Digital Commons Network^™

Primary Breast Sarcoma In Pediatric, Adolescent, And Young Adult Patients: A Single-Institution Retrospective Review, Amelie D. Perrier

Summer Research Program Abstracts

No abstract provided.

Enhancing Agricultural Sustainability Under Climate Change: A Multi-Scale Framework Integrating Climate Extremes, Resource Efficiency, And Data-Driven Modeling, Shahryar Fazli

Computational and Data Sciences (PhD) Dissertations

Agricultural systems are increasingly challenged by climate variability, where shifting temperature regimes, hydrological variability, and the rising frequency of compound and cascading extremes threaten global food security and resource sustainability. Addressing these challenges requires integrated frameworks that bridge biophysical monitoring, predictive modeling, and adaptive decision-making. This dissertation develops a data-driven, multi-scale framework to quantify and enhance agricultural resilience by integrating remote sensing, climate analytics, and machine learning across the United States, with a focus on California and the Western U.S.

First, hyperspectral and thermal remote sensing data from EMIT and OpenET are integrated to characterize crop nitrogen–water interactions and assess …

Changing Expectations In Higher Education Post-Pandemic, Gregory R. Mackinnon, Tyler Maclean, Mohamad El Maouch, William Yuan, Zhao Kaibin, Bi Dandan, Marwa Saab

Journal of Global Education and Research

A sample of higher education students in Canada and China was surveyed and interviewed to ascertain any changes in their educational expectations given their experiences with emergency remote teaching during the pandemic. In addition, the instructors of these students were interviewed to corroborate student feedback. The research suggested that students in Canada and China expressed expectations of increased flexibility and improved pedagogy. Whereas Canadian students were overtly demanding of the instructor and the educational system, Chinese students were comparatively subtle in their expectation that the post-pandemic level of support be maintained. The primary concern of the Chinese cohort was a …

Advancing Blended Education: Caribbean Lecturers’ Reflective Narratives Of Caution, Creativity, And Change, Mia A. Jules, Donna-Maria B. Maynard, Grace A. Fayombo, Jason E. Marshall, Tanya Newton, Kamilah Hutson, Amanda Kellman, Cherise Bynoe, Mikaila Collymore, Jo-Ann Prosper-Chase, Laura Lee Foster, Adicia Clarke

Journal of Global Education and Research

Blended teaching requires lecturers to constantly self-reflect on their pedagogical practice to enhance student learning. However, there is yet to be a significant corpus of literature that highlights the cognitive resources that lecturers in higher education should possess to effectively use blended learning strategies. It is important to understand the intellectual resources required for blended pedagogy so that such capabilities can be fostered during faculty-training programs; ultimately resulting in innovative strategies to ensure quality learning outcomes and the advancement of university-level blended teaching mandates. This qualitative case study explored how twelve Caribbean lecturers experienced and navigated the teaching process in …

Ambulatory Blood Pressure Variability In Prediction Of Target Organ Injury: The Ship Ahoy Study, Coral D Hanevold, Jang Dong Seo, Stephen R Daniels, Bonita E Falkner, Michael A Ferguson, Joseph T Flynn, Julie R Ingelfinger, Philip R Khoury, Marc B Lande, Kevin E Meyers, Mark Mitsnefes, Joshua Samuels, Elaine M Urbina

Faculty, Staff and Student Publications

Background: Ambulatory hypertension is associated with elevated left ventricular mass index (LVMI), cardiac dysfunction, and increased arterial stiffness in adolescents. Whether the addition of measures of BP variability improves the prediction of subclinical cardiovascular target organ damage (TOD) over mean BP measures is not known.

Methods: We assessed clinic and ambulatory BP (ABP), anthropometrics, and TOD in 397 adolescents. ABP means standard deviation (SD), BP, and heart rate (HR) dipping were calculated; coefficients of variability (CV) were calculated (SD/mean) to assess ABP variabilities. Measures of TOD included LVMI, left ventricular hypertrophy (LVH), LV systolic shortening, LV diastolic function (e'/a'), and …

In-Hospital Mortality Patterns And Readmissions In Patients With Chronic Obstructive Pulmonary Disease: An Analysis Of The Role Of Pulmonary Hypertension, Saad Afzal Khan, Trishna Parikh, Adishwar Rao, Akriti Agrawal, Aarohi Parikh, Farah Kazzaz, Sarah Shin, Harry Karmouty-Quintana, Maulin Patel, Kha Dinh, Bela Patel, Bindu Akkanti

