Digital Commons Network^™

The Mysteries Of Postpartum Ocd: A Systematic Review, Taryn Shaffer

Honors Program: Senior Projects (Public)

Background: The research on postpartum mental health is growing, with most focusing on physical and sexual wellness, or well-known mental health symptoms such as psychosis, depression, and stress. However, as the research grows, so does the interest in lesser-known or under-considered postpartum mental health symptoms, including Obsessive-Compulsive Disorder (OCD). The focus of this research can be the exacerbation of already-present OCD symptoms, or the onset of them during pregnancy and the postpartum period. The purpose of this systematic review was to analyze research on OCD in pregnant and postpartum women. Specifically, the review included an analysis of measures used to …

A Strategic Audit Of Brown-Forman, Joshua Rossman, Carter Mann, Maris Grabill, Joe Meath, Gavin Pokorny

Honors Program: Senior Projects (Public)

Brown-Forman is a global spirits company with products sold in more than 170 countries. Known for brands such as Jack Daniel’s, Woodford Reserve, and Herradura, Brown-Forman’s history spans back over 150 years. Much of its success comes from thoughtful brand stewardship and a long-term approach to growth. The company operates in the highly competitive distilleries industry, where strong brand identity and premium positioning are key to performance.

This strategic audit reviews Brown-Forman’s development, leadership, business model, and guiding mission, as well as its external environment and internal capabilities. It also considers performance, competitive dynamics, business-level and corporate-level strategies, governance, and …

The New York Times: A Strategic Audit, Kaylee Campbell, Cassidy June, Keira Cummins, Tanner Maas, Alyssa Fjelstad

Honors Program: Senior Projects (Public)

The New York Times is a legacy newspaper that has navigated a great many changes since its founding in 1851. The company rose to success with its traditional print journalism, but has now transformed into a largely digital, subscription-based business model that provides subscribers with access to news, games, recipes, podcasts, product recommendations, and more. This provides an excellent foundation for a strategic audit to understand how one of the giants of a dying industry has not only managed to stay alive, but to thrive.

A PESTEL and Porter’s Five Forces analysis reveals that The New York Times operates in …

Netflix, Inc. Strategic Audit, Jadyn J. Koehler

Honors Program: Senior Projects (Public)

Netflix is a dominant company in the global entertainment industry. The company has changed the way people watch and interact with movies and shows. Netflix has over 300 million subscribers and operations in more than 190 countries. This strategic audit examines Netflix’s current situation, including its performance, governance structure, internal strengths, and external environment. This audit also examines some of the biggest problems, which include increased competition, higher content costs, and changes in consumer behavior. This analysis considers strategic alternatives and recommendations to support long-term growth. The goal of this report is to evaluate Netflix’s ability to maintain its competitive …

Severe Transvalvular And Paravalvular Aortic Regurgitation As Late Tavr Failure Successfully Treated With Percutaneous Therapy, Ashley Armstrong, Luca Halalau, Ivan Hanson

Conference Presentation Abstracts

BACKGROUND - Transcatheter aortic valve replacement (TAVR) is an established therapy for severe aortic stenosis. With improving long-term survival, late prosthetic valve–related complications are increasingly recognized. CASE SUMMARY - We report a 74-year-old man who presented eight years after TAVR with progressive dyspnea, orthopnea, and bilateral lower extremity edema, identified to be acute decompensated heart failure with a new diastolic murmur. Transthoracic echocardiography demonstrated severe aortic regurgitation. Subsequent transesophageal echocardiography identified concomitant severe paravalvular and severe transvalvular regurgitation of the bioprosthetic valve. Invasive hemodynamic assessment revealed acute volume overload with markedly elevated filling pressures, secondary pulmonary hypertension, and right ventricular …

Fresh Phytoplankton Bloom Growth In The Fall And Its Control On Ocean Heating In The Pacific Arctic Region, Clare B. Gaffey, K E. Frey, Bonnie Light, Lee W. Cooper, Jacqueline M. Grebmeier

Geography

Delayed sea ice freeze-up and decreased sea ice extent in the Pacific Arctic region have altered light availability in marine waters, extending the ice-free season and increasing opportunities for photosynthetic activity and energy exchanges. This study investigates phytoplankton bloom progression during the fall using chlorophyll pigments and examines the impact phytoplankton have on heat distribution within the water column. Measurements of chlorophyll-a concentrations and its associated degradation product pheophytin were made in conjunction with optical measurements of light transmittance within the upper water column during the Synoptic Arctic Survey cruise in the Central Arctic Ocean and northeast Chukchi Sea in …

