Digital Commons Network^™

Impediments To Transforming The Healthcare Delivery System: Shifting The Paradigm From Provider Centric To Patient Centric, Elizabeth A. Regan, Manasa Devi Chinta

Faculty Publications

Introduction: 

Stated aims for digital healthcare transformation frequently cite goals for better coordinated patient-centric systems. However, despite advances in medical science, digital technologies, health policies, and billions of dollars invested over the past 25 years, most healthcare providers are far from fully realizing the demonstrated benefits of today's digital technologies for improving patient care. Sharing information across healthcare systems remains challenging. Problems with fragmentation, quality, inequities, and rising costs of care delivery persist. A recent study of 1,026 U.S. hospital systems found that only 15.8 percent achieved a digital maturity level needed to provide digitally enabled healthcare services to better …

Korean Words In The Oed: Race, Gender, And The Modern English Speaker, Elaine W. Chun

Faculty Publications

This article examines representations of the Modern English Speaker of Korean (MESK) in the Oxford English Dictionary (OED), as lexicographers listened to and documented the language of this figure over the past century. I show that, until the early twenty-first century, the most salient type of MESK was the Koreanist, a white, masculine expert on and translator of Korean, the language of a racial other. By contrast, more recent Korean entries, influenced by the global spread of hallyu, have invoked the Korea Fan, a figure that potentially unsettles longstanding ideologies of language, race, and gender. I …

A Review Of Interaction Between Sleep Apnea And Apoe E4 On The Risk Of Dementia, Xiuhua Ding, Carol Watwood, Amit Patel, Krupa Hegde, Brooke Mahanna, Lindsey Escudero, Jean Neils-Strunjas Ph.D, Ccc-Slp

Faculty Publications

Dementia has a significant impact on individuals, families, communities, and the economy. Alzheimer’s disease (AD) accounts for 60–80% of dementia cases. The APOE e4 allele is well known as the primary genetic risk factor for AD and dementia. Studies have also shown that sleep apnea increases the risk of dementia. Some research further suggests a possible interaction between sleep apnea and the APOE in dementia development; however, this relationship remains unclear. The purpose of this study is to synthesize evidence from the existing literature and report findings on the relationship between APOE, sleep apnea, and dementia. A systematic search of …

Handling Item-Level Missing Data In Linear Regression: A Tutorial, Guyin Zhang, Lihan Chen, Dexin Shen

Faculty Publications

With advances in methodology and statistical software, modern methods for handling missing data have become more accessible and straightforward to apply. In psychological studies, researchers often use questionnaires or scales composed of multiple items to measure constructs of interest. As a result, missing values frequently occur at the item level, whereas data analyses are typically conducted at the scale (composite) level. However, properly addressing item-level missing data remains a common challenge for many applied psychologists, including researchers who are otherwise well experienced in handling missing data at the scale level. In this tutorial, we introduce six approaches for handling item-level …

Building Buy-In For Student Support Teams: Lessons From Givhans To Carolina Springs, Patrice Green

South Carolina Association for Middle Level Education Journal

This article examines strategies for cultivating staff buy-in and sustaining effective Student Support Teams (SSTs) within a Multi-Tiered System of Supports (MTSS) framework at the middle school level. Drawing from the author’s personal experiences of overcoming adversity and his leadership journey from rural Givhans, South Carolina, to serving as principal of Carolina Springs Middle School, the narrative highlights the critical role of intentional, data- driven interventions in promoting equitable student outcomes. The discussion emphasizes the necessity of proactive identification, individualized support, and collaborative problem-solving among educators. Common implementation challenges—such as staff resistance, initiative fatigue, and inconsistent follow-through—are addressed through actionable …

South Carolina Middle School Student Performance In Ela And Mathematics: The Imperative Of Assessment For Learning, Olivia S. Ochoo

South Carolina Association for Middle Level Education Journal

Despite broad access to middle school in South Carolina, recent SCReady assessment data indicate persistent literacy and numeracy achievement gaps, with so many students performing below grade level in English Language Arts (ELA) and mathematics. This article evaluated five years of state- and district-level data, highlighting steady but small gains, and explored how current assessment practices failed to fully inform instruction to accelerate learning. This paper used a mixed-methods research design, particularly a convergent parallel mixed-methods design, in which both qualitative and quantitative approaches were used to collect and analyze data. To be specific, document analysis and both open- and …

Text Messages To Improve Young Child Diets: Results From A Cluster-Randomized Controlled Trial In Kanchanpur, Nepal, Kenda Cunningham, Sidney Cech, Aman Sen Gupta, Pooja Pandey Rana, Debbie Humphries, Edward A. Frongillo Jr. Ph.D.