Faculty, Staff and Student Publications

Chronic obstructive pulmonary disease (COPD) may be complicated by pulmonary hypertension (PH). We aimed to understand the impact of PH on in-hospital mortality and quantify the 30-day readmission rate among patients with COPD. For this cross-sectional study, we used the Nationwide Readmissions Database from 2017-2020 to identify adults ≥18 years with COPD. Patients were stratified according to PH diagnosis. Baseline characteristics between groups were compared using the Pearson chi-square test and two-sample t-test. Predictors of in-hospital mortality were determined using multivariate logistic regression analysis adjusted for demographics and confounders. The 30-day readmission rate and prevalence of PH subgroups by baseline …

Gender Gap In Returns To Publications, Piotr Śpiewanowski, Ivan Stetsyuk, Oleksandr Talavera

All Works

Gender equity in science depends not only on who participates in research, but also on how their work is rewarded. We examine gender gaps in monetary returns to research productivity, pay, and credit attribution using a novel dataset linking salary and publication records for professors at U.S. public universities. While our main contribution shows that there is no robust evidence of a significant gender gap in monetary returns to publications, we uncover substantial heterogeneity across disciplines and authorship structures. Women in medical and health sciences experience a negative gap in returns of 10.7% relative to men for equivalent research output. …

Individual And Household Factors Associated With Tungiasis In A Marginalized Population In Karamoja, Northeastern Uganda, Lynne Elson, Abneel K. Matharu, Berrick Otieno, Hermann Feldmeier, Charles Waiswa, Amina Abubakar, Jürgen Krücken, Ulrike Fillinger, Francis Mutebi

All Peer-Reviewed Publications

Background: Tungiasis is a neglected tropical skin disease caused by adult female fleas which burrow into the skin of people and animals, causing considerable pain and itching. The distribution of the disease is heterogeneous, with Napak district, Karamoja sub-region of northeastern Uganda having the highest disease burden recorded globally. We aimed to determine the factors associated with this high prevalence to inform future intervention strategies. Methods: We conducted a cross-sectional study to identify factors associated with infection of individual children and adults, and a nested case–control study to identify factors for whole households (families). Infected children were identified through mass-screening …

The Impact Of Testing-Parameter Variability On Force Production In The Isometric Single-Leg Long-Lever Bridge: Implications For Training And Testing Rigor In Sporting Environments, Adam E. Sundh, Nicholas J. Ripley, A. J. Lamb, Conor J. Cantwell, Paul Comfort

Research outputs 2022 to 2026

Background: The aim of this study was to determine the impact of knee angle variability on force production outcomes during the single-leg isometric long-lever bridge, thus providing monitoring guidelines for testing rigor with direct implications for feasibility across a variety of high-performance sporting environments. Methods: Thirty men (age: 19.4 ± 1.3 years; height: 179.8 ± 6.3 cm; body mass: 80.4 ± 10.3 kg) and 14 women (age: 20.0 ± 1.3 years; height: 166.9 ± 7.2 cm; body mass: 64.4 ± 7.4 kg) all of whom were Division 3 athletes with no recent injury history volunteered to participate in the study. …

Body Composition And Muscle Health Changes After Providing Vascular Imaging Results In Older Adults: Secondary Analysis Of A Randomised Controlled Trial, Jack Dalla Via, Simone Radavelli-Bagatini, Marc Sim, Abadi K. Gebre, Catherine P. Bondonno, Kun Zhu, Shelby Mullin, John T. Schousboe, Richard J. Woodman, Markus P. Schlaich, Moira Sim, Pawel Szulc, Douglas P. Kiel, Wai H. Lim, Robin M. Daly, Jonathan M. Hodgson, Joshua R. Lewis

Research outputs 2022 to 2026

Background: Provision of vascular imaging results has been investigated to prompt changes towards healthy lifestyle behaviours, but effects on body composition and muscle health are unknown. Aim: This secondary analysis of a 12-week parallel-group randomised controlled trial (RCT) aims to explore body composition and muscle health effects of providing healthy lifestyle education (Ed) with and without abdominal aortic calcification (AAC) results. Methods: A total of 240 Australian community-dwelling older men and women (mean ± SD age 68 ± 5 years; 58% female; 57.1% with evidence of AAC) were randomised to AAC + Ed (n = 121) or Control + Ed …

Green Waste Biochar And Plant Growth-Promoting Bacteria Enhance Tomato Growth Under Combined Nutrient Deficiency And Salinity Stress, Soumaya Tounsi-Hammami, Munawwar Ali Khan, Mahra Alqemzi, Salama Ali Almehairi, Aneesa Rasheed Anwar

