Digital Commons Network^™

Does Apply Boarder Foam Dressings Decrease Hapi In High-Risk Patients In The Acute Care Setting, Felicia Burton Rn, Kathryn Twombly Rn, Amanda Ring Rn

Nurse Residency

Does applying border foam dressings (i.e.mepilex dressings) to patients at risk for skin breakdown prevent pressure injuries and skin breakdown during a patient's hospital stay?

Acute Intermittent Hypoxia And Acute Intermittent Hypercapnic Hypoxia Elicit Cortico-Diaphragmatic Plasticity In People With Chronic Spinal Cord Injury, Alysha Bogard, Michela Mir, Tommy Sutor, Jessica Dunn, Kathryn Cavka, Arian Vistamehr, Hannah Snyder, Joseph Welch, Jayakrishnan Nair, Gina Brunetti, Gordon Mitchell, Emily Fox

Department of Physical Therapy Faculty Papers

Respiratory impairment is a leading cause of morbidity and mortality after spinal cord injury (SCI), highlighting the need for interventions that improve breathing function. In people with SCI, acute intermittent hypoxia (AIH) elicits respiratory motor plasticity and improves inspiratory function. However, in uninjured people facilitation of corticospinal diaphragm motor evoked potential (MEP) amplitude occurs only when AIH is combined with mild hypercapnia (acute intermittent hypercapnic hypoxia; AIHH). It remains unclear whether AIHH similarly enhances diaphragm corticospinal excitability after SCI. We tested the hypothesis that AIHH increases diaphragm MEP amplitude and reduces MEP onset latency in individuals with chronic SCI, whereas …

Cerebrovascular Risk With Calcitonin Gene-Related Peptide Monoclonal Antibodies Versus Onabotulinumtoxina In Patients With Migraine: A Real-World Pharmacoepidemiologic Study In The National Institutes Of Health All Of Us Research Program, Sedat Gül, Bradley Ong, Stephen Trudeau, Nicolas Thompson, Hsiangkuo Yuan

Department of Jefferson Headache Center Papers and Presentations

AimTo evaluate whether initiation of calcitonin gene-related peptide (CGRP) monoclonal antibodies (mAbs) was non-inferior to initiation of onabotulinumtoxinA with respect to the hazard of ischemic stroke or transient ischemic attack (IS + TIA) in a real-world cohort of adults with migraine.MethodsWe conducted a retrospective, active-comparator, new-user pharmacoepidemiology study using the NIH All of Us Research Program Registered Tier Dataset (v8). Adults with migraine initiating CGRP mAbs (erenumab, fremanezumab, galcanezumab, eptinezumab) were compared with initiators of onabotulinumtoxinA from January 2018 through September 2023. The primary outcome was IS + TIA occurring more than 90 days after treatment initiation. Inverse probability of …

Metaphysics Of Parallel Heritage In The Formulation Of The Contemporary Cityscape, Ban Mohammed Sultan, Abbas Ali Hamza Al Greiza

Iraqi Journal of Architecture and Planning

In the contemporary globalized world, the metaphysical texts of parallel heritage play a vital role in preserving the identity and privacy of cities with historical cores by conveying both the authenticity of the past and the spirit of the age in architectural production. The research problem addresses a cognitive deficiency in reading the metaphysics of parallel heritage within the urban landscape of Haifa Street, proposing it as a text that mediates between heritage and contemporaneity. The research hypothesizes that these metaphysical texts contain a creative core that functions as a future-oriented cognitive model. Using a descriptive–analytical approach, the study analyzes …

Neo-Moorish Style In Constantine Through Cirta Hôtel: Architectonic Details, Heritage, And Contemporary Perspectives, Imene Bensid, Islam Boukhelkhal, Souad Belhannachi, Halima Gherraz

