Digital Commons Network^™

The Impact Of Social Determinants Of Health On Alcoholism Among African American Communities Aged 65 And Older, Kymberly Williams

Walden Dissertations and Doctoral Studies

Alcohol use disorder among African American older adults (aged ≥65) remains an underrecognized contributor to preventable morbidity and diminished quality of life. Although previous research has identified individual risk factors for alcohol misuse, little is known about how social determinants of health shape alcohol use among this population. The purpose of this descriptive phenomenological study was to explore how family support, experiences of racial discrimination, religious engagement, and economic stability influence late-life alcohol use. Cultural Resilience Theory guided the exploration of how cultural resources and structural stressors influence alcohol use. Five African American adults aged 65 years and older were …

Examining The Moderating Roles Of Religious Coping And Belonging In The Relationship Between Moral Injury, Depression, Anxiety, And Stress Within The Israeli Defense Forces Reservist Soldiers, Rotem Z. Moshe

Electronic Theses and Dissertations 2020 - Present

This study examined the moderating roles of religious coping and belonging in the relationship between moral injury and psychological distress, among Israeli Defense Forces (IDF) reservist soldiers. This study investigated whether religious coping predicted moral injury, depression, anxiety, and stress, and examined whether religious coping and belonging moderated the relationship between moral injury and psychological distress. Exposure to potentially morally injurious events during military service is associated with increased risk for adverse mental health effects, particularly in times of prolonged conflict. Research on protective factors that mitigate these outcomes remains limited. Pointed by religious coping and belongingness frameworks, this study …

Fostering Active Learning In Reproductive Health Classes Among Undergraduates Of A Nigerian Public University: The Role Of Cognitive Restructuring Health Education, Ndubuisi Friday Ugwu, Adewumi Segun Igbinlade, Adijat Bolanle Adams, Uchenna Anselm Anibueze, Gabriel Aderibigbe Oyegbami, Chinyere Chrysantus Onwurah, Sabina Nwakaego Igwilo, Olufemi M. Olubamise, Folasade Adediran, Oladipo Adeyeye Olubodun Phd, Jacob Kehinde Opele, Loveth Nnenna Ugwu, Amos Olorunwa Agbojo

Higher Learning Research Communications

Objective: This study examined the efficacy of the cognitive restructuring health education (CRHE) intervention in improving participatory learning in sexual and reproductive health classes among students at a Nigerian public university.

Methods: The study employed a randomized pretest/posttest control group design involving 130 undergraduates from Federal University Oye-Ekiti, Nigeria. Participants were randomly assigned to either a 2-week intensive health education–based cognitive restructuring program (n = 65) or a waitlist control group (n = 65). Interaction behavior was assessed at pretreatment, at post-treatment, and at a 6-week follow-up using the 14-item Interaction Behavior Checklist (reliability = 0.85). …

Al Kuwait Hospital Dubai, Emirates Health Services 1st Research Week 2025: Research Abstracts Of Clinical And Scientific Advances, Suad Hannawi, Linda Saf Eldin, Alaa Abuquta, Yusra Abdulrahman, Maryam Yaslam, Sabaa Saleh Al-Hemyari, Maimouneh Qazi, Noor Majed Al Mheiri, Ahmed Alamadi, Alia Aljasmi, Sondos Al Salmi, Maria Al-Salmi, Moza Aljamri, Ahmed Ibrahim Abdulrahman, Sharifa Alamadi, Haifa Hannawi

Saudi Medical Journal

No abstract provided.

The Outcome Of Thrombectomy Can Be Improved By Shortening The Door-To-Needle And The Onset-To-Door Time, Sounira Mehri, Josef Finsterer

Saudi Medical Journal

No abstract provided.

