Digital Commons Network^™

De-Escalation Of Benzodiazepines In Older Adults With Memory/Cognitive Complaints, Andrea Kirincic Simovic

Advocate GME

No abstract provided.

Comprehensive Evaluation Of At(N) Imaging Biomarkers For Predicting Cognitive Decline, Tom Earnest, Braden Yang, Deydeep Kothapalli, Aristeidis Sotiras, Alzheimer's Disease Neuroimaging Initiative

2020-Current year OA Pubs

INTRODUCTION: Few studies have investigated how different Alzheimer's disease biomarker definitions affect predictions of cognitive decline.

METHODS: We predicted cognitive decline using 42 biomarker definitions spanning amyloid beta, tau, and neurodegeneration in 383 ADNI participants with baseline neuroimaging and longitudinal cognitive assessments. We identified optimal predictors for each pathology and variable type (continuous, binary, non-binary categorical) using nested cross-validation. Models were compared against support vector machines (SVMs) incorporating brain-wide pathology. In a subsample, we compared imaging-based biomarkers with biofluids (cerebrospinal fluid and plasma).

RESULTS: We observed substantial variability in accuracy, even for measures of the same pathology. Tau biomarkers were …

Legal Shifts And Judicial Inconsistencies In Strict Liability After The Omnibus Law: A Critical Analysis Of Indonesian Environmental Law For Responsible Mining And Esg Compliance, Nurul Listiyani, Khenza Atthaya Namira Yulianto

Journal of Environmental Science and Sustainable Development

The legal significance of strict liability in mining arises from the sector’s capacity to generate technically complex, diffuse, and long-latency environmental harm that is difficult to address through fault-based litigation alone. This study aims to evaluate how the post-Omnibus Law reformulation of Article 88 of Law No. 32 of 2009 has affected the doctrinal autonomy, judicial consistency, and practical enforcement of strict liability in Indonesian environmental law. The research used normative doctrinal legal research including statutory, case-law, conceptual, comparative, and evaluative analyses. The data cover the 2009–2025 period and consist of two core statutory formulations of Article 88, the Job …

Conflicted Investment Advice And "Free Lunches", Dana M. Muir, Norman P. Stein, James A. Wooten

Journal Articles

This article critically examines the consequences of conflicted investment advice given on retirement savings. It briefly traces the evolution of advice regulation under federal and state law and assesses the litigation that the regulation has spawned. The article highlights the tension between industry entities’ public claims of trustworthiness and those entities’ resistance to accepting fiduciary responsibility for investment advice. It identifies four transformational shifts that began during the 1990s, which made it imperative that retirement savers receive unconflicted investment advice.

The article explains why the current landscape of investment advice for retirement savers is fraught with conflicts of interest that …

Virtual Reality And Telehealth Simulation: Advancing Competency-Based Education In Nursing, Roy L. Trahan, Shinu Joy

International Nursing Research Congress (INRC)

Background: CBE emphasizes measurable skills through targeted assessment. Nursing programs need scalable models for consistent instruction and valid evaluation. Immersive strategies like VR simulation and telehealth encounters enhance reasoning, engagement, and individualized learning.

Purpose: This project details two CBE models, VR neurological assessment and telehealth standardized patient encounter and their impact on learning, competency, and readiness.

Method: Integrated into undergraduate courses using structured design and rigorous evaluation. In critical care, VR scenarios with guided debriefing promoted reflection; evaluation used surveys, performance metrics, and exam comparisons. In medical-surgical, telehealth encounters replicated authentic interactions; faculty-led debriefing and validated tools assessed communication and …

Effectiveness Of Nurse Led Home Based Cardiac Rehabilitation On Compliance And Health Outcomes, Sawroop Dhillon, Harmeet Kaur Kang

International Nursing Research Congress (INRC)

Background: India is facing a high burden of coronary artery disease(1,2), yet gaps in awareness, access to care, and non-compliance with treatment lead to poor outcomes(3,4). Engaging cardiac nurses to connect hospital care with community rehabilitation services is the need of hour in India(5).

Purpose: The study aimed to evaluate the effectiveness of nurse-led home-based cardiac rehabilitation (HBCR) program on the compliance and selected health outcomes among cardiac patients.

