Digital Commons Network^™

Correctional Officer Suicide: A Theory-Driven Investigation Of Acquired Capability And Suicide Behavior, Abigail R. Andersen

All-Inclusive List of Electronic Theses and Dissertations

A growing body of research suggests that correctional officers (COs) die by suicide at a significantly higher rate compared to the general population and some other public safety personnel. Despite what is known about this phenomenon, an understanding of the risk factors driving the high rate of suicide among this population remains unclear. Specifically, little attention has been paid to specific risk factors for suicide among this population and there is an overall absence of theory-driven research investigating CO suicide. The present study sought to address the gap in this area of research by investigating potential risk factors for suicide …

Environmental Or Occupational Heavy Metal Exposure In The Development And Progression Of End Stage Kidney Disease: A Systematic And Network Meta-Analysis, Lauren Nguyen

Summer Research Program Abstracts

No abstract provided.

Parental Perceptions Of Child Health And Their Alignment With Clinical Indicators In Overweight Or Obese Low-Income Children, Katherine Moorman-Wolfe

Summer Research Program Abstracts

No abstract provided.

Application Of Artificial Intelligence (Ai) In Cancer Symptom Management For Adult Cancer Survivors: A Scoping Review, Tao Wang, Haiying Wang, Mengyuan Li, Daniel Bressington, Daniel Terry, Guanjin Wang, Wai Hang Kwok, Jing Yu (Benjamin) Tan

Research outputs 2022 to 2026

Background and aim: Artificial Intelligence (AI) has been increasingly used in cancer survivorship to support symptom management. This scoping review aimed to map existing evidence on AI applications in cancer symptom management for adult cancer survivors, including AI model development, AI-enabled intervention delivery and adoption, symptom targets, key features of the AI approaches used, reported outcomes, influencing factors, and research gaps to inform future priorities.

Method: This scoping review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews. Eight electronic databases were comprehensively searched in November 2025 and updated in March 2026. Empirical studies published in …

Too Many Hands On Deck: Assessing The Appropriateness Of Hand Surgery Transfers To The Texas Medical Center, Khang T. Le

Summer Research Program Abstracts

No abstract provided.

Glial Dysfunction And Memory Impairments In A Model Of Pediatric Obstructive Sleep Apnea, Michael R Williamson, Jorge Botas, Mahyar J Hedayatpour, Thea Zlatkov, Akdes Serin Harmanci, Christopher J Yates, Kenneth Nobleza, Roshan Ailani, Adam C Adler, Farrah Kheradmand, Hyun Kyoung Lee, Benjamin Deneen, Hyun-Hwan Jeong, Arvind Chandrakantan

Faculty, Staff and Students Publications

Pediatric obstructive sleep apnea (POSA) is a common childhood disease that often causes aberrant brain development and cognitive deficits. The pathophysiological underpinnings of cognitive impairments in POSA remain unclear. Here, we examined cellular and molecular aspects of pathology in a mouse model of POSA that features learning and memory deficits. We performed single-nucleus RNA-sequencing (snRNA-seq) of the hippocampus to examine gene expression changes in an unbiased and cell type-specific manner. This dataset revealed a striking perturbation of transcriptomes across all brain cell types, particularly within glia and neural stem cells. We validated reduced expression of several differentially expressed genes at …

Building Bots That Teach Thinking: Using Custom Ai Chatbots To Enhance Critical Thinking And Decision-Making, Megan Biagi

AI in the Classroom: A Virtual Summit

Generative AI is increasingly common in education, but its effect on student learning depends largely on how it is used. This interactive session will introduce practical strategies for creating custom AI chatbots that encourage students to think through problems rather than simply ask for answers. Participants will explore ways to design bots that ask learners to explain their reasoning, consider alternative perspectives, identify assumptions, and revise their thinking before receiving feedback.   Examples from healthcare education and other disciplines will show how these tools can support guided inquiry, reflective questioning, clinical reasoning, and decision-making. Participants will review and revise sample chatbot …

Effect Of Multiple Uses And Sterilization Of Abutment-Level Peek Implant Scan Bodies On Complete-Arch Intraoral Digital Scans Trueness: An In Vitro Study, Georgio Zeidan, Maryse Nassif, Ghida Lawand, Hani Tohme

International Arab Journal of Dentistry

Introduction: Polyetheretherketone (PEEK) implant scanbodies (ISBs) offer favorable optical properties for digital impressions but may be susceptible to wear and dimensional changes with repeated clinical use and sterilization. While previous studies have examined these variables separately, no investigation has simultaneously evaluated their combined effects on abutment-level PEEK ISBs in complete-arch implant situations.

