Digital Commons Network^™

Outcomes After Anatomic Labral Repair With All-Suture Knotless Tensionable Anchors In Primary Hip Arthroscopic Surgery: A Prospective Analysis Of 200 Consecutive Patients, David R Maldonado, Rachel E Bruning, Julio Nerys-Figueroa, Benjamin G Domb

Faculty, Staff and Student Publications

Background: Anatomic labral repair is paramount when restoring the hip suction sealing mechanism in femoroacetabular impingement syndrome (FAIS) surgery. All-suture knotless tensionable anchors have been recently proposed as an alternative; however, data are scarce.

Purpose: To report patient-reported outcome measure (PROM) scores at a minimum 2-year follow-up for patients who underwent primary hip arthroscopic surgery with labral repair using an all-suture knotless tensionable anchor with the controlled-tension anatomic technique in the setting of FAIS.

Study design: Case series; Level of evidence, 4.

Methods: Data were prospectively collected, and patients who underwent primary hip arthroscopic surgery for the treatment of FAIS …

Synchronous Clear Cell Renal Cell Carcinoma And Classic Hodgkin Lymphoma, Phuoc Christie-Nguyen, Ahmed A Ahmed, Nourhan Ibrahim, Jacob Armstrong, Brenda Mai

Faculty, Staff and Student Publications

Introduction: The coexistence of renal cell carcinoma and classic Hodgkin lymphoma is exceedingly rare, with only two documented cases. Here, we present the third case diagnosed in our institution.

Case presentation: A 46-year-old man presented with right flank pain, fever, mild pancytopenia, and renal mass on computed tomography scan, suggesting renal malignancy. Despite intravenous antibiotics and extensive workup for recurrent fever, his condition did not improve. A bone marrow biopsy revealed rare large EBV-positive B cells. Surprisingly, imaging only showed minimal intraabdominal lymphadenopathy in the perinephric region. Subsequent surgery confirmed clear cell renal cell carcinoma in the kidney and scattered …

Pathobiology Of Aortic Aneurysms And Dissections: Synthesis Of Recent Investigations And Evolving Insights, L Maximilian Buja, Bihong Zhao, Deborah Vela, Ana Segura, Navneet Narula

Faculty, Staff and Student Publications

The pathobiology of aortic disease is linked to aortic region: atherosclerosis for abdominal aorta, primary medial degeneration or aortitis for ascending thoracic aorta, and all causes for descending thoracic aorta and thoracoabdominal lesions. The pathogenesis of aortic dissection involves damage of the outer media from impaired perfusion from dysfunctional vasa vasorum, formation of discrete foci of disrupted vascular smooth muscle cell-elastic fiber extension-contractile units, and imbalance of radial sheer stress across the aortic wall, thereby creating an intimal tear and linear dissection. Thoracic aortic aneurysms develop from the chronic progression of medial degeneration coupled with the weakening of the remodeled …

Neuroimaging-Based Variability In Subtyping Biomarkers For Psychiatric Heterogeneity, Zhenfu Wen, Mira Z Hammoud, Carole E Siegel, Eugene M Laska, Duna Abu-Amara, Amit Etkin, Mohammed R Milad, Charles R Marmar

Faculty, Staff and Student Publications

Neuroimaging-based subtyping is increasingly used to explain heterogeneity in psychiatric disorders. However, the clinical utility of these subtyping efforts remains unclear, and replication has been challenging. Here we examined how the choice of neuroimaging measures influences the derivation of neuro-subtypes and the consequences for clinical delineation. On a clinically heterogeneous dataset (total n = 566) that included controls (n = 268) and cases (n = 298) of psychiatric conditions, including individuals diagnosed with post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and comorbidity of both (PTSD&TBI), we identified neuro-subtypes among the cases using either structural, resting-state, or task-based measures. The …

Genome-Wide Association Meta-Analyses Of Drug-Resistant Epilepsy, Costin Leu, Andreja Avbersek, Remi Stevelink, Helena Martins Custodio, Siwei Chen, Doug Speed, Caitlin A Bennett, Lina Jonsson, Unnur Unnsteinsdóttir, Andrea L Jorgensen, Gianpiero L Cavalleri, Norman Delanty, John J Craig, Chantal Depondt, Michael R Johnson, Bobby P C Koeleman, Emadeldin Hassanin, Maryam Erfanian Omidvar, Roland Krause, Holger Lerche, Anthony G Marson, Terence J O'Brien, Josemir W Sander, Graeme J Sills, Pasquale Striano, Federico Zara, Hreinn Stefansson, Kari Stefansson, Patrick May, Benjamin M Neale, Dennis Lal, Samuel F Berkovic, Epi25 Collaborative, Epipgx Consortium, Sanjay M Sisodiya

