Digital Commons Network^™

Gc-Ms Profiling And Antibacterial Activity Of Cold-Macerated Garlic Extracts Against Multidrug-Resistant Uropathogens, Fatima A. Khalaf, Saeed A. Fayadh

Karbala International Journal of Modern Science

The growing number of cases of multidrug-resistant (MDR) urinary tract infections has made the clinical management of urinary tract diseases a significant challenge; therefore, the need for effective adjunctive therapies cannot be overemphasized. This study evaluated the bioactive components and antibacterial efficacy of cold-macerated garlic extracts obtained using distilled water, 70% ethanol and hexane solvents against antimicrobial-resistant urinary isolates. Out of 250 urine samples that were analyzed, 124 (49.6%) showed significant microbial growth, with Escherichia coli being the most frequently isolated organism. The results of the phytochemical screening and Gas Chromatography-Mass Spectrometry (GC-MS) analysis showed that the ethanolic extract had …

Reconstructing The Enforcement Of The Code Of Ethics For General Elections In Indonesia: A Prophetic Law Perspective, Fradhana Putra Disantara, Ratih Listyana Chandra, Aan Efendi, Iwan Rachmad Soetijono, Souad Ahmed Ezzerouali

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

This research examines the reconstruction of ethical code enforcement for election organizers in Indonesia through the perspective of prophetic law, arguing that ethical adjudication should extend beyond procedural compliance by integrating humanization, liberation, and transcendence as normative foundations of substantive justice. Employing doctrinal legal research, the study uses statutory, conceptual, case, and comparative approaches. It compares Indonesia's regulatory framework with the ethical governance systems of India and the United States to identify institutional models that strengthen integrity while respecting distinct constitutional traditions. The findings demonstrate that ethical adjudication differs fundamentally from administrative law: it governs the forum internum of election …

Caldwell Thermodynamic Upgrade Engine For Global Gaps 41–50, Michael Victor Caldwell Mr.

Defensive Publications Series

Global infrastructure analyses identify ten critical thermodynamic gaps beyond the first 40 worldwide gaps: global food cold‑chain stability, EV fast‑charging cooling, atmospheric micro‑plastic capture, water‑distribution thermal stability, autonomous‑vehicle compute cooling, emergency drone cooling, remote medical‑clinic cooling, agricultural‑chemical neutralization, rural edge‑compute cooling, and robotics cooling in extreme environments.

This disclosure presents a unified thermodynamic upgrade engine composed of gyroid thermal‑hydraulic cores, TPMS purification lattices, vortex‑TPMS cooling modules, atmospheric water harvesters, micro‑particle capture lattices, chip‑scale cooling engines, radiative gyroid condensers, and auxiliary subsystems.

Each subsystem is explained in detail, including how it directly fills a global gap, how it works, and how …

Caldwell Thermodynamic Upgrade Engine For Global Gaps 31–40, Michael Victor Caldwell Mr.

Defensive Publications Series

Global infrastructure analyses identify ten critical thermodynamic gaps beyond the first 30 worldwide gaps: vertical‑farm cooling, micro‑structured desalination, thermal‑stable vaccine manufacturing, atmospheric micro‑particle capture, humanitarian food‑processing stability, satellite ground‑station cooling, remote industrial camp cooling, PFAS‑adjacent soil neutralization, emergency communication node cooling, and AI‑edge device cooling in hot regions.

This disclosure presents a unified thermodynamic upgrade engine composed of gyroid thermal‑hydraulic cores, TPMS purification lattices, vortex‑TPMS cooling modules, atmospheric water harvesters, micro‑particle capture lattices, chip‑scale cooling engines, radiative gyroid condensers, and auxiliary subsystems.

Each subsystem is explained in detail, including how it directly fills a global gap, how it works, and …

Western Australian Regional Development Trust Annual Report 2025-26, Department Of Primary Industries And Regional Development, Western Australia

Western Australian Regional Development Trust Annual Reports

The Trust is an independent statutory advisory body to the Minister for Regional Development, established under the Royalties for Regions Act 2009 (Act).

