Digital Commons Network^™

Targeted Muscle Reinnervation Of The Superficial Branch Of The Radial Nerve Following Coronary Artery Bypass Grafting: A Good Save And Little Victory, Arthur Lanoux-Nguyen

Graduate Medical Education Research Journal

NA

Surgical Denervation Of The First Carpometacarpal Joint For Osteoarthritis: A Systematic Review, Arthur Lanoux-Nguyen

Graduate Medical Education Research Journal

NA

Simulation As A Tool In Medical Knowledge Retention, Ryan Pavelka

Graduate Medical Education Research Journal

NA

Be Curious, Not Judgmental: Neurodiversity In Legal Education, Katherine Silver Kelly

Arkansas Law Review

This Article takes the position that the curiosity associated with legal education is limited to those who are neurotypical. For students who are neurodivergent, law school is a place of judgment, not curiosity. The number of neurodiverse law students is increasing, yet they are not sufficiently supported in law school. This Article will seek to show how the current structures of legal education, although fundamentally sound, have become overly rigid. Instead of providing students with intellectual foundations of legal doctrine that prepare them for the challenges of practicing law, the existing status quo stifles those goals. By limiting our practices …

The Career Breaking Point: Mid-Career Women’S Perceptions Of Organizational Communication And Their Career Disruptions, Laura Nicole Miller, Karen Mccullough

Applied Business Faculty Publications

When women in leadership experience career disruptions, they and their organizations lose. Companies forfeit experienced, mission-aligned talent, while women face instability and professional setbacks. This qualitative study offers a diagnostic foundation for understanding how organizational communication contributes to these disruptions. Guided by the cultural approach to organizations and using a constructivist grounded theory methodology, the study draws on semi-structured interviews with 14 mid-career women who experienced career interruptions. Findings identify three interrelated communication-related factors: mission-driven overwork, gaslighting, and value incongruence. Rather than prescribing solutions, the study centers on women’s lived experiences to highlight the communication patterns they perceive as harmful. …

Implementation Of Patient Safety Incident Reporting Using Web-Based Quality Management Information System In Hospital X Tangerang, Andrew Jeremia, Mardiati Nadjib

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient safety incident reporting is a critical component of hospital quality systems. This study evaluated the implementation of a Quality Management Information System (QMIS) for incident reporting at Hospital X using the Structure–Process–Outcome (SPO) framework integrated with the HOT-Fit model. A mixed-methods case study was conducted, combining analysis of 774 incident reports submitted between March 2023 and December 2024 with in-depth interviews involving clinical staff, unit heads, and the Quality and Risk (QR) Manager. Findings revealed that while structural elements such as computing infrastructure and leadership support were in place, gaps remained in staff training, procedural awareness, and system usability. …

‘ Less Museum And More Like Disney’ The Infantilisation Of Dark Histories: Objective Violence At Bodmin Jail, Siân Lewis, Iain Channing, Oliver Smith

School of Law, Humanities and Social Sciences

This paper uses the Bodmin Jail Attraction in Cornwall, UK, as a case study to explore how sites of dark tourism have been subsumed into infantilised consumer culture. In these commodified, disney-esque forms, rather than being spaces of reflection and education, they act to perpetuate objective violence. This allows us to fetishise the subjective violence of the past and disavow our participation in or acceptance of present and future harms. Using a conceptual framework that connects dark tourism with historical and sensory criminology, we analyse data gathered from a field analysis of Bodmin Jail, alongside the analysis of 1505 Trip …

Trends In Lumbar Epidural Injection Selection: A Survey Of Practitioner Preferences And Practice Patterns, Ryan Triglia, Andrew Walrond, Jesse Wagner, Paul Kitei, Jeffrey Boyd, Jeremy Simon

Department of Medicine Faculty Papers

BACKGROUND: Lumbar radiculopathy is estimated to affect approximately 3-5 % of the population. Among the leading causes of radiculopathy are degenerative or congenital spinal stenosis and lumbar disc herniations, which can contribute to compression and narrowing in various regions of the spine including the neural foramen, subarticular recess, or central canal. When patients do not respond to typical conservative treatment such as medications and physical therapy, epidural steroid injections can be considered as a next step in management. There are three approaches available for accessing the lumbar epidural space: caudal, interlaminar, and transforaminal. There is no clear consensus regarding the …

