Digital Commons Network^™

Surgical Outcomes Of Hidradenitis Suppurativa Excision: Factors Impacting Wound Healing Time, Christina Huang, Scott H. Koeneman, Sherry Yang, Sami Tannour

Department of Surgery Faculty Papers

Hidradenitis suppurativa (HS) can be treated surgically to excise recurrent and recalcitrant regions of disease activity. However, surgical outcomes are highly variable depending on closure method, concomitant medical management and area of excision. In this study, we aim to characterise the healing courses from HS excision in a case series. To reduce operator variability, we opted to conduct a case series from a single surgeon. Surgeries conducted from June 2024-December 2025 by surgeon S.T. were included, and the postoperative course was followed until February 2026. Surgical details and postoperative course for 34 sites of HS across 20 patients were analysed. …

Anxious Or Avoidant? The Moderating Effects Of Attachment Styles On Later Development Of Ptsd And Bpd In Individuals With Child Maltreatment History, Jeannette L. Burkle

Theses

Child maltreatment (CM) has been associated with the later development of borderline personality disorder (BPD) and Post-traumatic stress disorder (PTSD) among emerging adults. Numerous attachment studies have documented the association of insecure attachments with CM. There is little research on the independent effects of anxious and avoidant maternal attachment on later psychopathology and even less on the effects of peer attachment. Secure peer attachments can improve emotional regulation strategies as well as create healthy social support systems which may buffer against the development of later psychopathology. This study examined the independent effects of maternal and peer attachment in the relationship …

Understanding And Responding To Childhood Trauma In The Classroom, Kara L. Ganzer

Master of Arts in Human Services

This capstone explored childhood trauma as a significant public health and educational issue because of its widespread impact on children’s development, learning, behavior, and educational experiences. A review of the current literature was conducted to examine adverse childhood experiences (ACEs), the neurobiological and developmental effects of childhood trauma, its impact within educational settings, and the trauma-informed approaches for supporting students who have experienced adversity. The literature suggested that childhood trauma can disrupt brain development, executive functioning, emotional regulation, attention, memory, and stress-response systems, contributing to academic, behavioral, and social-emotional challenges within the classroom. Findings also highlighted the important role schools …

High-Flow Nasal Cannula Oxygen Therapy Versus Standard Oxygen Therapy On Perioperative Outcomes In Patients Undergoing Transcatheter Aortic Valve Replacement, Kirsten B. Whiteside, Jacqueline M. Case

Graduate Theses, Dissertations, and Capstones

Abstract 

Background and Purpose: Transcatheter aortic valve replacement (TAVR) is increasingly performed under monitored anesthesia care (MAC) to facilitate faster recovery and reduce complications associated with general anesthesia. Standard oxygen therapy (SOT) may be insufficient in maintaining adequate oxygenation in this high-risk population. High-flow nasal cannula (HFNC) therapy has emerged as a potential alternative. This literature review evaluates the effects of HFNC compared with SOT on perioperative outcomes in patients undergoing TAVR under MAC. 

Methods: A comprehensive review of the literature was conducted to identify studies evaluating HFNC versus SOT during TAVR procedures performed under MAC. Six studies met inclusion …

Improving Diabetic Retinopathy Screening Among Adults With Diabetes In Boston, Massachusetts: A Policy Brief For Primary Care Implementation, Amber L. Auger

Capstones

No abstract provided.

Mountain Development In Nepal: Settlements, Infrastructure, And Economic Transformation, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

As Nepal urbanizes, expands infrastructure, strengthens local governments, and explores deeper connectivity with India and China, climate change is increasing floods, landslides, heat, and water insecurity. Rapid internal migration, rising disaster risks, youth outmigration, and dependence on remittances are also revealing the limits of conventional urban development, especially in the mountainous region. The central challenge for Nepal is no longer just to accommodate growing towns and cities, but to build settlements that are safe, productive, environmentally resilient, and capable of sustaining long-term prosperity.

This paper argues that Nepal's urban future must be guided by a new development paradigm centered on …

Integrated Self-Regulation Strategy Development And Physical Science: A Unit For Second Grade, Ashley Crawford

Masters Projects

Writing is a large part of education, social communication, and work environments. However, the ability of elementary students to write proficiently is severely lacking. Much of educational writing and work-place writing is informational and the foundation of this writing begins in elementary school. There is a need to increase the amount of instruction and practice that elementary students receive in informational writing so that they are able to write in a competent manner. Writing proficiency in elementary school will affect the education a student receives moving forward and ultimately their adult lives.

Elementary educators need to integrate classroom instruction to …

Long-Term Poverty, Rurality, And Geographic Disparities In Colorectal Cancer: A Spatial Analysis In Texas, Ryan Ramphul, Tracey Farrigan, Yixiao Chen, Yanchen Liu, Jooyeon Lee, Ruth Rechis, Karen Basen-Engquist, Lorna Mcneill

Faculty, Staff and Student Publications

Purpose: Colorectal cancer (CRC) remains a leading cause of cancer morbidity and mortality in the United States and shows substantial geographic variation. Socioeconomically disadvantaged communities experience elevated CRC incidence, yet few studies have analyzed multi-decade poverty measures for long-term structural disadvantage.

