Digital Commons Network^™

Executive Summary: Executive Leadership System Improvement Improving Depression Screening And Follow Up Processes, Rebecca Geneiveve Hidalgo Salomon

Walden Dissertations and Doctoral Studies

Depression remains a significant public health burden in the United States, contributing to disability, healthcare utilization, and economic cost. Internal 2024 audits at the project site identified variability in Patient Health Questionnaire 9 PHQ 9 screening and follow up processes, with 68% of screenings completed, 55% of follow ups timely, and disparities among patients with limited English proficiency. These findings indicate a systems level reliability and equity gap. This executive leadership system improvement project focused on developing a standardized, nurse led, electronic health record supported workflow to improve PHQ 9 completion and timely follow up. The practice focused question asked …

Age-Associated Hematopoietic Variants In The Rhesus Macaque, Josephine De La Fuente, Chiraag D Kapadia, R Alan Harris, Muthuswamy Raveendran, Giovanne B Diniz, John H Morrison, Jeffrey Rogers, Margaret A Goodell

Faculty, Staff and Students Publications

No abstract provided.

Percutaneous Coronary Intervention And Vascular Access Complications: A Contemporary Review, Tanawat Attachaipanich, Muzamil Khawaja, Edwin A Takahashi, Hafeez Ul Hassan Virk, Mahboob Alam, Ian C Gilchrist, Chayakrit Krittanawong

Faculty, Staff and Students Publications

Transradial approach (TRA) is preferred over transfemoral approach (TFA) for percutaneous coronary interventions due to lower bleeding, vascular complications, and mortality, particularly in acute coronary syndrome. Radial access complications included intraprocedural events (spasm, dissection, and perforation) and postprocedural events (radial artery occlusion, hematoma, pseudoaneurysm, arteriovenous fistula, nerve injury, and infection). TFA remains necessary in certain settings but carries higher complication risk. Optimizing patient selection and procedural planning is essential to minimize vascular complications.

Yap Induces A Prorenewal Metabolic State In Cardiomyocytes, Lin Liu, Jeffrey D Steimle, Chang-Ru Tsai, Fansen Meng, Yuka Morikawa, Yi Zhao, Sandra Carmichael, Xiao Li, James F Martin

Faculty, Staff and Students Publications

BACKGROUND: Cardiomyocytes, as highly specialized and differentiated somatic cells, possess a limited capacity for renewal. Neonatal rodents possess the ability to regenerate cardiomyocytes after injury; however, this regenerative capacity declines rapidly with cardiomyocyte maturation, suggesting an inhibitory network between cellular maturation and cardiomyocyte proliferation. Maturing cardiomyocytes undergo a metabolic shift from predominantly glycolysis in the neonatal state to increased fatty acid oxidation in the mature state, which poses a barrier to cardiomyocyte proliferation and cardiac regenerative repair. YAP, a transcriptional cofactor regulated by the Hippo signaling pathway, promotes cardiac regenerative repair. We investigated the role of YAP in mediating metabolic …

Feasibility Of Nationwide Remote Chronic Neural Data Collection From Recording-Enabled Deep Brain Stimulation Systems, Kasra A Mansourian, Ajay D Gandhi, Jonathan H Bentley, Kalman A Katlowitz, Danika L Paulo, Nisha Giridharan, Mohammed A Hasen, Tommy B Liu, Zain U Naqvi, Sarah S Soubra, Thomas A Hamre, Rick R Hanish, Eric A Storch, Wayne K Goodman, Sameer A Sheth, Nicole R Provenza

Faculty, Staff and Students Publications

Introduction: Bidirectional deep brain stimulation (DBS) devices can continuously record neural activity while delivering stimulation. Due to memory limitations on the implanted device on which data are stored, frequent data downloads are required to prevent data loss. In this study, we present a novel collaborative data collection method utilizing a nationwide network of device representatives to allow frequent data transfer that reduces data loss without imposing travel burden on patients.

