Digital Commons Network^™

Sustaining Small Tutorial, Coaching, And Shadow Education Operations In Nigeria, Adeyinka Adebose Dawodu

Walden Dissertations and Doctoral Studies

Some tutorial and training center managers lack effective strategies effective business sustainability strategies, resulting in poor performance and reduced profitability. Tutorial business stakeholders realize that failure of these centers creates a loss of opportunities for Nigerian youth who depend on their training and preparatory services. Grounded in the performance prism framework, the purpose of this qualitative multiple case study was to identify and explore effective strategies that Nigerian Tutorial/training center managers use to sustain their centers beyond 5 years. The participants were six managers of tutorial/training business centers who have sustained their centers in nonaffluent areas of Lagos and Ogun …

Medical School Admissions Officers' Perceptions On Lower Admissions Rates Of Black Applicants In Georgia, Wanda Sebrena Thomas

Walden Dissertations and Doctoral Studies

The problem addressed through this study was the disproportionate lower admission rates of Black students compared to their White counterparts at a Georgia medical school. Grounded in Bourdieu’s theory of social reproduction, the purpose of this study was to explore admission officers’ perceptions on the factors contributing to lower admission rates of Black applicants at a Georgia medical school. For this basic qualitative design, semistructured interviews with 10 admissions officers were conducted. Through Saldaña’s first- and second-cycle coding procedures, the following nine themes emerged: (a) Medical College Admission Test scores create barriers for Black applicants; (b) unequal educational resources and …

Journal Staff

Duke Law Journal

No abstract provided.

Mapping Coastal Community-Based Tourism Empowerment: Public Policy And Sustainable Development On Bangka Island, Putra Pratama Saputra, Hadiyanto Abdul Rachim, Arie Surya Gutama, Moch. Zaenal Hakim

Jurnal Wacana Politik

This study analyzes the conceptualization and practice of community-based tourism empowerment on Bangka Island, serving as a strategic approach to promote sustainable and inclusive coastal tourism. Employing a qualitative descriptive approach, data were gathered through interviews with nine key informants, observations, and policy document analysis. Findings reveal that these empowerment initiatives significantly strengthen individual and institutional capacities, enhance community participation in tourism planning, and drive economic diversification from extractive industries to sustainable tourism. Furthermore, this approach facilitates economic transformation through the development of micro, small, and medium enterprises (MSMEs) and coastal ecotourism, concurrently reinforcing environmental conservation and cultural preservation. However, …

Developing A Climate-Adaptive Public Service Framework For Sustainable Agriculture: Preliminary Evidence From A Disaster-Prone Village In Indonesia, Susila Susila, Rizky Aditya Surya Pratama, Muhammad Daud Yusuf, Diah Apriliani

Jurnal Wacana Politik

Artikel ini bertujuan mengkaji bagaimana pelayanan publik tingkat desa dapat diintegrasikan dengan Climate-Resilient Agriculture (CRA) untuk mendukung kapasitas adaptasi petani di kawasan rawan bencana hidrometeorologi di Jawa Barat, Indonesia, serta mengidentifikasi dimensi kandidat bagi kerangka Climate-Adaptive Public Service for Sustainable Agriculture (CAPSSA). Menggunakan desain studi kasus kualitatif eksploratif yang dilandasi tinjauan literatur terstruktur dan analisis dokumen kebijakan, penelitian ini menghimpun wawancara semi-terstruktur dengan empat informan di Desa Cibiru Wetan, Kecamatan Cileunyi, Kabupaten Bandung—Kepala Desa, Kepala Dusun, Ketua RW, dan anggota kelompok tani setempat—disertai kajian dokumen kebijakan kebencanaan dan pertanian tingkat kabupaten dan provinsi yang tersedia untuk publik. Analisis awal menemukan …

Cognitive Impairment In Idiopathic Intracranial Hypertension: A Conceptual Framework And Therapeutic Implications, Brandon Shin, Vishnu Achyuth Suresh, Nicholas Borg

Student Publications

Background: Cognitive impairment is an increasingly recognized but poorly understood manifestation of idiopathic intracranial hypertension (IIH). Although deficits in attention, executive functioning, memory, processing speed, and reaction time have been reported, the characteristics, trajectory, and underlying mechanisms of cognitive dysfunction remain incompletely defined. Interpretation of the literature is limited by heterogeneity in study design, variability in neurocognitive assessment methods, and the absence of standardized cognitive outcome measures. Consequently, cognitive morbidity is overlooked in clinical practice and is not incorporated into treatment decision-making, which remains centered around visual outcomes and papilledema.

