Digital Commons Network^™

Obstetric Fistula Prevalence Among Internally Displaced Women In Sub-Saharan Africa, Kyli Fox Soug

AWE (A Woman’s Experience)

Obstetric fistulas are rare in the West but common for women in the Global South, particularly in sub-Saharan Africa and South Asia. Fistulas are caused by prolonged or obstructed labor which forces downward pressure on the baby’s head and the mother’s pelvis. This pressure creates a non-natural opening in the genital region. Fistulas cause leakage of waste and therefore are often accompanied by unwanted odors. As of 2021, the prevalence of obstetric fistulas was 2 million women in South Asia and sub-Saharan Africa, and 3 in every 1000 women of reproductive age in the world have a fistula. In the …

Wearing The Pants: Patriarchal Breeches Roles In Oroonoko And The Rover, Emmalee Collyer

AWE (A Woman’s Experience)

Oroonoko and The Rover, or, the Banished Cavaliers are set in very different locations with a variety of colorful characters. Oroonoko features a split plot set in Suriname exploring the relationships between commerce, slavery, and marriage; whereas The Rover features the collision of three women and a group of cavaliers at Carnival in Naples. But these seemingly disparate plays do have something in common; both are popular adaptations by arguably progressive playwrights. Thomas Southerne adapted a novel by Aphra Behn into Oroonoko, and Aphra Behn adapted Thomas Killigrew’s Thomaso, or The Wanderer into The Rover. Both Southerne and …

A Few Words From Our Staff

Digressions: Literary & Art Journal

No abstract provided.

Imperfection, Sinfulness, And Holiness: A Reply To Vicens, Mark C. Murphy

Faith and Philosophy: Journal of the Society of Christian Philosophers

No abstract provided.

High-Impact Chronic Pain And Cognitive Decline Among Mexicans Aged 60 And Older From 2012 To 2018, Sadaf Arefi Milani, Sirena Gutierrez, Brandon O'Grady, Rebeca Wong, Rafael Samper-Ternent, Brian Downer

Faculty, Staff and Student Publications

Pain is associated with cognitive decline, but prior research has not considered differences between high- and low-impact chronic pain or low-and middle-income countries, such as Mexico. Our objective was to evaluate the association between high-impact chronic pain and cognitive decline among older adults in Mexico. We used data from the 2012-2018 Mexican Health and Aging Study (MHAS), a nationally representative study of older Mexican adults (60+). Pain, measured at each wave, was categorized as high-impact chronic pain (pain that limits daily activities), low-impact chronic pain (pain that did not limit daily activities), and no chronic pain. Cognition was measured at …

Diet, Gut Microbiota, And Histidine Metabolism Toward Imidazole Propionate Production In Relation To Type 2 Diabetes, Hongbo Yang, Kai Luo, Brandilyn A Peters, Yi Wang, Yanbo Zhang, Martha Daviglus, Amber Pirzada, Christina Cordero, Bing Yu, Robert D Burk, Robert Kaplan, Qibin Qi

Faculty, Staff and Student Publications

Objective: To examine associations of serum imidazole propionate (ImP), histidine, and their ratio with incident type 2 diabetes (T2D) and related dietary and gut microbial factors in U.S. Hispanic/Latino people.

Research design and methods: In the Hispanic Community Health Study/Study of Latinos, we evaluated serum ImP, histidine, and ImP-to-histidine ratio at baseline (2008-2011) and their cross-sectional associations with dietary intake and prospective associations with incident T2D over ∼12 years (n = 4,632). In a subsample with gut microbiota data during a follow-up visit (2016-2018), we examined gut microbial species associated with serum ImP and their potential interactions with dietary intake. …

Celebrating Disability Pride Month Showcasing Publications By Faculty, Staff, And Students In The Texas Medical Center Community, Alice Sherwood

TMC Library Newsletter (2015-)

At the TMC Library’s online repository, you'll find a wide range of scholarly works on disability-related topics authored by faculty, staff, and students from across the Texas Medical Center. With over 37,000 items, 2.7 million downloads, and users from 160+ countries, this platform is a growing hub for global health knowledge.

