Digital Commons Network^™

A Gateway Right Under Strain: Inclusive Education For Ukrainian Refugee Children With Disabilities In Poland, Carly M. Toepke

Southern Illinois University Law Journal

Between 2022 and 2025, Poland has granted temporary protection to almost 1,000,000 refugees from Ukraine fleeing conflict. Of those refugees, 32% are school-age minors. Poland has the responsibility of integrating these refugee children into the public-school systems, including the children with disabilities (likely around 15% based on worldwide average) into what should be an inclusive education system. However, Poland’s largely decentralized, city-by-city governance when it comes to refugee resource distribution risks segregation of refugee children with disabilities or de facto exclusion from learning.

The Article will argue that avoiding segregation and exclusion requires treating inclusive education as requirement for all …

Substations In The Digital Economy: Fiscal And Political Geographies Of Data Centers In Georgia, Jacqueline Wright

Geography Undergraduate Senior Theses

In recent years data center construction has drastically increased around the world, especially in the U.S. Building out the infrastructure of the digital economy consumes water, electricity, and capital at great scale, drawing resources from public use towards regimes of private accumulation. This thesis takes Metro Atlanta as a particular microcosm within international digital infrastructure buildout, first worth investigating on its own terms, but also for lessons that may reach across the broader geography of the digital economy. This thesis takes up concerns with the politics of data centers siting, how these projects fit into narratives of economic development, and …

Metabolic Mechanisms Underlying Obesity In Children Exposed In Utero To Maternal Obesity Or Gestational Diabetes Mellitus, Alysha B. Everett

ETDs from 2020-2029

Background: Childhood obesity increases risk for diseases including type 2 diabetes and cardiovascular disease. The in utero environment plays an important role in the metabolic programming of offspring, with children exposed to maternal obesity or gestational diabetes (GDM) having high risk for obesity. In adults, metabolic mechanisms such as leptin resistance, energy expenditure, and substrate oxidation are associated with prospective weight and adiposity gain, but less is known in children. Thus, the purpose of this study is to identify metabolic mechanisms associated with risk for obesity following in utero exposure to maternal obesity, with or without exposure to GDM. Methods: …

High-Pressure Studies Of Magnetic Topological Materials, Greeshma Chireckal Jose

ETDs from 2020-2029

Quantum technology leverages the principles of quantum mechanics to transform emerging fields such as quantum computing, spintronics, and next-generation electronics. A crucial step in advancing this frontier is the detailed understanding of fundamental quantum phenomena in materials that can drive quantum innovation. This research aims to systematically investigate quantum phase transitions and unconventional emergent behaviors in magnetic topological materials subjected to external pressure. This study focuses on three representative systems: EuCd2As2, EuMnBi2, and FeSn, each serving as a model for exploring intrinsic magnetic topological states. EuCd2As2, a candidate Weyl semimetal (WSM), is expected to exhibit pressure-induced topological phase transitions, making …

Inverse Modeling The Geo-Spread Of Covid-19 In Brazil, Cameron Keith Mills

ETDs from 2020-2029

In 2021 Fitzgibbon, Morgan, Webb, and Wu used a modified SEIR (susceptible, exposed, infected, and recovered) model to predict how COVID-19 spread through Brazil [12]. For their model, six constant coefficients were used that were fitted, referenced, or assumed. In this thesis, we geo-spatially modify their SEIR model and formulate an inverse problem to recover the now spatial coefficients of the model. We first show there exists a unique solution to the modified model. To solve the inverse problem, we modify an inverse method [17] that focused on minimizing convex functionals. These recovered spatial coefficients can be used with Matlab’s …

Neuroinflammation And Neuropathology In A Novel Tau, Amyloid-Beta And Alpha-Synuclein Co-Pathology Model, Jhodi Mickayla Webster

ETDs from 2020-2029

Neurodegenerative diseases including Alzheimer’s disease (AD) and Parkinson disease (PD) often present with overlapping proteinopathies rather than aggregated proteins in isolation. Amyloid-β (Aβ) and phosphorylated tau are found in a substantial proportion of idiopathic PD cases, while α-synuclein (α-syn) pathology is present in over half of AD cases. The presence of these co-pathologies is associated with accelerated cognitive decline and increase mortality in these patients. In parallel, neurodegenerative diseases are increasingly recognized as being shaped by interactions between central nervous system (CNS) pathology and the immune system. Despite this, most experimental animal models of neurodegenerative disease examine single pathologies in …

