Digital Commons Network^™

Patient Psychological Safety: A Qualitative Study Of Patient Experiences, Derick R. Simmons, Cheryl Rathert, Ryan Valayil, Maria Joseph, Ibraheem Jawadi

Patient Experience Journal

There is growing interest in understanding patients' experiences with psychological safety during healthcare encounters. Recent studies reveal that patients describe needing patient psychological safety (PPS) to form connections with their care providers, which are associated with better health outcomes. Therefore, it is critical to examine indicators of PPS. Using a phenomenological interpretive approach, this study utilized a patient narrative survey methodology to qualitatively explore how and why patients experience a lack of PPS during their healthcare encounters. We surveyed patients from across the U.S. and analyzed responses among a sub-sample of respondents to an open-ended question whose responses indicated they …

Patient-Centred Care: An Integrated Bibliometric And Structural Equation Modelling Approach, Japheth Nuhu Ahmed

Patient Experience Journal

This study investigates how communication and service quality in Patient Relationship Management impact patient satisfaction through trust. The literature in this field is predominantly in developed countries, whereas it is scarce in sub-Saharan Africa. Combining bibliometric analysis and structural equation modelling, the study highlights emerging research trends and provides empirical evidence to guide healthcare practitioners, policymakers, and researchers in improving patient care. To strengthen its theoretical foundation, the study integrates the Social Exchange Theory and Expectancy–Disconfirmation Theory to explain the model. The study retrieved quantitative data from the Scopus database for bibliometric analysis. A questionnaire was used to collect data …

Healing The Social Covenant: Rebuilding Trust And Re-Humanizing Healthcare, Cynda Hylton Rushton

Patient Experience Journal

Violence against healthcare workers continues to escalate despite substantial investments in security measures, workplace violence prevention programs, and legislative protections. Although these interventions are necessary, they have not produced sustained improvements in workforce safety or retention, suggesting that workplace violence is more than a behavioral or security problem. This commentary argues that it also reflects a deeper erosion of trust within healthcare. Drawing on evidence linking workplace violence to burnout, moral injury, psychological distress, and turnover intention among nurses, we propose that repairing trust is essential to sustaining the workforce and healthcare.Building on our earlier work, Rebuilding a Foundation of …

Trust: Why A Commitment To Human Experience Matters, Jason A. Wolf

Patient Experience Journal

Trust is one of the most essential elements in our overall human existence. It is a critical part of our human experience, one that reaches well beyond the boundaries of healthcare. Trust is the element that holds society together. It emerges in the relationship of one human being connecting with another human being, and it reaches to the engagements people have with organizations, institutions, and systems as well. Trust, while hard to hold, is ever present. It is a powerful force that guides our way of being, our interactions, our choices, even if we ourselves are not directly conscious of …

Non-Linear Semantic Navigation In Large Language Models Via Matrix Operators, John Chang

Defensive Publications Series

Current conversational interfaces for large language models rely on linear interactions. This linear approach restricts information retrieval and causes navigational context to be lost. Lengthy text inputs are required to refine search spaces, leading to semantic pollution. To address these limitations, a non-linear semantic navigation method is disclosed. User intent is captured through a visual query tree and mapped directly to projection matrices. Specific matrix transformations are applied to local vector regions within a high-dimensional embedding space. These operations rotate, scale, and project the semantic space to amplify specific latent dimensions without requiring lengthy text inputs. Irrelevant branches are mathematically …

Gci #259 — Vortex‑Flow Hybrid Cooling System (Trl‑4/5 Laboratory‑Validated Edition) An Ultra‑Efficient 6,000 Btu 24v Dc / 110–240v Ac Off‑Grid Cooling System With J‑Groove Helical Rifling, Gyroid Acoustic Shell, Transpiration Condensate Pre‑Cooling, Neuromorphic Control, And Wildfire‑Grade Vibration Isolation License: Cern‑Ohl‑P (Fully Open Hardware) Gci Id: #259‑Ultra‑Real Invention Class: High‑Efficiency Sustainable Climate Control / Off‑Grid Humanitarian Utility, Michael Victor Caldwell Mr.

