Digital Commons Network^™

Evaluating The Readability Of Online Patient Education Materials For Avascular Necrosis, Gabriella B. Smith, Grady H. Hofmann, Anna V. Gussner, Nicole S. Pham, Nneoma O. Duru, Kevin G. Shea

Journal of Patient-Centered Research and Reviews

Purpose: Avascular necrosis (AVN) is a progressive pathology affecting pediatric and adult patients. Given the risks of joint collapse and surgery, patients frequently research their condition online. The average reading level in the United States is approximately the eighth-grade level. The National Institutes of Health (NIH) recommend that patient materials be written at or below a sixth-grade level. This study aimed to assess the readability and quality of online AVN resources.

Methods: A Google search using the terms “avascular necrosis” and “osteonecrosis” was conducted, and firstpage results were aggregated. Flesch-Kincaid Grade Level, Gunning Fog Index, and Flesch Reading Ease tests …

A Mixed Methods Study Of Inpatients’ Experiences, Priorities, And Health-Related Quality Of Life During High- Flow Nasal Cannula Therapy, Cintamani H. Ellsworth, Rebecca S. Bartlett

Journal of Patient-Centered Research and Reviews

Purpose: High-flow nasal cannula (HFNC) is an oxygen delivery method with numerous benefits for severely ill patients. There is a paucity of research focused on the perspectives of patients receiving HFNC oxygen therapy. This study aimed to engage with patients to gain a clearer understanding of their experiences, priorities, and health-related quality of life.

Methods: A cross-sectional, mixed methods study was completed with 10 adult inpatients who had received HFNC oxygen therapy during their hospital admission. Semi-structured interviews and the Patient Reported Outcomes Measurement Information System (PROMIS) Global Health Scale were used to identify participant perceptions of their physical and …

Under Pressure And Underrecognized: The Role Of Social Workers And Case Managers In Screening For Social Determinants Of Health In The United States, Melissa L. Habrat, Lindsay D. Nelson, David A. Nelson

Journal of Patient-Centered Research and Reviews

Social determinants of health (SDOH) screening is increasingly embedded in clinical care, yet the work of asking, documenting, and responding to social needs often falls to social workers and nurses or professional case managers who operate under significant time, staffing, and system constraints. We conducted a narrative review to examine how SDOH influence outcomes, identify systemic and emotional barriers to effective screening, and synthesize evidence-informed strategies that support implementation. Across included sources, findings clustered into three domains: challenges in integrating screening (policy and accreditation pressure, staffing and resource constraints, EHR documentation and interoperability limits, closed-loop referral and cross-sector partnership gaps, …

Identifying The Causality And Criticality Of Factors Influencing The Promotion Of Asian Island-Hopping Cruise Tourism In Taiwan, Hsiao-Chuan Liu, Gin-Shuh Liang, Feng-Ming Tsai, Yu-Ling Lien

Journal of Marine Science and Technology–Taiwan

Following the COVID-19 pandemic, the global tourism industry has steadily recovered since 2022. Island-hopping cruises have gained increasing attention for enhancing regional connectivity and diversifying marine travel experiences; however, their development in Asia remains limited compared with that in Europe and the Caribbean due to fragmented policy coordination, inadequate port infrastructure, and uneven technological readiness. Although Taiwan possesses a geographic advantage and can serve as a strategic hub linking Asian island destinations, systematic planning and stakeholder coordination remain insufficient, resulting in unclear mechanisms that drive or constrain island-hopping cruise tourism. Existing studies mainly focus on market demand or passenger behavior, …

A Reflection On Growing Up With Hyperacusis, Jemma-Tiffany Rosewater, Katherine Melton

Journal of Patient-Centered Research and Reviews

I, the first author, explore here my personal experiences growing up with severe hyperacusis pain, a rare condition that significantly affected my childhood but also gave me a deeper understanding of how medical professionals interact with children. I discuss the many ways my condition was dismissed or misunderstood by doctors, and I examine the broader negative implications that this dismissal had on both my physical health and day-to-day life. This article also emphasizes the power and sway that the words of medical professionals hold compared to the voices of children. I reflect on how outdated yet common misconceptions about hyperacusis, …

Dinamika Spasial Dengue Di Provinsi Sulawesi Selatan: Fragmentasi Spasial Tanpa Hotspot Persisten, Nurul Muthiah Salahuddin, Trisari Anggondowati, Syifa Nurhakiki

