An Empirical Study Of Malingering In Insanity Cases Across Twelve Decades, Deborah W. Denno

Faculty Scholarship

The last 120 years have seen a surge in the use of neuroscientific evidence in American criminal law cases, fueled by discoveries in brain science that have challenged the legal system’s assumptions about human thinking and culpability. One key assumption is that many defendants “malinger,” that is, feign or fake insanity or mental illness, to garner an acquittal or mitigated punishment. Likewise, when potential evidence that a defendant is malingering is introduced in court, it can have a pronounced and powerful negative effect on the defendant’s insanity claim, especially when juries and criminal justice actors are already skeptical of insanity …

A Convert’S Tale: Art, Crime, And Jewish Apostasy In Renaissance Italy, By Tamar Herzig, Lyn Blanchfield

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

The Hungry City: A Year In The Life Of Medieval Barcelona, By Marie A. Kelleher, Jessica Minieri

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

The Permeable Self: Five Medieval Relationships, By Barbara Newman, Laura Moncion

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

Christine De Pizan: Empowering Women In Text And Image, By Charlotte Cooper-Davis, Kelsey Boor

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

Can We Talk—Really Talk—About Critical Race Theory? What A Game For All Ages Can Teach Us, Dan Subotnik

Touro Law Review

This essay may shock many readers. What it tries to do is look more closely than usual at the underpinnings of American racial discourse in the hope of leaving its readers, by its end, more willing than before to speak openly and listen carefully to people who disagree with them on the fraught subject of race. Wouldn’t many of us academics like to engage in a more open-minded sort of interracial conversation with a greater variety of our peers than we usually do? And yet it never seems to happen. Do any of us, black or white, feel we can …

Elevating Teacher Agency In School Decision-Making Through Trust-Building: Applying Appreciative Inquiry Within A Mixed Methods Action Research Framework, Alison S. Bellamy

University of Kentucky Doctoral Dissertations

This mixed methods action research (MMAR) study examined how Appreciative Inquiry–based professional learning influenced relational trust, teacher voice, and teacher agency in elementary school decision-making within New Hanover County Schools. Grounded in Teacher Agency Theory, Distributed Leadership Theory, and Appreciative Inquiry, the study addressed the gap between teachers’ perceptions of trust and their opportunities to influence school-level decisions. The study was conducted across three mid-quintile elementary schools using a concurrent QUAN–QUAL design. Quantitative data was collected through pre- and post-intervention relational trust surveys. Qualitative data included focus groups, participant reflections, field notes, and collaborative dialogue from two professional learning sessions …

Colorectal Cancer Screening In Saudi Arabia: Current Challenges And Future Directions, Abdulrahman A. Aljabri, Abdulrahman G. Alharbi

Saudi Medical Journal

Abstract Colorectal cancer has become a major public health concern in Saudi Arabia. It is the most prevalent cancer among men and the third most prevalent among women. Although screening for people aged 45-75 is recommended by national recommendations, screening uptake is still below 10%, and less than 1% of older persons have a colonoscopy. With regional differences that vary from age-standardized rates of 3.2 per 100,000 in Jouf to 21.8 per 100,000 in Riyadh among men, approximately 29% of cases are detected at late stages. Therefore, we assessed the epidemiological, social, and health-related systemic structures preventing effective colorectal cancer …

Magnitude Of Abdominal Solid Organs Injuries Among Patients With Pelvic Fracture At King Abdullah Hospital, Bisha City, Saudi Arabia, Ali Ibrahim Alshehri, Mohammed Jalawi Karkaman, Nawaf Amer Alsoiry, Naif Abdulaziz Alqarni

Saudi Medical Journal

Objective: To access the magnitude of these injuries in patients with pelvic fractures at King Abdullah Hospital, Bisha, Saudi Arabia. Abdominal solid organ injuries are life-threatening and results in adverse health effects particularly to patients with pelvic fracture. Methods: An analytical cross-sectional retrospective hospital-based study that reviewed a total of 236 medical records of patients with abdominal organ injuries and pelvic fractures at King Abdullah Hospital, Bisha, Saudi Arabia. Cleaned data was coded and analyzed with the use of SPSS version 23 to drive key insights. Results: The study comprised of 236 patients in total. Approximately 38 (16.1%) patients had …