Faculty, Staff and Student Publications

Background: Epilepsy is one of the most common neurological disorders, affecting over 50 million people worldwide. One-third of people with epilepsy do not respond to currently available anti-seizure medications, constituting one of the most important problems in epilepsy. Little is known about the molecular pathology of drug resistance in epilepsy, in particular, possible underlying genetic factors are largely unknown.

Methods: We performed a genome-wide association study (GWAS) in two epilepsy cohorts of European ancestry, comparing drug-resistant (N = 4208) to drug-responsive individuals (N = 2618) followed by meta-analyses across the studies. Next, we performed subanalyses split into two broad subtypes: …

Dosimetric Predictors Of Toxicity For Brainstem Metastases And Avms Treated With Stereotactic Radiosurgery: An International, Multi-Institutional Analysis, Raj Singh, Samantha Dayawansa, Duy Pham, Georgios Mantziaris, Selcuk Peker, Yavuz Samanci, Ali Haluk Duzkalir, David Mathieu, Anne-Marie Langlois, Molly L Egnot, Ronald E Warnick, Herwin Speckter, Erwin Lazo, Laura Mendez, Angel I Blanco, Mark J Amsbaugh, Collin Liu, Andrea Becerril-Gaitan, Yoshua Esquenazi, Ching-Jen Chen, Peter Zaki, Yun Liang, Rodney Wegner, Manjul Tripathi, Zhishuo Wei, Shivani A Jajoo, Ajay Niranjan, L Dade Lunsford, Joshua D Palmer, Jason P Sheehan

Faculty, Staff and Student Publications

Background: There are limited data on dosimetric predictors of radiation-induced changes (RICs) for brainstem metastases or arteriovenous malformations (AVMs) following single-fraction stereotactic radiosurgery (SRS).

Methods: We examined a multi-institutional cohort of patients with brainstem metastases or AVMs treated with SRS. We evaluated predictors of RICs graded per CTCAE(Common Terminology Criteria for Adverse Events), including D5%, D95%, D0.03 cc, and D0.5 cc (brainstem minus lesion). Univariate logistic regressions were initially performed with independent variables trending towards significance included on multivariate logistic regression.

Results: A total of 124 brainstem lesions treated with SRS were analyzed (21 AVMs and 103 metastases). The median …

Targeting Discrepancies In Linear Growth Measurements In The Neonatal Intensive Care Unit Through Nursing Interventions: A Quality Improvement Initiative, Gail Snyder, Rebekah Wilkinson, Raina Evans, Meagan Owen, Akram Yazdani, Covi Tibe, Catherine Perez, Lindsay F Holzapfel

Faculty, Staff and Student Publications

Objective: Accurate length measurements are essential for infants to identify growth deficiencies and adjust nutrition accordingly. The gold standard for length measurement in infants is using a length board with two people to obtain an accurate clinical assessment. We aimed to improve the number of measurements with the desired minimal difference, defined as a discrepancy ≤1 cm between nurse and audit measurements, in our center. Our secondary aim was to increase and maintain the number of length boards available.

Methods: This quality improvement (QI) study used a before-and-after intervention comparison design in a single-level IV neonatal intensive care unit between …

First Step To Environmentally Sustainable Endoscopy Practice: A Prospective Study Of Minimizing Multiple Device Use During Screening Colonoscopy At A Large Tertiary Center, Prateek S Harne, Vaishali Harne, Asad Rehman, Nirav Thosani, Madhav Desai

Faculty, Staff and Student Publications

The healthcare sector generates 8% of greenhouse gas emissions in the USA, of which gastrointestinal (GI) endoscopy is the third largest contributor. Single-use tools are a major contributor to modifiable waste generation during GI endoscopy. Through a quality improvement initiative, we aimed to reduce endoscopy waste by urging gastroenterologists to be mindful of tools used during polypectomies by avoiding using multiple tools.We discussed green endoscopy initiatives in monthly journal club and business meetings. Over 14 weeks, 210 patients were included in the pre-intervention group and 112 in the post-intervention group.At baseline, 34% of colonoscopies required no intervention, 32% required one …

Endobronchial Ultrasound Transbronchial Needle Aspiration In The Diagnosis Of Visceral Leishmaniasis In A Patient With Human Immunodeficiency Virus Infection, Mohammad A Amjad, Y H Zhang, Rosa M Estrada-Y-Martin, Sujith V Cherian

Faculty, Staff and Student Publications

No abstract provided.

