Digital Commons Network^™

Implications For Digital Leadership In Higher Education In The Dominican Republic / A Bibliometric Approach, Pedro J. Tavarez-Dacosta Dr.

FDLA Journal

Abstract This work involves the use of bibliometric techniques to evaluate the metadata of the literature on digital leadership published during the last decade (2015-2025), with documents relevant to the analysis from our campus, the Universidad Autonoma de Santo Domingo, and specifically from the School of Languages, our area of teaching and research activity. A research database on digital leadership in higher education in the field of English as a Foreign Language (EFL) was established, both in the Dominican Republic and in other countries. Bibliometric techniques allow us to summarize descriptive trends, uncover underlying intellectual and academic structures, and identify …

A Strategic Perspective Examining The Misconceptions Surrounding Alternative Certification Programs, Sacorya Ferguson

FDLA Journal

This strategic research project was designed to provide insight into the misconceptions associated with alternative certification programs. The researcher investigates specific problems within an organization or other setting. Within this organization, the researcher holds many roles, including ELAR teacher, ESL teacher, and LPAC chair. George Washington Carver 6th Grade STEM Learning Center is a transitional campus in Lancaster, Texas with two consecutive years of low performance on state exams, placing the organization at risk of state intervention. A SWOT analysis of the organization analyzed the internal and external factors affecting the organization. Upon completion of the SWOT analysis, the problem …

Navigating Ethical Ai Use In Online Education: Leveraging The Framework For Information Literacy For Higher Education, Grace Kaletski-Maisel

FDLA Journal

As generative AI transforms online education, students are confronted with the many ethical quandaries that this technology poses. A document known as The Framework for Information Literacy for Higher Education (Framework) has great potential to serve as a tool for educators who strive to guide students towards ethical decision-making in AI use. Information literacy is “the set of integrated abilities encompassing the reflective discovery of information, the understanding of how information is produced and valued, and the use of information in creating new knowledge and participating ethically in communities of learning.” This definition was posed by the Association of College …

A Strategic Research Project Exploring An African American Church’S Engagement In Public And Nonprofit Healthcare Partnerships, Josephine Louise Evans

Transformations

This Strategic Research Project examines how churches engage in public and nonprofit healthcare partnerships to address community health disparities and strengthen congregational well-being. Guided by organizational leadership principles and supported by frameworks such as the Social Ecological Model, change theory, and systems thinking, the study explores the perceptions, experiences, and decision-making processes of pastoral leaders involved in cross-sector collaboration. Using a mixed-methods design, the research analyzes qualitative insights from leadership interviews alongside quantitative data on community health trends to identify facilitators, barriers, and perceived effectiveness of these partnerships. Findings reveal that trust building, cultural competence, shared mission alignment, and resource …

The Role Of Trauma-Informed Care In Supporting At-Risk Students In Alternative Education, Jar'mel D. Taylor Dr.

Transformations

Students with traumatic experiences commonly fail to meet educational goals and control their emotions while also losing their involvement in classes. Standard trauma-informed care practices remain absent from numerous alternative educational institutions, which leaves their teaching community without adequate support to help traumatized students effectively. The application of Trauma-Informed Care (TIC) strategies toward student outcomes requires investigation to develop effective educational approaches that enhance school success. The researcher used qualitative exploratory case study methodology to study TIC practices in alternative education for Black and Brown adolescent students (aged 12–18) in Washington, D.C. Semi-structured interviews and a focus group with 16 …

Sociology Of Mind Trap In Nepal, Makar Bahadur Sarki

Transformations

Nepali society is multilingual, culturally and ethnically diverse. It holds great potential for development and thought. However, the existing mental traps in society are creating obstacles to fulfilling those potentials. Mental entrapment is a problem in which people follow someone's words with complete faith, just like someone who runs after a crow without touching their own ears after hearing that it has ears. This forces people to live in illusion. This leads to individuals mistrusting their own abilities and pushing society towards inaction. This situation is not only due to individual thinking, but is the combined result of social structural …

