Digital Commons Network^™

Evaluating The Efficacy Of Extracorporeal Shockwave Therapy In Postoperative Rehabilitation After Anterior Cruciate Ligament Reconstruction: A Meta-Analysis, Maryam Salimi, Alireza Keshtkar, Seyedarad Mosalamiaghili, Walter Lowe, Aamir Ahmad, Arash Sharafatvaziri

School of Medicine Publications

Background: Recovering from anterior cruciate ligament (ACL) reconstruction can be challenging. While standard rehabilitation helps restore knee function, many patients still face a slow or incomplete recovery. Extracorporeal shockwave therapy (ESWT) has recently gained attention as a potential way to speed up healing and improve outcomes when added to traditional rehab.

Aim: To explore whether combining ESWT with standard postoperative rehabilitation truly leads to better recovery compared with rehab alone.

Methods: A systematic review and meta-analysis were conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, evaluating participant status following ACL reconstruction with standard rehabilitation and without …

Distinct Clinicogenomic Features And Immunotherapy Associations In Pulmonary Sarcomatoid Carcinoma: A Multicenter Retrospective Study, Lingzhi Hong, Alessandro Di Federico, Bolun Liu, Alissa J Cooper, Joao V Alessi, Phoebe Clark, Waree Rinsurongkawong, Chingyi Young, Hui Li, Kang Qin, Muhammad Aminu, Valentina Santo, Yasir Elamin, Boris Sepesi, Jeff Lewis, Don L Gibbons, Ara A Vaporciyan, J Jack Lee, Xiuning Le, Jia Wu, Sinchita Roy-Chowdhuri, Mark J Routbort, P Andrew Futreal, John V Heymach, Mark M Awad, Adam J Schoenfeld, Jianjun Zhang, Biagio Ricciuti, Lei Deng, Natalie I Vokes

Faculty, Staff and Student Publications

Introduction: Pulmonary sarcomatoid carcinoma (PSC) is a rare NSCLC subtype with poor prognosis. Outcomes to immune checkpoint inhibitors (ICIs) and genomic features in PSC remain underexplored compared with other NSCLC subtypes.

Methods: Patients from three institutions and the National Cancer Database (NCDB) with metastatic NSCLC treated with ICI alone or with chemotherapy were identified. Clinicogenomics and treatment outcomes were compared across PSC, lung adenocarcinoma (LUAD), and lung squamous cell carcinoma (LUSC).

Results: We analyzed 4841 patients including 165 PSC cases treated with ICI-based therapy from three institutions and 201 PSC from NCDB. In MDACC, 65 (4.3%) were PSC, 1138 (75.1%) …

Artificial Intelligence Biomarker Detects High-Risk Childhood Asthma Subgroup For Respiratory Infections And Exacerbations, Young J Juhn, Chung-Il Wi, Euijung Ryu, Katherine S King, Sunghwan Sohn, Elham Sagheb, Greg Jenkins, David Watson, Miguel A Park, Sergio E Chiarella, Hirohito Kita, Mir Ali, W Charles Huskins, Elizabeth H Ristagno, Imad Absah, Charles Grose, Kathy Ihrke, Elizabeth A Krusemark, Thanai Pongdee, Björn Nordlund, Carla M Davis, Robert J Pignolo, Hongfang Liu

Faculty, Staff and Student Publications

Background: Asthma is associated with an increased risk of acute respiratory infections (ARI). Little is known about whether natural language processing (NLP)-powered digital biomarkers can identify a high-risk asthma subgroup for ARI during early childhood.

Objective: We assessed whether a digital biomarker could identify a high-risk subgroup of childhood asthma for ARI.

Methods: We applied validated NLP algorithms for Predetermined Asthma Criteria (NLP-PAC) and Asthma Predictive Index (NLP-API) to electronic health records of the 1997-2016 Mayo Clinic Birth Cohort. We categorized the cohort into 4 subgroups: both criteria positive (NLP-PAC+/NLP-API+), PAC positive only (NLP-PAC+), API positive only (NLP-API+), and both …

Experiences Of Research Administrators With Faculty Researchers In Sponsored Project Compliance., Adrienne M. Lindsay

Electronic Theses and Dissertations

The purpose of this study was to examine how central office research administrators perceive and describe their professional interactions with faculty researchers, and how those relationships may impact compliance with sponsored project requirements in United States higher education institutions. Cohen et al.’s (1972) organized anarchy theory and Schein’s (2010) organizational culture theory provided a foundational context for understanding research systems within higher education institutions and the social environment in which research administrators navigate potentially contentious roles, both facilitating research and stewarding compliance for the institution and the sponsor. Findings emerged around specific challenges faced by research administrators, which included role …