Biomedical Applications Of Structurally Defined Natural And Semi-Synthetic Saponins, Chaeeun Lim-Paik

ETDs from 2020-2029

Triterpenoid saponins are amphiphilic glycosides that exhibit a wide range of biological and pharmacological properties, including antifungal, antiviral, molluscicidal, hypoglycemic, and hypocholesterolemic effects. These biological and pharmacological properties make saponins attractive for diverse applications. In this work, we demonstrate three biological applications: (i) immunostimulant vaccine adjuvant, (ii) protein delivery enhancement, and (iii) gene transfection enhancement. In light of the strong structure dependence of saponin activity, expanding the structural diversity of available scaffolds is essential for establishing structure-activity relationships (SAR) across these applications. Here, we expanded our saponin collection through semi-synthetic derivatization and the isolation of new saponins from distinct natural …

With A Love So Hard And Filled With Defeat:' A Queer Reading Of Bruce Springsteen, Samuel Tucker Carden

ETDs from 2020-2029

Long an open, yet misinterpreted political artist, Bruce Springsteen has never shied away from calling out injustices through his songs. Over the course of his long career, he has used his platform to lyrically speak out against war, the brutality of American capitalism, and the struggles of marginalized people of all backgrounds. However, the potential queerness of his lyrics has remained an underdiscussed political aspect of his artistry for decades, especially in academic settings. Many of the themes that Springsteen returns to in his writing – the need to hide one’s true self, struggles with self-identity, the desperate desire to …

Phosphogypsum-Based Road Materials: A Review Of Practicality, Longevity, And Safety In The United States, Catesby Elisabeth Mallard

ETDs from 2020-2029

The development of the phosphate fertilizer industry, while integral to the success of modern-day agriculture, continues to produce staggering amounts of phosphogypsum (PG), an acidic and hazardous waste byproduct concentrated with heavy metals, technologically enhanced naturally occurring materials (TENORM), and other toxic elements. Due to the potentially harmful emission of radon from PG, the United States (US) Environmental Protection Agency (EPA) has regulated the disposal of PG in engineered stacks under the National Emission Standards for Hazardous Air Pollutants (NESHAP) for nearly four decades. However, with roughly five tons of PG produced per single ton of phosphoric acid, and a …

The Aurora Survey, Ali Ahmad Khostovan, Ryan L. Sanders, Alice E. Shapley, Michael W. Topping, Naveen A. Reddy, Alex M. Garcia, Danielle A. Berg, Leonardo Clarke, Fergus Cullen, Richard S. Ellis, N. M.Förster Schreiber, Karl Glazebrook, Tucker Jones, Derek J. Mcleod, Anthony J. Pahl, Max Pettini, Paul Torrey

Physics and Astronomy Faculty Publications

We present new constraints on the mass–metallicity (MZR) and fundamental metallicity relations (FMR) using a sample of 34 galaxies at 1.38 ≤ z ≤ 3.5 (median z = 2.28). These galaxies have direct T_e measurements from [O iii]4363 Å and/or [O ii]7320,7331 Å auroral emission lines detected with JWST/NIRSpec as part of the AURORA survey. The detection of both oxygen auroral lines allows for dual-zone direct T_e measurements and expands the dynamic range in (Formula presented) 12+log(O/H)  (7.68–8.65 dex), stellar mass (10⁸–10^10.4 M_⊙), and star formation rate (1–100 M_⊙ yr⁻¹) …

Holographic Description Of 4d Maxwell Theories And Their Code-Based Ensembles, Ahmed Barbar, Anatoly Dymarsky, Alfred Shapere

Physics and Astronomy Faculty Publications

We formulate a precise holographic duality between an ensemble of 4d U(1)^g Maxwell theories living on a spin four-manifold M₄ and a topological Abelian BF-type 2-form theory of level N, summed over all five-manifolds with boundary M₄. The elements of the boundary ensemble are Abelian gauge theories specified by self-dual symplectic codes over ℤ_N, that parameterize topological boundary conditions in the 5d TQFT. Similarly, the equivalence classes of topologies distinguished by the 5d theory are parameterized by orthogonal self-dual codes. Hence the holographic duality can be reformulated in the language of quantum stabilizer codes. …

