Digital Commons Network^™

Transfusion Intensity In The Icu: Reasons And Triggers, Merijn Reuland, Senta Raasveld, Jimmy Schenk, Claudia Oord, Sanne Bruin, Caroline Schaap, Andrew Flint, Jan Bakker, Maurizio Cecconi, Marcus Lance

Anaesthesiology, East Africa

Background The reasons and physiological triggers for blood transfusion in critically ill patients are not well characterized. Beyond hemoglobin levels, hemodynamic instability is frequently cited, but its role across clinical contexts remains unclear.

Aims (1) To determine whether reasons and triggers for RBC transfusion differ across intensive care unit (ICU) days with varying transfusion intensity. (2) To describe reasons for non-RBC transfusions across these intensity groups.

Methods This sub-study of the prospective International Point Prevalence Study of Intensive Care Unit Transfusion Practices (InPUT) classified ICU days by transfusion intensity: nonmajor (1 RBC unit), major (≥2 units), and massive (≥6 units …

From The Editor: Is Giving Actually Better Than Receiving?, Romesh Nalliah

The Journal of the Michigan Dental Association

This editorial examines the relationship between generosity, volunteerism, and well-being. Using the Michigan Dental Association Foundation’s Mission of Mercy as a focal point, the author highlights research suggesting that prosocial behavior can improve mental and physical health while benefiting communities in need. The article encourages oral health professionals to use their skills and resources to support underserved populations through volunteer service, mentorship, and community engagement.

Mda At Your Service: Updating Your Practice Roster With The Mda, Mda Membership Department Staff

The Journal of the Michigan Dental Association

This question-and-answer article provides practical guidance for MDA members on updating practice rosters, accessing continuing education opportunities, addressing staffing shortages through virtual assistants, and participating in the MDA LEAD Program. The article highlights available member resources and emphasizes professional development, workforce support, and leadership growth within organized dentistry.

Dentistry And The Law: Is A Lake Of Understanding Of Billing Procedures Fraud?, Daniel Schulte Jd

The Journal of the Michigan Dental Association

This legal column addresses whether improper dental billing resulting from misunderstanding plan requirements constitutes fraud. The author explains the legal elements necessary to establish fraud, including knowledge, intent, and damages. The article distinguishes billing errors and contract violations from fraudulent conduct and encourages dentists to review participation agreements and billing policies to minimize compliance risks.

J Mich Dent Assoc August 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200-plus members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons.

The August 2026 (Volume 108, No. 8) issue of the Journal is published in print format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

The August 2026 issue of the Journal of the Michigan Dental Association explores clinical, professional, legal, leadership, and public …

Staff Matters: Is Our Dental Practice's Culture As Strong As We Think It Is?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This article explores how workplace culture influences employee retention, team morale, and patient experience in dental practices. The author discusses indicators of healthy and unhealthy workplace cultures, leadership behaviors that shape organizational climate, and practical strategies for gathering employee feedback, improving communication, and reinforcing accountability. Small, consistent actions are presented as effective tools for building a positive work environment.

Mission Of Mercy: Restoring Smiles With Dignity, Anne Berquist

The Journal of the Michigan Dental Association

This feature chronicles Michigan’s 2026 Mission of Mercy clinic, where more than 1,200 volunteers provided 5,656 procedures to 771 patients. The article describes patient experiences, volunteer contributions, and the extensive planning required to transform a sports arena into a temporary dental clinic. Beyond oral healthcare delivery, the program restored confidence, relieved pain, and highlighted the dental profession’s commitment to serving underserved populations.

The Power Of The Tripartite: Defending Fluoridation Together, Sarah Stuefen Dds

The Journal of the Michigan Dental Association

This article describes a successful grassroots effort to preserve community water fluoridation in Vinton, Iowa. The author details how local dental professionals, state dental associations, the American Dental Association, public health experts, and community stakeholders collaborated to educate decision makers and advocate for evidence-based public health policy. The experience demonstrates the importance of coordinated advocacy and organized dentistry in protecting oral health initiatives.

The Invisible Work: On Expertise, Showmanship, And The Trust That Makes Surgery Work, Anish Gupta D.D.S.

