Digital Commons Network^™

Assessing And Addressing Financial Risk In Capitated Primary Care Contracts, Michael R. Wieck Dba, Laurence Smith, Steven R. Stout Dba

Engaged Management ReView

We employ multivariate statistical modeling and Monte Carlo simulation to study systematic and unsystematic financial risk faced by physician groups under capitated contracts with Medicare Advantage Organizations (MAOs). We use mixed methods and a standard reimbursement formula for risk-sharing contracts with primary care physicians (PCPs). We find that diversifying risk simply by increasing the size of a practice is insufficient to mitigate risks of large negative cash flows from capitation contracts and can result in financial failure. However, if use of costly medical services by patients is reduced from levels typically experienced under traditional Medicare to the levels of patients …

A Case For Societal Provenance: Marguerite Harper As Told By The Men She Represented, V. Emily Cranwell Deinert

Journal of Contemporary Archival Studies

This paper argues for making societal provenance the grounding framework for archival descriptive standards to ensure that important voices already present in archives are no longer buried. This study reclaims from archival obscurity the career of literary agent Marguerite E. Harper to illustrate the need for this expansion. Harper proves strikingly absent from some of the archives for the authors she represented. Likely an unwitting omission from archivists that uncritically accepted the narratives of these male authors, Harper’s erasure provides a potent example of the ways that archival descriptive standards may unintentionally further silence historically marginalized voices within archives. The …

An Architecture Of Vanishing: Toward A Protocol Of Archival Disappearance, Edgardo Civallero

Journal of Contemporary Archival Studies

This article rethinks the preservationist reflex that equates archival care with permanence. Drawing on post- and decolonial theory, it provincializes endurance as a historically situated ideal and foregrounds global traditions where disappearance, opacity, and cyclical renewal structure memory. It reframes vanishing as custodianship rather than neglect, introducing a taxonomy of protocols of epistemic disappearance—temporal, spatial, relational, semantic, and material—and a grammar of vanishing that operationalizes them as design tools. Extending to institutions, it outlines seasonal, dismantling, shadow, and nomadic archives as forms that measure success by their capacity to end well. A concluding framework articulates five principles—vanishing as care, duration …

Exploring The Situation Of Health Literacy Promotion To Delay Kidney Disease Progression In Older Adults With Chronic Kidney Disease: A Convergent Parallel Mixed-Method Study, Kritanon Janthasri, Ladawan Panpanit, Khanitta Nuntaboot

Journal of Health Research

Background: Health literacy (HL) is crucial for delaying chronic kidney disease (CKD) progression, yet evidence on HL promotion among older adults with early-stage CKD is limited. This study examines HL level and explores the situation of HL promotion for delaying kidney progression among older adults with CKD.

Methods: A convergent parallel mixed-methods design was employed. The quantitative phase, 297 older adults with CKD complete a questionnaire. The qualitative phase, 50 participants then took part in interviews to explore their experiences. Quantitative data were analyzed using descriptive statistics, and qualitative data through content analysis. Findings were integrated to identify …

The 2024 New European Pact On Migration And Asylum: Recasting The European Legal Framework For Asylum Between Protection Guarantees And The Effectiveness Of Migration Management, Ali Mourad

BAU Journal - Journal of Legal Studies - مجلة الدراسات القانونية

The New European Pact on Migration and Asylum, adopted on 14 May 2024, constitutes one of the most far-reaching reforms undertaken by the European Union in this field. Through a package of ten legislative instruments, it reorganizes screening at the external borders, procedures for international protection, the determination of the Member State responsible, solidarity mechanisms, crisis and force majeure situations, and the role of databases and European Union agencies. This reform emerged in a context in which the migration crises of 2015 and 2016 exposed the limits of the Dublin system, whose application, particularly the irregular-entry criterion—concentrated responsibility in practice …

Wildfire Risk & Preparedness For Urban Rail Operators Supporting Large Stadium Events, Karl Kim, Eric Yamashita, Daniele Spirandeli, David Rother

