Digital Commons Network^™

Fractionated Radiotherapy Adjuvant To Surgery Of Who-2 Meningioma With And Without Gross Total Resection: A Multicenter, Retrospective Cohort Study Of 1,452 Patients, Tareq A Juratli, Andrea Daniela Maier, Pernilla Lindner, Anders Broechner, Sverre H Torp, Helen A Shih, Ramin A Morshed, Jacob S Young, Stephen T Magill, Walter Stummer, Dorothee Cäcilia Spille, Benjamin Brokinkel, Martin Proescholdt, Yasuhiro Kuroi, Konstantinos Gousias, Matthias Simon, Ricardo Prat-Acin, Stéphane Goutagny, Johannes Wach, Erdem Güresir, Junkoh Yamamoto, Young Zoon Kim, Joo Ho Lee, Daniel W Kim, Matthew Koshy, Donald M Cannon, Dennis C Shrieve, Chang-Ok Suh, Jong Hee Chang, Maria Kamenova, Sven Straumann, Jehuda Soleman, Ilker Y Eyüpoglu, Tony Catalan, Austin Lui, Philip V Theodosopoulos, Michael W Mcdermott, Pedro Góes, Fang Wang, Luis Souhami, Marie-Christine Guiot, Tamás Csonka, Toshiki Endo, Tejpal Gupta, Akash J Patel, Tiemo J Klisch, Jun Won Kim, Francesco Maiuri, Valeria Barresi, María Dolores Tabernero, Simon Skyrman, Mechthild Krause, Ian Law, Bjarne Winther Kristensen, Tina Nørgaard Munch, Torstein Meling, Kåre Fugleholm, Paul Blanche, Tiit Mathiesen

Faculty, Staff and Students Publications

Purpose

The role of adjuvant fractionated radiotherapy (aFRT) after gross total resection (GTR) of WHO-2 meningiomas remains unclear. We aimed to estimate the effect of aFRT on recurrence risk and survival following GTR and subtotal resection (STR).

Methods

We analyzed 1452 patients with WHO-2 from our international, multicenter database (followed between 1989 and 2019). Outcomes were recurrence (10-year follow-up) and death (5-year follow-up). Risk estimates were obtained using competing risks and survival analysis. Average treatment effects were estimated by G-computation, adjusted for potential confounding by age, sex, Simpson grade, Ki-67 proliferation index, location, country group (universal healthcare or not), …

Staff Education Project Educational Intervention To Improve Oral Health Referrals., Ruby Latosha Mccain

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project is a staff education initiative designed to evaluate the impact of an educational intervention on primary care staff's knowledge and confidence in recognizing oral health red flags that warrant dental referral. A pre and posttest design was used to assess changes in knowledge and self-reported confidence following the intervention. Oral health is a vital yet often under-addressed component of primary care. Patients with early oral disease usually present in primary care settings. Still, these conditions may go unrecognized due to the limited oral health training among clinic staff. Addressing this gap is critical to …

Multimodal Interventions To Assist In Reducing No Show Rates In An Outpatient Primary Care Setting, Amelia Barber

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) incorporated a Clinical Practice Guideline (CPG) approach to address a practice issue of increased no show rates of patients scheduled for follow-up appointments in an adult outpatient primary care setting. Missed appointments symbolize a long-standing practice problem in ambulatory care, exacerbating challenges like healthcare expenses, fragmented care, inefficient resource utilization, and delayed treatment often resulting in negative patient outcomes. The project’s purpose was to develop an evidence-based CPG with integrated multimodal patient outreach strategies, including patient portal, text messaging, transportation support, and live reminder calls within Electronic Health Record (EHR) system to prevent and/or …

Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu

Walden Dissertations and Doctoral Studies

Big data analytics (BDA) has the potential to drive sustainability through improved decision-making, innovation, and competitiveness; however, small and medium-sized enterprises (SMEs) in Ghana face significant challenges in adopting this technology. The specific research problem is whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. Grounded in the technology-organization-environment framework, the resource-based view, and institutional theory, the purpose of this descriptive survey study was to examine whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. The participants comprised 120 SMEs registered with the Ghana Enterprise Agency. They completed …

