Digital Commons Network^™

Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar

Walden Dissertations and Doctoral Studies

The oral health status of Syrian refugees has been impacted by war and displacement since the 2011 civil war. To date, limited in-depth knowledge is available on oral health experiences of resettled Syrian refugees in the United States. The purpose of this qualitative study was to explore lived oral health experiences of resettled Syrian refugees before, during, and after the 2011 Syrian civil war. The health belief model (HBM) and theory of planned behavior (TPB) were theoretical frameworks for this phenomenological inquiry. The study was guided by semi-structured phone interviews with a purposeful sample of 11 Syrian refugees over the …

Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …

Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa

Walden Dissertations and Doctoral Studies

This doctoral project was an organization change initiative using staff education to reduce patient identification errors during handoffs among older adults with Type 2 Diabetes (T2DM). Misidentification during transitions of care contributes to medication errors, unnecessary readmissions, and preventable adverse events

In The Matter Of The Guardianship Of A.L.R.-Q., A.R.W., And A.M.W., Minor Protected Persons, 141 Nev. Adv. Op. 66 (Dec. 23, 2025), Karin Tidgewell

Nevada Supreme Court Summaries

In the Matter of the Guardianship of A.L.R.-Q., A.R.W., and A.M.W., Minor Protected Persons, the Court of Appeals held protected minors’ guardians have procedural due process rights of notice and a meaningful opportunity to be heard before removal or termination of guardianship.

Draft Final Quarterly Operations And Maintenance Report: Butte Treatment Lagoon System – Third Quarter 2025, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Predictive Modeling Of Hematoma Expansion From Non-Contrast Computed Tomography In Spontaneous Intracerebral Hemorrhage Patients, Natasha Ironside, Shinjini Kundu, Et Al.

2020-Current year OA Pubs

Hematoma expansion is a consistent predictor of poor neurological outcome and mortality after spontaneous intracerebral hemorrhage (ICH). An incomplete understanding of its biophysiology has limited early preventative intervention. Transport-based morphometry (TBM) is a mathematical modeling technique that uses a physically meaningful metric to quantify and visualize discriminating image features that are not readily perceptible to the human eye. We hypothesized that TBM could discover relationships between hematoma morphology on initial Non-Contrast Computed Tomography (NCCT) and hematoma expansion. 170 spontaneous ICH patients enrolled in the multi-center international Virtual International Trials of Stroke Archive (VISTA-ICH) with time-series NCCT data were used for …

Review Of Astronomy – 2e, Satya R. Kachiraju

Open Educational Resources - Reviews

No abstract provided.

Killing Like A State: Explaining The Edge Cases Of Rebel Perpetration Of Wartime Genocidal Violence, Cheng Xu

Government: Faculty Publications

Genocide scholarship overwhelmingly identifies states as the primary perpetrators of genocidal violence. While non-state armed groups, particularly pro-government militias, have been implicated in genocide, rebel-perpetrated wartime genocidal violence remains exceedingly rare. This paper argues that state-centric explanations of genocide can be exported to explain these edge cases. I argue that four high-threshold conditions must align for rebels to commit wartime genocidal violence: (1) effective territorial control, (2) the dispensability of civilian support, (3) a rigid and exclusionary ideological program, and (4) perceptions of threat, typically constitutive rather than military, where the target group is framed as incompatible with the nascent …

Characterization Of Aluminum Black Dross Leachate From The Tertiary Smelting Industry In Jombang, East Java, Maya Lukita, Etty Riani, Ahyar Ismail, Zaenal Abidin

Makara Journal of Science

Aluminum black dross is a type of hazardous waste because it readily reacts with water to produce gas. Previous studies have reported the potential dangers of aluminum black dross to humans and the environment. This study examined the characteristics of aluminum black dross from Jombang Regency, East Java Province. The properties investigated included the volume of gas produced during leaching, the solubility of salts and aluminum under various conditions, and the mineral characteristics analyzed via Fourier transform infrared (FTIR) spectroscopy, X-ray fluorescence (XRF), and X-ray diffraction (XRD). Notably, 115 mL of gas was produced from each 0.5 g of aluminum …