Risk And Protective Factors For Suicidal Thoughts And Behaviors For Black Adolescent Males With Exposure To Adverse Experiences Post-Covid 19 Pandemic: Findings From The 2023 National Youth Risk Behavior Survey., Amanda Minogue

Electronic Theses and Dissertations

Suicide is the second leading cause of death among adolescents aged 10-24 in the United States. In 2022, 784 Black adolescent males died by suicide. Recent studies have found that traditionally common associations of risk factors of suicidal thoughts and behaviors are not experienced by Black adolescents, challenging how to determine and detect risk. This dissertation reviewed the variables in the national Youth Risk Behavior Survey that closely align with risk and protective factors of suicidal thoughts and behaviors, and the interaction between these and adverse experiences in Black adolescent males. Results of this study found that among the 9 …

Hkc03 - Leading A Horse To Water: Understanding The Potential Consequences Of Ordeals In Subsidized Tariff Pricing, Evan Plous Kresch, Carlota Loran Lopez

Oberlin College Kasper Economics and Business Working Paper Series

Water utilities attempting to balance widespread network access with financial stability in providing services often employ Increasing Block Tariffs (IBTs), where volumetric rates increase nonlinearly with water consumed. The widespread adoption of IBTs by utilities across the world is partly attributed to their ability to cross-subsidize smaller monthly users; however, this often leads to the undesirable outcome that large poor households are shifted into higher tariff blocks. To address this, water utilities often adopt a“social tariff”, with significantly lower rates specifically targeted at poor households. However, most of these social tariff policies require households to opt-in or apply to the …

The Impact Of Supply Chain Structure Diversification On High-Quality Development: A Moderating Perspective Of Digital Supply Chains, Fei Song, Mark Wu, Ruizhi Liu

Business Faculty Publications

This study examines how supply chain structure diversification drives high-quality enterprise development in the digital economy. Using panel data from Chinese listed non-financial firms (2009–2023), we find that diversification of both suppliers and customers significantly improves firms’ total factor productivity (TFP), and the results remain robust after controlling for endogeneity. Mechanism analyses show that diversification enhances innovation capability, sustainability performance, and risk resilience, while digital supply chains strengthen these effects by improving information flow and coordination. Heterogeneity tests reveal that the impact is greater for firms with higher operational efficiency, cultural synergy, and information transparency. Overall, the findings highlight that …

(How) Is Plea Bargaining Justified?, Palma Paciocco

Articles & Book Chapters

No abstract provided.

Prostitution In Video Games: Stigma, Violence And Male Pleasure, Laura Aguilera-Ávila, Lara Escobar Hernández

Dignity: A Journal of Analysis of Exploitation and Violence

Prostitution has traditionally been framed in society as a space significantly determined by patriarchal hierarchies, in addition to being affected on many occasions by stigmatisation and violence. The representation of prostitution and of those who practice it in the media is a topic of special interest, since the discourses and messages disseminated by the media play a fundamental role in socialisation. Video games are not exempt from this debate: with millions of players worldwide and a special reach among young people, they are among the most influential media outlets today. This qualitative research analyses a series of titles, both AAA …

A Change In Practice: Improving Uti Management In A Long-Term Care Facility By Implementing Rapid Urinary Culture Collection Protocols To Enhance Timely Treatment And Reduce Hospitalizations, Tania Ojeda

Doctor of Nursing Practice

ABSTRACT

Background: Urinary tract infections (UTIs) remain a leading cause of morbidity among elderly residents in long-term care facilities, where diagnosis is frequently delayed due to atypical presentation, cognitive impairment, and inconsistent urine specimen handling. Purpose: This quality improvement (QI) project aimed to improve the timeliness and accuracy of UTI management in a memory care facility through standardized evidence-based protocols. Objectives: The project sought to ensure that: (a) 100% of staff would be educated on the protocol; (b) 100% of residents with suspected UTIs would have urine sent for urinalysis and culture within 8 hours of symptom onset; (c) 100% …

Implementation Of The Modified Severity Assessment Scale (Msas) For Alcohol Withdrawal In An Inpatient Psychiatric Unit, Grace R. Lindsey

Doctor of Nursing Practice

Background: Alcohol withdrawal is a potentially life-threatening condition frequently seen in psychiatric inpatient settings, especially among individuals with co-occurring alcohol use disorder and mental illness. The Clinical Institute Withdrawal Assessment for Alcohol Scale-revised, while widely used, depends on patient self-report, making it less effective for individuals with altered mental status or psychosis.

