Digital Commons Network^™

Acl Injuries In Major League Soccer: A 10-Year Analysis Of Injury Rate And Return To Play, And Performance Metrics By Player Position, Brian Forsythe, Catherine Hand, Camden Bohn, Francis Hand, Vahram Gamsarian, Daanish Khazi-Syed, Joshua Chang, Vikranth Mirle, Eric Giza, Robert Brophy, Danyal Nawabi, Bert Mandelbaum

2020-Current year OA Pubs

BACKGROUND: Anterior cruciate ligament (ACL) injuries are among the most debilitating injuries in professional soccer, often leading to extended recovery times and performance impacts. While much is known about ACL injury outcomes in European leagues, data specific to the Major League Soccer (MLS) remains limited.

PURPOSE/HYPOTHESIS: This study aimed to assess the return to play (RTP) times, RTP rates, and performance outcomes after ACL reconstruction in MLS athletes. It was hypothesized that RTP times would improve over the study period and that player performance would stabilize by the third post-injury season, consistent with findings from other professional soccer leagues.

STUDY …

Effective Leadership Strategies For Aligning Vision And Mission To Drive Sustainability, Nyree Price

Walden Dissertations and Doctoral Studies

Organizational leaders often struggle when ambitious innovation outpaces the systems, structures, and leadership practices needed to support consistent operational performance. When leaders fail to implement effective resolution strategies to align the organizational vision and mission with operational effectiveness, it impacts long-term operational effectiveness, productivity, and long-term sustainability. This qualitative single case study was an exploration of the strategies used by some business leaders in a mid-sized, for-profit telecommunications firm in the Midwest United States. The study applied the Baldrige Excellence Framework as the conceptual lens. Data were collected through semistructured interviews with executive leaders and through an analysis of internal …

First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller

Walden Dissertations and Doctoral Studies

First responders' mental health resiliency and distress tolerance following crises and adverse, sporadic, and consistent exposure to critical incidents, such as line-of-duty death, mass casualty incidents, and calls involving children, continues to be a public health challenge in the United States. In this phenomenological study, the role of critical incidents in the overall mental and physical health resiliency of first responders was explored. Resilience theory served as the theoretical perspective for this study. The central research question for this study was to investigate the lived experiences of first responders who have been exposed to critical incidents in the line of …

Exploring Workforce Retention In A Behavioral Health Organization: A Qualitative Study, Meagan Tamara Copelin

Walden Dissertations and Doctoral Studies

Workforce retention among mental health professionals has been a central focus of scholars as behavioral health systems continue to face chronic staffing instability (Hallett et al., 2024). Researchers have demonstrated that burnout, limited organizational support, and resource misalignment significantly influence turnover in these settings (Maslach & Leiter, 2016; Pulman & Fenge, 2024). However, researchers have not yet established how mental health professionals within a single publicly funded, state-operated behavioral health organization interpret the organizational and cultural factors that influence their decision to remain employed. The purpose of this qualitative single-case study was to explore how mental health professionals in a …

Implementation Of Single-Pill Combination Medication For Hypertension Treatment By Nonphysician Health Care Workers At Primary Healthcare Facilities In Nigeria: An Explanatory Mixed Methods Study, Emmanuel I Okpetu, Chisom Obiezu-Umeh, Boni M Ale, Abigail S Baldridge, Rosemary C B Okoli, Grace J Shedul, Gabriel L Shedul, Nanna R Ripiye, Ikechukwu A Orji, Lisa R Hirschhorn, Dike B Ojji, Mark D Huffman, Hypertension Treatment In Nigeria Program Investigators

2020-Current year OA Pubs

BACKGROUND: Single-pill combination (SPC) therapy improves hypertension control; however, its implementation in primary care settings remains limited. In Nigeria, there is insufficient evidence on factors influencing SPC uptake, particularly from the perspective of healthcare workers (HCWs). This study examined the implementation of SPC medications for hypertension treatment by nonphysician HCWs at primary healthcare facilities (PHCs) in Nigeria.

