Digital Commons Network^™

Menarche To Menopause: The Impact Of The Reproductive Lifespan On Gynecological Health, Iridian Guzman Mph, Caroline Cochrane Md, Anne Rivelli Mph, Ma, Veronica Fitzpatrick Drph, Mph, Asma Ahmed Phd, Marybeth Ingle Phd

Scientific Day

Background/Significance:

A woman’s reproductive lifespan (age at menopause-age at menarche) is anchored within two significant physiological shifts. On average, women spend half their life in this phase and are susceptible to gynecological diseases.

Purpose:

The aim of the menopause (M2M) study is to examine the shift in reproductive lifespan.

Methods:

The M2M study included women (10-90 years) with a documented age at menarche and 1> annual encounter between 2014-2024 within a large Midwestern Health System (n=340,220). Demographics, gynecological conditions, and comorbidities were extracted from electronic health records. Descriptive statistics for continuous variables are presented as means and standard deviations and …

Evaluating The Effectiveness Of Magnesium In Addition To Prochlorperazine For The Treatment Of Migraines In The Emergency Department, Michael Cirone Md, Thomas Szwajnos Pharmd, Samar Ashrafi Pharmd, Ryan Mckillip Md, Kara Fifer Pharmd, Cathrine Roels Pharmd, Nadine Lomotan Pharmd, Cindy Ndiaye Mph, Travis Hase Md, Loredana Huma Phd, Acrp-Cp

Scientific Day

Background/Significance:

Clinical practice guidelines for the acute management of migraines recommend antiemetics such as prochlorperazine as first-line therapy. Although intravenous (IV) magnesium sulfate (Mg) has demonstrated benefit as a standalone treatment for acute migraines, whether it can provide additive analgesic benefit when combined with prochlorperazine is unknown.

Purpose:

Determine whether IV Mg combined with prochlorperazine provides greater reduction than prochlorperazine monotherapy in emergency department (ED) patients with acute migraine.

Methods:

This prospective, double-blind, randomized controlled trial compares IV prochlorperazine and Mg with prochlorperazine and placebo in patients presenting the ED with symptoms of acute migraine. All participants received IV diphenhydramine …

Language-Related Differences In Prenatal Depression Screening, 2019-2024, Amanda Luff Phd, Anne Rivelli Mph, Ma, Akaninyene Noah Mph, Emily Malloy Phd, Cnm, Facnm, Ravi Mishra Md, Veronica Fitzpatrick Drph, Mph

Scientific Day

Background/Significance:

The American College of Obstetricians and Gynecologists issued its first recommendation for universal prenatal depression screening (PDS) in 2015 and reinforced this opinion in 2018. In 2019, the National Committee for Quality Assurance added Prenatal Depression Screening and Follow-up as a quality measure. Language can be a barrier to receipt of recommended screenings.

Purpose:

To evaluate how language preference was associated with uptake of PDS following updated recommendations.

Methods:

This retrospective cohort included people who received prenatal care (PNC) for delivery at an Advocate Midwest facility between 2019 and 2024. We identified PDS through the presence of a depression …

Alopecia Associated With Tnf-Α Inhibitors: A Faers Review Of Combination Therapy Effects That Miraculously Spare Ibd Patients, Olivia Foy Md, Lukus Berber Md, Nick Adimi Md, Eli D. Ehrenpreis Md, Agaf, Facg

Scientific Day

Background/Significance:

Tumor necrosis factor-α (TNF-α) inhibitors are widely used in the management of inflammatory bowel disease (IBD), often combined with Methotrexate (MTX) to reduce immunogenicity. Agents such as Infliximab and Adalimumab are effective for moderate to severe ulcerative colitis and Crohn's disease. Although generally well tolerated, both have been linked to dermatologic adverse effects. Alopecia is a visible and distressing side effect that may affect quality of life and adherence. The magnitude of this risk in IBD patients receiving combination therapy remains unclear. Post-marketing databases allow detection of rare adverse drug reactions and potential interactions.

