Digital Commons Network^™

Client Feedback Effects On Enjoyment, Motivation And Self-Efficacy In A Project-Based Learning Course, Krista Stacey, David M. Bourrie

University Faculty and Staff Publications

This paper reports a mixed-methods evaluation of how feedback/project source (faculty-led versus client-led) shapes student outcomes in a two-course undergraduate game and simulation development sequence (N = 29 across two academic years). Quantitative measures (enjoyment, intrinsic motivation, self-efficacy) were collected with a six-point Likert survey and analyzed, but due to small sample sizes were not used to empirically evaluate the constructs. Instead, qualitative data comprised of de-identified focus-group transcripts and open-ended survey responses were analyzed with a keyword-assisted codebook and manual validation. Year 1 (faculty feedback) exhibited more consistent post-course gains, especially in self-efficacy, while Year 2 (client feedback) produced …

Dampak Penerapan Integrated Care For Older People Dan Ina-Frail Dalam Menurunkan Sindroma Kerapuhan Pada Lansia, Mochamad Ramadhan Arista Pesat Eka Putra, Vetty Yulianty Permanasari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Indonesia is facing a significant increase in its elderly population, requiring effective and sustainable integrated geriatric services, one of which is through the implementation of Integrated Care for Older People (ICOPE) to assess intrinsic capacity decline combined with the Ina-FRAIL questionnaire to measure frailty in the elderly. This study aims to assess the condition of frailty in older adults through the ICOPE approach in integrated geriatric services at Humana Prima Hospital in Bandung using a quantitative design with an experimental approach. The assessment was conducted using the ICOPE and Ina-FRAIL instruments to monitor intrinsic capacity and the level of frailty …

The Role Of Gynecologic Oncologists In Improving Survival Outcomes Of Epithelial Ovarian Cancer: A Retrospective Cohort Study, Widyorini Lh Hanafy, Bambang Dwipoyono, Asri C. Adisasmita, Yosephine E. Regina, Airine S. Lians, Oktaviani P. Rahayu, Jane G. Auwelia

Kesmas

Epithelial ovarian cancer (EOC) is a leading cause of gynecological cancer mortality and is often diagnosed at an advanced stage, resulting in poor survival outcomes. Access to specialized gynecological oncology services has been associated with improved prognosis; however, data on its impact in Indonesia remain limited. This study aimed to evaluate the association between gynecologic oncologist (GO) services and disease-free survival (DFS) in patients with EOC. This retrospective cohort study included 76 patients with EOC who were treated at a national cancer hospital in Jakarta between 2015 and 2018. Patient data were obtained from medical records and followed for three …

Creating Climate Healthy Work Environments In Healthcare, Janice E. Hawkins, Beth Tremblay

Creating Healthy Work Environments (CHWE)

Climate change is not only detrimental to our planet but poses a serious threat to human health. The World Health Organization (WHO, 2021) named climate change the greatest threat to human health and, by 2030, predicts an increase of 250,000 deaths each year from climate-related causes. Incongruent with our pledge to do no harm, healthcare industries are significant contributors of carbon emissions that cause climate change. Healthcare systems produce almost 5% of heat-trapping gases released into the atmosphere. Hospitals generate 20 pounds of waste per patient each day, equating to 5 million tons of waste annually (Practice Greenhealth, 2022). As …

Empowering Nursing Through Reflective Practice: A Path To Resilience, Well-Being, And Healthful Workplace Cultures, Joanne P. Bosanquet

Creating Healthy Work Environments (CHWE)

In the UK's health and care system, the cornerstone is safe, effective, and evidence-informed person-centered care. The pursuit of consistent high-quality care is an imperative, demanding the unwavering commitment of healthcare professionals. However, the increasingly complexity of healthcare, coupled with escalating costs, uncertainties in the work environment, recruitment and retention challenges, and the alarming rise in staff sickness and burnout, pose formidable obstacles (Aiken et al., 2023; Villarante et al., 2023).

