Digital Commons Network^™

Community-Based Research: Key Considerations For Researchers And Community Partners When Collaborating, Bothwell Piason, Kathleen A. Fox

The Qualitative Report

Community-based research (CBR) is a research orientation that emphasizes equitable engagement in the process of knowledge production, though researchers and community partners may navigate collaborative partnerships with differing expectations, priorities, and understandings of success. Extant research has demonstrated that successful CBR partnerships can benefit both researchers and community partners, yet little is known about how both groups simultaneously conceptualize successful collaboration across diverse partnership contexts. In this study, we ask: What considerations do researchers and community partners identify as important when engaging in community-based research partnerships? Drawing on semi-structured interviews with 10 university researchers and 10 community partners engaged in …

Autoethnography: Understandings, Evolution, And The Influence Of Genai, Prokopis Christou

The Qualitative Report

Autoethnography occupies a central place within qualitative research because of its focus on lived experience, reflexivity, and meaning-making. In this paper, I critically examine the implications of generative artificial intelligence (GenAI) for autoethnographic inquiry through a reflexive and theoretically informed discussion situated within the contemporary AI-mediated era. By revisiting key understandings and developments of autoethnography while drawing on technological mediation theory, I explore how GenAI extends beyond a mere tool to become a mediating mechanism capable of profoundly shaping autoethnographic practice. Attention is given to how seemingly minor AI-generated alterations may transform lived experience into more polished, coherent, and emotionally …

The Lived Spirituality Experiences Of Adult Diabetes Patients In Adhering To Treatment, Dwight Mahaputera Marulitua Hutapea

The Qualitative Report

This descriptive phenomenological study explored the lived spirituality experiences of adult patients with Type 2 Diabetes Mellitus (T2DM) in adhering to treatment. Prior research has indicated that spirituality may influence attitudes toward and adherence to chronic disease management; however, empirical evidence addressing the spiritual dimension among people with diabetes remains limited. Guided by Colaizzi's (1978) phenomenological method, in-depth interviews were conducted with 12 purposively selected participants, equally distributed among Christians and Muslims. All interviews were transcribed verbatim and subjected to rigorous phenomenological analysis. Seven themes emerged from the data analysis: (a) spirituality strengthens relationships; (b) spirituality affects choices and outcomes; …

Relational-Developmental Autoethnography: A Method Of Qualitative Inquiry That Fosters Personal Growth, Chris Wells

The Qualitative Report

This paper introduces relational–developmental autoethnography (RDA), a qualitative method for exploring psychological growth through personal writing and reflection. Developed through lived experience, RDA traces psychological development through sustained, recursive engagement with personal writing. Drawing on an archive of my journals, letters, clinical records, and correspondence spanning more than 30 years, I show how writing and reflection were first tools for my survival, and later became catalysts for insight, healing, and transformation. RDA is grounded in two developmental frameworks: Dąbrowski’s theory of positive disintegration, which views emotional intensity and inner conflict as signs of developmental potential, and relational-cultural theory, which …

Cost Analysis Of Rheumatoid Arthritis In Insured Patients And Its Determinant Factors: Data From A National Referral Hospital In Indonesia, Rudy Hidayat, Fara Fauzia, Mochammad Alfansyah Dhifanra, Aries Maulana

Kesmas

Rheumatoid arthritis (RA) leads to progressive functional impairment and considerable economic burden. This study estimated the annual (12-month) cost per patient among patients with RA and its determinant factors. A descriptive cross-sectional economic study of RA patients who had been treated for at least one year at the outpatient clinic of a national referral hospital in Jakarta, Indonesia, and met the 2010 ACR–EULAR criteria. Data collected from January 2023 to December 2024 were obtained from medical and billing records for demographic characteristics, direct medical costs, and DAS28-based disease activity, whereas non-medical and indirect costs were collected through structured patient interviews. …

Nihilistic Violence Aesthetics In Public Online Communication, Heath Nicholas Landress