Faculty Publications

The objective of this study was to test whether adding a text message campaign about the importance of eating eggs and other nutrition-related behaviours to an on-going package of large-scale, diverse social and behaviour change interventions would improve four types of nutrition-related knowledge and behaviour outcomes: child diets (egg consumption as the primary outcome), maternal diets, maternal nutrition knowledge, and maternal participation in additional interventions. The cluster-randomized controlled trial involved a repeat cross-sectional design, recruiting families with children 12–23 months of age at baseline and endline in one plains district of Nepal. Throughout the 1000-day period, 51 text messages were …

Impact Of Suaahara, An At-Scale Multisectoral Nutrition Programme, On Health Workers’ Maternal And Child Health, And Nutrition Knowledge And Skills In Nepal, Deependra K. Thapa, Edward A. Frongillo Jr. Ph.D., Shalini Suresh, Ramesh P. Adhikari, Bhim Pun, Karuna L. Shakya, Raj Mandal, Subir K. Kole, Kenda Cunningham

Faculty Publications

Suaahara, an at-scale multisectoral nutrition programme in Nepal, aimed to advance knowledge and skills of frontline health workers to improve the quality of nutrition and health services at health facility and community levels. This study assessed the impact of Suaahara interventions on knowledge and skills of health facility workers and Female Community Health Volunteers (FCHVs). The study used a quasi-experimental design in which four Suaahara intervention districts were compared with pair-matched comparison districts. One health facility worker and three FCHVs from each survey cluster were included. Baseline survey consisted of 93 health facility workers (2015) and 118 FCHVs (2012), and …

Characterization And Response To Exercise Training Of Hdl-Specific Phospholipid Efflux, Eric C. Leszcynski, Charles S. Schwartz, Kiani J.C. Jacobs, Prasun L. Dev, Sujoy Ghosh, Jeremy M. Robbins, Robert E. Gerszten, Anand Rohatgi, Timothy S. Collier, Robert J. Konard, Masaki Sato, Rafael Zubirán, Claude Bouchard, Edward B. Neufeld, Alan T. Remaley, Mark A. Sarzynski Facsm

Faculty Publications

The HDL-specific phospholipid efflux (HDL-SPE) assay is a novel cell-free measure of HDL function that is inversely associated with coronary artery disease. However, the effect of exercise training on HDL-SPE is unknown. The purpose of this study was to examine the effect of exercise training on HDL-SPE in a large, diverse cohort free of overt disease. Clinical and functional measures of HDL were taken before and after 20 weeks of endurance exercise training in 508 participants from the HERITAGE Family Study. Associations of HDL-SPE with HDL-related traits were examined using Pearson's correlations at baseline and following exercise training (significance: P …

Moving Forward: Teachers Managing Challenges And Change, Victoria A. Oglan, Lauren Gehr

South Carolina Association for Middle Level Education Journal

Teaching requires adapting to ongoing changes in pedagogy and technology, a reality intensified by the COVID-19 pandemic. This article situates pandemic-era instructional shifts within a broader history of educational change and reviews contemporary professional texts addressing technology integration, artificial intelligence, literacy instruction, teacher clarity, and deep learning.

Mental Health And Neurodiversity In Middle Grades Literature: Sharing Stories Of Anxiety, Identity, And Resilience For Today’S Adolescents, Brooke B. Eisenbach

South Carolina Association for Middle Level Education Journal

Literature offers a powerful entry point for classroom conversation and engagement around mental health and neurodiversity. Stories invite students to challenge stereotypes and deepen their understanding through exploration of character, conflict, and voice, rather than through lecture or the expectation of personal self-disclosure. This article examines five contemporary novels exploring topics of mental health and neurological diversity that teachers can utilize to integrate mental health and social-emotional learning in the classroom. Through authentic voices and relatable narratives, these stories provide educators, parents, and teens with meaningful insights into the realities of navigating challenges while emphasizing resilience, self-worth, and the power …

Front Matter

South Carolina Association for Middle Level Education Journal

No abstract provided.

