Digital Commons Network^™

Alexithymia In Substance Use Disorders: A Scoping Review Of Therapeutic Approaches, Pratami Diah Herliani, Shelly Iskandar, Angela Vera Herman Efendi

Pharmacology and Clinical Pharmacy Research

Alexithymia, defined as the inability to recognize and express emotions, has a high prevalence (40–50%) among individuals with substance use disorders (SUD), particularly alcohol use disorder, and is associated with poorer clinical outcomes. Despite this, comprehensive mapping of psychotherapeutic interventions targeting this condition within the SUD population remains limited. This study aimed to systematically map the therapeutic approaches investigated to address alexithymia among individuals with substance use disorders and to summarize the reported outcomes. A scoping review was conducted in accordance with the PRISMA-ScR guidelines using systematic literature searches in the PubMed and Scopus databases. Relevant studies were screened based …

Spiraling Up, Spiraling Down: A Multi-Level Study Of Social Value Creation And Community Capitals In A Mexican Social Enterprise, Karla M. Corres Luna

Graduate Doctoral Dissertations

This dissertation examines how a social enterprise creates social value and, through the same intervention, erodes it in the communities it serves. Research on social entrepreneurship has theorized value largely from the organizational viewpoint, measured it at a single point in time, and rested on an unexamined aggregation assumption: that gains delivered to individual households sum into well-being at the level of the community. This study holds that assumption up to community-level, participant-centered evidence. Through three qualitative studies of a participatory housing model implemented by a social enterprise in two informal settlements in Querétaro, México, it analyzes social value creation …

Traversing The Broken Staircase: The Experiences Of Academic Neglect For Black & Brown First-Generation College Students, Kashmeel D. Mckoena

Graduate Doctoral Dissertations

Although Black and Brown students are diversifying college campuses and opening doors for their families as new cohorts of first-generation collegians, they often find themselves silently dealing with the aftermath of academic neglect from U.S. secondary education. This phenomenon can be understood from extant literature as absence of reliable guidance, mentorship, resources, and support that help students persist and succeed in their academic goals. Existing explanations of grit and resilience (Duckworth et al., 2007) not only erase the existence and impact of academic neglect, but also mask the creative solutions and compensatory strategies that Black and Brown first-generation college students …

The Anti-Racist Organization? Power, Embodiment, And The Politics Of Becoming, Patricia Tiimah Naya

Graduate Doctoral Dissertations

Why do organizational justice commitments so rarely produce structural transformation, and what happens to the people who take them seriously? This dissertation addresses that question through a longitudinal qualitative study of Aequitas University, a large public urban research institution in the northeastern United States, during a multi-year attempt to become “anti-racist.” Drawing on 129 semi-structured interviews with 115 organizational members, 7 focus group discussions, four years of field observation, and an archival corpus spanning more than a decade of institutional history, the dissertation examines how justice commitments move through organizations over time. Justice commitments do not simply succeed or fail. …

Innovating A Crustacean Embryo Toxicity (Cet) Assay For Screening Environmental Contaminants, Irina A. Polunina-Proulx

Graduate Doctoral Dissertations

Environmental pollutants can disrupt normal developmental processes, leading to neurobehavioral and developmental abnormalities. Toxicity tests are important for evaluating environmental contaminants; however, standard assays are often time- and cost-intensive and typically require large numbers of vertebrate animals. These limitations highlight the need to reduce reliance on vertebrate testing and to develop New Approach Methodologies that provide comparable results while improving efficiency and cost-effectiveness. This research utilizes a novel screening assay to evaluate developmental toxicity using Hyalella azteca. H. azteca is a freshwater amphipod widely used as a model organism for sediment toxicity in ecotoxicology, yet its embryos have been minimally …

Revictimization Of Female Sexual Assault Survivors During Cross-Examination From The Perspective Of Criminal Prosecutors, Robyn Fuchs

