Digital Commons Network^™

Public - Private In Vietnamese Universities: Exploring Sectoral Distinctiveness In Program Offerings, Lan Hoang

Electronic Theses & Dissertations (2024 - present)

The public-private issues in higher education have been a longstanding important topic of academic and policy interest, especially in the context of the public - private duality in most higher education systems. With PHE’s impressive growth over the past few decades, now enrolling one third of global HE enrollments, the study of PHE has also been expanded, with several national case studies and world/regional edited books yet being mostly ad hoc with minimal synthesis or comparative analysis (Levy, 2024). The current case study of Vietnam, employing Levy’s double distinctiveness approach in sectoral distinctiveness analysis with the intrasectoral dissection on the …

Choosing Your “Healthiest” Embryo After Dobbs: Polygenic Screening And Distinctive Challenges For Truth In Advertising And Informed Consent, Dov Fox, Sonia Suter, Meghna Mukherjee, Stacey Pereira, Gabriel Lázaro-Muñoz

Center for Medical Ethics and Health Policy Staff Publications

Polygenic embryo screening ("PES") analyzes embryos for hundreds or thousands of genomic loci to generate risk scores that estimate genetic susceptibility to conditions and traits compared to the general population. The technology is commercially marketed directly to consumers. Companies focus mostly on medical conditions, sometimes in ways that oversell its advantages and efficacy, encouraging fertility patients to "choose your healthiest embryo" and "protect your future child from genetic risks." The advertising of PES trades on norms of children's health and good parenting and reinforces those normative ideals. While it is easy to assume PES will be constrained in practice by …

Development Of A Multi-Level/Multi-Modal Intervention For Health Care Transition Preparation, Beth H Garland, Mary Majumder, Constance M Wiemann, Blanca Sanchez-Fournier, Jordyn Babla, Albert C Hergenroeder

Center for Medical Ethics and Health Policy Staff Publications

Aims: Health care transition (HCT) to adult care and young adult disease self-management is a multi-step process involving three major stakeholders - the adolescent, the caregiver, and the provider. Preparation gaps exist within each of these stakeholder groups. This paper presents the development of the Intervention to Promote Autonomy and Competence in Transition-aged Youth (IPACT), a multi-level (adolescent, caregiver, provider), multi-modal (interactive skill building sessions, educational materials, videos) intervention to address gaps in all three stakeholder groups simultaneously and help support achieving the three core elements of HCT planning.

Methods: Eight processes were utilized to develop the IPACT intervention, including …

Patient Perceptions On The Advancement Of Noninvasive Prenatal Testing For Sickle Cell Disease Among Black Women In The United States, Shameka P Thomas, Faith E Fletcher, Rachele Willard, Tiara Monet Ranson, Vence L Bonham

Center for Medical Ethics and Health Policy Staff Publications

Background: Noninvasive prenatal testing (NIPT) designed to screen for fetal genetic conditions, is increasingly being implemented as a part of routine prenatal care screening in the United States (US). However, these advances in reproductive genetic technology necessitate empirical research on the ethical and social implications of NIPT among populations underrepresented in genetic research, particularly Black women with sickle cell disease (SCD).

Methods: Forty (N = 40) semi-structured interviews were conducted virtually with Black women in the US (19 participants with SCD; 21 participants without SCD) from June 2021 to January 2022. We employed a qualitative approach to examine the …

Ethical Considerations For Integrating Multimodal Computer Perception And Neurotechnology, Meghan E Hurley, Anika Sonig, John Herrington, Eric A Storch, Gabriel Lázaro-Muñoz, Jennifer Blumenthal-Barby, Kristin Kostick-Quenet

Center for Medical Ethics and Health Policy Staff Publications

Background: Artificial intelligence (AI)-based computer perception technologies (e.g., digital phenotyping and affective computing) promise to transform clinical approaches to personalized care in psychiatry and beyond by offering more objective measures of emotional states and behavior, enabling precision treatment, diagnosis, and symptom monitoring. At the same time, passive and continuous nature by which they often collect data from patients in non-clinical settings raises ethical issues related to privacy and self-determination. Little is known about how such concerns may be exacerbated by the integration of neural data, as parallel advances in computer perception, AI, and neurotechnology enable new insights into subjective states. …

Insights From Social Media Into Public Perspectives On Investigative Genetic Genealogy, Sara Huston, Diana Madden, Andrea Villanes, Nathan Reed, Whitney Bash Brooks, Christopher Healey, Christi Guerrini