Clinical Characteristics And Outcomes Of Patients With Amphetamine Associated Emergency Department Visits At A Tertiary Care Hospital In Riyadh, Saudi Arabia, Mohammed K. Alsharef, Mahdi Almutairi, Nouf Ababtain, Mohammed Alajmi, Abdulrahman Alrajhi, Faisal Alhusain, Mohammad Al Deeb

Saudi Medical Journal

Objective: To investigate the demographic and clinical profiles of patients presenting with amphetamine-related emergencies at a tertiary hospital in Riyadh, Saudi Arabia. Amphetamine use is an escalating public health issue linked to a rise in emergency department (ED) visits. Methods: This retrospective study encompasses 14 years and focuses on individuals diagnosed with amphetamine-related toxicity. Results: Among the 659 cases studied, a predominant 96% were male, with over half (52%) aged between 19 and 30 years. Most patients (91%) were Saudi nationals. The leading cause of presentation was trauma, accounting for 24% of cases. This was followed by altered mental status …

Gender Differences In Sociodemographic And Clinical Characteristics Of Methamphetamine Use In Saudi Arabia, Halima M. Adam, Mohamed Abouzed, Ahmed H. Aljadani, Benayan B. Alrasheedy, Muath A. Alarfaj, Salwa R. Alshammari, Mohamed S. Almuqahwi

Saudi Medical Journal

Objectives: To explore gender-related variations in sociodemographic factors, clinical presentations, and psychosocial characteristics among methamphetamine users in Saudi Arabia. Methods: A retrospective cross-sectional study was conducted using the electronic health records of 1,181 patients (91% male, 9% female) treated at multiple Erada Mental and Addiction Centers across Saudi Arabia (2020–2024). Data on sociodemographic characteristics, methamphetamine use patterns, psychiatric comorbidities, and psychosocial functioning were collected and analyzed using validated tools, including the Addiction Severity Index, Beck Depression and Anxiety Inventory, and Quality of Life Scale. Results: Female participants were younger than males (mean age 25.3 vs 28.5 years; p < 0.001) and initiated methamphetamine at a later age (21.4 vs 19.2 years; p < 0.001). Females had greater proportion of daily use (65.4% vs. 60%, p = 0.035) but consumed smaller amounts per day (1.5 vs. 1.8 g, p = 0.041). They also exhibited higher rates of psychiatric comorbidities, including depression (50% vs. 30.0%, p < 0.001) and anxiety (40% vs. 20%, p < 0.001), and reported more severe psychosocial impairments, including lower quality of life (54.8 vs. 62.4, p < 0.001), higher unemployment rates (59.8% vs. 30%, p < 0.001), and more family conflicts (65.4% vs. 50%, p < 0.001). In contrast, Legal issues were more common among males (40% vs. 29.9%, p = 0.002). Conclusions: Female methamphetamine users demonstrate greater vulnerability with earlier onset, more psychiatric comorbidities, and worse psychosocial outcomes. Targeted interventions are needed for female methamphetamine users in Saudi Arabia.

Invasive Methicillin-Susceptible And Methicillin-Resistant Staphylococcus Aureus Infections In The Pediatric Population: Prevalence And Management Outcomes, Khalifa M. Binkhamis, Ibrahim A. Alhezam, Hassan A. Alabdullatif, Othman M. Alabdullah, Omar Y. Alkadhi, Nawaf M. Alrefaei, Abdullah S. Almayah, Fatema A. Juma, Sarah S. Alangari

Saudi Medical Journal

Objectives: Infections by invasive methicillin-resistant Staphylococcus aureus (MRSA) are associated with higher morbidity and mortality compared to methicillin-susceptible Staphylococcus aureus (MSSA) infections, and have increased significantly in both healthy children and children with chronic illnesses. In our study we aimed to estimate the prevalence of invasive MSSA and MRSA among invasive Staphylococcus aureus (S. aureus ) infections in the pediatric population and measure the association between management outcomes and methicillin resistance in these infections. Methods: We conducted an observational, analytical, retrospective cross-sectional, chart-review study of pediatric patients (aged ≤16 years) admitted to King Khalid University Hospital in Riyadh, Saudi Arabia …

Sphingosine-1-Phosphate Regulation To Alleviate Sickle Cell Disease Severity: A Promising Therapeutic Approach, Shahanas Chathoth

