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Implementation of the Kano model in healthcare settings: A narrative review
No full textPublished in SOAR: Shocker Open Access Repository by the Wichita State University Libraries Technical Services, October 2025.Healthcare quality is critical to patient satisfaction and the effectiveness of the healthcare system. Understanding patient perspectives and needs leads to higher patient satisfaction and client loyalty, and models, such as the Kano model, systematically evaluate client expectations. This literature review examines the application of the Kano model in healthcare settings and analyzes studies conducted from 2017 to 2025. The findings confirm its effectiveness in assessing patient expectations, especially when integrated with other methodologies, such as the balanced scorecard and the SERVQUAL dimensions. However, there are still challenges that need to be overcome. The successful implementation of this model depends on an appropriate sample size, rigorous procedures, and attention to cultural differences
Effect of shape of a heated region on the physics of Mach 2 flow over a hemisphere cylinder
No full textThis article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).A numerical investigation of the effect of shape of an on-axis energy deposition in front of a hemisphere cylinder in Mach 2 flow is discussed. Two different heated region shapes are used to investigate how the shape of the heated region affects the physics of the flow. The location, volume and the amount of energy added to the gas by the heated region are kept constant. The cylindrical case produces less drag reduction than the spherical case
This beautiful mess where we come together
No full textClick on the DOI link to access this article at the publishers website (may not be free).[No abstract available
Comment on “Atlas of Fshr Expression From Novel Reporter Mice”
No full textClick on the DOI link to access this article at the publishers website (may not be free).[No abstract available
Increasing obstetrics care access in rural and underserved areas: The effect of health literacy levels and age on fetal monitoring device acceptability
No full textPoster project completed at Wichita State University. Presented at the Kansas Undergraduate Student Research Day at the Capitol, Topeka, KS, February 26, 2025.Sponsored by Undergraduate Research and Creative Activity Hub, Dorothy and Bill Cohen Honors College.Pregnant women in rural and underserved communities are frequently unable to access convenient obstetrics care, which is associated with a decrease in healthcare utilization levels, negatively affecting health outcomes. Younger women may have lower levels health literacy which also impacts healthcare access. Based on former wearable device acceptability research, a questionnaire was developed and assessed the acceptability (e.g., wearability, comfort) of a wearable fetal heart rate monitor during obstetrics care. This questionnaire was limited to women of reproductive age (18-49), included 47 questions and was administered online. Participants were recruited through local posters and social media using a snowball sampling recruitment strategy. One hundred sixty-three participants completed the survey. Health literacy levels increased with age. Women of age18-20 years had the lowest health literacy level (52.9%), followed by age 21-29 (78.7%), 30-39 (91.7%), and 40-49 (95.8%) (p<.001). 148 participants answered health literacy questions. Older women reported higher acceptability than younger participants (74% vs 53%, p=.026). Younger participants reported lower acceptability levels. As age increased, health literacy levels increased. Results suggest increased interactions with clinicians result in increased health literacy skills. To improve the acceptability of the device, clinicians should consider how to build trust and address these concerns. This project contributes to an interdisciplinary effort to develop a fetal monitor aimed at addressing the maternal and fetal healthcare gaps in the state
Supporting rural special educators working toward licensure: Creation of virtual professional development
No full textOpen access
Article reuse guidelines: sagepub.com/journals-permissionsThe article describes a promising new, fully virtual, multicomponent professional development intervention to support special education teachers in rural schools who enter the profession without full state licensure. The intervention seeks to strengthen special educators’ self-efficacy in relation to classroom and behavior management, and their desire to stay in the profession, by focusing on three specific special education high-leverage practices. The iterative design and development process was completed over three school years with diverse stakeholders, culminating in a feasibility trial and demonstration of the intervention’s promise of effectiveness. The 6-month intervention, which includes virtual coaching and an online community of practice, and is accompanied by a website for resources, is designed to reduce attrition among rural special educators who are not fully licensed, increase their skills, and ultimately result in higher engagement for the students with disabilities who they serve
Analysis and modeling of workload within emergency medical services
No full textThesis (M.S.)-- Wichita State University, College of Engineering, Dept. of Industrial, Systems, and Manufacturing EngineeringWorkload within Emergency Medical Services (EMS) has been underrepresented in research and is assumed to be equivalent with conventional workload metrics of unit hour utilization (UHU) and cumulative call volume. This research investigates workload metrics within EMS with respect to perceived workload (represented by the NASA Task Load Index, NASA-TLX) and design workload (represented by the Visual, Auditory, Cognitive, Psychomotor, VACP, score). Priority-stratified call volume and call response utilization best explain these forms of workload and were analyzed by Pearson correlation and linear regression methods. A clear threshold for a fair day’s work was not found. Next, surrogate models to find the overall utilization of an EMS crewmember at a point in time were created and tested. The best-performing model was a physics-based model that can be potentially generalized for use in any EMS system. In the last chapter of this thesis, the validated workload metrics were investigated in relation to a decision-making model within a discrete event simulation for EMS and their effect on operational performance metrics. It was found that incorporating workload-based dispatching strategies did not worsen operational performance
