Digital Commons Network^™

Multisensory Astrotourism Design Through Darkness Experiences, Wiwien Phen, Adriyan Kusuma

ARSNET

The growing interest in astrotourism has positioned night sky as an important tourism resource. However, existing astrotourism facilities often focus primarily on observation infrastructure, while paying less attention to the spatial experiences that shape visitors' journeys before, during, and after observation. This design study explores an experiential astrotourism that engage with various degree of dark conditions and prepare visitors for night-sky observations. It questions how architecture can shape the spatial and sensory transition in visitors' night-sky observational experience through a design exploration of a Milky Way-themed astrotourism attraction in Pangalengan, Bandung.

The study integrates discourse on dark-sky experience, experiential architecture, …

Tracing Graffiti: Negotiating Lived Urban Surfaces, Akinaura Irbah Priambudi, Multazam Akbar Junaedi, Ilena Nusky Mehdia, Eugenia Emmanuella Setiawan, Defry Agatha Ardianta

ARSNET

This paper examines surfaces as a selective, successive platform for shared spatial negotiations. It explores how layers of traces on surfaces accumulate through subsequent acts by multiple actors over time, offering a way to understand ongoing negotiations of urban space. This study focuses on graffiti as material traces in urban surfaces, produced from temporary acts of writing and the articulation of spatiality within the environment. Through a case study in Surabaya, Indonesia, this research examines graffiti, reconstructs its presence on an urban wall, and investigates how its contextual presence, actors' interactions, and spatial relationships are articulated in layers over time. …

Cultural Narrative Of The Adapted Manggarai Traditional Dwelling, Firminus Darmo, Rr. Sophia Ratna Haryati

ARSNET

This study investigates the adaptation narrative of Mbaru Gendang, a traditional house of the Manggarai people in Flores, NTT, that plays a central role in the region's cultural and spatial identity. This study aims to examine how the adapted Mbaru Gendang shows negotiation between cultural continuity and architectural modernisation in the West Satar Mese District. Through the lens of spatial semiotics and cultural heritage theory, this study investigates how changes in the building's form and materials affect the philosophical value of the traditional house. The study examines these transformations in Tenge Village and compares them with shifts in nearby …

Organizational Health Inventory: A Comprehensive Exam For Assessing Extension's Organizational Health, Tearney R Woodruff, Meggan Franks, Hannah G. Edwards, Lauren D. Hargrave, Brandi Berven, Cynthia Canfield

Journal of Extension

As Extension faces a retention crisis, it is crucial to focus on the health of our organizations. A collaborative working group, comprised of evaluation and staff development specialists across multiple states, identified the need for a free, accessible organizational health evaluation tool for Extension. Many higher education institutions cannot afford consultants to assess organizational well-being and effectiveness yet need the data the evaluation would provide. This article highlights a validated survey instrument, the Organizational Health Inventory–Extension (OHI-EXT), designed to help Extension organizations identify issues and implement targeted interventions that foster a stable and engaged workforce.

Designing With, Not For Youth: Reframing Participatory Techniques As Civic Learning Tools For Urban Greening And Natural Resources Programming, Mayra I Rodriguez Gonzalez, Dorelys Oyola Remigio, Kevin G Torres Garrido

Journal of Extension

Here, we present four participatory techniques—visioning, mapping, photovoice, and codesign—with practical recommendations for their effective implementation in fostering civic learning and engagement in urban greening among BIPOC and Hispanic youth. With examples of culturally responsive, hands-on activities and an AI-assisted synthesis of youth ideas, drawn from application with over 100 youth in Connecticut, we illustrate their use in informing local urban planning processes. We highlight the role of these techniques in positioning youth as active civic agents and collaborative designers in the creation of urban green spaces, with application for Extension professionals, educators, and planning officials.

Confluence: Linking Citizen Science And Extension Education To Inspire Environmental Stewardship, Dave Smaldone, Evan Harms, Jason Burnside, Chad Pierskalla, Jinyang Deng

Journal of Extension

Citizen science has rapidly moved beyond simply crowdsourcing data to become a novel platform for environmental and informal science education. However, few studies document the informal learning outcomes of citizen science, particularly in youth or Extension education. This quantitative study evaluated individual learning outcomes of an environmental education and citizen science experience about water quality at 4-H summer camps. Outcomes of interest, knowledge, and stewardship intentions were evaluated using pre- and post-participation surveys. The results showed an overall success of the program. By understanding these outcomes, we can better plan citizen-science-focused Extension learning experiences to meet strategically targeted outcomes.