Purpose:

We used OpenVigil, a …

How Soon Is Too Soon? The Association Between Observation Time Off Supplemental Oxygen And Readmission Rates For Infants Hospitalized With Bronchiolitis, Lauren Amendola Do, Faap, Emma Flosi Do, Matthew Silas Do, Loredana Huma Phd, Acrp-Cp, Hasan Mahbubul Ms, Msis, Sheena Mckenzie Md, Mba, Faap

Scientific Day

Background/Significance:

High-flow nasal cannula and low-flow nasal cannula are widely used in bronchiolitis, the leading cause of infant hospitalization. Limited evidence informs optimal duration of monitoring after discontinuing oxygen before discharge, resulting in wide practice variation.

Purpose:

Our primary objective was to determine if the duration of monitoring patients with bronchiolitis off supplemental oxygen before discharge was associated with differences in 7- and 30-day emergency department (ED) visit or hospital readmission rates. Our secondary objective was to assess how the following characteristics are associated with observation time off oxygen: age, prematurity, last oxygen modality used, viral pathogen, time of oxygen …

Atrial Tachycardia Reduction With Intravenous Use Of Magnesium (Atrium), Ryan Mckillip Md, Samar Ashrafi Pharmd, Haneen Hussein Pharmd, Travis Hase Md, Kara Fifer Pharmd, Cathrine Roels Pharmd, Nadine Lomotan Pharmd, Cindy Ndiaye Mph, Loredana Huma Phd, Acrp-Cp, Marc Mcdowell Pharmd

Scientific Day

Background/Significance:

Magnesium sulfate (Mg) is a safe and effective option for the management of atrial fibrillation or atrial flutter with rapid ventricular response (AFF RVR); however, the optimal dose is unknown. Prior research on its effectiveness has primarily used high-dose regimens (4-9g), which are associated with increased adverse effects, such as hypotension and bradycardia. Whether lower doses can provide comparable rate-control benefit while reducing adverse events is unknown.

Purpose:

The objective of this study is to compare the efficacy of lower doses of intravenous (IV) Mg to successfully decrease the ventricular rate to under 120 beats per minute (bpm) in …

The Live For Band Pilot Study: The Utility Of A Wearable Mental Health Tool For Teens, Huma Ali Khan Md, Mph, Gabrielle Roberts Phd, Matt Mussman Md, Maureen Shields Mph, Anjali Patel

Scientific Day

Background/Significance:

Depression and anxiety are serious and alarmingly common challenges adolescents face, with 19.2% of teens screening positive for depression in 2023. Many barriers to mental health care exist, including social stigma, treatment cost, and limited provider availability. Little is known on the utility of other supplemental mental health tools for teens. Mental health wearables are a novel concept, with limited past research. To our knowledge, no studies have evaluated the effects of nonelectronic wearable tools on adolescents’ mental health.

Purpose:

The purpose of the pilot study was to distribute LIVE FOR Bands (LFBs) to Adolescent Medicine Clinic patients and …

Baseline Ntprobnp As A Predictor Of 1-Year Heart Failure Hospitalizations In Cardiac Amyloidosis, Hannah Runnoe Do, Anne Marie Bonaguro Do, Valentina Turbay Caballero Md, Cindy Ndiaye Mph, Mark Dela Cruz Md

Scientific Day

Background/Significance:

Patients with cardiac amyloidosis (CA) are at high risk for morbidity. It remains unclear which biomarkers or echocardiographic parameters can help identify CA patients at the highest risk of short-term hospitalization.

Purpose:

We investigated whether biomarkers or echocardiographic parameters could help identify CA patients at the highest risk of hospitalization within one year.

