Digital Commons Network^™

Is “Pre-Sepsis” The New Sepsis? A Narrative Review, Rémy Gerard, Antoine Dewitte, Fridolin Gross, Thomas Pradeu, Maël Lemoine, Julien Goret, Maria Mamani-Matsuda

Presidential Fellows Articles and Research

Sepsis is a life-threatening condition caused by a dysregulated immune response to infection, leading to organ dysfunction and high mortality. Despite advances in treatment, sepsis remains difficult to manage. Historically, the concept of sepsis evolved from ancient observations of infection-related decay to the germ theory of the 19th century. The latest Sepsis-3 definition describes sepsis as life-threatening organ dysfunction due to a dysregulated host response. However, this clinical characterization may be too late for effective intervention. The concept of endotypes and the ontological data applied to sepsis highlight the substantial heterogeneity in pathophysiological pathways leading to this endpoint. We propose …

Effect Of Moringa Oil And Flaxseed Oil On Lipid Profile Of Male Rats Exposed To Carbendazim, Muhammad Hashim, Isam M. Abu Zeid, Atef M. Al-Attar

The Journal of King Abdulaziz University: Science

Carbendazim (CBZ), a commonly used fungicide, has been linked to adverse effects on the lipid profile. This study investigated whether Moringa and Flaxseed oils could mitigate CBZ-induced toxicity in male rats. Sixty male rats were divided into six groups: control, CBZ (200 mg/kg) treated, CBZ + Moringa Oil, CBZ + Flaxseed Oil, Moringa treated, and Flaxseed Oil treated. The oils were administered at 800 mg/kg for six weeks. Lipid parameters, including total cholesterol (TC), triacylglycerols (TG), low-density lipoprotein (LDL), very-low-density lipoprotein (VLDL), and high-density lipoprotein (HDL), were analyzed. CBZ elevated TC, TG, LDL, and VLDL levels, while reducing HDL. Moringa …

Chalcone-Based Random Copolyesters Synthesis With Cytocompatibility Properties, Mohammad Mujahid, Mohd Imran Rais, Omar Abdullah Al-Hartomy, Ahmed Obaid Mosa Alzahrani

The Journal of King Abdulaziz University: Science

Eight random copolyesters were compiled into a list. They were created by employing aromatic and aliphatic diacid chlorides in the polycondensation of chalcone diol. Terephthaloyl chloride was the aromatic diacid chloride that was employed, while adipoyl, oxalyl, glutaryl and succinyl chlorides were the other aliphatic diacid chlorides. The reaction of Claisen-Schmidt condensation in the acidic medium was applied for the synthesis of chalcone. Solubility in several solvents and measurements of viscosity were done for the initial characterization of synthesized copolyesters. The other techniques of characterization used were. To know about the units that are repeated in the polymer chain, spectral …

Identification Of Crustose Coralline Algae Species In Florida And Their Ability To Induce Larval Settlement Of Caribbean Corals, Danielle Macias

All HCAS Student Capstones, Theses, and Dissertations

Crustose coralline algae (CCA) are a diverse, globally spread and yet poorly studied group of benthic organisms. They act as settlement cues for coral larvae, but this interaction is often species-specific, as CCA species can be either inducers or inhibitors to larval settlement and metamorphosis. Despite this importance, information on Caribbean CCA distribution, diversity, and impact on coral species is limited due to the difficulty in identifying them. In the present study, CCA samples were collected from seven different reef sites in the southeastern region of Florida’s Coral Reef and genetically identified using molecular analyses. Some of the samples collected …

Assessing Effectiveness Of Runnel Restoration In New England Salt Marsh Habitats, David M. Burdick, Grant Mckown, Gregg Moore, Jenny Gibson, Wenley Ferguson, John Herbert, Nancy Pau, Susan Adamowicz, Geoff Wilson

Faculty Publications

Rising sea levels that increase flooding in salt marshes recovering from hydrologic impairments is reducing nesting habitat for salt marsh sparrows. Abandonment of colonial farming practices (1600s through 1900s) has resulted in large, waterlogged basins characterized by shallow depressions (pannes) dominated by short-form Spartina alterniflora and unvegetated megapools that are subsiding. A relatively new technique designed to provide regular tidal flooding and drainage to the waterlogged basins that have formed on the marsh is runnelling – creation of shallow hydrologic features on the marsh surface. Will runnels result in revegetation of pannes and pools with productive perennial grasses that are …

