Digital Commons Network^™

Covering The Care: Hospital Consolidations Lead To Higher Healthcare Costs, Kimberly Persson, Deborah Fournier

All Materials

No abstract provided.

Genetic Architecture Of Cerebral White Matter Hyperintensities In Diverse Hispanic/Latino Adults, Myriam Fornage, Rui Xia, Adriana Ordonez, Tamar Sofer, Carmen R Isasi, Richard B Lipton, Ariana M Stickel, Wassim Tarraf, Hector M Gonzalez, Charles S Decarli

Faculty, Staff and Student Publications

Background and objectives: Cerebral white matter hyperintensities (WMHs) on MRI are part of the spectrum of age-related brain vascular injury and are associated with increased risk of stroke and dementia. Genome-wide association studies (GWASs) conducted mostly in populations of European ancestry have identified several genetic loci. Although Hispanic/Latino adults have a greater burden of WMHs than their non-Hispanic White counterparts, they are vastly underrepresented in genetic studies. We sought to characterize the genetic architecture of WMHs in a Hispanic/Latino cohort by investigating the transferability of known WMH genetic loci and by leveraging Hispanic/Latino genetic diversity to map novel loci.

Methods: …

Sensory Processing Education For Substance Use Prevention, Brenna Destefano

Occupational Therapy Student Scholarship

Capstone poster presentation from the The Minute Thesis Competition on Binghamton University Campus.

Graduate Studies Newsletter (Fall 2025), Csusb - Office Graduate Studies

Graduate Studies Newsletter

No abstract provided.

Portfolio And Appendix Chris M. Larson, Chris M. Larson

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Abstract:

This is a collection of assignments and reflections of my work throughout the course of the Masters in Social Work program at the University of Montana. Included are assignments reflecting on the Indian Child Welfare Act, housing, barriers to care for Non-White and female veterans within the VA clinic, the quality of care in nursing homes, American Drug policy, confidentiality in the YWCA, training on interventions based on Cognitive Behavioral Therapy, cost benefit analysis of in home care programs, and a proposal for my practicum site Missoula Aging Services. It has reflections on the five elements of advanced practice, …

A Scoping Review Of Oral Feeding Skill Development In Typically Developing Children Part Ii: Exploring Variability In Oral Feeding Skill Descriptions, Amy Delaney, Anna Flatt, Hannah Koepp, Alissa Fial, Katherine C. Hustad

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This scoping review is the second in a two-part series that aims to synthesize the literature on oral feeding skills development and to create a classification system of observable skills. Building on the findings from Part 1, this article compiles and analyzes the types of feeding skills reported across studies and proposes a framework for standardizing terminology.

Method:

The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Of the 14 studies identified in Part 1 that focused on feeding skill development, 11 included unique skill descriptions. These skills were coded and …

2025 (Fall) Ensi Informer Magazine, Morehead State University. Engineering Sciences Department

ENSI Informer Magazine Archive

The ENSI Informer Magazine published in the fall of 2025.

Unravelling The Distinct Effects Of Vhl Mutations And Chromosome 3p Loss In Clear Cell Renal Cell Carcinoma: Implications For Prognosis And Treatment, Xiang Wang, Jian-Rong Li, Naail Raed Chowdhury, Lang Wu, Cheng Chao

Faculty, Staff and Students Publications

No abstract provided.

Liver-Specific Expression Of Hiv-1 Viral Protein R Causes Hepatic Steatosis And Glucose Intolerance In Male Mice, Neeti Agarwal, Pradip Saha, Claudia E Ramirez Bustamante, Sean M Hartig, Mark A Herman, Ashok Balasubramanyam, Jordan E Lake

Faculty, Staff and Students Publications

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is increasingly recognized in people with HIV (PWH), with both HIV and antiretroviral therapy contributing to liver damage and glucose intolerance. However, the role of viral proteins derived from reservoirs in this process remains unclear.