Methods:

We performed a single-center cohort study of all CA patients from 2019 to 2025 who had a left ventricular ejection fraction (LVEF) and right ventricular- pulmonary arterial pressure coupling (RV-PA coupling ratio) reported at baseline. Patients were divided into groups based on number of heart …

Examining Attitudes Towards Ai Tools In Graduate Medical Education And Healthcare Practice, Mahbubul Hasan Ms, Msis, Sarah Riutta Phd, Ryan Mckillip Md, Jill Patton Do, Alonzo Jalan Md

Scientific Day

Background/Significance:

Artificial intelligence (AI) tools are rapidly being introduced into clinical and research workflows, including documentation support, data analysis, and decision augmentation. Successful integration of these tools will depend on user trust, perceived appropriateness, and ethical comfort. Misalignment between institutional implementation strategies and frontline clinician attitudes may influence adoption, safe use, and long-term impact on patient care and research integrity. However, little is known about how health system–affiliated clinicians, educators, and researchers perceive AI use across professional roles and training levels. To this end, we conducted a survey-based study to gather information on how AI tool use is perceived by …

Identifying Obstetric Care Needs And Experiences Among Rohingya Refugee Women In Milwaukee, Wisconsin, Michelle Lin Bs, Amulya Suresh Bs, Sarah Yapo Bs, Dahlia Tesfamichael Md, Manuel Lamptey Ms, Dawn Wankowski Ms, Jessica Jf Kram Mph, Elizabeth Corey Md, Mph

Scientific Day

Background/Significance:

Rohingya refugee women in the United States face barriers to obstetric care, including language isolation, gender norms, prior trauma, and unfamiliarity with Western healthcare systems. Milwaukee hosts the largest Rohingya community nationwide (~3,000 residents), yet little is known about their perinatal care experiences.

Purpose:

Our quality improvement project aimed to characterize obstetric needs and care experiences among Rohingya women in Milwaukee and inform community-centered interventions.

Methods:

We conducted a quality improvement study of Rohingya women who delivered at Aurora Sinai Medical Center from 2019 to 2023. Eligible participants were foreign-born Milwaukee County residents with at least one prenatal visit. …

Evaluating Adherence To Fetal Heart Rate Monitoring Guidelines As A Decision For Primary Cesarean Deliveries, Sarai Trenhs Do, Laurel Pietrzak Do, Manuel Lamptey Ms, Jessica Jf Kram Mph, Callie Cox Bauer Do

Scientific Day

Background/Significance:

Cesarean delivery rates in the United States remain high at ~32% of deliveries. Primary cesarean deliveries or Nulliparous, Term, Singleton, Vertex (NTSV) cesareans are ~26%. National benchmarks focus on reducing NTSV cesareans as a key strategy to addressing the overall cesarean delivery rate. While the NTSV benchmark (NTSV rate 23.6% or lower) is an important benchmark for quality improvement, it does not account for clinical factors that may influence delivery decisions. Non-reassuring fetal status (Category II or III) is a frequent indication for NTSV cesareans, yet it is inconsistently defined and fetal heart rate (FHR) monitoring guidelines (Clark guidelines) …

Implications Of The Dobbs Vs. Jackson Women's Health Organization Decision On The Incidence Rate Of Ruptured Ectopic Pregnancies, Nirja Inamdar Do, Haley Primuth Md, James O. Adefisoye Phd, Jessica Jf Kram Mph, Elizabeth Bruce Bs, Marie Forgie Do

Scientific Day

Background/Significance:

Ectopic pregnancy (EP) requires timely diagnosis and treatment as delays increase the risk of rupture and maternal morbidity/mortality. Delays to reproductive healthcare access due to legal ambiguity, clinic closures, and widespread misinformation post-Dobbs vs. Jacksonmay have increased the incidence of ruptured EPs in Wisconsin. Similar delays may have also been experienced during COVID- 19 increasing ruptured EPs.

Purpose:

To examine the impact of restricted reproductive healthcare access in Wisconsin post-Dobbson EP rupture incidence proportion (IP), presentation, and management.

