Digital Commons Network^™

Infection And Nonunion Rates In Open Fractures: Description Of 6,042 Fractures From The Flow And Prep-It Trials, Roman M Natoli, Lucas S Marchand, Sofia Bzovsky, Jennifer E Hagen, Mark J Gage, Christina A Stennett, Nathan N O'Hara, Kyle J Jeray, Brad Petrisor, Sheila Sprague, Gerard P Slobogean

Faculty, Staff and Student Publications

Background: Infection and nonunion are common sequelae of open fractures. Studies have shown infection and nonunion rates ranging from 2% to 52% and 12% to 17%, respectively. The present article describes the rates of surgical site infection (SSI) and delayed union/nonunion following open fractures in a large contemporary series of patients from prospective clinical trials with adjudicated outcomes.

Methods: A descriptive analysis was performed with use of patient data from the FLOW, Aqueous-PREP, and PREPARE-Open studies. These studies, published within the past 10 years, included multiple international trauma centers and shared definitions for SSI and delayed union/nonunion. SSI and delayed …

It Takes A Village: Why Developing Community And Implementing Collaborative Teaching Methods In The Legal Classroom Fosters True Inclusivity, Activates Active Learning, And Promotes The Attainment Of True Knowledge-Creating Students Who Are Better Prepared For The Practice Of Law, Erica L. Kravchenko

Cleveland State Law Review

Legal education has long relied on traditional teaching methods, such as the Socratic, case-dialogue and lecture methods, which prioritize individualism and competition over collaboration. While these methods have historically shaped legal pedagogy, they no longer adequately prepare students for the evolving demands of legal practice. This Article examines the impact of traditional teaching methods on the changing demographic of law students and offers collaborative learning as a potential solution. Specifically, this Article argues that incorporating collaborative learning and fostering a sense of community in legal education are essential for developing well-rounded, practice-ready attorneys. Through an analysis of the legal education’s …

Seeking Kairos: Creating Oases Of Rest Through Contemplative Practice In The Elementary Classroom, Kaisu Aldom

Journal of Contemplative and Holistic Education

Seeking Kairos: Creating Oases of Rest through Contemplative Practice in the Elementary Classroom

This article introduces rest and restfulness as contemplative practice in the context of elementary schooling. As a Canadian elementary teacher, I have been researching ways to introduce contemplative practices of education to support children in their well-being. Children struggle under the pressures of expectations to achieve and excel, to conform and perform, which just as well applies to their teachers. Schooling in a burnout society prioritizes achievement, productivity, and always doing something: “No time to waste” and “keep busy” are mandatory. Not incidentally, the etymological meaning of …

Scrupulosity Ocd And How It Can Affect Our Clients’ Relationship With God, Annabella Hagen

Issues in Religion and Psychotherapy

This article explores various aspects of scrupulosity OCD, starting with the misconceptions about OCD that persist in society and their impact on treatment, along with a discussion of the disorder’s prevalence. It examines common OCD themes, provides a deeper understanding of religious scrupulosity, and clarifies how individuals become trapped in the scrupulosity OCD cycle. Specific triggers within the LDS Church are highlighted, alongside religious considerations such as distinguishing scrupulosity from genuine religiosity and discerning between spiritual promptings and OCD-driven thoughts. The article also addresses barriers to care unique to the LDS community and offers clinician recommendations, including an overview of …

Parental Grief And Loss After Gender Transition: Navigating Ambiguous And Disenfranchised Loss In Latter-Day Saint Families, David Haralson, Chelsea Johnson, Jeff Bennion, Orion Maxfield

Issues in Religion and Psychotherapy

Parents of transgender or gender nonconforming children sometimes experience profound grief and loss, particularly within religious communities that hold specific doctrines regarding gender. This article examines the unique challenges faced by parents in The Church of Jesus Christ of Latter-day Saints (LDS Church) when a child undergoes gender transition. By exploring the concepts of ambiguous loss and disenfranchised grief, we aim to provide a framework for understanding these parents' emotional experiences. The intersection of LDS doctrines and policies on gender with contemporary gender theories creates complex emotional environments for families to navigate. We present the Integrity and Investment Model as …

