Digital Commons Network^™

What Counts As Data? Empirical Legal Research With India’S Ecourts Portal, Lubhyathi Rangarajan, Sakshi Rai, Nikita Bansal

Socio-Legal Review

This Notes from the Field (‘NFF’) studies an attempt to build a nationwide dataset of cases instituted under the Unlawful Activities (Prevention) Act, 1967 using the eCourts portal, an open access state-led digital repository of all judicial records across India. It uses this experimental attempt to create new methodological and epistemological ways of thinking about data when undertaking socio-legal research. The paper argues that the appearance of judiciary-led digital transparency and visibility masks deeper concerns with data integrity. Through a process of manual data extraction across than 3,647 court complexes on the eCourts portal, the study reimagines technical failures and …

Solvent-Dependent Cytotoxicity Of Peperomia Pellucida Leaf Extracts Against Mcf-7 Breast Cancer Cells, Ade Arsianti, Rafael Erlangga Bagas Pratama, Steven Gill, Diyah Kristanty

Indonesian Journal of Medical Chemistry and Bioinformatics

Background: Breast cancer remains a major global health burden. Particularly in Indonesia, limitations of conventional chemotherapy, such as severe side effect, toxicity, and high cost, indicating the necessitate the development of alternative therapeutic agents. Peperomia pellucida, a medicinal plant rich in bioactive phytochemicals, has shown promising anticancer potential; however, its cytotoxic activity against MCF-7 breast cancer cells and the influence of solvent polarity remains underexplored. This study aimed to evaluate the cytotoxic effects of P. pellucida leaf extracts which are prepared using different polarity of solvents (ethanol, ethyl acetate, and n-hexane).

Method: Dried leaf powder of P. pellucida was …

From Fields To Flu: Mapping H5n1 Zoonotic Risk In California Rice Fields, Mariati Messinger

Walden Dissertations and Doctoral Studies

Highly Pathogenic Avian Influenza (HPAI) H5N1 threatens agriculture, wildlife, and public health in California, where flooded rice fields in the Central Valley provide surrogate wetland habitat for migratory waterfowl and may create ecological interfaces for viral spillover into poultry systems. This quantitative ecological study examined whether county-level rice acreage, Lesser Snow Goose activity, and their interaction were associated with poultry HPAI H5N1 outbreak incidence during complete winter seasons available for analysis. Guided by One Health and disease ecology frameworks, secondary data from USDA, eBird, PRISM, and public surveillance sources were analyzed for 36 county-winter observations using negative binomial regression, logistic …

Strategies Used By Silicon Valley Technology Leaders To Advance Latinx Employees Into Leadership Roles To Increase Firm Productivity, Elizabeth A. Garcia

Walden Dissertations and Doctoral Studies

The underrepresentation of Latinx professionals in leadership roles remains a challenge for technology leaders. Leaders who lack effective leadership development strategies for Latinx employees may experience reduced innovation, lower productivity, and decreased organizational competitiveness. Grounded in the resource-based view, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by Silicon Valley technology leaders to advance Latinx employees into leadership roles to increase firm productivity. Participants were 10 technology leaders with experience implementing strategies to hire, develop, and promote Latinx talent. Data were collected through semistructured interviews, public organizational documents, and industry publications. …

A Data-Driven Framework For Mitigating Breast Cancer Overdiagnosis: From Estimation To Risk-Adjusted Computer-Aided Diagnosis, William M. Brown Jr.

