Digital Commons Network^™

Healthcare Provider's Perceptions Of Family Values When Making End-Of-Life Care Decisions For Their Children: Developing And Implementing A Survey Tool., Nithya Sivakumar, Stephanie Kukora, Cherie Ginwalla, Satyan Lakshminrusimha, Jennifer Rosenthal

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Healthcare providers help families navigate end-of-life care decisions in the neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU); however, limited studies exist regarding what values providers perceive families utilize when in these situations.

OBJECTIVE: To evaluate providers' perceptions of values that families considered when making end-of-life care decisions for their child.

DESIGN: Develop a novel survey tool to understand providers' perceptions of values families considered when making end-of-life care decisions for their children and distribute the survey tool to providers in a single quaternary care children's hospital within a university hospital.

METHODS: The novel survey tool …

Media Flipbook Sebagai Buku Pendamping English For Nusantara Untuk Siswa Kelas 7 Dan 8 Smp, Arifah Dyah Kusumaningtyas, Khofifah Nurul Aini, Novia Tarisya Fitri, Tiara Rizky Kusuma

Journal of Innovation and Teacher Professionalism

The digital transformation of education has encouraged teachers to develop more interactive learning media to support the implementation of the Merdeka Curriculum. One promising medium is the digital flipbook, which integrates text, images, audio, videos, and interactive learning activities into a single platform. This study aimed to develop a flipbook-based supplementary learning material for English for Nusantara for seventh- and eighth-grade students at SMP Negeri 11 Malang and to describe students' responses to the developed media. This study employed a Research and Development (R&D) approach using the Four-D (4D) model, consisting of the define, design, development, and disseminate stages. Data …

Preoperative Considerations For Cervical Cerclage (Part 1), Ilaria Paladino, Moti Gulersen, Amanda Roman, Rupsa C. Boelig, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

Transvaginal cervical cerclage remains a central strategy for preventing spontaneous preterm birth in appropriately selected pregnancies. Although decades of research have clarified which patients benefit most from cerclage, substantial heterogeneity persists in pre-, intra-, and postoperative management. This article, the first in a series on cerclage technique, synthesizes the evidence guiding preoperative decision-making. Cerclage is classified by indication as history-indicated cerclage, ultrasound-indicated cerclage and physical examination-indicated cerclage. History-indicated cerclage is recommended for patients with ≥3 prior early spontaneous preterm births or second-trimester losses < 28 weeks, prior ultrasound-indicated cerclage with delivery at< 32 weeks, or prior physical examination-indicated cerclage; twin gestation alone is not considered an indication. Ultrasound-indicated cerclage should be considered in singletons without prior spontaneous preterm birth with transvaginal ultrasound cervical length ≤20 mm and is recommended in singletons with prior spontaneous preterm birth when cervical length is ≤25 mm before 24 weeks' gestation; in twins, it may be considered when cervical length ≤15 mm before 24 weeks' gestation. Physical examination-indicated cerclage is recommended in singleton or twin gestations with asymptomatic cervical dilation ≥1 cm before 24 weeks' gestation. Timing varies by indication: history-indicated cerclage is typically placed at 12 to 14 weeks' gestation and is not urgent, whereas ultrasound-indicated cerclage and physical examination-indicated cerclage are usually performed between 16 and 23 6/7 weeks' gestation in response to cervical changes, ideally within 72 hours and 24 hours of diagnosis of short transvaginal ultrasound cervical length or dilated cervix, respectively. Preoperative evaluation should include a detailed anatomic ultrasound examination and appropriate genetic screening. Routine urogenital cultures are not indicated in the absence of symptoms. Amniocentesis is not recommended for history-indicated cerclage or ultrasound-indicated cerclage but should be considered before physical examination-indicated cerclage to evaluate for intra-amniotic infection. Adjunctive management remains variable. Progesterone is recommended for a short cervical lenght < =25mm before 24 weeks. Outpatient cerclage appears safe, with no clear benefit to routine inpatient management. Perioperative indomethacin and antibiotics are likely unnecessary for history-indicated cerclage but may be considered in ultrasound-indicated cerclage and are suggested for physical examination-indicated cerclage.

The Ppp Model In Action: Empowering Tertiary Vocational Students Through Digital And English Training, Hüsem Korkmaz, Ali Geris, Cenk Yoldaş

Higher Learning Research Communications

Objectives: This study aimed to explore the stakeholder perspectives in a public–private partnership project as a remarkable initiative to enhance quality education at the tertiary level in Turkey. In this regard, the motivations behind participating in the partnership, perceived benefits and challenges, significant outcomes, and recommendations for similar prospective partnership programs were investigated empirically.

