Digital Commons Network^™

Indonesia’S Archipelagic Healthcare: Lessons From Sumenep Regency In Promotion, Prevention, And Overcoming Disparity, Restu Karlina Rahayu, Tia Subekti, Andi Setiawan

Asia-Pacific Social Science Review

This study examines healthcare in Indonesia’s archipelagic region, using semi-structured qualitative interviews with 20 informants, including island residents, medical professionals, and government officials. Findings reveal inadequate medical facilities on the islands, particularly for emergencies. For instance, there is only one hospital on Arajasa Island, established in 2023, while smaller, less populated islands rely solely on public health centers staffed by general practitioners, lacking specialists. Patients requiring specialized care must be referred to an off-island hospital, but transportation is limited and weather-dependent, leading to high personal costs if ships or boats are unavailable. In response, the Sumenep government has implemented initiatives, …

The Influence Of Demographic Factors On Smoking Behavior Among Low-Income Forest Farmers: Evidence In West Java And Nusa Tenggara Provinces, Indonesia, Budiman Achmad, Dian Diniyati, Eva Fauziyah, Subarudi Subarudi, Mudji Susanto, Danarti Danarti, Rukmini Nugroho Dewi, Sri Najiyati, I Gusti Ayu Putu Mahendri, Tota Suhendrata, Demas Wamaer, Joula Olvy Maya Sondakh, Ratna Ayu Saptati

Asia-Pacific Social Science Review

Smoking constitutes a significant issue in Indonesia, particularly among low-income forest farmers. Cigarettes are the second-highest household expenditure after rice, potentially comprising almost 40% of total annual income. In 2022, the prevalence of smokers aged 15 years and older was recorded at 28.26%, with West Nusa Tenggara ranking second (26.59%). This situation exacerbates poverty and reduces the quality of human resources. The study was conducted in 2023 in Ciamis Regency, Tasikmalaya (West Java), and Sumbawa (West Nusa Tenggara), areas with high cigarette consumption. The aim was to analyze the influence of demographic factors (income, age, and education) on smoking behavior …

Learner Leadership Practices And Student Behavior: A Cultivation Of Student Leadership, Sarun Widtayakornbundit, Jie Hu

Asia-Pacific Social Science Review

This study explored how student leadership practices (SLP) are essential in shaping learners’ development and their continued engagement with higher education institutions. This research investigates the direct and indirect effects of SLP on affective commitment (AC), employing self-efficacy (SE), individualism (IND), and collectivism (COL) as mediating variables. Data were collected through a structured online survey administered to undergraduate students from 11 public universities in Guangxi, China. The study received 436 responses and 387 valid cases. The Student Leadership Practices Inventory, the General Self-Efficacy Scale, the Individualism–Collectivism Scale, and the Affective Commitment Scale were all used as standardized tools. The analysis …

Revisiting The Double Movement In Development: A Systematic Review Of Polanyian Counter-Movements, Yuli Isnadi, Asmarawati Handoyo, Chin-Fu Hung

Asia-Pacific Social Science Review

The concept of the double movement, as expounded by Polanyi (1944/2001), has been a focal point of interest for numerous scholars. However, it is evident that more concerted efforts are required to foster a substantive dialogue among these scholars. Goodwin (2018) took a significant step by initiating a constructive discussion aimed at revitalizing the double movement theory, with the intent of rendering it pertinent to addressing the socioeconomic challenges faced by societies in the Global South. Regrettably, Goodwin’s approach, which primarily leans towards a political system perspective, is not without its limitations. Therefore, this article proposes a societal approach that …

Key Determinants In Shaping Revisit Intention And Ewom Among Ota Tourists In Thailand:A Structural Equation Modeling (Sem) Approach, Konrawan Rattanaburi, Chengxiang Ma, Tiefu Zhang, Pattaraporn Ketwan

Asia-Pacific Social Science Review

This study examines how smart tourism technology (STT) and user-generated content (UGC) influence tourist satisfaction and loyalty behaviors among online travel agency (OTA) users in Thailand. Data were collected from 277 travelers aged 18 and above who booked accommodations through OTAs across four destinations: Khao San Road, Chiang Mai, Pattaya, and Phuket. Grounded in the technology acceptance model (TAM) and expectation confirmation theory (ECT), the study employed structural equation modeling (SEM) to analyze the interrelationships among STT, UGC, satisfaction, destination image, revisit intention, and electronic word-of-mouth (eWOM). Results indicate that STT has the strongest positive effect on satisfaction (β = …

The Korean Welfare State: Social Investment In An Aging Society, Gholib Tamam Fauzi, Dwi Supatmi

Asia-Pacific Social Science Review

No abstract provided.

