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Abstract (1) Background Brain cancer is the ninth leading cause of cancer death in the US, with approximately 76,000 newly diagnosed cases annually. Studies show that at time of diagnosis, up to six-months post-treatment, 50%–80% of brain cancer survivors (BCS) report cognitive dysfunction. Mild cognitive impairment (MCI) has gained increasing attention as a persistent disability experienced by up to 75% of all BCS, which affects memory, concentration, executive function, etc. Studies show cognitive training with computerized gaming as improving cognitive function for patients with stroke, dementia, and Parkinson’s. It is of significant clinical interest to develop innovative interventions that reduce MCI. Aim: To improve cognitive performance of BCS suffering with MCI by evaluating the feasibility, acceptability and effect of a Virtual Reality Cognitive Rehabilitation Training (VR-CRT) platform during four weeks of cognitive training (2) Methods We employed a quasi-experimental pretest/posttest non-randomized/non-blinded single-arm design for 4 weeks, with an experimental group (n=6, after attrition) using VR-CRT. Participants were selected based on convenience sampling using the electronic medical record to identify qualified patients, guided by inclusion/exclusion criteria. Feasibility was defined by retention as >80%, with usability testing using the System Usability Scale (SUS) and NASA-TLX surveys. The Hopkins Verbal Learning Test (HVLT), Controlled Oral Word Association (COWA) test, and Trail Making A-B (TM-A/B) test were used to measure cognitive performance, comparing baseline to post week-four. (3) Results The feasibility criteria of >80% was met. All SUS and NASA scores were in the higher index, suggesting a high degree of usability, with low workload demand. For effect, the COWA findings showed a significant improvement (41.38%), with a paired sample T-Test confirming that the participants’ COWA scores improved significantly from pre- to post-intervention ( p = 0.03), indicating enhanced verbal fluency and executive functioning after intervention. HVLT (combined) showed improvements of 18.75% for Form A and 11.32% for Form B, which also showed a significant improvement ( p = .04) in the retention discrimination index from pre- to post-test. The TM-A/B test showed an improvement (25.97%), suggesting that the participants spent less time completing both parts A and B, but was not statistically significant. (4) Conclusion This study fulfilled our aim to demonstrate modest to significant cognitive improvement using VR-CRT with brain cancer patients with MCI. Despite the small sample size, we believe the use of virtual reality will lead to important advances for patients with MCI, particularly the frontal lobe brain region, expressed in executive function.

Background: This study examines the impact of responsible leadership (RL) on organizational commitment by examining the mediating role of trust in the leader, as modeled by the four key dimensions of the leader's role (aggregate of virtues, principles and ethical values, stakeholder involvement, and model of the leader's role) in the context of social identity theory. Methods: We employed a quantitative research design, surveying 300 middle-level employees in grades 11 to 16 from the University of the Punjab, Lahore, Pakistan. Data collection involved a structured questionnaire covering key leadership and trust dimensions. The data analysis utilized SPSS version 22 and ADANCO version 2.2, with structural equation modeling to test hypotheses. Results: Results show that organizational commitment is significantly influenced by stakeholder involvement (0.03 p-value) and ethical principles (0.00 p-value). The aggregate of virtues (0.79 p-value) and leadership role modeling (0.26 p-value) have an insignificant direct impact. However, trust significantly mediates the relationship between organizational commitment and stakeholder involvement (0.01 p-value). Trust’s mediation effect on the link between ethical principles and organizational commitment is minimal (0.04 p-value). Conclusion: This study suggests that implementing RL practices, particularly in stakeholder involvement and ethical leadership, enhances employee commitment. Responsible leadership cultivates a positive corporate image, attracting committed stakeholders. To maximize benefits, organizations should provide senior leaders with behavioral training in RL practices, fostering an environment that boosts employee loyalty. Leadership development programs should include modules on ethical decision-making, stakeholder communication, and trust-building strategies.