Latent Action Trajectory Optimization, Rahul Milind Kandekar

Master's Theses

Learning from demonstrations offers a path to bypass the sample inefficiency of reinforcement learning, but obtaining action-labeled expert demonstrations remains expensive and often impractical. Learning from Observations (LFO) addresses this by learning policies from observation-only demonstrations. Recent LFO work relies heavily on behavior cloning: VPT and LAPO use observation-only data combined with limited action labels to train BC policies, while AIME offers an alternative policy inference approach but requires the majority of its training data to have action labels. Through systematic experiments in the Lunar Lander environment, we investigate whether latent action methods can function when state and action dimensionalities …

Design Of An Fsae Muffler, Suzy Schwabl

Mechanical Engineering and Materials Science Independent Study

To compete in the dynamic events at the the Formula SAE IC competition, each vehicle must undergo a rigorous technical inspection. One element of the inspection is the Noise Test, which states that each car must be quieter than 103 dBc when idling and less than 110 dBc at the engine redline. Over the past few years, WashU Racing has used off-the-shelf mufflers with a guess and check system to find muffler combinations that satisfy the noise requirement. The results of that method have yielded either heavy and performance damaging muffler configurations or mufflers that have failed to meet the …

Relationship Between Principal Instructional Leadership And Students' 21st Century Skills Performance On The National Achievement Test (Nat), Mark – Jhon R. Prestoza, Niño D. Naldoza

PUP Education Review

This study aims to examine the relationship between principal instructional leadership behaviours and students’ performance in key 21st Century Skills, as measured by the National Achievement Test (NAT). The sample was selected using a stratified random sampling method, encompassing public schools within the region. The final study group consisted of 11 principals and 327 teachers across various educational institutions, with a total of 670 teachers in the region. To assess principal instructional leadership behaviours, the Principal Instructional Management Rating Scale (PIMRS) was employed, while students’ performance in problem-solving, information literacy, and critical thinking was measured using the NAT results. Data …

Effectiveness Of Nurturing Engagement And Lifelong Learning Through Audio-Visual (Nella) As Supplementary Materials In Enhancing The Academic Performance Of Grade 11 Students In Food And Beverage Services, Wileila G. Ignacio

PUP Education Review

The demand for skilled professionals in the Food and Beverage Services sector highlights the critical need for effective teaching methodologies that can boost student engagement and performance. However, conventional classroom instruction often struggles to meet the diverse learning needs of students and to provide the practical, immersive experience necessary for a deep understanding of the subject matter. This challenge points to a notable research gap: the need to explore innovative supplementary educational tools, specifically audio-visual materials, and their direct impact on knowledge retention and comprehension in this vocational area. To address this, the current study investigated the effectiveness of Nurturing …

Narratives Of The Community Skills Development Program Completers In District 1, Makati, Soliel Samson, Jonathan Florida

PUP Education Review

The Community Skills Development Program (CSDP) is a term encompassing all the skills training taken by our completers as implemented by TESDA or DSWD in partnership with other government bureaus, the local government units (LGUs), and/or with the support of private entities or non-governmental organizations (NGOs) to provide skills training to the low-income and vulnerable sectors of the municipality. The study focused on the completers from the 1st District of Makati, exploring their perspective and experiences in taking the CSDP to highlight the achievement of its main goal of combating poverty by enhancing the participants’ knowledge, skills, and attitudes, thereby …

Beyond The Human–Animal Transformation In Hasan Aourid’S SīRat ḤImāR And Rawi Hage’S Cockroach, Noha Hanafy

English Language and Literature

The paper examines the human-animal transformation as a marker of identity explo-

ration in Moroccan writer Hassan Aourid’s Sīrat Ḥimār (2014 سيرة حمار) and Lebanese