Registered nurses, despite their comprehensive theoretical knowledge and philosophical grounding, confront emotionally taxing work.

Reflection emerges as a transformative tool, enabling nurses to connect with their inner selves, nurturing …

Using The Misinformation Exposure-Trust Framework For Audience Segmentation: Predicting Covid-19 Vaccine Hesitancy Among U.S., Jing Zeng, Jinxu Li, Nan Yu, Xi Cui, Anli Xiao Ph.D.

Faculty Publications

This study examines whether individuals’ exposure to and trust in COVID-19 vaccine misinformation can be used to segment audiences and explain variations in vaccine hesitancy and health beliefs. Using k-means clustering, a survey of 819 U.S. college students (March–May 2021) identifies four subgroups based on combinations of high or low misinformation exposure and trust: misinformation-shielded (low exposure, low trust), misinformation-vulnerable (low exposure, high trust), misinformation-resistant (high exposure, low trust), and misinformation-accepting (high exposure, high trust). These subgroups differ significantly in political ideology, vaccine hesitancy, and health beliefs. The misinformation-shielded subgroup reports more liberal views, lower hesitancy, and higher perceived efficacy, …

Rise Of The Machines: Algorithmic Zoning For Climate Risk, Stephanie M. Stern, Cherie Metcalf

Maryland Law Review

No abstract provided.

Standing Against Housing, Brian M. Miller

Maryland Law Review

No abstract provided.

University Budget Advisory Committee Minutes (February 27, 2026), Csusb Budget Office

University Budget Office records

No abstract provided.

University Budget Advisory Committee Presentation (February 27, 2026), Csusb Budget Office

University Budget Office records

No abstract provided.

Cultural Science Night, Jiyoon Yoon

Mavs Open Press Open Educational Resources - Archive

This book is to learn water and weather by integrating with other cultures. This textbook is organized around two interconnected components. The first component provides cultural knowledge of China, India, Korea, and Mexico. The second component focuses on culturally responsive science instruction created for the Cultural Science Night event, an occasion in which teachers present hands-on, culturally responsive science activities in collaboration with students.

If you need an accessibility accommodation or have questions about the use of this text, please contact Mavs Open Press.

Intermittent Hypoxemia And Brain Injury Biomarker S100b In Preterm Infants, Elie G. Abu Jawdeh, Linda J. Van Eldik, Jennifer Stevenson, Abhijit Patwardhan, Philip M. Westgate, Lina Chalak, Richard J. Martin, Henrietta S. Bada

Epidemiology and Environmental Health Faculty Publications

Abstract – Introduction: Intermittent hypoxemia (IH) is common in preterm infants and linked to brain injury. S100B is a glial-derived protein that rises early after neural injury and can be measured noninvasively in urine. We evaluated the relationship between IH burden and urinary S100B in preterm infants of ≤32 weeks’ gestation. Methods: Preterm infants of ≤32 weeks’ gestation were prospectively enrolled. Oxygen saturation was continuously monitored, and IH profiles were quantified using validated algorithms. Urine S100B was measured by ultrasensitive immunoassay and normalized for urinary creatinine. Infants with severe intraventricular hemorrhage were excluded. Weighted Spearman correlations examined associations between IH …

Exosome Engineering For Blocking Gut Dysbiosis And Inducing Cell Death Mechanisms In Glioblastoma Multiforme, Ahalya Muraleedharan, Karthik Rangavajhula, Swapan K. Ray

Faculty Publications

Glioblastoma multiforme (GBM) is the most lethal primary brain tumor in adults. Emerging evidence endorses that gut dysbiosis contributes to GBM progression through the gut–brain axis (GBA), promoting inflammation and therapeutic resistance via abnormal short-chain fatty acid production and cytokine dysregulation. Exosomes, naturally occurring nanovesicles (30–150 nm), offer promising therapeutic potential due to their blood–brain barrier permeability, biocompatibility, and versatile cargo capacity. This review examines exosome engineering strategies for dual targeting: inhibiting alterations in gut microbiome and inducing regulated cell death mechanisms such as apoptosis and ferroptosis in GBM. We describe exosome engineering with detailed focus on cargo loading approaches …

