Digital Commons Network^™

Using Vizient Database For Benchmarking Pulmonary Resection Outcomes, Anuj Shah, Duc T Nguyen, Swetha Mulpur, Sayali Kelkar, Ray K Chihara, Warren Naselsky, Edward A Graviss, Min P Kim

Faculty, Staff and Students Publications

Background: Benchmarking pulmonary resection outcomes is critical for the evaluation of hospital performance and enhancing the quality of patient care. Both the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and Society of Thoracic Surgeons General Thoracic Surgical Database (GTSD) provide outcomes after lung resection, but each database had its own limitations. We aimed to determine whether the Vizient database can be used to benchmark lung resection outcomes.

Methods: We performed a retrospective cohort analysis of pulmonary resection cases at a single institution using the Vizient dashboard and GTSD. We examined whether all pulmonary resections were captured and …

Impact Of Resources And Structure On Scholarly Productivity In Pediatric Critical Care Fellowship, Andrew G Smith, Danny Castro, Caroline Andy, Angela S Czaja, Donald L Boyer, Erika L Abramson, Pnina Weiss, Richard B Mink

Faculty, Staff and Students Publications

Background: Pediatric critical care medicine (PCCM) fellowship structures vary widely among programs and have not been examined since 2006. The development of scholarly knowledge and skills is an important part of fellowship training. However, the optimal PCCM fellowship structure to enable fellows' scholarly productivity is unknown. Objective: We examined PCCM fellowship time structure and resources to better understand their association with scholarly productivity.

Methods: This is a secondary analysis of cross-sectional survey data from PCCM fellowship program directors. We defined highly productive programs as those in which greater than 75% of fellows published papers from their scholarly projects in the …

Single-Cell Transcriptomics Reveals Biomarker Heterogeneity Linked To Cdk4/6 Inhibitor Resistance In Breast Cancer Cell Lines, Ilenia Migliaccio, Martina Bonechi, Dario Romagnoli, Giulia Boccalini, Francesca Galardi, Cristina Guarducci, Agostina Nardone, Rachel Schiff, Laura Biganzoli, Luca Malorni, Matteo Benelli

Faculty, Staff and Students Publications

Cyclin dependent kinases 4 and 6 inhibitors have brought great improvements in the treatment of luminal breast cancer, but resistance is a major clinical hurdle. Multiple biomarkers of resistance have been proposed, but none is currently utilized in clinical practice. By performing single-cell RNA sequencing of seven palbociclib-naïve luminal breast cancer cell lines and palbociclib-resistant derivatives, we show that established biomarkers and pathways related to CDK4/6i resistance present marked intra- and inter- cell-line heterogeneity. Transcriptional features of resistance could be already observed in naïve cells correlating with levels of sensitivity (IC50) to palbociclib. Resistant derivatives showed transcriptional clusters that significantly …

The Eleventh Annual Meeting Of The Southeastern Association Of Shared Resources (Seasr) Nashville, Tn, Usa June 12-14, 2024, Jenny C Schafer, Lyra M Griffiths, Tania E Mesa, Deidre Daria, Daniel Kraushaar, Kristen V Massey, Edith M Sampson, Laura Fox-Goharioon, Laxminarayanan Krishnan, Stacie Woolard, Aaron Pitre

Faculty, Staff and Students Publications

No abstract provided.

Microbial And Ecophysiological Indices Of Agricultural Soils As Affected By Different Farming Practices In Tropical Monsoon Climate, Gulshan Ara Begum, Sajal Roy, Nasrin Chowdhury

Journal of Environmental Science and Sustainable Development

Organic farming is increasingly promoted as a sustainable alternative to conventional agriculture due to its positive effects on soil microbial dynamics, a critical component of ecosystem functioning. However, empirical comparisons of microbial responses across these systems are scarce. Therefore, we conducted a study to assess the various microbial indices of soils taken from distinct crop fields (e.g., brinjal, chilli, tomato, bean, and fallow lands) managed under both conventional and organic farming techniques. Composite soil samples from surface layer (0–15 cm) were collected in a completely random way from Bandarban upazila of Bangladesh (22°11'24.0"N 92°09'00.0"E, organic fields; 22°10'12.0"N 92°09'36.0"E, conventional fields). …