The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett

Walden Dissertations and Doctoral Studies

No abstract provided.

Coping Strategies, Barriers, And Supports Of Female Nurses And Veterans With A Work-Related Traumatic Exacerbation Of An Existing Respiratory Disorder, Joanna Lynn Phillips

Walden Dissertations and Doctoral Studies

The United States Department of Defense and Bureau of Labor Statistics estimated that female veterans and nurses experience work-related trauma at rates of 51% or higher. While many studies have examined their mental health outcomes, posttraumatic worsening of physical health has been less studied in this population. This generic qualitative inquiry was conducted to gain a deeper understanding of the subjective lived experiences of female nurses and veterans' work-related traumatic exacerbation of an existing respiratory disorder. The coping strategies developed, the potential barriers they overcame, and the support systems used were examined. The theoretical framework that grounded this study was …

U.S. Pharmacists’ Perceptions Of Getting The Covid-19 Vaccine And How That Affects Their Interactions With The Public, Megan Boals

Walden Dissertations and Doctoral Studies

Pharmacists play a pivotal role in public health, particularly in promoting vaccination. However, vaccine hesitancy among pharmacists significantly undermines their willingness to provide effective patient counseling and to advocate for vaccination, potentially eroding public trust in vaccines. This descriptive-phenomenological study sought to understand the factors contributing to pharmacists’ COVID-19 vaccine hesitancy and how this hesitancy affected their willingness to recommend vaccines to patients. Twenty practicing pharmacists were interviewed via Zoom between September 23 and October 14, 2025. The health belief model helped interpret the study findings. Thematic analysis, as described by Braun and Clarke, was conducted to identify and interpret …

Artificial Intelligence-Enhanced Cardiac Point-Of-Care Ultrasound: A Prospective Single-Arm Study, Lior Fisher, Michael Fiman, Yuval Yarkoni, Ella Segal, Boris Fishman, Kobi Faierstein, Noa Rubin, Adiel Am-Shalom, Howard Amital, Qiong Zhao, Smadar Kort, Praveen Mehrotra, Ehud Schwammenthal, Robert Klempfner, Eyal Zimlichman, Ehud Raanani, Elad Maor

Division of Cardiology Faculty Papers

OBJECTIVE: To evaluate the clinical utility of combining artificial intelligence (AI) with handheld focused cardiac ultrasound (FoCUS) performed by noncardiologist physicians in clinical care settings.

PATIENTS AND METHODS: In this prospective, single-arm study conducted from July 1, 2022, through December 31, 2023 (ClinicalTrials.gov NCT05455541), 660 adult patients presenting to the emergency department or internal medicine wards were assessed with handheld ultrasound devices enhanced by AI algorithms. These algorithms provided automated analysis of ventricular function, valvular disease, pericardial effusion, and inferior vena cava size. Participating physicians received focused training and performed examinations either in response to clinical suspicion or as part …

The Role Of Language On Percieved Emotional Safety And Willingness To Disclose, Alexis Michele Craig

Honors Capstone Projects and Theses

No abstract provided.

Family-Level Mediators In The Intergenerational Transmission Of Maternal Childhood Trauma: Systematic Review And Meta-Analysis Of Pooled Effect Measures, Emma J. Mew, Rhayna Poulin, Veronika Shabanova, Hannah Gorman, Marie-Claire Meadows, Jessica L. Bonumwezi, Victoria Chung, Rachel Hennein, Audrey Y. Huang, Kevin Quach, Vanessa Blas, Ashlin Ondrusek, Karly Sara Weinreb, Kate Nyhan, Si’Itia Soliai-Lemusu, Jueta Mccutchan-Tofaeono, Nicola L. Hawley, Sarah R. Lowe

Department of Psychology Faculty Scholarship and Creative Works

Children of mothers with childhood trauma are at an increased risk for mental health problems, yet the most influential family-related mediators of this intergenerational transmission remain unclear. This systematic review and meta-analysis synthesized effect sizes from 29 studies (n = 352,279 dyads) examining psychosocial family-level mediators between maternal childhood trauma and child mental health. We identified 380 simple and 40 serial mediation paths across four domains: child characteristics, maternal characteristics, parent–child relationship factors, and household characteristics. Maternal characteristics showed the largest pooled effects (proportion median [PM]: 31.2%; ratio median [RM]: 0.21), particularly maternal mental health (PM: 36.0%), maternal attachment style …

