Digital Commons Network^™

Effectiveness And Safety Of Intravenous Iron Therapy In Outpatient Obstetrical Clinic For Treatment Of Iron-Deficiency Anemia During Pregnancy, Ellen M. Murrin, Olivia S. Lebeau, Lillian Singer, Mark A. Kassab, Peyton Kalan, Julie Costanzo, Scott A. Sullivan, George L. Maxwell, George R. Saade, Antonio F. Saad

Department of Obstetrics & Gynecology Faculty Publications

Background

Iron-deficiency anemia (IDA) affects over one-third of pregnant patients globally, contributing to severe maternal morbidity and adverse neonatal outcomes. Oral iron supplementation, while cost-effective, is limited by poor absorption, significant gastrointestinal side effects, and poor adherence. The use of intravenous (IV) iron addresses many of these concerns, including eliminating GI side effects and the need for daily therapy. However, administration of IV iron in pregnant patients is typically restricted to specialized infusion centers or hospitals due to concerns about acute side effects, cost, resource utilization, the need for fetal heart rate monitoring, and extended infusion times.

Methods

This descriptive …

Llms Enhance Emotional Expression While Maintaining Analytical Depth In News Writing, Samuel Mazzone, Jonah Harlan, Larry Zhiming Xu, Terence T. Ow

Management Faculty Research and Publications

As the impact of generative artificial intelligence (GenAI) becomes increasingly evident in automated journalism, leveraging its potential while mitigating the risks becomes a priority in research. To address this need, our study evaluated the performance of large language models (LLMs) in news writing. We tested 11 LLMs by having them rewrite headlines and content from articles published by Milwaukee Neighborhood News Service (NNS) between 2011 and 2023. The analysis and comparison of 3,623 human-written and 39,853 AI-adapted news pieces showed that different LLMs consistently enhanced emotional expression in headlines (Cohen’s d = .33) and in news content (Cohen’s d = …

Reactive Power Potential: A Contribution Of Hydropower For The Energy Transition, Michael Bohlinger

Plymouth Business School Theses

The growing challenges of climate change and the urgent need to reduce carbon emissions make Germany’s Energy Transition a crucial step in addressing these global issues. Climate change, driven largely by rising CO₂ levels, demands a swift shift to renewable energy to minimise its impact on the environment and society. At the same time, the gradual phase-out of conventional power plants presents significant challenges for the electricity grid, especially in terms of expanding the network and ensuring its reliability. This study explores the critical role of hydropower plants in stabilizing the energy system. In addition to generating renewable energy, hydropower …

Investigating The Impact Of Human Resource Practices On The Experiences Of Nigerian Seafaring Officers: An In-Depth Analysis Of The Shipping Industry In Nigeria, Mariah Adeboboye

Plymouth Business School Theses

The maritime industry, a critical component of Nigeria's economic infrastructure, relies heavily on the expertise and dedication of its seafaring officers. Drawing on motivation and commitment theories, this study offers a thorough analysis of the prevalent shipping industry practices within the Nigerian setting, exploring the complex effects of human resource practices on the experiences of Nigerian seafaring officers. Taking a pragmatic ontological position supported by a mixed-methods approach, this study combined qualitative interviews with forty-five seafaring officers, six former seafaring officers and six maritime industry Human Resource managers, alongside crosstabulation analyses of 174 seafaring officer’s questionnaire responses. This study examines …

The Eastern Mediterranean Sea Energy Diplomacy: The Case Of Lebanon 2012-2022, Hoda Taktak

Plymouth Business School Theses

This thesis explores the geopolitical implications of energy discoveries in the Eastern Mediterranean Sea (EMS) region, with a particular focus on Lebanon's role within this complex dynamic. The research examines how energy governance, security challenges, and regional conflict and cooperation shape Lebanon's ability to leverage its energy resources from 2012 to 2022. Through interviews with thirty top professionals in the field, the study offers an in-depth examination of the evolving geopolitical and geoeconomic dynamics resulting from maritime boundary disputes, regional tensions, and Lebanon’s energy potential.While energy discoveries in the EMS region present significant opportunities, Lebanon faces challenges in unlocking its …

An Analysis Of Container Port Performance In Lower-Middle-Income Countries; A Case Study Of Nigeria Container Ports, Caleb Danladi

