Digital Commons Network^™

The Utilization Of Augmented Reality Haptic Feedback For Simulation-Based Education: A Quality Improvement Project, Arielle Kayla Vargas, Yasmine N. Campbell, Valerie J. Diaz

International Nursing Research Congress (INRC)

Background: Central line placement (CLP) is a critical skill for nurse anesthesiology residents, yet proficiency gaps can lead to serious complications, including arterial puncture, hematoma, and pneumothorax. Although ultrasound guidance is the current standard for teaching this procedure, it lacks tactile feedback, which limits learners’ spatial awareness and control—both essential for accurate needle tip tracking (NTT). This shortcoming in traditional simulation-based education (SBE) contributes to inconsistent skill acquisition and potential patient harm. . This project aimed to determine whether, among nurse anesthesiology residents, the use of AR haptic feedback versus ultrasound-guided methods in SBE would improve success in needle tip …

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 …

Optimizing Research To Practice Translation Time Through The Mountain Model: A Delphi Study, Jayne Jennings Dunlap, Julee Waldrop, Staci Reynolds

International Nursing Research Congress (INRC)

Introduction: The Mountain Model (MM) is the first published framework to merge evidence-based practice and quality improvement (EBPQI) paradigms. The primary focus of the framework is to guide practitioners in healthcare and related settings with translating research for sustained practice improvements. The nurse-led MM is in use and being cited in the literature, however the efficacy of the MM is anecdotal and is not yet supported by empirical evidence for its validity.

Design: A Delphi study of currently practicing evidence-based practice (EBP) and quality improvement (QI) experts spanning eight patient-facing disciplines in healthcare was conducted in September and October 2025 …

From Protection To Provision, Not Participation: A Bibliometric Analysis Of Children's Digital Rights Research And Its Implications For Media Literacy Education, Author Information Removed

JMLE Submissions Open for Review

Media literacy education is widely held to have moved from a protective to a participatory paradigm. This study asks whether the children's digital rights literature that informs it has made the same move. Records were retrieved from Web of Science and Scopus (search date 31 August 2026), screened, and deduplicated, yielding 1,012 publications from 1993 to 2026. A dictionary built on the protection–provision–participation framework of the Convention on the Rights of the Child was applied to 4,507 keywords. Protection accounted for 40.4% of classified keywords, provision for 44.4%, and participation for 15.1%. Protection exceeded participation by 2.4 to 3.1 throughout, …

Approval Letter For The Draft Final Butte Priority Soils Operable Unit (Bpsou) Unreclaimed Sites Field Sampling And Investigation Plan – Ur-52 Area West Of Bres No. 133 – Dexter Mill, Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Approval Letter For The Draft Final Butte Priority Soils Operable Unit Unreclaimed Sites Field Sampling And Investigation Plan: Ur-53 – South Of Surprise Dump, Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Recommencement Of Anti-Thrombotics Following Traumatic Intracranial Haemorrhage; A Preliminary Survey Of Uk Consultant Neurosurgeons Informing The Restart-Ticrh Trial Design, Jack Read, Peter Whitfield, Michael D. Jenkinson, Catherine J. Mcmahon, Ellie Edlmann

Peninsula Medical School

Introduction: Traumatic intracranial haemorrhage (tICH) commonly follows falls in elderly people, around half of whom are taking anti-thrombotic (AT) medications pre-injury. ATs are typically stopped acutely, but guidance on safe recommencement is limited. Research question: We surveyed UK neurosurgical consultants to understand variations in AT recommencement practice and inform trial design. Materials and methods: An online cross-sectional survey was distributed via the Society of British Neurological Surgeons mailing list to assess self-reported consultant practice regarding cessation and recommencement of AT therapy following tICH. Results: Sixty-two consultant neurosurgeons responded. Following tICH most are very likely or likely to stop AT therapy …

Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) 2025 Butte Reclamation Evaluation System (Bres) Site Specific Corrective Action Plans For Quadrant 2 (Dated July 22, 2026), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Approval Letter For The Draft Final Butte Priority Soils Operable Unit Unreclaimed Sites Field Sampling And Investigation Plan: Ur 51 – Area Near Bres No.50 –Zelia And Mountain Con Mine, Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

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 …

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. …

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 …

Machine Learning In Pediatric Surgery: Validation For Ambulatory Screening, Mary Beth Bass, Jill Kinch, Kimberly Isenberg

International Nursing Research Congress (INRC)

Accurate screening for anesthesia eligibility criteria is crucial for pediatric ambulatory surgery centers (ASCs) to ensure patient safety and optimization of resources [1,3]. Traditional manual chart review by advanced practice providers (APPs) is labor-intensive and subject to variability [2, 3, 7]. Continued growth of the ASC patient volume creates challenges for the APP team to meet the patient safety needs without adding additional support. To address these challenges, we partnered with Brim Analytics (Brim), an Artificial Intelligence (AI) powered chart review tool built on a large language model. Brim interprets unstructured electronic medical record (EMR) data and applies our institutional …

