Digital Commons Network^™

Exploring Stigma In Access To Treatment For Women With Co-Occurring Substance Use And Sex Addiction, Maria Alejandra Knox-Lugo

Walden Dissertations and Doctoral Studies

Despite the high prevalence of substance use disorder among adult women in the United States, treatment engagement remains low, particularly for women experiencing co-occurring substance use disorder and compulsive sexual behavior. Although stigma is a documented barrier for individuals with substance use or compulsive sexual behavior in accessing and remaining engaged in behavioral health services, its effects on treatment access for adult women with co-occurring substance and compulsive sexual behavior have not been adequately scrutinized. The purpose of this generic qualitative study was to explore how human services and behavioral health professionals perceive stigma experienced by adult women with co-occurring …

Counselors-In-Training’S Perceptions Of Counselor Educators’ And Supervisors’ Roles In Developing Grief Counseling Self-Efficacy, Tonya Andrews

Walden Dissertations and Doctoral Studies

Counselors-in-training (CITs) encounter grieving clients despite limited grief-specific preparation. Understanding these experiences could inform preparation for supporting grieving clients. Guided by Bandura’s self-efficacy theory, this qualitative hermeneutic phenomenological study explored these perceptions. The purposive sample included 10 CITs who were master’s-level students completing field experience or postgraduate counselors under clinical supervision, lacked independent licensure, attended or graduated from Council for Accreditation of Counseling and Related Educational Programs (CACREP)–accredited programs without required stand-alone grief coursework. None had a direct supervisory, instructional, or evaluative relationship with the researcher. The research question was: How did CITs perceive and make meaning of the role …

Glp-1 Receptor Agonists And Wound Healing In Diabetic Foot Ulcers: A Scoping Review, Merlin Sajeev, Amanda L. Killeen

School of Podiatric Medicine - Student Research

Level of Evidence: Level 5

Poster Category: Non-sponsored

Introduction: Diabetic foot ulcers (DFUs) are a major complication of diabetes and are associated with delayed wound healing, infection, amputation, and substantial morbidity. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) improve glycemic control and may influence inflammation, vascular function, and tissue repair. However, clinical evidence evaluating their relationship with DFU healing remains limited.

Aim: To characterize available clinical evidence examining the association between GLP-1 RA use and wound-healing outcomes in patients with diabetic foot ulcers.

Methods: PubMed and Google Scholar were searched for English-language studies published from 2021–2026 using terms combining “GLP-1 receptor …

Psychometric Testing Of The Filipino Ppsc To Assess Patient Perceptions Of Hospital Safety Culture, Kathlyn Sharmaine Valdez, Andrew Sumpay

International Nursing Research Congress (INRC)

A reliable and valid tool that measures patient safety perception is essential in developing patient-centered safety initiatives, improving quality of care, and supporting sound organizational decision-making. The Patient Perception on Safety Culture in a Hospital Setting Scale (PPSC) is a newly developed instrument that assesses how hospitalized patients perceive safety culture (Valdez et al., 2023). This study aimed to determine the psychometric properties of the Tagalog translation of the PPSC.

This quantitative methodological research was conducted in three phases. Phase 1 involved the Tagalog translation of the tool by a professional linguist, followed by expert review to establish content validity. …

Integrating Gaming In Online Nursing Education To Increase Student Engagement, Shannon Manfredo

International Nursing Research Congress (INRC)

It is vital for nursing students to feel engaged in online courses to be successful in their academics and the future workforce as nurses. Active student engagement is a challenge for nurse educators, and this challenge is increasing significantly in the online learning environment (Ahshan, 2021; Gosak et al., 2021). This presentation aims to provide the viewer with an overview of the innovative scholarship project involving the implementation of gaming in online nursing education to increase student engagement.

According to Cadet (2023), Kahoot! games enhance engagement, interaction, and motivation for the students. Kahoot! games reinforced learning and provided a more …

An Analysis Of Electronic Nursing Documentation In The Emergency And Trauma Department, Nurul'ain Ahayalimudin

International Nursing Research Congress (INRC)

Introduction: Electronic nursing documentation (END) is fundamental to emergency care, ensuring effective communication, patient safety, and legal accountability. However, issues such as incomplete entries, variability in documentation quality, and limited use of standardised nursing language, particularly NANDA-I, continue to challenge the delivery of accurate and holistic care.

