Digital Commons Network^™

Reviews That Reveal Return: When Guest Feedback Becomes A Predictor Of Future Visits, Jeong-Yeol Park, Wookjae Heo, Jongwon Lee, Shinyong Jung

Rosen Research Review

The research by Park, Heo, Lee, and Jung reveals how online hotel reviews do more than express opinions—they predict whether guests will return. By blending the Theory of Planned Behavior with machine learning, the study uncovers how attitudes, social influence, and perceived control embedded in review language shape actual revisit behavior. This innovative approach transforms unstructured text into actionable insights, offering hospitality professionals a powerful new lens on customer loyalty.

"Deep Down Here By The Dark Water Lived Old Gollum": The 1927 Public Opening Of The Wookey Hole Show Caves And 'The Hobbit', Kristine Larsen

Journal of Tolkien Research

One central scene in The Hobbit – in which Bilbo Baggins finds the One Ring – takes place in a large subterranean cavern featuring a small island set within a body of water and reachable by boat. While this fictional location bears little resemblance to the caves of Cheddar Gorge, it closely parallels a series of caverns at Wookey Hole, located seven miles by road from Cheddar Gorge, that were opened up as public show caves in 1927. Now designated a Site of Special Scientific Interest (SSSI), Wookey Hole was already well-known in the 1920s for its unique geology, ancient …

Educating For Responsible Ai Governance - Building Interdisciplinary Frameworks For The Management Of Artificial Intelligence, Grace Eboh

Southwestern Business Administration Journal

As Artificial Intelligence (AI) becomes increasingly prevalent across industries, there is a critical need for educational programs that teach effective AI governance and management. This article examines how educational institutions can develop comprehensive curricula to prepare professionals for the complex challenges of overseeing AI systems responsibly. It analyzes current gaps in AI governance education, proposes frameworks for curriculum design, and identifies key competencies required for effective AI stewardship. The findings suggest that successful AI governance education must adopt an interdisciplinary approach that integrates technical literacy, policy understanding, ethical reasoning, and organizational management.

Chronic Total Occlusion Percutaneous Coronary Intervention: A Consensus Of The National Heart Center In Collaboration With The Saudi Cto Club Of The Saudi Arabian Cardiac Interventional Society, Waqar H. Ahmed, Khalid Aljohani, Sultan Alotaibi, Motasem Alyamani, Mohammed Almohammadi, Ahmed Alhamami, Hani Abdelhadi, Owayed Alshammeri, Abdullah Alsaiedi, Abdulrahman Almoghairi, Abdulrahman Qahtani, Saleh Khouj, Shatha Alalawi, Walid Alharbi

Saudi Medical Journal

Objective: Chronic total occlusion (CTO) is one of the most complex and technically demanding percutaneous coronary interventions (PCI). Over the last two decades, technological and procedural advancements have significantly improved clinical outcomes. However, CTO-PCI practice and outcomes remain suboptimal with a lack of standardized approaches. Methods: The Saudi CTO Club has been actively working to enhance collaboration among CTO operators throughout the region. The National Heart Center (NHC), in collaboration with the Saudi Arabian Cardiac Interventional Society (SACIS), convened national experts to develop a consensus document and workflow for integrating CTO-PCI into clinical practice in Saudi Arabia. This consensus document …

The Application Effect Of Modified Pressure-Reducing Fixation Protective Nasal Strip In The Nursing Care Of Patients Receiving High-Flow Nasal Cannula Therapy, Ying Zhou, Xuting He, Jianying Sang

Saudi Medical Journal

Objective: To evaluate the efficacy of a modified pressure-reducing fixation protective nasal strip in preventing device-related pressure injuries and improving nursing outcomes in patients undergoing high-flow nasal cannula (HFNC) therapy. Methods: This study included 60 patients receiving HFNC therapy from January 2024 to September 2024. Participants were randomly divided into an observation group (n = 30), which used the modified decompression fixation protective nasal strip, and a control group (n = 30), which underwent standard care with hydrocolloid dressing protection. The study compared general demographic data, the interval between fixation strap changes, frequency of catheter position adjustments, skin management effectiveness …

Validity And Reliability Of The Arabic Voice Activity And Participation Profile (A-Vapp) Questionnaire, Nawaf S. Alqarni, Hamad F. Alrabiah, Nasser F. Alsunbul, Manal A. Bukhari, Mohamed Farahat, Mohammed Almohizea, Tamer A. Mesallam, Khalid H. Malki

