Digital Commons Network^™

The New Professional: Evaluating A Practice Purchase: Guidance For The First-Time Buyer, Amrita Patel Dds

The Journal of the Michigan Dental Association

This guidance for first-time dental practice buyers stresses that evaluating a practice involves more than just the price tag, encompassing financials, people, culture, and potential growth. Buyers must analyze at least three years of financial statements, paying close attention to collection trends, accounts receivable, overhead, net income, and the mix of insurance plans. Patient loyalty is critical; buyers must assess the number of "active" patients (seen in the last 18–24 months) and recognize that attrition may occur if loyalty was tied strongly to the selling doctor. Inheriting experienced, welcoming staff and a positive office culture is crucial for success. Practical …

Staff Matters: My Dental Assistant Asked For A Work Accommodation — What Are My Obligations?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This column addresses an employer's obligations when a dental assistant requests an accommodation for a medical condition that makes prolonged standing difficult. Both the federal Americans with Disabilities Act (ADA, for 15+ employees) and the Michigan Persons with Disabilities Civil Rights Act (PDCRA, for 1+ employee) mandate providing a "reasonable accommodation" unless it poses an "undue hardship". The employer must initiate the "interactive process"—a good-faith dialogue—to identify the employee's limitations and explore feasible accommodations. Medical documentation can be requested to substantiate the need. Examples of reasonable adjustments include providing a stool, offering schedule flexibility, or reassigning non-essential duties. Undue hardship …

Mda Services: 4 Reasons To Call In The Embezzlement Protection And Investigation Professionals, Reva Darling

The Journal of the Michigan Dental Association

With over 50% of dentists experiencing embezzlement, often due to over-trusting staff with financial tasks, the MDA endorses Prosperident for protection and investigation. Four reasons to seek their help include: inheriting an office manager who knows more about the practice management software than the new owner; financial reports showing income is lower than expected based on patient volume; identifying "red flags" such as an employee refusing vacation or cross-training; and needing proactive strategies to protect cash flow. The average loss is about $109,000. Prosperident offers a $1,500 "First Look" service to covertly review records and identify anomalies, providing evidence needed …

Enhancing Surgical Understanding Of Diabetic Foot Ulcer Classification Through Anatomage Integration: A Digital Approach To Wagner Grading, Nidhin John, Hooman Mir

School of Podiatric Medicine - Student Research

Background: Diabetic foot ulcers often lead to amputation, and accurate Wagner classification requires strong spatial understanding. Anatomage, a 3D digital anatomy tool, may improve this learning.

Methods: Thirty-six surgical trainees completed a pretest, explored digitally reconstructed Wagner grade 0–5 ulcers on Anatomage, and completed a posttest. Paired-sample analysis measured changes in accuracy, comprehension, and confidence.

Results: Classification accuracy improved from 61% to 89% (p < 0.05), with the greatest gains in higher Wagner grades. Participants reported clearer visualization of wound depth, bone involvement, and infection spread.

Conclusion: Anatomage enhances understanding and diagnostic precision of Wagner ulcer classification, supporting more effective limb-preservation education

In Recognition Of Dean Wendy Perdue, Jessica M. Erickson, James Gibson, Corinna B. Lain

University of Richmond Law Review

No abstract provided.

Living Longer, Working Longer, Michele Dinman, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

According to the Pew Research Center, nearly one-in-five Americans ages 65 and older (19%) were employed in 2023, a rate nearly twice that from 35 years ago. They’re also working more hours, on average, than in the recent past. In fact, more than three-in-five older workers (62%) work full time, an increase from the 47% working full time in 1987. Older workers today are also more educated and are more likely to be receiving employer-sponsored benefits, such as retirement savings plans and health insurance, than in earlier decades. While only 4% of the entire labor force was made up of …

How United States Policy Is Hurting Puerto Rico’S Students, Chris Soto

CUNY Centro, The Center for Puerto Rican Studies

Discussions about the challenges facing Puerto Rico’s education system often ignore the profound and lasting impact of United States policies that have systematically discriminated against the territory’s students. Today’s education system reflects a layered trauma—one rooted in colonial marginalization and reinforced by a post-1965 federal education framework that has consistently failed to adequately serve Puerto Rico’s youth.