Methods: We analyzed CRC incidence from 2017 to 2021 across Texas using Texas Cancer Registry data. Age-sex-race/ethnicity standardized cases were incorporated as offsets in Bayesian spatial models to generate tract-level posterior mean relative risks. We evaluated four tract-level poverty measures (high poverty in 2021; persistent poverty since 1990; enduring poverty since 1980 and 1970), Rural-Urban Commuting Area (RUCA) classifications, …

Cutaneous Adverse Events Associated With Menin Inhibitors: An Institutional Retrospective Cohort Study, Efe Martins, Emelie Mcquitty, Fiorinda Muhaj

Students Summer in Oncology at Anderson Research (SOAR) 2026

Background

Menin inhibitors are targeted therapies approved for the treatment of relapsed or refractory acute myeloid leukemia (AML) with KMT2A rearrangements or NPM1 mutations. Although these agents have shown promising clinical activity, cutaneous adverse events (CAEs) remain poorly characterized. This study describes the clinical presentation, timing, management, and outcomes of CAEs associated with menin inhibitors.

Methods

We performed a single-center retrospective cohort study of patients treated with revumenib or ziftomenib at MD Anderson Cancer Center between January 2024 and July 2026. Electronic medical records were reviewed for patient demographics, treatment characteristics, and documented CAEs. Descriptive statistics were used to summarize …

Demographic Influences On Awareness Of Speech-Language Pathology Services In The U.S., Phil Weir-Mayta, Joshua Ayala

Communication Sciences and Disorders Faculty Articles and Research

Introduction

Methods

Surface-Modified Zinc Oxide Nanostructures For Ammonia Detection, Gowri Shonali N Ms

Theses and Dissertations

The escalating demand for sustainable gas sensors with low-ppm detection has driven research on surface-engineered nanomaterials for portable air-quality and health screening. This thesis focuses on the fabrication of nanostructured ZnO films as chemiresistive sensors for NH3 detection at RT. This study investigates surface modification using GO, rGO, g-C3N4, Ti3C2Tx; (Se, and Te) ink using a drop casting technique over DC-sputtered ZnO films. Surface modification plays a vital role by providing plenty of active sites, enhancing defective oxygen vacancy, facilitating charge transfer, and synergistic interaction between adsorbed oxygen species to enhance the sensing performance at RT. Among them trGO/ZnO hybrid …

Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma

Electronic Theses and Dissertations

The focus of this dissertation project is on the community of trainee clinicians of color, who have been consistently overlooked in the literature on mental health. This dissertation employed narrative analysis as a methodological framework to explore the experiences of international trainee clinicians of color as they navigated the complex landscape of mental health training in the United States. In an increasingly globalized world, the voices and perspectives of these individuals offered critical insights into the challenges, triumphs, and unique pathways that shaped their professional development. Much of the literature on diversity and inclusion tends to individualize the challenging experiences, …

Strengthening Rti Decision Making For Students At Risk For Dyslexia, Christine A. Schout

Masters Projects

Despite the intent of Response to Intervention (RTI) to support early identification, inconsistent implementation and a lack of objective decision rules can delay the identification and support of students at risk for dyslexia. The purpose of this project was to develop practical, evidence-based resources to support educators in making consistent RTI decisions that promote early identification of students at risk for dyslexia and timely referral for comprehensive evaluation when appropriate. The project was informed by a review of the literature examining dyslexia, early identification, evidence-based intervention, progress monitoring, instructional intensification, and RTI implementation. A series of professional resources was developed …

Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

Nepal’s constitutional commitment to a “socialism-oriented” state places social justice, equitable access to resources and housing, and protection of marginalized populations at the center of national development discourse. However, persistent landlessness, informal settlements, unemployment, youth outmigration, and unequal access to infrastructure reveal a significant gap between constitutional aspirations and socioeconomic realities.

This article examines lessons Nepal can draw from Tanzania’s experience with Ujamaa, the African socialist development model initiated by President Nyerere in 1967. Using comparative policy analysis, published research, official documents, and exploratory field observations from selected Tanzanian locations, including the capital and villages in the Iringa Region, the …

Design And Implementation Of An Intelligent Electronic Circuit To Control Laser Power In Real Time Using Built-In Thermal Feedback, Zainab Hussam Al-Araji

Mesopotamian Journal of Artificial Intelligence in Healthcare

One of the challenges of laser thermal therapy is to balance treatment effectiveness with the protection of healthy tissues from unintentional thermal damage. The aim of this study is to regulate the laser thermal dose with high accuracy using commercially available microcontrollers through the design and implementation of a low-cost closed-loop control system. The proposed system uses an adaptive control algorithm (PID) to adjust the laser power in real time, supported by a safety mechanism that calculates the equivalent cumulative minutes (CEM43) to prevent tissue charring. A binary verification methodology was adopted to assess the system's reliability, in which a …

