Digital Commons Network^™

Paucity Of Intellectual Property Rights Information In The Us Biologics System A Decade After Passage Of The Biosimilars Act, Robin Feldman

Faculty Scholarship

No abstract provided.

Ai & Antitrust: The Algorithm Made Me Do It, Robin Feldman, Caroline Yuen

Faculty Scholarship

As the dawn of artificial intelligence (“AI”) rises rapidly, competition authorities should contemplate the potential for hazy days ahead. Undoubtedly, AI’s already ubiquitous presence offers exciting possibilities, from enhancing efficiency, to leveling the playing field for non-native speakers,to enabling scientific discovery.Despite these breathtaking advancements, however, recent data from the Pew Research Center reveal that only 15% of adults surveyed were “more excited than concerned about the increasing use of AI in daily life,” with 46% expressing “an equal mix of concern and excitement.”

Policymakers also manifest concerns about AI, exemplified by the extent to which government actors are racing to …

An Assessment Of Barriers To Nurse Practitioners’ Utilizing Pharmacogenetic Testing For Depression, Sierra Entzel

Nursing

As a leading cause of disability worldwide, depression is considered a chronic disease. Medication management is the first-line treatment for moderate to severe major depressive disorder. Medications are selected based on provider experience and preference with a trial-and- error” approach. These medications may take several weeks to reach therapeutic dosing. If it is not tolerated or ineffective for treating the disease, then the medication regimen is changed, requiring a minimum of 4-6 weeks to determine efficacy. This trial-and-error approach to depression treatment can lead to patients living with persistently debilitating depressive symptoms for months, increased healthcare costs due to continued …

Emergency Provider Education For Management Of Patients With Suicidal Ideation In Rural Minnesota, Stephanie Slivnik

Nursing

This dissertation investigated the efficacy of an educational intervention aimed at enhancing the management of patients with suicidal ideation in a rural emergency department. Employing a quasi-experimental mixed-method design, the study involved an educational session, administration of online pre-, post-, and post three-month surveys, and an electronic health record review. The data was then compared to determine if provider confidence was impacted by education. The educational session, guided by the ICAR²E mnemonic developed by Wilson et al. (2020), encompassed components focused on identifying suicide risk, effective communication with patients, assessment for life-threatening conditions, risk assessment, strategies to reduce suicide risk, …

Dermoscopy Education To Improve Provider Confidence In Skin Cancer Identification, Hayli Ova

Nursing

Skin cancer is the most common form of cancer in the United States and is becoming more prevalent each year. Patients often consult their primary care provider (PCP) for initial evaluation of skin lesions, and PCPs typically use naked-eye examination (NEE) to evaluate the lesion. Using NEE alone can yield varying results of accuracy and differential diagnosis. PCPs can utilize a dermatoscope to aid their visual inspection of suspicious lesions. Dermoscopy, a non-invasive technique for examining skin lesions, has been recognized as an invaluable tool in the early detection of skin cancer. While traditionally used by dermatologists, the need for …

Childhood Obesity Conversations: Motivational Interviewing In The Brief Primary Care Visit, Nora Mettler

Nursing

Childhood obesity is a global epidemic that sets a child up for future health complications into adulthood. There’s no current consensus on approaching weight-related conversations with patients and families. Nurse practitioners (NPs) are in a unique position to recognize obesity and initiate weight-related conversations with patients and families. Unfortunately, formative educational programs under-educate practitioners in the conduction of obesity conversations, so there is a decreased confidence and resulting avoidance of weight-related conversations. This practice improvement project (PIP) aimed to increase provider confidence and utilize motivational interviewing techniques to initiate and sustain weight-related conversations with children and families with overweight or …

A Practical Framework For Component-Level Structural Health Monitoring Of The Gerald Desmond Bridge, Mehran Rahmani, Vesna Terzic, Andrea Calabrese, Brittany Cambell

Mineta Transportation Institute

Bridges serve as critical transportation infrastructure, but traditional maintenance inspection to ensure their safety is time-consuming, costly, and labor-intensive, especially for larger and more complex structures. This study presents a practical framework for the instrumentation, data acquisition, and remote condition assessment of the Gerald Desmond Bridge, California’s largest cable-stayed bridge. The framework aims to establish a foundation for real-time or near real-time remote health monitoring of the bridge’s critical elements. The study highlights the advantages of remote monitoring in terms of efficiency, cost-effectiveness, and early detection of damage.

