Digital Commons Network^™

Staged Bilateral Magnetic Resonance‐Guided Focused Ultrasound For Treating Essential Tremor: Systematic Review And Meta‐Analysis, Nima Norbu Sherpa, Andrea Gonzalez Lezana, Gabriela Prilip, Kenji Fukutome, Nathan J. Pertsch, Ruth Reeve, Nadège Bault, Elsa Fouragnan

School of Psychology

BackgroundUnilateral magnetic resonance guided focused ultrasound (MRgFUS) thalamotomy reduces tremor in essential tremor, yet disability often persists on the untreated side. The added benefit and safety of a staged contralateral lesion remain uncertain.ObjectiveThe aim was to evaluate the efficacy and safety of staged bilateral MRgFUS thalamotomy for essential tremor.MethodsWe searched MEDLINE, EMBASE, Web of Science, Cochrane CENTRAL, Scopus, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform from inception to April 12, 2026 (PROSPERO CRD420251027624). Eligible studies were staged bilateral MRgFUS with Clinical Rating Scale for Tremor outcomes and adverse events, and at least 3 months of follow up. …

Enabling Asl Digital Communication Under Poor Internet Access, Swann Thantsin

Student Theses

Video conferencing degrades asymmetrically. When bandwidth falls, a hearing caller loses picture quality and keeps the conversation; a deaf and hard of hearing signer, whose language is carried entirely in the visual modality, loses the conversation. This thesis asks whether signed video reduced to the rates at which commercial platforms fail can be reconstructed at the receiver well enough to keep signing legible. A twostage reduction pipeline crops to the signer and transmits the face and hands at higher fidelity than their surroundings, achieving a reduction of approximately 99%; reconstruction uses a recurrent bottleneck mixer architecture, trained both conventionally and …

Robustness Assessment Of Head And Neck Proton Therapy Plans Using Composite Synthetic Cts: A Preliminary Step Toward Ai Driven Anatomy Prediction Planning: A Retrospective Dosimetric Study., Ryan Michael Rodriguez

Masters Projects

Proton therapy is more commonly being utilized for head and neck cancer treatment due to its ability to reduce dose to the surrounding normal tissue. However, one of the biggest challenges in proton treatment is its sensitivity to changes in tissue density, often necessitating adaptive replanning. This study evaluated if incorporating additional synthetic CTs (sCT) datasets during robust optimization can create treatment plans that maintain target coverage and organ sparing despite anatomical changes better than the original nominal plan, thereby reducing the need for adaptive planning in head and neck proton treatment. Ten head and neck cancer patients who underwent …

The Role Of Parents In Supporting Student Learning At Home, Lindsey M. Deblaay

Masters Projects

This study addresses the pedagogical disconnect between modern, inquiry-based mathematics instruction and traditional caregiver support structures. While caregiver involvement has proved to be helpful in student achievement, systematic barriers that limit family’s capacity, parent self-efficacy and their willingness to use learning strategies at home, the perception of the parent role of caregivers in their child’ s education makes it difficult. The curriculum prioritizes conceptual number sense and critical thinking rather than rote standard algorithm, so it has created a barrier in parent support among caregivers with these instructional shifts. It diminishes parent self-efficacy particularly in fifth grade. The project features …

Comparison Of The Effects Of Spinal Versus General Anesthesia On The Perioperative Intraocular Pressure: A Prospective, Randomized Clinical Trial, Muzaffer Gencer, Mehmet Yalvaç

Saudi Medical Journal

Objectives: To evaluate the effects of spinal and general anesthesia on the intraocular pressure (IOP) in patients, who had lumbar spine and lower extremity orthopedic surgeries Methods: Sixty adult were randomly classified into Group spinal anesthesia (SA) and Group general anesthesia (GA). The IOP, mean systemic arterial pressure, and heart rhythm were measured at 6 pre-determined timepoints (T0: Baseline, T1: Before spinal procedure or anesthesia induction, T2: After injection with intrathecal or anesthesia induction, T3: 5th minutes (min) after spinal procedure or tracheal intubation, T4: 30th min intraoperative, T5: At the end of surgery, T6: 5th min after surgery or …

Establishment Of A Specialized Pectus Clinic: Referral Patterns, Diagnostic Characteristics, And Early Management Experience At A University Hospital, Zeead M. Alghamdi

Saudi Medical Journal

Objectives: To describe the establishment and early impact of a dedicated pectus clinic at a university hospital, focusing on patient characteristics, referral pathways, clinical presentation, and initial management strategies. Methods: A retrospective observational study was conducted at a university hospital between January 2020 and April 2025, with 153 patients included in the final analysis. Data collected included demographic characteristics, referral sources, clinical presentation, deformity type, and treatment options. Descriptive statistical analysis was performed. Results: The mean patient age was 18.3 (range 1–44) years, with males accounting for 83.9% of cases. Pectus carinatum was the most common diagnosis (48.1%), followed by …