All Works

This study characterized a green-waste-derived biochar from date palms and ghaf trees and investigated its potential as a soil amendment with halotolerant Bacillus spp. to improve tomato seedling quality under dual stress of salinity and nutrient deficiency. Biochar was produced through pyrolysis at 450 °C and then characterized for yield, pH, electrical conductivity, proximate analysis, surface morphology, energy-dispersive X-ray spectroscopy, and heavy-metal content. Its effectiveness was tested both alone and in combination with a Bacillus sp. mix, using a completely randomized design with varying NPK fertilizer levels and saline irrigation. Tomato seedlings were evaluated 45 days after planting for various …

Artificial Intelligence (Ai) For Social Innovation In Health Education: Promoting Health Literacy Through Personalized Ai-Driven Learning Tools – A Systematic Review, Dina Mansour Tbaishat, Maha Waleed Elfadel

All Works

Background: Artificial Intelligence (AI) is transforming health education by enabling personalized, adaptive, and scalable approaches that may enhance aspects of health literacy. Despite rapid adoption, comprehensive synthesis of AI tools’ impact on health literacy as social innovation is limited. Understanding these effects guides educators, developers, and policymakers in designing potentially effective, inclusive, and ethical AI interventions. This review examines generative AI models, chatbots, and adaptive learning systems in supporting health literacy globally. Methods: A systematic review was conducted following PRISMA guidelines. Literature was identified primarily through PubMed/Medline, Scopus, and ScienceDirect. Connectedpapers.com was used exclusively as a citation chasing tool, performing …

Radio Frequency Tagging–Enabled Patient Monitoring: Integrating Mobility Tracking With Early Warning Systems For Enhanced Safety, Ahed Abugabah, Prashant Kumar Shukla, Piyush Kumar Shukla, Abhishek Dwivedi

All Works

Ensuring patient safety in healthcare environments requires continuous monitoring systems capable of identifying early warning signs of clinical risk. Traditional surveillance methods often fail to capture meaningful patterns in patient movement, limiting their ability to prevent incidents such as falls, prolonged immobility, or unnoticed health deterioration. Radio Frequency Tagging technology has been increasingly adopted for real-time patient tracking; however, existing systems are generally limited to location detection and lack predictive insights into patient behaviour. To overcome these limitations, this study presents a Radio Frequency Tagging-based patient monitoring framework that integrates mobility tracking with an early warning mechanism to enable proactive …

A Robust Approach For Olive Leaf Disease Detection In Uncontrolled Environments, Rima Grati, Khouloud Boukadi, Emna Ben Abdallah, Ahmed Seffah

All Works

Detecting diseases in olive leaves is crucial for maintaining tree health and ensuring stable olive production. Early signs of infection often appear on the leaves, making them a key indicator for timely disease detection and intervention. Traditionally, farmers rely on visual inspection or laboratory tests to diagnose plant diseases. However, recent advancements in deep learning (DL) have significantly improved the accuracy and efficiency of olive leaf disease diagnosis. Numerous studies in the literature have explored this task using CNN-based architectures and, more recently, Vision Transformers. While these models have shown promising performance on benchmark datasets, they are often trained and …

Engineering Sulfur Concrete Mixes: A Data-Driven Approach To Aggregate Packing And Binder Efficiency, Vasilia Al Khaldi, Abdel Hamid I. Mourad, Maisa El Gamal

All Works

Processing window (mass loss < 3%). A first-order, order-of-magnitude carbon-footprint estimate—presented with explicit caveats rather than as a full life-cycle assessment—indicates that replacing Portland cement with by-product sulfur is the dominant contributor to a substantial reduction in embodied CO₂ per cubic metre relative to equivalent-strength Portland cement concrete. The valorization of steelmaking by-products aligns with circular economy principles, enabling high-performance, recyclable, and low-carbon construction materials without chemical binder modification.

An Advanced Healthcare System With An Automated Vit Model For Dermoscopic Skin Cancer Identification, Ahed Abugabah, Prashant Kumar Shukla, Suchi Mishra, Abhishek Dwivedi

All Works

Early and reliable diagnosis of skin cancer from dermoscopic images remains challenging due to class imbalance, subtle inter-class variations, lesion boundary ambiguity, and illumination inconsistency, which can degrade the robustness of conventional convolutional neural networks (CNNs). To address these limitations, this study proposes an automated smart healthcare framework for dermoscopic skin cancer diagnosis using an Enhanced Vision Transformer (E-ViT) that improves global-context modeling through self-attention while strengthening fine-grained lesion representation learning. Unlike standard ViT configurations, the proposed architecture integrates multi-scale patch embedding and attention refinement to better capture border irregularities and color–texture heterogeneity that are critical for melanoma discrimination. Furthermore, …