Saudi Medical Journal

Objectives: The purpose of this study was to translate and validate the Voice Activity and Participation Profile (VAPP), a comprehensive tool for assessing the impact of voice disorders on daily life activities and social participation, into Arabic and to test its reliability among voice disorders patients in Riyadh, Saudi Arabia \looseness-1 Methods: A descriptive, questionnaire-based validation study was conducted at two university hospitals from December 2023 to September 2024. The VAPP was translated using forward and backward translation methods from English into Arabic. The questionnaire's reliability and internal consistency were assessed using Cronbach's alpha and test-retest reliability. To measure …

Critically Ill Patients Presenting To The Emergency Department; Outcome Review In A Tertiary Care Center, Maan Jamjoom, Lina Sami Reda, Bsaim Abdulsalam Altirkistani, Samer Tariq Anwar Ahmed, Samer Ali Alasmari, Abdulrahman Adnan Almehmadi, Ahmad Loay Atiah, Faisal Abdulaziz Boker, Rand Ayman Maddah

Saudi Medical Journal

Objective: Critically ill patients presenting to the emergency department require prompt recognition and prioritized care due to the severity of their conditions. Reviewing their clinical outcomes helps guide future planning and resource allocation. This study aims to highlight the outcomes of patients triaged as CTAS I and II in the emergency department of a tertiary care center in Jeddah, Saudi Arabia. Methods: A single-center retrospective cohort study was conducted in the emergency department of a tertiary healthcare center, National Guard Health Affairs, in Jeddah. The study provides a comprehensive assessment of factors (including length of stay) and outcomes for a …

Microbiological Profile And Antibiotic Resistance In Relation To Risk Of Recurrence And Fistula Following Perianal Abscess Drainage: A Retrospective Study, Saleh A. Busbait

Saudi Medical Journal

Objective: The practice of obtaining routine intraoperative cultures and administering postoperative antibiotics for perianal abscess treatment continues to be debated, so far, there is no established evidence linking these practices to improved patient outcomes. This study investigated the microbial distribution together with antibiotic resistance and their relationship to abscess recurrence or fistula development. Methods: The study analyzed 242 patients who received their first perianal abscess treatment through incision and drainage procedures at a Saudi Arabian tertiary center from 2019 to 2023. Swab cultures were obtained intraoperatively. A descriptive statistics, Chi-square tests and antibiotic resistance were analyzed. Results: The most frequently …

An Investigation Of The Correlation Between Total Intracranial Volume And Body Mass Index, Walaa M. Alsharif, Fahad H. Alhazmi, Ali D. Almutairi, Rahaf M. Alharbi, Lana M. Alsaedi, Razan A. Alharbi, Amirah F. Alsaedi, Abdulaziz A. Qurashi, Adnan A. Alahmadi, Khalid M. Alshamrani, Faisal A. Alrehily, Shrooq T. Aldahery, Osamah M. Abdulaal, Reem M. Elkady

Saudi Medical Journal

\looseness-1 Objective: Total intracranial volume (TICV) is an important covariate in brain volumetric analysis that can vary significantly between participants. This study aimed to investigate the association between body mass index (BMI) and TICV. Methods: 152 healthy volunteers were recruited. The BMI was calculated, and T1-weighted images were acquired to estimate brain volumetric values. The data were analyzed using volBrain software. Results: Male participants have significantly higher GM, WM, CSF, TICV, cerebellum GM, cortical GM, subcortical GM and cerebrum GM volumes compared to female. There were significant differences in GM, TICV, cerebellum GM, cortical GM, subcortical GM and cerebrum GM …

A Comprehensive Analysis Of Overweight, Obesity, And Failure To Thrive In Pediatric Inpatients: Prevalence, Diagnostic Practices, And Management Approaches At A Tertiary Hospital In Riyadh, Saudi Arabia, Ibrahim A Al Alwan, Elaf A Alshammari, Ahmed A Alabdulkarim, Abdulaziz A Ajeebi, Afnan A Alhazimi, Nawaf A Alhamied, Deema Y Alasmari

Saudi Medical Journal

Objective: This study aimed to assess the prevalence, diagnostic accuracy, and inpatient management of pediatric weight abnormalities at a tertiary children's hospital in Riyadh, Saudi Arabia, using a retrospective cohort design. Methods: The study analyzed medical records of pediatric inpatients aged 2–14 years admitted to King Abdullah Specialized Children's Hospital (KASCH) in 2023. Data collected included anthropometrics, dietary history, physical activity, diagnostic workup, and treatment plans. Overweight and obesity were classified using BMI percentiles, while FTT was identified via weight-for-age and growth percentile criteria. Descriptive statistics were used to analyze diagnostic accuracy and factors influencing missed diagnoses. Results: Of 7,771 …