This report highlights the impact of U.S. policy on Puerto Rico’s students compared to those in the 50 states and District of Columbia. Focusing on resource inequities, the exclusion from federal programs, and the limited influence on education policymakers in Washington D.C., Puerto …

The Relationship Between Forecast Information Quality And Perfect Order Index In Supply Chains: The Role Of Preventive And Corrective Inventory Actions, Hanin Haifa, Prashanth Nagendra Bharadwaj, Ramesh G. Soni

American Business Review

This study examines the impact of forecast information quality on supply chain performance in the context of the Palestinian territories. A sample of 200 firms were involved in this research that used path analysis and structural equation modeling to analyze the survey data. The constructs of preventive costs and corrective costs pertaining to inventory management were tested as the mediating variable between forecast information quality and perfect order index, a surrogate measure for supply chain performance. The results support the hypotheses that both the forecast information quality and the corrective and preventive inventory actions have a positive significant impact on …

Macomb Dental Society Offers More Than You May Think, Kyle Katynski Dds

Journal of the Macomb Dental Society

Seasonal rhythms in Michigan coincide with the renewal of professional development opportunities offered by the Macomb Dental Society. Continuing education (CE) programs serve as a critical mechanism for maintaining licensure while advancing clinical competence across diverse domains, including pain management, infection control, ethics, and emerging treatment modalities. Over time, the Society has expanded its offerings to encompass specialized seminars, interdisciplinary discussions, and community-based events that integrate professional learning with collegial engagement. These initiatives not only enhance practitioners’ clinical knowledge but also foster collaboration, peer-to-peer exchange, and exposure to evolving practice management strategies. Moreover, partnerships with sponsors provide access to technical …

The Battle Over Water Fluoridation Comes To New York City: Organized Dentistry Is Quick To Respond To Ill-Conceived Effort To End 60-Year Practice And Vows To Stay With It Until The Threat Passes., Lance Plunkett Jd, Llm

The New York State Dental Journal

Water fluoridation has been experiencing its woes lately, beset by an adverse court decision, questionable science, collapsing federal public health priorities and public suspicion often fueled by hysteria. Against all this, New York City stood strong as a pioneering large municipality safely fluoridating its water since 1965 for the benefit of the public and reducing dental caries significantly over decades.

A Qualitative Assessment Of The Role Of Dental Specialists In The United States Opioid Epidemic: Dental School Faculty And Postdoctoral Trainee Perspectives, Rochisha Singh Marwaha D.D.S., M.P.H., Ficd, Gunnar Hasselgren D.D.S., Ph.D., Sarah Douglas-Broten D.M.D., M.P.H., Sidney B. Eisig D.D.S., Kavita P. Ahluwalia D.D.S., M.P.H.

The New York State Dental Journal

This research used qualitative methods to compare the prescription opioid-related knowledge, opinions and behaviors of oral surgery (OS) and endodontics (E) faculty and postdoctoral trainees. Semi-structured interview guides were used to conduct 10 key-informant interviews with faculty and focus group discussions with 18 postdoctoral trainees. Interviews and focus group discussions were recorded, transcribed and coded for thematic content. E faculty reported infrequent use of opioids for dental pain management, while OS faculty frequently prescribed opioids. Conversely, E faculty were more likely to use prescription drug monitoring programs to track patients’ potential for addiction compared to OS. In conclusion, the frequency …

Is Ageism A Problem In Dentistry? It Would Appear That No One Or No Segment Of Society Is Immune From Acting Questionably—And, Possibly, Illegally—Toward Seniors., Stuart Segelnick Dds, Ms

The New York State Dental Journal

While attending local, stat and national dental meetings through the years, and even the most recent NYSDA House of Delegates meeting, I am repeatedly surprised to hear comments from senior society officers decrying the “old men in the room” and declaring they have had “enough of the old whitehaired men” dominating the higher echelons of our organization. The younger dentists listening nod their heads in approval. What these well-meaning, experienced dentists were trying to highlight was the need to have younger and more diverse dentists involved in organized dentistry.

