Digital Commons Network^™

Non-Alcoholic Fatty Liver Disease, Diet And Contributing Factors: A Narrative Literature Review, Rachel Joseph, Ashley Tharpe, Sherri Ann Walker

Wisdom & Compassion: The LUSON Journal

Objectives: The purpose of this narrative literature review is to explore the relationship between Non-alcoholic fatty liver disease (NAFLD) and dietary habits, and identify factors that contribute to the development, progression, and potential management of NAFLD.

Methods: Search terms such as non-alcoholic fatty liver disease (NAFLD), diet, and nutrition, including plant-based and vegetarian diets, were used to identify 45 peer-reviewed publications published within the last five years.

Results: Dietary factors, biological, environmental, obesity, mental health, and genetic factors can contribute to the development of NAFLD. This multisystem problem can have economic, social, and psychological consequences that affect a person’s quality …

Resilience In Nursing Education: A Literature Review Examining The Experiences Of Ukrainian Nursing Students In The United States, Katherine Ferrell, Rachel Joseph

Wisdom & Compassion: The LUSON Journal

The purpose of this literature review is to examine the experiences of international students who originate from war-torn areas, who live in the United States (US). Drawing from peer-reviewed sources, the review examines the academic, psychological, and social challenges these students face, including trauma, cultural adjustment, and gaps in institutional support. It highlights the resilience and coping strategies employed by students, as well as the role of universities in fostering inclusive environments. The review also identifies critical gaps in current research, particularly regarding long-term mental health outcomes and culturally responsive support services. This paper aims to synthesize existing literature on …

Navigating Life And Death: A Moral Critique Of Euthanasia Practices Worldwide, Brooke Fuzie, Rachel Joseph

Wisdom & Compassion: The LUSON Journal

Euthanasia and physician-assisted death remain deeply debated ethical issues shaped by history, law, and cultural values. This narrative review explores how diverse ethical frameworks, shifting global legislation, and cultural perspectives inform current discourse, with special attention to the role of nurses guided by the American Nurses Association (ANA) Code of Ethics. Drawing on peer-reviewed studies, legal documents, and recent case analyses published between 2013 and 2025, the review identifies three key insights. Ethical frameworks influence whether society accepts or opposes euthanasia; robust legal safeguards are needed to protect autonomy and prevent misuse; and palliative care and advance care planning, including …

Perceived Knowledge, Attitude, Practice, And Barriers Of Jordanian Nursing Faculty To Integrate Genomic Concepts In The Curriculum: A Cross-Sectional Descriptive Study, Rachel Joseph

Wisdom & Compassion: The LUSON Journal

Background: Rapid advances in genomics knowledge and the expansion of precision medicine have amplified expectations for nurses to integrate genomic concepts into education and clinical practice. Evidence regarding genomic knowledge, attitudes, practices, and barriers among nursing faculty in the Middle East is limited. To equip practicing and emerging nurses, faculty must be equipped. Faculty preparedness is critical to successful curriculum integration and to preparing future nurses for genomic-informed care.

Purpose: This study examined the perceived knowledge, attitudes, practices, and barriers related to integrating genomic concepts in the nursing curriculum among nursing faculty in Jordan.

Methods: A cross-sectional descriptive design was …

Volume 3, Issue 2 - Complete Issue

Wisdom & Compassion: The LUSON Journal

No abstract provided.

Does A Youth-Led Faith Revival Suggest Promise For Reversing Decades-Long Trends Of Religious Decline, James Black

Liberty University Research Week

Literature focusing on religious trends among demographic groups in both America and nationally have been generally understood to be showing a decline in the share of the population consistently practicing and holding religious beliefs, including Christianity. However, in more recent years, particularly from 2020 onwards, new research has been introduced, hinting at the possibility that these trends indicating religious decline among selected populations may be reversing due to increased church attendance and religious participation among younger demographics such as Milennials and Gen Z. While these trends are in their infancy, new literature suggests they are accompanied by broader cultural shifts …

The Role Of Mentorship In Reducing Burnout In New Nurses And Nursing Students, Omari Andry

GS4 Student Scholars Symposium

Burnout among new nurses and nursing students is a consistent issue affecting the healthcare system by adding to early career turnover, emotional exhaustion, and decreased quality of patient care. Structured mentorship programs have emerged as a promising intervention to alleviate burnout by giving emotional support, professional development, and coping strategies. This proposal explores the role of mentorship in reducing burnout symptoms, improving job satisfaction, and promoting emotional resilience among new nurses and nursing students alike. Based on existing scholarly articles, the project will investigate how structured versus informal mentorship affects burnout rates, the qualities of effective mentors, and the outcomes …

Briefly Noted: Raven And Crow: The Mythology, Art And Science Of Our Favorite Black Birds By Ellen W. Williams By Ellen W. Williams, Janet Croft

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

Review of Raven and Crow: The Mythology, Art and Science of Our Favorite Black Birds by Ellen W. Williams, McFarland, 2025.