Journal of Social, Behavioral, and Health Sciences

Public online communication has increasingly included violence-related content that is meme-based, ironic, visually stylized, multimodal, and only partially ideological. This comprehensive literature review synthesized research on online extremism, extremist memes, toxic multimodal content, dehumanizing digital communication, nihilistic violent extremism, warning behaviors, platform affordances, and youth-facing online environments. The purpose was to clarify what the literature had established; identify where the scholarship remained fragmented; and map research domains relevant to social, behavioral, public safety, and human services scholarship. The review used a structured, comprehensive literature review strategy supported by integrative synthesis procedures. The final corpus contained 34 scholarly sources, including 32 …

Isolation, Structural Characterization, And In Vitro Bioactivity Assessment Of Extracellular Vesicles Derived From Lacticaseibacillus Paracasei, Dwi Liza Ramadiani, Ratika Rahmasari, Tri Wahyuni, Kusmiati Kusmiati, Herman Irawan, Khatarina Meldawati Pasaribu

Pharmaceutical Sciences and Research

The field of study on extracellular vesicles (EVs) has recently focused on probiotic bacteria, due to their ability to exhibit a wide variety of biological activity. Therefore, this study aims to evaluate the effect of nutrient modulation during Lacticaseibacillus paracasei cultivation on EVs production and bioactivity. EVs were isolated by ultrafiltration method and were characterized using NTA and cryo-TEM. An in vitro evaluation was used to assess the bioactivities, antioxidant properties, anti-inflammatory potential, and ability to inhibit α-glucosidase activity. The results showed that the 2 LPEV exhibited the characteristics of vesicles with size of 96.04–100.29 nm. Cultivation in 50% MRS …

Association Of Tooth Wear With Dentin Hypersensitivity: A Systematic Review, Sumanth Kumbargere Nagraj

Peninsula Dental School

Objectives: The association between tooth wear (TW) and dentin hypersensitivity (DH) is not well understood. This systematic review investigated the role of TW (and etiological factors) as an associated factor for DH. Materials and Methods: Literature search was conducted in five databases with terms related to DH and TW, until April 2025. Three pairs of independent reviewers selected clinical studies reporting on DH and TW (and related etiology) in dentate adults, and performed data extraction. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. A structured narrative synthesis was performed. Results: Twenty-one studies were included, with DH …

A Novel Approach For Evaluating And Comparing Multiple Antipsychotic Polypharmacy In Adults Across Specialist Intellectual Disability Services In England And Wales: A Retrospective Feasibility Cohort Study, Samuel J. Tromans, Helen Neilens, Crispin Musicha, Victoria Allgar, Emily Stanyard, Richard Laugharne, Paula Mcgowan, Angela Hassiotis, Sarah Lennard, Lance V. Watkins, Bhathika Perera, Kiran Purandare, Ashok Roy, Indermeet Sawhney, Sujeet Jaydeokar, Ryan Ashford, Chris Rollinson, Hanna Abraham, Nusra Khodabux, Ogheneochuko Akusu, Samuel Paisley, Georgios Mousailidis, Meera Naran, Rohit Shankar

Peninsula Medical School

Background:In England and Wales, significant numbers of people with intellectual disability (PwID) are prescribed antipsychotics for a range of licensed and non-licensed indications, particularly behaviours that challenge. There is no system to compare antipsychotic prescribing practices across specialist adult intellectual disability (ID) services.Aim:This study aimed to determine whether converting antipsychotics and their doses to equivalent chlorpromazine units enables comparison of licensed (psychosis, etc.) and non-licensed (behaviours that challenge) prescribing between different services.Method:A feasibility retrospective cohort study using convenience sampling captured anonymized data of PwID on ⩾2 antipsychotics across eight specialist England and Wales adult ID services. The doses prescribed across …

The Evaluation Of A Soft Skills Curriculum In Athletic Training Education: A Mixed Methods Study, Emily A. Duckett, Heather Schugar, Alison Gardiner-Shires, Jacqueline S. Hodes

Clinical Practice in Athletic Training

Context: Developing athletic training students’ soft skills to effectively engage in patient-centered care is integrated throughout multiple Commission on Accreditation of Athletic Training Education Curricular Content Standards. Despite evidence supporting the importance of compassionate care, there is currently data to suggest that health care is experiencing a compassion crisis. The purpose of this study was to investigate the ways pre-professional athletic training students transfer knowledge from a soft skills curriculum to clinical experiences as students in an entry level master’s program.

