Digital Commons Network^™

Comparative Impact Of Canagliflozin Versus Pioglitazone On Biomarkers Of Diabetic Kidney Disease In Db/Db Mice, Siri Chandana Minikuri

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Diabetes mellitus is a leading cause of chronic kidney disease (CKD), primarily through dysregulation of the renin-angiotensin system (RAS), characterized by elevated Ang II which promotes vasoconstriction, oxidative stress, and renal fibrosis, along with increased urinary shedding of angiotensin converting enzyme 2 (ACE2), which can exacerbate the imbalance of RAS and tubular injury. Previous studies demonstrated that rosiglitazone, a PPAR-γ agonist, attenuated hyperglycemia, glycosuria, albuminuria, and decreased urinary ACE2 shedding in db/db mice, suggesting a RAS-mediated renoprotective mechanism. Building on this evidence, the current study compared the renal effects of pioglitazone (a PPAR-γ agonist) and canagliflozin (an SGLT2 inhibitor) in …

Towards A Comprehensive Model Of Compassion Fatigue In The Animal Welfare Community, Elizabeth Ellis

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The COVID-19 pandemic highlighted the stress endured by those in caring professions and emphasized the impact that compassion fatigue and burnout have on helping professionals’ well-being and retention (J. Huang et al., 2024; Volk et al., 2022). However, researchers often have failed to adequately distinguish between compassion fatigue and burnout (e.g. Boyle, 2011). Additionally, researchers have overlooked the animal welfare community (e.g., Figley & Roop, 2006) in favor of focusing on human healthcare workers. Thus, the purposes of my study were to 1) examine whether emotional exhaustion and compassion fatigue were related but distinct phenomena and 2) propose and examine …

The Role Of Base Excision Repair In Dna Damage Responses In Human Keratinocytes Exposed To Solar Simulating Uv Radiation, Mobolaji Eniola Alabi

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Ultraviolet (UV) radiation from the sun is the most prominent source of exogenous UV damage to DNA. UV directly causes damage by forming UV photoproducts, including pyrimidine-pyrimidone (6-4) photoproducts ((6-4) PPs), which significantly distort the helical structure of DNA and interfere with transcription and replication processes. The only known repair process of these photoproducts in human cells is nucleotide excision repair (NER). However, a recent study reported an APE1-dependent base excision repair (BER) of a subset of UV photoproducts. The study showed that deletion or inhibition of APE1, PARP1, NTH1, XRCC1, and FEN1 led to a 2-fold increase in sensitivity …

Weaponizing Sexual Violence: Variations Between Conflict Related Sexual Violence And Genocidal Rape, Paige Liptak

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This thesis examines the differences between conflict related sexual violence and genocidal rape to advocate for future separate analysis of the two distinctly different forms of sexual violence. By examining 15 genocides from the end of WWII to the end of 2023 this study draws upon prior research from genocide studies, ethnic studies, political science, and feminist scholarship to observe trends that are present in the two forms of sexual violence. The findings indicate that there are distinctly different socio-economic and military conditions that are associated with the two types of sexual violence and therefore genocidal rape should considered separate …

Characterization Of Atr Kinase Function In Quiescent Keratinocytes Exposed To Solar Simulating Uv Radiation, Mohamed Sameer Cholakkathody

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This study examines the role of Ataxia Telangiectasia and Rad3-related kinase in quiescent human keratinocytes exposed to solar-simulated UV radiation (SSL). The ATR inhibitor VE-822 did not significantly affect cell viability in the absence of UV exposure, showing that ATR kinase activity is not essential for quiescent cell survival in the absence of additional genotoxic stress. After SSL exposure, ATR inhibition did not impact acute cell viability but reduced the cells’ long-term ability to proliferate. Western blot analysis demonstrated that VE-822 potently suppressed phosphorylation of ATR target proteins KAP1 and CHK2 in a dose-dependent manner after SSL exposure, confirming strong …

Impacts Of Salinity And Drought On Growth And Carbon Sequestration In Acorus Americanus And Carex Scoparia, Eleora L. Mantle

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From the late 18th century until the 1980s, Ohio lost close to 90% of its wetlands. Despite increased efforts to maintain what is left, many freshwater marshes are still being degraded due to pollutants, such as road salt, and the impacts of climate change. This study sought to understand how both road salt and drought could impact the health and carbon sequestration of two wetland species, Acorus americana and Carex scoparia, to better understand tolerance. To do this, both species were separated into groups and subjected to varying salt concentrations and drought conditions. After 9 weeks of treatment, plants were …

Patient Subset Classification Using Encoded Embeddings And Knowledge Graph Retrieval-Augmented Generation, Benjamin A. Holmes

