Digital Commons Network^™

Emergent Bedside Re-Sternotomy: An Innovative Simulation Model For Training Pediatric Cardiac Intensive Care Teams, Toluwani Akinpelu, Nikhil R. Shah, Mohammed Alhendy, Malarvizhi Thangavelu, Karen Weaver, Nicole Muller, James Mcelroy, Utpal Bhalala

School of Medicine Publications

Introduction: Cardiac tamponade after cardiac surgery is a life-threatening event that requires simultaneous resuscitation and emergent re-sternotomy by the intensive care team. A simulated scenario using an innovative mannequin with sternotomy wound has the capability of reproducing cardiac arrest associated with postoperative tamponade. We evaluated the validity of this mannequin to investigate the confidence level and crisis resource management skills of the team during bedside re-sternotomy to manage postoperative cardiac tamponade.

Methods: The simulation scenario was developed using the sternotomy mannequin for a pediatric cardiac intensive care unit (CICU) team. The case involved a 3-year-old male, intubated, mechanically ventilated after …

Impact Of Pakistan-Nigeria Defense Cooperation On The Nigerian Armed Forces, Adekunle James Okhogbe

Journal of Terrorism Studies

The study examined the impact of Pakistan-Nigeria Defense Cooperation on the Nigerian Armed Forces. The study utilized a descriptive survey and documentary research design to provide a comprehensive analysis of the cooperation’s dimensions. The target population comprised serving personnel across the Nigerian Armed Forces, including the Army, Navy, and Air Force, estimated at approximately 20,000 members nationwide. Using the Taro Yamane sample size determination technique, a sample size of 400 respondents was drawn from this population. Primary and secondary data collection methods were applied. Descriptive statistics and multiple linear regression analysis were employed to analyze the data. The findings revealed …

The Rise Of Lukarawa: Analyzing The Factors Contributing To The Emergence Of A New Terrorist Group In Nigeria, Eziho Promise Ogele

Journal of Terrorism Studies

The paper examined historical and socio-economic factors contributing to the emergence of Lakurawa terrorism in North West Nigeria. The Lakurawa is one of the terrorist organizations operated in Nigerian Republic's forests that is situated along its shoreline, which became a haven for terrorist groups. Approximately seven camps are operating in areas such as Bangi, Dankano, Galmi, Maradi, Masallata, and YarBasira. The strategic location enables free movement between Nigeria and Niger, facilitating the establishment of hidden camps within the vast bushlands of the region. The absence of the federal government created an ungoverned space, leading to a power vacuum. The paper …

The Dynamics Of Terrorism And Counter-Terrorism: The South Africa Experience, Oluranti Samson Afowowe

Journal of Terrorism Studies

Defining Terrorism within the context of South African government promulgated Terrorism Act of 1967 as’ action(s) that endanger the maintenance of law and order’, innocuously suggest that the phenomenon of terrorism in South African political space is not a recent development. This study examines the historical, socio-economic and demographic dis-equilibrium as indicative factors of terrorism within the context of South Africa. Theoretical postulations on the phenomenon of terrorism within the context of South Africa state experience also engaged the attention of this study. Attempts are made to identify the nexus between social relationships and the nature, essence and political dimensions …

State Narrative Dominance In Terrorism Reporting: A Critical Discourse Analysis Of Kompas Coverage, Putri Khairunnisa

Journal of Terrorism Studies

This study examines Kompas.com’s news construction of the bombing at the Makassar Cathedral Church on 28 March 2021 by integrating Entman’s Media Framing theory with Fairclough’s Critical Discourse Analysis. Using all news reports published between 28 March and 5 April 2021, the study finds that Kompas frames the event through security-oriented diction, agent–action structures that foreground state authorities as the primary actors, and high-modality statements that minimize uncertainty during the early crisis phase. Intertextual references to previous terrorism cases accelerate the labeling of the perpetrators as part of the JAD network. At the level of discursive practice, reliance on official …

The Relationship Between Socioecological Factors And Resilience Among Urban Workers During The Covid-19 Pandemic, Puttaporn Onkhamsee, Sukanya Tantiprasoplap,, Wanna Sanongdej

Jurnal Keperawatan Indonesia

The global outbreak occasioned by the coronavirus disease 2019 (COVID-19) has affected people of working age in urban communities, both socially and psychologically, making resilience an important aspect of efforts to cope with such a crisis. Against this backdrop, this study identified and investigated the socioecological factors associated with the resilience of employable urban residents against the COVID-19 pandemic as part of a conceptual framework that encompasses individual, family, and community resilience. This cross-sectional research involved 368 working-age individuals recruited via simple randomization from communities in seven areas in central Bangkok. Data were collected through a questionnaire survey and examined …

Inclusion Of Students With Physical Disabilities In Nursing Education, Julie Kientz Elting

Biennial Convention (CONV)

Purpose: The purpose of the research was to explore the perceptions of nursing faculty that create educational barriers for academically prepared students with physical disabilities. A case report of a woman who uses a wheelchair and earned her undergraduate nursing degree is presented.