Plymouth Business School Theses

Container ports play a vital role in international trade, facilitating the movement of goods and supporting economic development. However, much of the research focus has been on high-income countries, with limited attention given to the performance of ports in LMI countries.This study investigates the performance of container ports in LMI countries, with a specific focus on Nigeria’s container port operations from 2001 to 2012, using a mixed-methods approach. The research is divided into two phases. In the first phase, a two-stage analysis is employed. First, a non-parametric Data Envelopment Analysis (DEA) and the Malmquist Productivity Index (MPI) are used to …

Tourists’ Immersive Experiences At Dark Tourism Destinations: The Role Of The Spiritualist Medium, Andrew Fry

Plymouth Business School Theses

While immersive experience and dark tourism are established fields, little research has examined how spiritualist mediums shape belief-led, emotionally resonant encounters at historically charged sites. This thesis addresses that gap by investigating how mediums influence emotional engagement, interpretive depth, and perceptions of authenticity. Centred on Bodmin Jail’s After Dark Event, the study adopts a sequential mixed-methods design and integrates quantitative patterns with qualitative mechanisms through joint QUAN–QUAL displays. Findings show that mediumship helps convert arousal into reflective meaning through ritual participation, atmospheric design, and interpretive trust. Anticipated theatricality heightened arousal and “staging” attributions, yet felt authenticity was sustained when the …

A Computational Approach To The Game Of Cycles, Jocelyn Garcia, Mike Janssen, Eliza Kautz

Faculty Work Comprehensive List

In Mathematics for Human Flourishing, Francis E. Su introduced The Game of Cycles, a game played on a finite simple planar graph. In game play, opponents alternate adding direction to the edges of the graph with the goal of creating a cycle or making the last legal move. Recent work has sought to determine winning strategies on certain classes of graphs. We introduce a tabular representation of a game state and provide a computer program that determines which player has a winning strategy on any legal game board. The program builds a directed graph of all possible game states, utilizing …

Reproductive Innovation And Reproductive Exceptionalism: How Private Health Insurance Coverage Of Fertility Treatment Complements Hostile Governmental Action And Expands Access To Assisted Reproduction In The United States, Myrisha S. Lewis

Faculty Publications

The use of fertility treatment and assisted reproductive technology (ART) in the United States and globally is increasing over time. As of April 2023, the World Health Organization estimates that approximately one in six individuals have faced infertility globally. Fertility treatment includes the use of drugs to stimulate egg production, in vitro fertilization (IVF), and, for some, the use of gestational surrogacy to aid in childbirth. Debates have abounded and continue to abound in federal legislatures, state legislatures, and society more broadly about the morality of abortion, contraception, and assisted reproduction, as well as whether governments, public insurers, and private …

Bringing Self-Determination Theory To The Forefront: Examining How Human Resource Practices Motivate Employees Of All Ages To Succeed, Rick A. Laguerre, Janet L. Barnes-Farrell

Management Faculty Research and Publications

Self-determination theory (SDT) is widely used in human resource (HR) practice studies to explain how HR practices impact work outcomes. However, there is little empirical evidence establishing the complete SDT mediational process in the HR domain, which entails basic psychological needs and motivation acting as mediators of relations between HR practices and work outcomes. The present study addresses this issue with a mixed methods approach. Using an item classification task with subject matter experts (N = 48), HR practices were classified as autonomy-, competence-, and relatedness-supportive. Based on this scheme, we tested an SDT-based conceptual model in a three-wave …

Weatherford: Undergraduate Catalog 2025-2026, Southwestern Oklahoma State University

Undergraduate Catalogs

No abstract provided.

Graduate Catalog 2025-2026, Southwestern Oklahoma State University

Graduate Catalogs

No abstract provided.

Protocol For Development And Validation Of An Early Intervention Device And Its Influence Using Structured Early Physiotherapy (Preemiestep) Intervention On Neuromotor Development In Preterm Infants, Indira D. B. Naidu Boddapati, Sivakumar Gopalakrishnan, Sonia Khurana, Jayashree Purkayastha, Bhaskar Bhatt, Bhamini Krishna Rao

Rehabilitation Sciences Faculty Publications

Early physiotherapy interventions for Moderate to Late Preterm (MLP) infants often lack continuity of care from hospital to home settings. This research aims to develop an Early Intervention (EI) device for home program and determine its influence using STructured Early Physiotherapy (Preemie STEP) intervention in MLP infants. For phase I, qualitative interviews will be conducted with healthcare professionals and parents, to understand user needs on developed prototype. Based on identified needs, an EI device will be developed using a human-centered design approach and iterative design process. In phase II, usability and validity of EI device will be …

