Digital Commons Network^™

What Can Trends In Emergency Department Visits Tell Us About Child Mental Health?, Han Choi, Adriana Corredor-Waldron, Janet Currie, Chris Felton

Cowles Foundation Discussion Papers

Increases in mental health diagnoses and suicidal behaviors in Emergency Departments are often cited as evidence of an accelerating child mental health crisis. We ask whether trends in ED visits provide an accurate picture of changes in U.S. child mental health. These measures have been profoundly affected by changing conventions about screening, defining, and coding of mental illness. We conclude that child mental health has been deteriorating, but not by the startling magnitudes suggested by jumps and trends in some measures such as suicidal ideation. Although reported suicidal behaviors rose 228% from 2006–2021, the true rise in mental health disorders …

Concussion Knowledge, Attitudes, And Behaviors: A Comparison Study Of Youth Athletes And Their Parents, Summer D Ott, Sukhnandan K Cheema, Holden Axel, Seema S Aggarwal, Natalie R Parks, Nikhil Gattu, Philip Schatz

Faculty, Staff and Student Publications

Objective: Given the rising participation in high school athletics and the concerning trend of underreporting concussions, this study aims to identify and compare factors influencing sports-related concussion (SRC) awareness and reporting among youth athletes to their parents.'

Methods: Surveys were completed by 239 student-athletes (ages 13-19) and their parents, using a modified Rosenbaum Concussion Knowledge and Attitudes Survey-Student Version (RoCKAS-ST) and demographic questionnaires. Statistical analyses, including paired sample t-tests, ANOVAs, and Spearman's correlations, compared knowledge and attitudes between groups and examined demographic influences.

Results: Parents showed significantly higher concussion knowledge (CKI: t(230) = 5.18, p < .001) and safer attitudes (CAI: t(230) = 10.62, p < .001) than their children. Knowledge scores varied significantly by race and socioeconomic status, with White parents scoring higher than Hispanic and African American parents (F(3,224) = 8.97, p < .001). Child knowledge scores also differed by race (F(4,223) = 3.73, p = .006) …

The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood

Theses and Dissertations

Black youth and adolescents are at a disproportionately high risk for experiencing community violence exposure (CVE) and the potential influence it may have on psychological functioning. Research posits that Black youth who experience community violence are at a significantly higher risk of experiencing elevated internalizing symptoms (e.g., depression) and externalizing symptoms (e.g., delinquency). Previous research has utilized the ecological model to investigate interpersonal protective factors that potentially buffer the effects of CVE, including parental support and family characteristics. However, there is little research that explores community-level factors, such as community activities (e.g., youth activities and parental perception of collective efficacy) …

Leveraging After School Programs As Resources To Support Adolescent Health And Wellbeing Within Underserved Communities: A Qualitative Study, Olivia Staples

Theses and Dissertations

Over the past decade, youth have shown a consistent rise in stress, major depression, anxiety, and suicide, with underserved youth (low-income, minoritized communities) at greatest risk of exposure to chronic stress, related outcomes, and less access to health services (APA, 2017). Afterschool programs (ASPs), which serve as important resources in underserved communities, can be a critical support for youth health and well-being (Afterschool Alliance, 2019). However, few studies have examined ways in which ASPs address the challenges underserved youth face across their ecosystem to promote youth resilience (Jones & Deutsch, 2011). Using qualitative interview data from staff and youth across …

Stem Integration In The Classroom: An Exploratory Case-Study On Teachers Defining Their Stem Identity And Role As A Stem Educator, Tawana Guillaume

Theses and Dissertations

The push for inclusion of science, technology, engineering, and mathematics (STEM) as a meta-discipline in K-12 education is recognition that the challenges faced by society require technology skills, interdisciplinary problem-solving, and an increased number of people entering STEM professions (Dare et al., 2014; English, 2016; Fan et al., 2021; Holstein & Keene, 2013; Roehrig et al., 2012, 2021; Sanders, 2008). The dissertation in practice explored STEM teacher identity and conceptions of STEM as a function of STEM professional experience outside of the field of education. The exploratory casestudy sought to identify the relationship between STEM career-based experiences – specifically the …

Improved Extraction And Detection Of Disinfection Byproducts, Impacts Of Wildland-Urban Interface Wildfires On Drinking Water, And Change In Disinfection Byproducts Over Time In Chlorinated Vs. Chloraminated Distribution Systems, Patrick Thomas Justen

Theses and Dissertations

Drinking water disinfection is critical to prevent the occurrence of waterborne pathogens in drinking water. However, disinfection causes the unintended formation of disinfection byproducts (DBPs) through the reaction of disinfectants (e.g., chlorine, chloramine) with natural organic matter (NOM), algal matter, or anthropogenic pollutants present in source waters. Exposure to DBPs is associated with increased bladder cancer, colorectal cancer, miscarriage, and birth defects. The U.S. EPA currently regulates eleven DBPs in drinking water—four trihalomethanes, five haloacetic acids, bromate, and chlorite. However, research shows that DBP related toxicity in drinking water is driven mainly by other, non-regulated DBPs, particularly iodinated DBPs and …