Aim: To evaluate the effect of multiple uses and autoclave sterilization of abutment-level PEEK implants can bodies on the trueness of complete-arch intraoral digital scans in an in vitro setting.

Methods: A maxillary edentulous reference cast with four implants in an All-on-4 configuration was fabricated …

Efficacy Of Diode Laser As An Adjunct To Non-Surgical Periodontal Therapy In The Treatment Of Stage Ii And Iii Periodontitis: A Randomized Clinical Trial, Heba Samir, Ayat Gamal-Abdelnaser, Marwa Elsayed

International Arab Journal of Dentistry

Objectives: The goal of periodontal therapy is to reduce the bacterial deposits in the pockets; which is mainly achieved by non surgical periodontal therapy (NSPT). Despite effective, it may sometimes be insufficient. Laser offered several advantages as bactericidal, disinfectant and healing accelerator. The aim of the study was to evaluate the efficacy of the use of adjunctive diode laser to NSPT compared to NSPT alone in the treatment of periodontitis.

Methods: In this randomized controlled study with parallel groups, 12 periodontitis patients were randomly assigned to either control group (NSPT only, n=6) or intervention group (laser + NSPT, …

The Immediate Impact Of Fixed Appliances And Aligners On Perioral Soft Tissues And Speech: A Comparative Approach, Nissi Gurindapalli, Lakshmi Mani Kumari Nachu, Divya Bhavani Vasamsetti, Ramesh Kumar Budumuru, Lakshmi Manojna Nachu, Mohan Kumar Pasupuleti

International Arab Journal of Dentistry

Background and Objective: Facial aesthetics and self-presentation assume significant importance in modern society and augmenting interest in orthodontic treatment practices. Fixed labial, or regular, appliances, namely braces, and clear aligners are the most common orthodontic modalities, and these two vary in their effects on perioral soft tissues and speech. The objective of this study was to compare the immediate effects of fixed labial appliances and clear aligners on perioral soft tissues and speech.

Methods: Anin-vivo comparative study was conducted at Vishnu Dental College. The samples included an equal number of orthodontic patients who were randomly allocated into two …

Stem Cell-Based Therapies In Periodontology And Implant Dentistry: A Systematic Review And Meta-Analysis, Abdullah Saeed, Marycris Padrigo

International Arab Journal of Dentistry

Introduction: Periodontal disease and peri-implantitis remain the leading causes of tooth and implant loss, and conventional regenerative procedures consistently fall short of full structural restoration. Stem cell therapies have emerged as a promising alternative, operating through multi-lineage differentiation, immunomodulation via paracrine signaling, and extracellular vesicle communication. Prior systematic reviews, however, lacked methodological rigor — omitting clustering adjustments, REML/HKSJ estimation, prediction intervals, and publication bias modeling.

Aim: This systematic review and meta-analysis evaluated whether stem cell therapy produces superior clinical and radiographic outcomes compared to cell-free controls in adults with periodontal or peri-implant bone defects.

Methods: Searches across …

Community-Based Well Testing And Outreach To Mitigate Human Health Risk From Unsafe Drinking Water, W. Adam Sigler, Katharine Sutphen, Margaret J Eggers, Kaleena Miller, Michelle Grocke-Dewey

Journal of Extension

Twenty-two percent of groundwater wells tested nationwide have one or more contaminants above a health threshold, yet many private well owners are unaware of these risks because they have not tested their water. Researchers piloted a community well testing clinic for education/outreach and surveyed participants about outcomes. Two months later, 75% of participants with high or intermediate health risk water quality results had taken action or intended to, indicating that community private well testing clinics can be effective in mitigating human health risks from contaminated drinking water.