Methods:

Our retrospective cohort study looked at EPs within one healthcare system at 63 facilities located predominately …

Improving Continuous Glucose Monitor Prescribing Through Emr Standardization And Resident Education In A Family Medicine Residency Program, Collin Spencer Do, Robert Hackney Md, Michelle Won Md, Zachary Wallace Md, Alonzo Jalan Md, Lisa Sullivan Vedder Md

Scientific Day

Background/Significance:

Continuous glucose monitors (CGMs), including Dexcom G7 and FreeStyle Libre 3, improve glycemic control and reduce hypoglycemia in insulin-treated patients with diabetes. Despite strong evidence supporting their use, prescribing CGMs in primary care requires detailed documentation to meet Medicare and commercial insurance criteria. Incomplete documentation and uncertainty regarding eligibility can result in delays, denials, and underutilization. Baseline data within our residency clinics suggested inconsistent prescribing patterns and variability in required documentation. We sought to determine whether implementation of a standardized documentation template combined with resident education would increase CGM prescribing utilization and improve workflow efficiency.

Purpose:

To increase CGM …

Table Of Contents

Catholic University Law Review

No abstract provided.

Employability Skills Development In Career And Technical Education: Administrators’ Perspectives, Emily Manuel, Bradley M. Coleman, Jon W. Ramsey, J. Shane Robinson, Mary Jo Self

Journal of Research in Technical Careers

Career and Technical Education (CTE) programs in the United States have provided a combination of academic, technical, and employability skills to prepare students for college and careers. Employability skills, also known as soft skills, life skills, or behavioral skills, are developed through multiple CTE program components. This mixed-methods study explored administrators’ perceptions of Oklahoma CTE’s capacity to develop employability skills in students to meet the needs of the local community. A convergent parallel mixed methods design was used to collect and analyze quantitative and qualitative data. Quantitative findings suggest problem-solving, logical reasoning, and critical thinking were the highest-rated skills developed. …

Interest Requires Knowledge: Initial Development Of A Measure Of Career Knowledge, Sarah Ferguson, Marjorie Blicharz, Kara Ieva, Christopher J. Winkler, Theresa Cann

Journal of Research in Technical Careers

This paper details a measurement development study conducted in multiple phases to establish the reliability and validity of scores from a measure of career knowledge that can be specified to career fields. The initial development study focused on surveying and mapping careers in the engineering technician cluster, in alignment with a larger intervention study on career exploration of STEM technician and technologist careers. A short seven-item measure of perceived career knowledge was developed and piloted to address the need for empirical data on students' career knowledge, an outcome of interest to practitioners and researchers in career development. Exploratory and confirmatory …

Critical Lawyering Pedagogy: Transformational Legal Education, Carolyn Grose

Minnesota Journal of Law & Inequality

In an era marked by democratic backsliding, systemic inequality, and widespread disillusionment with legal institutions, traditional legal education has proven not merely inadequate, but actively complicit in reproducing the institutional norms, professional identities, and hierarchies that have enabled democratic erosion and the misuse of law as a tool of exclusion and domination.

This Article describes a comprehensive, justice-oriented framework that reimagines the structure, content, and outcomes of legal education to better meet those needs. Critical Lawyering Pedagogy (CLP) draws from Critical Pedagogy, Narrative Theory, and Critical Lawyering and challenges the entrenched hierarchies and exclusionary norms that dominate most law schools …

Whose Interest? How Attorney General Paxton Weaponizes His Administrative Power Against The Public Interest, Kaylie Vasquez

Minnesota Journal of Law & Inequality

Attorney Generals wield immense power throughout the country and are charged with protecting the interests of the public. In Texas, the Attorney General manipulates this power for political capital and ideological warfare. This Note examines the case of Annunciation House v. Paxton and the administrative powers granted to the Texas Attorney General. Specifically, this Note examines the Request to Examine statute that authorizes the Texas Attorney General to investigate any business organization at anytime for any reason. It does so by 1) discussing the specific statute and analyzing its weakness; 2) evaluating the Request to Examine at issue in Annunciation …

Behavior Analysts' Recommendations For Police Interactions With Youth On The Autism Spectrum, Emily Emily Hinterneder

