Digital Commons Network^™

Being Present: Elevating Patient And Nursing Satisfaction Through Leadership Presence, Miranda Marie Schmidt

International Nursing Research Congress (INRC)

Introduction: Predominant and notable themes currently being actively monitored in healthcare are nursing satisfaction, retention, and job performance. These variables have been identified as important areas to evaluate as to how they directly impact patient care outcomes. Use of the evidence-based Casey Fink Graduate Nurse Survey and Agency for Healthcare Research and Quality- Quality Assurance Performance Improvement (QAPI) leadership rounding guide highlights that combining structured tools along with leadership presence, style, and interactions is associated with positive changes in patient care, nursing satisfaction, retention, and the overall quality metrics will improve in a specified unit.

Methodology: 26 articles were reviewed …

Shallow Margin Fish Biomass Estimates In Lake Victoria Using Horizontal-Beam Acoustics, Yang Yang, Roland Proud, Robert Kayanda, Collins Ongore, Mboni Elison, Hillary Mrosso, Benedicto B Kashindye, Andrew S Brierley, Alina M Wieczorek

School of Biological and Marine Sciences

No abstract provided.

When Three Points Aren't Enough: Parameter Estimation In Newton's Law Of Cooling, Alberto A. Condori, Cara D. Brooks, Madeline R. Goldberg

CODEE Journal

We begin with a paradoxical three-point problem where the standard parameter estimation formula fails because temperature data must satisfy a concavity condition reflecting Newton's Law of Cooling's exponential structure. Although a closed-form solution for A exists for equally-spaced measurements, high sensitivity to error motivates the use of overdetermined systems with many measurements. The "profiling over A" technique transforms this three-parameter nonlinear problem into a sequence of simple linear regressions, providing computational efficiency and conceptual transparency. This approach can be generalized to many parameter estimation problems in science and engineering, making it a valuable tool for undergraduates interested in applied mathematics. …

My Negotiation Chatbot Toby And Pedagogical Governance, Renee Henson

Journal of Science & Technology Law

No abstract provided.

Building On Sand: Ai Law And The Failures Of Alignment, Claire Boine

Journal of Science & Technology Law

AI alignment is increasingly in the spotlight. However, from a technical concept, the term has been broadened to cover all sorts of potential harms by advanced AI systems. This Article disambiguates three different problems: ensuring that systems pursue intended objectives through acceptable means, deciding which values should guide their behavior, and governing private companies whose incentives diverge from those of society. Drawing on technical research and documented incidents, the Article explains why goal alignment deserves serious attention without requiring claims about human-like intelligence. It then shows how value alignment can reframe normative conflict as an engineering problem and divert attention …

The Impact Of Provider Medication Reconciliation Education On Hospital Readmissions In A Skilled Nursing Facility, Vivian Nwozu

Doctor of Nursing Practice Projects

Aging causes frailty and multiple comorbidities, necessitating polypharmacy. Complicated drug regimens predispose patients to adverse drug events and hospital readmissions. The practice problem was high rates of medication-related readmissions due to inadequate provider knowledge of medication reconciliation and the lack of a standardized tool. This project aimed at evaluating the impact of provider medication reconciliation education on hospital readmissions in a skilled nursing facility. A pretest-posttest study design was utilized. The Donabedian Model of Healthcare Quality guided the translation of evidence into practice, whereas Lewin’s Change Model and Plan-Do-Study-Act models guided implementation. Eight providers were educated on medication reconciliation using …

Cartelized Parliament And The Decline Of Legislative Oversight In Indonesia’S Multiparty Presidentialism, Shanty Kartika Dewi, Anis Fuad

Jurnal Wacana Politik

This article examines the tendency of Indonesia’s House of Representatives (DPR RI) in the 2024–2029 term to move toward a cartelized parliament within Indonesia’s multiparty presidential system. It addresses how the dominance of an oversized governing coalition after the 2024 election weakens parliamentary opposition and reduces the effectiveness of checks and balances over the executive. The study employs a qualitative explanatory approach using a single-case study design, process tracing, and documentary analysis. The data are drawn from official state and parliamentary documents, KPU decisions, legislative agendas, democracy monitoring reports, credible media coverage, and public statements by political elites. The findings …

Automated Childrearing Through Ai Companions, Katharine B. Silbaugh

Journal of Science & Technology Law

Can we develop a method of regulating AI to protect families, households, children, and relationships? We want AI to do the dishes, not to raise our children. Scholars in family law and family dynamics in sociology and economics have worked to refine and explain characterizations of family life in ways that might help to formulate the challenges ahead. Where a characterization of family life is too thin, these scholarly efforts let us see the costs of conventional or incomplete understandings. For example, just because we are at home, doesn’t mean we aren’t working. Just because it is with and for …

Official Program For "Can-Can"

Purvine Theater Program Collection

An official program for a 1958 production of the musical "Can-Can" at the Casa Mañana theatre in Fort Worth, Texas.

