Digital Commons Network^™

Strategies To Recruit And Retain Physicians In Rural Hospital Health Systems, Montoya Major

Walden Dissertations and Doctoral Studies

Physician shortages in rural areas represent a serious and escalating challenge in the United States, with approximately 20% of the population residing in these regions while only about 9% of physicians practice there. The purpose of this integrative review was to identify key underlying factors contributing to physician shortages in rural hospital health settings and identify potential strategies to recruit and retain physicians. The review question concerned strategies and practices administrators use to attract and retain physicians in underserved rural areas. Herzberg’s two-factor theory serves as the framework and offers a perspective on employee motivation and job satisfaction. A review …

Spartan Daily, August 20, 2025, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2025

Volume 165, Issue 1

Deep Phenotyping Of Obesity: Electronic Health Record-Based Temporal Modeling Study, Xiaoyang Ruan, Shuyu Lu, Liwei Wang, Andrew Wen, Sameer Murali, Hongfang Liu

Faculty, Staff and Student Publications

Background: Obesity affects approximately 40% of adults and 15%-20% of children and adolescents in the United States, and poses significant economic and psychosocial burdens. Currently, patient responses to any single antiobesity medication (AOM) vary significantly, making obesity deep phenotyping and associated precision medicine important targets of investigation.

Objective: This study aimed to evaluate the potential of electronic health records (EHR) as a primary data source for obesity deep phenotyping. We conducted an in-depth analysis of the data elements and quality available from obesity patients prior to pharmacotherapy and applied a multimodal longitudinal deep autoencoder to investigate the feasibility, data requirements, …

Targeted Proteomic Analysis Identifies Acvrl1 As A Marker Of Cerebral Edema In Aneurysmal Subarachnoid Hemorrhage, Bosco Seong Kyu Yang, Lena O'Keefe, Sarah Hinds, Hua Chen, Athziry Paz, Jude Savarraj, Han-Gil Jeong, Moon-Ku Han, Aaron Gusdon, Xuefang Sophie Ren, Spiros Blackburn, Huimahn Alex Choi

Faculty, Staff and Student Publications

Cerebral edema (CE) is a major component of early brain injury from aneurysmal subarachnoid hemorrhage (SAH). Despite the utility of blood-based protein markers, biomarkers targeting cerebral edema have yet to be developed. We performed a targeted proteomic search analyzing 141 proteins in plasma samples taken from 80 adult patients within 48 hours after aneurysmal rupture to identify plasma biomarkers of cerebral edema. The protein expression profiles were analyzed for associations with a higher level of the subarachnoid hemorrhage early brain edema score measured in admission computed tomography scans. Five differentially expressed proteins-brorin, ectodysplasin A2 receptor, layilin, scavenger receptor class A …

Collaborative Proposal: Caig: Synthetic Data Generation For Solar Energetic Particle Events Via Multimodal Augmentation, Shah Muhammad Hamdi

Funded Research Records

No abstract provided.

The Impact Of Different Antidiabetic Drugs On Fracture Risk In Patients With Type 2 Diabetes Mellitus: A Systematic Review And Network Meta-Analysis Of Randomized Controlled Trials With A Focus On Sglt2 Inhibitors, Bushra Admani, Fizza Z. Raza, Fatima Siddiqui, Muhammad T. Ashraf, Muhammad K. Khan, Ifra Habib, Ayesha Usman, Bareeha Mansoor, Zaira Nadeem, Rana J. Ghaffer, Muhammad Riyyan, Sawaira Sajid, Muhammad H. A. Chania, Mahnoor Saleem, Saad Javaid, Nikhil Duseja, Hussam Al Hennawi, Sunita Lakhani

Abington Jefferson Health Papers

SGLT2 inhibitors are a new class of antidiabetic drugs that have shown cardiovascular benefits in patients with type 2 diabetes mellitus (T2DM) and cardiovascular disease. However, their effects on fracture risk are unclear and may depend on the type and duration of treatment. This meta-analysis compares the fracture risk of different antidiabetic drugs, including SGLT2 inhibitors, based on data from randomized controlled trials (RCTs). We searched 4 databases for RCTs that reported fracture events in patients with T2DM who received different antidiabetic drugs. We included 117 RCTs that compared 9 types of antidiabetic drugs: SGLT2 inhibitors, DPP-4 inhibitors, α-glucosidase inhibitors, …

Research On 3d Visualization Of Safety Monitoring And Early Warning For Steel Continuous Casting Scenarios, Wei Zhang, Wei Sheng, Yidan Cao, Tingsheng Zhao

