Digital Commons Network^™

Medical-Surgical Nurses’ Perceptions On Incivility In A Hospital Setting, Monsurat Atinuke Mohammed

Walden Dissertations and Doctoral Studies

Incivility in nursing has become a chronic issue that harms nurses, patients, teams, and organizations. Individuals often feel belittled, which contributes to frequent job dissatisfaction and resignation, ultimately resulting in financial losses for an organization. The purpose of this qualitative descriptive study, guided by Johnson’s behavioral model, was to explore nurses’ perceptions about incivility in a medical-surgical hospital setting. Ten semistructured audio-recorded interviews were conducted with registered nurses recruited through a professional organization. The data were manually transcribed verbatim and analyzed using Saldana’s approach. Results indicated four themes: (a) workplace culture and interpersonal dynamics, (b) need for support and mentorship, …

Unh Research: Love, Dating, And Intimacy Don’T End With Age, Aaron Sanborn

UNH Today Archive

No abstract provided.

Translating Community Voices To Build Meaningful Engagement: A Community Health Worker Led Study, Lauren Workman, Julie Smithwick Msw, Chw, Kimberly C. Rawlinson, Mark M. Macauda, Lashandra Morgan, Whitney Davis

Faculty Publications

Background: Understanding community perspectives on barriers and facilitators of meaningful engagement, equitable decision making, and sustainable community improvement is critical for advancing health equity. Community Health Workers can make significant contributions to research teams, as they are bridges into communities and bring unique perspectives. This study describes community voices on barriers to authentic engagement and insights on strategies to build trust, as well as the way in which these data were translated into a tangible assessment tool and a community-facilitated learning academy.

Methods: A team of Community Health Workers led a series of 24 ‘open mic’ discussions in four South …

Association Between Dietary Folate And Prostate Cancer Aggressiveness Among African Americans And European Americans, Lihchyun Joseph Su, Sarah O'Connor, Daniela Ramirez Aguilar, Minjae Lee, Harrison Wong, Hui-Yi Lin, Jeannette T. Bensen, James L. Mohler, Lenore Arab, Longgang Zhao, Ebonee N. Butler, Laura Farnan, Susan E. Steck Phd, Mph, Rd

Faculty Publications

Background: Despite the confirmed beneficial effects on preventing neural tube defects, concerns about high intakes of synthetic folate, or folic acid, in promoting cancer progression have been raised. This study evaluated the association between folate intake and prostate cancer (PCa) aggressiveness among African-American (AA) and European-American (EA) males. Methods: This study included 722 AA and 775 EA men with prostate cancer. Folate intake (dietary folate equivalent (DFE), synthetic folate, natural folate) was estimated using the National Cancer Institute Dietary History Questionnaire and detailed dietary supplement use questionnaire. Analyses included univariable comparisons of demographic and clinical characteristics of the two racial …

Montana Kaimin, February 26, 2026, Students Of The University Of Montana, Missoula

Montana Kaimin, 1898-present

Student newspaper of the University of Montana, Missoula.

Trauma-Informed Professional Development From Grassroots To System-Wide, Heidi Gilroy

Creating Healthy Work Environments (CHWE)

A recent meta-analysis revealed that nearly one-third of all working Registered Nurses have post-traumatic stress disorder. Nurses are also reporting high levels of depression, anxiety, and other physical and mental health consequences of traumatic stress exposure. While COVID-19 may have exacerbated some mental health conditions in nurses, many decades of research shows that nurses and other healthcare workers have long struggled with poor mental health. In order to address this issue, a group of Nursing Professional Development (NPD) practitioners at a multi-site healthcare system aimed to develop an evidence-based approach to addressing poor mental health in nurses and other healthcare …

Spartan Daily, February 26, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 16

Turning Zwitterions Into Toughening Agents: Salt-Activated Microdomains In Poly(Vinyl Alcohol) Double-Network Hydrogels, Louis D. Zhang, Jintao Yang, Si Yu Zheng

