Digital Commons Network^™

A Randomized Controlled Trial In A Teaching Hospital Comparing The Outcomes Of ‎Single-Layer Versus Double-Layer Uterine Suturing With Polyglactin In The Development ‎Of Uterine Niche Following Caesarean Section, Ahmed A. Kassab, Ali E. Khayal

Journal of Medicine in Scientific Research

Background Caesarean section (CS) rates are rising globally, with Egypt reporting one of the highest rates. A potential complication of CS is the development of a uterine scar defect, or niche, which may be associated with abnormal bleeding, dysmenorrhea, and infertility. The technique of uterine closure may play a significant role in the prevention of niche formation. Aim To evaluate the effectiveness of double-layer uterine closure versus single-layer closure in preventing niche formation after a first CS, as assessed by transvaginal ultrasound (TVUS) at six weeks postpartum. Methods This randomized controlled trial was conducted at Mataryia Teaching Hospital, Cairo, including …

Leadership Studies In The Master Of Divinity (M.Div.) Curricula Of The Southern Baptist Convention (Sbc) Seminaries, Todd Stinnett

Dissertations

This dissertation chronicles the pursuit of an answer to the following question: In what ways have Southern Baptist Conventions (SBC) seminaries incorporated leadership studies into the curricula of their Master of Divinity (M.Div.) programs? This dissertation is a qualitative, multi-site case study that utilized a descriptive method of research. The research also utilized a qualitative interview that asked seminary administrators about their understanding of leadership studies and the place of those studies in the leadership courses that each seminary provided. One administrator from each of the six SBC seminaries was interviewed for this research. Content analysis was used to discover …

Gamification Of Online And Onsite Corporate Trainings In The Philippines, Jyro B. Triviño, Kylie Rayne S. Cai, Jan Angeli G. Cane, Clarissa Marie R. Fernandez, Faith D. Goli Cruz, Kleid L. Pedraja

Business Insights Laboratory for Development (BUILD)

This study examined Filipino corporate trainers’ views on the effectiveness of gamification in onsite and online training. Using Clark and Braun’s thematic analysis, eight trainers shared their insights into its impact on engagement, motivation, and reinforcement. Results showed gamification can boost participation and structure learning, but its success depends on deliberate integration of game elements and digital tools. This varied slightly between modalities, especially when involving inductive and deductive assessments. Trainers emphasized the importance of incorporating interactive activities, providing feedback, enhancing competition, and offering rewards to strengthen engagement. The study also identified the complementary benefits of online and onsite training …

Asbestos 2.0: A Looming Disaster At The Intersection Of Pfas Litigation And The Texas Two-Step––Even After Purdue Pharma, Tyler Sheridan

Emory Bankruptcy Developments Journal

Companies that have manufactured, processed, or sold per- and polyfluoroalkyl substances (“PFAS”), also known as “forever chemicals,” face mounting financial pressure as the number of claims against them skyrocket. With billions of dollars already allocated to settlements and new lawsuits continuously filed, liable corporations may utilize the Texas Two-Step to minimize financial risk. The maneuver would enable solvent companies to isolate PFAS liability and discard it into bankruptcy, potentially delaying and capping payouts for claimants in the process. Third-party releases have survived Purdue, leaving the forum’s ability to permanently resolve mass tort liability intact. Moreover, escalating litigation may prompt …

Made On Mars: Design And Manufacturing Of Structural Polymer-Regolith Composites, Pailey M. Vitale

Williams Honors College, Honors Research Projects

Human exploration of Mars is constrained by harsh environmental conditions and the prohibitive cost of transporting materials from Earth. Long-term sustainability requires the local production of mechanical and structural components using resources available on Mars, thereby minimizing payload mass. This project investigates polymer–regolith composites derived from atmospheric CO₂ and mineral-rich regolith as a pathway toward in-situ manufacturing. These composites, when compatible with additive manufacturing, could replace imported plastics, enable on-demand fabrication, and support closed-loop recycling systems. The objective is to design and evaluate polymer–regolith composites that maintain mechanical integrity and environmental resistance under Martian conditions, including extreme temperature swings, radiation …