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Demam berdarah dengue (DBD) masih menjadi masalah utama kesehatan masyarakat di Sulawesi Selatan, dengan pola penularan yang bervariasi secara spasial maupun temporal. Pada tahun 2024, provinsi ini mencatat insidens DBD sebesar 66,04 per 100.000 penduduk, di mana hanya 12,5% kabupaten/kota yang mencapai target nasional (≤10 per 100.000). Belum diketahui pola spasial yang membentuk klaster yang persisten atau berubah antar waktu, sehingga dilakukan penelitian ini untuk menganalisis pola spasiotemporal serta persistensi klaster spasial kejadian DBD di Sulawesi Selatan. Penelitian ini merupakan studi ekologi dengan pendekatan repeated cross-sectional menggunakan data surveilans DBD tingkat kabupaten/kota periode 2021–2024 yang mencakup 24 kabupaten/kota. Analisis meliputi …

Corrosion Testing And Simulation Of Taiwan Offshore Wind Foundations, Yao-Hung Fan, Yen-Fu Liu, I-Ming Pan, Chih-Chung Wen, Hsiu-Chen Yeh, Chien-Ming Lo, Tai-Liang Kuo, Hung-Hua Sheu, Hung-Bin Lee

Journal of Marine Science and Technology–Taiwan

Taiwan is located in the subtropical zone, with high relative humidity and high salinity in the air, and there are marine organisms attached to structures in the sea. This study will analyze the durability of the corrosion structure materials of the underwater foundation of offshore wind turbines based on the local chemical environment and paint materials. The offshore wind turbine underwater infrastructure is placed in the small boat dock area of the National Taiwan Ocean University in Taiwan. Nine kinds of coatings certified by NORSOK M501 were used to prepare specimens, and the metal exposure test was carried out by …

A Resilience Early Warning Assessment Of The Maritime Supply Chain: A Case Study Of China’S New Energy Vehicle Exports, Xiuqian Chen, Liangyong Chu, Mengyao Wang, Jiayin Du, Yiming Zhang, Xiyao Xu

Journal of Marine Science and Technology–Taiwan

Enhancing resilience through early warning is a critical strategy for mitigating disruption risks in the maritime supply chain (MSC). This study proposes a novel early warning assessment framework to determine the resilience of the MSC. It is referred to as a resilience early warning system. An evaluation index system for shipping enterprises is developed based on four dimensions: withstand capacity, adaptive capacity, learning capability, and the external environment. A resilience assessment model that uses the Bayesian best-worst method (BBWM) and the extension cloud model (ECM) is established to quantify MSC resilience. An early warning evaluation model based on a Bayesian …

Public-Port Throughput As An Activity Proxy For Near-Port Air Quality And Health: A Transferable Two-Scale Framework (Kaohsiung, 2017–2024), Ping-Jen Wang, Ying-Lin Hsu, Shih-Hao Chang, Bao-Tzung Wu

Journal of Marine Science and Technology–Taiwan

We developed a two-scale time series framework using monthly container throughput (20-foot equivalent units, TEU) as a port activity indicator. Applied to Kaohsiung, Taiwan (2017–2024), we related TEU to near-port NO₂ and PM₂.₅ (monthly) and air quality to outpatient respiratory diagnoses (weekly) across the 2019–2020 sulfur rules and the COVID-19 pandemic. Transfer-function models indicate TEU tends to lead near-port NO₂ by 6–9 months. Structural break tests at policy dates indicate nonsignificant changes in levels and slopes, suggesting gradual rather than abrupt shifts in the activity–pollution linkage. Weekly two-pollutant distributed-lag Poisson models estimated relative risks (lags 0–8) per interquartile range (IQR) …

Caring For Service Members, Veterans, And Military Families: A Matter Of Global Security, Alicia Gill Rossiter, Catherine Gaines Ling, Rita D'Aoust

International Nursing Research Congress (INRC)

While significant research has been conducted regarding the impact of military service on the veteran, there is a paucity of research on military families, and little is known about the impact of spousal/parental military service on the military family, leading to a knowledge and comfort level deficit when caring for servicemembers, veterans, and military family members. Lack of information and research focused on the military family unit has led to the care of the military family being siloed and not inclusive of the needs of the entire family unit. Disenfranchising the military spouse and the lack of services and support …

Joy To The Rehabilitation World: A Call To Incorporate Enjoyment Into Clinical Practice, Cristina Colón-Semenza, Raymond Jones, Winston Kennedy

