Combinatorial Effects Of Multi-Site Stimulation On Depression-Related Brain Regions: Clinical Data Analysis And Predictive Modeling, Atefeh Ghazavi, Koorosh Mirpour, Masoud Soroush, Eleonora Bartoli, Nisha Giridharan, Denise Oswalt, Nicole R Provenza, Anusha Allawala, Wayne Goodman, Sameer A Sheth, Nader Pouratian

Faculty, Staff and Students Publications

Background: Despite growing evidence supporting deep brain stimulation (DBS) for treatment- resistant depression (TRD), how stimulation delivered across hemispheres or across multiple targets interact to shape large-scale network activity remains poorly characterized.

Objective: Using a unique opportunity to simultaneously stimulate the subcallosal cingulate (SCC) and ventral capsule/ventral striatum (VC/VS) in subjects with TRD while recording neural activity across putative prefrontal networks underlying depression via intracranial electrodes, we investigated whether bilateral or multi-target stimulation has additive, synergistic/super-additive, or antagonistic/sub-additive effects on power modulation across depression-related brain networks.

Methods: Four DBS leads, and ten stereo-electroencephalography (sEEG) leads were implanted in depression-related prefrontal …

Astrocytic Sox9 Overexpression In Alzheimer’S Disease Mouse Models Promotes Aβ Plaque Phagocytosis And Preserves Cognitive Function, Dong-Joo Choi, Sanjana Murali, Wookbong Kwon, Junsung Woo, Eun-Ah Christine Song, Yeunjung Ko, Debosmita Sardar, Brittney Lozzi, Yi-Ting Cheng, Michael R Williamson, Teng-Wei Huang, Kaitlyn Sanchez, Joanna Jankowsky, Benjamin Deneen

Faculty, Staff and Students Publications

Astrocytes play essential roles in the brain, and their dysfunction is associated with nearly every form of neurological disease. Despite their ubiquity, knowledge of how astrocytes contribute to disease pathogenesis is incomplete; accordingly, harnessing their biology toward therapeutics remains a major challenge. Here we show that the transcription factor Sox9 plays a context-specific role in maintaining astrocyte function and circuit activity in the aging hippocampus and Alzheimer's disease (AD) models. We found that Sox9 overexpression in astrocytes in AD models clears existing amyloid beta (Aβ) plaques and preserves cognitive function. Mechanistically, Sox9 promotes the phagocytosis of Aβ plaques by astrocytes …

The Role Of Hospitality In Neurosurgery, Yosef M Dastagirzada, Howard L Weiner

Faculty, Staff and Students Publications

Background: "Business, like life, is all about how you make people feel. It's that simple and it's that hard" says Danny Meyer, the restauranteur and CEO of the Union Square Hospitality Group in New York. Similarly, Maya Angelou famously said that people will never forget how you made them feel, though they may forget what you said or did. In neurosurgery, we are doing two things at once: something very technical and something very human. The core thesis of this hospitality philosophy is that whereas the technical aspect of our job is critically important, it represents 49% of our success. …

Hemispherotomy For Drug-Resistant Epilepsy In A Low-Resource Setting: Surgical Outcomes And Quality Of Life In 23 Children Treated In A Hybrid Program In Panama, Emmajane G Rhodenhiser, David Bonda, Carmen Baez, Hannah K Weiss, Yosef Dastagirzada, Guzman Aranda, Laurent Bruggeman, Ameeta Grover, Shaun D Rodgers, Ruben Kuzniecky, Yvonne Zelenka-Kuzniecky, Howard L Weiner, Eveline Teresa Hidalgo

Faculty, Staff and Students Publications

Introduction: Hemispherotomy is an effective treatment for children with drug-resistant epilepsy (DRE). While hemispherotomy techniques and indications have evolved, access remains predominantly constrained to high-resource settings.

Methods: We performed a retrospective analysis of children who underwent hemispherotomy from 2011 to 2023 by a hybrid team, including local Panamanian and US neurologists, neurosurgeons, and EEG technicians and analyzed surgical, epilepsy, and quality of life (QoL) parameters. Follow-up data were collected according to the International Consortium for Health Outcomes Measurement (ICHOM) guidelines for children with epilepsy.

