Digital Commons Network^™

Lumbar Microdiscectomy: A Rare Case Of A Duplicate L5 Exiting Nerve Root., Sahil Garg, Sean M Muir, Arianna K Gill, Komi E Afetse, Sanjitpal S Gill

Surgery Articles

The microdiscectomy procedure has been regarded as the preferred method for the treatment of lumbar disc herniation (LDH). Intraoperatively, the procedure may be further complicated due to underlying anatomical variations in the lumbar spine or nerve root variations. Nerve root anomalies (NRAs), in particular, are relatively underdiscussed within the literature. Despite the rarity of these variations to the exiting nerve root, the increased surgical risk that an NRA may add warrants the need for increased awareness and associated complication mitigation. This case describes a rare instance of a symptomatic duplicate L5 nerve root discovered preoperatively and highlights the steps taken …

Airway Management In Patients With Vocal Cord Paralysis: A Review Of Intubation Techniques, Intraoperative Challenges, And Outcomes., Rayyan Bhutta, Ali Osman, Tala Maya, Justin Ma, Ali Al Saeed, Sumit Sidhu, Mariya Wood, Bilal Akhtar, Sirimas Lau, Matthias Franzen

Surgery Articles

Vocal cord paralysis (VCP) presents with unique challenges when managing airways, particularly during endotracheal intubation. This literature review explores the effects of unilateral and bilateral VCP on intubation technique, first-pass success, extubation safety, and perioperative airway planning. While video laryngoscopy (VL) is becoming increasingly favored for its superior airway visualization, it does not always confirm successful placement in patients with VCP. Complications such as airway edema, aspiration risk, and cuff misplacements are increased in this patient population, and they may be more vulnerable to post-extubation complications, especially without the use of steroid prophylaxis or intensive post-operative planning. A comparison of …

Temporal Variability In The Bulk Nutritional Quality Of Estuarine Plankton, Marley Gonsalves

Master's Theses and Capstones

The temporal variability of plankton is well documented, particularly in constantly changing tidal systems such as estuaries, but the extent to which this variability applies to plankton nutritional quality is less well known. As the base of the aquatic food web, variation in phytoplankton nutritional quality stands to constrain fishery production, particularly of filter-feeders. Here, community and nutritional data was collected from Great Bay, NH, a model estuary, over seasonal, tidal, and daily time scales to identify the range and variability of nutritional quality in plankton. Bulk spectrophotometric neutral lipid and protein measurements were compared to plankton community composition data …

Differentiated Learning In An Upper-Level Undergraduate Physics Theory Course, Christina Gurney

Master's Theses and Capstones

‘One-size-fits-all’ education aims to cater to the ‘average’ student, but the ‘average’ student does not exist. Students are individuals, each with a set of needs, abilities, preferences, and interests unique to them. A variety of instructional approaches should thus be used to differentiate students’ learning. This differentiation has been studied mostly for K-12. My study extends this research into an upper-level undergraduate physics theory course. For this phenomenographic pilot study, I interviewed ten students about the differentiated homework assignments in their upper-level undergraduate classical mechanics course at the University of New Hampshire. I performed an issue-focused analysis of the data, …

Effects Of Gibberellic Acid (Ga3) And Cluster Thinning On Fruit Quality, Cluster Quality And Yield In Seedless Table Grape Cultivars, Radhika Rani

Master's Theses and Capstones

Seedless table grape production in cool-climate regions like the Northeastern U.S. is limited by cold temperatures, short growing season, and relatively few adapted cultivars. American species (Vitis labrusca) or interspecific hybrids offer more disease and cold resistance as compared to European species (V. vinifera), however, small berry size, lower yields, and low fruit quality have been some of the limitations for these cultivars. This study evaluated the effects of gibberellic acid (GA3) and cluster thinning under different training systems to improve cluster and berry quality in seedless table grape cultivars. The first experiment focused on ‘Concord Seedless’, examining the effects …

Sensor-Driven Machine Learning Framework For Rock Climbing Skill Assessment Using Climbing Core Ability And Contact Force Metrics, Blaise Xavier O'Mara