Methods: Adeno-associated virus (AAV) constructs encoding a control protein or HIV-1 viral protein R (Vpr) driven by the thyroxine-binding globulin promoter were administered to male mice (n = 5 per group) fed regular chow or a high-fat diet (HFD). Young adult mice underwent intraperitoneal glucose tolerance testing and magnetic resonance imaging, followed by euthanasia. Liver and adipose tissues …

Associations Of High Attenuation Area-Related Proteomic Biomarkers With Fibrotic Or Subpleural Interstitial Lung Abnormalities, John S Kim, Catherine L Debban, Daniel E Guzman, Riley T Hannan, Mary Salvatore, Claire Mcgroder, David Zhang, Anna J Podolanczuk, Daniel A Duprez, Shwu-Fan Ma, Yong Huang, Jeffrey M Sturek, Stephen S Rich, Jerome I Rotter, Rajat Deo, Ruth F Dubin, Janelle Vu Pugashetti, Jennifer M Wang, Meilan K Han, Justin M Oldham, Imre Noth, Prescott G Woodruff, Victor E Ortega, Julie C Fanburg-Smith, Edward B Stelow, Christopher A Moskaluk, Eric A Hoffman, Christine Kim Garcia, Russell P Bowler, Peter Ganz, R Graham Barr, Ani Manichaikul

Faculty, Staff and Student Publications

No abstract provided.

Covid-19 Booster Vaccine Messaging In Emergency Departments: A Cluster Randomized Clinical Trial, Melanie F Molina, Stephanie A Eucker, Kristin L Rising, Efrat R Kean, Zubaid Rafique, Heba Mesbah, David V Glidden, Mireya I Arreguin, Christopher Alvarez, Robert M Rodriguez

Faculty, Staff and Students Publications

Importance: Patient uptake of updated COVID-19 vaccines is crucial for reducing severe outcomes, yet national uptake remains low.

Objective: To determine if tailored messaging or simple inquiry about vaccine acceptance increases 30-day uptake of updated COVID-19 vaccines among emergency department (ED) patients.

Design, setting, and participants: This 3-arm, cluster randomized clinical trial conducted from January 29 to June 18, 2024, enrolled adult ED patients who had not received a COVID-19 vaccine in the prior 6 months across 6 EDs in San Francisco, California; Philadelphia, Pennsylvania; Houston, Texas; and Durham, North Carolina.

Interventions: Intervention M involved tailored messaging about updated COVID-19 …

Exploring Impacts Of Diversity Ideologies On Allyship (Intergroup Responsiveness), Fiona Nguyen

Dissertations and Theses

Colorblindness and multiculturalism are widely studied diversity ideologies that reflect prominent attitudes about how diversity should be understood and managed, as they can help predict individual behavior. Colorblindness proposes that distinct group identities should be ignored, and can be used to exclude minoritized groups and downplay racial minorities' experiences, whereas multiculturalism embraces and values group differences, can foster inclusive environments for minority groups, and leads to positive intergroup outcomes such as reduced prejudice. Despite much research dedicated to exploring the intergroup outcomes of diversity ideologies, few studies have examined their impacts on specific interpersonal interactions, particularly allyship. Research has defined …

A Randomised Controlled Trial Of Verbal Guidance Versus Verbal Guidance Supplemented By A Photographic Aid For Bystander Identification Of Intramuscular Tranexamic Acid Injection Sites In A Simulated Road Injury Scenario, Tim Nutbeam, Emily Foote, Lauren R. Rodgers, Jessica Thomas-Mourne, Rob Fenwick

Peninsula Medical School

Background: Non-compressible haemorrhage is a leading cause of preventable death following road injury. Tranexamic acid (TXA), when administered early, improves survival. Intramuscular (IM) administration offers a feasible route for early administration by lay bystanders. However, the ability of bystanders to correctly identify safe IM injection sites remains unclear. This study aimed to evaluate whether verbal guidance supplemented by a photographic aid improves the accuracy of site identification in a simulated road injury scenario. Methods: In this randomised controlled trial, 64 lay participants were recruited on a university campus and randomised to receive either (1) verbal guidance alone or (2) verbal …

October 2025, Swosu Rural Health Center

RURAL ROCKS

• SWOSU Doctor in Community Health (DCH)

• Hospitals with highest price markups for elective surgeries have worse outcomes, researchers find

• HHS Final Rule Expands Real-Time Prescription Access, Eases Prior Authorization Burdens

• Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: An Update of the PTSD Repository Evidence Base

• Retail pharmacy is adapting to meet local needs

• IZ Express Sept 24, 2025

Protein Kinase Rock1 Activates Mitochondrial Fission Linking To Oxidative Stress And Muscle Atrophy, Meijun Si, Jihong Chen, Rizhen Yu, Hongchun Lin, Feng Li, Sungyun Jung, Sandhya S Thomas, Farhard R Danesh, Yanlin Wang, Hui Peng, Zhaoyong Hu

Faculty, Staff and Students Publications

Introduction: Chronic kidney disease (CKD) is associated with protein-energy wasting, characterized by a reduction in muscle mass and strength. Although mitochondrial dysfunction and oxidative stress are implicated in the pathogenesis of muscle wasting, underlying mechanisms remain unclear.