Methods: We collected chronic neural data from nine patients with severe obsessive-compulsive disorder who received ventral capsule/ventral striatum DBS treatment between May 2023 and August 2024. We included patients implanted …

High Concordance Of Physician-Attestation With Manual Data Abstraction For Sickle Cell Type: An Ash Rc Data Hub Study, Alexis A Thompson, Ashima Singh, Donna S Neuberg, Amanda M Brandow, Allison A King, Sophie Lanzkron, Emily A Semmel, Sam Walters, Susan Rogers, Kathleen Torres, William A Wood

2020-Current year OA Pubs

Sickle cell disease (SCD) is the most common inherited blood disorder in the United States. The American Society of Hematology Research Collaborative (ASH RC) has built an SCD Data Hub (DH) to facilitate research and quality improvement using real-world data. To our knowledge, we report here the first analyses from the DH, focusing on cohort demographics and accurate identification of SCD diagnosis type. DH sites have data use agreements with ASH RC to extract and transfer electronic health record (EHR) data at least quarterly. Principal investigators (PI) provided additional attestation of SCD diagnosis based on existing local data sources deemed …

Familial Healthy Aging And Longevity: The Role Of Spouses, Søren Netra, Angéline Galvin, Matthew Keys, Katrine Lawaetz Kristensen, Jacob Krabbe Pedersen, Bharat Thyagarajan, Svetlana Ukraintseva, Mary K Wojczynski, Dorret I Boomsma, Kaare Christensen

2020-Current year OA Pubs

BACKGROUND: Families with exceptional longevity often experience delayed onset of age-related diseases and reduced mortality across generations-a pattern influenced by shared genetic and behavioral factors. While several studies have focused on the members of longevity-enriched families (LEF), little is known about the health trajectories of the spouses marrying into these families. Given prior evidence of substantially reduced mortality among spouses of LEF members, determining whether this advantage reflects selection, shared environments, or behavioral convergence is essential for understanding the mechanisms that underlie intergenerational health transmission.

METHODS: We conducted a multigenerational, retrospective matched cohort study using nationwide Danish civil and health …

Beyond Symptoms: A Narrative Counseling Interpretation Of First-Year Student Anxiety In Indonesian Higher Education, Azizah Abdullah, Rizky Andana Pohan, Ramtia Darma Putri, Triyono Triyono, Marimbun Marimbun, Rahmi Dwi Febriani

Buletin Konseling Inovatif

The transition to higher education is a critical period in which first-year students face new academic demands, financial pressures, social adjustment challenges, and uncertainty about the future. However, limited research has examined how freshmen make sense of and narrate their anxiety, particularly in the Indonesian context. This study aimed to explore the main domains of anxiety among first-semester students in Indonesian public universities and to interpret these experiences through a narrative counseling lens. The study employed a qualitative online survey design with an interpretivist orientation. Data were collected from 199 first-semester students through open-ended questions addressing anxiety-provoking situations, sources of …

Mitigation Of Race-Based Antihypertensive Prescribing, Victoria Scaccia Msn Rn Cnl Dnp, Bridget O'Brien Dnp, Stephanie Crane Md, Amanda Bradke Md

North American Conference to End Race-Based Medicine

No abstract provided.

Six Steps To Squats: A Training Protocol To Guide Functional Rehabilitation Following Isolated Lower Extremity Fractures, Batoul Baydoun, Abdurrahman Ehsan, Manar Chebli, Zarrar Chauhdri, Ahmed Memon, Ahmad Almaat Bs, Omar Abdalla Bs, Haytham Alqasmi Bs, Ameen Suhrawardy Md, Rahul Vaidya Md

North American Conference to End Race-Based Medicine

No abstract provided.

Reconsidering The Use Of Race & Ethnicity In Clinical Decision-Making: The Path Towards Liberation Medicine, Donna Ahmadian Ms, Mph

North American Conference to End Race-Based Medicine

No abstract provided.

Sleeve Gastrectomy Vs. Glp-1 Agonists (Semaglutide): A Cost-Effectiveness Perspective On Long-Term Obesity Management, Naushad Khan, Luv Agarwal, Ritesh Sheth Md

North American Conference to End Race-Based Medicine

No abstract provided.

