Digital Commons Network^™

Application Of The Paediatric Medical Traumatic Stress Model To The Mental Health Experience Of Young People Living With Type 1 Diabetes: A Qualitative Study, Rigel Paciente, Sara Coombs, Karen Lombardi, Helen Milroy, Keely Bebbington, Heather Roby, Craig E. Taplin, Nicole Wickens, Stella Rose, Alix Woolard

Research outputs 2022 to 2026

Despite the various traumatic events that a young person living with type 1 diabetes (T1D) may experience, little is known about the burden and manifestation of traumatic stress in this population. Though mental health outcomes have been explored generally, medical trauma-sensitive approaches to understanding these experiences remain limited. We utilised a qualitative descriptive approach to explore the impact of T1D on young people’s mental health through the paediatric medical traumatic stress model (PMTS). Young people aged 13–30 living with T1D were interviewed. These interviews were recorded, transcribed, and analysed using Reflexive Thematic Analysis. Three main themes were generated: (1) perceived …

The Benefits And Barriers To Expanding Crna Programs In Michigan, Grace Van Zweden

Honors Theses

The demand for Certified Registered Nurse Anesthetists (CRNAs) and their delivery of safe, high-quality anesthesia care has increased significantly due to nationwide anesthesia provider shortages and the growing reliance on CRNAs to meet healthcare system needs. This demand underscores the importance of expanding nurse anesthesia programs in Michigan and across the United States to support nurses pursuing advanced education and to improve patient access to essential care within their communities. The CRNA profession has evolved over time to meet the changing needs of the healthcare system, and current CRNA programs require applicants to satisfy rigorous and highly specific admission criteria. …

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 …

Tmc Library Newsletter: From Its Past To Present, Alice Sherwood

Library Staff Publications

This presentation describes the early beginnings of our library newsletter, and the progress of its technology changes over time. "The TMC Library Newsletter" started out in 1998 as a quarterly print newsletter, "Library Lines", and evolved into a web-based one, "The Insider," published 6 and then 12 times a year through 2013. Since 2015, its name changed to what it is today and is also available on Digital Commons, an open journal available for the community and beyond. As an open journal using Digital Commons as its platform since April 2025, the items in this journal has grown to more …

Trauma Informed Care Approach To Family Violence : Preliminary Insights Of A Pilot Youth Justice Violence Prevention Program, Antonette Francis-Sheaerer Phd, Amber Singleton, Denise Shaw, Kierra Echols, L. Lynette Parker, Caroline O. Dodson, Ashley Y. Williams Md

Community Health Workers Posters

Background: Modern juvenile justice research increasingly identifies family violence as a primary driver of youth legal and social transgressions. To address this, the Strickland Youth Detention Center, in partnership with the USA Health Center for Healthy Communities, launched the Building Safer Communities Collaborative (BSCC)in Mobile, Alabama, in September 2025. This pilot program employs a public health, trauma-informed prevention model to intervene before youth face serious tenure within the justice system.

Methods: The BSCC utilizes a Community Health Worker (CHW) model focusing on 37 youth currently on informal probation. Over a six-month period, the program facilitates twice-monthly encounters with youth and …

Association Of Nox-1–Mediated Oxidative Stress And Raftlin-Related Lipid Raft Signalling In Postmenopausal Osteoporosis, Işıl Yağmur, Ergül Belge Kurutaş, Alev Özer

Sultan Qaboos University Medical Journal

Objectives: This study aimed to investigate the relationship between NOX-1-mediated oxidative stress and Raftlin-related lipid raft signalling in postmenopausal osteoporosis and evaluate their potential as discriminatory biomarkers. Methods: This cross-sectional case-control study was conducted between December 2025 and March 2026 at Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey. Participants (postmenopausal women) were equally divided into three groups: women with osteoporosis, postmenopausal women without osteoporosis, and age-matched healthy controls with normal bone mineral density. Serum NOX-1 and Raftlin levels were measured using enzyme-linked immunosorbent assays. Malondialdehyde (MDA) and superoxide dismutase (SOD) were assessed as markers of oxidative stress and antioxidant defense. …

