Digital Commons Network^™

Opportunities For Learning Through Object Exploration During Early Physical Therapy: Physical Therapists’ And Caregivers’ Assistance And Interference Behaviors, Michele Goncalves Maia

Dissertations, Theses, and Capstone Projects

Early physical therapy (EPT) for infants with motor delays has traditionally emphasized motor milestone acquisition, yet growing evidence indicates that motor and cognitive development are fundamentally interconnected. Grounded in embodied cognition and developmental cascade theories, this dissertation conceptualized object exploration as a primary mechanism through which infants learn during EPT and examined how intervention approaches and adult behaviors shape opportunities for object exploration. Using retrospective analyses of video-recorded EPT sessions, two studies investigated how intervention approaches and adult behaviors influence infants' opportunities to learn through object exploration. Study 1 compared object exploration in the START-Play (SP) intervention and Usual Care …

Gene-Environment Interactions In Cardiovascular Aging: Volunteering, Polygenic Risk, And Biomarker Change In European And African Ancestry Populations, Seoyoun Kim, Byeongju Ryu, Erin Ware, Koichiro Shiba, Cal J. Halvorsen

Brown School Faculty Publications

Volunteering has been associated with better cardiovascular health, but whether this association varies by genetic susceptibility to cardiovascular disease remains unclear. This study examined associations between volunteering and cardiovascular biomarkers, assessed associations between biomarker-specific polygenic scores (PGSs) and these outcomes, and tested whether polygenic risk moderated volunteering–biomarker associations among U.S. adults aged 51 years and older.

Neural Symphony Of Flow Experience: Evidence For High-Dimensional Metastable Dynamics, Abdelrahman B. M. Eldaly, Kris Zhangguang Kang, Fiona Fui-Hoon Nah, Leanne Lai-Hang Chan, Keng Siau, Xiao Fan Liu, Richard Huskey, Langtao Chen, Tejaswini Yelamanchili, Rene Weber

Research Collection School Of Computing and Information Systems

Flow, an optimal experience characterized by deep immersion and engagement in an activity, has been extensively studied in behavioral research. However, its neural dynamic mechanism remains poorly understood. In a within-subject video gaming experiment, we captured neural activity underlying flow, boredom, and anxiety using a 64-channel electroencephalogram (EEG) system. Compared to boredom and anxiety, flow exhibits the highest global functional connectivity, metastability, and dimensionality of dynamic functional connectivity patterns, suggesting that flow is a highly adaptable process that is supported by high-dimensional neural dynamics. Unlike previous studies that focused on identifying static or localized brain activity, we examine the neural …

Taxi Geometry And Euclidean Geometry: Congruence And Similarity Of Triangles, Jose Carlos Pinto Leivas, Osvaldo Jesus Rojas Velazquez, Diana Carolina Perez Duarte, Randy Zabaleta Mesino

Neutrosophic Sets and Systems

This article presents an instrument that describes the experience implemented with students of a graduate programme in the courses of Analytic Geometry and Linear Algebra. The purpose of the instrument, as a didactic resource, was to analyse how the connections between the classical cases of congruence and similarity of triangles in Euclidean Geometry and in Taxi Geometry can be explored. The metric analysis of the productions shows that the three classical congruence criteria - SSS, SAS and ASA - cease to hold under the taxicab metric, and that equilaterality does not imply equiangularity in that geometry. In addition, a neutrosophic …

Neutrosophic Sets And Systems, Vol. 101, 2026, Proceedings Of The International Conference On Artificial Intelligence, Indeterminacy, And Education, University O'Higgns, Santiago, Chile, Florentin Smarandache

Neutrosophic Sets and Systems

No abstract provided.

