Digital Commons Network^™

Reengineering Resilience: Bio-Resilience Bonds For Financing Microbial Infrastructure And Climate Equity, Reece Buckley

COP30

This policy proposal introduces Bio-Resilience Bonds (BRBs), a performance-based financial instrument designed to monetise microbial ecosystem services as measurable climate infrastructure. Microbial ecosystems are crucial for climate resilience, yet they are often overlooked in mainstream adaptation f inance frameworks. Their ability to regulate carbon and nitrogen cycles, reduce methane emissions and enhance soil and water stability (Delgado-Baquerizo et al., 2016) makes them essential assets for climate mitigation and adaptation. With global adaptation needs exceeding £2.7 trillion (UNEP, 2024), this oversight indicates a systemic failure to recognise biology as a form of infrastructure. BRBs transform microbial outputs into localised key performance …

Investigating The Market Dynamics Of Aeroponically Cultivated Products With Delay, Pulak Kundu, Uzzwal Kumar Mallick

Mathematical Modelling and Numerical Simulation with Applications

Aeroponically grown potatoes offer higher yields and year-round production but often face delayed market entry due to high setup costs, technical barriers, and logistical challenges. A delay-based mathematical model has been newly proposed in this study to analyze the dynamics of demand, supply, and pricing for aeroponically grown products. The model’s existence, stability, and sensitivity have been investigated analytically, and numerical simulations have been carried out using the Runge-Kutta 4th order method with the dde23 solver. Findings reveal that market stability is maintained when delays are below seven years, but delays beyond this threshold lead to persistent fluctuations in price, …

Measuring What Matters: Designing Metrics For A Justice-Centered Climate Transition, Mathilde Roger-Estrade

COP30

Climate justice is growing concerns in the sphere of climate policy, yet few practical tools exist to measure whether climate action is fair, inclusive and prioritizing the most vulnerable. This paper examines existing global frameworks, such as the Environmental Performance Index (EPI), Nationally Determined Contributions (NDCs), and emerging tools like PRISM and JUSTICE Integrated Assessment Models (IAMs). While these initiatives offer valuable insights, most of them lack actionable and efficient metrics to quantify climate justice implementation. Based on literature and case studies, this study proposes a set of measurable indicators across four defined justice dimensions: Distributive, Procedural, Recognitional and Exposure. …

Reducing Ghg Emissions By Effective Waste Management System In Cairo, Habiba Alaa Hammad

COP30

This paper explores the theme of climate mitigation by focusing on the waste management issue and the negative effects of landfills in increasing greenhouse gas emission. The research tackles insights specifically gathered from Cairo, Egypt, presenting challenges and gaps in the waste management market. Research found that the efforts of the formal waste management sector in privatizing the industry had led to the increase of garbage waste and subsequently affecting the environment negatively due to lack of trash disposal and the burning of trash, while the informal sector represented in local communities called “Zabbaleen,” showed better results at maintaining a …

Hubungan Frailty Dengan Kesintasan Satu Tahun Pada Pasien Lanjut Usia Dengan Tumor Padat Ganas Stadium Lanjut, Trian Satrio, Aulia Rizka, Findy Prasetyawaty, Alvina Widhani, Noto Dwimartutie, Rm Suryo Anggoro, Mira Yulianti, Dono Antono

Jurnal Penyakit Dalam Indonesia

Introduction. Frailty is characterized by a multisystem physiological decline that increases the risk of morbidity and mortality, especially in patients with advanced-stage solid malignancies. The association between frailty and one-year survival in older adults with solid malignancies in Indonesia has not yet been established. This study aimed to assess the association between frailty status and one-year survival in elderly patients with advanced-stage solid tumors.

Methods. This was a retrospective cohort study conducted at Dr. Cipto Mangunkusumo National General Hospital, Jakarta utilizing patient data from a previous study conducted between November 2020 and 2021. Subjects were cancer patients aged …

Hubungan Aktivitas Fisik Dengan Kualitas Hidup Pasien Hemodialisis Reguler, Shofi 'Ainun Azzahra Br Manurung, Bayu Rusfandi Nasution, Imelda Rey

Jurnal Penyakit Dalam Indonesia

Introduction. Hemodialysis (HD) is one of the renal replacement therapies commonly used in patients with end-stage renal disease. Patients undergoing hemodialysis typically exhibit lower levels of physical activity compared to inactive yet healthy individuals. A decline in physical function and muscular strength may impair the ability to perform daily activities, ultimately affecting patients’ quality of life (QoL). This study aimed to examine the relationship between physical activity and quality of life among hemodialysis patients at Rumah Sakit Khusus Ginjal Rasyida Medan.

