Digital Commons Network^™

The Document Divide: Public Record Requester Demographics, Efficacy And Those Left Behind, David Cuillier, A. Jay Wagner

College of Communication Faculty Research and Publications

Democratic theory suggests that people require accurate information, often via newspaper journalists, to make informed decisions and adequately self-govern. A survey of 330 U.S. public record requesters found that they skew heavily toward being White, male, non-Hispanic, educated, older, and affluent, compared with the U.S. population and the journalism community. Implications are discussed for journalism and society, particularly in light of newspaper layoffs and closures and heightened government secrecy.

2025 September, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for September of 2025.

Appreciating The Lotp Study: Further Refining Scope-Of-Practice Analysis., Eduardo Rivé Lockwood

Ambulatory and Primary Care Articles

No abstract provided.

Inyoni And The Pale Man (Book Review), James C. Schaap

Pro Rege

Reviewed Title: Inyoni and the Pale Man by John Suk. Bloomington, IN: Archway Publishing, 2025. 256 pp. ISBN: 9781665770194.

Penicillin Adverse Drug Reaction (Historical), Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Neuro-Ins: A Learning-Based One-Shot Node Insertion For Dynamic Routing Problems, Zhiqin Zhang, Jingfeng Yang, Zhiguang Cao, Hoong Chuin Lau

Research Collection School Of Computing and Information Systems

The rise in instant delivery services necessitates efficient route planning in last-mile delivery scenarios, where new orders arrive dynamically and need to be integrated into existing routes. In such contexts, complete re-optimization of routes are not permitted, and node insertion to existing route sequences is the only viable option. However, many existing heuristics for node insertion, such as the Cheapest Insertion (CI) method, are myopic and often result in suboptimal solutions retrospectively. This paper presents Neuro-Ins, an initial yet novel attempt at harnessing a learning-based framework to handle the insertion of new orders for the Pickup and Delivery Problem (PDP). …

In Crypto We Trust: A Cross-National Comparison Of Factors Affecting Trust In Cryptocurrencies, Arif Perdana, W. Eric Lee, Chu Yeong Lim, Gary Pan, Poh Sun Seow

Research Collection School Of Accountancy

Background: Trust in cryptocurrencies is a complex and evolving construct influenced by technological, economic, and social factors. Unlike traditional information systems that rely on institutional trust, cryptocurrency users often depend on underlying technology and community insights. Despite growing interest, existing research has primarily focused on narrow aspects of trust, with limited cross-national perspectives and comprehensive models.

Method: This study investigates how geographic differences impact user trust in cryptocurrencies by surveying 644 respondents from China, Germany, and the USA. Drawing on established trust formation theories, it utilizes a comprehensive model encompassing technological, economic, and social factors.

Results: Our analysis reveals multiple …

The Decline And Transformation Of Smallholders In Chinese Agriculture: National Trends, Qian Forrest Zhang, Meiling Wu

Research Collection School of Social Sciences

Using data from official statistical sources and a nationally representative survey, we find that since 2001, China’s agricultural labor force has declined by over 50 percent—a loss of over 200 million smallholders, probably the largest in human history. This trend is the most pronounced in livestock sectors: from 2012 to 2021, 62.5 million smallholder units have disappeared. The 150 million remaining smallholders are mostly commodity producers, participating widely in commodity relations to access agrochemicals, machinery, rental land, and wage labor to produce for markets. The ageing smallholder population also face challenges in intergenerational reproduction, which will accelerate its decline.

