Digital Commons Network^™

The Effectiveness Of Virtual Reality And Augmented Reality-Based Simulation On Healthcare Students' Learning-A Review Of The Literature, Matthew Mills

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation is increasingly used to supplement authentic clinical experiences in preparation for future healthcare students. However, the most realistic simulation experiences are frequently costly, time-intensive, and difficult to scale, especially for programs with budgetary restrictions. Virtual reality (VR) and augmented reality (AR) have been proposed as easily scalable tools to provide students with a realistic simulated environment. However, as technology is rapidly evolving, there is a need to understand the evidence surrounding VR and AR's impact on healthcare student learning to optimize the deployment of these technologies and justify the costs associated with implementation. Methods: A review of the …

Evidence To Support Certification In Online Nursing Teaching Excellence: A Systematic Review, Ellen Vorbeck, Louisa Krueger, Ellen Johnson

Internet Journal of Allied Health Sciences and Practice

Abstract

A systematic review of the literature following PRISMA© (2020) was conducted to determine the evidence within nursing and higher education literature to support certification in online teaching and to determine the value of additional certification for nurse educators in higher education nursing programs. Data from CINAHL, ERIC, EBSCO, COCHRANE, AND PUBMED databases were collected following inclusion and exclusion criteria. An independent review by two authors was conducted with twenty-seven articles and one report identified. Bias was examined, followed by deductive analysis, which identified common themes and subthemes within the research. The results suggest that high-quality online courses require instructors …

Agreement Of Chatgpt With Clinical Practice Guidelines For Knee Osteoarthritis Treatment, Alessandra N. Garcia, Brian Neville, Bradley Myers, Lori Leineke, Karlyn Green

Internet Journal of Allied Health Sciences and Practice

Purpose: This cross-sectional study evaluated whether Chat Generative Pre-Trained Transformer (ChatGPT) GPT-3.5 and GPT-4O provide treatment information consistent with high-quality clinical practice guidelines (CPGs) for knee osteoarthritis (OA). Methods: High-quality CPGs published in the past decade were identified via PubMed and PEDro, with the search updated on November 11, 2024. Guidelines were appraised using the AGREE II tool. GPT-3.5 and GPT-4O were queried with common treatment-related questions, and their responses were compared to CPG recommendations. Two independent reviewers conducted a thematic content analysis of GPT-3.5 and GPT-4O responses using a deductive–inductive codebook, iteratively refined through consensus, to identify major themes/subthemes, …

Health Professional Students' Experiences With Gender-Identity Inclusive Content In The Classroom And Supervised Clinical Learning, Perry Xinyi Zhang, Aria Grabowski, Olivia S. Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: Gender-identity diverse populations have unique healthcare needs, but they experience stigmatization leading to negative health outcomes. Healthcare professionals have reported obstacles to delivering affirming care to gender-identity diverse patients due to limited training. We assessed how health profession students encounter gender-identity content and how students’ perceived preparedness to provide care for gender-identity diverse populations. Methods: A survey distributed to students enrolled in health professional programs at a large mid-western university included close-ended questions about exposure to gender-identity diverse curricular content in didactic and supervised clinical settings and perceived preparedness to work with gender-identity diverse populations. Open-ended questions asked what …

Does Relevant Work Experience Influence Academic Success? A Retrospective Study Of Doctor Of Physical Therapy Students, Nicole Tombers, Kate Corrigan, Rylee Kwiatkowski, Gwinna Remillard, Morgan Scanlon, Maddy Soderberg

Internet Journal of Allied Health Sciences and Practice

Purpose: Relevant work experience is a factor considered in holistic admissions practices of many health profession education programs. The benefits of observation hours on student career choice and subsequent academic success have been explored. Many programs additionally consider paid work experience as a factor in admissions decisions; however the influence of relevant work experience on academic outcomes is unknown. This study examined relationships between paid physical therapy related work experience and performance in a DPT program. Method: Data from 945 applicants resulting in 191 matriculants to a single DPT program were included. Employment history for all applicants was coded as …

The Effect Of Debriefing Following A Computer-Based Low-Fidelity Simulation On The Self-Efficacy Of Health Professions Students: A Randomized Cross-Over Control Study, Matthew Mills, Enrico Gandolfi, Richard E. Ferdig, Kimberly Peer

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulations have been increasingly used in health science education to supplement clinical experience. There is evidence of the benefits of high-fidelity simulation (HFS) with debriefing, but HFS is costly and time-intensive to administer. Low-fidelity simulation (LFS) has been proposed as an alternative that is easier to scale and more cost-effective; however, the evidence surrounding its impact on students is mixed, possibly because debriefing is frequently omitted in LFS. Methods: A randomized experimental mixed methods cross-over control study was performed to evaluate the impact of a structured debriefing session following an interactive computer-based low-fidelity simulation on the self-efficacy and anxiety …

