Digital Commons Network^™

Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole

Walden Dissertations and Doctoral Studies

This staff education doctoral project evaluated whether structured telehealth training improves psychiatric nurses’ knowledge in delivering care to underserved populations. A gap in practice was identified, as many psychiatric nurses lacked formal training in providing culturally competent and effective virtual mental health services. Guided by the ADDIE model and the Johns Hopkins evidence-based practice framework, a structured educational intervention was implemented with 25 psychiatric nurses. Participants completed pre- and posttests to assess knowledge gained. Results demonstrated an increase in mean scores from 62.8% to 77.4%, reflecting a 14.6% improvement. A paired t test indicated statistical significance (p < .05), confirming the effectiveness of the intervention. These findings suggest that targeted telehealth education enhances psychiatric nurses’ readiness to deliver high-quality, culturally responsive care. This project supports positive social change by improving access to equitable mental health services for underserved populations.

March 31, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Saturated Hierarchical Atomic Incremental Learning (Shail): A Behavioral Learning Perspective On Staged Mastery And Saturation, Ernest Fokoue

Articles

We introduce Saturated Hierarchical Atomic Incremental Learning (sHAIL), a learning paradigm in which complex tasks are approached through a sequence of simpler atomic subtasks, each mastered to saturation before progression. The central mechanism is a saturation criterion that detects when learning dynamics enter a plateau region, triggering consolidation and subsequent ascent to a higher level of task complexity. We develop a theoretical framework for sHAIL and show that it naturally gives rise to \emph{staircased convergence}: alternating phases of rapid improvement and genuine plateau. Within each level, classical convergence guarantees apply under standard smoothness conditions, while the hierarchical transitions are driven …

No Intelligence Without Statistics: The Invisible Backbone Of Artificial Intelligence, Ernest Fokoue

Articles

The rapid ascent of artificial intelligence (AI) is often portrayed as a revolution born from computer science and engineering. This narrative, however, obscures a fundamental truth: the theoretical and methodological core of AI is, and has always been, statistical. This paper systematically argues that the field of statistics provides the indispensable foundation for machine learning and modern AI. We deconstruct AI into nine foundational pillars—Inference, Density Estimation, Sequential Learning, Generalization, Representation Learning, Interpretability, Causality, Optimization, and Unification—demonstrating that each is built upon century-old statistical principles. From the inferential frameworks of hypothesis testing and estimation that underpin model evaluation, to the …

Modulation Of Behavior In The Medicinal Leech Due To Injury And Stress, Ella Dockendorf

Honors Thesis

Many studies have focused on trying to discover the fundamental processes of pain and stress. This is rather difficult for pain especially, since pain-relate behaviors include multiple components of which some are emotional while others are sensory. In this study, we use an operant conditioning assay and phototaxis assay to determine the behavioral effects of injury and stress within Hirudo verbana. Operant conditioning involved placing the animals in a two-chamber arena, with one chamber being illuminated and the other being completely dark with a pea gravel barrier in the connecting section of the arena. Normal animals improve their latency …

Social Media And Its Effects On Students’ Attention Spans, Katie Greff

Psychology Student Publications

How social media effects students attention spans. Students are greatly effected because of growing digital learning environments.

Moving Towards Wellness: How Exercise Can Ease Depression And Anxiety In Young Adults, Morgan Hartze

Psychology Student Publications

Depression and anxiety are among the most common mental health concerns affecting young adults, impacting mood, motivation, and daily functioning. While therapy and medication can be effective, many young adults continue to experience symptoms, highlighting the need for additional strategies. Research suggests that regular physical activity is an accessible, cost-effective way to improve mental health. Moving your body boosts the “feel good” chemicals, such as serotonin and dopamine, while reducing stress hormones, such as cortisol. Physical activity also provides a healthy distraction from negative thoughts and helps establish routines that support well-being. Even brief amounts of moderate exercise, such as …

Cigarettes Versus Electronic Cigarettes: The Effects On The Oral Cavity, Paolo Boffano, Muhammad Ruslin, Andrea Melle

International Arab Journal of Dentistry

Objectives: To date, there is a large amount of scientific evidence on the effects of smoke-free products on oral health, highlighting their potential in reducing the risk of causing and progressing smoking-related diseases. In contrast to the last statement, other studies confirm the cytotoxic and tissue effects of nicotine-containing e-cigarette liquid. The purpose of this study was to review the literature and to evaluate the damage caused by cigarette smoking in comparison with that caused by e-cigarettes.

