Digital Commons Network^™

A Case Of Dislocation And Successful Reduction Of A Right Anterior Shoulder Inside A Space Suit: Considerations For Future Protocols, Samuel Beger, Curtis Lowery, Nicolas Heft, Amran Asadi, Brandon Trapp, Jaime Mateus, Alejandro Garbino

Faculty, Staff and Student Publications

Shoulder dislocations are prevalent on Earth and pose unique challenges in spaceflight and spaceflight training, particularly during extravehicular activities (EVAs). This case report describes a 50-year-old male who experienced an anterior shoulder dislocation while performing an emergency egress exercise in a SpaceX EVA suit. The report describes the medical thought process, the operational constraints, and the reduction techniques employed to achieve a successful shoulder reduction without fully removing or damaging the suit. NASA estimates a high likelihood of shoulder injuries during long-duration lunar missions, emphasizing the importance of suit designs and rescue protocols. Quick and effective medical intervention is crucial, …

Healing At The Cellular Level: Enhancing Transplant Efficacy Through Supportive Interventions, Anna Diaz, Shelli Chernesky, Felipe Zuluaga, Stefano Caccavale, Aileen Barcelo, Susana Salgado, Mirian Soler, Natalie Bermudez, Ruben Ramos, Jan V. Roy

All Publications

No abstract provided.

Geochemical Fate Of Lead In Contaminated Residential Soils Following Application Of Amendments For Lead Immobilization, Hadeer Saleh, Washington Braida, Zhiming Zhang, Rupali Datta, Dibyendu Sarkar

Michigan Tech Publications

Background: Lead (Pb) persists in urban soils, where its partitioning among geochemical fractions governs mobility, bioavailability, and human health risk. These fractions are strongly controlled by soil physicochemical properties, necessitating site-specific remediation strategies. Methods: This study developed a site-specific Pb immobilization framework linking amendment selection to soil geochemistry and sustainability considerations. Pb-contaminated residential soils from three U.S. cities, San Antonio (alkaline), Baltimore (acidic), and Detroit (near-neutral), were treated with gypsum, biochar + lime, and alum, respectively. Changes in Pb speciation were tracked using sequential extraction over 7, 30, and 90 days. Results: All amendments significantly reduced exchangeable Pb (F1) and …

Student Senate Meeting Minutes February 4, 2026, Student Senate-Winona State University

Student Senate Meeting Minutes

This document is the official Winona State University Student Senate Minutes for February 4, 2026.

Understanding The Epidemiology Of Malaria In Zanzibar Through Molecular And Serological Analysis Of Samples Collected During Reactive Case Detection, Vanrun Goel, Wahida Hassan, Caroline Murphy, Barbara B. Choloi, Mohamed Ali, Shija J. Shija, Jeffrey A. Bailey, Anders Björkman, Billey E. Ngasala, Eric Rogier, Jonathan J. Juliano, Jessica T. Lin

Faculty Publications

Background

The Zanzibar archipelago has been a pre-elimination region for malaria thanks to rigorous control interventions, but recent surges in malaria cases have been observed. The contribution of non-falciparum species to the current malaria situation is unknown.

Method

This study investigates the epidemiology of falciparum and non-falciparum malaria species in Zanzibar. Leveraging plasma extracted from dried blood spots (DBS) collected during reactive case detection (RCD) activities across Unguja island from May 2022 to January 2023, we measured immunoglobulin G (IgG) responses to Plasmodium MSP1-19kD antigens using a multiplex bead-based immunoassay. Additionally, active infections were detected using species-specific real-time PCR.

Results …

The Heart’S Hidden Influencer: Epicardial Adipose Tissue In The Pathogenesis Of Heart Failure, Aobo Li, Avilash Mondal, Jianli Zhao, John Zhang, Xin-Liang Ma

Department of Emergency Medicine Faculty Papers

Abstract – Heart failure (HF) is a complex, multifactorial clinical syndrome with diverse etiologies and phenotypic manifestations, affecting millions of people globally. HF is broadly classified into 3 subtypes: HF with reduced ejection fraction, HF with mildly reduced ejection fraction, and HF with preserved ejection fraction. Each subtype exhibits distinct pathophysiological mechanisms, clinical trajectories, and therapeutic responses, posing significant challenges in terms of diagnosis and management. Epicardial adipose tissue (EAT), a metabolically active visceral fat depot situated in close proximity to the myocardium, plays a dual role in physiological and pathological states, offering potential utility as a biomarker and therapeutic …

