Digital Commons Network^™

A Mixed-Methods Usability Pilot Of A Value-Goal Elicitation Tool In The Inpatient Setting For Older Adults Anticipating Post-Acute Care, Kirstin M Piazza, Caroline Pascal, Syama R Patel, Caroline Sefcik, Marilyn M Schapira, Caroline Madrigal, Katherine C Ritchey, Longyi Yip, Aanand D Naik, Robert E Burke

Faculty, Staff and Student Publications

Age-Friendly Health Systems (AFHS) emphasize aligning care with "What Matters" most to older adults. Hospitalization represents a critical period where value-based goals could shape key decisions about post-acute care transitions. However, few tools designed for eliciting such goals have been adapted for use in the inpatient setting, where the acute nature of care poses unique challenges. This mixed-methods study evaluates the usability of the Health Priorities Primer Tool (HPPT) in older hospitalized adults who anticipate needing post-acute care, aiming to identify necessary adaptations for the inpatient setting. We conducted interviews, observations, and surveys with older hospitalized patients to understand their …

Challenges And Future Strategies For B-Schools, Anatoly Zhuplev, Francisco J. Valle, Jose Rincón, Max Plithides

Management Faculty Works

This chapter examines the evolution of American higher education (HE) and business schools (B-schools) in the historical and contemporary strategic context. It explores the influence of the Humboldtian model on the contemporary HE industry in America. The chapter analyzes the current HE landscape, revenue sources, and global reach. The chapter investigates strategic disruptors like demographic shifts, skyrocketing costs of college and student loan burden, technological impacts, including proliferation of IT and AI, eroding public confidence in HE, and political and regulatory trends. The chapter explores solutions like accreditation reform and diversified credentials. It examines pressures on B-schools, including slow technology …

Examination Of The International Judicial Practice And Prospect In Relation To The Palestine–Israel Conflict: Following The Al-Aqsa Flood Operation, Sharefah A. Almahuna

Seattle Journal for Social Justice

This paper concerns the conflict in Gaza that started on the Seventh of October, 2023, and is ongoing. It intends to explain the judicial institutions that prevent and punish atrocity crimes, particularly the International Court of Justice (ICJ) and the International Criminal Court (ICC). Additionally, this paper provides an objective analysis of some controversial issues brought about by the conflict. It addresses issues of controversy by answering the following questions: first, why are both the ICJ and ICC involved in the current conflict in Gaza?; second, why does Israel argue that judicial proceedings should treat acts committed in Gaza as …

Works Of Audience, Works Of Authorship, And The Human’S Way Of Knowing, Michael Mactaggert

Seattle Journal for Social Justice

No abstract provided.

The Legal Intersectionality Of English Language Learners And Special Education Students: Ensuring Students Receive Mandated Services, Brett A. Geier

Seattle Journal for Social Justice

Students in the United States are afforded many rights and protections to ensure they receive an appropriate education. Supplemental programs that support academic achievement and social growth are common to eviscerate obstacles and equalize educational opportunities. Students who are disabled and students who qualify as English Language Learners are two categories that are entitled to receive state and federal financial and programmatic support. Despite being discrete programs, they have the potential to intersect so that students can qualify for both programs. For many reasons, though, these potentially dually qualifying students are often misidentified, leaving them underserved. There is a plethora …

I Thought I Found My One True Love: Enabling A Web Of Exploitation On Social Media, Amos N. Guiora, Rosalie Rawlins

Seattle Journal for Social Justice

When Amanda Todd first shared a sexually explicit photo with the person who would end up exploiting her, she was just a child, with no idea the dangerous web she would soon be caught up in. Amanda, one of the most notorious victims of child sexual exploitation via the internet, is just one of the growing number of minors who are subjected to this form of abuse each year. According to the FBI, internet exploitation of minors has increased exponentially in recent years. Amanda’s tragic example, and that of other vulnerable young people, makes the case for demanding accountability for …

Worker Protection Or Commercial Facilitation: The British Empire, Labor Governance And The Gradual Invisibilization Of Labor Coercion During The Age Of High Imperialism, Christopher Roberts, Michelle Ong

