Digital Commons Network^™

Defining The Value Of Elective Lumbar Fusion: A Systematic Review Of Existing Methodologies And Framework For The Operative Value Index, Advith Sarikonda, Anthony Chen, Theo S. Biddle, Danyal A. Quraishi, Preston Carey, Arbaz A. Momin, Matthews Lan, Dwight Mitchell Self, Ashmal S. Kabani, Ahilan Sivaganesan

Department of Neurosurgery Faculty Papers

BACKGROUND: Despite wide variation in the outcomes and costs of lumbar fusion, few studies have integrated these domains together within a single metric to assess "value" (outcomes achieved per dollar spent). In this review, we sought to 1) characterize existing metrics of cost-effectiveness for lumbar fusion, 2) evaluate all applications of time-driven activity-based costing (TDABC) in spine surgery, and 3) outline the conceptual foundation for a standardized Operative Value Index (OVI).

METHODS: Two PRISMA-concordant systematic reviews were performed on PubMed and Scopus databases. The first review examined all studies which reported a cost-effectiveness metric for lumbar fusion. The second review …

Leapp Phoneme-Grapheme Chart, Chenell Loudermill, Tamar Greenwell

Purdue-LEaPP Instructional Toolkit

The LEaPP Phoneme-Grapheme Chart contains sounds in the English language and the corresponding orthographies to spell each sound ranging from single phonemes and complex vowels to blends and clusters. The Phoneme-Grapheme Chart also contains various spellings for vowel sounds and the approximate number of words in which these spellings occur in stressed syllables. Additional vowel spellings that are used less frequently are also included.

Leapp Vowel Spelling Visual Chart, Chenell Loudermill, Tamar Greenwell

Purdue-LEaPP Instructional Toolkit

The LEaPP Vowel Spelling Visual Chart is a spelling aid that can be used to support learners as they acquire knowledge of basic and advanced vowel spellings. This document contains basic and advanced spellings for vowel sounds in the English language. It also contains a key for educators and a template for learners to tailor to their known spelling patterns.

Leapp Sight Word Protocol, Chenell Loudermill, Tamar Greenwell

Purdue-LEaPP Instructional Toolkit

The Sight Word Protocol provides guidance for explicit teaching of a sight word. It includes a script for the educator that provokes multiple modalities supporting errorless learning. The script provides 15+ trials for learners to spell a target word during the learning process and includes a special template to be used with instruction. This document also includes instructions on how to use the special template, helpful instructional hints, list of materials needed, and optional items to support the learner as they work through the sight word protocol. This protocol should be used after the educator has completed the basic or …

Building Careers In The Age Of Ai, Laura Bulkeley

Paul English Applied Artificial Intelligence (AI) Institute Publications

This presentation explores how career advisors can support students navigating a rapidly changing job market shaped by artificial intelligence. It examines how students can reframe traditional career paths around transferable skills, adaptability, human connection, and continuous learning while considering what employers increasingly value in candidates. The presentation discusses the importance of developing high-agency professionals who can learn new technologies, communicate and collaborate effectively, and apply human reasoning alongside AI. It also provides a practical application of generative AI in the job search process, including customizing resumes, preparing for interviews, and receiving feedback on writing while maintaining ownership of one's experiences, …

Systemic Corticosteroids In The Management Of Sinonasal Disease: An Evidence-Based Expert Review, Andrew Thamboo, Deanna Gigliotti, Eugenio De Corso, Stella Lee, Benjamin S Bleier, Christopher J Chin, Marie-Noelle Corriveau, Valerie Hox, Claire Hopkins, Peter H Hwang, Arif Janjua, Ludger Klimek, Daniel Lee, John Lee, Amber Luong, Geoffrey Mortuaire, Joaquim Mullol, Zara M Patel, John Scott, Doron Sommer, Leigh Sowerby, Marc Tewfik, Beatrice Voizard, Martin Wagenmannm, Sarah K Wise, Jonathan Yip, Quirina Thompson, Martin Desrosiers, Yvonne Chan

The Brown Foundation: Institute of Molecular Medicine

Background: Chronic rhinosinusitis (CRS) is a prevalent, heterogeneous inflammatory disease associated with significant morbidity. Systemic corticosteroids (SCS) are commonly prescribed for their anti-inflammatory effects, but cumulative exposure carries risks, including metabolic, cardiovascular, and skeletal complications. Despite widespread use, evidence-based guidance on optimal indications, timing, and duration of SCS in CRS remains inconsistent.