Assessing Social Determinants Of Health Training In Graduate Medical Education: A Narrative Review Using Kirkpatrick’S Model, Surya Namboodiri, Bharathi Gadad, Juan Lopez-Alvarenga, Chelsea Chang

School of Medicine Publications

Social determinants of health (SDOH) training is a critical component of medical education, equipping physicians to address factors such as economic stability, education, and health care access. Despite its importance, the evaluation of SDOH training often focuses on lower-level outcomes, such as learner satisfaction and knowledge assessment, with limited emphasis on behavioral change and patient outcomes. Kirkpatrick’s model offers a validated framework for addressing this gap by categorizing training outcomes into four levels: Reaction, Learning, Behavior, and Results.

By applying Kirkpatrick’s model in combination with Grading of Recommendations Assessment, Development and Evaluation (GRADE) quality assessment and bibliometric network analysis, this …

February 4, 2026 Blazer Weekly, University Of Alabama At Birmingham

Blazer Weekly (student newsletter)

No abstract provided.

On The Legal-Theoretical Foundations Of Property Taxation Under State Ownership Of Land, Tianke Ban, Yilin Hou, Ping Zhang

Center for Policy Research

The general public and even some scholars challenge the legitimacy of levying the property tax under conditions where land is state-owned and multi-year land-use fees have already been collected at the time of house sales. This challenge points to the legal- theoretical foundations of property taxation: the core issue is whether the rights and economic utility of China's construction land-use-rights (CLUR) are sufficient to be treated as the object of property tax levy. China's Civil Law stipulates that CLUR holders have the rights to possess, use, and profit from the land during their use period, as well as the right …

Protocol For Personalised Prediction Of Persistent Postsurgical Pain, Katherine J Holzer, Harutyun Alaverdyan, Ziqi Xu, Madelyn R Frumkin, Karen A Frey, Stephen H Gregory, Thomas L Rodebaugh, Chenyang Lu, Christopher R King, Denise Head, Thomas Kannampallil, Simon Haroutounian

2020-Current year OA Pubs

INTRODUCTION: Persistent postsurgical pain (PPSP) affects up to 15% of patients after major surgery, impairing physical function, quality of life and increasing risk for long-term opioid use. Current PPSP prediction models rely on static or retrospective data and fail to incorporate dynamic perioperative factors. The Personalised Prediction of Persistent Postsurgical Pain (P5) study aims to develop individualised, multimodal prediction models by integrating preoperative behavioural, psychophysical and neurocognitive assessments and high-frequency symptom monitoring.

METHODS AND ANALYSIS: P5 is a prospective, single-centre cohort study enrolling 2500 adults aged 18-75 undergoing major surgery at a tertiary academic hospital. Participants complete baseline surveys, cognitive …

Spartan Daily, February 4, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 6

The Bg News February 04, 2026, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. February 04, 2026. Volume 105-Issue 16.

Research And Innovation Update, February 4, 2026, Office Of The Vice President For Research And Innovation

Office of Research, Economic Engagement and Outreach

No abstract provided.

Usa V. Terry Bonner

2026 Decisions

USDC for the Western District of Pennsylvania

Usa V. Terry Bonner

2026 Decisions

USDC for the Western District of Pennsylvania

Cmsi Note 19: China’S Blue-Water Research Fleet: Science In Service Of Strategy, Ryan D. Martinson

CMSI Notes

Introduction:
Today, the People’s Republic of China (PRC) owns the world’s largest fleet of blue-water marine scientific research vessels. While their operations are largely concentrated in the Western Pacific, an increasing number are reaching across the globe—from the Indian Ocean to the Arctic, and even the Western Hemisphere. In fact, as of this writing the Chinese research ship Tansuo 1, with its deep-sea manned submersible aboard, is operating in the Atacama Trench off the coast of northern Chile.

