Digital Commons Network^™

Alabama’S Ivf Immunity Law: A Constitutional License To Kill?, Dani Wasshausen

Washington and Lee Law Review

In today’s post-Dobbs world, states may freely define fetal “persons” and those fundamental rights afforded to them, but not without consequence. The Supreme Court of Alabama’s groundbreaking decision in LePage v. Center for Reproductive Medicine, P.C., holding that frozen embryos are “children” under the Wrongful Death of a Minor Act, led fertility clinics and services across the state to close. These in vitro fertilization (IVF) providers feared liability exposure because their standard practices—including embryonic fertilization, testing, cryopreservation, and transfer—inevitably result in damage or death to embryos. The Alabama Legislature swiftly responded by enacting a law granting broad civil and criminal …

Patients V. Profits: Addressing Private Equity’S Incursion On Healthcare, Michael Mccarthy

Washington and Lee Law Review

Between 2013 and 2023, private-equity-sponsored investment funds spent one trillion dollars on healthcare acquisitions, targeting hospitals, physician practices, and specialty providers. This Note examines the growing role of private equity in the US healthcare system and its implications for cost, quality, and competition.

ring struggling hospitals and medical practices much-needed capital and managerial expertise. In practice, however, prevalent private equity practices often create moral hazards by prioritizing short-term financial gains over long-term community health. Their reliance on debt, short investment horizons, and consolidation strategies can translate into higher prices, compromised care, and anticompetitive behavior. Mounting empirical studies reinforce these concerns, …

Chat With The ’For You’ Algorithm: An Llm-Enhanced Chatbot For Controlling Video Recommendation Flow, Shuo Niu, Dikshith Vishnuvardhan, Venkata Sai Reddy Punnam

Computer Science

The rise of short-form video platforms like TikTok, driven by algorithmic recommendations, fosters immersive flow experiences. While users value personalization and engagement, they also seek greater agency over their For You recommendations. This paper designs, prototypes, and evaluates TKGPT, an LLM-enhanced conversational interface that helps users articulate their interests and understand recommendations. Through qualitative interviews and a user study, we examine how the TKGPT influences algorithmic folk theories and the sense of agency. Findings show that users primarily use TKGPT to seek relevant videos, explain preferences, and exert control over the algorithm. The resulting For You videos better reflect user …

Long-Term Exposure To Multiple Air Pollutants And Multi-Level Socioeconomic Status: Joint Effects On Age-Related Macular Degeneration, Subsequent Ocular Comorbidity, And Death In Middle-Aged And Older Adults, Yang Yang, Liangkai Chen, Qichen Liu, Min Mu, Jing Huang, Guangming Zhang, Qianqian Song

Faculty, Staff and Student Publications

Background: Both air pollution and socioeconomic status (SES) are recognized as significant determinants of health outcomes. However, no study has explored the combined effects of air pollutants and SES on (1) age-related macular degeneration (AMD) incidence; (2) trajectories from baseline to AMD, subsequent ocular comorbidity (OCMD), and mortality; and (3) life expectancy in middle-aged and older adults.

Methods: Using UK Biobank data, we created two composite air pollution scores (APS) and assessed SES at individual and neighborhood levels. OCMD was defined as glaucoma or cataract occurrence after AMD diagnosis. Cox proportional hazard regression models, multistate models, and life tables were …

Switching From Adalimumab Reference Product To And Among Adalimumab Biosimilars Outside The Usa: Insights For Us Clinicians, John R P Tesser, Aline Charabaty, Adelaide A Hebert

Faculty, Staff and Student Publications

Ten adalimumab biosimilars have been introduced in the United States (USA) since 2023, while adalimumab biosimilars have been available for several years in other countries. These experiences of biosimilar uptake outside the USA can inform US-based healthcare professionals on switching in real-life practice settings. Considerations include how healthcare professionals might meaningfully address patient concerns about outcomes to improve patient satisfaction. A search of the MEDLINE database was used to identify publications on switching to and among adalimumab biosimilars in an ex-US setting, with no restriction on publication language and using a time frame of 1 January 2017 through 12 December …

Prevalence, Treatment Patterns, Burden, And Factors Related To Treatment Failure With Sodium-Glucose Cotransporter 2 Inhibitor In Adults With Type 2 Diabetes In The United States, Xi Tan, Yiwen Cao, Yan Wang, Joanna Boland, Mico Guevarra, Lin Xie, Yan Song, Min Ji Kwak

Faculty, Staff and Student Publications

Aims: To evaluate treatment failure of sodium-glucose cotransporter 2 inhibitors (SGLT2i) among adults with type 2 diabetes (T2D) and assess associated risk factors and clinical and economic outcomes in the real-world setting.

