Digital Commons Network^™

Reimagining The Counseling Profession: Preparing Counselors For Ai And Digital Health Integration, Carl J. Sheperis, Dusti L. Annan-Coultas, Caronne C. C. Rush

Journal of Counselor Preparation and Supervision

Digital health technologies including artificial intelligence (AI) are transforming mental healthcare delivery, creating new opportunities and challenges for counseling practice. This article examines digital health applications in counseling, including telehealth, mobile apps, digital therapeutics, virtual reality, and AI-powered tools. We explore key implications for practice, including enhanced accessibility, impacts on therapeutic relationships, and ethical considerations. The article presents a six-domain competency framework covering privacy and security, technical proficiency, ethical literacy, clinical integration, therapeutic adaptability, and administrative management. A case study illustrates the practical application of hybrid digital care, while a discussion of counselor education highlights the need for curriculum updates. …

La Medea Afrolatina Lectura Y Expansión De La Conciencia Mestiza De Anzaldúa, Osvaldo Martínez Morones

Cuaderna Vía

No abstract provided.

Full Issue, Cuaderna Vía Editors

Cuaderna Vía

No abstract provided.

The Impact Of Physician Precepting On Medical Education And Healthcare Delivery: A Qualitative Secondary Analysis, Hannah E. Gutjahr, Steven A. Fasko

SIU Journal of Medical Science Scholarly Works

This qualitative study investigates the impact of physician precepting on medical education and healthcare delivery, prompted by the need for consistency in precepting practices across various institutions and specialties. Physician preceptors, who bridge the gap between theoretical learning and practical application, play a critical role in shaping competent and compassionate healthcare professionals. However, inconsistencies in precepting quality and challenges such as time constraints, inadequate training, and balancing clinical duties with teaching responsibilities necessitate a comprehensive evaluation of precepting's effectiveness.

A systematic literature review was conducted to explore these issues, focusing on secondary data from peer-reviewed journals, case studies, and policy …

Research Synthesis Of Predicting Part 135 Accident Probability In Aviation: How The Bayesian Brain Ignores Declining Safety Standards, Jonathan R. Clarke

Journal of Aviation Technology and Engineering

Technological innovation has had an enormous effect on safety in aviation. However, in Part 135 operations, where technology is not as ubiquitous, the accident rates have plateaued. Human error is constantly misrepresented as being responsible for 70–80 percent of accidents, when it is clearly only one of several contributing factors. In commercial aviation, all accidents should be considered organizational failures, because by definition all defensive layers have been breached. Organizational failure, as it affects safety, should be identifiable and predictable from organizational behavior. Inevitably, in the aftermath of accidents the warning signs of poor behavior are seemingly obvious, yet there …

Issue 470: August 21-September 4, 2025, The Local Voice

The Local Voice

No abstract provided.

Tenzing Rigdol’S Biography Of A Thought: A Mandala In The Heart Of The Met, Sarah Magnatta

Art and Art History: Faculty Scholarship

In 2024, artist Tenzing Rigdol created an installation - titled Biography of a Thought - spanning the entirety of the atrium in the Robert Lehman wing of the Metropolitan Museum of Art. His larger-than-life mandala included twenty painted panels on four walls, a central podium with a panel on top, and carpets on the floor mirroring parts of the painted shapes on the walls. Complete with bright sunlight streaming from the above skylight, the room transformed into a modern mandala - a walkable, meditative, transformative space. Even with its multiple traditional Tibetan Buddhist components and organisational structure, many of the …

Real-Time Dynamic Hazard Maps For Shallow Colluvial Landslides In Eastern Kentucky, Lindsey Sebastian Bryson, Nathaniel O'Leary

Civil Engineering Research Data

Landslide hazards pose a persistent threat to communities and infrastructure in Eastern Kentucky, where steep slopes, shallow colluvial soils, and variable hydrological conditions drive frequent slope failures. This work advances landslide hazard mapping (LHM) through the development of dynamic, spatiotemporal models for shallow colluvial landslides. Two studies refine the use of a limit equilibrium framework to enhance predictive capability. The first study establishes a novel LHM workflow that integrates Hydrus-1D simulations of soil moisture dynamics, driven by precipitation and evapotranspiration data, into slope stability analysis. Factor of Safety (FS) parameters are applied to statistics-based landslide susceptibility maps (LSM), producing accurate, …

Nevada Medical Residencies, 2025, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet highlights medical residency data for the 2021, 2022, 2023, 2024, and 2025 graduating classes of the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR) School of Medicine. This fact sheet presents data on residency program matches at the Kirk Kerkorian School of Medicine at UNLV and the UNR School of Medicine, shows where Nevada medical school graduates pursue their residencies, and updates findings from a 2024 fact sheet exploring 2021, 2022, 2023, and 2024 graduating class data.