Seattle Journal for Social Justice

This article considers labor governance and coercive labor practices in the British Empire between the late nineteenth and early twentieth centuries. In particular, it focuses its attention on several major commissions of inquiry undertaken around the British Empire in the period, as well as reforms that took place alongside those inquiries. In part, the article concludes these reforms were motivated by protective purposes, demonstrating some degree of genuine concern with workers’ well-being. More significantly, however, it finds these reforms were motivated by British imperial desire to ensure stable labor supplies, enhance the legitimacy of the British Empire, and establish more …

Large-Vessel Occlusion Stroke Knowledge And Training For Stroke Severity Assessment Among Emergency Medical Services Personnel In The United States, Kaiz S Asif, Robin Novakovic, Thanh N Nguyen, Santiago Ortega-Gutierrez, Youngran Kim, Amanda Jagolino-Cole, Sushanth Aroor, Alicia Castonguay, Prateek Kumar, Ashutosh P Jhadav, Dileep Yavagal, May Nour, Gabor Toth, Maxim Mokin, Sunil A Sheth, Mouhammad A Jumaa, Alhamza Al-Bayati, Mohamed Teleb, Ossama Y Mansour, Shashvat M Desai, Joshua Hartman, David S Liebeskind, Ameer E Hassan, Brijesh P Mehta, Svin Education And Speed Committees

Faculty, Staff and Student Publications

Background: Prehospital identification of large-vessel occlusion (LVO) stroke facilitates the development of a regional triage protocol that could lead to an improvement in intrahospital and interhospital workflows. This requires stroke education of emergency medical services (EMS) personnel to improve stroke recognition, severity assessment, and prenotification. However, the current state of EMS personnel's knowledge of LVO stroke, their training for stroke severity assessment, and their preferences for educational methods are unknown. We conducted a nationwide EMS survey across the United States to glean insights that can inform and customize future EMS educational efforts.

Methods: The Society of Vascular and Interventional Neurology, …

Community Engagement Studios To Improve Racial Diversity And Health Equity In Parkinson’S, Eunyoung Kang, Dominique Woodhouse, Kandace Davis, Jane Q Yap, Peter S Myers, Meghan C Campbell, Yvonne D Hughes, Joyce E Balls-Berry, Erin R Foster

Faculty, Staff and Student Publications

Background: Black or African Americans (AA) with Parkinson's disease (PD) are underrepresented in both care and research and experience significant health disparities. The existing literature provides limited guidance on how to enhance the engagement of AA individuals in PD care and research, particularly from the perspectives of AA patients, care partners, and healthcare providers. This project aimed to (1) describe the use of Community Engagement (CE) Studios as a community-engaged research approach to inform culturally appropriate and inclusive research and (2) examine factors influencing AA engagement in PD-related activities.

Methods: We conducted three CE Studios: one with AA with PD …

A Directed Content Analysis For Greatest Problems Among People With And Without Traumatic Brain Injury, Emily Dudek, Michael W Williams, Chung Lin Novelle Kew, Annalyn Demello, Brittany Wright, Alexandra B Holland, Alyssa Day-Gorman, Alexa S Gonzalez, Luis Leon Novelo, Xiangyi Liu, Shannon B Juengst

Faculty, Staff and Student Publications

Objective: To characterize the greatest problem or need among individuals with a history of traumatic brain injury (TBI), as compared with individuals with a history of other neurologic conditions, mental health conditions, and no history of neurologic or mental health conditions.

Design: A directed content analysis of open-text responses to a single online survey question using a framework guided by the Mayo-Portland Adaptability Inventory-4.

Setting: Community.

Participants: A total of 2861 community-dwelling adults (n=274 with TBI; n=289 with other neurologic conditions besides TBI; n=454 with mental health conditions but no neurologic conditions; and n=1844 controls).

Interventions: Not applicable.