Mineta Transportation Institute

The project team, in collaboration with partners and stakeholders, developed a four-hour training course designed to build a foundational understanding of how wildfire hazards affect rail systems infrastructure operations and how this knowledge can help equip urban rail operators with tools and best practices for proactive risk management. Led by the University of Hawaiʻi and the National Disaster Preparedness Training Center, in partnership with Haley & Aldrich, Inc., this technical report presents an overview of the four modules and scenario planning exercise that together make up the four-hour Wildfire Risk & Preparedness for Urban Rail Operators Supporting Large Stadium Events …

Enhancing Wildfire Resilience In The Rail Industry: Developing A Community Resilience Extreme Events Portal (Creep), Karl Kim, Eric Yamashita, Daniele Spirandeli, David Rother, Chris Chiesa, Greg Hampe, Michele Toner

Mineta Transportation Institute

The Community Resilience Extreme Events Portal (CREEP) provides a centralized platform for accessing wildfire danger indices, critical asset locations, and vulnerability scores for rail segments. The project team developed a data-driven, indicator-based vulnerability assessment framework that defines vulnerability as a function of exposure, sensitivity, and adaptive capacity. To build this framework, the team selected publicly available datasets, prioritizing national datasets whenever possible to ensure transparency, reproducibility, and scalability. The portal allows users to analyze and visualize vulnerability across 1-kilometer segments of Class I freight and passenger rail lines in California, supporting planning and mitigation prioritization to help reduce rail-related fatalities, …

Media Emotion Regulation And Executive Function In Childhood: Associations With Respiratory Sinus Arrhythmia, Lara M. Almeida

Theses and Dissertations

Media emotion regulation (MER), or the use of media to help children manage emotions, may influence children's development by shaping opportunities for practicing self-regulatory skills. Guided by the Dynamic, Relational, Ecological Approach to Media Effects Research (DREAMER) model, this study examined longitudinal associations between MER and executive functioning (EF) in early childhood and explored whether respiratory sinus arrhythmia (RSA), a physiological index of regulation, predicted developmental changes. Participants included 175 parent-child dyads assessed across two annual waves when children were approximately 4 and 5 years old. Structural equation modeling was used to test bidirectional associations between MER and EF while …

Parks Coble, Jr., Unl History; Chinese Nationalists & Business, Chinese-Japanese Relations, Mark A. Griep, Parks M. Coble Jr.

UNL ORCA Interview Series

Dr. Parks Coble, Jr. was awarded the ORCA in 2005. He was born in Waterloo, South Carolina in 1946 but he grew up in Columbia. He earned his bachelor’s in history at the University of South Carolina in Columbia. Next, he traveled 740 miles northwest to earn his doctorate at the University of Illinois in Champaign. In 1976, he became an assistant professor of history at the University of Nebraska, where he quickly rose through the ranks. His early work focused on the relationship between Chinese business elites and leaders of the Chinese National Government movement during a very interesting …

Who Controls The Block? How States Can Regulate Tokenized Residential Real Estate, David J. Reiss, Joseph Bizub, Justin Peralta

Cornell Law Faculty Working Papers

In July 2025, the City of Detroit filed a major nuisance abatement action against RealT, a fintech that had sold blockchain-based fractional interests in more than four hundred Detroit rental properties to some 22,000 investors around the world. Within a year, a court had ordered the company’s rents into escrow, the company had conceded to its investors that its “model no longer works,” and it had announced the liquidation of its portfolio -- leaving tenants without basic services and token holders facing steep losses.

