Digital Commons Network^™

Cross-Sectional Study Of Resilience In Labor & Delivery Nurses, Keisha Aisha Robinson

Creating Healthy Work Environments (CHWE)

Background: Working in the labor and delivery unit is not always joyful. Labor & delivery (L&D) nurses often encounter traumatic childbirth events (TCE) that may result in serious injury or death to the mother or child. A recent systematic review of the perceived impact of birth trauma found that 3-46% of clinicians met the criteria for post-traumatic stress disorder (Uddin et al., 2022). While only 26.7% of registered nurses (RNs) report that TCE had a high influence on personal life as compared to certified nurse-midwives (52.9%) or attending physicians (50%) (Robinson et al., 2023). The role of resilience has not …

2026 February 19 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian E. Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

Management Of Alcohol Withdrawal Syndrome In The Emergency Department, Janet Fuller

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project involved development and approval of a clinical practice guideline (CPG) for management of alcohol withdrawal syndrome (AWS) in the emergency department (ED) of a large community trauma center in the southeastern United States. AWS is a common, potentially life-threatening condition requiring timely assessment and intervention to prevent. Variability in ED screening and treatment contributes to delayed intervention, increased rapid response activations, and intensive care transfers. The project purpose was to develop and obtain expert approval of an evidence-based CPG using the Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) tool to support standardized screening, symptom-triggered …

Exploring Noise Induced Extreme Events In Neuronal Oscillators Networks And Machine Learning Forecasts, Hariharan S Mr

Theses and Dissertations

This doctoral dissertation comprehensively investigates the underexplored phenomenon of noise-induced extreme events (EE). The word “extreme” is accompanied by an occurring “event” when the deviation is extreme or higher than that of regular occurrences. These extreme occurrences are rare, abrupt, sudden, and irregular, often causing a profound impact on the system and its surroundings. Tsunami, earthquakes, solar flares, and tornadoes are such events that do not occur often but still significantly cause damage to mankind. This thesis particularly focuses on EE in neuronal systems where sudden synchronization can trigger seizures, tremors, and strokes which serve as classic examples of such …

A Passion For Sustainability And History, Sustainability Institute Blog

Sustainability Institute Blog

No abstract provided.

Adipocyte-Specific Deletion Of Sine Oculis Homeobox Homolog 1 Inhibits Lipolysis And Reduces Skin Fibrosis, Nancy Wareing, Tingting W Mills, Scott Collum, Minghua Wu, Lucy Revercomb, René Girard, Hui Liu, Alexes Daquinag, Mikhail Kolonin, Marka Lyons, Brian Skaug, Weizhen Bi, Meer A Ali, Haniyeh Koochak, Anthony R Flores, Yuntao Yang, W Jim Zheng, William R Swindell, Shervin Assassi, Harry Karmouty-Quintana

Faculty, Staff and Student Publications

Dermal fibrosis is a cardinal feature of systemic sclerosis (SSc) for which there are limited Systemic sclerosis (SSc) is characterized by dermal fibrosis accompanied by loss of dermal white adipose tissue (DWAT), yet the mechanisms linking adipocyte depletion to fibroblast activation remain unclear. Here we identify the transcription factor SIX1 as a central regulator coupling adipogenic repression with profibrotic signaling. SIX1 expression was increased in skin biopsies from two independent SSc cohorts and localized to fibroblast and perivascular stromal cells. In mice, ubiquitous or adipocyte-specific deletion of Six1 preserved DWAT, reduced collagen accumulation, and selectively decreased pro-fibrotic mediators. In cultured …

When Disaster Strikes Y’All Street: A Study On Cross-Sector Collaboration In Protecting U.S. Financial Critical Infrastructure, Rachael A. Zerr, John Friedlander

Publications and Research

This exploratory research examines public-private collaboration between corporate security leaders and local emergency responders in the North Texas financial corridor known as “Y’all Street.” Using perception-based survey data from senior representatives in the private and public sectors, the paper evaluates partnership strength, preparedness activities, information sharing, and operational coordination. Findings indicate that collaborative practices such as facility tours, joint exercises, and emergency planning are present, but that partnership maturity remains uneven and is not yet fully standardized across the corridor. The research concludes that more formalized and institutionalized coordination will be necessary to strengthen resilience as the region’s financial significance …

The Colby Echo (2026-02-19), Colby College

The Colby Echo

No abstract provided.

