Digital Commons Network^™

Unintended Consequences Of Public Procurement: Evidence From The Wic Program, Jose Miguel Abito, Kathleen Hui, Yuval Salant, Kosuke Uetake

Cowles Foundation Discussion Papers

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides infant formula to low-income households through state-level exclusive supply contracts that cover roughly half of U.S. infants. Although these contracts directly govern purchases by WIC participants, they also affect households that receive no WIC benefits. We study these spillovers using household-level in-store and online transaction data matched to WIC contract changes across states from 2018 to 2025. When a manufacturer becomes the WIC supplier, its market share among non-WIC households rises by roughly 30 percentage points in the regular-size formula segment. The response is concentrated in physical stores, …

Voices Of The Homeless: Phenomenological Portraits Of Parental Engagement Among Parents Experiencing Homelessness, Geneva Marie Winterbottom

Electronic Theses and Dissertations

Family homelessness is a widespread crisis that disrupts the educational experiences of thousands of children, including South Carolina where rates of family homelessness continue to grow. Although research has explored families and homelessness, limited research has focused on the parental engagement of homeless parents. This study explored the parental engagement among homeless parents in South Carolina.

Guided by van Manen’s (1990) interpretive phenomenology, four parents residing in a South Carolina homeless shelter participated in semi-structured interviews and created self portraits, which were analyzed using the hermeneutic circle to derive phenomenological insight.

Findings revealed that parental engagement while homeless was like …

Oral Mucositis Severity And Predictive Biomarkers In Head And Neck Cancer Patients Treated With Concurrent Chemoradiotherapy: A Single-Institution Retrospective Cohort Study, Srishti Seth, Md Mahin, Mai Mandor Badawy, Eric Ababio Anyimadu, Cem Dede, Clifton David Fuller, Amy Catherine Moreno, Busra Yilmaz

Students Summer in Oncology at Anderson Research (SOAR) 2026

Oral mucositis is one of the most prevalent and debilitating acute toxicities of radiotherapy-based treatment for patients with head and neck cancer (HNC) receiving concurrent chemoradiotherapy (CRT). Although it contributes to treatment interruptions, increased opioid use, nutritional compromise, and reduced quality of life, the ability to predict which patients will develop severe mucositis prior to or early in treatment remains limited. We aim to describe the incidence and severity of oral mucositis, measured by the MD Anderson Symptoms Inventory (MDASI) across treatment weeks in this cohort and analyze biological factors for mucositis, including biomarkers in the CBC with differential.

This …

Planetary Health: Scientific Frontier For Harmonious Coexistence Between Humans And Nature, Zhu Yongguan, Jue Liu, Hua Zheng, Yaoyang Xu, Weiqi Zhou, Hongliang Zhang

Bulletin of Chinese Academy of Sciences (Chinese Version)

Against the backdrop of deeply intertwined global environmental change, biodiversity loss, and health risks, Planetary Health is emerging as a new interdisciplinary field that is gradually becoming the scientific frontier for understanding harmonious coexistence between humans and nature. This study systematically reviews the evolution of Planetary Health from the “Planetary Boundaries” theory to a comprehensive disciplinary framework. Through a paradigmatic comparison with concepts such as public health, global health, and One Health, it reveals that the core breakthrough of Planetary Health lies in redefining human health as an endogenous variable embedded within the stability of Earth’s natural systems. Three major …

Black Soil Organic Carbon Plays A Critical Role In Ensuring Food Security, Zhang Xingyi, Qingsong Shen, Mingming Guo, Na Li, Qiang Chen, Wei Hu, Jianye Li, Yimin Chen, Yansheng Li, Xiaobin Liu

Bulletin of Chinese Academy of Sciences (Chinese Version)

Carbon-rich Black Soils are an important natural resource ensuring China’s food security, and their soil carbon stocks are closely related to grain production capacity. Based on nearly two decades of regional survey data and long-term field experiments, this study systematically investigated the dynamics of soil organic matter (SOM), its response relationship with crop productivity, and strategies for soil fertility improvement. The results showed that soil carbon stocks in the topsoil (0–20 cm) of the Black Soil region in Northeast China have declined by approximately 60%. In 2019, the regional average SOM content was approximately 36 g/kg and was decreasing at …

Three Common Hoof Problems In Dairy Cows: What To Look For And How To Prevent Them, Drew Swartz, Kalen Taylor, Jacob Hadfield, Justin Wyatt Clawson

All Current Publications

This fact sheet covers the three most common hoof lesions in dairy cows and explains why they matter and how to prevent them on your farm.