Journal of System Simulation

Abstract: In order to improve the visualization and integration of production safety monitoring and fault warning, a three-dimensional (3D) visualization model architecture for whole-process industrial production safety monitoring and early warning for steel continuous casting scenarios was designed. By using 3ds Max and Unity3D, a multi-dimensional and multi-scale model was built, and functional modules such as visualization display and multi-level early warning for safety monitoring data were developed. By combining WebGL technology and Node. js runtime environment, the visualization of whole-process industrial production safety monitoring based on Web terminal was realized. The alarm threshold determination method for whole-process industrial production …

Association Of Obesity And Body Mass Index Classification With Glycemic Control In Adults Who Are Critically Ill Receiving Parenteral Nutrition: A Retrospective Study., Erika L Mackie, Melissa Dang, Kimberly Sharpe, Justin Delic, James M Hollands, Song Oh, Stacy Pasciolla, Laura Pontiggia, Diana Solomon, Angela Bingham

Ambulatory and Primary Care Articles

BACKGROUND: Hyperglycemia is a complication of parenteral nutrition (PN), which can be exacerbated in patients with obesity. Limited data exist on glycemic control in this population. This study aims to evaluate the association of obesity and body mass index (BMI) classification with glycemic control in patients who are critically ill initiated receiving PN.

METHODS: This is a retrospective study of patients who are critically ill receiving PN from January 2013 to February 2024. The primary outcome was glycemic control in patients with BMI ≥ 30 kg/m

RESULTS: The study included 220 patients with BMI ≥ 30 kg/m

CONCLUSION: Patients who …

Exploring Institutional Types: Lessons Beyond The Classroom To Broaden The Experiences And Career Paths Of Hesa Professionals, Steven Tolman, Daniel Calhoun, Nikheal Patel

Leadership, Technology & Human Development: Faculty Publications

This study explores the career decision-making processes of Higher Education/Student Affairs (HE/SA) graduate students by examining the influence of institutional exposure on job preferences. Through qualitative analysis, the research reveals that HE/SA graduate students, when exposed to unfamiliar types of institutions, may expand their job search parameters and develop new career interests. The study underscores the significance of introducing students to diverse institutional environments as a pedagogical strategy, highlighting its potential to enrich the professional preparation of future student affairs educators. Implications for enhancing career development practices within HE/SA programs are discussed.

Lindenwood Digest, August 20, 2025, Lindenwood University

Lindenwood Digest

The Lindenwood Digest has been a digital employee newsletter since 2009.

Working Group Report: Developing A Playbook Of Equitable Grading Practices, Stephen H. Edwards, David L. Largent, Ben Schafer, Debarati Basu, Amy Csizmar Dalal, Dan Garcia, Brian Harrington, Kevin Lin, Dan S. Myers, Christian Roberson, Giulia Toti, Brett Wortzman

Faculty Publications

Traditional points-based grading can have negative impacts. As a result, many educators are experimenting with alternative grading practices that are more equitable for students. However, educators often face challenges in implementing equitable grading practices due to a lack of clear, practical descriptions of techniques and the fact that not all techniques are universally applicable. This working group addresses this problem using a three-pronged strategy: conducting a systematic literature review to gather documented techniques, compiling ''recipes'' or concrete descriptions of these techniques, and publishing them in an open-source, online ''playbook'' of equitable grading practices as a community resource for educators. This …

University Of Minnesota Morris Welcomes Largest Group Of New Students In Three Years, Communications And Marketing

Campus News Archive

No abstract provided.

Evaluating Updated Fentanyl Immunoassays For Loperamide Interference, Michael E. Walsh, Grace R. Williams, Paul J. Jannetto, K. Aaron Geno

Dartmouth Scholarship

Background

Loperamide is a µ-opioid receptor agonist that reduces intestinal peristalsis and is used to treat diarrhea. We previously described significant cross-reactivity of loperamide with 2 fentanyl immunoassays. Since then, new fentanyl immunoassays, including a CLIA-waived point-of-care device, have been approved for clinical use. Methods

We evaluated new fentanyl immunoassays for cross-reactivity to loperamide and its major metabolites, N-desmethyl loperamide (dLop) and N-didesmethyl loperamide (ddLop). Previously characterized assays were tested for cross-reactivity to ddLop, which recently became commercially available. Loperamide, dLop, and ddLop were spiked in drug-free urine for analysis by 5 enzyme immunoassays run on automated chemistry analyzers and …

