Digital Commons Network^™

Examining Public Satisfaction With The Saudi Health System: Findings From The 2019 Kingdom Of Saudi Arabia World Health Survey, Ali M. Khashab

Saudi Medical Journal

No abstract provided.

Combating Antimicrobial Resistance In Asia: A Comprehensive Review Of Strategic Action Plans, Policies, And The Role Of The Who, Saud Almawash

Saudi Medical Journal

ABSTRACT Over the past 70 years, antimicrobial resistance (AMR) has emerged as a critical public health concern in Asia. Regional challenges such as dense population, scarce resources, and diverse healthcare systems further complicate the containment efforts. To address this, Asian countries have adopted several strategies and policies. A comprehensive review of published literature was conducted to identify key policies and interventions. Findings revealed diverse approaches to AMR containment, including surveillance and monitoring systems, antibiotic stewardship programs, infection control measures, vaccination strategies, and public health awareness campaigns. However, implementation of these strategies is hindered by resource, political, and regulatory barriers. The …

Unlocking Hidden Health Risks: Exploring Community-Based Screening For Kidney Disease, Rehab B. Albakr, Fadel Alrowie, Ibrahim A. Sandokji, Omar A. Alshammari, Hadeel A. Mitwalli, Hamood Alsudais, Abdulaziz B. Albacker, Mohamad-Hani Temsah, Ahmed H. Mitwalli, Khalid A. Alhasan

Saudi Medical Journal

ABSTRACT Objectives: To conduct a community-wide screening of the Saudi population for chronic kidney disease risk factors. Methods: This study utilized a non-selective, exploratory point-of-care screening approach involving 215 participants in Riyadh, Saudi Arabia, during a kidney disease awareness campaign for World Kidney Day in March 2022. Participants were randomly selected, and their estimated glomerular filtration rates (eGFRs) were measured to assess kidney function. Results: The findings revealed that 4% of participants had eGFRs less than 60 mL/min/1.73 m², 34% had eGFRs between 60 and 90 mL/min/1.73 m², and the rest had eGFRs over 90 mL/min/1.73 m². Key risk factors …

Mda At Your Service: A Deaf Person Wants To Become My Patient, Rachel Sinacola Dds, Ms

The Journal of the Michigan Dental Association

The column clarifies that under the Americans with Disabilities Act (ADA), dental offices must provide auxiliary aids or services for patients with hearing impairments, which may require a professional interpreter paid for by the dentist in complex visits. Members are encouraged to notify the MDA about practice/life changes (e.g., address changes or caseload shifts) to ensure proper benefits and dues discounts. New associates are strongly urged to utilize the MDA resource for contract review, which offers a 10% discount with Kerr Russell Attorneys. Additionally, the MDA Store provides free Labor Poster Packets, fulfilling state and federal employer requirements.

J Mich Dent Assoc December 2025

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons. The December 2025 (Volume 107, No. 11) issue of the Journal is published in a digital-only format to provide updates and insights for Michigan's oral health community and MDA members. Print editions will resume in the new year.

This issue includes feature articles on the Michigan Dental Foundation, A Case for Credentialing Dental Assistants, and a feature …

Staff Matters: How To Get Creative With Staff Benefit Offerings, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

Small practices must be intentional and creative with benefits to distinguish themselves in the competitive labor market. Strategies include offering Individual Coverage Health Reimbursement Arrangements (HRAs) or covering dental/vision care. Work-life balance benefits are highly valued, such as flexible scheduling, additional paid time off beyond the state-mandated Earned Sick Time Act, or time off for birthdays. Practices should consider financial wellness options like retirement savings plans or student loan repayment assistance. Professional development, like covering certifications and offering mentorship, is crucial. Using platforms like TASC or Fringe to provide flexible "lifestyle" benefits allows employees to choose perks that matter most …

Back Page: 9th District Delegation Attends Ada House Of Delegates, Michelle M. Nichols-Cruz

The Journal of the Michigan Dental Association

The ADA 9th District delegation, representing Michigan and Wisconsin, attended the ADA House of Delegates meeting in Washington, D.C., in October, which coincided with the ADA SmileCon event. During the meeting, Dr. Deb Peters, former MDA president and MDA House Speaker, was elected Speaker of the ADA House. This historic election makes Dr. Peters the first female ADA speaker. Dr. Michele Tulak-Gorecki, outgoing 9th District ADA trustee, was unsuccessful in her bid for ADA president-elect. The next ADA House meeting is scheduled for October 10-13, 2026, in Indianapolis, Indiana.