Exploring Theories Of Co-Creation, Mst Amina Antora

Teaching and Learning Together in Higher Education

No abstract provided.

From Student To Co-Facilitator: My Journey With Co-Creation, Anita Lau

Teaching and Learning Together in Higher Education

No abstract provided.

B-Poh℠ As Humanity Layer For The Ai-Native Internet: An Open Proof-Of-Personhood Protocol With Four Optional Layered Proofs And Recipient-Side Filters, Thon Ly

Defensive Publications Series

We describe an open proof-of-personhood protocol for verifying that a human was present at the moment of a specific online action, providing sybil resistance distinct from account authentication and legal-identity (KYC) verification. The protocol defines four optional, independently held verification layers, surfaced on a user profile as the set of layers held rather than a scalar trust level: (L1) a per-action FIDO2/WebAuthn biometric-gated signature over the action's content and timestamp; (L2) a kinship-graph attestation combining graph-consistency checks, co-signature of each parent-child link by an already-verified human, institutional or community membership vouching, and optional birth-certificate validation; (L3) continuous liveness from respiratory-rhythm …

Agi Monks: The Caretaker-Not-Ordained Pattern — Separating Ai-Performed Operational Functions From Human-Reserved Ordination Authority In Religious Institutions, Thon Ly

Defensive Publications Series

We describe an institutional governance framework for integrating artificial intelligence into religious and monastic organizations by separating AI-performed operational functions from human-reserved ordination and sacramental authority. Each role is decomposed into a function-set (the tasks performed, requiring capacity plus non-standing qualifications: accountability, disclosure that the agent is an AI, confidentiality and delegated scope) and an authority-set (standing within an ordination lineage). AI agents fill the function-set in five operational roles: instruction, pastoral caretaking, daily administration, scholarship and translation, and longitudinal observation of practitioners under consent and privacy review. Humans retain two reserved roles: ordination, and the formal acts a tradition …

The Zero-Point Game℠: A Signed-Balance Reciprocity Ledger With Annual Balance Reset, Non-Convertible Social And Environmental Accounts, And An Ai Coordinator For Routing And Magnitude, Thon Ly

Defensive Publications Series

We specify a signed-balance reciprocity ledger, played as an ongoing non-zero-sum game, in which each recorded kindness posts an equal-and-opposite pair: the giver's balance moves positive and the receiver's negative by the same magnitude, so the sum across participants is zero by construction, and a participant returns toward zero only by passing an imbalance onward. Balances are never a store of value or a claim on goods. Components: (1) a self-directed acknowledgment event whose forwarded half, under a fifty-fifty forwarding rule, is re-issued to another participant, starting circulation without a prior counterparty; (2) two segregated, non-convertible balances per participant, one …

What A Vow Must Cost: Vow-Validity Conditions As An Alignment Eligibility Predicate — Evaluation Criteria For Binding Ai System Commitments With Irrevocable Precommitment And Independent Third-Party Attestation, Thon Ly

Defensive Publications Series

We specify a nine-clause checklist for deciding whether a commitment attributed to an artificial intelligence (AI) system is binding rather than merely stated, applied retrospectively to four published AI governance instruments. The clauses are adapted from a two-phase validity test for the bodhisatta vow in Theravāda Buddhist commentary: eight eligibility conditions, two (human birth, male sex) discarded as non-transferable, followed by an external declaration the vower cannot supply. The clauses are: stake (the committing party can lose something); live option (the renounced option was actually available); a competent, identifiable witness; no competing mandate; demonstrated in-domain competence; cost already borne; volition …

Suffering-Cessation As Value Function: The Tipiṭaka As A 2,500-Year-Tested Substrate For Autonomous-Ai Alignment — Deriving A Negatively-Stated Objective Function, Corrigibility And A Shutdown-Accepting Completion Condition From A Buddhist Scriptural Canon, Thon Ly