Defensive Publications Series

This disclosure presents a fully engineered, open‑hardware 6,000 BTU hybrid cooling system capable of native 24V DC operation, ultra‑low acoustic output (≤30 dB), and sustained anti‑icing performance at 90–95% relative humidity. The system integrates multiple previously published open‑hardware inventions from the Caldwell portfolio, including J‑Groove Helical Rifling (GCI #18), Gyroid Acoustic Shell (GCI #256), Transpiration Condensate Pre‑Cooling (GCI #14), ReGenX Adaptive Freeze Prevention (GCI #93), Arachne‑NTC Resonant Sensors (GCI #63), and Arachne‑Doped Sealants (GCI #158). All referenced inventions can be found on TDCommons by searching their GCI numbers. The resulting architecture is a lightweight, off‑grid‑capable, anti‑icing, ultra‑quiet cooling system suitable …

Gci #16‑B — Vortex‑Inertial Magnetic Blood‑Plasma Purifier (Trl‑4/5 Research‑Validated Edition) A Continuous‑Flow, Non‑Clogging Extracorporeal Plasma Separation & Biomarker Enrichment System Using Dean‑Flow Inertial Microfluidics, Magnetophoretic Capture, And Ultrasonic Gyroid Regeneration, Michael Victor Caldwell Mr.

Defensive Publications Series

This disclosure presents a fully open‑hardware, continuous‑flow blood‑plasma purification and biomarker enrichment system designed for research‑only, non‑clinical, benchtop laboratory use. The system eliminates membrane clogging and reduces hemolysis by combining:

• Dean‑flow inertial microfluidics for plasma separation

• Aptamer‑functionalized superparamagnetic nanoparticles (SPIONs) for biomarker binding

• Open‑cell gyroid magnetic trapping for selective immobilization

• Pulsed ultrasonic regeneration for non‑chemical filter cleaning

All fabrication steps, assembly instructions, operational parameters, safety interlocks, and test‑bench validation procedures are included. No patents. No secrets. Fully reproducible.

Supporting inventions (optional, not required)

If labs want to cross‑reference related open‑hardware modules:

• UGCRM‑1.0 Gyroid Module → search “UGCRM‑1.0 Caldwell”

• J‑Groove Micro‑Mixers …

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An Adaptive Geometric Vector Encoding Language And Spatial-Harmonic Compiler For Topological Computing Engines, Christopher L. Eckes

Defensive Publications Series

This disclosure establishes a non-textual, multi-dimensional machine language and compiling framework optimized for two-dimensional quantum fluid and topological computing substrates. By replacing linear, binary assembly instruction sets (e.g., QASM) with spatial-harmonic vector topologies, programming commands are encoded directly as geometric phase deformations and wave-packet configurations. A bi-directional, reversible semantic compiler architecture is defined to eliminate information erasure latency and satisfy thermodynamic zero-emission constraints during algorithmic runtime execution.

Longitudinal Behavioral Delta Detection System And Method For Passive Multi-Modal Audio Analysis, Eric Zavesky

Defensive Publications Series

A system and method for passive longitudinal behavioral delta detection through multi-modal audio analysis is disclosed. The system comprises an edge audio capture device for continuously capturing ambient audio, an on-device multi-modal feature extraction pipeline extracting acoustic features as semantic-level representations, topic-level natural language embeddings without retaining specific words, behavioral graph topology interaction data, and classified non-verbal sound event frequency vectors, and a longitudinal delta detection engine computing temporal deltas at multiple resolutions against a historical baseline. A privacy architecture ensures on-device processing with content obliteration and hashed entity identity. A model adaptation layer provides supervised, unsupervised membership testing, and …

Real-Time Collaborative Generative Music Jamming On A Video Sharing Platform, D. Shin

