Digital Commons Network^™

Childhood Cancer Predisposition Study: A Prospective Registry And Biorepository Protocol, Melissa R Perrino, Suzanne P Macfarland, Luke Maese, Jennie Vagher, Junne Kamihara, Surya Rednam, Philip J Lupo, Garrett M Brodeur, Joshua Schiffman, Lisa Diller, Lauren Desrosiers-Battu, Sharon E Plon, Kim E Nichols, Samuel L Volchenboum, David Malkin, Anita Villani, Christopher C Porter

Faculty, Staff and Students Publications

Introduction: Cancer is the most common cause of disease-related mortality in children, highlighting the urgent need for improved care in this population. It is estimated that >15% of children diagnosed with cancer harbour a germline pathogenic variant in a cancer predisposition gene which confers an increased risk to develop cancer. There are over 100 genes associated with cancer predisposition syndromes (CPSs) and greater availability and acceptability of genetic testing in the last decade has facilitated their recognition in childhood. However, individually, each of these CPSs is rare, impeding robust research and advancement of clinical care. Once a specific CPS is …

The Buildings Of Muslim Al-Majdal Asqalān (Ashqelon) In Their Historical-Geographic And Economic Context, Avraham Sasson

'Atiqot

In the course of the Mamluk and Ottoman periods, six villages were established in the al-Majdal Asqalān area in the southern coastal plain of Palestine, the status of this area enhancing in the 1830s when its geographic and economic advantages were appreciated. The small villages were built on the kurkar ridge slopes with minimal planning, traversed by two or three main arteries adjoined by narrow lanes. The houses were mostly built of mud bricks. Only the central village, al-Majdal Asqalān, developed on flat ground, where there was ample land for construction: most of its buildings were built of kurkar stones. …

Gold Rings For Young Girls: Ritual Depositionof Children’S Jewelry In A Domestic Context In Hellenistic-Period Jerusalem, Marion Sindel, Efrat Bocher, Rikki Zalut Har-Tuv, Yuval Gadot, Yiftah Shalev

'Atiqot

This article examines four gold ornaments and three bronze earrings dated to the late third–early second centuries BCE, retrieved from Building 110 in the Givʽati Parking Lot (GPL) excavations in Jerusalem. Based on their intact state, intrinsic value and similar contexts, we propose that the artifacts were intentionally deposited in or below the building’s floors on different occasions. Technological and stylistic analyses connect the jewelry to broader Hellenistic polychrome traditions, and the exceptionally small rings suggest that they probably belonged to young children, most likely girls. Based on Greek epigraphic and literary evidence for female rites of passage, specifically premarital …

The Importance Of An ‘Unimportant’ Toy: Children In The Ancient Domestic Sphere, Rona S. Avissar Lewis

'Atiqot

This paper examines an often-overlooked sector of households: children. The paper first presents the importance of children within the framework of the household and society, pointing out significant references from textual sources and imagery, such as orthostats. Then, a set of artifacts identified in the archaeological record is presented, which may be defined as spinning toys, comprising two components: a string and a perforated object. The conclusions discuss the way these toys reflect on the importance of children in society.

Insula-Like Domestic Neighborhoods In The Iron Age Southern Levant, Aren M. Maeir

'Atiqot

In this paper, I discuss domestic neighborhoods with an insula-like character from the Iron Age Southern Levant. I relate to these neighborhoods considering urban planning of the Iron Age, Iron Age domestic structures, and the underlying mechanisms and socio-political structures that brought about their construction. Within these contexts, neighborhoods of various types existed, including insula-like neighborhoods, and it is the latter that I will attempt to explain. Finally, I will stress the importance of neighborhoods in archaeological research, and the need for archaeologists working in the Southern Levant to place more emphasis on their study.

