Digital Commons Network^™

The Need For A Validated Psychometric Scale To Assess Multidimensional Language Barriers In Medical Education Among Arabic Speakers, Ali Alfaifi, Nasser Shubayr

Health Professions Education

Language barriers significantly hinder academic performance, psychological well-being, and clinical communication skills of Arabic-speaking healthcare students educated through English-medium instruction. Although existing instruments focus on clinical communication—often among physicians—critical dimensions such as academic challenges and psychological impacts remain underassessed, and tools rarely address disciplines beyond medicine (e.g., nursing, pharmacy, radiology). Studies in Arabic-speaking contexts typically employ author-developed or adapted questionnaires lacking rigorous validation. This short communication underscores the need for a comprehensive, psychometrically sound scale tailored to Arabic-speaking healthcare students. Proposed dimensions include Language Proficiency, Academic Impact, Psychological Impact, and Clinical Communication. Validation will involve systematic item development, exploratory and …

From Clinic To Code: Using Clinician Insights To Develop A Framework For Fair And Representative Datasets In Women’S Health Ai, Andrea Heaney, Emma Murphy, Eugene Hickey

Research Outputs: 2025-Present

The development of Artificial Intelligence (AI) in healthcare is largely dependent on the quality of medical datasets. However, these datasets often fail to accurately represent women (and those seen as women) due to historic, implicit and biological biases. This under-representation can lead to biased, inequitable and even harmful models. Building upon the findings of previously conducted qualitative semi-structured semantic interviews with clinicians on their perceptions of women’s health, this paper presents a framework for translating qualitative findings to dataset characteristics via operationalisation. This framework outlines the key characteristics and considerations a dataset should include or consider to more accurately represent …

Nh Youth Code Of Conduct, Hannah Majewski

UNH Cooperative Extension

No abstract provided.

P.F. V. Meta Platforms, California Superior Court

Historical and Topical Legal Documents

No abstract provided.

Mapping Historical Neighborhoods With Geospatial Viewshed Buffers, James B. Townsend

Dissertations, Master's Theses and Master's Reports

The concept of neighborhood has been long studied with little agreement beyond the notion that neighborhoods are somewhat self-contained areas within a wider urban environment. Despite the lack of a finite definition, there is wide agreement of the importance of studying population dynamics at the neighborhood scale. Many attempts have been made to spatially define, measure, and quantify contemporary neighborhoods, but less attention has been given to methods to spatially define historical neighborhoods. In this paper, we utilize a historical spatial data infrastructure for the city of London, Ontario to develop a viewshed methodology that recognizes that ‘neighborhood’ is unique …

Associations Between Contralesional Neuroplasticity And Motor Impairment Through Deep Learning-Derived Mri Regional Brain Age In Chronic Stroke (Enigma): A Multicohort, Retrospective, Observational Study, Gilsoon Park, Mahir Khan, Justin Andrushko, Nerisa Banaj, Michael Borich, Lara Boyd, Amy Brodtmann, Truman Brown, Cathrin Buetefisch, Adriana Conforto, Steven Cramer, Michael Dimyan, Martin Domin, Miranda Donnelly, Natalia Egorova-Brumley, Elsa Ermer, Wuwei Feng, Fatemeh Geranmayeh, Colleen Hanlon, Brenton Hordacre, Neda Jahanshad, Steven Kautz, Mohamed Salah Khlif, Jingchun Liu, Martin Lotze, Bradley Macintosh, Feroze Mohamed, Jan Nordvik, Fabrizio Piras, Kate Revill, Andrew Robertson, Christian Schranz, Nicolas Schweighofer, Na Jin Seo, Surjo Soekadar, Shraddha Srivastava, Bethany Tavenner, Gregory Thielman, Sophia Thomopoulos, Daniela Vecchio, Emilio Werden, Lars Westlye, Carolee Winstein, George Wittenberg, Jennifer Ferris, Chunshui Yu, Paul Thompson, Sook-Lei Liew, Hosung Kim

Department of Radiology Faculty Papers

BACKGROUND: Stroke leads to complex chronic structural and functional brain changes that specifically affect motor outcomes. The brain predicted age difference (PAD) has emerged as a sensitive biomarker of both sensorimotor and cognitive function after stroke. Our previous study showed a higher global brain PAD associated with poorer motor function after stroke. However, the association between local stroke lesion load, regional brain age, and motor impairment is unclear. This study aimed to investigate the associations between focal lesion damage, regional brain PAD in both hemispheres, and motor outcomes in chronic stroke, and to identify key predictors of motor impairment.