Objective: This study analysed the use of electronic nursing documentation in the Emergency and Trauma Department (ETD) of one tertiary hospital, examined patterns of recorded information, and compared it with the NANDA-I framework.

Methodology: A qualitative document analysis was conducted using purposive sampling of END records from April 2022 to February 2025. The …

Advancing Competency-Based Clinical Education Through An Innovative Preceptorship Framework, Beatriz C. Makhoulian

International Nursing Research Congress (INRC)

Competency-based education (CBE) is reshaping how nursing programs assess clinical learning and prepare graduates for practice. As expectations shift toward observable performance, clinical preceptors require structured, practical tools that support consistent evaluation and promote learner growth. This project introduces an innovative preceptorship framework designed to strengthen competency-based clinical education by integrating standardized evaluation processes, clear communication pathways, and accessible preceptor support resources. The model aligns with contemporary competency expectations endorsed by the American Association of Colleges of Nursing and the National Organization of Nurse Practitioner Faculties.

Implementation of the preceptorship framework and competency evaluation tool will begin in the Spring …

Roblox-Related Protest And Political Opposition In Indonesia: Game-Native Repertoires And Discursive Resistance, Ruth Stany Melisa

JURNAL KOMUNIKASI INDONESIA

Digital games increasingly intersect with political communication as environments in which political grievances are reformulated through gaming cultures and vernaculars. This study examines Roblox-related protests associated with the Indonesia Gelap movement and the controversy surrounding the Indonesian Armed Forces Law (UU TNI) in March 2025. It asks how political opposition is constructed through game-native and symbolic repertoires and how these discourses invoke socially shared representations and relate to political power. Using a qualitative design, the study analyses six selected digital artefacts retrieved from X and TikTok. Visual and textual material constitute the primary data, while captured comments are …

Effect Of A Pressure Injury Prevention Bundle On Compliance And Staff Attitudes In A Medical Icu, Elizabeth L. Woods

International Nursing Research Congress (INRC)

Background: Hospital-acquired pressure injuries (HAPIs) are considered preventable yet remain prevalent in intensive care units (ICUs), where critically ill patients face increased risk due to immobility, hemodynamic instability, and complex care needs. This quality improvement (QI) project aimed to evaluate whether implementing a pressure injury prevention bundle (TEAMS) would improve compliance with preventive measures and staff attitudes toward HAPI prevention in a medical ICU.

Methods: A pre-post intervention design was conducted in a 17-bed medical ICU at a tertiary academic hospital. The TEAMS bundle included five components: Turn teams, Education, daily Assessments, a multidisciplinary approach, and daily Skin care. The …

Relational Safety In Practice: Examining How Nurses And Patients Co-Create Safe Clinical Encounters, Jitana P. Benton-Lee

International Nursing Research Congress (INRC)

Psychological safety is central to patient-centered care and effective nurse-patient relationships. When relational safety is present, patients report better experiences, outcomes, and trust, and nurses benefit from strengthened confidence and teamwork. However, the relational processes through which psychological safety is co-created in acute care remain insufficiently described.

This study examined the emotional, cognitive, and social processes that shape psychological safety within nurse-patient relationships and explored how relational safety emerges and influences care experiences. The study sought to generate theoretical insights explaining how relational safety emerges, is negotiated, and influences care experiences in acute care environments.

Using a constructivist grounded theory …

Modeling Preannouncement And Launch Timing Decisions For Product Line Extension Under Innovation Uncertainty And Resource-Sharing Dual-Sourcing Supply Chain, Adewole Adegbola, Venkat Allada

Engineering Management and Systems Engineering Faculty Research & Creative Works

This research seeks to develop a system dynamics (SD) model to address challenges associated with the product line extension (PLE) problem. In this work, we specifically consider the "Two-Generation Product Line Extension (TGPLE) Problem", where a firm introduces a product variant in the market and plans to extend the launch to include a newer generation product in a resource-sharing dual-sourcing (RSDS) environment. We begin by identifying the key factors that influence product line extension, and we developed a TGPLE-RSDS construct based on three (3) inter-related systems: Market System, Production System and Supply Chain System. The proposed TGPLE-RSDS construct also illustrates …

Impact Of Consumer-Led Education On Stigma Reduction In Mental Health Nursing, Anju Sreeram

International Nursing Research Congress (INRC)

Mental Health Nurses who have direct contact with consumers can exhibit discriminatory attitudes towards people with mental illness. Evidence shows that anti-stigma interventions are effective in improving stigmatised attitudes towards mental illness to facilitate the recovery of people with mental illness, and the contact-based interventions are more impactful than other modalities of education and training.

