Digital Commons Network^™

Validity And Reliability Of The Tampa Scale For Kinesiophobia For Adolescents With Heart Disease., David A. White, William R. Black, Emily Cramer, Lindsey Malloy-Walton, Mollie Walton, Laura Martis, Brandy Enneking, Kelli M. Teson, Jessica S. Watson, Jami Gross-Toalson

Manuscripts, Articles, Book Chapters and Other Papers

PURPOSE: To assess the validity and reliability of a newly adapted Tampa Scale for KP for adolescents with HD (TSK-Heart-A).

METHODS: The TSK-Heart-A survey consists of 17 Likert scale items, producing a summary score (SS) ranging from 17 (low KP) to 68 (high KP). Following content and face validity, adolescents (age 12-18 yr) with arrhythmia disorders or Fontan palliation were recruited. The PROMIS pediatric anxiety and depression short forms, Pediatric Quality of Life Inventory (PedsQL) generic core and cardiac module, and a PA questionnaire for adolescents (PAQ-A) were used for criterion validity. The TSK-Heart-A was completed twice (20.4 ± 6.3 …

Glp-1 Agonists For Pediatric Psychopharmacology: Opportunities And Cautions., Michael Bartkoski, Ethan Poweleit, Stephani L. Stancil

Manuscripts, Articles, Book Chapters and Other Papers

Glucagon-like peptide-1 agonists (GLP-1A) are increasingly prescribed to treat obesity and type 2 diabetes mellitus in children and adolescents. Emerging evidence suggesting neuropsychiatric effects presents an opportunity for pediatric psychopharmacology but requires careful consideration of potential adverse effects and risk of misuse. This perspective examines potential applications and cautions surrounding GLP-1As for pediatric mental health, particularly substance use, depression, and eating disorders, and advocates for research and clinical monitoring to ensure their safety and efficacy.

"Sex Out Of Boredom": Key Stakeholders' Perspectives On Teen Pregnancy Prevention In Emerging Immigrant Latino Rural Communities., Romina Barral, J Dennis Fortenberry, Astrid Guerrero Avitia, Mariana Ramirez, Abbey R. Masonbrink, Claire D. Brindis

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Teen pregnancy (TP) rates are 1.5 times higher among Latina youth than the United States national average and one-third times higher in rural counties. The Socio-Ecological framework recognizes the myriad of issues that impact TP, including four bidirectional levels of influence on teenagers' behaviors: macro, community, institutional, and interpersonal levels. We aim to fill critical knowledge gaps regarding the influence of key community stakeholders living in rural, Latino-majority communities shaping Latino/a, immigrant adolescents' TP-related environments.

METHODS: A purposive sample of 48 key stakeholders was drawn from three rural counties (Finney, Ford, and Seward) in southwestern Kansas from 2016 to …

Antiviral Prescription In Children With Influenza In Us Emergency Departments: New Vaccine Surveillance Network (Nvsn), 2016-2020., Tess Stopczynski, Justin Z. Amarin, James W. Antoon, Olla Hamdan, Laura S. Stewart, James Chappell, Andrew J. Spieker, Eileen J. Klein, Janet A. Englund, Geoffrey A. Weinberg, Peter G. Szilagyi, John V. Williams, Marian G. Michaels, Julie A. Boom, Leila C. Sahni, Mary Allen Staat, Elizabeth P. Schlaudecker, Jennifer E. Schuster, Rangaraj Selvarangan, Christopher J. Harrison, Heidi L. Moline, Ariana P. Toepfer, Angela P. Campbell, Samantha M. Olson, Natasha B. Halasa

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Influenza contributes to a high burden of pediatric emergency department (ED) visits annually. Guidelines recommend outpatient antiviral treatment for children at higher risk of severe influenza and recommend considering treatment for those who present within 2 days of symptom onset. We describe antiviral prescription in children with influenza presenting to the ED.