Methods: An RCT was conducted on 196 cardiac patients, randomly assigned to either the experimental or control group. A 12-week nurse-led HBCR program offered to experimental group (n=97) was compared with …

Anesthetic Resistance Linked To Mistletoe Therapy: Implications For Herb–Drug Interactions, Erin Elizabeth Murphy, Maria R. Molina

International Nursing Research Congress (INRC)

Background/Significance: As complementary and integrative therapies expand worldwide nurses and advanced practice providers increasingly encounter patients using natural products that may influence procedural safety. Mistletoe extract (Viscum album), widely used in integrative oncology, remains poorly studied in relation to anesthetic pharmacology. With rising variability in sedation responsiveness, improving global pharmacology literacy is essential to support safe cancer care.

Purpose: To describe a case of mistletoe-associated anesthetic resistance and examine mechanisms through which integrative oncology therapies may alter anesthetic effectiveness, with implications for nursing practice.

Case: A 32-year-old woman with metastatic colorectal cancer received three months of intravenous and subcutaneous mistletoe …

Leadership Starts Here: Bridging The Learning-To-Practice Gap With Competency-Based Education, Jihane Frangieh, Dorna P. Hairston

International Nursing Research Congress (INRC)

The purpose of this presentation is to describe how competency-based education (CBE) can be used to intentionally integrate leadership development into entry-level professional nursing education. Competencies are observable, measurable behaviors that reflect not only what students know, but how they apply knowledge and judgment in practice. When leadership competencies are embedded across the curriculum rather than treated as “add-ons,” new graduates are better prepared to meet the realities of contemporary practice.

Building on the American Association of Colleges of Nursing (AACN) Essentials, this work frames leadership as an expected entry-level competency rather than a skill to be developed only after …

Enhancing Community Health Volunteers In Screening Indonesian Community-Dwelling Older Adults, Riksa Wibawa Resna, Ching-Min Chen, Tram Thi Bich Nguyen

International Nursing Research Congress (INRC)

Indonesia faces a shortage of healthcare professionals (3.84 per 1,000 population, compared with the WHO standard of 4.45). Additionally, Community Health Volunteers (CHVs) play a crucial role in community-based geriatric care in Indonesia. However, their competencies in conducting Intrinsic Capacity (IC) screening remain limited.

This study aims to evaluate the effectiveness of a structured training program in improving CHV knowledge and skills related to intrinsic capacity screening.
A pre–post quasi-experimental design was employed with a total of 120 eligible CHVs recruited from three PHCs through purposive judgmental sampling. The two-day training program and a month of personal guidance were implemented …

The Impact Of Telemedicine On Pediatric Specialty Patients’ Access To Care, Barbara R. Medvec, Tamara L. Hill, John D. Knight

International Nursing Research Congress (INRC)

Pediatric patient no-shows to specialty clinic appointments are a problem, with no-show rates as high as 50%. The limited number of pediatric specialty providers leads to longer lead times when rescheduling, further delaying care. One often cited no-show factor is inconvenient appointment access. COVID-19 offered telemedicine as an additional patient access method. In this study, we compared no-show rates before the COVID-19 pandemic with no-show rates during the pandemic and in the post-pandemic period to evaluate (1) the impact of telemedicine patient access on the overall no-show rate for pediatric ambulatory clinic visits and (2) the telemedicine no-show rate compared …

Ai Literacy Among Nurse Educators: Assessing Adaptation And Integration In Nursing Education, Cora Rabe, Mikyoung Angela Lee

International Nursing Research Congress (INRC)

As artificial intelligence (AI) becomes embedded in both education and clinical practice, educators must be equipped to use it effectively and train graduates for AI-driven environments.1 AI offers benefits such as personalized learning, improved feedback, increased engagement, and decreased workload.2-5 However, researchers note a lack of standardized methods for implementing and evaluating AI in the classroom. Moreover, validated tools to assess AI literacy among nurse educators are lacking, hindering full integration of AI into nursing curricula.