Purpose: This quality improvement project implemented the Modified Severity Assessment Scale, an objective, observation-based alcohol withdrawal protocol, in an inpatient psychiatric setting to improve safety, treatment accuracy, and care standardization.

Objectives: The project focused on ensuring full staff adoption of the protocol, reducing intensive care unit transfers …

Examining And Addressing Increased Hospital Inpatient Falls Rates At An Urban Community Hospital, Juan Lira

Doctor of Nursing Practice

Abstract

Background: Falls are the leading cause of reported injuries within the hospital setting. Injuries from falls occur in about20-45% of the time and is the leading cause of injury and injury death among the adult population. Inpatient falls are associated with an additional $14,0000 per occurrence and a prolonged hospitalization by 6.3 days. Increased falls rates affect hospitals rating, accreditation and reimbursements. This hospital is experiencing inpatient falls that exceed national average and corporate goals.

Purpose: The purpose of this project is to reduce the hospital falls rate by 10% within 90 days of initiating evidence-based evaluation and facility-wide …

Implementation Of An Information Sheet For Pediatric Patients With Autism Spectrum Disorder In An Inpatient Setting To De-Escalate Aggressive Behaviors And Reduce Seclusion Rates, Megan R. Castro

Doctor of Nursing Practice

Introduction: Research shows that most seclusion events in pediatric psychiatric settings involve pediatric patients with neurodevelopmental disorders, particularly autism spectrum disorder (ASD). A lack of provider expertise contributes to elevated seclusion rates, highlighting the need for evidence-based, ASD-informed care.
Purpose: To reduce seclusion events within a pediatric psychiatric facility in South Texas, by implementing an evidence-based intervention upon admission that could decrease aggressive behaviors and the likelihood of requiring seclusion. Evidence summary: Literature and guidelines underscore the importance of identifying sensory triggers and calming strategies at admission. Collaborative care and personalized interventions, such as a patient information sheet that identifies …

Implementing A Cardiac Catheterization Pre-Procedure Protocol To Decrease Avoidable Same-Day Cancellations, Christina C. Perry

Doctor of Nursing Practice

Background and significance of the problem: Pediatric congenital heart defect patients are amongst the sickest hospital population. These patients require planned palliation in the cardiac catheterization lab (cath lab), which has a limited number of providers and appointments available. In the cath lab, the percentage of avoidable same-day cancellations for interventional procedures was found to be greater than 30%, representing significant resource utilization opportunities.

Purpose: The purpose of this project was to develop and implement a standardized, evidence-based pre-procedure protocol to decrease avoidable same-day cath lab cancellations.

Goals and objectives: The goals of this project were a 10% decrease in …

Anatomy Of Authority: Dissecting The Rare Species Of Women Deans, Marlana K. Beck

All-Inclusive List of Electronic Theses and Dissertations

This dissertation explores the lived experiences of women physician medical school deans, aiming to understand the factors that influence their career pathways and the challenges they face in achieving and maintaining leadership roles in academic medicine. Despite the increasing number of women entering the medical profession, there remains a significant gender disparity in leadership positions, particularly in the role of medical school dean. This study addresses the gap between the growing number of women physicians and the disproportionately low number of women in senior academic leadership roles. The research is grounded in feminist and role congruity theories, which provide a …

“I Found My Place:” Exploring The Counterspace Experiences Of Black Alumni On Historically White College Campuses, Jacquelyn Burns Rucker

All-Inclusive List of Electronic Theses and Dissertations

This qualitative study explored the life experiences of Black alumni and their participation in intentional, multicultural programming of cultural facilities to create a sense of counterspace for Black students on historically White college campuses. The study captured the stories of 12 Black alumni who graduated from seven historically White institutions (HWIs), between the years of 2010 and 2016, across four different states. The 12 study participants completed undergraduate and terminal degrees during the years 2009 - 2016 and identified as Black, African, or bi-racial. The interviews, conducted during the Covid-19 pandemic, were conducted on zoom. The theoretical framework of the …

All Things Equal: Uncovering The Extent Sexism Influences Higher Education Through Faculty Perceptions Of The Inner Workings Of The Academy, Jonathan Yorkowitz

All-Inclusive List of Electronic Theses and Dissertations

The history of critical systemic issues in higher education has been well documented in recent literature (Delgado & Stefancic, 2017, Freire, 2018, and Wilder, 2013). Among the critical issues noted, sexism has remained a significant influence suppressing opportunities for women within higher education in the United States. bell hooks (1981, 2003, 2014) shared research about the specific systemic challenges encountered by Black women in the academy, providing a key connection between sexism and racism. The lack of significant proposed solutions to address sexism in higher education scholarship, along with the need for an updated and more comprehensive understanding of faculty …

