Digital Commons Network^™

Caring But Still Hurting: Uninsured Patients' Illness And Healthcare Experiences At A U.S. Free Clinic, Danaya Amornnimit, Eda G. Christensen, Adelaida Salmeron, Kian Robison, Sofia Ampudia Arroyo, Jessica Benelli, Brenda Spearman, Akiko Kamimura

Patient Experience Journal

While free clinics provide essential healthcare to socioeconomically disadvantaged populations, patients' lived experiences in these settings remain underexplored. This qualitative study examined how uninsured patients at a U.S.-based free clinic perceive their illness experiences and interactions with healthcare providers. From October to December 2024, semi-structured interviews were conducted with 21 adult patients (ages 18–72; M = 49.14), most of whom were non–U.S.-born and primarily Spanish-speaking. Participants described illness as entangled with emotional distress, social isolation, stigma, and disruptions to identity and family roles—revealing a psychological burden that extends beyond physical symptoms. These findings highlight the need to integrate psychosocial and …

An Adaptive Geometric Vector Encoding Language And Spatial-Harmonic Compiler For Topological Computing Engines, Christopher L. Eckes

Defensive Publications Series

This disclosure establishes a non-textual, multi-dimensional machine language and compiling framework optimized for two-dimensional quantum fluid and topological computing substrates. By replacing linear, binary assembly instruction sets (e.g., QASM) with spatial-harmonic vector topologies, programming commands are encoded directly as geometric phase deformations and wave-packet configurations. A bi-directional, reversible semantic compiler architecture is defined to eliminate information erasure latency and satisfy thermodynamic zero-emission constraints during algorithmic runtime execution.

Descriptive Anatomy Of The Female Reproductive Organs In Thamin Eld’S Deer (Rucervus Eldii Thamin) And Fea’S Muntjac (Muntiacus Feae) With Utilizing Of The Glycerin Impregnation Technique For Specimen Preservation, Paisan Tienthai, Pawana Chuesiri, Itti Boonorrana, Piyaporn Kongmakee, Ampika Thongphakdee

The Thai Journal of Veterinary Medicine

The reproductive anatomy of rare cervid species remains insufficiently documented, limiting comparative studies and preservation efforts. This study describes the anatomical details in the female reproductive organs of Thamin Eld’s deer (Rucervus eldii thamin) and Fea’s muntjac (Muntiacus feae), while the application of a modified glycerin impregnation technique was achieved for specimen preservation. Dissections of female reproductive tracts revealed morphological variations that correlate with the known female reproductive characteristics of domestic and closely related species. In both species, the ovaries were characterized as small, ovoid structures, exhibiting prominent follicles or corpora lutea consistent with the stage …

Assessing And Addressing Cultural Competence And Cultural Humility In Dietetic Education, Zoe Duran, Nicholas Slagel, Lisa Caldwell, Katie Kage

Journal of Dietetic Education

Limited theory-informed, dietetic-specific resources are available to guide the development, evaluation, and refinement of culturally competent (CC) curricula. This pilot study used a mixed-methods, theory-informed approach to evaluate CC integration within an undergraduate dietetics curriculum and examine the applicability of existing CC self-assessment tools for dietetic students. A senior-level undergraduate community nutrition curriculum was evaluated using the Tool for Assessing Cultural Competence Training (TACCT), guided by the Campinha-Bacote Model of Cultural Competence in Healthcare Delivery. James Banks’ Model of Multicultural Curriculum Reform was then applied to refine curricular content and learning activities. In addition, 74 students enrolled in a didactic …

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 …

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 …

Foundations Of Project Management, Michael Daniel Sherwin

Open Education Materials

This book aims to equip readers with practical tools and strategies for managing people, resources, and tasks effectively. We include examples, case studies, references, and tools and templates. We encourage you to explore references and videos to deepen your understanding of project management. It is designed for everyone, not just those individuals seeking to be project managers. Whether you are supporting or leading projects, this course will provide a foundation for developing the skills needed to drive results within an organization.