Effect Of Multisensory Stimulation On Delirium, Pain, And Anxiety Among Patients Undergoing Major Abdominal Surgery: A Quasi Experimental Study, Nesma Yousef Said Said

Nursing

Background: Major abdominal surgery is frequently associated with postoperative complications, including delirium, pain, and anxiety, which may delay recovery, increase healthcare utilization, and negatively affect patients' overall well-being. Multisensory stimulation has emerged as a promising non-pharmacological intervention that may improve postoperative outcomes by creating a calming and supportive healing environment. Purpose of the study: This study was conducted to examine the effectiveness of multisensory stimulation in reducing delirium, pain, and anxiety among patients undergoing major abdominal surgery Method: A quasi-experimental pretest–posttest design was employed at National Liver institute, Menoufia university, Egypt. A purposive sample of 150 patients (75 intervention group …

“I Really Like Being On The Floor, Because I Spend All The Time In My Chair”: Children With Disabilities’ Experiences Of Physical Activity In School, Katherine Gulliver, Rachel Knight Lozano, Kathrin Paal

School of Law, Humanities and Social Sciences

Children with multiple disabilities often encounter significant barriers to participating in physical activity, impacting not only their physical health but also their overall experience in school. This study places the voices of four children at the centre of their own research, exploring their lived experiences of participating in physical activity in school. Using Clark’s (2017) Mosaic approach, this child-centred participatory study shows how children take part and engage with physical activity as part of their school day. Using videos and photography, child-led tours and ethically sensitive conversations with researchers, children shared a range of opportunities for enjoyment, exploration and interactions …

Insights On High-Speed Av Operations And Human-Machine Interactions, Kendrew S. Agbemadzo, Yuvraj A. Sehgal, Jiayu Zhu, Fanta Camara, Samuel Labi

Center for Connected and Automated Transportation

As the world transitions towards driverless mobility, stakeholders seek to ensure that at high-speed road sections, key transportation outcomes (safety and travel efficiency) are not unduly impaired by this evolution. High-speed operations place demanding constraints on every aspect of the driving automation stack because the spatial extent that must be perceived and the temporal urgency of response both scale unfavorably with velocity. Through a review of literature and a short documentation of racetrack experiences, the present study sheds light on the challenges associated with the prospective deployment of autonomous vehicles (AVs) at high-speed road corridors. This is done by developing …

Discomfort Avoidance And Desire For Normality Are Decision-Making Drivers Of Footwear Choice In Underserved Communities At Risk Of Diabetic Foot Ulcer, Krithika Anil, Neeraj Sharma, Sonal Patel, Jess Bailey, Catherine Smith, Sally Abey, Kayce Allcock, Richard Collings, Joanne Paton

School of Health Professions

BackgroundDiabetes-related foot ulceration (DFU) is a serious complication that can lead to lower limb amputation or death. Custom-made footwear is a key preventative strategy, yet adherence to use is often low. The factors influencing decision-making for footwear use remain unclear, particularly among underserved groups such as people from low socioeconomic and South Asian backgrounds. This study aimed to identify the psychological mechanisms underlying footwear choice and adherence in people with diabetes from low socioeconomic and South Asian populations.MethodsThis study used a qualitative approach conducted in two parts. Part 1 explored footwear-related experiences using one-to-one interviews informed by the COM-B model …

Whose Neighbourhood: A Study Of Early Challenges And Opportunities In Delivering Pride In Place, Katharine Willis, Kasper De Graaf

School of Art, Design and Architecture

’Whose neighbourhood?‘ examines the early challenges and opportunities in delivering the Government’s Pride in Place programme and asks what is needed to turn the devolution of funding into genuine community power.Pride in Place provides 284 neighbourhoods across the UK with up to £20 million each in funding and support over ten years, with local communities intended to play the leading role in deciding how that investment is used. The report welcomes the scale, duration and community-led ambition of the programme, but finds that there remains a significant gap between that ambition and the practical capability needed to deliver it — …

Temporal Changes In Mechanical Pin Prick Sensitivity Following High Frequency Induced Sensitisation Of Central Nociceptive Pathways: A Test Re-Test Reliability Study, Samuel Mugglestone, Giorgio Ganis, Sam W. Hughes

