Digital Commons Network^™

Amplifying Women's Voices In Menopause Research: The Importance Of Inclusive Perspectives, Camille Cronin, Sara Donevant Phd, Rn, Ccrn, Kerri Ann Hughes, Marja Kaunonen, Jette Marcussen, Rhonda Wilson

Publications

Menopause, a significant life transition for half the global population, intersects biological, cultural and social dimensions. Despite its universal occurrence, menopause research has historically been dominated by biomedical perspectives, often neglecting women's voices and diverse experiences. This article highlights the importance of including women's perspectives in menopause research to ensure relevance, accuracy and equity. It explores cultural variations in menopause experiences, the impact of socioeconomic status and the often-overlooked emotional and psychological dimensions. This article advocates for participatory approaches, emphasising that women's involvement enhances research design, implementation and policy development. Evidence-based interventions that are tailored to the individual can better …

The Hidden Cost Of Using Time Series Aggregation For Modeling Low-Carbon Industrial Energy Systems: An Investors’ Perspective, Markus Fleschutz

Publications

Time series aggregation (TSA) is commonly used in energy system optimization to reduce model complexity and computational expenses by selecting periods to represent the entire time series. TSA’s accuracy has traditionally been assessed by comparing the objective values between the original and TSA models (assumed error). However, evaluating TSA from an investor’s standpoint involves analyzing the performance of TSA-based energy system designs using the original time series. Therefore, we introduce the hidden error and total error, novel error metrics, to evaluate the financial implications of TSA through backtesting the TSA-based system designs using the original time series. Our analysis extends …

An Investigation Of Travel Distance And Timeliness Of Breast Cancer Treatment Among A Diverse Cohort In The United States, Swann A. Adams Ph.D., Ms, Face, Oluwole Adeyemi Babatunde, Whitney Zahnd Ph.D., Peiyin Hung, Karen E. Wickersham, Nathaniel Bell, Jan M. Eberth

Publications

Travel to and from distant cancer treatment facilities can place a significant burden on cancer patients, particularly rural and minority survivors. Thus, the purpose of our investigation was to examine the association between patient travel distance and delays in types of treatment for breast cancer (surgery, radiation, chemotherapy, and hormonal therapy) and treatment delays. Using a novel linkage between the state cancer registry and administrative data from Medicaid and a private insurance plan, 2155 BC patients were successfully linked to create the cohort. ArcGIS was used to geocode all case residences and treatment facility addresses and calculate network distance between …

An Investigation Of Travel Distance And Timeliness Of Breast Cancer Treatment Among A Diverse Cohort In The United States, Swann Arp Adams, Oluwole Adeyemi Babatunde, Whitney Zahnd, Peiyin Hung, Karen E. Wickersham, Nathaniel Bell Ph.D., Jan M. Eberth Ph.D.

Publications

Travel to and from distant cancer treatment facilities can place a significant burden on cancer patients, particularly rural and minority survivors. Thus, the purpose of our investigation was to examine the association between patient travel distance and delays in types of treatment for breast cancer (surgery, radiation, chemotherapy, and hormonal therapy) and treatment delays. Using a novel linkage between the state cancer registry and administrative data from Medicaid and a private insurance plan, 2155 BC patients were successfully linked to create the cohort. ArcGIS was used to geocode all case residences and treatment facility addresses and calculate network distance between …

The Journey Toward Sustainability: Positive Impact Of Environmental, Social, And Governance Index On Transportation., Doreen Mcgunagle, Laura Zizka, Ron Mau, Patti Clark

Publications

The transportation industry has been criticized for its hefty environmental footprint, questionable social practices, and lack of transparency regarding governance. Thus, more companies have begun including Environmental, Social, and Governance (ESG) issues in their strategies. Research has shown that effectively integrating ESG into business models can improve financial performance by tackling environmental, social, and governance challenges. This sustainable progress can be quantified by considering the extent to which the products or services produced by the firm’s harm or benefit social welfare. The current research paper examines ESG and financial performance over time in the Transportation Industry by comparing data from …

