Digital Commons Network^™

U-Shaped Relationship Between White Blood Cell Counts And Incident Hypertension In Military Young Adults: The Chief Study, 2014–2020, Kun-Zhe Tsai, Chia-Wei Hong, Yun-Chen Chang, Wei-Chun Huang, Xuemei Sui, Carl J. Lavie, Gen-Min Lin

Faculty Publications

Background

Systemic low-grade inflammation, which is characterized by increased counts of blood leukocytes (white blood cells, WBCs), can lead to hypertension, while reduced WBC counts caused by the use of some substances, e.g., alcohol, can also lead to hypertension. However, there have been no studies on the association between WBC counts and the risk of hypertension in young adults.

Methods

This cohort study conducted in Taiwan included a total of 2351 military personnel who were aged 18–39 years, were free of baseline hypertension and were followed up for incident hypertension from 2014 to the end of 2020. Resting blood pressure …

What Community Members With Chronic Illness Teach Future Healthcare Professionals In A Longitudinal Interprofessional Education Program: A Focus Group Study, Rachel White, Maria Brucato, Amber King, Anne B. Mitchell, Nethra S. Ankam

Department of Medicine Faculty Papers

INTRODUCTION: Nearly 50% of Americans have at least one chronic illness. Preparing future healthcare providers for interprofessional collaborative practice (IPCP) and person-centred care through community-based interprofessional education (IPE) can improve outcomes for this growing population. Partial programme theories predict that patients' participation as teachers in health professions education contributes to students' development of patient-centredness. Role theory asserts that behaviours are shaped by assigned roles; therefore, community members with chronic illness who assume roles of health mentors in an IPE curriculum are predicted to teach students about their patient experiences. Yet, this teaching outcome and the lessons health mentors teach in …

Combined Multichannel Intraluminal Impedance And Ph Testing In Infants And Young Children-A Narrative Review, Rochelle Sequeira Gomes, Sheeja Abraham, Michael Favara, Amy J. Sloane, Zubair H. Aghai

Department of Medicine Faculty Papers

Gastroesophageal reflux disease (GERD) is common in infants and young children, and thediagnosis and characterization of the disease continues to evolve in recent times. The typicalsymptoms thought to be related to GERD in young children are often nonspecific andubiquitous, underscoring the need for diagnostic testing in patients who have severe symptomsor complications related to GERD. Combined multichannel intraluminal impedance and pHtesting (MII-pH) is a diagnostic tool that can be used to study the frequency andseverity of gastroesophageal reflux. Compared to other diagnostic devices, MII-pH hasthe advantage of detecting both acidic and alkaline reflux events, as well as allows the study …

Criminal Court's Disability, Zohra Ahmed

Faculty Scholarship

Do criminal courts meaningfully accommodate psychiatric disability? A review of competency proceedings across the United States suggests not. In competency to stand trial proceedings, criminal court actors offer a narrow vision of psychiatric disability that excludes many defendants. Ultimately, the institutional context of criminal court undermines even the meagre accommodations that the competency framework provides.

Competency proceedings are the constitutional accommodations available to disabled defendants if they can establish that they are unable to consult with their lawyers or if they do not have a rational or factual understanding of the proceedings against them. After a finding of incompetency, the …

Benchmarking Age-Gates, Katharine B. Silbaugh

Faculty Scholarship

This article examines how legal actors—particularly legislators, judges, and attorneys—invoke chronological age to justify the application of legal rules to adolescents. In doing so, they often rely on comparisons to existing “age-gates,” treating these thresholds (such as ages 18 or 21) as self-justifying reference points. Age 18, marking the legal transition from childhood to adulthood, and age 21, the former age of majority and current sales age for certain controlled substances, serve as especially powerful rhetorical anchors in age-based legal reasoning. These anchor points shape how legal actors advocate for or against particular age thresholds, often substituting analogy for substantive …

The Sports Parent's Predicament, Katharine B. Silbaugh

Faculty Scholarship

Youth sport enjoys a favored status in American culture, encouraged by policymakers and local communities, pursued by parents, and remembered through rose-colored lenses by adults. Most lawyers are familiar with Justice Harry Blackmun’s ode to the magical qualities of baseball in Flood v. Kuhn, in which he took the liberty of running through his own memories of scores of baseball legends.¹ Congress and presidents want children to continue in sport.² Many in the health field argue that sport is important because exercise is important, and sport is treated as the natural manifestation of exercise.³ An enormous number—perhaps …