Iraqi Journal of Architecture and Planning

The neo-Moorish architectural style, appearing in early 20th-century Algeria, marks a defining moment in the country's colonial and post-colonial architectural path. Blending North African traditions with European design, it reflects the layered dialogue between cultural heritage and colonial influence. This study examines Constantine—focusing on the Hôtel Cirta—to trace how neo-Moorish architecture took shape within the urban fabric. By analyzing arches, ornamental motifs, and material choices, the research illustrates how the building negotiates historical identity with modern function. Drawing on architectural and historical sources, the study situates the Hôtel Cirta within broader urban and symbolic contexts, arguing that neo-Moorish architecture was …

Interpretable Machine Learning Of Plasma Proteomics Reveals Stage-Specific Signatures Across The Alzheimer's Disease Continuum, Hemshankar Laugi

2026 Spring Honors Capstones Projects

Alzheimer’s pathology begins years before clinical symptoms, starting early with amyloid-β accumulation, followed by tau deposition and neurodegeneration. Although existing tools, such as cerebrospinal fluid (CSF) screening and PET/MRI imaging, can accurately track disease progression, they are invasive, expensive, and not scalable for population-level screening. So, there is a growing interest in using blood-based plasma biomarkers as a scalable alternative. While recent studies demonstrate strong predictive performance with plasma biomarkers, most rely on a small set of canonical blood-based protein biomarkers such as amyloid-β, p-tau, and neurofilament light. These biomarkers primarily reflect downstream brain pathology and may fail to capture …

Neoadjuvant Immunotherapy For Hepatocellular Carcinoma Is Associated With Improved Survival After Hepatectomy: A Matched Analysis Of The 2017 To 2022 National Cancer Database, Lawrence Chiang, Adam Bodzin, Daniel Lin, Nader Hanna, Scott Koeneman, Hien Dang, Charles J. Yeo, Christopher Shubert, R. Zheng

Department of Surgery Faculty Papers

Background: Effects of neoadjuvant immunotherapy (NIT) before liver resection are not well-described in hepatocellular carcinoma (HCC). Survival and R0 resection rates in HCC patients undergoing curative-intent resection with or without NIT were evaluated.

Methods: A retrospective study of stage I-III HCC patients undergoing hepatectomy from the 2017–2022 National Cancer Database was performed. Patients receiving NIT were exactly matched 1:3 to non-NIT patients by clinical stage. Primary outcomes were margin positivity, 30- and 90-day mortality, and overall survival.

Results: After matching 510 patients, 97 received NIT and 291 did not (non-NIT). Resections included segmental (178, 45.9%), lobar (149, 38.4%), and extended …

Two Years Of Ocrelizumab Treatment In Black And Hispanic People With Multiple Sclerosis In Chimes: A Single-Arm Clinical Trial, Lilyana Amezcua, Anthony Reder, Evanthia Bernitsas, Nancy Monson, Timothy Vartanian, Gregory Wu, Mansoor Saleh, Annette Okai, Ahmed Obeidat, Dilraj Sokhi

Haematology and Oncology, East Africa

Objective To evaluate the effectiveness and safety of ocrelizumab in self-identified black and Hispanic people with relapsing multiple sclerosis.

Methods The Characterization of Ocrelizumab in Minorities with Multiple Sclerosis (CHIMES) trial, a prospective, open-label, single-arm, phase 4 study, intentionally recruited underrepresented populations in the US, Puerto Rico, and Kenya. Black and Hispanic people with relapsing multiple sclerosis aged 18–65 years with Expanded Disability Status Scale score 0–5.5 received ocrelizumab for 2 years. The primary endpoint was the proportion of participants with no evidence of disease activity in 3 components at week 48: protocol-defined relapse, 24-week confirmed disability progression, and disease …

Sdg 4.1.1 Minimum Proficiency Levels. Definition And Blueprint For Assessment, Prue Anderson, Andrew Mannion, Ursula Schwantner, Maurice Walker, Colin Watson, Toby Simmer