The Relationship Of Concussion And Alcohol Use: An Investigation Into Intervening Cognitive Mechanisms, Alexi Cranford

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Traumatic brain injury (TBI) and alcohol use are common and pervasive issues in society today. Alcohol use is frequently linked with brain injury even in its mildest form, concussion, also known as mild traumatic brain injury (mTBI). The brain’s reward system has been shown to be involved in alcohol and substance use behaviors, and a neural basis has been demonstrated to underlie reactivity to alcohol cues. Learning theories such as classical and operant conditioning can also help conceptualize how these relationships develop. Reward sensitivity and executive functioning (particularly decision-making skills) are cognitive processes that may moderate the relationship between brain …

Mental Health Focont Primary Care: A Continuing Education Initiative, Collin P. Mcdowell, Maddie Lozinski, Tristan Senenfelder

DNP and Student Works

Many primary care Advanced Practice Providers (APPs) lack access to continuing education (CE) tailored to managing mental health disorders. This quality improvement project evaluated changes in APP confidence before and after participating in an online, asynchronous CE program focused on behavioral health in primary care. The project was conducted through a higher education institution in northeastern Minnesota and included 21 APPs practicing in Minnesota (N = 21); however, only two participants completed at least two of the three courses during the implementation window. Paired t-tests and the Pearson correlation coefficient were used to evaluate changes in confidence using a validated …

Ai Adoption In Research Administration At Emerging Research Institutions, Dylan Ruediger, Ruby Macdougall, Stefanie Brachfield, Douglas R. Dechow, Jonathan Parker, Jana Remy

Library Articles and Research

"With funding from the National Science Foundation’s GRANTED program (grant #2437518), Ithaka S+R, Chapman University, and Montclair State University organized two workshops to help research administrators consider how to leverage AI to build research capacity at ERIs. Our first workshop, held at Montclair State in September 2025, brought together 31 participants from 13 academic and medical institutions in the New York/New Jersey/Pennsylvania region. Our second workshop, hosted by Chapman University on December 5, 2025, included 32 participants from 13 colleges and universities in Southern California. The approximately 2,600 ERIs in the United States receive a disproportionately small amount of federal …

New Distributional Record Of Dacus Persicus (Diptera: Tephritidae), A Biocontrol Agent Of Calotropis Procera (Apocynaceae), From Rahim Yar Khan, Punjab, Pakistan, Muhammad Adnan Bodlah, Imran Bodlah, Aleena Kanwal, Alishbah Mohsin, Ayesha Younas, Muhammad Tariq Siddique, Hafiz Muhammad Zia Ullah Ghazali, Muhammad Salman Yousafzai

Journal of Bioresource Management

The tephritid species Dacus persicus Hendel (Diptera: Tephritidae) exhibits strict host specificity to Calotropis species and is known as a destructive seed feeder of Calotropis procera. During field surveys, D. persicus larval stages were obtained from infested fruits of C. procera whereas adults were collected through sweep net sampling. This study documents the occurrence of D. persicus from southern district of Punjab, thereby extending its known distribution within the province beyond previous records from northern Punjab. Adult’s specimens were reared from field collected fruits and net-sweeping. Adults were identified based on detailed morphological examination of external characters and female …

Dietary Selenium Supplementation Modulates Proliferative Gene Regulators Through Attenuating Cell Cycle Inhibition On Late G1/S Transition In Pre-Pubertal Goat Testis, Muhammad Awais Soomro, Moolchand Malhi, Tarique Ahmed Khokhar, Faiz Muhammad Khand, Zafar Ali Khoso, Maria Sardar, Muhammad Mohsen Rahimoon, Awais Bin Shahid, Muhammad Anees Memon, Nabi Bux Solangi, Jawed Ali Dhiloo

Journal of Bioresource Management

Selenium (Se) is essential for normal gonadal improvement in prepubertal male goat. Thus hypothesized that dietary Se may influence late G1/S through M-phase gene networks in the testis, thereby advancing pre-pubertal testicular development via attenuation of inhibitory signals and modulation of late G1 cell-cycle regulators. The total of twenty animals, male goats (3 months old) weighing ~11 kg were arbitrarily given to a basal diet (Control; C, n = 10) or the same diet plus Se-yeast (SY; 0.3 mg/kg; n = 10) for 10 weeks. Basal Se concentration in control diet was 0.037 mg/kg (ICP‑OES Optima 2100‑DV, PerkinElmer). Transcript analysis …

