Digital Commons Network^™

The Lessons I Never Took, Nadia Luong

Journal of Southeast Asian American Education and Advancement

“The Lessons I Never Took” is a lyric poem rooted in the author’s experience growing up as a first-generation Cambodian American child in an immigrant family. The poem examines how socioeconomic hardship and language brokering shape a child’s relationship to desire, responsibility, and unrealized possibility. While other children receive formal lessons that allow their interests and talents to be discovered, the speaker develops unrecognized interpretive skill by helping her parents navigate English-speaking institutions. Without assigning blame, the poem holds parental sacrifice and childhood loss together, revealing how survival can limit not only access to enrichment but also a child’s opportunity …

Building An Engaged Workforce: Assessment Of Unit Council Health Within A Large Healthcare System, Ray Gannon, Kasey Jackman, Reynaldo R. Rivera

International Nursing Research Congress (INRC)

While professional governance is an effective strategy for improving team engagement and empowerment in hospital systems, fews studies provide guidelines for how to measure the relative health of an organization's professional governance. Of note, the effectiveness of the unit council is fundamental to successful professional governance, professional competence, and leadership (Hess et al., 2020).

The purpose of this multi-site survey study is to evaluate clinical nurses’ and nurse leaders’ perspectives on their unit council’s health so that our organization can identify the gaps and implement strategies for improvement.

Led by a team of nurse scientists and leaders, this is an …

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 …

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 …

Enhancing Clinical Trial Literacy In Singapore: A Dnp Evaluation Of A Hbm-Guided Educational Video, Harini S. Shunmuga Velu, Barnaby Edward Young, Wentao Zhou

International Nursing Research Congress (INRC)

Background: Clinical trials are a cornerstone of modern healthcare [4]. However, approximately 80% of trials fail to enrol participants on time, costing millions and delaying essential treatment [1].This directly impedes progress toward Sustainable Development Goal Target 3.b. In Singapore, community participation remains modest due to micro-level barriers, including misconceptions, fear of exploitation, and limited research literacy. Advanced nursing leadership must promote this by promoting research literacy and informed ethical decision-making.

Purpose: The purpose is to systematically evaluate the effectiveness and implementation feasibility of a short, culturally-tailored educational video designed to enhance public knowledge, perceived safety, and willingness to participate in …

Bridging Knowledge And Practice: Concept-Based Care Labs In A Medical-Surgical Nursing Course, Thin Malatesta, Rita K. Amoah, Amanda Cornine

International Nursing Research Congress (INRC)

Introduction: In 2010 Benner et al.’s seminal work called for stronger connections between classroom teaching and nursing practice. Prior to Fall 2024, lectures were still a frequent teaching method in an accelerated pre-licensure nursing program.

Background: This project combined active and concept-based learning, using generative artificial intelligence (AI) to create activities. Active learning is well-received, enhances student engagement, and supports the application of didactic content (Ghasemi et al., 2020; Kalu et al., 2023). Concept-based learning enhances problem-solving, engagement, and clinical readiness, preparing nurses for care in complex settings (Al-Omari et al., 2024). AI can efficiently generate complex patient cases and …

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 …

Livedoid Vasculopathy In A Young Woman With Elevated Factor Viii And Lipoprotein(A): A Case Report With Consideration Of Future Pregnancy, Nicole Nudelman, Ann K. Valencia, Alex Fernandez, Paige Johnson, Jeffrey Valencia Uribe, Brian G. Nudelman

Student Publications

Livedoid vasculopathy (LV) is a rare, chronic vascular disorder marked by painful, recurrent ulcerations that primarily affect the lower extremities. It is frequently associated with hypercoagulable states, although its pathophysiology remains incompletely understood. We present the case of a 25-year-old woman with a longstanding history of LV, elevated factor VIII, increased lipoprotein(a), recurrent kidney stones, and iron deficiency anemia who presented with worsening lower-extremity ulcerations. An extensive workup excluded other hypercoagulable and connective-tissue conditions, leaving elevated factor VIII and lipoprotein(a) as the most likely contributors to her disease. Although her symptoms initially resolved with treatment, they recurred over time, and …

Unraveling The Enigma Of Postablation Rhabdomyolysis: Diagnostic Dilemmas And Therapeutic Strategies, Alex Fernandez, Nicole Nudelman, Ann K. Valencia, Gustavo A. Hernandez, Nishka R. Jakkidi, Jeffrey Valencia Uribe, Brian G. Nudelman

Student Publications

Rhabdomyolysis is characterized by the breakdown of skeletal muscle tissue and the release of intracellular contents into the circulation, and it poses diagnostic challenges due to its heterogeneous presentation and potential for serious complications. We present a case of a 44-year-old male with a history of hypertension, anxiety, and persistent atrial fibrillation (AF) who developed rhabdomyolysis the morning after a scheduled catheter ablation. He presented with myalgias, muscle cramps, weakness, and brown-colored urine; laboratory studies revealed a creatine phosphokinase (CPK) of 23,757 U/L, hyponatremia, and mildly elevated transaminases despite a normal urinalysis. His CPK improved to below 5,000 U/L after …