Awareness Of The Mediterranean Diet And Its Perceived Effect On Cardiovascular Health In The Western Region, Saudi Arabia, Abdullah M. Alharbi, Mohammed S. Alsaedi, Mutaz S. Alharbi, Faisal F. Almutairi, Adeeb M. Aloufi, Azzam M. Alharbi, Rakan D. Alsaedi, Hatim F. Alhejaili, Motasem M. Alyamani

Saudi Medical Journal

Objective: To increase awareness of mediterranean diet (MD) and its perceived effects on cardiovascular health, enhance knowledge and inform public health efforts aimed at improving the population's health outcomes of. The MD comprises heart-healthy eating patterns high in vegetables, legumes, nuts and seeds, and fruits. Methods: This cross-sectional study involved adult participants who were living in the Western region of the Kingdom of Saudi Arabia. The data were collected online through social media platforms, then cleaned, coded, and analyzed using Statistical Package for the Social Sciences, version 21 to generate key insights. Results: A total of 390 participants were included …

Early Initiation And Dual Patterns Of Cigarette And E-Cigarette Use Among Adults In The Eastern Province, Saudi Arabia: A Cross-Sectional Study, Haidar A. Alridha, Nora A. Alafif

Saudi Medical Journal

Objectives: To explore the early initiation of cigarette and e-cigarette use and the dual patterns of usage among adults in the Eastern Province of Saudi Arabia. Methods: A cross-sectional survey was conducted from December 2024 to February 2025 among adults living in the Eastern Province. An online self-administered questionnaire collected data on sociodemographic characteristics, smoking behaviors, age of initiation, dual-use patterns, and quit attempts. Convenience sampling was applied, and a total of 551 participants were included. Descriptive statistics summarized distributions of smoking behavior and initiation age. Pearson's Chi-square tests were used to examine associations between smoking status, age of initiation, …

Artificial Intelligence In Pharmaceutical Care: Transforming Drug Discovery, Development, And Patient-Care Delivery, Abdulrahman G. Alharbi, Abdulrahman A. Aljabri

Saudi Medical Journal

The integration of artificial intelligence (AI) into pharmaceutical care represents a paradigm shift in healthcare delivery, offering unprecedented opportunities to revolutionize medication management, accelerate drug development, and enhance patient outcomes. This comprehensive review synthesized evidence from global literature (2021–2025) examining AI applications across drug discovery and development, clinical trials optimization, medication therapy management, and pharmacy operations. The AI demonstrated prediction accuracies of 86–98% in drug discovery, 80% improvement in clinical trial recruitment efficiency, and 32.7% increase in medication adherence over standard care. The global AI drug discovery market, valued at \$1.5 billion (2023), is projected to reach \$11.8 billion by …

Healthcare-Associated Infection Causes And Mitigation Strategies: A Systematic Review, Mohammad Irfan, Nahed Alquwez

Saudi Medical Journal

Objective: To describe the landscape of healthcare-associated infections (HAI) and, in particular, to pay attention to the types of infection that are usually seen, the most common infectious agents involved and the effective prevention strategies. Methods: A detailed search was performed using Google and PubMed, and studies that exclusively addressed healthcare associated infections or their mitigation. Studies published since 2000 were included. Data from individual articles were extracted and categorized by study focus, type of infection, causes and contributing factors, and documented mitigation strategies. Editorials, reviews, case studies, meta-analyses, and systematic reviews were excluded. Results: The analysis showed that infections …

Dual-Pathway System For Low-Latency Pii Redaction In Generative Image Modification, Mira Leung

Defensive Publications Series

Some personally identifiable information (PII) redaction methods for generative image applications can have high latency and computational costs, which may limit their use in interactive contexts. A dual-pathway architecture may be used to process image modification requests. A synchronous, low-latency pathway can detect and obfuscate potential PII before a generative model concurrently inpaints the obfuscated areas and applies user modifications. Simultaneously, an asynchronous, offline pathway can generate a more thoroughly redacted version of the source image and store it for future use. This hybrid approach can provide a low-latency response suitable for on-demand image generation, while progressively creating higher-quality redacted …

Agent-Aware Mesh Network For Hybrid Ai Policy Enforcement, Antonio Ojea

Defensive Publications Series

Organizations in regulated sectors may face challenges using large-scale, cloud-based artificial intelligence (AI) services because of data sovereignty and compliance mandates. A system may provide a decentralized, agent-aware mesh network that functions as an infrastructure layer to bridge on-premise environments and external AI services. This network can intercept and semantically understand complex agent communications, allowing an active enforcement layer to perform actions such as sanitizing data, pausing high-risk operations for human review, and maintaining a sovereign audit log. This approach can allow organizations to leverage advanced AI reasoning capabilities from external providers while assisting in the maintenance of local control …

