Digital Commons Network^™

Fall Prevention, Alicia Frasier Rn, Paige Sperry Rn, Heather Tozier Rn

Nurse Residency

In elderly patients (P), does education of fall prevention (I) compared to bed/chair alarms (C) reduce falls.

The Implementation Of Q2 Turns Compared To Air Mattresses For Hapi Prevention In Adult Medical Surgical Patients Over The Course Of Their Stay, Elizabeth Mchugo Rn, Lily Fifield Rn

Nurse Residency

How does the implementation of q 2 turns compare to air mattresses for preventing HAPIs in adult medical surgical patients over the course of their stay?

Does Apply Boarder Foam Dressings Decrease Hapi In High-Risk Patients In The Acute Care Setting, Felicia Burton Rn, Kathryn Twombly Rn, Amanda Ring Rn

Nurse Residency

Does applying border foam dressings (i.e.mepilex dressings) to patients at risk for skin breakdown prevent pressure injuries and skin breakdown during a patient's hospital stay?

Acute Intermittent Hypoxia And Acute Intermittent Hypercapnic Hypoxia Elicit Cortico-Diaphragmatic Plasticity In People With Chronic Spinal Cord Injury, Alysha Bogard, Michela Mir, Tommy Sutor, Jessica Dunn, Kathryn Cavka, Arian Vistamehr, Hannah Snyder, Joseph Welch, Jayakrishnan Nair, Gina Brunetti, Gordon Mitchell, Emily Fox

Department of Physical Therapy Faculty Papers

Respiratory impairment is a leading cause of morbidity and mortality after spinal cord injury (SCI), highlighting the need for interventions that improve breathing function. In people with SCI, acute intermittent hypoxia (AIH) elicits respiratory motor plasticity and improves inspiratory function. However, in uninjured people facilitation of corticospinal diaphragm motor evoked potential (MEP) amplitude occurs only when AIH is combined with mild hypercapnia (acute intermittent hypercapnic hypoxia; AIHH). It remains unclear whether AIHH similarly enhances diaphragm corticospinal excitability after SCI. We tested the hypothesis that AIHH increases diaphragm MEP amplitude and reduces MEP onset latency in individuals with chronic SCI, whereas …

Cerebrovascular Risk With Calcitonin Gene-Related Peptide Monoclonal Antibodies Versus Onabotulinumtoxina In Patients With Migraine: A Real-World Pharmacoepidemiologic Study In The National Institutes Of Health All Of Us Research Program, Sedat Gül, Bradley Ong, Stephen Trudeau, Nicolas Thompson, Hsiangkuo Yuan

Department of Jefferson Headache Center Papers and Presentations

AimTo evaluate whether initiation of calcitonin gene-related peptide (CGRP) monoclonal antibodies (mAbs) was non-inferior to initiation of onabotulinumtoxinA with respect to the hazard of ischemic stroke or transient ischemic attack (IS + TIA) in a real-world cohort of adults with migraine.MethodsWe conducted a retrospective, active-comparator, new-user pharmacoepidemiology study using the NIH All of Us Research Program Registered Tier Dataset (v8). Adults with migraine initiating CGRP mAbs (erenumab, fremanezumab, galcanezumab, eptinezumab) were compared with initiators of onabotulinumtoxinA from January 2018 through September 2023. The primary outcome was IS + TIA occurring more than 90 days after treatment initiation. Inverse probability of …

Assessing Natural Lighting In Historic School Buildings In Algeria: A Simulation-Based Design Perspective, Nesma Fercha, Akila Benbouaziz, Djamel Alkama

Iraqi Journal of Architecture and Planning

This study evaluates daylighting performance in a primary school classroom in Ain M'lila, Algeria, combining field measurements with advanced simulation. A representative classroom was modeled in DIVA-for-Rhino using accurate geometric, material, and climatic data. Illuminance measurements were taken on 28 March 2022 at 09:30, 11:30, and 14:30, and the results were compared with simulation results. The comparison showed good agreement, with minor discrepancies in shaded areas, confirming model reliability through mean squared error (MSE) and root mean squared error (RMSE) analyses. Five design scenarios were tested to enhance daylight performance by varying glazing type, louvre geometry, and surface reflectance. Spatial …