METHODS: An explanatory sequential mixed methods study was conducted, building on a cluster randomized controlled trial embedded within the Hypertension Treatment in Nigeria Program. The trial compared SPC medications with free-equivalent combination therapies across 60 PHCs (January-June 2021). A subsequent qualitative component (September-December …

Enteric Nervous System Degeneration In Human And Murine Cln3 Disease, Is Ameliorated By Gene Therapy In Mice, Ewa A Ziółkowska, Letitia L Williams, Matthew J Jansen, Sophie H Wang, Elizabeth M Eultgen, Jaiprakash Sharma, Marco Sardiello, Rebecca P Bradley, Ineka T Whiteman, Mark S Sands, Robert O Heuckeroth, Jonathan D Cooper

2020-Current year OA Pubs

Severe gastrointestinal (GI) symptoms occur in people with CLN3 disease, a neurodegenerative disorder. If left untreated these GI symptoms compromise life quality and may contribute to death. We hypothesized GI symptoms in CLN3 disease are at least partially due to neurodegeneration in the enteric nervous system (ENS), the master regulator of bowel function. We examined the integrity of the ENS in human CLN3 autopsy small bowel and colon, and in CLN3 deficient (Cln3Δex7/8) mice. We performed detailed immunohistological analyses of enteric neurons and glia and assessed bowel transit times at multiple disease stages. We then tested the therapeutic potential of …

Enhancing Wind Turbine Aerodynamics With Flow Controller: A Review, Oluwaseyi O. Alabi, Adewale R. Inaolaji, Monsuru O. Mufutau

Al-Bahir

Wind turbines are vital to global renewable energy strategies, yet their aerodynamic performance often falls short of optimal levels, limiting overall efficiency and increasing operational loads. Flow controllers, devices designed to manipulate airflow around turbine blades, have emerged as a promising means of enhancing power capture while mitigating fatigue and structural stresses. This review presents a comprehensive synthesis of current research on aerodynamic optimization using flow controllers, covering both conventional and emerging technologies such as vortex generators, Gurney flaps, microtabs, and plasma actuators. The review evaluates the aerodynamic principles behind these devices, their reported performance improvements in laboratory and field …

Sphenocentrum Jollyanum: Pharmacological Insights Into A Neglected African Medicinal Plant, Albashir Tahir

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Sphenocentrum jollyanum Pierre (Menispermaceae) is a West African medicinal plant used traditionally for various ailments, including malaria, diabetes, and reproductive disorders. Despite its ethnobotanical significance, comprehensive scientific validation of its pharmacological properties remains limited. This review aims to provide a comprehensive overview of the plant’s ethnobotany, phytochemistry, and pharmacological activities, integrating traditional knowledge with modern scientific insights to guide future research. A comprehensive literature search was conducted in PubMed, ScienceDirect, Scopus, Google Scholar, and Web of Science, covering publications up to April 2025. Search terms included "Sphenocentrum jollyanum", "ethnobotanical use", "pharmacological effects", and related keywords. Relevant articles were screened, and …

History And Prevention Of Foot-And-Mouth Disease Virus In Iraq: A Review, Ashwaq M. S. Al-Jbouri, Baraa Hamid Hadi, Saad Mardi Muhammad, Raoof J. A. Maaroof, Nada Khazal K. Hindi, Karrar Kamoona, Zainab Ayad, Rusul Ahmed Mohammed

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Foot-and-mouth disease Virus (FMDV) is an extremely transmittable viral illness that affects cloven-hoofed faunae, such as cattle, goats, sheep, and pigs. This study aimed to demonstrate the history and prevention of foot-and-mouth disease (FMD) in Iraq. This virus poses a significant threat to the economy, necessitating strict measures to control and prevent its spread, particularly due to its high morbidity and mortality rates, especially in young faunae. It is one of the most contagious diseases as it is transmitted directly or indirectly from a diseased fauna to a healthy one through contact with resources contaminated with the virus, such as …

Full Issue, Kritika Kultura

Kritika Kultura

No abstract provided.

