Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

Discipline
Institution
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 95071 - 95100 of 5150764

Full-Text Articles in Entire DC Network

Noninvasive Diffuse Optical Monitoring Of Cerebral Blood Flow And Oxygenation Responses To Intermittent Hypoxia In Neonatal Rats, Pegah Safavi, Mehrana Mohtasebi, Chowdhury Azimul Haque, Faezeh Akbari, Xuhui Liu, Yiqi Yuan, Li Chen, Lei Chen, Guoqiang Yu Jan 2026

Noninvasive Diffuse Optical Monitoring Of Cerebral Blood Flow And Oxygenation Responses To Intermittent Hypoxia In Neonatal Rats, Pegah Safavi, Mehrana Mohtasebi, Chowdhury Azimul Haque, Faezeh Akbari, Xuhui Liu, Yiqi Yuan, Li Chen, Lei Chen, Guoqiang Yu

Biomedical Engineering Faculty Publications

Significance: Intermittent hypoxia (IH) is common in preterm neonates and can cause hypoxic–ischemic brain injury. Simultaneous monitoring of cerebral blood flow (CBF) and oxygenation is essential to detect oxygen delivery-extraction mismatches and guide intervention.

Aim: We aimed to adapt and test an innovative diffuse speckle contrast flow oximetry (DSCFO) system for continuous monitoring of cerebral hemodynamics during IH in neonatal rats, a model approximating human neonates.

Approach: Two compact laser diodes and a miniature CMOS camera were integrated into a fiber-free probe for continuous monitoring of changes in relative CBF (rCBF) and oxy- and deoxy-hemoglobin concentrations (Δ[HbO2] and …


Successful Anesthetic Management Of Patient With Marfan Syndrome: Optimizing Cardiovascular Stability And Maternal Outcomes, M Roberts, C Cox, K Leavitt Jan 2026

Successful Anesthetic Management Of Patient With Marfan Syndrome: Optimizing Cardiovascular Stability And Maternal Outcomes, M Roberts, C Cox, K Leavitt

South Atlantic Division GME Research Days 2026

No abstract provided.


Comparative Evaluation Of R134a And Hfo‐1234ze Cryogen Spray Cooling Using A Mouse Model With Controllable Epidermal Pigmentation, Wangcun Jia, Yurie Jeong, Crystal Huynh, Oswald Lai, Emily Nguyen, Grant Swajian, Jade Niu, Ayana Kashikar, Joshua Khaw, Hong Pu, Bernard Choi, John August D'Orazio, J. Stuart Nelson, Bahman Anvari Jan 2026

Comparative Evaluation Of R134a And Hfo‐1234ze Cryogen Spray Cooling Using A Mouse Model With Controllable Epidermal Pigmentation, Wangcun Jia, Yurie Jeong, Crystal Huynh, Oswald Lai, Emily Nguyen, Grant Swajian, Jade Niu, Ayana Kashikar, Joshua Khaw, Hong Pu, Bernard Choi, John August D'Orazio, J. Stuart Nelson, Bahman Anvari

Pediatrics Faculty Publications

Objectives: Cryogen spray cooling (CSC) is critical for protecting the epidermis during laser dermatologic procedures. The widely used cryogen, R134a, has a high global warming potential (GWP), motivating interest in environmentally favorable alternatives such as HFO-1234ze. This study evaluated whether HFO-1234ze provides epidermal protection comparable to R134a during laser exposure and investigated the mechanistic basis underlying any differences in cooling performance.

Methods: Laser-induced epidermal injury in conjunction with two cryogens was assessed in K14-SCF Mc1re/e mice with pharmacologically controllable interfollicular epidermal pigmentation. Laser treatment sites were assigned fluences relative to baseline skin lightness (L*) to span subthreshold …


Pollen Deposition In Three Co-Flowering Alpine Species, Jessica Lyn Quillen, Meredith Zettlemoyer, Tejaswini Devi Jan 2026

Pollen Deposition In Three Co-Flowering Alpine Species, Jessica Lyn Quillen, Meredith Zettlemoyer, Tejaswini Devi

Undergraduate Theses, Professional Papers, and Capstone Artifacts

No abstract provided.