Methods. This was an analytical observational study with a cross-sectional design involving 50 respondents undergoing hemodialysis therapy …

Faktor-Faktor Yang Berhubungan Dengan Gejala Depresi Pada Pasien Insomnia Usia Lanjut Di Rawat Jalan, Amalia Nur Pratiwi, Edy Rizal Wahyudi, Profitasari Kusumaningrum, Hamzah Shatri, Ikhwan Rinaldi, Rino Alvani Gani, Ika Prasetya Wijaya, Adityo Susilo, Kaka Renaldi

Jurnal Penyakit Dalam Indonesia

Introduction. The elderly population is increasing globally, including in Indonesia, where 10.7% of the population in 2020 were elderly. Insomnia is a common health issue among older adults and has been identified as a predictor of depression. This study aims to identify factors associated with depressive symptoms in elderly outpatients with insomnia.

Methods. This cross-sectional study was conducted in 2024 on patients aged ≥60 years at the outpatient unit of Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia, using consecutive sampling to select participants. Elderly patients were screened using the Pittsburgh sleep quality index (PSQI), and those with a score …

Penggunaan Continous Glucose Monitoring Pada Pasien Dm Tipe 2 Dengan Insulin Dosis Tinggi, Amanda Trixie Hardigaloeh, Dicky Tahapary, Em Yunir, Tri Juli Edi Tarigan

Jurnal Penyakit Dalam Indonesia

Type 2 diabetes mellitus (T2DM) is a chronic disease with a high risk of complications, requiring optimal glycemic control. This case report aims to describe the use of continuous glucose monitoring (CGM) in the evaluation of a patient with T2DM and obesity whose glycemic levels remained uncontrolled despite high-dose insulin therapy. A 58-year-old woman with an 18-year history of T2DM presented to the Endocrinology Clinic of Cipto Mangunkusumo Hospital with uncontrolled blood glucose accompanied by classic diabetic symptoms. CGM revealed that the majority of glucose levels were within the time above range (TAR) at 83% without hypoglycemia, while the time …

Kerentanan Dan Kanker Pada Usia Lanjut: Sebuah Tantangan, Rahmat Cahyanur

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Quality Improvement Project Improving Faculty Support For First-Generation Rural Nursing Students, Charlotte Dowdy

Doctor of Nursing Practice Projects

The barriers to academic success among first-generation rural nursing students are substantial, including a lack of knowledge of academic resources, ineffective study strategies, and difficulty navigating the higher education system. These challenges are documented in the literature as resulting in higher attrition rates and lower graduation rates. This quality improvement project was intended to implement and analyze a faculty training module designed to increase faculty awareness and confidence in supporting first-generation rural nursing students at the project site. The project adopted a pre-post intervention design based on High-Reliability Organization principles and Lewin’s Change Model, to determine the effectiveness of targeted …

Drawing On Uncertainty Methodologies Of Neutrosophic Hypersoft Sets In Cognitive Computing-Driven Healthcare Systems, Mona Mohamed, Nurhan Alaa

Neutrosophic Systems with Applications

A new paradigm called cognitive computing simulates human reasoning and decision-making through integrating advanced techniques such as artificial intelligence (AI) and natural language processing (NLP). Cognitive computing systems, in contrast to traditional systems, can handle both structured and unstructured data, adjust to new information, and offer context-sensitive insights. This study examines how cognitive computing improves decision-making, personalization, and human-machine collaboration in various fields. Cognitive computing in the healthcare sector processes clinical notes, imaging data, and electronic health records to help physicians with diagnosis, treatment planning, and patient engagement. This study examines key applications, including their role in diagnostic support, where …

Staff Education And Implementation Of Phq-9 And Gad-7 In An Adult Psychiatric Private Practice, Exta Oppong Tweneboa

Walden Dissertations and Doctoral Studies

The PHQ-9 and the GAD-7 are short screening instruments used for the detection of depression and anxiety symptoms in various settings, including general and mental health care settings (Pranckeviciene, et al., 2022). The purpose of this Doctor of Nursing Practice (DNP) project was to educate staff on the implementation of the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) into an adult psychiatric private practice to standardize screening, improve diagnostic accuracy, and support measurement-based care for depression and anxiety. A structured staff education program was conducted with five nurse practitioners, one psychiatrist, two therapists, and two front-end administrative staff. …

Factors Impacting School Social Workers’ Trauma-Informed Support Of Students With Disabilities, La Kisha Miles-Sneed

Walden Dissertations and Doctoral Studies

Children with disabilities in underserved New Jersey communities are disproportionately exposed to trauma due to compounding systemic inequities. This basic qualitative study explored how school social workers support these students through special education case management. Grounded in disability critical race theory, the trauma-informed schools framework, and ecological systems theory, the study addressed the primary needs of trauma-exposed students with disabilities and the supports and challenges school social workers face in meeting those needs. Semi-structured interviews with 9 school social workers revealed core student needs: emotional and relational safety, access to school-based mental health services, trauma-informed individualized education program (IEP) supports, …

A Multimodal Discourse Analysis Of Visual Representation In English Language Textbooks At The Elementary Level: A Social Semiotic Perspective, Amina Bashir, Aamir Aziz, Muhammad Imran, Norah Almusharraf

