Digital Commons Network^™

Exploring The Strategies Used By Caribbean Business Leaders To Adopt Artificial Intelligence To Improve Business Performance And Decision-Making, Hazarie Ramoutar

Walden Dissertations and Doctoral Studies

A lack of effective strategies for adopting generative artificial intelligence (GenAI) limits business leaders in the Caribbean’s ability to enhance business performance and decision-making. Business executives, shareholders, employees, and policymakers are vested in the success of Caribbean businesses to remain competitive and become more efficient. Grounded in the technology acceptance model (TAM), the purpose of this qualitative, pragmatic inquiry project was to identify and explore the strategies Caribbean business leaders use to successfully adopt GenAI, thereby enhancing business performance and decision-making. The participants were seven business leaders from for-profit organizations in the English-speaking Caribbean. Data were collected using semistructured interview-based …

Gene-Agnostic Therapeutic Strategies For Inherited Retinal Diseases: Neuroprotection And Immunomodulation, Lucas W. Rowe, S. Patricia Becerra, Robert E. Maclaren, Robert L. Avery, Charles C. Wykoff, Allen C. Ho, Carl D. Regillo, Dean Eliott, Andrew Osborne, Katie M. Binley, Thomas A. Ciulla

Wills Eye Hospital Papers

Background/Objectives: Inherited retinal diseases (IRDs) represent a genetically heterogeneous group of disorders caused by mutations in over 280 genes with more than 3100 identified variants. While gene-specific replacement therapies have achieved landmark success with voretigene neparvovec (Luxturna) for biallelic RPE65-associated retinal dystrophy, developing individual therapies for each genetic subtype remains impractical. This review examines gene-agnostic therapeutic approaches utilizing neuroprotection and immunomodulation that target common pathophysiological mechanisms shared across multiple IRD genotypes. Methods: We reviewed the literature on neuroprotective and immunomodulatory gene therapy strategies for IRDs, focusing on neurotrophic factors and complement system modulation. Results: Neuroprotective approaches delivering neurotrophic factors—including pigment …

Barriers And Facilitators To Accessing Addiction Treatment Services For Sexual Minority (Lgbq+) People: Systematic Review, Miriam Hillyard, Beatrice Cockbain, Colin Drummond, Katharine Rimes, Emmert Roberts

School of Psychology

Background Sexual minority (lesbian, gay, bisexual, queer and other non-heterosexual) people experience significant disparities in addiction problems compared with heterosexual people.  Aims We aimed to answer the question, what are the barriers and facilitators to accessing drug/alcohol addiction treatment services for sexual minority adults?’.  Method A systematic review was conducted by searching Medline, PsycINFO, CINAHL, Web of Science, and Sociological Abstracts for any English-language primary research article (qualitative, quantitative or mixed methods) relevant to the study aims, from inception up to 18 April 2025. Quality of included studies was assessed using the Mixed-Methods Appraisal Tool (MMAT-2018). Barriers and facilitators were …

Legal Method And Political Time, Odette Lienau, Aziz Rana

Law and Contemporary Problems

No abstract provided.

Marx, Marxism, And The Critique Of Law, Umut Özsu

Law and Contemporary Problems

No abstract provided.

Does Law Constitute Society?, Jeremy Kessler

Law and Contemporary Problems

No abstract provided.

Beyond The Market: What Does It Mean To Theorize Capitalism?, Amy Kapczynski

Law and Contemporary Problems

No abstract provided.

Capitalism & Jurisprudence, Paulo Barrozo

Law and Contemporary Problems

No abstract provided.

Falling Flat: Why Ai Cannot Free Melodies From Copyright Protection With “All The Music” As An Example, Hayley Huber

Duke Law & Technology Review

As artificial intelligence (AI) continues to surprise us with its humanlike abilities, it raises the question of whether AI-created music can or should be afforded legal protection. Particularly, how should copyright law treat melodies produced by an AI designed to algorithmically generate every possible melody? This article seeks to answer that question, ultimately concluding that AI-produced melodies are not copyrightable and that melodies are not merely facts undeserving of copyright protection, but something valuable to mankind and worth protecting by law.

