Digital Commons Network^™

Perception About Self-Management Education For People With Hypertension And Low Health Literacy, Nhi Thi Vo, Suzanne Hoi Shan Lo, Hon Lon Tam

International Nursing Research Congress (INRC)

Aim: Self-management education is a key component of hypertension care. However, individuals with low health literacy often have suboptimal self-management skills even after receiving such education. Little is known about their experiences in receiving self-management education. This study aims to explore the facilitators and barriers of accessing, understanding, appraising and using information provided in self-management education among community-dwelling individuals with hypertension in Vietnam, with perspectives from healthcare professionals and people with hypertension.

Methods: Individual semi-structured interviews were conducted. Purposive sampling was used to recruit participants with hypertension who were currently receiving care at a community health centre (CHC) in Vietnam, …

Accessibility In Clinical Learning: An Immersive Assessment Project, Candace W. Burton, Kayla Sullivan, Angela Silvestri-Elmore

International Nursing Research Congress (INRC)

Nursing students with physical disabilities (NSWPD) face barriers in clinical learning including physical inaccessibility, lack of awareness or training in faculty and staff, and bias in professional evaluation (1-3). The project purpose was to directly identify barriers to clinical learning for NSWPD.

Method: Investigators developed an evidence-based assessment guide covering perceived challenges to accommodations for NSWD, stakeholder knowledge, and other issues (4-6). A university disability specialist (DS) was embedded with students in simulation laboratory and clinical sites in July-October 2025. The DS observed lectures, skills practice, patient encounter simulations, peer assessment, instructor-oversight assessment, patient interactions/duties, and other responsibilities.

Findings included …

A Realist Review Of The Remediation Of Professionalism Lapses In Undergraduate Medical Students (Restore 3), Ross Raymond-Jones, Tom Gale, Nicola Brennan, Marie Bryce, Tristan Price

Peninsula Medical School

IntroductionProfessionalism is a core element of medical curricula worldwide and remains a cross-cutting theme across all aspects of a medical programme. When a medical student fails to demonstrate the expected attributes and behaviours, medical schools have a duty to step in, and where appropriate, offer remediation that aims to facilitate behavioural change. There is sparse explanatory theory on this complex topic, resulting in little evidence-based guidance for medical schools to utilise. This review aims to explain how, why, to what extent and in what circumstances professionalism remediation works for undergraduate medical students.MethodWe conducted a realist review that aligns with the …

Breaking The Silence - Moving Beyond Lecture Hall Echo Chambers In Nursing Education, Joshua Michael Kies, Elizabeth Faye Snyder, Cyndi Faudree

International Nursing Research Congress (INRC)

Nursing student silence in higher education undermines active learning and critical thinking development. This literature review examines participation barriers, engagement strategies, and approaches to fostering inclusive discussion environments. Research identifies multiple contributing factors: fear of negative evaluation, cultural differences in communication styles, insufficient content knowledge, and technological challenges in virtual settings. The Student Engagement in Digital Learning Framework reveals four key dimensions—emotional, behavioral, cognitive, and social—that interact to create barriers or facilitators to student voice. Evidence-based solutions include extending wait times to 10-15 seconds for cognitive processing, implementing culturally responsive pedagogies, providing multimodal participation formats, and scaffolding discussions to build …

Innovative Teaching Strategies: Ai Chatbots To Prepare Nursing Students For Difficult Conversations, Lindsay Iverson, Tamara Oliver, Steven Fernandes, Mandy Kirkpatrick, Kara Morgan, Lauren Guthrie, Trisha Beiermann, Melissa Taylor

International Nursing Research Congress (INRC)

Background and Significance: Therapeutic communication is a core competency in nursing and a consistently prioritized workforce requirement (Broeckelman-Post et al., 2022; McGunagle & Zizka, 2020; AACN, 2021). As AI and digital learning technologies advance, nursing programs are exploring technology-enabled strategies to better prepare students for emotionally complex patient interactions. Although AI chatbots have shown value in clinical training and simulation (Chang et al., 2021; Srinivasan et al., 2024), limited evidence exists on their use to prepare students for difficult or sensitive conversations. Addressing this gap supports student resilience and prepares future nurses for communication-intensive roles.

