Digital Commons Network^™

Addressing The Challenges Of Cognitive Decline In The Physician Workforce, Sharona Hoffman

Faculty Publications

This book chapter examines the growing challenge of cognitive decline among aging physicians and analyzes various approaches to addressing it. In 2024, twenty percent of working physicians were sixty-five or older, and evidence suggests that 12-14% of older clinicians have cognitive deficits that may affect job performance. The chapter evaluates two primary approaches to cognitive assessment: employer-initiated programs and programs operated by state medical boards. Employer "late career practitioner policies" (LCPP) that require older physicians to undergo testing are becoming increasingly popular among health care organizations. But they are vulnerable to challenge under disability and age discrimination laws, as evidenced …

Methodological Variations In Environmental Justice Screening Tools And Their Impact On Disadvantaged Community Designations, Thomas Robbins, Qingran Li, Stephen Bird

Faculty Publications

Government agencies in the United States have developed environmental justice screening tools (EJSTs) and designations to promote equitable distribution of benefits from environmental policies to disadvantaged communities (DACs). However, the methodological choices embedded in these tools, including the selection, weighting, and aggregation of environmental justice indicators, vary across EJSTs, and their implications for DAC designation outcomes are poorly understood. Here we systematically compare four EJSTs at the federal and state levels and show that these tools produce substantial variation in the DAC census tracts, with some tools emphasizing socioeconomic burdens while others prioritize environmental risks. Using quantitative regression models, we …

Tax Exceptionalism After Loper Bright, Conor Clarke, Noah Hertz Marks

Faculty Publications

In this article, the authors consider what Loper Bright means for the relevance of Mayo Foundation and National Muffler as well as its broader implications for agency-specific deference, and they examine older case law that can be helpful post-Loper Bright.

Parental Perceptions Of Censorship In Utah: Working Paper, Rachel L. Wadham, Dallyn Edmunds

Faculty Publications

The rapid rise of book challenges and removals in U.S. school libraries has increasingly been justified through appeals to parental rights, yet relatively little research has explored what parents themselves believe about censorship and book removal. This exploratory qualitative study examined Utah parents’ perceptions of censorship in school libraries, the kinds of content they believe should be restricted, and the reasoning underlying those beliefs. Using a grounded theory-informed thematic analysis approach, data were collected through a survey of 319 Utah parents with children enrolled in public schools. The survey combined closed-ended and open-ended questions, allowing participants to articulate their views …

The Evolution Of Reliability Methods For Nondestructive Evaluation (Nde): From Probability Of Detection (Pod) Conception To Contemporary Practices, Christine E. Knott, Jennifer Brown, John Aldrin, Christine M. Schubert Kabban

Faculty Publications

Nondestructive evaluation (NDE) methods are powerful tools for detecting and characterizing flaws in structural components, but their reliability must be evaluated before they can be used in critical applications. For more than 50 years, probabilistic and statistical methods have been used effectively to estimate reliability by describing an NDE system’s Probability of Detection (POD) for flaws of realistic sizes. The POD methods used by the USAF and NASA, like Hit/Miss, Signal-Response (â vs. a), and Point Estimate method (PEM, a.k.a. 29/29) have evolved, alongside newer approaches like Limited Sample POD (LS-POD) method, and Model Assisted Probability of Detection …

Uneven Surfaces, Chipped Plates And Hiding Spaces: Pedagogical Practices In The Nordic Outdoor Model Of Education, Karen Walker

Faculty Publications

This article shares insights from a professional study tour of Danish early childhood education programmes, examining how social pedagogical principles are embedded in outdoor learning environments. During June 2024, a group of early childhood teacher educators from the United States visited forest kindergartens, adventure playgrounds and natural playscapes in Denmark as participants in the Nordic Outdoor Model of Education study tour. Through guided visits and observations, we documented pedagogical practices that demonstrate the application of social pedagogy– particularly the integration of head, heart and hands in supporting children’s holistic development. This article connects observed practices to social pedagogical theory, highlighting …

Analysis Of The Impacts Of Propositions 41 And 42 On California Public Finance, David Gamage, Brian D. Galle, Darien Shanske

Faculty Publications

This memorandum discusses the possible collateral damage that Propositions 41 and 42 (on the ballot in California on November 3, 2026) might cause.  The two propositions were concocted very quickly by billionaires in order to trick voters that will vote for Proposition 40 (the billionaire tax) also to vote for these propositions that are designed to undermine the billionaire tax.