Computed Tomography Findings Of Normal Appendix In Pediatric Population, Thanwarat Koonthong, Teerasak Phewplung*

Chulalongkorn Medical Journal

Background: Appendicitis remains the most common indication for emergency abdominal surgery in children. Computed tomography (CT) plays a vital role in the evaluation of pediatric patients with suspected appendicitis. Yet, there is limited of literature describing the normal appendiceal diameter in the pediatric Asian population.

Objectives: To characterize the normal pediatric appendix and to identify the variables that influence its diameter in pediatric patients aged one day to 18 years who underwent abdominal CT.

Materials and Methods: The study was approved by the IRB. We conducted a retrospective study of 358 children (≤18 years of age) who underwent abdominal CT …

Global Trends In School Disaster Preparedness Research: Bibliometric Analysis Impacts On Public Health And Safety, Muhammad Farid, Muhammad Agita Hutomo, Oktomi Wijaya, Dian Ika Puspitasari

Chulalongkorn Medical Journal

Background: Disasters disrupt daily human activities, arising from natural or artificial triggers, with varying impacts based on community vulnerability and resource capacity. Effective disaster management involves a cycle of mitigation, preparedness, response, and recovery. One of the mitigation measures is to establish school disaster preparedness that integrate education and capacity building.

Objective: The aim of this research is to conduct a bibliometric analysis based on Scopus publications regarding school disaster preparedness.

Methods: A bibliometric analysis was performed on publications indexed in Scopus from 1965 to 2024. Data were processed and visualized using VOSviewer to explore trends in annual outputs, contributing …

Leading Through Difference: Core Values, Neuroscience, And The Habits Of Transformative Leaders, Jaime E. Welborn

The Journal of Values-Based Leadership

Educational leaders are increasingly called to meet the demands of K-12 schools by managing diversity, navigating conflict, and leading change. One's core values, neuroscience, and cultural proficiency of educational practices play a very important role in how they lead organizations and interact with others. This conceptual paper explores the intersection of neuroscience, core values, and associated habits that support effective cross-cultural interactions. Drawing upon frequency count data from documents collected during professional learning activities in school organizations in New York, Missouri, and California from 2018 to 2025, empathy, open-mindedness, and communication emerged as the most frequently reported important core values …

Francis Bacon As Philosopher Of Leadership: The Essays As Manual For Values-Based Leaders, Matthew Sharpe

The Journal of Values-Based Leadership

This essay presents the case for Francis Bacon as what we would today term a leadership theorist avant la letter, focusing on the development of the character of leaders, faced with all the pressures of their role.  We aim to show Bacon's leadership theory at once anticipates without directly embodying contemporary leadership theories (in part 1): not only presenting a robust moral vision for leadership, as serving the public good (part 2), but differentiating characteristic kinds of “followers,” with their strengths, weaknesses, and characteristic vices, and realistically addressing how to best lead them (Part 3); and providing ten "how …

Left On The Cutting Room Floor, Ross K. Goldberg

The Journal of Values-Based Leadership

Nearly two decades ago, a Los Angeles-based client of ours was looking for a way to draw broadcast media attention to their annual 5K walk. In Los Angeles, as every weekend is overcrowded with many such events, it is hard to politely tell a client that “the media doesn’t care” and that another standard walk in LA has all the presence and pizzazz as day-old mashed potatoes. Clearly, some creativity was required to make them care. As it turns out, the client was one of the largest campuses for senior housing in the Western United States so we suggested that …

A Person For All Seasons: The Remarkable Leadership Of Mother Cabrini And Why It Matters Today, Emilio F. Iodice

