Digital Commons Network^™

Transforming Healthcare With Ai: The Illusion Of Control, Garrett L. Heaney

PNHA Review

Artificial intelligence is a new technology that has paved a path into the future for our healthcare sectors. This technology uses machine learning methods and big data to conduct its intended purpose within its designated parameters; however, researchers and consumers have experienced unintended outcomes. Artificial intelligence is deployed throughout our daily lives, so our society looks at this immense responsibility superficially. As organizational leaders experience short-sighted tunnel vision and push for innovative artificially intelligent programs, they do not realize the potential severe dangers.

This paper argues for a graded approach to studying and implementing artificially intelligent machines in healthcare. Our …

High Times Or Hazy Horizons? Michigan’S Cannabis Market As A Rural Economic Development Tool, Jakob L. Bigard

PNHA Review

Since legalizing cannabis for adult use in 2018, Michigan’s (recreational) cannabis market has become the second largest in the nation. As the state’s market sees rapid maturity, it serves as a model for other states with ongoing legalization efforts. Michigan’s actions, and others like it, have begun to impact movement at the federal level, with multiple cannabis-related bills being introduced in Congress to President Biden signing the first standalone marijuana reform bill earlier this month. As Michigan’s cannabis market continues to mature and grow, it deserves attention from economists and academics alike. Using traditional economic development metrics, this paper evaluates …

From The Editor-In-Chief, Richard Jelier

PNHA Review

No abstract provided.

Front Matter, Pnha Review

PNHA Review

No abstract provided.

Differences In Mental Toughness Among Mixed Martial Artists And Physically Active Individuals, Savannah M. Calleja, Soleil Ramos, Victoria Potvin, Anthony A. Ricci, Gabriel J. Sanders, Corey A. Peacock

Journal for Sports Neuroscience

Mixed Martial Arts (MMA) is a physiological and psychological demanding sport. While the majority of the literature conducted in MMA regards physiological health and risk of injury, researchers are beginning to assess the psychological profiles of MMA athletes. Previous studies have evaluated mental toughness (MT) within MMA; however, no study has examined MT in MMA athletes at the professional division. Therefore, the primary purpose of this research was to evaluate the difference in mental toughness between professional MMA athletes and physically active individuals. Secondary aims are to evaluate potential variations in mental toughness within the professional level between champion and …

Business Writing Performance And Instructional Practices Under English Medium Instruction: A Multisite Mixed-Methods Study Of Diploma Students In Saudi Arabia, Shaykhah Saeed Raffaa

UB Journal for Humanities

Saudi Arabia’s Vision 2030 treats English Medium Instruction (EMI) as a central instrument in vocational colleges, on the assumption that delivering content in English develops the professional literacies, business writing among them, that the labour market demands. This study examined business writing performance and the instructional practices associated with it among diploma students in Marketing and Business Administration at five Saudi public applied colleges, using a convergent mixed-methods design that combined a writing performance task (N = 130), a perceptions and affective-beliefs questionnaire (N = 130), semi-structured instructor interviews (N = 18), and structured classroom observations (N = 10). Because …

Expression Of Follicle Stimulating And Luteinizing Hormone Receptors In Porcine Testes After Timing The First Vaccination For Immunocastration, Sayamon Srisuwatanasagul, Rungrueang Yodsheewan, Amornthep Archawakulathep, Suvaluk Seesupa, Kongkiat Srisuwatanasagul, Atthaporn Roongsitthichai, Siriluck Juntautsa

The Thai Journal of Veterinary Medicine

This study aimed to examine the expression of follicle stimulating hormone receptor (FSHR) and luteinizing hormone receptor (LHR) in the testes of male fattening pigs based on the timing of the first immunocastration dose. A total of 24 male pigs were randomly assigned to 3 groups: C (n=8) consisted of only intact pigs, T1 (n=8) contained those immunocastrated at 15 and 19 weeks of age, and T2 (n=8) was composed of those immunocastrated at 9 and 19 weeks of age. The expression of FSHR and LHR was evaluated using H-score from immunohistochemistry and protein band intensity from Western blotting. Immunohistochemistry …

