Digital Commons Network^™

Improving Anesthetic Management Of Pheochromocytoma: ​ ​An Educational Initiative Led By Student Registered Nurse Anesthetists​, Kerryn Nicholls

Scholars Week

Anesthetic management of pheochromocytoma presents challenges to experienced nurse anesthetists and recent graduates alike due to the rarity and complex pathophysiology. The purpose of this DNP project was to provide information and education informed by an extensive literature review regarding the anesthetic management of pheochromocytoma for the benefit of future nurse anesthesia practice. The project was accomplished through an educational presentation and novel clinical care flow chart focused on perioperative anesthetic care of pheochromocytoma excision to an audience of practicing certified registered anesthetists (CRNA’s) in two rural Kentucky hospitals. The findings of this project demonstrated that student nurse anesthesia students …

Improving Anesthesia Provider Confidence In The Identification, Management, And Treatment Of Postoperative Delirium, Brittany M. Whistle, Charles Dustin Phelps

Scholars Week

Purpose: Postoperative Delirium (POD) is a potentially devastating complication of anesthesia that is poorly understood by clinical staff leading to poor outcomes for surgical patients. This study is meant to determine if a focused knowledge presentation accompanied by visual aids could increase anesthesia providers confidence in identifying, diagnosing, and treating Postoperative Delirium.

Methodology: Utilizing a statistical model to analyze respondents results on a standardized test administered before and after an informational presentation with visual aids on the topic of Postoperative Delirium.

Results: Results indicated a statistically significant difference between pretest and posttest scores, with a p-value of .002, t(11) = …

Exploring The Impact Of A Multifaceted Standardized Wellness Program On Physical, Mental, Emotional, And Spiritual Health In Nurse Anesthesia Students, Lauren Kulaszewski, Amber Hurt

Scholars Week

Abstract

Purpose

Nurse anesthesia students experience substantial academic and clinical stress, placing them at increased risk for anxiety, depression, burnout, and suicidal ideation. Despite this risk, there is limited guidance on the effectiveness of standardized, programmatic wellness initiatives in nurse anesthesia education. The purpose of this project was to evaluate whether implementation of a standardized wellness program, compared with reliance on independent student-initiated practices, could improve mental, physical, emotional, and spiritual well-being among second- and third-year nurse anesthesia students.

Methodology

A pre–post intervention design was used over a six-month period at a large academic institution. Second- and third-year nurse anesthesia …

Assessing The Impact Of Interprofessional Simulation Training On Perioperative Staff's Confidence In Managing Maternal Hemorrhage, Mallory Duncan, Lidia Vazquez

Scholars Week

Globally, maternal mortality rates remain a critical public health challenge, often related to inadequate healthcare infrastructure in low-income countries. Yet according to the American Journal of Obstetrics and Gynecology (ACOG), maternal mortality rates in the United States are also on the rise, with nearly 32.9 deaths per 100,000 live births. These deaths are largely contributed to maternal hemorrhage (PPH), defined by ACOG as cumulative blood loss of at least 1,000 mL accompanied by symptoms of hypovolemia within 24 hours of the birth process. These findings underscore an urgent need to strengthen the training for perioperative staff in the management of …

Occupational Sevoflurane Exposure And Awareness Of Health Effects Among Anesthesia Providers, Hayden Fell

Scholars Week

Key words:

Sevoflurane exposure Occupational safety CRNAs Anesthetic gas exposure Workplace hazard

The anesthetic gas sevoflurane is of unique interest amongst anesthesia providers as a potential workplace hazard. This project aimed to evaluate CRNA knowledge, clinical practices, symptoms, and perceptions related to occupational sevoflurane exposure amongst Certified Registered Nurse Anesthetists (CRNAs) at a regional hospital in Kentucky.