Evaluating Long-Term Seasonal Variability Of Aerosol Optical Properties In Colorado, Erin K. Boedicker, Andre Bergeron, Gerardo Carrillo-Cardenas, Dominik Kulakowski, John Rogan, Elizabeth Andrews, Gannet A. Hallar

Geography

Aerosol particles resulting from both wildfires and dust events introduce considerable uncertainty into both climate research and public health assessments. These challenges are becoming particularly evident in the western US. To gain a deeper understanding of western US aerosol properties, we analyzed 13 years (2011–2024) of surface in-situ aerosol optical data from Storm Peak Laboratory (SPL) in northwestern Colorado, and 6 years (2019–2024) of surface in-situ aerosol optical data from Table Mountain (BOS) in central Colorado. The aerosol optical properties at both sites demonstrate a strong summer wildfire smoke signal (peaking in August) and evidence of springtime dust events. BOS …

Bridging Access Gaps In Radiotherapy: Knowledge-Based Planning In A Resource-Constrained Clinical Setting, Milton E Ixquiac Cabrera, Erick O Montenegro, Matthew Schmidt, Baozhou Sun, James A Kavanaugh, Taoran Li, Angel Velarde, Vicky De Falla, Francisco Reynoso

Faculty, Staff and Students Publications

Background/purpose: Radiotherapy access in low- and middle-income countries (LMICs) is severely limited by shortages of trained personnel, high patient volumes, and large waiting times for manual treatment planning. Knowledge-based planning (KBP) has shown promise in high-income settings, yet its feasibility in resource-constrained environments remains underexplored. This study aimed to evaluate the feasibility of adapting a KBP model developed at a high-income institution for clinical use at Liga Nacional Contra el Cáncer (LNCC) in Guatemala for gynecological radiotherapy planning.

Materials and methods: A RapidPlan KBP model (Varian-Siemens Healthineers, Palo Alto, CA, USA) originally developed at Washington University in St. Louis using …

Impact Of Obesity On Complication Rates After Treatment Of Slipped Capital Femoral Epiphysis: A Retrospective Cohort Database Study, Holden Archer, Scott B Rosenfeld, Pablo Castañeda, Jessica A Mcgraw-Heinrich, Simon P Kelley

Faculty, Staff and Students Publications

Background: While obesity is a well-established risk factor for slipped capital femoral epiphysis (SCFE), limited data exist regarding its impact on postoperative complication rates. This study aimed to evaluate the association between obesity and complications following SCFE treatment.

Methods: We queried a large national database for pediatric patients who underwent treatment for SCFE between June 2005 and June 2025. We divided this cohort into patients with obesity and patients without obesity. We matched the cohorts with a propensity scoring algorithm on a one-to-one basis, resulting in 1,175 patients in each group. We tracked outcomes including infection, pulmonary embolism (PE), chondrolysis, …

Derivation And Validation Of The Pediatric Community-Acquired Pneumonia Severity (Pedcaps) Score: A Prospective Cohort Study, Todd A Florin, Ron Reeder, Lilliam Ambroggio, Richard M Ruddy, Samir S Shah, Allison Cator, Matthew J Lipshaw, Geoffrey A Capraro, Laura F Sartori, Amy Y Cheng, Leah Tzimenatos, Patrick S Walsh, Claudia R Morris, Chris A Rees, Son H Mclaren, Tamar R Lubell, Chari D Larsen, Justin Moher, Eileen J Klein, Shubhada Hooli, Nathan Kuppermann

Faculty, Staff and Students Publications

Introduction: Community-acquired pneumonia (CAP) is a frequent and costly cause of pediatric emergency department (ED) visits and hospitalizations. Previous prognostic tools for CAP are limited by small samples, single-center or retrospective designs, lack of generalizability to ED settings, lack of biomarkers, or limited objective data. To overcome these limitations, we will derive and externally validate a prediction rule for pediatric CAP severity in a large, multicenter prospective cohort.