School of Psychology

High-frequency stimulation (HFS) is a human surrogate model of secondary hyperalgesia and a key experimental tool for understanding the mechanisms and modulation of central nociceptive pathways. An emerging area of research focuses on the role of top-down endogenous analgesic systems during secondary hyperalgesia development. However, the test-retest reliability of the early temporal changes in sensitivity are poorly understood. In the present study, we investigated the between-session reliability of the early temporal dynamics and late-phase expression of HFS-induced changes in mechanical pinprick sensitivity in a heterotopic area on the forearm in 28 healthy participants across five time points relative to HFS …

Real-World Testing Of An Artificial Intelligence Conversational Agent As An Early Intervention And Support Tool In The Mental Health Referral Care Pathway: A Mixed-Methods Study, Rohit Shankar, Edward Meinert, Madison Milne-Ives, Emma Taylor, B Inkster, Alina Paik, Ananya Ananthakrishnan, Martin Orr, Ceire Costelloe

Peninsula Medical School

Background: The incidence of mental health concerns is growing, and demand for support is exceeding service capacity.Digital tools can provide additional support but risk causing harm if not delivered safely.Aims: We aimed to establish real-world evidence of the impact of an artificial intelligence-based mental healthconversational agent (Wysa) on depression and anxiety in patients waiting for Talking Therapies treatment.Methods: A mixed-methods randomized controlled trial was conducted with patients referred to Talking Therapies inthe Central and Northwest London NHS Foundation Trust. The primary outcome was change in depression severityover 12weeks between groups; secondary outcomes included anxiety severity, quality of life, safety, engagement, …

Parent-Child Neural Dynamics During A Stressful Task: Probing Associations With Temperament And Anxiety, Joscelin Rocha-Hidalgo, Harmony Nguyen, Dakota Reis, Denny Schaedig, Kahlil I Thompson, Susan B Perlman, Koraly E Pérez-Edgar

2020-Current year OA Pubs

Dynamic social interactions between parents and children can contribute to anxiety risk, amplifying shared genetic risk. Research has focused on observed behaviors to explain intergenerational transmission. Neural synchrony may contribute as a biological conduit for behavioral transmission of risk. We examined 109 parent-child dyads (

Perioperative Depression And Anxiety Care In Older Patients: A Randomized Clinical Trial, Joanna Abraham, Katherine J Holzer, Simon Haroutounian, Bethany Pennington, Ana Baumann, Ryan Calfee, Theresa Cordner, Kenneth E Freedland, Thomas Kannampallil, Benjamin Kozower, Emily Lenard, J Philip Miller, Mary Politi, Michael Yingling, Michael S Avidan, Eric J Lenze

2020-Current year OA Pubs

IMPORTANCE: Depression and anxiety are common among older adults undergoing surgery and are associated with adverse postoperative outcomes. However, effective tailored perioperative mental health interventions are lacking.

OBJECTIVE: To evaluate a perioperative intervention to optimize mental health.

DESIGN, SETTING, AND PARTICIPANTS: A single-blind, hybrid, type 1, effectiveness-implementation randomized clinical trial was conducted (November 1, 2022, to March 31, 2025), with 3-month postoperative follow-up, at a US academic and community practice hospital network. Participants were 60 years or older; scheduled for cardiac, oncologic, or orthopedic surgery; and had clinically meaningful symptoms of depression and/or anxiety based on the Patient Health Questionnaire-Anxiety …

Social Prescribing For People In Vulnerable Situations In Europe: Protocol For A Process Evaluation Of An Rct In Eight Countries, Kerryn Husk, Elizabeth Gilmour, Stephanie Tierney, Debra Westlake, Anuschka Arni, Hendrik Napierala, Farhad Rezvani, Marius Dierks, Wolfram J. Herrmann

