Digital Commons Network^™

Is Less More? An Analysis Of Microblogs Vs. Discussion Forums As Tools For Understanding The Public, Marco Castillo

Publications and Research

Social media platforms offer valuable tools for public administrators seeking to assess public sentiment on policy issues, especially in urban areas with diverse stakeholder interests. This study investigates how public administrators can leverage social media by comparing communications on Reddit’s discussion forum platform with X’s microblogging platform. I hypothesize that Reddit fosters more subjective, nuanced discussions, providing richer insights into public sentiment. To test this, sentiment and regression analyses are conducted on communications about urban cycling on both platforms. Results indicate that while Reddit facilitates deeper exploration of public issues, X also effectively assesses public sentiment. The study concludes by …

Implementation Of Kansei Engineering Method In Designing Spreadable Cheese Packaging, Novi Purnama Sari, Mega Analisa, Suci Puji Lestari, Khofifah Nur Amalia

Makara Journal of Technology

Some spreadable cheese packaging uses flexible plastic without additional features and easily damaged boxes. This packaging causes several problems, such as difficulty in re-storage, loss of product information due to damaged box packaging, wasteful use of packaging materials, and making the product less hygienic. The purpose of this study is to develop packaging that focuses on consumer emotions. The packaging was developed using the Kansei Engineering method, supported by Principal Component Analysis (PCA) as a determinant of the design concept, and Quantification Theory Type 1 (QTT1) to identify design elements. This study produced 46 packaging samples and 40 Kansei words. …

Use Of A Near Real-Time Dashboard Fosters Communication And Improves Clinical Nursing Performance With Pain Assessment/Reassessment, Shelli Chernesky, Yaribey Lopez, Courtney Willard, Shivani Kovvuri, Cara Santos, Claudia Alvarez, Annette Caravia, Lourdes Talavera, Catherine Zilberberg

2026 Baptist Health Academic Conference: The Art and Science of Interprofessional Collaborations

No abstract provided.

Pacu Flow Redefined: The Facilitator Effect, Gilyem Casanova, Heather Cosculluela, Javier Villamil

2026 Baptist Health Academic Conference: The Art and Science of Interprofessional Collaborations

No abstract provided.

From Bedside To Benchmark: Nurse-Driven Communication For Higher Hcahps, Diane Kramer, Lourdes Castaneda, Lisette Hurtado, Karina D'Amato, Jennifer Fleites

2026 Baptist Health Academic Conference: The Art and Science of Interprofessional Collaborations

No abstract provided.

Ice The Burn: Malignant Hyperthermia Education By Escape Room, Lisa P. Pittington

2026 Baptist Health Academic Conference: The Art and Science of Interprofessional Collaborations

No abstract provided.

Pre-Transfer Fall-Risk Screening For Safer Room Placement And Sitter Use, Grissobelle Reyes-Obando

2026 Baptist Health Academic Conference: The Art and Science of Interprofessional Collaborations

No abstract provided.

How Speaker Gender Shapes Audience Perceptions Of Credibility: Responses To Humor, Reed Wilson

Honors Theses

This study aims to answer the question of whether the speaker’s gender, the participant’s gender, or the interaction between the two has an effect on the audience’s opinions of the message and the credibility of the speaker. Public speaking has been and continues to be a tool used by politicians, both on the campaign trail and as they seek to advance their agendas in the public sphere. Politicians use humor to relate to their audience and enhance their likeability and credibility. Google VEO 3’s generative text-to-video AI capabilities were used to create two videos of political speakers, one male and …

Platforms Of Exemption (For New Relations) Within Suburbia And Other Consolidating Hegemonies, Ayden Pritchard

Honors Theses

Theory is a mode of action that opens up revisionary spaces in the world. By voicing complexity and ambivalence in a situation, disembodied patterns are put in contact with compliant, unclaimed material, and they gain a foothold within the established structures of the present. This paper seeks to sketch the lines of influence that govern association and perception in suburbia, and to speculate the kinds of spaces where new relations between people who are normally segregated can occur. The information presented here hopes to join the reservoir of patterns that structure your everyday theoretical (revisionary) activity, to make changes possible …