Successful Va Ecmo On An Adolescent Pre-B Cell Acute Lymphoblastic Leukemia Patient With Necrotizing Fasciitis From Clostridium Septicum, Jenna Miller, Johanna I. Orrick, Cara Holton, David Juang

Manuscripts, Articles, Book Chapters and Other Papers

Extracorporeal membrane oxygenation (ECMO) has historically been avoided in oncological patients due to perceived risks. However, recent literature suggests improved survival rates for pediatric oncology patients. Additionally, necrotizing fasciitis from Clostridium septicum is associated with high morbidity and mortality, especially in patients with preexisting malignancies. Few studies have explored the outcomes of ECMO in patients with both necrotizing fasciitis and hematologic malignancies. We present a case of a 16-year-old male with pre-B cell acute lymphoblastic leukemia (ALL) and Clostridium septicum necrotizing fasciitis successfully supported with veno-arterial (VA) ECMO. The patient underwent induction chemotherapy for ALL but developed severe septic shock …

High Abundances Of Crustose Coralline Algae Inside Cryptic Coral Habitats Linked To Coral Reef Functioning, Anna Rothstein, Orion S. Mccarthy, Sophie Luu, Emily L.A. Kelly, Philip Heller, Stuart Sandin, Jennifer E. Smith, Maya S. Devries

Faculty Research, Scholarly, and Creative Activity

Cryptic habitats on coral reefs consist of crevices, tunnels, and holes that are estimated to comprise 30%–75% of the total reef surface area. These large habitats are vastly understudied because they are often difficult to access. Crustose coralline algae (CCA) are thought to perform important ecological functions, including calcium accretion, both inside cryptic habitats and on the exposed (top) reef. Using GoPro cameras, we surveyed 250 coral crevices from 13 reefs on West Maui, Hawai‘i. We compared relative CCA cover between crevice microhabitats and the well-studied top-reef and identified abiotic and biotic factors that correlated with CCA abundance. We found …

Use Of Cigarettes, Cannabis, And Alcohol Among Asian American, Native Hawaiian, And Pacific Islander Adults: Community-Based National Survey Analysis, Vuong Van Do, Van My Ta Park, Nhung Nguyen, Pamela May Ling, Marian Tzuang, Bora Nam, Marcelle M. Dougan, Oanh L. Meyer, Janice Y. Tsoh

Faculty Research, Scholarly, and Creative Activity

Background: Asian American, Native Hawaiian, and Pacific Islander (AANHPI) populations have diverse cultural, immigra-tion, and sociodemographic characteristics. Aggregated data could mask substantial differences in substance use between cultural subgroups in this population. Yet, studies examining substance use among the AANHPI population are limited. Objective: This study aimed to describe cigarette, cannabis, and alcohol use among AANHPI adults by cultural subgroup and sex. Methods: We analyzed data from 3411 AANHPI respondents of a multilingual national survey “COMPASS” during December 2021-May 2022. Primary outcomes were self-report current (every day or some days) use of cigarettes, cannabis, and alcohol. Cultural subgroups included Asian …

What Is Philosophy?, The Philosophical Discussion Group

The Philosopher's Stone

• What is Philosophy?

Effects Of Summer School Attendance On The Assessed Reading Proficiency Of Third Grade Students, Lydia Evers

Walden Dissertations and Doctoral Studies

Evidence shows students who are not reading proficiently by the end of third grade are more likely to eventually drop out of high school or be considered illiterate as adults, making it challenging to function adequately in society. The problem addressed through this study was that as many as 60% of U.S. third-grade students scored below proficiency on annual standardized reading assessments. Guided by faucet theory by Alexander et al., the purpose of this causal-comparative quantitative study was to compare reading standardized test scores of third-grade students who participated in a summer school program (SSP) in the summer following second …

Effective Strategies K–12 School Leaders Can Use To Improve Technology Integration In Classrooms, Shamila Ahmed Hashim

Walden Dissertations and Doctoral Studies

With the rapid rise in demand for effective technology integration in K-12 classrooms, particularly in nonpublic schools, strong leadership is crucial. The absence of effective strategies can hinder student learning outcomes, posing a significant challenge for educators who are striving to improve academic success. This qualitative research project included a pragmatic inquiry design was to explore the strategies that some K–12 school leaders apply to improve classroom technology integration and enhance student learning outcomes. Grounded in the technology integration matrix framework, the study involved a purposive sample of five school leaders from nonpublic K-12 institutions in Maryland. Data were collected …

Small Scale Analysis Of Urban Air Quality And Public Health In London, Uk, Provides Insights For Targeted Interventions, Alan Smith, Tim Daley