Indigenous Ontologies And Architecture, Reconstructing Interrelational Relationships, Arlene Garcia Guzman

McNair Summer Research Program

Contemporary architecture faces a growing pressure to respond to the socioecological crises with regard to the consequences of design that so often accept environmental systems as separate from the living. In contrast, many Native systems, often referred to as Traditional Knowledge (TK), comprehend cumulative, place-based bodies of knowledge that are developed through extended histories of interaction with specific environments. In this context, Traditional Knowledge encompasses resource use practices, sustainability, spirituality, and an emphasis on a relational worldview. It is characterized in such a framework that different layers of existence, such as humans, animals, plants, water, climate, and materials, are understood …

Facilitating Palliative Care In The Intensive Care Unit, Crystal Sanchez

Master's Projects and Capstones

Abstract

Problem: Critically ill patients in the intensive care unit (ICU) frequently experience unmet palliative care needs due to inconsistent identification processes and delayed goals‑of‑care (GOC) discussions. Prior to this project, palliative care consultation practices were highly variable and lacked standardized criteria, resulting in missed opportunities for early communication and symptom management. This gap underscored the need for a structured, nurse‑driven approach to improve timely palliative care integration.

Context: This quality improvement project was conducted in a 20‑bed adult ICU within a large community‑based hospital system where palliative care integration was inconsistent and not systematically monitored.

Interventions: A nurse‑driven palliative …

Public Blame And Prevention Preferences Following K-12 School Shootings: Mean World Beliefs And Doomscrolling, Jennifer L. Lemanski, Gordon A. Crews

Communication Faculty Publications

This study examines how routine digital media use shapes public blame attribution and prevention preferences following K-12 school shootings. Drawing on Mean World Syndrome (MWS) and research on doomscrolling, the study investigates whether habitual exposure to threatening and sensationalized content is associated with patterns of digital engagement and interpretations of responsibility for school shooting events. Using a nationwide survey of U.S. adults (N = 540), the study measured MWS, doomscrolling tendencies, political orientation, blame attribution, and engagement behaviors such as seeking information, sharing, and commenting on school violence–related content. Canonical correlation analyses indicate that higher levels of MWS and doomscrolling …

Major League Baseball's Major Labor Boondoggle: Rethinking Salary Arbitration, Matthew W. Givens

Kentucky Law Journal

No abstract provided.

Kentucky's Alford Predicament: The Case For Curbing Qualified Guilty Pleas In The Commonwealth, Ben Whatley

Kentucky Law Journal

No abstract provided.

The Duty To Develop Imperative In Immigration Proceedings, Sabrineh Ardalan, Tiffany J. Lieu

Kentucky Law Journal

No abstract provided.

Deportation After Death By Incarceration: A Right To Redemption, Jennifer Lee Koh, Tin Nguyen

Kentucky Law Journal

No abstract provided.

A Sherbert Colored Lens: Apache Stronghold And The Uphill Battle For The Recognition Of A Substantial Burden For Indigenous Plaintiffs, Emma P. Collins

Kentucky Law Journal

No abstract provided.

Hope In The Holler: How Eminent Domain Can Bring Economic Justice To Central Appalachia, Matthew B. Chaney

Kentucky Law Journal

No abstract provided.

History And Tradition Of Inequality, Advocacy, And Progress, Teri Dobbins Baxter

Kentucky Law Journal

No abstract provided.

States Strip Local Governments Of Authority To Govern Causing Some Rural Communities To Suffer, Terence J. Centner

Kentucky Law Journal

No abstract provided.

Arbitration Clause Expansion, Hossein Fazilatfar

Kentucky Law Journal

No abstract provided.

The New Parens Patriae, Meredith Johnson Harbach

Kentucky Law Journal

No abstract provided.

Unified Authentication And Intelligent Orchestration Of Remote Sessions For Continuous Access In Failure Scenarios, Hp Inc

Defensive Publications Series

This disclosure describes a unified authentication system for single sign-on (SSO) and an orchestration component that maintains continuous remote access to a compute device across system states, including pre-boot, boot, and post-boot. A user authenticates once via a centralized identity service, and the resulting authentication artifact (e.g., token, assertion, certificate, or derived session credential) is consumed by both a hardware-based out-of-band (OOB) remoting path and a software-based in-band remoting path. An orchestration agent brokers session establishment and performs a controlled handoff between remoting paths without requiring the user to reauthenticate, enabling smooth transitions during operating system failures, reboots, and recovery.

Time-Travel Replay Tokens Using Consistent Cross-Domain Snapshots, Dennis Lanov

Defensive Publications Series

Time-travel replay tokens using consistent cross-domain snapshots provide a control-plane system and technique for making multi-domain network changes repeatable. The system captures a consistent snapshot boundary across participating controllers and mints a signed token that binds an intent to the previews, rollback handles, and state references used to plan the change. Before execution, each domain must prove that the domain still conforms to the token boundary. If any required domain has drifted, the token is rejected and the system re-snapshots and re-plans instead of applying a stale decision. As a differentiator from ordinary snapshots, rollback, or audit logging, the token …