Digital Commons Network^™

The Influence Of Political Fake News On Tiktok And Its Impact On Inter-Ethnic Relations In Malaysia, Ahmad Luqman Mohd Shamsul Amri, Muhammad Aiman Daniel Mustazar, Muhammad Adib Farhan Mohd Hamim, Mohamad Hafifi Jamri

Jurnal Wacana Politik

TikTok as a platform has become an ideal environment for political discussions and even plays a role in spreading false information. Malaysia, a country with diverse ethnicities, has experienced the impact of viral political misinformation on societal harmony. Thus, this study aims to enhance our understanding of how political misinformation on TikTok can exacerbate ethnic differences in Malaysia by highlighting its potential social implications. The study adopts the Uses and Gratifications Theory as a foundation for developing a framework. A quantitative survey method was employed, with data collected via Google Forms from 407 respondents. Data analysis was conducted using SPSS …

Local Political Dynamics In The Implementation Of The Program For Innovation In Regional Development And Empowerment (Pippk) In Bandung City, Hafshah Talia, Sinta Ningrum, Dedi Sukarno

Jurnal Wacana Politik

Local Political Dynamics in the Implementation of the Program for Innovation in Regional Development and Empowerment (PIPPK) in Bandung City examines how local political dynamics influence the implementation of the PIPPK policy. This study focuses on analyzing the interactions among stakeholders, including the Regional Governance Section of Bandung City, subdistrict heads, community leaders, and local political actors, as well as the challenges arising from these dynamics. The research qualitative primary data from in-depth interviews and field observations with secondary data from media documentation and previous studies. The findings indicate that local political dynamics affect decision-making processes, resource allocation, and the …

Mother Arabell Williams Thompson

African American Funeral Programs

Funeral program for Arabell Thompson. Service was held on Sept 11, 2025 in Statesboro Georgia

Mechanistic Rationale For Toxic Aerosol Formation From Vaping And Dabbing With A Focus On Ketene Formation From Semi-Synthetic Cannabinoids, Kaelas Ryan Munger

Dissertations and Theses

Cannabis vaping is a relatively new route of administration that is increasingly common among youth and young adults. Cannabis vaping has been associated with cases of acute lung injury, especially among youth, and most often involves the heating and aerosolization of high-potency products having cannabinoid concentrations of ~ 50 % - 98 % w/w. Proponents argue that vaping is safer than smoking due to the characteristically lower temperatures and fewer plant materials. However, the extreme cannabinoid concentrations, along with non-natural formulations having undisclosed additives, require studies of the health effects of these products. Despite the popularity of cannabis concentrate vaping, …

Temperature And Pressure Shaped The Evolution Of Antifreeze Proteins In Polar And Deep Sea Zoarcoid Fishes, Samuel N. Bogan, Nathan Surendran, Scott Hotaling, Thomas Desvignes, Iliana Bista, Luana S.F. Lins, Mari H. Eilertsen, Nathalie R. Le François, Tait Algayer, Scott L. Hamilton, Paul B. Frandsen, Federico G. Hoffmann, Joanna L. Kelley

Faculty Research, Scholarly, and Creative Activity

Antifreeze proteins (AFPs) have enabled teleost fishes to repeatedly colonize polar seas. Four AFP types have convergently evolved in several fish lineages. AFPs inhibit ice crystal growth and lower tissue freezing point. In lineages with AFPs, species inhabiting colder environments may possess more AFP copies. Elucidating how differences in AFP copy number evolve is challenging due to the genes' tandem array structure and consequently poor resolution of these repetitive regions. Here, we explore the evolution of type III AFPs (AFP III) in the globally distributed suborder Zoarcoidei, leveraging six new long-read genome assemblies. Zoarcoidei has fewer genomic resources relative to …

Modeling Musculoskeletal Combat Casualty Care: Nato Trauma System Performance In Large Scale Combat Operations, Mark P. Cote, Kaitlyn E. Holly, Roman J. Schoenfeld, Matthew R. Bryan, Malina O. Hatton, Mitchel B. Harris, Tracey P. Koehlmoos, Andrew J. Schoenfeld

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: It is unclear whether the current North Atlantic Treaty Organization (NATO) trauma system will be effective in the setting of Large-Scale Combat Operations (LSCO). We sought to model the efficacy of the NATO trauma system in the setting of LSCO. We also intended to model novel scenarios that could better adapt the current system to LSCO.

