Digital Commons Network^™

Comparison Of Selected Supply Chain Management Practices Of Three Major Regional/Metropolitan Hospitals, Alan D. Smith

Atlantic Marketing Association Proceedings

No abstract provided.

Students’ Attitudes Toward Immersive Learning Activities: An Exploratory Examination, Denny Mccorkle, James Reardon, Joe F. Alexander

Atlantic Marketing Association Proceedings

No abstract provided.

Student Perspectives On Converting Classes To Online Due To Covid-19, Anita Whiting, Joie Hain

Atlantic Marketing Association Proceedings

No abstract provided.

A Shift In The Respiratory Syncytial Virus Seasonal Pattern: A Single–Center Retrospective Study In Anhui, China (2023–2025), Yan Lu, Jie Zhang, Keran Zhu, Li Wang, Shenggang Ding, Liping Yuan

Journal of Pediatric Infectious Diseases

Objective: Before the coronavirus disease 2019 pandemic, respiratory syncytial virus (RSV)-related hospitalizations followed a predictable seasonal pattern in Anhui, China, typically beginning in November and lasting until March of the following year. However, city-specific data for Anhui were limited. This study investigated the epidemiological patterns and risk factors associated with severe RSV-associated lower respiratory tract infection (LRTI) among hospitalized children in our centre. Methods: We reviewed the records of children aged ≤14 years who were hospitalized with RSV lower respiratory tract infection between June 2023 and May 2025. RSV infection was confirmed using reverse transcription-polymerase chain reaction testing. Data on …

Pertussis In Adolescents: Nonspecific Findings And The Importance Of Clinical Vigilance - A Single-Center Retrospective Study, Kaan Celebier, Furkan Kalayci, Merve Keser, Metin Yigit, Enes K. Kılıc, Yunus E. Ince, Ahmet A. Gungor, Hande Yigit, Betul Demircioglu Kalayci, Aslınur Özkaya Parlakay

Journal of Pediatric Infectious Diseases

Objective: In adolescents, pertussis commonly presents with a mild, atypical picture that can delay diagnosis, lead to its exclusion from the differential diagnosis list, and sustain community transmission. Typical paroxysms and laboratory abnormalities are frequently absent or subtle. We aimed to describe qPCR-confirmed adolescent cases and highlight diagnostic challenges. Methods: We retrospectively reviewed electronic records of patients presenting to general pediatrics and pediatric infectious diseases clinics between January 2019 and August 2025. Adolescents with a multiplex respiratory panel positive only for Bordetella pertussis were included; co-detections and incomplete data were excluded. Demographics, symptoms, examination and imaging findings, laboratory results, treatment, …

A Clinical Risk Stratification Approach For Sensorineural Hearing Loss In Pediatric Bacterial Meningitis: A Retrospective Cohort Study From Vietnam, Nguyen D. Pham, Toan M. Duong

Journal of Pediatric Infectious Diseases

Objective: To address the long-term burden of sensorineural hearing loss (SNHL) following pediatric bacterial meningitis and the need for early identification of at-risk children, particularly in resource-limited settings where universal post-meningitis screening is impractical. This study aimed to develop a clinically accessible risk stratification approach, using routinely available variables, to support triage and prioritization of audiological follow-up. Methods: A retrospective cohort study was conducted at Children’s Hospital 1, Ho Chi Minh City, Vietnam. Children aged 1 month to 15 years, who were hospitalized with bacterial meningitis and underwent audiological assessment after recovery, were included. Hearing outcomes were evaluated by auditory …

The Diagnostic Role Of Trimethylamine N-Oxide In Pediatric Acute Appendicitis: An Exploratory Study, Mehmet Sarikaya, Fatma Ozcan Siki, Fadime Ovali, Husamettin Vatansev, İlhan Ciftci

Journal of Pediatric Infectious Diseases

Objective: Trimethylamine N-oxide (TMAO), a metabolite derived from gut microbiota, has been linked to various chronic inflammatory conditions. However, its potential role in acute inflammation, such as pediatric acute appendicitis, remains unclear. This exploratory diagnostic study aimed to assess the preliminary diagnostic performance of serum and urinary TMAO levels in differentiating appendicitis subtypes. Methods: In this prospective study, 137 pediatric patients who underwent surgery for suspected acute appendicitis were included. Based on histopathological findings, patients were categorized into negative, non-complicated, and complicated appendicitis groups. Serum and urinary TMAO levels were measured using liquid chromatography–tandem mass spectrometry. Group comparisons were performed …

