Digital Commons Network^™

Telemedicine And Physical Visits: A Dynamic Duo In Obesity Management Among Adolescents, Egypt, Enas Sayed Abbas, Safaa Al Hussein Tawfik, Gehan Fouad Ahmad, Lamiaa Ibrahim Haroon, Taghreed K. M. Elhady, Amira Said Nassar

Journal of Medicine in Scientific Research

Childhood obesity, a serious global issue, leads to various health problems like diabetes, high blood pressure, high cholesterol, and psychological issues. In Egypt, inconsistent data shows a significant prevalence of obesity among adolescents, influenced by factors like gender, age, and lifestyle. The study aims to explore the effectiveness of telemedicine, in conjunction with physical visits, for managing obesity among adolescents in Egypt. Telemedicine, a cost-effective and engaging alternative to in-person visits, can help patients lose weight and provide a safe, remote alternative, expanding treatment access to hard-to-reach populations. The study is a controlled clinical trial on overweight or obese adolescents …

Conservative Approach Compared To Cesarean Hysterectomy In Mangement Of Placenta Accreta Spectrum At Tanta University Hospitals, Muhammad Abdelrahim Abdelgwaad, Ayman Shehata Dawod, Hesham Mohammad Elsaid Borg, Heba Rady Elbassiouny

Journal of Medicine in Scientific Research

Placenta accreta spectrum (PAS) poses a significant issue for obstetricians, primarily attributed to the rising incidence of pregnant women presented by this condition. This research aimed to evaluate management options of placenta accreta spectrum (PAS) at Tanta University Hospitals and to assess safety and efficacy of Shehata's procedure compared to cesarean hysterectomy. Patients & Methods: This observational study was carried out prospectively involving 70 pregnant women presented with PAS to the Emergency Room and Outpatient Clinic of the Obstetrics Department at Tanta University Hospitals, spanning from July 2023 to July 2024. Comprehensive demographic and surgical data were collected and documented. …

Factors Affecting Non-Compliance With Treatment Among Diabetic Students At Sohag University, Rasha Gamal-El-Din Abu-El-Goud, Samah Wagdy Elkhayat, Ahmed Fathy Hamed, Seham Ahmed Abokresha

Journal of Medicine in Scientific Research

Background and objectives: Diabetes mellitus (DM) is a metabolic disease characterized by insufficient insulin synthesis, action, or both. Its prevalence is estimated to be alarmingly increasing. The aim of the study was studying factors influencing the non-compliance of diabetic students at Sohag University with treatment. Methods: Cross-sectional study at Sohag University for 7 months. Total number of diabetic students involved in the study was 153 students chosen from medical reports of administration of medical affairs in the university from May to November 2022; the participants who were studying in a scientific faculty were 51 (33.3%), and in Literary faculty were …

Why Leadership Needs History, Paul W. Sanders, Martin Gutmann

Interdisciplinary Journal of Leadership Studies

What contribution can a leadership focus make to arbitrating the catch-22s and wicked problems of the ongoing polycrisis? Not much, if you were to turn for advice to mainstream leadership studies (LS), a field of enquiry that continues to see itself, above all, as a tool for optimizing corporate performance and effectiveness. One way in which LS can escape its current tunnel vision and lack of relevancy is to return to its own roots and rehabilitate the historical approach. Historical LS can add value in several areas: it has the ability to deliver insightful case studies that provide useful analogies, …

Evaluating The Potential Of Using Eeg To Monitor Cognitive Workload In Simulated Suborbital Flight, Erik Seedhouse

Journal of Aviation/Aerospace Education & Research

Mental workload can be assessed using electrophysiological measures of brain activity, such as electroencephalography (EEG). EEG signals reveal cortical electrical activity. This cortical activity was recorded using specialized headsets. The focus of this research was to study cognitive performance (CP) in four pilots during simulated suborbital flights under nominal day and night profiles and under contingency day and night profiles. A 14-channel EMOTIV EEG headset measured the participants' brain activity while they flew simulated flights in a Suborbital Spaceflight Simulator (SSFS). Several sessions of EEG data were recorded from each subject, and feature extraction was applied. Data revealed that real-time …

Career Choice Motivation For Professional Pilots, Brett Watts, Tamilla Curtis, Scott Ambrose

Journal of Aviation/Aerospace Education & Research

This study identified key motivational factors of current flight training students to better understand how individuals are motivated to pursue a career in aviation. The theoretical framework used in this study was based upon self-determination theory, as originally introduced by Deci and Ryan (2000).The research approach for this study was a semi-structured interview process where students were asked eight foundational career motivation source questions and their responses were organized into career choice motivation categories. Results showed most participants became motivated to pursue a piloting career at a very young age. This early motivation was largely due to influence from third …

Training Methods Research Opportunities For A Pilot Workforce In Transition: A Literature Review, James Birdsong, Kurt L. Reesman

Journal of Aviation/Aerospace Education & Research

Over the next 15 years, 50% of the U.S. commercial air carrier workforce will retire, making way for younger pilots from Generations Y and Z. This review identifies the emerging pilot workforce and training methods, including emerging technologies and learning methods, as well as research gaps.