The functions of the Trust are to provide advice and make recommendations to the minister:

• for the purposes of sections 5(2) and 9(1) of the Act; and
• on any other matter relating to the operation of the Fund that is referred to it by the minister.

In addition to its monitoring and advisory role, the Trust also works to engage and enhance relationships with key regional stakeholders and influencers to promote greater collaboration and innovation in the …

Pola Rujukan Penyakit Saluran Pernapasan Di Fasilitas Kesehatan Tingkat Pertama: Tantangan Gatekeeper Program Jaminan Kesehatan Nasional Di Jakarta, Syarif Rahman Hasibuan, Melrose Holy Natasha, Fatih Jihadi Ramadan

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Program Jaminan Kesehatan Nasional yang diselenggarakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan mewajibkan Fasilitas Kesehatan Tingkat Pertama (FKTP) untuk menyeleksi kasus yang memerlukan rujukan. Penyakit saluran pernapasan yang menjadi penyebab utama kunjungan ke FKTP memiliki pola rujukan yang masih belum banyak diteliti. Oleh karena itu, dilakukan penelitian untuk melihat pola rujukan penyakit saluran pernapasan di FKTP dan mengetahui faktor yang berasosiasi dengan keputusan rujukan. Penelitian potong lintang ini dilakukan terhadap 89.225 klaim FKTP di Jakarta pada periode 2017-2023, dengan kriteria inklusi semua kunjungan dengan diagnosis ICD-10 diseases of the respiratory system. Uji regresi logistik dilakukan untuk mengidentifikasi faktor …

A Theory Of Hard And Soft Information, Jeremy Bertomeu, Ivan Marinovic

Olin Business School Faculty Research

This paper studies a model of optimal disclosure via two comp eting communi- cation channels, hard information whose value has been veri fied and soft disclo- sures (e.g., forecasts, unaudited statements, press relea ses). We show that certain soft disclosures may contain as much information as hard dis closures and establish that: (a) exclusive reliance on soft disclosures tends to co nvey bad news, (b) cred- ibility is greater when unfavorable information is reporte d and (c) misreporting is more likely when soft information is issued jointly with har d information. We also show that a soft report that is …

Capital Structure, Cost Of Capital, And Voluntary Disclosures, Jeremy Bertomeu, Anne Beyer, Ronald Dye

Olin Business School Faculty Research

This paper develops a model of financing that jointly determi nes a firm’s capital structure, its voluntary disclosure policy, and its cost of capital. Investors who receive securities in return for supplying capital sometimes incur losses when they trade their securities with an informed trader. The firm’s disclosure po licy and the structure of its securities determine the information advantage of the i nformed trader, and hence the size of investors’ trading losses and the firm’s cost of ca pital. We establish a hierarchy of optimal securities and disclosu re policies that varies with the volatility of the firm’s cash …

Advancing Faculty Preparedness: Longitudinal Evaluation Of A National Blended Nurse Educator Program, Bobae Park, Heui-Kyeong Kwon, Hana Kim

International Nursing Research Congress (INRC)

Strengthening faculty preparedness is essential for improving clinical education in essential care settings. Korea has launched a national initiative to develop a standardized nurse educator training system to advance educator competencies. This study evaluated the effectiveness of a two-day national blended nurse educator program expanded from a micro-teaching model, using Kirkpatrick Levels 1–3, and explored improvement strategies through instructor focus group discussions (FGDs). This work aligns with Sigma’s priorities of advancing education, faculty preparedness, and professional development.

A mixed-methods design was used. The program, developed using the ADDIE model, was delivered to 179 nurse educators nationwide. Immediate post-training evaluation measured …

Reliability And Validity Of The Competency Inventory Registered Nurses Scale, Khulan Gaalan, Alima Alima, Solongo Dashnyam

International Nursing Research Congress (INRC)

Background: Nursing competency is vital to delivering high-quality healthcare services. Robust and culturally appropriate assessment tools are essential for evaluating nursing performance and guiding professional development. This study aimed to examine the internal reliability and construct validity of the Competency Inventory for Registered Nurses (CIRN) scale in the Mongolian context.

