Digital Commons Network^™

An Adaptive Infrastructure Framework For Health Equity Integration Into Clinical Research, Keith Henri Salvado, Elidia V. Tafoya, Latanya Dean, Grissel Hernandez, Neera Ahuja

International Nursing Research Congress (INRC)

PURPOSE: The research team transformed a struggling health equity study by redesigning the clinical research infrastructure using population health management concepts and the A3 improvement methodology. The framework embeds the full cycle of clinical research in high acuity settings. This adaptive, nursing-led transformation aimed to optimize feasibility, to drive equitable access to research, and to bridge gaps in the literature.

METHODS: The research team overhauled the study using A3 improvement methodology within the framework of Lean and Plan-Do-Study-Act cycles. To optimize recruitment, our team developed workflows around sales funnel principles. Culturally competent and linguistically appropriate interactions fostered research access. Strategic …

Minority Stress As Mediator Of Ace-Substance Use Pathways: Sem Analysis Of Sexual Minorities, Meghna Shukla, Marvin Schilt-Solberg

International Nursing Research Congress (INRC)

Background: Adverse childhood experiences (ACEs) are known determinants of negative health outcomes. Sexual minority (SM) individuals have higher ACE scores than non-SM individuals, and as a result also have worse health outcomes.According to the WHO, ACEs such as abuse & neglect are among the most severe forms of stress an individual may face, with extant literature identifying SM status and ACEs as predictors of substance use. There is a paucity of evidence examining the pathways between ACEs and substance use in SMs. Burgeoning evidence indicates minority stress is a strong predictor of substance use in SMs.

Purpose: To examine the …

Transforming Telehealth With Thrive: An Online Intervention For Nps Caring For Young Adults, Lisa V. Duffy

International Nursing Research Congress (INRC)

AIM: To develop an online, video-based intervention for nurse practitioners (NPs) that illustrates best practices to establish therapeutic relational connection (TRC) during telehealth visits.

BACKGROUND: Telehealth offers many benefits for chronically ill young adults. Despite the potential benefits of virtual visits, little attention has been given to the quality of the virtual provider-patient relationship and its consequences. Relationships with healthcare providers that are characterized by a sense of TRC have the potential to increase self-management skills which are associated with improved physical, mental, and behavioral health outcomes. Although there are known benefits to TRC, what is not known are the …

Acceptability And Impact Of Weight Management Interventions For Adults With Intellectual Disability: Protocol For A Systematic Review And Meta-Analysis, Rohit Shankar, Ananya Ananthakrishnan, Edward Meinert, Rosiered Brownson-Smith

Peninsula Medical School

Introduction Obesity disproportionately impacts people with intellectual disabilities (PwID). Given the challenges that PwID face, such as cognitive deficits, differences in motivation and communication difficulties, the need for tailored interventions for weight management in PwID is recognised. Yet, this population is underserved, with limited weight management interventions for them compared with the general population. Existing reviews suggest that ‘multi-component’ interventions (including physical activity and dietary advice) are impactful at reducing weight in PwID; however, less is known about how these interventions are tailored for PwID, particularly in addressing their cognitive and communication difficulties which may influence how they understand and …

Accidental Transdermal Buprenorphine Patch Overdose In An Older Adult: A Case Report, Hashem Shogdar, Ahmed Aljohani, Yousef Almubarak

Saudi Toxicology Journal

Background: Buprenorphine is an opioid that is generally used for chronic pain and opioid dependence. Its pharmacological ceiling effect on respiratory depression gives it a comparatively favorable safety profile relative to other opioids. Despite its safety profile, inappropriate use can still result in clinically significant opioid poisoning. This case report highlights a case of accidental buprenorphine overdose in an aged patient. It illustrates the clinical presentation and preventive considerations associated with this uncommon but critical event. Case presentation: A 65-year-old woman with recent left total knee replacement was brought to the Emergency Department (ED) after being found drowsy and unresponsive …

Hematological, Inflammatory, And Oxidative Stress Biomarker Profiles In Substance Abuse Combinations: A Comprehensive Evidence-Based Review, Teif Naif Freeh Alenezi, Samia Soliman Barghash

Saudi Toxicology Journal

A potential risk of polysubstance use in relation to substance abuse can involve the development of intricate pharmacological interactions affecting the immune system and oxidative stress responses of the body. The current review aims to present a synthesis of the existing literature about hematologic, inflammatory, and oxidative stress markers associated with three patterns of polysubstance use: (1) stimulants and cannabis, (2) stimulants/depressants and CNS depressants, and (3) multi-drug complex usage. This review explores markers such as a neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), eosinophil-to-lymphocyte ratio (ELR), total oxidant …