Main outcome …

An Acceptable Time, Crystal Mccallie

Graduate Student Theses, Dissertations, & Professional Papers

This scholarly work is my interpretation of the art in the exhibition, An Acceptable Time, which ecompasses a diversity of media that varies as much in material and process as the span of my life as mother, a steward of the domestic home, and a spiritual child-at-heart myself. At the center of the work is a contemplative beauty inviting the viewer to linger with the art and reflect upon the echoes of the past as they might affect the present. The formal delivery of illustrative realism, a mirage of pattern, and abstract layering draws out major themes of memory, nostalgia, …

Situation Assessment Of Wildland Fire Preparedness Efforts In Missoula County: A Communities Of Practice Approach, Sylvia K. Coston

Graduate Student Theses, Dissertations, & Professional Papers

Due to the multi-jurisdictional nature and increased risk of wildland fire, collaboratives play an important role in creating long-term solutions for building prepared and resilient wildfire landscapes and communities. Drawing from Communities of Practice (CoP) theory, mutual engagement, shared repertoire, and negotiation of a joint enterprise are critical elements of establishing natural resource multi-stakeholder collaboratives or partnerships. This professional paper uses CoP theory to conduct and analyze a situation assessment of Missoula County Fire Protection Association (MCFPA). With the support of MCFPA, three focus groups (working meetings) and two interviews were conducted to identify the association’s successes, challenges, and needs. …

Trace Level Benzoylecgonine Detections In Equine Plasma/Serum – A Proposed Interim Plasma Level Regulatory “Cut-Off“, Andreas F. Lehner, Kimberly Brewer, Levent Dirikolu, Abelardo Morales Briceñod, Robert Holland, George Maylin, Clara Fenger, Thomas Tobin

Maxwell H. Gluck Equine Research Center Faculty Publications

Cocaine is a widely used human recreational substance routinely transferring at pharmacologically irrelevant trace level amounts to non-user humans and horses. Horses and humans rapidly demethylate cocaine to benzoylecgonine which is excreted in urine at concentrations approaching two thousand times higher than the corresponding plasma cocaine concentrations. In human workplace drug testing, these usually pharmacologically irrelevant trace level urinary detections of benzoylecgonine are handled by application of a 100 ng/ml urinary “cut-off“, as presented by the Substance Abuse and Mental Health Services Administration (SAMHSA). In horse racing several American states have long used published urinary “cut-offs“ for benzoylecgonine of from …

To Be Soft Again: A Phenomenological Study Of Uncertainty And Resilience In Childbearing During The Covid-19 Pandemic, Marcianna Nosek

Nursing and Health Professions Faculty Research and Publications

Background:

During the COVID-19 pandemic, uncertainty was exacerbated in experiences of pregnancy and childbirth as people navigated through uncharted territory. Building resilience may be one effective way to cope. However, for those who carry a heavier burden in upholding others, a societal expectation of “toughness” and the ability to endure may lead to an appearance of resilience, while on the inside, well-being may be compromised.

Objectives:

This study is part of a larger phenomenological study that explored the broad research question: What is the lived experience of childbearing during the COVID-19 pandemic? Specific themes of uncertainty and resilience are reported …

Church Ministers' Perceptions On Burnout And How It Shapes Their Leadership Practices., Jason Young

Dissertations

This qualitative phenomenological study explored how large church ministry leaders experienced burnout and how that burnout shaped their leadership practices. The study was motivated by a research gap concerning the lived experiences of ministers in large churches. Framed by the job demands-resources theory and the conservation of resources theory, the study sought to understand how the demands of ministry leadership and the availability of personal and organizational resources influenced the experience of burnout. The research employed a qualitative phenomenological design, utilizing semi-structured interviews. A purposive and snowball sampling approach was used to recruit 13 large US church ministry leaders. The …

Dental Management Of A Talon Cusp On A Permanent Incisor In Traumatic Occlusion, Bret Lesavoy Dmd, Richard Yoon D.D.S.

