Digital Commons Network^™

Long-Term Health-Related Quality Of Life In Kawasaki Disease-Related Coronary Artery Aneurysm: A Large Single-Center Assessment In Nanjing, China, Yun Zhou, Mei Chen, Wenting Gao, Yu Chen, Ying Meng

The Texas Heart Institute Journal

BACKGROUND: The impact of coronary artery aneurysms (CAAs) caused by Kawasaki disease (KD) on long-term health-related quality of life (HRQOL) in children has not been well documented.

METHODS: This study investigated long-term HRQOL in a large sample of children diagnosed with KD-related CAAs. A case-control, retrospective study included 66 patients with KD-related CAAs. A total of 98 hospitalized patients were matched as controls based on age and sex: 49 patients were allocated to a group with pneumonia and 49 patients were allocated to a group with arterio-arterial fistula. Both child-reported and parent-proxy-reported Pediatric Quality of Life Inventory surveys were collected. …

Overview Of The Head And Neck Tumor Segmentation For Magnetic Resonance Guided Applications (Hnts-Mrg) 2024 Challenge, Kareem A Wahid, Cem Dede, Dina M El-Habashy, Serageldin Kamel, Michael K Rooney, Yomna Khamis, Moamen R A Abdelaal, Sara Ahmed, Kelsey L Corrigan, Enoch Chang, Stephanie O Dudzinski, Travis C Salzillo, Brigid A Mcdonald, Samuel L Mulder, Lucas Mccullum, Qusai Alakayleh, Carlos Sjogreen, Renjie He, Abdallah S R Mohamed, Stephen Y Lai, John P Christodouleas, Andrew J Schaefer, Mohamed A Naser, Clifton D Fuller

Faculty, Staff and Student Publications

Magnetic resonance (MR)-guided radiation therapy (RT) is enhancing head and neck cancer (HNC) treatment through superior soft tissue contrast and longitudinal imaging capabilities. However, manual tumor segmentation remains a significant challenge, spurring interest in artificial intelligence (AI)-driven automation. To accelerate innovation in this field, we present the Head and Neck Tumor Segmentation for MR-Guided Applications (HNTS-MRG) 2024 Challenge, a satellite event of the 27th International Conference on Medical Image Computing and Computer Assisted Intervention. This challenge addresses the scarcity of large, publicly available AI-ready adaptive RT datasets in HNC and explores the potential of incorporating multi-timepoint data to enhance RT …

The Pointer Imaging Baseline Cohort: Associations Between Multimodal Neuroimaging Biomarkers, Cardiovascular Health, And Cognition, Theresa M Harrison, Tyler Ward, Jacinda Taggett, Pauline Maillard, Samuel N Lockhart, Youngkyoo Jung, Laura C Lovato, Robert Koeppe, William J Jagust, Danielle Harvey, Joseph C Masdeu, Hwamee Oh, Darren R Gitelman, Neelum T Aggarwal, Mark A Espeland, Maryjo L Cleveland, Rachel Whitmer, Sarah Tomaszewski Farias, Stephen Salloway, Valory Pavlik, Melissa Yu, Christine Tangney, Heather Snyder, Maria Carrillo, Laura D Baker, Prashanthi Vemuri, Charles Decarli, Susan M Landau

Staff and Researcher Publications

Introduction: The U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk (U.S. POINTER) is evaluating lifestyle interventions in older adults at risk for cognitive decline and dementia. Here we characterize the baseline data set of the POINTER Imaging ancillary study.

Methods: Participants underwent health and cognitive assessments and neuroimaging with multimodal positron emission tomography (PET) (beta-amyloid [Aβ] and tau) and magnetic resonance imaging (MRI). Framingham risk score (FRS) was used to quantify cardiovascular disease (CVD) risk.