Convergence In Action: Where Environmental Science Meets Sustainable Development Practice, Herdis Herdiansyah

Journal of Environmental Science and Sustainable Development

Since the introduction of the Sustainable Development Goals (SDGs), the pursuit of human well-being through development and planetary sustainability for a better future has become a global discourse (de Jong & Vijge, 2021; Naseer et al., 2025; Arora-Jonsson, 2023). The SDGs have catalyzed interdisciplinary dialogue and strengthened global commitment (Naseer et al., 2025) by emphasizing the balance and integration of economic, social, and environmental aspects (Sedovs et al., 2025). However, the assumption that all goals can be achieved simultaneously and harmoniously seems hasty and potentially ignores the inherent tensions between ecological and …

The Crab Silvofishery System As A Conservation Strategy In Mangrove Restoration Area: A Case Study On The Coast Of Banyuasin, South Sumatra, Apriyanto Apriyanto, Rujito Agus Suwignyo, Tengku Zia Ulqodry, Sarno Sarno, Riris Aryawati, Muhtadi Muhtadi, Herry Purnomo, Beni Okarda

Journal of Environmental Science and Sustainable Development

Anthropogenic activities such as logging and converting mangrove forests into plantations have degraded coastal ecosystems and reduced their ecological stability. Silvofishery is a restoration system that balances the ecological and economic functions of mangroves. In Marga Sungsang Village, South Sumatra, mangrove restoration was integrated with mud crab (Scylla spp.) cultivation through a crab silvofishery system. This study aimed to analyze the contribution of mangrove restoration with a mud crab silvofishery system to mud crab growth. The study was conducted from August 2024 to January 2025. Growth parameters included carapace length, width, and body weight. Analyses covered absolute growth …

Sustainable Water Management In Universities: Perceptions, Behaviours, And Challenges, Hastin Setiani, Dwita Sutjiningsih, Riri Fitri Sari

Journal of Environmental Science and Sustainable Development

Universities are increasingly adopting the “living laboratory” model to implement and evaluate sustainability innovations. These settings enable students, staff, and stakeholders to co-create and test real-world solutions, including those related to water use. Universitas Indonesia promotes sustainability through an integrated approach encompassing policy development, academics programs, and infrastructures. Prior studies using the Theory of Planned Behavior (TPB) have demonstrated that attitudes and perceived norms significantly influence sustainable behavior. However, limited research has examined how these dynamics operate within Indonesian universities or how university-based initiatives may contribute to broader urban water management. This study addresses that gap by examining perceptions, behaviors, …

Evaluation Of Sustainability Assessment Post Changes In The Management Of The Natural Reserve To The Natural Tourism Park In Kamojang Area, West Java, Indonesia, Purna Hindayani, Alnidi Safarach Bratanegara, Intan Adhi Perdana Putri, Zuzy Anna, Armandha Redo Pratama

Journal of Environmental Science and Sustainable Development

The area of Kamojang Nature Tourism Park, which was originally only 255 hectares, has expanded to 2,391 hectares following a changes in the Nature Reserve area. This change has raised concerns and objections from various parties, as it is considered to open opportunities for exploitation, threaten biodiversity, and potentially trigger tourism activities that may degrade the environmental quality of the areaThis study aims to analyze the sustainability status index of the Kamojang Natural Tourism Park following the status downgrade from a Nature Reserve to a Natural Tourism Park. A descriptive qualitative approach used, utilizing the Multi-dimensional Scaling model to determine …

Reframing Educational Cities As Waste Governance Laboratories, Suyeno Suyeno, Langgeng Rachmatullah Putra, Rispa Ngindana, Ima Kumalasari