Master's Theses and Capstones

Rock climbers lack tools for skill assessment. Climbers ascend routes, each with varying difficulty (grade); as such, climber skill level is typically described as the highest grade recently climbed. But the subjectivity of rock climbing route difficulty grading presents complications with standardized skill assessment. Measures of climbing core abilities (power, strength, endurance, speed, control, and stability) through non-specific sport exercises and contact forces metrics present more objectivity in climber skill assessment. Presented in this study is a custom force sensor network instrumented in a bouldering route for recording contact force metrics. Twenty-four climbers, split into IRCRA Intermediate and Advanced skill …

Hybrid Physical Education Teaching Process In Colleges: A Performance Evaluation Perspective Using The Single Valued Bipolar Pentapartitioned Neutrosophic Set, Guifang Shen

Neutrosophic Sets and Systems

No abstract provided.

From Apomediation To Aimediation: Generative Ai And The Reconfiguration Of Informational Authority In Health Communication, Luis M Romero-Rodríguez, Bárbara Mercedes Castillo Abdul Hadi

Artículos científicos

Objective:

Method:

Towards Sustainable Indoor Lighting Design: Ensuring Energy Efficiency, Health And Human Wellbeing—A Review, Lara Vélez González, Alejandra Santamaría Melenchón, David Baeza Moyano, Roberto Alonso González-Lezcano

Artículos científicos

The design of lighting systems, has, in recent years, transcended the basic function of providing visibility, becoming a key com-ponent of promoting the health and well-being of occupants by integrating biological, psychological, and energy aspects. Thegrowing understanding of the effects of light on the circadian cycle has posed a fundamental challenge in luminaire design. Thetwo before-mentioned review is, to analyze how light, both artificial and natural, affects the well-being and health of occupantsin various indoor environments, such as classrooms, hospitals and offices, Indoor lighting research has advanced significantly,recognizing both visual and non-visual effects on human health. These efforts focus on …

Cynicism, Distrust And Dissatisfaction Among Spanish And Mexican Millennials And Centennials In Audiovisual Consumption On Streaming Platforms, Carlos Fernández-Rodríguez, Luis M. Romero-Rodríguez, Jorge Alberto Hidalgo Toledo

Artículos científicos

El cinismo político es un sentimiento psicosocial de desconfianza e insatisfacción hacia la política y el establishment. En los tiempos actuales, dominados por la incertidumbre social y económica, el cinismo político está llegando a afectar la forma en que nos relacionamos con la información y la tecnología, lo que promueve la búsqueda de espacios seguros en las narrativas de entretenimiento que se pueden ver en plataformas de streaming. El objetivo principal de este estudio era analizar si los espectadores millennials y centennials de España y México consideran que los grandes estudios, productoras y distribuidoras audiovisuales solo se preocupan por sus …

Blockbusters Or Blind Spots? A Critical Look At Poverty, Bullets And Bandits Narratives In Latin American Cinema, Carlos Fernández-Rodríguez, Elio Quiroga Rodríguez, Luis M. Romero- Rodríguez

Artículos científicos

Historically, the cultural industries of the Global South have been relegated in the face of North American and European production predominance. In Latin America, the most internationally successful audiovisual productions, both at the cinema ticket window and festivals, usually deal with stereotypes of extreme poverty, rurality, delinquency, terrorism, and drug trafficking, which, in the collective imagination of foreign audiences, promote an exaggerated representation of the region's social problems, contributing to xenophobia, hate speech, and anti-migration discourses in countries in the Global North. This study conducts an analysis of five emblematic feature films of Latin American cinema: Cidade de Deus [ …

Use Of Perioperative Scores In Predicting Postoperative Event And Selection For Discharge After Elective Laparoscopic Cholecystectomy: A Retrospective Cohort Study, Brian Nyamweya Bundi