Results: A total of 1052 participants (31% from underrepresented ethnoracial groups) were enrolled. Compared to Aβ-, Aβ+ (29%) participants were older, …

The Infected Diabetic Foot: Incidence And Risk Factors For Dehiscence After Surgery For Diabetic Foot Infections, Lawrence A Lavery, Mario C Reyes, Bijan Najafi, Tyler L Coye, Jayer Chung, Michael C Siah, Arthur N Tarricone

Center on Aging Staff Publications

Our objective was to assess the incidence, risk factors and clinical outcomes of dehiscence after foot surgery in diabetic patients. We used pooled patient‐level data from two randomised clinical trials with 240 diabetic patients who required foot surgery for infections. Most patients (n = 180, 75.0%) had surgical wound closure. We defined dehisced surgical wounds (DSW) when the surgical site was not completely epithelialized with no drainage after sutures/staples were removed with a 2‐week validation of healing. We evaluated the time to heal, re‐infection, re‐ulceration, hospital admissions and amputations. Moderate and severe infection was based on criteria of the …

Flyphonedb2: A Computational Framework For Analyzing Cell-Cell Communication In Drosophila Scrna-Seq Data Integrating Alphafold-Multimer Predictions, Mujeeb Qadiri, Ying Liu, Ah-Ram Kim, Myeonghoon Han, Eric Zhou, Austin Veal, Tzu-Chiao Lu, Hongjie Li, Yanhui Hu, Norbert Perrimon

Center on Aging Staff Publications

Cell-cell communication (CCC) plays a critical role in the physiological regulation of organisms and has been implicated in numerous diseases. Previously, we introduced FlyPhoneDB, a tool designed to explore CCC in Drosophila single-cell RNA-sequencing datasets. The core algorithm of FlyPhoneDB infers tissue-specific signaling events between cell types by calculating cell-cell interaction scores based on curated ligand-receptor (L-R) expression across major signaling pathways. However, the utility of FlyPhoneDB was limited by the relatively small number of available L-R pairs.

Here, we present FlyPhoneDB2, a major upgrade featuring a significantly expanded knowledgebase that includes a greater number of L-R pairs, incorporating annotations …

Ethical Considerations For Teaching With Artificial Intelligence: A Scoping Review In Medical Education Settings, Amani Itani, Susie L Gronseth, Salma Musaad, Thuy Nguyen, Yiming Mirabile, Bettina M Beech

Children’s Nutrition Research Center Staff Publications

In the evolving realm of medical education, where artificial intelligence (AI) technologies play an increasingly pivotal role, embedding AI ethics within educational frameworks has become crucial. This scoping review explores the breadth of literature concerning ethical considerations for teaching with AI in medical education settings. Following the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, the team analyzed 82 peer-reviewed English-language articles published between 2018 and October 2023, sourced from PubMed, Embase, and Web of Science. The review presents insights into the geographic distribution of studies, publication trends, article types, common keywords, areas of …

Securitization Of African Migrants In Europe And North America, Chick Edmond

Political Science & Geography Faculty Publications

The securitization of African migrants in Europe and North America refers to the framing of immigrants as an existential security threat rather than a socioeconomic or humanitarian concerns. This discourse driven by political rhetoric, media narratives, and policy measures, often depict African migrants as risks to national security, cultural identity, and economic stability. Governments in host countries employ stringent border controls, detention and deportation policies often justified by counterterrorism and crime prevention frameworks. However, critics argue that securitization exacerbates xenophobia, violates human rights, and fails to address root causes of migration, such as conflict, poverty, and climate change. This paper …

The Impact Of Professionalism Education And Formative Feedback In Doctor Of Physical Therapy Students Utilizing The Abbreviated Cpi Feedback Form In The On-Campus Clinic Environment, William L. Scott

Dissertations

Problem

The American Physical Therapy Association (APTA) developed the Clinical Performance Instrument (CPI) to assess the professional behaviors required for a Doctor of Physical Therapy (DPT) student to be considered "entry level" in their clinical training. Feedback from our clinical partners has indicated that, historically, students from the Andrews University DPT program have scored lower than students from other programs in several areas of the CPI during their clinical experiences. According to subjective reports from our clinical partners, these areas included safety, professional behavior, accountability, communication, and critical thinking. These five areas have been the focus of our efforts in …