Explore Recent Publications on Disability from the past three years.

Positioning Justice: A Legal Cascade Of Sexual Violence Cases In Mombasa, Kenya, Melanie Olum, Gerald Githinji, Abigael Kenga, Abel Nyabera Mokua, Morris Kiio, Nawal Aliyan, Iqbal Khandwala, Celina Kithinji, Saida Wanjiku, Marleen Temmerman

Centre of Excellence in Women and Child Health

Introduction: Seeking legal redress for sexual violence (SV) is a daunting process for survivors. They must navigate their personal trauma societal stigma, and flawed systems, creating an arduous path to justice. This study was conducted to assess patterns of SV within Mombasa County, Kenya, and details the legal follow-up post-SV care.

Methods: A retrospective cross-sectional study was conducted using data from SV survivors attending the Gender-Based Violence and Recovery Centre (GBVRC) at the Coast General Teaching and Referral Hospital (CGTRH) between 2017 and 2023. Data sources include post-rape care (PRC) forms, clinician notes, quarterly reports, police reports, counsellor …

Understanding Georgia Child Welfare Case Manager’S Perspective, Practicum Experience, And Retention, Takierra Dawson

Walden Dissertations and Doctoral Studies

Child welfare workers have high turnover rates and low retention rates. While there is well-documented research on reasons for turnover, no research was found on how a case manager's practicum experience impacts turnover rates. The purpose of this qualitative study was to explore child welfare case managers' perspectives on retention and to understand how their practicum and internship experiences influence retention. The theories that ground this research include systems theory by Bertalanffy and social constructivism by Vygotsky. The two research questions for this generic qualitative study were: What are the experiences of child welfare case managers during their internship and …

Migration And Separation Among Latinx Asylum Seekers: Experiences And Relations With Anxiety And Depression, Amanda Venta, Ashley Bautista, Maria Cuervo, Alfonso Mercado, Luz M. Garcini, Cecilia Colunga-Rodríguez, Mario Angel-Gonzalez

Psychological Science Faculty Publications

This study sought to describe the experiences of families seeking asylum at the U.S./Mexico border and explore how traveling with and without family was associated with mental health in a large group of Latinx adults. Additionally, we explored relations between experiences of family separation due to migration and anxiety and depression. N = 400 participants were recruited from two main locations: an encampment site along the Rio Grande River in Reynosa Tamaulipas, Mexico and a respite center serving families recently released by U.S. Customs and Border Protection in McAllen, Texas. The average age of participants was 31.35 years (SD …

What To Know About Release Of Information, Authorization, And Records Requests, Jennifer Cosey

The Journal of the Michigan Dental Association

This article clarifies HIPAA regulations regarding the disclosure of protected health information (PHI). It distinguishes between a "Right of Access" request, where a patient directly seeks their own record (no authorization needed), and an "Authorization," which is required for disclosures beyond treatment, payment, or health care operations, or to third parties for ongoing access. The author details activities permissible without authorization, such as coordination of care, billing, and quality improvement. Specific examples are provided for situations requiring authorization, like disclosing PHI to attorneys or for marketing. The article also outlines seven essential elements for a HIPAA-compliant authorization form

Staff Matters: I Need To Fire Someone. Help!, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

Terminating an employee is a challenging and risky decision for "at will" employers in Michigan. This article provides best practices, starting with assessing legal risks like discrimination claims. It emphasizes the importance of documenting performance issues, feedback, and training provided, as well as adhering to employee handbook policies. Consideration should be given to offering severance packages, which may include pay in lieu of notice or a larger sum with a legal separation agreement. For the termination meeting, plan brief talking points, have a second person present, choose a quiet time, and ensure retrieval of practice property and removal of system …

The Back Page: Commentary: Going Non-Par: My Perspective, And 10 Lessons I’Ve Learned, Robert Antolak Dds