Comparative Analysis Of Haematological, C-Reactive Protein, And Biochemical Markers In Paediatric Mycoplasma Pneumonia: Mono-Infection Versus Co-Infections, Xingjia Tang, Chongfeng Chen

Journal of Pediatric Infectious Diseases

Objective: To investigate the distinct patterns of haematological parameters, C-reactive protein (CRP) levels, and biochemical markers in paediatric patients with Mycoplasma pneumoniae pneumonia (MPP), comparing mono-infection to co-infections with Haemophilus influenzae (MPP-Hi) or influenza virus (MPP-Inf). Methods: A retrospective analysis was conducted on 140 paediatric patients with confirmed MPP. The patients were stratified into three groups: MPP mono-infection (n=64), MPP-Hi co-infection (n=36), and MPP-Inf co-infection (n=40). Clinical manifestations and laboratory parameters, including haematological profiles and CRP levels, were analysed and compared among the three groups. Results: The MPP-Hi co-infection group had significantly higher hypersensitive CRP levels (23.93 ± 21.26 mg/L) …

An Epidemiological Analysis Of Influenza Virus In The Context Of Covid-19 Pandemic, Mustafa Gençeli, Özge Metin Akcan, Talha Üstüntaş, Ebru Sümen, Sinan Saylık, Emine Özdemir, Ahsen N. Saylık, Methiye Doğan, Arif İ. Solak, Fatih Ercan, Mehmet Özdemir, Abdullah Akkuş, Hanife T. Çağlar, Ahmet O. Kılıç, Sevgi Pekcan

Journal of Pediatric Infectious Diseases

Objective: The global health interventions implemented during the COVID-19 pandemic fundamentally altered the transmission of communicable diseases. This study examines changes in influenza virus epidemiology within the Turkish public health system across different phases of the pandemic. Methods: This retrospective study analyzed 3,585 pediatric patients (aged 0–18 years) diagnosed with influenza between January 2018 and June 2023. We stratified the cohort into three periods based on admission dates: pre-COVID-19, the COVID-19 pandemic, and the post-COVID-19 period. Results: We observed a statistically significant increase in the mean age of patients during the pandemic period (p<0.001). The incidence of influenza B decreased significantly during the pandemic compared to other periods (p<0.001). The post-pandemic period was characterized by higher viral co-infection rates and increased hospitalization frequencies (p<0.001), though the duration of hospitalization decreased during the pandemic (p<0.001). In the post-pandemic phase, the typical November surge was less pronounced, with peak incidence shifting to January. Conclusion: The pandemic significantly altered influenza epidemiology, shifting viral subtype prevalence, incidence rates, co-infection patterns, seasonal trends, and mortality risks.

Incidence, Pathogen Distribution, And Hematological Responses In Neonatal Sepsis: A Three-Year Retrospective Study In The Uae, Asmaa Almilhem, Doha M. Moustafa, Izdehar Nached, Sana Al-Rawi, Yaser Ali, Mona Khalaf, Aisha Alkhaaldi

Journal of Pediatric Infectious Diseases

Objective: This study aimed to evaluate the incidence of neonatal sepsis per 1,000 live births, identify the prevalence of causative pathogens, and examine hematological differences between Gram-negative and Gram-positive neonatal sepsis. Methods: A retrospective study was conducted from January 1, 2021, to December 31, 2023, at Al Qassimi Women’s and Children’s Hospital (AQWCH), UAE. Neonates admitted to the NICU with positive blood cultures were included and categorized as early-onset (EONS) or late-onset (LONS) sepsis. Incidence rates (IRs) were calculated per 1,000 live births with 95% confidence intervals (CIs). Univariate logistic regression was initially performed to identify potential factors associated with …

The Role Of The Systemic Immune-Inflammation Index In Predicting Hospitalization In Children With Acute Gastroenteritis, Ebru Buldu, Sadiye Sert, Fatma Sargın, İbrahim Solak

