Digital Commons Network^™

Multi-Grader Validation Of The Telemedicine Retinopathy Of Prematurity Severity Score, Harrison W. Pratt, Sarthak V. Shah, Cindy S. Zhao, Arthur R. Brant, Caroline R. Baumal, Cagri G. Besirli, Audina M. Berrocal, Kimberley A. Drenser, Anna L. Ells, Clio Armitage Harper, G. Baker Hubbard, Eric D. Nudleman, Polly Quiram, Irena Tsui, Edward Wood, Yoshihiro Yonekawa, Tatiana Rosenblatt, Jochen Kumm, Darius M. Moshfeghi

Wills Eye Hospital Papers

We aimed to statefully validate Retinopathy of Prematurity (ROP) grading by evaluating intergrader variability over age-matched simulated exams. In a prospective retinal photographic grading cohort study, both eyes of twenty patients with five images per eye per visit were graded by twelve expert graders across six weekly visits. For each eye visit, ROP experts graded the Zone, Stage, and Plus, from which the Telemedicine ROP Severity Score (tROP-SS) was calculated. Graders retained knowledge of prior assessments for a given eye and followed International Classification of ROP rules. Intergrader coefficient of variation (CoV) for Zone, Stage, Plus, and tROP-SS remained below …

Volume Electron Microscopy Reveals Heterogeneity Of The Hemostatic Response In Veins And Arteries, Maurizio Tomaiuolo, Meghan E. Roberts, Jenna R. Severa, Christopher D. Mansi, Brenna B. Y. Mathers, Anna Mannix, Trace A Christensen, Lawrence F Brass, Talid Sinno, Timothy J. Stalker

Cardeza Foundation for Hematologic Research

Intravital imaging studies have provided insights into the spatial and temporal variations of platelet activation and thrombin generation that occur during hemostasis; however, these studies are generally limited to small vessels due to the practical limitations of imaging in thicker tissues. Recent advances in cleared tissue fluorescence imaging as well as volume electron microscopy (vEM) coupled with machine learning-based image segmentation provide an opportunity for analysis of the 3-dimensional structure of complex tissues. We utilized these technologies to examine hemostatic plugs from murine jugular veins and carotid arteries to investigate the spatial distribution of platelet activation and biochemical responses in …

Experiences Of Gay, Bisexual, And Transgender Nurses Working In A Hospital Setting, Layla C. Bradley

Walden Dissertations and Doctoral Studies

No abstract provided.

Effective Strategies Psychiatric Hospital Leaders Use To Retain Staff To Avoid Turnover Costs, Christian Azuka Obiajulu Ossai

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Medication Adherence Through Motivational Interviewing, Sonia Thomas

Walden Dissertations and Doctoral Studies

No abstract provided.

Law Enforcement Perceptions And Lived Experiences Concerning Homelessness, Pedro Osbaldo Preciado

Walden Dissertations and Doctoral Studies

No abstract provided.

Risk Factors As Predictors Of Maternal Filicide, Melanie Inez Bailey

Walden Dissertations and Doctoral Studies

No abstract provided.

The Effectiveness Of After Care Substance Abuse Treatment Programs From The Perspective Of Released Female Offenders, Sarah Kay Blankenship

Walden Dissertations and Doctoral Studies

No abstract provided.

Reducing Burnout Among Psychiatric Practitioners And Therapists, Sarah Lemaine

Walden Dissertations and Doctoral Studies

No abstract provided.

Posttraumatic Stress Disorder Symptomology, Sexual Orientation Microaggressions, Minority Stress, And Reintegration Issues Among Lesbian, Gay, Bisexual, Transgender, Plus Veterans, Kerry Lynn Conway

Walden Dissertations and Doctoral Studies

No abstract provided.

Feasibility Of Decentralized Real-World Monitoring Of Sars-Cov-2 Booster Vaccines And Covid-19 Outcomes In Myeloma, William A Wood, Mark A Schroeder, Ravi Vij, Et Al.