Khazar Journal of Humanities and Social Sciences

Textbooks serve as a significant and comprehensive resource for language learners. This study focuses on a Multimodal Discourse Analysis of Visual Representations found in English Language Textbooks, employing a Visual Social Semiotic Perspective. Utilizing the framework established by Kress & van Leeuwen (2020), which comprises Representational, Interactional, and Compositional modes, this research investigates the multimodal elements present within these textbooks to assess their role in enhancing comprehension through visuals. Adopting a qualitative descriptive methodology, the study analyzes a purposively selected sample of 158 images from elementary school textbooks. The findings reveal a disproportionate representation of males compared to females across …

From Black Umay To Albasti And From Yellow Girl To Martu: Reflection Of Evil Spirits In Uzbek Folklore, Dilbar Haydarova

Khazar Journal of Humanities and Social Sciences

Binary moral cosmologies—from Yin–Yang and Zoroastrian dualism to the God–Devil polarity—have long organized Eurasian thought. Uzbek oral literature participates in this horizon through persistent figures of benevolent and malevolent spirits that aid or obstruct heroic protagonists. To trace the historical development and literary functions of iyes (protective spirits) and yeys (harmful spirits) in Uzbek Turkic belief and narrative, and to identify their survivals in contemporary everyday practice. The study integrates close readings of canonical epics and folktales with comparative Central Asian and Islamicate folkloristics, supported by etymological analysis and targeted ethnographic notes. A diachronic typology is constructed to map motifs, …

Beyond The Bedside: How Interdisciplinary Rounds Streamline Icu Care And Transitions, Kristina Boudreau, Sarah Beldin, Gillian Grafton, Ryann Lair

2025 Nursing Research Symposium

No abstract provided.

Bridging The Gap With Innovation: Clinical Nurse Specialists (Cns) Transforming Discharge Planning And Patient Education In Diabetes Care, Julia Quinto, Melissa Barach

2025 Nursing Research Symposium

No abstract provided.

Code Sepsis: Educating For Excellence In Sep-1 Compliance, Amanda Bradley, Courtney Rumler, Allison Wilcox, Emily Cote

2025 Nursing Research Symposium

No abstract provided.

Combating Workplace Violence: The Implementation Of A Behavioral Emergency Response Team, Jessica Schmidt, Jennifer Rice

2025 Nursing Research Symposium

No abstract provided.

Staff Perception Of The Cpr Coach Role For Codes With Cardiac Arrest In The Emergency Department, Deborah Sanders, Wendy Butterfield

2025 Nursing Research Symposium

No abstract provided.

Cut To The Heart: Emergency Sternotomy Training, Jessica Schmidt, Taylor Soltis, Jordan T. Richardson

2025 Nursing Research Symposium

No abstract provided.

Decreasing Medical Device-Related Tracheostomy Pressure Injuries With Hydroconductive Dressings, Jennifer Rice, Danielle Elswick, Jessica Schmidt, Hannah Gonzalez

2025 Nursing Research Symposium

No abstract provided.

Decreasing Patient Falls And Staff Workload Through Enhanced Safety Rounds, Lisa Cohen, Lakeisha L. Reed, Stephanie Trombley, Chelsea Stotler

2025 Nursing Research Symposium

No abstract provided.

Seconds To Scan: Reducing Stroke Arrival To Ct Times, Nicole R. Monti, Daniel Lalonde, Benjamin Krater, Joshua Nass

2025 Nursing Research Symposium

No abstract provided.

Efficacy Of A Collaborative Medication Record (Mar) During Charting Downtime, Abbie Tuomisto, Kyle D. Moritz, Marisa K. Szydlowski, Mark Johnson

2025 Nursing Research Symposium

No abstract provided.

Does Assigning Roles At The Beginning Of The Shift Enhance Confidence And Team Organization In The Event Of A Code Blue?, James Hanna, Natenipha Whitefield, Teresa Czeiszperger

2025 Nursing Research Symposium

No abstract provided.

Enhancing Patient Safety And Efficiency: The Iv Smart Pump Integration Project At Henry Ford Health, Michelle R. Gilbert

2025 Nursing Research Symposium

No abstract provided.

From Delays To Dialogue, Investigating Team Communication And Patient Safety Culture In An Endoscopy Unit, Vetra Archer, Rupinder K. Mahal, Nutrena Tate

2025 Nursing Research Symposium

No abstract provided.

Icu Made 4 U: Critical Care Education For Novice Nurses, Taylor Soltis, Brooke Blair, Jessica Schmidt, Jennifer Rice

2025 Nursing Research Symposium

No abstract provided.

Improving Nurse Confidence Through Unannounced Mock Codes On Inpatient Units, Kelsey Beausoliel, Joshua Winowiecki

2025 Nursing Research Symposium

No abstract provided.