Results: Twenty-three children underwent hemispherotomy. The median age at surgery was 10 years (range 2-20). The …

Old Lesions And New Targets: Seeg-Identified Onsets In Traditionally Inoperable Epilepsy Lesions And Associated Surgical Outcomes, Yosef M Dastagirzada, Spencer Frome, Daniel J Curry, Howard L Weiner

Faculty, Staff and Students Publications

Background: Patients with epilepsy who do not respond to pharmacotherapy are often offered a noninvasive diagnostic workup to localize an epileptogenic focus that might be treated with resection, neuromodulation, or ablation. Yet in many cases, this evaluation fails to identify surgical candidates.

Summary: Patients with tuberous sclerosis, periventricular nodular heterotopia, or polymicrogyria may have clearly visible lesions on MRI, but the resulting epileptogenic onset zones/networks are often too complex for scalp electroencephalography to decode. Similarly, seizures arising from the cingulate gyrus originate in deep structures that are inaccessible to noninvasive techniques. In post-traumatic epilepsy without a dominant lesion such as …

Time Pressures And Sociocultural Constraints Affecting Access To Early Abortion Care Under Texas' "6-Week" Ban, Kari White, Whitney Arey, Anna Chatillon, Anitra D Beasley, Cecili Chadwick, Asha Dane'el, Ophra Leyser-Whalen, Tracy A Weitz

Faculty, Staff and Students Publications

Introduction: In 2021, Texas Senate Bill 8 (SB8) prohibited abortion after detection of embryonic cardiac activity and was often referred to as a "6-week ban." Limited evidence exists about how these laws intersect with people's processes seeking pregnancy confirmation and navigating barriers to abortion care.

Methods: Between October 2021 and August 2022, we recruited Texans ≥ 15 years of age who were seeking abortion using online ads and flyers placed in out-of-state abortion-providing facilities. Participants completed in-depth interviews, and we coded transcripts using inductive and deductive coding. This analysis explores participants' discussions of time needed for pregnancy confirmation, decision making, …

Evaluating The Impact Of Cognitive Distraction On Spaceflight-Relevant Task Performance Using Surface Electromyography And Motion Capture, Allyson K. Mitchell

UNF Graduate Theses and Dissertations

Cognitive distraction poses a risk to astronaut performance during complex, multitasking operations in spaceflight environments. This study examined the effects of cognitive load on neuromuscular coordination and task execution using surface electromyography (sEMG) and motion capture. Thirteen participants performed spaceflight-relevant tasks under undistracted and distracted conditions, with distraction induced through verbal questioning. EMG signals from eight upper-extremity muscles were processed using envelope filtering, peak normalization, and time normalization to enable inter-subject comparison, and group-level mean activation with standard deviation was analyzed. While overall muscle activation was similar between conditions, phase-dependent differences were observed, with undistracted trials showing higher activation during …

A Phenomenological Study Of The Perceptions Of Professional College Consultants Regarding The History And Future Of College Acceptance Inequity, Kimberly A. Spencer

UNF Graduate Theses and Dissertations

While inequities in college admissions processes in the United States have long been discussed, there have been seismic changes in policies during the last decade with increased competition for limited spots, significant cultural and political shifts affecting higher education, and the effects of the pandemic all further contributing to what has become a very complicated process. The purpose of this transcendental phenomenological study is to explore the perceptions of professionals working as Independent Educational Consultants counseling students through the college admissions process to gain insight into how the system is functioning for all students from those working closely with both …

Multi-Objective Optimization Strategy For Component Sizing In Solar-Hydrogen Microgrids Using An Advanced Hybrid Genetic Algorithm, Dylan Jones

UNF Graduate Theses and Dissertations

This thesis presents the development of a genetic algorithm (GA) optimization framework for the design and component sizing of hybrid solar-hydrogen microgrids. The framework addresses a critical gap in research and existing commercial tools by unifying performance maximization and cost minimization objectives across both grid-tied and islanded configurations. Integrating solar photovoltaics, electrolyzers, hydrogen storage, fuel cells, and batteries, the GA employs adaptive weighting and dynamic boundary constraints to balance technical feasibility with economic efficiency. To ensure real-world viability, the algorithm relies on a novel Daylight Sun Factor (DSF) for localized solar assessment and was rigorously validated against multi-year, high-fidelity irradiance …

