Digital Commons Network^™

Implementing Cultural Competency Training Among Advanced Practice Providers At An Academic Medical Center: A Quality Improvement Project, Kierah Barnes

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Racial health disparities, inequities, and healthcare bias are long considered concerns for the healthcare community.Cultural competency training (CCT) is one solution that is gaining recognition as an effective intervention to address bias among healthcare providers, resulting in improved patient outcomes and assisting with reducing health disparities among minority populations. This quality improvement project was implemented at an academic medical center and designed for Advanced Practice Providers who completed the training to demonstrate an increase in their cultural competency post-test compared to the pre-test. The increase in CCT will hopefully impact the delivery of culturally conscious/competent healthcare and positive experiences to …

Approval Letter For The Butte Priority Soils Operable Unit, Final 2021 Unreclaimed Sites Sampling Ur-30 Site Evaluation Summary Report (Dated April 20, 2023), Nikia Greene

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Chinese Strategic Partnerships: A New Form Of Alliance Politics, Sean L. Starkweather

Senior Honors Projects, 2020-current

During the 14th National Party Congress in 1992, Jiang Zemin declared that China would never seek alliances nor pursue hegemony. Indeed, since 1961, China has formed formal alliances with mutual defense clauses with only two countries: North Korea and the Soviet Union. Given the US’ alliance network, which extends deep into East Asia and Oceania, many scholars predict that China would seek similar security arrangements to deter potential aggression. However, very little research has been conducted to answer the question of why China has remained persistent in rejecting alliance formation as a viable strategy despite popular notions of increasing Chinese …

Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) 2022 Final Insufficiently Reclaimed Sites Quality Assurance Project Plan (Qapp) And 2022 Final Unreclaimed Sites Qapp Request For Change (Dated April 13, 2023), Nikia Greene

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Coaching Elementary Teachers In Literacy: Does Feedback Type Matter To Low And High Implementers?, Elizabeth Cutrer, Erica Ellsworth Miller, Erjola Gjini, Melia Fonoimoana Garrett

Faculty Publications

For literacy coaches and teachers, feedback is an integral component of effective coaching. Yet, little is understood

about the interaction between feedback and high/low implementing teachers within coaching sessions. This multiple

case study explored the types of feedback literacy coaches provided both high and low implementing teachers over a

two-year period. In the first year, the literacy coaches provided at least twice as much instructional feedback as

emotional feedback to low-implementing teachers. Those teachers not only received more feedback in general, but the

feedback they received was primarily what they needed to do to improve. In contrast, during the same …

Evaluation Of Pharmacist Intervention On Spontaneous Awakening Trials (Sat) In Ventilated Patients, Natalie Quesep, Delany Santos Ferrer, Heidi Clarke

All Publications

Background: Intensive care unit (ICU) patients regularly require the use of continuous sedation to decrease stress associated with mechanical ventilation, agitation, and overall discomfort. Due to the increased risk of complications associated with prolonged mechanical ventilation & sedation such as oversedation, ventilator-induced lung injury, and extended ICU length of stay, protocols have been developed to ensure spontaneous awakening (SATs) are routinely performed. Despite guideline recommendations, these are often not conducted at the recommended frequency and may not be appropriately conducted across multidisciplinary teams. Literature has demonstrated the clinical benefit of pharmacist involvement in SAT performance including a trend towards …

World Languages And Cultures News, Georgia Southern University

World Languages & Cultures: News & Publications (2013-2023)

• 30 years but no longer counting: Dr Kurz Retires

A Novel Analytic Linear Interface Calculation And Its Use In Computational Fluid Dynamics For Enhanced Multiphase Modeling, Simon P. Shipkowski

Theses

Interfacial modeling is of widespread interest in manufacturing, imaging, and scientific applications. Presented here is an interfacial reconstruction method designed for use in Computational Fluid Dynamics (CFD) simulations of nucleate boiling, yet it is more broadly applicable. Nucleate boiling is vital in current and emerging technologies due to the high heat transfer at low temperature. A challenge for multiphase CFD simulation with phase change mass flux is the competing interests of quality mass transfer conservation, resolution of interfaces, and computational time/power. This Piecewise Linear Interface Calculation-Analytic Size Based (PLIC-ASB) method was developed to mitigate this problem in the volume of …

Global Perceptions Of Space: The Interior Designer's Role, Ansley C. Elliott

Honors College Theses

Interior designers need to show and share awareness of cultural inclusivity in design solutions to create a positive experience for all end users. In order to do this, interior designers need to gain an understanding of how people from various geographical locations perceive space and, as a result, behave and connect in public environments. This study explored existing literature on human factors in design, such as proxemics, territoriality, anthropometrics, cultural dimensions in business practices, and inclusivity in design. The research methodology included a Qualtrics survey on cultural background and demographic data; three-dimensional renderings of a public restaurant and a workplace; …