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The widespread adoption of electronic medical records has created a vast reservoir of clinical data that can be leveraged to better understand how interventions relate to patient outcomes. Much of this information, however, exists as unstructured free-text, posing significant challenges for traditional statistical and machine-learning methods. Solving these challenges would allow the extraction of specific patient subpopulations (clinically relevant cohorts of individuals who share overlapping symptoms, risk factors, or diagnostic criteria), which could be used in precision medicine. Despite this promise, extracting these subpopulations from unstructured medical notes is an ongoing challenge due to the variability of clinical language and …

Distinct Forms Of Myotonia In Pharmacologic And Genetic Mouse Models At Room And Body Temperature, Rola Benammar

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Myotonia congenita (MC) is a genetic disorder caused by loss-of-function mutations in the ClC-1 chloride channel, leading to muscle hyperexcitability and symptoms of transient stiffness and weakness. Work in hyperkalemic periodic paralysis (HKPP), a disorder with overlapping clinical features, has shown that myotonia can arise from two distinct mechanisms: a sustained form and a transient post-stimulus form, which have opposite temperature dependence. In HKPP, sustained myotonia worsens at elevated temperatures, whereas transient myotonia is exacerbated by cooling. This study tested whether these two mechanisms also contribute to myotonia in MC. Ex vivo force recordings were performed in extensor digitorum longus …

Determining The Genetic Population Structure Of The Endangered Scirpus Ancistrochaetus Using Genomic Sequences, Kayci Johnson

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Wetlands are biodiverse ecosystems across the world, and they are being lost at alarming rates due to fragmentation and anthropogenic stressors. Many wetland plants are endangered or threatened due to wetland decreasing numbers. Scirpus ancistrochaetus is an endangered wetland species in the northeastern United States. It is most commonly found in lowlands and forested ecosystems. In this study, I used 105 polymorphic loci obtained from double-digest restriction site associated DNA sequencing (ddRAD-seq), a conservation genetics tool, to determine conservation units, gene flow, kinship, and isolation-by-distance patterns. Discrete populations were identified in New England and the southern part of the species’ …

Screening Of Suppressor Mutants That Confer The Suc22 S239f Mutant Cells Resistance To Hydroxyurea, An Inhibitor Of Ribonucleotide Reductase, Sairam Pasam

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Ribonucleotide reductase (RNR) is a key enzyme for the biosynthesis of dNTPs for DNA replication and repair. It is composed of a large subunit, Cdc22, and a small subunit, Suc22, in the fission yeast S. pombe. We have recently reported a suc22-S239F mutation in the small subunit of RNR, causing replication stress and hypersensitivity to hydroxyurea (HU), an inhibitor of RNR. Interestingly, this mutation does not sensitize the cell to acute treatment with HU, which mainly generates replication stress, suggesting that the mechanism of HU sensitivity in the suc22-S239F mutant remains to be fully understood. To better understand the cell-killing …

Benthic Algal Biomass And Productivity Across Depth Gradients In Lakes Michigan And Erie, Ahmed Ogidan

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Benthic primary production is poorly quantified in the Laurentian Great Lakes relative to phytoplankton-based production. We measured benthic chlorophyll and benthic primary productivity on soft sediments and Dreissena shells along depth gradients in Lakes Erie (2024) and Michigan (2025) during EPA Cooperative Science and Monitoring Initiative cruises. We measured benthic chlorophyll fluorometrically and estimated benthic primary productivity using non-invasive oxygen exchange incubations. We used PAM fluorometry to characterize photosynthetic-irradiance relationships on mussel shells and sediments in Lake Michigan. In Lake Erie, sediment chlorophyll ranged from 20 to 150 mg m⁻², with highest values in the central basin. In Lake Michigan, …

Characterization Of An Unknown Mutant C3 With A High Level Of Endogenous Replication Stress In Fission Yeast, Neha Singh

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To maintain genome stability, which is essential for cell proliferation and survival, cells rely on cell cycle checkpoint pathways to deal with perturbed DNA replication or replication stress. The fission yeast Schizosaccharomyces pombe serves as a powerful model organism for studying checkpoint mechanisms because its fundamental cellular processes are highly conserved in higher eukaryotes. During a genetic screening for mutants affecting genome integrity, we identified a novel mutant called C3 that exhibits a unique phenotype. Unlike wild-type cells, where phosphorylation of the checkpoint mediator Mrc1 is typically observed only in response to exogenously induced replication stress, such as the treatment …

