Digital Commons Network^™

Grade 8 Mathematics Teachers’ Perceptions Of Students’ Low Performance In A Northeast U.S. State, Jheneal Dixon

Walden Dissertations and Doctoral Studies

The problem that was addressed through the study is that 82% of Grade 8 students score below proficiency on the end of year mathematics exam in a Northeast state. Grounded in Deci and Ryan’s self-determination theory, Maslow’s hierarchy of needs, and Gay’s culturally responsive theory, the purpose of this qualitative study was to explore Grade 8 mathematics teachers’ perceptions of the factors contributing to students’ low performance and the resources needed to support student success. For this basic qualitative design, semistructured interviews with 10 Grade 8 mathematics teachers were conducted. Through thematic analysis, the following four themes emerged: teachers were …

Effective Digital Presence Strategies For Certified Public Accountant Organization Leaders To Attract And Retain Clients, Ian Claude Pounall

Walden Dissertations and Doctoral Studies

Nonprofit professional associations often face challenges in sustaining organizational excellence and member engagement within resource-limited environments. Certified public accountant (CPA) organizational leaders are concerned with identifying effective strategies to enhance performance and ensure long-term organizational service relevance. Grounded in the Baldrige Excellence Framework and resource-based view theory, the purpose of this qualitative single case study research project was to identify and explore strategies that online CPA organizational leaders can use to develop a comprehensive digital presence framework to attract and retain organizational clients. The participant was a single Canadian CPA organizational leader. Data were collected through semistructured interviews and analysis …

Chronic Post-Mastectomy Pain: Insights Into Mechanisms, Prevention, And Treatment Approaches, Abdulaziz H. Algain

Journal of Medical Rehabilitation Science

Chronic post-mastectomy pain (CPMP) is a prevalent and significant concern for many breast cancer surgery patients, affecting between 25% and 60% of females within the first year after surgery. This multifactorial condition arises from a combination of peripheral nerve injury, central sensitization, and immune-mediated inflammation. Although no single intervention can fully prevent CPMP, a comprehensive, multidisciplinary approach that addresses the biological, psychological, and social aspects of pain is crucial for enhancing the quality of life for breast cancer survivors. It is often underrecognized by clinicians, who may attribute pain to the expected postoperative recovery process, while patients sometimes accept discomfort …

Prevalence And Association Between Major Depressive Disorder And Cognitive Impairment In Hemodialysis Patients At King Abdulaziz University Hospital, Jeddah, Saudi Arabia, Faten N. Alzaben

Journal of Medical Rehabilitation Science

Objectives: Patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis experience a substantial psychological and cognitive burden. This study aimed to determine the prevalence of major depressive disorder (MDD) and examine its association with cognitive impairment among patients receiving hemodialysis. Materials and Methods: A cross-sectional study was conducted among 30 consecutive patients aged 18–65 years undergoing maintenance hemodialysis at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Major depressive disorder was diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA), with cognitive impairment defined as a MoCA score …

The Economic Impacts Of Climate Change And External Shocks On Tourism Demand In The Kurdistan Region Of Iraq: Econometric Modeling For The Period (2007–2023), Asst. Prof. Dr. Khadeeja Qader Same, Asst. Prof. Dr. Aswad Qadir Ahmed

Muthanna Journal of Administrative and Economics Sciences

This study aims to Analysis of the Economic Impacts of Climate Change and External Shocks on Tourism Demand in the Kurdistan Region for the Period (2007-2023), utilizing a rigorous econometric methodology that includes unit root tests, Granger causality, and the Autoregressive Distributed Lag (ARDL) model to verify long-term equilibrium relationships through the Bounds Test. The results revealed a “developmental paradox,” where tourism demand grows annually by 18.51% despite a steady rise in temperatures, a decline in rainfall by approximately 3.15 mm per year, and an increase in dust storms. The econometric modeling proved that every unit increase in temperature inflicts …

The Role Of Emotional Dysregulation In Anorexia, Grace Larson

Psychology Student Publications

An examination of the role of emotional dysregulation in the development and maintenance of Anorexia Nervosa. Discusses the overlapping factors including emotional awareness and regulation, social threat attention biases, perfectionistic personality traits, and childhood trauma.