In Vitro Digestion Modifies Lepidium Meyenii Extract, Altering Its Major Glucosinolates, Lepidilines, Β-Carbolines, And Gut Bacterial Growth, Dominik Tarabasz, Ewa Baranowska-Wójcik, Paweł Szczeblewski, Tomasz Laskowski, Klaudia Gustaw, Marzena Furtak-Niczyporuk, Dominik Szwajgier, Rita Cristina Orihuela-Campos, Henry O. Meissner, Julia Borzyszkowska-Bukowska, Wirginia Kukula-Koch

Journal of Food and Drug Analysis

The tubers of Lepidium meyenii (commonly known as maca) have been used in the Andean cuisine for ages. The study aims to determine the behavior of the extract from the red phenotype of maca in the in vitro gastrointestinal tract model and also to define the overall impact of the extract on the microbiota. Glucosinolates, lepidilines, and a derivative of β-carboline alkaloid, i.e. 1-methyltetrahydro-β-5,6-hydride-carboline-3-carboxylic acid, as representatives of one of the main groups of metabolites were selected for the quantitative analysis after in vitro digestion at every stage of the digestion model. The results showed that lepidilines …

Assessment Of Parents' Informational Needs Before Pediatric Day Care Surgery In Makkah City, Saudi Arabia, Ammar H. Habiballah, Raghad Y. Shosho, Raed M. Babukur, Sultan M. Banser, Sarah S. Almohammadi, Muhannad M. Alharbi, Thekra A. Alwafi, Shahad S. Alkabkabi, Raed F. Alsufi

Saudi Toxicology Journal

Introduction Pediatric surgical procedures can be highly stressful for children and their parents due to factors such as limited understanding, lack of control, and anxiety. The study aims to assess the informational needs of parents of children scheduled to undergo day care surgery in Makkah City, Saudi Arabia. Methodology A cross-sectional study was conducted over six months. The study included parents or caregivers of children scheduled for day care surgery in Makkah City, Saudi Arabia.A convenient sampling techniques was used for participant selection. Data were analyzed using SPSS software. Results The study included 380 participants and assessed parental informational needs …

65th Annual Rocky Mountain Conference On Magnetic Resonance

Rocky Mountain Conference on Magnetic Resonance

Conference program, abstracts, and information about the 65th annual meeting of the Rocky Mountain Conference on Magnetic Resonance. Held in the Snowbird Resort and Conference Center, Snowbird, Utah, August 2-6, 2026.

Dameon Allen V. Attorney General United States Of America

2026 Decisions

Agency

A Coupled Reaction-Diffusion Model Of Promoting And Suppressing Interactions Among Cancer Hallmarks In Endometrial Cancer, Jeddy Bennett

Theses and Dissertations

Spatial transcriptomics enables the scoring of Cancer Hallmarks at a high resolution across a tissue biopsy, yet current analyses of these data remain largely descriptive, treating each spot as a static, independent observation. This thesis develops a coupled system of advection-diffusion-reaction partial differential equations to model the hallmark landscape as the steady-state solution of an underlying spatial process, and casts the recovery of its physical parameters as a PDE-constrained inverse problem. The framework is implemented in FEniCSx on tissue-specific finite element meshes derived from two endometrial cancer biopsies provided by the Huntsman Cancer Institute, with subdomains, boundary interfaces, and an …

Perilaku Merokok Dan Paparan Informasi Bahaya Merokok Di Media Pada Penduduk ≥15 Tahun: Analisis Potong Lintang Gats Indonesia 2021, Hana Aulia Putri, Izza Nayla Paramitha, Nuha Nazeeha, Rahma Amalia

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

Background. Smoking remains a significant health problem in Indonesia. Although anti-smoking information is disseminated through various media, exposure levels and effectiveness among adults are not clearly documented.

Objective. To describe the proportion of anti-smoking information exposure among Indonesian adults by media type (television, radio, billboards, newspaper/magazines, internet, and others) and compare exposure between smokers and non-smokers using GATS 2021 data.

Methods. Cross-sectional study using Global Adult Tobacco Survey (GATS) Indonesia 2021 data. A total of 9,156 respondents aged ≥15 years were analyzed descriptively to determine exposure proportions by smoking status across multiple media channels.

