Digital Commons Network^™

Remote Hr-Guided High-Intensity Interval Training With Weekly Health Monitoring In Breast Cancer Patients During Chemotherapy: A Moderation Analysis Of Physiological Predictors, Madara Ketlīna Štarka-Rantiņa, Rudolfs Ceseiko, Martins Campa, Maksims Zolovs, Greta Franceska Jermolenko, Kristaps Eglitis, Alicia Llorente, Aija Linē, Aija Klavina

Baltic Journal of Health and Physical Activity

Background: The study aimed to investigate the effects of a six-month remotely monitored heart rate – guided high-intensity interval training (HIIT) program on aerobic capacity, functional performance, and weekly self-reported health outcomes in women with stage II–III breast cancer undergoing neoadjuvant chemotherapy. Materials and methods: Fifty-six women (mean age 47 ± 8 years) were randomly assigned (1:1) to a HIIT group or a control group (CG). Thirty-five participants were included in analyses (HIIT group = 17; CG = 18). HIIT group performed 4 × 4-minute HIIT sessions at the intensity of 85–95% of the peak heart rate, two to three …

Shrinking Sovereignty: By Land, Sea, And…Air?, Cynthia R. Harris

Pace Environmental Law Review

Atlantis was a mythical State destroyed by the gods as an object lesson to humanity. The complete destruction of a State, as a political entity, does have precedent in historical reality. The complete and permanent loss of a State’s physical territory, however, is a problem humanity has never faced—until now. Today, climate change-driven sea level rise is bringing the future sovereign status of Small Island Developing States (SIDS) in question. A growing body of legal scholarship argues for maintaining these States’ maritime jurisdictions but has not yet extended the question skyward to SIDS’ jurisdiction over airspace.

This Article addresses that …

Non-Reformist Reforms In Environmentalism: Legal Theory And Praxis, Nicholas F. Stump

Pace Environmental Law Review

This Article explores how non-reformist reforms—as opposed to traditional environmental law—are required for ecologically transformative futures. Traditional environmental law is a critically flawed regime due to its embeddedness in our current ecological political economy, which functionally requires perpetual accumulation and growth. However, this accumulation- and growth-based paradigm is incompatible with the material realities of our planetary boundaries. This paradigm has thus engendered our current era of profound ecological crisis (i.e., as associated with notions of the Anthropocene).

Non-reformist reforms are an alternative framework that can help drive transformations of our ecological political economy vis-à-vis building and operationalizing people power from …

Accessibility And Daily Cigarette Consumption Among Indonesian Adolescents: A Descriptive Study, Noviana Lathifah, Istiqomah Hanifah Rachman, Anisa Isnaini, Gloria Threesia Piliphinsa Simatupang

Journal of Indonesian Health Policy and Administration

Despite restrictive regulations, Indonesia faces a high prevalence of adolescent smoking, facilitated by easy access to tobacco products. This descriptive study aims to describe cigarette accessibility patterns and daily consumption trends among Indonesian adolescents. A cross-sectional study was conducted using secondary data from the 2019 Global Youth Tobacco Survey (GYTS) involving 9,208 respondents. Descriptive analysis was performed to examine the distribution of age at smoking initiation, daily cigarette consumption, and purchasing accessibility. The majority of respondents started smoking at ≥14 years of age. Daily cigarette consumption showed an increasing trend with age, with older adolescents more likely to consume more …

Deadline-Chasing In Digital Health: Forecasting Emr Adoption Dynamics And Regulatory Impact In Indonesian Primary Care, Suryo Satrio, Bukhori Muhammad Aqid

Journal of Indonesian Health Policy and Administration

Indonesia is accelerating digital health adoption under Minister of Health Regulation No. 24/2022, which mandates the use and integration of Electronic Medical Records (EMRs) with SATUSEHAT. However, evidence on how quickly primary health care facilities (Fasilitas Kesehatan Tingkat Pertama – FKTP) are adopting EMRs and what the adoption curve looks like remains limited. Survey findings also suggest key barriers and enablers, including security and data migration concerns, as well as human resource and infrastructure constraints. This observational study used provider-network data from a single EMR vendor. Key measures included cumulative registered facilities, monthly registrations, same-month activation (total_active/monthly inflow) as …

Optimizing Vitamin A Intervention: Strengthening Supplementation With Targeted Biscuit Fortification, Mayfa Yemima Simanjuntak, Nadia Amanda, Yuli Berliana Simanjuntak, Carissa Wityadarda, Lesta Livolina Simamora