The Impact Of Perceived Sustainable Design Characteristics On Enhancing Well-Being In Residential Environments: An Empirical Study, Zainab Ibrahim Abass

Iraqi Journal of Architecture and Planning

Creating a sustainable living environment is crucial to improving well-being and reducing stress among urban populations, particularly through architecture, urban planning, and public health research. The growing importance of environmental sustainability for human health is limited by current empirical research on the impact of sustainable housing on well-being, due to insufficient conceptualisation and assessment of the perceived attributes of the residential environment. This study aims to examine the potential impact of perceived sustainable design characteristics on well-being using both quantitative and qualitative indicators to establish criteria for examining residents' views on sustainability attributes. Data were collected from high-density housing areas …

Multi-Parameter Assessment Of Land Degradation Vulnerability In Ranya And Pshdar Regions Using Geospatial Techniques, Kaifi Chomani

Iraqi Journal of Architecture and Planning

Land degradation poses a significant threat to the stability of the ecological and socio-environmental characteristics of the Ranya and Pshdar (RP) region in the Kurdistan Region of Iraq (KRI). The fragile environmental and physical dynamics of the RP regions make it considerably vulnerable to land degradation. This study integrates remote sensing, Geographic Information Systems (GIS), and the Analytic Hierarchy Process (AHP) to address this issue, as these techniques provide a robust framework for mapping land degradation vulnerability in the RP regions of the Kurdistan Region of Iraq (KRI). Ten critical environmental and physical parameters were analyzed and considered to model …

The Impacts Of Urbanisation On Housing And Infrastructure In Nigeria: Implications For Environmental Sustainability, Nathan Udoinyang, Reuben Daniel, Johnson Aborivwighre Iteku, Edna Abibetu Abidde, Salami Hope E, Violet Abieyuwa Imariagbontua, Okose Faith Nneka

Iraqi Journal of Architecture and Planning

This study employed a mixed-methods approach, combining quantitative and qualitative methods to collect and analyse data on urbanisation and its impact on housing and infrastructure in Nigeria. A survey of 400 households in urban areas of Nigeria was conducted, and in-depth interviews with key stakeholders, including government officials, urban planners, and community leaders, were held. Secondary data were also obtained from existing sources, such as the National Bureau of Statistics and the Federal Ministry of Works and Housing. The study found that urbanisation has led to a housing shortage, increased housing costs, and inadequate infrastructure development in Nigeria. It also …

Advanced Glass Between Technology & Ideology, Enas Salim Abdulahaad, Oday Abaas Abood

Iraqi Journal of Architecture and Planning

Advances in glass technology have radically transformed contemporary architecture, highlighting the research problem of ``The Ambiguity of Advanced Glass' Position in Twenty-First-Century Architecture.'' The research aims to uncover the transformation of advanced glass from a technological to an ideological dimension. The research hypothesizes that ``contemporary architecture has reshaped its relationship with humans, society, and nature through its use of advanced glass.'' The research adopts a descriptive and analytical methodology based on specialized literature and global and regional architectural practices, revealing the technical characteristics and symbolic meanings inherent in glass applications. The research concludes that contemporary architecture has redefined its relationship …

Innovations In Child-Friendly Walkway Design: A Comparative Study Of Urban Parks In Erbil, Sulaymaniyah, And Duhok, Ashna Abdulqader Hussein, Ameer Sulaiman Mohammed

Iraqi Journal of Architecture and Planning

The Urban Park walkways design significantly influences children's access, engagement, and safety in public parks, where design practices usually prioritize physical form over user experience. This study addresses the absence of a contextually informed framework for evaluating child-friendly walkway innovations in three urban parks: Sami Abdulrahman Park (Erbil), Azadi Park (Sulaymaniyah), and Azadi Park (Duhok). Using field observations, feature mapping, and interviews, the research evaluates walkways based on accessibility, engagement, and spatial design efficiency. Findings indicate that Erbil presents a multifunctional design, though it lacks tactile cues; Sulaymaniyah offers a natural aesthetic but limited engagement opportunities, and Duhok features smaller-scale …