Staff Education On Evidence-Based Interventions To Improve Patient Engagement In An Outpatient Mental Health Clinic, Gloria Egeh

Walden Dissertations and Doctoral Studies

In this project, I implemented a staff education initiative at an outpatient psychiatric facility in Michigan to address gaps in clinicians’ and office managers’ knowledge of evidence-based patient engagement strategies. Limited understanding had hindered patient participation in treatment planning, symptom self-management, and shared decision-making, key components of recovery-oriented care. The education initiative was aimed at enhancing staff competencies to strengthen therapeutic alliances, improve treatment adherence, and support positive mental health outcomes. Guided by a practice-focused question, in the project I examined whether an evidence-based staff education program would improve patient engagement among adults receiving outpatient mental health services. A pre-/postintervention …

Unbalanced Chromatin Binding Of Polycomb Complexes Drives Neurodevelopmental Disorders, Rodrigo L Borges, Gretter González-Blanco, Harikumar Arigela, Yingyu Huang, Lucas D Caeiro, Nikolai Fattakhov, Stefano Lepore, Liliana Garcia-Martinez, Matea Maurice, Pushti D Mehta, Emily J Park, Kailynn Macgillivray, Jevithen Nehru, Matthew Chau, Maria C Robayo, Clemer Abad, Alicia Bilbao-Martinez, Fabiola Monteiro, Xi Luo, Song Tan, Daniel Bilbao, Simone Sidoli, Bruno Di Stefano, Katherina Walz, Arneet L Saltzman, Ramiro E Verdun, Ramin Shiekhattar, Lluis Morey

Faculty, Staff and Students Publications

The prevalence of neurodevelopmental disorders (NDDs) in children is increasing, yet their underlying causes remain largely unknown. We identified heterozygous mutations in the Polycomb repressive complex 1 (PRC1) E3 ligases RING1 and RNF2 in individuals with NDDs and revealed distinct mechanisms by which they compromise PRC1 activity. We developed cellular and mouse models carrying the Ring1b

Survival On Image Regression With Application To Partially Functional Distributional Representation Of Physical Activity, Rahul Ghosal, Sunwoo Emma Cho, Marcos Matabuena

Faculty Publications

Technological advancements in wearable devices and medical imaging often lead to high-dimensional physiological signals in the form of images or surfaces. To address these data structures, we develop a novel survival on image regression model with a specific focus on partially functional distributional representation of wearable data. The existing approaches for functional data and survival outcomes have been primarily developed for uni-dimensional functional predictors. Drawing on recent developments in distributional data analysis, we model temporally varying distributional patterns of physical activity (PA) as a partially functional distributional predictor within a semiparametric Cox model framework. We use tensor product splines to …

Environmental Chemicals And Maternal Depression During And After Pregnancy: A Scoping Review, Pengfei Guo, Yunyue Shi, Cindy Nguyen, Haoran Zhuo, Tormod Rogne, Zeyan Liew

Faculty Publications

Purpose of Review

There is increasing evidence that several environmental exposures may pose a risk for depression, including maternal depression. We conducted a scoping review of epidemiological evidence regarding maternal exposure to environmental chemicals and perinatal depression.

Recent Findings

We searched PubMed, Embase, Web of Science, Dimensions, and Scopus, and summarized the findings from 27 articles that examined environmental chemical exposures and maternal depression. Studies of ambient air pollutants (N = 11) showed exposure to NO₂ and PM10 to be most consistently associated with antenatal or postnatal depression. Studies of endocrine-disrupting chemicals, including phthalates (n = 6), …

“Lifesaver” Training: Promoting Safety And Emergency Preparedness In A Higher Education Workplace, Allison R. Jones, Nanci A. Claus, Stephanie Hammond, Karen L. Heaton, Summer Langston Powers, Penni I. Watts

Creating Healthy Work Environments (CHWE)

Workplace violence and unintentional injury in settings of higher education have increased in frequency in recent years. The National Institute for Occupational Safety and Health developed a set of practices, programs, and policies collectively known as Total Worker Health®, that includes emphasis on promoting workplace safety and injury prevention. Nurses in academic roles present a unique population in that they have foundational healthcare education but may limited in or far removed from prior emergency response training. Further, little research exists on implementation and outcomes of workplace safety programs in settings of higher education. We developed and implemented an internal, voluntary …

An All-Inclusive Toolkit For Managing Workplace Violence In Healthcare, Brittney L. Williamson, Melissa Rouse

Creating Healthy Work Environments (CHWE)

Violence against nurses is a nationwide problem that has set the stage for unhealthy work environments and has driven nurses away from patient care. So, what can be done to retain our nurses and provide safer work environments? By creating an all-inclusive toolkit for managing violent and aggressive patients, this healthcare organization has made great strides to better protect their nurses.