Building A Culture Of Psychological Safety In The Nicu Through Leadership Rounds, Erica Huckaby, Julie Veselinovic, Tomica Franklin

Creating Healthy Work Environments (CHWE)

In 2024, the GLINT survey conducted in our neonatal intensive care unit (NICU) showed a psychological safety score of 61 out of 100, with nurses reporting avoidance of speaking up because they feared negative reactions from physicians and leadership. These results identified a critical need for leadership interventions.

NICU nursing leaders (nurse managers and director of nursing) implemented evidence-based leadership rounds which have been shown to enhance communication and psychological safety in critical care environments (Diabes et al., 2021). Rounds were conducted on all shifts and included five main components: workflow assessment, concern identification, immediate need evaluation, staff recognition for …

Nurse Preceptors' Perceptions Of Barriers And Facilitators To Effective Precepting, Kelly Anne Jenkins-Arraf

Creating Healthy Work Environments (CHWE)

Introduction: Nursing school is a rigorous and demanding program, often presenting more challenges than other baccalaureate degree programs. Clinical rotations can be particularly challenging as students spend over 50% of their time learning under the guidance of clinical nurse preceptors. The effectiveness of preceptors is crucial to the students' success (Cipher et al., 2021).

Purpose Statement: The purpose of this transcendental phenomenological study was to examine how clinical nurse preceptors perceive their effectiveness while working baccalaureate nursing students.

Methodology: Convenience sampling was employed, and the inclusion criteria specified that participants must be registered nurses with at least one preceptorship experience …

Reinforcement Learning Improves Llm Accuracy And Reasoning In Disease Classification From Radiology Reports, Yishu Wei, Yi Lin, Adam Flanders, George Shih, Yifan Peng

Department of Radiology Faculty Papers

Accurate disease classification from radiology reports is essential for many applications. While supervised fine-tuning (SFT) of lightweight LLMs improves accuracy, it can degrade reasoning. We propose a two-stage approach: SFT on disease labels followed by Group Relative Policy Optimization (GRPO) to refine predictions by optimizing accuracy and format without reasoning supervision. Across three radiologist-annotated datasets, SFT outperformed baselines and GRPO further improved classification and enhanced reasoning recall and comprehensiveness.

Time And Dose Dependent Effects Of Adipose-Derived Stromal Vascular Fraction Exosomes On Human Dental Pulp Stem Cell Proliferation, Sylva Dinie Alinda, Anggraini Margono, Indah Julianto, Dini Asrianti Bagio

Journal of Dentistry Indonesia

Background: Cell proliferation is essential for tissue repair and immunomodulation in regenerative dentistry. Adipose-derived stromal vascular fraction (AD-SVF) is a promising autologous source for tissue engineering. Its exosomes (AD-SVF Exo), as cell-free products stable under ischemic conditions, represent an ethical and attractive modality for dental tissue regeneration and broader regenerative applications. Prior study indicates that AD-SVF Exo can enhance human dental pulp stem cell (hDPSC) migration and proliferation, particularly at low concentrations, but their detailed time- and dose-dependent proliferative effects remain unclear. This study aimed to investigate the time- and dose-dependent effects of low-concentration AD-SVF Exo on hDPSC proliferation …

Evaluation Of An Audiovisual Educational Tool With Reinforcement Messages For Orthodontic Patients: A 6-Month Randomized Controlled Trial, Laura Restrepo Quijano, Maria Paula Vasco Gomez, Natalia Hurtado Velasquez, Luis Fabian Benitez Moreno

Journal of Dentistry Indonesia

Background: Orthodontic treatment increases the risk of bacterial plaque accumulation; therefore, oral hygiene education is essential to prevent complications, but its impact is usually limited when it is not reinforced with effective tools. This study aims to evaluate an audiovisual educational tool with reinforcement messages, compared with a verbal explanation about the proper use of the orthodontic oral hygiene kit.