Unemployed Black/African Americans With Disabilities’ Treatment Acquisition For Substance Use Disorder And Serious Mental Illness, Jennifer M. Cook, Lee Za Ong, Melissa Deroche, Zevida A. Jones, Kaela Schneider

College of Education Faculty Research and Publications

Black/African Americans with disabilities who live with substance use disorder and/or serious mental illness are an underserved population in mental health treatment. We conducted a quantitative analysis using the 2022 National Survey on Drug Use and Health (N = 317) to identify treatment trends and interpreted results using DisCrit and the Behavioral Model of Health Services Use. We offer discussion and implications to increase service access for this population.

Natriuretic Peptide Cut Points For Heart Failure Classification In Individuals With And Without Obesity, Sophie M Nemeth, Emily S Lau, James L Januzzi, Thomas J Wang, Daniel Levy, Chiadi E Ndumele, Elizabeth Selvin, Christie M Ballantyne, Bruce M Psaty, John S Gottdiener, Jorge R Kizer, Christopher R Defilippi, Norrina B Allen, Rudolf A De Boer, Sanjiv J Shah, Jennifer E Ho

Faculty, Staff and Students Publications

Background: The 2022 American Heart Association/American College of Cardiology/Heart Failure Society of America guidelines introduced elevated natriuretic peptide (NP) levels as a criterion for defining stage B heart failure (HF), or pre-HF, to identify individuals at greatest risk for future HF. Given the known NP deficiency in obesity, we aimed to assess whether a single NP cut point would disproportionately up-classify individuals with versus without obesity to stage B HF.

Methods: Participants free of HF from 5 community-based cohorts were included. We examined the reclassification of individuals to stage B HF using the 2022 versus 2013 guidelines, stratified by obesity …

Optimization Of A Mobile Imaging System To Aid In Evaluating Patients With Oral Lesions In A Dental Care Setting, Ann M Gillenwater, Nadarajah Vigneswaran, Rebecca Richards-Kortum

Faculty, Staff and Student Publications

Significance: Oral cancer is often diagnosed at an advanced stage even though the oral cavity is easily accessible for examination. There is a need for tools to support early detection and help non-expert clinicians make appropriate referral recommendations.

Aim: We aim to evaluate a mobile detection of oral cancer (mDOC) smartphone-based autofluorescence imaging system by collecting data in a representative, low-prevalence population and optimizing a referral algorithm suitable for deployment in community dental settings.

Approach: Data were collected from patients at a community dental clinic using the mDOC system, which captures white light and autofluorescence images. A multi-input deep learning …

Factors Associated With Medication Adherence Among Patients With Attention-Deficit/Hyperactivity Disorder (Adhd), Cesar A Soutullo

Faculty, Staff and Student Publications

Objective: Attention-Deficit/Hyperactivity Disorder (ADHD) is a common behavioral health condition that impacts 5% to 8% of children and 2.5% of adults worldwide. The symptoms of ADHD are effectively managed with medication, yet patients with ADHD may inconsistently take their medication. We assessed medication adherence among patients with ADHD and identified factors associated with medication adherence that may be utilized to optimize adherence.

Method: This is a retrospective, observational study among patients aged 4 years and older with a diagnosis of ADHD at primary care and multispecialty outpatient clinics during May 2021 to May 2023. We assessed sociodemographic characteristics, stratified by …

Better Digital Contracts With Prosocial Friction-In-Design, Brett Frischmann, Moshe Y. Vardi

Faculty Publications

Contract law is supposed to enable people to reach genuine agreements and cooperate. If this ideal was ever a reality, the rise of mass market contracts and boil­erplate rendered it pure fiction. Modern consumer contracts are incomprehensible to most people. No one reads them anyway.

