Digital Commons Network^™

Healthcare Decision-Making In An Ageing Society: Legal, Policy, And Ethical Challenges In Japan, Yukio Sakurai

Japanese Society and Culture

This paper examines the evolving landscape of healthcare decision-making in Japan’s rapidly ageing society, with a focus on the legal, policy, and ethical challenges it entails. It analyzes the limitations of the adult guardianship system, the risks associated with family-dependent decision-making, and the underutilization of advance care planning (ACP). The study further considers how demographic shifts, advances in medical technology, and socio-legal inertia affect end-of-life care, particularly for individuals with diminished capacity. A central theme is the inherent ethical dilemma in balancing individual autonomy with Japan's cultural context, where explicit self-assertion can be challenging, especially for older adults. Cultural dimensions …

Institutional Transitions In The Employment Of Foreign Workers In Japan’S Agriculture And Food Manufacturing: From Technical Intern Training To Employment For Skill Development And Specified Skilled Worker In Comparison With The Uk, Tomoyuki Kuwaharada

Japanese Society and Culture

This paper investigates the institutional transition in Japan’s acceptance of foreign workers in the agriculture and food manufacturing sectors, focusing on the restructuring of entry-stage training schemes and their linkage to skill-based employment. In particular, it traces the shift from the Technical Intern Training Programme (TITP) to the Employment for Skill Development (ESD) Programme as the primary entry route, and examines how these institutional changes are embedded within the Specified Skilled Worker (SSW) framework.

Drawing upon official statistics from 2012 to 2024 and sector-specific case studies, the analysis demonstrates that the introduction of the SSW status in 2019 marked a …

Supervisor Behaviors And Perceived Organizational Impact Of Telework: A Work Disruption Perspective, Tsuyoshi Ohira, Masaki Hosomi

Japanese Society and Culture

As telework (e.g., working from home) has become widespread, understanding its organizational impact from managers’ perspectives and identifying supervisor behaviors that influence this impact are critical. Drawing on work disruption theory, we examined the relationships between four supervisor behaviors in the Health and Safety Executive (HSE) management competencies—respectful and responsible (RR), managing and communicating work (MCW), reasoning and managing difficult situations (RDS), and managing the individual within the team (MIT)—and the perceived organizational impact of telework. We also tested whether telework rate and intensity moderated these relationships. Survey data were collected from 239 supervisors at two time points. Results showed …

The Bison, March, 20, 2026

The Bison Newspapers

No abstract provided.

Information Manager (Bim) Role Profiles, Davitt Lamon, Robert Moore, Stephen Lynam

Reports

This document, Information Manager (BIM) Role Profiles, has been prepared in support of the Irish Government’s Building Information Modelling (BIM) Mandate. It is the result of a collaborative effort between Build Digital, the Department of Public Expenditure, Infrastructure, Public Service Reform and Digitalisation (DPER), the Infrastructure Division, and the National Standards Authority of Ireland (NSAI). Its primary purpose is to define the competencies, responsibilities, and experience required for Information Management (BIM) roles to facilitate the successful digital delivery of public works projects. It is important to recognise that under the ISO 19650 series of standards, Information Management is defined as …

Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke

Walden Dissertations and Doctoral Studies

This staff education project focuses on improving depression detection in a primary care settings using Patient Health Questionnaire (PHQ-9) screening tool. Depression is a leading cause of disability worldwide, requiring reliable and adaptable screening tools. The diagnosis of depression is one of the most common mental health disorders in primary care but is poorly identified and frequently missed. The lack of consistent screening for depression among patients often results in delayed identification of symptoms, which postpones early treatment, increasing the risk of complications associated with untreated depression. The practice site identified that depression screening was frequently missed during patient intake, …

March 20, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Ud In The News March 14-20, University Of Dayton

News Releases

Inside Higher Ed and radio stations in Los Angeles and Ohio, plus the Dayton Daily News tapped faculty expertise. Political scientist Dan Birdsong wrote an editorial for The Columbus Dispatch about the SAVE Act, which also was published by USA TODAY.