This article uses the rise and collapse of RealT, together with case studies of the other …

Interventions To Improve Nurse Outcomes In South African Private And Public Hospitals: A Case Study, Babalwa Tau, Siedine Knobloch Coetzee, Nicholin Scheepers

International Nursing Research Congress (INRC)

Background: South African nurses face ongoing challenges, including escalating healthcare needs of a growing population, staff and resource shortages, and deteriorating infrastructure, all of which negatively affect their health and wellbeing, relationship with work, productivity and effectiveness and satisfaction with work (South Africa, 2024). Although numerous studies explore interventions to improve these nurse outcomes (Niskala et al., 2020; Ramachandran et al., 2023; Xu et al., 2020), few address the realities of developing countries such as South Africa.

Methods: An exploratory multiple-case study design was employed (Yin, 2014). Secondary data from a national hospital database (n = 143) were analysed to …

Decent Work In Nursing: A Walker And Avant Concept Analysis, Mu-Hsi Deborah Young, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Background: Although the WHO and the International Labour Organization have repeatedly emphasized the importance of promoting decent work to ensure a sustainable nursing workforce, the concept of decent work within nursing remains insufficiently defined, creating challenges for implementation.

Objective: The purpose of this article is to analyze the concept of decent work in nursing.

Method: A literature review was conducted following Walker and Avant’s concept analysis method. Searches were performed in PubMed, EBSCOhost (including CINAHL Complete, CINAHL Ultimate, MEDLINE, APA PsycArticles, and APA PsycINFO), ProQuest, Web of Science, Cochrane Library, and Airiti Library through April 2025.

Result: Twenty studies were …

Exam Wrappers, Test Anxiety, Demographics, And Exam Grades In First-Semester Nursing Students, Patricia L. Pence, Myoungjin Kim, Robin Rochelle Trost

International Nursing Research Congress (INRC)

Problem- The first semester is a critical time when students decide whether to persist or leave a nursing program.

Purpose- To evaluate a) students’ responses on exam wrappers during the first semester, b) the relationship between demographic characteristics and exam grades, and c) if there was a change in students’ level of test anxiety as measured by the Westside Test Anxiety Scale (Driscoll, 2007) at three points in time during the first semester and if there was any change in relation to demographic characteristics.

Research Questions: 1) What are nursing students’ exam wrapper responses during the first-semester? 2) What is …

Psychoneuroimmunological Predictors Of Ptsd In Icu Patients, Yu-Ju Chen, Pei-Yu Hou, Ching-I Li

International Nursing Research Congress (INRC)

Background: Patients in Intensive Care Units (ICUs) face significant distress, elevating their risk for post-traumatic stress disorder (PTSD) (Abdelbaky & Eldelpshany, 2024; Righy et al., 2019). PTSD arises from complex psychoneuroimmunological interactions (Katrinli, Oliveira, Felger, Michopoulos, & Smith, 2022). Autonomic dysregulation, indexed by reduced heart rate variability (HRV), is a known correlate of PTSD (Schneider & Schwerdtfeger, 2020). Evidence also links PTSD to chronic inflammation, with markers like C-reactive protein (CRP) implicated (Kim et al., 2025; Peruzzolo et al., 2022). However, integrated psychoneuroimmunological research in ICU-related PTSD is limited.

Purpose: To examine the relationships between psychological (anxiety, pain, sleep quality), …

Body Composition Of Psychiatric Nursing Home Residents In Taiwan Assessed By Inbody, Ya-Mei Cheng, Wan-Leng Lin, Yao-Hui Huang, Chieh-Yi Wang, Jun-Dai Lin

International Nursing Research Congress (INRC)

Purpose: Residents of psychiatric nursing homes often experience chronic mental illness, prolonged psychotropic medication use, and limited physical activity, all of which contribute to reduced muscle mass and altered body composition. These conditions increase the risk of falls, obesity, metabolic syndrome, sarcopenia, and functional decline. This study assessed the body composition of residents in Taiwanese psychiatric nursing homes using the InBody analyzer to inform future health-promotion and nutrition interventions.