The Journal of the Michigan Dental Association

This commentary examines how clinicians can make their expertise more visible to patients through communication, education, and clinical narration. Drawing parallels to surgical checklists and professional mastery, the author argues that trust is built not only through excellent outcomes but also through helping patients understand the complexity and judgment behind treatment. The article emphasizes communication, transparency, education, and mentorship as important elements of patient-centered care.

The Back Page: A Toast To The Future: From Boomers To Gen Z Zoomers, George T. Goodis Dds, Gerald J. Halk Dds

The Journal of the Michigan Dental Association

This article highlights a leadership brunch that brought together multiple generations of dental leaders to encourage engagement in organized dentistry. The gathering emphasized mentorship, leadership development, and the transfer of institutional knowledge to younger dentists. Participants celebrated the future of the profession while discussing the importance of community involvement, leadership participation, and professional growth.

Baseline Nutrition Knowledge And Feasibility Of A Whatsapp-Delivered Nutrition Education Intervention Among California Wildland-Urban Interface Firefighters, Lauren E. Anderson

Master's Theses

Wildland firefighters perform physically demanding work under challenging environmental conditions that place substantial demands on nutritional health and occupational performance. Despite the importance of nutrition in supporting physical performance, recovery, and long-term health, limited research has examined nutrition knowledge and dietary behaviors among California wildland firefighters or evaluated the feasibility of remotely delivered nutrition education interventions within this occupational population. Therefore, the purpose of this pilot study was to assess baseline nutrition knowledge, nutrition self-efficacy, and dietary behaviors while evaluating the feasibility of a 12-week WhatsApp-delivered nutrition education intervention among California wildland firefighters.

Twenty-four firefighters completed the baseline assessment and …

Impact Of Repeated Serotonin 6 Receptor Activation On Weight And Anxiety In C57bl/6j And Btbr Mice, Pedro Flores

Electronic Theses, Projects, and Dissertations

Selective Serotonin Reuptake Inhibitors (SSRI) are the most common form of medication prescribed to people with anxiety disorders. One of the most common side effects is weight gain. This weight gain often leads to the suspension of treatment. This has led to studies focusing on specific serotonin (5-HT) receptor targets for modulating depression and anxiety. Studies examining 5-HT6 antagonist treatment have shown that they reduce body weight as well as produce brain specific changes. Less is known regarding 5-HT6 receptor agonists, although previous literature has shown that exposure to high doses produces weight loss but not at lower doses, while …

The Effect Of Telehealth Expansion On The Health Equity Of Underserved Populations, Mansi B. Satani

Electronic Theses, Projects, and Dissertations

The rapid expansion of telehealth, during and after the COVID-19 pandemic, has changed healthcare delivery in the United States. The use of telehealth can potentially decrease disparities related to isolation, shortage of providers and barriers to transportation, however, its impact on health equity in underserved populations is unknown. This paper explores how telehealth expansion impacts rural populations' access to healthcare, health outcomes, and equity. It also examines its impact on populations with low income, racial, ethnic minorities, and Medicaid recipients who frequently encounter obstacles to healthcare and digital access (Nouri et al., 2020; Shah et al., 2024). A mixed-method design …

Genocide As Patriotic Duty: The Outcomes Of Ultranationalism And Dehumanization From World War Ii Genocide Orchestrators, Corie R. Blais

Electronic Theses, Projects, and Dissertations

The thesis provides a contribution to the field of history how nationalism

often transforms individuals during wartime to become dehumanizing

ultranationalists through patriotism and its connection to genocide.  Also, it gives

insight into the many ways that genocide orchestrators during World War II,

relied on propaganda of racism, religion, and “othering” in order to justify their

incentives to expand territories and dehumanize victims through medical

experimentations and sexual violence.  While research materials in the context of

Nazi Germany were ample, one challenge in my research was finding

documentations on Stalin’s People Commissariat of Internal Affairs (NKVD)

police unit which carried …

How Establishing "Duration Of Treatment" Guidelines Shortens Workers' Compensation Cases, Annette Marie Smith M.D.