Walden Dissertations and Doctoral Studies

Sexual assault is a heinous crime that remains one of the most underreported crimes. Victims of sexual assault face scrutiny for reporting and may be revictimized by the process. The intent of this study was to examine how cross-examination has the potential to revictimize female sexual assault survivors from the perspective of criminal prosecutors. This study may provide insight on whether defense attorneys intentionally cause harm to victims or if there is an automatic level of trauma in testifying. Ten interviews were conducted with criminal prosecutors across the United States. After the interviews, the transcripts were manually analyzed to identify …

Fashion, Lifestyle, And Symbolic Capital: Identity And Resistance In Eka Kurniawan’S Beauty Is A Wound, Dewi Meyrasyawati, Cysakaren Diva Pratiwi, Nisar Ul-Haq

Paradigma: Jurnal Kajian Budaya

This study examines how fashion culture and lifestyle, understood as modes of self presentation, social performance, and everyday practice, operate as tools of identity construction and resistance in Eka Kurniawan’s Beauty Is a Wound. The objective is to reveal how beauty, personal choices, and public perception function as symbolic capital in negotiating gendered power relations, class hierarchies, and political constraints. Using close textual analysis, the research explores how female characters, particularly Dewi Ayu, mobilize appearance, behavior, and life decisions to challenge dominant ideologies and redefine their roles in society. The findings show that fashion culture in the novel extends beyond …

A Discrepancy Evaluation Of Workforce Capacity And Emerging Skills: A Utah Case Study, Lendel K. Narine, Paul A. Hill, Andreé Walker-Bravo

Extension Research

This study examined employer-perceived competency discrepancies, anticipated competency requirements, hiring barriers, and valued educational experiences in Utah. Survey data were collected between September and October 2025 from 226 individuals with hiring responsibility in Utah-based organizations. The Ranked Discrepancy Model (RDM) quantified discrepancies between respondents’ ratings of competency importance and their satisfaction with demonstrated employee proficiency. Respondents reported the largest discrepancies for time management, critical thinking, conflict resolution, ethical judgment, and verbal communication of ideas. Respondents rated communication, collaboration, analytical thinking, and lifelong learning highest among competencies anticipated to matter most over the next five to ten years. Most employers identified …

Comm 11 Fundamentals Of Interpersonal Communication Textbook, Teresa A. Fisher

Open Educational Resources

A survey of interpersonal communication.

Autoethnography: Understandings, Evolution, And The Influence Of Genai, Prokopis Christou

The Qualitative Report

Autoethnography occupies a central place within qualitative research because of its focus on lived experience, reflexivity, and meaning-making. In this paper, I critically examine the implications of generative artificial intelligence (GenAI) for autoethnographic inquiry through a reflexive and theoretically informed discussion situated within the contemporary AI-mediated era. By revisiting key understandings and developments of autoethnography while drawing on technological mediation theory, I explore how GenAI extends beyond a mere tool to become a mediating mechanism capable of profoundly shaping autoethnographic practice. Attention is given to how seemingly minor AI-generated alterations may transform lived experience into more polished, coherent, and emotionally …

Association Of Tooth Wear With Dentin Hypersensitivity: A Systematic Review, Sumanth Kumbargere Nagraj

Peninsula Dental School

Objectives: The association between tooth wear (TW) and dentin hypersensitivity (DH) is not well understood. This systematic review investigated the role of TW (and etiological factors) as an associated factor for DH. Materials and Methods: Literature search was conducted in five databases with terms related to DH and TW, until April 2025. Three pairs of independent reviewers selected clinical studies reporting on DH and TW (and related etiology) in dentate adults, and performed data extraction. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. A structured narrative synthesis was performed. Results: Twenty-one studies were included, with DH …

Cost Analysis Of Rheumatoid Arthritis In Insured Patients And Its Determinant Factors: Data From A National Referral Hospital In Indonesia, Rudy Hidayat, Fara Fauzia, Mochammad Alfansyah Dhifanra, Aries Maulana

Kesmas

Rheumatoid arthritis (RA) leads to progressive functional impairment and considerable economic burden. This study estimated the annual (12-month) cost per patient among patients with RA and its determinant factors. A descriptive cross-sectional economic study of RA patients who had been treated for at least one year at the outpatient clinic of a national referral hospital in Jakarta, Indonesia, and met the 2010 ACR–EULAR criteria. Data collected from January 2023 to December 2024 were obtained from medical and billing records for demographic characteristics, direct medical costs, and DAS28-based disease activity, whereas non-medical and indirect costs were collected through structured patient interviews. …