​​​Creating A Resident And Fellow Scholarly Activity Tracking Tool In A Large Academic Health System: A Dissertation In Practice​, Elyse Anne Wieszczecinski

Theses and Dissertations

Documenting and reviewing resident and fellow scholarly activity within a sponsoring institution can be a laborious task. With multiple lines of information coming from a wide variety of sources, this problem of practice implemented the Information Systems Success Model to help develop a database by which this information can be collected in a way that is efficient while maintaining the need for a user-friendly product. While other healthcare entities have also incorporated this model into their scholarly activity collection, these are still individual needs of the sponsoring institution and its constituents to consider when adapting the strategy. Using an improvement …

Adipokines Mediate Fat-To-Ovary Communication To Regulate Oogenesis, Adipocyte Size, And Lipid Storage In Drosophila Melanogaster, Chad Herbert Simmons

Theses and Dissertations

Humans have complex signaling pathways that allow them to store and expend energy based on nutritional quality and availability. Inter-organ signaling is used to communicate nutrient availability between organs based on nutritional needs and the rate of cellular division. Our main overarching question is to investigate how fat-derived signals affect adipocyte morphology and the maintenance of stem cells in the ovary. While signaling pathways, like insulin and mTOR, and some adipokines that are involved in inter-organ nutrient sensing have been identified, the exact nutrient reliant mechanisms of stem cell maintenance are not completely understood. Using Drosophila melanogaster as a model, …

Hearing The Difference: Just Intonation Techniques Utilizing Distortion Product Otoacoustic Emissions In Viola Performance, Calj Green Umezono

Theses and Dissertations

Difference tones, also known as distortion product otoacoustic emissions, are the result of active phenomena in the human cochlea during the conversion of sound waves into bioelectrical signals. Difference tones make it possible to explore alternative musical tuning systems beyond the twelve-tone, equally tempered regime. Musicians have investigated difference tones since the 18th Century in Euro-American musical contexts, but their application has so far been limited in scope. Advances in science, technology, and music theory from the late 19th Century through the early 21st Century have given present-day violists the opportunity to more fully understand the virtues of difference tones …

From Seapower To Shining Seapower, Michael Lee

Publications and Research

The liberal world order is dead: the United States has abandoned both the domestic and international institutional commitments that enabled it to function. How can liberal democracy survive in an increasingly hostile world? How can liberal democracies grow powerful enough to defend themselves without becoming the empires they fear? I argue that seapowers have historically represented a distinct kind of hegemon, that is more amenable to international cooperation, and democracy at home. Moreover, the transition from declining seapowers to rising ones has played a vital role in preserving a space for more liberal states (relative to their historical context), such …

Killing The Wto, Katayoon Beshkardana

Vanderbilt Journal of Transnational Law

No abstract provided.

Tides And Crossroads: The Gender Era Of The Inter-American Court Of Human Rights, Rosa Celorio

Vanderbilt Journal of Transnational Law

No abstract provided.

The Church As An Ecological And Cultural Anchor: Examining Its Role In Gifted Education, Advanced Academic Access, And Educational Equity, Matrissa Bennett

Theses and Dissertations

This action research study examines the role of the Black church as an ecological and cultural anchor in addressing the inequities of gifted education and expanding access to advanced academic opportunities for Black students. The study is grounded in Bronfenbrenner’s ecological systems theory, critical race theory, and racial and ethnical socialization, and it explores how the Black church can support student development, empower parental advocacy, and partner with schools to promote educational equity. Conducted at Mountain Valley Baptist Church in South Carolina, the interventions included student mentoring, goal setting sessions, academic enrichment, emotional support initiatives, a parent workshop, and a …

Beyond The Bipolar: Allowing Satisfaction And Dissatisfaction To Coexist, Dustin J. Souders, Yixiu Yu

Publications

Copyright © 2025 Souders and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).

Neonatal Early-Onset Sepsis: It’S Not Always What You Think, Gabriela M. Henriquez, Kedar Tilak, Douglas Swanson, Susana Chavez-Bueno

Posters

No abstract provided.

Building Services Engineering September/October 2025

Building Services Engineering

No abstract provided.