The Journal of the Michigan Dental Association

Dr. Robert Antolak shares his experience and ten lessons from transitioning his dental practice to a non-participating (non-par) status with insurance in January 2025, driven by declining reimbursements and the need to prioritize patient care. He highlights the unfairness of lower PPO reimbursements for newer dentists. Key lessons include securing a trusted coach, early patient communication, building a financial safety net, ensuring full team buy-in, committing with faith, tightening billing systems, frequent patient reminders, advocating for patients, creating an in-office payment plan (not percentage discounts), and clearly articulating the "why". Though revenue initially dropped, he anticipates full recovery, aiming to …

An Investigation Of The Impact Of Child-Centered Play Therapy Facilitated Through A Virtual Playroom On Disruptive Behaviors: A Single-Case Research Design, Keeland Kelley Lodato

Theses and Dissertations

This multi-manuscript dissertation comprises two interconnected articles that collectively explore facilitating Child-centered play therapy (CCPT) through telemental health (TMH) using a virtual playroom. Chapter Three includes a qualitative manuscript using thematic analysis to understand the experiences of eight counseling students who participated in a training where they learned how to create and utilize a virtual playroom, followed by a virtual play session with elementary-aged children. The results from this study provided six emergent themes and subthemes. Chapter Four includes a quantitative manuscript using a single-case research design. More specifically, this study used a reversal design to investigate the impact of …

A Mixed Methods Study Exploring The Lived Experience Of Shared Trauma In Psychiatric Nurses During Covid-19, April Lynne Hutto

Theses and Dissertations

Introduction: Psychiatric nurses (PNs) had a unique lived experience of shared trauma (ST) during the COVID-19 pandemic. These nurses experienced the same traumatic event, COVID-19, with associated trauma symptoms as their patients. This mixed methods study aims to triangulate data on ST in PNs using a quantitative and qualitative study. Methods: PN (N=24) completed a semi-structured interview during the summer and fall of 2024. A quantitative study PN (N=552) in spring 2023, using the Shared Trauma and Professional Posttraumatic Growth (STPPG) inventory, was completed with descriptive and inferential statistics using SAS 9.4. A thematic analysis of the interviews was completed …

A Mixed Methods Examination Of Interdisciplinary Strategies For Addressing Trauma And Chronic Pain In Group Therapy, Kara Marceil Schneider

Theses and Dissertations

Chronic pain and trauma are distinct yet interconnected public health concerns, each significantly affecting physical, psychological, and social well-being. The comorbidity of these conditions highlights a critical need for integrated treatment approaches. This dissertation explores interdisciplinary strategies that merge group counseling and physical therapy to address trauma symptomology and chronic pain within a group therapy setting. Grounded in the biopsychosocial model, somatic therapy principles, and the gate control theory of pain, this multi-manuscript dissertation employs a mixed methods design to examine counselor experiences, intervention feasibility, and participant outcomes.

The Impact Of A Case-Based Learning (Cbl) Intervention In A Medical Spanish Course, Deonna Lavette Reliford

Theses and Dissertations

I implemented a different instructional approach for my medical Spanish course in Spring 2025. This case-based learning intervention utilized two main learning theories of socio-constructivism and situated learning theory in translation and interpreting studies (SLTIS) grounded in the learning design framework of case-based learning (CBL) to answer three research questions. Cases in both Spanish and English were provided for study participants to analyze and discuss. This research study used an embedded mixed-methods action research design (Efron & Ravid, 2020), with qualitative data embedded as the secondary source of data within a study that prioritized the primary quantitative data collected from …

Causes And Effects Of Science Tutor Attrition At The Colleges Of Education In The Northern Zone Of Ghana: A Qualitative Study, Collins D. Amadu, Rose Dognia, Solomon Boachie, Taarique-Ahmad Yahaya

Journal of Global Education and Research

The study investigated the causes and effects of science tutor attrition in the colleges of education in the Northern Zone of Ghana. Three science and mathematics colleges were used for the study. The study adopted a qualitative approach with 9 participants who volunteered to take part. The interview guide was the sole instrument for data collection. The interviews were conducted through face-to-face and phone calls. The recorded conversations were transcribed and categorized into themes. The study found that the science tutor attrition rate was caused by several factors. These factors could be grouped into unmet expectations of the tutors and …