Methods: Adults with T2D who initiated SGLT2i were selected from the Komodo's Healthcare Map, an administrative claims database (2016-2024). Treatment failure was defined as discontinuation, add-on/switching, or uncontrolled glycated hemoglobin (HbA1c) without action. Risk factors, treatment patterns, and clinical and economic burden were assessed.

Results: Among 237,295 eligible adults, the overall rate of treatment failure with SGLT2i was 77.3 %, with a median time to failure of 9.14 …

News From Uab Libraries, 07 2025, Uab Libraries

UAB Libraries News

No abstract provided.

Volume 11 Issue 10 (July 1912)

The Soul Winner

No abstract provided.

The Methane Clumped Isotope Signatures Of The Acetoclastic And Methylotrophic Methanogenesis Pathways, Mia L. Thompson

Dartmouth College Master’s Theses

Methane is a potent greenhouse gas and critical energy source for the global economy. Atmospheric methane concentrations play a critical role in global warming, while mitigating methane emissions may provide route to short-term reduction of warming effects. In order to track rates and sources of emissions, it is first necessary to understand the sources and sinks of methane; yet, there are challenges in distinguishing abiotic (water/rock), thermogenic, and biogenic methane. Traditional approaches of using the bulk isotopes of carbon (δ¹³C) and hydrogen (δD) of methane have limitations due to overlapping signatures and sensitivity to substrate isotope composition. In …

The Ghannouchi Test: The Compatibility Of Religious Ideas And Secular Democracy, Andrew P. Sheppe

Dartmouth College Master’s Theses

Secular, democratic societies and governments evolved out of religious societies and defined themselves partially in opposition to religious authority. This historical relationship has led to a debate about the compatibility between religious ideas and modern, secular society. Ernst-Wolfgang Böckenförde posited that secular, democratic societies still depend on religious foundations. Jürgen Habermas disagrees, claiming that processes of rational dialogue can provide sufficient support.

Two prominent twentieth century theologians, Reinhold Niebuhr and Abraham Joshua Heschel demonstrate that democratic systems are enriched and protected by theistic ideas, thus supporting Böckenförde’s dictum. However, they both recognize the importance of epistemic humility and a …

Retraction: A Database Of Teleseismic Shear-Wave Splitting Measurements For The Ordos Block And Adjacent Areas(Seismological Research Letters (2022), 93, 5, (2731–2739), 10.1785/0220210310), Lin Liu, Stephen S. Gao, Kelly H. Liu, Tu Xue, Yan Jia, Sanzhong Li

Geosciences and Geological and Petroleum Engineering Faculty Research & Creative Works

An earlier version of this article (Liu et al., 2022) included private data from the Himalayan-III program which should not have been made public. The authors acknowledge and regret their negligence during the selection of the measurements. The impacted data represent only 2.7% of the total data published in this article, and after review, the authors and the editors agree that this unintentional error has no bearing on the work's scientific conclusions. Therefore, we are retracting the impacted data and have made corrections to remove any Himalayan-III program data from the article's text, figures, and supplemental tables.

Investing Hysteresis In Floodplain Dynamics Of Lakes In The Middle St. Johns River Using Sentinel-1 Sar Imagery, Keenan Hubbard

Doctoral Dissertations and Master's Theses

Floodplain dynamics are often complex, with hysteresis potentially affecting the temporal relationship between flood stage and flood extent during subsequent inundation phases. This study leverages Sentinel-1 synthetic aperture radar (SAR) imagery to map flood extent in the Middle St. Johns River Lake floodplains and examine the presence of hysteresis during flood events. SAR scenes corresponding to river gauge readings were analyzed from the rising and falling limbs of a flood hydrograph. By comparing these flood maps, we assess differences in inundated areas at equivalent water levels during each stage of the flood event. The findings aim to enhance flood monitoring …

Experimental Analysis Of Satellite Operator Training Using Game-Based Virtual Reality Simulation, Lana Laskey

Doctoral Dissertations and Master's Theses

Satellite data plays a vital role in modern global infrastructure by enabling communications, navigation, and weather forecasting. As demand for satellite technology grows, so does the need for highly trained satellite ground operators. Traditional training regimens for satellite operators employ simulation using two-dimensional computer console displays paired with the varied ability of trainees to generate abstract mental imagery of the scenario. However, this development of mental imagery imposes a considerable learning curve and cognitive workload on the trainee, which may negatively impact the user experience and knowledge gained during the training scenario.