University Research

Zwitterionic hydrogels, although highly biocompatible, are widely regarded as mechanically fragile, with typical tensile strengths below 0.1 MPa, which restricts their use in load-bearing applications. Here, we address this limitation by integrating a polyzwitterionic network with a poly(vinyl alcohol) (PVA) network through high-speed pregelation agitation that enhances chain entanglement and induces flow orientation. By exploiting the salt-driven conformational transition of zwitterionic chains, a controlled salting-out step generates uniformly dispersed nanoscale microdomains that act as reversible energy-dissipating units. At the same time, balanced hydrogen bonding between the two networks moderates PVA crystallinity, limiting embrittlement while preserving elasticity. The resulting double-network hydrogel …

Silvanus V. State Of Nevada, 142 Nev. Adv. Op. 15 (Feb. 26, 2026), Rocco Marino

Nevada Supreme Court Summaries

In cases with split ‘guilty but mentally ill’ and ‘not guilty by reason of insanity’ verdicts, district courts retain discretion in sequencing civil commitment and incarceration under NRS 175.539 and NRS 175.533.

Machine Learning For Elderly Behavior And Risk Incident Modeling, Muhammad Tanveer Jan

Electronic Theses and Dissertations

The rapid expansion of the aging population presents critical challenges to healthcare systems, particularly in maintaining independent living, ensuring mobility safety, and optimizing emergency interventions. Traditional monitoring solutions are often fragmented, reactive, and hindered by the scarcity of data regarding rare high-risk events. This dissertation proposes a comprehensive, multi-modal machine learning framework designed to model elderly behavior and predict risk incidents across three critical environments: the home, the vehicle, and the clinical setting.

To address the fundamental challenge of class imbalance in medical and behavioral datasets—where risk events are statistically rare—this research first introduces a dual-phase data augmentation strategy. By …

An Exploratory Study Of Employability, Work Readiness, And International Experiences For One-Year International Postgraduate Taught Business Students In The Uk, Fa Wang

Plymouth Business School Theses

Delivering world-class student experiences, navigating evidence-based graduate outcomes, and advancing the employability agenda are central to the current landscape of UK universities. While maintaining high educational standards and remaining competitive in international student recruitment have become increasingly challenging after the global pandemic and amid ongoing financial pressures faced by the UK universities, limited academic attention has been given to the employability of one-year international postgraduate taught students (IPGTs) in UK higher education. Recognising IPGTs as a significant cohort that makes substantial economic, sociocultural, and expertise-related contributions to both tertiary education and the host country’s labour market, this doctoral study aims …

Advances In Real-Time American Sign Language Recognition System Using Deep Learning Techniques For Enhanced Accessibility, Bader Alsharif

Electronic Theses and Dissertations

Advancements in technology have significantly contributed to the development of innovative tools aimed at improving communication and accessibility for individuals with hearing impairments. This dissertation explores various machine learning and deep learning techniques for recognizing American Sign Language (ASL) gestures, focusing on enhancing accessibility and bridging the communication gap between hearing-impaired and hearing individuals. Traditional machine learning models, such as Random Forest, Support Vector Machines (SVM), and K-Nearest Neighbors (KNN), alongside deep learning architectures like AlexNet, ResNet-50, EfficientNet, ConvNeXt, and VisionTransformer, were investigated for their effectiveness. Experiments conducted on an extensive dataset of 87,000 ASL gesture images revealed exceptional recognition …

An Interoperable Vaccine Record: A Roadmap To Realization, Xia Jing, Arild Faxvaag, Christian G Nøhr, David Robinson, Paul G Biondich, Timothy D Law, Hua Min, Adam Wright, Yang Gong, Dean F Sittig

Faculty, Staff and Student Publications

Objectives: The objectives of this study were to educate the healthcare professional and the general public about interoperable vaccine records by elaborating on its definition, why we need one, what the challenges are, and what progress has been made in this direction.