Canadian writer Rawi Hage’s Cockroach (2008). The two texts employ the concept of

the human-animal transformation to highlight the complexity of the marginalized

existence in the world. Both texts present nuanced versions of the human-animal

transformation which renders the experience both emancipatory and destabilizing at

the same time. Using the theoretical framework of Deleuze and Guattari’s work on

becoming-animal and the deterritorialization of existence along with Derrida’s discus-

sion of the anthropocentric limit, the paper …

Electrochemical Behavior Of Dental Alloys After Surface Modification By Sputtering Coating Technique, Noor Muneerabdulsahib, Nidhal Sahib Mansoor, Muna Noori Ismail

Hilla University College Journal For Medical Science

For metallic materials, the corrosion behavior is the most important property to be considered due to the biocompatibility and cytotoxicity of the products of the corrosion process in vivo. Numerous coating processes have been developed to improve corrosion resistance, enhance the metal’s surface qualities, and increase its service life. The purpose of this review was to gather data on the corrosion of alloys in dentistry and plasma sputtering coating techniques to improve the surface characteristics of substrates. Several databases, including google scholar, pubmed, science direct, and web of science were searched electronically, and a manual search of the scientific literature …

Association Between Tlr2 Gene Mutations And Pulmonary Function In Patients With Pulmonary Tuberculosis, Hayder Ghali Wadi Algawwam, Basheer Ali Kareem

Hilla University College Journal For Medical Science

Background: Toll-like receptor 2 (TLR2), which is expressed on myeloid cells, detects harmful substances from invading infections or host-damaged tissues, leading to inflammation.

Objectives: Evaluation of the effects of TLR2 gene mutation on pulmonary function in pulmonary tuberculosis.

Methods: A prospective observational study lasting from January 2024 to December 2024 carried out on a sample of Iraqi patients from Kirkuk city who attended TB units at primary health care districts. Spirometry was done for all patients 2 months after the onset of anti-TB treatment and again after 6 months at the end of the treatment course. Blood samples …

Intraosseous Lipoma Of The Calcaneus: A Systematic Review Of Reported Cases, Imaging Characteristics, And Treatment Outcomes, Adam W. Youssef, Paul M. Doney, Cameron Ballard, Dryden Dalbey, Jayden Harrington

Student Publications

Intraosseous lipoma (IOL) of the calcaneus is a rare benign tumor composed of mature adipose tissue that may undergo fat necrosis and calcification. Because its imaging features can overlap with other radiolucent bone lesions, calcaneal IOL is sometimes misclassified and may prompt biopsy or surgical intervention for definitive diagnosis. To better characterize this entity, we conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and performed a comprehensive PubMed search using the terms “intraosseous lipoma”, “calcaneus”, and “heel bone”. Eligible studies included case reports and series published between January 1976 and May 2024 …

Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami

Walden Dissertations and Doctoral Studies

This study explored the social and psychological challenges Afghan refugee professionals experienced when they entered the U.S. workforce after being forcibly displaced. Trauma, job loss, and cultural adjustment significantly impacted their mental health and reintegration. The study examined how social and psychological obstacles impacted their cultural adjustment, well-being, and capacity to deal with credentialing and professional demands. This research employed a qualitative phenomenological design, grounded in Conservation of Resources (COR) Theory and the Stress Appraisal Model, using 60-minute audio-only, semi-structured interviews with 10 Afghan refugee professionals. Using Reflexive Thematic Analysis (RTA), according to the findings, participants faced challenges relating to …

Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun

Walden Dissertations and Doctoral Studies

Health checkups and wellness visits are a vital pathway to early detection and diagnosis of disease. It is not known whether young adults, insured or not, are opting into preventive care services to optimize health status via health checkups/wellness visits at primary care academic health centers. The purpose of this quantitative study was to examine the relation of wellness visits to healthcare insurance and health status while adjusting for gender among young adults ages 18–35 years in the United States. A descriptive correlational design was used with the 2023 National Health Interview Survey data set (N = 6,544). The results …

Quantitative Structure-Activity Relationship, Pharmacokinetics, Drug-Likeness, Toxicity, And Molecular Docking Studies Of 4-N-(Methyl)-4-Aminoquinoline Derivatives As Antimalarial Compounds, Muhamad Jalil Baari, Devi Hardiyanti

