Digital Commons Network^™

Enhancing Physiological Complexity Through Mindfulness: A Wearable-Based Intervention For First Responders And Their Partners, Thurmon Lockhart, Rahul Soangra, Christopher W. Frames, Sun-Kyung Lee, Amberlee Martin, Susanne Lee, Abigail H. Gewirtz

Physical Therapy Faculty Articles and Research

Background/Objectives: First responders frequently encounter high-stress environments that challenge physiological resilience and autonomic regulation. Heart rate variability (HRV) complexity is a critical marker of adaptive capacity and stress regulation. This study assessed the impact of a wearable-based mindfulness intervention on HRV complexity among first responders using a smartwatch. Methods: A total of 87 first responders participated in a one-month wearable-based intervention. Participants wore Garmin Vivosmart 5 devices to continuously collect PPG data (photoplethysmogram), focusing on beat-to-beat intervals (BBIs). The intervention involved daily Ecological Momentary Assessments (EMAs) and individual randomization to either a mindfulness message, a prompt to access an audio …

The Struggle Of Indigenous Women From A Critical Feminist Perspective: A Literature Study Of The Indigenous Communities Of Lake Toba, Mudiyati Rahmatunnisa, Cusdiawan Cusdiawan

Jurnal Wacana Politik

This article explores the struggle of indigenous women in the Lake Toba region through a critical feminist perspective. Critical feminism is employed here not only to analyze the complexity of Indigenous women’s experiences in the Lake Toba region, but also as a theoretical framework for envisioning and advancing Indigenous women’s movements. Using a literature study method, this research analyzes various academic works, reports, and secondary data related to indigenous women, capitalism, patriarchy, and corporatist development. This study argues that indigenous women experience various forms of marginalization caused by the intersection of state-supported capitalist expansion, which has led to the loss …

The Effects Of Osha State Plans And State Gdp On Occupational Injuries And Illnesses In The United States, Ahmad Abdel Rahman Mohammad Amoorah

Theses

Workplace safety in the United States is governed by a system in which some states operate under federal OSHA oversight, while others administer their own OSHA-approved safety and health plans. This duality raises questions about whether state-level control leads to variation in safety and health outcomes. Economic conditions have also been shown to influence workplace injury rates, yet the interaction between safety and health regulations and local economies remains underexplored. Understanding these relationships is critical to protecting workers in occupational settings. The effects of OSHA state-plan status and state-level economic activity on occupational injury and illness rates across the United …

Referral Patterns From Primary Care To Referral Care By Icd-10 Codes In Indonesia: Cross-Sectional Analysis Of National Claims Data (2017–2024), Della Dwi Ayu, Syarif Rahman Hasibuan, Putu Erma Pradnyani, Nisrina Widyasanti

Journal of Indonesian Health Policy and Administration

Primary health care (PHC) facilities serve as gatekeepers within Indonesia’s tiered health system. However, PHC referral patterns to hospitals still show substantial variation and remain insufficiently characterized by disease groupings based on the International Classification of Diseases, 10th Revision (ICD-10). This study aimed to identify the most frequently referred diagnoses from PHC to secondary or tertiary care facilities and to determine the participant characteristics associated with referrals. This observational study employed a cross-sectional design using secondary data from the National Health Insurance (Jaminan Kesehatan Nasional – JKN) claims database for the period 2017–2024. The unit of analysis was each …

Supporting Three-Sector Relationships For Enhancing Agility And Market (Stream): A Comparative Study Of Small And Medium Enterprises (Smes) In China And Indonesia, Marizal Fanani, Muhammad Akmal Daffari, Ikhtiar Anugrah Hidayat, Adinda Qornelica

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

In a rapidly evolving borderless economy, the success of Chinese Small and Medium Enterprises (SMEs) in penetrating global markets demonstrates the critical role of structured collaboration among government, industry, and academia. This study examines how intersectoral collaboration, analyzed through the Triple Helix Framework, impacts the innovation agility and market readiness of SMEs in China and Indonesia. This research adopts a qualitative comparative policy analysis, drawing on relevant journals, policy documents, and SME reports to explore how interactions between these sectors influence SME growth and innovation. The findings show that China’s SME is supported by: (1) strong institutional coordination, (2) well-developed …