Methods: This is a prospective cohort study of children 3 months to 18 years old with CAP who present to EDs within the Pediatric Emergency Care Applied Research Network. Enrollment began 8/2023 …

Antibiotics Aren’T Enough, Andrew R Dinardo, Christoph Lange

Faculty, Staff and Students Publications

No abstract provided.

Case Series: Joubert Syndrome And Eosinophilic Esophagitis, Jonathon Schening, Stephanie Leon-Paredes, Eric Chiou, Vibha Szafron, Anthony Olive, Sara Anvari

Faculty, Staff and Students Publications

Joubert syndrome (JS) is a rare genetic disorder characterized by developmental abnormalities, particularly in the brainstem and cerebellar vermis, alongside multisystem manifestations such as kidney and liver anomalies, polydactyly, cleft lip or palate, and tongue defects. The underlying ciliopathy causing JS may also contribute to gastrointestinal symptoms and immune dysregulation via Wnt signaling and impaired epithelial maintenance. Dysmotility including Hirschsprung disease has been documented at increased rates in JS and in other ciliopathies. Our case series highlights how JS patients frequently exhibit feeding intolerance, vomiting, and poor growth, which may raise suspicion for an underlying gastrointestinal condition, such as eosinophilic …

Risk-Stratified Transitional Care And Cardiovascular Hospitalizations By Sex: A Secondary Analysis Of A Randomized Clinical Trial., Douglas S Lee, Chang Nancy Wang, Peter C Austin, Sharon E Straus, Michael E Farkouh, Alice Chong, Monica Taljaard, Stephanie Poon, Stuart Smith, Robert S Mckelvie, Robert M Iwanochko, Andrea Macdougall, Esam Elbarasi, Peter M Cram, Jiming Fang, Clare L Atzema, Jacob A Udell, Paula A Rochon, Michael J Schull, Susanna Mak, Heather J Ross

Heart and Vascular Articles

IMPORTANCE: Female patients with heart failure (HF) are older and more often present with preserved left ventricular ejection fraction (LVEF), whereas male patients present with more ischemic disease. Despite these differences, an emergency department-based acute HF strategy may be equally applicable to both sexes.

OBJECTIVE: To determine whether the strategy for acute HF management in the Comparison of Outcomes and Access to Care for Heart Failure (COACH) trial differed by sex.

DESIGN, SETTING, AND PARTICIPANTS: This prespecified secondary analysis of the multicenter COACH stepped-wedge, cluster-randomized clinical trial included 10 acute care hospitals in Ontario, Canada. Data were collected from January …

Adhesion G Protein-Coupled Receptors, Tobias Langenhan, Garret R Anderson, Demet Araç, Gabriela Aust, Monserrat Avila-Zozaya, Sofie Morsing Bagger, Patrick Barth, Sandra Berndt, Stephen C Blacklow, Beatriz Blanco-Redondo, Antony A Boucard, James P Bridges, Lara-Sophie Brodmerkel, Kathleen M Caron, Yin Kwan Chung, Andrew N Dates, Virginea De Araujo Farias, Daniel Del Toro, Joseph G Duman, Felix B Engel, David M Favara, Caroline J Formstone, Chaoyu Fu, Alain Garcia De Las Bayonas, Anastasia Georgiadi, David E Gloriam, Randy A Hall, Jörg Hamann, Peter W Hildebrand, Cheng-Chih Hsiao, Bill X Huang, Jonathan A Javitch, Hee-Yong Kim, Robert J Kittel, Gunnar Kleinau, Richard Leduc, Ines Liebscher, Hsi-Hsien Lin, Joshua Linnert, Marie-Gabrielle Ludwig, David C Martinelli, Signe Mathiasen, Daniel Matúš, Mariam Melkumyan, Ana L Moreno-Salinas, Jan Mulder, Michael A Nash, Kasturi Pal, Daniel T Pederick, Nicole A Perry-Hauser, Xianhua Piao, Yu-Qi Ping, Dimitris G Placantonakis, Fabian Pohl, Simone Prömel, Mette M Rosenkilde, Laurent Sabbagh, Richard C Sando, Patrick Scheerer, Torsten Schöneberg, Elena Seiradake, Mareike Selcho, Florian Seufert, Abhishek K Singh, Georgios Skiniotis, Katja Spiess, Norbert Sträter, David Strutt, Thomas C Südhof, Jinpeng Sun, Gregory G Tall, Doreen Thor, Douglas G Tilley, Kimberley F Tolias, Mario Vallon, Erwin G Van Meir, Benoit Vanhollebeke, Giselle R Wiggin, Uwe Wolfrum, Jie Yan, Nathan A Zaidman, Yimin Zou, Nicole Scholz

