Digital Commons Network^™

Leveraging Deep Learning For The Automated Detection Of Hemophilic Arthropathy In Knee Radiographs, En-Wei Lin, Edzer Wu, Ming-Ching Shen, Shao-Li Han

Rehabilitation Practice and Science

Background/Purpose:

Hemophilic arthropathy (HA) is a progressive joint disease caused by recurrent hemarthroses in patients with hemophilia. Early radiographic identification of HA is critical for timely intervention and long-term joint preservation. This study aimed to develop and evaluate deep learning models for automated detection of HA in knee radiographs.

Methods:

A retrospective dataset of 849 knee radiographs (AP and lateral views) was used to train three convolutional neural networks: ResNet-34, DenseNet-121, and EfficientNet-B0. Model performance was assessed using standard classification metrics, including accuracy, precision, recall, F1-score, and AUC. Interpretability was evaluated using Grad-CAM heatmaps.

Results:

DenseNet-121 achieved balanced performance on …

Fostering Success: How Cross Campus Partnerships Can Improve Accessibility, Engagement, And Inclusion For Autistic Undergraduate Students, Mercedes Rutherford-Patten, Luna Nombrano Larsen

Library Scholarship

The academic library, with its long history of student support and social justice advocacy, is the perfect organization to lead the way in dismantling systemic barriers to student success. Research shows that college students who regularly use library services are more successful academically (Shea & Derry, 2022). Another vital support the library can provide is community. Inclusion and belonging are integral to the success of autistic college students: “feeling like part of a community” and “to always feel like I’m welcome [on-campus]” were ways students measured their own success in a study by the Autistic Self Advocacy Network (2020, p. …

Building Diversity Into The Philosophy And Methodology Of Economics With Stratification Economics, Merve Burnazoglu, John B. Davis

Economics Faculty Research and Publications

Mainstream economics ignores who produces it and what it is about because its average man, Homo economicus ontological entry-point obscures social differences between people. Philosophy and Methodology of Economics that assumes this ontological entry point generally limits itself to epistemological analysis, and this means it fails to make diversity a fundamental concern. Taking diversity seriously entails being clear about one's ontological assumptions, and this requires being clear about the normative scope of one's analysis. This calls for giving up a value-neutral methodological reasoning and adopting a value-explicit methodological posture. To illustrate, we describe how Stratification economics with its social groups …

Consumer Willingness To Buy And Willingness To Pay A Premium For Climate Smart Food Products, Jacob David Brewer

Graduate Theses/Dissertations

This study investigated consumer willingness to buy (WTB) and willingness to pay a premium (WTPP) for Climate Smart (CS) food products. Focusing on soil health improvement practices such as biochar utilization, data from two surveys were analyzed. One survey was implemented and sought responses from consumer households in six midwestern states, and the other survey was distributed to institutional (universities, K-12 schools, corporations, etc.) and intermediary (restaurants, grocery stores, distribution centers, etc.) buyers. Consumer WTB and WTPP was examined through two independent ordered probit models, and the buyer survey data was utilized in descriptive analysis. Findings suggested that younger consumers, …

Best Management Practices: Sambucus Canadensis Propagation Techniques, Hannah Berendzen

Graduate Theses/Dissertations

American elderberry (Sambucus nigra ssp. canadensis) is a fruit-bearing shrub native to North America, traditionally utilized for medicinal and culinary purposes. In recent years, its popularity has surged due to emerging research supporting its immune-boosting properties. Despite its growing demand, standardized best management practices for elderberry cultivation, particularly propagation techniques, remain lacking. This study aims to clarify propagation recommendations by examining the influence cutting size and stem diameter on rooting success. A field study was conducted from February to May 2024, in which one-node and two-node dormant hardwood elderberry cuttings of varying stem diameters were planted in small …

