Digital Commons Network^™

The Effects Of Jasmine And Champaca Aromatherapy Combined With Acupressure On Sleep Quality In Older Adults With Non-Communicable Diseases: A Quasi-Experimental Study In Rural Northern Thailand, Sriwan Chutithamniti, Katekaew Seangpraw, Prapaporn Tulwattanakul, Manuchet Manotham, Parichat Ong-Artborirak, Nestor Asiamah, Wannita Sakulwattana, Surangkana Chairinkam, Phatcharee Pimalram, Wichida Larsomsri

Journal of Health Research

Background: Poor sleep is common among older adults and negatively affects physical and mental health. This study evaluated the effects of jasmine and champaca essential oil aromatherapy combined with acupressure on sleep quality and cardiovascular parameters among older adults.

Methods: A quasi-experimental study was conducted in rural Phayao, Thailand. Older adults aged ≥60 years with non-communicable diseases and poor sleep quality (Pittsburgh Sleep Quality Index [PSQI] > 5) were assigned to either an intervention group (n = 54), receiving aromatherapy and acupressure for 6 weeks, or a control group (n = 54), receiving usual care. Sleep quality, blood pressure (BP), and …

Public Responses About Air Quality In The World’S Ten Most Populous Countries, Noah Lim, Alessandro Del Ponte, Lina Ang, Wei Jie Seow

Political Science Faculty Articles and Research

Understanding how people view and react to outdoor air quality is crucial to effectively managing and responding to air pollution, which is a major threat to global public health. Using a quota sample of 10,618 respondents from 1,372 localities across the world’s ten most populous countries (Bangladesh, Brazil, China, Indonesia, India, Mexico, Nigeria, Pakistan, Russia, and the United States), we assessed the association between exposure to fine particulate matter with diameter ≤ 2.5 micrometers (PM2.5) and people’s knowledge, attitudes, perceptions, practices, and concern about air quality. Overall, we find an inverse association between air pollution exposure and knowledge about air …

Development Of Perineal Electric Massager Experience (Pem-X) To Improve Perineal Elasticity, Suryani Manurung, Amalia Mely, Yetty Mariani Tambun

Jurnal Keperawatan Indonesia

Perineal injury remains a common concern in vaginal childbirth, with a prevalence of 30.6%. Low maternal perineal massage practice is a contributing factor to decreased perineal elasticity and an increased risk of perineal trauma. This pilot study aimed to develop the Perineal Electric Massager Experience (PEM-X) to support mothers in self-guided perineal massage. The research employed a level 4 Research and Development (R&D) method with a one-group pretestposttest design. The study sample consisted of two parts: the PEM-X prototype and postpartum mothers who had vaginal deliveries. A purposive sampling technique was used to recruit 10 postpartum mothers who had vaginal …

Supportive And Palliative Care: Addressing The Unspoken Burden Of Cancer On Significant Others, Esmeraldo C. De Las Armas Iv

Jurnal Keperawatan Indonesia

A diagnosis such as cancer can cast a long-lasting gloom that affects not only the patient but also their loved ones. This concept analysis represents an effort to understand and explore the nuanced world of supportive and palliative care for significant others of cancer patients, a population that has often been overlooked. Rodgers’ evolutionary model of concept analysis was utilized to examine the concept of supportive and palliative care for significant others of cancer patients. Positive outcomes for both significant others and patients included improved coping mechanisms, reduced caregiver burden, enhanced communication, and better quality of life. However, several challenges …

2026 July 30 - Tennessee Weekly Drought Summary, Tennessee Climate Office, East Tennessee State University

Tennessee Climate Office Weekly Drought Summaries

No abstract provided.