Journal of Pediatric Infectious Diseases

Objective: Acute diarrhea in childhood is one of the most common infections in children and a leading cause of death from infectious diseases under five years of age worldwide. The Systemic Immune-Inflammation Index (SII) reflects the balance between inflammation and immune response. This study aimed to investigate the relationship between acute gastroenteritis (AGE) infection and SII in children. Methods: This retrospective study included 3,039 children, comprising 1,668 with AGE and 1,371 healthy controls. Hematologic parameters and SII were analyzed. Data was compared across patient and control groups, inpatients versus outpatients, and groups with viral versus parasitic AGE etiologies. Results: Of …

Pathways To Success: The Role Of Self-Efficacy And Social Capital In Diversifying The Healthcare Workforce., Chelsey Louw

Pacific Journal of Health

The underrepresentation of first-generation and minority students in graduate-level healthcare programs remains a major barrier to diversifying the U.S. healthcare workforce. This study examined whether participation in the University of the Pacific’s Summer High School Institute (SHSI), a two-week immersive program featuring faculty networking, financial aid literacy, and hands-on medical device training, enhances students’ self-efficacy in applying to healthcare graduate programs. Using a retrospective, cross-sectional survey design, data were collected from 95 participants and analyzed with descriptive statistics and independent samples t-tests to assess perceived changes in self-efficacy. Results showed that students generally reported increased confidence after completing the program, …

Utilizing A Standardized Assessment To Predict Long-Term Outcomes In The Neonatal Intensive Care Unit (Nicu), Morgan Leach

Occupational Therapy Capstones

A common barrier to occupational therapy (OT)practice in the NICU is the lack of efficient standardized assessments for occupational performance and developmental milestones

• Barriers -time, medical status, state of alertness, etc.

The use of standardized assessments in OT practice is the preferred method to provide objective data of occupational performance (AOTA, 2020)

• Justify need for services, establish a baseline, track intervention effectiveness

Another barrier in the NICU setting are the delays in the referral and initiation of early intervention (EI) services (Nwabaraet al., 2016).The lack of standardized assessments in the NICU may be contributing to the common delays in EI …

Neuroscience-Based Intellectual Productivity: A Ten-Principle Methodology For Knowledge Workers, Yoshihiko Ariizumi

Learning, Teaching, & Researching Optimization

This paper presents a comprehensive, neuroscience-grounded methodology for enhancing intellectual productivity among knowledge workers—particularly academic faculty and researchers operating under conditions of chronic cognitive overload. Drawing on ten foundational principles derived from contemporary cognitive neuroscience, we argue that substantial gains in research output, creative ideation, and knowledge integration are achievable not by working harder, but by working in deliberate alignment with the brain’s native computational architecture.

The ten principles address: strategic activation of the Default Mode Network (DMN) for incubation and creative insight; prefrontal cortex (PFC) energy management through temporal task separation; externalization of cognitive load via AI-assisted working memory …

Working Smarter, Not Harder: A Practical Guide To Intellectual Productivity, Yoshihiko Ariizumi

Learning, Teaching, & Researching Optimization

This guide offers general suggestions drawn from recent research. Every person thinks, works, and recharges differently. Please treat what follows not as a checklist to follow slavishly, but as a menu of ideas — pick what resonates, adapt freely, and discard whatever does not fit your life.

Advancing Occupational Therapy In Pelvic Health: Empowering Education And Advocacy Through Digital Platforms, Christine Dennison

Occupational Therapy Capstones

My doctoral capstone project keys focus areas include advocacy, education, and clinical skill development through the creation of accessible, evidence-based social media content related to pelvic floor health and occupational therapy. This project integrates clinical mentorship and continued education to support accurate, evidence-based health education. Grounded in occupational therapy’s holistic and client-centered approach, the project emphasizes health promotion, awareness, and expanding understanding of the role of OT in emerging areas of practice. It also supports my professional development in leadership, collaboration, and health communication.