Journal of Environmental Science and Sustainable Development

Rapid urban growth in mid-sized cities within developing countries has increased challenges in municipal solid waste management, especially in urban areas known for their concentration of educational institutions and dense populations. This study aims to evaluate the effectiveness of these policies through the framework of Good Environmental Governance, identifying critical gaps in policy implementation and proposing sustainable solutions. This study employs Soft Systems Methodology, a participatory approach for exploring complex, ill-structured problems. The key steps included rich picture creation, root definition, conceptual modeling, and comparison with real-world practices. This allowed for the integration of stakeholder perspectives and the identification of …

Challenging Behavior In The Early Childhood Classroom, Ashley L. Hoag

Masters Projects

In early childhood classrooms, it is becoming increasingly common for students to exhibit challenging behaviors. These behaviors present as either internalizing behaviors, such as anxiety, or as externalizing behaviors, such as defiance and aggression. These behaviors are impacting student learning and contributing to an increase in teacher stress and burnout. Early childhood educators feel underprepared to address these behaviors effectively. The project is grounded in Behaviorist Theory and Constructivist Theory. These theories inform Positive Behavior Interventions and Supports (PBIS), which is an evidence-based approach to managing challenging behaviors by focusing on reinforcement, the structure of the environment, and building important …

Potential Impact Of Dotted Paropsine Beetle And Other Leaf Beetles On Eucalyptus In Utah, Marion Murray, Victoria Xiong, Megan Kast

All Current Publications

Dotted paropsine leaf beetle (DPLB) is an invasive eucalyptus pest native to Australia. Its first U.S. detection was in California in 2022. DPLB feeds on several eucalyptus species, with blue gum as its primary host. Feeding damage includes semicircular notches on leaf edges, defoliation of young leaves, and dieback of shoot tips. DPLB poses a threat to eucalyptus plantings across the western U.S. and to cut foliage producers in Utah.

Direct Medical Costs Of Diabetes Mellitus Treatment For Patients With Cardiovascular And Renal Complications, Rizki Fadila, Ayu Tyas Purnamasari, A.A. Istri Citra Dewiyani

Kesmas

Type 2 Diabetes Mellitus (T2DM) represents a growing global health challenge with significant clinical and economic implications, notably in Indonesia. The burden is intensified by renal and cardiovascular complications, especially among National Health Insurance beneficiaries. This retrospective study evaluated the direct medical costs of hospitalized T2DM patients with such complications at a type B hospital from 2019 to 2022. Costs were analyzed from both healthcare provider and payer perspectives, covering medical services, medical support services, pharmaceuticals, and other support services. Of the 192 patients reviewed, most were male (57.8%), aged 45–64 years (72.4%), with hospital stays of 1–5 days (90,1%) …

Google Review Analysis Of “Duta We Care” Excellent Service As A Featured Service At A Central General Hospital In Padang, Alfitri Alfitri, Ricvan Dana Nindrea, Adek Setiawan, Elsa Yuniarti

Kesmas

Improving healthcare service quality required both technical and interpersonal enhancements through a personalized approach, as demonstrated by the “Duta We Care” program at a Central General Hospital in Padang. This study aimed to evaluate the program’s effectiveness by analyzing patient feedback from Google Reviews. A descriptive quantitative design examined 2,035 patient reviews from March 2013 to June 2024. Using NVivo 12 software, the data analysis generated word clouds. The results showed that 68.20% of reviews received a 5-star rating, 9.48% a 4-star rating, 4.35% a 3-star rating, 2.27% a 2-star rating, and 15.70% a 1-star rating. Words like “friendly,” “professional,” …

Socioeconomic Status, Environmental Health Knowledge, And Housewives’ Behavior In Maintaining Healthy Housing At Subsidized Flats In East Jakarta, Indonesia, Alfitra Firizkia Luthfiana Dewi, Laila Fitria

