Digital Commons Network^™

Utility Of The Us Preventive Services Task Force For Preeclampsia Risk Assessment And Aspirin Prophylaxis, Thomas Mcelrath, Arun Jeyabalan, Arkady Khodursky, Alison Moe, Manfred Lee, Maneesh Jain, Laura Goetzl, Elizabeth Sutton, Pamela Simmons, George Saade, Antonio Saad, Luis Pacheco, Esther Park-Hwang, Antonina Frolova, Ebony Carter, Ai-Ris Collier, Daniel Kiefer, Vincenzo Berghella, Rupsa Boelig, Michal Elovitz, Cynthia Gyamfi-Bannerman, Joseph Biggio, Kara Rood, William Grobman, Carrie Haverty, Morten Rasmussen

Department of Obstetrics and Gynecology Faculty Papers

IMPORTANCE: The US Preventive Services Task Force (USPSTF) guidelines on preeclampsia risk assessment and aspirin prophylaxis (AP) have not been evaluated for clinical utility.

OBJECTIVE: To evaluate which characteristics in the USPSTF guidelines identify risk status and the association of preeclampsia risk with AP recommendations.

DESIGN, SETTING, AND PARTICIPANTS: This observational cohort study enrolled from July 2020 to March 2023 with data analysis performed from October to December 2024. Enrollment occurred at 11 centers throughout the US or via direct-to-participant recruitment. Pregnant participants aged 18 years or older with a singleton pregnancy less than 22 weeks' gestation were selected via …

Exploring Physician Associates’ Perceptions Of Motivational Interviewing: A Phenomenological Study, Thaddeus Riley

Graduate Theses, Dissertations, and Capstones

Longer lifespans across the population are contributing to a rise in chronic illnesses that require ongoing treatment. This increase has furthered the need for evidence-based clinical tools to effectively treat long-term diseases. Motivational Interviewing (MI) is an evidence-based method used by physicians and other healthcare practitioners, including physician associates (PAs), to help patients facilitate health behavior changes. PAs are licensed, highly trained healthcare professionals who practice medicine across all specialties and settings. PAs focus on patient-centered, team-based care and play a key role in expanding access to healthcare and improving overall health outcomes (AAPA, 2023b). While MI’s efficacy has been …

Using Confidence Scores To Improve Eyes-Free Detection Of Speech Recognition Errors, Sadia Nowrin, Keith Vertanen

Michigan Tech Publications

Conversational systems rely heavily on speech recognition to interpret and respond to user commands and queries. Despite progress on speech recognition accuracy, errors may still sometimes occur and can significantly affect the end-user utility of such systems. While visual feedback can help detect errors, it may not always be practical, especially for people who are blind or low-vision. In this study, we investigate ways to improve error detection by manipulating the audio output of the transcribed text based on the recognizer's confidence level in its result. Our findings show that selectively slowing down the audio when the recognizer exhibited uncertainty …

Perceptions Of Blind Adults On Non-Visual Mobile Text Entry, Dylan Gaines, Keith Vertanen

Michigan Tech Publications

Text input on mobile devices without physical keys can be challenging for people who are blind or low-vision. We interview 12 blind adults about their experiences with current mobile text input to provide insights into what sorts of interface improvements may be the most beneficial. We identify three primary themes that were experiences or opinions shared by participants: the poor accuracy of dictation, difficulty entering text in noisy environments, and difficulty correcting errors in entered text. We also discuss an experimental non-visual text input method with each participant to solicit opinions on the method and probe their willingness to learn …

Tailoring Hiv/Aids Communication To The Cultural Contexts Of The Borana Pastoral Community In Ethiopia, Dano Olana, Sabihah Moola

Journal of Social, Behavioral, and Health Sciences

The HIV/AIDS health communication approach in sub-Saharan Africa has often overlooked sociocultural specificities. The current approach follows a generalist notion that does not consider the specific contextual domains accordingly. Similarly, the cultural appropriateness of HIV/AIDS health communication among the Borana pastoral community in Ethiopia is not clear. In this study, we aimed to explore whether HIV/AIDS communication among the Borana pastoral community was tailored to the cultural contexts of the community. A qualitative case study was used to unpack the cultural communication contexts for HIV/AIDS. We collected data using three methods, namely, in-depth interviews, focus group discussions, and document analysis …