Reflective And Dialogical Approaches In Engineering Ethics Education, Lavinia Marin, Yousef Jalali, Alexandra Morrison, Cristina Voinea

Michigan Tech Publications

This chapter addresses the challenges of implementing reflective thinking in engineering ethics education (EEE). It examines existing methods for teaching ethical reflection in EEE and argues that pedagogical activities aiming to foster ethical reflection need to be infused with dialogical interactions and, at a deeper level, informed by dialogism. Dialogism is understood as a relational approach to inquiry in which interactions between moral agents enable them to develop their own understandings through the process of finding shared meanings with the others in activities such as sharing reasons and deliberation. Drawing on pragmatism and phenomenology, the authors conceptualize reflection as a …

Valorization Of Spent Vetiver Roots For Biochar Generation, Sameer Neve, Dibyendu Sarkar, Manas Warke, Teresa Bandosz, Rupali Datta

Michigan Tech Publications

Vetiver root is widely used to produce essential oils in the aromatherapy industry. After the extraction of oil, the roots are disposed of as waste. The central objective of this research was to explore the conversion of this waste into a resource using a circular economy framework. To generate biochar, vetiver roots were pyrolyzed at different temperatures (300, 500, and 700 °C) and residence times (30, 60, and 120 min). Analysis showed the root biochar generated at 500 °C and held for 60 min had the highest surface area of 308.15 m2/g and a yield of 53.76%, in addition to …

Heating Capacity And Biocompatibility Of Hybrid Nanoparticles For Magnetic Hyperthermia Treatment, Aline Alexandrina Gomes, Thalita Marcolan Valverde, Vagner De Oliveira Machado, Emanueli Do Nascimento Da Silva, Daniele Alves Fagundes, Fernanda De Paula Oliveira, Erico Freitas, José Domingos Ardisson, José Maria Da Fonte Ferreira, Junnia Alvarenga De Carvalho Oliveira, Eliza Rocha Gomes, Caio Fabrini Rodrigues, Alfredo Miranda De Goes, Rosana Zacarias Domingues, Ângela Leão Andrade

Michigan Tech Publications

Cancer is one of the deadliest diseases worldwide and has been responsible for millions of deaths. However, developing a satisfactory smart multifunctional material combining different strategies to kill cancer cells poses a challenge. This work aims at filling this gap by developing a composite material for cancer treatment through hyperthermia and drug release. With this purpose, magnetic nanoparticles were coated with a polymer matrix consisting of poly (L-co-D,L lactic acid-co-trimethylene carbonate) and a poly(ethylene oxide)–poly(propylene oxide)–poly(ethylene oxide) triblock copolymer. High-resolution transmission electron microscopy and selected area electron diffraction confirmed magnetite to be the only iron oxide in the sample. Cytotoxicity …

The Missile People: A Cold War Public Memory, Shane Engeland

History, Philosophy, and Religious Studies

Disrupting the horizon with a startling physical presence on the flat North Dakota prairie, the remains of the Stanley R. Mickelsen Safeguard Complex are the physical remnants of a decisive stage of the Cold War. The complex was part radar array, part computing marvel, and part nuclear launch control platform that represented a significant federal investment in rural North Dakota. Together, these pieces created the pinnacle of the Pentagon’s efforts to create an effective antiballistic missile system. The local memories attached to the complex contrast with general perceptions of the Cold War. Memories of friendship and community are common when …

Bmp Training Instructional Aid For Protection Of Edwards Aquifer Water Quality From Firefighting Runoff, Walter Den, Mark Black

Other Materials (Archived)

No abstract provided.

