Digital Commons Network^™

Reporting Workplace Violence: Why Is It A Challenge?, Rebekah Powers, Carol Boswell

Creating Healthy Work Environments (CHWE)

The Occupational Safety and Health Administration (OSHA, n.d.) defines workplace violence to include "any act or threat of physical violence, harassment, intimidation, or other threatening disruptive behavior that occurs at the work site.” Workplace violence is a developing challenge within health care settings following the adversities encountered with behavioral issues acknowledged after the pandemic. Workplace violence includes physical episodes, verbal episodes, threats, and sexual harassment experiences, yet remains underreported (NIOSH, 2020). Nurses and nurse aides are two groups who are at the highest risk of becoming victims of violence due to their involvement with direct patient care. An acute care …

Selectivity Modulation Of Small Cationic Membrane-Active Cyclic Peptides With Broad-Spectrum Activity Against Bacteria And Fungi, Sandeep Lohan, Rakesh Kumar Tiwari, Innokentiy Maslennikov, Kaustav Das Gupta, Shakti Singh, Keykavous Parang

Pharmacy Faculty Articles and Research

To investigate how ring size and backbone flexibility influence antimicrobial potency and cytotoxicity, we synthesized a series of macrocyclic peptides of lead peptide p1 (c[Arg-Arg-arg-arg-dip-Trp-dip]) by incorporating Gly, 2-aminoethoxyacetic acid (EAA), or 2,4-diaminobutyric acid (Dab). Two optimized peptides, 6b and 10b, retained broad-spectrum activity against drug-resistant Gram-positive (MIC, 1.5–6.2 μg/mL) and Gram-negative bacteria (MIC, 4–25 μg/mL), as well as pathogenic fungi, while exhibiting enhanced selectivity for microbial cells. Their therapeutic indices (TI ∼407 and ∼394, respectively) were ∼2-fold higher than p1, indicating improved safety. Both peptides remained effective against Gram-negative pathogens beyond the reach of daptomycin, were rapidly bactericidal, and …

Editor's Note, Talia E. Levine

Mercer Law Review

No abstract provided.

Navigating Compliance: Higher Education Leadership Strategies Amid Federal Government Dei Mandates, Patricia Henry

Economics Faculty Publications

Executive Order 14173 (Ending Illegal Discrimination and Restoring  Merit-Based Opportunities) has contributed to reshaping the policy  environment for marginalized populations including women,  communities of color, LGBTQ+ individuals, and people with disabilities  on university campuses. There is limited scholarly research exploring  how qualitative empirical studies probe into how higher education  leaders are navigating compliance with federal diversity, equity, and  inclusion (DEI) mandates amid heightened political and legal scrutiny  in the United States. Grounded in Viewpoint Discrimination Theory,  guided by Inclusive and Transformational Leadership frameworks, this  empirical study employs a multiple-case design integrating data from  scholarly literature, policy implementation analysis, institutional policy …

Rewiring The Senses: Neural And Perceptual Adaptation Through Cultural Immersion In Chile, Alexa Castillo

University Honors Theses

This thesis explores how cultural immersion reshapes perception over time. Rather than focusing only on language acquisition, the project examines how sustained exposure to a new cultural and linguistic environment alters sensory processing, cognitive effort, and emotional experience. The study draws on cultural neuroscience and neuroplasticity research to frame immersion as a process of adaptive recalibration.

Over four weeks in Valparaíso, Chile, I documented daily changes in auditory processing, visual attention, emotional response, and social interpretation. Journal entries were analyzed using qualitative thematic coding and organized into five categories: language overload, cognitive effort, automaticity, anxiety/frustration, and belonging/comfort. Weekly intensity ratings …

The Cowl - V. 89 N. 15 - February 27, 2026

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 15 - February 27, 2026. 20 pages.