Age Structure And Inflation Dynamics In Pacific Island Economies, August Letlet, Karan Rai, Bhavesh Garg

Bulletin of Monetary Economics and Banking

This study uses the panel of six Pacific Island Countries (PICs) to investigate the relationship between changing age structures and inflation. The findings suggest that both aggregated and disaggregated shares of the working-age population exert disinflationary pressure. This supports the life cycle hypothesis, which postulates that people in their productive years tend to save and produce more than they consume, fostering economic stability and managing inflation. Conversely, the findings indicate that old-age dependency contributes to inflationary pressures. These insights underscore the importance of demographic dynamics in shaping inflation trends and provide valuable guidance for policymakers aiming to maintain price stability.

Evaluating The Role Of Bank Specific, Macroeconomic, And Institutional Factors In Determining Banking Sector Performance: Evidence From South Asian Economies, Samia Nasreen, Mehwish Gulzar, Xuan-Hoa Nghiem, Saira Arsh

Bulletin of Monetary Economics and Banking

This study investigates the bank-specific, macroeconomic, and institutional factors affecting the performance of the banking sector specifically profitability and stability in South Asian countries from 2011 to 2020. Using a two-step system GMM estimation method on a balanced panel dataset, the study identifies key determinants, including bank size, operating expenses, economic growth, exchange rates, and economic freedom. Institutional factors, particularly corruption, significantly influence banking sector profitability and stability. The findings offer several policy recommendations to enhance banking sector performance in the region.

Re-Visiting The Debt–Output Nexus From The Perspectives Of Long-Term Trend And Short-Term Volatility: An Application Of The Threshold Model, Hong Chen, Diviya Narayan, Baljeet Singh

Bulletin of Monetary Economics and Banking

Using the Hamilton filter and the panel threshold model, this study provides new evidence of the threshold effects of debt on output in 14 Asia-Pacific countries over the period 2005 to 2019. In the long term, we found a threshold debt value of 73.5 percent of GDP, below which debt has a positive effect on GDP, and the positive effect turns negative when debt goes above the threshold level. In the short term, we noted that debt volatility reduces output volatility, and the impact is greater with larger negative fluctuations in debts. The findings have important policy implications.

Green Banking Disclosure And Financial Trade-Offs: Evidence From Indonesia’S Banking Sector, Nafis Dwi Kartiko, Amrie Firmansyah

Bulletin of Monetary Economics and Banking

This study explores the relationship between green banking disclosure, firm performance, and firm value, with firm size and age as moderating variables. The study analyzed 578 observations from 43 banking companies in Indonesia. The findings reveal that green banking disclosure significantly negatively impacts firm performance and value, suggesting that green banking efforts may not always yield positive shortterm financial outcomes. However, firm size and age were found to moderate these relationships. Based on these findings, the study highlights the importance of carefully designed green banking strategies and a deeper understanding of their financial impacts by banking management. It also emphasizes …

Integrating Music Therapy Into Dental Clinics For Whole Person Care, Dana Osterling Benoit Mba, Mt-Bc, Nisreen Al Jallad Dds, Ms2, Shasha Cui Ed.D. Mba, Mandy Fraser, Gaelen Mccormick Mm1, Rosemary Oliva Obi Ms, Lcat, Mtbc1, Adela Planerova Dds, Ms2, Madeline Vinolus Mt-Bc1, Angela Valeria Perez Pita Dds, Ms2

Journal of the American College of Dentists

This case study describes the integration of a board-certified music therapist into two specialty dental clinics at the University of Rochester Medical Center’s Eastman Institute for Oral Health. Initiated in collaboration with the Eastman Performing Arts Medicine Center, the effort reflects a humanistic and biopsychosocial approach to dentistry that leverages music therapy to reduce anxiety, improve patient experience, and support better clinical outcomes.