Contemplating Race In Clinical Algorithms: Educating The Physicians Of Tomorrow, Adam Gaetz

North American Conference to End Race-Based Medicine

No abstract provided.

Reimagining Black Maternal Health Narratives: Embracing A Vitality Framework For Joy, Liberation, And Healing, Ijeoma Nnodim Opara, Yasmine M. Elmi

North American Conference to End Race-Based Medicine

No abstract provided.

Voices From The Field: Provider Perspectives On The Implementation And Impact Of Race-Neutral Pfts, Kumbie Madondo Phd, Zoelene Hill Phd, Kimberly Murdaugh Md Ms, Natoushka Trenard Md

North American Conference to End Race-Based Medicine

No abstract provided.

Gender Disparities In Medical Student Clinical Experiences During Obstetrics And Gynecology Rotations In The Usa, Naushad Khan, Luv Agarwal, Ritesh Sheth Md, Rehana Sheikh

North American Conference to End Race-Based Medicine

No abstract provided.

Governing Addiction: An Anthropological Comparison Of Care In The United States And The Netherlands, Kiren K. Bagga

Bates College Journal of Political Studies

This article examines addiction care as a form of moral governance through a comparative anthropological analysis of the United States and the Netherlands. Drawing on a Foucauldian theory of biopolitics alongside this study argues that approaches to addiction treatment reveal how states differentially value life, citizenship, and vulnerability. Joan Tronto's relational definition of ethical care is used to move beyond a solely moral context, towards an ethical understanding of both caretakers and those who require care. In the United States, addiction policy has historically functioned as a punitive and moralizing project, shaped by racialized drug criminalization, neoliberal ideals of individual …

Smoking Habits And Attitudes Of Dental, Nursing And Pharmacy Students, Daniel M. Laskin Dds, Ms, Caroline K. Carrico

Virginia Dental Journal

No abstract provided.

Interactive Associations Between Physical Activity And Sleep Architecture On Cognition In Community-Dwelling Older Black Adults, Joshua L. Gills, Anhiti Dharmapuri, Rachel Mccray, Shreshtha Shah, Anthony Q. Briggs, Purbanka Pahari, Dominique Tanner, Mark A. Bernard, Elena Valkanova, Korey Kam, Ankit Parekh, Lisa L. Barnes, Gbenga Ogedegbe, Omonigho M. Bubu

International Journal of Exercise Science: Conference Proceedings

Growing evidence suggests an interactive relationship between physical activity (PA) and sleep in shaping cognitive performance. Enhanced sleep features, like greater K-complex density and slow-wave activity, may reflect mechanisms through which PA and restorative sleep improve cognitive function. PURPOSE: To examine how PA and sleep architecture interact to influence cognition in older Black adults. METHODS: A cross-sectional study of 51 participants (mean age: 63.1 ± 15.8 years) from NYU’s Aging Research In Sleep Equity and Dementia Prevention Program. Participants underwent neuropsychological testing, polysomnography, clinical evaluation, and seven days of actigraphy to assess PA and sedentary behavior. Cognitive tasks measured processing …

Use Of Resistive Exercise Snacks To Improve Upper Body Fitness In Undergraduate And Graduate Students, Zachary Abouelkawaam, Kevin Vaughan, Alexander Rothstein, Abdelmohsen Mossolem, Jean-Paul Dodier, Carlos Africa, Freddie Leong, John Handrakis

International Journal of Exercise Science: Conference Proceedings

Graduate/undergraduate students lack time for consistent physical activity, leading to declines in fitness. Exercise snacks (ExSnck), short bouts of submaximal exercise performed throughout the day, may offer a solution. PURPOSE: To evaluate the effects of a 6-week upper body ExSnck program on endurance, strength, power, and enjoyment compared to a 1-set maximal exercise (MaxEx) protocol and a control group. METHODS: 43 participants were randomly assigned to ExSnck (n=15), MaxEx (n=16), or Control (n=12) groups. The ExSnck group performed 33% of their maximal push-ups and plank time for 3 sessions/day (sessions ≥2hrs apart). The MaxEx group performed the same …