Methods: The vaccination practices and vaccine record-keeping in the Nordic countries, the UK, and the USA are used as examples to demonstrate the necessity of interoperable vaccine records. The authors' expertise and experience in interoperability, medicine, and HealthIT, along with the literature, informed this paper's content, structure, and organization. Real-world examples and scenarios illustrate the reality …

From Wrist Data To Lifespan: Elucidating Inflammation-Driven Biological Aging Via Activity Rhythms Captured By Wearable Devices, Jinjoo Shim, Faraz Bishehsari, Mahboobeh Mahdavinia, Jamie M Zeitzer, Elgar Fleisch, Filipe Barata

Faculty, Staff and Student Publications

Systemic inflammation ("inflammaging") accelerates biological aging and drives cardiovascular, metabolic, and neurodegenerative disease. Circadian rhythms regulate the amplitude and timing of immune responses, yet their mechanistic role in inflammation and longevity remains unexplored. In 62,000 adults with 7-day wearable accelerometry, interpretable machine learning model identified rhythm amplitude, stability, and moderate-to-vigorous physical activity (MVPA) as dominant predictors of accelerated aging. In a subset of 1521 participants (35% male) with available data on the systemic immune-inflammation index (SII), we further examined the associations between behavioral rhythmicity and inflammation. Low amplitude and poor rhythm stability were associated with 0.31 and 0.18 SD higher …

Pretreatment Risk Model For Radiation-Induced Lymphopenia Is Associated With Adjuvant Durvalumab Efficacy In Patients With Unresectable Stage Iii Nsclc, Peter S N Van Rossum, Pim J J Damen, Francesco Cortiula, Brian P Hobbs, Lorenzo De Marchi, Radhe Mohan, Max Peters, Famke L Schneiders, Dirk De Ruysscher, Robin Wijsman, Joost J C Verhoeff, Ting Xu, Zhongxing Liao, Steven H Lin

Faculty, Staff and Student Publications

Introduction: Severe radiation-induced lymphopenia (RIL) during concurrent chemoradiotherapy (CCRT) for NSCLC has been associated with poorer outcomes and reduced immunotherapy efficacy. Because RIL often develops late during CCRT, identifying patients at risk before treatment may be clinically relevant. This study aimed to develop and validate a nomogram based on pretreatment predictors for severe RIL, and secondarily to explore associations between predicted RIL risk and adjuvant durvalumab-associated survival.

Methods: A retrospective development cohort of consecutive patients with NSCLC treated with CCRT (2010-2019) was established, along with an independent external validation cohort from other institutions. A multivariable logistic regression model was developed …

Development And Validation Of A Prognostic Risk Score For Patients With Cancer And Neutropenic Fever Presenting To The Emergency Department, Sandy Nath, Aiham Qdaisat, Andriy Derkach, Afia Babar, Deepti Zalavadia, Patrick Chaftari, Ziyi Li, Monica K Wattana, Joseph Schmeltz, Rocio Perez Johnston, Eduardo Ortiz, Kumar Alagappan, Adam Klotz, Sai-Ching Jim Yeung

Faculty, Staff and Student Publications

Objectives: Neutropenic fever (NF) is a life-threatening oncologic emergency associated with significant morbidity and mortality. Current predictive risk-stratification scores' limitations include outdated criteria, subjectivity, and low usage in the emergency department (ED). We sought to develop and externally validate a pragmatic, objective risk score to predict adverse outcomes in patients presenting to the ED with cancer and NF.