Journal of Indonesian Health Policy and Administration

Vitamin A deficiency (VAD) remains a persistent public health challenge in Indonesia, particularly among children under five and breastfeeding mothers. This study aimed to analyze the distribution of vitamin A interventions and assess the potential of biscuit fortification as a complementary strategy. This study employs a literature review using the Health Policy Triangle (HPT) framework, examining policy context, content, key actors, and implementation processes related to vitamin A interventions. The analysis was conducted using secondary data from government reports, international agencies, and peer-reviewed literature published between 2018 and 2025, with comparative evidence from Vietnam, Bangladesh, and Ghana. The findings show …

Developing An Effective And Sustainable Institutional Model For Water Resource Management In ‘Nusantara’ (The New Capital City Of Indonesia), Witra Apdhi Yohanitas, Arif Ramadhan, Tania Andari, Nicco Plamonia, Muhammad Akbar Pribadi, Riardi Pratista Dewa, Hery Wibowo, M. Hasnan Atlandi

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

The development of 'Nusantara', the new capital city of Indonesia (IKN), is a strategic effort by the government of Indonesia to advance infrastructure development and management. However, ensuring effective and sustainable water resource management remains a major challenge, particularly amid climate change, population growth, and increasing industrial demand. This study aims to develop a sustainable water resource management model to support IKN effectively. It applies a qualitative descriptive and comparative approach through interviews and policy analysis to identify the needs and challenges in water resource management, while also assessing the potential and risks of the proposed model. The findings indicate …

From Access To Success: Addressing Barriers For Students With Disabilities In Higher Education, Melissa Wood

Inquiry: The Journal of the Virginia Community Colleges

Over the past several decades, enrollment of students with disabilities in higher education has steadily increased. However, disparities in retention and degree completion persist. Although federal laws such as the ADA and Section 504 of the Rehabilitation Act guarantee equal access, many students continue to encounter barriers that affect their academic experience. These challenges are often more pronounced in community colleges, which serve diverse populations and often operate with limited resources. This paper examines two key barriers and highlights best practices that institutions can implement to improve accessibility, strengthen support systems, and promote persistence and success for students with disabilities.

Mandates, Markets, And Megawatts: An Empirical Analysis Of The Causal Effects Of State-Level Energy Storage Mandates On Utility-Scale Battery Storage Deployment In The United States, Bill Zheng

Quantitative Social Science Undergraduate Senior Theses

Utility-scale battery storage is accelerating at an unprecedented pace as the world increasingly relies on renewable energies to power grids. Demand for data centers has produced record-high electricity demand, and utility-scale batteries are becoming crucial in supporting the grid and the variability of renewables. As a result, analysis on the efficacy of policy drivers of battery storage will provide the field with a roadmap for the most impactful policy solutions to spur battery storage deployment. This paper estimates the effect of state battery storage mandates on cumulative installed battery capacity using a staggered difference-in-differences (DiD) design following Callaway and Sant’Anna …

Rewarding Risk: How Political Health Messaging Drives Virality And Controversy On X, Hiba Ali

Quantitative Social Science Undergraduate Senior Theses

No abstract provided.

Narrative Roots - What We Inherit, What We Tell, What We Become: Intergenerational Storytelling, Meaning-Making, And Mental Health, Adam Sholder

Critical and Creative Thinking Capstones Collection

This capstone synthesis explores how the family stories we inherit and the stories we tell across generations shape who we become, with particular attention to their impact on identity and mental health. Drawing on narrative identity theory, reflective practice, and relational understandings of family life, it introduces the Recursive Narrative Integration Model, which positions intergenerational storytelling as both a method of inquiry and a mechanism of meaning-making. Informed by a recursive process of creative and reflective writing, this synthesis approaches storytelling not only as an object of study, but as a lived and generative practice through which experience and narrative …

Empowering Lifelong Choice: Supporting Older Individuals With Idd To Thrive At Work, Transition To Retirement With Dignity, And Maintain Community Connections, Leslie Quarles

Critical and Creative Thinking Capstones Collection

This synthesis addresses the need to support older individuals with intellectual and developmental disabilities in their engagement in continued work. The project traces the journey from an initial focus on supporting older individuals with intellectual and developmental disabilities to work as long as they wish to an eventual shift toward a phased retirement approach. It considers issues such as a reimagined visualization of the support team structure, integration of tailored job supports and Community Life Engagement (CLE). The author's familial history sparked a sense of injustice that would not stay buried, shaping a career path in disability services and access. …

Temwayaj: An Exploration Of Intergenerational Trauma And Resilience Through The Wisdom Of Haitian Elders, Niara J. Carrenard

