Digital Commons Network^™

Government & Insurance Update: Mda Advocacy Successes, James Budd Mpp

The Journal of the Michigan Dental Association

This document summarizes the recent legislative achievements of the Michigan Dental Association’s advocacy team. Key highlights include the House passage of bills regulating dental specialty advertising to ensure transparency for patients and the elimination of the inactive Dental Specialty Task Force. The update also promotes the MDA’s legislative text alert system and online tools designed to help member dentists engage with lawmakers on "hot-button" issues. By staying informed through these platforms, Michigan dentists can support the MDA’s mission to improve practice conditions and access to care across the state.

How Do I Set Up New Hires For Long-Term Success?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

HR expert Jodi Schafer addresses the common challenge of employee retention through effective onboarding strategies. She clarifies that onboarding is a long-term process of integration and belonging, distinct from simple orientation. The article provides practical tips for reducing new-hire anxiety, such as sharing first-day agendas and assigning mentors. Schafer emphasizes the importance of pacing training, setting clear performance expectations, and establishing ongoing feedback loops during the first few weeks. By measuring metrics like time to proficiency, practices can refine their integration processes to build a stable and committed workforce.

J Mich Dent Assoc April 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200-plus members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons.

The April 2026 (Volume 108, No. 4) issue of the Journal is published in digital format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

This full issue provides a comprehensive overview of the Michigan dental landscape in 2026. Key features include a clinical …

Post-Covid Update: Magic Can Still Happen, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

In this editorial, Dr. Michelle Dziurgot addresses the persistent staffing shortages in dentistry six years after the onset of the COVID-19 pandemic. She shares personal insights on managing a leaner practice by utilizing virtual assistants, cross-training existing staff, and emphasizing the "TEAM" philosophy—Trust, Education, Accountability, and Magic. Dziurgot discusses the transition to new practice models and the importance of patient communication during times of limited personnel. Ultimately, the piece encourages practice owners to find innovative ways to maintain high standards of care and team morale despite a difficult labor market.

News You Need: Annual Session, Board Updates, And Regulatory News, David Foe

The Journal of the Michigan Dental Association

This comprehensive news section provides essential updates for Michigan dentists, including details on the 2026 Annual Session highlights and the launch of the "HERM-E" AI member assistant. It features critical regulatory reminders concerning mandated reporting for child abuse and neglect. The document also covers oral cancer prevention, dental therapy scholarship updates, and the appointment of new members to the Michigan Board of Dentistry. Additionally, it lists upcoming House of Delegates meetings and resources for donated treatment, ensuring members are informed on professional responsibilities.

Downstream Effects Of Post Aerobic Digestion And Divalent Cation Treatment: Dewaterability, Phosphorus Mitigation, And Process Odors, Maya Marisol Quijano Garcia

Civil & Environmental Engineering Theses & Dissertations

This study evaluated post-aerobic digestion (PAD) with aeration, mixing, and divalent cation addition to improve phosphorus capture, dewaterability, and odor control in thermal hydrolysis process (THP)–treated anaerobic digestate at the Hampton Roads Sanitation District’s Atlantic Treatment Plant. A three-day PAD process was operated under constant air flow (5 LPM) and dissolved oxygen (DO)-setpoint (0.2 mg/L) aeration conditions with Ca(OH)₂ or Mg(OH)₂ dosing. Aeration and mixing alone increased polymer demand by 14–46 % relative to untreated influent, indicating enhanced extracellular polymeric substance release. Chemical conditioning partially mitigated this increase but did not restore polymer demand to baseline levels. Dewatered cake total …

Modeling Early Indicators For Success In An Associate Degree In Nursing Program, Joseph D. Moss

Educational Leadership & Workforce Development Theses & Dissertations

Persistent nursing workforce shortages across the United States have increased the importance of Associate Degree in Nursing (ADN) programs as primary entry points into the profession. Community colleges prepare a substantial portion of the nursing workforce; however, attrition within ADN programs limits the number of graduates entering practice. Understanding factors associated with academic performance and program completion is essential for strengthening nursing education pathways and supporting workforce development. The purpose of this quantitative study was to examine early academic and sociodemographic factors associated with successful completion of an ADN program at a suburban community college.