The current study aimed to examine the effectiveness of consumer-led education in reducing stigmatised attitudes among mental health nurses. A quasi-experimental pre- and post-test design was used to assess the impact of consumer-led education.

The results show that Mental Health Nurses generally held positive attitudes …

Rossetter Gleason Cole: His Life And Work, Noah J. Seim

Student Summer Scholars Manuscripts

Rossetter Gleason Cole (1866-1952) was born near Clyde, Michigan, to a relatively musical family. Two years after graduating from the University of Michigan in 1888, where he had studied music and philosophy, he left for Berlin, studying composition with Heinrich van Eycken and gaining entrance to the Königlich Meisterschule für Komposition, where he studied with Max Bruch before returning to the United States. After a decade of teaching in the Midwest, he settled in Chicago in 1902, where he gained national fame as a composer and educator. Cole was a member of the Peterborough MacDowell Colony, nearly all of his …

Supreme Court Preview 2026 (Event Program), Institute Of Bill Of Rights Law, William & Mary Law School

Supreme Court Preview

No abstract provided.

2026 Supreme Court Preview Digital Notebook, Institute Of Bill Of Rights Law, William & Mary Law School

Supreme Court Preview

No abstract provided.

Private Equity For All: The Paradoxical Push To Democratize Private Markets, William W. Clayton, Elisabeth De Fontenay

Duke Law Journal

The recent push to open private equity and other private assets to retail investors represents one of the most profound changes to U.S. capital markets in decades. This "retailization" effort is often framed as an overdue democratization of superior investment opportunities. Indeed, private equity has long been viewed as special, both for its market-beating returns and its success in making companies more profitable. Yet it has historically been off-limits to retail investors.

This Article argues that the push to democratize private equity is subject to a glaring paradox: Expanding access to private equity undermines the very benefits that access aims …

Patronage Pardons, Lee Kovarsky

Duke Law Journal

Abuse of presidential pardon power is taking a new and frightening turn. The Donald Trump administration is using clemency, including pardons, to signal impunity to regime allies contemplating misconduct. Such clemency has a predictable effect: it induces loyalist crime by reducing the expected penalty. "Patronage pardoning" refers to the clemency practices that power this loyalty-for-protection exchange. Those practices pose a grave threat to the rules-based constitutional order, and they are the subject of this Article.

Some historical observations predicate the diagnostic and prescriptive arguments that come later. Most importantly, the Framers concentrated federal pardon power in the president because they …

Ensuring "The Right To Live In The World": The Right To Repair Powered Wheelchairs, Maximillian J. Grahl

Duke Law Journal

Twenty-seven years ago, in Olmstead v. L.C., the Supreme Court held that improperly institutionalizing people with disabilities is a form of unlawful discrimination. In doing so, the Court acknowledged that people with disabilities have a right to live free from confinement. Yet today, repair restrictions and outdated Medicare standards combine to threaten powered-wheelchair users' ability to live out in the world. Some states have responded by passing right-to-repair laws, which require powered-wheelchair manufacturers and suppliers to provide the resources necessary for more accessible and more timely repairs. This Note analyzes these state laws in the context of previous right-to …

Chapter 1: Sanctions And The Shadow Fleet: Terrorism Forfeiture And Operation Economic Fury, James Kraska

International Law Studies

No abstract provided.

Evaluating Platelet-Rich Plasma For Diabetic Foot Ulcer Healing: A Scope Review, Sairakshitha Yalla, Sarah Morales, Amanda Killeen

School of Podiatric Medicine - Student Research

Introduction: Chronic diabetic foot ulcers (DFUs) are becoming increasingly common with the rising prevalence of diabetes. These wounds are often difficult to heal due to the complex complications associated with the disease. Platelet-rich plasma (PRP), traditionally utilized as an adjunctive therapy for musculoskeletal injuries, has more recently been applied topically to promote the healing of DFUs.

Aims: To analyze if PRP heals DFUs faster than the standard of care.