There’S No Place Like Home: Identifying Women In Iron Age Houses, Deborah Cassuto

'Atiqot

From rural farmsteads to urban environments, the excavation of domestic contexts in the Southern Levant provides a rich dataset for investigating how households structured quotidian activities, social interactions, and meanings through spatial organization. This article examines how the material culture of Iron Age dwellings can aid in reconstructing patterns of behavior, social organization and ideologies pertaining to women. Comparing the contextual distribution of archaeological finds with ethnographic, ethnoarchaeological and textual data, can shed light on the use of space in Iron Age households and how this reflects on gender-associated activities and economic behaviors of the individuals who lived there. This …

From Global Principles To National Implementation: The 9th Un Conference And Its Product Safety Resolution, Suruchi ., Kumar Jyotish

International Journal on Consumer Law and Practice

The 9th United Nations Conference on Competition and Consumer Protection of 2025 advanced international consumer protection law by extending its scope. The Product Safety Resolution adopted at the Geneva-based conference is the first binding global resolution on product safety. Addressing the wide scope of problems associated with the emergence of more complex global and online markets, the Resolution presents a set of legal criteria to ensure the safety of goods, liability of defaulting manufacturers, rights of consumers, and the laying out of appropriate procedures. This paper presents a critical evaluation of the normative context of the Resolution and its variation …

The Palestinian Arendtian Condition: Worldlessness In Kanafani’S Men In The Sun, Kareem Alsawalha

Discussions

No abstract provided.

The Palestinian Arendtian Condition: Worldlessness In Kanafani’S Men In The Sun

Discussions

No abstract provided.

Digital Leadership Patterns Of School Principals In Coding And Artificial Intelligence Learning, Ramadhanur Putra, Lia Yuliana

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Digital transformation in education requires school principals to integrate technology into learning processes and school management. This study aims to analyze principals' digital leadership patterns in supporting Coding and Artificial Intelligence learning at SMP Islam Al Azhar 26 Yogyakarta and SMP Islam Al Azhar 66 Bantul. This research employed a descriptive qualitative approach and the data were collected through interviews, observations, and documentation for data collection. The participants consisted of principals, vice principals for curriculum, and teachers. The findings reveal that both schools implement transformational digital leadership through establishing a digital vision, enhancing teacher competencies, providing technological infrastructure, and strengthening …

Navigating Digital Transformation: Students’ And Lecturers’ Perceptions And Experiences Of Online Teaching In South African Higher Education, Precious Dube, Yolisa Madolo

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

The digital transformation of higher education has reshaped teaching and learning practices, but experiences in South African universities remain diverse because of differences in technological access, digital readiness and institutional support. This systematic literature review aimed to examine students' and lecturers’ perceptions and experiences of online teaching and learning in South African tertiary institutions. The review employed studies retrieved from Google Scholar, ERIC, Scopus, and Web of Science. A total of 1253 studies from across the globe were identified and screened using Covidence, resulting in 21 South African studies meeting the inclusion criteria. The selected studies were analysed thematically to …

Innovation And Control In Curriculum Reform: An Autobiographical Inquiry From A Seoul Future Innovation School, Sunyoung Kim

Journal of Educational Research and Practice

This autobiographical inquiry examines the lived experience of a teacher–researcher navigating curriculum reform within a centralized education system during her first year at a Seoul Future Innovation School. The study explores how policy ideals of curriculum autonomy, innovation, and student-centered learning encounter institutional realities of documentation, compliance, and performative accountability. Drawing on reflective journals and narrative reconstruction, the analysis identifies four tensions shaping reform enactment: the gap between reform discourse and school culture, the symbolic labeling of innovation, technocentric expectations that narrow curricular legitimacy, and the emotional labor of navigating stakeholder demands. The study illustrates how institutional conditions both constrain …

From Reluctance To Resilience: The Link Between Attitude And Growth Mindset In Calculus Students, Olivia Valente, Kathryn E. Pedings-Behling, Amy N. Langville

Journal of Educational Research and Practice

Many postsecondary students enter general education mathematics courses with negative attitudes, shaping their willingness to engage with the content. This study explores the relationship between students’ attitudes towards mathematics and their growth mindset, revealing effective strategies to enhance learning experiences, particularly for students who are reluctant learners. The research investigates two questions: (1) How do students’ Attitude Toward Mathematics Inventory (ATMI) scores and Growth Mindset Scale (GMS) scores relate? and (2) Do gender or course modality affect this relationship? This study addresses a gap in literature by examining how enjoyment, motivation, self-confidence, and perceived value connect with growth mindset. The …

#Narctalk: Analysis Of Perceptions Of Personality Disorders In Tiktok Content, Amanda C. Dediego, Auna Nelson, Feven Seifu, Amanda D. Tracy, Madeline Grubb, R.J. Schoen

Journal of Technology in Counselor Education and Supervision

No abstract provided.

