Digital Commons Network^™

North Dakota’S New Health Initiative The Multi-Partner Health Collaborative, Krissie L. Mayer

Walden Dissertations and Doctoral Studies

North Dakota’s declining health outcomes and continued disparities demonstrate a need for a coordinated, multisector approach to statewide health improvement. This qualitative case study examined stakeholder perceptions of the initial effectiveness and potential sustainability of the Multi‑Partner Health Collaborative (MPHC) in advancing the State Health Improvement Plan (SHIP). Using systems theory (ST), the study explored how executive leadership, the steering committee, and goal groups function as interdependent subsystems whose alignment, communication, and feedback loops influence overall performance. Semi-structured interviews, analyzed thematically, reflected the patterns related to collaboration, SHIP implementation, barriers to effectiveness, and factors shaping long-term sustainability. Stakeholders generally viewed …

2026 Hon. James R. Browning Distinguished Lecture In Law: Pride And Precedent: Some Thoughts On Judging, Danielle J. Forrest

Montana Law Review

No abstract provided.

The Seven Deadly Sins Of Ai Policy, Kevin Frazier

Montana Law Review

No abstract provided.

Legislating In The Child's Best Interests: Senate Bill 466 And The Increasing Significance Of Court Appointed Special Advocates In Dependency And Neglect Proceedings, Montana Casa/Gal Association

Montana Law Review

No abstract provided.

Adolescent With Pediatric Liver Transplantation: The Perspectives Of Quality Of Life And Self-Care, Ya-Hui Chang, Bih-Shya Gau, Ming-Chih Ho, Jia-Feng Wu, Hsiao-Ling Yang

International Nursing Research Congress (INRC)

Background and Significance: Many children with end-stage liver disease have their lives extended by liver transplantation, growing into adolescence and even adulthood. Therefore, it is important to understand the long-term health outcomes of liver transplantation and provide relevant assistance during this developmental process. However, there is a lack of domestic research on the long-term and comprehensive health outcomes of pediatric liver transplantation, and less attention is paid to the children's own self-care ability and development.

Objective: To understand the attributes, health-related quality of life, and chronic disease self-care ability of adolescents who have received liver transplantation in early childhood and …

The Development Of The Theory Of Sociocultural Determinants In Breast Cancer Screening, Corvette Vanessia Yacoob, Indra Hershorin

International Nursing Research Congress (INRC)

Background: Breast cancer is a disease that strikes women globally every 14 seconds, making it a global health issue. It is among the most common cancers in women and the second leading cause of cancer death in the United States. Black women face disproportionately higher mortality, underscoring the need for early, equitable screening.

Purpose: To explore the key factors shaping breast cancer screening habits among Caribbean-American Women of African ancestry. The study developed a substantive theory of sociocultural determinants to address and improve early and equitable breast cancer screening methods.

Philosophical underpinnings, including constructivism, pragmatism, and symbolic interactionism, guided the …

Predicting Telemedicine Patient Visit No-Shows: Discovering An Actionable Patient Risk Model, Barbara R. Medvec, John D. Knight

International Nursing Research Congress (INRC)

The objectives of this project were to evaluate a large healthcare system’s telemedicine no-show risk model, assessing accuracy in identifying (1) high-risk for no-show patients and (2) refinements to the model that would improve the prediction accuracy and ease of use. The original model factors—Portal Activation, Last Portal Log-In < 90 days, E-Check-In < 90 days, E-Check-In for Visit Completed, and Last Video Visit—showed limited predictive power, making the model challenging to apply in practice. Leadership seeks a more accurate and streamlined model to support targeted interventions aimed at reducing no-shows.

A literature review revealed limited evidence on predictive scoring models for telemedicine visit no-shows. We analyzed 525,333 telemedicine appointments from 30 clinics between 2021 and 2024. Using descriptive statistics and binary logistic regression, we: (1) assessed no-show rates by risk score; (2) calculated standardized Z scores for model factors; and (3) …

Reality Check: Nursing Graduates' Transition To Practice And Implications For Curriculum Development, Catherine A. Stubin

International Nursing Research Congress (INRC)

Nursing workforce instability has intensified due to worsening work conditions and increasing demands on nurses. Burnout disproportionately affects younger nurses and is strongly linked to early-career attrition (Labrague et al., 2025), with nearly 15% of newly licensed registered nurses leaving within their first year and over 30% within two years (AACN, 2024; NLN, 2022). Addressing burnout is vital not only for nurse retention but also for maintaining mental health and ensuring high-quality patient care (Li et al., 2024; Shah et al., 2021).