Electronic Theses, Projects, and Dissertations

Jobs provide financial security for individual workers and their families in the community until a worker gets hurt on the job, and then things are up in the air until their workers’ compensation claim is approved. It is a well-known fact within the workers compensation literature that one third of all workers’ compensation (WC) claims are “low back sprains and strains” which are the leading cause of global disability (Ummey, 2023). This project proposed to explore the relationship of x-ray and MRI result interpretations by the physician and standardize the duration of treatment with a physical therapist and new concept …

Greenhouse Gas Flux Response In Biochar- And Compost-Amended Lawn Soils Under Simulated Water Saturation Conditions, Angel Salinas, Chu-Lin Cheng, Engil Pereira, Rafael M. Almeida, James Jihoon Kang

School of Earth, Environmental, & Marine Sciences Faculty Publications

Understanding greenhouse gas emission dynamics in lawn soils is important for improving climate change mitigation strategies in urban and suburban landscapes. In this greenhouse mesocosm study, carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O) fluxes were measured from 12 turfgrass soil columns arranged in an unreplicated, completely randomized 4 × 3 factorial design. Four amendment treatments (biochar, compost, bio-com [1:1 volume ratio of biochar and compost], and unamended control) were combined with three water-table conditions (full saturation, half saturation, and unsaturated), with a single column representing each treatment combination. Columns were irrigated at 1 cm day−1 for 24 days, …

Evaluation Of Ostomy Pouching Change Practices Among Hospital-Based And Community-Based Nurses, Hannah Gerlach

All Theses

An estimated 725,000 to 1 million Americans are living with an ostomy and depend on ostomy pouching systems as part of their daily care. Effective ostomy management requires regular pouch changes and consistent skin care to prevent peristomal skin complications. Many individuals living with an ostomy face long-term challenges in managing their ostomy care, which can negatively affect their health-related quality of life. There is a need to understand how professional experience across different care environments, such as hospital-based and community-based settings, influences ostomy nursing care practices.

This study evaluates how nurses working in hospital-based settings and community-based settings perform …

2026-2027 Lindenwood University Graduate Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Graduate Course Catalog

2026-2027 Lindenwood University Undergraduate Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Undergraduate Course Catalog

Content Appeals And Messaging Used By Tik Tok Influencers Promoting Peptides, Hannah R. Gunter, Jack Dominick, Allison Komosa, Alexis Zeidner, Aida Calo, Richard M. Perloff

Student Scholarship

Peptides, small protein-like molecules that regulate important body functions, have exploded in popularity, in large part due to persuasive appeals on social media and a plethora of online promotions by social media influencers. However, there is large gray market of unregulated peptides that have serious side effects. This timely content analysis thoroughly examines how peptides are promoted on TikTok by prominent and popular male and female influencers. The study sheds light on the strategies influencers employ, and the disturbing fact that a small minority of messages mention side effects that users may confront or other adverse consequences of these supposedly-miracle …

2026-08-01 Caudill Connection, Morehead State University. Caudill College Of Arts, Humanities And Social Sciences.

Caudill Connection

Caudill Connection newsletter for August of 2026.

Developing A Rapid Urban Forest Assessment System For Sustainable City Greenification, Daniel Gonzalez

Master's Theses

This thesis presents the Rapid Urban Forest Assessment (RUFA) system, a web-based platform that integrates urban tree inventories and aerial tree detection to assess forest health across California’s census-designated places. RUFA combines inventoried tree records with coordinates detected from high-resolution multispectral imagery using convolutional neural networks, then computes a composite RUFA Score from four metrics: canopy cover percentage, trees per capita, tree diversity (TD-50), and tree evenness. The thesis addresses two engineering challenges in building the dashboard: querying and aggregating over seven million tree records in real time, and rendering spatial summaries at multiple zoom levels without recomputing cluster assignments …

Cecily A. Becker, Cecily A. Becker

Faculty CVs

No abstract provided.