First Epidemiological Assessment: Syphilis Seroprevalence Among Asymptomatic Blood Donors In Merowe, Northern Sudan, 2022, Doaa Albagir Ahmed, Sabra Alfadil Ibrahim, Hiba Elsadig Salah, Hamad A. Albagir

Saudi Toxicology Journal

Syphilis remains a significant transfusion-transmissible infection, yet regional epidemiological data from Northern Sudan are lacking. This study aimed to establish preliminary baseline syphilis seroprevalence among asymptomatic blood donors in Merowe, Northern Sudan. A cross-sectional study was conducted in January 2022 at the Merowe blood donation center. Eighty-nine consecutive asymptomatic male blood donors were screened for anti-Treponema pallidum antibodies using a commercial Enzyme-Linked Immunosorbent Assay (ELISA) kit (Fortress Diagnostics, UK). Demographic data were collected via structured questionnaire. The overall seroprevalence was 2.25% (2/89; 95% CI: 0.6–7.9%). The donor population median age was 32 years (range: 18–64). Both reactive donors were referred …

Rapid Resolution Of Psoriatic Arthritis Symptoms Following Initiation Of A Glp-1 Receptor Agonist, Joseph E. Capito, Kate Gelman

Faculty & Staff Scholarship

Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) are widely used for the management of type 2 diabetes mellitus (T2DM) and obesity, with growing evidence of their anti-inflammatory effects. We report the case of a 54-year-old woman with obesity, T2DM, and biopsy-confirmed plaque psoriasis who developed joint pain and stiffness consistent with psoriatic arthritis (PsA). Her symptoms persisted despite appropriate trials of topical corticosteroids, calcipotriene, and oral apremilast. She also declined methotrexate due to concerns about side effects. Imaging of her hands revealed distal interphalangeal joint space narrowing, marginal erosions, and periosteal reaction, supporting the diagnosis of PsA. The patient was …

Stimulation Of The Medial Septum Diagonal Band Of Broca Rescues Learning And Memory Deficits In Fmr1 Ko Mice, Mohamed Ouardouz, Amanda E Hernan, J. Matthew Mahoney, Rodney C Scott

SKMC Student Presentations and Publications

Fragile X Syndrome (FXS), the most common inherited cause of intellectual disability and a leading monogenic cause of autism, arises from the loss of Fragile X Messenger Ribonucleoprotein (Fmr protein), leading to synaptic and cognitive dysfunction. Here, we demonstrate that the frequency-specific electrical stimulation of the medial septum/diagonal band of Broca (MSDB) can restore cognitive and synaptic impairments in Fmr1 knockout mice, a validated model of FXS. Thirty minutes of 35 Hz MSDB stimulation significantly improved subsequent recognition memory, sociability, spatial learning, and fear memory, with recognition memory enhancements persisting for up to 7 days after daily 30 min …

Chatgpt Versus Uptodate In Preclinical Medical Education: Cross-Sectional Analysis Using Term Frequency-Inverse Document Frequency Cosine Similarity, Shankar S. Thiru, Nicholas E. Aksu, Matthew Chiang, Daniel O. Gallagher, Mary Furlong, Elizabeth R. Prevou, Akhil Jay Khanna

Rothman Institute Papers

BACKGROUND: Generative artificial intelligence tools such as ChatGPT are increasingly used by medical students for self-directed learning. Although these models demonstrate linguistic fluency, their reliability as supplementary resources for preclinical education remains uncertain. In particular, comparisons with evidence-based references such as UpToDate are lacking.

OBJECTIVE: This study evaluated the similarity between responses generated by ChatGPT (with GPT-4o mini) and those from UpToDate to preclinical medical education questions to assess ChatGPT's potential as an adjunctive learning tool.

METHODS: We conducted a cross-sectional comparison study using 150 first-order questions derived from a preclinical question bank at a single allopathic institution under the …

The Harms Associated With Simplifying Our Language Choices, And The Need For A New Typology For Dog Breeders And Consumers, Rebekah Gregory

School of Law, Humanities and Social Sciences

‘Animal’ exploitation is not a new phenomenon. Whilst categorising ‘animals’ by broader groups rather than species helps us understand their experiences, our language still limits our ability to capture the nuances of their treatment. Dogs appointed as domesticated companions are subjected to a variety of experiences. Some are fed gourmet meals and taken to privately rented parks; and others suffer from the consequences of impulsive purchasing and physical abuse. This diversity in treatment is significantly determined by the intentions of the dog’s breeder and consumer. Subsequently, referring to all breeders and consumers with the same terminology instead of highlighting the …

A Decade Revealed By Npo Financial Data In A Depopulating Region — Tottori Prefecture, Japan, 2014–2023, Yoshinori Shimosakai