Saudi Medical Journal

Abstract Sickle cell disease (SCD) is a genetic disorder that affects millions of individuals worldwide. Chronic anemia, hemolysis and vasculopathy are the most common symptoms that arise from hemoglobin (Hb) polymerization, which is the primary event of SCD. The above process can lead to erythrocyte sickling. Therapeutic options for SCD remain limited, and novel therapies are still being evaluated for their effectiveness in particular populations. Sphingosine-1-phosphate (S1P), a significant bioactive sphingolipid, acts as a potent signal mediator, modulating several cellular functions. The potential role of erythrocyte-S1P in enhancing SCD severity has been previously reported by multiple studies. Therefore, the present …

From Text To Test: Pre-Lecture Reading Boosts Medical Students’ Comprehension And Retention, Hamad A. Alfahaad, Mohammed Y. Alasmary, Emad M. Masuadi, Henk G. Schmidt

Saudi Medical Journal

Objective: Medical students frequently attend lectures without prior review of the related literature when preparing for examinations. It raises the question of whether studying the material in advance could enhance their learning outcomes during lectures. Methods: A total of 102 medical students from a Saudi Arabian university took part in this research. Participants were assigned to one of 2 cohorts: one read a 4-page passage before a 15-minute lecture, while the other attended the lecture before reading the passage. Knowledge acquisition was measured using a test that assessed their ability to recall concepts administered 3 times—prior to the session, post …

Biomechanical Effects Of Exercise-Based Interventions In Chronic Nonspecific Low Back Pain: A Systematic Review And Meta-Analysis, Lara De Vecchi Machado

Theses and Dissertations--Kinesiology and Health Promotion

Chronic nonspecific low back pain (CNLBP) is the leading cause of years lived with disability worldwide and represents a complex, multifactorial, and heterogeneous condition. It is characterized by substantial interindividual variability in muscle activation patterns, lumbo-pelvic coordination, and movement strategies. Although exercise is widely recommended as a first-line intervention and its clinical benefits are well established, the biomechanical mechanisms underlying functional improvement remain fragmented in the literature and are rarely synthesized quantitatively.

This dissertation conducted a systematic review with meta-analysis to investigate the biomechanical effects of exercise-based interventions in individuals with CNLBP. A total of 39 studies were included and …

From The Goodness Of Our Hearts: A Scoping Review Of Qualitative Literature On Altruism As A Reward Mechanism For Nursing, Jacqueline Christianson, Madaline Mccarthy, Bonnie Sommers-Olson, Emily Horner, Norah L. Johnson

College of Nursing Faculty Research and Publications

Introduction

Altruism, the desire to help others, is a common motivation for choosing a career in nursing. Improved understanding of the role of altruism as a reward or motivation for currently-practicing nurses may inform future interventions to improve effort-reward balance among practicing nurses. Therefore, the purpose of this study was to collect, examine, and present literature on how altruism has been described as a reward mechanism or motivation for engaging in professional nursing.

Methods

This scoping review of literature used the Arksey & O’Malley method, PRISMA-ScR reporting checklist, and Rayyan review management platform. PubMed, Web of Science, and CINAHL were …

International Law, The Courts, And The Political Branches Of Singapore: Painting A Complete Picture, Benjamin Joshua Ong

Research Collection Yong Pung How School Of Law

In line with Singapore's vision of the separation of powers, the courts' duty is primarily to give effect to domestic law; the political branches take the lead in engaging with international law. A study of Singapore's interface with international law would therefore be incomplete were it to consider only the courts' role and not the political branches' model of international law as primarily a guarantor of Singapore's sovereignty and standing as a participant on the international stage. The political branches have been circumspect in engaging with international law in other areas, such as human rights, preferring a specifically Singaporean vision …

The Role Of Application Questions In Identifying Underrepresented Applicants In A Doctor Of Physical Therapy Program: A Retrospective Cross-Sectional Study, Michael Bourassa, Allison Bourassa, Saurabh Mehta

Health Professions Education

Purpose: The underrepresentation of U.S minority groups in the physical therapy profession remains a persistent challenge, with student enrollment in U.S doctoral education programs being the main pipeline to increase representation within U.S healthcare fields. This study aims to examine the association between non-academic application questions and applicant diversity in a Doctor of Physical Therapy program. Methods: The main outcomes measured in this study include demographic and cognitive variables, as well as non-academic application questions, for a single DPT program admissions cycle. Demographic variables include race, gender, and age, while cognitive variables include GRE scores and GPA. General non-cognitive question …

Clinico-Epidemiological Profile Of Iron Deficiency Anemia Among Egyptian Primary School Aged Children: A Hospital Based Study, Rabab Fathy Abdelhamid, Noha Essam, Mona Mohamed Taalab

Mansoura Medical Journal

Background: Iron deficiency anemia (IDA) is the most prevalent cause of anemia among Egyptian children and is associated with a range of hematologic and non-hematologic complications, some of which may be irreversible. This study aims to evaluate the clinical profile and identify factors associated with severe IDA in primary school–aged children.

