Digital Commons Network^™

Subgroup Identification Of Disparities In Buprenorphine Discontinuation In Opioid-Use Disorder: A Virtual Twins Machine Learning Approach Using Nationwide United States Claims Data, 2006–2022, Kehe Zhang, Paula A Jaimes-Buitron, Wanru Guo, Yanmin Gong, Yuanxiong Guo, Carolina Vivas Valencia, Cici Bauer

Faculty, Staff and Student Publications

Buprenorphine retention is crucial for effective treatment of opioid use disorder (OUD), yet disparities in treatment discontinuation persist. This study aims to identify and quantify disparities in buprenorphine treatment retention using a machine learning framework adapted from Virtual Twins approach focusing on disparities related to sex, age, insurance type, geographic region, mental health status and community-level Social Vulnerability Index (SVI). Using a nationwide longitudinal cohort, we applied a two-stage machine learning approach. In Stage one, we trained classification models to estimate the counterfactual differences in treatment discontinuation across disparity types. Model performance was assessed using C-statistics and precision-recall curve. In …

Improving Overall Risk Ranking Via Subgroup-Level Information Borrowing In Survival Risk Stratification, Tia S Thomas, Jing Ning, Ruosha Li

Faculty, Staff and Student Publications

Effective risk stratification is essential for providing tailored therapies, improving patient outcomes, and optimizing healthcare resources by identifying sub-populations with similar health risks. However, accurate risk ranking is challenging in the presence of heterogeneous subgroups. Under these instances, subgroup-level information can be leveraged to refine the overall risk ranking. We propose a novel approach that integrates within-subgroup risk ranking percentiles to enhance the overall cohort risk stratification. This method uses both a global model and subgroup-specific models along with optimized weights to improve discriminatory performance across the entire cohort. The proposed method is validated through extensive simulations and applied to …

Relationship Between Foraminiferal Assemblages And Cassiopea Coverage Across A Gradient Of Human Influence In Jobos Bay National Estuarine Research Reserve, Puerto Rico, Nylah Barber, Angelique Rosa Marín, Natalia López-Figueroa, Darma Ramos-Negrón, Xiomara Cruz-De León, Andrea Acevedo Colón, Pamela Hallock

Making Waves REU

Ecological Relevance: Foraminifera and Cassiopea (upside down-jellyfish) are symbiont-bearing organisms that respond rapidly to environmental changes in tropical systems, hence potential candidates as bioindicators to support ecological monitoring at JBNERR. Purpose: By using foraminiferal assemblages and Cassiopea as potential bioindicators, we can assess environmental conditions and contribute to management needs in the reserve. Hypothesis: Foraminiferal assemblages and the percent coverage of Cassiopea will reflect the habitat conditions of sites with varying levels of human influence at JBNERR.

A Qualitative Examination Of Human Papillomavirus Vaccine Access, Beliefs, And Behaviors Among Adult Males Aged 18–35: Applying The Health Stigma And Discrimination Framework, Jacquelin I Cordero, Louis D Brown, Jesús M Alemán, María E Fernández, Serena A Rodríguez, Eva M Moya

Faculty, Staff and Student Publications

Background: Males, who disproportionately account for 83% of oropharyngeal cancer cases, are underrepresented in health promotion research, including human papillomavirus (HPV) vaccination studies. The initial exclusion of males in HPV vaccine research, policies, and interventions has negatively affected male vaccine uptake. Furthermore, stigma, a well-documented barrier to healthcare engagement, has been overlooked in HPV vaccination behaviors. This study aimed to provide a more contextualized understanding of HPV vaccine disparities among adult males by applying the Health Stigma and Discrimination Framework (HSDF) to examine how stigma is produced, enacted, and sustained across social systems, which may impact male vaccine uptake.

Methods: …

The Longitudinal Effect Of Repetition And Practice On The Accuracy Of Lay Anal Examinations For Detecting Perianal And Anal Canal Abnormalities: A Prospective Study, Alan G Nyitray, Timothy L Mcauliffe, Jenna Nitkowski, Cameron Liebert, Michael D Swartz, Ashish A Deshmukh, Jared Kerman, Ellen Almirol, John A Schneider, J Michael Wilkerson, Lu-Yu Hwang, Derek Smith, Duo Yu, Aniruddha Hazra, Elizabeth Y Chiao

Faculty, Staff and Student Publications

Background: While anal cancer screening is now recommended in several countries for high-incidence populations, barriers impede screening uptake. It is well known that patient recognition of symptoms increases cancer screening uptake, and we previously demonstrated that patients can detect small masses at the perianus and in the anal canal. In this current analysis, we aimed to longitudinally assess the effect of repetition and practice on patient self-recognition of small masses.