A Comparative Evaluation Of Data Imbalance Handling Techniques In Machine Learning Models For One-Year Mortality Prediction In Liver Cirrhosis, Sumiya Hasan Trisha

UNF Graduate Theses and Dissertations

Liver cirrhosis is associated with substantial morbidity and mortality, making one-year mortality prediction a clinically relevant problem. Using a liver cirrhosis dataset as the motivating application, this thesis evaluates five machine learning classifiers—Logistic Regression, Random Forest, XGBoost, LightGBM, and CatBoost—under five class-imbalance handling strategies: Baseline learning, Random Oversampling, SMOTE-NC, ADASYN, and Cost-Sensitive Learning. Hyperparameter tuning was conducted using randomized search, and predictive performance was assessed over 200 iterations of Monte Carlo Cross-Validation using Accuracy, Precision, Recall, Fl-score, and ROC-AUC.

The results suggest that imbalance-handling strategies can materially affect predictive performance, particularly recall. Because the outcome of interest is death within …

Cryptic Social Mechanisms And Associated Consequences In The Gouldian Finch, Thomas Mateo

UNF Graduate Theses and Dissertations

Many species of birds rely on visual displays to communicate information to their conspecifics, but it can be difficult to determine the specific functions of such displays. In the Gouldian Finch and its relatives, the contexts in which the peering display has been witnessed indicate that it has multiple uses in social learning such as song learning and communicating reproductive intent. Two flocks of finches were housed separately at the University of North Florida aviary and observed for several months while nest boxes were placed in each habitat. In both flocks, peering increased during the summer molt, but did not …

Unintended Consequences Of Estuarine Management Within The Trajectory Of Recovery: Examples From The Chesapeake Bay, Jessica S. Turner, Fei Da, Molly M. Mitchell

OES Faculty Publications

Estuaries are vital ecosystems that support biodiversity, human populations, and economic activities such as fisheries, aquaculture, and tourism. Managing estuarine systems often involves interventions to regulate sediment and nutrient inputs with the goal of improving water quality, and subsequently the economic values of the estuary. However, these management strategies can produce unintended consequences. The Chesapeake Bay is an estuary recovering from eutrophication which provides clear case studies for these patterns. In the Chesapeake Bay, decreased sediment inputs, resulting from shoreline stabilization and watershed modifications, can impair marsh resilience to sea level rise and disrupt sediment-light-algal interactions affecting water clarity. Likewise, …

Microplastics Suppress Copepod Grazing Of The Harmful Algal Bloom-Forming Dinoflagellate, Alexandrium Catenella, Megan Ladds, Christopher Gobler

OES Faculty Publications

While harmful algal blooms (HABs) are prominent occurrences in coastal zones where microplastic concentrations are maximal, the manner in which microplastics may influence food webs and HABs is poorly understood. This study explored how polystyrene microplastics affected copepod grazing of the saxitoxin-synthesizing harmful dinoflagellate, Alexandrium catenella, as well as a non-toxic dinoflagellate, Gymnodinium aureolum. Experiments were performed using multiple densities of microplastics (250 – 10,000 mL^–¹) of differing sizes (4 and 10 µm), as well as multiple densities of microalgae in microplates. The addition of 10 µm microplastics at densities of 1000 – 10,000 beads mL^{– …}

Regulating Robotaxis, Bryant Walker Smith, Matthew T. Wansley

Articles

In several sunbelt cities, commercial robotaxi service has arrived. The leading robotaxi company is providing over 400,000 trips per week. The industry claims that robotaxis will save lives and provide convenient and affordable mobility. Critics counter that they will increase congestion, undermine transit, and subject the public to ubiquitous surveillance. We argue that the social impact of robotaxis depends on how they are regulated. We emphasize two points missing from the debate. First, some of the benefits of robotaxis may be political rather than technological—some longstanding public policy goals may become viable in a robotaxi world. Second, letting one private …