Akron Police Department Non-Fatal Shootings, Sarah B. Baumer

Williams Honors College, Honors Research Projects

This project will study the variables that impact disposition status of non-fatal shooting cases in the city of Akron. This research project will be conducted through temporal and spatial analysis of the information gathered from the Akron Police Department. This analysis will identify common factors and patterns throughout the non-fatal shooting cases. This will then follow with in depth research of intelligence led policing articles that provide relevant solutions. The final steps will be identifying and adapting solutions to fit the needs of the Akron Police Department. The final product will include maps, police products and data visualization through Excel.

Active Altitude Control For High Powered Rockets, Henry Allen, Jason Secora, Charles Williams, Donavon Sanchez, Caleb Nedoma

Williams Honors College, Honors Research Projects

The International Rocket Engineering Competition (IREC) is the premier collegiate high power rocketry competition in the world hosted by the Experimental Sounding Rocket Association (ESRA). The Akronauts Rocket Design team has been competing in IREC since 2015 and have won several awards. The main goal of IREC is to launch a rocket to a specified altitude of 10k, 30k, or 45k ft while carrying a payload and successfully recover with little to no damage.

The control of a typical high-powered rocket is purely passive; the center of pressure of the rocket must be behind the center of gravity with respect …

Socioeconomic Factors Affecting Pulmonary Functiontest Follow-Up Rates, Celine Agidigbo

Williams Honors College, Honors Research Projects

Background

Chronic obstructive pulmonary disease (COPD) and asthma are associated with significant physical, mental, and social burdens that impact patients’ quality of life (Franssen et al., 2018). Pulmonary function testing (PFT) is an essential diagnostic test for identifying and managing pulmonary conditions. Missed or delayed follow-up after abnormal PFT results may derail disease management and lead to frequent hospital readmissions, thereby disease management and patient outcomes.

According to Braveman et al. (2010), socioeconomic status (SES), defined by factors such as income, education, and employment, has been widely associated with disparities in healthcare access and outcomes. This paper examines the impact …

The Impact Of Congenital Heart Disease On The Timing Of Alzheimer's Disease In Down Syndrome, Julianne G. Clina, Brian C. Helsel, Sigan L. Hartley, David A. White, Victoria L. Fleming-Batayneh, Benjamin Handen, Bradley Christian, Elizabeth Head, Mark Mapstone, Christy L. Hom, Beau Ances, Jeffrey Burns, H. Diana Rosas, Florence Lai, Sharon Krinsky Mchale, Joseph H. Lee, Frederick A. Schmitt, Jordan Harp, Ira T. Lott, Shahid Zaman, Lauren T. Ptomey

Neurology Faculty Publications

INTRODUCTION: The incidence of Alzheimer's disease (AD) in Down syndrome (DS) exceeds 90%. Approximately 50% of people with DS have congenital heart disease (CHD). Having CHD increases risk for early-onset AD in populations without DS, but it is unclear if CHD influences AD in DS. METHODS: Data from the Alzheimer Biomarker Consortium-Down Syndrome (ABC-DS) were used. Participants with CHD (n = 82, mean age = 39.9 ± 8.5 years, 97.6% White race) were age- and sex-matched to participants without CHD (n = 82, mean age = 40.5 ± 8.1 years, 98.8% White race). Cognitive assessments and Centiloid load (CL) (positron …

Impact Of Covid-19 Positive Status On Outcome For Individuals With Stroke Treated In Acute Inpatient Rehabilitation, Amy Ziems, Christopher J. Mclouth, Nicholas Elwert, Elissa Charbonneau, Joseph Stillo, Susan Mcdowell

