Digital Commons Network^™

Advancing Understanding Of Lived Experience Of Unhoused People To Reduce Social Stigma And Promote Community Health: A Theoretically-Guided Photovoice Study, B-Rad Stephen Applegate

Graduate Student Theses, Dissertations, & Professional Papers

Homelessness is a persistent public health challenge shaped by structural inequities, stigma, and exclusion from social and health systems. Community-Based Participatory Research (CBPR) has increasingly been used to center the knowledge of people who are unhoused, yet limited attention has been given to the theoretical frameworks guiding this work across disciplines. The purpose of this dissertation was to examine theories and methods used in CBPR with unhoused populations and to explore the extension of Margaret Newman’s Theory of Health as Expanding Consciousness from a nursing-focused theory to a public health framework for understanding lived experience.

Using a scoping review methodology …

The Experience Of A Single Parent Participating In Child-Parent Relationship Therapy: An Instrumental Single-Case Study, Matthew Nicholas Schramm

Graduate Student Theses, Dissertations, & Professional Papers

Traditional family structures in the United States have shifted significantly, with single-parent households facing systemic barriers that increase parental stress and strain the parent-child relationship. As this bond is critical for healthy child development, accessible mental health support is essential for these families (Parache et al., 2023).

Child Parent Relationship Therapy (CPRT), a ten-week evidence-based program, strengthens this bond by training caregivers to use play as a therapeutic tool (Landreth & Bratton, 2020). This instrumental single case study (Stake, 1995) examined one single-parent's experience of CPRT delivered in a condensed four-week telehealth format, addressing the limited representation of single-parent households …

Self-Guided Functional Imagery Training To Reduce Anxiety, Jackie Andrade, Stephanie Hartgen-Walker, Caroline Morgan, Ayan, Idil Aytekin, Khadijah Sekoni, Kardelen Sengul, Jonathan Rhodes

School of Psychology

Objectives: Many university students experience high anxiety but have limited access to effective interventions. We evaluated a novel digital intervention for anxiety based on functional imagery training (FIT), designed to help individuals identify the impacts of anxiety, set engagement goals, and strengthen motivation for change. Functional Imagery for Keeping Anxiety low (FIKA) uses speak-aloud tasks, journalling, empathic questions, and personalised guided imagery for a person-centred approach. It builds motivation for engagement goals over safety goals through development and practice of vivid and emotionally laden multisensory imagery. Design: Study 1 used semi-structured interviews and thematic analysis to explore user experiences of …

Dampened Social Motivation In Dysphoria: The Role Of Negative Social Expectancies And Internal Causal Attribution Style, Julie L Ji, Nilly Mor, Colin Macleod

School of Psychology

Dysphoria is associated with dampening of social interaction intention, but the cognitive mechanisms that underpin this relationship are under-investigated. This study tested the hypothesis that heightened negative social expectancies mediate the association between dysphoria and dampened social motivation. Additionally, it tested the hypothesis that the association between dysphoria and negative social expectancies is mediated by an attribution style bias that attributes negative, but not positive, outcomes to internal causes. University students (N = 271) with varied levels of dysphoria read vignettes describing hypothetical situations where they initiate a social interaction that results in positive or negative outcomes. Participants rated their …

Training Healthcare Professionals To Deliver A Group-Based Intervention For People Living With Severe Obesity: Lessons From The Progroup Feasibility Trial, Shokraneh Moghadam, Mark Tarrant, Lily Hawkins, Dawn Swancutt, Rod Sheaff, Laura Hollands, Raff Calitri, Jonathan Pinkney, Jenny Lloyd

School of Psychology

Introduction: Group-based programmes are increasingly adopted to support people living with obesity, as they have the potential to reduce staff time and costs and enhance motivation and capability for behaviour change. Group-based programmes could also provide members with opportunities to form meaningful social connections. As such, training should equip healthcare professionals to deliver group interventions successfully and be accessible and feasible for them to complete. This study presents how mixed-methods process evaluation data from the feasibility randomised controlled trial of PROGROUP (a group-based weight management intervention for people living with severe obesity) informed optimisation of the PROGROUP training programme. Methods: …

