Digital Commons Network^™

Diabetes Equity In Lehigh Valley: Recruitment For A National Diabetes Prevention Program Train The Trainer Model, Miguel Chuidian Md, Autumn Kieber-Emmons Md, Mph, Rachel Apiolaza, Carolyn Peterseim Md

Department of Family Medicine

No abstract provided.

2026 March, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for March of 2026.

Islamic Law Without Legal Authority: Sharia And State Governance In Kazakhstan, Duman Saifullin, Temur Amankul, Laura Toktarbekova, Erkinbek Daken

Occasional Papers on Religion in Eastern Europe

This article examines the role and status of Islamic law (Sharia) in Kazakhstan, a Muslim-majority country that has consistently maintained a strictly secular legal order. The background of the study is grounded in the apparent paradox between Kazakhstan’s Islamic historical heritage and the complete absence of Sharia from its formal legal system. The objective of the research is to explain how and why Islamic law has remained confined to private, moral, and ritual domains while being excluded from state legislation and judicial practice. Methodologically, the article employs a qualitative legal-sociological and historical approach, combining analysis of constitutional norms, legal regulations, …

Legislative & Administrative Notes, Arthur S. Leonard

Other Publications

No abstract provided.

Early Behavioral And Cognitive Changes In Patients With Pathologically Confirmed Alzheimer Disease, Lewy Body Dementia, And Mixed Dementia, Ming Wang, Hongke Wu, Aaron Bonner-Jackson, Yiming Chen, Wen Tang, Hao Feng, Lijun Zhang, Chixiang Chen, James B Leverenz, Jagan A Pillai

Faculty, Staff and Student Publications

Background and objectives: Alzheimer's disease pathology (ADP) and Lewy body pathology (LBP) are traditionally associated with distinct cognitive profiles. However, growing evidence highlights the role of behavioral and psychological symptoms of dementia (BPSD) in shaping clinical presentations. The combined influence of cognitive and behavioral symptoms across neuropathologically confirmed ADP, LBP, and mixed AD-LBP has not been systematically examined. This study aimed to identify clinically meaningful subtypes by jointly analyzing cognitive performance and BPSD profiles in individuals with autopsy-confirmed dementia pathology.

Methods: This retrospective longitudinal cohort study used data from the National Alzheimer Coordinating Center (NACC), collected across multiple U.S. Alzheimer's …

Risk Factors For Early-Onset And Late-Onset Dementia: A Prospective Cohort Study, Katherine Giorgio, John J Stephen, Maxwell Mansolf, Elizabeth A Peterson, Alden L Gross, Emily M Briceño, Deborah A Levine, Catherine Helmer, Stéphanie Debette, Aïcha Soumaré, M Arfan Ikram, Frank J Wolters, Sudha Seshadri, Claudia L Satizabal, Jayandra Jung Himali, Lenore J Launer, David Li, Djass Mbangdadji, Donald M Lloyd-Jones, Farzaneh A Sorond, Lihui Zhao, Oscar L Lopez, Suzanne E Judd, Timothy M Hughes, Vilmundur Guðnason, Allison E Aiello, Alison Fohner, Archana Singh-Manoux, Behnam Sabayan, James S Pankow, Paul S De Vries, Kristine Yaffe, Alexa Beiser, Abbas Dehghan, Rachel Zmora, Denise Scholtens, Pamela L Lutsey, Norrina B Allen, Richard Maclehose, Sanaz Sedaghat

Faculty, Staff and Student Publications

Background: Early-onset dementia (onset before age 65 years) is an important health concern, but much of our understanding of its risk factors is inferred from studies of late-onset dementia (onset after age 65 years). We investigated associations between several demographic, clinical, and lifestyle factors with early-onset dementia and compared those estimates against their associations with late-onset dementia.

Methods: Data from five community-based longitudinal cohort studies from the UK and USA were pooled and rigorously harmonised: UK Biobank, Atherosclerosis Risk in Communities Study, Framingham Heart Study, Multi-Ethnic Study of Atherosclerosis, and Whitehall II Study. Dementia was ascertained via hospitalisation and death …

Marginal Dispositions And Shared Decision-Making Among Older Adults In The Ed: A Prospective Cohort Study, Adrian D Haimovich, Anita Chary, Laura Burke, Alexander T Janke, Adam Rodman, Bruce Landon, Nathan I Shapiro, Aanand D Naik, Elizabeth Schoenfeld, Kei Ouchi, Mara A Schonberg

Faculty, Staff and Student Publications

Background: ED disposition decisions for older adults are complex and often uncertain, yet studies rarely capture emergency physicians' real-time perspectives.