Purpose and Aims: This study …

Building An Engaged Workforce: Assessment Of Unit Council Health Within A Large Healthcare System, Ray Gannon, Kasey Jackman, Reynaldo R. Rivera

International Nursing Research Congress (INRC)

While professional governance is an effective strategy for improving team engagement and empowerment in hospital systems, fews studies provide guidelines for how to measure the relative health of an organization's professional governance. Of note, the effectiveness of the unit council is fundamental to successful professional governance, professional competence, and leadership (Hess et al., 2020).

The purpose of this multi-site survey study is to evaluate clinical nurses’ and nurse leaders’ perspectives on their unit council’s health so that our organization can identify the gaps and implement strategies for improvement.

Led by a team of nurse scientists and leaders, this is an …

Flipbook-Based Media To Prevent Academic Burnout Among Senior High School Students In Yogyakarta, Puan Maharani Fauza, Eva Imania Eliasa, Kun Widya Nurfiani

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Academic burnout is a pressing issue that negatively affects senior high school students, yet conventional counseling services often rely on monotonous, static media that fail to engage today's digital generation. To address this urgent gap, this research aimed to develop an interactive digital Flipbook as a preventive intervention. The study employed a Research and Development (R&D) method using the ADDIE model, consisting of Analysis, Design, Development, Implementation, and Evaluation stages. Product validation was conducted by media experts and subject-matter experts, while the practicality test involved two Guidance and Counseling teachers. The effectiveness test was carried out through an experimental study …

Pre-Service Teachers' Experiences On Teaching Essay Writing To Grade 10 Learners In The Eastern Cape, Ncebazakhe Makhohlisa, Lundi Nomlala

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This paper explores pre-service teachers’ experiences in teaching essay writing to Grade 10 English First Additional Language learners. Despite the significance of essay writing for developing learners' writing skills in multilingual classrooms, writing essays remains a challenge for most English First Additional learners. The extant research has examined the challenges that learners face in essay writing. However, there is limited research examining pre-service teachers’ experiences in teaching essay writing during their teaching practice. This paper employed a qualitative research approach, and data were drawn from 30 pre-service teachers’ reflective journals based on their teaching practice experiences. Cognitive Process Theory was …

Neuroimmune Phenotyping As The Next Frontier In Chronic Pain Medicine For Musculoskeletal Back Pain, Samer G. Salman, Rohan A. Phadke, Adithya Nair, Rahul Kumar, Arbaz Momin, Alireza Tavakkoli, James Rizkalla

Department of Neurosurgery Posters

Background: Chronic low back pain encompasses heterogeneous mechanical, neuropathic, nociplastic, and myofascial presentations that may reflect distinct neuroimmune mechanisms. We synthesized evidence linking these phenotypes to measurable biological features and clinically relevant treatment strategies.

Methods: We conducted a structured literature search of MEDLINE, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials for studies published from January 2005 through January 2025. Systematic reviews, randomized controlled trials, and mechanistic studies addressing neuroinflammation, glial activation, central sensitization, biomarkers, or imaging were organized according to four clinically relevant pain phenotypes and translational readiness.

Results: Neuroimmune findings differed across axial mechanical, …

Ai-Enabled Nudging For Nursing-Led Prevention And Health Equity, Pattama S. Ulrich, Katherine M. Pallas, Michael Joseph Dino, Jean W. Davis

International Nursing Research Congress (INRC)

Health systems face escalating burdens from physical inactivity, poor nutrition, and related noncommunicable diseases (NCDs), which disproportionately affect socioeconomically and clinically susceptible populations [1], [2]. Concurrently, artificial intelligence (AI), digital health technologies, and wearable devices are increasingly shaping health decision making and behavior change interventions [3], [4]. Nudge theory, grounded in behavioral economics, offers a noncoercive approach to influencing behavior through choice architecture while preserving individual autonomy [5], [6]. As AI enables nudges to become more personalized and scalable, conceptual clarity is needed to guide ethical, nurse-led applications that advance prevention and health equity [7], [8].

This work conceptually examines …

Parent–Child Responses To A Digital Cancer Prevention Game: Pre–Post Changes In Hpv-Related Outcomes, Angela Chia-Chen Chen, Michael Todd, Elizabeth Reifsnider, Ashish Amresh

International Nursing Research Congress (INRC)

Purpose: This presentation examined pre–post changes among parent–child dyads who received HPV Detective, a digital game promoting HPV vaccination and cancer prevention. We compared intervention effects between parents and children to understand how digital tools influence family-centered determinants of HPV vaccination.

