Digital Commons Network^™

Wastewater Monitoring And Informed Consent: Interrogating The Research/Surveillance Binary Under The Common Rule, Morgan Cole

Maryland Law Review

No abstract provided.

Product Of Arachidonic Acid Oxidation Inhibits Neutrophil Migration By Forming The Inflammatory Substrate For Integrin Αmβ2, Jared Casteel

Dr. Jay W. Boland Research Day

Oxidation of arachidonic acid generates biologically active derivatives that play a critical role in shaping the inflammatory response. One such derivative, carboxypropylpyrrole (CPP), is a stable end-product of arachidonic acid oxidation that has been previously described and detected in inflamed tissues; however, its pathophysiological contribution to inflammation has not been investigated. CPP forms covalent adducts with the extracellular matrix and plasma proteins, altering their biochemical properties and receptor-binding characteristics. Here, we examined how CPP formation impacts neutrophil migration during acute inflammation. Using cell adhesion assays and biolayer interferometry, we identified integrins αMβ2 and αDβ2 as receptors for CPP-modified proteins. Among …

Appalachian Therapies, Emma Marie Wilson

Dr. Jay W. Boland Research Day

It is predicted that by 2050, deaths due to antibiotic resistance will supersede cancer and cardiovascular disease as the number one cause of death in the world. The present research aims to study the polymicrobial interactions of microbial communities in the Appalachian region. Microbial samples were obtained from mountains surrounding East Tennessee State University, isolated and screened against common human opportunistic bacteria. One particular bacterium, S1S4-10, was found to be antagonistic against Bacillus subtilis and created zones-of-inhibition on agar media. Reverse testing found that the B. subtilis did not have a counter inhibition against S1S4-10. Co-cultures found that S2S4-10 could …

Exploring Stress Contagion: The Effect Of Faculty Stress Levels On Occupational Therapy Graduate Students, Dana Kolbfleisch

The Open Journal of Occupational Therapy

Research has indicated a relationship between faculty and students as it pertains to stress levels and subsequent well-being in occupational therapy (OT) programs (Grab et al., 2021), a potential indication of a stress contagion effect. This research aimed to determine if faculty stress levels affect student stress levels in OT graduate programs. The researcher used an ecological correlational study design with a nonprobability convenience sampling procedure. Faculty and students (n = 19 and n = 165, respectively) from 367 accredited OT graduate programs across the United States completed a survey consisting of demographic questions and the PSS-10. In addition, OT …

A Multilevel Analysis Of Prescriber-Reported Buprenorphine Induction Challenges In Fentanyl-Endemic Settings, Alyssa Vawn Long

Walden Dissertations and Doctoral Studies

The emergence of illicitly manufactured fentanyl has increased clinical uncertainty during buprenorphine induction in medication-assisted treatment for opioid use disorder. The purpose of this quantitative, retrospective cohort study, guided by the Transtheoretical Model (TTM), was to examine whether prescriber-level buprenorphine induction practices and experiences with precipitated withdrawal were associated with reported buprenorphine induction challenges, and whether county-level fentanyl prevalence contributed to these challenges after accounting for geographic clustering. Secondary, de-identified archival data were obtained from the National Institute on Drug Abuse Clinical Trials Network study CTN-0134 and included 64 prescribers practicing in fentanyl-endemic settings. Buprenorphine induction challenges were operationalized as …

A Holistic Assessment Of Osteopathic Medical Student Well-Being And Self-Perceived Levels Of Happiness, Stress, And Satisfaction With Life, Brittany A. Mitchell

Theses and Dissertations

The purpose of this quantitative study was to assess the well-being of medical students and identify the primary factors influencing their well-being. In this manuscript-style dissertation, the empirical article assesses the well-being of medical students through the dimensions of wellness and investigates the significance of differences between each dimension and self-perceived levels of happiness, stress, and satisfaction with life. The practitioner article provides recommendations to practitioners to further support the well-being of osteopathic medical students. The sample for this study was medical students at an osteopathic medical school in the Philadelphia region. Data was collected using seven validated survey instruments: …

Discovering The World Of Honey Bees And Beekeeping, Natalie J. Carroll, Greg Hunt, Krispn Given