Quantifying "Medical Renal Disease": A Pediatric Pilot Study Using Ultrasound Radiomics For Differentiating Acute Kidney Injury And Chronic Kidney Disease, Laura De Leon-Benedetti, Laith Sultan, Hansel Otero, Tatiana Morales-Tisnés, Joya Sims, Kate Fitzpatrick, Julie Fitzgerald, Susan Furth, Benjamin Laskin, Bernarda Viteri

SKMC Student Presentations and Publications

Background: Differentiating acute kidney injury (AKI) from chronic kidney disease (CKD) in children remains a critical unmet need due to the limitations of current clinical and biochemical markers. Conventional ultrasound lacks the sensitivity to discern subtle parenchymal alterations. This study explores the application of ultrasound radiomics—a novel, non-invasive, and quantitative image analysis method—for distinguishing AKI from CKD in pediatric patients. Methods: In this retrospective cross-sectional pilot study, kidney ultrasound images were obtained from 31 pediatric subjects: 8 with oliguric AKI, 14 with CKD, and 9 healthy controls. Renal parenchyma was manually segmented, and 124 advanced texture features were extracted using …

Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood

Walden Dissertations and Doctoral Studies

The problem of interest is the current workforce crisis among the Radiologist Specialty in hospitals in Southern California. There has been a significant decline in the number of Radiologists in the workforce compared to the caseload of imaging studies. The purpose of this integrative review was to evaluate empirical and non-empirical literature for operational solutions to improve recruitment and retention of radiology providers. Literature published between 1999-2024 were evaluated for appropriateness using the Johns Hopkins evidence appraisal tools. The literature involved strategies and identified operational areas of opportunity for improvement with radiologist staffing. Identifying ways to improve job satisfaction, retention …

Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker

Walden Dissertations and Doctoral Studies

Black adults in the United States are nearly twice as likely to receive a diagnosis of type 2 diabetes mellitus (T2DM) and are more susceptible to severe diabetes-related complications. Health literacy and patient-provider communication (PPC) are extremely important for self-management in patients of all ethnicities however, 58% of non-Hispanic Blacks have basic or below-basic health literacy skills compared to 28% of non-Hispanic Whites. The purpose of this descriptive correlational study, with was guided by the interaction model of client behavior, was to determine (a) if there is relationship between PPC during the healthcare encounter to health literacy among Black adults …

Recent Progress And Scientific Challenges In Wire-Arc Additive Manufacturing Of Metallic Multi-Material Structures, Sainand M. Jadhav, Sambhaji Kusekar, Akash Belure, Satyavan Digole, Abhijeet Mali, Muralimohan Cheepu, Manoj Mugale, Suhas Alkunte, Duckbong Kim

Faculty Articles

Metallic multi-material structures are heterogeneous structures characterized by changing composition, microstructures, and site-specific characteristics, advantageous for numerous applications where multifunctionality is desired. Metallic multi-material structures are known as bimetallic structures (BSs), which are functionally graded materials (FGMs). In recent years, wire-arc additive manufacturing (WAAM) advanced as a promising additive manufacturing process to realize the fabrication of these structures due to its high deposition rate, cost-effectiveness, and material utilization efficiency. This review presents a comprehensive overview of the recent progress, processing strategies, and scientific challenges in WAAM of multi-material structures. The paper begins with an introduction to multi-material structures, followed by …

Fitisemanu V. United States: An Analysis Of The Impact Of The Supreme Court’S Denial Of Certiorari And The Future Citizenship (Or Lack Thereof) For American Samoans, Moore, Michelle

Santa Clara Law Review

Does the Citizenship Clause of the Fourteenth Amendment confer United States citizenship on individuals born in American Samoa? How does one reconcile the competing values of preserving a unique culture and receiving the full protections of the U.S. Constitution? These were the issues brought before the court in Fitisemanu v. U.S.

