Digital Commons Network^™

Removal Strategies For Staphylococcus Epidermidis Biofilms, Alexander Watson

Research from the Berry Summer Thesis Institute, 2026

Bacterial biofilms are surface-attached communities of bacteria that are notoriously difficult to fully eradicate. This is especially a problem in the healthcare field, as Staphylococcus epidermidis, a commensal bacteria normally present on human skin, can enter the bloodstream through biofilms on medical devices and cause infections. This research project aims to discover how to best eliminate bacterial biofilms. Biofilms were first grown on stainless steel discs, in both aerobic and anaerobic conditions. After baselines were established, treatments of papain, chlorhexidine digluconate, or sodium fluoride were applied to hydrated 5-day biofilms. After chlorhexidine digluconate was proven to be effective, new …

Stretch-Dependent Permittivity Of Vhb 4910 In Uniaxial Tension, Samuel A. Camealy

Research from the Berry Summer Thesis Institute, 2026

Dielectric elastomers are soft electro-active materials that deform under applied electric fields, making them compelling candidates for next-generation sensing, actuation, and energy-generation technologies. Simulation-based design and real-time control of such devices require constitutive models with genuine predictive capability, which is difficult given the highly nonlinear, tightly coupled electro-mechanical response of dielectric elastomers. A persistent open question in the community is whether the permittivity of neat, unfilled dielectric elastomers is stretch-dependent. Existing measurements are largely confined to biaxial loading, and the comparatively few studies under uniaxial tension are limited to modest stretches (λ ≤ 6), a constraint likely arising from edge …

Ai Brain Fry In Hospitality And Events: Designing Tech Smart Work That Protects Employee Well-Being, Ken Tsai, Joan Su

ICHRIE Research Reports

Hospitality and event organizations are rapidly adopting artificial intelligence (AI) tools such as chatbots, virtual concierges, automated marketing, and AI‑driven scheduling to address labor shortages and improve efficiency. Emerging research, however, warns of “AI brain fry,” a pattern of mental fatigue, information overload, and decision difficulty linked to intensive AI use and oversight. Drawing on recent empirical work on AI brain fry, large‑scale surveys of AI users, and industry reports on burnout and AI adoption, this research report synthesizes secondary evidence and applies it to hospitality and event contexts. Three high‑risk scenarios are highlighted: guest‑facing chatbots and escalation fatigue, event …

How Philadelphia Markets Itself As A Fifa 2026 Host City: A Social Media Strategy Analysis, Taylor C. Mickley, Kelly G. Barr, Lali Odosashvili

ICHRIE Research Reports

With the 2026 FIFA World Cup around the corner, host cities are competing for global attention on social media. This study analyzed 543 Instagram posts from three host cities: Philadelphia and New York/New Jersey from the USA and Monterrey, Mexico. Posts were collected between August and December 2025 during the FIFA World Cup qualifying period for North and Central America and the Caribbean. Content was classified by category and format, and engagement was measured through reactions, comments, reposts, and shares. The findings challenge a common assumption: cities that posted the most did not generate the most engagement. Commercial content such …

Beyond The Lab: A Competency-Rated Model For Building Industry-Ready Hospitality Leaders, Arlene M. Garrick

ICHRIE Research Reports

Hospitality employers continue to report a persistent readiness gap between academic preparation and operational performance. Supervisors cite inconsistent communication, limited cultural intelligence, weak leadership judgment, and subjective evaluation systems as barriers to building strong talent pipelines (Baum, 2015). This report presents the Competency‑Rated Experiential Assessment Model (C.R.E.A.M.), implemented within a live hotel operation at The Lodge at Hocking College to address these challenges. Within eight weeks, students demonstrated measurable improvements in communication clarity, cultural awareness, bias mitigation, and professional judgment. The model provides a scalable, low‑cost framework that hospitality operators and educators can adopt within a 30‑day cycle to strengthen …

A Look Inside The Nba’S Game-Changing Technical Foul: The Warner Bros. Discovery And Nba Broadcast Rights Dispute And How It Could Have Been Resolved Through Alternative Dispute Resolution, Nicola Coates