The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb

Graduate Theses/Dissertations

This study utilizes anonymous survey data collected from 26 mental health professionals in various regions of Canada to understand which psychological disturbances are the most prevalent among victims of violent crime as well as which psychological interventions are most beneficial for treating violent crime victims. The data revealed that Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), anger, guilt, self-blame, and shame are each highly prevalent. Findings also revealed that certain therapeutic methods including Eye Movement Desensitization Reprocessing (EMDR), Supportive Counselling (SC), Progressive Relaxation (PR), Cognitive Reprocessing Therapy (CPT) and Cognitive Restructuring (CR) are associated with …

Correlates Of Gacha Gaming, Minh Quang Nguyen

Graduate Theses/Dissertations

The purpose of this study was to explore the relationship between impulsive measures, income spending on gaming, and delayed discounting in a Gatha player sample. Two model approaches were employed: (1) a mediation model approach predicting delayed discounting with age and education level as mediators and (2) a multiple regression model predicting delayed discounting. Although the proposed models were exploratory, it was the contention of the author that these analyses would result in a better understanding of delayed discounting in Gacha gaming. Both age and education level were not correlated with the dependent variable (spending ratio), therefore the mediation model …

Tailwater Trout Population Dynamics, Connor Dylan Cunningham

Graduate Theses/Dissertations

Dams have been constructed throughout the world and provide several resources for humans (e.g., flood control, hydropower). These structures heavily alter the upstream and downstream environment. One consequence of these alterations is the creation of “tailwaters”, which can create cold-water habitat via hypolimnetic releases. In the southeast United States these tailwater environments are often managed for the recreational use of nonnative salmonids. The unnatural flow regimes of tailwaters affect the biotic and abiotic conditions and ultimately the dynamic rate functions (i.e., recruitment, growth, mortality) of the fish inhabiting them. As such, the goal of this research is to provide fisheries …

The Effect Of Hypochlorous Acid On Cultured Osteoblast And Escherichia Coli, Cristina Flaquer Fusté

Graduate Theses/Dissertations

Hypochlorous acid (HOCl), a naturally occurring compound in neutrophils, has been used as an antimicrobial in wound treatment. Osteoblasts, bone-forming cells, within the bone tissue play a large role in bone fracture healing. Orthopedic infections are challenging to treat and highly morbid, including surgical site infection of arthroplasty procedures or infection in the setting of compound fractures. HOCl is being considered as a surgical antiseptic to decrease infections in orthopedic surgical procedures. This study therefore seeks to determine the effects of HOCl on osteoblasts and E. coli. Cultured osteoblasts were incubated with varying concentrations of HOCl to examine osteoblast …

Use Of Fecal Inoculum From Easy And Hard Keeper Horses To Determine In-Vitro Digestibility Of Feedstuffs Used In Equine Diets, Leah Bills

Graduate Theses/Dissertations

Digestibility studies provide vital information for formulating ideal diets based on an animal’s ability to digest and absorb the available nutrients from the feed provided. The purpose of this study was to determine if there is a difference in the nutrient digestion of horses between those that have a difficult time maintaining a healthy body weight (body condition score at or below 5, hard keeper) and those that easily maintain a healthy body weight (body condition score of >5, easy keeper). Six mature geldings averaging 534.1 ± 47.1 kg were used in this study. During the experimental period horses were …

Utilizing The Spatial Evaluation Of Language And Flexibility For Youth (Self-Y) In Clinical Case Conceptualization, Katelyn Frahm

Graduate Theses/Dissertations

Individuals diagnosed with autism spectrum disorder (ASD) often experience challenges with restricted and repetitive behaviors, relating directly to challenges with psychological flexibility (Hyman et al., 2020; Hayes et al., 2006). Unfortunately, the history of applied behavior analysis has extended harmful implications of treatment that have focused on compliance training and punishment, often worsening psychological flexibility (Sandoval-Norton et al., 2019). Research is calling behavior analysis to combine flexible approaches, such as Acceptance and Commitment Therapy, with technologies exploring the intricacies of individual relational networks (Hayes et al., 1999; Hayes et al., 2022; Hayes & King, 2024). The present study introduced the …