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 …

Beyond Numbers: Bridging Statistical Significance And Clinical Relevance In Healthcare Research, Maharaj Singh, Waheeda Khan, Mehreen Fatima

College of Nursing Faculty Research and Publications

Objective: This study aims to bridge the gap between statistical significance and clinical relevance using rigorous statistical methodologies applied to simulated healthcare data, thereby enhancing the translational value of research outcomes for patient‑centered care. Methods: A synthetic dataset representing 10,000 patients was generated, and descriptive statistics were applied to compare two treatment groups. Binary outcomes were predicted using both a logistic regression model and a neural network. Two‑tailed tests with a significant level of 0.05 were employed, utilizing SAS version 9.4 and IBM SPSS Statistics, Version 29.0 (IBM Corp., Armonk, New York, United States of America). Results: The simulated dataset …

A New Playbook: The Future Of Collegiate Athletic Unionization In The Modern Administrative Era, Katherine Kennedy

Fordham Urban Law Journal

No abstract provided.

Unequal Shelter: A Constitutional Challenge To The Adams Administration’S Differential Treatment Of Migrants Under New York’S Right To Shelter Laws, Alexandra Arleo

Fordham Urban Law Journal

No abstract provided.

Federalism And Fair Housing: State Innovation Amidst Federal Retrenchment, Paula A. Franzese

Fordham Urban Law Journal

No abstract provided.

State Medical Licenses Without Borders, Meighan Parker

Scholarly Works

Access to health care in the United States is undermined by a maldistribution of physicians, and state medical licensure remains a barrier to correcting this issue, despite legal reforms that attempt to streamline physician licensure pathways. Geographic distribution gaps can have serious consequences in rural areas, such as poor health outcomes, reduced access to care, and further entrenchment of health disparities.

On the bright side, physicians can potentially use telemedicine to help improve geographic distribution gaps through the provision of clinically appropriate, virtual care across state lines. But states have traditionally required physicians, even those who are currently licensed in …

Intermittent Phrenic Afferent Activation Induces Phrenic Motor Plasticity, Nicole M. Popp, Taylor C. Holmes, Elizabeth A. Rozycki, Kristi A. Streeter

Physical Therapy Faculty Research and Publications

Approaches such as electrical stimulation of the phrenic neuromuscular system are currently used in humans to manage breathing impairments. We recently showed that electrical stimulation of the diaphragm muscle induces phrenic afferent-dependent plasticity. These findings highlight the need to better understand the mechanisms of afferent-mediated plasticity to guide and improve the development of novel therapies using electrical stimulation. Here, we tested the hypothesis that intermittent activation of large-diameter phrenic afferents induces phrenic motor plasticity, which, like other forms of plasticity, is pattern sensitive. We delivered inspiratory-triggered electrical stimulation using a narrow pulse width (0.1 ms) to preferentially activate large-diameter afferents, …

Implementing Multi-Tiered Systems Of Support For School-Based Mental Health Services: An Explanatory Case Study Of An Elementary School, Laura Acker

UNF Graduate Theses and Dissertations

This qualitative explanatory case study examined how school-based mental health services (SBMHS) are implemented within an elementary school’s Multi-Tiered System of Supports (MTSS). Guided by the Consolidated Framework for Implementation Research (CFIR) and sensemaking theory, the study examined how educators and school-based professionals interpret and enact their roles in supporting student mental health within educational contexts. Data were collected through interviews with five MTSS team members and analyzed using a combination of deductive and inductive coding. Results showed that mental health implementation is not a fully integrated system of supports but rather a process shaped by roles and relationships influenced …

Helpful Technology Tools, Niki Elliott Ph.D., Sylvia Mac

Inclusion in Postsecondary Education

No abstract provided.

Guide For Parents Of Neurodiverse Students Entering Life After High School, Niki Elliott Ph.D., Sylvia Mac

Inclusion in Postsecondary Education

Sending your student into the next chapter is a big moment, for them and for you. This guide gives you the practical information you need: what changes legally and structurally once your student turns 18, how the accommodation process works in postsecondary settings, what you can do now to set your student up for success, and how to stay genuinely connected and supportive through the transition. Whether your student is heading to a four-year university, a community college, a trade or vocational program, or a certification pathway, the information here applies.