The Use Of Tens To Help Manage Post-Mastectomy Pain, Alyssa B. Carey, Amanda Giarratano, Verena Gorgi, Lauren Vera

Oncology Rehabilitation in Practice

Transcutaneous electrical nerve stimulation (TENS) has been demonstrated to be an effective non-pharmacological adjunct for postoperative pain management in thoracic surgeries. However, few studies have examined its benefits in managing post-mastectomy pain. This study found that TENS provided positive effects on postoperative pain control, which were associated with improved physical and psychological outcomes. Overall, TENS appears to be a safe and effective modality for managing acute postmastectomy pain.

Whole-Body Vibration As An Adjunctive Modality For Radiation-Induced Fibrosis In Breast Cancer Rehabilitation: A Physical Therapist’S Perspective, Carla Steinberg

Oncology Rehabilitation in Practice

No abstract provided.

Occupational Therapy Interventions For Pediatric Patients With Cancer And Avascular Necrosis: A Case Report, Lucy Weathers, Sandra Murphy, Michael Neel, Raul Riberio

Oncology Rehabilitation in Practice

Background: Avascular necrosis (AVN) is a rare disease that can be caused by cancer treatment. AVN can affect multiple joints, which can disrupt one’s ability to perform daily activities. Rehabilitation services, including occupational therapy (OT) and physical therapy, are used to improve a patient’s quality of life through skilled conservative interventions that improve daily task engagement. Occupational therapists are trained to address functional deficits experienced by pediatric patients with cancer and may play a key role in treating patients who have AVN. This case report describes the role of OT in addressing self-care for a patient experiencing early multifocal AVN. …

Individualized Aerobic Exercise Prescription As Part Of A Comprehensive Physical Therapy Treatment During Systemic Chemotherapy: A Case Report, Veronica Griesemer

Oncology Rehabilitation in Practice

Background: Cardiovascular disease (CVD) is commonly seen in cancer survivors. Multiple treatment modalities for breast cancer can cause cardiotoxicity during or even decades after treatment. Aerobic exercise has been well documented to treat non-cancer-related CVD; however, research regarding optimal dosing within the cancer population is needed. This case report discusses the examination, evaluation, and treatment of a patient with breast cancer receiving potentially cardiotoxic chemotherapy.

Case Description: This patient presented with decreased cardiorespiratory fitness, elevated heart rate, and shortness of breath when climbing the stairs after completing systemic chemotherapies doxorubicin and cyclophosphamide. She was preparing to start paclitaxel treatments and …

The Relationship Between Fatigue And Quality Of Life For Patients Participating In A Cancer Survivor Program, Madge Suzanne Tinsley, Marie Vazquez Morgan, Elizabeth Disbrow, Carol Crooms

Oncology Rehabilitation in Practice

Introduction: The purpose of this chart review was to examine differences in fatigue and quality of life following cancer treatment based on gender, race, age, cancer type, and referral for rehabilitation services.

Methods: Ninety-one patient charts were reviewed for demographic variables, cancer type, rehabilitation referral, and baseline scores on the Brief Fatigue Inventory (BFI) and Reintegration to Normal Life Index (RNLI). Group differences were analyzed using the Mann–Whitney U test, and correlations between fatigue and quality of life were assessed using Pearson’s correlation (p < 0.05).

Results: Participants included 65 females (71%) and 26 males (29%), with 73% identifying as Black, 26% …

Cover And Front Matter, Volume 3, Issue 3

Oncology Rehabilitation in Practice

No abstract provided.

Dose-Dependent Pharmacodynamic Interaction Between Fasudil, A Rho Kinase Inhibitor, And Doxorubicin In The Mcf-7 Breast Cancer Cell Line, Ahmed B. Abdulwahid, Shaymaa F. Abbas, Dhuha E. Omran, Nehaya M. Al-Aubody, Sara A. Yaseen

Maaen Journal for Medical Sciences

Background: It is necessary to seek combination therapy that uses non-traditional cytotoxic drugs to mitigate the side effects of doxorubicin. Recently, Rho-associated protein kinase (ROCK) inhibitors have exhibited promising antitumor activity in both experimental and clinical studies

Aim: This study aimed to characterize the pharmacodynamic interaction between fasudil, a ROCK inhibitor, and doxorubicin in MCF-7 breast cancer cells by evaluating their cytotoxic effects and quantifying drug interactions using the Chou–Talalay principle.