Master of Medicine in General Surgery

Background: While daycare laparoscopic cholecystectomy is gaining momentum in developed countries, a majority of patients in low and middle-income countries are admitted overnight. This safety precaution offers prompt access to emergency services should need arise. This precautional overnight stay has implications on cost, healthcare utilization and patient satisfaction. Daycare procedures routinely utilize scoring systems for assessing discharge readiness. We explored the utility of the modified Surgical APGAR Score (mSAS) and the White Fast Track Score (WFTS) as predictors for postoperative events and their role in identifying patients who can have a safe daycare discharge after laparoscopic cholecystectomy in this retrospective …

Identifying The Barriers And Facilitators To Guideline-Concordant Breast Cancer Surgical Care In Kenya: A Sequential Mixed Method Study, Emmanuel Marsuk Lomole

Master of Medicine in General Surgery

Introduction 

Breast cancer represents the most commonly diagnosed cancer in women. In Kenya, it constitutes 20% of all cancer diagnoses as well as the second most common cause of cancer related death in the country, with a 5-year survival between 40.1% and 64%. There exists heterogeneity in the delivery of breast cancer care despite the presence of guidelines that can standardize care and that have been contextualized for Sub-Saharan Africa. There is paucity of data on barriers and facilitators of guideline-concordant breast cancer surgical care.

Setting 

The Aga Khan University Hospital Nairobi.

Aim 

The purpose of this study was to …

Exploring Boundaries With Food, Substances, And People In Substance Use Recovery: A Qualitative Analysis, Tiffany Champagne-Langabeer, Audrey Sarah Cohen, Kriti Shrestha, Jie Zhu, Audrey Lopez, Alisha Campbell, Christine Bakos-Block

Faculty, Staff and Student Publications

Background: In the United States, over 47 million youth and adults live with a substance use disorder (SUD). These individuals are frequently malnourished and have metabolic dysregulation as a result. Nutrition interventions incorporating a mindfulness-based approach help recovery efforts that are physical and mental.

Objective: The objective of this study was to explore and analyze the perspectives and experiences of individuals with SUD regarding emotional regulation and nutrition. The study used a mixed methods approach to generate insights for improving recovery support and developing future interventions.

Design: In 2024, an exploratory mixed methods study was conducted based on a large …

Graduate School Blog - September 2025 Volume 2, Cynthia Haynes, Cynthia Haynes

UofM Grad School Blog

In this September Blog volume 2, The University of Memphis graduate certificates provide a flexible, efficient, and affordable pathway for career growth, allowing students to gain specialized skills in as little as 18 months without committing to a full degree. With over 70 programs many offered online or in the evenings students can bridge the gap between knowledge and practice in fields such as Clinical Social Work, Play Therapy, Museum Studies, and Population Health. These four-course programs deliver immediate workplace value while keeping the option open for further graduate study. Highlighted by student experiences like Andrew Hashimura’s in College and …

Medication Adherence: A Reimbursable Theory-Guided Evidence-Based Educational Intervention For Patients With Parkinson’S Disease, Amanda E. George, Melinda Hermanns, Diane B. Monsivais, Cheryl D. Parker

Nursing Faculty Publications and Presentations

Background: Parkinson’s disease is a challenging, progressive neurodegenerative process projected to affect more than 1.2 million patients by 2030, with an economic burden that will surpass $79 billion annually in the United States. Pharmacological interventions are the hallmark of treatment for symptom management for this lifelong disease. Multiple medications and a variety of dosing times have an increasingly negative effect on medication adherence. Purpose: This article will discuss medication adherence challenges, describe a theory-guided evidence-based intervention to improve medication adherence, and explore the economic implications in an outpatient clinic setting. Methods: A pilot chart review of 40 cases over 30 …

The Collision Course Between Outdated State Laws And Automated Vehicles, William Hubbard, Colin Starger

Articles

America stands at the precipice of a vehicular revolution. Myriads of self-driving vehicles—often referred to as “automated vehicles” or “AVs”—are already rolling out across the nation, and innovators assert that AVs will make our roads safer, less congested, and more economically productive. However, reaching these dreams of self-driving utopias will require more than just technological progress. The uses of traditional vehicles are heavily regulated by hundreds of thousands of state laws that ensure public safety, health, and order. Will these traditional laws still make sense when AVs shift the paradigm? Despite the hype and optimism of many AV advocates, this …