This study aimed to (1) develop and validate the AI-Technological Pedagogical Content Knowledge and Ethics (AI-TPACK-E) scale, (2) evaluate nurse educators’ AI literacy, and …

Developing Ai Competencies In Nursing: An Aacn-Aligned Approach, Vincent Pair, Shayna Katz

International Nursing Research Congress (INRC)

Artificial intelligence (AI) is rapidly reshaping healthcare through its influence on documentation, decision support, communication, and workflow efficiency. As generative AI (GenAI) tools become increasingly embedded in clinical practice, graduate nursing students must be prepared to use them safely, ethically, and effectively. There are significant gaps in AI literacy among both faculty and students, including limited understanding of AI capabilities, risks, and appropriate applications in practice (Simms, 2024, 2025; Phillips, 2025). Nursing programs similarly lack structured learning outcomes and competency-mapped activities to support responsible AI use. National guidance reinforces the urgency of this work: the AACN Essentials (2021) highlight the …

“Whenever You Are Using Media, You Should Always Have A Purpose”: A Study Of Chinese Immigrant Mothers’ Media Practices, Xiaoning Gui, Daniel G. Krutka

Journal of Media Literacy Education Pre-Prints

This qualitative study explores how eleven Mandarin-speaking Chinese immigrant mothers of young children in a southwestern U.S. city navigate and mediate media in their households. Data were collected through semi-structured interviews. Findings show mothers balance media’s educational affordances with concerns about health and age-appropriate content, employing gatekeeping, time limits, and purposeful sharing. Mothers described children as learners, co-learners, and cultural connectors, sometimes reversing mediation by teaching mothers about U.S. media norms. Interpreted through a lens of Culturally Sustaining Pedagogy while also drawing on Confucian concepts, results underscore the need for early childhood educators to honor immigrant families’ practices while fostering …

Preliminary Clinical Evaluation Of Inhalation Aromatherapy With Blended Essential Oils On Sleep Quality In Adults With Sleep Disturbance, Punyanut Amorndoljai, Laddawan Choothong, Surachai Techaoei, Em-On Chaiprateep

Journal of Health Research

Background: Sleep disturbances impact cognition and physiology. While individual essential oils are documented, a gap remains in how multi-component blends can target multiple pathways. This study evaluated a blended essential oil (BEO) systematically guided by Thai Traditional medicine (TTM) principles to balance the "Wind" element (Tard Lom) alongside modern neurobiological validation.

Methods: A one-group pretest–posttest quasi-experimental study was conducted in adults (aged ≥ 20 years, n = 38) with sleep disturbances (PSQI > 5). The BEO formulation consisting of orange (2.5% w/w), lavender (1.0% w/w), ylang-ylang (1.5% w/w), geranium (0.5% w/w), cedarwood (2.0% w/w), and rosewood (2.0% w/w) in 95% ethanol …

20120918: Academic Affairs, 1984-2012, Academic Affairs

Guides to University Archives

These items include materials from the office of Academic Affairs at Marshall University from 1984-2012. Items were received in 2012 and include notable materials from Faces of Appalachia (CSEGA) Challenge Grant; Course Evaluations; Drinko and Morrow Libraries; Adjunct Faculty; New Faculty Orientation; Dept of Social Work; Academic Common Market Requests; Study Abroad; Assessment Plans; Women's Studies; and Core Curriculum Task Force. Please download the finding aid for a full list of contents.

The Role Of Family Problem-Solving And Neighborhood Social Cohesion On Child Socioemotional Learning Among Families With Low-Income, Nazaret C. Suazo, Alanah C. Claybaugh, Deborah J. Jones

Journal of Applied Research on Children: Informing Policy for Children at Risk

Socioemotional learning (SEL) is linked to a broad range of child outcomes, with income playing an important role in child SEL, yet most work has compared high- and low-income children yielding less understanding of variability in risk and protective factors within low-income families and communities. Building upon theories in the positive youth development literature and public health frameworks exploring social determinants of health, this study explored the role of family problem-solving, neighborhood social cohesion, and neighborhood resources in understanding child SEL within 1097 low-income families of 3- to 5-year-old children who participated in the National Survey of Children’s Health. Using …

Industry Implications Of A Scaffolded Hospitality Co-Op, Juan Mendez, Joel Reynolds

ICHRIE Research Reports

The hospitality industry faces a persistent skills gap as graduates enter the workforce with limited preparation in the adaptive, operational, and AI-enabled competencies modern employers require (Jackson, 2013; Sigala, 2018). Cooperative education offers a structured response, yet many programs default to a single internship that leaves the integration of theory and practice to chance. This report presents an undergraduate scaffolded cooperative education framework developed at a U.S. hospitality business school that sequences two foundation courses, six concurrent work-integrated courses, and a capstone digital portfolio across a two-year arc. The framework is grounded in experiential learning and scaffolding theory (Kolb, 1984; …

Examining The Effect Of Having A Disability On The College Experience, Grace Dudley

James Madison Undergraduate Research Journal (JMURJ)