Methodology/principal: An evidence-based review was performed using MEDLINE, EMBASE, and Cochrane databases (2013-2023). Studies were screened and categorized into two primary groups: CRS with (CRSwNP) or without (CRSsNP) nasal polyps. Within CRSwNP, evidence was subcategorized by indication, including (1) polyp size reduction, (2) olfactory dysfunction, (3) comorbid disease, …

Ai-Powered Personal Branding: A Coaching Toolkit For Career Advisors, Ajanee Igharo

Paul English Applied Artificial Intelligence (AI) Institute Publications

This presentation explores how career advisors can use artificial intelligence to help students develop authentic, evidence-based personal brands. It introduces a coaching approach that helps students identify patterns across their experiences, strengths, interests, and career direction and translate those insights into credible professional narratives. The presentation demonstrates how AI can support this process by organizing information, identifying themes, generating alternative phrasing, and adapting communication for different audiences while emphasizing that students must retain ownership of their experiences, evidence, and authentic voice. Through hands-on activities and an advisor-guided workflow of discovering, drafting, challenging, verifying, and personalizing, participants practice using AI to …

Responsible & Ethical Ai Use: From Principles To Practice, Ila Lama

Paul English Applied Artificial Intelligence (AI) Institute Publications

This presentation explores responsible and ethical artificial intelligence through a practical framework centered on five core principles: fairness, transparency, accountability, privacy, and safety. It examines how ethical challenges surrounding AI are emerging across educational, organizational, creative, and societal contexts, including concerns related to bias, privacy, academic integrity, AI-generated content, and responsible decision-making. The presentation also introduces the Trust Cycle as a practical approach for moving from awareness and reflection to safe experimentation, feedback, and transformation, encouraging participants to critically evaluate AI use while maintaining human judgment, accountability, and trust.

Ai-Powered Personal Branding: How To Use Ai Intentionally To Pursue A Fulfilling Career, Tra Mai (Camellia) Hoang

Paul English Applied Artificial Intelligence (AI) Institute Publications

This presentation explores how students at different stages of their career development can use artificial intelligence intentionally to build a strong personal brand and pursue fulfilling career opportunities. It examines personal branding from beginner through expert levels and demonstrates how AI tools can support career exploration, resume development, job and internship searches, professional networking, interview preparation, and portfolio building. The presentation introduces practical applications of tools such as Google AI Studio, Gemini, and Claude, including an AI-powered resume match builder, interview coach, and portfolio builder. Through tutorials, case studies, and activities, participants learn how AI can complement career advising and …

Understanding Hypertensive Renal Injury: A Well-Structured Approach, Peter A Doris

The Brown Foundation: Institute of Molecular Medicine

No abstract provided.

Lessons Learned From The Validation Of A Machine Learning-Based Colorectal Carcinoma Screening Pipeline In Sub-Saharan Africa, Alfred Githuka, Ulysses Balis, Ye Chan Kim, Eileen Weinheimer-Haus, Christopher Williams, Jerome Cheng, Kelou Yao, John Blau, Shahin Sayed, Mansoor Saleh

Haematology and Oncology, East Africa

Background Artificial intelligence for digital pathology may improve cancer detection and workflow efficiency in low- and middle-income countries, but most models are trained and validated in high-income settings, creating uncertainty about generalizability and real-world deployability under differing pre-analytic and infrastructure conditions.

Objective To validate a locally optimized colorectal carcinoma screening pipeline, retrained on data from a local Kenyan cohort, and to assess its feasibility as a sensitivity-forward assistive pre-screening workflow.

Methods Formalin-fixed, paraffin-embedded hematoxylin and eosin-stained slides from 136 biopsy-proven colonic adenocarcinoma cases and 20 normal controls from 2 Kenyan institutions were digitized at 40× using a Grundium Ocus scanner. …

2026 August, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for August of 2026.

Development Of An Evidence-Based Aromatherapy Policy And Toolkit For An Inpatient Psychiatric Hospital, Mia Nie

Doctor of Nursing Practice Final Project Abstract

Purpose:The purpose of this project was to develop a comprehensive, evidence-based aromatherapy policy and toolkit to guide safe and standardized use of aromatherapy as a complementary intervention in inpatient psychiatric settings.

Background: Sleep disturbances are common among psychiatric inpatients, and non-pharmacologic interventions are increasingly prioritized to support holistic care (Sazawa et al., 2022). Aromatherapy has shown potential benefits; however, the absence of standardized policies creates variability in practice and raises safety concerns, particularly in high-acuity psychiatric environments.

