Digital Commons Network^™

Breaking Down Barriers To Pediatric Respite Care Use, Michelle Montanez

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Parents of children with a life-limiting illness provide constant, around-the-clock care, often leaving little time for their well-being. This responsibility is emotionally, mentally, and physically demanding, and without proper support, parents face increased risk of depression, burnout, and deteriorating health. Respite services offer relief by providing a much-needed break and allowing parents the opportunity for self-care and improved well-being. Though the benefits of respite are well documented, these services remain underutilized due to barriers such as limited provider awareness, lack of access, and emotional challenges the parents face. This Doctor of Nursing Practice (DNP) project aims to address these barriers …

Discharge Preparedness Assessment Using The Path-S Tool With Stroke Patient Caregivers, Sue B. Pugh

Group: Samford University Moffett & Sanders School of Nursing

Background of Project:

• Stroke is the leading cause of disability in the United States.
• Caregivers are a vital component to successful discharge.
• Inpatient rehabilitation facilities (IRF) are designed to prepare individuals and their caregivers for the transition to home.
• IRF’s measure their success using post discharge surveys.
• The IRF involved in this project measured discharge preparedness against a benchmark score.
• A low score of 3.03/5.0 with a benchmark of 3.4/5.0 resulted in the creation of a key performance initiative regarding discharge preparedness. 

The purpose of this project is to utilize an evidence-based tool in the assessment of stroke caregiver preparedness …

Models, Agency, And Expectations: A Mixed-Methods Study Of How Character Develops In Middle School, Aaron J. Schwindt

LSU Doctoral Dissertations

This explanatory sequential mixed-methods study investigated how character develops among middle school students at an international school recognized as a "National School of Character." Despite significant investment in character education (CE), a lack of formal evaluation exists, particularly regarding the process of development during the critical middle school years, a period of intense neurological and social change. Grounded in Bandura's Social Cognitive Theory (SCT), this study aimed to (1) understand how character develops, (2) compare development before and after program enhancements, and (3) assess the program's impact on discipline. Phase 1 collected Character Growth Index (CGI) survey data from students …

A Practical Survival Guide For New Faculty, Yoshihiko Ariizumi

Spiritual Proficiency

This guide was written for faculty who are new to academic life — or who sometimes feel like they are drowning in it. You will not find technical jargon here. What you will find are honest descriptions of the traps most academics fall into, and clear, practical suggestions for getting out of them. Everything here is based on real research with real faculty — but you do not need to know the research to use the advice. Treat it as a menu: try what sounds useful, skip what does not fit your situation, and come back to it as your …

Serum-Derived Albumin As A Cryoprotective Agent For The Long-Term Storage Of Red Blood Cells: A Preliminary Examination, Thomas Bailey-Schmidt, Christine V Saunders, Chloë E George, Thomas G Scorer, Lynn M R Mccallum, Tracey E Madgett

School of Biomedical Sciences

BACKGROUND: Cryopreservation extends the shelf life of red blood cells (RBC) from weeks to years, offering major advantages for blood banking logistics, especially in remote environments. However, current glycerol-based methods, though effective, are limited in scope due to complex post-thaw washing and incompatibility with routine clinical workflows. This study evaluated plasma-derived albumin as a potential alternative cryoprotective agent (CPA) for human RBC.

STUDY DESIGN AND METHODS: Donor-derived RBC were suspended in 25% w/v bovine serum albumin (BSA) prepared in various diluents and tested for biocompatibility and cryoprotective efficacy under rapid freezing (immersion in liquid nitrogen) and gradual freezing with storage …

A Systematic Literature Review On Data-Efficient And Adaptive Learning Techniques For Encrypted Traffic Classification Under Modern Protocols, Muntakimur Rahaman, Azwan Mahmud, Azlan Abd Aziz, Osama M. S. Abujawa, Ji-Jian Chin