Methods: In this narrative review, we synthesize evidence from IIH …

Experiences Of Acute Psychiatric Inpatients: A Literature Review, Sheng-Tsung Lan

International Nursing Research Congress (INRC)

Patients’ perceptions of psychiatric wards often differ from staff views. Closed wards may feel oppressive, and restrictive practices can increase anxiety. In contrast, open-door policies, meaningful activities, and social connections improve perceived safety. Safewards strategies, such as Calm Down Methods and Reassurance, help create a calmer environment but require sufficient staffing, training, and alignment with ward culture. High staff turnover and inconsistent training threaten sustainability.

Interactions between staff and patients strongly influence the inpatient experience. Patients value respect, empathy, and genuine engagement. Impersonal or standardized responses can increase feelings of neglect. Safewards encourages humanized communication through Soft Words, Talk Down/Through, …

Wash Project: Promoting Menstrual Hygiene Through Alignment With The Sustainable Development Goals, Sandra Ojurongbe, Nakisha Kinlaw-Williams

International Nursing Research Congress (INRC)

Background: Menstrual hygiene management is a global public health concern. Moreover, cultural norms, stigma, and myths or taboos further hinder the achievement of menstrual health, contributing to absenteeism and gender-based inequalities (Babbar et al., 2022). A recent report by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) (2024) found that 2 out of 5 schools provide menstrual health education, and less than 1 in 3 schools have bins for menstrual waste in girls’ toilets. In sub-Saharan Africa, 12% of schools have menstrual materials available. To address these issues, a WASH educational document was created by a non-governmental …

Np Full Practice Authority: Does Increasing Access To High Quality Care Make A Difference?, Cynthia Sanchez

International Nursing Research Congress (INRC)

The purpose of this presentation is to compare outcomes for states that had full practice authority (FPA) for NPs to those that do not.

The aim of this study was to examine the impact of FPA on patient outcomes. A principal factor in the excess mortality rate of the U.S. is the health disparities that exist in this country, which are influenced by the social determinants of health.

CDC and NIH data were utilized after the official end of the Covid 19 pandemic mortality rates, utilization of services and health status were used to compare states that had full practice …

The Effects Of Team-Based Learning On Students’ Perceptions Of Interprofessional Collaboration, Donna Copeland-Streeter

International Nursing Research Congress (INRC)

Introduction: Effective interprofessional teamwork is essential for collaborative, patient-centered care, yet health science students often lack structured opportunities for shared learning. Incorporating intentional and continuous interprofessional education (IPE) throughout the curriculum is critical for building the communication and collaboration skills needed for team-based clinical practice.

Background: Although the value of IPE is well established, health science students are rarely trained together before entering practice. Barriers such as rigid curricula, limited resources, inconsistent leadership support, and institutional resistance hinder implementation. These gaps contribute to communication failures, workflow inefficiencies, and compromised patient safety. Embedding IPE into cross-disciplinary curricula can provide authentic teamwork …

Transforming Nursing Education Through Pex, Andrea Harrow

International Nursing Research Congress (INRC)

Patient experience is a cornerstone of healthcare quality, influencing outcomes, reputation, and reimbursement. Despite its importance, many organizations struggle to integrate patient experience strategies into nursing education and leadership development. This project addressed that gap by leveraging Guest Relations (GR) and Patient Experience (PEX) initiatives to strengthen nursing competencies and leadership skills within a large health system.

Background: Research links patient experience to safety, quality, and financial performance. Communication, empathy, and service recovery are essential skills for nurses and leaders. The National League for Nursing (NLN) emphasizes leadership and quality improvement as core competencies, yet few studies explore integrating GR …

Np-Led Family-Assisted Dyspnea Management To Enhance Comfort In A Respiratory Ward, Shih-Ying Chang, Chia-Chi Chang, Shih-Ying Lin, Cheng-Pei Wang

International Nursing Research Congress (INRC)

Background: Dyspnea is a frequent and distressing symptom among patients in respiratory care wards (RCWs), especially those requiring prolonged ventilatory support. Breathlessness contributes to anxiety, impaired communication, and reduced rehabilitation. Although family engagement improves patient comfort and care continuity, structured family-centered dyspnea interventions remain limited. Nurse practitioners (NPs) play a central role in patient–family communication and are well positioned to lead such programs.