Examining Six Domains Of Resilience With Latinx College Students From Migrant Farmworker Backgrounds: A Quasi-Experimental Single Case Design Study, Rebecca Dickinson, Raissa Miller, Cian L. Brown, G Michael Russo, Emma Knowles

Trauma Counseling and Resilience

Resilience-building interventions show promise in higher education, yet few studies focus on Latinx college students from migrant farmworker backgrounds (LMFWs), a group facing significant challenges such as acculturative stress, mixed familial immigration status, and educational discontinuity. This quasi-experimental single-case design study examined resilience domains among LMFW students participating in a group-based intervention informed by the predictive 6-factor resilience model. Resilience was measured across six domains: collaboration, vision, tenacity, reasoning, health, and composure, using standardized assessments adapted from Rossouw and Rossouw (2018). Pre- and post-intervention scores were visually analyzed to assess change at the individual level. Results indicated a evidence of …

The Roles Of Adverse And Benevolent Childhood Experiences In Posttraumatic Growth And Social Connectedness Following Interpersonal Trauma, Margaret Poandl, Emily Kitching, Daniel Gutierrez, Yuqi Zhang

Trauma Counseling and Resilience

Interpersonal trauma, such as childhood abuse, neglect, and intimate partner violence, is a prevalent and harmful form of trauma associated with deleterious psychosocial outcomes. Despite its negative impacts, individuals exposed to interpersonal trauma may also experience posttraumatic growth (PTG). While adverse childhood experiences (ACEs) are known risk factors and benevolent childhood experiences (BCEs) are potential protective factors for adult outcomes, little is known about how combinations of ACEs and BCEs influence PTG. This study examined how combinations of ACEs and BCEs relate to PTG and social connectedness among individuals who have experienced interpersonal trauma. Using cross-sectional survey data from 615 …

Padres Ayudando A Padres: Co-Constructing A Family-Centered Mental Health Intervention Of, By, And For Central American Immigrant Parents, Rachael Goodman, Colleen K. Vesely, Maribel Tohara Nakamatsu, Victoria Stone, Valeria Quintana, Bethany Letiecq, Amigas De La Comunidad

Trauma Counseling and Resilience

In the wake of the COVID-19 pandemic, our partners in a Central American immigrant enclave reported an increasing need to support parents and children whose mental health was negatively impacted by the confluence of underlying systemic stressors and traumatic experiences. Using our existing family-centered participatory action research (FCPAR; Letiecq, Vesely, et al., 2022) approach and guided by the transcreation model (Nápoles & Stewart, 2018), we co-constructed a mental health intervention in partnership with community members, via our community advisory board (CAB). Essential to this process was building the intervention with the community, ensuring that it was culturally and contextually grounded …

Collective Trauma And Systemic Negligence: Exploring South Korean Disasters Through Media And Cultural Narratives, Jung H. Hyun, Eunae Han

Trauma Counseling and Resilience

Disaster trauma often occurs at multiple levels, with the systemic level highlighting its collective impact on survivors. Betrayal trauma, inflicted by trusted individuals or institutions including the government, further compounds this experience. Drawing on historical and contemporary challenges in modern Korean history and recognizing their collective impact on the Korean population, this paper examines Korean betrayal trauma stemming from disasters, introduces a new concept of political betrayal trauma, and explores how media can serve as a tool for healing. Through a fictional case study, this paper illustrates how collective cultural narratives support both survivors and the broader society in validating …

Letter From The Editor, Erin Kern Popejoy

Trauma Counseling and Resilience

No abstract provided.

Provenance-Conditional Arbitration For Self-Supervised Nli Dataset Construction From Regulatory Corpora (Accounting/Tax Domain), Miseong Shawn Kim Mr.

Defensive Publications Series

We disclose a method for automatically constructing and validating Natural Language Inference (NLI) training pairs from unlabeled regulatory corpora in the accounting and tax domain (e.g., accounting standards, standard-setter Q&A, tax rulings, tax-tribunal decisions, audit opinions, regulatory-filing notes). The core is a provenance-conditional arbitration rule that assigns label adoption authority according to the source type of each pair, combined with asymmetric agreement thresholds, structure-relation label derivation, domain antonym contradiction synthesis, and numeric-equivalence pair generation. Publishing this defensively secures freedom to operate and blocks third-party patents on the technique.