Methods: Doxorubicin, fasudil, and their combined fractions were evaluated to investigate their cytotoxic impact on the MCF-7 cell line using the MTT  method. The cells were treated with …

Evaluating A Peer Support Program: Impact On Peer Supporters In A Tertiary Care Children’S Hospital, Lauren R. Anderson, Heather Dekeyser, Sonja I. Ziniel, Michele Loi, Emily Muther, Kami Wolfe Schneider, Christine Waasdorp Hurtado, Jo Vogeli, Jennifer Reese

Journal of Wellness

Introduction: Healthcare workers experience emotional distress following poor patient outcomes, which can negatively impact wellbeing and retention. Peer support programs are an evidence-based approach to mitigating distress through provision of confidential counseling by a trained peer. However, data on impact of participation on peer supporters is limited. We aimed to evaluate and describe the peer supporters’ experience at our tertiary children’s hospital.

Methods: A web-based survey was developed with input from key partners. Content was reviewed via cognitive interviews. The survey was administered to 167 trained peer supporters during the spring of 2022. Demographic comparison data were gathered from an …

How Should Sincerity Be Measured? A Rasch-Based Validation Of The Adolescent Sincerity Scale, Cicca Kusumawardani, Wahyu Nanda Eka Saputra, Rohmatus Naini, Agus Ria Kumara, Agus Supriyanto

Buletin Konseling Inovatif

Although various instruments for measuring sincerity have been developed, limitations remain regarding comprehensive construct validity, sample diversity, and the application of Rasch analysis in psychometric evaluation among student populations in Indonesia. Sincerity is a multidimensional spiritual value that contributes to personal integrity, psychological well-being, and positive social relationships. This study aims to develop a sincerity instrument with adequate psychometric characteristics using the Rasch Analysis approach. The study employed an instrument development method involving 759 high school and vocational high school students in Yogyakarta, selected through stratified random sampling. The analysis results showed a person measure of 1.18 logits, indicating that …

Assessment Of Pletekan Leaf Extract (Ruellia Tuberosa L.) As An Antibacterial Feed Additive For Broiler Chickens (Gallus Gallus Domesticus L.) Infected With Salmonella Sp., Nuria Istiqomah, Poncojari Wahyono, Rury Eryna Putri, Abdulkadir Rahardjanto

Jurnal Ilmu Ternak Universitas Padjadjaran

The use of synthetic antibiotics as antibiotic growth promoters (AGPs) in broiler chickens raises concerns over antibiotic residues and bacterial resistance, necessitating safer natural alternatives. Ruellia tuberosa L. contains various secondary metabolites with potential antibacterial properties; however, its in vivo efficacy against Salmonella sp. remains poorly documented. This study aimed to analyze the phytochemical composition of R. tuberosa leaf extract and evaluate its antibacterial activity against Salmonella sp. in broiler chickens. A Completely Randomized Design (CRD) was employed with eight treatments: a positive control (tetracycline), a negative control (Tween-80), and six extract concentrations (125, 250, 375, 500, 625, and 1000 …

The Effect Of Tannin Powder Supplementation In The Ration On Hematological Profiles And Blood Urea Nitrogen Of Priangan Sheep, Najwa Hegyra Gumilar, Iman Hernaman, Diding Latipudin, Ghistavera Izvantika

Jurnal Ilmu Ternak Universitas Padjadjaran

The use of dietary tannins as natural feed additives to regulate rumen protein degradation and improve nitrogen metabolism has been increasingly explored. Nevertheless, the evidence concerning the combined use of chestnut (Castanea sativa) and quebracho (Schinopsis lorentzii) tannin extracts in Priangan sheep is still limited. This study aimed to evaluate the effects of a commercial tannin powder containing these two plant extracts on Blood Urea Nitrogen (BUN) concentration and hematological profiles in Priangan sheep. Eighteen healthy male Priangan sheep with an initial average body weight of 19.64±2.51 kg were randomly allocated into three dietary treatments in …