Helping Clients Grieve The Loss Of Their "Happily Ever After", Karen J. Gilmore, Joseph Chamberlain

Issues in Religion and Psychotherapy

ABSTRACT

Helping Clients Grieve the Loss of Their “Happily Ever After”

One of the most prominent attacks on marriage comes in the form of pornography and sex addiction. In this article I will explore what pornography and sex addiction is, why it can be highly addictive, how pornography and sex addiction can impact the marriage and lead to betrayal trauma, and how to understand the losses that can come from this type of trauma as well as the ensuing grief which may accompany this process. Additionally, I will identify ways to understand how grief presents in betrayal trauma, how to …

Mapping The Importance Of Sports Facilities For Football Clubs: A Bibiiometric Insight, Imane Terhzaz, Abderrahim Rharib

Journal of Global South Sport Studies

This study presents a comprehensive overview of existing research on the relationship between sports facilities and the professionalization of sports clubs. The role of sports facilities has been increasingly acknowledged as critical to the organizational growth and competitive advantage of sports clubs. However, uncertainty remains regarding the effectiveness of investments in facilities and their impact on club development. Using the R-tool namely Bibliometrix, which offers a structured workflow for conducting bibliometric analysis, we analyzed a dataset of 535 articles published between 1988 and 2024 and indexed in the Web of Science database. The findings reveal a stabilization in research output …

Gathering Rainbows, Nancy Honchell

Michigan Reading Journal

No abstract provided.

A Qualitative Study Of College Student-Athletes Using The Job Demands-Resources Model: A Case For Understanding Student-Athletes As Employees, Michael Spooner, Asia Eaton, Anthony Weems, Tiffany Munro

Journal of Athlete Development and Experience

This research conceptualizes the NCAA Division I student-athlete position as similar to a position of employment utilizing the Job Demands-Resources (JD-R) model developed by Bakker & Demerouti (2017) from the field of Industrial-Organizational Psychology. We utilize qualitative methods to conduct an exploratory study that assesses the characteristics of student-athletes through analysis of perceived role demands, role resources, and personal resources using a sample of using a sample of 30 student-athletes (15 men, 15 women) at mostly large Division I universities across the U.S. Data were analyzed utilizing thematic analysis and revealed the various demands that student-athletes faced, as well as …

From Isolation To Integration: The Influence Of Community Engagement With Special Olympics On Ncaa Athletes Experiencing Role Conflict, Grace Fetherstonhaugh, Kirsten Hextrum

Journal of Athlete Development and Experience

Role conflict is prevalent for college athletes across varying competitive levels, sport types, and identities. Recent reform to the collegiate athletic model, such as enabling college athletes (CAs) to profit from their Name, Image, and Likeness, may create additional demands and conflicts for participants. Despite the plethora of research into college athletes’ experiences with role conflict, few studies examine possible solutions. This study offers a novel intervention to role conflict through a community engagement (CE) program. Short, immersive, contributions to one’s local environment can improve social connections, limit negative mental health effects, and generate a higher sense of purpose, all …

“People Need To Hear More About This Esports Team”: Exploring Esports College Athletes’ Transition Experiences, Kibaek Kim, Rhema Fuller, Nick Davidson

Journal of Athlete Development and Experience

With the increase of attention towards esports in both industry and academia, volumes of research have been conducted to support professional esports athletes and esports college-athletes (ECAs). Although studies exploring professional esports athletes' transition experiences were available, little to none was known about this experience for ECAs. Based on Schlossberg’s transition theory and previous studies exploring the transition experiences of traditional sports student-athletes, this study aimed to provide a deeper understanding of ECAs’ transition experience. This study conducted three focus group interviews with four ECAs in each group who played the same game. The result of this study showed there …

Navigating Intersections: How Stereotypes And Oppression Shape Black Women Student-Athletes’ College Journeys, Tomika Ferguson, Cherese Fine