Characterization Of The Overexpression Of Reca Homologs Rad51 And Dmc1 In Tetrahymena Thermophila, Jianna M. Cox

Graduate Theses/Dissertations

RecA homologs, Dmc1 and Rad51, work to repair DNA double-strand breaks (DSBs) within the cell through the recombination of homologous sections of DNA. Dmc1 works to repair programmed DSBs through meiotic recombination, while Rad51 functions to repair both meiotic and non-meiotic DSBs, the latter repaired through the process of homologous recombination repair (HHR). Chemotherapeutics, exogenous agents, work to form DSBs in cancer cells, attempting to inhibit the cell’s growth. A hyper recombinant phenotype is often seen in cancer cells due to the overexpression of RAD51, leading to drug resistance, the persistence of cancers, and an overall poor patient outcome. …

Activity, Movement, And Reproductive Patterns Of The Northern Giant Musk Turtle (Staurotypus Triporcatus) In Belize, Larissa Sage Saarel

Graduate Theses/Dissertations

The Northern Giant Musk Turtle (Staurotypus triporcatus), a near-threatened species native to southern Mexico, Guatemala, Belize, and western Honduras, faces multiple environmental challenges, yet its activity patterns, movement patterns, and reproductive biology remain poorly understood. This thesis investigates both seasonal activity and reproductive cycles of female S. triporcatus in Belize. To assess diel and seasonal activity, I tracked 12 female turtles and collected data using activity loggers. I also collected movement data through radio-telemetry and acoustic tracking methods. Results indicated that the species is primarily nocturnal, with increased activity during the wet season, particularly during flooding events. Turtles …

Victim-Offender Relationships And Their Influence On Crime Brutality And Sentencing Outcomes In Capital Homicide Cases, Samantha Jane Trowbridge

Graduate Theses/Dissertations

This study examines capital murder cases in Missouri from 1976 to 2022 to explore how victim-offender relationships relate to both the brutality of homicides and sentencing outcomes. It addresses three main questions: What are the different types of victim-offender relationships in these cases, and how frequently does each type occur? How do these relationships influence sentencing outcomes, particularly the likelihood of receiving the death penalty versus life without parole? And which types of relationships are associated with the highest and lowest levels of brutality? The study uses official court records and applies a coding process to analyze relationship type, sentencing …

Adaptive College Athletics: The Champion Medals Await Those Collegiate Universities Who Compete, Peter Galati

Student Works

No abstract provided.

Ncaa: Not Comprised Of Amateurs Anymore, Michael Reilly

Student Works

No abstract provided.

2025-2026, Benjamin N. Cardozo School Of Law

Student Handbooks

No abstract provided.

Incidence Of Bleeding And Performance Of The Precise-Dapt Score In Predicting Bleeding In Patients On Dual Antiplatelet Therapy After Treatment For Acute Coronary Syndrome In Kenya, Peter Mugo, Jeilan Mohamed, Miriam Msunza, James Orwa, Mzee Ngunga

Internal Medicine, East Africa

Introduction: Dual Antiplatelet Therapy (DAPT) plays an important role in the secondary prevention of ischemic events after treatment for acute coronary syndrome (ACS). The long-term use of DAPT is associated with an increased risk of bleeding, which affects morbidity and mortality. Risk stratification scores have been developed to predict this risk and provide a balance against the risk of ischemic events. The aim of this study was to determine the incidence of bleeding in a cohort of patients in Kenya on DAPT and assess the performance of the PRECISE-DAPT Score in predicting the risk of bleeding.