Investigating Human Expertise In Manufacturing To Enhance Knowledge Preservation And Transfer Practices, Krzysztof Kamil Jarosz

Theses

In the US, the machining industry is a vital part of the economy, employing over 290,000 skilled machinists and over 89,000 mechanical engineers. Whilst employment figures for engineers in this crucial sector has been fairly steady, a rapid decline in machinist workforce has been observed in the last decade, along with retirement of aging expert machinists and engineers, creating workforce shortages and loss of valuable manufacturing knowledge inherent to those highly skilled and experienced individuals. As engineering design and manufacturing knowledge are closely intertwined, so is the knowledge pertaining to practical aspects of machining and design of components that are …

Women Managing Heart Disease: Involvement Of Spouse And Non-Spouse Care Partners, Elizabeth Richards

School of Nursing Faculty Publications

Purpose: Heart health is integral to promoting women’s overall health and healthcare. Following a cardiac event, engagement in recommended health-related activities (e.g., maintaining a healthy diet) speeds recovery and improves health. We investigate women’s perception of care partners who are involved in helping manage their heart disease. Methods: Data were drawn from two pilot studies (N = 54); interviews with women from hospital-based outpatient cardiac rehabilitation centers (study one), and online surveys completed by women with heart disease (study two). We compared women’s reports of involvement of their care partner (spouse vs non-spouse) in their health-related activities. Results: The proportion …

Hospital Unit Leaders’ Strategies In Maintaining Safe Work Environments, Karen Jeffrey

Walden Dissertations and Doctoral Studies

Unsafe working conditions in hospitals can lead to increased turnover among nurses, which can disrupt patient care and the overall stability of the organization. This is a pressing issue for hospital executives, leaders, and nurses on the front lines, as workplace safety is essential for keeping staff, controlling costs, and ensuring high-quality care. Grounded in the job demands-resource theory, the purpose of this qualitative pragmatic inquiry study was to explore strategies hospital unit leaders use to create a safe work environment. The participants were six hospital unit leaders from different hospitals in the United States. Data were collected through semistructured …

Exploring Strategies For Improving Employee Engagement In Large Technology Companies, Antonio Evocatio Montiero

Walden Dissertations and Doctoral Studies

A lack of effective employee engagement strategies is a pressing concern for large technology companies aiming to stay competitive and profitable. Business leaders are concerned about this issue, as ineffective engagement can jeopardize both the company's financial health and its ability to retain talent. Grounded in Maslow’s hierarchy of needs theory, the purpose of this qualitative pragmatic inquiry was to identify and explore strategies that large technology company leaders use to effectively engage their employees to remain competitive and profitable. The participants were six leaders of large technology companies in the United States who had success with engaging their employees. …

Censorship Is Still A Drag: Lgbtq Materials And Programming Under Siege In Libraries, Jason D. Phillips, Jordan Ruud, Kestrel Ward, Amanda Melilli

Faculty Scholarship and Creative Works

The presentation Censorship Is Still a Drag explores the escalating challenges facing libraries as they strive to uphold intellectual freedom amid rising censorship efforts targeting LGBTQ+ materials and programming. Drawing from the book Censorship Is a Drag: LGBTQ Materials and Programming Under Siege in Libraries, the presenters—Jason D. Phillips, Jordan Ruud, Kestrel Ward, and Amanda Melilli—offer a comprehensive overview of the legal, political, and institutional pressures threatening inclusive library practices. Through case studies and firsthand accounts, the presentation examines the impact of both external censorship and internal resistance within libraries, and introduces the concept of “queer battle fatigue” to …

Relationship Between Dynamic Capabilities Characteristics And Organizational Performance In Specialty Health Care Organizations, Raymond Deloyd Hall

