Digital Commons Network^™

Relationship Between Sociodemographic Characteristics At Presentation And Outcomes Of Provoked Venous Thromboembolism In United States Children: A Secondary Analysis Of The Multinational Kids-Duration Of Therapy For Thrombosis Trial., Hope P. Wilson, Maua M. Alleyne, Sanjay Ahuja, Ernest Amankwah, Aisha Bruce, Shannon L. Carpenter, Fernando F. Corrales-Medina, Craig A. Mullen, Arun Panigrahi, Lakshmi Srivaths, Courtney D. Thornburg, Anupam Verma, Gary Woods, Neil A. Goldenberg, Madhvi Rajpurkar

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Venous thromboembolism (VTE) is associated with adverse long-term sequelae, including recurrence and development of chronic venous insufficiency following limb deep vein thrombosis (postthrombotic syndrome [PTS]). Adult VTE studies have demonstrated that lower socioeconomic status, Black race, and Latinx ethnicity are associated with an increased risk of recurrence. Clinical trial-derived pediatric VTE data are limited.

OBJECTIVES: The objective of this study was to assess whether clinical features of provoked VTE and outcomes vary across sociodemographic characteristics and proxies for social determinants of health among children enrolled in the Kids-duration of therapy for thrombosis trial.

METHODS: We conducted a secondary analysis …

Clinical Ethics Training Needs Among Pediatricians And Pediatric Residents In Ethiopia: Conference-Based Cross-Sectional Survey., Betelehem Kassa, Addishiwot Melesse, Eyob Kebede Etissa, Bitseat W. Haile, Atnafu Mekonnen Tekleab, Stephanie Kukora

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Pediatricians encounter ethically challenging cases in clinical practice throughout the world. In Ethiopia, ethically distressing pediatric cases are heightened by limited resources, lack of ethical frameworks to guide clinical care and withdrawal of supportive therapies, absence of child protection laws, and dearth of trained ethics consultants or institutional ethics committees providing clinical ethics consultation. Ethics training remains limited in undergraduate medical programs and absent in the resident curriculum at most institutions.

METHODS: A survey of Pediatric Residents and Pediatricians attending the Ethiopian Pediatric Society's 24th Annual Conference on March 2023 was conducted using a self-administered, clinical ethics needs assessment. …

How To Tell A True Food Allergy From An Intolerance, Sarah Gubara, Aarti Pandya

Pediatrics in Practice: A CME Podcast

This episode explains the key history elements and symptom timeline that differentiate an IgE-mediated food allergy from an intolerance or sensitivity, so clinicians and parents can make safer, evidence-based decisions. Aarti Pandya, MD, Medical Director of the Food Allergy Center at Children’s Mercy, reviews symptom patterns, timing and red flags for anaphylaxis. Learn about food allergy testing, IgE-mediated food allergy, anaphylaxis action plan, epinephrine auto-injector, food intolerance and when testing is truly warranted.

Click here to stream the podcast episode.

Robust Graph Learning On The Web: Challenges, Methods, And Applications, Ao Xiang, Yang Liu, Guansong Pang, Yuanhao Ding, Hezhe Qiao, Dawei Cheng, Qing He

Research Collection School Of Computing and Information Systems

Graph learning is transforming web intelligence, powering applications from recommender systems to anomaly detection. However, most existing approaches implicitly assume ideal conditions where training and testing data are accurate, complete, and free from manipulation. In reality, web environments rarely exhibit such stability. Dynamic user behavior, incomplete or outdated content, adversarial interference, and sudden distribution shifts can all erode the reliability of even state-of-the-art models, leading to biased or unsafe outcomes. This tutorial provides a comprehensive survey of emerging strategies for robust graph learning on the web. We first present a structured taxonomy of the principal robustness threats specific to web …

Idenscarty: Sewing As A Coping Mechanism Beyond Reductive Aesthetics And Capitalism, Edward Berchie Osei