METHODS: We analyzed data from the New Vaccine Surveillance Network (2016-2020), including children presenting to the ED and enrolled with confirmed influenza at one of seven pediatric academic centers. We compared characteristics of children prescribed antivirals to those who were not, using generalized estimating equations models to …

Cardiovascular And Thromboembolic Events In Children And Adults With Glomerular Disease: Findings From The Cure Glomerulonephropathy (Curegn) Network., Shikha Wadhwani, Sarah A. Mansfield, Abigail R. Smith, Bruce M. Robinson, Eman Abdelghani, Amira Al-Uzri, Isa F. Ashoor, Sharon M. Bartosh, Aftab S. Chishti, Salim S. Hayek, Michelle A. Hladunewich, Bryce A. Kerlin, Siddharth S. Madapoosi, Laura H. Mariani, Amy K. Mottl, Michelle N. Rheault, Michelle M. O'Shaughnessy, Christopher John Sperati, Tarak Srivastava, David T. Selewski, Chia-Shi Wang, Craig S. Wong, Donald J. Weaver, Myda Khalid, Glomerulonephropathy (Curegn) Study Consortium

Manuscripts, Articles, Book Chapters and Other Papers

RATIONALE & OBJECTIVE: Cardiovascular (CV) and thromboembolic (TE) events are known complications of glomerular disease (GD), but their incidence and risk factors are poorly characterized. This analysis describes CV and TE outcomes in the Cure GlomeruloNephropathy (CureGN) Network.

STUDY DESIGN: Prospective cohort study.

SETTING & PARTICIPANTS: CureGN is a prospective cohort study of children and adults with biopsy-proven minimal change disease (MCD), focal segmental glomerulosclerosis (FSGS), membranous nephropathy (MN), or IgA nephropathy (IgAN)/vasculitis (IgAV). Data from 2,545 children and adults (23% MCD, 23% MN, 25% FSGS, 29% IgAN/IgAV) was analyzed.

EXPOSURE: Estimated glomerular filtration rate (eGFR), proteinuria, serum albumin, tobacco …

The Alpl Gene Variant Project: Results Of The First 100 Reclassified Variants., Mariam R. Farman, Theodora Malli, Catherine Rehder, Gerald Webersinke, Cheryl Rockman-Greenberg, Kathryn Dahir, Gabriel Á. Martos-Moreno, Agnès Linglart, Keiichi Ozono, Lothar Seefried, Guillermo Del Angel, Francesca Barbazza, Sara Shojaei, Jessica Ebner-Jahn, Florian Högler, Erica B. Nading, Erin Huggins, Eric T. Rush, Ahmed El-Gazzar, Josephine T. Tauer, Priya S. Kishnani, Wolfgang Högler

Manuscripts, Articles, Book Chapters and Other Papers

Hypophosphatasia (HPP) is an inherited disorder that affects bone and tooth mineralization, among other body systems. HPP is caused by pathogenic variants in the alkaline phosphatase-liver (ALPL) gene, which encodes tissue nonspecific alkaline phosphatase. One major challenge in diagnosing HPP is interpreting variant of uncertain significance (VUS), which can create uncertainty for patients and healthcare professionals, leading to delays in diagnosis and treatment or incorrect diagnoses. Since February 2021, the ALPLgene variant consortium has reclassified 100 VUS using adjusted American College of Medical Genetics/Association for Molecular Pathology criteria. Of these, 11 were reclassified as pathogenic, 62 as …

Postoperative Caregiver Decision Regret Following Velopharyngeal Dysfunction Surgery., Rohit Nallani, Nathan Farrokhian, Meghan Tracy, Kevin J. Sykes, Jill M. Arganbright

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Decision regret (DR) is a powerful factor in medical decision-making, particularly for surgical decisions which carry multiple risks, impact quality of life (QOL), and have uncertain outcomes. While prior studies have investigated caregiver DR after tonsillectomy and otologic surgery, there is a paucity of data assessing DR following pediatric otolaryngology procedures. The aim of this study is to measure DR following velopharyngeal dysfunction (VPD) surgery.