Determinants Of Public Trust In E-Government: A Comprehensive Review And Conceptual Framework Over The Past Decade, Andrean Nathaniel, Sumartono Sumartono, Abd. Qadir Muslim

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

The evolution of digital governance has heightened the strategic significance of public trust in the implementation of e-government. Despite numerous empirical investigations, the results concerning the factors influencing trust remain fragmented and largely centered on technological aspects. This study seeks to systematically identify, categorize, and synthesize the determinants of trust in e-government through a structured literature review of 21 Scopus-indexed articles published between 2015 and 2025. Utilizing an evidence-based synthesis methodology, the study organizes determinants of trust into four main categories: citizen-related, technological, institutional, and risk-related factors. The findings indicate that technological and citizen-related factors are the most significant predictors …

Investigation Of Environmental Influences On Multiple Sclerosis: A Study For Egypt’S Health, Noha Ezzaldin Alziny Ali

Theses and Dissertations

Background: Multiple sclerosis (MS) is a complex, chronic neuroinflammatory disease influenced by both genetic and environmental factors. While global research has identified potential environmental influences, most evidence comes from Western populations, creating a significant knowledge gap for regions like Egypt, which has witnessed a dramatic rise in MS prevalence over recent decades. This study hypothesized that Egyptian MS patients exhibit a distinct biological signature in their blood, characterized by an imbalance in essential and toxic trace elements (the metallome) and alterations in stress-response biomarkers associated with neuroaxonal injury and cellular stress. Objective: This study aimed to comprehensively profile and compare …

Immunoglobulin A (Iga)-Mediated Vasculitis As A Paraneoplastic Clue In Chronic Lymphocytic Leukemia: A Case Report, Sai Sushrutha Mudupula Vemula, Soumith Sanka, Dheeraj Peddinti, Ujwala Koduru, Richa Tikaria

Student Publications

Immunoglobulin A (IgA)-mediated vasculitis is a small-vessel vasculitis defined by IgA-dominant immune complex deposition. Although common in children, adult-onset cases are rare and may signal underlying malignancies. In this case report, we present a 60-year-old male with chronic lymphocytic leukemia (CLL) under observation for his painful purpura and non-healing leg ulcers, with a biopsy confirming IgA vasculitis. His course was further complicated by steroid-induced diabetes, poor wound healing, recurrent infections, and fatal respiratory failure. He remained steroid-dependent with recurrent ulcer flares on tapering and infections, including pneumonia and varicella-zoster. Flow cytometry revealed persistent clonal B-cell populations with stable lymphocyte counts, …

H. C. Robbins Landon (1926-2009): A Brief, But Grateful Tribute, David Wyn Jones

HAYDN: Online Journal of the Haydn Society of North America

Tribute honoring H. C. Robbins Landon on the 100th anniversary of his birth.

Landon’S Salieri: Myth-Busting, Stereotype-Making, And The Narratives Of Eighteenth-Century Music, Yuhan Tian

HAYDN: Online Journal of the Haydn Society of North America

This paper reconsiders H. C. Robbins Landon’s writings on Antonio Salieri, focusing on 1791: Mozart’s Last Year, Mozart: The Golden Years, and Haydn: Chronicle and Works II. It starts from a basic observation: Landon is widely credited with dismantling the story that Salieri poisoned Mozart, yet his books also helped to fix another vivid image of Salieri—as “the arch-intriguer” at the Viennese court. How can the same author both clear away one myth and reinforce another kind of stereotype?