Methods: Our study considered the consultation of the bibliographic databases “Medical Literature Analysis and Retrieval System”. The research was carried out by using …

Employing Effective Solution Methods For Caputo-Based Sequential Fractional Models, Eman A. A. Ziada, Mohamed F. Abouelenein, Hijaz Ahmad, Monica Botros

Mathematical Modelling and Numerical Simulation with Applications

This paper investigates a class of nonlinear sequential singular fractional differential equations (FDEs) involving Caputo derivatives. This type of equation has several key advantages that enhance its value, such as capturing memory and hereditary effects. Viscoelastic materials and anomalous diffusion, as well as biological systems, can take advantage of this feature. In addition, fractional derivatives possess a sequential structure that enables the implementation of multiscale processes and hierarchical memory responses. Moreover, it provides an effective and flexible framework for solving differential equations compared to classical differential equations. It can therefore be used to model complex systems in physics, biology, and …

Optimal Control Strategies For Infectious Diseases: A Numerical Simulation Approach, M. Abu Salek, Jannatun Nayeem, Romana Yesmin, M. Haider Ali Biswas, M. Humayun Kabir

Mathematical Modelling and Numerical Simulation with Applications

Various infectious diseases, such as Tuberculosis and Hepatitis B virus (HBV), caused by Mycobacterium bacteria and hepatitis B virus, respectively, pose serious threats worldwide. This paper examines the spread of these diseases using a mathematical model that incorporates control measures, including vaccination and awareness programs. We use a system of differential equations with control variables and apply Pontryagin's principle to determine optimal control strategies. The stability of the Disease Free Equilibrium (DFE) has been analysed and demonstrated to be both locally and globally asymptotically stable when the basic reproduction number remains below unity, thereby ensuring disease elimination. Furthermore, the Endemic …

Cognitive Drunkenness: Sleep Deprivation And Cognition In College Students, Alexandra Pavek

Psychology Student Publications

Sleep deprivation is a common occurrence among college students. The purpose of the paper is to shed light on the sources of sleep loss in college students, the cognitive consequences, and the comparison to alcohol-related impairment.

The Science Of Attachment: How Early Bonds Shape Who We Become, Rani Patel

Psychology Student Publications

Attachments theories suggest the answer begins in infancy. Originally developed by John Bowlby and later supported by the “Strange Situation” attachment research conducted by Mary Ainsworth, attachment science shows that the quality of early interactions with caregivers influence how children develop trust, seek support, and manage emotions. Through years of empirical research psychologists have identified four main attachment styles, secure, anxious, avoidant, and disorganized, later connected to relationship patterns. Modern research also highlights that attachment patterns are not permanent, supportive experiences later in life can promote growth and change.

Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton

Walden Dissertations and Doctoral Studies

Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …

Automatic Classification Of Orange Fruit Diseases Using Multilayer Deep Features And Traditional Machine Learning Classifiers, Maha A. Rajab, Faris Ali Jasim Shaban, Kadhim Mahdi Hashim

Mesopotamian Journal of Big Data

Citrus diseases are the main issue for agricultural productivity, which cause a reduction in yield and quality, thus causing economic loss; also, we see that traditional methods of diagnosis, which are very subjective and prone to error, and thus we need to suggest accurate automated detection systems. In this study, we present a hybrid model that integrates conventional machine learning with deep learning models. We used the Gray Level Co-occurrence Matrix (GLCM) for feature extraction, which is classified via machine learning algorithms like k-Nearest Neighbors (KNN), Decision Tree (DT), Linear Discriminant Analysis (LDA), and Random Forest (RF). At the same …

Continuous Deep Learning With Elastic Weight Consolidation For Robust Multi-Class Lung Cancer Diagnosis, Zainab Muhammed, Belal Al-Khateeb

Mesopotamian Journal of Big Data

Lung cancer is the leading cause of death by cancer in the world, thus demanding an urgent requirement for reliable and reproducible diagnostic tools for its early detection and differentiation into subtypes. Most classical deep learning methods suffer from catastrophic forgetting and have trouble with continuous learning, especially with an increasing amount of clinical data. This work investigates these issues by introducing a best multi-class lung cancer classification framework consisting of Residual Network architecture (Resnet-50) and Continuous Deep Learning (CDL), and Elastic Weight Consolidation (EWC). The proposed model was trained sequentially using two tasks: Task1 consisted of 6,800 histopathological images …

Motive To Kill: The Link Between Childhood Trauma And Homicide, Natalie L. Scholz

Psychology Student Publications

What motivates some individuals to commit homicide and what role does childhood trauma play in increasing that risk? Psychology and neuroscience suggest that when a child experiences traumatic events it can change how they handle stress, emotional control, and how their brain develops. All these factors can lead to them acting out in more violent ways. The Adverse Childhood Experiences study shows that traumatic events during one’s childhood can have a negative effect on their mental wellbeing later in life making them more prone to act out aggressively and possibly having more criminal involvement. Exposure to trauma has been linked …