This quality improvement project used a pre- and post-intervention survey design. Ten CRNAs participated in the project. A pre-survey was given, followed by an educational session informing participants of guidelines regarding Sevoflurane exposure and literature findings of Sevoflurane as a potential workplace …

Solving Wordle Using Information Theory, Talal Aladaileh, Donald Stephens, Mallak Alqaisi, Congyu Wu

Northeast Journal of Complex Systems (NEJCS)

Wordle, a popular word-guessing game, challenges players to identify a five-letter secret word through iterative guesses and feedback on letter placement. The players must figure out the secret word within six guesses. After each guess, the letters will be color-coded based on different criteria. Optimizing the choice of guesses is critical for maximizing success within the limited attempts allowed. In this study, the application of Shannon entropy is explored as a strategy for selecting words that maximize information gain at each step of the game. By quantifying the uncertainty reduction achieved by potential guesses, this method prioritizes words that are …

Local-Nonlocal Dispersal, Behavioral Responses, And Intervention Strategies In Infectious Disease And Addiction Dynamics, Ghilmana Sarmad

Thesis/ Dissertation Defenses

This dissertation explores how epidemiological and behavioral processes interact across spatial and temporal scales to shape the dynamics of infectious diseases and addiction. Bringing together mathematical rigor and biological realism, it develops and analyzes a series of nonlinear models that capture the effects of spatial heterogeneity, mobility patterns, behavioral adaptation, and intervention strategies. Using tools from semigroup theory, functional analysis, stability analysis, and numerical simulation, the study provides a unified framework for understanding how awareness programs, fear-driven protection, vaccination, and social reinforcement influence transmission thresholds, persistence, and long-term population outcomes.

awareness-based interventions, where a basic reproduction number is derived and …

Annulment: Inside The Largest -- And Briefest --School District Consolidation In American History, Daniel Kiel

University of Memphis Law Review

No abstract provided.

Free To Read, Free To Publish: Library Publishing And Global Scholarly Communication, Jonathan D. Grunert

All Things Open

Open access is a right exercised by scholars and their institutions, not a privilege granted by publishers. From this perspective, library publishing is not peripheral to the open access movement but a necessary extension, and when libraries take on publishing roles, they reclaim functions long outsourced to commercial actors and re-center scholarly communication within academic communities. The partnership among libraries, institutions, and researchers is foundational to the production, evaluation, and sharing of knowledge. Library publishing shows that open access can be sustainable and scholar-driven without reliance on paywalls, article processing charges, or exclusivity.

Since 2014, library publishing has evolved from …

Tennessee Home Visiting Annual Report, July 1,2019 - June 30, 2020, Tennessee. Department Of Health.

Home Visiting Program Annual Report

No abstract provided.

Tennessee Home Visiting Annual Report, July1, 2022 - June 30, 2023, Tennessee. Department Of Health.

Home Visiting Program Annual Report

No abstract provided.

Evidence Based Home Visiting Sfy2025 Annual Report, Tennessee. Department Of Health.

Home Visiting Program Annual Report

No abstract provided.

Tn Evidence-Based Home Visiting Sfy2024 Annual Report, Tennessee. Department Of Health.

Home Visiting Program Annual Report

No abstract provided.

Neuroinclusive Teaching Practices For Open Pedagogy Projects, Amanda C. Larson, Hanna N. Primeau

All Things Open

In this presentation, we will share how we intentionally incorporated neuroinclusive teaching practices into our three-credit General Education course Information, Citizenship, and Social Justice where students participated in a semester-long open pedagogy project culminating in the publication of a Pressbook. We will offer best practices for attendees who would like to do the same in their courses. Situated within evidence based practices, such as Universal Design for Learning and empathetic pedagogy, we will share practical in-person teaching recommendations, student reactions to our interventions, as well as asynchronous recommendations so as to accommodate a range of teaching types with low barriers …

2023 Annual Report, Tennessee. Department Of Financial Institutions.

Department of Financial Institutions

No abstract provided.

2024 Annual Report, Tennessee. Department Of Financial Institutions.

Department of Financial Institutions

No abstract provided.

Annual Report State Fiscal Year July 2022-June 2023, Tennessee. Department Of Children's Services.

Department of Children's Services

No abstract provided.

Annual Report State Fiscal Year July 2023-June 2024, Tennessee. Department Of Children's Services.

Department of Children's Services

No abstract provided.