Course: GRBU 638

Creative Commons Attribution

Full Issue - Maya America V8, I1, Maya America Editors

Maya America: Journal of Essays, Commentary, and Analysis

Includes Cover Art and Table of Contents

Introduction: Maya Language Advocacy And Mayas’ Production Of Cultural Knowledge, Walter E. Little

Maya America: Journal of Essays, Commentary, and Analysis

This introductory essay is part of the special issue Maya America, Volume 8, Issue 1, guest-edited and coordinated by the Mayan Languages Preservation Project. The 10 authors of the various research articles and commentaries represent eight of Guatemala’s 22 Maya languages. What brings these essays into relationship with each other are the pragmatic concerns of strengthening Maya languages, such as providing academic, professional, and social services contexts for using and not merely maintaining these languages but helping them thrive. Each author in this special issue has actively worked in various ways to promote Mayan language and cultural knowledge preservation. As …

Geographic Origins Of Mam Interpretation Encounters At La Clínica De La Raza Fruitvale Village In Oakland, California: Informed By A Survey-Based Study, Anibal Pablo

Maya America: Journal of Essays, Commentary, and Analysis

This study examined the geographic origins of Mam Maya who sought interpretation services at La Clínica de la Raza’s Fruitvale Village Pediatrics department in Oakland, California. Between February 22 and September 6, 2024. The results showed that 95% of interpretation encounters involved respondents from three municipalities – Todos Santos Cuchumátan, San Juan Atitán, and Santiago Chimaltenango – located within the Sierra de los Cuchumatanes region of western Guatemala. This concentrated pattern suggests that the Fruitvale Mam community is largely rooted in a specific set of municipalities whose linguistic variants and cultural practices have important implications for interpreter training and healthcare …

Who Owns Land, Who Owns Language? Challenging The Commercialization Of Indigenous Language Data, Matthew Riemland

Maya America: Journal of Essays, Commentary, and Analysis

As Indigenous scholars and activists have pointed out, the commercialization of Indigenous language data resembles the historical and ongoing dispossession of Indigenous land. Using Mayan languages as a case study, this article illustrates the process by which digital advertising platforms – Google and Meta – appropriate and benefit commercially from Indigenous language data, drawing parallels with the dispossession of Indigenous land. It identifies the significant costs of this commercialization to Indigenous communities, including the lack of compensation for the Indigenous language data’s commercial value, the distortion of Indigenous communities’ linguistic and cultural representation online, and the reinforcement of extractive relationships …

Mayan Languages And Technological Inclusion: The Mayan Languages Preservation Project As An Applied Model To Create Equity In Language Access, Winston Scott

Maya America: Journal of Essays, Commentary, and Analysis

This article traces the project's founding, structure, and achievements over three years, documenting a community-led effort to create digital resources, including talking glossaries, keyboards, tools to help communities create textbooks for schools, and machine translation corpora for the 22 Mayan languages spoken in Guatemala. Drawing on principles of communitybased language documentation and recognized under UNESCO’s International Decade of Indigenous Languages (IDIL 2022–2032), the project confronts intersecting challenges of poverty, illiteracy, digital exclusion, and the ethical risks of data extraction by external actors. The author argues that meaningful language digitization should be guided by native speakers and community organizations, rather than …

Woven In Silence: Maya Q’Anjob’Al Cosmology, Gaspar Tomas

Maya America: Journal of Essays, Commentary, and Analysis

The Q’anjob’al, Akateko, and Chuj communities of the Guatemalan highlands are among many Maya communities that are flourishing with knowledge that draws on the classical-period Maya civilization and infuses it with contemporary practices. This knowledge guided the Maya people in building a stronger relationship with the natural and spiritual worlds: the very foundation of our social structure and the key to understanding our place in this universe. The survival of our culture, our languages, and our oral traditions all played a critical role in preserving our worldview, but the one that stands resilient above all is the one recorded on …