System And Method For Green Energy-Aware Traffic Engineering Path Computation, Rajeev Anand, Abhishek Garg, Jaiesh Thapar

Defensive Publications Series

This disclosure presents a distributed control-plane mechanism that enables green energy-aware Traffic Engineering (TE) path computation in IS-IS and OSPF-TE networks. A router configured as renewable-energy-powered advertises a new Green Energy Capability sub-TLV in its TE advertisements. Routers in the same IGP domain learn this attribute and build a green-aware topology map. A tunnel-level policy can then constrain TE path computation to green-enabled nodes only. The mechanism is backward compatible and does not require an external controller.

Immunohistochemical Characterization Of Tumor-Associated Macrophage Polarization In Cutaneous T-Cell Lymphoma, Emma Luong, Wei Han, Xiao Ni

CATALYST Summer Training Program 2026

No abstract provided.

Designing And Evaluating A Human-Centered Faq Chatbot For Public Service Delivery: A Case Study Of The Tanzania Ports Authority, Barnabas Masanja, Joel Mtebe, Aron Kondoro

The African Journal of Information Systems

Chatbots are increasingly used in public service delivery, yet many remain difficult to use because their scope, conversational flow and persona are poorly designed. This study evaluates whether a human-centered design (HCD) approach can improve the usability of a Frequently Asked Questions (FAQ) chatbot developed for the Tanzania Ports Authority (TPA). The chatbot was designed iteratively through stakeholder consultation and expert input, with explicit attention to scope clarity, error handling, multi-turn flow and transparent persona design. Usability was assessed through heuristic evaluation, task-based testing and post-use questionnaires with 15 domain experts. The chatbot achieved a 95.1% weighted task success rate, …

Pagbabago Ng Tema At Representasyon: Anita Magsaysay-Ho Tungo Kay Karen Ocampo Flores, Cristy Allen Serote, Ernesto V. Carandang Ii

DLSU Arts Congress Conference Proceedings

Maraming mga Pilipinong pintor ang nakilala sa loob at labas ng bansa dahil sa angking kahusayan ng kanilang mga likhang obra. Magkagayunpaman, iilang pintor lang ang nagkaroon ng mataas na rekognisyon o pagkilala. Mula sa malaking bilang ng mga tanyag at mahuhusay na pintor, mapapansing malaking bahagdan ng mga ito ay lalaki. Ang pag-aaral na ito ay naglalayong suriin ang teknik at estilo nina Anita Magsaysay-Ho (1914-2012) at Karen Ocampo Flores (1966) bilang tugon sa mga hamon ng kanilang panahon, masuri ang pagbabago ng tuon ng kanilang obra bilang politikal na alagad ng sining, at malaman kung paano ginamit ni …

Bekizine: A Zine Featuring Selected Queer Artists And Narratives, Daniel D. Sullano, Alex Ayson, Arianna Atas, Renee Sophia Caponong, Merix Kobi Blancaflor, Fernando R. Lacson

DLSU Arts Congress Conference Proceedings

Media serves as a powerful medium for shaping cultural norms and self-perception. Despite increasing visibility in Philippine media, LGBTQ+ representation remains dominated by metropolitan-centric narratives and reductive tropes that overlook the nuanced realities of provincial queer life. The study explored how BEKIZINE, a community-centered zine created by and for LGBTQ+ individuals aged 18–30 in Cavite, can serve as alternative media for self-expression, community building, and historical preservation. Adopting a practice-based, mixed-methods approach, the study integrates Queer Theory, Safe Space Theory, and Alternative Media Theory through semi-structured interviews with local queer artists and individuals, followed by zine launch evaluation surveys. Qualitative …

Budol-Budol Time: A Perspective From The Global South On Generation Z’S Digital Status Consumption Through An Interactive Video, Luis Angelo Francisco Lopa, Kateleen Claire Malabag Gonzales, Jaedon Tongol Santos Jats

DLSU Arts Congress Conference Proceedings

This research critiques the contemporary digital landscape, as social media influencers shape Gen Z's consumer behavior, often driving "status overconsumption," the repetitive purchase of trending goods to enhance social standing. The study investigates the complex relationship between social media exposure and consumption patterns among affluent Gen Z (ages 13 to 28) in Laguna, Makati, Taguig, and Quezon City, Philippines. Its objective is to address the environmental consequences of these behaviors, including excess waste and carbon emissions from production and related industries, which consumers often overlook. Grounded in social comparison and status consumption theories, the research utilizes a sequential mixed-methods triangulation …