Results. Television showed the highest exposure …

The Effectiveness Of "Little Doctor" Training On Health Knowledge And Behavior Of Karawang Primary Students (2025), Aurelia A. Erawan, Shahnaz F. Azzahra, Rubee P. Risdiyanto, Patricia Andini, Muhammad K. Ramadhan, Ailsa T. Kirana, Istingadah Desiana Md, Raden M. Rifada Md

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

Background. Acute respiratory infection (ARI) remains a major public health problem in Indonesia, with West Java reporting the highest incidence. Poor Health-Related Behavior (HRB) practices are associated with increased ARI risk. The "Little Doctor" program is a government initiative that focuses on school health and aims to promote HRB among students. Along with this goal, this study aimed to determine the effectiveness of the program in improving knowledge of HRB and ARI among elementary school students in Pancawati Village, Karawang Regency.

Methods. This study employs a quasi-experimental one-group pretest-posttest design. Participants were selected based on inclusion criteria referring to the …

Post-Tracheostomy Outcomes In Youth With Anoxic Brain Injury, Kritika Kandel, Elizabeth R. Lyden, Yijun Lu, Eli Rhoads

Posters: 2026 Summer Undergraduate Research Program

Anoxic brain injury (ABI) is a non-traumatic injury; may result from cardiac arrest, suffocation, drowning, choking, and other acute causes. ABI often results in persistent neurologic changes and developmental abilities. These include vision, speech, swallow, walking, and other areas of daily living.  The severity of injury is variable, and in the most severely affected families and medical providers weigh life-prolonging interventions such as tracheostomy, despite the potential for persistent neurologic impairment. These decisions are difficult for parents and providers alike, and long-term outcomes are limited when compared to outcomes in children with premature lung disease or traumatic brain injury. Younger …

Skeletal Muscle Regeneration: Electrospun Nanofiber Matrix For Delivery Of Novel Myogenic Agents, Priyanka Anand Mirji, Athreya Reddy, Sai Sadhanath, Allen Zennifer, Suranji Wijekoon, Sama Abdulmalik, Sangamesh Gurappa Kumbar

Posters: 2026 Summer Undergraduate Research Program

Volumetric muscle loss (VML) remains a major clinical challenge because skeletal muscle possesses limited regenerative capacity following severe injury, and there are currently no clinically approved biological agents capable of restoring functional muscle tissue. Therefore, the development of alternative regenerative strategies that locally stimulate endogenous repair mechanisms is of significant interest. In this preliminary study, we investigated electrospun PCL/cellulose acetate nanofiber scaffolds as localized delivery platforms for two novel small molecules, SK5 and SK4, which are hypothesized to enhance skeletal muscle regeneration through electrochemical signaling and activation of the Wnt signaling pathway. C2C12 myoblasts were cultured on the nanofiber scaffolds, …

Comparison Of Postoperative Clinical Outcomes Following Human Breast Milk Versus Formula Feeding In Infants Undergoing Congenital Heart Surgery, Caden Anderjaska, Monalisha Elango, Sarah O'Neil, Jeffrey D. Salomon

Posters: 2026 Summer Undergraduate Research Program

Infants with congenital heart disease undergoing cardiopulmonary bypass often develop intestinal barrier dysfunction, microbial dysbiosis, and systemic inflammation that may impair postoperative recovery. This retrospective cohort study compared postoperative outcomes between infants receiving human breast milk (n = 15) and formula (n = 15) after congenital heart surgery. Clinical, microbiome, inflammatory, and gut barrier data were analyzed. Infants fed human breast milk demonstrated greater bacterial diversity, reduced gut barrier dysfunction and inflammation, shorter intensive care unit and hospital lengths of stay, and lower vasoactive-inotropic scores compared with formula-fed infants. These findings suggest that human breast milk may improve postoperative recovery …

Cultivating Collective Impact: A Playbook For Building Community Data Capacity, Jenrose Fitzgerald, Ally Terhaar, Dan Ferris

Center for Social Development Research

Data for Social Impact (DSI), an initiative of the Center for Social Development at Washington University in St. Louis, has played a key role in cultivating community data capacity in the St. Louis region—particularly at the organizational and collective levels. DSI has done this by building capacity among social sector organizations to work collaboratively with data across government, philanthropy, nonprofits, and impacted communities. This playbook outlines DSI’s approach to building community data capacity in St. Louis and lessons learned along the way.

