Digital Commons Network^™

Amniocentesis In Pregnancies At Or Beyond 24 Weeks: An International Multicenter Study, Roni Zemet, Mohamad Ali Maktabi, Alexandra Tinfow, Jessica L Giordano, Thomas M Heisler, Qi Yan, Roni Plaschkes, Jenny Stokes, Jennifer M Walsh, Siobhán Corcoran, Erica Schindewolf, Kendra Miller, Asha N Talati, Kristen A Miller, Karin Blakemore, Kate Swanson, Jana Ramm, Ivonne Bedei, Teresa N Sparks, Angie C Jelin, Neeta L Vora, Juliana S Gebb, David A Crosby, Michal Berkenstadt, Boaz Weisz, Ronald J Wapner, Ignatia B Van Den Veyver

Center for Medical Ethics and Health Policy Staff Publications

Background: Amniocentesis for genetic diagnosis is most commonly done between 15 and 22 weeks of gestation but can be performed at later gestational ages. The safety and genetic diagnostic accuracy of amniocentesis have been well-established through numerous large-scale multicenter studies for procedures before 24 weeks, but comprehensive data on late amniocentesis remain sparse.

Objective: To evaluate the indications, diagnostic yield, safety, and maternal and fetal outcomes associated with amniocentesis performed at or beyond 24 weeks of gestation.

Study design: We conducted an international multicenter retrospective cohort study examining pregnant individuals who underwent amniocentesis for prenatal diagnostic testing at gestational ages …

Ethical Considerations For Sharing Aggregate Results From Pragmatic Clinical Trials, Stephanie R Morain, Abigail Brickler, Joseph Ali, Patricia Pearl O'Rourke, Kayte Spector-Bagdady, Benjamin Wilfond, Vasiliki Rahimzadeh, Caleigh Propes, Kayla Mehl, David Wendler

Center for Medical Ethics and Health Policy Staff Publications

A growing literature has explored the ethical obligations and current practices related to sharing aggregate results with research participants. However, no prior work has examined these issues in the context of pragmatic clinical trials. Several characteristics of pragmatic clinical trials may complicate both the ethics and the logistics of sharing aggregate results. Among these characteristics include that pragmatic clinical trials may affect the rights, welfare, and interests of not only patient-subjects but also clinicians, meaning that results may be owed to a broader range of groups than typically considered in other research contexts. In addition, some pragmatic clinical trials are …

Navigating Challenges: Public Community College Leadership In The Face Of Existential Crisis, Sarah Lynne Lupton-Houston

School of Public Service Theses & Dissertations

This study answers the question: "When faced with an existential crisis, indicated by declines in key performance indicators, how do public leaders make decisions?" The research uses the Garbage Can Model and Incrementalism combined theoretical framework to explore how public administrators navigate crises in complex, hierarchical, and bureaucratic structures where unpredictable challenges often demand adaptive responses. This study offers insights into decision-making processes that blend reactive, opportunistic choices with measured, gradual adjustments.

The findings from this research contribute to the field of public administration by examining the decision-making strategies used by leaders at public community colleges in Virginia during a …

Modeling The Impacts Of Disruptive Events On Driving Behaviors, Transportation Safety, And Equity: Advanced Statistical Insights From The Covid-19 Pandemic, Xiaomeng Dong

Civil & Environmental Engineering Theses & Dissertations

This dissertation aims to understand how disruptive events —particularly the COVID-19 pandemic—affect driving behaviors, transportation safety and equity by leveraging advanced statistical modeling techniques and data from Virginia. This research pursues three overarching objectives. First, it employs multigroup structural equation modeling (SEM) to uncover the complex interrelationships among risky driving behaviors, injury severity, and pandemic-related factors, delineating the mechanisms through which COVID-19 has impacted crash outcomes via changing risky driving behaviors. Second, it leverages hidden Markov models to trace shifts in safety states over the pre-, during-, and post-pandemic periods, determining whether and when safety conditions return to pre-pandemic norms. …

An Examination Of The Role Bureaucratic Discretion Plays In Public Education Policy And Administration: A Revelation Of How Discretionary Discipline Impacts Historically Marginalized Students, Regina Francine Turner

School of Public Service Theses & Dissertations

An under-researched area of public administration, bureaucratic discretionary practices regarding student discipline and resulting inequitable consequences are explored throughout this study from a theoretical perspective. The study examines student discipline outcomes for conduct violations in America’s schools. Further, research will determine if data supports the notion that school leaders’ administrative discretion contributes to inequitable student disciplinary practices. Evidenced by research and corresponding data regarding discriminatory student disciplinary actions, this study relies on Critical Race Theory (CRT) as its foundation and theoretical framework.