BACKGROUND: The experiences of patients with COVID-19 and their families manifested the most devastating effects of family separation since the 1918 Spanish influenza pandemic and, with it, a call for solutions to patient isolation and its effect on family mental health. OBJECTIVE: This study examined the recent experiences of families of critical care (intensive care unit; ICU) patients related to anxiety and depression (AD), satisfaction with clinician-family communication, and counseling from mental health and social services. This study explored correlations between these factors and family interest in mobile health (mHealth) designed to improve information flow and communication from patient bedside to remote families. METHODS: Using a 36-question quantitative survey, we collected 97 responses over 6 months. We selected participants by using a convenience sampling strategy. To analyze data, we applied descriptive and inferential statistics. Participants represented a spectrum of ages, relationships to patients, and races (n=78, 80% White; n=17, 18% Black; n=2, 2% other races). Approximately 17% (n=16) of the patients were admitted for cancer, 13% (n=13) were admitted for COVID-19, and 21% (n=20) were admitted for other conditions. RESULTS: The mean score for remote families' satisfaction with patient health updates from the bedside and mental health services was 2.94 (SD 1.31), whereas that for phone communication was lower on average. The mean scores of family AD levels were elevated, and levels were higher among family members during the ICU stay than after discharge. These findings confirmed evidence of a negative correlation between transportation difficulties and satisfaction with the frequency of information provided (r=-0.284; P=.005), suggesting that, with the increase in transportation challenges, families become less satisfied with the frequency of patient health information. Family members expressed strong interest in using mHealth information and communication services (mean 8.34, SD 1.98) and having easy access to social workers to manage AD (mean 8.29, SD 2.03). Families experiencing higher levels of anxiety during patients' ICU stays had significantly greater interest in the use of an mHealth app that would provide direct access to social workers (r=0.326; P<.001), in using an mHealth videoconferencing app (r=0.319; P=.002), and in overall mHealth app use (r=0.322; P<.001). CONCLUSIONS: Family members experienced high levels of AD during patient ICU admission, as well as after discharge even though their mental health challenges were reduced. Families were highly dissatisfied with the frequency of health updates, with lower satisfaction reported among those who faced difficulties arranging transportation or lived further from the hospital. Modest but statistically significant correlations were observed between family members' reported mental health status during ICU stays and an interest in an mHealth app that could provide access to real-time bedside information, facilitate communication with bedside nurses, and support connections with social workers.

Background: Cancer patients admitted to the bone marrow transplant (BMT) unit face life-threatening medical conditions. Consequently, their family members experience uncertainty, resulting in high levels of anxiety and depression (AD). Limited updates and communication from medical staff exacerbate these emotional burdens. To address these challenges, we developed a mobile health (mHealth) intervention, FamCarePlus, and evaluated its feasibility, usability, and efficacy. We hypothesized that the FamCarePlus application would demonstrate a high degree of feasibility and usability and would reduce AD compared to a control group relying solely on traditional communication through the nurses’ station. Methods: We employed a quasi-experimental pretest/posttest non-randomized, non-blinded self-report design over 3 weeks, with an experimental group (n = 10) using FamCarePlus and a control group (n = 9). We selected participants via convenience sampling using the electronic medical record to identify eligible patients and families, guided by inclusion and exclusion criteria. We used descriptive statistics and the Hospital Anxiety and Depression Scale (HADS) guidelines to analyze the data. Feasibility was defined by a retention rate &gt; 80%, with usability testing using the System Usability Scale (SUS) and NASA Task Load Index (NASA-TLX) surveys. The HADS measured AD, comparing baseline to Week 3. Results: We met our feasibility criteria of &gt;80%. All SUS and NASA scores were in the higher index, suggesting a significant degree of usability and low workload demand on participants. For efficacy, we compared baseline mean scores, with the experimental group reporting lower AD levels at Week 1 (41.9% and 27.8%, respectively) than the control group (55.2% and 34.2%, respectively). From Week 1 to Week 3, the percentage change showed an 8.6% decrease in anxiety in the experimental group, compared to a 12.8% decrease in anxiety in the control group. These results were consistent when analyzed according to HADS guidelines. Conclusions: The findings of this study provide preliminary evidence that the FamCarePlus intervention is feasible and usable, while also demonstrating that its use may be associated with a sustained reduction in AD levels among family members of patients admitted to the BMT unit. These outcomes underscore the potential of digital interventions to address disparities in patient health information access and psychosocial support.

As mobile technology becomes integral to everyday life, libraries rework their services to meet the needs of their users. Advancing library services for mobile users requires seamless, intuitive experiences that support research, learning, and engagement. From mobile-friendly catalogs and e-book pla...