The basic trick is that these propositions have plausible seeming veneers but hide a poison pill that aims to frustrate the functioning of the billionaire tax.  The veneers are “plausible seeming” because they address problems that are not problems.  For …

Concepts For Supporting Indigenous And Tribal Information And Research Needs, Sharon Hausam

Faculty Publications

This is a working paper produced as part of National Science Foundation project #2115169, “Transforming Rural-Urban Systems: Trajectories for Sustainability in the Intermountain West,” known as the “Intermountain West Transformation Network” (TN), led by the University of New Mexico with institutional partners at three additional universities in New Mexico, two in Arizona, and one each in Utah, Colorado, and Washington. The TN’s Indigenous and Tribal engagement was supported through a contract with Dr. Sharon Hausam, additional work by Aaron M. Canter, coordination with Dr. Lani Tsinnajinnie, and an Advisory Committee on Indigenous Information Needs primarily comprised of Indigenous representatives in …

Deporting Disability, Tania Valdez

Faculty Publications

Since the enactment of the earliest migration laws in the United States, people with disabilities have been targeted for exclusion and expulsion based on stereotypes that they are either dangerous or not productive. Although some of the pejorative language regarding disability in the Immigration and Nationality Act (INA) has changed over time, certain statutory provisions and the very structure of the INA still allow ableism to operate broadly in immigration adjudications. This Article focuses on the subtle, but pervasive, ways that immigration law disfavors noncitizens with disabilities. In particular, this Article examines ableism in the context of removal (commonly known …

Terahertz Electromagnetic Effects And Chirality-Induced Spin Selectivity In Dna, F. Matthew Mihelic Md

Faculty Publications

The effects of terahertz electromagnetic stimulation of the DNA molecule can be understood through modeling of the quantum logical mechanics of the DNA molecule.  Coherent conduction of electron spin states along the aromatic nucleotide base pairs and chirality-induced spin selectivity are two characteristics of the DNA molecule that are involved in the precise separation of the double-stranded DNA molecule at a specific location.  Such modeling can inform predictions of DNA strand separation and has significant implications for understanding DNA transcription bubble formation.

What Drives Schoolchildren's Food Choices? Insights From A Gamified Stated-Preference Choice Experiment In Tunisia, Ali Chalak, Christelle Akl, Joanne Haddad, Nehmat El Helou, Sonia Sassi, Houda Ben Gharbia, Rawan Traboulsi, Marc Haber, Jalila El Ati, Hala Ghattas Ph.D.

Faculty Publications

This paper models the drivers of schoolchildren's food choices in urban Tunisia using a gamified Stated-Preference Choice Experiment (SPCE), which includes scenario attributes (food placement, preparation, and price) and contextual factors (parental/peer modeling eating behaviors). A representative sample of 2465 schoolchildren aged 8 to 12 years in Greater Tunis participated in a SPCE, which simulates real-life food choice scenarios on a typical school day. The game includes six nodes (breakfast, recess, lunch, snack on the road to/from school, afternoon snack, dinner) in various locations (home, school, neighborhood). Each choice task includes nine items to choose from (3 beverages, 3 side-meals, …

Perceived Effectiveness Of Cigar Warnings Among Young People In The U.S., Leah M. Ranney, Rime Jebai, Michael Jetsupphasuk, Sonia A. Clark, Kristen L. Jarman, Sarah D. Kowitt, Jim Thrasher Ph.D., Ma, Ms, Adam O. Goldstein, Jennifer Cornacchione Ross

Faculty Publications

Introduction: The effectiveness of warning size and format on cigar packaging in influencing youth and young adult smoking behaviors is not well understood. This study tested these cigar warning characteristics among youth and young adults who use or are susceptible to using little cigars or cigarillos.