Immigration Status And Lung Cancer Diagnosis In U.S. First-Generation Immigrants, Valeriya Lockwood

Walden Dissertations and Doctoral Studies

The healthy immigrant effect (HIE) is an observed phenomenon in which immigrants exhibit better health outcomes than native-born residents, though relatively few studies have examined its role in chronic diseases in the United States. The purpose of this quantitative cross-sectional study was to assess the associations between immigration status, age, sex, race/ethnicity, median household income, and geographic location and lung cancer diagnosis in first-generation immigrant adults aged 18 or older. The subsequent health trajectory model provided the theoretical framework for the study. Data were obtained from the SEER*Stat Database 1975-2022 (N = 1,993). Binomial regression analysis showed that immigrants were …

Reducing Urinary Tract Infections In Long-Term Care Residents, Felicity Antwi

Walden Dissertations and Doctoral Studies

This quality improvement (QI) project addressed delays in diagnosing urinary tract infections (UTIs) at a skilled nursing facility (SNF), where reliance on urine culture testing and patient monitoring resulted in an average diagnostic period of 72 hours. A high UTI incidence and UTI-involved hospitalization rate are both nurse-sensitive indicators that are important to address in the nursing practice context because they portend negatively for nursing quality and safety. This quality improvement (QI) project addressed the practice-focused question: among long term care (LTC) residents with suspected UTIs in a nursing home (NH), how does reducing the diagnostic period from 72 hours …

Leveraging Innovation And Resilience: A Qualitative Project Of Mid-Level Managers Driving Business Performance In Multinational Corporations, Karla Karey Diaz

Walden Dissertations and Doctoral Studies

Employee underdevelopment in multinational corporations (MNCs) can weaken the organization’s agility and competitive advantage in the global market. Mid-level managers must be leveraged effectively, as this level of management holds primary adaptive responsibility for building, integrating, and reconfiguring resources during organizational change. Grounded in the dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies mid-level managers in MNCs use to improve dynamic capabilities. Participants were 10 U.S.-based MNC mid-level managers with experience using strategies to improve dynamic capabilities. Data were collected through semistructured interviews and publicly available documents, including strategic plans, …

Decreased Frequency Of Splenectomy For High-Grade Splenic Injuries Following The Implementation Of An Interventional Radiology Alert Protocol., Maura Kopchak, John Bach, William B Devoe, Brian Dusseau, Katherine A Graham, John Dillis, Thomas Glusich, Jeff Hubartt

OhioHealth Research Institute Articles

Background A vascular interventional radiology (VIR) protocol was initiated at a mature level 2 trauma center on 3/1/2023 to reduce time to vessel puncture to < 60 minutes as per American College of Surgeons (ACS) guidelines. The average time to vessel puncture in the two years prior to protocol initiation was 102 minutes. Following initiation, time to vessel puncture was reduced to 48.2 minutes (p < 0.001). A statistically significant increase in the number of splenic embolizations was noted in the post-protocol group. The primary outcome of the current study was to evaluate if the initiation of a VIR protocol correlated with a statistically significant decrease in splenectomies for high-grade splenic injuries (American Association for the Surgery of Trauma (AAST) grade 3 or higher) in favor of splenic embolization. The secondary outcomes of the study were to assess whether the initiation of the VIR alert protocol improved our rate of splenic salvage, defined as preserved splenic immune function, and if there was a decreased rate of splenectomies across all injury grades. Methods The trauma registry database was queried for all splenic injuries from 1/1/2021 to 9/1/2024. Admission CT scans were used to grade injuries using the AAST Organ Injury Scale. Demographic and clinical characteristics, including severity of illness (ISS), admission INR, age, blood product required pre- and post-intervention, mortality, sex, length of stay, anticoagulant (AC)/antiplatelet (AP) use, mechanism of injury, and need for REBOA (resuscitative endovascular balloon occlusion of the aorta) placement, were collected for all patients. Patients were further broken down into those requiring splenectomy, embolization, or no intervention. Data were analyzed using chi-square and Mann-Whitney U with Jamovi Version 2.3.26.0 (The Jamovi Project, 2023). Results No statistically significant difference was found for clinical or demographic characteristics between groups. Fewer splenectomies and more splenic embolizations were performed in the post-protocol group for high-grade splenic injuries (grade 3), which was statistically significant (p< 0.001). This was also true when all grade splenic injuries were compared (p< 0.001). Conclusion Following the establishment of an institutional VIR alert protocol for active hemorrhage control in trauma patients, more frequent utilization of angioembolization for high-grade splenic injuries was found with a subsequent decrease in splenectomy rate. Implementation of the VIR alert protocol directly correlated with a shift in practice pattern reflecting attempts at splenic salvage for all injury grades.