METHODS: We developed a discrete-event simulation model for patients with combat musculoskeletal injuries treated within the standard NATO system. The primary outcome of the model was survival. The model's health states were characterized as stable, hypovolemia, sepsis, shock, or death. The model simulated …

Human Toxocariasis, Susana Lopez-Alamillo, Pravallika Padyala, Megan Carey, Megan M Duffey, Jill E Weatherhead

Faculty, Staff and Students Publications

Human toxocariasis is a globally prevalent zoonotic parasitic infection caused by larvae of Toxocara species, primarily Toxocara canis and Toxocara cati. Toxocariasis is commonly transmitted to humans through the ingestion of embryonated Toxocara eggs found in contaminated soil, water, or on surfaces contaminated with animal feces. Unlike in dogs and cats, humans are not definitive hosts for Toxocara spp., and, as a result, Toxocara larvae do not complete their life cycle in humans. Instead, following accidental oral ingestion of embryonated eggs, Toxocara larvae undergo an aberrant larval migratory cycle to various organs including the lungs, liver, muscles, and central …

Barriers And Timely Postoperative Radiation Therapy In Head And Neck Cancer, Megan T Nguyen, Emily Kistner-Griffin, Reid Demass, Bhisham S Chera, Chanita Hughes Halbert, Katherine R Sterba, Elizabeth G Hill, Brian Nussenbaum, Anthony J Alberg, Vlad C Sandulache, David J Hernandez, Ryan S Jackson, Sidharth V Puram, Russel Kahmke, Nosayaba Osazuwa-Peters, Gail Jackson, Sue S Yom, Evan M Graboyes

Faculty, Staff and Students Publications

Importance: Initiation of postoperative radiation therapy (PORT) within 6 weeks of surgery is associated with improved outcomes among patients with head and neck squamous cell carcinoma. However, the relationship of barriers to care with timely PORT is unknown.

Objective: To categorize barriers to timely PORT, evaluate the association of barriers to care with initiation of timely PORT, and describe the primary reason for delay among patients without timely PORT.

Design, setting, and participants: This prospective cohort study at a US academic medical center included adults with head and neck squamous cell carcinoma undergoing curative-intent surgery with an indication for PORT. …

Assessing Reliable Change, Mcid, Treatment Response, And Remission Using The Pediatric Anxiety Rating Scale (Pars) In Youth With Anxiety Disorders, Matti Cervin, Philip C Kendall, John C Piacentini, Elizabeth A Gosch, Jeffrey J Wood, Sophie C Schneider, Alison Salloum, Boris Birmaher, Andrew G Guzick, David Mataix-Cols, Eric A Storch

Faculty, Staff and Students Publications

Youth anxiety disorders are common and heterogeneous. The Pediatric Anxiety Rating Scale (PARS) is a clinician-administered tool designed to assess overall anxiety severity, independent of specific symptoms. The thresholds on PARS for the reliable change index (RCI), the minimal clinically important difference (MCID), treatment response, and full and partial remission remain unclear. Using the Clinical Global Impression (CGI) scales and diagnostic interviews as benchmark measures, several thresholds for the 6-item PARS were estimated using data from 904 youth with anxiety disorders, of which 36 % had an autism diagnosis. Data were drawn from 9 clinical trials conducted in the United …

Aisstream-Mcp: A Real-Time Memory-Augmented Question-Answering System For Maritime Operations, Sien Chen, Ruoxian Zhao, Jian Bo Yang, Yinghua Huang

Faculty Research, Scholarly, and Creative Activity

Ports and maritime operations generate massive real-time data streams, particularly from Automatic Identification System (AIS) signals, which are challenging to query effectively using natural language. This study proposes a prototype AISStream-MCP, a memory-augmented real-time maritime question-answering (QA) system that integrates live AIS data streaming with a Model Context Protocol (MCP) toolchain to support port operations decision-making. The system combines a large language model (LLM) with four MCP-enabled modules: persistent dialogue memory, live AIS data query, knowledge graph lookup, and result evaluation. We hypothesize that augmenting an LLM with domain-specific tools significantly improves QA performance compared to systems without memory or …