Functional Outcome Of Radial Head Replacement And Lateral Ulnar Collateral Ligament (Lucl) Repair In Terrible Triad Injuries Of The Elbow: Can Associated Type I Coronoid Fractures Be Neglected?, Ansarul Haq Lone, Azad Ahmad Shah, Nadeem Ali, Imtiyaz Hussain Dar

Digital Journal of Clinical Medicine

Introduction: Type III coronoid fractures associated with terrible triad injuries of the elbow joint should always be stabilized. However, management of type I and type II fractures is debatable. In this study, we evaluate the functional outcome of neglecting type I coronoid fractures associated with terrible triad injury.

Methods: This prospective study was conducted on 20 patients with a type I coronoid fracture in terrible triad fracture dislocations of the elbow. All the patients were managed by radial head replacement and repair of the lateral collateral ligament without any fixation of the coronoid fracture. All the patients were evaluated clinically …

Adult Attention Deficit Hyperactivity Disorder: A Case Report, Anju Abraham, Kishor M, Bhawna Sharma

Digital Journal of Clinical Medicine

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that manifests in both childhood and adulthood. It is characterized by core symptoms such as inattention, hyperactivity and impulsiveness and impairment persisting into adulthood. Adult ADHD often coexists with other disorders including mood disorders, anxiety disorders, and substance use disorders, which complicate its diagnosis. Adults with ADHD may struggle with difficulties in focusing, organization, planning and impulsivity making it hard to sit still during exams or complete tasks efficiently. Restlessness, verbal outbursts and intrusiveness can strain relationships. These challenges impact academics, interpersonal relationships and daily functioning. Thus, there is a need …

Havana Syndrome: A Scientific Review Of An Unresolved Medical Mystery, Aishik Dutta

Digital Journal of Clinical Medicine

Background

Since 2016, U.S. and Canadian officials have reported Anomalous Health Incidents (AHIs), or "Havana Syndrome," characterised by a strange sensory experience followed by chronic neurological, cognitive, and vestibular issues. The cause is intensely debated, with primary hypotheses pointing to either psychosocial factors or a directed-energy weapon, creating a significant medical and geopolitical puzzle.

Methods

This review critically assesses the current evidence by analysing peer-reviewed clinical studies and major institutional reports.

Results

The findings are deeply contradictory. A 2020 NASEM report identified directed, pulsed radiofrequency energy as the most plausible mechanism for a core set of symptoms. Conversely, comprehensive 2024 …

Whipple’S Procedure Under Combined Segmental Spinal And Epidural Anesthesia With Enhanced Recovery: A Case Report, Abhirami Ravindran, Imran Ahmed Khan, Naresh Wamanrao Paliwal

Digital Journal of Clinical Medicine

The Whipple’s procedure (pancreaticoduodenectomy), is a complex surgery performed for various indications, usually under general anesthesia (GA). However, GA carries a significant perioperative risk, especially in patients with comorbidities. Combined segmental spinal and epidural anesthesia (CSSE) with low doses of local anesthetics and adjuvants may be a feasible alternative owing to hemodynamic stability, potentially reducing complications and promoting enhanced recovery.

We present a 43-year-old male with periampullary adenoma with high-grade dysplasia who underwent a Whipple’s procedure under CSSE due to high-risk features (e.g., severe jaundice, low blood pressure, and anemia) and chronic smoking and alcoholism. Thoracic epidural (T7–T8) and spinal …

Self-Inflicted, Non-Sexual, Non-Masturbatory Penile Fracture Case Report - An Atypical Presentation, Sajan Sehgal, Vijayakumar R, Sachin Dharwadkar, Amruthraj G. Gowda

Digital Journal of Clinical Medicine

Background: Traumatic injuries to the genitalia are uncommon due to the mobility of the penis and scrotum. Penile fracture is a relatively rare condition arising from disruption of tunica albuginea with rupture of the corpus cavernosum. In order to ensure that such an injury is not missed, it is necessary to have a high index of suspicion to diagnose this condition.

Result: Patient underwent an emergency repair of penile fracture.