The Case For Credentialing Dental Assistants, Michelle Godofsky

The Journal of the Michigan Dental Association

Credentialing dental assistants is presented as a method to enhance productivity and address workforce shortages; currently, only about 15% of Michigan dental assistants are Registered Dental Assistants (RDAs). A case study at Thunder Bay Community Health Service, an FQHC in Northern Michigan, illustrates success, where RDAs perform expanded functions—like placing restorations and monitoring nitrous oxide—boosting clinic productivity by 16%. The clinic supports its dental assistants by covering education and exam expenses and providing study time during work hours. This investment improves job satisfaction, confidence, morale, and patient communication among staff, strengthening employee retention.

2025 Author/Title Index To The Journal Of The Michigan Dental Association, Jackie Hammond

The Journal of the Michigan Dental Association

This comprehensive resource indexes articles published throughout 2025 in the Journal of the Michigan Dental Association. The content covers a wide range of topics relevant to Michigan dentistry, practice management, and legal compliance. Articles include findings on dental utilization rates pre- and post-COVID, legal guidance on issues like covenants not to compete and dental records, and clinical topics such as treating children with special needs. The index also features reports on MDA membership, the Foundation’s work, and analyses of generational differences in the workforce.

Analyzing The Impact Of Diet On Dusky Gopher Frog (Lithobates Sevosus) Development In Head Start Programs, Mckalyn Nelson

Honors Theses

Species are constantly impacted by human activity, directly or indirectly. One critically endangered species under investigation is the dusky gopher frog (Lithobates sevosus), which is an endemic species of frog found in the southeastern United States. Historically found from Louisiana to Alabama, a drought in 2002 narrowed the dusky gopher frog range even further. Head start programs have been shown to be effective in increasing population numbers; however, there is not much published data on the effectiveness of captive rearing diets for these programs. The dusky gopher frog head start program at the University of Southern Mississippi’s Lake …

The Effect Of An English Mother Tongue On Spanish Language Acquisition, Erin Wallace

Honors Theses

This study investigates how English influences the Spanish acquisition of English-speaking learners by analyzing written errors, background factors, and interview data. Using two linguistic classification frameworks, it identifies both the types and underlying causes of errors, revealing that gender and plural agreement issues, verb forms, word order problems, and subjunctive misuse are the most frequent difficulties. These errors primarily stem from first-language transfer, overgeneralization, and instructional gaps. The findings highlight the need for targeted practice, contrastive analysis, and greater exposure to authentic Spanish input. Despite limitations such as small sample size and incomplete interview participation, the study offers direction for …

Near-Infrared-Spectroscopy-Derived Oxygen Desaturation Rates During Post-Exercise Circulatory Occlusion As Predictors Of Cardiorespiratory Fitness Markers, Carstell Lee

Honors Theses

Cardiorespiratory fitness, measured as maximal oxygen consumption (VO₂max) is a critical predictor of all-cause mortality and overall cardiovascular health. Metabolic carts are the current gold standard for evaluation of VO₂max, but are inaccessible to most facilities and individuals, and are expensive ($20,000+). Near-Infrared spectroscopy (NIRS) has emerged as an accessible and affordable ($5,000-$10,000) alternative for evaluating skeletal muscle oxygenation kinetics and mitochondrial oxidative capacity. However, there is limited research in examining whether NIRS-derived oxygen desaturation rates can be a predictor of cardiorespiratory fitness markers (such as VO₂max and peak power output [PPO]), and whether these measurements show a superior predictive …

Expression, Purification And Characterization Of Full Length Tdp-43, Danya Abouzaid

Honors Theses

TAR DNA-binding protein 43 (TDP-43) is a 43 kDa RNA-binding protein linked to several neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS), frontotemporal dementia (FTD), and Alzheimer’s disease. 5-7,28,30,33 Studying full-length TDP-43 has been difficult because of its intrinsic instability and tendency to aggregate.19,25,28,33,36 In this study, we focused on overcoming the difficulties to express full-length TDP-43 in E. coli recombinantly. We focused on expressing full-length TDP-43 as a fusion construct with a maltose-binding protein (MBP) to improve solubility and stability. Our strategy was to purify TDP-43-MBP fusion and make biomolecular condensates with RNA before cleaving the tag with thrombin protease. …