Nihilistic Violence Aesthetics In Public Online Communication, Heath Nicholas Landress

Journal of Social, Behavioral, and Health Sciences

Public online communication has increasingly included violence-related content that is meme-based, ironic, visually stylized, multimodal, and only partially ideological. This comprehensive literature review synthesized research on online extremism, extremist memes, toxic multimodal content, dehumanizing digital communication, nihilistic violent extremism, warning behaviors, platform affordances, and youth-facing online environments. The purpose was to clarify what the literature had established; identify where the scholarship remained fragmented; and map research domains relevant to social, behavioral, public safety, and human services scholarship. The review used a structured, comprehensive literature review strategy supported by integrative synthesis procedures. The final corpus contained 34 scholarly sources, including 32 …

Vetiver Biochar Application For Heavy Metal Sequestration In Water Treatment: Bridging Perfumery Waste And Environmental Sustainability, Sameer Neve, Viravid Na Nagara, Zhiming Zhang, Rupali Datta, Dibyendu Sarkar

Michigan Tech Publications

Converting industrial byproducts into functional adsorbents supports circular and sustainable approaches to water treatment. This study evaluated biochar derived from spent vetiver (Chrysopogon zizanioides) roots, a byproduct of the perfumery essential-oil industry, for the competitive adsorption of copper (Cu), cadmium (Cd), zinc (Zn), and lead (Pb). Vetiver root biochar produced at 500 °C for 60 min exhibited a high surface area of 308.2 m2/g and a yield of 53.8%. Batch adsorption experiments were performed in triplicate at a pH of 5.5 ± 0.2, in 0.1 M NaNO3, at 24 °C ± 2 °C, using 1% (w/v) biochar (10 g/L), with …

The Evaluation Of A Soft Skills Curriculum In Athletic Training Education: A Mixed Methods Study, Emily A. Duckett, Heather Schugar, Alison Gardiner-Shires, Jacqueline S. Hodes

Clinical Practice in Athletic Training

Context: Developing athletic training students’ soft skills to effectively engage in patient-centered care is integrated throughout multiple Commission on Accreditation of Athletic Training Education Curricular Content Standards. Despite evidence supporting the importance of compassionate care, there is currently data to suggest that health care is experiencing a compassion crisis. The purpose of this study was to investigate the ways pre-professional athletic training students transfer knowledge from a soft skills curriculum to clinical experiences as students in an entry level master’s program.

Methods: This study is an explanatory sequential mixed methods design. Phase 1 includes participants (n = 19) enrolled in …

Level Of Discrimination Experienced By Gender In Athletic Trainers And Professional Athletic Training Students, Emily Ghaussy, Seungyeon Kim, Jennifer Xu, Emily Madrak

Clinical Practice in Athletic Training

Context: Although women make up the majority of the athletic training field, gender-based discrimination continues to exist in the profession. Previous research exists; however, more current research on gender discrimination in the workplace is limited. This cross-sectional study examined level of perceived gender-based discrimination experienced by credentialed women athletic trainers and athletic training students in comparison to men athletic trainers and athletic training students. Four hundred forty-six cisgender men and women athletic trainers and athletic training students participated in our study. The median age was 28 years among cisgender women and 35 years among cisgender men.

Methods: Participants completed a …

Building On A Strong Foundation: Celebrating Our Past And Looking Toward The Future, Zachary K. Winkelmann

Clinical Practice in Athletic Training

No abstract

Women In The Criminal Justice Pipeline: Perspectives From Policy To Practice, Laila Riaz

Student Theses

The study of the criminal justice system has historically been shaped by a male-centered perspective. Consequently, this has marginalized the unique experiences and challenges faced by women. Women are disproportionately affected by issues such as trauma, caregiving responsibilities, and systemic inequalities, shaping their interactions with the criminal justice system in ways that differ from men. This study examines how women experience the pipeline of the criminal justice system. The “pipeline” refers to the stages of the criminal justice system, ranging from an initial encounter with law enforcement to prosecution, incarceration, and eventual reentry into society. Drawing on interviews with academics …

