Digital Commons Network^™

From Time-Based To Competency-Based: A Decade-Long Transformation Of Medical Radiation Technologist Education In Taiwan And Its Implications For System-Level Cbme Reform, Yao-Ting Lu, Shu-Yu Wen, Chiao-Ling Tsai, Cheng-Heng Liu, Wen-Tao Huang, Chia-Hung Chen, Chih-Wei Yang

Journal of Medical Education

Competency-based medical education (CBME) has reshaped physician training, yet system-level implementation in allied health professions is rarely described. In this Perspective, we examine Taiwan's decade-long national reform of medical radiation technologist (MRT) education led by the Taiwan Association of Medical Radiation Technologists (TAMRT) and distill lessons for system-level CBME. Beginning in 2012, TAMRT adapted the Accreditation Council for Graduate Medical Education (ACGME) core competencies and introduced workplace-based assessments across diagnostic radiography, radiation therapy, and nuclear medicine. Early national accreditation cycles revealed persistent variability in assessment quality and highlighted the limitations of time-based advancement. TAMRT therefore shifted from adding isolated tools …

Student Achievements Showcase Impact Of (603) Challenge Gifts, Unh Communications And Public Affairs

UNH Today Archive

No abstract provided.

Toxicity, Chemistry, And Public Health Relevance Of Emerging Nicotine Analog Vapes, Pods, And Pouches., Rhea Raghu, Mohana Sengupta, Karen Lin, Felix Effah, Robert M. Strongin, Irfan Rahman

Chemistry Faculty Publications and Presentations

Electronic nicotine delivery system manufacturers, such as Charlie's Holdings Inc., ECBlend, Outlaw, and NicRiver, have recently introduced nicotine analogs, such as 6-methyl nicotine, 6-MN ("Metatine"), and nicotinamide, NA ("Nixamide," "Nixodine," or "Nixotin-free base and salt") in products to circumvent the U.S. FDA's premarket tobacco product application (PMTA) requirements. Marketed as "tobacco-free," "PMTA-exempt," or "FDA-approved," these compounds now appear in oral nicotine pouches and disposable bars/vapes from brands such as Outlaw Dip, Kumi-Six, SBX, Katchmi, and Spree Bar under proprietary labels including "NoNic6," "Metatine," or "NIC-SAFE." These products often mimic the appeal of conventional nicotine delivery systems, with extensive use of …

Post-Hemorrhagic Hydrocephalus Of Prematurity Is Associated With Disruption Of Tight Junctions And Increased Macrophage Activity In The Choroid Plexus, Maria Garcia-Bonilla, Rajiv Swarup, Owen W Limbrick, Habeebah Z Vohra, Ayodamola Otun, Konrad Mckalip, William Bernhardt, Kirill Shumilov, Marie Michenkova, Jayne Crouthamel, Mackenzie Newman, Krikor Dikranian, James P Mcallister Ii, David D Limbrick

2020-Current year OA Pubs

BACKGROUND: Previous studies on intraventricular hemorrhage (IVH), a common and severe complication of preterm birth, and subsequent post-hemorrhagic hydrocephalus (PHH), have predominantly concentrated on the secretory function of the choroid plexus (ChP), with considerably less emphasis on its barrier function. We hypothesized that PHH is associated with immune-related alterations in the junction biology of ChP. METHODS: We examined differences in tight junctions and macrophages using a neonatal mouse model of PHH (n = 40) and in vitro ChP explants (n = 22), as well as human post-mortem samples (n = 6). To test our hypothesis, we employed histology, immunofluorescence, magnetic …

Provider And Caregiver Perspectives On Vision Services For Childhood Cancer Survivors: A Qualitative Study, Asha Parvathaneni, Luke Zabotka, Jacob Strelnikov, Allison J L'Hotta, Matthew J Ehrhardt, Maria Montoya, Kyathi Thallapureddy, Robert J Hayashi, Margaret Reynolds, Sara Malone

2020-Current year OA Pubs

PURPOSE: This study qualitatively explored barriers and facilitators to accessing supportive vision services for childhood cancer survivors with vision deficits and identified current service-delivery contexts from the perspectives of community professionals and caregivers. METHODS: Participants included caregivers and professionals who completed semi-structured interviews. Provider questions focused on patient identification and assessment, follow-up protocols, and available resources, while caregiver questions addressed navigating survivorship care, academic needs, and goals for their children. Transcripts were thematically analyzed following inductive and deductive coding. RESULTS: Six caregivers and 10 professionals completed interviews. Thematic analysis resulted in three contexts for barriers and facilitators: school settings, community …

