Digital Commons Network^™

Exploring Child Welfare Social Workers’ Professional Versus Personal Values Regarding Medication-Assisted Treatment, Natalie Renee Avery Green

Walden Dissertations and Doctoral Studies

No abstract provided.

Homeless Systems Of Care And Outcomes In The Augusta–Richmond County, Georgia Geographical Area, Zenia Negron

Walden Dissertations and Doctoral Studies

No abstract provided.

Family Caregivers’ Experiences Of Caring For Virally Nonsuppressed Hiv-Positive Adolescents In Uganda, James Byarugaba

Walden Dissertations and Doctoral Studies

No abstract provided.

A Study Of Q-Neutrosophic Soft Quasigroups And Their Application To Medical Decisions, Benard Osoba, Temıtope Gbolahan Jaıyeola, Yakub Tunde Oyebo, Oluwatobi Balogun, Oluwasayo Peter Abodunrin, Oludare Johnson Olaleye

Neutrosophic Sets and Systems

No abstract provided.

Fuzzy Neutrosophic Turiyam Sets Diagrammatic And Operational Analysis With Real World Applications, Poongothai Eswaran, Balaganesan Palanivelu, Florentin Smarandache

Neutrosophic Sets and Systems

No abstract provided.

Bibliometric Study Of Neutrosophy As An Emerging Discipline, Miguel Cruz Ramírez, Osvaldo Jesús Rojas Velázquez, Elio H. Cables

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic Logic As A Framework For Managing Uncertainty In Artificial Intelligence, Conf. Univ. Dr. N. Grigorie Lăcrița, Craiova Craiova, Romania Romania

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic Sets And Systems, Vol. 99,2026, Florentin Smarandache, Mohamed Abdel-Basset, Maikel. Leyva Vazquez

Neutrosophic Sets and Systems

No abstract provided.

Construction Project Administration: Course Portfolio, Andre Messner

UNL Faculty Course Portfolios

This portfolio presents a structured framework for the design and implementation of a construction project administration course within a Construction Management program. Emphasis is placed on aligning student learning objectives, instructional strategies, and assessment methods with current industry expectations and professional standards. The course is intentionally designed to bridge the gap between theoretical knowledge and practical application by incorporating real-world scenarios, collaborative learning environments, and experiential activities that mirror industry practices.

In addition to outlining the course structure, this paper examines the pedagogical foundations that support student-centered learning, including constructivism, scaffolding, and project-based learning. These approaches are used to foster …

A Multi-Agent Large Language Model Framework To Automatically Assess Performance Of A Clinical Ai Triage Tool, Adam Flanders, Yifan Peng, Luciano Prevedello, Robyn Ball, Errol Colak, Prahlad Menon, George Shih, Hui-Ming Lin, Paras Lakhani

Department of Radiology Faculty Papers

Radiology reports can be used as a surrogate for performance of clinical AI tools. Radiology reports were analyzed by an ensemble of eight open-source LLM models and a internal version of GPT-4o using a single multi-shot prompt that assessed for presence of ICH. Performance of the open-source models, consensus of models and GPT-4o were compared to human report review. Three ideal consensus LLM ensembles were tested for rating the performance of the triage tool. The capability of each LLM varied. The highest AUC performance was achieved with llama3.3:70b and GPT-4o. Using MCC the ideal combination of LLMs were: Full-9 Ensemble, …

Successful Laparoscopic-Assisted Management Of A Rare Purely Cystic Type Iv Sacrococcygeal Teratoma In Neonate: A Case Report, Alghalya Khalid Almaawali, Ahmed Alwahaibi, Yousuf Al-Shaqsi, Farman Laghari, Bashar Dawud, Marwa Al-Riyami

Sultan Qaboos University Medical Journal

Type IV sacrococcygeal teratomas (SCTs) are the rarest subtype of SCTs. We report a 2-week-old female who presented to a tertiary care centre in Muscat, Oman, in 2024 with abdominal distension and feeding intolerance. Imaging revealed a purely cystic presacral lesion, managed with successful laparoscopic-assisted cyst excision and coccygectomy. Histopathology confirmed a mature cystic SCT and the patient was diagnosed with a purely cystic Altman type IV SCT. The postoperative course was uneventful apart from minor wound dehiscence, which resolved with conservative management. Follow-up showed complete wound healing and no recurrence. Purely cystic Type IV SCTs are extremely rare and …

Smaller Right Ventricle Results In Poorer Exercise Performance In Young Patients With Repaired Tetralogy Of Fallot, Christiane Mhanna, Katerina Kourpas, Takeshi Tsuda

Department of Pediatrics Faculty Papers

BACKGROUND: Severe right ventricular (RV) dilatation and exercise intolerance are considered indications for pulmonary valve replacement in surgically repaired tetralogy of Fallot (rTOF).