Attitudes Of New York State Pediatric Dentists Toward Treating Hasidic Patients, Gideon Turk Dmd, Michelle Goldstein Dmd

The New York State Dental Journal

Purpose: This survey investigated variations in practices among pediatric dentists and dental residents in New York State concerning the treatment of Hasidic, Haredi or Ultra-Orthodox Jewish (HHUOJ) patients.

Methods and Results: The 16-question survey was distributed to 641 AAPD pediatric dentists and residents via email. Results were analyzed across six variables using the Mann-Whitney U Test. Statistically significant differences were observed in the responses to 14 of 16 questions.

Conclusion: The study revealed statistically significant variations in various aspects related to the treatment of HHUOJ patients, suggesting the need for further education among providers in New York State.

Revolutionizing Dental Operatories: How Do We Do More Using Less?, Michael Zidile D.D.S., Brian Choi D.D.S.

The New York State Dental Journal

The authors present a transformative approach to modernizing dental operatories as part of their practice’s recent expansion. Aimed at enhancing efficiency and patient-centered care, the project reimagines traditional operatory design by eliminating ergonomic and hygienic barriers, notably, the use of keyboards and mice. Key innovations include the implementation of touchscreen PC displays, high-power PCs with graphics cards, magnetic USB cables for rapid data transfer, omnidirectional microphones linked to AI scribes and wireless intraoral scanning. The design prioritizes a standardized, clutter-free layout across eight operatories, utilizing A-Dec Inspire Series cabinets for ergonomic supply management. By removing countertops and pullout trays, the …

Remarks, The Honorable Michael Mukasey

Fordham Law Review

No abstract provided.

The Hcpo Way: Resolving Claims Through Cooperation, Anna Rubin

Fordham Law Review

The Nazi regime systematically stripped Jews and other persecuted groups of property through a framework of laws that gave their spoliation a veneer of legality. Postwar restitution programs, though groundbreaking in their efforts to provide individual victims with either compensation or the return of their property, were hampered by strict legal limitations, inconsistent procedures, and the slow pace of resolution. Contemporary restitution efforts increasingly recognize that legal avenues alone cannot fully redress these injustices. This Essay examines the work of the Holocaust Claims Processing Office (HCPO) of the New York State Department of Financial Services, which has developed a model …

Recalibrating Risk Under Dobbs, Yvonne Lindgren, Michelle Oberman

Fordham Law Review

In response to mounting evidence of the devastating harms patients have experienced under abortion bans, abortion opponents and the Supreme Court of Texas have argued that the bans are clear but that doctors are willfully refusing to provide care. Instead of reforming the bans, they argue that doctors should be sued in medical malpractice for their failure to meet the standard of care. This Article interrogates that claim, investigating whether the crisis in reproductive healthcare that has resulted from delayed and denied care can be remedied by suing doctors. Specifically, can medical malpractice litigation provide guardrails against the erosion in …

The Link Between Intergenerational Social Mobility Of Cohorts And Individual Self-Rated Health: A Multi-Country Analysis., Jacinth J. X. Tan, Gregory T. H. Hng, Faith A. Wee

Research Collection School of Social Sciences

This research examined the potential health consequences of increased opportunities for social mobility. Specifically, we used indices of intergenerational social mobility of cohorts—the average level of change in economic status relative to one’s parents experienced across individuals within a cohort—as proxy measures of individuals’ exposure to opportunities for social mobility and investigated links to their self-rated health (SRH). We combined recent multi-country data on cohort social mobility from the World Bank with multi-country individual SRH data from the World Values Survey waves six (Ncountries=44, Nrespondents=48,955) and seven (Ncountries=41, Nrespondents=37,051). Multilevel modeling analyses revealed that at the aggregate, SRH had negative …

Youth Attitudes And Perceptions Regarding Police, Courts, And Political Engagement: A Texas Study, Marika Dawkins-Cavazos, Camille Gibson, Yudu Li