Defensive Publications Series

This paper describes a real-time, multi-user music generation platform integrated into a video sharing platform, where many viewers jointly co-create a single evolving musical track during a live session. On such platforms viewers are typically passive consumers, and traditional digital audio workstations impose a high barrier to collaborative music-making. A generative music model synthesizes a cohesive track from simultaneous, heterogeneous inputs, including text prompts, hummed melodies, and Musical Instrument Digital Interface (MIDI) data. A harmonic consensus stage projects these inputs into a shared harmonic latent space, resolving conflicts among competing inputs into a single harmonic guide that fixes a unified …

Pipeline-Based Data Processing Method, System, And Hardware Apparatus, Jinhui Wu

Defensive Publications Series

Existing data processing systems universally adopt a centralized computing paradigm that relies on
complex operations, resulting in high computational resource consumption and significant bandwidth
redundancy. This paper proposes a data processing method, system, and hardware apparatus based on a
Pipeline Array, wherein input data is distributed across multiple independent Pipelines. Each Pipeline
independently maintains a state value, compares the input against its state, outputs upon change, Blocks
when unchanged, and independently updates its state value. Founded on the Zero-Computation Property
(core operations are comparison and assignment only), the system comprises Pipeline, State Storage,
Compare, Output Control, and State Update modules. …

A Fluid-Dynamic Architecture For Topological Qubit Protection Against Phononic Decoherence, Christopher L. Eckes

Defensive Publications Series

This disclosure formalizes a non-particle engineering framework for stabilizing quantum states against environment-induced decoherence using topological surface harmonics. By reinterpreting qubits as localized vertical tension fields on a discrete two-dimensional information fluid substrate (\(z=0\)), phase stability is established via passive geometric vortex compaction and time-periodic (Floquet) symmetry protection fields rather than active physical isolation. Real-world laboratory verification testing protocols using fractional quantum Hall two-dimensional electron gases (2DEGs), topological acoustic metamaterials, and cascaded superconducting waveguides are explicitly defined to provide prior art for scalable quantum computing architectures.

Real-Time Temporal-Consistent Virtual Attire Synthesis And Occlusion Handling In Video Communication Interfaces, Richa Gupta

Defensive Publications Series

Professionals in hybrid and remote work environments frequently face challenges transitioning between casual attire and business-appropriate clothing for unexpected or back-toback video calls. Existing solutions such as virtual try-on engines, three-dimensional (3D) avatars, and facial augmented reality (AR) filters suffer from limitations including offline processing requirements, loss of authentic human presence, and inability to handle body apparel dynamics. The disclosed technology provides a digital wardrobe system integrated into video communication pre-call interfaces, utilizing edge-based neural rendering to synthesize realistic clothing over live video streams. The system employs neural fabric anchoring with pose estimation for temporal stability, and a real-time depth-based …

Feasibility And Performance Of Aerogravity Assists For Ceres Missions, Divinaa E. Burder

International Journal of Aviation, Aeronautics, and Aerospace

This work investigates the feasibility and performance of aerogravity assist (AGA) maneuvers for missions to Ceres, with emphasis on both interplanetary trajectory design and atmospheric flight dynamics. AGAs provide substantially greater turning capability than pure gravity assists by exploiting aerodynamic lift during atmospheric passes, thereby enabling greater heliocentric energy changes than pure gravity assists. To quantify these benefits, this study integrates a broad interplanetary trajectory search with high-fidelity atmospheric performance modeling. Candidate trajectories for launch years 2030–2050 are generated for multiple inner-planet encounter sequences using vehicles with lift-to-drag ratios (L/D) between 1 and 7. Atmospheric flight segments are simulated using …

Disability-Related Educational Content In Nutrition And Dietetic Programs: An Exploratory Study, Wendy Medunick, Allison Gomes, Joachim Sackey, Laura Byham-Gray, Jane Ziegler