METHODS AND RESULTS: Cardiopulmonary exercise testing (CPET) and cardiac magnetic resonance (CMR) were performed in rTOF patients with pulmonary insufficiency (PI). Oxygen pulse (OP), calculated as oxygen consumption (V̇O

CONCLUSIONS: A smaller RV was associated with worse exercise performance, indicating exercise intolerance is independent of RV dilatation in young rTOF with PI and represents a unique pathological entity responsible for reduced exercise performance.

Perceived Impact Of Covid 19 On Dental Therapy And Hygiene Students’ Wellbeing., Morag Powell, James Donn, Vivian Binnie

Peninsula Dental School

AimThe aim of this research was to investigate any impact from the COVID 19 pandemic on the well-being of dental therapy students. MethodsDental therapy students were invited to participate in focus groups to explore any impact of COVID 19 on their wellbeing. One pilot and two online focus groups were conducted.ResultsThree themes were identified from the focus groups including stress in relation to clinical experience and assessment, pandemic behaviours and perceptions of the University.ConclusionThe overall conclusion of the research is that COVID 19 did have an impact on the dental therapy students’ mental wellbeing. The stress from worry over missing …

Running Gait Kinematics Are Reproducible At The Beginning And End Of Two Different Intensity, Energy Expenditure Matched Runs, Using Either Discrete Points Or Functional Data Analysis, Sherveen Riazati, Nick Caplan, Philip R. Hayes

Faculty Research, Scholarly, and Creative Activity

Introduction – The aims of this study were to examine reliability of treadmill running kinematics: i) during two different intensity, energy expenditure matched, runs ii) at two time points within each run iii) using two different methods of statistical analysis. Methods – Twenty healthy club distance runners performed two high intensity interval runs (HIIT) and two medium intensity continuous runs (MICR). Kinematics during ground contact were analysed in all three planes of motion at the ankle, knee, and hip. Maximum angle and range of motion were identified and for Functional Data Analysis (FDA) all of the collected data was utilised. …

Phytochemical Composition And Bioactivities Of Roselle (Hibiscus Sabdariffa L.) Extracts Obtained By Infusion, Ethanolic Maceration, And Maltodextrin-Assisted Drying, Risna Silvianti, Warsito Warsito, Elok Zubaidah, Zubaidah Ningsih, Aqidatul Izza

Karbala International Journal of Modern Science

Roselle (Hibiscus sabdariffa L.) is rich in phenolic compounds and anthocyanins, but the extraction method may influence its chemical composition and biological activity. This study compared hot-water infusion, ethanolic maceration, and maltodextrin-assisted drying. It aimed to examine the relationship between the extraction method, chemical profile, and bioactivity. The resulting extracts (EI, EM, and EP) were analyzed for total phenolic, flavonoid, and anthocyanin, LC-HRMS profiles, and antioxidant capacity by the FRAP assay. Antibacterial analysis was conducted against Escherichia coli (ATCC 25922) and Staphylococcus aureus (ATCC 25923) using agar well diffusion. Cytotoxicity tests (MTT, 24 h) were performed against HT-29, 4T1, …

Women Self-Help Groups As Drivers Of Community Development In Rural Kenya, James Kariuki, Bhoke Chacha

Journal of Global Awareness

Self-Help Groups (SHGs) are informal grassroots associations of people who have similar objectives and concerns working cooperatively and collectively to meet their needs and improve their living conditions. SHGs are known to contribute towards the development and welfare of their members. This paper examines the role of SHGs in community development in Kenya with a focus on selected women groups in Migori and Makueni Counties. The study adopted a mixed research approach that provided both qualitative and quantitative data, and it was anchored on two interrelated theories of community development: empowerment theory and social capital theory. The researchers interviewed 80 …