LSU Doctoral Dissertations

In Computer-Aided Diagnosis (CAD) of cancer, standard cost metrics (false-positives and false-negatives) fundamentally fail to account for overdiagnosis. Overdiagnosis is a critical scenario where a disease is correctly detected (true-positive) but is biologically indolent and would never have caused the patient harm or symptoms. While widely recognized in the medical community as a major healthcare crisis driving stressful and invasive overtreatment, overdiagnosis remains severely under-researched within computer science and engineering. This dissertation addresses this interdisciplinary gap by defining the three key computational challenges of overdiagnosis: (i) accurate estimation, (ii) harm quantification, and (iii) algorithmic mitigation. To overcome the estimation challenge, …

Examining Variations In Non-Conventional Health Care Utilization Among Students At A Hispanic-Serving Institution, Monideepa B. Becerra, Karina E. Corral

Journal of Social, Behavioral, and Health Sciences

The use of non-conventional health care, such as complementary and alternative medicine (CAM) and traditional healing practices, is increasing in the United States. Little is known, however, about its prevalence and influencing factors among college students—especially of varied racial/ethnic background. This study examined these patterns among college students using a cross-sectional survey conducted at a Hispanic-serving institution. Participants reported their use of non-conventional care, and demographic and motivational factors were analyzed using descriptive and bivariate analyses. Of the 641 participants, a majority reported CAM use (96%) and visits to a traditional healer (83%), with higher prevalence among Hispanic and female …

How To Upend America In 100 Days: Unilateral Power At The Outset Of Trump’S Second Term, Aaron Childree

Political Science Faculty Publications

President Trump used the unilateral power of the presidency in extraordinary ways during the first 100 days of his second term. This article examines his use of executive action using a dataset of every action issued in the first 100 days of Trump’s second term, along with a similar dataset for his first term and other recent administrations. At the outset of his second term, Trump issued substantially more executive actions than his own first administration and his recent predecessors; however, this also came with historically low legislative productivity. His unilateral policy making is notable for the many revocations of …

A Mathematical Decision-Making Framework For Athlete Development In A Collegiate Taekwondo Community: Prioritizing Coaching Interventions Using Statistical Analysis And The Analytic Hierarchy Process, King Harold A. Recto, Hazel Jade L. Antonio, Jhyrald Anthony P. Dalida

Electronics, Computer, and Communications Engineering Faculty Publications

Athlete development within collegiate sports communities requires informed decisions regarding the prioritization of coaching interventions and allocation of developmental resources. However, such decisions are frequently guided by experience and intuition, limiting opportunities for systematic and evidence-based decision-making. This study develops a mathematical decision-making framework for athlete development by integrating statistical analysis and the Analytic Hierarchy Process (AHP) within a collegiate taekwondo community. Data were collected from 25 collegiate taekwondo athletes who satisfied established eligibility criteria, including participation in University Athletic Association of the Philippines (UAAP) competitions during the previous three seasons. Athletes evaluated coaching practices across five dimensions: Training and …

"It's Probably Like A Web": Complex Relationships Between Pain And Mental Health Among Bisexual+ Women With Chronic Pain, Aster Harrison, Mansha Mirza

Department of Occupational Therapy Faculty Papers

INTRODUCTION: Bisexual+ women experience higher rates of both mental illness and chronic pain when compared to either straight or lesbian women. Their experiences of the relationship between their mental health and chronic pain remain underexplored. This article presents an intersectional Interpretive Phenomenological Analysis of the experiences of six bisexual+ women with chronic pain.

METHODS: Each woman completed two semi-structured interviews. Interviews were analyzed with Interpretive Phenomenological Analysis, beginning with in-depth case study analysis of each person's interviews before moving to comparison across cases.

RESULTS: Results indicated a complex web of multidirectional relationships between mental health and chronic pain. These relationships …

Space As Experienced: Rendering Urban Interiority Through Research-By-Drawing, Sarah Javed Shah, Giulia Setti

Interiority

Architectural discourse has long privileged space as formally constituted—defined through geometry, enclosure, and typological classification—while its experiential and relational dimensions remain insufficiently examined. This article addresses that gap by proposing a methodological claim: the sequential and cumulative use of analytical drawing enables the investigation of spatial experience in ways that formal analysis and phenomenological description alone cannot achieve. Positioned as an epistemic framework, the research employs drawing not as representation but as a structured mode of inquiry. Five analytical lenses—liminality, permeability, intermingling, ephemerality, and complex interiority—are operationalised through a sequence of drawings that isolate and reconstruct the relational conditions through …