Methods: Individuals and couples of sexual minority men and transgender women were taught to conduct an anal self-examination or anal companion examination (ASE/ACE) at visit 1 and then randomized to …

Religious Radio Broadcasting In Ukraine In The Context Of Digital Mediatisation And Social Transformation, Oleh Sokolovskyi, Olena Yurchuk

Occasional Papers on Religion in Eastern Europe

The study carries out a religious studies analysis of contemporary forms of spiritual communication implemented through audio and digital media platforms. The work highlights the particular features of organizing religious broadcasting under conditions of transformation of the information space, when traditional models of transmitting doctrine become integrated into new technological formats. Mechanisms of the formation of religious identity, ways of maintaining spiritual continuity, and strategies of interaction between religious institutions and their audiences are examined. An analysis is conducted of the structures that ensure access to spiritual content, including forms of catechetical communication, mentoring practices, and models of pastoral support …

An Interdisciplinary Approach To Understanding The Social Ministry Of The Orthodox Church Of Ukraine In The Context Of Christian Theology And Socio-Humanitarian Sciences, Rostyslav Didukh

Occasional Papers on Religion in Eastern Europe

The article presents a comprehensive interdisciplinary scientific and theological analysis of the social ministry of the Orthodox Church of Ukraine (OCU) in the context of Christian theology and socio-humanitarian disciplines. Modern approaches of Orthodox theology to the social mission of Christianity ensure the integrity of the development of the human and society. The need to ensure the coherence of theological concepts of the Orthodox Church social teaching with the existing church and parish life, church educational mission, theological education, and social work is emphasized. Special attention is paid to the interdisciplinary connections of Orthodox theology, religious studies, psychology, pedagogy and …

Italian Missionary Activities In Georgia: Historical Legacy And Modern Inter-Religious Dialogue, Zaza Tsotniashvili

Occasional Papers on Religion in Eastern Europe

This article examines the historical development, cultural contributions, and contemporary significance of Italian missionary activities in Georgia spanning seven centuries, from medieval Catholic presence through the traumatic Soviet period to the post-independence revival. Drawing upon Georgian, Italian, and Vatican archival sources, including the manuscripts of Arcangelo Lamberti, Cristoforo de Castelli, and Michel Tamarati, the study provides comprehensive analysis of Italian Catholic missionaries' multifaceted engagement with Georgian society. The research demonstrates that Italian missionaries, particularly members of the Theatine, Capuchin, and Augustinian orders, played roles extending far beyond religious evangelization, functioning as diplomatic intermediaries, medical practitioners, linguistic documentarians, ethnographic observers, and …

Book Review: Ryszard Tyndorf With Rev. Zygmunt Zieliński, Wartime Rescue Of Jews By The Polish Catholic Clergy: The Testimony Of Survivors And Rescuers, John M. Grondelski

Occasional Papers on Religion in Eastern Europe

A review of Ryszard Tyndorf with Rev. Zygmunt Zieliński, Wartime Rescue of Jews by the Polish Catholic Clergy: The Testimony of Survivors and Rescuers. Lublin, Poland: Heschel Center, Wydawnictwo KUL, 2023. 2 vols., HB. ISBN 978-83-8288-087-8//088-5.

A Glimpse Of Early Ellensburg, Washington From The 1980'S Excavations At 45kt800, Leah M. Shenyer

All Master's Theses

The Robber’s Roost site, located in the town of Ellensburg, Washington, was excavated in a partnership between Central Washington Archaeological Survey and Kittitas County Youth Services in the summers of 1986 and 1988. In 2023, the collection consisted of 110 boxes of artifacts including bottle glass, ceramics, leather, and faunal remains, with no significant prior analysis and little information on the dig itself. The purpose of this thesis is to document this poorly-known excavation project and gain a better understanding of Ellensburg’s history through analysis of the artifacts recovered. I compiled all the available paper records and communicated  with past …

Anaerobic Digestion Of Food Waste Components: Modeling Biogas Production, Opeyemi E. Adelegan

Civil Engineering Dissertations

Food waste constitutes the single largest component of municipal solid waste landfilled in the United States — approximately 22% of 292.4 million tons generated in 2018 — and its anaerobic decomposition releases methane, a greenhouse gas with global warming potential approximately 27–30 times that of carbon dioxide over a 100-year horizon (IPCC, 2021). Anaerobic digestion (AD) offers an alternative management pathway that recovers energy and produces nutrient-rich digestate, but AD performance varies by as much as five-fold across food waste streams (130–630 m³ CH₄ per Mg VS added), and existing predictive tools either treat food waste as a …

