Digital Commons Network^™

Cpap Belly Prevent, Alek Corpuz, Emma Hoffman, Danielle Tran

Biomedical Engineering

Neonates with low gestation periods often face complications such as respiratory distress syndrome, or RDS, which increases risk for complications such as necrotizing enterocolitis. Use of bCPAP helps facilitate regular breathing, but can also force air into the stomach and consequently cause abdominal distention. Clinicians currently use an already inserted feeding tube to vent the accumulated air, however this interrupts the feeding process.

The PreVent device was developed to allow for simultaneous feeding and venting. The dual function minimizes interruptions to NICU nurse workflow and improves capability to relieve abdominal distention before the onset of adverse complications.

Newborn Spinal Needle, Allison Inouye, Kyle Morton, Evan Russell

Biomedical Engineering

Spinal punctures, or lumbar punctures, are important diagnostic procedures used to collect cerebrospinal fluid (CSF) to diagnose issues in the central nervous system (CNS) such as meningitis. While these procedures are routinely performed on adult and neonatal patients, the current tools are not optimized for use on newborns. Existing spinal needles are often modified versions of adult devices, leading to challenges in fluid collection efficiency, user ergonomics, and patient safety when used in neonatal care.

The Newborn Spinal Needle Project aims to design and develop a spinal needle specifically optimized for neonatal anatomy and clinical workflow. The goal is to …

Orthopedic Bone Drill, Logan G. Schmid, Matthew T. Wold, May Geng

Biomedical Engineering

This project aims to design a bone drill for orthopedic procedures which alleviates the heat generated in the bone during drilling.

Sweet Is The Work, Allie M. Wheeler

School of Art, Art History, and Design: Theses and Student Creative Work

Sweet is the Work is a collection of collagraph prints, collages, and sculptural artworks created through a dialogue between surface textures, colors, and imagery, sourced from personal experiences and the home environment that nurtured them. My artwork functions as a visual journal of my memories of living on a family farm in Delta, Utah, in an engaged religious lifestyle. Daily life at home was filled with responsibilities, from sweeping the floor to tending crops and livestock. Tasks like preserving food were guided less by necessity than by tradition. A history of family record keeping inspires my process of documentation. Each …

Potential Missed Opportunities To Administer Intravenous Thrombolysis To Patients With Acute Ischemic Stroke, Babak B Navi, Mengxi Wang, Jose-Miguel Yamal, Suja S Rajan, Alexandra L Czap, Stephanie A Parker, May Nour, Ilana Spokoyny, Saad Mir, Mathew E Fink, Joshua Z Willey, William J Jones, James C Grotta

Faculty, Staff and Student Publications

Background: Recent years have seen improvements in stroke-care pathways, including mobile stroke units (MSUs), and this may have affected the rate, predictors, and outcomes of patients with acute ischemic stroke who qualify for but do not receive treatment with intravenous thrombolysis (IVT).

Methods: This was a secondary observational cohort analysis of the prospective, multicenter BEST-MSU trial (Benefits of Stroke Treatment Delivered by a Mobile Stroke Unit Compared With Standard Management by Emergency Medical Services), conducted in 7 US cities from 2014 to 2020, comparing MSU management versus standard emergency department management for patients with suspected acute ischemic stroke. The analytical …

High-Frequency Functional Trajectories Predict Depressive Worsening In Singapore's Community-Dwelling Older Adults, Kaung Htet Tun Salai, Yi Wen Tan, Grace Cheong, Paulin T. Straughan

ROSA Journal Articles and Publications

Background/Objectives: Functional difficulty and depression often coexist in older adults, yet local Singapore-based research often lacks detailed temporal resolution due to heterogeneity in ageing. This study employs non-parametric, data-driven longitudinal clustering to analyse functional trajectories and their association with depression, using high-frequency data to pinpoint key intervention periods. Methods: Data were drawn from 4273 community-dwelling older adults from Singapore Life Panel^® (2020–2024). Participants completed quarterly self-reported assessments of ADL, IADL and depressive symptoms (8-item CES-D). We employed k-means longitudinal clustering (kml) to identify functional trajectory groups and Cox regression to evaluate the hazard of increased depression (≥5-point increase in …