Global education monitoring

Sustainable Development Goal (SDG) 4 aims to ensure that, by 2030, “all girls and boys complete free, equitable and quality primary and secondary education leading to relevant and effective learning outcomes.” The primary indicator 4.1.1 concerns the proficiency of girls and boys in two learning areas (reading and mathematics) at three stages of education: at the end of lower primary, at the end of primary, and at the end of lower secondary. Large-scale learning assessments are essential tools to capture data on learning outcomes and to provide system-level evidence on education quality and equity. In the context of SDG 4, …

Myelomalacia Severity On Preoperative Magnetic Resonance Imaging Does Not Predict Patient-Reported Outcomes After Anterior Cervical Discectomy And Fusion, Mitchell K. Ng, Joshua Mathew, Robert J. Oris, Yulia Lee, Jonathan Dalton, Gregorio Baek, Ashley Thommana, William A. Green, Yasmine Eichbaum, Morgan Hitchner, Brandon Martinazzi, Ali Farooqi, Alec Giakas, Paul Gunter, Vinay Bijoor, Andrew Vanchikorn, John J. Mangan, David I. Kaye, Mark F. Kurd, Thomas Cha, Jose A Canseco, Alan S. Hilibrand, Alexander R. Vaccaro, Christopher K. Kepler, Gregory D. Schroeder

Department of Orthopaedic Surgery Faculty Papers

STUDY DESIGN/SETTING: Retrospective cohort study.

BACKGROUND: Signal changes within the spinal cord on magnetic resonance imaging (MRI) or myelomalacia, are frequently seen in patients with cervical myelopathy. While often assumed to predict the outcomes, their prognostic value remains uncertain. Therefore, this study aimed to: (1) describe the clinical characteristics of patients with myelomalacia undergoing Anterior cervical discectomy and fusion (ACDF); (2) evaluate whether MRI findings correlate with patient-reported outcomes (PROMs); and (3) determine whether morphology predict recovery.

METHODS: A retrospective review at a single tertiary care center was performed (2014-2021). Patients were included if they underwent a primary elective ACDF …

Finding The Confidence To Speak: Reducing Public Speaking Anxiety In Secondary English Students, Nickolas Johnson

School of Education and Leadership Student Capstone Projects

Public speaking is an essential academic, professional, and civic skill, yet many secondary students experience anxiety when asked to speak in front of peers and when assigned a presentation. This capstone project explored the question: How can secondary English language arts teachers develop methods to decrease anxiety around students who struggle with public speaking? The end result of this project is a Google Site resource guide that is designed for secondary English language arts teachers. The site provides background information on public speaking anxiety in the classroom, a bank of low-stakes speaking activities that can be used independently or in …

Authentic Material Use In English Language Development Classrooms, Kenneth Fields

School of Education and Leadership Student Capstone Projects

With attention on the topic of globalization at an all time high, more and more focus has been shifted towards student-centric, evidence-based approaches for second language education. In order to address the perceived need of more culturally-centered content, this project attempts to answer the question: What are the benefits of using authentic materials over grammar-based texts and how can authentic materials be implemented into low-proficiency ELD classrooms? Authentic materials, or materials created by native language speakers not for the purposes of L2 education, have been gaining more popularity among educational researchers as second language acquisition theories have begun to favor …

“Retalhos De Mim Costurados Por Nós” (A Patchwork Of Me, Stitched Together By Us), Marjorye Graves

MFA in Dance Theses

This document represents the culmination of my thesis project "Retalhos de Mim Costurados por Nós" (A Patchwork of Me, Stitched Together by Us), a choreographic project integrating scholarly perspectives from Dance and Social Justice, Phenomenology, and Somatics courses. Employing both dance film and solo live performance, the research interrogates the complexities of identity within the overlapping contexts of immigration, domestic violence, and motherhood. Through an embodied praxis, the project addresses the intersection of adversity and resilience, highlighting the transformative potential of community, cultural inheritance, and spirituality in my healing process.