Methods: A scoping review of PubMed and Google Scholar (2016-2026) was conducted. Inclusion criteria were published in the English language, randomized controlled trials involving adults, utilizing autologous PRP.  Exclusion criteria included …

Unique Connotation Of Geological-Engineering Dual Sweet Spot Evaluation For Effective Coalbed Methane Exploitation, Luo Pingya, Zhu Suyang

Coal Geology & Exploration

Objective In China, the exploitation of deep and shallow coalbed methane (CBM) still relies on the evaluation approach oriented to the geological-engineering dual sweet spots of unconventional hydrocarbons. However, exemplary CBM production technologies delivered unsatisfactory performance in other blocks and failed to find wide application even in zones with overlapping geological and engineering sweet spots. This issue represents the principal theoretical and technical challenge confronting the comprehensive development of the CBM industry in China. Methods This study aims to elucidate the causes of this issue and provide corresponding solutions, as well as clarifying the conditions for the effective linkage between …

Exploration And Prospects Of Engineering Technologies For Deep Coal Seam Development Based On The Well Factory Mode, Gao Deli, Dong Xuelin, Bi Yansen

Coal Geology & Exploration

Background Given China's energy and mineral resource endowment, the efficient and green development and utilization of deep coal resources are expected to become a significant strategic option for facilitating the country's green energy transition and achieving its goals of peak carbon dioxide emissions and carbon neutrality. This significant demand may be satisfied through development using a structurally complex well factory mode. Method This study introduces the basic concept of a three-dimensional, multi-functional, and precisely controllable underground structurally complex well factory, designed for the efficient and green development of unconventional energy and mineral resources. It then discusses the well factory engineering …

Differential Accumulation Of Coalbed Methane In Medium- To Low-Rank Coal Seams In A Strongly Compressional Tectonic Setting In The Tarim Basin, Liu Honglin, Wang Hongyan, Wang Haichao, Deng Ze

Coal Geology & Exploration

Background The Tarim Basin contains abundant coal and coalbed methane (CBM) resources. However, the geological accumulation patterns of CBM in the basin remain poorly understood. This leads to a relative lack of targeted technologies for the exploration and development of both deep coal reservoirs and steeply dipping coal seams, further rendering it challenging to achieve breakthroughs in CBM development in the basin. Methods Based on test data from 92 coal samples, data on the drilling and production tests of more than 10 exploration wells, and 3D seismic interpretation results, this study systematically investigated the distribution of coal-bearing strata, as well …

Variable-Temperature And Variable-Pressure Adsorption Characteristics Of Deep Coalbed Methane And Their Implications, Jiang Wenping, Sun Siqing, Jin Xianglan, Tian Bofan, Tian Xinjuan

Coal Geology & Exploration

Background Investigating the adsorption characteristics of coalbed methane (CBM) helps bridge key geological information concerning deep CBM, including occurrence state, free gas proportion, and gas-bearing properties, with the gas production potential and commercial exploitation of CBM wells. Such investigation represents a key component of the evaluation, exploration, and exploitation of CBM reservoirs. Methods Using deep coal samples collected from three representative regions, this study designed high-temperature and high-pressure methane isothermal adsorption experiments, together with variable-temperature and variable-pressure methane adsorption experiments, using nuclear magnetic resonance (NMR). The adsorption characteristics of the coal samples derived using the different experimental methods were subsequently …

Occurrence Pattern Of Adsorbed And Free Gas In Deep Coal Seams Under The Control Of Pore Structure: A Case Study Of The No. 8 Coal Seam In The Daning-Jixian Block Along The Eastern Margin Of The Ordos Basin, Bian Liheng, Shen Jian, Shi Rui, Zhang Wei, Ma Zhuang, Liang Xuemin, Dong Jiying, Zhu Peipei, Ma Tianyu

Coal Geology & Exploration

Background Deep coalbed methane (CBM) holds an important strategic position in China's unconventional natural gas system. However, concerning deep CBM occurrence, there remains a lack of systematic quantitative understanding of the underlying mechanisms and the controlling effects of pore structure. Methods This study investigated high-rank coal samples collected at a burial depth of approximately 2000 m from the No. 8 coal seam in the Daning-Jixian block along the eastern margin of the Ordos Basin. Using multiscale pore characterization techniques, including low-temperature liquid nitrogen adsorption, high-pressure mercury injection, and low-temperature CO₂ adsorption, the full-scale pore size distribution of the coal …