Key Takeaways:

• China’s marine scientific research fleet is expanding its operations around the world, including the Western hemisphere. Presently, a Chinese …

Gene Regulatory Programs Of Nk Cells Show That Ncam1 (Cd56) And Kirs Are Controlled By Genetically Polymorphic Distal Regulatory Elements, Mariam A. Salem, Aditi Varkey, Matthew D. Estrada, Kruthika Sharma, Caprice D. Eisele, Nitin Chakravarti, Dean A. Lee, Aharon G. Freud, Bethany L. Mundy-Bosse, Patrick L. Collins

Kimmel Cancer Center Faculty Papers

Owing to their immunoprotective properties, natural killer (NK) cells are critical for the innate immune response to pathogens, as well as a new wave of cancer immunotherapy that harnesses natural cytotoxicity. We sought to study the genetic and epigenetic drivers behind human-specific NK cell receptors, so that we can better understand the underlying cellular function. Here, we present a transcriptomic, proteomic (CITE-seq), and chromatin (single nuclei ATAC-seq) profiling of human peripheral NK cell subsets, which was then compared with genomic databases. Through integrative multi-omics, we demonstrate that CD56^bright versus CD56^dim NK cell subsets have differential distal regulatory element …

Competitive Advantage Strategies For Independent Restaurant Owners, Bobby Mccrary

Walden Dissertations and Doctoral Studies

Independent restaurant owners often face challenges in achieving a sustainable competitive advantage, resulting in poor business performance and loss of profitability. Identifying practical competitive advantage strategies is essential for independent restaurant owners to surpass five years of business operations. Grounded in resource-based view theory, the purpose of this multiple case study was to explore effective competitive advantage strategies independent restaurant owners used to sustain operations beyond five years. Purposeful sampling was used to select four independent restaurant owners located in Wichita, Kansas, who sustained operations beyond five years through competitive advantage strategies. Data were collected from semistructured interviews and from …

Exploring Leadership Strategies To Foster Effective Employee Engagement, Antonwaun Johnson

Walden Dissertations and Doctoral Studies

Employee disengagement is an organizational disruption that erodes trust, weakens culture, and undermines the performance systems leaders depend on to drive results. Functional leaders are concerned with employee disengagement because it can lead to poor organizational performance and affect organizational success. Grounded in leader–member exchange (LMX) theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies functional leaders use to foster employee engagement in a working environment to enhance organizational success. The project participants were six functional leaders working in an e-commerce order fulfillment center in the southeastern United States. Data were collected through semistructured interviews and …

Staff Education On Standardized Appointment Reminder & Follow-Up Protocol, Sambila V. Zangre Congo

Walden Dissertations and Doctoral Studies

Inconsistent staff performance in making appointment reminders and follow-up calls contributed to workflow variability and reduced patient engagement in outpatient primary care settings. This DNP Quality Improvement Project intended to enhance staff knowledge, confidence, and consistency in implementing standardized reminder and follow-up call protocols using an evidence-based educational intervention. A quantitative pre/posttest design was used to evaluate changes in staff competency, supported by descriptive and comparative analyses of test scores, percentage changes, and qualitative feedback. Seven clinic staff members attended the PowerPoint education session, and pretest and posttest data were used to address a practice-focused question about standardized communication workflows. …

Multimodal Education To Improve Metabolic Monitoring Knowledge Among Psychiatric Nurse Practitioners, Tania Alfonso

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project was a multimodal educational intervention to improve outpatient psychiatric nurse practitioner (PNP) knowledge of metabolic monitoring guidelines for patients prescribed second-generation antipsychotics (SGAs). The project addressed low adherence to national monitoring standards that contribute to increased cardiometabolic risks associated with SGAs. The project question was: Does staff education regarding metabolic monitoring guidelines improve nursing knowledge as compared pre- to posteducation? The purpose was to enhance PNP knowledge of metabolic monitoring guidelines. Guided by the Johns Hopkins evidence-based practice (JHEBP) model, I conducted a focused literature search and identified 28 peer-reviewed articles …

Key Strategies To Entrepreneurial Sustainability In The Information And Communications Industry, Agabi Godwin Onugba

Walden Dissertations and Doctoral Studies

Many businesses in the information and communications industry fail within the first 5 years, yet the existing empirical research has not sufficiently explained how surviving businesses achieve long-term sustainability. Startup business leaders are concerned about the high failure rate and the lack of evidence-based strategies that support sustained operations beyond 5 years. Grounded in Porter’s five forces theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore successful strategies that information and communications industry startup business leaders use for long-term business sustainability beyond 5 years. Purposeful sampling was employed to select six startup leaders in the …

Relationship Between Perceived Leadership Styles And Millennial Membership Growth In Nonprofit Churches, Larry Latham

Walden Dissertations and Doctoral Studies

Despite the widespread decline in church membership and attendance among all mainline denominations, there was a particular concern about retaining the millennial generation. Church leaders need to understand this concern as a key indicator of millennial retention in nonprofit churches. The purpose of this quantitative study was to examine the relationship between millennial membership growth and perceived leadership styles, including authoritative, partnership, democratic, team oriented, relationship oriented, serving, people oriented, task oriented, and goal oriented leadership. The social exchange theory and resource-based view theory grounded this study. The archival data from 2011 to 2022 comprised 17,012 Millennial participants from 665 …

