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Articles 48361 - 48390 of 1738424
Full-Text Articles in Entire DC Network
Community Resilience Drives Change, Claudia Rose Dilima
Community Resilience Drives Change, Claudia Rose Dilima
Graduate Theses, Dissertations, and Problem Reports (ETD)
The opioid crisis has impacted many Americans. From 1999 to 2023, approximately 800,000 people have died due to opioid overdose (CDC, 2025). What began as overprescription of painkillers has evolved into a complex social health issue that is now worsened by stronger synthetic drugs like fentanyl. Fentanyl and fentanyl analogs (synthetic opioids that are very similar chemically to fentanyl) are often found in illegal drug supplies and in counterfeit pills (CDC, 2025). Thus, individuals who might have been initially overprescribed painkillers might now be pushed toward illegally produced drugs that are significantly more potent than what they were originally prescribed. …
Utilizing Plethodontid Occupancy To Assess Initial Ecosystem Responses To Invasive Plant Control Treatment In The Central Hardwoods, Maree Guinevere Dieterich
Utilizing Plethodontid Occupancy To Assess Initial Ecosystem Responses To Invasive Plant Control Treatment In The Central Hardwoods, Maree Guinevere Dieterich
Graduate Theses, Dissertations, and Problem Reports (ETD)
Invasive plants are a growing concern for land managers, impacting ecosystem resilience and outcompeting native vegetation. To combat this, invasive plant control treatments can assist in reducing the impacts and spread of damaging, non-native plant species. However, intensive treatments completed at large scales have the potential to negatively impact ecosystem services as well. To monitor these impacts, I utilized a well-known indicator in the Central Applachian region, Plethodontid salamanders, to assess impacts of invasive plant control treatments in the Central Hardwood forests. I completed 12 visual samples across 60 sites in West Virginia, USA during Spring and Fall of 2025 …
Plant Invasion Patterns In Understory And Soil Microbial Communities Of North Central West Virginia Mixed Hardwood Forests, Isabelle Marie Uganski
Plant Invasion Patterns In Understory And Soil Microbial Communities Of North Central West Virginia Mixed Hardwood Forests, Isabelle Marie Uganski
Graduate Theses, Dissertations, and Problem Reports (ETD)
Invasive plants alter forest ecosystems by reducing species richness, habitat heterogeneity, and nutrient cycling as they rapidly displace native plants. Invasive plant composition can influence soil health through altering soil microbial associations and communities. By studying the mechanisms in which invasives alter above- and below-ground communities, we can better understand whole-ecosystem impacts and inform management decisions. This study examined the relationships between co-occurring invasion on above and belowground communities of mixed hardwood forests of north central West Virginia. Despite distinctive associations with aboveground characteristics (native diversity, native tree regeneration, and leaf litter density) we detected limited changes to soil microbial …
Graded Repertoire For Violin By Latin American Composers: Pedagogical Analysis And Categorization Of Selected Pieces, Irene Guerra Rudas
Graded Repertoire For Violin By Latin American Composers: Pedagogical Analysis And Categorization Of Selected Pieces, Irene Guerra Rudas
Graduate Theses, Dissertations, and Problem Reports (ETD)
Repertoire sequences have evolved from a collection of technical studies into a comprehensive educational framework. This research aims to enhance the integration of innovative pedagogical materials by identifying, analyzing, and categorizing works originally composed for violin by Latin American composers. These works are assessed for their suitability within a structured violin curriculum and organized into graded levels, ranging from elementary to advanced.