Induced Reduction Of N-Glycosylation Leads To Heart Failure, Anthony M. Young

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Cardiovascular disease is the leading cause of death and contributes to the increasing global prevalence of heart failure (HF). N-glycosylation is a common co-/post-translational modification where branching oligosaccharides are bound to the extracellular domain of membrane proteins. This creates a diverse range of glycan structures and requires the coordination of hundreds of regulated genes. Inherited mutations in glycan synthesis frequently present with cardiomyopathies leading to HF with reduced ejection fraction (HFrEF). Additionally, gene expression studies of HFrEF patients have shown altered expression of glycosylation-related genes, including alpha-1,3-mannosyl-glycoproten 2-beta-N acetlyglucosaminyltransferase (Mgat1). This gene encodes N-acetylglucosaminyl transferase 1 (GlcNAcT1) which is required …

A Secure Ml-Assisted Framework For Resilient And Efficient Prediction Of Physiotherapy Sequence In Bilateral Carpal Tunnel Syndrome, Pratik Pandurang Kharat

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Bilateral idiopathic carpal tunnel syndrome (CTS) is a neuromuscular disorder characterized by compression of the median nerve at both wrists, leading to symptoms such as pain, numbness, tingling, and muscle weakness. Unlike unilateral cases, bilateral idiopathic CTS presents distinct therapeutic challenges due to the simultaneous involvement of both hands and the lack of an identifiable underlying cause. This study explores the application of machine learning techniques to predict the optimal sequence of physiotherapeutic interventions Stretching followed by Myofascial Mobilization (S/M) or the reverse (M/S) in female patients with bilateral idiopathic CTS and right hand dominance. Data were drawn from a …

The Impact Of Ahr And Hs1.2 Enhancer Genetic Variations On Igh Expression And Antibody Production In Human B Cells, Mili Santosh Bhakta-Yadav

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Antibody production is an essential component of the immune response against pathogens. The immunoglobulin heavy chain (IgH) gene codes for the heavy chain of antibodies. The IgH constant regions Cμ, Cδ, Cγ1-4, Cα1-2, and Cε encode the five major classes of antibodies, i.e., IgM, IgD, IgG1-4, IgA1-2, and IgE, respectively. The transcription of the IgH gene and class switch from IgM to other isotypes is regulated by two 3’ IgH regulatory regions (3’IgHRRs), each of which is a cluster of three enhancer regions (hs3, hs1.2 and hs4). The genetic variations in the hs1.2 enhancer have been identified; a ~53 bp …

Characterizing The Microvesicle Particles From Keratinocytes Stimulated With Multiple Stressors, Muslima Begum

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Many types of environmental and physical stressors act upon the skin and can initiate inflammation, systemic effects, and even damage to internal organs. Recent studies have identified that these harmful events are driven by the release of subcellular microvesicle particles (MVPs), an inflammatory process promoted by the glycerophosphocholines-derived lipid mediator, Platelet-activating Factor (PAF). These harmful effects are driven by the release of MVPs, a process promoted by the inflammatory lipid mediator, PAF. We have previously demonstrated that exposure of human HaCaT keratinocyte and mouse skin to stressors such as thermal burn injury, ultraviolet B (UVB) radiation, and topical photodynamic therapy …

Taking From The Most Vulnerable: Legal Implications Of Seizing Federal Benefits From Foster Kids, Lucy Johnston-Walsh

Faculty Scholarship

Foster youth in some states are paying the cost of their own room and board when state and local government agencies seize a child's federal social security benefits to cover the costs of care. Other states, however, have passed laws forbidding such a practice, allowing youth to save these funds for their own financial needs. Federal social security benefits are an individual's own property and should not be taken without adequate notice, nor without an opportunity to challenge the taking. Tet too many youth who are involved in the foster care system are unaware they are even receiving benefits and …

How Can We Go Far Together In Healthcare Education And Training?, Nader Nadershahi

Journal of the American College of Dentists

“If you want to go fast, go alone. If you want to go far, go together.” This African proverb highlights the importance of collaboration and cooperation to achieve long-term success and impact. This sentiment applies to many aspects of life, and it certainly applies to our reflection on the importance of breaking down the silos that have developed in healthcare. Our healthcare system has been siloed in all aspects, including delivery models, payment systems, education, and training.

Taking The Temperature: What The Acd 2025 Survey Reveals, Mike Graham, Suzan Pitman

Journal of the American College of Dentists

The American College of Dentists surveyed its Fellows to help leadership better understand how our Fellows perceive and interact with the College. The results will be used to determine organizational priorities and help guide the continued implementation of the strategic plan. The key takeaways of the survey were that (1) the 2023 Strategic Plan implementation is on the right track, (2) Fellows value their connection to the ACD, (3) communication between the organization and Fellows has improved, and (4) leadership and staff must continue to develop a better-defined knowledge base to support local leaders.

