Digital Commons Network^™

Healthcare System Barriers To Somali Refugees In Kenya, Zahra Sharif Hashim

Walden Dissertations and Doctoral Studies

Access to health care is a fundamental right of every refugee, yet gaps in implementing Kenya's Refugees Acts of 2006 and 2021 continue to limit access for Somali refugees in Dadaab camp. Existing research has documented resource constraints, movement restrictions, and other barriers to refugee health care, but how policy implementation gaps shape access in Dadaab has not been well explored. The purpose of this qualitative descriptive study was to understand barriers to health care access for Somali refugees resulting from gaps in implementing Kenya's refugee health policies. The narrative policy framework guided the study. Data from semistructured interviews with …

Youths' Responses To Street-Level Bureaucratic Failures In Lebialem, Division Cameroon, Forchenmbin Charles Abessoh

Walden Dissertations and Doctoral Studies

No abstract provided.

Strategies Used By Small Information Technology Business Leaders For Retaining Employees And Business Sustainability, Ayodeji Rex Abitogun

Walden Dissertations and Doctoral Studies

Failure to retain employees remains a significant concern for small information technology (IT) business leaders. Without clear, actionable strategies, these leaders may struggle to avoid the high costs associated with employee turnover, negatively affecting revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies small IT business leaders in Nigeria use to retain IT employees for business sustainability. Participants included seven small IT business leaders in Nigeria who had used effective strategies to retain employees. Data were collected from semistructured interviews and publicly available documentation. Six themes emerged from …

Modernizing And Clarifying Family Laws: The New Jersey Law Revision Commission’S Examination Of Self-Representation, Domestic Violence, And Parental Rights, Barbara B. Rivera, Whitney G. Schlimbach, Candy Ley Velazquez, Kyle M. Ryan

Seton Hall Journal of Legislation and Public Policy

No abstract provided.

Recreational Cannabis In The Workplace: The Importance Of Implementing Clear Standards For Employers To Determine Whether Employees Are Impaired At Work, Jessica Shinski

Seton Hall Journal of Legislation and Public Policy

No abstract provided.

Social Interactions Between People Living With Dementia And Staff In Health And Social Care Settings: A Scoping Review, Stephanie Janka-Spurlock, Georgia Page, Gary Hodge, Helen Lloyd, Susie Pearce

School of Nursing and Midwifery

Dementia is an umbrella term for progressive conditions affecting memory, thinking, communication and other cognitive functions. These changes can make social interaction challenging, particularly in unfamiliar or overstimulating environments. Although social interactions between staff and people living with dementia are recognised as an aspect of care, existing literature across health and social care settings largely focuses on general care needs and experiences rather than social interaction specifically. Consequently, there is limited understanding of the types of social interactions that occur and the contextual factors influencing them. This scoping review aims to address this gap by mapping existing research on social …

Patient-Centered Summarization Framework For Ai Clinical Summarization: Mixed Methods Study, Maria Lizarazo Jimenez, Ana Gabriela Claros, Kieran Green, David Toro-Tobon, Felipe Larios, Sheena Asthana, Camila Wenczenovicz, Kerly Guevara Maldonado, Luis Vilatuna-Andrango, Ana Cristina Proano, Satya Sai Sri Bandi, Shubhangi Bagewadi, Megan E. Branda, Misk Al Zahidy, Saturnino Luz, Mirella Lapata, Juan P. Brito, Oscar J. Ponce-Ponte

School of Nursing and Midwifery

Background: Large language models (LLMs) are increasingly demonstrating the potential to reach human-level performance in generating clinical summaries from patient-clinician conversations. LLMs are usually evaluated against clinical summaries that focus mainly on patients’ biology and not on their biography (eg, preferences, values, wishes, and concerns). To achieve patient-centered care, artificial intelligence clinical summarization must incorporate patient-centered domains, implemented through patient-centered summaries (PCSs). Objective: This study aimed to develop a framework to generate PCS that capture patients’ values, preferences, and wishes while ensuring clinical utility for clinicians, and assess if current open-source LLMs can achieve human-level performance in generating PCS. Methods: …

Stronger Together: Partnering With The Library To Support Student Learning, Access, & Research, Amanda Crego-Emley

Faculty Learning Day 2026

This session highlights how faculty and the library can collaborate to reduce access barriers and enhance student success. Learn about support available at the Research Help Desk, placing course materials on reserve to support textbook affordability and access, and seamlessly integrating library ebooks, articles, and research guides into your course Brightspace site. Leave with practical strategies for leveraging the URI Libraries to better support your students.

