Digital Commons Network^™

Regulation In Real Time: A Mixed-Methods Study Of Pharmd Student Learning At A Live Board Of Pharmacy Meeting, Keerthana R. Iyer, Taylor Gannon, Lindsey M. Rayborn, Joseph A. Dikun

Posters

Background: Pharmacists practice within complex legal, regulatory, and ethical frameworks; however, PharmD curricula often offer limited direct exposure to regulatory decision-making in authentic practice settings. Observation of a live Board of Pharmacy meeting may enhance students understanding of professional accountability, systems-level oversight, and the regulatory context of pharmacy practice. Objective: To examine changes in first-year PharmD students perceived regulatory understanding, ethical reasoning, perceptions of professional roles, and advocacy-related beliefs following attendance at a live Mississippi Board of Pharmacy meeting. Methods: This exploratory mixed-methods study included first-year PharmD students enrolled in a required course at the University of Mississippi. Students attended …

Motivational Interviewing Impact On Outcomes Is Affected By Level Of Interventionist Training: A Review Of Systematic Reviews, Sneha Gaonkar, Jan Kavookjian, Heqin Yang

Podiums

ackground: Motivational Interviewing (MI) involves interviewing a person in an autonomy-supporting, person-centered, encouraging way, eliciting the individuals internal change motivations. Thirteen modified Cochrane method (MCM) systematic reviews of MI impact on outcomes included varied populations, interventionist types, and target outcomes with a lens for whether MI training of interventionists was reported and/or met evidence-based MI training guidelines. The objective of this study was to review MI training reported in 126 retained articles across MCM MI reviews and describe level of evidence-based MI training reported. Methods: Each MCM review, published between 2012 to present, aimed to explore and report evidence and …

Comparing Sodium-Glucose Cotransporter-2 Inhibitors (Sglt2i) Versus Inhibitors Of The Renin-Angiotensin System (Rasi) In Heart Failure Patients With Alzheimers Disease And Related Dementia (Adrd), Junnan Qi, Kaustuv Bhattacharya

Podiums

Objectives: To assess the 1-year risk of all-cause hospitalization or mortality associated with initiation of sodium glucose cotransporter-2 inhibitors (SGLT2i) compared with renin angiotensin system inhibitors (RASi) among Medicare beneficiaries with heart failure (HF) and Alzheimers disease and related dementias (ADRD).   Methods: This cohort study used 5% 2012-2020 Medicare fee-for-service claims data to identify beneficiaries with HF and ADRD who newly initiated SGLT2i or RASi between January 1, 2013, and December 31, 2019. Baseline demographics, comorbidities, and medication use were included as covariates. Propensity score matching and standardized differences were used to assess covariate balance between the two treatment groups. …

Real-World Impact Of Fda Opioid Regulatory Actions On Prescribing And Patient Outcomes: A Systematic Review, Millicent Boakye, Gabriel Ezenri

Posters

Background: Since 2013, the United States Food and Drug Administration (FDA) has issued a sustained series of opioid regulatory actions to curb high-risk prescribing and opioid-related harm. The impact of these actions on real-world prescribing and patient safety outcomes remains uncharacterized. This study aims to synthesize observational data on the real-world impact of FDA opioid regulatory actions and Risk Evaluation and Mitigation Strategies (REMS) on prescribing behavior and patient outcomes. Methods: We conducted a systematic review following the PRISMA 2020 guidelines. We search in Pubmed, Embase and Web of science for studies published between September 2013 and September 2025.The eligible …

Examining Social Determinants And Lifestyle Factors In Persons With Interstitial Lung Diseases And Gastroesophageal Reflux Disease, Arindam Saha, Surachat Ngorsuraches

Posters

Background: Interstitial Lung Disease (ILD) is a group of heterogeneous chronic pulmonary disorders associated with substantial morbidity and mortality. Gastroesophageal reflux disease (GERD) is a common comorbidity among ILD patients and has been associated with disease burden and progression. While prior studies have focused on demographic and clinical characteristics, social determinants of health (SDOH) and lifestyle factors remain underexplored.   Objective: To examine SDOH and lifestyle-related factors among individuals with ILD and GERD.   Methods: A cross-sectional study was conducted among 4,372 ILD patients from the All of Us Research Program cohort. A multivariate logistic regression was used to assess age, sex, …