Notwithstanding reports of increased awareness and use of Open Educational Resources (OER) in higher education, the literature notes that awareness and use of and institutional support for OER remain major challenges to campuses seeking to reduce student cost burden and support access to materials. OER also support faculty who desire to move beyond the traditional textbooks in order to increase their students’ engagement and thereby access to learning, to support pedagogical changes they are making that enhance student learning, and to give faculty greater control over their courses. The university website, as a public-facing vehicle to aid students, parents, alumni, faculty, the community, and interested others in being aware, among other things, of the resources available, is examined for findable support for OER. The purpose of this study is to show, through examination of their websites, a snapshot of the response of Connecticut universities and colleges to OER. Through an examination of these websites, we gage the ability to connect with information related to OER through the university website.

Generative artificial intelligence (AI) has experienced rapid advancement, fundamentally transforming the information landscape. This technological shift has not only amplified the dissemination of misinformation but has also posed significant challenges to conventional frameworks of trust and verification. This paper explores the dual impact of AI: its potential to enhance information services while simultaneously amplifying misinformation and disinformation. Seven AI-generated misinformation cases between 2022 and 2025—ranging from deepfakes and political propaganda to impersonation and amplification were analyzed. Through thematic case analysis and interdisciplinary synthesis, the study proposes the AI-Misinformation Resilience Model (AIM-RM), a conceptual framework guiding proactive responses across verification infrastructure, digital literacy, and ethical policy engagement. Drawing on recent scholarly literature and grounded in information ethics, epistemic trust, and sociocultural literacy, the model offers a path forward for LIS professionals seeking to navigate the post-truth era. Annual Meeting of the Association for Information Science & Technology | Nov. 14 – 18, 2025 | Washington, DC, USA.

To increase patrons’ ability to find resources, it is imperative to investigate barriers and biases in thedescriptive catalog data for inclusive collection management and development standards. This studyused a specially designed descriptive approach to gather quantitative data from 101 public librariansin Connecticut via a Qualtrics survey to identify the key variables that influence the successfulenhancement of online public access catalog (OPAC) metadata after a diversity audit of the librarymaterials. The results revealed factors that promote or impede the integration of inclusive catalogingthat reflects the diversity of the community: (1) appreciating the benefits of audit methods that arefocused on bibliographic records, (2) recognizing the need for buy-in and participation from theentire organization, and (3) stressing the useful integration of institutional and community feedbackto improve the collection’s accessibility and representation. The findings provide practical adviceto public libraries that want to satisfy the diverse demands of their user base by integrating criticalcataloging frameworks into their diversity and inclusion objectives.

Tacit knowledge is more precious as compared to explicit, as it is the intellectual property of the knower and resides in one’s mind. A major part of our knowledge is tacit, which is either lost or not recorded/ captured. In the late 1950s, the term “tacit knowledge” appeared in the literature and received the attention of the researchers. However, a majority of the studies pertaining to tacit knowledge (TK) have primarily focused on non-educational contexts, despite the fact that pragmatic knowledge holds paramount importance within academic settings. This study is designed to examine the tacit knowledge process from capturing to sharing in an academic setting. A cross-sectional questionnaire-based survey research method was adopted to conduct this research, and data was collected through a well-structured questionnaire. Postgraduate students at the University of the Punjab, Lahore, Pakistan, were the study population. The findings revealed that cognitive skills enable and motivate individuals to capture tacit knowledge, and the positive capturing behavior leads to better handling and more sharing of tacit knowledge, whereas technical skills enable them to better handle tacit knowledge, which ultimately leads to wise utilization of tacit knowledge, and social skills help them in capturing, keeping, and use of tacit knowledge. The study argues that tacit knowledge flow is depending on a certain set of skills and behavior. The findings of the study will be supportive of higher academic institutions as they are the powerhouse of knowledge creation. © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2024.