Rethinking Teacher Education Programs: (Mis)Understanding Of Culturally Responsive Teaching Among Teacher Candidates, Shirley M. Sommers

Northwest Journal of Teacher Education

This article draws from a study conducted on pre-service teachers enrolled in a teacher education program. The study examines students’ understanding and misunderstanding of what constitutes culturally responsive teaching. This is a mixed methods study. A Likert-type survey and qualitative questionnaires were used to collect data. Descriptive statistics were used to analyze survey data, and a thematic coding method was used for analysis of qualitative data. The results of the study show that pre-service teachers are aware and knowledgeable of the term culturally responsive teaching as the term is widely used in the teacher education program in which they were …

The Effect Of Background Music On Cognitive Performance In The Stroop Task, Jakob A. Clegg

McNair Scholars Research

This experimental study aims to explore the effects of background music on cognitive performance and attention using the Stroop task. The Stroop task was first introduced by psychologist John Ridley Stroop, demonstrating how automatic processes, like reading, can interfere with controlled tasks, such as naming ink colors. Participants were tasked with correctly associating ink colors and color words. These words would differentiate between incongruent, color words different from the ink color, and congruent, color words matching the ink color. Using PsyToolKit to administer the Stroop task and Google Forms for participant intake, participants (n = 36) listened to a vocal …

Evaluating Gender Equity In The Berenstain Bears Picture Books, Christy Tisnawijaya, Geni Kurniati

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

Picture books serve as a foundational medium in early childhood education, utilizing interrelated visual and verbal elements to foster linguistic, cognitive, and social development. Despite their pedagogical utility, certain literary works inadvertently perpetuate traditional gender roles, constraining children's conceptualizations of identity. This study evaluates gender representation within eleven selected titles of The Berenstain Bears series. Employing a qualitative multimodal content analysis, the study integrates Butler's gender performativity framework (1990), Callow's multimodal narrative approach (2020), and Adam and Harper's evaluative criteria (2021) to examine how domestic, social, and recreational roles are constructed. This study offers novelty by establishing a dual-lens multimodal …

A Systematic Review Of Posttraumatic Stress Disorder Among Hispanic Immigrants In The United States, Rashel Acireale

Theses and Dissertations

This study systematically reviews the literature on posttraumatic stress disorder (PTSD) among Hispanic immigrants in the United States, a population exposed to cumulative trauma across the migration process. Stressors may occur before, during, and after migration and include violence, family separation, dangerous travel conditions, discrimination, and fear of deportation. Despite these risks, findings on PTSD prevalence remain mixed, and Hispanic immigrants are underrepresented in clinical research and culturally informed interventions. This review examines sample representation, types and timing of trauma, PTSD measurement approaches, and the inclusion of cultural and contextual factors such as acculturation and immigration-related stress. It also evaluates …

Eksplorasi Pemanfaatan Aplikasi Miraa Berbasis Transkripsi Ai Dalam Pembelajaran Menyimak Bahasa Mandarin, Dewi Permatasari Mulyono, Aiga Ventivani, Iwa Sobara, Aisyah Yasmin, Aulia Miftahul Jannah, Keiza Jasmine Aprilanadja

Journal of Language, Literature, and Arts

This study explores the use of Miraa, an AI-based transcription application, in Mandarin listening instruction and students’ responses to its use in a Chinese Comprehensive 2 course. A descriptive qualitative approach was employed involving 21 students from the Mandarin Language Education Program at Universitas Negeri Malang. Data were collected through classroom observations, semi-structured interviews with 10 purposively selected students, documentation, and exercise scores as supporting data. The data were analyzed through data condensation, data display, and conclusion drawing and verification, supported by source and technique triangulation. The findings indicate that Miraa was used as multimodal scaffolding by integrating audio, automatic …

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.

