Digital Commons Network^™

Pragmatic Clinical Decision Support Trial Of Pre-Checked Default Orders: Monitoring Safety And Adverse Clinical Outcomes, Adam Wright, Patricia Dykes, Christoph U Lehmann, Lipika Samal

Faculty, Staff and Students Publications

No abstract provided.

Long-Term Fxa Inhibition Attenuates Thromboinflammation After Acute Myocardial Infarction And Stroke By Platelet Proteome Alteration, Maike Barcik, Philipp Mourikis, Khrystyna Shchurovska, Carolin Helten, Vincent Ehreiser, Zhang Zhe, Franziska Von Wulffen, Alexander Theiss, Sameera Peri, Sophie Cremer, Samantha Ahlbrecht, Saif Zako, Laura Wildeis, Gabrielle Al-Kassis, Daniel Metzen, Amelie Utz, Hao Hu, Lilian Vornholz, Goran Pavic, Enzo Lüsebrink, Jan Strecker, Steffen Tiedt, Mareike Cramer, Michael Gliem, Tobias Ruck, Sven G Meuth, Tobias Zeus, Christoph Mayr, Herbert B Schiller, Lukas Simon, Steffen Massberg, Malte Kelm, Tobias Petzold

Faculty, Staff and Students Publications

Background: Immediate activated factor (F)X (FXa) inhibition exerts direct antiplatelet effects in the context of arterial thrombosis but little is known about the impact of long-term therapy on platelet function in ischemic cardiovascular diseases.

Objectives: Therefore, we analyzed platelet-derived effects of long-term FXa inhibition in the setting of acute myocardial infarction (AMI) and stroke.

Methods: We evaluated the effect of acute versus chronic FXa inhibition on thromboinflammation following AMI and stroke in mice in vivo. Mechanistically, we identified changes in platelet gene expression and proteome under chronic FXa nonvitamin K antagonist oral anticoagulant treatment and characterized its functional consequence on …

Forearm Versus Upper Arm Location Of Arteriovenous Access Used At Hemodialysis Initiation: Temporal Trends And Racial Disparities, Neal R Barshes, Wolfgang C Winkelmayer, L Parker Gregg

Faculty, Staff and Students Publications

Rationale & objective: Race and ethnicity differences exist in the type of arteriovenous access (AVA, including fistulas and grafts) used at hemodialysis (HD) initiation. The preferred anatomic location for the creation of an initial HD AVA is typically in the forearm We evaluated race and ethnicity differences in the use of an AVA in the forearm location at HD initiation.

Study design: Retrospective cohort study.

Setting & participants: Using records from DaVita Kidney Care linked to the US Renal Data System (USRDS), we evaluated patients aged≥16 years who initiated in-center HD with an AVA between 2006 and 2019.

Predictor: Race …

Prospective Analysis Of Liver Stiffness Measurement By Vibration Controlled Transient Elastography As A Predictor Of Outcomes In Biliary Atresia, Daniel H Leung, Ronald J Sokol, Benjamin L Shneider, Children Force Outcomes Working Group

Faculty, Staff and Students Publications

No abstract provided.

Hear Ye, Hear Ye, Camaraderie For All, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

The 2025 Michigan Dental Association Annual Session returns to Detroit from April 23-26, 2025, at the Renaissance Center. This premier event offers continuing education (CE) courses, social gatherings, and keynote speakers. Attendees can earn up to 18 CE credits across specialized tracks, including leadership, new dentists, and dental business professionals. Featured events include the MDA Foundation Sparkling Smiles Celebration, a Women’s Leadership Event, and keynotes by Hoan Do and Sean Astin. With networking, entertainment, and professional growth opportunities, this event is a must for the dental community.

Dentistry And The Law: What You Should Know About Collecting Past-Due Accounts, Daniel Schulte J.D.