Healthcare Expenditures Associated With Cardiovascular-Kidney-Metabolic (Ckm) Syndrome Stages Among United States Adults, Ziqi Guo, Kaustuv Bhattacharya

Posters

OBJECTIVES: To estimate healthcare expenditures associated with each CKM syndrome stage and to quantify incremental expenditures for each stage compared to stage 0. METHODS: A retrospective cross-sectional study was conducted using pooled data from adults (18 years) in the 2018, 2020 and 2022 Medical Expenditure Panel Survey (MEPS). CKM syndrome stages were defined based on the American Heart Association (AHA) staging construct using International Classification of Diseases, Tenth Revision (ICD-10). Adjusted mean healthcare expenditures for each CKM syndrome stage and incremental expenditures relative to stage 0 were estimated using survey-weighted two part generalized linear models. 95% confidence interval (CI) was …

Reducing Opioid Exposure Through State Policy: Evidence From U.S. Prescribing Limits, Rasaq Oladapo, Olufunmilola Abraham, Patricia R. Freeman, Douglas Oyler, Rachel Vickers-Smith

Podiums

Background: Initial opioid prescribing for acute pain contributes substantially to opioid exposure and can drive persistent use, increasing the risk of overdose and opioid use disorder. Most U.S. states have implemented opioid prescribing limits (OPLs) to restrict initial opioid prescription duration, quantity, or dosage. However their intended and unintended impacts remain poorly understood. This narrative review summarizes evidence from U.S. studies evaluating the impact of OPLs on prescribing, patient, and public health outcomes, while identifying gaps and priorities for future research. Methods: We reviewed U.S. studies published between April 2016 and January 2026 evaluating statutory OPLs. Literature was identified through …

Patients Willingness To Seek Help From Pharmacists In The Management Of Rheumatoid Arthritis: A Qualitative Study, Omkar Ghodke, Erin Holmes, Meagen Rosenthal, Yinan Huang, Marie Barnard

Podiums

Background: This study explored the willingness of rheumatoid arthritis (RA) patients to seek help from pharmacists for their disease management. While pharmacist interventions are known to enhance medication adherence and health outcomes, patient engagement with pharmacists remains low. Understanding the factors that influence RA patients' willingness to use pharmacy services is essential for improving patient outcomes and optimizing the role of pharmacists in RA management. Using the Integrative Model of Behavioral Prediction (IMBP), this study identified the factors influencing willingness to use pharmacists and pharmacy services among patients with RA. Methods: This study utilized semi-structured interviews targeting individuals 26 years …

Application Of Multi-Criteria Decision Analysis In Pharmacy And Therapeutics Committee Formulary Decision-Making: A Systematic Review And Proof-Of-Concept Framework, Georges Adunlin, Riley Atkinson

Posters

Background: Pharmacy and therapeutics (P&T) committees must evaluate competing medications within the constraints of finite healthcare resources. Traditional formulary decision-making processes may inadequately capture the multidimensional value of medications. Multi-criteria decision analysis (MCDA) has emerged as a structured approach to incorporate clinical, economic, and operational considerations; however, evidence of its real-world application in P&T committee decision-making remains limited.   Objectives: (1) To systematically review and synthesize published literature describing the use of MCDA in formulary decision-making by P&T committees. (2) To develop a conceptual MCDA framework and demonstrate its feasibility through a proof-of-concept application within a P&T committee context.   Methods: A …

Meal Provision Strategies For People Experiencing Homelessness: A Qualitative Study, Alexcia Carr, Rachel A. Vincent, Leticia R. Moczygemba

Posters

INTRODUCTION: People experiencing homelessness (PEH) often rely on community based meal service organizations (MSOs) for consistent food access. Given the high burden of diet related chronic illness among PEH and the role of therapeutic lifestyle changes in disease management, MSOs represent a key setting for improving nutritional quality. However, little is known about how MSOs resource and sustain meal services or how nutrition is considered within their meal provision processes. This study examined (1) meal provision strategies, (2) meal planning and food acquisition practices, and (3) the role of nutrition-related knowledge in service delivery.   METHODS: Semi-structured interviews were conducted with …

