Digital Commons Network^™

Re: Comment Letter For The Silver Bow Creek/Butte Area Npl Site Butte Priority Soils Operable Unit, 60% Remedial Design Documents For The Blacktail Creek Area Groundwater Hydraulic Control System (Dated March 2, 2026), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

A Review Of Energy Storage Technologies With Hydro Energy System Design For Off-Grid Electricity, Daniel H. Ngoma, Banet L. Masenga

Tanzania Journal of Engineering and Technology (TJET)

Many renewable energy sources such hydropower—particularly small-scale run-of-river and micro-hydro—offers reliable, low-cost generation. However, their inherent intermittency (due to seasonal flow variations) and inability to instantly match demand necessitate integrated energy storage to ensure a stable, continuous power supply. This review synthesizes contemporary energy storage technologies in the context of their integration with off-grid hydro energy system design.

The study examine a spectrum of storage solutions, evaluating their technical characteristics, costs, and suitability for hybrid hydro applications. Pumped Hydro Storage (PHS), while highly efficient and large-scale, is often geographically constrained and capital-intensive for small off-grid projects. Battery Energy Storage Systems …

Causes, Effects, And Solutions Of Wrongful Convictions, Allison B. Gobuzzi

Honors Theses

This study examines the wrongful conviction of Anthony Hinton and other examples that illustrate the causes of wrongful convictions in the United States and the effects that wrongful convictions have on the wrongfully accused and their families. This study uses research from scholarly articles and legal cases to analyze the factors that contribute to wrongful convictions and the impact on the wrongfully accused and their families. The research concludes that wrongful convictions are frequently the result of both evidentiary and procedural issues within the criminal justice system.

A Computer Vision Approach To Analyzing Taxane Effects On Prostate Cancer Cells, Diana Elizabeth Dancea

Electronic Theses and Dissertations

Actin is a family of proteins that help create the structure of the cytoskeleton, which gives shape to the cell. In many chemotherapy treatments, researchers target actin because it controls the cell division process. Therefore, if they are able to understand the actin fibers, that may help in formulating methods to stop or slow down cancer cells from reproducing. Another important protein is PAK6, which regulates actin. In our research, a collaborative effort with Prof. Michael Lu’s lab at Florida Atlantic University, we use machine learning techniques to analyze cells which had their PAK6 protein knocked out, and compare them …

Poor Peer Relations During Early Adolescence Amplify Bidirectional Pathways Between Body Dissatisfaction And Alcohol Misuse, Molly Selover

Electronic Theses and Dissertations

The current study focuses on the growth of body dissatisfaction and alcohol misuse, and factors that amplify their interplay. Participants were 221 sixth- and seventh-grade students (118 girls, 103 boys; ages 10–13) attending a public school in Florida. Self-reports and peer nominations were collected at three time points across the course of a school year. Results from parallel process growth models indicated that higher self-reported body dissatisfaction at the beginning of the school year predicted increases in self-reported alcohol misuse across the academic year. Conversely, higher initial alcohol misuse predicted increases in body dissatisfaction. Follow-up analyses revealed that loneliness, low …

Predicting Clinically Significant Prostate Cancer With Or Without Digital Rectal Exam And Mri Data Using Claritydx Prostate Models, Robert J Paproski, Adam Kinnaird, M Eric Hyndman, Adrian Fairey, Leonard Marks, Christian P Pavlovich, Sean A Fletcher, Roman Zachoval, Vanda Adamcova, Jiri Stejskal, Armen Aprikian, Christopher J D Wallis, Desmond Pink, Catalina Vasquez, Perrin H Beatty, John D Lewis

Faculty, Staff and Student Publications

This prognostic study created optimized ensembles of calibrated random forest models to predict clinically significant prostate cancer (csPCa, grade group ≥2 PCa) using total prostate-specific antigen (PSA), free PSA, negative biopsy status, and age, with or without DRE and MRI data. Observational data were aggregated from cohorts in six organizations in Canada, the USA, and Czechia. Prostate biopsies were performed between 2009 and 2024. Risk models (ClarityDX Prostate + DRE, ClarityDX Prostate + MRI, and ClarityDX Prostate + MRI + DRE) were derived (training cohorts n = 1626 to 2191) and validated (validation cohorts n = 378 to 1318) from …