Exploring Faculty And Student Experiences With Languages: Building Durable Skills Through Multilingual Engagement, Ali Yaylali, Cui Zhang, Sara Rico-Godoy

Pedagogicon Conference Proceedings

This creative activity focuses on students’ and multilingual faculty members' real-life experiences navigating linguistic and cultural diversity. The informal dialogue across multiple undergraduate courses in a third space strengthens student learning by enhancing multiple durable skills such as intercultural communication, career readiness, and the understanding of different cultural backgrounds.

Encouraging Adaptability And Resilience In The College Classroom, Amanda Joyce

Pedagogicon Conference Proceedings

Employers often view Gen Z as lacking resilience, yet research shows they thrive in supportive, growth-oriented environments. This piece explores how educators can foster adaptability and resilience in students, helping them succeed in the modern workforce.

Shin-Chi’S Canoe (2008) By Nicola Campbell, Maughn Rollins Gregory

Picture Books

In the nineteenth and twentieth centuries American and Canadian government agencies and Christian churches established Indian residential schools where hundreds of thousands of children were “reeducated” in English and Christianity. They were not allowed to use their native languages or given names, to practice their religions, or to communicate with their siblings or parents. They were made to work in crop fields, kitchens, laundries, and industrial workshops. Many were physically and sexually abused. Many never saw their families again. The nine picture books reviewed here are accounts of survivors of residential schools from eight different Indigenous nations. In addition to …

Not My Girl (2014) By Christy Jordan-Fenton And Margaret-Olemaun Pokiak-Fenton, Maughn Rollins Gregory

Picture Books

In the nineteenth and twentieth centuries American and Canadian government agencies and Christian churches established Indian residential schools where hundreds of thousands of children were “reeducated” in English and Christianity. They were not allowed to use their native languages or given names, to practice their religions, or to communicate with their siblings or parents. They were made to work in crop fields, kitchens, laundries, and industrial workshops. Many were physically and sexually abused. Many never saw their families again. The nine picture books reviewed here are accounts of survivors of residential schools from eight different Indigenous nations. In addition to …

Impact Of Family And Social Determinants Of Health On Behavioral And Bmi Outcomes In Adolescents With And Without Intellectual And Developmental Disabilities: An Ecological System Perspective, Pingnan Li

Social Work Theses

Adolescence is a critical developmental period during which behavioral and physical health outcomes are shaped by social and family determinants of health; yet limited research has examined how these determinants operate among adolescents with intellectual and developmental disabilities (IDD) within a multilevel ecological framework. To address this gap, this thesis used data from Years 9 and 15 of the Future of Families and Child Wellbeing Study (FFCWS), with a final analytic sample of 3,176 adolescents at Year 15, including 150 with IDD. Descriptive analyses first examined the differences in demographic characteristics, behavioral outcomes (externalizing and internalizing behaviors), and physical outcomes …

A Study Of The Impacts Of Infusing Data Analysis And Research In An Interdisciplinary Environmental Economics Course, Sean P. Macdonald

Publications and Research

This paper explores the impacts of introducing quantitative literacy skills in an interdisciplinary Environmental Economics course typically taught as an issues and policy course without a quantitative component. The study examines the effects of infusing an engaging, student-selected data collection and analysis assignment on students' quantitative reasoning skills, as well as their interest in and attitudes about data analysis and quantitative information. Using data gathered from a set of pre- and post-assessment questions designed to measure changes in quantitative reasoning skills and attitudes, the findings point to significant attitudinal impacts, gains, but smaller, insignificant gains in quantitative reasoning skills.

2026 Iapc Residential Summer Course Roster, Maughn Rollins Gregory

Documentation

This year we had seven IAPC staff members, six participants (from Japan, the Philippines, Turkey, and the US), and four visitors from Hawai'i.