Purdue University Press Books

You don’t have to be a scientist or a lifelong beekeeper to fall in love with the world of honey bees. Discovering the World of Honey Bees and Beekeeping is designed to take anyone, regardless of their experience, on a rewarding adventure by first exploring the fascinating biology and behavior of these insects. This book is designed to help readers see the environment from a bee’s perspective, revealing the vital role pollinators play in our food systems and local ecosystems. Whether you are a student, a backyard gardener, or a nature lover, this guide provides a clear, step-by-step roadmap for …

Black Essential Workers Experiences With Long-Term Covid-19 Symptoms, Jeremiah Cedric Campbell

Doctorate in Kinesiology

The purpose of this dissertation study was to understand the perceived effects of long-term COVID-19 on Black essential workers at the height of the pandemic and overall impact on mental health. The researcher interviewed 19 Black essential workers from Texas, across economic sectors (e.g., healthcare, sanitation), and who experienced long COVID symptoms. Findings centered across four themes: asking for help during the pandemic, COVID symptoms, being Black, and mental health. Using a theoretical approach incorporating critical race theory and social determinants of mental health, findings revealed the ways systemic racism affected these Black essential workers. This research can inform culturally …

Reimagining Compassionate Release: A Lexicon For Change, Tom Nicklin, Sarah L. Cooper

Akron Law Review

No abstract provided.

From Hard Hat To Headache: Cryptococcal Empyema And Meningitis In A Newly Diagnosed Hiv-Positive Construction Worker, Sebastian Echegaray, Collin Vargas, Vy Ngo

Central & West Texas and San Antonio GME Research Day 2026

No abstract provided.

Fatal Ochrobactrum Anthropi Bacteremia Following Intravenous Stem Cell Therapy In Immunocompetent Patient, Daler Kudratov, Wendy Martinez, Jonathan Barnett

Central & West Texas and San Antonio GME Research Day 2026

No abstract provided.

An Unusual Brain Invader: A Case Of Adult Viral Meningitis, Gregory Williams, Jonathan Barnett

Central & West Texas and San Antonio GME Research Day 2026

No abstract provided.

A Model Based On Dynamic Hematologic Parameters To Predict Short Term Clinical Events In Pediatric Acute Lymphoblastic Leukemia ​, Neryal Tahta, Sali̇h Gözmen, Sultan Okur Acar

Turkish Journal of Medical Sciences

Background/aim: Acute lymphoblastic leukemia (ALL) treatment is frequently complicated by infections, emergency visits, and therapy interruptions, yet early prediction of short-term clinical deterioration remains challenging. Traditional prognostic markers rely on static laboratory values, whereas dynamic hematologic fluctuations may provide earlier warning signals. This study presents and internally validates a clinically applicable prediction model based on dynamic hematologic parameters and clinician-documented symptoms for predicting short-term (7-day) clinical events in children with ALL.

Materials and methods: Included in this retrospective study were 44 pediatric ALL patients treated with Berlin-Frankfurt-Münster-based protocols between January 2023 and June 2025. Weekly observation units were created by …

A Rare Case Of Disseminated Herpes Zoster, Reza Nasrollahzadeh, Andrea Francis, Rasmeet Kaur, Micheline Tantchou

Central & West Texas and San Antonio GME Research Day 2026

No abstract provided.

Modeling Bitcoin Dynamics Using Differential Equations, Boone M. Fleenor

Departmental Honors & Graduate Capstone Projects

In this thesis, we develop and analyze two nonlinear systems of ordinary differential equations to model Bitcoin price dynamics. Analytical techniques are used to obtain exact or approximate solutions where possible. Then, numerical simulations using a fourth-order Runge–Kutta method are employed to explore system behavior beyond analytically tractable regimes. Finally, model outputs are compared to historical Bitcoin price data using normalized and resampled time series. These results suggest that deterministic models can provide meaningful insight into the structural behavior of Bitcoin markets, while highlighting the need for stochastic or time-dependent extensions for more realistic modeling.