Multilevel Drivers Of Missed Opportunities For Hiv Prevention: A Qualitative Synthesis Within A Systematic Review, Ismaeel Yunusa, Tarilate Temedie-Asogwa, Osaro Mgbere, Julie Atta, Moosa Tatar, Susan Abughosh, Ekere Essien

Posters

Background: Despite the availability of effective HIV prevention strategies, including pre-exposure prophylaxis (PrEP), gaps in prevention delivery persist across healthcare settings. Missed opportunities for HIV prevention remain common, yet multilevel factors driving these gaps are not fully understood. Understanding these drivers is essential to inform effective interventions at the individual, interpersonal, provider, and system levels. Objectives: To identify and synthesize multilevel determinants of missed opportunities for HIV prevention and PrEP delivery. Methods: We conducted a qualitative synthesis within a systematic review of U.S.-based studies (2012-2025) on missed opportunities for HIV prevention. Articles were identified through database searches (PubMed, Embase, and …

A Multilevel Analysis Of Hiv Care Outcomes Across Age, Race, And Housing Among United States Women Veterans, Giselle Day, Amber B Amspoker, Alan Z Sheinfil, Liang Chen, Emmanuel Guajardo, Maria E Fernandez, Cici Bauer, Irene Tamí-Maury, Jan Lindsay

Faculty, Staff and Students Publications

Background: Women veterans with HIV represent a growing, diverse population within the Veterans Health Administration (VHA). This study examined HIV care continuum outcomes among women veterans using a multilevel intersectional approach.

Methods: We conducted a retrospective analysis of 1154 women veterans with HIV in VHA care in fiscal year 2022, with outcomes assessed in fiscal year 2023. We applied Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) to evaluate how combinations of social positions (age, race/ethnicity, housing status) were associated with HIV outcomes.

Results: MAIHDA models showed that younger age (< 45 years) and being unhoused were consistently associated with lower odds of care engagement and viral suppression than midlife (45-64) and older (65+) housed women veterans. Additionally, predicted probability analyses revealed distinct clustering patterns. Younger non-Hispanic White women consistently ranked among the lowest performing strata across all outcomes, while midlife and older Hispanic and non-Hispanic Black women veterans clustered among the highest. Variance Partition Coefficients from null models were modest (1.8-3.0%). Fully adjusted models showed no remaining between-stratum variance, suggesting that the included social positions explained the observed differences in our dataset.

Conclusions: These findings highlight disparities in HIV care …

Hormonal Shifts And Structural Strain: A Literature Review Of Menopause And Perimenopause In Relation To Overuse Injuries And Stress Fractures, Mustafa Ansari, Faisal Hussain, Mutasem Shopon, Hanfa Ajmal, Mueez Asif, Sharon David

Student Publications

Musculoskeletal injury risk in midlife women has traditionally been attributed to estrogen decline, but this narrow focus overlooks the broader biomechanical, neuromuscular, and structural changes associated with menopause. Estrogen plays a multisystem role in maintaining trabecular bone integrity, collagen turnover, and neuromuscular coordination. Its abrupt loss causes bone demineralization (2%-5% annually in early menopause), impairs tendon repair, and contributes to sarcopenia. Fluctuating estradiol levels during perimenopause may transiently increase ligament laxity, further destabilizing joints. Common injuries such as Achilles and rotator cuff tendinopathies, plantar fasciitis, and stress fractures are amplified by low bone mineral density, prior fracture history, aromatase inhibitor …

Air Pollution And Public Health: Global Evidence And Implications, Mohammed Obaid Al-Mansoori

Al-Bahir

Globally, the issue of air pollution keep being one of most serious challenges that affecting environment and human health, coming from emissions of industries, transport, agriculture and also from the fuel people use in homes, in addition to natural events that make the situation worse. This review try to bring together the available evidences about the sources, types, and the health impacts of the main air pollutants, including the gaseous ones like SO₂, O₃, NO₂, and CO, and the particulate matter (PM₁₀, PM₂.₅). Exposure for short or long time to these pollutants is linked with many harmful outcomes, such as …