Strategies For Integrating Death Education Into Asynchronous Online Counselor Training, Kara E. Wolff

Journal of Technology in Counselor Education and Supervision

Online counselor education has grown exponentially, with a greater number of courses being offered in an asynchronous format. This presents challenges and opportunities for counseling training in death education, a subset of grief counseling. Death anxiety and death avoidance can result in counselors-in-training's disengagement with strictly didactic materials in this area. Instead, death education must offer opportunities for experiential processing and personal reflection to be effective. Specific teaching strategies that foster the development of death acceptance and death competence within asynchronous online counselor education courses are offered.

Clinicians’ Reflections On Explainable Ai (Xai) In Counselor Education And Diagnostic Training: An Exploratory Qualitative Study, Kuo Deng, Xiaomeng Ye, Yi Li-Brown, Cara Miles, Angelina F. Pennino

Journal of Technology in Counselor Education and Supervision

Current approaches to teaching clinical diagnosis in counselor education and supervision often

rely on self-reports, brief vignettes, and supervisors’ recollections—methods that can be resource- intensive and prone to bias, contributing to diagnostic inaccuracy among trainees. While artificial

intelligence (AI) has gained traction in healthcare, many machine learning (ML) models function as “black boxes,” limiting transparency and educator trust. Explainable AI (XAI), which focuses on making AI processes interpretable, offers a potential solution for counselor training. This exploratory qualitative study examined eight licensed psychologists’ reflections after viewing a live demonstration of an original XAI model trained to predict depression. Using Reflexive …

Toward A Triadic Therapeutic Alliance: Understanding Client, Therapist, And Ai Relational Processes In Counseling, Jennifer Young

Journal of Technology in Counselor Education and Supervision

Artificial intelligence (AI) is integrated into counseling through chatbots, digital companions, and clinical decision-support tools. This integration challenges traditional models of the therapeutic alliance, which have historically centered on the dyadic relationship between client and therapist. To address this gap, the Triadic Therapeutic Alliance (TTA) Model of Client-Therapist-AI Relational Dynamics offers a new framework for understanding how relational processes unfold when AI becomes an active participant in therapy. The model extends alliance theory into a triadic structure that includes the client-AI and therapist-AI relationships alongside the traditional human alliance. Drawing on research in human-computer interaction and ethical frameworks of trust …

Exploring Chatgpt As A Simulated Client: A Feasibility Study In Undergraduate Counselor Training, Kayla E. Hayes, Rebecca L. Wilson, Joshua Wilson

Journal of Technology in Counselor Education and Supervision

Generative artificial intelligence (AI) offers new possibilities for simulation-based counselor training by enabling scalable, text-based interactions that mimic human dialogue. This exploratory feasibility study examined whether ChatGPT can serve as a simulated counseling client and feedback provider for undergraduate students learning counseling skills. Five upperclassmen completed a 45–60-minute text-based session with ChatGPT portraying “Sarah,” a college student experiencing depression and loneliness, followed by AI feedback and a semi-structured interview. Trained raters judged ChatGPT’s client portrayal and feedback as generally accurate, particularly for tone, empathy, and identification of students’ strengths. Accuracy was lower for rapport, summarizing, and pacing characteristic of an …

The Digital Tightrope: Navigating Social Media Ethics In Counseling, Kaitlynn Cornell-Mullane

Journal of Technology in Counselor Education and Supervision

Social media has become deeply integrated into both personal and professional lives, yet the use by counseling professionals remains underexplored. This study investigated how various roles within the counseling field experience and utilize social media in their professional development, identity formation, and ethical practice. A qualitative online survey was utilized to collect data from counseling professionals (N = 20). Findings revealed six themes: (1) Conflicting Perspectives on Client Social Media Use and Engagement, (2) Personal Discomfort and Ethical Ambiguity, (3) Counselors’ Varied Approaches of Social Media Use, (4) Social Media Use for Professional Development, (5) Mixed Perspectives on Social Media …