American Samoa is the only U.S. territory where individuals born there are born as U.S. nationals, rather than U.S. citizens. While being born a U.S. national has certain rights and privileges not provided to noncitizens and nonnationals, the idea of distinguishing between a U.S. citizen and a U.S. national …

Optimizing Workflow And Patient Outcomes: The Impact Of The Modified Adult Difficult Intravenous Access (A-Diva) Scale On Peripheral Iv Access: A Quality Improvement Project, Dakota S. Weaver, Ryan O'Sullivan

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Peripheral intravenous cannulation (PIVC) is one of the most performed invasive procedures in hospital settings, yet it is frequently associated with multiple attempts in patients with difficult intravenous access (DIVA). In obstetric (OB) triage settings, where time-sensitive care is critical, failed PIVC attempts can delay treatment and negatively affect patient experience. The Modified Adult Difficult Intravenous Access (A-DIVA) scale is a validated tool designed to identify patients at risk for DIVA and guide early use of advanced techniques such as ultrasound (US) guidance.

A QI initiative was implemented in the OB triage unit of a large academic hospital. The tool …

Decomposing Trends In The Gender Gap For Highly Educated Workers, Joseph G. Altonji, John Eric Humphries, Yagmur Yuksel, Ling Zhong

Cowles Foundation Discussion Papers

This paper examines the gender gap in log earnings among full-time, college-educated workers born between 1931 and 1984. Using data from the National Survey of College Graduates and other sources, we decompose the gender earnings gap across birth cohorts into three components: (i) gender differences in the relative returns to undergraduate and graduate fields, (ii) gender-specific trends in undergraduate field, graduate degree attainment, and graduate field, and (iii) a cohortspecific “residual component” that shifts the gender gap uniformly across all college graduates. We have three main findings. First, when holding the relative returns to fields constant, changes in fields of …

Homelessness Among School-Aged Children In The Mountain West, 2022-2023, Mohit Pande, Sean Curry, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

K-12 Education

This fact sheet presents data on homelessness among school-aged children in the Mountain West during the 2022-2023 school year. The data are sourced from the “Child and Youth Homelessness in the United States: Data Profiles” dashboard produced by SchoolHouse Connection and Poverty Solutions at the University of Michigan. State-level data profiles include information about child and youth homelessness at the national, state, county, school district, and congressional district levels. This fact sheet focuses on homelessness among school-aged children within the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah.

Public School Funding In The Mountain West, 2020-2021, Sean Curry, Mohit Pande, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

K-12 Education

This fact sheet examines the state of public school funding across the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The data are sourced from the Education Law Center’s 2023 Making the Grade report, which provides data for all 50 U.S. states and the District of Columbia. The original report provides grades for school funding, enrollment data, and funding data based on the 2020-2021 school year.

Dragon Guitars And Sexy Zombies: Tracing The Meta-Motion Of The Naga Motif In Northeast Thailand, Aaron Michael Stanley

Dartmouth College Master’s Theses

Abstract

This thesis traces the evolving symbolism of the Naga motif (a mythic water serpent) in Northeast Thailand through a framework I call meta-motion, which maps symbolic persistence of this cultural signifier and boundary marker across four cultural horizons—animist (Z), Hindu–Khmer (B), Buddhist (A), and modern/global (C). Like electrons in quantum super position, symbolic motifs circulate as overlapping “waves” of potential meaning and are concretized into cultural “particles” only when recruited for specific ritual, commercial, or political purposes. I add a bookend extension to Chang’s Hindu-Buddhist (B/A) typology with the addition of Horizons Z and C in order to make …

Implementation Of Culturally Relevant Pedagogy In Elementary Reading Instruction, Chelsea Renae Little

Walden Dissertations and Doctoral Studies

Culturally relevant pedagogy (CRP) has been shown to help educators address the unique educational needs of African American students. While research has supported the belief that CRP promotes a sense of belonging and positively influences academic achievement, there remains a lack of research regarding elementary teachers’ perceptions of their implementation of CRP specifically when teaching reading to African American students. Framed by Ladson-Billings’s CRP framework, the purpose of this basic qualitative study was to explore elementary teachers' perceptions of their implementation of CRP when teaching reading to African American students. Using a basic qualitative design, data were collected through semistructured …

Association Of Glucagon-Like Peptide-1 Receptor Agonists With Cancer Risk In Older Adults With Type 2 Diabetes, Ying Lu, Hao Dai, Huilin Tang, William T Donahoo, Thomas J George, Ramon C Sun, Sizun Jiang, Aik Choon Tan, Yi Guo, Jonathan D Licht, John M Allen, Kelvin P Lee, Jingchuan Guo, Jiang Bian

Faculty, Staff and Student Publications

Objective: The real-world evidence on the association between glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cancer risk remains limited and mixed.