Journal of Athlete Development and Experience

Black women college athletes navigate intersections of race, gender, and athletic ability within predominantly White institutions (PWIs). They can face stereotype threat, racialized academic expectations, and pressures to conform to dominant institution norms. This qualitative study explores the college experiences of Black women college athletes at a predominantly White institution (PWI), focusing on how intersecting oppressions and stereotypes influence their academic, social, and athletic lives. Guided by Black feminist thought (BFT) and stereotype threat theory, the research addresses two questions: What are the college experiences of BWCAs, and how do stereotypes affect these experiences? Findings reveal that pre-college experiences in …

What Lies Beneath The Mask Of Sanity: A Comparison Of Ted Bundy And Charles Manson’S Rorschachs, Carl B. Gacono, Jason M. Smith, Tod A. Roy

Archives of Assessment Psychology

Once psychopathy level (PCL-R ≥ 30 = psychopathy) is determined, data beyond what is offered by the PCL-R is needed to fully understand the dynamics which underlie an individual’s overt criminal behavior. As we have empirically demonstrated (Gacono, 2016; Gacono & Evans, 2008; Gacono & Meloy, 1994; Smith et al., 2021), the Rorschach is ideally suited for this task. In this article we demonstrate the utility of the Rorschach Comprehensive System method (Exner, 2003; CS-R, Exner et al. 2022) in ferreting out the dynamics that underlie Ted Bundy and Charles Manson’s masks of sanity (Cleckley, 1941). Ted Bundy’s Rorschach reveals …

Advertising Constraint-Based Dynamic Generation Of Promotional Content User Interfaces., Lakshmi Kumar Dabbiru, Raghu Donamukkala

Defensive Publications Series

The use of static, pre-defined layouts for promotional content can limit adaptability to user requests for specific formats and may not maintain visual coherence with evolving page designs. This disclosure describes a system for the dynamic, advertising constraint-based generation of user interfaces for such content. The system can utilize a generative large language model to create front-end code for a promotional layout in real-time or near-real-time. The generation process can be guided by a consolidated set of constraints, such as formatting instructions parsed from a user's query, design system parameters from a surrounding page, and advertiser brand preferences. This approach …

Federated Agentic System For Adaptive Workflow Management In Enterprise Environments, Soumendra Kumar Mishra

Defensive Publications Series

The present disclosure relates to a federated agentic system for adaptive workflow management in enterprise environments. This system features a coordination hub for dynamically delegating tasks to multiple intelligent agents. The Resource Usage module forecasts resource consumption patterns based on historical execution data, while the Server Availability module monitors server health to ensure infrastructure readiness. Additionally, the Resource Availability module assesses the state of the Hadoop cluster for necessary computing and storage resources, and the Scheduling Optimization module identifies and resolves scheduling conflicts to enhance job execution efficiency. By integrating these components, the system ensures reliable data synchronization across distributed …

A Usv Path Planning Algorithm Under Special Environment Based On Td3-Rrt, Jitong Chen, Jiajia Zhou, Di Wu, Hailong Jiang

Journal of System Simulation

Abstract: In view of USV path planning in special environments such as multiple obstacles, large-size obstacles, and narrow passages, the rapidly-exploring random tree (RRT) algorithm suffers from drawbacks such as a large sampling base, low success rate, and zigzagging planned path. To address these problems, a global path planning algorithm (TD3-RRT) was proposed based on the twin delayed deep deterministic policy gradient (TD3). The USV path search model was established by combining the RRT algorithm with deep reinforcement learning. Forward looking detection was used to sense the environment to adaptively adjust the step size. The path search direction was exported …

Path Planning For Mobile Robots Based On Improved Artificial Potential Field Algorithm, Chi Zhang, Wei Wei

Journal of System Simulation

Abstract: In view of the problems of unreachable target areas and easy local minima in traditional artificial potential field methods, an improved artificial potential field method was proposed. The improved algorithm optimized the repulsive field function by introducing obstacle angle factors and distance factors to control the repulsive force magnitude. At the same time, an additional repulsive force towards the target point was added to solve the problem of unreachable target areas in traditional algorithms. When the robot fell into a local minimum, by introducing turning towards obstacles and turning factors to accurately apply escape forces to the robot, the …

Frank Giordano V. Andrews Hohns

2025 Decisions

USDC for the Eastern District of Pennsylvania

Sectoral Exposure To Heat: Heterogeneous Impacts Of Extreme Heat On Workplace Accidents In Italy, Giovanni Marin, Aung Tun Oo

Fondazione Eni Enrico Mattei Working Papers

This study examines how extreme heat affects workplace accidents in Italy’s various economic sectors. Using granular data by sector, day, and province (NUTS-3) for 2018–2024, we evaluate the contribution of occupational exposure as a source of diverse effects at the sector level. Our findings imply that while the average effects of extreme heat on workplace accidents are, at best, negligible, high temperatures significantly raise the frequency of medium-to-low severity accidents for sectors with high levels of exposure, while exposure and extreme heat alone do not account for fatalities.