Perundungan Di Mts Al Khairaat Sindue: Analisis Pragmatik Komentar Pada Tiktok @Inews.Com, Maruf Faddurahman, Ananda Alya Dwi Ariani, Suci Muhimmatul Khusna, Sutrisno Gustiraja Alfarizi, Didin Widyartono

Journal of Language, Literature, and Arts

Bullying in educational settings is a social issue that not only affects victims but also generates diverse public responses on social media. This study examines the linguistic forms and pragmatic functions used by netizens in responding to a bullying case at MTs Al Khairaat Sindue through comments on the TikTok account @Inews.com. A descriptive qualitative approach employing qualitative content analysis was used. The data comprised 12 high-engagement comments purposively selected from approximately 23,000 comments on the relevant post. The findings reveal several response orientations, including support for the victim, demands for sanctions, rejection of bullying normalization, defense of the perpetrators, …

Representasi Visual Cover Artwork “Revolusi Mental” Paroots: Analisis Semiotika Roland Barthes, Revaldi Arya Utomo, Agnisa Maulani Wisesa

Journal of Language, Literature, and Arts

Cover artwork in digital music functions not only as a visual identity but also as a representational medium that constructs meaning through symbols, colors, and composition. This study examines the visual representation of Paroots’ “Revolusi Mental” cover artwork, created by Garis Edelweiss, using Roland Barthes’ semiotics and Stuart Hall’s theory of representation. A descriptive qualitative approach was employed, drawing on the visual artwork and in-depth interviews with Garis Edelweiss and five members of Paroots. Barthes’ framework was used to identify denotative, connotative, and mythical meanings, while Hall’s framework was applied to examine the relationship between the creator’s encoding and the …

Navigating Digital Transformation: Students’ And Lecturers’ Perceptions And Experiences Of Online Teaching In South African Higher Education, Precious Dube, Yolisa Madolo

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

The digital transformation of higher education has reshaped teaching and learning practices, but experiences in South African universities remain diverse because of differences in technological access, digital readiness and institutional support. This systematic literature review aimed to examine students' and lecturers’ perceptions and experiences of online teaching and learning in South African tertiary institutions. The review employed studies retrieved from Google Scholar, ERIC, Scopus, and Web of Science. A total of 1253 studies from across the globe were identified and screened using Covidence, resulting in 21 South African studies meeting the inclusion criteria. The selected studies were analysed thematically to …

Slang In Tiktok Videos: A Study Of Linguistics And Its Implications On Bipa Informal Vocabulary Learning, Rahma Indri Cahya Havilah, Nuny Sulistiany Idris, Ida Widia

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Mastery of informal vocabulary is one of the main challenges for Indonesian as a Foreign Language (BIPA) learners, since slang on social media. Unfortunately, contextual and relevant teaching materials that cover slang for BIPA learners are limited. This study aims to identify the linguistic forms of slang language in TikTok videos, analyze their usage, and examine their implications for informal vocabulary learning in BIPA. The present study is descriptive-analytical with a linguistic approach, including phonological, morphological, pragmatic, and semantic analyses. Data were collected through observation and documentation of TikTok videos. This study reveals two particular linguistic forms, namely phonological and …

Clinicians’ Reflections On Explainable Ai (Xai) In Counselor Education And Diagnostic Training: An Exploratory Qualitative Study, Kuo Deng, Xiaomeng Ye, Yi Li-Brown, Cara Miles, Angelina F. Pennino

Journal of Technology in Counselor Education and Supervision

Current approaches to teaching clinical diagnosis in counselor education and supervision often

rely on self-reports, brief vignettes, and supervisors’ recollections—methods that can be resource- intensive and prone to bias, contributing to diagnostic inaccuracy among trainees. While artificial

intelligence (AI) has gained traction in healthcare, many machine learning (ML) models function as “black boxes,” limiting transparency and educator trust. Explainable AI (XAI), which focuses on making AI processes interpretable, offers a potential solution for counselor training. This exploratory qualitative study examined eight licensed psychologists’ reflections after viewing a live demonstration of an original XAI model trained to predict depression. Using Reflexive …