Generative Artificial Intelligence In Counselor Development: Examining Systemic Influences On Training, Lauren Dollarhide, Leo Gonzalez Jr., Rachel M. Smith

Journal of Technology in Counselor Education and Supervision

The use of large language models (LLMs) and generative artificial intelligence (AI) tools (e.g., ChatGPT, AI-assisted supervision platforms, and AI-powered role-play simulations) in counselor education is changing the way counselors-in-training (CITs) are trained and has both risks and benefits for the field. This conceptual article applied Bronfenbrenner’s ecological systems theory to evaluate the impact of these technologies at multiple levels within the counseling training environment. The microsystem is described as the interactions between CITs and the AI they use to support their training experiences (e.g., AI-based learning tools, role-playing simulations). The mesosystem refers to the movement of AI across different …

Simulation-Based Education In A Counseling Skills Course: A Mixed-Methods Pilot Study, Alexandra Gantt-Howrey, Hana Shewamoltot Meshesha, Renyi Huang, Elizabeth A. Doughty Horn, Renee Howells, Adenike Ololade Adedapo

Journal of Technology in Counselor Education and Supervision

Simulation-based education (SBE) is a technique that introduces students to real-world experiences (Gaba, 2004) in a safe way (Holmes et al., 2023). Scholars have suggested that SBE may be a promising means of enhancing counselor education (e.g., Pope & Hilliard, 2024). We recruited a sample of N = 12 counseling skills students who completed up to 12 simulation-based education (SBE) activities using Simucase (2025) across one semester. We conducted an embedded, qualitatively-driven mixed methods pilot study (Creswell & Plano Clark, 2017) to understand participants’ perspectives on and impacts of the SBE activities on their perceived counseling self-efficacy and multicultural competence. …

Conceptual Framework Of Professional Learning Communities For Cambodian Upper Secondary School Teachers, Ousa Chao, Mam Chansean, Vira Neau

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This paper explores the challenges of teacher professional development within Cambodian public upper secondary schools, driven by low teacher qualifications, resource gaps, and cultural barriers. Using an integrative literature review and qualitative document analysis, this paper synthesizes 58 sources, including official Cambodian regulatory frameworks, global evaluations, and empirical studies. By synthesizing local policy with international PLC models from Japan, South Korea, and Singapore, this study reveals a substantial gap between national policy goals and local school conditions. To bridge this divide, the article presents a contextually adapted four-pillar conceptual framework alongside actionable strategies to support effective PLC implementation across Cambodian …

Reducing Primary Cesarean Births Among Nulliparous, Term, Singleton, Vertex (Ntsv) Patients Through Structured Multidisciplinary Communication, Toyin Ajani

Master's Projects and Capstones

Background: Primary cesarean birth among nulliparous, term, singleton, vertex (NTSV) patients remained a persistent quality and safety concern in obstetric care. Unnecessary cesarean birth was associated with increased maternal morbidity, neonatal complications, prolonged recovery, higher healthcare costs, and adverse outcomes in subsequent pregnancies. Problem: A Northern California labor and delivery unit identified an elevated NTSV cesarean birth rate of 26.8%, exceeding the national benchmark of approximately 23%. Variability in provider communication, inconsistent labor management practices, and lack of standardized interdisciplinary collaboration contributed to this quality gap. Context: The project was conducted in a high-volume labor and delivery microsystem serving a …

Decreasing Icu Clabsi Through Improved Central Line Dressing Integrity, Sharmila Reyes Moreno

Master's Projects and Capstones

Problem: Central line-associated bloodstream infections (CLABSIs) are a significant source of preventable patient harm, increased healthcare costs, and prolonged hospital stays. In a 20-bed medical-surgical ICU, CLABSI events increased from one case in 2024 to four cases in 2025, resulting in a standardized infection ratio (SIR) of 1.21, exceeding the organizational target of ≤ 0.87.

