Digital Commons Network^™

Trajectories Of Recovery After Intravenous Propofol Versus Inhaled Volatile Anaesthesia (Thrive) Randomised Controlled Trial In The Usa: A Protocol, Bethany R Tellor Pennington, Laura Swisher, Mara L Bollini, Michael S Avidan, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Millions of patients receive general anaesthesia every year with either propofol total intravenous anaesthesia (TIVA) or inhaled volatile anaesthesia (INVA). It is currently unknown which of these techniques is superior in relation to patient experience, safety and clinical outcomes. The primary aims of this trial are to determine (1) whether patients undergoing (a) major inpatient surgery, (b) minor inpatient surgery or (c) outpatient surgery have a superior quality of recovery after INVA or TIVA and (2) whether TIVA confers no more than a small (0.2%) increased risk of definite intraoperative awareness than INVA.

METHODS AND ANALYSIS: This protocol was …

I Went Climbing Today, Chris Kalman

Appalachia

No abstract provided.

Books And Media

Appalachia

Reviews of: The Lions of Winter, by Ty Gagne; 109° Below, a film directed by Nick Martini; Losing the Garden, by Laura Waterman; Ditch Memory, by Todd Davis; Shinrin-Yoku, by Marcyn Del Clements; You Are Here: Poetry in the Natural World, edited by Ada Limón.

Accidents

Appalachia

Reports of rescues and accidents in the White Mountains of New Hampshire from the warm months of 2024 opens with thoughts on the dangers of selfies. A 38-year-old hiker encounters trouble attempting a Presidential Range traverse in early May. A man breaks his leg and with the help of a passing Appalachian Trail thru-hiker crawls 0.3 miles to a trail junction for a helicopter pickup. An 84-year-old glider operator crashes into trees on a ridge west of Mount Moosilauke. A hiker struggles to cross the swollen Wild River after a period of storms. Trail runners suddenly must call for help …

Over The Influence: Considering Scenarios Sponsored Adventure Influencers Find Themselves In, Mike Cherim

Appalachia

An experienced mountain guide sketches three situations—promoting clothing, going fast with minimal gear, and making the reaching of an iconic scene look easy—where social media influencers could misinform the public.

Navigation By Smartphone: A Field Geologist Argues That Devices Complement Physical Maps, Richard Allmendinger

Appalachia

An argument that smartphones—in the right hands, and with the right app—replace gadgets like alarm clocks, cameras, and weather radios and can outpace physical maps with the right apps.

Yes, Instagram Has Led To Overcrowding In Yosemite. That's Ok: A Professional Climber Reflects On The Bad And Good Of A Tourism Spectacle, Beth Rodden

Appalachia

Social media has Instagrammed the outdoors but also cultivated community. The crowds who flock to the park in February to see Horsetail Fall deserve to enjoy public lands, too.

Burning Solitudes: Mountain Storytelling In The Age Of Social Media Reproduction, Katie Ives

Appalachia

A deep exploration into the contradictions of recording mountain experiences while having them.

Appalachia Summer/Fall 2025: Complete Issue

Appalachia

Summer/Fall 2025 - Volume LXXVI, Number 2 - Issue #260. On the Ground and Screen: Stories of smartphones in wild places.

Library Science Literature, 2019–2025: An Exploration Using Critical Bibliometric Methods, Nick Szydlowski

Faculty Research, Scholarly, and Creative Activity

This study applies critical bibliometric methods to the library science literature published from 2019 to early 2025. It combines citation network analysis and text analysis in novel ways to identify clusters of articles focused on trends and practice areas, and to analyze the citation rates and centrality of those clusters within the network of library science articles. The study provides an example of how critical bibliometric methods can be applied to provide context and nuance when assessing the impact of research and interpreting research impact metrics. Themes identified within the literature include the COVID-19 pandemic, diversity, artificial intelligence, and social …

A Research Study Of Art-Based Pedagogy In Nursing Education, Lauren Holloway, Lila De Tantillo

International Nursing Research Congress (INRC)

Objective: Art-based pedagogy (ABP) is a non-prescriptive teaching strategy that facilitates understanding of multiple perspectives and connects students and educators in the learning process (Obara et al., 2022; Rieger et al., 2020; Rieger & Chernomas, 2013). One nursing school has incorporated this approach in its undergraduate nursing research course. This cross-sectional study aims to evaluate the impact of incorporating ABP in the curriculum.