The Aurora Survey, Ryan L. Sanders, Alice E. Shapley, Michael W. Topping, Naveen A. Reddy, Danielle A. Berg, Ali Ahmad Khostovan, Rychard J. Bouwens, Gabriel Brammer, Adam C. Carnall, Fergus Cullen, Romeel Davé, James S. Dunlop, Richard S. Ellis, N. M. Förster Schreiber, Steven R. Furlanetto, Karl Glazebrook, Garth D. Illingworth, Tucker Jones, Mariska Kriek, Derek J. Mcleod, Ross J. Mclure, Desika Narayanan, Pascal A. Oesch, Anthony J. Pahl, Max Pettini, Daniel Schaerer, Daniel P. Stark, Charles C. Steidel, Mengtao Tang, Leonardo Clarke, Callum T. Donnan, Emily Kehoe

Physics and Astronomy Faculty Publications

We present detections of auroral emission lines of [O iii], [O ii], [S iii], and [S ii] in deep JWST/NIRSpec spectroscopy for 41 star-forming galaxies at z = 1.4–7.2 from the AURORA survey. We combine these new observations with 98 star-forming galaxies at z = 1.3–10.6 with detected auroral lines drawn from the literature to form a sample of 139 high-redshift galaxies with robust electron temperature and direct-method oxygen abundance determinations. This sample notably covers a wider dynamic range in metallicity than previous work, spanning 0.02–0.9 Z_⊙. We calibrate empirical relations between 19 emission-line ratios and oxygen abundance, …

Dock7 Is A Novel Modifier Of Duchenne Muscular Dystrophy Pathology, Katherine English

ETDs from 2020-2029

Duchenne muscular dystrophy (DMD) is a progressive, x-linked neuromuscular disorder affecting 1/5000 male births every year. DMD results from mutations in DMD, a critical structural protein within the muscle. In the absence of Dystrophin, the muscle degrades, increasing inflammation, destabilizing the cell membrane and going through constant cycles of regeneration which depletes the stem cell population. Over time, muscle tissue is replaced by fibrosis and adipose tissue, leading to loss of ambulation, respiratory and cardiac failure leading to death by early 20s. The standard of care for DMD patients is corticosteroid treatment. However, gene therapies have recently emerged which present …

Minding The Body: A Mixed Methods Analysis Of Somatic Experiences During Therapeutic Psychedelic Use, Daniel Grossman

ETDs from 2020-2029

Somatic phenomena, including shaking, spontaneous movement, vocalization, and purging, are commonly reported during psychedelic-assisted therapy (PAT). However, despite their perceived importance to some users, their role in the therapeutic process has remained largely unexamined. This mixed-methods study provides the first systematic investigation of these experiences during therapeutic psychedelic use, with particular attention to observable bodily responses (OBRs) and release-like somatic experiences (RLSEs), defined as a subset characterized by sensations of physical discharge. An online retrospective survey (N = 286) assessed the prevalence of OBRs and RLSEs, and their relationships with body awareness, bodily dissociation, emotional breakthrough, and perceived therapeutic benefit. …

The Healthcare Transition Experiences Of Emerging Adults With Congenital Adrenal Hyperplasia, Leslie Noojin Pitts

ETDs from 2020-2029

Congenital adrenal hyperplasia (CAH) is a group of disorders characterized by enzyme deficiencies impairing adrenal hormone production and requiring lifelong management. Individuals with CAH experience increased morbidity and mortality due to the underlying condition, steroid exposure, and inadequate preventative care. Despite clinical guidelines recommending a structured healthcare transition (HCT), little is known about the HCT experiences of emerging adults with CAH. Understanding these experiences is critical for identifying practice gaps and developing interventions to improve health outcomes. This qualitative descriptive study explored the HCT experiences, challenges, and outcomes of emerging adults with CAH, as guided by the refined Social Ecological …

Philip Petrov, Philip Petrov

Faculty CVs

No abstract provided.