Digital contracting involves design features that amplify traditional boilerplate harms and create others. For example, digital contracting is too cheap; low marginal costs lead to overexpansion in scale and scope. To make matters worse, the loss of autonomy from repeat engagement with digital contracting systems is pernicious. People become increasingly predictable and programmable as digital …

Decoding Influence: Cosmetic Industry Strategies, Media Beauty Standards, And Their Mental Health Impact On Generation Z Consumers, Tatiana Avila Velasquez

Undergraduate Theses and Capstone Projects

This research explores the complex relationship between cosmetic industry marketing strategies, media-driven beauty standards, and the mental health of Generation Z consumers. Utilizing both qualitative and quantitative methods, the study examines how frequent exposure to curated beauty ideals and persuasive advertising shapes self-esteem, confidence, and personal identity among young adults. Through surveys and in-depth interviews, the research highlights the evolving nature of cosmetic use, revealing how early engagement with beauty products often stems from social conditioning and personal insecurities. Participants describe a shift from using cosmetics as a means of concealment to embracing them for creative expression and self-care. However, …

Changes In Alcohol Consequences And Food Addiction Symptoms Over Time In A Diverse Sample Of Emerging Adults With Histories Of Heavy Drinking, Mary Takgbajouah

Theses and Dissertations from DePaul University

During Emerging Adulthood (EA; 18-29), alcohol use (AU) peaks and eating disorders tends to have their onset. While AU typically decreases by the end of EA, this can be a time of increased isolation and lead to problematic, ongoing use with significant, negative consequences, such as depression, anxiety, or poor sleep. Research has noted similarities between disordered overeating and substance use, resulting in the conceptualization of food addiction (FA). Less is known about trajectories of FA, particularly during EA. Trait impulsivity, a tendency to act without planning or thinking of potential consequences, is associated with problematic AU and FA. Research …

Decomposition And Excavation Of War Memories And Massacres In Na Hong-Jin’S The Wailing, Grace Jung

BCES: Faculty Publications

This chapter examines Korean filmmaker Na Hong-jin’s The Wailing (2016) as an allegory of South Korea’s unresolved colonial and Cold War traumas, arguing that the film’s deliberate ambiguity, cacophony, and generic instability reflect the difficulty of recovering histories of violence that have been suppressed, erased, or inadequately mourned. While scholarship on South Korean zombie cinema has frequently interpreted the zombie through neoliberal capitalism, economic crisis, contagion, and social alienation, this chapter locates the Korean zombie within a longer history of civil war, massacres, sexual violence, and authoritarian state repression. Drawing on Heonik Kwon’s concept of Cold War “decomposition,” the zombie …

Hooks For Four-Dimensional Ecology Education (4dee) Teaching With Differing Audiences Of Nonmajors, Sara E. Scanga, Vikki L. Rodgers, Loren B. Byrne, Justin R. St. Juliana, Jon M. Honea, Erica S. Tietjen, George Middendorf

Arts & Sciences Faculty Publications

Nonmajors (i.e., undergraduate students not majoring in the natural sciences) constitute a majority of United States college graduates and are a large potential audience for courses with ecology content. However, nonmajors may be unmotivated to learn about ecology because they perceive it to be uninteresting and irrelevant to their everyday lives or career goals. Although the Four-Dimensional Ecology Education (4DEE) framework can be adapted for nonmajors courses as a starting point to improve student engagement, we suggest that nonmajors ecology instructors also use ecology hooks as effective gateways to 4DEE that will motivate and deepen student learning. Selecting and developing …

Trickle-Down Coordination: The National Security Advisor’S Role As The Strategic And Operational Planner Of The Dod-Dos Interagency Relationship, Fabio S. Van Loon

Journal of Strategic Security

Forging a coherent U.S. foreign policy requires the competent management of the inter-agency framework. Defining strategy at the cabinet level and ensuring its implementation at the operational level, the National Security Advisor must act as an honest broker of the inter-agency process. This article will examine the role of three National Security Advisors from the Nixon, Carter and George W. Bush administrations, and study two examples of operational success and failure, highlighting the importance of the strategic-operational link. The author concludes by recommending a National Security Council (NSC)-led inter-agency framework that drives consensus-based strategic planning and mandates operational coordination through …

The Element Of Surprise: Highly Maneuverable Satellites And Ssa, Simone L. Montandon

Journal of Strategic Security

Military, commercial, and civil space missions rely on accurate space situational awareness (SSA) to avoid collisions and inform the analysis of the threat environment. Historically, man-made objects in space have been highly predictable because their trajectories were mostly constrained within the orbit they occupied. However, fast-paced progress in engine/thruster technology, energy efficiency, and on-orbit servicing and refueling have allowed satellites to maneuver often and quickly within their lifespan. This added an element of unpredictability that adds further uncertainty to an operational environment that is already highly uncertain. This paper argues that solving this issue will require pursuing continued custody of …