Background: This investigation was guided by David A. Kolb’s Experiential Learning Theory (Kolb & Kolb, 2009; Rieger & Chernomas, 2013). This educational theory, which focuses on adult learners, emphasizes participation and reflection to promote student engagement and …

Effect Of Storytelling On Nursing Student Engagement And Patient Perceived Empathy, Catherine Quay

International Nursing Research Congress (INRC)

Purpose: Evidence has shown that engaging, immersive learning experiences that promote the understanding of another person are most effective at improving empathy in nursing students (Bas-Sarmiento et al., 2020; Cho & Kim, 2024; Levett-Jones et al., 2019). There is a lack of evidence, though, related to the clinical significance of these learning experiences on patient perception of empathy. This study examined the effect of storytelling through an immersive virtual reality (IVR) intervention on nursing student engagement and patient-perceived empathy.

Methods: Guided by Transportation Theory (Green & Brock, 2000), a quasi-experimental comparison group, posttest design was used. Participants included 60 second-degree, …

Distress To Success: Video-Based Interventions To Enhance Nursing Student Mental Health, Kacie Duncan, Heather S. Cole, Suzanne Prevost, Staci Simmons

International Nursing Research Congress (INRC)

Background: Nursing students have high stress levels that significantly impact their mental health, making them vulnerable to mental health disorders, burnout, poor academic performance, and dropout, ultimately contributing to the ever-increasing nursing shortage. Unaddressed mental health issues in nursing raise the risk of medication errors and the inability to focus. The purpose of this study was to introduce Mastering Mindset: A Mental Health Initiative, which aims to empower students to manage stress and succeed in their careers by using short TikTok-style videos.

Methods: A quasi-experimental study was conducted with 291 baccalaureate nursing students to assess changes in mindset, wellness, …

Behavioral Symptoms Of Dementia Management: Learning Experiences Of Healthcare And Allied Students, Modupe Adewuyi, Joy Li, Debbie Blay, Ifeoma Falilatu Ohaya

International Nursing Research Congress (INRC)

Background: Alzheimer's disease is the most common form of dementia in the U.S., with expected cases rising from 6.7 million to about 13.8 million by 2060 [1]. Over 90% of individuals with Alzheimer's and related dementias (Pw-ADRD) experience behavioral symptoms such as agitation [1]. Studies have shown that these symptoms are positively correlated with functional and cognitive impairment, leading to earlier placement in nursing homes, hospitalizations, and increased caregiver burden [2-3]. Non-pharmacological interventions have been shown to be effective in preventing and managing those symptoms [4-5]. However, many healthcare and allied professionals lack the knowledge and skills to implement these …

Nurses' Understanding Of Lgbtq+ Populations: A Needs Assessment, Danielle Brochu

International Nursing Research Congress (INRC)

Background: Recent literature illustrates the lack of nursing knowledge regarding health considerations specific to the LGBTQ+ population, both among nursing students and registered nurses (Medina-Martínez et al., 2021). A systematic review of the evidence by Sherman et al. (2023) concluded that formal education on this topic remains limited, as a comprehensive method to providing this education to nursing staff and other healthcare providers has yet to be identified. From a higher education standpoint, many pre-licensure BSN/RN students report a lack of formal education on caring for LGBTQ+ populations and have little exposure to this population in the clinical setting (Morris …

Bridging The Gap: Opportunities And Barriers In Diabetes Self-Management Education, Paul R. Boy, Sorina Long, Manpreet Sidhu, Barbara Roces, Dante Anthony Tolentino

International Nursing Research Congress (INRC)

