Digital Commons Network^™

Metformin Exposure After Glioblastoma Diagnosis And Mortality: A Large Population-Based Study, Vittorio Maio, Roshani Shah, Manisha Lin, Patrick J. Moeller, Iyad Alnahhas, Richard Hass, Wenyin Shi, Scott W Keith

College of Population Health Faculty Papers

BACKGROUND: Glioblastoma (GBM) is an aggressive primary brain malignancy with limited therapeutic options and poor survival outcomes. Recent real-world studies and early-phase clinical trials evaluating metformin have yielded mixed findings. This study assessed the association between post-diagnosis metformin exposure and all-cause mortality in a large population-based cohort of older adults with GBM.

METHODS: A retrospective cohort study was conducted utilizing the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database. Adults aged ≥66 years diagnosed with GBM between 2007 and 2018 were included, excluding those with other malignancies or diagnoses made by autopsy or death certificate. Metformin exposure was modeled as …

Transformative Technology And Shortening The Statute Of Limitations Applicable To Taxpayers, Jay A. Soled, Leslie Book

Faculty Publications

When it comes to submitting tax returns and paying taxes, most taxpayers understand the nature of their civic duties and do so dutifully, if not willingly. However, many taxpayers fail to grasp why the IRS has such an elongated time period—namely, three years— to audit their tax returns and propose an assessment. Indeed, when the IRS exercises its oversight authority, records may no longer be available, and memories may be dulled.

Since the original institution of the three-year tax assessment limitations period nearly a century ago, tremendous technological strides have been made. Indeed, over ninety percent of income tax returns …

Intouch Week Of February 16, 2026, New York Medical College

InTouch

• HeLa Conference Explores Ethics, Equity, and Innovation in a Changing Health Care Landscape
• Kupersmith Lecture Explores Federal Tax Incentives for Living Kidney Donation: Ethical, Economic, and Halachic Considerations
• Medical Students Celebrate in Style at Annual NYMC Formal
• Faculty Spotlight: From Pupil to Professor: Randy Goldberg, M.D. '97, M.P.H. '13, FACP, FHM

Chimes: February 16, 2026, Calvin University

Chimes

Faculty Senate approves a reduction in graduation credit-hour requirement by Maya Oeverman

Fluoridation documentary examines how we talk about politics by Alec DeYoung

Track and field gains momentum as indoor championships are underway by Zach Kern & Hendrick Beelen

Lent: Going back to basics by Ella Vanden Berg

What it means to be American by Maya Oeverman

Relationship Between Navigation Success, Diagnostic Accuracy, And Ventilation Strategy: Retrospective Chart Review Of 224 Consecutive Navigational Bronchoscopic Procedures Performed Under General Anesthesia, Basavana Goudra, Prarthna Chandar, Divakara Gouda, Harrison Yang, Ganan Muhunthan, Suvan Sundaresh, Michael Stuart Green

Department of Medicine Faculty Papers

Background: Navigational bronchoscopy (NB) enables precise sampling of peripheral and central pulmonary nodules using shape-sensing or electromagnetic guidance. A major challenge is anesthesia-induced atelectasis, which alters lung anatomy, reduces registration accuracy, and is known to lower diagnostic accuracy. To counteract this, ventilatory protocols such as the Ventilatory Strategy to Prevent Atelectasis (VESPA) and the Lung Navigation Ventilation Protocol (LNVP) have been recommended. Their adoption and clinical impact, however, remain uncertain. Methods: We conducted a retrospective review of 224 consecutive NB procedures performed under general anesthesia at a single academic medical center (January 2020–August 2024). Demographic, anesthetic, and ventilatory data were …

Communicative Legitimacy: The Supreme Court's Hidden Cultural Binaries In The U.S. Civil Sphere, Steven Arrigg Koh

Faculty Scholarship

How does the U.S. Supreme Court establish its legitimacy? Over the last two hundred years in U.S. society, the Court has interpreted the U.S. Constitution on watershed issues such as slavery, segregation, and marriage equality. And yet the Constitution is just 7,591 words. A puzzle thus emerges: how does the Court intelligibly interpret this short text for U.S. society? This article develops a new theoretical and empirical cultural sociological account of such Supreme Court decision-making, which it calls “communicative legitimacy.” According to this theory, which draws on Jeffrey Alexander’s civil sphere theory, the Court consistently and inevitably draws on a …

Meta-Analytic And Economic Evaluation Of Fungicide Programs Applied For Managing Sclerotinia Stem Rot In Soybean Across The North Central United States, Hope Renfroe-Becton, Maria Oros, Adam M. Byrne, Martin I. Chilvers, Nathan Kleczewski, Horacio D. Lopez-Nicora, Brian D. Mueller, Daren S. Mueller, Damon L. Smith, Darcy E P Telenko, Richard Wade Webster