Beyond Words: Photovoice As A Tool For Inclusive Research, Lauren Stone

Psychology Student Publications

No abstract provided.

Approved Courses 3-31-26, Angela Brock

Individual Course Committee (ICC)

No abstract provided.

The Importance Of Proximal Non-Obstructive Plaque For Predicting Risk Of Future Acute Coronary Syndrome In Stable Cad: Prognostic Value Of Coronary Ct Angiography, Har R. S. Dhillon, Hilfan A. P. Lubis, Yuke Sarastri, Andre P. Ketaren, Teuku B. Haykal

Journal of the Hong Kong College of Cardiology

Objective: To evaluate the prognostic value of proximal non-obstructive coronary plaques detected by coronary computed tomography angiography (CCTA) in predicting acute coronary syndrome (ACS) among patients with stable coronary artery disease (CAD). Methods: This retrospective cohort included patients with stable CAD who underwent CCTA at Adam Malik General Hospital, Medan, between January and December 2023. Of 458 patients with non-obstructive plaques, 416 met inclusion criteria and were followed for 18 months. Patients were classified into proximal involvement (left main, proximal left anterior descending artery, proximal left circumflex artery, or proximal right coronary artery) and non-proximal groups. The primary endpoint was …

Approach To Management Of Grown-Up Cyanotic Congenital Heart Disease, Pak-Cheong Chow

Journal of the Hong Kong College of Cardiology

Despite of advances in cardiac and surgical care, some children with complex congenital heart disease remain cyanotic in adulthood. The grown-up cyanotic congenital heart diseases are heterogeneous due to their underlying cardiac anatomy and physiology. Other than cardiovascular problems, they patients are also faced with multi-system complications in the long run. Therefore, these patients need nuanced and comprehensive assessment, regular follow-up monitoring, and multi-facet management. In this article, the types and classification of cyanotic congenital heart diseases, the multi-system complications and the approach to assessment and treatment will be presented.

Emotional Intelligence Of Early College High School Juniors, Donna M. Besant

Morehead State Theses and Dissertations

A capstone submitted in partial fulfillment of the requirements for the degree of Doctor of Education in the Ernst and Sara Lane Volgenau College of Education at Morehead State University by Donna M. Besant on March 31, 2026.

Operating Fund Budget/ Expenditure Summary Report 3rd Quarter 2025-26, Csusb Budget Office

University Budget Office records

No abstract provided.

Limb Dominance Does Not Affect Single-Leg Hop Performance In Non-Injured Young Athletes, Rawan Aldhabi

Journal of Medical Rehabilitation Science

Background: The concept of leg dominance is important in clinical settings. Single-leg hop (SLH) tests are frequently used to assess injury-risk and guide return-to-sport decision after lower-limb injury, yet the influence of limb dominance on SLH performance in non-injured young athletes remains unclear. The aim of the study was to examine the influence of limb dominance on SLH test performance in young healthy athletes, and to explore the relationships among different types of SLH tests. Methods: Forty-seven healthy collegiate athletes (mean age 21.44 ± 3.5 years; 26 males and 21 females) completed three SLH tests: single hop for distance (SHD), …

Kesintasan Hidup Satu Tahun Pasien Sirosis Hati Yang Dirawat Di Rumah Sakit Cipto Mangunkusumo Pada Periode Covid-19, Gita Aprilicia, Ichwan Baihaki, Riri Oktavani Banjarnahor, Kemal Fariz Kalista, Rino Alvani Gani

Jurnal Penyakit Dalam Indonesia

Introduction. Liver cirrhosis represents the terminal stage of chronic liver disease and is characterized by a markedly reduced survival rate. Understanding the characteristics and laboratory parameters of patients with liver cirrhosis can provide valuable insights into their prognosis and potential interventions. This study was conducted during the COVID-19 pandemic period, which may have influenced patient outcomes due to potential impact of COVID-19 infection on patients with chronic liver disease. This study aimed to evaluate the one-year survival rate of hospitalized liver cirrhosis patients at Cipto Mangunkusumo Hospital during the COVID-19 and to identify clinical and laboratory factors associated with …