The Utilization Of Holographic Simulation For Specialized Patient Populations: A Feasibility Study, Laurie Neely, Jennifer E. Tucker, Amardeep Singh, Taylor Mort, Jeremy Fleischmann, Patrick Pabian

Journal of Innovation in Health Sciences Education

Introduction: The COVID-19 pandemic presented a unique set of challenges for health care education programs to prepare students to care for specialized patient populations. Lab experiences that incorporated real patients were restricted due to risk of infection. The use of simulation-based learning increased as an alternative to prepare students for the clinical setting. The purpose of this study was to examine students’ perception of holographic simulation (HS) and confidence in clinical observation skills of motor milestones in children in preparation for clinical practice before and after use of HS in the classroom

Methods: Subjects included 36 second year Doctor …

The End Of Unmeasured Exploitation: How A.S.M., C.A.S., And S.I.A. Challenge Digital Attention Capitalism, Delante Clark

Graduate Scholarship and Creative Works

Digital attention capitalism generates value through the capture and monetization of human attention, yet it has historically lacked standardized mechanisms for measuring attention-related harm. This paper argues that the Attention Safeguard Models (A.S.M.), Cognitive Attentional Standards (C.A.S.), and Sociological Impact Assessment (S.I.A.) collectively challenge this system by introducing an integrated framework for classifying, measuring, and evaluating digital attention harm and its societal consequences. C.A.S. provides standardized measurement of digital attention harm, A.S.M. identifies and classifies patterns of attentional disruption and manipulation, and S.I.A. evaluates broader impacts on institutions, communities, civic engagement, education, social cohesion, and inequality. Together, these systems transform …

Impact Of A Head-To-Toe Assessment Simulation On The Self-Efficacy Of First Semester Nursing Students, Martin Dole

Nursing Faculty Publications

The transition into clinical practice presents significant challenges for first-semester nursing students, particularly related to self-efficacy and the ability to perform comprehensive patient assessments. Low self-efficacy may negatively influence clinical judgment, skill performance, and patient safety. The purpose of this Doctor of Nursing Practice project was to examine whether participation in a head-to-toe assessment simulation impacted general self-efficacy among first-semester nursing students. Guided by Bandura’s theory of self-efficacy, a quantitative, quasi-experimental, one-group pretest–posttest design was used to evaluate changes in self-efficacy following a high-fidelity simulation experience. A convenience sample of 42 first-semester Bachelor of Science in Nursing students participated in …

Have You Done Your Duty? Impact Of Direct Mailing Campaign On Septic System Owners' Maintenance Knowledge And Behaviors In Coastal Texas Watersheds, Audrey Mccrary, T. Allen Berthold

Journal of Extension

As part of a watershed protection plan, the Texas Water Resources Institute and AgriLife Extension Service developed and distributed an educational postcard (``mailer'') about septic system maintenance to mailing addresses outside of public sewer service areas. The mailer was distributed four times within 1 year. The impact of this mailer was evaluated with a retrospective pre/post-test within a mailed survey. Overall, the mailer was effective at increasing knowledge of septic system owners and prompting maintenance action. Mailers can be a cost-effective alternative for educational initiatives where the target audience is not able to or interested in in-person or online programs.

Social Media Use And Health Literacy Among Patients With Multiple Sclerosis In Saudi Arabia: A Cross-Sectional Study, Alaa Mohammad Arafah, Fatima Kherdm, Remas Alharbi, Noor Baswaid, Badr Fahad Alduqsi, Fayaz Khan

Journal of Medical Rehabilitation Science

Background: Health literacy (HL) plays a critical role in managing chronic conditions, as it empowers patients with MS to effectively access, understand, and apply health information to improve their well-being. With the rising prevalence of MS in Saudi Arabia, understanding the role of social media in health communication and its relationship with the health literacy of patients with MS is essential.
Objectives: This study aimed to estimate the health literacy levels among patients with MS in Saudi Arabia and investigate association between social media use and level of health literacy.
Methods: A cross-sectional study was conducted among 110 adult patients …

Environmental Predictors Of County-Level Drowning Rates In Georgia, Jeff Turner

Journal of the Georgia Public Health Association

Background: Recent increases in drowning rates, both nationally and within Georgia, have led to renewed interest in the individual, situational/behavioral, and environmental characteristics that impact drowning. This study examines the association between two environmental characteristics, natural surface water coverage and public pools, on drowning fatalities and drowning-related ER visits by county in Georgia

Methods: We gathered county-level data on drowning fatalities and drowning-related ER visits and the number of public pools from the Georgia DPH, surface water coverage from the US Census Bureau, and demographic measures from the CDC. We conducted a linear regression analysis to identify how …

Are Accountability Courts In Georgia A Cost-Effective Public Health Policy Alternative?, Brian D. Graves, Orion Mowbray, Leaanne Derigne, Holly Lynde, Angel Ellis, Rachel Meyer

Journal of the Georgia Public Health Association

Background: This study evaluates the cost-effectiveness of accountability courts in Georgia, presenting them as a viable alternative in public health policy.