METHODS: …

How Does Consumer Animosity Affect Consumer Behavior? The Case Of Filipino College Students As Consumers Amid The West Philippine Sea Conflict, Reynaldo Bautista Jr., Luz Suplico Jeong, Myla Arcinas

DLSU Business & Economics Review

There are consumers who participate in political consumerism by avoiding, rejecting, or condemning products and services from countries perceived as aggressors through their military or economic action. This study examines how Filipino college students in Metro Manila, Philippines, who are frequently exposed to social media, will be affected as consumers amid the current tension in the West Philippine Sea. Using the theories of social identity, uses and gratifications, and echo chamber as frameworks, 770 college students from private and public universities in Metro Manila were surveyed. The results show that consumer animosity strongly predicts both purchase intention (β = 0.591, …

Exploring The Determinants Of Brain Drain: Evidence From A Cross-Country Panel From 2013 To 2021, Martha Joy J. Abing, Charlyn M. Capulong, Maria Rizalia Y. Teves, Resa Mae C. Laygan, Diane Mae P. Sangga, Junrie C. Vendra, Adama D. Villarico, Honey Mae E. Beruela

DLSU Business & Economics Review

This study investigates the factors influencing brain drain, the flight of human capital from their home country. The study examines the drivers of brain drain by looking into the effects of the following: global peace index, CO2 emissions per capita, real minimum wage, and happiness index and its individual indicators. Using pooled OLS on an unbalanced panel, the results reveal a statistically significant yet negative effect of the happiness index and the real minimum wage on brain

drain. This suggests that happy nations attract skilled professionals and emphasizes reduced skilled emigration in high- income countries. Results highlight the impact of …

Diffusion Of The Internet And Digital Divide In Post-Soviet Countries, Behrooz Asgari, Cosmos Amoah, Sudipa Majumdar

DLSU Business & Economics Review

This study explores the diffusion process of the internet in countries that were previously known as the U.S.S.R. and are currently divided into 15 countries. Utilizing the S-shaped logistic curves, this paper forecasts future trends in internet diffusion in these economies. Data varied in range, with each country having different time frames for similar variables. The logistic curves for each country determined the length of time of internet diffusion, maximum carrying capacity, and different stages of the diffusion process, namely, emerging, growth, maturity, and saturation. The results show that all countries have exceeded the emerging and growth phases, with 13 …

Preventing G-J Tube Dislodgement - A Device And Communication Innovation, Sarah Clark

2026

Abstract

The Problem: G/J tube dislodgement is a frequent complication in pediatric patients.

Leads to:

• Emergency department visits
• Hospital admissions
• Delays in nutrition/medication

Impact on Patients & Families:

• IV placement (traumatic)
• Radiation exposure
• Overnight hospital stays

Impact on Nurses & System:

• Increased workload (admissions, coordination)
• Occupied inpatient beds for stable patients
• Inefficient care processes

Aims/Objectives Aim: Reduce unplanned G/J tube dislodgements and related hospital utilization.

Objectives: Develop a breakaway connector prototype

Implementation and Evaluation:
Setting: Pediatric inpatient & outpatient system
Participants: Nurses (bedside, GI, IR), caregiver, innovation team
Process: Roundtable discussions → identified workflow gaps Communication/workflow audit Developed …

From The Classroom To The Workplace: The Role Of Internships In Shaping Student Values, Jasmine Williams

Honors College Theses

A significant degree of research on workplace values has been conducted to better understand how employees are motivated in the hopes of reducing turnover. There also exists a significant body of literature on how internships impact career outcome and can effectively prepare students for the workforce. However, previous studies have not explored the differences between students who have completed internships in comparison to those who have not. The goal of this research is to determine whether internships create a significant impact on students’ workplace values (e.g. intrinsic, extrinsic, altruistic, and social) when compared to students who have not completed an …

Ccb Release Impact On Indonesia’S Bank Lending: A Difference-In-Differences Approach, Sang Tyas Suci, Beta Yulianita Gitaharie

Jurnal Ekonomi dan Pembangunan Indonesia

This study investigates the impact of Indonesia’s Capital Conservation Buffer (CCB) release on loan growth during the COVID-19 recession. Using a Difference-in-Differences (DiD) approach and bank-level data from 2019:Q1 to 2022:Q2, it analyzes how regulatory capital relief affected lending. The results indicate that the regulation was an effective countercyclical tool to increase loan growth, particularly among less-capitalized banks. The research contributes to the limited empirical evidence on capital buffer policies in emerging markets by examining the effectiveness of temporary capital relief in crisis contexts. We suggest future research on the buffer reimposition and exploring its implications for post-crisis lending behavior.