Methods: A cross-sectional survey was conducted among 550 randomly selected registered nurses working in 11 public tertiary hospitals in Ulaanbaatar and five regional hospitals of Mongolia. Internal consistency was measured using Cronbach’s alpha, and construct validity was examined through exploratory factor analysis (EFA). Sampling adequacy was evaluated using the Kaiser–Meyer–Olkin …

Impact Of Nurse Residency Programs On Soft Skills In Newly Graduated Nurses: An Integrative Review, Hyejung Lee, Heemoon Lim, Jungwoo Hwang

International Nursing Research Congress (INRC)

Background: Soft skills (non-technical skills) are increasingly recognized as essential for facilitating newly graduated nurses’ transition into professional nursing roles. Newly graduated nurses often face challenges in this transition, and nurse residency programs have been implemented to support the process. Despite growing recognition of the importance of soft skills, understanding of how these programs influence soft skills remains limited.

Purpose: This study aimed to identify the soft skills addressed in nurse residency programs and examine how these programs influence the soft skills of newly graduated nurses.

Methods: A literature search was conducted in May 2024 using seven electronic databases: APA …

Factors Associated With Noise Management Performance In Critical Care Nurses: A Cross-Sectional Study, Eugene Han, Haeun Kang, Yeonsoo Jang

International Nursing Research Congress (INRC)

Background and Objectives: Noise in intensive care units (ICUs) has been identified as a significant environmental stressor affecting both patient outcomes and nursing performance. However, empirical data on ICU nurses’ noise-management practices and their determinants remain limited. This study aimed to examine the level of noise-management performance among ICU nurses and to identify individual and organizational factors associated with such performance.

Methods: A descriptive cross-sectional design was used. Data were collected via a self-administered online survey from 216 registered nurses working in ICUs in Korea and surrounding regions between November 2025. Measures included validated instruments for noise experience, response attitude …

Effect Of Field Leadership On Achieving Performance Quality Among Specialist Supervisors Of Sport Education, Khlood Hameed Abbas

Modern Sport

This study aims to develop a dedicated questionnaire to measure the effect of field leadership on achieving performance quality among specialist supervisors of sport education in the Directorate General of Education in Baghdad / Al-Karkh/ 2, in sical education teachers (N = 463). The sample was divided into an exploratory sample (n = 48) and a main application sample (n = 415), achieving an actual response rate of 89.3%. A 26-item instrument was developed to assess field leadership dimensions (13 items) and performance quality outcomes (13 items). Statistical analysis processed via SPSS revealed that under Field Leadership, the item concerning …

Autistic Menopause: Where Should Research Go From Here?, Christine A. Jenkins, Margaret Janse Van Rensburg

Faculty and Staff Publications

Plain language summary

This letter lists seven priorities for future research on autism and menopause. It is written by an early career researcher/assistant professor and a community researcher. Both are neurodivergent themselves.

Global, Regional, And National Prevalence Of Second-Hand Smoke And Attributable Disease Burden In 204 Countries And Territories, 1990–2023: A Systematic Analysis For The Global Burden Of Disease Study 2023, Gbd 2023 Second-Hand Smoke Collaborators, Debasish Kar

Peninsula Medical School

SummaryBackground Second-hand smoke (SHS) exposure remains a major source of morbidity and mortality among nonsmokers. This study presents the first dedicated Global Burden of Diseases, Injuries, and Risk Factors Study (GBD)publication to systematically quantify SHS prevalence and evaluate its effect as a global risk factor across a broaderrange of outcomes.Methods Using the GBD 2023 comparative risk assessment framework, we estimated SHS exposure prevalence andattributable disease burden across 204 countries and territories from 1990 to 2023, stratified by age and sex. Exposureestimates were derived by synthesising population-based surveys and household composition data throughspatiotemporal Gaussian process regression. Relative risks for nine health …

Leveraging Technology To Mitigate Cognitive Load In Nursing Education: An Integrative Review, Joset Brown, Dione Sandiford, Caroline Meza

International Nursing Research Congress (INRC)

Background: Prelicensure nursing students face significant cognitive challenges as they balance academic coursework with rigorous clinical training [1]. These demands often exceed cognitive capacity, leading to cognitive overload which hinders information processing and retention [2]. Cognitive load refers to the mental effort required to process information within working memory; while cognitive overload occurs when intrinsic, extraneous, and germane demands exceed this capacity [3,4]. Integrating technology-driven strategies offers opportunities to optimize working memory and enhance learning outcomes.