Methods: This cross-sectional study included 420 primary school–aged children diagnosed with IDA who attended the outpatient clinic of Salamoun El-Qumash Family Medicine Centre. Data were collected through face-to-face interviews using a structured questionnaire. All participants underwent a thorough clinical examination and laboratory evaluation, including a complete blood count and …

Ageing With Hiv: Epidemiological Transition, Biological Mechanisms, And The Impact Of Evolving Antiretroviral Therapy, Jude Eteneneng Enoh, Roland Tiagha Akah

Mansoura Medical Journal

The scale up of antiretroviral therapy (ART) has led to the evolution of HIV infection into a chronic condition, leading to a rapid growth in the number of older adults with HIV. This trend involves several biological, medical, and psychological challenges that go beyond conventional HIV treatment. The current mini-review provides a summary of recent data (2014 – 2026) regarding the changing epidemiology of HIV, biological aspects of ageing, and comorbidities and health systems associated with ageing.

Ageing is driven by persistent immune activation, inflammation, immune senescence, and microbial translocation, all of which accelerate biological ageing. These biological factors lead …

Influences On Student College-Major Decision And Satisfaction Rate Among Students In The School Of Agriculture, Danielle Shafer

Murray State Theses and Dissertations

The purpose of this study was to determine the factors that influence students to choose agriculture majors and agriculture careers and measure the level of satisfaction with their major based on these influences. There are many factors that influence students to choose a major in college and college-major satisfaction. These influences and satisfaction with major may have an impact on a student’s decision to choose a college career path. Some of the influences mentioned in studies are family, friends, educators, extension programs, clubs, financial, and recruitment efforts. The degree to which each of these influence students may depend on the …

Parent And Family Engagement In Middle Schools: A Qualitative Exploration Of Parent Perspectives And Student Success In West Tennessee, Angela Y. Searcy

Murray State Theses and Dissertations

Abstract

Parent and family engagement in middle school has been demonstrated to increase students' academic achievement; however, barriers often prevent parental participation. This study focused on parents' and teachers' perceptions of the parents' role in the educational process and sought to answer research questions about parents' perceptions, parents as equal partners in the educational process, and barriers to parental participation. A qualitative research design was used for the study. Teachers and parents from a middle school in West Tennessee participated in interviews to generate data used in this study. Teachers and parents identified common themes affecting the parent-school partnership, including …

Highlighting Ai Competencies: A Qualitative Analysis Approach Using Ai Agents, Ahmed Elnoshokaty, Omar El-Gayar, Abdullah Wahbeh, Mohammad Al-Ramahi, Tareq Nasralah

Research & Publications

The rapid advancement of Artificial Intelligence (AI) is reshaping the job market, creating a demand for new skills and competencies in AI and machine learning (ML). As academic institutions strive to align educational programs with industry needs, a clear understanding of job market expectations becomes essential. This study employs a qualitative, grounded theory approach, enhanced by large language models (LLMs), to analyze job postings related to AI. Using a custom coding framework and AI agent arbitration, we extract and classify the competencies sought by employers into eight major categories. Key findings emphasize the significance of technical skills, including system analysis, …

Blockchain As A Digital Coordination Infrastructure For Project Management: A Systematic Review And Integrative Framework,, Cherie Noteboom, Sai Neelima Seru, Aravindh Sekar

Research & Publications

Blockchain technology has gained increasing attention as a digital infrastructure capable of improving transparency, trust, and coordination in complex, multi-organizational project environments. However, existing research on blockchain-enabled project management remains fragmented and industry-focused, providing limited guidance for organizational adoption and integration. This study addresses this gap through a systematic literature review of 29 peer-reviewed studies, following PRISMA guidelines, to examine how blockchain capabilities are incorporated into project management practices across industries and maturity stages.