Background: The Americans with Disabilities Act requires employers to identify the essential functions of employee positions to prevent discrimination against people with disabilities. For in-patient RN roles this might include standing for 12 hours or ability to lift 50 pounds. Pre-licensure nursing programs often use these functions as technical standards in admission requirements. This is not consistent …

The Influence Of Naturalness On Grocery Shoppers' Purchase Decisions In The United States, Rebecca Neusner

Honors Theses - Providence Campus

The term “natural” and naturalness labeling have increasingly been used on food packaging for a largely disinformed public who associate naturalness with qualities that are often not present in the products that display it. This survey-based study examines the influence of naturalness on the decision-making process of grocery shoppers in the United States. Survey responses were analyzed to determine the value participants place on products with naturalness indicators and to identify what other attributes they prioritize when shopping. The results indicate that participants value naturalness and price in their purchase decisions more than attributes such as brand or appearance, and …

Young Adults And Early-Onset Psychosis: A Grounded Theory Study Of Experiences Of Identity Development, Katherine Hayden-Lewis, Deborah Rubel

The Qualitative Report

While identity development is a crucial task for young individuals ages 15-25, current research inadequately centralizes identity development in the context of first-time psychosis related to schizophrenia spectrum disorders. This study addresses the knowledge gap by exploring the grand research question, “How does a young person experience their identity development after the first episode of psychosis?”. Constructivist grounded theory methods influenced by critical frameworks were used to collect and analyze data with seven young adults engaged in first episode psychosis programs. Participants were young adults, between the ages of 19-24, that at the time of the study were enrolled in …

Translanguaging In Indonesian Efl Classrooms: Pedagogical Insights And Student Perspectives, Fauzi Miftakh, Elih Sutisna Yanto, Annisa Fitria Harjadi

The Qualitative Report

This study investigates translanguaging practices in Indonesian secondary English classrooms and analyzes how teachers and students use multiple languages to enrich the learning experience. Drawing on observations, interviews, and field notes from two teachers and four students in West Java, the study found that translanguaging fosters student comprehension, confidence, and identity affirmation. Teachers strategically used English, Indonesian, and Sundanese to scaffold instruction across various phases, creating an inclusive learning environment. Students responded positively, pointing to a reduction in anxiety and improved participation. These findings are consistent with sociocultural learning theories and challenge monolingual ideologies. The study concludes that translanguaging is …

Physics Teachers' Perceptions About Diagnostic Assessment Of Students' Physics Misconception: A Phenomenological Study, Mutmainna Mutmainna, Edi Istiyono, Haryanto Haryanto, Heri Retnawati, Caly Setiawan

The Qualitative Report

Physics learning needs to be designed by teachers to minimize misconceptions. Different diagnostic tools have been developed and used by researchers to identify student misconceptions. However, each tool has advantages and disadvantages. Therefore, teachers play a crucial role, including their understanding of misconceptions and their ability to select the most effective tools according to their purpose. This study sought to uncover the experiences of eight physics teachers through phenomenological studies. Physics teachers involved in this research had diversity based on the period of experience teaching physics, geographical area, and education level. A virtual semi-structured interview (40 to 60 minutes) for …

Indonesian Efl Learners’ Views Of Fondi Application Toward Speaking Performance: A Qualitative Approach, Toni Indrayadi, Suhaimi Suhaimi, Usman Usman

The Qualitative Report

This study aims to explore English department students’ perceptions regarding the effectiveness of Fondi Application (FA) in enhancing speaking proficiency. FA is a Task-Based Language Teaching (TBLT) application that provides conversations in the form of voice calls packaged like games. This qualitative approach is based on semi-structured interviews and thematic analysis. Five selected participants with FA technology intervention were interviewed about their perception after using the application as self-learning media for two months. Five main themes emerged from the findings; FA is a potential technological tool to enhance speaking proficiency including fluency, lexical resources, grammatical accuracy, and pronunciation. The participants …