Impact: To address this problem head on, evidence-based practices were used to develop an all-inclusive toolkit to implement a multifaceted approach to assessment, de-escalation, and allocation of resources. This approach took the guesswork out of what steps to take …

Using Simulation To Mitigate Workplace Violence, Lynda Sanchez, Monique D. Wilson, Derek Sanchez

Creating Healthy Work Environments (CHWE)

Workplace violence is not new to healthcare whether it is interprofessional, nurse to nurse, doctor to nurse, patient/patient family to healthcare worker. (Kumari et al., 2022) There is a need to provide the healthcare worker with tools and training on ways to mitigate workplace violence (WPV). Simulation is an effective evidence-based teaching and evaluation method often used in healthcare. (Brown et al., 2018; Gutiérrez-Puertas et al., 2020) In an attempt to mitigate WPV this organization began a mandated training using didactic classes from an external training program. This program involved required computer-based pre-work and attendance at a three-hour class which …

Ai-Guided Binding Mechanisms And Molecular Dynamics For Mers-Cov, Pradyumna Kumar, Lingtao Chen, Rachel Yuanbao Chen, Yin Chen, Seyedamin Pouriyeh, Progyateg Chakma, Abdur Rahman Mohd Abul Basher, Yixin Xie

Faculty Articles

The MERS-CoV (Middle East respiratory syndrome coronavirus) is a zoonotic virus with a high mortality rate and a lack of antiviral drugs, underscoring the need for effective therapeutic methods. Viral entry depends on interactions between viral surface proteins and human receptors, with Dipeptidyl Peptidase-4 (DPP4), a transmembrane glycoprotein, acting as the receptor for MERS-CoV. We employed Molecular Dynamics (MD) Simulations to identify critical interface residues under a high-performance computing (HPC) workflow for accelerated results. Target residue pairs were identified through analysis of salt bridge and hydrogen bond occupancy. The stability of these residues was confirmed through three independent MD Simulations …

Cardiac Output-Guided Vs. Mean Arterial Pressure-Guided Hemodynamic Management In Craniotomy Patients With Cardiovascular Disease: A Randomized Trial, Na Chen, Minjing Yang, Renhua Li, Chunyan Ye, Lu Wang, Xingyang Liu, Jinghan Wu, Daniel I Sessler, E Wang

Faculty, Staff and Student Publications

We tested the primary hypothesis that cardiac output (CO)-guided versus mean arterial pressure (MAP)-guided hemodynamic management reduces the fraction of patients with 90-day Glasgow Outcome scores ≤ 4 (on a 1–5 scale, 5 better) after supratentorial brain tumor resections in adults with cardiovascular disease. 202 adults were randomized to intraoperative hemodynamic management guided by either CO or MAP. In patients assigned to CO guidance, clinicians targeted CO > 4 L/min and > 90% of baseline values using a combination of fluids and vasoactive agents. In patients assigned to MAP guidance, clinicians targeted MAP within ± 20% of baseline and ≥ 65 mmHg. …

Nurse-Led Transformation: Evaluating The Impact Of A Professional Development Intervention On Interprofessional Collaboration, Amanda Kay Garey

Creating Healthy Work Environments (CHWE)

Interprofessional collaboration (IPC) is critical in improving positive patient outcomes and achieving the quadruple aim of enhancing patient experience, improving population health, reducing costs, and improving the work-life balance of healthcare providers. Interprofessional collaboration (IPC) effectively enhances the patient experience and healthcare quality (McGuier et al., 2021). According to the Interprofessional Education Collaborative (IPEC), critical drivers for the ongoing growth of developing interprofessional collaborative practice include the need to empower the interprofessional (IPE) community with the best available evidence and research related to IPE and collaborative practice, conduct a continuous review of standard terms for competence, competency, and competency framework, …

Optimizing Workplaces And Patient Outcomes: Implementing Kotter’S Change Model, Jacquelyn Smith, Brandy L. Simpler, Kasey Chance

Creating Healthy Work Environments (CHWE)

Purpose: Healthcare settings continue to experience unique challenges in maintaining healthy working environments while keeping patient care and quality a top priority (Campbell, 2020). Leaders in healthcare strive to develop and maintain healthy working environments and patient outcomes but continue to fall short of these goals (Pechacek et al., 2022). The Kotter Change Model (KCM) provides an organized process that leaders can use to inform and guide healthcare teams during change implementation (Kotter, 1995). Managing change implementation in healthcare settings is no easy task, especially in areas of high stress and staffing shortages. Organized change processes, like KCM, can improve …