Drawn For A Brighter Tomorrow: A Functional Art Workshop As A Path To Livelihood And Skills Development Under The Pasay Social Welfare And Development Department (Pswdd), Liane Oxana V. Estuesta, Giana Margaux D. Bustos, Anne Kirsten Cerish S. Gamayo, Julia Patrish P. Go

DLSU Arts Congress Conference Proceedings

This study examines how functional art workshops, where creativity results in usable, real-world objects, can be a tool for livelihood and skills development among children in need of special protection aged 7-17 under the Pasay Social Welfare and Development Department (PSWDD). Specifically, grounded in arts-based and qualitative research, the study seeks to understand how exposure to functional art-making can support participants’ confidence, agency, and practical competencies. Data was gathered through primary sources, including a needs assessment survey, semi-structured interviews with youth participants and administrators after the program, and visual documentation of completed artworks. Secondary sources were also used, including published …

Bikolearn: Enhancing Bicol Language Proficiency Among Heritage Learners, Nathalie T. Lim-Cheng, Mark E. Abergos, Joshua H. Baccaro, Edward E. Tab, Christian A. Dela Peña

DLSU Arts Congress Conference Proceedings

Heritage learners are individuals with cultural ties to a language but also who lack proficiency in them, therefore often struggling to maintain their linguistic heritage. This is a common challenge for Filipino Bicol Language learners, especially those who grew up outside the region. This paper presents BikoLearn, a new web application designed to help heritage learners acquire the Bikol Language starting at the A1 beginner level. The application, which is designed first for mobile phones, mixes gamification features with relevant cultural content to make learning accessible. Through formatted lessons, interactive quizzes, and progress tracking presented in a gamified format, BikoLearn …

Phantoms Of The Self: An Art Installation On The Commodification Of Anik-Anik Culture, Vito Lomod, Minuet Deniña, Jaihzel Failana, Joshua R. Marcial

DLSU Arts Congress Conference Proceedings

The practice of anik-anik culture remains relevant and prominent among Filipinos, especially among Gen Z. Decorating, collecting, and preserving miscellaneous items as an extension of one’s identity and memory exemplifies the Filipino maximalist aesthetic. In context, Filipinos are naturally inclined to be maximalists, driven by the desire to connect and the tendency to fill empty spaces, hence the aesthetic of Filipino maximalism. Usually, this is evidenced in, but not limited to, consumption and fashion practices. Correspondingly, its current practices have also sparked discussions about the effects of consumerism and the dilution of the origins of anik-anik, which is deeply rooted …

“Shh!” Bleaching As An Auto-Destructive Art Method Of Representing The Silencing Of Women, Kristelle Tenero De Leon

DLSU Arts Congress Conference Proceedings

This paper discusses the artistic representation of the muffling of women’s voices and the culture of silence through a theoretically auto-destructive method of artmaking—bleaching using mark-making on textile. Through studio art research, the reductive and erasing properties of bleaching agents are used by bleaching printed images of women in fabric to metaphorically represent and articulate the existence of silencing imposed upon women. Guided by the lens of feminism and Gustav Merger’s manifesto of auto-destructive art, this work presents the artistic images of 13 women across Philippine history—from the babaylans to Maria Ressa—on textile, imbued with bleaching effects. Moreover, the work …

Kapwa Beckett: Co-Performance, Pakikipagkapwa, And Relational Meaning-Making In Philippine Stagings Of Samuel Beckett, Christian Gabriel Tolentino

DLSU Arts Congress Conference Proceedings

This reflective-practice study examines how kapwa and pakikipagkapwa emerged through translation, rehearsal, staging, and reception in three Philippine productions of Samuel Beckett: Endgame (2016), Happy Days (2019), and the devised classroom piece Beckett, Godot & Us Waiting (2023). Using comparative production analysis and a dialogical co-performance orientation drawn from Dwight Conquergood, I analyze rehearsal exercises, adaptation notes, production materials, staging decisions, and remembered performer-audience encounters. The analysis identifies distinct relational practices across the productions: collaborative localization and sensory dramaturgy in Endgame; negotiated media adaptation and mediated intimacy in Happy Days; and devising, Meisner repetition, physical trust, and shared post-pandemic waiting …

Atomos Komiks - Making Learning Fun With Science Entertainment, Jerome Aizpuro Suplemento Ii, Julius Noah Hernandez Sempio

