Digital Commons Network^™

Effects Of Tongue Resistance And Strengthening Exercises In Elderly With Mci: A Double-Blind Rct, Kuei-Ru Chou

International Nursing Research Congress (INRC)

Purpose: Frail older adults with mild cognitive impairment (MCI) often experience reduced tongue function, resulting in inefficient bolus transport and swallowing difficulties. Tongue resistance exercises (TRE) use isometric or isotonic movements against resistance to enhance tongue strength, while tongue strengthening exercises (TSE) involve repetitive, high-intensity movements to improve tongue pressure and swallowing coordination. This study aimed to evaluate the effects of a combined TRE + TSE program on tongue function, swallowing pressure, swallowing performance, and quality of life (QoL) in frail older adults with MCI.

Methods: A prospective, double-blind, three-arm randomized controlled trial was conducted. Participants (n = 89; mean …

Barriers And Facilitators To Family Engagement In Critical Care, Brigitte S. Cypress

International Nursing Research Congress (INRC)

Background: Family engagement in care for critically ill patients remains an inconsistent practice and an understudied area of nursing science. Rounds for this study are an interdisciplinary activity conducted at the bedside in partnership with patients, their families, and the healthcare professionals involved in providing the care.

Aim of the Study: We sought to explore and describe the facilitators and barriers to family engagement during patient and family-centered interdisciplinary rounds in the intensive care unit.

Methods: This qualitative exploratory study is part of a multisite experimental study (#Pro2020001614; NCT05449990). We analyzed the narrative data from the qualitative questions added to …

Desegregation Of The Ranks: How The United States Military Was The First Professional Organization To Integrate All Ethnic Groups, Matthew Lee Spiller

Masters Theses

A nation’s military has often been at the forefront of social progression. The Spartans, a military society, granted women a voice in government and a degree of autonomy over their own lives, while the Athenians—the founders of democracy—considered women second-class citizens with no control over their own affairs. The United States military is no different, striving to ensure fair and equal treatment of all ethnicities within the armed forces. In 1948, President Harry S. Truman issued Executive Order 9981, which desegregated the United States military—six years before the desegregation of public schools in Brown v. Board of Education (1954). This …

John Doe V. Princeton University Trustees

2026 Decisions

USDC for the District of New Jersey

Evaluation Of Antioxidant And Nephroprotective Effects Of Desert Medicinal Plants From Southern Iraq, Zahraa Kadhim Majeed, Muna Hasson Saoudi

Muthanna Medical Journal

Background: The research examined four desert plants, which included Artemisia monosperma, wild thyme, Achillea falcata, and Ephedra, which were collected from the Al-Salman desert area in Al-Muthanna Province, Iraq. The study assessed the methanolic and aqueous extracts to determine their extraction capacity while studying their chemical characteristics and their effects on kidney failure and inflammation biomarkers. Methods: The preparation of methanolic and aqueous extracts to study their extraction efficiency and chemical properties, as well as their impact on kidney failure and inflammation biomarkers. Results: The research showed that different solvents produced different extraction yields because aqueous …

Psoriasis And Its Interplay With Liver Diseases: Evidence, Mechanisms, And Clinical Implications, Rajaa Jaber Abdel Rasul, Noor Abdulhussain Naama, Sabaa Abd Jaber, Noor Faraj Kadhem

Muthanna Medical Journal

Psoriasis is a chronic inflammatory disease of immune-related origin. It is no longer classified solely as a localized skin disorder but is now recognized as a systemic disease associated with numerous complications and co-morbidities. Recent studies have demonstrated a strong link between psoriasis and several liver diseases, particularly non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), and cirrhosis. This association is attributed to shared pathogenic mechanisms among these diseases, including metabolic disturbances, oxidative stress, and chronic inflammation, as well as the pivotal role of inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α ), interleukin-6 (IL-6), and interleukin-17 (IL-17). Recent studies …

The Role Of Online Disinhibition On Social Media Users' Privacy Concerns And Behaviors, Lisa Thompson, Sinyong Choi

Faculty Articles

As social media platforms become central to digital interactions, concerns about both privacy and the disclosure of personal information have evolved. Online disinhibition—the psychological detachment users experience in digital spaces that distance their online behaviors from offline consequences—may shape perceptions of privacy risks, particularly on social media platforms like TikTok. This study examines the relationships between online disinhibition and users’ privacy concerns and protective behaviors while accounting for individuals’ sense of gratification, media awareness, identity, and experience. By exploring dimensions such as anonymity and invisibility, we investigate how these factors are linked to self-disclosure and diminished privacy caution. Findings from …

Wellness Literature Review – 2025, Martin Huecker, Brian A. Ferguson

Journal of Wellness

Introduction: Clinician well-being remains a persistent challenge, with ongoing burnout and psychological distress despite efforts by systems and individuals. This Journal of Wellness annual review covers studies published in 2025.