Psychosocial Factors Assessment: The Influence Of Community Knowledge, Attitudes, And Perceptions On The Willingness To Participate In The Development Of Karst Caves As Geosites In Rongkop District, Gunung Kidul, Indonesia, Herdiana Anggrasari, Ni Kadek Ema Sustia Dewi, Peter Pratistha, Adha Ikhwannur, Nila Indriyana Wulan Agustin, Ichsan Nur Cahyanto

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

This study aims to analyze the relationship between community knowledge, attitudes, and positive–negative perceptions toward the willingness to participate in the development of karst caves in Rongkop, Gunung Kidul, as a geosite. This area possesses unique geological potential but is threatened by limestone quarrying, making conservation initiatives urgent. Primary data were collected through interviews with 60 respondents selected via simple random sampling and analyzed using the Partial Least Squares–Structural Equation Modeling (PLS-SEM) method. The results show that attitude is the strongest predictor of willingness to participate. This attitude is significantly shaped by positive perception (PP) and inhibited by negative perception …

Cramer’S V-Based Driver Screening For Land-Use Change Prediction In A Flood-Prone Coastal Lowland Of Demak Regency, Indonesia (2002-2035), Mellinia Regina Heni Prastiwi, Sigit Heru Murti Budi Santosa, Sudaryatno Sudaryatno, Daud Richard Malusu

Jurnal Pendidikan Geografi: Kajian, Teori, dan Praktek dalam Bidang Pendidikan dan Ilmu Geografi

Land use in the floodplain of Demak Regency has changed rapidly under pressure from urbanization and economic activity, and this change is hypothesized to contribute to increased flood risk, a concern reinforced by the extreme flood disaster of February-March 2024, although establishing a direct causal link between the observed land-use trajectory and the magnitude of that specific flood event would require dedicated hydrological modeling beyond the scope of this study. This study proposes examining the spatio-temporal dynamics of land use from 2002 to 2024 and forecast the conditions in 2035 utilizing a Land Change Model (LCM) framework combining Markov chains …

Effects Of Montessori-Based Stimulation On Fine And Gross Motor Development Among Children With Stunting: A Quasi-Experimental Study, Indah Rahmadaniah, Tukimin Bin Sansuwito, Rini Anggeriani, Rinda Lamdayani, Ade Marlisa Rahmadayanti, Aris Citra Wisuda

Jurnal Keperawatan Indonesia

Stunting affects not only physical growth but also several aspects of child development, including gross and fine motor skills. Early stimulation interventions, such as Montessori-based activities, have been proposed to enhance developmental outcomes through structured sensorimotor experiences. This study aimed to evaluate the effects of Montessori-based stimulation on motor development among children with stunting and to compare its outcomes with those of conventional stimulation. A quasi-experimental study with intervention and control groups was conducted among 120 children with stunting aged 36–59 months. Participants were allocated to either a Montessori group (n = 60) or a conventional stimulation group (n = …

Evaluating Mobile Palliative End-Of-Life Advanced Care Enhancement (Mpeace) Usability And Technology Acceptance: Mixed-Methods Design, Ni Luh Putu Inca Buntari Agustini, I Gede Putu Darma Suyasa, Israfil Israfil

Jurnal Keperawatan Indonesia

Palliative End-of-Life Care (PEoLC) is a process requiring timely assessment, effective communication, and personcentered decision-making to support patients and families. Although the process can be strengthened through digital health innovations such as Mobile Palliative End-of-Life Advanced Care Enhancement (M-PEACE), its use in PEoLC remains limited. Therefore, this study aimed to evaluate M-PEACE usability and technology acceptance through an explanatory sequential mixed-methods design and explore user experiences in describing quantitative results. The quantitative phase was conducted to assess usability through an adapted System Usability Scale (SUS), and technology acceptance was measured using a modified Technology Acceptance Model (TAM) questionnaire. A total …

Knowledge, Attitudes, And Practices By Women In Cartagena Regarding Breast Self-Examination, Rafael Arnedo Martínez, Keidis Ruidiaz Gómez

Jurnal Keperawatan Indonesia

Breast self-examination (BSE), especially when adopted by vulnerable populations, serves as a vital mechanism for the timely detection of breast abnormalities indicative of cancer. As a result, this decreases the public health burden associated with treatment at advanced stages. Therefore, assessing knowledge, attitudes, and practices (KAP) regarding this simple early detection method is a priority. This study examines the relationship between KAP concerning BSE among women in Cartagena, Colombia. A cross-sectional correlational study was conducted with 322 women attending a healthcare facility. Data were gathered using two tools: a sociodemographic profile and a KAP questionnaire. Results showed that most participants …