Considering Barriers To Funding Fiscal Sponsorship: Insights From Sponsor And Project Leaders, Elliot M. Zettas, Todd L. Ely, Fredrik O. Andersson

The Foundation Review

This study explores barriers to funding fiscal sponsorship based on interviews with 68 leaders of sponsors and sponsored projects. Findings reveal that funders’ limited understanding and restrictive policies contribute to negative sentiment and reduced grant access for sponsored initiatives.

Despite fiscal sponsorship’s administrative efficiencies and mission-focused benefits, funders often perceive sponsored projects as less legitimate, misunderstand sponsor roles, and resist covering sponsor cost allocations when framed as fees. Structural complexities — such as shared EINs and geographic mismatches — further impede eligibility for funding.

This article concludes with actionable recommendations for funders and sponsors, including staff education, updated grant guidelines, …

The Future Of Purpose-Driven Work: Evaluating A Case Study Of The Hybrid: Flexible Purpose Model At The Robert Wood Johnson Foundation, Jeff Williams, Melyssa Tsai O'Brien, Trish Abalo

The Foundation Review

This 15-month case study employed a comprehensive mixed-methods evaluation to document and assess the model across six key areas. Findings revealed the Hybrid: Flexible Purpose model preserved or improved grantmaking outcomes, enhanced staff well-being and autonomy, and expanded the diversity of the talent pool.

Challenges emerged regarding sustaining the organizational culture, fostering cross-team and informal relationships, and ensuring consistent policy implementation across teams, particularly in finding the optimal balance between stated goals and actual experiences during mandatory in-person gatherings.

Findings also documented a “hybrid coordination tax,” i.e., additional effort required to manage mixed in-person and virtual meetings and schedules.

These …

Moving Beyond Words To Action: A Practitioner’S Playbook For Achieving Collaboration Success, Tessa Lesage, Jonathan L. Romine, Jane Wei Skillern

The Foundation Review

This article argues that foundations must shift from acting as grantmakers alone to becoming active stewards of cross-sector collaborative networks.

Drawing from more than two decades of field experience and research each, the authors outline a framework for moving from collaborative rhetoric to action, identifying four essential and interconnected actions: fueling trust, elevating purpose, nurturing networks, and strengthening stewardship.

Through case examples, the article illustrates how authentic, trust-based relationships, shared goals, and relational network leadership can drive scalable, sustainable impact.

The article offers both a compelling critique of traditional philanthropic approaches and a strategic road map for how foundations can …

Beyond The Check: Lessons In Trust, Support, And Structure For Flexible Well-Being Grants, Martena Reed, Jennifer Marsack, Chelsey Hurt, Gladys Hairston, Karla Mendez, Tejaswini Vemuganti, Valerie Stewart, Cindy Alvarado

The Foundation Review

This article draws on a developmental evaluation of the Blue Cross and Blue Shield of North Carolina Foundation’s Well-Being Grants, which awarded over 100 small, flexible grants to support nonprofit staff and organizational well-being. Using surveys, interviews, focus groups, and document review, authors examined how organizations defined well-being, how they used the funds, and what factors shaped their choices.

Findings show that, while grantees valued flexibility, many relied on familiar approaches such as retreats, stipends, and team building. Long-standing compliance norms engendered caution about experimentation, even when funders encouraged it.

The authors argue that funders must pair flexible dollars with …

Rewired: Reconceptualizing Legal Services For The Ai Age, Lev E. Breydo

Faculty Publications

The legal profession is at a crossroads, caught between intensifying fears of AI-driven displacement and a generational opportunity for transformation. This Article provides a practical framework for navigating the shifting terrain.