The article explores Damien Riehl’s All the Music project (ATM) and his arguments for why ATM’s outputs should be …

Negotiating Identity: Local Religion Adherents And Majority Group Resistance In Indonesia, Tri Astutik Haryati, Amat Zuhri, Annisa Mutohharoh

The Qualitative Report

The existence of local religion adherents amidst a majority population is marked by structural and cultural rejection. This condition highlights fundamental issues surrounding freedom of religion and belief in Indonesia. This study aims to explore the experiences of local religion adherents in confronting structural and cultural resistance from an emic perspective, situating local religions within the broader academic discourse on the interaction between local wisdom and global religions. The participants consist of 11 adherents of local religions affiliated with Majelis Luhur Kepercayaan Indonesia (MLKI), an organization that supports followers of local religions and indigenous beliefs throughout Indonesia. Using a qualitative …

Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe

Walden Dissertations and Doctoral Studies

Understaffing during the weekends has been related to issues in patient safety, delayed responses, and increased nurse fatigue and turnover in a majority of inpatient mental health units. This practice improvement Doctor of Nursing Practice (DNP) project aimed to address disparities in nurse staffing ratios between weekdays and weekends within inpatient mental health units. The purpose of the project was to design and test an evidence-based acuity-based staffing model, supported by structured staff education and compliance monitoring, to promote equitable workload distribution and improve patient and organizational outcomes. The guiding practice question asked: How does the implementation of an acuity-based …

Effective Strategies For Hospital Adoption Of Value-Based Reimbursement Models, Nicholas Isbell

Walden Dissertations and Doctoral Studies

Acute care hospitals continue to experience financial strain as the healthcare system transitions from fee for service to value-based reimbursement (VBR) models. The purpose of this integrative review was to identify evidence-based financial, clinical, and operational strategies that support hospital adaptation to value-based models while maintaining financial stability and high-quality care. The guiding question focused on determining which strategies reduce financial pressures and improve value-based performance in acute care hospitals. Guided by resource-based theory, this integrative review included 25 empirical and nonempirical studies published between 2019 and 2025 that examined U.S. acute care hospitals. Data were synthesized through a thematic …

Perspectives Of Elementary Teachers On The Challenges Of Implementing Reading Technology, Hajirah Abdullah

Walden Dissertations and Doctoral Studies

Reading skills in elementary school students continue to decline despite the efforts of teachers and lawmakers. The problem addressed through this study was that although teachers at ABC Elementary School (pseudonym) had access to 30 different software/apps for technology literacy programs that could help improve student achievement on state assessments, district data showed that very few teachers were using the technology with students. The purpose of this qualitative project study was to explore the perspectives of elementary teachers on the challenges of implementing reading technology and ways to better support its use in classroom instruction at ABC Elementary School. The …

The Blurred Boundaries Of Care: A Qualitative Analysis Of Nurse-Doula Role Conflict, Curisa Mae Tucker Phd, Rn, Maria Mcclam, Kelly Russin Dnp, Rnc-Ob, Chse, Nansi Boghossian, Rachel Gulczinski, Lauren Workman

Faculty Publications

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Methods:

A Narrative Review Of Stigma And Masking In Adhd: Insights From English-Language Research And The Japanese Cultural Context, Chiharu Maeda, Laura E. Knouse, Konoka Takeda, Chisato Masudomi, Eriko Takahashi, Taisuke Katsuragawa, Hiroaki Kumano

Psychology Faculty Publications

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental condition associated with impairments across educational, occupational, and social domains. Individuals with ADHD are often exposed to misunderstanding and negative evaluation, which can contribute to stigma and psychological distress. Recently, “masking”—efforts to conceal or compensate for ADHD-related characteristics to meet social expectations—has been discussed as a potential behavioral response to stigma, yet empirical research on this phenomenon remains limited. This narrative review synthesizes English-language research on public stigma and self-stigma related to ADHD and examines how stigma may be associated with masking behaviors in ADHD, drawing on conceptual insights from the literature on …

Mental Health Focont Primary Care: A Continuing Education Initiative, Collin P. Mcdowell, Maddie Lozinski, Tristan Senenfelder