Each selected piece is evaluated according to pedagogical parameters commonly used in established violin teaching traditions. These parameters include pitch range, rhythmic complexity, bow strokes, length, stylistic diversity, musical language, and the historical and cultural relevance of both …
A Digital Calibration Source For 21 Cm Cosmology Telescopes, Kalyani Balkrishna Bhopi
A Digital Calibration Source For 21 Cm Cosmology Telescopes, Kalyani Balkrishna Bhopi
Graduate Theses, Dissertations, and Problem Reports (ETD)
Precise calibration of radio telescope beams and gains is a central requirement for 21 cm intensity mapping experiments, which aim to measure large scale cosmological structure through the redshifted emission line of neutral hydrogen. Bright astrophysical foregrounds dominate the sky at these frequencies, and separating them from the cosmological signal demands precise control over instrumental systematics, particularly the telescope beam and its frequency-dependent response. Existing aerial calibration sources are incoherent broadband emitters, detectable only as total power. They provide no direct phase information and suffer from poor sensitivity in low signal-to-noise regimes.
We present the Precision Emitter for 21cm Array …
Microwave Calcination Techniques For Electrode And Electrolyte Powders In Fuel Cells, Logan Scott Proud
Microwave Calcination Techniques For Electrode And Electrolyte Powders In Fuel Cells, Logan Scott Proud
Graduate Theses, Dissertations, and Problem Reports (ETD)
This work investigates microwave-assisted calcination as a rapid, energy-efficient alternative to conventional resistive heating for the synthesis of complex oxide powders used in solid oxide electrochemical cells. Ce₀.₉Gd₀.₁O₁.₉₅ (GDC10) and La₀.₆Sr₀.₄Co₀.₂Fe₀.₈O₃–δ (LSCF6428) were synthesized via solid-state and co-precipitation routes to evaluate the influence of precursor chemistry and dielectric behavior on microwave coupling, reaction kinetics, and powder characteristics. Calcination was performed in single-mode and multimode microwave systems using a silicon carbide/alumina susceptor–insulation package to ensure controlled high-temperature processing. A parametric study examining ramp rate, sample size, and temperature revealed that microwave processing reduced calcination time to ~1 hour compared to >21 …
Do You Walk On By? The Effects Of Donor Fatigue On Willingness To Donate, Shawn Michael Henry
Do You Walk On By? The Effects Of Donor Fatigue On Willingness To Donate, Shawn Michael Henry
Graduate Theses, Dissertations, and Problem Reports (ETD)
Donation solicitation literature validates the successful usage of various solicitation tactics that lead to achieving set donation goals for their associated cause. Yet, while the financial success of “checkout charity” is well-documented, a significant gap remains regarding the impact of high-frequency solicitations on long-term consumer-brand relationship. This research addresses this gap. Over the span of three surveys, this study finds that donation request frequency overall erodes donation likelihood through donor fatigue when donation frequency changes (occasional vs. always). However, this relationship is moderated by the perceived consumer base, with a larger perceived consumer base exacerbating the “diffusion of responsibility.” Further, …
Congolese Journalists: Professional Identity And Legitimacy, Hannah L. Heiskell
Congolese Journalists: Professional Identity And Legitimacy, Hannah L. Heiskell
Graduate Theses, Dissertations, and Problem Reports (ETD)
This paper examines how Congolese journalists construct their professional identity
and legitimacy while working under conditions of conflict and state pressure, and how
international media outlets discursively represent them through Western journalistic norms.