Methods: Here, we used transcriptomic analysis, metabolomics analyses, and mouse gene manipulation to investigate the effects of mitochondrial plasticity and oxidative stress on muscle wasting the subtotal nephrectomy mouse models of CKD. The mice with CKD were age- and sex-matched to sham-operated controls.

Results: Through these approaches, Rho-associated kinase ROCK1 emerged as a key molecule responsible for the observed mitochondrial fission and oxidative …

Germline Cancer Predisposition Results From The National Cancer Institute-Children's Oncology Group Pediatric Match Trial, Sarah Scollon, Sharon E Plon, Steven Joffe, Jaclyn A Biegel, Shashikant Kulkarni, George Miles, David R Patton, Brent Coffey, Cynthia L Winter, Gregory J Tsongalis, Mark J Routbort, Nilsa C Ramirez, Lauren Saguilig, Jin Piao, Todd A Alonzo, Stacey L Berg, Elizabeth Fox, Brenda Weigel, Douglas S Hawkins, Jeffrey S Abrams, Margaret Mooney, Naoko Takebe, James V Tricoli, Katherine A Janeway, Nita L Seibel, D Williams Parsons

Faculty, Staff and Students Publications

Purpose: Precision oncology trials have generally focused on tumor testing to identify actionable alterations. The National Cancer Institute-Children's Oncology Group Pediatric MATCH trial incorporated return of germline results to assess feasibility of reporting in a cooperative group setting and characterize germline cancer predisposition in patients with refractory cancers.

Patients and methods: Tumor and blood DNA from patients 1-21 years of age with treatment-refractory solid tumors, non-Hodgkin lymphomas, or histiocytic disorders underwent cancer gene panel sequencing. Clinical germline reports returned to 151 study sites included pathogenic/likely pathogenic (P/LP) germline variants found in 38 cancer predisposition genes (CPGs). European Society of Medical …

Effective Enforcement Of Laws Prohibiting Underage Tobacco Product Sale Is Needed, Harold J Farber

Faculty, Staff and Students Publications

No abstract provided.

Healing Right Way: A Stepped Wedge Cluster Randomised Controlled Trial Aiming To Enhance Quality Of Life For Aboriginal Australian Survivors Of Stroke And Traumatic Brain Injury, Elizabeth Armstrong, Tapan Rai, Judith M. Katzenellenbogen, Sandra J. Thompson, Meaghan Mcallister, Natalie Ciccone, Deborah Hersh, Leon Flicker, Dominique A. Cadilhac, Erin Godecke, Graeme J. Hankey, Neil Drew, Colleen Hayward, Deborah Woods, Mel Robinson, Ivan Lin, Sanita Kratina, Jane White, Juli Coffin

Research outputs 2022 to 2026

Objective: To determine the effect of cultural security training (CST) for health professionals and access to an Aboriginal Brain Injury Coordinator (ABIC) for Aboriginal Australians with stroke or traumatic brain injury (TBI). Design: A stepped wedge cluster randomised controlled trial; the intervention package consisted of CST for hospital professionals and 6-month access to ABICs providing education, support, liaison and advocacy; the commencement order of the intervention phase was randomised. Setting: Four urban and four rural hospitals in Western Australia, 2018–2022. Participants: Aboriginal adults ≥ 18 years hospitalised with stroke or TBI. Main Outcome Measures: Primary outcome was quality of life …

My Mum Sometimes Helps Me With My Writing: Parents' And Children's Perspectives Of Home-Led Writing, Bronte Kelso-Marsh, Anabela Abreu Malpique, Helen Davis

Research outputs 2022 to 2026

This qualitative study aimed to explore parents' and children's perspectives of parental involvement in children's writing. Theoretical models argue for the benefits of parental involvement to supporting children's learning. Research has placed little attention in examining parental involvement in children's writing. Participants included 27 Australian Year 2 parent-child dyads, who were interviewed about their home-led writing. Results suggested parents and children valued parental involvement. Despite this, parents reported little communication from teachers about supporting their child's writing. Implications include encouraging stronger partnerships and more frequent communication between parents and schools to help support children's writing across home and school fronts.