Using relevant literature, research questions were formed, hypotheses were crafted, and statistical analyses were performed to test means …

The Employment Situation Of Veterans: March 2025, Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

In March 2025, U.S. employment rose by 228,000, with notable gains in health care, social assistance, and transportation, while the overall unemployment rate held steady at 4.2%. Veteran unemployment declined overall, though trends varied by age, gender, and race, with some subgroups—such as older veterans and Black veterans—experiencing increases.

Beyond Empire: Spain's Contemporary Relationship With Latin America, Gage Groeteke

Honors Program: Senior Projects (Public)

The relationship between Spain and Latin America demands critical attention, not only due to its colonial past but also in light of shifting global power structures and growing generational demands for accountability from historically oppressive states. This study takes its form in a literature review to synthesize the evolving postcolonial dynamic between Spain and the Latin American region—whose long-run development and capacity for economic independence have been fundamentally shaped by colonization. Drawing on postcolonial theory, historical context, international relations, foreign policy, and primary sources, this paper argues that Spain’s modern entanglement with Latin America reflects a neocolonial pattern. Spain’s economic …

Managing The Cost Of Services For People With Disabilities: International Approach. Part Ii: Ohio, United States, Dana Pugh, Jaroslaw Richard Romaniuk

Faculty Scholarship

Introduction: Four years of managing a housing network for people with disabilities prompted a rethinking of the financial management of the services offered. Clients with different needs require diverse professional staff for their home care. Emergency situations require that professionals offering assistance maintain the highest level of education possible. Financial resources often limit the quality of care for people with disabilities. Method: This paper is based on a literature search and on professional experience (Dana Pugh) in the management of a housing program for people with disabilities in Cleveland, Ohio (USA). Findings: In Poland, people with disabilities usually live with …

Leading Nonprofit Success Through Collaboration And Partnerships, Lakell Archer, Erica Bassett

Journal of Nonprofit Innovation

Abstract

Nonprofit organizations play a crucial role in addressing societal challenges, yet they often operate in a competitive environment with limited resources. To maximize impact and long-term sustainability, strategic partnerships and cross-sector collaborations have emerged as essential approaches. This paper explores the benefits of nonprofit collaboration, emphasizing its role in creating strategic advantages, improving service delivery, fostering innovation, and ensuring long-term resilience. The discussion highlights how collaborative leadership is key to overcoming barriers such as competition for funding, misaligned objectives, and trust deficits among partners. By examining real-world examples, the paper illustrates how effective partnerships enhance resource sharing, streamline operations, …

Transformative Outcome Of Correctional Education On Ex-Offenders In Mzimba, Malawi, Rajab Philip Mota, Mavuto Tembo

Journal of Prison Education Research

Prison service offers correctional education programs to the incarcerated individuals as a vital component of crime fighting strategy. Although the role of correctional education is to fight crimes, relapse in criminal behaviour which results in the re-incarceration of ex-offenders continues to be a predicament, thereby questioning the relevance of correctional education programs after imprisonment. Therefore, this mixed methods study analysed the transformative outcome of correctional education programs on ex-offenders in Mzimba, Malawi using the empowerment theory. The study utilized questionnaires, focus group discussions and in-depth interviews as data collection tools, whereby quantitative data was analysed using SPSS version 20 while …

Review Of In A Human Voice, Jean Keller

The Journal of Social Encounters

No abstract provided.

Review Of Insurrectionary Uprisings: A Reader In Revolutionary Nonviolence And Decolonization, Matilda Maseno

The Journal of Social Encounters

No abstract provided.

Review Of Portraits Of Peacemakers: Americans Who Tell The Truth, Rosemarie Pace

The Journal of Social Encounters

No abstract provided.

New Cold War, New Anti-Nuclear Activism (Webinar), - Kroc Institute For International Peace Studies

The Journal of Social Encounters

The nuclear freeze movement of the early 1980s demonstrated the power of grassroots activism to influence national defense and security policy at the height of the Cold War. Today, the world is threatened by a new global arms race as the United States, Russia, China, and other nuclear weapons states are rebuilding and enhancing their arsenals, including new missile deployments. In the face of worsening nuclear dangers, grassroots movements are once again advocating for nuclear disarmament and justice.