Beyond Ai Detection: A Pilot Study Of Integrevise And Viva-Based Verification Of Student Understanding In Ai-Mediated Assessment, James Hutson, Kyle Poyer, Kelvin Adshola Atologun

Faculty Scholarship

This article examines the Integrevise platform through a repeated cross-sectional, multicycle pilot case study of viva-based verification in AI-mediated assessment environments. Integrevise pairs a submitted written artifact with a short adaptive viva in which students explain their work, reasoning, and application in their own words. Rather than functioning as an AI detector or automated grading system, the platform operates as a diagnostic assessment layer intended to surface comprehension, authorship confidence, and disengagement risk before final grades become the only available signal. The pilot was conducted across Fall 2025 and Spring 2026 at a private liberal arts college in the Midwest; …

Adjustment Challenges In The International Student Population At A Rural Mid-Size Midwestern University, Sara El Bizri Hussein

All NMU Master's Theses

This qualitative descriptive study explored the adjustment experiences of non-athlete international students attending a rural, mid-size Midwestern university and identified the challenges and supports that shaped their transition.

Guided by Berry’s acculturation framework and informed by theories of student integration and coping, data were collected through an initial survey and semi-structured interviews. Seven participants were interviewed. Interview transcripts were analyzed using open and focused coding procedures to identify recurring patterns and themes.

Analysis revealed that international student adjustment is multidimensional and influenced by social, academic, emotional, cultural, environmental, and structural factors. Three major themes emerged from the data: (1) Social …

Spreading Awareness And Advocating For The Shortage Of Special Education Resources In Martin County, Florida, Lynn Potter

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement:

The goal is to prevent staff shortages of special education and student support professionals in Martin County, FL, and advocate for systemic changes that improve staff retention, raise awareness, and expand special education resources.

Significant Findings:

The shortage of ESE resources in Martin County, Florida, is affecting students’ success outcomes and relationships between parents and educators. With a 42% turnover rate over the past four years, the district needs to drastically improve teacher retention (WPBF 25 News, 2023). The western zone of Indiantown, which has a minority population of Hispanic and Latino students, is critically affected (United States …

Highly Confident But Slightly Uncertain: A Long Overdue Reinvention Of The School Scientific Method, Teaching - Volume 4, Stephen Demeo

Publications and Research

In Volume 4, the last book of the series, I continue the argument for greater parity between conceptual knowledge—the "what" of science—and methodological knowledge—the "how" of science—but in the context of teacher instruction. To this end, two literature reviews are presented: One on how students build confidence, specifically regarding the reliability or consistency of measurement or results, and the other on scientific uncertainty. Research studies focusing on student misconceptions are summarized and organized from the elementary to the college level. These literature reviews describe invaluable ways for teachers to improve their instruction, while providing examples of experiments that can be …

Thermal And Mechanical Properties Of Zirconium Carbide Manufactured Via Ceramic On-Demand Extrusion, Clare Sabata, Yue Zhou, Jeremy L. Watts, Gregory E. Hilmas

Materials Science and Engineering Faculty Research & Creative Works

Zirconium carbide (ZrC) was fabricated by material extrusion additive manufacturing (AM) followed by pressureless sintering at 2000°C for two hours, achieving a relative density of 90.3 %. SEM analysis revealed grains of 4.6 ± 1.8 μm; XRD confirmed single phase ZrC. A stoichiometry of ZrC_0.92 was determined by XPS. Four-point flexure testing exhibited a strength of 331.3 ± 57.1 MPa and Young's modulus of 232.8 ± 13.1 GPa. Vickers hardness was 13.6 ± 1.0 GPa and 11.6 ± 0.5 GPa at 4.91 and 9.81 N, respectively. Indentation fracture resistance was 2.9 ± 0.2 MPa⋅m^1/2; Griffith analysis confirmed …

Understanding And Cultivating Algebraic Thinking: A Case Study Of Middle Grades Multilingual Learners, Damiale Johnson

Curriculum and Instruction (Ed.D.) Dissertations

Multilingual learners often encounter challenges in mathematics classrooms due to the linguistic and interpretive demands of mathematical discourse and problem-solving. This qualitative case study investigated how three seventh-grade multilingual learners developed and demonstrated algebraic thinking during collaborative mathematical problem-solving tasks. Specifically, the study examined students’ strategies and resources, the challenges they encountered, and how language, collaboration, and representation supported algebraic and functional reasoning.