A Survey On Food Ingredient Substitutions, Hyunwook Kim, Revathy Venkataramanan, Amit P. Sheth

Publications

Diet plays a crucial role in managing chronic conditions and overall well-being. As people become more selective about their food choices, finding recipes that meet dietary needs is important. Ingredient substitution is key to adapting recipes for dietary restrictions, allergies, and availability constraints. However, identifying suitable substitutions is challenging as it requires analyzing the flavor, functionality, and health suitability of ingredients. With the advancement of AI, researchers have explored computational approaches to address ingredient substitution. This survey paper provides a comprehensive overview of the research in this area, focusing on five key aspects: (i) datasets and data sources used to …

Responding To The Needs Of Early Literacy Teachers: Designing Online Professional Development To Improve Writing Instruction For Multilingual Learners, Katie M. Crook, Lindsey W. Rowe, Hazel Vega, Emily Howell, C C. Bates, Kavita Mittapalli, Amlan Banerjee

Publications

While the population of multilingual learners (MLs) in the United States has grown rapidly in recent years, many teachers feel unprepared to teach them. The professional development (PD) teachers receive is often misaligned with their particular needs and experiences. This design-based research study examined the development and impact of online PD designed with teacher input to improve writing instruction for young MLs. Data were collected over twelve months from 25 teachers in six Southeastern U.S. school districts. Researchers evaluated the impact of the PD on teachers’ knowledge and self-efficacy for teaching writing to MLs. Findings highlight how teachers made instructional …

Metabolism Of Co And H2 By Pioneer Bacteria In Volcanic Soils And The Phyllosphere, Nicola Fantom, Robin A. Dawson Phd, Rn, Cpnp-Pc, Edina Prondvai, Philippe Constant, Gary M. King, Hendrik Schäfer, Marcela Hernández

Publications

Trace gas degradation is a widespread metabolic adaptation in microbial communities, driving chemosynthesis and providing auxiliary energy that enhances persistence during nutrient starvation. In particular, carbon monoxide and hydrogen degradation can be of crucial importance for pioneering microbial communities colonising new, oligotrophic environmental niches, such as fresh volcanic deposits or the aerial interface of the phyllosphere. After volcanic eruptions, trace gas metabolism helps pioneer colonisers to initiate soil formation in ash deposits and on recently solidified lava, a vital ecosystem service. Similarly, in the phyllosphere, bacteria colonising newly emerging leaves and shoots, and/or persisting on the oligotrophic surface of plants, …

Exploring The Potential Of Large Language Models For Assisting With Mental Health Diagnostic Assessments: The Depression And Anxiety Case, Kaushik Roy, Harshul Surana, Darssan Eswaramoorthi, Yuxin Zi, Vedant Palit, Ritvik Garimella, Amit Sheth

Publications

Large language models (LLMs) are increasingly attracting the attention of healthcare professionals for their potential to assist in diagnostic assessments, which could alleviate the strain on the healthcare system caused by a high patient load and a shortage of providers. For LLMs to be effective in supporting diagnostic assessments, it is essential that they closely replicate the standard diagnostic procedures used by clinicians. In this paper, we specifically examine the diagnostic assessment processes described in the Patient Health Questionnaire-9 (PHQ-9) for major depressive disorder (MDD) and the Generalized Anxiety Disorder-7 (GAD-7) questionnaire for generalized anxiety disorder (GAD). We investigate various …

Pestle Analysis Of A Seaplane Transport Network In Greece, Dimitrios V. Siskos, Alexander Maravas, Jordan Karatzas

