Digital Commons Network^™

Jeffrey Ahn V. Cigna Health And Life Insurance Co

2026 Decisions

USDC for the District of New Jersey

Synthesis, Characterization, Molecular Docking And Evaluation Of Fluoroquinolone Derivatives As Dual-Targeting Agents, Murtadha F. Abdullah, Raheem J Mohaisen

Muthanna Medical Journal

Background: The rapid emergence of antimicrobial resistance and persistence of urease-associated bacterial infections underscores the urgent need for alternative therapeutic strategies. Urease is a key virulence factor that plays a critical role in pathogenesis of several pathogenic bacteria by promoting colonization and survival in acidic environment. Objective: In this context, this study aimed to develop some fluoroquinolone derivatives hybridized with urease targeting small molecule and evaluating their potential as dual urease inhibiting antibacterial agents. We hypothesized that hybridization of fluoroquinolone core with urease targeting small molecule using a cleavable linker could potentially disarm the microbe's key virulence factor …

Diabetes And Insulin Resistance, Causes And Treatment- A Review, Aoss Moez Abed–Alhussian Alyassery, Anas Al-Yasiry, Zainab Mahmood Al-Jammali

Muthanna Medical Journal

Background: Insulin resistance, is a hormone that is produced in the beta cells of the pancreas and works to manage the sugar balance in the body, it usually occurs when the cells in the muscles, fat and liver do not respond properly to insulin and thus cannot absorb glucose from the blood, which leads to increased work of the pancreas to increase glucose.

HOMA-IR is probable a person may be infected 10 or 15 years ago from beginning the type 2 diabetes. When it derives addressing insulin resistance, life style changes should be the importance.

Objective: to review the causes …

Knowledge And Practices Of Iraqi Pediatricians Regarding Antibiotic-Associated Diarrhea, Nabeeha Najatee Akram, Shaymaa Khalid Abdulqader, Maha Majeed Hameed

Muthanna Medical Journal

Objectives: This study aims to assess the knowledge of pediatricians regarding antibiotic-associated diarrhea (AAD) and explore their practices with prevention and treatment of AAD.

Patients and method: A cross-sectional, questionnaire-based study enrolled Iraqi pediatricians. A structured self-administered questionnaire was constructed based on a comprehensive review of current literature and ESPIGAN guidelines relevant to AAD. The questionnaire consists of three parts: the first part consists of six questions about the clinical and demographical characteristics of pediatricians, including age, sex, title (Qualification), years of experience in pediatrics, affiliation, and province of work. The second part consists of 12 closed-ended questions with each …

Data Governance In Local Government: Evidence From Spatial Data Initiatives, Maame Efua Q. Arthur

Capstone Projects – Politics and Government

The adoption of modern digital applications and tools enables community development organizations to improve public services and community well-being. In response to the data surge, several local governments in the U.S. are converting spatial data into user-friendly geospatial products, including maps, dashboards, web, and instant apps. Research suggests that while these tools enhance operations for municipalities, they also increase public accountability and data transparency. However, developing data-driven tools is dependent on structured data governance practices that ensure data accessibility, accuracy, reliability, and security. Using the City of Bloomington, Illinois, as a case study, this study assesses the city's data-driven initiatives, …

Note From The Editor, Mason Kokovay

The Agora

A note from the Editor-in-Chief, welcoming you to the fourth issue of The Agora.

The Enabling Role Of Digital Competencies In Heutagogical Learning Contexts: A Hermeneutic Phenomenological Study, Jennifer Dean

Irish Journal of Academic Practice

In today’s digital age, independent, self-directed learning is essential for navigating complex information environments. Digital competencies support this by enabling learners to critically engage with, evaluate and apply information while maintaining autonomy and adaptability. This hermeneutic phenomenological study adopts a qualitative, interpretivist approach to explore the lived experiences of individuals engaged in heutagogical learning, where learners take intentional control over what, how and when they learn. Grounded in a constructivist epistemology, data were collected through nine in-depth, semi-structured online interviews. Thematic analysis revealed three key findings. First, self-directed learning is often unconscious and intrinsically motivated, driven by internal determination rather …

Quality Improvement Project Improving Provider Confidence For Medication Adherence Screening Through Use Of The Medication Adherence Rating Scale (Mars), Tamara Cheek

Doctor of Nursing Practice Projects

Medication nonadherence affects 50% to 70% of individuals with serious mental illness. This contributes to symptom relapses, hospitalization, poor treatment outcomes, and higher healthcare costs. The purpose of this quality improvement project was to evaluate the impact of a competency-based Medication Adherence Rating Scale (MARS) training program on provider confidence and standardized adherence screening in a psychiatric clinic, to improve confidence and increase use of a standardized assessment. Guided by Bandura's Self-Efficacy Theory and Lewin's Change Management Model and implemented using the Plan-Do-Study-Act framework, the project used a quantitative quasi-experimental pre-post design with eight psychiatric mental health nurse practitioners. Data …