Guided by Becker’s Human Capital …

Development Of A Benchmark Building Condition Index Utilizing Discrete Facility Subsets For Use In Risk Prioritization Analysis, Christopher A. May

Engineering Management & Systems Engineering Theses & Dissertations

Within the healthcare facilities management arena, key performance-based condition indices such as a calculated Building Condition Index (BCI) are currently utilized as a governing indicator of facility health and performance. However, BCI alone does not adequately support enterprise-level risk prioritization and fails to provide a validated facility-to-facility risk prioritization model. Assets within the same enterprise receiving similar sustainment funding experience different rates of degradation depending on asset type and construction age thus impairing the BCI rating scale. Statistical analysis of facility metrics indicates a strong correlation between facility degradation drivers and prediction of a subset-based benchmark BCI. The research validates …

Dissecting The Etiology Of Alcohol Use Disorder By An Integrative Heritable Component Approach, Ivy Garrenton

Computer Science Theses & Dissertations

Alcohol Use Disorder (AUD) is a pervasive condition characterized by complex interplay among genetic, phenotypic, and environmental factors. Although previous studies have identi fied genetic loci associated with alcohol consumption, these efforts have not captured the genetic heterogeneity and gene-environment interactions underlying AUD pathogenesis. To address this critical gap, we developed a novel statistical methodology that integrates phenotypic, genotypic, and environmental data through an environmentally modified Genetic Relationship Matrix (GRM) to derive AUD-related traits with enhanced heritability.

This approach demonstrated superior performance in both simulated and real-world datasets. Traits derived using the environmentally modified GRM exhibited significantly higher estimated heritability …

Extending The Job Demands-Resource Model In Classified Work Environments: A Longitudinal Analysis Of Job Demands, Resources, Job Satisfaction, And Retention Among Engineers, Gregory Gooden

Engineering Management & Systems Engineering Theses & Dissertations

The Job Demands–Resources (JD-R) model is a widely used framework for understanding how work conditions influence employee attitudes and retention-related outcomes. However, empirical evidence testing JD-R dynamics in classified technical work environments remains limited, particularly using longitudinal designs that account for structural constraints, nonrandom participation, and outcome-specific measurement challenges. Classified work is characterized by persistent demands, restricted flexibility, and security-driven limitations on available resources, raising questions about whether and how JD-R processes generalize to this context.

This study examines whether job demands and job resources predict subsequent job satisfaction and retention intent in a classified technical workforce using multi-wave longitudinal …

Perceptions Of The Community Eligibility Provision (Cep) Program, Angela H. Napier

Educational Leadership & Workforce Development Theses & Dissertations

This study examined how educators and families perceive and experience the Community Eligibility Provision (CEP) and its influence on student attendance, engagement, well-being, and school climate within one public school division. While prior research has established quantitative links between universal meal programs and academic outcomes, limited research has explored how stakeholders interpret and experience these effects in practice. Addressing this gap, this study employed a convergent mixed-methods design, integrating archival attendance data, surveys, and semi-structured interviews with principals, assistant principals, teachers and families. Quantitative findings revealed modest but inconsistent changes in absenteeism following the CEP implementation, while qualitative findings provided …

Empowering Change: Building Environmental Sustainability Initiatives And Becoming A Sustainability Champion, Amanda C. Karls

School of Public Service Theses & Dissertations

In an era marked by escalating environmental challenges and an urgent need for sustainable development, higher education institutions (HEIs) are increasingly positioned as critical actors in advancing sustainability within the communities they serve. Regional comprehensive universities (RCUs), in particular, occupy a distinctive position as access‑oriented, community‑embedded public institutions; yet sustainability efforts at these institutions often unfold under conditions of limited resources, diffuse responsibility, and informal governance. This dissertation examines how individual actors at RCUs effectively advance environmental sustainability initiatives in the absence of centralized infrastructure or formal authority.

Guided by the overarching research question—How can individual actors at regional comprehensive …

Bioengineering The Future Of The Human Species: H+’S Ideological Iterations Of Trans-/Posthumanity As Exemplified By Futurist Literary Texts = (Bio)Technological Solutions For (And/Or) Reification Of Systemic Inequities?, Marjorie E. Bomhower

English Theses & Dissertations

While humanity has, throughout our species’ history, endeavored to dream and create astonishing, and ever-evolving, (bio)technologies with the utopian ideals of bettering our day-to day lives and achieving greater longevity, our endeavors have (thus far) not only produced remarkable, beneficial advances in longevity and quality of life, but have also yielded devastating and dire outcomes; often at the cost and victimization of marginalized communities. This dissertation focuses on select (bio)technologies – particularly, those promoted by H+ (the most current and popular technoutopianist non-profit, “educational,” organization) – with an investigation of current and nascent (bio)technological evolutions, futurist literary texts, and critical/digital …