Effectiveness Of Digital Learning Materials On Students' Achievement In Science: A Meta-Analysis, Bingo L. Aligo, Maricar S. Prudente

Journal of Global Education and Research

Researchers have been examining educational resources and content to enhance and support the learning experience. As technology continues to transform the way we learn and access information, digital learning materials have become increasingly popular in modern education. This study looked at how different kinds of digital learning materials affected science students’ learning achievement. The moderator variables used were grade level (kindergarten, primary, intermediate, and secondary), subject (biological sciences, general science, and physical sciences), and length of exposure (1 to 3 weeks, 4 to 6 weeks, and 10 to 12 weeks). A total of 14 studies were considered, involving 789 students …

Service Encounter Behavior (Seb) In Higher Education: The ‘Moment Of Truth’ From A Dyadic Perspective In Programme Administration, Lai Hong Ng, Lai Ling Ng

Journal of Global Education and Research

The global increase in demand for higher education has intensified competition and led to the marketisation of higher education. It is pertinent to manage service quality because students rely on the service encounter behavior (SEB) of employees when judging service encounters. This research gains insights into the SEB of student-employee in programme administration, which are influenced by situational definitions and situational roles (role expectations and role response), from a dyadic perspective. The critical incident technique is employed to elicit employees’ experiences in service encounters. The outcome of this research offers an SEB guide, identifying situational roles in a range of …

Afghan Generational Radicalization, Kaneshka Nawabi

Journal of Strategic Security

Abstract:

This study examines the evolution of political Islam and its role in shaping Afghan generational radicalization. Rooted in a romanticized vision of a "mythical golden age," Islam in Afghanistan has been instrumentalized to justify armed resistance, particularly against foreign invasions. The Soviet invasion marked a pivotal moment, catalyzing ideological shifts and embedding radical narratives. The Taliban's resurgence in 2021 has further entrenched radicalization, amplifying the role of madaris and sidelining moderate Islamic ideologies. By examining the interplay of political isolation, the unchecked expansion of madaris, and the distinct ideological divergences between “Islamism” and Deobandism, this research highlights …

Afghanistan: Consolidation Of Power Under The Taliban, Challenges And Sustainability, Ali Ahmad Jalali

Journal of Strategic Security

Four years after the return of the Taliban to power in Afghanistan, the country under the clerics’ rule is peaceful but not stable. The country is internationally isolated, economically in crisis and socio-politically divided. Despite earlier pledges to share power with other Afghan parties and respect democratic rights of all Afghans,^[i] the Taliban swiftly reinstated many of their harshest policies, pushing women out of public life and allowing no dissent.

Adhering to an ideology of radical exceptionalism, the ruling Taliban maintain control over the country through a totalitarian governance while keeping ideological ties with regional and global Jihadist groups. …

Learning From Afghanistan: The Futility Of Occupation In Nation-Building, Jithin Raveendran

Journal of Strategic Security

This article explores the challenges and failures of nation-building under occupation Amidst an active warfare, using Afghanistan as a critical case study. Over two decades, the US-led intervention sought to establish stability and democracy but ultimately faltered due to misaligned strategies and systemic flaws. Efforts to impose Western governance structures clashed with Afghanistan’s deeply rooted tribal and cultural norms, fueling resistance and eroding legitimacy. The article identifies key shortcomings, including the neglect of local agency, cultural insensitivity, over-reliance on military solutions, and the perpetuation of dependency and corruption. It argues that nation-building by occupying forces is inherently flawed without prioritizing …

Editor's Note, Marites Tiongco

DLSU Business & Economics Review

No abstract provided.