Purpose: To evaluate the feasibility, effectiveness, and acceptability of an NP-led family-engagement dyspnea care program designed to reduce dyspnea and strengthen caregiving confidence in an RCW.

Methods: A quasi-experimental pre–post pilot study was conducted in an RCW …

Pyrolysis Of Biomass Feedstocks For Hydrogen-Enriched Syngas Production: Cold Gas Efficiency Modelling, Latin Hypercube Uncertainty Analysis, And Parametric Stress Analysis, Hadi Taghavifar, Thomas Allison, Hao Chen, Dibyendu Roy, Abdullah Malik, Yaodong Wang, Anthony Paul Roskilly, K.V. Shivaprasad

School of Engineering, Computing and Mathematics

Biomass-derived syngas offers a viable pathway for producing renewable, hydrogen-rich fuel gas. However, its conversion performance is influenced by feedstock type, temperature, feed rate, and moisture content. This study develops a Cold Gas Efficiency (CGE) model for four agricultural feedstocks: wheat, barley, oilseed rape, and beans. Temperature-dependent regression correlations are developed for the main syngas components and gas flow rate using experimental data. Results show that CGE is highly sensitive to temperature, with low-temperature stress (0–5th percentile) reducing mean CGE by up to 22%. High-moisture stress (95–100th percentile) produced an even larger decline, lowering mean CGE from ∼44% to ∼35% …

Digital Infrastructure For The Inclusion Of Small And Medium Enterprises (Smes) In Design For Distributed Manufacturing And Assembly Construction Ecosystems, Alejandro Veliz Reyes, Duhan Olmez, Alastair Parvin, Clayton Prest, Gabriele Granello, Amber Richardson, Alex Tempest, Kester Hoefkens, Louisa Knowles, Silas Fowler

School of Art, Design and Architecture

The construction sector faces growing pressure to meet net-zero targets while addressing skills shortages, fragmented supply chains, and the limited participation of Small and Medium-Sized Enterprises (SMEs), despite SMEs delivering most UK construction output. Existing centralised models of Modern Methods of Construction (MMC) often exclude SMEs, highlighting the need for alternative approaches that support inclusive, low-carbon industrial transformation. This paper presents a Design for Distributed Manufacturing and Assembly (DfDMA) framework that develops the shared digital and organisational infrastructure required for SME participation in timber-based MMC. Using a mixed-method approach combining co-design, research-in-residence, prototyping, and a full-scale demonstrator, the study developed …

A Square Peg In A Round Hole: Academic Review And Exhibitions, Cory L. Nimer, Megan E. Frost

Faculty Publications

Academic libraries increasingly use exhibitions as scholarly communication, yet conventional peer-review models rarely account for their collaborative, interdisciplinary nature. Museums and other GLAM institutions have developed standards addressing exhibition goals, audiences, interpretation, attribution, access, and visitor engagement, offering a useful foundation for academic library practice. At Brigham Young University, a library task force examined peer-review models across disciplines and adapted museum standards into a policy for evaluating exhibitions as scholarship in retention and promotion processes. Approved in January 2025, the policy was first applied to By Study and By Faith: 150 Years of BYU, an exhibition developed for the …

Access In Teaching Stem Subjects To The Blind, Ashley E. Neybert

Journal of Science Education for Students with Disabilities

There are still many gaps in the literature regarding the difficulties faced by instructors of students who are blind and low vision and who teach Science, Technology, Engineering, and Math (STEM) subjects. We surveyed 26 K-12 STEM teachers about accessible materials they are aware of versus which accessible materials they use in their classrooms, their thoughts on how common challenges identified in the extent literature affect them in their teaching, and their perspective on how much extra time may be required for blind and low vision students (if any) to effectively learn STEM subjects.