This webinar, which took place February 11, 2025 discussed the efforts and impact of local government officials, religious leaders, and international networks …

Christian Ethics And Business Leadership, Jon Armajani

The Journal of Social Encounters

This essay discusses the ethical principles of listening, community, stewardship, and interreligious and intercultural understanding with respect to business leadership. It opens by discussing definitions of ethics and their relevance to businesses and business leaders. It continues by providing a description of the consulting company Accenture’s ethical principles and practices, as positive examples. The essay provides Arthur Andersen and its work with Enron and WorldCom, both of which went bankrupt in the early 2000s, as examples of the failures that occur when ethical principles are not practiced. Then, the essay states that Christianity and the Benedictine tradition constitute a basis …

Peter Maurin As The New St. Benedict: A Review Essay, William J. Collinge

The Journal of Social Encounters

No abstract provided.

Toward Integral Security: How Environmental Protection Was Incorporated Into The United Nations System And Why It Matters Today And Tomorrow, Patricia M. Mische

The Journal of Social Encounters

How did the United Nations - an international organization built on 19^th century worldviews and state-centric structures, integrate 21^st century challenges of environmental protection into its mission and programs? The UN Charter includes no mandate for environmental protection. Ecological integrity was not included in the scope of peace and security held by member states when they ratified the UN Charter. Yet, despite this and other historical, philosophical and structural limitations, the UN became the leading body for the development of global environmental policy.

The Overlooked Dynamics Of Sibling Violence: Sociological Perspectives And Intervention Strategies, Rowland Edet

The Journal of Social Encounters

Sibling violence (SV) represents a pervasive yet underexplored dimension of family violence, encompassing physical, emotional, and psychological abuse. This paper critically examines the intersection of gender dynamics, societal norms, and family structures in shaping SV behaviors. Using social learning theory (SLT) as a foundational framework, the analysis explores how gendered expectations and traditional roles influence the prevalence and forms of aggression, with boys more likely to exhibit overt physical aggression and girls engaging in relational aggression. The paper critiques the deterministic tendencies of SLT, highlighting the agency of individuals in rejecting modeled behaviors, and incorporates intersectionality to address the interplay …

Religious Bodies Crime Control Strategies In Lagos Slums, Nigeria, Lateef Adeyemo

The Journal of Social Encounters

In Lagos' slum areas, where crime and social instability are rampant, religious bodies are uniquely positioned to influence positive change. This study adopted a qualitative, cross-sectional approach, guided by social disorganisation and stakeholder theories, to examine their impact. Purposive sampling was used to select 61 participants for in-depth interviews and key informant interviews. Findings indicate that religious bodies primarily engage youth through sermons and occasional events but lack structured crime control mechanisms. Key challenges include community resistance, limited police collaboration, resource constraints, and threats from violent youth. Furthermore, doctrinal concerns and fear of backlash hinder interfaith collaboration, with some …

Fratelli Tutti And Social Media: Solidarity And Social Networks Among Locals And Urban Refugees In Kampala, Uganda, Augustine Bahemuka

The Journal of Social Encounters

Fratelli Tutti, Pope Francis’ social encyclical, exhorts all Christians and people of good will to cultivate a spirit of fraternity and solidarity with all people in need, regardless of socio-cultural or creedal or racial differences. He challenges us to broaden our perception of “neighbour” to even include those people whose plight we encounter via social media – our digital neighbours. This paper shows how the Association of Refugee Women in Uganda (AORW- U) has used social media to amplify the voices of urban refugees living in Kampala, thereby raising public awareness; attracting global and local partnerships; and creating healthy social …

Human Security And The Idiot: “Can Beauty Really Save The World”, Aaron Tyler

The Journal of Social Encounters

A key point of progress in the systematic considerations of the causality and cessation of violent conflict is found in the evolving idea of human security. In a collective effort to respond to the chaotic reality of violent engagement, human security emerged toward the end of the twentieth century as a multilateral, person-centered paradigm for thinking about and pursuing conflict transformation. As human security enters a third generation of development, scholars and policymakers continue to discern the usefulness of this holistic, multilateral paradigm for security. The efficacy of human security outcomes will depend on how the individual and collective within …

Right To Education And Access To Schooling: Understanding The Role Of Students’ Transportation Challenges In Selected Junior Secondary Schools In Ilorin, Nigeria, Usman Bolaji Abdulkadir, Egbinola Temitope Anuoluwa

The Journal of Social Encounters

No abstract provided.