Methods: This study is an explanatory sequential mixed methods design. Phase 1 includes participants (n = 19) enrolled in …

Level Of Discrimination Experienced By Gender In Athletic Trainers And Professional Athletic Training Students, Emily Ghaussy, Seungyeon Kim, Jennifer Xu, Emily Madrak

Clinical Practice in Athletic Training

Context: Although women make up the majority of the athletic training field, gender-based discrimination continues to exist in the profession. Previous research exists; however, more current research on gender discrimination in the workplace is limited. This cross-sectional study examined level of perceived gender-based discrimination experienced by credentialed women athletic trainers and athletic training students in comparison to men athletic trainers and athletic training students. Four hundred forty-six cisgender men and women athletic trainers and athletic training students participated in our study. The median age was 28 years among cisgender women and 35 years among cisgender men.

Methods: Participants completed a …

Building On A Strong Foundation: Celebrating Our Past And Looking Toward The Future, Zachary K. Winkelmann

Clinical Practice in Athletic Training

No abstract

Women In The Criminal Justice Pipeline: Perspectives From Policy To Practice, Laila Riaz

Student Theses

The study of the criminal justice system has historically been shaped by a male-centered perspective. Consequently, this has marginalized the unique experiences and challenges faced by women. Women are disproportionately affected by issues such as trauma, caregiving responsibilities, and systemic inequalities, shaping their interactions with the criminal justice system in ways that differ from men. This study examines how women experience the pipeline of the criminal justice system. The “pipeline” refers to the stages of the criminal justice system, ranging from an initial encounter with law enforcement to prosecution, incarceration, and eventual reentry into society. Drawing on interviews with academics …

Predictors Of Complete Obliteration And Favourable Outcome After Single-Modality Treatment For Low-Grade Arteriovenous Malformations: A Multicentre Study, Angelica Fuentes, Salem Tos, Natasha Ironside, Georgios Mantziaris, Yuki Shinya, Basel Musmar, Hamza Adel Salim, Nimer Adeeb, Christopher Ogilvy, Douglas Kondziolka, Ali Alaraj, Min Park, Adam Dmytriw, Hussein Zeineddine, Finn Mccarthy, Hussam Abou-Al-Shaar, Ahmed Abdelsalam, Mustafa Baskaya, Cagdas Ataoglu, Anthony Sanchez-Forteza, Muhammed Amir Essibayi, Abdullah Keles, Sandeep Muram, Howard Riina, Arwin Rezai, Sahin Hanalioglu, Ufuk Erginoglu, Johannes Pöppe, Davide Simonato, Yan-Lin Li, Sandeep Kandregula, Dhairya Lakhani, Christoph Griessenauer, Rahim Abo Kasem, Alejandro Spiotta, Ajit Puri, Jasmeet Singh, Anna Luisa Kuhn, Jan Karl Burkhardt, Robert Starke, Laligam Sekhar, Michael Levitt, David Altschul, Neil Haranhalli, Malia Mcavoy, Paul Foreman, Osama Zaidat, Mohammad Almajali, Hakeem Shakir, Alfred Pokmeng See, Adib Abla, Aashay Patel, Andrew Nguyen, Matthew Koch, Visish Srinivasan, Peng Roc Chen, Spiros Blackburn, Ketan Bulsara, Peter Kan, Louis Kim, Omar Choudhri, Stavropoula Tjoumakaris, Pascal Jabbour, Amey Savardekar, Hugo Cuellar, Michael Lawton, Bharat Guthikonda, Jacques Morcos, Jason Sheehan

Department of Neurology Faculty Papers

INTRODUCTION: Patient and arteriovenous malformation (AVM) characteristics that portend success after treatment for low-grade brain AVMs remain unknown.

PATIENTS AND METHODS: We utilised the MISTA multicentre registry to identify patients with Spetzler-Martin (SM) grade I or II AVMs treated with stand-alone curative-intent intervention (resection, stereotactic radiosurgery [SRS] or endovascular embolisation). Bivariate and multivariable analyses were performed to identify patient and AVM characteristics predictive of complete obliteration or favourable outcome (complete obliteration without new permanent deficit or post-treatment haemorrhage).