An Assessment Of The Relationship Between Stress And Glucose Levels In Medical Laboratory Science Students, Jayla Edwards

Honors Theses

Stress is prevalent among college students. Prolonged, unmanaged stress can affect physiological processes such as glucose metabolism. This study aimed to examine the effects of stress on glucose levels of medical laboratory science (MLS) students at the University of Southern Mississippi (USM). To achieve this, the participants’ perceived stress levels and glucose levels were measured at the beginning of the semester and during finals week, a period when college students typically experience the most stress. There were nineteen MLS students that participated. Data was collected at two phases: phase 1 at the beginning of the semester and phase 2 during …

Beyond The Classroom: The Role Of Cultural Capital In College-To-Career Transitions, Keynijah Sullivan

Honors Theses

For many college students, the transition into the workforce is shaped not only by academic knowledge, but also by access to less visible resources, often referred to as cultural capital. Research has been done in the past that discusses how cultural capital is transferred through families, its role in academic settings, and its impact on employability. However, there is a gap in research focusing on the role of cultural capital in college-to-career transitions. This study uses qualitative methods, specifically semi-structured interviews with junior and senior undergraduates at the University of Southern Mississippi. The purpose of this study is to better …

Asymptomatic Cryptococcal Antigenemia: A Multi-Clinic Cross-Sectional Study On The Prevalence, Associated Factors And Predictors Of Three-Month Outcomes Among Antiretroviralnaïve And Antiretroviral-Experienced Hiv Patients In Dar Es Salaam, Tanzania, Mandela Makakala, Mukasa Mohammed, Mabula Mabelele, Kamran Hameed, Philip Adebayo

Internal Medicine, East Africa

Background: Cryptococcal meningitis remains a leading cause of HIV/AIDS-related mortality, predominantly in Sub-Saharan Africa. Current screening and prevention efforts primarily target antiretroviral therapy (ART)-naïve patients, whereas strategies for ART-experienced individuals are less well defined.

Objectives: This study primarily aimed at determining the prevalence of asymptomatic cryptococcal antigenemia (ACA) among ART-naïve and ART-experienced patients, along with associated factors and predictors of three-month outcomes among HIV patients in three HIV clinics in Dar es Salaam, Tanzania. Secondarily, factors associated with serum cryptococcal antigen positivity in the overall study population were also assessed.

Methods: This cross-sectional clinic-based study recruited 273 HIV-positive participants (ART-naïve …

Why Doody's New Health Humanities List Is A Vital Catalyst, Sandra Y. Desjardins

Library Staff Publications

No abstract provided.

A Feasibility Study Of Sexual Organ-Dose Sparing Volumetric Modulated Arc Therapy In Female Low Rectal Cancer Patients Treated With Three-Dimensional Conformal Radiation Therapy, Margaret Downes, Victoria Olsen, Andre Williams, Rendi Sheu, Maria Thor, Lucy Greenwald, Vishruta Dumane, Kristin Hsieh, Ayesha Ali, Orly Morgan, Michael Buckstein, Deborah Marshall

Department of Radiation Oncology Faculty Papers

BACKGROUND: Sexual dysfunction is a significant toxicity of pelvic radiation therapy (RT) for female rectal cancer patients and may be more common with intensity-modulated techniques compared to three-dimensional conformal radiation therapy (3D-CRT). However, limited research has evaluated dose sparing of female sexual organs at risk (OARs), particularly erectile tissues that are critical for sexual function.

PURPOSE: This feasibility study aimed to demonstrate the practicality of contouring and sparing female sexual OARs in rectal cancer RT by generating sexual organ-sparing volumetric modulated arc therapy (SO-VMAT) plans from a small 3D-CRT cohort and comparing dose distributions to guide future planning.