Honors Theses

Autism spectrum disorder affects nearly 2% (1 in every 36) of children in the United States, yet few resources exist to aid police officers in effective communication and interaction with this portion of youth. This study surveyed behavior analysts’ recommendations for police regarding how they can better interact with youth with autism spectrum disorder based on their knowledge, experiences, and opinions. The research surveyed behavior analysts initially in Massachusetts, then throughout the United States, on how police interact with youth with autism, with the intent to propose possible improvements. Quantitative analyses of the closed-ended questions were conducted to examine familiarity, …

A Correlational Study Of Work-Related Factors On Private School Teachers’ Stress And Anxiety, Anna E. Guilliams

Doctoral Dissertations and Projects

The purpose of this correlational predictive study is to examine the factors of class size, hours worked during the week, and hours given to plan a week and determine if there is a predictive nature between these factors and perceived stress and anxiety in private school teachers. Determining the root causes of the rising rates of teacher stress is imperative to the future of the education system because teacher stress has a direct relationship to attrition, job satisfaction, teacher physical health, and job performance. A group of 115 private school teachers from a southern state participated in online surveys to …

The Role Of Faith In Coping With Mental Health Challenges In Late Life: A Phenomenological Study Of Religious Experience In The Aging Population, Krista Kelley

Doctoral Dissertations and Projects

Depression, anxiety, and suicidal ideation are significant concerns among older adults. These conditions are often neglected due to stigma, atypical symptom presentation, and medical comorbidities, resulting in increased healthcare utilization, heightened suicide risk, and emotional dysregulation. Psychosocially, these challenges obstruct a successful resolution of Erikson’s final stage, ego integrity versus despair, leading to dissatisfaction, regret, and reduced well-being. Although previous research has suggested a link between religious engagement and improved mental health outcomes, few studies have explored older adults’ lived experiences of faith in coping with mental health. This qualitative phenomenological study examined the experiences of 25 older adults regarding …

Winning Formula: The Life Of Colonel Edward R. Bradley, Lorraine Potter

Doctoral Dissertations and Projects

Edward R. Bradley was a towering cultural icon of the early twentieth century. He is best known as the owner and breeder of four Kentucky Derby winning horses and as the owner and operator of the longest-running illegal casino in American history. However, Bradley's story has rarely been told, due to both his characteristic humility and the dubious nature of his profession. Bradley worked, lived, and invested in nearly every pivotal American region during the Progressive Era, plying his trade as a highly successful gambler, speculator, and horse breeder. Though his accomplishments were immense, his demeanor remained dignified, plainspoken, and …

Homeschool Music: The Predictive Relationship Between Parents’ Homeschooling Approach And Religiosity For Music Learning Choices, Ashley Virginia Finke

Doctoral Dissertations and Projects

The purpose of this quantitative predictive correlational study was to examine how accurately the combination of parents’ homeschooling approach and parents’ religiosity predict music learning choices for homeschooled students. A Florida Department of Education report showed an increase in homeschooling between the 2013-14 and 2023-24 school years, while an Institute of Education Sciences report documented that 49 percent of homeschooled students in the United States participated in music in 2016. Despite these reports, limited research exists of homeschool music education in the United States and, specifically, in Florida. This study resulted from the related literature and the dearth of current …

Unmasking Unity: A Grounded Theory Study Of Holistic Executive Functioning Intervention Development By Support Personnel For Twice-Exceptional High School Students With Autism Spectrum Disorder In A Rural Residential School Setting, Christopher R. Chouiniere

Doctoral Dissertations and Projects

The purpose of this situational analysis grounded theory was to develop a unified theory of how support personnel develop and implement interventions for executive functioning development for twice-exceptional students with autism spectrum disorder. The central research question was, “How do support personnel implement holistic and hierarchical executive functioning interventions for twice-exceptional students with autism spectrum disorder?” As there was no appropriate theory to describe holistic and hierarchical executive functioning interventions, situational analysis, as a derivative of grounded theory, was used in this qualitative study. Ten participants, from rural boarding high schools, were interviewed, participated in focus groups, and completed internet …