Villa Verde As A Quasi-Object: The Renegotiation Of Spatial Boundaries And Interiority, Tugba Cestel, Senem Kaymaz

Interiority

An architectural object interacts with its user through its functional and formal qualities. However, when stripped of these attributes, it discloses the potential to transform the phenomenal system it inhabits alongside the subject. Drawing on Martin Heidegger’s hammer analysis and Bruno Latour’s Actor-Network Theory, this study explores the relationship between a user and an architectural object that lacks a predefined form or function. It examines how the subject’s intervention can reconfigure such an object into a quasi-object. This relationship establishes a conceptual bridge that can be read through both phenomenological and relational frameworks. In this domain, where spatial boundaries and …

Meanwhile Interiors, Interiority, And Becoming Exterior, Cathy Smith

Interiority

This paper explores the resonances between stakeholder conceptions of 'meanwhile' or transient urban interiors and the notion of interiority as a mobile construct intertwined with wider social and material forces. The focus is on the positioning of these interiors in relation to broader community and neighbourhood agendas, invoking what Jill Stoner describes as a becoming exterior. Although the so-called 'meanwhile use' of vacant or sub-market-condition buildings is an increasingly common tool for activating and managing underused property assets in global cities, much of the existing discourse focuses on policy and placemaking implications rather than design dimensions. Drawing on interviews with …

Marketing Strategies To Enhance Awareness And Attract International Patients In The Medical Tourism Industry Of Trinidad And Tobago, Natasha Rachel Rochford-Chance

Walden Dissertations and Doctoral Studies

Disseminating inadequate service information can limit a business's market appeal and hinder its growth. Business leaders must include comprehensive service information in their marketing strategies, as inadequate service information can make a business seem unappealing to potential clients, undermine competitive position, reduce market share, and diminish profitability. The purpose of this qualitative pragmatic inquiry was to explore the marketing strategies used by medical tourism business leaders in Trinidad and Tobago to attract international patients and increase profitability. The participants were eight medical tourism business leaders with experience in implementing marketing strategies. McCarthy's marketing mix theory of product, price, place, and …

Staff Education To Improve Nurse Competency In Phq-9 And Gad-7 Screening Using A Standardized Behavioral Assessment In An Outpatient Mental Health Setting, Ernest Ogbeide

Walden Dissertations and Doctoral Studies

Evidence-based practice was the basis for this quality improvement project, which involved developing and implementing a staff education program to enhance nurses' competency in administering, scoring, and interpreting behavioral health screening tools (PHQ-9 and GAD-7) for outpatient mental health services. Variability in competency amongst clinical staff to use these standardized screening tools for evaluating anxiety and depression was identified as a problem, as there was no structured, evidence-based education and competency validation process for clinical staff to use, which has the potential to decrease early identification of anxiety and depression among patients and impact clinical assessment and decision-making. The practice …

Pixel Weave: Explore The Craft, Share The Story, Janki Akbari

Theses

Traditional craft practices are often preserved as finished objects rather than experienced as active systems of knowledge. As a result, the techniques, visual logic, and cultural meaning behind these crafts become less accessible to broader audience. Pixel Weave addresses this challenge by translating the double ikat (a premium, highly complex weaving technique in which both the warp (vertical) and weft (horizontal) yarns are individually resist-dyed to a preplanned pattern before being placed on the loom, so that the design only fully emerges once the two dyed yarn sets are woven together) weaving logic of Patan Patola, a centuries old textile …

Interrupting Intergenerational Cycles Of Violence Among Women In Mexico Experiencing Intimate Partner Violence: Parenting As A Target For Intervention, Hannah Corinne Gilliam

Electronic Theses and Dissertations Archive

Positive parenting may be a key intervention target to interrupt the intergenerational transmission of violence. Mothers exposed to intimate partner violence (IPV) may be at particularly high risk for maladaptive parenting practices despite evidence that they also leverage unique strengths to effectively parent in the context of adversity. Very few interventions have been identified that enhance positive parenting for women exposed to IPV in Mexico. This dissertation consists of two studies that aimed to fill these gaps in the literature. In study 1, a scoping review was conducted to identify and synthesize information about parenting interventions delivered to IPV exposed …