Journal of Patient-Centered Research and Reviews

Although multiple academic disciplines recognize the motivational power of joy, rehabilitation professionals have, historically, underemphasized this construct in clinical practice. In addition, many clinicians report persistent challenges in motivating patients to adhere to prescribed exercise regimens. In response, there is growing advocacy for integrating affective-based interventions into practice. This overview aims to 1) raise awareness among rehabilitation professionals about the role of joy in physical rehabilitation, 2) illustrate how joy influences physical activity engagement and recovery outcomes, 3) outline evidence-based strategies for enhancing joy in clinical settings, and 4) introduce validated measures of joy suitable for use in practice. By …

Scaling Learning Health Systems: Highlights From The 2026 Health Care Systems Research Network Annual Conference, Deborah Hamlin

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network convened for its 2026 Annual Conference on April 21– 23 in Dallas, Texas, at the Sheraton Dallas Hotel. The conference centered on the theme, “Scaling Learning Health Systems: Data-Driven Pathways to Better Outcomes,” featuring 99 peer-reviewed abstract and panel presentations, along with 21 poster presentations, and emphasized the growing role of collaborative, data-enabled research in transforming care delivery and improving patient outcomes.

Abstracts From The 2026 Health Care Systems Research Network (Hcsrn) Annual Conference, Dallas, Texas, Health Care Systems Research Network

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) comprises 18 learning health systems with integrated care delivery and embedded research units. The network’s annual conference serves as a forum for research teams from member institutions to disseminate project findings, explore scientific collaborations, and share insights about population-based research practices that can measurably improve health and health care for all. The theme of this year’s conference was “Scaling Learning Health Systems: Data-Driven Pathways to Better Outcomes.” Abstracts presented at HCSRN 2026 are published in this issue supplement of the Journal of Patient-Centered Research and Reviews, the journal of record for HCSRN’s annual …

Creating Collaborative Strategies: The Influence Of Principal Leadership In Teacher Retention In Rural Secondary Schools In Dhalai District, Tripura, Northeast India., Valerian Castelino

Educational Studies Dissertations

Teacher retention has become a growing concern across India and the world. In rural, tribal, and multilingual contexts, the challenge is even greater. This research, Creating Collaborative Strategies: The Influence of Principal Leadership in Teacher Retention in Rural Secondary Schools in Dhalai District, Tripura, Northeast India, explores how school leadership influences teachers’ decisions to remain in rural schools. The research focuses on Tripura, a small state in Northeast India known for its tribal diversity, geographic isolation, multilingual classrooms, and limited educational resources. The research is informed by a multi-theoretical framework: Herzberg’s Two-Factor Theory, Non-Economic Capital Theory, and Transformational Leadership …

Smart City Pula, Bj Fletcher, Saša Drezgić, Molly Schnoke

All Maxine Goodman Levin School of Urban Affairs Publications

No abstract provided.

Spartan Daily, September 15, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 167, Issue 10

From The Archives: Rediscovering The John Preston Papers, Isabella Sumner

TMC Library Newsletter (2015-)

The John Preston, MD Papers, the newest collection at the McGovern Historical Center, contain letters and institutional records documenting life at the Austin State Lunatic Asylum—now Austin State Hospital—during Dr. Preston's 36 years as superintendent. Materials include correspondence from patient's families, physicians, judges, sheriffs, and attorneys, along with budgets, patient records, and even menus for staff and patients. Together, they offer a window into mental health care in Texas during the early 20th century.

Read the full story and explore highlights from the collection on the McGovern Historical Center blog. 

Tarsal Tunnel Syndrome Due To Post-Traumatic Osseous Tunnel Formation: A Rare Case And Surgical Management, Dev Y. Patel, Eshan Doshi, Fiona Zimmerman, Jamal Revolus, Michael Kimball, Michael Franco

Cooper Rowan Medical Journal

Tarsal tunnel syndrome (TTS) is classically a compressive neuropathy of the posterior tibial nerve beneath the flexor retinaculum, presenting with plantar foot pain and paresthesias. Standard surgical management of TTS involves release of the flexor retinaculum to decompress the nerve. We report a rare and unusual case of TTS in which the posterior tibial nerve was encased within a post-traumatic osseous tunnel accompanied by dense fibrotic tissue, representing an atypical and previously undescribed etiology of nerve entrapment. In this case, surgical decompression required a modified approach involving meticulous dissection of the tibial nerve from its encasement by heterotopic ossification and …