Three Poems, Allan Justo Pastrana

Kritika Kultura

No abstract provided.

On An Island, Somewhere, Neal Amandus Gellaco

Kritika Kultura

No abstract provided.

New Arrival, Efmer E. Agustin

Kritika Kultura

No abstract provided.

Bagong Dating, Efmer E. Agustin

Kritika Kultura

No abstract provided.

Killing Manong Johnny, Lakan Umali

Kritika Kultura

No abstract provided.

Metamorfascis, Kristine Ong Muslim

Kritika Kultura

No abstract provided.

Willie “I’M Just A Ceo” Cruz Meta, Doomscrolling, And Social Marketing Solutions And Social Marketing Solutions, Lawrence Bernabe

Kritika Kultura

No abstract provided.

Willie “Ceo Lang Ako” Cruz Meta, Doomscrolling, And Social Marketing Solutions, Amado Anthony G. Mendoza Iii

Kritika Kultura

No abstract provided.

Practical Applications And Theoretical Possibilities On The Study Of Kapres Of The Sociedad Científica, Christian Jil Benitez

Kritika Kultura

No abstract provided.

Mga Praktikal Na Aplikasyon At Teoretikal Na Landasin Ng Mga Pag-Aaral Sa Kapre Ng Sociedad Cientifica, Alvin Yapan

Kritika Kultura

No abstract provided.

The Kataw, Aidan Bernales

Kritika Kultura

No abstract provided.

Toward Somewhere Livable: Contemporary Filipino Fiction Against Primers Of Values, Edgar Calabia Samar

Kritika Kultura

This introduction to the Kritika Kultura special issue positions contemporary Filipino fiction as a counter-practice to state-driven moral discourses that flatten history, depoliticize crisis, and naturalize inequity. Reading against the NCCA’s Filipino Values for the Common Good, the essay argues that literary work in Filipino refuses the primer’s rhetoric of timeless virtues by foregrounding structural violence, decolonial epistemologies, and the uneven terrains of translation. Through close attention to the nine selected works written originally in Filipino— and to the English translations that accompany them—the introduction shows how fiction enacts a literacy of refusal that interrupts the coercive demands of state, …

In The Trenches: The Value Of Value In Contemporary Philippine Fiction, Glenn Diaz

Kritika Kultura

In this critical introduction, I investigate the possibilities in as well as the potential limits of the notion of “halaga” or value in thinking about the works that are part of this Kritika Kultura special literary section on contemporary Philippine fiction. I argue that the value of value as a critical paradigm is simultaneously formal, political, thematic, and practical, as much an aesthetic curiosity as it is a discursive dilemma, and that any inquiry into what is valued in Philippine fiction today necessarily inquires into how one lives at a fraught historical moment marked by persistent structural violence. I situate …

Paghangang Pinoy: Ang Produktibong Pakikialam At Pakikisangkot Na Sinusuong Ng Filipino Fandom, Andrea Anne Trinidad

Kritika Kultura

In reviewing existing writings and studies on the culture of fandom among Filipino fans, most narratives highlight their dedication to active participation, which Fan Studies currently explores as fan activism. Thus, engaging in civic responsibilities has become habitual among fans, shaped by the qualities they admire in their idols and by their desire to present them positively in the public eye. From this tradition that could then be highlighted as the center of Filipino Fan culture, the research will investigate why there seems to be a common impulse among the fans of different generations–from the Noranians of 1970s, members of …

Exploring K-Pop Fandom As A Space Of Support: The Case Of Lgbtq+ Fans From Australia And The Philippines During The Covid-19 Pandemic, Thomas Baudinette, Kelsey Scholes

Kritika Kultura

This article draws upon qualitative interviews with seventeen LGBTQ+ individuals to explore the role of K-pop fandom in providing support to queer communities during the COVID-19 pandemic. The article adds a new critical perspective into academic and journalistic accounts of K-pop fandom to insist on K-pop consumption as a practice that fundamentally improves fans’ mental health. Beginning by establishing how K-pop fandom spaces, particularly on social media, were considered to already support LGBTQ+ fans’ attempts to make sense of their gendered and sexual identities under societal heteronormativity, the article details specific benefits that LGBTQ+ fans experienced with regard to their …