Examining The Use Of Digital Journal Entries In A Special Education Course To Build Understanding Of Global Competence, Lema Kabashi, Leslie Rogers

Journal of Global Awareness

Teacher education programs increasingly emphasize the development of global competence (GC), particularly within experience-based learning contexts such as study abroad. This mixed-methods study examined teacher candidates’ (TCs) development of GC during a four-week study abroad experience by analyzing evidence from digital reflective journal entries and changes in self-reported perceptions across three time points. Data were collected from teacher candidates across two four-week summer sessions using digital journals and a Global Competence Self-Evaluation Survey. Qualitative content analysis was employed to identify the frequency with which three global competency areas were evidenced in the journal entries, while quantitative analyses examined changes in …

Lessons Learned In Providing Infant And Early Childhood Mental Health Consultation During The Covid-19 Pandemic, Rashele Wade

Journal of Global Awareness

Access to quality childcare is a protective factor from lifelong issues such as school failure, school drop-out, and incarceration. Conversely, preschool suspension and expulsion are significant risk factors. Evidence-based interventions, such as Infant and Early Childhood Mental Health Consultation, aim to reduce and eliminate the incidence of preschool suspensions and expulsions. The COVID-19 pandemic disrupted access to quality childcare for many children across the country and globally. This study utilized a qualitative action research approach and generic qualitative inquiry to examine the research question, “How can we improve Infant and Early Childhood Mental Health Consultation through lessons learned during the …

Caring For The Carers: Exploring The Mental Wellbeing Of Informal Palliative Caregivers Of Cancer Patients In Kenya, James Kariuki, Rose Njiraini

Journal of Global Awareness

Cancer cases have been on the increase globally, and this has led to economic burden on the affected households. One way of reducing the cost of care is through home-based care by informal palliative caregivers who include family members, friends, and other people assigned by the family members to take care of the patient. The objectives of this study were to assess the status of the mental wellbeing of palliative caregivers of cancer patients; to examine the relationship between the ability of the patient to cope with cancer diagnosis and the mental wellbeing of the caregiver; and to investigate the …

Navigating Burnout: The Role Of Workplace Support For Social Work Clinicians, Melanie Fulton

Journal of Global Awareness

The shortage of mental health workers is a growing concern in the United States, and social workers a substantial portion of employees who work with individuals with mental health concerns. This shortage stresses the importance of studying factors that impact burnout for mental health clinicians, particularly social work clinicians. While burnout among social workers in some settings have been documented in the literature, less research has focused on independently licensed clinical social workers in private practice. This study had participants complete a survey to examine the relationship between workplace support, burnout, and professional fulfillment among this population (N = 57). …

Notes From The Editor, Jay Nathan

Journal of Global Awareness

No abstract provided.

The Machine For Its Own Sake: Tolkien's Critique Of Instrumental Reason And The Modern Ecological Ethos, Ahmad J. El-Youssef

Journal of Tolkien Research

This essay examines J.R.R. Tolkien's legendarium as a systematic critique of instrumental reason, positioning his work as a vital philosophical resource for diagnosing and navigating the Anthropocene. Rather than a simplistic anti-technology stance, Tolkien's concept of the "Machine" represents a teleological logic that reduces the living world to a standing reserve, paralleling contemporary ecological crises. Through analysis of key narratives, particularly the industrialisation of Isengard, the corruption of the Shire, and the restoration of Lothlórien, this study demonstrates how Tolkien dramatises the ontological flattening inherent in instrumentalist domination. The essay contrasts this with Tolkien's alternative ethos of sub-creation and stewardship, …

Exploring The Role Of Magnesium Deficiency In Inflammatory Bowel Disease, Victor A. Bob-Yellowe, Shaunte Hadnot, Sonya Bhatia, Anesu K. Murambadoro

MEDI 9331 Scholarly Activities Clinical Years

Inflammatory Bowel Disease (IBD) is a group of chronic gastrointestinal disorders, including Ulcerative Colitis and Crohn’s disease. As of 2020, it was estimated that IBD significantly impacts the lives of approximately 2.39 million Americans. Magnesium (Mg) is an essential mineral involved in many bodily functions, including immune response and gut health. Recent studies suggest that Magnesium levels may be linked to IBD. Therefore, this review aims to explain how Magnesium might play a role in the development or progression of IBD. Additionally, this article discusses the overall role that Magnesium’s plays in gut health and whether Magnesium supplementation could be …

Policing Course, Adrian Bordoni

Open Educational Resources

Policng course divided in 8 modules: includes readings, videos, interactive assignments, discussion boards Final ppaer and presentation to support topics

Did The Year 2025 Force African Journalism To Confront Its Future? A Review Of Scholarship And Practice, Gregory Gondwe

Communication Studies Faculty Publications

No abstract provided.