Graduate Theses and Dissertations

The act of sewing, an intergenerational craft often subordinated to aesthetics and capitalism, is being recognized for its benefit to emotional well-being, identity (re)formation, cultural continuity, and communal interconnectedness. In this context, this thesis emerges from my lived experiences and artistic inquiry into how sewing, slow-sewing in particular, can serve as a therapeutic practice, with special consideration for contemporary art pedagogy. Central to the thesis is the concept of IDENSCARTY, which combines themes of identity, scars, and transcultural influence to project the responsive abilities of Therapeutic Sewing Practices (TSP), a term that highlights the workability of slow-sewing practices. Informed by …

Analisis Environmental Kuznets Curve Dan Foreign Direct Investment Di Sulawesi, Fadel Firmansyah, Meity Ferdiana Paskual, Laendatu Paembonan, Musdayati Musdayati, Muhammad Ichsan

Jurnal Ekonomi dan Pembangunan Indonesia

This study examines the relationship between economic growth, foreign direct investment (FDI), and environmental quality across the six provinces of Sulawesi within the Environmental Kuznets Curve (EKC) framework. Using panel data for 2015–2024, the study applies the Panel Autoregressive Distributed Lag (Panel-ARDL) model with the Pooled Mean Group (PMG) estimator. The results confirm a long-run EKC relationship, indicating that environmental quality initially deteriorates and subsequently improves as income increases. Meanwhile, FDI has a negative but statistically insignificant effect, while short-run dynamics remain heterogeneous across provinces due to differences in economic structures, investment characteristics, and environmental management

Infrastruktur, Kelembagaan Tani, Kemandirian Ekonomi Desa: Geografi Dan Paradoks Kepemimpinan Di Indonesia, Tri Wahyu Cahyono

Jurnal Ekonomi dan Pembangunan Indonesia

This study examines determinants of village economic independence (PADes) in Indonesia, focusing on infrastructure, social capital, and leadership. Using 2024 PODES census data (N=84,240) and clustered logistic regression, results show road infrastructure as the strongest factor (OR: 2.27). A “leadership paradox” emerges, where higher education of village heads negatively correlates with PADes formation. Geographic analysis reveals infrastructure effectiveness depends on topography, with lowland areas gaining the greatest structural advantage. Findings highlight the need for topography-based policy differentiation to strengthen fiscal independence in rural Indonesia.

Litigating The Youth Mental Health Crisis: Mechanisms To Regulate Addictive Social Media Design, Talia Elliott

Washington and Lee Law Review

While social media offers real benefits to users, such as providing access to information and facilitating the free exchange of ideas, excessive social media use is associated with increases in anxiety, depression, and other serious mental-health harms. Social media platforms are designed to maximize profit by capturing user attention, resulting in interfaces that are dangerously addictive and prone to exposing users to harmful content. Currently, social media users alone bear the burden of navigating the dangers of social media. This is untenable. Young users, whose less developed brains leave them more vulnerable to addictive design features, find self-regulation especially challenging. …

Classification Of Aircraft Checklist Usability Problems Using Natural Language Processing, Borvorn Kasemtanakul

Doctoral Dissertations and Master's Theses

The use of checklists has been identified as a recurring issue in aviation accident investigations, highlighting the need for continued improvement in aircraft checklist design. However, existing aviation safety taxonomies do not systematically address checklist usability problems. Therefore, a systematic classification of these problems is needed to support the extension of existing aviation safety taxonomies and to facilitate safety data analysis for checklist design improvements. Furthermore, applications of Natural Language Processing (NLP) techniques in aircraft checklist research remain underexplored, despite their potential to identify meaningful patterns in textual safety data.