Scamle Journal 2026 Full Volume

South Carolina Association for Middle Level Education Journal

No abstract provided.

Impact Of Suaahara, An Integrated Nutrition Programme, On Maternal And Child Nutrition At Scale In Nepal, Edward A. Frongillo Jr. Ph.D., Shalini Suresh, Deependra K. Thapa, Kenda Cunningham, Pooja Pandey Rana, Ramesh P. Adhikari, Subir Kole, Bhim Pun, Indra Kshetri, Debendra P. Adhikari, Rolf Klemm

Faculty Publications

Suaahara was an innovative, complex, multi-sectoral, large-scale, nutrition programme in Nepal to increase exposure to nutrition-related information and services, improve nutrition-related knowledge and practices among pregnant women and mothers of infants and young children, and improve their nutrition. This study evaluated the effectiveness of Suaahara to improve nutrition and nutrition-related practices by comparing changes over 10 years between intervention and comparison districts. The samples of households at baseline in 2012 and endline in 2022 were 2040 and 2480, respectively, from 120 old wards. The impact was estimated using intent-to-treat regression models in which survey year, arm and their interaction were …

Exposure To Suaahara Ii Interventions And Knowledge Of Maternal And Child Nutrition And Health Among Mothers, Grandmothers, And Male Household Heads: An Association Study In Nepal, Shalini Suresh, Edward A. Frongillo Jr. Ph.D., Deependra K. Thapa, Ramesh P. Adhikari, Subir K. Kole, Femila Sapkota, Manisha Laxmi Shrestha, Kristine Garn, Pooja Rana Pandey, Indra Kshetri, Dipak Sharma, Kenda Cunningham

Faculty Publications

Suaahara was a USAID-funded multi-sectoral integrated nutrition program that aimed to improve the nutritional status of children under the age of five and their mothers in Nepal. The program included multiple interventions targeted to mothers and children, as well as other caregivers. Caregiver knowledge of optimal nutrition and health practices among household members is an important driver of healthy child and maternal nutrition behaviors. This study investigates the associations between exposure to Suaahara interventions and knowledge of maternal and child nutrition and health practices among mothers (n =, grandmothers (n =, and male household heads (n =. Linear and logistic …

Does Genetic Testing Influence Outcomes: Early Experience In Melanoma Case Series, Ryan Reyes, George Skenteris, Stella Coker Watson Self Ph.D., Ms, Christine Marie-Gilligan Schammel, Steven D. Trocha

Faculty Publications

Background:

The treatment and prognosis of melanoma have historically been based on histologic stage and Breslow depth; however, due to the increase in surveillance, melanomas are being identified at an earlier stage and lower Breslow depth. Advances in genetic testing, such as Decision Dx®, mean that melanoma diagnostic decisions and prognosis can now be directed by genetics. The purpose of this project was to assess the influence of a Decision Dx® high-grade (Class 2A/B) classification on the treatment of melanoma patients at a regional medical center, particularly those not deemed high risk by conventional classification methods, including Breslow depth and …

Using The Misinformation Exposure-Trust Framework For Audience Segmentation: Predicting Covid-19 Vaccine Hesitancy Among U.S., Jing Zeng, Jinxu Li, Nan Yu, Xi Cui, Anli Xiao Ph.D.