The Journal of Values-Based Leadership

The history of organizational management is often written in the bold, sweeping strokes of industrial barons or the calculated maneuvers of political statesmen. Yet at the turn of the twentieth century, one of the most sophisticated examples of global institutional scaling was orchestrated by a woman who stood barely five feet tall, held no formal political title, and suffered from debilitating physical frailty. Frances Xavier Cabrini (1850–1917) did not merely practice charity; she engineered a global revolution of care. Over a twenty-eight-year executive career, she founded sixty-seven schools, orphanages, and hospitals across three continents, thereby transforming the social landscape of …

Values-Based Leadership In Public Discourse: How University Leaders Frame Character And Commitment, Heather Carroll, Jeff Fritz, Sarah Williams, Cheryl A. Maurana

The Journal of Values-Based Leadership

Public leadership speech is a consequential site of ethical positioning where institutional values are named, contested, and interpreted under pressure, and where the choice of virtue language shapes where attention is directed. Analyzing published quotations from university leaders during the first 100 days of the second Trump administration, we examine how virtue language functioned as a public act of values-based leadership through a socio-ecological framework for flourishing that treats character as dynamic and relational. We find that leaders constructed ethical stances by anchoring commitment to moral virtues that named goods, intellectual virtues that narrated deliberative process, and occasionally pairing both …

Ethics: The Connective Tissue Of Human Life, Joseph P. Hester

The Journal of Values-Based Leadership

America needs to take a deep breath and reconsider the purposes of democracy, but more, infuse some modicum of commonsense into political decision-making. How many unnecessary wars and homeland killings must we endure and how many lies must we listen to as Trump filibusters his way onto the world’s stage? Seeking lucidity in Trump’s actions may be a stretch and even many of his supporters are asking for explanations, values’ consistency, and Constitutional clarity. I could go on, but this comment sets the tone for this editorial comment.

Summer/Fall 2026

The Journal of Values-Based Leadership

No abstract provided.

Living Longer With Hiv/Aids, H. Barry Waldman Dds, Mph, Phd, Steven P. Perlman Dds, Mscd

Virginia Dental Journal

No abstract provided.

Pathology Puzzler, John A. Svirsky Dds

Virginia Dental Journal

No abstract provided.

Va Dent J January, February And March 2012

Virginia Dental Journal

No abstract provided.

Phthalate Exposure And Lipid Disruption In Taiwanese Children: Insights From Serum Lipidomic Approach, Tzu-Hsin Yen, Wei-Chen Tseng, Sheng-Han Lee, Zhi-Yi Du, Wan-Yu Lin, Mei-Huei Chen, Ching-Chun Lin, Ching-Chun Lin, Hui-Ju Wen, Hao-Jan Liang, Yue-Leon Guo, Pau-Chung Chen, Ching-Yu Lin

Journal of Food and Drug Analysis

Phthalates are ubiquitous environmental contaminants that raise particular concern for children, who generally experience higher exposure levels and are more susceptible to environmental pollutants. To understand potential molecular mechanisms, we conducted a cross-sectional study of 256 Taiwanese children aged 8–10 years from two population-based cohorts: the Taiwan Birth Panel Study and the Taiwan Early-Life Cohort. Serum phosphocholine-containing lipids were profiled by liquid chromatography coupled with triple quadrupole mass spectrometry and associated with urinary levels of 12 phthalate metabolites. Multiple linear regression models, adjusted for demographic and socioeconomic factors, revealed that mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), an oxidative metabolite of di(2-ethylhexyl) phthalate (DEHP), …

The Evolution Of Desi-Msi: A Comprehensive Look At Preprocessing And Quantification Strategies For Metabolomics, Cheng-Hung Yang, Hung-Yao Ho, Chen-Yu Chang, Mei-Ling Cheng

Journal of Food and Drug Analysis

Mass spectrometry imaging (MSI) has become an indispensable tool in metabolomics for visualizing the spatial distribution of biomolecules within tissues. Due to its direct, ambient analysis capability, desorption electrospray ionization (DESI-MSI) has evolved from a rapid screening tool into a precise and reliable quantitative platform. We delve into its technical principles and particularly review the criticality of sample preprocessing, highlighting the paradigm shift from a "no-preprocessing" approach to one of "optimized preprocessing." The paper details how factors like sample preservation, choice of embedding agents, washing, drying, and on-tissue chemical derivatization all impact data quality. We also discuss how the addition …