Methods: Thirty-one parent–child dyads (n=62) completed online surveys at baseline (T0) and immediately post-intervention (T1) while playing the 10–15-minute game in pediatric clinics before seeing the provider. Surveys included sociodemographic characteristics and validated scales assessing HPV knowledge, attitudes, behavioral control, subjective norms, and vaccination intention. Paired t-tests and descriptive analyses assessed within-person changes, with results confirmed using nonparametric tests. …

From Himalayan Catastrophe To National Resilience: Lessons From The 2026 Bhote Koshi And Trishuli River Floods In Nepal, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

On the morning of 26 August 2026, the mountains above Nepal’s northern frontier delivered a disaster of almost unimaginable speed and scale. A massive mass of ice, rock, and sediment detached in the high Himalayan terrain near the Nepal–Tibet border, descended roughly 1,200 metres, interacted with the Lhende Khola system, and generated a debris-rich flood that surged through the Bhote Koshi and Trishuli river corridors, destroying settlements, markets, roads, bridges, hydropower facilities, and an international border crossing and transforming them into fields of mud, boulders, and wreckage within minutes (ICIMOD, 2026b; Reuters, 2026a). Satellite analysis indicates that a substantial section …

Simulasi Hidrolika Saluran Terbuka Berbasis Microsoft Excel Sebagai Sumber Belajar Pada Pendidikan Vokasi Teknik, Fahrur Rozi, Linda Winiasri, Ranatika Purwayudhaningsari, Siti Fatimah, Agus Triyono, Wiwid Suryono

Journal of Innovation and Teacher Professionalism

This study aims to model and analyze a Microsoft Excel-based open-channel hydraulics simulation as a contextual learning resource for technical vocational education. A quantitative modeling approach was employed using Manning’s formula with five flow-depth scenarios ranging from 0.70 to 0.90 m, while the channel bottom width of 0.60 m, Manning’s roughness coefficient of 0.01, and channel slope of 0.015 were kept constant. The simulation was used to calculate the wetted area, wetted perimeter, hydraulic radius, flow velocity, and discharge for each scenario. The results showed that increasing flow depth systematically changed the hydraulic characteristics, with discharge increasing from 1.819 to …

Patient-Provider Communication Matters In Telehealth Use, Chanam Shin, Thomas Guffey, Mijin Kim

International Nursing Research Congress (INRC)

Introduction: Telehealth use has rapidly expanded health care access and reshaped patient-provider interactions. Evidence shows that telehealth can be influenced by communication quality between patients and providers. However, little is known about how patient-provider communication relates to telehealth use among minority ethnic populations.

Purpose: This study was to examine associations between patient-centered communication and telehealth use in Asian Americans.

Methods: We conducted a secondary analysis using the 2022 Health Information National Trends Survey 6 data. A total of 265 adults who identified as Asian American were included. Telehealth use was assessed by asking respondents if they used telehealth in the …

More Than A Call: Why The Martha Wright-Reed Act Falls Short In Reforming Prison Communication, Carrington Wilkes

Georgia Criminal Law Review

In response to widespread criticism of exploitative prison communication costs, Congress enacted the Martha Wright-Reed Just and Reasonable Communications Act of 2022 (the “Act”). This legislation tasked the Federal Communications Commission (“FCC”) with establishing fair rates for phone and video calls made by inmates in jails, prisons, and immigration detention centers. While the Act marks a critical step in reducing financial burdens on incarcerated individuals and their families, it does not cover other widely used communication methods, such as electronic messaging, emails, and tablet-based platforms. These newer services remain largely unregulated, enabling private companies to impose excessive fees due to …

Expert In The Box: Keeping The Lid On Unchallenged Testimony, Derek L. Busch

Georgia Criminal Law Review

A juror with specialized knowledge carries the potential to infringe upon the trial rights of the accused, provided to them by the Sixth Amendment and incorporated to the states through the Fourteenth Amendment. These rights include the right to an impartial jury and the right of confrontation, recognized since the founding of the first colonies. When a juror possesses relevant professional expertise or background information regarding evidence adduced at trial, there is a risk in how the juror will use this personal knowledge in deliberations. Particularly, there is a concern the juror will use their knowledge to add information, rather …

Officer-Created Jeopardy In Corrections: Rethinking Use-Of-Force Review After Barnes V. Felix, Dr. Hayden Smith