Accordance And Conflict Between Religious And Scientific Precautions Against Covid-19 In 27 Societies, T. Samore, D.M.T. Fessler, A.M. Sparks, C. Holbrook, L. Aarøe, C.G. Baeza, M.T. Barbato, P. Barclay, R. Berniūnas, J. Contreras-Garduño, B. Costa-Neves, M.P. Grazioso, P. Elmas, P. Fedor, Li, Norman P., R. Fernández-Morales, L. Garcia-Marques, P. Giraldo-Perez, P. Gul, F. Habacht

Research Collection School of Social Sciences

Meaning-making systems underlie perceptions of the efficacy of threat-mitigating behaviors. Religion and science both offer threat mitigation, yet these meaning-making systems are often considered incompatible. Do such epistemological conflicts swamp the desire to employ diverse precautions against threats? Or do individuals—particularly individuals who are highly reactive to threats—hedge their bets by using multiple threat-mitigating practices despite their potential epistemological incompatibility? Complicating this question, perceptions of conflict between religion and science likely vary across cultures; likewise, pragmatic features of precautions prescribed by some religions make them incompatible with some scientifically-based precautions. The COVID-19 pandemic elicited diverse precautions thus providing an opportunity …

A Multifaceted Nudge-Based Intervention To Reduce Smartphone Use: Findings From A Randomized Cross-Over Trial, K. T. A. Sandeeshwara Kasturiratna, Yi Jing Chua, Andree Hartanto

Research Collection School of Social Sciences

The widespread use of smartphones has raised concerns about problematic usage behaviors, including excessive screentime and frequent phone checking, which can disrupt daily functioning. This study aimed to evaluate the effectiveness of a multifaceted nudge-based intervention in reducing smartphone use through subtle changes to smartphone settings. The intervention incorporated adjustments such as disabling face/touch ID, setting longer passwords, switching to grayscale mode, and removing social media apps from the home screen. A randomized within-subject cross-over trial with counterbalancing was conducted over a two-week period using a daily diary approach paired with objective smartphone usage data to track the impact of …

Reimagining Academic Assessment In The Age Of Ai, Matthew Hammerton

Research Collection School of Social Sciences

In ‘Reimagining Academic Assessment in the Age of AI’, Matthew Hammerton examines the challenges and opportunities posed by generative AI for higher education assessment. He critiques common responses like banning AI, reverting to in-class exams, or abandoning essays altogether, arguing that they fail to preserve the deeper pedagogical goals of higher order, independent thinking. Instead, Hammerton proposes a guiding principle of intellectual responsibility: students should be accountable for explaining and defending each major choice in their work—regardless of whether they use AI tools. To operationalise this, he advocates for reintegrating oral examinations (‘vivas’) alongside written essays. In this model, students …

What Are The Limits To Smart Innovation? The Digital Underground Initiative And New Frontiers Of “Smartness” In Singapore, Prerona Das, Orlando Woods, Lily Kong

Research Collection College of Integrative Studies

This paper argues that the emergence of new frontiers of smart transformation, such as underground spaces, can pose significant challenges to the implementation of “smart” technological solutions. Exploring the case of Singapore’s Digital Underground initiative, we show that elements such as material complexity, co-ordination between stakeholders, and the availability of appropriate regulatory and administrative frameworks can problematize the implementation of subterranean smart initiatives. By considering multistake-holder perspectives on these “more-than-technological” factors, this paper offers lessons for urban planners, policymakers, and developers in cities around the world that are keen to leverage technology to unlock the potential of underground space.

Public Support For And Reactive Behavior Toward Technological Risk Interventions: An Extension Of Secondary Risk Theory, Hye Kyung Kim, Rui Gu, Fiona Goh, Sonny Rosenthal, Shirley S. Ho

Research Collection College of Integrative Studies

Project Wolbachia is a dengue control initiative in Singapore. Guided by Secondary Risk Theory, this study examined how primary (dengue) and secondary (Wolbachia) threat and coping appraisals shape public support and reactive behavior toward the project. A nationally representative survey of 1,000 Singaporeans showed that support was positively linked to the perceived primary risk, the efficacy of the project and the government, while negatively related to the perceived secondary risk. Reactive behavior was positively associated with perceptions of both primary and secondary risk. Media attention and trust in the government indirectly influenced support and behavior moderated by knowledge.