Usa V. Emerson Pavilus

2026 Decisions

USDC for the District of New Jersey

Lisa Grattan V. David A Handler Pc

2026 Decisions

USDC for the District of New Jersey

September 3, 2026, The Daily Mississippian

Daily Mississippian (all digitized issues)

No abstract provided.

20260903: Marshall University Historic Information, 1966-1996, University Communications

Guides to University Archives

These items include materials from the office of University Communications at Marshall University from 1966-1996. Items were received in the late 1990s most likely and include notable materials including pamphlets and brochures about the university primarily centered in the 1970s, A Marshall Album from the 1990s, a university Prospectus, and copies of a booklet about President Stewart H. Smith from 1968 and some information about Administrative Heads of Marshall Academy, College, and University that was published in 1974.

Health-Related Quality-Of-Life Profiles In Adults With Tinnitus, Preeti Pandey, Hansapani Rodrigo, Megan Kruger, Eldré W. Beukes, De Wet Swanepoel, Anu Sharma, Gerhard Andersson, Vinaya Manchaiah

School of Mathematical & Statistical Sciences Faculty Publications

Purpose: The study aimed to characterize the multidimensional burden of tinnitus on health-related quality of life (HRQoL) using the EuroQol 5-Dimension 5-Level (EQ-5D-5L) dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) moving beyond symptom severity alone.

Method: A cross-sectional analysis was conducted using baseline data (N = 428, Mage = 54.9 years, 51.9% female) from several clinical trials examining the efficacy of internet-based cognitive behavioral therapy for tinnitus. Data were collected using a series of online questionnaires including demographic, audiological, and clinical variables. HRQoL was assessed using the EQ-5D-5L profile dimensions.

Results: Participants primarily reported no problems with mobility (76.6%), …

Fast Discovery Of Motivic Patterns In Symbolic Music Via Lossy Compression, Adam James Wilson

Publications and Research

Generative systems that react to live musicians require rapid analysis of musical data, which rules out deep learning models: they cannot be trained within the time constraints of live performance. But because analysis results are often transformed before use, we are free to reduce the parameters that undergo transformation to a small set of primitive states. We address this coincidence of constraint and opportunity with an algorithm for online discovery of maximal musical motives that achieves speed through lossy compression: the pitch and inter-onset-interval deltas for all pairs of events in a potential motive are reduced to two-bit values, conceptualized …

Distinct Mutational Landscapes For Germline And Somatic Cancer Variants In Forty Tumor Suppressor Genes, Suhasini D Lulla, Deborah I Ritter, Chimene Kesserwan, Sharon E Plon

Faculty, Staff and Students Publications

Germline and somatic cancer variants in tumor suppressor genes (TSGs) share loss-of-function mechanisms, but studies of a few genes (DICER1 and CEBPA) have demonstrated differences in variant consequence and location. To systematically assess whether TSGs display distinct mutational patterns, we leveraged large public genetic databases and compared 32,941 high-quality pathogenic/likely pathogenic (P/LP) germline variants in ClinVar, with 12,907 oncogenic/likely oncogenic (O/LO) somatic tumor variants from cBioPortal across 40 TSGs. Only 3,863 (9.2%) variants were shared. Eighteen TSGs showed significantly different distributions of variant occurrences by molecular consequence, replicated with non-overlapping somatic data from the COSMIC database (chi-squared tests, false discovery …

Complementary Vertebrate Wac Models Exhibit Phenotypes Relevant To Desanto-Shinawi Syndrome, Kang-Han Lee, Marwan Shinawi, Et Al.