DNP and Student Works

Many primary care Advanced Practice Providers (APPs) lack access to continuing education (CE) tailored to managing mental health disorders. This quality improvement project evaluated changes in APP confidence before and after participating in an online, asynchronous CE program focused on behavioral health in primary care. The project was conducted through a higher education institution in northeastern Minnesota and included 21 APPs practicing in Minnesota (N = 21); however, only two participants completed at least two of the three courses during the implementation window. Paired t-tests and the Pearson correlation coefficient were used to evaluate changes in confidence using a validated …

Iraqi Students' Engagement With English In Indonesia: Language, Identity, And Adaptation, Nirwana Nirwana, Yanty Wirza, Mutakhirani Mustafa, Muhlis Muhlis

The Qualitative Report

English as a lingua franca in higher education enables international students to participate in the global academic community. However, for Iraqi students in Indonesia, the use of English is not just a means of communication, but also part of identity negotiation, social adaptation, and cultural integration. This study explores how Iraqi students experience acceptance, resistance, and adaptation in using English in academic and social environments in Indonesia. The three-dimensional narrative inquiry framework (Clandinin & Connelly, 2000) is used as the primary analytical lens to explore how participants' experiences unfold over time, across relational contexts, and within specific physical and institutional …

Gender Norms, Socio-Organizational Ergonomics, And Female Labor Force Participation In South Asia, Huma Maqsood, Nor Fatimah Che Sulaiman, Suriyani Muhamad, Nor Aizal Akmal Binti Rohaizad, Sana Mukhtar

The Qualitative Report

Socio-organizational ergonomics encompasses workplace social and cultural factors that influence inclusion, performance, and well-being. Gender-based socio-organizational ergonomics has both microeconomic and macroeconomic implications. In this context, underutilization of women’s economic potential, evidenced by low female labor force participation, emerges as a critical factor that compromises sustainable growth in developing countries. To study the phenomenon, we examined the impact of gender norms on socio-organizational ergonomics and female labor force participation in South Asia. Qualitative data from in-depth interviews with 20 female participants are thematically analyzed using Braun and Clarke’s TA framework. Our findings highlight that socio-organizational ergonomics in South Asia is …

Morphological Characteristics Of The Mediophyceae Diatom Lampriscus Cf. Shadboltianus Var. Crenulatus Collected From Gili Meno, Indonesia, Arief Rachman, Riani Widiarti, Setiarti Sukotjo, Mark Wells

Makara Journal of Science

Diatoms are the most common and abundant microalgae group in seawater, with an estimated 200 genera and 200,000 species categorized into three distinct taxonomic classes: Mediophyceae, Bacillariophyceae, and Coscinodiscophyceae. This study describes the morphological characteristics of Lampriscus GM052022, a diatom belonging to the Mediophyceae family, which was collected from Gili Matra, Lombok, Indonesia. Analysis using light microscopy (LM) and electron microscopy (EM) showed that the morphological characteristics of the Lampriscus GM052022 specimen are similar to those of Lampriscus shadboltianus var. crenulatus due to the distinct crenulation lines on the frustule, which differentiate this variation from Lampriscus shadboltianus. However, the …

Phytochemistry And Pharmacological Activities Of Sphagneticola Trilobata: A Systematic Review With Perspectives For Drug Discovery, Sonali Dnyaneshwar Labhade, Suraj Kamadi, Pawan Nandkishor Karwa, Ritesh Prakash Bhole, Harshad Sunil Kapare, Sohan Satyanarayan Chitlange

Makara Journal of Science

Sphagneticola trilobata (L.) Pruski is a medicinal plant widely used in traditional medicine for its anti-inflammatory, antimicrobial, antioxidant, hepatoprotective, wound healing, and CNS depressant effects. Despite its broad pharmacolo-gical potential, clinical application is limited due to a lack of mechanistic understanding, standardization, and clinical validation. This review aims to provide a comprehensive overview of the phytochemical composition, pharmacological activities, and therapeutic potential of S. trilobata, while highlighting research gaps and suggesting future directions for clinical translation. A systematic review of scientific literature, ethnobotanical sources, and pharmacological studies was conducted, focusing on phytochemical analysis, biological activity, toxicity, and potential applications …