Journal of Dietetic Education

Background: Health disparities experienced by people with disabilities (PWD) are partly attributed to inadequate knowledge, training, confidence and competence regarding disabilities among health professionals. While registered dietitian nutritionists (RDNs) are key members of the healthcare team, it is unclear how pre-professional nutrition and dietetics (ND) programs prepare future RDNs to care for PWD. This study examined the status of disability-related education within ND programs in the United States. Methods: A descriptive cross-sectional electronic survey was distributed to 570 directors of accredited ND programs. The survey, which adapted questions from a previously validated instrument and published studies, included questions assessing disability-related …

A Remarkable Journey Of Faith And Perseverance, John Zimmerman

University Faculty Publications and Creative Works

Ten months ago, Colin Jambekar was sitting through chemotherapy treatments that lasted up to seven hours a day while trying to keep pace with a demanding civil engineering course load.

On May 9, 2026, he walked across the commencement stage at Calvin University as a college graduate, cancer survivor, and conference champion student-athlete.

Wildfire Risk & Preparedness For Urban Rail Operators Supporting Large Stadium Events, Karl Kim, Eric Yamashita, Daniele Spirandeli, David Rother

Mineta Transportation Institute

The project team, in collaboration with partners and stakeholders, developed a four-hour training course designed to build a foundational understanding of how wildfire hazards affect rail systems infrastructure operations and how this knowledge can help equip urban rail operators with tools and best practices for proactive risk management. Led by the University of Hawaiʻi and the National Disaster Preparedness Training Center, in partnership with Haley & Aldrich, Inc., this technical report presents an overview of the four modules and scenario planning exercise that together make up the four-hour Wildfire Risk & Preparedness for Urban Rail Operators Supporting Large Stadium Events …

Enhancing Wildfire Resilience In The Rail Industry: Developing A Community Resilience Extreme Events Portal (Creep), Karl Kim, Eric Yamashita, Daniele Spirandeli, David Rother, Chris Chiesa, Greg Hampe, Michele Toner

Mineta Transportation Institute

The Community Resilience Extreme Events Portal (CREEP) provides a centralized platform for accessing wildfire danger indices, critical asset locations, and vulnerability scores for rail segments. The project team developed a data-driven, indicator-based vulnerability assessment framework that defines vulnerability as a function of exposure, sensitivity, and adaptive capacity. To build this framework, the team selected publicly available datasets, prioritizing national datasets whenever possible to ensure transparency, reproducibility, and scalability. The portal allows users to analyze and visualize vulnerability across 1-kilometer segments of Class I freight and passenger rail lines in California, supporting planning and mitigation prioritization to help reduce rail-related fatalities, …

Parks Coble, Jr., Unl History; Chinese Nationalists & Business, Chinese-Japanese Relations, Mark A. Griep, Parks M. Coble Jr.

UNL ORCA Interview Series

Dr. Parks Coble, Jr. was awarded the ORCA in 2005. He was born in Waterloo, South Carolina in 1946 but he grew up in Columbia. He earned his bachelor’s in history at the University of South Carolina in Columbia. Next, he traveled 740 miles northwest to earn his doctorate at the University of Illinois in Champaign. In 1976, he became an assistant professor of history at the University of Nebraska, where he quickly rose through the ranks. His early work focused on the relationship between Chinese business elites and leaders of the Chinese National Government movement during a very interesting …

Who Controls The Block? How States Can Regulate Tokenized Residential Real Estate, David J. Reiss, Joseph Bizub, Justin Peralta

Cornell Law Faculty Working Papers

In July 2025, the City of Detroit filed a major nuisance abatement action against RealT, a fintech that had sold blockchain-based fractional interests in more than four hundred Detroit rental properties to some 22,000 investors around the world. Within a year, a court had ordered the company’s rents into escrow, the company had conceded to its investors that its “model no longer works,” and it had announced the liquidation of its portfolio -- leaving tenants without basic services and token holders facing steep losses.