Children’S Perspectives On Playfulness: A Child-Centred Qualitative Study, Risa Rylander, Stephanie Burns, Jocelyn Dautel

International Journal of Playwork Practice

This qualitative study examines children’s lived experiences of play and playfulness through interviews and creative methods with 10 children aged 8–11 in a Playwork setting. Thematic analysis identified three core themes: playfulness as an internal experience; the contextual nature of playfulness; and Playwork theory in practice. Children described play as joyful, immersive, and intrinsically motivated, shaped by factors such as comfort, outdoor access, social relationships, and autonomy. They valued adult support that preserved freedom. Findings challenge narrow definitions of playfulness, emphasizing calm, solitary, and open-ended play, with implications for designing responsive, child-centred play environments.

Mapping Clinical Competency Assessment: Comparing Taiwanese Dpt Tools To The U.S. Clinical Performance Instrument, Szu-Hua Teresa Chen, Che-Hsuan Lin, Kayleigh Plumeau, Yueh-Hsia Chen, Yen-Tzu Wu, Chia-Ling Chen, Chieh-Yu Yang

Journal of Medical Education

Background: To align Taiwan's physical therapy clinical education with international standards, this study aimed to: (1) map Taiwan's clinical assessment tools—the Ability-Based Professionalism Assessment (ABPA) and the Mini-Clinical Evaluation Exercise (Mini-CEX)—to the competency domains of the United States (U.S.) Clinical Performance Instrument (CPI) 3.0; (2) examine longitudinal changes in student clinical performance; and (3) explore whether developmental patterns correspond to competencies emphasized by the assessment framework.

Methods: This study integrated qualitative framework mapping and quantitative longitudinal analysis. Thirty-four fifth-year students enrolled in a six-year Doctor of Physical Therapy program at National Taiwan University who completed clinical internships during the 2022–2023 …

The Effects Of Interactive Instruction In Medical Education On Learners' Motivation, Technology Acceptance, And Learning Satisfaction, Bo-Yuan Lin

Journal of Medical Education

Purpose: Medical education is characterized by complex content and high cognitive demands, which often challenge learners. motivation and engagement. With advances in educational technology, interactive teaching approaches have gained increasing attention for their potential to enhance learning experiences. This study aimed to investigate the effects of integrating an Interactive Response System (IRS) into a medical education course on learners. learning motivation, technology acceptance, and learning satisfaction.

Methods: A single-group posttest design was employed. Participants were 23 healthcare professionals specializing in respiratory therapy who attended a professional training course on the clinical application of high-frequency ventilators. During the 50-minute instructional session, …

Taiwan Healthcare Professionals' Perception, Attitudes, And Experience About Balint Groups: A Two-Stage Pilot Study, Ing-Tiat Tiunn, Chung-Han Ho

Journal of Medical Education

Background: Balint groups have been widely implemented to support medical training in many countries. However, no empirical study has yet been conducted in Taiwan to evaluate their effectiveness.

Methods: An introductory presentation on Balint groups was held at a medical center in southern Taiwan, followed by a survey assessing attendees' perceptions and attitudes toward Balint work. Subsequently, a six-session Balint group was offered to healthcare professionals who volunteered to participate. All participants completed the 25-item Resilience Scale before and after the intervention. Thematic analysis was employed to analyze qualitative data.

Results: A total of 44 healthcare professionals attended …

An Innovative, Structured Standardized Patient Training Model For Gender Diversity: Curriculum Design And Preliminary Evaluation, Yu-Wen Wang, Ching-Ting Lien, Ching-Chung Lin, Chau-Shoun Lee, Min-Shu Wang

Journal of Medical Education

Background: Despite increasing emphasis in medical education, LGBTQ clinical sensitivity and care competencies remain insufficient. This study developed a structured Standardized Patient (SP) training model replacing traditional lecturing. It aims to alleviate role boundary blurring and psychological stress SPs face with highly sensitive topics while enhancing their professional comprehension.

Objectives: To develop and evaluate a structured SP training model that integrates psychological safety mechanisms to mitigate role confusion and stress in handling gender diversity topics, while enhancing SPs' professional role interpretation and cultural sensitivity.