Methods: This was a …

Exploring Vr User Experiences, Sarah Ferguson, Demetrice Smith-Mutegi, Brett Cook-Snell

Teaching & Learning Faculty Publications

Virtual reality (VR) has unique potential for simulating environments and situations beyond real-life experiences. This study investigates the limitations of VR equipment design for learning spaces, specifically online environments. Presented are the findings of an exploratory study that examined the immersion, ease of use, and physiological and emotional experiences of seven university students participating in a 30–60 min VR session. Given the small sample size, the findings were analyzed with descriptive statistics and qualitatively. The results revealed that participants recognized the potential of VR as a teaching and learning tool, while also identifying certain limitations associated with health and safety. …

Exploring Vr User Experiences, Sarah Ferguson, Demetrice Smith-Mutegi, Brett Cook-Snell

Teaching & Learning Faculty Publications

Virtual reality (VR) has unique potential for simulating environments and situations beyond real-life experiences. This study investigates the limitations of VR equipment design for learning spaces, specifically online environments. Presented are the findings of an exploratory study that examined the immersion, ease of use, and physiological and emotional experiences of seven university students participating in a 30–60 min VR session. Given the small sample size, the findings were analyzed with descriptive statistics and qualitatively. The results revealed that participants recognized the potential of VR as a teaching and learning tool, while also identifying certain limitations associated with health and safety. …

Informal Caregivers Connecting On The Web: Content Analysis Of Posts On Discussion Forums, Michelle L. Foster, Chinenye Egwuonwu, Erin Vernon, Mohammad Alarifi, M. Courtney Hughes

Faculty Articles, Papers, and Other Scholarship

Background: About 53 million adults in the United States offer informal care to family and friends with disease or disability. Such care has an estimated economic value of US $600 million. Most informal caregivers are not paid nor trained in caregiving, with many experiencing higher-than-average levels of stress and depression and lower levels of physical health. Some informal caregivers participate in web-based forums related to their caregiving role.

Objective: This study aimed to explore how informal caregivers use easy-to-access caregiving web-based forums, including the types of information they share and seek from others. It also aimed to gain insights into …

The Sky’S The Limit: Improving Satellite Imagery Data Literacy To Address Noncommunicable Diseases, M. Courtney Hughes, Elizabeth J. Folkmann

Faculty Articles, Papers, and Other Scholarship

Low-and middle-income countries experience 77% of the world’s premature deaths caused by non- communicable diseases, and their underlying health determinant data are often scarce and inaccurate. Im- proving satellite imagery data literacy worldwide is an integral step toward using the vast amount of publicly available data collected via satellites, such as air pollution, green space and light at night—all determinants of non-communicable diseases. Existing machine learning–based algorithms enable automated analysis of satel- lite imagery data, but health officials and scientists must know where to find and how to apply these algorithms to measure risk and target interventions.

Caregiver Policies In The United States: A Systematic Review, Makenna R. Green, M. Courtney Hughes, Sadia Afrin, Erin Vernon

Faculty Articles, Papers, and Other Scholarship

In the United States, there are nearly 53 million informal or unpaid caregivers, many of whom experience mental and physical stress related to their caregiving duties and increased financial responsibility. We identified federal and state informal caregiver support policies authorized by specific legislation along with their key provisions and conducted a systematic review of the academic literature related to quantitative evaluations of these policies. Twenty policies, eight academic studies, and four gray literature reports were included in the study, with half of the policies introduced since 2000. Our study criteria yielded few academic valuations tied to caregiver policies and few …

If The Body Keeps The Score, What Happens When You Bring The Body To Work? Exploring The Health Effects Of Trauma On Human Capital, Lisa Jones Christensen, Elizabeth Embry, Arielle Badger Newman, Paul C. Godfrey

Faculty Publications

Data reveal that the physical effects of trauma exposure increasingly surface in business, social, and other settings. Exposure to trauma at any point in life can cause employee health concerns, yet many firms do not acknowledge or address this. Herein, we combine trauma theory with human capital theory to explain how manifestations of trauma exposure—hyperarousal, intrusion, and constriction—impact employee health and performance. This article outlines how each manifestation affects human capital deployment, and thus employee performance. It further demonstrates how these human capital deployment issues have individual- and unit-level performance implications. This article offers a theory linking health effects of …

The Marginal Value Of Public Pension Wealth: Evidence From Border House Prices, Darren Aiello, Asaf Bernstein, Mahyar Kargar, Ryan Lewis, Michael Schwert

Faculty Publications

We study how state pension windfalls affect property prices near state borders, where theory suggests real estate reflects the value of additional public resources. Windfalls, representing a source of state revenue about half the size of total taxes, provide economically significant and plausibly exogenous variation in fiscal conditions. We find that each dollar of pension asset returns increases border house prices by approximately two dollars, suggesting that governments allocate additional funds towards high-value projects or tax abatement rather than wasting incremental resources. Evidence of larger effects in financially constrained municipalities highlights how fiscal resources amplify welfare effects of economic shocks.