Reflections On Researching Second-Generation Migrant Youths Amidst Covid-19 And Beyond: Challenges And Lessons For Future Researchers, Betty Chiyangwa

The Qualitative Report

The COVID-19 pandemic highlighted the need for researchers to adapt to innovative methodologies in qualitative research. I reflect on my doctoral experiences, examining the challenges I faced and lessons I learned during data collection amidst the COVID-19 pandemic and beyond. I explore the hurdles faced, mitigation measures adopted, and lessons for future researchers, using a reflective qualitative design that integrates my personal narrative and thematic analysis. The analysis included a systematic coding process, underpinned by critical narrative inquiry, reflections, observations and an analysis of my field notes. Six hurdles emerged during the data analysis process amidst COVID-19: (1) experiences of …

Development Of A Telenursing-Based Self-Assessment Questionnaire For Diabetic Foot Ulcer Risk, Ratna Wirawati Rosyida, Sugiyarto Sugiyarto

Jurnal Keperawatan Indonesia

Development of a Telenursing-Based Self-Assessment Questionnaire for Diabetic Foot Ulcer Risk. Early identification of the risk of diabetic foot ulcers (DFU) is crucial in preventing ulcers. Caring for diabetic patients, including early detection of the risk of DFU with telenursing, will improve accessibility to health facilities and also help the work of nurses. Currently, there are many instruments or tools to detect the risk of DFU, but instruments that apply telenursing and can be used independently and easily by patients are still limited. This study aimed to develop a digital self-assessment questionnaire for DFU risk in type 2 Diabetes Mellitus …

The Effect Of Heat Treatment Duration On The Psychochemical, Mechanical, And Biodegradability Of Polyvinyl Alcohol/Gambir Extract Biocomposite Films, Ainul Kahfi Muhlasin, Poppy Puspitasari, Heru Suryanto, Diki Dwi Pramono, Dieter Rahmadiawan, Billie Jack Pasion

Journal of Mechanical Engineering Science and Technology (JMEST)

This study investigates PVA-based films with the addition of gambir and heat treatment to improve the characteristics of the film. Methods include the synthesis of PVA film with gambir addition (0.5%), treated by heat treatment for 40 minutes and 60 minutes. The film was characterised by physicochemical, mechanical properties, and biodegradability. Data was analyzed using ANOVA with a significance of 95%. Results indicate that the surface of PVA/gambir films is smoother and more homogeneous as the heat treatment duration increases. New peaks of functional groups were identified after the addition of gambir at the C-C and C-O groups. After heat …

Thermophysical, Rheological And Wear Resistance Of Canola Oil Biolubricant With Calcium Carbonate Additive Nanoparticle As Coolant In Cnc Machining, Alfandi Jaelani, Poppy Puspitasari, Diki Dwi Pramono, Alief Muhammad, Muhammad Kozin, Muhammad Kashif

Journal of Mechanical Engineering Science and Technology (JMEST)

Vegetable oil-based cutting fluids are of great importance in supporting green and sustainable manufacturing. This research introduces a new groundbreaking vegetable lubricant formulated with canola oil as the base material, coupled with CaCO3 nanoparticles synthesized from scallop shell waste and used as a cutting fluid in the AISI 1045 CNC machining process steel sprayed with minimum quantity lubrication (MQL). This investigation delves into the thermophysical, rheological, and wear resistance of the developed bio-lubricant. The results of this analysis show density value increased in the canola + CaCO3 0.15% sample by 3.28% of the pure canola sample, as did the viscosity …

Effect Of Argon Gas Flow Rate On Crystal Structure, Morphology, And Optical Properties Of Cigs Film For Photodetector Applications, Nurul Lathi’I Fatul Chamidah, Fadilah Wulan Cahyani, I Gusti Ayu Isnaini Fatha Ramadhani, Erma Surya Yuliana, Nasikhudin Nasikhudin, Safwan Abd. Aziz, Nandang Mufti

Journal of Mechanical Engineering Science and Technology (JMEST)

CIGS material can be used as a material for photodetector applications. The deposition of CIGS thin films remains challenging. Generally, argon is used as a gas to bombard the CIGS material through the sputtering method. This study fabricated photodetectors by varying the argon gas flow rate (50-80 sccm) to investigate its effect on device performance. XRD, SEM, UV-Vis, and photoresponse tests were characterized. Structural analysis using XRD showed a weak (112) diffraction peak, indicating that the resulting film was not fully crystalline, but rather consisted of a nanocrystalline phase, even partly amorphous, with small crystallite sizes. According to the SEM …