Case Article—Optimizing Transportation And Equity In A District Zoning Problem For Orville Public Schools, Kelly M. Sullivan, Ashlea Bennett Milburn

Industrial Engineering Faculty Publications and Presentations

“Optimizing transportation and equity in a district zoning problem for ORville public schools” is a case developed to expose students to an optimization decision problem with ethical considerations incorporated. Specifically, students are asked to solve a school district zoning problem in which all residential addresses in a school district must be assigned to middle schools having capacity limits on the numbers of students that they can accommodate.

Teaching Strategies For Building Belonging And Creating Community In Online And In-Person Legal Education, Sara J. Berman, Barrett L. Schreiner

St. Mary's Law Journal

No abstract provided.

Interrogating The Racial Wealth Gap: Thinking Locally -- Event Program, Lender Center For Social Justice

The Lender Center for Social Justice

A pamphlet for the Interrogating the Racial Wealth Gap: Thinking Locally event.

The Uk's Intended Move To Electric And Connected And Autonomous Vehicles: Are Infrastructural Barriers Preventing Successful Transition?, Katy Ferris, James Marson

Transportation Law Journal

The advent of Connected and Autonomous Vehicles (CAVs) is poised to transform global transportation systems, offering unparalleled opportunities to enhance safety, sustainability, and efficiency. Given that CAVs are most likely also to be electric vehicles (EVs), and in the UK, CAVs/EVs are a central element of government efforts to modernise mobility while achieving net-zero emissions by 2050, it would seem the UK is ready to embrace the transition to this new and disruptive form of transportation. However, while technological innovation has surged, critical questions remain about the readiness of physical, digital, and policy infrastructures to support the widespread adoption of …

From Displacement To Design: Reframing Work, Skills, And Education For The Ai-Transformed Economy A Review, James Hutson

Faculty Scholarship

Between 2023 and 2025, the U.S. labor market entered a period of accelerated restructuring driven by generative artificial intelligence (AI) and automation. Routine, entry-level cognitive roles—particularly in clerical, customer service, and junior technical positions—contracted sharply as intelligent systems assumed high-volume, rules-based tasks. While these displacements echo past automation cycles, the present transformation is distinct in its scope, affecting both knowledge work and creative functions, and in its speed, amplified by enterprise-scale adoption. Simultaneously, demand has surged for specialized AI-related positions, interdisciplinary roles blending domain expertise with AI fluency, and ―durable skills‖ that remain resistant to automation. Drawing on labor market …

University Of Nebraska At Omaha Enrollment Profile Report: Fall 2025, Systems Intelligence And Data Analytics, University Of Nebraska At Omaha

Enrollment Reports

headcount and student credit hours, as well as the demographic characteristics of enrolled students. Delivery-site reporting counts all students, including those in UNL programs delivered at UNO, but excludes UNO programs delivered in Lincoln (CPACS programs). Administrative-site reporting counts students enrolled in UNO programs only (including the CPACS programs delivered in Lincoln). The purpose of this profile is to provide the undergraduate and graduate enrollments and student credit hour information by college or equivalent academic unit, class, gender and ethnicity. A glossary at the end of the report provides a list of definitions for headings. All information in this report …

Introduction To Us Government & Politics Syllabus, Jennifer Corby

Open Educational Resources

This syllabus outlines the structure and pedagogical design of POL 51: Introduction to U.S. Government and Politics, taught at Kingsborough Community College (CUNY). Developed as part of an Open Educational Resources (OER) course redesign funded through the CUNY OER Initiative, the course integrates accessible, cost-free materials from Attenuated Democracy: A Critical Introduction to U.S. Government and Politics alongside multimodal, student-centered learning activities. The course emphasizes Universal Design for Learning (UDL), ungrading, and reflective journaling to foster civic engagement and metacognitive awareness. A central innovation of this version is a two-week Critical AI Literacy (CALI) module that situates artificial intelligence …