Criminal Justice Faculty Publications

Youth are often perceived as disengaged from civic and political processes, yet their potential to influence elections is receiving increasing attention. This study examined how differences in race, ethnicity, sex, and age shape youth civic engagement, particularly their willingness to vote in the 2024 presidential election. Through surveys of college students in the diverse southern region of the United States, the research explored the relationship between perceptions of law enforcement, trust in the justice system, and civic participation. Specifically, it hypothesized that Black and Hispanic youth would report lower trust in law enforcement, which may influence their willingness to engage …

Gw241011 And Gw241110: Exploring Binary Formation And Fundamental Physics With Asymmetric, High-Spin Black Hole Coalescences, A. G. Abac, I. Abouelfettouh, Teviet Creighton, Mario C. Diaz, R. Espinosa, J. Lawrence, Francisco Llamas Villarreal, Soma Mukherjee, Volker Quetschke, Miriam Ramos Arevalo, Wenhui Wang

Physics & Astronomy Faculty Publications

We report the observation of gravitational waves from two binary black hole coalescences during the fourth observing run of the LIGO–Virgo–KAGRA detector network, GW241011 and GW241110. The sources of these two signals are characterized by rapid and precisely measured primary spins, nonnegligible spin–orbit misalignment, and unequal mass ratios between their constituent black holes. These properties are characteristic of binaries in which the more massive object was itself formed from a previous binary black hole merger and suggest that the sources of GW241011 and GW241110 may have formed in dense stellar environments in which repeated mergers can take place. As the …

Occupational Therapy Interventions Supporting Return-To-Work After Cancer Treatment: A Systematized Review​, Kateryna Brichka, Jordyn Spotanski, Kara Warner, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

PURPOSE: Return to work (RTW) is a key milestone in cancer survivorship, supporting identity, stability, and quality of life. Many survivors face physical, social, and psychological barriers (Wilson et al., 2023). Occupational therapy practitioners (OTPs) are well positioned to address these challenges through energy conservation, environmental modification, and work reintegration strategies (Désiron et al., 2016). This systematized review synthesized evidence on OT interventions that support RTW for adult cancer survivors.

DESIGN: A systematized review was conducted by a medical librarian from the McGoogan Health Sciences Library. Articles were included if published in English between 2003–2024 and classified as Level I–VI …

Multilevel Selection In The Margins: A Review Of Its Representation In Undergraduate Biology Textbooks, C. A. Greene, S. J. Mcpeek, L. Mitchem, A. B. Clark, Vincent A. Formica

Biology Faculty Works

Multilevel selection (MLS) is a foundational framework that expands the concept of natural selection beyond the traditional focus on individuals or genes to larger units, like groups. Despite strong empirical support and applications in a broad range of biological fields, MLS, often referred to as group selection, has a controversial history, which has impeded its wide use and led to incorrect inferences on the sources and strength of selection. Here, we explore how MLS is currently presented to undergraduate biology students by analyzing the content of nine commonly used Evolutionary Biology and Animal Behavior textbooks. We ask whether and how …

Reading American Anarchy As A Legal History Of Immigrants: Forum On Willrich's American Anarchy Forum: Willrich's American Anarchy, Daniel J. Sharfstein

Vanderbilt Law School Faculty Publications

Michael Willrich’s American Anarchy is at once an extraordinary history of ideas about anarchism and the rule of law, a history of lawyering, and a history of the simultaneous emergence of a capacious administrative state alongside a robust set of judicially protected civil liberties. While Willrich tells a rich and intricate story of illiberal border administration, American Anarchy also shows radical immigrants at work over decades in New York, with the border and its oppressive administrative apparatus little more than a dim memory. This essay explores how the book is more than a history of the border—it’s a history of …

Women’S Unique Health Needs And The Sustainable Development Goals: A Meeting Report From The 79th United Nations General Assembly Science Summit, Irene Aninye, Sarah Chew, Nicole Althaus, Michele Barry, Ru-Fong Cheng, Carolyn Harris, Eleanor Nwadinobi, Beth Battaglino, Aisha Brooks, Marleen Temmerman