School of Engineering, Computing and Mathematics

Recent studies suggest that few-shot and zero-shot learning methods, drawing on meta-learning, self-supervised approaches and metric-learning ideas, can classify encrypted traffic (TLS 1.3 and QUIC) with competitive accuracy across different protocol conditions. This systematic literature review (SLR) investigates 22 studies selected from an initial pool of 500 papers using PRISMA 2020, focusing on current methodologies for non-stationary network traffic classification, with particular attention to few-shot, zero-shot, and meta-learning approaches. The research addresses four questions: (1) Which approaches have been employed for non-stationary network traffic classification and threat detection? (2) How do hybrid or cross-domain models improve adaptation, detection and overall …

Supported Storytelling Through The ‘Life Threads’ Approach For Family Members After Traumatic Brain Injury: “We've Been Through All Of This Trauma, And You're Giving Me Some String?, Alyson Norman

School of Psychology

Traumatic brain injury (TBI) brings inevitable and significant changes for family members, yet there is little to relieve their trauma, resolve their grief, or prevent ongoingsuffering. The aim of this qualitative pre-feasibility study was to understand theclinical potential of storytelling for families after TBI using the ‘Life Threads’ approach(LTA). An in-depth inductive qualitative design was adopted within an interpretivist paradigm. Following informed consent, participants took part in an online focusgroup, then engaged with the LTA over four weeks before completing an unstructured, in-person interview. A final focus group explored participants’ reflections on theLTA. A purposive sample of 20 family members …

Politainment And Celebrity Officials In Online Journalism: A Study Of Kompas.Com And Public Discourse In Indonesia, Dewi Y. Cahyani

JURNAL KOMUNIKASI INDONESIA

This study examines how politainment shapes the news coverage of public officials with celebrity backgrounds (celebrity officials) in Indonesia's post-electoral governance context. Focusing on Kompas.com during the first six months of the Prabowo–Gibran administration, the study integrates theories and concepts of politainment, celebrity politics, and the public sphere to address a gap in global scholarship. Existing research has largely focused on Western democracies, electoral campaigns, and social media platforms, while paying limited attention to how politainment operates within professional online journalism in emerging democracies. Using a mixed-method approach that combines quantitative content analysis of 102 news articles with qualitative framing …

Assessment Of The Bioremediation Potentials Of Biosurfactant-Producing Bacterial Strains Recovered From Spent Engine Oil-Contaminated Environments In Southwest Nigeria, Nafisa Mohammed Babayola, Nasiru Bright Lecky, Chinweizu Obioma Onumaegbu, Olufunmiso Olusola Olajuyigbe, Martins Ajibade Adefisoye

Journal of Environmental Science and Sustainable Development

Environmental pollution from hydrocarbons and their derivatives is predominantly of anthropogenic origin, occurring mainly during mining, transportation, and storage. This often in an annual release of substantial amounts of pollutants into the environment. The effective restoration of petroleum-contaminated environments requires a series of interventions to remediate soil to its natural state. This study aimed to isolate and characterize biosurfactant-producing bacterial strains with potential bioremediation capabilities to assess the potential application for remediating soils polluted with spent engine oil in the Remo district, Ogun State. Bacterial isolates were recovered from soil samples collected from spent engine oil contaminated sites, using standard …

Ndls Communicator: Week Of 05.18.26, Notre Dame Law School

NDLS Communicator

The Latest News

• Commencement Features
• Notre Dame Law graduate Garrett Hofmann selected for FASPE Ethics Fellowship
• Syl and Vicki Schieber Make Generous Gift to Support Death Penalty Abolition Week at Notre Dame Law School for Five Years

Student News

• Perla Khattar, J.S.D. candidate

Faculty Briefs

• Susan Azyndar
• Msgr. John Paul Kimes
• James Seckinger
• Barry Cushman
• G. Marcus Cole
• Carter Snead
• Nicole Garnett & 3L, Jimmy Murphy
• Roger Alford
• Paul Miller
• Diane Desierto
• Frederick Mostert & Alexandria Noble '26 J.D.
• G. Robert Blakey

Events

• All Staff Meeting

Around the Watercooler

• Kresge Law Library Celebrates 40th Anniversary as a participant in the …

Unquaint Pigs’ Stakeholder Perspectives On Wild Swine In Central Western Florida, Tyler Koerner