The paper combines close reading with straightforward source criticism and recent work on biography and life-writing. The first section …

Pernicious Anemia Presenting As Pseudothrombotic Microangiopathy: A Case Report, Sai Sushrutha M Vemula, Shreeya Adhikari, Shreya Motkur, Alfarooq Alshaikhli, Borys Hrinczenko

School of Medicine Publications

Thrombotic thrombocytopenic purpura (TTP) is a rare, life-threatening thrombotic microangiopathy (TMA) characterized by microangiopathic hemolytic anemia, thrombocytopenia, and end-organ dysfunction, with high untreated mortality that can be effectively reduced with timely plasma exchange (PLEX) and immunosuppressive therapy. However, several conditions can produce a clinically similar pseudo-TMA picture, among which severe vitamin B12 deficiency is an underrecognized and potentially treatable mimic that occurs due to ineffective intramedullary erythropoiesis, megaloblastic fragmentation of structurally abnormal erythrocytes, and pancytopenia in the absence of true endothelial injury or ADAMTS13 deficiency. We present a 74-year-old female patient who presented with altered mental status, bradycardia, and severe …

Makna Simbolik Dan Memori Pascakolonial Dalam Cyanotype Fusion Dialogue “Trade Of Faith” Karya Budi Agung Kuswara: Kajian Semiotika Roland Barthes, Wisesa Abrar Mufid Munawwar Wahyuono, A. Syarifuddin Rohman

Journal of Language, Literature, and Arts

The cyanotype artwork Fusion Dialogue: Trade of Faith by Budi Agung Kuswara represents a contemporary art practice that combines cyanotype techniques and mixed media to construct visual narratives of colonialism, trade, spirituality, and cultural identity. This study aims to identify the visual symbols embedded in the artwork and analyze their meanings based on Roland Barthes’ semiotic theory. A descriptive qualitative approach was employed, with the researcher serving as the primary instrument. Data were collected through observation, documentation, interviews with the artist, and a literature review. Analysis involved symbol identification as well as denotative, connotative, mythological, and aesthetic analyses. The findings …

Profil Kemampuan Awal Keterampilan Produktif Bahasa Jerman Mahasiswa Pemula Pada Level A1 Cefr, Femmy Angreany, Arlian Fachrul Syaputra

Journal of Language, Literature, and Arts

This study aims to describe the initial profile of German productive skills among first-year students of the German Language Education Study Program, Faculty of Languages and Literature, Universitas Negeri Makassar, based on the A1 level of the Common European Framework of Reference for Languages (CEFR). The study employed a quantitative approach with a descriptive design to systematically portray students’ abilities without applying any specific treatment. The participants consisted of 40 first-semester students from two classes. Data was collected through documentation of the Final Semester Examination results in speaking (Sprechen) and writing (Schreiben) skills, which were adapted from the Goethe-Zertifikat A1: …

Rebranding Untuk Menanamkan Citra Brand Semanis Koe, Novita Priska Anggraeny Matitaputty, Joni Agung Sudarmanto

Journal of Language, Literature, and Arts

This design project is motivated by the competitive environment among micro, small, and medium enterprises (MSMEs) in the culinary sector, particularly dessert products, which requires each business to present a strong, consistent, and distinctive visual identity. An appropriate visual identity is needed to enhance brand image and strengthen consumer perceptions of product quality. This project uses a descriptive qualitative method, with data collected through interviews, indirect observation, and questionnaires to understand the brand characteristics and consumer perceptions. The design process applies the design thinking model, which consists of five stages: empathize, define, ideate, prototype, and testing. In addition, SWOT analysis …

Drilling Fluid Enhancement Via Addition Of Sustainably Synthesized Nanoparticles, Hasan A. Abbood, Sarmad Al-Anssari

Research outputs 2022 to 2026

The addition of nanoparticles to the drilling fluids for geological projects is a promising application for enhancing the stability, rheological properties, and overall performance of the mud. This study aims to thoroughly analyze and compare the effects of silica and alumina nanoparticles on the properties and effectiveness of polymer drilling mud. Silica and alpha-alumina nanoparticles were synthesized using the sol-gel process and characterized through several techniques, including X-ray diffraction, Fourier-transform infrared spectroscopy, field-emission scanning electron microscopy, and atomic force microscopy. The effects of silica and alumina nanoparticles on various properties of drilling mud were then measured using a permeable plugging …

