Digital Commons Network^™

The Impact Of Covid-19 On Spine Surgery: Temporal Trends In Complications And Patient-Reported Outcomes Across A Statewide Cohort, Ali Mehaidli, Richard Easton, Ahmad Almaat, Gary George, Alqasim Elnaggar, Victor Chang, Doris Tong, Jad Khalil, Kevin Taliaferro

Conference Presentation Abstracts

Introduction: The COVID-19 pandemic caused major disruptions in elective surgical care, including spine surgery, due to widespread hospital restructuring and resource limitations. Although previous studies have examined surgical volumes and safety during the pandemic, limited data exist on how outcomes varied across multiple phases of the pandemic, especially in real-world, multicenter spine surgery populations. Material and Methods: This retrospective cohort study used data from the Michigan Spine Surgery Improvement Collaborative (MSSIC) to compare outcomes in patients undergoing lumbar or cervical spine surgery across four COVID-19 timeframes: pre-COVID (1/2019-2/2020), onset-COVID (3/2020-9/2020), active-COVID (10/2020-2/2022), and post-COVID (3/2022- 12/2022). Patient demographics, surgical characteristics, …

Halo Effect Of Prescribing Guidelines For Opioid Naive Patients Translates To Opioid Non-Naive Patients Undergoing Lumbar Decompression: A Michigan Spine Surgery Improvement Collaborative (Mssic) Study, Anisse Chaker, Geoff Kahn, Michael Melhem, Jian-Hui Hu, Kari Jarabek, Heegook Yeo, Jawad Saad, Abdullah Al-Tekreeti, Kenneth Easton, Jad Khalil, Richard Easton, Doirs Tong, Miguelangelo Perez-Cruet, Noojan Kazemi, Ilyas Aleem, Muwaffak Abulhak, David Nerenz, Victor Chang

Conference Presentation Abstracts

Introduction: Chronic opioid dependency in spine surgery is an ongoing concern given the ongoing opioid epidemic. We have previously reported on our cohort of opioid-naıve patients, however the literature has shown that patients with opioid use at baseline are at higher risk of less favorable outcomes. Starting in 2022, MSSIC instituted state-wide prescribing guidelines for opioid naıve patients undergoing one- or two-level lumbar decompression surgery (laminectomy, laminotomy, foraminotomy, microdiscectomy) with performance goals of 80% compliance. The goal of this study was to evaluate whether there would be a form of a “halo” effect on prescribing patterns for patients with baseline …

Postoperative Ileus After Lumbar Spine Surgery: Modifiable Risk Factors And Impact On Outcomes, Ali Mehaidli, Richard Easton, Alqasim Elnaggar, Gary George, Ahmad Almaat, Victor Chang, Jad Khalil, Kevin Taliaferro

Conference Presentation Abstracts

Introduction: Postoperative ileus (POI) is an infrequent but impactful complication following lumbar spine procedures. While well-characterized in abdominal surgery, spine-specific data remain limited, particularly regarding modifiable risk factors. Materials and Methods: We analyzed 41,164 patients who underwent elective lumbar spine surgery between 2018 and 2023 using the Michigan Spine Surgery Improvement Collaborative (MSSIC) registry. Multivariable generalized estimating equation models were used to identify independent risk factors for POI. We also evaluated the association between POI and postoperative outcomes, including patient-reported outcome measures (PROMs). Results: POI occurred in 1.1% of patients (n = 447). Independent risk factors included older age (RR …

Impact Of Campus Leadership Behaviors On Teacher Experiences With Burnout, Carmen Imai

Open Access Theses & Dissertations

Teacher burnout continues to be a significant concern in K-12 education, contributing to emotional exhaustion, decreased job satisfaction, teacher attrition, and negative impacts on student learning. While previous research has examined the causes and symptoms of burnout, less attention has been given to how teachers perceive the role of campus leadership in either mitigating or contributing to burnout experiences. The purpose of this qualitative phenomenological study was to explore how teachers who have experienced burnout perceive the role of campus administrators within that process. The study was guided by three research questions focused on teachers' experiences with burnout, perceptions of …

From Instructional Design To Student Experience: Engagement As Designed And Experienced In Asynchronous Graduate Education, Francisco Javier Maldonado