USF Tampa Graduate Theses and Dissertations

The Anthropocene presents important questions for how to address the continuous transferal of new species into new spaces and the cascading impacts of environmental transformations. Novel ecosystems present one such outline for conservation that acknowledges the modification of historic ecosystems and the social entanglements that arrive with new species. I argue that novel ecosystems can benefit from further anthropological integrations that aid in describing the entanglements of introduced species and the pursuit of best managerial outcomes. For wild swine in Florida, the adoption of a novel approach is especially relevant because of entanglements with historic and modern Floridian stakeholders and …

Optimization And Energy Efficiency Analysis Of An Automatic Feed Mixer With A Rotating Drum Mechanism, Kris Witono, Talifatim Machfuroh, Nurlia Pramita Sari, Lisa Agustriyana, Aini Lostari

Journal of Mechanical Engineering Science and Technology (JMEST)

Energy-efficient feed mixer machines are important for improving the productivity and sustainability of small and medium-scale livestock farms. Previous studies primarily focused on either structural performance or mixing efficiency, with limited studies integrating both aspects. Therefore, this study evaluated an automatic rotating-drum feed mixer by combining Finite Element Method (FEM) analysis and energy modeling. The study used FEM simulations for different materials, namely A36 steel alloy, stainless steel 304, aluminium 6061, and galvanized steel, with thicknesses of 3 mm and 4 mm, as well as different drum systems. The FEM results showed that all evaluated materials met the minimum safety …

Spontaneous Isolated Celiac Artery Dissection - A Case Report, Marina Takawy, Yousef Waly, Mohanad Shehadeh, Mostafa Najim, Richard Alweis

Advances in Clinical Medical Research and Healthcare Delivery

Introduction: Spontaneous isolated celiac artery dissection (SICAD) is a rare condition, with an unpredictable natural history. It typically affects middle aged men with risk factors including hypertension and smoking. It can remain asymptomatic, and for many patients is detected as an incidental finding. The increasing number of reported cases over the past decade has been attributed to advances in imaging modalities. Management strategies vary depending on presentation. Case presentation: We describe a case of SICAD with atypical demographics. A 77-year-old female with no smoking history presented with progressively worsening abdominal pain. Contrast-enhanced CT revealed an isolated celiac artery dissection. She …

Toxoplasmosis-Associated Immune Reconstitution Inflammatory Syndrome In A Patient With Newly Diagnosed Hiv/Aids, Shivam Singh, Divya Samat Md, Viraj Shah, Kelly Brenan-Rothschild, Anthony Donato

Advances in Clinical Medical Research and Healthcare Delivery

Background: Cerebral toxoplasmosis is a common cause of central nervous system (CNS) lesions in advanced HIV, and initiation of antiretroviral therapy (ART) can precipitate immune reconstitution inflammatory syndrome (IRIS). Toxoplasma-related IRIS is rare but poses significant diagnostic and therapeutic challenges. Case Presentation: We report a 40-year-old male with advanced HIV (CD4 <35 cells/mm3, viral load 540,000 copies/mL) who initially presented with seizures and multiple ring-enhancing supratentorial lesions. Serology and cerebrospinal fluid (CSF) polymerase chain reaction (PCR) confirmedToxoplasma gondii, and he was treated with high-dose sulfamethoxazole-trimethoprim, dexamethasone, and ART. A lymph node biopsy revealed granulomatous inflammation with intracellularHistoplasmaspecies. One month later, following brief interruption of anti-toxoplasma therapy, he developed recurrent seizures and radiographic progression despite ART adherence. Repeat evaluation excluded other infections or malignancy. Brain biopsy confirmedT. gondii, and IRIS was diagnosed. The patient improved with re-initiation of high-dose anti-toxoplasma therapy, corticosteroids, and seizure prophylaxis. Discussion: This case illustrates paradoxical toxoplasmosis-associated IRIS in the context of advanced HIV and concurrent opportunistic infection. Early recognition, exclusion of alternative diagnoses, and continuation of ART with targeted antimicrobial therapy are essential. Conclusion: Clinicians should maintain a high index of suspicion for IRIS in HIV patients with CNS …