Purpose: The purpose of this integrative review was to synthesize current evidence on factors influencing cognitive load and examine technology-based interventions designed to mitigate …

Perception About Self-Management Education For People With Hypertension And Low Health Literacy, Nhi Thi Vo, Suzanne Hoi Shan Lo, Hon Lon Tam

International Nursing Research Congress (INRC)

Aim: Self-management education is a key component of hypertension care. However, individuals with low health literacy often have suboptimal self-management skills even after receiving such education. Little is known about their experiences in receiving self-management education. This study aims to explore the facilitators and barriers of accessing, understanding, appraising and using information provided in self-management education among community-dwelling individuals with hypertension in Vietnam, with perspectives from healthcare professionals and people with hypertension.

Methods: Individual semi-structured interviews were conducted. Purposive sampling was used to recruit participants with hypertension who were currently receiving care at a community health centre (CHC) in Vietnam, …

A Guided Size Exclusion Chromatography Demonstration For Teaching Polymer Separation And Characterization, Daniel Rivero, Nicole Paccha, Amrita Sarkar

Department of Chemistry and Biochemistry Faculty Scholarship and Creative Works

Practical experience with modern analytical instruments is an essential component of undergraduate chemistry education, yet access to advanced instruments varies widely among institutions because of differences in available resources. Although size exclusion chromatography (SEC) is extensively used in polymer characterization in both academia and industry, undergraduate students at Montclair State University previously had limited opportunities to gain hands-on experience to this technique. To address this need, a demonstration using a multidetector-equipped Malvern Panalytical OMNISEC system was developed and incorporated into a second-year organic chemistry laboratory course during the 2025–2026 academic year. This activity engaged more than 300 undergraduate students representing …

Escape Room Vs. Classroom: A Comparative Study On Meaningful Learning And Knowledge Retention, Michael Scott Defrancisco, Amanda Bennett, Victoria English

International Nursing Research Congress (INRC)

Introduction: The COVID-19 pandemic exposed challenges in nurse engagement and participation in continuing education, impacting professional development and patient safety. Escape room–based learning has emerged to address these gaps by fostering collaboration and active participation. While escape rooms are reported as engaging, evidence comparing their effectiveness to traditional classroom education remains limited.

Purpose: To compare escape room learning and classroom instruction on nurses’ confidence, knowledge retention, and perceived meaningfulness.

Methods: An IRB-exempt, prospective, controlled trial included 128 nurses assigned to either escape room (intervention) or classroom (control) education. Both groups completed pre/post surveys and longitudinal surveys at 3, 6, 9, …

Accessibility In Clinical Learning: An Immersive Assessment Project, Candace W. Burton, Kayla Sullivan, Angela Silvestri-Elmore

International Nursing Research Congress (INRC)

Nursing students with physical disabilities (NSWPD) face barriers in clinical learning including physical inaccessibility, lack of awareness or training in faculty and staff, and bias in professional evaluation (1-3). The project purpose was to directly identify barriers to clinical learning for NSWPD.

Method: Investigators developed an evidence-based assessment guide covering perceived challenges to accommodations for NSWD, stakeholder knowledge, and other issues (4-6). A university disability specialist (DS) was embedded with students in simulation laboratory and clinical sites in July-October 2025. The DS observed lectures, skills practice, patient encounter simulations, peer assessment, instructor-oversight assessment, patient interactions/duties, and other responsibilities.