Method: The study employed a qualitative phenomenological research design, which relies on semi-structured interviews and focus group discussions with the key stakeholders of a public–private partnership project to empower vocational higher education. The data were collected from the representatives of Enerjisa Üretim Company (n = …

Construction Workers’ Perceptions Of Immersive Virtual Reality Training Effectiveness, Tyiesha "Ty" Gainey

Walden Dissertations and Doctoral Studies

Construction remains one of the most hazardous industries in the United States, while employer-sponsored training opportunities have declined, raising concerns about safety, workforce readiness, and knowledge transfer. Construction leaders need to understand how workers perceive immersive virtual reality (IVR) amid these challenges as an indicator of persistent safety risks, limited workforce preparedness, and ineffective knowledge transfer. The purpose of this single exploratory case study was to examine construction workers’ perceptions of the effectiveness of IVR in transferring knowledge to enhance job performance. Guided by Kirkpatrick’s four-level model of training evaluation, participants’ perceptions of reaction, learning, behavior, and results were examined. …

Diplomacy Country Desk Updates, Susan Craig

Generative AI Teaching Activities

Students will use the gem/activity through the semester to stay up-to-date on their assigned country desk for a graduate level course on diplomacy.

Impact Of Middle Meningeal Artery Embolization Timing On Chronic Subdural Hematoma Resolution And Functional Outcomes, Bluyé Demessie, Muhammed Amir Essibayi, Hamza Adel Salim, Alireza Karandish, Nathan Farkas, Deepak Khatri, Neil Haranhalli, Amanda Baker, Richard Zampolin, Allan L Brook, Seon-Kyu Lee, Nimer Adeeb, James Grist, Fulvio Zaccagna, Yan-Lin Li, Davide Simonato, Diego Alejandro Ortega, Nicole Cancelliere, Jose Danilo Diestro, Dhairya Lakhani, Joseph Carnevale, Craig Schreiber, Atakan Orscelik, Zachary Abecassis, Spencer Raub, Georgios Sioutas, Giancarlo Salsano, Svetlana Kvint, Andrew Falzon, Vance Cantrell, Brian Holliday, Jefferson Abaricia, Pedram Maleknia, Leonardo Cruz-Criollo, Samantha Schimmel, Basel Musmar, Matthew Alexander, Jorge Rios Zermeno, Koul Prateeka, Ahmed Aljuboori, Dominik Vollherbst, Domagoj Gajski, Jared Cooper, Rahim Abo Kasem, Sami Al Kasab, Alejandro Spiotta, Fawaz Al-Mufti, Vladimir Kalousek, Markus Möhlenbruch, Luca Scarcia, Clemens Schirmer, Thien Huynh, Rabih Tawk, Fabio Settecase, Stavropoula Tjoumakaris, Pascal Jabbour, Kunal Vakharia, Mario Zanaty, Santiago Ortega-Gutierrez, Jesse Jones, Marco Colasurdo, Hussein Nasser, Sri Hari Sundararajan, Pascal Mosimann, Erez Nossek, Eytan Raz, Lucio Castellan, Bruno Del Sette, Caterina Michelozzi, Davide Saraceno, Pietro Panni, Visish Srinivasan, Jan-Karl Burkhardt, Gaultier Marnat, Pietro Mario Santini, Michael Levitt, Giuseppe Lanzino, Waleed Brinjikji, Jared Knopman, Tareq Kass-Hout, Julian Spears, Thomas Marotta, Max Wintermark, Vitor Mendes Pereira, Maurizio Fuschi, Adam Dmytriw, David Altschul

Department of Neurosurgery Faculty Papers

BACKGROUND AND PURPOSE: Chronic subdural hematoma (cSDH) affects approximately 20 per 100,000 individuals annually, with surgical recurrence rates of 10-20%. Middle meningeal artery embolization (MMAE) has emerged as a promising minimally invasive treatment, but the optimal timing remains unclear. We evaluated the association between MMAE timing and radiological and functional outcomes in cSDH.

