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Clinic Bulletin H2 - 2025, Outpatient Services

AKUH Outpatient Services Archives

• Special Message - Director Outpatient Services
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• Awards & Recognitions
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Fisheries Research Report No. 363 : South-West Freshwater Angling: Estimates Of Participation, Effort And Catch For 2024/25, Claire B. Smallwood, Karina L. Ryan, Eva Lai

Fisheries Research Reports

South-West Freshwater Angling (SWFA) in Western Australia is a licensed fishery primarily targeting the Brown Trout (Salmo trutta) and Rainbow Trout (Oncorhynchus mykiss), which are stocked in selected dams and rivers, as well as the introduced Redfin Perch (Perca fluviatilis) and the native Freshwater Cobbler (Tandanus bostocki). Since 2000/01, annual phone-recall surveys have been undertaken using the SWFA licence database as the sampling frame. This monitoring provides information to understand the fishery and support future management decisions. For the first time, data are reported by basin for different waterbody types (public dams, rivers) as well as for specific key fishing …

The Role Of Procedural Due Process In Equal Protection And Affirmative Action Analysis: The Narrowly Tailored Prong, Simona Grossi

UC Law Constitutional Quarterly

The Supreme Court’s decision in Students for Fair Admissions v. Harvard College marked the end of affirmative action as traditionally practiced in higher education admissions, forcing universities to seek alternative legal pathways for fostering diversity. At the same time, the Trump administration’s executive orders targeting DEI initiatives have exacerbated the legal uncertainty, raising critical questions about how institutions can preserve fairness in admissions while withstanding both judicial and political scrutiny.

This article argues that Procedural Due Process—when read in conjunction with Equal Protection—provides a constitutionally sound and structurally fair framework for admissions policies that align with strict scrutiny while preserving …

Mechanisms Of Underwater Treadmill Walking In Persons With Brain Injury (Stroke And Cerebral Palsy), Oluwaseye Paul Odanye

Theses, Dissertations, and Student Creative Activity

People with brain injuries, like stroke, and children experiencing cerebral palsy (CP), tend to experience gait alterations and walking impairments due to injuries to regions of their brains. These impairments negatively affect the ability of affected individuals to function appropriately within their communities, necessitating task-specific gait training, such as underwater treadmill (UT) walking. UT walking is an intervention that leverages the buoyancy and hydrodynamic drag characteristics of water to the advantage of its users. Currently, there is no established baseline principle for applying UT walking mechanisms for rehabilitation.

This dissertation focused on investigating the mechanisms for UT use in persons …

A Word From The Writing Team (December 2025), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.

Identification And Characterization Of Host-Modulating Effectors Encoded By The Cluster F1 Mycobacteriophage Normanbulbiejr, Bethany M. Wise, Kaylia Edwards, Cole R. Jirsa, Sabrina Abbruzzese, Amina Adebiyi, Sarika Bapat, Tyler Barnhardt, Naomi Bastiampillai, Ella Begovic, Mary G. Berchick, Gilda Bocco, John Bonoris, Elizabeth Boos, Margaret Cassady, Julia Chehab, Gene Cooper, Hunter Coyle, Joseph Davis, Natalia De La Cruz Vargas, Matthew Delach, Carly Dowiak, David Ferraro, Madison Fuller, Bootsie Glasser, Kyle Gordon, Hannah Hoch, Sarah Holleman, Luke Hood, Brett Hurrell, Nicholas Jacobs, Danny Jiang, Steven Kefalos, Salma Maher, Jocelyn Martin, Rohebot Mengesha, Daniel Merenich, Ashwin Nayak, Dasha Nesterova, Joshua Nguyen, Chukwudumebi Okonkwo, Taylor Pompan, Lauren Redwood, Christina Scanlon, Lily Schneider, Aparna Shenai, Colton Siatkowski, Lisa Strausner, Joseph Vizzarri, Jordan Watson, Angela Wilson, Catherine Wynne, Anthony Zygmunt, Michelle Kanther, Kimberly M. Payne, Richard S. Pollenz, C N. Sunnen, Danielle M. Heller

PCOM Scholarly Works

NormanBulbieJr (NBJ) is a temperate siphovirus isolated on the host Mycobacterium smegmatis mc²155 that encodes 102 gene products, 60 of which have no known function (NKF). Based on gene content, NBJ is classified as a Cluster F, Subcluster F1 phage and shares 70% of its encoded gene phamilies with Girr, another F1 mycobacteriophage that was recently analyzed in a genome-wide overexpression screen and found to encode 29 diverse gene products capable of inhibiting growth of M. smegmatis. Similar functional screens in other mycobacteriophages have uncovered a growing repertoire of diverse, phage-encoded bacterial growth inhibitors, providing prime candidates …