Findings included …

More Than Mechanics: Caring For Students’ Emotions, Identity, And Growth In Writing, Anna Gale, Brenda Elliott, Nancy J. Frank

International Nursing Research Congress (INRC)

Developing nursing students as scholarly writers requires dedicated time and faculty support. One strategy faculty use to advance students’ growth is scaffolded writing assignments. Unfortunately, writing remains problematic in the profession. One potential rationale for this is faculty may focus too heavily on giving feedback specific to grammar and writing mechanics, which can underscore the value of writing, Students experience a range of emotions when receiving feedback on their written work, from joy to disappointment, which shapes the learning experience, self-efficacy, and identity development.

The researchers conducted a qualitative study and subsequent secondary analysis of interview data from 16 nurse …

Binaural Beats Enhance Cognitive And Autonomic Function In Disorders Of Consciousness, Yu-Ju Chen, Ching-I Li, Chen-Xi Lin

International Nursing Research Congress (INRC)

Background: Patients with disorders of consciousness (DoC) exhibit a lack of responsiveness and inability to communicate, presenting significant clinical care challenges (Spaccavento et al., 2024). Scholars have explored auditory stimulation to activate brain regions and promote recovery (Ling et al., 2023). Binaural beat (BB) stimulation, a specific auditory stimulus, has gained attention for its potential to modulate brainwave patterns and improve cognitive states (Chockboondee et al., 2024). However, while promising, the evidence for BB-induced brainwave entrainment is inconsistent, and its application in DoC patients remains limited (Ingendoh et al., 2023; Zhu et al., 2019).

Purpose: This study aimed to compare …

What Determines Free Speech On College Campuses?, Town Oh, Abbylin Sellers

School of Business and Leadership Working Papers

This paper asks two questions. Which institutional characteristics are associated with stronger or weaker campus speech climates? And do institutions take corrective action when they are publicly ranked near the bottom? A university faces two costs of restricting speech: a legal cost that binds only public institutions, and a reputational cost is paid when its climate is publicly observed and private institutions also bear this cost. The evidence comes from five waves of the FIRE College Free Speech Rankings, 1,112 institution-waves covering 257 colleges from 2022 to 2026, merged with IPEDS. On the first question, being a public institution is …

Hyperlattice-Valued And Superhyperlattice-Valued Uncertain Sets With Decision Applications, Takaaki Fujita, Ajoy Kanti Das, Sankar Prasad Mondal, Arif Mehmood, Arkan Ghaib

Neutrosophic Systems with Applications

Fuzzy set theory enriches classical sets by assigning to each element a graded membership in [0,1], thereby capturing partial inclusion and uncertainty. The notion of an Uncertain Set further abstracts this idea by allowing membership to take values in a general degree-domain, providing a unified language that subsumes fuzzy, intuitionistic fuzzy, neutrosophic, plithogenic, and related models. On the algebraic side, a hyperlattice replaces one lattice operation by a multivalued hyperoperation, enabling the representation of ambiguous or non-deterministic combinations, while a superhyperlattice iterates this structure through powerset lifting to obtain higher-order layers of interaction. Motivated by these developments, we introduce HyperLattice-valued …

An Interval-Valued Spherical Fuzzy Critic–Waspas Framework For Prioritizing Healthcare Delivery Models To Enhance Patient Satisfaction Under Uncertainty, Mariam Hamada, Ahmed Samy, Mohamed M. Abdelhafeez, Shrouk El-Amir

Neutrosophic Systems with Applications

Selecting an appropriate healthcare delivery model is important for improving the quality of healthcare services and enhancing patient satisfaction. However, this decision is complex because it involves several criteria, uncertainty, and different expert opinions. To handle this uncertainty, this paper uses Interval-Valued Spherical Fuzzy Sets (IVSFSs), which allow experts to express their evaluations more flexibly. This paper proposes an integrated interval-valued spherical fuzzy CRITIC-WASPAS approach to prioritize healthcare delivery models. The CRITIC method is used to determine the objective weights of the evaluation criteria, while the WASPAS method is used to rank the healthcare delivery models. Expert evaluations are expressed …