Methods: The Editors searched PubMed and Google Scholar for prospective and interventional studies / clinical trials in humans, with focus on well-being. Authors utilized artificial intelligence (AI)–based large language model (LLM) (ChatGPT, OpenAI^TM) to assist with preliminary identification of relevant studies, however authors noted significant AI-associated errors and outright misrepresentations requiring hand curated product generation and manual PubMed searches.

Literature in Review: We continue to appreciate a shift …

Sustainable Hydrogel From Biowaste: Synthesis And Characterization Of Pectin And Starch-Based Hydrogels Derived From Fruit Peel, Aneesa Rasheed Anwar, Roudha Sultan Almarri, Munawwar Ali Khan, Pramod Kumbhar

All Works

Arid regions such as the United Arab Emirates face persistent challenges in agricultural productivity due to water scarcity, poor soil quality, and the overuse of chemical fertilizers. As a sustainable alternative, biodegradable hydrogels offer promising solutions owing to their high swelling capacity, water retention ability, and controlled release of water and nutrients. This study explored the synthesis and characterization of eco-friendly hydrogels derived from pectin and starch extracted from orange and banana peels, respectively. These biopolymers are cross-linked using calcium and polyvinyl alcohol, forming hydrogels suitable for agricultural applications. The quality of the extracted biopolymers was assessed by analyzing moisture …

Disruption Of Serum Selenium And Chromium Homeostasis In Insulin Resistance, Farah J. Hasan Alhnon, Ban Adnan Hatem Al-Abadi

Muthanna Medical Journal

Background: Insulin resistance (IR) is a significant metabolic abnormality that occurs prior to the onset of T2DM and is related to oxidative stress and micronutrient imbalance. Selenium (Se) and chromium (Cr) are trace elements that have important functions in the body, including as antioxidants and in regulating insulin action; however, the relationships between these trace elements and IR remain poorly understood.

Objective: To quantify serum selenium (Se) and chromium (Cr) concentrations in subjects with IR compared to healthy control subjects, and to assess the potential utility of these trace elements as diagnostic biomarkers in IR vs. established metabolic markers.

Methods: …

Work From Home In The Public And Private Sector, Harley Frazis

Upjohn Institute Working Papers

Working from home has remained a prominent part of the labor market after the COVID-19 pandemic. However, in January 2025 President Trump issued an executive order restricting the use of work from home (WFH) in the federal government. This paper examines trends in WFH by class of worker: private for-profit, private not-for-profit, federal, state, and local government. It evaluates how WFH evolved across different classes after accounting for differences in occupation and education, with a focus on trends for WFH in the federal government, relative to the for-profit class, before and after the restriction in federal WFH. Overall, “hybrid” WFH—working …

A Danish Romantic Organ Voice: The Music Of J.P.E. Hartmann And The Marcussen & Søn Organ, Benjamin T. Tischner

Undergraduate Honors Theses

This thesis examines the organ works of J.P.E Hartmann (1805-1900), an organist and composer who was at the center of the Romantic movement in Denmark. Hartmann, along with contemporaries Niels W. Gade and A.P. Berggreen, helped establish a musical style unique to Denmark during the Romantic era. This thesis analyzes this Danish musical style as it pertains to Hartmann’s compositions, defining what it means for this music to be uniquely Danish. In this regard, Hartmann’s organ works can be distinguished from other corners of the Romantic organ repertoire, especially the organ music being composed in Germany around the same time. …

Debtor's Objection To Derivative Standing

Catholic Dioceses in Bankruptcy

No abstract provided.

Debtor's Opposition To Motion For Derivative Standing

Catholic Dioceses in Bankruptcy

No abstract provided.