Faculty Publications

This study examines whether individuals’ exposure to and trust in COVID-19 vaccine misinformation can be used to segment audiences and explain variations in vaccine hesitancy and health beliefs. Using k-means clustering, a survey of 819 U.S. college students (March–May 2021) identifies four subgroups based on combinations of high or low misinformation exposure and trust: misinformation-shielded (low exposure, low trust), misinformation-vulnerable (low exposure, high trust), misinformation-resistant (high exposure, low trust), and misinformation-accepting (high exposure, high trust). These subgroups differ significantly in political ideology, vaccine hesitancy, and health beliefs. The misinformation-shielded subgroup reports more liberal views, lower hesitancy, and higher perceived efficacy, …

Effect Of Hdl Disk And Ldl Dimer Presence On Lipoprotein Particle Number Determination And Subclassification, Zsuzsanna Kuklenyik, Anna A. Ivanova, Lauren E. Drinkard, David M. Schieltz, Jeffrey I. Jones, Kevin Bierbaum, Christopher A. Toth, Michael S. Gardner, Bryan A. Parks, Michael Andrews, Jennifer D. Kusovschi, Jack A. Sultan, Antony Lehtikoski, Jon C. Rees, Wanda I. Santana, Victoria Connor, Eric Leszynski, Robert W. Mcgarrah Iii, Mark A. Sarzynski Facsm, William E. Kraus, John R. Barr

Faculty Publications

High-density and low-density lipoproteins (HDL and LDL) are established analytical targets for diagnosis and risk stratification of numerous chronic diseases. This study investigates potential sources of bias in lipoprotein particle counting (HDL-P and LDL-P), focusing on the most atheroprotective small-HDL and most pro-atherogenic small-LDL. Plasma samples were fractionated using asymmetric-flow field-flow fractionation (AF4), coupled with hydrodynamic size measurement and comprehensive liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis of each fraction. Concentration-size profiles were deconvoluted into 10 HDL and 8 LDL Gaussian subspecies. Molecular volume ratios were used to evaluate proposed particle models, providing evidence for the presence of s-HDL disk and …

Egain Tube Memristors Offering Reliable Switching On A Biological Time Scale, Yuriy V. Pershin, Liya Patel, Bapi Bera, Doug Aaron, Stephen A. Sarles

Faculty Publications

Memristive devices have been considered promising candidates for nature-inspired computing and in-memory information processing. However, experimental devices developed to date typically show significant variability and function at different time scales than biological neurons and synapses. This study presents a memristive device comprised of liquid-metal eutectic gallium indium (EGaIn) contained within a mm-scale tube that operates via a bulk, voltage-dependent switching mechanism and exhibits distinct unipolar resistive switching characteristics that occur on a biological time scale (tens of milliseconds). The switching mechanism involves voltage-controlled growth and dissolution of an oxide layer on the surface of the liquid metal in contact with …

The Detection Of Marine Microseismic Activity With The Cuore Tonne-Scale Cryogenic Experiment, D. Q. Adams, C. Aldunio, K. Alfonso, A. Armatol, Frank Avignone Iii, O. Azzolini, G. Bari, F. Bellini, G. Benato, M. Beretta, C. Bucci, J. Camilleri, A. Caminata, A. Campani, J. Cao, C. Capelli, S. Capelli, L. Capelli, J. Capelli, A. Caminata, Et. Al.

Faculty Publications

Vibrations from experimental setups and the environment are a persistent source of noise for low-temperature calorimeters searching for rare events, including neutrinoless double beta (0νββ) decay or dark matter interactions. Such noise can significantly limit experimental sensitivity to the physics case under investigation. Here, we report the detection of marine microseismic vibrations using mK-scale calorimeters. This study employs a multi-device analysis correlating data from CUORE, the leading experiment in the search for 0νββ decay with mK-scale calorimeters, and the Copernicus Earth Observation program, revealing the seasonal impact of Mediterranean Sea activity on CUORE’s …

Translating Community Voices To Build Meaningful Engagement: A Community Health Worker Led Study, Lauren Workman, Julie Smithwick Msw, Chw, Kimberly C. Rawlinson, Mark M. Macauda, Lashandra Morgan, Whitney Davis

Faculty Publications

Background: Understanding community perspectives on barriers and facilitators of meaningful engagement, equitable decision making, and sustainable community improvement is critical for advancing health equity. Community Health Workers can make significant contributions to research teams, as they are bridges into communities and bring unique perspectives. This study describes community voices on barriers to authentic engagement and insights on strategies to build trust, as well as the way in which these data were translated into a tangible assessment tool and a community-facilitated learning academy.