The Journal of the Michigan Dental Association

Michigan law regulates debt collection practices for dental offices collecting past-due accounts. While practices can collect their own debts, they must follow specific restrictions regarding workplace communications. The law prohibits harassment, deceptive practices, and sharing debt information with employers or coworkers. Contact at workplaces must be discreet, civil, and cease if the patient expresses inconvenience. Communications are restricted between 9 p.m. and 8 a.m. without permission.

Mda Insurance: Simple Tips To Improve Your Property’S Insurability, Jeff Spindler Mda Ifg

The Journal of the Michigan Dental Association

The article discusses the importance of proactive home maintenance in maintaining property insurability and managing insurance premiums. It highlights how insurance companies are responding to increased claims from weather events, particularly wind and hail damage in Michigan. The author emphasizes that while insurance covers unexpected damage, it doesn't cover normal wear and tear or deferred maintenance. The piece provides six practical tips for homeowners to reduce risk and prevent insurance claims, ultimately helping to stabilize premium rates.

Mda Services: These Three Companies Can Help You Establish Your Own Practice, Reva Darling

The Journal of the Michigan Dental Association

Starting or acquiring a dental practice is a significant but rewarding endeavor. The Michigan Dental Association (MDA) endorses three key companies to assist dentists in this process: Bank of America Practice Solutions for financing, Bridge Commercial Realty for real estate guidance, and PPO Negotiation Solutions for optimizing insurance participation. These vetted partners offer essential support in securing loans, selecting practice locations, negotiating leases, and managing insurance networks, ensuring dentists establish financially sound and sustainable practices.

Staff Matters: Onboarding Vs. Orientation: How To Start Employees Off Right, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

The article distinguishes between employee orientation and onboarding, explaining that onboarding is a more comprehensive, months-long process of integrating new employees into an organization. While orientation is a single-day event focusing on initial introductions and paperwork, proper onboarding encompasses four key stages: pre-boarding, orientation, training and development, and integration. The article emphasizes that investing in a robust onboarding process leads to improved employee satisfaction, faster proficiency, and reduced turnover, ultimately benefiting the practice's bottom line.

J Mich Dent Assoc February 2025

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It is the primary publication reaching Michigan dentists. The February issue sets the tone for the MDA’s Annual Meeting, Revving Up Dentistry, this April in Detroit.

A detailed Annual Session Preview is included within the Journal with course listings and activities planned for the four-day event. Regular Departments: News You Need, New Dentist Column, MDA Insurance, Dentistry and the Law, Staff Matters, MDA at your Service, Governmental Affairs, and a Michigan Dental …

Analyzing The Creation And Use Of Abbreviations In Cardiology And Cardiac Imaging Society Guidelines, Sofia W Ye, Daniel E Forsha, Enrique Garcia-Sayan, Jeffrey C Hill, Carol Mitchell, Vera H Rigolin, Vandana Sachdev, Partho P Sengupta, Vincent L Sorrell, Jordan B Strom, Alexander M Ye, Cynthia C Taub

Faculty, Staff and Students Publications

BACKGROUND: Abbreviation use in clinical and academic cardiology is widespread, yet there are few guidelines regulating the creation and utilization of abbreviations. Inconsistent abbreviations can introduce ambiguity and pose challenges to practice and research.

OBJECTIVES: The authors aimed to analyze how abbreviations are created and utilized in general cardiology and cardiac imaging society guidelines in order to assess whether ambiguities and discrepancies exist between societies.

METHODS: Abbreviation data were collected from 7 national and international societies of general cardiology and cardiac imaging over a 6-year span (2018-2023). Data were linguistically coded for abbreviation type, unique occurrence, meaning or sense count, …

Skin Manifestations And Related Clinical Characteristics Of Multisystem Inflammatory Syndrome In Children: A Descriptive Retrospective Cohort Study At Texas Children’S Hospital, Soo Jung Kim

Faculty, Staff and Students Publications

BACKGROUND: Little is known about the dermatologic manifestations of multisystem inflammatory syndrome in children (MIS-C) in children and adolescents.

OBJECTIVE: We sought to describe the demographic background, key clinical features, and the clinical consequences of developing rash manifestations in MIS-C patients at Texas Children's Hospital.