Staff Education On Vital Sign Assessment And Electronic Health Record Documentation For Acute And Critical Care Nurses And Patient Care Technicians, Natalie Brock

Walden Dissertations and Doctoral Studies

A staff educational quality improvement initiative aimed at enhancing the knowledge and accuracy of acute care nurses and patient care technicians (PCTs) in vital sign documentation was the focus of the doctoral project. Gaps in vital sign obtainment and electronic health record (EHR) documentation were identified through organizational serious safety event reviews, highlighting risks to patient safety and clinical decision-making. The project addressed the question of whether, in the inpatient hospital setting, a staff educational training program for acute and critical care nurses improves their knowledge of accurate vital sign documentation in the EHR. I analyzed pre- and posttest assessments …

Proned But Not Pressured: Saving Skin One Turn At A Time, Sophie Despres, Brandon Evans, Hannah Keetch, Destiny Lane

2025

No abstract provided.

Silver Bow Creek Conservation Area Final Principles For A Greener Cleanup Report, Woodard & Curran

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Heterogeneity In The Association Of Genetic Risk For Ra And Resultant Ra Phenotypes, Thomas R Riley, Iris Lee, Et Al.

2020-Current year OA Pubs

OBJECTIVES: The impact of the genetic risk for RA on resultant disease phenotype in RA is incompletely understood. Using individual genetic variants associated with RA and a polygenic score (PGS), we hypothesized that those with higher genetic risk for RA would demonstrate a more severe disease course.

METHODS: We genotyped participants from the Veterans Affairs RA registry (VARA), a prospective cohort of RA. We evaluated associations between PTPN22 R620W genotype, HLA-DRB1 shared epitope (SE; 0, 1, or 2 copies of a high-risk HLA allele), and a non-HLA PGS with RA disease activity scores and disease characteristics using linear and logistic …

Time Trends In The Male To Female Ratio For Autism Incidence: Population Based, Prospectively Collected, Birth Cohort Study, Caroline Fyfe, Henric Winell, Joseph Dougherty, David H Gutmann, Alexander Kolevzon, Natasha Marrus, Kristina Tedroff, Tychele N Turner, Lauren A Weiss, Benjamin H K Yip, Weiyao Yin, Sven Sandin

2020-Current year OA Pubs

OBJECTIVES: To examine changes in the male to female ratio in diagnoses of autism spectrum disorder (ASD) over a 35 year period, providing temporal trends in diagnosis (incidence rate), the male to female ratio, and the age-cohort specific cumulative male to female ratio (cMFR).

DESIGN: Population based, prospectively collected birth cohort study.

PARTICIPANTS: 2 756 779 liveborn children recorded in the Swedish medical birth register between 1985 and 2020.

SETTING: Sweden.

MAIN OUTCOME MEASURE: Age-period cohort analysis investigating associations between ASD and age at diagnosis, calendar period, birth cohort, and sex, quantified by incidence rate ratios and associated two sided …

Quantum Technologies, Part Two: Recognizing Risks And Threats To National Security And Defense, James Giordano

Strategic Insights

This commentary is Pt. 2 of the Quantum Technologies series and examines the emerging national security implications of quantum technologies and the risks posed by their development and potential use by adversaries. While quantum capabilities remain in relatively early stages of maturity, this piece explains that advances in areas such as quantum computing, sensing, and communications could significantly affect military operations, intelligence, and strategic competition. The analysis emphasizes the importance of realistically assessing both the capabilities and limitations of quantum technologies to avoid exaggerated expectations or complacency. Rather than assuming quantum technologies will immediately transform warfare, the greater risk lies …

Prevention, Consultation, And Advocacy, Terrance Mcclellan

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

My goal is to prevent depression among single mothers ages 20–30 in low-income areas of Southeast Missouri by expanding access to community-based emotional support, parenting resources, and skills training that strengthen coping and resilience.

Significant Findings

Young single mothers in Southeast Missouri, especially those in their twenties, often carry the emotional and financial weight of raising children on their own, which puts them at higher risk for long-term stress and depression when support is limited (Tafet & Nemeroff, 2016; NAMI Missouri, 2025). Many face persistent barriers such as high childcare costs, reduced access to mental health providers, transportation …