Centre of Excellence in Women and Child Health

Biological sex, hormones, and gender uniquely affect health and disease, often resulting in disparities for women across the lifespan and from different racial and ethnic groups, geographical locations, and socioeconomic backgrounds. Without intentional investment and infrastructure to support good health and wellbeing for women, half of the world’s population remains vulnerable to preventable morbidity and mortality. The Society for Women’s Health Research and ECHAlliance–The Global Health Connector convened a women’s health program as part of the 10th Annual Science Summit during the United Nations 79th General Assembly. This hybrid event was held in New York, NY, (USA) and virtually in …

Constructing An Effective Whistleblower Statute: Virginia Is Nearly There, Emma D. Guirlinger

William & Mary Law Review

Whistleblowers are pivotal in ensuring transparency and accountability in numerous public and private industries. They ensure that existing laws are enforced and hold employers accountable when they seek to evade them. Recognizing the significant value provided by whistleblowers, and that private actors within organizations are often in a better position than government enforcement officials to uncover wrongdoing, Virginia has enacted several whistleblower protection statutes, including the Virginia Whistleblower Protection Law (VWPL), which advocates lauded for “provid[ing] broad protections against retaliation and fundamentally alter[ing] the landscape for” Virginia whistleblowers.

While the VWPL seems promising, two provisions of the law, its statute …

A New Book By Sahs Member, Novelist & Literary Historian, Padraig Rooney

Swiss American Historical Society Review

Annemarie Schwarzenbach (1908– 1942) was one of the twentieth century’s most remarkable women, possibly the greatest sexual and political radical of the 1930s. But until now she’s been largely ignored.

Killing Through Their Kids, Dyllan Moreno Taxman

William & Mary Law Review

In early 2024, James and Jennifer Crumbley were sentenced to over a decade in prison after their son, Ethan, shot and killed four classmates at Oxford High School in Michigan. The Crumbley parents incurred manslaughter liability by ignoring Ethan’s deteriorating mental state, gifting him the murder weapon, and failing to act on concerns about Ethan’s behavior on the day of the shooting. The Crumbleys were the first parents of a school shooter to be convicted of a homicide in American history. This Article suggests they will be far from the last. Indeed, less than one year after the Crumbley convictions, …

Competitive Stress And Life History Mismatch, Norman P. Li, Amy J. Y. Lim

Research Collection School of Social Sciences

Simulations, correlational studies, and laboratory experiments have recently shown that cues to high-resource competition may be steering individuals toward increasingly less favorable attitudes toward reproduction and slower life-history strategies. This work suggests that, alongside extrinsic mortality, it may be fruitful to examine the role of competitive stress cues in shaping life-history strategies.

Developing Hydrophobic-Hydrophilic Protein Structures By 3d Food Printing Of Sorghum And Soy Protein Gels, Sorour Barekat, Ali Ubeyitogullari

Food Science Faculty Publications and Presentations

The goal of this study was to introduce the simultaneous use of hydrophobic-hydrophilic proteins bioinks for 3D food printing. Sorghum protein gel (SPG) at 25 % w/w and soy protein isolate gel (SPIG) at 11 % w/w were loaded into separate extruders. The effects of the first printed layer (SPG or SPIG), printing speed (10, 20 mm/s), and nozzle size (0.52, 0.64, 0.72 mm) on printability were evaluated. The textural properties, rheological characteristics, microstructure, crystallinities, and functional groups of the proteins were analyzed. Printing sorghum and soy proteins together helped balance essential amino acids, where lysine (94.7 %) and histidine …

How School Mentors Build Self-Efficacy In Novice Teachers: A Single Case Study, Christina Olga Sanchez

Electronic Theses and Dissertations

This qualitative single case study with embedded units explored how school mentors build selfefficacy in novice teachers across elementary, middle, and high school settings within a single public school district in Texas. Grounded in Bandura’s self-efficacy theory, which identifies four sources of self-efficacy: mastery experiences, vicarious experiences, verbal persuasion, and emotional and physiological states, this study examined the specific strategies mentors use to build self-efficacy and foster confidence and instructional competence in novice teachers. Data were collected through semistructured interviews with eight experienced educators formally designated as mentors. Thematic analysis was employed to identify patterns in mentoring practices and their …