Design Considerations For Development Of A Youth Advisory Board, Michelle I. Graef, Penny Putnam Collins

Center on Children, Families, and the Law (and Related Organizations): Publications

This guide provides an overview of youth advisory board (YAB) design components. The guide is organized around key design components, with examples from States across the country to illustrate different approaches. A range of examples are provided that highlight diverse and instructive models of the various ways YABs have been structured. Each section describes approaches that states have used in practice, offering jurisdictions a menu of options to consider when developing or strengthening their own YABs. Descriptive information about state YABs was gathered through interviews conducted with state YAB administrators and contractors from 8 states, conducted from October–December 2024. Examples …

Factors Associated With Academic Outcomes And Leave Of Absence Among Health Professions Graduate Students, Laura Plummer, Emile Boutin, Hien Nguyen, Devashish Tiwari, Sanah Chatiwala, Deborah Altsher, Nara Gavini, Keshrie Naidoo

Health Professions Education

Purpose: The purpose of this mixed-methods study was to examine the extent to which health professions graduate students' demographic, academic, and environmental factors influence time to graduation. It also aimed to explore the experiences of graduates who took a leave of absence (LOA), including their perspectives on the factors contributing to delayed graduation and the strategies that supported their reintegration and eventual success.

Methods: A mixed methods explanatory sequential design with the qualitative analysis providing deeper context to the quantitative data. The qualitative arm of the study utilized a phenomenological approach. Descriptive statistics (mean, standard deviations for the continuous variables, …

Preparedness Of Recent Australian And New Zealand Podiatry Graduates: Insights From Practising Podiatrists, Katrina Reynolds, Michelle Mclean

Health Professions Education

Purpose. Transitioning to the workforce can be challenging for health professional graduates when they are not adequately prepared for clinical practice. This study explored the perceptions of practising podiatrists, including those who were also clinical supervisors, regarding the preparedness of recent graduates for clinical practice and identified potential improvements in podiatry education to enhance readiness.

Method. Registered, practising podiatrists in Australia and New Zealand (ANZ) were recruited from December 2018 to May 2019 via professional organisations and social media. Data were collected through an online survey comprising closed and open-ended questions exploring perceptions of recent graduate preparedness, suggested program changes, …

The Pharmaceutical Impact Of Some Plant Species On Mantle Cell Lymphoma (Mcl), Marwa Jbara

School of Biomedical Sciences Theses

Mantle cell lymphoma (MCL) is considered clinically aggressive and an incurable subtype of B-cell non-Hodgkin lymphoma (NHL) with poor prognosis and resistance to conventional therapies. This has prompted increasing interest in novel therapeutic approaches, particularly those derived from natural sources with multi-targeted mechanisms of action and low systemic toxicity. In recent years, plant-derived essential oils and their bioactive compounds have emerged as promising therapeutic agents for MCL due to their bioactive properties and low systemic toxicity. Therefore, the purpose of this study was to investigate the growth inhibitory effect of essential oils from basil, tea tree, turmeric and black pepper …

Dari Ottawa Hingga Jenewa: Refleksi Perjalanan Promosi Kesehatan, Dien Anshari

Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior

No abstract provided.

Glucagon-Like Peptide-1-Based Therapies And The Intersection Of Metabolic And Skin Disease, Ana Ormaza-Vera, Clinton W. Enos

Department Dermatology Faculty Publications

[Introduction] To the Editor: The development of the glucagon-like peptide-1 (GLP-1) receptor agonists (GLP-1RAs) and the dual glucose-dependent insulinotropic polypeptide/GLP-1RAs is revolutionizing the management of metabolic disease. Perhaps most impressive is that their clinical significance extends far beyond their approved indications and touches seemingly every organ system, even the skin.