Neurology Faculty Publications

Background: Stroke, whether or not accompanied by concurrent COVID-19 infection, has been associated with varying acute care outcomes, with patients who are COVID-19 positive typically faring worse. This study aims to explore the functional outcomes of patients with stroke —with and without simultaneous COVID-19 infection—who survived their acute care stay and progressed to acute inpatient rehabilitation (IRF). Objectives: To identify differences in sociodemographic factors, medical complexity, and rehabilitation outcomes from an IRF stay between patients with stroke with concurrent COVID-19 and those without. Design: A retrospective, observational cohort study using electronic medical records (EMR) data. Setting: EMR data from 138 …

Hyperacute Interleukin-1Β Production And Neutrophil Extracellular Trap Formation In The Cerebral Circulation Of Stroke Patients With Large Vessel Occlusion, Justine Münsterberg, Caspar Brekenfeld, Hanna Englert, Marius Piepke, Regine J. Dress, Martin Oertel, Tina Fischer, Romy Hackbusch, Mingming Zha, Haodi Cai, Christian Casar, Ines S. Schädlich, Leo Winter, Alina Jander, Karoline Degenhardt, Maxim Bester, Fabian Flottmann, Uta Hanning, Brigitte Holst, Anna Worthman, Johanna Hiefner, Berenike Rutz, Eckhard Schlemm, Götz Thomalla, Bettina H. Clausen, Ann M. Stowe, Immo Prinz, Thiruma V. Arumugam, Markus Glatzel, Thomas Renné, Jens Fiehler, Eva Tolosa

Neurology Faculty Publications

Objective: Cerebral ischemia remains a major cause of disability, and the contribution of the hyperacute immune response is increasingly recognized. The aim of this study was to investigate the local inflammatory response in the affected brain of stroke patients with large vessel occlusion during the hyperacute phase of stroke. Methods: To decipher the role of myeloid immune cells in stroke-induced inflammation, we performed an unsupervised multiomics analysis of innate immune pathways in ischemic blood obtained directly from the occluded middle cerebral artery in 54 patients undergoing mechanical recanalization. Paired nonischemic arterial blood served as an internal control. Results: Stroke triggered …

Decoding The Human Pbmc Isonome, Patricia Hayes Doyle, Madeline L. Page, J. Anthony Brandon, Bernardo Aguzzoli Heberle, Brendan J. White, Ann Marie Stowe, Mark T.W. Ebbert

Neurology Faculty Publications

Long-read single-cell RNA sequencing provides an opportunity to understand human health and disease at a level difficult to resolve with bulk or short-read methods. This approach enables isoform-level investigation of cellular diversity and disease mechanisms and definition of cell-types, rather than using genes alone. Using a modified, microfluidic-free PIPseq workflow and computational pipeline adapted for Oxford Nanopore long-read sequencing, we generated the largest long-read single-cell dataset of human peripheral blood mononuclear cells (PBMCs) from a single donor to date, the first with sufficient cell numbers to detect megakaryocytes. This study profiled isoform usage across immune cells, integrating marker expression and …

Post-Approval Study 3-Year Outcomes Of The Neuroform Atlas Stent For The Treatment Of Wide-Necked Intracranial Aneurysms, Brian Jankowitz, Ashutosh P. Jadhav, Bradley Gross, Tudor G. Jovin, Abdulnasser A. Alhajeri, Justin F. Fraser, Ricardo A. Hanel, Eric Sauvageau, Amin Aghaebrahim, Donald Frei, Richard Bellon, David N. Loy, Ajit S. Puri, Adel M. Malek, Ajith J. Thomas, Gabor Toth, Demetrius Klee Lopes, R. Webster Crowley, John Reavey-Cantwell, Eugene Lin, Adnan Siddiqui, Michael J. Alexander, Ahmad Khaldi, Geoffrey P. Colby, Justin M. Caplan, Sudhakar R. Satti, Aquilla S. Turk, Alejandro M. Spiotta, Richard Klucznik, Danial K. Hallam, David Kung, Michael T. Froehler