Center for Medical Ethics and Health Policy Staff Publications

Social media sites like X (formerly Twitter) increasingly serve as spaces for the public to discuss controversial topics. Social media can spark extreme viewpoints and spread biased or inaccurate information while simultaneously allowing for debate around policy-relevant topics. The arrest of Joseph J. DeAngelo in April 2018 ignited a barrage of social media conversations on how DNA and genetic genealogy led to the suspect. These conversations continued over the following years as policies changed and as the use of the approach expanded. We examined social media coverage of investigative genetic genealogy (IGG) to characterize the volume and temporal patterns in …

Racial And Ethnic Disparities In Acuity Of Presentation Among Children With Newly Diagnosed Acute Leukemia, Lena E Winestone, Kelly D Getz, Yimei Li, Evanette Burrows, Michael E Scheurer, Vicky Tam, M Monica Gramatges, Jennifer J Wilkes, Tamara P Miller, Alix E Seif, Karen R Rabin, Brian T Fisher, Richard Aplenc

Center for Medical Ethics and Health Policy Staff Publications

We evaluated disparities in disease burden, organ dysfunction, vital signs, and timing of therapy in children newly presenting with acute leukemia. Among 899 patients with acute leukemia diagnosed at two large children's hospitals, a priori lab-based definitions of high disease burden, infection risk, renal dysfunction, and coagulopathy were applied to electronic health record data. Black patients with acute myeloid leukemia had increased prevalence of elevated white blood cell count and uric acid; Black patients with acute lymphoblastic leukemia demonstrated increased prevalence of coagulopathy. Black patients' presentation more frequently included multiple lab abnormalities consistent with advanced physiologic dysfunction. No differences were …

A Use Case Of Chatgpt: Summary Of An Expert Panel Discussion On Electronic Health Records And Implementation Science, Seppo T Rinne, Julian Brunner, Timothy P Hogan, Jacqueline M Ferguson, Drew A Helmer, Sylvia J Hysong, Grace Mckee, Amanda Midboe, Megan E Shepherd-Banigan, A Rani Elwy

Center for Medical Ethics and Health Policy Staff Publications

Objective: Artificial intelligence (AI) is revolutionizing healthcare, but less is known about how it may facilitate methodological innovations in research settings. In this manuscript, we describe a novel use of AI in summarizing and reporting qualitative data generated from an expert panel discussion about the role of electronic health records (EHRs) in implementation science.

Materials and methods: 15 implementation scientists participated in an hour-long expert panel discussion addressing how EHRs can support implementation strategies, measure implementation outcomes, and influence implementation science. Notes from the discussion were synthesized by ChatGPT (a large language model-LLM) to generate a manuscript summarizing the discussion, …

Study Protocol For Measuring Stigmatization In Persistent Tic Disorders: Development And Validation Of The Tourette Discrimination-Stigmatization Scale, Jaclyn M Martindale, Victor M Ringheanu, Kelly A Pring, Sandra Norona, Kimberly Wiseman, Roy E Strowd, Leah Chapman, Joseph Rigdon, Stephen R Rapp, Eric A Storch, Edward Ip, Jonathan W Mink

Center for Medical Ethics and Health Policy Staff Publications

Introduction: Persistent Tic Disorders such as Tourette Syndrome are common neurodevelopmental disorders that are highly stigmatized. Many individuals with Persistent Tic Disorders experience peer rejection, loneliness, and self-stigma. Experiencing stigmatization during childhood can influence the persistence of moderate-to-severe tics later in life. Additionally, these factors have been associated with increased suicidal ideation, suicide attempts, and psychiatric symptom severity. There is a need for interventions to reduce stigma and stigmatization in Persistent Tic Disorders. Before developing cost-effective interventions to mitigate stigma's profound downstream health impacts, a reliable measure of stigmatization must be created. The overarching goal of this research is to …

Clinical Characteristics Of Probands With Obsessive-Compulsive Disorder From Simplex And Multiplex Families, Monicke O Lima, Leonardo C Saraiva, Vanessa R Ramos, Melaine C Oliveira, Daniel L C Costa, Brazilian Research Consortium On Obsessive-Compulsive Spectrum Disorders, Thomas V Fernandez, James J Crowley, Eric A Storch, Roseli G Shavitt, Euripedes C Miguel, Carolina Cappi