RESULTS: A total of 522 patients were included (292 microsurgery, 152 SRS, 78 embolisation). Complete obliteration rates differed between microsurgery (95.9%), SRS …

Staff Education On Standardized Suicide Risk Assessment In An Outpatient Clinic For Behavioral Health, Fanta Haja Cabah

Walden Dissertations and Doctoral Studies

Suicide risk assessment is a high-priority nursing safety responsibility in outpatient behavioral health. The practice gap was a variation in nurses’ knowledge of validated suicide screening, direct inquiry, risk escalation, referral, and related documentation expectations working in an outpatient behavioral health clinic located on the Eastern Atlantic Coast. To address this problem, I developed, implemented, and evaluated a staff education program on a standardized suicide risk assessment. The practice question focused on whether staff knowledge increased following participation in the education program. Ten nursing staff members participated in a 60-minute education program. Pretest and posttest questionnaires included 20 multiple-choice questions. …

Optimizing Advanced Ehr And Enhanced Data-Sharing And Reporting In Rural Health Clinics, Adaeze Honesta Duru

Walden Dissertations and Doctoral Studies

Rural clinics continue to face several barriers in utilizing advanced electronic health record (EHR) features, including interoperability, data sharing, and care coordination. The purpose of this integrative review was to investigate strategies to overcome barriers to the use of advanced EHRs and enhance data-sharing and reporting capabilities in rural clinics. The review question emphasized viable strategies for overcoming barriers to advanced EHR utilization and enhancing data-sharing and reporting capabilities in rural clinics. The consolidated framework for implementation research provided a conceptual model for understanding the various facets of EHR optimization. A literature search initially resulted in 135 relevant articles. After …

Staff Education On Teach- Back Communication Method For Psychiatric Nursing Staff, Adanma Violet Ebere

Walden Dissertations and Doctoral Studies

Summary Patient education delivered without a standardized communication protocol for patients with serious mental illness (SMI), especially for those who face disproportionate health literacy deficits, cognitive challenges, and stigma, may increase the risk of medication misunderstanding and non-adherence. An outpatient psychiatric practice lacked a standardized patient education protocol. This quality improvement staff education initiative equipped all clinical nursing staff with the 5Ts for Teach Back framework, an evidence-based, five-step method endorsed by the Agency for Healthcare Research and Quality (AHRQ), The Joint Commission (TJC), and the American Hospital Association (AHA), and grounded with evidence in 13 sources at Levels I …

Determination Of The Content Of Water-Soluble Vitamins In The Composition Of Beet Beetroot Composition, Jasur Esirgapovich Safarov, Shakhnoza Abduvaxitovna Sultanova, Muhammad Rasul Oglu Najafli, Doston Ishmuhammat Ugli Samandarov

Chemical Technology, Control and Management

The aim of this study was to determine the content of water-soluble vitamins in various parts of beetroot (pulp, leaves and stems) that had been subjected to various drying methods in a bid to explore the effect of physical processes, i.e., the application of ultrasound, on micronutrient preservation. The experiments were performed at the Department of Service Technologies of Tashkent State Technical University, and chromatographic analysis was performed in the Institute of Bioorganic Chemistry of the Academy of Sciences of the Republic of Uzbekistan. Chromatography was performed on Agilent-1200 chromatograph with Exlipse XDB C18 column and diode array detector using …

Modeling Of A Two-Stage Extractive Distillation Process For The Separation Of 1,3-Butadiene From Pyrolysis-Derived C₄ Fractions, Muxriddin Xudoyor Og‘Li Ibodullayev, Jonibek Farxod O‘G‘Li Norqulov, Olim Rustamovich Abduraxmonov, Orifjon Sharipovich Kodirov

Chemical Technology, Control and Management

The separation of 1,3-butadiene from pyrolysis-derived C₄ fractions represents a challenging task due to the multicomponent nature of the feed and the close boiling points of accompanying hydrocarbons. In this study, a two-stage extractive distillation process was investigated using an acetonitrile–water solvent system to address these challenges. A semi-industrial experimental unit consisting of two extractive distillation columns connected in series was developed and analyzed, and the process configuration was supported by Aspen Plus simulation. The feedstock composition was characterized in detail, revealing that 1,3-butadiene constitutes approximately 40 wt.% of the C₄ fraction, accompanied by significant amounts of propylene, butanes, butanes, …