Graduate Masters Theses

Haitian people have a unique history of trauma shaped by colonial violence, the brutal legacy of slavery, and political instability all of which intersect to create a complex and multifaceted experience of trauma across generations. This study explores how intergenerational and historical trauma are understood, carried and expressed across generations in the Haitian community. Drawing from grounded theory, this research examines the layered effects of colonial violence and chronic instability on Haitian people. While trauma is typically described as an individual phenomenon, this project is examining trauma as a relational process that manifests amongst different generations. Through in-depth qualitative interviews, …

The Cultivation Of Public Perception: Cultivated Meat Narratives And Misinformation On Tiktok, Anna M. Balkus

Graduate Masters Theses

Cultivated meat is an emerging tissue engineering technology that has the potential to address major issues threatening food systems, including climate change, rapid population growth, and the spread of disease. Among technical challenges, public perception remains a significant barrier for the widespread adoption of cultivated meat. While social media has transformed communication globally, it has simultaneously contributed to corrupt online environments infected with misinformation—unintentional inaccuracies that differ from disinformation, which is spread with the intent to mislead. The way the public receives and digests information regarding new food technologies, like cultivated meat, will be shaped by their social media environment. …

Identity And Distress: The Role Of Misracialization And Membership Esteem In Multiracial Mental Health, Jordan Cherry

Graduate Masters Theses

The population of Multiracial individuals in the US is growing (Jones et al., 2021). Multiracial people face a higher likelihood of adverse consequences, including reconciling the significance of holding multiple racial identities in a society that predominantly categorizes race in single categorical terms (Gabriel et al., 2023). The inaccurate perception of Multiracial individuals by others, or misracialization, is a result of this dynamic. Research indicates that inaccurate racial representation relates to worse mental health outcomes for Multiracial individuals (Campbell & Troyer, 2007; Does et al., 2023; Franco, Toomey, et al., 2021; Lusk et al., 2010). Further, one’s racialized experiences have …

Anti-Mattering And Negative Core Beliefs In The Association Between Internalized Racism And Social Anxiety, Alicia K. López

Graduate Masters Theses

Internalized racism is associated with adverse mental health conditions, including anxiety. However, research examining the relation between internalized racism and social anxiety remains limited. The primary purpose of this current study was to explore the relation between internalized racism and social anxiety and whether cognitive processes, such as negative core beliefs about the self or interpersonal factors, such as anti-mattering help explain this relation.  Specifically, this study examined anti-mattering as a potential mediator linking internalized racism and social anxiety and whether negative core beliefs about the self, mediate the relation between internalized racism and anti-mattering. Lastly, the study examined a …

Racism, Coping, And In-Race Heterosexism Among Asian American Sexually Expansive People: A Moderated Moderation Analysis, Miah Theresse A. Sabas

Graduate Masters Theses

Asian American sexually expansive people (AA SEP) are at elevated risk of psychological distress at the intersection of racism and heterosexism (Takeda et al., 2021). Less is known about how AA SEP cope with intersectional oppression, including experiences of in-race heterosexism. With a sample of 105 AA SEP, correlations indicated a positive link between psychological distress (PD; DASS-21, Lovibond & Lovibond, 1995) and racism-related stress (RRS; Brief PEDQ-CV, Brondolo et al., 2005), but not in-race heterosexism (Perceived Racism in Lesbian, Gay, and Bisexual Communities Scale, Sarno et al., 2015). Moderation analyses indicated only active coping buffered the relation between RRS …

Critical Geopolitics And The Reconstruction Of Meaning: A Discourse Analysis Of The 'Terrorism' Label Applied To Hamas By Western Hegemony, Cahaya Mulyani Sakti, M.Hamdan Basyar

Journal of Terrorism Studies

The emergence of Hamas in 1987 cannot be separated from the configuration of modern colonialism and the continuity of occupation that shaped the political reality. Hamas’s early phase was rooted in socio-religious activities through education and community empowerment programs, before evolving into armed resistance against the occupation. The labeling of Hamas as a “terrorist” organization began in the mid-1990s in U.S. legal documents, which subsequently generated debate and gave rise to counter-narratives. This study employs the frameworks of critical geopolitics (Ó Tuathail & Agnew) and the Discourse-Historical Approach (Wodak) to analyze the labeling of Hamas as “terrorist” by Western hegemony. …

Hybrid Threats In The Lake Chad Basin: The Nexus Between Terrorism, Illicit Wealth, And Transborder Crime, Cletus C. N. Nwadiogbu