Makara Journal of Science

Antimalarial drug resistance has encouraged various innovations to develop novel drug compounds that are effective, feasible, and safe, adhering to health standards. One way to do that is by observing and predicting the biological activity of drug compounds using quantitative structure–activity relationship (QSAR) analysis. In this study, QSAR analysis was conducted on the 4-N-(methyl)-4-aminoquinoline derivatives, which effectively inhibit the growth of Plasmodium falciparum as a source of malaria. The research stages involved molecular structure modeling, molecular geometry optimization using the AM1 semi-empirical method, and QSAR descriptor calculations, including electronic (atomic charges (q), HOMO and LUMO energies, polarizability (α), …

Microplastic Degradation Using Laccase Enzyme From Trametes Hirsuta: In The Silico Study, Hanzhola Gusman Riyanto, Diana Sylvia

Makara Journal of Science

Microplastics are a serious global problem that arises worldwide because of their widespread use. Exposure to microplastics can negatively affect human and environmental health. In this study, we used molecular docking methods with MOE software (version 2014.0901) to investigate the interaction between the laccase enzyme and several microplastic compounds as a preliminary study of microplastic degradation using enzymes. The Quantitative Structure Analysis Relationship (QSAR) analysis revealed that all microplastic ligands had higher Pa values than Pi, indicating that the laccase enzyme may be biologically active. The findings of the present study show that polyamide (PA) has the lowest binding energy …

Enzyme-Free Colorimetric Sensing Of Glucose Using Silver Nanoparticles With A Green Stabilizing Agent From Capsicum Chinense Jacq Extract, Boyfannie Ivan Putra, Hermin Sulistyarti, Muhammad Mashuri Utama, Aura Ananda Haryanto, Rurini Retnowati, Mohamad Rafi, Akhmad Sabarudin

Makara Journal of Science

Diabetes mellitus (DM) is a significant global health issue characterized by abnormal glucose levels in the human body. DM diagnostics are often based on invasive sampling from blood, which poses a potential risk of infection and tissue damage. Therefore, a non-enzymatic and non-invasive method for glucose monitoring is demanded as a simple alternative to glucose detection in urine samples. In this work, enzyme-free glucose determination is based on the formation of silver nanoparticles stabilized by Capsicum chinense Jacq extract (CCJ-AgNPs). Under alkaline conditions, glucose functions as a reducing agent for silver ions, and the extract acts as a stabilizer to …

Enhanced Oviposition Preferences And Larval Performance Of Hermetia Illucens L. In Fruit Wastes Fermented By Effective Microorganisms, Resti Rahayu, Robby Jannatan, Muhamad Ronaldo, Risa Ukhti Muslima

Makara Journal of Science

Organic waste comprises a considerable portion of global waste, requiring effective management. The ability of the black soldier fly (Hermetia illucens, BSF) to convert organic waste into biomass has been well reported. However, bioconversion can be hindered by fiber-rich substrates, a challenge that can be addressed through substrate pretreatment. This study examined the oviposition preferences and larval performance of BSFs in several fruit wastes fermented by effective microorganisms (EMs), which were compared to non-fermented substrates. The oviposition attractants utilized pineapple peel and overripe soursop, with larval performance evaluated among different treatments, i.e., non-fermented pineapple peel (NFP), fermented pineapple …

Fast Dispersion-Curve Inversion Using Automatic Differentiation Gradient-Based Calculation, Theodosius Marwan Irnaka, Eddy Hartantyo

Makara Journal of Science

Surface wave inversion is a crucial technique in geophysics for subsurface imaging. However, traditional methods can be computationally intensive, especially for complex models. This study introduces automatic differentiation (AD) as an efficient alternative to finite difference (FD) methods for gradient calculation in surface wave inversion. We compare AD and FD methods using three synthetic examples of varying complexity. Our results demonstrate that AD is significantly faster, with speed improvements of 3 to 12 times over FD, depending on model complexity. Moreover, AD requires up to 3 times less memory than FD. In terms of accuracy, AD provides gradient calculations that …

Impact Of Ethanol On The Evolution Of One-Step Synthesized Gold Nanoplates And Nanostars And Their Effects On Raman Signal Enhancement, Ananda Fania, Nonni Soraya Sambudi, Kirana Yuniati Putri, Yuliati Herbani, Affi Nur Hidayah