Methods For Treating Wastewater Generated During The Production Of Basalt Fiber Using Modified Bentonite Clay, Abdurasul O'Ktamovich Husenov, Baxtiyor Toxtayevich Sabirov, Diyor Asadullayevich Xadjibayev

Chemical Technology, Control and Management

This scientific article notes that in technological processes, wastewater is contaminated with various organic and mineral substances, including poisonous and toxic substances. Sources of environmental pollution include organic and inorganic substances formed during the production of basalt fiber. In this research work, the task is set to purify wastewater formed during the production of basalt fiber from organic substances. Bentonite clay is a very good natural sorbent and has the ability to purify some cations. When conducting laboratory experiments, bentonite clays from the "Azkamar" and "Navbahor" deposits were selected to purify wastewater formed during the production of basalt fiber from …

Mathematical Models Of Magnetoelastic Acceleration Transducers Developed Based On The Theory Of Lumped Parameter Circuits, Amirov Fayzullayevich Sulton, Kamila Kamilovna Jurayeva, Shovkat Dilshodovich Turayev

Chemical Technology, Control and Management

In this article, based on the theory of lumped-parameter circuits, algebraic and differential equations describing the mechanical, electrical, and magnetic circuits of new magnetoelastic acceleration transducers, their analytical solutions, as well as mathematical models establishing the relationship between the electromotive forces at the outputs of the transducers and acceleration, which is the input quantity of the transducer, have been developed. Analysis of these mathematical models and the graphs constructed on their basis shows that under the influence of acceleration applied to the transducers, with an increase in the mechanical stresses arising in the magnetic circuit of the transducer, a redistribution …

Optimal Procedure For Measuring The Parameters Of Optical Signals Considering Noise, Yuriy Gennadyevich Shipulin, Azimjon Mamadaliyevich Xusanov

Chemical Technology, Control and Management

It has been shown that to achieve the required level of measurement accuracy and reliability, it is necessary to transition from quality control of finished products to quality management based on cost-effective methods during the stages when product properties are formed. It is shown that the complexity of measuring optical signal parameters during analysis or synthesis requires them to be considered as part of a general information processing system. Based on the nonlinear filtration method, an optimal procedure for measuring a variable position in time against a background of spatial noise was obtained. Structural diagrams of optimal measuring instruments for …

Development And Uncertainty Assessment Of Secondary Method For Ph Measurement In Physicochemical Measurements, Sarvar Rakhmatullaev, Dostonbek Xujakulov, Mohinur Nigmatova

Chemical Technology, Control and Management

In physicochemical measurements across various industries, laboratory analyses commonly require the determination of pH as an indicator of hydrogen ion activity in aqueous solutions. Ensuring the accuracy and reliability of these measurements, obtaining precise readings from pH measuring instruments, and maintaining overall measurement quality represent critical challenges in guaranteeing the safety of both products and processes. This requires constant monitoring, accuracy assessment, calibration, metrological verification, and control of measuring instruments. In this case, it should be carried out not with solutions prepared in any laboratory, but with certified reference materials (СRM) with appropriate regulatory framework, ensuring metrological observation. …

Robust-Adaptive Estimation Of Unmeasurable States And External Disturbances Of A Dynamic Object Based On An Augmented Kalman Filter, Husan Igamberdiev, Uktam Farkhodovich Mamirov, Lu Liu, Bohong Wang, Bunyod Buronov

Chemical Technology, Control and Management

The paper addresses the problem of joint estimation of the directly unmeasurable states of a dynamic object and of external disturbances when information is available only on the control inputs and on the measured output signals. To solve this problem, a robust-adaptive algorithm based on an augmented Kalman filter is proposed, in which the external disturbance is included in the extended state vector. Two operating modes of the algorithm are considered. For slowly varying disturbances, a random-walk model with a constant process-noise covariance is used, whereas for rapidly varying inputs a signal adaptation  driven by the normalized innovation is proposed. …

Fast Algorithms For Combined Synthesis Of Dynamic Object Control Systems, Isomiddin Khakimovich Siddikov, Gulchexra Alimova