Situating legal innovation within a multi-century arc of technological change, the Article draws on management and strategy scholarship to develop two core organizing models: the Legal Services Value Chain and the Innovation Frontier. The value chain disaggregates the lifecycle of a legal matter into five distinct nodes of activity, providing a map for subsequent analyses

Building on that foundation, the Innovation Frontier traces LegalTech’s evolution from 2000s-vintage e-discovery to …

Stroke Increases Motor Output Variability During Maximal Voluntary Isometric Contractions Of Knee Extensor Muscles In Adults, Zhilun Zhou, Stephanie Christine Wolfe, Brian Schmit, Matthew J. Durand, Sandra Hunter, Allison Hyngstrom

Physical Therapy Faculty Research and Publications

Greater motor output variability (MOV, inconsistency and unsteadiness) during submaximal tasks post stroke is associated with poorer motor performance. However, little is known about MOV during maximal tasks and relationships with clinical measures of motor performance among stroke survivors. This study determined inconsistency (across discrete attempts) and unsteadiness (within a single attempt) during knee extension maximal voluntary isometric contractions (MVICs) in stroke survivors and neurotypical controls. Forty-three stroke survivors (28 female) and 31 age-matched neurotypical controls (15 female) performed a minimum of five knee extension MVICs with paretic and non-paretic legs (stroke) or dominant leg (controls). Inconsistency was calculated as …

Sidewalk Living, Michael C. Pollack

Articles

In City of Grants Pass v. Johnson, the Supreme Court held that the Eighth Amendment does not prohibit a city from enforcing a criminal ban on encampments on public property such as parks and sidewalks. But even if municipalities are now permitted to use tactics such as policing, encampment clearing, arrests, and imprisonment, these are not the right ways to address the problems of public homelessness.

Instead, homelessness must be understood as one of many conflicts over limited public space. At its best, vibrant sidewalk life enhances communities and local economies. But at its worst, every use of these finite …

The Anchor: March 2026, Hope College

The Anchor: 2026

The Anchor began in 1887 and was first issued weekly in 1914. Covering national and campus news alike, Hope College’s student-run newspaper has grown over the years to encompass over two-dozen editors, reporters, and staff. For much of The Anchor's history, the latest issue was distributed across campus each Wednesday throughout the academic school year (with few exceptions). In recent years The Anchor moved to monthly print issues and a more frequently updated website. The Anchor is now published in print twice per academic semester. Occasionally, the volume and/or issue numbering is irregular.

Reconstruction Of A Composite Heel Defect Using Achilles Tendon Allograft And Latissimus Dorsi Free Flap: Case Report And Literature Review, Georgios Karamitros, Carolyn Drogt, Stephen J Warner, Michael P Grant, Gregory A Lamaris

Faculty, Staff and Student Publications

Background: Composite heel defects involving the Achilles tendon and overlying soft tissue are rare and technically demanding. Successful management requires restoration of tendon continuity and durable coverage. We reviewed the literature and presented a representative case to illustrate current strategies.

Methods: A literature review of 28 studies that reported outcomes of Achilles tendon reconstruction with concomitant soft tissue coverage was performed. Tendon restoration techniques(allografts, autografts, vascularized grafts) and flap types (muscle and fasciocutaneous) were analyzed for functional recovery, complication rates, and donor-site morbidity. Additionally, we report the case of a 14-year-old woman with a 7-cm Achilles tendon defect and full-thickness …

Development And Initial Testing Of An Online Security Prime Writing Intervention During Covid-19, Angie S Leroy, Andreas Weyland, Jade Kanemitsu, Arya Tsay-Jones, Vincent D Lai, E Lydia Wu-Chung, Nyla Vela, Amanda Perozo, Valentina I Maza, Sierra Wickline, Katherine Beach, Robert Suchting

Faculty, Staff and Student Publications

Background and objectives: During the COVID-19 pandemic, we tested the efficacy of a one-week online security prime (SP) writing intervention in reducing distress among 254 adults (60+ years and/or having an underlying health condition). The efficacy of writing interventions can depend on several factors. Attachment orientations, characterized by dimensions of anxiety and avoidance, reflect individuals' tendencies in how they seek proximity to and rely on others for support, and influence how people experience and regulate their emotions.