Satellite-Based Assessment Of Hydrologic Synchronization Across Western U.S. Basins: Implications For Water Security, Calef Alesse, Thomas Piechota, Josh Fuery, Landon Kauer, Venkataraman Lakshmi

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Study Region

Study Focus

New Hydrological Insights for the Region

Phenotypic And Genotypic Risk Factors For Fatigue Trajectories In Early-Stage Breast Cancer Patients, Katrina Carr, Susan M. Sereika, Yvette Conley, Susan Wesmiller

International Nursing Research Congress (INRC)

Introduction: Cancer-related fatigue (CRF) is the most burdensome symptom in early-stage breast cancer (ESBC) patients; up to 30% report severe fatigue one-year post-diagnosis. CRF significantly impairs quality of life and functional status. Identifying risk factors for distinct fatigue trajectories can inform symptom management timing and personalization.

Purpose: Identify distinct trajectories and phenotypic and genotypic risk factors associated with high severity fatigue trajectories in women with ESBC.

Methods: This analysis of a prospective longitudinal study examined genetic underpinnings of symptoms in ESBC patients. Fatigue was assessed using the 29-item Patient-Reported Outcomes Measurement Information System (PROMIS®29) weekly during treatment and monthly thereafter …

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 …

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, …

Manipulation Leading To Criminalization: The Need To Expand Georgia’S Survivors First Act, Taylor Hoying

Georgia Criminal Law Review

Nicole was seventeen when she met Juan, and they began a romantic relationship. “He was gorgeous and he had charm. I just wanted someone in my life to show me attention . . . .” He suggested that she start seeing other dates for money and sent her out onto the streets. Seven months later, when Nicole was raped by a john, Juan beat her, pepper-sprayed her, and put her in a cold shower for three and a half hours. If Nicole had been told to see another john the next day and was arrested for prostitution, would the arrest …

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, …

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.

Association Between Root Caries And Gingival Recession Among Middle-Aged And Older Adults In Taiwan, Lin-Yang Chi

Articles in Press

No abstract provided.

Correspondence Between Kenneth L. Whitt And Major Lloyd Clark, Lloyd Clark, Kenneth L. Whitt

Kenneth L. Whitt Papers

Correspondence between Kenneth L. Whitt and Major Lloyd Clark, indicating Whitt's questionnaire was completed.

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, …

Radicular Back And Abdominal Pain With Ileus, Rash, And Siadh In Lyme Neuroborreliosis, Joyce Y. Quon, Roberta Delvy, Kelly Goo, Maureen Haque, Sarita Soares, Donna M. Windish

Journal of Community Hospital Internal Medicine Perspectives

Lyme disease is the most common tick-borne disease in the United States. Lyme neuroborreliosis occurs when systemic infection leads to neurologic involvement. Neuroborreliosis presents with a wide spectrum of clinical manifestations but classically presents with facial nerve palsy. Here, we present a case with a rare constellation of symptoms including radicular back and abdominal pain, ileus, rash, and SIADH due to Lyme disease with suspected neuroborreliosis. This case highlights the importance of recognizing atypical presentations of Lyme disease, especially for patients in Lyme endemic areas.

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 …

Recurrent Ischemic Colitis Associated With Chronic Low-Flow Physiology: Diagnostic And Therapeutic Implications, Mustafa Sadek, Alaa Almallouhi

Journal of Community Hospital Internal Medicine Perspectives

Ischemic colitis is the most common form of intestinal ischemia and is typically associated with acute hypoperfusion states such as shock or dehydration.¹ Chronic low-flow states related to persistently low baseline blood pressure may represent an underrecognized contributor to recurrent disease in the absence of classic acute triggers.² We present a case of a 54-year-old woman with recurrent, biopsy-proven ischemic colitis occurring in the setting of persistently low blood pressure documented across multiple clinical encounters. Unlike many patients with ischemic colitis, she lacked documented atherogenic, autoimmune, radiation-related, or vasospastic risk factors, and CT angiography showed patent mesenteric vasculature. …

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 …

Granulomatosis With Polyangiitis Presenting As Asymmetric Oligoarthritis: A Diagnostic Challenge, Hasan Obeidat, Heba Alalem, Marwan Ahmed, Mahyar Toofantabrizi

Journal of Community Hospital Internal Medicine Perspectives

Granulomatosis with polyangiitis (GPA) is an anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis classically involving the respiratory tract and kidneys. Although musculoskeletal symptoms are common, they are rarely the initial or dominant presentation, which may lead to diagnostic delays. We present the case of a man in his 40s who initially presented with acute asymmetric oligoarthritis and constitutional symptoms. Initial evaluation for infectious and crystal-related etiologies was unrevealing. During hospitalization, he developed cutaneous vasculitic lesions, including punctate digital lesions and subungual hemorrhages, prompting further investigation. Imaging revealed bilateral pulmonary nodules, and serologic testing demonstrated markedly elevated PR3-ANCA levels. Lung and skin biopsies …