Guided by situated learning theory, sociocultural developmental theory, and the Algebraic Habits of Mind framework, the study emphasized social interaction, language, and contextualized problem-solving. Participants were Spanish-speaking multilingual learners developing academic proficiency in English in a middle …

Distinct Regulatory Dna Methylation Signatures Across Multiple Sclerosis, Neuromyelitis Optica, And Neurological Post-Acute Sequelae Of Covid-19, Syed Ilyas Munzir, Daniel B. Hier, Michael D. Carrithers

Electrical and Computer Engineering Faculty Research & Creative Works

Background/Objectives: Our prior epigenome-wide association study (EWAS) on multiple sclerosis (MS) identified myeloid-associated methylation signatures and an association with enhancer regions. Here we compared differential DNA methylation across three central nervous system inflammatory disorders: MS, neuromyelitis optica (NMO), and neurologic post-acute sequelae of COVID-19 (neuro-PASC). Methods: Whole-blood DNA was profiled on Infinium MethylationEPIC arrays. Analyses included EWAS at the CpG level, differentially methylation region (DMR) analysis, and gene regulatory-element enrichment using Locus Overlap Analysis (LOLA). Limma linear models were adjusted for race, EPIC array version, age, sex, disease-modifying treatment class, and blood cell composition. Results: All three diseases were associated …

Practice Brief—Reading Strategies For Parents And Teachers, Kelsey Davison, Rebecca Marks

Science of Reading

Shared reading is an important context for supporting young children's language and emergent literacy development. Research has identified evidence-based strategies that parents and educators can use to make shared reading more interactive, language-rich, and supportive of children's learning. This brief reviews these strategies and how they can strengthen the early language skills that provide the foundation for learning to read.

The Impact Of Childhood Trauma On Parenting And Emotional Regulation In Charlotte, Nc], Raven Forrest

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement:

The goal of this social change project is to increase awareness of how unresolved childhood trauma can affect parenting, emotional regulation, and family relationships among low-income families in Charlotte, North Carolina. This project focuses on prevention by promoting trauma-informed education, emotional regulation skills, and evidence-based parenting support programs that can help reduce intergenerational patterns of trauma.

Significant Findings: Unresolved childhood trauma may affect adults through emotional dysregulation, anxiety, depression, low self-esteem, unhealthy communication, harsh discipline, and difficulty forming healthy family relationships. These challenges may increase parenting stress and create emotionally unsafe home environments for children. In Charlotte, families …

Preventing Mental Health Issues In Children And Adolescents With Learning Disabilities, Laura Barrett

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this social change portfolio is to prevent mental health issues in children and adolescents with learning disabilities in the state of Utah.

Significant Findings: Children and adolescents with learning disabilities (LDs) in Utah face elevated risks of anxiety, depression, low self-esteem, and related difficulties stemming from chronic academic frustration and social challenges, yet substantial service gaps for this vulnerable population exist. Approximately 58% of children needing mental health care in Utah do not receive any, and only about half of the estimated 58,000 students diagnosed with LDs have specialized educational supports such as individualized education …

An American Anniversary In Local Context: Holland And Hope College Celebrate The U.S. Centennial; John Vander Burgh: Artist In The Archives, Sarah Lundy, Charlotte Ulloa

Archives and Special Collections Quarterly

An American Anniversary in Local Context: Holland and Hope College Celebrate the U.S. Centennial

Column: From the Director of Archives and Special Collections

Column: From the Collections Archivist

John Vander Burgh: Artist in the Archives

Believing And Belonging: Americans’ Religious Practices And Their Trust In Government, Hwayong Shin