Multiplex Functional Assessment Of Variant Effect In The Retinal Transcription Factor Crx, James Lewis Shepherdson

Arts & Sciences Graduate Student Theses and Dissertations

The transcription factor Cone-Rod Homeobox (CRX) is a master regulator of photoreceptor cell fate. Sequence variants in CRX can cause Retinitis Pigmentosa, Cone-Rod Dystrophy, and Leber Congenital Amaurosis, all inherited causes of vision loss and blindness. CRX is the only gene implicated in the pathogenesis of all three of these diseases, which present with both rod- and cone-centric phenotypes of varying age of onset and severity. Several CRX variants have been reported to cause severe dominant disease through antimorphic genetic interactions with wild-type CRX, and yet these mutations are adjacent to variants which are benign or only cause mild, recessive …

Patterns Of Multimorbidity Among Low-Income Adults Who Smoke With Implications For Tailored Interventions: A Cluster Analysis Using A Mixture Of Bernoulli Model, Monique T. Cano, Michael R. Lindstrom, Oscar F. Rojas Perez, Ricardo F. Muñoz

School of Mathematical & Statistical Sciences Faculty Publications

Introduction: Smoking cigarettes remains a leading modifiable risk factor for preventable health conditions. In the United States, the health burden of smoking disproportionately impacts low-income individuals. Multimorbidity is common in this group, complicating treatment and worsening outcomes. Identifying multimorbidity clusters can support targeted, individualized interventions. This study aimed to identify multimorbidity clusters among individuals who smoke and experience economic hardship and provide clinical recommendations to enhance health outcomes.

Method: Individuals who smoke and experience economic hardship (N = 60) were recruited from the San Francisco Health Network (SFHN) and were assessed for physical and mental conditions. Cluster analysis was …

Learner Leadership Practices And Student Behavior: A Cultivation Of Student Leadership, Sarun Widtayakornbundit, Jie Hu

Asia-Pacific Social Science Review

This study explored how student leadership practices (SLP) are essential in shaping learners’ development and their continued engagement with higher education institutions. This research investigates the direct and indirect effects of SLP on affective commitment (AC), employing self-efficacy (SE), individualism (IND), and collectivism (COL) as mediating variables. Data were collected through a structured online survey administered to undergraduate students from 11 public universities in Guangxi, China. The study received 436 responses and 387 valid cases. The Student Leadership Practices Inventory, the General Self-Efficacy Scale, the Individualism–Collectivism Scale, and the Affective Commitment Scale were all used as standardized tools. The analysis …

Revisiting The Double Movement In Development: A Systematic Review Of Polanyian Counter-Movements, Yuli Isnadi, Asmarawati Handoyo, Chin-Fu Hung

Asia-Pacific Social Science Review

The concept of the double movement, as expounded by Polanyi (1944/2001), has been a focal point of interest for numerous scholars. However, it is evident that more concerted efforts are required to foster a substantive dialogue among these scholars. Goodwin (2018) took a significant step by initiating a constructive discussion aimed at revitalizing the double movement theory, with the intent of rendering it pertinent to addressing the socioeconomic challenges faced by societies in the Global South. Regrettably, Goodwin’s approach, which primarily leans towards a political system perspective, is not without its limitations. Therefore, this article proposes a societal approach that …

Design And In Silico Modeling Of Heterocyclic-Based Xanthone Derivatives As Potential Anticancer Agents Through Tyrosine Kinase Inhibition, Yehezkiel Steven Kurniawan, Ervan Yudha, Nela Fatmasari, Radite Yogaswara, Harno Dwi Pranowo, Eti Nurwening Sholikhah, Jumina Jumina

Makara Journal of Science

Cancer is one of the deadliest diseases nowadays, and tyrosine kinase receptors play crucial roles in cancer cell survival, differentiation, proliferation, and migration. This study designed and developed a new inhibitor from heterocyclic-based xanthone derivatives to target two tyrosine kinase receptors, epidermal growth factor receptor (EGFR) and platelet-derived growth factor receptor (PDGFR), through in silico screening. Eighteen heterocyclic-based xanthones were evaluated through molecular docking for both receptors. All heterocyclic-based xanthones gave the root mean square deviation (RMSD) value lower than 2.00 Å. Xanthone with isobenzothiazole substituent (iBzThio) was found as the most potent inhibitor with binding energies of -10.60 and …