Reimagining Sustainable Sulfur Concrete: A Systematic Review Of Sulfur, Waste Integration, And Durability, Vasilia Al Khaldi, Abdel Hamid I. Mourad, Maisa Elgamal

All Works

Sulfur concrete (SC) - a thermoplastic, waterless composite in which molten sulfur-based binder replaces Portland cement - is attracting growing research attention as a sustainable construction alternative capable of superior performance in chemically aggressive environments. This systematic literature review synthesises evidence from 127 sources (2000–2025), examining three interlinked dimensions: (i) the role of waste and industrial by-product materials as aggregate and filler substitutes; (ii) the influence of aggregate type, morphology, and grading on mechanical and microstructural performance; and (iii) durability under acid, saline, and freeze-thaw exposures. A transparent, PRISMA-aligned screening and classification protocol - here used as a structured review …

The Role Of Corporate Sustainability Goals In Shaping Organizational Intentions And Adoption Of Green Technologies In Small- And Medium-Sized Enterprises, Syed Zamberi Ahmad, Abdul Rahim Abu Bakar, Imane Belyamani, Manar Fawzi Bani Mfarrej

All Works

This study investigates green technology adoption (GTA) among small and medium-sized enterprises (SMEs) in the United Arab Emirates (UAE), focusing on the influence of corporate sustainability goals (CSG) and sustainability motivation (SM). Utilizing institutional theory, the theory of planned behavior (TPB), and resource-based view (RBV), the research highlights how SMEs integrate environmental, social, governance (ESG) and economic considerations into their CSG to enhance GTA. Addressing a gap in prior research that has largely emphasized external drivers of adoption while underexploring internal organizational mechanisms, the study conceptualizes CSG as strategic intent and models SM as a second-order construct . Based on …

Comparative Performance Of Physiological Vital-Sign Forecasting Under Random And Patient-Wise Splitting Using Deep Learning, Lavanya Vasavi Chittem Reddy

Theses and Dissertations

Physiological vital-sign forecasting estimates future measurements based on recent temporal patterns and can support analysis of continuously recorded monitoring data. This study comparatively evaluated deep feedforward, recurrent, bidirectional recurrent, long short-term memory, and bidirectional long short-term memory architectures for one-step-ahead forecasting of peripheral oxygen saturation, heart rate, and pulse rate. Each model received consecutive observations of peripheral oxygen saturation, heart rate, pulse rate, respiratory rate, and age, while separate single-output models predicted the next value of the selected target.

Random and patient-wise data splitting were compared using identical input definitions, preprocessing procedures, model architectures, and training hyperparameters. The strongest architecture …

Mtorc2-Nav1.2 Signaling Drives Early Hyperexcitability In Alzheimer’S Disease Mouse Model, Nolan M Dvorak, Jeffrey L Noebels

Faculty, Staff and Students Publications

Hyperexcitability is a biomarker of early-stage Alzheimer’s Disease (AD) and hastens cognitive decline later in its course. Mechanistic target of rapamycin (mTOR) signaling contributes to the slope of this trajectory, as evidenced by early increased brain expression and the rescue of hyperexcitability by genetic deletion of mTOR complex 2 (mTORC2); however, a molecular mechanism directly linking mTOR signaling to membrane hyperexcitability in early-stage AD remains elusive. Here, we show that hyperactive mTOR signaling stimulates the voltage-gated Na+ channel 1.2 (Nav1.2), a previously identified downstream phosphorylation target of mTORC2 and a key regulator of membrane electrogenesis. Augmented Nav1.2 channel function induced …

Harnessing Insect-Derived Oils For Enhanced Efficacy Of Plant-Based Repellents Against Disease-Transmitting Mosquitoes, John Bwire Ochola, Cynthia M. Mudalungu, Hosea O. Mokaya, Xavier Cheseto, Gilvian N. Onsomu, Subramanian Sevgan, Segenet Kelemu, Baldwyn Torto, Chrysantus M. Tanga

All Peer-Reviewed Publications

Mosquito-borne diseases such as malaria, dengue, chikungunya, Zika, and yellow fever pose a growing global health threat, worsened by resistance to synthetic pesticides. This study evaluated insect oils from Schistocerca gregaria, Ruspolia differens, and Macrotermes spp. as adjuvants in plant-based mosquito repellents. The formulations were tested for complete protection time (CPT) against Anopheles gambiae, Aedes aegypti, and Culex quinquefasciatus, and volatile organic compounds (VOCs) emitted from treated volunteers were analyzed. Incorporating insect oils doubled CPT compared to essential oils alone. The most effective blend of Macrotermes oil with Cymbopogon nardus (1:1) achieved CPTs of 3.50 h for An. gambiae, 2.56 …