2020-Current year OA Pubs

Patients with multiple myeloma have an elevated risk of severe complications from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; COVID-19) infection. To demonstrate proof of concept for a pandemic preparedness and response network, the American Society of Hematology Research Collaborative Multiple Myeloma Program developed a prospective, decentralized study within a site-based provider network. In the COVID-19 outcomes in myeloma and the impact of vaccines (COSMIC) study, patients provided consent, permitted electronic health record data collection, completed patient-reported outcomes at baseline, day 30, and day 180 through an electronic study portal, and were compensated for participation. Clinicians at participating sites facilitated …

Comparison Of Early-, Average-, And Late-Onset Pancreatic Cancer In A Multi-Site Cancer Center: Treatment Patterns And Outcomes, Chirag K. Patel, Jimmy J. Hwang, Mohamed E. Salem, Kunal C. Kadakia

Journal of Patient-Centered Research and Reviews

Purpose: The aim of this study was to investigate treatment and outcomes differences, as well as predictors of early mortality, among early-onset pancreatic adenocarcinoma (EOPC, ≤ 50 years), average-onset pancreatic adenocarcinoma (AOPC, 51-69 years), and late-onset pancreatic adenocarcinoma (LOPC, ≥ 70 years).

Methods: We retrospectively analyzed 333 patients with pancreatic adenocarcinoma at a multi-site center between 2011-2018. Clinical, demographic, and treatment variables were compared by age group. Predictors of early mortality (death ≤ 6 months from diagnosis) were assessed using multivariable logistic regression. Survival outcomes were evaluated using Kaplan-Meier analyses.

Results: Among the 333 patients, 56% were male, and the …

Efficacy Of A Cognitive-Behavioral Group Intervention For Adhd In Collegestudents Via Telehealth, Will H. Canu, Kate Flory, Maggie W. Johnson, Laura E. Knouse, Kenneth Mcclure, Emily Miller, Emily A. Bodalski, Abby De Arellano

Psychology Faculty Publications

Objective: college students with ADHD often experience academic and life challenges related to executive functioning (EF). telehealth interventions are generally beneficial for emerging adults, but this claim needs to be tested for ADHD. We examined a telehealth adaptation of a cognitive-behavioral intervention for college students with aDhD that focuses on organizational, time management, and planning (OTMP) skills. Participants: students at three universities (n = 106; 72.6% female; M age =22.21; 86.7% White; 91.5% Not Hispanic or Latina/e/o) presented for ADHD treatment. Method: six group sessions and three individual sessions were delivered via video conferencing software. Results: Pre-post differences in self-report …

Redefining Skincare For Sensitive Lives, Ashlyn G. Sierra Ms

Honors College Theses

This study outlines how a skincare company that is both ethically and effectively developed for people suffering from eczema could create accessible, affordable products as well as maintain its commitment to being inclusive. The study uses scientific data regarding eczema in order to examine why certain aspects of skin care are helpful or dangerous when it comes to individuals who suffer from eczema, in addition, it provides an assessment of current skin care product offerings that are designed for people with eczema. Using the Wise Leadership Framework, the study presents a hypothetical business plan for a new, eczema-based skin care …

Book Review: Hero Of Fort Sumter: The Extraordinary Life Of Robert Anderson, Bradford Wineman

Parameters Bookshelf – Online Book Reviews

Author: Wesley Moody

Reviewed by: Dr. Bradford Wineman, professor of military history, Marine Corps University

In Hero of Fort Sumter: The Extraordinary Life of Robert Anderson, Wesley Moody brings to life the man whose stand at the dawn of the Civil War helped shape the nation’s destiny. From frontier battles to the dramatic siege of Fort Sumter, Anderson’s story is one of quiet courage and pivotal leadership. This compelling biography reveals how one soldier’s sense of duty helped ignite a war—and preserve a Union.

Academic Senate - Agenda, 05/12/2026, Academic Senate

Academic Senate Agendas

No abstract provided.