Methods: The research utilized survey data collected from 37 court programs across 40 distinct accountability court programs; it was conducted by the University of Georgia’s Carl Vinson Institute of Government in collaboration with the Council of Accountability Court Judges. The analysis includes a comparative assessment of cost savings, benefits, and differences among various court types, specifically focusing on drug courts, DUI courts, mental health courts, family treatment courts, and veterans treatment courts.

Results: Results reveal that …

Recommendations For Preparticipation Cardiovascular Screening For Athletes In Saudi Arabia: A Consensus Statement From The National Heart Center, Saudi Heart Rhythm Society, And National Center For Sudden Death, Alwaleed Aljohar, Bandar S. Al-Ghamdi, Abdulrahman Y. Sabbagh, Fahad Almehmadi, Fayez Bokhari, Naeem Alshoaibi, Yahya Alhebaishi, Wael Alqarawi

Journal of the Saudi Heart Association

Vigorous sports participation provides substantial physical and psychological benefits but may be accompanied by a small risk of sudden cardiac arrest and death in individuals with previously unrecognized cardiovascular disease. Preparticipation cardiovascular screening aims to identify athletes at increased risk, facilitate appropriate evaluation and management, and promote safe participation in sport. Despite growing international experience, no national recommendations have previously existed for Saudi Arabia. Recognizing the rapid expansion of organized sports participation driven by Saudi Vision 2030, an expert panel convened to develop consensus recommendations for the implementation of a nationwide preparticipation cardiovascular screening program. A comprehensive review of contemporary …

Beyond Screening In Amyotrophic Lateral Sclerosis: A Domain-Standardized, Measure-Flexible Framework For Comprehensive Neuropsychological Assessment, Etiane Navarro

Archives of Assessment Psychology

Amyotrophic lateral sclerosis (ALS) is a multisystem neurodegenerative disorder in which cognitive, behavioral, language, and social-cognitive changes may occur across clinical phenotypes, including the ALS-frontotemporal spectrum. Neuropsychological assessment is important for characterizing nonmotor manifestations and identifying changes relevant to autonomy, everyday functioning, and clinical management. This systematic review examined literature identified through APA PsycINFO, PubMed, Google Scholar, and supplementary searching to characterize neuropsychological domains, measures, phenotype-related findings, and disease-specific limitations relevant to comprehensive assessment. Two hundred records underwent title and abstract screening, 150 reports were reviewed in full text, and 61 resources were retained for synthesis. ALS-specific screening instruments, including …

Oct. 2026 - 5 Clinical Questions. Better Clinical Decisions., Timothy Rath

The Journal of the Michigan Dental Association

This feature previews the continuing education program presented by Dr. Melissa Seibert at the 2027 Sun, Sand & CE Cruise. Focusing on minimally invasive caries management and evidence-based restorative dentistry, the article outlines five daily clinical challenges faced by practitioners. Topics include determining when to restore versus monitor lesions, evaluating caries risk, selecting therapeutic agents, and translating dental research into practical workflows. The piece emphasizes practical decision-making and peer networking to help clinicians improve patient outcomes and return to practice reenergized.

Oct. 2026 - Mastery Creates Presence, Anish Gupta D.D.S.

The Journal of the Michigan Dental Association

Written by oral surgeon Dr. Anish Gupta, this reflective essay explores the connection between clinical mastery and patient-centered hospitality in surgical practice. Defining practice core values as "be the best, do the best" and "unreasonable patient-centeredness," the author illustrates how technical expertise frees clinicians to be fully present and empathetic with anxious patients. The article emphasizes that clinical competence should serve to alleviate patient fear, remove practice friction, and elevate the healthcare experience through mindful, compassionate service.