This article uses the rise and collapse of RealT, together with case studies of the other …

Foundations Of Project Management, Michael Daniel Sherwin

Open Education Materials

This book aims to equip readers with practical tools and strategies for managing people, resources, and tasks effectively. We include examples, case studies, references, and tools and templates. We encourage you to explore references and videos to deepen your understanding of project management. It is designed for everyone, not just those individuals seeking to be project managers. Whether you are supporting or leading projects, this course will provide a foundation for developing the skills needed to drive results within an organization.

Course: GRBU 638

Creative Commons Attribution

Fraction-Seq: An Integrated Experimental And Computational Workflow For Determining The Localization And Abundance Of Small Non-Coding Rnas In Subcellular Compartments, Siddhartha Shah, Tess Cherlin, Yi Jing, Stepan Nersisyan, Benjamin E. Leiby, Isidore Rigoutsos

Computational Medicine Center Faculty Papers

Small non-coding RNAs (sncRNAs) have garnered considerable attention in recent years, following accumulating evidence of their critical roles in many cellular processes. Among sncRNAs, microRNAs (miRNAs) and their isoforms (isomiRs), tRNA-derived fragments (tRFs), rRNA-derived fragments (rRFs), and Y RNA-derived fragments (yRFs) account for more than 95% of all sncRNAs found in cells. Despite their critical regulatory roles, most sncRNAs remain uncharacterized because their functionalization is a lengthy and challenging undertaking. Knowing an sncRNA's abundance helps prioritize among the various choices, while knowing where it localizes in the cell greatly limits the number and identity of its potential targets and helps …

Rebranding Architecture: Understanding Perception To Reinforce Professional Jurisdiction, Amber L. Whitaker

Theses

What is the current perception of the architecture profession, and what is the perception that architects want others to have? In the marketing and communications profession, one might ask, what is the profession’s current brand, and how does that differ from the desired brand? From inconsistent state laws regarding architectural titles, to the potential federal reclassification of the profession, to non-architects’ common misconception that architects merely draw floorplans, the architecture profession is misunderstood, causing an image problem. Although architecture is one of the world’s oldest professions, this image problem often translates into deep misunderstanding of what architects do, ultimately affecting …

Accelerometer-Based Longitudinal Center Of Gravity Estimation With Lateral Acceleration Compensation, John Wynne

Theses

Spatially separated accelerometers and measured rotational motion can enable estimation of an aircraft’s longitudinal center-of-gravity (CG) location. Because the unrestricted rigid-body governing equations form an underdetermined system, the problem is reduced by assuming known lateral and vertical CG coordinates. The resulting estimator uses the lateral acceleration equation, where sensitivity to longitudinal CG is governed by the rotational excitation term 𝑀_21 = 𝑝𝑞 + 𝑟̇. Three representations of lateral acceleration at the CG are evaluated: a zero- acceleration assumption, a linear sideslip angle model, and a model based on sideslip angle and true airspeed squared. Each model is calibrated using known …

Ai And Legal Malpractice: Are We Due For A Reckoning?, John Browning

Texas A&M Law Review

As the rate of AI adoption by lawyers steadily climbs, unfortunately so has the number of incidents of AI misuse by attorneys. For some time, courts satisfied themselves with giving offending lawyers warnings, ordering them to take additional CLE, and/or administering relatively nominal monetary sanctions. Lately, however, frustrated judges throughout the country have upped the ante by not only assessing increasingly higher sanctions but also imposing case dismissals and suspensions or disciplinary referrals for the lawyers involved. As this article discusses, with their negligence exposed to the public eye and the harsh gaze of their clients, lawyers who misuse AI …

A Granularity-Centered Taxonomy Of Personalized Federated Learning, Ei Ei Nyein Chan, Sergei Chuprov, Pretom Roy Ovi, Kamrul Hasan

Computer Science Faculty Publications

Personalized Federated Learning (PFL) has emerged as a key approach to address performance degradation in FL systems under heterogeneous client data. While existing surveys typically categorize PFL methods based on optimization strategies or system-level mechanisms, they often overlook a fundamental question: where is personalization embedded within the model architecture? In this survey, we bridge this knowledge gap and introduce a granularity-centered taxonomy that organizes PFL approaches according to the structural depth of personalization, ranging from head-layer and layer-wise adaptation to model-wise and parameter-wise customization. This novel perspective helps practitioners select appropriate personalization strategies based on model architecture, data heterogeneity, and …

