Digital Commons Network^™

Why Do Indonesians Travel Abroad For Medical Treatment? A Qualitative Phenomenological Study, Lucky Sarjono Buranda, Aries Wahyuningsih, Steven Busby

Journal of Indonesian Health Policy and Administration

More than one million Indonesian citizens travel abroad for medical treatment each year, generating financial transactions exceeding IDR 180 trillion (USD 11.5 billion). This study aimed to explore the reasons why Indonesians seek medical treatment overseas. A qualitative phenomenological approach was employed using in-depth interviews with Indonesian citizens who had received or were currently receiving medical treatment outside Indonesia. All interviews were recorded, transcribed, and analyzed through coding to identify themes, subthemes, and related properties. Interviews were conducted with 18 participants from three major Indonesian cities (Makassar, Surabaya, and Batam), as well as individuals receiving treatment in Singapore and Malaysia. …

Reducing Drag Of Vehicles With Half-Stepped Cylinder Surfaces Part I: Numerical Optimization, Ryan Moffit, Hamid Rahai, Komal Gada

Mineta Transportation Institute

Aerodynamic drag is a major source of energy loss for vehicles, increasing fuel consumption, reducing the driving range of electric vehicles, and contributing to greenhouse gas emissions. For a vehicle, the major components of its drag are pressure and viscous drag. Engineers have developed a variety of strategies to reduce drag, including streamlined vehicle designs, surface modifications, and devices that alter airflow around the vehicle. This research focuses on reducing the viscous drag. Specifically, this study investigates whether microscopic surface features called half-stepped cylinder arrays can reduce skin friction by altering the turbulent boundary layer and promoting smoother airflow near …

Performance Evaluation Of Fiber Reinforced Hot Mix Asphalt Containing Reclaimed Asphalt Shingles, Hani Alzraiee, Ashraf Rahim, Shadi M. Saadeh, Aaditya Ojha, Adam Mansara

Mineta Transportation Institute

Reclaimed asphalt shingles (RAS) offer a promising avenue for increasing recycled content in hot mix asphalt, but the aged, stiff binder they contribute tends to reduce cracking resistance, particularly at intermediate temperatures. This study investigated whether polymer fiber reinforcement can offset that brittleness while preserving rutting and moisture performance in mixtures containing both reclaimed asphalt pavement (RAP) and RAS. Fourteen asphalt mixtures were designed using a base blend of 25% RAP combined with RAS at either 3% or 5% by total mix weight. Two commercially available polymer fiber types, designated Fiber A and Fiber B, were added at dosages of …

Structural Injustice As Emergent Disorder, Hochan Kim

All Faculty Scholarship

Structural injustice remains a puzzling concept despite its increasing prominence. I distill recent theoretical challenges into a dilemma: either structural injustice lacks the normative credentials of injustice given that wrongdoing is inessential, or it is redundant given existing theories that trace injustice to culpable state and other institutional failures. I then develop a novel account of structural injustice, the Complexity View, that unravels this dilemma. The emergent properties of human actions in a complex society explain what is “structural” about structural injustice, specifically how it can arise without (culpable) wrongdoing. Structural injustice is unjust because it is wrong to contribute …

Awake And Engaged: Night-Shift Med-Surg Education That Drives Attendance And Satisfaction, Jessica Leddy, Julie Bialas

Nursing

The availability of educational opportunities for medical-surgical nurses that occur during nightshift work hours is limited compared to offerings for their dayshift counterparts. While the acuity and care requirements of the patients are consistent between shifts, nightshift nurses often lack the same resources and access to skill acquisition. Nightshift nurses must attend education provided during dayshift hours if they wish to learn the same content. This results in nightshift staying after shift, coming in on a day off, or skipping the education altogether, which decreases nurse satisfaction and participation in educational sessions, and increases over shift or overtime hours. The …

Utah Agricultural Producer Barriers To Adopting Organic Production Methods, Salma Shrity, Kynda R. Curtis, Michele Schahczenski

All Current Publications

This fact sheet discusses the study results from Utah State University researchers that identified the primary barriers Utah producers perceive in adopting organic production methods. The study findings will help guide the development of educational programs, technical assistance, and outreach efforts by the Utah Transition to Organic Production Program (TOPP), Extension, and partner organizations to address producer needs and support the successful adoption of organic production systems in Utah.

The Impact Of Producer Attitudes And Concerns On Organic Adoption Decisions, Salma Shrity, Kynda R. Curtis

All Current Publications

Researchers analyzed survey data to identify producer and operation characteristics, attitudes, and concerns that may influence decisions to adopt organic production methods. This fact sheet presents findings related to producer perceptions of organic production, market opportunities, and certification requirements, including factors that may encourage or discourage adoption of organic practices. The results provide insights to guide Extension educators, agricultural service providers, and organizations in developing targeted educational programs, technical assistance, and resources to support producers interested in organic agriculture.