Identifying Signatures Of Unidentified Aerospace Phenomena Through Structured Analytic Techniques, Joshua S. Pierson, Ms, Dss

Journal of Strategic Security

Unidentified Aerospace Phenomena (UAP) penetrate sovereign airspace and sea space with such proliferation that often national security entities are left baffled with how to detect, identify, and respond to such actions. Since World War II, these phenomena were reported to pace aircraft, maneuver at high speeds in an erratic fashion and increase speed to hypersonic velocity when starting from stasis. The study of UAP is shrouded in stigma, perplexing government mishaps, and academic inquiry focusing on the material aspects of UAP, leaving a gap in determining the exhibited capability and intent of these phenomena. The use of structured analytic techniques …

Ai-Enabled Terrorism: A Strategic Analysis Of Emerging Threats And Countermeasures In Global Security, Shai Farber

Journal of Strategic Security

The rapid advancement of artificial intelligence (AI) is transforming terrorist methods and counter-terrorism strategies, with far-reaching effects on global security. This paper examines how terrorists use AI for new attack tactics, propaganda, and coordination, while also evaluating the ethical, legal, and strategic challenges AI introduces into counter-terrorism. Through a systematic literature review and qualitative analysis, the study identifies key trends in AI's impact on security dynamics, highlighting its role in blurring the lines between peace and conflict. An analytical framework is proposed to navigate the complex landscape of AI-driven asymmetric warfare, providing practical insights for policymakers and researchers. The study …

Detecting Drone Threats At Stadiums And Public Venues: Overview, Operational Considerations, And Technical Implementation, Nathan P. Jones, John P. Sullivan, George W. Davis Jr.

Journal of Strategic Security

This article overviews the issue of drone threats to stadiums and public venues. It provides emergency managers and those defending this critical infrastructure with an overview, operational considerations, and a discussion of the technical implementation for defending these sites from drone threats through detection. It provides a discussion of the current limitations of countermeasures and legal frameworks relevant to drones. Throughout, this article uses real drone detection data from the Astroworld concert incident (November 2021) as a notional case study to illustrate the type of drone detection data emergency managers will contend with and what can be gleaned from it. …

Management Of Recurrent Metastasis Of Renal Cell Carcinoma To The Parotid Gland After Nephrectomy., Kathryn Collins, Emily Cushing, Alex Ellerhorst, Christopher Selinsky

Oncology Articles

Renal cell carcinoma accounts for 90% of malignant renal tumors, with common metastases to the lungs, bones, and brain. Head and neck metastases are uncommon, and the parotid gland is an exceedingly rare site (0.5%). Recurrent metastasis to bilateral parotid glands has been reported in the literature, but recurrent metastasis to the ipsilateral gland has not. This is a case about a 69-year-old female who presented to our clinic with the chief complaint of a slowly enlarging left neck mass. She had a history of clear cell renal cell carcinoma treated with nephrectomy 15 years prior. An MRI reviewed from …

Redbird Scholar, Vol. 11, No. 1 (Fall 2025), Illinois State University, Office Of The Vice President For Research And Graduate Studies

Redbird Scholar

No abstract provided.

Addressing Climate Vulnerability And Policy Gaps Of Heat Waves In Upper Egypt: The Case Study Of Al-A’Qaab Village In Aswan, Eman Abdullah

Theses and Dissertations

Heatwaves are currently one of the most dangerous climate hazards globally. Egypt is experiencing an increase in the intensity and frequency of heatwaves, which affects health, economy, infrastructure, and the ecological system. Upper Egypt is one of the most vulnerable regions in Egypt to rising temperatures, particularly in Aswan Governorate. The risks of heat waves are increasing vulnerability among vulnerable groups, such as women and low-income individuals. However, there is a clear gap in protection policies against heat waves, along with a lack of studies examining the effects of heat waves on individuals in Aswan. Accordingly, this thesis aims to …

Seeing Is Believing: Identifying The “Ideal Manifestation Of Hidden Disability” In Ontario’S And Quebec’S Social Benefits Tribunals, Pascale Malenfant