Quality Improvement Project: Addressing Appointment Non-Adherence Through Social Needs Screening, Dorathy Anderson

Doctor of Nursing Practice Projects

Mental health care access in the US faces systemic barriers that delay treatment and disrupt care, often worsening patient outcomes. Unmet social needs of health, such as transportation, financial, and housing issues, lead to missed appointments and fragmented care, thereby increasing health disparities. This quality improvement project evaluated whether targeted staff education improved the identification and response to social needs that affect appointment adherence. Adult Learning Theory guided the training, while Lewin’s Theory of Change and the Plan-Do-Study-Act framework informed implementation and evaluation. The intervention population consisted of five clinic staff members. A quasi-experimental pretest-posttest design was used to evaluate …

The Impact Of Telephonic Versus Video Platforms On Nurses’ Intrinsic Motivation: An Evidence-Based Practice Project, Brittney Saldierna

Doctor of Nursing Practice Projects

Ambulatory pediatric nurses frequently rely on telephone-only encounters for telehealth triage and patient education despite the availability of video-enabled technology. Literature demonstrates that the inability to visually assess patients limits clinical assessment accuracy, communication effectiveness, and nurse confidence. The purpose of this evidence-based practice project was to evaluate whether educating ambulatory pediatric nurses on the integration of video-enhanced telehealth encounters impacts intrinsic motivation and perceived competence compared with telephone-only encounters. Guided by the Iowa Model of Evidence-Based Practice and the ADKAR Change Management Model, this quantitative, quasi-experimental project was applied utilizing the PDSA cycle implementation framework in ambulatory pediatric specialty …

Quality Improvement Project: The Impact Of Standardized Handoff Communication In A Home Acute Care Setting, Antonius Devon Speed

Doctor of Nursing Practice Projects

Effective nurse-to-nurse handoff communication is essential in hospital-at-home telehealth care, where remote nurses depend on accurate electronic health record documentation and structured shift-to-shift communication. This quality improvement project evaluated whether education and implementation of a standardized Situation, Background, Assessment, Recommendation (SBAR) workflow improved staff-reported handoff quality and reduced communication-related near-miss events over 8 weeks. Lewin's Change Theory, Rogers's Diffusion of Innovations, and the Plan-Do-Study-Act framework guided implementation and sustainability. A quantitative, quasi-experimental one-group pretest-posttest design was used. The intervention included SBAR education, a workflow checklist, and a handoff template. Outcomes were selected Handover Evaluation Scale (HES) responses and aggregate near-miss …

Covid-19'S Impact On Student Behavior In Rural-Urban Fringe Elementary Schools, Chanel V. Leslie

College of Education

This study examines the impact of COVID-19 on student behavior in rural-urban fringe schools in Northern Alabama. The qualitative narrative inquiry research centers the lived experiences of teachers from four different schools as they navigate and explain this shift during this time. Grounded in Bronfenbrenner's (1979) ecological systems theory, the study is guided by three research questions that address the changes in student behavior and classroom dynamics; teacher preparedness and the ability to manage post-pandemic behavioral challenges; and effective interventions and support strategies. This research offers further insight into the erosion of foundational social skills, widespread emotional dysregulation, and patterns …

Matter Of Anderson V. New York State Div. Of Hous. & Community Renewal

All Decisions

In this Article 78 proceeding, the Appellate Division, Second Department affirms the Supreme Court's order finding that DHCR's decision to dismiss the tenant's rent overcharge complaint was arbitrary and capricious. The court reaffirms that due to improper registration of rents on the DHCR rent history—the last reliable registration being in 2007—the legally collectible rent remains frozen at the last properly registered rent and the apartment remains subject to the Rent Stabilization Law/Code.

June 24, 2026 Blazer Weekly, University Of Alabama At Birmingham

Blazer Weekly (student newsletter)

No abstract provided.