The Role Of Producer And Operation Characteristics In Organic Production Adoption Decisions, Salma Shrity, Kynda R. Curtis

All Current Publications

Survey data were used to examine producer and farm or operation characteristics, as well as producer attitudes and concerns related to producing and selling organic products that may affect decisions to use organic production methods. This fact sheet discusses the study results related to the producer and operation characteristics that may or may not impact the adoption of organic production methods. The study findings provide valuable information for designing targeted Extension programming, educational resources, and technical assistance that address the needs of different producer groups. By understanding which producer and operation characteristics are associated with organic adoption, organizations can better …

The Organic Production Interests Of Utah's Agricultural Producers, Kynda R. Curtis, Salma Shrity, Michele Schahczenski

All Current Publications

This fact sheet provides an overview of survey respondents’ demographic characteristics and farming operation details, including acreage under production, annual gross sales, primary agricultural products, and marketing channels used. It also describes respondents’ organic production experiences, including years certified, certified acreage, and the primary motivations behind adopting organic production methods. The findings presented provide valuable insights into the characteristics, experiences, and needs of Utah producers related to organic agriculture. Extension educators, agricultural service providers, policymakers, and industry organizations can use this information to develop targeted educational programs, technical resources, and support services that address producer challenges, strengthen organic production capacity, …

The Organic Educational And Resource Needs Of Utah's Agricultural Producers, Kynda R. Curtis, Salma Shrity, Michele Schahczenski

All Current Publications

The findings presented in this fact sheet identify producer priorities for educational content, resources, and support services. This information can guide the development of targeted educational and outreach programs, technical resources, and tools that address producer challenges and support informed decision-making about organic production opportunities in Utah.

2026 Final Bpsou Backfill And Cover Material Quality Assurance Project Plan (Qapp), Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

An Innovative And Comprehensive Nursing Orientation Program, Linda Liu

International Nursing Research Congress (INRC)

Background: High turnover rates remain a significant challenge in U.S. healthcare, with hospital turnover rates at 20.7% in 2023, despite a 2% improvement from 2022. Registered nurse (RN) turnover has improved by 4.1%, reaching 18.4%, but is still critical among RNs with less than one year of experience at 34% (Nursing Solution Inc., 2024). The average cost of turnover has increased by 7.5%, reaching $56,300 (Bae, S.H., 2022). Contributing factors include dissatisfaction with care quality, inadequate leadership, poor well-being, staffing shortages, undervaluation, and low salaries (Nightingale Foundation, 2024). At Cook County Health Stroger Hospital, a Comprehensive and Innovative Nursing Orientation …

Np-Led Family-Assisted Dyspnea Management To Enhance Comfort In A Respiratory Ward, Shih-Ying Chang, Chia-Chi Chang, Shih-Ying Lin, Cheng-Pei Wang

International Nursing Research Congress (INRC)

Background: Dyspnea is a frequent and distressing symptom among patients in respiratory care wards (RCWs), especially those requiring prolonged ventilatory support. Breathlessness contributes to anxiety, impaired communication, and reduced rehabilitation. Although family engagement improves patient comfort and care continuity, structured family-centered dyspnea interventions remain limited. Nurse practitioners (NPs) play a central role in patient–family communication and are well positioned to lead such programs.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of an NP-led family-engagement dyspnea care program designed to reduce dyspnea and strengthen caregiving confidence in an RCW.

Methods: A quasi-experimental pre–post pilot study was conducted in an RCW …

Integrated Patient Care Practice In Intensive Care Unit Related To Abcdef Bundle: A Correlation Study, Sahar Saleem Aljadani, Hanan M. Alyami

International Nursing Research Congress (INRC)

Background: Intensive Care Units (ICUs) provide critical care for severely ill patients requiring sedation and mechanical ventilation, which can lead to adverse outcomes (Temesgen et al., 2021; Park & Lee, 2019). The ICU Liberation bundle, from the Society of Critical Care Medicine's guidelines, prioritizes Pain, Agitation/Sedation, Delirium, Immobility, and Sleep disruption (PADIS), collectively known as the ABCDEF bundle. This strategy seeks to enhance outcomes through pain management, Spontaneous Awakening Trials (SAT), Spontaneous Breathing Trials (SBT), delirium management, early mobility, and family involvement (Mart et al., 2021).

Aims: This study examined nurses' profiles, knowledge, and practices related to the ABCDEF bundle …

Integrating Gaming In Online Nursing Education To Increase Student Engagement, Shannon Manfredo

International Nursing Research Congress (INRC)

It is vital for nursing students to feel engaged in online courses to be successful in their academics and the future workforce as nurses. Active student engagement is a challenge for nurse educators, and this challenge is increasing significantly in the online learning environment (Ahshan, 2021; Gosak et al., 2021). This presentation aims to provide the viewer with an overview of the innovative scholarship project involving the implementation of gaming in online nursing education to increase student engagement.