Developing The Evidence And Associated Service Models To Improve Pain Management In Older People Living With Frailty: A Synopsis Of The Poppy Mixed Method, Co-Design Study: Poppy, Patricia Schofield

School of Nursing and Midwifery

Background: Frailty increases vulnerability to adverse events (falls, illness) resulting in poorer health outcomes in later life. Persistent pain is common and impactful in older adults with frailty. Pain impact is potentially modifiable, and addressing it is important for supporting this population. The Pain in Older People with Frailty study aimed to generate evidence and develop service models to improve pain management for older adults with frailty and inform service provision for this underserved population. Objective(s): Phase 1: Map research evidence and synthesise findings from randomised controlled trials of multi-component pain management programmes and psychological therapies for community-dwelling older adults. …

Machine Learning-Driven Prediction And Mechanistic Insight Into Co2 Adsorption On Biomass-Derived Activated Carbons Using Explainable Ai (Xai), Dalia A. Ali Dr.

Chemical Engineering

To improve CO2 uptake in Biomass-Derived Activated Carbon (BDAC), this study develops a multiscale hybrid digital twin framework. By integrating microscopic descriptors from Density Functional Theory and Molecular Dynamics (DFT/MD) with experimental data from 63 chemically diverse biomass precursors, a Gaussian Process Regression (GPR) model was developed using the Materń 5/2 Automatic Relevance Determination (ARD) kernel. The framework achieved high internal training accuracy (R2 = 0.968) and Root Mean Square Error (RMSE = 0.2552), while providing a realistic generalization baseline across heterogeneous precursors with a 5-fold Cross Validated (CV) R2 of 0.1567 and CV RMSE of 0.283. Explainable Artificial Intelligence …

Perinatal Mental Health Screening And Care Among Those With Pregnancy Complications

Faculty, Staff and Students Publications

Perinatal mental health conditions are common and, without effective treatment, can contribute to adverse maternal and child outcomes. In the United States, mental health conditions are a leading cause of maternal morbidity and mortality, contributing to over 20% of pregnancy-related deaths. This expert review aims to assess current literature and provide recommendations regarding mental health care in high-risk patients who experience pregnancy complications. Individuals experiencing pregnancy complications are at increased risk for perinatal mental health conditions, including depression, anxiety, and post-traumatic stress disorder, as compared to those with uncomplicated pregnancies. Despite this increased disease burden, there is limited research on …

Xanthogranulomatous Osteomyelitis As A Bone Tumor Mimic: A Systematic Review Of Pre-Biopsy Diagnostic Clues And Management Decision Points, Ethan J. Sack, Max Deneroff, Austin Khau, Zubair Mohammed, Chadi Ellaham, Jared Nichols

Student Publications

Xanthogranulomatous osteomyelitis (XO) is a rare inflammatory form of osteomyelitis that can closely resemble a primary bone tumor or metastatic lesion at presentation. This systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and focused on pre-biopsy diagnostic clues and management decision points in published skeletal XO reports. PubMed, Embase, and Scopus were searched from January 2026 to May 2026, identifying 86 records. Eligible studies included human case reports and case series describing histologically confirmed skeletal XO or xanthogranulomatous inflammation involving bone; non-skeletal xanthogranulomatous disease, duplicate reports, review articles without extractable patient-level …

Ai-Based Simulated Patient Encounters For Clinical Reasoning: A Needs Assessment, Alex Sorrick, David Liebovitz, Sarah Vick, Andrew S. Parsons, Brian W. Locke, Jonathan Herskovitz, Cory Rohlfsen

Graduate Medical Education Research Journal

Background. Artificial Intelligence (AI) offers an opportunity to enhance formative assessment of clinical reasoning skills. Traditionally, these skills have been assessed through workplace-based assessment or simulated patient encounters, both of which are limited by variability in case exposure, faculty resources, scheduling logistics, and cost. AI-based simulated patient encounters provide a scalable solution for convenient, low-stakes practice. At the University of Nebraska Medical Center (UNMC), we piloted an AI-based simulated patient case and conducted a needs assessment to explore current practices and user experiences.

