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Table Of Contents

Seattle University Law Review

No abstract provided.

Do Social Determinants Of Health Affect Tooth Retention For American Indian/Alaska Native (Ai/An) Adults?, Vae Day

Summer Research Showcase

American Indian/Alaska Native (AI/AN) adults face severe dental disparities due to social determinants of health (SDOH). This study examines how socioeconomic, functional, and cognitive factors influence access to dental care. Quantitative analysis was conducted using SPSS Statistics. Chi-square testing and logistic regression evaluated relationships between variables. Using a strengths-based approach to this research, the outcome variable was recoded to measure “teeth retained” instead of “teeth removed due to tooth decay or gum disease”. Analyses revealed that tooth retention and healthcare access significantly increase with favorable SDOH, including reliable transportation, household income, ability to complete errands independently, having insurance, and retained …

The History And Importance Of Self-Compassion: Lack Of Application In Male Demographics?, Marshall Spilane

Summer Research Showcase

Self-compassion has become an important part of mental health research, though its adoption in male populations has been slower than in others. The objective of this literature review is to expose a lack of implementation of self-compassion practices in male communities. This literature review explores this gap in adoption and provides an example of how research can move forward. The data were collected by analyzing current literature and compiling it. Current research on self-compassion has found evidence that self-compassion can improve emotional regulation and lessen depression symptoms. Many factors could influence the gap in adoption; some research suggests that mental …

Faculty Insights On Teaching Self-Determination Skills In Postsecondary Education, Jacqueline Lubin

International Journal of Teaching and Learning in Higher Education

While self-determination skills may serve as a predictor of success in higher education, limited research exists on faculty attitudes toward teaching these skills to students with and without disabilities. Therefore, the purpose of this study was to examine faculty’s knowledge of self-determination and perception of teaching self-determination skills to all college students. The data were analyzed using descriptive statistics and multivariate analysis of variance. Findings indicated that while the majority of participants were familiar with the term “self-determination,” and recognized its instructional value, their responses varied on their likelihood to teach skills. On average, faculty reported being somewhat likely to …

Contextualizing Second Language Anxiety In Multilingual Higher Education: Classroom Conditions And Clinical Settings, Busayo O. Ige

International Journal of Teaching and Learning in Higher Education

In South African universities, multilingual students whose first language is not English face distinct challenges that impact academic participation and success. This qualitative study examines how second language (L2) anxiety shapes first-year students’ classroom and clinical experiences at the University of Cape Town. Drawing on open-ended survey data, the study reveals that fear of negative evaluation, communicative apprehension, and prevailing language ideologies contribute to students’ reluctance to speak, feelings of invisibility, and withdrawal from engagement. Although anxiety tends to lessen over time, it rarely disappears completely. Notably, students experienced anxiety differently across settings: classroom discussions elicited greater fear and self-censorship, …

Semantic Consistency Verification For Hedged Ai Inference Requests, Durga S. Kala, Tomer Rabani, Chenming Cao, Sreekanth Kanichetty, Sowmya Mothekani

Defensive Publications Series

A method includes receiving, in response to a common input transaction, a first inference response generated by a first inference stack and a second inference response generated by a second inference stack. The method includes generating a first vector embedding based on semantic content of the first inference response and a second vector embedding based on semantic content of the second inference response. The method includes determining a divergence measure between the first vector embedding and the second vector embedding. The method includes determining whether the divergence measure satisfies a semantic consistency criterion. The method includes, in response to determining …

An Integrated, Doctor-Reinforced Ai Healthcare Ecosystem:, Amey Krishna Solkar

Defensive Publications Series

Here's the abstract from DP-2026-HLTH-001:

"This publication discloses an integrated, not-for-profit healthcare technology ecosystem comprising seven complementary AI-assisted subsystems: (1) an AI clinical intake and differential-diagnosis assistant, (2) a generic and accessible medicine alternative finder, (3) an AI-coordinated emergency transport dispatch layer, (4) a personalized food and nutrient deficiency analysis system, (5) a crowd-sourced food adulteration and quality repository, (6) a mental health longitudinal outcomes research engine, and (7) a drug and food combinatorial hypothesis engine. The subsystems share patient context, a common outcome dataset, and a unified governance model under which artificial intelligence operates in a strictly supervised, doctor-reinforcing …

Between Care And Competence: Rethinking Alternative Provision., Helen V. Mulligan

Plymouth Interdisciplinary Education Open Journal

This opinion piece argues that Alternative Provision (AP) in England is failing to meet the needs of vulnerable young people due to inconsistent staffing, inadequate specialist training, and the normalisation of low educational expectations. Although some AP settings demonstrate high aspirations and committed practice, the sector as a whole remains marked by variability and a lack of coherent pedagogical structure. Drawing on research into educational inequality, emotional labour, ethics of care, and professional identity, the paper contends that systemic reform is urgently required. Recommended actions include mandatory specialist training for AP staff, national standards for curriculum and pedagogy, stronger accountability …