This experimental study investigated the effects of game-based …

Effect Of Vehicular Electrification On Transportation Emissions In Florida, Shreya Sapkota Dhakal

Doctoral Dissertations and Master's Theses

Vehicular emissions from fuel-based passenger cars emit an array of gases and particles that are detrimental for human health and the environment. In that regard, electric vehicles (EVs) present a viable, sustainable solution. This study investigated the impact of electrification of passenger cars on air quality in Florida, in five major urban counties namely Miami-Dade, Duval, Hillsborough, Orange, and Leon. Between 2018 and 2022, these counties experienced a significant increase of 219.50 ± 52.32% in EV adoption, coupled with a 11.55 ± 6.13% decrease in fuel-based vehicle usage. Herein, we characterize five pollutants primarily generated from fuel-based passenger vehicles- carbon …

Mno2 Nanoscale Interface Modification, Alexander C. Skoppe

Doctoral Dissertations and Master's Theses

Interface modification of carbon fibers has been shown to improve the mechanical performance of composites. In addition, interface modification of carbon fiber composites can impart multifunctionality into the resulting composite. This work will explore ZnO and MnO2 as interface modifications for use on carbon fibers. When exposed to high temperatures, carbon fibers undergo fiber degradation, leading to the need for low-temperature hydrothermal processes. This work will develop and characterize a nanoscale ZnO and MnO2 interface modification for use on carbon fibers. These nanomodifications will be developed with low-temperature processes, minimizing the fiber degradation that the fibers undergo. Fourier transform infrared …

Aircraft Bird Strike Risk Prediction Using Machine Learning And Analytic Hierarchy Process, Jason Anthony Powell

Doctoral Dissertations and Master's Theses

To address the limitations of Next Generation Radar-based bird strike forecasting, this study modeled 12 spatiotemporal weather features from the National Oceanic and Atmospheric Administration alongside bird strike risk using Long Short-Term Memory Recurrent Neural Network (LSTM-RNN), XGBoost regression tree, and Bayesian network algorithms. Five years of bird strike data from four geographically diverse airfields served as the target risk variable, categorized as low, moderate, or severe based on Department of the Air Force risk models. The ensemble model, which combines the LSTM-RNN and XGBoost regression algorithms, yielded the most accurate forecasts, achieving 80% to 93% accuracy across all airfields, …

Defending The Golden Fleece: A Study Of Disruption And Resilience In The Movement To Defund Public Libraries In Louisiana, Ciel Lane Quebedeaux

LSU New Orleans Theses and Dissertations

In this moment of societal change and institutional capture, public educational institutions have become sites of contention where national ideological and political debates are carried out in local school and library board meetings across the country. In Louisiana, the creation and expansion of a statewide conservative organization has led to the defunding of public libraries sparked by accusations of grooming and inappropriate programming. In response, local library defenders have created another statewide organization to share information and organizing strategies to combat disinformation campaigns propagated by conservative organizers at local and state levels. This qualitative study includes in-depth interviews with library …

Airway Management During Emergent Laparotomy In A Patient With Subglottic Stenosis And Unilateral True Vocal Cord Paralysis: A Case Report., Rayyan Bhutta, Ali Osman, Connor Henn, Hameed H Salah, Samir Patel

Surgery Articles

This case report describes the airway course of a 52-year-old male who required emergent exploratory laparotomy for suspected gastrointestinal perforation. The patient had underlying subglottic stenosis and unilateral vocal cord paralysis, as well as a history of significant cardiopulmonary disease. Attempts at intubation using standard tube sizes were unsuccessful. A 6.0 endotracheal tube was eventually passed beyond a point of resistance, allowing the operation to proceed. He remained intubated after surgery and was successfully extubated several days later. The report emphasizes the need for adaptable airway plans and highlights the constraints that may arise during urgent operative care.