Assessing Stakeholders’ Perceptions Of Organizational Effectiveness Through A Multidimensional Theoretical Model: An Interpretive Phenomenological Qualitative Case Study, Andrea M. Paul

School of Public Service Theses & Dissertations

Nonprofit organizations play a fundamental role in meeting community needs when government resources are limited or nonexistent. For decades, scholars and practitioners have recognized the importance of nonprofit-government partnerships for effective public service delivery. This study examines faith-based organizations as a specific type of hybrid nonprofit organization. As social, economic, and environmental challenges intensify, the need for community-based programs led by faith-based organizations also increases. These organizations are working to combat several of society's wicked problems, including but not limited to homelessness, food insecurity, drug addiction, youth and family services, and climate change. Nonprofit sector performance measurement is often recognized …

Role Of Listeria Adhesion Protein In Monocyte-Associated And Extracellular Translocation Of Listeria Monocytogenes Across The In Vitro Placental Barrier Co-Culture Model, Ayesha Atique

Biological Sciences Theses & Dissertations

Listeria monocytogenes is a facultative intracellular foodborne pathogen capable of crossing the placental barrier, leading to miscarriage, stillbirth, and neonatal sepsis, and has a fetal/neonatal fatality rate of ~20–30%. Although the importance of canonical virulence factors such as Internalin A (InlA) and Internalin B (InlB) in L. monocytogenes crossing of the placental barrier has been demonstrated, clinical strains lacking functional canonical internalins have been reported to cause severe neonatal disease, suggesting additional mechanisms of placental translocation.

To investigate these virulence mechanisms, we adapted a physiologically relevant co-culture human placental barrier Transwell model composed of BeWo trophoblasts and primary human placental …

Ptsd Symptoms And Cannabis Use Among College Students: Examining The Role Of Trauma-Related Cannabis Use To Cope, Christopher T. Latourrette

Psychology Theses & Dissertations

Individuals with posttraumatic stress disorder (PTSD) are more than four times as likely to develop cannabis use disorder (CUD) as those without PTSD. This common co-occurrence is often interpreted through a self-medication framework in which cannabis is used to manage PTSD symptoms. Prior work has relied heavily on veteran samples, includes measures of cannabis coping that are not specific to PTSD, and has most commonly examined total PTSD symptom severity, limiting precision in understanding how discrete symptom clusters relate to cannabis outcomes. The present study sought to examine associations between individual PTSD symptom clusters and cannabis use severity and to …

“He Should Be Primaried, And I Will Lead The Charge Against Him”: An Autopsy On The Decline Of Grassroots Organizing And Rhetoric In A Monetized Democracy, Chiara H. Baez

Research and Creativity Symposium

Protest movements in the US have been steadily declining, unable to keep up with changing rhetoric and societal expectations regarding First Amendment free speech. Seemingly overnight, protests have lost the ability to directly input the people’s voice into policymaking. Grassroots protest movements are being priced out of the political participation that was once accessible to them by Political Action Committees (PACs), and politicians are favoring pollsters’ skewed data over the public opinion expressed in organized protest. This has created a systemic barrier, halting the voice of the American people. Grassroots protest movements have not disappeared from the American political landscape; …

Leadership Challenges In Achieving Healthcare Interoperability: A Cross-Sectional Survey Of Patient Experiences, Hoshiar J. Sher

Education Doctoral

Healthcare interoperability remains constrained not only by technical barriers but also by leadership, governance, and administrative fragmentation. The purpose of this quantitative cross-sectional study was to examine how leadership-related barriers to interoperability were reflected in patients’ and caregivers’ experiences with administrative clarity, system integration complexity, trust in leadership, satisfaction, and switching behavior. Guided by transformational leadership theory, data were collected through an online survey of 435 U.S. adults who managed healthcare administrative tasks for themselves or family members. Descriptive, subgroup, and multivariable analyses were conducted to address five research questions. Respondents reported moderate coverage clarity and billing ease, elevated billing …

Building Teacher Capacity To Support Newcomer Multilingual Learners In Upper Elementary Classrooms, Grace Getchell-Ochoa

School of Education and Leadership Student Capstone Projects

As classrooms become more linguistically diverse, many teachers are working with newcomer multilingual learners and questioning how best to support their learning and engagement. This capstone project explored the question: How can a web-based resource platform enhance teachers’ knowledge and practices for interacting with and engaging newcomer multilingual learners in upper-elementary classrooms? The purpose of this project was to create a practical and accessible resource that helps bridge the gap between research and classroom practice. This project was influenced by research on language development, structured student interaction, and culturally and linguistically responsive teaching (Alvarez et al., 2023; Umansky et al., …