Risk Factors For In-Stent Stenosis After Flow-Diverter Implantation For Intracranial Aneurysm: A Single Center Analysis Of 161 Consecutive Patients, Rabab Alshahrani, Spyridon Karadimas, Mohammed Ali Alvi, Patrick Joseph Nicholson, Timo Krings

Department of Neurosurgery Faculty Papers

INTRODUCTION: Flow diverters (FD) are used for the treatment of intracranial aneurysms, by redirecting flow and serving as a scaffold for endothelial coverage of the aneurysm ostium. However, in-stent stenosis has been observed in some patients treated with these devices, the cause of which and the epidemiology remaining elusive. In the current study we aimed to elucidate potential factors leading to higher degree of in-stent stenosis including gender, location, and type of FD.

METHODS: The authors queried their institutional Electronic Health Record (EHR) for all patients undergoing FD for intracranial saccular aneurysms. We excluded cases where an FD was performed …

Patient-Centered, Theory-Based, Online Intervention To Promote A Physically Active Lifestyle For People With Multiple Sclerosis: Protocol For A Randomized Controlled Trial, Chungyi Chiu, Vaishnavi Sridharan, Mojtaba Khaliji, Md Refat Uz Zaman Sajib, Xiaotian Gao, Kathleen Zackowski

Children’s Nutrition Research Center Staff Publications

Background: People with multiple sclerosis (MS) experience life challenges due to the nature of disease progression. Although an active lifestyle has been shown effective for symptom and relapse management, most people with MS lead a sedentary lifestyle and do not reach the recommended physical activity (PA) guidelines.

Objective: This study aims to test the preliminary efficacy of a codeveloped, online self-management intervention based on the health action process approach (HAPA) adapted for people with MS to cultivate a physically active lifestyle.

Methods: The 8-week intervention program was developed using community-based participatory research based on the HAPA. The program includes increasing …

July 17, 2025 Minutes, Swosu Faculty Senate

Faculty Senate Minutes

No abstract provided.

Effective Communication Strategies For Behavioral Health Leaders In A Telework Setting, Belinda Preston-Cash

Walden Dissertations and Doctoral Studies

See attached

Reducing Foreign Language Anxiety Through Cooperative Learning: Enhancing Speaking Skills For Bipa Learners, Mahira Mujahida Ani Mufti, Lilis Siti Sulistyaningsih, Mochamad Whilky Rifkiyanfi

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

Indonesia's economic and political development has sparked global interest, contributing to the increasing status of Indonesian as an international language. This has led to a growing number of learners in the BIPA (Bahasa Indonesia for Foreign Speakers) program. While many studies have focused on learning materials, media, models, and evaluation tools, research on foreign language anxiety in the BIPA context remains limited. This study investigates the effectiveness of cooperative strategies in reducing language anxiety and improving speaking skills among BIPA Level 1 students. Using a quantitative Single Subject Research (SSR) method with an A-B-A design, the study involved three purposively …

An Acoustofluidic Device For Sample Preparation And Detection Of Small Extracellular Vesicles, Jessica F. Liu, Jianping Xia, Joseph Rich, Shuaiguo Zhao, Kaichun Yang, Brandon Lu, Ying Chen, Tiffany Wen Ye, Tony Jun Huang

Faculty Publications

Small extracellular vesicles (sEVs) have emerged as powerful vectors for liquid biopsy, offering a noninvasive window into the dynamic physiological and pathological states of the body. However, to fully leverage the clinical potential of sEV biomarkers, it is imperative to develop robust and efficient technologies for their isolation and analysis. In this study, we introduce a novel sharp-edge acoustofluidic platform designed for rapid and effective sample preparation, coupled with sensitive detection of specific sEV populations based on their surface markers. Our approach utilizes acoustically activated sharp-edge microstructures to concentrate bead-bound sEVs within the microfluidic device, facilitating immediate visualization by fluorescence …

Sensing The Stiffness: Cellular Mechano-Sensing At The Implant Interface, Patricia S Pardo, Delia Danila, Raja Devesh Kumar Misra, Aladin M Boriek