A Program Proposal For A Leadership-Driven, Evidence-Based, Intentional Rounding Playbook, Jacqueline Butler Brown

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality. In an acute care hospital in Northeast Georgia, intentional rounding is an established practice. Inconsistent communication, variable leadership engagement, and limited accountability are practice gaps that have reduced its effectiveness in improving patient experience outcomes. A comprehensive literature review using PubMed, CINAHL, MEDLINE, and the Cochrane Library yielded 15 peer-reviewed studies that consistently support intentional rounding as an evidence-based strategy for improving patient satisfaction. As the team leader for this Executive Leadership System Improvement Project, I proposed the development of an Evidence-Based, Leader-Driven Intentional Rounding Program Playbook to standardize enhanced rounding …

Breaking The Box: How Pandora's Box Activates And Reinforces Gender Ideologies Through Linguistic Adherence To Archetypal Hegemonic Masculinity, Hannah Pitkofsky

Binghamton University Undergraduate Journal

Mythology, such as Pandora’s Box, provides a strong ideological framework for how our society views certain issues, including femininity and female potential. However, the images presented in these stories are often artificially crafted with implicit biases that allegorize femininity within a pre-established masculine and patriarchal framework, whose core concepts remain persistent in contemporary culture. In this paper, I dissect contemporary English translations of the original Pandora myth by analyzing language patterns and examining their cultural and linguistic implications. Furthermore, I investigate the authorial rationale behind these lexical frameworks through the lens of contemporary hegemonic masculinity. I argue that the current …

Employing Derivatives In Exchange-Traded Funds: International Perspective And Polish Evidence, Tomasz Miziołek

Journal of Banking and Financial Economics

The main aims of the paper are to examine the use of derivatives by 13 exchange-traded funds primarily listed on the Warsaw Stock Exchange over 2010–2025, including their magnitude and functions, and to identify patterns in derivative use over the past three decades worldwide. The results reveal that derivative use was common among exchange-traded funds listed on the Warsaw Stock Exchange; however, it was limited to basic applications. Futures (standard, e-mini, and micro e-mini) were used to obtain leveraged or inverse market exposure or as a supplement to equity holdings, total return swaps were used for synthetic replication, and forwards …

Effects Of A Mobile Web-Based Video Patient Education Program On Anesthesia And Recovery, Sinjung Jung, Eun-Hyun Lee, Chun-Ja Kim, Ji Yea Lee

International Nursing Research Congress (INRC)

Background and Purpose: Patients awaiting surgery often experience fear and anxiety related to limited information about surgery, concern about not waking up from anesthesia, uncertainty, surgical outcomes, and postoperative pain [1-3]. Preoperative education has been shown to improve these psychological problems [4, 5], and video-based education in particular is increasingly recognized as an effective teaching tool [1]. However, most preoperative education interventions primarily focus on the surgery itself, and rarely directly address major anesthesia-related issues, such as anesthesia safety or postoperative pain [6]. Therefore, in this study, we developed a mobile web-based video education program on general anesthesia and recovery, …

Maine Democratic Primary Voters Want Jackson As Senate Nominee, In Close Race With Collins In General 7/21/2026, Unh Survey Center

All UNH Survey Center Polls

Over half of recent Democratic primary voters prefer Troy Jackson as the Democratic nominee for Senate. Most Democratic primary voters believe Graham Platner's withdrawal from the race was the right decision. Jackson and incumbent Republican Senator Susan Collins are statistically tied in a November election matchup. Collins earns high marks from Mainers on bringing federal dollars to the state during her tenure in office but receives lower ratings on her votes on key legislation, Cabinet nominees, and Supreme Court justices. In Maine's election for governor, Democratic nominee Hannah Pingree holds a double-digit lead over Republican Bobby Charles. Amid questions about …

Redefining Bryan: Populism, Reform, And The Fight For The Common Man, Tracey Perilloux Drake

Doctoral Dissertations and Projects

This dissertation looks at the political career of William Jennings Bryan and argues that he was more than just a supporter of free silver during the 1896 election. While many historians focus mainly on his “Cross of Gold” speech and his views on silver, this study shows that Bryan had a much broader set of ideas. He supported reform in many areas, including the economy, government power, and moral issues, and believed the federal government should do more to help ordinary people. Using both historical studies and primary sources, this dissertation places Bryan in the context of the major economic …

Application Of Cost-Effective High-Resolution Remote Sensing To Characterize Flooding In Mountain River Corridors, Ishwar Joshi, Ian Gowing, Brian M. Crookston