Geospatial Assessment Of Urban Expansion And Green Area Decline In Karbala Using Machine Learning: Supporting The Achievement Of Sdgs, Doaa Taha Yaseen, Oday Zakariya Jasim

Iraqi Journal of Architecture and Planning

Urban sprawl is a major challenge to sustainable development. This research examines geospatial patterns of urban growth and vegetation cover reduction in the Karbala District between 2017 and 2024. Sentinel-2 satellite imagery classification using a Support Vector Machine (SVM) model was evaluated, and accuracy was assessed using confusion matrices and a comparative evaluation against the Esri Sentinel Land Cover dataset. The SVM approach provided better classification precision. The change-detection analysis shows that the conversion of green and cultivated lands into built-up areas is significant. Although there has been an expansion of pivot-irrigated areas in other districts of the Karbala Governorate, …

Understanding Bim Users' Perspectives On Ar-Bim In 3d Visualization And Modeling Reviews In Jordanian Aec Firms, Sadeer Hel Ajmi Al-Dhaimesh, Nooriati Taib, Syafizal Shahruddin, Zarik Jahan Boghossian

Iraqi Journal of Architecture and Planning

This study examines the perspectives of BIM users in Jordanian AEC firms on integrating Augmented Reality (AR) with Building Information Modeling (BIM) to improve 3D visualization and model review. A quantitative approach was employed through a structured questionnaire distributed to 37 BIM firms, which included 394 practitioners in Amman. The survey explored perceptions of AR-BIM benefits, focusing on spatial understanding, collaboration, and error reduction. Statistical analysis revealed a significant correlation between user categories and their views, suggesting that experience influences perceived value. Results highlight that AR-BIM integration enhances project efficiency and streamlines review workflows. The findings provide empirical evidence for …

Standardization Of Objectives And Response Criteria For Neoadjuvant Immunotherapy In Resectable Squamous Cell Carcinoma Of The Head And Neck, Carlo Resteghini, Athanassios Argiris, Pierre Blanchard, Irene Braña, Anna Maria Camarda, Anthony T. C. Chan, Robert Ferris, Vincent Gregoire, Kevin J. Harrington, Ingeborg Tinhofer, Senada Koljenović, Nancy Y. Lee, C. René Leemans, Jean-Pascal Machiels, Hisham Mehanna, Robert Metcalf, Brian O'Sullivan, Sjoukje Oosting, Ester Orlandi, Vinidh Paleri, Amanda Psyrri, Nabil F F. Saba, Sandra Schmitz, Christian Simon, Makoto Tahara, Vincent Vander Poorten, Milan Vošmik, Paolo Bossi

Department of Medical Oncology Faculty Papers

The management of locally-advanced, resectable head and neck squamous cell carcinoma (HNSCC) is undergoing a major shift driven by the integration of neoadjuvant immunotherapy (nIO). The rationale for nIO lies in its administration within an immunologically active, treatment-naïve microenvironment that enhances immune priming and anti-tumor response. Despite encouraging clinical data, including the pivotal KEYNOTE-689 trial and multiple phase II studies, methodological heterogeneity in trial design, endpoint definitions, and response criteria currently hampers data comparability and the establishment of new standards of care. This expert narrative review proposes a structured framework for standardizing clinical, pathologic, imaging, and translational endpoints in HNSCC …

Budget Fy 2026 - 2027, Swosu Administration

SWOSU Fiscal Year Budgets

No abstract provided.