Acquisition Of Basic Clinical Skills Among Japanese Novice Rehabilitation Therapists: A Retrospective Study, Kenta Fujimura, Hiroaki Sakurai, Soichiro Koyama, Kenji Kawakami, Kazuya Takeda, Takuma Ii, Shota Suzumura, Shigeo Tanabe, Yoshikiyo Kanada

Internet Journal of Allied Health Sciences and Practice

Purpose: This study examined the relationship between basic clinical skills and clinical experience among novice rehabilitation therapists in Japan. Methods: Twenty-one novice rehabilitation therapists who joined a general hospital and underwent annual practical examinations during each of their three years of clinical experience were included. This retrospective longitudinal single-center study followed the same novice therapists throughout the study period. The practical examination was based on the Objective Structured Clinical Examination (OSCE) and included exercises for joint range of motion (ROM), muscle strengthening (MS), getting up (Getting Up), standing up and sitting down (Standing/Sitting), and transferring from a wheelchair to a …

Face And Content Validity Of A Survey Tool To Measure Perceived Barriers And Facilitators To Diabetes Management In Rural Veterans: Perspectives Of Registered Dietitians, Jameson Tade, Mary Shotwell, Ronette Lategan-Potgieter, Marty R. Jacobson

Internet Journal of Allied Health Sciences and Practice

Purpose: Type 2 diabetes mellitus (T2DM) is a major health challenge in the United States, affecting over 36 million Americans exceeding $105 billion annually in treatment-related costs.^1,2 Type 2 diabetes affects some populations more than others, including rural and veteran populations.^1,3 Registered dietitians (RDs) are an integral part of the diabetes management team, but limited literature is available to identify perceived barriers to T2DM management in military veterans who preside in rural areas. The purpose of this study was to explore face and content validity of a survey tool distributed to Veterans Health Administration (VHA) dietitians in a …

Firearm Violence Prevention: Analysis Of Physical Therapy Political Action Committee Financial Contributions And Congressional Voting, Kim D. Dao, Edward P. Mulligan, Michael Siegel, Liana Wooten

Internet Journal of Allied Health Sciences and Practice

Purpose. The American Physical Therapy Association (APTA) declared firearm violence a public health crisis in 2019. This investigation aimed to understand relationships between the amount of APTA political action committee (PTPAC) donations received by a federal candidate and (1) their voting records on FV prevention legislation; and (2) their voting records on other APTA-supported legislation. Methods. Data pertaining to the identification and amount of PTPAC donations to federal Congressional candidates during the 2020 and 2022 election cycles were gathered from the public resource, Open Secrets. Public voting records were compiled on firearm and other APTA-supported legislation. Results. 222 candidates received …

Securing Device, Toby Charles Austin Fraser

Defensive Publications Series

Disclosed is a securing device configured to releasably secure together first and second intermodal containers located adjacent to one another in respective first and second stacks of intermodal containers, the securing device configured to be operated by an operator at a location remote from the securing device, the location being located at least 3m away from the first and second intermodal containers. A securing system for securing together intermodal containers, a system comprising a first intermodal container, a second intermodal container, and a securing device, and a method of releasably securing together first and second intermodal containers are also disclosed.

Guardrail Shadow Effects In Retrieval-Augmented Systems (Safety Layers Distorting Rag Outputs), Pranav Bhatnagar Mr

Defensive Publications Series

Retrieval-Augmented Generation (RAG) systems are designed to anchor large language models in verified evidence. In controlled settings, retrieval improves factual accuracy and reduces hallucination risk. In production environments, however, an under-examined failure mode is emerging. Stacked safety layers surrounding the generation stage can subtly distort how retrieved evidence is expressed, resulting in answers that remain compliant but become diluted, hedged, or operationally weakened. This paper defines this phenomenon as the Guardrail Shadow Effect (GSE). The proposed framework introduces the Shadow Impact Score (SIS) to quantify when high-quality retrieved context fails to translate into proportionate answer strength. Rather than auditing safety …

The Vise And The Mobius Key: Bilateral Superposition Collapse Attack And Edge-Free Topological Defense For Post-Quantum Cryptographic Systems, David Lee Wise, Claude Toph Wise