Before implementation, monthly interdisciplinary planning meetings were held, bringing together dental faculty, research and administrative staff, and the music therapy team. These meetings built a shared understanding of each clinic’s unique patient population, workflow, and clinical priorities, …

Generalization Under Sub-Population Shift: Equitable Models For Imbalanced, Long-Tailed, And Fair Representation Learni, Faizanuddin Ansari

Doctoral Theses

Machine learning systems often experience performance degradation in real-world scenarios due to subpopulation shift defined as mismatches in the distribution of classes or attributes within datasets. This thesis investigates generalization failures arising from class imbalance, long-tailed distributions, and attribute-level biases (specifically, attribute-level biases that originate from demographic imbalances in sensitive domains, such as medical imaging). It proposes principled strategies to mitigate these effects in both classical and deep learning frameworks. Class imbalance and long-tailed distributions pose significant challenges, especially in real-world applications where minority classes are underrepresented yet critically important. To address these challenges, this work develops novel algorithms and …

Ex Vivo Microfluidic Model Identifies A Role For Shear Stress During Ovarian Tumor Cell Attachment To Peritoneal Mesothelial Cells, Vasilios A Morikis, Breanna Baker, Jillian A Martin, Angela Schab, Alessandra Dimauro, Gregory D Longmore, Whitney R Grither

2020-Current year OA Pubs

Ascites, or a pathologic accumulation of intra-abdominal fluid, is a key feature of intraperitoneally disseminating cancers, such as ovarian cancer. This pathological fluid buildup can influence the adhesive abilities of ovarian cancer cells, as they spread throughout the abdominal cavity to form metastatic implants on organs lined with a specialized monolayer of mesothelial cells. Robust methods for assessing the impact of fluid shear stress on this cell-cell interaction are lacking. Here, we develop and characterize a novel microfluidic device that allows for the determination of the attachment of ovarian tumor cells to mesothelial cells under the influence of fluid flow. …

Accuracy Improvements For Electroencephalography (Eeg) Eye State Classification Using Extreme Gradient Boosting And Cluster Ensembles, Hossein Ahmadi, Mehrbakhsh Nilashi, Abdullah Alghamdi, Rabab Ali Abumalloh, Mesfer Alrizq, Sultan Alyami, Waleed Abdu Zogaan, Fatima Khan Nayer

School of Nursing and Midwifery

Electroencephalography (EEG) eye state classification is crucial as it enables noninvasive monitoring and identification of different eye states. This importance has been underscored in studies exploring the use of machine learning techniques for accurate classification. Previous research has primarily applied supervised learning methods to EEG signal analysis for eye state classification using real-world datasets, focusing on improving accuracy through novel algorithms. Achieving high classification accuracy remains a key objective in EEG signal analysis. This study introduces a hybrid method designed to handle multivariate signals and nonlinearity. By integrating both supervised and unsupervised learning, the proposed approach aims to achieve high …

Ex Vivo Microfluidic Model Identifies A Role For Shear Stress During Ovarian Tumor Cell Attachment To Peritoneal Mesothelial Cells, Vasilios A Morikis, Breanna Baker, Jillian A Martin, Angela Schab, Alessandra Dimauro, Gregory D Longmore, Whitney R Grither

2020-Current year OA Pubs

Ascites, or a pathologic accumulation of intra-abdominal fluid, is a key feature of intraperitoneally disseminating cancers, such as ovarian cancer. This pathological fluid buildup can influence the adhesive abilities of ovarian cancer cells, as they spread throughout the abdominal cavity to form metastatic implants on organs lined with a specialized monolayer of mesothelial cells. Robust methods for assessing the impact of fluid shear stress on this cell-cell interaction are lacking. Here, we develop and characterize a novel microfluidic device that allows for the determination of the attachment of ovarian tumor cells to mesothelial cells under the influence of fluid flow. …