Methods: The study recruited 506 U.S. youth and young adults, aged 15−20 years, between April and June 2023. Participants reported ever or past 30-day use of little cigars or cigarillos or were susceptible to using little cigars or cigarillos. A 2 £ 2 between-subjects online experiment was conducted where youth and young adults were …

Nitrate Levels In The Tap Water Of Several Northeast Iowa Communities In 2026, Kamyar Enshayan

Faculty Publications

Tap water samples were taken from numerous sites in several northeast Iowa communities along the Cedar River to learn what levels of nitrate people are actually drinking over a several-months period in 2026, with the hope of inspiring public conversations, understanding and action. Samples were taken from February to June 2026.  None of the tap water samples violated the current outdated nitrate limit of 10 mg/l set 35 years ago. However, published public health studies in the past 15 years reveal that consuming nitrate in drinking water at levels as low as 5mg/l for a long time can increase the …

Indigenous Community Research Opportunities, Sharon Hausam, Aaron M. Canter

Faculty Publications

This is a working paper produced as part of National Science Foundation project #2115169, “Transforming Rural-Urban Systems: Trajectories for Sustainability in the Intermountain West,” known as the “Intermountain West Transformation Network” (TN), led by the University of New Mexico with institutional partners at three additional universities in New Mexico, two in Arizona, and one each in Utah, Colorado, and Washington. The TN’s Indigenous and Tribal engagement was supported through a contract with Dr. Sharon Hausam, additional work by Aaron M. Canter, coordination with Dr. Lani Tsinnajinnie, and an Advisory Committee on Indigenous Information Needs primarily comprised of Indigenous representatives in …

Opportunities For Leadership In Indigenous And Tribally Engaged Research At The University Of New Mexico, Sharon Hausam

Faculty Publications

This is a working paper produced as part of National Science Foundation project #2115169, “Transforming Rural-Urban Systems: Trajectories for Sustainability in the Intermountain West,” known as the “Intermountain West Transformation Network” (TN), led by the University of New Mexico with institutional partners at three additional universities in New Mexico, two in Arizona, and one each in Utah, Colorado, and Washington. The TN’s Indigenous and Tribal engagement was supported through a contract with Dr. Sharon Hausam, additional work by Aaron M. Canter, coordination with Dr. Lani Tsinnajinnie, and an Advisory Committee on Indigenous Information Needs primarily comprised of Indigenous representatives in …

Healer Or Human? How Online Physician Reviews Guide Patient Choice, Shabnam Azimi, Sina Ansari, Ignacio Luri, Atefeh Yazdanparast

Faculty Publications

Online reviews increasingly guide physician choice, yet it remains unclear whether content emphasizing a physician's competence (technical skills) or benevolence (prioritizing patients' welfare over self‐interest) more strongly influences patients' decisions. Integrating a field study of 12,351 physician reviews with two online experiments, we distinguish two dimensions of review effectiveness: how helpful readers find a review, and how confident they feel about the choice it informs. We show that competence‐ and benevolence‐focused content influences these outcomes through distinct mechanisms. Benevolence‐focused reviews receive higher helpfulness evaluations because caring behaviors are easier to describe in concrete, vivid language and because naturalistic review platforms …

Exploring Predictors Of Student And Parent Attendance In A Tier 2 School-Based Program: Implications For Optimizing Attendance In The Coping Power Program, Heather Mcdaniel, Alexa C. Budavari, Belinda E. Hernandez, Elise T. Pas, Catherine P. Bradshaw

Faculty Publications

There is growing interest in the use of multi-component Tier 2 preventive interventions to help address youth behavior problems in schools, yet parent and youth attendance at sessions can be suboptimal, and, if not optimized, can compromise outcomes. The current study explored baseline predictors of parent and youth attendance at the school-based Early Adolescent Coping Power (EACP) program, a preventive intervention for middle schoolers with externalizing problems. Data come from the 375 seventh graders (62% male, 72% Black) who were in the 20 middle schools randomized to receive the EACP intervention and their parents. We identified two latent profiles of …

Regulating Manipulative Design Is Not Preempted By Cda 230 Or The First Amendment, Brett Frischmann, Peter Ormerod

Faculty Publications

For over two decades, there has been a heated debate among legal scholars, activists, judges, and others about the scope of Section 230 of the Communications Decency Act. A persistent theme in those debates has been hyperbolic claims about the necessity of immunity from state laws for digital tech platforms and fearmongering that anything less than maximum immunity will destroy the Internet.