Identifying charge-transfer and trip-multiplet states in Co(i), Co(ii), and Co(iii) phthalocyanines using (magneto)optical spectroscopy and (TD)DFT calculations
No full textClick on the DOI link to access this article at the publishers website (may not be free).Herein we compare the electronic structures of the Co(i), Co(ii), and Co(iii) phthalocyanines, which were elucidated using UV-vis-NIR and magnetic circular dichroism (MCD) spectroscopy as well as density functional theory (DFT) and time-dependent DFT (TDDFT) calculations. The NIR triplet-multiplet bands in PcR4(2-)CoIIL2 (L = nil, Py, or nBuNH2; R = H or tert-Bu) complexes were studied by MCD spectroscopy for the first time and compared to those reported earlier by us in PcR4(2-)Cu (R = tert-Bu or SO3Na) compounds (J. Porphyrins Phthalocyanines 2025, 29, 110-122). In all cases, a Faraday MCD pseudo A-term was observed for this transition. DFT and TDDFT calculations successfully explained a systematic blue-shift in the metal-to-ligand charge-transfer (MLCT) and B1-band transitions going from [PcR4(2-)CoI]− to PcR4(2-)CoIIL2 to [PcR4(2-)CoIIIX2]− (X = CN− or Br−) complexes. Additionally, absorption bands observed in the 370-530 nm spectral envelope in [PcR4(2-)CoIIIX2]− complexes were assigned with a high level of confidence for the first time. This work provides the first combined systematic experimental and theoretical study that highlights similarities and differences in (magneto)optical spectroscopy of cobalt phthalocyanines spanning three oxidation states at the central metal ion. © 2025 The Royal Society of Chemistry.University of Tennessee; Minnesota Supercomputing Institute, University of Minnesota; National Science Foundation, NSF, (CHE-2153081); National Science Foundation, NSF; Division of Graduate Education, DGE, (2152168); Division of Graduate Education, DGEGenerous support from the NSF(CHE-2153081), Minnesota Supercomputing Institute, and the University of Tennessee to V. N. is greatly appreciated. B. J. M. acknowledges generous support from the University of Tennessee. BEM is a recipient of the fellowship provided by the NSF - Division of Graduate Education (grant #2152168). We wish to acknowledge Katelyn Llewellyn for her help with some data collection
Topological insulators in thermoelectric devices
No full textClick on the DOI link to access this article at the publishers website (may not be free).Topological insulators (TIs) have garnered significant attention in recent years due to their unique electronic properties, which combine insulating bulk states with conductive surface states protected by time-reversal symmetry. These materials exhibit robust surface conductivity, making them promising candidates for next generation thermoelectric devices. This mini-review explores the recent advance ments in the application of topological insulators in thermoelectric devices. We discuss the fundamental properties of TIs, their potential advantages in enhancing thermoelectric performance, and the challenges that remain in realizing their full potential in practical applications. The review concludes with a perspective on future research directions that could bridge the gap between theoretical predictions and experimental realizations in this emerging field. © TheMinerals, Metals & Materials Society 2025
Machine learning optimized fabrication of bi-modal capillary wick structures using high voltage press sinter method (PSM) for efficient and compact EVTOL thermal management
No full textThesis (Ph.D.)-- Wichita State University, College of Engineering, Dept. of Mechanical EngineeringThe global need to reduce CO2 emissions and the gradual shift towards a more sustainable means of transportation has resulted in the realization of a new mode of transit- Urban Air Mobility (UAM) as a means of efficiently providing safe, accessible and on-demand mode of transportation. The increase in the road-enabled mode of transportation has created an increase in road congestion, leading to a generation of interest from aerospace companies to capture this emerging market. To realize this need for providing on-demand air service, short take-off and landing vehicles (sTOL) are being explored via conventional take-off and landing vehicles (CTOL) or vertical take-off and landing vehicles (VTOL). With the recent development of distributed electric propulsion (DEP) in EVs, attempts are being made to implement electrified propulsion systems in VTOLs. However, the efficiency of these aircraft depends on the efficient thermal management of the propulsion system. Extensive research and testing in the field of thermal management has led to two-phase, liquid-vapor-based heat pipes consisting of porous wick structures with controlled porosity and permeability are being used for components operating at megawatt power levels. This research deals with the fabrication of bi-modal capillary wick structures through a novel, innovative, in-house developed High Voltage Press Sinter Method (PSM). Wicks manufactured using this technique were examined for their hydrodynamic functionality based on the sintering parameters optimized using a statistical design of experiments (DOE) based study, which was validated and verified using a fully discretized three-dimensional numerical model. The wicks were also characterized by their structural stability and strength using an in-house characterization technique. To check for the predictability and repeatability of the manufacturing process, a machine learning algorithm using Random Forest Regressor has been implemented to predict the functionality of the wick in terms of porosity, heat flux, and weight retention from the input parameters