Conclusion: We hereby, report a rare case of accidental, non-masturbatory, self-inflicted penile fracture which was diagnosed promptly based on clinical assessment, confirmed radiologically and managed surgically, resulting …

Case Series On Consultation-Liaison Psychiatry In Pain Abdomen With School Refusal Among Children, Jatin Kumar, Aditya Takiar, Kishor M, Sudhamshu K.C, Anil Kumar M.G., Prashanth S.N

Digital Journal of Clinical Medicine

Chronic abdominal pain is one of the most common causes of school refusal in children often leading to multiple hospital visits and expenses. This study was done to assess the psychiatric morbidity underlying functional gastrointestinal complaints in children presenting to paediatric surgery unit. We conducted a prospective case series (N=11; ages 8–13) of children referred from Paediatric Surgery between June and December 2025. All these children presented with idiopathic abdominal pain and a significant period of absence from school. These children were evaluated for any organic causes through the use of various investigations including imaging studies and were referred to …

Evaluating The Efficacy Of Vertical Integration In Training Undergraduate Medical Students Under Competency Based Medical Education Curriculum, Pratham Mehta, Yashika Sharma, Kishor M, Arun M

Digital Journal of Clinical Medicine

Background: The National Medical Council in the Indian Medical Graduate guidelines to enhance learning, recommends Vertical and Horizontal Integration. Vertical integration may be defined as a curricular strategy that aligns para-clinical and clinical teaching across time with a view to enhancing relevance and application of knowledge. The present study is an attempt to test whether vertical integration of Forensic Medicine and Psychiatry is associated with greater short-term learning gains and improved student perceptions compared with conventional didactic lectures.

Methods: With Institutional and Ethics Committee clearance, a two-phase quasi-experimental study was performed across two consecutive academic cohorts (Phase 1, …

Extracting The Future: An Analysis Of Petroculture In Apocalyptic Works, Cailey Poirier

Electronic Theses and Dissertations

This thesis explores the critique of petroculture seen in mid- and post-apocalyptic literature. Chapter One, “Parable of the Sower: A Pre-Apocalyptic World Planting Petrocultures Destiny” argues Octavia E. Butler’s Parable of the Sower critiques American petroculture by demonstrating the destruction and devastation society is heading for under current societal structures. Chapter Two, “The Road: The Crumbling Remains of Petroculture” argues Cormac McCarthy’s The Road critiques American petroculture through its infrastructural collapse. Chapter Three, “‘Covehithe’: A Weird, Post-Apocalyptic Story Birthing the Future of Petroculture” explores how China Miéville’s “Covehithe” employs magical realism to communicate a different view …

Gender And The ‘Natural’ Environment In The Middle Ages, Edited By Theresa L. Tyers And Patricia Skinner, Danielle Allor

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

Achieving Urban Resilience Strategies For Cities, Rehab Abdelfatah Abdel Aziz. Mahmoud

Mansoura Engineering Journal

The concept of the Resilient City is a relatively recent addition to urban planning discussions, gaining global attention due to the increasing need for cities to withstand urban, social, and environmental challenges. Urban resilience, alongside adaptability, plays a vital role in addressing these dynamic transformations. This research investigates how to implement urban resilience strategies to effectively respond to ongoing changes and sudden crises, such as terrorist attacks and natural disasters like floods, earthquakes, and hurricanes. The research identifies a critical gap in the absence of a comprehensive theoretical framework for evaluating the success of urban resilience strategies within cities’ planning …

Ad2c-Sg-Tl: Alzheimer's Disease Detection And Classification Based On Stacked Generalization And Transfer Learning Approaches, Mariam Gamal Alboghdady, Amira Y. Haikal, Hesham H. Gad, Noha A. Sakr

Mansoura Engineering Journal

Alzheimer's disease (AD) is a degenerative neurologic illness that causes brain atrophy and cell death. Although there is no cure for AD, diagnosing its onset can be very beneficial in the medical field.This paper presents a deep ensemble learning framework for classifying AD stages. Transfer learning (TL) is applied using eight pretrained convolutional neural networks (CNNs) (i.e., VGG16, VGG19, ResNet50V2, MobileNet, DenseNet121, DenseNet169, Xception and MobileNetV2). Stackedgeneralization ensembles techniques are used to provide greater generalization by combining finetuned models with five ensemble models. Using five different stacked ensembles (SE) models to improve the generalization.The ensemble model created by combining all …