Understanding Workplace Psychological Safety Among Latina Professionals: An Exploration Of Intersectional Experiences, Michal Tapia Jan 2026

Understanding Workplace Psychological Safety Among Latina Professionals: An Exploration Of Intersectional Experiences, Michal Tapia

Theses and Dissertations

Latina professionals represent one of the fastest-growing segments of the U.S. workforce, yet they remain disproportionately underrepresented in executive and C-suite roles. This disparity reflects structural conditions that shape access to voice, support, advancement, and decision-making authority.

This mixed-methods study examined psychological safety among 145 Latina professionals across the United States, defined as the belief that one can speak up, ask for help, disagree, or raise concerns without fear of negative consequences (Edmondson, 1999, 2019). The study explored how identity, relationships, leadership, workplace support, inclusion, mentorship, and structural barriers shape psychological safety at work.

Quantitative analyses showed that workplace support …


Game-Based Learning For Asynchronous Ai Literacy Course: Approach To Improve Students' Cognitive, Behavioural, Affective, And Ethical Learning Of Ai, Jinhee Kim, Guang Yang, Wing Sha Chan, Xi Lin, Yukyeong Song Jan 2026

Game-Based Learning For Asynchronous Ai Literacy Course: Approach To Improve Students' Cognitive, Behavioural, Affective, And Ethical Learning Of Ai, Jinhee Kim, Guang Yang, Wing Sha Chan, Xi Lin, Yukyeong Song

STEMPS Faculty Publications

Educators in higher education face persistent challenges in scaling AI literacy across disciplines and helping novice learners understand abstract AI concepts. Although research on game-based learning (GBL) reports mixed outcomes, few studies have examined its large-scale use in mandatory, asynchronous AI literacy courses for diverse undergraduate populations. Addressing this gap, this study investigates a scalable GBL-based AI literacy course delivered to 4898 first-year undergraduates across disciplines. Using a mixed-methods design with 311 valid pre- and post-survey responses and 20 interviews, the study evaluates students' cognitive, behavioural, affective, and ethical learning of AI. Quantitative results show significant improvements in overall AI …


Post-Secondary Participation And Graduation, Syeda Kashfee Ahmed, Ian Teo, Amanda Haddow, Daniel Edwards Jan 2026

Post-Secondary Participation And Graduation, Syeda Kashfee Ahmed, Ian Teo, Amanda Haddow, Daniel Edwards

Higher education research

This systematic review examines systems and institutional policies impacting Higher Education (HE) and Vocational Education and Training (TVET) sectors globally. Specifically, it seeks to address the impact of access, participation, retention, and graduation policies, and support the development of the UNESCO Global Education Monitoring Report 2026 by responding to equity and inclusion challenges, and alignment with Sustainable Development Goal 4 targets.


Systematic Review Of Early Childhood And Pre-Primary Education, Anna Dabrowski, Yung Nietschke, Syeda Kashfee Ahmed, Michelle Hsien, Dan Cloney, Tim Friedman Jan 2026

Systematic Review Of Early Childhood And Pre-Primary Education, Anna Dabrowski, Yung Nietschke, Syeda Kashfee Ahmed, Michelle Hsien, Dan Cloney, Tim Friedman

Early Childhood Education

This systematic review synthesises global evidence from academic and grey literature published between 2015 and 2025, examining effective policies and interventions aimed at increasing ECCE participation across diverse country contexts, with a focus on equity dimensions such as gender, disability, socio-economic status and geographic location. The multifaceted nature of increasing ECCE participation is highlighted, exploring institutional, interventionist, preventative, and compensatory policies as per the GEM policy typology, while emphasising equity, quality, and contextual factors. These categories reflect the different levels and areas within which policies operate, noting that in practice, approaches to increase ECCE participation often are combined or overlap.