DLSU Arts Congress Conference Proceedings

With portable digital devices imposing themselves on the already precarious attention span of the Filipino youth, and with raising concerns about degrading literacy of schoolchildren, it is imperative to find creative and entertaining means to inspire the young studentry to engage in dedicated educational materials. This paper explains the methods being used by a small group of artists, scientists and writers to create content for “science entertainment” in comics format. By combining principles of conceptual compression, knowledge indexing and low-elaboration persuasion techniques to develop knowledge “anchors”, the team aims to generate participatory engagement among readers and stimulate their cognitive innovation. …

Indigenous Pedagogies As An Arts-Based Framework For Education 4.0, Andylyn Simeon

DLSU Arts Congress Conference Proceedings

While Education 4.0 promises to cultivate 21st-century skills like creativity and critical thinking, the reality often falls short. Current frameworks are heavily technocentric, prioritizing digital tools and measurable data over the communal, emotional, and spiritual depth that true learning requires. This paper argues that we can restore balance to this digital shift by looking toward Indigenous Pedagogies (IPs). Far from being “obsolete” relics of the past, these are sophisticated, arts-based systems rooted in storytelling, ritual, and land-based creation that can offer a creative blueprint for the human-centered goals that Education 4.0 claims to value. Through a qualitative synthesis, I deconstruct …

Urinary Antimony As A Biomarker For Differentiating Heroin And Brown Mixture Use, Shu-Mei Tsai, Yu-Han Hsiao, Yan-Zin Chang, Sai-Wai Ho

Journal of Food and Drug Analysis

Heroin is classified as a Schedule I controlled substance with severe legal consequences for its use, whereas liquid Brown Mixture (BM) is a legally available and commonly prescribed cough remedy in Taiwan. However, numerous cases of BM ingestion have been misinterpreted as heroin use because BM contains opium tincture, leading to similar urine test results. Owing to the rapid metabolism of heroin, detection of the parent drug and its primary metabolite, 6-acetylmorphine, in urine is difficult; thus, interpretation often relies on morphine concentration and the morphine-to-codeine (M/C) ratio, which can be inconclusive. In our BM analysis, the M/C ratio was …

Effectiveness Of The Smart Me-De Digital Program On Health Literacy And Glycemic Control In Newly Diagnosed Type 2 Diabetes, Nongnaphat Rungnoei, Siriporn Kruttakart, Natthapan Phianthanyakam, Pakaporn Klinhom, Umaporn Nokpaet, Jintipa Sirikunwiwat, Burong Jaitham

Journal of Health Research

Background: Individuals newly diagnosed with type 2 diabetes often have limited knowledge and self-management skills, leading to poor glycemic control and increased complications. This study evaluated the effectiveness of the Smart ME-DE Digital Program in improving health literacy and glycated hemoglobin levels among newly diagnosed individuals with type 2 diabetes.

Methods: A quasi-experimental study was conducted with seventy participants recruited from diabetes clinics at three hospitals in a central province of Thailand. They were selected using simple random sampling and matched by gender, age, and baseline HbA1c levels, and allocated to an experimental or comparison group. The experimental group received …

Large-Scale Asymptotics In Fixed-Sample And Sequential Multiple Testing, Rahul Roy

Doctoral Theses

The advent of large-scale data acquisition technologies has led to the routine emergence of massive, dynamically evolving datasets. This has created a pressing need for statistical methodologies capable of operating effectively in both static and sequential data environments. Multiple hypotheses testing, a central tool in such settings, must therefore be adapted to both fixed-sample and sequential frameworks to ensure effective decision-making while controlling error rates. This thesis comprises two main parts. The first part addresses fixed-sample multiple testing under dependence in a Bayesian framework. Building upon the two-group mixture normal model of Bogdan et al. (2011), we extend their methodology …

Tameca Hobbs V. New Jersey Civil Service Commission

2026 Decisions

USDC for the District of New Jersey

Properties Of Enjoyable Mathematical Contexts From The Student Perspective, Emilie Nadine Hendrickson

Theses and Dissertations

Researchers continue to grapple with how to meaningfully engage students in mathematical content. Many students report disengagement due to perceptions that mathematics is difficult, irrelevant, boring, or anxiety-inducing. This study sought to understand how students interpret and respond to different mathematical problem contexts, with particular attention to the reasons students describe certain problems as enjoyable or unenjoyable. Using semi-structured interviews, this research examined student responses to a variety of mathematical problem types primarily across affective engagement. Students reflected on specific problem contexts and explained which features supported or hindered their enjoyment and engagement. Students described that contexts were enjoyable have …