Supporting Recovery: Intersections Of Health, Belonging, And Help Seeking After A Campus Mass Casualty Event, Sharon Jalene, Jason A. Ciccotelli, Lauren Gatto, Christian Ison, James Carbajal, Andrew Hooyman

Physical Therapy Faculty Articles and Research

Mass casualty events (MCE), such as campus shootings, can severely impact the mental health of students, faculty, and staff. This study examined the psychological effects of an MCE at a minority-serving institution and explored how sense of belonging, cardiorespiratory fitness, and treatment preferences influenced recovery. To measure the impact of the MCE on mental health an anonymous survey was administered four to five months post-MCE to university students, faculty and staff. Within the survey, participants were asked to retrospectively report their depression (PHQ-9) and anxiety (GAD-7) symptoms as they recalled them two weeks prior to the MCE, and as they …

Investigating Tumor-Stromal Interactions That Drive Breast Cancer Angiogenesis And Metastasis, Alessandra Dimauro

Arts & Sciences Graduate Student Theses and Dissertations

Metastatic breast cancer remains one of the most difficult cancers to treat, with a five-year survival rate that drops from 99% for localized disease to just 33% once distant metastases are present. This disparity reflects a fundamental gap in our understanding of how breast tumors spread and highlights the urgent need to improve our understanding of breast cancer metastasis to aid in development of novel therapeutics. Emerging evidence establishes that metastasis requires interactions between tumor cells and non-tumor stromal cells within the tumor microenvironment. The first aim of this dissertation investigates the role of Discoidin Domain Receptor 2 (DDR2), a …

Determinants Of Patient Health Engagement In Post-Surgery Oral Cancer Patients, Tao-Wen Hsiao, Yu-Chi Chen, Shiow-Ching Shun, Hui-Ying Yang

International Nursing Research Congress (INRC)

Introduction: Patients with oral cancer often face persistent physical and psychological challenges after surgery, which may hinder their engagement in care. Identifying the determinants of patient health engagement (PHE) is essential for guiding targeted, supportive care interventions throughout the treatment trajectory. This study aimed to examine key determinants of PHE among post-surgery oral cancer patients.

Method: A cross-sectional study was conducted at a medical center in northern Taiwan. Postoperative patients were recruited using purposive sampling. Data were collected from medical records and structured questionnaires, including demographics, disease and treatment characteristics, communication ability, psychological distress, and PHE. Descriptive statistics, bivariate analyses …

Marginalized Youths Pathways Into Healthcare: Hands-On Workshops As A Catalyst For Empowerment, James Ehiagwina

International Nursing Research Congress (INRC)

Background: There is a disparity in the representation of individuals from marginalized and racialized backgrounds across healthcare professions (Keisha et. al, 2022). These disparities reflect ongoing barriers to access and a lack of relatable representation. Engaging workshops in healthcare professions have the ability to foster identification and inspiration for marginalized youths (Kendrick et. al, 2020).

Objective: To address these gaps, the CBNA-YorkU, a student-led organization, developed a summer workshop for marginalized youth to introduce nursing as an achievable career, promote a sense of possibility, and spark interest in post-secondary education.

Description: Building on the success of the 2024 inaugural workshop, …

More Than A Voice: Interpreters As Cultural Brokers In Serious Illness Conversations, Katherine Doyon, Sadia Abdulkadir, Sarah Darney, Sunny Smart, Hannya Ornelas, Alice Mwamba, Adebusola Oluwatoba-Adeyemi

International Nursing Research Congress (INRC)

Background: In serious illness and end-of-life care, effective communication is critical to honoring patients’ values and goals. For patients with refugee backgrounds, healthcare encounters may also evoke distress or (re)traumatization due to past experiences of displacement, persecution, or medical mistrust. Interpreters are essential in facilitating understanding and emotional safety. Yet, their role often extends beyond that of neutral language conduits, they act as cultural brokers, bridging cultural and religious divides, buffering emotions, and fostering trust between refugees and the healthcare team.