A Neutrosophic Event-Graph Legal Ai System For Detecting Contradictions In Witness Testimonies Under Egyptian Law, Shimaa Abdelghany Attalla, Alaa Elmor, Nada Hesham, Abduallah Gamal

Neutrosophic Systems with Applications

Witness testimony is an important source of evidence in criminal proceedings, but it may contain contradictions, incomplete details, or conflicts with other case-file materials. This paper proposes a neutrosophic event-graph legal AI framework for detecting materially contested claims in witness testimonies under the Egyptian criminal-procedure context. The framework converts testimony and related records into structured claims containing actor, action, object, time, location, source, and modality. These claims are then connected through an event graph and evaluated using neutrosophic components of support, indeterminacy, and opposition. The system produces source-grounded legal-review alerts when a claim has sufficient opposition from other claims or …

A Unified Framework For Neutrosophic Estimation Using Fractional Power, Exponential, And Logarithmic Functions With Bivariate Auxiliary Information, Anchal Yadav, Anuj Yadav

Neutrosophic Systems with Applications

This study develops a generalized neutrosophic ratio-type estimator for estimating the population mean by incorporating information from two auxiliary variables under Simple Random Sampling Without Replacement (SRSWOR). The proposed methodology extends the conventional single-auxiliary-variable approach by jointly incorporating bivariate auxiliary information within the neutrosophic framework, thereby accounting for uncertainty, indeterminacy, and inconsistency in the available information. The bias and mean squared error of the proposed estimator are derived using first-order approximations, and the corresponding efficiency conditions are established through theoretical comparisons with existing neutrosophic estimators. The performance of the proposed estimator is further examined using a real medical dataset represented …

20 Years Of Neutrosophic Statistics: A Bibliometric Analysis, Hammad Khalid, Arshad Hameed

Neutrosophic Systems with Applications

Florentin Smarandache introduced neutrosophic statistics (NS), a formalism for representing uncertainty and indeterminacy in observations, parameters and statistics in an extension to classical and interval statistics. Although widespread in various contexts, such as statistical quality control, hypothesis testing, medical diagnosis, and decision science, and increasingly used and developed, the scientific evolution and conceptual framework of the science of decision making remain largely unexamined. To fill this gap, the present study has been conducted with a comprehensive bibliometric analysis of NS research articles published between 2003 to 2025 from Scopus which has been conducted following the SPAR-4-SLR protocol. In all, 501 …

The Forest's Gift: Ritual Resilience, Nature, And Faith In The Malay Postpartum Tradition Of Pelimau Dapur, Nurul Asmaa Akmal Md Din, Sri Qamariah Mohd Samsir, Awang Azman Awang Pawi, Tengku Intan Marlina Tengku Mohd Ali, Nurul Haniza Samsudin

Forest and Society

This article examines pelimau dapur, a Malay post-confinement ritual practised by some families in Kampung Alor Limbat, Terengganu. It investigates how ritual knowledge is transmitted, how natural and processed materials acquire cultural, spiritual, and perceived therapeutic meanings, and how the practice is reshaped by religious, social, healthcare, and material change. The study employed a focused ethnographic case study design involving semi-structured interviews with eight purposively selected participants (two traditional midwives and six women with direct experience of the ritual), together with participant observation, field notes, and visual documentation. The data were analysed thematically. The findings show that pelimau dapur …

Gender Differences In The Association Between Marriage And Epigenetic Age, Theo O. Moran, Alina M. Kushner, Theodore F. Robles, Jennifer W. Robinette

Psychology Faculty Articles and Research

Introduction:

Being married is related to better health, but many studies reveal greater health benefits among men relative to women. Some research has indicated that married individuals exhibit decelerated epigenetic age relative to individuals who are not married, but questions remain regarding gender differences therein. The purpose was to investigate gender differences in associations of marital status to epigenetic age (ing) assessed on three clocks/algorithms (PhenoAge, GrimAge, and DunedinPACE).

Methods:

Data from 762 participants in the national Midlife in the United States Study (MIDUS II; men N = 382, women N = 380) were used. Weighted linear regressions were conducted …