Addressing The Target Outcomes, Functional Objectives And Functional Skills Of Aspiring Aviators In Individualized Education Plans And Section 504 Plans, Gary C. Booker

Journal of Aviation/Aerospace Education & Research

The Federal Aviation Administration (FAA) has very specific requirements for individuals with Attention Deficit Hyperactivity Disorder (ADHD) that center around the executive function abilities of individuals without the aid of ADHD medications, which are forbidden for use by the FAA. These abilities are evaluated by the FAA's medical examination process, which involve a background investigation into a person's history. K-12 Administrators and educators can assist young aspiring pilots with ADHD by placing aviation-specific functional educational goals in their Individualized Educational Plans (IEPs) and Section 504 Plans.

Interpersonal Skills In A Sociotechnical System: A Training Gap In Flight Decks, Kimberly Perkins, Sourojit Ghosh, Crystal Hall

Journal of Aviation/Aerospace Education & Research

This research analyzed the perceptions of interpersonal skills on established aviation safety models, Crew Resource Management (CRM), and Threat and Error Management (TEM) using feedback from industry pilots. The flight deck is a sociotechnical system where much research has focused on the technical aspect, whereas we spotlight its socio aspect. The aviation industry must invest in training pilots on interpersonal skills to enhance safety through increased efficacy of safety models integrated throughout existing training programs. A 34-question survey was disseminated across both commercial and business aviation pilots (N=822). We explored three research questions regarding pilots’ perceived training on interpersonal skills …

The Challenges Of Pilot Language Training For Effective Aeronautical Communications In Multicultural Contexts, Aline Pacheco, Tales Figueiredo Silva

Journal of Aviation/Aerospace Education & Research

This paper discusses the main elements that account for effective aeronautical communication in multicultural contexts and identifies the approaches that can offer support to these elements. Most exchanges are performed by people from different linguacultural backgrounds and, although Aviation English is the language to be used in operations, communication dynamics are supposed to require skills that go beyond language proficiency. Data were collected from a questionnaire answered by experienced pilots flying in international airspace and results were analyzed both from a quantitative and a qualitative perspective. The main findings show some of the challenges faced by pilots who are non-native …

Chatgpt In The Classroom: A Practical Guide For Educators, Sang-A Lee, Jacob Welch, Ryan J. Wallace, David Cross, Jon M. Loffi

Journal of Aviation/Aerospace Education & Research

This paper explores the potential applications of ChatGPT, a powerful Artificial Intelligence (AI) large language model (LLM) developed by OpenAI, for aviation education applications. The authors provide an overview of ChatGPT and its unique features, such as accessibility, conversational abilities, and personalized learning capabilities. The scalability of ChatGPT allows individualized and personalized instruction, a revolutionary aspect that can potentially enhance the student learning experience. This applied research employed an exploratory design to investigate ChatGPT's potential applications to enhance learning at varied levels of learning. The study investigated four research questions: (1) How can ChatGPT be used by students to support …

Computational Cognitive Modeling Of Pilot Performance In Pre-Flight And Take-Off Procedures, Rongbing Xu, Shi Cao, Suzanne K. Kearns, Ewa Niechwiej-Szwedo, Elizabeth Irving

Journal of Aviation/Aerospace Education & Research

While the current practice of pilot training relies on flight instructors’ subjective assessment, computational cognitive modeling may be used to support future objective assessment and diagnosis of pilot performance. We built two models in a cognitive architecture to simulate pilot flight performance during pre-flight and take-off tasks. Modeling results were compared with human results collected from the same tasks using X-Plane 11 flight simulator. The models were able to capture human pilot performance and workload results from both tasks with good levels of fitness (percentage errors ranging from 0.8% to 13.2%). This work demonstrated the capability and advantage of this …

Artificial Intelligence In Aviation: A Path Analysis, Leila Halawi, Mark D. Miller, Sam J. Holley

Journal of Aviation/Aerospace Education & Research

The study applied the Technology Acceptance Model (TAM) to assess trust in artificial intelligence (AI) within the US commercial aviation industry. It found that ease of use and usefulness positively influenced attitudes toward AI, impacting users’ intention to use it. However, perceived usefulness did not significantly affect meaning, purpose, and mood positively correlated with trust in AI. In some cases, higher perceived usefulness led to lower trust, indicating the complexity of trust in AI in aviation. This study highlights the importance of trust in AI and suggests the need for further investigation in the aviation context. It also recommends expanding …

Drug Dealing And The Internal Morality Of Medicine, Matt Lamkin

Articles, Chapters in Books and Other Contributions to Scholarly Works

Which practices qualify as “medical” in nature? This question has important legal implications. Every state has laws prohibiting the “unauthorized practice of medicine.” Health insurance policies generally limit coverage to procedures that are “medically necessary.” And physicians can be prosecuted as drug traffickers if they prescribe controlled substances without a “legitimate medical purpose.” Each of these questions—and many others—hinge on how medicine is defined.