Digital Dermatitis, Sole Ulcers, And White Line Disease In Dairy Cattle: Pathogens, Diagnosis, And Treatment, Drew Swartz, Kalen Taylor, Jacob Hadfield, Justin Wyatt Clawson

All Current Publications

This fact sheet focuses on three common hoof lesions in dairy cattle: digital dermatitis, sole ulcers, and white line disease, and describes how differences in pathogenesis and risk factors influence diagnosis, prevention, and treatment.

Full Issue: Volume 4, Issue 1 - 2026

Bone Bulletin

i - Editors’ Note by Elijah Hoffman and Liam Gibbons

ii - Foreword by Dr. Alan Hilibrand

7 - Clinical Uncertainty in Digital Monitoring After Shoulder Arthroplasty by Abhi Pandey

10 - The Changing Value of Joint Arthroplasty Under the RVU System by Kiley Hamou

13 - SCALPEL TO ROBOT TO ALGORITHM: Robotics, Artificial Intelligence, and the Evolution of Spine Surgery by Mateja Stefanovic

18 - Suture-Free Nerve Repair in Upper-Extremity Surgery by Adam Gaughan

20 - The Impact of Wide-Awake Local Anesthesia No Tourniquet Surgery on Distal Radius Fracture Plating by Michael Carey

23 - Unicompartmental Versus Total Knee …

Scalpel To Robot To Algorithm: Robotics, Artificial Intelligence, And The Evolution Of Spine Surgery, Mateja Stefanovic

Bone Bulletin

Introduction

The past five decades in spine surgery have seen innovations in pedicle screw fixation, image-guided navigation, and first-generation robotics; each change was confronted with skepticism for uprooting existing paradigms until pushback inevitably yielded progress. Artificial intelligence (AI) and machine learning (ML) feel different in kind. Beyond better instrumentation, they represent entirely new frameworks for processing clinical information at unprecedented scale and speed. A neural network trained on thousands of preoperative records can learn to detect interactions among imaging findings, laboratory indices, functional variables, and comorbidity burden that conventional statistical models are structurally unable to identify.¹˒² Simultaneously, robotic platforms outfitted …

Factors Influencing Piglet Average Daily Gain During The First Week Of Lactation In Hyperprolific Sow Under Tropical Conditions, Yosua Kristian Adi, Preechaphon Taechamaeteekul, Jakavat Ruampatana, Manmueang Malison, Roy Neville Kirkwood, Padet Tummaruk

The Thai Journal of Veterinary Medicine

Birth weight (BW) is a key determinant of average daily gain (ADG) in piglets; however, hyperprolific sow genetics, particularly under tropical conditions, have increased the proportion of low-birth-weight piglets. This study evaluated factors associated with ADG during the first 7 days of lactation within birth weight categories (1.3 kg). A total of 1,185 piglets from 97 litters that survived to day 7 were included. Factors analyzed were cumulative birth interval, birth order, colostrum intake per kilogram of body weight, rectal temperature at 24 h postpartum, sex, intrauterine growth restriction (IUGR), and cross-fostering. Birth weight, cumulative birth interval, birth order, colostrum …

Collaborative Healthcare: Advancing Interprofessional Practice & Education, Volume 16, Number 2, Spring/Summer 2026

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In this Issue:

• From the Editors
• What Does It Take to Truly Improve Black Maternal Health from an Interprofessional Lens?
• Spotlight on an Interprofessional Clinical Team
• Meet an IPE/IPCP Faculty Champion
• Meet an IPE/IPCP Student Champion

Piperacillin-Induced Immune Hemolytic Anemia Masked By Intestinal Failure-Associated Liver Disease: A Case Report With Three Serial Exposures, Stephanie Ammari, Nawras Ibrahim, Khalid Mahmood

Journal of Community Hospital Internal Medicine Perspectives

Background: Drug-induced immune hemolytic anemia (DIIHA) secondary to piperacillin has an estimated incidence of 0.01–0.10% [1,2]. In patients with intestinal failure-associated liver disease (IFALD), chronic conjugated hyperbilirubinemia obscures typical hemolytic markers [3,4].