Addressing previous research and centering local perspectives, this study uses critical
discourse analysis to compare language, framing, and narratives across Congolese and
international media texts, and the works in which they produce. Attention is given to how
agency, professionalism, and constraint are represented within each discourse. The analysis
focuses on metajournalistic discourse, or journalism talking about journalism, to examine
how professional norms and boundaries are articulated and …
Enhancing Occupational Engagement And Wellness In Middle-Aged And Retired Adults Through Movement And Mindfulness Program Development, Erin J. Harvey
Enhancing Occupational Engagement And Wellness In Middle-Aged And Retired Adults Through Movement And Mindfulness Program Development, Erin J. Harvey
Graduate Theses, Dissertations, and Problem Reports (ETD)
Occupational imbalance and a diminished sense of purpose are common challenges faced during middle age and the transition into retirement. These issues can contribute to increased burnout, decreased participation in meaningful activities, and an overall decline in health and well-being. Occupational therapy is well-equipped to address these concerns through comprehensive and holistic, occupation-based wellness programs that promote healthy routines and engagement in meaningful roles. This doctoral capstone project involved developing and implementing two community-based wellness programs tailored to different populations. The first program included self-paced wellness modules for middle-aged adults, aiming to encourage healthy lifestyle habits, enhance coping skills, and …
A Quality Improvement Initiative To Improve Central Line Insertion Care Using An Evidence- Based Practice Checklist, Jonathan Andre Barbour
A Quality Improvement Initiative To Improve Central Line Insertion Care Using An Evidence- Based Practice Checklist, Jonathan Andre Barbour
Graduate Theses, Dissertations, and Problem Reports (ETD)
Background: Central line infections in a 33-bed Cardiovascular Intensive Care Unit (CVICU) at a large academic medical center located in the northeastern United States were increasing for patients after cardiovascular surgery. These infections could, potentially, lead to longer hospital stays and lost revenues for the health system. A project explored the implementation of an evidence-based practice (EBP) sterile procedure standardized checklist during central line insertions
Purpose: A quality improvement (QI) initiative project sought to improve central line insertion compliance while monitoring the bedside implementation of an EBP checklist.
Intervention: The Agency for Healthcare Research and Quality’s (AHRQ) Central line-associated bloodstream …
Development Of A Protocol To Improve The Use Of Diabetes-Specific Formula, Lauren Nicole Sanetrik
Development Of A Protocol To Improve The Use Of Diabetes-Specific Formula, Lauren Nicole Sanetrik
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Enteral nutrition (EN) is often necessary for hospitalized patients who are unable to meet their nutritional needs orally. Patients with diabetes mellitus (DM) receiving EN are at risk of hyperglycemia, which contributes to poor wound healing, infection, and prolonged hospitalization. Diabetes-specific formulas (DSFs) are designed to optimize glycemic control compared with standard formulas (SFs); however, their use is inconsistent due to the absence of standardized protocols.
Purpose: The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a protocol to increase DSF utilization among patients with DM receiving EN, with the goal …
An Evidence-Based Practice Initiative To Promote Debriefing Within The Obstetrics Surgical Team, Rachel Lynn Runatz
An Evidence-Based Practice Initiative To Promote Debriefing Within The Obstetrics Surgical Team, Rachel Lynn Runatz
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Operating room debriefing is an evidence-based strategy shown to improve communication, efficiency, patient safety, and safety culture; however, debriefing is inconsistently performed in obstetric operating rooms due to workflow, cultural, and time-related barriers.
Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to increase the frequency of debriefings in the Birthing Center operating rooms at WVU Medicine Children’s Hospital through implementation of a nurse-driven, evidence-based debriefing initiative.
Intervention: A nurse-driven debriefing protocol was implemented using the Iowa Implementation for Sustainability Framework. Interventions included staff education, accessible laminated debriefing documents, identification of nurse champions, leadership support, and …
The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese
The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Excessive noise in the operating room negatively impacts patient comfort and outcomes, particularly in patients undergoing spinal anesthesia who have the potential for awareness.
Background: Research demonstrates that music therapy is a low-cost, low-risk intervention that reduces perioperative anxiety and sedative requirements. Literature supports the use of music as an adjunct to anesthesia care, especially in orthopedic populations.
Purpose: At J.W. Ruby Memorial Hospital, orthopedic procedures with regional anesthesia expose patients to high noise levels, often leading to increased anxiety, sedation use, and longer recovery times. Addressing this problem aligns with institution goals for safe, patient-centered care.