Tumour Size Is Associated With Growth Rates Of >0.5 Cm/Year And Delayed Intervention In Small Renal Masses In Patients On Active Surveillance, Maximilian Pallauf, Michael Rezaee, Roy Elias, Tina Wlajnitz, Sean A Fletcher, Joseph Cheaib, Khalid Alkhatib, Peter Chang, Andrew A Wagner, James M Mckiernan, Mohamad E Allaf, Phillip M Pierorazio, Nirmish Singla

Faculty, Staff and Student Publications

Objective: To evaluate the association between tumour size and the growth rate (GR) of small renal masses (SRMs) in patients managed by active surveillance (AS).

Materials and methods: We queried the prospective, multi-institutional Delayed Intervention and Surveillance for Small Renal Masses (DISSRM) registry for patients on AS with an imaging interval of ≥6 months, identifying 456 patients. We tracked tumour size over time; a GR >0.5 cm/year was defined as a GR event. We used multivariable recurrent events and time-to-event Cox regression modelling to evaluate the association between tumour size and GR events (primary outcome) and tumour size and delayed …

Efficacy Of Menstrual Cycle Awareness In The Identification Of Premenstrual Dysphoric Disorder, Rachel Brothers

Physician Assistant Scholarly Project Papers

Premenstrual Dysphoric Disorder (PMDD) is characterized by identifiable psychological and physical symptoms that are present in the week before menses and is estimated to affect 3-8% of women of reproductive age globally. The identification of women who meet criteria for PMDD is important both clinically, to provide proper support and treatment, and for advancing research by identifying appropriate study participants. This literature review aims to investigate the efficacy of current and prospective tools to screen for symptoms of PMDD by comparing a common depression screening tool, the PHQ-9, to tools that enhance menstrual cycle awareness. A literature review was conducted …

Oral Nsaids Vs. Topical Anesthetics For Pain Management During Iud Insertion: A More Effective Standard Of Care, Hannah Ulven

Physician Assistant Scholarly Project Papers

An intrauterine device (IUD) is a highly effective, long-acting reversible contraceptive (LARC) option for patients from menarche until menopause. Despite its effectiveness, pain associated with IUD insertion remains a significant barrier to IUD insertion use. Unrelieved pain during the procedure may lead to serious complications, such as vasovagal shock and cardiac arrhythmias, which may negatively impact patient experience and adherence to contraceptive methods. To this day, there is no standard, effective recommendation for pain management during IUD insertion. This literature review aims to compare the efficacy of oral NSAIDs, which are commonly used due to their nonspecific analgesic property, and …

Combining Historical And Citizen Science Jellyfish Records To Inform Marine Biodiversity Management, John Terenzini, Abigail Mcquatters-Gollop, Laura J. Falkenberg

School of Biological and Marine Sciences

Effective management of ecosystems requires knowledge of biodiversity and how it is changing. There are, however, some species and regions for which such data are missing. Combining historical records with those added using non-traditional monitoring methods such as citizen science can fill this gap. Jellyfish are one group for which such an approach is advantageous as jellyfish are difficult to observe, with records particularly lacking for understudied regions outside of Europe and North America. Using Hong Kong as an example, we combine historical jellyfish observation records obtained using traditional methods (published from 1910 to current day) with recent records facilitated …

The Taliban’S ‘Gender Apartheid’: The Reality Of Women In Afghanistan, Hannah Litty

North Carolina Journal of International Law

No abstract provided.

A History Of Security Rights In Personal Property From The Pledge To Bitcoin By Way Of Uncitral’S Universalization Of Principles, Henry Deeb Gabriel

North Carolina Journal of International Law

No abstract provided.

James Baldwin's Classroom And What He Can Teach Educators About Queer Representation, Matthew Callahan

Honors College Theses

This is an extended analysis of James Baldwin's "A Talk to Teachers" about how to bring representation into the classroom. I use Baldwin's other essays and fiction along with educational research to look into the way Baldwin understands education and the importance of bringing healthy queer representation into the classroom. I provide both theoretical observations along with practical implications of what this means for educators in the classroom and what they can do to help all their students feel seen, represented, and welcome in the classroom.