Cdemapper: Enhancing National Institutes Of Health Common Data Element Use With Large Language Models, Yan Wang, Jimin Huang, Huan He, Vincent Zhang, Yujia Zhou, Xubing Hao, Pritham Ram, Lingfei Qian, Qianqian Xie, Ruey-Ling Weng, Fongci Lin, Yan Hu, Licong Cui, Xiaoqian Jiang, Hua Xu, Na Hong

Faculty, Staff and Student Publications

Objective: Common Data Elements (CDEs) standardize data collection and sharing across studies, enhancing data interoperability and improving research reproducibility. However, implementing CDEs presents challenges due to the broad range and variety of data elements. This study aims to develop a CDE mapping tool to bridge the gap between local data elements and National Institutes of Health (NIH) CDEs.

Methods: We propose CDEMapper, a large language model (LLM)-powered mapping tool designed to assist in mapping local data elements to NIH CDEs. CDEMapper has 3 core modules: (1) CDE indexing and embeddings. NIH CDEs were indexed and embedded to support semantic search; …

Graduate School Blog - July 2025 Volume 1, Cynthia Haynes

UofM Grad School Blog

The July 2025 UofM Graduate School Blog – Volume 1 continues the Cost of Graduate School Guide with a deep dive into hidden and variable expenses such as residency-based tuition differences, program-specific fees, and differential tuition. The blog provides practical tips for prospective students on how to ask the right financial questions when comparing programs. It also features a student spotlight on Billy Brooks, a dual MHA/MBA candidate motivated to transform healthcare access and equity. Upcoming events include a Virtual Fall 2025 Open House with Financial Aid and USBS, a Dissertation Writers Retreat, and both in-person and virtual Graduate Student …

Emerging Biomimetic Drug Delivery Nanoparticles Inspired By Extracellular Vesicles, Viswanathan Sundaram, Santosh Aryal

Pharmacy Faculty Publications and Presentations

Nanoparticles (NPs) made up of cellular components such as extracellular vesicles (EVs) with a biomimetic outlook have emerged as a revolutionary approach in nanomedicine, providing significant benefits for targeted drug administration, immunotherapy, monitoring therapeutic response, and diagnostic applications. Utilizing the distinctive characteristics of natural cell membranes, membrane proteins, and cellular contents, these biomimetic NPs acquire essential biological functions from their source and biogenesis, including immune evasion, extended circulation, and target recognition, rendering them optimal candidates for therapeutic applications. This review offers a comprehensive examination of the methodologies of EVs infused with synthetic.

Exploring Veteran And Non-Veteran Nursing Student Satisfaction Utilizing Marginality And Financial Stress, Juanita Nickols

Nursing Theses and Dissertations

It is widely recognized that there is a nursing shortage in the U.S. due to a growing aging population, nurses retiring, and a low nursing school capacity. Nursing schools can ameliorate part of this shortage by devising ways to increase nursing student success and graduation rates. This three-manuscript paper aims to present various ideas to help nursing schools in this endeavor. A relatively unstudied population is the veteran nursing student (VNS), the focus of this paper. The first chapter, Chapter 2: A Concept Analysis of Overload: Implications for Undergraduate Nursing Students Success, discusses the concept of overload so the …

Petition

Catholic Dioceses in Bankruptcy

No abstract provided.

Ai-Based Classification Of Pediatric Breath Sounds: Toward A Tool For Early Respiratory Screening, Liu Lichuan, Wei Li, Elizabeth Moxley

Faculty Articles, Papers, and Other Scholarship

Context: Respiratory morbidity is a leading cause of children’s consultations with general practitioners. Auscultation, the act of listening to breath sounds, is a crucial diagnostic method for respiratory system diseases. Problem: Parents and caregivers often lack the necessary knowledge and experience to identify subtle differences in children’s breath sounds. Furthermore, obtaining reliable feedback from young children about their physical condition is challenging. Methods: The use of a human–artificial intelligence (AI) tool is an essential component for screening and monitoring young children’s respiratory diseases. Using clinical data to design and validate the proposed approaches, we propose novel methods for recognizing and …

She Speaks With Stars: Teacher Support For American Indian Students Who Are Gifted And Have Experienced Trauma, Tracy L. Olson