Clinical experience: Clinical experience took place at Athletico Physical Therapy in Ankeny South, where I …

181st University Of Notre Dame Commencement, University Of Notre Dame

Commencement Programs

• SCHEDULE OF EVENTS 4
• HEARING IMPAIRED INFORMATION 9
• GRADUATE SCHOOL 10
• MENDOZA COLLEGE OF BUSINESS GRADUATE BUSINESS 32
• GRADUATE ARCHITECTURE 38
• LAW SCHOOL 39
• UNIVERSITY COMMENCEMENT CEREMONY 42
• COLLEGE OF ARTS AND LETTERS 44
• COLLEGE OF SCIENCE 51
• COLLEGE OF ENGINEERING 55
• MENDOZA COLLEGE OF BUSINESS 61
• SCHOOL OF ARCHITECTURE 67
• KEOUGH SCHOOL OF GLOBAL AFFAIRS 67
• VALEDICTORIAN CANDIDATES 68
• EMERITI FACULTY 68
• HONOR SOCIETIES 69
• AWARDS AND PRIZES 77
• TASSELS 100

Impact Of Food Insecurity On The Management Of Children With Food Allergy: A Scoping Review, Kiranjit Atwal, Kate Maslin

School of Nursing and Midwifery

Child health and development are affected by food insecurity, which is an increasing phenomenon globally. The rates of food allergy are also increasing, and the multifaceted burden is well documented. The higher costs of allergen-free food, essential to food allergy management, may compound the levels of food insecurity, but evidence is still emerging. This scoping review was conducted with the aim to understand the impact of food insecurity on the management of children living with food allergy by mapping the current types of evidence, key concepts, and research gaps. Following JBI methodology, evidence about children aged ≤18 years living in …

Use Of Tyrx Antibacterial Envelope In Inflatable Penile Prosthesis Surgery: A Prospective Pilot Study., Jack T. Rifkin, Julia A. Baran, Brian H. Im, Tej J. Desai, Jordan Dehoratius, Oleksandr Kolesnikov, Paul Chung

Department of Neurology Faculty Papers

BACKGROUND: Infection remains a major concern in inflatable penile prosthesis (IPP) surgery. Medtronic's TYRX Absorbable Antibacterial Envelope is a polypropylene mesh pocket delivering minocycline and rifampin for 7 days and fully absorbing in 9 weeks. It is currently FDA-approved for use with cardiac pacemakers and neuromodulation devices. There is no indication for use in IPP surgeries, particularly for enveloping the scrotal pump during implantation.

AIM: This pilot study evaluates the feasibility, safety, and early patient-reported outcomes with the use of the absorbable antibacterial envelope during IPP surgery.

METHODS: Fifteen men who underwent primary or revision IPP placement by a single …

Investigating Racial Differences In The Receipt Of Antenatal Interventions Prior To Periviable Delivery, Niurka Monteserin, Whitney Bender

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: The Society for Maternal Fetal Medicine (SMFM) provides guidance on the use of antenatal corticosteroids, antibiotics, and cesarean delivery in the periviable period. Although racial differences exist in postnatal active management of periviable neonates have been described, less is known about racial differences in antenatal interventions preceding delivery.

OBJECTIVE: To evaluate differences in the receipt of antenatal interventions before periviable delivery by birthing parent race.

METHODS:  We conducted a population-based cohort study using the National Center for Health Statistics database including periviable deliveries (20w0d-25w6d) from 2016-2021. Individuals delivering a non-anomalous live singleton gestation in a hospital were included. Births …

Influence Of Gas Atmosphere And Deposition Time On Si/Mno₂ Thin Films Properties Deposited By Magnetron Sputtering For Supercapacitor Application, Tansya Trisnatika Dewi, Boon Tong Goh, Reza Akbar Pahlevi, Ishmah Luthfiyah, Markus Diantoro

Journal of Mechanical Engineering Science and Technology (JMEST)

Thin films of MnO₂ were successfully deposited onto Si substrates using the magnetron sputtering technique in various gas atmospheres and deposition times to study their influence on the structural, morphological, electrical, and electrochemical properties for application as supercapacitor electrodes. Structural analysis using XRD showed that deposition under an Ar+O₂ gas atmosphere increased the crystallite size and crystallinity of the Si/MnO₂ films, while shorter deposition times reduced the crystallite size and lowered the crystallinity. Surface morphology observation using SEM showed that the film deposited in an Ar+O₂ gas atmosphere had smaller, more uniform, evenly distributed, and closely …