This exploratory research aimed to develop a data-driven classification of …

Compact Cislunar Orbital Representation For Efficient Tracking In Cislunar Space, Mauro Palomo

Doctoral Dissertations and Master's Theses

Expanding lunar missions require efficient, interoperable orbital tracking where existing methods fail to scale. Two-Line Elements (TLEs) lack applicability beyond geocentric regimes, while high-accuracy Orbit Ephemeris Messages (OEMs) require excessive data volumes and bandwidth to communicate. To support increased lunar traffic, this paper proposes the Compact Cislunar Orbital Representation (CCOR), providing a novel framework that strikes a balance between TLE level efficiency and OEM-level fidelity, ensuring multi-actor communication for missions in the cislunar region. By evaluating the framework across six diverse cislunar trajectories, this study demonstrates the CCOR’s robustness and ability to compress thousands of OEM state vectors into a …

Experimental-Motion-Driven Cfd Investigation Of Slosh Dynamics In Propellant Tanks Of Spacecraft And Launch Vehicles, Priyanshu Savaliya

Doctoral Dissertations and Master's Theses

Liquid sloshing in partially filled propellant tanks can generate transient forces and moments that affect spacecraft and launch vehicle stability, guidance, and control. This research develops a one-way experimental-to-Computational Fluid Dynamics (CFD) integration framework to investigate free-surface slosh behavior under realistic excitation conditions.

The overarching goal of this thesis is to develop and evaluate a one-way experimental-motion-driven computational framework for predicting liquid slosh response in a partially filled cylindrical tank. Rather than relying on idealized sinusoidal inputs, this work uses experimentally measured actuator-feedback motion as the prescribed excitation for high-fidelity CFD. The central objective is to establish the experimental and …

A Machine-Learning-Based Systematic Framework For Modeling Compression And Recompression Indices For Florida Soils, Michael Morales

Doctoral Dissertations and Master's Theses

This thesis develops a machine-learning framework for estimating the compression index and the recompression index of Florida soils from routinely measured index properties, and reports two studies that build it. Consolidation settlement design requires both indices, and both are obtained from the incremental-loading oedometer test, which occupies a specimen for one to two weeks; the index tests that accompany it are complete within hours. Empirical correlations have filled that interval since the 1950s, but their coefficients are calibrated on specific soil populations and transfer poorly between regions. The first study analyzes 376 consolidation tests compiled for the Florida Department of …

Evaluating The Safety Efficiency Of U.S. Air Traffic Control Tower Operations Using Data Envelopment Analysis, Kenneth James Gilbert Ii

Doctoral Dissertations and Master's Theses

Air traffic control (ATC) tower safety efficiency remains inadequately measured despite critical workforce challenges, including staffing shortages, training pipeline constraints, and geographic retention difficulties. This mixed-methods study developed and validated a comprehensive framework for measuring tower safety efficiency by integrating subject-matter expert insights with multi-model data envelopment analysis (DEA) across 66 Federal Aviation Administration (FAA) tower facilities from 2016 to 2024. Six focus group interviews with experienced professionals (100% with > 20 years of experience), averaging 96.4 minutes, identified critical efficiency factors through systematic coding, achieving substantial inter-rater reliability (Cohen's kappa 𝜅 = .68). Qualitative findings showed that staffing shortages don't …

Noise-Optimized Routes For Air Taxi, Waleed Raza

Doctoral Dissertations and Master's Theses

Community noise is a primary barrier to the public acceptance and deployment of Advanced Air Mobility (AAM) and Urban Air Mobility (UAM) air taxi operations. This dissertation develops a coupled siting, routing, and noise optimization framework that links vertiport placement to its downstream acoustic consequences, demonstrated through a Daytona Beach case study. Candidate vertiports are screened and selected using accessibility, safety, demand, and feasibility criteria, and the selected sites form a directed network of 20 routes. Each trajectory is evaluated with a physics-based acoustic pipeline reporting Lmax, SEL, and EPNL at school, hospital, and residential receptors, showing that received exposure …

Online Ppo-Based Multi-Hop Task Offloading Strategy For Vehicular Edge Computing, Wenzhu Zhang, Yuewei Bian, Fuli Xiong, Siqi Cai