Methods: A team of Community Health Workers led a series of 24 ‘open mic’ discussions in four South …

Association Between Dietary Folate And Prostate Cancer Aggressiveness Among African Americans And European Americans, Lihchyun Joseph Su, Sarah O'Connor, Daniela Ramirez Aguilar, Minjae Lee, Harrison Wong, Hui-Yi Lin, Jeannette T. Bensen, James L. Mohler, Lenore Arab, Longgang Zhao, Ebonee N. Butler, Laura Farnan, Susan E. Steck Phd, Mph, Rd

Faculty Publications

Background: Despite the confirmed beneficial effects on preventing neural tube defects, concerns about high intakes of synthetic folate, or folic acid, in promoting cancer progression have been raised. This study evaluated the association between folate intake and prostate cancer (PCa) aggressiveness among African-American (AA) and European-American (EA) males. Methods: This study included 722 AA and 775 EA men with prostate cancer. Folate intake (dietary folate equivalent (DFE), synthetic folate, natural folate) was estimated using the National Cancer Institute Dietary History Questionnaire and detailed dietary supplement use questionnaire. Analyses included univariable comparisons of demographic and clinical characteristics of the two racial …

Examining The Impact Of Young Children’S Motor Development On Inhibitory Control And Social Skills, Ali S. Brian, Shea E. Ferguson, Angie Starrett, Emily Kallis, J. Ross Ramsey

Faculty Publications

Background/Objectives: Understanding how motor and cognitive development may contribute to prosocial behavior is essential for supporting whole-child development in early learning settings. Early childhood education settings are well-positioned to address these concerns through integrated approaches that support the whole child. Research exploring the mechanisms that link developmental domains remains limited, especially regarding how motor development may influence social outcomes through cognitive processes such as inhibitory control. Thus, the purpose of this study was to examine whether gains in motor skills were associated with prosocial behaviors indirectly through improvements in inhibitory control. Methods: Preschoolers (N = 238; Mage = 66.61, SD …

Examining The Impact Of Young Children’S Motor Development On Inhibitory Control And Social Skills, Ali S. Brian Ph.D., Shea E. Ferguson, Angie Starrett Ph.D., Emily Kallis, J. Ross Ramsey

Faculty Publications

Background/Objectives: Understanding how motor and cognitive development may contribute to prosocial behavior is essential for supporting whole-child development in early learning settings. Early childhood education settings are well-positioned to address these concerns through integrated approaches that support the whole child. Research exploring the mechanisms that link developmental domains remains limited, especially regarding how motor development may influence social outcomes through cognitive processes such as inhibitory control. Thus, the purpose of this study was to examine whether gains in motor skills were associated with prosocial behaviors indirectly through improvements in inhibitory control. Methods: Preschoolers (N = 238; Mage = 66.61, SD …

The Effect Of St. John’S Wort Solution On Climbing Activity Reflecting Depressive-Like Behavior In Drosophila Melanogaster To Model Seasonal Depression In Low Sunlight Exposure, Madison Simon

Journal of the South Carolina Academy of Science

Although depression is a known substantial threat to public health, seasonal affective disorder (SAD) is under-researched. SAD refers to recurrent seasonal patterns of depression. This depressive disorder has few accepted treatments. The purpose of this study was to test whether St. John’s Wort (SJW), a natural supplement with researched antidepressant properties, could be a cheaper alternative with fewer limitations for treating SAD. SJW’s efficacy as a seasonal depression inhibitor was tested through a Drosophila depression-like model using climbing activity to reflect depressive behavior. It was hypothesized that as the concentration of SJW solution increases, the climbing activity of stressed Drosophila …

Challenges, Stressors, And Resilience Resources Experienced By Older Black Women In Rural South Carolina Throughout The Covid-19 Pandemic, Arielle N'Diaye, Camryn Garrett, Sarah Wilcox Phd, Bankole Olatosi Ph.D., Xiaoming Li Ph.D., Shan Qiao Ph.D.