METHODS: We conducted a retrospective multicenter international cohort study across 33 centres, including patients who underwent MMAE for cSDH between January 2018 and December 2024. Patients were stratified by timing from diagnosis: Q1 (≤1 day), Q2 (2 days), Q3 (3-6 days), and Q4 (>6 days). The …

The Growing Needs For Young Adults’ Behavioral Health Services In Oregon And Pathways For Sustainable Service Deliveries, Anis Zaman

Hatfield Graduate Journal of Public Affairs

Recent OHA data indicate a significant surge in behavioral health cases among young adults ages 17-26 across Oregon. Every year in Oregon, the total number of young adults receiving medical treatment includes a significant number of them who have behavioral health challenges. This large group of young adults with mental health conditions is vulnerable to suicidal ideation and substance overdose. Despite sincere efforts by the Oregon Health Authority (OHA), the young adult mental health state of Oregon remains a concern. Therefore, there is a need for a comprehensive action plan for the sustainable delivery of mental health services to young …

Uncovering Phenotypic Expansion In Axin2-Related Disorders Through Precision Animal Modeling, Nathalie M Aceves-Ewing, Denise G Lanza, Paul C Marcogliese, Di Lu, Chih-Wei Hsu, Hirokazu Hashimoto, Matthew Gonzalez, Audrey E Christiansen, Tara L Rasmussen, Alex J Ho, Angelina Gaspero, Cher Sha, Mary E Dickinson, Bo Yuan, Brian J Shayota, Stephanie Pachter, Xiaolin Hu, Debra Lynn Day-Salvatore, Laura Mackay, Oguz Kanca, Michael F Wangler, Lorraine Potocki, Jill A Rosenfeld, Richard Alan Lewis, Hsiao-Tuan Chao, Brendan Lee, Lauren Blieden, Barry N Wasserman, Dorine A Bax, Nicola K Ragge, Sukyeong Lee, Undiagnosed Diseases Network, Baylor College Of Medicine Center For Precision Medicine Models, Shinya Yamamoto, Hugo J Bellen, Lindsay C Burrage, Jason D Heaney

Faculty, Staff and Students Publications

Purpose: Heterozygous pathogenic variants in AXIN2 (HGNC 904) cause oligodontia-colorectal cancer syndrome (ODCRCS). We identified five individuals with de novo, heterozygous variants (NM_004655.4:c.196G>A p.(Glu66Lys), c.197A>G p.(Glu66Gly), and c.199G>A p.(Gly67Arg)) in AXIN2. Common phenotypes among these individuals included ectodermal dysplasia, global developmental delay, microcephaly, and limb, ophthalmologic, and genitourinary abnormalities.

Methods: Structural modeling was performed to predict the impact of these variants on AXIN2. A prime editing N1 screen of mouse embryos was performed to test whether the p.Glu66Lys variant produces a phenotype. Drosophila models were used to test the effect of this variant on Wnt signaling.

Results: …

Iron-Containing Cookware For The Reduction Of Iron Deficiency Anemia Among Children And Females Of Reproductive Age In Low- And Middle-Income Countries: A Systematic Review, Julia Dorf, Alana Schreibman, Sherry Morgan, Alexa Dietrich, Divine Oludi, Elizabeth Lowenthal, H. Okatch

College of Population Health Faculty Papers

Background: Worldwide, anemia impacts 40% of children aged 6 to 59 months and 30% of reproductive-aged women; about half of these cases are due to iron deficiency (IDA). Iron ingots are inexpensive, lightweight, and easy-to-use IDA treatments. This systematic review assessed the effect of iron ingots on IDA and described variability in iron ingot use. Methods: We included studies that evaluated the effectiveness of iron ingots for dietary iron supplementation and described ingot use conditions. Our search yielded 106 articles, 10 of which met inclusion criteria. Multiple authors independently performed data extraction and quality assessment. Results: Four articles were laboratory-based, …

Full Issue, Editorial Team

Journal of Texas History

No abstract provided.

San Antonio Missions World Heritage Center, San Antonio, Tx, Joel Daniel Kitchens

Journal of Texas History

No abstract provided.

Roots Unveiled: Chinese American History 1783-1945. Exhibition. Austin Public Library, Central Library, May 18–August 31, 2025. Presented By The Asian American Art & Culture Initiative. Curated By Xuhua (Sylvia) Zhan., Shouyue Zhang

Journal of Texas History

No abstract provided.

Public History Q&A: Commemorating Jim Crow Racial Violence And Black Community In North Texas, Helen Johnson, Felix Harcourt, Claire Wolnisty

Journal of Texas History

No abstract provided.

Albert Parsons And The Nonpareil Strike Of 1871: Race And Labor In Reconstruction Texas, George Norris Green

Journal of Texas History

This article explores a little-known chapter in the life of anarchist Albert Parsons and illustrates the complexities of race and class in Reconstruction Texas. Loyal to the administration of Republican Texas Governor Edmund J. Davis, Parsons helped break a strike of white supremacist printers in Austin. His allegiance to the cause of African American rights superseded class solidarity with the printers. Less than two decades later, Parsons died while supporting striking workers in Chicago.

