Digital Commons Network^™

Analysis Of Care And Outcomes For Stage Iv Melanoma Patients At Lehigh Valley Topper Cancer Institute (2017-2023), Jake M. Panzer, Suresh G. Nair Md, Melissa Kratz Rn, Msn, Aocn

Research Scholars

No abstract provided.

Assessing The Impact Of A Pharmacy Driven Adult Mrsa Nasal Screening Protocol, Priyal Prabhu, Jarrod W. Kile Rphd, Golda Peysakhova Pharmd, Kathryn Zaffiri Mph, Eric Young Md

Research Scholars

No abstract provided.

The Tragedy Of The Cognitive Commons: How Ai Could Disrupt The Regeneration Of Professional Expertise, Nolan C. Lovett

Educational Leadership & Workforce Development Faculty Publications

Artificial intelligence is reshaping cognitive work, but Human Resource Development scholarship has treated this transformation as an organizational training challenge, leaving the collective regeneration of professional expertise unexamined. This conceptual paper introduces the Cognitive Commons framework, integrating commons theory, HRD scholarship, and distributed cognition to explain how rational AI adoption decisions can deplete the shared expertise pool professions require for renewal. The framework distinguishes Internalized Mastery (deep domain knowledge from sustained practice) from Distributed Mastery (orchestrating human-AI systems), and develops the Validation Tether: effective AI oversight depends on the expertise AI adoption may undermine. Early labor market and clinical evidence …

Cervical Cancer Prevention Awareness Among Women Attending Primary Health Care Centres In Baghdad City, Iraq, Rebecca Lawes, Suhailah M. Ali, Aqdas D Salman

School of Nursing and Midwifery

Cervical cancer is the third most frequent malignancy in women worldwide. Although cervical cancer has great potential for prevention through screening with Human Papillomavirus (HPV) DNA testing and cytology-based Pap smears, it accounts for up to 6.9% of all female cancer cases. Women in low- and middle-income countries account for the great majority of fatalities. This study investigates women’s awareness of cervical cancer prevention through early detection or screening. In this cross-sectional study, 400 women attending two primary healthcare centres in Baghdad, Iraq, between February 1st and June 20th, 2025, were randomly recruited to assess their awareness of cervical cancer …

Walking The Talk For Dementia: Building Social Networks And Collaborations, Walter D. Dawson, Jenn Reed, Fernando Aguzzoli-Peres, Kate Irving, Sherril B. Gelmon

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Dementia is one of the greatest global health challenges requiring multimodal efforts to address its impact on people and societies. Walking the Talk for Dementia (WTD) is a unique global initiative designed to challenge the stigma that surrounds dementia, foster intergenerational dialogue, build a community, and inspire a renewed sense of purpose among participants. A social network analysis (SNA) was conducted to provide greater detail and contextualization of the connections made during WTD and insights into the collaborations that arose from this immersive event which may influence dementia policy, care, and services. Methods A robust, comprehensive, and minimally intrusive …

Turning Sweat Into Smiles: How Zumba Enhances Psychological Well-Being And Enjoyment In Female Students, Mathew Sera, Eswar Chandana

Journal of Global South Sport Studies

This study, conducted in the field of Physical Education, examines the effect of Zumba on Psychological Well-being among women of a central university in India while also assessing their enjoyment levels during physical activity. Zumba is a group exercise program that blends aerobic workouts with structured dance movements performed to lively, upbeat music. The study also addresses the lack of research on Zumba’s psychological benefits in the Indian context. A quantitative study using an experimental study design was implemented with a sample size of 33 participants who underwent a four-week Zumba training program. A pretest-posttest model was used, and mental …

Continuing Christopher Tolkien’S Work In A Digital Age, James K. Tauber

Journal of Tolkien Research

Christopher Tolkien’s 12-volume History of Middle-earth is a remarkable achievement, yet Christopher repeatedly acknowledged how difficult the material was to present in print form and that “that there was no really satisfactory solution”.  This paper contends that a printed book is not scholarship but just one way of presenting its results. It explores how digital philology can overcome some of the limitations of print, giving examples from the Digital Tolkien Project. It shows how structural markup, version alignment, parallel reading environments, and other approaches can make relationships between drafts and published texts clearer. Importantly, these methods do not replace Christopher’s …