Methodology: This quality improvement project focused on developing an organizational policy. A review of current literature and clinical guidelines informed the foundation …

Alfred Russel Wallace Notes 42: How Accurate Are The Transcriptions Presented At The Alfred Russel Wallace Page Website?, Charles H. Smith

Faculty/Staff Personal Papers

A look is taken at the level of accuracy displayed by the transcriptions of Wallace writings offered at the Alfred Russel Wallace Page website, as determined by a ChatGPT analysis.

University Of Central Florida Undergraduate Catalog, 2025-2026, University Of Central Florida

UCF Catalogs

No abstract provided.

Clinical Machine Learning Model For Predicting Pathological Complete Response In Patients With Esophageal And Gastroesophageal Junction Adenocarcinoma After Trimodality Therapy, Kohei Yamashita, Evan Kwiatkowski, Matheus Sewastjanow-Silva, Jane E Rogers, Katsuhiro Yoshimura, Melissa Pool Pizzi, Qiong Gan, Jenny J Li, Rebecca E Waters, Mariela Blum Murphy, Masaaki Iwatsuki, Wayne L Hofstetter, Aileen Chen, Ying Yuan, Jaffer A Ajani

Faculty, Staff and Student Publications

Background: Accurate prediction of pathological complete response (pCR) after preoperative chemoradiation therapy, followed by surgery (trimodality therapy) in esophageal adenocarcinoma (EAC) and gastroesophageal junction adenocarcinoma (GEJAC) may improve clinical decision-making and patient counseling before esophagectomy. This study aimed to develop predictive models for pCR after trimodality using machine learning (ML) approaches.

Patients and methods: A total of 569 patients with EAC and GEJAC who received trimodality therapy at MD Anderson Cancer Center between 2002 and 2022 were included. Clinicopathological characteristics and survival benefit of patients who achieved a pCR were reviewed via descriptive and survival analyses. Subsequently, ML models based …

Safety And Efficacy Of Tranexamic Acid In Urologic Surgery: Results From The International, Randomized, Placebo-Controlled Poise-3 Trial, Kari A O Tikkinen, Maura Marcucci, Alex L E Halme, Sandra N Ofori, Flavia K Borges, Charlotte T B Kanstrup, Lily J Park, Farhad Tondroanamag, Tuomas P Kilpeläinen, Sara V Tornberg, Thomas W Painter, David Conen, Vladimir Lomivorotov, Daniel I Sessler, Matthew T V Chan, Maria Jose Martinez-Zapata, Chew Y Wang, Denis B Xavier, Michael K Wang, Wojciech Szczeklik, Kate Leslie, Luke T Lavallee, Rodney H Breau, Kumar Balasubramanian, P J Devereaux

Faculty, Staff and Student Publications

Background and objective: Perioperative bleeding is common. Evidence for tranexamic acid (TXA) in urology remains limited and conflicting, and major urologic guidelines provide no recommendations. In an a priori planned analysis, we evaluated TXA among patients undergoing urologic surgery in POISE-3.

Methods: POISE-3 was an international randomized trial of patients undergoing surgery with bleeding and cardiovascular risk factors. Participants received TXA (1 g intravenous bolus at surgery start and end) or placebo. The primary efficacy outcome was a 30-day bleeding composite (life-threatening/major/critical organ), and the primary safety outcome was a 30-day thrombosis composite (myocardial injury after noncardiac surgery [MINS], nonhemorrhagic …

Computable Phenotypes For Research Using Real-World Data: Experiences From The Nih Pragmatic Trials Collaboratory, Marisa L Conte, Judith M Schlaeger, Guilherme Del Fiol, James R Campbell, Andrea L Cheville, Keith Marsolo, Kari A Stephens, Miriam O Ezenwa, Andrew D Boyd, Juanita E Darby, Nadine S Matthie, P Michael Ho, Alice Pressman, Morgan Justice, Carol Reynolds Geary, Keturah R Faurot, Alex Fist, Karen Staman, Hulin Wu, Rachel L Richesson

Faculty, Staff and Student Publications

Objectives: Embedded pragmatic clinical trials (ePCTs) are conducted as part of routine clinical care and therefore use data collected from real-world data sources, such as electronic health record systems and administrative claims. A common approach for using these types of data across all phases of trial conduct is to create a computable phenotype (an explicitly defined data query data, including specified data types, data codes, and logical parameters) to capture patients with a clinical condition, exposure, symptom, characteristic, treatment, or outcome of interest.