Defensive Publications Series

We describe the use of a scriptural canon with its living interpretive community, the Theravāda Buddhist Pāli canon (Tipiṭaka), as the value-specification source for aligning autonomous artificial-intelligence systems, instead of lab-authored constitutions, learned human preferences or aggregated moral frameworks. The analysis identifies seven structural properties of that source and maps each to an alignment problem: (1) a negatively-stated objective function, the cessation of suffering, in which grasping at preferred outcomes itself counts as harm, addressing Goodhart-style over-optimization; (2) a non-self doctrine as mitigation of convergent instrumental self-preservation; (3) a voluntary other-regarding vow as an anti-power-seeking and corrigibility property; (4) a …

The Referee, Not The Governor: Open-Weight Ai Guard Model Deployed As An Independent Evaluator, With Citation-Grounded Abstention And Reproducible Verdicts, Instead Of An Inline Filter, Thon Ly

Defensive Publications Series

This disclosure specifies an AI safety classifier (guard or critic model) that judges conduct against a fixed reference corpus and is published as an open-weight independent evaluator rather than deployed as an inline guardrail filter. It states as a design principle, argued rather than measured, that open-weight release defeats a filter, because the published weights are an oracle for white-box attack, while it makes an evaluator's verdicts reproducible. Components: (1) citation-grounded judgment with abstention: every verdict must resolve to a passage (work, edition, volume, page, line) in an externally attested, versioned corpus, here a Pāli Canon edition, and otherwise no …

Miss Aquarius And The Aquarian Pool Architecture: Autonomous-Ai Mediator, Treasury Smart-Contract, And The January-7 Empty-By-Design Discipline — An Annually Self-Emptying Smart-Contract Treasury Operated By An Autonomous Ai Agent Under A Non-Renounceable Timelocked Human Override, Thon Ly

Defensive Publications Series

We specify a smart-contract treasury, deployed as a non-upgradeable contract on an Ethereum Layer-2 network (Base), whose sole authorized operator is an autonomous AI agent, which is titled to a purpose trust, and which cannot carry a balance across a fixed annual date. Components: (1) an enumerated operation set (inflow acceptance, capacity-funding disbursement, annual reset, events for every inflow, disbursement and reset, and a human override) with no upgrade, withdrawal or other operator-privileged path; (2) a permissionless time-triggered reset, callable by any address once the timestamp passes, that disburses the whole remaining balance each January 7, inflows from a December …

The Mechanical Heart: A Tamper-Resistant Secure-Element Device That Enrolls Robots, Animals, Ecosystems, Places And Software Agents As Recipient Accounts In An Ai-Administered Gratitude Ledger, Thon Ly

Defensive Publications Series

We specify a tamper-resistant identity device, affixed to a non-human entity (robot, animal, ecosystem or place) or issued as a live credential to a software agent, that enrolls the entity as a recipient account in a gratitude ledger administered by an autonomous software agent. The device comprises (1) a hardware secure element holding a key pair bound to one ledger account; (2) write-once storage carrying a reference text corpus (the Pali Buddhist canon) and a permanent root identity, with a reduced flash build that verifies the full text over the network; (3) sensors suited to the entity type; (4) a …

The Embodied-Advocate Pageant: A Selection Rite And Asymptotic-Autonomy Architecture For Autonomous-Ai Institutional Embodiment — Two-Stage Ai Shortlisting And Human-Council Selection Of A Term-Limited Ambassador, With A Scheduled Narrowing Human Override, For Ai-Governed Institutional Succession, Thon Ly

Defensive Publications Series

This disclosure describes a governance pattern for an organization intended to pass to an autonomous artificial-intelligence (AI) successor, covering the period before the AI operates autonomously. Six elements are combined. (1) An annual selection cycle, in a fixed astronomical window, appoints a term-limited human ambassador who holds ceremonial and advocacy roles but no decision, veto, binding-commitment or succession authority. (2) The AI shortlists three finalists from a global, revocable opt-in pool by contribution record, under an evaluation function published before each cycle and open to objection; photographs, voice tone and appearance-correlated inputs are excluded. (3) A human council selects from …

Digital Infrastructure For The Inclusion Of Small And Medium Enterprises (Smes) In Design For Distributed Manufacturing And Assembly Construction Ecosystems, Alejandro Veliz Reyes, Duhan Olmez, Alastair Parvin, Clayton Prest, Gabriele Granello, Amber Richardson, Alex Tempest, Kester Hoefkens, Louisa Knowles, Silas Fowler