The Thank-All-Nearby Primitive: One-Tap Anonymous Gratitude Transfer To Everyone Nearby Over Bluetooth Low Energy Proximity, Thon Ly

Defensive Publications Series

We specify a one-tap broadcast operation for anonymous peer-to-peer value transfer to every co-present, human-verified recipient within Bluetooth Low Energy (BLE) proximity, optionally carrying money or time, in which each recipient receives a verifiable receipt and the sender receives no exportable record. The recipient set is resolved by physical co-presence rather than account lookup: devices advertise rotating, unlinkable proximity beacons, with ultra-wideband ranging and peer-to-peer nearby-connection APIs as optional substrates, and the platform learns only that two devices were in range, never absolute location. Components: (1) sender authentication by a per-action passkey signature, within a proof-of-humanity layer attesting a distinct …

Respiratory Biofeedback Coupled To Ai-Mediated Contemplative Guidance: A Wearable Closed-Loop Breathing Sensor With Adaptive Audio Meditation Guidance, Thon Ly

Defensive Publications Series

This disclosure specifies a closed-loop respiratory biofeedback system: a chest-worn wearable respiration sensor (respiratory inductance plethysmography, with inertial and acoustic alternatives) streams breathing rate, depth and rhythm, in privacy-preserving form, to an AI meditation-guidance agent, which returns adaptive audio guidance to the wearer in real time. The device also renders the breath visibly, as ambient light modulated to the breathing cycle, so the practitioner receives continuous external feedback and the guidance agent receives a live physiological signal rather than self-report.

Three aspects are disclosed as prior art: (I) the integrated closed loop — sensor, on-device processing, guidance agent grounded in …

Verified-Human Anonymous Local Gratitude Transfer: Proximity-Bounded Anonymous Peer-To-Peer Payment With Per-Action Proof Of Personhood, Thon Ly

Defensive Publications Series

We specify an anonymous peer-to-peer payment and tipping method in which one signed transaction binds three properties: per-action proof of personhood by user-verified FIDO2/WebAuthn signing on an attested platform authenticator, physical proximity attestation by Ultra-Wideband (UWB) or Bluetooth Low Energy (BLE) ranging, and sender anonymity toward the recipient. The device-signed ranging transcript is placed inside the payload over which the WebAuthn assertion is computed, with a verifier-issued single-use nonce, so user verification and co-location are attested by one signature over one object.

Proximity requires one UWB ranging (IEEE 802.15.4z secure ranging where exposed) or two agreeing mechanisms among UWB, BLE …

Decided By No One: Publicly Verifiable Random Selection And Round-Robin Rotation From A Committed Roster And A Public Randomness Beacon, With A Time-Locked Sealed Regime, Thon Ly

Defensive Publications Series

This disclosure specifies a publicly verifiable random selection method for allocating turns and oversubscribed admissions. The output is a pure function of inputs committed before the seed can be known (a frozen roster, a salt and the algorithm version, bound into a hash commitment on an append-only, externally timestamped log) and of a seed taken from a named future round of a threshold public randomness beacon, so anyone holding the disclosed inputs can recompute the result.

Two forms share one keyed shuffle. The turn form deals every roster member exactly once per round in an unpredictable order, records an absence …

The Reciters' Protocol: Content Integrity Verification, Completeness Manifests And Variant-Preserving Text Retrieval Transposed From Oral Canon Transmission, Thon Ly

Defensive Publications Series

This disclosure specifies content integrity verification and provenance mechanisms for text retrieval systems that serve quoted passages to machine readers, transposed from a multi-recension oral canon transmitted for roughly two millennia without an authoritative copy (the Pāli Buddhist canon).