Co-Clinical Imaging Metadata Information (Cimi) For Cancer Research To Promote Open Science, Standardization, And Reproducibility In Preclinical Imaging, Stephen M Moore, James D Quirk, Andrew W Lassiter, Richard Laforest, Gregory D Ayers, Cristian T Badea, Andriy Y Fedorov, Paul E Kinahan, Matthew Holbrook, Peder E Z Larson, Renuka Sriram, Thomas L Chenevert, Dariya Malyarenko, John Kurhanewicz, A Mcgarry Houghton, Brian D Ross, Stephen Pickup, James C Gee, Rong Zhou, Seth T Gammon, Henry Charles Manning, Raheleh Roudi, Heike E Daldrup-Link, Michael T Lewis, Daniel L Rubin, Thomas E Yankeelov, Kooresh I Shoghi

Faculty, Staff and Students Publications

Preclinical imaging is a critical component in translational research with significant complexities in workflow and site differences in deployment. Importantly, the National Cancer Institute's (NCI) precision medicine initiative emphasizes the use of translational co-clinical oncology models to address the biological and molecular bases of cancer prevention and treatment. The use of oncology models, such as patient-derived tumor xenografts (PDX) and genetically engineered mouse models (GEMMs), has ushered in an era of co-clinical trials by which preclinical studies can inform clinical trials and protocols, thus bridging the translational divide in cancer research. Similarly, preclinical imaging fills a translational gap as an …

115th Affordable Housing Llc V. Walton

All Decisions

No abstract provided.

Five-Year Follow-Up Of Zuma-1 Supports The Curative Potential Of Axicabtagene Ciloleucel In Refractory Large B-Cell Lymphoma, Sattva S Neelapu, Armin Ghobadi, Nancy L Bartlett, Et Al.

2020-Current year OA Pubs

In phase 2 of ZUMA-1, a single-arm, multicenter, registrational trial, axicabtagene ciloleucel (axi-cel) autologous anti-CD19 chimeric antigen receptor (CAR) T-cell therapy demonstrated durable responses at 2 years in patients with refractory large B-cell lymphoma (LBCL). Here, we assessed outcomes in ZUMA-1 after 5 years of follow-up. Eligible adults received lymphodepleting chemotherapy followed by axi-cel (2 × 106 cells per kg). Investigator-assessed response, survival, safety, and pharmacokinetics were assessed in patients who had received treatment. The objective response rate in these 101 patients was 83% (58% complete response rate); with a median follow-up of 63.1 months, responses were ongoing in 31% …

Two Forms Of Asynchronous Release With Distinctive Spatiotemporal Dynamics In Central Synapses, Gerardo Malagon, Jongyun Myeong, Vitaly A Klyachko

2020-Current year OA Pubs

Asynchronous release is a ubiquitous form of neurotransmitter release that persists for tens to hundreds of milliseconds after an action potential. How asynchronous release is organized and regulated at the synaptic active zone (AZ) remains debatable. Using nanoscale-precision imaging of individual release events in rat hippocampal synapses, we observed two spatially distinct subpopulations of asynchronous events, ~75% of which occurred inside the AZ and with a bias towards the AZ center, while ~25% occurred outside of the functionally defined AZ, that is, ectopically. The two asynchronous event subpopulations also differed from each other in temporal properties, with ectopic events occurring …

Rational Design Of Highly Potent And Selective Covalent Map2k7 Inhibitors, Dalton R Kim, Meghan J Orr, Ada J Kwong, Kristine K Deibler, Hasan H Munshi, Cory Seth Bridges, Taylor Jie Chen, Xiaoyu Zhang, H Daniel Lacorazza, Karl A Scheidt

Faculty, Staff and Students Publications

The mitogen-activated protein kinase signaling cascade is conserved across eukaryotes, where it plays a critical role in the regulation of activities including proliferation, differentiation, and stress responses. This pathway propagates external stimuli through a series of phosphorylation events, which allows external signals to influence metabolic and transcriptional activities. Within the cascade, MEK, or MAP2K, enzymes occupy a molecular crossroads immediately upstream to significant signal divergence and cross-talk. One such kinase, MAP2K7, also known as MEK7 and MKK7, is a protein of great interest in the molecular pathophysiology underlying pediatric T cell acute lymphoblastic leukemia (T-ALL). Herein, we describe the rational …