Highly Contaminated Sediments From The Gowanus Canal (New York) Superfund Site: An Environmental Forensic Approach, Michael A. Kruge, Kevin K. Olsen, Eric A Stern, Maria Mastalerz, Albert Permanyer

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

The 2.5 km long Gowanus Canal (Brooklyn, NY, USA) is a severely contaminated urban waterway dating from the mid-19th century, listed as a US Environmental Protection Agency (USEPA) Superfund site since 2010. Applying an environmental forensics approach to the extensive USEPA data set, we detect systematic variations in parent PAH ring number distributions in the canal sediments, as well as an extraordinary enrichment in organic carbon. We subjected a supplemental sample set to a more detailed analysis by quantitative pyrolysis-GC-MS, Rock-Eval pyrolysis, and organic petrology. With these sensitive methods, we can confirm the alkyl-PAH fingerprint of coal tar (a legacy …

Animal Interiority: Sentience And Spatial Perception, Raymund Königk

Interiority

Interior design has traditionally prioritised human experiences, often neglecting ecological and nonhuman perspectives on interiority. This anthropocentric focus limits the discipline's ability to address the spatial and sensory needs of nonhuman persons, including teleost fishes. It overlooks interiority as a universal and relational phenomenon shared by all living beings. This research challenges these boundaries by proposing a biosemiotic framework that integrates the body, interiority, and inhabitation as interdependent constructs shaped by physiological, mental, and environmental interactions. By developing Jakob von Uexküll's (1982) biosemiotic schema, the study investigates the sentient experiences of teleost fishes to establish interiority as a capability inherent …

Using Herpetofauna To Determine Wetland Health And Function In The Red River Watershed, Shelby Rodriguez-Edwards

Biology Theses

Reptiles and amphibians are commonly used indicator species in wetlands because of their increased sensitivity to environmental conditions and use of both aquatic and terrestrial habitats. Herpetofauna can reflect wetland ecological functionality through their community composition and responsiveness to environmental stressors. This study evaluated reptile and amphibian communities in natural and ACEP-WRE wetlands within the Red River Watershed of northeastern Texas and Northwestern Louisiana to assess whether restored wetlands support herpetofaunal assemblages compares to their natural counterparts. Fifteen wetlands were surveyed from February to June 2024 using visual encounter surveys, call surveys, and standardized trapping methods to document species richness …

Direct Medical Costs Of Diabetes Mellitus Treatment For Patients With Cardiovascular And Renal Complications, Rizki Fadila, Ayu Tyas Purnamasari, A.A. Istri Citra Dewiyani

Kesmas

Type 2 Diabetes Mellitus (T2DM) represents a growing global health challenge with significant clinical and economic implications, notably in Indonesia. The burden is intensified by renal and cardiovascular complications, especially among National Health Insurance beneficiaries. This retrospective study evaluated the direct medical costs of hospitalized T2DM patients with such complications at a type B hospital from 2019 to 2022. Costs were analyzed from both healthcare provider and payer perspectives, covering medical services, medical support services, pharmaceuticals, and other support services. Of the 192 patients reviewed, most were male (57.8%), aged 45–64 years (72.4%), with hospital stays of 1–5 days (90,1%) …

Factors Of Anxiety Symptoms Due To Large-Scale Social Restriction Policy During The Covid-19 Pandemic In Indonesia, Indri Hapsari Susilowati, Sudibyo Alimoeso, Susiana Nugraha, Bonardo Prayogo Hasiholan, Magda Sabrina Theofany Simanjuntak, Nur Rachmat Satria

Kesmas

The Indonesian Government took some preventive measures to slow the spread of the COVID-19 virus, including social restrictions and encouraging individuals to stay at home and avoid needless gatherings. This study aimed to identify factors related to anxiety symptoms during large-scale social restrictions. This study employed a cross-sectional design using the snowball technique in an online survey. A total of 788 respondents comprised the target population to detect the smallest effect size (Cohen's dz = .2), with the level of power of 0.8 using G*Power 3.1, specifically targeting adults aged over 18 years. Out of 1,194 people who took part …

Angioedema: Is Icu Admission Warranted? A Single Institution Assessment, Madeleine Brill-Edwards, W. Chase Hamilton, Erika J. Yoo, Jennifer Costello, George J. Koenig, Murray J. Cohen, Joshua A. Marks

Department of Surgery Faculty Papers

INTRODUCTION: Angioedema has potential for rapid airway decompensation requiring intervention. Patients are often admitted to an ICU for "airway watch." There is a lack of evidence to support which patients require this.