Rethinking Trust In The Refugee Resettlement Process: How Service Providers Can Enable Refugee Agency Through Diasporic Connections, Mahfoudha Sidelemine, Emily D. Campion

Political Science & Geography Faculty Publications

Current guidance for refugee resettlement agency workers encourages the simultaneous pursuit of trust-building and administrative tasks (e.g., housing, transportation and employment). This dual goal is resource-intensive, and focusing on the former may come at a cost to the latter. The purpose of the current research is to challenge the importance of trust-building by resettlement agencies. Drawing from our qualitative data from in-depth interviews with resettled refugees (N = 20) and agency workers (N = 15), we adopt a grounded theory approach and find that the burden of responsibility for both caregiving and administrative responsibilities can overtax agency workers …

Manifesting A Shift In The "Overton Window": The Threat Of Project 2025 On The Lgbtq+ Community In Higher Education, Athena M. King, Sara Sanatkar

Political Science & Geography Faculty Publications

Since the first Trump administration, historically marginalized groups in the United States have been subjected to greater instances of bigotry and discrimination due to conservative influence on sociopolitical institutions. These actions suggest a shift in the "Overton Window," whereby policy preferences previously deemed "unacceptable" are given consideration in the mainstream, especially by conservative policy actors. "Project 2025" is a comprehensive plan to restructure the federal government according to conservative dictates in the second Trump administration. This article is an examination of how higher education may be impacted by this plan, especially as it relates to LGBTQ+ faculty, administration, staff, and …

Enhancing Cybersecurity In Smart Education With Deep Learning And Computer Vision: A Survey, Guma Ali, Aziku Samuel, Maad M. Mijwil, Kholoud Al-Mahzoum, Malik Sallam, Ioannis Adamopoulos, Ayodeji Olalekan Salau, Indu Bala, Klodian Dhoska, Engin Melekoglu

Mesopotamian Journal of Computer Science

The rapid digital transformation of education, driven by the widespread adoption of smart devices and online platforms, has ushered in the era of smart education. While this shift enhances learning experiences, it also introduces significant cybersecurity risks that threaten the confidentiality, integrity, and availability of educational resources, student data, and institutional systems. This survey examines how deep learning (DL) and computer vision (CV) techniques can enhance cybersecurity in smart education environments. By reviewing 202 peer-reviewed research papers published between January 2022 and June 2025 across leading publishers such as ACM Digital Library, Frontiers, Wiley Online Library, IGI Global, Nature, Springer, …

The Next Frontier In Computer Science, Trends And Research Opportunities, Mostafa Abdulghafoor Mohammed, Z. T. Al-Qaysi, Tahsien Al-Quraishi

Mesopotamian Journal of Computer Science

No abstract provided.

Synthesizing Deception: Countering Large Language Model-Generated Phishing Campaigns Through Adaptive Semantic Anomaly Detection, Bekim Fetaji, Debabrata Samanta

Mesopotamian Journal of Computer Science

The paper fills in a gap in the literature that demonstrates an insufficient number of sturdy detection schemes that can recognize the small semantic aberrations inherent in LLM-generated deceptive text. Our proposed co-design hybrid model is Semantic Anomaly Detection with Isolation Forest (SADI) model that combines the synergistic mixture of a fine-tuned transformer-based LLM for deep semantic feature extraction with Isolation Forest algorithm that detects anomalies efficiently. This study introduces SADI, an adaptive semantic-anomaly detector for large-language-model phishing emails. Using a corpus of 10 000 messages, SADI attains an F1 score of 0.981 (95 % CI 0.978–0.984) and processes a …