School of Education and Leadership Student Capstone Theses and Dissertations

Olson, T.L. She Speaks with Stars: Teacher Support for American Indian Students Who Are Gifted and Have Experienced Trauma. (2025)

This qualitative study utilized grounded theory analysis through the use of survey and interview to research how teachers support American Indian students who are gifted and have experienced trauma. The study focused on survey results as well as interviews of a selection of teachers from various grade levels, years of experience working with American Indian students, and roles in the educational system. The themes that emerged from the data illustrate the imperative need for more research into Native American students …

The Evaluation Of Anti-Factor Xa Levels In Hospitalised Patients Receiving Low Molecular Weight Heparin (Lmwh): A Prospective Study, Tandzile Thandwayinkosi Simelane

Master of Medicine in Clinical Pathology

Background 

Patients admitted to the hospital have been reported to have coagulation abnormalities due to various factors including immobilisation, preexisting disease, and current illness. The overall incidence of venous thromboembolism (VTE) in critically ill patients varies from 15% to well over 50%, even with the use of prophylactic measures in most patients. Low molecular weight heparin (LMWH) and unfractionated heparin (UFH) are the recommended drugs for VTE prophylaxis in inpatient care. Although not standardly recommended, the laboratory can offer monitoring of anti-Factor Xa using the gold standard method of chromogenic anti-Factor X assay. The anti-Factor Xa levels are notably affected …

Phylogenomic And Population Genomic Analyses Of Ultraconserved Elements Reveal Deep Coalescence And Introgression Shaped Diversification Patterns In Lamprologine Cichlids Of The Congo River, Fernando Alda, S. Elizabeth Alter, Naoko P. Kurata, Prosanta Chakrabarty, Melanie L J Stiassny

Biology, Agriculture and Chemistry Faculty Publications and Presentations

Understanding the drivers of diversification is a central goal in evolutionary biology but can be challenging when lineages radiate quickly and/or hybridize frequently. Cichlids in the tribe Lamprologini, an exceptionally diverse clade found in the Congo basin, exemplify these issues: their evolutionary history has been difficult to untangle with previous data sets, particularly with regard to river-dwelling lineages in the genus Lamprologus. This clade notably includes the only known blind and depigmented cichlid, Lamprologus lethops. Here, we reconstructed the evolutionary, population, and biogeographic history of a Lamprologus clade from the Congo River by leveraging genomic data and sampling over 50 …

Statistical Monitoring Of Hard Faults In Digital Systems, Dany Akshay Deep Isukapalli

Electrical Engineering Theses and Dissertations

Achieving a high test coverage is crucial for helping to ensure that integrated circuits are working correctly and are non-defective. Although scan-based structural tests are used throughout the industry, high-level functional tests may be needed to detect some defects— especially those that are environmentally sensitive. Unfortunately, the character of functional test makes it difficult to obtain high coverage, and it is even hard to estimate coverage because fault simulation times of large circuits are long. As a result, some method is required for predicting the ability of a functional test that has not been fault simulated to detect defects. In …

The Use Of Visuals In Preschool Settings To Improve Student Engagement And Student Participation At Group Timet, Lexie Flug

Master's Theses & Capstone Projects

Engagement are participation in early childhood are essential for social growth and child development. Distractions at group time are a barrier to student engagement and participation. These distractions lead to less instructional time. Research shows higher levels of engagement and participation increase academic success. This inquiry-based research study aims to determine if the visual support of "Give Me 5" increases student engagement and participation at group time. The study utilized a qualitative approach, using classroom observations and teacher questionnaires for a preschool classroom. The findings revealed that implementing visual support at group time increased student participation with a slight increase …

The Importance Of Collaboration Between Teachers And Mental Health Professionals To Support Trauma-Impacted Students, Kimberly Lemonds

Master's Theses & Capstone Projects

Students impacted by trauma face emotional and behavioral challenges that affect their learning and social development. Collaboration between early childhood educators and mental health professionals is critical to providing effective support, yet this partnership often remains informal and inconsistent. This inquiry-based mixed-methods study explored how such collaboration functions in an early childhood center serving preschool and kindergarten students. Data from surveys and interviews with educators and mental health staff revealed barriers including limited time, unclear roles, and insufficient training. Despite these challenges, participants emphasized the benefits of structured communication, joint professional development, and school-community partnerships. The study highlights the need …