METHODS: A cross-sectional survey study with chart review was performed of caregivers of children who had VPD surgery performed by a single surgeon at a tertiary children's hospital. Demographic, medical, and surgical history were …

Nationwide Survey Of Clinical Practice Patterns In Point-Of-Care Ultrasound Use In Emergency Departments, Yan-Rong Ho, Hung-Mei Chen, Su Weng Chau, Hua Li, Chien-Yu Liao, Yi-Kung Lee, Wan-Ching Lien, Tou-Yuan Tsai

Journal of Medical Education

Background: Point-of-care ultrasound (POCUS) is widely used in emergency medicine (EM), but trends in familiarity and training needs in Taiwan remain unclear. This study aimed to assess trends in POCUS familiarity among EM physicians in Taiwan. Methods: This nationwide, questionnaire-based descriptive study was conducted in Taiwan during 2019 and 2023. EM physicians actively practicing in emergency departments were surveyed; those not practicing emergency medicine were excluded. The questionnaire evaluated demographic characteristics, overall POCUS familiarity using a 10-point scale, most familiar core emergency applications, and least familiar applications. Descriptive statistics summarized data, with Likert scale responses reported as medians with interquartile …

Nationwide Implementation And Stakeholder Perceptions Of Taiwan's Publicly Funded Medical Education Program: A Cross-Sectional Survey, Cheng-Heng Liu, Chih-Wei Yang, Hann-Shyan Hwang, Wang-Huei Sheng, Yen-Hsuan Ni, Shan-Chwen Chang, Taiwan Publicly Funded Medical Education Program Development Task Force

Journal of Medical Education

Background: Taiwan's Publicly Funded Medical Education Program (PFMEP), launched in 1975, aimed to address urban-rural healthcare disparities. Due to limited physician retention in underserved areas, a revised second-generation program was introduced in 2016 to enhance rural workforce sustainability. Objective: This study assessed attitudes and professional identities of publicly funded medical students and their mentors four years after implementing the second-generation PFMEP, identifying gaps and providing feedback for program improvement. Methods: A nationwide cross-sectional survey examined stakeholder perceptions using a structured questionnaire covering workforce demand/career planning, clinical practice in underserved areas, and perceived program effectiveness. The survey was distributed to students …

Factors Influencing Medical University Students' Emotions And Infection Prevention Behaviors Amid The Spread Of Covid-19: Analysis From A Social Network Perspective, Jian-Jhou Chen, Peih-Ying Lu

Journal of Medical Education

Background: By adopting a social network perspective, we estimated the impact of the extent of information dissemination and exchange on the emotions and behaviors of medical university students during the COVID-19 epidemic. Methods: Students from a medical university in southern Taiwan were selected through stratified sampling. From October 5 to October 11, 2020, a survey was conducted using a self-developed COVID-19 Response Assessment Scale. A total of 1,162 valid responses were collected. Results: Higher frequencies of information acquisition from social networks or news media and information exchange with others in social networks were associated with higher levels of worries regarding …

The Feasibility Of A Concise Online Anatomical Atlas For Nonmedical / Dental Healthcare Profession Education, Ming-Fong Chang, Chi-Chuan Yeh, June-Horng Lue, Chung-Liang Chien, Shu-Hao Hsu, Meng-Lin Liao

Journal of Medical Education

The web-based anatomical atlas of the National Taiwan University (NTU-WAA) was established in response to the reduction in teaching hours and reported to enhance the anatomy learning of nursing students. This study aimed to further analyze the use time over the entire semester and explore the learning outcomes of a large-scale cohort of students from seven nonmedical/dental healthcare professions using the NTU-WAA for their anatomy learning. The anatomy scores of lecture and laboratory examinations and questionnaires from 222 students were collected and analyzed. Participants were categorized into subgroups based on their self-report use time on NTU-WAA: less than 1 hour …