Risk Analysis Of Radiosurgery For Vestibular Schwannoma: Systematic Review And Comparative Study Of 10-Year Outcomes, Kevin M. Guy, April A. Pace, Derek S. Tsang, Peter G. Volsky

Department of Otolaryngology (ENT) Faculty Publications

Background: Determine the benefit of stereotactic radiosurgery (SRS) compared to no treatment for sporadic vestibular schwannoma (VS) by calculating epidemiologic risk using 10-year data; apply the analysis to VS that have demonstrated linear growth.

Methods: PubMed, Google Scholar, Web of Science, and Cochrane Library are systematically reviewed for VS tumor control 10 years after SRS and compared to an historical cohort of untreated VS (primary risk analysis). Subgroups of VS limited by size and observed growth are compared to the untreated cohort (secondary analysis).

Results: Twenty-four studies of 4,079 SRS-treated VS exhibited tumor control in 90.93% (87.0%-100%; SD 4.1%), while …

Opioid Usage And Non-Opioid Alternatives In Septorhinoplasty: A Narrative Review, Robert M. Frederick, Eric Dobratz

Department of Otolaryngology (ENT) Faculty Publications

Background and Objective: Opioids are routinely prescribed following septorhinoplasty and oftentimes surgeons prescribe a larger number of tablets than patients require. Considering the high risk of developing opioid dependence and risk of diversion, it is imperative that surgeons practice safer, evidence-based prescribing habits. This review is intended to detail the current state of opioid usage after septorhinoplasty, focusing on articles that show pertinent and practice-altering findings. This will allow surgeons to reflect on their prescribing patterns and make evidence-based decisions to improve them.

Methods: A literature search was performed in November 20, 2024 via PubMed using keywords such as ‘opioid …

Categorizing Clinical Response To Mepolizumab For Patients With Chronic Rhinosinusitis With Nasal Polyps: Synapse Trial, Claire Hopkins, Larry Borish, Jared Silver, Peter Howarth, Robert Chan, Priya Dsilva, Joseph K. Han

Department of Otolaryngology (ENT) Faculty Publications

[Introduction] Chronic rhinosinusitis with nasal polyps (CRSwNP) can substantially affect quality of life (QoL), and is often challenging to manage.¹ First-line treatment for the management of CRSwNP involves intranasal corticosteroids, with short courses of systemic corticosteroids (SCS) for exacerbations, and sinus surgery for uncontrolled disease.² Biologics targeting type 2 inflammation (eg, dupilumab, omalizumab, and mepolizumab) have become a treatment option for refractory CRSwNP. With the advent of disease-modifying treatments such as biologics, control, defined as patients reporting no/low-symptom levels, has increasingly become the treatment goal for CRSwNP.³ However, the optimal use of biologics for symptom control in individual patients remains …

Acute Exacerbations Of Chronic Rhinosinusitis, Robert M. Frederick, Kent Lam, Joseph K. Han

Department of Otolaryngology (ENT) Faculty Publications

Purpose of Review

We aim to highlight recent advancements on the evolving chronic rhinosinusitis (CRS) phenotype: acute exacerbations of chronic rhinosinusitis (AECRS). We focused on studies that expanded the current understanding of its pathophysiology, patient characteristics, and disease burden.

Recent findings

Defining AECRS has been a topic of discussion for many years. A recent regulatory definition of AECRS in the literature incorporates a > 3 day requirement of worsened symptoms and an escalation of treatment. It is important not to rely on patient-reported rescue medication frequency as it was recently demonstrated these are only obtained for 1/3 of reported AECRS episodes. …

Smartphone Based Non Invasive Real Time White Blood Cell Counter Leveraging Blue Light And Static Magnetic Field, Nafi Us Sabbir Sabith, Masud Rabbani, Kazi Shafiul Alam, Sheikh Iqbal Ahamed

Computer Science Faculty Research and Publications

White blood cells (WBCs), also known as leukocytes, are one of the most significant parts of the immune system. They generate antibodies, protect the body from illnesses, and heal wounds. Accurate estimation of WBCs is key for diagnosing cancer, infections, leukemia, lymphoma, and other diseases. However, the widely used Complete Blood Count (CBC) test presents challenges, including prick anxiety, discomfort, and logistical inconvenience to patients. This study introduces a ubiquous White Blood Cell counting system, UbiWhite, a novel smartphone-based, non-invasive system for real-time WBC counting from fingertip videos. Our system uses optical and magnetic techniques to provide accurate WBC counts …