The New York State Dental Journal

The purpose of this paper is to report the case of an 8-year-old female with occlusal interferences involving the permanent maxillary right central incisor (PMRCI) due to a Type 1 dens evaginatus, also known as a talon cusp (TC), causing displacement of the affected tooth. Clinical concerns related to TCs include occlusal interferences and increased risk for dental injury, displacement of the affected tooth, caries, tongue irritation and esthetic concerns. The TC in this report was reduced periodically over two months. Following each reduction, 5% topical sodium fluoride varnish was applied as a desensitizing agent. Upon completion and removal of …

Risk And Prognosis Of Hepatocellular Carcinoma In Mexican Americans With Type 2 Diabetes Mellitus, Rikita I Hatia, Lu-Yu Hwang, Ruosha Li, Catherine Troisi, Prasun K Jalal, Christopher I Amos, Henry F Gomez, Yun Shin Chun, Asif Rashid, Ahmed O Kaseb, Paul A Scheet, Manal M Hassan

Faculty, Staff and Student Publications

INTRODUCTION: Hepatocellular carcinoma (HCC) disproportionately affects Hispanic persons with higher age-specific incidence and increased mortality rates compared to non-Hispanic Whites. These high rates of incidence and mortality may be explained by the variation in risk factors. Given the high prevalence of type 2 diabetes mellitus (DM) among the Hispanic population, we aimed to assess the risk and prognosis of HCC in Mexican Americans with type 2 DM with consideration of treatment for DM.

METHODS: A case-control study of 241 Mexican American HCC patients and 500 healthy controls in Texas was conducted. Multivariable logistic regression analysis was performed to determine the …

Association Between Trust In The Incumbent President And Covid-19 Preventive Behaviors During The Pandemic In Four Latin American Countries, Juliana Mejía-Grueso, Gloria Isabel Niño-Cruz, Javiera Alarcón-Aguilar, Pablo Roa-Urrutia, Sergio Mauricio Moreno-López, Adriano Akira Ferreira Hino, Alexandre Augusto De Paula Da Silva, Fernando López, Deborah Salvo, Rodrigo Siqueira Reis, Guillermo Rosas, Andrea Ramírez-Varela

Faculty, Staff and Student Publications

The COVID-19 pandemic revealed disparities in policy responses in Latin America. We examined the association between trust in the president and COVID-19 preventive behaviors in Brazil, Chile, Colombia, and Mexico. We used data from the Collaborative COVID-19 Response Survey by the McDonnell Academy at Washington University in St. Louis (United States), from September 2020 to March 2021. Nonprobabilistic sampling included adult citizens from the four countries. Multivariate negative binomial regression models were applied. The study included 8,125 participants, with Brazil showing the lowest adherence to preventive behaviors (65.5%). Increased adoption of preventive behaviors was linked with ages 18-26 (aIRR = …

Intercellular Mitochondrial Transfer Contributes To Microenvironmental Redirection Of Cancer Cell Fate, Julie Sofie Bjerring, Yara Khodour, Emilee Anne Peterson, Patrick Christian Sachs, Robert David Bruno

School of Medical Diagnostics & Translational Sciences Publications

The mammary microenvironment has been shown to suppress tumor progression by redirecting cancer cells to adopt a normal mammary epithelial progenitor fate in vivo. However, the mechanism(s) by which this alteration occurs has yet to be defined. Here, we test the hypothesis that mitochondrial transfer from normal mammary epithelial cells to breast cancer cells plays a role in this redirection process. We evaluate mitochondrial transfer in 2D and 3D organoids using our unique 3D bioprinting system to produce chimeric organoids containing normal and cancer cells. We demonstrate that breast cancer tumoroid growth is hindered following interaction with mammary epithelial cells …

Revisiting Circular Economy Rebound: Market Dynamics, Policy Implications, And Future Research Directions, Trevor Zink Ph.D., Benjamin H. Lowe, Andrea Genovese, David Font Vivaco

Management Faculty Works

The circular economy has gained momentum as a sustainability paradigm that aims to decouple economic growth from environmental degradation by promoting resource efficiency and waste minimization. However, mounting evidence points to a critical challenge: circular economy rebound (CER). This phenomenon occurs when efficiency improvements intended to reduce resource use provoke systemic, market, or behavioral responses that diminish or even reverse the anticipated environmental gains. This is particularly problematic within growth-oriented economies, where resource efficiency often reinforces rather than reduces consumption. This paper draws on insights from a roundtable discussion with leading experts—Trevor Zink, David Font Vivanco, and Andrea Genovese—to critically …