A Consensus-Building Approach To Improve Inter-Rater Reliability In Osce Evaluations By Nutrition Teachers, Li Chun Hsieh, Chia Yi Lin, Hsing Chun Lin, Chao Yen Huang

Journal of Medical Education

Background: Inter-rater inconsistencies in OSCE scoring among trained nutrition teachers may compromise the reliability of assessments and the quality of teaching. Objectives: This study aimed to develop a simulation-based consensus training approach as a faculty development strategy to enhance inter-rater reliability among clinical nutrition teachers. Methods: Twelve teachers independently evaluated an OSCE video before and after a structured training process using high-fidelity simulation videos embedded with deliberate errors. Raters engaged in guided consensus-building discussions to align scoring criteria. Interrater agreement was measured using Kendall's coefficient of concordance (W). Results: The inter-rater agreement improved from moderate (W = 0.461) to substantial …

Research Nexus : Volume 26 - 2025, Office Of Research And Graduate Studies

Office of Research and Graduate Studies

• Researcher Spotlight
• AKU joins UN Academic Impact Network
• Research Townhalls: Listening, Learning, and Looking Ahead
• Call for Applications: Last Mile Travel Awards – Round 3
• Capacity Building Initiatives
• Balancing the Load: Strategies for Pre and Post Award Management
• Promoting Research Integrity
• Strengthening Grant Support: Training for Research Administrators
• The Collective Spark: AKU Academic Entities
• Newborn Infections: Can Home Treatment Be Just as Safe?
• From Data to Impact: Advancing Injury Research Capacity in Kenya

Arkansas Corn And Grain Sorghum Research Studies 2024, Jason Kelley, Travis Faske

Arkansas Agricultural Experiment Station Research Series

The 2024 edition of the Arkansas Corn and Grain Sorghum Research Studies Series includes research results on topics pertaining to corn and grain sorghum production, including weed, disease, nematode, and insect management; economics; irrigation; agronomics; soil fertility; drone use; and research verification program results.

Our objective is to capture and broadly distribute the results of research projects funded by the Arkansas Corn and Grain Sorghum Board. The intended audience includes producers and their advisors, current investigators, and future researchers. The Series serves as a citable archive of research results.

The reports inform and guide our long-term recommendations, but should not …

Understanding Gender Differences In Digital Readiness During Digital Transformation In Accounting Functions: Accounting Professionals’ Perspective, Benjamin Lee, Clarence Goh, Gary Pan, Poh-Sun Seow

Research Collection School Of Accountancy

Research aims: To examine gender differences in digital readiness during digital transformation in accounting functions, addressing a knowledge gap in current accounting literature. Design/Methodology/Approach: Survey of 297 accounting professionals (180 men, 117 women) with 27 questions on digital readiness perceptions, analysed using exploratory factor analysis and one-way analysis of variance (ANOVA) tests. Research findings: Women exhibited higher overall digital readiness than men, particularly feeling more empowered by senior management and better equipped to continue job tasks during digital transformation. No gender differences were found in perceptions of knowledge and skills, barriers, or organisational strategy. Theoretical contribution/Originality: Challenges traditional stereotypes about …

The Impact Of Perceived Social Support On Postpartum Depression: The Mediating Role Of Psychological Capital And Sense Of Coherence, Hana K. Aman

psychology

Background: The relationship between postpartum depression and social support is highly supported in research. However, few studies investigated the factors that could intervene with this relationship. The purpose of this research is to investigate how psychological capital (PsyCap) and sense of coherence (SOC) can mediate the relationship between perceived social support (PSS) and postpartum depression. Methods: This study analysed data from 217 postpartum women with age range between 25-41(M= 30.12, SD= 3.65). The sample was recruited from public and private hospitals and obstetrics/gynaecology and paediatric clinics in Cairo, Egypt. Data was collected using Arabic versions of the Edinburgh Postnatal Depression …