Among people 25 or older in the United States in 2022, just 21% of individuals with a disability had earned a bachelor’s degree or higher, while 38% of individuals without a disability had earned a bachelor’s degree or higher. Previous research has identified a variety of barriers that students with disabilities may face as they pursue postsecondary education. The purpose of this study was to examine barriers students with disabilities (SWDs) face once they arrive at college in order to investigate how higher education may be made more accessible. Barriers were assessed by surveying SWDs attending James Madison University, a …

Temporal Variation In Picophytoplankton Pigment Phenotypes Of Two Urban Rivers, Kylee M. Lamberson, Camille E. Wendlandt, Kristin E. Forgrave, Anne W. Thompson

International Journal of Undergraduate Research and Creative Activities

Picophytoplankton are a group of photosynthetic, unicellular organisms, making them key primary producers in aquatic ecosystems. These cells numerically dominate in oceans and lakes where picophytoplankton communities contain phenotypic subpopulations that correspond to biogeographic patterns. In rivers, however, such community dynamics are less studied. We examined the phenotypic subpopulations of picophytoplankton in two converging urban river environments of Portland, Oregon (USA): the Columbia and the Willamette Rivers. From September 2022 through July 2023, we took roughly bi-weekly surface water samples and used multi-laser flow cytometry to distinguish between photosynthetic cells based on their size and pigment fluorescence. We discovered seven …

The Impact Of Unilateral Versus Bilateral Ankle Bracing On Kinematics, Kinetics, And Performance In Volleyball Players, Stephen M. Boulanger, Derek M. R. Kivi, Carlos Zerpa, Paolo Sanzo

Topics in Exercise Science and Kinesiology

This study examined the effect of different types of ankle braces (Ankle Stabilizing Orthosis (ASO) vs. T2 Active Ankle(T2)) when worn unilaterally (UNI), bilaterally (BI), and with no brace worn (UB) on lower extremity kinematics and kinetics during a vertical jump and agility test. Twenty-two competitive volleyball players completed both a vertical jump test and agility T-test under five bracing conditions. Vertical jump height (VJH), ankle dorsiflexion (ADF), ankle plantarflexion (APF), knee flexion (KF), hip flexion (HF), vertical ground reaction force (vGRF), and vertical impulse were measured during the vertical jump test, while time to completion was measured for the …

Portraits In Leadership: Six College Presidents Reflect On The Contemporary Presidency, Chris Thomas

Journal of Research on the College President

This qualitative study examines how six college and university presidents describe the contemporary presidency in their own words, offering a personal complement to existing research that often emphasizes governance, organizational structures, or survey data. Through in‑depth interviews conducted in 2025, presidents from community colleges, regional public universities, and a private liberal arts college reflected on their transitions into the role, leadership philosophies, institutional challenges, and the legacies they hope to leave. Their experiences reveal strikingly consistent themes across institutional types. Participants emphasized that “nothing fully prepares someone for becoming the president,” noting the profound shift in responsibility that accompanies the …

Adapting To Change: A Mixed Methods Approach To Understand How Colleges And Universities Are Utilizing Animals To Help Students Transition Into Higher Education, Christopher Puglisi, Shalini Mathew, Nicole D. Schutter, Monte Meyerink, Abiah George

People and Animals: The International Journal of Research and Practice

Individuals experience several changes in their lives, with one of the most impactful being leaving home to attend college. It is no surprise that college-age students need mental health support, especially in times of adjustment. To address this adjustment, animal-assisted interventions (AAI) have recently gained substantial attention. In this study, college and university departments that help students transition to higher education were surveyed (N = 59) and interviewed (N = 6) to understand how AAI are utilized. Results indicate that AAI have potential to ease students’ higher education transition, though institutions must establish an outline that states the benefits of …

Shrinkage Of Jupiter's Great Red Spot, Richard W. Schmude Jr.