I Didn’T Write This For You! Using Translanguaging In Pages And In The Classroom, Elena Foulis

Spanish Faculty Publications (Archived)

A folklorist addresses the legacy of Spanish language loss and the devaluing of people’s language practices by asserting the value of bicultural and biliterate ways of knowing and being by presenting and analyzing the poetry of Eddie Vega.

Factors Affecting Users’ Satisfaction With Telehealth Apps: Analysis Of Users Reviews Using Bert, Abdullah Wahbeh, Tyler Howes, Omar El-Gayar, Raed Seetan, Mohammad A. Al-Ramahi, Ahmed Al-Omari

All Faculty Scholarship (Archived)

Telehealth mobile apps and telehealth services are increasingly used by patients, particularly, post-COVID-19. This study examines factors related to users’ satisfaction with these apps and services by analyzing reviews from actual telehealth app users. A total of 53,209 reviews were collected from nine telehealth apps on the Google Play store. Using BERT embeddings, UMAP, and HDBSCAN, topics were generated and labeled to identify these factors. Results showed that telehealth app users expressed several factors related to satisfaction with telehealth apps, which could impact the acceptability and adoption of such apps. These include usability (ease of use), usefulness, convenience and efficiency, …

The Teapot Dome Scandal: The Supreme Court's Precedent That Changed The Political Corruption Prosecution Because Of Social Pressure, Jesus R. Jimenez-Andrade

All Faculty Scholarship (Archived)

No abstract provided.

Colorectal Cancer Education: Utilization Of An Inflatable Colon And Small Media At A Health Fair In Central North Dakota, Faune Himmelspach

Nursing

Colorectal cancer is a prevalent and deadly disease, claiming thousands of lives each year. In the United States alone, over 150,000 individuals were diagnosed with colorectal cancer in 2022, and tragically, nearly 53,000 succumbed to its impact (National Cancer Institute [NCI], 2022). Notably, North Dakota faces a unique scenario, with incidence rates per capita surpassing the national average, yet colorectal cancer screening rates lag behind. This disconcerting situation in North Dakota emphasizes a need for targeted public health interventions, increased awareness campaigns, and improved access to colorectal cancer screening services. Early detection through screening is a pivotal tool in the …

Associations Between Human Papillomavirus Vaccine Hesitancy And Resistance And Social Media Engagement, Katherine O'Keefe

Nursing

Human Papillomavirus (HPV) is one of the most common sexually transmitted infections worldwide. More than 13 million Americans are infected each year. Typically, HPV infections will resolve without treatment, and many infected individuals are asymptomatic. However, in some cases, these infections can lead to penile, oral, vaginal, cervical, and/or anal cancer. With the rise in HPV infection rates, the need for vaccination is crucial in prevention of HPV-related infections and cancers. The CDC recently changed HPV vaccine guidelines to include individuals ages 27-45. Regardless of guideline changes, HPV vaccination rates are lower than other recommended vaccines, which may be due …

Initiation Of An Adolescent School-Based Electronic Nicotine Delivery System Prevention Program, Morgan Schneider

Nursing

The leading cause of preventable disease, disability, and death in the United States is tobacco product use. The 2022 National Youth Tobacco Survey, which was completed in 2022, showed that the e-cigarette epidemic among youth continues to remain a public health threat. The survey revealed that over 2.5 million middle and high school students currently use e-cigarettes. The purpose of this project was to provide youth with evidence-based education in a classroom setting. The education was designed to increase participant knowledge about health-related concerns of ENDS products, decrease participant intent to use ENDS products, and foster sustainability through training a …

A Practice Improvement Project Improving Tobacco And Nicotine Dependence Treatment Education In A Doctor Of Nursing Practice Program, Kanchan Bhattarai

Nursing

Tobacco use is a global epidemic and the leading cause of preventable mortality and morbidity in the United States (Centers for Disease Control and Prevention [CDC], 2022h). Approximately 5.4 million people die annually due to tobacco-related illnesses. About 70% of tobacco users visit primary care clinics annually and even brief advice from clinicians can improve cessation rates ( United States Department of Health and Human Services [USDHHS], 2020). However, four out of nine adult smokers who visited healthcare providers did not receive any advice or counseling on quitting smoking. Lack of training and confidence were identified as a barrier among …