APC Fund Awardees

Farmers in the North Central United States are at risk of having soybean yield robbed due to infection by Sclerotinia sclerotiorum, the causal agent of Sclerotinia stem rot (SSR). While certain management strategies, such as wide row spacings, lower plant populations, and resistant varieties, can reduce SSR development, there is often a negative yield impact associated with these strategies. Conversely, chemical management strategies do not have an associated yield drag, and therefore, they have been the primary tool for suppressing SSR development. Independent chemical programs were evaluated across eight states from 2017 to 2024, resulting in 32 site-years (n = …

Modeling Spasticity: A Systematic Review, Gaby Gonzalez Chan, Jonathan Marsden, Alexander Besinis, Pablo Borja, Hilary Gunn

School of Health Professions

Spasticity, a type of hypertonia characterized by a velocity-dependent increase in muscle tone, is associated with damage to the brain and/or spinal cord in different neurological conditions. However, secondary non-neurological factors, such as soft tissue changes, can complicate the assessment and differentiation of the underlying causes. Accurate assessment is crucial for effective treatment planning, with clinicians relying on passive movement to grade the ‘feel’ of the spastic limb. This review aims to identify and evaluate the feasibility of spasticity models or simulations for clinical teaching. Models based on human spastic limbs were examined, with no restrictions on specific conditions or …

Strspy2.0: Unlocking The Potential Of Long Reads For Forensic Dna Profiling, Courtney L Hall, Rupesh K Kesharwani, Katherine E Mcbroom Henson, Bupe Kapema, Nicole R Phillips, Fritz J Sedlazeck, Roxanne R Zascavage

Faculty, Staff and Students Publications

Forensic human identification relies on length-based differences in short tandem repeats (STRs) across autosomal and Y chromosomes, which require separate reactions and provide limited resolution. While next-generation sequencing offers greater discriminatory power, most platforms are expensive and restricted to traditional lab settings. Nanopore sequencing has the potential to change this with the real-time, portable MinION sequencer. However, forensic-specific tools that generate STR profiles compatible with established length-based databases are lacking. To address this, we developed STRspy2.0, which simultaneously profiles autosomal and Y-STRs using nanopore reads. STRspy2.0 produced accurate profiles for 54 multiplexed control libraries and 41 mock casework samples (blood, …

Social Prescribing For Refugee Populations: A Protocol For A Rapid Realist Review Of International Evidence, Victoria Touzel, Anna-Lena Esser, Kerryn Husk, Doreen Reifegerste

Peninsula Medical School

BackgroundSocial prescribing addresses complex individual health and social needs through person-centered referral from healthcare into community settings, supporting wellbeing and integrated care. While evidence for majority populations continues to expand, no review has yet synthesized evidence specifically for refugee populations, despite this group facing profound social and systemic barriers. As such, this protocol defines the research objectives for a rapid realist review that will identify what approaches to social interventions work for refugee populations, for whom they are effective, and under which circumstances.MethodsA rapid realist review will be conducted to identify relevant evidence from both social prescribing interventions and social …

Non-Canonical Role Of Dna Mismatch Repair On Sensory Processing In Mice, Sadia N Rahman, Demetrios Neophytou, Siboney Oviedo-Gray, Bao Q Vuong, Hysell V Oviedo

2020-Current year OA Pubs

DNA repair mechanisms are essential for cellular development and function. In post-mitotic neurons, deficiencies in DNA damage response proteins can lead to severe neurodegenerative and neurodevelopmental disorders. One highly conserved factor involved in DNA repair is MutS Homolog 2 (Msh2), which is responsible for correcting base-base mismatches and insertion/deletion loops during cell proliferation. However, its role in mature neurons remains poorly understood. This study investigates the impact of Msh2 loss on sensory processing in mice. Using electrophysiological and molecular assays, we identifiedsignificant deficits in cortical and thalamic sound processing in Msh2

Molecular Detection Of Genes Encoded For Biofilm Formation In Bacteria Isolated From The Oral Cavity Of Patients, Tebarek Al-Taei, Ali A. Al-Hisnawi

Karbala International Journal of Modern Science

Background: A biofilm is a collection of the microbial cells attached to the surface that are encased in a matrix of extracellular polymers. Biofilm formation creates a physical and chemical barrier that prevents antibiotics from reaching bacterial cells, resulting in treatment failure and reinfection. The present study aimed to investigate the biofilm formation in bacteria isolated from the oral cavity of patients.