Neurology Faculty Publications

Introduction The ATLAS trial was a prospective, multicenter, single-arm, investigational device exemption (IDE) study to evaluate the safety and effectiveness of the Neuroform Atlas Stent System for the treatment of widenecked bifurcation aneurysms. This analysis presents the 36-month follow-up data for the anterior and posterior cohorts. Methods Of the 182patients in the IDE anterior cohort, 146 consented to participate in the post-approval study (PAS) and, of the 116patients in the IDE posterior cohort, 101 consented to participate in the PAS. The primary effectiveness endpoint was core laboratory adjudicated (Raymond–Roy 1; RR1) without retreatment or parent artery stenosis (>50%) at …

Women's Work And Wealth: Measuring The Impact Of Incremental Liberations, 1850-1870, Hannah Kelly

Williams Honors College, Honors Research Projects

Using a two-way fixed effects difference-in-difference model, this project analyzes data from the IPUMS Full Count census for 1850, 1860, and 1870 at a state level for 48 states. Four models assess the impact of property laws on women's real property holdings, labor force participation, household types, and real property values.

By quantifying the impact of various legal reforms on women's economic empowerment, this project fills a gap in the understanding of the intersection between law, society, and women's economic agency during a transformative period in pre-industrial American history. These impacts can implicate the effectiveness of legislative measures in advancing …

From Curiosity To Code: Using Ai As A Tool For Phenomenon-Based Chemistry Teaching, Allie M. Chambers

Williams Honors College, Honors Research Projects

In recent years, there has been an increased emphasis on integrating phenomena-based learning into science classrooms. This instructional approach engages students with real-world events that make scientific concepts more understandable and gives the students a personal connection to their education. However, implementing phenomena-based instruction proves to be a challenge to novice and veteran educators alike.

This project explores, through the lens of an education student, the struggle of implementing phenomena events. Starting with reflections on how lessons can be revised/ constructed to involve a phenomena event and a personal comparison of the difficulty of integrating these events without and with …

Seat Belt Data Collection Methods: A Comparison Between States And National Guidelines, Madison R A Richards

Williams Honors College, Honors Research Projects

Thousands of fatalities related to vehicle crashes occur every year. One method to reduce fatalities is to encourage seat belt use compliance. To promote statistics regarding seat belt use, there first must be reliable data on seat belt compliance and this comes from good survey design.

This report is a comparative analysis of seat belt data collection methodologies for Ohio, Michigan, and Indiana, in addition to an evaluation of how each state aligns with standards set by the National Highway Traffic Safety Administration (NHTSA). The framework for this analysis focuses on NHTSA’s five core survey design requirements: selection of observation …

Supporting Mothers Within The Criminal Legal System: Programs In Akron And Perceptions Of “Good Motherhood”, Brynn R. Lewis

Williams Honors College, Honors Research Projects

This paper examines the programs and support systems available in Akron, Ohio, for mothers involved in the criminal legal system, including defendants, survivors, and other justice-involved individuals. Using qualitative interviews (n = 6) with professionals across courts, legal defense, community corrections, and advocacy organizations, this study examines how local institutions provide resources and support to mothers. Findings indicate that while programs aim to promote stability and rehabilitation, mothers face persistent barriers such as limited access to transportation, childcare, and communication, as well as heightened stigma tied to societal expectations of caregiving. These findings reveal that institutional support both reflects and …

Security Onion Ids Case Study: Detecting And Investigating Threat Traffic Using Suricata, Zeek, And Pcap Evidence, Daryna Myroniuk

Williams Honors College, Honors Research Projects

A key component of cybersecurity is network intrusion detection, which is used to examine network traffic for any malicious activity. Many organizations deploy intrusion detection systems (IDS) but still face challenges such as validating detections, investigating alerts in a timely manner, and producing clear and repeatable evidence of what has occurred, especially when live traffic capture may be limited to risks, permissions, or privacy concerns. The goal of this project was to use Security Onion, which includes Suricata and Zeek to create and demonstrate a controllable and manageable evidence-based IDS investigation workflow. This project is focused on deploying and validating …