Allied Professionals In (Academic) Law Libraries, Part I: Evolving Roles, Skills, And Professional Development Needs, Sarah E. Ryan, Mads Ball, Agnes G. Pearcy, Diana Quinones, Dawn L. Smith

Library Staff Publications

Allied professionals comprise a significant portion of the law library workforce, yet their experiences and career pathways are often overlooked in discussions about the profession’s future. This article presents findings from a survey examining how allied professionals pursue professional development, upskilling, and career mobility. While respondents demonstrated a strong commitment to growth, opportunities varied widely and were often limited by institutional support. The authors discuss the survey findings, explore the implications for the profession, and offer recommendations for better supporting allied professionals and recognizing their essential contributions to law librarianship. This is the first in a two-part series.

Subfascial-Cutaneous Propeller Flap For Reconstruction Of Chronic Distal Lower-Limb Wounds With Exposed Bone: Two-Case Reports, Musa Machibya, Mike Kimambo, Irfan Rajput, Raymond Oyugi, Edwin Mrema

General Surgery, East Africa

Introduction and importance: Propeller perforator flaps provide a reliable reconstructive option for distal lower-limb soft-tissue defects, particularly in resource-limited settings where microsurgical free-flap reconstruction may not be readily available. These cases highlight the practical application of propeller perforator flaps in a low-resource setting, demonstrate key surgical decision-making processes, illustrate the management of flap-related complications, and report favorable functional outcomes following reconstruction of complex distal lower-limb wounds.

Case presentation: We present two patients with distal lower-limb wounds and exposed bone: a 33-year-old man with a post-traumatic medial malleolar defect reconstructed using a posterior tibial artery perforator propeller flap, and …

The Syntra Collective, Diana Palomares Bernabé

Grado en Diseño de Interiores

El proyecto tiene como objetivo explorar la capacidad de la arquitectura para sanar a las personas. El club holístico se organiza en torno a tres áreas de intervención; la sanación física, mental y espiritual. Entendidas como un recorrido continuo y no como espacios aislados, reflejando una filosofía donde el bienestar del individuo es una necesidad cotidiana y no un lujo ocasional. Se propone así un nuevo concepto de lujo, donde lo verdaderamente valioso no es lo material, sino la inversión en uno mismo. Para el diseño se han tenido en cuenta diversos Objetivos de Desarrollo Sostenible, con el fin de …

Mandatory Cooperation Under International Law, Evan J. Criddle, Evan Fox-Decent

Faculty Publications

Humanity in the twenty-first century faces serious global challenges and crises, including pandemics, nuclear proliferation, violent extremism, refugee migration, and climate change. None of these calamities can be averted without robust international cooperation. Yet, national leaders often assume that because their states are sovereign under international law, they are free to opt in or out of international cooperation as they see fit. This book challenges conventional wisdom by showing that international law requires states to cooperate with one another to address matters of international concern – even in the absence of treaty-based obligations. Within the past several decades, requirements to …

Cima. Climbing Center, Cristina López Extremo

Grado en Diseño de Interiores

The interior spaces are designed to reflect the identity and values of the mountannering clubs and the wider culture of climbing and mountain sports. Through both materiality and atmosphere, the project seeks to create an environment strongly connected to the experience of mountaineering and the community it supports. Elements such as tensioned ropes, climbing cords, carabiners, metal details, and topographic elements reference the equipment commonly associated with climbing and alpine activities. The overall aesthetic is clean and functional, with restrained use of colour inspired by the visibility of climbers against rocky mountain landscapes. Together, these spaces reinforce the identity of …

Star Vale. Design For Gentle Transition, Nadia Sue Juneide

Grado en Diseño de Interiores

While perhaps a bit unorthodox, the idea to design a pediatric palliative care facility for my thesis really came from watching a New York Times video on the lack of it in the United States (NYT, 6). Fascinated, this lead to a rabbit hole on what consisted of palliative care, what options there were for parents, and what it looked like in Spain, which concluded in me seeing that the problem is the same here (Porqueviven, 7). A year later, when it was time to chose a topic to design for, I thought I would try to tackle what I …