Measurement Invariance: A Tool To Weird-Icize Global Knowledge Production?, Klaus Boehnke

Online Readings in Psychology and Culture

The article examines measurement invariance in quantitative cross-cultural research. Instruments are typically translated, data are collected for the different language versions, and psychometric invariance is assessed. Items deemed equivalent are preserved, while the remaining items are traditionally eliminated. Culturally inclusive methodologies independently develop items across various cultures, translate them into a lingua franca, preserve translatable items, collect data, and corroborate invariance. Non-equivalent items are usually eliminated. A more radical strategy for preserving local (emic) elements is suggested here. Instrument developers across cultures concur on the measurability of a specific construct for which they independently create items, collect data without translation, …

Professionals’ Perspectives On Behavioural Approaches In Autistic Adult Mental Health Care: Comparing Neurodivergent And Non-Neurodivergent Practitioners, Margaret Janse Van Rensburg, Abigail K. Reza Jameson, Emmanuella Asabea Twum, Robert Hock

Faculty and Staff Publications

Applied Behaviour Analysis (ABA), Cognitive Behaviour Therapy (CBT), and Dialectical Behaviour Therapy (DBT) are widely used approaches when working with Autistic people. While ABA originates in the behaviourist tradition, CBT and DBT are cognitive-behavioural psychotherapies that incorporate both cognitive and behavioural elements. These therapies remain contested within neurodiversity-affirming frameworks. This study explored how professionals understand, use, and avoid behavioural approaches in their work with Autistic adults, and whether perspectives differ between neurodivergent and non-neurodivergent practitioners. Semi-structured interviews were conducted with 20 professionals providing mental health support to Autistic adults. Data were analyzed using qualitative content analysis, with an exploratory comparison …

The Reality Of Influence: Understanding Poetic Lineage, Anastasia Simms

2026

How does one distinguish between imitation and stealing? How does one determine who is an immature or mature, a bad or good poet or writer? At what threshold does someone’s work become so different from its original influence or inspiration that it is now unique? Harold Bloom seeks to answer these questions in The Anxiety of Influence: A Theory of Poetry, the course’s critical theory companion text, where he argues “poetic influence is a variety of melancholy or an anxiety-principle” (p. 7) because it is inescapable. I disagree with Bloom’s assessment that influence is negative and thus anxiety-inducing. Instead, …

The Holy Grail Of Arthurian Manuscripts Is For Auction At Christie’S, Christopher Berard

Humanities Program Faculty Publications

One of the most important surviving manuscripts of Arthurian literature is set to go under the hammer at Christie’s this July, carrying an estimated value of up to £2 million. Christopher Berard explores the medieval romances that gave shape to the stories of King Arthur, Lancelot, Merlin, and the Holy Grail.

https://www.medievalists.net/2026/06/holy-grail-of-arthurian-manuscripts/

Examining The Role Of Physical Illustrations Within The Home To Represent Our Connections With The Climate Emergency And Its Potential For Climate Action, Devon Tipping

School of Law, Humanities and Social Sciences

In a time of upheaval and rapid change individuals and society arechallenged emotionally, often expressed as anxiety and a sense of powerlessness.This is particularly relevant in terms of environmental issues and in the context ofthe climate emergency which has contributed to a rise in eco-anxiety. Within thiscontext, illustration can offer valuable tools to inspire climate action. Artwork, acommon feature in most homes, is often viewed daily, yet can it serve a purposebeyond decoration?The project, Floriography, explored how images within domestic spaces can fosterclimate awareness. The focus was to engage people who may find climateconversations overwhelming, using illustration to introduce these …

Adaptation Of Moral Integrity Scale To Kazakh Language: A Psychometric Investigation, Madina Ishkibayeva, Nesrullah Okan, Zhazira Abdykhalykova, Nursulu Makhambetova

Higher Learning Research Communications

The present study has been designed to adapt the Moral Integrity Scale (MIS), originally developed by Schlenker (2008), into Kazakh and to examine its psychometric properties among undergraduate students. Moral integrity, a critical component of ethical behavior, is essential in tertiary education, yet few culturally validated tools exist in the Kazakh context. Following a rigorous scale adaptation process (including translation, back-translation, expert review, and pilot testing), the scale was administered to three independent student samples. The results of the exploratory factor analysis (n = 470) revealed a single-factor structure explaining 52.13% of the total variance. Confirmatory factor analysis ( …

Assessing Renal Dysfunction Incidence Related To Intravenous Acyclovir Usage, Marwa Said Aljahwari, Mohammad Abobakr Alghazali, Aya Said Alsaidi

Sultan Qaboos University Medical Journal

Objectives: This study aimed to assess the incidence and contributing factors of renal dysfunction among patients receiving intravenous (IV) acyclovir at Khoula Hospital, Muscat, Oman. Specifically, this study aimed to evaluate the incidence of acute kidney injury (AKI) following IV acyclovir administration, associated risk factors and potential preventive strategies to reduce nephrotoxicity. Methods: This retrospective cohort study was conducted at Khoula Hospital and included patients aged 12–80 years who received IV acyclovir between January 2019 and December 2023. Patients with pre-existing renal disease or increased baseline serum creatinine were excluded. The sample size was computed using Daniel's formula, resulting …

On The Edge Of Science?, Mark Briffa, Lynne U. Sneddon

Animal Sentience

In The Edge of Sentience, Jonathan Birch (2024) provides a thought-provoking synthesis of current perspectives on animal (and artificial) sentience. He addresses the question from conceptual, ethical, regulatory and empirical viewpoints. Here we focus on some of the scientific issues raised, including defining and operationalising the concept of sentience and the implications for policy and regulation. Despite unresolved conceptual challenges, the book makes a compelling case for the continued scientific investigation of animal sentience.