From Tension To Teaching: Combating Incivility And Bullying Behaviors Directed At Nursing Students, Shelley Dyal Jan 2026

From Tension To Teaching: Combating Incivility And Bullying Behaviors Directed At Nursing Students, Shelley Dyal

Theses

Background: The phrase “nurses eat their young” has long been used to describe the culture of incivility and bullying often directed at nursing students. These behaviors in the nursing clinical learning environment break down nurse-student relationships. To address this issue, nursing staff must have the tools to fulfill their roles as educators and mentors in clinical settings. The purpose of this project is to implement and evaluate the effectiveness of an evidence-based asynchronous educational workshop focused on incivility reduction and student mentorship among nursing staff in a rural hospital setting.

Methods:  This study used a quantitative, one-group pretest–posttest intervention design …


Empowering Change: Impact Of Motivational Interviewing On First-Semester Nursing Students' Perceived Confidence And Communication Skills, Norma L. Branyon Jan 2026

Empowering Change: Impact Of Motivational Interviewing On First-Semester Nursing Students' Perceived Confidence And Communication Skills, Norma L. Branyon

Theses

Background: Effective communication is vital when interacting with others, regardless of the profession. When healthcare providers lack the skills to facilitate conversations about behavior changes, poor patient outcomes can be produced. New graduate nurses often encounter difficulties in effectively communicating with patients and display reluctance to engage with patients and their families. Ineffective communication may lead to increased anxiety, miscommunication, and mistrust. This communication gap can hinder therapeutic relationships, patient engagement, and overall health outcomes. Communication plays a crucial role in student nurses’ self-confidence, motivation, and personal and professional growth. Therefore, role transition for new nurses can be difficult and …


Effects Of Rnai Of Ribophorin 1, Eukaryotic Translation Initiation Factor 2 Beta, And Peptidylprolyl Isomerase A In Acyrthosiphon Pisum, Brandon L. Kennemer Jan 2026

Effects Of Rnai Of Ribophorin 1, Eukaryotic Translation Initiation Factor 2 Beta, And Peptidylprolyl Isomerase A In Acyrthosiphon Pisum, Brandon L. Kennemer

Master's Theses or Doctor of Nursing Practice

Three genes found in the Unfolded protein response, Ribophorin 1, Eukaryotic translation initiation factor 2 beta, and Peptidylprolyl isomerase A are thought to be potential targets for RNA Interference (RNAi) in Acyrthosiphon pisum.  Ribophorin 1 (RPN1) is a transmembrane glycoprotein that assists in anchoring ribosomes to the rough endoplasmic reticulum membrane.  It acts as a substrate-specific chaperone.  It facilitates N-glycosylation by delivering newly synthesized proteins to the oligosaccharyltransferase (OST) complex.  Eukaryotic translation initiation factor 2 beta (eIF2B) is a key component of the eIF2 heterotrimer that facilitates protein synthesis initiation by binding GTP and recruiting a specific transfer RNA to …


Buzzes Over Burrows: Bats And Black-Tailed Prairie Dogs In Western Kansas, Patrick L. Geyer Jan 2026

Buzzes Over Burrows: Bats And Black-Tailed Prairie Dogs In Western Kansas, Patrick L. Geyer

Master's Theses or Doctor of Nursing Practice

The native grasslands of the Great Plains and the organisms that inhabit them are threatened by the anthropogenic disturbance of land-use change; prairie dogs (Genus Cynomys) are one such example. These mammals are considered ecosystem engineers due to their behaviors that physically modify the areas they inhabit, directly affecting the resources available to surrounding organisms. Much research exists on established or potential relationships between black-tailed prairie dogs (Cynomys ludovicianus) and other taxa; until recently, one taxon group absent from mentions of an association with black-tailed prairie dogs was bats (Order Chiroptera). Results of acoustic studies in eastern …


Genomic Characterization Of A Novel Bloom-Forming Cyanobacterial Species From Western Kansas., Louisa Acquah Jan 2026

Genomic Characterization Of A Novel Bloom-Forming Cyanobacterial Species From Western Kansas., Louisa Acquah