Faculty, Staff and Students Publications

In this perspective, we highlight the relevance of the FA-Hippo signaling pathway and its regulation of the Yes-associated protein (YAP) and the transcriptional coactivator with a PDZ-binding domain (TAZ) as main players in the process of implants integration. The modulation and responses of YAP/TAZ triggered by substrate and ECM stiffness are of particular interest in the construction of materials used for medical implants. YAP/TAZ nuclear localization and activity respond to the substrate stiffness by several mechanisms that involve the canonical and non-canonical Hippo signaling and independently of the Hippo cascade. YAP/TAZ regulate the expression of genes involved in several mechanisms …

Synthesis Of Cancrinite Zeolite From Toraja Natural Bentonite For Heavy Metal Removal From Wastewater, Yuli Astuti, Paulina Taba, Siti Fauziah, Syarifuddin Liong, Yusafir Hala, Nur Umriani Permatasari, Satria Putra Jaya Negara, Fadliah Fadliah

Karbala International Journal of Modern Science

This study explores the production of cancrinite (CAN) zeolite from bentonite found in Toraja (a place in South Sulawesi Province, Indonesia) and its effectiveness in removing Pb²⁺ and Fe³⁺ ions from wastewater. The synthesis was carried out using a hydrothermal method with varying NaOH concentrations, where a single phase of zeolite was formed at 5 M, as confirmed through XRD analysis. FTIR results showed the characteristics of CAN zeolite with typical absorption peaks at 676, 622, and 565 cm^-1, as well as the presence of carbonate groups (CO₃^2-) at 1300-1400 cm^-1. SEM …

Public Safety In Smart Cities: An Experimental Study To Monitor And Record Vehicles’ Movements, Ali A. Albar, Mirza A. Baig

Yanbu Journal of Engineering and Science

This research addresses the critical issue of enhancing public safety in smart cities, with a particular focus on industrial cities in Saudi Arabia. Despite the advanced infrastructure and high safety standards in industrial cities, there are safety challenges, particularly the vulnerability of residential properties to burglaries during holidays and extended breaks. To mitigate these risks, the research proposes leveraging existing infrastructure to implement surveillance systems that monitor vehicle movements using RFID technology and smart sensors, thereby enhancing safety, supporting law enforcement in crime detection, and protecting local communities. The study also acknowledges the reduced social interaction often associated with the …

Electropolymerization Of Nile Blue And Toluidine Blue Dyes For Hydrogen Evolution Reaction Electrocatalysts, Camellia N. Schwartzman

Macalester Journal of Physics and Astronomy

This work investigated electropolymerized (EPD) organic conductive polymers poly-Nile Blue (PNB) and poly-Toluidine Blue (PTB) on fluorine-doped tin oxide (FTO) glass substrates as electrocatalysts for the hydrogen evolution reaction (HER). We investigated the effect of changing the heteroatoms in the pi-conjugated structure of poly-Neutral Red (PNR). UV-vis spectroscopy was used to estimate film thickness. Catalytic activity was quantified by Tafel slope and formal redox potential. PNB and PTB exhibited low current densities and small standard rate constants. Although neither showed highly active catalysts for HER, future directions should continue to pursue structures similar to PNR for HER electrocatalysts.

The Bond Of Peace: Restoring Souls In Worship Amid Culture War And Moral Suffering, Steve Yeagley

Andrews University Seminary Studies (AUSS)

Jeremiah’s critique of war as false worship challenges popular Christianity’s support of American war culture. While primarily expressed as American militarism, war culture also manifests in the rhetoric of culture wars. Adding to the division and violence that the nation’s culture wars can fuel is their potential to inflict moral suffering. Emerging discourses of moral distress and injury suggest that, like wartime environments, culture wars may exact a spiritual toll. Unlike the militant liturgies of war culture, Christian worship can address this moral suffering. When acknowledged in worship through witness and lamentation, moral distress and injury offer a prophetic critique, …

Development And Transition In Crisis: The Impact Of The Covid-19 Pandemic On Division I College Athletes, Grace Kazmierski-Davie, Khalid Ballouli

Journal of Athlete Development and Experience

The aim of this study is to explore how Division I college athletes made meaning of their experiences during the onset of the COVID-19 pandemic in spring 2020. Though existing literature details various athlete transitions, there is limited knowledge about how athletes navigate unprecedented disruptions like a global pandemic. This qualitative study employed semi-structured interviews to gather in-depth data. The study included a diverse sample of 19 college athletes, ranging from freshmen to seniors, representing various sports and academic levels. Findings revealed that athletes employed diverse strategies to maintain readiness and mental sharpness, reflecting both proactive and reactive coping mechanisms. …