Updated 2026 Comprehensive Evidence-Based Guidelines For Facet Joint Interventions In The Management Of Chronic Spinal Pain: American Society Of Interventional Pain Physicians (Asipp) Guidelines, Laxmaiah Manchikanti, Mahendra R. Sanapati, Sheri L. Albers, Alan D. Kaye, Vinita Singh, Nebojsa Nick Knezevic, Rajesh Naidu Janapala, Amol Soin, Annu Navani, Adam M. Kaye, Ahad Mussarat, Alexander Bautista, Dajie Wang, Paul J. Christo, Maged Mina, Daneshvari R. Solanki, Devi Nampiaparampil, Gerard Limerick, John Manor, Kris Ferguson, Lynn Cintron, Michael Bottros, Shirley Chen, Shivam S. Shah, Vahid Grami, Douglas P. Beall, Shalini Shah, Sairam Atluri, Mittal S. Prajapati, Alaa Abd-Elsayed, Salahadin Abdi, Steve Aydin, Sanjay Bakshi, Joseph Cabaret, Aaron K. Calodney, Kenneth D. Candido, Christopher G. Gharibo, Mayank Gupta, Michael Harned, Standiford Helm Ii, Sachin Sunny Jha, Radomir Kosanovic, Vidyasagar Pampati, Ramarao Pasupuleti, Bradley W. Wargo, Hermant Kalia, Gary Schwartz, Joshua A. Hirsch

Department of Anesthesiology Faculty Papers

BACKGROUND: Chronic axial spinal pain is a major contributor to disability and healthcare expenditures, with facet joints recognized as one of the established sources of pain.

OBJECTIVE: To provide evidence-based guidance in performing diagnostic and therapeutic facet joint interventions.

METHODS: A multidisciplinary panel of experts from various medical and pharmaceutical disciplines, convened by the American Society of Interventional Pain Physicians (ASIPP), reviewed the available evidence, considered patient perspectives, and formulated recommendations for facet joint interventions in the management of chronic pain.The methodology included the development of key questions with evidence-based statements and recommendations. Grading of the evidence and recommendations followed …

The International Glossary On Infertility And Fertility Care, 2025†., Fernando Zegers-Hochschild, Silke Dyer, G David Adamson, Valerie Baker, Kurt Barnhart, Siladitya Bhattacharya, Clare Boothroyd, Georgina Chambers, Jacques De Mouzon, Eman Elgindy, Bart Fauser, Karin Hammarberg, Marcos Horton, Osamu Ishihara, Seung Chik Jwa, Mohamed Khrouf, Markus Kupka, Dolores J. Lamb, Martha Luna, A Gustavo Martinez, Brent Monseur, Peter Nagy, Anja Pinborg, Catherine Racowsky, Laura Rienzi, Peter Schlegel, Lone Schmidt, Lan Ngoc Vuong, Tari Turner, Mónica Hebe Vázquez-Levin, Ibrahim Wada, Dagan Wells, Christine Wyns

Manuscripts, Articles, Book Chapters and Other Papers

STUDY QUESTION: What updates of the International Glossary on Infertility and Fertility Care are required, to reflect contemporary scientific knowledge, social needs, and inclusive definitions, while harmonizing international communication across clinical, research, policy, and public domains?

SUMMARY ANSWER: This 4th edition presents 348 consensus-based terms and definitions, including numerous revisions from the previous edition and 79 newly introduced definitions reflecting advances in reproductive science, technology, and evolving social contexts.

WHAT IS KNOWN ALREADY: Previous glossary editions (2006, 2009, 2017) established internationally recognized definitions related to clinical practice, research, and policy. The 2017 edition comprised 283 terms and, among many others, …

Prevalence And Aetiology Of Cerebral Palsy Among Nigerian Children: A Systematic Review And Meta-Analysis., Udochukwu Michael Diala, Aderonke O. Uhunmwangho-Courage, Fatima Abdullahi, Paul Ikhurionan, Caitlin Bakker, Duke Appiah, David Danjuma Shwe, Rose N. Gelineau-Morel, Kabiru Gurama, Olugbenga Akinyemi Ofakunrin, Angela Mcgillivray, Gabriel E. Ofovwe, Tina Slusher

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Nigeria is among the leading countries contributing to the burden of cerebral palsy. Cerebral palsy (CP) is the commonest physical disability in childhood, accounting for 16.2% of child neurology referrals. Many cases of CP are preventable with simple interventions such as neonatal resuscitation and effective phototherapy. Lack of reliable data on the burden of disease limits comprehensive national policy directed to the prevention, holistic care and rehabilitation of patients with cerebral palsy in Nigeria. Therefore, to effectively address this problem, this study aimed to describe the pooled prevalence of CP in Nigeria, its potential causes and types.