Athletic Participation And Youth Justice System Involvement, Dominic R. Graves, April Terry

SACAD: Scholarly Activities

Research supports the role of prosocial leisure activities in reducing justice system involvement. Athletic-based programs have mixed findings regarding reducing system involvement among youth. However, when implemented correctly, sports programs can greatly benefit youth by providing them with structured adult supervision and mentorship. This poster briefly introduces the social bond theory supporting the influence of athletics and highlights potential negative associations with athletic-based programs. This poster concludes with a review of current implementation and future guidance.

The Effects Of Interactive Instruction In Medical Education On Learners' Motivation, Technology Acceptance, And Learning Satisfaction, Bo-Yuan Lin

Journal of Medical Education

Purpose: Medical education is characterized by complex content and high cognitive demands, which often challenge learners. motivation and engagement. With advances in educational technology, interactive teaching approaches have gained increasing attention for their potential to enhance learning experiences. This study aimed to investigate the effects of integrating an Interactive Response System (IRS) into a medical education course on learners. learning motivation, technology acceptance, and learning satisfaction.

Methods: A single-group posttest design was employed. Participants were 23 healthcare professionals specializing in respiratory therapy who attended a professional training course on the clinical application of high-frequency ventilators. During the 50-minute instructional session, …

Practice Readiness In Occupational Therapy Graduates From A Bachelor's Training Program: A Multi-Stakeholder Study In Taiwan, Kuan-Yi Li, Chi-Min Yang, Chi-Hsuan Chen, Rou-Shayn Chen, Hsiang-Han Huang

Journal of Medical Education

Introduction: The transition from academic education to clinical practice is a critical challenge for new occupational therapy (OT) graduates. While most Western countries have adopted master's or doctoral entry-level into the profession, bachelor's-level OT training remains the mainstream in Asia. This raises questions about whether such programs adequately prepare graduates for today's complex clinical environments. This study examined the preparedness of OT graduates under bachelor-level training by exploring the alignment between educational experiences and workplace expectations from the perspectives of multiple stakeholders.

Methods: A total of 547 respondents, including recent graduates, clinical educators, practicing occupational therapists, and heads of occupational …

Mapping Clinical Competency Assessment: Comparing Taiwanese Dpt Tools To The U.S. Clinical Performance Instrument, Szu-Hua Teresa Chen, Che-Hsuan Lin, Kayleigh Plumeau, Yueh-Hsia Chen, Yen-Tzu Wu, Chia-Ling Chen, Chieh-Yu Yang

Journal of Medical Education

Background: To align Taiwan's physical therapy clinical education with international standards, this study aimed to: (1) map Taiwan's clinical assessment tools—the Ability-Based Professionalism Assessment (ABPA) and the Mini-Clinical Evaluation Exercise (Mini-CEX)—to the competency domains of the United States (U.S.) Clinical Performance Instrument (CPI) 3.0; (2) examine longitudinal changes in student clinical performance; and (3) explore whether developmental patterns correspond to competencies emphasized by the assessment framework.

Methods: This study integrated qualitative framework mapping and quantitative longitudinal analysis. Thirty-four fifth-year students enrolled in a six-year Doctor of Physical Therapy program at National Taiwan University who completed clinical internships during the 2022–2023 …

Analisis Disparitas Geospasial Dan Determinan Sosio-Demografis Masalah Kesehatan Jiwa Di Indonesia: Analisis Data Survei Kesehatan Indonesia (Ski) 2023, Alya Zahrah Zhafirah, Sutanto Priyo Priyo Hastono

