Digital Commons Network^™

Design And Validation Of A Wearable Respiratory Protection System For Wildland Firefighters, Oliver Pilon

Master's Theses

Wildland and Wildland–Urban Interface firefighters are routinely exposed to hazardous smoke with fine particulate matter, carbon monoxide, volatile organic compounds, and other toxic combustion products. Existing protective gear has significant limitations and shortcomings for these conditions. Respirators with tight-fitting facepieces make it difficult to breathe and speak. On the other hand, self-contained breathing apparatuses are too heavy, have a limited duration of use, and do not work well with long wildland fire scenes, while smaller protective equipment like N-95’s and gaiters provide very little protection. These constraints contribute to low adoption rates and prolonged occupational exposure.

This thesis presents the …

Car And Pear Tree, Peter Cashorali

The Lindenwood Review: a journal of literary prose

No abstract provided.

Summary Of: Exploring Attitudinal Barriers To Participation In Inpatient Fall Risk Assessment Using The Theoretical Domains Framework: A Survey Of Providers, Emily L. Carter, Sarah Hallen, Gavin W. Welch, Erin N. Gordon, Mark G. Parker

Northern New England Clinical & Translational Research

This study examines why inpatient providers are not consistently engaging in fall risk assessment despite its importance in preventing hospital falls. Using the Theoretical Domains Framework (TDF), the authors identify attitudinal barriers among physicians and advanced practice providers. The findings show that the issue is not lack of belief in the importance of fall prevention, but rather competing priorities and lack of confidence or training, pointing to motivation and workflow integration as key leverage points for change.

Study found @ "Exploring attitudinal barriers to participation in inpatient fall risk" by Emily L. Carter, Sarah A. Hallen et al.

Summary Of: Association Between Primary Care Provider Status And Preventive Health Care Among People Who Inject Drugs, E Katherine Nenninger, Katherine Sharp, Bianca Bstamente, Kim Murray, Kinna Thakarar

Northern New England Clinical & Translational Research

People who inject drugs (PWID) are at high risk for preventable infections, yet preventive care delivery remains inconsistent. This study examines whether having a primary care provider (PCP) improves access to preventive services in Maine. While many PWID are connected to primary care, the findings show that preventive care is fragmented across settings, with PCP access improving some outcomes (like hepatitis B vaccination) but not ensuring comprehensive prevention.

Study found @ "Primary care and preventive care among people who inject drugs" by E Katherine Nenninger, Katherine Sharp et al.

Pharmacokinetic Profiles Of Sertraline In Pregnancy As A Predictor Of Postpartum Depressive Symptoms, Sílvia M. Illamola, Zachary N. Stowe, Marc L. Kalin, Michael D. Evans, Catherine M.T. Sherwin, Maged M. Costantine, D. Jeffrey Newport, James C. Ritchie, Angela K. Birnbaum

Pediatrics Faculty Publications

Aim: To characterize pharmacokinetic changes of sertraline and its metabolite during pregnancy and postpartum, and their relationship to maternal postpartum depressive symptoms. Methods: This was a prospective observational, longitudinal study of pregnant women with a major depressive disorder treated with sertraline (N = 185 women, 205 pregnancies). Women were enrolled at <16 weeks' gestation and followed at 4-8 week intervals throughout pregnancy and the first postpartum year. Baseline measures included structured clinical interviews and demographic information. Drug and metabolite concentrations and psychometric measures (study outcomes) (ie, Hamilton Rating Scale for depression - 17 item, Beck Depression Inventory, Edinburgh Postnatal Depression Scale [EPDS], Clinical Global Impression [CGI]) were measured at follow-up visits. Serum sertraline and N-desmethylsertraline exposure were reported asstandardized 24-h concentration-to-dose (C/D) and parent to metabolite (P/M) ratios. Linear mixed-effects and latent trajectory models were used to characterize longitudinal patterns in concentration measures across pregnancy and postpartum, and their association with study outcomes. Results: Mean 24-h C/D ratios showed high variability throughout pregnancy and postpartuM.T.hat were characterized by three trajectories for sertraline and five for N-desmethylsertraline and P/M ratio corresponding to different sertraline pharmacokinetic profiles. At postpartum, sertraline drug exposure was inversely associated with higher EPDS score (P < .05), while N-desmethylsertraline exposure was associated with higher scores for all measured depression scales (P < .001). Higher P/M ratios had higher CGI scores (P < .05) postpartum. Conclusion: Sertraline pharmacokinetic profiles varied across pregnant women and were associated with postpartum depressive symptoms. The use of therapeutic monitoring may provide clinical insight that can be useful for identifying patients with a potential toward depressive symptoms.