According to Cadet (2023), Kahoot! games enhance engagement, interaction, and motivation for the students. Kahoot! games reinforced learning and provided a more …

An Analysis Of Electronic Nursing Documentation In The Emergency And Trauma Department, Nurul'ain Ahayalimudin

International Nursing Research Congress (INRC)

Introduction: Electronic nursing documentation (END) is fundamental to emergency care, ensuring effective communication, patient safety, and legal accountability. However, issues such as incomplete entries, variability in documentation quality, and limited use of standardised nursing language, particularly NANDA-I, continue to challenge the delivery of accurate and holistic care.

Objective: This study analysed the use of electronic nursing documentation in the Emergency and Trauma Department (ETD) of one tertiary hospital, examined patterns of recorded information, and compared it with the NANDA-I framework.

Methodology: A qualitative document analysis was conducted using purposive sampling of END records from April 2022 to February 2025. The …

Advancing Competency-Based Clinical Education Through An Innovative Preceptorship Framework, Beatriz C. Makhoulian

International Nursing Research Congress (INRC)

Competency-based education (CBE) is reshaping how nursing programs assess clinical learning and prepare graduates for practice. As expectations shift toward observable performance, clinical preceptors require structured, practical tools that support consistent evaluation and promote learner growth. This project introduces an innovative preceptorship framework designed to strengthen competency-based clinical education by integrating standardized evaluation processes, clear communication pathways, and accessible preceptor support resources. The model aligns with contemporary competency expectations endorsed by the American Association of Colleges of Nursing and the National Organization of Nurse Practitioner Faculties.

Implementation of the preceptorship framework and competency evaluation tool will begin in the Spring …

Relational Safety In Practice: Examining How Nurses And Patients Co-Create Safe Clinical Encounters, Jitana P. Benton-Lee

International Nursing Research Congress (INRC)

Psychological safety is central to patient-centered care and effective nurse-patient relationships. When relational safety is present, patients report better experiences, outcomes, and trust, and nurses benefit from strengthened confidence and teamwork. However, the relational processes through which psychological safety is co-created in acute care remain insufficiently described.

This study examined the emotional, cognitive, and social processes that shape psychological safety within nurse-patient relationships and explored how relational safety emerges and influences care experiences. The study sought to generate theoretical insights explaining how relational safety emerges, is negotiated, and influences care experiences in acute care environments.

Using a constructivist grounded theory …

Mission-Scoped 5g Network Lifecycle With Disconnected Udm Cache And Cryptographic Revocation, Bart Van De Velde, Andreas Enotiadis

Defensive Publications Series

A system is proposed herein that defines fifth-generation (5G) subscriber, credential, and policy state for a mission as a machine-readable mission object. The mission object can be staged, instantiated, operated during a loss of central connectivity using a scoped local Unified Data Management (UDM) cache, and dissolved under policy control. The system combines a mission lifecycle state machine with cryptographic revocation of subscriber identity module (SIM), embedded SIM (eSIM), device, and policy assets at mission end.

Access In Teaching Stem Subjects To The Blind, Ashley E. Neybert

Journal of Science Education for Students with Disabilities

There are still many gaps in the literature regarding the difficulties faced by instructors of students who are blind and low vision and who teach Science, Technology, Engineering, and Math (STEM) subjects. We surveyed 26 K-12 STEM teachers about accessible materials they are aware of versus which accessible materials they use in their classrooms, their thoughts on how common challenges identified in the extent literature affect them in their teaching, and their perspective on how much extra time may be required for blind and low vision students (if any) to effectively learn STEM subjects.

Selections From American Poetry League Bulletin, Fall 1973, Lydia O. Jackson, American Poetry League

Lydia O. Jackson Papers

A selection of pages from the Fall 1973 issue of the American Poetry League Bulletin. Included is the bulletin cover, title page, Lydia O. Jackson’s poem, “Books,” and an anonymous article, “A Brief History of the American Poetry League from 1922 to 1964.” The American Poetry League (APL) was first founded in 1922 as the Midwest Poetry League. Jackson was a member of the APL and frequently published poems in the Bulletin. Her collection includes dozens of issues of the Bulletin, as well as related organizational materials. Her poem, “Books,” expresses her love of books and reading.