Master's Theses or Doctor of Nursing Practice

Harmful cyanobacterial blooms are a danger to freshwater systems, particularly in water limited regions such as western Kansas, yet the genetic identity and diversity of bloom-forming taxa in this region remain poorly characterized. In this study, I investigated a cyanobacterial bloom in Horsethief Reservoir (Kansas, USA) in summer 2024 with the aim of resolving the taxonomic identity and genomic features of the dominant organism. Bloom water samples were collected, and the dominant cyanobacterium was enriched and rendered nearly axenic through controlled cultivation and repeated subculturing. Preliminary 16S rRNA gene sequencing indicated affiliation with the genus Limnothrix, but with notable …


The Effects Of Childhood Maltreatment On Executive Functioning: The Difference Between Cumulative Trauma, Abuse Severity, And Neglect, Kelly Krehbiel Jan 2026

The Effects Of Childhood Maltreatment On Executive Functioning: The Difference Between Cumulative Trauma, Abuse Severity, And Neglect, Kelly Krehbiel

Master's Theses or Doctor of Nursing Practice

Childhood maltreatment is prevalent in the United States with around 558,899 children being victims of abuse in 2022 (U.S Department of Health & Human Services, 2024). Neglect is the most common form of abuse with around 74 percent of abused children being neglected; however, neglect tends to be the least researched form of abuse. Childhood maltreatment has long-term effects on a person’s mental, physical, and cognitive health. Previous research suggests that childhood maltreatment leads to severe deficits in executive functioning skills such as working memory and cognitive flexibility. Executive functioning skills are important for almost every aspect of life including …


Exploring The Link Between Soil Microbes, And Land Use Through A One Health Lens, Yaw A. Antwi Jan 2026

Exploring The Link Between Soil Microbes, And Land Use Through A One Health Lens, Yaw A. Antwi

Master's Theses or Doctor of Nursing Practice

The diversity of microbes within the soil plays an essential role in soil ecosystem

functioning. However, these microbes may also serve as environmental reservoirs for antibiotic resistance genes. The study examined the diversity of bacteria that are found in soil across Rural/Agricultural and Rural/Nonagricultural landscapes within some selected counties in Kansas and its associated antibiotic resistance genes taxa. A total of twenty-four soil samples was collected and analyzed using 16S rRNA gene amplicon sequencing which targeted the V3-V4 regions. Statistical analysis revealed that the alpha diversity metrics (Chao1 richness and Shannon evenness) showed no significant difference in microbial structure (p=0.693, …


Increasing Mental Health Literacy In An African Immigrant Community In The United States, Dominic T. Nchamukong Jan 2026

Increasing Mental Health Literacy In An African Immigrant Community In The United States, Dominic T. Nchamukong

Master's Theses or Doctor of Nursing Practice

Abstract

Introduction: The aim of this quality-improvement project was to assess the impact of an educational intervention on mental health literacy, attitudes, stigma, and help-seeking behaviors among members of an African immigrant community in Maryland.

Framework: The Health Belief Model (HBM) guided implementation of the project. The intervention was delivered using HBM constructs to promote increased mental health literacy.

Methods: The study was conducted in four phases: pre-project preparation, recruitment, educational intervention, and post-intervention evaluation. The six-week program was delivered both online and in person. Participants completed pre- and post-surveys measuring knowledge, attitudes, stigma, and willingness to seek professional mental …


Protecting Your Largest Organ: A Journey In Skin Cancer Education, Prevention, And Early Detection, Krista Schneider Jan 2026

Protecting Your Largest Organ: A Journey In Skin Cancer Education, Prevention, And Early Detection, Krista Schneider

Master's Theses or Doctor of Nursing Practice

Rates of skin cancer diagnoses continue to increase globally, making skin cancer one of the most commonly diagnosed malignancies. Despite rising incidence, many individuals lack knowledge of risk factors, warning signs, and effective prevention strategies. This quality improvement project aimed to improve skin cancer awareness by providing targeted skin cancer education to young adults enrolled at a university in the Midwestern United States. Conducted from August 18 to December 1, 2025, this project followed the Plan-Do-Study-Act framework. Educational presentations were delivered to students enrolled in freshman seminar courses over a two-day period, accompanied by distribution of digital flyers and pamphlets. …