Grounded in Resource-Based View and Coordination Theory, the analysis employs a feature-to-process mapping approach to link six core blockchain capabilities—decentralization, transparency, immutability, smart contracts, traceability, and …

The Datafied Child: A Systematic Literature Review And Research Agenda On Sharenting, Privacy, And Social Media., Kyle Bittle, Cherie Noteboom

Research & Publications

Sharenting, the parental practice of sharing children's personal information online, raises critical privacy, ethical, and regulatory concerns. This systematic literature review and research agenda examines how sharenting is studied, analyzing theoretical frameworks through an information systems (IS) lens. Findings identify five key themes—privacy management, identity presentation, consumer vulnerability, social influence, and parenting ethics—shaped by broader technological, social, and regulatory forces. To structure these insights, this study introduces a three-domain framework to categorize how digital infrastructures, cultural norms, and policy gaps influence sharenting behaviors. The review highlights limited IS engagement in sharenting research and underscores the need for greater focus on …

Multihoming And Single-Homing Complementors' Responses To Intensified Between-Platform Competition: Evidence From The Youtube–Twitch Rivalry, Niloofar Abolfathi

Research Collection Lee Kong Chian School Of Business

Research Summary: This paper examines how heterogeneous YouTube content creators-specifically, single-homing and multihoming channels-respond to a sudden increase in the exposure of the rival platform, Twitch. Contrary to expectations, I find that multihoming channels reduce their content creation efforts and underperform relative to single-homers. To make sense of these surprising results, I develop a formal model that characterizes the strategic behavior of different types of complementors operating across two platforms with varying levels of user exposure. The model offers a plausible explanation for the observed empirical patterns, suggesting that intensified competition between platforms, as a consequence of their changing exposure, …

Construction-Phase Leed Compliance In Egypt: Development Of A Rule-Based Expert System For Contractor Decision Support, Mohamed R. Ahmed, Atef A. Ragab, Sameh Y. Mahfouz

Mansoura Engineering Journal

This study develops a rule-based expert system implemented in Python to support contractors in achieving LEED BD+C: New Construction v4 certification during the construction phase in Egypt. The research identifies and validates construction-phase obstacles affecting LEED compliance through a structured questionnaire targeting building contractors in Egypt. The questionnaire process was conducted in two stages: a pilot survey was used to screen and refine the initially identified obstacles, while the main survey was used to validate the practical relevance of the retained obstacles within the Egyptian construction context. In parallel, the study analyzes construction-phase prerequisites and credits relevant to contractors through …

Closing The Gaps: Improving Opioid Overdose Prevention In African American Communities Through Education And Community Engagement, Tara Clinding

Doctor of Nursing Practice Projects

African Americans continue to experience high rates of opioid mortality, emphasizing the need for culturally relevant community education and overdose prevention strategies. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate community-based opioid overdose prevention education designed for individuals with substance use disorder, family and friends, and community members. Guided by Betty Neuman’s Model, the education focuses on recognizing opioid overdoses, administering naloxone when indicated, and identifying community treatment and recovery resources. A pre- and post-test design was used to evaluate changes in participants' knowledge and confidence following a structured educational session. …

Every Time The Beat Drops, What Does Your Heart Sing About You? Exploring Black Men’S Cardiac Health, Bianca S. Washington

Doctor of Nursing Practice Projects

The disparities Black men continue to face in rural areas in relation to higher rates of cardiovascular disease, uncontrolled hypertension, and cardiovascular mortality in comparison with other racial groups in the United States continue to be disproportionate. The disparities are influenced by limited access to healthcare, socioeconomic barriers, and structural racism within the health care system. Addressing these issues requires culturally tailored, evidence-based practice interventions that would help restore trust and hopefully engage patients to follow up with primary care providers and to take prescribed medication as directed for cardiovascular disease management. The purpose of this project was to examine …

Central Line-Associated Bloodstream Infections In Patients Diagnosed With A Hematologic Malignancy, Rebecca D. Jennings

Doctor of Nursing Practice Projects

Knowledge of nurse-sensitive indicators such as CLABSI and how they impact patient outcomes is an essential aspect of healthcare today. Hospital-acquired infections increase mortality, increase length of stay in the hospital, and increase financial burden to the patient and facility. The aim of this quality project was to provide targeted education on the impact of central line-associated bloodstream infections. Using a pre- and post-survey design, a convenience sample of staff nurses working in the hematology/oncology units of a large academic hospital participated in an education intervention focused on central line-associated bloodstream infection prevention. Knowledge scores were unaffected by the intervention. …