Identifying Practitioner Needs Related To Rural Population Changes Using Whiteboard-Enhanced, Online Listening Sessions, Jason P. De Koff, Kristina Brant, John Green, Paige Kelly, Katherine Curtis, Sreedhar Upendram, Gloria Mangoni

Journal of Extension

Rural communities are changing in size and composition, with implications for programming needs. As these communities comprise a large proportion of any Cooperative Extension program's stakeholder group, programs must identify and respond to changing needs. Through online listening sessions with Extension professionals and other rural practitioners, we identified how researchers and others could support practitioners' programming. Practitioners called for local data, examples of successful programs and policies, enhanced program evaluation protocols, better information dissemination, strategies for equitable community discussions, and ways to identify and connect with trusted resources. Using whiteboard-enhanced online listening sessions helped identify needs and reduced logistical efforts.

Growing Climate Literacy In Urban Green Spaces: An Extension Youth Climate Education Experience, Brad Bessler, Justin Hougham

Journal of Extension

Capturing Your Environment (CYE) is an environmental education framework that engages youth in place-based climate exploration. CYE was implemented with youth participating in a Milwaukee summer internship program funded by the Children, Youth, and Families at Risk (CYFAR) Sustainable Community Projects grant. The primary objective of CYE was to create an engaging climate-centered experience for youth. The experience aimed to improve science efficacy, climate content knowledge, science skills, and confidence using scientific tools. A paired t-test compared the learners' pre- and post-experience responses on a 16-item self-report survey. Following participation in CYE, youth reported increases across all measured outcomes.

Ludwig's Angina: A Systematic Review And Meta-Analysis Of Clinical Characteristics, Management Patterns, Complications, And Mortality, Kambiz Ebrahimi, Mekhaeel Shehata Fakhry Mekhaeel, Sameh Mohamed Ahmed Eissa Salem, Tahoura Talebidelooei, Parsa Javidimomtaz, Mohammad Pouya Javdani Golparvar, Azin Nemati, Mohammad Salar Khodabakhshian Naeini, Reyhaneh Jahanshahi, Erfan Kazemi, Maedeh Bahmani, Masoume Miraveysi, Arian Safi Esfahani, Kiyana Khodabandehloosoltani, Mohammadjavad Bahmani

Journal of Dentomaxillofacial Science

Background: Ludwig's angina is a rapidly progressive odontogenic and deep neck infection that may lead to airway compromise, severe complications, and death. This systematic review and meta-analysis aimed to synthesize clinical evidence on mortality, etiology, comorbidities, complications, and management patterns in patients with true Ludwig's angina.
Methods: Published human studies reporting true Ludwig's angina were included. Multi-patient studies with extractable event and denominator data were eligible for quantitative synthesis. The outcomes were mortality, odontogenic source, diabetes mellitus, tracheostomy, surgical drainage, necrotizing fasciitis, and mediastinitis or deep neck mediastinitis. Random-effects meta-analyses of proportions were performed.
Results: Eighteen studies including 649 patients …

Cross-Cultural Considerations In Psychological Assessment And Resilience: Advancing Equity In Global Mental Health, Shivani Mathur, Victoria Evans-Fulton

Journal of Social, Behavioral, and Health Sciences

Widely used psychological assessment instruments, including the Patient Health Questionnaire–9, Beck Depression Inventory, and Generalized Anxiety Disorder–7, were developed primarily within Euro-North American contexts. Although frequently used for their efficiency and psychometric strengths, their application across culturally diverse populations raises concerns regarding cross-cultural validity, fairness, clinical interpretation, and ethical use. Expressions of psychological distress, resilience, and adaptive functioning vary across cultural contexts and may involve somatic complaints, relational meanings, spiritual frameworks, culturally specific idioms of distress, and community-oriented coping that standardized measures may inadequately capture. Without sufficient cultural and contextual inquiry, clinicians risk misdiagnosis, failure to recognize distress, and deficit-oriented …

Supporting Scientific Research: State Grants And Viewpoint Discrimination – A Response To Lisa Larrimore Ouellette’S “Government Research Funding And The First Amendment, Robert C. Post

Emory Law Journal Online

No abstract provided.