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Kesehatan jiwa merupakan pilar utama pembangunan sumber daya manusia yang kini menjadi tantangan struktural di Indonesia. Masalah ini dipengaruhi secara signifikan oleh determinan sosio-demografi seperti tingkat pendidikan, status ekonomi dan lingkungan. Penelitian ini diinisiasi oleh urgensi untuk memetakan distribusi beban masalah kesehatan jiwa secara nasional sekaligus menginvestigasi ketidakonsistenan prevalensi antara data Riskesdas 2018 dan SKI 2023. Penelitian ini menggunakan desain potong lintang dengan menganalisis prevalensi masalah kesehatan jiwa pada penduduk Indonesia berusia ≥15 tahun, menggunakan data SKI 2023. Kondisi kesehatan jiwa dinilai menggunakan instrumen SRQ-20 untuk mengidentifikasi probabilitas masalah kesehatan jiwa. Hasil utama menunjukkan prevalensi masalah kesehatan jiwa Indonesia tahun …

Collaborating To Create A Research Training Program For Underrepresented Students: Insights And Strategies For Developing And Sustaining A Multi-Institutional Consortium, Mackenzie J. Gray, Dara Shifrer, De’Sha S. Wolf, Olivia M. Ainsworth, Rosemary A. Fama, Roberto P. Anitori, Ernest Blackwell, Tracey K. Burke, Carlos J. Crespo, Derek Helsham, Travis Kibota, Alissa Leavitt, Beylul Solomon, Thomas E. Keller

Sociology Faculty Publications and Presentations

Introduction

In 2014, the National Institutes of Health (NIH) invested in the Building Infrastructure Leading to Diversity (BUILD) initiative to enhance diversity in the biomedical research workforce. As one of ten grantees nationwide, the BUILD EXITO project at Portland State University established an institutionally and geographically diverse consortium including local community colleges, a research-intensive medical institution, and universities and community colleges around the Pacific Rim. The goal of this collaboration was to support comprehensive research training for undergraduates from backgrounds historically underrepresented in the biomedical workforce. This manuscript aims to provide insights into creating and sustaining a large-scale multi-institutional consortium.MethodsUsing …

The Fall Of Chevron: What It Means For Irs Authority And Tax Law, Reagan Honn

Southern Illinois University Law Journal

This Note examines the collapse of Chevron deference and its profound implications for federal tax law, where complexity and ambiguity are the rule rather than the exception. For decades, Chevron allowed courts to defer to the Internal Revenue Service’s reasonable interpretations of ambiguous statutes, promoting uniformity, predictability, and administrability across the tax system. In Loper Bright Enterprises v. Raimondo, the U.S. Supreme Court dismantled that framework, shifting interpretive authority decisively to the judiciary. This Note argues that the loss of Chevron destabilizes tax administration by inviting inconsistent judicial interpretations, increasing taxpayer challenges, and undermining reliance on agency guidance. It further …

Held Hostage By High Prices: How The Pharmacy System Makes You Pay More, Riley Harris

Southern Illinois University Law Journal

This Note examines how current regulatory policies and practices of Pharmacy Benefit Managers (PBMs) have led to increased prescription drug costs and diminished patient access to medications. Notably, Schmidtknecht v. OptumRx Inc. illustrates the real-world consequences of current PBM regulation, which allows them to increase medication prices without warning by controlling which pharmacies and insurance plans will cover certain prescription drugs. The Note analyzes existing federal regulations under the Civil Monetary Penalties Law (CMPL), the Patient Right to Know Drug Prices Act (2018), and the Know the Lowest Price Act of 2018, which seek to increase drug pricing transparency and …

Experiential Avoidance And Acceptance-Based Therapy (Abbt), Addison Jo Quern

Psychology Student Publications

Anxiety is an incredibly common mental health concern that impacts individuals globally. Avoidance is a main feature that maintains the symptoms of anxiety but does not allow the individual to experience the distressing scenario, thus reaffirming that discomfort. This attempt to control or avoid anxiety can make the symptoms worse. Research demonstrates that avoidance can perpetuate anxiety, and stress can increase avoidance. Acceptance-based therapy (ABBT) is used to target avoidance behaviors to lessen the overall symptoms of anxiety. ABBT is a third wave of therapy that helps clients focus on the relationship they have with their thoughts and feelings, instead …

The Relationship Between Childhood Adverse Experiences And Adult Depression, Alexander Owens

Psychology Student Publications

This paper explores the current understanding of the linkage between childhood trauma and depression. Before this, childhood trauma and adult depression are described. Overall, there are a few different ways these two constructs can be linked, and they are explored.