Urban Fantasy: Exploring Modernity Through Magic, By Stefan Ekman, Phillip Fitzsimmons

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

No abstract provided.

In Memoriam: James Como, Anne-Frédérique Mochel-Caballero

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

Noted Lewis scholar James Como passed away in November 2025; this essay reviews his career and his warm personal interactions with the author.

Prometheus The Trickster: Prophecy, Power, And Deception, Chris Griglack

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

This article interprets Aeschylus’s Prometheus Bound through the lens of trickster mythology, arguing that Prometheus functions as an atypical trickster deity whose primary tool is not deception of appearance but foreknowledge of fate. Rather than opposing Zeus through force, Prometheus manipulates divine power by controlling access to prophecy, transforming knowledge itself into a means of resistance. His gift of fire to humanity and his refusal to disclose the prophecy of Zeus’s downfall are shown to be parts of a single strategy: the calculated use of foreknowledge to constrain a tyrannical ruler. In this reading, prophecy operates less as an immutable …

Signed, Unknown Friend: Hints Of William Lindsay Gresham’S Associates In A Curious Letter, G. Connor Salter

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

One of the more surprising items in William Lindsay Gresham's archives, a handwritten copy of the poem "Courage, Mon Ami!" with a cryptic note from a friend congratulating Gresham for a unspecified event, led to surprising discoveries about Gresham's circle of acquaintances, including famous writer friends who also knew his understudied brother.

Tolkien’S Thomist Triad: A High Medieval Response To Contemporary Jus Ad Bellum, Jeffrey S. Dixon

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

This paper reviews the development of the component of just war theory dealing with whether it is just to wage a war in the first place (jus ad bellum) from the early medieval to early modern eras and compares its principles to J.R.R. Tolkien’s novels about Middle-Earth. Tolkien’s views on the concept of jus ad bellum can be dated to a specific point in the medieval era, just before a number of modern, consequentialist criteria were added to Catholic thought on just war. I conclude that Tolkien’s fictional works permit broader justifications for war than do most modern just war …

From Viðkenning To Valarindi: The Enigma Of Goldberry And The River-Woman, Derek Simon

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

THIS IS A TWO-PART ARTICLE. IN ORDER TO READ OR DOWNLOAD THE OTHER PART, FOLLOW THE LINK AT THE END OF THIS ABSTRACT.

Building upon the previous examination of the eddic and skaldic contours of Goldberry’s River kenning names, this reading of Goldberry’s enigma focuses on the mythological referents of her kinship relations and their narrative consistency in the legendarium.  Tending to the intrinsic connection between “[t]he incarnate mind, the tongue, and the tale” (Tolkien, On Fairy Stories, 41), I contend that the poetics of kenning diction sustain if not demand a reading of the River-woman references mythologically through …

The Significance Of Ioreth, Wise Woman Of Gondor, In J.R.R. Tolkien's The Lord Of The Rings, Jane Beal Phd

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

Using key ideas from the field of Narrative Medicine, this essay considers the significance of Ioreth in her role as a wise-woman (midwife) and healer of Gondor. J.R.R. Tolkien developed the character of Ioreth from the static fairy-tale type of the “Wise Old Woman” to a dynamic minor character in her own right in The Lord of the Rings. He gave her a defining characteristic of talkativeness, and he purposefully attributed to her prophetic utterances of proverb, rhyme, and instruction that positively influenced those around her, including her healthcare colleagues Gandalf, Aragorn, and the herb-master, her unnamed kinswoman from the …

Galadriel: A Source Of Lore For The Silmarillion, Zachary Rhone

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

Tolkien provided evidence to suggest that Galadriel, with her extensive experience and knowledge, is a significant source of lore for the Silmarillion. Galadriel represents several characteristics that Tolkien valued in his historians and lore masters; accordingly, the story of the Silmarillion provides information and narrative perspectives unique to Galadriel. Furthermore, throughout Tolkien's writing of the Silmarillion and especially near the end of his life, he continued to develop and further incorporate Galadriel into his legendarium even when concepts for other historians and loremasters faded.