Adaptive Improved Particle Swarm Optimization-Based Maximum Power Point Tracking And Energy Smoothing For Photovoltaic Hybrid Battery–Supercapacitor Storage Systems, Mohammad Aminul Islam, Guo Shaokai, Jakaria Mahdi Imam, Mohammad Khairul Basher, Nowshad Amin, Tarek Abedin, Mohammad Nur-E-Alam

Research outputs 2022 to 2026

The rapid development of photovoltaic (PV) systems has made them an important component of the global clean energy strategy. However, the intermittency and non-linear characteristics of photovoltaic (PV) output remain major challenges for stable renewable energy utilization. This study proposes an adaptive improved particle swarm optimization (IPSO)-based maximum power point tracking (MPPT) strategy integrated with hybrid energy storage coordination for photovoltaic systems. The IPSO introduces adaptive inertia adjustment, velocity clamping, and stagnation reinitialization, which improve the convergence robustness under dynamic irradiance and temperature conditions. The algorithm was benchmarked against Perturb & Observe (P&O), Incremental Conductance (INC), and standard PSO using …

Two-Stage Stochastic Programming For Resource Allocation In Mobile Underwater Acoustic Networks, Sadaf Vahabli, Iftekhar Ahmad, Quoc Viet Phung, Daryoush Habibi

Research outputs 2022 to 2026

Underwater Acoustic Networks (UANs) enable long-range communication for a range of applications. However, UANs are severely limited by scarce acoustic spectrum, which is shared with marine animals and can lead to disruptive interference, contributing to anthropogenic ocean noise. In addition, the underwater environment is highly dynamic, where: marine-animal presence is uncertain, channel conditions fluctuate, and Doppler effects degrade communication reliability. Prior UAN studies have addressed these challenges separately, despite their combined effect on resource allocation. Accordingly, this paper proposes a two-stage Scenario-based Stochastic Programming (SSP) framework with a hybrid risk approach that jointly treats these challenges within a single resource …

A Comprehensive Review On The Role Of Deep Learning For Detecting And Identifying Obscured Objects, Baraa Hasan Hadi, Jamila Harbi Saud

Karbala International Journal of Modern Science

Human operators frequently encounter eye fatigue that typically comes from workload and sleep deprivation. This could affect the efficiency and performance of vigilance significantly. In safety-sensitive applications such as traffic systems, healthcare, and security, this issue is essential. To address this issue, there is a need for situational awareness and maintaining continuous monitoring of the workload of the person. To this end, advanced artificial intelligence (AI) methods, denoted by a deep learning (DL) based approach, can be used. Such methods are also supported by computer vision (CV) to detect and identify obscured objects. Combining CV with AI can overcome the …

Inagural Issue Editor's Note, Laura Parson, Elizabeth Brule Dr., Fredricka R. Saunders

Journal of Institutional Ethnography

In this inaugural Editor’s Note, we introduce the Journal of Institutional Ethnography (JIE), share how the journal was developed, and explain its mission and goals. We provide an overview of the articles in our first issue and highlight how they use institutional ethnography to explore people’s everyday experiences and the institutional processes that shape them. We conclude by inviting scholars to submit their work, join our editorial boards, and help us grow the JIE community.

Beyond Abstracts: Reflections On Locating Institutional Ethnography Studies In Bibliographic Databases And Navigating The Social Organization Of Knowledge, Sonya Hill

Journal of Institutional Ethnography

This article draws on the challenges encountered, discoveries made, and search strategies employed during a scoping review of Institutional Ethnography (IE). While informed by that review process, the article is not a scoping review and does not present review findings. Rather, it reflects on the practical difficulties of locating IE studies in bibliographic databases and offers guidance for researchers seeking to identify, retrieve, and enhance the visibility of IE scholarship. Grounded in my efforts to locate IE studies, the article uses those experiences as an entry point for reflecting on the social organization of knowledge and how database indexing, metadata, …

Interpretative Power And The Social Ontology Of Institutional Ethnography: A Review Of Órla Meadhbh Murray’S University Audit Cultures And Feminist Praxis: An Institutional Ethnography (2025), Breanna Kubat

Journal of Institutional Ethnography

This review critically assesses Órla Meadhbh Murray’s institutional ethnography (IE) of audit culture at the University of Edinburgh, Scotland. I center my review on Murray’s argument that interpretive power exists at the local level, and with this, opportunities, although limited, to influence how audit processes are performed at the institutional and departmental levels exist. I propose that Murray’s work provides a practical guide and example of what it means to conduct an IE that is grounded in IE’s social ontology.