2020-Current year OA Pubs

Monogenic syndromes are associated with neurodevelopmental changes that result in cognitive impairments and neurobehavioral phenotypes, including autism and seizures. Limited studies and resources are available to make meaningful headway into the underlying molecular mechanisms that result in these symptoms. One such example is DeSanto-Shinawi Syndrome (DESSH), a rare disorder caused by pathogenic variants in the

September 3, 2026

The Breeze, 2020-

No abstract provided.

September 10, 2026

The Breeze, 2020-

No abstract provided.

Spartan Daily, September 3, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 167, Issue 07

Edge Computing-Enabled Secure Federated Learning For Anomaly Detection In Industrial Iot Sensor Streams, Wijdan Noaman Marzoog Al Mukhtar

AUIQ Technical Engineering Science

The rise of the Industrial IoT (IIoT) will result in a surge of IIoT devices with high-velocity data streams requiring rapid, real-time analysis of these data streams to power predictive maintenance and assure cybersecurity. Centralized cloud-based approaches to anomaly detection are hindered by their inherent latency and privacy issues while independent or stand-alone approaches to edge-based anomaly detection do not have enough data to effectively detect anomalies. This paper presents a federated learning framework to collaboratively develop an anomaly detection model from multiple edge nodes, without sharing the raw sensor data, so that data sovereignty is preserved. Two major contributions …

On The Existence, Uniqueness And Stability Of Solutions Of Sdes With State-Dependent Variable Exponent, Mustafa Avci

Journal of Stochastic Analysis

We study a time-inhomogeneous nonlinear SDE with drift and diffusion governed by state-dependent variable exponents. This framework generalizes models like the geometric Brownian motion (GBM) and the constant elasticity of variance (CEV), offering flexibility to capture complex dynamics while posing analytical challenges. Using a fixed-point approach, we prove existence and uniqueness, analyze higher-order moments, derive asymptotic estimates, and assess stability. Finally, we illustrate an application where Poisson’s equation admits a probabilistic representation via a timehomogeneous nonlinear SDE with state-dependent variable exponents.

Companion Matrices Associated To Stochastic Matrices, Andreas Boukas, Philip Feinsilver

Journal of Stochastic Analysis

Starting with a stochastic matrix, we study the behavior of powers of an associated companion matrix, which has the same characteristic polynomial as the original matrix. In general the companion matrix will have negative entries while maintaining rowsums equal to 1. We will find the growth rate even if the Ces`aro limit of the sums of the companion matrix diverge. Surprisingly, in the irreducible aperiodic case the powers of the companion matrix will converge even though the norm of the matrix exceeds 1 and it has possibly negative entries.

The Purity Crusader, Volume 1. July 1905 - July 1906

Berachah Home Collection

"The Purity Crusader" published by Berachah Rescue Society in Arlington, Texas. Volume 1. A newsletter with articles written from various persons regarding purity and life at Berachah Home. Published in 1906.

Management And Outcomes Of Pediatric Necrotizing Pneumonia In The United States, Manette Ness-Cochinwala, Kaitlin Kobaitri, Paul Martinez, Balagangadhar R. Totapally

Journal of Pediatric Intensive Care

Introduction: Necrotizing pneumonia, an uncommon but serious condition in children, lacks comprehensive multicenter pediatric data. The objective was to assess treatment strategies and outcomes of necrotizing pneumonia in children. Methods: The Pediatric Health Information System was queried for patients, ages 30 days to 19 years, with lung necrosis. Children who received alteplase were compared with those who did not. The chi-square test, Mann-Whitney-U test, multivariable regression analysis, and propensity score matching were performed. Results: Out of a total of 2,177 children with necrotizing pneumonia, 59% had pleural effusion. A complex chronic condition (CCC) was present in 51% of patients. Resources …

Understanding The Educational Needs Of Primary Care Providers Around Post-Intensive Care Syndrome In Pediatrics (Pics-P)- A Cross-Sectional Survey, Sarah Rubin, Katie Joy, Sarah Springer, Ericka Fink, Jessica Jarvis