Customizable Vr Driving Experiences: Balancing User Comfort And Interactivity, Kaihao Tian

Dartmouth College Master’s Theses

Driving games and vehicle simulations have been a prominent genre in the gaming world, thriving on traditional platforms like consoles and PCs. Despite the advances in virtual reality (VR) technology, the genre has seen limited success in VR, largely due to challenges in balancing user comfort, immersion, and the physical constraints of VR hardware. The primary issue arises from the conflicting goals of interactivity and comfort. While VR offers an immersive, high-speed experience with dynamic steering and rapid movements, these same elements often cause discomfort and cybersickness, undermining the very immersion that VR promises.

This research aims to address these …

Urban Horizons: Navigating Sustainable Practices In 15-Minute Cities, Raul Allen Mejia

Dartmouth College Master’s Theses

Climate change poses a pressing challenge of the modern age. With wide-ranging implications for society, many fields play a role in shaping public policy and fostering awareness about the environmental crisis. One approach, the 15-minute city, aims to ensure that all essential services and amenities are accessible within a 15-minute walk or bike ride. This vision reflects a shift toward more sustainable and resilient urban environments. Cities such as Amsterdam, Boston, and Oxford, in adopting key elements of this concept, present diverse case studies for understanding how 15- minute city frameworks can effectively maximize socioeconomic interests. The analysis of Amsterdam’s …

Aestheticizing And Engendering Disease: The Case Of Tuberculosis, Abigail Dollries

Dartmouth College Master’s Theses

This thesis examines how tuberculosis, known in the nineteenth century as “consumption,” was aestheticized in American cultural and medical discourse, particularly in industrial cities of the North between 1830 and 1850. It addresses the paradox at the heart of the disease’s representation: while tuberculosis was medically pathologized, it was simultaneously romanticized, especially when afflicting elite white women. The central problem explored is how this aestheticization of illness functioned to reinforce gender, class, and racial hierarchies by transforming suffering into a symbol of virtue, refinement, and social status. Using a cultural-historical methodology, this project analyzes a range of sources, including medical …

Application Of Person-Centered Therapy To Educator Preparation For Relationships With Families, James M. Mcginn

Journal of Excellence in College Teaching and Learning

This article examines the importance of preparing future educators for effective partnerships with students’ families, a priority emphasized in contemporary educator standards. Despite evidence that strong educator-parent relationships foster academic and socio-emotional growth, many educators feel ill-equipped to engage with families confidently. Drawing upon the field of school counseling, this paper explores how concepts and pedagogies from counseling— particularly Person-Centered Therapy (PCT)—can inform educator preparation. The article provides an overview of the school counseling profession, reviews the foundational principles of PCT, and discusses how these approaches can be integrated into higher education curricula. By adopting non-directive, relationship-centered strategies rooted in …

All Things To All People: Identifying Factors Influencing Superintendent Salary, Kevin Hub, George Gill Hunter

Journal of Excellence in College Teaching and Learning

This research investigates the factors influencing superintendent salaries in Kentucky, focusing on the linear relationship between seven independent variables and superintendent salary. These variables include student enrollment, average teacher salary, total number of certified staff, per pupil assessment, student poverty, student disability, and student achievement. The study utilized data from 169 Kentucky public school districts during the 2022-2023 school year, collected from various public sources like the Kentucky Department of Education (KDE). The primary method of analysis was the Pearson correlation coefficient, which examined the strength and direction of the relationship between each independent variable and superintendent salary. This study …