Incidental Finding Of An Infarcted Epiploic Appendage Attached To The Sigmoid Colon, Ifeanyi K. Uche, Alec A. Hirsch

School of Medicine Faculty Publications

Background: Epiploic appendagitis is a condition usually caused by infarction of the epiploic appendages, small outpouchings of adipose tissue found on the serosal surface of the colon. Epiploic appendagitis is a rare cause of acute lower abdominal pain, but the condition does not have any specific presenting clinical features and is often misdiagnosed as acute diverticulitis, appendicitis, or other gastrointestinal disorder. Case Report: A 53-year-old female presented with abnormal uterine bleeding and pelvic pain and was seeking definitive surgical management. During the patient’s total laparoscopic hysterectomy with bilateral salpingo-oophorectomy, an infarcted epiploic appendage attached to the sigmoid colon was found. …

Daughters Left Behind: How Trade Liberalization Harms Girls In China When Government Restricts Migration, Xuwen Gao, Wenquan Liang, Ahmed Mushfiq Mobarak, Ran Song

Discussion Papers

China’s accession to the WTO created new economic opportunities in certain cities. A shiftshare identification strategy shows that residents of adjacent rural areas migrated in and advanced economically. Longitudinal panel data on children reveals that their sons benefit, but counter-intuitively, daughters suffer worse mental and physical health, complete fewer years of schooling, and remain poor later in life. We explore why, and learn that hukou policy that restricts migrant children’s access to urban public schools is a factor. Triple difference research designs reveal that migrant parents become discontinuously more likely to leave daughters (but not sons) behind in rural areas …

Understanding Teacher Attrition In Nebraska: A Quantitative Approach Using Markov Chains And Graph Theory, Md Tahidul Islam

Mathematics Theses, Dissertations, Research and Student Creative Activity

Teacher attrition is a growing concern in Nebraska, particularly in rural and high-need districts where staffing challenges are most acute. This study applies a hybrid approach combining Markov Chain modeling and Graph Theory to analyze over three decades of longitudinal employment data from the Nebraska Department of Education. A discrete-time Markov model is used to estimate transition probabilities between roles such as Teacher, Administrator, and Exit, revealing high attrition risks among early-career educators and paraprofessionals. To complement this, a directed weighted graph is constructed to examine the structural properties of role transitions using centrality, clustering, and entropy metrics. Results show …

Bridging The Policy Gap: A Critical Autoethnography Of Asylum Accompaniment, Amanda Heffernan, Audrey Hudgins

International Studies Faculty Scholarship

Unlike refugees, most asylum-seekers receive scant attention from US government and non-profit agencies. A loose network of individuals and organizations aims to bridge this gap in policy and services through the practice of asylum accompaniment. This article, by two scholar-activists with a combined 10 years of experience accompanying asylum-seekers, aims to:

• Explore the praxis of asylum accompaniment via critical autoethnography, using our accompaniment narratives to illuminate the dynamics of accompaniment relationships, including the profound mutual benefits of this type of engagement and the complexities of social and political power, privilege, and access
• Propose policy solutions that emerge from critical reflection …

A Word From The Writing Team (June 2025), Pam Walter, Mfa, Hemma Murali, Ms

A Word From the Writing Team (Newsletter)

This issue includes:

• Spotlight on Hemma
• Publications Spotlight
• Register for the 17th Annual Jefferson Faculty Days – June 4th and 5th
• Join the Summer Writing Warriors
• Check out the Instructional Design Team’s Podcast, The Learning Curve!
• Looking for Your Next Read?
• Two Ways to Fund Open Access Fees

From Human Mapping To Machine Embedding: Uncovering Key Legal Drivers And Deterrents Of Isds Filing Frequencies, Sangchul Park