Advice For Improving The Experience Of Web-Based Patient Portals: Qualitative Interviews With Caregiver-Adolescent Dyads, Rachel E Granberg, Jessica M Goldberg, Alison L Antes, Christine Bereitschaft, Fabienne Bourgeois, James Dubois, Bryan A Sisk

2020-Current year OA Pubs

BACKGROUND: Web-based patient portals can benefit adolescents and their caregivers by increasing access and providing greater understanding of one's health information, enhancing communication with clinicians, and supporting caregiver influence. Despite these benefits, adolescent uptake has been low with high attrition rates. Feedback from adolescents and caregivers is essential to improve the uptake and usability of the web-based patient portal.

OBJECTIVE: The aim of the study is to identify advice for medical informatics administrators and clinicians directed at improving the adolescent and caregiver experience with the web-based patient portal.

METHODS: Caregivers completed a demographic survey followed by separate qualitative, semistructured interviews …

Innovative Glycerin Impregnation Of Female Livestock Genital Organs And Satisfaction Assessment For Veterinary Anatomy Education In Thailand, Paisan Tienthai, Jantima Intarapanya, Pawana Chuesiri

The Thai Journal of Veterinary Medicine

Veterinary anatomy education faces several challenges, including increasing student enrollment, regulatory restrictions on animal use, and limitations of traditional preservation methods. Formalin preservation poses health risks, while plastination is costly and lacks flexibility. The conventional and modified Elnady Techniques present a safer and more cost-effective alternative, offering soft and flexible specimens; however, the adverse features still appear, and some steps require expensive equipment. This study aims to refine these Elnady Techniques, called ‘innovative glycerin impregnation’ for preserving female reproductive organs by reducing costs and simplifying the process using basic equipment. Additionally, veterinary students' satisfaction with glycerin-preserved specimens was compared to …

The Effectiveness Of The Project-Based Learning (Pjbl) Model Based On Tiktok Videos In Improving Elementary School Students’ Understanding Of Cultural Diversity Concepts, Putri Fajriani, Encep Supriatna, Mubarok Somantri, Resti Hidayat

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

In the 21st‐century digital era, education faces challenges in integrating innovative technologies with relevant curricula, particularly in elementary‐level cultural diversity learning that still relies on traditional methods and lacks engaging media. This study analyzes the effectiveness of integrating Project‐Based Learning (PjBL) with TikTok videos to enhance primary students’ understanding of cultural diversity through a comprehensive systematic literature review. Keyword searches in Google Scholar, Scopus, the Indonesian Publication Index, and university journal portals yielded 48 articles, of which 25 met inclusion criteria—15 quasi‐experimental studies, 6 descriptive studies, and 4 meta‐analyses (14 national, 11 international). Findings reveal that optimal PjBL implementation increases …

Accelerations And Emg Differences Between Isocaloric High-Incline Walking And Level-Grade Jogging, Taj Krieger, Motoki Sato, Lex Gidley, Justus Ortega, Eli Lankford

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 995-1009, 2025. High-incline walking is a popular mode of exercise and often serves as an alternative to level-grade running for improving cardiovascular fitness. This study examined the muscle activation and biomechanical differences between high-incline walking (HIW) at a 20% grade and level-grade jogging (LGJ) at matched exercise intensities. Nineteen physically inactive adults (18-31 years) participated. Participants completed two isocaloric exercise trials (HIW and LGJ), each lasting ten minutes. EMG data were obtained from eight muscles: biceps femoris (BF), gluteus maximus (GM), lateral gastrocnemius (LG), tibialis anterior (TA), vastus lateralis (VL), anterior deltoid (AD), erector …

Editorial: A Step-By-Step Statistical Decision Framework For A Gender-Inclusive Approach In Sport And Exercise Science Research, James W. Navalta, Dustin W. Davis, Jafra D. Thomas, Whitley J. Stone