Secondhand Tobacco Smoke Exposure And Sleep Disturbance In School-Aged Children In Appalachian Ohio, Ketrell Mcwhorter, Christine Kim, Timothy J. Hilbert, Danielle E. Mcbride, Anthony A. Mangino, Patrick J. Parsons, Kurunthachalam Kannan, Erin N. Haynes

Epidemiology and Environmental Health Faculty Publications

Introduction: Secondhand tobacco smoke (SHS) exposure remains a major public health concern for children and has been implicated in sleep disturbances through biological and behavioral mechanisms. Different methods of measuring SHS exposure have yielded inconsistent results. This study examined the relationship between SHS exposure and sleep among rural Appalachian 7–9-year-olds, utilizing three SHS measurements: natural log-transformed (ln) serum cotinine concentrations, dichotomized serum cotinine levels (≥0.05 vs. <0.05 ng/ml), and parent/caregiver report of ≥1 smoker in the home. We hypothesized SHS-exposed children would have a significantly higher prevalence of sleep disturbance—e.g., short sleep, frequent snoring, night awakenings—compared to unexposed, regardless of measurement method. Methods: We used data from the Marietta Community Actively Researching Exposure Study, a cohort of 404 children in Marietta and Cambridge, Ohio. Sleep disturbances were parent/caregiver-reported. Linear models were used for continuous outcomes to estimate beta coefficients; log-binomial models with generalized estimating equations (exchangeable correlation) were applied for dichotomized outcomes to estimate prevalence ratios (PR), each with 95% confidence intervals (CI). Results: Twenty-six percent of children had a parent/caregiver report of ≥1 sleep disturbance. There was a 35% increased prevalence of short sleep [PR = 1.35 (95%CI:1.02–1.80), p =.04] with each unit increase of ln serum cotinine levels, adjusting for age, sex, parent education, BMI percentile, and history of breathing difficulties in the past two years. Increasing ln serum cotinine levels were associated with a significant 5.5-min decrease in average sleep duration in age-adjusted models. Conclusions: Higher SHS exposure was associated with poorer sleep outcomes, with serum cotinine emerging as the only measure linked to short sleep, underscoring the importance of smoke-free environments, particularly in rural communities, and objective exposure assessment.

Modeling Healthcare Managerial And It Sophistication, Gary Hackbarth, Teuta Cata

Journal of International Technology and Information Management

Sophisticated healthcare managers understand that managing information and selecting technology are two related but separate skill sets. Information Technology Governance (ITG) allows healthcare organizations to deal with complex issues, compete effectively, and support patient needs by integrating managerial and IT sophistication to improve business performance. An organizational model that merges IT and managerial sophistication by improving ITG to forecast business outcomes must grasp the intricacies of technology to acquire, manage, and utilize information technology in alignment with business strategies. The proposed model differentiates between internal and external IT management strategic thinking, emphasizing the critical need to govern IT effectively by …

Delaware, Elizabeth Ford

Thin Blue Advantage: Police Exceptionalism and the Two-Tier System of Public Sector Collective Bargaining

Delaware law governing police and non-police bargaining is separated into two largely identical statutory schemes. Both statutes provide for interest arbitration and adopt “baseball arbitration” to expedite the arbitration process. Keeping with the goal of expedient dispute resolution, the state’s ULP process seems designed to facilitate settlement.

As a result of this ULP structure, there are few cases from Delaware’s PERB compared to other states. This may have to do with the fact that the myriad preliminary stages of ULP proceedings serve as “off-ramps” to encourage settlement and that the agency’s Executive Director (E.D.) has more power than non-Delaware analogs. …

Exploring The Educational Gap Of Virginia English Language Learners: Challenges And Opportunities For Academic Success, Amanda Purcell, Sochitl Rodriguez Kauffman

UROP Posters

English Language Learners (ELLs) in the state of Virginia have significantly lower scores in the Standards of Learning (SOL) assessment exam than those of their English-speaking peers. The SOL measures students’ mastery of knowledge and skills taught in the classroom, and over the last decade, passing rates of the assessment’s core subjects amongst ELLs have continued to decrease and remain relatively low. In the 2023-2024 academic year, the average passing rate for ELLs who took the Writing SOL was only 26%, with Science being not much higher at 29%, and Reading at 33%. For the non-ELL student body, average rates …