Methods: In 2013-2020 national Medicare claims data, we included cancer-naïve patients with type 2 diabetes (T2D). We identified those who initiated GLP-1 RA, sodium-glucose cotransporter 2 inhibitor (SGLT2i), or dipeptidyl peptidase 4 inhibitor (DPP4i) and conducted 1:1 propensity score matching for confounding adjustment. Cox proportional hazards models were used to estimate hazard ratios (HR) of nine obesity-associated cancers (thyroid, pancreatic, bladder, colorectal, lung, kidney, breast, endometrial, and prostate cancer).

Results: In the matched GLP-1RA versus SGLT2i cohort (n = 21,362 …

Full-Stack Quantum Computing, Benjamin C A Morrison

Physics & Astronomy ETDs

Quantum computing is a promising tool for solving computational problems in several areas, including the simulation of physical and chemical systems. The design of practical quantum computing systems for these applications is a daunting task, requiring collaborative work by interdisciplinary teams considering different abstractions of the same systems. This dissertation presents work on the development of those abstractions, and on components that bridge multiple layers of abstraction. I first provide an introduction to quantum circuit model computation, error correction with stabilizer codes, and physics simulation algorithms. In joint work with the QSCOUT software team, I then describe the development of …

Circzfr/Ythdf3 Axis Drives Lymph Node Metastasis In Cervical Cancer Via Fasn Translation, Mingyi Zhou, Yan Gao, Yong Zhang, Lian He, Bo Gao, Yue Zhang, Francois X Claret, George A Calin, Danbo Wang

Faculty, Staff and Student Publications

Background: Lymph node metastasis is a key driver of poor outcomes in cervical cancer. However, the molecular mechanisms of circular RNAs (circRNAs) driving cervical cancer lymph node metastasis remain unclear.

Methods: We identified circZFR, fatty acid synthase (FASN) and YTH N6-methyladenosine RNA binding protein F3 (YTHDF3) protein expression in the cervical cancer patients with long and short disease-free survival (DFS). Functional experiments were performed to investigate the function of circZFR, FASN and YTHDF3 on cell migration and invasion. MeRIP-qPCR, RNA pulldown, RNA Immunoprecipitation (RIP), and Co-Immunoprecipitation (Co-IP) assays were executed to investigate the mechanism of circZFR regulating FASN protein expression. …

Investigation Of A Stable And Saturated Reference Electrode Using Metal Chlorides And Oxides In Eutectic Licl-Kcl Molten Salts, Carlos Mejia, Devin Rappleye

Faculty Publications

Stable and reproducible reference electrodes (REs) are essential for electrochemical systems operating in high-temperature molten salts, where consistent control of potential is required. This study uses three different solutes to investigate the development and evaluation of REs in eutectic LiCl-KCl at 773 K. The solutes tested were NiCl2, AgCl, and NiO, each prepared at multiple concentrations to assess stability, reproducibility, and saturation. Electrochemical stability was measured over three days using chronopotentiometry (CP), followed by open circuit potential (OCP), with cyclic voltammetry (CV) also integrated to monitor changes in electrochemical behavior over time. The CP-OCP approach established a Li+/Li redox potential, …

Investigation Of A Stable And Saturated Reference Electrode Using Metal Chlorides And Oxides In Eutectic Licl-Kcl Molten Salts, Carlos Mejia, Devin Rappleye

Faculty Publications

Stable and reproducible reference electrodes (REs) are essential for electrochemical systems operating in high-temperature molten salts, where consistent control of potential is required. This study uses three different solutes to investigate the development and evaluation of REs in eutectic LiCl-KCl at 773 K. The solutes tested were NiCl₂, AgCl, and NiO, each prepared at multiple concentrations to assess stability, reproducibility, and saturation. Electrochemical stability was measured over three days using chronopotentiometry (CP), followed by open circuit potential (OCP), with cyclic voltammetry (CV) also integrated to monitor changes in electrochemical behavior over time. The CP-OCP approach established a Li …

Dissolution Mechanism Of Nonionic Polyether Surfactants In Supercritical Co2, Ning Xu, Yanling Wang, Baojun Bai, Shizhang Cui, Zan Gao, Yu Zhang, Di Li, Wenjing Shi, Wenhui Ding, Peixu Ma

Geosciences and Geological and Petroleum Engineering Faculty Research & Creative Works