A Novel Approach For Evaluating And Comparing Multiple Antipsychotic Polypharmacy In Adults Across Specialist Intellectual Disability Services In England And Wales: A Retrospective Feasibility Cohort Study, Samuel J. Tromans, Helen Neilens, Crispin Musicha, Victoria Allgar, Emily Stanyard, Richard Laugharne, Paula Mcgowan, Angela Hassiotis, Sarah Lennard, Lance V. Watkins, Bhathika Perera, Kiran Purandare, Ashok Roy, Indermeet Sawhney, Sujeet Jaydeokar, Ryan Ashford, Chris Rollinson, Hanna Abraham, Nusra Khodabux, Ogheneochuko Akusu, Samuel Paisley, Georgios Mousailidis, Meera Naran, Rohit Shankar

Peninsula Medical School

Background:In England and Wales, significant numbers of people with intellectual disability (PwID) are prescribed antipsychotics for a range of licensed and non-licensed indications, particularly behaviours that challenge. There is no system to compare antipsychotic prescribing practices across specialist adult intellectual disability (ID) services.Aim:This study aimed to determine whether converting antipsychotics and their doses to equivalent chlorpromazine units enables comparison of licensed (psychosis, etc.) and non-licensed (behaviours that challenge) prescribing between different services.Method:A feasibility retrospective cohort study using convenience sampling captured anonymized data of PwID on ⩾2 antipsychotics across eight specialist England and Wales adult ID services. The doses prescribed across …

Predictors Of Complete Obliteration And Favourable Outcome After Single-Modality Treatment For Low-Grade Arteriovenous Malformations: A Multicentre Study, Angelica Fuentes, Salem Tos, Natasha Ironside, Georgios Mantziaris, Yuki Shinya, Basel Musmar, Hamza Adel Salim, Nimer Adeeb, Christopher Ogilvy, Douglas Kondziolka, Ali Alaraj, Min Park, Adam Dmytriw, Hussein Zeineddine, Finn Mccarthy, Hussam Abou-Al-Shaar, Ahmed Abdelsalam, Mustafa Baskaya, Cagdas Ataoglu, Anthony Sanchez-Forteza, Muhammed Amir Essibayi, Abdullah Keles, Sandeep Muram, Howard Riina, Arwin Rezai, Sahin Hanalioglu, Ufuk Erginoglu, Johannes Pöppe, Davide Simonato, Yan-Lin Li, Sandeep Kandregula, Dhairya Lakhani, Christoph Griessenauer, Rahim Abo Kasem, Alejandro Spiotta, Ajit Puri, Jasmeet Singh, Anna Luisa Kuhn, Jan Karl Burkhardt, Robert Starke, Laligam Sekhar, Michael Levitt, David Altschul, Neil Haranhalli, Malia Mcavoy, Paul Foreman, Osama Zaidat, Mohammad Almajali, Hakeem Shakir, Alfred Pokmeng See, Adib Abla, Aashay Patel, Andrew Nguyen, Matthew Koch, Visish Srinivasan, Peng Roc Chen, Spiros Blackburn, Ketan Bulsara, Peter Kan, Louis Kim, Omar Choudhri, Stavropoula Tjoumakaris, Pascal Jabbour, Amey Savardekar, Hugo Cuellar, Michael Lawton, Bharat Guthikonda, Jacques Morcos, Jason Sheehan

Department of Neurology Faculty Papers

INTRODUCTION: Patient and arteriovenous malformation (AVM) characteristics that portend success after treatment for low-grade brain AVMs remain unknown.

PATIENTS AND METHODS: We utilised the MISTA multicentre registry to identify patients with Spetzler-Martin (SM) grade I or II AVMs treated with stand-alone curative-intent intervention (resection, stereotactic radiosurgery [SRS] or endovascular embolisation). Bivariate and multivariable analyses were performed to identify patient and AVM characteristics predictive of complete obliteration or favourable outcome (complete obliteration without new permanent deficit or post-treatment haemorrhage).