Selections From American Poetry League Bulletin, Fall 1973, Lydia O. Jackson, American Poetry League

Lydia O. Jackson Papers

A selection of pages from the Fall 1973 issue of the American Poetry League Bulletin. Included is the bulletin cover, title page, Lydia O. Jackson’s poem, “Books,” and an anonymous article, “A Brief History of the American Poetry League from 1922 to 1964.” The American Poetry League (APL) was first founded in 1922 as the Midwest Poetry League. Jackson was a member of the APL and frequently published poems in the Bulletin. Her collection includes dozens of issues of the Bulletin, as well as related organizational materials. Her poem, “Books,” expresses her love of books and reading.

Transforming Military Spectrum Management With Spectrack, Rachel Mccoy, Rafa Gould, Abby Fornadel

James Madison Undergraduate Research Journal (JMURJ)

The U.S. military faces operational and financial challenges due to inefficient electromagnetic spectrum
management. This poster and accompanying research statement introduce our minimum viable product, SpecTrack, which we created in response to a challenge presented by the U.S. Department of Defense's Joint Spectrum Agency. SpecTrack centralizes and visualizes spectrum requests to offer insights, streamline communication, and reduce costs. It integrates with current tools like Spectrum XXI and HUNSWDO while enhancing usability through a visual Common Operating Picture (COP). Our user-centered design process included stakeholder interviews and site visits to Germany. The result: a scalable platform that modernizes and simplifies military …

Using Digital Engagement Methods To Balance Democracy And Efficiency In Public Decision Making, Catherine Zietse

PNHA Review

At the bedrock of our democratic society is the active participation of everyday people in shaping public affairs. Local governments seek to build inclusive and democratic processes for decision making, while at the same time being good stewards of scarce resources to efficiently address immediate needs of the community. This paper explores the role of digital engagement in balancing democracy and efficiency in public decision-making by looking at both theory and practice. Academic literature and case studies from the field show that technology and digital engagement platforms do not circumvent the risks of traditional engagement methods but provide both opportunities …

Fitness Standards For Police, Kam Robles

PNHA Review

This research addresses the inherent stressors within police work and the health and wellness problems prevalent among law enforcement officers. Police officers are at a higher risk of many of the health concerns currently plaguing the population of the already unhealthy United States. Of particular note is that back injury and pain stands out as potentially the most prevalent among the health issues experienced by law enforcement personnel. Worsening this fact is the recent trend of law enforcement administrators shying away from the issue of the unhealthy employees of law enforcement agencies. The solution of implementing widespread voluntary physical fitness …

Social Innovation As A Catalyst To Achieving The United Nations Sustainable Development Goals (Sdgs), Patricia Okolo

PNHA Review

This research explores the re-shaping role of social innovation in advancing the Sustainable Development Goals (SDGs), developed by the United Nations in 2015. In the midst of global challenges such as poverty, inequality, and climate change, this research examines social innovation as an important mechanism for achieving sustainable development. The article highlights the significant contributions of social innovation across various sectors, emphasizing its ability to address unmet social needs, promote environmental sustainability, and foster economic development. It identifies critical factors for the success of social innovation, including community involvement, scalability, access to resources, and supportive policy environments, and highlights the …

The Psychology Of Healthy Aging: A Blend Of Cognitive And Behavioral Aspects For Staying Healthy, Esther B. Noah

PNHA Review

Human life expectancy has increased in most parts of the world with a noticeable demographic shift toward a larger population of older adults. This increase and shift have created an unexpected gap in our healthcare system and society. With these changes, how can older adults be guaranteed increased longevity, quality of life, and a healthy life span? This article explores the psychology of healthy aging, emphasizing that proactive health management plans and positive health behaviors contribute to healthy aging among the older adult population. While primary data collection through interviews was conducted to support the study, the analysis primarily relies …

A New Age Of Leaders: Examining The Empowering Effect Of Collaborative Leadership In Nonprofit Organizations, Colton C. Hyble

PNHA Review

In the changing environment in the nonprofit sector, leaders are under increasing pressure to satisfy stakeholders and bring change to their communities. The collaborative leadership style, proposed and built upon by various authors in the twentieth century, is one potential solution. A theoretical analysis was conducted to understand the collaborative style, its strengths and weaknesses, and its applicability to the nonprofit sector. Results showed overwhelmingly positive findings in the impact on the organization, highlighted by increased organizational performance, a positive workplace environment, and superb employee job satisfaction. Few drawbacks and potential pitfalls exist in slowness, the possibility of a narrow …