Polyoxyethylene ether is an efficient CO₂-philic compound with significant potential applications in CO₂ flooding, which requires CO₂-philic surfactants with high solubility in supercritical CO₂ (scCO₂). This study elucidates the molecular and atomic-level dissolution mechanism of the fatty alcohol polyoxyethylene ether (AEO) in scCO₂ by combining phase-behavior experiments and molecular dynamics simulations. The solubility of AEO in scCO₂ is measured using a semiconductor laser. AEO containing three polyoxyethylene (EO) groups exhibited the highest solubility in scCO₂.The solubility of AEO in scCO₂ decreased with an increase in the number …

Racial And Socioeconomic Disparities In Long Term Survival After Surgery And Radiation For Spinal Cord Hemangioblastoma, Abdul Karim Ghaith, Xinlan Yang, Joshua Weinberg, Shaan Bhandarkar, Taha Khalilullah, Abdel-Hameed Al-Mistarehi, Khaled Zaitoun, Meghana Bhimreddy, Arjun K. Menta, Antony A. Fuleihan, Kamel Chebaro, Jawad Khalifeh, Andrew Grossbach, Nicholas Theodore, Daniel Lubelski

Department of Medicine Faculty Papers

Spinal cord hemangioblastomas are rare, benign, intradural tumors that, despite their nonmalignant histopathology, can lead to substantial neurological morbidity. While disparities in outcomes based on race and socioeconomic status have been well-documented in other spinal tumor populations, their role in spinal cord hemangioblastoma remains poorly understood. In this study, we utilize the National Cancer Database (NCDB) to evaluate the influence of race, socioeconomic factors, and healthcare access on survival outcomes in patients with spinal cord hemangioblastoma. Additionally, we explore the utility of machine learning-based survival models to improve individualized risk prediction and to identify key clinical and sociodemographic determinants of …

Organizational Climate And Decision Aid Sustainability In Lupus Care: Mixed Methods Study, Aizhan Karabukayeva, Larry R Hearld, Nathan W Carroll, Reena Kelly, Jasvinder A Singh

Faculty, Staff and Students Publications

Background: Digital decision aids (DAs) are increasingly used in health care to support shared decision-making and promote patient engagement. In the context of systemic lupus erythematosus (SLE), a complex autoimmune disease characterized by diverse symptoms and uncertain prognoses, DAs offer guidance to patients in navigating treatment risks and benefits. Although numerous studies have examined the initial implementation of evidence-based tools, there is limited evidence on the organizational factors that influence their long-term sustainability in clinical practice. This gap is particularly salient for digital interventions, where integration into routine workflows and ongoing use require alignment with clinic readiness and culture. This …

Β-Catenin Functions As A Molecular Adapter For Disordered Cbaf Interactions, Yuen San Chan, Qinyu Gao, Sarah A Robinson, Wenzhi Wang, Ruzena Filandrova, Lisa-Maria Weinhold, Mario Loeza Cabrera, Miao Zhang, Chandra Shekar R Ambati, Antonio M Lerario, Nagireddy Putluri, Katja Kiseljak-Vassiliades, Margaret E Wierman, Mouhammed Amir Habra, Gary D Hammer, Vaclav Veverka, Katerina Cermakova, H Courtney Hodges

Faculty, Staff and Students Publications

BAF (SWI/SNF) chromatin remodelers engage binding partners to generate site-specific DNA accessibility. However, the basis for interaction between BAF and divergent binding partners has remained unclear. Here, we tested the hypothesis that scaffold proteins augment BAF's binding repertoire by examining β-catenin (CTNNB1) and steroidogenic factor 1 (SF-1, NR5A1), a transcription factor central to steroid production in human cells. BAF inhibition rapidly opposed SF-1/β-catenin enhancer occupancy, impairing SF-1 target activation and SF-1/β-catenin autoregulation. These effects arise due to β-catenin's role as a molecular adapter between SF-1 and an intrinsically disordered region (IDR) of the canonical BAF (cBAF) subunit ARID1A. In contrast …

Triage Of Road Injury Casualties - The Role Of Bystanders: A Scoping Review, George Stephen Russam, Jake Gluyas-Harris, Nicholas Aveyard, Tim Nutbeam

Peninsula Medical School

Background: Bystanders have the potential to be a critical component of the Road Injury Chain of Survival, particularly in the early phases of injury recognition, scene assessment, and emergency service activation. Their potential role in trauma triage remains underexplored. This scoping review aims to examine the existing evidence of the use of bystanders in triage—both laypersons and non-clinical professionals—during the prehospital phase of road injury and other trauma scenarios. Methods: A systematic search was undertaken across MEDLINE, CINAHL, and the Psychology & Behavioural Sciences Collection using the EBSCO Host platform, with supplementary hand searches via Google Scholar and reference screening. …