Association Between Coaching Behavior Styles And Athlete Well-Being: A Systematic Review, Matthew Benavides, Olivia Evola, Devjja V. Joshi, Arpita M. Bedarkar, Amerigo Rossi

International Journal of Exercise Science: Conference Proceedings

Coaching behavior plays a critical role in shaping athlete outcomes, including motivation, performance, satisfaction, and burnout. PURPOSE: Evaluates how different coaching styles are associated with athlete well-being and the psychological mechanisms involved. METHODS: A detailed search of ProQuest, Gale and EBSCO databases was done. Five peer-reviewed studies that met the inclusion criteria of college student athletes competing in NCAA or NAIA in the US or Canada and studies involving the coaching styles of either autocratic, democratic, transformational, congruent leadership or intrinsic motivation were systematically reviewed. 1,900 athletes were evaluated in the included studies of relationships between coaching behaviors and student …

Pediatric Cardiac Imaging With Second- And Third-Generation Dual Source Ct Scanners: Radiation Dose, And Diagnostic Accuracy In Comparison With Echocardiography And Mri—A Systematic Review And Meta-Analysis, Lamia Ghazi Jamjoom, Razan Kamal Daghistani

Journal of the Saudi Heart Association

Objectives: The purpose of this study was to evaluate the diagnostic accuracy, imaging speed, radiation dose, and clinical utility of second- and third-generation dual source computed tomography scanners, in comparison with echocardiography and magnetic resonance imaging in diagnosing congenital heart disease in paediatric patients.

Material and Methods: A systematic literature search was conducted in PubMed, Embase, Scopus, and the Cochrane Central Register of Controlled Trials from 1 January 2006 to 30 April 2025.  Eligible studies included pediatric populations undergoing cardiac imaging with modern computed tomography scanners and compared outcomes against echocardiography or magnetic resonance imaging. Study selection followed PRISMA guidelines. …

Examining Nurse Burnout During The Covid-19 Pandemic: Causes And Mitigation Strategies, Melanie Sena

Honors Projects

Nurse burnout is a multidimensional occupational syndrome that predates the COVID-19 pandemic, yet the pandemic served as a catalyst that intensified its scope and severity in ways that the healthcare system was profoundly ill-equipped to manage. Characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment, burnout among nurses accelerated dramatically between 2020 and 2022 as clinical workloads surged, personal protective equipment remained scarce, and moral distress became a near-universal experience across care settings. This review examines the primary systemic and individual contributors to nurse burnout during COVID-19, explores the consequences of burnout for both nurses and patients, …

Marching Health From Music To Injury: The Implications Of Marching Band Athletic Training Accessibility, Madelyn Liebhardt

Honors Projects

The following study explores the importance and need of athletic trainers (ATs) in marching band settings. Athletic Training is an essential backbone to many sports programs worldwide. Athletic Trainers are commonly seen as active staff members for many high school, collegiate, professional teams as well as in clinical office sites. Athletic Trainers are also staffed in non-traditional settings such as corporate settings, performing arts, military branches. Marching bands are categorized under non-traditional sports settings and ATs are becoming more highly preferred in this area. This study follows the Bowling Green State University (BGSU) Falcon Marching Band (FMB) during the 2025 …

Artificial Intelligence In Dental And Orthopedic Skeletal Imaging: A Scoping Review Of Methodological Convergence And Translational Gaps, Man Hung, Isabella Strickler, Annabella Jensen, Bayler Gunnell, Alicia Parry, Samuel Dyal, Martin S. Lipsky

Institute on Aging Publications

This scoping review aimed to answer the question: to what extent do artificial intelligence applications in dental and orthopedic skeletal imaging demonstrate true cross-disciplinary methodological convergence versus parallel development with shared translational barriers? This scoping review synthesizes AI applications across both fields to characterize methodological overlap, developmental asymmetries, and translational gaps, rather than assuming convergence. Following the PRISMA-ScR reporting standards, we searched PubMed, Scopus, Web of Science, IEEE Xplore, and EMBASE for peer-reviewed, English-language human studies published between January 2015 and May 2025. Eligible studies applied AI, machine learning, or deep learning to diagnostic, segmentation, or preoperative planning tasks in …

