Digital Commons Network^™

Table Of Contents, Cleveland State Journal Of Law And Health

Journal of Law and Health

No abstract provided.

2025 - The Sixth Annual Fall Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Fall 2025 Symposium of Student Scholars, held in November 2025. Includes abstracts from the presentations and posters.

Factfinders For Patient Safety: Minimizing Complications In Radiofrequency Neurotomy: Part I-Implantable Devices; Part Ii-Preprocedural Bvnrfn Imaging, David Hao, Gerald Yeung, Haewon Lee, Zheyan Chen, Ben Laplante, Paul Kitei, Reza Ehsanian, David Levi

Moss-Magee Rehabilitation Papers

This series of FactFinders presents a brief summary of the evidence and outlines recommendations regarding minimizing risks with radiofrequency neurotomy procedures. The evidence in support of the following facts is presented: (1) While data on the safety of radiofrequency neurotomy in patients with implanted devices are limited, the procedure can likely be performed safely with careful adherence to best practices and manufacturer recommendations. (2) Basivertebral nerve radiofrequency neurotomy can be performed safely and effectively at the L3 through S1 vertebral levels. Scrutiny of preprocedural imaging may minimize risk. Although the transpedicular approach is preferred, patient anatomy may dictate a non-transpedicular …

Fish-Spec: Fast Identification System For Handheld Spectroscopy And Species Classification, Mitchell Sueker, Nicholas Mackinnon, Gregory Bearman, Amanda Tabb, Diane Kim, Rosalee S. Hellberg, Alireza Akhbardeh, Hamid Reza Marateb, Jianwei Qin, Moon Kim, Fartash Vasefi, Hossein Kashani Zadeh

Food Science Faculty Articles and Research

Accurate fish species identification is critical to prevent mislabeling and fraud in the seafood industry. We present a handheld multi-mode point spectroscopy system that combines fluorescence (365 and 395 nm excitation) and reflectance measurements in the visible to near-infrared (∼350–900 nm) and short-wave infrared (∼900–1700 nm) regions for rapid, non-destructive classification of fish fillets. Tissue spectra were acquired at 25 positions on 68 fillets from 11 species, in both frozen and thawed states. Feature-level fusion across all four modes enabled higher classification accuracy than any single mode alone. A global machine-learning model classified all species with 85 ± 2.8 %, …

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.

The Differential Effects Of Camp Mobilizing Agents On Tgf-Β-Induced Extracellular Matrix In Human Lung-Derived Fibroblasts: Insights Into Therapeutic Targets For Lung Fibrosis, Sarah Orfanos, Brian T. Deeney, Gaoyuan Cao, Nikhil Karmacharya, Anjani Ravi, Cynthia J. Koziol-White, Qi Yang, Rennolds S. Ostrom, Reynold A. Panettieri Jr.

Pharmacy Faculty Articles and Research

Background

Injury-repair responses typically induce tissue or organ scarring. Generally, cAMP-mobilizing agents inhibit the activation of fibroblasts and deposition of extracellular matrix. Some but not all cAMP-mobilizing agents inhibit fibrosis. Evidence suggests that inhaled treprostinil, a prostacyclin (IP) analog, increases intracellular cAMP levels [cAMP]I, and slows the decline in pulmonary function in patients with idiopathic pulmonary fibrosis (IPF). However, the molecular mechanisms by which cAMP-mobilizing agents, including treprostinil, alter the expression of matrix proteins in human lung fibroblasts (HLF) remain unclear. Unlike other Gαs -coupled receptors, we posit that the antifibrotic properties of treprostinil are driven by cAMP-mobilizing-dependent and -independent …

Traumatic Fracture Of Kager's Fat Pad: A Case Report., Victoria Di Castro Horn, Margaret Hurley, Emily Andrews, Alberto Giardini

PCOM Scholarly Works

BACKGROUND: Kager's fat pad is a metabolically active adipose structure within Kager's triangle anterior to the Achilles tendon, involved in shock absorption, vascular support, and tendon lubrication. Although most research has focused on its role in Achilles tendinopathy and inflammatory conditions, isolated traumatic disruption without concurrent tendon damage has been rarely documented in the literature, to our knowledge. We report a case of an isolated traumatic fracture of the Kager's fat pad in the absence of concomitant Achilles tendon injury.