Working Paper: The Role Of Nafeer And Social Networks In Sudan’S Humanitarian Response And The Challenges For International Aid, Mazin Sharfi

The Journal of Social Encounters

This paper explores the integral role of Nafeer, a traditional Sudanese communal practice, and social networks in addressing humanitarian crises, focusing on the ongoing 2023 conflict. Nafeer, rooted in rural agricultural settings, has evolved to mobilise urban communities for emergency responses, while social networks extend social support beyond family ties, providing a complementary layer of resource-sharing. Both systems, decentralised and grassroots in nature, contrast sharply with formal international aid structures. The research highlights how Nafeer and social networks mobilise resources through traditional means, such as mobilising social capital and economic resources including remittances, and modern mechanisms, like crowdfunding. It underscores …

Rape And Sexual Violence In Sudan

The Journal of Social Encounters

No abstract provided.

Introduction: The Continuing Saga Of Darfur And Sudan, Mawa Mohamed, Ron Pagnucco

The Journal of Social Encounters

No abstract provided.

Inter-Prefectural Migration Of Older Adults In The Tokyo Metropolitan Area, Katsuyoshi Nakazawa, Shinji Komatsu

Japanese Society and Culture

This study uses population migration data from the 2020 National Census to examine the migration of older adults within the Tokyo metropolitan area and between the Tokyo metropolitan area and other areas. The main results are as follows: In the Tokyo metropolitan area, both older adults aged 65–74 and those aged 75 and over move out of Tokyo to the three surrounding prefectures. This tendency was more prevalent in those aged 75 and over than those aged 65–74. Regarding migration between the Tokyo metropolitan area and other areas, the results show the opposite trend, with those aged 65–74 outflowing from …

Self-Evolvability—The Ability To Utilize Artificial Intelligence—Definition, Validity, And Policy Implications, Koichi Kume, Hiroyuki Chuma

Japanese Society and Culture

To make full use of the potential of new technologies, including artificial intelligence, it is necessary to switch to a way of thinking and working that is friendly to technology. In this regard, this study examines the concept of “self-evolvability,” which is defined as a mixture of meta-cognition, "informating" everything, and pursuing a shared benefit and desire for self-change. Using survey results in Japan and the United States., we construct a self-evolvability variable and confirm unique features that differ from existing measure, and quantitatively analyzed the relationship between self-evolvability, acceptance of new technologies, provision of personal data, and approval or …

Green Urban Planning In Tokyo: Managing Natural Spaces For Sustainable Development, Gilberto Mejía Salazar

Japanese Society and Culture

The main purpose of this research is to highlight the relevance of the Green Plan in Japanese society, with special emphasis on its application in the city of Tokyo. This plan is positioned as a priority that not only focuses on the aforementioned metropolis, but is also available to its inhabitants, generating a positive impact. It is important to highlight that the fundamental purpose of this research is to understand the relevance of the so-called Green Plan in the creation and implementation of new green areas, as well as the associated strategies for the preservation of nature in the context …

Desistance, Emancipation, Empathy, And Pedagogy: The Incarcerated Teaching Artist’S Approach To Poetry, Ghostwrite Mike

Journal of Prison Education Research

The Art of Recovery and Therapy (ART) leisure time activity group at Valley State Prison (VSP) in Chowchilla, California, is a resident-led arts and humanities-based self-help forum that has been available to carceral state residents for more than a decade and is administered in collaboration with full-time, non-custody, civil servant facility staff (CDCR site, n.d.). ART is among the California Department of Corrections and Rehabilitation’s (CDCR) longest running and most autonomous creator habitats founded and facilitated entirely by resident practitioners. ART wields a codified state regulatory authority to function and fundraise (Cal. Code Regs. § 3233-3237, 3240) as well as …

Cost Modeling For State Longitudinal Data Systems, Benjamin Boer

Practitioner Toolkits and Resources

A tool to support the development and scaling of longitudinal data supports in state policymaking.