Design and methods: Participants were randomly assigned to one of three conditions: Security Priming (SP), where people wrote about what made them feel …

Influence Of Pullback Pressure Gradient On Residual Angina At One Year, Takuya Mizukami, Kazumasa Ikeda, Daniel Munhoz, Koshiro Sakai, Jeroen Sonck, Hitoshi Matsuo, Toshiro Shinke, Hirohiko Ando, Brian Ko, Simone Biscaglia, Fernando Rivero, Thomas Engstrøm, Antonio Maria Leone, Lokien X Van Nunen, William F Fearon, Evald Høj Christiansen, Stephane Fournier, Liyew Desta, Andy Yong, Julien Adjedj, Javier Escaned, Masafumi Nakayama, Ashkan Eftekhari, Frederik M Zimmermann, Tatyana Storozhenko, Frédéric Bouisset, Domenico Galante, Bruno R Da Costa, Gianluca Campo, Colin Berry, Damien Collison, Tetsuya Amano, Divaka Perera, Allen Jeremias, Ziad A Ali, Ethan Korngold, Eric Wyffels, Adriaan Wilgenhof, Nico Pijls, Bernard De Bruyne, Nils P Johnson, Carlos Collet

Faculty, Staff and Student Publications

Background: The pullback pressure gradient (PPG) is a novel physiological metric that quantifies coronary artery disease patterns as focal or diffuse on a scale from 0 to 1. This study assessed the relationship between PPG and residual angina at 1 year.

Methods: PPG Global is a prospective, investigator-initiated, single-arm, multicenter study that enrolled patients with at least 1 lesion with a fractional flow reserve ≤0.80 intended to be treated with percutaneous coronary intervention. After the PPG calculation, physicians could revise treatment assignment to medical therapy or coronary artery bypass graft surgery instead of percutaneous coronary intervention. Focal and diffuse disease …

Severe Renal Phenotype Across A Multigenerational Tuberous Sclerosis Complex (Tsc) Family, Elena Tuller, Joshua A Samuels, Hope Northrup, Kate Richardson

Faculty, Staff and Student Publications

Background: Tuberous sclerosis complex (TSC) is an autosomal dominant genetic disorder characterized by the formation of hamartomas in the brain, kidney, and heart, along with other complex clinical manifestations, including TSC-associated neuropsychiatric disorder (TAND). Development of genotype-phenotype correlations within TSC can aid clinicians in providing prognostic data and improve clinical management. We present here a multigenerational family who has a pathogenic variant in TSC2 displaying a severe renal phenotype.

Methods: A 23-year-old Caucasian male (Patient 1) was determined to have a molecularly confirmed diagnosis of TSC at approximately 2 months of age. The nonsense pathogenic variant (c.1372C>T (p.Arg458*)) in …

Disposition At Equipoise: A Qualitative Study Of Emergency Physicians' Decision-Making About Hospitalizing People With Dementia, Anita N Chary, Annika R Bhananker, Rebecca Franks, Jason Bowman, Adrian D Haimovich, Victoria Martell, Elizabeth M Schoenfeld, Cameron J Gettel, Shan W Liu, Kei Ouchi, Maura Kennedy, Aanand Naik, Manish N Shah

Faculty, Staff and Student Publications

Background: People with dementia are often hospitalized from the emergency department (ED) for conditions that could potentially be treated in the outpatient setting. In scenarios of clinical equipoise-where either admission or discharge may be appropriate-little is known about how emergency physicians make disposition decisions.