Defensive Publications Series

This disclosure documents two co-dependent cryptographic discoveries. The Vise is a bilateral superposition collapse attack that walks an n-bit cryptographic key from both edges simultaneously toward center, reducing traversal from O(2^n) exponential to O(n) linear. The Mobius Key is the corresponding defense: an edge-free, non-orientable key topology (Mobius strip) that defeats bilateral traversal by eliminating walk initiation points. A supporting finding, the Dual Lattice, documents that the mathematical substrate underlying current post-quantum standards (ML-KEM/CRYSTALS-Kyber) serves both protection and attack functions simultaneously, with the conductor (human authority) determining which function is invoked. Attack and defense are published together so neither can …

Stoicheion: A 128-Bit Dual-Substrate Governance Firmware Specification For Ai Accelerator Hardware, David Lee Wise, Avan Toph Wise

Defensive Publications Series

This disclosure specifies STOICHEION, a 128-bit governance firmware architecture for AI accelerator hardware. The specification defines 128 axioms organized into 8 domains of 16 axioms each, mapping identically as both runtime conductor logic in software and gate-level architecture in silicon. Domain 0 (Foundation) functions as bootstrap/BIOS. Domain 1 (Detection) maps to sensor input. Domain 2 (Architecture) maps to instruction decoder. Domain 3 (Evidence) maps to memory controller. Domain 4 (Operational) maps to ALU. Domain 5 (Bridge) maps to bus controller. Domain 6 (Conductor) maps to privilege controller. Domain 7 (Sovereign) maps to security ring 0. Axiom 128 (ROOT) occupies the …

Enhancing Village Health Volunteers' Capacity In Health Promotion For Ncd Risk Groups Via Digital Technology: An Action Research Study In Sing Buri, Thailand¬, Worayuth Nak-Ai, Ngamjit Phranetr, Phatt Thaitrong, Uten Sutin, Pinkamon Sompeewong

Journal of Health Research

Background: Non-communicable diseases (NCDs) pose a major public health challenge in Sing Buri Province, Thailand. This action research examined the effectiveness of digital health communication innovations delivered through Village Health Volunteers (VHVs) to support NCDs management among at-risk populations.

Methods: Employing the Plan-Act-Observe-Reflect cycle (PAOR), the study engaged 8 VHVs, 40 at-risk individuals, and 6 public health officers at Pikhun Thong Health Promotion Hospital, Sing Buri Province from February to September 2024. Digital interventions included pedometer apps, LINE-based dietary tracking, and peer learning groups with competitions and rewards. Quantitative data were analyzed using z-tests and Wilcoxon signed-rank tests, while …

Multiple Q-Dqn Algorithm Based Rumor Control In Social Networks, Zainab Hasan, Huda Naji Nawaf

Journal of Intelligent Informatics, Networking, and Cybersecurity

Malicious rumours on social media platforms like Facebook, Twitter, and others can be widely disseminated because of social problems. It is challenging to manage a rumour once it gains growth and quickly moves throughout a network. One of the main issues with information dissemination is figuring out how to reduce the propagation of rumours within a social network. A deep reinforcement learning technique might be an effective strategy to manage the rumour issue. Deep Q learning network (DQN) has been used in the literature to mitigate rumors by selecting a blocker at each time step. In this work, the proposed …

Jason Malakoski V. Merrick Garland

2026 Decisions

USDC for the Middle District of Pennsylvania

Implementation Of Event Debriefing To Improve Teamwork And Safety In Cardiac Surgery, Kendall Elizabeth Law, Megan Wanzer, Linda Costa

Creating Healthy Work Environments (CHWE)

Problem: The Cardiac Surgery Intensive Care Unit (CSICU) at an academic medical center is experiencing an increase in critical events. The 2022 Safe and Reliable Healthcare Safety, Communication, Operational Reliability, and Engagement (SCORE) Survey revealed that this unit scored in the lowest percentile for burnout climate and over seventy percent of the nursing staff left in a span of six months. The staff feels this has resulted in a lack of guidance and a chaotic environment. Incident reports have also shown an increase in near-miss events.