International Journal of Exercise Science

International Journal of Exercise Science 18(1): 1010-1029, 2025. The conflation of sex and gender in sport and exercise science research has led to gaps in representation and understanding of gender-inclusive outcomes. This invited editorial presents a framework to guide researchers in conducting statistical analyses that account for multiple gender identities beyond the traditional binary classification. The invited editorial guides deliberation on whether to test for sex or gender differences in sport or exercise science research. It prompts investigators to answer the question, “Is there a valid, literature-supported rationale for investigating sex or gender differences?” If “yes”, we propose approaches that …

Global Nursing Education Through Simulation Technology: Enhancing Mass Casualty Training, Matt Anderson, Adrianna Lorraine Watson, Jeanette Drake, Sonrdra Heaston, Chynna Hartle, Lauralee Preece

International Nursing Research Congress (INRC)

Background: Nursing education is a global requirement, with many institutions worldwide struggling to find adequate space, time, personnel, and finances to invest in high-quality educational modalities for disaster preparedness and interdisciplinary communication or teamwork. This modality was designed with the global implications of a scalable approach to high-quality education while anticipating financial and logistical challenges.

Purpose: to assess the self-efficacy and experiences of undergraduate student nurses and EMTs participating in a mass casualty incident simulation (MCIS).

Methods: This study was designed as a mixed-methods study in which proportional odds logistic regression was paired with thematic analysis to present a complete …

Mitigating Racism In Nursing Using The Socio-Ecological Model, Kechi Iheduru-Anderson

International Nursing Research Congress (INRC)

Background: In 2021, the CDC identified racism as a major public health threat, highlighting its impact on social and economic determinants of health, such as education, housing, and employment, which in turn affect health outcomes (CDC, 2021; Waite et al., 2020). The nursing profession is not exempt from these effects; a 2021 survey of nurses revealed prevalent racism within nursing, influencing education, practice, and patient care (National Commission to Address Racism in Nursing, 2021). A comprehensive, multi-level approach within nursing is essential to address this issue.

Purpose: This study employs the socio-ecological model (SEM) to analyze racism in nursing and …

Interdisciplinary Simulation With Psychiatric Nurse Practitioner And Midwifery Students, Marissa Decesaris Siegel, Abigail Howe-Heyman, Joseph Schatz

International Nursing Research Congress (INRC)

Background: Mental health is the leading cause of pregnancy-related mortality in the United States.¹ Both psychiatric and midwifery providers often lack confidence in managing mental health disorders in perinatal patients and may also lack experience in interprofessional collaboration, a key domain of the American Association of Colleges of Nursing’s Essentials.² We are not aware of any existing programs that use interprofessional education to address perinatal mental health.

Purpose: The purpose of this project was to assess the feasibility of a post-partum depression simulation with psychiatric/mental health nurse practitioner (PMHNP), women's health/gender-related health nurse practitioner (WHGRNP), and nurse- midwifery …

Trust, Blame, And The Words Nurses Use, Jane K. Dickinson, Susan J. Guzman, Jennalee Wooldridge

International Nursing Research Congress (INRC)

The purpose of this study was to quantify emotional responses, including trust and blame, of people with diabetes, when exposed to problem words.
People with diabetes experience words that are judgmental and based on blame.¹ Language guidance papers have been developed in multiple countries, because negative messages can be harmful to people with diabetes.² A recent integrative review synthesized studies on communication and diabetes outcomes and concluded that negative messages can lead to diabetes distress, decreased health behaviors, and poor health outcomes. On the other hand, positive or supportive messages can lead to positive health behaviors.³
Trust …

Ehric Model For Non-Fatal Strangulation: A Novel Risk Assessment Framework, Chelsea Knutson, Patricia Ann Carter

International Nursing Research Congress (INRC)

Abstract Text: Background: Non-fatal strangulation (NFS) is a critical yet often overlooked form of violence, frequently occurring within sexual assault and domestic violence contexts. Despite its severity and prevalence, significant gaps remain in understanding NFS risk factors, hindering effective prevention and intervention strategies.