METHODS: Descriptive retrospective cohort study of 290 hospitalized eligible patients between May 2020 and April 2022.

RESULTS: Among MIS-C patients, 51% exhibited a rash. We found that younger children (8.62 vs 9.49 years of age,

LIMITATIONS: Rash characteristics were initially described by a variety of physicians in the pediatric primary care services.

CONCLUSION: Rash manifestations …

Spatiotemporal Deep Learning For Land Cover And Impervious Surface Mapping With Satellite Imagery, Rylie Fleckenstein

Masters Theses & Doctoral Dissertations

This research explores the dynamics of land cover classification using remote sensing time series data, emphasizing the need for efficient monitoring and resource management on Earth’s surface. With advancements in computational power and analytical methods, deep learning techniques, including Convolutional Neural Networks (CNNs) and Transformer neural networks, have emerged as state-of-the-art approaches for automating and operationalizing land cover classification at regional and global scales. This study introduces two distinct methodologies for land cover time series classification: Spatial Recognition and Temporal Alignment (SpaRTA) and Land Cover Artificial Mapping System (LCAMS). SpaRTA employs a U-Net architecture coupled with a Transformer encoder for …

Intelligent Blind Crossings For Suburban And Rural Intersections, Shahab Tayeb

Mineta Transportation Institute

Blind intersections in suburban and rural areas pose significant safety challenges due to limited visibility and inadequate infrastructure. This project proposes an innovative solution leveraging the Internet of Vehicles (IoV) paradigm, utilizing connected and autonomous vehicles (CAVs) for seamless communication to enhance safety at these intersections. The research focuses on developing a specialized Road-Side Unit (RSU) system equipped with a Virtual Traffic Light Algorithm implemented on a Field-Programmable Gate Array (FPGA). Key stakeholders, including transportation authorities, vehicle manufacturers, and local communities, stand to benefit from this initiative. The RSU system acts as a critical infrastructure component, facilitating efficient intersection management …

Triarchic Traits As Risk Versus Protective Factors For Adhd Symptomatology: A Prospective Longitudinal Investigation, Elizabeth S.M. Chan, Emily R. Perkins, Bridget M. Bertoldi, Kelsey L. Lowman, Elia F. Soto, Catherine Tuvblad, Sofi Oskarsson, Laura A. Baker, Christopher J. Patrick

Department of Psychology Faculty Scholarship and Creative Works

Attention-deficit/hyperactivity disorder (ADHD) symptoms are associated with myriad adverse outcomes, including interpersonal difficulties, but factors that moderate the developmental course and functional impact of ADHD over time are not well understood. The present study evaluated developmental contributions of the triarchic neurobehavioral traits (boldness, meanness, and disinhibition) to ADHD symptomatology and its subdimensions from adolescence to young adulthood. Participants were twins and triplets assessed at ages 14, 17, and 19 (initial N = 1,185, 51.2% female). Path analyses using negative binomial regression revealed that boldness at age 14 was associated with more ADHD symptoms cross-sectionally (especially hyperactivity/impulsivity), but fewer symptoms (especially …

Behavioral Variant Frontotemporal Dementia With Pathogenic Variant In Mapt Presenting As Dementia With Lewy Body Disease, Tianxu Xia, Clara Li, Ayuko Iverson, Jessica Spat-Lemus, Amy Woroch, Georges Naasan

Department of Psychology Faculty Scholarship and Creative Works

A 75-year-old right-handed Chinese American man presented to behavioral neurology clinic for a second opinion of dementia with Lewy body disease (DLB). The clinical history indicated a progressive multi-domain cognitive impairment starting in 2021 and including recurrent well-formed visual hallucinations, parkinsonism, dysautonomia, hypersomnia, apathy and paranoid delusions. The clinical manifestations met the criteria for a probable DLB diagnosis. In addition, family reported personality changes, disinhibition and compulsive behaviors, which suggested prefrontal cortex dysfunction. Brain MRI revealed disproportionate volume loss in the bilateral frontal lobes including the orbitofrontal cortices. Family history revealed that multiple firstand second-degree relatives had been diagnosed with …