Georgia Criminal Law Review

Courts typically evaluate correctional uses of force by zooming in on the last seconds before impact, asking what an officer reasonably perceived at the “moment of threat.” That frame obscures a basic feature of jail and prison operations: officers’ pre-force tactical choices often create or sharply heighten the risks that force is later used to manage. Building on Barnes v. Felix’s rejection of a rigid moment-of-threat rule and the broader state-created-danger line, this Article argues that officer-created jeopardy should be treated as a central component of constitutional and institutional review in corrections. It shows how Barnes, read alongside DeShaney, Kingsley, …

Deepfakes, Deep Trouble: Navigating Legal Boundaries For Child Pornography Prosecution In The Age Of Ai, Alexandra Hoffman

Georgia Criminal Law Review

This Comment explores the evolving legal landscape of child pornography law as it pertains to “nudify” apps and other AI-generated content. It examines foundational cases in child pornography law that allowed child pornography materials to bypass First Amendment constraints, the “lascivious exhibition” standard, and recent precedents allowing courts to prosecute morphed images. This Comment analyzes the viability of prosecuting “nudify” images, arguing that a holistic approach focusing on the child’s overall harm is the best analytical framework rather than one that solely focuses on the sexual nature of the image. In doing so, it emphasizes that the identifiability of the …

Table Of Contents, Georgia Criminal Law Review

Georgia Criminal Law Review

No abstract provided.

Prevalence Of Tooth Loss Among Older Adults With Oral Frailty: A Systematic Review And Meta-Analysis, Wei-Chun Lin

Articles in Press

No abstract provided.

Lessons Learned From An Experiential Learning Project In An “Exercise And Wellness For Special Populations” Course, Anita M. Gust

Educational Practices in Kinesiology

Experiential learning (EL) is a vital pedagogical approach in higher education and is an integral part of exercise science; however, research on its effectiveness within the discipline is limited. The purpose of this study was to 1) determine if an experiential learning project designed for an “Exercise and Wellness for Special Populations” course was effective for achieving the learner outcomes, and 2) to identify what additional lessons, beyond the course learning outcomes, were learned from the experiential learning project. In this retrospective study, students’ written reflections using the DEAL (Describe, Evaluate, Articulate Learning) model served as data. A content analysis …

Post-Covid Era Technological Needs Of Teachers For Enhanced Quality Education In Public Senior Secondary School In Ogun State, Kassim O. Ajayi Prof, Rachael O. Agbajeola Dr., Hairat K. Adedeji Mrs.

Academic Leadership Journal in Student Research

The global COVID-19 pandemic has sparked ongoing discussions on how to manage its impact on teaching and learning processes. As a result, the adoption of Information and Communication Technology (ICT) as an alternative to traditional in-person learning has become essential. This study aimed to assess the technological needs of teachers and administrators in the post-COVID era to enhance the quality of education in public senior secondary schools in Ogun State. Four research questions and three hypotheses were addressed using three research instruments, with the reliability of these instruments confirmed via the Cronbach Alpha method (TTPUNAS = 0.85, ATNAS = 0.81, …

Mpox Coinfection With Coxsackie B Virus In A Transgender Host With Well-Controlled Hiv, Ranel Thaker, Ayesha Khan, Tommy Ojukwu Perdomo, Leilah Tisheh,

Journal of Community Hospital Internal Medicine Perspectives

Background: Mpox (formerly monkeypox) is a double-stranded DNA virus with increasing global prevalence, particularly among men who have sex with men (MSM) and individuals living with HIV. Co-infections with other viruses such as HSV and Varicella have been reported, but no documented cases with Coxsackievirus exist to date.

Case: We report the first known case of co-infection with Mpox and Coxsackie B virus in a 30-year-old transgender female with well-controlled HIV. The patient presented with a diffuse painful rash, perianal lesions, rectal pain, and constitutional symptoms. Physical examination revealed characteristic vesiculopustular lesions of Mpox, and laboratory testing confirmed …

Acute Liver Injury Likely Induced By Alpha Lipoic Acid Contained In Dietary Supplement, Simona Maksimyan, Jonathan V. Reyes, Kasim Kazbay, Farah K. Gazi