Sustainable Food Systems And Planetary Health Education For Nutritionists And Dietitians:: Prioritising Curriculum Concepts With Q Methodology, Liza Barbour, Sarah Browne, Tracy Everitt, Clare Pettinger, Jessica Wegener, Tina Farokhifar, Sarah Kim, Charlene Tsen, Gary Bonar, Liesel Carlsson

School of Health Professions

Purpose: The global food system is undermining human and planetary health. Urgenttransdisciplinary action is required among food system stakeholders equipped to address complexchallenges. This study identified and prioritised curriculum concepts for tertiary education, with theaim of preparing entry-level nutritionists and dietitians to contribute to sustainable food systems andplanetary health within their practice.Methodology: A mixed-methods Q study was conducted. Curriculum concepts were identified fromliterature and an online survey (n 84, 23 countries), then prioritised by workshop participants (n 43, 11countries) based on relevance for entry-level nutritionists and dietitians. Participants reflected on theirdecision-making process using a post-workshop survey. Data were analysed using …

Resuscitating ‘Code Sepsis’ In The Nursing Workforce, Adrianna Lorraine Watson, Carmel Bond, Debra Jackson

Faculty Publications

Sepsis ranks among the top global health threats, responsible for approximately one in every fivedeaths and accounting for over 30 million cases and 5.3 million deaths annually (Rudd et al.,2020). Clinically, sepsis arises from a dysregulated host response to infection that featuresboth hyperinflammation and immunosuppression, leading to organ dysfunction and, too often,shock and death if recognition and treatment are delayed. Sepsis is not always immediatelyapparent, and its recognition can be complicated when patients present with other acute illnessesor underlying chronic conditions. Comorbid conditions may blur the clinical picture, delayingsuspicion of sepsis until the illness has progressed. More than half of …

Design And Economic Assessment Of A Sustainable Standalone Photovoltaic System For Hospital Lift Applications, Tasneem M. Abed, Saad S. Eskander, Mohamed A. Elsayes, Mohamed Zaki

Mansoura Engineering Journal

This study presents an optimized design and operation strategy for a stand-alone solar photovoltaic power system to drive a 4.5 kW elevator at Mansoura University Hospital, Egypt. The research aims to reduce the battery bank capacity and overall system cost while maximizing the utilization of solar panels. A novel "Optimum Operator System" is proposed, incorporating three power switches controlled by an Arduino microcontroller. The system's performance is analyzed through extensive modeling, simulation, and experimental validation. Results show a significant reduction in battery bank capacity, with 7 fewer 100 Ah batteries required compared to conventional systems. The proposed method significantly enhances …

Research Review: "Black Veterans' Insight On Racial Disparities In Military Administrative Separations", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

Military service provides a path toward the middle class by granting veterans benefits, including healthcare and compensation for disabilities acquired during service. Military characterization of service, assigned by the Department of Defense at separation, can qualify or disqualify veterans from benefits access. Black service members are 50% more likely than White service members to receive an Other Than Honorable rather than an Honorable discharge, resulting in disproportionate impediments to the benefits designed to facilitate re-entry into civilian life and prevent poverty. Yet, the Department of Defense provides little meaningful remedy for Black veterans to correct less than Honorable discharges, instead …

Striation Characteristics In Atmospheric Pressure Ac-Driven Glow Discharge Operating In Monoatomic Gas, Ayuob K. Alwahaibi, Sang Hee Won, Tanvir Farouk

Faculty Publications

Striation in an atmospheric pressure AC-driven helium glow discharge operating at 25 kHz is experimentally characterized. Striation behavior is characterized by the visualization of discharges and voltage–current measurements over a range of plasma power. Voltage–current characteris tics reveal that striations form in the “normal” glow regime of operation, with a higher number of strata at low current, diminishing as dis charge current increases. The relative differences and similarities in the striation patterns during the positive and negative cycles are identified. High-speed imaging shows the striations to be traveling in time—“moving striations.” The spatial luminosity of the striations is tracked over …