Walden Dissertations and Doctoral Studies

As the environment undergoes rapid changes—like shifting patient needs, new regulations, evolving work dynamics, and increasing competition—the specialty health care organizations in the United States are experiencing noticeable declines in their organizational performance. For health care leaders, grasping how these external factors relate to organizational performance is essential to uphold service quality and ensure effectiveness. Grounded in dynamic capabilities theory, the purpose of this quantitative correlational study was to examine the relationship between sensing, seizing, transforming capabilities, and organizational performance. The participants were 77 executives and managers from specialty health care organizations in the Southwestern United States. The results of …

The Experiences Of Adolescent Caregivers Of A Parent With Amyotrophic Lateral Sclerosis, Barbara Thornton

Walden Dissertations and Doctoral Studies

In many families in the United States, minor children fulfill care duties for sick or disabled family members living within the children’s homes. Although there is extensive research and established support systems for adult family caregivers in the context of long-term illness, children in this caregiving role have been largely overlooked, resulting in a lack of support services to meet their unique needs and challenges. Grounded in Bronfenbrenner's ecological systems theory, the purpose of this qualitative phenomenological study was to examine the experiences of children who serve as caregivers for parents with amyotrophic lateral sclerosis (ALS), a progressive and terminal …

Examining Firefighters’ Perspectives On Critical Incident Stress Debriefing, Olivia O'Hare

Walden Dissertations and Doctoral Studies

Firefighters are routinely exposed to critical incidents, potentially resulting in mental health consequences. Critical incident stress debriefing (CISD) is a common postcritical incident intervention used among fire departments in the United States to address these mental health impacts. Understanding the perspectives of firefighters’ experience with CISD can contribute information to the social work profession, may engage firefighters in the discussion surrounding their mental health needs, and could provide effective postcritical incident coping strategies. The purpose and research questions of this study were focused through a vicarious trauma lens was to understand firefighters’ perspectives and experiences of CISD, explore CISD trauma …

Staff Education On Evidence-Based Interventions To Reduce Fall Rates Among Hospitalized Adult Psychiatric Patients, Blessing Rita Ugbor

Walden Dissertations and Doctoral Studies

A staff education initiative was implemented in an inpatient psychiatric facility in the Southern United States to address the significant practice problem: inadequate knowledge of fall prevention strategies among psychiatric nurses. The identified knowledge gap impairs the nurses’ ability to recognize fall risk factors and apply evidence-based interventions. Psychiatric inpatients are particularly vulnerable to falls, which compromise patient safety, increase health care costs, and contribute to poor outcomes. The project was guided by a practice-focused question addressing whether staff education on evidence-based fall prevention strategies would enhance nurses’ knowledge and reduce fall rates. The purpose of the project was to …

The Book That Wouldn't Burn, By Mark Lawrence. Reviewed By Nancy Martsch, Nancy Martsch

Mythprint Book Reviews

Mythprint is the quarterly bulletin of the Mythopoeic Society, a nonprofit educational organization devoted to the study, discussion, and enjoyment of myth and fantasy literature, especially the works of J.R.R. Tolkien, C.S. Lewis, and Charles Williams. To promote these interests, the Society publishes three magazines, maintains a World Wide Web site, and sponsors the annual Mythopoeic Conference and awards for fiction and scholarship, as well as local discussion groups.

Framing Messages Toward Pro-Environmental Behavior: A Self-Determination Theory Perspective, Anna A. Mendiola, Ma. Regina M. Hechanova

Journal of Management for Global Sustainability

The urgency of environmental issues has led to increased efforts to encourage pro-environmental behavior that is motivationally self-determined. On the other hand, persuasive communication has been established as having the ability to increase pro-environmental behavior significantly. Currently, there is hardly any research that links the use of persuasive communication, motivational constructs of Self-Determination Theory (SDT), and pro-environmental behavior. An experiment was conducted on 420 university students utilizing messages framed in terms of addressing needs of autonomy, competence, and relatedness, the basic constructs of SDT. The results established the differential effect of these messages on motivation and pro-environmental behavior. In contrast …

Feasibility And Acceptability Of A Brief Intervention For Youth Suicidal Thoughts And Behaviors Among Pediatric Primary Care Providers, Caitlin M Pinciotti, Erica Buckland, Taryn L Mayes, John L Cooley, Sean M Mitchell, Lucas Zullo, Jennifer L Hughes, Puja G Patel, Colleen Neal, Melissa Defilippis, Taiwo T Babatope, Carmen Cruz, Madhukar H Trivedi, Eric A Storch, Wayne K Goodman, Laurel L Williams, Joan R Asarnow

Faculty, Staff and Students Publications

Background: Suicide is a leading cause of death among youth, and rates continue to increase across the United States. Pediatric primary care providers (PCPs) are uniquely positioned to identify acute periods of increased suicidal ideation and provide timely intervention.