Context: Audits of central line dressings identified frequent edge lifting and dressing disruption despite staff awareness of CLABSI prevention practices. These findings suggested a gap between evidence-based recommendations and consistent clinical practice. The project was conducted in a 20-bed adult medical-surgical ICU serving a diverse …

Improving Peer Feedback Participation Through Psychological Safety Interventions In Labor & Delivery Nurses, Lindsey C. Hora

Master's Projects and Capstones

Abstract 

Background: Labor and Delivery (L&D) units require effective communication, speaking up, and team learning to support safe care. Psychological safety informed this quality improvement project as a contextual strategy to strengthen peer feedback engagement.  

Problem: Peer feedback participation among eligible L&D registered nurses at a large acute care hospital in Santa Clara, California, was 14.29% (N = 112) below the 30% project target and 80% organizational target. Low participation limited routine feedback for professional development, recognition, and team learning.

Interventions: Interventions included psychological safety education, peer feedback reinforcement, workflow integration, platform navigation support, dedicated completion time, and unit champions. …

Optimizing Life Care Planning For Palliative Home Health Care Patients, Lilian Muraya

Master's Projects and Capstones

Problem: In this home health palliative microsystem, many seriously ill patients begin care without timely goals‑of‑care conversations or documented advance directives, leading to fragmented communication and potentially avoidable emergency visits and rehospitalizations.

Context: This quality improvement project took place in a hospital-based home health palliative care program in Northern California, where an interdisciplinary team identified inconsistent Life Care Planning (LCP) practices and variable staff comfort with conducting goals‑of‑care discussions.

Intervention: A structured LCP workflow was developed so that newly admitted palliative home health patients receive a goals‑of‑care discussion and advance directive review within 7 days of start …

Same-Day Cancellation Reduction In An Ambulatory Surgery Unit, Anthone Dalit Vengersammy

Master's Projects and Capstones

Problem: Same-day surgical cancellations in the outpatient surgery setting remain a significant operational and patient care challenge. Preventable cancellations negatively affect patient experience, operating room efficiency, staff productivity, and healthcare costs. 

Context: A microsystem and organizational culture assessment identified several factors contributing to same-day cancellations, including unclear preoperative instructions, incomplete medical clearance, inconsistent patient education, lack of standardized workflows, unclear staff responsibilities, and communication gaps among interdisciplinary teams. SWOT and gap analyses were used to identify opportunities for improvement and guide intervention planning.

Interventions: Quality improvement interventions were implemented through iterative Plan-Do-Study-Act (PDSA) cycles. Strategies included revising preoperative patient instructions, …

Neuromorphic Silicon Neuron Controller For Adaptive Deep Brain Stimulation In Parkinson's Disease, Md Abu Bakr Siddique, Jakub Orłowski, Yan Zhang, Hongyu An

Michigan Tech Publications

Parkinson's disease (PD) affects millions worldwide and causes severe motor symptoms. Adaptive deep brain stimulation (aDBS) delivers physiologically informed stimulation that can track fluctuations in PD motor symptoms, enabling more intelligent DBS control. However, most existing aDBS approaches are primarily algorithm- and software-driven, with limited efforts toward circuit realization, particularly low-power and implantable integrated circuits. This paper presents the Silicon Leaky Integrate-and-Fire Deep Brain Stimulation (SiLIF-DBS) controller, a neuromorphic silicon neuron stimulator implemented with metal-oxide-semiconductor (CMOS) technology. For system-level evaluation, a simplified computational model of the SiLIF-DBS controller is derived and embedded within a Parkinsonian cortico-basal ganglia framework for closed-loop …

The Sonam Times Newsletter Vol 01 Issue 01, School Of Nursing And Midwifery

The Aga Khan School of Nursing and Midwifery Archives

• Message from the Dean
• Collaborations & Outreach
• Key Events and Engagements
• Capacity Building Initiatives
• Accomplishments
• Stories of our People
• Promotions & Appointments

Betting On Gambling Diversion Courts To Handle The Risks Of Online Gambling For Problem Gamblers, Stephen Fajvan

Seton Hall Journal of Legislation and Public Policy

No abstract provided.