Intouch Week Of February 9, 2026, New York Medical College

InTouch

• Shaun Desai, M.D., to Lead Department of Otolaryngology
• NYMC Supports National Heart Month
• NYMC Alums Share Marriage, Memories, and a Lifetime Together
• CDM Strengthens Emergency Response Skills Through TECC and RTF Courses
• TCDM Celebrates Match Day Success
• Student Spotlight: SOM Student Juliet Manu Named SEQUINS Scholar

20260209: Dr. Kelli Johnson's Donation, 1952-2025, University Libraries

Guides to University Archives

These items include materials from University Libraries at Marshall University from 1952-2025. Items were received in 2026 from Dr. Kelli Johnson within the University Libraries and include notable materials about various campus events, such as the MU Textbook Affordability Committee (2022), the Dr. Carter G. Woodson Dinner Honoring Dr. Carla Hayden, Librarian of Congress (2018), Greater Huntington Wall of Fame 2024 Induction Ceremony, June Harless Center 25 Years Celebration (2025), Hooding Ceremony for Grad Students (2025), Marshall vs. Morris Harvey (1952), and WV's Experience in Civil Rights with Eve Faulkes (2024). Please download the finding aid for a full list …

Fractionated Radiotherapy Adjuvant To Surgery Of Who-2 Meningioma With And Without Gross Total Resection: A Multicenter, Retrospective Cohort Study Of 1,452 Patients, Michael Mcdermott

All Publications

PURPOSE: The role of adjuvant fractionated radiotherapy (aFRT) after gross total resection (GTR) of WHO-2 meningiomas remains unclear. We aimed to estimate the effect of aFRT on recurrence risk and survival following GTR and subtotal resection (STR). METHODS: We analyzed 1452 patients with WHO-2 from our international, multicenter database (followed between 1989 and 2019). Outcomes were recurrence (10-year follow-up) and death (5-year follow-up). Risk estimates were obtained using competing risks and survival analysis. Average treatment effects were estimated by G-computation, adjusted for potential confounding by age, sex, Simpson grade, Ki-67 proliferation index, location, country group (universal healthcare or not), and …

Leadership Strategies To Promote Employee Engagement In Therapeutic Agencies, Paris Sim'mone Lewis

Walden Dissertations and Doctoral Studies

This study investigates the persistent decline in employee engagement among behavioral health clinicians working within community-based therapeutic agencies, focusing specifically on Behavioral Health Organization A (BHOA). The purpose of this qualitative study is to explore how leadership style, communication practices, and organizational structure affect clinician engagement at BHOA. Grounded in the Baldridge Performance Excellence Framework and supported by transformational leadership theory, the study examines how leadership behaviors and communication pipelines shape motivation, burnout, and workforce alignment. Semi-structured interviews with organizational leaders, secondary data, and internal documents were collected and analyzed using Braun and Clarke’s thematic analysis approach. Themes revealed communication …

Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris

Walden Dissertations and Doctoral Studies

Adults with depression frequently use or inquire about holistic and herbal therapies; however, inconsistent and non-standardized staff education regarding the safe, evidence-based integration of these therapies may contribute to variable counseling practices and potential patient safety risks. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a structured staff education intervention focused on integrating holistic and herbal therapies for adults with depression in an outpatient behavioral health practice. The practice-focused question examined whether staff education would improve staff knowledge related to commonly used holistic and herbal therapies and associated safety considerations. A …

The Importance Of Timely Documentation Of Updates On Patients’ Records In Improving Documentation Accuracy And Reducing Clinical Errors At The Home Health Agency, Sandra Aigbekaen