Usa V. Cedrick Hodges

2026 Decisions

USDC for the District of New Jersey

Patricia Holmes V. American Homepatient, Inc

2026 Decisions

USDC for the Middle District of Pennsylvania

The Impact Of Mobile Financial Inclusion On The Performance Of Savings And Credit Cooperative Societies (Saccos) In Tanzania, Penina Benjamin Waryoba

Business Management Review

This study examined the influence of Mobile Financial Inclusion (MFI) on the Performance of SACCOs business (PSB) in Dar es Salaam, Tanzania. Through the Resource-Based View (RBV), the study assessed how the ability to save money (SM), transfer money (TM), and access to financial information Access (FIA) shape PSB as guided by the Theory of Planned Behavior (TPB). The data were collected from 226 SACCOs using mail survey self-administered questionnaires, and analyzed using Structural Equation Modeling (SEM) in Smart-PLS. The findings reveal that all three independent variables SM, TM, and FIA positively and significantly, enhanced PSB. The results further show …

The Indiana Statesman, August 27, 2026, Indiana State University

Student Newspaper

What to know about Emotional Support Animals; Annual street fair hits campus

Nurse Self-Care And Resilience On 12-Hour Shifts: A Mixed-Methods Program Evaluation, Timothy C. Ortiz, Werayuth Srithumsuk, Kattiya Podimuang, Wendy Campos, Merita Geo, Pinthusorn Pattayakorn

International Nursing Research Congress (INRC)

Purpose: This evidence-based quality improvement project is aimed to implement and evaluate a self-care resilience program designed to improve work-life balance and self-care management for bedside nurses working 12-hour shifts in an acute care hospital. High rates of burnout and turnover among this population threaten both nurse health and patient care quality.

Methods: Guided by the principles in "Self-Care for New and Student Nurses" (Fontaine et al.), an 8-week program was developed and piloted with 50 medical-surgical nurses. The multi-component intervention included: (1) structured education on mindfulness, sleep hygiene, and nutrition; (2) skill-building workshops in paced breathing and micro-movements for …

Japanese Public Health Nurses' Culturally Sensitive Disaster Nursing In Islands - Focusing On Soc, Miki Marutani, Sagiri Aoki, Yukiko Anzai, Hiroko Okuda, Mayumi Kako, Susumu Fukita

International Nursing Research Congress (INRC)

Objective: Natural disasters are intensifying due to climate change. Sense of Coherence (SOC) enhances a community's resilience to disasters (Sutton et al., 2020). Public health nurses (PHNs) are required to enhance people's SOC to prevent health crises(Sofyana et al., 2022).Previous studies found that PHNs in islands recognized that while islands are vulnerable to disasters, they also possess a culture regarding disaster preparedness(Marutani et al., 2020) .This study identifies elements within the culture of remote islands, as understood by public health nurses, that align with SOC.

Methods：In 2023–2024, we conducted semi-structured interviews with seven PHNs on five islands regarding disaster-related culture. …

The Picaso Trial: Studying Aya Chronic Illness Self-Management Using A Noncategorical Approach, Sharron L. Docherty, Gary Maslow, Mclean Pollock, Susan Silva, Erin Denio, Lakaya Craig, Remi Misiewicz

International Nursing Research Congress (INRC)

Background: Adolescents and young adults (AYA) with childhood-onset chronic conditions often struggle during the transition from pediatric to adult healthcare and from being a child living with a chronic condition to an adult who effectively manages their chronic condition. Despite shared developmental, psychosocial, and healthcare transition challenges, most research is condition-specific, limiting generalizability and overlooking shared self-management needs (1-3). The PiCASO study evaluated a peer coaching intervention to improve self-management and patient activation among AYA during this critical transition and demonstrated the feasibility and impact of a noncategorical approach.

Methods: A randomized controlled trial was conducted in which 222 AYA …

Factors Influencing Physical Activity Post-Hospitalization In Cardiac Patients Reporting Hopelessness, Eleanor Rivera, Lola Coke, Nathan Tintle, Madison Goodyke, Anna Luong, Susan Dunn

International Nursing Research Congress (INRC)

Background: Lack of physical activity (PA) is a major health risk factor, associated with high burden of ischemic heart disease (IHD) [1]. Increasing PA demonstrates health benefits but meeting PA guidelines is difficult for patients with IHD. Furthermore, patients with IHD who experience hopelessness, a negative outlook and sense of helplessness about the future [2], may face additional barriers in meeting PA guidelines. This study used a qualitative approach to explore the self-reported barriers and motivating factors to meeting PA goals for patients with IHD.