Examining The Organization Of Student Work And Wellbeing In Higher Music Education, Kyle Zavitz, Liliana Araújo, Christine Guptill

Journal of Institutional Ethnography

This article investigates how music students’ work is institutionally coordinated within a higher school of music in Canada and how this shapes student health and wellbeing. This study reveals a problematic in students’ everyday experiences as the work required to succeed extends beyond what is formally recognized and made visible through institutional structures. Using Institutional Ethnography as the method of inquiry, we begin from the standpoint of music students, exploring the local and extra-local relations that coordinate what and how they do their work. Through interviews with students, faculty, and administrators, we trace students’ negotiation of contradictory discourses of ‘care’ …

Student (Mis)Placement In Swedish Special Education Provision Through Intellectual Disability Labeling: The Educator Standpoint, Liz Adams Lyngback, Enni Paul, Christina Headman

Journal of Institutional Ethnography

This institutional ethnography exploration begins with the standpoint of educators and focuses on the work related to ways students in Sweden exit the separate compulsory school for students with intellectual disability (CSID) and re-enter the regular compulsory school form through a student referral unit (SRU). By exploring what appears to puzzle the education system at the local level, this study contributes to a growing body of research on addressing multilingualism as a disability. Drawing on multi-sited ethnographic data, the study moves beyond educators’ experience to a broader inquiry into the ruling relations that coordinate the creation of misplaced students. The …

Pics 101: Understanding Post-Incarceration Syndrome, Nicole L. Wiesen

Forensic Scholars Today

The psychological consequences of incarceration have been documented for decades, yet there remains no widely accepted trauma-informed framework specifically designed to conceptualize the cumulative effects of incarceration on individuals returning to their communities. Post-Incarceration Syndrome (PICS) is an emerging conceptual framework that seeks to integrate biological, psychological, social, and environmental factors associated with incarceration-related trauma and community reintegration. Building upon foundational research in prisonization, institutionalization, trauma, and correctional psychology—particularly the work of Craig Haney and other scholars examining the lasting effects of incarceration—the PICS framework provides clinicians, researchers, educators, and correctional professionals with a biopsychosocial lens through which to understand …

Recognizing Coronary Artery Disease In Women, Krista Ohmie Pa-C, Cck, Aacc

Lynchburg Journal of Medical Science

The purpose of this review is to identify sex-specific factors in the prevention, diagnosis, and treatment of cardiovascular disease in women as it continues to be the number one cause of their mortality. A search of the literature was conducted using PubMed as well as resources from the American College of Cardiology and the American Heart Association with multiple articles identified for use. The risk of cardiovascular disease in women is affected by traditional risk factors such as hypertension and diabetes, but is compounded by length of estrogen exposure, pregnancy, and higher rates of systemic inflammation. Systemic barriers such as …

Life After Ecmo: A Comprehensive Review Of Longterm Complications, Mia Olson Pa-C

Lynchburg Journal of Medical Science

Extracorporeal life support is the ability to temporarily supplement pulmonary and/or cardiac function in the setting of severe organ failure, with the most widely used version of this technology being extracorporeal membrane oxygenation (ECMO). While ECMO acutely improves outcomes in many patients with acute cardiopulmonary failure, evidence shows that survivors are at risk for long-term complications. These may include physical limitations, neurocognitive impairment, and psychological distress, all of which cumulate to impact a patient’s quality of life. The purpose of this research paper is to examine the literature on long-term complications associated with ECMO therapy and their impact on patient …

Prescribing In The Post-Black Box Era: Navigating Fda-Approved And Compounded Hormones For Menopause, Nicole Bray

Lynchburg Journal of Medical Science

This narrative review compares the safety, efficacy, and clinical utility of FDA-approved

versus compounded bioidentical hormone replacement therapies for women in

menopause. A comprehensive literature review was conducted using PubMed for

studies published between 2016 and 2026, with search terms including “bioidentical

hormone replacement therapy,” “compounded hormone replacement therapy,”

“menopause,” “menopausal,” “vasomotor,” “estradiol,” “progesterone,” and

“testosterone,” alongside an analysis of major medical societies' guidelines and leading

menopause telehealth platforms. The findings demonstrate that FDA-approved

bioidentical hormone therapies offer superior pharmacokinetic consistency, rigorous

regulatory oversight, and robust clinical evidence compared to compounded

alternatives, which lack standardized testing and regulatory oversight for …

Insomnia As A Risk Factor For Depression: Integrating Cognitive Behavioral Therapy For Insomnia, Derrick Bouldin

Lynchburg Journal of Medical Science

This review evaluates insomnia as an independent, modifiable risk factor for Major Depressive Disorder (MDD) within primary care, while assessing the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in improving outcomes, preventing onset, and reducing relapse risk of depression. A literature search conducted between January and April 2026 across PubMed, the Cochrane Library, and APA PsycINFO yielded 42 articles published between 2015 and 2026. Applying inclusion criteria focused on adult populations, comorbid insomnia and depression, and clinical outcomes of CBT-I, 26 articles were selected for synthesis. Findings demonstrate that insomnia is a predictive risk factor for MDD onset, persistence, …