Journal of Pediatric Intensive Care

Introduction: Pediatric Intensive Care Unit (PICU) survivors often experience new functional impairments after hospital discharge, known as Post-Intensive Care Syndrome in pediatrics (PICS-p). Unaddressed impairments may lead to life-long developmental delays. Primary Care Providers (PCPs) are responsible for recognizing and managing PICS-p. Understanding PCP preparedness for this role is critical to optimizing recovery after critical illness. Objectives: To characterize PCP’s 1) awareness and understanding of PICS-p, 2) access to resources for PICS-p impairments, 3) barriers to post-PICU care, 4) preferred educational strategies. Methods: Cross-sectional survey of university-affiliated PCPs from October to December 2023. An anonymous, 18-item Microsoft Forms survey was …

Barriers To Adherence Of Early Mobilization Protocols In The Picu, Katherine M. Rodriguez, Taemyn Hollis, Valerie Kalinowski, Marylouise Wilkerson

Journal of Pediatric Intensive Care

Objective: Children who survive critical illness suffer many sequelae of prolonged hospitalization. National guidelines recommend pediatric intensive care units (PICUs) employ ICU care bundles to combat acquired delirium, pain, and weakness. While use of early mobility (EM) protocols has increased in PICUs, there remain challenges with adherence. Here we describe the results of a cross-sectional survey conducted at a single center tertiary PICU. The aim of this study is to better understand perceived barriers to EM in the PICU. We hypothesized that providers would be most concerned about safety of EM. Methods: A total of 94 PICU providers were included …

Regenerative Tourism And Transformative Destination Management: Developing A Framework Through The Case Of County Offaly, Yi (Alex) Yu, Mary Loonam Dr, Tony Johnston

Irish Journal of Tourism, Hospitality, Leisure and Event Research

The increasing urgency of climate change, biodiversity loss, and socio-economic transition has generated growing interest in tourism approaches that move beyond sustainability towards more transformative forms of development. While sustainable tourism has become the dominant paradigm within tourism planning and policy, it has been criticised for its emphasis on impact mitigation and its limited capacity to address systemic challenges. In response, regenerative tourism has emerged as an alternative framework that seeks to restore and enhance ecological, social, cultural, and economic systems through tourism activity.

This paper explores the potential of regenerative tourism as a framework for transformative destination management. Drawing …

School Principals’ Perspectives Regarding Successful Professional Development, Kathryn L. Bauserman, Diana Quatroche, Linda E. Martin

Journal of Educational Research and Practice

This descriptive study examined K–12 principals’ perspectives on providing and supporting school‑based professional development in one Midwestern state. Survey responses from 300 principals explored how they defined successful professional development, how they determined teacher learning needs, and the challenges they encountered. Findings revealed that principals valued professional development aligned with instructional improvement, yet many relied on their control of decision‑making processes. Professional development was commonly delivered by school or district personnel, funded through limited local and state resources, and typically offered in short sessions. Principals identified success through surveys, observations, and student achievement data while noting challenges related to funding, …

Automated Software Defect Analysis And Prevention Via A Closed-Loop Knowledge Extraction Pipeline, Snigdha Saha, Zening Li, Shu-Wei Cheng

Defensive Publications Series

In large-scale software development, root-cause analysis can be a manual process that may not effectively connect production crashes to nuanced discussions from code reviews. A system for automated software defect analysis can use a closed-loop pipeline to extract engineering principles from historical development artifacts, such as code review comments, to create a structured, machine-readable knowledge base. An autonomous agent may use this knowledge base to analyze new code contributions, generating quantitative risk scores based on principle violations, disparities between developer intent and the code changes, and similarity to historical crash-inducing changes. This process may assist in accelerating root-cause analysis of …

Decentralized System For Agent-Mediated Querying Of Personal Knowledge Repositories, Calvin Huang, Fei Wang, Zening Li, Shu-Wei Cheng, Snigdha Saha

Defensive Publications Series

The capture of tacit knowledge in organizations may be hindered by friction associated with manual documentation. A decentralized system can address this by providing each user with a personal knowledge repository (PKR) hosted on a shared, searchable file system. A local software agent, operating on a user's computing device (e.g., a laptop, smartphone, or wearable device), can populate the PKR through explicit commands or passive monitoring of work activities, with user consent. This agent can also directly query the PKRs of other users across a peer-to-peer network to retrieve information. The system can provide a method for accessing distributed information, …