This study aims to discover the perceived awareness, benefits and suitable strategies of the Pakistani editors of Higher Education Commission (HEC)-recognized scholarly journals regarding open-access (OA) journal publishing in Pakistan.,A structured questionnaire-based survey method of quantitative research approach was adopted to achieve the study’s objectives by collecting data from the editors of 329 HEC-recognized journals in Pakistan.,The awareness level of the respondents of the Pakistani journals is low regarding the OA concepts, resources and initiatives. The respondents of OA journals have better awareness levels than the respondents of non-OA journals. All the respondents of journals are convinced and have the view that OA journals have wider benefits for the academic community, and they need to flourish. A majority of the respondents are of the view that HEC should sponsor financial resources and technical training for OA journal publishing. The respondents of OA journals are more in favor of supporting OA journal publishing than the respondents of non-OA journals.,This study covered the lists of HEC-recognized journals of 2019. More studies may be conducted based on updated lists of HEC-recognized journals by using different research paradigms such as qualitative or pragmatic research approaches.,To the best of the authors’ knowledge, this study is the first comprehensive study on this phenomenon and is an effort to fill this gap and invigorate the scholarly literature. It may attract the attention of the policymakers, funding bodies, parent institutions of the journals and the HEC to cope with the low awareness level of the Pakistani editors regarding the OA concepts, resources and initiatives; and suitable strategies required to uplift the OA journal publishing paradigm in Pakistan.

Objectives This study has been designed to determine Pakistani editors’ perceptions regarding the Open Access (OA) publishing practices of the Higher Education Commission (HEC)-recognized journals in Pakistan, and to assess their best OA publishing models. Methodology A structured questionnaire-based survey method of quantitative research approach was adopted to achieve the study’s objectives by collecting data from the editors of all 329 HEC-recognized journals in Pakistan. Findings This study exposed that public and teaching institutes are leading in OA journal publishing in Pakistan as compared to private and research institutes. Diamond OA, and Gold OA publishing models are popular among the respondents; however, respondents are not convinced to follow any specific OA publishing model due to their different choices. A large majority (92%) of the journals belong to the Y category (the lowest) of journals. A large majority (72%) of the journals in Pakistan is adopting the Open Journal System (OJS), and parent institutions installed web browsers. CC-BY-NC and CC-BY licenses are their favorite licenses. Significance The present study is the first comprehensive study on editors’ perceptions for OA journal publishing and is an effort to fill this gap to invigorate the scholarly literature. This study may enable the journals, editors, and publishers to follow the best OA journal publishing practices of the Pakistani journals for global OA usage of scholarly journals. The results have practical and theoretical ramifications for academic and research institutions, federal and provincial higher education commissioners, policy organizations, and parent institutions of journals.

This study aimed to find out the effects of demographic variable i.e. gender, age, group of studies, GPA etc. on level of academic integrity among Pakistani students. The design of the study is quantitative in nature, in which the survey research method was employed to gather data from the respondents. A self-reported questionnaire was adapted on the basis of previously developed and validated questionnaire, with the consent of the authors. The developed scale was validated with the help of experts and pilot tested. Multilevel stratified convenience sampling technique was used to collect data from 4 provinces and federal area of Pakistan. The collected data was analyzed by using SPSS 16.0 version

The purpose of this study is to learn more about virtual reality (VR) and augmented reality (AR) practices at the United States’ top one hundred university libraries, as well as how they are engaging with the metaverse. We conducted qualitative and descriptive analysis on the websites of the top one hundred university libraries in the United States to determine the application fields and application proportions of VR and AR technologies and found good practice examples of using VR and AR technologies in this field. The findings show that 86 percent of the top one hundred US university libraries have implemented VR and AR technologies, with practice areas focused on: VR/AR studio and VR/AR makerspace; immersive learning services and virtual exhibitions/conference services; visual geographic information system and VR navigation services; virtual reading services and visual retrieval services; and VR reference services. The study provides university library administrators and professionals with the most up-to-date information and best practices of VR and AR engagement areas and the proportion of use, which can aid in the development of strategies to leverage VR and AR technologies to improve patron service and embrace the metaverse for the communities they serve.

Background: Pakistan is a densely populated South Asian country. It is facing numerous health challenges, as well as problems of the digital divide. The government of Pakistan established e-libraries as a pilot project in 2018. These libraries are functioning through community centers/public libraries in the largest province of the country. Objective: This paper examines the role of Pakistani e-libraries in creating health awareness and providing health information to the public. Methods: The qualitative research design was based on focus group discussions with the head librarians of all 13 of the 20 e-libraries contacted. Results: The findings revealed that e-libraries actively create health-related awareness and connect the public to health advisors. The e-libraries were engaged in four types of health-related activities (seminars, awareness campaigns, open health camps, and special health day celebrations) with high attendance from the public. Attendees of these programs returned to librarians with additional health-related queries. Conclusions: The study suggests a need for more liaison between the community and local healthcare institutions. This approach can make these programs more effective in helping individuals manage their health. The results of this study can serve as a useful guide for other developing nations in developing similar services. © 2024 Health Libraries Group.