Mapping Health Research Involving Human Subjects In Saudi Arabia: A Text Mining And Topic Modeling Analysis, Khalid A. Alhussain

Saudi Medical Journal

Objectives: To identify dominant and underrepresented research topics and to classify published studies by design and data sources in health research involving human subjects from Saudi Arabia. Methods: This retrospective study analyzed PubMed-indexed health articles related to Saudi Arabia from 1959 to March 2025. Text mining was used to identify studies conducted in the country involving human subjects. Eligible articles were classified by study design and data sources. Topic modeling using non-negative matrix factorization was applied to identify topics based on the primary research focus. Results: A total of 36,452 records of studies conducted in Saudi Arabia were initially identified. …

Translational Barriers To Aav And Crispr Gene Therapy In Diabetes, Abdulrahman G. Alharbi

Saudi Medical Journal

Gene therapy targets diabetes pathophysiology rather than symptoms, yet clinical translation is slower than preclinical success. This review synthesizes 143 registered trials (ClinicalTrials.gov, 2010-2025) identifying systematic implementation barriers. Despite >15 years of development, 83% of trials remain in Phase I-II. Only zimislecel achieved Phase III outcomes (83% insulin independence at 12 months, n=12, requiring immunosuppression). VM202 for diabetic neuropathy failed Phase III despite positive extension results. Three systematic barriers emerged: (1) human transduction efficiency is 6-8.7-fold lower than preclinical models; (2) pre-existing immunity excludes 58-78% of candidates; (3) manufacturing capacity serves <2.5% of target population (40-400 years to treat at maximum capacity). These constraints explain why ex vivo cell therapies advanced to efficacy trials while in vivo gene delivery remains in Phase I despite longer development timelines. Research priorities should emphasize non-viral delivery systems offering scalable manufacturing and universal hypoimmune donor cells to address access barriers.

Semaglutide In Metabolic Medicine: A Review On Clinical Applications And Emerging Therapeutics, Abdulrahman A. Aljabri

Saudi Medical Journal

Obesity and type 2 diabetes mellitus affect over 800 million and 537 million individuals worldwide. Semaglutide, a weekly glucagon-like peptide-1 receptor agonist, has advanced treatment of pathophysiological processes linked to metabolic dysregulation. This review consolidates evidence on its mechanisms of action, clinical effectiveness across established and emerging applications, safety, and prospects for personalized therapy. Clinical studies have shown that semaglutide sustains glycemic control, promotes substantial weight loss, and provides cardiovascular and renal protection. Recent FDA clearance marks the first therapeutic alternative for metabolic dysfunction-associated steatohepatitis among the emerging applications. Pharmacogenomic insights facilitate personalized therapy; however, clinical applications remain in experimental …

Rehabilitation Outcomes Of Pediatric Burn Survivors In Saudi Arabia: A Thematic Narrative Review And Policy Implications, Abdulaziz Ghandurah, Mshari Alghadier

Saudi Medical Journal

Pediatric burns in Saudi Arabia are predominantly household scalds in young children, causing long-term disability from scarring, contractures, pain/itch, psychosocial distress, and disrupted schooling. This thematic narrative review (2010–2025) synthesizes global and regional evidence, appraises outcome measures with attention to Arabic availability, and translates findings into Vision 2030–aligned policy actions. Evidence supports early, multidisciplinary care anchored in standardized outcome tracking. Pressure-garment therapy remains inconclusive, whereas virtual reality reduces procedural pain and telerehabilitation serves families distant from tertiary centers. A minimum national outcome set is proposed spanning scar quality (VSS, POSAS), joint range of motion, age-appropriate pain and itch scales (FLACC/FPS-R/NRS), …

Understanding The Cost Consequences Of Pharmacist Roles In Managing Long-Term Illnesses: A Systematic Review, Muhammad Zahid Iqbal

Saudi Medical Journal

Objective: This review looked at how different pharmacist-led services influence medication spending and other economic outcomes for people living with long-term illnesses. Methods: To gather the evidence, we followed the PRISMA 2020 approach and a comprehensive search was conducted using multiple sources, including Web of Science, ProQuest, Scopus, the Directory of Open Access Journals, ScienceDirect, PubMed, and Google Scholar. We included studies that examined pharmacist involvement in medication management such as MTM, medication reconciliation, deprescribing efforts, or full medication reviews and that reported some form of cost or economic outcome in chronic disease care. We left out non-English work, conference …

Impact Of Clinical Pharmacist Educational Intervention On Lipid Profile And Its Clinical Outcomes, Saad Saeed Alqahtani