Metabolomics Of Per- And Polyfluoroalkyl Substances (Pfas) Exposure: Advances In Lc-Ms Technology And Applications, Yu-Meng Wang, Pei-Chen Lin, Yu-Da Zheng, Pin-Shiuan Wu, Kuo-Tai Hua, Sung-Fang Chen

Journal of Food and Drug Analysis

Per- and polyfluoroalkyl substances (PFAS) are a class of synthetic chemicals known for their high stability and bioaccumulation potential, leading to their widespread presence in the environment and human tissues. Exposure to PFAS has been associated with significant health concerns, including neurotoxicity, hepatotoxicity, and metabolic disturbances. Liquid chromatography–mass spectrometry (LC-MS) based metabolomics has emerged as a powerful and central tool for PFAS research, enabling the comprehensive analysis of metabolic changes induced by exposure. This review provides a critical summary of the applications of LC-MS metabolomics in both clinical studies and various experimental models, including in vivo models (mice) and in …

System, Method, And Computer Program Product For Processing Documents Into Hierarchical Data Structures For Retrieval-Augmented Generation, Komal Mahto

Defensive Publications Series

ABSTRACT

Systems, methods, and computer program products are provided for processing documents. The system includes at least one processor configured to segment a document into a plurality of segments, construct a hierarchical data structure comprising a plurality of nodes representing the plurality of segments, each node of the plurality of nodes comprising hierarchical metadata, in response to determining at least one first node of the plurality of nodes exceeds a token limit, split the at least one first node into a first subset of nodes based on a semantic analysis of text represented by the at least one first node, …

Typed Edge Graph Authorization For Dynamic Field Level Access Control In Streaming Data Systems, Katyayani Kiranmayee Kolluru, Shivam Mohan

Defensive Publications Series

A method and system for performing dynamic field-level access control in streaming data systems includes receiving a streaming data event comprising a plurality of fields and an associated data access request from a consumer, and determining attributes and context associated with the consumer including role information, trust relationships, and runtime conditions. The method includes accessing a predefined typed-edge authorization graph comprising nodes representing consumers, fields, attributes, and context, and typed edges defining access evaluation rules wherein each edge type independently defines how access is judged. For each field, the method includes determining whether a valid authorization path exists by traversing …

System And Method For Cooperative Interactive Ride Vehicle Control With Independent Actor Augmentation, Eric Zavesky

Defensive Publications Series

A system and method for cooperative interactive ride vehicle control provide dynamic multi-vehicle coordination within an amusement attraction. The system includes a plurality of ride vehicles, each having a local vehicle controller, rider input mechanisms, and independent physical actors distinct from primary vehicle locomotion. A centralized fleet controller mediates inter-vehicle cooperative interactions using a two-signal architecture, where upstream cooperative intents from an initiating vehicle are evaluated against a dynamic safety envelope before downstream cooperative signals are transmitted to a recipient vehicle for execution. Independent sensors provide vehicle proximity detection and telemetry data to continuously adjust operational tolerance bands. Based on …

Latent Space Exploration Of Stylegan2-Ada For Fashion Image Synthesis: A Practical Implementation Guide For Moderate-Sized Datasets, Ali H. Shareef, Hajer Ghodhbani, Tarek M. Hamdani, Habib Chabchoub, Adel M. Alimi

Iraqi Journal for Computer Science and Mathematics

\hlThis paper presents the use of StyleGAN2-ADA for fashion image synthesis and editing. We demonstrate that generative adversarial networks (GANs) can generate realistic and diverse fashion images even under moderate data constraints. The model trained on a dataset of 9,000 fashion images achieved a Fréchet Inception Distance (FID) of 10.8, a Garment Structure Accuracy (GSA) of 0.85, a Pattern Continuity Score (PCS) of 0.78, and an Attribute Transfer Accuracy (ATA) averaging 75% across key attributes. These quantitative results confirm the model’s ability to produce high-quality, structurally consistent, and semantically coherent fashion images. Unlike previous studies focusing on …