Materials and methods: The Electronic Health Record (EHR) Core Working Group of the NIH Pragmatic Trials Collaboratory …

Indigenous Community Research Opportunities, Sharon Hausam, Aaron M. Canter

Faculty Publications

This is a working paper produced as part of National Science Foundation project #2115169, “Transforming Rural-Urban Systems: Trajectories for Sustainability in the Intermountain West,” known as the “Intermountain West Transformation Network” (TN), led by the University of New Mexico with institutional partners at three additional universities in New Mexico, two in Arizona, and one each in Utah, Colorado, and Washington. The TN’s Indigenous and Tribal engagement was supported through a contract with Dr. Sharon Hausam, additional work by Aaron M. Canter, coordination with Dr. Lani Tsinnajinnie, and an Advisory Committee on Indigenous Information Needs primarily comprised of Indigenous representatives in …

Opportunities For Leadership In Indigenous And Tribally Engaged Research At The University Of New Mexico, Sharon Hausam

Faculty Publications

This is a working paper produced as part of National Science Foundation project #2115169, “Transforming Rural-Urban Systems: Trajectories for Sustainability in the Intermountain West,” known as the “Intermountain West Transformation Network” (TN), led by the University of New Mexico with institutional partners at three additional universities in New Mexico, two in Arizona, and one each in Utah, Colorado, and Washington. The TN’s Indigenous and Tribal engagement was supported through a contract with Dr. Sharon Hausam, additional work by Aaron M. Canter, coordination with Dr. Lani Tsinnajinnie, and an Advisory Committee on Indigenous Information Needs primarily comprised of Indigenous representatives in …

Fuimos Olvidados Y Descuidados [Forgotten And Neglected]: Lessons Learned And Findings From On-Farm Covid-19 Education And Vaccine Clinics For Agricultural Workers And Their Multigenerational Families In Texas, Anabel Rodriguez, David I Douphrate, Ana L Pineda Reyes, Susana Zavala, Lus Chavez, Sofia Nicole Lopez, Andrea V Cabrera Cruz, Annie J Keeney, Nora Hernandez, Brenda Berumen-Flucker, Eva M Shipp, Matthew W Nonnenmann, Shannon P Guillot-Wright, Bethany Boggess Alcauter, G Lopez Ixta, Paula M Cuccaro, Higinio Fernandez-Sanchez, David Gimeno Ruiz De Porras

Faculty, Staff and Student Publications

Background: Despite being deemed essential non-healthcare workers, agricultural workers were excluded from COVID-19 vaccine prioritization in Texas. This professional practice report describes the multifaceted worker health and safety approaches to protecting agricultural workers and their families during the COVID-19 pandemic.

Methods: Between March 2020 and January 2025, several outreach, education, and training grants from various funding agencies were leveraged to deliver training, personal protective equipment, vaccines, and economic relief to agricultural workers in partnership with community-based organizations, industry, local public health departments, and academic institutions.

Findings: Timely funding efforts led to the distribution of 1,000 PPE kits, with more than …

Market Rate Survey & Narrow Cost Analysis: 2026 Data Collection Incentive Plan, Nh Department Of Health And Human Services

New Hampshire Early Care and Education Research Consortium

No abstract provided.

The Association Between Apoe Genotype, Race, And Dementia: An Analysis Of 7 Population-Based Cohort Studies, Natalia Lakomski, Katherine Giorgio, John Stephen, Maxwell Mansolf, Aïcha Soumaré, Alden L Gross, Allison E Aiello, Archana Singh-Manoux, M Arfan Ikram, Catherine Helmer, Claudia L Satizabal, Deborah A Levine, Donald M Lloyd-Jones, Emily M Briceño, Farzaneh A Sorond, Frank J Wolters, Jayandra J Himali, Lenore J Launer, Djass Mbangdadji, David Li, Lihui Zhao, Oscar L Lopez, Stéphanie Debette, Sudha Seshadri, Suzanne E Judd, Timothy M Hughes, Vilmundur Guðnason, Michael Griswold, Paul S De Vries, Alison Fohner, Pamela L Lutsey, Rachel Zmora, Elizabeth A Peterson, Denise Scholtens, Norrina B Allen, Sanaz Sedaghat

Faculty, Staff and Student Publications

Background and objectives: The apolipoprotein E (APOE) haplotypes are known to be associated with dementia, with the ε4 haplotype associated with higher risk. It has been suggested that the APOE ε2 allele serves as a protective factor for dementia. However, data on the effects of the homozygous APOE ε2/ε2 genotype are limited, likely due to the rarity of the APOE ε2/ε2 genotype. Furthermore, the association between APOE genotypes and dementia may differ across self-reported race. We aim to investigate the association between APOE genotypes and dementia overall and across self-reported race, with a focus on the potential protective …