The purpose of this study was to examine nursing alumni perceptions of how effectively their undergraduate curriculum at …

When We Feel Maxed Out: Increasing Human Capacity Across Four Domains, Erica Skarda Ramey

International Nursing Research Congress (INRC)

The experience of being “maxed out” reflects depletion across emotional, cognitive, physical, and relational domains that collectively determine human capacity. Nurses frequently encounter this state in themselves, colleagues, and patients, where exhaustion and stress diminish coping and resilience. Emerging evidence demonstrates that recovery requires more than time or reduced workload; deliberate engagement in evidence-based practices produces measurable improvement across domains.

This paper introduces a multidimensional framework for human capacity and synthesizes recent findings linking mindfulness, cognitive training, physical conditioning, and social connection with improved well-being. The review identifies five common misconceptions that obstruct recovery—beliefs that time alone restores capacity, that …

Perceived Cognitive Function And Continuous Glucose Monitor Use In Older Adults: A Qualitative Study, Heather E. Cuevas, Jeeyeon Kim

International Nursing Research Congress (INRC)

CGM is used to examine glucose data against reports of diabetes self-management (DMSM) behaviors, allowing characterization of biobehavioral processes.¹ The inclusion of DMSM behaviors is crucial to a full understanding of the relationships between glucose variability and cognitive function.^2,3 Unfortunately, only a few trials have evaluated the effectiveness of CGM in older adults with T2DM.^4,5 Because older adults with T2DM are a heterogeneous group with variable functional and cognitive abilities, clinicians must consider whether each patient can use CGM and which CGM device that best fits patients' needs. The purpose of this project was to investigate how …

Oral Mucositis Severity And Predictive Biomarkers In Head And Neck Cancer Patients Treated With Concurrent Chemoradiotherapy: A Single-Institution Retrospective Cohort Study, Srishti Seth, Md Mahin, Mai Mandor Badawy, Eric Ababio Anyimadu, Cem Dede, Clifton David Fuller, Amy Catherine Moreno, Busra Yilmaz

Students Summer in Oncology at Anderson Research (SOAR) 2026

Oral mucositis is one of the most prevalent and debilitating acute toxicities of radiotherapy-based treatment for patients with head and neck cancer (HNC) receiving concurrent chemoradiotherapy (CRT). Although it contributes to treatment interruptions, increased opioid use, nutritional compromise, and reduced quality of life, the ability to predict which patients will develop severe mucositis prior to or early in treatment remains limited. We aim to describe the incidence and severity of oral mucositis, measured by the MD Anderson Symptoms Inventory (MDASI) across treatment weeks in this cohort and analyze biological factors for mucositis, including biomarkers in the CBC with differential.

This …

Ai-Powered Knowledge Engines As Research Infrastructure For Systematic Knowledge Discovery, Gary Welz

Publications and Research

This paper proposes knowledge engines as a framework for understanding how intelligent systems — both human and artificial — systematically discover, integrate, and generate knowledge. We argue that history’s greatest scientific minds functioned as knowledge engines, processing information through iterative cycles of ingestion, analysis, synthesis, and communication, guided by curiosity and willingness to challenge established beliefs.

We propose a taxonomy of nine integrated capabilities — ingestion, digestion, analysis, calculation, comparison, connection, association, analogy, and multimodal communication — that any serious knowledge engine must combine systematically. The argument is deliberately integrative: achieving ambitious research goals requires orchestrating all nine capabilities within …

Research On Development Strategy Of China’S High-End Medical Device Industry, Liu Zhihong, Hui Zhu, Wei Wu, Jiani Li, Yingke Xu, Jianxin Zhang

Bulletin of Chinese Academy of Sciences (Chinese Version)

High-end medical device industry serves as a critical technological foundation for modern healthcare systems and represents an important indicator of a country’s innovation capacity, advanced manufacturing capability, and industrial governance effectiveness. Amid intensifying global technological competition, upgrading healthcare demands, reshaping regulatory regimes and restructuring global supply chains, promoting the high-quality development of the high-end medical device industry has become essential for enhancing indigenous innovation capacity and ensuring industrial security. This study examines international experiences from the United States, Germany, Japan, and other countries in innovation ecosystem development, regulatory review optimization, market payment incentives, participation in international rules, and governance of …

Planetary Health: Scientific Frontier For Harmonious Coexistence Between Humans And Nature, Zhu Yongguan, Jue Liu, Hua Zheng, Yaoyang Xu, Weiqi Zhou, Hongliang Zhang

Bulletin of Chinese Academy of Sciences (Chinese Version)

Against the backdrop of deeply intertwined global environmental change, biodiversity loss, and health risks, Planetary Health is emerging as a new interdisciplinary field that is gradually becoming the scientific frontier for understanding harmonious coexistence between humans and nature. This study systematically reviews the evolution of Planetary Health from the “Planetary Boundaries” theory to a comprehensive disciplinary framework. Through a paradigmatic comparison with concepts such as public health, global health, and One Health, it reveals that the core breakthrough of Planetary Health lies in redefining human health as an endogenous variable embedded within the stability of Earth’s natural systems. Three major …