Ultrasound-Guided Epidural Caudal Block For Lumbar Spinal Stenosis In A Patient With Severe Scoliosis: A Case Report, Theresia Chandra Tania Novy, Daniel Hadimartana, Maria Jessica Yaputri

Advances in Clinical Medical Research and Healthcare Delivery

Background: Lumbar spinal stenosis (LSS) is a common degenerative condition in the elderly characterized by narrowing of the spinal canal that leads to neural compression and symptoms such as low back pain, neurogenic claudication, and sensory disturbances. LSS may coexist with degenerative lumbar scoliosis (DLS), which can further complicate clinical presentation and management. While surgical treatment is often considered for severe cases, nonsurgical interventions remain important treatment options, particularly for elderly patients with comorbidities. Case Presentation: We report the case of a 69-year-old male presenting with chronic low back pain for more than two years, accompanied by radiating pain, numbness, …

Appendiceal Neuroendocrine Tumor: A Case Report, Daniel Zipfel, Thomas Russo, Mathew Devine

Advances in Clinical Medical Research and Healthcare Delivery

Neuroendocrine tumors (NETs) are rare neoplasms that most commonly occur in the gastrointestinal tract, lungs, and pancreas but may arise anywhere where there are neuroendocrine cells within the body. When neuroendocrine tumors metastasize to the liver, patients present with carcinoid syndrome, a group of symptoms characterized by flushing, diarrhea, and right-sided heart disease. However, many NETs do not cause carcinoid syndrome, sometimes leading to a unique clinical presentation. Patients may present with symptoms of appendicitis, ovarian torsion, or be completely asymptomatic. We report a case of a 25-year-old male with a Grade 1 neuroendocrine tumor of the appendix, who underwent …

Checkpoint Inhibitor–Associated Autoimmune Diabetes Following Pd-1 Blockade: Severe Diabetic Ketoacidosis After Pembrolizumab, Divya Samat, Osadebamwen Osaghae, Shivam Singh, Mohammad Abu Tineh, Anthony Donato

Advances in Clinical Medical Research and Healthcare Delivery

Immune checkpoint inhibitors (ICIs) have transformed cancer therapy by enhancing antitumor T-cell activity through blockade of inhibitory pathways including programmed cell death protein 1 (PD-1) and its ligand (PD-L1). Loss of immune tolerance can lead to immune-related adverse events (irAEs), including endocrine toxicities. Checkpoint inhibitor–associated autoimmune diabetes (CIADM) is rare but clinically significant because it often presents abruptly with diabetic ketoacidosis (DKA) and profound insulin deficiency. We describe an 81-year-old male with stage III clear-cell renal cell carcinoma who developed abrupt-onset autoimmune diabetes 8 weeks after initiating adjuvant pembrolizumab. The patient presented with severe hyperglycemia and high anion-gap metabolic acidosis …

Intravenous Phenytoin-Induced Purple Glove Syndrome With Transient Hyperpigmentation: A Rare Adverse Drug Reaction In An Elderly Patient, Aarthi Ma, Revanth R

Advances in Clinical Medical Research and Healthcare Delivery

Background: Purple Glove Syndrome (PGS) is an uncommon but potentially serious adverse effect of intravenous (IV) phenytoin, characterized by limb pain, swelling, and purple-blue discoloration near the injection site. Although self-limiting in most cases, it can progress to ischemia or necrosis. Case Presentation: A 68-year-old male with a prior cerebrovascular accident (CVA) and coronary artery disease (CAD) was admitted for seizure management. He received IV phenytoin 100 mg thrice daily. By the evening of Day 1, he developed pain, edema, and purplish discoloration at the right wrist, followed by hyperpigmentation on the left palm and right-hand nails. IV …

Invasive Non-Typhoidal Salmonella Enterocolitis And Bacteraemia With Negative Initial Stool Culture Following Consumption Of ``Ceviche''- A Case Report, Maria Vasnaik, Nimrat Kaur Sandhu, Justin Nistico