Historical Context In Mathematics Education: Improving Student Engagement And Achievement, Colette Chilton-Carr

Electronic Theses and Dissertations 2020 - Present

There are many informational gaps in contemporary mathematics education. Students see the mathematical topics they are being taught as facts and procedures unrelated to each other or to themselves as mathematicians. Many ancient developments in the realm of mathematics are still relevant today, showcasing the needs that motivated their longstanding evolution. By including the stories behind the formulas in mathematics classrooms, students from diverse backgrounds can feel seen and connected to their education. The inclusion of the holistic background of mathematics cannot be nurtured in the classroom without buy-in on the parts of both students and instructors, as well as …

Navigating The Ethical Landscape: A Field Reflection On The Dynamics Of Informed Consent In Qualitative Research, Khim Raj Subedi, Peshal Khanal

The Qualitative Report

Our paper analyses the practical dimensions of obtaining informed consent in qualitative research, drawing on the reflective insight from fieldwork conducted as part of a study on the professional identity of primary (elementary) teachers in community schools in Nepal. Our study builds on and extends the understanding of informed consent as a legal and ethical requirement (Kadam, 2017) while considering the complexities of fieldwork. Drawing on interactions with six teachers and using the first author's detailed fieldnotes and reflexive memos, our study explores the challenges researchers face in securing consent during qualitative interviews. We argue that the consent-seeking process should …

Assessing Knowledge, Attitudes, And Consumption Of Traditional Chinese Herbal Medicine Among Filipinos Post Covid-19 Pandemic, Jane Yugioksing

Social Transformations Journal of the Global South

Traditional Chinese Medicine (TCM) in the Philippines has existed as early as the first wave of migrants but has remained confined within a prescribed settlement in the Manila district known as Parian. Over the years, TCM has existed independently as a modality of treatment to improve one’s health, mostly catering only to the Chinese in the country. At the height of the COVID-19 pandemic, the Philippines’s Food and Drug Administration (FDA) approved the use of the TCM capsule Lian Hua Qing Wen as part of the COVID-19 treatment option, which was highly patronized by the mainstream Philippine society at that …

Stage- And Smoking-Associated Microrna Expression In Lung Adenocarcinoma, Min Huang, Yimin Ge, Huiqin Chen, Caimiao Wei, David Cogdell, Cristina Ivan, Meng Chen, Wei Zhang, George A Calin, Ming Guo

Faculty, Staff and Student Publications

Background: Altered expression of microRNAs (miRNAs) is implicated in lung carcinogenesis, but little research has investigated the association of miRNA alterations with lung cancer stage or smoking status. To identify such alterations in lung adenocarcinoma, we conducted miRNA profiling.

Methods: Lung adenocarcinoma specimens and paired nonneoplastic lung tissues from 58 patients who had received no preoperative therapy and underwent tumor resection from 1991 to 2006 were collected from tumor tissue banks. Thirty (52%) of the tumors were stage I and 28 (48%) stage II or higher. Twenty-five (43%) patients were nonsmokers and 33 (57%) were smokers. To identify miRNAs of …

Ai-Driven Innovations For Sustainable Healthcare Architecture In Developing Countries And Remote Areas: Enhancing Efficiency Through Futuristic Design, Esraa Elazab, Ahmed Eltawil

HBRC Journal

Access to healthcare in developing countries and remote areas remains a critical challenge due to geographic isolation, inadequate infrastructure, and limited medical resources. Communities in these regions face significant barriers in obtaining timely and adequate healthcare services, exacerbating public health issues. In response, artificial intelligence (AI) has emerged as a transformative technology, offering solutions that enhance healthcare systems by optimizing operational workflows, reducing human error, and improving resource management. When combined with sustainable design principles, AI-driven innovations provide a comprehensive approach to healthcare access and environmental sustainability. This paper presents a conceptual design proposal for a futuristic healthcare station aimed …

Cycling Network Planning Through Urban Form Analysis: A Contextual Gis Model, Nora Osama Ahmed, Rania Adham Sayed, Mona Mahrous Abdel Wahed

HBRC Journal

Promoting cycling as a sustainable mode of urban mobility requires a deep understanding of how urban form influences cyclists’ route choices. This study investigates the influence of urban form on cyclists’ route selection in an attempt to enhance context-sensitive cycling network planning. Five factors of urban form density, transportation infrastructure, housing/building type, land use, and street layout are examined to determine if any of them have a contributing factor to route selection. Based on an extensive review of the literature, the research develops an Urban Form–Cyclist Route Priority Matrix (UF-CRP Matrix) that categorizes urban conditions into three levels of desirability …