Stanislavski And Operatic Acting: What Caused The Divide Between Stanislavski’S Ideals And The Opera World?, Max Smith

Williams Honors College, Honors Research Projects

There is a difference between the realism of acting in opera and in other theatrical art forms. One reason for this might be due to theatre practitioner Konstantin Stanislavski’s ideals not being readily adopted in the opera world. Due to translation and publication issues in both the West and in the USSR, his work on opera has been largely neglected by theatre and opera historians. Certain demands of opera as an art form limit or make more difficult the ability for realism in portraying a character, but Stanislavski and others show that it is possible. A look at literature reflecting …

Defending A Soho Network Against Mitm Attacks, Braeden J. Wise

Williams Honors College, Honors Research Projects

Cybersecurity is a vast domain that consists of many threats that target sensitive information found on wired and wireless networks. One of those threats is a man-in-the-middle (MITM) attack, which involves an attacker situating themselves between a sender and a receiver to intercept or redirect network traffic. These kinds of attacks can run rampant on a small office home office (SOHO) network due to the vulnerabilities and lack of enterprise level tools. The intent of this project is to perform and defend against MITM attacks for a SOHO network. In the context of the project, three MITM attacks will be …

Analyzing Network Traffic And Data Exfiltration Via Smb In Post-Vm Escape Scenarios, Noah M. Disanza

Williams Honors College, Honors Research Projects

Virtual machines (VMs) play a crucial role in modern IT infrastructure environments by providing isolation and enhanced security, among other things, for both personal and corporate systems. VMs are heavily rely upon to safely test malware, manage infrastructure, and reduce risk to host systems. This reliance is so substantial that the idea of reducing risk to the host system is believed to be erasing risk entirely. However, this mindset has shown to be challenged time and time again by the emergence of exploits known as virtual machine escapes. These exploits allow malicious actors to break out of the virtualized environment …

Rapid Skin Stapler, Emma J. Patterson, Allison M. Milligan, Morgan E. Dunlap

Williams Honors College, Honors Research Projects

Severe burn injuries frequently require split-thickness skin grafts, with metal surgical staples serving as the current standard for fixation. While staples provide rapid and secure placement of graft material, they also introduce significant challenges. Removal is painful, time-consuming, and often requires sedation in pediatric patients, leading to added risk, resource strain, and poor patient experience. These drawbacks highlight the need for improved fixation methods that maintain graft stability while reducing procedural burden. This project applies the engineering design process to address these challenges through identification of user needs, translation into design inputs, risk assessment, and development of a prototype aimed …

The Effect Of Minimum Wage On Household Debts And Delinquencies, Payton G. Rader

Williams Honors College, Honors Research Projects

This paper examines how increases in binding minimum wages affect various types of household debts and delinquency rates. Within this paper, household debt is defined as the combined sum of auto loans, credit card debt, mortgage debt, and student loan debt. The goal of the analysis is to conclude whether minimum wage increases are contributing to America’s growing debt crisis. The answer to this question likely relies on whether or not minimum wage increases cause unemployment. This is because unemployment can contribute significantly to debt levels when unemployed people rely on credit for day-to-day transactions or payments. Traditional economic theory …

A Decade Of Programming Languages: Trends In Popularity And Influence, Jonathan C. Erb

Williams Honors College, Honors Research Projects

Programming languages play a central role in open-source software ecosystems, yet their adoption, visibility, and influence shift over time as technologies, developer communities, and industry practices evolve. The study aims to investigate long-term trends in programming-language usage on GitHub from 2014 through 2024, focusing on ten major languages that represent diverse domains and ecosystems. Using repository metadata, engagement metrics such as stars and forks, and language-level code statistics measured with cloc, the analysis will examine changes in repository creation, code contribution volume, and popularity. Since popularity remains an unsettled and multidimensional concept, part of this research involves determining how it …