Diabetes self-management education and support (DSMES) programs are essential for navigating the complexity of diabetes management, yet engagement in these programs is poor.^1,2 A gap remains in understanding AAs' DSMES engagement due to the exclusion of their perspectives and the tendency to treat them as a monolithic group,³ missing nuanced experiences. This lack of understanding prevents the creation of interventions to improve DSMES engagement among AAs. Therefore, this study aimed to describe the determinants of DSMES engagement among AAs with T2DM. We used an interpretive descriptive qualitative approach to explore how AAs engage with DSMES programs. We conducted …

Unic Dialogues: Our Experiences Of Partnership As Student Representatives In A European University Alliance, Maddalena Fortune-Brandi, Ella Barrett

Teaching and Learning Together in Higher Education

No abstract provided.

Care First, Aaniyah Alexander

Teaching and Learning Together in Higher Education

No abstract provided.

Instagram In The Clinic: A New Challenge For Patient–Physician Communication, Jayashree Ravikumar

Journal of Community Hospital Internal Medicine Perspectives

This letter reflects on a growing trend observed in clinical practice: patients increasingly consult social media for guidance on various medical conditions before visiting their physicians. The piece highlights the opportunities and risks associated with this behavior, particularly in community hospital settings, and emphasizes the importance of clinician guidance and digital health literacy

Novel Treatments For Adolescent Vaping Cessation: Are We There Yet?, Jasleen Kaur, Amanda Rossi, Sofia Adams, Mariginder Singh Varowal, Lakshit Jain, Mohsin Raza, Zouina Sarfraz

Journal of Community Hospital Internal Medicine Perspectives

E-cigarette use among adolescents is a growing public health concern, driven by discreet designs, appealing flavors, and social influences. Despite high addiction rates, most teen users express a desire to quit, though evidence-based cessation tools remain limited. Behavioral interventions, including tech-based programs like This Is Quitting and smokeSCREEN, show promise. Pharmacotherapy, particularly varenicline, may support quitting, though its role in adolescents is still under investigation. Pediatricians must address this issue through empathetic, multifaceted approaches that combine education, behavioral support, and emerging treatments to curb early nicotine dependence and its long-term health consequences.

Reassessing D-Dimer Cut-Offs For Pulmonary Embolism: A Path Toward Safer And More Cost-Effective Diagnosis, Amer Abu-Shanab, Montaser Alrjoob, Zain Albdour, Alaa Alkhatib, Apurva Ketkar, Ahmad Al-Alwan, Charmee Vyas, Husam Bader, Sohini Sarkar, Doantrang Du

Journal of Community Hospital Internal Medicine Perspectives

Background

Pulmonary embolism (PE) is a life-threatening condition requiring early and accurate diagnosis. The Wells and Geneva scores, along with D-dimer testing, are key tools in assessment. However, the standard D-dimer cut-off of 0.5 mg/mL, while highly sensitive, has low specificity, leading to excessive imaging. This study examines whether modifying the D-dimer threshold can improve diagnostic efficiency and reduce unnecessary testing.

Methodology

This retrospective study analyzed 878 patients who underwent computed tomography pulmonary angiography (CTPA) at Monmouth Medical Center from January 2022 to December 2023. Statistical analysis, including ROC curve assessment, was conducted using IBM SPSS, with significance set …

Hamiltonian-Based Quantum Generative Autoencoder System And Method Thereof, Fuming Guo

Defensive Publications Series

The present disclosure relates to a system and method for Hamiltonian-Based Quantum Generative Autoencoder. The autoencoder leverages a novel Hamiltonian based quantum Al generative model to resolve anomaly detection in financial transaction data. An hybrid architecture, i.e., potential of quantum computing and generative AI based approach is leveraged in this disclosure to capture complex patterns and correlations in high-dimensional financial data. This system employes a series of parameterized Hamiltonians at least for processes like encoding, latent space representation, and decoding, which are implemented as quantum circuits using Trotterization techniques. Particularly, the system incorporates physical-inspired principles into the area of financial …

A Payment Data Sharing Control System With A Personal Ai Agent In Retail Transactions, Visa