Journal of System Simulation

Abstract: To address the problems of frequent communication link interruptions caused by dynamic network topologies and the sharp increase in computational complexity triggered by high-dimensional decision spaces in the vehicular edge computing (VEC) environment, a multi-hop task offloading strategy for VEC based on an online PPO algorithm was proposed. A multi-hop task offloading optimization model simultaneously considering link effective time, transmission rate, and computing resource constraints was constructed; a multi-hop A* path search algorithm integrating link stability and end-to-end delay was designed; an online offloading decision framework based on PPO was proposed, which transformed the 0-1 mixed integer nonlinear programming …

Webinar 2 Systemic Coherence For Content-Based Eld, Slide Deck 7.28.26, Center On English Language Proficiency

Webinars

No abstract provided.

Comparative Analysis Of Task Scheduling In Multi-Tier Fog-Cloud Computing: From Classical Approaches To Greedy Multi-Objective Optimization, Zafril Rizal M. Azmi, Najmul Haque, Saydul Akbar Murad

Faculty Publications

Fog computing extends cloud services to the network edge, enabling low-latency processing for time-sensitive applications. However, scheduling complexity significantly increases due to heterogeneous resources, dynamic workloads, and strict Quality-of-Service (QoS) constraints. Although numerous scheduling techniques have been proposed, existing studies often assess only a narrow subset of algorithms or rely on offline metaheuristics unsuitable for real-time environments. This paper presents a comprehensive comparative evaluation of twelve scheduling algorithms, including five classical, one heuristic, and six metaheuristic-inspired approaches, within a realistic 20-node multi-tier fog-cloud topology. Across 1,365 experiments spanning seven utilization levels, we analyze each algorithm’s deadline adherence, load distribution, and …

Deporting Disability, Tania N. Valdez

Utah Law Review

Since the enactment of the earliest migration laws in the United States, people with disabilities have been targeted for exclusion and expulsion based on stereotypes that they are either dangerous or not productive. Although some of the pejorative language regarding disability in the Immigration and Nationality Act (INA) has changed over time, certain statutory provisions and the very structure of the INA still allow ableism to operate broadly in immigration adjudications. This Article focuses on the subtle, but pervasive, ways that immigration law disfavors noncitizens with disabilities. In particular, this Article examines ableism in the context of removal (commonly known …

Learning From Lochner: When Children Are Harmed By Technological Revolutions, Brooke Hodson Davies

Utah Law Review

Drawing on parallels from child labor reform in the Second Industrial Revolution, this Note argues that stopping Big Tech’s harm to children in the Fourth Industrial Revolution requires Congressional legislation and judicial avoidance of Lochnerian approaches to the Constitution. Like its Big Business predecessors, today Big Tech maximizes profits by harming kids, necessitating government intervention of this market failure. Despite noble attempts, state-based efforts have been rendered relatively ineffective due to legislative non-uniformity, interstate competition, and enforcement limitations. Likewise, federal regulations currently in place fall short and even shield Big Tech from liability. Consequently, Congressional action is urgently needed. Critically, …

Pathologic Misclassification Of Renal Cell Carcinoma In Adolescents And Young Adults, Megan Stout, Derek B. Allison, Leslie Peard, Will Cranford, Yana B. Feygin, Kara Mcabee, Christopher J. Mclouth, Patrick J. Hensley, Jason R. Bylund, Amanda F. Buchanan