Cognitive Advantages Of Dual Language: Bilingualism And Its Relationship With Working Memory And Controlled Attention, Ellison Alexander

Honors College Theses

This study investigates language familiarity and executive function within individuals who are fluent in or actively learning a second language, demonstrating whether bilingualism influences working memory performance and controlled attention. The study population consisted of undergraduate students attending Murray State University. Three groups were evaluated: students with a low-experience level in a second language (100 level classes), a high-experience group (200 level classes and beyond), and a separate control group of monolingual students without college-level language experience. All groups completed assessments of working memory performance and controlled attention by engaging in the Symmetry Span task and the Simon task. In …

What The F**K Happened: An Analysis Of Why The Emerging Democratic Majority Theory Failed, Olivia Mitchell

Honors College Theses

Despite the Democratic belief that new generations would usher in a more successful era for the party, the 2024 presidential election saw the Republican Party candidate win the popular vote for the first time in two decades. Both Harris and Trump continued the trend of using social media to appeal to young voters, relying heavily on the use of digital platforms and new media to cater to their target audiences. But their approaches varied drastically, reflecting the patterns of political engagement and activity of young Millennial and Generation Z voters, and their successes and failures served as evidence of the …

Volume 34, Issue 2: Contents

Washington International Law Journal

No abstract provided.

Butterfly Effects: Women And Criminal Law, Pavithra Rajendran

Washington International Law Journal

Through a comparative analysis of the criminal laws of Sri Lanka and the United States, this paper examines how Sri Lanka’s legal framework on sexual offenses often hinders women’s access to justice and reinforces systemic gender discrimination. Recognizing the structural constraints inherited from older common law traditions, it underscores the potential for reform through targeted, gradual changes, drawing on developments in modern common law in the United States and relevant international legal standards. The discussion unfolds in three parts: first, a feminist critique of exiting criminal laws in postcolonial; common law systems such as Sri Lanka’s; second, a comparative analysis …

Justifying The Law Of Unjust Enrichment: A Confucian Perspective, Siyi Lin

Washington International Law Journal

In a wide range of situations, the law in different jurisdictions requires that a person who has been unjustly enriched at another’s expense make restitution to the other. However, what justifies the liability for unjust enrichment? This fundamental question has perplexed unjust enrichment scholars, especially in the common law world, for decades, with various justificatory ideas being proposed while no consensus has been reached. This article explores the justification of the law of unjust enrichment within the context of China’s historical, legal, and social frameworks for the first time. A historical review reveals that the notion of unjust enrichment has …

A Slice Of Archives: Developing Focused Internships, Karen Glenn, Rebecca A. Wiederhold

Faculty Publications

In this presentation, Brigham Young University discussed how they have partnered with the campus history department to offer paid internships to students interested in exploring careers in archives. A module approach was developed, allowing students to select up to three projects, giving them experience with multiple types of history-related work done in libraries. We hope that long-term investment in this internship program will encourage students to explore careers in the archives field.

2025 May, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for May of 2025.

Apala Best Of The Best Booklist 2023 - 2024, Asian Pacific American Librarians Association, Family Literacy Focus Committee, Education Subcommittee, Jessea Young (Chair), Zoë Bowlus, Nicole Fernandez, Erika Fitzpatrick, Cathy Lin, Kim Nguyen, Patty Sumire Mcgowan, Yer Vang

Librarian Publications & Presentations

Started in 2022, the Best of the Best Booklist celebrates stories from across the Asian American, Native Hawaiian, and Pacific Islander (AANHPI) diaspora. All APALA members were invited to nominate picture book titles about AANHPI communities and experiences that were published in the 2023 and 2024 calendar years. To curate the final list, members of the APALA Family Literacy Focus Committee evaluated the nominations, guided by the mission of Talk Story and APALA Rubric to Evaluate Asian American and Pacific Islander Youth Literature. The committee is grateful to all the members who nominated titles. Eligible titles that earned a …

Fostering Ai Literacy In Undergraduates: A Chatgpt Workshop Case Study, Susan G. Archambault, Nicole L. Murph, Shalini Ramachandran