Objective: To assess patient outcomes based on emergency physician-perceived need for admission.

Design: Single-site prospective cohort study conducted between July and November 2024.

Setting: A Boston-area academic tertiary care ED.

Participants: Patients aged 65 and older dispositioned by attending physicians, excluding patients who were handed off, left without being seen, or eloped.

Measurements: Physicians rated admission need using a 5-point Likert scale (2-4 considered marginal). Primary outcome was ED disposition stratified by rating. Secondary outcomes were hospital length-of-stay (LOS), 7-day …

Religious Riders And The Sherman Act, Bailey Sanders

Michigan Law Review

Can corporations engage in anticompetitive behavior on the basis of religious belief? While the answer may seem like an obvious no, in fact this question has largely been overlooked. It has hovered at the margins of the debate over religious exemptions: Proponents of religious exemptions have essentially argued that there is no harm in providing such exemptions to businesses because a competitive market will ensure consumers who might be denied services or goods by a religious firm can still obtain those goods and services elsewhere. But what if religiously minded businesses act in ways that are specifically designed to limit …

Evaluating The Health Economic Impacts Of Baloxavir Marboxil And Oseltamivir For The Treatment Of Influenza In Adult Outpatients In Hong Kong: A Cost-Effectiveness Analysis, Ruohan Chen, Zengyang Shao, Kaiming Bi, Benjamin John Cowling, Zhanwei Du

Faculty, Staff and Student Publications

Background: Baloxavir marboxil, an antiviral used only in private hospitals in Hong Kong since February 2019 for treating influenza, is recognized for its efficacy against strains resistant to standard antiviral agents, providing an alternative to neuraminidase inhibitors such as oseltamivir.

Methods: This study compares the cost-effectiveness of baloxavir and oseltamivir for influenza treatment in otherwise healthy (OwH) and high-risk (HR) adult outpatients in Hong Kong from the healthcare-payer's perspective. A decision tree was utilized to study the progression of influenza and estimate associated costs and quality-adjusted life-years (QALYs) over 14 days for each antiviral.

Findings: In the general population, the …

Living Evidence-Informed Guideline On The Early Detection Of Oral Squamous Cell Carcinoma And Potentially Malignant Disorders: Cytology Adjuncts To Determine The Need For Biopsy, Version 2026 1.0, Olivia Urquhart, Ankita Shashikant Bhosale, Carolina Martins-Pfeifer, Francisca Verdugo-Paiva, Alonso Carrasco-Labra, Julia Pimentel, Natalie Sadek, Nishant Agrawal, Anil K Chaturvedi, Joann Gurenlian, Eva Grayzel, A Ross Kerr, Marco Magalhaes, Carol Anne Murdoch-Kinch, Alexander T Pearson, James C Melville, Anita S H Patel, Alessandro Villa, Michael Glick, Mark W Lingen

Faculty, Staff and Student Publications

Background: Early detection of oral potentially malignant disorders and oral cavity cancer can improve patient prognosis. The guideline panel addressed the use of cytology adjuncts to screen adults without mucosal abnormalities and determine the need for biopsy among adults with mucosal abnormalities.

Types of studies reviewed: The guideline panel used the Grading of Recommendations Assessment, Development and Evaluation Evidence to Decision framework to formulate recommendations. The authors conducted reviews to assess the benefits and harms of cytology adjuncts and people and clinician values and preferences as they relate to adjunct tests and biopsy of mucosal abnormalities. As part of the …

Dental Rankings: Relevant Or A Psychological Rollercoaster?, Stuart L. Segelnick Dds, Ms

The New York State Dental Journal

It may take a village of dentists honing in on their own rankings to reverse the profession’s downward trend.

Kenya’S Path To Building A National System To End Female Genital Mutilation: A Learning Paper On Securing The Anti-Fgm Law, Establishing The Anti-Fgm Board And Sustaining The National Response, Shukri Gesod

Sexual and Reproductive Health, Rights, and Choices

Drawing on in-depth key informant interviews with three former or current government officials, this learning paper responds to the following questions:

1. How did Kenya establish a standalone legal framework on female genital mutilation (FGM)?
2. How was the political and wider support needed to advance the legislation built?
3. How was the Anti-FGM Board established and made operational?
4. How was the Anti-FGM Board sustained across political and institutional change?

Learnings from the government officials accounts are used to trace the history of Kenya’s anti-FGM response, and have been documented as lessons for other countries to apply toward their end-FGM efforts.

