Digital Commons Network^™

Identifying Research Priorities For Post-Collision Care In The United Kingdom: Protocol For A Road Injury Priority Setting Partnership, Tim Nutbeam, Caroline Leech, Claire E Baker, Elizabeth Box, Lauren R Rodgers, Kerry Dungay, Louise Johnson, Brian Lee, Marilyn Macqueen, Rob Fenwick, Ian Marritt, Ian Dunbar, Ed B.G. Barnard

Peninsula Medical School

Background: Road traffic injury remains a significant global health challenge, causing over 1.2 million deaths and tens of millions of non-fatal injuries each year. In the United Kingdom (UK), more than 1,600 people died and nearly 30,000 sustained serious injuries on the roads in 2024. While improvements in vehicle design, road infrastructure, emergency response, and road user behaviour have contributed to a sustained reduction in road deaths over recent decades, outcomes for those injured remain variable, and post-collision care has received comparatively less research attention. The Road Injury Chain of Survival framework identifies five interdependent stages where timely, coordinated interventions …

The Concise Guide To Pharmacology 2025/26: Catalytic Receptors, Stephen P. H. Alexander, Doriano Fabbro, Chloe J. Peach, Alasdair J. Gibb, Eamonn Kelly, Alistair A. Mathie, Emma L. Veale, Jane F. Armstrong, Elena Faccenda, Simon D. Harding, Christopher Southan, Jamie A. Davies, Annie Beuve, Peter Brouckaert, Clare Bryant, John C. Burnett, Richard W. Farndale, Andreas Friebe, John Garthwaite, Adrian J. Hobbs, Gavin E. Jarvis, Laura Kilpatrick, Doris Koesling, Michaela Kuhn, Birgit Leitinger, David Macewan, Tom P. Monie, Lincoln R. Potter, Michael Russwurm, Harald H. H. W. Schmidt, Johannes-Peter Stasch, Scott A. Waldman

Department of Pharmacology, Physiology, and Cancer Biology Faculty Papers

The Concise Guide to Pharmacology 2025/26 marks the seventh edition in this series of biennial publications in the British Journal of Pharmacology. Presented in landscape format, the guide provides a comparative overview of the pharmacology of drug target families. The concise nature of the Concise Guide refers to the style of presentation, being clear, accessible, and well-structured, rather than the scope of the content, which spans approximately 500 pages. The Concise Guide summarises the key pharmacological properties of around 1900 human drug targets, and nearly 7000 interactions, involving around 4400 ligands. While the content is a substantially condensed version of …

Decolonizing Knowledge As Epistemic Justice: Key Conceptual Tendencies From The Global South, Richard Sambaiga

Tanzania Journal of Sociology

The project of decolonising knowledge has gained renewed prominence as scholars confront enduring epistemic injustices and structural inequalities embedded in global systems of knowledge production. Situated within long-standing anticolonial and postcolonial intellectual struggles, this article interrogates key conceptual dilemmas that continue to shape contemporary debates on decoloniality. Adopting a commentary orientation, it examines what it means to decolonise knowledge by engaging the historical foundations of decolonial thought alongside contemporary critiques that expose the persistence of epistemic hierarchies within modern academic institutions. The article argues that, without conceptual clarity, the decolonial project risks becoming analytically misguided and politically misdirected, potentially reproducing …

Patient And Systemic Barriers To Cancer Care: Implications For Delayed Prostate Cancer Detection In Tanzania, Jane Senga John

Tanzania Journal of Sociology

Prostate cancer is a leading cause of cancer-related mortality among men in Tanzania, with most cases diagnosed at advanced stages. This study explores the interplay of patient-level and systemic barriers that contribute to delayed prostate cancer detection within a tertiary hospital context. Conducted at Bugando Medical Centre in Mwanza, the research employed in-depth interviews with 25 purposefully selected participants, including patients, oncologists, spouses and traditional healers. Thematic analysis was used and guided by Paul Farmer’s structural violence model and Courtenay’s theory of gender and health to interpret how cultural, economic, and structural factors shape health-seeking behaviours. Findings reveal that delays …

Influence Of Household Characteristics And Incident Setting On Child Abuse Cases In Shinyanga Region., Amani Mapamba

Tanzania Journal of Sociology

This study investigates the influence of household characteristics and incident settings on child abuse cases in Shinyanga Region, Tanzania. Grounded in Rational Choice Theory, the study assumes that perpetrators make calculated decisions influenced by household structure and contextual settings. Utilizing a quantitative research approach, cross sectional secondary data were collected from 401 reported child abuse cases at Shinyanga Regional Referral Hospital between July 2020 and April 2023. Binary logistic regression was used to analyze the predictive influence of variables such as relationship to household head, history of abuse in the household, perpetrator identity, and location of the incident. Findings revealed …