Civil and Environmental Engineering Student Research

This study evaluated a cost-effective UAV-based multi-sensor approach for characterizing river corridor conditions during and after moderate floods in two mountain river corridors in Northern Utah, USA: the Logan River and Blacksmith Fork River. These study reaches included urban, rural, and agricultural areas, hydraulic structures and bridges, and fish passage structures. A DJI Matrice 300 UAV was used with two separate payloads: an AgEagle Altum-PT multispectral camera and an R3 Pro V2 two-return LiDAR system. The workflow included UAV flight planning and data collection, post-processing of the multi-spectral and LiDAR sensor data, spatial resolution and accuracy assessment, and interpretation of …

Loss Of Atp-Dependent Citrate Lyase Drives Left Ventricular Dysfunction By Metabolic Remodeling, Shijie Liu, Seth T Gammon, Lin Tan, Yaqi Gao, Kyoungmin Kim, Mahmoud H Elbatreek, Adrian Arrieta, Ian K Williamson, Rebecca L Salazar, Janet Pham, Angela Davidian, Radhika Khanna Neicheril, Benjamin D Gould, Heidi Vitrac, Alia Sadiq, An Q Dinh, Evan C Lien, Francisca N De Luna Vitorino, Joanna M Gongora, Sara A Martinez, Melanie T Odenkirk, Anna K Boatman, Jessie R Chappel, Lawrence S C Czer, Evan P Kransdorf, David J Lefer, Blake M Hanson, Benjamin A Garcia, Erin M Baker, Matthew G Vander Heiden, Philip L Lorenzi, Heinrich Taegtmeyer, David Piwnica-Worms, James F Martin, Anja Karlstaedt

Faculty, Staff and Student Publications

Background: Metabolic adaptation and maladaptation are hallmarks of the failing heart and may be a target for therapeutic interventions. For example, sustained glucose oxidation during cardiac stress is associated with increased activity and abundance of ACL (ATP-dependent citrate lyase, Acly), which produces acetyl-coenzyme A (CoA) from citrate and CoA and supports de novo lipid synthesis. However, our understanding of how ACL supports cardiac metabolic adaptation and its potential to modulate disease pathophysiology has not yet been investigated.

Methods: We used human heart tissue samples from healthy donors and patients with nonischemic cardiomyopathy. Next, we used CRISPR (clustered, regularly interspaced …

Molecular Mechanism Leading To Human Coronary Atherosclerosis Assessed By Proteomic Analysis And Rna Sequences, Sarah J Parker, Chunhong Mao, David L Caudell, Austin Lyle Seals, Yizhi Wang, Thomas D Green, Joseph M Mcclung, Joshua T Maxwell, Jacolby T Roddey, Kiarash Shakeriastani, Chiung-Ting Wu, Yingzhou Lu, Do-Kyun Kim, Justyna Fert-Bober, Dongping Du, Archana Bhat, Niveda Sundararaman, Matthew Ayres, Rakhi Pandey, Saurabh Bhardwaj, Genesio M Karere, Dana Troxclair, Fannie Jackson, Gordon L Love, Richard Vander Heide, James Hixson, Jennifer E Van Eyk, Yue Wang, David Herrington

Faculty, Staff and Student Publications

Background and aims: Atherosclerosis results from cellular and extracellular changes in the arterial wall, preceded by molecular shifts that initiate disease and drive tissue conversion, yet these changes are not yet fully described. More data are needed concerning these early changes in the coronary artery molecular landscape that signify the initiation of atherosclerosis and the subsequent tissue pheno-conversion to atherosclerotic plaque. This report summarizes results from a large biorepository of human coronary artery tissue, applying state-of-the-art omics technology, advanced data analytic methods, and an arterial organoid model system to predict molecular dynamics and identify potential regulatory mechanisms that could interrupt …

Unpredictability Is A Childhood Adversity That Contributes To Mental Health Problems, Laura M. Glynn, Sabrina R. Liu, Charles Golden, Michael Weiss, Candice Taylor Lucas, Louis Ehwerhemuepha, Hal S. Stern, Tallie Z. Baram

Psychology Faculty Articles and Research

Although adverse childhood experiences (ACEs) increase risk for mental illness at the population level, existing ACEs screens are less helpful in forecasting individual outcomes, suggesting they may not capture significant elements of childhood adversity. We have previously identified unpredictable parental and household experiences as an ACE that portends poorer cognitive and mental health. However, the contribution of unpredictability to established ACEs in real-world settings is unknown. Here, leveraging existing ACEs screening in California, we added the five-item Questionnaire on Unpredictability in Childhood (QUIC-5) in 19 pediatric clinics spanning broad sociodemographic constituencies and compared in ~30,000 children the link of each …