Method: The course was implemented through systematic integration of the ``Introspection, Empathy, Deconstruction'' three-phase model: (1) …

Practice Readiness In Occupational Therapy Graduates From A Bachelor's Training Program: A Multi-Stakeholder Study In Taiwan, Kuan-Yi Li, Chi-Min Yang, Chi-Hsuan Chen, Rou-Shayn Chen, Hsiang-Han Huang

Journal of Medical Education

Introduction: The transition from academic education to clinical practice is a critical challenge for new occupational therapy (OT) graduates. While most Western countries have adopted master's or doctoral entry-level into the profession, bachelor's-level OT training remains the mainstream in Asia. This raises questions about whether such programs adequately prepare graduates for today's complex clinical environments. This study examined the preparedness of OT graduates under bachelor-level training by exploring the alignment between educational experiences and workplace expectations from the perspectives of multiple stakeholders.

Methods: A total of 547 respondents, including recent graduates, clinical educators, practicing occupational therapists, and heads of occupational …

The Impact Of Non-Technical Skills On Respiratory Therapists' Practice: A Single-Center Study At A Tertiary Hospital In Saudi Arabia, Mohamad A. Abdulsamad, Fadi A. Toonsi

Journal of Medical Rehabilitation Science

Background: Non-technical skills (NTS), including communication, teamwork, decision-making, and situational awareness, are increasingly recognized as essential for patient safety and effective healthcare delivery. Respiratory therapists (RTs) at King Faisal Specialist Hospital and Research Center (KFSH&RC) frequently face high-stakes clinical situations where NTS are critical, yet limited evidence exists regarding their integration into practice and training. This study evaluated the impact of NTS on RT practice, identified key skill gaps, and proposed recommendations for curriculum enhancement. Methods: A cross-sectional survey was conducted among 50 RTs with at least six months of experience at KFSH&RC in Jeddah city. Data were collected using …

Towards State Legislative Codification Of The Wpath Soc Guidelines, Suresh Hanubal

Duke Journal of Constitutional Law & Public Policy Sidebar

Transgender rights have increasingly come under assault in the United States. As of early 2026, twenty-seven states have passed either bans or restrictions on access to gender-affirming care. The issue has also become a central focus at the federal level. The U.S. Supreme Court decided United States v. Skrmetti, a case concerning the legality of state restrictions on gender-affirming care, in the 2024 – 2025 term. Moreover, the second Trump administration has been clear that rolling back transgender rights, including access to gender-affirming care, is a priority. In this political environment, where access to gender-affirming care in the United States …

Approved Programs 3-31-26, Angela Brock

Programs Committee (PC)

No abstract provided.

Program Agenda 3-31-26, Angela Brock

Programs Committee (PC)

No abstract provided.

National Security, Macroeconomic Stability, And The Future Of Nigeria's Development: Policy Priorities In A Volatile Global Environment, Suleiman Yusuf Usman Mr.

Bullion

Nigeria confronts a dual crisis: escalating domestic insecurity and intensifying global geopolitical volatility. Rising insecurity undermines productive capacity, diverts fiscal resources, and erodes investor confidence, whilst external shocks—including policy pronouncements from major economies and geopolitical tensions—threaten capital flows, foreign exchange reserves, and macroeconomic stability. This article examines the economic and developmental implications of these intertwined pressures, evaluates their impact on monetary policy effectiveness and financial sector resilience, and presents actionable policy recommendations to strengthen governance, restore stability, and safeguard Nigeria's long-term development trajectory. The analysis emphasises the urgent need for coordinated fiscal and monetary responses, institutional reforms, and strategic repositioning …

The Circassian Woman In The Memoirs Of Russian Officers Serving In The Caucasus In The 19th Century, Ulkar Afandiyeva

Khazar Journal of Humanities and Social Sciences

This article examines the depictions of Circassian women in the memoirs and observations of 19th-century Russian officers who served in the Caucasus, including Ivan Fyodorovich Blaramberg, Semyon Mikhailovich Bronevsky, Stepan Dmitrievich Nechayev, Karl Fyodorovich Stal, and Fyodor Fyodorovich Tornau. These officers not only described the physical appearance of Circassian women but also provided detailed accounts of their roles and positions within society. While the portrayals of their graceful physical features reflect the aesthetic ideals of the period, some narratives also highlight emotional intimacy and personal relationships with these women. The study aims to explore the image of Circassian women in …

A Systematic Review Of Implementing Iot Healthcare Systems: Technological, Organizational, And Ethical Barriers In Rural Settings, Mudzramer A. Hayudini, Angela Joy A. Jimpoy, Jonel T. Alibasa, Aisha A. Carolino, Jenden M. Julkamri, Nagdir B. Muhadja, Al Rajab H. Aming, Hamdoni K. Pangandaman, John Ed Augustus A. Escorial