Chemical Technology, Control and Management

The paper considers the issues of combined synthesis of a control system for a nonlinear dynamic object. The combined synthesis algorithms are based on the hybrid application of the theory of ordinary differential equations in the Cauchy form and the theory of automatic control. In this case, the dynamics of the control system are described in the input-output representation and by state-space equations. Algorithms for solving stabilization problems, finite control, and the inverse dynamics problem are presented in explicit form. These algorithms are based on the concept of reducibility of a general Cauchy-form system to the block-canonical Frobenius form. The …

Analysis Of The Throttle Settings Under Uncertain Information, Latafat Gardashova, Nihad Afandi

Chemical Technology, Control and Management

Although classical fuzzy logic controllers are capable of modelling non-linear control systems, they fail to consider the reliability of linguistic information, sensor measurements, and expert knowledge. In this paper, an intelligent controller based on the use of Z-numbers is developed for steam-turbine throttle control. Linguistic information and its confidence degree are considered simultaneously in such a controller. The temperature and pressure values are taken as input variables, while the throttle rotation is selected as the controller output variable. At first, the Z-number representation system is constructed to include the credibility of linguistic measurements and control rules. Then, a Mamdani Type-1 …

Nonlinear System Identification Based On Fuzzy Radial Basis Neural Network With Multi-Connected Weight Connections, Kabul Khudaybergenov

Chemical Technology, Control and Management

This paper builds on our earlier radial basis function network with multiple connections (RBFMC) by placing it within a fuzzy inference framework for nonlinear system identification. The idea is inspired by the diversity of neurotransmitters found in biological neurons: instead of a single hidden-to-output weight, RBFMC gives each hidden unit a multi-dimensional connection whose components act as independent filters. Once fuzzy logic is added, each hidden neuron becomes a fuzzy rule, and its antecedent is built from several Gaussian membership functions, one per connection. The resulting Fuzzy RBFMC produces an interpretable, multi-filter description of local regions of the input space …

Performance Evaluation Of Controllers Using Fuzzy Delphi And Ahp Techniques, Kamala. R. Aliyeva, Nihad Mehdiyev, Shamil Mehdi

Chemical Technology, Control and Management

This study introduces an enhanced decision-support framework that integrates the Fuzzy Delphi method with the Analytic Hierarchy Process (AHP) to improve controller tuning and performance evaluation in uncertain environments. Traditional tuning techniques typically depend on crisp expert judgments and deterministic performance indices; however, industrial control systems are characterized by nonlinear behaviors, uncertain parameter variations, and subjective expert evaluations that are often vague or inconsistent. The Fuzzy Delphi procedure is applied to systematically gather, filter, and consolidate expert insights, enabling a refined set of performance criteria such as stability margins, robustness to disturbances, settling time, overshoot, control effort, and energy consumption …

Documentation And Project Change Management System – Honeywell Trace, Farukh Adilov, N.R Yusupbekov, Maksim Fedorovich Astafurov, Kamola Rustamovna Abdullayeva

Chemical Technology, Control and Management

The article examines modern approaches to organizing documentation and managing changes in industrial automation projects using the Honeywell Trace software platform. The evolution of documentation tools from the Documentation Tool utility within the TDC 2000/3000 system to modern intelligent solutions is described. The architecture, functional capabilities, and supported interfaces of Honeywell Trace are analyzed. Particular attention is paid to automated configuration change tracking, comprehensive search by process tags, and the detection of potential errors. The possibilities of integrating the system with industrial process control systems, controllers, auxiliary systems, and industrial communication protocols are considered. The application of Honeywell Trace during …

Validation Of A Home-Based Tool For Preschool Children Fall Prevention: A Rasch Analysis, Devie Fitri Octaviani, Fatma Lestari, Indang Trihandini, Dadan Erwandi

Kesmas

Unintentional falls are a leading cause of injury among preschool children, primarily occurring in home environments, yet validated tools to assess household fall prevention capacity in low- and middle-income countries remain limited. This study aimed to develop and psychometrically validate the Home-Based Preschool Fall Prevention Instrument using the Rasch Measurement Model. A cross-sectional validation study was conducted in Depok City, Indonesia, involving 167 primary caregivers of preschool children enrolled in kindergartens selected through multistage cluster random sampling. The instrument was developed based on an etiological injury model, socio-ecological perspectives, and risk management principles, and comprised four main factors: child, home, …