Suicidal Ideation, Planning, And Attempts Changes Among Diverse Canadian Public Safety Personnel After The Emotional Resilience Skills Training, Jolan Nisbet, Kirby Q. Maguire, Taylor A. Teckchandani, Robyn E. Shields, Katie L. Andrews, Tracie O. Afifi, Alain Brunet, Terence M. Keane, Gregory P. Krätzig, Renée S. Macphee, Ronald R. Martin, Michelle C.E. Mccarron, J. Patrick Neary, Shannon Sauer-Zavala, R. Nicholas Carleton

Psychology Faculty Publications

Background: Public safety personnel (PSP) experience occupational stressors and potentially psychologically traumatic events, which increase the odds of screening positive for mental health disorders, and the risk of suicide. This study estimates suicidal ideation, planning, and attempts among Canadian PSP, and assesses associations with Emotional Resilience Skills Training (ERST). Method: The current study uses a longitudinal prospective sequential experimental cohort design that engages participants for approximately 16 months. Participants (n = 186, 60.5% men) were administered the structured Mini-International Neuropsychiatric Interview at three time points relative to the ERST: pre-training, post-training, and 1-year follow-up. Results: At pre-training, PSP reported past-month …

Empowering Multilingual Learners Through Culturally Sustaining Pedagogy And Arts-Based Learning In Burkina Faso, Inoussa Malgoubri

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

This dissertation explores how culturally sustaining pedagogy and arts-based learning can engage multilingual learners of English as an Additional Language (EAL) in Burkina Faso. The research emphasizes the incorporation of local cultural elements and learners' linguistic backgrounds into the EAL curriculum to address challenges such as limited classroom interactions (Somé-Guiebré, 2020) and monolingual instructional strategies with inadequate cultural representation (Ndlangamandla, 2024). This qualitative study integrates culturally relevant materials, including Forum Theater, slam poetry, and griot-style storytelling, to create an engaging and inclusive learning environment. Data consisted of observation, images from arts-based workshops and pre- and post-workshop interviews with selected teachers …

What Tackles Vehicle Ghg Emissions In California: Regional Plan Adoption Or Local Leadership?, Ahoura Zandiatashbar, Serena Alexander, Branka Tatarevic

Faculty Research, Scholarly, and Creative Activity

The California Senate Bill No. 375 (SB 375) serves as a model policy for reducing greenhouse gas (GHG) emissions by integrating transportation and land-use planning through regional and local policies. The 18 California Metropolitan Planning Organizations (MPOs) are tasked with developing Sustainable Communities Strategies (SCS) to guide emissions reductions, often implemented locally through Climate Action Plans (CAPs). However, CAPs are voluntary, and misalignment with SCS objectives can undermine their effectiveness. This study examined 25 California cities using content analysis and regression modeling to explore whether independent local actions, supported by community engagement, activist strategies, and leadership, are more effective than …

Uav-Based Phytoforensics: Hyperspectral Image Analysis To Remotely Detect Explosives Using Maize (Zea Mays), Paul V. Manley, Stephen M. Via, Joel G. Burken

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

Remnant explosive devices are a deadly nuisance to both military personnel and civilians. Traditional mine detection and clearing is dangerous, time-consuming, and expensive. And routine production and testing of explosives can create groundwater contamination issues. Remote detection methods could be rapidly deployed in vegetated areas containing explosives as they are known to cause stress in vegetation that is detectable with hyperspectral sensors. Hyperspectral imagery was employed in a mesocosm study comparing stress from a natural source (drought) to that of plants exposed to two different concentrations of Royal Demolition Explosive (RDX; 250 mg kg−1, 500 mg kg−1). Classification was accomplished …

Multi-Scale Modeling Of Transport Properties In Cementitious Materials With Go Admixture, Bing Liu, Weichen Kang, Weixing Lian, Feng Xing, Hongfang Sun, Hongyan Ma