Effectiveness Of Simulations In Workplace Training: A Systematic Analysis, Brittney Gaban

Honors Theses

Beyond the classroom, training simulations can be used in the workplace and have been used in a variety of industries, but most focus on the acceptance and perceived results rather than realworld transferability. To determine the state of simulations in workplace training, five articles met the inclusion criteria and were analyzed by participants, industry, results, perceived effectiveness and transferability of skills, data type collected, and participant feedback. The included studies demonstrated the variety of ways simulations have been integrated into training, primarily through hospital and emergency response teams, clinics, and transportation settings. Virtual reality was the most frequently used out …

Quality Improvement Project: Implementation Of Trauma-Informed Care Education In An Outpatient Psychiatric Clinic, Ornela Claude Ika

Doctor of Nursing Practice Projects

Trauma-informed care (TIC) is an evidence-based approach that promotes safe, patient-centered care for individuals with a history of trauma. Many patients receiving services in psychiatric settings have experienced trauma, placing them at risk for retraumatization during healthcare encounters. Despite the recognized benefits of TIC, the outpatient psychiatric clinic involved in this project lacked a formal trauma-informed care education program for staff. The purpose of this quality improvement project was to determine whether implementation of a structured trauma-informed care educational intervention improved staff attitudes toward trauma-informed care. Lewin’s Change Theory and the Plan-Do-Study-Act framework guided project implementation. A quantitative pre-intervention and …

Quality Improvement Project: Impact Of Adjunct Clinical Faculty Mentorship On Self-Confidence: A Quality Improvement Project, Fairah Solomon

Doctor of Nursing Practice Projects

Novice adjunct clinical faculty transitioning from expert clinicians to nurse educators face many challenges, particularly in understanding their roles, responsibilities, and educational frameworks. Despite an established orientation at the project site, a structured mentorship program to support the role transition is lacking. This quality improvement (QI) project aimed to improve novice adjunct clinical faculty’s self-confidence through the implementation of a structured mentorship intervention. Guided by Lewin's Change Theory and Constructivist Learning Theory, the project utilized a quasi-experimental pre- and post-test design. Implementation was guided by the Plan-Do-Study-Act framework. A purposive sample of seven novice adjunct clinical faculty with less than …

An Analysis Of Heat Spread Through Smoldering Pine Needles, Timothy Keith

Theses and Dissertations

The goal of this thesis is to calculate the average speed of flame spread through smoldering pine needles. We present two different models for doing this: the first is a very large system of ODEs meant to represent the spread of flame through individual needles, the second is a macroscopic model based on the porous medium PDE. Simulations are run for each of these models and compared to each other as well as to existing models and experimental results.

Effective Strategies That Small Business Leaders Use To Adapt To Changing Market Trends To Increase Profitability, Teslim Dawodu

Walden Dissertations and Doctoral Studies

No abstract provided.

Qualitative Analysis Of Solutions To A General Class Of Nonlinear Difference Equations With Applications, Osama Moaaz, Mohamed F. Abouelenein, Mona Anis

Mathematical Modelling and Numerical Simulation with Applications

This work examines the qualitative behavior of a general class of difference equations. We establish criteria guaranteeing the stability, periodicity, and boundedness of the solutions of the equation under consideration. In addition, we identify its invariant intervals. The theoretical results are subsequently applied to various special cases, among them the May--Host model. Numerical simulations are presented to demonstrate the dynamics of the solutions and to validate the theoretical analysis.

Brief Amicus Curiae Of Administrative And Constitutional Law Professors In Support Of Petitioners, Robert Glicksman, Richard Pierce, Alan B. Morrison, Jeffrey Lubbers, Peter L. Strauss

Amicus Briefs & Court Filings

INTRODUCTION AND SUMMARY OF ARGUMENT: The ninety-six temporary agricultural workers employed by respondent were allowed to come to the United States solely because Congress established the program that governs their employment. As petitioners’ brief demonstrates, in order for respondent to be eligible to bring in foreign workers, it had to submit an application to the Department of Homeland Security. As part of that process, respondent had to establish that it would not employ non-citizen workers to displace domestic workers. Included in the required showing is an agreement by respondent to pay both domestic and foreign workers the same pay, so …

Jeffrey Steidle V. United States Liability Insurance Co Inc

2026 Decisions

USDC for the Eastern District of Pennsylvania