Peninsula Medical School

Objective Social prescribing is a pathway that connects individuals to non-clinical services. It supports and addresses social needs, such as those related to loneliness, housing instability and mental health. Social Prescribing Europe (SP-EU), a European Union funded project, seeks to co-create an adaptation of the social prescribing pathway based on the needs of the following target groups: LGBTIQ+ people, refugees and first-generation immigrants, older people living alone. This adapted social prescribing pathway will be tested in a pragmatic randomised controlled trial (RCT) in ten hubs, covering eight countries, across Europe. The aim of this process evaluation is to explore the …

How Conditions Within Immigration Removal Centres In The United Kingdom Affect The Mental Wellbeing Of Detainees: A Scoping Review, Niamh Gallagher, Tristan Price, Matthew Griggs

Peninsula Medical School

BackgroundImmigration Removal Centres (IRCs) are used to detain people for immigration control by the UK government. This scoping review aims to examine the experiences of detainees within UK IRCs, specifically how conditions within them, including the regime, affect their mental wellbeing.MethodsThe Joanna Briggs Institute guideline for scoping reviews was followed. Six bibliographic databases and additional grey literature sources were searched for quantitative and qualitative evidence. Descriptive analyses and quality assessments were conducted.ResultsFifteen research studies and nine pieces of grey literature were included, comprising a total of 1353 participants and 11 IRCs. The majority of data was qualitative in methodology and …

Towards Human-Centered Digital Health Interventions, Kristin M Kostick-Quenet, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

This article discusses the potential of digital health interventions (DHIs) in mental health care, emphasizing the importance of designing them to foster genuine humanistic care. It highlights current challenges in measuring engagement and outcomes, advocating for integrating human-centered endpoints such as dignity, autonomy, and therapeutic alliance into evaluation frameworks. The authors call for mechanistic research to identify effective engagement strategies and context-specific implementation approaches. Ultimately, successful DHIs should demonstrate both clinical efficacy and the preservation of humane, person-centered care, ensuring ethical and meaningful mental health support through technology.

Investigating How Personal Values Shape Tourism Experiences: A Case Study Of The Irish National Stud And Gardens, Amy Monahan, Ann T. Conway

International Journal of Tour Guiding and Visitor Attraction Research

This Paper explores the relationship between personal values and tourism experiences  that are  satisfying. A case study of the Irish National Stud and Gardens was undertaken in order to explore this concept. Interviews were conducted to investigate how qualities of the attraction appealed to the visitors’ personal values, thereby enhancing the overall visitor experience. A set of personal values were identified which were specific to the destination. The research demonstrated how an understanding of personal values can assist attractions with various aspects of their operations, with context specific recommendations provided at the end. This approach was taken was taken to …

Exploring The Backgrounds, Experiences, Motivations, And Development Of School-Based Wheelchair Sport Coaches, Deborah Shapiro, Scott Douglas, Jp Barfield, Laurie A. Malone

Journal of Coach Development

Coaching in adapted sport is a complex and demanding practice that requires both specialized technical expertise and a deep understanding of disability. This study explored the motivations, backgrounds, and developmental pathways of interscholastic school-based wheelchair sport coaches. We examined how coaches are introduced to wheelchair sport coaching, their initial and ongoing development, and their perspectives on effective coaching and training practices. A total of 17 coaches (10 men, 7 women) with 1 to 17 years of experience in wheelchair sports coaching from 7 interscholastic wheelchair sports teams participated in one 60-minute mini focus group discussion and responded to a set …

Ukrainian Theology, War, And Human Transformation: Reflections On The International Conference ‘Transfiguration: Tradition And Eschatology, Vladyslav Fulmes

Occasional Papers on Religion in Eastern Europe

On June 11, 2026, the Volyn Orthodox Theological Academy (Lutsk, Ukraine) hosted the international theological conference “Transfiguration: Tradition and Eschatology”, bringing together scholars, clergy, philosophers, chaplains, psychologists, and researchers from several countries. This report examines the conference’s principal theological and interdisciplinary themes, including deification, eschatology, ecclesiology, ecological responsibility, pastoral care, military and medical chaplaincy, digital technologies, and the Church’s response to war and post-war reconstruction.