An Emerging Approach To Ibd Treatment: Personalized Nutrition Through Gut Microbiome Optimization., Kafayat Yusuf, Thomas M. Attard, Mazin Al-Kasspooles, Shahid Umar

Manuscripts, Articles, Book Chapters and Other Papers

Inflammatory bowel disease (IBD) is a chronic inflammatory disorder of the gastrointestinal tract characterized by relapsing and remitting disease activity. Despite decades of research, a definitive cure for IBD remains elusive, as cycles of remission and flare-ups mark the disease course and often relies on long-term pharmacologic and supportive strategies. Increasing evidence indicates that diet and nutrition play an important role in modulating the outcomes of IBD. Although a wide range of dietary interventions has been explored, no universally effective approach has been established. Investigations have also proven that different dietary interventions can significantly affect clinical outcomes by altering gut …

Our Stories: Black Parents’ Experiences At K-12 Predominantly White Institutions, Jason Thompson

Dissertations

Black parents of Black children attending K–12 predominantly White institutions (PWIs) often experience stress as they navigate school environments where they may be perceived as uninterested, combative, or “token” members of the school community. These deficit-based perceptions can cause Black parents to limit school interactions, question whether their perspectives will be valued, and develop distrust toward school personnel. Although research has examined Black students’ experiences in PWIs, fewer qualitative studies have centered on Black parents’ stories. Capturing these experiences in parents’ own words helps challenge harmful stereotypes and offers schools, especially school counselors, deeper insight into strengthening relationships with Black …

Evaluating The Impact Of Vosoritide On Complications Of Achondroplasia, Ravi Savarirayan, Jacqueline T Hecht, Kala Jayaram, Sheetal Ingole, Anne Dee, Julie Hoover-Fong

Faculty, Staff and Student Publications

Purpose: Impaired endochondral bone growth in people with achondroplasia causes complications that impair function, cause pain, require surgery, and contribute to mortality. Rates of complications in participants with achondroplasia enrolled in clinical trials of vosoritide, a targeted treatment, were analyzed and compared with published natural history (NH) rates.

Methods: Prevalence (medical history + new events post-treatment initiation) and incidence (new/worsening events posttreatment initiation) were calculated for complications across 6 clinical trials (2.5-30 μg/kg/day vosoritide) in children with achondroplasia, stratified by age at treatment initiation (< 5 years/≥5 years). Complication-related procedures and mortality rates were examined.

Results: By August 2024, 230 participants received vosoritide (68 aged < 5 years at treatment initiation [exposure, 289.1 person-years]; 162 aged ≥5 years at treatment initiation [exposure, 834.5 person-years]). Prevalence for most complications was consistent with or lower than NH rates. Incidence of leg malalignment; foramen magnum stenosis; spinal stenosis; kyphosis; lordosis; hydrocephalus; ear, nose, and throat complications; and pain was generally lower than NH rates. Foramen magnum decompression frequency was 3.0% overall (5.9% in participants who initiated treatment aged < 2 years). Crude mortality was lower than NH rates.

Conclusion: Vosoritide was not associated …

The Mosaic, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Assessment Of Undergraduate And New Graduate Nursing Confidence In Caring For Actively Dying Patients, Alyssa Boersma

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Undergraduate nursing students and new graduate nurses frequently report feeling underprepared and uncomfortable when caring for actively dying patients. The purpose of this study was to identify potential gaps in the current curriculum and assess what improvements were needed to better prepare students. Dorothea Orem’s Self-Care Deficit Theory highlights the importance of providing holistic and self care needs when patients are not able to do it themselves. A cross-sectional, quality improvement design was utilized. A 17 item Likert-scale survey was administered to investigate the level of confidence that participants have when caring for actively dying patients. Senior level nursing students …