A conformance endpoint accepts a claimed quotation, compares it with the served multi-recension corpus, and returns one of a closed set of dispositions on the claim, including a conforming variant with its witness, each paired with a prescribed next action and by construction none on the claimant; closed disposition sets are anticipated by OCSP; the composition is disclosed. A separated completeness …

Analysis Of Factors Affecting Pharmaceutical Supply Chain Performance In Private Hospital “X” Surabaya, Yuliana Yuliana, Dewi Sri Surya Wuisan

International Conference on Business and Management Research (ICBMR)

This study investigates the effect of six key factors on pharmaceutical supply chain performance (PSCP) at Private Hospital “X” in Surabaya: inventory level control, demand forecasting, supply chain flexibility, supply chain integration, supply chain visibility, and information sharing. A quantitative approach was applied using a questionnaire survey in April 2025, with 187 medical and non-medical staff meeting the inclusion criteria. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM), complemented by Importance-Performance Map Analysis (IPMA) and Prediction-Oriented Segmentation (PLS-POS). Results show that all factors positively and significantly influence PSCP (p < 0.05), with inventory level control being the most dominant (β = 0.336), followed by supply chain visibility (β = 0.224). IPMA identifies inventory level control and demand forecasting as high importance–high performance, while supply chain visibility shows high performance but lower perceived importance. These findings align with the Resource-Based View (RBV), highlighting the strategic value of integrated internal resource management. The study recommends enhancing pharmaceutical supply chain systems to improve hospital efficiency, adaptability, and sustainability.

Modeling Urban Heat Island Mitigation Strategies In Egyptian Cities Using Envi-Met, Islam M. Gaber, Abbas M. Hassan, Tarek Elkashef, Ola A. Gad, Ahmed M. Abdo, Abdelrazek Elkomy

HBRC Journal

Mitigation techniques for urban heat islands (UHI) have emerged as a critical concern for global urban environmental sustainability. Passive cooling employing cool materials and/or urban greening has shown to be the most effective strategy for mitigating the impacts of UHI. This latter method, however, is relatively new in the literature of urban environmental studies, and research on it is still limited, particularly for cities in hot-dry climatic zones. This study aims to investigate the possibility of improving albedo rates and adopting urban greening measures, such as greening building roofs, roadways, and walkways, in several Egyptian cities located in various climatic …

Fear, Threat, And Google Searches: Examining Ideological Shifts Using Big Data, Erin M. Cerasaro

Master's Theses

In their review of research on factors that affect political conservatism, Jost et al. brought together research from several theoretical viewpoints. This produced a model of psychological needs and motives in individuals which react with stimuli that make them feel fearful and threatened (F/T), increasing adherence to conservative ideology. While some research supports these claims, evidence shows that in some contexts these variables increase ideological polarization overall, but may also have a greater impact on conservative attitudes specifically. Researchers have had difficulty in investigating these relationships in naturalistic settings due to an inability to manipulate events that precipitate this ideological …

To Spend Or Not To Spend: Strengthening Congressional Oversight On Executive Impoundment, Grant Scherer

Emory Law Journal Online

The [H]ouse of [R]epresentatives cannot only refuse, but they alone can propose, the supplies requisite for the support of government. . . . This power over the purse may, in fact, be regarded as the most complete and effectual weapon with which any constitution can arm the immediate representatives of the people, for obtaining a redress of every grievance, and for carrying into effect every just and salutary measure.

James Madison, Federalist No. 58[1]

While the President may initiate the annual federal budget process with his or her budget request, the Constitution confers the “power of the purse” on …

Toxic Plants In Zimbabwe: The Lantana Camara Species, Frank Kapungu, Cecilia Masvingwe

Poisonous Plant Research (PPR)

Lantana camara is a major invasive plant species in Zimbabwe. Its toxic effects pose a threat to livestock production, biodiversity, and development. A survey was carried out throughout the country to investigate the distribution of L. camara in Zimbabwe and assess the extent of its spread. Identification was done by toxicologists with the support of an experienced botanist from the National Herbarium of Zimbabwe. The location of the plants was identified using a portable Garmin eTrex® 10 Handheld GPS navigation device., and the coordinates were recorded. Quantum Geographic Information System (QGIS) was used to plot the map. L. camara was …

Identifying Barriers To Reporting Concerning Behaviors In A Public Secondary School, Will Durgin

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Threat assessment is an effective school safety practice that allows schools to identify concerning behavior and intervene before it reaches a crisis. Because this process often begins with a staff member recognizing and reporting a concern, this study examined how school staff interpret concerning behavior, understand their responsibility to report it, and what can make reporting more difficult.