Animalistic Emotion: Rylie Hazelton, Rylie Anne Hazelton Jan 2026

Animalistic Emotion: Rylie Hazelton, Rylie Anne Hazelton

Master's Theses or Doctor of Nursing Practice

Having sprouted alongside the plants and animals of the Great Plains region, my work is

driven by my passion and appreciation for the natural world around me. I have had a lifelong interest in the intricacies of the cycle of life, the reliability of the food chain, and the

symbolic meaning that each living thing has. I define my work as expressive naturalism, meaning that while I recreate the animals in my work to a realistic and recognizable quality, I am using their symbolism to create a space to tell a story of my own life experience. The figures in …


Fragments & Formations, Charles D. Schluckebier Jan 2026

Fragments & Formations, Charles D. Schluckebier

Master's Theses or Doctor of Nursing Practice

My work begins with an idea, but is driven by curiosity as it develops, often arriving somewhere different than initially planned. I maintain control over the direction while allowing decisions to shift in response to what emerges. Creating artwork becomes a space where ideas are not illustrated by worked through – physically and mentally at the same time. I approach making as problem-solving, where each sculpture functions as a puzzle resolved through construction. I push materials beyond their intended function, forcing them into new conditions where form emerges through resistance, constraint, and play. Material behavior informs the outcome but does …


Mythology Of Whiteness: Constructing Black Girls As A Bully, Kathleen O'Brien, Pamela Twyman Hoff Jan 2026

Mythology Of Whiteness: Constructing Black Girls As A Bully, Kathleen O'Brien, Pamela Twyman Hoff

Faculty Publications - College of Education

This analytical essay uses data from a qualitative study by O’Brien (2017) that explored the social construction of bullying. O’Brien interviewed 16 high school students enrolled in alternative and college-preparatory high schools. Although the study did not focus specifically on Black girls, their narratives surfaced a distinctly different story—one that exposed how whiteness, intersectional power, and cultural ways of knowing construct Black girls as quintessential bullies in schools. This re-analysis explores how Black girls are cast within the mythology of whiteness as archfoes—not merely as disruptive, but as symbolic antagonists whose existence threatens the normative order of whiteness …


Elevated Sulfate Concentrations In Groundwaters Of Glaciated Terrains—Natural Or Anthropogenic?, Christabel Obi, Eric W. Peterson Jan 2026

Elevated Sulfate Concentrations In Groundwaters Of Glaciated Terrains—Natural Or Anthropogenic?, Christabel Obi, Eric W. Peterson

Faculty Publications - Geography, Geology, and the Environment

Increasing sulfate (SO42−) concentrations in groundwater systems are a growing environmental concern due to their implications for drinking-water quality and biogeochemical cycling. While sulfate is commonly of geogenic origin, its behavior in agriculturally influenced glacial aquifers remains poorly constrained. This study investigates the distribution, depth dependence, and seasonal variability of sulfate concentrations in groundwater within a riparian system comprised of sediments deposited by glaciers in central Illinois, USA. The study specifically evaluates whether sulfate concentrations 1) vary with groundwater depth, 2) exhibit seasonal trends, and 3) reflect contributions from agricultural tile drainage waters. Groundwater samples collected from …


The Synergy Between A Silver-Ruthenium Antimicrobial And Aminoglycosides Is Based On Severe Macromolecular Damage, Emmanuel P. Oladokun, Gracious Y. Donkor, Julius K. Narh, Grady D. Jacobson, Cade Ward, Patrick O. Tawiah, Lisa K. Polzer, Kevin A. Edwards, Kyle A. Floyd, Jan-Ulrik Dahl Jan 2026