Effect Of Hdl Disk And Ldl Dimer Presence On Lipoprotein Particle Number Determination And Subclassification, Zsuzsanna Kuklenyik, Anna A. Ivanova, Lauren E. Drinkard, David M. Schieltz, Jeffrey I. Jones, Kevin Bierbaum, Christopher A. Toth, Michael S. Gardner, Bryan A. Parks, Michael Andrews, Jennifer D. Kusovschi, Jack A. Sultan, Antony Lehtikoski, Jon C. Rees, Wanda I. Santana, Victoria Connor, Eric Leszynski, Robert W. Mcgarrah Iii, Mark A. Sarzynski Facsm, William E. Kraus, John R. Barr

Faculty Publications

High-density and low-density lipoproteins (HDL and LDL) are established analytical targets for diagnosis and risk stratification of numerous chronic diseases. This study investigates potential sources of bias in lipoprotein particle counting (HDL-P and LDL-P), focusing on the most atheroprotective small-HDL and most pro-atherogenic small-LDL. Plasma samples were fractionated using asymmetric-flow field-flow fractionation (AF4), coupled with hydrodynamic size measurement and comprehensive liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis of each fraction. Concentration-size profiles were deconvoluted into 10 HDL and 8 LDL Gaussian subspecies. Molecular volume ratios were used to evaluate proposed particle models, providing evidence for the presence of s-HDL disk and …

Hold Your Horses: The Eleventh Circuit Recognizes A Direct Cause Of Action Under The Takings Clause In Fulton V. Fulton County Board Of Commissioners, Brock Gumbel

Mercer Law Review

“[No person shall be] deprived of life, liberty, or property, without due process of law; nor shall private property be taken for public use, without just compensation.” In just twelve words, the drafters of the Bill of Rights guaranteed property owners a significant protection. The Fifth Amendment Takings Clause is not an express ban on government takings. Rather, it guarantees that when the government takes property from private citizens, it must provide just compensation. Although this guarantee is generally well established, its enforcement in federal court introduces unique and significant challenges.

Plaintiffs must have a cause of action to invoke …

The Culture Cure: Behavioral Supervision And The Regulation Of Financial Institutions, David B. Lourie

Mercer Law Review

This Article advances a normative claim: U.S. financial regulators must move beyond primarily adversarial, enforcement-driven models and adopt behavioral supervisory tools—particularly elements of culture assessments—to proactively help guide ethical firm conduct and mitigate systemic risk. Importantly, the proposal here is incremental and resource-efficient. Many recommendations place the onus on firms to assess and demonstrate their culture, while regulators set expectations, review outputs, and selectively verify findings. The framework proceeds in progressive stages—beginning with voluntary, partnership-based initiatives, moving toward light-touch integration within existing examinations, and scaling only where persistent governance weaknesses or systemic risks warrant closer attention. This tiered approach reflects …

Stuck In The Waiting Room: Medina V. Planned Parenthood’S Restriction On The Enforcement Of Spending Statutes Through 42 U.S.C. § 1983, Rebekah Rooks

Mercer Law Review

42 U.S.C. § 1983 was originally enacted in response to Ku Klux Klan violence during the Reconstruction era that had gone largely unpunished in state courts. The statute granted individuals an alternative means to enforce their “rights, privileges, or immunities secured by the Constitution and laws” in federal courts. What began as a lifeline for civil rights violations soon expanded to allow enforcement of all rights secured by federal and constitutional law. This broad interpretation of § 1983 language expanded the statute’s reach to include private enforcement of federal spending statutes against the states. The expansion ignited extensive debate over …

The Minutes Of The Marshall University Graduate Council Meeting, February 27, 2026, Marshall University Graduate Council

Graduate Council Minutes

No abstract provided.