Methods: Using …
Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler
Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler
Graduate Theses, Dissertations, and Problem Reports (ETD)
While emotion recognition deficits have been found in several anxiety and related disorders (e.g., social anxiety, obsessive-compulsive), consistent results have not been established. To clarify the relationship between emotion recognition abilities and anxiety, the current study tested if transdiagnostic factors related to anxiety are predictors of emotion recognition abilities. Data was analyzed from participants (N = 188) recruited via CloudResearch; they completed measures of three transdiagnostic factors related to anxiety (e.g., anxiety sensitivity, intolerance of uncertainty, and rumination), followed by an emotion recognition task. Multiple regression analyses revealed higher levels of anxiety sensitivity predicted worse recognition for anger, disgust, …
Improving Sedative Administration In Patients Receiving Paralytics During Intubation: A Quality Improvement Initiative Within A Large Academic Medical Center In West Virginia, David Bryon Underwood
Improving Sedative Administration In Patients Receiving Paralytics During Intubation: A Quality Improvement Initiative Within A Large Academic Medical Center In West Virginia, David Bryon Underwood
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Awake paralysis (AWP) occurs when long-acting neuromuscular blockers outlast short-acting sedatives during intubation, leaving patients chemically paralyzed but conscious. This highlights the critical need for timely post-intubation sedation.
Background: A 2024 review in the Neurological Critical Care Unit (NCCU) revealed that 72% of patients who received rocuronium were not given a post-intubation sedative. The difference in duration of action of paralyzing agents versus sedatives can result in patients being conscious while paralyzed, potentially resulting in hemodynamic instability and psychological harm.
Purpose: The quality improvement initiative aimed to reduce the number of patients receiving neuromuscular blocking agents without post-intubation sedation. …
Genetics Of Mycangial Development And Host Colonization Within The Ambrosia Symbiosis, Mckeon James Laws
Genetics Of Mycangial Development And Host Colonization Within The Ambrosia Symbiosis, Mckeon James Laws
Graduate Theses, Dissertations, and Problem Reports (ETD)
Ambrosia beetles, a polyphyletic group of weevils, utilize pouch-like structures at various locations on the body to transport for their sole food source, their fungal partner. Ambrosia fungi are known to originate from multiple unrelated fungal lineages with no consensus of traits required to become a fungal cultivar. While the biology and ecology of both partners is in many cases well understood, the genetic underpinnings of this fascinating mutualism remain a mystery. The aim of this dissertation is to add to the understanding of the ambrosia symbiosis by providing insights into its molecular and genetic underpinnings through RNA sequencing data, …
Walking In The Footsteps Of My Ancestors: A Deep Map Of Cherokee Forced Removal, Deborah Lyn Kirk
Walking In The Footsteps Of My Ancestors: A Deep Map Of Cherokee Forced Removal, Deborah Lyn Kirk
Graduate Theses, Dissertations, and Problem Reports (ETD)
In this study of the place of Cherokee forced removal, I use a Third Space approach to blend Indigenous Methodologies, Deep Mapping, Geospatial mapping and analysis, and 3D Geography. Using a hybrid platform that provides a mélange of media types, storytelling forms, and interactive tools, I reimagine and retell the story of the Cherokee “Trail of Tears.”
In accordance with Cherokee philosophies of duyuktv, harmony, and “a good mind” I first sought out Cherokee sponsorship from community respected and culturally knowledgeable Cherokee citizens; partnered with the National Trail of Tears Association (NTOTA); submitted my research proposal to the Cherokee …
Empowered Choices: A Quality Improvement Women’S Health Initiative In Faith-Based Nursing For Women Recovering From Substance Use Disorder, Jennifer Mewshaw
Empowered Choices: A Quality Improvement Women’S Health Initiative In Faith-Based Nursing For Women Recovering From Substance Use Disorder, Jennifer Mewshaw
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Women with substance use disorder (SUD) face higher rates of unplanned pregnancy, reproductive infections, and delayed prenatal care. Faith community nurses (FCNs) often already serve within this community and have a long history of promoting public health interventions. However, they lack the knowledge and confidence in sexual and reproductive health (SRH) education.
