Tool For Professional Skill Development In Students, Zhanna Mussina, Gulnar Kazhikenova, Murshida Nurgaliyeva, Klara Smatova, Bakyt Kuanysheva

Higher Learning Research Communications

Objectives: This study aimed to analyze the implementation and impact of students’ creative independent work in English language lessons at Toraighyrov University in Pavlodar.

Methods: The research employed a combination of qualitative and quantitative methods, including logical analysis, functional analysis, and formal legal approaches, supplemented by deductive and inductive reasoning. The empirical phase involved a pedagogical experiment with two student groups (n = 37) to evaluate the effectiveness of creative independent work methods.

Results: Results demonstrated that incorporating creative independent work significantly enhanced both English language competency and broader professional skills, including critical thinking and autonomous learning capabilities. Students …

Tiktok Vs. Instagram: How Audiences Engage With James Charles, Kristina M. Hart

Departmental Honors & Graduate Capstone Projects

This study examines how audiences engage with beauty influencer content across social media platforms, with a focus on James Charles on TikTok and Instagram. While existing research highlights the importance of authenticity, content strategy, and influencer characteristics in driving engagement, less attention has been given to how engagement varies across platforms and how users express interaction qualitatively. To address this gap, this study employs qualitative content analysis to examine 100 audience comments, with fifty comments collected from each platform.

Using thematic coding, comments were categorized into four primary forms of engagement: audience participation, product interest, entertainment, and trust/credibility. In addition, …

Editorial: Participatory And Just Governance: Empowering Local And Indigenous Communities, Melissa Haeffner, Maiko Sakamoto, Jenia Mukherjee, Hong Quan Nguyen, Soyo Takahashi

Environmental Science and Management Faculty Publications and Presentations

The papers in this Research Topic (RT) extend insights on the roles of social relations, institutional arrangements, Indigenous ways of knowing, local knowledge, and decisionmaking participation in shaping water governance and practice. Despite efforts to predict flows and possible hazards, we continue to observe “unintended consequences” when humans interact with waterscapes. What we often learn, we argue, is that what appears “unintended” often reflects a deliberate architecture of exclusion; one that becomes legible only when social power relations are placed at the center of analysis alongside hydrological variables. Doing so may illuminate where injustice complicates intentions and what difference participatory …

Beginnings...Of The University Of North Alabama The Story Of Florence Wesleyan University, William Lindsey Mcdonald

Documents on Education and Progress of the University

Part II of Beginnings...of The University of North Alabama, which discusses the 13-year history of Florence Wesleyan University.

Effective Strategic Planning Processes Used By Construction Industry Companies, Melvin C. Porter Jr.

Walden Dissertations and Doctoral Studies

Strategic planning failures among small and medium-sized enterprises (SME) construction managers can lead to cost overruns, schedule delays, and operational inefficiencies that threaten organizational viability. SME construction managers who lack effective strategic planning processes face an elevated risk of project failures that jeopardize workforce stability and the long-term sustainability of the communities they serve. Grounded in hoshin kanri framework, the purpose of this qualitative pragmatic inquiry was to explore successful strategic planning processes and models used by SME construction managers in southeastern Virginia to improve operations and reduce project failures. The participants were seven SME construction managers who had successfully …

2026 June 23 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

Mapping Measurement To Theory In Policy Evolution: A Case Of Net Metering Policies Of The United States, Graham Ambrose, Myriam Gregoire-Zawilski

Research to Practice Briefs

Mapping measurement to theory in policy evolution: A case of net metering policies of the United States," co-authored by Graham Ambrose and Myriam Gregoire-Zawilski in Policy Studies Journal

Trust, Participation, And Power: Community Perspectives From The Equity In Public Health Initiative, Shaniece Criss, Roger S. Abim-Karmon, Jody Teel, Vanessa Rodríguez, Adia Bennon, Sally Wills, Sarah Gonzales, Dalmondeh D. Nayreau, Vaishnavi Bharadwaj, Hannah G. Kim, Jennifer Woollery, Melissa Fair

Health Sciences Publications

Health disparities arise from unequal power relations shaping resource allocation, governance, and community agency. Community power is a key mechanism for addressing disparities. This study examines how visible, hidden, and invisible power operate within a U.S. county to inform inclusive governance. We conducted seven focus groups with Black and Hispanic residents (n = 68) and sixteen semi-structured interviews with elected officials, government staff, and advocacy leaders in Greenville County, South Carolina. Data were collected between March and December 2024. Transcripts were collaboratively coded in NVivo and analyzed using thematic analysis guided by Heller et al.’s Three Faces of Power …

Preemptive Tocilizumab In Cd19 Car-T Cell Therapy: Evaluating Its Role In Reducing Severe Cytokine Release Syndrome, Anna V. Guistolisi

Summer Interdisciplinary Research Symposium

Objective

The purpose of this paper is to explore whether prophylactic use of tocilizumab in patients with B-cell malignancies receiving CD19 Chimeric Antigen Receptor T-cell (CAR-T) therapy reduces the incidence of severe Cytokine Release Syndrome (CRS) within 30 days when compared to standard initiation of tocilizumab.

Methods

A literature search was conducted using PubMed, Google Scholar, ClinicalTrials.gov, and the Christopher Center Library to identify studies evaluating tocilizumab for CRS in patients receiving CD19-directed CAR T-cell therapy. Studies involving patients with B-cell malignancies treated with CD19 CAR T-cell therapy were included, while studies involving non–B-cell malignancies, non-CD19 CAR T-cell therapy, or …