Faculty, Staff and Students Publications

Adhesion G protein-coupled receptors (aGPCRs) constitute a structurally and functionally distinct group within the superfamily of GPCRs. In 2015, the International Union of Pharmacology invited the Adhesion GPCR Consortium to publish a comprehensive review about aGPCRs and establish a unified nomenclature. Since then, substantial progress has been made in delineating the biological roles, molecular architecture, biochemical properties, expression profiles, ligand repertoire, and activation and signaling strategies of aGPCRs. Commensurate with these advances, their relevance to human pathophysiology has become increasingly apparent. In a coordinated effort, the Adhesion GPCR Consortium has reviewed recent progress in this field and provides a comprehensive …

Robot-Assisted Resection Of Diaphragmatic And Hepatorenal Recess Peritoneal Endometriosis: Two Cases And A Narrative Review, Xiaoming Guan, Qiannan Yang, Daniel Y Lovell, Chunhua Zhang

Faculty, Staff and Students Publications

In this report, we describe two cases of diaphragmatic endometriosis with concurrent hepatorenal recess peritoneal involvement managed using robotic-assisted laparoscopic surgery with the da Vinci Xi platform. In both patients, diaphragmatic implants and hepatorenal recess peritoneal lesions were excised en bloc, followed by resection of additional pelvic and abdominal lesions. Case 1 involved a 45-year-old woman whose pathology confirmed endometriosis in 28 of 46 sites, including the diaphragm, umbilicus, bowel, hepatorenal recess peritoneum, and pelvic peritoneum. Case 2 involved a 32-year-old woman with histopathologic evidence of endometriosis in 26 of 34 resected sites, including the appendix, diaphragm, hepatorenal recess peritoneum, …

Civilian Mass Killings Perpetrated By Nonstate Actors: Data Trends And Theoretical And Empirical Risk Factors, Charles H. Anderton, Roxane A. Anderton

Economics

This article addresses two research questions: (1) What are recent trends in nonstate actor (NSA) civilian mass killings by country locations and perpetrator groups? and (2) What are risk factors for NSA civilian mass killings based on economic choice theory and large-sample empirical inquiry? We summarize recent data on mass killings perpetrated by various NSAs including rebel groups; political, territorial, and identity militias; and terrorist organizations. Following a review of the empirical NSA mass killing literature, we develop an economic choice model of a NSA's resource allocations to direct (military) fighting and to violence against civilians when in contestation with …

Maternal Fish Intake In The Year Prior To Conception And Birth Defects, National Birth Defects Prevention Study, 1997-2011, Dorothy Kim Waller, Zeyu Miao, Renata H Benjamin, Richard Finnell, Nithya Lakshmi Mohan Dass, Eirini Nestoridi, Marcia C De Oliveira Otto, Julie Peterson, Tunu Ramadhani, Mark A Canfield

Faculty, Staff and Students Publications

Background: Epidemiologic data on the association between maternal fish intake and birth defects are sparse. Our objective was to assess associations between maternal fish intake and 52 different birth defects, most of which have not been assessed previously.

Methods: Using logistic regression, data was analyzed for 29,242 mothers of infants with birth defects and 10,973 mothers of control infants who participated in the National Birth Defects Prevention Study (NBDPS) and delivered between 1997 and 2011. We focused on associations between mothers who reported high fish intake of 2 or more servings of fish per week for the year prior to …

Reducing Transfusions In Neuromuscular Spinal Fusion: A National Surgical Quality Improvement Program-Pediatrics Quality Improvement Project, Holden Archer, Venessa L Pinto, Farrah Russell, Valentina Briceño, Melissa Ard, Lisa Hensch, Jun Teruya, Tanisha G Daugherty, Wallis Molchen, Ryan D Coleman, Darrell Hanson, Frank T Gerow, Nicole I Montgomery

Faculty, Staff and Students Publications

Background: Pediatric spinal fusion can result in substantial blood loss, particularly in patients with scoliosis related to underlying neuromuscular (NM) disease. Transfusion is frequently required but carries risks including transfusion reactions, alloimmunization, volume overload, and infection.