Integrating Neuroscience And Social Psychology In Researching Interprofessional Education: The Inspire Framework, Kimberley Schenke, Pamela Rae, Jaysan Charlesford, Phil Gee

School of Psychology

There is an increasing focus on the importance of interprofessional education as an integral part of health and social care training. However, the fundamental psychological processes underlying successful interprofessional education are not well understood. Here we propose a single framework, Integrating Neuroscience and Social Psychology In Researching Interprofessional Education (INSPIRE), grounded in evidence from social psychology and neuroscience that could be used to generate testable hypotheses to inform the design, development and evaluation of interprofessional education. The application of this framework offers a novel, scientifically grounded approach to improving the learning outcomes of interprofessional education and provides a foundation for …

Picturing The Past: The Role Of Photo Cue Visual Perspective On Positive Autobiographical Memory Recall In Dysphoria, Sarah Snow, Zachary Adolph Niese, Julie L Ji

School of Psychology

Positive autobiographical memory plays a key role in emotional well-being and is distorted by cognitive processing biases in dysphoria. This experiment investigated how the visual perspectives (first-person vs. third-person) of personal photographs influence recall of positive memories depending on dysphoria. Eighty-five participants (42 low dysphoria, 43 high dysphoria) submitted photos of positive events from both perspectives. Later, participants recalled these events while viewing either a first- or third-person photo before rating and describing their memory. While first-person photos promoted more recall from an own-eyes vantage point regardless of dysphoria level, dysphoria was still associated with greater observer-like recall, reduced mental …

Video Interaction Guidance With Adults With Intellectual Disabilities And Their Support Workers: A Service Evaluation, Áine Maguire, Vicky Anagnostopoulou, Joe Levi-French, Deanna J. Gallichan

School of Psychology

Background: This service evaluation focused on support workers' perceptions of Video Interaction Guidance (VIG) offered by an NHS Community Learning Disabilities Team. Methods: A mixed-methods design was employed. Support workers developed goals and rated their progress before and after VIG sessions. Thematic analysis was used to analyse qualitative data on the nature of the goals developed, and the strengths and working points identified. The differences between progress ratings before and after VIG were analysed using the Wilcoxon signed-rank test. Retrospective interviews helped to further understand support workers' experiences of VIG. Findings: Support workers identified goals, strengths and working points that …

Perceptions And Knowledge Of Machine Learning For Paediatric Related Decision Support In Emergency Care – A Uk And Ireland Network Survey Study Of Clinician Leaders, Behalf Of Peruki, Fiona Leonard, Mark D. Lyttle, Dympna O’Sullivan, John Gilligan, Damian Roland, Michael Barrett

Research Outputs: 2025-Present

This study explores clinician leaders understanding and perception at site level towards machine learning (ML) decision support tools for paediatric related emergency care across the UK and Ireland, essential in guiding safe and effective frontline implementation. A cross-sectional online survey was distributed via Paediatric Emergency Research United Kingdom and Ireland (PERUKI) to the lead for digital systems or PERUKI site lead, with one response sought per site. Survey development was in REDCap, and descriptive analysis (counts, percentages) was primarily performed. The response rate was 86.7% (65/75), mostly from England (83.1%). While 80.0% understood ‘Artificial Intelligence’, fewer understood advanced concepts such …

3d-Vit-Unet: 3d Vision Transformer Based Unet-Like Model For Volumetric Brain Tumor Segmentation, Sikandar Afridi, Atif Jan, Muhammad Abeer Irfan, Muhammad Irfan Khattak, Taimur Ahmed Khan