Front Matter, Editorial Team

Journal of Texas History

No abstract provided.

A Glimpse Into Classrooms: Teachers’ Experiences Pre- And Post-Covid, Sam Hilbert, Katherine Wheeler, Robin H. Lock, Janna Brendle, Kassi Gregory

Journal of Educational Research and Practice

The COVID-19 pandemic forced many schools to pause in-person learning. Prior research indicates that these closures affected overall mental health and student academic performance. Mental health concerns, particularly anxiety and depression, were exacerbated for many school-aged children during these closures. Research has linked disorders, such as anxiety and depression, with changes in behaviors. Academic gaps have also been linked with negatively displayed behaviors in school settings. COVID school closures resulted in a 25% increased global prevalence of anxiety and depression diagnoses and an estimated 1-year academic loss in student learning. Although both variables have been shown to contribute to changes …

Introduction To Wellspring Volume 4 Issue 1, Andrea Stairs-Davenport, Rebecca Redlon

Wellspring: A Practitioner-Oriented Journal of Literacy and Language Education

No abstract provided.

Exploring The High School Experiences Of Black Males With Their Considerations To Enroll In College, Maria Fernandes

Doctor of Education Program Dissertations

This qualitative study applied a phenomenological research approach to explore the high school experiences of black males with their considerations to enroll in college. The research was guided by social network theory as a lens to understand Black males’ considerations to enroll in college upon high school completion. Ten Black male college students participated in semi-structured interviews, and an analysis of the response data revealed two main themes: 1. socially influenced college enrollment considerations and 2. motivation rooted in self-confidence. The findings in this study highlighted the role authentic interpersonal relationships and self-determination play in Black males’ college enrollment considerations. …

Treatment, Recognition, And Prevention Of Communicable Conditions In The Summer Camp Setting, Matthew Labkovski

CompassPoint

No abstract provided.

Increased Access To And Training On Automated External Defibrillators For Layperson Staf, Melissa-Jo M. Nason, Jessica L. Peck, Kathryn A. Osteen

CompassPoint

No abstract provided.

Technical Disclosure: A Multi-Variable, Object-Oriented Database Schema And Api Protocol For Ai-Guided, Performance-Based Curriculum Routing, Christopher L. Eckes

Defensive Publications Series

This technical disclosure details the architecture for an automated, multi-variable, object-oriented data schema and Application Programming Interface (API) designed to execute performance-based curriculum routing without age-segregated grade boundaries. The system structures diverse academic, kinetic, and technical disciplines into standardized, interoperable data objects called Discipline Blueprints. Each blueprint enforces a non-linear advancement pipeline governed by two immutable checkpoints: a zero-assist algorithmic velocity sprint and a physical/systemic product generation milestone. A localized machine learning agent parses real-time telemetry from user interactions, dynamically matching individual cognitive profiles against localized workforce shortages and trade vectors to prevent network drop-out. Crucially, the architecture incorporates an …

Molecular Detection Of Chlamydiales In Captive Zoo Animals At Songkhla Zoo, Southern Thailand, Rawikan Inchuai, Sunisa Khongthong, Boontarikaan Wititkornkul, Naruepan Wongpluksin

The Thai Journal of Veterinary Medicine

Several species of Chlamydia are recognized as significant zoonotic pathogens that infect a wide range of hosts, including humans. This study aimed to investigate the occurrence and genetic characteristics of Chlamydiales–related bacteria in captive animals at Songkhla Zoo, southern Thailand. A total of 92 cloacal and rectal swab samples were collected from mammals (n = 22), birds (n = 55), and reptiles (n = 15). Genomic DNA was screened using polymerase chain reaction (PCR) targeting the Chlamydiales 16S rRNA gene and the ompA gene specific for Chlamydia psittaci. Positive amplicons were subjected to Sanger sequencing and phylogenetic analysis. A …

Repetition As Ritual Structure: Sound, Movement, And Electrodermal Activity In A Hmong Shaman Ceremony, Maile Williams

Theses and Dissertations

This thesis examines the relationship between repetitive sound, physiological arousal, and embodied participation in a Hmong shamanic ritual. Drawing on scholarship about music, trance, absorption, repetition, and Hmong ritual journeying and communication, I consider how sonic layers such as chant, rattle and gong help structure ritual time and sustain the shaman's altered state. The project uses electrodermal activity (EDA) data from wearable sensors, video and audio recordings, and my own event coding of sonic and physical activity during a selected 30-minute section of a recorded Hmong shaman ceremony. By aligning EDA data with a timeline of chanting, rattling, gong playing, …