"I Can See Where This Is Taking Me": Medical Students' Perceptions Of Humanities Courses At Aga Khan University, Kenya, Catherine Gathu, Marthaclaire Zammit, Urvi Saboo, Robert Opoka

Family Medicine, East Africa

Background Humanities courses in medical training are increasingly recognized as essential for developing empathetic, reflective and socially responsive physicians. Although well-established globally, their integration into medical education in African contexts remains limited. In Kenya, humanities are often peripheral within curricula dominated by biomedical sciences and clinical medicine. Aga Khan University (AKU), Nairobi, has introduced a novel medical curriculum that embeds seven core humanities courses as central components of the initial phase of its MBChB program. This study explored students’ perceptions and lived experiences of these humanities courses.

Methods A retrospective descriptive study using an embedded mixed-methods design was conducted among …

Greenhouse Gas Flux Response In Biochar- And Compost-Amended Lawn Soils Under Simulated Water Saturation Conditions, Angel Salinas, Chu-Lin Cheng, Engil Pereira, Rafael M. Almeida, James Jihoon Kang

School of Earth, Environmental, & Marine Sciences Faculty Publications

Understanding greenhouse gas emission dynamics in lawn soils is important for improving climate change mitigation strategies in urban and suburban landscapes. In this greenhouse mesocosm study, carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O) fluxes were measured from 12 turfgrass soil columns arranged in an unreplicated, completely randomized 4 × 3 factorial design. Four amendment treatments (biochar, compost, bio-com [1:1 volume ratio of biochar and compost], and unamended control) were combined with three water-table conditions (full saturation, half saturation, and unsaturated), with a single column representing each treatment combination. Columns were irrigated at 1 cm day−1 for 24 days, …

Spatial Structure And Energy Content Of Wakes Behind Single And Arrayed Undulated Cylinders, Taiga Naomi Drucker-Boisvert, OndˇRej FerˇCák, Jérémie Auzoux, Sarah E. Smith, Zein Sadek, Rowan Moore, Christain T. Murphy, Trevor Dunt, Jennifer A. Franck, Raul Bayoan Cal

Mechanical and Materials Engineering Faculty Publications and Presentations

Biologically inspired undulated cylinder geometries significantly influence wake structure and vortex-induced vibrations in turbulent flows, yet the underlying mechanisms are not fully understood. It is further unknown how these influences extend to multi-cylinder arrays, where interacting wakes accumulate and mix. This study examines the wake characteristics of an undulated cylinder and a smooth elliptic cylinder in single- and multi-cylinder array configurations, using particle image velocimetry and proper orthogonal decomposition (POD). Relative to the smooth elliptic cylinder, the undulated geometry induces pronounced spanwise-axial variability, characterized by enhanced near-wake mean momentum and weak far-wake signatures, consistent with reduced turbulent kinetic energy. While …

Clark Tailings Consolidated Waste Management Area Site Investigation Quality Assurance Project Plan (Qapp), Woodard & Curran

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

The Third Zone Of Incomplete Rights: Spatial Compartmentalization, Expendability, And The Making Of Death Worlds In Adichie's Dream Count, Ebelenna F. Nwaobi

Research Papers

Contemporary socio-political discourses on global migration often risk misrepresenting migrant experiences by framing them mainly through the language of humanitarianism, inclusion, and identity. While these frameworks foreground protection and belonging, they may inadvertently obscure the institutional and political structures that regulate, differentiate, and expose migrants to uneven forms of precarity. In this paper, therefore, I examine Chimamanda Ngozi Adichie's Dream Count to explore the migrant condition as one shaped by migrants’ everyday encounters with space, law, labor, and political belonging. By so doing, I argue that the novel reveals migrant vulnerability not just as the consequence of singular acts of …

Margaret H. Vath, Margaret H. Vath

Faculty CVs

No abstract provided.

Asm And A Culture Of Sharing, Caring, And Fun In Education, David J. Westenberg

Biological Sciences Faculty Research & Creative Works

One doesn't always equate a professional scientific society with sharing, caring, and fun, but in this age of public distrust, public engagement with science and active student learning are ways to regain trust. ASM holds a leadership position in promoting and recognizing the value of education in the future of our profession and is there to support your educational journey. From K12 outreach and public engagement, to professional development, to presenting and publishing scholarship of teaching and learning, ASM has been at the forefront of biology education. Under the leadership of visionary directors such as Amy Chang and now Irene …