The State And Erosion Of The Civic Space In Nigeria’S Democracy, 1999–2023, Al Chukwuma Okoli, Elias Chukwuemeka Ngwu, Francisca Nkemdilim Onah

Khazar Journal of Humanities and Social Sciences

Nigeria’s experience with democratic rule since 1999 has been somewhat contradictory. Rather than a widening of the civic space for robust citizen participation, there have been sustained attempts by the state to suffocate the civic space by stifling differing viewpoints. The government has led the process by securitizing the civic space, criminalizing civil dissent, and politicizing civil society platforms. Although there appears to have been a global trend towards the shrinking of the civic space, the situation in Nigeria has been typically enervating for fostering the democratic culture. Sequel to this, this paper examined the state of the civic space …

The Development And Psychometric Properties Of Climate Change Awareness Scale Among Higher Education Students, Şuay Nilhan Açikalin, Şefika Şule Erçeti̇n, Nihan Potas, Mehmet Sabir Çevik

Khazar Journal of Humanities and Social Sciences

Higher education has a pragmatic and educational approach to mitigating climate change and solving environmental challenges by enhancing awareness. Therefore, the study aims to develop a scale in a survey model to measure higher education students' awareness of climate change. The study group comprises higher education students enrolled at Public Universities in Ankara during the 2023-2024 academic year. For data analysis, exploratory factor analysis, confirmatory factor analysis, convergent and divergent (discriminant) validity, item analysis, and reliability analysis were employed. The scale was rigorously validated through exploratory factor analysis, confirmatory factor analysis, and other measures. As a result of the exploratory …

Prediction, Comparison And Visualization Of Premium Pricing Using Machine Learning Methods, Lal S Jan, Farzan Tashfeen, Mohid Hussain, Nadi M Alresheedi, Syed Muhammad Hassan Ahmer, Nahla M Albarkati

Yanbu Journal of Engineering and Science

This study investigates the efficacy of machine learning in forecasting and comparing health insurance premiums. The all-inclusive goal line is to improve the accuracy of premium pricing and minimize the manual labor associated with the traditional methods and present data trends in a logical manner. An open-source dataset of US medical premiums has been utilized and a systematic machine learning model in python programming language has been developed. This model took into account factors like age, bmi, smoking habits, and geographical location. The XGBoost model excels other models with an RMSE value of 0.349 and an adjusted R2 of 90.1% …

An Efficient Deepfake Detection System Using Convoreinautonet And Geofishernet, Azan Hamad Alkhorem

Yanbu Journal of Engineering and Science

This research proposes an efficient deepfake detection system using a hybrid optimization model and a new deep learning approach. This system is divided into two phases: (i) the training Phase and (ii) the detection Phase. The decision phase is the ultimate decision maker, wherein a new deep learning approach referred to as ConvoReinAutoNet(CRAN) is introduced by levering the layers of Convolutional Neural Networks (CNN), Deep Reinforcement Learning (DRL), and Autoencoders, respectively. The training phase is enriched with new feature fusion and a hybrid optimization-based optimal feature selection approach. The extracted temporal and texture features (newly introduced Improved Local Ternary Patterns …

The Perception Of Ai Impact Of Academic Processes: A Study Of Student Perspectives, Nora Murphy, Lana Perkovic, Andzelika Wyka

International Undergraduate Journal of Health Sciences

Artificial Intelligence (AI) has emerged as a transformative technology with the potential to revolutionise education. This research aimed to comprehensively explore students’ perspectives on the integration of AI in educational settings, focusing on understanding its role, advantages, challenges, and expectations. The study analysed responses from a sixteen-question survey created through Google Forms administered online to 196 students from diverse academic backgrounds and educational levels enrolled across two Cork third-level institutions.