In Vitro Modeling Of Macrophage And Cd8+ T Cell Activation: Evaluating Immortalized Cell Lines For Use In Undergraduate Immunology Laboratories, Lucy Groothuis

Masters Theses

The immune system is a complex, highly coordinated network of cells and signaling molecules that protects the body from infection and disease. Immunology is therefore a fundamental component of undergraduate education for students pursuing careers in medicine and biomedical research. Despite its importance, many undergraduate immunology courses lack a laboratory component. To address this gap, we developed an open-access immunology laboratory manual and evaluated its ability to generate meaningful data using primary murine cells and commercially available cell lines. Given the cost and logistical constraints of using mouse models in an undergraduate laboratory setting, we evaluated whether immortalized cell lines …

Smart Pediatric Oncology Tracker Of Symptoms (Spots), A Web-Based Interface For The Pediatric Pro-Ctcae: Development And Usability Study, Stacey Crane, Deevakar Rogith, Melody Hellsten, Andrew D Miller, Jacqueline Castillo, Brandy Boeger, Susan Vidaurre, Stefanie Pieper, Cecile Nguyen, Duc Anh Thanh Huynh, Jessica Wooden, Amy Franklin, Karen Moody, Wenyaw Chan, Pamela S Hinds, Constance Johnson

Faculty, Staff and Student Publications

Background: Children undergoing cancer treatment experience a range of treatment-related toxicities that significantly affect quality of life and adherence to therapy. Current methods for symptom reporting rely heavily on clinician interpretation of caregiver or child verbal reports, which can result in incomplete or inaccurate records. The Pediatric Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (Pediatric PRO-CTCAE; National Cancer Institute) provides a validated mechanism for direct symptom reporting by children and caregivers, yet its traditional administration and preselection of questions limit the breadth of symptom capture.

Objective: This research aimed to co-design and conduct formative usability testing …

Sensation-Suppression Theory: A New Explanation For Fibromyalgia Syndrome And Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (Me/Cfs), Michael E. Hyland

School of Psychology

Explanations and treatment of fibromyalgia syndrome (FMS) and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) are controversial, and outcomes are poor. This paper describes sensation-suppression theory, a theory modelled on self-organizing control systems that are capable of adaptation in response to inputs and used in applications of artificial intelligence. The theory shows how the need to suppress inflammatory and other causes of pain or fatigue due to challenging circumstances sensitizes the neurological processing of pain and fatigue, thereby creating the amplified sensations and abnormal cognitions of central sensitivity syndromes. These syndromes are caused by errors in an evolutionarily early behavior-control mechanism of …

The Employment Situation Of Veterans: April 2026, Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

The April 2026 employment report shows veteran unemployment declined to 3.6%, down from 3.9% in March, with post‑9/11 veterans improving to 4.0%. Overall U.S. unemployment remained stable at 4.3%, while job growth occurred in healthcare, transportation, and retail. Younger veterans faced higher unemployment, especially ages 18–24 (12.8%) and 25–34 (8.1%), compared to older groups with lower rates. Female veteran unemployment fell significantly, while male rates rose slightly. Racial and ethnic trends varied, with decreases for Black and Asian veterans but increases for Hispanic veterans. Long-term unemployment remained prevalent among veterans.

South Carolina Administrator Workforce Profile For 2024–25, Brian Cartiff, Angela Starrett, Svetlana Dmitrieva

Reports

This report details South Carolina’s public school administrator workforce for the 2024–25 academic year. The analysis draws on statewide data to examine the demographic characteristics of South Carolina’s principal and assistant principal workforce. Findings are based on data from 1,385 principals and 2,351 assistant principals employed in South Carolina public schools in 2024–25. The report also incorporates data from previous years to track longitudinal trends, offering insight into workforce patterns. These f indings can support data-informed strategies to strengthen administrator recruitment and retention, which in turn may contribute to broader efforts to improve the stability of South Carolina’s educator workforce.