Effects Of Corporal Punishments On Students’ Learning: A Case Of Selected Secondary Schools In Tanzania., Adenias Ishabisa

Tanzania Journal of Sociology

The paper presents the practice of corporal punishment on students’ learning in Tanzania secondary schools. Specifically, the study examine how corporal punishment affects students’ learning. The study adopted a qualitative research approach with multiple embedded case study design. Data were collected from 76 participants selected purposefully from Morogoro Municipal, Mvomero District, Sumbawanga Municipal, and Nkasi District. The participants were students, teachers, Regional Educational Officers, District Secondary Educational Officers, and school board members. In-depth interviews, focus group discussions, observation, and documentary reviews were applied to collect data while thematic analysis was used to address the research question. The findings revealed that …

Using Machine Learning To Predict Women At Risk Having A Child With Congenital Heart Defects, Amany M. Abdo Prof., Asmaa M. Mosallam Ms., Laila M. Abdelhamid Assoc.Prof.

Information Systems

Congenital heart defects (CHD) are heart malformations present at birth, affecting heart function and circulation, and are a leading cause of infant mortality. CHD can result from genetic, environmental, and maternal health factors, making early detection essential. Early diagnosis allows for timely intervention, reducing risks like heart failure or stroke. In countries like Egypt, CHD often remains undiagnosed due to limited healthcare resources. Artificial intelligence (AI) can improve early detection by analyzing risk factors. This study presents a predictive model for CHD using maternal and paternal health factors. Data was collected from 571 families: 260 with a CHD-affected child and …

Regenerative And Wellness Medicine: A Boon Or Barrier To Surgical Innovation In Degenerative Spine Care?, Álvaro Dowling, Kai-Uwe Lewandrowski, Morgan P. Lorio, Óscar L. Alves, Rossano Kepler Alvim Fiorelli, Sergio Luis Schmidt, Hansen A. Yuan, Alexander R. Vaccaro

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Regenerative and wellness medicine is rapidly reshaping health care, particularly in the management of degenerative spine conditions. Noninvasive or minimally invasive options such as stem cell therapy, platelet-rich plasma (PRP) injections, and holistic wellness programs are increasingly selected by patients who wish to avoid the risks, costs, and prolonged recovery associated with elective spine surgery.

PURPOSE: This perspective article examines whether regenerative and wellness approaches function primarily as a boon or a barrier to innovation in spine surgery and explores their impact on traditional, insurance-based surgical care models.

METHODS: Using a narrative, opinion-based framework, this article synthesizes current trends …

Radiographic Assessment Of Anterior Maxillary Sites Prior To Immediate Implant Placement: A Retrospective Study On Cbct, Elissa El Alam, Abdallah Menhall, Nabil Ghosn, Pierre Lahoud

International Arab Journal of Dentistry

Objectives: The purpose of this retrospective radiographic study was to measure alveolar bone width at the alveolar crest, intraosseous root length, apical bucco-palatal bone thickness and apical bone height at the anterior maxillary teeth prior to immediate implant placement. Dehiscence and fenestration at these sites were also reported.

Methods: 50 CBCTs were included in this study. Measurements were taken on the right and left sides of the central incisor, lateral incisor, and canine using a 3d slicer program. Frequency of fenestration and dehiscence at these sites were also reported.

Results: Mean bone width at the alveolar crest of the central …

The Assessment Of Ageism In Dental Hygiene Students And Dental Hygienists: A Cross-Sectional Study, Paolo Boffano, Elena Canciani, Valeria Nikolovska, Francesca Santeusanio, Andrea Melle

International Arab Journal of Dentistry

Objectives: Ageism is a common type of discrimination and prejudice that consists in the stereotyping and discrimination against individuals or groups on the basis of their age.The purpose of this study was to assess dental hygienists and dental hygiene students’ attitudes toward geriatric patients, the perceptions of curriculum suitability, and their confidence in treating geriatric patients, together with an assessment of ageism in the study population.