July 2026, Swosu Rural Health Center

RURAL ROCKS

Rural Health Center

As we prepare to kick off our first semester in the new Jerry & Margaret Hodge College of Pharmacy and Rural Health Center, there is a lot to be excited about! It has been incredible to watch this vision become a reality, and we can't wait to welcome students, faculty, healthcare partners, and community members into a space designed to strengthen rural healthcare across western Oklahoma. The opportunities for collaboration, education, and innovation are endless, and we are especially looking forward to creating more hands-on learning experiences for our students while continuing to build strong partnerships that …

Interpretable Machine Learning Of Plasma Proteomics Reveals Stage-Specific Signatures Across The Alzheimer's Disease Continuum, Hemshankar Laugi

2026 Spring Honors Capstones Projects

Alzheimer’s pathology begins years before clinical symptoms, starting early with amyloid-β accumulation, followed by tau deposition and neurodegeneration. Although existing tools, such as cerebrospinal fluid (CSF) screening and PET/MRI imaging, can accurately track disease progression, they are invasive, expensive, and not scalable for population-level screening. So, there is a growing interest in using blood-based plasma biomarkers as a scalable alternative. While recent studies demonstrate strong predictive performance with plasma biomarkers, most rely on a small set of canonical blood-based protein biomarkers such as amyloid-β, p-tau, and neurofilament light. These biomarkers primarily reflect downstream brain pathology and may fail to capture …

Mapping Minority Investigative Powers In Congress, David Rapallo

Georgetown Law Faculty Publications and Other Works

“Shut down the Senate . . .” “Roll over and play dead . . .” In the first hundred days of President Donald Trump’s second term, these were the rallying cries of two far ends of a debate among Democrats about how to respond to the administration’s unprecedented actions. This debate, which rages on today, has been marked by a lack of specificity about the various oversight tools available to members of the minority party in Congress, particularly when they investigate whether the Executive Branch is faithfully executing the laws Congress passes. Scholarship too has focused little on the full …

Neoadjuvant Immunotherapy For Hepatocellular Carcinoma Is Associated With Improved Survival After Hepatectomy: A Matched Analysis Of The 2017 To 2022 National Cancer Database, Lawrence Chiang, Adam Bodzin, Daniel Lin, Nader Hanna, Scott Koeneman, Hien Dang, Charles J. Yeo, Christopher Shubert, R. Zheng

Department of Surgery Faculty Papers

Background: Effects of neoadjuvant immunotherapy (NIT) before liver resection are not well-described in hepatocellular carcinoma (HCC). Survival and R0 resection rates in HCC patients undergoing curative-intent resection with or without NIT were evaluated.

Methods: A retrospective study of stage I-III HCC patients undergoing hepatectomy from the 2017–2022 National Cancer Database was performed. Patients receiving NIT were exactly matched 1:3 to non-NIT patients by clinical stage. Primary outcomes were margin positivity, 30- and 90-day mortality, and overall survival.

Results: After matching 510 patients, 97 received NIT and 291 did not (non-NIT). Resections included segmental (178, 45.9%), lobar (149, 38.4%), and extended …

Perceptions Of Research Participation Among Underrepresented Groups: Insights Using Freelisting Methodology, Tamar Klaiman, Jasmine Silvestri, Emma Britez Ferrante, Dorothy Sheu, Adina Lieberman, Erich Dress, Modele Ogunniyi, Neal Dickert, Meghan Lane-Fall, Rosemary Frasso, Rachel Kohn

College of Population Health Faculty Papers

BACKGROUND: Low enrollment and retention in clinical research disproportionately impact Black, Hispanic or Latinx, women, and rural populations, undermining generalizability and perpetuating health disparities. However, few studies have compared mechanisms driving underrepresentation across populations. Freelisting is a qualitative methodology that elicits lists of terms, explores perspectives about domains, and identifies common themes within groups with shared characteristics; however, it has not been systematically applied to understand research participation across underrepresented populations.

OBJECTIVE: To explore perspectives on clinical research participation across underrepresented populations using freelisting methodology to ultimately inform culturally-responsive recruitment strategies.