Local & Experiential: Exploring Embodied Ethnogeomythology Through Ttrpg, Gregory Fields, Teagan Brady, Dakota Dalota, Claira Hickman, Gina Manygoats, Donovan Mcbride, Ryan Pillmore

Mythcon

The panel will focus on an interdisciplinary pedagogical approach anchored to research applications of AAC&U High Impact Practices in integrative learning, learning communities, place-based writing, project-based learning, and gamification studies (Chou). Framed through a synthesis of ethno-geology and mythology, I developed a collaborative assignment that asked my intro to mythology students to develop their own mythologies based on Arizona specific cultures or geological features and oddities. After conducting their own background research, undergraduate students developed locally-based mythologies that answered at least one of the four big questions of existence. Then, they anchored those mythologies within one of the more readily …

Revising A Clinical Assessment Tool: A Community College Dental Hygiene Program Case Study, Kristen Portner-Lauerman Dhsc, Mha, Rdh

Oral Health

This article examines how one community college dental hygiene program implemented revisions to a clinical assessment tool to better support novice learners. A review of the literature explores the characteristics of early learners, psychomotor skill acquisition, the Dreyfus model, and assessment tools. The method used was a descriptive case study designed to address the research question: What processes did a dental hygiene program use to implement revisions to a clinical assessment tool to support students’ development of essential clinical skills? The findings highlight the importance of aligning assessment tools with learners’ developmental stages to enhance clinical education and offer a …

“I’Ll Cry Tomorrow”: The Heroism Of Anti-Alcoholism Advocate Lillian Roth, Elizabeth Gritter

Heroism Science

Lillian Roth (1910–1980) is remembered primarily for her bestselling autobiography I’ll Cry Tomorrow and its successful film adaptation, yet her broader significance as a social hero has received little scholarly attention. This article examines Roth’s transformation from celebrated entertainer and alcoholic to influential public advocate whose confessional storytelling helped reshape public attitudes toward alcoholism during the mid-twentieth century. Drawing on Roth’s autobiographies, contemporary media coverage, and historical sources, the article argues that her willingness to publicly disclose trauma, addiction, and recovery represented an act of social courage that challenged prevailing stigma. By leveraging celebrity to promote compassion, recovery, and public …

Strategic Minerals: Redefining Global Power, Energy Security And Financial Markets, Watson Hunduza

Critical Letters in Economics & Finance

This paper examines the importance of energy markets in the context of the Russia-Ukraine war. The instability of critical minerals is creating significant challenges for the global economic and political system, particularly in Europe. As European nations strive to decouple from Russian energy dependence, abandon polluting hydrocarbon fuels, and move towards sustainable economic models, energy efficiency, storage, supply stability, and security have become significant areas of concern. This situation has been exacerbated by China, which controls the supply chain for essential minerals vital to support the development of alternative energy resources. This is especially true for energy-revolution technologies, which are …

Research And Practice Of Four-Dimensional In-Situ Stress Fields For Deep Coalbed Methane Production: A Case Study Of The Daning-Jixian Block, Ordos Basin, Wang Chengwang, Chen Yiyu, Gao Deli, Zhao Haifeng, Chen Gaojie

Coal Geology & Exploration

Background Deep coalbed methane (CBM) reservoirs are characterized by well-developed microstructures and natural fractures, along with highly heterogeneous rock mechanical properties and in-situ stress field distribution. The CBM production of the reservoirs tends to cause constantly evolving formation pressure and in-situ stress within the control ranges of CBM wells, further enhancing the complexity of stress distribution. Additionally, severe fracturing channeling can be observed between new and old wells. This phenomenon is primarily triggered by in-situ stress variations induced by large-scale fracturing and CBM production. Therefore, accurately assessing the dynamic evolutionary patterns of in-situ stresses in reservoirs after fracturing and during …

Analysis Of Inorganic Element Content And Health Risk Assessment Of Ranunculi Ternati Radix From Different Origins, Li Juan, Geng Xiaotong, Yao Weijie, Zhou Tao, Bi Jingjing