Anash Inc V. Borough Of Kingston

2026 Decisions

USDC for the Middle District of Pennsylvania

Charismatic Leaders Role And Challenges During Crises, Tamer Hassan Abutahoun Phd

Journal of the North American Management Society

Since the first article about charismatic leadership by Weber was issued in 1946, numerous pieces of research have been published discussing several aspects of charismatic leadership. One of these aspects is the role of the charismatic leader during crisis and whether it is being impacted by crises or emerged during crises. Several articles have been published to investigate the role of charismatic leadership during crises along with how individuals perceived charismatic leadership during crises. Most of these articles utilized case studies to investigate the former mentioned relationship. However, each of these studies investigated the relationship between crises and charismatic leadership …

Navigating Ai Landscape In Management Education Through Wu-Wei (無為), Maria Ll Lam

Journal of the North American Management Society

Artificial intelligence (AI) is challenging how knowledge is produced, validated, and taught in higher education. This creates both new opportunities and acute tensions in management education. While management educators aim to foster critical thinking and character development, many students are increasingly relying on AI tools and focusing on developing AI-related skills for the labor market. The required market skills often exceed what current business curricula provide. As higher education seeks to cultivate transferable habits of critical reflection, a central question arises: How can management educators prepare students to engage in ongoing moral reflection about their experience with evolving AI systems …

Potential Discriminatory Practices Related To Working Remotely, David M. Savino, Danielle C. Foster

Journal of the North American Management Society

There are numerous implications of the recent "return to the office" push, including evolving influences on corporate culture, job redesign, the role of technology, and the significant potential for unequal treatment and discrimination. Recent research and studies indicate that the workers involved in remote work are most likely to be women, workers of color, and the disabled. While remote work is not a protected classification under state or Federal law, these individuals are members of protected classes as determined by fair employment law. Therefore, disputed and evolving policies regarding the use of remote work related to these individuals could easily …

Artificial Intelligence And Technology - Joni Full Issue July 2026, Angie Holzer

Journal of Nonprofit Innovation

No abstract provided.

Ai-Powered Logistics For Small Nonprofits: A No-Code, Sub-$10 System For Real-Time Distribution Across 41 Locations, Rishi D. Chundury

Journal of Nonprofit Innovation

Small nonprofits often struggle to coordinate multi-site distribution campaigns with limited staff, tight budgets, and little access to technology. This article describes how Eye on July Corp., a 501(c)(3) nonprofit in Omaha, Nebraska, built an AI-powered system to manage the distribution of 20,000 free safety glasses across 41 community locations for July 4th. The system was built without any coding using three commercially available tools, where Airtable stores the data, Make.com runs the automation, and Anthropic's Claude API provides the intelligence, all at a total cost of under $10. The platform collects stock counts from partner locations, analyzes inventory to …

A Proposal For A Nurse-Led Continuity Of Care Program, Belinda Siri Mesape

Walden Dissertations and Doctoral Studies

At an outpatient primary care and behavioral health clinic, the practice problem is the high rate of patient no-shows and late appointment cancellations. Missed appointments are a problem, disrupting continuity of care and follow-up and potentially affecting patient outcomes. A comprehensive literature search was performed using PubMed/MEDLINE, CINAHL Complete, the Cochrane Library, PsycINFO, and Google Scholar. The search revealed 26 peer-reviewed studies. Literature consistently supports the use of multifaceted interventions to improve appointment adherence in outpatient settings. The project proposal consists of the development of an evidence-based practice (EBP) program proposal to address the gap in practice in improving appointment …

Mental Health Professional Preparedness To Address Mental Health Stigma And Challenges In Military Populations, Scott Martin Katzka

