Digital Commons Network^™

Patterns Of Self-Harm Presentations At A Tertiary Urban Hospital In Kenya: A Retrospective 5-Year Study (2018–2022), Willie Njoroge, Catherine Gitau, Everline Onchari, Linnet Ongeri, Linda Khakali, Murad Khan, Zul Merali, Lukoye Atwoli, Jasmit Shah

Brain and Mind Institute

Introduction Self-harm represents a complex and multifaceted public health issue of global significance, exerting profound effects on individuals and communities alike. It involves intentional self-poisoning or self-injury with or without the motivation to die. Although self-harm is highly prevalent, limited research has focused on the patterns and trends of self-harm among hospital populations in low- and middle-income countries, particularly within Africa. This study aims to explore the socio-demographic and clinical profile of patients presenting with self-harm and determine the common self-harm patterns at a tertiary facility in Kenya.

Methodology We carried out a descriptive retrospective study and included patients from …

The Female Brain Health And Endocrine Research In Africa Study (Fember-Africa): Identifying Endocrinological, Lifestyle, Psychosocial And Socio-Cultural Targets For Alzheimer’S Disease Prevention In Women Of African Ancestry, Chinedu Momoh, Rachel Maina, Edna Bosire, Linda Khakali, Sarah Gregory, Karen Blackmon, Thomas Thesen, Samuel Gitau, Anne Njogu, Cynthia Smith, Sylvia Mbugua, Sheila Waa, Jasmit Shah, Kendi Muchungi, Zul Merali

Brain and Mind Institute

Background The Global Dementia Action Plan 2017-2025 specifies key targets, with an emphasis on building research infrastructure and capability across the Global South. However, to date, only 0.1% of total research in Africa constitutes dementia research, the lowest volume of all LMIC regions. Several biomarker and risk models of the preclinical and prodromal stages of Alzheimer’s disease (AD) are proposed as optimal junctures for disease prevention, yet they ignore the influence of biological sex/gender on cognitive and disease processes, despite female sex/gender constituting a major AD modifier. Similarly, the application of these models in ethno-racial and culturally diverse cohorts is …

Energy, Exergy, Economic, And Environmental Analyses (4e) Of Geothermal Power Plant With Double Flash System For Power And Heat Production, Mamdouh El Haj Assad, Yashar Aryanfar, Imen Ben Salem, Shek Atiqure Rahman, Laveet Kumar, Ahmad K. Sleiti, Mohammad Alhuyi Nazri

All Works

Geothermal energy is a reliable and sustainable renewable energy source due to its continuous availability and eliminating the need for energy storage systems. Among various types of geothermal power plants, double flash (DF) geothermal plants are among the most widely utilized. This paper presents a comprehensive thermodynamic analysis of a DF geothermal power plant, integrating energy, exergy, economic, and exergoenvironmental (4E) evaluations. The study examines the influence of key parameters, including the high-pressure separator and geothermal production well temperature, on the system performance. The results indicate that the expansion valve of the high pressure separator exhibits the highest exergy destruction …

Effect Of Forage Allocation On Steer Performance When Grazing Cereal Rye, Shelby L. Davies-Jenkins, Abigail M. Sartin, Daren D. Redfearn, Mary E. Drewnoski

Nebraska Beef Cattle Reports

Summary with Implications

Cereal rye is the most common cover crop planted today. With its good winter tolerance and rapid spring growth during a gap in perennial pasture productivity, it is an attractive forage source in early spring. Unfortunately, optimum stocking rates and how they are related to forage biomass availability are unknown. The study objective was to understand the effect of forage allowance on steer performance when rotationally grazing fall-planted cereal rye in spring. Stocking rate was negatively correlated with pounds of forage offered. Surprisingly, amount of forage offered related to average daily gain. Growing steers grazing cereal rye …

Strategies Affecting Performance And Profitability Of May-Born Steers, Dempster M. Christenson, Jacki A. Musgrave, Richard N. Funston