Evidence Based Project: Japanese Immigrant Elderly Couples In The Midwest, Isabel Anderson

Student Projects

This paper examined the unique needs and challenges of Japanese immigrant elderly couples living in the rural Midwest of the United States through the lens of systemic family therapy. The focus family consisted of an elderly husband showing early signs of dementia and a wife who recognized the necessity of transitioning to independent living. Their adult daughter and son-in-law’s involvement intensified intergenerational tension, as traditional cultural norms granted the husband decision-making authority. The study provided a statistical overview of Japanese immigrant families in the U.S., highlighting aging trends, linguistic barriers, and geographic dispersion. Common psychosocial and systemic issues such as …

Location Design For Ev Charging Stations In Terre Haute, He Wen

2025 Fall Reports (Terre Haute)

This project aims to support the City of Terre Haute in expanding electric vehicle (EV) charging infrastructure using a comprehensive framework that integrates engineering feasibility, system safety analysis, engineering economy, and project risk management. Students evaluated multiple candidate locations across Terre Haute and developed recommendations aligned with the city’s sustainability goals and long-term mobility planning. Drawing on spatial discovery, stakeholder input, and technical analysis, five priority locations emerged from student evaluations: Walmart East (SR-46/I-70), Meijer on Margaret Drive, Honey Creek Mall/Haute City Center, ISU Lots 5 & 14, and Plaza North. These results are based on the aggregated student ranking …

Inflammatory And Metabolic Markers In Postpartum Dairy Cows Developing Chronic Reproductive Tract Disease: A Case-Control Study, T.C. Bruinjé, O. Bogado Pascottini, S.J. Leblanc

Dairy Science and Food Science Faculty Publications: 2022 to Present

We investigated associations of early postpartum sys- temic inflammatory and metabolic markers with different manifestations of chronic reproductive tract inflamma- tory disease (RTID) in Holstein cows. A retrospective case-control study was conducted using data from 1,509 cows in 2 commercial dairy herds in Ontario, Canada. Herds were visited twice weekly, and cows were sampled at 2 and 6 ± 2 DIM to measure serum haptoglobin (Hp), total Ca, and nonesterified fatty acids; at 5, 8, 11, and 15 ± 2 DIM for blood BHB; and at 21 and 35 ± 3 DIM for serum Hp. Cows with a calving-related or …

First-Hand Perspectives Of Autistic And Neurodiverse Individuals In Social And Extracurricular Settings, Stephen M. Hinkle

Education (PhD) Dissertations

This dissertation explores the firsthand experiences of autistic and neurodiverse individuals in social and extracurricular settings. Grounded in symbolic interactionism and disability studies, this study leveraged qualitative interviews to provide greater insight into the extracurricular lives of autistic persons and the quality of preparation and education provided to said participants to successfully navigate those experiences. Due to the limited number of studies on this topic, and the tendency of programs to focus on general skill development for this population, significant attention was also given to investigating the activity-specific skills needed for various social and extracurricular activities.

Understanding the intricacies in …

Occupation Based Program Development For Indigenous American Populations, Abby P. Glenn

Occupational Therapy Doctoral Capstones

Indigenous peoples in the United States face environmental, socioeconomic, and educational disparities that contribute to the high prevalence and disproportionately higher risks of chronic diseases compared to the average American. Recent literature recognizes knowledge gaps among providers in delivering culturally competent care, and occupational therapy’s (OT) emerging role in primary care shows promising potential for addressing barriers in chronic disease management. However, existing studies have not established a clear framework for how therapists can use OT’s client-centered philosophy to help Indigenous populations address health management in primary care. This project addressed the limited literature by piloting a culturally relevant health …

The Quest For Budget Armor: Public Expenditures, Positive Rights, And Separation Of Powers In Washington's State Constitution, Kristen L. Fraser

Washington Law Review

In 2012, Washington’s landmark McCleary decision confirmed and expanded previous interpretations of the state constitution’s “paramount duty” clause, affirming a vital positive right to education and a judicial willingness to enforce it against the other branches. Notwithstanding a tense six-year period of judicial supervision after the ruling, ultimately the state legislature enacted broad education funding reforms and the appropriations and revenues to implement the additional resources for schools. Given competition among stakeholders for public funding for state programs, in the post-McCleary period, other litigants have asked courts to find similar positive constitutional rights to state services and funding. So …

Firms Heterogeneity In Indonesia’S Manufacturing And Services Sectors, Rizki Nauli Siregar