Basic Trends In The Contemporary Development Of State-Church Relations In Ukraine: A Sociological Perspective, Oleksandr Sagan, Galyna Sagan

Occasional Papers on Religion in Eastern Europe

Based on an analysis of research from sociological centers and institutes consistently operating in Ukraine, the authors present a comprehensive overview of the main trends occurring within the realm of state-church and inter-church relations. Specifically, the article addresses the trends in the self-identification of Orthodox believers in Ukraine, the dynamics of which sociologists have tracked since the beginning of the twenty-first century, as well as the changes unfolding in inter-Orthodox relations following the 2022 full-scale invasion. Crucial to this analysis is the highlighted inconsistency of state institutions in implementing the new law, Про захист конституційного ладу у сфері діяльності релігійних …

Practical Aspects Of Religious Social Work In Modern Ukraine, Inna Vladislavivna Kovalchuk

Occasional Papers on Religion in Eastern Europe

This work analyzes the current state and specifics of the activity of religious organizations in the social sphere of Ukraine. Special attention is paid to the transformation of religious social work in the conditions of a full-scale war, where religious communities have become key agents of humanitarian, psychological and spiritual assistance. The article examines the mechanisms of interaction between the church, the state and non-governmental organizations in solving social problems. The findings are based on the practical experiences of those working with internally displaced persons (IDPs), veterans, large families, and individuals facing difficult life circumstances. Unique methods of denominational assistance …

The Church’S Social Vocation In World War I And Postwar Recovery: Theodor Zöckler’S Pastoral Ministry In Stanislaviv And Its Relevance For Contemporary Ukraine, Liudmyla Tymchuk, Yurii Klonovskyi

Occasional Papers on Religion in Eastern Europe

This article examines Theodor Zöckler’s pastoral ministry in Stanislaviv during the First World War and the difficult years of postwar reconstruction, and assesses the relevance of that experience for churches in contemporary Ukraine. Drawing on archival records, institutional reports, church periodicals, correspondence, and historical scholarship, the study analyzes how Zöckler combined spiritual care with evacuation, humanitarian relief, medical service, child protection, education, vocational training, and institutional advocacy. Historical-genetic, problem-chronological, hermeneutic, and comparative methods are used to reconstruct the transformation of his ministry under conditions of occupation, forced displacement, political transition, and economic collapse. The findings show that Zöckler’s response moved …

Solidarity In Action: Social Service Of Caritas Organizations In Ukraine In Wartime, Andrii Marchenko

Occasional Papers on Religion in Eastern Europe

The article is devoted to the analysis of the activities of Caritas charitable organizations in Ukraine, which are affiliated with the Ukrainian Greek Catholic Church (Caritas Ukraine) and the Roman Catholic Church (Caritas-Spes Ukraine), in the realities of the Russian-Ukrainian war. Particular attention is focused on considering how the fundamental ideas of Christian love, mercy, common good, and solidarity are embodied in the various practices of humanitarian, spiritual, and other support that these institutions provide to different categories of the population of Ukraine, especially those who have suffered from the destructive consequences of the war. Types of such support include, …

Consciousness Under Dual Pressure: Colonial Diglossia, Orthodox Missionary Activity, And Islamic Cultural Resilience In Late Imperial Kazakhstan, Aigerim Aliaskar

Occasional Papers on Religion in Eastern Europe

This article examines the relationship between religious identity, language, and educational experience in the context of the Russian Empire’s educational and Orthodox missionary policies in the Kazakh Steppe during the late nineteenth and early twentieth centuries. The primary objective of the study is to analyze the spiritual-cognitive resilience of traditional Islamic educational institutions in response to the policy of Orthodoxization and Russification implemented by the tsarist administration through the system of Nikolai Ilminsky. The author examines the phenomenon of colonial diglossia which emerged during this period, wherein Russian-Christian texts were increasingly elevated as the administrative "High-variant," while the Kazakh-Turkic identity, …