Causal Discovery On The Effect Of Antipsychotic Drugs On Delirium Patients In The Icu Using Large Observational Ehr Dataset, Riddhiman Adib, Md. Osman Gani, Sheikh Iqbal Ahamed, Mohammad Adibuzzaman

Computer Science Faculty Research and Publications

Delirium occurs in about 80% of cases in the Intensive Care Unit (ICU) and is associated with an extended hospital stay, increased mortality, and other complications. Delirium lacks biomarker-based diagnosis and is frequently treated with antipsychotic drugs (APD), despite numerous studies debating its efficacy. Since randomized controlled trials (RCT) are expensive and time-consuming, we approach the research question of estimating the efficacy and safety outcomes of APD in treating delirium through retrospective cohort analysis. We employed the Causal inference framework to explore the underlying causal model for Delirium patient cohort. We focus on building a structural causal model for delirium …

Voicing The Violence: Carmen Maria Machado's Contribution To A Queer Archive, Audrey C. Bryant

Honors Undergraduate Theses

This project analyzes In the Dream House (2019) alongside “The Husband Stitch” and “Eight Bites” from the collection Her Body and Other Parties (2017) by Carmen Maria Machado. The first, a memoir, details Machado’s personal experience with domestic abuse between partners who share a female gender identity; the latter is a collection of short stories outlining everyday violations made against women. Scholars have discussed these works with specifications including female domestic horror, Machado’s use of retellings, and domestic violence and abuse. This project fills a gap in the discourse by intersecting and connecting queer theory with archival studies to support …

Diving Into Watershed Science And Education: Blending Science, Storytelling, And Professional Practice In Northern Michigan, Mara Clare Pellerito

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio expands understanding of the relationship between watershed education and science through storytelling, lived experiences, and research. In northern Michigan, the invasive Myriophyllum spicatum threatens watershed health by forming dense patches that block sunlight, exclude native plants and wildlife, and retain harmful nutrients later released by herbicide treatment. The Lake Leelanau Lake Association has managed this species with preventative and restorative practices since 2020, and this portfolio examines their results through scientific study and practical experience from the summers of 2024 and 25. It also explores how education serves as a stepping stone from childhood curiosity to a lifetime …

Technol-Ot And Creativity: Implementing Occupational Therapy (Ot) And Assistive Technology (At) Into Art And Music For Adults With Disabilities, Camille Alexandra Aquino, Aarti Subramanian, Austin Yee, Joshua Darrin Montano, Angelica-Kjristen Antonio

Occupational Therapy | MSOT Capstone Projects

Background: Assistive technology (AT) holds the potential to enhance independence and participation among individuals with Intellectual and Developmental Disorders (IDD) and physical disabilities. AT supports for adults with these disabilities remain limited in community settings after they transition out of the K–12 educational system. Addressing this gap requires collaborative, client-centered approaches to implementing effective AT solutions.

Purpose: This project aims to assess and address the AT needs of Marin Ventures (MV), an adult engagement day program, and seeks to develop and implement sustainable AT applications to enhance creative expression and communication for MV clients.

Methods: A needs assessment was conducted …

Exploring The Synergy Of Executive Functions And Sensory Processing In Shaping Occupational Participation, Isabella Aguirre, Kaitlin Mulvaney, Sophia Zertuche

Occupational Therapy | MSOT Capstone Projects

This study adds to the available literature on the relationship between executive functions (EF) and sensory processing (SP), and their combined effect on occupational participation (OP) in children aged 5-12 years. Understanding the nature of this relationship holds the key to identifying factors shaping a child's ability to engage effectively in daily life activities. The research team hypothesized that children with stronger EF and more efficient SP will demonstrate higher levels of OP, while those with challenges in either or both domains may experience limitations to effectively engage in daily activities. Participants consisted of parents of 26 children aged 5 …

Impact Of Sensory Diets On Occupational Performance, Kyndra Holloway, Cassandra Howard, Makena Collin, Princess Pillos

Occupational Therapy | MSOT Capstone Projects

This study investigates the impact of individualized sensory diets on children’s occupational performance in daily life. Sensory diets are structured, child-specific interventions designed to facilitate improved sensory processing by integrating activities into established routines. They involve a tailored home program plan, consistent application, and interventions aligned with the child’s specific sensory needs (Wilbarger, 1995).Using a multiple single-case study design, this research examined the outcomes of sensory diets prescribed alongside direct occupational therapy (OT) services for four white male children aged 3 years, 11 months to 5 years, and 8 months with neurodevelopmental disorders.

Participants were recruited through Developmental FX (DFX) …