Chicago Journal of International Law

International investment agreements (IIAs), while intended to prop cross-border investment, have faced persistent criticism for potentially undermining the regulatory sovereignty of developing countries. Various mechanisms have been proposed as alternatives to traditional bilateral investment treaty (BIT) models, often with the goal of curbing investor-state dispute settlement (ISDS) filings. While existing research has uncovered the impact of nonlegal factors, such as macroeconomic crises, little has been done to systematically examine how legal provisions in either major model BITs or ISDS reform toolboxes influence ISDS filing patterns. To address this gap, this Article analyzes the interplay between (i) legal texts of 2,148 …

Interplanetary Risk Regulation, Jonathan B. Wiener, Charles (Chase) Hamilton

Chicago Journal of International Law

Space exploration promises new opportunities but also new risks. After centuries of national settlements and international conflicts on Earth, and the Cold War era of two great power states racing to the Moon, today we see a rapidly proliferating arena of actors, both governmental and non-governmental, undertaking bold new ventures off-Earth while posing an array of new risks. These multiple activities, actors, and risks raise the prospects of regulatory gaps, costs, conflicts, and complexities that warrant reconsideration and renovation of legacy legal regimes such as the international space law agreements. New approaches are needed, beyond current national and international law, …

False Criminalization And The Erosion Of Community Equity, Deborah N. Archer, Daniel S. Harawa

North Carolina Law Review

No abstract provided.

Facial Recognition Ai, Margaret Hu

North Carolina Law Review

No abstract provided.

Concordia Seminary Magazine Spring 2025, Vicki Biggs

Concordia Seminary Magazine

Behold I am Doing a New Thing

Multiple Myeloma Presenting As An Ill-Defined Osteolytic Lesion Of The Mandibular Condyle: A Case Report And Literature Review, Connor Capobianco, Mariella Padilla, Jungsuk Cho, Lauren Levi

Department of Oral and Maxillofacial Surgery Faculty Papers

Osteolytic lesions of the mandibular condyle can represent a diverse range of differential diagnoses, including malignancies such as metastatic disease, Langerhans cell histiocytosis (LCH), osteosarcoma, chondrosarcoma, and multiple myeloma. This case report details a 40-year-old male with a 3-year history of right temporomandibular joint (TMJ) pain, initially misdiagnosed as temporomandibular disorder. Comprehensive imaging studies, including cone beam computed tomography (CBCT), maxillofacial computed tomography (CT), and brain magnetic resonance imaging (MRI), revealed extensive osteolytic lesions in the mandible, frontal bone, and cervical spine. A CT-guided biopsy confirmed the presence of a plasma cell neoplasm, leading to the diagnosis of multiple myeloma. …

Morphological Variation And Change In The Lateral Ventricles And Caudate Nucleus Across Schizophrenia Types: A Metric Analysis, Devin Venezia

PCOM Biomedical Studies Student Scholarship

Schizophrenia is a complex neurodevelopmental disorder that alters cognitive function, perception, and behavior. The disorder affects one percent of the global population and is characterized by symptoms such as hallucinations, delusions, disorganized speech, cognitive function, and emotional expression (Hany et al., 2024). While previous research involves three-dimensional (3D) renderings of subcortical structures that demonstrate schizophrenic-specific morphology (Narr et al., 2001; Zhang et al., 2023), the variation expressed by different schizophrenia subtypes require greater focus. This research study explores the structural variations in the lateral ventricles and the caudate nucleus across different schizophrenia subtypes, emphasizing potential sexbased differences. This study hypothesized …

Volume 10 Issue 10 (June 1912)

The Soul Winner

No abstract provided.

Graduate School Blog - June 2025, Cynthia Haynes

UofM Grad School Blog

The June 2025 edition of the UofM Graduate School Blog helps prospective and current students make informed financial decisions with Part 1 of the Graduate School Cost Guide, breaking down tuition structures such as per-credit hour versus flat-rate models, highlighting UofM’s tuition cap for in-state students, and explaining key university fees and cost differences between online and on-campus formats. The blog also features Brianna Reilly, a Doctor of Musical Arts graduate from New York, who shares how a graduate assistantship and her passion for music education led her to continue at UofM through the pandemic. Additional resources include an …