Patterns And Determinants Of Medication Errors Across The Medication-Use Process: A 3-Year Retrospective Study In A Saudi Tertiary Hospital, Nawaf S. Alqurashi, Mazen S. Alshehri, Mohammed J. Almalki, Mustafa M. Muradkhudhari, Rozan M. Radwan, Mohammed M. Aldurdunji, Saleh A. Almazam, Ohood K. Almuzaini, Saad M. Wali

Saudi Medical Journal

Objective: To characterize medication errors across the full workflow and identify stage-specific predictors in a tertiary care setting. Medication errors remain a major global patient safety concern, with limited comprehensive analyses across all stages of the medication-use process in Saudi Arabia. Methods: A retrospective observational study was conducted using medication error reports from Al-Noor Specialist Hospital, Makkah, between January 2023 and August 2025. Errors were classified by stage and severity using the National Coordinating Council for Medication Error Reporting and Prevention index. Multivariable logistic regression was performed to identify predictors associated with each stage. Results: A total of 6,546 errors …

The Al-Bahah Paradox: Divergent Patterns Of Increased And Decreased Infectious Disease Incidence Relative To National Saudi Rates Over 12 Years Of Surveillance, Mohammed A. A. Alqumber

Saudi Medical Journal

Objective: To identify statistically significant deviations in notifiable infectious disease incidence between Al-Bahah region and national Saudi averages, and to generate hypotheses that may inform future epidemiological, microbiological, and public health investigations. Methods: In April 2026, a 12-year retrospective ecological study (2013–2024) was conducted using surveillance data from the Saudi Ministry of Health for 37 notifiable infectious diseases across 20 health regions. Cumulative incidence rates, standardized morbidity ratios (SMRs), and Z-tests compared observed cases in Al-Bahah against national estimates. Results: Overall incidence was 15.8% lower in Al-Bahah than nationally (86.42 versus 102.68; incidence rate ratios = 0.842; p …

The Role Of F-18 Fdg Pet/Ct In The Evaluation Of Solitary Pulmonary Nodules, Erdal Cetinkaya, Fatih Guzel, Sadiye Altun Tuzcu, Ilbey Erkin Cetin, Ibrahim Ibiloglu, Esref Argin, Feray Altun Cetin, Bekir Tasdemir

Saudi Medical Journal

Objective: Fluorine-18 fluorodeoxyglucose positronemissiontomography/computedtomography (F-18 FDG PET/CT) is commonly used in the evaluation of solitary pulmonary nodules (SPNs). This study aimed to investigate the predictive value of maximum standardized uptake value (SUVmax) and its ratios to liver and mediastinal blood pool SUVmax values for malignancy in SPNs, using histopathological findings as the reference standard. Methods: The study included 130 patients who underwent F-18 FDG PET/CT and had either histopathological confirmation or at least two years of radiological follow-up. Demographic data (age and sex), nodule size, location, contour characteristics, nodule SUVmax, nodule-to-liver SUVmax ratio (NLR), and nodule-to-mediastinal blood pool SUVmax ratio …

Meta-Analysis On The Effect Of Tai Chi Chuan On Human Biomechanics And Health From (2021–2025), Bijad S. Alqahtani, Husam A. Almalki

Saudi Medical Journal

Objective: Prior reviews emphasize overall health outcomes of Tai Chi Chuan (TCC) but rarely resolve the biomechanical intermediates (such as Center of Mass (CoM)–Center of Pressure (CoP) control, joint loading) that link practice to clinical function—knowledge that matters for balance, fall risk, and osteoarthritic knee load management. This systematic review and meta-analysis aim to test the null hypothesis that TCC produces no improvement versus comparators in (i) biomechanical stability indices (mediolateral/anterior–posterior CoM–CoP separation; COP Root Mean Square RMS) and (ii) related clinical functions (such as Time up and go (TUG), Berg balance scale (BBS), Western Ontario and McMaster Universities Osteoarthritis …

Developmental Dysplasia Of The Hip In Saudi Arabia And The Gulf Countries: A Genetic Systematic Review Study, Naif Z. Alrashdi, Ahmed M. Almansour, Azfar Jamal