Comparative Assessment Of Growth And Morphometric Characteristics In Naked Neck, Rhode Island Red, And Black Australorp Chickens, Naseer Ahmad, Sarzamin Khan, Rafi Ullah, Kamran Khan

Journal of Bioresource Management

This study investigated growth performance and morphometric characteristics in three chicken genotypes namely Naked Neck (NN), Rhode Island Red (RIR), and Black Australorp (BAL). One-hundred and eighty chicks (age, day-old), comprising 60 birds from each genotype, were distributed randomly into three replicates per group, with 20 chicks per replicate, under a completely randomized design. Birds were reared on deep litter for 18 weeks. Hatch weights were significantly higher (P < 0.05) in BAL (30.7 g) and RIR (30.2 g) compared to NN (28.2 g). Body weights showed no significant differences (P > 0.05) from weeks 2 to 4, but BAL and RIR outperformed NN (P < 0.05) from weeks 6 to 10. BAL maintained the highest body weight from weeks 12 to 18 (P < 0.05). Total weight gain (0-18 weeks) was significantly greater in BAL (1567 g), followed by RIR (1491 g) and NN (1219 g). The genotypes had significant effects on both feed intake and feed conversion ratio (FCR; P < 0.05). At 18 weeks of age, FCR was most efficient in BAL (3.53), followed by RIR (3.83), and NN (4.85). Mortality between weeks 4 and 18 was lowest in NN at 1.7 %, compared with 1.81 % in RIR and 1.84 % in BAL. Significant differences (P < 0.05) among genotypes were also observed in morphometric characters such as shank length, keel length, and breast circumference, with BAL generally showing larger measurements. In conclusion, BAL exhibited superior growth, feed efficiency, and morphometric characteristics, while NN demonstrated lower weight gain but better survivability, highlighting genotype-specific advantages for different production goals.

Evaluation Of Pinhole Castration Techniques Compare With Traditional Method For Castration In Rabbits, Wakash Oad, Faiz Muhammad Khand, Habibullah Janyaro, Muhammad Mohsen Rahimoon, Muhammad Ramzan, Dilpat Rai Menghwar, Benazir Sahito

Journal of Bioresource Management

Castration is a routine surgical intervention used to sterilize animals. Among the different conventional methods, the pinhole castration provides offer significant advantages. This study was conducted on 12 healthy male domestic rabbits at Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Sakrand, to evaluate the physiological impacts of traditional versus pinhole castration techniques. The rabbits were randomly divided into group A and group B with six rabbits per group. Key parameters included preoperative vital signs, intraoperative monitoring at 5, 10, and 15 minutes, intra- and postoperative complications, serum cortisol levels (preoperative, 24 hours, 5 and 10 days post-surgery) and …

Enterotoxaemia In Goats: Prevalence, Etiology, Risk Factors, And Therapeutic Approaches: A Comprehensive Review, Muhammad Mohsen, Jam Kashif Zaman, Amjad Hussain Mirani, Nazeer Hussain Kalhoro, Benazir Sahito

Journal of Bioresource Management

Enterotoxaemia remains one of the most severe and rapidly fatal diseases affecting goats, mainly caused by Clostridium perfringens types C and D. Despite widespread vaccination practices, the disease continues to produce significant health and economic losses, particularly in intensive and semi-intensive goat production systems. This review summarizes the current understanding of enterotoxaemia, focusing on its etiology, pathogenesis, epidemiology, risk factors, diagnostic approaches, and updated therapeutic and preventive strategies. C. perfringens overgrows in the intestinal lumen under favorable conditions such as sudden dietary changes, high-energy feeding, or stress-related microbial imbalance. The toxins produced especially epsilon and beta induce intestinal necrosis, vascular …

"I Know Who I Am": Gender-Creative Children Draw-And-Tell Their Social And Healthcare Experiences, Eline L. Lenne, Ben Anderson-Nathe, Christina J. Sun, Martha Driessnack