Methods: A retrospective cohort study was performed using data from 2 comprehensive cancer centers. The derivation cohort included adults presenting with NF to Memorial Sloan Kettering Cancer Center. External validation was conducted using data from the MD Anderson Cancer Center. The primary …

An Assessment Of Paediatricians' Knowledge And Perspectives Of Duchenne Muscular Dystrophy In Oman, Zamzam Al Jabri, Maryam Alsawaie, Amal Saki Malehi, Amna Al Futaisi, Fatema Al-Amrani

Sultan Qaboos University Medical Journal

Objectives: Duchenne muscular dystrophy (DMD) is a severe, X-linked recessive disorder. The rarity of DMD and insufficient training result in paediatricians being uninformed about the condition, delaying diagnosis and treatment. This study aimed to evaluate the knowledge and perspectives of Oman's paediatric residents and paediatricians regarding the genetics, clinical features and therapy of DMD. Furthermore, this study assessed the association between residency training phases (R1–R4) and post-residency knowledge, together with the influence of professional titles on DMD knowledge. Methods: This prospective cross-sectional study was conducted from October 2024 to February 2025 and included paediatric healthcare practitioners. An online questionnaire was …

Therapeutic Plateletpheresis For Thrombocytosis: Critical Analytic Reviews And Original Multicenter Experience, Jensyn Cone Sullivan, Jay S Raval, Nicole D Zantek, David L Allison, Gaurav Gupta, Caroline R Alquist, Nour Al Mozain, Hlaing Tint, Louise Helander, Lisa Boggio, Jose Pérez-Carrillo, Kyle Annen

Faculty, Staff and Student Publications

Primary thrombocytosis is associated with increased risk of thromboembolism and bleeding. Therapeutic plateletpheresis (TPP), capable of rapid, transient platelet (Plt) count reduction, is employed as an emergency intervention for symptomatic thrombocytosis while awaiting the therapeutic effect of medical cytoreductive therapy. Nonetheless, the effect of TPP on outcomes and optimal role for TPP remain poorly understood. Critical analytic review of highest-pertinence and -quality articles was performed with the goal of establishing current knowledge gaps to direct original case data collection. Retrospective review of TPP procedures at six United States sites over ten years was performed. Pre-TPP symptoms, medical cytoreduction, adverse events …

Recognizing Structural And Social Determinants Of Health In The Diagnosis And Care Of Dementia, Shana D Stites, Sharnita Midgett, Nisha Patel, Kimberly Halberstadter, Rosalie Schumann, Marissa L Streitz, Yidan Shi, John C Morris, Jason Flatt, Crystal M Glover, Dawn Mechanic-Hamilton

2020-Current year OA Pubs

Structural and social determinants of health are environmental conditions that affect individuals' health and functioning across the life course. These determinants are salient factors at the apex of individual psychology, community variables, and larger sociological factors, exerting prominent effects on individuals' wellbeing. The National Institute on Aging seeks to understand their influence on aging and Alzheimer's disease. We propose that the benefits of doing so may reach beyond knowledge of disease mechanisms - it may also improve clinical outcomes. We describe efforts introducing structural and social determinants of health data into the national network of Alzheimer's disease research centers. We …

February 26, 2026, The Daily Mississippian

Daily Mississippian (all digitized issues)

No abstract provided.

The Instrumental Value Of Private Regulation: Evidence From The Case Of Corporate Non-Financial Reporting, Matthew Maguire

Faculty Research, Scholarly, and Creative Activity

Critics of private regulation argue that voluntary standards often fail to meaningfully improve corporate conduct while simultaneously functioning as a stumbling block that prevents the development of more stringent, mandatory regulation by states. This paper complicates this view by illustrating the instrumental value of private regulation—that is, its potential to act as a building block that facilitates the development of new government regulation that serves the public interest. Through a combination of in-depth interviews and analysis of publicly available documents, I examine the impact of voluntary corporate non-financial reporting on public policy over the period 1997–2025. The analysis highlights the …

Amicus Brief In Trump V. Barbara: An Originalist Defense Of Birthright Citizenship, Jed Handelsman Shugerman, Evan D. Bernick