Diabetes At A Glance: Assessing Ai Strategies For Early Diabetes Detection And Intervention Via A Mobile App, Ayad Hameed Mousa, Ibrahim Oday Alrubaye, Mayameen S. Kadhim, Ahmed Dheyaa Radhi, Mudatheer M. Al-Slivani, Rusul Mansoor Al-Amri, Liaw Geok Pheng

Mesopotamian Journal of Computer Science

Diabetes is a widespread disease worldwide that does not differentiate between children and adults. It also affects the elderly and pregnant women. However, early detection of the disease facilitates its control to avoid the effects resulting from delayed diagnosis. With the emergence of artificial intelligence represented by machine learning techniques and its use in most sectors, accordingly, the adoption of machine learning techniques to help in disease prediction has become a necessity. This study proposes a machine learning algorithm-based approach for diabetes prediction. This study uses three datasets, two of which are private and the other includes the Pima Indians …

Challenges Of The Opposition In Cameroon Multipartism, Chick Edmond, Nkenglefack Dessailly Forku

Political Science & Geography Faculty Publications

The main goal of this study was to explore the challenges faced by Cameroon opposition political parties and how these challenges affect presidential electoral outcomes since 1990. We employed both qualitative and quantitative methods to collect data for the study. The research design was the case study design, and the sampling technique was nonprobability sampling (precisely purposeful sampling). We employed the constructivist research philosophy to show that reality resides in the different views of people. Consequently, it finds out that the opposition in Cameroon lacks credibility and vision to achieve victory in presidential elections. They also face challenges of suppression, …

Support Needs Of Agrarian Women To Build Household Livelihood Resilience: A Case Study Of The Mekong River Delta, Tran Thi Ngoc Tran

Dissertations

Problem

Rural livelihood faces significant challenges due to the increasing frequency and severity of climate change impacts. However, the development of women’s livelihood resilience remains constrained by gender-blind policies, limited sex-disaggregated data, and a lack of integration of gender-specific needs and priorities in resilience-building interventions. This study aims to address these critical gaps. This study aims at exploring the perceived support needs of rural agrarian women in building household livelihood resilience to climate change. Specifically, it seeks to (1) understand how household livelihood resilience is perceived by rural agrarian women, and (2) identify the support they require to effectively adapt …

The Relationship Between Mindfulness, Emotion Regulation, And Anxiety Levels Among College Students In Saudi Arabia, Tahani Aljuaid

Dissertations

Problem

Anxiety is one of the most common psychological issues affecting youth globally and is particularly prevalent among Saudi adolescents and college students. Studies in Saudi Arabia have reported anxiety rates ranging from 48.9% to 66.2% among adolescents and high levels of generalized anxiety among university students, especially females (Aldosary et al., 2023; Alhabeeb et al., 2023). Poor emotion regulation has been identified as a key factor associated with anxiety and other mental health difficulties. In recent years, mindfulness has gained attention as a protective factor that promotes better emotion regulation and reduces anxiety symptoms. Despite this growing recognition, there …

From Devout Follower Of Muhammad To Committed Disciple Of Jesus: Principles And Methods Of Transition Phase Discipleship Among Adventist Believers From A Muslim Background In Ethiopia, Temesgen Bulti Besha

Dissertations

Islam is the second most dominant religion in Ethiopia commanding about 34 percent of the over one hundred ten million population of the country. The Seventh-day Adventist Church has not been successful, until recently, to effectively reach this large and growing Muslim population. In the last decade and half, hundreds of Ethiopian Muslims are coming to faith in Christ through the ministry of the Church. However, church members, leaders, and disciplers lack adequate understanding of the transition phase discipleship during which the new believers from Muslim background (BMBs) go through considerable challenges such as persecution, lack of social and economic …

War-Displaced International Students: A Qualitative Study Of Factors Influencing The Integration Of Ukrainians At A Midwestern Healthcare College, Ivan Riapolov

Dissertations

Problem

The war in Ukraine has disrupted the country’s higher education system, displacing Ukrainian students and affecting their mental well-being. These students encounter numerous challenges while adapting to new academic and cultural environments abroad. Higher education professionals must recognize and address the unique experiences and needs of international students by region of origin to better serve these populations. This study aimed to explore the factors that influence the social and academic integration of Ukrainian international students into a new culture and to inform institutions of the best practices for creating supportive environments for international students.