Pepperdine Dispute Resolution Law Journal

Despite being “the greatest studio show in sports TV history” and winning numerous Emmy Awards, the TNT Sports icon Inside the NBA was on the brink of disappearing. In 2024, the National Basketball Association (NBA) opted into a $77 billion contract with NBC, Amazon, and Disney’s ESPN, ending its forty-year relationship with Warner Brothers Discovery (Warner Bros. Discovery), the parent company of TNT Sports. Warner Bros. Discovery filed suit, alleging that, by rejecting its offer in favor of NBC, Amazon, and Disney, the NBA breached the parties’ 2014 media rights agreement, which included a right to match third-party offers. The …

Reimagining The Path Forward: Preparing And Promoting The Next Generation Of Arbitrators Through Innovative Mentorship, Disclosure, And Transparency, Homer C. La Rue

Pepperdine Dispute Resolution Law Journal

The article addresses a pivotal moment for the labor-management arbitration profession. As demographic changes and the growing complexity of labor relations coincide with a decline in the number of qualified arbitration professionals, Professor La Rue emphasizes the critical role senior arbitrators play as mentors and gatekeepers for the next generation. The piece explores mentorship models, including the traditional “Legacy Method” and initiatives designed to expand opportunities for underrepresented groups, such as the Ray Corollary Initiative. The article also offers actionable recommendations to advance disclosure and transparency, including: (1) reducing barriers to entry for new arbitrators; (2) establishing a formal mentorship …

Cultural Considerations: A Discussion Of Schematic Information Processing In African Plea Bargaining, Emma Joy Mcarthy

Pepperdine Dispute Resolution Law Journal

Plea bargaining is a prominent form of alternative dispute resolution: it is the method of resolution for nearly 98% of criminal convictions in the United States and is growing in popularity worldwide, including across the continent of Africa. In many ways, plea bargaining reflects traditional restorative justice models practiced in Africa prior to the introduction of adversarial and retributive Western practices. This comment discusses schematic information processing, exploring how cultural influences shape the schemas held by members of African nations in contrast to Western ways of thinking. A deep value for community and an emphasis on relationships is at the …

Impact And Utilization Of Asl Lab Spaces In University Settings, Nathan J. Dutra, Michele Vincent

Journal of Interpretation

American Sign Language (ASL) is a challenging yet rapidly growing language taught at both secondary and higher education levels. Despite its increasing popularity, there is limited literature on utilizing ASL labs as learning centers. This quantitative study examines the implementation of a new ASL lab at a large four-year university in California. It investigates the factors influencing participation, the motivations behind students' involvement, and their perceptions of the lab's effectiveness. Results indicate significant associations between course modality, instructor influence, and lab participation. The study suggests that ASL labs function as cultural and educational spaces that promote visibility of Deaf culture …

Parkinson’S Report Cards For Rural Communities: Bridging Access To Care For Behavior Change And Fall Risk Reduction, Jamie Haines, Emily Schubbe, Brooke Alexander, Lachane Ballard, Chin-I Cheng

Internet Journal of Allied Health Sciences and Practice

Purpose: People with Parkinson’s disease (PwPD) in rural communities face delayed diagnosis and limited access to specialized care, and lower self-efficacy for disease management. A physical therapist designed the Parkinson’s Report Card Program (PRCP) to provide improved access to symptom monitoring, feedback, education, and follow-up support every six months for one year, aiming to enhance disease management when access to specialized care is challenging. This study evaluated the impact of the Report Card Program on non-motor symptoms, physical function, care-seeking behaviors, and self-efficacy in three rural communities in Michigan. Methods: Twenty-eight participants completed assessments at baseline, 6 months, and 1 …

Exploring Burnout Impacting Graduate-Level Faculty And Leadership Within Health Profession Education In The United States: A Systematic Scoping Review, Megan Donaldson, Neeti Pathare, Garry Gilbert, Joshua Cleland

Internet Journal of Allied Health Sciences and Practice

Phenomenon: Full-time academic clinicians who hold faculty appointments in graduate‑level health professions education are expected to fulfill multiple, often competing role demands, including teaching, scholarship, service, clinical practice, and, for some, administrative leadership. These cumulative expectations can place faculty and educational leaders at elevated risk of burnout, particularly emotional exhaustion, with implications for career longevity, institutional stability, and educational quality. Approach: The objective of this systematic scoping review was to map how burnout has been conceptualized, measured, and associated with organizational and role-related factors among full-time graduate-level faculty and educational leaders in health and medical education (health professions) programs. Eligible …