February 27, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Rapid-Response Reconnaissance Architecture Design For Planetary Defense With Nested Trajectory Optimization, Adam P. Wilmer, Justin A. Atchison, Marcus J. Holzinger, Robert A. Bettinger

Faculty Publications

Reconnaissance is a vital component in a comprehensive planetary defense mitigation strategy—aimed at preventing or reducing the impact threat posed by celestial objects on close-approach trajectories to Earth. It provides decision-makers with critical information on the physical and orbital properties of a near-Earth object (NEO), enabling better assessment of size, composition, and trajectory. This study investigates how to optimally pre-position a fleet of reconnaissance spacecraft prior to the discovery of a specific hazardous NEO. It evaluates response timelines and mission success rates for combinations of spacecraft launched from Earth and those maneuvering from pre-deployed locations within the Sun-Earth system. A …

Supplementing Traditional Learning With Interprofessional Simulation Training, Brandy L. Simpler, Kasey Chance, Jacquelyn Smith

Creating Healthy Work Environments (CHWE)

Background: Medical emergencies are an inevitable occurrence in healthcare. Basic life support (BLS) skills are renewed every two years and there is often an infrequent amount of exposure to these situations which may lead to an overall lack of adeptness among hospital employees (Anderson et al., 2021). Multiple studies have found that the implementation of interprofessional simulation training enhances clinical reasoning, improves knowledge and skills, and strengthens team dynamics (D’Cunha et al., 2021; Shastri et al., 2021; Fox et al., 2020). Shrivastava et al., 2020 discovered a significant improvement of patient outcomes after a simulation-based training curriculum was implemented.

Methods: …

How A 2 To 5-Year Experimental Lake Powell And Lake Mead Release Program Tied To Reservoir Inflows Can Be A Win For Adaptive Risk Management, Brittany Fager, Anabelle Myers, Erik Porse, David Rosenberg

Civil and Environmental Engineering Faculty Publications

Lake Powell and Lake Mead are at risk of drawdown to their minimum power and dead pools in the next few years because current and proposed shortage and release operations tied to reservoir storage and sometimes prior natural flow cannot keep pace with U.S. Bureau of Reclamation’s numerous scenarios of more volatile, declining, and longer-lasting periods of low flows. One experimental program to reduce risk can instead adapt reservoir releases to monitored changes in physical reservoir inflow and reservoir evaporation. First, stabilize reservoir storage by temporarily setting reservoir release to the physical reservoir inflow minus evaporation (the available water). Second, …

Equity In Enhancing Family Planning Access In Rural Municipalities Of The Philippines, Jean Rachel D. Ang, Meljun R. Banogon, Teodoro Lloydon C. Bautista, Wendy D. Besa-Ang, Macario A. Felicen Ii, Jovine M. Martin, Hermie Alexander D. Sia, Jaeron Den D. Topinio

Journal of Public Affairs and Development

Fertility trends in the Philippines have decreased over the years, driven by improved implementation of family planning (FP) practices and programs. However, regional and urban-rural disparities remain evident. Based on the 2022 Philippine National Demographic and Health Survey (NDHS), the general fertility rate (GFR) in urban areas is 57 per 1,000 women aged 15–44 years, compared with 72 per 1,000 in rural areas. This study determined the factors affecting fertility rates in selected municipalities in the second to fourth-income classes, namely Candoni, Jamindan, Moalboal, Palapag, San Miguel, and Sibalom. It utilized a descriptive cross-sectional study design involving 180 women of …

Managing State-Owned University Student Dormitories In The Philippines: The Role Of Service Quality, Marc Immanuel G. Isip

Journal of Public Affairs and Development

State-subsidized student housing is generally left undeveloped, and only a few efforts focus on evaluating and improving service quality and living accommodation satisfaction in state-owned/managed dormitories in a sustainable, strategic manner. These student housing services are threatened by limited government funding and the challenges posed by the post-pandemic period. Inflation has prompted an increase in dormitory fees, but services remain generally affordable; however, higher fees have raised expectations for service quality. This paper aims to investigate the role of service quality in state-owned/managed university student housing services and explore how it influences residents’ satisfaction with living accommodations. Using Partial Least …