Food and Machinery

[Objective] The variations in inorganic element content and the safety of heavy metals and harmful elements in Ranunculi ternati radix from different origins were investigated. [Methods] The quantitative analysis of 24 elements in the samples was performed by inductively coupled plasma mass spectrometry (ICP-MS). Health risk assessment was conducted using estimated daily intake (EDI), target hazard quotient (THQ), and carcinogenic risk (CR). Principal component analysis (PCA) and partial least squares-discriminant analysis (PLS-DA) were used for origin identification analysis and differential element screening. [Results] All 25 Ranunculi ternati radix samples from different origins contain abundant macronutrients (K, Na, Ca, and Mg) …

Rapid Detection Of Viable Salmonella Based On Specific Phage Infection Combined With Fluorescent Rpa, Liu Daofeng, Zhai Yujie, Tan Yucheng, Shan Shan, Lu Jun, Zhong Ziqing

Food and Machinery

[Objective] To establish a rapid detection method for viable Salmonella based on specific phage infection and recombinase polymerase amplification (RPA) in response to the key challenge that traditional molecular biological detection methods have difficulty in conveniently distinguishing between viable and non-viable foodborne pathogens. [Methods] Taking advantage of the characteristic that O-1 phage only proliferates in viable bacteria, the phage is added to the enriched sample. After further incubation, total DNA is extracted. Fluorescent RPA is used to determine whether the phage has significantly proliferated, so as to judge the presence of viable Salmonella in the original sample. [Results] After optimization, …

Patent Valorization And Business Performance: Evidence From An Italian Public Policy, Paolo Castelnovo, Cinzia Lombardo, Valentina Morretta

Fondazione Eni Enrico Mattei Working Papers

This paper evaluates the effectiveness of a public policy intervention introduced by the Italian government to support the economic valorization of patents held by small and medium-sized enterprises (SMEs). Using original survey data collected in 2025, the analysis compares firms that benefited from the measure during the 2020-2021 calls with a control group of comparable non beneficiary firms. The study examines patenting behavior, strategies for patent valorization, perceived obstacles, and innovation-related outcomes beyond traditional financial indicators. The results show that the measure effectively increases patenting activity and supports technological maturation, particularly for smaller, younger, and more resource-constrained firms, without crowding …

Met Narration And Its Functions In The Novel In Al-Huna (In Arabic) Talib Al- Rifai, Ibrahim Omar Ali Al-Mohayli

Journal of Arabic Sciences and Humanities

Meta-narration is seen as one of the significant techniques introduced by postmodern novels, as it allows readers to observe the behind-the-scenes of the narrative directly. This technique is clearly employed by Talib Al-Rifai in his novel Fi al-Huna, which addresses several social issues through a perceptive narrative vision and refined artistic tackle. This study aims to analyze Fi al-Huna using the meta-narration technique to clarify the discourses and messages that the author intends to deliver to the reader. It also seeks to highlight the creativity and narrative craftsmanship itself, enabling readers to understand the genuine struggles of creators. The study …

Are Uninterpretable Features Unlearnable? Revisiting The Interpretability Hypothesis In Second Language English Acquisition, Salma Musleh Alqahtani

Journal of Arabic Sciences and Humanities

The Interpretability Hypothesis (IH) predicts that uninterpretable features absent in the L1 become inaccessible in adulthood, whereas Full Access theories maintain that Universal Grammar (UG) remains available. Despite extensive research, it remains unclear whether elevated resumption acceptance in L2 learners reflects a representational deficit or processing-based strategies, and no study has examined the role of working memory in this distinction for Saudi learners. This study tested whether Saudi learners of English show L1 transfer in accepting resumptive pronouns (RPs), grammatical in Arabic but ungrammatical in English, and whether this reflects representational deficits or processing limits. A total of 164 Saudi …

Coverage And Access Policies And Maternal Outcomes For Refugee Women: A Cross-Country Analysis, Sana Sahar Ebadi, Burhan Amiri, Roya Haghiri-Vijeh

International Nursing Research Congress (INRC)

Objective: This review will critically compare how national health coverage and access policies shape refugee women’s maternal outcomes across pregnancy, birth, and the first year postpartum in four selected countries (Canada, Germany, Australia, and the United States), and identify policies that negatively impact maternal outcomes of refugee women.