How Can Professional Development Be Designed To Better Equip Teachers To Support Multilingual And Immigrant Students Emotionally, Socially, And Academically In U.S. Elementary Schools?, Safiie Seitaptiieva

School of Education and Leadership Student Capstone Projects

This capstone project examines how professional development can better support teachers working with multilingual and immigrant students in elementary classrooms. Research highlights that culturally responsive teaching, inclusive curriculum design, and social-emotional learning are essential for improving student engagement and academic success in diverse learning environments, and this project draws on these frameworks to explore how educators can create more equitable and effective instructional practices. The study uses a qualitative approach, combining a review of existing research with professional classroom experience in the United States, and focuses on strategies such as adapting instruction, building meaningful relationships, and creating accessible learning environments …

Geographies Of Change: Exploring Demographic Shifts & Civic Engagement Through Gis-Based Inquiry, Emily Murphy

School of Education and Leadership Student Capstone Projects

The research question addressed by my Capstone project was: How can an ArcGIS-based inquiry project about local demographic change be designed to engage students in civics and community identity? It is based within secondary social studies education, particularly human geography. Through a constructivist approach, this project applies key findings from research on Geographic Information Systems (GIS), geographic inquiry-based learning, spatial citizenship, and suburban demographic shifts. These highlight the instructional potential of ArcGIS for student-centered interactivity and spatial analysis, as well as challenges in implementation. Using a backwards-planning curriculum design methodology informed by Understanding by Design (UbD), this project develops a …

Building Teacher Capacity: Using Professional Development To Implement Literacy Across The Curriculum In Middle Schools, Katie Grandgenett

School of Education and Leadership Student Capstone Projects

The research question guiding this project is: How can professional development for middle school teachers support the implementation of literacy across the curriculum at the middle school level? The project addresses the issues arising on students falling behind in literacy skills as they make the transition to secondary education where there is less focus on foundational skills. This work builds upon the existing literature focusing on literacy education and how literacy can be used at the secondary level across all contents. This includes research on disciplinary literacy, reading, writing and speaking skills associated with literacy improvement. The methodology involved designing …

Rooted In Wonder: Cultivating A Connection To The Environment Through Nature-Based Learning In Central Mexico, Mikaela Tennis

School of Education and Leadership Student Capstone Projects

Children are spending less time outdoors and feeling increasingly disconnected from the natural world. This reduced exposure and lack of interaction limits opportunities to form early connections with nature, which have lasting benefits into adulthood. Nature-based learning approaches have been proven to increase a sense of nature connectedness, which in turn strengthens one’s environmental attitudes and behaviors while supporting mental health and well-being. To address limited access to nature-based learning experiences in Central Mexico, this capstone draws from research on nature connectedness, nature-based learning, and nature center design to answer the question, How can a nature-based learning center be designed …

A Set Of Grading Protocol Implementation Tools For A Unit Project In A High School Visual Arts Classroom, Brie-Anna Cabrera

School of Education and Leadership Student Capstone Projects

This capstone explores the question: How can high school educators promote equity through their grading protocols? Realizing there is a gap in research combining the ideas of equity and grading, this paper uses culturally relevant pedagogy, culturally sustaining pedagogy, and cultural and linguistic responsiveness as a lens to determine effectiveness of promoting equity through a variety of grading protocols. Using the concluding evidence and honing in on Guskey's idea of multiple grades, the research was organized into a framework for more equitable grading that can be translated to the visual arts. This research resulted in the creation of a set …

Implementing Outdoor And Nature-Based Learning For Infants And Toddlers, Kelly Kazeck

School of Education and Leadership Student Capstone Projects

Many early childhood educators in Minnesota are expanding outdoor and nature-based learning opportunities because of the positive developmental benefits they offer children. Time spent outdoors supports social, emotional, cognitive, and physical learning while promoting positive relationships with peers and the natural world. This capstone research found that implementing outdoor and nature-based learning requires more specialized training, safety precautions, equipment, planning, and preparation than typical indoor programming. However, much of the research focuses on preschool-aged children, although implementation with infants and toddlers presents additional challenges and requires specific supports. Therefore, this capstone project answered the question, “What can infant and toddler …

Place-Based Environmental Education: Forming Connections To Your Local Environment And Community, Deanna Grelecki