Methods: A cross-sectional study was conducted from April to August 2024 in a psychiatric nursing home in central Taiwan. Eighty-three residents (44 men, 39 women) were included; individuals with acute psychiatric …

Exploring Presenteeism Experiences Among Nurses In Taiwan: A Qualitative Study, Hsiao-Wei Cheng, Ai-Fu Chiou

International Nursing Research Congress (INRC)

Background: Nurses often work despite illness due to heavy workloads, professional expectations, and limited staffing. Such presenteeism may affect performance, well-being, and long-term occupational health. In Taiwan, little is known about how nurses perceive and experience working while unwell. Therefore, this study aimed to explore Taiwanese nurses’ awareness and lived experiences of presenteeism using a qualitative approach.

Methods: A qualitative descriptive design was used. Six nurses from intensive care units and general wards in a medical center in northern Taiwan were recruited through purposive sampling. Data were collected through face-to-face, semi-structured interviews that focused on decision-making regarding attendance, perceived pressures, …

Hierarchical Models Of Caring Culture, Magnet Culture, And Their Impact On Patient Experience, Alice Yan, Grissel Hernandez, Mary E. Lough, Kathleen Bradley, Cassendra Munro, Rachyl Pines

International Nursing Research Congress (INRC)

BACKGROUND: Empirical evidence is lacking to quantify whether Watson’s Human Caring Culture and Magnet aligned nurse behaviors influence patient-experience outcomes.¹

PURPOSE: To evaluate whether Caring Culture,¹ and nursing behaviors aligned with Magnet professional excellence,^2-4 predicts Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) outcomes, specifically: Hospital Rating and Likelihood to Recommend.⁵

METHODS: HCAHPS data (2021–2023) from a large academic hospital were analyzed. The dataset included five validated Caring Culture questions averaged as a composite measure. Magnet aligned nursing behaviors (communication, responsiveness, teamwork, and patient-centered care transition) were analyzed as predictors. Descriptive and univariate analyses were …

Using Simulation To Translate Theory Into Practice: Lessons Learned & Next Steps, Margarett Alexandre, Fern Baudo, Vanessa Carew

International Nursing Research Congress (INRC)

NIH notes adverse events can be avoided (Patient Safety, 2023). Simulations using high-fidelity mannequins offer an interactive environment for students to learn critical thinking skills. Simulations allow students to practice skills in a safe environment before working with real patients (Zenani, 2023; Durham & Alden, 2008). Saylor, Graber, and Trinkaus (2024) note that simulation-based learning experiences can increase confidence in undergraduate nursing students.

Purpose: To explore the impact of increase simulation with senior nursing students in an upper-level med/Surg course, incorporating guided reflective journaling to address students’ assessment of knowledge, understanding of theoretical and practical skills learned, and reflect on …

Assess The Effectiveness Of Sleep Hygiene Education Programe On Sleep Quality Among Students, Narinder Kaur Walia

International Nursing Research Congress (INRC)

Introduction: Sleep is essential for physical, cognitive, and emotional well-being. According to WHO, good sleep involves 7–9 hours of rest, minimal sleep latency, and the absence of disturbances like insomnia. However, many students lack awareness of proper sleep hygiene. Poor sleep quality is common among nursing students due to academic pressure, clinical rotations, irregular schedules, and lifestyle habits like caffeine use and social media. These issues can affect mental and physical health, academic performance, and patient care. Sleep disturbances are a growing concern among the general population, with global prevalence ranging from 3.9% to 45%. In India, studies show 36.3% …

Transforming Nursing Practice Through Data Ownership And Leadership In A Quaternary Hospital, Nabiha Tashkandi, Merry Jo Dione Levers

International Nursing Research Congress (INRC)

Background: Globally, healthcare systems are increasingly recognizing the vital contributions of nursing to safety, quality, and patient experience. However, in some organizations, nursing remains underrepresented in executive decision-making, limiting its influence on strategic priorities (Sherwood & Barnsteiner, 2021). At the Ministry of National Guard Health Affairs (MNGHA), the nursing leadership sought to overcome this challenge by using data to amplify nursing’s voice, demonstrate its value, and improve care outcomes (Dempsey et al., 2014).