J Mich Dent Assoc Oct. 2026

The Journal of the Michigan Dental Association

The October 2026 issue of the Journal of the Michigan Dental Association highlights advocacy, leadership, clinical practice, and practice management for Michigan dentists. The cover story examines how MDA advocacy led to the passage of Senate Bill 105, prohibiting forced virtual credit card transaction fees. Features include a profile on Dr. Raymond Gist, first Black ADA president; clinical guidance on caries management with Dr. Melissa Seibert; insights from the LEAD leadership program; and surgical mindfulness by Dr. Anish Gupta. Regular departments cover unlicensed employee legalities, supporting caregiver employees, open health insurance enrollment, and MDA organizational updates.

Assessment Of The Impact Of A Snack Initiative Programme For Reduction Of Hospital-Acquired Malnutrition Among Nutritionally High-Risk Patients., Megha E. Jacob, Ciara O Connor, Sarah Wade

International Undergraduate Journal of Health Sciences

Nutrition is an integral component of patient care and recovery. In Irish acute care, approximately 10,500 patients rely on hospital catering for their dietary intake. In 2024, an initiative was undertaken in Cork University Hospital (CUH) to assess staff compliance to snack rounds, staff knowledge, patient awareness and satisfaction of the snack range. Using a survey, phase 1 (n = 28) established baseline patient awareness of snack availability. As a result, strategies including staff education and increased ward- level signposting of snack resources were implemented. A repeat survey was conducted in Phase 2 (2025) (n = 30) to assess changes …

J Mich Dent Assoc Jul 2017

The Journal of the Michigan Dental Association

Archival issues of the Journal of the Michigan Dental Association may include reports on the activities of the association and its members, clinical articles, information on legal and ethical practice considerations, and perspectives of interest to MDA members and those in the oral health profession.

Environmental And Professional Influences On Social Participation In Community Recreation In The Niagara Region Of Ontario, Canada: A Secondary Qualitative Analysis With Implications For Autism-Supportive Practice, Budor H. Saigh, Shuaa A. Mutawally

Journal of Medical Rehabilitation Science

Background: Meaningful participation in community recreation depends on more than physical accessibility. Environmental usability, activity structure, peer opportunities, and the manner in which professional support is provided may also be associated with opportunities for social participation among children with diverse developmental and support needs.
Objective: This secondary qualitative analysis examined how environmental and professional characteristics were represented in relation to opportunities for social participation across community recreational settings in the Niagara Region of Ontario, Canada. A secondary objective was to consider the potential relevance of these findings to autism-supportive recreational practice.
Methods: The analysis revisited selected qualitative materials originating from …

Do Research Day Program 2026, Lincoln Memorial University, Debusk College Of Osteopathic Medicine

DO Research Day

DO Research Day was hosted by the DeBusk College of Osteopathic Medicine at Lincoln Memorial University. This program features abstracts from the LMU-DCOM community.

Initiating The Development Of An In Vitro Model To Elucidate The Therapeutic Potential Of Osteopathic Manipulative Treatment, Mahmoud Ajjaoui, Christopher Root, Alex Wiser, Michael Operti, Christian Greer, Debasis Mondal

DO Research Day

• OMT is a technique used by DOs to treat a wide range of musculoskeletal dysfunctions. • An OMT technique commonly utilized in patients with musculoskeletal pain is Myofascial Release (MFR), which involves the stretching, holding and releasing of myofascial tissue to provide localized pain relief. • Despite patient attestation of the therapeutic benefits of MFR, in vitro studies to understand the molecular mechanism(s) is currently lacking. • In vitro algorithm that mimics high intensity exercise (HIE): Previously published studies using myofascial stem cells (MSCs) have documented that multiple cycles of rapid stretch and release can alter the proliferation and …

Virginia Team Nutrition Training Grant Workshop Participation Increased Intention To Change In Specific Topics, Rachel A Liebe, Kathleen J Porter, Valisa Hedrick, Elena Serrano, Kelly Shomo, Sandra Curwood, Sarah Misyak

Journal of Extension

Team Nutrition is implemented nationally to improve school food environments. Yet evidence on factors impacting implementation is limited. This study aimed to evaluate the execution of the Team Nutrition Training Grant (TNTG) in Virginia elementary schools using the RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) framework. The TNTG grant was implemented through two train-the-trainer workshops that were conducted with school nutrition directors (SNDs). Overall, SNDs from 84% of school divisions attended at least one workshop. Intention to change increased significantly from pre- to post- for both workshops in some target areas. This evaluation could help practitioners guide the development of evaluation …