Nebraska Beef Cattle Reports

Summary with Implications

This study compared the performance and economic outcomes of differing backgrounding and feedlot systems in May-born yearling steers. We hypothesized reduced supplementation with adequate forage availability while backgrounding weaned steers will yield a similar carcass with greater profitability. It was hypothesized yearling steers backgrounded on pasture before finishing in feedlot would have a more valuable carcass that is more profitable than steers that enter the feedlot immediately. Weaned steer calves were backgrounded with ad libitum hay and 4 lb/d supplement in drylot or on pasture with 1 lb/d supplement. As yearlings, half of each backgrounding group immediately …

Impact Of Feeding Distillers Grains Compared To New Fractionated Distillers Grains (Solbran) On Feedlot Cattle Performance And Enteric Methane, Debora G. Sousa, Rebecca L. Mcdermott, Mitchell M. Norman, James C. Macdonald, Rick Stock, Ryan A. Mass, Galen E. Erickson

Nebraska Beef Cattle Reports

Summary with Implications

This study evaluated feeding wet or dry traditional distillers grains with wet and dry fractionated distillers (Solbran) fed at 40% of diet DM compared to a corn control diet on enteric methane emissions and performance. Compared to the control, there was no difference in carbon dioxide production, but there was an increase in methane production in the steers fed fractionated distillers compared to conventional distillers. Feeding steers traditional or fractionated distillers grains increased consumption, increased gain, but improved conversions only for steers fed WDGS, while steers fed the other distillers grains had worse or the same feed …

Development And Pilot-Testing Of Remote Counseling Treatment Manual And Protocol For 15-Year-Old And Above Osaec Survivors, Maria Caridad Tarroja, Ma. Araceli Balajadia-Alcala, Patricia D. Simon, Agnes B. Villegas

SDRC Projects

This mixed-method action research developed and pilot-tested a brief, evidence-based remote counseling program for victim-survivors of online sexual abuse or exploitation of children (OSAEC) aged 15 years and older. Building on evidence and stakeholder consultations from Phase 1, the research team developed a treatment manual and remote counseling protocol guided by the Multimodal Social Ecological Framework. The program followed trauma-informed, culturally and developmentally appropriate, and empowerment-focused principles. Three experts with extensive experience in counseling children reviewed the manual before its pilot implementation.

The program comprised eight counseling sessions organized into three modules. Nine registered psychologists trained in the use of …

In Re N.D., 312 A.3d 438 (R.I. 2024), Alexandria Snyders Dykeman

Roger Williams University Law Review

No abstract provided.

For The Reasons Elucidated Above: Lessons From Judge Selya On Law, Writing, And Life, Stefanie D. Fischer, Colten H. Erickson

Roger Williams University Law Review

No abstract provided.

Banding Together To Block The Ban: Rhode Island's Need To Protect The Freedom To Read In Its Libraries, Rachel Lesinski

Roger Williams University Law Review

No abstract provided.

State V. Ortiz, 317 A.3d 737 (R.I. 2024), Samantha Barnes

Roger Williams University Law Review

No abstract provided.

Practicing Justice: A Critical Self- Reflection On The Role Of Trauma In Legal Practice, Sarah Katz

Roger Williams University Law Review

No abstract provided.

Rhode Island Troopers Ass’N V. Division Of The State Police, 316 A.3d 1140 (R.I. 2024), Alexis N. Reed

Roger Williams University Law Review

No abstract provided.

Knudsen V. Dejean, 311 A.3d 102 (R.I. 2024), Ma Camille Briones

Roger Williams University Law Review

No abstract provided.

In Re N.B., 312 A.3d 428 (R.I. 2024), Olivia F. Johnson

Roger Williams University Law Review

No abstract provided.

The Wellness Connection January 2025, Roger Williams University School Law Office Of Student Life

Life of the Law School (1993- )

No abstract provided.

What Is A School Shooting? An Analysis Of School Shooting Incidents From 1994 To 2025, Nevaeh Emerich

McNair Scholars Collection

School shootings are a hot topic in the media and an important discussion among citizens of the United States. Despite this, the government does not collect data on school shootings and has left it to lay people, reporters, and researchers to create their own data sources largely culled from media reports. In the present study, I compare two popular datasets, the K-12 School Shooting Database collected by Riedman (2025) and school shootings data collected by reporters at the Washington Post (2025), that claim vastly different numbers of school shooting incidents over time. I examine incidents since the Columbine shootings in …

Motherhood, Spiritualism, And Power: Unveiling Patriarchal Domination Of Women And The Natural World, Abigail Schmidt

McNair Scholars Collection

No abstract provided.