Methods: In this study, 150 bacterial isolates were obtained from tooth and gum surface swabs of male and female patients of different ages who visited specialized centers and dental clinics in Babylon City after they were clinically diagnosed …

A Virtual Community Math Circle, Skona Brittain, Sayonita Ghosh Hajra, Steve Heller, Daniel Hodgins, Peter Petto, Gabriella Pinter, Lauren Rose, A. Gwinn Royal, Asmita Sodhi

Journal of Math Circles

The Julia Robinson Mathematics Festival (JRMF) Community Math Circle is free, volunteer-run, and online. We collaborate with JRMF and use their activities in our events. Started during the pandemic, the Community Math Circle continues to thrive. We have about 40 participants attending every month, typically kids aged 6 to 13, teachers, facilitators, and other adults. This article describes how our event is organized, planned, and executed, and how we train facilitators. We will also offer reflections on our successes and challenges.

Assessment Perception: Delivery Matters, Nicole Marie Arcuri Sanders, Chelsey Simmons

Journal of Counselor Preparation and Supervision

Perception shapes how individuals experience the world and guides their actions toward personal goals. In counseling, clients’ accurate understanding of assessment results is essential for informed decision-making and effective treatment engagement. Mental health clinicians have an ethical responsibility to communicate findings in ways that safeguard client welfare and empower both clients and stakeholders to collaborate in care. This conceptual manuscript introduces the BRIEF (Brief, Relevant, Interpretive, Empathetic, and Factual) Feedback Integration Framework, a structured model for delivering assessment feedback ethically and accessibly. Integrating cognitive, developmental, and cultural considerations. BRIEF provides counselors, supervisors, and educators with a practical strategy for improving …

Addressing Saintly Corrections: An Integrative, Developmental Approach To Counselor Bias Management, Travis Walker, Jennifer M. Cook

Journal of Counselor Preparation and Supervision

No person is without biases, even the most culturally adept among us. Managing biases is critical to counselors’ continued journey of understanding clients contextually and holistically. In this article, we describe two novel bias management concepts: A specific type of bias called saintly corrections and the more clinically fruitful approach of realistic corrections. We define and illustrate saintly and realistic corrections, outline a multifold approach (i.e., cognitive complexity, cultural identity development, and the multicultural orientation model) for remediating saintly corrections, and offer recommendations counselor educators can use during planned and contextual learning opportunities, including an example of a contextual …

Teaching Multicultural Counseling: A Phenomenological Exploration Of Counselor Educators’ Voices, Cameka Hazel, Paul Leheste, Raymond Blanchard

Journal of Counselor Preparation and Supervision

This study explored the perceptions of counselor educators who taught the graduate level multicultural counseling course. Six participants shared experiences, leading to four themes: personal and professional rewards, who is fit to teach? dealing with resistance and difficult conversations and limited time and class size. Implications for counselor education are discussed.

Competencies And Preparation For Addressing Poverty In Counselor Education: A Q Methodological Study, Seneka Rachel Gainer

Journal of Counselor Preparation and Supervision

This study explored the competencies needed to prepare counselors to address the systemic and relational impacts of poverty within counselor education. Using Q methodology, expert participants identified critical knowledge, skills, and awareness factors required for effective practice. Two distinct factors emerged: (1) the centrality of relational competencies such as empathy, cultural humility, and trust-building, and (2) the necessity for curriculum-wide integration of poverty-specific training and systemic advocacy. Findings highlight the need for counselor education programs to embed poverty-related competencies across curricula, foster interdisciplinary collaboration, and develop experiential and advocacy-based training models. Implications for counselor education, accreditation standards, and professional development …

Counselors’ Experiences Of The Alliance In Videoconference Supervision: The Role Of Nonverbals, John E. Trenery, Azra Karajic Siwiec, Randall L. Astramovich

Journal of Counselor Preparation and Supervision

The role of nonverbal immediacy and intimacy in shaping the supervisory alliance during videoconference-based clinical supervision is understudied. Using a generic qualitative research design, data were collected from 15 practicing counselors through semi-structured interviews. Thematic analysis identified six primary themes, highlighting both the perceived barriers and the essential role of nonverbal cues, as well as the need for amplified behaviors in video-based interactions. The findings point to significant gaps in telesupervision training and introduce a novel framework to strengthen telepresence in videoconference supervision. This study offers actionable insight for educational institutions and governing bodies, emphasizing the importance of targeted curricula …

Dismantling Racism In The Classroom: Recommendations For White Male Counselor Educators, Jason L. Vannest, Rebecca J. Vannest, Lorise D. Grey