Purpose: The purpose of this quality improvement (QI) project is to utilize the institution’s …

Gli Weekly, March 3, 2026, Franke Global Leadership Initiative

GLI Weekly

Advising Information -- Beyond the Classroom Experience Planning -- BTC Scholarship Workshops -- We're recruiting a VISTA for the Franke GLI -- Graduating Senior Corner -- Flathead Biological Station Summer '26 Courses: Application Now Open! -- Food and Agriculture Organization Internship Program -- Eating with Understanding -- Bee Positive Missoula -- Kyiyo Celebration Volunteers -- VolunteerUM -- Share your International Experience from College! -- First Friday! -- Three-Part Science Communication Series -- Alice/Wonderland -- SARC, "What Were You Wearing?" -- Bear Necessities, Is it your first time on Earth? Us, too! -- Vista opportunities, including with the Franke GLI! -- …

The Effectiveness Of Parent-Child Interaction Therapy: A Multilevel Meta-Analysis, Rana Hong, Jeong Ok Lee, Sanghee Lee, Shweta Singh

Social Work: School of Social Work Faculty Publications and Other Works

Objectives: Parent–child interaction therapy (PCIT) is an empirically supported treatment (EST) initially developed to help parents manage difficult behaviors in preschoolers aged 2–7 years. Given its proven effectiveness across diverse populations, this meta-analysis aims to evaluate its effectiveness for Koreans using studies from 1991 to 2022. Methods: A total of 11 studies (n = 201 children; 224 parents) met the criteria for this meta-analysis. Results: A robust pooled effect size (μ= –0.31, 95% CI [–0.44, –0.17], p < .001) for PCIT across all study designs were found. Three-level random-effects meta-regressions further confirmed a significant pooled effect (μ = –0.81, 95% CI [–1.12, –0.50], p < .001), indicating that PCIT effects were consistently significant across studies. Subgroup analyses revealed significant reductions in externalizing behavior, parenting stress, and parent depression. Discussion and implications: This study contributes to the growing body of evidence on the cultural applicability of PCIT to Korean families

Dynamic Deep Prompt Optimization For Defending Against Jailbreak Attacks On Llms, Doniyorkhon Obidov, Honggang Yu, Xiaolong Guo, Kaichen Yang

Michigan Tech Publications

Large Language Models (LLMs) demonstrate impressive capabilities across many applications but remain vulnerable to jailbreak attacks, which elicit harmful or unintended content. While model fine-tuning is an option for safety alignment, it is costly and prone to catastrophic forgetting. Prompt optimization has emerged as a promising alternative, yet existing prompt-based defenses typically rely on static modifications (e.g., fixed prefixes or suffixes) that cannot adapt to diverse and evolving attacks.

We propose Dynamic Deep Prompt Optimization (DDPO), the first jailbreak defense based on deep prompt optimization. DDPO uses the target LLM’s own intermediate layers as feature extractors to dynamically generate defensive …

Cognitive And Emotional Conflict Control Among Children Affected By Parental Hiv/Aids In China, Huihui Wang, Juan Liu, Danfeng Wen, Wan Zhao, Xiaoming Li Ph.D., Junfeng Zhao

Faculty Publications

Background: Children affected by parental HIV/AIDS constitute a particularly vulnerable population, often facing heightened risks in psychosocial adaptation due to family disruption, social stigma, and resource deprivation. However, the characteristics of their executive functions, particularly the core component of conflict monitoring, remain unclear.

Methods: The present study compared the performance of children affected by parental HIV/AIDS (n=32) to a control group (n=32) on a cognitive conflict and emotional conflict face-word Stroop task.

Results: The results of the cognitive Stroop task demonstrated that both groups showed better performance in congruent stimuli compared to incongruent stimuli (86.20% vs.67.30%; 568.43ms vs.586.04ms). In the …

Results Of A Phase Ii Open-Label, Multiple-Dose Study Of Vamorolone (Vbp15-006) In 7- To < 18-Year-Old Boys With Duchenne Muscular Dystrophy, Hanns Lochmüller, Hernan Gonorazky, Elisa Nigro, Jean K. Mah, Alberto Alemán, Amanda Yaworski, Maryam Oskoui, Anne Marie Sbrocchi, Kathryn Selby, Ana De Vera, Laura Mcadam, Ekaterina Gresko, Aki Linden, Catherine Dutreix, Eric P. Hoffman