Japanese Society and Culture

This paper examines the quantitative scale, field composition, and financial structure of nonprofit organizations (NPOs) in rural regions experiencing population decline and aging at three levels—the nonprofit sector as a whole, policy fields, and individual organizations—and explores their adaptation and sustainability under demographic change. The empirical setting is certified NPO corporations located in Tottori Prefecture. Drawing on publicly available financial data for fiscal years 2014–2023, the study constructs ratio indicators and per-capita indicators and, in particular, depicts recent trends through a two-point comparison between FY2014 and FY2023 together with a description of year-by-year changes. The analysis shows that, although the …

Employment Contracts, Working Time, And The Well-Being Of Schoolteachers In Japan, Haojun Gong, Shinpei Sano

Japanese Society and Culture

This paper quantitatively analyzes trends in the working hours of schoolteachers in Japan using Teaching and Learning International Survey (TALIS) data from three survey waves. The analysis focuses on differences between fixed-term and permanent employment contracts and on school environment variables, and their relationships with working hours and teacher well-being. Teachers on permanent contracts tend, on average, to work longer hours than those on fixed-term contracts, largely because of greater time spent on administrative duties and extracurricular activities. School environmental characteristics and principal leadership show only weak statistical associations with total working hours. Subjective job satisfaction is lower, and workload …

A Consideration Of Food In A Diversity Society, Masayo Morofushi

Japanese Society and Culture

In recent years, the number of foreign visitors such as tourists and businesspeople, and the number of foreign residents such as workers and international students, have been steadily increasing in Japan. However, the decrease in the number of foreign residents in Japan is relatively small compared to the number of foreign visitors to Japan, due to travel restrictions during the COVID-19 pandemic. Regarding restaurants, Japan has experienced diversity, progress, and cross-cultural understanding; however, these changes have been stagnant due to a decrease in the number of foreign visitors to Japan during the pandemic. Many natural disasters have recently occurred, and …

Exploring The Definition Of Child Poverty : For Consideration Of Legal Policy, Kazuko Ikeya, Fumie Adachi, Kazutoshi Imade

Japanese Society and Culture

We explore the definition of child poverty for consideration of legal policy.

Survey of the actual situation in local governments and private organizations concerning child poverty.

① Some parents don’t know how to prioritize their spending, and there are cases where parents don’t provide for their children.

② This cannot be addressed only with financial investment.

It is inappropriate to define child poverty only by low household income. It should also be

defined as whether children are being provided for through their development.

From Cart To Kitchen Workshop, Madison Craig, Joshua Kim, Grace Manalac, Divya Thomas, Abby Zerby, Cameron Zirkel

Public Health Science Capstones

From Cart to Kitchen is a hands-on workshop designed to support families experiencing housing transitions in the San Jose area in building healthier eating habits. In partnership with Family Supportive Housing, the program focuses on strengthening food literacy, helping participants feel more confident in choosing nutritious meals on a budget.

The workshop includes short, easy-to-follow videos and interactive activities that cover topics like reading food labels, understanding basic nutrition, and grocery shopping with limited resources. Participants also receive a user-friendly pamphlet with tips on meal planning, shopping smart, and incorporating seasonal produce.

Delivered in an in-person setting, From Cart to …

The Zircon, March 20, 2026 [Spoof Issue], Dordt University

Dordt Diamond

No abstract provided.

Bodies At Risk When Choice Is A Privilege: Women’S Reproductive Healthcare Accessibility And Health Outcomes Since The Dobbs (2022) Ruling, Dallas Bonnet

Undergraduate Theses

Existing literature has well-documented the disproportionate effects of abortion restrictions upon socioeconomically disadvantaged women and women of color. This thesis builds on that work by exploring the relationship between state-level abortion restrictions and women’s self-reported health, as well as state-level infant mortality rates and maternal mortality rates. This project breaks these relationships down into three separate studies: Study 1 investigates the effect that abortion restrictions have on women’s self perceptions of health. Study 2 assesses the impact of abortion restrictions on infant mortality rates. Study 3 inspects the impact of abortion restrictions on maternal mortality rates. The primary independent variable …

Examining The Effects Of Success Coaching At West Kentucky Community And Technical College: A Quantitative Analysis Of Academic Performance, Retention, And Credential Completion, Sanci E. Teague

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 Sanci E. Teague on March 20, 2026.