Dalhousie Law Journal

The phenomenon of disability skepticism, especially in relation to “hidden” disabilities like chronic fatigue syndrome (CFS), has fostered a culture of doubt among medical, legal, and public entities. This paper explores the intersection of such skepticism with the social benefits adjudication processes in Ontario and Quebec. In drawing parallels to feminist critiques of the “ideal victim” in sexual assault cases, it argues that the tribunals’ biased framework for believability is based on a claimant’s conformity to stereotypical expectations of what an “ideal” claimant with a hidden disability looks like. By comparatively examining 10 years worth of Ontario and Quebec tribunal …

Misuse Of Financial Services For The Sexual Exploitation Of Children: A Socio-Legal Study In Indonesia, Ahmad Sofian

The Indonesian Journal of Socio-Legal Studies

This paper discusses children in the online space who are entrapped in interactions across various social media applications and digital platforms and became victims of sexual exploitation practices and how this sexual exploitation is facilitated by the availability of diverse financial service providers that allow for transactions between perpetrators and victims as well as distributors and producers. In view of ongoing efforts by the Indonesian government to formulate more relevant and effective regulations for child protection, this study is crucial for our understanding of the realities of sexual exploitation in the context of children’s use of social media and may …

Assessing Credibility Of Open Access Journals For Scholarly Publishing, Daniel G. Kipnis

Library Workshops

Learning objectives:

• Learn the importance of open access publishing.
• Learn some strategies for identifying (top) journals for publication.
• Learn about what to look for in identifying and avoiding predatory publishers.
• Be introduced to resources to help with evaluating open access journals.

Description:

Scholarly publishing is an important part of a faculty member’s academic and scholarly life cycle. With the rise of digital publishing, however, it is important to have the tools and awareness to identify quality journals to publish in. In this workshop, attendees will learn what to look for in identifying and avoiding predatory publishers and will be introduced …

Beyond Democracy: How A Free Press Supports The Rule Of Law, Erin C. Carroll

Cardozo Law Review

Widespread agreement has existed for centuries that a free press is essential to democracy. But legal scholars have spent almost no effort thinking about why else we might need a free press. This article attempts to widen the aperture. It argues that as the free press is essential to democracy, it is just as essential to a separate value: the rule of law. Recognizing and investigating the connections between the free press and the rule of law is essential right now. It can help us discern how the press can create friction against the erosion of both rule of law …

Disability-Related Misconduct And The Untapped Potential Of The Disparate Impact Theory, Kelly Cahill Timmons

Cardozo Law Review

Disabilities often manifest themselves in behavior that could be characterized as misconduct. Since the early days of the Americans with Disabilities Act (ADA), courts have struggled with how to treat disability-related misconduct in the workplace. In Raytheon Co. v. Hernandez, the Supreme Court indicated that terminating an employee for violating a neutral, generally applicable conduct rule is not disparate treatment because of disability. Instead, the Court suggested that concern about the effect of such a rule on a disabled employee should be addressed under the disparate impact theory of discrimination. In the years that followed, Congress enacted the ADA Amendments …

Applications And Control Of Cable-Driven Parallel Robot: A Review, Yasser Hatim Alwan, Muayad Sadik, Ahmed Alaa Oglah

Iraqi Journal of Computers, Communications, Control and Systems Engineering

A cable driven parallel robot (CDPR) is a specific kind of parallel robot that utilizes cables as opposed to traditional rigid links to perform their functions. This gives it the advantages of being lightweight, having a wide operational workspace, and being easier and less expensive to implement than alternatives since it only requires cables operated by motors and fixed to a structure suitable for a certain application, allowing them to move and rotate an end-effector. The concept of this robot is not new though using a fully automated version of it was only started in the mid1980s and witnessed extensive …

Explainabledetector: Exploring Transformer-Based Language Modeling Approach For Sms Spam Detection With Explainability Analysis, Mohammad Amaz Uddin, Muhammad Nazrul Islam, Leandros Maglaras, Helge Janicke, Iqbal H. Sarker

Research outputs 2022 to 2026

Short Message Service (SMS) is a widely used and cost-effective communication medium that has unfortunately become a frequent target for unsolicited messages - commonly known as SMS spam. With the rapid adoption of smartphones and increased Internet connectivity, SMS spam has emerged as a prevalent threat. Spammers have recognized the critical role SMS plays in today's modern communication, making it a prime target for abuse. As cybersecurity threats continue to evolve, the volume of SMS spam has increased substantially in recent years. Moreover, the unstructured format of SMS data creates significant challenges for SMS spam detection, making it more difficult …