Supporting The Supporters: Reducing Stress For At Home Dementia Caregivers, Kendra Spitzer

Psychology Student Publications

Caring for individuals with dementia is associated with an increased mental strain, stress, anxiety, and depression. This paper explores mental health issues that can derive from caring for people living with dementia. Dementia is a highly progressive condition that impacts cognition and behavior, which affects both the individual and caregiver. While caregiving provides meaningful skills and a strong meaning to life, it also presents unpredictability and emotional distress. This paper highlights evidence-based supports to reduce mental health illnesses and burdens on caregivers. Supports such as social networks, digital mental health tools, mobile apps, and validation therapy are noted to be …

Effects Of Screen Time On Childhood Development, Elizabeth Bridge

Psychology Student Publications

This science communication paper explores the psychological effects of screen time on childhood development. It emphasizes the effects on childhood intelligence, social skills, language skills, emotional regulation skills, and mental health.

Effects Of Exercise Of Cognitive Development In Young Children, Hannah Schlomann

Psychology Student Publications

This paper examines the relationship between physical activity and cognitive development in young children ages 0-5. Increased tablet time and sedentary behavior is becoming common for young children. This paper examines the effect of four categories of movement including screen based sedentary behavior, non-screen based sedentary behavior, light physical activity, and moderate to rigorous physical activity, as well as the effects of motor ability on cognitive development.

The Predictive Ability Of Child Characteristics And Parenting Factors On Four Developmental Domains In Toddlers, Melly Latifah, Dwi Hastuti, Neti Hernawati, Reisi Nurdiani, Raihan Ainun Hasanah

Jurnal Keperawatan Indonesia

Stunting is a chronic condition that has a significant impact on child development. This phenomenon is primarily caused by prolonged nutritional deficiency, especially during the first 1,000 days of life. In addition, as family factors also play a crucial role in children’s development, this study aims to analyze the influence of child and family characteristics, mother–child attachment, parenting practices, and the nutritional status of children (stunted/non-stunted) on children’s gross motor, fine motor, language, and personal–social skills. This study used a quantitative design with an explanatory approach involving 202 mother–child pairs with children aged 12–36 months. The findings show that healthcare …

Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole

Walden Dissertations and Doctoral Studies

This staff education doctoral project evaluated whether structured telehealth training improves psychiatric nurses’ knowledge in delivering care to underserved populations. A gap in practice was identified, as many psychiatric nurses lacked formal training in providing culturally competent and effective virtual mental health services. Guided by the ADDIE model and the Johns Hopkins evidence-based practice framework, a structured educational intervention was implemented with 25 psychiatric nurses. Participants completed pre- and posttests to assess knowledge gained. Results demonstrated an increase in mean scores from 62.8% to 77.4%, reflecting a 14.6% improvement. A paired t test indicated statistical significance (p < .05), confirming the effectiveness of the intervention. These findings suggest that targeted telehealth education enhances psychiatric nurses’ readiness to deliver high-quality, culturally responsive care. This project supports positive social change by improving access to equitable mental health services for underserved populations.

Determining Factors Leading To Sobriety In Native American Graduates Of A Joint-Jurisdictional Court Program, Ryan Fisher

Walden Dissertations and Doctoral Studies

The issue of driving under the influence (DUI) is a continuous problem in rural communities, especial those in Indian Country. Alcohol use and abuse has long been a health concern for these communities contributing to higher mortality rates and increased incarceration rates for American Indian / Alaskan Native (AIAN) populations. Wellness courts, using the problem-solving court model, have been successful in helping DUI offenders achieve sobriety and wellness. While the model has been successful, there remains a lack of qualitative research into why participants find success in these programs; especially marginalized populations such as AIAN. This phenomenological qualitative study was …