A Four-Year Mixed Methods Cohort Study Of Professional Learning Interventions In Teacher Education Colleges In Kenya, Tanzania, And Uganda, Nyagwegwe Wango, Nipael Mrutu, Jane Rarieya, Fortidas Bakuza

Institute for Educational Development, East Africa

In teacher professional learning reforms, maintaining pedagogical transformation is still a major problem, especially in settings with limited resources and policy transitions. During the four years that the Foundation for Learning (F4L) initiative was implemented in teacher education institutions in Kenya, Tanzania, and Uganda (2022–2025), this study looks at longitudinal patterns of improvement. The study employs a retrospective mixed-methods approach to examine two structured cycles of cohort-level data, which include interview datasets, lesson plan documents, mentoring records, questionnaire summaries, and classroom observation reports. Cycle comparisons show enhanced consistency in structured practicum feedback systems over time, better alignment between lesson objectives …

Evolution Of Propagator Wakes On The Kolbeinsey Ridge From An Integrated Geophysical Perspective, Ethan Stowell

Department of Earth and Atmospheric Sciences: Dissertations, Theses, and Student Research

Oceanic lithosphere is formed following the extension and rifting of a continent, with new material generated at mid-ocean ridges. While ridges generally spread in the direction of extension, individual spreading centers are offset by perpendicular transform faults that break the ridges into individual segments. Ridge propagation, in which one ridge segment grows at the expense of another’s shortening, has been identified in global investigations as a poorly understood component of axial reorganization. This process leaves propagator wake structures composed of faults and pseudofaults visible as lows in Earth’s gravitational field, and transferred lithosphere with a distorted magnetic signature. This study …

Staying Connected In A World Of Constant Communication, Chris Gorecki Dds

Journal of the Macomb Dental Society

This article features a monthly column from the Macomb Dental Society Executive Director, Dr. Christopher Gorecki.

Rural And Urban Availability Of Substance Use Treatment Facilities, Aaron P. Smith, Tyrone F. Borders

Rural & Underserved Health Research Center Publications

Overview of Key Findings

• Rural counties have higher per capita numbers of substance use disorder treatment facilities than urban counties on average, but also greater variability and large pockets of unmet need.

• The highest proportions of residents living in counties without any treatment facilities are concentrated in rural areas within the Midwestern and Southern United States.

• Rural and urban treatment facilities offer medications for opioid use disorder (MOUD) at similar rates, with inpatient facilities most likely to provide MOUD, followed by residential and outpatient settings.

Co-Creating The Garden With The Soil, Water, Plants, And Bees: Unsettling Gardening With A Different Axiology And Epistemology, Kathleen Cameron

Social Justice and Community Engagement Major Research Papers

No abstract provided.

Neoliberalism And The Crisis Of Hope: How Capitalist Culture Constrains The Aspirations Of Low-Income And Racialized Youth In Canada, Andrew Okingo

Social Justice and Community Engagement Major Research Papers

This Major Research Paper examines how neoliberalism shapes the aspirations, self-perceptions and imagined futures of low-income and racialized youth in Canada. Drawing on Critical Political Economy, Postcolonial Theory, Critical Race Theory, and Intersectionality, the study uses a qualitative semi-systematic literature review and an autoethnographic lens to critically examine how neoliberal ideologies influence young people’s experiences. The findings suggest that neoliberalism not only produces material conditions of economic and social precarity but also individualizes structural inequality, encouraging youth to interpret systemic barriers as personal failures. These processes can constrain aspirations and contribute to an erosion of hope when pathways toward desired …

Optimal Management Of Electric Vehicle Fast Charging Stations Via Lyapunov Optimization And Reinforcement Learning, Mohammad Hossein Abbasi

All Dissertations

The transportation sector is responsible for 28% of global energy-related emissions, with road transport accounting for most of these emissions. While electric vehicles (EVs) are essential for decarbonizing transportation, widespread adoption depends on fast, efficient charging. Fast charging reduces charging time but accelerates battery degradation, whereas slow charging increases range anxiety. In addition, fast charging stations (FCSs) impose significant stress on distribution grids, making their operation a critical challenge. Optimizing FCS operation can conflict with EV fast-charging objectives, yet existing research largely treats these problems independently despite their strong interdependence.

Current fast-charging methods focus on individual cells or small battery …