Servant Leadership In Undergraduate Nursing Students: A Concept Analysis, Ellie Bonanni

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Leadership is necessary in the nursing profession and can be cultivated within undergraduate nursing programs. Servant leadership shows great promise as an appropriate leadership model for nurses. The purpose of this study was to complete a concept analysis of servant leadership (SL) and apply it in cases of undergraduate nursing students. The theoretical framework was Greenleaf’s Servant Leadership Model. This study was completed using Walker and Avant’s model of concept analysis, which clarifies the defining attributes, defining characteristics, antecedents, and consequences of a concept. A literature review was performed using CINAHL Plus (Cumulative Index to Nursing and Allied Health Literature) …

Human Interactions With Artificial Intelligence: A Pilot Study, Kjersten Heinlein

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Emerging research shows that college students increasingly use artificial intelligence (AI) tools in academic and personal contexts; however, little is known about how factors such as computer literacy and digital comfort influence their communication with AI. This pilot study seeks to establish a protocol to investigate the influence that undergraduate students’ digital comfort and computer literacy has on the style, tone, and effectiveness of interactions with AI during socially-oriented tasks. Grounded in Margaret Newman’s Theory of Health as Expanding Consciousness, this work views students’ digital comfort and literacy as evolving factors that expand their awareness and enable more effective interactions …

Hope College Abstracts: 25th Annual Celebration Of Undergraduate Research And Creative Activity, Hope College

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

The 25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity was held on April 17, 2026 in the Richard and Helen DeVos Fieldhouse at Hope College and featured student-faculty collaborative research projects. This program is a record reflective of those projects between the 2025-2026 academic year.

Temporal Interference Stimulation Effectively Reduces Parkinsonian Beta Band Activity In A Computational Model Of The Basal Ganglia Network, Anna Stolle

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Parkinson’s disease (PD) is a progressive neurological disorder characterized by degeneration of dopaminergic neurons, leading to impaired motor function and disrupted basal ganglia activity. One of the most effective treatments is deep brain stimulation (DBS), which targets deep brain regions to restore abnormal firing patterns. However, DBS requires invasive surgery to implant electrodes, posing surgical risks and limiting accessibility. This has driven interest in non-invasive alternatives that achieve similar therapeutic outcomes. Transcranial temporal interference stimulation (tTIS) is a non-invasive technique delivering two high-frequency currents through scalp electrodes. These currents overlap to produce a low-frequency "beat" capable of reaching deep structures …

Plastic Purgatory: Investigating The Effects Of Plastic Litter On Water And Organic Content In Topsoil In Holland, Michigan, Kamryn Bice, Annis Cairns, Maddie Devries, Sebastian Lema

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Plastic accumulation in soils can offer important insights into how human activity affects terrestrial ecosystems. In this study, we examined the relationship between plastic litter and soil quality at several sites across Holland, Michigan to determine whether plastic abundance was associated with changes in soil properties. Soil samples from five different site types – construction, residential, commercial, nature, and a control – were collected over a threeweek period, then analyzed for pH, water contents, total organic carbon (TOC), and plastic abundance through field testing and laboratory methods. The number of plastic pieces ranged from 0 to 27 with the largest …

Human Interactions With Artificial Intelligence: A Pilot Study, Miracle Yunana, Kjersten Heinlein

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

As artificial intelligence (AI) becomes increasingly integrated into daily life, understanding AI’s impact on human communication is essential for nursing education where both effective socialization and digital literacy are key components of professional development. This pilot study seeks to establish a protocol to explore the relationship between undergraduate students’ socialization and their communication styles when interacting with AI tools. Peplau’s Interpersonal Relations Theory serves as the foundation for this study, emphasizing the importance of social connectedness and communication, highlighting how interpersonal dynamics may extend to AI-mediated interactions. A mixed methods pilot study was conducted, consisting of structured sessions with seven …