Advances in Clinical Medical Research and Healthcare Delivery

Salmonellosis is a global public health concern, mainly presenting with non-specific signs and symptoms of gastrointestinal illness associated with the consumption of contaminated chicken, meat, eggs, unpasteurized milk, raw fruits and vegetables irrigated with fecally contaminated water. While non-typhoidal serotypes are known to cause mild, self-resolving symptoms, typhoidal serotypes such as Salmonella typhi and paratyphi may present with severe symptoms, including hyperpyrexia, bloody stools, osteomyelitis, and other symptoms. Such diseases are relatively uncommon in developed countries due to improved hygiene practices and are most often related to travel to endemic countries. Although vaccination against the disease has been recommended for …

A Case Of Reversible Acute Kidney Injury And Life-Threatening Gastrointestinal Bleed With Colitis In A Patient Receiving Tucatinib For Her2-Positive Breast Cancer, Geetha Keshav, Shanzae Naeem, Jalila Jafri

Advances in Clinical Medical Research and Healthcare Delivery

This case report describes the complex clinical course of a 73-year-old female with HER2-positive breast cancer enrolled in the CompassHER2 RD trial who developed acute kidney injury (AKI) requiring emergent hemodialysis shortly after initiation of tucatinib. In addition to severe renal dysfunction, the patient experienced a life-threatening lower gastrointestinal (GI) bleed in the setting of suspected drug-induced colitis and profound thrombocytopenia while receiving combination therapy with trastuzumab emtansine (T-DM1). Although tucatinib has demonstrated promising efficacy in improving outcomes for patients with high-risk HER2-positive disease, serious renal and gastrointestinal complications remain uncommon and underreported. This case underscores the importance of early …

Beyond The Algorithm: Empowering Clinicians And Researchers To Thrive In The Age Of Ai, Milan Sheth, Justin S. Brathwaite

Advances in Clinical Medical Research and Healthcare Delivery

Artificial intelligence (AI) is rapidly reshaping clinical research and healthcare delivery, yet meaningful adoption depends less on technical mastery and more on cultivating AI literacy among clinicians and research staff. Building a foundational understanding of concepts such as supervised learning, bias, and model validation enables professionals to interpret and apply AI-generated insights with confidence. Familiarity grows through exposure to AI-enabled electronic medical record systems, interdisciplinary collaboration with data scientists and informaticists, and small pilot projects that demonstrate workflow fit and real-world value. Prioritizing transparency, explainability, and ethical considerations ensures that AI augments clinical decision-making. Practical applications already span oncology research, …

Solutions To Dismantling Osteopathic Bias In American Medicine, Mathew Devine, Richard Terry

Advances in Clinical Medical Research and Healthcare Delivery

No abstract provided.

Addressing Doscrimination: Examining Bias Against Osteopathic Physicians, Sophia M. Valerino

Advances in Clinical Medical Research and Healthcare Delivery

Osteopathic medicine arose as a response to the limitations of conventional medical practices of the time. It emphasizes the body's innate ability to heal and the importance of holistic care and has since evolved into a rigorous and evidence-based system that parallels allopathic education in scope, standards, and licensure. Nevertheless, osteopathic physicians (DOs) continue to face systemic bias across multiple areas. This article examines the historical context and current manifestations of discrimination against DOs, highlighting disparities in residency selection, research participation, academic leadership, and media portrayal. Despite clear evidence showing comparable performance between DOs and MDs in clinical care and …

Vitamin D Deficiency And Risk Of Cognitive Decline And Dementia: Implications And Prevention Strategies, Auda Fares

Advances in Clinical Medical Research and Healthcare Delivery

Emerging evidence suggests a link between vitamin D deficiency and an increased risk of cognitive impairment and dementia, including Alzheimer's disease (AD). This paper reviews the epidemiological evidence, explores potential mechanisms underlying this association, and discusses implications for prevention strategies. Current supplementation strategies may not be fully effective due to individual variability. Personalized interventions based on genetic factors and routine vitamin D status testing in older adults are proposed as future directions for optimizing the impact of vitamin D supplementation in dementia prevention.