At The Intersection Of Gender And Sexuality: The Role Of A Counselor In The Co-Transitioning Process, Sara Simenson

Psychology

Transgender and gender-diverse people experience prejudice, invalidation, and minority stress. There have been strides towards counselor competency when working with this population, however research is limited in exploring how a counselor can help the cisgender partners and partner dynamics. The research becomes scanter if the cisgender partner identifies as gay or lesbian. “Co-transitioning” is a term introduced by Theron & Collier (2013) that refers to the adaptation process a partner undergoes alongside their transitioning partner (Theron & Collier, 2013, as cited in Siboni et al., 2023). While a trans individual is transitioning, their partner must also renegotiate different aspects of …

"Where Did Your Christ Come From?", Kamara V. Townes

Graduate Theses, Dissertations, and Problem Reports (ETD)

This written document is the accompanying thesis for my Master of Fine Arts Exhibition, “WHERE DID YOUR CHRIST COME FROM?”, shown at Gallery 937 in downtown Pittsburgh, Pennsylvania (displayed April 5th-June 9th, 2024). Through painting, sculpture, and installation, I rely on an intuitive artmaking practice to create work that makes commentary on race, gender and identity. This thesis documents my research on contemporary influences, experimentation with materials and my point of view in conversation with intersectional feminism while navigating institutional racism.

Conceptually the work of my thesis is deeply influenced by womanism and Black culture, which informs my exploration …

Incorporating Keyboard Literature In The Undergraduate And Graduate Piano Performance Curriculums, Yangyang Cao

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research paper presents suggestions for the incorporation of piano literature and performance practice courses into university curricula. The prevalence of piano literature in American universities is examined, highlighting the necessity to promote its inclusion in Chinese universities. The significance of piano literature and performance practice courses for piano performance students is explored for both undergraduate and graduate programs. Included are selected readings and detailed sample syllabi of potential courses to be offered by college and university music programs.

Changes In Psychiatric Diagnosis Associated With Sars-Cov-2 Infection And Predicting The Development Of New Psychiatric Illness In Covid Patients By Using Machine Learning Approach: A Study Using The Us National Covid Cohort Collaborative (N3c), Asif Rahman

Graduate Theses, Dissertations, and Problem Reports (ETD)

The enduring impact of COVID-19 extends beyond acute illness, with potential long-term psychiatric consequences raising significant concern among healthcare professionals and researchers alike. Emerging evidence suggests a multifaceted relationship between COVID-19 and the development of different psychiatric illnesses like Schizophrenia Spectrum and Psychotic Disorders (SSPD), Depression, Bipolar disorder, Personality disorder, Trauma, and a range of other mental health conditions. Considering these emerging connections, our study endeavors to rigorously assess the associations between COVID-19 and various psychiatric illnesses while simultaneously employing machine learning techniques to predict the development of new psychiatric disorders in individuals affected by the virus. Leveraging the extensive …

Iron Coated Sand: A Sustainable Substrate Amendment For Nutrient Management And Growth Of Floriculture Crops, Savannah Mead

Graduate Theses, Dissertations, and Problem Reports (ETD)

Acid mine drainage and phosphorus pollution are two of the most pervasive forms of water contamination in Appalachia and globally. The horticultural industry is a contributor to nutrient pollution via leaching from greenhouses, necessitating the adoption of more sustainable practices for container production in controlled environments. In this thesis, an acid mine drainage-based iron-coated sand product was assessed on its effectiveness for phosphate adsorption when used as a sustainable substrate amendment for soilless container production of flowering ornamentals. The first study centered around the amount of iron-coated sand to use for production of petunias, pansies, and chrysanthemums. Iron-coated sand at …

The Sociology Of Bail Reform: Crime, Social Interaction, And Offender Experiences In Rurality., Scott Kevin Turner