Methods. From June to August 2025, participants trialed an AI-based simulated patient case and received feedback on …

Artificial Intelligence In Healthcare: Ethical Frameworks, Challenges, And Global Approaches To Responsible Implementation: A Perspective, Vikas Vaibhav, Arwinder Singh, Yashpal S, Raviprakash Meshram, Varun Chandran A, Kshitiza Sharma

Graduate Medical Education Research Journal

Major advancements in domains like diagnosis and personalised treatment will be seen because of the rapid growth of artificial intelligence (AI) in healthcare. But this shift additionally presents significant ethical concerns that need to be carefully considered at every stage of AI's research, use, and impact on society in medical settings.

This review summarises the findings of multiple systematic and scoping reviews, as well as studies of specific AI applications published between 2013 and 2025. Additionally, it examines ethical norms from different countries and international organisations objectively. Consistent ethical challenges identified include the "black box" problem (lack of transparency and …

Knowledge And Perception Of Patients Regarding A Postpartum Standardized Hypertensive Disorder Educational Program, Arin Everett, Niranjana Balu, Santiago Ortiz Barragan, Marly Azzi, Sanela Potchileev, Courtney Bisson, Ariel Mueller, Lea Runesha, Sajid Shahul, Sarosh Rana

Graduate Medical Education Research Journal

Background. Hypertensive disorders of pregnancy (HDP) are a major contributor to rising maternal mortality in the United States. The postpartum period represents a critical window to provide education aimed at reducing the risks of complications. This study evaluates the patients’ understanding of HDP and their retention of key education concepts during the first six weeks postpartum after participation in a structured quality improvement program.

Methods. Prospective cohort study of patients diagnosed with HDP were enrolled in the remote blood pressure monitoring program (RPM) and delivered between June 2023 and January 2024. Baseline surveys were administered prior to discharge and repeated …

A Literature Review Of Burnout And Associated Tools In Residency Programs, Foluso Obisanya, Fatima Mncube-Barnes, Kudiratu A. Proctor, Charles A. Mcdaniel, Donna M. Alexander, Tyrece D. Hunter

Graduate Medical Education Research Journal

Background. Burnout poses considerable challenges in workplaces, particularly for resident physicians. This intricate phenomenon stems from a myriad of factors that include, but are not limited to, staff shortages, excessive workloads, specific job responsibilities, work environments, and individual psychological factors. The Accreditation Council for Graduate Medical Education encourages institutions to incorporate wellness as a fundamental component of residency training programs.

Methods. The aim of this review was to investigate burnout among resident physicians via a comprehensive literature review to elucidate this significant issue and identify potential preventative intervention strategies. We analyzed the issue of burnout across various residency specialties, providing …

Recent Progress In Aircraft Structural Health Monitoring: Sensors, Data And Intelligence, Abeer Kadhum Abd, Qasim Abbas Atiyah, Imad Abdulhussein Abdulsahib

Engineering and Technology Journal

Structural Health Monitoring (SHM) systems are essential technologies that contribute to enhancing the safety, reliability, and efficiency of aircraft structures throughout their operational lifespan. With the increasing use of lightweight materials and complex structural designs, coupled with longer maintenance intervals, traditional scheduled inspection methods have become insufficient, leading to a shift towards continuous, sensor-based monitoring systems. This research aims to provide a systematic and comprehensive review of the latest developments in aircraft structural health monitoring, focusing on sensing technologies, data collection methods, and intelligent processing techniques based on artificial intelligence. This study is based on a systematic analysis of the …

Towards Sustainable Agentic Artificial Intelligence In Medical Diagnosis For Autonomous Heart Disease Prediction, Thura J. Mohammed, Dhiaa M. Abed

AUIQ Humanities and Social Sciences

Diagnosis of heart disease is a procedure that requires fast, accurate predictions and conventional fixed machine learning (ML) pipelines may not fully accommodate. Although models, such as Logistic Regression and Naïve Bayes are effective on structured clinical data however they do not have self-assessment or adaptive reasoning mechanisms. In this work, we present an agentic AI framework that turns the classical models into self-evaluating diagnostic agents managed by a performance conscious supervisory component. We trained and tested the system on the UCI Heart disease dataset over three different splits (70:30, 80:20, 85:15) to test its diagnostic stability with respect to …