Unmet Needs In Hospital Birth: Perspectives From Birthing Individuals And Opportunities For Occupational Therapy, Susan L. Iliff, Emily Bryant Schreiber

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary purpose of this study was to explore the services mothers receive during hospital‑based labor and delivery and to identify perceived gaps in inpatient perinatal care. A secondary aim was to examine how these unmet needs may represent opportunities for occupational therapy involvement within hospital maternity settings. Methods: A convergent parallel mixed methods design was used with an anonymous electronic survey. Participants were eligible if they were 18 years or older and had given birth in a hospital within the past five years. Eighty‑one participants completed the survey, which included demographic questions, satisfaction ratings related to standard‑of‑care …

Reimagining Clinical Education: Interprofessional Simulation And Clinical Skill Readiness In Nursing And Occupational Therapy Curricula, Gretchen Johnson, Linda Barnett, Lori Aaron-Brija, Emily Berkowitz

Internet Journal of Allied Health Sciences and Practice

Purpose: As the healthcare landscape evolves, education for health professionals must prepare future practitioners to meet emerging challenges and navigate diverse care settings. Integrating interprofessional education (IPE) opportunities within healthcare curricula supports the development of essential clinical skill competencies and collaboration across multiple disciplines. The Clinical Skill Readiness interprofessional model prepares students for successful clinical rotations by integrating assessment and skill development. Students develop vital interprofessional skills, with specific emphasis on communication, professionalism, and role clarity, all of which are essential for effective practice in a collaborative clinical setting. Methods: Nursing and occupational therapy students participated in timed treatment sessions …

Systematic Review Of Sports Safety Best Practice Implementation In Non-Scholastic Youth Sport Organizations, Katie Sniffen, Hayley J. Root, Richelle M. Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Non-scholastic youth sports organizations offer competitive and recreational activities to millions of children each year but lack centralized oversight for health and safety policy. Despite the benefits of sport participation, there are inherent risks, including cardiac-, concussion-, heat-, and musculoskeletal-related conditions. Therefore, it is important to understand how youth sports safety policies are implemented in non-scholastic youth sport organizations. This systematic review aimed to synthesize the current literature on the implementation of youth sports safety policies in non-scholastic youth sport organizations in the United States. Methods: A computerized search of Cochrane, CINHAL, Ovid Medline, Web of Science, and Scopus …

Relationship Between Children’S Screen Exposure And Stress Among Parents Of Primary School Children, Malathi S, Koteeswari Arumugam, Sugasini R, Senthil Selvam, Manju B. Manoharan

Internet Journal of Allied Health Sciences and Practice

Purpose: The increasing use of digital devices among children has raised concerns regarding their potential impact on child well-being and family functioning. Prolonged screen exposure has been linked to behavioural issues, sleep disturbances, reduced physical activity, and psychosocial difficulties, which may contribute to increased parenting-related stress. However, limited research has explored the relationship between children’s screen exposure and parental stress. This study aimed to examine the association between children’s screen exposure and parental stress among parents of primary school children. Method: A cross-sectional correlational study was conducted among 45 parents of primary school children aged 6–12 years enrolled at Vels …

Use Of Simulation In Interprofessional Education In U.S. Physical Therapist Programs: A Multiple Case Study, Sarah Ross

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) is a cornerstone of healthcare professional education, facilitating professions learning about and with each other. Simulation-based learning (SBL) is teaching and learning modality that is frequently used to incorporate IPE into curricula. Current research shows that physical therapist (PT) education programs are increasingly using SBL for IPE purposes. However, there is little research outlining how programs are using simulation.

Method: The data in this study were pulled from a larger qualitative study looking at how US PT programs use simulation because of the heavy emphasis on IPE. Three programs were selected from a pool of volunteers …

Knowledge Of Alzheimer’S Disease-Related Dementia In Down Syndrome: A Cross-Section Survey Of Rehabilitation Graduate Students, Alan F. Smith, Abigail R. Donaway

