Digital Commons Network^™

Neonatal Assessment And Vr: Designing 3d Simulation Training For Prehospital Clinicians, Michella G. Hill, Luke Hopper, Belinda Flanagan, Sara Hansen, Alecka Miles, Jess Watson, Sean Cashman, Kirstie Balding, Peggy Dysktra, Joshua Johnson, Brennen Mills

Research outputs 2022 to 2026

Prehospital emergency care requires clinicians to manage a vast array of medical and trauma incidents, including rare events such as obstetrics (i.e., childbirth) emergencies. Emergency births can have life-threatening complications such as neonatal respiratory distress potentially leading to cardiopulmonary resuscitation. Management of low-frequency high-risk (LFHR) events such as birthing and immediate neonatal care occurring outside the planned place of birth require expert clinical management. Underutilised skill and knowledge of LFHR events decay within 12-months of being taught. LFHR events are often overlooked for refresher training due to the low occurrence of such cases, putting LFHR patients at even greater risk …

Pediatric Nurses' Perspectives Of Integrating Spiritual Care Into Everyday Practice: An Integrative Review, Yin May Htay, Mandie Foster, R. Mowat

Research outputs 2022 to 2026

Aim: To explore nurses' perspectives regarding children's spiritual care in pediatric healthcare settings. Background: Spiritual care is a fundamental source of comfort and healing and an essential. component of nursing practice. However, pediatric nurses often lack the competence and confidence to incorporate spiritual care into their clinical routines. Despite its importance, the perceptions and practices of pediatric nurses across various clinical specialties regarding spiritual care remain underexplored in current literature. Methods: The integrative review methodology was chosen to provide a comprehensive and up-to-date synthesis of the literature. Four electronic databases (CINAHL, MEDLINE, Scopus and Google Scholar) were used to search …

Towards Primary Health Care Education Reform: A Reflexive Thematic Analysis Of Nursing Supervisors' Perceptions, Experiences And Challenges, Debbie Procter, Mccullough, Debbie Massey, Karen Strickland

Research outputs 2022 to 2026

Aim: To explore Primary Health Care nurses' experiences of supervising nursing students on clinical placements and their perceptions of academic preparation for placement and future employment. Background: Primary Health Care nurses are essential workers within sustainable health systems but pre-registration educational preparation and access to clinical experiences can be limited. Previous research correlates positive clinical experiences with workforce intentions. Furthermore, nursing supervisors are pivotal to maximising student experiences and education, yet little is known about their perceptions, challenges, and views about how current curriculum prepares students to commence professional careers in primary care. Understanding their perceptions may inform curriculum, improve …

Neurochemical Impact Of Psychostimulants: Longitudinal Mri Analysis Of Brain Iron Content In Children With Adhd, Hugo A.E. Morandini, Sjoerd B. Vos, Paola Chivers, Tim J. Silk, Pradeep Rao

Research outputs 2022 to 2026

Background: Attention Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder in school-aged children and has been associated with impaired brain iron homeostasis. Evidence has shown that psychostimulant treatment may affect brain iron content in children with ADHD, however, longitudinal evidence remains limited. The present longitudinal study investigated the effect of psychostimulant treatment duration and age at treatment onset on brain iron content in children with ADHD. Methods: Neuroimaging and phenotypical data were collected from the publicly available Oregon ADHD-1000 dataset. After screening, data from 29 psychostimulant-medicated children with ADHD and 38 neurotypical children were included. Individual General Estimating Equation (GEE) …

Culturally Safe Nursing: Transformative Learning Experiences Through Critical Reflection Assessment, Lesley Andrew, Michelle Pedlow, Bev Ewens

Research outputs 2022 to 2026

Aim: To explore the transformative learning experiences of postgraduate nursing students engaging in an Aboriginal culture and history module, through an analysis of a critical reflection assessment, in particular the student development of cultural awareness and culturally safe practice.

Background: Despite mandated inclusion of Aboriginal cultural content in Australian nursing curricula, culturally unsafe practices and racism persist. Transformative learning, underpinned by critical reflection, can challenge fixed assumptions and promote cultural awareness and culturally safe care.