Makara Journal of Science

Gold nanoplates and nanostars were synthesized from a gold metal salt solution (HAuCl₄) using a one-step synthesis method of ultraviolet C (UVC) light irradiation. The gold salt solution was mixed with ethanol in 6 mL with the following ratios: (1.5:4.5, 3:3, and 4.5:1.5), and subsequently irradiated with UVC light. Changes in localized surface plasmon resonance (LSPR) shifts were observed in real time at 30-min intervals for 2 h. The synthesis process produces gold nanoplates. While gold nanostars were synthesized from a solution of gold salt combined with ethanol, ascorbic acid, and AgNO₃, maintaining a consistent ratio …

Design And Modeling Of A Thin Water Falling-Film For Convection-Cloud Chambers, Grant T. Schlaff, Jesse Anderson, Brandon Kieranen, Constantine M. Megaridis, Raymond Shaw

Michigan Tech Publications

Convection–cloud chambers offer a controlled environment to study aerosol-cloud interactions. Ensuring sustained supersaturation in these chambers requires a reliable and efficient water sourcing mechanism. Maintaining saturated boundary conditions on side-walls is important in chambers with large vertical dimensions (up to 10m) aimed at achieving collisional growth of cloud droplets. This study introduces the design, modeling, and measurement of a falling-film system capable of maintaining a stable, continuously replenished water film for continuous evaporation. A distributor is tested, ensuring uniform water coverage over a panel with a range of surface treatments. These surface treatments with micron to 100micron-scale roughness allow for …

Multi-Satellite Image Matching And Deep Learning Segmentation For Detection Of Daytime Sea Fog Using Gk2a Ami And Gk2b Goci-Ii, Jonggu Kang, Hiroyuki Miyazaki, Seung Hee Kim, Menas Kafatos, Daesun Kim, Jinsoo Kim, Yangwon Lee

Institute for ECHO Articles and Research

Traditionally, sea fog detection technologies have relied primarily on in situ observations. However, point-based observations suffer from limitations in extensive monitoring in marine environments due to the scarcity of observation stations and the limited nature of measurement data. Satellites effectively address these issues by covering vast areas and operating across multiple spectral channels, enabling precise detection and monitoring of sea fog. Despite the increasing adoption of deep learning in this field, achieving further improvements in accuracy and reliability necessitates the simultaneous use of multiple satellite datasets rather than relying on a single source. Therefore, this study aims to achieve higher …

Debunking The Myth: A Dive Into The Role Of Relational Capital In Sustainable Food Production Systems, Ismail Badraoui, Tarik Saikouk, Nejib Fattam, Ahmed Hamdi, Vikas Kumar

All Works

The shift towards sustainable food production is essential to address the urgent dual challenges of climate change and population growth, with agricultural cooperatives playing a vital role in this transformation. However, many cooperatives struggle to deliver the expected value to their members. By considering cooperatives as member-centred production systems, this research investigates relational capital's role in determining cooperative success. This study uses a sequential mixed-methods research approach. First, we use empirical survey data from 320 farmers to test a moderated mediation model that links relational capital to collaboration activities and outcomes. Then, we use qualitative responses from 50 farmers to …

Reimagining A Nexus Between Seaport And National Development: Sociotechnical Imaginaries Of Ghana’S Port Of Tema, Jonas Aryee, Casper Andersen, Annette Hansen

Plymouth Business School

This article explores the evolving sociotechnical imaginaries (STIs) shaping Ghana’s Port of Tema, revealing how national development goals and global trade imperatives intersect in African port governance. Through analysis of policy documents, media discourse, and interviews, it identifies four overlapping phases in the evolution of these imaginaries: the industrial gateway era, neoliberal globalization, the rise of a transshipment hub, and the most recent phase of indigenous contestation and institutional resilience. Rather than replacing earlier visions, newer imaginaries build upon and hybridize older ones, creating both synergies and tensions. The study demonstrates that STIs at Tema have evolved through processes of …