Minimally Invasive Total Versus Partial Thymectomy For Early-Stage Thymoma, Irene Helenowski, Alex Pohlman, Zaid Abdelsattar

Biostatistics Collaborative Core: Faculty Publications and Other Works

Background/Objectives: Total thymectomy is currently the gold standard operation for treating thymoma. However, recent studies have suggested the potential health consequences of thymus removal in adults, including possible increased autoimmune disease and all-cause mortality. In this context, we assess oncologic outcomes following total vs. partial thymectomy for early-stage thymoma. Methods: We identified patients diagnosed with WHO types A–B3 thymoma between 2010–2021 from a national hospital-based dataset. We excluded patients with stage II or higher disease, open resections and perioperative chemo-/radiation therapy. We stratified patients into total and partial thymectomy cohorts. We used propensity score matching to minimize confounding, …

Comparison Between Acute Leukemia Screening Tube And Lineage-Specific Panels For The Diagnosis Of Acute Leukemia In Kenya, Nancy Okinda, Geoffrey Omuse, Elizabeth Kagotho, Douglas Munga

Pathology, East Africa

Purpose: Acute leukemia is a group of hematologic malignancies categorized according to the immature cells that proliferate and replace the normal bone marrow. Flow cytometry has emerged as a cornerstone in the diagnosis of hematologic malignancies. Staged analysis with a screening tube containing specific lineage markers determines the need for subsequent testing if there is an abnormal population (blasts). The specific lineage panels to be analyzed are determined depending on the positive markers in the screening tube. This study aimed to determine the agreement of diagnosis using the acute leukemia screening tube (ALST) and the lineage-specific panel.

Methods: This was …

The Sports-Betting Market: A Road To Sports Betting As Viable Investing, Tyler Gottlieb

Vanderbilt Journal of Entertainment & Technology Law

Since its legalization, sports betting has experienced rapid growth, both in terms of economic output and expansion into more states. The current system of sports betting in the United States requires individuals to place bets using a sportsbook. The sportsbook sets the lines on every bet. If an individual wins their bet, the sportsbook pays them money according to the listed odds. If an individual loses their bet, the sportsbook keeps the amount staked. Sportsbooks set lines in a way to ensure that on average, they make money on every bet. This system has been widely accepted, often based on …

The State Of The Science Of Natural Family Planning: A Report From Nfp Scientists’ Meeting Held In Orlando, Fl, September 4, 2024, Michael D. Manhart, Richard J. Fehring

College of Nursing Faculty Research and Publications

A one-day meeting was held as a pre-conference to the Catholic Medical Association Annual Educational event in 2024. A panel of eighteen physicians, scientists, and researchers involved in NFP work was convened to review the available evidence in four topical areas: (i) evidence for effectiveness of NFP methods to postpone and achieve pregnancy, (ii) evidence for effectiveness in the postpartum and perimenopause transition periods, (iii) evaluate the current state of technology in NFP (specifically app and quantitative hormone monitoring), and (iv) evidence examining the impact of NFP on marital relations. In each topical area, the panel worked to reach a …

Corrigendum To 'Scai Expert Consensus Statement On Alternative Access For Transcatheter Aortic Valve Replacement' [Journal Of The Society For Cardiovascular Angiography & Interventions 4 (2025) 102514]., Matthew Sherwood, Keith B Allen, Thom G Dahle, Chandan M Devireddy, Jeffrey Gaca, Santiago Garcia, Kendra J Grubb, Tsuyoshi Kaneko, Chad A Kliger, Robert J Lederman, John C Messenger, Puja B Parikh, Marie-France Poulin, Carlos Sanchez, Anene Ukaigwe, James J Yun, Paul D Mahoney

Heart and Vascular Articles

[This corrects the article DOI: 10.1016/j.jscai.2024.102514.].

Mixed Quantum/Classical Theory Approach To Rotationally Inelastic Molecular Collisions Implemented On A Quantum Computer, Jonathan Andrade-Plascencia, Tamila Kuanysheva, Dulat Bostan, Brian K. Kendrick, Dmitri Babikov

Chemistry Faculty Research and Publications

All elements of a quantum algorithm for calculations of rotationally inelastic molecule + atom scattering within the framework of a mixed quantum/classical theory are outlined. In this approach, the rotational motion of the molecule is described quantum mechanically using the time-dependent Schrödinger equation, while the scattering process of two collision partners is treated classically. The matrix of potential coupling is precomputed on a classical processor, whereas the quantum hardware is used to propagate the system of coupled equations for the rotational state-to-state transitions. All quantum circuits needed for practical implementation of the algorithm are presented. First, the quantum codes written …