Reconstructing Lost Voices, Lana Tamim

Williams Honors College, Honors Research Projects

This project uses digital text mining tools (OCR, NLP, sentiment analysis, and topic modeling) to analyze 19th–20th-century newspaper archives, focusing on how marginalized groups (women, immigrants, or labor workers) were historically portrayed. Many historical newspapers were dominated by elite voices, so this project aims to recover silenced or misrepresented perspectives by identifying hidden patterns in language, frequency of coverage, sentiment, and shifts in public perception over time. Using machine learning and visualization tools, the project will create interactive maps and timelines showing how representation evolved across regions.

Redrawing Anatomy: Addressing Female Genital Underrepresentation In Educational Texts, Clara E. Krohn

Williams Honors College, Honors Research Projects

The fight for female equality in the historically male dominated medical field is an ongoing battle. This project focuses primarily on the underrepresentation of female genitalia in undergraduate academic textbooks. A dissected pelvis of a female cadaver was initially examined. Pictures were obtained with scale bars to accurately depict size of the structures included. Underrepresented structures such as the clitoris and the broad ligament were closely examined along with the reproductive system as a whole. The pictures compiled along with further research were used to design a portfolio of diagrams and a survey to be later administered. The survey was …

Immigration As A Catalyst To The Far-Right: The Case Of Vox And Spain, Evelyn R. White

Williams Honors College, Honors Research Projects

Over the last decade or two, the world has witnessed a global rise in the popularity and success of far-right wing parties. This new era of the radical right raises questions of what is causing and fueling these political movements. Political Scientists have identified several contributing factors from the global economic crisis of 2008, the migrant crisis of 2015 and the global pandemic in 2020. This research paper aims to demonstrate how immigration acts as a catalyst to the far-right by intersecting with political science ideologies and other variables. The focus of this paper is how the Vox Party found …

Designing Crime Prevention And Crowd Management Plans For The New Berea Campus Expansion Project For The Cleveland Browns, Elleana G. Grant

Williams Honors College, Honors Research Projects

The Cleveland Browns are expanding their CrossCountry Mortgage Campus by 16 acres. This research seeks to answer a core question: How can the design of the new expansion support both crime prevention and effective crowd management for events drawing up to 6,000 guests? Additional research questions include identifying the safety risks associated and determining which evidence-based strategies are most appropriate. The main goal of this research is to ensure that the expanded campus is safe for all visitors. This work is motivated by the significant increase in daily activity that the expansion will bring, not only during major events, but …

Expanding State Tax Authority: Public And Private Sector Impacts Of Wayfair, Maxwell Pastoria

Williams Honors College, Honors Research Projects

The 2018 Supreme Court decision in South Dakota v. Wayfair, Inc. (Wayfair) overturned the longstanding physical presence rule for state sales tax collection, enabling states to enforce tax obligations on remote sellers through marketplace facilitator and economic nexus laws (Oyez, 2018). This study investigates the effects of these two post-Wayfair tax laws on state sales tax revenues, entrepreneurship, and public expenditures across all 50 states. Using a two-way fixed effects difference-in-differences (TWFE DID) framework, this research analyzes how policy adoption influenced per-capita outcomes in tax revenue, firm formation, and government spending in social services, education, infrastructure, and …

Codezip: A University-Based Coding Practice And Collaboration Platform, Manoj Khatri

Williams Honors College, Honors Research Projects

This project proposes the development of CodeZip, a university-exclusive web platform designed to help University of Akron students practice coding problems, prepare for technical interviews, and engage in collaborative learning. CodeZip ensures a secure environment by restricting access to users with @uakron.edu email addresses via Clerk API authentication.

The goal of this honors project is to expand CodeZip into an intelligent, interactive system. Planned enhancements include AI-generated problem hints, automated grading with performance analytics, and a visual dashboard to track learning progress. These features will provide personalized guidance, encourage collaboration between students and alumni, and create a dynamic platform that …