Contribution Of The M1 Vs M2 Phenotype Toward Macrophage Interactions With Streptococcus Mutans, The Dominant Bacteria In The Oral Cavity, Isabelle K. Wintz

Honors Thesis

We are all exposed to numerous pathogens every day. One of the sites for pathogens to interact with our body is in the mouth. To better understand these interactions between bacteria and host immune cells, I developed an assay to study the oral bacteria Streptococcus mutans and inflammatory macrophages. Our hypothesis was that the cytokines IL-4 and IFN-y would alter macrophage phenotypes with IL-4 reducing inflammatory responses and IFN-y increasing inflammation.  To test this, we performed experiments in cell culture as a first step toward understanding the severity of the host response at the cellular and molecular levels. Our results …

Garlic Breath And Beads Of Sweat: The Effects Of Garlic And Chili Peppers On The Growth And Ph Of Streptococcus Mutans., Lena Pitzer

Honors Projects

The purpose of this project is to provide a quantifiable and repeatable measurement of how the presence of garlic and chili pepper during the growth of a carious dentine strain of Streptococcus mutans affects the growth of the strain and surrounding pH level.This research project examines two possible alternative agents, garlic and chili peppers, due to the known antimicrobial effects of their active components, allicin and capsaicin. Prepared garlic and chili extracts were used during disk diffusion to assess and measure the zones of inhibition. The anticipated results are that there will be inhibition present with both the garlic and …

Implementing A Self-Administered Crafft Screening Tool In A Pediatric Mental Health Setting, Michael Nguyen

Doctoral Dissertations & Projects

Background: Adolescent substance use disorders (SUDs) require early identification in inpatient psychiatric settings, but inconsistent screening workflows limit systematic detection.

Aims: This quality improvement project evaluated implementation of the Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) 2.1 screening tool to improve identification of adolescents at risk for SUDs and support multidisciplinary communication.

Methods: CRAFFT 2.1 screening was embedded into admission workflows for adolescents admitted to two inpatient psychiatric units. Admission nurses distributed self-administered forms during admission. Completed screenings were scored and entered into the electronic medical record. Scores were categorized as low (0), medium (1), or high (≥2). High-risk results …

The Accuracy Of Occlusal Splint Fabricated By The Different Materials With Different 3d Printers., Supisara Thamrongsak

Master's Theses (2009 -)

Aim: The purpose of this study is to evaluate the accuracy of occlusal splints fabricated by the different materials with different 3D printers in four different orientations (0°, 15°, 25°, 40°) using surface matching software. Materials and Methods: Occlusal splints were printed in 4 different orientations including 0°, 15°, 25°, and 40° based on the STL file of the designed occlusal splint with 3 different printers (Carbon® M3Max, SprintRay Pro S, Asiga Pro4K). A total of 120 occlusal splints were printed for the present study, 10 occlusal splints were printed for each group. Then all occlusal splints were scanned using …

Digital Assessment Of Subtractive And Additive Cad/Cam Fabrication Methods On The Fit And Accuracy Of Lithium Disilicate Veneers, Basma Refaat Fayad, Islam Heiba Dr, Sara Fikry Dr, Maha Nagy

Dentistry

Objectives: This study compared subtractive and additive fabrication methods regarding their impact on the marginal/internal fit, trueness, and precision of lithium disilicate ceramic veneers. Methods: Laminate veneer preparations on an acrylic tooth were duplicated into twenty-four additively manufactured resin dies. Veneers were digitally designed and fabricated via milling (subtractive) or 3D-printing (additive) (n=12/group). All veneers were scanned. For trueness, the final design served as the reference; for precision, pairwise comparisons were made within each group. For adaptation, the scanned die was the reference. Post-cementation and thermal cycling (10,000 cycles, 5–55°C), marginal adaptation was measured using a digital microscope (×100). Data …