Case Presentation: A 27-year-old woman with traumatic short bowel syndrome requiring total parenteral nutrition for 6 months, IFALD (baseline total bilirubin 2.5 mg/dL), and chronic kidney disease experienced three piperacillin-tazobactam exposures over two months. First exposure (12 days): hemolysis developed after drug discontinuation (primary sensitization). Second exposure: severe hemolysis occurred within 3 days (anamnestic response) with hemoglobin declining to 5.8 g/dL, undetectable haptoglobin, elevated LDH, reticulocytosis, and strongly …

From Villi To Alveoli: Lung Involvement In Celiac Disease – A Narrative Review, Mateusz Marzec, Patrycja Cecha

Journal of Community Hospital Internal Medicine Perspectives

Background:

Celiac disease (CD) is a chronic, immune-mediated enteropathy triggered by gluten that affects about 1% of the population and may present with extraintestinal manifestations. Pulmonary complications are considered rare and are poorly characterized. Lane-Hamilton syndrome is the best described lung manifestation, but data suggests a broader spectrum of respiratory involvement.

Methods:

We performed a narrative review with structured search strategy of PubMed and Embase (January 1, 1970 – December 1, 2025) using the terms celiac/coeliac and lung, pulmonary, respiratory, hemoptysis, hemosiderosis, alveolar hemorrhage, interstitial lung disease, alveolitis, bronchiectasis …

The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn

Walden Dissertations and Doctoral Studies

The Flint, Michigan, water crisis of 2014, with lead contamination of drinking water, adversely affected predominantly Black, socioeconomically disadvantaged residents. However, no research has investigated residents’ experiences, especially their trust in local and state government leaders. The purpose of this study was to explore the lived experiences of the Flint water crisis and its psychological effects. Rawls’s theory of justice provided the framework for the study. Three research questions guided this qualitative descriptive phenomenological study. Information from eight Flint residents was collected through semi-structured interviews. Data analysis followed Giorgi’s descriptive phenomenological steps. Five strong themes emerged: understanding individual perceptions, views …

Comparison Of Methods For Defatted Human Milk And Nutrient Composition: An Experimental Study, Kristin Cheng, Gina O'Toole, Stephanie Chang, Richard Chang, John Miklavcic

Food Science Faculty Articles and Research

Background

Human milk is considered the gold standard for infant nutrition; however, it is often discontinued in chylothorax and severe very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency. As an alternative to complete human milk restriction, defatted human milk may be fed, though it may not fully support optimal infant growth and development. This study aimed to assess the micronutrient profile of defatted human milk.

Methods

Human milk was obtained from UCSD Human Milk Research Biorepository (San Diego, CA). Thirty samples representing 10 independent expressions in the morning, afternoon, and evening were pooled for analysis. Fat removal was performed by centrifugation at …

Bull’S-Eye On Borrelia: A Commensal And Consequential Pathogen, Alan L. Gillen

Faculty Publications and Presentations

If Lyme disease causes such urgent and chronic disease issues, where do Borrelia bacteria and ticks fit into a very good creation (Genesis 1)? How did bacteria and ticks change to rely on different hosts and blood for survival? And how are these adaptations informing today’s research in bacteriology, immunology, entomology, and disease ecology? The purposeful placement of Borrelia (Fig. 1) is most likely in the gut of wild mice (Fig. 2), not domesticated mice nor man. The bacteria are communalistic in wild mice, where they may be probiotic for mutual good (Fig. 2)—the Creator made it for good at …

Association Between Occupational Stress, Sleep Quality, And Premature Ejaculation Among Indonesian Information Technology Workers, Muhammad Faisal Ratman, Suryo Wibowo, Muhammad Ilyas, Retno Asti Werdhani, Dewi Yunia Fitriani

Occupational and Environmental Medicine Journal of Indonesia

Introduction Premature ejaculation (PE) is a common sexual dysfunction that significantly impacts quality of life. Occupational stress and poor sleep quality are hypothesized as risk factors, particularly among Information and Technology (IT) workers who experience unique occupational stressors. This study aimed to evaluate the proportion of PE, examine the influence of occupational stress and sleep quality on PE, and determine whether sleep quality mediates the relationship between occupational stress and PE among Indonesian IT workers.