The Need For A Validated Psychometric Scale To Assess Multidimensional Language Barriers In Medical Education Among Arabic Speakers, Ali Alfaifi, Nasser Shubayr

Health Professions Education

Language barriers significantly hinder academic performance, psychological well-being, and clinical communication skills of Arabic-speaking healthcare students educated through English-medium instruction. Although existing instruments focus on clinical communication—often among physicians—critical dimensions such as academic challenges and psychological impacts remain underassessed, and tools rarely address disciplines beyond medicine (e.g., nursing, pharmacy, radiology). Studies in Arabic-speaking contexts typically employ author-developed or adapted questionnaires lacking rigorous validation. This short communication underscores the need for a comprehensive, psychometrically sound scale tailored to Arabic-speaking healthcare students. Proposed dimensions include Language Proficiency, Academic Impact, Psychological Impact, and Clinical Communication. Validation will involve systematic item development, exploratory and …

Associations Between Contralesional Neuroplasticity And Motor Impairment Through Deep Learning-Derived Mri Regional Brain Age In Chronic Stroke (Enigma): A Multicohort, Retrospective, Observational Study, Gilsoon Park, Mahir Khan, Justin Andrushko, Nerisa Banaj, Michael Borich, Lara Boyd, Amy Brodtmann, Truman Brown, Cathrin Buetefisch, Adriana Conforto, Steven Cramer, Michael Dimyan, Martin Domin, Miranda Donnelly, Natalia Egorova-Brumley, Elsa Ermer, Wuwei Feng, Fatemeh Geranmayeh, Colleen Hanlon, Brenton Hordacre, Neda Jahanshad, Steven Kautz, Mohamed Salah Khlif, Jingchun Liu, Martin Lotze, Bradley Macintosh, Feroze Mohamed, Jan Nordvik, Fabrizio Piras, Kate Revill, Andrew Robertson, Christian Schranz, Nicolas Schweighofer, Na Jin Seo, Surjo Soekadar, Shraddha Srivastava, Bethany Tavenner, Gregory Thielman, Sophia Thomopoulos, Daniela Vecchio, Emilio Werden, Lars Westlye, Carolee Winstein, George Wittenberg, Jennifer Ferris, Chunshui Yu, Paul Thompson, Sook-Lei Liew, Hosung Kim

Department of Radiology Faculty Papers

BACKGROUND: Stroke leads to complex chronic structural and functional brain changes that specifically affect motor outcomes. The brain predicted age difference (PAD) has emerged as a sensitive biomarker of both sensorimotor and cognitive function after stroke. Our previous study showed a higher global brain PAD associated with poorer motor function after stroke. However, the association between local stroke lesion load, regional brain age, and motor impairment is unclear. This study aimed to investigate the associations between focal lesion damage, regional brain PAD in both hemispheres, and motor outcomes in chronic stroke, and to identify key predictors of motor impairment.

METHODS: …

Chapter 6: Snakeskin And Corn Markings: The Dotted-Diamond-Grid Pattern In The U.S. Southwest, Laurie D. Webster, Kelley A. Hays-Gilpin

Precious Pattern: The Dotted-Diamond Motif in Indigenous American Textiles, Explorations in Mesoamerica, the American Southwest, and the Andes

Discusses Southwestern tie-dye and its Mesoamerican and Andean connections.

Winner-Take-All In International Markets? Performance Persistence Of Social Platforms, Yang Yang, Liang Chen, Jiang Wei, Yang Liu

Research Collection Lee Kong Chian School Of Business

Strategy research has long linked sustained competitive advantage to barriers to imitation. We highlight network effects as an alternative mechanism and adopt a geotemporal perspective to theorize how firms sustain advantage as it unfolds over time in international markets. Our study examines this question through the performance persistence of social platforms, focusing on how institutional and demand-side conditions shape the sustainability of platforms’ competitive advantages. We propose that intellectual property rights protection may restrict the degree of freedom in information dissemination, dampening the role of network effects in sustaining superior performance, whilst demand heterogeneity may enhance the value of sizable …

Fly The Coop - Pilot Script And Bible, Allison Righter Moore

Screenwriting and Film Studies Theses (MA/MFA)

Fly the Coop is a children's cartoon about a young teenage girl, Robin, who gets caught in a storm while in a hot air balloon alongside her father. She finds herself teleported to a foreign land called Perch which is inhabited by humanoid bird-people called avains, Robin herself being transformed into one. She enters the small town of Roost Rest where she meets and befriends a trio of orphans. Goldie, a canary who wishes to be theater star, Rudite, a burrowing owl who strives to be the most intelligent bird around, and Pebb, a penguin wisecracker always trying to earn …

Anemoia, Emily A. Macdonald

Screenwriting and Film Studies Theses (MA/MFA)

Many girls would kill for the opportunity to make it in the modeling world, but with one foot in the door already, Sloane seems less than thrilled. When the chance arrises to visit the famed Arion Hotel, a training ground for up-and-coming models run by the mysterious photographer Louis Lord, even she cannot pass it up.