A Multi-Layer Complex Adaptive System Framework For Ai-Driven Robo-Advisory Services, Jesty Mariam Philip, Mohit Boralkar, Alwin Joseph

Northeast Journal of Complex Systems (NEJCS)

The rapid integration of Artificial Intelligence (AI) into investment advisory services has changed financial decision-making, giving rise to adaptive robo-advisory systems capable of real-time analysis, personal recommendations, and autonomous portfolio optimization. Existing research evaluates these systems primarily through technological performance or investor adoption, overlooking the complex feedback-driven interactions that emerge when AI analytics, data environments, and human behavior operate together. This study addresses this gap by conceptualizing AI-enabled robo-advisors as a multi-layered Complex Adaptive System comprising historical data, real-time data, AI analytics, investor perception, and decision-making layers. A simulation model grounded in machine learning dynamics, behavioral finance, and complexity theory …

Raffe Studio, Inc. Repositioning To Meet The Evolving "Influencer" Industry, Eryn V. Oft Ms.

Atlantic Marketing Association Student Proceedings

Synopsis - Since 2001, the music business Raffe Studio, Inc. (formerly Raffe Reeds) has served music communities as a multifaceted bassoon corporation. Raffe Studio is nestled in the foothills of Alabama between Atlanta and Birmingham. The founder, Eryn Oft, began the organization to cultivate growth in local music communities through educational outreach, professional performances and the sale of music materials. In 2014, Raffe Studio realized a larger global need. The organization expanded the products and services available and increased social media marketing. As platforms have evolved, Raffe Studio has recognized a need to reposition the corporate marketing strategy to better …

Geofencing In Tourism & Recreation: A Revolution In How Marketing-Centric Data Is Collected & Employed?, Aubrey B. Whiddon

Atlantic Marketing Association Student Proceedings

This study aims to delve into, analyze, and ultimately divulge what geofencing technology is and decipher whether it is an effective tool to employ in making marketing decisions. Geofencing, a location-based service that triggers actions based on visitors’ real-time location, has revolutionized tourism marketing, enhanced visitor experiences, and facilitated crowd management. Additionally, this research analyzes a study that was conducted with the purpose of proving the validity and accuracy of geofencing. This study compares primary data to data collected through Placer.AI, a geofencing platform, and how the findings from both collection methods are highly correlated.

Use Of Force In Tennessee 2024, Tennessee. Bureau Of Investigation.

Use of Force in Tennessee

No abstract provided.

Ideal Leadership And Marketing Strategies During Times Of Transition, Kaia S. Thomson

Atlantic Marketing Association Student Proceedings

This study investigates the effects of transitional leadership in an organization on marketing strategies. The qualitative research, gathered through semi-structured interviews with four leaders at different stages of transition, highlights key themes such as the development of trust, adaptability, relationship-building, and the importance of gradual change. The results suggest that the most successful leaders in transition prioritize humility, respect the history of the firm, and focus on developing relationships with stakeholders. Further, these leaders focus marketing strategies on the core products or services of the organization to better understand customer preferences and create long-tern relationships. The study indicates that successful …

Overconsumption And The Role Of The Marketer, Anchiella Angelle

Atlantic Marketing Association Student Proceedings

Consumers value ethical brands and are willing to pay more and repurchase from companies that hold similar values. Consequently, overconsumption initiatives from companies have been shown to benefit brand image and can lead to increased sales due to increased trust. Younger generations, particularly Gen Z and Millennials, are showing a preference for CSR and ESG claims. For this research, a study was carried out with 111 participants to measure repurchase intentions given an impulse purchase from an ethical, neutral, and unethical company. From the study conducted, it was shown that participants have a higher intention to repurchase a product from …

Symbolic Consumption As Self-Preservation: Psychological Vulnerabilities And Identity Repair In Low-Income Luxury Consumers, Aaliyah W. Wilkerson

Atlantic Marketing Association Student Proceedings

This extended abstract presents a conceptual study exploring why low-income consumers engage in luxury fashion consumption despite financial limitations. The research reframes these purchases as emotionally driven acts of identity repair, introducing the constructs of perceived social identity lock-in and moral self-validation to explain how consumers cope with exclusion and affirm self-worth through symbolic consumption. A conceptual model is proposed and a sequential mixed-methods design is outlined for future empirical testing. This work contributes to Transformative Consumer Research by centering emotional coping in aspirational consumption and offers practical insights for inclusive, dignity-based branding strategies.