School of Social Work Faculty Publications and Presentations

Gender-creative children have an elevated risk of healthcare avoidance and adverse health outcomes related to stigma and discrimination. Despite evidence that family affirmation is protective and pediatric providers influence care outcomes, young children’s perspectives related to their social support and clinical experiences remain underrepresented in health research. Indeed, children’s agency has been historically restricted in healthcare and health research. This community-engaged, artsbased, qualitative study used Draw-and-Tell Conversations—a participatory approach combining drawing, storytelling, and writing—with 12U.S.-based gender-creative children (ages 5–10). Although children’s caregivers completed surveys to contextualize findings, the project highlighted children’s capacity to report on their own experiences. Data were …

Dementia Knowledge Levels Among Adolescents In England, Esra Hassan, Ben Hicks, Naji Tabet, Nicolas Farina

Peninsula Medical School

Objectives: Raising awareness of dementia in the general public is a key dementia policy. Adolescents are one population whose levels of dementia knowledge we have little understanding about. In this cross-sectional survey study, we aimed to capture the level of dementia knowledge in adolescents from different socio-demographic groups and to explore the factors associated with adolescents’ dementia knowledge. Method: We recruited 1,371 adolescents aged 11-18 years across England. Adoeslescents were asked to complete a survey that included dementia knowledge items from the The Northern Ireland Life and Times Survey. Descriptive statistics, a logistic regression, and cross-tabulations were used to explore …

Automated Abdominal Aortic Calcification And Trabecular Bone Score Independently Predict Incident Fracture During Routine Osteoporosis Screening, Abadi K. Gebre, Marc Sim, Syed Zulqarnain Gilani, Afsah Saleem, Cassandra Smith, Didier Hans, Siobhan Reid, Barret A. Monchka, Douglas Kimelman, Mohammad Jafari Jozani, John T. Schousboe, Joshua R. Lewis, William D. Leslie, Joshua R. Lewis

Research outputs 2022 to 2026

Abdominal aortic calcification (AAC), a marker of subclinical cardiovascular disease, has previously shown to be associated with low BMD and fracture. However, it remains unclear whether AAC is associated with trabecular bone score (TBS), a gray-level textural measure, or whether it predicts fracture risk independent of this measure. Here, we examined the cross-sectional association of AAC scored using a validated machine learning algorithm (ML-AAC24) with TBS, and their simultaneous associations with incident fractures in 7691 individuals (93.4% women) through the Manitoba BMD Registry (mean age 75.3 yr). The association between ML-AAC24 and TBS was tested using generalized linear regression. Cox …

Offside Trap: African Football As A Mirror Of Global Structural Inequality, Ellen Busolo Milimu

Journal of Global South Sport Studies

Football in Africa, as a legacy of European colonialism, is undeniable. The export of football through colonization resulted in the popularization of the sport while also creating a system of economic exploitation and impoverishment that is the cause of considerable problems for African society. This economic system positioned African  countries as dependents of former colonizers even after achieving independence. Sports, specifically football, provide a unique perspective to explore the no-win     situation in which Africa exists within the global economic system. Always chasing the elusive ‘development’ goal that is dictated by others and shifts without the interests of African countries. The …

Artificial Intelligence And Music Creativity: The Human Element And An Exploration Of Possibilities, Benjamin J. Guerrero, Raffaella Borasi, David Miller, Blaire Koerner, Zenon Borys, Yu Jung Han, Rachel Roberts

Journal of the Association for Technology in Music Instruction

Artificial Intelligence (AI) is widely recognized as a potential game-changer for music-making. However, the direction of these changes and the extent of their impact on the music field will depend on how musicians use AI, which partly hinges on their perceptions of AI and their willingness to engage with it. Debates are ongoing about AI’s impact on creative fields, and we anticipate that musicians’ views on these matters will significantly influence their readiness to incorporate AI into their work. We interviewed 43 participants who use technology in various roles across different music genres to gain insight into their experiences with …

James Talarico Brings Fresh Energy To Texas Politics, Mary-Esther Leblanc, The Rattler

The Rattler

Vol. 144 Iss. 3

Oceans Receive Hope Through Student Efforts, Mary-Esther Leblanc, The Rattler

The Rattler

Vol. 144 Iss. 3

Calls For Ceasefire: Palestinians Face Ongoing Crisis, Mary-Esther Leblanc, The Rattler

The Rattler

Vol. 144 Iss. 3

“Rapturetok”: Tiktok’S Newest End-Of-World Frenzy, Isabella Pizzerrato, The Rattler

The Rattler

Vol. 144 Iss. 3

Hayley Williams, New Musical Era With “Ego At A Bachelorette Party”, Isabella Pizzerrato, The Rattler

The Rattler

Vol. 144 Iss. 3