Controlling Effects Of Ash Yield On The Adsorption-Desorption Behavior And Production Potential Of Methane In Deep Coal Reservoirs, Huang Daojun, Liu Xinshe, Chen Shida, Sun Wen, Jiao Pengshuai, Wang Huaichang

Coal Geology & Exploration

Objective The lithotype and quality characteristics of coals significantly affect the reservoir permeability and production potential of coalbed methane (CBM). However, there remains a lack of clear understanding of the controlling effects of ash yield on the gas-bearing properties and methane adsorption-desorption behavior of coal seams under comparable thermal maturity. Focusing on coal samples obtained through continuous sealed coring from the No. 8 coal seam in well M172 in the east-central part of the Ordos Basin, this study aims to clarify the impacts of ash yield on the pore structure, adsorption capacity, desorption process, and resource recoverability. This effort is …

Components And Isotope Fractionation Of Deep Coalbed Methane And Their Geological Implications In The Daning-Jixian Block, Ordos Basin, Wang Chengwang, Zhang Yun, Wang Hongna, Chen Yiyu, Chen Gaojie, Wang Jun, Liu Lingqi, Li Panxue, He Hongcheng, Li Wenbiao

Coal Geology & Exploration

Objective The components of deep coalbed methane (CBM), along with its isotopic composition and fractionation patterns, hold great significance for revealing the genetic types, occurrence characteristics, flow, and production patterns of CBM. Methods This study investigated the Shanxi and Benxi formations in the Daning-Jixian block, Ordos Basin. A range of analyses and tests were conducted, including field CBM desorption experiments on coal samples from the deep parts of both formations, continuous monitoring of wellhead gas from two production wells, physical property tests on the samples, organic petrological experiments, and geochemical analysis. Furthermore, this study analyzed the components and isotopes of …

Investigating The Mechanisms Controlling Gas Flow In Coal Reservoirs Based On Multi-Scale Digital Rocks, Han Lei, Huang Dongxiang, Zhang Xiaodong, Shen Jian, Zhang Shuo, Ni Xiaoming, Liu Xiao

Coal Geology & Exploration

Background Deep coal reservoirs exhibit highly heterogeneous pore-fracture structures. However, limited by a single imaging resolution, conventional digital rock techniques struggle to characterize complex pore-fracture networks across multiple scales. This poses significant scientific challenges for the fine-scale characterization of deep coal reservoirs and the investigation of their seepage mechanisms. Methods This study investigated deep coalbed methane (CBM) reservoirs in the north-central Qinshui Basin. The pore-fracture structures of coal samples were characterized by integrating X-ray computed tomography (CT), mercury injection capillary pressure (MICP), and scanning electron microscopy (SEM). Digital rock models incorporating multi-scale pores and fractures were then constructed by integrating …

Investigating The Characteristics Of Ch4 Adsorption In Coal Reservoirs Based On Interpretable Machine Learning, Chen Ruibin, Zhou Sandong, Zhang Weixin, Yan Detian, Wang Hua

Coal Geology & Exploration

Objective Accurately predicting methane (CH₄) adsorption capacity in coal reservoirs is critical to the efficient exploration and exploitation of coalbed methane (CBM). Existing studies largely rely on experimental data from a small number of samples and theoretical adsorption models such as Langmuir. However, these studies exhibit time-consuming and laborious processes, as well as conclusions with limited generalizability, posing challenges to their widespread applications across different basins. Methods Based on 1150 sets of experimental data on CH₄ adsorption in coals, this study investigated five machine learning models, namely artificial neural network (ANN), support vector machine (SVM), K-nearest neighbor …

Mechanical Anisotropy And Depth Effects Of Deep Coal Seams, Mei Xiaofan, Wang Cong, Wang Kaifeng, Tang Shuheng, Zhang Songhang, Xi Zhaodong

Coal Geology & Exploration

Objective The mechanical properties of coal seams determine the stability, fracability, and fracturing performance of deep coal reservoirs. Since the in situ stress applied to coal increases with burial depth, deep coal differs from its shallow counterpart in damage behavior, key mechanical parameters, and failure mechanism. Furthermore, deep coal exhibits pronounced mechanical anisotropy.Methods Focusing on the No. 9 coal seam in the Linxian area along the eastern margin of the Ordos Basin, this study carried out triaxial compression tests at 60℃ under different confining pressures to determine the mechanical anisotropy of deep coal. By comparing the full stress-strain curves, …