From Curriculum To Career: A Grounded Theory Of Ai-Driven Employability In Higher Education, Sandra Baroudi, Christina Davison, Maryam Juma

All Works

This study examines how undergraduate students navigate employability within an AI-driven labor market, highlighting the role of digital social capital, personal branding, and multicultural identity management in a rapidly modernizing, culturally diverse setting. Employing a constructivist grounded theory approach, semi-structured interviews were conducted with 12 undergraduates across STEM and humanities disciplines. Data were coded iteratively using constant comparative methods until theoretical saturation. Five major categories emerged: experiential learning, professional networking, digital self-promotion, cultural identity tensions, and technological adaptability. The study proposes an ‘AI-Driven Employability Framework’ that integrates Human, Social, and Cultural Capital theories and develops two context-specific extensions: digital social …

The Screening Tool Of Behavioral Self-Regulation “Head-Toes-Knees-Shoulders” Task: A Preliminary Adaptation To Greek Older Adults, Eleni Rachanioti, Dimitra Magkavila, Olga Fragkomichelaki, Magda Dinou, Effie Katsadima, Theodora Foti, Anastasia Tzalla, Anna Dougali, Christina Bourmpou, Maria Staikopoulou, Aphrodite Papantoniou, Fotini Varlami, Irene Dinaki, Maria Tsiountala, Konstantinos Staikopoulos, Tryfon Mavropalias, Efthymia Efthymiou, Demetra Tomprou, Maria Georgiadi, Dimitra Katsarou, Georgios Kougioumtzis, Ioanna Giannoula Katsouri, Harilaos Zaragas, Despina Moraitou, Maria Sofologi, Georgia Papantoniou

All Works

The aim of the present study was to examine the psychometric properties of the Head-Toes-Knees-Shoulders (HTKS) behavioral self-regulation (executive function) measure in a sample of Greek older population. Specifically, 88 cognitively healthy Greek older adults over the age of 65 participated in the study. The Greek version of HTKS was administered along with the Greek versions of the Mini-Mental State Examination (MMSE), the Raven's Educational CPM, the Number Series (NS) test, the Positive and Negative Affect Scale (PANAS), the Barratt Impulsiveness Scale (BIS-11) and the Impulsive Behavior Scale (UPPS-P). Exploratory factor analysis supported the unidimensional structure of the HTKS. The …

Fighting With Data: Design Implications For Ai-Enabled Mission-Command Systems, C. Anthony Pfaff

Books, Monographs & Collaborative Studies

Fighting with Data examines how artificial intelligence (AI) is reshaping military decision making by changing both the speed of command and the structure of cognition within mission-command systems. Rather than treating AI as a tool that merely accelerates existing staff processes, this monograph recognizes AI redistributes cognitive labor across a network of people, data, tools, and operational processes. In this new environment, commanders and staffs spend less time assembling information and more time interpreting meaning, judging uncertainty, and deciding how to act.

This shift in the human role requires a new way of thinking about trust in military AI. Traditional …

Assessing The Impact Dynamics Of Less Lethal Ammunition, Steven Bermejo

Student Theses

Less-lethal ammunition is widely used by law enforcement as an alternative to lethal force during crowd control, on-street confrontations, and other situations requiring force. Although these projectiles are intended to reduce risk of fatal injury, serious injuries and fatalities have been reported, highlighting the need to better understand the factors that influence their impact behavior. This study evaluated the impact dynamics of four types of 12-gauge less-lethal ammunition, including rubber buckshot, single rubber ball, double rubber ball, and Byrna kinetic projectile, using kinetic energy calculations derived from projectile mass and velocity measurements. In addition, Attenuated Total Reflectance Fourier Transform Infrared …