Objective: The present study assessed the feasibility and acceptability of training and implementation of a primary care-adapted version of Safe Alternatives for Teens and Youth-Acute (SAFETY-A), a brief, strengths-based, cognitive-behaviorally oriented, family intervention for suicidal thoughts and behaviors in youth, among pediatric PCPs.

Method: This multisite pilot study involved collaboration between eight Texas-based academic institutions who assisted with the recruitment and …

Wisdom Responses To Troubled Times: Healing Through Contemplative And Somatic Approaches, David Smith, Thomas Falkenberg, Remy Y.S. Low, David Chang, Åsa Jarskog, Jason Brown, Randy Persad, Anna Rumjahn, Charles Scott, Heesoon Bai

Journal of Contemplative and Holistic Education

Humanity is facing troubled times, as witnessed by increased polarization and division that are exploding into various forms of violence. Collectively, we are facing unprecedented ecological and environmental disasters. On campuses throughout North America, and closer to home, student anxiety, depression and other mental health issues are increasingly prevalent. The academic fields of contemplative inquiry and somatic studies, which highlight holistic approaches to education, are responding to these troubled times by showing how we can accomplish presence of mind, promote healing, and embrace the physical, intellectual, emotional, social, spiritual, and ecological dimensions of wellness.

Examining How Spiritual And Communal Practices Mediate The Influence Of Family Worship On Church Satisfaction, Jimmy Adil, Carthy Joy Aguillon, Ray Opao, Susa Opao, Arceli Rosario

Adventist Human-Subject Researchers Association

The influence of family worship on church satisfaction through mediators such as relational care, small group participation, and application of Bible teachings, was examined in this study. Data from 4,538 participants show that these mediators more than doubled the direct effect of family worship, indicating a synergistic relationship between family worship and the mediating variables.

L3) Do Religious Travels Transform Visitors And Affect Their Psychological Well-Being? A Study On Turkish Pilgrims Visiting Mecca, Nuray A. Turker, Sibel Spezzano Ayyildiz

International Religious Tourism and Pilgrimage Conferences

Transformational tourism is a concept that emphasizes the personal and spiritual growth that travelers can experience through their journeys, particularly in the context of religious or spiritual trips. Religious journeys can significantly influence travelers, affecting their perspectives, beliefs, and overall life trajectory. These experiences foster reflection, encourage deep immersion, and create a sense of connection to the divine, which can lead to meaningful lifestyle changes. The transformative potential of such trips highlights the importance of understanding tourism not just as leisure activity but as a path to personal and communal development. This research aims to explore the transformative impact of …

Medical Education And Humanitarian Emergencies Necessity To Strengthen, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

Humanitarian emergencies such as man-made conflicts tend to influence and impact every aspect of human lives, including medical education. Humanitarian emergencies accounts for far-reaching consequences in the domain of medical education, including disruption of educational infrastructure (viz. medical school and training facilities) that significantly hampers the delivery of medical education. There is an immense need to plan and prepare for these humanitarian emergencies and thereby implement appropriate measures to ensure that delivery of medical education is not disturbed. To conclude, humanitarian emergencies have become quite common in today's era. However, as the impact of these emergencies on medical education is …

Development And Validation Of A Self-Assessment Tool To Determine, Rakesh Roushan, Ritesh Singhal, Manjry Anshumala Barla, Manu Bhai Gaur

Indian Journal of Health Sciences and Biomedical Research KLEU

INTRODUCTION:

Ayurveda, the traditional system of health care that is native to India, has a unique concept of

Prakriti.

It divides the population into seven constitutional types. Every constitution type has some unique features explained by Acharyas.

OBJECTIVE:

The primary objective was to develop a validated

Deha

Prakriti

determination tool that will be easier to administer, less time-consuming, and more sensitive to even small changes.