Journal of Community Hospital Internal Medicine Perspectives

The rise in use of herbal and dietary supplements, which are regulated as food rather than as drugs by the Food and Drug Association, poses the risk of unknown and potentially severe side effects. We describe the case of acute liver injury, characterized by significant elevation in AST and ALT, likely induced by the consumption of an over-the-counter supplement containing alpha lipoic acid (ALA). Our patient trusted in a “natural” alternative to Western medicine for management of neuropathy, which was ultimately detrimental to her liver. An immediate and sustained improvement in liver enzyme levels was noted with discontinuation of the …

The Hospitalist Support Team: The Foundation For Supporting A Seven-Specialty Hospitalist Group, Michael S. Wang, Austin Tiesenga, Tho Nguyen, William Schreiner, Gwendolyn Brainard, Samantha Labay

Journal of Community Hospital Internal Medicine Perspectives

Hospitalist medicine has grown considerably over the last 30 years. What began as internal medicine physicians filling the role of primary care physicians for their hospitalized patients has expanded to other specialties. This growth has created a need for both administrative and clinical support for these hospitalist specialties. To meet the needs of the adult Internal medicine-based group, a small community hospital created an administrative structure in order to facilitate clinical and administrative needs. As the administrative group began providing support to other specialties, this led to integration within the group. The program has grown to seven specialties and 56 …

System And Method For Knowledge Reuse From Infrastructure Interaction Exhaust And Cross-Agent Behavioral Metadata Inference, Eric Zavesky

Defensive Publications Series

A system and method for cross-agent behavioral pattern learning and knowledge reuse from infrastructure interaction exhaust. The system passively captures interaction traces from multiple actors - including autonomous agents, semi-automated processes, and human users - as they interact with databases, APIs, and infrastructure endpoints through heterogeneous surfaces. A semantic inference layer analyzes captured traces to infer properties beyond raw telemetry, including organic field discovery, relevance weighting, prompt-level field alias mining, role frequency and sensitivity determination, and retry-aware intent detection. A pattern sanitization module strips individual actor identity and raw data values while preserving role-scoped organizational tokens, producing parameterized patterns with …

Studying Extreme Weather Event Impacts For Transit-Reliant Unhoused Populations, Costanza Rampini, Serena Alexander, Jeff Wootton, Amruta Ashish Gandhi

Mineta Transportation Institute

No abstract provided.

The State Of The Unions 2026: A Profile Of Organized Labor In New York City, New York State, And The United States, Ruth Milkman, Joseph Van Der Naald

Publications and Research

The 2026 State of the Unions report finds that while union density remains strong in New York, membership rates remain largely unchanged, despite renewed organizing, successful strikes and strong public support for labor. Union density stands at 20.5 percent in New York City and 20.9 percent statewide, more than double the national rate of 10 percent, yet well below levels recorded two decades ago. The report also examines the persistent divide between public- and private-sector unionization, the industries and workers sustaining organized labor, and the forces limiting growth. A special section considers Mayor Zohran Mamdani’s labor-friendly record and the opportunities …

Implementation Of Asynchronous Mentor Education Modules To Improve Mentoring Competency, Elvira Sayfutdinova

Doctor of Nursing Practice (DNP) Student Projects

Background & Significance: Structured mentorship supports new CRNAs as they transition to practice, fostering confidence, job satisfaction, and professional growth. The WashU Medicine Department of Anesthesiology (WUDA) launched a CRNA Mentorship Program in 2022, but it lacked standardized mentor education, leading to inconsistent mentor preparation and variable mentoring practices.

Review of Literature Findings: Structured mentor education improves mentoring competency across healthcare settings, yet the literature specific to CRNAs remains limited. Asynchronous, self-paced formats reduce barriers to participation for busy clinicians, but no prior study has evaluated a fully asynchronous, prerecorded mentor-education format for CRNAs.

Methods: This pre-/post quality improvement (QI) …

Palliative Care Consults In The Intensive Care Unit, Kyra Zimmer

Doctor of Nursing Practice (DNP) Student Projects

Background & Significance: Intensive care unit (ICU) patients often face serious illness or terminal diagnoses requiring invasive monitoring and life-sustaining treatments. Palliative care (PC) supports patients and their families by focusing on improving quality of life, goals of care, and symptom management. It is estimated that 14-20% of ICU patients in the United States could benefit from palliative care consults (PCCs) with potential savings of $6 billion per year. Nurses caring for these patients face unique ethical challenges and may develop secondary post-traumatic stress, emotional strain, burnout, and compassion fatigue.

Review of Literature: The review of literature supported a structured …