The Romantic Imagination Of Gustavo Adolfo Bécquer And J.R.R. Tolkien, Mariana Rios Maldonado, Andoni Cossio

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

Studies on the presence of Romantic elements in J.R.R. Tolkien’s literary production have steadily risen to prominence, especially since the publication of Julian Eilmann’s landmark monograph J.R.R. Tolkien: Romanticist and Poet (2017) and, more recently, the edited collection The Romantic Spirit in the Works of J.R.R Tolkien (2024). Our paper seeks to contribute to this scholarly upsurge by presenting a comparative analysis of Tolkien’s works and those penned by one of the most noteworthy authors of Spanish Romanticism, Gustavo Adolfo Bécquer (1836–1870). Akin to the Kunstmärchenof German Romanticism and Tolkien’s Fairy-stories, Bécquer’s Leyendas—e. g. “El monte de las …

The Soldier’S Stigmata, Part Ii: Figura, The Four Senses Of Interpretation, And Other Matters In Lois Mcmaster Bujold’S “The Borders Of Infinity”, Andrew Hallam

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

THIS IS A TWO-PART ARTICLE. IN ORDER TO READ OR DOWNLOAD THE OTHER PART, FOLLOW THE LINK AT THE END OF THIS ABSTRACT.

This article will explore the connection between Lois McMaster Bujold’s novella “The Borders of Infinity,” the Aristotelian theory of habitus as developed further in the letters of the Apostle Paul and by the sociologist Pierre Bourdieu, and the four senses of interpretation of scripture first conceived in antiquity and later refined by medieval philosophers. Habitus as a durable disposition, state, or condition (Aristotle) is a structured and structuring social practice or set of social practices (Bourdieu) that …

Unmasking Ashwagandha Controversy: Safety, Toxicity, And Adulteration, Tahir Maqbool Mir

Oxford ICSB

Ashwagandha (Withania somnifera) is an adaptogenic shrub valued for its roots, which support systemic health. Increasing use has raised safety concerns about adulteration and hepatotoxicity. The roots of ashwagandha are primarily preferred for systemic health, while the leaves were traditionally reserved for topical applications to treat joint inflammation and promote wound healing.  Although generally considered safe, ashwagandha supplements have been linked to drug-induced liver injury, including cholestasis, jaundice, and pruritus. Reports from various organizations like LARB in the Netherlands indicate a rise in liver toxicity cases, possibly due to cytotoxic withafrin A and DNA-damaging withanone. A major concern is widespread …

Advancements In Botanical Toxicology, Characterization, And Regulatory Frameworks, Paula Brown

Oxford ICSB

No abstract provided.

Determinants Of Opioid-Relevant Exposure From 7-Hydroxymitragynine Products In The Evolving U.S. Marketplace, Igor Koturbash, Scott Alsbrook, George Pro

Oxford ICSB

Kratom’s U.S. market has rapidly evolved from largely botanical powders and capsules to products enriched in 7-hydroxymitragynine (7-OH), a potent mu-opioid receptor agonist that is typically present only at trace levels in leaf material. To quantify downstream behavioral health burden and contextualize it with real-world signals of product diffusion, we analyzed National Survey on Drug Use and Health (NSDUH) data (2021-2023) alongside public health alert trends and systematic online product surveillance. In NSDUH, 5.8% of adults met criteria for serious mental illness (SMI). SMI increased by 150% among adults with combined opioid use disorder (OUD) and kratom use between 2021 …

Naturally Derived Kratom Extracts: Toxicological Evaluation In Humans And Rodents, Sibyl Swift

Oxford ICSB

Peer-reviewed literature provides limited toxicological data on the consumption of naturally derived kratom extracts. Given the increasing use of kratom products, understanding their safety profile is critical for public health and regulatory decision-making. To address this gap, we conducted a rodent toxicology assessment and a controlled human clinical study. Human Clinical Study: Healthy male and female participants consumed specified kratom extracts daily for 14 consecutive days under controlled conditions. Clinical observations and biochemical markers were monitored throughout the study. Rodent Toxicology Study: Equivalent extract doses were administered to rodents for 90 days to evaluate subchronic exposure. Assessments included body weight, …

Unmet Needs And Resilience In Internally Displaced Populations (Idps) In Nigeria: Evidence To Inform Humanitarian Interventions, Great Onyedika Okereke, Tahirou Diallo

Liberty University Research Week

Background: Internally displaced persons (IDPs) face food insecurity, unmet healthcare needs, unsafe living conditions, and trauma, all of which may impact psychological resilience. Hopefulness can serve as a practical proxy for resilience, but few studies examine how cumulative unmet needs affect hopefulness among IDPs. This study explores the association between unmet need severity and hopefulness among IDPs in Nigeria to guide targeted humanitarian interventions.

Methods: Cross-sectional survey data from 98 displaced adults were analyzed. Hopefulness was a binary outcome (hopeful vs not hopeful). The main exposure was a cumulative unmet need score covering food insecurity, unmet healthcare, unsafe living conditions, …

“Welcome To The Next Level:” How Optical Media Revolutionized The Video Game Industry, Schuyler Ogden

Liberty University Research Week

The world of entertainment took the world by storm in the twentieth century, like a hurricane ravaging the gulf coast. The twentieth century brought many forms of entertainment that defined American culture. From sports like football and baseball, to radio shows, to television. Each one of these contributed their fair share of economic progress, but one that proved to have a great impact was the video game industry. Video games have changed drastically in its history, but not as big as the introduction of optical media in the early to mid 1990s, specifically CD-ROMs. CD-ROM stands for Compact Disc Read …

Beyond Nonspecific Low Back Pain - Identifying Mild Scoliosis In A Collegiate Diver: A Type 3 Case Study, Zoey Nelson, Ashley Sennett, John Coots

Liberty University Research Week

No abstract provided.