Method

The qualitative study explored …

Religious Participation, Subjective Happiness, And Purpose In Life As Predictors Of Psychological Resilience Among College Students At A Faith-Based Institution In The United States, Elaine Powell Oliver

Dissertations

Problem

During the transition from adolescence to adulthood, also known as emerging adulthood, many college students experience psychological distress, such as anxiety, depression, stress, and loneliness (Arnett & Tanner, 2009; DeRosier et al., 2013). For some students, their psychological distress will impact how they perform academically and whether they will persist in their academic goals (Hartley, 2012; Robbins et al., 2018). Many students lack the resilience needed to survive and thrive amid the challenges of college life (Lane, 2020; McLafferty et al., 2022; Watkins et al., 2012). -- Resilience is considered an essential psychological characteristic to assist students in navigating …

Perfluorinated Carbon Chain Length Drives Uptake Of Diverse Per- And Polyfluoroalkyl Substances In Field-Deployed Passive Samplers, Matthew Dunn, Jitka Becanova, Simon Vojta, Heidi Pickard, Rainer Lohmann

Graduate School of Oceanography Faculty Publications

Per- and polyfluoroalkyl substances (PFAS) are a group of compounds of high concern due to their ubiquity, persistence, and adverse health impacts. With a diversity of chemical structures and properties, detection tools are needed to capture as many PFAS as possible. In this study, a microporous polyethylene tube (MPT) passive sampler was calibrated for 25 target compounds, 8 suspect PFAS, and extractable organofluorine (EOF) during 1–2 week deployments in groundwater, freshwater river, and estuary contaminated by aqueous film-forming foam (AFFF). Targeted analysis, suspect screening, and EOF were performed on passive and grab samples to derive sampling rates, R_s. …

Bioaccumulation Of Legacy And Novel Pfas In The Environment, Hesham Taher, Rainer Lohmann

Graduate School of Oceanography Faculty Publications

The bioaccumulation of per- and polyfluoroalkyl substances (PFAS), both legacy and novel, in the environment presents significant ecological and health risks. PFAS are a diverse group of synthetic chemicals known for their persistence and bioaccumulation, which can cause widespread environmental contamination and health risks. Strong carbon-fluorine bonds give these compounds unparalleled stability, preventing them from degrading and enabling them to endure in a range of environmental matrices, including water, soil, and biota. Legacy PFAS, including perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS), have been extensively studied and regulated, resulting in lower concentrations in some environmental media. However, novel PFAS, …

Rebuttal To “Correspondence On ‘Scientists’ Statement On The Chemical Definition Of Pfass”, Gabriel Sigmund, Marta Venier, Marlene Ågerstrand, Ian T. Cousins, Jamie Dewitt, Miriam L. Diamond, Jennifer Field, Alex T. Ford, Shira Joudan, Stefan Van Leeuwen, Rainer Lohmann, Carla Ng, Martin Scheringer, Anna Soehl, Noriyuki Suzuki, Xenia Trier, Sara Valsecchi, Penny Vlahos, Cora J. Young, Zhanyun Wang

Graduate School of Oceanography Faculty Publications

No abstract provided.