Center for Medical Ethics and Health Policy Staff Publications

Genetic and non-genetic factors contribute to obsessive-compulsive disorder (OCD), with strong evidence of familial clustering. Genomic studies in psychiatry have used the concepts of families that are "simplex" (one affected) versus "multiplex" (multiple affected). Our study compares demographic and clinical data from OCD probands in simplex and multiplex families to uncover potential differences. We analyzed 994 OCD probands (501 multiplex, 493 simplex) from the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders (C-TOC). Clinicians administered the Structured Clinical Interview for DSM-IV (SCID-IV) to diagnose, Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) to assess severity, and Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS) to assess symptom dimensionality. …

Beyond Borders: Exploring The Lived Experiences Of International Migrant Women In Nigeria, A Deep Dive Into Healthcare Realities And Utilization, Juliet Nwafor, Rowland Edet, Ezebunwa Nwokoch

Department of Sociology: Faculty Publications

This study explored access to and utilization of healthcare facilities among migrant women in an urban slum community in Nigeria, focusing on factors influencing healthcare-seeking behaviors and the implications for public health interventions. A qualitative case study-oriented research design was employed, involving in-depth interviews with 21 migrant women of reproductive age and 4 key informant interviews with healthcare workers in the Ayobo community of Lagos State, Nigeria. Data collection occurred from June to September 2018, and thematic analysis was used to interpret the findings. Three main themes emerged: living conditions, pattern of healthcare utilization, and factors influencing accessibility and utilization …

Protecting Foreign Victims Of Trafficking In Iceland: An Interpretive Analysis Of Policy Efforts, Hlin Saethorsdottir

Electronic Theses & Dissertations (2024 - present)

Social justice and human rights are fundamental principles of social work. Today’s globalized world requires social workers to expand their local perspectives and to be alert to the negative sides of globalization, such as trafficking in person (TIP), which affects all countries around the world. TIP is a severe form of exploitation and a grave human rights violation (Jones et al., 2007). Iceland has been categorized as a transit and destination country for foreign victims who are mainly trafficked for sexual and labor exploitation (U.S. Department of State, 2016b).

Although much has been written on TIP, some scholars have pointed …

The Employment Situation Of Veterans: December 2023, Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

Veteran employment trends and statistics among various demographics during December 2023.

Research Review: "Reculturation: A New Perspective On Military-Civilian Transition Stress", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This IVMF research review identifies challenges in veterans' transition to civilian life, despite available support. It highlights mental health issues like suicidality and low life satisfaction, possibly linked to cultural identity conflicts. Veterans' attempts to address this may lead to feelings of isolation, impacting mental health. The authors recommend studying immigrant acculturation experiences to understand veterans' identity struggles, proposing "reculturation" as a term. They advocate for clinical psychology to prioritize understanding this process to improve program engagement and suicide prevention. This review also looks at implications for policy, practice, and future research.

Research Review: "The Challenges Of Military Veterans In Their Transition To The Workplace: A Call For Integrating Basic And Applied Psychological Science", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This IVMF research brief delves into the challenges veterans confront when moving from military to civilian life, where stark cultural disparities exist. These veterans often grapple with fulfilling fundamental psychological needs such as structure and belonging, compounded by civilian reliance on stereotypes. The brief integrates diverse disciplines like social psychology and military psychology, using theories like compensatory control to dissect the psychological obstacles faced by veterans. Recent research within this framework sheds light on these issues, offering valuable insights for clinicians and managers to develop tailored interventions. Emphasizing interdisciplinary approaches, this research brief highlights the significance of understanding and supporting …

The Affordable Housing Crisis In New York City, Mexican Studies Institute Cuny, Hashim Abdul

Publications and Research

This paper examines the current housing crisis in The Bronx that worsened during and after the COVID pandemic. It examines social and economic factors that contribute to low home ownership and housing instability. Through a comparison with European models, the author concludes that solutions to alleviate the crisis may include rental price caps, increased Airbnb regulations and government “subsidization instead of profitability”.

Impacts Of Sex Work Criminalization On Sex Workers In Oregon: A Pilot Study, Stephanie Wahab, Katie Shammel

School of Social Work Faculty Publications and Presentations

Executive Summary

Context for the Study
In July, 2023, Oregon legislators voted to fund research exploring the impacts of the criminalization of sex work in Oregon. Unfortunately, the Governor vetoed the budget item, stating that the private sector should fund this type of public health research and noting the need for additional public discussion about the issue. To date, there have been no attempts to study the impacts of prostitution laws on the people most impacted by them in Oregon. The research presented in this report seeks to address this gap.