Walden Dissertations and Doctoral Studies

Veterans and service members often delay or avoid engaging in mental health services because of stigma experienced during military service and after transitioning to civilian life, contributing to worsening mental health outcomes. Although mental health professionals (MHPs) with military cultural competence can reduce stigma and improve engagement in care, little is known about how newly trained MHPs perceive their preparedness to effectively serve this population. The purpose of this hermeneutic, phenomenological study was to answer the question of what the lived experiences of new MHPs regarding their preparedness were to support veterans and service members experiencing mental health stigma. Seven …

African American Mother Counselors' Lived Experiences During The Dual Pandemics Of Covid-19 And Structural Racism, Shanti Jones

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that the dual pandemics of COVID-19 and structural racism in 2020 created compounded personal and professional stressors for African American mothers who are professional counselors, yet little was known about how they appraised these stressors and selected coping strategies. The purpose of this hermeneutic phenomenological study was to describe what it means to be an African American mother and professional counselor making decisions about coping strategies to manage personal and professional stressors during the dual pandemics of COVID-19 and structural racism in 2020. Guided by Heideggerian hermeneutic phenomenology and informed by the Transactional …

Development Of A Proposal For An Occupational Safety And Wellness Program, Lodie Rogers

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) evidence-based practice project was a quality improvement initiative focused on developing and implementing an occupational safety and wellness program (OSWP) in an industrial organization. The practice problem was the absence of a formal, standardized program for injury prevention, near-miss reporting, hazard identification, employee wellness, safety education, and leadership accountability. Evidence from scholarly databases, Occupational Safety and Health Administration (OSHA) reports, organizational safety data, incident reports, near-miss documentation, and compliance measures supported the project. I examined how a 10-week OSWP can reduce employee incidents, improve safety culture, decrease injuries, increase engagement, and sustain wellness practices. …

Effective Techniques In Equine Assisted Therapies From The Facilitators Perspective, Emily Dolezal

Walden Dissertations and Doctoral Studies

Equine assisted therapies have been shown to be an effective treatment approach for individuals experiencing mental health issues. However, there have been rising challenges in standardization and nomenclature throughout the field. Current research supporting the benefits of equine assisted therapies is often from the client perspective. There is a gap in understanding what occurred in session that made it beneficial to their mental health. The purpose of this phenomenological study was to describe the lived experiences of equine assisted therapy facilitators in terms of mechanisms that produce positive changes in their clients. The theories and concepts that ground this study …

Ipep Partnerships That Remove Barriers To Student Enrollment By Providing Free Health Assessments, Jean Ann Davison

International Nursing Research Congress (INRC)

The health and well-being of children are critical factors in their academic success and overall development. In our state, a significant percentage of families face barriers to accessing essential healthcare services, particularly among uninsured families, low-income populations, and migrants. North Carolina law mandates that children receive a health assessment, including hearing and vision screening, along with required immunizations, within twelve months before entering public school, or they may face expulsion. Many children, especially those from underserved communities, struggle to meet this requirement, jeopardizing their education and health. Recognizing these challenges, our School of Nursing Mobile Health Clinic worked with community …

Factors Influencing Pediatric Palliative Care Utilization: A 12-Year Retrospective Study In Taiwan, Tzu-Ying Yang, Wei-Wen Wu, Frank Leigh Lu, Shao-Yi Cheng, Tsung-Hsien Yu, Kristin Berg

International Nursing Research Congress (INRC)

Background and objective: Pediatric palliative care (PPC) improves the quality of life for children with life-limiting conditions and their families by addressing physical, psychological, and spiritual needs. Despite increasing recognition of its benefits, PPC remains underutilized, particularly in Asian contexts where early integration and service accessibility are still limited. This study aimed to examine trends and factors influencing PPC utilization among deceased children in a tertiary children’s hospital in Taiwan from 2012 to 2023, to provide evidence on predictors for more equitable access to PPC.