Ildar Niyazov V. Attorney General United States Of America

2026 Decisions

Agency

Lessons Learned For The Independent Panel For Evidence For Action Against Amr From Previous International Science Panels: Stakeholder Views From The 2025 Lagos Workshop, Iruka N. Okeke, Anthony Mcdonnell, Ayodele A. Akinyele, Javier Guzman, Kevin Outterson

Faculty Scholarship

In September, 2024, the UN General Assembly assigned the Quadripartite Joint Secretariat on Antimicrobial Resistance (AMR) the task of establishing an Independent Panel for Evidence for Action against AMR (IPEA). To promote stakeholder views and input around the constitution and functioning of this Panel, which could feed into the Quadripartite Joint Secretariat’s consultation process, we independently commissioned seven papers to examine the lessons that could be learned from other high-level scientific panels. We then convened 85 stakeholders, primed with the background papers. The Workshop, held in Lagos, Nigeria in April, 2025, drew representation from around the world, particularly low-income or …

Effects Of Exercise On The Quality Of Life And Functional Capabilities For Individuals With Spinal Cord Injury, Luis Ellerbe

Doctorate in Kinesiology

Spinal cord injury (SCI) can significantly impact physical functioning, mental health, social support, and overall quality of life. The purpose of this study was to examine the effects of a 12-week standardized exercise program on quality of life and functional capabilities in adults with SCI. Participants completed a self-guided exercise program consisting of aerobic and strengthening activities performed twice weekly for 12 weeks. Outcome measures included the Spinal Cord Independence Measure (SCIM), 6-Minute Walk Test (6MWT), Hospital Anxiety and Depression Scale (HADS), and Multidimensional Scale of Perceived Social Support (MSPSS). Assessments were completed at baseline, post-intervention, and at a 6-month …

Development And Evaluation Of Personalised Post-Diagnostic Dementia Support Based In Primary Care: The D-Pact Research Programme, Tomasina M. Oh, Hannah Wheat, Richard Byng, Sarah Morgan-Trimmer, Michael Clark, Sarah Griffiths, Paul Clarkson, Victoria Allgar, Angela Bate, Saqba Batool, Rebecca Beresford, Noor Butt, Joseph Coombes, Siobhan Creanor, Sonia Dalkin, Zoe Doran, Nicolas Farina, Leanne Greene, Alex Gude, Margaret Hart, Jane Horrell, Basharat Hussain, Wendy Ingram, Hannah Jones, Reena Lasrado, Tanya Lee, Baber Malik, Rosemarie Mccabe, Antonieta Medina-Lara, Nia Morrish

Peninsula Medical School

Background: Dementia affects nearly 1 million people in the United Kingdom and their unpaid carers physically, psychologically, socially and economically, highlighting that both need support. Post-diagnostic support is recognised as inadequate globally. In England, it is fragmented or absent apart from primary care – leaving many feeling unsupported as the condition progresses. The Dementia PersonAlised Care Team research programme began in 2018 to address evidence gaps on the effectiveness of dementia support roles and what constitutes ‘good’ support. Objective: Dementia PersonAlised Care Team aimed to develop and evaluate an intervention comprising dementia support workers based in primary care, supporting people …