Open Access Theses & Dissertations

The expansion of asynchronous online learning in graduate education has reshaped instructional delivery; however, concerns persist regarding declining student engagement in fully online environments. While faculty often perceive engagement as sustained through structured course design and digital communication strategies, graduate students report experiences of disconnection, diminished motivation, and limited meaningful interaction. This misalignment in perception presents a significant challenge for graduate programs seeking to promote student success and retention. The purpose of this qualitative study is to explore how asynchronous online instructional practices influence graduate student engagement within a Master's-level Higher Education Leadership program. Guided by the Academic Constructs of …

Enhancing Gender Congruence And Life Satisfaction In The Borderland Through Gender-Affirming Communication Services, Kimberley Ramirez

Open Access Theses & Dissertations

Transgender individuals frequently encounter barriers to accessing gender-affirming healthcare, particularly within marginalized borderland communities. Communication-based gender affirmation, including voice therapy and nonverbal communication training, remains an underexplored yet essential component of transgender health and psychosocial well-being. The purpose of this study was to examine the impact of gender-affirming communication services on voice-gender congruence and life satisfaction among transgender individuals living in the U.S.-Mexico borderland region. A single-subject experimental design (ABAB) was implemented with six participants initially enrolled in the study. Four participants completed all intervention phases and were included in final analysis. Intervention consisted of individualized gender-affirming communication services targeting …

Daughters Of The Road, Kristen Marie Sche

Open Access Theses & Dissertations

The beloved Road Novel has long been a tale submerged in the coming-of-age story following men as they search for themselves along the American highways. The genre can vary from journeys of families seeking refuge or tackling a task to men seeking answers to something missing in their lives. However eclectic the genre, it lacks in the pilgrimage of girls finding what the road can bring to them in a literary fictional context. This thesis provides a novel written in the popular genre while exploring themes of sisterhood, grief, and inclusion through the context of a hybrid form of narration …

Effective Prediction Of Martensite Start Temperature By Hybrid Machine Learning And Ethical A.I. In Materials Science, Agniprava Banerjee

Open Access Theses & Dissertations

The martensite start temperature Ms governs heat treatment design and mechanical property development in martensitic steel alloys. Accurate prediction of Ms from chemical composition alone would accelerate alloy development, yet existing empirical equations lack accuracy for multi-component steels and purely data-driven models provide no physically principled behavior outside their training domain. This dissertation develops a hybrid machine learning-physics framework for predicting Ms in steel alloys from composition. The MAP Cambridge dataset (1,020 cleaned records, 15 alloying elements) is processed through a five-stage cleaning pipeline and a 21-feature physics augmented representation, including the Ghosh-Olson Ms thermodynamic prediction as an explicit feature. …

The Impact Of Life Coaching On Self-Efficacy In Personal Goal Setting Among Black Educators In Arkansas, Veronica Cousette Jackson

Graduate Theses and Dissertations

This quantitative study examines the relationship between life coaching and self-efficacy in personal goal setting among Black educators in Arkansas, with gender explored as a moderating variable. Self-efficacy, grounded in Bandura’s (1997) social cognitive theory, is a central determinant of motivation and goal-directed behavior, influencing persistence, effort, and adaptive strategies. Although life coaching has gained recognition as a professional developmental practice, empirical research remains limited regarding its psychological effects within educator populations and its differential impact across demographic groups (Grant, 2014; Theeboom et al., 2014). This gap is particularly significant for Black educators, who experience disproportionate workforce stress and retention …

How To Make Tamales: Stories, Jeanette Colby

Open Access Theses & Dissertations

In all its intersectionality, I see my thesis as a female journey of identity and maturation. A common theme in my writing always leads back to my upbringing in some way; my history, memories, and beliefs inevitably plague the storytelling animal that lives within me. These different kinds of narratives represent all the parts of my identity. At the same time, the fictional scenes allow me to dramatize and interpret specific life events, while the mythic narratives provide a symbolic framework for exploring psychological and spiritual truths that might transcend conventional logic. Almost all of these pieces reflect various aspects …

Dynamic Joint Stiffness Druing Jogging In Individuals With Chronic Ankle Instability, David Saltiel Nava

Open Access Theses & Dissertations

Background: Lateral ankle sprains (LAS) are common musculoskeletal injuries and may progress to chronic ankle instability (CAI), which is characterized by recurrent sprains, perceived "giving way," and altered ankle mechanics. Dynamic joint stiffness (DJS) quantifies a joint's resistance to angular displacement under external loading and may provide insight into ankle stability during dynamic tasks. Although prior CAI studies have examined DJS during walking or jumping, limited evidence exists during jogging. This study examined phase-specific ankle DJS and ankle work variables during jogging in individuals with and without CAI. Methods: Ninety participants were included (40 CAI, 50 uninjured controls). All participants …