Impact Of Shift Duty On Physical And Social Well-Being Of Nurses In Southwest Nigeria, Deborah Tolulope Esan, Temitope Francess Oladokun

Creating Healthy Work Environments (CHWE)

Night and weekend shifts are a complex issue that has significant impact on both nurses and their family. Although shift work is inevitable for nurses, shift duties (night and weekend) could impair family functions. Thus, this study examined the perceived impact of night and weekend shifts on physical and social well-being of nurses working in a multi-system hospital in South-west, Nigeria. The study employed a descriptive cross-sectional study design. All available Nurses, in all the major clinical area of the hospital were recruited for the study. A total of 95 nurses took part in the survey. Data collection was by …

The Impacts Of Healthy Work Environments On Retention And Well-Being Of The Nursing Workforce, Benita N. Chatmon, Ahnyel Jones-Burkes, Alison H. Davis

Creating Healthy Work Environments (CHWE)

Background: The persistent nurse shortage is a critical nationwide concern with implications for healthcare and patient outcomes. Without workforce expansion, this crisis will intensify. Limited research focuses on nurse retention, particularly in Louisiana.

Purpose: This study aimed to investigate factors influencing the retention and well-being of Licensed Practical and Registered nurses in Louisiana. The objective was to inform the development of effective retention strategies.

Research Question: What is the relationship between a nurse's work environment and intent to leave the profession?

Method: Employing a quantitative, descriptive approach, this research encompassed a sample of 1,209 nurses hailing from Louisiana. The research …

The Brief (Edition #43, February 2026), William & Mary Law School

The Brief

No abstract provided.

Fourth Circuit Panel Upholds Military Ban On Enlisting Hiv-Positive Individuals, Arthur S. Leonard

Other Publications

Originally posted in https://gaycitynews.com/4th-circuit-panel-military-hiv-positive-ban/.  Cite to original publication.

The Minutes Of The Marshall University Staff Council Meeting, February 2026, Marshall University Staff Council

Staff Council Minutes

No abstract provided.

2026 February 19 - Tennessee Weekly Drought Summary, Tennessee Climate Office, East Tennessee State University

Tennessee Climate Office Weekly Drought Summaries

No abstract provided.

The Cost Of A Healthy Diet And Its Association With Bmi In Crisis-Stricken Lebanon, Maha Hoteit, Myriam Abboud, Maroun Khattar, Rana Rizk

All Works

Objectives: This study aimed to determine the prevalence of Lebanese adults living with underweight, overweight or obesity, assess and compare the cost of the Mediterranean Diet (MD) with that of the current dietary consumption pattern and explore diet cost as a determinant of living with underweight, overweight or obesity. Design: Data for this nationally representative cross-sectional study were collected through sociodemographic questionnaires, anthropometric measurements, the Arab Family Food Security Scale and dietary assessments using a validated FFQ and 24-h recalls. Diet costs were calculated based on 2023 market prices using purchasing power parity. Logistic regression was used to assess associations …

Mitigating Procurement Risks: A Framework For Good Governance In Public Contracting, Karem Sayed Aboelazm, Raghda Raafat, Fady Tawakol, Khalid Mohamed Dganni

All Works

This paper seeks to explore internal and emerging limitations set within the public procurement system. It suggests institutional structures to oversee such a process, more than just technical fixes (Enayati & Özaltin, 2024). It also aims to move beyond the technologies themselves by bringing governance, standards, and principles into public procurement. The present paper is descriptive-analytic and was conducted based on a review of literature and research reports. It also employs a qualitative interpretive methodology for analysis of international organization reports and identifies various types of public procurements, such as procedural and contextual systemic risks. The paper draws a number …

2026-02-19 Letter To The Department Chairs From The Academic Issues Committee, Morehead State University. Faculty Senate.

Faculty Senate Records

A letter to the Department Chairs of Morehead State University from the Academic Issues Issues Committee placed before the Faculty Senate on February 19, 2026.

2026-02-19 Faculty Sick Leave Report, Morehead State University. Faculty Senate.

Faculty Senate Records

An update provided by the Chief Finance Officer of Morehead State University on faculty sick leave policy sent to the Faculty Senate on February 16, 2026.

2026-02-19 Fep Checklist Draft, Morehead State University. Faculty Senate.

Faculty Senate Records

FEP checklist draft submitted by the Executive Council to the Faculty Senate on February 19, 2026.