The study used a two-phase action research design in a small, rural public school district in western New York. The first phase used a survey built around five behavior vignettes, while the second phase consisted of staff interviews.

Staff generally agreed when …

The Grizzly, September 24, 2026, Sidney Belleroche, Adam Denn, Saniya Jeter, Sam Zwergel, Laela Stackhouse, Gianna M. Scotto, Nathaniel Nerone, Erik Groff

Ursinus College Grizzly Newspaper, 1978 to Present

Bats Found in BWC • Police Chief Discusses Flock Cameras • Okay, But What is APEX? • St. Joe's Coach Reflects on Ursinus Past • Fresh Dining Hall Hours Changes • Opinion: No, You are Not "Apolitical" • Ursinus Introduces Flag Football as Varsity Sport • Field Hockey Fends Off Competition to Begin Season

Survey Results Of Dnp Faculty To Guide Faculty Development Priorities At Two Large Universities, Gina C. Rowe, Deborah O'Briant

International Nursing Research Congress (INRC)

Since 2010, DNP programs in the U.S. have grown from 156 programs with almost 7000 students in 2010 to 394 programs with over 40,000 students in 2021.(1,2) This rapid growth in new DNP programs has resulted in considerable variability in DNP program structure and curricula (3,4). Many DNP and PhD prepared faculty do not feel confident in guiding DNP students to complete DNP scholarly projects and have expressed a need for more resource support and mentoring.(3,5) The primary purpose of the study was to create baseline data on faculty knowledge and learning needs to guide faculty development efforts for those …

Perceptions Of Ai Caring Behaviors Among University Students In Kenya And The United States, Rachel W. Kimani, Rose Maina

International Nursing Research Congress (INRC)

As AI tools increasingly mediate health communication, questions arise about whether users perceive these systems as capable of relational behaviors such as caring, empathy, or emotional support. Existing scholarship emphasizes accuracy and safety, yet little is known about how the emotional tone of AI communication, caring versus neutral, shapes user perceptions across cultural contexts.

This research-in-progress pilot examines how college students in the United States and Kenya interpret caring-tone and neutral-tone AI responses in health scenarios. Using a 2 (Tone: Caring vs. Neutral) × 2 (Health Context: Mental vs. Physical) × 2 (Site: U.S. vs. Kenya) mixed factorial vignette design, …

Plagiarism Myths And Realities: From Classic Misconceptions To The Age Of Ai, Suhasini Kotcherlakota

Instructional Materials: College of Nursing

Plagiarism remains a serious academic and research-integrity concern for students, researchers, and health professionals alike. This brief resource addresses common misconceptions about plagiarism, including its prevalence, who commits it, the limits of detection software, and text recycling. It also examines how generative AI has changed questions of authorship, attribution, and detection, and offers evidence-based clarifications drawn from publication-ethics guidance, federal research-misconduct regulations, and educational policy.

September 24, 2026, The Daily Mississippian

Daily Mississippian (all digitized issues)

No abstract provided.

Sugary Beverages And The Rise Of Chronic Disease Among Hispanic Women, Jailene Lemus Hurtado, Natalia Andrea Villegas Rodriguez

International Nursing Research Congress (INRC)

Background and Purpose: Cardiovascular disease (CVD) is the leading cause of death and a major source of morbidity among Hispanics in the U.S. (1,2). Sugar-sweetened beverages (SSBs) are known to be associated with an increased risk of CVD, diabetes and obesity (3,4). However, there is a lack of information concerning SSB consumption patterns and perceptions of related health risks among Hispanic women in the U.S. This study aims to investigate SSB consumption patterns and perceptions among Hispanic women.