Methods: A survey was conducted among dental hygienists and dental hygiene students. The first part of the questionnaire contained questions related to demographics, and regarding their opinion on treatment in the geriatric population. The …

The Impact Of Parents’ School Choices Towards Schools And Students: A Case Study Of Secondary Schools In Inner Bangkok, Krittin Klaimee, Petchpilai Lattanan

Journal of Letters

Parents typically select the most suitable school for their children based on socioeconomic factors and geographic factors which impact on the ease of travel. With the decline in the student-age population and ongoing urban changes, schools have been significantly impacted, prompting them to adapt to the increasing competition. These impacts not only affect the schools themselves but also the students. This study aims to examine the impact of parental school choice decisions on secondary schools and students in inner Bangkok through in-depth interviews with teachers and focus group discussions with students. The findings reveal that schools with different service areas …

Work-Related Musculoskeletal Disorders: Epidemiology, Risk Factors, Socioeconomic Impact And Prevention - A Narrative Review, Swarna Radhakrishnan, Harini Ramendran, Priyanga Thirunavukkarasu

Digital Journal of Clinical Medicine

Abstract

Work-related musculoskeletal disorders (WMSDs) represent one of the most pervasive and costly occupational health challenges worldwide. Affecting muscles, tendons, ligaments, nerves, joints, and supporting blood vessels, these conditions arise from a complex interplay of physical, psychosocial, organizational, and individual risk factors present across diverse work environments. From factory floors and construction sites to offices and healthcare settings, WMSDs contribute substantially to pain, disability, reduced productivity, absenteeism, and diminished quality of life. This narrative review synthesizes existing literature on the epidemiology, pathophysiology, risk factors, and socioeconomic impact of WMSDs, with particular attention to high-risk occupational sectors. It further discusses prevention …

Beyond Charisma: A Critical Theory Perspective On Populist Leadership In A Post-Covid Age Of Crisis, Samuel Fianko-Ofori, Stephen Apolima

Interdisciplinary Journal of Leadership Studies

This paper argues that the digital communication environment has qualitatively transformed the dynamics of populist leadership, moving it beyond a reliance on personal charisma. While the affective bonds between leaders and followers—explored by classical theorists like Weber, Freud, and Adorno—are not new, their operation within the platformed public sphere marks a distinct shift. We introduce the concept of Affective Populist Leadership (APL) to conceptualize this shift. APL is a mode of leadership sustained through the strategic cultivation and digital amplification of collective emotions. It operates through three mutually reinforcing mechanisms: (1) the perpetual theatrical framing of politics as crisis, (2) …

“A Leader Or A Teacher”: A Latent Theory Of Transformative Education In James Macgregor Burns’S Transforming-Transactional Leadership Paradigm, Evan Rw Dutmer

Interdisciplinary Journal of Leadership Studies

The purpose of this paper is to uncover a latent theory of transformative teaching and learning to be found in James MacGregor Burns’s account of transforming leadership and place it in interdisciplinary conversation with transformative education. The importance of this interdisciplinary exploration consists in this: Burns’s view that good leadership and good teaching are nearly indistinguishable has powerful implications that have been too little recognized. For, if right, teachers ought to view their work as exemplifying leadership (of a mutually beneficial, elevating sort); similarly, leaders across organizations ought to look to transformative teachers as paradigmatic models of good leadership. Expanding …

The Perception Of Leader Identity: The Impact Of The Covid-19 Pandemic On Interfaith Hospital Chaplains, Zachary C. Wooten, Jocelyn R. Brown

Interdisciplinary Journal of Leadership Studies

This article showcases the results of one research question in a multi-question study, specifically, “How do interfaith hospital chaplains perceive themselves leaders or part of the leadership process?” To answer this question, researchers interviewed ten interfaith hospital chaplains and employed interpretive phenomenological analysis (IPA). The analysis revealed the participants’ views that interfaith hospital chaplains are part of the leadership processes in hospital systems. A significant opportunity exists for chaplains and the healthcare system at large to engage in a more expansive, interdisciplinary understanding of leadership with the work of healthcare chaplaincy at the center of such discourse. This understanding moves …

Performance Assessment Of Operators Under Digital Simulator-Based Training In Automated Industrial Systems, Kamola Abdullaeva

Chemical Technology, Control and Management

This article proposes a comprehensive approach to training process operators, based on computer simulators integrated with digital twins, SCADA/DCS systems, real production data, and artificial intelligence algorithms. This approach is particularly relevant given the increased requirements for safety, productivity, and reliability of industrial facilities, as human factors are often the main cause of accidents (up to 60-80% of cases). The architecture of the simulator complex is designed to accurately emulate steady-state, transient, and pre-emergency operating modes of equipment, which are not achievable under actual production conditions. The experiment compared the training effectiveness of two groups of operators: one that used …

Severe Drug-Induced Gingival Overgrowth In A 21-Year-Old: A Rare Presentation And Its Surgical Resolution, Raagul Somasundaram, Sumit Malhotra, Rahul Chopra, Gaurav Das