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

In coastal areas, the presence of concrete cracks provides pathways for hazardous ions to ingress from the exterior into the interior of concrete, while the migration of the ions further accelerates concrete deterioration and causes durability problems. The incorporation of graphene oxide (GO) into concrete can inhibit crack initiation and development starting at the nanoscale, improving the concrete microstructure, thereby affecting concrete's resistance to hazardous ion transport and the resulting deterioration. In this study, a multi-scale transport model for cementitious materials with a GO admixture was established to predict the resistance to hazardous ions. Based on the determination of hydration …

Bridge Load Posting Based On Load Testing, Cody Hutchinson, Abheetha Peiris, Issam Harik

Kentucky Transportation Center Research Report

AASHTO’s Manual for Bridge Evaluation (MBE) provides guidance for analytically evaluating bridge capacity based on available design information and the results of field inspections. This analysis results in a rating factor (RF), which quantifies a bridge’s safe load carrying capacity. RF accuracy, however, depends on the availability of information about structural details and material properties. As such, load rating bridges without design plans is difficult as field inspections alone often cannot provide enough information to perform detailed analysis. In many instances this means that a bridge would possess a substandard rating factor (RF < 1.0) simply due to the conservative assumptions required to perform traditional analysis. The most effective method for safely modifying such conservative theoretical rating factors is through load testing. Load testing measures actual bridge behavior and, for most bridges in good health, finds an increase in load rating is justified. This project utilized load testing to load rate 14 bridges in Kentucky that lack structural plans. Researchers first determined theoretical ratings using MBE-prescribed methods. For information typically taken from design plans, but which could not be measured directly, data-backed methods for making conservative assumptions were developed. For most bridges included in the study, theoretical rating factors alone suggested load postings were necessary. Load testing was then carried out utilizing tandem rear-axle dump trucks with measured axle weights. Multiple single-lane load cases were selected to maximize the effects being rated. Strain data were collected in real time using a wireless reusable strain gage system. Using these data, researchers computed a field test adjustment factor using MBE methods which directly modified the calculated theoretical RFs. Ultimately, load testing provided sufficient evidence to safely recommend that load postings were not necessary for any bridges in this study.

Impact Of A Kinesthetic Learning Model On Architecture, Engineering, And Construction (Aec) Knowledge In African American Middle School Girls, Mercy F. Fash, Andrea A.N Ofori-Boadu

Journal of Research Initiatives

This study examines the impact of a femalized Architecture, Engineering, and Construction Kinesthetic Learning Model (fAEC-KLM) intervention on the AEC knowledge of African American middle school girls. Fourteen (14) middle school girls completed both pre- and post-surveys and tests that assessed their knowledge of AEC concepts, including roles and responsibilities, gender and racial diversity, and salary benefits. Paired-sample t-tests were utilized to evaluate statistically significant differences in knowledge before and after fAEC-KLM intervention. Results showed notable improvements in students' knowledge of AEC salary and benefits, as well as the underrepresentation of females, particularly African American females, and AEC roles and …

Teacher Retention And The Future Of Learning: Alarming Concerns About Preparing The Next Generation Of Citizens, Dejuanna M. Parker, Barbara D. Holmes

Journal of Research Initiatives

Research is robust in detailing the various reasons teachers leave the profession. There is scant literature on why teachers stay and what should be done to improve teacher retention. Teacher retention is a primary concern nationally and internationally. The inability to retain teachers has resulted in a teacher shortage and significantly affects student learning. Sorenson and Ladd (2020) This study yielded three emergent themes related to integral factors of teacher retention: changing attitudes on administrative support, workplace collegiality, and persistence of passion and purpose. Recommendations offered include encouraging administrators to leverage the passion and commitment of the educators to create …

Creating Seamless Transitions To Manage Type 1 Diabetes In Emerging Adult College Students, Carol Newton Highsmith