Evidence Review: A literature review identified barriers to SRH care for women with SUD and the role of FCNs in community and public health interventions. Evidence supports providing FCNs with the knowledge and skills to deliver SRH education and support for women with SUD using trauma-informed and …
Implementation Of A Ventilator-Associated Pneumonia Bundle To Reduce The Incidence Of Ventilator-Associated-Pneumonia And Improve Patient Care, Taylor Ryan Rice
Implementation Of A Ventilator-Associated Pneumonia Bundle To Reduce The Incidence Of Ventilator-Associated-Pneumonia And Improve Patient Care, Taylor Ryan Rice
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Ventilator-associated pneumonia (VAP) is a concerning complication that can
develop from complications when a patient is placed on a mechanical ventilator. Endotracheal
intubation puts patients at risk for micro aspiration, which can lead to VAP.
Evidence Review: Nine articles were selected for review; after critical appraisal, seven were
kept for further review. Evidence in these articles shows that using evidence-based methods in a
VAP bundle can decrease the length of stay, mechanical ventilator days, and the incidence of
VAP.
Purpose: The purpose of this project was to improve oral care for intubated patients and keep
the incidence of VAP …
New Fossil Mygalomorph Spiders (?Idiopidae, Pycnothelidae) From The Lower Cretaceous Crato Formation Of Brazil, Elis Maria Gomes Santana
New Fossil Mygalomorph Spiders (?Idiopidae, Pycnothelidae) From The Lower Cretaceous Crato Formation Of Brazil, Elis Maria Gomes Santana
Graduate Theses, Dissertations, and Problem Reports (ETD)
The infraorder Mygalomorphae represents one of the earliest-diverging lineages of spiders, but its fossil record remains sparse relative to the modern diversity of the group. This is a reflection of both ecological and preservational biases, such as the predominantly fossorial habits of many mygalomorphs and the strong bias of the spider fossil record toward amber deposits. Compression fossils from rock deposits are therefore especially important for documenting the evolutionary history of the group. Here, two new mygalomorph fossils from the Lower Cretaceous Crato Formation, Araripe Basin (Brazil) are described. The first specimen is tentatively referred to ?Idiopidae based on male …
Population Dynamics And Future Viability Of The Eastern Massasauga Rattlesnake (Sistrurus Catenatus) In Southwest Michigan, Matthew John Klein
Population Dynamics And Future Viability Of The Eastern Massasauga Rattlesnake (Sistrurus Catenatus) In Southwest Michigan, Matthew John Klein
Graduate Theses, Dissertations, and Problem Reports (ETD)
Managing at-risk species or populations requires understanding the demographic and genetic drivers of long-term population trends. The eastern massasauga rattlesnake (Sistrurus catenatus) is a federally threatened species facing multiple interacting threats across its range. Habitat loss from wetland drainage and agricultural land conversion has caused range contractions and geographic isolation of populations. Because remaining populations are often small and widely separated, most are now genetically isolated, threatening their long-term viability. Reversing these declines requires understanding population dynamics, quantifying extinction risk, identifying drivers of long-term viability, and assessing the effects of inbreeding and the potential for genetic rescue to …
Faculty Perceptions Of Engaging Generation Z Students Through Positive Education In The Classroom, Ashley D. Ragsdale
Faculty Perceptions Of Engaging Generation Z Students Through Positive Education In The Classroom, Ashley D. Ragsdale
Electronic Theses and Dissertations
This qualitative study examined the engagement gap between Generation Z students and faculty in higher education, emphasizing how positive education approaches can help faculty become more confident and effective instructors. Generation Z students prefer instant internet access and digital learning, have shorter attention spans, and tend to be disengaged when instructors rely on traditional teaching methods. After the COVID-19 pandemic, this engagement gap became more evident. This basic qualitative study used semistructured interviews, reflexive journaling, and nonparticipatory observations. Participants included full-time health science faculty at a private university in central Texas. Each had at least 2 years of teaching experience …
A Guide To The Style Of Domenico Scarlatti With An Analysis Of Six Sonatas, Joseph Mcdermott
A Guide To The Style Of Domenico Scarlatti With An Analysis Of Six Sonatas, Joseph Mcdermott
Graduate Theses, Dissertations, and Problem Reports (ETD)