School of Geography, Earth and Environmental Sciences

Understanding the impact of scale and zonation is critical for accurately assessing population health in relation to air quality and demographic data. Using existing census geographies, we analyse spatial clustering and statistical associations across different census scales, focussing on vulnerable sociodemographic groups and temporal exposure patterns. This study aims to assess how different spatial resolutions affect the strength and interpretation of associations between air pollution, sociodemographic variables, and self-reported health. It also evaluates whether finer-scale, health-need-based zoning provides a more accurate basis for public health analysis. Exposure to higher PM2.5 concentrations, and having an undrlying disability, or long-term illness shows …

Examining Multi-Level Support-Related Factors Influencing School-Based Mental Health Services Across Various Types Of U.S. Public High Schools, Wendy L. Wilson

LSU Doctoral Dissertations

Youth mental health is a global and national public health issue, with notable disparities in access to school-based mental health services (SBMHS; Kieling et al., 2024). This highlights the urgent need to identify supportive factors that can enhance service availability within educational settings. This cross-sectional, exploratory-descriptive study aimed to identify multi-level support-related factors (SRFs) at the student, school, and community levels that best predict SBMHS availability across different types of U.S. public high schools. The researcher conducted a secondary data analysis of a sample of 855 respondents who completed the 2017-18 School Survey on Crime and Safety. Various univariate, bivariate, …

Multi-Ancestral Genome-Wide Association Study Of Clinically Defined Nicotine Dependence Reveals Strong Genetic Correlations With Other Substance Use Disorders And Health-Related Traits, Emma C Johnson, Jared V Balbona, Alexander S Hatoum, David A A Baranger, Louis Fox, Paul W Jeffries, Laura J Bierut, Andrew C Heath, Pamela A Madden, Elliot C Nelson, Arpana Agrawal, Et Al.

2020-Current year OA Pubs

BACKGROUND: Genetic research on nicotine dependence has utilized multiple assessments that are in weak agreement.

METHODS: We conducted a genome-wide association study (GWAS) of nicotine dependence defined using the Diagnostic and Statistical Manual of Mental Disorders (DSM-NicDep) in 61,861 individuals (47,884 of European ancestry [EUR], 10,231 of African ancestry, and 3,746 of East Asian ancestry) and compared the results to other nicotine-related phenotypes.

RESULTS: We replicated the well-known association at the

CONCLUSIONS: Our results suggest that combining the wide availability of diagnostic EHR data with nuanced criterion-level analyses of DSM tobacco use disorder may produce new insights into the genetics …

The Promise And Peril Of Comparing Fluorescence Lifetime In Biology Revealed By Simulations, Pingchuan Ma, Peter Chen, Scott Sternson, Yao Chen

2020-Current year OA Pubs

Signaling dynamics are crucial in biological systems, and biosensor-based real-time imaging has revolutionized their analysis. Fluorescence lifetime imaging microscopy (FLIM) excels over the widely used fluorescence intensity imaging by allowing the measurement of absolute signal levels independent of sensor concentration. This capability enables the comparison of signaling dynamics across different animals, body regions, and timeframes. However, FLIM's advantage can be compromised by factors like autofluorescence in biological experiments. To address this, we introduce FLiSimBA, a flexible computational framework for realistic

Dexamethasone-Eluting Cochlear Implants Reduce Inflammation And Foreign Body Response In Human And Murine Cochleae, Muhammad Taifur Rahman, Keiko Hirose, Et Al.

2020-Current year OA Pubs

The inflammatory foreign body response (FBR) following cochlear implantation (CI) can negatively impact CI outcomes, including increased electrode impedances. This study aims to investigate the long-term efficacy of dexamethasone-eluting cochlear implant and locally delivered dexamethasone, a potent anti-inflammatory glucocorticoid, on the intracochlear FBR and electrical impedance post-implantation in a murine model. Preliminary impedance data in humans are also provided as a complement to the murine data to illustrate generalizability and reinforce implications related to clinical application. The left ears of CX3CR1

Germline Structural Variations Involving The Pediatric Brain Tumor Transcriptome Include Disease-Relevant And Ancestry-Related Genes, Fengju Chen, Yiqun Zhang, Luis F Paulin, Fritz J Sedlazeck, Chad J Creighton

Faculty, Staff and Students Publications

Background: Germline Structural Variants (SVs) represent an important source of genetic diversity, in large part due to their influence on gene transcription. It is necessary to systematically catalog germline SVs and their associated impacted genes across different cohorts and tissue and cellular contexts, including pediatric brain or Central Nervous System (CNS) tumors.