Progress And Prospective Of New Pollutants Study, Ruan Ting, Chunyang Liao, Yawei Wang, Maoyong Song, Yaqi Cai, Guibin Jiang

Bulletin of Chinese Academy of Sciences (Chinese Version)

The governance of new pollutants has been becoming a critical strategic demand for the high-quality development of China. The policy will be further advanced during the coming National 15th Five-Year Plan period. Nevertheless, significant challenges remain in aspects such as list of controlled chemicals, standard development, measurement methods, alternative approaches, and remediation techniques. Existing experience in addressing traditional pollutants remains insufficient to adequately address the concealed and complex ecological and/or health risks associated with new pollutants. Thus, a strengthening of basic research is the optimal approach to tackling these challenges and avoiding detours. To better identify the critical scientific challenges …

Open Sharing And Collaborative Governance: Practices And Implications Of National Institutes Of Health’S Digital Transformation, Long Yuntao, Bingzhi Wang, Zheping Xu, Yang Wang

Bulletin of Chinese Academy of Sciences (Chinese Version)

With the rapid development of information technology, research projects and tasks of research institutes are increasing rapidly. Scientific and technological resources are the core and foundation of scientific research work, and scientific research institutes are faced with the needs of processing, management and coordination of a large number of scientific and technological resources. Digital transformation has become an inevitable choice for the high-quality development of scientific research institutes. The U.S. National Institutes of Health (NIH), as the world’s top scientific research institute, has continuously introduced a number of initiatives in the field of digital transformation, such as institutional reform policies, …

2026issue7content

Bulletin of Chinese Academy of Sciences (Chinese Version)

No abstract provided.

Point 2440 Realty Llc V. Garcia

All Decisions

In this nonpayment proceeding, Respondent moved to dismiss on the ground that the building was occupied in violation of Multiple Dwelling Law § 301 due to HPD violations and a DOB partial vacate order for illegal conversion of the basement. The court granted the motion, finding the building substantially deviated from its certificate of occupancy and that under GVS Properties v. Vargas, the landlord is barred from collecting rent for the entire building.

Inhibiting Chikungunya Virus Protease Using Mtase-Like Domain Interactions For Novel Antiviral Therapies, Justin G. Julander

Funded Research Records

No abstract provided.

Functional Divergence Of Capicua Isoforms Explains Differential Tissue Vulnerability In Neurological Disease, Hamin Lee, Esmeralda Villavicencio Gonzalez, Elias M Rivera, Mark A Durham, Ronald Richman, Elizabeth H-Y Chu, Kailey Xia, Hu Chen, Zhandong Liu, Surabi Veeraragavan, Binoy Shivanna, Huda Y Zoghbi

Faculty, Staff and Students Publications

Many neurological diseases impact specific brain regions despite widespread expression of the disease-related protein. Spinocerebellar ataxia type 1 (SCA1) primarily affects the cerebellum, though Ataxin-1 (ATXN1) is widely expressed. We previously showed that intensified interaction between mutant ATXN1 and Capicua (CIC) drives SCA1 pathogenesis in the cerebellum, whereas ATXN1 loss augments amyloid β production in the hippocampus and cortex. CIC, however, forms a complex with ATXN1 and its paralog, Ataxin-1-like (ATXN1L), yet knockout of either yields completely different phenotypes. To determine whether this could be due to CIC having two isoforms, we generated mice bearing either the long (CIC-L) or …

Three Common Hoof Problems In Dairy Cows: What To Look For And How To Prevent Them, Drew Swartz, Kalen Taylor, Jacob Hadfield, Justin Wyatt Clawson

All Current Publications

This fact sheet covers the three most common hoof lesions in dairy cows and explains why they matter and how to prevent them on your farm.

Digital Dermatitis, Sole Ulcers, And White Line Disease In Dairy Cattle: Pathogens, Diagnosis, And Treatment, Drew Swartz, Kalen Taylor, Jacob Hadfield, Justin Wyatt Clawson

All Current Publications

This fact sheet focuses on three common hoof lesions in dairy cattle: digital dermatitis, sole ulcers, and white line disease, and describes how differences in pathogenesis and risk factors influence diagnosis, prevention, and treatment.

Cheryl Hileman V. West Penn Allegheny Health System Inc

2026 Decisions

USDC for the Western District of Pennsylvania

Impact Of High-Fidelity Simulation On Nursing Students’ Attitudes Toward Care Of The Dying, Meredith Joyner

International Nursing Research Congress (INRC)

Background: End-of-life (EOL) care is a vital yet often underemphasized component of nursing education. Limited clinical opportunities to engage with dying patients can leave nursing students unprepared to provide compassionate care. High-fidelity simulation provides an evidence-based, immersive learning environment that allows students to practice communication, decision-making, and emotional responses in a safe setting.