Ai-Based Walkability Ecosystem: A Personalized, Social And Adaptive Solution To Urban Mobility And Public Health, Diya Singh, Gaurav Nanda, Jaeil Lee, Xinran Lehto, Libby Richards, Mark Lehto

Discovery Undergraduate Interdisciplinary Research Internship

Urban environments present significant ongoing barriers to physical activity and public health, including motivational challenges, environmental constraints, uniformity of existing fitness apps, and limited opportunities for social engagement. This project proposes an AI-powered Walkability Assistant designed to promote healthier, more active lifestyles through personalized, adaptive, and community-driven solutions.

This study advances past efforts by introducing a novel wellbeing framework that encompasses four dimensions: physical, social, environmental, and psychological wellbeing. To identify user-driven strengths and areas for improvement, we conducted sentiment analysis (positive/negative) and Latent Dirichlet Allocation (LDA) topic modeling on large-scale user-generated data from walking and fitness app reviews, leveraging …

Adaptive Pi Control Using Recursive Least Squares For Centrifugal Pump Pipeline Systems, David A. Brattley, Wayne Weaver

Michigan Tech Publications

Pipeline transportation of petroleum products remains one of the safest and most efficient methods of bulk energy delivery, yet overpressure events continue to pose serious operational and regulatory challenges. Traditional fixed-gain PI controllers, commonly used with centrifugal pump drives, cannot adapt to varying product densities or transient disturbances such as valve closures that generate water hammer. This paper proposes a self-tuning adaptive controller based on Recursive Least Squares (RLS) parameter estimation to improve safety and efficiency in pipeline pump operations. A nonlinear simulation model of a centrifugal pump driven by an induction motor is developed, incorporating pipeline friction losses via …

The Relation Between Transport Properties And Solvation Structure For Electrolytes., Emanuel Naumann, Lalita Rai, Xingyi Lyu, Huong Nguyen, Tao Li

Honors Capstones

With continued progress in portable technology, energy storage has become an important factor to improve upon as batteries are found in a variety of everyday devices. Lithium-ion batteries are particularly common, although current technology features shortcomings in thermal stability, efficiency, and cost. Such shortcomings are related to current electrolytes in such technologies. The following experiment aims, for noteworthy alternative electrolytes, to analyze both macroscopic measurements related to transport properties and spectroscopy measurements that give insight into samples’ solvation structures. Such data are then used to identify the most promising electrolytes of the ones tested. Solutes tested include the promising imide-based …

Incorporating Behavioral Health Strategies In Primary Care To Improve Outcomes Of Depressed Patients, Amy L. Brummett

Student Scholarly Projects

Practice Problem: Depression, otherwise known as major depressive disorder, is a mood disorder characterized by persistent feelings of sadness, loss of interest, sleep disturbances, changes to weight (both gain and loss), difficulty concentrating, and in extreme cases, suicidal thoughts, and/or attempts (Mayo Clinic, 2022). An estimated 8.3% or 21.0 million adults in the United States have experienced at least one episode of depression. Primary care clinicians are often the first to recognize the symptoms of depression. Depression was very prevalent in the clinic where this DNP Scholarly project took place. The owner/nurse practitioner found that she was increasingly treating depressed …

25 New Scholarships Provide Opportunities For Iwu Students, Chris Francis

Press Releases 2020-2029

No abstract provided.