Eocene To Oligocene Continental Arc Migration In Ecuador And The Origin Of Spatiotemporal Trends In Zircon Lu-Hf Radiogenic Isotopes, Muriel M. Sandoval Vazquez

Open Access Theses & Dissertations

The modern continental arc system in Ecuador is well understood but less is known about arc systems in the past, hindering our understanding of the tectonic evolution of the northern Andes. The Macuchi arc, located in the Western Cordillera of Ecuador, was thought to be the main continental arc system during the Eocene, but new zircon U-Pb LA-ICPMS dates from intrusive arc rocks in central Ecuador indicate a more complex history. During the mid-Eocene, the footprint of arc magmatism broadened and expanded into the Inter-Andean Valley and Eastern Cordillera. During the late Eocene to Oligocene, the arc migrated back toward …

The Transformation Of Mexican-American Fathers In Doctoral Studies, Harat Ridrigo Saucedo

Open Access Theses & Dissertations

Fatherhood and minority are words that are not discussed enough in academia. While there has been an awakening in women enrolling and graduating in higher education, the same cannot be said about males, especially fathers of Mexican-American background. As the fastest-growing minority, Mexican-American fathers in doctoral studies are the most underrepresented. The current state of research in the field is minimal, focusing on Mexican-Americans in undergraduate courses, mothers in graduate courses, and males in graduate courses; little is found on Mexican-American fathers in doctoral studies. The research in this qualitative study was designed to address the limited knowledge about Mexican-American …

Understanding The Role Of The School Librarian: Insights From Principals And Librarians, Ruby Shivery

Open Access Theses & Dissertations

This study examines how principals and school librarians understand and define the role of the school librarian with the K-12 school system. Guided by Role Conflict Theory, the study explores how differing expectations regarding instructional support, leadership, collaboration, and library management contribute to role ambiguity and professional tension. As the responsibilities of the school librarian continue to expand, inconsistencies in how the role is perceived may influence both professional relationships and the effectiveness of the library programs themselves. Using semi-structured interviews with both principals and school librarians, the study investigates areas of alignment and conflict in participants' perceptions of the …

The Role Of Service-Learning & Critical Pedagogy In Student Empowerment Through Self-Consciousness, Democratic, And Culturally Responsive Education, Shahbaa Zaidan

Open Access Theses & Dissertations

This qualitative phenomenological research examines the role of service learning that is based on critical pedagogy in empowering students and developing identity and consciousness in a Hispanic-Serving Institution (HSI) on the United States-Mexico border found in South Texas. This study challenges the top-down paradigm, in which empowerment and learning are considered in view of the practices of educators, their teaching methods, and their impacts on student achievement. The research is bottom-up and student-centered. This research explores how students' experiences during service-learning courses shape their sense of identity, voice, and empowerment. Key theories include critical pedagogy (Freire), experiential learning (Dewey), transformative …

Adjunct Faculty Onboarding Experiences At A Hispanic-Serving Community College In The U.S.-Mexico Border Region: Faculty Perspectives Of Integration And Effectiveness, Melissa Ann Aguilera

Open Access Theses & Dissertations

Since the 1970s, adjunct faculty have become the majority of higher education instructors, yet institutional onboarding practices for adjuncts remain inadequate and are inconsistently studied. Using a basic interpretive qualitative approach, the study explored how adjunct faculty at a Hispanic-serving community college in the U.S.-Mexico border region experienced and perceived their onboarding process. Four adjunct faculty members participated in semi-structured interviews, and data was analyzed using thematic analysis. Findings were interpreted through the Kirkpatrick Model of Training Evaluation and Organizational Socialization Theory. Three themes emerged from the data: the absence of structured onboarding, leaving participants to independently seek institutional knowledge, …

Characterization Of The Antiviral Activity Of Mouse Schlafen Proteins, Wendy Paola Alvarez Leal

Open Access Theses & Dissertations

The goal of this work was to characterize the anti-viral role of mouse Schlafen8 and Schlafen9. Expression of these proteins is induced by type I interferon in response to viral infections. Importantly, their human functional orthologs exhibit anti-viral functions, and the structural element required for these activities are conserved in Schlafen8 and Schlafen9. Therefore, it is expected that these proteins will also impair viral replication. An important limitation in this field is that the anti-viral function of human SLFNs has been evidenced only in in vitro cellular models. No informative mutations have been described in human populations so far. Thus, …