Purpose: This study was designed to discover the readiness of the higher education commission (HEC)-recognized journals of Pakistan in terms of human, financial and technological resources, technical expertise, institutional support, availability of open access (OA) policy, availability of guidance and training, willingness, motivation and so on for OA journal publishing and to expose the challenges in OA journal publishing. Design/methodology/approach: A quantitative research approach was used and a structured questionnaire was developed to meet the objectives of this study. A survey method was used to collect data from the editors of all 329 HEC-recognized journals in Pakistan. Findings: The respondents of all the HEC-recognized journals of Pakistan are neutral and are not of the view that they have sufficient financial, human, technological/infrastructural resources and technical expertise to continue/initiate an OA journal publishing. ‘No academic reward’; and ‘no monetary reward for the editorial staff’ are both enormous challenges for OA journal publishing. The perceived challenges of OA have a negative impact on readiness for OA publishing. The readiness level of the respondents of the OA journals is higher as compared to the readiness level of the respondents of non-OA journals. Research limitations/implications: This study covered the lists of HEC-recognized journals of 2019. More studies may be conducted based on updated lists of HEC-recognized journals. Qualitative studies may also be conducted to discover the readiness of the HEC-recognized journals of Pakistan for OA journal publishing. Originality/value: This study is the first comprehensive study on this phenomenon and is an effort to fill this gap to invigorate scholarly literature. It may attract the attention of policymakers, funding bodies, parent institutions of the journals and the HEC regarding the readiness of journals in terms of financial, human, technological/infrastructural resources, technical expertise of the journals and challenges of journals to prompt the OA journal publishing paradigm. © 2024, Emerald Publishing Limited.

In the dynamic landscape of education, homeschooling continues to offer a compelling alternative to traditional schooling. Homeschool numbers surged through the pandemic and have not decreased to pre-pandemic levels. This study examines the shared connections between homeschooled families in Connecticut and local public libraries by looking at how home educators use library resources and participate in library programming; and examining how Connecticut libraries perceive and respond to the diverse needs of homeschooling communities. Based on 2 Connecticut statewide surveys, one sent to public librarians and another to homeschoolers, the study sought to identify areas of strengths, weaknesses and disconnects in the homeschool community and public library relationships in Connecticut. Both qualitative and quantitative data was collected and reviewed to identify potential improvements to the evolving role of libraries in supporting alternative education pathways, and the potential for an infusion of public library support from the homeschool community.

Studying ADA accessibility at library websites of top universities selected from the U.S. News and World Report, the authors used WAVE and AChecker to assess data in compliance with WCAG 2.0 standards. Almost 8 out of 10 public university academic libraries reported accessibility errors as one of the major findings. Low color contrast was becoming a more commonly occurring accessibility issue, making it difficult for people with vision impairments to perceive the color of the image. The outcomes of the study suggest that academic libraries around the world should continue improving their website accessibility.

Health information engagement can help individuals to find and use reliable sources of health information to make informed decisions about their health. This helps to improve their health outcomes and prevent unnecessary healthcare costs. Drawing upon the cognitive behavioural theory, this pilot study postulated a model to understand that the consequences of information orientation in terms of information engagement (behaviour), information literacy (cognition) and information avoidance (behaviour) in post-COVID era under health context. Furthermore, the moderation effects of health information literacy (HIL) are also calculated in managing health information avoidance beahvior. This pilot study is conducted in the context of social media exposure to health information by diabetic patients in Pakistani community. The proposed model was tested using Partial Lease Square Structural Equational Modelling (PLS-SEM). The data were collected from 166 diabetic patients (active social media users) through a survey. The study findings suggest that health information orientation on social media leads to HIL and engagement. Whereas, it has significant negative impact towards health information avoidance behaviour. Furthermore, HIL significantly increases health information engagement of diabetic patients. Also, HIL moderates the relationship between health information orientation and information engagement positively, whereas between health information orientation and health information avoidance negatively.