College Of Nursing Library Newsletter Spring 2026, Prairie View A&M University

Newsletter Collections

No abstract provided.

South Carolina Middle School Student Performance In Ela And Mathematics: The Imperative Of Assessment For Learning, Olivia S. Ochoo

South Carolina Association for Middle Level Education Journal

Despite broad access to middle school in South Carolina, recent SCReady assessment data indicate persistent literacy and numeracy achievement gaps, with so many students performing below grade level in English Language Arts (ELA) and mathematics. This article evaluated five years of state- and district-level data, highlighting steady but small gains, and explored how current assessment practices failed to fully inform instruction to accelerate learning. This paper used a mixed-methods research design, particularly a convergent parallel mixed-methods design, in which both qualitative and quantitative approaches were used to collect and analyze data. To be specific, document analysis and both open- and …

An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission In A Homogeneous Syringe-Sharing Network, Seun Ale, Que Thi Nguyet Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr.

Reports

The model described in this ODD is an agent-based model of hepatitis C virus (HCV) transmission among people who inject drugs (PWID). The model assumes homogeneous mixing among syringe-sharing agents, without any form of heterogeneity in the agents interactions or syringe-sharing attitude. All syringe-sharing PWID are treated as identical in terms of their interaction frequency and syringe-sharing probability. Interactions are generated dynamically using proximity-based sampling at each timestep (one day), allowing agents to form syringe-sharing interactions based on spatial closeness. The number of daily interaction events is fixed at the population level, and each syringe-sharing agent has the same probability …

An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission With Inter- And Intra-Group Structural And Behavioural Heterogeneous Syringe-Sharing Networks (5), Seun Ale, Que Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr.

Reports

The model described in this ODD is an agent-based model of hepatitis C virus (HCV) transmission among people who inject drugs (PWID). The model incorporates structural heterogeneity through a three-group interaction framework and behavioural heterogeneity through group-specific syringe-sharing rates with additional intra-group variability. The syringe-sharing population in the model is divided into core, inner, and outer circle groups representing individuals with high, moderate, and low levels of syringe-sharing interaction intensity, respectively. In addition to differences in the number of daily interaction opportunities across groups, agents in each group are assigned syringe-sharing probabilities that vary at the individual level around their …

Transforming Law, Contesting Exclusion, Shaping Inclusion, Nancy Levit, Judith Resnik, Laura Rothstein

UMKC Law Review

Introduction to the symposium issue, Transforming Law, Contesting Exclusion, Shaping Inclusion.

A Bacillus Pumilus Isolate With Promising Antimycobacterial Properties, Cody M. Pfaff

SACAD: Scholarly Activities

The emergence of multidrug-resistant bacterial pathogens, particularly Mycobacterium tuberculosis, highlights the urgent need for new antimicrobial agents. Tuberculosis remains one of the world’s deadliest infectious diseases, claiming over a million lives annually and posing increasing challenges due to the thick, lipid-rich, acid-fast cell wall of Mycobacterium species that renders them naturally resistant to many antibiotics. In this study, a soil sample collected from the Campus of Fort Hays State University yielded a bacterial isolate exhibiting strong antimicrobial activity. Initial screening against Escherichia coli MM294 showed a 10 mm inhibition zone, and subsequent testing identified the isolate as Bacillus pumilus …

The Synapse, March 2026, School Of Medicine Student Senate, New York Medical College

The Synapse

No abstract provided.