Towards Resilient Platform Work In The Philippines, Cheryll Ruth Soriano, Jayvy Gamboa, Jan Michael Alexandre Bernadas, China Patricia Villanueva, Marge Medina, Katherine Brimon

SDRC Projects

Platform work is increasingly promoted as a strategy for employment generation in the Philippines. The Philippine Labor Force Survey of 2021 reported that around 1.7 million gig workers are engaged by online platforms or mobile applications, with many depending on it as their primary livelihood. Yet the rapid expansion of platform labor as a livelihood opportunity is unfolding alongside intensifying climate disruption and technological transformation. Extreme heat, flooding, supertyphoons, unstable power infrastructure, and digital dependency are creating new forms of vulnerability for platform workers—many of whom already operate under precarious and weakly protected labor conditions. Due to its archipelagic topography …

Strengthening Your Ai Fluency: Building Community Resilience In An Era Of Climate Change, Suzanne Loui

Generative AI Teaching Activities

Through guided use of two AI platforms, Notebook LM and Gemini, the student will generate, analyze and evaluate ideas for implementing Pre-Disaster Hazard Mitigation and Community Resilience in a location of your choice.

Unbiased Avidity-Based Isolation Of Antigen-Specific T Cells, Amanda Montoya, Meredith L Frank, Peixin Jiang, Hui Nie, Minying Zhang, Emily Bontekoe, Jared K Slone, Ludovica L Posta, Sofia Rosy Caterina Sorice, Tina Cascone, Maura Gillison, Don L Gibbons, Jianjun Zhang, Eleonora Dondossola, Lydia Kavraki, Pamela L Wenzel, John V Heymach, Alexandre Reuben

The Brown Foundation: Institute of Molecular Medicine

Background: Cancer immunotherapies have significantly improved treatment efficacy and patient survival by exploiting antigen-specific T cells to eliminate cancer cells. However, current approaches for identifying and isolating antigen-specific T cells typically require prior knowledge of target antigens, limiting discovery, and reducing the ability to consistently detect rare tumor-reactive T cells. We therefore sought to develop an unbiased platform for the identification and enrichment of antigen-specific T cells using naturally processed and presented tumor antigens.

Methods: We developed ATTACH (Assessment of T cells Tethered to Antigen Class I Histocompatibility), a microfluidic platform that applies controlled shear stress and leverages tumor cells …

Maternal Attachment Style As A Moderator Between Maternal Stress And Postpartum Depressive Symptoms, Kristie Lynn Hills

Walden Dissertations and Doctoral Studies

This research aimed to discover if maternal attachment style moderates the association between maternal stress and postpartum depressive symptoms for mothers living in the United States. Previous research has indicated a trend of maternal bonding mediating the association between postpartum depression and maternal stress. In this study, attachment theory was utilized as the foundational theory for understanding whether the link between maternal stress and postpartum depressive symptoms vary as a function of maternal attachment style. This quantitative examination was completed using a multiple regression analytic approach. An online questionnaire measured the three study variables. The target population for this study …

Spatiotemporal Trends In Schistocephalus Solidus Infection Among Populations Of Alaskan Threespine Stickleback (Gasterosteus Aculeatus), A.M Wohlleben, Neva Meyer, N.C. Steinel

Biology

Understanding the dynamics of host-parasite interactions is essential for uncovering the ecological and evolutionary processes shaping natural populations. In this study, we investigated the spatial and temporal patterns of prevalence of the cestode Schistocephalus solidus in 4 Alaskan populations of threespine stickleback (Gasterosteus aculeatus) over 11 years (1996 to 2006). Additionally, we assessed host tolerance through key indicators such as the Parasite Index and the presence of fibrotic scar tissue, a specialized form of resistance in this system. We observed fibrosis formation in both infected and uninfected fish across all populations, with notable year-to-year variability in Cornelius Lake. Here, fibrosis …

The Association Between Food Insecurity, Housing Insecurity, Self-Care Practice And Depression Among Black Immigrants In The United States, Beatrice Ngozi Mbaocha

Walden Dissertations and Doctoral Studies

The prevalence and poor prognosis of depressive symptoms remain significant among adult Black immigrants in the United States. This study examined the complex interplay between food insecurity, housing insecurity, self-care practices, and depression among adult Black immigrants in the United States. Grounded in the socioecological model, this quantitative cross-sectional study analyzed data from N = 469 noninstitutionalized Black immigrant adults (54.2% female, 45.8% male) using the 2023 National Health Interview Survey. Binary logistic regression was employed to assess the probability of depressive symptoms as a function of food insecurity, housing insecurity, and self-care practices, controlling for age, gender, and employment …