Objective: To explore how medical interpreters experience their role as cultural brokers in serious illness conversations.

Methods: A 126-minute …

From Didactic To Digital: Using Animated Videos To Transform Health Education In Nursing Informatics, Fiona Wing Ki Tang, Ricky Ahmat, Winnie Kwok Wei So, George Pak Kin Yau, Sally Wai Sze Lo

International Nursing Research Congress (INRC)

Background: The integration of multimedia in clinical settings is rapidly expanding. Animated videos are effective in enhancing clients understanding across diverse health topics (Feeley et al., 2023). The post-COVID-19 era has accelerated the demand for remote health education. It is vital to equip nursing students with the competency to develop engaging animated health education resources (Brown et al., 2020; Risling, 2017). In a postgraduate nursing programme, a blended learning approach featuring micro-modules with animated content and video production workshops was implemented to enhance students’ competency and self-efficacy in nursing informatics.

Methods: A quasi-experimental with pretest-posttest design was employed. Four animated …

Exploring Adherence Barriers To Nutrition Intervention: A Qualitative Study Of The Pro-Heart Trial, Andrew Thomas Reyes, Angelina Nguyen, Alona D. Angosta, Rebecca Meraz, Kelly L. Wierenga, Jennifer Kawi, Lorraine S. Evangelista

International Nursing Research Congress (INRC)

Altering the dietary habits of individuals with obesity, heart failure, and cardiometabolic comorbidities can enhance their health outcomes (Gjermeni et al., 2025). Adhering to these interventions remains challenging, leading to higher dropout and lower retention rates in clinical nutrition trials (Chao et al., 2021). To develop enduring, patient-focused interventions, it is essential to understand participants' experiences. Therefore, this qualitative sub-study explored participant-reported barriers to dietary adherence within the Pro-HEART randomized controlled trial, which evaluated the effects of high-protein versus standard-protein diets in individuals with heart failure and metabolic syndrome or Type 2 diabetes mellitus. The intervention in the Pro-HEART trial …

Curriculum Integration Of High-Consequence Infectious Disease Preparedness In Nursing Education, Shinu Joy, Corri Levine, Kimberly Rumsey

International Nursing Research Congress (INRC)

Infectious threats with pandemic potential are occurring more frequently, emphasizing the need to prepare the next generation of healthcare professionals for safe, effective management of complex cases. The health system serves as one of 13 federally funded Regional Emerging Special Pathogen Treatment Centers (RESPTCs) and the only one in the Health and Human Services (HHS) Region 6. The on-site Biocontainment Care Unit (BCU) is designed to care for patients with high-consequence infectious diseases (HCIDs). The Special Pathogens Excellence in Clinical Treatment, Readiness, and Education (SPECTRE) Program supports this mission by providing comprehensive training for professionals and students in the recognition, …

Preparing Patients Without Caregivers: Nursing Strategies For Safe Discharge To Home, Christine Rae Platt, Alycia Bristol, Hannah Wilkerson, Susy Vega, Deedee Long, Catherine Elmore, Andrea Wallace

International Nursing Research Congress (INRC)

Background: Hospital discharge represents a critical transition in care, particularly for individuals without caregiving support. Patients who identify as having “no one to help” face heightened vulnerability to complications and rehospitalization. Understanding how nurses can identify and address these gaps is essential to reducing post-discharge complications and readmissions.

Purpose: To explore from the patient perspective how nurses can effectively prepare patients, who have no identified caregivers, for discharge home.

Methods: A qualitative descriptive design was used. Semi-structured interviews were conducted with 16 adults recently discharged from a large metropolitan hospital in the western United States who reported having no one …

Trajectories Of Compassion Competence Among Clinical Nurses: A Longitudinal Study, Eunkyo Lee, Sunghee Park, Youngjin Lee

International Nursing Research Congress (INRC)

Purpose: This study aimed to identify distinct trajectories of compassion competence among clinical nurses and to examine demographic and psychosocial characteristics associated with each trajectory.