Proceedings Of Iasdr2025: Design Next, Chi-Yi Chang, Chien-Hsiung Chen, Yen Hsu

DRS Conference Volumes

This volume is the proceedings of the 11th biennial congress of IASDR, the International Association for Societies of Design Research, hosted in Taipei, Taiwan, 2–5 December 2025.

Workforce Needs And Labor Market Trends In Utah [Special Report], Lendel K. Narine, Paul Hill, Andree' Walker Bravo

Outcomes and Impact Quarterly

This study examined Utah employers’ perceptions of workforce preparedness, hiring challenges, and emerging skill needs. Data were collected from 226 employers across different industries to identify priority competency gaps in the state’s workforce. Results revealed that Utah employers perceive the largest skill gaps in time management, critical thinking, conflict resolution, and ethical judgment, competencies essential for effective leadership and collaboration. Employers placed the highest value on experiential learning opportunities, particularly work-based projects, internships, and mentorships, as the most effective means of preparing graduates. Employers emphasized communication, teamwork, and analytical problem-solving as the most critical skills for the next five to …

Identifying Priorities To Guide Extension Water Quality Programming In Utah, Clare Entwistle, Sarah Erwin, Stephanie Vaughn

Outcomes and Impact Quarterly

Utah State University Extension water quality faculty conducted a statewide water quality needs assessment to identify priority contaminants and resource gaps. The results found that elevated nutrient levels and sedimentation were the top concerns where additional resources would be beneficial. In addition, insufficient funding for improvements and low public engagement were identified as key challenges in addressing water quality issues. Results revealed current unmet needs with regional variation to inform Extension resource allocation and programming.

Bridging Gaps In Data Utilization: An Evaluation Of The Rural Utah Data Symposium, Paul A. Hill

Outcomes and Impact Quarterly

This study evaluates the effectiveness of the Rural Utah Data Symposium, an event designed to address data-driven decision-making among rural leaders. The symposium features expert-led presentations on the rural economy, healthcare, housing, mobility, broadband, and wellbeing. Data were collected through an online exit survey with a 67% response rate (n = 35). Attendees rated presentation quality, learning outcomes, and overall satisfaction. Findings show high ratings and positive learning outcomes, demonstrating the symposium’s value in empowering informed decision-making. Recommendations include increasing interactivity among attendees, broadening content scope, and expanding statewide representation to further support data utilization in rural Utah.

Justification For Transportation Provider Procurement, Sam Leiper ,Mpa

All Materials

In rural states such as New Hampshire, one of the most prominent factors impacting individual and population health is reliable transportation. Access to transportation is especially crucial for those living with a substance use disorder (SUD), as many resources are concentrated in urban areas like Manchester and Nashua. This memo aims to provide justification to procure for recovery-based transportation services by highlighting the clinical impacts and reviewing models implemented in other states.

Analysis Of City Planning For Autism Spectrum Disorder, Joshua Ericson, Ben Shane

City and Regional Planning

Whether formally diagnosed or self-diagnosed, autism spectrum disorder affects children and adults in every corner of the planet. Every city in the world likely has autistic residents who have difficulty living in navigating their city due to their unique sensory, social, and economic needs. Many of these needs affect autistic people’s abilities to comfortably and independently navigate public spaces, attain a reliable method of transportation, and find housing that suits their needs. These issues could all be addressed with city planning and neuro-inclusive public policies, but to date few cities have considered autistic people in their planning. Cities inadvertently exclude …

North Fair Oaks Specific Plan, Carlos Robinson

City and Regional Planning

The North Fair Oaks Specific Plan guides development of the North Fair Oaks Focus Area as defined in the City of Arroyo Grande General Plan by defining land uses, delineating a multimodal circulation system, and outlining ideal development standards in accordance with various local, regional, and state plans.

Faculty List

Washington Law Review

No abstract provided.