CASE PRESENTATION: An otherwise healthy 31 year-old female presented to the outpatient musculoskeletal office with reported pain at the distal …

An Experiential Learning Lab Activity On Skeletal Muscle Physiology In Undergraduate Md Pre-Clerkship Curriculum, Angela Martinez, Daniel Salinas, Meyer Maddox, Kelsey A. Potter-Baker, Amin Shah

School of Medicine Publications

Experiential learning is an important part of the medical education curriculum. Due to clinical relevance of skeletal muscle strength in evaluating patients’ complaints of muscle weakness or imbalance, skeletal muscle physiology is an important concept with extensive potential for experiential learning opportunities. Our goal was to establish an experiential learning skeletal muscle physiology lab activity that would improve undergraduate MD pre-clerkship students’ skill to collect muscle force measurements using a hand-held dynamometer (HHD) and expand knowledge of core physiological concepts. We developed a muscle lab activity where students performed two experiments using an HHD: (1) The Elbow Flexion Experiment and …

A Heart So White: Musical Reflections On Lady Macbeth's Mind, Caitlyn N. Long

Undergraduate Theses

A Heart So White: Musical Reflections on Lady Macbeth’s Mind reimagines one of Shakespeare’s most infamous characters through a trauma-informed lens. This thesis combines artistic creation with interdisciplinary research in psychology, dramaturgy, and musical theatre studies to explore Lady Macbeth’s psychological unraveling and reclaim her from centuries of villainization. Composing from Lady Macbeth’s perspective allowed for a deeper exploration of her guilt, dissociation, repression, and isolation—symptoms traditionally overlooked in favor of Macbeth’s more visible descent into violence. Through musical motifs, lyrical reinterpretation, and staging concepts, the work seeks to humanize Lady Macbeth and highlight how trauma shapes behavior, relationships, and …

Leveraging Consistency: Evaluating Ai Coders For Qualitative Research, Saríah López-Fierro, Carlos Chiriboga-Calderón, José López-Fierro, Rubén Pacheco-Villamar

Instructional Technology and Learning Sciences Faculty Publications

This study provides insights of using Large Language Models (LLMs) for deductive coding tasks in market research. Deductive coding, which applies predefined codes to text, often demands consistency rather than interpretive nuance. 

We compare five closed-weight LLMs with a group of human coders in tagging instances of “Expansive Framing” across qualitative excerpts, using Fleiss’ Kappa, ANOVA, and Estimated Marginal Means. Results reveal that LLMs exhibit higher consistency and faster processing than humans. These findings suggest that integrating LLMs can improve efficiency, making them an attractive asset for firms managing large datasets.

Cover, Cleveland State Journal Of Law And Health

Journal of Law and Health

No abstract provided.

Copyright Statement, Cleveland State Journal Of Law And Health

Journal of Law and Health

No abstract provided.

An Essay On Trailblazing With Service Animals Langer, Pilot, Bowie, And Izzie: Preserving Non-Partisan Public Health And The Law, Gary C. Norman

Journal of Law and Health

A direct correlation exists among humans, their animals, and human health and wellness. This article will focus concisely on law students with disabilities and lawyers with disabilities and how they can be empowered to be trailblazers while remaining healthy and well. Salutogenic Model should be optimized by lawyers with disabilities working at the intersection of animal law, disability law, and public health law. Service animals have positive and salubrious impacts upon their handlers in several ways, including psychosocial health and wellbeing. The Grand Architect (or in my Cherokee tradition, "great spirit") continuously partners me with complicated but magnificent dog partners …

Addressing Health-Related Social Needs With Innovative Healthcare Spending, Kelly Naranjo Ms Ccrc, Eric Rochman Mph, Allyson Schiff Ba, Dorella Walters Mpa, Andrea Zaldivar Ed.D, Ms, Anp

Journal of Law and Health

Key objectives: To address the social determinants of health domains "social and community context" and "neighborhood and built environment" via Medically Tailored Meals, a nutrition intervention that includes home delivery, medical nutrition therapy and education, and frozen medically tailored meals provided by the non-profit partner. This intervention targeted Medicaid members exhibiting high healthcare utilization in conjunction with each individual's risk of developing higher morbidity and mortality of existing disease due to co-existing food and nutrition insecurity. The populations served include people living with Type 2 Diabetes, Hypertension, Cardiovascular Disease, Cancer, HIV/AIDS, and End-Stage Renal Disease, among other conditions, whose burden …

Access To Healthcare For Irregular Migrants, Jessica Dykes

Journal of Law and Health

Access to Healthcare for Irregular Migrants is an assessment of the right to life, security of the person, and non-discrimination as viewed through the lens of Nell Toussaint's legal battle. It tells the compelling story of an irregular migrant's battle for access to health care. Highlighting a gap in the Canadian healthcare system, this piece raises valuable questions about why that gap exists. Toussaint's experiences with multiple levels of the legal system, both in Canada and internationally, are included. It tells the story from when Ms. Toussaint entered Canada to the present; wherein the matter remains before the court.