Evaluating Medical Student Geriatric Competency Using A 5ms-Based Assessment Tool, Lauren R. Hersh Md, Amy Cunningham Phd, Mph, Xiya Wu Md

Cooper Rowan Medical Journal

INTRODUCTION

Driven by an aging Baby Boomer generation, the United States is navigating a demographic transformation with far-reaching implications that include increased demand for chronic disease management and long-term care as well as increased stress on both healthcare costs and infrastructure. Generating a workforce competent in the delivery of care to older patients with complex, multimorbid conditions is fundamental to addressing this shift. Recognizing that the development of primary and specialty care physicians skilled in geriatric care begins in medical school, the American Geriatric Society developed minimum competencies grounded in the Geriatric 5Ms (Mind, Mobility, Medication, Multicomplexity, and …

The Perceptions Of K-5 Teachers Regarding Their Preparedness To Implement Trauma-Informed Practices, Matthew P. Londo

Educational Studies Dissertations

Childhood trauma significantly impairs students' cognitive, emotional, and behavioral functioning, yet teachers frequently lack the preparation necessary to address its effects in classroom settings. This mixed-methods study examined the perceptions of K-5 teachers regarding their preparedness to implement trauma-informed practices (TIPs) at a public elementary school in a mid-sized urban district in central Massachusetts. A convergent mixed-methods design was employed to gather data from 20 selected K-5 educators via a structured Likert-scale questionnaire and semi-structured Zoom interviews. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed through inductive thematic analysis. Findings revealed that participants employed four primary …

Leakage-Safe Boosting Ensembles With Shap Explainability For Alzheimer's Disease Risk Prediction: A Rigorous Multi-Classifier Benchmark On Global Structured Clinical Data, Hadeer Mahmoud, Fady Salama

Sustainable Machine Intelligence Journal

Alzheimer's disease (AD) is a major public health challenge, and scalable non-invasive risk-stratification tools are needed. We benchmarked 11 machine-learning classifiers on a publicly available global structured Alzheimer's prediction dataset (N = 74,283; 24 predictors) using leakage-safe sklearn/imblearn pipelines. Four resampling strategies were assessed with stratified cross-validation; preprocessing included imputation, IQR-based outlier capping, feature engineering, one-hot encoding, and standardization. The leading models underwent HalvingRandomSearchCV optimization, followed by soft-voting and stacking ensembles. Performance was evaluated on a held-out 20% test set and interpreted with SHAP, permutation importance, and built-in feature importance. No resampling was selected in Stage A (composite score = …

Art Beyond Magnolias And Pillared Porticoes, William Lindsey Mcdonald

Research Articles

The article is a reflection on antebellum portrait painters, including those associated with the Forks of Cypress, such as Edward Troye, Thomas Sully, Sr., and William Frye. Notably, Troye created a portrait of Parson Dick, an enslaved blacksmith at the Forks of Cypress. The Parson Dick portrait is on display at Pope's Tavern Museum in Florence, AL and visible on their website. Additionally, portraits include those of the James Jackson and Sarah Moore Jackson, and the Jackson racehorses.

Enhanced Biocompatibility Of An Orthodontic Adhesive Modified With Hydroxyapatite Derived From Asian Moon Scallop (Amusium Pleuronectes) Shells, Gufa B. Pamungkas, Eddy H. Habar, Maria Tanumihardja, Rasmidar Samad, Stang Stang, Eka Erwansyah, Nurlindah Hamrun

Journal of Dentomaxillofacial Science

Objective: This study aimed to synthesize hydroxyapatite (HAp) derived from Asian moon scallop (Amusium pleuronectes) shells, characterize its physicochemical properties, and evaluate its biocompatibility when incorporated into an orthodontic adhesive.
Materials and Methods: Calcium oxide was obtained by calcining Amusium pleuronectes shells and used as a precursor for hydroxyapatite synthesis via a wet chemical precipitation method. The resulting powder was characterized using X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDX). The synthesized hydroxyapatite was incorporated into an orthodontic adhesive at 2 wt% as the experimental group, whereas the unmodified adhesive …

Icc Agenda 9-15-26, Angela Brock

Individual Course Committee (ICC)

No abstract provided.

Approved Courses 9-15-26, Angela Brock

Individual Course Committee (ICC)

No abstract provided.