Design: A qualitative descriptive study using thematic analysis. Methods: Written critical reflections from 15 consenting postgraduate nursing students who completed the Ngany Kalyakal Katatjiny Boordawan …

Trx Suspension Vs Swiss-Ball Core Training For Core-Muscle Endurance And Static/Dynamic Balance In Overweight Inactive Women: A Randomized Trial, Siavash Naddafha, Mona Sarhadi, Maryam Taherkhani, Abbas Biniaz

Research outputs 2022 to 2026

Purpose: Prolonged sitting and physical inactivity are key risk factors for trunk-muscle weakness, impaired balance, and low-back pain in overweight women. Although unstable-surface training is widely prescribed, head-to-head comparisons between TRX suspension and Swiss-ball exercise are limited. We compared these modalities for effects on core-muscle endurance and balance.

Methods: Thirty overweight, inactive women (30 ± 5 years; BMI 27.3 ± 1.6 kg·m⁻2) were block-randomized (1:1) to 8 weeks (3 sessions/week) of TRX or Swiss-ball training using five matched exercises at Borg RPE 13–15 on the 6–20 scale. Outcomes were trunk-extensor (Biering-Sørensen), trunk-flexor (60° curl-up), and trunk-lateral (side-bridge) endurance; static balance …

Characterising The Beyond 50 Cohort: Preliminary Exploration Of Physical And Psychosocial Health Factors And Substance Use Among A Cohort Of Community Dwelling Adults Aged 50–70 Years, Rose Laing, Tina Lam, Bosco Rowland, Paul Dietze, Aislinn Lalor, Keith D. Hill, Laura Alfrey, Nadine E. Andrew, Shalini Arunogiri, Stephen Bright, Louisa Picco, Suzanne Nielsen

Research outputs 2022 to 2026

Introduction: Older adults exhibit unique risks associated with poor mental health and substance use. The Beyond 50 study is a longitudinal cohort investigating the determinants of healthy ageing, including relationships between physical and psychosocial health and substance use. We aim to characterise the Beyond 50 cohort and explore patterns of physical and psychosocial health and substance use. Methods: Baseline data collection was completed between September 2023 and August 2024. Annual follow-up data collection commenced in September 2024. Descriptive statistics will be used to characterise the cohort at the time of baseline survey completion. Results: Of the 1059 participants, the mean …

Metabolomics In Renal Cystic Disease: Links To Mechanisms And Identification Of Pathways For Potential Prediagnosis, Liyan Chen, David Broadhurst, Armaghan Shafaei, Jacqueline K. Phillips, Shijie Tang, Hayley Abbiss

Research outputs 2022 to 2026

Polycystic kidney disease (PKD) is a common hereditary kidney disorder with an insidious onset and complex mechanisms, making early diagnosis challenging. Current diagnostic methods, including imaging and genetic testing, have limitations. Imaging detects cysts only once formed, and genetic testing is costly, labor-intensive, and unable to guarantee complete diagnostic accuracy or predict onset and progression. Metabolomics may offer an approach to uncover PKD mechanisms by detecting metabolic alterations that precede clinical manifestations, enabling identification of disease-specific biomarkers, and providing earlier and more practical detection than imaging or genetic testing. This review synthesizes existing metabolomics studies of human PKD and renal …

Rank, Degrading Treatment, And The Italy-Albania Agreement, Jamal Barnes, Obed Adonteng-Kissi

Research outputs 2022 to 2026

In November 2023, Italy signed a five-year agreement with Albania to transfer asylum seekers intercepted in international waters by Italian vessels to Italian-run detention centres in Albania for asylum processing and deportation. The agreement has been controversial and raises several human rights issues. This article examines these human rights concerns and argues that the agreement is degrading by design. Analysing policy documents, legal cases, speeches, international human rights and refugee law, and philosophical and legal scholarship on the concept of degrading treatment, this article argues that the cumulative effect of subjecting people to unnecessary suffering, discrimination, and dehumanisation creates a …

Sonographer Clinical Skills Training: What Can We Learn From International Education And Clinical Training Models To Address The Workforce Shortage?, Jennifer Alphonse, Gill Harrison, Christopher Edwards, Rebecca Perry, Afrooz Najafzadeh Abriz, Ignatius Pereira, Tara Chegwin, Pauline A. Mitchell, Adrienne J. Young, Shelley A. Park, Kate Russo, Michelle Fenech, Ann Quinton

Research outputs 2022 to 2026

Introduction: The sonographer workforce shortage is worldwide, with limited access to clinical training positions a major contributing factor to qualified sonographers entering the workforce. Our aim is to examine sonographer training models in English-speaking countries where sonographers are the primary providers of diagnostic ultrasound services and clinical training (work integrated learning/WIL) is embedded within accredited course curricula to troubleshoot the sonographer workforce shortage.