Research Outputs: 2025-Present

Accurate volumetric segmentation of 3D medical imaging modalities is critical for therapy planning and clinical diagnosis, particularly for brain tumor delineation. Traditional convolutional neural network (CNN)-based architectures face challenges while capturing global contextual information and modeling long-range dependencies in complex 3D volumetric data, limiting their segmentation performance. Transformer-based models have emerged as promising alternatives to CNNs for such tasks, addressing their limitations in capturing global spatial dependencies. We propose 3D-ViT-UNet, a novel U-shaped vision transformer (ViT)-based encoder-decoder architecture for end-to-end volumetric brain tumor segmentation. The model employs 3D Window Multi-Head Self-Attention (3D-W-MSA) to capture local features and a 3D Dilated-Window …

Virtual Screening Of Phytochemicals From Medicinal Plants As Promising Pde5 Inhibitors Against Erectile Dysfunction, Farouk Boudou, Alaeddine Berkane, Amal Belakredar, Ahcene Keziz, Huda Alsaeedi, Brian A. Murray, Mikhael Bechelany, Ahmed Barhoum

Research Outputs: 2025-Present

This study evaluates bioactive phytochemicals from Algerian medicinal plants as potential phosphodiesterase-5 (PDE5) inhibitors for the treatment of erectile dysfunction (ED) using an integrated in silico approach. A total of 76 compounds from 48 plant species were screened for drug-likeness using SwissADME. Overall, 72% of the compounds complied with Lipinski's Rule of Five, indicating favorable oral bioavailability, while toxicity prediction identified 29 non-toxic candidates. Molecular docking was validated by redocking the co-crystallized PDE5 ligand (RMSD = 0.264 Å). Ellagic acid (−9.4 kcal·mol⁻¹), rosmarinic acid (−9.2 kcal·mol⁻¹), salvinorin A (−9.2 kcal·mol⁻¹), and catechin (−9.0 kcal·mol …

Increasing Repeat Blood Pressure Compliance Rates At A Primary Care Clinic, Anne Giampietro, Kristin Coulter, Sarah Fincham, Julie Nugent-Carney

Publications 2026-present

No abstract provided.

Professional Quality Of Life Among Medical Surgical And Telemetry Registered Nurses, William Lim, Emy-Lee Marie Anglo Ricafrente, Jenny Carrillo

Publications 2026-present

No abstract provided.

Npd Winner's Circle: Overcoming Imposter Syndrome In New Clinical Specialties, Leanna Ross

Publications 2026-present

No abstract provided.

Nurse Workforce Outcomes: 8-Hour Vs. 12 Hour Shifts Among New Graduate Nurses, Jared Boyd, Lauren Kim, Gisel Olvera, Lauren Rifkin, Berenice Saldana, Marc Soriano, Bailee Tobias, Angela Torre

Publications 2026-present

No abstract provided.

New Therapies, New Challenges: Cystic Lung Disease After Cancer Immunotherapy, Ananya Venkatesh, David Camacho, Ross Summer, Michael Dong

Division of Internal Medicine Faculty Papers & Presentations

Immunotherapies have reduced reliance on cytotoxic strategies with their associated high toxicity levels, revolutionizing cancer care. However, these targeted therapies have also increased prevalence of previously rare sequelae, impacting patients experiencing longer survival. We describe a case of endometrial adenocarcinoma with lung metastases, in which tumor resolution following immunotherapy created cystic airspaces, leading to a pneumothorax complication. A 49-year-old female with advanced stage endometrial adenocarcinoma and lung metastasis developed cystic lung lesions in areas of previous metastatic lesions after treatment with Pembrolizumab and Bevacizumab. She developed a pneumothorax secondary to the rupture of one of the large lung cysts, leading …