Journal of Research Initiatives

Type 1 Diabetes (T1D) is a complex disease that can be challenging to manage in the college environment. An effective communication strategy is vital to ensure that first-year students entering college with T1D take advantage of campus resources for self-management and self-advocacy. This qualitative study examined the perceptions of academic healthcare professionals regarding the availability and gaps in services for students with T1D at higher education institutions. Using a phenomenological approach, semi-structured interview questions were posed to 17 service providers employed in health and wellness (n=9), nursing (n=4), and student support services (n=4) at 4-year universities. The findings revealed three …

Developing Nigrescence To Resolve The Double Bind Challenges In Community Engagement For Novice Critical Literacy Teacher Educators, Celicia L. Bell

Journal of Research Initiatives

This paper seeks to understand Black racial identity development as defined by Cross's (1991) Nigrescence and how nigrescence aids with solutions to the double bind challenges experienced by novice Black critical literacy teacher educators committed to community engagement during their becoming processes in academia. This paper will explain the double binds of alienating role conflict for novice Black teacher educators between their private identities versus their public roles in community engagement. This paper explores the implications of incorporating the study of nigrescence in the racial literacy experiences of novice Black critical literacy teacher educators.

Factors Influencing Jordanian College Understudies' Impressions Of Learning Through Emergency Distance Learning (Edl), Abdelnaser Sanad Alakayleh

Journal of Research Initiatives

In this study, which used a quantitative and correlational approach, the variables influencing Jordanian university students' perceptions of their education under emergency remote learning scenarios were investigated. An online survey was administered to a sample of 765 male and female education stage students. Jordan offers higher education for both genders and at different levels in different regions. Many criteria connected to perceived learning were taken into consideration when administering the study questionnaire. It was discovered that the economics students had a more positive perception of learning than the education and science students, followed by deep learning, avoiding superficial learning factors, …

Toward A Critical Pedagogy Of Assessment Integrating Social Studies Education: The Proposed Socio-Critical Assessment Integration Framework (Scaif), Caroline O. Alordiah, Regina Arisi

Journal of Research Initiatives

The Socio-Critical Assessment Integration Framework (SCAIF) and its consequences for social studies education are examined in this study. The results emphasize the advantages of developing inclusive learning environments, encouraging comprehensive evaluation procedures, encouraging applicability to the real world, and giving students agency by allowing participation in the evaluation process actively. Teachers can promote social justice, question prevailing narratives, and foster critical discourse in the classroom using a critical pedagogy lens. Student learning outcomes are improved by authentic assessment activities that reflect real-world problems and demand that students use their knowledge in meaningful ways. Inclusive learning settings respect student diversity, encourage …

Leadership Approaches Implemented Within K-12 Schools, Marian E. Truehill

Journal of Research Initiatives

Educators often consider the importance of leadership approaches in effectively operating K-12 schools in their state districts. However, traits, skills, and behavioral leadership styles all seem relevant to faculty, staff, and students surrounding how principals interacted with their employees in K-12 schools. One ineffective decision by principals can lead to unfavorable school climates, low teacher morale, and student discipline issues within classrooms on K-12 campuses. A pseudonym, Ms. Ladd, will be used as an example of how leadership approaches to operate a good junior high school effectively. This paper will describe the characteristics of leadership approaches, experiences of leadership approaches, …

An Investigation Of Ninth Grade Students’ Perceptions Of Equitable Grading Practices, Sarah Ruth Morris, Sarah C. Mckenzie, Jonathan Wai, Robert Anthony Maranto

Journal of Research Initiatives

This study investigated students’ perceptions of grading equity practices, focusing on preferences and the influence of student characteristics on support for grading equity. Through surveys and open-ended questions involving 256 ninth-grade students, the research highlighted a general preference for fair and supportive grading systems that consider individual circumstances and offer retake opportunities. Multivariate OLS regression analysis reveals that while Pre-AP students show resistance, students experiencing high-stress levels favor equitable grading practices. The findings suggest the need for educational reforms prioritizing transparency and fairness, including student voices in policy development, and emphasizing grading systems that support holistic student development.