Ucedd Innovations Lead To Idd Networks’ Driving Change: Envision, Empower, Employ, Suzzanne Freeze, Jean Winsor, Brittany M. Powers, Amy Huppi

Developmental Disabilities Network Journal

State systems responsible for administering employment services and supports to people with intellectual and developmental disabilities (IDD) must acclimate to changing demands, address new regulations, and continue to meet needs in an era of high workforce turnover and uncertain funding. While improvements have been made across the U.S., there are still far too many individuals seeking meaningful employment and contributory roles in the community who are not supported to achieve those goals. A key success factor is providing publicly funded state systems with the information needed to strategically pivot toward priorities and ensure smooth transitions of organizational change. Our country’s …

Factors Influencing Tourist Interest In Walking Tours In The Kota Tua Area, Novi Handayani, Adrian Hartanto

Journal of Indonesian Tourism and Policy Studies

This study aims to analyze the extent to which the variables of Attraction, Accessibility, Cost and Tarif, Facilities, and Information contribute to Walking tour Interest, both individually (partially) and collectively (simultaneously).  As previous research states that Indonesia has one of the lowest levels of mobility. The average Indonesian walks only 3513 steps per day, while the recommended daily step count for maintaining good health is 5000. This study uses Multiple Linear Regression Analysis as its analysis method using partial hypothesis testing (t-test) and simultaneous hypothesis testing (f-test).. Data were collected through an online questionnaire distributed via Google Form to …

Intermittent Fasting In Chronic Heart Failure: A Systematic Review Of Safety And Physiological Outcomes, Zulrahman Erlangga, Prenali Dwisthi Sattwika

Journal of the Saudi Heart Association

Interest in intermittent fasting has expanded substantially due to its reported metabolic effects. However, whether such dietary patterns are safe for individuals living with chronic heart failure remains unclear. This issue is particularly relevant for patients who fast for religious observance, including Ramadan. We therefore performed a systematic review to evaluate the clinical safety and physiological implications of intermittent fasting in stable heart failure populations. The review protocol adhered to established reporting standards for systematic reviews. Multiple electronic databases were systematically searched from inception through December 2025 to identify studies evaluating intermittent fasting in adults with chronic heart failure. Both …

A Conceptual Model Of The External Costs Of Truck Overloading On Road Damage, Emissions, And Traffic Congestion: A Systematic Literature Review, Aleksius Sitepu, Sutanto Soehodho, Andyka Kusuma

Smart City

Freight transport services cannot be separated from the infrastructure and facilities involved, each of which faces its own challenges in delivering optimal performance in the logistics sector. A common challenge in Indonesia’s road sector is the presence of overloaded freight vehicles, which has become a national issue. This phenomenon has a negative impact not only on road infrastructure but also on the environment and traffic. This study aims to develop a conceptual model of the external costs caused by truck overloading practices in terms of road infrastructure damage, increased exhaust emissions, and traffic congestion through a systematic literature review. This …

Relay Selection And User Scheduling In Reconfigurable Intelligent Surface Assisted Millimeter-Wave D2d Communication, Lakshmikanta Sau

Doctoral Theses

Reconfigurable intelligent surface (RIS) assisted millimeter wave (mmWave) device to device (D2D) communication has recently been proposed as a viable solution to support the overwhelming data traffic in fifth-generation (5G) and beyond wireless networks. However, due to the substantial propagation and penetration losses of mmWave, a direct line of sight (LoS) link between a pair of proximity devices is required for effective communication. Static obstacles like trees and buildings can easily obstruct the direct LoS connectivity between a device pair. In such cases, RISs help to establish an indirect LoS link between an obstructed device pair by reflecting the signals …

Opioid Tapering And Risk Of Cardiovascular Diseases Among Older Adults: A Case-Crossover Study, Shadi Bazzazzadehgan, Yi Yang, Liang-Yuan Lin, John Bentley, Sujith Ramachandran, Kaustuv Bhattacharya