Weaponized Bureaucracy At The Criminal Immigration Divide, Dorien Ediger-Seto

Washington Law Review

Despite deportation being entrenched as a civil consequence rather than a punishment over 100 years ago, today’s immigration enforcement and deportation scheme relies heavily on state-level criminal arrests, convictions, and data sharing systems. And immigration-based crimes have accounted for between twenty-five and fifty percent of all federal criminal charges over the past decade. But the fact that the systems are bureaucratically and doctrinally separate from each other has practical impacts that go beyond these formalized intersections. Not only do federal law enforcement actors often have dual mandates to investigate and prosecute federal crimes alongside related civil removal cases, but criminal …

Facing State-Created Danger In Facial Recognition Technology, Esha Jain

Washington Law Review

When the police wrongfully arrest someone, that person faces distinct harms. Various scholarship, news articles, and studies document that AI-powered facial recognition technology (FRT) disproportionately misidentifies individuals from marginalized racial groups when used irresponsibly. Many of those sources indicate that police reliance on FRT without adequate vetting results in wrongful arrests. Yet law enforcement continues to misuse FRT.

This Comment contends that the 42 U.S.C. § 1983 state-created danger doctrine offers a potential remedy for plaintiffs harmed by police reliance on FRT. To prevail under this doctrine, plaintiffs must prove affirmative conduct, deliberate indifference, and proximate causation. If successful, these …

Evaluation Of Community-Based Interventions Addressing Social Attitudes And Behavioural Intentions Related To Female Genital Mutilation In Somaliland, Francis Obare, Dennis Matanda, Stephen Kizito, Chi-Chi Undie

Sexual and Reproductive Health, Rights, and Choices

This study aimed to assess changes in social attitudes/beliefs and behavioural intentions related to FGM and gender as a result of community-directed interventions to accelerate positive changes in social attitudes towards ending the practice. The study was conducted in the context of The Girl Generation support to – Africa-Led Movement (TGG-ALM) programme implementation in Somaliland using public opinion poll and vignettes. Key intervention activities implemented by TGG-ALM included conducting community intergenerational dialogues and small grants for community-based organizations to implement interventions at the community level.

Electroactive Pvdf/Ti3c2tx Mxene Functionalized Nanofiber Mats With High Surface Potential For High-Efficiency Indoor & Outdoor Submicron Pm(0.3-2)Μm Filtration, Ashish Kakoria, Mirza Muhammad Zaid, Aamir Iqbal, Mahsa Moradi, Lina Zheng, Guang Xu

Mining Engineering Faculty Research & Creative Works

Fine PM0.3-2.0 rapidly penetrates the respiratory system and causes health problems. Commercial filters remove 0.3 μm particles at ∼95 % efficiency but impose high pressure drops that make breathing difficult. We fabricate a novel electrospun PVDF-Ti₃C₂Tx nanofiber mat for PM0.3–2.0 filtration. Where a high electric field stretched PVDF and PVDF-Ti₃C₂Tx solutions into ultrafine fibers that were collected as porous nanofibrous mats. PVDF was chosen for its electroactive behavior and high dielectric constant, enabling efficient electrostatic filtration. The incorporation of Ti₃C₂Tx MXene enhances surface charge density and interfacial polarization, …

Assessment Of Aluminum-Based Drinking Water Treatment Residuals From Multiple Utilities In The United States As Green Sorbents For Pfas, Parisa Javidan, Roxana Rahmati, Zhiming Zhang, Anshuman Satpathy, Steven Larson, Rupali Datta, Dibyendu Sarkar

Michigan Tech Publications

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants causing human health concerns. In this study, five aluminum-based drinking water treatment residuals (Al-WTRs) were evaluated as green adsorbents for the removal of perfluorooctanoic acid (PFOA) and perfluorooctanesulfonic acid (PFOS) from water. Al-WTRs are nonhazardous solid wastes generated during the coagulation process of water treatment using aluminum salts or polymers. Although high PFAS adsorption capacity of Al-WTRs generated in one facility in the US has been reported, no study exists assessing PFAS adsorption capabilities of WTRs generated in multiple facilities using various types of aluminum coagulants. Batch adsorption experiments of PFOA …

Issue 17: Pulmonary & Critical Care Insider, Bharat Bajantri Md, Sarah Ellsworth Mls, Stephanie Subart Pharmd

Critical Care & Pulmonary

Pulmonary & Critical Care Insider Issue 17

Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.