International Arab Journal of Dentistry

Gingival overgrowth is well documented side effect associated with three major classes of drugs viz, anticonvulsants, calcium channel blockers, and immunosuppressants. Dental Surgeons need to discuss this issue with their medical colleagues and to practice care while prescribing the drugs associated with gingival overgrowth. The aim of present article is to report a rare case of gingival enlargement with long term Drug history. Drug-induced gingival enlargement often occurs due to patient’s lack of awareness about the side effects of prescribed medications. This case report presents with an unusual rare instance of massive drug-induced gingival overgrowth in a 21-year-old male, successfully …

A Return To The Real: Elder Wisdom, Story, And The Great Mystery Of Consciousness, Patrice V. Mathon-Nerad Phd

Journal of Conscious Evolution

This essay honors the life and legacy of consciousness scholar Allan Leslie Combs by exploring elder wisdom as an epistemic, ethical, and spiritual stance grounded in openness to the great mystery of consciousness. Drawing on Combs’s writings, Charlene Spretnak’s articulation of the Real, and Malidoma Somé’s teachings on elderhood, the essay contrasts elder understanding with contemporary psychiatric approaches that impose epistemic certainty upon the vastness and lived complexity of human consciousness. Portions of this essay are adapted from the author’s 2023 doctoral dissertation, Separation from the Real: The Power of Story at the Heart of the Civil Commitment Process, …

Challenges And Opportunities For India As Well As Wellness Destinations, Michael Wallace

Visions in Leisure and Business

India has emerged as a globally recognized wellness destination, grounded in 5,000 years of traditional healing systems such as Ayurveda, Yoga, Unani, Siddha, and Naturopathy. Supported by rich cultural heritage, diverse landscapes, and a reputation for spiritual authenticity, India continues to attract international wellness travellers seeking holistic, transformative experiences. This article examines the opportunities that strengthen India’s competitive position—such as government-backed initiatives (including the AYUSH Visa), expansion of high-end wellness resorts, and rising global interest in sustainability and authentic cultural immersion—as well as the challenges that threaten its long-term leadership in the global wellness economy.

Drawing on generational analysis, the …

Factors Influencing The Success Of Student Veterans In Higher Education

Faculty Publications and Presentations

A case study was conducted at a private institution of higher education to gain a deeper understanding of the factors that support student veterans, a nontraditional student demographic in a private institution of higher education. The article explains the interplay and relationship between what nontraditional students bring to the academic experience, the role of educators, and factors contributing to or detracting from their success in higher education. Analysis of key issues related to combat student veterans in higher education revealed common themes and contextual information from which the lessons learned were developed. The results of the study indicate that the …

Context Matching Is Not Reasoning When Performing Generalized Clinical Evaluation Of Generative Language Models, Andrew Wen, Qiuhao Lu, Yu-Neng Chuang, Guanchu Wang, Jiayi Yuan, Jiamu Zhang, Liwei Wang, Sunyang Fu, Kurt D Miller, Heling Jia, Steven D Bedrick, William R Hersh, Kirk E Roberts, Xia Hu, Hongfang Liu

Faculty, Staff and Student Publications

Current discussion surrounding the clinical capabilities of generative language models(GLMs) predominantly centers around multiple-choice question-answer(MCQA) benchmarks derived from clinical licensing examinations. While accepted for human examinees, characteristics unique to GLMs bring into question the validity of such benchmarks. Here, we validate five benchmarks using eight GLMs, ablating for parameter size and reasoning capabilities, validating via prompt permutation three key assumptions that underpin the generalizability of MCQA-based assessments: that knowledge is applied, not memorized, that semantic consistency will lead to consistent answers, and that situations with no answers can be recognized. While large models are more resilient to our perturbations compared …

Context Matching Is Not Reasoning When Performing Generalized Clinical Evaluation Of Generative Language Models, Andrew Wen, Qiuhao Lu, Yu-Neng Chuang, Guanchu Wang, Jiayi Yuan, Jiamu Zhang, Liwei Wang, Sunyang Fu, Kurt D Miller, Heling Jia, Steven D Bedrick, William R Hersh, Kirk E Roberts, Xia Hu, Hongfang Liu

Faculty, Staff and Student Publications

Current discussion surrounding the clinical capabilities of generative language models(GLMs) predominantly centers around multiple-choice question-answer(MCQA) benchmarks derived from clinical licensing examinations. While accepted for human examinees, characteristics unique to GLMs bring into question the validity of such benchmarks. Here, we validate five benchmarks using eight GLMs, ablating for parameter size and reasoning capabilities, validating via prompt permutation three key assumptions that underpin the generalizability of MCQA-based assessments: that knowledge is applied, not memorized, that semantic consistency will lead to consistent answers, and that situations with no answers can be recognized. While large models are more resilient to our perturbations compared …

Hate Speech Detection Using Optimized Feature Representation Via Spiral-Grey Wolf Optimizer-Based Machine Learning Approaches, Noor S. Farhan, Matheel E. Abdulmunim, Hasanen S. Abdullah

Journal of Soft Computing and Computer Applications

Hate speech detection is crucial as social media diversifies. This research present a lightweight, scalable system using traditional machine learning methods along with a new approach called Spiral-Grey Wolf Optimizer (S-GWO).