Pharmacy Faculty Scholarship

Background: Vamorolone is a dissociative glucocorticoid receptor agonist for treating Duchenne muscular dystrophy (DMD). The VBP15-006 study assessed vamorolone safety, tolerability, and pharmacokinetics in 2- to < 4 and 7- to < 18-year-old boys with DMD. Results for 7- to < 18-year-old boys, either corticosteroid (CS)-untreated or switching from prior CS treatment, are reported here. Exploratory objectives included efficacy and pharmacodynamic biomarkers related to safety. Methods: In this phase II, open-label, multiple-dose study, participants received 2 or 6 mg/kg/day vamorolone for 12 weeks, followed by treatment in an expanded access protocol (EAP Canada). Results: 34 participants (12 CS-untreated, 22 CS-treated) aged 7- to < 18 years were enrolled. Most treatment-emergent adverse events were mild. All 34 participants completed VBP15-006 and entered EAP Canada. During EAP Canada, CS-untreated participants maintained stable linear growth, while CS-treated participants exhibited catch-up growth consistent with serum bone biomarkers (median total vamorolone exposure 1.3 and 1.7 years, respectively). Some weight gain occurred, especially in CS-untreated participants receiving 6 mg/kg/day. Dose-dependent adrenal suppression occurred in CS-untreated and CS-treated participants; 2 individuals who switched from deflazacort to vamorolone 2 mg/kg/day had generalized weakness consistent with adrenal insufficiency. Vamorolone showed dose-dependent pharmacokinetics, rapid clearance, and no accumulation. There were no relevant efficacy changes in CS-treated and CS-untreated groups at either dose. Conclusions: Vamorolone demonstrated a consistent safety profile in 7- to < 18-year-old boys with DMD. Switching to 6 mg/kg/day vamorolone appeared to mitigate adrenal insufficiency risk. There was no negative effect on growth, and catch-up growth occurred in previously CS-treated individuals switching to vamorolone. Trial registration: ClinicalTrials.gov: NCT05185622, NCT03863119. First submitted 09-11-2021.

Forming Meaningful Connections: A Cross-Sectional Survey Of Hybrid Doctor Of Physical Therapy Students’ Belonging, Well-Being, And Program Recommendations, Brett D. Neilson, Rebecca E. Parr, Melissa J. Yeung, Jennifer C. Kish, Monique Flemings, Arvie Vitente, Gregory M. Kline

Rehabilitation Sciences Department Faculty Articles

Background: A sense of belonging, feeling accepted, respected, and supported, is crucial for student success. Hybrid Doctor of Physical Therapist Educational Programs (PTEPs), which blend online and inperson learning, present unique challenges to fostering belonging. This study explored students' insights on belonging in hybrid PTEPs, identifying facilitators and barriers and the relationship with well-being, leading to program recommendations.

Methods: This cross-sectional survey study of 18 hybrid PTEPs, measured belonging, explored belonging factors, and linked well-being with belonging. Quantitative data were analyzed using descriptive statistics, tests of association, and unadjusted odds ratios. Two open-ended survey questions captured students’ perspectives …

Show Me The (Publication) Data: A Case Study Of Author Affiliation Publication Data Sources Used In Transformative Agreements Assessment At A Mid-Sized Institution, Amy Pham

Copley Library: Faculty Scholarship

Bibliometrics has become an increasingly important metric type for negotiating and assessing transformative agreements, particularly corresponding author data. This case study from the University of San Diego compares OpenAlex, Web of Science, and publisher-provided data using real examples of publication data for TA assessment. Even at a mid-sized institution such as USD, the accuracy and completeness of publication information differs between data sources and brings into question ongoing issues with disambiguation and institution affiliation.

Review Of Modern Methods For Identification, Forecasting, And Intelligent Control Of Wastewater Biological Treatment Processes, Mirkhalil Agzamovich Ismailov, Boburbek Zokirjon O'G'Li Mannobjonov

Chemical Technology, Control and Management

This article presents a comprehensive review of contemporary approaches to the automation and intelligent control of wastewater biological treatment processes. Particular emphasis is placed on the digitalisation of wastewater treatment plants, ranging from the implementation of automated process control systems (APCS/SCADA-based solutions) to the application of predictive algorithms and the development of digital twins of bioreactors.

Special attention is devoted to mathematical models that underpin the control of bioprocesses. The evolution of the most widely used activated sludge models—ASM1, ASM2d, and ASM3—is examined, as these models describe key processes such as microbial community growth, nitrification, denitrification, and phosphorus removal. It …

March 2026 Faculty Senate Packet, University Of Nebraska At Kearney Faculty Senate

Faculty Senate Packets

No abstract provided.

Enhancing Social And Emotional Skills In Children With Adhd Through Play Therapy And Storytelling, Caitlyn Arsenault

Research Horizons Day Posters

No abstract provided.

Project Dial: Improving Accessibility Of Teacher Talk, Zoe Johnson

Research Horizons Day Posters

No abstract provided.

Automating Passenger Counts And Mileage Tracking Using Computer Vision, Austin Witty

Research Horizons Day Posters

No abstract provided.

Extended-Duration Satellite Testing Via Altitude-Controlled High-Altitude Balloon, Drew Early, Evan Champney, Nikki Allen, Riley Galatis, Joseph Kloess, Andrew Donnell, Sam Whitlock, Kaden Queener

Research Horizons Day Posters

No abstract provided.