RESULTS: A total of 522 patients were included (292 microsurgery, 152 SRS, 78 embolisation). Complete obliteration rates differed between microsurgery (95.9%), SRS …

Staff Education On Standardized Suicide Risk Assessment In An Outpatient Clinic For Behavioral Health, Fanta Haja Cabah

Walden Dissertations and Doctoral Studies

Suicide risk assessment is a high-priority nursing safety responsibility in outpatient behavioral health. The practice gap was a variation in nurses’ knowledge of validated suicide screening, direct inquiry, risk escalation, referral, and related documentation expectations working in an outpatient behavioral health clinic located on the Eastern Atlantic Coast. To address this problem, I developed, implemented, and evaluated a staff education program on a standardized suicide risk assessment. The practice question focused on whether staff knowledge increased following participation in the education program. Ten nursing staff members participated in a 60-minute education program. Pretest and posttest questionnaires included 20 multiple-choice questions. …

Optimizing Advanced Ehr And Enhanced Data-Sharing And Reporting In Rural Health Clinics, Adaeze Honesta Duru

Walden Dissertations and Doctoral Studies

Rural clinics continue to face several barriers in utilizing advanced electronic health record (EHR) features, including interoperability, data sharing, and care coordination. The purpose of this integrative review was to investigate strategies to overcome barriers to the use of advanced EHRs and enhance data-sharing and reporting capabilities in rural clinics. The review question emphasized viable strategies for overcoming barriers to advanced EHR utilization and enhancing data-sharing and reporting capabilities in rural clinics. The consolidated framework for implementation research provided a conceptual model for understanding the various facets of EHR optimization. A literature search initially resulted in 135 relevant articles. After …

Staff Education On Teach- Back Communication Method For Psychiatric Nursing Staff, Adanma Violet Ebere

Walden Dissertations and Doctoral Studies

Summary Patient education delivered without a standardized communication protocol for patients with serious mental illness (SMI), especially for those who face disproportionate health literacy deficits, cognitive challenges, and stigma, may increase the risk of medication misunderstanding and non-adherence. An outpatient psychiatric practice lacked a standardized patient education protocol. This quality improvement staff education initiative equipped all clinical nursing staff with the 5Ts for Teach Back framework, an evidence-based, five-step method endorsed by the Agency for Healthcare Research and Quality (AHRQ), The Joint Commission (TJC), and the American Hospital Association (AHA), and grounded with evidence in 13 sources at Levels I …

Determination Of The Content Of Water-Soluble Vitamins In The Composition Of Beet Beetroot Composition, Jasur Esirgapovich Safarov, Shakhnoza Abduvaxitovna Sultanova, Muhammad Rasul Oglu Najafli, Doston Ishmuhammat Ugli Samandarov

Chemical Technology, Control and Management

The aim of this study was to determine the content of water-soluble vitamins in various parts of beetroot (pulp, leaves and stems) that had been subjected to various drying methods in a bid to explore the effect of physical processes, i.e., the application of ultrasound, on micronutrient preservation. The experiments were performed at the Department of Service Technologies of Tashkent State Technical University, and chromatographic analysis was performed in the Institute of Bioorganic Chemistry of the Academy of Sciences of the Republic of Uzbekistan. Chromatography was performed on Agilent-1200 chromatograph with Exlipse XDB C18 column and diode array detector using …

Modeling Of A Two-Stage Extractive Distillation Process For The Separation Of 1,3-Butadiene From Pyrolysis-Derived C₄ Fractions, Muxriddin Xudoyor Og‘Li Ibodullayev, Jonibek Farxod O‘G‘Li Norqulov, Olim Rustamovich Abduraxmonov, Orifjon Sharipovich Kodirov

Chemical Technology, Control and Management

The separation of 1,3-butadiene from pyrolysis-derived C₄ fractions represents a challenging task due to the multicomponent nature of the feed and the close boiling points of accompanying hydrocarbons. In this study, a two-stage extractive distillation process was investigated using an acetonitrile–water solvent system to address these challenges. A semi-industrial experimental unit consisting of two extractive distillation columns connected in series was developed and analyzed, and the process configuration was supported by Aspen Plus simulation. The feedstock composition was characterized in detail, revealing that 1,3-butadiene constitutes approximately 40 wt.% of the C₄ fraction, accompanied by significant amounts of propylene, butanes, butanes, …