Toward A Triadic Therapeutic Alliance: Understanding Client, Therapist, And Ai Relational Processes In Counseling, Jennifer Young

Journal of Technology in Counselor Education and Supervision

Artificial intelligence (AI) is integrated into counseling through chatbots, digital companions, and clinical decision-support tools. This integration challenges traditional models of the therapeutic alliance, which have historically centered on the dyadic relationship between client and therapist. To address this gap, the Triadic Therapeutic Alliance (TTA) Model of Client-Therapist-AI Relational Dynamics offers a new framework for understanding how relational processes unfold when AI becomes an active participant in therapy. The model extends alliance theory into a triadic structure that includes the client-AI and therapist-AI relationships alongside the traditional human alliance. Drawing on research in human-computer interaction and ethical frameworks of trust …

Leveraging School Leadership To Strengthen Teacher Retention In Urban High-Needs Schools, Sharri Zachary

Education Theses and Dissertations

This qualitative study, supported by descriptive quantitative data, examined the leadership practices that principals in urban high-needs schools use to influence teacher retention while leading their schools and navigating external conditions and educational policies. The study was grounded in Bronfenbrenner’s bioecological model of human development and reframed the traditional focus on family and social development to examine principal-teacher interactions within school environments. The study addressed the lack of clarity regarding how teacher retention is defined, measured, and interpreted, particularly in relation to principals’ efforts to recruit, develop, and support teachers under shifting conditions and accountability expectations. Descriptive quantitative data provided …

Simulation Experiences Of Eal Prelicensure Nursing Students: An Integrative Review, Megan Ross

International Nursing Research Congress (INRC)

Background: Globalization has increased the use of English as a common language in healthcare settings (Cheng et al., 2025). Additionally, nursing programs have increased the number of students who speak English as an additional language (EAL; Henry, 2023). EAL students often encounter unique challenges in nursing programs, including struggles with communication and cultural norms that can impact success (Henry, 2023). Simulation-based learning is an effective method to develop nursing students’ knowledge and skills (Alharbi et al., 2024). Despite its growing use, there was no comprehensive synthesis of research exploring EAL nursing students’ experiences with simulation-based learning at the time of …

An Adaptive Infrastructure Framework For Health Equity Integration Into Clinical Research, Keith Henri Salvado, Elidia V. Tafoya, Latanya Dean, Grissel Hernandez, Neera Ahuja

International Nursing Research Congress (INRC)

PURPOSE: The research team transformed a struggling health equity study by redesigning the clinical research infrastructure using population health management concepts and the A3 improvement methodology. The framework embeds the full cycle of clinical research in high acuity settings. This adaptive, nursing-led transformation aimed to optimize feasibility, to drive equitable access to research, and to bridge gaps in the literature.

METHODS: The research team overhauled the study using A3 improvement methodology within the framework of Lean and Plan-Do-Study-Act cycles. To optimize recruitment, our team developed workflows around sales funnel principles. Culturally competent and linguistically appropriate interactions fostered research access. Strategic …

Improving Fluoride Varnish Application Rates In A Pediatric Primary Care Microsystem, Roman G. Roxas

Master's Projects and Capstones

Problem

Childhood caries is a preventable public health issue disproportionately affecting the underserved. National guidelines recommend fluoride varnish (FV) application during well‑child visits. In California, fewer than 15% of children under age six received FV. In a pediatric primary care clinic, baseline performance was 11% in 2025.

Context

A six‑month quality improvement project was implemented. Key barriers included reduced team cohesion, workflow variability, unclear roles, and underutilized electronic health record (EHR) prompts.

Interventions

The change package standardized medical assistant–led workflows, activated EHR prompts, and provided targeted education. Leadership reinforcement through regular huddles supported adoption, consistency, and team engagement.

Measures

Outcome …