Effect Of Black Soldier Larvae Meal (Hermetia Illucens) As An Alternative Dietary Protein Source Supplemented With Microbial Probiotics And Multi-Enzymes On: 1. Broiler Productive Performance, Slaughter Traits, And Economic Efficiency, Ahmed Abd-Elaziz Abdallah, Mona A. Mahmoud, Mohamed M. Khalifah, Marwa R. El-Deken, Bahaa M. Abou-Shehema, Mohamed E. Farag, Afaf B. Abu_Shouk, Reda. M. Zaki, Asmaa A. Saad, Mervat A. Berikaa

Journal of King Abdulaziz University: Meteorology, Environment and Arid Land Agriculture

The objective of this study was to evaluate the effects of black soldier fly larvae meal (BSFLM), fed with or without a microbial probiotic and multi-enzyme supplement (MPE), on growth performance and carcass characteristics of broiler chickens from 1 to 38 days of age. A total of 225 one-day-old Ross 308 unsexed broiler chicks were randomly assigned to nine treatment groups in a 3 × 3 factorial design (five replicates, with five chicks per replicate). Nine experimental diets were formulated for the starter-grower (0–20 d) and finisher (21–38 d) phases by replacing soybean meal protein (SBMP) with black soldier larvae …

Bridging The Language Gap: Enhancing Interpreter Support And Service For The Benefit Of The Lep Community, Morgan Kuchta

The Scholar: St. Mary's Law Review on Race and Social Justice

English is the language of the court, but when it intends to serve a multilingual public, there must be a strong commitment to uphold the rights of limited English proficient (LEP) individuals. LEP individuals, particularly those that speak rare languages, are disadvantaged by various issues impacting interpreters and the courts. When only the interpreter’s words are reflected in the courtroom and the transcript, it is essential that the court ensures the accessibility of qualified interpretation, as any omission or misinterpretation can hinder access to justice. We must protect the interests of LEP individuals trying to navigate the court system, and …

The Higher Education Health Insurance Trap: How Underinsurance Fuels Health Inequity And Educational Inaccessibility, Hallie E. Vanney, David J. Satin

Journal of Patient-Centered Research and Reviews

Higher education institutions are increasingly committed to recruiting more diverse students. As these efforts succeed, institutions face the parallel challenge of meeting an evolving student body's broader and more complex healthcare needs. This article highlights how student health insurance is a critical need that may be unmet by institutions traditionally designed for young, healthy, able-bodied students. Graduate and professional students are particularly vulnerable to a “health insurance trap”; they may discover, only after enrollment, that their plan does not cover essential care, they can no longer work full-time to gain commercial insurance, they have aged out or do not have …

Glp-1 Receptor Agonists And Disordered Eating: Clinical Indicators And Patient Narratives, Samantha E. Schulz

Masters Theses

Introduction: The use of the medication, GLP-1 receptor agonist (GLP-1 RA), for weight loss has increased exponentially in the United States over the past decade. The continuing rise in demand for the use of GLP-1 RAs for weight loss justifies the need to better understand the physical and psychological effects that can occur with significant weight loss. By combining a standardized screening tool for eating disorder (ED) risk with narratives from patients undergoing GLP-1 RA treatment for weight loss, this study examines associations between GLP-1 RA use patterns and risk of ED and explores patient experiences, including the role of …

In-Tsira Healing: Integrating Trauma-Informed Design And Sustainable Design Into Wellness Centers For Survivors Of Gender Based Violence, Eniola Ololade Esther Akinyemi

Bachelor of Architecture Theses - 5th Year

Survivors of gender-based violence in Northern Nigeria face layered barriers to recovery, including trauma, stigma, displacement, and loss of livelihood. Yet the built environments intended to support them remain largely unresponsive. This thesis proposes a trauma-informed, climate-responsive wellness campus in Maiduguri, Borno State, grounded in cultural and environmental context.

The research asks how trauma-informed and sustainable design strategies can be implemented in healing centers to reduce re-traumatization, foster safety, and support reintegration through self-supportive, educational, and communal spaces?