Journal of Terrorism Studies

Threats to security in the Lake Chad Basin have changed over the years and hybrid elements have become interweaved. Sustained Boko Haram and ISWAP activities have increased the insecurity in the region, enabling the mixing of armed insurgency and organized criminals, including narcotics dealers, extortion rackets, arms trafficking, drugs production and smuggling, kidnapping and fuel smuggling among Nigeria, Niger, Chad and Cameroon states. Nexus elements of illicit wealth, illicit transborder crime and terrorism were thus analysed as interdependent and contributing elements to Hybrid threats in the Basin. The study used a hybrid design (qualitative-quantitative) documenting data from the following institutions: …

Applying A Neurodiversity-Informed Approach To Understanding Resolution In Families Raising A Child With Autism, Emma Manole

Honors College Theses

The first known documentation of the syndrome we today refer to as autism spectrum disorder (ASD) was published by Austrian psychiatrist Leo Kanner (1943), who identified a cluster of disordered symptoms among 11 young children, which he termed “early infantile autism”. Consequently, the psychiatric world became aware of autism as its own disorder separate from schizophrenia or “childhood psychosis” (Wing, 1997). Since then, the ways in which autism is studied, diagnosed, referred to, defined, and treated have seen drastic changes (Blacher & Christensen, 2011) over the course of almost a century. It is only natural that the perceptions held by …

The Effect Of State Abortion Restrictions On Female Labor Force Participation And School Enrollment, Elena T. Albano

Graduate Masters Theses

This paper examines the causal effect of state-level abortion restrictions on young women’s labor force participation and school enrollment following the Supreme Court’s 2022 decision in Dobbs v. Jackson Women’s Health Organization. Using a difference-in-differences design that exploits the cross-state variation in post-Dobbs abortion policies, I estimate that abortion bans led to a decline in combined school and labor force participation among young women by at least 1 percentage point. This effect is qualitatively robust to a triple difference specification that uses men as a within-state control group, confirming that the results do not reflect broader economic shocks specific to …

Culturally Competent Nurse-Led Education To Reduce Delayed Diagnosis And Increase Awareness Of Polycystic Ovary Syndrome In Reproductive-Aged South Asian Women, Madeeha Syeda

Honors College Theses

Polycystic ovary syndrome (PCOS) is a common condition that affects hormones in women, especially in their 20s and 30s. Symptoms of PCOS include irregular periods, abnormal hair growth, acne, obesity, hyperpigmentation of the skin, cysts, skin tags, thinning hair, and infertility (Newin, 2023). While the exact cause of PCOS is unknown, it is linked to insulin resistance, higher levels of androgens, and low-grade inflammation (Newin, 2023). In regards to complications, PCOS can increase risk for gestational diabetes, preeclampsia, preterm term, and C-section deliveries. In terms of treatment, there is no cure but early diagnosis is key to reducing symptoms (Newin, …

Referral Patterns From Primary Care To Referral Care By Icd-10 Codes In Indonesia: Cross-Sectional Analysis Of National Claims Data (2017–2024), Della Dwi Ayu, Syarif Rahman Hasibuan, Putu Erma Pradnyani, Nisrina Widyasanti

Journal of Indonesian Health Policy and Administration

Primary health care (PHC) facilities serve as gatekeepers within Indonesia’s tiered health system. However, PHC referral patterns to hospitals still show substantial variation and remain insufficiently characterized by disease groupings based on the International Classification of Diseases, 10th Revision (ICD-10). This study aimed to identify the most frequently referred diagnoses from PHC to secondary or tertiary care facilities and to determine the participant characteristics associated with referrals. This observational study employed a cross-sectional design using secondary data from the National Health Insurance (Jaminan Kesehatan Nasional – JKN) claims database for the period 2017–2024. The unit of analysis was each …

Factors Associated With The Performance Of Essential Public Health Efforts At Primary Health Centers In Jember Regency, Griselda Ardelia Hibatullah, Nuryadi Nuryadi, Yennike Tri Herawati

Journal of Indonesian Health Policy and Administration

Performance assessment of primary health centers is essential to ensure the quality of healthcare services, including the delivery of essential public health efforts. The performance target for essential public health efforts in Jember Regency is set at ≥82%. This study aimed to analyze factors associated with the performance of essential public health efforts. The study employed an analytical cross-sectional design conducted from April to May 2025, with a sample of 37 out of 50 units selected through simple random sampling. Primary data were collected using questionnaires, while secondary data were obtained from primary health center (Pusat Kesehatan Masyarakat – …

Trends Of Pediatric Psychotropic Polypharmacy In Massachusetts Before And During The Covid-19 Pandemic, Gianna D'Ambrozio