Decorin Evokes A Pro-Lysosomal Pathway In Lymphatic Endothelial Cells, Gabriel J. Pascal, Dipon K. Mondal, Sadie Kim, Christopher Xie, Devanarayanan Siva Sankar, Jörn Dengjel, Renato V. Iozzo

Kimmel Cancer Center Faculty Papers

The lymphatic system is critical to the body's immune and circulatory system, and lymphangiogenesis, the development of new lymphatic vessels from pre-existing ones is a significant process capitalized upon by cancer during tumorigenesis. Decorin is a small leucine-rich proteoglycan which we have previously shown to be anti-tumorigenic and a suppressor of lymphangiogenesis. We have also shown that decorin exercises its anticancer properties through its ability to evoke autophagy. Through a comprehensive and unbiased proteomic analysis, we explored the implications of decorin exposure on protein expression within mouse lymphatic endothelial cells. We discovered that decorin enriches several protein pathways, notably proteasomal …

Translating Evidence To Action To Improve Care And Outcomes In Type 2 Diabetes And Chronic Kidney Disease, Joshua J. Neumiller, Nuha A. Elsayed

Saudi Medical Journal

No abstract provided.

Approaches To Reduce The Impact Of Stroke In Gulf Cooperation Council Nations, Muath A. Alammar

Saudi Medical Journal

No abstract provided.

The Economic Burden Of Atherosclerotic Cardiovascular Disease In The Kingdom Of Saudi Arabia, Mirvat Alasnag, Adel Tash

Saudi Medical Journal

No abstract provided.

Phase Iv Clinical Trials For The Treatment Of Non-Small Cell Lung Carcinoma (Nsclc): A Systemic Review From 2020-2025, Yousif A. Kariri, Mohammed H. Alqasmi, Bijad S. Alqahtani

Saudi Medical Journal

ABSTRACT Objective: To evaluate and provide evidence on drugs investigated in completed phase IV clinical trials for adult non-small cell lung carcinoma (NSCLC) therapy, primarily focusing on treatment objectives and adverse effects. Methods: Clinical research studies from January 2020 to January 2025 were systematically reviewed using the “ClinicalTrials.gov” database. The inclusion criteria focused on publicly available, relevant, and completed Phase IV studies limited to “Clinicaltrials.gov”, while those not meeting these specifications were excluded. As of 3 January 2025, a total of 7,541 Phase IV clinical trials were available on “ClinicalTrials.gov”, of which 121 were related to NSCLC. Results: Six of …

The Effect Of Specialized Management Of Acute Coronary Syndrome On Patient’S Quality Of Life: A Tertiary Care Centre Study., Maan Jamjoom, Muath Alharbi, Waleed M. Malibari, Waleed Alshehri, Mohammed A. Aalem, Wafa D. Althubaity, Nouf K. Alalshaikh, Mahmoud A. Toonsi, Faisal A. Boker

Saudi Medical Journal

ABSTRACT Objectives: To assess the impact of Acute Coronary Syndrome (ACS) on quality of life (QoL) among patients at King Abdulaziz Medical City in Western Jeddah. Acute Coronary Syndrome significantly affect patients’ QoL. Many individuals experience challenges post-ACS. While previous research has identified baseline QoL, access to specialized care, and assessment tools as important factors influencing recovery, limited studies have examined how baseline QoL affects long-term outcomes. Methods: This hybrid cross-sectional study included ACS patients treated at King Abdulaziz Medical City. A sample size of 268 was calculated using RAOSOFT. A culturally tailored questionnaire, derived from the SF-36, was developed, …

An Evaluation Of Pharmaceutical Clinical Trials From Saudi Arabia Registered On Clinicaltrials.Gov: A Cross-Sectional Study, Mohammad H Aljawadi, Khalid F. Alonazi, Ibrahim M. Alsultan, Nora A Kalagi, Marwan A. Alrasheed, Abdullah M. Alhammad

Saudi Medical Journal

ABSTRACT Objectives: To evaluate clinical trials involving pharmaceutical agents conducted in Saudi Arabia and registered on ClinicalTrials.gov. Since the early 2000s, Saudi Arabia has expanded its involvement in clinical research. Recognizing the importance of clinical trials, we aimed to analyze the clinical trial landscape in the Kingdom to identify well-covered areas and potential gaps. Methods: In this descriptive cross-sectional study, ClinicalTrials.gov was used as the primary source to collect data regarding pharmacological and biological interventions conducted in Saudi Arabia between 2002 and June 2025. Results: A total of 474 pharmaceutical studies were included. Of these, 52.95% were completed, indicating moderate …

Stroke Incidence, Mortality And Disability-Adjusted Life Years (Dalys) Trends In Association With Air Pollution, Dietary And Metabolic Risk Factors In Gulf Cooperation Council Countries: Global Burden Of Disease Data Based Analysis 1990-2021, Bandar N. Aljafen, Anusha S. Meo, N. Shaikh, Sultan A. Meo