This …

Madagascar's Urban Lemur Meat Trade, Cortni Borgerson, Be Noel Razafindrapaoly, Be Jean Rodolph Rasolofoniaina

Department of Anthropology Faculty Scholarship and Creative Works

As the world's most endangered mammals, lemurs are key to understanding how humans and wildlife can sustainably coexist. We present the first national assessment of the urban lemur meat trade. We interviewed 2600 participants across 17 cities to determine its scale, target species, distribution, and drivers. We reveal a considerable trade, with thousands of threatened lemurs sold annually. This trade is largely hidden, with 95% of sales occurring directly between suppliers and a trusted clientele, and targets some of the nation's most endangered species, often during critical breeding seasons. While entrepreneurial peri-urban suppliers are lured by a dependable economic opportunity, …

At1-Aa Induced Hypertension During Pregnancy Contributes To Developmental Programming Of Hypertension In Female Offspring, Nathan Campbell, James P. Lemon, Melissa Helmich, Dylan Solise, Alexandra Demesa, Ella Goolsby, Evan Lamarca, Evangeline Deer, Denise C. Cornelius, Ty Turner, Lorena M. Amaral, Baoying Zheng, Babbette Lamarca

Pharmacology and Toxicology

Preeclampsia (PE), new-onset hypertension during pregnancy, is accompanied by organ dysfunction, in addition to placental dysfunction, and is associated with chronic inflammation and fetal growth restriction. Agonistic autoantibodies against the angiotensin II type 1 receptor (AT1-AA) are produced in PE women and induce a PE-like phenotype when infused into pregnant rats. PE offspring are at higher risk for cardiovascular disease and hypertension; however, AT1-AA’s role in these risks is unknown. Therefore, we hypothesized that AT1-AA exposure during pregnancy contributes to hypertension in adult offspring. We infused AT1-AA (1:40) starting on gestational day (GD) 14, allowed the dams to give birth, …

Harnessing Hyperspectral Imaging And Deep Learning For Terrestrial Habitat Mapping In Arid Landscapes: A Case Study In Saudi Arabia, Ali Elgendy, Hesham Morgan, Brandon Tran, Rejoice Thomas, Tamer Ismail, Yehya Kh. Shehadeh, Ahmed Elgharib, Ahmed Abdullah Al-Dughairi, Ali El Muburak, Khaled Allam Harhash, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

Arid ecosystems remain under-mapped at actionable scales despite their ecological importance. Decision makers lack reliable, high-resolution habitat maps in drylands to prioritize protection and target restoration. This research integrates spaceborne hyperspectral imaging from the Environmental Mapping and Analysis Program (EnMAP) with deep learning semantic segmentation models to produce an updated level of habitat classification based on the International Union for Conservation of Nature (IUCN) for part of the Imam Turki bin Abdullah Royal Reserve, Saudi Arabia. Using ground control points and the full EnMAP spectral cube without band selection, U-Net and DeepLabV3+ architectures were each implemented with VGG19 and ResNet-101 …

Evaluating The Effectiveness Of Clinical Practice Guideline Adherence For Patellofemoral Pain (Knee-Capp): Protocol For A Multisite, Parallel-Arm Randomized Clinical Trial In The Military Health System, Emma H. Beisheim-Ryan, Timothy C. Mauntel, Daniel I. Rhon, Charity G. Patterson, Nathan Parsons, Scott Paradise, Megan H. Roach, Marisa Pontillo, Sara R. Gorczynski, Ariana Emory, Shawn Farrokhi

Physical Therapy Faculty Articles and Research

Importance

Patellofemoral pain (PFP) frequently affects military personnel, caused by the physical demands of duty-related training. Clinical practice guidelines (CPG) can guide PFP management, yet physical therapist practice patterns vary and often exclude CPG-recommended, evidence-based interventions. Objective

The Evaluating the Effectiveness of Clinical practice guideline Adherence for Patellofemoral Pain (knEE-CAPP) trial assesses whether a CPG-adherent physical therapy approach more significantly reduces pain, disability, health care utilization, and analgesic medication prescription in Service members with PFP as compared to usual physical therapist care. Design

This is a multisite, parallel arm randomized controlled trial. Setting

The study will be conducted at 4 …

Multidomain Therapy For Alzheimer's Disease: A Scoping Review Of Cognitive Decline Trials, Jared C Roach, Cyrus A Raji, Et Al.