Breaking The Silence - Moving Beyond Lecture Hall Echo Chambers In Nursing Education, Joshua Michael Kies, Elizabeth Faye Snyder, Cyndi Faudree

International Nursing Research Congress (INRC)

Nursing student silence in higher education undermines active learning and critical thinking development. This literature review examines participation barriers, engagement strategies, and approaches to fostering inclusive discussion environments. Research identifies multiple contributing factors: fear of negative evaluation, cultural differences in communication styles, insufficient content knowledge, and technological challenges in virtual settings. The Student Engagement in Digital Learning Framework reveals four key dimensions—emotional, behavioral, cognitive, and social—that interact to create barriers or facilitators to student voice. Evidence-based solutions include extending wait times to 10-15 seconds for cognitive processing, implementing culturally responsive pedagogies, providing multimodal participation formats, and scaffolding discussions to build …

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 …

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.

Dowland Is For Everyone! The Making Of A New Biography, K. Dawn Grapes, Katharyn R. Benessa

Soundboard Scholar

Following the publication of her new biography of the Elizabethan lutenist John Dowland, K. Dawn Grapes details her research journey in conversation with Katharyn Benessa. They discuss both the history of Dowland research, including the legacy of Diana Poulton, and the gaps that still remain. Grapes offers new context for understanding Dowland’s music and considers how his travels and experiences may have shaped his life and work.

Is Artificial Intelligence Intelligent? Trust, Verification, And The Responsible Use Of Al In Libraries, Norman Desmarais, Janice Schuster

Library Faculty and Staff papers

We live in an age of alternate realities. If we do not like the current situation, we can pick or rearrange facts to suit our worldview. It appears our information systems follow suit, particularly in artificial intelligence (AI). Developers in the Al industry generally want friendly Al that does what the human user wants (as long as it is not too naughty). They do not want Al that says "I do not know," so they design models to be fluent, not factual. Consequently, the engines confidently invent citations, titles, or people if not constrained or verified, a phenomenon called AI …

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.

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.

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 …

Pre-Service Teachers' Experiences On Teaching Essay Writing To Grade 10 Learners In The Eastern Cape, Ncebazakhe Makhohlisa, Lundi Nomlala

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This paper explores pre-service teachers’ experiences in teaching essay writing to Grade 10 English First Additional Language learners. Despite the significance of essay writing for developing learners' writing skills in multilingual classrooms, writing essays remains a challenge for most English First Additional learners. The extant research has examined the challenges that learners face in essay writing. However, there is limited research examining pre-service teachers’ experiences in teaching essay writing during their teaching practice. This paper employed a qualitative research approach, and data were drawn from 30 pre-service teachers’ reflective journals based on their teaching practice experiences. Cognitive Process Theory was …

Monitoring System In The Georeactor Area During The Underground Coal Gasification Process, Aleksandra Tokarz, Jacek Grabowski, Krzysztof Korczak

Journal of Sustainable Mining

Safety control of the underground coal gasification (UCG) process involves ensuring that the process runs smoothly, monitoring changes occurring on the surface and in the rock mass, and counteracting the negative environmental impact of the process. The article presents the application of a monitoring system implemented in Poland, both in pilot tests conducted in shallow coal seams at the Barbara Experimental Mine and in deep coal seams at the Wieczorek mine, where a full-scale gasification process was tested. The analysis of the monitoring results carried out during the gasification experiment in an operating mine allowed for the identification of key …

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 …

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 …

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 …

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. …

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 …

The Business Next Door: The Rise, The Transition, And Fall Of The Holland Furnace Company Iii, Steve Vanderveen

University Faculty Publications and Creative Works

From 1906 to 1928, the Holland Furnace Co. grew from an idea to a manufacturing powerhouse, making 46,000 furnaces. However, the world was on the verge of experiencing an economic depression and the Kolla and Landwehr families a devastating tragedy.

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, …

Fast Computation And Model Order Reduction Of The Friction Stir Welding Process With Pod-Deim, Joshua Kay, Zilong Song

Mathematics and Statistics Student Research and Class Projects

Friction stir welding (FSW) is a solid-state manufacturing process widely used in joining aluminum and other metal workpieces. The FSW process can be modeled by a coupled system of non-Newtonian Navier–Stokes and heat-transfer equations. However, solving this non-linear system with high accuracy requires significant computational power. This work refines the system by introducing corrected coefficients and new treatments for boundary conditions near the tool. Then, model order reduction, including the Proper Orthogonal Decomposition (POD) and Discrete Empirical Interpolation Method (DEIM), is applied to efficiently solve the FSW system in a low-dimensional space. To enhance accuracy and effectiveness, two novel treatments …