Iot Sensors As A Tool For Assessing Spatiotemporal Risk To Extreme Heat, Kijin Seong, Seung Jun Choi, Junfeng Jiao

Research Collection College of Integrative Studies

The safety of urban populations sensitive to extreme heat is under increasing threat. Few studies examine the potential benefits of deploying IoT environmental sensors in the urban context and their integration with large-scale human activity data. This paper examines the deployment of IoT sensors in high-resolution extreme heat risk assessment in the case of Seoul, South Korea. This study conducted spatiotemporal analysis on heat exposure with IoT sensors, compared it with an existing land surface temperature map for validation, combined it with human activity data for risk assessment, and finally discussed the benefits of IoTs in detecting abnormal weather events. …

The Cool, Quiet City Machine Learning Competition: Overview And Results, Clayton Miller, M. Ibrahim, I.S. Akbar, B. Picchetti, Y.X. Chua, M. Frei, F. Biljecki, A. Chong, M. Quintana, C. Fu

Research Collection College of Integrative Studies

The prediction of thermal and noise-based preferences in the urban context is valuable in characterizing interventions to mitigate the challenges of health, productivity, and satisfaction of urban dwellers. The growth of crowd-sourced data and data-driven techniques provides an opportunity to increase the understanding of which machine learning models are most accurate and applicable for this context. This paper outlines the results of a machine learning competition aiming to enhance the accuracy of predicting human comfort in the city context. The competition asks contestants to use contextual data to predict noise distraction and thermal preference in various indoor and outdoor spaces. …

Sex Disparities In Chlamydia And Gonorrhea Treatment In Us Adult Emergency Departments: A Systematic Review And Meta-Analysis, Rachel E Solnick, Rahi Patel, Ethan Chang, Carmen Vargas-Torres, Maaz Munawar, Carlin Pendell, Judith E Smith, Ethan Cowan, Keith E Kocher, Roland C Merchant

Faculty, Staff and Student Publications

BACKGROUND: Empiric antibiotic treatment for gonorrhea (GC) and chlamydia (CT) is common in U.S. emergency departments (EDs) due to the delayed availability of test results. Local studies have identified sex-based disparities in sexually transmitted infection (STI) care, with females potentially receiving less empiric treatment than males. This study evaluates how STI treatment aligns with laboratory-confirmed results to quantify potential overtreatment and undertreatment rates and investigates sex differences for these outcomes.

METHODS: We conducted a preregistered (PROSPERO #241429) systematic review and meta-analysis of studies published between January 2010 and January 2025 in U.S. EDs, excluding studies conducted exclusively in pediatric settings. …

Stakeholder Views On Lessons Learned For The Antimicrobial Resistance Panel From Previous International Science Panels [Version 1], Iruka N. Okeke, Ayodele A. Akinyele, Javier Guzman, Kevin Outterson

Faculty Scholarship

The United Nations General Assembly called in September 2024 for the establishment of an independent panel for actionable evidence against antimicrobial resistance (IPEA). The task of designing the panel was given to the Quadripartite Joint Secretariat (QJS) on Antimicrobial Resistance (AMR) with a delivery timeline of 15 months. To promote stakeholder thought and input around what this panel should look like and how it should work, which could feed into the QJS’s consultation process, we independently commissioned seven papers to examine lessons that could be learned from other high-level scientific panels. We then called a convening of stakeholders that were …

Risk Of Second Primary Lung Cancer Among Cancer Survivors Stratified By The Site Of First Primary Cancer And The Lung Cancer Screening Eligibility Status, Sara Nofal, Edwin J Ostrin, Jianjun Zhang, Jia Wu, Paul Scheet, Mara B Antonoff, John V Heymach, Iakovos Toumazis