Background: Compassion competence is a vital attribute in nursing practice, encompassing cognitive, emotional, and behavioral capacities that enable empathetic, patient-centered care. Although compassion competence is recognized as essential to both care quality and nurse well-being, limited longitudinal evidence exists on how it develops over time. Identifying its trajectories and influencing factors is crucial for designing interventions that sustain compassionate care and workforce resilience.

Methods: A longitudinal cohort study was conducted with clinical nurses in South …

Lived Experiences Of Noise Exposure And Hearing Loss Among Native Americans, Melessa N. Kelley, Rose Wimbish-Tompkins, John Lowe, Camila Solorzano-Barrera, Oi Saeng Hong

International Nursing Research Congress (INRC)

Noise-induced hearing loss (NIHL) is an irreversible chronic condition resulting from prolonged exposure to loud noise and represents a major global public health concern. Native American (NA) populations are particularly vulnerable due to social and occupational determinants that increase exposure to high-noise environments, including construction, manufacturing factory, farming, and forestry. Hearing health has deep cultural importance for NAs, as oral communication is central to transmitting traditional knowledge and cultural teachings. Despite this, limited research has examined noise exposure, hearing protection practices, and the lived experiences of hearing loss within NA communities.

This study explores NA tribal members’ experiences with noise …

Effects Of Family-Based Frailty Self-Management Program On Caregivers Of Patients With Heart Failure, Yung-Ching Yang, Ai-Fu Chiou

International Nursing Research Congress (INRC)

Background: Family caregivers of patients with heart failure often experience decreased confidence in caregiving due to limited heart failure knowledge, the complexity of patient's condition and treatment, and insufficient social or professional support. These challenges can adversely affect caregivers' quality of life.

Objective: The study examined the effects of a family-based frailty self-management program (FRAIL-SM) on knowledge, self-care confidence, strain, and quality of life among family caregivers of patients with heart failure.

Methods: A randomized controlled trial was conducted with 116 pairs of frail patients with heart failure and their family caregivers recruited from two medical centers in Taiwan. Participants …

Limited Australian Clinical Guidelines For Pain Assessment In Hospitalized Older Adults With Cognitive Impairment: Implications For Safe And Quality Care, Rosemary Saunders, Kaoru Nosaka, Seng Giap Marcus Ang, Natasya Raja Azlan, Aaron Alejandro, Rohini Sharma Bhardwaj, Olivia Gallagher, Irene Ngune, Amineh Rashidi, Yan Hui Celestine Wee, Nilufeur Mckay

Research outputs 2022 to 2026

Introduction – Pain assessment remains challenging in healthcare settings in patients who are unable to self-report their pain. More than 50% of individuals with dementia and other forms of cognitive impairment (CI) experience pain daily. However, pain is frequently overlooked and inadequately assessed by healthcare professionals due to their lack of knowledge and guidelines to inform pain assessment. Pain is also a leading cause of hospital presentation and inappropriate pain assessment can impact on pain management and compromise safe and quality care. Evidence-based guidelines that inform appropriate pain assessment and management are therefore essential. This scoping review aimed to explore …

Relational Knowledge In The Women’S Majlis: Towards A Culturally Grounded Qualitative Methodology In The United Arab Emirates, Gareth Davey, Suaad Al Oraimi

Journal of International Women's Studies

Women-centered qualitative research in the United Arab Emirates (UAE) requires methodological approaches attentive to the places and practices through which Emirati women produce, share, and interpret knowledge. While feminist, decolonial, and participatory methodologies have challenged research approaches centered around men that are adapted for use in the UAE, comparatively little attention has been paid to grounding research in the everyday epistemic practices and social worlds of Emirati women. In this article, we develop a majlis-based relational methodology as a women-centered qualitative approach in the UAE. Our approach is centered on the women’s majlis—an Arabic term meaning a communal gathering place …