Introduction: Refugee and other migrant women frequently encounter host-country coverage and access rules that constrain antenatal, intrapartum, and postnatal care, and are associated with poorer maternal and perinatal outcomes (Aldridge et al., 2018; Fair et al., 2020; Heslehurst et al., 2018; ; Lebano et al., 2020; Mantini et al., 2017). Because these …

Current Icu Practices And Barriers To Calm Icu Guideline Uptake, Anne Mette Noerby Adams, Hila Dafny, Maria Alejandra Pinero De Plaza, Joanne Mcintyre, Xia Jin, Shailesh Bihari, Kay Bruce, Cherie Waite, Heather Block, Kathrine De Lyster, Frances Fengzhi Lin

International Nursing Research Congress (INRC)

Background: Agitation in the intensive care unit (ICU) can compromise patient safety, prolong recovery, and contribute to staff injuries. While pharmacological interventions are sometimes necessary, they carry risks such as oversedation, delirium, and prolonged mechanical ventilation. The CALM ICU guideline provides recommendations for the non-pharmacological prevention and management of patient agitation. However, guidance on how to implement these strategies in complex ICU environments remains limited.

Aim: To explore current ICU practices and stakeholder perspectives on the barriers and facilitators to implementing non-pharmacological strategies for managing agitation.

Methods: This mixed-methods study used an exploratory sequential design guided by the i-PARIHS framework. …

Developing A Reliable And Valid Sbl Scenario To Ensure Fidelity In Nursing Research, Laura C. Sessions, Marguerite Lucea, Hayley Mark, Susan King

International Nursing Research Congress (INRC)

Background: The Healthcare Simulation Standards of Best Practice framework (1) guides the design of healthcare simulation and related research. These standards advance the science of simulation by enhancing rigor in simulation design to support interventional fidelity. Few studies describe how to achieve this goal (2,3,4). The aim of this study was to develop and validate a rigorous scenario to examine the impact of simulation-based learning (SBL) on nursing students’ self-efficacy in communicating about stigmatized health topics (e.g., intimate partner violence (IPV) and sexually transmitted infections (STIs)).

Methods: Content experts in IPV, STI, and SBL designed the scenario using a standardized …

Impact Of Sbirt And Virtual Simulation On Nursing Students’ Screening Readiness And Behaviors, Manal Alatrash, Muder Alkrisat

International Nursing Research Congress (INRC)

Purpose: This study examined changes in Bachelor of Science in Nursing (BSN) students’ screening readiness and practice behaviors related to substance use following Screening, Brief Intervention, and Referral to Treatment (SBIRT) education and training. It also evaluated the added impact of Kognito virtual simulation to identify areas for curriculum improvement.

Substance use disorder is a major public health issue, and nurses are key to early detection and intervention. Many nursing students reported feeling unprepared to address it (Myers et al., 2021; Quaye et al., 2020). SBIRT education improves knowledge, attitudes, and self-efficacy (Gomez et al., 2023; Zucker et al, 2022), …

Virtual Reality Communication Training In Health Professions Education: A Multi-Country Evaluation, Mohamad M. Saab, Mark O'Donovan, Irem Koç, Jennifer Kenny, Jan Hrdlička, Jiri Wild, Martin Zielina, Lucie Hrdličková, Katerina Rusinová, Martin Loučka, Aleksandrina Skvortsova, Liesbeth M. Van Vliet, Madelief Medema, Arianne D. Pieterse, Claudia Bausewein, Sabine H. Krauss, Johannes Rosenbruch, Stephanie Stiel, Kambiz Afshar, Malte Klemmt, Vasco Silva-Neves, Salomé Pinho, Ana Carolina Monteiro, Cathy Payne, Irene Hartigan

International Nursing Research Congress (INRC)

Purpose: Virtual reality (VR) is transforming nursing and medical education by providing immersive, safe, and realistic environments for developing skills [1-4]. The use of VR for teaching emotionally complex communication, such as delivering bad news, is underexplored [5,6]. This study evaluated the feasibility, usability, acceptability, and satisfaction with VR-based communication training among nursing and medical students and educators in Europe.