METHODS: Nine …

Identity And Representation In Contemporary Art: An Inclusive 400/500-Level Art History Seminar Course, Laura E. Franz

Theses

This project is an upper-level art history seminar addressing identity and representation – specifically related to race, ethnicity, gender, and sexuality – in contemporary art. Primarily a discussion-based course, the course is focused on inclusivity and is highly structured, with weekly low-stakes assignments that provide students with ample opportunities to practice engaging with academic texts. Designed for students with varying levels of academic skills, it is built around current non-academic articles that students select via an online survey. Students then “unpack” the “big ideas” in each of the four chosen non-academic articles via a cluster of academic readings and videos …

Accessible Preservation: Developing A Low-Cost, Iiif-Compliant Workflow For Small Art Collections, Robyn Palescandolo

Theses

This project explores the development of an affordable, standards-based digital collections management system designed for small galleries, independent artists, and emerging institutions. Using the artist’s own studio collection as a case study, the research integrates accessible hardware and open-source technologies, including the International Image Interoperability Framework (IIIF), Artwork Archive, GitHub Pages, and the Internet Archive, to establish a transparent, replicable workflow for cataloguing and publication. The project demonstrates how interoperability, metadata consistency, and open access can be achieved without reliance on costly proprietary systems, such as TMS Collections or PastPerfect.

The workflow includes high-resolution image capture, 3D scanning, data normalization, …

A Stochastic Framework For Hosting Capacity Analysis Of Residential Distribution Systems With Solar Photovoltaic And Electric Vehicle Adoption, Sina Ibne Ahmed

Theses and Dissertations

The rise of distributed generation and the electrification of transportation are driving fundamental changes in the electric grid. The growing adoption of electric vehicles and solar rooftops introduces significant uncertainty in demand patterns, posing new challenges for the operation of distribution systems. Residential distribution systems are particularly vulnerable to the impacts of residential solar photovoltaics (PV) generation and electric vehicle charging, as they introduce significant variability and localized stress on the grid. To ensure reliable and efficient operation, utilities must account for the long-term growth of these technologies in their planning processes. While substantial progress has been made in assessing …

Culture-Dependent Characterization Of Microbial Succession And Persistence In The Integrated Lunar/Martian Analog Habitat (Ilmah), Haley Olivia Boles

Theses and Dissertations

This study examines culture-dependent microbial monitoring in a closed lunar/Martian analog habitat, focusing on viable community dynamics relevant to long-duration missions. A standardized sampling and cultivation pipeline was implemented in ILMAH to track microbial succession and persistence under realistic operational conditions. Surface samples were collected across eight habitat zones at five mission timepoints (Days 0, 5, 10, 15, 20) during a 21-day crewed mission. Samples were concentrated post-collection and plated on chromogenic film media to quantify total aerobic bacteria (AC-R), fungi (YM-R), E. coli (EC), and S. aureus (SA). Plates were imaged and enumerated digitally; representative colonies were isolated and …

Leptinotarsa Texana Schaeffer And Gargaphia Arizonica Drake & Carvalho As Potential Biocontrol Agents For The Noxious Weed Solanum Elaeagnifolium Cav, Samikshya Subedi, Stephanie L. Kasper, Alexis Racelis, Greg Lefoe, Rupesh R. Kariyat

School of Earth, Environmental, & Marine Sciences Faculty Publications

Silverleaf nightshade (Solanum elaeagnifolium Cav.; SLN) is a perennial forb native to the southern United States, Mexico and South America that has become a serious agricultural weed across the world. Biological control has emerged as a significant alternative for the management of (SLN) due to the challenges and high costs associated with chemical and mechanical controls. In this study, we used a combination of field and laboratory studies to (1) explore the fundamental and realized host ranges of two North American insects, Leptinotarsa texana Schaeffer and Gargaphia arizonica Drake & Carvalho and (2) assess their suitability as potential biological …

Particle Migration In Non-Newtonian Fluid Flows Through Curved Microchannels, Sanskruti Ramesh Raut

All Dissertations

Innovations in microfabrication over the past three decades have enabled the development of microfluidic devices with intricate channel geometry. Microfluidic platforms offer controlled manipulation of fluids and particles by leveraging the internally induced and/or externally imposed force field(s). The demand for compact microchannel geometry has turned the attention toward curved microchannels with significantly reduced footprints. However, most of the previous studies in curved microchannels have been limited to particle migration in Newtonian fluids. The influence of fluid rheology has remained largely unexplored.