Projections Of The Characteristics Of Extreme Precipitation In East Africa Using Bias-Corrected Cmip6 Models, Exavery K. Makula

Tanzania Journal of Science

In the context of ongoing global climate change, the intensification of the hydrological cycle is expected to modify the frequency, magnitude, and spatial distribution of extreme precipitation events. Understanding how precipitation extremes will evolve under climate change is critical for East Africa (EA), a region highly vulnerable to hydroclimatic hazards and strongly dependent on rainfall-driven socioeconomic systems. The region experiences two main rainfall seasons, namely the long rains (March-May, MAM) and the short rains (October-December, OND). This study investigates future projections of the characteristics of extreme precipitation across the EA using an ensemble of biascorrected CMIP6 global climate models. Extreme …

Transforming Nursing Clinical Education: The Power Of Environment, Student Motivation, And Clinical Instructors, Lia Mulyati, Nur Wulan, Abdal Rohim

Jurnal Keperawatan Indonesia

Clinical learning is an important component in the formation of nursing students’ professional competence. The clinical environment, student motivation, and the role of clinical instructors are factors that influence the achievement of learning outcomes in nursing clinical practice. However, the relationship between these factors is still not fully understood. This study aims to examine the relationship between the clinical environment, student motivation, and the role of clinical instructors, and to determine how these three factors contribute to learning outcomes in nursing clinical practice. A quantitative design with a cross-sectional survey approach was used. The sample consisted of 117 nursing students, …

Defining The Palette Of Biodeterrence: Appreciating A Broader Toolkit, Diane Dieuliis, James Giordano

Strategic Insights

Biological threats present unique challenges to traditional deterrence models due to their dual-use nature, difficulties in attribution, and rapidly evolving scientific landscape. In this commentary, the authors argue that deterrence by denial, while essential, is insufficient on its own to address contemporary biothreats. They propose a broader framework that integrates deterrence by disruption and capability diminishment to interfere with and reduce adversaries’ ability to develop and employ biological weapons. This approach emphasizes coordinated efforts across scientific, technological, economic, intelligence, and policy domains, as well as collaboration with public health and international partners. By shaping the conditions under which biological weapons …

Samuel Cardenas V. Attorney General United States Of America

2026 Decisions

Agency

Exploring The Impact Of Psychological Hardiness On Career Prosperity: An Analytical Study Of The Opinions Of Employees Of The Ministry Of Migration And Displacement/Najaf Governorate Branch, Mustafa Hasan Kareem Al-Hamami

Muthanna Journal of Administrative and Economics Sciences

This study aims to explore the impact of psychological hardiness on career well-being among employees of the Ministry of Migration and Displaced Persons – Najaf Al-Ashraf Branch, with a focus on how psychological hardiness contributes to enhancing employee welfare and improving professional performance. The study adopted a descriptive- analytical approach, where data were collected and analyzed to determine the relationship between the variables. The study population included all employees of the Ministry – Najaf Al-Ashraf Branch, and a random sample of 100 employees was selected to ensure adequate representation of different departments and job categories. A standardized questionnaire measuring psychological …

Green Value Chain Analysis And Its Role In Improving Resource Allocation Decisions: A Case Study In Diwaniya Dairy Factory, Ail Abdul-Hussein Hani Al-Zameli, Nabaa Duaa Fakher

Muthanna Journal of Administrative and Economics Sciences

The purpose of this study is to justify the role of The green value chain as a modern technique of management accounting in facilitating investment decisions and optimizing the effectiveness in resources utilization at industrial units. The premise underlying the study is that green value serves as a frame of reference for analysing activities, which in turn allows to separate value-adding from non-value adding ones, leading to cost reduction and environmental soundness. Management is also not about finding faults for waste and allocating funds, it's all about tapping new ways of creating value by eliminating non-value adding activities. The deductive …

Future Prospects Of Pediatrician Talent Development: Focusing On Early Childhood Health To Pioneer A New Chapter In Pediatric Care, Yueh-Ping Liu