Purpose: This study aims to synthesize current literature on NFS risk factors and develop a novel conceptual model to aid in identifying high-risk individuals, informing clinical practice and policy-making in nursing and healthcare.

Methods: A comprehensive literature review was conducted using MEDLINE and CINAHL databases, with the keyword 'non-fatal strangulation', up to August 2024. The search was …

Strategies For Managing Interruptions: Improving Task Efficiency And Patient Safety, Ginger Schroers, Kathryn Vanderzwan, Laura Klenke-Borgmann, Susan Kilroy, Jill Pfieffer, Jenny O'Rourke

International Nursing Research Congress (INRC)

Introduction: Worldwide, interruptions to nurses are prevalent during medication administration^1,2 and handoff.³ Interruptions decrease task efficiency^3,4 and increase risks for errors.^1-3 The use of interruption management strategies (intentional behaviors to handle interruptions) may improve the efficiency and safety of interrupted tasks.⁵

Purpose: To describe the investigation of the Stay SAFE interruption management strategy.

Theoretical Framework: Stay SAFE is based on the memory for goals cognitive science model5 which posits that use of associative cues (retrieval cues) when interrupted can improve task efficiency and decrease errors. Stay SAFE is an acronym for: Stay where you are, …

Unfolding Narratives: An Arts Health Project To Promote Empathy And Compassion In Nursing Education, Diana Catherine Jefferies, Stephen Mcnally, Paul Glew, Annette Stunden, Aileen Pamonag Lane, Lucie Michelle Ramjan

International Nursing Research Congress (INRC)

Empathy and compassion are core attributes when nurses are developing therapeutic relationships with vulnerable people in their care (Levett-Jones et al., 2019). The Unfolding Narratives uses a co-design arts health approach to create authentic, engaging and evidence based short films. The purpose of the films is to encourage pre-registration nursing students to reflect on their communication skills when caring for people who are living with mental ill health, dementia or are distressed by their life circumstances. Using a sliding door approach the films show how health outcomes are improved by empathetic and compassionate communication. They also demonstrate that without these …

Empowering Nurses Through Scope Advancement: Strategies For Professional Growth, Venise Bryan, Kristin Petrovic, Kelly Decoste

International Nursing Research Congress (INRC)

Nurses globally work within various scopes of practice, from entry-level to advanced roles, and play a vital role in meeting the health needs of individuals and communities across diverse healthcare settings. Nurses can further their education, to advance their scope, such as diploma-prepared Licensed/Registered Practical Nurses (LPNs/RPNs) completing their Bachelor of Nursing (BN) to become Registered Nurses (RN). In Canada, select BN programs use innovative pedagogies to specifically bridge curriculum that recognizes LPN/RPN experience (Chachula et al., 2020). LPN/RPN to BN learners bring rich clinical experience and diversity as they engage in career advancement and professional development (Almost, 2021).

A …

The Lmpact Of The Covid-19 Pandemic On Registered Nurses, Mary Ellen Roberts, Joyce M. Knestrick, Lenore Resick

International Nursing Research Congress (INRC)

Background: The Covid –19 pandemic is a new experience with a substantial impact on the health and well-being of nurses caring for the patients diagnosed with the disease. Increased work and family demands have not been studied in these frontline workers. COVID-19 has altered many US nurses’ career plans. Over the past two years, the researchers have spoken with nurses who consistently, and increasingly, report planning to leave the workforce. This study looks at the impact of COVID-19 on the professional and personal lives of nurses.

Purpose: To understand the effects of COVID-19 a global pandemic on nurses caring for …

Nurses’ Lived Experiences During The Covid-19 Pandemic: A Descriptive Phenomenological Study, Kala Mayer, Jo Anne Bennett, Elizabeth Reifsnider, Jeanie Skibiski, Soojung Jo

International Nursing Research Congress (INRC)