Methods: A retrospective study was conducted using medical records of children aged 1–18 years who …

“It’S Not Just Cost”: Barriers To Mammography Screening Access Among Low-Income Women In The United States—A Scoping Review, Julia Messerman, Callia Nickels, Nigel C. James

Health Studies Faculty Publications

Despite the recognized importance of early detection, disparities in mammography access persist among low-income women in the United States. While financial barriers are often emphasized, less is known about how multiple barriers interact to shape access to screening. We conducted a scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines to synthesize evidence on barriers to mammography access among low-income women in the United States. A systematic search of PubMed, CINAHL, and Google Scholar identified peer-reviewed studies published between 2010 and 2025, of which 47 met inclusion criteria. Extracted barriers were categorized into …

In-Hospital Exercise For Delirium Prevention In Non-Icu Patients: A Meta-Analysis, Chen-Pi Li, Tsai-Mei Huang, Hsueh-Mi Chien, Ru-Yin Tsai

International Nursing Research Congress (INRC)

Background and Aim: Delirium is a common and high-impact complication among hospitalized older adults. With increasing nursing workload, there is growing interest in simple and feasible interventions that can be integrated into routine care. This review evaluated whether structured in-hospital exercise programs for non-ICU inpatients reduce delirium incidence and improve functional outcomes.

Methods: A systematic review and meta-analysis of randomized controlled trials was conducted involving non-ICU inpatients who received structured exercise or physical activity programs compared with usual care. Searches were performed in PubMed, Embase, MEDLINE, and the Cochrane Library through August 2025. Risk of bias was assessed using the …

Sleep Quality And Depressive Symptoms Among Fathers In Early Parenthood, Marianne Lin-Lewry, Shu-Yu Kuo

International Nursing Research Congress (INRC)

Purpose: Fathers often experience sleep disturbance during the first year of parenting, which is closely linked to adverse physical and psychological well-being. While maternal sleep and mood disturbances have been widely studied, fathers remain an understudied population. This study aimed to investigate the association between sleep quality and depressive symptoms among fathers within one year after childbirth.

Methods: A cross-sectional online survey was conducted among 120 fathers whose partners had given birth within the previous 12 months. The Taiwanese version of Pittsburgh Sleep Quality Index (PSQI) assessed sleep quality, and the Edinburgh Postnatal Depression Scale (EPDS) measured depressive symptoms. Demographic …

A Path Forward: Improving Care For Victims Of Violence Across Romania, Janice Ceccucci, Nancy Harris

International Nursing Research Congress (INRC)

Purpose: In 2016, the Country entered the Istanbul Convention, an international treaty addressing violence against women. This treaty is monitored and assessed by GREVIO (2022). During the initial assessment, a lack of reporting, education, and access to healthcare services was noted, as well as limited services for child violence and forced marriage. The purpose of this project was to aid in the improvement of education on sexual violence and improve healthcare services for victims of sexual violence across the Country.

Method: Medical-Legal centers were visited in both rural and urban areas across the Country (N = 14). Centers were evaluated …

Peter Goines, Jr. V. Adam Ogle

2026 Decisions

USDC for the Middle District of Pennsylvania

Quintez Talley V. Keri Moore

2026 Decisions

USDC for the Western District of Pennsylvania

Impact Of Schizophrenia On Coronary Artery Bypass Grafting Outcomes: A Nationwide Analysis, Chinenye Cynthia Odo, Adeleke Oluwaseun Dorcas, Andrew Greek, Enyioma Nwogwugwu, Chukwuebuka Asogwa, Emmanuel Daniel, Oluwamisimi Abib, Oluwaremilekun Zeth Tolu-Akinnawo, Chinelo Eneh, Toluwalase Awoyemi

Student Publications

Background: Schizophrenia is associated with an elevated cardiovascular disease burden and mortality. However, outcomes for patients with schizophrenia undergoing coronary artery bypass grafting (CABG) remain poorly characterized. We investigated perioperative outcomes, resource utilization, and discharge disposition in this vulnerable population.

Methods: Using the National Inpatient Sample (2017-2020), we identified 773 925 adult CABG admissions, including 2250 patients with schizophrenia and 771 675 without. The primary outcome was in-hospital mortality. Secondary outcomes included length of stay, hospital charges, post-operative complications, and discharge disposition. Multivariable logistic and linear regression models were adjusted for demographics, comorbidities, and hospital characteristics.

Results: Patients with schizophrenia …