Journal of Counselor Preparation and Supervision

In response to the historical tradition of Eurocentrism and Whiteness in counseling programs in the United States, the American Counseling Association (ACA) and the Association for Counselor Education and Supervision (ACES) have challenged their members to confront implicit bias, become allies with Black Indigenous People of Color (BIPOC), and commit to challenging racism and implicit bias. Despite these robust calls to disrupt racism and implicit bias, counselor educators - specifically White male counselor educators (WMCEs) - may wonder how to effectively take action due to their own racial identity. Several factors may contribute to WMCEs' reticence to deconstruct racism and …

The Feminist Impostor Phenomenon Approach (Fipa): A Feminist Approach To Addressing Impostor Phenomenon In Novice Counselors, Isabel Springer, Kelly Emelianchik-Key

Journal of Counselor Preparation and Supervision

Impostor Phenomenon (IP) is known to affect new professionals in health professions, yet there is little to no academic literature available on how it affects early career counselors and how it can be addressed. Novice counselors (NC) frequently experience extreme anxiety and feelings of fraudulence around their professional performance. Feminist mentorship and interventions can help alleviate IP and foster self-efficacy and confidence in new counseling professionals. The Feminist Impostor Phenomenon Approach (FIPA) consists of a three-hour workshop educating participants through a feminist lens about IP and relevant coping strategies, and subsequent weekly consciousness-raising groups where coping strategies are reinforced, and …

The Interpretive Phenomenological Analysis Of The Job Search Experiences Of International Counseling Doctoral Students In The U.S., Yi-Ju Cheng, Juleen Buser, Terry Pertuit

Journal of Counselor Preparation and Supervision

International counseling doctoral students (ICDSs) bring valuable cultural diversity to the counseling profession in the U.S. However, their transition to professional roles is complicated by cultural identity factors, limited support for career guidance, and employment barriers tied to language, immigration status, and unfamiliarity with U.S. licensing and employment resources. There is limited understanding of their job search experiences. This qualitative study, through interpretive phenomenological analysis, examines 12 ICDSs’ job search experiences in the U.S. Nine themes were identified. The findings highlight a discrepancy between the counseling profession’s stated commitment to diversity and the actual support to international students, and the …

Artificial Intelligence Literacy In Counselor Education: The Developmental Ai Literacy Framework, Leo Gonzalez Jr.

Journal of Counselor Preparation and Supervision

Artificial intelligence (AI) is transforming counselor education, yet frameworks for preparing counselors-in-training (CITs) to use AI remain limited. This article introduces the developmental AI literacy framework (DALF), a conceptual model integrating developmental theory, professional identity formation, and AI literacy. The DALF reframes AI literacy as a developmental competency comprising intentional AI use, critical evaluation, ethical engagement, and awareness of professional identity. The framework outlines three stages, including foundational awareness, reflective application, and integrated professionalization, that parallel CITs’ growth from dependence to autonomy. Pedagogical, developmental, and research implications are provided to guide ethical and reflective AI integration in counselor education.

Prediction Of Thyroid Disease Based On Machine Learning Algorithms, Tuqa Ahmed Elbillihy, Eman Abdelhalim, Mohamed Ashour, Hala B. Nafea

Mansoura Engineering Journal

Accurately diagnosing thyroid disease remains a challenge in medicine, necessitating the use of reliable computational techniques for early detection and categorization. Using a dataset of 3164 patient records, this study applies machine learning algorithms to create a computer-aided thyroid disease diagnosis system. The data set includes demographic information, clinical indicators, and thyroid function test results. To improve model performance, the study focuses on preprocessing approaches such as data cleaning, normalization, and feature selection. The use of feature engineering techniques to determine the most predictive characteristics associated with thyroid problems is highlighted. Five machine learning classifiers—Random Forest, K-Nearest Neighbors, Support Vector …

Solving A Problem, Kathy Rooney

Creative Nonfiction Magazine

No abstract provided.

A Kamikaze Attitude, Ac Fraser

Creative Nonfiction Magazine

No abstract provided.

Encounter: Erik Larson 2

Creative Nonfiction Magazine

No abstract provided.

Full Disclosure: The Modern Sex Worker Memoir, Shawna Kenney

Creative Nonfiction Magazine

No abstract provided.

Profile: Anita Fore, Stephanie Susnjara

Creative Nonfiction Magazine

No abstract provided.

The Realest Evocations Possible: A Roundtable Discussion On The Ethics Of Writing About Violence, David Griffith

Creative Nonfiction Magazine

No abstract provided.

The Addict, Lacy M. Johnson

Creative Nonfiction Magazine

No abstract provided.