2020-Current year OA Pubs

BACKGROUND: Alzheimer’s disease (AD) leading to cognitive decline and dementia results from the interplay of multiple interacting dysfunctional biological systems. These systems can be categorized by domain, such as inflammation, cardiovascular health, proteostasis, or metabolism. Specific causes of AD differ between individuals, but each individual is likely to have causes stemming from multiple domains. Personalized multidomain therapy has been proposed as a standard of care for AD. OBJECTIVES: We sought to enumerate and describe prospective randomized controlled trials (RCTs) for multidomain interventions for AD, and to extract their inclusion criteria, trial design parameters (length, number of participants), and outcome measures. …

Field Canals Improvement Projects Duration Prediction: A Comparative Analysis Of Machine Learning Models, Hania Ghouse, Ukaegbu Chinonso Ishmael, Edgar Dario Obando-Paredes, Hashem Shafik Shakir, Ali Al-Bayaty

Electrical and Computer Engineering Faculty Publications and Presentations

There are several essential elements in project construction management to be studied appropriately, and priority to these elements, such as cost and duration, is predominantly interesting to be investigated. In this research, the duration of field canal improvement projects (DFCIP) was predicted using two relatively new machine learning (ML) models - the Multivariate Adaptive Regression Spline (MARS) and Extreme Learning Machine (ELM). The targeted DFCIP was calculated using other dependent parameters, such as the length of the pipe, years of construction, the geographical zone of the network, the supplied area with water, and finally the actual cost of the field …

Interrelationships Among Social Media Use, University Social Capital, And Mental Health Outcomes In Undergraduate Students, Md Hasan Howlader

Lingnan Theses (MPhil & PhD)

Mental health concerns among university students have intensified globally, reflected in rising levels of psychological distress, declining life satisfaction, and reduced flourishing. These challenges present urgent implications for public health and higher education policy. Simultaneously, social media use (SMU) has become deeply embedded in students’ daily lives; however, its impact on mental health remains inconclusive. While some studies associate SMU with increased mental health issues, others emphasize its potential to foster social connection. These conflicting perspectives are further complicated by uncertainty regarding the directionality of these relationships—whether SMU influences mental health, or mental health status shapes SMU patterns. Furthermore, existing …

Divergent Prefrontal Cortex Circuits Regulate Cued Food Seeking Under Distinct Metabolic Or Emotional States, Xu O Zhang, Guillermo Aquino-Miranda, Claire E Cho, Yongzhe Wang, Duy Hoang Ha, Nikita Elinson-Watson, Allen Dong, Caleb Kemere, Fabricio H Do-Monte

Faculty, Staff and Student Publications

Flexibly adjusting food-seeking behaviour in response to food-associated cues and internal states is crucial for animals' survival. However, the neural mechanisms that modulate cued food-seeking behaviour during varying metabolic (i.e., hungry vs. satiated) and emotional (i.e., safe vs. threatened) states remain elusive. Here, we show that the encoding of metabolic or threat states in projection-defined neurons in the prelimbic cortex (PL) mediates cued food-seeking responses in rats. Using microendoscopic imaging, we demonstrate that neural population dynamics in PL consistently represent food cues, task-relevant behaviours, and internal state changes by recruiting distinct subsets of cue-responsive neurons at each state. Single-unit recording …

Interventions To Enhance Care Partner Performance And Participation In Alzheimer's And Neurocognitive Disorders: A Systematized Review, Ainslie Suyko, Addison Werner, Elizabeth A. Stacy, Danielle M. Westmark, Stacy Smallfield, Molly A. Whitlow

Student Systematized Reviews: Occupational Therapy

Purpose: Care partners of people with Alzheimer’s disease (AD) and related neurocognitive disorders (NCDs) often experience disrupted routines, reduced self-care, and limited participation in meaningful occupations. Occupational therapy (OT) supports care partners’ engagement in health-promoting activities and sustainable caregiving (Rhodus et al., 2023). This systematized review examined interventions that enhance care partner performance and participation.

Design: Peer-reviewed, English-language articles were included if they involved adult care partners of individuals with AD or NCDs, implemented an intervention within the scope of OT, and used quantitate research designs.