A Correlational Study Of Work Stress And Marital Stability Among Married Female Police Personnel In Kwara State, Nigeria, Haruna Ibrahim

Buletin Konseling Inovatif

This study investigated the relationship between job stress and marital stability among married female police personnel in Kwara State, Nigeria. A Descriptive Research Design of correlational type was adopted. The sample size (Target Population) of the study comprised all the 112 married female police personnel in Kwara State, Nigeria. Based on the relatively small sample size, population census (Total enumeration) was adopted for this study, where all the married female police personnel were sampled. The Operational Police Stress Questionnaire and Dyadic Adjustment Scale were used for data collection. Findings revealed a significant correlation between the independent variables and the dependent …

Uncovering The Genetic Landscape Of Pediatric Hearing Loss Along The Texas–Mexico Border, Desiree Lanehart, Michelle Gray, Roberta Sierra, Camille Maldonado, Daniel Brooks, Hongzheng Dai, Aaly Rahimtoola, Sandy Magallan, Alberto Allegre, Lori Berry

School of Medicine Publications

Children in Health Professional Shortage Areas (HPSAs), including the US border regions, experience delays in the diagnosis of hereditary hearing loss (HL), driven primarily by limited access to specialized genetic services. Although approximately 60% of congenital HL has a genetic etiology, many affected children in these communities remain undiagnosed, delaying timely intervention. Project GIVE is an NIH-funded virtual genomics program that expands access to genome sequencing (GS) for children with undiagnosed multisystemic conditions along the Texas–Mexico border in the Rio Grande Valley (RGV) and El Paso regions of Texas, USA. Children (0–18 years) with suspected rare diseases were referred by …

J Mich Dent Assoc Nov. 2026

The Journal of the Michigan Dental Association

The November 2026 issue of the Journal of the Michigan Dental Association provides comprehensive coverage of professional, legal, and operational developments impacting Michigan dentists. Key topics include an analysis of dental emergency visits at Federally Qualified Health Centers (FQHCs), leadership principles within organized dentistry, advocacy efforts surrounding Senate Bill 105 regarding virtual credit card reimbursement fees, practice transition, embezzlement prevention, employee documentation compliance, and member services. This issue highlights community, equity, and legislative engagement aimed at supporting dental practices and improving statewide public oral health.

Nov. 2026 From The Editor - Wicked Problems, Shared Solutions, Romesh Nalliah

The Journal of the Michigan Dental Association

This editorial reflects on systemic issues in public oral health through the historical tragedy of Deamonte Driver and broader national statistics on emergency department fatalities from dental conditions. It emphasizes the complex, 'wicked' nature of oral healthcare access and highlights research in this issue examining how Michigan's Federally Qualified Health Centers handle emergency care. The editor urges member dentists to actively participate in organized dentistry and legislative advocacy to achieve meaningful, long-term health policy reform.

Analysis Of The Dental Emergency Visits At Fqhcs In Michigan And Recommendations For Change, Xuesi Hua, Martha Mccomas, Elizabeth Hatfield

The Journal of the Michigan Dental Association

This mixed-methods study evaluates emergency dental operations across Michigan's Federally Qualified Health Centers (FQHCs). Utilizing clinician interviews, surveys, and state usage data, the authors examine care delivery models, identify clinician and patient barriers to access, and analyze reasons why patients utilize hospital emergency departments rather than community health centers. System-level recommendations are proposed to optimize emergency triage, expand capacity, and improve outcomes for underserved populations.

Nov. 2026 The Back Page - Life Membership Status Awarded To 70 Members, Mda Membership Department Staff

The Journal of the Michigan Dental Association

The Back Page celebrates seventy Michigan Dental Association members who achieved Life Membership status in 2026. Organized by local dental districts (including Central, Cloverland, Detroit, Jackson, Kalamazoo Valley, Lakeland Valley, Oakland County, and West Michigan), the feature honors their decades of clinical practice, dedicated service, and sustained support for organized dentistry across Michigan.