The Romanticization Of Human-Vampire Relationships: How 'Twilight' And 'The Vampire Diaries' May Prime Young Women To Accept Dating Violence, Natalie M. Bowen

UROP Posters

The first literary vampire can be traced back to 18th century Germany, with Johann Wolfgang von Goethe’s poem “Die Braut von Korinth,” but the stereotypical features of a vampire are traditionally accredited to Bram Stoker’s Dracula. Modern vampires, such as Edward Cullen and Stefan Salvatore of the Twilight and The Vampire Diaries series respectively, have managed to win the hearts of teenage girls all across America with their sex appeal and charismatic nature. According to Bandura’s Social Cognitive Theory, individuals learn new behaviors by modeling and imitating the actions of those around them. This comprehensive literature review investigates the connection …

A.R.A.Y. (2025), Lucía Martín Romero

Grado en Diseño de Moda

El proyecto pretende ahondar el concepto de identidad individual y como a través de las experiencias personales y el papel de los recuerdos esta se va moldeando a lo largo del tiempo, en un proceso que teóricamente no encuentra un punto final. A su vez, se trata de manera subyacente el término autoconocimiento, como parte del proceso de construcción identitaria, y como permite comprender nuestras emociones y la forma en la que actuamos. Se busca identificar y tratar aquellos factores que influyen y definen dicha identidad, haciendo especial énfasis en los recuerdos personales, utilizando como base teórica la obra “EL …

The Stage. Fashion Branding Agency (2025), María Rodríguez Jaro

Grado en Diseño de Moda

Este Trabajo de fin de grado se centra en la creación de una agencia de comunicación de moda especializada en branding para marcas emergentes. En un sector saturado y altamente competitivo, estas marcas suelen enfrentar desafíos significativos para destacar debido a la falta de una identidad sólida y estrategias de comunicación efectivas. Esta situación limita su capacidad para conectarse emocionalmente con su público objetivo y, por fin, alcanzar un crecimiento sostenible.

“La mente es selectiva, y si la marca no pasa por el corazón y emociona, se olvida” (Urrea, 2016), esto ocurre debido a la falta de una estrategia de …

Improving Student Support On A Decentralized Campus, Delaney Ybarra, Andrea Garrity, Erica L. Wagner

Office of Academic Affairs Publications

Project management has been a key tool in many industries, such as technology and construction, yet it remains underutilized in the higher education sector. In 2013, Portland State University’s Office of Student Success adopted a project management framework to improve student outcomes. This article describes how in using project management we developed a pilot program that helped administer hardship funds to students, what the outcomes were, and how it advanced the project across a decentralized landscape.

Exploring Gender Disappointment: Social Stigma, Underlying Shame, And Grieving An Idealized Family… “Oh Well, As Long As It’S A Healthy Baby!”, Melanie Scaccio

Selected Full Text Dissertations, 2011-

Gender disappointment (GD) refers to the sadness parents feel when the sex of their child differs from their preference (Groenewald, 2016). While GD is a globally recognized phenomenon, research in the United States remains limited despite anecdotal evidence on social media and restrictive gender norms (Heise et al., 2019). This qualitative study explored the subjective experiences of GD in American mothers. Twelve biologically female participants, aged 18 and older, who experienced GD were recruited through convenience and snowball sampling. Semi-structured interviews conducted via video conferencing, averaging 40 minutes, were analyzed using grounded theory methodology (Auerbach & Silverstein, 2003). A member …

Emergency Shift To Remote Cbt: Clinicians’ Evolving Experiences, Angela Flanagan M.S.

Selected Full Text Dissertations, 2011-

Since the emergence of the COVID-19 pandemic, remote health services have surged in popularity. This study focuses on the initial experiences of CBT psychologists previously untrained in telehealth during the emergency shift to remote therapy, and how these attitudes and experiences have evolved over the last four years. Participants included nine licensed clinical psychologists previously untrained in remote therapy who were practicing CBT treatment for at least two years before the pandemic. This phenomenological qualitative research design involved semi-structured interviews with these nine psychologists. The analysis revealed three main interpretive themes: (1) Experiences Related to the Human Factor, (2) Experiences …