S-GWO effectively selects key features that consider both meaning and content from the Term Frequency Inverse Document Frequency (TF-IDF) space, leading to high-quality representation without excessive computing power.

The propoused system was tested on Arabic and another English datasets using six machine learning methods: SVM, RF, LR, KNN, NB, and SGD. It achieved 92% accuracy and F1 score on the Arabic dataset, while reaching 100% accuracy on the English …

Roan Stallion, Tamar And Other Poems: Centennial Edition, By Robinson Jeffers, Brett Colasacco

Jeffers Studies

No abstract provided.

A Theology Of Creation: Ecology, Art, And Laudato Si', By Thomas Hibbs, David Rothman

Jeffers Studies

No abstract provided.

Wild Anthropocene Literature And Multispecies Justice In Deep Time, By Louise Economides, George Hart

Jeffers Studies

No abstract provided.

Managing The Uncertainty Of "Precision" While Navigating Goals Of Care: A Framework For Collaborative Interpretation Of Complex Genomic Testing Results In Critically-Ill Neonates, Donnamaria E. Cortezzo, Katharine Press Callahan, Bimal P. Chaudhari, Elliott M. Weiss, Monica Hsiung Wojcik, Krishna Acharya, Amy B. Schlegel, Kevin M. Sullivan, Jessica T. Fry

Department of Pediatrics Faculty Papers

Each year, many neonates are born with genetic diagnoses that carry a range of prognoses. As the types and availability of genetic testing have expanded, neonatal intensive care units (NICUs) have served as "launching points" for their clinical application. Broad genetic testing has both improved diagnostic precision and expanded uncertainty. Genetic information may be explicitly uncertain, as in the case of a variant of unknown significance (VUS). But it is also frequently uncertain whether/how the information relates to a patient's phenotype or what it may mean for a child's future. Even without ambiguity in the diagnosis or prognosis, the significance …

A Social Media-Based Framework For Marketing Architectural Design Firms In Egypt During Global Economic Downturn, Ayman Ahmed Ezzat Othman, Yara Ahmed Maarek

Architectural Engineering

Purpose – The global economic downturn has greatly impacted the construction industry and architectural design firms (ADFs). Social media, however, provides a strategic avenue to enhance the visibility and resilience of ADFs. This paper aims to develop a framework integrating social media as an innovative marketing approach for mitigating the impacts of the global economic downturn on ADFs in Egypt.

Design/methodology/approach – A qualitative and quantitative research approach was designed to accomplish four objectives. The literature review examined the global economic downturn and marketing ADFs. Three case studies investigated the role of social media in marketing ADFs during economic uncertainties. …

Development Of A Social Media Political Engagement Scale For Thai Youth, Thanaphol Huayhongtong, Nhabhat Chaimongkol

Journal of Education Studies

The purpose of this research was to develop and validate a social media political engagement scale for Thai youth. The sample consists of 934 grade 10-12 students in the academic year 2025, from schools administered under the Office of the Basic Education Commission (OBEC), Ministry of Education. Recruiting by using a muti-stage random sampling. The research instrument was a social media political engagement scale, a 5-point Likert scale, consisting of 73 items. The psychometric quality of the scale was evaluated using the content validity index (CVI), item discrimination indices, and internal consistency reliability. The finalized scale comprised 49 items across …

Read Well, Read Right: Developing Thai Reading Skills Of Third-Grade Students Through Phonics-Based Instruction Combined With Reading Skill Exercises, Wirachai Longkaeo, Sitah Thayati

Journal of Education Studies

This pre-experimental research aimed to 1) examine the effects of phonics-based instruction combined with reading skill exercises on Thai reading skills of third-grade students, and 2) investigate the learning process and factors contributing to the success of this instructional approach. A one-group pretest-posttest was employed. The target group consisted of 15 third-grade students from a private school in Chiang Mai Province, selected through purposive sampling based on their Thai reading assessment scores, identifying students with beginning-level reading foundations. The intervention lasted 10 hours. Research instruments included 1) a Thai reading skill test, and 2) observation and student reflection form. Quantitative …