Co-Design Of A Weekly Meal Box For Neurological Conditions: Findings From Consumer And Healthcare Provider Collaborative Workshops, Joanna Rees, Kelly Moes, Amanda Devine, Melanie Clark, Ros Sambell, Simon Laws, Travis Cruickshank

Research outputs 2022 to 2026

Introduction: This study explores the collaborative co-design process for developing a weekly meal box tailored for individuals with neurological conditions. Recognising the critical role of nutrition for this community, the research addresses the challenges posed by cognitive and physical impairments in meal preparation. Methods: Through two co-design workshops involving consumers, healthcare providers and industry experts, insights were gathered on dietary preferences, nutritional needs and practical challenges. Results: The workshops emphasised the importance of convenient, easy-to-prepare meals with simple instructions, flexibility and customisability. Consumers expressed preferences for convenient, easy-to-prepare meals with simple, easy-to-follow recipe instructions that align with optimal dietary patterns …

Explainabledetector: Exploring Transformer-Based Language Modeling Approach For Sms Spam Detection With Explainability Analysis, Mohammad Amaz Uddin, Muhammad Nazrul Islam, Leandros Maglaras, Helge Janicke, Iqbal H. Sarker

Research outputs 2022 to 2026

Short Message Service (SMS) is a widely used and cost-effective communication medium that has unfortunately become a frequent target for unsolicited messages - commonly known as SMS spam. With the rapid adoption of smartphones and increased Internet connectivity, SMS spam has emerged as a prevalent threat. Spammers have recognized the critical role SMS plays in today's modern communication, making it a prime target for abuse. As cybersecurity threats continue to evolve, the volume of SMS spam has increased substantially in recent years. Moreover, the unstructured format of SMS data creates significant challenges for SMS spam detection, making it more difficult …

The Degree Of Digital Fluency Availability Among Middle School English Teachers In Bisha City, Sharifah Al-Shahrani, Ahmad Al- Daleel

Journal of Educational and Psychological Studies

The aim of this study was to assess the dimensions of digital fluency (technical, cognitive, social, and security/privacy) among middle school English teachers in Bisha Governorate, Saudi Arabia. The study included 157 teachers selected using a simple random sampling method. The researchers employed a descriptive survey approach and used a questionnaire as the research instrument. The study results showed that the level of availability of the dimensions of digital fluency among middle school English teachers in Bisha Governorate varied: the social dimension ranked first with a mean score of 4.35, indicating a very high level of availability; followed by the …

The Relative Contribution Of Career Sustainability To The Psychological Well-Being Of Teachers In Syrian Refugee Camps In Light Of Some Variables, Ahmad Mohammad Sulieman Bani Khalid, Omar Atallah Ali Al-Adamat

Journal of Educational and Psychological Studies

The study aimed to identify the level of both Career Sustainability and psychological well-being among teachers in Syrian refugee camps, and the relative contribution of Career Sustainability to psychological well-being. The study sample consisted of 282 teachers (138 males, 144 females) from the Syrian refugee camp in Jordan, selected by convenience sampling. To achieve the objectives of the study, the researchers used (Chin et al., 2022) scale of Career Sustainability and (Anyamesem-Poku & Parmar., 2024) scale of teachers’ psychological well-being after ensuring reliability and validity. The results of the study indicated that the overall level of Career Sustainability was (high) …

The Role Of Scientific, Critical, And Creative Thinking Skills In Equipping Students With Problem-Solving Skills: A Field Study Among A Sample Of Sultan Qaboos University Students, Noureddine Chebbi, Wafa Al Mamaria, Suleiman Zakaria