Biostatistics Faculty Publications

Background and Objective: Diagnosis of TFE3-rearranged RCC (tRCC) requires a pathologist’s expertise and a high index of suspicion. The objectives of this study were to determine the rate of misclassification of RCC in the adolescent and young adult (AYA) patient population, identify any clinically significant impact associated with misclassification, and compare oncologic outcomes between patients with tRCC vs. other RCC subtypes. Methods: All patients < 50 years who underwent renal surgery and were diagnosed with renal cell carcinoma at a single institution from 2004 to 2019 were identified retrospectively. Pathology specimens were reviewed by a genitourinary pathologist. Changes in a pathologic diagnosis were denoted as “misclassified.” Clinical and oncologic data were analyzed comparing misclassified and non-misclassified groups as well as tRCC and other RCC diagnoses. A survival analysis was used to compare oncologic outcomes. Results: In total, 169 patients were identified, and 20/169 (11.8%) patients were misclassified after pathologic review, with 50% (n = 84) of this cohort < 40 years of age at diagnosis. There were significant differences between misclassified and non-misclassified groups with respect to race (p = 0.002), Appalachian county status (p = 0.035), and initial RCC subtype (p = 0.004). There were no significant differences in clinical or oncologic outcomes between tRCC and other RCC groups. There were no significant differences in time to death or recurrence in misclassified vs. non-misclassified patients (p = 0.83 and 0.68, respectively) or between patients with tRCC and other RCC subtypes (p = 0.45 and 0.062, respectively). Conclusions: >10% of patients with RCC were misclassified on the original pathologic diagnosis; however, there was no significant impact on oncologic outcomes. This identifies diagnostic blind spots for tRCC diagnosis in a young cohort. Perhaps reflex IHC …

From Theory To Practice Implementing A Mission, Vision, And Values Statement To Support Change In An Academic Library Liaison Program, Patricia Fiorillo, Kristy Padron

Faculty Scholarship

Academic library liaison programs historically varied in their functions and adapted to their organizational needs and priorities. This case study examines the integration of a mission, vision, and values statement into the liaison program at Florida Atlantic University Libraries. Originating from business and organizational theories, these statements have been adopted by nonprofit organizations, including academic libraries, to guide administrative processes and services. The study highlights a re-visioning of an established liaison program during a period of transition. This fostered a shared understanding of the library’s priorities and documented its goals and objectives. This alignment was particularly crucial as Florida Atlantic …

Cultural Effectiveness In Early Care And Education Systems In New Hampshire Project Summary, Evan England

New Hampshire Early Care and Education Research Consortium

No abstract provided.

Assessing Hpv And Hpv Vaccine Awareness And Perception Amongst Undergraduate Students, Maura Hawkins

Honors Theses

Human Papillomavirus (HPV) is one of the most common sexually transmitted infections in the United States. Vaccination rates remain low among college-aged students despite an effective vaccine being available. This study investigates HPV and HPV vaccination-related knowledge, beliefs, and perceptions among undergraduate students to inform targeted intervention strategies. Participants included undergraduate students (n = 19) who attended one of three focus groups conducted in April 2025 at the University of South Alabama. Structured interview guides explored HPV knowledge, perceived risk and severity, attitudes towards vaccination, autonomy in health decision-making, trust in health information sources, and preferred educational strategies. Discussions were …

Fractured Focus: Understanding Stress In Second-Year Radiologic Science Students Across Alabama, Kelsi Clotfelter

Honors Theses

Higher education is a period of rapid transition and growing responsibility, where stress often becomes a routine part of students’ lives. In health professional programs, the combined demands of intensive coursework and clinical training can intensify emotional strain and negatively affect overall well-being. Radiography students experience uniquely high levels of academic, clinical, and emotional stress due to the simultaneous demands of didactic coursework, competency-based clinical training, and high-stakes professional expectations. A cross-sectional mixed-methods study was employed to evaluate the prevalence, sources, and perceived impact of stress among second-year radiography students across multiple Alabama institutions with the goal of identifying strategies …

How Important Is Clean Energy To Utahns?, Elizabeth Brunner, Stacia Ryder

Utah People and Environment Poll (UPEP)

Utah's energy mix has changed significantly over the past several decades as it has moved to cleaner forms of generation. For example, according to the Energy Information Administration, in 2024, coal fueled about 45% of Utah's total electricity net generation, down from 75% in 2015. As can be seen in the chart below, the state anticipates demand growth, with further reductions in coal alongside a significant increase in solar, storage, and natural gas by 2032. Though not represented in these charts, plans for nuclear power generation have been proposed in Brigham City as well as outside of Green River. Utah …