Faculty, Staff and Student Publications

Personal history of cancer is an independent risk factor for developing lung cancer. However, it is not considered in the current US lung cancer screening (LCS) guidelines. In this study, we assessed the risk of developing lung cancer among cancer survivors across 24 different sites of first primary cancer stratified by their LCS eligibility status. Using data from the Patient History Database at the University of Texas MD Anderson Cancer Center, we calculated and compared the cumulative incidence of second primary lung cancer, the overall and the LCS eligibility status-specific, stratified by the site of first primary cancer among cancer …

Comparative Pathology Boards Facilitate The Translation Of Knowledge Between Canine And Human Cancer Patients, Jessica A Beck, Christina Mazcko, Sara Belluco, Mireille Bitar, Daniel Brat, Jonathan W Bush, Rati Chkheidze, Kara N Corps, Chad Frank, Caterina Giannini, Craig Horbinski, Jason T Huse, Jennifer W Koehler, Andrew D Miller, C Ryan Miller, M Gerard O'Sullivan, Joanna J Phillips, Daniel R Rissi, Courtney R Schott, Anat Stemmer-Rachamimov, Stephen Yip, Amy K Leblanc

Faculty, Staff and Student Publications

Comparative pathology boards bring together anatomic pathologists with expertise in canine and human histology to identify shared features, including immune or TME components, tumor subtypes, or prognostic tissue biomarkers. This article summarizes feedback to improve future initiatives and enhance the translational relevance of comparative oncology for human patients.

Designing An Electronic Patient-Reported Outcomes Information Infrastructure Supported By The Re-Aim Implementation Framework, Amy C Moreno, Angela Peek, Toshiko S Stein, Kevin R Shook, Sara M Ali, Laia Humbert-Vidan, Aileen Chen, Miriam Lango, Anna Lee, Michael Spiotto, William H Morrison, Adam S Garden, Jack Phan, Steven J Frank, Katherine Hutcheson, David I Rosenthal, Clifton D Fuller, G Brandon Gunn

Faculty, Staff and Student Publications

Objective: Patient-reported outcomes (PROs) contain valuable information that can be leveraged by providers to perform timely interventions and improve quality of life and survival. However, the implementation of electronic PROs (ePROs) remains a challenge from technical and evaluation perspectives. Our objective was to construct a robust electronic health record (EHR)-integrated ePRO information infrastructure founded on RE-AIM (reach-effectiveness-adoption-implementation-maintenance) principles.

Materials and methods: We used Epic Systems as our EHR platform to build the MD Anderson Symptom Index Head and Neck Module (MDASI-HN) for release to all patients undergoing evaluation and/or treatment in our HN Radiation Oncology clinics. RE-AIM metrics were established …

Spatial Colocalization And Molecular Crosstalk Of Myofibroblastic Cafs And Tumor Cells Shape Lymph Node Metastasis In Oral Squamous Cell Carcinoma, Ken Furudate, Shuya Kasai, Tadashi Yoshizawa, Yuya Sasaki, Kohei Fujikura, Shintaro Goto, Ryohei Ito, Koki Takagi, Tomoyuki Tanaka, Hiroshi Kijima, Kosei Kubota, Ken Itoh, Wataru Kobayashi, Koichi Takahashi

Faculty, Staff and Student Publications

Lymph node metastasis (LNM) is a critical prognostic factor for patients with oral squamous cell carcinoma (OSCC). Previous research has implicated the partial epithelial-to-mesenchymal transition of tumor cells and myofibroblastic cancer-associated fibroblasts (myCAFs) in the LNM process. However, the underlying molecular mechanisms remain poorly understood. Here, we conducted a comprehensive molecular analysis integrating original and publicly available OSCC data from bulk genome and transcriptome, single-cell transcriptome, and spatial transcriptome analyses. We found that myCAFs were quantitatively and functionally activated in LNM-positive samples and spatially colocalized with OSCC cells within the invasive tumor front (ITF), providing a niche that may facilitate …