Methods: The Heart Up! Study was an RCT testing a 6-week motivational intervention in individuals …

Lifestyle Intervention: Effects On Glycemic Control And Medication Reduction In Type Ii Diabetes, Karlen E. Luthy, Sydney Smith, Christine Rae Platt, Janelle L. B. Macintosh, Neil E. Peterson, Janessa Johnson

International Nursing Research Congress (INRC)

Background: Diabetes Mellitus Type II (DMII) is a condition that affects millions of people every year and, while preventable, remains one of the top causes of death and disability in the United States. Typical treatment for DMII is focused on using pharmacological measures to lower and maintain hemoglobin A1C in a healthy range. Providers in a family practice clinic established a lifestyle change program to assist patients to reduce their A1C while also reducing the number of diabetic medications they take. The program was intended to improve metabolic health without relying solely on pharmacotherapy. The program encourages a low carb …

A Language We Built Together: A Physician Assistant’S Reflection On A Renal Transplant, Oviya Mahendran, Sampathkumar Sakthi Selvakumar

Journal of Wellness

This is not just a story of kidney transplantation in a tertiary care hospital in a tier-2 city of South India. It is all about a true clinical journey of resilience, where a young woman with congenital hearing loss, battling chronic kidney disease, discovered hope, understanding, and companionship through a physician assistant's compassionate communication.

The Mediating Role Of Production Process Efficiency Through Lean Production In Enhancing Institutional Excellence: An Applied Study At The Maysan Oil Factory, Asst. Lect. Wasan Jawad Kadhim

Muthanna Journal of Administrative and Economics Sciences

This study aimed to analyze the mediating role of production process efficiency in the relationship between lean production and organizational excellence, through an applied study at the Maysan Oils Factory. This was done within the framework of efforts to improve operational performance and enhance the competitiveness of industrial enterprises. The study’s significance stems from its highlighting of lean production as a modern strategic approach and its showcasing of the role of production process efficiency as an intermediary mechanism that contributes to achieving organizational excellence in the industrial environment. The study adopted a descriptive-analytical approach. The study population consisted of employees …

The Impacts Of Emotions On Thirst Among Heart Failure Patients, Chieh-An Yang, Hsing-Mei Chen, Tsung-Neng Tsai, Chieh-Yu Liu, Hui-Ju Lu, Ting-Ti Lin

International Nursing Research Congress (INRC)

Purpose: Thirst, characterized by sensations of oral dryness and a craving to drink, is a ubiquitous experience among heart failure (HF) patients. Besides reduced cardiac output, the clinical treatments for HF patients (e.g., diuretics, fluid restriction) may activate the renin-angiotensin-aldosterone system (RAAS), exacerbating their thirst distress.

Negative emotions are commonly experienced among heart failure patients. Previous studies have suggested that emotions (e.g., anxiety, depression) may activate the sympathetic nervous system, reducing the secretion of saliva, which, in turn, may increase sensations of dry mouth among HF patients. However, the relationship between emotions and thirst distress remains unclear. Therefore, the aim …

Spartan Daily, August 27, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 167, Issue 04

Development And Evaluation Of An Llm Based Nursing Documentation, Sumi Sung, Hyeyoung Lee, Wooje Sung, Do Yeon Kim, Jung Eun Hong, Yewon Lee, Seung Hee Lee

International Nursing Research Congress (INRC)

Background: Accurate nursing documentation is essential for communicating patient status and ensuring patient safety. However, heavy workloads and non-standard terminology often lead to omissions and errors. Large language models (LLMs) show promise in supporting nursing documentation, but hallucinations raise safety concerns. To mitigate these risks, we adopted a retrieval-augmented generation (RAG) approach that grounds responses in standard nursing terminologies [1]. This study aimed to develop and evaluate an RAG-based chatbot that supports nursing documentation using standard terminology and procedures.