Reducing Missed Opportunities For Crc Screening Via Provider Reminder System In A Primary Care Setting, Komfort Cofield

Doctor of Nursing Practice Projects

Background: Although highly preventable with screening, colorectal cancer (CRC) continues to be a major source of illness and mortality in the United States. Healthcare providers at the Doctor of Nursing Practice (DNP) project site inconsistently ordered CRC screening for eligible patients due to deficiencies in the point-of-care reminder system. These system failures created missed opportunities for CRC prevention and reduced compliance with established practice guidelines.

Purpose: This DNP project aimed to implement and evaluate a CRC screening checklist given to patients at appointment check-in, serving as a reminder for providers to order appropriate screening tests.

Project Design: Using the National …

Addressing Hypertension Medication Non-Adherence Through The Use Of Reminders And Morisky Medication Adherence Scale In Adults Diagnosed Within The Past Year In A Rural Primary Care Clinic, Amanda M. Weaver

Doctor of Nursing Practice Projects

Background: Adherence to antihypertensive medications is essential for decreasing long-term consequences of uncontrolled hypertension, including stroke, kidney failure, and cardiovascular diseases. However, nonadherence is a widespread problem among patients diagnosed with hypertension. In patients who have been diagnosed with hypertension in the past year, more than half stop taking their medications. Mobile health interventions, such as text message or telephone reminders, are a low-cost way to improve medication adherence.

Purpose: The purpose of this Doctor of Nursing Practice project is to examine how a weekly text message or telephone reminder impacts medication adherence among patients taking antihypertensives in a rural …

A Multifaceted Approach To Human Papillomavirus (Hpv) Vaccine Uptake Among Adolescents Ages 10-14 In A Public Health Clinic, Amy T. Norris

Doctor of Nursing Practice Projects

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and a leading cause of several preventable cancers. Although the HPV vaccine is safe, highly effective, and routinely recommended for adolescents, vaccination rates remain below national targets, particularly in rural and public health settings. Multiple internal and external factors contribute to low HPV vaccination rates in public health settings.

Purpose: The Doctor of Nursing Practice quality improvement project aimed to increase HPV vaccine uptake through the implementation of a multifaceted, evidence-based intervention.

Project Design: Guided by Pender’s Health Promotion Model and the Reach, Effectiveness, Adoption, …

Reducing Missed Appointments In An Ambulatory Infusion Center, Jacqueline G. Jones

Doctor of Nursing Practice Projects

Background: Missed appointments at ambulatory infusion centers (AIC) continue to be a problem, even with improved scheduling systems and care coordination efforts. Nationally, missed appointment rates average 10%–12%, and in Central Alabama, the rate is 11.7%. However, one local AIC has a much higher missed-appointment rate of 17.8%. Missed appointments lead to wasted facility resources, increased healthcare costs, and interruptions in infusion therapies.

Purpose: This Doctor of Nursing Practice project used live reminder calls to help lower missed appointments in an AIC. The goal was to improve attendance, reduce missed appointments, and maintain consistent care.

Project Design: Over ten weeks, …

Improving The Accuracy Of Medication Reconciliations For Medicare Advantage Patients At A Primary Care Clinic Using An Interdisciplinary Team, Sallie Mann

Doctor of Nursing Practice Projects

Background: Medication-related problems (MRPs) are a significant and often preventable cause of patient harm, particularly among older adults with complex medication regimens. In primary care settings, inaccurate or incomplete medication reconciliations contribute to adverse drug events, avoidable hospitalizations, increased healthcare costs, and reduced patient satisfaction.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate whether implementing an interdisciplinary medication reconciliation process using the Medications at Transitions and Clinical Handoffs (MATCH) Toolkit would improve reconciliation accuracy in Medicare Advantage patients aged 65 and older in a primary care clinic.

Project Design: This DNP project used the …