Event Program For Venison Dinner Honoring Governor And Mrs. Fred G. Aandahl, 1947, Republican Organizing Committee

Lydia O. Jackson Papers

A program, with handmade cover, for a dinner event honoring North Dakota Governor Fred G. Aandahl and his wife, Luella Aandhal nee Brekke. The event was sponsored by the Republican Organizing Committee (ROC) of Grand Forks, Pembina, and Walsh Counties. Aandhal was a founder of the ROC, a conservative faction within the North Dakota Republican Party. He served as governor 1945-1951. The evening included the reading of a poem which Lydia O. Jackson wrote in Aandahl’s honor; it is printed in full on the back of the program. The poem speaks to Aandahl’s agricultural background and public image as a …

Transforming Military Spectrum Management With Spectrack, Rachel Mccoy, Rafa Gould, Abby Fornadel

James Madison Undergraduate Research Journal (JMURJ)

The U.S. military faces operational and financial challenges due to inefficient electromagnetic spectrum
management. This poster and accompanying research statement introduce our minimum viable product, SpecTrack, which we created in response to a challenge presented by the U.S. Department of Defense's Joint Spectrum Agency. SpecTrack centralizes and visualizes spectrum requests to offer insights, streamline communication, and reduce costs. It integrates with current tools like Spectrum XXI and HUNSWDO while enhancing usability through a visual Common Operating Picture (COP). Our user-centered design process included stakeholder interviews and site visits to Germany. The result: a scalable platform that modernizes and simplifies military …

Spinozas Stellung In Der Vorgeschichte Des Dialektischen Materialismus; Reden Und AufsäTze Zur Wiederkehr Seines 250. Todestages, August Thalheimer, A M. Deborin

Hannah Arendt Marginalia - All

Wien, Verlag für Literatur und Politik [1928]

Call #: B3998 .T45

Contains marginal lining PDF information: 17 pages - 11.6 MB

Using Digital Engagement Methods To Balance Democracy And Efficiency In Public Decision Making, Catherine Zietse

PNHA Review

At the bedrock of our democratic society is the active participation of everyday people in shaping public affairs. Local governments seek to build inclusive and democratic processes for decision making, while at the same time being good stewards of scarce resources to efficiently address immediate needs of the community. This paper explores the role of digital engagement in balancing democracy and efficiency in public decision-making by looking at both theory and practice. Academic literature and case studies from the field show that technology and digital engagement platforms do not circumvent the risks of traditional engagement methods but provide both opportunities …

Fitness Standards For Police, Kam Robles

PNHA Review

This research addresses the inherent stressors within police work and the health and wellness problems prevalent among law enforcement officers. Police officers are at a higher risk of many of the health concerns currently plaguing the population of the already unhealthy United States. Of particular note is that back injury and pain stands out as potentially the most prevalent among the health issues experienced by law enforcement personnel. Worsening this fact is the recent trend of law enforcement administrators shying away from the issue of the unhealthy employees of law enforcement agencies. The solution of implementing widespread voluntary physical fitness …

Social Innovation As A Catalyst To Achieving The United Nations Sustainable Development Goals (Sdgs), Patricia Okolo

PNHA Review

This research explores the re-shaping role of social innovation in advancing the Sustainable Development Goals (SDGs), developed by the United Nations in 2015. In the midst of global challenges such as poverty, inequality, and climate change, this research examines social innovation as an important mechanism for achieving sustainable development. The article highlights the significant contributions of social innovation across various sectors, emphasizing its ability to address unmet social needs, promote environmental sustainability, and foster economic development. It identifies critical factors for the success of social innovation, including community involvement, scalability, access to resources, and supportive policy environments, and highlights the …

The Psychology Of Healthy Aging: A Blend Of Cognitive And Behavioral Aspects For Staying Healthy, Esther B. Noah

PNHA Review

Human life expectancy has increased in most parts of the world with a noticeable demographic shift toward a larger population of older adults. This increase and shift have created an unexpected gap in our healthcare system and society. With these changes, how can older adults be guaranteed increased longevity, quality of life, and a healthy life span? This article explores the psychology of healthy aging, emphasizing that proactive health management plans and positive health behaviors contribute to healthy aging among the older adult population. While primary data collection through interviews was conducted to support the study, the analysis primarily relies …

From The Editor-In Chief, Richard W. Jelier

PNHA Review

No abstract provided.

A New Age Of Leaders: Examining The Empowering Effect Of Collaborative Leadership In Nonprofit Organizations, Colton C. Hyble

PNHA Review

In the changing environment in the nonprofit sector, leaders are under increasing pressure to satisfy stakeholders and bring change to their communities. The collaborative leadership style, proposed and built upon by various authors in the twentieth century, is one potential solution. A theoretical analysis was conducted to understand the collaborative style, its strengths and weaknesses, and its applicability to the nonprofit sector. Results showed overwhelmingly positive findings in the impact on the organization, highlighted by increased organizational performance, a positive workplace environment, and superb employee job satisfaction. Few drawbacks and potential pitfalls exist in slowness, the possibility of a narrow …