AIM: We aimed to characterize admission patterns and outcomes of angioedema patients at our institution to assess resource utilization and necessity of ICU use. We hypothesized that patients not requiring intubation upon presentation are safe to manage outside the ICU.

MATERIALS AND METHODS: Retrospective chart review of patients admitted to our urban academic quaternary referral institution with angioedema ICD-10 codes between 2017 and 2020. Charts reviewed for demographics, …

Characterizing Host And Viral Factors Relevant To Turkey Hemorrhagic Enteritis Virus-Induced Immunosuppression, Abraham Quaye

Theses and Dissertations

Turkey hemorrhagic enteritis virus (THEV) is an adenovirus (AdV) that causes hemorrhagic enteritis (HE) in turkeys, a debilitating disease affecting predominantly 6-12-week-old turkey poults characterized by immunosuppression (IMS) and intestinal lesions leading to bloody diarrhea. Although a naturally-occurring avirulent THEV strain has been adopted as live vaccine and has proven effective at preventing HE in turkeys, it still retains its immunosuppressive ability. Thus, vaccinated birds are rendered more susceptible to opportunistic infections and death than unvaccinated cohorts, leading to substantial economic losses. This dissertation focuses on elucidating both host and viral factors mediating THEV-induced IMS in turkeys. As THEV gene …

Direct And Indirect Associations Of Childhood Adversities With Functional Impairment And Life Stress Among Military Personnel, Laura Campbell-Sills, Emily R. Edwards, Sam D. Strizver, Karmel W. Choi, Jason D. Kautz, Santiago Papini, James A. Naifeh, Pablo A. Aliaga, Paul B. Lester, Ronald C. Kessler, Robert J. Ursano, Murray B. Stein, Paul D. Biese

Faculty Publications

Background

Adverse childhood experiences (ACEs) are associated with physical and mental health difficulties in adulthood. This study examines the associations of ACEs with functional impairment and life stress among military personnel, a population disproportionately affected by ACEs. We also evaluate the extent to which the associations of ACEs with functional outcomes are mediated through internalizing and externalizing disorders.

Methods

The sample included 4,666 STARRS Longitudinal Study (STARRS-LS) participants who provided information about ACEs upon enlistment in the US Army (2011–2012). Mental disorders were assessed in wave 1 (LS1; 2016–2018), and functional impairment and life stress were evaluated in wave 2 …

Characterizing Gastric Cancer Tumor Immune Microenvironment Through Extracellular Vesicles, Claire Elizabeth Bruno

Theses and Dissertations

The tumor immune microenvironment (TIME) critically influences cancer progression and determining therapeutic response. As immunotherapies continue to improve and reshape cancer treatments, there is a need for tools that can more efficiently and accurately assess and monitor the TIME. Extracellular vesicles (EVs), especially small EVs (sEVs), are lipid-bound nanoparticles that carry proteins, DNA, and RNA reflective of their cell of origin, offering a novel, non-invasive biomarker of the TIME. This makes them a promising candidate for immune profiling and treatment monitoring in cancer. This thesis investigates the potential of EVs as biomarkers for TIME composition and immune activity. An analysis …

Techno-Economic Analysis (Tea) And Life-Cycle Assessment (Lca) Of Sustainable Aviation Fuel (Saf) Production Through Circular Economy (Ce) Practices: A Focus On Supply Chain Optimization And Policy Implications, Edmund Gyandoh