Research Question/Aims: This study aimed to determine whether participation in a high-fidelity simulation focused on EOL care would improve nursing students’ attitudes toward caring for dying patients. It was hypothesized that simulation participation would positively impact student attitudes as measured by a validated instrument.

Methods: A quantitative …

Graduate Nursing Faculty Work And Wellbeing Survey: Pilot Study Of Dual-Role Faculty, Erica Skarda Ramey

International Nursing Research Congress (INRC)

Burnout among nursing faculty continues to threaten workforce sustainability and academic program stability. Dual academic–clinical faculty experience compounded demands that heighten burnout risk and reduce job satisfaction. Despite recognition of these challenges, limited instruments specifically examine wellbeing in this group. This pilot study evaluated the feasibility and initial psychometric properties of the Graduate Nursing Faculty Work and Wellbeing Survey (GNFWWS), designed to assess burnout, job satisfaction, and perceived institutional support among graduate nursing faculty with concurrent academic and clinical practice roles. Guided by the Job Demands–Resources framework, the cross-sectional pilot was implemented at a large academic medical center in the …

Intravenous Versus Oral Tranexamic Acid In Shoulder Arthroplasty, Tarishi Parmar, Akin Adio, Mohammad Daher, Adam Khan, John Horneff, Joseph A. Abboud

Rothman Institute Papers

PURPOSE: Tranexamic acid (TXA) is used in shoulder arthroplasty to reduce blood loss. While intravenous (IV) TXA is standard, oral TXA offers advantages in cost and administration. This study compares 90-day complications and postoperative laboratory values between IV and oral TXA in total shoulder arthroplasty (TSA).

METHODS: A retrospective cohort study using TriNetX identified adults undergoing primary TSA (2005-2025) receiving TXA on the day of surgery, stratified by route (IV vs. oral). One-to-one propensity score matching was performed. Ninety-day outcomes included transfusion, thromboembolic events, cardiac and renal complications, neurologic events, infection, wound dehiscence, readmissions, emergency department visits, opioid utilization, and …

More Than A Diagnosis: Supporting Kids And Families Through Sdoh Awareness, Sara Cronin, Alejandra Ortiz

2025

No abstract provided.

Current & Future Priorities In Canadian Pre-Licensure Nursing Education On Care For People With Idd, Anna Don, Janet Mccabe

International Nursing Research Congress (INRC)

Using existing literature the audience will be oriented to the current state of pre-licensure nursing education about People with intellectual and developmental disabilities (IDD), review priorities identified by People with IDD and nurses, and finally suggest a course for the future nursing education about the care of People with IDD.

The findings of a recent scoping review of international pre-licensure nursing education [1] demonstrated that most education related to people with IDD was episodic at best. More recently a Canadian Delphi study was conducted in which People with IDD and nurses identified priorities for nursing education [2]. Using the current …

Advancing Learning Disability Nursing Education In Scotland, Sam Abdulla, Natasha Spassiani, Amanda Woodrow, Jacqueline Taylor, Valerie Houghton, Kyle Buchan

International Nursing Research Congress (INRC)

Across the UK, applications to undergraduate nursing programmes, especially Learning Disability (LD) Nursing have declined significantly (Royal College of Nursing, 2021), resulting in under-recruitment and, in some regions, the closure of LD Nursing programmes (Royal College of Nursing, 2024). This shortage of specialist LD Nurses risks worsening health inequalities for people with LD (House of Commons, 2024). NHS Education Scotland (2023) identified LD Nursing as a workforce priority, highlighting the need for innovation to attract new nurses and maintain high-quality, person-centred care. For those entering programmes, access to varied and appropriate placements remains a challenge due to reduced post-COVID capacity, …

From Burden To Support: Validating An Ai-Based Dementia Care Voice Assistant App, Modupe Akintomide, Xinyue Zhang, Divya Iyer, Madison Ellison, Sumaya Tamenne

International Nursing Research Congress (INRC)

The prevalence of behavioral symptoms, such as wandering and agitation, in over 90% of persons with Alzheimer's disease and related dementias (Pw-ADRD), with approximately 83% residing in home-based settings [1-3], underscores the urgent need for effective interventions to support informal caregivers. These caregivers are essential for maintaining quality care for Pw-ADRD, yet they frequently encounter substantial challenges in managing behavioral symptoms [4], revealing a significant gap in available resources and support systems.

To address this gap, we developed a prototype for an AI-based Dementia Care Voice Assistant (AI-DECAVA), powered by a large language model (LLM). The system is designed to …