Assembling A Vignette Of Irish Police Masculinities Through Socio-Historical Rural Crime Research, Clay Darcy

Research Outputs: 2025-Present

This paper assembles a vignette of Irish police masculinities from the 1940s and 1950s. Based on historical analysis of a volume of crimes compiled by members of An Garda Síochána (Ireland’s police and security service), and Irish newspaper records, this paper reveals how policing practices and masculinities converged through the detection and recording of rural crimes. An Garda Síochána was exclusively male at the time, and police officers were dominant instrumental figures in rural communities, operating within a tight culture of Catholic religiosity and state censorship. These circumstances allowed them to maintain an assemblage of masculinity that was built on …

A Micro-Computed Tomographic Evaluation Of Root Canal Isthmuses In Maxillary And Mandibular First Molars Of A Black South African Population, Casper Jonker, Anna Catherina Oettlé

Peninsula Dental School

Objective:To evaluate root canal isthmuses in maxillary and mandibular first molars of Black South Africans usingmicro-computed tomography.Methods:The prevalence, location (root third) and type of isthmuses were recorded on 93 maxillary and 84mandibular first molars from 116 skeletonized individuals. Associations with arch side, sex and age were examined bychi-squared test, with strength of association given as the bias-adjusted Cramér’s V and 95% confidence interval (CI).Reliability used percentage agreement and Cohen’s kappa (κ) coefficient.Results:Intra- and inter-observer agreement were excellent: 96.73% (κ= 0.90) and 97.78% (κ= 0.95) for themaxillary teeth and 94.12% (κ= 0.75) and 96.08% (κ= 0.94) for the mandibular teeth. Apical …

Environmental Occurrence, Ecotoxicity, And Management Perspectives Of Β-Lactam Antibiotics, Kunal Ranjan, Nilesh Gupta, Ahmad I. Al-Mustapha, Ishi Keenum, Memon Shaheryar, Devasish Bose, Girraj Sharma, Ananda Tiwari

Michigan Tech Publications

β-Lactams are the most widely prescribed antibiotic class globally, comprising penicillins, cephalosporins, carbapenems, and monobactams. Their continual release to the environment raises concerns about both direct ecotoxicity and potential indirect effects on ecosystem function. This review highlights three key findings: 1) environmental concentrations can exceed predicted no-effect concentrations for resistance selection, for example ceftriaxone had been reported 6160 µg/L in wastewater influent and 4150 µg/L in effluent in India, indicating that many β-lactams have removal efficiency below 33%, 2) ecotoxicity data show that cyanobacteria ( e.g. Microcystis aeruginosa, EC50 0.0037 mg/L for amoxicillin) are ≥ 1,000-fold more sensitive than macrofauna, …

Effects Of The “Chai For 2” Pilot Intervention Among Asian Indian Immigrants, Maya Joseph, Anju Wadhawan, Shailja Mathur, Haiqun Lin, Karen T. D'Alonzo

International Nursing Research Congress (INRC)

Asian Indian (AI) immigrants, the second largest immigrant group in the US, have a high prevalence of abdominal obesity and premature cardiovascular disease (CVD).^1,2,3 Despite ample epidemiological evidence of the need to reduce CVD risk in AIs, few published interventions have addressed this population, primarily focusing on dietary measures and promotion of physical activity, and none of these address immigrant AIs.^4,5

This study was built upon the results of our prior work to 1) Implement and pilot test a peer leader-facilitated 10-week dyadic intervention (Community Health among Asian Indian immigrants (CHAI) Dyad study) using a cluster randomization design, …

Leadership In Action: Building A Research Community Of Practice Through The Np-Clinician Scientist, Sarah Jayne Colgan, Breanna Lloy, Melanie Dunlop

International Nursing Research Congress (INRC)

Purpose Statement: To describe the formation of an Advanced Practice Nursing (APN) Research Community of Practice (CoP) led by an NP Clinician Scientist, aimed at fostering research capacity, partnerships, mentorship, scholarly engagement, and knowledge translation among NPs and Clinical Nurse Specialists (CNSs) in two provincial healthcare organizations.

Background: The Nova Scotia Health (NSH) NP Interprofessional Practice and Learning (IPP&L) team observed ongoing challenges with NP recruitment and retention highlighted by feelings of undervaluation among NPs in clinical practice. Concurrently, changes to NP entry-level competencies and increasing NP inquiries regarding research, demonstrated a growing appetite for scholarly engagement.

Methods: Through innovation …