Merging Biophilic Design Approach Into University Learning Interior Spaces: An Applied Experience, Sara M. Atwa

Mansoura Engineering Journal

Incorporating living elements into educational environments is a crucial matter, as many educational spaces are deprived of natural features. Designers should incubate this way of thinking to generate healthy and inspiring spaces for students. The biophilia hypothesis reveals that humankind has a genuine connection with the natural environment which makes us happier and healthier. Biophilic design has motivated architects to merge nature within the interior spaces using plants, reclaimed wood, water features, and daylight. Thereby, this manuscript debates that educational spaces – particularly in universities – requisite a sincere interaction with the nature environment by embracing biophilic design as an …

Effects Of Crevice Corrosion On Metal Adhesive Performance And Shear Strength In Marine Environments, Westin Johnson

Electronic Theses and Dissertations

Corrosion is a leading challenge that engineers and researchers face when working in marine environments. Annually, corrosion costs an estimated $2.5 trillion globally and can lead to environmental damage and pose a threat to public safety. This thesis investigates the effects of crevice corrosion on the performance of different epoxy adhesives when mated with stainless steel to determine if using epoxy is a viable option for the development of systems operating in marine environments. To accomplish this, metal-to-metal lap shear samples were created using Araldite 2015-1, Plexus MA560-1, Plexus MA310, and Plexus MA8120 epoxies and different preparation methods. These samples …

Directors’ Professional Experience, Firm Risk, And Corporate Policies, Esteban Hernandez

Electronic Theses and Dissertations

Essay 1 examines whether directors’ prior negative professional experiences— such as bankruptcies, stock price crashes, bond downgrades, and cash flow shocks— affect firm risk, financial policies, and performance. Using a panel of 48,288 board members across 5,324 U.S. industrial firms from 1984 to 2023, I construct a composite distress measure based on directors’ pre-board employment histories. Firms with a higher proportion of distress-experienced directors exhibit significantly lower return volatility, more conservative financial policies—including lower leverage, higher cash holdings, and reduced dividends—and greater policy persistence. These effects are strongest among independent directors and those chairing advisory committees. Causal evidence is supported …

Evaluation Of The Corrosion Of Metallic Fastener Joints In Composite Materials Immersed In Seawater, Chloe Derrico

Electronic Theses and Dissertations

The corrosion behavior of metallic fasteners in contact with composite materials in marine environments remains a critical concern for structural integrity and long-term performance. This study evaluates the corrosion of marine fasteners of various materials in contact with glass fiber, carbon fiber, hybrid glass-carbon fiber, and G10/FR-4 Garolite composite plates. The research focuses on localized corrosion mechanisms, include crevice and pitting corrosion, as well as the influence of composite interactions. Samples were exposed to three environmental conditions: full immersion tanks, tidal tanks simulating the high and low tides, and deployment on a barge on Florida’s intracoastal waterway, with antifouling paint …

Dual Language Programs: An Exploration, Amanda Burke

Electronic Theses and Dissertations

This research is an exploration into: 1) the utilization of programs that teach students English as a second language in the US, particularly Dual Language programs, 2) a history of research surrounding the formation of an individual or group identity, both overall and through an ESOL lens, and 3) how ESOL instruction in the US may be impacted by certain aspects of this identity construction.

After a review of research, this dissertation analyzes a cohort of students from the Palm Beach County School District who were enrolled in either a Dual Language program or in a “traditional” ESOL program from …

Dialectical Behavior Therapy Integration In Counselor Education: Theory, Development, Implementation, And Efficacy Of A Dbt-Informed Supervision Protocol For Counselor Trainees, Clara Bossie

Electronic Theses and Dissertations

This multi-manuscript dissertation illustrates the progression from theoretical development to practical intervention research in counselor supervision, introducing innovative supervisory practices in counselor education that balance well-being with academic rigor, addressing counselor trainees' common challenges such as anxiety, burnout, and limited self-efficacy. Following a literature review, this dissertation bridges theory and practice by offering counselor educators and supervisors a comprehensive, evidence-informed approach to developing resilient, competent, and psychologically well counseling professionals. The research progresses through three interconnected phases using qualitative and quantitative methods. Constructivist grounded theory (CGT) explores counselor trainees' supervisory experiences, highlighting the significance of responsive supervisory relationships and validation. …