Internet Journal of Allied Health Sciences and Practice

Purpose: Adults with Down syndrome have an increased risk for Alzheimer’s disease–related dementia, often presenting with behavioral and functional changes rather than early memory impairment. Rehabilitation professionals may observe these changes across the lifespan; however, preparedness during professional training is unclear. This study examined graduate student knowledge of dementia in individuals with Down syndrome across rehabilitation disciplines. Methods: A cross-sectional survey was distributed to graduate students in speech-language pathology, occupational therapy, and physical therapy programs in the United States (N = 322). Outcomes included factual knowledge, recognition of stage-related characteristics, and familiarity with diagnostic and care considerations. …

State-Level Implementation Of Health And Safety Policies In Mississippi Secondary Schools, Heather L. Shirley, Valerie J. Moody

Internet Journal of Allied Health Sciences and Practice

Background: State-level investigations of health and safety policy implementation in secondary school athletics highlight ongoing challenges in ensuring student-athlete safety that aligns with evidence-based best practices. Purpose: The purpose of this study was to examine current state-level implementation of health and safety policies in Mississippi secondary schools from the perspective of athletics/activities directors, athletic trainers, and other school administrators. Methods: In May 2025, a 26-item web-based questionnaire was distributed to 226 athletic directors and 114 athletic trainers across Mississippi secondary schools. The survey assessed participant demographics, access to healthcare resources, emergency action planning (EAP), required coaches’ health and safety training, …

Current Status And Future Needs Of Audiology Services In Saudi Arabia: An Exploratory Study, Ahmad A. Alanazi, Alhanouf N. Alhathal

Internet Journal of Allied Health Sciences and Practice

Purpose: Audiology services in Saudi Arabia are expanding; however, workforce shortages, limited postgraduate training programs, and variability in specialized services may affect equitable access to care. This study aimed to examine the current status of audiology services in Saudi Arabia and identify future needs related to service availability, workforce capacity, and specialized clinical provision to support the development of equitable, standardized, and high-quality audiological care nationwide. Methods: An exploratory cross-sectional study was conducted among practicing audiologists across healthcare facilities in Saudi Arabia. Because a comprehensive national registry of audiology clinics is unavailable, a purposive convenience sampling strategy was used to …

Beyond The Classroom: Impact Of An Interprofessional Exertional Heat Stroke Simulation On Knowledge And Confidence, Hannah L. Stedge, Amanda Hawkes, Melani Kelly, Behle Burns, Sara Beaudry

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary aim of this study was to examine the impact of a high-fidelity exertional heat stroke (EHS) live broadcasted simulation on the knowledge and confidence of a multidisciplinary group of healthcare professionals attending an interprofessional continuing education conference. Methods: Participants were eligible for this study if they were a credentialed athletic trainer, physician, or emergency medical services professional. Participants attended an interprofessional symposium on EHS which included didactic training sessions followed by a live broadcasted EHS simulation and group debrief. Participants completed the 29-item survey instrument modeled after the Emergency Medical Services Knowledge of Exertional Heat Stroke Questionnaire …

Predictors Of Clinical Performance On The Revised Physical Therapist Clinical Performance Instrument 3.0, Derrick F. Campbell, Nancy G. Hellman, Felicity Macahilig-Rice, Sean E. Witkin, Mansoor Alameri

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to evaluate the impact of the 12 performance criteria from the revised American Physical Therapy Association (APTA) Physical Therapist Clinical Performance Instrument 3.0 (PT CPI 3.0) on predicting Doctor of Physical Therapy (DPT) student clinical performance outcomes during clinical education experiences. The PT CPI 3.0 was revised in 2023 to measure DPT student clinical performance. Identifying predictors for clinical performance may help flag students who struggle to meet or fall below performance expectations.

Method: A convenience sample of 693 DPT students from a large U.S. multi-campus program during Fall 2023 clinical education experiences participated. Using an …

The Perceived Benefit Of A Degree Requirement In Emergency Medical Services Education And Success, Joseph H. Wood

Internet Journal of Allied Health Sciences and Practice

Introduction: This study sought to assess how graduates of Wallace Community College's paramedic program impacted their readiness for the NREMT Paramedic examination and entering the workforce, specifically comparing those who completed an associate degree to those who completed the certificate program. Methods: This qualitative study analyzed the perspectives of graduates from the paramedic program using a phenomenological approach. Using a purposive sampling technique, nine graduates were chosen for one-on-one interviews, and six were selected for a focus group. Results: Analysis of participant responses revealed three main themes: the perceived value of a degree, student preparedness for the NREMT exam and …