Methodology: An extensive search of Australian and international sonography course providers was performed. Accredited courses where WIL is a curriculum component and is assessable were included. Courses from Australia were compared to international courses and course elements …

Study Designs For Interpath-002 And Interpath-009 Of Adjuvant Intismeran Autogene Plus Pembrolizumab For Non-Small Cell Lung Cancer, Jonathan D. Spicer, Solange Peters, Justin F. Gainor, Jamie E. Chaft, Christine M. Bestvina, Jay M. Lee, Thomas U. Marron, Muhammad A. Khattak, Laureen S. Ojalvo, Joydeep K. Banerjee, Zheng Wang, Xuan Deng, Nazly Shariati, Steven M. Keller, Tina Cascone

Research outputs 2022 to 2026

Background: Neoantigens are immunogenic molecules arising from patient-specific tumor mutations. Intismeran autogene (intismeran; formerly V940, mRNA-4157), an mRNA-based individualized neoantigen therapy (INT) encoding ≤34 neoantigens unique to each patient's tumor, is designed to promote an antitumor immune response. In early-phase studies, adjuvant intismeran plus pembrolizumab showed antitumor activity with solid tumors. Standard-of-care therapy for non-small cell lung cancer (NSCLC) tumors ≥4 cm includes platinum-based chemotherapy and pembrolizumab given after (adjuvant) or both before and after (perioperative) surgical resection. We describe study designs for the INTerpath-002 and INTerpath-009 studies evaluating the addition of intismeran to adjuvant pembrolizumab-based therapy in stage II-IIIB …

Underfunded And Undervalued: Community-Based Health Promotion Practitioners’ Experiences Of Western Australia’S Prevention Sector, Ruth M. Wallace, Leesa N. Costello, Elizabeth J. Cook

Research outputs 2022 to 2026

Prevention is a central policy focus of contemporary health promotion, offering cost-effective strategies to reduce disease burden and improve population well-being. Despite this, Australia allocates a small proportion of its health budget to prevention, with funding models characterized by short-term cycles and competitive tendering. While the consequences for public health are well documented, the impact on the health promotion workforce remains underexplored. Workforce health and stability are critical for program delivery, ethical practice, continuity of relationships with communities, and the capacity to sustain long-term prevention efforts. This qualitative study examined the experience of 19 community-based health promotion practitioners in Western …

Associations Between Dietary Vitamin K1 And K2 Intake And Incident Dementia: Findings From The Danish Diet, Cancer, And Health Cohort, Negar Ghasemifard, Marc Sim, Pratik Pokharel, Chengfeng Li, Allan Linneberg, Anne Ahrendt Bjerregaard, Anja Olsen, Christina C. Dahm, Simone Radavelli-Bagatini, Simon M. Laws, Joshua R. Lewis, Jonathan M. Hodgson, Nicola P. Bondonno

Research outputs 2022 to 2026

Purpose:Vitamin K is hypothesised to support vascular integrity and neuronal function through vitamin K-dependent proteins, yet epidemiological evidence for its role in dementia, particularly distinguishing vitamin K1 and K2, is limited. This aetiological study examined associations between dietary vitamin K1 and K2 with incident dementia in a large Danish cohort.

54,968="54,968" dementia-free="dementia-free" participants="participants" (47.5%="(47.5%" male,="male," aged="aged" 50–65="50–65" years)="years)" from="from" the="the" danish="Danish" diet,="Diet," cancer,="Cancer," and="and" health="Health" cohort="cohort" (1993–1997)="(1993–1997)" with="with" dietary="dietary" vitamin="vitamin" k1="K1" (µg/day),="(µg/day)," and="and" k2="K2" (µg="(µg" phylloquinone="phylloquinone" equivalent/day)="equivalent/day)" intakes="intakes" estimated="estimated" from="from" a="a" 192-item="192-item" food="food" frequency="frequency" questionnaire.="questionnaire." incident="Incident" and="and" early-onset="early-onset" dementia="dementia" were="were" identified="identified" through="through" national="national" registries.="registries." cox="Cox" proportional="proportional" hazard="hazard" models="models" with="with" restricted="restricted" …