Librarian Publications & Presentations

This case study explores the design and implementation of a Chat-GPT literacy workshop for undergraduate students, aiming to equip them with the skills and knowledge necessary to navigate the AI-driven information landscape responsibly and critically. Drawing from a comprehensive literature review on AI literacy and employing a postphenomenological lens, the workshop incorporated best practices for teaching ChatGPT skills, including an emphasis on ethical considerations and critical reflection on the human-technology relationship. The postphenomenological perspective allows for a deeper understanding of how ChatGPT shapes students' experiences and practices. Employing a mixed-methods approach, the study assessed the effectiveness of the workshop through …

The Deterrence Effects Of Tax Whistleblower Laws: Evidence From New York’S False Claims Acts, Yoojin Lee, Shaphan Ng, Terry Shevlin, Aruhn Venkat

Research Collection School Of Accountancy

In this study, we provide evidence on the effects of state tax whistleblower laws. We exploit a novel 2010 amendment to New York’s False Claims Acts (FCA) that explicitly extended whistleblower incentives to corporate income tax whistleblowers. We identify treated firms (firms exposed to New York’s FCA) using establishment-level data and descriptive analyses. Using a sample of firms exposed to New York and neighboring states, we find evidence that New York’s FCA reduced state tax avoidance. In cross-sectional tests, we find that effects are increasing in firms that grant fewer employee stock options and industry regulation, consistent with deterrence increasing …

Infrastructuring Planetary Rural Geographies: A View From China’S Rural Construction Movement, Ningning Chen, Lily Kong, Yurui Li

Research Collection School of Social Sciences

This commentary responds to Wang et al.'s (2023) call for planetary rural geographies by attending to the neglected infrastructural dimensions. In so doing, we show how China's rural construction movement demonstrates Wang et al.'s (2023) three geographies of planetary rurality: as spaces of crisis, conflict, and hope. Simultaneously, we address how planetary rural thinking can foreground infrastructural geographies and their destabilization of urban-centered discourses, leading to a reconsideration of rural–urban relationality. We then identify new insights that critical infrastructural studies offer to planetary rural geographies. This includes an emphasis on the material grounds, hidden politics, and non-linear temporal patterns of …

What Is Wrong With Workism?, Matthew Hammerton

Research Collection School of Social Sciences

Workism is the phenomenon of people making their work the primary source of meaning and identity in their life. Recent critics of workism have argued that there is a growing trend towards it in many societies and that this is a bad thing. This article brings a philosophical perspective to the debate on workism. It develops a precise account of what workism is and evaluates the main objections raised against it by examining their underlying philosophical assumptions. Ultimately, it is argued that workism, as a way of life, is not as objectionable as its critics suggest.

Dispositional Religiosity Predicts Increased Incidence Of Mixed Emotions: Evidence Across Five Studies Spanning Two Countries, Vincent Y. S. Oh, Andree Hartanto, Ringo M. H. Ho, Eddie M. W. Tong

Research Collection School of Social Sciences

Across five studies (total N = 8,414), we examined whether religious individuals experienced more mixed emotions. Studies 1 and 2 examined associations between dispositional religiosity and mixed emotions, while Study 3 provided a pre-registered replication. Study 4 provided a pre-registered exploratory examination of three potential mediators of the relationship between dispositional religiosity and mixed emotions: trait dialecticism, cognitive reappraisal, and fear of God. Finally, Study 5 provided pre-registered prospective analyses testing associations between dispositional religiosity and mixed emotions 1 month later. Across all studies, positive and negative emotions were also examined, and latent variable structural equation modeling was performed, controlling …

The Efficacy Of Incorporating Artificial Intelligence (Ai) Chatbots In Brief Gratitude And Self-Affirmation Interventions: Evidence From Two Exploratory Experiments, Jing Wen Hung, Andree Hartanto, Adalia Y.H. Goh, Zoey K.Y. Eun, K. T. A. Sandeeshwara Kasturiratna, Zhi Xuan Lee, Nadyanna M. Majeed

Research Collection School of Social Sciences

Numerous studies have demonstrated that positive psychology interventions, including brief interventions, can significantly improve well-being outcomes. These findings are particularly important given that many of these interventions are brief and self-administered, making them both accessible and scalable for large populations. However, the efficacy of positive psychology interventions is often constrained by small effect sizes. In light of advancements in generative Artificial Intelligence (AI), this study explored whether integrating AI chatbots into positive psychology interventions could enhance their efficacy compared to traditional self-administered approaches. Study 1 examined the efficacy of a gratitude intervention delivered through Snapchat's My AI, while Study 2 …