Receptor-Mediated Drug Delivery: Redefining Targeted Drug Conjugates In Oncology, Keon Niles Jafari, Charlene Chai, Shelby Kim, Kamaljit Kaur

Pharmacy Faculty Articles and Research

Targeted drug delivery (TDD), specifically through targeting ligand–drug conjugates, has reshaped oncology by enabling selective delivery of cytotoxic payloads to cancer cells while minimizing uptake by normal tissues. A key approach relies on exploiting overexpressed cell surface receptors (CSRs) to enable selective uptake of drug conjugates via receptor-mediated endocytosis. This review delineates four clinically validated CSRs (HER2, Trop-2, Nectin-4, and SSTR2) with several FDA-approved drug conjugates. Furthermore, emerging CSRs (EGFR, DLL3, and keratin 1) that may support next-generation TDD platforms for cancer treatment are also highlighted. We discuss how CSR type, density on cancer cells, and its mechanism of endocytosis, …

Effectiveness Of Peace Education And Recommendations For Implementation In The Sultanate Of Oman's School Curriculum, Vision 2040, Mohamed Al Braiki

Dissertations and Theses

This study explores peace education as an institutional process within the Sultanate of Oman's K–12 education system. Currently, Oman Vision 2040 articulates commitments to social cohesion, global citizenship, and holistic development. Existing empirical research indicates constant challenges related to bullying, student well-being, emotional distress, and school-related harm. This study conceptualizes peace education as a structural and relational mechanism embedded within institutional routines, leadership practices, and conflict-management responses. Using a qualitative integrative review design, the study examines peer-reviewed research, policy documents, and institutional analyses relevant to Oman, the Gulf region, and broader peace education scholarship. The analysis is guided by theoretical …

Identification Of Thruster Faults In Underwater Vehicles By Using Custom Encodings In Spiking Neural Networks, Donovan Gegg

LSU Master's Theses

Autonomous Underwater Vehicles (AUVs) are untethered robotic platforms used for tasks such as seafloor mapping, infrastructure inspection, and environmental monitoring. Recent technological advances have produced smaller, more affordable platforms, broadening access to research teams and small companies alike. This miniaturization comes at the cost of them handling drawbacks associated with a more compact machine such as reduced battery capacity as well as limited processing and sensing capabilities. These constraints make small-sized marine vehicle’s reliability critical as they can cause malfunctions, making the loss of a vehicle more likely. Actuator faults are particularly consequential as unintended and unstable control in an …

Antibacterial Activity Of Sapium Ellipticum, Securidaca Longepedunculata, And Allophylus Africanus Against Drug-Resistant Pseudomonas Aeruginosa Isolates, Eleonora A. Mbare, Rose J. Masalu, Cyprian B. Mpinda

Tanzania Journal of Science

Pseudomonas aeruginosa poses a major clinical challenge due to its high levels of antibiotic resistance. This study evaluated the antibacterial activity of three medicinal plant extracts Allophylus africanus (leaves), Securidaca longepedunculata (root bark), and Sapium ellipticum (stem bark), against 30 drug-resistant P. aeruginosa isolates. Antibacterial screening was conducted using the agar well diffusion method, followed by determination of minimum inhibitory concentrations (MICs) via a 96-well microtiter plate assay. All three plant extracts demonstrated inhibitory activity against three resistant P. aeruginosa strains (gentamicin-resistant strains F4 and GR4RAU-AI, and ceftazidime-resistant strain 19-10), with inhibition zones of varying diameters. MIC values showed strain-specific …

Progress Of Hiv Care Cascade And Transition Dynamics Along The Continuum Of Care Among Persons Living With Hiv In Ifakara, Tanzania: A Prospective Study, Aneth Vedastus Kalinjuma, Aaloke Mody, Tracy Renée Glass, Maja Weisser, Ezekiel Luoga, Honorati Masanja, Fiona Vanobberghen, Kennedy Otwombe

2020-Current year OA Pubs

BACKGROUND: While cross-sectional assessments offer snapshots of care cascade progress, longitudinal analyses are essential to capture the dynamic engagement in care of people living with HIV (PLHIV). We assessed the advancement of the HIV cascade, engagement in care and factors associated with different transitions among PLHIV at the Chronic Disease Clinic of Ifakara, Ifakara, Tanzania, using both cross-sectional and longitudinal analyses. METHODS: In this prospective study, we included PLHIV enrolled in care from 04/2005 to 09/2022 and consented to participate in the Kilombero and Ulanga Antiretroviral Cohort. A cross-sectional care cascade was assessed descriptively. In longitudinal analysis, we used continuous-time, …