The Synergy Between A Silver-Ruthenium Antimicrobial And Aminoglycosides Is Based On Severe Macromolecular Damage, Emmanuel P. Oladokun, Gracious Y. Donkor, Julius K. Narh, Grady D. Jacobson, Cade Ward, Patrick O. Tawiah, Lisa K. Polzer, Kevin A. Edwards, Kyle A. Floyd, Jan-Ulrik Dahl

Faculty Publications – Biological Sciences

The rise of multidrug-resistant (MDR) bacterial pathogens, including uropathogenic Escherichia coli (UPEC), highlights the urgent need for alternative treatment strategies to restore antibiotic efficacy. The silver-ruthenium antimicrobial AGXX exerts potent bactericidal effects through the production of reactive oxygen species (ROS); however, its potential synergy with antibiotics has not been thoroughly investigated. Here, we show that sublethal concentrations of AGXX strongly enhance aminoglycoside-mediated killing across a diverse panel of Gram-negative and Gram-positive MDR clinical isolates, including highly aminoglycoside-resistant strains. Combinational treatments significantly reduced the effective concentrations of gentamicin, tobramycin, kanamycin, and amikacin required to kill bacteria. Mechanistic analyses revealed that AGXX/aminoglycoside …


The Impact Of School Climate On Student Achievement, Tonia L. Schiro Jan 2026

The Impact Of School Climate On Student Achievement, Tonia L. Schiro

All Electronic Theses and Dissertations

This literature review explores the relationship between school climate and student achievement by examining research from education, psychology, and school improvement literature. School climate encompasses many aspects of the educational environment, including perceptions of safety, the quality of relationships among students and staff, levels of engagement, and students’ sense of belonging within the school community. The review investigates how these factors contribute to academic success and influence students’ overall educational experiences. Findings across the literature consistently demonstrate that positive school climates are associated with higher levels of student achievement, stronger engagement, improved attendance, and greater social-emotional well-being. The review also …


Simulation And Characterization Of Fuel Cell System Incorporated Internet Of Things, Ahmad N. Alhjouj Jan 2026

Simulation And Characterization Of Fuel Cell System Incorporated Internet Of Things, Ahmad N. Alhjouj

Mechanical Engineering Theses

Small air-cooled proton exchange membrane fuel cell (PEMFC) systems are increasingly relevant for portable and distributed applications, yet practical modeling and monitoring methods remain limited: high-fidelity physics-based models are too costly for real-time use, while purely data-driven models discard physical interpretability. This thesis develops an experimentally grounded gray-box framework for the characterization, reduced-order modeling, and IoT-enabled monitoring of a small hydrogen PEMFC system. A low-order nonlinear state-space model couples an electrochemical voltage layer to a lumped thermal layer, with parameters identified in stages using self-adaptive differential evolution. Identifiability analysis shows that static loss parameters are well constrained, while dynamic parameters …


A Painful Diffuse Rash, Bruce M. Lo, Melanie Shoemaker, Kiersten Potter, Katherine Schaffer Jan 2026

A Painful Diffuse Rash, Bruce M. Lo, Melanie Shoemaker, Kiersten Potter, Katherine Schaffer

Department of Emergency Medicine Faculty Publications

[Patient presentation]

A 41-year-old male with no past medical history presented with 1 week of ulcers to the left side of his face, followed by several days of a painful rash to the trunk and back after a sexual encounter. The patient denies any fever or previous rash and any illicit drug use. Initial vital signs included a temperature of 97 °F, a heart rate of 89 beats per minute, and blood pressure of 135/79 mm Hg. Physical examination revealed a macular papular rash across his trunk and back (Fig 1) and facial ulcerations with eschar (Fig 2) at the …


Collective Bargaining In The Usa : Union Success Within And Outside Of The Flawed Legal Framework, Angela B. Cornell Jan 2026

Collective Bargaining In The Usa : Union Success Within And Outside Of The Flawed Legal Framework, Angela B. Cornell