Osmosis “Where Nature Encourages Becoming”, Jimena Cuevas Tello

Grado en Diseño de Interiores

Osmosis proposes the transformation of “Casa del Marqués de Villora,” designed by Rafael Bergamín, into a cultural and recreational centre dedicated to art, nature, and thought. Located on Calle Serrano in Madrid, the project reimagines the historic building as a “living ecosystem” where visitors can engage with culture while reconnecting with themselves and the environment. The project creates an opportunity to provide not only functional spaces but also spaces capable of supporting reflection, learning, creativity, and renewal in a contemporary city such as Madrid, where there is constant movement, stimulation, and acceleration that often leave little room for contemplation and …

Golden Symbiosis, Marta Susperregui Muñoz

Grado en Diseño de Interiores

The concept of Golden Symbiosis emerges from the desire to redefine the relationship between aesthetics, wellbeing, and nature. The term Golden refers to the therapeutic and symbolic value of bee-derived products such as honey, propolis, royal jelly, beeswax, and pollen. For centuries, these natural substances have been associated with healing, nourishment, and regeneration. Within the project, they form the basis of the clinic’s treatment philosophy while representing a return to more restorative and preventative approaches to skin health. The term Symbiosis refers to a mutually beneficial relationship between different living systems. Applied to this project, it becomes the guiding architectural …

The House That Builds A Book, Mercedes Vergara Urquijo

Grado en Diseño de Interiores

The project proceeds from the hypothesis that a house can build a book: architecture does not passively house writing but actively participates in its production through physical and sensory variables, height, light, colour, texture, acoustics, correlated with specific cognitive states in the writing process. This hypothesis draws on Michel Foucault’s theory of heterotopia, on Evidence-Based Design (EBD), on the phenomenology of architecture, and on cognitive-behavioural research into creativity and attention. The theoretical framework that follows sets out, in full, the four bodies of theory the project relies on before turning, from section 2.8 onward, to the resulting programme

The Outcome Of Primary Anastomosis Without Diversion Versus With Diversion In Colorectal Cancer Surgeries, Ahmed Sameh, Shams Nazem, Ahmed A Monem, Amr F Elalfy

Mansoura Medical Journal

Background: Anastomotic leakage (AL) is the most feared complication after colorectal surgery. It is a very morbid consequence that is associated with higher morbidity, longer hospital stay, higher medical expenses, or even worse functional outcomes. The role of diverting ileostomy (DI) in reducing the incidence of anastomotic leakage is still debatable. Methods: Our study included 95 patients with left sided colon cancer and rectal cancer, 49 patients in the non-ileostomy group and 46 patients in the ileostomy group after resection anastomosis of the primary tumor. The analysis included the following variables: patient-related variables (age, sex, comorbid conditions, ASA score, smoking …

The Relationship Between Acne Vulgaris And Insulin Resistance, Nora Moawad Erian, Nora Mohamed Darwish, Eman Saber Elhennawy, Fatma Faisal El Dakrory

Mansoura Medical Journal

Background Some have hypothesized that resistance to insulin, a condition in which cells become less responsive to insulin, contributes to the development and worsening of acne vulgaris. The study's primary objective was to identify any associations among resistance to insulin and acne vulgaris severity. Methods Forty patients (range: 18–40 years old) with acne vulgaris and forty healthy controls (range: 18–40 years old, sex: X), were included in this case control study. Height as well as weight were the anthropometric metrics. To determine how bad acne is, doctors utilize the Global Acne Grading System. Laboratory testing for insulin resistance was conducted …

Predictors And Outcome Of Sepsis And Septic Shock Induced Acute Kidney Injury In Diabetic Patients: A Prospective Observational Study, Shrouk Essam, Rehab Shaheen Bahram Shaheen, Rasha Mahmoud Prof., Adel I. Abdelsalam

Mansoura Medical Journal

Background: One characteristic of sepsis is the dysregulation of the host's reaction to infection, which can result in potentially fatal organ failure.This work aimed to assess predictors and outcome of sepsis and septic shock induced acute kidney injury (AKI) in diabetic patients. Methods: This prospective observational study included diabetic patients aged over 18 years who were admitted with sepsis or septic shock in the Medical Critical Care Unit of the Specialized Medical Hospital, Mansoura University. All patients were divided into 2 groups:AKI Group (N=74): diagnosed with AKI and No AKI Group (N=26): did not develop AKI. Results: Analysis of risk …