Methods: This was a randomized controlled trial that included 62 patients randomly assigned to an intervention group: 31 patients who received an educational video plus three reinforcement messages via WhatsApp, and a control group: 31 patients who received …

Sinus Formation As A Manifestation Of Chronic Periodontitis In Mandibular Anterior Region: A Report On 2 Cases, Anisha Kumari, Shikha Tewari

Journal of Dentistry Indonesia

Background: Periodontitis is defined as an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms, resulting in progressive destruction of the periodontal ligament and alveolar bone. Clinical manifestations of Persistent chronic periodontitis may mimic varied clinical manifestations, including those of apical abscess and systemic involvement.

Case report: This report presents the management of an intraoral sinus mimicking a chronic apical abscess in the mandibular anterior region associated with deep periodontal pockets in two male patients in their early thirties. With careful clinical and radiological examination and ruling out of endodontic and systemic involvement, the …

Correlation Between Maxillary Morphology And Sinus Dimensions In Skeletal Class I, Ii, And Iii Subjects: A Comparative Study, Nida Shaikh, Dipti Shastri, Pradeep Tandon, Gyan Prakash Singh

Journal of Dentistry Indonesia

Background: This study aimed to evaluate variations in maxillary and sinus morphology and their correlations with skeletal malocclusion patterns using CBCT.

Methods: This retrospective study analyzed CBCT records of 70 subjects aged 17–40 years, divided into three groups: Skeletal Class I (N = 25), Class II (N = 25), and Class III (N = 20). Five maxillary skeletal and four sinus parameters were assessed. Intergroup comparisons were performed using one-way analysis of variance (ANOVA) followed by Tukey’s post hoc test. Correlations were evaluated using Pearson’s correlation test. Intra-observer reliability was assessed by re-measuring 8 randomly selected CBCT scans …

Oral Health Behaviors And Oral Health Status In Elementary School Children In East Kalimantan, Indonesia, Lia Hapsari Andayani, Amabelle Elisanditya, Abdul Gani Soulisa, Sri Lestari

Journal of Dentistry Indonesia

Background: Children's oral health can be influenced by various factors, including health behaviors, dietary patterns, and oral health knowledge. This study aimed to determine the correlation between oral health behaviors and oral health status in elementary school children.

Methods: This cross-sectional study involved 182 elementary school children in Bontang, East Kalimantan, taken by convenience sampling. Health behavior data were acquired by 12-item questionnaires based on the WHO guideline. Examination of dental and oral health status was done by using the DMFT Index and OHI-S. Chi-square was used to determine the correlation between oral health behaviors and oral health …

Adherence To Malaria Treatment And Its Associated Factors: A Narrative Review, Lafie Urwatul Wutsqo, Eli Halimah, Sofa Dewi Alfian

Pharmacology and Clinical Pharmacy Research

Malaria is an infectious disease that remains a global health concern, particularly in Asia and Africa. The success of malaria medication largely depends on patients' adherence to the prescribed therapeutic regimen. This article aims to identify the level of adherence to malaria treatment and the factors that influence it, based on observational studies. A narrative review was conducted using the PRISMA approach, involving 12 articles published between 2019 - 2023 from various countries. The results indicate that adherence levels vary widely, ranging from 15.6% to 93.31%, depending on respondent characteristics and the intervention strategies implemented. Factors influencing adherence include patient-related …

Final Project Report Emergency Supply Management Team, Gregory Cole, Rory Duncanson, Kaelin Leishman, Paulina Warner

Engineering Senior Design Reports

This project is designed to deliver upon the requirements and expectations of Dr. Mehran Aminian of St. Mary’s University. As the project sponsor, he requested an iterative improvement upon the work of previous years’ senior design projects. These projects focused on supplying water to areas in deserts over long periods of time without water supply replenishment. Now, our team seeks to adapt the design to emergency situations, particularly natural disaster relief efforts. In such emergency situations, it can be helpful to be able to deliver supplies and retain needed personnel elsewhere. To meet this need, Dr. Aminian has asked us …