Local problem: The American College of Surgeons National Surgical Quality Improvement Program-Pediatrics (ACS NSQIP-P) is a nationally validated, risk-adjusted national outcomes registry. At our institution, ACS NSQIP-P data identified our institution as a high outlier in transfusion for neuromuscular scoliosis patients.

Methods: A multidisciplinary group convened from January 2024 to June 2024 to design and implement a perioperative pathway with the primary goal of …

Sustainability Hub Newsletter - May 2026, Annaliese Santoro, Neyda Gilman, Jennifer Embree

Library Sustainability Resources

Happy spring Bearcats! Time to finally enjoy the warmth and freshness of springtime! Learn about Compost Awareness Week and how to compost yourself! Also, participate in the Move Out Project happening this May to divert waste from landfills!

Digital Commons Statistics For May 2026, Liberty University

Digital Commons Statistics

No abstract provided.

Identifying And Exploring The Presence Of Antibiotic Resistant Escherichia Coli In Private Groundwater Sources In Southeastern Ontario Via Machine Learning, Madeleine Kelly, Paul Hynds, R. Stephen Brown, Kevin Mcdermott, Ioan Petculescu, Rhiannon Punch, Anna Majury

Research Outputs: 2025-Present

According to the World Health Organization, antibiotic resistance represents one of the top global public health and development threats. The environment serves as a significant reservoir and transmission pathway for antibiotic-resistant bacteria (ARB), with anthropogenic activities introducing resistant bacteria, resistance genes, and antibiotic residues to soils and aquatic systems, thereby promoting development and dissemination of resistance. Groundwater has recently been highlighted as an important reservoir for antibiotic-resistant bacteria, with over four million Canadian residents currently relying on private groundwater wells (Statistics Canada, 2024). While groundwater is increasingly acknowledged as a reservoir of ARB, the influence of external drivers affecting their …

A Behavior Analytic Blueprint For Rapport-Building: Investigating The Key Elements For Success, Nelmar Jacinto Cruz

Theses and Dissertations

Rapport can be defined as a positive relationship between people built through specific actions. Building rapport can benefit organizations by improving performance and increasing work satisfaction. Despite these benefits, research on rapport remains scarce. Curry et al. (2019) completed the most recent rapport study and found that rapport-building led to increased productivity and discretionary effort. The present study replicated and extended Curry et al. (2019) and addressed three limitations of their research: the lack of a control group, the large disparity in time spent with the experimenter, and the rigidity of their rapport conversation script. The study was completed in …

Porous Hydrophobic Adsorbent Coatings For Carbon Dioxide Capture, Samuel Babatunde Olushola

Theses and Dissertations

This work presents the development of a porous, hydrophobic zeolite 13X coating for the separation of carbon dioxide (CO₂) from flue gas or natural gas. Zeolite 13X was combined with yeast, glucose, and sodium alginate as pore-forming agents, and with polytetrafluoroethylene (PTFE) and Polydimethylsiloxane (PDMS) as hydrophobicity-inducing agents to enhance water resistance while maintaining CO₂ access to the adsorbent. The study explored PTFE/13X mass ratios ranging from 0 to 2.33 to investigate the interplay between hydrophobicity and CO₂ uptake. The wettability of the coating was characterized by using a temporal water contact angle (WCA) measurement. Increasing …

Degradation And Metabolic Analysis Of Synthesized Quorum-Sensing Signals By The Model Eukaryote Chlamydomonas Reinhardtii, Adam Josef Bach

Theses and Dissertations

Bacterial organisms can “talk” with one another on a colony-wide scale using a communication system known as quorum-sensing (QS) via chemical signals. These signals are produced at a basal rate throughout the life of the bacteria and are classified as autoinducers, which diffuse across the cell membrane. Once the critical concentration is reached, they begin to diffuse back into the cell and initiate a phenotypic change. As these signals exist outside the membrane of their producer, they are also accessible to other organisms. It has already been noted that some plant species uptake these compounds through their roots and break …

Range Extension Of Electric Propulsion General Aviation Aircraft Using Solar Technology, Mary Kathryn Shultz