Publications

Seaplane operations connect remote areas, promote tourism, and provide unique transportation solutions. After many years of preparations, commercial seaplane operations on a network of 100 water airports and 200 waterways in Greece are about to commence. The network can serve the needs of 1.6 million permanent residents of the Greek islands, the inhabitants of the mainland, and over 35 million annual tourists. This paper aims to conduct a PESTLE (Political, Economic, Social, Technological, Legal, and Environmental) analysis to identify the factors that have delayed operations and those that will affect the success of future operations. As such, 26 factors are …

Responding To The Needs Of Early Literacy Teachers: Designing Online Professional Development To Improve Writing Instruction For Multilingual Learners, Katie M. Crook, Hazel Vega, Emily Howell, Lindsey W. Rowe, C. C. Bates, Kavita Mittapalli, Amlan Banerjee

Publications

While the population of multilingual learners (MLs) in the United States has grown rapidly in recent years, many teachers feel unprepared to teach them. The professional development (PD) teachers receive is often misaligned with their particular needs and experiences. This design-based research study examined the development and impact of online PD designed with teacher input to improve writing instruction for young MLs. Data were collected over twelve months from 25 teachers in six Southeastern U.S. school districts. Researchers evaluated the impact of the PD on teachers’ knowledge and self-efficacy for teaching writing to MLs. Findings highlight how teachers made instructional …

Multilingual Voices: Transforming Professional Development Based On Student Perceptions Of Literacy Learning, Nicole Ferguson-Sams, Emily Howell, Rebecca Kaminski, Mihaela Gazioglu, Victoria Pennington

Publications

Acknowledging student perceptions of academic learning has been shown to increase the effectiveness of classroom instruction. However, existing research on multilingual learners (MLs) often focuses on their pedagogical and linguistic needs, overlooking their perceptions of literacy learning. This research, part of a large-scale, design-based research (DBR) project, explores MLs' perceptions of literacy learning to increase the capacity of instruction through professional development to classroom teachers in a high-needs school district. Using grounded theory coding, we analyzed MLs' responses from a self-efficacy survey to gain insight into their perceptions of literacy learning. Those findings were used to inform DBR modifications, including …

More Bookman Than Bookerite: William Stanley Braithwaite And Poetic Stereotypes, Susanna Ashton

Publications

William Stanley Braithwaite (1878–1962) began his life with printed words as a printer’s apprentice with Ginn and Company in Massachusetts. Unlike Benjamin Franklin, Walt Whitman, William Dean Howells, and Mark Twain, all of whom began their meteoric literary careers by typesetting, Braithwaite’s rise was thwarted by the cultural stereotyping around race. It isn’t surprising, therefore, that throughout his career as anthologizer, publisher, poet, critic, and Boston Evening Transcript columnist, William Stanley Braithwaite used his facility with type to inform valuations of narrative and language with an eye not to race-blind aspects of literature, but to ways race might be recognized …

Enhancing Inquiry-Based Science Instruction: The Role Of Professional Learning Communities And Instructional Coaching For Elementary Science Teachers, Marc T. Sager, Karen Pierce, Jessica Murillo

Publications

Inquiry-based science instruction fosters critical thinking, problem-solving, and scientific literacy by engaging students in exploration, questioning, and reflective learning. However, implementing inquiry-based practices presents significant challenges for elementary teachers, who often balance multiple subjects and may feel less confident facilitating open-ended investigations. This study examines how school-based coaching and professional learning communities (PLCs) support teachers in adopting inquiry-based science instruction. Grounded in distributed cognition theory of learning, this research draws on qualitative data from classroom observations and artifacts from coaching sessions and PLC meetings. Using a multiple case study design, this study identifies four case studies to illustrate varying levels …

What's The Harm In (Partisan) Gerrymandering? Collective Vs. Dyadic Accounts Of Representational Disparities, Sanford C. Gordon, Douglas M. Spencer, Sidak Yntiso

Publications

Traditional approaches for documenting the harm of gerrymandering emphasize collective representation by legislatures, minimizing the relationship between individual voters and their respective representatives. Federal courts have struggled to map collective accounts onto cognizable constitutional harms, reflecting a discomfort evaluating a system of representation inescapably rooted in geographic districts using diagnostics that treat districts and their boundaries as an inconvenience rather than an intrinsic feature. A normative account of representation and accountability rooted in the dyadic relationship between voters and their legislators addresses the exact harms that courts have articulated yet struggled to substantiate. We derive a formal model of dyadic …

Fear And Free Speech, Helen Norton

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No abstract provided.