Journal of Medical Education

Taiwan's declining fertility rate is reshaping the pediatric care landscape. The demands of child health care encompass acute and critical care, chronic disease management, complex diagnostic conditions, as well as developmental and mental health support. In response, the Ministry of Health and Welfare's Program for Excellence in Child Health Care and the Project of Holistic Physicians for Young Children represent a strategic transition toward proactive, community-anchored child health stewardship. By integrating preventive services, developmental surveillance, case management, and cross-sector coordination, these initiatives strengthen early detection and timely intervention while redefining pediatricians as key actors within the social safety net. Embedding …

An Innovative, Structured Standardized Patient Training Model For Gender Diversity: Curriculum Design And Preliminary Evaluation, Yu-Wen Wang, Ching-Ting Lien, Ching-Chung Lin, Chau-Shoun Lee, Min-Shu Wang

Journal of Medical Education

Background: Despite increasing emphasis in medical education, LGBTQ clinical sensitivity and care competencies remain insufficient. This study developed a structured Standardized Patient (SP) training model replacing traditional lecturing. It aims to alleviate role boundary blurring and psychological stress SPs face with highly sensitive topics while enhancing their professional comprehension.

Objectives: To develop and evaluate a structured SP training model that integrates psychological safety mechanisms to mitigate role confusion and stress in handling gender diversity topics, while enhancing SPs' professional role interpretation and cultural sensitivity.

Method: The course was implemented through systematic integration of the ``Introspection, Empathy, Deconstruction'' three-phase model: (1) …

The Link March 31, 2026, Access To Justice Institute

The Link Newsletter

No abstract provided.

The Poli̇ti̇cal And Soci̇al Di̇mensi̇ons Of Alcohol İn Mongol Ri̇tuals, Dr. Esra Özel

Khazar Journal of Humanities and Social Sciences

In the 13th century, under the leadership of Genghis Khan, the Mongol Empire emerged where alcohol was not merely a consumable item but a multifaceted and functional cultural practice integral to the construction of political legitimacy, the establishment of social order, and the performance of ritual representations. For the nomadic Mongols, alcohol consumption transcended personal habit, playing a central role in regulating social relations, strengthening leadership, and consolidating political alliances. Alcohol presentations during ceremonial events such as kurultais, enthronement ceremonies, diplomatic meetings, military victory celebrations, and festivals were regarded as symbolic indicators of generosity, loyalty, and hierarchical order. Particularly, the …

Association Of Central Obesity And Hypertension In An Urban Area, Chandrayani Simanjorang, Diva Anita Churiana Sudrajat, Ulya Qoulan Karima

Jurnal Keperawatan Indonesia

Hypertension is one of the non-communicable diseases in Indonesia that is closely related to obesity. Therefore, this study aimed to determine the association between central obesity and hypertension in a cohort study group in Bogor City, West Java from 2011 to 2021. A retrospective cohort study design was employed, with multivariate Cox regression analysis performed using secondary data from the Risk Factors for Non-Communicable Diseases (FRPTM) Cohort Study. Among 3,586 samples, 879 incident cases of hypertension were observed by the end of follow-up, accounting for 24.5% of the at-risk population. The incidence rate of hypertension was 28 cases per 1000 …

Exploring The Role Of Artificial Intelligence (Ai) In Immersive Virtual Reality (Ivr) Simulation In Nursing Students, Krystal Davis, Sue A. Schuelke

Innovations in Health Sciences Education Journal

Poster presented at the 2026 Spotlight on Scholarship at the University of Nebraska Medical Center, Omaha, Nebraska

Outcomes Of A Learning Needs Assessment Survey In The Development Of The Extension For Community Health Outcomes Model For Hiv Training In Midwestern Non-Metropolitan Areas, Duncan Works, Daniel Cramer, Elizabeth Lyden, Yue Zhan, Emmanuel Nazaire Essam Nkodo, Renae Furl, Jennifer O'Neill, Maureen Kubat, Heather Saarela, Nada Fadul, Jennifer M. Davis

Innovations in Health Sciences Education Journal

This is an abstract from the Spotlight on Scholarship event in 2026.

Stress In Medical Laboratory Science (Mls) Students: Sources, Patterns, And Implications, Marnie Imhoff

Innovations in Health Sciences Education Journal

Poster presented at the 2026 Spotlight on Scholarship at the University of Nebraska Medical Center, Omaha, Nebraska.