Producer Organizations, Productivity And Sustainable Intensification Practices In Oil Palm Production, Martin Paul Tabe-Ojong, Abebayehu Girma Geffersa, Kibrom T. Sibhatu

All Peer-Reviewed Publications

Oil palm production is expanding in traditional farming and forested areas, especially in West and Central Africa around the Congo Forest Basin and mostly characterized by declining yields and yield gaps. Due to typically non-binding land access, independent producers tend to prioritize extensification over intensification, which has negative environmental consequences. Sustainable intensification (SI) of smallholder production is a guiding paradigm that aims to increase yields while minimizing negative environmental impacts. In this study, we examine the relationship between producer organizations (POs), sustainable intensification practices (SIPs), namely mulching and intercropping, and oil palm yields in Cameroon. We estimate actual and counterfactual …

Harnessing Digital Twin (Dt) Technology For Food Security And Climate Resilience In Sub-Saharan Africa (Ssa), Henri E.Z. Tonnang, Francis Chianu, Siyabusa Mkuhlani, Francis Muthoni, John Michael Humphries Choptiany, Franck B.N. Tonle, Bonoukpoe M. Sokame, Mercy Lung’Aho

All Peer-Reviewed Publications

Sub-Saharan Africa (SSA) faces chronic food insecurity despite possessing approximately 60% of the world’s uncultivated arable land. Field trials generate evidence but are costly and insufficiently scaled to address accelerating climate and demographic pressures. Digital twin (DT) technology, defined as the continuous, bidirectional virtual replication of physical systems using real-time data, supports monitoring, modelling, and optimisation of agrifood systems. To our knowledge, however, no published synthesis has examined DT agriculture research through the lens of SSA food systems or smallholder farming realities. A PRISMA-compliant systematic review was conducted across bibliographic databases using a pre-defined Boolean search and adapted PICOS eligibility …

Sociodemographic And Clinical Factors In Nmosd And Mogad: Disability, Psychiatric Burden, And Disparities, Neha S. Patil

Summer Research Program Abstracts

No abstract provided.

Evaluating The Role Of Perineural Invasion In The Risk Of Local Recurrence Of Cutaneous Melanoma After Adjuvant Radiation Therapy, Riya T. Patel

Summer Research Program Abstracts

No abstract provided.

Biomechanical Gait Analysis To Classify Neurological Gait Scores In A Spina Bifida Sheep Model, Shreya Pandiri

Summer Research Program Abstracts

No abstract provided.

Improving Adhd Screenings Through Quality Improvement, Workflow Optimization, And Evaluation Of A 6-Item Short Form Screening Tool, Paris A. Nix

Summer Research Program Abstracts

No abstract provided.

Environmental Or Occupational Heavy Metal Exposure In The Development And Progression Of End Stage Kidney Disease: A Systematic And Network Meta-Analysis, Lauren Nguyen

Summer Research Program Abstracts

No abstract provided.

The Roddey Mcmillan Record - November 25, 2025, Winthrop University

The RMR 2020-2029

The Roddey McMillan Record (RMR) is Winthrop’s monthly multicultural student publication. The RMR has been a significant voice of the minority population of the Winthrop community since its creation by Gail Harris in April 1986. It promotes awareness and understanding of issues concerning minorities for the prosperity of the entire Winthrop community. The purpose of the RMR is to shine light on the many diverse cultures at Winthrop, focusing on issues, concerns and happenings of those who represent the multicultural community on campus. The Roddey McMillan Record is named after Dr. Cynthia Roddey and Atty, Sheila McMillan. Cynthia Roddey was …

The Benefits And Barriers To Expanding Crna Programs In Michigan, Grace Van Zweden

Honors Theses

The demand for Certified Registered Nurse Anesthetists (CRNAs) and their delivery of safe, high-quality anesthesia care has increased significantly due to nationwide anesthesia provider shortages and the growing reliance on CRNAs to meet healthcare system needs. This demand underscores the importance of expanding nurse anesthesia programs in Michigan and across the United States to support nurses pursuing advanced education and to improve patient access to essential care within their communities. The CRNA profession has evolved over time to meet the changing needs of the healthcare system, and current CRNA programs require applicants to satisfy rigorous and highly specific admission criteria. …