Corporate ‘Capture Strategies’ Impacting Human And Ecosystem Health, Alex T. Ford, Marlene Ågerstrand, Michael G. Bertram, Miriam L. Diamond, Rainer Lohmann, Andreas Schäffer, Martin Scheringer, Gabriel Sigmund, Anna Soehl, Maria Clara V.M. Starling, Noriyuki Suzuki, Marta Venier, Penny Vlahos

Graduate School of Oceanography Faculty Publications

The concept of regulatory capture has been extensively studied in academic literature, primarily within the social sciences. This phenomenon has been increasingly discussed in the environmental sciences as the impacts of regulatory capture on human and ecosystem health have become increasingly apparent. Regulatory capture is just one tactic employed by vested interests in the strategy of delaying, weakening, or abolishing policies designed to protect the public interest. Here, we define capture strategies as ‘the act of influencing individuals, organizations, or governments to prioritize corporate interests over those of human and ecosystem health’. Similar to the evolution of terms like whitewashing …

State Of The University Annual Report - 2024-2025, Office Of The President, East Tennessee State University, University Marketing And Communication, East Tennessee State University

Office of the President State of the University Annual Report

No abstract provided.

Editors’ Introduction: 25th Anniversary Issue Of The Jiws, Diana J. Fox, Kimberly Chabot Davis, Priyanka Tripathi, Catherine Ndinda

Journal of International Women's Studies

No abstract provided.

Miss Usa Meets Feminism: A Qualitative Study Exploring Contestants’ Thoughts On Feminist Ideals, Julia Van Steenberghe, Sandra Caron

Journal of International Women's Studies

This qualitative study explores pageant contestants’ views on feminism. A total of twelve state titleholders, aged 22-29, from the 2020 Miss USA Competition were interviewed about their motivations for participating, their own views on feminism, and their opinions about whether beauty pageants align with feminist ideals. The initial analysis of the interview transcripts revealed sixteen coding categories. A secondary analysis of these coding categories identified three overarching themes: “Pageants are Empowering,” “Swimsuit is Complicated,” and “Pageantry Has Evolved.” This study revealed that participants had many reasons for entering pageants, the least common of which related to beauty. Most …

Unveiling The Vulnerability Of Return Migration: A Feminist Embeddedness Perspective On Bangladeshi Women Workers, Faraha Nawaz, Tania Afrin Tonny

Journal of International Women's Studies

This study explores the vulnerability of migrant workers returning to Bangladesh through the lens of van Houte and Davids’ (2008) embeddedness framework. Centering women’s narratives offers a feminist method of embeddedness, focusing on the economic, social, and psychosocial dimensions of returning migrants’ experiences. This paper addresses the vulnerabilities experienced by women upon their return, particularly those returning from the Middle East. Drawing on qualitative data from in-depth interviews with 30 Bangladeshi women domestic workers, this study identifies two primary causes for their return from the Middle East to Bangladesh: coercion by family members and coercion by employers. The findings indicate …

Migration And Work: An Intersectional Perspective On Women Workers In Brick Kilns In The Sivasagar District Of Assam, India, Kashmiri Saikia, Sikha Das

Journal of International Women's Studies

This paper is based on fieldwork regarding brick kiln workers in the Sivasagar district of Assam, located in Northeast India. Apart from family migration, women migrate alone to these brick kilns in search of work opportunities. Despite progress, evidence suggests that many women who work in brick kilns are not afforded workplace rights and are underrepresented, unregistered, and paid lesser wages compared to men workers. Many kilns are unregulated and remain outside the purview of workplace laws. Through interviews and conversations with women workers, this paper aims to understand and analyse the dynamics of gender, migration, and work in the …

Homophobic And Transphobic Bullying: Impacts On The Mental And Physical Health Of Queer Black Adolescents In Kacen Callender’S Young Adult Fiction, Uthra Devi R.K., C. Jothi, S. Rema Devi

Journal of International Women's Studies

This paper examines how homophobic bullying profoundly impacts the mental and physical health of Black queer children, with a particular focus on the rising suicide rate within this marginalized community. Analysing the representation of homophobic and transphobic bullying in Kacen Callender’s young adult fiction, this study explores the devastating impact of both verbal and nonverbal forms of abuse, including rejection, intimidation, and social isolation. These negative experiences contribute to long-term emotional distress, leading to an increased vulnerability to anxiety, depression, and suicidal ideation. Meyer’s minority stress theory is used to examine how systematic ignorance and rejection of queerness render Black …