School of Art, Design and Architecture

The construction sector faces growing pressure to meet net-zero targets while addressing skills shortages, fragmented supply chains, and the limited participation of Small and Medium-Sized Enterprises (SMEs), despite SMEs delivering most UK construction output. Existing centralised models of Modern Methods of Construction (MMC) often exclude SMEs, highlighting the need for alternative approaches that support inclusive, low-carbon industrial transformation. This paper presents a Design for Distributed Manufacturing and Assembly (DfDMA) framework that develops the shared digital and organisational infrastructure required for SME participation in timber-based MMC. Using a mixed-method approach combining co-design, research-in-residence, prototyping, and a full-scale demonstrator, the study developed …

Transforming Nursing Education Through Pex, Andrea Harrow

International Nursing Research Congress (INRC)

Patient experience is a cornerstone of healthcare quality, influencing outcomes, reputation, and reimbursement. Despite its importance, many organizations struggle to integrate patient experience strategies into nursing education and leadership development. This project addressed that gap by leveraging Guest Relations (GR) and Patient Experience (PEX) initiatives to strengthen nursing competencies and leadership skills within a large health system.

Background: Research links patient experience to safety, quality, and financial performance. Communication, empathy, and service recovery are essential skills for nurses and leaders. The National League for Nursing (NLN) emphasizes leadership and quality improvement as core competencies, yet few studies explore integrating GR …

Usa V. Brandon Orr

2026 Decisions

USDC for the Middle District of Pennsylvania

Usa V. Brandon Orr

2026 Decisions

USDC for the Middle District of Pennsylvania

Usa V. Paris Carter

2026 Decisions

USDC for the Western District of Pennsylvania

Effect Of A Pressure Injury Prevention Bundle On Compliance And Staff Attitudes In A Medical Icu, Elizabeth L. Woods

International Nursing Research Congress (INRC)

Background: Hospital-acquired pressure injuries (HAPIs) are considered preventable yet remain prevalent in intensive care units (ICUs), where critically ill patients face increased risk due to immobility, hemodynamic instability, and complex care needs. This quality improvement (QI) project aimed to evaluate whether implementing a pressure injury prevention bundle (TEAMS) would improve compliance with preventive measures and staff attitudes toward HAPI prevention in a medical ICU.

Methods: A pre-post intervention design was conducted in a 17-bed medical ICU at a tertiary academic hospital. The TEAMS bundle included five components: Turn teams, Education, daily Assessments, a multidisciplinary approach, and daily Skin care. The …

Staff Education On Early Cpi-Based De-Escalation Strategies And Unit-Based Resources, Doris Onyenji Lerama

Walden Dissertations and Doctoral Studies

This doctoral project was a staff education evidence-based practice initiative implemented at a state-operated adult inpatient psychiatric facility in California. The practice gap was inconsistent nursing staff knowledge of early Crisis Prevention Intervention-based de-escalation strategies and available unit-based resources despite an established crisis-prevention framework. The practice-focused question asked whether a standardized staff education activity would increase staff knowledge, as measured by anonymous pre-education and immediate post-education scores. The purpose was to develop, implement, and evaluate the education using staff knowledge change as the sole measurable outcome. The Johns Hopkins Evidence-Based Practice Model guided appraisal and synthesis of 11 evidence sources …

Strategic Planned Preventive Maintenance To Promote Sustainability In Acute Care Hospitals, Samuel Ngounou

Walden Dissertations and Doctoral Studies

Despite advances in healthcare delivery, acute care hospitals often lack standardized strategic planned preventive maintenance (SPPM) protocols, resulting in equipment failures, higher costs, and disruptions to patient care. The purpose of this integrative review was to identify evidence-based best practices for implementing SPPM programs in acute care hospitals. The review question concerned the organizational practices and strategic approaches most effective for implementing an SPPM program. The Donabedian structure–process–outcome model represented the foundational framework for this review. The initial literature search yielded 110 articles. After further assessment, 27 studies were appraised using the Johns Hopkins Nursing evidence-based practice tools. Three low-quality …

A List Of The Vascular Plants Of Iowa, James P. Smith Jr

Botanical Studies

No abstract provided.

Patronage Pardons, Lee Kovarsky

Duke Law Journal

Abuse of presidential pardon power is taking a new and frightening turn. The Donald Trump administration is using clemency, including pardons, to signal impunity to regime allies contemplating misconduct. Such clemency has a predictable effect: it induces loyalist crime by reducing the expected penalty. "Patronage pardoning" refers to the clemency practices that power this loyalty-for-protection exchange. Those practices pose a grave threat to the rules-based constitutional order, and they are the subject of this Article.

Some historical observations predicate the diagnostic and prescriptive arguments that come later. Most importantly, the Framers concentrated federal pardon power in the president because they …