How can trauma informed and sustainable design strategies be implemented in wellness centers to foster safety and healing while reducing re-traumatization, and …

Rebel Commons: Reimagining Commoning, Connectivity, And Civic Space Through The 2025 Gen-Z Uprisings, Corbin Austin

Bachelor of Architecture Theses - 5th Year

In September 2025, Nepal’s Generation Z, those born roughly between 1997 and 2012, mobilized one of the largest horizontally organized youth rebellions in South Asia, using digital platforms to coordinate mass protests against corruption, unemployment, restricted opportunity, and failures of public governance. These grievances are exacerbated by Nepal’s unique geographical conditions, leading to severe physical disconnection due to the country’s extremely mountainous terrain. In tandem with this physical fragmentation, the nation has experienced years of political instability following the 1996 to 2006 civil war. As a result of these factors, young people face limited mobility, deteriorating infrastructure, and weak institutional …

Constructing Atmosphere The Use Of Light And Water As The Generators Of Architectural Atmosphere, Victoria A. Cioffi

Bachelor of Architecture Theses - 5th Year

What if the spaces we inhabit are no longer felt, only seen? In contemporary architecture, many buildings are designed for visual impact rather than human experience, often resulting in environments that feel emotionally detached. This thesis asks a central question: have buildings lost their soul? It proposes that atmosphere, understood as the sensory and emotional quality of space, is essential to restoring meaning and connection within architecture.

Drawing from the work of Peter Zumthor, this research explores how architecture can move beyond visual form to engage the body through environmental conditions. The study focuses on light, shadow, and water as …

Ourhaus: Supportive Housing And Cultural Campus For Aging Survivors Of The Hiv/Aids Epidemic In Atlanta, Blake A. Archbold

Bachelor of Architecture Theses - 5th Year

This thesis proposes a supportive housing and cultural campus for aging survivors of the HIV/AIDS epidemic in Atlanta. As advances in medicine have transformed HIV from a terminal illness into a chronic condition, a growing population of long-term survivors is now reaching older adulthood while facing increased rates of chronic illness, housing insecurity, stigma, and social isolation. Atlanta, one of the nation’s historic HIV epicenters, has seen a significant rise in older adults living with HIV while simultaneously experiencing declines in HIV housing support infrastructure.

Located along the Atlanta BeltLine, the project combines permanent supportive housing with community and public-facing …

Postapproval Study For Brain-Responsive Neurostimulation For Drug-Resistant Focal Epilepsy: Three-Year Efficacy And Interim Safety Results, Dawn Eliashiv, Vikram R Rao, Barbara C Jobst, Jerzy P Szaflarski, John D Rolston, Lesley C Kaye, Taneeta Mindy Ganguly, Katie Bullinger, Patricia C Dugan, David E Burdette, Angela Y Peters, Atif Sheikh, Kevin F Haas, Dileep R Nair, Lilit Mnatsakanyan, Imran H Quraishi, Meriem K Bensalem-Owen, Rns System Pas Study, Michael J Doherty, Babak Razavi, Tiffany L Fisher, Christopher Skidmore, Pradeep N Modur, Tawnya M Constantino, Vicenta Salanova, Andrew J Cole, Olga Taraschenko, Angelica Rivera-Cruz, James W Wheless, Nitin Tandon, Antoaneta Balabanov, Sami Aboumatar, Itzhak Fried, Cornelia Drees, Hae Won Shin, Zeenat Jaisani, Stephanie E Maciver, Sanjay E Patra, Edward F Chang, Jon T Willie, Ryder Gwinn, Travis Stoub, John M Stern, Tami Crabtree, Cairn G Seale, Sharon C Mcfadden, Jacob F Norman, Lise Johnson, Martha J Morrell

Faculty, Staff and Student Publications

Background and objectives: Neuromodulation therapies are approved for the treatment of focal epilepsy based on data from randomized controlled trials (RCTs). After approval of a responsive direct brain stimulation device (The RNS System for focal epilepsy), the Food and Drug Administration required a prospective study to evaluate whether real-world safety and effectiveness differed from outcomes in the RCT.

Methods: This open-labeled study enrolled adult participants who met the RNS System-approved indication for use. The primary effectiveness end point was median percent change in seizure frequency at 3 years of treatment. Interim safety is presented; the primary safety endpoint analysis will …