Georgia Journal of Science

This report summarizes changes in Jupiter's Great Red Spot (GRS) on the multi-decade time scale.  The mean shrinkage rates for 1960-2016 are 0.21 degrees/year (east-west) and 0.52 degrees/year (north-south).  The east-west shrinkage rate is much higher than the corresponding value for Oval BA.  Between 1878 and 2026, the GRS area shrunk by over a factor of four with a mean annual shrinkage rate of 1.0 %.  The GRS quotient (east-west length in degrees longitude divided by north-south length in degrees latitude) has decreased.  This is consistent with the GRS becoming more circular with time.  This is different than Oval BA, …

Neurodiverse Authority, Gavin Pereira Scoccia

Undercurrents: A Journal of Undergraduate Student Composition

Gavin Pereira Scoccia is a biology major and anthropology minor from Brookline, MA. While writing this essay Gavin says, “I was so upset at the education system for not giving me, or my neurodivergent peers, a chance.” Gavin shares that he was diagnosed with ADHD at a young age but “never got accommodations despite needing them, leading me to fail in school.” Gavin often believed that he was lazy, did not try hard, and was simply not good enough, and he believes that schools often let students down because they have preconceived notions about what makes a “good student.” He …

Life's A Fashion Show (If You're A Teenage Girl), Madeline Murphy

Undercurrents: A Journal of Undergraduate Student Composition

Madeline Murphy is a double major in physics and art from Dorchester, MA. Fashion is a hobby of Madeline’s, she felt it was important to look back and “explore the role of fashion in the world of middle and high school, to help myself and others better understand our outfit choices: a task we complete every day, yet maybe don’t analyze enough.” Madeline considers fashion to be an art form and often compares fashion trends to art movements. She enjoys sewing and has been working on enhancing her garment-making skills. Madeline enjoys painting portraits and reading books, particularly those related …

Who Are The "Chronically Online" And What Can They Teach Us About Public Discourse?, Avery Knott

Undercurrents: A Journal of Undergraduate Student Composition

Avery Knott is a management major with a concentration in marketing from Sturbridge, MA. Avery writes that, “as someone who has grown up with social media as a constant throughout my life, I’ve begun to feel more and more distaste towards the apps and websites that have partially defined my social experience.” She has noticed that “particularly since COVID, interacting with people in person did not reflect the interactions she was having and seeing online.” She enjoyed the freedom that this paper allowed, and shares that “being able to explore a topic in depth that interests me was a freeing …

Do You Know Who You Are When You Write?, Lynn-Sarah Georges

Undercurrents: A Journal of Undergraduate Student Composition

Lynn-sarah Georges is a business management major with a concentration in finance. She is Haitian-American and was raised in Medford, MA. Lynn-sarah says that this essay was important to her “because I had never felt like it was accepted or okay to write in my true voice in an academic setting. I feel passionate about ‘knowing who you are when you write’ because that feels like activism in the classroom.” As a student who speaks English, Haitian Creole, and French, it is important to her that she is “not only writing in my own voice but also being able to …

Teachers Are Encouraging Bullshit: A Response To Kylie Medieros, Maxine Freda

Undercurrents: A Journal of Undergraduate Student Composition

Maxine Freda is a computer science major from Plympton, MA. She states that this essay—a response to Kylie Medeiros’s Undercurrents essay from last year—”was a way for me to air my grievances with the rigidly structured way the school system teaches writing in high school.” Maxine notes that this is the first essay she ever wrote where she cared so strongly about the topic. She shares that this type of writing process was “far more enjoyable and resulted in something I could be proud of.” The freedom to write about “what I want in the way that I want” was …

The Practicalities Of Code-Switching, Armani Dure

Undercurrents: A Journal of Undergraduate Student Composition

Armani Dure is a labor studies major from Malden, MA. After reading previously published Undercurrents essays, specifically Aneika Robinson’s essay on marginalization through race and language, Armani was inspired to reflect on his own interactions with academic spaces. He says that “This semester was one of the first times I really experimented using ‘I’ in my academic writing.” He adds that using “I” in his writing “allowed me to not only connect more to my writing but also get more personal. I think that ability gave this essay its flair.” Armani’s major indicates his passion for social and economic justice, …

Who Is Getting Left Out?: Breaking Down Language Barriers In Healthcare, Jackelyne Abranches

Undercurrents: A Journal of Undergraduate Student Composition

Jackelyne Abranches is an exercise and health sciences major from Everett, MA. She says that this essay was inspired by her firm belief that language should never hinder someone’s access to quality healthcare. Jackelyne’s career goals revolve around “breaking down these language barriers and many others to ensure equal health opportunities for everyone.” As a first-generation American, she grew up observing various health challenges faced by her Brazilian family members. She says that “witnessing their struggles has deeply impacted me, and it is this first-hand experience that fuels my passion for ensuring equitable access to healthcare for all immigrants.” Jackelyne’s …