Spatial Analysis Of Heavy Metal Enrichment In A Historic Appalachian Mining Stream, Eric M. Torres

Research and Creativity Symposium

This study examined the spatial distribution of heavy metals along the Levisa Fork and primary tributaries in Buchanan County, VA and Pike County, KY. Buchanan and Pike Counties have a long history of coal mining, a process known to release heavy metals into surrounding waterways. Exposure to certain heavy metals, such as arsenic and lead, has been known to cause health problems, such as cancer and organ damage. The study looked at concentrations in riverine sediments, surface water and groundwater for As, Al, Cr, Cu, Fe, Li, Mg, Mn, Ni, Pb and Zn. Sediment samples were collected, dried and digested …

Detecting Sars-Cov-2 In Ct Scans Using Vision Transformer And Graph Neural Network, Kamorudeen Amuda, Almustapha Wakili, Tomilade Amoo, Lukman Agbetu, Qianlong Wang, Jinjuan Feng

Electrical & Computer Engineering Faculty Publications

The COVID-19 pandemic has presented significant challenges to global healthcare, bringing out the urgent need for reliable diagnostic tools. Computed Tomography (CT) scans have proven instrumental in detecting COVID-19-induced lung abnormalities. This study introduces Convolutional Neural Network, Graph Neural Network, and Vision Transformer (ViTGNN), an advanced hybrid model designed to enhance SARS-CoV-2 detection by combining Graph Neural Networks (GNNs) for feature extraction with Vision Transformers (ViTs) for classification. Using the strength of CNN and GNN to capture complex relational structures and the ViT capacity to classify global contexts, ViTGNN achieves a comprehensive representation of CT scan data. The model was …

Problem-Based Learning And Artificial Intelligence, Varna Taranikanti, Srineil Vuthaluru

Books and Book Chapters

In the current digital era, significant advancements in Artificial Intelligence (AI) have influenced various fields worldwide, particularly within the health professional education sector. This progress has also percolated into the medical education system, where Problem-Based Learning (PBL) is routinely used as a key pedagogical strategy. In PBL, students are able to fully exert their exploratory skills by solve problems through a student-centered learning approach. PBL also fosters critical thinking and encourages self-directed learning through the inquiry of clinical case scenarios. This chapter investigates the integration of AI, specifically tools like ChatGPT, into PBL frameworks to enhance learning outcomes for medical …

How To Approach Medical Education Research, Stefanie Attardi, Jeff Cross, Sarah Lerchenfeldt

Books and Book Chapters

Medical education research blends two of the core functions of academic medicine: teaching and scholarship. Its value is increasingly recognized in promotion and tenure decisions, and in the number of funding sources available. Similar to other types of research, it starts with a well-crafted question and a thorough review of the literature. For a successful project, it is critical to select the research design that can best answer the research question, keeping in mind its advantages and limitations. Because the research design must also adhere to ethical principles, working closely with the local Institutional Review Board prior to starting the …

A Spine-Specific Lexicon For The Sentiment Analysis Of Interviews With Adult Spinal Deformity Patients Correlate With Sf-36, Sf-36, And Odi Scores: A Pilot Study Of 25 Patients, Ross Gore, Michael M. Safaee, Christopher J. Lynch, Christopher P. Ames

VMASC Publications

Classic health-related quality of life (HRQOL) metrics are cumbersome, time-intensive, and subject to biases based on the patient’s native language, educational level, and cultural values. Natural language processing (NLP) converts text into quantitative metrics. Sentiment analysis enables subject matter experts to construct domain-specific lexicons that assign a value of either negative (−1) or positive (1) to certain words. The growth of telehealth provides opportunities to apply sentiment analysis to transcripts of adult spinal deformity patients’ visits to derive a novel and less biased HRQOL metric. In this study, we demonstrate the feasibility of constructing a spine-specific lexicon for sentiment analysis …

Assessing Local Public Officials' Roles, Challenges, And Opportunities Encountered When Integrating Newcomers: A Case Study To Evaluate The Cities Of Rochester And Worthington., John Dassou