MATERIALS AND METHODS:

A questionnaire was prepared based on features explained in

Charak Samhita

. The data generated through the cross-sectional study of the questionnaire, from February 22 to March 2022, were used for analysis. …

Comparative Evaluation Of Postoperative Pain After Single Sitting Pulpectomy Using Hand And Rotary Instrumentation In Primary Molars Of Children – A Randomized Control Study, Nivedita Saxena, Shivayogi M. Hugar, Pooja K. Dialani, Neha Kohli, Shweta Kajjari, Niraj S. Gokhale

Indian Journal of Health Sciences and Biomedical Research KLEU

AIM:

The aim of the study is to evaluate and compare postoperative pain after single sitting pulpectomy using hand and rotary instrumentation in the primary molars of children.

MATERIALS AND METHODS:

Sixty children of age 4–8 years were selected using standard sample size formula for the single sitting pulpectomy after fulfilling inclusion and exclusion criteria and all participants were equally divided into two groups. Single sitting pulpectomy procedure was carried out in both groups. In the control group, K files and in the experimental group Pro AF baby gold pediatric rotary files were used, followed by obturation with zinc oxide-eugenol …

Knowledge Regarding Premenstrual Syndrome Among Adolescent School Girls In A View To Develop An Information Booklet, Akshata Pujari, Smeeta Sachin Revankar

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Premenstrual syndrome (PMS) is a combination of physical, psychological, emotional, and mood disturbances that occurs after a women's ovulation. Worldwide, PMS affects 47.8% of the reproductive age group girls. The highest prevalence is found in developed countries.

AIMS AND OBJECTIVES:

The objectives of the study were to assess the level of knowledge regarding PMS among adolescent girls, to determine the association between the level of knowledge with selected demographic variables, and to develop and validate information booklet.

MATERIALS AND METHODS:

Quantitative approach and descriptive research design were used. One hundred and seventy-one adolescent girls were selected using nonprobability convenient …

Preventing Childhood Obesity By Discouraging Digital Marketing Of Food, Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

The global trends reveal that the currently available estimates of obesity have become almost three times when compared with the estimates in the year 1975. Even children have not been spared of this threat and close to 39 million children in the under-5 age group were overweight or obese. Even though a wide range of factors determines the prevalence of childhood overweight or obesity in a region, the findings of a recently released report from the European region have emphasized the digital marketing of foods rich in fats, salt, and sugars to children. There is no doubt that the food …

Mustadi Yapana Basti (Medicated Enema) In The Management Of Oligozoospermia: A Case Series, Ankur Kumar Tanwar, Sujata Rajan, Manoj Kumar Shamkuwar

Indian Journal of Health Sciences and Biomedical Research KLEU

Infertility is a global issue of concern in the modern era, affecting 8%–12% of couples globally. Although the etiology of infertility is varied and difficult to determine, a good proportion of cases can be attributed to male. The most common cause of male infertility is oligozoospermia. Oligozoospermia is a decrease in sperm concentration below 15 million sperm/ml in semen ejaculate.

Shukra Kshaya

is a similar clinical condition mentioned in

Ayurveda

in which the

Shukra Dhatu

is diminished both qualitatively and quantitatively.

Ayurveda

has specified many therapeutic interventions and practices, including the

Panchakarma

procedure,

Basti Karma

, for the strengthening of …

Assessment Of Nutritional And Mental Health Status Of Institutionalized Geriatric People, K. Remitha Joyce, Sheila John, Sarah Jane Monica

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Health and nutritional assessment of the institutionalized geriatric population is essential in providing better health care.

OBJECTIVE:

To assess the institutionalized geriatric population’s nutritional and mental health status.

METHODOLOGY:

One hundred elderly people aged 60 years and above residing at Little Drops – Old Age Home, Mangadu, Kanchipuram District, Tamil Nadu, were selected for the study. General information was obtained using a structured interview schedule. Nutrient intake was assessed using the three day dietary recall method. Standard methods were used to measure anthropometric, biochemical, and clinical parameters. Mental health was assessed using the Depression, anxiety, and Stress Scale (DASS-42) …