Methods: We conducted a qualitative study with attending emergency physicians at a single academic medical center. Interviews included open-ended questions about disposition decision-making in general as well as structured case scenarios using a think-aloud protocol. We used an inductive approach to code interview data and elucidate themes about the factors emergency physicians consider in disposition decisions …

An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission In A Homogeneous Syringe-Sharing Network, Seun Ale, Que Thi Nguyet Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr.

Reports

The model described in this ODD is an agent-based model of hepatitis C virus (HCV) transmission among people who inject drugs (PWID). The model assumes homogeneous mixing among syringe-sharing agents, without any form of heterogeneity in the agents interactions or syringe-sharing attitude. All syringe-sharing PWID are treated as identical in terms of their interaction frequency and syringe-sharing probability. Interactions are generated dynamically using proximity-based sampling at each timestep (one day), allowing agents to form syringe-sharing interactions based on spatial closeness. The number of daily interaction events is fixed at the population level, and each syringe-sharing agent has the same probability …

An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission With Inter-Group Structural And Behavioural Heterogeneous Syringe-Sharing Networks (M4), Seun Ale, Que Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr.

Reports

The model described in this ODD is an agent-based model of hepatitis C virus (HCV) transmission among people who inject drugs (PWID). The model incorporates structural heterogeneity through a three-group interaction framework and behavioural heterogeneity through group-specific syringe-sharing rates. The syringe-sharing population in the model is divided into core, inner, and outer circle groups representing individuals with high, moderate, and low levels of syringe-sharing interaction intensity, respectively. In addition to differences in the number of daily interaction opportunities across groups, agents in each group are assigned distinct syringe-sharing probabilities, reflecting variation in risk-taking behaviour across structural groups within the syringe-sharing …

Stard-Net: Spatiotemporal Attention For Robust Detection Of Tiny Airborne Objects From Moving Drones, Hasibur Rahman, Sanjay Kumar Madria

Computer Science Faculty Research & Creative Works

The rapid adoption of drones across various domains, alongside advancements in computer vision, has driven growing interest in vision-based airborne object detection from moving aerial platforms. However, this task remains challenging due to the small scale of objects, camouflage within cluttered backgrounds, and occlusions. To address these challenges, we introduce an end-to-end detection framework that integrates a Drone Receptive Field Block (DRFB) to extract multiscale and geometrically diverse features, specifically designed to enhance the detection of small and camouflaged airborne objects. To model motion patterns over time while preserving spatial structure, particularly for detecting camouflaged, cluttered and occluded objects with …

2026 March, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for March of 2026.

Not Just Discipline: An Action Research Approach To In School Suspension Reform, Samantha Marie Di Stefano

Theses & Dissertations

School discipline remains a controversial issue, particularly regarding the fairness and effectiveness of In School Suspension (ISS). While ISS is intended to serve as a constructive alternative to out-of-school suspension, research shows that it is often implemented as an isolating and punitive practice that disproportionately impacts marginalized student populations and fails to address the root causes of misconduct. This qualitative action research study sought to reimagine ISS as a supportive, student-centered space informed by Social Emotional Learning (SEL) and restorative justice principles. The purpose of the study was to explore how students experienced voice, belonging, and care within an ISS …

Global, Regional, And National Burden Of Breast Cancer Among Females, 1990–2023, With Forecasts To 2050: A Systematic Analysis For The Global Burden Of Disease Study 2023, Gbd 2023 Breast Cancer Collaborators Breast Cancer Collaborators, Kathryn H. Jacobsen

Health Studies Faculty Publications

Summary

Background

Methods

Soft Skills For Medical Physicists: Evolving A Profession., Tomas Kron, Julie Raffi, Shada Wadi-Ramahi, Abdelkader Toutaoui, Bilal Jalal, Peter A Sandwall, Graciela Velez, Dario Sanz, Godfrey Azangwe

Oncology Articles

PURPOSE: Medical physicists are essential healthcare professionals who bridge the gap between technology and patient care, particularly in radiation oncology and medical imaging. With the profession expanding its clinical and global roles, the need for competencies beyond technical expertise-such as communication, leadership, and cultural awareness-is increasingly evident. These competencies, commonly referred to as soft skills, are critical for patient-centered care but remain insufficiently integrated into formal education and training pathways. The aim of the present work was to identify soft skills relevant to medical physics practice and investigate where in a career they are acquired and used.