Kesmas

Healthy behavior among housewives is a crucial aspect of efforts to maintain healthy housing. This study aimed to analyze the relationship of socioeconomic status (e.g., household income, level of education of family head and housewives, and family head’s occupation) and environmental health knowledge with housewives’ behavior (e.g., vector control, waste management, home ventilation, cigarette smoking, and hand sanitation hygiene) in maintaining healthy housing in the subsidized flats in East Jakarta, Indonesia. This cross-sectional study employed the two-proportion hypothesis test formula and a simple random sampling method, recruiting 137 housewives for interviews. Data were analyzed via logistic regression to determine factors …

Factors Of Anxiety Symptoms Due To Large-Scale Social Restriction Policy During The Covid-19 Pandemic In Indonesia, Indri Hapsari Susilowati, Sudibyo Alimoeso, Susiana Nugraha, Bonardo Prayogo Hasiholan, Magda Sabrina Theofany Simanjuntak, Nur Rachmat Satria

Kesmas

The Indonesian Government took some preventive measures to slow the spread of the COVID-19 virus, including social restrictions and encouraging individuals to stay at home and avoid needless gatherings. This study aimed to identify factors related to anxiety symptoms during large-scale social restrictions. This study employed a cross-sectional design using the snowball technique in an online survey. A total of 788 respondents comprised the target population to detect the smallest effect size (Cohen's dz = .2), with the level of power of 0.8 using G*Power 3.1, specifically targeting adults aged over 18 years. Out of 1,194 people who took part …

Biotechnology Research Incubator For Teachers (Brite) Pilot Program: Advancing Technology Research Education For Secondary School Teachers, Zhongcheng Shi, Katherine A Harris, Alana D Newell, Michael Nguyen, Yuan Yao, Joel Sederstrom, Cynthia C Hallmark, Sherita Love, Fred A Pereira, Shixia Huang

Faculty, Staff and Students Publications

Introduction: Advanced technologies have transformed diagnostics and therapeutics, improving disease management. Secondary school educators play a vital role in fostering critical thinking, problem-solving, and inspiring students in science, technology, engineering, math, and medicine (STEMM) innovations. Comprehensive teacher training enhances education delivery and ensures long-term advancements in science education, empowering future generations.

Materials and methods: We launched the Biotechnology Research Incubator for Teachers (BRITE) pilot program to train secondary school teachers. This 3-week program immerses teachers in Advanced Technology Core facilities, providing hands-on experience with cutting-edge technologies, such as protein array technology, next-generation sequencing, and flow cytometry. It also offers collaborative …

Husbandry And Management Interventions For The Conservation And Welfare Of Captive Animals – A Systematic Evidence Map, Anaelle Lemasson Lemasson

School of Biological and Marine Sciences

Zoos and aquariums are poised to play increasingly important roles in mitigating the global biodiversity crisis. However, the ultimate success of ex-situ conservation depends on animal welfare and effective husbandry and management practices. As such, an empirical understanding of ‘what works’ in zoo management is crucial for guiding success and embedding cost-effective practices. Here, we present the first systematic evidence map for husbandry and management interventions used in zoos and aquariums. We identified and extracted 1,070 articles spread across 45 journals, and examined patterns within taxonomic, spatial, temporal, and thematic categories. Studies originated from 516 institutions in 69 countries, and …

Advanced Quantification Pipeline Reveals New Spatial And Temporal Tumor Characteristics In Preclinical Multiple Myeloma, Zhixin Sun, Jacqueline M Godbe, Alexander Zheleznyak, Brad Manion, Junhao Hu, Julie L Prior, Kathleen Duncan, Ulugbek S Kamilov, Monica Shokeen