Experimentation, Adaptability, And Ingenuity In The Community Art Studio, Louisa Mary Drab

Expressive Therapies Theses

To examine the question, “How can community art making in an open studio embolden women through creative adaptability, ingenuity, and experimentation?” a mosaic project was conducted over four sessions with women attending an art studio at a day shelter. Current literature illustrates the scope of success open studio has had in promoting community connectivity through the communion of individuality. The expressive therapies continuum, open studio approach, trauma-informed care, and the therapeutic alliance are the pillars that informed this exploration. This community engagement project melded together structural components of mosaic-making with the tenets of open studio, where guiding and sharing are …

Clustering And Switching As A Scoring System In Indonesian Three Word Fluency Tests, Heni Gerda Pesau, Gilles Van Luijtelaar

Makara Human Behavior Studies in Asia

The number of correctly produced words is the primary output variable n most verbal fluency tests. The examination of the number of clusters and cluster size achieves a more in-depth analyses of cognitive aspects and processes. We propose a scoring system for phonemic, semantic, and emotion word fluency tests in the Indonesian context. This study aimed to determine the underlying cognitive constructs of the participants, including the clustering and switching indices, using principal component analysis (PCA). A total of 150 participants were included, and the tests were administered online following a previously validated protocol. The three fluency tests loaded different …

Five Corridors: A Community Health Needs Assessment Of Horry County, Stephen Borders, Hayley Bilko, Molly Craig, Olivia Guthrie, Ashley Mcconnell, Emily Mcgowan, Anna Quick, Abigail Rike, Makayla Wilson

Public Health

This report presents a Community Health Needs Assessment (CHNA) of Horry County, South Carolina. Its central analytical contribution is a five-corridor framework derived from k-means cluster analysis of the county's 76 residential census tracts, drawing on social and economic indicators from the American Community Survey and health estimates from the CDC PLACES program. The analysis organizes the county into five distinct community types — Affluent Coastal Retirement, Moderate Coastal Retirement, Inland Rural/Suburban Transitional, Concentrated Disadvantage, and Hispanic Hospitality Worker — each with a characteristic profile of social and health conditions.

Within this framework, the assessment examines a range of social …

Brain Age Prediction In Generalized Anxiety Disorder Using A Convolutional Neural Network, Corey Richier, André Zugman, Anita Harrewijn, Elise M. Cardinale, Parmis Khosravi, Moji Aghajani, Willem B. Bruin, Kevin Hilbert, Narcis Cardoner, Anderson M. Winkler

Human Genetics Publications

Higher predicted brain age difference has been associated with several psychiatric disorders. Generalized anxiety disorder (GAD) is associated with markers of accelerated aging. In this study, we determined brain predicted age difference (PAD) in individuals with GAD and healthy controls (HC) as well as group differences in PAD variability using voxel-wise structural MRI. The training dataset included 3511 controls, and the testing dataset included 1595 individuals with GAD and 4552 HC from the ENIGMA-Anxiety GAD Working Group. A convolutional neural network model using four input modalities per subject and a model ensemble approach was used to predict brain age. The …

Improving Nursing Compliance With Pressure Injury Prevention In Postoperative Patients In The Cardiovascular Intensive Care Unit, Chingyi Lam

Doctor of Nursing Practice Final Project Abstract

Pressure injuries acquired in the hospital continue to be a major concern in patient safety among critically ill populations. The purpose of the quality improvement project was to improve nursing compliance with pressure injury prevention strategies among postoperative patients in a cardiovascular intensive care unit (CVICU). Patients who undergo cardiovascular surgery are at a high risk of developing pressure injuries due to immobility, sedation, vasopressors, and prolonged positioning on their backs. The quality improvement project was carried out in a 37-bed CVICU using the Institute for Healthcare Improvement (IHI) Model for Improvement and Plan–Do–Study–Act (PDSA) cycles. Data on nursing repositioning …