Podiums

Objectives: Opioid tapering has increased in recent years with the implementation of national prescribing guidelines. This study aimed to examine the association of opioid tapering with takotsubo cardiomyopathy (TCM) and major adverse cardiovascular events (MACE) in older Medicare beneficiaries. Methods: A case-crossover design was employed using 5% Medicare administrative claims data (2012-2020). Older adults (65 years) with TCM or MACE (composite of myocardial infarction, stroke, or cardiovascular death) were identified, and the date of the first occurrence was designated as the index date. Beneficiaries were required to have long-term opioid therapy episode, defined as 45 days of opioid possession within …

Patient Perspectives On Telehealth In Routine Diabetes Follow-Up Care: A Qualitative Focus Group Study Of Adults With Type 2 Diabetes, Diamant Gashi, Meagen Rosenthal

Posters

Background: Type 2 diabetes is a common chronic condition in the United States and requires ongoing follow-up to monitor glycemic control, review laboratory results, adjust medications, and address self-management needs. Telehealth has become an increasingly common component of diabetes care, yet its role in routine follow-up remains underexamined. Existing qualitative studies highlight both benefits, such as convenience and reduced travel, and limitations, including challenges with physical assessment and sharing home monitoring data. However, less is known about how adults with type 2 diabetes determine where telehealth fits within the practical realities of routine follow-up care. Objective: To explore how adults …

The Chemotherapy Use And Adverse Effects Of Patients With Lung Cancer At Regional General Hospital In Surabaya, Indonesia, Rika Yulia, Aguslina Kirtishanti, Heru Wijono, Eko Setiawan, Bobby Presley, Tjie Kok Go, Ni Putu Irma Mayani, Anna Febriani, Halim Priyahau Jaya, Fauna Herawati

Pharmaceutical Sciences and Research

In Indonesia, lung cancer is the leading cause of death related to cancer, according to Global Cancer Observatory. Chemotherapy is the most common treatment since it works systemically and can prevent cancer cells from spreading to other organs. Cytotoxicity of chemotherapy can also put patients at high risk of experiencing adverse effects. This study aimed to evaluate the congruity of chemotherapy use with treatment recommendations and the profile of adverse effects, not only acute but also delayed adverse drug reactions. This prospective observational study involved 41 adult patients with lung cancer who received chemotherapy. Data is collected through patients’ medical …

Retirement At Risk: The Political Economy Of Public Pension Governance, Allen Mendenhall, Dan Sutter

Journal of New Finance

State public pension systems manage over $6 trillion in assets while facing approximately $1.3 trillion in unfunded liabilities, raising fundamental questions about governance effectiveness and fiduciary accountability. This Article examines these challenges through the analytical framework of governance, applying insights from public choice, principal-agent models, and corporate governance to argue that details in implementation significantly impact outcomes.  We offer Ohio’s State Teachers Retirement System (STRS) as a case study. Recent governance reforms in Ohio—including legislative restructuring of the STRS board and enactment of fiduciary standards legislation modeled on the American Legislative Exchange Council’s framework—suggest the potential for earlier governance problems. …

Analyzing Retirement Systems Through A Triad Framework: Lessons For U.S. Reform, Romina Boccia, Ivane Nachkebia

Journal of New Finance

As U.S. Social Security approaches insolvency, this paper analyzes the program’s challenges through a political economy lens and makes two new contributions. First, it introduces a normative triad framework for evaluating retirement systems based on individual autonomy, fiscal sustainability, and poverty alleviation. Second, it applies this framework to five advanced economies—Canada, Germany, New Zealand, Sweden, and the U.S.—to identify institutional features associated with differences in outcomes. Deriving implications for U.S. reform, we propose four recommendations: transition Social Security to a flat-benefit system, slow benefit growth, adopt automatic stabilizers, and expand flexible savings options.