Methods This cross-sectional study involved 89 married male IT workers who completed online questionnaires, including the Premature Ejaculation Diagnostic Tool (PEDT), Perceived Occupational Stress (POS) …

Explainable Machine Learning For Biomedical Diagnostics: Optical Imaging And Eeg Signal Analysis, Fozia Rajbdad

LSU Doctoral Dissertations

The growing convenience of complex biomedical data begins new roads for better disease detection and functional identification via artificial intelligence (AI). Nevertheless, conventional analysis methods often rely on basic metrics that drop sensitive biotic differences, and various AI systems are difficult to infer, limiting their clinical reliability and practical use. There is a growing need for explainable, physiologically relevant computational models that can extract key biomarkers from diverse biomedical data sources. This dissertation addresses this problem by obtaining explainable machine learning and deep learning procedures for studying biomedical signals and optical imaging data.

This dissertation is divided into two parts; …

Transcriptomic And Genomic Insights Into Nutrient Stress Responses And Subgenome Evolution In Chenopodium, Ashley Kathleen Marcheschi

Theses and Dissertations

Chenopodium is a diverse genus of nutritionally and ecologically important species in the Amaranthaceae family. This thesis investigates two outstanding questions in the genus: how Chenopodium quinoa responds transcriptionally to nutrient deficiency and how Australian Chenopodium species are related through their subgenomic ancestry and evolutionary history. First, we characterized transcriptomic responses of C. quinoa to deficiencies of twelve essential macro- and micronutrients across leaf and root tissues using RNA sequencing. Leaves showed the strongest responses under nitrogen, potassium, magnesium, and zinc deficiency, while roots responded more evenly across conditions. Recurring responses included suppression of photosynthesis, remodeling of translational machinery, reactive …

Nitrogen Management Strategies For Specialty Tea Production In Louisiana: Rate, Source Type, And Nutrient Dynamics, Autumn D. Hilderbrand

LSU Master's Theses

Tea (Camellia sinensis L.) is an emerging specialty crop in Louisiana and the southeastern United States; however, region-specific nitrogen (N) management recommendations remain limited. This research evaluated N fertilizer source, application rate, and nutrient leaching to identify management strategies that improve nitrogen use efficiency (NUE) and environmental sustainability during tea establishment.

Three complementary studies evaluated N source replacement, application rate, and fertilizer source effects on nutrient retention and movement. The first study evaluated the replacement of urea ammonium sulfate (UAS) with blood meal (BM) while maintaining a constant annual N application rate. Fertilizer replacement did not significantly affect leaf …

Do Voters Understand The Benefits Of Taxes?, Benjamin Carter, Alessandro Del Ponte, Peter Discioli

Political Science Faculty Articles and Research

We use economic experiments to study a fundamental question in political economy: Do voters understand the benefits of taxes? Participants play an economic game as members of a virtual society composed of computer players. In each round, the players earn low or high income, see the distribution of income, and then vote for low or high taxes. We test whether participants vote rationally for high taxes when poor and low taxes when rich, following a classic model in political economy, or whether they focus on the burden of taxes more than the benefits. Across three experiments, poor players voted against …

Deciphering The Potential Of Monopterus Albus Protein Hydrolysate As A Therapeutic Candidate Against Cervical Cancer By Integrating Content Analysis, Network Pharmacology, And Molecular Docking, Okid Parama Astirin, Widya Mega Rahmawati, Elisa Herawati, Tetri Widiyani, Lili Pandan Sari, Sherly Octaviana

Karbala International Journal of Modern Science

Cervical cancer has a high incidence rate in women, making the development of cancer drugs increasingly urgent. Asian swamp eel protein hydrolysate shows great promise as an anticancer candidate. This study aimed to reveal the potential of Asian swamp eel protein hydrolysate as an anticancer candidate in the cervix. Asian swamp eel protein hydrolysate was produced by hydrolyzing flesh with the enzyme alcalase. Compounds and peptides were identified using LC-HRMS. These compounds and peptides were analyzed using network pharmacology, gene ontology, and molecular docking. The results identified 153 endogenous compounds, including fatty acids and peptides. The key proteins targeted by …