Walden Dissertations and Doctoral Studies

Timely and accurate documentation is essential to patient safety, care coordination, and risk reduction in home health care. In this Doctor of Nursing Practice project, I implemented an evidence-based educational intervention to improve documentation practices among clinicians at a pediatric home health agency in the southwest United States. Guided by the analyze, design, develop, implement, and evaluate (ADDIE) instructional design model, I conducted the project to evaluate whether focused education would improve documentation accuracy, consistency, and timeliness. A targeted literature review on electronic health record (EHR) best practices, structured documentation, and patient safety informed the development of five training modules …

Sepsis Bundle Compliance Initiative, Engleish Annette Flynn

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project focused on the development and evaluation of a clinical practice guideline (CPG) designed to improve compliance with the Centers for Medicare & Medicaid Services (CMS) SEP-1 sepsis bundle at a 300-bed Level III trauma center serving a rural population in West Virginia. Sepsis remains a leading cause of morbidity and mortality nationwide, and rural hospitals face additional challenges related to delayed presentation, limited resources, and workflow variability. Inconsistent adherence to evidence-based sepsis bundle elements have been associated with increased mortality risk, prolonged length of stay, and financial penalties (Evans et al., 2021). The purpose …

Clinical Practice Guideline For Structured Communication In A Pediatric Outpatient Psychiatry, Stella Uzoamaka Ihesiaba

Walden Dissertations and Doctoral Studies

This doctoral project focused on developing and evaluating a clinical practice guideline (CPG) to address the lack of standardized interdisciplinary communication between psychologists and psychiatric mental health nurse practitioners (PMHNPs) in a pediatric outpatient psychiatric setting. Inconsistent communication practices, including informal conversations, delayed documentation, and unstructured messaging, contributed to fragmented care and inefficient treatment coordination. To address this gap, an evidence-based, structured communication framework was developed to guide interdisciplinary collaboration. The guideline was developed using the Johns Hopkins Evidence-Based Practice model and supported by a review of 14 evidence sources spanning Levels I to V of the literature. A four-member …

The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn

Walden Dissertations and Doctoral Studies

In this study, the problem in Tennessee and across the United States where the skills of employability, which are used in the reduction of recidivism, are not being emphasized at the secondary level to prevent delinquency and initial justice system contact was highlighted. The purpose of this study was to explore the perspective of rural secondary vocational educators on student unqualified advancement, expulsion, and program employability skills of students participating in vocational education, referencing the reduction of delinquency and justice system contact. Bandura’s social learning theory and subsequent social cognitive theory were the theoretical frameworks for thematic analysis using interpretative …

Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on the development and expert appraisal of a clinical practice guideline (CPG) to improve home-based comfort care in hospice settings. Terminally ill patients frequently experience distressing symptoms such as pain, dyspnea, and nausea, yet inconsistent symptom management and documentation practices persist across hospice care (Henson et al., 2020). A CPG was developed to evaluate a comfort care kit for patients. The CPG was independently reviewed by a three-member expert panel using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, which consists of 23 items that are organized into …

Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an executive leadership proposal to develop an evidence-based program plan for standardized postpartum mental health screening and structured referral processes within an obstetric clinic. The practice problem was inconsistent postpartum mental health screening and follow up. Internal organizational data demonstrated elevated no-show and cancellation rates among obstetric patients referred for mental health services, reflecting gaps in care coordination, particularly for rural and underserved populations. The purpose of this project was to develop a comprehensive program plan guided by the following practice-focused question: Will a standardized postpartum mental health screening and structured referral program …

Emotion Regulation And Stress In Adult Learning Through Social Media Platforms, Jennifer Irocky

Walden Dissertations and Doctoral Studies

Social media platforms have become significant contexts for informal learning among adults, offering access to information and peer exchange outside of formal educational settings. These platforms are also emotionally complex environments in which stress and emotion regulation may shape learning outcomes. The purpose of this quantitative, nonexperimental study was to examine the relationship between social media use and informal learning in adults, with perceived stress and emotion regulation examined as moderating variables. Secondary data from the Stress in America: The State of Our Nation, 2007–2018 surveys were analyzed, using binary logistic regression with moderation while controlling for age, gender, and …