Purpose: This project aimed to strengthen nursing’s visibility and credibility within the organization by aligning nursing-sensitive indicators with corporate priorities, creating a culture of transparency, and leveraging …

Supportive Technology Promotes Research Engagement Among Nurses And Allied Health Professionals, Rachael Haskell, Zoe Samson, Justin Peterson, Kristiina Hyrkas

International Nursing Research Congress (INRC)

Nursing research can support improved clinical outcomes for patients and nursing workforce outcomes, such as workplace engagement and job retention. However, nurses report significant barriers to research engagement, such as limited time, lack of mentorship, and insufficient access to resources.1 In 2024 our Magnet-designated organization implemented Ovid® Synthesis, a structured virtual platform designed to help clinical staff complete research projects.

The aim of this project is to examine how Ovid® Synthesis addresses known barriers to research participation and influences staff perception and engagement in scholarly work.

A survey was distributed via REDCap to clinical staff registered with Ovid® Synthesis (N=591) …

Integrating Matrescence Into Birth Worker Practice: A Practice Improvement Project, Kelsey B. Green

Doctor of Nursing Practice (DNP) Projects

Background: Perinatal mood and anxiety disorders (PMADs) affect 20–25% of mothers worldwide and are a leading cause of maternal complications. Stigma, fragmented care, and limited provider training leave families vulnerable, while birth workers offer trusted, continuous support.

Problem: Birth workers' maternal mental health (MMH) training is minimal and often excludes matrescence, the developmental transition to motherhood, limiting their ability to distinguish normal adjustment from clinical PMADs and delaying intervention.

Methods: A single-group, pre-/post-test design evaluated a matrescence-informed workshop at Roots Community Health's 2nd Annual Symposium. Anonymous surveys measured knowledge, attitudes, and confidence, analyzed with Mann–Whitney U, Wilcoxon signed-rank tests, and …

When Everyone Is A Librarian: Examining Job Titles And Responsibilities In California School Libraries, Mary Ann Harlan, Jeffrey Mattison, Jodi Hwang

Learning Hub

School libraries in California are staffed by a wide range of personnel, including credentialed Teacher Librarians (TLs) and paraprofessional staff working under a variety of job titles. Analysis of responses from the California School Library Survey revealed substantial variation in self-reported library staff titles, raising questions about the relationship between job titles, job descriptions, and professional responsibilities. This study examined the titles used by individuals working in California school libraries as paraprofessionals and analyzed corresponding job descriptions to determine whether distinctions exist between professional standards and descriptions and paraprofessional duties. Using survey data from the 2022–2023 California School Library Survey, …

Preparing Inclusive Educators: The Impact Of Fieldwork Experience On Preservice Teachers’ Knowledge, Skills, And Confidence In Working With Students With Disabilities, Adrian Jung

Northwest Journal of Teacher Education

This study examined preservice teachers’ confidence in working with students with disabilities across Elementary (n = 44), Secondary (n = 43), and Special Education (n = 52) programs. Using a quantitative pretest–posttest survey design, participants completed an adapted version of the Special Needs Confidence Scale before and after student teaching. Descriptive statistics and Tukey post hoc analyses were conducted. Results indicated overall increases in confidence following fieldwork, with Special Education preservice teachers reporting consistently higher confidence than Elementary and Secondary peers. Findings highlight the role of targeted preparation and field-based experiences in supporting inclusive teaching readiness.

Impacts Of Storms On Great Bay Water Quality And Estimating Discharge In Great Bay Tributaries, Jody D. Potter, William H. Mcdowell, Michelle Daley Shattuck, Kalle Matso

PREP Reports & Publications

No abstract provided.