Methods: A cross-sectional study was conducted across six universities in five European countries. Two VR scenarios simulating “breaking bad news” were developed using the NURSE [7] and SPIKES [8] communication frameworks. Participants took part in a pre-briefing session, then engaged …

Beyond Surviving: Resilience In Advanced Practice Nursing Students, Gerard Thomas Hogan

International Nursing Research Congress (INRC)

Purpose: Advanced practice graduate nursing students (APGNS)—including nurse anesthesia, nurse practitioner, midwifery, and clinical nurse specialist students—face intense academic and clinical demands affecting mental health and learning outcomes. The shift from 24–28-month master’s to 36-month doctoral programs has amplified stressors, especially for nurse anesthesia students. This integrative review examines resilience development, measurement, and outcomes amid evolving educational demands.

Methods: Guided by Whittemore and Knafl’s integrative review method (2005), a systematic search of PubMed, CINAHL, Embase, and PsycINFO (2010–2025) identified 204 studies; 24 met inclusion criteria. Studies addressed resilience or related constructs among graduate nursing students. Quality appraisal used Joanna Briggs …

Algorithmic Bias In Ai: Preparing Nurses For Critical And Culturally Safe Engagement, Claire Song, Tanvir Gill, Pamela Cawley

International Nursing Research Congress (INRC)

AI is increasingly used in healthcare and education, often framed as a tool for efficiency and objectivity. Yet, these systems are trained on data shaped by Western biomedical norms, reproducing structural and cultural biases. Deep learning does not create new knowledge; it reorganizes existing information. When that data-electronic health records, clinical trials, DSM-based tools- reflects Western perspectives, inequities are amplified under the guise of neutrality.

Consider mental health tools built on DSM frameworks, which pathologize non-Western expressions of distress. Despite the American Psychiatric Association’s 2021 acknowledgment of structural racism, AI-driven assessments still rely on instruments like PHQ-9 and GAD-7. Bias …

Impaired Microvascular Reactivity To Passive Limb Movement After Stroke Is Improved By A Single Session Of Ischemic Conditioning, Alicen A. Whitaker-Hilbig, Jennifer N. Nguyen, Amanda Wietrzny, Akash Desai, Samuel Wietrzny, Macey Dunn, Yelyzaveta Merenzon, Sergey Tarima, Emilie Klevenow, Allison S. Hyngstrom, Matthew J. Durand

Biostatistics Faculty Publications

BACKGROUND: Microvascular dysfunction post stroke remains insufficiently investigated and may contribute to impairments in physical function. Single passive limb movement (sPLM) provides a clinically relevant assessment of microvascular vasodilation. We hypothesized the response to sPLM would be attenuated in the paretic leg compared with age- and sex-matched controls (CON) and would improve following a single session of ischemic conditioning (IC), an intervention known to enhance vasodilation. METHODS: In this randomized crossover trial, superficial femoral artery leg blood flow was measured during sPLM, using a Biodex dynamometer, which passively moved the leg 90° at 1Hz. A thigh cuff was placed around …

I Never Thought I'D Be The Professor!, Kayko Driedger Hesslein

Consensus

Tracing progress and persistent challenges regarding women in church leadership, this reflection examines how structural barriers, societal caregiving expectations, and a lack of mentorship affect female clergy and seminary professors in the ELCIC. Highlighting the transformative impact of feminist Lutheran theology, the analysis calls for intentional structural support, financial resources, and institutional shifts to cultivate female scholars.

The Ministry Of Grace, Jeffrey Dale

Consensus

No abstract provided.

What Is This Prayer Stuff Anyway? An Exploration Of How Prayer Is More Than Words, Stephen Larson

Consensus

No abstract provided.

The Perfectly Imperfect God, Grace Van Hooydonk

Consensus

Moving beyond traditional, masculine, and flawless depictions of the divine, this reflection integrates visual art and theology to present a "perfectly imperfect" God. Exploring symbols of disability, communal response to suffering, brokenness, feminine divinity, and ongoing learning, the analysis affirms a fluid, inclusive divine presence.

Mixed Messages, Moms, Nuns, And Missionaries: Women In Christian Higher Education In Canada, Ellen Duffield

Consensus

Addressing institutional gender disparities in theological education, this study employs Participatory Action Research at a Canadian seminary to foster culture-shaping change. Anchored in a relational Trinitarian theology, the paper presents a model for institutional transformation focused on Kenotic Community, Connected Learning, and Collaborative Leadership to create environments where women and men thrive.