Corporations’ First Amendment Rights And Algorithmic Cocoons, Sol Murgui Orsucci

Fordham Journal of Corporate & Financial Law

This Note examines how corporate First Amendment doctrine applies to algorithmic systems that curate commercial information and public discourse across online platforms. Courts have increasingly treated ranking, recommendation, and moderation practices as exercises of protected editorial judgment. At the same time, the Court has justified protection for corporate speech in part by reference to listener-centered interests in access to information and competitive comparison. This Note argues that the interaction between these doctrinal strands and contemporary algorithmic intermediation reveals a structural tension. Data-driven optimization can generate individualized informational environments—what this Note terms “algorithmic cocoons”—in which users encounter content, offers, and prices …

Integrative Analysis Of Differentially Regulated Proteins In Meningioma, Maryam Shah

Peninsula Medical School Theses

Background: Meningiomas are the most common primary intracranial tumours that arise from arachnoid cap cells of the meninges and dura border cells. These tumours share a unique epigenetic and genomic landscape. The most common epigenetic event in meningiomas is the loss of chromosome 22q. About 50% of meningiomas harbour mutations in the NF2 gene that resides on chromosome 22 and codes for a protein named “Merlin”. Moreover, frequent mutations can be observed in genes including AKT1, KLF4, TRAF7, SMO, and PIK3CA. Based on mutations, meningiomas can be divided into different genomic subgroups that express unique proteomic profiles. …

Gelatinous Zooplankton As Indicators In The Kunming Montreal Global Biodiversity Framework, John Terenzini, Laura J. Falkenberg, Sanae Chiba, Matthew Faith, Robert Puschendorf, Abigail Mcquatters-Gollop

School of Biological and Marine Sciences

Global biodiversity frameworks require robust, representative indicators to effectively track progress towards conservation targets. Spatial and temporal gaps in global marine biodiversity datasets, however, and a limited number of marine biodiversity indicators, limit our ability to effectively manage marine ecosystems. Despite the ecological and socio-economic significance of marine ecosystems, they remain underrepresented in current indicator suites, particularly in the recently adopted Kunming-Montreal Global Biodiversity Framework (KMGBF). Gelatinous zooplankton (GZ), a key yet often overlooked component of marine ecosystems, have the potential to strengthen biodiversity assessments through their responsiveness to environmental change and impacts on several contributions of the ocean to …

Workshop Outcomes Report: 2nd International Workshop On Seismic Resilience Of Arctic Infrastructure And Social Systems, Majid Ghayoomi, Daniela Morganti

Faculty Publications

The report provides an overview of the second international workshop on Seismic Resilience of Arctic Infrastructure and Social Systems. The report discusses agenda, workshop activities, interdisciplinary working groups, and results. It ends with several strategic questions and investigation plans that were developed as part of the workshop activities.

Motivational Factors Influencing Military Service: A Structural Equation Model Of Rotc Students And Service Members’ Motivation-Confidence To Serve, Brian J. Vansingel

Master's Theses and Doctoral Dissertations

Amid declining college enrollment across the United States, academic institutions with United States Army Reserve Officers’ Training Corps (ROTC) programs must consider underrecruited populations, such as military-bound young adults, in their recruiting strategies. To support this effort, this study examined the motivational factors associated with individuals’ decisions to serve in the U.S. Armed Forces. This study utilized a quantitative, correlational research design with a survey comprising multiple sections: sociodemographic variables, items across six motivational factors for military service, and a Motivation-Confidence to Serve scale. The study used data from a convenience sample of 709 respondents, including college military science students …

Oxytocin Dosing During Trial Of Labor After Cesarean To Minimize The Risk Of Uterine Rupture: A Systematic Review And Meta-Analysis, Pierpaolo Nicolì, Moti Gulersen, Jordan Beacham, Hila Hochler, Alessandra Familiari, Anna Locatelli, Cynthia Abraham, Ettore Cicinelli, Amerigo Vitagliano, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

OBJECTIVE: Oxytocin remains the mainstay for induction and for the management of labor arrest during trial of labor after cesarean (TOLAC). Therefore, the clinical question should be not whether to use oxytocin, but how to optimize its administration. This meta-analysis aimed to assess which oxytocin protocol, in terms of initial dose, amount of increase, timing to next increase, and maximum dose, may minimize the risk of uterine rupture (UR) during TOLAC.