Faculty Publications

Background

Resilience has been established as a protective factor against mental health challenges (e.g., anxiety, depression). From an intersectional perspective, the stressors experienced by Black women living in rural communities are likely to have been exacerbated during the COVID-19 pandemic. This study aims to identify the challenges and stressors experienced and the resilience resources available to and relied upon by rural, Black women, during the pandemic.

Methods

Individual, in-depth, structured interviews (n = 24) were conducted among Black women living in rural South Carolina, recruited by local community health workers, from January to April of 2024. All interviews were recorded, …

Trends In Self-Reported Responses To Nutrition Facts Labels Before And After Nutrition Labeling Policy Implementation: A Comparison Of Adults In The United States And Mexico, Jim Thrasher Ph.D., Ma, Ms, Victor Vilalobos, Dai Fang, Alejandra Jáuregui, Alejandra Contreras-Manzano, Rachel Davis Ph.D., Lana Vanderlee, Christine M. White, Rachel B. Acton, James W. Hardin, Edward A. Frongillo Jr. Ph.D., Simón Barquera, David Hammond

Faculty Publications

Background

Objectives

Methods

Partial Mitochondrial Genome Of The Enigmatic Bermuda Fireworm Odontosyllis Enopla Verrill, 1900 (Annelida, Syllidae, Eusyllinae) And Its Phylogenetic Implications, Lynette D. Wyant, Brendan A. Cruz, Aydanni D. Gonzalez, Joshua M. Kovalcik, Maria A. Carolus, Lauren C. Hutto, Hope Chutjian, Jude C. Roman, Anneau Cappelmann, John J. Ankney, Aidan Popp, James B. Wood, D. Tye Pettay, Mercer R. Brugler

Natural Sciences Faculty Publications

The Bermuda fireworm, Odontosyllis enopla Verrill, 1900, is a marine polychaete that displays a unique bioluminescent mating ritual. Despite the first sighting of O. enopla more than 534 years ago, molecular data have been limited. Several syllid mitogenomes are currently available; however, there are only three published genes for O. enopla: two partial mitochondrial genes (16S [508 bp] and cox1 [653 bp]; 1,161 bp total) and one partial nuclear gene (18S [1,339 bp]). This study bioinformatically mined previously published transcriptomes of O. enopla for mitochondrial reads and subsequently assembled and annotated a partial mitochondrial genome (10,172 bp). The partial mitogenome …

A Transcriptional Program Associated With Neurotransmission In The Living Human Brain, Alexander W. Charney, Lora E. Liharska, Eric Vornholt, Alissa Valentine, Anina Lund, Alice Hashemi, Ryan C. Thompson, Terry Lohrenz, Jessica S. Johnson, Nicole Bussola, Esther Cheng, You Jeong Park, Salman Qasim, Alisha Aristel, Lillian Wilkins, Kimia Ziafat, Hannah Silk, Lisa M. Linares, Brendan Sullivan, Claudia Feng, Beniamino Hadj-Amar Ph.D.

Faculty Publications

At the foundation of neurotransmission, and by extension at the foundation of brain function, are coordinated programs of gene expression involving many thousands of genes. These programs are poorly defined in humans because most modern studies that characterize human brain gene expression use tissue obtained in the postmortem state when neurotransmission and brain function have ceased. Here, to advance knowledge of the gene expression programs at the foundation of neurotransmission in the human brain, gene expression was characterized in 130 prefrontal cortex (PFC) samples obtained from participants of the Living Brain Project (LBP) during neurosurgical procedures in conjunction with intracranial …

Survival On Image Regression With Application To Partially Functional Distributional Representation Of Physical Activity, Rahul Ghosal, Sunwoo Emma Cho, Marcos Matabuena

Faculty Publications

Technological advancements in wearable devices and medical imaging often lead to high-dimensional physiological signals in the form of images or surfaces. To address these data structures, we develop a novel survival on image regression model with a specific focus on partially functional distributional representation of wearable data. The existing approaches for functional data and survival outcomes have been primarily developed for uni-dimensional functional predictors. Drawing on recent developments in distributional data analysis, we model temporally varying distributional patterns of physical activity (PA) as a partially functional distributional predictor within a semiparametric Cox model framework. We use tensor product splines to …