Outstanding Project: First Place Winner

The Heavy Crown, Shared Throne: How Coleadership Tempers Ego And Sustains Leader Well-Being, Sam T. Hunter, Ares Boira-Lopez, Alexis D'Amato

Psychology Faculty Publications

Mitchell and colleagues (Reference Mitchell, Haslam, Burke and Steffense2026) provide a well-reasoned, sound, and thought-provoking case for why HR practices can promote or discourage narcissistic tendencies in leaders. Acknowledging their contribution, we offer two points of pushback and one point of extension based on those areas of pushback. The first point of pushback is that counter to the authors, we contend that hypercompetitive selection methods that seek to identify the best leadership candidate, although not ideal, are necessary. Do such processes (e.g., head hunting, in-depth assessment centers) admittedly have the potential to inflate individual egos and promote narcissistic …

A Randomized Study Of Digital Versus Genetic Counselor Return Of Actionable Genetic Research Results To Biobank Participants (Respect3 Study), Anuja Rajendra Godbole, Elisabeth Wood, Brian Egleston, Lily Hoffman-Andrews, Sarah Brown, Sarah Howe, Sanjana Shastri, Rajia Mim, Justin Feng, Anjali Owens, Susan Domchek, Reed Pyeritz, Bryson Katona, Staci Kallish, Giorgio Sirugo, Joellen Weaver, Linda Fleisher, Kuang-Yi Wen, Elena Elkin, Katherine Nathanson, Daniel Rader, Angela Bradbury

Department of Medical Oncology Faculty Papers

BACKGROUND: There is consensus that research participants should be informed about plans for return of genetic research results. However, best practices for return of results in large biobank and cohort studies do not exist currently, and how best to communicate actionable genetic research results remains unclear. While having genetic counselors disclose these results may be ideal to ensure understanding, minimize distress, and optimize medical follow-up, genetic counselor (GC) workforce shortages and costs are barriers. The RESPECT3 study evaluates whether digital delivery alternatives for pre-disclosure education and return of actionable genetic research results is non-inferior to remote telehealth disclosure by a …

Scotus Rules Colorado’S Ban On Conversion Therapy For Minors Probably Violates First Amendment, Arthur S. Leonard

Other Publications

No abstract provided.

Venous Thromboembolism Attenuates Brain Cortical Thickness: Evidence From Mendelian Randomization Study, Wenli Gu, Xiu Liu, Christopher Tze-Wei Tsang, Si Yeung Yu, Yan Chen, Jiayi Huang, Yuk Ki Yukie Lam, Tim Yan, Meizhen Wu, Ran Guo, Jingnan Zhang, Ferit Böyük, Yap Hang Chan, Kai Hang Yiu

Journal of the Hong Kong College of Cardiology

Background: Emerging evidence suggests an association between vascular risk factors and changes in brain cortical structure and function. However, the relationship between venous thromboembolism (VTE) and brain cortical remodeling remains unclear, impeding further research on brain cortical dysfunction. Methods: Using summary statistics obtained from genome-wide association studies (GWAS), we conducted two-sample Mendelian randomization (MR) analyses to explore potential causal effects of genetically predisposed pulmonary embolism (PE, N = 361,194), deep vein thrombosis (DVT, N = 462,933) and unspecified VTE (N = 218,792) on brain cortical structure (N = 51,665). Magnetic resonance imaging (MRI)-based measures of brain cortex including …

Prevalence Of Fall Among Elderly In Rural Sabah And Its Associated Factors, Khalid Mokti, Mohd. Yusof Ibrahim, Syed Sharizman Abd Rahim, Mohammad Saffree Jeffree, Mazlinda Musa, Mohd. Rohaizat Hassan, Yugo Shobugawa, Muhammad Aklil Abd Rahim, Ahmad Faizal Roslan, Mervynn Koon Kar-Wai

Jurnal Keperawatan Indonesia

Falls are a leading cause of injury among older adults, often resulting in significant physical, psychological, and social consequences. This study aims to determine the factors that contribute significantly to fall risks among the older adults in rural Sabah. A cross-sectional community study was conducted in the Kudat Division, Sabah, Malaysia from January to June 2021. Using multistage random sampling, 700 adults aged ≥60 years were recruited, excluding those with severe disability, mental illness, or institutionalized. Data were collected through face-to-face interviews with a structured questionnaire adapted from the validated Japanese Gerontological Evaluation Study (JAGES) tool, and anthropometric measures were …