The Squeezed Middle: Housing Affordability Challenges, Nazli Dongez, Almula Koksal

HBRC Journal

Neoliberalism has deepened economic inequality, which is now spreading globally. Even though this economic inequality affects mostly lower-income households, international reports show that inequality has spread to the middle-income group. The decline in the purchasing power of the middle-income group has led to the issue of housing affordability, referred to as the squeezed middle-income group. Despite the global scope of this problem, only a limited number of academic studies have conducted a comprehensive assessment. Therefore, this study aims to analyze the problem of housing affordability for the middle-income group. The study employed the systematic literature review method. The Web of …

Factors Affecting The Cost Of Dynamic Architecture During The Execution Phase, Lamiaa Mohamed Said Elsherif, Eman N. Shaqour, Abdullah Badawy Mohammed, Sherif Mohamed Sabry El Attar

HBRC Journal

This study is part of a larger study on the factors affecting the cost of dynamic architecture during three phases (design, execution and operation), A research paper on the design phase has been published. and we will specialize in this research by studying the execution phase.

This research study is based on identifying the main factors affecting the cost of dynamic, buildings by conducting a questionnaire and analyzing it statistically by using IBM SPSS Statistics 25. To get to the definition of dynamic architecture and Types of movement directions in dynamic buildings.

By studying each of the principles of movement …

Users’ Expectations Of The Water Element As A Recreational Feature On University Campuses, Zubaidah Nadhem Mahmood Alzubaidi, Gökçen Firdevs Yücel Caymaz

HBRC Journal

Water is an important element in campus landscaping. Hence the importance of the lake opposite the Department of Architecture at the University of Mosul. However, the lake and its surroundings are currently neglected and in need of development. But any development must consider the expectations of the users, as the lake is there for them. Therefore, the research aims to identify users’ expectations of the lake as a recreational element on the campus, which can be used in any development of the lake. To this end, the literature review identified several characteristics related to the lake, such as size, movement, …

A Classification Framework For Egyptian Governorates According To Strategic Plan Implementation Requirements, Noor El Hoda Hamdy, Sammy Amin Ammer, Walid Nabil Bayomi

HBRC Journal

The implementation of strategic plans varies across regions based on their developmental typologies and the distribution of economic, natural, and human resources. This study explores differentiated approaches to strategic plan implementation by identifying typologies of development management, their mechanisms, and criteria for application. Drawing upon theoretical frameworks and global experiences, the research employs a comparative methodology to align the requirements of each development management model with the socio-economic and administrative characteristics of various Egyptian governorates. It further examines the prerequisites and success factors of each model, highlighting the suitability of each region. Key findings include the development of a novel …

Accuracy Of Student Career Choice: Analysis Of Interest And Personality Match In The Industry 4.0 Era, Nikon Aritonang, I Nyoman Sudana Degeng, M Ramli, Adi Atmoko

Buletin Konseling Inovatif

This study aims to clarify the high number of college students choosing unsuitable career choices. The impact of choosing an unsuitable career path can significantly hinder the development of Indonesian human resources in the context of the industry 4.0 era. This is caused by shifting paradigms in the recruitment process of most companies or institutions that no longer prioritize a diploma as the key factor in seeking new hires. Instead, there is greater emphasis on the employee's skills, interests, creativity, and innovation, followed by a diploma and achievement index. Descriptive-qualitative design was employed. Samples were collected from college students at …

Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path To Improve Staff Medication Confidence, Christologus Obi

Doctor of Nursing Practice Projects

Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used …

Climate Change Has Increased Global Evaporative Demand Except In South Asia, Saeed Karimzadeh, Arman Ahmadi, Dennis Baldocchi, Joshua B. Fisher

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Climate change alters how strongly the atmosphere draws water from the land, yet a consistent global assessment of this evaporative demand has been lacking. Here, we analyze 45 years of climate data and global models to quantify trends in the key drivers—air temperature, humidity, radiation, wind speed, and cloud cover—that determine the atmosphere’s drying power. We find that evaporative demand has increased worldwide, indicating a stronger atmospheric thirst, except in South Asia, where it has declined. There, widespread irrigation has increased soil and air moisture, enhanced cloud formation, and reduced sunlight reaching the surface, counteracting the global signal. These contrasting …