As with many common terms, we all have a general understanding of what medicine is and this heuristic suffices to carry us through our daily lives without complication. Yet when called on to produce a precise …

User Experience, Motivation And Self-Efficacy Comparisons Between Virtual Reality And Conventional Pc-Based Flight Simulation Training, Tianxin Zhang, Christina Frederick, Andrew Dattel, Elizabeth Blickensderfer, Barbara Chaparro

Journal of Aviation/Aerospace Education & Research

The current project investigated the effect of utilizing Virtual Reality (VR) technologies for flight training by comparing user experience, motivation, and self-efficacy when using conventional desktop flight simulation versus VR flight simulation. This research employed a quasi-transfer of training experiment with 48 participants. Findings showed that VR flight simulation could provide a better user experience and generate a higher level of training motivation than traditional training technologies, while maintaining trainees’ perceptions of self-efficacy. This work contributed positive evidence that VR flight simulation has great potential to be an effective means of flight training and provided a foundation for future research …

The Unintended Consequences Of Torture's Ineffectiveness, Russell Christopher

Articles, Chapters in Books and Other Contributions to Scholarly Works

Whether torture to extract true information—for example, military secrets or the location of a terrorist-planted bomb—is morally permissible and empirically effective is widely disputed. But many agree that such torture’s effectiveness is a necessary condition for its permissibility; if ineffective, then it is impermissible. Thus, the empirical issue has become crucial in deciding the moral issue. This Article addresses the empirical issue with a novel, non-empirical argument. Torture’s ineffectiveness not only ensures torture’s impermissibility but also exposes torture victims to criminal liability for any offenses they are tortured into committing. With torture as the most extreme and horrific form of …

An Unprecedented Verdict: Expanding Parental Liability For Children’S Violent Crimes, Jolie Bodner Zangari

Scholarly Works

No abstract provided.

Requesting To Rely Nci & External Irbs, Carissa Minder

Human Research Protection Program (HRPP) Education

No abstract provided.

Mental Health In Prison: The Unintended But Catastrophic Effects Of Deinstitutionalization, Felicia Mulholland

Touro Law Review

Prisons and jails are not adequately equipped to manage the ever-growing population of mentally ill inmates. Despite deinstitutionalization efforts, prisons have steadily become the new psychiatric hospitals and unfortunately, because of the lack of treatment and the ability to properly supervise this population of inmates, these individuals are dying by their own hands at an alarming rate. This Note argues that the lack of proper care for mentally ill inmates is a violation of their constitutional right, despite their incarcerated status. The Department of Corrections and Community Supervision (DOCCS) should incorporate more concrete and universal rules and regulations for the …

Mutiny For A Bounty, Emily Strauss, Joseph A. Grundfest

Faculty Scholarship

Experience teaches that attorneys may violate duties of confidentiality and trust to pursue personal gain. Multiple insider trading, embezzlement, and fraud prosecutions prove the point. The Dodd-Frank Act of 2010 establishes a bounty regime whereby certain whistleblowers are eligible for awards of 10%–30% of Securities and Exchange Commission (“SEC”) enforcement recoveries exceeding $1 million. Since its inception, this program has paid at least 207 whistleblowers more than $1 billion. The Commission’s bounty program thus may be a meaningful inducement to breach privilege.

The SEC asserts that its whistleblower authority preempts state law and that it can accept attorney–client privileged information. …

A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse

Walden Dissertations and Doctoral Studies

Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …

Front Matter

Michigan Law Review

Front Matter for Volume 123, Issue 2 of Michigan Law Review

The Early Prevention Of Diabetic Foot Ulcers, Aruodo Ukpai

Doctor of Nursing Practice Projects

Frequent and proper foot exams and foot care are fundamental in decreasing the incidence and morbidity of diabetic foot ulcers, yet many patients are still not screened at appointments or educated on the importance of foot exams. This research planned to address the lack of foot care education and foot assessments amongst patients with Type 2 diabetes. Past research done on this focused on providing education to diabetic patients either at home or in a setting where patients can come and receive the education. To our knowledge, no research has been done on the use of video teaching to provide …