Religious Police Forces With Public Powers, Jonathon J. Booth

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No abstract provided.

Ethical Issues In Pandemic Prevention, Preparedness, And Response, Govind Persad

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Pandemic policies raise complex ethical challenges, as well as scientific and technical ones. This chapter examines four critical areas where ethical analysis is essential for effective pandemic prevention, preparedness, and response: spending decisions, clinical research, restrictions on rights and freedoms, and fair allocation of scarce medical resources.

Spending on pandemic prevention, preparedness, and response often involves trade-offs with other societal priorities, such as education, infrastructure, and environment. Navigating these trade-offs requires careful consideration of opportunity costs and distributional impacts.

Rights and freedoms can likewise present difficult trade-offs when pandemic policies restrict individual liberties, requiring clear goals and proportionate responses that …

Tainted Source Code, Bryan H. Choi

Publications

Open-source software has long eluded tort liability. Fierce ideological commitments and sticky license terms support a long tradition of forbearance against penalizing harmful or negligent work in open-source communities. The free, noncommercial, distributed, and anonymous characteristics of open-source contributions present additional obstacles to legal enforcement.

The exponential rise in software supply chain attacks has given new urgency to the problem of bad open-source code. Yet, current approaches are unlikely to meaningfully improve open-source security and safety. On the one hand, technological tools and self-governance mechanisms remain woefully underdeveloped and underutilized. On the other hand, liability proposals that place all the …

Anchoring Digital Sovereignty, Vivek Krishnamurthy

Publications

For a quarter-century, a consensus has prevailed that territorial sovereignty applies online as it does offline. Since practically all the Internet's infrastructure and its billions of users reside on the territory of states, conventional wisdom holds that sovereignty must extend to cyberspace. Such accounts ignore how people experience cyberspace as a distinctive place, and how current international law lacks safeguards to prevent states from exercising their sovereignty to splinter the Internet into a set of national networks. Territorial sovereignty is also hard to square with pledges by the world's democracies to keep the Internet free, open, and global; yet it …

Impacted Stakeholder Participation In Ai And Data Governance, Margot Kaminski, Gianclaudio Malgieri

Publications

Privacy law has long centered on the individual. But we observe a meaningful shift toward group harm and rights. There is growing recognition that data-driven practices, including the development and use of artificial intelligence (AI) systems, affect not just atomized individuals but also their neighborhoods and communities, including and especially situationally vulnerable and historically marginalized groups.

This Article explores a recent shift in both data privacy law and the newly developing law of AI: a turn towards stakeholder participation in the governance of AI and data systems, specifically by impacted groups often though not always representing historically marginalized communities. In …

Methods Appendix For Early Explorations Of Holistic Review In Graduate Medical Education, Gena C. Dunivan, Jonathan D. Eldredge, Marlene P. Ballejos, Melissa Gonzales, Valerie L. Romero-Leggott

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No abstract provided.

Preliminary Evaluation Of A Brief Intervention To Enhance Trauma-Informed Attitudes Among Educators And School Mental Health Counselors, Cheri Shapiro, Kara Lee, Courtnie Collins, Tristan Collier, Carl Sorensen

Publications

Professional development training designed to advance knowledge of the impacts of trauma and trauma-responsive practices for educators and counselors in schools and mental health settings have become common. Given the popularity of these training approaches, it is important to understand the potential impact on trauma-informed attitudes and beliefs. This descriptive, exploratory study examined changes in traumainformed care attitudes as a function of participating in a novel intervention designed to support trauma-informed practices in a sample of elementary school educators, administrators, and school mental health counselors (n=194) from one state in the Southeastern US. Positive changes in trauma-informed attitudes from pre …