Saudi Medical Journal

Objective: To assess how clinical pharmacist-led educational interventions affect lipid profile parameters and related clinical outcomes in cardiovascular disease-risk individuals. Methods: This systematic review completed as according to PRISMA 2020 principles. Searches were done on PubMed, ScienceDirect, ProQuest, Google Scholar, DOAJ, Scopus, and Web of Science. Studies examining impact of the pharmacists' educational initiatives on lipid levels were included. However, case reports, conference proceedings, and studies in other languages not in English, and studies lacking full-text access were excluded from the review. Following screening and eligibility assessment, a total of 33 papers were included out of the 1731 records found. …

Effects Of Technology-Integrated Science Of Reading And Kindergarten Readiness On Reading Fluency, Jeffrey Maxey

Walden Dissertations and Doctoral Studies

The Science of Reading (SoR) model has influenced curriculum reform through state mandates and classroom practices emphasizing explicit, systematic phonics instruction in response to national trends indicating significant deficits in students’ reading abilities. The problem addressed through this study was the gap in knowledge on the effect of technology-integrated SoR on early elementary students’ reading skills at a large southeastern U.S. public school district. Grounded in Gough and Tunmer’s simple view of reading theory, the purpose of this quantitative study was to explore the main and interaction effects of students’ Kindergarten Readiness Assessment (KRA) levels and 2 years of technology-integrated …

2026-03-20 Minutes & Appendices, Longwood University

Board of Visitors Meeting Minutes 1964-

No abstract provided.

Restricting Academic Dishonesty At A Japanese University, Joel Weinberg

Japanese Society and Culture

This research explores three approaches to handling academic dishonesty: punitive, preventive, and positive. First, the history of cheating and the punitive approach is briefly discussed. Next, research results of a preventive approach that was used at a Japanese university are given. During this research, three surveys were conducted to gauge students’ opinions about cheating, to account for the methods, and to measure the prevalence of cheating on post-reading quizzes. The survey results show that at least eleven types of cheating on post-reading quizzes were used and that non-cheating students were concerned about this issue. As a result of the surveys, …

Healthcare Decision-Making In An Ageing Society: Legal, Policy, And Ethical Challenges In Japan, Yukio Sakurai

Japanese Society and Culture

This paper examines the evolving landscape of healthcare decision-making in Japan’s rapidly ageing society, with a focus on the legal, policy, and ethical challenges it entails. It analyzes the limitations of the adult guardianship system, the risks associated with family-dependent decision-making, and the underutilization of advance care planning (ACP). The study further considers how demographic shifts, advances in medical technology, and socio-legal inertia affect end-of-life care, particularly for individuals with diminished capacity. A central theme is the inherent ethical dilemma in balancing individual autonomy with Japan's cultural context, where explicit self-assertion can be challenging, especially for older adults. Cultural dimensions …

Institutional Transitions In The Employment Of Foreign Workers In Japan’S Agriculture And Food Manufacturing: From Technical Intern Training To Employment For Skill Development And Specified Skilled Worker In Comparison With The Uk, Tomoyuki Kuwaharada

Japanese Society and Culture

This paper investigates the institutional transition in Japan’s acceptance of foreign workers in the agriculture and food manufacturing sectors, focusing on the restructuring of entry-stage training schemes and their linkage to skill-based employment. In particular, it traces the shift from the Technical Intern Training Programme (TITP) to the Employment for Skill Development (ESD) Programme as the primary entry route, and examines how these institutional changes are embedded within the Specified Skilled Worker (SSW) framework.

Drawing upon official statistics from 2012 to 2024 and sector-specific case studies, the analysis demonstrates that the introduction of the SSW status in 2019 marked a …

Freedom Of Expression And The Right To Protection Against Defamation: Cf. Handling Of The Libel Of The Criminal Law And The Libel Of The Civil Law, Masumi Shizawa

Japanese Society and Culture

This study reviews natures of the Constitution, Civil Code, and Criminal Code of Japan in terms of the right to protection against defamation, and explores the foundations thereof. The point of it is to clarify the nature of the right to protection against defamation as indicated in the Constitution. 　The right to protection against defamation, along with the right to privacy, has long been recognized as a personal right. While the right to privacy relates to the private domain, the right to protection against defamation relates to one’s social reputation. The Constitution of Japan does not clearly stipulate the right …

The Bison, March, 20, 2026

The Bison Newspapers

No abstract provided.