Reliability And Validity Of Upper Extremity Neurocognitive Reactive Tests In Collegiate Athletes, Matthew L. Gauthier, Marisa Pontillo, George J. Davies

Physical Therapy Faculty Publications

Objectives: Neurocognitive function is vital in sports, but evidence supporting neurocognitive reaction testing in upper extremity return-to-sport testing is limited. This study's purpose was to quantify measurement properties of upper extremity reactive testing in collegiate athletes, hypothesizing acceptable measurement properties for clinical use.

Design: Cross-Sectional Study.

Setting: Collegiate athletics.

Participants: Sixty-three healthy athletes (25 females, age = 20.8 ± 1.6 years, BMI = 25.6 ± 2.6 kg/m2; 38 males, age = 20.8 ± 1.6, BMI = 25.7 ± 2.6 kg/m2).

Main outcome measure(s): Successful touches and average reaction time on the Upper Extremity Reactive Closed Kinetic Chain Test (UERCKCT) and …

Phytochemical Screening And Assessment Of Antibacterial And Antioxidant Activities Of The Crude Extracts From The Leaves Of Vernonia Lasiopus Against Diarrhea-Associated Bacteria, Jackson Iradukunda, Théoneste Muhizi

Pharmaceutical Sciences and Research

Vernonia lasiopus O. Hoffm., a member of the family Asteraceae, has been traditionally used in the management of diarrhea and has also been reported to possess antioxidant properties. However, its biological activities and therapeutic potential have not been adequately established through scientific investigation. This study aimed to evaluate the antibacterial activity of crude leaf extracts of V. lasiopus against Escherichia coli and Staphylococcus aureus and to assess their antioxidant activity using the 2,2 diphenyl 1 picrylhydrazyl (DPPH) assay. The powdered leaves were extracted by maceration using methanol, diethyl ether, cyclohexane, and acetone. Phytochemical screening was performed to determine the classes …

A Community's Next Chapter: Introducing The Journal Of Accreditation And Quality Improvement In Medical Education, Melisa Pierce, Jason Booza, Colleen Hayden

Journal of Accreditation and Quality Improvement in Medical Education

No abstract provided.

Front Matter, Jason C. Booza, Raquel Hernández Givens

Journal of Accreditation and Quality Improvement in Medical Education

Front matter for the Journal of Accreditation and Quality Improvement in Medical Education, Volume 1, Issue 1, Fall 2026.

Strengthening The Science And Practice Of Accreditation And Quality Improvement, Jason C. Booza, Raquel Hernández Givens

Journal of Accreditation and Quality Improvement in Medical Education

This editorial welcomes readers to the inaugural issue of the Journal of Accreditation and Quality Improvement in Medical Education (JAQI).

Students Drive Cqi In Step 1 Support Using The After-Action Review: A Replicable Model For Student Engagement In Accreditation-Driven Quality Improvement, Lauren B. Stumpp, Abigail Yohannes, Greg Null, Allison Serra

Journal of Accreditation and Quality Improvement in Medical Education

Background. Medical schools increasingly recognize the importance of engaging students in continuous quality improvement (CQI) processes, yet most institutions rely primarily on surveys that offer limited depth and no leadership role for students. This study describes a student-led CQI model combining a structured survey instrument with the After-Action Review (AAR) framework, implemented across two consecutive cohorts at the University of Pittsburgh School of Medicine.

Methods. Students who completed the United States Medical Licensing Examination (USMLE) Step 1 in 2023 and 2024 were invited to complete a survey evaluating school-provided academic, emotional, and decision-support resources. Following each survey, 12 and 14 …

Meet The Board: A Jaqi Rountable, Ashley Gregory

Journal of Accreditation and Quality Improvement in Medical Education

This roundtable introduces readers to the founding members of the Journal of Accreditation and Quality Improvement in Medical Education's editorial board. Through their reflections, readers will gain insight into the experiences, interests, and aspirations that collectively inform the journal's mission and strategic direction.