Molecular Lung Imaging Following Exposure To Radiation Predicts Long-Term Survival In Rats, Anne V. Clough, Kathrina Mpala, Taheri Pardis, Laura Norwood Toro, Andreas M. Beyer, Tracy Gasperetti, Ming Zhao, Sarah Kerns, Heather A. Himburg, Said H. Audi

Mathematical and Statistical Science Faculty Research and Publications

Delayed effects of acute radiation exposure (DEARE), including radiation pneumonitis (lung-DEARE), develop weeks to months after radiation exposure. Pathway-targeted biomarkers that capture early oxidative stress and cell death could improve risk stratification and provide objective measures of mitigator efficacy. The objective was to test whether molecular lung imaging predicts long-term survival and mitigator response after irradiation. Rats received 13.5 Gy leg-out partial-body irradiation with a subset treated with the radiation-injury mitigator lisinopril. Rats underwent lung imaging at weeks 2 and 4 post-irradiation with ^99mTc-duramycin (cell death) and ^99mTc-HMPAO (oxidative stress). Plasma mitochondrial damage-associated molecular patterns (mtDAMPs) were also …

Does Abusive Supervision Undermine Creativity? A Buffering Role Of Absorptive Capacity, Sayma H. Shetu, Md. Sanaul Islam, Abdul G. Khan, Md. Shahed Mahmud

Journal of Global Business Insights

This study investigates the underlying processes of this relationship by examining knowledge hiding as a mediator and absorptive capacity as a moderator, within the context of the Conservation of Resources (COR) theory. 385 garment sector employees in Bangladesh were surveyed using a three-wave questionnaire, and the results were analyzed using partial least squares structural equation modeling. The study's findings demonstrate that abusive supervision negatively impacts employee creativity, in part by increasing knowledge hiding. Furthermore, higher absorptive capacity mitigates these adverse effects, reducing knowledge-hiding tendencies and enhancing creative performance. Theoretically, this study advances COR theory by identifying knowledge hiding as a …

Determinants Of U.S. Manufacturing Firms’ New Location Decisions: What Factors Shape State-Level Entry?, Ye Wana Hlaing, John Schoeneman

Journal of Global Business Insights

The location of new manufacturing facilities is a critical determinant of firm performance and long-term competitiveness in an increasingly dynamic global economy. This decision-making process is complex, shaped by economic, social, geographic, and regulatory conditions. Understanding these factors is essential for policymakers, investors, and firms seeking to design strategies that foster regional development, job creation, and sustainable economic growth. This study examines the key determinants of manufacturing firms’ new-location choices in the United States. Although factors such as land availability, workforce productivity, and regulatory stability are well recognized, the magnitude and mechanisms through which they affect location decisions remain insufficiently …

Identification Of Microplastics And Additives From The Lake Erie Watershed And The Cuyahoga River Via Maldi-Ms And Dart-Ms, Chrys Wesdemiotis, Calum Bochenek, Luciana Rivera Molina, Robert Brand

University Research

Micro(nano)plastics have received increased attention as environmental contaminants due to their harmful effects on ecosystems and human health. Conventional extraction methods for microplastic analysis are often lengthy and complicated, resulting in the loss of important chemical components such as additives. In this study, we provide a complementary approach, utilizing matrix-assisted laser desorption/ionization (MALDI) and direct analysis in real time (DART) mass spectrometry (MS) techniques, with minimal extraction and sample preparation to preserve both polymer and additive information. MALDI-MS was applied to aqueous samples collected along the shores of Lake Erie and the Cuyahoga River, successfully identifying the base polymer(s) in …

Draft Final Quarterly Operations And Maintenance Report: Butte Treatment Lagoon System – Fourth Quarter 2025, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Unilateral Online Ultrasound Stimulation Of Early Visual Cortex Suppresses Responses To Contralateral Visual Stimuli, Suraya Dunsford, Keith Murphy, Ema Darrieutort, Elsa Fouragnan, Giorgio Ganis

School of Psychology

INTRODUCTION: Transcranial ultrasound stimulation (TUS) shows great promise for inducing neuroplastic changes that persist long after stimulation. Evidence of stimulation-locked (online) neural changes would enable the development of closed-loop application of TUS. However, such responses have been difficult to distinguish from coincident neural activity caused by auditory and somatosensory effects of TUS.