Methods For Treating Wastewater Generated During The Production Of Basalt Fiber Using Modified Bentonite Clay, Abdurasul O'Ktamovich Husenov, Baxtiyor Toxtayevich Sabirov, Diyor Asadullayevich Xadjibayev

Chemical Technology, Control and Management

This scientific article notes that in technological processes, wastewater is contaminated with various organic and mineral substances, including poisonous and toxic substances. Sources of environmental pollution include organic and inorganic substances formed during the production of basalt fiber. In this research work, the task is set to purify wastewater formed during the production of basalt fiber from organic substances. Bentonite clay is a very good natural sorbent and has the ability to purify some cations. When conducting laboratory experiments, bentonite clays from the "Azkamar" and "Navbahor" deposits were selected to purify wastewater formed during the production of basalt fiber from …

Mathematical Models Of Magnetoelastic Acceleration Transducers Developed Based On The Theory Of Lumped Parameter Circuits, Amirov Fayzullayevich Sulton, Kamila Kamilovna Jurayeva, Shovkat Dilshodovich Turayev

Chemical Technology, Control and Management

In this article, based on the theory of lumped-parameter circuits, algebraic and differential equations describing the mechanical, electrical, and magnetic circuits of new magnetoelastic acceleration transducers, their analytical solutions, as well as mathematical models establishing the relationship between the electromotive forces at the outputs of the transducers and acceleration, which is the input quantity of the transducer, have been developed. Analysis of these mathematical models and the graphs constructed on their basis shows that under the influence of acceleration applied to the transducers, with an increase in the mechanical stresses arising in the magnetic circuit of the transducer, a redistribution …

Optimal Procedure For Measuring The Parameters Of Optical Signals Considering Noise, Yuriy Gennadyevich Shipulin, Azimjon Mamadaliyevich Xusanov

Chemical Technology, Control and Management

It has been shown that to achieve the required level of measurement accuracy and reliability, it is necessary to transition from quality control of finished products to quality management based on cost-effective methods during the stages when product properties are formed. It is shown that the complexity of measuring optical signal parameters during analysis or synthesis requires them to be considered as part of a general information processing system. Based on the nonlinear filtration method, an optimal procedure for measuring a variable position in time against a background of spatial noise was obtained. Structural diagrams of optimal measuring instruments for …

Development And Uncertainty Assessment Of Secondary Method For Ph Measurement In Physicochemical Measurements, Sarvar Rakhmatullaev, Dostonbek Xujakulov, Mohinur Nigmatova

Chemical Technology, Control and Management

In physicochemical measurements across various industries, laboratory analyses commonly require the determination of pH as an indicator of hydrogen ion activity in aqueous solutions. Ensuring the accuracy and reliability of these measurements, obtaining precise readings from pH measuring instruments, and maintaining overall measurement quality represent critical challenges in guaranteeing the safety of both products and processes. This requires constant monitoring, accuracy assessment, calibration, metrological verification, and control of measuring instruments. In this case, it should be carried out not with solutions prepared in any laboratory, but with certified reference materials (СRM) with appropriate regulatory framework, ensuring metrological observation. …

Robust-Adaptive Estimation Of Unmeasurable States And External Disturbances Of A Dynamic Object Based On An Augmented Kalman Filter, Husan Igamberdiev, Uktam Farkhodovich Mamirov, Lu Liu, Bohong Wang, Bunyod Buronov

Chemical Technology, Control and Management

The paper addresses the problem of joint estimation of the directly unmeasurable states of a dynamic object and of external disturbances when information is available only on the control inputs and on the measured output signals. To solve this problem, a robust-adaptive algorithm based on an augmented Kalman filter is proposed, in which the external disturbance is included in the extended state vector. Two operating modes of the algorithm are considered. For slowly varying disturbances, a random-walk model with a constant process-noise covariance is used, whereas for rapidly varying inputs a signal adaptation  driven by the normalized innovation is proposed. …