Graduate Doctoral Dissertations

Youth in the U.S. and internationally are increasingly being diagnosed with depression and related psychiatric conditions (Murthy, 2021) many of whom are being subjected to non-evidence-based, or what has been termed irrational, psychotropic polypharmacy (Barnett & Concepcion Zayas, 2019). Psychotropic polypharmacy can be defined as “the use of 2 or more psychiatric medications in the same patient,” (Zito et al., 2021) though definitions can vary. Using data from the Center for Health Information Analysis’ Massachusetts All-Payer Claims Database, this study examined the sociodemographic factors associated with high rates of polypharmacy, a hypothesized increase in pediatric psychotropic polypharmacy rates in Massachusetts …

Determinants Of Public Trust In E-Government: A Comprehensive Review And Conceptual Framework Over The Past Decade, Andrean Nathaniel, Sumartono Sumartono, Abd. Qadir Muslim

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

The evolution of digital governance has heightened the strategic significance of public trust in the implementation of e-government. Despite numerous empirical investigations, the results concerning the factors influencing trust remain fragmented and largely centered on technological aspects. This study seeks to systematically identify, categorize, and synthesize the determinants of trust in e-government through a structured literature review of 21 Scopus-indexed articles published between 2015 and 2025. Utilizing an evidence-based synthesis methodology, the study organizes determinants of trust into four main categories: citizen-related, technological, institutional, and risk-related factors. The findings indicate that technological and citizen-related factors are the most significant predictors …

The Role Of Bank Portfolio Heterogeneity In The Fiscal Stimulus Policy In Indonesia, Michael Kusuma, Brigitha Mega Rebeca

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Fiscal stimulus transmission is often hindered by banking frictions from risk-averse behavior and channel specialization. To evaluate the fiscal stimulus policy in Indonesia, this study introduces a modified Input-Output (I-O) framework integrated with bank portfolio-based shock vectors. This approach captures banking frictions by incorporating institution-specific portfolio weights into the macro-simulation framework, providing a more realistic assessment than standard uniform-transmission assumptions. Three scenarios are simulated (policy design, interim realization, and expansionary response) to assess the macroeconomic impacts of credit concentration. The results reveal a significant gap between the initial policy design and its actual realization, generating an economic opportunity loss of …

On The Brink Of Silence: Ethnographic Perspectives On Hunting And Forest Life Among The Awa Guajá In Eastern Amazonia, Uirá Garcia

Tipití: Journal of the Society for the Anthropology of Lowland South America

The central theme of this article basically resides in the relationship established by indigenous peoples between their hunting practices and the forest. Indigenous ways of connecting ‘hunting’ and ‘forest’ necessarily pass through other modes of knowing, only marginally – if it all – dependent on vision. On the contrary, sounds, smells and even dreams are, for many South American indigenous collectives, more trustworthy indices than what the eye sees. This article divides into two parts. In the first, I set out the main ideas related to the anthropological study of hunting in Amazonia at a conceptual level. In the second, …

Trends Towards Political Communication Strategy On Social Media: A Bibliometrics Analysis, Annisa Atha Hanifah, La Mani, Zidane Ahmad Busthomi, Giovanni Sunrise, Matthew A. Kristanto, Indra Prawira

Jurnal Wacana Politik

Social media has become the center of digital political communication, enabling politicians to convey messages, form narratives, and mobilize public support directly and interactively. Social media platforms such as Twitter, Instagram, and TikTok serve not only as campaign tools but also as deliberative spaces where political discourse is formed and debated. This study uses a bibliometric approach to analyze global trends in research on political communication on social media during the period 2020-2024. Data were collected in October 2025 from Scopus database, comprising 608 documents from 253 publication sources and author affiliations in 24 countries. The search was conducted using …

Cultural Determinism, Leadership Identity, And Psychological Outcomes Among Emirati Women School Principals: A Convergent Mixed Methods Study, Saeed Mobarak Alkaabi

All Works

Background/problem: Despite state-led empowerment reforms in the United Arab Emirates (UAE), Emirati women school principals experience tension between leadership roles and entrenched cultural expectations. Norms related to family honor, modesty, male guardianship, and relational harmony, continue to shape leadership identity formation, agency, and psychological outcomes, influencing leadership legitimacy and professional identity. Objective/purpose: This study examines how cultural determinism influences leadership identity, agency, and psychological well-being among Emirati women school leaders on the East Coast of the UAE. Design and Methodology: A convergent parallel mixed methods design was implemented. Correlation and regression analysis were used to test the influence of cultural …