2020-Current year OA Pubs

BACKGROUND: Radiological imaging plays an indispensable role in both preclinical and clinical studies of multiple myeloma (MM). However, manual quantification in longitudinal small animal PET/CT is limited by annotator bias, signal artifacts from urinary/fecal excretion, and voxel misalignment due to non-rigid registration. To address these challenges and improve characterization of tumor biology, we developed a semi-automated PET/CT quantification pipeline targeting defined regions of interest (ROIs) within the bone marrow-rich mouse skeleton, achieving sub-organ spatial resolution, including in anatomically complex sites such as the pelvis. We applied this MM-specific preclinical pipeline to analyze tumor distribution in a longitudinal molecular PET study …

20250731: Office Of Assessment, Program Reviews, 2000-2008, Academic Affairs

Guides to University Archives

These items include materials from the office of Academic Affairs at Marshall University from 2000-2008. Items were received in 2025 and include program reviews for undergraduate, graduate, and MU SOM programs. Please download the finding aid for a full list of contents.

A Technique For Estimating The Number Of Shoots On Pole-Sized Red Pine: The Relationship Of Selected Tree Parameters To Number Of Shoots In Central Wisconsin Sand Plains Plantations, J. H. Hainze, D. M. Benjamin

The Great Lakes Entomologist

Diameter at breast height (dbh) , of ten tree parameters tested, was most highly correlated with the number of shoots per tree in six red pine plantations in the central Wisconsin sand plains. Tree height, frequently used as an estimator of shoot number in young conifers, was not highly correlated with shoot number. A strong, nonlinear correlation existed between branch diameter and number of shoots per branch. Multiple regressions using several tree parameters yielded the highest R2 values, however, dbh was judged the simplest and most practical estimator of shoot number for central Wisconsin red pine plantations.

Record Of Michigan Mosquito Species (Diptera: Culicidae) Collected In A Natural Focus Of Jamestown Canyon Virus In 1984, Paul R. Grimstad, Michael J. Mandracchia

The Great Lakes Entomologist

Data are presented on the seasonal succession of 22 species of mosquitoes collected at the Houghton Lake Wildlife Research Area, Missaukee County, in northcentral Michigan during a three-month period in 1984. Nine species represent new county records.

Observations On The Nesting And Unique Cachement Behavior Of Calicurgus Hyalinatus (Hymenoptera: Pompilidae), Frank E. Kurczewski, Margery G. Spofford

The Great Lakes Entomologist

The components of the nesting and provisioning behavior of Calicurgus hyalinatus are delineated chronologically. The unique cachement of the prey, whereby the spider is suspended from vegetation by its own silken threads, is described. The nesting and provisioning components we observed are compared with those described in the Nearctic and Palearctic literature.

Nearctic Epiblema: A New Synonymy, A Revised Identity, And Two New Species (Lepidoptera: Tortricidae), William E. Miller

The Great Lakes Entomologist

New findings are reported for four species: Epiblema naoma Clarke is a junior synonym of E. iowana McDunnough; E. numerosana (Zeller) is currently misidentified; E. chromata, currently identified as the preceding, is described from Texas and differentiated from E. grossbecki Heinrich by maculation and female genitalia; and E. arctica, recently discovered in the Alaskan tundra, is described and differentiated from the boreal E. lyallana McDunnough by maculation and male genitalia.

Winter Wheat Cold Hardiness And Fructan Reserves Affected By Rhopalosiphum Padi (Homoptera: Aphididae) Feeding, S. G. Wellso, C. R. Olien, R. P. Hoxie

The Great Lakes Entomologist

The cold hardiness of 'Winoka' and 'Genesee' winter wheats was each significantly less (P = 0.05) when fed upon by bird-cherry oat aphids, Rhopalosiphum padi, than non-infested seedlings. Aphid feeding also reduced the amount of fructans in crown tissue ca. 20% compared to extracts from crowns of non-infested seedlings. It appears that the cold hardiness of these wheat cultivars may have been reduced because of fructan depletion by insect feeding.