An Investigative Approach Leveraging Digital Twin Technology For A Cnc Machine, Anand Valiavalappil

Yanbu Journal of Engineering and Science

Digital twin technology has emerged as an effective approach for improving the monitoring, validation, and optimization of Computer Numerical Control (CNC) machining operations. This study presents an investigative framework integrating Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM), Software-in-the-Loop (SIL), and Hardware-in-the-Loop (HIL) methodologies for diagnosing and rectifying machining defects in CNC systems using the digital twin - virtual model (component and asset twins). Four machining experiments were conducted using Aluminum 6061-T6, Polytetrafluoroethylene (PTFE), Brass, and Stainless Steel (AISI 304) on an EMCO CNC machine integrated with Siemens 840D controls. The first two experiments, involving turning and drilling operations, are presented in detail; the …

Investigating How Personal Values Shape Tourism Experiences: A Case Study Of The Irish National Stud And Gardens, Amy Monahan, Ann T. Conway

International Journal of Tour Guiding and Visitor Attraction Research

This Paper explores the relationship between personal values and tourism experiences  that are  satisfying. A case study of the Irish National Stud and Gardens was undertaken in order to explore this concept. Interviews were conducted to investigate how qualities of the attraction appealed to the visitors’ personal values, thereby enhancing the overall visitor experience. A set of personal values were identified which were specific to the destination. The research demonstrated how an understanding of personal values can assist attractions with various aspects of their operations, with context specific recommendations provided at the end. This approach was taken was taken to …

Exploring The Backgrounds, Experiences, Motivations, And Development Of School-Based Wheelchair Sport Coaches, Deborah Shapiro, Scott Douglas, Jp Barfield, Laurie A. Malone

Journal of Coach Development

Coaching in adapted sport is a complex and demanding practice that requires both specialized technical expertise and a deep understanding of disability. This study explored the motivations, backgrounds, and developmental pathways of interscholastic school-based wheelchair sport coaches. We examined how coaches are introduced to wheelchair sport coaching, their initial and ongoing development, and their perspectives on effective coaching and training practices. A total of 17 coaches (10 men, 7 women) with 1 to 17 years of experience in wheelchair sports coaching from 7 interscholastic wheelchair sports teams participated in one 60-minute mini focus group discussion and responded to a set …

Coming Soon To A Cellar Near You: Novel Range Expansion Of A Short-Bodied Cellar Spider, Physocyclus Enaulus (Araneae: Pholcidae), In A Building In Central Illinois, Usa, Ricky Gieser, Mark Davis

The Great Lakes Entomologist

A reproductive population of Physocyclus enaulus Crosby, 1926 (Pholcidae: Araneae), a short-bodied cellar spider native to the American southwest and Mexico, is documented for the first time in a single building in Illinois, far outside of their known native range. The means of introduction is unknown but is likely influenced by either accidental hitchhiking spiders or a deliberate introduction to control brown recluse populations. Cellar spiders were purchased and released in the same building to predate on brown recluse spiders, but the first P. enaulus individual was found a year prior to the release. These cellar spiders have a wide-ranging …

Seasonal Emergence, Egg Gallery Characteristics, And Natural Enemies Of The Eastern Ash Bark Beetle, Hylesinus Aculeatus (Coleoptera: Curculionidae: Scolytinae), In Michigan, Robert A. Haack

The Great Lakes Entomologist

Hylesinus aculeatus Say (Coleoptera: Curculionidae: Scolytinae) commonly infests the trunks and limbs of recently dead, dying, or cut ash (Fraxinus spp.) trees in eastern North America. In the Great Lakes region, H. aculeatus is univoltine, overwinters as adults, breeds in late spring and early summer, and constructs transverse biramous egg galleries. I sampled trunk and branch sections from three small-diameter white ash (F. americana L.) trees that were cut in April 1986 in Ingham County, Michigan, and then naturally infested by H. aculeatus and associates. Bolts cut from these trees and placed in an outdoor rearing cage in …