Sleep Quality Trajectories In Mothers And Fathers During The Postpartum Period, Shu-Yu Kuo, Hsin-Yi Lai

International Nursing Research Congress (INRC)

Purpose: Sleep disturbance is a common experience among families during the postpartum period and can impair parental adjustment and infant care. Few studies have examined sleep quality over time within a family dyad. This study aimed to investigate the sleep trajectories of mothers and fathers from the early postpartum period to three months postpartum

Methods: We conducted a prospective follow-up of mother-father dyads at 1 week, 1 month, and 3 months postpartum. Inclusion criteria were age ≥18 years and a singleton, full-term pregnancy; parents or infants with high-risk complications were excluded. Demographic and health information were collected using a structured …

Preventing The Next Tragedy: Applying Root Cause Analysis (Rca) In A Military Suicide Event, Li-Ling Lin, Kai-Wen Li, Yun-Shih Lin

International Nursing Research Congress (INRC)

This study examines a near-miss suicide by a high-risk military patient in an acute psychiatric ward. Using Root Cause Analysis (RCA), latent errors in system design and communication were identified, guiding strategies to enhance patient safety and care quality.

Objective: The purpose of this study was to implement RCA in a military suicide event and improve the process of care in an acute psychiatric ward.

Methods: The RCA process involves identifying the problem, establishing a timeline, identifying the causes, creating a cause-and-effect diagram, and implementing strategies. We conducted personnel interviews and on-site walk to understand the operations and environment, reconstructing …

Lymphatic Massage For Reducing Upper-Limb Edema In Icu Patients: A Quality Improvement Project, Ying-Fang Huang, Tzu-Ting Huang

International Nursing Research Congress (INRC)

Purpose: Upper-limb edema commonly occurs among critically ill patients due to immobility, inflammation, and fluid overload, leading to discomfort, impaired mobility, and higher pressure injury risk. Based on lymphatic physiology and prior evidence, this quality improvement (QI) project aimed to reduce edema severity through a structured nurse-led lymphatic massage intervention in the medical intensive care unit (MICU) of a northern Taiwan medical center.

Methods: This QI project was conducted from March to May 2025 using the Plan–Do–Check–Act framework. Baseline audit showed that 75% of patients had moderate to severe edema (≥ +2). Twenty adult patients were enrolled—10 in the intervention …

Identification Of Positive Deviance In Forensic Nursing Practice, Jodie C. Gary, Laurie Charles, Jaeda Onyemobi

International Nursing Research Congress (INRC)

Violence is a sustained global public health issue.¹ Forensic nurses (FNs) receive specialized education to apply nursing knowledge and skills within the intersection of the healthcare and legal systems, focusing on people who experience or perpetrate violence, trauma, abuse, and maltreatment.² Positive Deviance (PD) in nursing is intentional and honorable behavior that departs or differs from an established norm and contains elements of innovation, creativity, and/or adaptability; it also involves risk.³ These nurses practice differently and more effectively to provide patient-centered care.⁴ Although professional standards guide care and lay the groundwork for best practices, they are …

Mitovesicle Proteomic Signatures Of Social Defeat Stress In Neurohiv, Rakan Abuissa, Mark Bausch, Micheal Ayoub, Dalia Moore, Gurudutt Pendyala, Sowmya V. Yelamanchili

Posters: 2026 Summer Undergraduate Research Program

Mitochondria-derived extracellular vesicles (EVs) that have recently emerged as important mediators and biomarkers of neurodegenerative diseases. Changes in their abundance and molecular cargo may serve as sensitive indicators of mitochondrial stress, dysfunction, and cellular health. This study validates the efficiency and reproducibility of our rat brain mitovesicle isolation protocol. Furthermore, it aims to elucidate how mitochondrial signaling, reflected by mitovesicle characteristics and cargo, is altered following social defeat stress and whether these effects are further exacerbated by HIV infection. These findings may provide novel insights into the role of mitochondrial dysfunction in HIV-associated neurocognitive impairment and stress-related neuropathology.