METHODS: This …

Infection Prevention And Control Of Candida Auris In Pediatric Settings, Thomas S. Murray, Hana Hakim, Christelle Ilboudo, Lynn Ramírez-Ávila, Jana Shaw, Terri Stillwell, Patricia Budo, Bernard Ebruke, Noa Fleiss, Amanda Green, Matthew Linam, Roshni Mathew, April Mcdougal, Natalie Neu, Zoi Dorothea Pana, Karen Ravin, Ayelet Rosenthal, Jane D. Siegel, Katlyn Steimel, Amy Valencia, Carol Vance, Lars F. Westblade, Lisa Saiman

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Candida auris (also referred to as Candidozyma auris) is an emerging multidrug-resistant fungal pathogen associated with high morbidity and mortality. Existing infection prevention and control (IPC) guidance has largely focused on adult populations, with limited recommendations for pediatric healthcare and non-healthcare settings.

METHODS: The Society for Healthcare Epidemiology of America (SHEA) convened a multidisciplinary expert panel to develop IPC recommendations for C. auris. The panel developed recommendations using a structured, iterative Delphi consensus process with rounds of discussion, refinement, and anonymous electronic voting with predefined consensus thresholds. Panelists reviewed relevant peer-reviewed and gray literature integrated with expert …

Ai, Medicine, And Social Determinants Of Health Data, Ryan Doyloo, Nicholson Price

Articles

This article examines how medical AI systems are incorporating SDoH data and the governance challenges that follow. The authors show that while SDoH integration can enhance clinical workflows and predictive accuracy — potentially improving outcomes for underserved populations — it also introduces acute risks of proxy discrimination, where facially neutral variables replicate protected characteristics. Surveying U.S., EU, and international frameworks, the authors argue that existing regimes lack clear ex ante guidance to distinguish beneficial from harmful uses of SDoH data. In response, they advance post-market monitoring as a pragmatic and scalable pathway: generating real-world, SDoH-stratified evidence that can support enforcement, …

A Reproducible Hdr-Native Psychophysics Infrastructure For Color Science Research, Fernando Voltolini De Azambuja

Theses

Color science psychophysics measures the human visual system by relating controlled visual stimuli to observer responses, often through forced-choice paradigms such as two-alternative forced choice (2AFC) (Kingdom and Prins 2016). These studies require stimuli specified in physically meaningful units, technically correct display emission, and reproducible execution (Fairchild 2013; Lin et al. 2023). In practice, graduate-level experiments often rely on bespoke MATLAB or Python scripts, standard dynamic range (SDR)-first toolchains such as Psychtoolbox and PsychoPy, manual stimulus duplication, and incomplete capture of calibration, colorimetric state, and display capability (Brainard 1997; Peirce et al. 2019). These limitations increase experimental friction and create …

Reinforcement Learning-Enabled Resource Allocation For Distributed And Uncoordinated Cognitive Radio Networks, Ankita Vijay Tondwalkar

Theses

To keep up with the ever-increasing performance demand from wireless applications, wireless networks necessitate to operate following an efficient use of the available radio spectrum. Since the radio spectrum is a limited resource, the increasing demand for wireless services and applications to support a wide spectrum of users is a challenge in itself and therefore requires advanced techniques to manage and utilize radio resources efficiently. Dynamic spectrum access (DSA) and sharing play a crucial role in improving the utilization of the radio spectrum, as it departs from the traditional approach of static radio spectrum band allocation which usually leads to …

Assistive Active Safety, Long Nguyen

Theses

As electric bicycles become faster and more prevalent in urban environments, the safety systems designed to protect riders face significant challenges. The current industry standard relies heavily on auditory warnings—which can exclude Deaf and Hard of Hearing (HOH) cyclists—and digital dashboards that often demand intense visual focus. Forcing a rider to process cluttered screen data while navigating high-speed traffic can contribute to cognitive overload and physical danger. This thesis explores how micro-mobility safety might be improved by shifting away from auditory-dependent alerts toward intuitive, multi-sensory communication. To address this safety gap, this project introduces the Assistive Active Safety (AAS) framework. …

Perception Of Dynamic Lighting: Chromatic Adaptation And Augmented Reality, Abigayle Weymouth

Theses

Augmented reality (AR) is a rapidly developing technology with use cases ranging everywhere from medicine to entertainment. This research focuses on optical see-through (OST) AR, one of the common overarching types of available augmented reality devices. Color appearance in OST AR systems is affected by a mix of the viewing conditions and environment of the real world and the transparent virtual elements. Accurate control of the color of AR content in real-world use cases, which often includes changes in color over time in both parts of the environment, is important for many applications. This dissertation includes three studies of color …