Exploring The Public Health Agency Of Canada’S And The Ontario Government’S Vaccine-Related Crisis Communication On X During The Covid-19 Pandemic, Sheraza Burney, Lorie Donelle Phd, Rn, Fcan, Anita Kothari

Publications

Crisis communication strategies must be tailored to the unique nature of social media. In response to the COVID-19 pandemic, public health agencies have widely used social media to address vaccine hesitancy and misinformation. This research utilized the social media pandemic communication model to describe the key themes disseminated through the Ontario government and the Public Health Agency of Canada’s vaccine-related crisis communication on X (formerly Twitter). Between 27 January 2020 and 6 April 2021, 1271 posts related to COVID-19 vaccination were collected from three official government X accounts——two from the province of Ontario and one from Canada. Posts were analyzed …

Examining Racial Discrimination Index And Black-Years Of Potential Life Lost (Ypll) In South Carolina: A Real-Time Social Media Research, Yunqing Ma, Peiyin Hung Ph.D, Xiaotong Shen, Zhenlong Li, Curisa Tucker Phd, Rn, Jiajia Zhang Ph.D.

Publications

Purpose: Despite efforts to reduce health disparities, Black Americans still face higher mortality rates than Whites. Racism has been recognized as a significant social determinant of health. Using social media data, human-being qualitative coding, and AI, we created a county-level racial discrimination index, exploring its association with years of potential life lost (YPLL) rates. Methods: Through human-AI collaborative approaches using X/Twitter data, we calculated yearly county-level racial discrimination index (RDI)—number of racial discrimination posts per 100,000 in-county non-duplicated posts and examined the relationship between RDI terciles and YPLL per 100,000 non-Hispanic Black individuals. Annual data for the covariates were derived …

Self-Determined Strategies For Physical Activity Motivation Among Women With Polycystic Ovary Syndrome, Pamela J. Wright Phd, Ms, Med, Rn, Cen, Cynthia Corbett Phd, Rn, Faan, Bernardine M. Pinto Phd, Fapa, Fsbm, Fabmr, Michael D. Wirth Msph, Phd, Face, Robin M. Dawson Phd, Rn, Cpnp-Pc

Publications

BACKGROUND: According to clinical practice guidelines for polycystic ovary syndrome, first-line treatment includes performing 150 min of moderate-to-vigorous physical activity on most days of the week plus at least 2 days of resistance training. However, < 40% of women with polycystic ovary syndrome engage in regular physical activity, and about 60% are sedentary. Research evidence supports theory-informed physical activity interventions to improve motivation for physical activity. This study examined the fit of a behavioral change theory for women with polycystic ovary syndrome. OBJECTIVES: The purposes of this qualitative study were to analyze physical activity barriers through the lens of self-determination theory and identify motivational strategies that may promote initiation and maintenance of physical activity among women with polycystic ovary syndrome. DESIGN: The study involved a qualitative, descriptive design using theory-driven thematic analysis. METHODS: After emailing a demographic questionnaire and Personal Health Questionnaire-8 to screen for depressive symptoms, participants (n = 7) met three times via Zoom during the summer of 2021. Meetings were audio-recorded, transcribed, and analyzed. RESULTS: Participants were aged 33.9 (±8.1) years, premenopausal, mostly White (71%), educated (100% with at least some college), employed full-time (86%), and married (86%) with a mean depressive symptoms score of 6.4 (±3.4) indicating mild depression. Strategies such as a buddy system, physician support, technology, and behavioral change techniques are necessary to meet the psychological needs of autonomy, competence, and relatedness among women with polycystic ovary syndrome to help increase exercise motivation. CONCLUSION: Findings supported the use of self-determination theory by emphasizing that the social context of polycystic ovary syndrome can undermine physical activity behavior. Thus, physical activity interventions should consider the social context, peer support system, and mental health status of women with polycystic ovary syndrome, and include tailored programs and motivational strategies to help meet the psychological needs of autonomy, competence, and relatedness.