Method: A total of 319 articles from MEDLINE, CINAHL, and Scopus were screened; 61 …

Economic Convergence, Intragenerational Economic Mobility, And Inequality In A Native Amazonian Small-Scale Society Of Indigenous People In Bolivia, Ricardo Godoy, Jonathan Bauchet, Victoria Reyes-Garcia, Eduardo A. Undurraga

Department of Agricultural Economics Faculty Publications

Adult intragenerational mobility reflects society’s ability to reward effort and tame society-wide inequality. In developed economies, mobility is modest and correlates negatively with economic inequality. Little is known quantitatively from direct observations about long-term intragenerational mobility in small-scale societies of the Global South. To assess the external validity of findings about patterns of intragenerational mobility from developed economies, we use a yearly survey panel dataset (2002–2010) of adults from a society of native Amazonians (Tsimane’) in Bolivia practicing farming, fishing, hunting, and plant gathering. We estimate (a) convergence rates (or the speed of catch up) of adults in the bottom …

Radiation Levels And Hazard Indices In Soil Samples From Fuel Stations In Anbar Province, Iraq, Bahaa Ahmed Samir, Anmar Dherar Kosaj

Baghdad Science Journal

In this research, measurements and calculations were conducted to determine the activity and radiation hazard indices of radioactive nuclides in 43 petrol stations across Anbar Province, using the high-purity germanium detector (HPGe) at the Radiation Protection Center in Baghdad Province. The highest specific activity was reported for uranium-238 at 64.90 ± 11.00 Bq/kg, while thorium-232 was 32.80 ± 6.00 Bq/kg. Cesium-137 had a specific activity of 12.90 ± 0.60 Bq/kg, and potassium-40 was present at 753.00 ± 49.00 Bq/kg. The lowest specific activity values for uranium-238 were 0.20 ± 0.70 Bq/kg, and for thorium-232, it was 2.00 ± 0.40 Bq/kg. …

Renewal Of The Mind: Forgiveness Through The Lens Of Christian Faith And Neuroscience, Khelen Walsh

University Honors Theses

Within Christian theology, forgiveness is a foundational concept that is often understood as a divine command, a spiritual practice, and a path toward reconciliation and personal growth. Recent neuroscientific research further supports this viewpoint, providing data that shows forgiveness engages neural systems responsible for emotional regulation, empathy, moral reasoning, and perspective-taking. Through neuroplasticity, repeated acts of forgiveness reshape the brain, strengthen connections between prefrontal and limbic regions, reduce amygdala reactivity, and enhance emotional stability and cognitive flexibility. Although forgiveness offers many benefits, modern culture frequently distorts its meaning, framing it as a sign of weakness, gullibility, or a form of …

Bilateral Concomitant Infection Of Cytomegalovirus And Varicella-Zoster Virus Retinitis In An Immunocompromised Adult, Henry C Skrehot, Amer Alsoudi, Daniel Olson, Nhon Le, Asad Loya, Tahira Scholle

Faculty, Staff and Students Publications

Purpose: To report a novel case of bilateral concomitant cytomegalovirus (CMV) retinitis and acute retinal necrosis (ARN) due to varicella-zoster virus (VZV) in an immunocompromised adult.

Methods: A case report was evaluated.

Results: A 36-year-old immunocompromised man presented with acute painful vision loss in the left eye. On initial presentation, uncorrected distance visual acuity was 20/20 in the right eye and counting fingers at 3 feet (≈1 m), which deteriorated to no light perception (NLP) in the left eye. Fundus examination showed necrotizing retinitis in both eyes, with features of both CMV retinitis and ARN. One week after initiation of …

The Art Of The Review: A 9-Step Guide For Beginning Researchers, Sandra Y. Desjardins, Jenny Stockton

Library Class: Lunch & Learn

Master the systematic review process from start to finish. This 30-minute course provides a comprehensive overview of nine essential steps. Learn how to plan, execute, and report on your systematic review with confidence.

A Conversation With Dr. Shannon Jones Faculty Highlight, Paxton Mills

Osmosis Magazine

Dr. Shannon Jones, Senior Teaching Faculty in the Department of Biology, is a toxicology expert, teacher, and long-time mentor from Roper, North Carolina. With a PhD in Toxicology from the University of North Carolina at Chapel Hill, Dr. Jones came to the University of Richmond with a purpose: to transform the lives of her students.