Teacher Retention: Do Job Satisfaction, Support From Administrators, Professional Development Opportunities, Student Behavior, And School Culture Directly Affect Whether A Teacher Decides To Stay At A School Or Leave?, Robert Dawson Parrott

Education Theses and Dissertations

Teacher retention has reached crisis levels nationwide, with nearly 50% of beginning teachers leaving within five years. Teacher attrition increased to 27.3% in 2022–2023 in a large suburban school district in North Texas. This translated to over $1.1 million dollars in teacher salary expenditures alone. This Dissertation in Practice utilized mixed-methods research grounded in Improvement Science and Plan-Do-Study-Act cycles to explore five campus-level contributors to teacher retention that fell under the control of building-level administrators: job satisfaction, administrative support, professional development, campus culture, and student behavior supports. In Phase 1 a teacher intent survey (n = 63) and focus group …

Sirt1 And Ifi16 Cooperatively Regulate Hbv Replication Via Epigenetic Modulation And Innate Immune Activation, Zahra Zahid Piracha, Umar Saeed, Neelam Abid, Syed Shahan Gilani, Hafiz Ahmad Bilal Akhtar Chughtai, Areesha Wasti, Muhammad Waseem, Dilber Uzun Ozsahin, Andromeda M. Nauli, Surya M. Nauli

Pharmacy Faculty Articles and Research

Background

Hepatitis B virus (HBV) establishes persistent infection through the formation of a covalently closed circular DNA (cccDNA) minichromosome, which enables immune evasion and sustained viral replication. While SIRT1, IFI16, and STING are known to modulate antiviral pathways, their cooperative role in regulating HBV transcription and host immunity remains poorly defined.

Methods

We investigated the functional interplay between SIRT1, IFI16, and STING using confocal microscopy, chromatin immunoprecipitation (ChIP), gene silencing, and quantitative PCR in HBV-replicating cell models. Interactions with HBV cccDNA and effects on viral transcription and interferon-stimulated gene (ISG) expression were analyzed. Northern blotting and RT-qPCR were used to …

Across Borders, Across Cultures: A Quest For Health And Well-Being Portfolio, Carrington Connor

UN SDG Open Pedagogy Faculty Fellowship: Renewable Assignments

No abstract provided.

Examining The Influence Of Job Demands And Resources On The Psychological Well-Being Of Arkansas Teachers, Amy C. Erstine

Student Theses and Dissertations

Teachers across the United States are experiencing declining psychological well-being due to increasing job demands and insufficient workplace resources. In Arkansas, this imbalance contributes to burnout, attrition, and persistent teacher shortages, affecting not only educators but also students, schools, and communities. Job resources are positively associated with well-being, whereas job demands are negatively associated with well-being. Understanding the job resources and demands influencing teacher well-being is critical to sustaining a stable and effective teaching workforce. The purpose of this non-experimental and predictive study was to examine the influence of job demands and resources on the psychological well-being of currently licensed …

A Phenomenological Study Of The Factors Influencing Novice Special Education Teachers’ Career Decisions, Angela L. Norris

Student Theses and Dissertations

The rising attrition rates of special education teachers, particularly within their first five years of teaching, are a growing concern. The early departure of these educators negatively impacts the academic achievement of students with disabilities, as well as the stability and longevity of these educators’ careers. Little research shows why these educators exit the profession in significant numbers. This qualitative phenomenological study utilized Billingsley’s model of factors influencing the career decisions of teachers as the conceptual framework. Research questions explored the perceptions of novice special education teachers regarding school leadership, professional development, and compensation and their influence on their career …

Exploring Teachers' Perceptions Of The Influence Of Social Emotional Competencies On Virtual Students' Academic Success, Melanie Cheyanne Spence

Student Theses and Dissertations

The problem addressed in this study is that the effects of Social Emotional Learning (SEL) competencies on academic achievement for virtual learners in a Grades 5-8 classroom are not well known. The purpose of this qualitative narrative study was to explore teachers’ perceptions of how the practice of SEL competencies by students influence their academic success in a virtual Grades 5-8 classroom. This qualitative narrative inquiry was based around Social Emotional Learning (SEL), a conceptual framework identified by CASEL as including five competencies: self-awareness, self-management, social awareness, relationship skills, and responsible decision-making. The target audience was educational stakeholders who are …