Examining The Influence Of Cognitive Load And Self-Efficacy On The Development Of Clinical Reasoning In The First Clinical Education Experience Of First Year Physical Therapy Students, Andrew S. Bartlett, Brittney Gunterstockman

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical reasoning is critical for effective decision-making and patient outcomes in physical therapy. Although self-efficacy, cognitive load, and clinical reasoning have been studied individually, limited research has examined these constructs holistically. This study explored the influence of cognitive load and self-efficacy on the development of clinical reasoning during the first clinical education experience of first-year Doctor of Physical Therapy students using a think-aloud protocol. Methods: All participants completed measures of self-efficacy (New General Self-Efficacy [NGSE], Physical Therapist Self-Efficacy [PTSE]) and cognitive load (intrinsic, extraneous, germane) before and after their first clinical education experience. Think-aloud protocols were conducted at …

Comparative Analysis Of Knowledge, Usage, Perceptions, And Attitudes Toward Artificial Intelligence Chatbots Among Doctor Of Physical Therapy Students And Faculty Over Two Years, Qing Zhang, Heather David, Brandy Schwarz, Kristen Johnson

Internet Journal of Allied Health Sciences and Practice

Purpose: AI chatbots (AIC) are increasingly integrated into healthcare education, yet research on DPT faculty and student perceptions remains limited. This study compared knowledge, usage, perceptions, and attitudes (KUPA) toward AIC between DPT faculty and students and examined how these changed from 2023 to 2024. Method: A repeated cross-sectional survey was administered to two consecutive first-year DPT student cohorts and core and associate faculty at one DPT program. A 20-item survey was used, incorporating items adapted from validated instruments and researcher-developed questions, using a five-point Likert scale. Results: Participation rates were 41.5% (n=62) in Year 1 and 39.1% (n=69) in …

Compression Therapy In A Patient With Lymphedema Bilateral Lower Extremities And Heart Failure: A Case Report, René Thomas

Internet Journal of Allied Health Sciences and Practice

Introduction: Patients with heart failure may develop secondary lower extremity lymphedema, yet evidence to guide compression therapy in this population is limited. This case highlights clinical decision-making in applying compression within a medically complex scenario.

Case Presentation: A 75-year-old female with chronic heart failure and multiple comorbidities presented with severe bilateral lower extremity lymphedema and reduced mobility. Interventions included compression therapy, manual lymphatic drainage, breathing exercises, and skin care education, delivered by a physical therapist with advanced cardiopulmonary and lymphedema training. Edema reduction was achieved; however, therapy was discontinued due to signs of cardiac decompensation requiring medical management.

Conclusion:This …

Beyond Tuition: Understanding The Financial Impact Of Full-Time Clinical Education On Doctor Of Physical Therapy Students, Michelle L. Donahue

Internet Journal of Allied Health Sciences and Practice

Purpose: The physical therapy literature has explored the cost and affordability of a Doctor of Physical Therapy (DPT) education; however, academic and clinical educators may lack a nuanced understanding of the costs students incur to complete their full-time Clinical Education (CE) experiences. This study explored expenses beyond course credits during a full-time CE experience. As this was the first exploratory study on this topic, the aim was to gather information from a diverse sample of participants about the costs associated with a CE experience and the perceived financial burden. Method: A survey was developed and administered to collect quantitative and …

The Global Chessboard: Strategic Deterrence In A New Era Of Great Power Competition, The 66th Annual Academy Assembly

Space and Defense

The 66th annual Academy Assembly brought together twenty-seven student delegates from civilian institutions and sister military service academies to discuss urgent issues in national affairs. This national student congress was held during March 3-5, 2026 and produced the following committee reports.

Critical Strategic Deterrence Questions For Today, Keith B. Payne

Space and Defense

r. Payne visited the U.S. Air Force Academy to offer keynote remarks at a national student congress, the 66th Academy Assembly, held during March 3-5,2026 and dedicated to the topic of the Global Chessboard: Strategic Deterrence in a New Era of Great Power Competition. Dr. Payne is co-founder of the National Institute for Public Policy, former Department Head at the Graduate School of Defense and Strategic Studies, Missouri State University, a former Deputy Assistant Secretary of Defense, and former Senior Advisor to the Office of the Secretary of Defense. He has authored or co-authored over 230 published articles and 50 …