In Memoriam: Professor Richard J. “Jack” Grunawalt, The Editors

International Law Studies

We remember Professor Jack Grunawalt, Feb. 2, 1934 – Sept. 22, 2025

Concurrent Regimes For The Concept Of “Common Heritage” In Seabed Mining, James Kraska, Digvijay Rewatkar

International Law Studies

This article examines the re-emergence of unilateral deep seabed mining by the United States and its implications for the concept of the common heritage of mankind. Triggered by Executive Order 14285 and the resurrection of the Deep Seabed Hard Mineral Resources Act, the U.S. approach challenges the multilateral framework established under Part XI of the United Nations Convention on the Law of the Sea (UNCLOS) and the 1994 Implementing Agreement. While the prevailing view holds that unilateral seabed mining is prohibited by customary international law and that only the International Seabed Authority (ISA) may lawfully operationalize the common heritage principle, …

The Mosaic, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Differential Response Of Finger Millet Accessions To Contrasting Saline Water Levels And Irrigation Regimes Under Desert Conditions, Abidemi Talabi, Nhamo Nhamo, Sumitha Thushar, Prashant Vikram, Hifzurrahman Rahman, Mohammed Shahid, Neeru Sood, Malavika Sudheer, Dheeraj Thikkamaneni, Amna Almarri, Fatma Alsaffar, Deep Galani, Moyeez Alam, Sonia Goel, Rakesh K. Singh

All Works

Water salinity and scarcity constitute major limitations to crop production in arid and semi-arid regions. Introduction of nutritious and stress-tolerant underutilized crops is a promising approach for dietary enrichment, cropping system diversification, remediation of marginal and degraded lands, and building climate resilience. The primary objectives of this study were to investigate the effect of water salinity and managed water-deficit stress on grain and fodder yield, identify multi-trait ideotypes, and validate the stability and genetic gain in finger millet ideotypes over a 2-year period. A total of 80 finger millet accessions were evaluated under fresh water (0 dS/m) and two saline …

Radiographic Feasibility Of Novel Cervical Pedicle Inlet Screw Placement During Posterior Cervical Fusion, Frank De Stefano, Anand Dharia, Dheeraj Kagithala, Andrew Guillotte, Alex Hiesberger, Ifjie Ohiorhenuan

Student Publications

Background: Cervical pedicle inlet screws represent a novel fixation technique similar to traditional pedicle screws but terminate before the pedicle isthmus, thus limiting risk of neurovascular injury. Cadaveric studies have demonstrated greater pullout strength in comparison to traditional lateral mass screws, but clinical feasibility data is limited. This study provides a radiographic assessment of the feasibility of cervical pedicle inlet screw placement.

Methods: Patients undergoing posterior cervical fusion for cervical myelopathy were analyzed. Using a 3D spine navigation workstation, trajectories for cervical pedicle inlet and traditional pedicle screws were planned on postoperative computed tomography scans from C3 to C6. Planned …

Achieving And Sustaining Treatment Targets In Rheumatoid Arthritis: A Retrospective Cohort Analysis In Indonesia, Fara Fauzia, Rudy Hidayat, Suryo Anggoro Kusumo Wibowo, Sumariyono Sumariyono, Faisal Parlindungan, Anna Ariane, Johanda Damanik, Abirianty Priandani Araminta, Suci Damaratri

Kesmas

Achieving and sustaining low disease activity (LDA) and remission in rheumatoid arthritis (RA) remains challenging. This study examined the rates and predictors of LDA/remission and sustained LDA/remission in an Indonesian RA cohort. A retrospective study of newly diagnosed adult patients attending a rheumatology clinic in 2020-2021 was conducted. Patients were followed for 12 months to evaluate achievement of LDA/remission, defined as DAS28-ESR ≤3.2, and those meeting the target were observed for an additional 12 months to evaluate sustained LDA/remission. Cox regression was used to identify predictors of time to LDA/remission and loss of LDA/remission. Of 166 participants, 91 (54.8%) achieved …