This document aims to inform pianists preparing to perform keyboard sonatas by Domenico Scarlatti (1685-1757). Readers will learn about Scarlatti's professional life and his compositional characteristics. Analyses of six sonatas, the influence of Spanish traditional music, and details on performance practices are used to illustrate his style. The six sonatas included in this study are Sonata in G Major, K. 63; Sonata in C minor, K. 22; Sonata in F minor, K. 238; Sonata in F minor, K. 239; Sonata in D Major, K. 490; and Sonata in D Major, K. 491. The influence of Spanish traditional music is discussed …
Appendices A, B, C, D, & E For "In Their Own Words: Qualitative And Quantitative Analyses Of What Students, Staff, And Faculty Say About Vertical Transfer", Alexandra W. Logue, Vita Rabinowitz, Kerstin Gentsch, David Wutchiett, Barbara Condliffe, Sophia Sutcliffe, Yoshiko Oka, Stephanie Abbeyquaye, Rhina Torres, Nayeon Yoo, Kyle Du
Appendices A, B, C, D, & E For "In Their Own Words: Qualitative And Quantitative Analyses Of What Students, Staff, And Faculty Say About Vertical Transfer", Alexandra W. Logue, Vita Rabinowitz, Kerstin Gentsch, David Wutchiett, Barbara Condliffe, Sophia Sutcliffe, Yoshiko Oka, Stephanie Abbeyquaye, Rhina Torres, Nayeon Yoo, Kyle Du
Publications and Research
Deposited here are the Appendices (A, B, C, D, & E) for an article to be published in 2026 in Journal of Postsecondary and Student Success. The abstract of this article is:
This research analyzed higher education constituencies’ statements about vertical transfer (student transfer from community to bachelor’s colleges). Data consisted of both focus group excerpts involving dozens of students, staff, and faculty, and of answers to open-ended survey questions completed by thousands of students and faculty. Results were generally consistent using both qualitative (topic identification) and quantitative (bigram frequency and sentiment analysis) analyses. The results were also compared …
From Sentiment And Risk To Trade: A Country-Level Study On Geopolitical Trade Effects, Seung Heo
From Sentiment And Risk To Trade: A Country-Level Study On Geopolitical Trade Effects, Seung Heo
Publications and Research
Can geopolitical risk reshape international trade? I construct directed, monthly measures of bilateral geopolitical risk and its associated sentiment from approximately 5.1 million news articles in the GDELT Event Database, and estimate their effect on trade among eight Asia-Pacific economies at the HS2 product level over 2015--2025, using Poisson pseudo-maximum-likelihood gravity local projections with high-dimensional fixed effects. Pooled across countries, rising risk produces an immediate expansion of trade led by verbal threats and by news tone orthogonal to event content, rather than by material acts, indicating that how a conflict is reported can move trade before the conflict materializes. A …
“Because We Take Our Values To War” Analyzing The Views Of Un Member States On Aidriven Lethal Autonomous Weapon Systems, Rangita De Silva De Alwis
“Because We Take Our Values To War” Analyzing The Views Of Un Member States On Aidriven Lethal Autonomous Weapon Systems, Rangita De Silva De Alwis
Chicago Journal of International Law
In paragraph two of its resolution 2 on lethal autonomous weapon systems, pursuant to U.N. General Assembly resolution 78/241, the General Assembly requested the Secretary-General to solicit the views of Member States and Observer States regarding lethal autonomous weapons systems (LAWS). Specifically, the request encompassed perspectives on addressing the multifaceted challenges and concerns raised by LAWS, including humanitarian, legal, security,
The Seeds Of Peace And Justice, Shai Dothan
The Seeds Of Peace And Justice, Shai Dothan
Chicago Journal of International Law
Some positive developments in international law had humble beginnings. They started from a small group of idealists who wanted to change the world for the better. Once their ideas gathered momentum, they got the support of people with power and transformed the world. State after state followed each other in a cascade toward improving international law. The purpose of this paper is to investigate the conditions that are beneficial for the initial germination of ideas with the potential to positively revolutionize international law. By using a series of case studies focused on the initiation of major transformations that improved international …
The Classical Limit In Geometric Quantization By Group Extension, Paul Bracken
The Classical Limit In Geometric Quantization By Group Extension, Paul Bracken
School of Mathematical & Statistical Sciences Faculty Publications
Physical systems as a rule are associated with a symmetry group. The group approach to geometric quantization makes use of this to introduce a quantization by means of group extension. This procedure is discussed and applied to a physical system whose group law has its origin with the Galilean group. The main intention is to investigate the classical limit and its relationship under this approach to geometric quantization. The classical quantization conditions are obtained based on a deeper foundation.