Day In The Life Of A Labor And Delivery Nurse, Jordyn Roel

Honors Projects

"Day in the Life: Labor & Delivery Nurse," explores the profound duality of labor and delivery from a nurse’s perspective. It will honor the sacred role of the labor and delivery (L&D) nurse, whose hands both welcome new life into the world and comfort those facing the unimaginable pain of loss. This piece aims to offer a deeply human and empathetic portrayal of the realities of this field, showcasing both the breathtaking beauty of birth and the profound grief of natal loss.

Southern / Appalachian Migrants And Urban Development Politics In Uptown Chicago, 1950-1972, Charles Wayne Dowdy

Electronic Theses and Dissertations

This thesis investigates how ideas of interregional migration were used in service of urban renewal agendas in Uptown Chicago from 1950 to 1972. It argues that The South and Appalachia as regional ideas were impactful in postwar midwestern urban development politics, even as regional identity was less powerful as an adhering force for actual migrants in comparison with factors of race and class. Chapter 1 examines the development and use of the urban enclave model of interregional migration by the Uptown Chicago Commission in the late 1950s. It argues that anxieties around suburbanization and urban decline fueled the production of …

Glp-1ra Vs. Sglt-2i: Preventing Kidney Function Deterioration Among Patients With Type 2 Diabetes And Chronic Kidney Disease, Liang-Yuan Lin

Electronic Theses and Dissertations

Background: Emerging evidence suggests that glucagon-like peptide-1 receptor agonists (GLP-1RA) may improve kidney outcomes in individuals with type 2 diabetes mellitus (T2DM). However, direct head-to-head comparisons of their renal effectiveness with sodium-glucose cotransporter 2 inhibitors (SGLT-2i)—the recommended first-line therapy for older adults with T2DM and chronic kidney disease (CKD)—remain limited.

Objectives: To compare the renal effectiveness of GLP-1RA and SGLT-2i among older adults with T2DM and CKD.

Methods: A new-user, active comparator, matched cohort study was conducted using 5% Medicare data from 2012 to 2020. Older adults (≥65 years) with T2DM and CKD who initiated either a GLP-1RA or an …

Knowing One's Place At The Table: Taste As A Means Of Othering In The American Colonies, 1700-1775, Nicholas Harp

Master's Theses or Doctor of Nursing Practice

This thesis began as an inquiry into a simple question. How did people in the American colonies talk about the food that they ate? This question led to a fascinating look into the social dynamics of the people living in eighteenth century America. Their own personal writings demonstrate how they understood their place in society through the food that they ate. Moreover, they often wrote about the way that other people ate in ways that alienated or discriminated against different ethnic groups. A look into the secondary historiography revealed that other historians had noticed this trend. However, very few addressed …

The Relationship Between Exercise And Prospective Memory: A Meta-Analysis, Shaykhah Salman Alqahtani

Electronic Theses and Dissertations

Prospective memory (PM)—the ability to remember and carry out future intentions—is essential for everyday functioning. This cognitive process involves intention formation, retention, cue detection, and execution. Emerging research suggests that physical exercise may influence prospective memory performance through potential enhancements in attention, executive functioning, and neuroplasticity. This thesis examines the relationship between physical exercise and prospective memory through a systematic review and meta-analysis of the existing literature.

This review synthesized evidence from experimental studies to evaluate the effects of acute and chronic exercise interventions on prospective memory in diverse populations. Six studies met the eligibility criteria and were included in …

Racial And Ethnic Differences In The Associations Between Alcohol Use Disorder, Aggression, And Suicidality Among Adolescents With Ptsd, Gabrielle Armstrong

Electronic Theses and Dissertations

The comorbidity of posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) is well documented and associated with elevated risk of aggression and suicidality among certain populations. However, no research to date has examined these associations among adolescents. Using data from the National Comorbidity Survey-Adolescent Supplement (NCS-A), the present study examined whether the presence of AUD was associated with greater outward aggression, suicidal ideation, and attempts, and whether these associations differed across race/ethnicity, in a weighted sample of 737,996 adolescents with PTSD (10.3% Hispanic, 16.4% Black, 73.3% White). AUD presence was significantly associated with higher odds of breaking items, attacking …