METHODS: This paper …

Navigation-Assisted Percutaneous Fixation Of An Anterior Column And Posterior Hemitransverse Fracture In An Elderly Patient: A Case Report., Matthew Rohl, Taylor J Manes, Nate Rodriguez, Kevin Monahan, Joseph P Scheschuk

Surgery Articles

INTRODUCTION: Acetabular fractures in elderly patients are often the result of low-energy trauma and are complicated by osteopenia, comorbidities, and limited physiologic reserve. Minimally invasive approaches, such as percutaneous fixation have emerged as viable alternatives to open reduction in selected fracture patterns.

CASE REPORT: We report the case of a 76-year-old male with a history of coronary artery disease, hypertension, hyperlipidemia, and osteopenia who sustained a comminuted right anterior column and posterior hemitransverse acetabular fracture following a ground-level fall. His hospital course was complicated by rhabdomyolysis and elevated troponin levels, necessitating cardiac evaluation, which demonstrated normal left ventricular function and …

When Uniform Standards Are Missing: Judicial Inconsistency In Wages During Termination Proceedings In Indonesia, Fitriana Fitriana, Tri Hayati, Aloysius Uwiyono

The Indonesian Journal of Socio-Legal Studies

This article examines how courts lack uniform judicial standards for determining Upah Proses, which refers to wages payable during termination proceedings in Indonesia. Constitutional Court Decision No. 37/PUU-IX/2011 requires employers to pay Upah Proses until courts issue a final and binding judgment. However, subsequent instruments introduce conflicting limitations and ambiguous provisions, including Supreme Court Circular Letter No. 3 of 2015 and Law No. 6 of 2023. Such inconsistencies create normative disharmony across constitutional, statutory, and administrative frameworks. The absence of coherent interpretive guidance divides the judiciary, leading courts to issue divergent rulings, even in cases with similar factual circumstances. The …

Unsettling Ground: Rethinking Land Tenure Security In Indonesia’S Legally Plural Setting, Widya Naseva Tuslian

The Indonesian Journal of Socio-Legal Studies

This study examines the inconsistencies in various regulations regarding land and land management in Indonesia, which give rise to divergent interpretations and legal uncertainty—ultimately becoming a source of conflict that is not easily resolved. The study focuses on the protracted conflict among local residents living in 26 subdistricts in Surabaya who hold “Surat Ijo” certificates. The residents believe that, as certificate holders, they have the status of owners. Meanwhile, citing various laws and regulations on land governance, the Surabaya city government maintains that these certificates affirm the residents’ status as tenants of land assets owned by the Surabaya city government. …

Argument-Based Consistency In Toxicity Explanations Of Llms, Ramaravind K. Mothilal, Joanna Roy, Syed Ishtiaque Ahmed, Shion Guha

Health Services and Informatics Research

The discourse around toxicity and LLMs in NLP largely revolves around detection tasks. This work shifts the focus to evaluating LLMs’ reasoning about toxicity—from their explanations that justify a stance—to enhance their trustworthiness in downstream tasks. Despite extensive research on explainability, it is not straightforward to adopt existing methods to evaluate free-form toxicity explanation due to their over-reliance on input text perturbations, among other challenges. To account for these, we propose a novel, theoretically-grounded multi-dimensional criterion, Argument-based Consistency (ArC), that measures the extent to which LLMs’ free-form toxicity explanations reflect an ideal and logical argumentation process. Based on uncertainty quantification, …