However, the hotel does not appear to be all it was promised. Outdated, isolated and nearly empty-- save for a small group of Lord's friends and employees, Sloane finds herself in an unfamiliar and strange world. All this she could bear, but the appearance …

Bridging The Gap: Predictors Of Alignment Of Parent And Caseworker Perceptions Of Engagement, Jianchao Lai, Michelle I. Graef

Center on Children, Families, and the Law: Faculty Publications

This study examined predictors of alignment between parents’ and caseworkers’ perceptions of family engagement in child welfare services. Using data from 2,274 Alternative Response (AR)–eligible families randomized to AR or Traditional Response, engagement was assessed across the domains of Receptivity, Buy-in, Worker-family Relationship, and Mistrust using a modified Yatchmenoff (2005) scale. Multinomial logistic regression models identified factors associated with agreement and discrepancy between ratings of family engagement within the parent and worker dyad. While both parents and workers valued engagement, workers were more likely to provide higher overall engagement ratings, although the direction of discrepancy varied across specific subscales. Greater …

Allied Professionals In (Academic) Law Libraries, Part I: Evolving Roles, Skills, And Professional Development Needs, Sarah E. Ryan, Mads Ball, Agnes G. Pearcy, Diana Quinones, Dawn L. Smith

Library Staff Publications

Allied professionals comprise a significant portion of the law library workforce, yet their experiences and career pathways are often overlooked in discussions about the profession’s future. This article presents findings from a survey examining how allied professionals pursue professional development, upskilling, and career mobility. While respondents demonstrated a strong commitment to growth, opportunities varied widely and were often limited by institutional support. The authors discuss the survey findings, explore the implications for the profession, and offer recommendations for better supporting allied professionals and recognizing their essential contributions to law librarianship. This is the first in a two-part series.

The Syntra Collective, Diana Palomares Bernabé

Grado en Diseño de Interiores

El proyecto tiene como objetivo explorar la capacidad de la arquitectura para sanar a las personas. El club holístico se organiza en torno a tres áreas de intervención; la sanación física, mental y espiritual. Entendidas como un recorrido continuo y no como espacios aislados, reflejando una filosofía donde el bienestar del individuo es una necesidad cotidiana y no un lujo ocasional. Se propone así un nuevo concepto de lujo, donde lo verdaderamente valioso no es lo material, sino la inversión en uno mismo. Para el diseño se han tenido en cuenta diversos Objetivos de Desarrollo Sostenible, con el fin de …

Beyond The Square Pulse: Waveform Shape, Eeg Correlates, And The Pursuit Of Natural Sensation In Tens, Jason Whitson

Honors Undergraduate Theses

This study investigates the relationship between electrical stimulus characteristics of shape and charge on evoked sensations and electroencephalogram (EEG) data during multi-waveform transcutaneous electrical nerve stimulation (TENS) of the median nerve. Neuromodulation methods have traditionally had little control over the location and quality of their associated evoked sensation (e.g., electric, vibration, touch). This experiment utilized five unique stimulus waveforms during TENS stimulation. EEG data were collected concurrently to provide an introductory objective measure of the neural responses underlying these sensory changes. Eleven participants completed three tasks (thresholding, super-threshold stimulation, two-alternative forced choice) using a two-electrode TENS approach. Stimulus waveforms were …

From Ship To Shore: The Impact Of Sailor Resistance On The Anti-Vietnam War Movement, Trent Chamberlain

Honors Undergraduate Theses

This thesis explores the often-overlooked role of United States Navy personnel in the broader anti-Vietnam War movement. While civilian protests dominate historical narratives of the era, the impact of active-duty sailor resistance remains underexplored. To address this gap, this thesis examines shipboard and shore-based dissent to determine how Naval resistance influenced both military operations and domestic anti-war efforts. By conducting a historical analysis of primary source materials, including military records, underground press publications, and personal accounts, this research traces the evolution of sailor organizing and its intersections with civilian peace movements. The thesis shows that Naval dissent not only posed …

Exploring Associations Between Mental Disorder And Creativity, David A. Romero Mora

Honors Undergraduate Theses

Mental disorder has been misunderstood and misrepresented throughout history, leading mental health research to be severely behind where it needs to be. Years of misinformation, over-medicalization, negative rhetoric, and stigmatization at the hands of the very same institutions that were believed to care for mental disorder have kept this misunderstanding alive. Further, studies throughout history have failed to look at the nuances of mental health, prioritizing generalizability. This thesis explores the relationship between mental disorder and creative expression, how other factors like cultural discourse and cognitive processes inform this relationship, as well as how analyzing this relationship can provide a …