DATA SOURCES: PubMed, Embase and Clinicaltrials.gov were searched up to September 21, 2024.

STUDY ELIGIBILITY CRITERIA: Randomized and nonrandomized studies evaluating the association between induction and/or augmentation with oxytocin …

Impact Of Prophylactic Oral Azithromycin During Labor On Azithromycin Resistance (Amr) In Nasal Staphylococcus Aureus And Streptococcus Pneumoniae In Women And Infants In The Multi-Country Azithromycin Prevention In Labor Use Study (A-Plus)., Patricia L. Hibberd, Jean H. Kim, Marissa Trotta, Sixto M. Leal, Anna Aceituno, Doyle V. Ward, Archana Patel, Akila Subramaniam, Waldemar A. Carlo, Imran Ahmed, Sarah Saleem, Sk Masum Billah, Rashidun Haque, Manolo Mazariegos, Fabian Esamai, Manjunath S. Somannavar, Shivaprasad S. Goudar, Elwyn Chomba, Muska Mwenchanya, Adrien Lokangaka, Antoinette Tshefu, Robert L. Goldenberg, Melissa Bauserman, Nancy F. Krebs, Sherri Bucher, Richard J. Derman, William A. Petri, Marion Koso-Thomas, Denise C. Babineau, Elizabeth M. Mcclure, Alan T. N. Tita

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Prophylactic oral azithromycin vs. placebo reduced maternal, but not neonatal, mortality/sepsis in the A-PLUS Randomized Trial. While prophylactic intrapartum azithromycin reduces maternal mortality/sepsis, it may promote antimicrobial resistance (AMR) in commensal bacteria,.

METHODS: Randomly selected women and their infants participating in A-PLUS were enrolled in a longitudinal cross-sectional sub-study to assess the presence of azithromycin resistance in selected bacteria in nasal cultures. Staphylococcus aureus and Streptococcus pneumoniae were cultured on selective agar, then azithromycin-containing agar to select for azithromycin resistant bacteria, identified biochemically. Azithromycin susceptibility was assessed by E-test. Nasal cultures were collected from women and infants between August …

Association Of Mhc Class Ii Gene Polymorphisms With Gastroenteritis Susceptibility In Shiraz Cats, Taghrid Hamza, Basma M Hendam, Ahmed Ateya, Usama Abou-Ismail

Mansoura Veterinary Medical Journal

BACKGROUND: The aim of this study is to consider the genetic alterations in the major histocompatibility complex (MHC) gene and its effect on Gastroenteritis tolerance/susceptibility in Shiraz cats.

METHODS: Blood samples were collected into tubes containing EDTA as anticoagulant from twenty Shiraz Tom cats (10 healthy and 10 suffering from gastroenteritis) to extract DNA. Then, PCR was performed to amplify a 500-bp fragment of the MHC gene.

RESULT: Genetic analysis via PCR-DNA sequencing identified specific single-nucleotide polymorphisms (SNPs) within the MHC gene, namely A115C, G399T, and A363G. The A363G variant was linked to increased disease risk (OR=13.44), while …

The Role Of Dromedary Camels In The Pprv Epidemiology: Episystem Possibility And Evidence Supporting Global Eradication., Reham Karam, Mahmoud S. Safwat

Mansoura Veterinary Medical Journal

Background: Peste des petits ruminants (PPR) is a notifiable, highly contagious and transboundary viral disease infecting a wide range of domestic and wild ruminant species and is caused by a morbillivirus. The disease represents a major predisposing factor of poverty in many endemic regions. Although global eradication of PPR is an internationally endorsed objective, achieving this goal has become increasingly challenging due to the expanding host range of the virus. Methods: Narrative review methodology was used and SANRA criteria to access reliability and quality of the methodology. focuses on PPR infection in camels, which has been reported in some instances …