From Humanitarian Aid To “Counterrevolution”: Foreign Assistance To Pentecostals In Soviet Ukraine And Its Criminalization By The Gpu–Nkvd, 1932–1935, Oleksandr Korotaiev

Occasional Papers on Religion in Eastern Europe

The article examines foreign assistance to Pentecostal communities in the Ukrainian SSR and the mechanisms of its criminalization by Soviet state security agencies in 1932–1935. Drawing on GPU–NKVD criminal investigation files, secret police reports, party-state documentation, personal correspondence, and memoir sources, the study reconstructs transnational channels of humanitarian support, practices of resource distribution, and the transformation of survival strategies into objects of political repression.

Particular attention is devoted to two distinct models of foreign assistance. The Odessa case demonstrates a centralized system connected to the former leadership of the All-Ukrainian Union of Christians of Evangelical Faith and transnational Pentecostal networks …

Note-Taking Is Not Universally Applicable, Chloe Tomasetta

Undercurrents: A Journal of Undergraduate Student Composition

Chloe is a communications major who lives in Braintree, Massachusetts. Chloe wrote this essay in her Composition II course because she “genuinely wanted to explore the typed versus handwritten notes debate.” She said that researching this essay “gave me clarity in my preferred note-taking method,” and she adds: “I hope this essay can be helpful for students who struggle to take notes or choose a note-taking method.” Chloe loves spending time outside, as it “allows me to hear my own thoughts, which can provide clarity in my otherwise chaotic life.”

Nota Bene: A Study On Latin And Its Influence, Ashley Kim

Undercurrents: A Journal of Undergraduate Student Composition

Ashley is a psychology major currently living in Natick, Massachusetts. Ashley took Latin at her high school in Georgia, where she found it to be “one of the most insightful and unique courses I had ever taken.” She was disheartened that her Latin teacher had to struggle to find students to fill her class, and she wrote this paper with that teacher in mind to share “the message of Latin’s intrinsic benefits.” Ashley says that writing is very important for her, and she says “there can be great significance in small moments, and instead of letting those moments slip by, …

Volume 9 (2026) Climate And Responsibility

International Journal on Responsibility

This issue focuses on the various ways responsibility affects environmental justice. Specifically, this volume urges us to think about how societal and individual (in)action influences ecological crises and what informs this behavior, with a specific focus on religious and Indigenous beliefs and values.

Approaching Well-Being Through The Research Lens: How Hca Healthcare Colleagues Are Building Healthy Work And Learning Environments, Gregory Guldner, Allison Woodall, Deepinder Bal, Jennifer Larkin, Cynthia Borum, Sunny Hull, Annette Edens, Lisa H. Moore, Elaine K. Miller, Harold Gomez Acevedo, Katia M. Lugo Enriquez, Noor Judge, Yanie Oliva, Pablo E. Ramirez Caraballo, Faraz Jaffer, Prerna S. Sharma, Daniel Heller, Siddarth Kathuria, Nathaniel Banet, Orlando Nieves-Lugo, Adrienne Madison, Lily Martin, Oliwier Dziadkowiec

HCA Healthcare Journal of Medicine

At the heart of our commitment to the care and improvement of human life are the physicians who dedicate themselves to delivering exceptional care. To support not only our physicians’ professional excellence but also to foster personal fulfillment, HCA Healthcare partnered with Claremont Graduate University to establish the Physician Wellness Research Lab (PWR Lab). In his new role as the Vice President of Academic Affairs for Graduate Medical Education (GME), Dr Guldner led a nationwide search to establish and implement a new approach to well-being. At HCA Healthcare, we believe that true flourishing requires transforming the work and learning environment …