Synergistic Effects Of Diabetic Neuropathy And Kidney Function Decline On Second Metatarsal Skeletal Health And Foot Function: A Pilot Study, Victor A Cheuy, Saghi Sadoughi, Hasung Moon, Jalen Ellis, Rodney Gross, David R Sinacore, Mary K Hastings, Richard B Souza, Galateia J Kazakia

2020-Current year OA Pubs

A discouraging increase in diabetes-related nontraumatic lower-extremity amputations (NLEA) has occurred over the last decade. Individuals with diabetic neuropathy (DMPN) and CKD are at the highest risk for NLEA. Despite the critical implications, little is known about the factors that initiate the cascade of events leading to NLEA, limiting early and effective interventions. We aimed to develop and implement a technique for quantifying metatarsal bone density and microstructure using HR-pQCT. Twelve participants were enrolled:

Toward Better Response Assessment Of Cutaneous Chronic Graft-Versus-Host Disease: A Report From The National Institutes Of Health Consensus Project Task Force, Alina Markova, Iskra Pusic, Et Al.

2020-Current year OA Pubs

The National Institutes of Health (NIH) chronic graft-versus-host disease (cGVHD) Consensus Project established response criteria that enabled clinical trials and facilitated regulatory approval of multiple therapies. Nonetheless, organ-specific assessments have limitations, particularly for severe sclerotic skin involvement. Cutaneous manifestations occur in approximately half of patients with chronic GVHD but are difficult to evaluate due to heterogeneous clinical features. To address these challenges, the NIH Consensus Skin Task Force convened from 2024 to 2025 to refine skin response measures for use in clinical trials. This report (1) summarizes current diagnosis and scoring of skin chronic GVHD, (2) reviews existing response assessments, …

Initial Injury Type And Violent Reinjury, Nicholas Szoko, Daphne Lew, Taylor Kaser, Zoe M Miller, Matt Vogel, Michael A Mancini, Lindsay M Kranker, Christopher Behr, Vicki Moran, Rachel Ancona, Kristen Mueller

2020-Current year OA Pubs

IMPORTANCE: Violent injuries are the leading cause of death among children and young adults in the United States. Violent injury may increase the risk of subsequent injury (ie, violent reinjury), but it is unclear how this risk varies across different injury types (eg, blunt assault, stabbing, firearm).

OBJECTIVE: To describe patterns of violent reinjury across different injury types to inform tailored prevention strategies.

DESIGN, SETTING, AND PARTICIPANTS: This multicenter cohort study included patients who presented with violent injuries to 2 adult and 2 pediatric level I trauma centers in St Louis, Missouri, from January 2016 to December 2023.

EXPOSURES: Violent …

Use Of Wearable Sensors To Measure Improvements In Real World Upper Extremity Activity After Brachial Plexus Reconstruction, Arakua N Welbeck, Catherine E Lang, David M Brogan, Christopher J Dy

2020-Current year OA Pubs

PURPOSE: Current functional assessments after brachial plexus (BP) reconstruction, including surgeon-graded active range of motion and strength scores, and patient-reported outcomes (PROs), have limitations. This study evaluated the feasibility of wearable sensors to quantify recovery and functional outcomes following BP reconstruction. We hypothesized that sensor-derived measures of daily upper-extremity use would correlate with PROs and that real-world upper-extremity use would improve.

METHODS: Traumatic BP injury patients wore bilateral wrist accelerometers for 7-day periods at 3- to 6-month intervals. Data were grouped relative to timing of reconstruction. Duration and magnitude of upper-extremity activity were expressed as ratios of injured to uninjured …

The Future Of Epilepsy Care In The United Kingdom: A Roadmap For Technology-Enabled Transformation, Rohit Shankar, John Terry

Peninsula Medical School

Epilepsy is recognized to be a significant cause of premature mortality, socio-economic distress and poor quality of life in economically developed countries. Despite clear clinical guidelines, epilepsy care is marked by delayed diagnosis, fragmented management, high emergency admission rates, and pronounced health inequalities affecting rural populations, ethnic minority groups, and people with intellectual disabilities. Diagnostic pathways remain inefficient, with prolonged waits for electroencephalography (EEG), low sensitivity of routine investigations, and repeated inconclusive testing. Long-term management continues to depend on infrequent hospital visits and unreliable patient recall, contributing to suboptimal seizure control, avoidable morbidity, and preventable mortality. In the United Kingdom, …