Theses and Dissertations

Alternative propulsion technologies in aviation have been a long-time topic of interest as operators aim to bypass growing fuel prices and meet environmental sustainability requirements set globally. Research regarding alternative propulsion technologies is primarily centered around marginally improving efficiency of combustion systems or large-scale implementation of novel technologies. This research evaluates the feasibility of implementing solar-integrated propulsion for general aviation aircraft to extend range through a comparison of full-electric, hybrid solar, and internal combustion engine propulsion systems. This evaluation of existing technology by range analysis indicates that hybrid solar‑electric propulsion is viable primarily for short‑range training and recreational aircraft, rather …

Aircraft Fault Detection Via Weight And Bias Analysis Of A Custom First Neural Network Layer, George Harrison Chen

Theses and Dissertations

Fault detection in aircraft is traditionally handled through redundant hardware and comparison algorithms to detect failures. Alternatives like model-based residual generation and data-driven approaches such as supervised fault classification and unsupervised anomaly detection have been explored, but they suffer from practical limitations; model-based methods require accurate system models, and data-driven methods have large constraints on the data limiting scalability and adaptability. This work presents a purely data-driven neural network architecture featuring a custom first layer designed for real-time fault detection where the weights and biases of this layer are used to detect faults. The network requires zero supervision and complements …

What Happens When Leaders Don’T Live Up To The Ideal? How The Leadership Perception Gap Can Undermine Leader Development And Intentions, Julia Macgregor-Peralta

Theses and Dissertations

Despite decades of research on leadership development, we know surprisingly little about why capable, confident people choose not to pursue leadership. This study introduces the Leadership Perception Gap (LPG), a construct that captures discrepancies between ideal leader views and the leaders people actually observe, and tests whether those discrepancies reduce the desirability of leadership roles. LPG was assessed using latent congruence modeling (LCM) to compare ideal leader ratings with vignette-based leader evaluations. The vignettes manipulated leadership style (agentic, communal, balanced) and team composition (all-male, all-female, balanced). Participants were randomly assigned to one condition and evaluated their interest in joining the …

Design And Simulation Of Anti-Resonant Hollow-Core Fiber For Sensing Applications, Pravallika Kante

Theses and Dissertations

This thesis presents the design and simulation of an 8-tube single-ring anti-resonant hollow-core fiber for sensing applications, with particular emphasis on methane gas detection at the fundamental absorption wavelength of 3.3 µm. Conventional solid-core silica optical fibers exhibit strong multi-phonon material absorption beyond 2.5 µm, rendering them fundamentally unsuitable for efficient light guidance and direct gas sensing at mid-infrared wavelengths. Anti-resonant hollow-core fibers overcome this limitation by guiding light predominantly through an air-filled hollow core via the anti-resonant reflecting optical waveguide mechanism, in which the thin silica glass walls of the cladding tubes act as Fabry-Pérot etalons that confine the …

Adaptive Artificial Potential Field Guidance And Control For Autonomous Docking With Uncooperative And Unknown Spacecraft, Steven Holmberg

Theses and Dissertations

The increasing demand for on-orbit servicing (OOS), active debris removal (ADR), and space domain awareness (SDA) missions has increased the need for autonomous spacecraft rendezvous and proximity operations (RPO) with uncooperative and unknown targets. Traditional guidance and control methods are typically designed for cooperative systems with known geometry and state information. This work builds on previous research to develop and evaluate an artificial potential field (APF)-based control framework capable of autonomous operation with minimal prior target knowledge and applicability to both relatively static and tumbling spacecraft.

The proposed APF formulation incorporates established safety constructs from cooperative docking systems, including an …

Moon Adaptive Technology For Extraterrestrial Architectural Robotics (Matear), Candela Noemi Solis Zampini

Theses and Dissertations

The Moon Adaptive Technology for Extraterrestrial Architectural Robotics (MATEAR) focuses on the development of an autonomous robotic system capable of providing structural building blocks directly from lunar regolith. As a sustained human presence on the Moon becomes a necessity, the costly and limited payload capacity associated with transporting construction goods from Earth creates a critical challenge. MATEAR addresses this problem through in-situ resource utilization (ISRU), integrating a regolith processing system onto a remote operated vehicle. The proposed system is designed to collect lunar dust, mechanically compact the material, and apply thermal treatment to enhance cohesion through sintering. These regolith-made bricks …