Nonprofit Leaders’ Perceived Top Struggles: A Qualitative Study With Descriptive Quantification Of Capacity, Funding, And Operational Barriers, Angie Holzer

Journal of Nonprofit Innovation

Nonprofit organizations are widely understood to operate under conditions of persistent constraint, yet less is known about how nonprofit leaders themselves perceive and prioritize their struggles. This study presents findings from a qualitative analysis with descriptive quantification of open-ended responses from 77 nonprofit leaders who were asked to identify their biggest challenges. Using thematic coding, frequency counts, and order-based sequencing analysis, the study distinguishes between perceived struggles, immediate needs, and capacity-focused structural blockers. While funding and financial sustainability were the most frequently cited perceived struggles, capacity-related challenges—including board governance, staffing and volunteers, compliance burden, operational systems, and leadership bandwidth—emerged as …

Framing Digital Donation: Innovation And Audience Engagement In Short Video Fundraising On Douyin, Qiuyi Chen

Journal of Nonprofit Innovation

Short video platforms are increasingly adopted by nonprofit organizations as tools for charitable communication and fundraising. However, limited research has examined how donation appeals are structured and interpreted within these environments. Existing studies focus on emotional appeal, influencer involvement, and algorithmic visibility, yet donation is often treated as a behavioral outcome rather than as a communicative process.

This study conceptualizes charitable donation as a social situation that must be framed and recognized by audiences in short video contexts. Drawing on Goffman’s frame analysis and employing the Visual–Verbal Video Analysis (VVVA) method, the study analyzes 32 publicly available videos from a …

Food Fortification Strategies To Address Micronutrient Deficiencies In Cambodia: A Scoping Review Of Policy Implementation, Industry Capacity, And Public Health Outcomes, Sokha Yem, Sreypeov Tun, Sokunthea Kem

Indonesian Journal of Public Health Nutrition (IJPHN)

Background: Micronutrient deficiencies remain a major public health challenge in Cambodia, with iron deficiency anaemia, iodine deficiency disorders, zinc deficiency, and vitamin A deficiency disproportionately affecting women of reproductive age and children under five. Food fortification—the deliberate addition of essential micronutrients to commonly consumed foods—has been widely recognised as a cost-effective population-level intervention to address nutritional gaps. Objective: To systematically map and synthesise existing evidence on food fortification strategies in Cambodia, focusing on policy implementation, industry production capacity and compliance, regulatory enforcement, and public health outcomes. Methods: A scoping review was conducted following the Arksey and O’Malley methodological framework and …

Catur Piwulang: The Concept Of Great Leaders In Javanese Paradigm, Nuri Puji Hastuti

Paradigma: Jurnal Kajian Budaya

Leaders can be a key factor in determining whether a nation experiences a flourishing or declining period. However, numerous phenomena indicate that Indonesia is losing its great leaders. Based on this problem, this research aims to explain and describe the forms, meanings, and functions of catur piwulang as the concept of great leaders in the Javanese paradigm. A descriptive qualitative method has been used. The syntax consists of data collection, reduction, display data, and conclusion. Data validity was checked through the triangulation of theories, resources, and techniques. The forms of catur piwulang are 1) wewehono teken, teken wong kalunyon, …

Strategies To Improve Caregiver Satisfaction With Telehealth In Autism Care, Navid Dezhnabadi

Walden Dissertations and Doctoral Studies

The increasing use of telehealth in autism care has created opportunities to improve caregiver satisfaction as it remains a critical challenge in pediatric specialty settings. The purpose of this integrative review was to identify strategies that healthcare administrators can implement to improve caregiver satisfaction with telehealth platforms and optimize care delivery for autism patients. Using an integrative review methodology and viewed from the lens of the unified theory of acceptance and use of technology framework, evidence from 20 research and non-research sources published between 2018 and 2025 were analyzed, using the Johns Hopkins nursing evidence-based practice model and synthesized. The …