Methods: This cross-sectional descriptive study included 40 fluent Spanish-speaking Hispanic women ages 18 to 44 from North Carolina who participated in a …

Assessing Spanish-Speaking Latinas' Perceptions Of Postpartum Education On Maternal Warning Signs, Lucero Rocha-Dela Cruz, Natalia Villegas Rodriguez

International Nursing Research Congress (INRC)

Introduction: Pregnancy-related deaths remain a significant public health concern in the US, with approximately 78% occuring during the postpartum period. Latinx birthing individuals may face increased risk of postpartum complications due to barriers in accessing postpartum education that is culturally and linguistically appropriate. Little is known about education on maternal warning signs received among Latinx birthing individuals in the postpartum period. Patient education can reduce pregnancy-related deaths associated with postpartum complications. The purpose of this study was to assess perceptions of postpartum education, with a focus on maternal warning signs, among Spanish-speaking Latinx birthing individuals.

Methods: This quantitative descriptive study …

Fostering Translational Nursing Research Through Academic-Health System Partnerships, Monique Bouvier, Sharon Sonenblum

International Nursing Research Congress (INRC)

Nursing research often presents a disconnect between academic inquiry and the immediate needs of frontline clinical practice. Funding cycles can delay addressing emergent patient care challenges, and academically driven research questions may not always yield direct, value-added solutions for nursing workflows. To mitigate this gap, we initiated a novel program designed to foster collaboration between academic researchers and frontline clinical staff, facilitated by a clinically-based nurse scientist.

This initiative strategically brings academics to the point of care to gain firsthand insights into pressing clinical problems, and conversely, convenes clinical experts with academic counterparts to articulate real-world research priorities. This collaborative …

Social Frailty In Asia: A Scoping Review Of Interventions, Gaps, And Priorities, Julienne Ivan Dagondon Soberano, Jed Montayre

International Nursing Research Congress (INRC)

Aim: Social frailty (SF) is a multidimensional state of social vulnerability linked to adverse outcomes in older adults. Asia’s rapidly aging population poses challenges for health systems, particularly in addressing SF-related conditions. This scoping review aimed to describe existing SF interventions in Asian countries, assess evidence volume and characteristics, and identify research gaps.

Methods: A systematic search of eight databases (PubMed, Scopus, CINAHL, Embase, Web of Science, PsycINFO, Cochrane Library, Google Scholar) identified English-language studies published from January 2020 to September 2025. The review followed Arksey and O’Malley’s framework and PRISMA-ScR guidelines. Interventions were synthesized across the care continuum (prevention, …

Virtual Reality Simulation Prebrief: Promoting Psychological Safety And Clinical Reasoning, Holldrid Odreman, Ryan Mcnally, Christian Baltus

International Nursing Research Congress (INRC)

A review of the simulation literature highlights the need to further understand the relationship between psychological safety and students’ clinical performance. Guided by Situated Learning Theory, this study aimed to determine to what extent there were differences in the experience of psychological safety and the performance of clinical judgement between three different pre-briefing techniques. Situated learning theory purports that learning is experienced within an individual's environment which is supported by the individual's active participation and shared with others. Therefore, as the collaboration and interaction between learner and educator during a pre-briefing activity increase, the level of support for learning and …

Graduate Medical Education (Gme) In The Mountain West, 2025, Mia Tschan, Phillip Seo, Kerima Awol, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents data on graduate medical education (GME) capacity and physician retention across five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah. Data are reported on the number of Doctor of Medicine (MD) and Doctor of Osteopathy (DO) granting institutions, teaching hospitals, residents in training, Medicare-supported GME slots, residents training in slots not supported by Medicare direct GME (DGME), and the percentage of physicians trained in each Mountain West state. The data are derived from the 2025 Association of American Medical Colleges (AAMC) report, “State-by-State Data on Graduate Medical Education,” which includes graduate medical education data …

Implementation Of The Trojan Sex Chromosome Approach In The San Juan River: Investigation And Validation Of Feminization Methods For Channel Catfish, Chad Teal

Funded Research Records

No abstract provided.