The COVID-19 pandemic presented unprecedented challenges for nurses, including confronting end-of-life decisions, witnessing patient suffering, and burnout. Nevertheless, many nurses demonstrated resilience and personal growth despite adversities. Notable gaps in the literature include limited exploration of the long-term impacts of the pandemic on nurses, variations in experiences based on geographic, gender, and cultural factors, as well as the role of leadership and organizational response. Likewise, how nurses adapted to innovations such as new technologies and the impact of their pandemic experiences on patient outcomes and care quality remain underexplored. This study employed a phenomenological descriptive approach to capture nurses’ lived …

Stress And Trauma In Nursing Students Over Time: A Longitudinal Study, Heidi Gilroy, Kala Mayer, Chelsea Ratcliff, Devon M. Berry, Sally Stephanie Rothacker-Peyton, Alice Ahn, Kennedy Anderson

International Nursing Research Congress (INRC)

Nursing students are exposed to trauma, toxic stress, and traumatic experiences during their education, contributing to mental health challenges such as anxiety, burnout, and symptoms of post-traumatic stress disorder (PTSD) (Gilroy et al., 2024). These experiences have significant implications for students' learning, academic performance, retention in nursing programs, and ultimately patient care. However, how these stressors and mental health symptoms evolve over the course of nursing education remains largely unexplored. This study aimed to describe changes in trauma exposure, risk and protective factors, trauma symptoms, and mental health among undergraduate Bachelor of Science in Nursing (BSN) students as they progressed …

Improve Exclusive Breastfeeding Rates Through Early Initiation, Camille Chua

International Nursing Research Congress (INRC)

Exclusive breastfeeding can be challenging to maintain. At the project site there was an inconsistent process for breastfeeding support, so an evidence-based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if or to what degree the implementation of the World Health Organization (WHO) Guideline’s Baby-Friendly Hospital Initiative (BFHI) Step Four would impact exclusive breastfeeding rates (EBFRs) when compared to current practice among adult postpartum patients in an acute care hospital in Southern California over four weeks. Nola Pender’s middle-range nursing theory utilizing the health promotion model (HPM), and Kurt Lewin’s change theory provided …

Shared Decision-Making To Increase The Pre-Establishment Rate In First-Time Dialysis Patients, Shu Ju Chang, Yen Ping Tsai

International Nursing Research Congress (INRC)

Background: The number of people living with kidney disease (acute kidney injury, chronic kidney disease, and treated kidney failure) worldwide is reported to exceed 850 million (Bello et al., 2024). The number of people undergoing maintenance dialysis globally has increased dramatically. Chronic kidney disease (CKD) is not only a public health issue but also creates an economic burden (Lee et al., 2023). For patients with ESRD, a planned approach to establishing dialysis access is a critical priority.

Purpose: The pre-establishment of permanent vascular access and peritoneal catheters for dialysis is essential to reduce the need for repeated temporary tube placements, …

Intergenerational Programs: Reducing Loneliness Of Older Adults In Congregate Care Settings, Rachel Elaine Bagley, Yolanda Rodriguez, Jacelyn Tappert

International Nursing Research Congress (INRC)

Loneliness is an increasingly recognized public health issue, especially among the elderly, where it contributes to the decline in both physical and mental health (WHO Commission on Social Connection, 2024). In the geriatric population, loneliness is associated with increased risks of depression, anxiety, cognitive impairment, cardiovascular disease, falls, and overall mortality (Holt-Lunstad, et al. 2015; Millett et al., 2024; National Institute on Ageing, 2019). Loneliness in congregate care settings is often exacerbated by residents' loss of physical mobility, death of spouses, removal of the individual from their neighborhood and community, and reduced autonomy. The COVID-19 pandemic intensified these issues, reducing …

Development Of A Nurse-Led Interprofessional Community Health Nursing Education Program, Kim Alexander Decker, Wendy R. Miller

International Nursing Research Congress (INRC)

This presentation will describe an interprofessional community health nursing education project in a 5-county region. The preliminary phase of the project was to create a nurse-led interprofessional advisory group to direct a comprehensive health needs assessment with county health departments, area clinics and school officials, to determine community-based priorities. This phase was followed by an investigation of evidence-based interventions to address the acknowledged community health needs of substance use prevention and mental health promotion. Program costs and funding were identified and obtained through alumni donor gifts and internal university grants. A trained facilitator was selected to educate community health nursing, …