Design And Control Of A Multi-Modal Electromagnetic Floor Array For Foot-Based Human Locomotion And Stabilization In Microgravity, Aryan Anand

Electrical Engineering Theses

Long-duration living and working in microgravity creates everyday mobility problems such as drifting, loss of stable footing, higher effort to move, and difficulty doing routine tasks safely. Many solutions have been proposed in literature, including handrails, restraint systems, and concepts for artificial gravity using rotation. Artificial gravity could improve comfort, but it is complex to build and operate for large spacecraft, especially when future missions may include not only trained astronauts but also common people. With companies like SpaceX pushing toward large-scale travel and long-term settlement goals, there is a need for simpler mobility support technologies that can work inside …

The Impact Of The Alabama Literacy Act On Rural Third-Grade Students, Autumn F. Blalock

College of Education

Low third-grade reading proficiency rates in Alabama prompted the passage of the Alabama Literacy Act (ALA) in 2019, which mandates systematic, explicit literacy instruction grounded in the Science of Reading. While the Act represents a substantial shift in instructional practice and state education policy, limited empirical research has examined its impact across school contexts, particularly in rural settings. The purpose of this quantitative, quasi-experimental study was to examine whether third-grade reading proficiency rates changed following implementation of the ALA and to compare outcomes between rural and non-rural schools and among rural students by socioeconomic status. Guided by the Simple View …

Choosing China: Unpacking The Motivations Of International Students Through A Case Study In Shanghai, Yu Zhang, Tian Qin, Xiaoqiao Zhang

Health Care Administration Faculty Research

The internationalization of higher education continues to accelerate with globalization, making China one of the top host nations for international students. This qualitative case study took place at a university in Shanghai, with 76 international students from 20 countries enrolled in the same English-taught engineering program. This research explored the motivations of international undergraduate students pursuing degree programs and their overall experience in China. The research reveals four main factors that shape students’ decision-making: academic reputation, social network influence, affordability, and safety. Additionally, many students identified academic difficulties even as they acknowledged the benefits of studying in China. This study …

The Scarlet - Volume Civ, No. 8 (February 27, 2026), Scarlet Staff

The Scarlet (Student Newspaper) (2011-present)

The February 27, 2026 edition of The Scarlet (est. 1939), Clark University's student-run newspaper. The Scarlet is intellectually and editorially independent of the University.

Kenyon Collegiate - February 27, 2026

Kenyon Collegiate

No abstract provided.

Complaint Re: Seek The City Adversary Case

Catholic Dioceses in Bankruptcy

No abstract provided.

Selectivity Modulation Of Small Cationic Membrane-Active Cyclic Peptides With Broad-Spectrum Activity Against Bacteria And Fungi, Sandeep Lohan, Rakesh Kumar Tiwari, Innokentiy Maslennikov, Kaustav Das Gupta, Shakti Singh, Keykavous Parang

Pharmacy Faculty Articles and Research

To investigate how ring size and backbone flexibility influence antimicrobial potency and cytotoxicity, we synthesized a series of macrocyclic peptides of lead peptide p1 (c[Arg-Arg-arg-arg-dip-Trp-dip]) by incorporating Gly, 2-aminoethoxyacetic acid (EAA), or 2,4-diaminobutyric acid (Dab). Two optimized peptides, 6b and 10b, retained broad-spectrum activity against drug-resistant Gram-positive (MIC, 1.5–6.2 μg/mL) and Gram-negative bacteria (MIC, 4–25 μg/mL), as well as pathogenic fungi, while exhibiting enhanced selectivity for microbial cells. Their therapeutic indices (TI ∼407 and ∼394, respectively) were ∼2-fold higher than p1, indicating improved safety. Both peptides remained effective against Gram-negative pathogens beyond the reach of daptomycin, were rapidly bactericidal, and …