Faculty Scholarship

For nearly all of the first 235 years under the Constitution, the citizenship of every child born in the United States to alien parents, with immaterial exceptions, was a given. Then, in 2025, the Trump administration changed course. Even though the Fourteenth Amendment makes no mention of limiting birthright citizenship to the children of domiciled parents, the Government now claims that is what “subject to the jurisdiction thereof” has always meant. While the Government and its amici admit that the common law recognized the citizenship of children of transient aliens, their remaining “survey of history range[s] from the constitutionally irrelevant” …

A Comparative Effectiveness Trial For Universal Psychosocial Screening With The Psychosocial Assessment Tool (Pat) Across 18 Childhood Cancer Programs In The United States: Adoption, Penetration, And Health Equity, Lamia P. Barakat, Michele A. Scialla, Nithyasri Ramaswamy, Janet A. Deatrick, Kamyar Arasteh, Eric Sandler, Shannon N. Hammer, Anne E. Kazak

Department of Pediatrics Faculty Papers

BACKGROUND: Universal, systematic psychosocial screening in childhood cancer assures care matched to need and achieves a Standard of Psychosocial Care. It is accomplished inconsistently due to barriers at the family, provider, and institution level, potentially contributing to disparities in care and outcomes. We conducted a comparative effectiveness trial of two implementation strategies of an established measure (Psychosocial Assessment Tool; PAT3.0) across 18 children's cancer programs to identify strategies that resulted in higher levels of screening in English and Spanish (penetration, health equity). We also examined uptake at the institution level (adoption).

METHODS: Sites were randomized to Strategy I (web-based training …

Bioactive Profile And Mineral Composition Of Fruit Extracts From Four Wild Hawthorn (Crataegus Spp.) Species, Özlem Çakir, Kübra Çinar Topçu, Abdurrahman Sefali, İshak Bayyi̇ği̇t, Gülçe İlhan, Jyoti̇ Singh

Turkish Journal of Agriculture and Forestry

This study compared the antioxidant capacity, total phenolic content (TPC), phenolic composition, lipid oxidation level, andmineral profiles of extracts obtained from four wild hawthorn species (Crataegus tanacetifolia, C. orientalis subsp. orientalis, C. orientalissubsp. szovitsii, and C. monogyna) collected from northeastern Türkiye. Significant interspecific variations were observed in DPPH,FRAP, and CUPRAC assays. While C. monogyna had the highest reducing capacity and TPC, C. orientalis subsp. szovitsii had the highestDPPH activity. Ultra-high performance liquid chromatography coupled to tandem mass spectrometry analysis showed that catechin,epicatechin, chlorogenic acid, and quinic acid were the major phenolics, and were particularly abundant in C. monogyna. Despitehaving a …

Making Sense Of And Responding To The Good And Bad Within Psychology: Common Grace And Antithesis As Tools For Psychology, Tyler Greenway, Cory B. Wilson

University Faculty Publications and Creative Works

As psychologists and students of psychology make sense of and respond to the good and bad within human behavior and its study, theological tools benefit their discernment. This paper presents two Neocalvinist theological concepts — common grace and antithesis — as tools for psychologists. These concepts help psychologists recognize God’s common gifts to humanity while also identifying what must be corrected. Such applications benefit psychologists in clinical cases and as they consider theoretical frameworks. When used together, these tools encourage us to anticipate both the true, good, and beautiful things in the world and the need at times for redirection. …

Merritt-Putnam Symposium | Tumor-Associated Epilepsy And Epilepsy-Associated Tumors: Exploring The Bidirectional Crosstalk Between Tumors And Seizures, Tracy A Bedrosian, Michael Wong, Erin L Heinzen, Benjamin Deneen, Catherine A Christian-Hinman