Co2 Washout Performance Of Single-Prong And Dual-Prong High-Velocity Therapy, Robert Kacinski

Liberty University Research Week

Computational models were used to investigate the flow in the upper airway during high-velocity therapy delivered via a single-prong or a dual-prong cannula geometry. A temporally varying boundary condition was used to apply a realistic breathing cycle to the base of the trachea. The patient mouth was “closed” to specific percentages by modifying the cross sectional area of a plane in the patient mouth. The total amount of CO2 inhaled, which should be minimized, was collected as a measure of therapy effectiveness. The mass CO2 inhaled was calculated by subtracting the mass of CO2 present in the airway at the …

Where You Live Determines How You Heal: Transportation Barriers And Healthcare Access Across Lynchburg Census Tracts, Shaira Neupane, Alexandra Mixan, Claire Rau

Liberty University Research Week

Background: As a local priority in Centra Health’s Community Health Needs Assessment, transportation in Lynchburg revealed limitations disproportionately affecting low-income, uninsured, and low-vehicle-availability households, contributing to widening health disparities. To understand how these vulnerabilities compound spatially, we examined how income, insurance status, and vehicle availability intersect at the census-tract level to identify where transportation-related barriers to healthcare access are most concentrated.

Methods: We measured socioeconomic indicators, health outcomes, and transportation barriers of 23 census tracts in Lynchburg, Virginia, using ACS 2019-2023 (2024) and CDC PLACES 2019-2023 (2025) data. Composite tract-level vulnerability scores were generated using SAS and classified into high, …

Beyond Labeling: Examining Mpox As A Sexually Transmitted Infection- ¿A Literature Review¿, Rachel Williams, Ashlan Killeen, Eunice Onwuka

Liberty University Research Week

Introduction

Since 2022, Mpox outbreak trends have marked a shift in the epidemiology of the disease which has long been treated as a zoonotic infection. This is due to emerging patterns of cases of Mpox linked with sexual transmission, particularly in non-endemic regions reporting over 100,000 cases across 122 countries. This pattern has raised growing concerns regarding sexual transmission of Mpox necessitating further investigation.

Aim/Objective

This literature review examines current epidemiological, clinical/virological evidence to evaluate Mpox as an STI beyond labelling. and provides foundational context for a forthcoming systematic review examining priority populations affected during the 2022–2025 global outbreak.

Proposed …

Biostatistical Approaches For Early Identification Of Influenza Trends In The United States Using Cdc Surveillance Data, Marcos Oliva Rodriguez

Liberty University Research Week

The aim of this research is to utilize a biostatistical methodology for the purposes of identifying influenza trends during an early stage in the U.S. utilizing national surveillance data collected by the Centers for Disease Control and Prevention's Influenza-Like Illness Surveillance Network (ILINet) for the years 2010-2024. Descriptive statistics were used to analyze weekly influenza-like illness (ILI) activity, along with other methodologies including: moving averages to smooth out fluctuations in ILI activity; autoregression models to evaluate temporal dependence in ILI activity; and threshold detection methods to determine when ILI activity reached epidemic levels. The results show that there are strong …

Extended Post-Discharge Venous Thromboembolism Prophylaxis After Colorectal Resection: A Marketscan Analysis Of 2017–2021 Surgical Outcomes, Bright Agbotui, Chelsea Mazonde, Grace Sibert, Great Onyedika Okereke, Ifeoluwanimi Shobayo, Maame Yaa Okrah, Michael Ago Tetteh, Miebaka Favour Roberts, Nfn Dangpa Wandji Nana, Prince Osei Sarpong, Rebecca Martha Nantale, Raymond Suonyir

Liberty University Research Week

Background: Venous thromboembolism (VTE) remains a major cause of preventable postoperative morbidity following colorectal surgery, with a substantial proportion of events occurring after discharge. Although professional guidelines recommend considering extended post-discharge prophylaxis (EPPx) for high-risk patients particularly those with malignancy, substantial comorbidity, or prolonged hospitalization national adoption remains inconsistent. Emerging real-world studies suggest that EPPx utilization is low; however, these investigations have largely focused on cancer-only cohorts or earlier time periods and may not reflect contemporary surgical practice, including increasing use of minimally invasive approaches and wider availability of direct oral anticoagulants (DOACs). As a result, there is limited understanding …