Requesting Less, Winning More: A Plaintiff Strategy To Eliminate Low-Value Anchors, Emily V. Shaw, Jade E. Larson

Mercer Law Review

Picture this: You are a plaintiffs’ lawyer representing a permanently injured client in a high-stakes lawsuit. You think you can earn millions of dollars for your client based on their injuries—but something is holding you back: your client’s past medical bills. To date, she has only had to pay around $20,000. You worry that this fact might make your request for several million dollars in non-economic damages seem excessive to a jury. So, you make a plan: on the eve of trial, you withdraw your request for economic damages and stick to only requesting non-economic damages in the millions. There …

From Phone Booths To Digital Booths: Rethinking Fourth Amendment Privacy In The Age Of Open Source Intelligence, Major Theodore H. Massey Iii

Mercer Law Review

The use of Open Source Intelligence (“OSINT”) by the U.S. intelligence community marks a paradigm shift in national security practices, leveraging vast troves of publicly available and commercially acquired data. Yet this shift raises urgent constitutional questions regarding the applicability of the Fourth Amendment’s protections in the digital age. As OSINT practices increasingly rely on sophisticated aggregation techniques and artificial intelligence tools, the line between publicly available information and constitutionally protected privacy interests begins to blur. This Article critically examines whether certain forms of OSINT collection and analysis, particularly those that aggregate digital data at scale or use predictive algorithms, …

A Pathfinder Lunar Construction Mission Concept Using Regolith Filled Bags, Cameron S. Dickinson, Fu Nan Shi, Ketan Vasudeva, Rudranarayan M. Mukherjee, Joshua Blanchard, Steve Dubrule, Paul Van Susante, Et Al.

Michigan Tech Publications

Two challenges that have a permanent presence on the Moon are solar and cosmic radiation, as well as the large surface temperature variation between lunar day and night. To address these problems, we propose a lunar pathfinder mission concept that uses robotic systems to investigate whether regolith-filled bags can be used as a versatile construction medium for lunar surface structures and sensors to obtain data on the lunar regolith. The primary objectives of this mission are as follows: evaluation of the surface and subsurface regolith as fill material, lunar excavation using a robotic manipulator equipped with a bucket scoop, bag …

Achieving And Sustaining Treatment Targets In Rheumatoid Arthritis: A Retrospective Cohort Analysis In Indonesia, Fara Fauzia, Rudy Hidayat, Suryo Anggoro Kusumo Wibowo, Sumariyono Sumariyono, Faisal Parlindungan, Anna Ariane, Johanda Damanik, Abirianty Priandani Araminta, Suci Damaratri

Kesmas

Achieving and sustaining low disease activity (LDA) and remission in rheumatoid arthritis (RA) remains challenging. This study examined the rates and predictors of LDA/remission and sustained LDA/remission in an Indonesian RA cohort. A retrospective study of newly diagnosed adult patients attending a rheumatology clinic in 2020-2021 was conducted. Patients were followed for 12 months to evaluate achievement of LDA/remission, defined as DAS28-ESR ≤3.2, and those meeting the target were observed for an additional 12 months to evaluate sustained LDA/remission. Cox regression was used to identify predictors of time to LDA/remission and loss of LDA/remission. Of 166 participants, 91 (54.8%) achieved …

Urban–Rural Disparities In Metabolic Risk Factors For Hypertension Among The Elderly In Indonesia, Susiana Nugraha, Puri Wulandari

Kesmas

Hypertension remains a major public health challenge among the elderly in low- and middle-income countries. This cross-sectional study examined demographic and metabolic factors associated with hypertension among the elderly living in urban and rural areas of West and Central Java Provinces, Indonesia. This study included 1,920 adults aged ≥60 years who had resided in the study areas for at least six months, were able to communicate effectively, and provided informed consent. Data were collected between March and August 2023 using stratified multistage random sampling, structured questionnaires, and biochemical measurements. Multivariable logistic regression revealed distinct patterns of association across settings. In …