METHODS: To dissociate genuine online neuromodulatory effects from peripheral confounds, we leveraged the contralateral retinotopic organization of the early visual cortex in nineteen subjects. Using a hemifield visual stimulation paradigm combined with high-precision, functional MRI-guided TUS, we applied TUS to the left early visual cortex while participants viewed …

Exploring Non-Conventional Substrates: The Role Of Hibiscus And Whey In Kombucha Fermentation, Benjamin J. Lee

Master's Theses

This study evaluated the impact of hibiscus and whey as alternative fermentation substrates on the physicochemical, phytochemical, and microbial properties of kombucha. A 2 × 2 full factorial design was used to compare four treatments: black tea + water (BW), black tea + whey (BH), hibiscus + water (HW), and hibiscus + whey (HH). The fermentation solvents (water or whey) were heated to 88 °C, infused with 0.6% (w/v) black tea or hibiscus for 10 minutes, sweetened with 10% (w/v) sucrose, cooled to 22 °C, and inoculated with 20% (v/v) kombucha starter culture. Fermentations were carried out at 22 °C …

Associations Between Nutrition-Related Chronic Disease And Food Insecurity: Data From The California State University, Elizabeth Ochoa

Master's Theses

Food insecurity is a growing public health concern consistently associated with elevated rates of nutrition-related chronic disease (NRCD) across the general population. Despite young adulthood being a critical window for dietary pattern formation, this relationship remains minimally explored among college students. This thesis examined associations between food insecurity and NRCD diagnosis, including hypertension, diabetes, hyperlipidemia, and cardiovascular disease, among undergraduate students across the California State University (CSU) system. Cross-sectional data were drawn from the Spring 2021 CSU National College Health Assessment, administered across all 23 campuses. After exclusions, the analytical sample comprised 13,762 students. Bivariate analyses assessed relationships between key …

Environmental Impact Of Preventative Fire-Retardant Applications On Soil Water Chemistry, Patrick C. Michelsen

Master's Theses

Between 1992 and 2012, 84% of all documented wildfires were started by humans. These fires often start around high-risk locations such as power lines and roadsides where fuel loads are near these potential human-caused ignition sources. Point source ignition sites that are surrounded by shrubs or grasslands are especially important because fires that occur within these biomes are responsible for far more destruction of property than forest fires. One strategy that is effective at mitigating the spread of fires from ignition sites that are within grassland or shrub biomes are preventative fire-retardant products (PFRPs). These PFRPs differ from traditional fire-retardant …

《香港多重照顧者面對的挑戰》研究報告, Chak Kwan, Dickson Chan, Meng Soi, Florence Fong, Hiu Wai, Avery Li, Ka Chung, Tom Kwong

APIAS Research Report 研究報告

本研究以質性訪談方式，探討香港「多重照顧者」在日常生活中面對的主要困難及採用的應對策略，並就未來政策及服務提出建議。在本研究中，多重照顧者是指同時需要照顧兩名或以上家庭成員（例如長者、配偶、子女或其他親屬），而其中一名為殘疾或長期病患者。本研究共訪問了45位多重照顧者，結果顯示他們長期承受多方面的壓力，包括時間貧乏、情緒困擾、財政壓力及使用服務困難，影響他們的身心健康、人際關係及職業發展。

就照顧歷程而言，多數受訪者已持續提供照顧，需在工作、家庭與多位照顧對象之間不斷拉鋸，出現「永遠做不完」的感受。在主觀感受上，多重照顧者普遍視照顧為理所當然的責任，但同時感到沉重壓力。他們主要依靠家人分工、嚴密的時間管理、降低對家務與個人生活質素的期望，以及有限度使用社會服務來勉強維持照顧安排。然而，服務分散、申請程序繁複、輪候時間長及資訊不足，使他們難以獲得及時和合適的支援服務。

研究建議有多個方面，包括(1)推行個案經理制度、(2)建立常規化和科學化的照顧者意見收集機制、(3)調整照顧者津貼申請門檻與金額、(4)建立照顧者友善工作環境、(5)優先發展具策略性的「一站式支援」及喘息資源，以及(6)將「多重照顧者」納入長期規劃與制度設計。

Endorsed Programs News, Reva Darling

The Journal of the Michigan Dental Association

This section provides updates on services and resources endorsed by the MDA to help members succeed in practice. It covers critical compliance topics like OSHA employee alarm standards and emergency evacuation procedures. Financial advice is offered for associates looking to purchase a practice, focusing on credit scores and debt management. Additionally, it promotes tools for increasing revenue through PPO negotiation and lowering insurance costs via risk management training. The source also mentions the availability of free, confidential counseling through the MDA Member Assistance Program.