Chemical and Biological Engineering ETDs

This study provides a comprehensive systems-level evaluation of an integrated circular biorefinery for sustainable aviation fuel (SAF) production. Employing supply chain optimization, technoeconomic analysis, lifecycle analysis, policy modeling, and multicriteria decision analysis, the research assesses technical feasibility, economic viability, and environmental performance. The circular economy model demonstrates exceptional resource efficiency, achieving a 92.3% overall circularity score with strong material recycling, water reuse, waste minimization, and near-complete energy recovery, resulting in net-negative carbon emissions and net energy export. Scaling the facility to commercial capacity (500 million liters per year) enables significant economic improvements. The minimum fuel selling price (MFSP) decreases from …

Impact Of Resources And Structure On Scholarly Productivity In Pediatric Critical Care Fellowship, Andrew G Smith, Danny Castro, Caroline Andy, Angela S Czaja, Donald L Boyer, Erika L Abramson, Pnina Weiss, Richard B Mink

Faculty, Staff and Students Publications

Background: Pediatric critical care medicine (PCCM) fellowship structures vary widely among programs and have not been examined since 2006. The development of scholarly knowledge and skills is an important part of fellowship training. However, the optimal PCCM fellowship structure to enable fellows' scholarly productivity is unknown. Objective: We examined PCCM fellowship time structure and resources to better understand their association with scholarly productivity.

Methods: This is a secondary analysis of cross-sectional survey data from PCCM fellowship program directors. We defined highly productive programs as those in which greater than 75% of fellows published papers from their scholarly projects in the …

Using Vizient Database For Benchmarking Pulmonary Resection Outcomes, Anuj Shah, Duc T Nguyen, Swetha Mulpur, Sayali Kelkar, Ray K Chihara, Warren Naselsky, Edward A Graviss, Min P Kim

Faculty, Staff and Students Publications

Background: Benchmarking pulmonary resection outcomes is critical for the evaluation of hospital performance and enhancing the quality of patient care. Both the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and Society of Thoracic Surgeons General Thoracic Surgical Database (GTSD) provide outcomes after lung resection, but each database had its own limitations. We aimed to determine whether the Vizient database can be used to benchmark lung resection outcomes.

Methods: We performed a retrospective cohort analysis of pulmonary resection cases at a single institution using the Vizient dashboard and GTSD. We examined whether all pulmonary resections were captured and …

Biotechnology Research Incubator For Teachers (Brite) Pilot Program: Advancing Technology Research Education For Secondary School Teachers, Zhongcheng Shi, Katherine A Harris, Alana D Newell, Michael Nguyen, Yuan Yao, Joel Sederstrom, Cynthia C Hallmark, Sherita Love, Fred A Pereira, Shixia Huang

Faculty, Staff and Students Publications

Introduction: Advanced technologies have transformed diagnostics and therapeutics, improving disease management. Secondary school educators play a vital role in fostering critical thinking, problem-solving, and inspiring students in science, technology, engineering, math, and medicine (STEMM) innovations. Comprehensive teacher training enhances education delivery and ensures long-term advancements in science education, empowering future generations.

Materials and methods: We launched the Biotechnology Research Incubator for Teachers (BRITE) pilot program to train secondary school teachers. This 3-week program immerses teachers in Advanced Technology Core facilities, providing hands-on experience with cutting-edge technologies, such as protein array technology, next-generation sequencing, and flow cytometry. It also offers collaborative …

The Eleventh Annual Meeting Of The Southeastern Association Of Shared Resources (Seasr) Nashville, Tn, Usa June 12-14, 2024, Jenny C Schafer, Lyra M Griffiths, Tania E Mesa, Deidre Daria, Daniel Kraushaar, Kristen V Massey, Edith M Sampson, Laura Fox-Goharioon, Laxminarayanan Krishnan, Stacie Woolard, Aaron Pitre

Faculty, Staff and Students Publications

No abstract provided.