Dna Methylation Cooperates With Genomic Alterations During Non-Small Cell Lung Cancer Evolution, Francisco Gimeno-Valiente, Carla Castignani, Elizabeth Larose Cadieux, Nana E Mensah, Xiaohong Liu, Kezhong Chen, Olga Chervova, Takahiro Karasaki, Clare E Weeden, Corentin Richard, Siqi Lai, Carlos Martínez-Ruiz, Emilia L Lim, Alexander M Frankell, Thomas B K Watkins, Georgia Stavrou, Ieva Usaite, Wei-Ting Lu, Daniele Marinelli, Sadegh Saghafinia, Gareth A Wilson, Pawan Dhami, Heli Vaikkinen, Jonathan Steif, Selvaraju Veeriah, Robert E Hynds, Martin Hirst, Crispin Hiley, Andrew Feber, Özgen Deniz, Mariam Jamal-Hanjani, Nicholas Mcgranahan, Tracerx Consortium, Stephan Beck, Jonas Demeulemeester, Miljana Tanić, Charles Swanton, Peter Van Loo, Nnennaya Kanu

Faculty, Staff and Student Publications

Aberrant DNA methylation has been described in nearly all human cancers, yet its interplay with genomic alterations during tumor evolution is poorly understood. To explore this, we performed reduced representation bisulfite sequencing on 217 tumor and matched normal regions from 59 patients with non-small cell lung cancer from the TRACERx study to deconvolve tumor methylation. We developed two metrics for integrative evolutionary analysis with DNA and RNA sequencing data. Intratumoral methylation distance quantifies intratumor DNA methylation heterogeneity. MR/MN classifies genes based on the rate of hypermethylation at regulatory (MR) versus nonregulatory (MN) CpGs to identify driver genes exhibiting recurrent functional …

Testing Measurement Invariance Of Self-Report And Interview Measures Of Borderline Personality Disorder Across Ethnic/Racial Groups Of Inpatient Adolescents, Salome Vanwoerden, Eric D Sumlin, Veronica Mclaren, Carla Sharp

Faculty, Staff and Student Publications

Borderline personality disorder (BPD) is a severe mental disorder that onsets during adolescence. Research examining sociocontextual differences in BPD presentation is limited and provides mixed results, highlighting the importance of further investigation and the evaluation of potential measure effects. This study assessed measurement invariance of two widely used adolescent measures (self-report—the Borderline Personality Features Scale for Children and semistructured interview—Childhood Interview of Diagnostic and Statistical Manual Borderline Personality Disorder) of BPD. Comparisons across inpatient psychiatric settings (n = 521 at a private inpatient; n = 378 at a public inpatient) and across self-identified Hispanic/Latinx (n = 193), Black …

¡Iniciando! La Adultez (Launching! To Adulthood): A Cultural And Linguistic Adaptation Of A Group Therapy Program For Young Adults With Autism Spectrum Disorder Transitioning To Adulthood, Antonio F Pagán, Katherine A Loveland, Ron Acierno

Faculty, Staff and Student Publications

Objectives: The transition to adulthood is a formative period of development for young adults with autism spectrum disorder (ASD), as they work towards independence and managing adult responsibilities. While evidence-based interventions have been developed for young adults with ASD, they have rarely been culturally and linguistically adapted for the Latino, Spanish-speaking community. The present study provided initial feasibility and acceptability data for a therapy program for Latino young adults with ASD transitioning to adulthood and their Spanish-speaking parents.

Methods: The culturally adapted and translated intervention, called ¡Iniciando! la Adultez, is a 10-week therapy program based on an evidence-based treatment ( …

The Impact Of Waitlisting After A Weekend On Transplant-Related Outcomes For Patients With Acute Liver Failure In The Us, Melis G Celdir, Qianyi Shi, Tomohiro Tanaka

2020-Current year OA Pubs

INTRODUCTION: Potential delays in patient care during weekends have not been studied in liver transplantation (LT) for acute liver failure (ALF). We evaluated the impact of listing after a weekend on waitlist (WL) and post-LT outcomes in ALF patients.