School of Business Student Theses and Dissertations

Immigrants’ integration plays an important part in policy concerns and goals in many local governments since it is a major issue for local officials to integrate immigrants and incorporate them into the host community successfully. Concurrently, it is important to know the roles of local public officials, host communities, and immigrants in the process. The purpose of this study is to assess the challenges that local officials face, and how they handle these encounters effectively and efficiently. Greater collaboration between all stakeholders, social cohesion, and collective efforts implies the idea that immigrants’ integration depends on many players and factors. It …

The Rise And Fall Of Religion: An Agent-Based Model Of Secularisation, Security And Prosociality, Ivan Puga-Gonzalez, F. Leron Shults, Ross Gore, Konrad Talmont-Kaminski

Center for Secure and Intelligent Critical Systems (CSICS) Publications

The relationship between religion, society, and individual behaviour has been a subject of extensive inquiry, drawing upon a rich collection of historical and contemporary perspectives. The scientific study of religion at the social level has often found its roots in the foundational work of Durkheim (Durkheim, 1912), who posited that religion serves as a catalyst for social order and the promotion of prosocial behaviour. At the same time, Malinowski’s observations regarding the connection between ritual and anxiety have led to a number of lines of inquiry that have come to extend to other aspects of religion. Yet, taken together, these …

Community College Leadership At The Intersection Of Strategic Planning And Resource Management, Roxy Traxler

School of Business Student Theses and Dissertations

This study seeks to determine the competencies that college leaders need to possess in the intersection of finance and strategic planning. For this purpose, I am using resource management as a construct to define the competencies. This is important because one area rarely mentioned in the research is how the budgeting process, policies and practices that guide financial decisions are used to support student success and the strategic plan. There is literature related to the need for financial or fiscal leadership skills but not about what those skills are and how they are used to accomplish strategic goals to improve …

Leadership In Behavioral Health, Rebecca Mccoy

School of Business Student Theses and Dissertations

Abstract

Leadership in healthcare is difficult when dealing with human contact in its most raw and vulnerable way. Leadership in behavioral health is just as challenging as direct practice practitioners tend to be the ones who move up into these roles. This study will exam “Identifying factors that promote successful leadership and challenges that cause barriers to having successful leadership in behavioral health.” This includes soft and hard skill knowledge, growth opportunities and the strengths and struggles in moving into leadership roles in this industry.

The study is based on phenomenological research to gain an understanding of the individual experience …

Examining Disparities In Pre-Conviction Detention: A Race And Gender Analysis Of Criminal Charging And Detention Practices In Ramsey Countyention Practices In Ramsey County, Gabriel P. Exman

School of Business Student Theses and Dissertations

Race and gender disparities in the U.S. criminal justice system are well documented, primarily in sources of national post-conviction data. However, localized and pre-conviction studies remain limited. This study examined race and gender disparities in pre-conviction detention outcomes and charge severity in Ramsey County, Minnesota, between 2017 and 2019. Using a descriptive, exploratory quantitative design and a retrospective single-cohort analysis, the researcher analyzed trends in arrests, charge severity, and pre-conviction incarceration duration across race and gender groups. Findings indicate disparities in both charge rates and pre-conviction detention durations, with Black men and Native American women experiencing longer periods of incarceration. …

Minnesota's Path To Prosperity: A Single Case Study Examining The Evolution Of Children's Programs And The Birth Of The Department Of Children, Youth And Families (Dcyf) - Implications For The Well-Being Of Minnesota Families, Shaneen D. Moore

School of Business Student Theses and Dissertations

This case study research inquiry delves into the possibilities of restructuring children's programs, with a specific focus on the establishment of the Department of Children, Youth, and Families (DCYF) in Minnesota. The goal is to address and rectify ongoing challenges in the current system by employing a human-centered design approach. These challenges encompass program silos, restricted access to essential resources, and the pervasive scarcity mindset that detrimentally affects the well-being of Minnesota families. The study endeavors to investigate how the restructuring, realignment, and innovation of children's services can result in an adaptive, transformative, and people-centric system capable of providing holistic …

Front Matter

SMU Science and Technology Law Review

No abstract provided.