The Dorsal Forearm As A Novel Target For Intramuscular Injections: Clinical Pharmacokinetic Results With Naloxone, Thomas F. Krol, Bryan G. Beutel, Carlos Fierro, Scott J. Weir

Faculty and Staff Publications

The dorsal forearm represents a potentially viable location for a convenient wearable device for the administration of intramuscular (IM) injections, but this site has not previously been formally targeted for this purpose. The objectives of this study were to administer naloxone via IM injection into the dorsal forearm, characterize the pharmacokinetic (PK) profile of this injection site, and compare it to that of a standard IM injection. The study was an outpatient, open-label, single period, single treatment, single dose proof of concept (PoC) trial in 12 healthy subjects. After screening, participants provided a time zero (pre-dose) blood sample and then …

Emotional Communication In The Healthcare Industry, Brandon Dolan

SPARK Symposium Presentations

Through conducting interviews with healthcare professionals and the study of data that reviews the role of emotional communication in the healthcare industry, I can conclude that there are several challenges that healthcare professionals experience when communicating emotions. To begin, there is the existence of implicit and explicit feeling and display rules that are demanded by both clients, patients, and organizations. There are expectations and obligations that healthcare professionals must meet in terms of the emotions they experience and the behaviors they express to ensure the functionality of their industry. In response to these feeling and display rules, employees often find …

Implementation And Assessment Of The Openbci Platform As An Accessible Brain- Computer Interface, Jewell Norris

Honors Theses

OpenBCI is a low-cost, open-source platform for alternative brain-computer interface (BCI) software and hardware. This thesis evaluates OpenBCI’s electroencephalogram (EEG) and electromyography (EMG) capabilities by constructing and testing a 16-channel EEG system using the Ultracortex Mark IV headset and Cyton + Daisy biosensing board. The viability of the system was assessed through real-time BCI control and comparison to a clinical-grade EEG system. Real-time BCI control of an online falling-block game was tested via the use of eye blinks EMG (channels Fp1/Fp2) and head-tilt accelerometer inputs. The BCI game demonstrated reliable control despite minor latency and artifact sensitivity. For clinical comparison, …

Colorectal Cancer: Differential Gene Expression And In Vitro Response To 5-Fluorouracil, Novel Fluoropyrimidine F10, And Potential Synergy With Lupeol, Shrey D. Thaker, Jenny Paredes, Jone Garai, Laura A. Martello, William H. Gmeiner, Jovanny Zabaleta, Jennie Williams

School of Medicine Faculty Publications

Colorectal cancer (CRC) remains one of the most lethal malignancies in the United States, with African American (AA) patients experiencing disproportionately higher incidence and mortality compared to Caucasian Americans (CAs). These disparities have been linked to tumor-intrinsic genomic differences, including microsatellite instability (MSI) and p53 mutation status, which may influence chemotherapeutic response, particularly to the standard-of-care agent 5-fluorouracil (5-FU). However, mechanistic insights have been limited by the lack of racially diverse preclinical models. Here, we evaluated the efficacy of F10 (a novel fluoropyrimidine polymer) vs. 5-FU using AA- and CA-derived CRC cell lines with distinct MSI and p53 profiles. MTT …

Esg Performance Evolution In Retail: A Systematic Review And Meta-Analysis, Jiyeon Kim Ph.D., Wooyoung Yang

Faculty Publications

Environmental, social, and governance (ESG) practices have transformed from peripheral corporate social responsibility initiatives into core strategic imperatives in retail. Despite growing interest, the literature remains fragmented across disciplines and geographic contexts, with no comprehensive sector-specific analysis examining the evolution of ESG performance in retail contexts. Following the PRISMA 2020 guidelines, we conducted a systematic review and meta-analysis of 127 empirical studies published between 1988 and 2024 across major databases. Random-effects models assessed ESG-performance relationships, while stakeholder theory, the resource-based view, and Consumer Behavior frameworks explained the underlying mechanisms through temporal and subsectoral analysis. ESG practices demonstrate significant positive correlations …

Why Some Adventurers Chase Danger To Find Meaning, Jordan Karnbach

University of Mississippi News

OXFORD, Miss. – Climbing mountains or going adventuring in hostile terrain can be dangerous, even life-threatening. But a University of Mississippi marketing professor found the old adage that "with great risk comes great reward" holds clues to why thrill-seeking is so satisfying.