Red Flag In The Pearl Of The Orient?: The Image Of China In The Philippine Periodical La Solidaridad (1889-1895), Lois Mauri Anne Liwanag, Tiffany Ritz Mendoza, Sophia Marie Enriquez, Vianca Jamyla Joven, Leslie Anne Liwanag, Michael Charleston "Xiao" Chua

Kritika Kultura

This paper attempts to deduce how certain articles in La Solidaridad that specifically discussed China present a general image of the said Celestial Empire. Its significance lies in the fact that it can provide further knowledge of how Filipino intellectuals of that time perceive the Philippines in relation to its neighbors in Asia as well as the dynamics of the region’s political situation. This article is also important due to its potential to provide a Filipino perception of China before it was altered by the Philippine-Chinese territorial conflict that emerged during the latter part of twentieth century. This paper has …

Symbolism In Liu Yichang’S Inside The Temple, Lingshuang Lai, Yue Zhang

Kritika Kultura

Liu Yichang’s (刘以鬯, 1918–2018) novella Inside the Temple (Sinei; 寺内), has been widely regarded, along with The Drunkard (Jiutu; 酒徒) and Intersection (Duidao; 对倒), as one of the best representatives of Liu’s work due to its narrative completeness and unique literary style. This article explores the symbols that Liu adopts in Sinei as he merges Western stream-of-consciousness techniques with Chinese poetic language. Liu’s synthesis offers fresh insight into humanity, life, and society from two perspectives: “abstract” and “concrete.” Certain images in the novella carry an “abstract” geometric quality and can be categorized as either symbols of the “straight line” (zhixian; …

Towards A Trans-Ethnic Representation Of Survival: Illness And Medical Writing In The Rag Doll Plagues, Qianqian Xu, Baojie Li

Kritika Kultura

As a peculiar condition affecting the body or mind, illness is an inescapable aspect of human existence. While intimately connected to the body, it does not belong solely to the domain of natural science. Instead, illness is a phenomenon inherently embedded in power relations and cannot be understood without the influence of external factors such as politics, religion, ideology, and economics. In Alejandro Morales’s historical novel The Rag Doll Plagues, the diachronic histories of different geographic spaces intersect synchronically due to the pervasive presence of human disease. Morales invites readers to explore the interplay between illness— particularly epidemic and pandemic …

Whose Story Is It? Postcolonial Racialization, Social (Im)Mobility, And Crony Capitalism In Tash Aw’S Five Star Billionaire, Chi Miao

Kritika Kultura

Malaysian Chinese author Tash Aw’s novel Five Star Billionaire narrates the stories of five Malaysian Chinese individuals striving to establish themselves in Shanghai by seeking opportunities for advancement, economic prosperity, and personal transformation. Drawing from Dan Shen’s narratological theory of dual narrative dynamics, which states how texts can have overt and covert narrative progressions, this article elucidates the novel’s hidden agenda by exploring how the characters’ experiences in contemporary China are intricately connected to their past in Malaysia. If interpreted according to the narrative’s overt progression, Five Star Billionaire depicts individuals who are enticed and ensnared by the forces of …

Korean Division Trauma And Mourning Communities, Kim Seok, Kim Jong Gon

Kritika Kultura

Division trauma is marked by traits specific to the Korean context, including extreme ideological polarization and a complex mix of superiority and inferiority. Our research introduces the concept of “mourning communities” as a framework for collective healing. It synthesizes the psychoanalytic theory of mourning with Turner’s notion of Communitas, understood here as an evolving mode of social engagement. While previous studies have attributed division trauma to the collapse of the “Nation≠State” caused by colonial rule and the Korean War, they have not fully accounted for its enduring impact on Korean society. We argue that division trauma was internalized within the …