This qualitative pilot study was designed to better understand …

Effects Of Exergaming On Health And Fitness Outcomes For Students With Disabilities: A Meta-Analysis, Jordan Mauch

Cal Poly Humboldt theses and projects

While research on VR gaming and Exergaming is in its infancy, both are interventions that have demonstrated positive results such as promoting physical activity participation and positive attitudes towards physical activity in children and adolescents. Exergaming has also been shown to be effective in increasing physical activity in children, and children with disabilities may find exergaming to be an enjoyable alternative to traditional physical activity due to increased accessibility and the focus on both gross and fine motor skills. In studies of VR and/or exergaming with participants with cerebral palsy and autism spectrum disorder, researchers reported increases in motor function …

Trust: The Feature That Vending Machines And Atms Share, But Simplygo Lacks, Sun Sun Lim

Research Collection College of Integrative Studies

The article discussed the intricacies of trust in the SimplyGo debacle and highlighted how the design of physical interfaces like vending machines and ATMs and digital interfaces from apps like Grab, Parking.sg and ShopBack have critical features to instil trust. People need to be reassured that their transactions have proceeded as they should, and thay have not been short-changed.

Reducing Urban Overheating Risks Through Climate-Resilient Development In The Warming Tropics, Winston T. L. Chow

Research Collection College of Integrative Studies

More frequent heat extremes, combined with rapidly developing settlements in the tropics, result in complex climate-driven risks emerging in cities within these regions. Urban policymakers can successfully manage these urban heat risks via climate resilient development, in which sustainability is aligned with current climate adaptation and mitigation goals.

Experimental Evaluation Of Thermal Adaptation And Transient Thermal Comfort In A Tropical Mixed-Mode Ventilation Context, Yue Lei, Duygu Zeynep Tekler, Sicheng Zhan, Clayton Miller, Adrian Chong

Research Collection College of Integrative Studies

Mixed-mode ventilation offers a promising solution for achieving comfortable indoor environments in an energy-efficient manner. However, in the tropics, characterized by a year-round hot and humid climate, opportunities for natural ventilation (NV) are typically limited to specific hours, necessitating operational mode switches on an intraday basis. Much of the thermal comfort research on mixed-mode ventilation relies either on cross-sectional data collected from different subjects or longitudinal data spanning a few seasons. This raises an open question: Can occupants thermally adapt when switching between NV and air-conditioning (AC) modes within a single day? To address the gap, our experimental study engaged …

Filling Time-Series Gaps Using Image Techniques: Multidimensional Context Autoencoder Approach For Building Energy Data Imputation, Chun Fu, Matias Quintana, Zoltan Nagy, Clayton Miller

Research Collection College of Integrative Studies

Building energy prediction and management has become increasingly important in recent decades, driven by the growth of Internet of Things (IoT) devices and the availability of more energy data. However, energy data is often collected from multiple sources and can be incomplete or inconsistent, which can hinder accurate predictions and management of energy systems and limit the usefulness of the data for decision-making and research. To address this issue, past studies have focused on imputing missing gaps in energy data, including random and continuous gaps. One of the main challenges in this area is the lack of validation on a …

The Role Of Multiteam Systems In Prescribed Fire Operational Incidents, Kevin Llanos

Honors Undergraduate Theses

The purpose of this thesis is to study how multiteam systems (MTS) are implicated in prescribed fire operations and enhance an interdisciplinary understanding of occupational demands in the industry to mitigate worsening environmental challenges. We study publicly accessible sources through a mixed-methods approach applying I/O psychology and discuss relevant literature. Land management plan documentation is reviewed to explore the structural and functional components of prescribed fire teams. We apply theory-driven coding to analyze prescribed fire incident documentation as we study MTS system processes and develop thematic findings. Lastly, industry job listing content and occupational demands are reviewed. Through this archival …

The Quest For Racial Equality After The Revolution: How Black Intellectuals Envision The Struggle For Equality After Jim Crow And Apartheid, Shelby Morgan

Honors Undergraduate Theses

This paper examines the ideas presented by Black public intellectuals from South Africa and the United States regarding their solutions on how to achieve real racial equality after the achievement of equality under the law. It will provide a historical comparative analysis of the two countries by examining the works of George Fredrickson, as well as some contextual background on the existence of racial disparities in the modern day. It will then present various publications by American intellectuals Ibram X. Kendi, Ta-Nehisi Coates, and Cornel West, and South African authors Sizwe Mpofu-Walsh, Songezo Zibi, and Tembeka Ngcukaitobi that discuss their …