Science Challenges And Solutions To Support Implementation Of The Biodiversity Beyond National Jurisdiction Agreement, Claire L. Szostek, Angus Atkinson, Victor Martinez-Vicente, Ana M. Queirós, Peter I. Miller, Kerry L. Howell, Rebecca C. Millington, Susan Kay, Matthew Faith, Karen Tait, Elizabeth Talbot, Andrew Rees, Chris Lyal, Jeff Ardron, Matthew Frost

School of Biological and Marine Sciences

The Biodiversity Beyond National Jurisdiction (BBNJ) Agreement provides a new opportunity to consolidate and achieve global marine environmental goals. Here we focus on how science and technology will support its implementation. We provide an overview of existing scientific knowledge and methods that are scalable to Areas Beyond National Jurisdiction (ABNJ). Reviewing data gaps, challenges and opportunities, we outline solutions and a roadmap focused on enhancing resources and capacity.

Photobiomodulation In Treatment Of Head And Neck Cancer-Related Chronic Lymphedema: A Pilot Randomized Controlled Trial, Jie Deng, John N. Lukens, Barbara A. Murphy, Erin Mcmenamin, Karthik Rajasekaran, Ryan J. Quinn, Joy C. Cohn, Wendy Schlessinger, Lucy P. Andersen, Bryan A. Spinelli, Alexander Lin

Department of Physical Therapy Faculty Papers

BACKGROUND: Chronic lymphedema is a common late effect after completion of head and neck cancer (HNC) treatment, contributing to substantial symptom burden and negatively impacting quality of life. No effective approaches are available to treat this progressive condition. This study aimed to evaluate the preliminary efficacy of photobiomodulation (PBM) therapy for chronic lymphedema in HNC survivors.

METHODS: This was a pilot, randomized, wait-list controlled trial. Eligible HNC survivors included those with chronic lymphedema after completion of complete decongestive therapy. Participants were randomized (1:1) to 1 of 2 arms: intervention group (active) or wait-list control group (control). The active group received …

Fenced And Feral: Farming And Spread Of Flowerhorn (Amphilophus Spp.) In Lake Sampaloc, Philippines, Janice A. Ragaza, Hannah Nicole Gasmen

Environmental Sustainability

This study examines the spread and ecological impact of invasive Flowerhorn cichlids (Amphilophus spp.) in Lake Sampaloc, Philippines, driven by both accidental release and intentional aquaculture practices. Field observations and literature reveal that these highly adaptable and aggressive fish outcompete native species, contributing to biodiversity decline amid increasing pollution, eutrophication, and microplastic contamination. Their phenotypic plasticity allows them to thrive in degraded environments, further exacerbating ecological imbalance. While local communities have begun utilizing Flowerhorns for ornamental trade and potential aquafeed production, such practices risk reinforcing their proliferation. The study highlights the need for integrated management strategies combining biosecurity, pollution control, …

Visual-Physiological Concordance And Target Vessel Outcomes: A Μqfr-Based Real-World Cohort Study, Yanfeng Lu, Abdulrahman Alqazzaz, Jasmine Bao, Gary S Mintz, Jiahao Feng, Yong Zhang, Shanshan Gao, Qiang Song, Feifei Ning, Wangge Ma, Haoyu Wu, Yuejiao Wei, Jiaying Li, Ning Guo, Xin Huang

Student Papers, Posters & Projects

BACKGROUND AND OBJECTIVES: Quantitative flow ratio (QFR) offers a non-interventional alternative for evaluating ischemia, yet its concordance with real-world treatment and clinical outcomes remains unclear. This study aimed to assess the alignment between Murray law-based QFR (μQFR) physiological assessment and treatment strategies, evaluate the association between treatment concordance and clinical outcomes, and explore factors influencing concordance.

METHODS: In this retrospective cohort, 242 patients with angiographically intermediate coronary stenosis and μQFR values adjacent to the grey-zone (low: 0.70-0.74; high: 0.86-0.90) were included. Treatment concordance was defined as PCI for low μQFR and medication for high μQFR. The primary endpoint was target …