Dietary Oil From Hermetia Illucens L. Larvae Promotes Weight Gain And Alters Leukocyte Profiles In Mus Musculus L, Rudy Agung Nugroho Ran, Reni Kurniati, Widya Putri Ambar Sari, Reynaldo Imanuel Sompotan, Retno Aryani, Hetty Manurung, Rudianto Rudianto

Makara Journal of Science

The escalating global demand for high-quality animal-derived proteins has driven the search for sustainable alternatives. Black soldier fly larvae (BSFL; Hermetia illucens L.) oil presents a promising option, by addressing organic waste management while providing nutrient-rich feed. This study evaluated the effects of dietary supplementation with BSFL oil on growth performance, hematological characteristics, and blood lipid profiles in mice (Mus musculus). Male mice were randomly assigned to five groups (n = 5): positive control (fish oil, 5 mL/kg body weight [BW]), negative control (Aquadest, 5 mL/kg BW), and three treatment groups receiving BSFL oil at 2.5, 5, and …

Aldo Faldi's 12 Brevi Studi Seriali And The Modern Solo Oboe Tradition, Michael Isaac Ripple

Electronic Theses and Dissertations Archive

This dissertation examines the pedagogical and musical significance of Aldo Faldi’s 12 Brevi Studi Seriali per Oboe within the broader context of twentieth- and twenty-first-century solo oboe repertoire. While etude literature has historically functioned as a bridge between technical study and performance practice, the standard oboe etude canon remains largely rooted in nineteenth-century tonal idioms and does not adequately address the technical and perceptual demands of post-tonal music. Through detailed analytical study and comparative repertoire analysis, this project argues that Faldi’s etudes provide a systematic pedagogical framework for developing the skills required in contemporary oboe performance. These studies isolate and …

“At That Point You Aren’T Even A Teacher”: Literacy Teacher Resistance In The Age Of The Edtech Panopticon, Dallas Joseph Allen

Electronic Theses and Dissertations Archive

The growth of digital education programs in public education, combined with increased legislative restrictions, has created an environment where literacy and English Language Arts teachers are working under complex networks of surveillance and control, where curriculum materials are provided to them by outside designers. Teachers who have ideological or moral issue with the supplied materials may choose to resist and subvert. Previous research in teacher resistance highlights instructional strategies educators used in the pre-and-early digital era: class discussion, subversive reading, and leveraging institutional authority and experience. This dissertation analyzes qualitative interview data gathered from four high school English Language Arts …

Mental Health In Rural School-Age Youth: Examining Trends In Adverse Childhood Experiences, Positive Childhood Experiences, And Family Resilience From 2018-2023, Mary Katherine Shires

Brown School Graduate Student Theses and Dissertations

This study examined trends in adverse childhood experiences (ACEs), positive childhood experiences (PCEs), family resilience, and mental health conditions in rural and urban youth in the United States from 2018-2023. It also assessed whether PCEs and family resilience moderated the association between ACEs and youth mental health and whether these relationships differed by geographic setting and across time. Data were drawn from six years (2018-2023) of the National Survey of Children’s Health (NSCH), a nationally representative, cross-sectional, caregiver-reported survey assessing child wellbeing. The analytic sample included school-age youth (ages 6-17) residing in states that reported metropolitan (urban) versus non-metropolitan (rural) …

Dementia Knowledge Levels Among Adolescents In England, Esra Hassan, Ben Hicks, Naji Tabet, Nicolas Farina

Peninsula Medical School

Objectives: Raising awareness of dementia in the general public is a key dementia policy. Adolescents are one population whose levels of dementia knowledge we have little understanding about. In this cross-sectional survey study, we aimed to capture the level of dementia knowledge in adolescents from different socio-demographic groups and to explore the factors associated with adolescents’ dementia knowledge. Method: We recruited 1,371 adolescents aged 11-18 years across England. Adoeslescents were asked to complete a survey that included dementia knowledge items from the The Northern Ireland Life and Times Survey. Descriptive statistics, a logistic regression, and cross-tabulations were used to explore …