Improving Parental Communication With Adolescents About Sex, Amanda Blanton

Doctor of Nursing Practice Projects

In 2018, 68 million people in the United States were infected with a sexually transmitted infection. Of those 68 million, 26 million cases were newly diagnosed, and of that 26 million, half were youth aged 15-24 (Centers for Disease Control and Prevention [CDC], 2022a). The approaches to educating our youth about sexual health are inconsistent, leading to misconceptions about the dangers associated with risky sexual behavior. However, parents have the upper hand in discussing sexual health information with their children by being the child’s first contact and source of information. Teens who report talking with their parents about sex are …

Determining The Need For 23-Hour Observation Following Transforaminal Lumbar Interbody Fusions: A Patient Perspective On Recovery At Home, Lacey Irias

Doctor of Nursing Practice Projects

Minimally invasive surgery (MIS) for transforaminal lumbar interbody fusion (TLIF) is becoming more frequently performed in ambulatory surgery centers (ASCs). Subsequently, patients are scheduled for an option to undergo a 23-hour observation which requires staff preparation. The preparation increases costs and creates a shortage during a standard daytime shift which can reflect negatively on patient care. Most patients elect to be discharged the same day, on account of experiencing minimal pain and seeking the comfort of their own home. The goal of this DNP project was to assess the necessity of scheduling a patient 23 hours for observation following a …

Increasing Organ Donation In A University Setting, Zachary Hatton

Doctor of Nursing Practice Projects

The literature shows a strong correlation between education on organ donation and increased organ donation registration. Society has depicted a description of organ donation that is hostile and untrue. Increasing organ donation registration with knowledge sets the foundation of a grassroots movement to increase understanding and change society’s viewpoint(s) on organ donation. An education session on organ donation was developed and presented to the targeted population of 18–24-year-old students at a university in the foothills of the Appalachian Mountains. The focal point of the presentation was to dispel myths, educate on facts, and create a better understanding of organ donation …

Introducing Mental Health Resources To Nurse Practitioner Residents, Tiffanie Bailey

Doctor of Nursing Practice Projects

This DNP Project identified the increased need for mental health resources after the COVID-19 pandemic. Studies showed the rate of anxiety, depression, and substance use has also been on the rise since the beginning of the pandemic. As the impact of the COVID-19 pandemic began to devastate the country mentally and physically, it became quickly apparent that additional resources to provide support for those suffering from mental illness were essential. This project aimed to introduce a Mental Health First Aid course within the Residency Program at the Center for Family Guidance. Participants were asked to complete a pre-test indicating their …

Bridging The Gap: Strategies To Enrich The Clinical Experience Of Undergraduate Nursing Students To Improve Clinical Judgment Skills, Gabrielle Hope

Doctor of Nursing Practice Projects

Introduction: The lack of competent clinical judgement among new graduate nurses contributes to poor patient outcomes, negatively impacting patient satisfaction scores, and subsequently raising the cost of healthcare for consumers. This project explores how reflective journaling and cooperative learning activities contribute to the development of critical thinking of nursing students during their Nursing Fundamentals clinical practicum.

Methods: Seventeen students enrolled in a private university nursing program were selected as the sample. The students were introduced to the recommended learning strategies and invited to anonymously participate in a pre-survey and post-survey. The surveys were identical in content and consisted …

A Review Of The Effects Of Different Types Of Stigmas On The Retention Rates Of Patients In Medication-Assisted Treatment And How To Combat The Problem, Pamela Cox

Doctor of Nursing Practice Projects

It is difficult to turn on the news without hearing about the opioid epidemic or a recent opioid overdose. There is hope because there is a treatment to help prevent this epidemic. That treatment is known as medication-assisted therapy (MAT), where patients can present and, if they meet the criteria, can be given a prescription for buprenorphine/naloxone combination medication. Treatment with buprenorphine/naloxone has been shown to be highly effective treatment for substance use disorder (SUD). Even though it has been proven that this combination works, less than 20% of patients diagnosed with SUD present for treatment. This study focused on …

Spaces Of Citizenship: Negotiating Belonging Through Cold War Literature And Culture, Daria Goncharova

Theses and Dissertations--English

At the height of Cold War containment culture, when fears of Communism and nuclear warfare overlapped with anxieties about homosexuality, gender inversion, miscegenation, and juvenile delinquency, formal citizenship—narrowly defined as one’s legal status—did not provide all American citizens with a sense of belonging, equal access to civil liberties, and a reasonable degree of safety. Instead, spatialized identity, rather than civic responsibilities and legal rights, came to define the boundaries of proper citizenship. In this context, highly exclusionary suburbs, which sprang up outside major metropolitan areas in the late 1940s-1950s, emerged as a cornerstone of the cultural narratives defining American citizenship. …