In the first part of this dissertation, we present a systematic experimental study on the influences of fluid …

Universal Systems Simulation Via Constraint Hypergraphs With Applications To Digital Twins, John Morris

All Dissertations

The characterization of systems encompasses a variety of modeling frameworks designed to capture specific behaviors and components of various system domains. Whatever the framework, the core elements of a system representation are the information of the system and a description of how that information is related. The relations in deterministic systems are functions, which, when composed to form executable processes, can be used to simulate system data. A declarative modeling framework is one that encodes mechanisms for preparing these simulations within the model structure, allowing an external agent to form the execution processes required for a given context. To date, …

Thermal Management Of Power Electronic Converters In Electric Motor Drives Using Active Thermal Control And Active Cooling, S M Imrat Rahman

All Dissertations

The application of power electronic converters (PEC) in electric vehicles (EVs) has significantly increased due to their enhanced controllability and flexibility. Additionally, Permanent Magnet Synchronous Machines (PMSMs) are favored in EVs for their higher torque, efficiency, performance, and heat dissipation capabilities compared to asynchronous machines. The reliable operation of power converters in PMSM drives is crucial for EV operation, and this is driving interest in developing innovative and sustainable technologies that ensure the safe and reliable functioning of PECs. One of the main challenges in achieving reliable PECs is designing effective thermal management systems to control junction temperature and reduce …

Drivers Of Faunal Communities In Isolated Wetlands: Local And Landscape Determinants Of Assemblages, Joshua Holbrook

All Dissertations

Ecological interactions such as predation are vital to shaping the distribution of organisms. For interactions to occur, organisms must undertake movement, such as dispersal, that places them in proximity to the organisms with which they may interact. Geographically isolated wetlands (GIW) are productive and biodiverse ecosystems, but little is known on broad geographic scales about the determinants of their fauna. Fishes have difficulty colonizing GIW, whereas amphibians and macroinvertebrates are adept overland dispersers – though they may be sensitive to top-down control by fishes. To better understand these phenomena, I sampled 10-20 wetlands each at nine regions in North and …

Digital Reflections: Evaluating Body Dissatisfaction In Xr Through Eye- And Body-Tracked Virtual Humans, Deyrel Diaz

All Dissertations

In an era where digital and physical realities increasingly intertwine, the perception of body image is undergoing a significant transformation. Traditional understandings of body dissatisfaction, long studied in relation to psychological distress and eating disorders, are now being reshaped by technologies such as Virtual Reality (VR), Augmented Reality (AR), and Artificially Intelligent (AI)- generated media. These technologies have introduced novel ways of experiencing and interacting with the human form, raising critical questions about their impact on self-perception and internalization of beauty standards.

As virtual representations become more prevalent in entertainment, social media, and interactive platforms, it is becoming more crucial …

Numerical Calculations Of The Electromagnetic And Gravitational Wave Signatures Of Unequal Mass Black Hole Binary Inspirals, Madeline Clyburn

All Dissertations

In 2015, the Laser Interferometer Gravitational-Wave Observatory (LIGO) measured the first gravitational waves (GWs) from the coalescence of two stellar-mass black holes. This detection marked a historic milestone in astrophysics, confirming general relativity and establishing the existence of gravitationally bound black holes. Since then, researchers have extended the search to even more massive black hole mergers. Recently, the International Pulsar Timing Array (IPTA), including the North American Nanohertz Observatory for Gravitational Waves (NANOGrav), detected a nanohertz GW background from supermassive black hole binaries (SMBHBs), black holes with masses M ≃10^7−10^9 M⊙ orbiting throughout the universe. However, a single SMBHB has …

Performance And Interpretability Analysis Of Code Generation Large Language Models, Vishnu S. Pendyala, Neha B. Thakur

Faculty Research, Scholarly, and Creative Activity

As Large Language Models (LLMs) are increasingly getting integrated into software development workflows, understanding their reliability, error patterns and interpretability in real-world development scenarios is crucial for establishing their practical utility. This study evaluates and interprets the performance of 15 open-source LLM models, including Code LLaMa, Granite Code, DeepSeek-Coder-V2, and Yi-Coder on code translation and generation from requirements using the Rosetta Code dataset across diverse programming languages and tasks. Syntactic correctness and code quality are quantified using metrics such as CodeBLEU, chrF, and METEOR. Interpretability is explored through Feature Ablation and Shapley Value Sampling to elucidate prompt processing mechanisms. Results …