Paper Wasp Species Polistes Fuscatus (Hymenoptera: Vespidae) Tracks Urban Lead (Pb) Levels More Than Polistes Dominula, Lindsey R. Kemmerling, Anna L. Lovat, Allison A. Hanka, Emilie C. Snell-Rood

The Great Lakes Entomologist

Lead (Pb) is a persistent, toxic pollutant with widespread but inequitably distributed impacts, especially for humans in urban areas. The impacts of lead pollution on other organisms is largely unknown, even as they commonly experience exposure to lead alongside humans. We tested hypotheses regarding the lead concentrations of paper wasps across a gradient of pollution relative to soil and human lead levels, and correlations with wasp body condition. We collected two species of paper wasp across an urban gradient of lead pollution: Polistes fuscatus (Fabricius) (Hymenoptera: Vespidae), native to our study location, and Polistes dominula (Christ), nonnative to our study …

Could The European Thanasimus Formicarius Outcompete The North American Thanasimus Dubius (Coleoptera: Cleridae) If Introduced To North America?, Robert A. Haack, Robert K. Lawrence

The Great Lakes Entomologist

A federal quarantine was enacted in the United States (US) in the fall of 1992 in response to discovery of the Eurasian pine shoot beetle, Tomicus piniperda (L.) (Coleoptera: Scolytinae), in July 1992 in Ohio. The quarantine regulated movement of pine products (e.g., Christmas trees, nursery stock, and logs) at the county level from infested to uninfested US states. A classical biological program was considered for T. piniperda starting in 1995, focusing on the Eurasian clerid beetle Thanasimus formicarius (L.), an important predator of T. piniperda. Concerns were raised in 1996 that if T. formicarius were released in the …

Fecundity Of Thanasimus Dubius (Coleoptera: Cleridae) Rebounds After A Period Of Prey Scarcity, Robert A. Haack, Robert K. Lawrence

The Great Lakes Entomologist

We field-collected Thanasimus dubius (Fabricius) (Coleoptera: Cleridae) adults during spring, maintained them separately in the laboratory, and initially gave them four bark beetle adults [Ips grandicollis (Eichhoff) or Tomicus piniperda (L.) (Coleoptera: Curculionidae: Scolytinae)] daily as prey. Using a subset of the female clerids (N = 41), we assigned them to one of four feeding groups that varied in the number of prey provided daily. For the first four weeks of a 12–week study, the four diets were: four prey daily, two prey daily, one prey daily, and one prey every 2 days. After four weeks, all females were …

Ukrainian Theology, War, And Human Transformation: Reflections On The International Conference ‘Transfiguration: Tradition And Eschatology, Vladyslav Fulmes

Occasional Papers on Religion in Eastern Europe

On June 11, 2026, the Volyn Orthodox Theological Academy (Lutsk, Ukraine) hosted the international theological conference “Transfiguration: Tradition and Eschatology”, bringing together scholars, clergy, philosophers, chaplains, psychologists, and researchers from several countries. This report examines the conference’s principal theological and interdisciplinary themes, including deification, eschatology, ecclesiology, ecological responsibility, pastoral care, military and medical chaplaincy, digital technologies, and the Church’s response to war and post-war reconstruction.

Religion And Economics: The Economic Views Of Catholicos-Patriarch Ilia Ii Of Georgia, Giuli Giguashvili

Occasional Papers on Religion in Eastern Europe

The paper examines the impact of religion on a country’s economic development, analyzing how religious values and institutions influence economic behavior. The research employs a qualitative, comparative, and historical approach based on the systematic analysis of primary and secondary sources. Religion can promote economic growth by strengthening work ethics, education, and social order. Still, it may also hinder development through inefficient resource allocation and regulatory influence. In the context of the 1700th anniversary of Christianity in Georgia, the study highlights the relationship between Orthodox teaching and economic thought. Drawing on the epistles and sermons of the Catholicos-Patriarch of All Georgia, …

Practical Aspects Of Religious Social Work In Modern Ukraine, Inna Vladislavivna Kovalchuk

Occasional Papers on Religion in Eastern Europe

This work analyzes the current state and specifics of the activity of religious organizations in the social sphere of Ukraine. Special attention is paid to the transformation of religious social work in the conditions of a full-scale war, where religious communities have become key agents of humanitarian, psychological and spiritual assistance. The article examines the mechanisms of interaction between the church, the state and non-governmental organizations in solving social problems. The findings are based on the practical experiences of those working with internally displaced persons (IDPs), veterans, large families, and individuals facing difficult life circumstances. Unique methods of denominational assistance …