Jurnal Keperawatan Indonesia

The implementation of Internet of Things (IoT) technologies holds transformative potential for healthcare delivery in rural and underserved regions. This systematic review focuses on technological, organizational, and ethical barriers. A comprehensive literature search across six major academic databases yielded eleven empirical studies published between 2015 and 2025. The review adhered to PRISMA protocols, with data synthesized using the Synthesis Without Meta- Analysis (SWiM) guidelines. Findings revealed that technological challenges—such as unreliable internet connectivity, lack of device interoperability, and power supply issues—are widespread across rural implementations. Organizational limitations included inadequate training, resistance to workflow changes, and financial constraints. Ethical concerns primarily …

การบริหารจัดการอวกาศ: บทบาทหน้าที่ของอนุญาโตตุลาการในกฎหมายอวกาศและข้อพิพาทที่เกี่ยวกับอวกาศ (Galactic Governance: The Role Of Arbitration In Space Law And Space-Related Disputes), Andreas Seela

Chulalongkorn University Law Journal

กฎหมายอวกาศอันเป็นกฎหมายที่น่าจับตามองและกำลังพัฒนาในสาขากฎหมายระหว่างประเทศกำลังเผชิญหน้ากับความท้าทายแปลกใหม่เนื่องด้วยกิจกรรมส่วนบุคคลทางอวกาศ ซึ่งประกอบไปด้วยการปฏิบัติการของดาวเทียม การทำเหมืองอวกาศ และการท่องเที่ยวอวกาศ โดยอดีตนั้นกฎหมายอวกาศถูกพัฒนาจากการมีปฏิสัมพันธ์ทางการทูตและทางการเมืองระหว่างรัฐต่าง ๆ จนนำไปสู่ข้อพิพาทที่ถูกแก้ไขด้วยการเจรจามากกว่าการสร้างกลไกทางกฎหมายขึ้นมาอย่างเป็นรูปธรรม อย่างไรก็ตาม การที่องค์กรเอกชนเข้ามามีส่วนเกี่ยวข้องมากขึ้นในกิจกรรมทางอวกาศส่งผลให้อนุญาโตตุลาการถูกนำมาใช้เป็นกลไกในการระงับข้อพิพาทแทน บทความนี้จะพินิจพิจารณาบทบาทของอนุญาโตตุลาการในข้อพิพาทที่เกี่ยวข้องกับอวกาศโดยเน้นย้ำถึงความสำคัญจากมุมมองทางกฎหมายที่วิธีการระงับข้อพิพาทแบบดั้งเดิมอาจไม่เพียงพออีกต่อไป ประเด็นถกเถียงจะเริ่มด้วยภาพรวมของพัฒนาการทางประวัติศาสตร์ของกฎหมายอวกาศ รวมถึงสนธิสัญญาระหว่างประเทศที่เกี่ยวข้องหลัก ๆ เช่น สนธิสัญญาอวกาศ อนุสัญญาความรับผิดและอนุสัญญาดวงจันทร์ จากนั้นบทความนี้จะวินิจฉัยความซับซ้อนของการอนุญาโตตุลาการในกฎหมายอวกาศ โดยจะเน้นความสำคัญไปที่ปัญหาต่าง ๆ เช่น ความรับผิด เขตอำนาจศาล การบังคับใช้ และการรักษาความลับ ยิ่งไปกว่านั้นจะกล่าวไปถึงโครงสร้างอนุญาโตตุลาการที่อาจต้องปรับเปลี่ยนในปัจจุบัน เช่น กฎเกณฑ์เสริมสำหรับการอนุญาโตตุลาการในข้อพิพาทเกี่ยวกับกิจกรรมทางอวกาศเพื่อตอบสนองต่อความต้องการของการค้าอวกาศโดยเอกชน และจะสรุปบทความนี้ด้วยการถกเถียงแนวทางที่เป็นไปได้ในอนาคต ซึ่งรวมไปถึงการจัดตั้งองค์กรอนุญาโตตุลาการเฉพาะทางที่จะสร้างกลไกในลักษณะการระงับข้อพิพาทที่มีประสิทธิภาพมากขึ้นสำหรับการเปลี่ยนแปลงที่รวดเร็วในอวกาศ การศึกษาค้นคว้านี้มุ่งที่จะแสดงข้อมูลเชิงลึกในประเด็นของกลไกทางกฎหมายที่มีอยู่นั้นเพียงพอแล้วหรือจำเป็นต้องมีการวางกลไกใหม่ที่มีความเป็นหนึ่งเดียวกันเพื่อรับมือกับความท้าทายที่เกิดขึ้นใหม่ในการบริหารจัดการอวกาศ