Economics and Finance in Indonesia

Firm heterogeneity is the building block of modern trade theories. One of its important implications is that comparative advantage is driven by firm productivity, rather than sector differences across countries. Despite the prevalence of this framework, there has not been any systematic documentation on firm heterogeneity in Indonesia’s man ufacturing and services firms. Using the World Bank Enterprise Survey (WBES) data for Indonesia in 2015 and 2023, we confirm that there is firm heterogeneity in the form of size and productivity dispersion in both of the economy’s manufacturing and services sectors. We also find no strong association between size and …

Keeping The Beat: A Case On The Effects Of Communication In Musical Teams During Performances, Shane Christie

Theses/Capstones/Creative Projects

This case study examined whether the effects of positive team affect and team communication quality on the performance quality, or taskwork quality, of teams comprised of musicians, and if team communication quality could further improve the taskwork quality of a group of musicians. It was believed that participants with higher positive team affect scores would perform at a higher taskwork quality than those with lower positive team affect scores. In addition, it was believed that participants that engaged in higher-quality team communication during performances would strengthen this relationship, further increasing taskwork quality. The participants were divided into teams, and the …

The High Cost Of Law School Casebooks, Jeffrey Bellin

William & Mary Bill of Rights Journal

Commentators have forecasted the demise of high-priced commercial casebooks for two decades. Yet little has changed. This Symposium Essay explores the headwinds facing free and low-cost books in the law school casebook market. It suggests that the biggest problem is “casebook selection inertia.” Given the centrality of the assigned casebook to a typical law school course, professors face strong incentives to make a safe choice from among the leading casebooks—typically those published by the handful of established academic presses who set the highest prices. These choices stick, not only determining the book that will be used for that professor’s future …

Expanding The Foreign National Prohibition To Combat Russian Interference In U.S. Elections, Hailey Arnett

William & Mary Bill of Rights Journal

In 2016, the Russian government purchased political advertisements from U.S. social media companies like Facebook to sway the U.S. presidential election. These purchases violated the foreign national prohibition (“the Prohibition”), which Congress codified as part of the Federal Election Campaign Act Amendments of 1974 (FECA). This Note explains why Congress should expand the Prohibition to capture the recipients of independent expenditures that violate the Prohibition and fine people who run online platforms that receive independent expenditures or contributions made by foreign nationals in violation of the Prohibition.

Part I describes current U.S. case law on domestic and foreign campaign finance …

Post-Discharge Transitions Of Care Pharmacists Follow-Up Impact On Patient Care, Lesly Rapado, Sara Panella, Elaina Rosario, Emilie Collongette, Faaria Quadri, Beatriz Jimenez-Cadilla, Amanda Gronniger

Nursing & Health Sciences Research Journal

Introduction: This quality improvement project assessed the impact of a newly implemented transitions of care (TOC) pharmacist service at a large health system. The service involves a comprehensive review of recently discharged value-based care individuals, including chart review and, when necessary, telephonic follow-up by the pharmacist 3-6 days post-discharge.

Methods: This retrospective evaluation compared two groups: pre-implementation (September 1st, 2023 - January 30th, 2024) and post- implementation (March 1st, 2024 - July 30th, 2024) of TOC pharmacist service, focused on patient evaluations 3-6 days post-discharge. The primary outcome was a composite of 30-day re-hospitalization rates including urgent care, emergency department, …

An Objective Structured Clinical Examination (Osce) For Axillary Nerve Blocks Using Ultrasound-Guidance And Landmark Techniques, Bailee Ladner, Hannah Wallace

Doctoral Projects

The purpose of this doctoral project was to create an informative educational and evaluation tool on axillary brachial plexus nerve blocks using ultrasound-guided and landmark techniques for Certified Registered Nurse Anesthetists (CRNAs). CRNAs can use this in the clinical setting to help improve understanding and performance of axillary brachial plexus blocks. Axillary brachial plexus blocks are beneficial in providing analgesia throughout the perioperative period while minimizing risks associated with general anesthesia. Additionally, axillary blocks have a more desirable safety profile than other peripheral nerve blocks, such as supraclavicular nerve blocks. Local anesthetic systemic toxicity (LAST), due to accidental vascular puncture, …

The Nebraska Bird Review (December 2025) 93(4), Whole Issue

Nebraska Bird Review

Changes to The Nebraska Bird Review, by Janis Paseka

Fall Field Report, August–November 2025, by W. Ross Silcock

First definitive records of Hermit Thrush and Wilson’s Warbler subspecies for Nebraska, by Stephen J. Brenner and Joel G. Jorgensen

Ogallala Fall Field Days, Sept. 26–28, 2025

Index to Volume 93

Subscription and Organization Information