Weaponizing Nature, Naturalizing Violence: Anthropologies Of Ecofascism, Chloe Ahmann, Mona Bhan, Alexandra Coțofană, Radhika Govindrajan, Julia Leser, Zeynep Oguz, Yuka Suzuki, Noah Theriault

All Works

After decades of denial and obstruction, the global Right is increasingly willing to acknowledge that climate change is a threat to lives and lifeways everywhere. Moreover, some seize on the specter of ecological collapse to advance fascistic politics. Mass shootings by White men who propose that eliminating racialized people will ease environmental pressures—including in Christchurch and El Paso—have been the most spectacular manifestations of this shift. But close observers note kindred shifts at borders and in boardrooms all across this planet, as far-right groups work not merely to “save the earth” but to save it for specific people, and from …

Human–Ai Interaction In Graduate Academic Work: A Job Demands-Resources Conceptualization Of Satisfaction And Emotional Exhaustion, Joey Oliveira

Human Resource Development Student Publications and Presentations

Artificial Intelligence (AI) technologies are increasingly embedded in graduate academic work, shaping how faculty and students perform cognitive, analytical, and knowledge-based tasks. As AI tools become integrated into writing, research, and instructional activities, human–AI interaction has emerged as a central feature of contemporary academic work environments. However, existing research has largely focused on AI adoption and technological capability, with limited attention given to how ongoing human–AI interaction influences well-being experiences in academic contexts. Drawing on the Job Demands-Resources (JD-R) framework, this conceptual paper develops a model that links human–AI interaction to student learning satisfaction, faculty job satisfaction, and emotional exhaustion. …

Lehigh County Harm Reduction Women’S Outreach, Linda Schiller, Abby S. Letcher Md, Nyann Biery Ms, Heather Diehl, Carnen Ortiz, Bryant Rivera, William Delgado

USF-LVHN SELECT

No abstract provided.

Bacillus Calmette-Guérin–Exposed Non–Muscle-Invasive Bladder Cancer: Survival Benchmarks, Bladder-Sparing Strategies, And Implications For Trial Design, Seyed Behzad Jazayeri, Renzo G. Dinatale, Christopher W Guske, Christian Harrs, Joshua Linscott, Hongzhi Xu, Facundo Davaro, Lexiaochuan Wen, Philippe E. Spiess, Wade J. Sexton, Scott M. Gilbert, Logan Zemp, Michael Poch, Roger Li

USF-LVHN SELECT

No abstract provided.

Perspectives Of University Leaders On Adoption And Scaling E Mental Health Support For Students: An Exploratory Analysis, Choongo Mulungu, Esin Nisan Yildirim

Journal of Human Services: Training, Research, and Practice

ABSTRACT

University students face rising mental health challenges, yet adoption of digital support services in higher education remains limited, especially in the Global South. This qualitative study explored perceptions of 18 senior administrators from universities across Africa, Europe, Asia, and North America. Findings revealed a significant implementation gap, with few institutions offering formal platforms. Leaders cited barriers including limited institutional prioritisation, counsellor overload, financial ambiguity, ethical concerns, and absent policy frameworks. Addressing these challenges requires deliberate policy action, equitable resource allocation, and culturally responsive strategies for sustainable integration.

No-Show Characteristics Of Rural Clients With Mental Health Conditions, Christy R. Collins, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

The purpose of this study is to report demographic characteristics and appointment compliance factors associated with no-show appointments in a rural clinical setting in East Texas. Describing these variables will expand the existing literature and offer greater clarity not only on why appointments are missed, but also on who is missing them. Therefore, understanding how sociodemographic variables relate to missed appointments may enhance appointment adherence and improve healthcare outcomes for individuals. This study used cross-sectional archival data specifically collected to examine missed appointments among clients at a rural clinic (N = 134). The results indicate that Hispanic/Latino individuals, clients aged …

Faith And Justice: Church Leadership's Impact On Prison Reform, Yaw Asamoah Akowuah Mr., Frank Y. Adusei, Eric Kaufman, Loy V. Crowder

Journal of Human Services: Training, Research, and Practice

This study examines the Church of Pentecost’s (CoP) pioneering prison reform initiative in Ghana as a faith-based response to systemic overcrowding and inadequate rehabilitation infrastructure. Through a qualitative case study design, the research analyzes in-depth interviews with church leaders and media staff, alongside institutional documents, to explore how religious leadership intersects with correctional policy. Findings reveal that CoP’s “Vision 2023” strategy positioned prison decongestion as a moral and national imperative, leading to the construction of five “Inmates Skills Acquisition and Reformation Centres.” These facilities integrate vocational training, spiritual care, and modern infrastructure, aligning with Rehabilitation Theory’s emphasis on humane, reintegration-focused …