3d Geometric Modelling And Clinical Validation Of Lower Limb And Preliminary 2-Year Post-Operative Clinical Outcomes Of Neutral Boundary Alignment In Total Knee Arthroplasty, Bruno Violante, Lorenzo Deveza, Francesco Pollara, Giovanni Rusconi, Gianroberto Ferreri, Alessandro Annibaldi, Ilwhan Park
3d Geometric Modelling And Clinical Validation Of Lower Limb And Preliminary 2-Year Post-Operative Clinical Outcomes Of Neutral Boundary Alignment In Total Knee Arthroplasty, Bruno Violante, Lorenzo Deveza, Francesco Pollara, Giovanni Rusconi, Gianroberto Ferreri, Alessandro Annibaldi, Ilwhan Park
Faculty, Staff and Students Publications
Purpose: To introduce a novel three-dimensional (3D) modelling concept for lower limb alignment in total knee arthroplasty (TKA), termed neutral boundary alignment (NBA) and to present preliminary clinical data supporting this physics-based custom alignment strategy.
Methods: NBA is defined as the alignment at which the knee joint line is parallel to the ground during the mid-stance phase of gait, achieving static equilibrium with the NBA axis aligned to gravity. A theoretical geometric model of the lower limb was developed, integrating principles of physics to describe this condition. Preliminary clinical validation was performed using radiographic data from an initial cohort of …
Hemispherotomy For Drug-Resistant Epilepsy In A Low-Resource Setting: Surgical Outcomes And Quality Of Life In 23 Children Treated In A Hybrid Program In Panama, Emmajane G Rhodenhiser, David Bonda, Carmen Baez, Hannah K Weiss, Yosef Dastagirzada, Guzman Aranda, Laurent Bruggeman, Ameeta Grover, Shaun D Rodgers, Ruben Kuzniecky, Yvonne Zelenka-Kuzniecky, Howard L Weiner, Eveline Teresa Hidalgo
Hemispherotomy For Drug-Resistant Epilepsy In A Low-Resource Setting: Surgical Outcomes And Quality Of Life In 23 Children Treated In A Hybrid Program In Panama, Emmajane G Rhodenhiser, David Bonda, Carmen Baez, Hannah K Weiss, Yosef Dastagirzada, Guzman Aranda, Laurent Bruggeman, Ameeta Grover, Shaun D Rodgers, Ruben Kuzniecky, Yvonne Zelenka-Kuzniecky, Howard L Weiner, Eveline Teresa Hidalgo
Faculty, Staff and Students Publications
Introduction: Hemispherotomy is an effective treatment for children with drug-resistant epilepsy (DRE). While hemispherotomy techniques and indications have evolved, access remains predominantly constrained to high-resource settings.
Methods: We performed a retrospective analysis of children who underwent hemispherotomy from 2011 to 2023 by a hybrid team, including local Panamanian and US neurologists, neurosurgeons, and EEG technicians and analyzed surgical, epilepsy, and quality of life (QoL) parameters. Follow-up data were collected according to the International Consortium for Health Outcomes Measurement (ICHOM) guidelines for children with epilepsy.
Results: Twenty-three children underwent hemispherotomy. The median age at surgery was 10 years (range 2-20). The …