School of Education and Leadership Student Capstone Projects

Growing research shows that engaging children in environmental education produces a myriad of benefits, such as improved social, physical, mental, and cognitive aspects of children' s wellbeing. Even with these beneficial outcomes, researchers find that a disconnect between youth and the natural world exists and is growing. This capstone answers the question, How can educators create place-based environmental education opportunities for middle school students?, and ultimately help students build positive relationships with the environment. Grounded in place-based environmental education and created for a rural community in Northern Illinois, this capstone project centers on a field study situated in a local …

Differential Regulation Of Cyclic Adenosine Monophosphate By Phosphodiesterase 3a Discriminates Thrombin-Induced Protease Activated Receptor 1- And 4-Dependent Platelet Activation, Izabella Andrianova, Abigail Ajanel, Jesse W Rowley, Darian C Murray, Yasuhiro Kosaka, Frederik Denorme, Paul F Bray, Robert A Campbell

2020-Current year OA Pubs

BACKGROUND: Human platelets express 2 thrombin-activated G protein-coupled receptors (GPCRs), protease activated receptor (PAR)1 and PAR4. Previous studies have demonstrated PAR1 activation to be fast on-fast off while PAR4 activation was slower but more sustained. However, how PARs regulate second messengers such as cyclic adenosine monophosphate (cAMP), a negative regulator of platelet activation, remain unknown.

OBJECTIVES: This study investigated how PAR1 and PAR4 activation by thrombin regulates cAMP levels and platelet activation.

METHODS: PAR1 and PAR4 on washed human platelets were inhibited with vorapaxar or BMS-986120, respectively, in the presence or absence of prostaglandin (PG)I

RESULTS: In the presence of …

Lyplal1 Rare Loss-Of-Function Variants In Humans And Deletion In Human Hepatoma Cells Protect Against Masld, Rawdat Hussain, Chinmay Raut, Ponnandy Prabhu, Akram Irshaid, Yash Hegde, Yue Chen, Asmita Pant, Antonino Oliveri, Xiaochao Wei, Lishi Yin, Tiffany L Russell, Brian Halligan, Clay F Semenkovich, Elizabeth K Speliotes

2020-Current year OA Pubs

Genetic variants near LYPLAL1 are associated with Metabolic dysfunction-Associated Steatotic Liver Disease (MASLD) in humans, but their impact on LYPLAL1 function is unknown. We identified LYPLAL1 loss-of-function variants from UK BioBank (UKBB) whole-exome sequencing data that had AlphaMissense or GPN-MSA scores in the top 20% of LYPLAL1 variants for being disruptive. We aggregated these variants and carried out burden analysis for effects on MRI Proton Density-Fat Fraction (MRI-PDFF) and ICD-based MASLD in UKBB. Rare loss-of-function LYPLAL1 variants were associated with reduced MRI-PDFF and ICD diagnosed MASLD across sexes. We used CRISPR to knockout and overexpress LYPLAL1 in human hepatoma cells …

Exploring The Perceptions Of United States Dentists And Dental Hygienists Towards Implementation Of New Workforce Shortage Policies, Hite N. Jones

Dental Hygiene Theses & Dissertations

Background: There is a perceived national dental hygiene shortage causing delays in receiving preventive treatment and potentially increasing oral disease risk. States are proposing alternative pathways to allow less-trained individuals to provide dental hygiene care to fill this perceived gap. There is no research to support whether such measures would mitigate the shortage issue. Purpose: Therefore, the purpose of this study was to examine the perceptions of United States (U.S.) dentists and dental hygienists (DH) towards the implementation of new workforce shortage policies and contributing factors and solutions to the workforce shortage. Methods: This descriptive, cross-sectional study included a convenience …

Quantifying Nutrient Fluxes Across The Sediment-Water Interface In The Lafayette River Estuary, Adriana E. Amrhein

OES Theses and Dissertations

The Lafayette River, a shallow, eutrophic tributary of the Chesapeake Bay, experiences seasonal harmful algal blooms (HABs). While management efforts focus on reducing external nutrient inputs, internal loading from benthic sediments remains poorly constrained. This study quantifies spatial and seasonal variability in nutrient and radium isotope fluxes across the sediment–water interface at three sites where HABs are known to initiate and represent contrasting sediment textures and hydrodynamic conditions. Sediment cores and porewater samples were collected in summer 2023 and winter 2024 to measure grain size, porosity, dissolved nutrients (NH₄⁺, NOₓ⁻, PO₄³⁻), and radionuclide activities (²²⁴Ra and ²²⁸Th). Radium isotope disequilibrium …