Graduate Theses, Dissertations, and Problem Reports (ETD)

The study sought to explore the impact of the New York State “Bail Reform Act of 2019,” in rurality. It examined some of the legislative goals of the law, the claim that it caused crime, and offender experiences in rurality. Secondary data was used to map the rural crime landscape and primary data was collected from offenders during face to face interviews. The study was framed using deterrence and opportunity approaches and situated within the broader field environments; legislative, courtroom, and community. The research failed to find support for the claim that bail reform caused crime. Instead, it revealed that …

The Search, The Localization, And The Characterization: Fast Radio Transients, Reshma Anna Thomas

Graduate Theses, Dissertations, and Problem Reports (ETD)

Fast radio transients are energetic bursts in centimeter or meter wave-lengths, lasting only milliseconds, and originating from both Galactic and extra-Galactic sources. In our Galaxy, these transients primarily originate from pulsars, which are rotating neutron stars. The more energetic extra-galactic transients, known as fast radio bursts (FRBs), have unknown origins. This thesis explores various techniques, including single dish and interferometric observations, to detect and accurately localize fast radio transients. It also investigates how the propagation effects of radio waves can reveal characteristics of the local environment and potential FRB sources. Furthermore, it demonstrates how FRBs can be used to study …

A Grounded Theory Investigation Of Basic Psychological Needs Theory As A Framework For Effective Mental Health Referrals In Collegiate Sport, Luna Ugrenović

Graduate Theses, Dissertations, and Problem Reports (ETD)

Using a grounded theory approach, this study explored collegiate athletes’ mental health referral experiences and identified mechanisms explaining those experiences based upon perceptions of psychological need fulfillment and thwarting according to Basic Psychological Needs Theory (BPNT). Interviews were conducted with a purposive, maximum variation sample of 14 current and former collegiate athletes who were referred to mental health services by support personnel or other athletes. Analyses yielded three overarching theoretical categories/properties: pre-referral factors, proactive and reactive referral conversations, and referral outcomes. Referral is often understood as an isolated conversation in which athletes are provided mental health resources in response to …

It's Written All Over Your Face: A Cultural And Gender History Of The Face In The Middle Ages, 1170-1500, Lacey N. Bonar Hull

Graduate Theses, Dissertations, and Problem Reports (ETD)

At a time of vast social and cultural shifts, people living in western Europe from the late twelfth to the late fifteenth centuries developed and employed methods to “read” the faces of others. This practice promoted the interpretation of inner qualities from external appearances, often used to communicate adherence to or deviation from boundaries of gendered behaviors. My project explores medieval understandings concerning this particular feature of the human body, analyzing discourses concerning the face as a site of symbolism for inner character. While scholars have studied understandings of the self and the “Other” during this period, the role of …

Implementation Of A Targeted “Micro-Learning” Inpatient Diabetes Education Program In A Rural Hospital Setting, Melissa Lynn Fannon-Wisner

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/Background: Diabetes affects a large portion of Americans and West Virginians annually. Inpatient hospitalization provides an opportunity to provide evidence-based diabetes education to patients. A lack of access to diabetes education at rural hospitals across the United States exists, creating a need for patients who require education while hospitalized. An intervention needs to be explored to bridge the gap for patients that need education when the diabetes educator is not available.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project is to create and implement a video micro-learning diabetic education series that can be utilized for diabetes self-management …

Encouraging Equity Through Rural Elementary Professional Learning, Jana K. Stone

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study employed design-based research to explore the efficacy of professional learning materials and approaches in developing social justice advocacy with rural elementary teachers in Appalachia. Bronfenbrenner’s (2005) bioecological theory and Boler’s (1999) pedagogy of discomfort formed the theoretical framework for the design, implementation, and analysis. Mid-way through the study, Allport’s (1954) contact hypothesis was included to inform the revision of intervention approaches. Four elementary teachers attended seven in-person informational discussion meetings over five months. During this time, these teachers also read two books and completed journal responses and surveys. The qualitative data was analyzed using Braun and Clark’s (2006) …