Understanding Federalism Through Its Impact On Disasters In The 21st Century, Jerome Bryant

Doctoral Dissertations and Projects

The purpose of this collective case study is to understand federalism in the United States of America today. This study uses the impact of federalism in the United States on national disasters as a means to understand federalism in the U.S. The theory guiding this study is general systems theory, as presented by Ludwig von Bertalanffy (1968), as it provides a framework for understanding how systems work and the foundation upon which this collective case study can determine how federalism operates in the current-day U.S. The central question for this study is: What has been the impact of federalism on …

Unveiling The Journey: A Phenomenological Study On The Lived Experiences Of Caregivers Raising An Adolescent With Diabetes, Lakeisha L. Doman

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe caregivers’ experiences raising a middle to late adolescent (ages 14 – 19) with diabetes in Virginia. The study focused on how caregivers perceive stress and develop coping skills while navigating the transition to independence. Guided by Lazarus and Folkman’s Transactional Model of Stress and Coping, this study examined how caregivers appraised stress, evaluated available resources, and sustained engagement in their role. Ten primary caregivers in Virginia were recruited using purposeful sampling. Semi-structured interviews guided data collection. Data was analyzed using Moustakas’ phenomenological approach. Findings indicated that caregiving during adolescence is a …

The Role Of Leadership Style On Perceived Effective Communication And Job Satisfaction In The Community College Virtual Workplace, Julie I. White

Doctoral Dissertations and Projects

Advances in technology enable the creation of virtual workspaces, allowing geographically dispersed virtual employees to collaborate in teams and complete tasks. We must understand the advantages and challenges that virtual teams encounter. This research examines the relationships among leadership styles, perceived effective communication, and job satisfaction within virtual teams, specifically in community colleges. Transformational, servant, and authentic leadership styles of virtual leaders in higher education were evaluated. Participants include full-time and part-time virtual faculty from community college institutions. Data was collected through online surveys. A quantitative correlation research design was employed to explore the experiences of virtual faculty working at …

Exploring The Modality Delivery Experiences Of K-12 Teachers In Instructional Practice Professional Development: A Transcendental Phenomenology Study, Nayonda T. Gibson

Doctoral Dissertations and Projects

This qualitative transcendental phenomenological study will be to describe the modality delivery experiences in instructional practice professional development for K-12 teachers at MGM School System. The central research question that will guide the study is: What are the modality delivery experiences of K-12 teachers participating in instructional practice professional developments? In addition, guiding questions will be implemented to understand the phenomenon of professional development. The guiding questions will be: What are the rules experiences of K-12 teachers participating in instructional practice professional development? What are the activities experiences of K-12 teachers participating in instructional practice professional development? What are the …

A Qualitative Case Study Of Equine Assisted Services At Healing Strides Facility, Erica Lynn Gray

Doctoral Dissertations and Projects

The purpose of this qualitative case study is to portray how a well-run facility conducting equine assisted services works from an intra-organizational perspective. It is a bounded qualitative case study that focuses on the equine assisted services provided, the program and services designed and the rationale for choosing those programs, how services are operationalized and facilitated by practitioners, how equine welfare is considered, and the experiences and perspectives of those participating in the organization, development, or facilitation of equine assisted services at Healing Strides. This study uses Robert K. Yin’s theory driven methodological approach to qualitative case studies that focuses …

Impact Of Adverse Childhood Experiences On Chosen Career And Job Fitness, Grace Corinne Jennings

Doctoral Dissertations and Projects

This quantitative correlational study examined how experiences of abuse and neglect influenced career choice and whether individuals perceived their chosen careers as a good fit. Data were collected through an electronically distributed survey shared via social media, resulting in a sample of 542 participants. Analyses explored relationships between ACE scores, career field, job fit, and demographic variables including age and sex. Findings indicated that there was no statistically significant relationship between ACE scores and perceived job fit. Additionally, there were no statistically significant differences between men and women in reported levels of job fit, nor between sex and highest level …