Religious Extremism & Courtroom Cooperation: Examining Variability In Terrorism And Religiosity, Amanda P. Hux

Sociology and Criminology Undergraduate Honors Theses

While prior studies have investigated the impact of religion on terrorism, our study specifically aims to inform the literature of religious affiliation's effect on a defendant's propensity to plead guilty. Our study uses data from the American Terrorism Studies (ATS) database from the University of Arkansas’s Terrorism Research Center. The study focuses on twelve variables in relation to pleading guilty, gender, categories of terrorism, race, and ethnicity. Crosstabulation and Binary Logistic Regression were used to analyze the subset “Offender” within the ATS. Three hypotheses were reviewed, finding that religious affiliation has a positive correlation with a defendant’s propensity to plead …

The Intersection Of Occupational Therapy And Optometry In The Treatment Of Visual Impairments: Addressing An Unmet Need, Grace Bannon

Capstone Projects

The prevalence of visual impairments in the United States is substantial and anticipated to increase in severity over the coming decades. These impairments have wide-reaching consequences on an individual’s occupational performance in daily living. While both occupational therapists and optometrists focus on the relationship between visual function and engagement in meaningful and purposeful occupations across the lifespan, only a limited number of optometrists offer specialized vision therapy services. This gap emphasizes a growing demand for vision services to manage the needs of individuals with visual deficits. Therefore, this Doctoral Capstone Experience (DCE) sought to bridge this gap by exploring the …

Identifying The Role Of Occupational Therapy In Suicide Prevention, Grey Buchheit

Capstone Projects

Occupational therapists are uniquely positioned to identify and support individuals experiencing suicidal ideation; however, suicide prevention education remains limited within occupational therapy curricula despite its relevance across diverse practice settings. This doctoral capstone experience sought to address this educational gap by developing evidence-based suicide prevention resources for Western Michigan University's Doctor of Occupational Therapy Program while promoting student wellness and burnout prevention as complementary components of suicide prevention. Guided by a literature review, SWOT analysis, faculty interviews, and a needs assessment that included a survey of Level I fieldwork educators, this project identified opportunities to strengthen occupational therapy education related …

Supporting Neurodiversity-Affirming Practice For Young Adults: Resource Development For A Level I Occupational Therapy Fieldwork Clinic, Grace Campbell

Capstone Projects

Neurodiversity-affirming and strengths-based practices are a growing area of focus within occupational therapy, viewing neurological differences as natural variations of human diversity rather than deficits to be corrected. This Doctoral Capstone Experience (DCE) focused on applying these perspectives within the Work-to-Work Clinic, a Level I occupational therapy fieldwork clinic that serves young adults with neurodevelopmental conditions such as Autism, ADHD, and intellectual disability. Commonly-used assessments and treatment materials at the clinic were outdated, deficit-focused, and poorly suited to this population’s developmental stage, leaving many clients with unmet needs. Additionally, Level I fieldwork students are still developing clinical reasoning skills and …

May 2026 Endorsed Programs News, Reva Darling

The Journal of the Michigan Dental Association

This source details several MDA-endorsed services intended to improve practice efficiency and profitability. Key topics include selecting a fiduciary financial adviser, the regulatory requirements for surcharging credit cards to offset processing fees, and the cost-competitive benefits of the MDA Health Plan. It also promotes iCore solutions for Revenue Cycle Management, which automate insurance verification and billing to reduce administrative friction and enhance financial performance.

Ce Spotlight:, David Foe

The Journal of the Michigan Dental Association

This source highlights on-demand continuing education courses provided by the MDA to help dental professionals meet state relicensure requirements. Featured topics include diagnosing trigeminal neuropathy, identifying human trafficking warning signs, ethics and dental jurisprudence, and 2026 updates for infection control. The courses are designed to be convenient and are counted toward specific Michigan Board of Dentistry requirements, such as pain management and delegation of duties.

May 2026 Government And Insurance Affairs, James Budd Mpp

The Journal of the Michigan Dental Association

This report summarizes the MDA’s participation in the ADA's annual Lobby Day in Washington, D.C.. MDA representatives met with congressional offices to advocate for student loan reform, including interest-free deferment during residency (H.R. 2028), and ERISA reform to ensure consistent patient protections across all dental insurance plans (H.R. 7931). The update also highlights efforts to protect the federal oral health infrastructure and introduces the "Member Minute" program for submitting legislative and insurance questions directly to the advocacy team.