Stimulation Of The Medial Septum Diagonal Band Of Broca Rescues Learning And Memory Deficits In Fmr1 Ko Mice, Mohamed Ouardouz, Amanda E Hernan, J. Matthew Mahoney, Rodney C Scott

SKMC Student Presentations and Publications

Fragile X Syndrome (FXS), the most common inherited cause of intellectual disability and a leading monogenic cause of autism, arises from the loss of Fragile X Messenger Ribonucleoprotein (Fmr protein), leading to synaptic and cognitive dysfunction. Here, we demonstrate that the frequency-specific electrical stimulation of the medial septum/diagonal band of Broca (MSDB) can restore cognitive and synaptic impairments in Fmr1 knockout mice, a validated model of FXS. Thirty minutes of 35 Hz MSDB stimulation significantly improved subsequent recognition memory, sociability, spatial learning, and fear memory, with recognition memory enhancements persisting for up to 7 days after daily 30 min …

Chatgpt Versus Uptodate In Preclinical Medical Education: Cross-Sectional Analysis Using Term Frequency-Inverse Document Frequency Cosine Similarity, Shankar S. Thiru, Nicholas E. Aksu, Matthew Chiang, Daniel O. Gallagher, Mary Furlong, Elizabeth R. Prevou, Akhil Jay Khanna

Rothman Institute Papers

BACKGROUND: Generative artificial intelligence tools such as ChatGPT are increasingly used by medical students for self-directed learning. Although these models demonstrate linguistic fluency, their reliability as supplementary resources for preclinical education remains uncertain. In particular, comparisons with evidence-based references such as UpToDate are lacking.

OBJECTIVE: This study evaluated the similarity between responses generated by ChatGPT (with GPT-4o mini) and those from UpToDate to preclinical medical education questions to assess ChatGPT's potential as an adjunctive learning tool.

METHODS: We conducted a cross-sectional comparison study using 150 first-order questions derived from a preclinical question bank at a single allopathic institution under the …

The Impact Of Michi-No-Eki (Roadside Stations) On The Regional Economy: An Input–Output Analysis Of Minamiboso City In Chiba Prefecture, Ryusaku Matsuo, Takeru Aizawa, Gon Jan, Wei Yuanxin, Masaharu Uchiyama, Gento Tagami

Japanese Society and Culture

This study quantitatively examines the economic impact of Michi-no-Eki (Roadside Stations) in Minamiboso City, Chiba Prefecture, using an input–output analysis based on the Chiba Prefectural Interindustry Table. Eight Michi-no-Eki were evaluated in terms of direct, indirect, and induced effects, including employment creation. The results show that the total production-inducing effect generated by the stations amounts to ¥7.02 billion per year, and the employment-inducing effect reaches 108.7 persons annually, indicating that Michi-no-Eki function as a central engine of the local economy. Moreover, thematic diversity among stations—such as loquat, flowers, and seafood—enhances multiplier effects through inter-sectoral linkages. These findings demonstrate that Michi-no-Eki …

A Consideration Of Food In A Diversity Society, Masayo Morofushi

Japanese Society and Culture

In recent years, the number of foreign visitors such as tourists and businesspeople, and the number of foreign residents such as workers and international students, have been steadily increasing in Japan. However, the decrease in the number of foreign residents in Japan is relatively small compared to the number of foreign visitors to Japan, due to travel restrictions during the COVID-19 pandemic. Regarding restaurants, Japan has experienced diversity, progress, and cross-cultural understanding; however, these changes have been stagnant due to a decrease in the number of foreign visitors to Japan during the pandemic. Many natural disasters have recently occurred, and …

Exploring The Definition Of Child Poverty : For Consideration Of Legal Policy, Kazuko Ikeya, Fumie Adachi, Kazutoshi Imade

Japanese Society and Culture

We explore the definition of child poverty for consideration of legal policy.

Survey of the actual situation in local governments and private organizations concerning child poverty.

① Some parents don’t know how to prioritize their spending, and there are cases where parents don’t provide for their children.

② This cannot be addressed only with financial investment.

It is inappropriate to define child poverty only by low household income. It should also be

defined as whether children are being provided for through their development.

Social Security And The International Covenant On Human Rights: A Case Seeking The Dismissal Of Public Assistance Application Denial, Hiroshi Saito

Japanese Society and Culture

Using the case of rejection of request for medical assistance made by an undocumented resident in Japan, I considered the applicability of the International Covenant on Human Rights to social security. The central issue here is whether the distinction between Japanese nationals and foreign nationals for reasons of national finances is reasonable and objective. In conclusion, determining reasonable and objective criteria requires a comprehensive approach that goes beyond legal interpretation. The process must consider broader factors, including Japan’s role in the international community and the global trend toward advancing human rights protections.

The Zircon, March 20, 2026 [Spoof Issue], Dordt University

Dordt Diamond

No abstract provided.