This Article argues that states retain considerable discretion to regulate digital platforms’ design and engineering decisions. We argue that manipulation, engineered behavior, and even habituation and normalization of engineered behavior by digital platforms are content-agnostic harms attributable to …

Recommendations For Conducting Ethical Network Research, Francisca Ortiz Ruiz, Paola Tubaro, José Luis Molina, Jennifer Watling Neal, Raffaele Vacca, Jana Diesner, Jimi Adams, Michelle Birkett, Jenny Godley, Juniper Lovato, Michael Schönhuth, Laura Teves, Michael Zimmer

Faculty Publications

Ethical considerations in social network studies are grounded in the general principles of human subjects’ research, including avoidance of harm, promotion of justice, equitable distribution of burdens and benefits, respect for human dignity, and protection of confidentiality. To help navigate these challenges, this article presents recommendations for conducting ethical network research, developed by a multi-disciplinary and multi-national working group. The article is divided in three main sections where there are certain recommendations identified for each one of them: data collections, use, and availability. Discovering how others addressed and solved problems can be a way for all of us to improve …

The Hope College Department Of Biology: The First 50+ Years, Christopher C. Barney

Faculty Publications

The Hope College Department of Biology was founded in 1899 with the appointment of the first Professor of Biology at Hope, Samuel Mast. During the first 50+ years of the Biology Department, there were eight total faculty members in the department, including Frances Koeman, the first female faculty member in the natural sciences. Four faculty members, Mast, Frank Patterson, Oscar Thompson, and Teunis Vergeer were primarily responsible for developing the department’s curriculum and programs, with Mast and Vergeer also carrying out published research. The department was housed primarily in Van Raalte Hall and the Science Building (now Lubbers Hall) for …

Can The Epa Withdraw The Endangerment Finding?, Jonathan Adler

Faculty Publications

The Trump administration has made repeal of the Environmental Protection Agency’s “endangerment finding” on greenhouse gases the centerpiece of its environmental deregulation agenda. “We are driving a dagger straight into the heart of the climate change religion to drive down cost of living for American families, unleash American energy, bring auto jobs back to the US, and more,” proclaimed EPA Administrator Lee Zeldin when announcing the agency’s plan to reconsider the finding in March 2025. Since then, the agency has followed through, pushing endangerment finding repeal ahead of other, more traditional, deregulatory efforts. While politically popular with parts of President …

An Abundant Lack Of Introspection, Jonathan Adler

Faculty Publications

In this review Jonathan Adler critiques Abundance authors Klein and Thompson's analysis of how regulation is holding back progress in decarbonization, America's housing supply crisis, and innovation. While agreeing with the authors' assessment that regulation policy is hampering efforts in these areas, Adler objects to the book's proposals for improving regulatory bottlenecks, arguing the authors of Abundance refuse to acknowledge the role of market institutions in creating abundant supply or to admit the fault in their assumption that the failures of centralized government decision making can be repaired while maintaining centralized government decision making.

This abstract has been constructed from …

Navigating The Cocoon: An Interpretative Phenomenological Analysis Of Mothers’ Experiences Of Seeking Diagnosis And Services For Children With Disabilities In Insular Rural American Samoa, Elizabeth Cutrer, Ocean K. Akau, Lorena Seu, Isabel Medina Hull, G. E. Kawika Allen, Ofa H. Kanuch, Cameron W. H. Hee, Melia Fonoimoana Garrett

Faculty Publications

This study examines how mothers raising children with disabilities in American Samoa experience the processes of seeking diagnosis, navigating special education, and advocating for services within an insular rural context. American Samoa, an unincorporated U.S. territory located 2600 miles from Hawaiʻi with a population under 50,000, represents a case of what we term insular rurality—a condition in which the structural disadvantages of rurality are intensified by oceanic isolation, territorial governance, and colonial history. Data were collected through three focus groups with fifteen mothers whose children hold a range of disability diagnoses, with a card sort activity at the outset of …

From Centrality To Sustainability: How Connected Boards Shape Waste Management Outcomes, Irfan Haider Shakri, Anh Tuan Nguyen, Fnu Pratima

Faculty Publications

The escalating climate crisis has elevated waste management from an operational concern to a critical issue of corporate governance. However, the role of board connectedness in shaping firms' waste practices remains largely unexplored. Drawing on resource dependency and social capital theories, this study examines how board network centrality influences waste management practices. Employing pooled OLS on 4948 firm- year observations from US- listed firms during 2004–2023, we find that higher board connectedness leads to a significant reduction in waste generation. Economically, a one standard deviation increase in DEGREE centrality is associated with a 3.4% decrease in total waste generation. Our …

Don't Self-Opt Out Of Career Opportunities: Proceed With Confidence, Valerie Mendoza

Faculty Publications

While reflecting on your career in the past, have you ever stepped back from an opportunity that you wanted because you doubted yourself? In the workplace, confidence often gets mistaken for competence, and that means talented employees can be overlooked simply because they hesitate. The truth is that confidence isn’t something you’re born with. It’s a skill you can build. This session will get you started on building that skill.