Methods: From January 2022 to May 2024, we analyzed 70,926 unstructured nursing narratives from 76 patients with myocardial infarction who underwent …

Staff Education To Enhance Clinical Staff Knowledge Of Medication Adherence Strategies In Bipolar Disorder, George Niyi Ojewale

Walden Dissertations and Doctoral Studies

Medication nonadherence in bipolar disorder is a significant contributor to relapse, hospitalization, and functional decline. This doctor of nursing practice (DNP) staff education project addressed a practice gap at the project site involving inconsistent clinician knowledge and absence of a standardized approach to adherence education. The practice-focused question for this project was: How does implementing an evidence-based staff educational program improve clinical staff knowledge in supporting medication adherence in patients with bipolar disorder? The purpose of this project was to implement a structured, evidence-based educational intervention to improve clinician knowledge related to medication adherence strategies. The intervention consisted of a …

Electrical Leaders’ Effective Strategies To Reduce Workplace Fatalities And Injuries, Amy Clark

Walden Dissertations and Doctoral Studies

Workplace electrical safety programs help reduce injuries and fatalities, yet some U.S. electrical leaders who manage safety programs and oversee safety issues lack effective strategies to sustain safe environments to reduce electrical accidents. Grounded in Heinrich’s incident/accident pyramid theory and behavior-based safety theory, this qualitative pragmatic inquiry explored strategies used by six electrical leaders who successfully reduced workplace incidents. Data were collected through semistructured interviews and document analysis and analyzed using Castleberry and Nolen’s inductive thematic approach. Key themes included hazard identification, controls, personal protective equipment and inspections, common challenges (time, resistance, complacency), communication and engagement, safety culture and leadership, …

Reducing Inpatient Falls Through Staff Education, Courage Duin Chiangeh

Walden Dissertations and Doctoral Studies

Patient falls remain a major patient safety concern, particularly among hospitalized stroke patients who are at increased risk because of impaired mobility, neurological deficits, and cognitive changes. The inpatient stroke unit selected for this quality improvement project consistently reported the highest fall rates within the hospital system, highlighting the need for evidence-based interventions. The purpose of this project was to determine whether a structured fall-prevention education program incorporating evidence-based practices and the 4Ps of purposeful rounding (pain, potty, position, and possessions) would improve staff knowledge, increase compliance with fallprevention practices, and reduce patient falls over a 2-month period. Guided by …

Workplace Loneliness And The Impact Of Social Connections In Distributed Teams, Belkys Stallings

Walden Dissertations and Doctoral Studies

Workplace loneliness is a growing organizational challenge as the rise of distributed teams reshapes opportunities for social connection and engagement. Business leaders need to understand this challenge because it is associated with reduced belonging, lower job satisfaction, diminished productivity, and increased turnover intentions. The purpose of this quantitative correlational study was to examine the extent to which distributed team environments (remote, hybrid, or flexible) impacted workplace loneliness and whether social connectedness moderated this relationship. Social exchange theory, self-determination theory, and Weiss’s concept of loneliness grounded this study. The participants comprised 84 adults working full-time in distributed team environments across the …

The Relative Strength Of Compulsive Reward-Driven Eating, Weight Self-Efficacy, And Physical Appearance Comparison In Predicting Feelings Of Self-Worth, Kathleen Rowe

Walden Dissertations and Doctoral Studies

Walden University College of Psychology and Community Services This is to certify that the doctoral dissertation by Kathleen Rowe has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Hedy Dexter, Committee Chairperson, Psychology Faculty Dr. Medha Talpade, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2026

Socioeconomic Determinants Of Malaria Infection Among Pregnant Women In Cameroon, Sub-Saharan Africa, Arnold Akosah Muluh

Walden Dissertations and Doctoral Studies

Malaria during pregnancy is a significant public health issue in Cameroon, affecting maternal health and birth outcomes. Despite preventive measures, disparities exist among socioeconomic groups and between urban and rural areas. The study was guided by the social-ecological model and explored how socioeconomic factors and geographic location influence malaria infection in pregnant women. Specifically, the impact of wealth index, maternal education, and healthcare access on infection rates, considering maternal age, parity, and residence, was examined. Quantitative data from the Cameroon DHS Phase 8 were used (N=1204). The sample included pregnant women with valid malaria test results. Chi-Square tests and binary …

Re: 2026 Spring Semi-Annual – Interim Site-Wide Groundwater Monitoring Data Report Silver Bow Creek Butte Area Npl Site, Butte Priority Soils Operable Unit Consent Decree-Civil Action No. Cv 89-039-Bu-She, Josh Bryson

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Staff Education To Strengthen Patient Counseling For Recurrent Uti Prevention In Middle-Aged And Older Women In A Low-Income Community Clinic, Linda Osamede Isidienu

Walden Dissertations and Doctoral Studies

This doctor of nursing practice (DNP) project was a practice-focused quality improvement (QI) staff education initiative designed to address recurrent urinary tract infections (UTIs) among middle-aged and older women receiving care in a low-income community clinic. Recurrent UTIs are associated with increased antibiotic use, antimicrobial resistance, and reduced quality of life. The purpose of this project was to evaluate whether a structured staff education program could improve provider knowledge related to patient counseling on UTI prevention. Twenty nurses and medical assistants participated in the intervention, which included education on evidence-based prevention strategies, counseling techniques for low health literacy populations, and …