Saudi Medical Journal

Objective: To describe the available research on genetic determinants with special emphasis on the developmental dysplasia of the hip (DDH), in Saudi Arabia and Gulf nations, with reference to the genetic variants, family trend, and environmental factors. Methods: The literature search was conducted in PubMed, Embase, Scopus, Web of Science, and the Saudi Digital Library and Google Scholar through a broad literature search since the beginning of the databases until 2023. Studies that conducted in Saudi Arabia or Gulf countries which evaluated the relationships of genetic factors in DDH were included. Case reports, conference abstracts, and studies that did not …

Artificial Intelligence In Central Arkansas School Districts: A Phenomenological Study Of Practices, Polices, And Perceptions, Alana M. Graham

ATU Theses and Dissertations 2021 - Present

Artificial intelligence (AI) has evolved at a fast rate and has created both opportunities and challenges for public school districts. As AI technologies continue to emerge, limited research exists regarding how school districts in central Arkansas are integrating AI into instructional and administrative practices. The purpose of this phenomenological study was to explore district-level administrators’ perceptions and experiences regarding the integration of artificial intelligence in public school districts in central Arkansas. The study was guided by Diffusion of Innovations Theory and the Technology Acceptance Model, and examined current AI practices, policy development, perceived benefits and challenges, and barriers associated with …

Escherichia Coli Concentrations In Sand And Water At Tributary-Influenced Lake Michigan Beaches, Josie Elaine Kuhlman

Masters Theses

Contamination of public recreational water and sand is a human health concern, creating a management challenge for public health officials. Past research has shown that Escherichia coli can persist in sediment and can be washed into recreational water. Currently, beach monitoring practices only utilize E. coli concentrations in water samples to determine beach safety and do not consider potential exposure to sediment/sand concentrations. In this study, I investigated the relationship between E. coli concentrations in water and sand samples, which will aid public health officials in making more informed decisions about beach closures. I utilized culture-based measurements of E. coli …

Preparing Newly-Hired Elementary Teachers For Evidence-Based Reading Instruction Through Professional Development, Sierra Rose Anthony

Masters Projects

There is a growing need to equip teachers with the knowledge and support necessary to foster student growth in reading. The problem addressed in this project is that many newly-hired teachers lack the knowledge, confidence, and instructional coaching needed to effectively implement evidence-based literacy practices in conjunction with high-leverage teaching practices. Newly-hired teachers include teachers who are new to a district, both those who have transferred from another school and those who are just beginning their teaching careers. This project proposes a year-long professional development program that equips newly-hired teachers with evidence-based literacy practices and high-leverage teaching practices through explicit …

Design And Implementation Of An Intelligent Electronic Circuit To Control Laser Power In Real Time Using Built-In Thermal Feedback, Zainab Hussam Al-Araji

Mesopotamian Journal of Artificial Intelligence in Healthcare

One of the challenges of laser thermal therapy is to balance treatment effectiveness with the protection of healthy tissues from unintentional thermal damage. The aim of this study is to regulate the laser thermal dose with high accuracy using commercially available microcontrollers through the design and implementation of a low-cost closed-loop control system. The proposed system uses an adaptive control algorithm (PID) to adjust the laser power in real time, supported by a safety mechanism that calculates the equivalent cumulative minutes (CEM43) to prevent tissue charring. A binary verification methodology was adopted to assess the system's reliability, in which a …

Mountain Development In Nepal: Settlements, Infrastructure, And Economic Transformation, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

As Nepal urbanizes, expands infrastructure, strengthens local governments, and explores deeper connectivity with India and China, climate change is increasing floods, landslides, heat, and water insecurity. Rapid internal migration, rising disaster risks, youth outmigration, and dependence on remittances are also revealing the limits of conventional urban development, especially in the mountainous region. The central challenge for Nepal is no longer just to accommodate growing towns and cities, but to build settlements that are safe, productive, environmentally resilient, and capable of sustaining long-term prosperity.

This paper argues that Nepal's urban future must be guided by a new development paradigm centered on …

Vocabulary Knowledge Within Young Children With Autism Spectrum Disorder, Hannah A. Lord

Masters Projects

Young children with Autism Spectrum Disorder (ASD) are consistently experiencing a “definitional gap”, where they are able to process vocabulary breadth within labeling but are unable to comprehend text due to the lack of vocabulary depth. The four week vocabulary unit titled “Our World in Words” is created to bridge the gap between vocabulary breadth and depth for first graders. Research in Dual Coding Theory and Cognitive Load Theory provides insight into the use of stable visual anchors with orthographic facilitation, which allows for the disregard of auditory processing, along with an overloaded cognitive load. This framework includes four important …

A Structured Independent Reading Framework To Promote Reading Engagement And Literacy Achievement In Elementary Classrooms, Linda K. Bush

Masters Projects

State and national assessment data indicate declining reading achievement and decreasing reading engagement among elementary students. At the same time, increasing instructional demands and accountability pressures have reduced opportunities for students to participate in meaningful Independent Reading, despite decades of research demonstrating its value for literacy development. Research consistently suggests that Independent Reading is most effective when students are provided with protected reading time, meaningful choice, access to engaging texts, instructional support, opportunities for discussion, reflection, and authentic literacy experiences.