METHODS: In a retrospective cohort study of adult ALF patients from February 2002 to May 2023 in the United Network for Organ Sharing (UNOS) database, the primary exposure was listing after a weekend. Multinomial regression and Cox models assessed WL outcomes and post-LT mortality, respectively, adjusting for potential confounders. Inverse probability censoring weighting addressed censoring bias.

RESULTS: Among 6600 adults listed …

Exploring The Adoption Of Construction Technologies In Infrastructure Projects: Bridging Perceptions Of Experts With Real Project Data, Fareed Salih, Islam H. El-Adaway

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

Infrastructure projects have progressively adopted construction technologies, yet previous studies have not fully explored technology utilization by comparing the perceptions of experts with actual project data. This research fills this knowledge gap. The authors (1) developed, distributed, and collected a survey completed by 52 construction practitioners to investigate the use of these technologies and their associated benefits; (2) checked the survey reliability and validity using Cronbach's alpha test; (3) investigated the perceptions of utilizing construction technologies across industry sectors; (4) explored the perceptions of benefits across industry sectors; (5) analyzed the impact of construction technologies on project objectives and phases …

Guiding State-Specific Studies On Highway Disasters: Examining Differences In Postdisaster Funding, Mariam Elazhary, Islam H. El-Adaway

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

The highway sector is frequently and severely impacted by natural disasters. To mitigate these effects and reduce the need for large relief budgets or emergency funds, it is crucial to study the resilience of the transportation network. As such, defining resilience in absolute terms is not enough; instead, it is equally important to analyze specific case studies and build a lessons-learned rapport. This is critical because it helps identify unique vulnerabilities and strengths that might be overlooked in broader analyses. However, current research on highway resilience often lacks empirical evidence to support the selection of these unique and significant case …

Temporal Evolution Of Workforce Fatality-Linked Factors In The Transportation Construction Sector, Mariam Elazhary, Islam H. El-Adaway

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

Despite advancements in safety measures, fatalities in the transportation sector remain disproportionately higher than in other industries. Transportation sector fatalities arise from a combination of demographic, environmental, and occupational factors that amplify the overall risk. While strides have been made in understanding the factors contributing to fatalities, there remains a critical gap in research focused on their temporal evolution. The goal of this study is to investigate the temporal evolution of fatality-linked association factors in the transportation construction sector. The methodology encompassed three stages. Stage 1 was preprocessing the data: the US Census of Fatal Occupational Injuries, covering 3,792 fatality …

Price Adjustment Clauses: Enhanced Price Volatility Forecasting For Construction Materials, Ahmed Shiha, Mariam Elazhary, Islam H. El-Adaway

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

Price adjustment clauses (PACs) are used by state departments of transportation (DOTs) to share the risk of material price fluctuations. Existing models that depict the price fluctuations of materials forecast a mean within a horizon while relying on the assumption of a constant volatility throughout that horizon. However, none of them examine whether the prices of construction material exhibit similar volatility following a sudden price surge or a price drop. The prospect of PACs and their associated trigger values is hindered in the absence of empirical assessments of their capacity to capture the volatilities in material prices. This paper fills …

Labor Productivity Losses Across Construction Trades: A Machine Learning Approach, Tamima Elbashbishy, Islam H. El-Adaway

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

Labor productivity is a major concern in the construction industry. Existing research on construction labor productivity (CLP) within specific trades has produced inconsistent findings due to differences in the factors analyzed. This lack of consistency makes it difficult to identify the most critical drivers of productivity losses across trades. To address this gap, this study adopts a cross-trade analytical approach to systematically identify and evaluate the inefficiencies impacting labor productivity in multiple construction trades. Specifically, the study (1) identified common organizational and project-level inefficiencies that influence labor performance; (2) conducted an expert-based survey to measure the frequency and perceived impact …