Formula 1 In The United States: A Model For Growing International Sports In U.S.?, Kate Meg Eagan, Matthew Lastner, Brian Kinard

Atlantic Marketing Association Student Proceedings

Formula 1 (F1) has grown exponentially in popularity with American audiences in the past several years, in large part by deploying modern marketing practices that are reshaping the perspective of motorsport in the U.S. Marketing experts have credited this growth to marketing practices such as the launch of a Netflix docuseries, “Drive to Survive,” which offers a dramatized retelling of the season and grants viewers a behind the scenes glimpse of the sport. As a next step, F1 is funding a major motion picture named for the sport starring Brad Pitt. Despite evidence that these practices have benefitted F1, other …

Behavioral Biases As Drivers Of Complexity In Stock Markets: An Agent-Based Modeling Approach, David Joseph Dr, Alwin Joseph, Blesson James, Kajal Dass

Northeast Journal of Complex Systems (NEJCS)

By modeling financial systems as Complex Adaptive Systems, this study investigates how behavioral biases influence emergent complexity in stock markets. The study integrates heterogeneous agents, such as rational traders, herding agents, overconfident traders, and anchoring/disposition-driven investors, within a Limit Order Book framework calibrated to both U.S. and Indian market conditions using an Agent-Based Modeling (ABM) approach implemented through the high-fidelity ABIDES simulation environment. Price dynamics, volatility patterns, and liquidity structures were analyzed by Monte Carlo simulation experiments with different behavioral compositions. The results show that behavioral biases cause nonlinear price reactions, produce heavy-tailed return distributions that distort order-book complexity, and …

Die Hauptwerke, Gottfried Wilhelm Leibniz

Hannah Arendt Marginalia - All

Leipzig, A. Krc̈ner [1933]

Call #: B2555 .K78 1933

Contains marginalia,underlining, marginal lining, & endpaper notes

PDF information: 123 pages - 44.9 MB

Mppt For Pv Systems Under Partial Shading Using Cuckoo Search With Perturb And Observe Optimizations, Abdullah A. Alwan, Sura H. Faraj, Salih Y. Darweesh, Ahmed J. Ali, Muhammad Hamza Zafar

Al-Bahir

This study offers a comparative assessment of Perturb and Observe (P&O) and Cuckoo Search (CS) maximum power point tracking (MPPT) methodologies, specifically within a photovoltaic (PV) system, under both standard test conditions (STC) and varying irradiance scenarios. The PV system was simulated and modeled using MATLAB/Simulink, and performance metrics were derived from the time-domain simulation outcomes. In the context of STC, the CS MPPT technique demonstrates an output power of 11.62 kW, coupled with an efficiency of 93.46%. This result represents a substantial improvement over the P&O MPPT method, which yields 8.088 kW at an efficiency of 65.05%. In a …

Regional Drought Modulation By Enso And Iod As Indicated By The Standardized Precipitation Index, Arpit Tiwari, Preethi Nanjundan, Tanu Sharma, Ravi Ranjan Kumar, Satyaban Bishoyi Ratna

Northeast Journal of Complex Systems (NEJCS)

Understanding the modulation of drought by large-scale ocean–atmosphere teleconnections is crucial for strengthening drought prediction and resilience in India. This study investigates the influence of the El Niño–Southern Oscillation (ENSO) and the Indian Ocean Dipole (IOD) on meteorological drought characteristics across India from 1950 to 2024 using the Standardized Precipitation Index (SPI) at a 12-month timescale. Drought events were quantified in terms of frequency, duration, severity, and intensity and linked to ENSO–IOD variability through composite, correlation, and mediation analyses. Results reveal that El Niño events consistently correspond to widespread and severe droughts, particularly over central and southern India, with drought …