Association Between Opioids And Leukemia/Lymphoma In Adults Living In The United States, Brenda Sue Newberry-Colasanti

Walden Dissertations and Doctoral Studies

Opioid prescribing rates and opioid misuse remain high throughout the United States. Exposure to opioids has been positively associated with various cancers; however, research evaluating associations between opioid exposure and hematologic cancers like leukemia and lymphoma is limited. Using the Socio- Ecological Model as a foundation, this quantitative cross-sectional study aimed to analyze the association between medicinal opioid use, opioid misuse, and leukemia/lymphoma while exploring how selected social determinants of health (SDOH) may modify that relationship. Secondary data were pooled from the 2015–20-year United States National Survey on Drug Use and Health (NSDUH). One thousand three hundred and twenty binary …

Health Literacy And Diabetes Self-Care Behavior, Eucharia Amaefule

Walden Dissertations and Doctoral Studies

Limited health literacy is a significant barrier to effective diabetes self-management among adults with type 2 diabetes mellitus (T2DM), yet nationally representative evidence using comprehensive health literacy measures remains limited. Guided by the health belief model, the purpose of this quantitative, secondary data analysis using cross-sectional data was to examine the relationship between health literacy and diabetes self-care behaviors among U.S. adults with T2DM and determine whether education level moderated this relationship. Data from the 2016 Behavioral Risk Factor Surveillance System were analyzed for U.S. adults (N = 9, 535) with self-reported T2DM. Diabetes self-care behaviors included blood glucose monitoring, …

Effective Work-Life Balance Strategies That Small Business Owners Use To Increase Personal And Organizational Resilience, Anquinett Pope

Walden Dissertations and Doctoral Studies

Small business owners frequently sustain their businesses at the cost of their personal health, which poses long-term threats to both organizational sustainability and resilience. The sustainability of a small business is often inseparable from the health, well-being, and decision-making capacity of its owner. The purpose of this qualitative single case study was to identify and explore effective strategies employed by some small business owners to balance personal and professional obligations to enhance business sustainability. The study was focused on one small business owner from a consulting firm based in the United Kingdom. The project was grounded in the Baldrige excellence …

Lived Experiences Of Emotional Competence Development Among Online Doctoral Clinical Psychology Students During Clinical Training, Michelle Davis

Walden Dissertations and Doctoral Studies

Emotional competence is essential for effective clinical practice, professional development, and client care. However, limited research has examined how emotional competence develops among students in fully online doctoral clinical psychology programs. This qualitative descriptive phenomenological study explored how students enrolled in online doctoral clinical psychology programs experience the development of emotional competence during clinical field training. Guided by Goleman’s emotional competence framework, the lived experiences of doctoral students as they developed emotional awareness, emotional regulation, empathy, and relationship management skills was examined. Data were collected through semistructured interviews with 10 purposively selected participants enrolled in online doctoral clinical psychology programs …

Iran’S Development Of Criminal Foreign Policy Capabilities In The United States From 2013–2020, Scott James Harr

Doctoral Dissertations and Projects

Iran’s development of criminal foreign policy capabilities in the United States represents an emerging phenomenon that is transforming the U.S.-Iran foreign policy relationship from a national security issue, primarily executed abroad, into a homeland security threat located within the United States. As an emerging dimension of the U.S.-Iran foreign policy relationship, this behavior by Iran must be thoroughly understood to aid U.S. policymakers in developing relevant policies to address the issue. However, Iran’s motivations for its international behavior are hotly debated among scholars of international relations (IR) theory. Some see Iran’s behavior as ideologically based, while others claim Iran’s behavior …

The Role Of School Climate In Predicting Student Achievement: A Predictive, Correlational Study, Chesney Alexandria Rutherford

Doctoral Dissertations and Projects

The purpose of this quantitative, non-experimental, predictive, correlational study was to determine if school climate foresees student achievement through a predictive correlational design. This study is important because of the examination of how changes in school climate can affect students both academically and psychologically. The convenience sample for this study consisted of a total of 240 participants from 2 different schools in both urban and rural areas of Eastern Tennessee. The participants consisted of 120 sophomores per school enrolled in English II. The setting was the English II classrooms within both schools. The Education School Climate Survey developed by the …