3-Phosphoinositide-Dependent Kinase 1 Drives Acquired Resistance To Osimertinib, Ismail M Meraz, Mourad Majidi, Bingliang Fang, Feng Meng, Lihui Gao, Ruping Shao, Renduo Song, Feng Li, Yonathan Lissanu, Huiqin Chen, Min Jin Ha, Qi Wang, Jing Wang, Elizabeth Shpall, Sung Yun Jung, Franziska Haderk, Philippe Gui, Jonathan Wesley Riess, Victor Olivas, Trever G Bivona, Jack A Roth

Faculty, Staff and Students Publications

Osimertinib sensitive and resistant NSCLC NCI-H1975 clones are used to model osimertinib acquired resistance in humanized and non-humanized mice and delineate potential resistance mechanisms. No new EGFR mutations or loss of the EGFR T790M mutation are found in resistant clones. Resistant tumors grown under continuous osimertinib pressure both in humanized and non-humanized mice show aggressive tumor regrowth which is significantly less sensitive to osimertinib as compared with parental tumors. 3-phosphoinositide-dependent kinase 1 (PDK1) is identified as a potential driver of osimertinib acquired resistance, and its selective inhibition by BX795 and CRISPR gene knock out, sensitizes resistant clones. In-vivo inhibition of …

Data Envelopment Analysis To Evaluate The Efficiency Of Tobacco Treatment Programs In The Nci Moonshot Cancer Center Cessation Initiative, Kathryn Pluta, Li-Shiun Chen, Et Al.

2020-Current year OA Pubs

BACKGROUND: The Cancer Center Cessation Initiative (C3I) is a National Cancer Institute (NCI) Cancer Moonshot Program that supports NCI-designated cancer centers developing tobacco treatment programs for oncology patients who smoke. C3I-funded centers implement evidence-based programs that offer various smoking cessation treatment components (e.g., counseling, Quitline referrals, access to medications). While evaluation of implementation outcomes in C3I is guided by evaluation of reach and effectiveness (via RE-AIM), little is known about technical efficiency-i.e., how inputs (e.g., program costs, staff time) influence implementation outcomes (e.g., reach, effectiveness). This study demonstrates the application of data envelopment analysis (DEA) as an implementation science tool …

Protocol For A Scoping Review Of Health Equity Frameworks And Models Applied In Empirical Studies Of Chronic Disease Prevention And Control, Callie Walsh-Bailey, Amanda Gilbert, Thembekile Shato, Brittney Sandler, Ana A Baumann, Cory D Bradley, Gabriella M Mcloughlin, F Hunter Mcguire, Meredith P Fort, Rachel G Tabak

2020-Current year OA Pubs

BACKGROUND: Chronic diseases, such as cancers and cardiovascular diseases, present the greatest burden of morbidity and mortality worldwide. This burden disproportionately affects historically marginalized populations. Health equity is rapidly gaining increased attention in public health, health services, and implementation research, though many health inequities persist. Health equity frameworks and models (FM) have been called upon to guide equity-focused chronic disease and implementation research. However, there is no clear synthesis of the health equity FM used in chronic disease research or how these are applied in empirical studies. This scoping review seeks to fill this gap by identifying and characterizing health …

Exploring Electrolyte Effects On Metal-Alkyl Bond Stability: Impact And Implications For Electrosynthesis, Dylan G. Boucher, Zachary A. Nguyen, Shelley D. Minteer

Chemistry Faculty Research & Creative Works

Transition metal catalysis hinges on the formation of metal-carbon bonds during catalytic cycles. the stability and reactivity of these bonds are what determine product chemo-, regio-, and enantioselectivity. the advent of electro synthetic methodologies has placed the current understanding of these metal-alkyl bonds into a new environment of charged species and electrochemically induced reactivity. in this paper, we explore the often-neglected impact of supporting electrolyte on homogeneous electrocatalytic mechanisms using the catalytic reduction of benzyl chlorides via Co and Fe tetraphenyl porphyrins as a model reaction. the mechanism of this reaction is confirmed to proceed through the formation of the …

Proactive Exchange Of Data Between Cloud Providers Via Controller Coordination And Trigger Dynamic Workflows, Ram Mohan R, Rajesh I V, Vinay Saini

Defensive Publications Series

A multi-cloud Software Defined Network (SDN) controller proactively learns insights about subscribers, such as enterprise users, end users, and/or other cloud providers. Based on the learned insights, the multi-SDN controller applies dynamic policies on other cloud provides to which those subscribers are attached to. The multi-cloud SDN controller co-ordinates with various cloud providers, enterprise network controllers, and Internet Service Providers (ISPs) to proactively notify other cloud providers with information about affected users so that those providers can install additional resources at cloud edge/core on the fly. Additionally, the multi-cloud SDN controller facilitates a warm hand off from one cloud region …