Post-Exposure Prophylaxis For Hiv Among Healthcare Workers In Türkiye: A Descriptive, Multicenter Retrospective Study, Veysel Akca, İlkay Akbulut, Gül Ruhsar Yilmaz, Alper Tahmaz, Nefi̇se Öztoprak Çuvalci, İlknur Esen Yildiz, Mehmet Çabalak, Şeyma Topal, Özgür Günal, Bi̇rcan Kayaaslan, Fatma Eser, Tuba Damar Çakirca, Deni̇z Ölmez, Ali̇ye Baştuğ, Fi̇rdevs Aksoy, Hani̇fe Nur Karakoç Parlayan, Beyza Süllü, Damla Verendağ, Hatun Öztürk Çeri̇k, Mehmet Ali̇ Aşan, Ayhan Akbulut, Gülden Eser Karlidağ, Behi̇ce Kurtaran, Hüsnü Pullukçu, Turhan Togan

Turkish Journal of Medical Sciences

Background/aim: Post-exposure prophylaxis (PEP) for human immunodeficiency virus (HIV) plays a vital role in preventing transmission among healthcare workers following occupational exposure. Despite its clinical importance, epidemiological data regarding PEP implementation in Türkiye remain scarce. This study aimed to assess PEP practices, prophylactic treatment regimens, and follow-up outcomes among healthcare workers at risk of occupational HIV exposure.

Materials and methods: This retrospective, multicenter study was conducted between January 2020 and December 2024 across 16 healthcare facilities participating in the National HIV/AIDS Working Group. Healthcare workers aged 18 years and older who presented for evaluation following occupational exposure to HIV were …

Comprehensive Profiling Of Gut Microbiota In Postmenopausal Osteoporosis ​, Gülsemi̇n Ertürk Çeli̇k, Sedat Yildiz, Münevver Aksoy Bektaş, Yaprak Engi̇n-Üstün

Turkish Journal of Medical Sciences

Background/aim: Osteoporosis is a multifactorial skeletal disease that predominantly affects postmenopausal women and is characterized by reduced bone mass and an increased risk of fractures. Growing evidence suggests that the gut microbiota plays a pivotal role in bone metabolism through immunological, endocrine, and metabolic pathways, forming the basis of the so-called gut– bone axis. This study aimed to characterize gut microbiota composition in postmenopausal women with osteoporosis compared with healthy controls.

Materials and methods: Forty postmenopausal women aged 55–65 years were classified into osteoporosis (n = 20) and healthy control (n = 20) groups based on dual-energy X-ray absorptiometry T-scores. …

The Deregulation Of Cancer, Daniel G. Aaron

Texas A&M Law Review

Fifty years ago, the U.S. embarked on a radical new path. Under pressure from the environmental movement, Congress passed an array of statutes aimed at regulating carcinogens out of our world. This regulatory experiment sprawled from air and water to food and consumer products.

Legal scholars have paid scant attention to this wave of cancer regulation despite its size and importance and the public’s apparent interest in avoiding carcinogens. But there is a growing literature finding flaws with individual regimes within the framework, such as the Clean Air Act, the Toxic Substances Control Act, and the Tobacco Control Act. In …

Safety And Efficacy Of Ciltacabtagene Autoleucel For Relapsed/Refractory Multiple Myeloma: A Cibmtr Study., Doris K Hansen, Danai Dima, Hira Mian, Jakob Devos, Ruta Brazauskas, Temitope Oloyede, Aimaz Afrough, Nausheen Ahmed, Larry Anderson, Rahul Banerjee, Jesus G Berdeja, Aram Bidikian, Binod Dhakal, Ajoy Dias, Yvonne Efebera, Muhammad Salman Faisal, Lohith Gowda, Hamza Hashmi, Abu-Sayeef Mirza, Meera Mohan, Ravi Narra, Ashley E Rosko, Mark Schroeder, Taiga Nishihori, Heather Landau, Saad Usmani, Marcelo C Pasquini, Othman S Akhtar, Surbhi Sidana, Krina K Patel