First-Time Mothers' Experiences Of Breastfeeding During The Early Postpartum Period In Nairobi, Kenya: A Qualitative Study, Viola Siongei, Rose Maina, Eunice Pallangyo

School of Nursing & Midwifery, East Africa

Background/Aims The rate of exclusive breastfeeding in the first 6 months is still low, despite global active promotion of the practice. The exclusive breastfeeding rate among first-time mothers is much lower than among multiparous women, which has been attributed to difficulties assuming the new role and a lack of breastfeeding skills. This study aimed to gain an in-depth understanding of first-time mothers' breastfeeding experiences and the factors that influence these experiences during the early postpartum period in Nairobi, Kenya.

Methods This qualitative explorative, descriptive study involved 17 purposively sampled first-time mothers at 4–6 weeks postpartum. In-depth, face-to-face semi-structured interviews were …

Association Between Decisional Conflict And Quality Of Life Among Parents With A Child Undergoing Hospital-Based Treatment For A Recent Cancer Diagnosis, Augustine Provencio

Doctoral Dissertations

Having a child with a chronic illness, such as cancer, can cause families significant distress. Parents of these children must make frequent decisions relating to their child’s care. Depending on factors such as health literacy and support from medical staff, parents may have varying levels of decisional conflict (DC) throughout the decision-making process. Compounding stress throughout their child’s illness can often contribute to lower levels of health-related quality of life (HRQoL) while their child is receiving hospital-based treatment. Parents with a non-English language preference (NELP) often have greater challenges navigating healthcare systems due to a lack of resources and limited …

Quantification Of Terpenes In Various Commercial Cannabis Products By Gas Chromatography-Flame Ionization Detection And Gas Chromatography-Mass Spectrometry, Kaitlyn M. Ignaszak

Forensic Science Master's Projects

The goal of this research project was to identify and quantify the terpenes in five commercial cannabis products (dried bud, kief, two tinctures, and a pain cream) using gas chromatography-flame ionization detection (GC-FID) and gas chromatography-mass spectrometry (GC-MS). Terpene identification and quantification were conducted using GC-MS and GC-FID, with a standard sample containing 21 terpenes of known concentrations. To determine the most effective extraction conditions, three organic solvents (ethanol, acetonitrile, and ethyl acetate) were employed. Additionally, the effects of extraction time on terpene yield were investigated by analyzing aliquots collected at five different time intervals, ranging from one hour to …

The Guardian The Month Of September 2025, Wright State Student Body

The Guardian Student Newspaper

News articles from The Guardian for the Month of September 2025. The Guardian is the official student-run newspaper for Wright State University. It has been published regularly since March of 1965.

The End Of International Migration? The Case Of North America, David Swanson, Jeff Tayman

Publications, Reports and Presentations

Although there are exceptions (forced migration and retirement migration, for example), international migration is largely driven by people of working age. Population forecasts to the year 2100 show that the numbers of people of working age (20-64) will diminish in North America (Canada, Mexico, and the United States), and dramatically diminish among those of the younger working ages (20-34 and 35-44). Underlying this expectation is the fact that North America, like the world as a whole, will have completed the demographic transition or be very close to completing it within 75 years, which means this region of the world will …

Bridging Borders: Navigating The Tapestry Of Multiculturalism And Migration, Saba Safdar

Online Readings in Psychology and Culture

This paper is based on a keynote delivered at the International Association for Cross-Cultural Psychology (IACCP) conference in Bali, Indonesia, in August 2024. It explores key themes related to social cohesion and inclusive intergroup relations in an era of rising global migration, exclusionary political rhetoric, and the surge of right-wing populism. First, the Multidimensional Individual Difference Acculturation (MIDA) model is reviewed. This framework examines how psychological resilience, social support, identity, cultural competence, and acculturation strategies influence adaptation outcomes across diverse migration contexts. Second, the interaction between individual and societal factors in shaping immigrant adaptation is analysed through empirical studies testing …