“I Feel Like It Gets Worse As I Get Older”: Perspectives Of Peri-Postmenopausal Women With Pcos, Pamela J. Wright Phd, Ms, Med, Rn, Cen, Cynthia F. Corbett Phd, Rn, Faan, Robin M. Dawson Phd, Rn, Cpnp-Pc, Charlotte Burts

Publications

Introduction: Polycystic ovary syndrome (PCOS) is a chronic endocrinopathy that transcends the reproductive years. Peri-postmenopausal women with PCOS remain at cardiometabolic risk or subsist with established comorbidity while continuing to contend with persistent PCOS signs and symptoms such as hirsutism. Evidence based information for peri-postmenopausal women with PCOS is scant. The purpose of this qualitative study was to explore the physical, psychosocial, and healthcare perspectives of peri-postmenopausal women with PCOS.

Methods: Peri-postmenopausal women with PCOS aged ≥43 years (n = 29) were recruited using ResearchMatch to participate in a virtual interview. Interviews were conducted using a semi-structured guide. The interviews …

Exploring Maternal Grief And Shame In Addiction Recovery For Pregnant And Early Parenting Women Using Community-Based Participatory Research: A Qualitative Descriptive Study, Phyllis Raynor Phd, Aprn, Pmhnp-Bc, April Hutto, Khushi Patel, Amber Goforth, Cynthia Corbett Phd, Rn, Faan, Delia West Phd, Kacey Eichelberger, Constance Guille, Nicole Nidey, Lori Vick Phd, Mat, Rn, Anef, Alain Litwin

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Introduction: Little research has explored the constructs of grief and shame-proneness for pregnant and early parenting women seeking recovery from substance use disorders (SUD) and the impact on parents’ and children's well-being. Purpose: This study aimed to explore the contexts of reported guilt and shame and the associations with grief and loss among pregnant and early parenting women in SUD recovery.

Methods: Using a community based participatory research (CBPR) approach, we conducted in-depth interviews with 30 pregnant and early parenting women with SUD who were recruited from a residential drug recovery facility in the Southeastern United States. A qualitative descriptive …

Navigating “Being Seen”: Experiences Of Older Adult Arab Immigrants And Family Caregivers Accessing Health Care Services In Ontario, Selma Tobah, Lorie Donelle Phd, Rn, Fcan, Jodi Hall, Lloy Wylie, Sandra Regan

Publications

Immigrants to Canada face unique barriers to accessing health care including communication barriers, socioeconomic limitations, and a lack of health care system navigation knowledge. Arabs in particular face mainstream negative attitudes, propagated through political discourses as well as entertainment media. We sought to understand how older adult Arab immigrants and family caregivers accessed and experienced health care in Ontario. We conducted a critical constructivist grounded theory, using Charmaz’s approach to grounded theory. A critical constructivist grounded theory method asks not only “what” social processes are happening and “how” but also “why” and “who” benefits. Both older adult immigrant Arabs and …

Femtech In Context: A Critical Conceptual (Re)View, Danica Facca, Jodi Hall, Gail Teachman, Joanna Redden, Lorie Donelle Phd, Rn, Fcan

Publications

Emerging as a commercial category in 2016, ‘femtech’ has been publicly celebrated as a category of consumer-based digital health technologies designed to support the unmet and systemically marginalized health needs of women in areas such as menstruation, fertility, pregnancy, postpartum, and menopause, through data-driven apps, wearables, and self-diagnostic tools. Since its emergence, the term femtech has become culturally significant and has taken on a life of its own across commercial, public, and healthcare discourses. Despite the growth of femtech scholarship, clarity is lacking on how different disciplines have challenged the assumptions about sex, gender, health, technology, and innovation that shape …