Oncology Articles

Ciltacabtagene autoleucel (cilta-cel), an anti-B-cell maturation antigen (BCMA) chimeric antigen receptor T-cell (CAR-T) therapy, was approved in 2022 for heavily pretreated relapsed/refractory multiple myeloma (RRMM). This study evaluates the safety and efficacy of cilta-cel in RRMM patients reported to the Center for International Blood and Marrow Transplant Research registry between March 2022 and December 2023 who met commercial release specifications. Among 595 patients, median age was 64 years, 57% were male, and 70% had ≥1 comorbidity. Extramedullary disease and marrow plasma cell burden ≥ 50% were present in 13% and 14% of patients, respectively. The median number of prior lines …

Enhanced Dietary Monitoring Using Fecal Genomics For Childhood Malnutrition Interventions, Ammara Aqeel, Najeeha T Iqbal, Sanam Iram Soomro, Sheraz Ahmed, Teresa K Mcdonald, Olivia Osborne, Sharon Jiang, Nolan Ives, Kazi Ahsan, Fayaz Umrani, Michael J Barratt, Jeffrey I Gordon, Syed Asad Ali, Lawrence A David

2020-Current year OA Pubs

Ready-to-use therapeutic and supplementary foods (RUTF/RUSF) are a primary treatment for childhood malnutrition in Community Management of Acute Malnutrition (CMAM) programs. However, measuring intervention compliance is labor intensive and unreliable. We applied FoodSeq, a fecal genomic dietary assessment biomarker, in malnourished infants (3-15 months) from Matiari, Pakistan. FoodSeq identified a significant increase in the abundance of DNA from chickpea, a primary RUSF ingredient, during RUSF administration and captured region-specific complementary feeding practices, including age-inappropriate feeding practices such as wide-spread tea consumption. Our findings highlight the potential of dietary genomics as an empirical and scalable tool for compliance monitoring and dietary …

Assessing Current Telehealth Mobile Applications In The United States: Accessibility, Privacy, And Care Delivery, Rosemary K. Frugé

Honors Theses

Telehealth has improved patient access by reducing barriers to convenient, cost-effective, and quality health care. Telehealth mobile applications allow individuals to remotely access services through smartphone-based platforms. The purpose of this study was to evaluate leading telehealth applications available in the United States, analyzing key factors that influence platform selection, including cost, prescribing and diagnostic capabilities, user feedback, and data privacy practices. Applications were identified through keyword-based searches of major app stores using the term “telehealth,” and each app was systematically evaluated using predefined criteria. Findings highlight variability across platforms in pricing transparency, service offerings, and privacy disclosures, despite generally …

Karlester Young V. Kip Hallman

2026 Decisions

USDC for the Eastern District of Pennsylvania

Experiences And Service-Uptake Factors Of Receiving And Providing Care For Meningitis And Its Sequelae: A Qualitative Systematic Review, Margarita Andreeva, Maria Pyatnitskaya, Karina Kochneva, Ekaterina Sviatskaia, Maria Spryshkova, Melissa Meyer, Dina Baimukhambetova, Mark Kosenko, Aigun Mursalova, Nina Avdeenko, Elena Kondrikova, Jonathan Zheng, Ka Yan Cheung, Audrey Dunn Galvin, Tom Jewell, Zoe Moula, Sarah Neill, Mikhail Zinchuk, Alla Guekht, Daniel Munblit

School of Nursing and Midwifery

Background: Meningitis is a life-threatening condition with substantial morbidity and mortality, especially in low- and middle-income countries (LMICs). While quantitative research has enhanced the understanding of diagnostic and treatment efficacy, qualitative data regarding the lived experiences remain underexplored. This systematic review synthesises qualitative evidence on the experiences of patients, caregivers, and healthcare providers regarding meningitis diagnosis, treatment, and care, as well as the barriers and facilitators influencing service uptake and provision. The review aimed to inform the development of World Health Organization guidelines for improving meningitis care. Methods: This systematic review was registered in PROSPERO (CRD42024514413). A comprehensive search of …

The Fact Of Learning Economics At National University Of Laos During The Pandemics Covid-19 In Lao Pdr, Phousith Phongsavath, Agus Hermawan, Imam Mukhlis

Jurnal Pendidikan Humaniora

The out-breaking of Pandemics Covid-19 which is affected to many countries and regions in the world in the term of education. This study uses a qualitative approach which is the type of research is Phenomenology (case study). This type of phenomenological research is used due to it is oriented to the topic of teaching-learning economics course of teachers and students in National University of Laos. The determination of this research subject with the Snowball Sampling technique and the data collection techniques with in-depth interview and documentation. The finding results of this research found that learning economics in National University of …

How Do Vaccines Work?, Natalie Small

Osmosis Magazine

No abstract provided.