The Effectiveness Of Psychoeducation And Mind Mapping In Preventing Early Marriages In Central Java, Indonesia, Eviyati Aini Muriana, Mardiyono Mardiyono, Lanny Sunarjo, Melyana Nurul Widyawati

Jurnal Keperawatan Indonesia

During the COVID-19 pandemic, the number of early marriages increased. Early marriage causes biological and psychological problems in the mother and her baby. The combination of psychoeducation and mind mapping emerged as a preventive effort against early marriage. The aim of this study was to analyze the effectiveness of this combination in preventing early marriage in Central Java, Indonesia by influencing adolescents’ knowledge and intentions. This study was conducted using a convergent mixed-methods design. For the quantitative phase, the pre-test – post-test control group experimental design was used, while in the qualitative phase, a thematic analysis was performed using focus …

Weekly Fluctuations Of Plasma Amyloid-Beta In Alzheimer’S Disease: Implications For Biomarker Reliability, Andy Delgado, Kanisa Davidson, Danitra Parker, Jaleesa Bryant, Vicki Winstead, Mustafa Yildiz, Carolyn E Z Pickering, Andrew M Pickering

Faculty, Staff and Student Publications

No abstract provided.

(Giga)Time For The Era Of Ai: Virtual Multiplex Immunofluorescence From Routine H&E For Large Populations, Shao-Ping Yang, Dihua Yu

Faculty, Staff and Student Publications

No abstract provided.

Breast Cancer-Derived Extracellular Vesicle Mir-425-5p (Mir-425) Promotes Brain Metastasis Via Activating Astrocytes Through The Novel Mir-425-Znf24-Ccl8 Signaling Axis, Grace L Wong, Munazza S Khan, Sara Manore, Shivani Bindal, Ravi Singh, Hui-Wen Lo

Faculty, Staff and Student Publications

Mechanisms underlying breast cancer brain metastasis (BCBM) are still not well understood. Here, we identified that BCBM patient serum contained extracellular vesicles (EVs) with high levels of microRNAs (miRNAs)-107 and -425. Levels of miR-107 and miR-425 were elevated in brain metastases, and the elevation was associated with poor patient prognoses. Ectopic expression of miR-107 and miR-425 promoted mammospheres; however, the inhibition of miR-425, but not miR-107, suppressed breast cancer mammosphere formation. We further observed that EVs from miR-425-overexpressing breast cancer cells strongly activated astrocytes whereas their inhibitors abrogated the effect. Conditioned media from miR-425-activated astrocytes promoted mammospheres. To elucidate how …

Mentorship As Identity Work: The Meaning Black Queer Men Ascribe To Mentorship In Identity Development And Professional Identity Formation, Kai Christian

JWU Dissertations & Theses

This descriptive-phenomenological study examined the role of mentorship in shaping identity. There is limited literature that examines mentorship as an identity-shaping process among Black queer men (BQM). Intersectional and Black queer theory provided the theoretical framework for thematic analysis.

Within the workplace, BQM must negotiate the effects of double marginalization resulting from racism and anti-queer biases. The effects of racism and anti-queer biases can lead to adverse psychological and physical health outcomes, negatively impacting the careers of Black and queer individuals. BQM benefit from support that addresses and acknowledges how their identity shapes their experiences. Mentorship can provide …

Ventilator Weaning Through Spontaneous Breathing Trials In Children With Tetralogy Of Fallot In The Picu: A Case Report, Megah Fitrian, Kadek Ayu Erika, Muhammad Yunus

Jurnal Keperawatan Indonesia

Tetralogy of Fallot (TOF) is a congenital heart defect that causes chronic low oxygen levels, increased right ventricular workload, and a higher risk of complications. Weaning mechanical ventilation in patients with TOF is particularly challenging due to right ventricular dysfunction, muscle weakness, and the risk of heart failure. This study evaluates the use of a spontaneous breathing trial (SBT) strategy with pressure support ventilation (PSV) mode for mechanical ventilation weaning in pediatric patients with TOF. An observational study was conducted on a six-year-old pediatric patient with TOF and a cerebral abscess who underwent mechanical ventilation weaning using the SBT technique …