We’ll explore practical strategies to strengthen your confidence starting today. We’ll also break down the key differences between how confident individuals act compared to those who aren’t, so you can …

White Matter Microstructure Of Sensorimotor Projection Fibers In Chronic Low Back Pain, John R. White, Jennifer M.C. Vendemia, Zachary Baty, Sheri Silfies, Stephen A. Coombes

Faculty Publications

Introduction: 

Chronic low back pain (cLBP) is linked to altered cortical sensorimotor structure and function, yet white matter microstructure in sensorimotor projection fibers remains poorly characterized. Objective: To address this gap, we used diffusion MRI to comprehensively characterize sensorimotor projection fibers in 44 patients with cLBP and 41 matched healthy controls.

Methods: 

We estimated an array of microstructural measures, including fractional anisotropy (FA), extracellular free water fraction (FW), free water–corrected FA (fwcFA), and neurite orientation dispersion and density imaging (NODDI) metrics.

Results: 

General linear models identified significantly higher FA and fwcFA and lower orientation dispersion index (ODI) in cLBP vs …

Mapping The Tar Vrna Interaction With Hiv-1 Integrase, Jian Sun, Rahul Yadav, Tolga Catmakas, Luke Fisher, Nicholas C. Fitzkee, Jacques J. Kessl

Faculty Publications

A series of critical interactions within the viral core between viral RNA (vRNA) and HIV-1 Integrase (IN) has previously been reported. In these studies, contact points between vRNA and IN were identified using RNA-seq and MS-based protein foot-printing approaches. Several IN amino acids located in its C-terminal domain (CTD) were found to be essential for vRNA binding, and their alanine substitution severely impacted the correct morphogenesis of the mature viral core. Here, we have used the TAR element to extend these studies by performing a comprehensive mapping of the interaction by deploying RNA crosslinking and NMR methodologies. Together, these approaches …

One Assay To Rule Them All: Development Of A Global Environmental Dna Tool To Support Range-Wide Surveys Of An Imperiled Sawfish And Its Application In The Eastern Tropical Pacific, Juan C. Cubillos-M, Annmarie Fearing, Demian D. Chapman, Peter M. Kyne, P. Joana Dias, Cindy Gonzalez, Ryan N. Lehman, Yaliana Chichaco, Bryan L. Huerta-Beltrán, Kayla L. Mcculloch, Sarah M. Toepfer, John K. Carlson, Nicole M. Phillips

Faculty Publications

Environmental DNA (eDNA) has emerged as a powerful tool to support the conservation of threatened species. The sawfishes are one of the most imperiled vertebrate groups, with all five species classified as Critically Endangered on the IUCN Red List of Threatened Species. Owing to their toothy rostra, sawfishes are easily entangled in a wide range of fishing gear, with mortalities in fisheries and loss of habitat driving global declines. The Largetooth Sawfish, Pristis pristis, historically had a circumtropical range, but has experienced severe declines in geographic range and abundance. Viable populations are thought to be confined to northern Australia, but …

The Historical Persistence Of Working-Class Culture: How Laborers Created The Ethical Foundation Of Western Civilization, Kenneth Atkinson

Faculty Publications

This article highlights four historical events that shape our present: the world’s first industrial strike in ancient Egypt to protest workers’ health and safety; working-class efforts to improve labor conditions during the Roman Republic and Middle Ages through strikes and the creation of guilds; the social justice activism of the prophets of Western religions (all working-class folks!); and the creation of the selfie and the transition from a culture of character to our present obsession with celebrities and individualism that began during the Renaissance. Each case highlights unique features of working-class culture, working class reactions to societal changes, and the …

Exploring Capacity For Future Sustainability Of Healthy Eating Policy, Systems, And Environmental Change Strategies Previously Implemented Through Snap-Ed Programming, Carrie L. Draper, Nicholas Younginer Ph.D.

Faculty Publications

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