Control Of Hyadaphis Tataricae (Homoptera: Aphididae) On Honeysuckle Including Observations On Host Plant Resistance, Philip L. Nixon, Carolyn Peet Nixon, James E. Schuster

The Great Lakes Entomologist

llyadaphis tataricae causes witches-brooming to the growing tips of Zabelii and other large bush-type honeysuckles in the north central states. Insecticide tests show that acephate (Orthene), dimethoate (Cygan), or oxydemeton-methyl (Metasystox-R) sprayed monthly in June and July will reduce witches-brooming. Malathion was not effective in reducing damage. Host plant resistance observations indicate that Lonicera x notha, L. x muendeniensis, L. x amoena 'Alba', L. x ).;ylosteoides, and L. tatarica 'Arnold Red' are ll. tataricae resistant. These large bush-type honeysuckles would appear to be good replacements for Zabelii and other susceptible honeysuckles in ornamental plantings.

Systematics Of Anepeorus (Ephemeroptera: Heptageniidae), W. P. Mccafferty, A. V. Provonsha

The Great Lakes Entomologist

The enigmatic genus Anepeorus has a confused and complex taxonomic history that is discussed and clarified. The genus is redefined and described in the adult stage. Although laryae have been assigned to Anepeorus, these larvae cannot be shown at the present to be Atnepeorus. Two North American species are known from a total of 10 adult specimens . . -tnepeorus rusticus McDunnough and A. simplex (Walsh) are redescribed, and a neotype is designated for the latter species. Genitalic differences are diagnostic, but the penes may be found in different states of inflation and rotation that should not be interpreted as …

The Glymphatic System And Sleep: Functional Relevance For Brain Homeostasis And Beyond, David Gozal

Marshall Journal of Medicine

It has been less than 15 years since the glymphatic system was identified. The discovery has revolutionized the understanding of the unique functions of cerebrospinal fluid (CSF) and the extracellular fluid within the central nervous system (CNS) and their unique connectivity to the rest of the body. The role of sleep in regulating glymphatic clearance from the brain and the potential reciprocal role of the glymphatic system in modulating regional neuronal activities, including sleep states, is rapidly emerging. It is shedding light on the role of sleep and the glymphatic system as toxic waste clearance facilitators for the brain, revealing …

Potential Impact Of Artificial Intelligence In Cardiovascular Medicine, Katherine Konczak, Elizabeth G. Dieter, Robert S. Dieter Ii, Robert S. Dieter Md, Rvt, Alm, Aravinda Nanjundappa Md

Marshall Journal of Medicine

Artificial intelligence (AI), particularly machine learning (ML), is increasingly transforming cardiovascular medicine by enhancing diagnostic accuracy, imaging analysis, risk prediction, and treatment planning. AI applications in imaging, such as echocardiography, cardiac computed tomography (CT), and magnetic resonance imaging (MRI), improve detection, automate measurements, and reduce variability. Deep learning models interpret electrocardiograms (ECGs) with high accuracy in electrophysiology, aiding early diagnosis of arrhythmias and inherited syndromes. In cardio-oncology, AI identifies cardiovascular risk markers in cancer patients and monitors therapy-related cardiotoxicity. AI-driven tools also support real-time procedural guidance and individualized therapy using electronic health records and imaging data. Despite promising outcomes, concerns …

Will There Be A Pill For That? ‘Money Dysmorphia’ And The Medicalization Of Struggles For Subsistence, Bojan Savic

Emancipations: A Journal of Critical Social Analysis

This article questions the rationality, operation, and effects of money dysmorphia as an emerging mental health diagnosis. It critiques the medicalization of financial angst amid the capitalist “polycrisis”, showing how the individuation and somatic pathologization of class subordination, socioeconomic precarity, and struggles for subsistence obscure capitalist inequalities, depoliticize them, and shield them from critique. I identify five concurrent strategies through which struggles for subsistence are medicalized: trivialization, reversal of social import, repetition, direct depoliticization, and the substitution of inequality with poverty. Furthermore, I show how the medicalizing discourse reifies money dysmorphia by constructing its social costs. The article concludes by …