Influence Of Fiber Loading And Cu/Sio₂ Fillers On Mechanical And Physical Properties Of Sugarcane Bagasse Epoxy Composites, Ansor Salim Siregar, Indra Indra, Agung Fauzi Hanafi, Sunny Ineza Putri

Journal of Mechanical Engineering Science and Technology (JMEST)

The rising worldwide need for lightweight, high-strength, and eco-friendly materials has driven considerable investigation into natural fiber composites. This research offers an extensive examination of the creation and characterization of a new hybrid composite designed for high-performance sports equipment. The composite structure consists of an epoxy matrix strengthened with sugarcane bagasse fibers and synergistic blend of copper and silicon dioxide hybrid particulate fillers. Three unique composite variations were created, with systematically adjusted weight fractions of sugarcane bagasse fiber (35%, 31%, 27%) and hybrid fillers. A thorough assessment of mechanical and physical properties was carried out following ASTM standards. The results …

Economic Drivers Of International Migration To Türkiye: A Regional Comparison Study, Bekir Gündoğmuş, Musa Bayir, Ahmed Yusuf Sarihan

Makara Human Behavior Studies in Asia

This study investigates the macroeconomic determinants of registered international migration to Türkiye by employing panel data regression techniques at the NUTS-2 regional level for the period 2016–2022. The results reveal that per capita income, employment, and the share of industry, services, and construction sectors in total production have a statistically significant and positive impact on migration inflows, while inflation exhibits a negative effect. However, agricultural production proportion and export performance do not appear to significantly influence regional migrant preferences. Causality tests further support the existence of both bidirectional and unidirectional relationships between economic indicators and migration. The findings underscore the …

Rehabilitation Belief And Engagement Transformation (Rbet) Model: A Grounded Theory Approach, Jade Ibhar V. Cuambot, Marc Eric S. Reyes, Karen Katrina V. Trinidad

Makara Human Behavior Studies in Asia

Competitive sports injuries have significant physiological and psychological consequences for athletes. While rehabilitation medicine effectively addresses the physical aspects of injury recovery, the psychological and emotional journey of injured athletes remains neglected. Thus, the current study addresses this gap by examining athletes’ transforming belief systems and emotional experiences during injury rehabilitation. A qualitative research design grounded in grounded theory principles was conducted with professional athletes to understand how their beliefs toward rehabilitation evolved over time. Findings revealed a dynamic process of belief transformation consisting of seven interconnected stages, captured in the Rehabilitation Belief and Engagement Transformation (RBET) Model: (1) Pre-rehabilitation …

Applied Washington Consensus: Analyzing Chile's Success And Venezuela's Failure—Institutional Frameworks, Policy Sequencing, And Economic Liberalization In Latin America (1980s–2010)., Gjergji Bacuku

Dartmouth College Master’s Theses

The Washington Consensus emerged in the late 1980s as a practical policy

framework in response to the prolonged economic crisis faced by Latin American

countries. The Washington Consensus is a central factor in the modern economic history

of Latin America due to its influence on the region. This list of policy actions was

deemed desirable for Latin American countries, mostly agreed upon by economists from

the IMF, the World Bank, and the U.S. Treasury in Washington. As a result, many

countries in the region accepted the Washington Consensus as a stabilizing mechanism,

while others rejected it. This thesis discusses the …

A Millstone Quarry On The ‘Akko Coastline, Ehud Galili, Jacob Sharvit

'Atiqot

No abstract provided.

A Byzantine Warehouse And Anchorage South Of Ashqelon, Peter Fabian, Yuval Goren

'Atiqot

No abstract provided.

Phoenician Cremation Burials At Tel Bira, Yardenna Alexandre, Edna J. Stern

'Atiqot

No abstract provided.

An Iron Age Burial Cave In Nazareth, Fanny Vitto

'Atiqot

No abstract provided.

Middle Bronze Age Iia Burials At Tel Yosef, Karen Covello-Paran

'Atiqot

No abstract provided.