Structural Transformation Of A Hydrogel-Forming Cell Division Protein Zapb Of Multidrug Resistant Klebsiella Pneumoniae With Small Molecules, Ayesha Khan, M. Iqbal Choudhary, Sumaira Javaid, Humaira Zafar, Innokentiy Maslennikov, Atia-Tul Wahab

Pharmacy Faculty Articles and Research

Septal ring assembly protein ZapB (EMR18431.1) is involved in Z-ring formation, and nucleoid segregation during the bacterial cell division . It promotes cell division in the initial stages of the cell cycle through direct interaction with FtsZ, thus stimulating Z-ring assembly. The ZapB inhibition can make bacterial cell susceptible to primary antibiotics, and therefore considered as an important approach for adjuvent therapy against MDR bacterial infections. Hence in the current study, ZapB protein of multidrug resistant Klebsiella pneumoniae was cloned, and expressed in E. coli system. To understand its role, and to assess the mechanism of ZapB activation, the characteristic …

2026 North Texas Gme Research Forum Program, Hca Healthcare

North Texas GME Research Forum 2026

No abstract provided.

Massive Septic Shock And Complex Survivorship In A Medically Complex Pediatric Patient Following Gastrostomy Tube Malposition With Operative Findings Of Feed Within The Retrorectus Space, Samira R. Haberman, Christopher M. Ahmad, Olivia R. Kaufman, Rae-Anne Kastle, Brett Dunbar

Student Publications

Gastrostomy tube (G-tube) replacement is often routine; however, in children with complex medical needs, misplacement can rapidly lead to life-threatening complications. We describe the case of a 16-year-old male patient with neuronal ceroid lipofuscinosis who developed fulminant septic shock after accidental G-tube dislodgement and malposition. At an outside hospital, reinsertion attempts required tract dilation; bloody aspirate and inconclusive radiographs were overlooked, and feeds were resumed at home. After 48 hours, the patient presented to a community hospital in profound shock (blood pressure 40/20 mmHg, lactate 7.8 mmol/L, procalcitonin >50 ng/mL) with extensive abdominal wall emphysema and feed extravasation into the …

Navigating A Delicate Balance: Antibiotic Allergy In The Setting Of Renal Infection And Diabetic Ketoacidosis, Aun Bangash, Muhammad Bangash, Ruben M. Martinez Meza

School of Medicine Publications

Acute pyelonephritis is a bacterial infection of the renal parenchyma that requires prompt recognition and antibiotic therapy to prevent complications such as sepsis and chronic renal inflammation. We present a case of a 26-year-old woman with poorly controlled type 1 diabetes mellitus and a documented beta-lactam allergy who presented with atypical symptoms, including flank pain without urinary complaints. Laboratory evaluation demonstrated leukocytosis with a negative urinalysis. CT of the abdomen revealed left lobar nephronia with early contralateral involvement of the right kidney. Given her allergy history, she was treated with levofloxacin. During her hospital stay, she developed nausea, vomiting, and …

Factors Related To Self-Care Behaviors Among Older Adults For Communicable Disease (Cd) Protection In The Eastern Economic Corridor (Eec) Of Thailand: A Case Study Of Covid-19, Surasingha Sombat Suranartwatchawong, Sane Saengngoen, Supaporn Sudnongbua

Journal of Health Research

Background: The impact of COVID-19 is particularly severe for older adults, who represent the most vulnerable demographic. Using COVID-19 as a case study, this research investigates the factors influencing self-care behaviors for preventing communicable diseases (CD) among older adults in the EEC.

Methods: The study with a cross-sectional design involving 387 older adults aged 60 years was conducted between January and March 2025. The questionnaire was valid and reliable based on objective congruence (IOC) index and Cronbach’s alpha coefficients. Data analysis utilized both descriptive and inferential statistics.  Frequency, percentage, standard deviation, and multiple linear regression analysis were employed …