A Road Less Traveled: Exploring The Motivators Influencing College Enrollment Decisions Among Youth Who Have Experienced Foster Care, John William Blue

Electronic Theses and Dissertations

Youth who have experienced the foster care system are an underserved student population in higher education. While higher education is an important pathway to upward mobility and civic participation, foster youth consistently face systemic barriers such as unstable placements, limited financial resources, and a lack of consistent adult guidance, resulting in significantly lower rates of college enrollment and degree attainment compared to their peers (Courtney & Okpych, 2020; Salazar, 2013). This three-manuscript dissertation investigates the challenges that youth who have experienced foster care face and the factors that influence them to pursue enrollment in four-year universities in Illinois, while also …

The Impact Of State-Mandated High-Stakes Standardized Testing On The Job Satisfaction Of Third-Grade Reading Teachers In Mississippi, Jenny Kate Ernst

Electronic Theses and Dissertations

This qualitative study examined how state-mandated standardized testing influences the job satisfaction of current and former third-grade reading teachers in Mississippi. Guided by Self-Determination Theory, Herzberg’s Two-Factor Theory, and the Job Demands-Resources Model, the research explored how accountability pressures shape teachers’ motivation, emotional well-being, and instructional autonomy. Data were collected through an open-ended online survey of current and former Mississippi third-grade reading teachers. Analysis of responses revealed four central themes: emotional strain and burnout, loss of autonomy and creativity, impact on instructional practices, and student impact. Findings indicated that teachers perceive standardized testing as a major source of stress that …

Design And Prototyping Of An Acoustic Positioning System For Gps-Denied Environment, Harley Hogan Garrett

Electronic Theses and Dissertations

Finding the placement of sensors is known as sensor localization, and is a necessary task to ensure that a network is capable of array processing operations, such as direction of arrival measurements. This thesis proposes a method to perform sensor localization for a wireless sensor network using acoustics. Each sensor is equipped with a microphone, speaker, and processor. Using these, the proposed system is able to find the distance between each sensor and later the geometry of the network. A series of optimizations help reduce error and improve the final accuracy of the system to within 6.5 cm. The proposed …

Reading Teacher Perceptions: The Impact Of Educator Preparation Program Literacy Coursework And Clinical Experiences On Teacher Efficacy In Historically Underrepresented Populations, Emily Taubken

Electronic Theses and Dissertations

Despite research that indicates the critical importance and lifelong impact of early reading proficiency for students, national reading proficiency trends demonstrate most students in the United States are not yet reading at grade level, with disparities existing among historically underrepresented subgroups. Additionally, research shows that preservice and in-service teachers have documented limited feelings of self-efficacy in teaching reading specifically, suggesting limitations in preservice training for educators. To better understand how reading teachers perceive the efficacy of their preservice teacher academic and clinical experiences, especially for those who serve historically underrepresented student populations, this study seeks to document the perspectives of …

Out-Of-Pocket Costs, Treatment Pattern, And Disparities In Outcomes Among Adults With Chronic Lymphocytic Leukemia, Shishir Maharjan

Electronic Theses and Dissertations

The purpose of this dissertation was to: 1) determine out-of-pocket cost trend and the impact of Inflation Reduction Act (IRA) provisions on the out-of-pocket costs among Medicare-enrolled chronic lymphocytic leukemia (CLL) patients; 2) evaluate treatment patterns and comparative effectiveness of therapeutics classes for CLL treatment in adults; and 3) assess racial disparities and time to treatment initiation in survival outcomes among Medicare-enrolled beneficiaries with CLL.

In objective 1, a cohort study using SEER-Medicare linked data from 2006 to 2020 identified 13,356 eligible beneficiaries with incident CLL. Among them, 3,158 (23.7%) were projected to benefit from the IRA’s $2000 annual out-of-pocket …

Knowledge Acquisition On Mass-Shooting Events Via Llms For Ai-Driven Justice, Benign Ihugba

All Theses

Mass-shooting events pose a significant challenge to public safety because they generate large volumes of unstructured textual data, making it difficult to conduct effective investigations and formulate public policy. The proposed knowledge acquisition system utilized Large Language Models (LLMs) with few-shot prompting to extract vital information from news articles, police reports, and social media content at high speed. The system used entity recognition to detect vital information, which included offenders, victims, locations, and criminal instruments that support legal investigations. An experimental study conducted on actual mass-shooting datasets showed GPT-4o performs best for mass-shooting NER. The o1-mini delivered competitive performance while …