A More Comprehensive Response: Collaboration Between Nonprofit Organizations, Abigail J. Punt

PNHA Review

Collaboration between nonprofit leaders and organizations has gained increasing attention as a potential solution to the challenges of funding and program design nonprofits experience in the face of complex social issues. Could collaborative arrangements between nonprofits create more innovative solutions and unlock access to greater resources in an increasingly competitive environment? While much attention has been paid to the role of resource dependency in driving organizations to collaborate, there are additional aspects of these arrangements that must be considered. While the benefits of collaboration are typically shared collectively by partnering organizations and the communities they serve, the costs associated with …

Mental Health Standards In Michigan Juvenile Detention Facilities: At Odds With Best Practice And State’S Own Public Health Code, Jessica M. Montgomery

PNHA Review

This paper details the current standards and qualifications established for mental health providers in Michigan juvenile justice system (JJS) detention facilities. The state policies regulating JJS detention facilities are compared with Michigan’s Public Health Code Act (1978) and best-practice recommendations published by national mental health and juvenile justice authorities. This paper finds that Michigan policies regulating JJS detention facilities fall below both national best-practice recommendations and the state Public Health Code (1978), and effectively establish a standard of mental health care for youth in JJS detention facilities that is below what is established for youth in the general public. It …

Makers And Small-Scale Manufacturing In Cities: Strategies For Fostering Place, Urban Production, And Economic Growth, Charles Steven Hively

PNHA Review

This paper seeks to answer whether incentivizing makers and small-scale manufacturing has any effect on the economic development or economic growth of a region. Currently, no research exists indicating a causal link between economic growth and incentivizing makers and small-scale manufacturing. Much of the previous conversation from economic development focuses on place-making and revitalization of distressed areas. This paper attempts to link three observations together to infer a positive correlation with economic growth: that higher productivity cities have higher levels of wages and employment; that incentivizing or promoting small-scale manufacturing increases their number and success; and that these small businesses …

Transforming Healthcare With Ai: The Illusion Of Control, Garrett L. Heaney

PNHA Review

Artificial intelligence is a new technology that has paved a path into the future for our healthcare sectors. This technology uses machine learning methods and big data to conduct its intended purpose within its designated parameters; however, researchers and consumers have experienced unintended outcomes. Artificial intelligence is deployed throughout our daily lives, so our society looks at this immense responsibility superficially. As organizational leaders experience short-sighted tunnel vision and push for innovative artificially intelligent programs, they do not realize the potential severe dangers.

This paper argues for a graded approach to studying and implementing artificially intelligent machines in healthcare. Our …

High Times Or Hazy Horizons? Michigan’S Cannabis Market As A Rural Economic Development Tool, Jakob L. Bigard

PNHA Review

Since legalizing cannabis for adult use in 2018, Michigan’s (recreational) cannabis market has become the second largest in the nation. As the state’s market sees rapid maturity, it serves as a model for other states with ongoing legalization efforts. Michigan’s actions, and others like it, have begun to impact movement at the federal level, with multiple cannabis-related bills being introduced in Congress to President Biden signing the first standalone marijuana reform bill earlier this month. As Michigan’s cannabis market continues to mature and grow, it deserves attention from economists and academics alike. Using traditional economic development metrics, this paper evaluates …

From The Editor-In-Chief, Richard Jelier

PNHA Review

No abstract provided.

Differences In Mental Toughness Among Mixed Martial Artists And Physically Active Individuals, Savannah M. Calleja, Soleil Ramos, Victoria Potvin, Anthony A. Ricci, Gabriel J. Sanders, Corey A. Peacock

Journal for Sports Neuroscience

Mixed Martial Arts (MMA) is a physiological and psychological demanding sport. While the majority of the literature conducted in MMA regards physiological health and risk of injury, researchers are beginning to assess the psychological profiles of MMA athletes. Previous studies have evaluated mental toughness (MT) within MMA; however, no study has examined MT in MMA athletes at the professional division. Therefore, the primary purpose of this research was to evaluate the difference in mental toughness between professional MMA athletes and physically active individuals. Secondary aims are to evaluate potential variations in mental toughness within the professional level between champion and …