Journal of Educational and Psychological Studies

The ability to think scientifically, critically, and creatively is essential for students to meet the challenges of the Fourth Industrial Revolution. The current study sought to assess the sources and level of acquisition of scientific, critical, and creative thinking skills by Sultan Qaboos University students, and to determine the impact of these skills on their problem- solving abilities. The study random sample consisted of 384 male and female students selected from all colleges of Sultan Qaboos University. Study data was collected automatically via an electronic platform specifically developed for the study. Descriptive and correlational analyses were used to assess skill …

Postgraduate Medical Education Accreditation: Why Iraq Should Act Now, Nazar Haddad

Iraqi Postgraduate Medical Journal

 Accreditation of medical education is a formalcertification process that verifies the quality ofmedical education programs and assesses theeffectiveness of medical schools in trainingfuture doctors. This process is crucial forensuring patient safety and the competence ofpractising physicians. Typically, accreditationis carried out by national governments oragencies authorised by them .Postgraduate medical education (PGME)accreditation extends this process to residencyand fellowship training. It ensures thatcurricula, supervision, assessment, and clinicallearning environments effectively prepareindependent and safe specialists. The WorldFederation for Medical Education (WFME)2023 PGME Standards serve as the primaryglobal reference framework for thisaccreditation.

Global Npd Volunteerism From Your Home Office, Leanna Ross

Publications 2026-present

No abstract provided.

Pre_And Postoperative Evaluation Of Patients With Lumbosacral Disc Herniation (L4l5, L5s1)By Neurophysiological, Radiological And Clinical Assessment., Ahmed Al Atraqchi, Duraid Al Badawi

Iraqi Postgraduate Medical Journal

AbstractObjective: Pre and postoperative evaluation of patients with lumbosacral disc herniation by neurophysiological, radiological and clinical assessment.Patient and method: This prospective and retrospective cohort study was conducted at Saad Al-Witry neuroscience teaching hospital in Baghdad in the period extended from January 2017 to October 2023. The study included a total number of 1000 cases gathered from a neurosurgical team specialized in spine cases handling. The selection of cases was based on clinical and neurological examination. In whom medical therapy failed to control patients' symptoms.The patients were observed during their initial visit to the clinic, the day of the procedure, 2 …

Violence Of Husbands Against Reproductive Age Wives During Covid-19 Pandemic, Zainab Aljoori, Mushtaq Hashim

Iraqi Postgraduate Medical Journal

Background:The COVID-19 pandemic has led to a surge in domestic violence, affecting women's physical and mental health through direct and indirect means. A history of violence can increase the risk of various diseases, and severe abuse can persist even after the violence ceases.MethodsA cross-sectional web-based survey that included 500 women calculated according to Roasoft calculator based on previously published Iraqi studies , it was convenience sampling and was conducted between June and September among 15-49 year old Iraqi women, recruited via social media platforms, and completed until a sample size of 500 forms was collected.ResultsThe study found that psychological violence …

Psychological Impact And Severity Condition During The Coronavirus (Covid-19) Pandemic Among The General Population In Iraq, Kawthar Nassir, Zainab Qasim, Nesif Al-Hemiary, Zahraa Al Nedawi

Iraqi Postgraduate Medical Journal

Background: the COVID-19 pandemic is a global healthcare crisis that impacts multiple body systems and is linked to various psychiatric issues.Objective: this study aims to assess psychological symptoms, sleep disturbances, and insomnia associated with infection by covid-19, examining the severity of these symptoms based on the perceived threat of infection. Patients and Methods: This observational, cross-sectional study of a convenient sample of patients, involved collecting medical data by distributing questionnaires under a psychiatrist’s supervision. The data included demographics, co-morbidities, disease severity, psychological measurements, treatment response, and prognosis. The questionnaires incorporated the Anxiety and Stress Scale, along with the Impact of …

In Sources We Trust (Sometimes): Verifying Citations In The Age Of Ai, Daniel G. Kipnis

Library Workshops

Learning objective:

1.Learn strategies to determine if an AI generated citation is fake or real

AI tools like ChatGPT, Gemini, and Claude are powerful research aids—but they sometimes generate citations that don’t actually exist, a phenomenon known as “hallucination.” As these tools become more common in academic work, verifying the accuracy of citations is more important than ever.

Join Dan Kipnis, STEM Librarian at Rowan University Libraries, for a concise, hands-on workshop where you’ll learn practical strategies to identify fake citations and verify legitimate sources in navigating AI-generated content responsibly.