This master’s project presents a Structured Independent Reading Framework, which is a research-based instructional framework designed for elementary classrooms that …

Integrated Self-Regulation Strategy Development And Physical Science: A Unit For Second Grade, Ashley Crawford

Masters Projects

Writing is a large part of education, social communication, and work environments. However, the ability of elementary students to write proficiently is severely lacking. Much of educational writing and work-place writing is informational and the foundation of this writing begins in elementary school. There is a need to increase the amount of instruction and practice that elementary students receive in informational writing so that they are able to write in a competent manner. Writing proficiency in elementary school will affect the education a student receives moving forward and ultimately their adult lives.

Elementary educators need to integrate classroom instruction to …

Demographic Influences On Awareness Of Speech-Language Pathology Services In The U.S., Phil Weir-Mayta, Joshua Ayala

Communication Sciences and Disorders Faculty Articles and Research

Introduction

Methods

Strengthening Rti Decision Making For Students At Risk For Dyslexia, Christine A. Schout

Masters Projects

Despite the intent of Response to Intervention (RTI) to support early identification, inconsistent implementation and a lack of objective decision rules can delay the identification and support of students at risk for dyslexia. The purpose of this project was to develop practical, evidence-based resources to support educators in making consistent RTI decisions that promote early identification of students at risk for dyslexia and timely referral for comprehensive evaluation when appropriate. The project was informed by a review of the literature examining dyslexia, early identification, evidence-based intervention, progress monitoring, instructional intensification, and RTI implementation. A series of professional resources was developed …

Enhancing A Mid-Wave Infrared Fourier Transform Hyperspectral Imager For Explosions, James T. Stofel, Kody A. Wilson, Martin Larivière-Bastien, Anthony L. Franz, Michael L. Dexter

Faculty Publications

Capturing reliable hyperspectral imager data at a meaningful frame rate for explosions and other fast-changing scenes is not possible in the mid-wave infrared region under traditional sensor operating configurations and processing techniques, which typically have frame rates on the order of 0.5–2.0 Hz. To combat these shortcomings, the scene acquisition parameters were tailored for explosions and a new method for processing optical signatures of fast transient scenes with Fourier-transform infrared hyperspectral imagers was developed. For this technique, the instrument was first configured to collect asymmetric interferograms while optimizing the number of measurement points on the short side of the interferogram. …

Exploring The Effectiveness Of A “How-To-Teach” Book Club For Preservice Teachers, Rina Bousalis, Eden Greene, Robyn Klein, Abigail Woods, Isabella Mandoeng

Journal of Educational Research and Practice

As teacher training programs continue seeking ways to prepare their preservice teachers to teach, many have turned to “how-to-teach” books written by veteran teachers, viewing them as a valuable source that could offer teacher candidates additional support. This study, which developed from the idea of creating a book club with instructors and members of a university’s future educators’ organization, used a qualitative textual analysis approach to explore concepts that emerged from how-to-teach books, how participants’ perceived those concepts, and how the books benefited participants. The study revealed that although authors’ perspectives often conflicted with participants’ beliefs, the authors’ engaging activities …

The Right To Have Rights In United States Territories, Anthony M. Ciolli

Kentucky Law Journal

No abstract provided.

Immigration Detainers, Local Law Enforcement, And Constraints On Bureaucratic Discretion: Recent Trends Under The Second Trump Administration, Richard T. Middleton, Sheridan Wigginton

Kentucky Law Journal

No abstract provided.

The Duty To Develop Imperative In Immigration Proceedings, Sabrineh Ardalan, Tiffany J. Lieu

Kentucky Law Journal

No abstract provided.

Deportation After Death By Incarceration: A Right To Redemption, Jennifer Lee Koh, Tin Nguyen

Kentucky Law Journal

No abstract provided.

A Sherbert Colored Lens: Apache Stronghold And The Uphill Battle For The Recognition Of A Substantial Burden For Indigenous Plaintiffs, Emma P. Collins

Kentucky Law Journal

No abstract provided.

Hope In The Holler: How Eminent Domain Can Bring Economic Justice To Central Appalachia, Matthew B. Chaney

Kentucky Law Journal

No abstract provided.

History And Tradition Of Inequality, Advocacy, And Progress, Teri Dobbins Baxter

Kentucky Law Journal

No abstract provided.