A Backend Database Architecture For Persistent Epilepsy Classification Records, Attiksh A. Panda, Deep Desai, Artem Zabarov, Katrina D. Prantzalos, Satya S. Sahoo, Shuai Xu

Student Scholarship

Epilepsy affects over five million people globally each year, yet consistent clinical diagnosis remains a persistent challenge due to the lack of standardized classification workflows across medical institutions. The Four-Dimensional Epilepsy Classification (4D-EC) framework, developed by Lüders et al., provides a comprehensive structure for characterizing paroxysmal events across four dimensions: seizure semiology, epileptogenic zone, etiology, and comorbidities. Despite its clinical and educational value, no dedicated informatics platform existed to support its routine use until recently, limiting widespread adoption among clinicians and trainees. This project addresses that gap by implementing a full-stack web application that operationalizes the 4D-EC framework for clinical …

Enhancing The Well-Being Of Refugees With Disabilities Through Equitable Access To Essential Services: A Participatory Qualitative Study In The United States, Mustafa Rfat

Brown School Graduate Student Theses and Dissertations

Access to services for refugees with disabilities (RwDs) is critically important for improving their well-being and enhancing their integration. This population often faces prolonged exclusion that begins in their country of origin and often continues to worsen during displacement, leading to accumulated disparities. Because the United States (U.S.) refugee program is structured around rapid employment, refugees who do not fit the fast-track employment criteria are often left behind. RwDs are often considered unemployable, which automatically shifts resources and services away from them. Abandoning RwDs during the critical period of resettlement puts them at heightened risk of increased and long-term exclusion. …

Agentic Hallucination Risk Scoring For Medical Llms Via Uncertainty Quantification And Clinical Knowledge Injection, Mayank Kapadia, Mohammad Masum

Faculty Research, Scholarly, and Creative Activity

Large Language Models (LLMs) have witnessed significant adoption across numerous domains since 2020, but their proclivity to hallucinate creates unacceptable dangers in high-risk environments like healthcare, where wrong outputs can directly jeopardize human safety. While present systems focus on pre-generation mitigation strategies, they cannot ensure the safety of individual outputs during inference. We provide a post hoc Hallucination Risk Scoring (HRS) methodology that intercepts questionable outputs before they reach patients via an agentic pipeline. Given a medical question, a domain-specific LLM generates an initial response from which five complimentary uncertainty signals are computed, which are then separated into a decision …

Toward A Horizonal "I": The Infinite Subject In William Wordsworth's The Prelude, Gabriella Lee Schwartz

Theses and Dissertations

In an 1805 letter to Sir George Beaumont describing his autobiographical poem The Prelude, William Wordsworth remarked that it was "a thing unprecedented in literary history that a man should talk so much about himself." Since then, critics have only affirmed Wordsworth's reputation as a poet, if not the poet, of selfhood and consciousness. Perhaps the most renowned scholarship on Wordsworthian subjectivity was produced by the so-called "Yale School" of the late twentieth century, as J. Hillis Miller, Harold Bloom, Geoffrey Hartman, and Paul de Man all published influential works on the topic. The latter two staked out stances on …

Evaluating Measurement Invariance Frameworks: A Comparison Of Mg-Cfa, Alignment Optimization, & Bayesian Approximate Measurement Invariance Using The Brigham Young University Counseling And Psychological Services Client Satisfaction Survey, Heidi Lula Lindsey

Theses and Dissertations

Researchers must establish measurement invariance (MI) before comparing latent constructs across groups to ensure construct validity. However, traditional multi-group confirmatory factor analysis (MG-CFA) may impose overly strict equality constraints in applied settings. Alternative MI frameworks are less familiar to researchers, which limits their use. This study compares MG-CFA, alignment optimization (AO), and Bayesian approximate measurement invariance (BAMI) using archival data from the Brigham Young University Counseling and Psychological Services Client Satisfaction Survey (N = 1,278). Participants completed an exit survey after receiving individual (n = 1,063), couple (n = 83), or group (n = 132) therapy, answering 16 five-point Likert …