Pictured And Framed: A Media Analysis Of Local News Coverage Of The Unhoused In Fayetteville, Sabine Skoch

School of Social Work Undergraduate Honors Theses

Amid a growing housing crisis in Fayetteville, local media serves as an influential force in shaping public understanding of homelessness. This study examines how homelessness is framed in local news coverage through a reflexive thematic analysis of ten randomly selected articles published between May 2022 and November 2025. Guided by media framing and attribution theory, this analysis explores how causes, consequences, and solutions to homelessness are constructed within a rapidly growing Southern city.

Three central themes emerged. First, local reporting centers empathy through lived experiences and community testimonies, emphasizing dignity, vulnerability, and structural precarity rather than individual failure. Second, coverage …

The Ideological Becoming Of Elementary Teacher Candidates And Their Beliefs About Literacy Instruction, Megan Chaffin

Graduate Theses and Dissertations

This study explored the ideological becoming (Bakhtin, 1981) of elementary teacher candidates (TCs), specifically in relation to their beliefs about literacy, as they completed their literacy coursework and corresponding clinical experiences in their educator preparation program (EPP). Through a qualitative, multiple-case study design, I followed two groups of TCs through the last two years of their undergraduate degree. Each group of TCs completed a series of four literacy methods courses with associated clinical experiences, and one group also finished their student teaching internships. The cases in this study are situated in the context of an era of educational policies that …

Marvelous And Disturbing: Surreal Imagery, Elaboration And The Limits Of Persuasion In Women's Health Journalism, Shelby Elizabeth Gill

Graduate Theses and Dissertations

Since the 1930s, surrealism has lent its abstract hand to journalism, offering a visual language for topics that resist literal depiction. Given its historical and often fraught association with the female form, surrealist imagery has found a natural home in editorial coverage of women's health, most recently in reporting on endometriosis, a condition whose invisible, stigmatized and difficult-to-articulate experience makes conventional photojournalism an inadequate representational tool. The present study experimentally compared surreal imagery, realistic imagery and a text-only control condition to assess their effects on knowledge acquisition, comprehension, attitudinal responses, perceived risk and behavioral intentions related to endometriosis in a …

Mind The Gap: Exploring Sociocultural And Educational Factors Contributing To The Gender-Based Achievement Gap In Early Elementary Ela, William Matthew Mcgee

Graduate Theses and Dissertations

This study examined the sociocultural and educational factors contributing to the gender-based achievement gap in early elementary English Language Arts (ELA). While research has examined the gender-based achievement gap related to female-identifying students in STEM disciplines, there is less emphasis on the underperformance of male-identifying students in ELA. Earlier research often emphasized biological explanations rather than the influence of environment and instructional practices. This study was guided by the Expectancy-Value Theory and Social Role Theory to better understand how home environments, gender norms, instructional practices, and student perception of literacy influence student engagement and performance in Kindergarten through third grade. …

Reporting On The Glass Runway: The Agenda-Setting And Framing Used In Fashion Media’S Coverage Of Gender Imbalances In The Luxury Fashion Industry, Natalie Murphy

Graduate Theses and Dissertations

The aim of this study is to analyze the agenda-setting and framing techniques used in coverage of the lack of women in creative director positions in the luxury fashion industry, considering the different levels of contracts and proximity each publication has to hiring gatekeepers. Using a multi-method study of content analysis and interviews with fashion media professionals, this study explores questions of how often these articles are published and whether independent and advertorial publications use different framing strategies when reporting on fashion industry accountability. Twenty-five editorial articles from seven different publications were included in the content analysis portion of the …

Behind The Screens And The Scoop: A Qualitative Analysis Of First-Person Mental Health Content On Social Media And Implications For News Coverage, Isabella Lise Marie Larue

Graduate Theses and Dissertations

More young people are reporting increased viewership of health content across social media platforms, with only 55% of adults reporting this in a 2025 KFF (Kaiser Family Foundation) poll. While trust in this form of information is low, consumption is increasing, alongside traditional news articles’ agenda-setting that discusses the same information in a different format. The goal of this research is to explore the effects of consuming first-person mental health content on social media for people with mental illness, more than just documenting its existence, and if audiences report a sense of belonging through this social media content. The results …