METHODS: We conducted a web-based freelisting survey among adults …

Two Years Of Ocrelizumab Treatment In Black And Hispanic People With Multiple Sclerosis In Chimes: A Single-Arm Clinical Trial, Lilyana Amezcua, Anthony Reder, Evanthia Bernitsas, Nancy Monson, Timothy Vartanian, Gregory Wu, Mansoor Saleh, Annette Okai, Ahmed Obeidat, Dilraj Sokhi

Haematology and Oncology, East Africa

Objective To evaluate the effectiveness and safety of ocrelizumab in self-identified black and Hispanic people with relapsing multiple sclerosis.

Methods The Characterization of Ocrelizumab in Minorities with Multiple Sclerosis (CHIMES) trial, a prospective, open-label, single-arm, phase 4 study, intentionally recruited underrepresented populations in the US, Puerto Rico, and Kenya. Black and Hispanic people with relapsing multiple sclerosis aged 18–65 years with Expanded Disability Status Scale score 0–5.5 received ocrelizumab for 2 years. The primary endpoint was the proportion of participants with no evidence of disease activity in 3 components at week 48: protocol-defined relapse, 24-week confirmed disability progression, and disease …

Exploring Radiologic Imaging Techniques, Hilary Rondon, Tamatha Garman Rt, Cra

Research Scholars

No abstract provided.

Long-Term Outcomes And Symptom Response Following Hypofractionated Stereotactic Radiotherapy For Intracranial Meningioma, Ryan Shah, Bs, Nilanjan Haldar, Shray Jain, Lauren Holt, Sophia Shah, Hamail Iqbal, Anthony Chen, Christopher J. Farrell, Debanjan Haldar, James J. Evans, Gregory S. Alexander, Wenyin Shi

Department of Neurology Faculty Papers

Objective: Various radiation dosing regimens exist due to tumor size, location, and patient preference. This study evaluated the long-term outcomes of patients with benign meningiomas treated with hypofractionated stereotactic radiotherapy (SRT)at our institution.

Methods: This is a retrospective review of all patients diagnosed with meningioma at our institution who received hypofractionated SRT (5 fractions). Clinical data, including tumor location, size, prior treatments, demographics, radiation dosimetric information, tumor response, and survival were collected. Kaplan-Meier curves were used to assess local control (LC). Acute and late toxicities were evaluated. Patients were included for analysis if they had at least one post-treatment magnetic …

Transforaminal Endoscopic Lumbar Decompression: Defining Its Scope And Limitations, Kai-Uwe Lewandrowski, Álvaro Dowling, Jun Ho Lee, Benedikt W Burkhardt, Óscar L. Alves, Avelino Parajón, Jorge Felippe Ramirez, Nicola Montemurro, Alex R. Vaccaro, Morgan P. Lorio

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Transforaminal endoscopic lumbar decompression (TELD) has emerged as a minimally invasive alternative for managing lumbar stenosis and disc herniations. While the literature consistently reports favorable outcomes, real-world adoption remains variable, with discrepancies often linked to surgeon experience and case complexity.

OBJECTIVE: To evaluate surgeon perspectives on the clinical applicability of TELD across different pathologies and compare these findings with published evidence.

METHODS: An international cross-sectional survey was conducted among spine surgeons. Responses were analyzed using Rasch modeling to assess consensus levels, with agreement categorized as strong, moderate, weak, or disagreement. Differential Item Functioning (DIF) and correlation analyses were applied …

Myelomalacia Severity On Preoperative Magnetic Resonance Imaging Does Not Predict Patient-Reported Outcomes After Anterior Cervical Discectomy And Fusion, Mitchell K. Ng, Joshua Mathew, Robert J. Oris, Yulia Lee, Jonathan Dalton, Gregorio Baek, Ashley Thommana, William A. Green, Yasmine Eichbaum, Morgan Hitchner, Brandon Martinazzi, Ali Farooqi, Alec Giakas, Paul Gunter, Vinay Bijoor, Andrew Vanchikorn, John J. Mangan, David I. Kaye, Mark F. Kurd, Thomas Cha, Jose A Canseco, Alan S. Hilibrand, Alexander R. Vaccaro, Christopher K. Kepler, Gregory D. Schroeder

Department of Orthopaedic Surgery Faculty Papers

STUDY DESIGN/SETTING: Retrospective cohort study.