Ms-Gator: Multi-Scale Graph Attention With Topological Reasoning For Segmentation And Classification Of Prostate Cancer Based On Gleason Scores Using Histopathology Images, Sujata Patil, Mahadeva Swamy, Kavitha Sooda, Rajanikanth Vadigepalli, Khalid Nazim Abdul Sattar, Md Rafeeq

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Prostate cancer is one of the prevalent and potentially fatal malignancies, affecting men globally. Accurate segmentation and classification of prostate cancer in histopathology images remain challenging due to complex tissue architecture, staining variability, and high inter-observer differences in manual diagnosis. To address these challenges, this research proposes a Multi-Scale Graph Attention with Topological Reasoning (MS-GATOR) for segmentation and classification of prostate cancer based on Gleason Scores (GS). The MS-GATOR incorporates topological reasoning with hierarchical biological structures by constructing a graph-based representation among three spatial scales such as nuclei, glands, and tissues using Delaunay triangulation to capture both geometric and photometric …

Practices, Controls And Capabilities A Thematic Analysis Of Big Data In E-Retail Fraud Management, Chiwuokem Nwoko, Maureen Meadows, Justin Okoli, Alexeis Garcia Perez

Plymouth Business School

PurposePrior Big Data and fraud research emphasises technical detection or generic analytics, offering limited empirical insight into how Big Data is operationalised as practices and controls in e-retail fraud prevention. This study examines how e-retail firms translate analytics capabilities into fraud prevention practices and controls.Design/methodology/approachThe study draws on 32 semi-structured interviews across 18 e-retail organisations and applies abductive thematic analysis to examine how Big Data resources are translated into fraud prevention practices and controls.FindingsFindings reveal that Big Data enables fraud prevention not merely through detection technologies, but through two empirically derived transformation practices: (1) Localised Exploitation, which translates complex analytics …

Conserved Post-Odor Dynamics In The Olfactory Systems Of Mice And Locusts, Elizabeth H Moss, Doris Ling, Cameron L Smith, Feiyang Deng, Ryan Kroeger, Jacob Reimer, Baranidharan Raman, Benjamin R Arenkiel

Faculty, Staff and Students Publications

Interpreting chemical information and translating it into ethologically relevant output is a shared challenge of olfactory systems across species, but are olfactory computations conserved across species to overcome these common challenges? To investigate this, we compared neural activity in the locust antennal lobe (AL) and mouse olfactory bulb (OB) both during and after odor presentations. We found that odors activated nearly mutually exclusive neural ensembles during odor presentations ("ON response") and after the termination of the odor stimulus ("OFF response"). ON and OFF responses evoked by a single odor were anticorrelated with each other. Inverted OFF responses persisted long after …

Mapping Burdens And Inequalities Of Polycystic Ovary Syndrome In Young Females Across 953 Locations 1990–2040 With Deep Learning Forecasts, Yaling Wu, Wenxiang Cai, Mao Chen, Susu Luo, Robert J Norman, Mahnaz Bahri Khomami, Lisa Moran, Heping Zhang, Suhaniya N S Samarasinghe, Salman Rawaf, Davd A Ehrmann, Liming Pan, Kexin Ding, Shuxian Ma, Lili Zheng, Xian Shao, You Zuo, Baozhen Huang, Fei Li, Mingyang Xue, Tongrui Shang, Guangyao Cai, Yuanyuan Chen, Ying Wang, Yutong Lu, Dong Wang, Yuanyuan Wan, Ningning Wu, Ciqing Lin, Wei Pan, Rui Zhang, Tingting Yao, Yiming Xiong, Kai Chen, Jianli Zhao, Shunrong Li, Liling Zhu, Luyuan Tan, Yinduo Zeng, You Zeng, Lukasz Szarpak, Nadia M Hamdy, Claire Chenwen Zhong, Fa Yuan, Yihang Chu, Xiao Jia, Peng Wu, Linjiang Wei, Yanfang Ye, João Conde, Zimeng Wu, Jinjin Zhang, Yamei Tang, Pengpeng Ye, Dongzi Yang, Shixuan Wang, Azeem Majeed, Helena Teede, Wenyi Jin, Queran Lin