Methods: We combined RNA with whole genome sequencing across 1430 pediatric brain or CNS tumor patients from the Children's Brain Tumor Network. We set out to systematically identify genes for which the proximity of germline SVs was recurrently and significantly associated with differential expression in the tumor sample …

Development Of Learning Tools For Manual Transmission Repair Competency Based On 4c Skills For Vocational High School Students, Reza Simatupang, Haris Abizar, Ikhsanudin Ikhsanudin

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This research attempts to test the feasibility of 4C-based manual transmission repair competency learning devices and determine the improvement of student learning outcomes with the developed learning devices. This kind of study employs a Research and Development strategy. This development research is designed by following the 4D development steps. The results of the development research showed a learning device product for manual transmission repair competency with a score of 96.75%. Based on the results of the analysis, it is known that there is a significant increase in student learning outcomes in the aspects of knowledge, skills, and attitudes of practice …

Makna Bekerja Sebagai Guru Honorer Di Sekolah Dasar Negeri Dalam Pendekatan Fenomenologi, Gde Dharma Putrawan, Sri Marmoah, Supianto Supianto

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

The existence of honorary teachers is a reality that exists in the world of Indonesian education. This study examines the meaning of working as an honorary teacher in public elementary schools. The question asked in this study is what it means to work as an honorary teacher in public elementary schools. This research uses qualitative methods with a phenomenological approach. The data collection method in this study was semistructured interviews with open-ended questions. The informants of this study numbered fifteen people consisting of a school superintendent, two principals, and twelve honorary teachers. The results of this study are some people …

Enhancing Student Engagement And Cognitive Development Through Game-Based Learning (Gbl), Kusuma Rani, Putri Dwi Lestari, Saenab Ka-Lupae

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Elementary school students are classified as playing-age children, they like to do activities while playing. This research aims to determine the influence of the Game-Based Learning (GBL) learning model on students' cognitive activities and abilities. This type of research is quasi-experimental, one-group pre-test and post-test design. The population of this study were Madrasah Ibtidaiyah students at Darussalam Seuksa School, Thepa, Southern Thailand. The research sample for grade 5 students was 28 students. Student activity is measured using an observation sheet with indicators measured using a 1-5 Likert scale. Cognitive abilities are measured by tests. The results of data analysis showed …

Pembelajaran Berbasis Proyek Dalam Pembelajaran Ilmu Pengetahuan Alam Untuk Meningkatkan Hasil Belajar Siswa, Agustinus Tanggu Daga, Matias Hota Heli, Petrus Lende

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Penerapan Ilmu Pengetahuan Alam di sekolah dasar sebagai salah satu mata pelajaran mendukung pelaksanaan pendidikan abad 21. Masalah yang sering ditemui adalah pengetahuan yang kirang pada siswa tentang esensi keilmuan Ilmu Pengetahuan Alam yang berdampak pada kinerja, baik dalam proses pembelajaran maupun dalam hasil belajar. Penelitian ini mengkaji secara ilmiah dampak terhadap hasil belajar dalam pembelajaran berbasis proyek (PjBL). Untuk itu diambil 18 siswa kelas V sebagai subyek penelitian. Penelitian ini menggunakan pendekatan kuantitatif dan metode kuasi eksperimen. Tes hasil belajar digunakan sebagai instrument pengumpulan data yang diterapkan sebelum dan sesudah intervensi. Analisis data mencakup beberapa pendekatan yaitu analisis deskriptif, …

Analisis Swot Dalam Implementasi Manajemen Berbasis Sekolah Di Sekolah Dasar Islam Terpadu, Ainul Mardhiyah, Muhamad Sofian Hadi

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Riset ini dilakukan untuk mencermati analisis SWOT dalam pengelolaan manajemen berbasis sekolah. Kemampuan Analisis SWOT sangat diperlukan untuk menjawab tantangan sekolah di Era Globalisasi. Metode yang digunakan adalah metode kualitatif deskriptif. Subjek penelitian yaitu guru dan kepala lembaga pendidikan. Data yang terkumpul dianalisis lalu diinterpretasi dalam bentuk deskripsi. Hasil Penelitian menunjukkan: (1) Strengths 80% (2) Weakness 64% (3) Opportunities 74% (4) Threaths 66%. Dapat disimpulkan bahwa Analisis SWOT dalam Implementasi MBS di SDIT Bintang telah dilaksanakan dengan cukup baik (71%) meskipun terdapat kelemahan yaitu adakalanya program sekolah yang terkendala manajemen keuangan sekolah yang sentralistik. Strategi sekolah adalah fokus pada kekuatan …