Cornell Law Faculty Publications

The labour movement in the US experienced a powerful upswing under President Biden, but even with a labour-friendly administration thousands of new bargaining units labour without collective bargaining agreements years a#er being organised. The many limitations and weaknesses of the collective-bargaining framework under the private-sector statute, the NLRA, contribute to this very unfortunate outcome including enterprise rather than sectoral bargaining, a lack of meaningful remedies for serious bargaining violations, very little interest arbitration when the parties cannot reach agreement and the extremely limited right to strike. Millions of American workers are deprived of the right to bargain collectively because of …


The Role Of Tumor Microenvironment In Glioblastoma Multiforme(Gbm) Therapeutic Resistance, Kwesi E. Taylor Jan 2026

The Role Of Tumor Microenvironment In Glioblastoma Multiforme(Gbm) Therapeutic Resistance, Kwesi E. Taylor

Master's Theses or Doctor of Nursing Practice

Despite significant advances in cancer research and treatment, Glioblastoma multiforme (GBM) remains one of the most difficult cancers to treat effectively, with minimal improvement in long-term survival rates over the past few decades. This is largely attributed to tumor heterogeneity and the ability of tumor cells to develop adaptive resistance mechanisms supported by the tumor microenvironment (TME). Although the TME is recognized as a key contributor to tumor progression and therapeutic resistance, the underlying molecular pathways and regulatory genes remain incompletely understood. This study investigated the role of the tumor microenvironment in GBM therapeutic resistance using a bioinformatics approach. Single-cell …


Identifying Socio-Economic Areas Of Concern Towards Inclusion In Gis Hazard Management In Detroit, Michigan., Ernestina Osei Jan 2026

Identifying Socio-Economic Areas Of Concern Towards Inclusion In Gis Hazard Management In Detroit, Michigan., Ernestina Osei

Master's Theses or Doctor of Nursing Practice

This study examined the spatial distribution of socio-economic vulnerability and accessibility to essential services in Detroit, Michigan, using a Geographic Information Systems (GIS)-based approach. The research aimed to identify areas of greatest concern by integrating socio-economic indicators, including poverty, housing vacancy, income, unemployment, and crime, with spatial measures of access to critical infrastructure such as hospitals, fire stations, police stations, and grocery stores. Both feature-based and raster-based analyses were employed, including buffer and overlay analysis, service area evaluation, Euclidean distance modeling, and multi-criteria suitability analysis.

A mixed-methods framework was adopted to combine quantitative spatial analysis with contextual understanding of urban …


Defend The Fort: Indigenous History, Remembrance, And Memorialization In Ellis County, Kansas, Sarah Keiss Jan 2026

Defend The Fort: Indigenous History, Remembrance, And Memorialization In Ellis County, Kansas, Sarah Keiss

Master's Theses or Doctor of Nursing Practice

This thesis provides an in-depth look into the Indigenous history of the area that would later become Western Kansas and Ellis County. Analyzing the history of the area from before European colonization to the Native American resistance against American expansion in the 1860s, this thesis illustrates the complex and layered history of the area. Even prior to European settler presence in the area, the native tribes felt the effects of European settlement and trade around them, leading to drastic changes in geographic distribution and access to new resources, particularly horses. Over the course of the nineteenth century, white settlement completely …


Bridging The Gap In Patient Attendance: A Dnp-Led Quality Improvement Project To Reduce No-Show Rate By Implementing Text Message Reminders, Charles D. Rogers Jan 2026

Bridging The Gap In Patient Attendance: A Dnp-Led Quality Improvement Project To Reduce No-Show Rate By Implementing Text Message Reminders, Charles D. Rogers

Master's Theses or Doctor of Nursing Practice

Missed medical appointments contribute to revenue loss, workflow inefficiencies, increased staff burden, and reduced patient access to care in primary care settings. This Doctor of Nursing Practice (DNP) quality improvement project evaluated the impact of an automated text message (SMS) reminder system on no-show rates in a privately owned, medium-sized family practice in a rural setting, aiming to reduce the baseline no-show rate of 11.4% to 10% or less. Guided by the Model for Improvement and the Plan-Do-Study-Act (PDSA) framework, automated SMS reminders were sent 48 hours prior to scheduled appointments. Existing 24-hour phone call reminders were maintained. Formative assessments …