Saudi Medical Journal

ABSTRACT Objectives: To identify the primary risk factors contributing to stroke incidents and deaths, analyzing the trends and changes in regional stroke statistics between 1990 and 2021 in the Gulf Cooperation Council (GCC) countries. Methods: This longitudinal time trend study was conducted in the Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia, from June to August 2024. The data were recorded from the Institute for Health Metrics and Evaluation (IHME) and the Global Burden of Diseases (GBD) datasets. The incidence, mortality, and disability-adjusted life year (DALY) rates of stroke in the GCC countries, Bahrain, Kuwait, Oman, …

Molecular Identification Of Respiratory Syncytial Virus, Seasonal Influenza Viruses, And Sars-Cov-2 In Respiratory Tract Infections: A Cross-Sectional Study In Taif City, Mazen M. Almehmadi, Faiha A Alharbi, Ahmad K. Shawush, Mamdouh A. Allahyani, Osama A. Abdulaziz, Ayman S. Alhazmi, Ahmad A. Aghamdi

Saudi Medical Journal

ABSTRACT Objectives: To explore the prevalence of respiratory tract infections (RTIs) in Taif via molecular diagnosis method, to enhance the clinical decision making and the need for vaccination strategies. Methods: A 5864 participants were enrolled in this study, all from Taif city. Samples were collected via nasal swab, throat swab, or sputum sample. The duration of the study were 24 months from January 2023 to December 2024. Samples were transported in viral transport medium. Then processed using GeneXpert system. Fluorescent probes detected viral RNA and reported as detected or not detected. Chi-square test was applied for statistical analysis purposes. Results: …

Diagnostic Accuracy Of Thyroid Nodules With Indeterminate Cytology When Combined With Ultrasonographic Risk, Shaza A. Samargandy, Yousef Z. Khedher, Ghaida A. Alzahrani, Hesham T. Nahhas, Mohammed A. Alshaikh, Saad Samargandy, Khalid A. Alzahrani, Aliaa H. Ghoneim

Saudi Medical Journal

ABSTRACT Objectives: To evaluate the added diagnostic value of ultrasonographic risk levels to cytological diagnoses in nodules with Bethesda III and IV cytology. Methods: This retrospective study was conducted in Jeddah, Saudi Arabia, and involved analyzing thyroid nodules from patients who underwent thyroidectomy between 2016 and 2023. We focused on pathology, US risk stratification based on the 2015 American Thyroid Association (ATA) guidelines, and fine-needle aspiration cytology (FNAC) using the Bethesda system. We calculated malignancy rates for each ultrasound (US) and FNAC category, with the indeterminate cytology groups defined as follicular lesions of undetermined significance (FLUS) and follicular neoplasms (FN). …

Healthcare Transformation Through The Implementation Of A New Population Health Management Approach To Achieve Saudi Arabia’S Vision 2030: The Lessons Learned In The Qassim Health Cluster, Majed S. Alharbi, Emmanuel F. Osagiede, Raed F. Al-Harbi

Saudi Medical Journal

ABSTRACT Objectives: To investigate how the Qassim Health Cluster (QHC) implemented population health management (PHM) in tandem with the goals of Saudi Vision 2030 and to pinpoint the main issues and lessons gained from this implementation. Methods: This research used a descriptive population study design and was conducted between November and December 2024. We collected data using a mixed-method approach, gathering qualitative data from 11 PHM implementers and secondary quantitative data from 102,946 healthcare service users. Results: Qassim Health Cluster’s PHM implementation team established a regional 5-year strategic plan to follow the national PHM framework, utilizing data-based decision-making to implement …

Characterization And Management Of Pain Across Phases Of Intraosseous Infusion In Emergency Department Patients With Non-Cardiac Arrest, Aiping Shi, Juan Chen, Xiaowei He, Chunyan Chen, Ming Sun, Wei Li, Wenxia Xu, Wei Yang, Xiaoqin Han

Saudi Medical Journal

ABSTRACT Objectives: To identify risk factors for moderate-to-severe pain during intraosseous infusion (IOI) in non-cardiac arrest patients in the emergency department (ED). Secondary aims include evaluating pain trajectory across procedural stages and assessing the efficacy of a personalized pain management strategy. Methods: This mixed-methods study analyzed 220 ED patients undergoing IOI (150 retrospective, 70 prospective). The prospective cohort was randomized to standard care (n=35) or personalized pain management (n=35). Pain was quantified using the numeric rating scale (NRS) and critical-care pain observation tool (CPOT). Results: During puncture, 35.33% (53/150) reported no/mild pain. Pain severity peaked during flushing, with 73.33% (110/150) …

Are Patients With Advanced Cancer Receiving Treatment Aligned With Their Goals?

Saudi Medical Journal

No abstract provided.

Who Urges Action On Hepatitis, Announcing Hepatitis D As Carcinogenic

Saudi Medical Journal

No abstract provided.