Weidenbaum Center Survey (WCS) Reports

Data from the Weidenbaum Center Survey (WCS) offer new insights into Americans’ religious and political lives by addressing two broad questions. First, how religious are Americans today, and how does religiosity vary across age and partisan groups? Waves 1–8 of the WCS, conducted between 2023 and 2026, are used to answer this question. Second, how are different forms of religiosity associated with trust in government, and do these relationships differ across age and partisan groups? To answer this question, this article leverages Waves 6–8 of the WCS, which included measures of trust in government, conducted between 2025 and 2026. The …

Full Marc Examples To Accompany Olac Best Practices For Cataloging Dvd-Video And Blu-Ray Discs, Objects, Streaming Media, Video Games, And Digital Media Storage Devices Using The Original Rda Toolkit And Marc 21, Kristi Bergland, Mary Huismann, John Dickson, Autumn Faulkner, Robert B. Freeborn, Jeannette Ho, Sarah Hovde, Kyla Jemison, Yoko Kudo, Junghae Lee, Jack Nighan, Alex Whelan

OLAC Publications and Training Materials

Examples of MARC 21 catalog records to accompany the OLAC Best Practices for Cataloging DVD-Video and Blu-ray Discs, Objects, Streaming Media, and Video Games Using the Original RDA Toolkit and MARC 21.

Characterization Of River Cane Morphology, Density And Biomass In Sun And Shade In Stream Riparian Zones In Northwest Arkansas, Emily Shy-Anne Carter

Graduate Theses and Dissertations

River cane, or Arundinaria gigantea Walter (Muhl.), ecosystems serve as ecological and cultural keystones, offering wildlife habitat, streambank stabilization, and construction/craft material for Native groups who utilize river cane. However, these ecosystems have declined substantially because of overgrazing, land conversion, and fire suppression, resulting in reduced patch size and culm morphology. Historically widespread across floodplains and riparian zones, canebrakes, or monotypic forests of river cane, have been restricted to small fragments. This study evaluated how canopy cover influences light availability, culm morphology, density, and biomass of river cane across eight riparian sites in Northwest Arkansas to inform restoration efforts. Light …

Jme 4110: E-Bike Power Take-Off Device, Masa Marmarchi, Anna Favaron, Alexis Brutcher, Julie Steiger, Ava Le

Washington University / UMSL Mechanical Engineering Design Project JME 4110

This project focuses on developing a portable power solution that allows an E-bike battery to be used to power small devices during emergency situations. The system is designed to provide a convenient alternative when traditional sources of electricity are unavailable, while remaining safe, practical, and easy to store and use with the E-bike. The final design combines the necessary electrical components with a compact storage solution, allowing the system to be carried with the bike and used when needed.

Jme 4110: Drill-Powered Beach Umbrella Anchor, Matthew Barton, Tanin Ramnath, Marquan Bailey, Zachary Van-Horn, Kaelin Mendoza

Washington University / UMSL Mechanical Engineering Design Project JME 4110

A common and potentially hazardous situation faced by beachgoers is when standard umbrella anchors fail to hold during wind gusts, causing the umbrella to potentially go airborne and injure nearby people. Existing anchors require manual operation, leading to inconsistent grip and no resistance to different wind directions. Our project is a motorized three anchor system that drives augers into the sand to ensure a consistent grip and security against the wind.

Jme 4110: Drill Powered Pressure Washer, Kathryn Keele, Ashley Givance, Reagan Grass, Andrew Ellis, Jacob Thebeau

Washington University / UMSL Mechanical Engineering Design Project JME 4110

This project focuses on developing a drill-powered pressure washer attachment that connects to a standard cordless drill and garden hose. The device uses the drill as its only power source to pressurize water for cleaning applications. This portable design provides a convenient, low-cost alternative to traditional electric or gas-powered pressure washers.