Faculty, Staff and Students Publications

Polycystic ovary syndrome (PCOS) is the most common reproductive endocrine disorder impacting the health of young female populations. Using harmonized estimates from 953 locations, we assessed temporal trends, geographic inequalities, and forecasts of PCOS among individuals aged 10-24 years from 1990 to 2040. Between 1990 and 2021, global prevalence and disability burden increased by more than 30%, with the highest burden observed among those aged 20-24 years. Substantial geographic heterogeneity was identified, with particularly high prevalence in Europe and East Asia. While high-income regions carried the greatest absolute burden, low- and middle-income regions showed the fastest growth, accompanied by widening …

Advocacy, Outreach, And Expansion Of The Michigan Occupational Therapy Association Mental Health Special Interest Section, Isabel Evola

Capstone Projects

The history of occupational therapy (OT) is rooted in supporting mental health, emerging in the United States during World War I. Over time, the practice of OT has evolved in its scope and emerging specialties. The role of OT in mental health is underutilized and misunderstood by professional organizations. However, OT remains a vital service in supporting mental health in psychiatric and non-psychiatric settings. The focus of this doctoral capstone experience (DCE) was to address this gap by advocating for the presence and understanding of OT in mental health through the expansion of the Michigan Occupational Therapy Association (MiOTA) Mental …

Hypovolemic Shock In The Setting Of Third Spacing With Concentric Left Ventricular Hypertrophy: A Physiology-Guided Management Of Fluid Resuscitation—Case Report And Literature Review, Akram M. Eraky, Yasser Mokhtar, Guy Grabau, Adnan Khan, Mark Jarosz, Alisha Wright, Matthew Grounds, Kyle Kennedy

GME Publications

Patients with preload-dependent conditions are at high risk of hemodynamic instability from both hypovolemia and hypervolemia. In hypovolemic states, the presence of third spacing may be misleading and obscure true intravascular volume status. Therefore, management of critically ill patients should be guided by a thorough understanding of physiology and pathophysiology to appropriately address hemodynamic derangements. Overreliance on rigid protocols and protocol-driven care without adequate clinical judgment may, in some cases, adversely affect patient outcomes. Herein, we present a case of hypovolemia-induced hypotension in the setting of third spacing and concentric left ventricular hypertrophy.

Education To Increase Students’ Knowledge, Perceptions, And Interest In Occupational Therapy, Brooke Hineman

Capstone Projects

In response to the declining program fill rates across all levels of occupational therapy (OT) education, this Doctoral Capstone Experience (DCE) aimed to promote the field through development of informational resources and delivery of educational sessions for high school and undergraduate students. The primary objective was to foster deeper understanding, accurate perceptions, and career interest among participants. A thorough literature review and needs assessment exploring current OT knowledge, promotion efforts, student characteristics, and underrepresented groups revealed a need for intentional education to address gaps in student knowledge regarding the field of OT among all students, especially those without exposure to …

Refreshing Recess: An Every Moment Counts Initiative For Engaging Recess Participation, Paige Kuhn

Capstone Projects

Research supports the role of occupational therapy (OT) in school-based mental health promotion and the use of occupation-based interventions to enhance student participation, social-emotional learning, and self-regulation. However, there is limited evidence on the implementation of Every Moment Counts (EMC): Refreshing Recess in elementary school settings, particularly when adapted to real-world contexts. The focus of this doctoral capstone experience (DCE) was to address this gap through the development and implementation of an adapted recess-based program at Douglas Elementary School in Douglas, Michigan.

This project involved implementing a six-week Refreshing Recess program designed to promote inclusive play, peer interaction, and emotional …