Civil Liability Arising From Damages Resulting From The Use Of Artificial Intelligence In The Profession Of Robotic Medicine, Hisham Jadallah Mansour Shakaterh, Dr. Ahmed Bin Saleh Bin Nasser Al-Barwani

AUIQ Humanities and Social Sciences

Civil liability for damages arising from the use of artificial intelligence in the practice of robotic medicine is considered a modern topic of significant importance across various countries worldwide, particularly in the United Arab Emirates, which is well known for its progress in all sectors, especially the healthcare sector. The adoption of artificial intelligence in this field aims to employ advanced technologies to enhance the quality of medical services and provide sophisticated healthcare to the community. The importance of this study lies in highlighting the role of artificial intelligence in the practice of robotic medicine, with a focus on the …

National Report Of United States (2025), Christine Speidel

Research Reports & White Papers

The Observatory on the Protection of Taxpayers’ Rights (OPTR) identifies principles, minimum standards and best practices for the effective protection of taxpayers’ rights. It allows for the permanent monitoring of global compliance with such minimum standards and their amendment and development in different regions of the world.

Debatrix, Vivienne Lu, Huy Ngo, Luke Ponssen, Jonathan Preiss, Ryan Rani

Computer Science and Engineering Senior Theses

Developing public-speaking skills remains a persistent challenge in formal education, constrained by limited instructional time and the lack of scalable, individualized feedback. Existing automated tools address only narrow aspects of this problem, offering text-based coaching against rigid rubrics that fail to capture argument quality, evidence use, or real-time rebuttal skill. This thesis presents Debatrix, an AI-powered platform that enables K-12 students, university learners, and independent self-studiers to debate an intelligent opponent. The system combines automatic speech recognition, large language model-driven rebuttal generation, and a multi-dimensional rhetorical analysis engine that evaluates argument structure, evidence integration, and persuasive technique. Users receive explainable …

Evaluating The Market Withdrawal Of Andexanet Alfa, Jordyn Linfield, Addisyn Cooper, Alexander Defranco, Emma Gerding, Jessica Kelley, Tyler Henney, Connor Dains, Brenna Hissong, Brittany Bates

Pharmacy and Wellness Review

The coagulation cascade comprises intrinsic, extrinsic, and common pathways that converge when thrombin converts fibrinogen (factor I) into fibrin, leading to fibrin mesh formation, stabilization of the platelet plug, and ultimately thrombus formation. Inhibition of the coagulation cascade can be achieved with a variety of anticoagulant medications, including direct oral anticoagulants (DOACs). The mechanism of action of DOACs is to inhibit either factor Xa or thrombin. Reversal of anticoagulation remains an important clinical consideration when managing patients on DOACs who experience serious bleeding events. Andexanet alfa is a recombinant, modified human factor Xa protein previously indicated for patients receiving rivaroxaban …

Fda Approval Of Etripamil For The Treatment Of Paroxysmal Supraventricular Tachycardia, Kiley Devoll, Daniella Egbujor, Katy Grainger, Katherine Cook, Victoria Niese, Connor Dains, Brenna Hissong, Andrew Roecker

Pharmacy and Wellness Review

Paroxysmal supraventricular tachycardia (PSVT) is characterized by sudden, brief, intermittent episodes that result in a heart rate of 150 to 250 beats per minute (bpm). PSVT is difficult to diagnose, making proper treatment challenging. According to the 2015 American Heart Association (AHA)/American College of Cardiology (ACC)/Heart Rhythm Society (HRS) guidelines, current pharmacologic recommendations for PSVT include adenosine, verapamil, diltiazem, or nonpharmacologic vagal maneuvers.¹ These treatments each have a variety of adverse effects, contraindications, and dosing considerations, which highlight a need for novel therapies for the acute treatment and maintenance of PSVT.¹ The NODE-301 trial assessed the safety and …