Defensive Publications Series

The present disclosure relates to systems and methods for controlling payment data sharing and approval with a personal AI agent in a payment system. The system includes a payment card that incorporates a sharing controller to hold a binary value determining whether to allow or prevent the sharing of payment transaction data with the personal AI agent. The payment terminal is configured to read this binary value, and the payment service provider or payment gateway processes the transaction based on the retrieved data. Further, the methods involve configuring financial preferences with the AI agent, sharing payment transaction data during a …

Development Of Multi-Sector Negentropic Engineering, Xavier Pillet

Defensive Publications Series

This document, produced with the assistance of ChatGPT o3 and GPT-5 Thinking, is released under the Apache 2.0 license. It is a voluntary defensive publication (prior art) and therefore enters the prior art upon release under the applicable patent statutes: EPC Art. 54(2) (European Patent Convention), French IPC/CPI Art. L 611-11 (French Intellectual Property Code), 35 U.S.C. §102(a) (United States Patent Act), Chinese Patent Law Art. 22(5) (中华人民共和国专利法), and Japanese Patent Act Art. 29(1) (特許法). The booklet consolidates 140 enabling proposals that reduce entropy and maximise negentropy across materials, devices, buildings, urban grids, medicine, logistics, and space systems. Each entry …

Section Iii -- College Of Liberal Arts Policies And Procedures (Updated 9/12/2025), All Faculty

Faculty Handbooks

No abstract provided.

Of Photographs, Souvenirs, And Ticket Stubs: When Do Consumers Desire Mementos During An Experience?, Charlene Chu, Suzanne B. Shu

Business Faculty Articles and Research

Consumers often desire mementos of their experiential consumption, as reflected in common behaviors such as taking photos during a special event, purchasing souvenirs while on vacation, or keeping ticket stubs from a concert, but when do consumers desire mementos during an experience? This research examines the timing of the desire for mementos during an experience, and the conditions and motivations that prompt those memento timing decisions. We propose that the approaching end of an experience increases feelings of sadness and thus the desire for mementos at that time. However, for experiences that are easily repeatable, the approaching end of an …

Impact Of Gut Microbiota On Drug Metabolism And Absorption, Kieran Burke, Yanyan Li

Pharmacy Faculty Scholarship

Purpose of Review: Complex interactions between gut microbiota and various drugs can significantly influence drug phar-macokinetics. We examined recent in vitro, ex vivo, and in vivo studies to understand how microbiota directly influences drug metabolism and absorption in order to inform future research and clinical practice. Recent Findings: Considerable progress has been made for multiple drug classes using in vitro anaerobic culturing assays and ex vivo systems with human fecal communities, as well as animal models that have provided insights into both direct microbial metabolism of drugs and indirect host-microbiota interactions via regulation of host enzymes or transporters. However, how …

"Elements Don’T Mix!": Unearthing Racial Scripts And A Rhetorical Economy Of Whiteness In Disney And Pixar's Elemental, Linsay M. Cramer, Gabriel A. Cruz

Communication, Media, and Culture

Using a narrative rhetorical approach, we map how Disney and Pixar’s 2023 film, Elemental, sustains a rhetorical economy of whiteness, as theorized by Asen and Kelly, which emphasizes the degree to which rhetorical constructions of racial difference are foundational to whiteness and economic systems. We identify and critique how Elemental discursively contributes to a system of exclusivity for those within the bounds of whiteness concerning economic mobility via racial scripts. Created and produced during Joe Biden’s United States (U.S.) presidential term (2021–2025), Elemental offers a metaphorical tale that engages the fractious, politically conservative anxieties concerning diversity, equity, and inclusion (DEI) …

Board Of Directors Quarterly Meeting - Open Session Book 09/12/2025, Uc Law Sf

2025 Board of Directors Agenda and Materials

No abstract provided.

Ud In The News Sept. 6-12, University Of Dayton

News Releases

Local media covered the University's remembrance of 9/11 and blessing of first responders. Faculty experts provided insight to Public News Service, WWL-AM in New Orleans, knewz, WYSO-FM, the Dayton Daily News and Dayton 24/7 Now.