Designing Menus That Welcome Everyone: How Inclusive Menu Cues Drive Customer Behavior For Diners With Dietary Restrictions, Cortney Norris, Lisa Slevitch, Matthew Bauman, Soyoung Park, Seung Hyun Lee

ICHRIE Research Reports

Millions of consumers navigate dietary restrictions every time they eat out, whether due to food allergies, religious practices, or lifestyle choices such as veganism. Yet most restaurant menus do little to acknowledge these needs. This report summarizes findings from a three-phase study that explored which menu design features most effectively communicate inclusivity to diners with dietary restrictions and how those features influence emotions, attitudes, and likelihood of choosing a restaurant. The results offer restaurant operators concrete, evidence-based strategies for making their menus more welcoming and, in doing so, expanding their customer base.

Book Reviews, Laura D.S. Harrell, Daniel P. Jordan, John R. Skates Jr., Robert V. Haynes

Journal of Mississippi History

No abstract provided.

The State Of The Child In Tennessee 2023, Tennessee. Commission On Children And Youth.

The State of the Child in Tennessee

No abstract provided.

Kids Count The State Of The Child In Tennessee 2019 Policy And Issue Guide, Tennessee. Commission On Children And Youth.

The State of the Child in Tennessee

No abstract provided.

A Comparative Expression Analysis Of Selected Genes Involved In Secondary Metabolites Biosynthesis Among Three Alfalfa Cultivars Grown In Iraq, Izdehar Yahia Obaid, Bushra M. J. Alwash

Al-Bahir

Because of its abundance in proteins, vital amino acids, vitamins, and minerals that promote balanced nutrition, Medicago sativa L., also known as alfalfa, is regarded as a nutritionally excellent forage crop. In addition to its nutritional value, alfalfa produces a range of bioactive secondary metabolites, including flavonoids, alkaloids, and phenolic acids, further supporting its use in medicinal and nutritional applications. Three alfalfa cultivars grown in Iraq were examined for gene expression levels of the primary genes involved in secondary metabolite biosynthesis (PAL, COMT, CHS, and OMT). Among these cultivars are Victoria (VC), Green Gold (GC), and a local cultivar (LC). …

Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality and performance; however, limited evidence exists regarding the specific leadership characteristics that influence patient experience outcomes in behavioral healthcare. The purpose of this qualitative case study was to explore the leadership characteristics associated with positive patient experience outcomes, examine how leadership behaviors influence patient perceptions, and identify leadership development strategies to enhance patient experience. The study was guided by the Baldrige excellence framework and the Beryl Institute’s definition of patient experience. Data were collected through semi structured interviews with executive and operational leaders and triangulated with organizational artifacts, including aggregated patient …

Health Disparities, Early Intervention, And Neurodevelopmental Outcomes In Preterm Infants, Samantha Dora Pescatore

ETD Collection

Preterm infants are at a higher risk for a variety of health complications due to their underdeveloped organ systems and neurological systems. While the survival of preterm infants has greatly improved due to the advances of modern medicine, these infants are at increased risk for neurodevelopmental delays when compared to full term infants due to risk factors that accompany preterm birth, such as low birth weight, brain immaturity, nutritional challenges, and more (Behrman & Butler., 2007; Chung et al., 2020; Rubens et al., 2014; Song, I. G., 2022;). Research suggests that early intervention services can influence the development, health, education, …

Assessing Current Non-Pharmacologic Pain Management Practices For Sickle Cell Disease In Adults, Shreya Kolipaka, Michelle Axe, Charmaine Wright, Stephanie Guarino

Student Papers, Posters & Projects

OBJECTIVES: Both acute and chronic pain caused by sickle cell disease (SCD) is often managed with opioid therapy despite limited evidence for long-term efficacy. Adequately managing SCD pain requires a comprehensive approach, incorporating both pharmacologic and non-pharmacologic interventions. In other conditions, peer-mentored group programs are effective in managing chronic pain; however, their role in SCD is not yet described. Our objective is to understand patients' current pharmacologic and non-pharmacologic SCD management practices as well as further exploring perspectives of pain related to SCD.

METHODS: Participants were interviewed using semi-structured format. Audio-recorded interviews were transcribed. Descriptive statistics and pain management modality …