Single-Cell Transcriptomics Reveals Biomarker Heterogeneity Linked To Cdk4/6 Inhibitor Resistance In Breast Cancer Cell Lines, Ilenia Migliaccio, Martina Bonechi, Dario Romagnoli, Giulia Boccalini, Francesca Galardi, Cristina Guarducci, Agostina Nardone, Rachel Schiff, Laura Biganzoli, Luca Malorni, Matteo Benelli

Faculty, Staff and Students Publications

Cyclin dependent kinases 4 and 6 inhibitors have brought great improvements in the treatment of luminal breast cancer, but resistance is a major clinical hurdle. Multiple biomarkers of resistance have been proposed, but none is currently utilized in clinical practice. By performing single-cell RNA sequencing of seven palbociclib-naïve luminal breast cancer cell lines and palbociclib-resistant derivatives, we show that established biomarkers and pathways related to CDK4/6i resistance present marked intra- and inter- cell-line heterogeneity. Transcriptional features of resistance could be already observed in naïve cells correlating with levels of sensitivity (IC50) to palbociclib. Resistant derivatives showed transcriptional clusters that significantly …

Google Review Analysis Of “Duta We Care” Excellent Service As A Featured Service At A Central General Hospital In Padang, Alfitri Alfitri, Ricvan Dana Nindrea, Adek Setiawan, Elsa Yuniarti

Kesmas

Improving healthcare service quality required both technical and interpersonal enhancements through a personalized approach, as demonstrated by the “Duta We Care” program at a Central General Hospital in Padang. This study aimed to evaluate the program’s effectiveness by analyzing patient feedback from Google Reviews. A descriptive quantitative design examined 2,035 patient reviews from March 2013 to June 2024. Using NVivo 12 software, the data analysis generated word clouds. The results showed that 68.20% of reviews received a 5-star rating, 9.48% a 4-star rating, 4.35% a 3-star rating, 2.27% a 2-star rating, and 15.70% a 1-star rating. Words like “friendly,” “professional,” …

Socioeconomic Status, Environmental Health Knowledge, And Housewives’ Behavior In Maintaining Healthy Housing At Subsidized Flats In East Jakarta, Indonesia, Alfitra Firizkia Luthfiana Dewi, Laila Fitria

Kesmas

Healthy behavior among housewives is a crucial aspect of efforts to maintain healthy housing. This study aimed to analyze the relationship of socioeconomic status (e.g., household income, level of education of family head and housewives, and family head’s occupation) and environmental health knowledge with housewives’ behavior (e.g., vector control, waste management, home ventilation, cigarette smoking, and hand sanitation hygiene) in maintaining healthy housing in the subsidized flats in East Jakarta, Indonesia. This cross-sectional study employed the two-proportion hypothesis test formula and a simple random sampling method, recruiting 137 housewives for interviews. Data were analyzed via logistic regression to determine factors …

The Influence Of Rhodolith Algae On Life History Of The Painted Urchin, Lytechinus Pictus, Celine X. De Jong

Master's Theses

Rhodolith beds are globally distributed hotspots of diversity and productivity and serve as nursery habitats for some marine invertebrates. Poorly understood is whether rhodolith beds are nurseries because invertebrate larvae actively select them for settlement or migrate to them at later life stages. We studied the nursery role of rhodolith beds for the painted urchin, Lytechinus pictus at Santa Catalina Island, CA, USA. Subtidal surveys showed that in areas with greater live rhodolith cover, urchin density increased as well as mean urchin size. In caged substrate choice experiments, urchins selected rhodolith substrate relative to carbonate sand, supporting the notion that …

Genome Sequences For Nine Streptococcus Anginosus Strains Isolated From Female Urogenital Samples, Helen Appleberry, Olive Kolar, Saad Ahmed, Omar Al Khalili, Inga Astrauskas, Adel Choubkha, Abraham Dulli, Anna Gamal, Elina Greljo, Samiah Iqbal, Neelesh Kanduri, Adam Kawamleh, Emma Kress, Walter Mccain, Sophia Meza, Madison Mikolaitis, Amal Naqvi, Emily Ngo, Jackie Ostiguin, Vedant Patel, Alan J. Wolfe, Catherine Putonti, Alex Kula

Biology: Faculty Publications and Other Works

Streptococcus anginosus is a common inhabitant of the female urinary tract. Comparative genomics suggests that strains from female urogenital samples are distinct from S. anginosus strains isolated from other anatomical sites. Here, we present three complete and six draft genome assemblies of S. anginosus isolated from urine, vaginal swabs, and a perineal swab.