Faculty, Staff and Students Publications

Links between cancerous and noncancerous brain tumors and epilepsy have long been recognized. However, recent clinical and preclinical studies emphasize that not only do tumors impinge on surrounding brain tissue in ways that promote hyperexcitability and epileptogenesis, but that neural activity also influences tumor progression. In this review, inspired by the Merritt-Putnam Symposium of the 2025 meeting of the American Epilepsy Society, we present a cross-disciplinary dialog between cancer and epilepsy research, including discussion of tumors and epilepsies that are more prominent in pediatric versus adult populations. First, we discuss the neuropathology, genetics, and surgical outcomes of epileptogenic brain tumors, …

Frequency And Self-Reported Outcomes Of Transcranial Magnetic Stimulation For Obsessive Compulsive Disorder In The U.S. And Latin America, Hala Aziz, Guadalupe Vidal-Martinez, Ogechi C Onyeka, Jacey L Anderberg, Javier Vargas-Medrano, Diana Sotelo, Demi Kourtesi, Renee M Frederick, Josselyn S Muñoz, Dayan Berrones, Vanessa Zavala Cruz, Peter Thompson, Silvina Tonarelli, Andrew D Wiese, James J Crowley, Eric A Storch

Faculty, Staff and Students Publications

Introduction: Obsessive compulsive disorder (OCD) affects about 1-2% of the global population, with roughly 30% of patients not responding to first-line treatments. Transcranial Magnetic Stimulation (TMS) has some support for treatment-resistant OCD but global use is unclear.

Methods: This study describes the frequency with which TMS was reported to be received among a large cohort of individuals who self-identified as Latino-Hispanic in Latin America and the United States. Among 3,391 participants, 76 (2.2%) had completed TMS for OCD.

Results: Recipients who received TMS exhibited more severe current and lifetime OCD symptoms compared to non-recipients. On average, participants underwent 22.61 TMS …

February 26, 2026, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.

Disparities In Emergency Department Outcomes By Race During The 2022–2023 Covid-Influenza Twindemic, Joshua Emakhu, Christiana David, Egbe Etu Etu, Sara Masoud, Imokhai Tenebe, Jordan Larot, Kindness Etu, Satheesh Gunaga, Joseph Miller

Faculty Research, Scholarly, and Creative Activity

Background: The 2022–2023 “twindemic” of COVID-19 and influenza has worsened emergency department (ED) overcrowding, revealing racial/ethnic disparities in emergency care. This study assessed racial differences in ED operational outcomes—specifically, discharge ED length of stay (LOS), boarding time among admitted patients, and left without being seen (LWBS) rates—and characterized disparities concentrated in the upper tails of delay distributions. Methods: This retrospective observational study included adult ED encounters with respiratory presentations and/or laboratory-confirmed COVID-19 or influenza across 10 EDs in Michigan between September 2022 and December 2023. The primary outcomes were ED LOS at discharge, boarding of admitted patients, and LWBS. Models …

Coordinated Stimulation Of Axon Regenerative And Neurodegenerative Transcriptional Programs By Atf4 Following Optic Nerve Injury, Preethi Somasundaram, Madeline M Farley, Melissa A Rudy, Katya Sigal, Andoni I Asencor, David G Stefanoff, Malay Shah, Puneetha Goli, Jenny Heo, Shufang Wang, Nicholas M Tran, Trent A Watkins

Faculty, Staff and Students Publications

Stress signaling is important for determining the fates of neurons following axonal insults. Previously, we showed that the stress-responsive kinase PERK contributes to injury-induced neurodegeneration (Larhammar et al., 2017). Here, we show that PERK acts primarily through activating transcription factor-4 (ATF4) to stimulate not only pro-apoptotic but also pro-regenerative responses following optic nerve damage. Using conditional knockout mice, we find an extensive PERK/ATF4-dependent transcriptional response that includes canonical ATF4 target genes and modest contributions by C/EBP Homologous Protein (CHOP). Overlap with c-Jun-dependent transcription suggests interplay with a parallel stress pathway that orchestrates regenerative and apoptotic responses. Accordingly, neuronal knockout of …