The Role Of Gynecologic Oncologists In Improving Survival Outcomes Of Epithelial Ovarian Cancer: A Retrospective Cohort Study, Widyorini Lh Hanafy, Bambang Dwipoyono, Asri C. Adisasmita, Yosephine E. Regina, Airine S. Lians, Oktaviani P. Rahayu, Jane G. Auwelia

Kesmas

Epithelial ovarian cancer (EOC) is a leading cause of gynecological cancer mortality and is often diagnosed at an advanced stage, resulting in poor survival outcomes. Access to specialized gynecological oncology services has been associated with improved prognosis; however, data on its impact in Indonesia remain limited. This study aimed to evaluate the association between gynecologic oncologist (GO) services and disease-free survival (DFS) in patients with EOC. This retrospective cohort study included 76 patients with EOC who were treated at a national cancer hospital in Jakarta between 2015 and 2018. Patient data were obtained from medical records and followed for three …

Urban–Rural Disparities In Metabolic Risk Factors For Hypertension Among The Elderly In Indonesia, Susiana Nugraha, Puri Wulandari

Kesmas

Hypertension remains a major public health challenge among the elderly in low- and middle-income countries. This cross-sectional study examined demographic and metabolic factors associated with hypertension among the elderly living in urban and rural areas of West and Central Java Provinces, Indonesia. This study included 1,920 adults aged ≥60 years who had resided in the study areas for at least six months, were able to communicate effectively, and provided informed consent. Data were collected between March and August 2023 using stratified multistage random sampling, structured questionnaires, and biochemical measurements. Multivariable logistic regression revealed distinct patterns of association across settings. In …

Short-Term Survival And Prognostic Factors In Cervical Cancer Patients Requiring Hemodialysis: A Retrospective Cohort Study, Muhammad Trihatmowijoyo Bundjali, Maruhum Bonar Hasiholan Marbun, Wulyo Rajabto, Ikhwan Rinaldi, Hamzah Shatri, Dwi Lestari Partiningrum, Dadang Makmun, Pringgodigdo Nugroho, Sukamto Koesnoe, Pradana Soewondo

Kesmas

Cervical cancer is a common gynecological malignancy, particularly in developing countries, where it coexists with renal impairment in over one-third of patients. This disease typically presents acutely and progresses rapidly. Consequently, kidney replacement therapy, including hemodialysis (HD), is commonly required. To assess survival rates and associated factors, this retrospective cohort study analyzed the medical records of 252 cervical cancer patients who began HD across a three-month follow-up period. Kaplan–Meier analysis indicated a median short-term survival duration of 71.5 days (range: 7–90), with 1-, 2-, and 3-month survival rates of 56%, 51%, and 49%, respectively. Multivariate Cox regression identified post-HD systolic …

Factors Associated With Antiretroviral Therapy Adherence In Patients With Hiv At A Public Hospital In Central Jakarta, Indonesia, Kareena Sari Fatimah, Laily Hanifah, Chandrayani Simanjorang, Nayla Kamilia Fithri

Kesmas

Patients with human immunodeficiency virus (HIV) are required to take antiretroviral therapy (ART) to suppress the virus. However, suboptimal adherence remains a critical barrier that can lead to treatment failure and persistent transmission risks. This study aimed to identify factors associated with ART adherence in patients with HIV. This quantitative study with a cross-sectional design consisted of patients with HIV aged >18 years who received care at the voluntary counseling and testing clinic of a public hospital in Jakarta, Indonesia. Purposive sampling was used. This study used HIV care and ART overview forms as instruments. Data were analyzed using multiple …

Factors Affecting Irritant Contact Dermatitis Among Horticulture Farmers In Semarang District, Indonesia, Maria Goretti Catur Yuantari, Haikal Haikal, Dewi Susanna

Kesmas

Irritant contact dermatitis is a common condition among farmers, but its underlying causes remain poorly understood. This study aimed to identify factors associated with irritant contact dermatitis among horticulture farmers in Semarang District, Indonesia. A cross-sectional survey was conducted among 427 farmers using a validated, reliable structured questionnaire. The results indicated complaints of dermatitis related to contact with irritants. Data were analyzed using the Chi-square test and logistic regression. Analysis revealed that sex, personal hygiene habits, education level, and the number of pesticide types used were significantly associated with irritant contact dermatitis. Female farmers were less likely to develop irritant …