Tracking Antibiotic Resistant And Multidrug Resistant Bacteria And Antibiotic Resistance Genes In The Huron River Watershed: A Vital Water Resource In Southeast Michigan, Evan Siemienkiewicz

Master's Theses and Doctoral Dissertations

Antibiotic resistance is a growing global public health concern that extends beyond clinical settings and into natural freshwater environments, where resistant bacteria and antibiotic resistance genes (ARGs) can persist and disseminate through watersheds. Despite growing recognition of freshwater systems as environmental reservoirs of resistance, no published studies have examined antibiotic resistance within the Huron River watershed in Southeast Michigan. Water samples were collected monthly from May through October 2025 at 10 sites along the Huron River. E. coli and Enterococcus isolates were evaluated for resistance to eight antibiotics using the Kirby-Bauer disk diffusion method, and environmental DNA was analyzed by …

Rigidity And Risk: A State Space Grid Analysis Of Parent-Child Interactions, Sleep, And Early Internalizing Symptoms, Brianna Trudeau

Master's Theses and Doctoral Dissertations

Background. Internalizing problems in preschoolers are prevalent, cause significant impairment, and often persist into later development. Emerging research uses state space grid (SSG) methodology to examine dynamic parent-child interaction processes that may contribute to these difficulties. While affective rigidity has been linked to maladaptive outcomes, less is known about behavioral rigidity and its association with child internalizing symptoms.

Objective. This study examined whether dyadic behavioral rigidity could be represented as a latent construct across tasks, whether behavioral rigidity predicted preschool internalizing symptoms, and whether rigidity mediated the relationship between parent and child sleep problems and child internalizing symptoms.

Method. Participants …

Belief, Capacity, Foresight Epistemic Exchange In American Law, Edwin T. Mcquillen Iv

West Chester University Graduate Theses, Dissertations, and Final Projects

American law sometimes assigns responsibility under conditions of uncertainty–even when there’s no completed harm, no demonstrable knowledge, and no identifiable victim. This thesis argues that across three otherwise unrelated doctrines, courts engage in what might be called epistemic exchange: when the kind of knowledge normally required for responsibility is unavailable, some alternative epistemic basis gets treated as functionally sufficient for judgment instead. Courts never state this practice outright; it is a philosophical description of what they are doing. In criminal attempt law, a justified but false belief can stand in for knowledge of whether the contemplated crime could actually be …

Against Doctrinal Siloing: Harmonizing Fiscal Federalism And The U.S. Constitution, David Gamage, Darien Shanske

Faculty Publications

This Essay argues that constitutional law’s treatment of fiscal federalism has fractured into a bewildering collection of doctrinal silos. Federal spending that pressures states, federal preemption of state taxes, the Dormant Commerce Clause, sovereign immunity, Section 5 of the Fourteenth Amendment, and the federal taxing power are all analyzed through distinct tests, even when they implicate the same basic conflict between federal authority and state fiscal autonomy. The result is not just theoretical confusion but inconsistent constitutional answers. Current doctrine can protect states from comparatively modest liabilities while leaving uncertain whether Congress may displace large swaths of state revenue authority. …

My Negotiation Chatbot Toby And Pedagogical Governance, Renee Henson

Faculty Publications

The use of artificial intelligence (AI) chatbots is exploding. Adolescents increasingly prefer interactions with AI companions over peers. Adults rely on these systems for health planning, therapy, administrative assistance, nutrition guidance, and even simulated “romantic relationships.” Individuals and institutions are adopting AI tools at a pace that far exceeds the development of governance frameworks.

I developed Toby for use in my first-year Lawyering: Problem-Solving and Dispute Resolution (“Lawyering”) course to expose students to the dynamics of negotiating against an opposing counsel with a difficult personality—a type of adversary all too common in legal practice, yet difficult to prepare for. Toby …