The Church’S Social Vocation In World War I And Postwar Recovery: Theodor Zöckler’S Pastoral Ministry In Stanislaviv And Its Relevance For Contemporary Ukraine, Liudmyla Tymchuk, Yurii Klonovskyi

Occasional Papers on Religion in Eastern Europe

This article examines Theodor Zöckler’s pastoral ministry in Stanislaviv during the First World War and the difficult years of postwar reconstruction, and assesses the relevance of that experience for churches in contemporary Ukraine. Drawing on archival records, institutional reports, church periodicals, correspondence, and historical scholarship, the study analyzes how Zöckler combined spiritual care with evacuation, humanitarian relief, medical service, child protection, education, vocational training, and institutional advocacy. Historical-genetic, problem-chronological, hermeneutic, and comparative methods are used to reconstruct the transformation of his ministry under conditions of occupation, forced displacement, political transition, and economic collapse. The findings show that Zöckler’s response moved …

Solidarity In Action: Social Service Of Caritas Organizations In Ukraine In Wartime, Andrii Marchenko

Occasional Papers on Religion in Eastern Europe

The article is devoted to the analysis of the activities of Caritas charitable organizations in Ukraine, which are affiliated with the Ukrainian Greek Catholic Church (Caritas Ukraine) and the Roman Catholic Church (Caritas-Spes Ukraine), in the realities of the Russian-Ukrainian war. Particular attention is focused on considering how the fundamental ideas of Christian love, mercy, common good, and solidarity are embodied in the various practices of humanitarian, spiritual, and other support that these institutions provide to different categories of the population of Ukraine, especially those who have suffered from the destructive consequences of the war. Types of such support include, …

Imperial Pedagogy And Religious Constraint: The Politics Of Islamic Education In The Kazakh Steppe Under Tsarist Rule, Kunduzay Yerimbetova, Bekmurat Naimanbayev

Occasional Papers on Religion in Eastern Europe

This article examines the evolution of the Russian Empire’s educational policies toward Islamic schools in the Kazakh Steppe from the mid-nineteenth century to the 1917 Revolution. While the early imperial administration initially tolerated Islamic institutions for pragmatic governance, the latter half of the nineteenth century witnessed a decisive paradigm shift toward systematic surveillance and restriction. Drawing on archival records and colonial administrative decrees, the study analyzes the implementation of the "Ilminsky system" and the compulsory introduction of the Cyrillic alphabet as tools for cultural assimilation and Russification. The research highlights the dual nature of colonial education: while the Tsarist authorities …

Volume 9 (2026) Climate And Responsibility

International Journal on Responsibility

This issue focuses on the various ways responsibility affects environmental justice. Specifically, this volume urges us to think about how societal and individual (in)action influences ecological crises and what informs this behavior, with a specific focus on religious and Indigenous beliefs and values.

Vermillion, Saptarshi Biswas

HCA Healthcare Journal of Medicine

The sky is vermilion, and the sand below mirrors its hue—a seamless union of heaven and earth in the waning light. The setting sun spills its final radiance across the world, as if reluctant to surrender to night. In this mirrored brilliance lies a quiet truth about human life: that our final moments often reflect the sum of all that came before, casting meaning backward, tinting memory with the soft, forgiving glow of closure.

Just as the sand borrows its color from the sky, so too do our lives borrow significance from what we love, what we lose, and what …

We Grow Accustomed To The Light, Minh Q. Nguyen

HCA Healthcare Journal of Medicine

Drawing inspiration from Emily Dickinson’s exploration of the unknown in "We Grow Accustomed to the Dark," this poem, "We Grow Accustomed to the Light," re-examines the final transition of life through a clinical and humanist lens. While Dickinson focused on the bravery required to navigate the "Dark," this piece explores the courage needed to face the "Light," representing the clarity of terminal illness, the shedding of medical "fetters," and the shared experience of the "final goodbye." It challenges the traditional medical impulse to "push forward" at all costs, instead advocating for a "Wise" acceptance of the natural end of the …