Individual And Organizational Challenges To Implementing Prolonged Exposure Therapy In The Military Health System: A Systematic Review Of Client And Provider Perspectives, Paris R. Cloutier

Honors Undergraduate Theses

Military veterans and active-duty service members face high rates of posttraumatic stress disorder (PTSD), a chronic and debilitating condition that is comorbid with other negative psychological and social outcomes. PTSD symptomology in military careers is attributed to unique organizational factors and risks both during and post-deployment. Delivering modern, effective PTSD treatments derived from evidence-based research to the military population is a multi-faceted effort. Among these interventions, prolonged exposure therapy (PE) is a safe and effective trauma-focused treatment for veterans. To yield higher rates of PE success, common challenges faced by both military clients and their clinicians that may be impairing …

Understanding The Education Profiles Of Seven East And Southern African Countries, Girl Center

Adolescents and Young People

Despite significant progress in improving primary enrollment and attainment for girls in low- and middle-income countries (LMICs) in recent years, gender disparities in education persist and hinder opportunities for girls. Educational attainment for girls has plateaued in numerous countries, with only a few making significant strides in narrowing the gender gap. Moreover, attainment alone does not always translate to improved learning. Gender-related barriers such as school environments that are not conducive to learning and the experience of violence, early and forced marriage, and early childbearing, as well as a lack of support for girls’ education impede attainment and learning. The …

Understanding The Education Profiles Of Eight Latin American Countries, Girl Center

Adolescents and Young People

Despite significant progress in improving primary enrollment and attainment for girls in low- and middle-income countries (LMICs) in recent years, gender disparities in education persist and hinder opportunities for girls. Educational attainment for girls has plateaued in numerous countries, with only a few making significant strides in narrowing the gender gap. Moreover, attainment alone does not always translate to improved learning. Gender-related barriers such as school environments that are not conducive to learning and the experience of violence, early and forced marriage, and early childbearing, as well as a lack of support for girls’ education impede attainment and learning. The …

การสื่อสารและสร้างการตระหนักรู้เพื่อให้เกิดการมีส่วนร่วมในกลยุทธด้านความยั่งยืน ของ บริษัท บางจาก คอร์เปอเรชั่น จำกัด (มหาชน), ทัญณัฐฐ์ ปรีมณีสิทธ์

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยนี้เป็นการศึกษาแนวทางหรือการดำเนินงานเพื่อการสื่อสารและการสร้างความตระหนักรู้ถึงกลยุทธ์ด้านความยั่งยืนให้แก่พนักงานของบริษัท บางจาก คอร์เปอเรชั่น จำกัด (มหาชน) โดยเป็นการวิจัยเชิงคุณภาพ (Qualitative Research) และศึกษาถึงประสิทธิผลของการสื่อสารและสร้างการตระหนักรู้ถึงกลยุทธด้านความยั่งยืนขององค์กร และศึกษาถึงแนวทางในการปรับปรุงการสื่อสารและการตระหนักรู้ถึงกลยุทธของพนักงานภายในองค์กร ให้เกิดการมีส่วนร่วมมากยิ่งขึ้น

A Neutrosophic Approach To Study Agnotology: A Case Study On Climate Change Beliefs, Florentin Smarandache, Maikel Leyva Vázquez

Branch Mathematics and Statistics Faculty and Staff Publications

Misinformation and biased information significantly impact public perception and political decisions, especially on critical issues such as climate change and environmental conservation. This study aims to understand how indeterminacy and contradiction influence public perception and policy formulation by applying neutrosophic theory to model the complexity and multi-dimensionality of ignorance. Using neutrosophic Likert scales, we capture a nuanced spectrum of opinions on the scientific certainty of human impact on climate change. The results are analyzed through a k-means clustering algorithm to identify patterns and segment participants into groups based on their levels of truth, indeterminacy, and falsehood. This approach reveals deeper …

Circular Economy: The 4rs Reduce-Reuse-Recycle-Recover, Kevin Hom

Publications and Research

This article summarizes the lecture presented at the Net Built 2024 conference. The lecture addresses the unsustainability of the current linear economy, characterized by the "take, make, dispose" model, in light of environmental challenges. The inefficiencies of this system lead to increased energy consumption, elevated CO2 emissions, and the exacerbation of climate change. It examines the current state of design and construction with respect to climate change and sustainable resource management. Additionally, the lecture introduces a methodology that integrates technologies and design philosophies capable of driving significant positive change. By advocating for a transformative approach to the expected lifetime of …