Exploring Tricine As A Novel Red Cell Cryopreservative: Lessons And Future Directions, Thomas Bailey-Schmidt, Christine V Saunders, Chloë E George, Thomas G Scorer, Lynn M R Mccallum, Tracey E Madgett

School of Biomedical Sciences

BACKGROUND AND OBJECTIVES: Cryopreservation allows for storage of red blood cells (RBCs) beyond the standard 35-day period. Current glycerol-based methods are labour-intensive and scale-limited in application. Tricine has been identified as a potential alternative cryoprotectant (CPA), demonstrating efficacy in sheep RBC. This study aims to evaluate the biocompatibility and efficacy of tricine in human RBC cryopreservation.

MATERIALS AND METHODS: Human and sheep RBCs were exposed to varying concentrations of tricine (2.0-20.0% w/v) or glycerol (20.0-40.0% w/v). Biocompatibility was assessed via 24-h incubation at 4°C, while cryoprotective efficacy was evaluated following freezing in liquid nitrogen, storage at -80°C and thawing at …

Challenging Behavior In The Early Childhood Classroom, Ashley L. Hoag

Masters Projects

In early childhood classrooms, it is becoming increasingly common for students to exhibit challenging behaviors. These behaviors present as either internalizing behaviors, such as anxiety, or as externalizing behaviors, such as defiance and aggression. These behaviors are impacting student learning and contributing to an increase in teacher stress and burnout. Early childhood educators feel underprepared to address these behaviors effectively. The project is grounded in Behaviorist Theory and Constructivist Theory. These theories inform Positive Behavior Interventions and Supports (PBIS), which is an evidence-based approach to managing challenging behaviors by focusing on reinforcement, the structure of the environment, and building important …

Role And Use Of Race In Artificial Intelligence And Machine Learning Models Related To Health, Martin C Were, Ang Li, Bradley A Malin, Zhijun Yin, Joseph R Coco, Benjamin X Collins, Ellen Wright Clayton, Laurie L Novak, Rachele Hendricks-Sturrup, Abiodun O Oluyomi, Shilo Anders, Chao Yan

Faculty, Staff and Students Publications

The role and use of race within health-related artificial intelligence (AI) and machine learning (ML) models have sparked increasing attention and controversy. Despite the complexity and breadth of related issues, a robust and holistic framework to guide stakeholders in their examination and resolution remains lacking. This perspective provides a broad-based, systematic, and crosscutting landscape analysis of race-related challenges, structured around the AI and ML life cycle and framed through "points to consider" to support inquiry and decision-making.

Potential Impact Of Dotted Paropsine Beetle And Other Leaf Beetles On Eucalyptus In Utah, Marion Murray, Victoria Xiong, Megan Kast

All Current Publications

Dotted paropsine leaf beetle (DPLB) is an invasive eucalyptus pest native to Australia. Its first U.S. detection was in California in 2022. DPLB feeds on several eucalyptus species, with blue gum as its primary host. Feeding damage includes semicircular notches on leaf edges, defoliation of young leaves, and dieback of shoot tips. DPLB poses a threat to eucalyptus plantings across the western U.S. and to cut foliage producers in Utah.

20250731: Office Of Assessment, Program Reviews, 2000-2008, Academic Affairs

Guides to University Archives

These items include materials from the office of Academic Affairs at Marshall University from 2000-2008. Items were received in 2025 and include program reviews for undergraduate, graduate, and MU SOM programs. Please download the finding aid for a full list of contents.

Husbandry And Management Interventions For The Conservation And Welfare Of Captive Animals – A Systematic Evidence Map, Anaelle Lemasson Lemasson

School of Biological and Marine Sciences

Zoos and aquariums are poised to play increasingly important roles in mitigating the global biodiversity crisis. However, the ultimate success of ex-situ conservation depends on animal welfare and effective husbandry and management practices. As such, an empirical understanding of ‘what works’ in zoo management is crucial for guiding success and embedding cost-effective practices. Here, we present the first systematic evidence map for husbandry and management interventions used in zoos and aquariums. We identified and extracted 1,070 articles spread across 45 journals, and examined patterns within taxonomic, spatial, temporal, and thematic categories. Studies originated from 516 institutions in 69 countries, and …