The demographic distribution of the respondents showed 44.4% aged 18-20 years old, 43.9% aged 21-23 years old, and 11.7% aged 24 and above, with 67.9% female respondents and 32.1% males. …

The Attitudes And Knowledge Of Organ Donation And The ‘Opt Out’ Consent System Among Irish Third Level Students., Rachel Webster, Emma Flynn, Tara O'Brien

International Undergraduate Journal of Health Sciences

Currently there are approximately 500 people in Ireland waiting for an organ donation while only approximately 280 transplants are carried out per year. While close to 80% of Irish people support organ donation it is estimated that only one-third of those are registered donors. This is the basis for the new ‘Opt Out’ policy within the ‘Human Tissue (Transplantation, Post-Mortem, Anatomical Examination and Public Display) Act 2024’ that has recently been signed into law (as of 28^th February 2024). This study aimed to investigate third-level students’ awareness of this new legislation and to determine if there would be an …

Audit Of The Impact Of The Pause In The National Screening Service For Breast Cancer During The Covid-19 Pandemic, Ava Coakley

International Undergraduate Journal of Health Sciences

In Ireland there is a free national screening service for breast cancer called BreastCheck. BreastCheck invites women aged fifty to sixty-nine to have screening mammograms once every two years to detect any densities in their breast mammogram which could indicate breast cancer. If densities are seen on a mammogram a breast core is sampled and sent to a histopathology laboratory where a part of the tissue is examined by a consultant pathologist using a microscope. Further tests can then be performed on this sample if it is diagnosed as breast cancer. Tests include immunohistochemistry and dual in-situ hybridisation (DISH). BreastCheck …

A Review Of Breast Implant Associated Anaplastic Large Cell Lymphoma (Bia-Alcl) In The Histopathology Laboratory In Cork University Hospital (Cuh), Ruth Purcell

International Undergraduate Journal of Health Sciences

Breast implantation is a common procedure for either breast reconstruction, following a mastectomy or for cosmetics. Approximately 10 million individuals have breast implants worldwide. Breast implants are composed of an outer silicone layer that are filled with either silicone gel or saline and have a lifespan of approximately 16 years (Quesada et al., 2018). When the implantation occurs, a fibrous capsule is naturally formed around the implant. However, it has become apparent in recent years that there is a link between the use of textured implants and a rare type of lymphoma. Breast Implant Associated- Anaplastic Large Cell Lymphoma (BIA-ALCL) …

Full Issue: The International Undergraduate Journal Of Health Sciences, Volume 5, Issue 1, July 2025

International Undergraduate Journal of Health Sciences

Full Issue: The International Undergraduate Journal of Health Sciences, Volume 5, Issue 1, July 2025.

Evaluation Of A Behavioral Response Team To Decrease Use Of Violent Restraint, Katherine Skrade

Dissertations

Abstract Introduction: The purpose of this Quality Improvement project was to evaluate the implementation of the Behavioral Assessment and Response Team (BART) and evaluate its effect on occurrence and duration of violent restraints on non-psychiatric floors in a pediatric hospital. This QI project also aimed to correlate the use of the Broset Violence Checklist (BVC) to the utilization of the BART as a means of predicting patient escalation, as well as to assess the effect of booster education on the BVC and BART on bedside staff confidence in utilization of these resources.

Methods: Data was collected across three time periods: …

From The Sidelines To The Courtroom: Nfl Coaches And Anti-Tampering Policy In Wake Of Ftc's Non-Compete Ban, Ruslan Aminov

Jeffrey S. Moorad Sports Law Journal (1994 - )

No abstract provided.

Ldt Fda Ruling: A Conundrum For Laboratories Across The Usa, Charma Henry

MSMLS Capstone Projects

Abstract

In the article “The Future of Laboratory Medicine Understanding the New Pressures," author Mauro Panteghini expresses that the clinical laboratory has always undergone significant changes due to technological advances and external economic pressures. “Laboratories are indeed an easy target for economic restrictions and limitations due to their technological characteristics.” (Panteghini, 2004, pg. 205) Though these words were written over 20 years ago, no more valid words have been spoken in light of the newest pressure all laboratories face with the new LDT regulation set by the FDA.

This regulation places drastic economic pressure on laboratories to pay the FDA …

Increasing Access To Asthma Education Through Digital Technology And Surveying Preferences Of Children And Families, Corrin E. Brockschmidt

Dissertations

Abstract

Asthma is a chronic respiratory condition impacting approximately 4.6 million children, with high rates of uncontrolled cases in Missouri. This quality improvement project aimed to explore the use of a digital media system to provide asthma education to children and families receiving care in a rural pediatric pulmonology clinic aged 6 months- 21 years of age; and to assess preferred media format, priority topics, and knowledge gained from exposure to digital educational materials. Utilizing a prospective cohort design, families completed a pre-survey to identify educational preferences and tailored digital asthma education through the use of Patient Education Genius (PEG). …