Genitourinary Syndrome Of Menopause And Lower Urinary Tract Symptoms: A Primary Care Approach, Michelle Johnson

Lynchburg Journal of Medical Science

This literature synthesis reviewed current evidence on the pathophysiology, diagnosis, and management of genitourinary syndrome of menopause (GSM)-related lower urinary tract symptoms (LUTS) in postmenopausal persons, with implications for primary care. GSM is a chronic, progressive condition caused by estrogen deficiency affecting vaginal, urethral, and bladder tissues. An estimated 50% to 70% of postmenopausal persons experience symptoms, including urinary urgency, frequency, incontinence, and recurrent urinary tract infections. Despite its prevalence and effect on quality of life, GSM remains substantially underdiagnosed: fewer than half of symptomatic persons seek treatment, and clinicians often fail to screen proactively. Low-dose vaginal estrogen therapy remains …

Dengue: A Global And Emerging Health Challenge, Christopher Artigas

Lynchburg Journal of Medical Science

Dengue virus, a rapidly expanding tropical arbovirus with four distinct serotypes, poses a growing global public health threat—particularly in regions where healthcare systems are ill-equipped to diagnose, treat, and manage its severe manifestations. Transmitted primarily by Aedes mosquitoes, dengue typically manifests as an acute febrile illness characterized by severe myalgias ("bone-breaking fever"), arthralgias, gastrointestinal distress, and hemorrhagic tendencies. In severe cases, the infection can progress to life-threatening dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). Because definitive antiviral therapeutics remain in development, supportive clinical care, with a critical focus on timely intravenous fluid resuscitation, is the cornerstone of management. …

Continuity Beyond Delivery: A Family Medicine Approach To Racial And Ethnic Equity In Postpartum Care, Dominique J. Tarrant

Lynchburg Journal of Medical Science

This narrative review examines interventions to improve postpartum care continuity, reduce disparities, and advance maternal health equity, emphasizing structured follow-up, care coordination, and family medicine integration. The postpartum period, often called the “fourth trimester,” should connect recovery with lifelong health. However, many women, particularly those from racially and ethnically minoritized populations, encounter missed screenings, inadequate support, and structural barriers that increase their risk of adverse maternal outcomes. Electronic searches of PubMed and Google Scholar were conducted from October 27 through November 7, 2025, using combinations of “postpartum care,” “family medicine integration,” “racial and ethnic disparities,” “health equity,” and “fourth trimester.” …

Multimodal Analgesia For Postoperative Pain Management In Total Shoulder Arthroplasty, Caroline Heramb

Lynchburg Journal of Medical Science

Total shoulder arthroplasty (TSA) is an increasingly common orthopedic procedure, yet postoperative pain management continues to rely heavily on opioid analgesics. Although multimodal analgesia (MMA) has become the standard of care in total hip and knee arthroplasty, consensus regarding the optimal multimodal approach for TSA remains limited. A comprehensive literature search was conducted using PubMed, CINAHL, the Cochrane Library, and Google Scholar. Following screening with inclusion and exclusion criteria, 42 articles were selected for review and synthesized. Current evidence supports MMA pathways incorporating regional anesthesia, non-opioid pharmacologic agents, perioperative corticosteroids, cryotherapy, and patient education to reduce postoperative opioid requirements without …

Sedation Minimization And Early Mobility To Prevent Intensive Care Unit Delirium, Alana M. Kugelard

Lynchburg Journal of Medical Science

The purpose of this paper is to synthesize current evidence on sedation minimization, early mobility, and multicomponent care bundles for the prevention of intensive care unit (ICU) delirium in critically ill adults. ICU delirium is a common and serious complication associated with increased mortality, prolonged mechanical ventilation, extended ICU and hospital length of stay, and long-term cognitive impairment, making it a significant safety and quality-of-care concern. A literature review was conducted using PubMed and the Cochrane Library, with search terms including “ICU delirium,” “sedation minimization,” “light sedation,” “early mobilization,” and “ABCDEF bundle.” Filters included adult populations, peer-reviewed studies, randomized controlled …

Microbiome-Modulating Dietary Interventions For The Treatment Of Insulin Resistance In Polyendocrine Metabolic Ovarian Syndrome (Pmos), Ashley Davis

Lynchburg Journal of Medical Science

No abstract provided.