Automated Assessment Of Periapical Health Based On The Radiographic Periapical Index Using Yolov8, Yolov11, And Yolov12 One-Stage Object Detection Algorithms, Shehabeldin Mohamed Saber Prof.Dr., Ahmed A. Torky Phd

Dentistry

This study investigates the application of recent YOLO (You Only Look Once) algorithms for automated detection and classification of apical periodontitis using the Periapical Index (PAI) scoring system (1–5). A dataset of 699 digital periapical radiographs was collected from diverse sources, de-identified, and annotated by calibrated experts before splitting into training, validation, and testing sets. Three deep learning models (YOLOv8m, YOLOv11m, YOLOv12m) were trained and their performance was evaluated using Precision, Recall, F1 score, mean average precision (mAP50), Intersection over union (IoU), and confusion matrices. Two-sided McNemar’s exact test was further conducted to compare models on lesion-level outcomes. The results …

Comparative Evaluation Of Maxillary Partial Denture Frameworks Additively Manufactured With Different 3d Printing Techniques, Basma Refaat Fayad, Islam Heiba Dr, Eman Gamal Abdelghaffar, Ayman Hany Amin

Dentistry

Objectives: To compare the accuracy of fit, surface roughness, and microstructure of cobalt chromium (Co-Cr) maxillary removable partial denture (RPD) frameworks fabricated using direct metal laser melting (DMLS) and selective laser melting (SLM). Methods: A custom Kennedy Class II maxillary partial edentulous resin model was digitally scanned, and a virtual RPD framework was designed. Frameworks were fabricated using DMLS (Co-Cr, n = 8) and SLM (Co-Cr, n = 8), while a control group was produced using a hybrid digital-conventional protocol by lost-wax casting (CAST-Co- Cr, n = 8), in total 24 frameworks. Overall and point comparison adaptation was assessed using …

Mental Health Outcomes Of A Pediatric-Focused Obesity Randomized Control Trial In Rural Communities, Brittany D. Lancaster, E. Goldenberg, A. S. Trofimoff, Y. Dai, B. Forseth, R. S. Romine, K. Fleming, Ann M. Davis

Publications

Objective: This study explores the impact of iAmHealthy, a rurally focused pediatric obesity intervention, on mental health outcomes and examines how baseline mental health affects body mass index (BMI) outcomes for child–parent dyads in rural communities. Method: Eighteen schools were randomly assigned to iAmHealthy or the Newsletter Control group. iAmHealthy consists of health coaching and group sessions via televideo. Child and parent height and weight, child depression, child quality of life, and parent distress were assessed at baseline, posttreatment (8 months), and follow-up (20 months) from October 2017 to December 2021. Multilevel modeling assessed treatment effects on mental health and …

Stochastic Functional Data-Driven Models For Real-Time Battery Health Forecasting Under Dynamic Operating Conditions, Joshua Owusu

Electronic Theses and Dissertations

This thesis provides an effective statistical model to predict the real-time state of lithium-ion batteries for reliable Battery Management Systems (BMS). It highlights battery data (voltage, current, temperature) as smooth functional curves. The principal method demonstrates diminishing trends to health outcomes like State of Health (SoH) and Remaining Useful Life (RUL) by employing Functional Principal Component Analysis (FPCA) and Bayesian Functional Linear Models (FLMs). The primary objective is to figure out how uncertain forecasts are. Simulations demonstrate that the highest accuracy (lowest MSE) is achieved through low noise levels along with large sample sizes. The final system provides a highly …

The Development Of Teacher-Student Relationships In The Elementary School Setting And Their Influence On The Whole Child, Jana H. Kline

Electronic Theses and Dissertations

The relationship students have with teachers can influence their social development, behavior, and academic performance. Some teachers naturally build positive relationships with students while others may not realize the importance or know how to build them unless specific strategies are given. The purpose of this phenomenological, qualitative research study was to examine teacher perceptions of the development of relationships with students in the elementary school setting and their influence on the whole child.