Patterns Of Tobacco Marketing And User Engagement On Social Media In Indonesia: Challenges For Digital Public Health, Resti Yulianti Sutrisno, Nopryan Ekadinata, Sutantri Sutantri, Dinasti Pudang Binoriang, Enrico Aditjondro, Rachfiansyah Rachfiansyah, Yosef Rabindanata, Silvia Dini, Rebecca Perl, Riska Rachmawati, Bertha Tesma Wulandari, Dianita Sugiyo

Kesmas

Large-scale tobacco marketing on social media has resulted in widespread population-level exposure, particularly in Indonesia, which faces growing challenges in digital public health. This study aimed to assess the associations between platform type and marketing tactics and identify correlations of user engagement. An analytical cross-sectional study was conducted using secondary data from the Tobacco Enforcement and Reporting Movement (TERM), collected from January 2022 to August 2023. A total of 21,255 tobacco marketing posts from social media were analyzed. Platform–tactic associations were examined using Chi-square tests, and multivariable Poisson regression was used to identify factors associated with user engagement. The findings …

Low-Dose Prophylaxis Versus On-Demand Treatment For Children With Severe Hemophilia A In Indonesia: A Conceptual Model, Levina Chandra Khoe, Nur Atika, Dhia Ticha Pertiwi, Septiara Putri

Kesmas

Hemophilia A is a rare bleeding disorder caused by a deficiency of clotting factor VIII, leading to recurrent bleeds, joint damage, and disability. Low-dose prophylaxis has been shown to achieve better clinical outcomes than on-demand treatment in reducing bleeding frequency. However, in Indonesia, access and affordability remain key challenges. This study aimed to develop a conceptual model for conducting a health economic evaluation of low-dose prophylaxis treatment for children with severe hemophilia A in Indonesia. This study followed the ISPOR-SMDM Modeling guidelines, outlining two-stage processes: conceptualization of the clinical problem and model development. A systematic literature review was conducted to …

Endosteal Stem Cells At The Bone-Blood Interface: A Double-Edged Sword For Rapid Bone Formation: Bone Marrow Endosteal Stem Cells Provide A Robust Source Of Bone-Making Osteoblasts Both In Normal And Abnormal Bone Formation, Keita Kondo, Yuki Matsushita, Shion Orikasa, Yuta Nakai, Aiko Kuroda, Wanida Ono

Faculty, Staff and Student Publications

Endosteal stem cells are a subclass of bone marrow skeletal stem cell populations that are particularly important for rapid bone formation occurring in growth and regeneration. These stem cells are strategically located near the bone surface in a specialized microenvironment of the endosteal niche. These stem cells are abundant in young stages but eventually depleted and replaced by other stem cell types residing in a non-endosteal perisinusoidal niche. Single-cell molecular profiling and in vivo cell lineage analyses play key roles in discovering endosteal stem cells. Importantly, endosteal stem cells can transform into bone tumor-making cells when deleterious mutations occur in …

A National Uk-Wide Survey Of Tranexamic Acid Use In Vascular Surgery, K Atha, A Shah, J Fabes, K Bera

Peninsula Medical School

Background: Tranexamic acid (TXA) is widely used to reduce perioperative bleeding in several surgical specialties; however, its role in vascular surgery remains uncertain. Concerns regarding arterial, venous and graft thrombosis, together with limited and low-certainty evidence of efficacy, have contributed to variation in practice across the UK. According to the 2025 National Vascular Registry there were nearly 20,000 major vascular operations carried out across the four nations. The 2023 NHS Blood and Transplant audit found TXA uptake in vascular surgery to be low (26.5%) when compared with other specialties such as cardiac, orthopaedic and trauma surgery, which each had TXA …

Recent Case Decisions

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

Sovereign Lands, Brent D. Chicken, Tanner M. Boyzuick

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

West Virginia, Andrew S. Graham

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.