Effective Strategies For Onboarding Programs Mitigating Turnover Of Recently Separated Veterans, Jamie Reed

Walden Dissertations and Doctoral Studies

High rates of early turnover among recently separated veterans weaken workforce stability and disrupt both family and organizational outcomes. Employers, veteran service organizations, and families are concerned that without comprehensive onboarding programs, veterans’ adjustment and retention will suffer. Grounded in Schlossberg’s adult transition theory and the 4S transition model, the purpose of this qualitative pragmatic inquiry was to explore effective onboarding strategies to mitigate turnover among recently separated veterans. The participants were six business leaders with experience onboarding veterans in Department of Defense-contracted industries in the United States. Data were collected through semistructured interviews and publicly available documents. Through thematic …

Staff Education To Improve Culturally Responsive Mental Health Care For African Immigrants, Martha Eseh

Walden Dissertations and Doctoral Studies

Mental health disparities among African immigrant populations are often influenced by cultural stigma, limited mental health literacy, and providers’ insufficient understanding of culturally specific beliefs and help-seeking behaviors. In outpatient psychiatric settings, these gaps can negatively affect engagement, diagnosis, and treatment outcomes. The purpose of this quality improvement project was to evaluate whether a structured staff education program could improve provider knowledge of culturally responsive care for African immigrant patients. Guided by the Johns Hopkins Evidence-Based Practice model, a pretest–posttest design was implemented with 13 interprofessional staff members, including psychiatric providers, therapists, and support staff, in an outpatient mental health …

Multicultural, Trauma‑Informed Feeding Protocols For Children With Spd In Student‑Led Ot Clinics, Matt Crummel

Capstone Projects

This capstone project aims to develop and implement feeding protocols for children with sensory processing disorders in a student-led occupational therapy clinic, emphasizing trauma-informed care and multicultural practices. By creating evidence-based interventions and fostering interdisciplinary collaboration, the project seeks to enhance therapeutic outcomes while providing OT students with hands-on learning experiences. OT is a healthcare profession that enhances individuals’ independence in daily activities through personalized interventions targeting physical, sensory, and cognitive skills. Student-led OT clinics offer a valuable learning environment where students work under licensed clinicians to provide therapeutic care.

Sensory processing disorders (SPD) significantly impact feeding behaviors, often leading …

Re: Comment Letter For Draft Final 2026 Interim Site-Wide Groundwater Monitoring Quality Assurance Project Plan (Dated April 17, 2026), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Richt V. State Of Nevada, 142 Nev. Adv. Op. 32 (April 30, 2026), Vanessa Arias

Nevada Supreme Court Summaries

A defendant must establish a foundation for a self-defense claim before being allowed to bring in evidence of the victim's character. If the defendant wishes to admit evidence to support a self-defense claim it must be relevant. Lay witnesses are allowed to testify regarding their own perception.

Balanced Scorecard In Healthcare Facilities: A Ten-Year Review Of Strategies To Improve Organizational Effectiveness, Larasati Tunggadewi, Sofa Dewi Alfian, Auliya A Suwantika

Pharmacology and Clinical Pharmacy Research

The Balanced Scorecard (BSC) has increasingly been adopted as a strategic performance management framework within healthcare organizations. Evidence from the past decade shows varied implementation outcomes, shaped by institutional readiness, leadership commitment, and the maturity of health information systems. This narrative review synthesizes findings from 47 scientific articles selected through a systematic screening process, covering studies conducted in hospitals, primary health centers, and pharmacy units in Indonesia, Morocco, Iran, China, and other countries. The studies employed case study and descriptive cross-sectional designs using both quantitative and qualitative approaches. Overall, BSC implementation contributed to improvements in service performance across the financial, …