To address this purpose, data collection strategies included individual interviews with elementary school teachers. Analysis of data involved transcribing interviews and line-by-line coding. Themes regarding teacher-student relationships …

Visualizing The Fretboard: Arpeggiated Patterns, Muscle Memory, And Neurocognitive Strategies For The 5-String Electric Bass, Matthew Alexander Woisin

Electronic Theses and Dissertations

Proficient navigation of the 5-string electric bass requires a comprehensive mastery of various techniques and a solid understanding of music theory. This includes a detailed grasp of arpeggios, chord extensions, and the development of deeply ingrained muscle memory for precise execution. This thesis introduces a structured methodology that refines existing fretboard visualization techniques and applies a unique manner of fretboard mapping, offering a more precise framework for comprehending and unlocking the full range of the instrument. By drawing insights from music theory, music education, cognitive science, neuroscience, and technology this approach is achieved by synthesizing research on visual pattern recognition, …

Llu Dentistry 2025 Winter Edition, Loma Linda University School Of Dentistry

Articulator (Dentistry)

In this issue:

4 | Dean's Message
5 | Transforming the Future of Dental Education: The Strategic Vision and Growth Plan
8 | Honoring a Legacy of Excellence: Celebrating Leif K. Bakland, DDS
12 | Transitions
14 | Welcome New Faculty
16 | Celebrating Excellence in Dentistry: 2025 ICD USA Section Annual Meeting & Convocation
18 | LLUSD faculty publish study on Dental Unit Waterline treatment in the Journal of the American Dental Association
21 | Celebrating 15 Years of PNAM Treatment at LLUSD
23 | A Journey of Healing: Shirely's Transformation
24 | Exploring Future Careers in STEM: The …

Examining The Relations Between Parenting Stress, Harsh Parenting Practices, And Children’S Internalizing And Externalizing Symptoms, Caitlin A. Wharton

Individual, Family, and Community Education ETDs

This study examines: relations between maternal parenting stress in infancy and preschool-aged children’s internalizing and externalizing symptoms; whether verbal and physical harsh parenting practices mediate these relations; and whether these relations are moderated by child gender. Research links maternal parenting stress to harsh parenting, which is a risk factor for children’s internalizing and externalizing symptoms. But limited research has examined how maternal stress in infancy affects preschool-aged children’s outcomes, or how verbal and physical harsh parenting practices independently affect these outcomes. The study data came from the Future of Families & Child Wellbeing Study. Results indicate maternal parenting stress in …

12-16-25 Bor Hsc Committee Notice Of Meeting, Patricia Serna

HSC Committee (A subcommittee of the UNM Board of Regents)

12-16-25 BOR HSC Committee Notice of Meeting

Identifying Common Characteristics Among Female Serial Killers And The Role Of Early Childhood Abuse, Jill Marie Raichel

Walden Dissertations and Doctoral Studies

Approximately 17% of known serial killers in the United States are women, and often their crimes go undetected for years accruing a higher number of victims than their male counterparts. The purpose of this study was to identify common characteristics of female serial killers (FSKs). A multidisciplinary, holistic and developmental approach was used to guide the identification of common characteristics based on theories by Erik Erikson and Carol Gilligan as well as feminist theory. Case studies of 15 FSKs were randomly selected for participation from a list of over 100 known FSKs documented in the Radford Serial Killer database. Common …

Assessing The Language And Reading Abilities Of Students With Mosaic Down Syndrome, Emma G. Conradi

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Language and reading are important skills for academic and social success, yet individuals with Down syndrome often face significant challenges developing these skills (Abbeduto et al., 2007; Martin et al., 2009). However, almost all the available research on the language and reading abilities of individuals with Down syndrome comes from research focused on individuals with Full Trisomy 21. To date, there has been virtually no research specifically examining the language and reading skills of individuals with mosaic Down syndrome (Buckley & Bird, 2002), a rare karyotype of Down syndrome. Therefore, the purpose of this study is to describe the language …

Defining The Causal Contribution Of The Gut Microbiota To Cardiomyopathy Pathogenesis As A Basis For Developing Microbiome-Targeted Therapies, Xu Shi

Department of Food Science and Technology: Dissertations, Theses, and Student Research

Heart failure (HF) is a leading cause of morbidity and mortality worldwide, placing substantial clinical and economic burdens on society. Although advances in therapy have improved patient outcomes, the biological mechanisms that drive HF onset and progression remain incompletely understood. Increasing evidence suggests that the gut microbiota, the trillions of microorganisms residing in the gastrointestinal tract, plays a key role in some forms of heart disease, especially cardiovascular disease. Moreover, gut microbial dysbiosis has been associated with systemic inflammation, metabolic imbalance, and immune dysregulation, all of which contribute to the pathophysiology of HF. Cardiomyopathy, a primary disorder of the heart …