BACKGROUND: Signal changes within the spinal cord on magnetic resonance imaging (MRI) or myelomalacia, are frequently seen in patients with cervical myelopathy. While often assumed to predict the outcomes, their prognostic value remains uncertain. Therefore, this study aimed to: (1) describe the clinical characteristics of patients with myelomalacia undergoing Anterior cervical discectomy and fusion (ACDF); (2) evaluate whether MRI findings correlate with patient-reported outcomes (PROMs); and (3) determine whether morphology predict recovery.

METHODS: A retrospective review at a single tertiary care center was performed (2014-2021). Patients were included if they underwent a primary elective ACDF …

Examining The Relationship Between Trauma-Informed Safety Drill Practices And School-Level Chronic Absenteeism In Maine Secondary Schools, Tina Nightingale

Dissertations

School safety practices can influence students' perceptions of safety, emotional well-being, and engagement in the educational environment; however, limited research has examined whether trauma-informed safety drill practices are associated with measurable educational outcomes. The purpose of this quantitative, non-experimental, correlational study was to examine the relationship between trauma-informed safety drill practices and school-level chronic absenteeism in Maine middle and high schools. Guided by trauma-informed care, adolescent neurodevelopment, and Protection Motivation Theory, the study investigated whether higher levels of trauma-informed implementation of safety drills, as measured by the Trauma-Informed Safety Drill Practices Index (TISDPI), were associated with lower rates of chronic …

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

Understanding Chronic Bodily Pain Across Multisystemic Illnesses: A Comparative Analysis Using Exploratory Factor Analysis And Invariance Testing, Suvetha Ravichandran

Theses and Dissertations from DePaul University

Chronic pain is a debilitating symptom that often remains under-researched and poorly treated, particularly for those with multisystemic conditions. This study explored the shared and distinct experiences of chronic bodily pain across four multisystemic illnesses: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), Multiple Sclerosis (MS), Post-Polio Syndrome (PPS), and Long COVID. Comparative exploratory factor analysis (EFA) and invariance testing were used to examine commonalities and differences in underlying pain experiences for those with the above diagnoses as well as healthy controls based on their responses to pain items from the DePaul Symptom Questionnaire-1 (DSQ-1). A total of 3,724 participants were included: 2,403 …

Analysis Of Clinical Health Worker Notes With Explainable Artificial Intelligence For A Better Perspective In Preventing Readmission, Christopher Scott Klimp

Theses and Dissertations from DePaul University

Emergency Department (ED) readmissions remain a major challenge for healthcare systems, affecting both patient care quality and financial costs. Most prediction models depend largely on structured data from clinical tools that assign points to a small set of predefined factors – such as comorbidities, previous hospital visits, and behaviors such as smoking and drinking – and then sum those points to produce an overall risk score. These point-based tools leave out important information from Social Determinants of Health and a wealth of information from Community Health Workers (Community health workers (CHWs), trusted members of a community who help connect people …

Procedural Justice And Instructional Alignment In Body-Worn Camera Policies: A Comparative Policy Analysis Of Large U.S. Urban Police Departments, Michael A. O'Connor

Theses and Dissertations from DePaul University

This study examined how written Body-Worn Camera (BWC) policies in large U.S. urban police departments operationalize Procedural Justice (PJ) through instructional alignment and how those policies shape expectations for officer training. Policy analysis showed that all departments required BWC activation during key encounters such as traffic stops and arrests and included some form of supervisory review. However, substantial variation existed in policies governing data retention, citizen notification, pre-report viewing safeguards and documentation requirements, and disciplinary guidance. These inconsistencies were most evident in the PJ dimensions of neutrality and voice, particularly where policies permitted pre-report viewing without consistent documentation requirements and …