A Granularity-Centered Taxonomy Of Personalized Federated Learning, Ei Ei Nyein Chan, Sergei Chuprov, Pretom Roy Ovi, Kamrul Hasan

Computer Science Faculty Publications

Personalized Federated Learning (PFL) has emerged as a key approach to address performance degradation in FL systems under heterogeneous client data. While existing surveys typically categorize PFL methods based on optimization strategies or system-level mechanisms, they often overlook a fundamental question: where is personalization embedded within the model architecture? In this survey, we bridge this knowledge gap and introduce a granularity-centered taxonomy that organizes PFL approaches according to the structural depth of personalization, ranging from head-layer and layer-wise adaptation to model-wise and parameter-wise customization. This novel perspective helps practitioners select appropriate personalization strategies based on model architecture, data heterogeneity, and …

Chronic Hiv And The Emerging Threat Of Neurodegeneration In The Aging Population, Delilah Frey, Isabella Lagunzad, Andrew Meltzer

URGENT Matters

No abstract provided.

From Curriculum To Career: A Grounded Theory Of Ai-Driven Employability In Higher Education, Sandra Baroudi, Christina Davison, Maryam Juma

All Works

This study examines how undergraduate students navigate employability within an AI-driven labor market, highlighting the role of digital social capital, personal branding, and multicultural identity management in a rapidly modernizing, culturally diverse setting. Employing a constructivist grounded theory approach, semi-structured interviews were conducted with 12 undergraduates across STEM and humanities disciplines. Data were coded iteratively using constant comparative methods until theoretical saturation. Five major categories emerged: experiential learning, professional networking, digital self-promotion, cultural identity tensions, and technological adaptability. The study proposes an ‘AI-Driven Employability Framework’ that integrates Human, Social, and Cultural Capital theories and develops two context-specific extensions: digital social …

The Screening Tool Of Behavioral Self-Regulation “Head-Toes-Knees-Shoulders” Task: A Preliminary Adaptation To Greek Older Adults, Eleni Rachanioti, Dimitra Magkavila, Olga Fragkomichelaki, Magda Dinou, Effie Katsadima, Theodora Foti, Anastasia Tzalla, Anna Dougali, Christina Bourmpou, Maria Staikopoulou, Aphrodite Papantoniou, Fotini Varlami, Irene Dinaki, Maria Tsiountala, Konstantinos Staikopoulos, Tryfon Mavropalias, Efthymia Efthymiou, Demetra Tomprou, Maria Georgiadi, Dimitra Katsarou, Georgios Kougioumtzis, Ioanna Giannoula Katsouri, Harilaos Zaragas, Despina Moraitou, Maria Sofologi, Georgia Papantoniou

All Works

The aim of the present study was to examine the psychometric properties of the Head-Toes-Knees-Shoulders (HTKS) behavioral self-regulation (executive function) measure in a sample of Greek older population. Specifically, 88 cognitively healthy Greek older adults over the age of 65 participated in the study. The Greek version of HTKS was administered along with the Greek versions of the Mini-Mental State Examination (MMSE), the Raven's Educational CPM, the Number Series (NS) test, the Positive and Negative Affect Scale (PANAS), the Barratt Impulsiveness Scale (BIS-11) and the Impulsive Behavior Scale (UPPS-P). Exploratory factor analysis supported the unidimensional structure of the HTKS. The …

The Inner Motherhood Penalty: The Impact Of Maternal Self-Stereotyping On Decisions To Apply For High-Status Roles, Jaycelin Eyre

Undergraduate Honors Theses

Stereotype-based discrimination creates obstacles for women's representation in high-status roles, and even more for mothers, who experience a motherhood penalty in hiring, evaluation, and promotion. While literature identifies how maternal stereotypes lead to external discrimination, little is known about how maternal self-stereotyping creates barriers to women's representation in high-status roles. Applying self-categorization theory (SCT) and expectancy theory, this paper examines whether maternal self-stereotyping influences women's willingness to apply for high-status roles through work-family conflict (WFC), which reduces the perceived value (valence) of these roles. In a survey, participants (N = 392) rated their willingness to apply for five jobs varying …