The Pulmonary & Critical Care Insider newsletter was created by Dr. Bharat Bajantri, MD and Sarah Ellsworth, MLS in 2023 as a form of current awareness for current practice at our hospital, Parkview Health.

Topics: 

• Management of Uncomplicated Gram-Negative Bacteremia
• Complicated Urinary Tract Infection Guidelines Update
• Ketamine vs Etomidate for RSI
• STORM-PE 
• Lung Ultrasound–Guided Weaning
•  D-Dimer for Pulmonary Embolism
• Extubation Failure
•  A Multimodal, physiology-Driven approach to pleural effusions
• Dexmedetomidine for Hyperactive …

2025 Tennessee External Quality Review Technical Report, Tennessee. Division Of Tenncare.

TennCare Additional Reports

No abstract provided.

Ten-Year Pathology-Based Cancer Registry At A Tertiary Referral Hospital In Kenya (2015–2024): Distribution Of Cancers And Completeness Of Pathology Reporting, Brian Ayara, Samuel Mukono, Rodney Adam, Shahin Sayed

Pathology, East Africa

Background Population-based cancer registries remain limited in low- and middle-income countries (LMICs). In Kenya, their coverage is below the 20% threshold recommended by the International Agency for Research on Cancer. Pathology-based registries can provide complementary data in such contexts. This study describes the distribution of cancers diagnosed at a tertiary referral hospital in Nairobi over ten years, and evaluates the completeness of pathology reporting for selected cancers using College of American Pathologists (CAP) protocols.

Methods We conducted a retrospective review of all histologically confirmed cancers at the Aga Khan University Hospital, Nairobi, from 2015 to 2024. Data were extracted from …

A Physician Survey On Research And Implementation Priorities For Caffeine Citrate Use In Newborn Care In Sub-Saharan Africa, Olufunke Bolaji, Osayame Ekhaguere, Franck Houndjahoue, Nicholas Embleton, Helen Nabwera

Centre of Excellence in Women and Child Health

Background:Evidence on caffeine citrate (CC) for apnoeaof prematurity (AOP) originate from high-income countries. This study aimed to develop consensus on research design for evidence in sub-Saharan Africa (SSA).

Methods:We surveyed physicians in newborn units across SSA to assess their opinions on CC research and their preferred study designs.

Participants rated four study designs:a) an observational before-and-after study; a randomized controlled trial (RCT) of b) caffeine versus placebo; c) caffeine versus aminophylline; d) a traditional or stepped wedge cluster trial.  They  assessed  each  design  using  a  Likert  scale  for  evidence, feasibility, and ethics considerations.

Results:Ninety-two   newborn   physicians …

Benefits, Challenges, And The Way Forward: Medical Specialists' Perception On Family Physician Integration In Healthcare System In Tanzania, Juvenalius Anselm, Roselyter Riang’A, Neelam Ismail, Davis Rubagumya, Jesca Munishi, Sumayyah Saudin, Lynn Moshi, Willbroad Kyejo, Nancy Matillya

Family Medicine, East Africa

Background Family medicine provides comprehensive care by integrating biomedical, behavioral, and social sciences. While established in some sub-Saharan countries, it remains new and unintegrated in Tanzania’s public health system. Its integration is vital for healthcare reform to enhance patient care and system quality.This study aimed to understand the perceptions of medical specialists regarding the integration of family physicians into the Tanzanian healthcare system.

Methods A descriptive qualitative study was conducted through in-depth interviews with ten medical specialists from Aga Khan Hospital and Muhimbili National Hospital in Dar es Salaam. Thematic analysis was employed in this study.

Results Integration of family …