American Income: Analyzing Workplace And Domestic Biases, Lindsey Shrodek

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

This research paper aims to use several forms of regression analysis and neural networks to examine disparities in American income based on demographic groups. We present three models: a linear regression, a logistic regression, and a neural network to determine significant predictive factors in determining income. Exploring concepts presented by past literature in the field of economics, our research aims to pinpoint disparities and provide explanations for why they may be present in American income patterns. Our research confirms that being a female and being black has a negative relationship with income. Based on literary analysis, these findings can be …

Op-Ed: It’S Time To Renew The Fight Against Housing Voucher Discrimination, Nicole Roberts

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

The Housing Choice Voucher Program (HCVP), known as Section 8, is the most recognizable public housing program in the U.S. Through empowering households to use their voucher to rent units in high-opportunity neighborhoods, this program can liberate and transform the outcomes of families experiencing poverty. However, in many Cleveland neighborhoods landlords still exclude Section 8 tenants by simply refusing to accept housing choice vouchers as payment. This explicit refusal leaves low-income households with limited options and traps participants into high-poverty neighborhoods.

Making The Transition To Post-Quantum Cryptography, J. Simon Richard

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

Without intervention, quantum computing could threaten the security of a large portion of our internet in the near future. However, solutions exist. This paper, which is intended for a general audience, provides a wider context for our current state of quantum-preparedness amid the transition from classical cryptosystems to post-quantum cryptosystems—cryptographic algorithms that can resist the attacks of quantum computers. It will also submit a possible way forward inspired by the actions taken around the globe to prevent the millennium (or Y2K) bug.

“She Didn’T Know I Was In The Room”: The Effects Of Hatfield’S Illustrations On Readers’ Interpretations Of “The Yellow Wallpaper”, Mason Repas

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

When Charlotte Gilman's short story, "The Yellow Wallpaper," was first published in New England Magazine in 1892, staff illustrator Joseph Hatfield created three realistic-style images to accompany the text. Research suggests that Gilman had no control or influence over these images, which altered readers' perception of her story about the dangers of the rest cure for female hysteria. While Hatfield faced artistic limitations and his intentions are not discoverable today, the choices and details in his illustrations support interpretations of the short story as a piece of horror fiction in which his cohesive series of images is a more reliable …

A New World Order?: Considering Slaughter’S Notion Of The Disaggregated And Networked State, Darlene N. Moorman

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

This paper briefly explains Slaughter's (2004) argument for the emergence of a new world order defined by a disaggregated and networked state where the relevance of soft power has become all the more critical in conversations of politics and corresponding theory. This transformation (arising in the face of the so-called 'globalization paradox') is considered, exploring (a) what this means for the world system and (b) what concerns it may consequently bring.

Recognizing Paralanguage In Teaching, Allison Delmonico

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

Paralanguage is used every day to communicate and is related to one’s culture. It is often unconscious, however, when teaching a conscious effort should be made so one understands how they are perceived by others and what signals they give off. Teachers must take into consideration their own culture, the culture of the community they teach in, and the culture of students and their families. Teachers use paralanguage when communicating with their colleagues and need to understand how best to collaborate with each other. When communicating with parents, teachers need to make sure they feel welcome in the classroom and …

Giglio Feds: The Void Of Ethical Leadership Within Federal Law Enforcement, Christopher J. Boosey

Helm's School of Government Conference - 2021-2024

No abstract provided.

Crossfire In The Crosshairs: Why Prosecutions Are Necessary In The Interests Of The Republic, Christopher J. Boosey

Helm's School of Government Conference - 2021-2024

No abstract provided.

Removing A Log From The Nation’S Eye: A National Self-Analysis Of The Domestic Terrorism Question, Katherine R. Doan

Helm's School of Government Conference - 2021-2024

Terroristic values are easy to be ascribed to foreign enemies, but it is far more difficult to admit that domestic citizens could be extremist to the point of being labeled a terrorist. Terrorists are not born; they are made. The following research focuses on the commonalities of upbringing in known domestic terrorists within the United States of America that may reveal noticeable similarities in education, radicalization, and identity. The criminal justice system has yet to discover a perfect method of administering retribution to terrorists. While they have broken the law, their intentions and results are not the same as an …

The Global Reach Of China’S Economy, Jillian Fournier

Helm's School of Government Conference - 2021-2024

The People’s Republic of China (PRC) has been establishing an edge over its competitors through its long-term strategic rise to power. The process of pursuing avenues for soft power and economic influence allows China to increase its presence in the global economy. The Belt and Road Initiative is an example of China’s economic development. This plan targets new trade routes and grows the economic reach of China through providing loans to underdeveloped regions. The process of investing in infrastructure around the world and providing financing leads to these countries becoming tied to China on an economic level. The competition between …

The False Religious Freedom Of China And Its Impact On The Christian Church, John Davis

Helm's School of Government Conference - 2021-2024

No abstract provided.