Nationwide Analysis Of Catheter-Directed Thrombolysis Versus Anticoagulation In Sub-Massive Pulmonary Embolism, Ayushma Acharya, Swarup Sharma Rijal, Anthony Donato

Advances in Clinical Medical Research and Healthcare Delivery

Background: Data on the real-world effectiveness and safety of catheter-directed thrombolysis (CDT) versus anticoagulation in sub-massive pulmonary embolism (PE) remain limited.

Objective: The aim of this study was to assess the differences in in-hospital mortality, length of stay (LOS), complications and healthcare resource utilization between catheter directed thrombolysis and anticoagulation in sub-massive pulmonary embolism using the National Inpatient Sample (NIS) dataset from 2016–2022.

Methods: The National Inpatient Sample (2016–2022) was queried to identify hospitalizations for sub-massive pulmonary embolism (PE) with cor pulmonale. Patients receiving CDT were compared to those treated with anticoagulation alone. We excluded patients with shock, ventilator …

Bilateral Beam-Assisted Rock Fracturing For Low-Gravity And Terrestrial Drilling Operations, Daniel Austin Harbison

Defensive Publications Series

A method is described for pre-fracturing rock using two or more counter-propagating millimeter-wave or microwave beams aimed at the same target volume from opposite sides. Standing-wave interference and overlapping absorption produce interior thermal-stress concentrations that initiate cracks at much lower bulk energy density than vaporization-based drilling, while the symmetric geometry largely cancels the net momentum imparted to the rock face. The architecture is intended primarily for low-gravity surface drilling on the Moon, Mars, and asteroids — where reaction-force budgets are extremely limited — and as a pre-conditioning step for terrestrial mechanical drills. The disclosure covers the baseline two-beam geometry at …

"Product Liability" Dalam Penyelenggaraan Penerbangan, Amad Sudiro

Jurnal Hukum & Pembangunan

Abstract

Tangan Tuhan Di Pengadilan: Dalih Bencana Alam Dan Pertanggungjawaban Perdata Dalam Kasus Lingkungan, Andri G. Wibisana

Jurnal Hukum & Pembangunan

Abstract

Survival And Factors Associated With Mortality Among Patients With Oral Cancer At A Tertiary Hospital In Northeastern Thailand: A Retrospective Cohort Study, Somkiattiyos Woradet, Bhunyabhadh Chaimay, Nuntiput Putthanachote

Journal of Health Research

Background: Oral cancer is a major cause of premature mortality in Thailand. This study examines survival and prognostic factors in a northeastern tertiary-care setting.

Methods: A hospital-based retrospective cohort study was conducted using the Cancer Registry and medical records in a tertiary care hospital in Northeastern, Thailand. Patients diagnosed with oral cancer between January 2005 and December 2015 and followed until death or February 2020. Overall survival was estimated using the Kaplan–Meier method. Cox proportional hazards models were used to assess factors associated with mortality

Results: The median survival time was 18.67 months (95% confidence interval [CI]: 15.70–22.83). It revealed …

Associations Between Perceptions Of Indoor Environmental Quality And Satisfaction With Life Among Residents In Saudi Arabia, Hatim M. Badri, Wahaj A. Khan, Mohammad N. Shah, Osama A. Banah, Mohamed Osman Elamin, Rakan Ekram, Rayan Khayat, Abdullah Muhammad Alzhrani, Baraa Sami Quronfulah, Muath Ahmed Aldomini

Journal of Health Research

Background: Indoor residential environments influence physical and mental health, but evidence linking perceived Indoor Environmental Quality (IEQ) to Satisfaction With Life (SWL) in Saudi Arabia is limited. This study explored residents’ perceptions of IEQ and its association with SWL.

Methods: A cross-sectional online survey (March–April 2025) was conducted among adults (≥18 years) in Saudi Arabia using convenience sampling. A total of 451 participants completed a structured questionnaire. Data were analysed using descriptive statistics, Pearson correlations, one-way ANOVA, and multivariable logistic regression to identify IEQ predictors of low SWL (≤20), adjusting for age, sex, and BMI.

Results: …