Digital Commons Network^™

Place Matters: Investigating The Social And Environmental Drivers Of Hypertension In Nashville, Marquinta Harvey, Michael D. Oliver, Tatum Brown, Deya Rassul, Thomas Strickler, Jarod Parrish, Catherine Bass

Funded Scholarship

Hypertension disparities persist across communities, driven by interactions between social determinants of health (SDOH) and behavioral factors. This study examines geographic and demographic patterns of hypertension in Nashville, Tennessee, to assess how socioeconomic, environmental, and behavioral factors contribute to inequities in prevalence, treatment, and control. Granular ZIP code-level analyses highlight community-specific drivers and the need for policy reforms to advance health equity.

Non-Instrumented Dva: Assessment Of Performance And Clinical Feasibility In Children Ages 2 Through 13 Years, Cathey P. Norton, Nancy S. Darr, Mary Katherine Beshears, Katherine Catalano, Tyra Dillard, Mahayla J.K. Gamble, Magdalene Olerich, Sadie Rodell Rupp

Funded Scholarship

Background/Objectives: Vestibular disorders can have functional consequences for children, including balance and gross motor delays, academic difficulties and behavioral manifestations; however, they are frequently undiagnosed in children. The purposes of this study were to evaluate the feasibility and clinical utility of performing a non-instrumented dynamic visual acuity (DVA) test as a primary screening tool for children and to examine typical performance on this non-instrumented DVA test in a large sample of children ages 2 through 13 years.

Methods: A clinical DVA test was administered to a convenience sample of 208 children aged 2–13 years. Static visual acuity was assessed using …

Crafting The Right To Vote, Breana M. Mosher

Knowledge and Creativity Expo

This paper examines how British Suffragists between the late nineteenth and early twentieth centuries used traditionally feminine domestic crafts as tools of political protest and communication. Excluded from formal political speech and subjected to censorship, violence, and imprisonment, women in the suffrage movement transformed textiles such as banners, posters, embroidery, and postcards into powerful tools of visual propaganda. Through close evaluation of suffrage-era material culture, this paper argues that domestic crafts enabled women to reclaim their voices and publicly expose state violence and political repression. By employing symbolism, color, and slogan-based design, suffragists created a recognizable visual identity that countered …

Neuroattnfusenet Dual Branch Attention Fusion For Brain Tumor Mri Classification, Md Sanowar Hossain Sabuj, Farzana Sultana, Md Hasan Or Rashid, Rahul Mudhiraj Mullela

Student Publications

Brain tumor MRI classification remains challenging because tumor appearance varies across cases, class boundaries can be visually subtle, and public 2D MRI datasets may contain redundancy or source-specific biases that inflate reported performance. This study proposes NeuroAttnFuseNet, a dual-path attention-guided fusion network for four-class MRI image classification into glioma, meningioma, pituitary, and no tumor. The model combines a Swin-T branch for hierarchical local morphological representation with a frozen DINOv2 ViT-B/14 branch that provides a 768-dimensional global descriptor from the [CLS] token. The Swin and DINOv2 features are concatenated and passed through a channel-attention gate and fusion MLP before final softmax …

The Impact Of Remittances On Food Security In Times Of Crisis—Evidence From Covid-19 In Latin America And The Caribbean, Colin Cannonier

Funded Scholarship

This study examines the association between workers’ remittances and food insecurity in Latin America and the Caribbean using data from a Coronavirus survey covering over 100,000 individuals during the COVID-19 pandemic. Results indicate that receipt of remittances is associated with an 8.8% decrease (2.5% points) in overall food insecurity. Heterogeneous effects are observed among females, individuals in Latin America, and households with children. Remittances from the USA exhibit a stronger influence on reducing food insecurity. The findings underscore the potential importance of remittances in improving food security at both extensive and intensive margins. Policy issues are also discussed.

Correlates Of Recovery Capital Among Women In Jails: Leveraging A Dimensional Recovery Framework, Amanda Fallin-Bennett, Martha Tillson, Jaxin Annett, Hartley Feld, Michele Staton

Nursing Faculty Publications

Background: Recovery capital encompasses internal and external factors that support recovery from substance use disorder, such as employment, social support, and physical and mental health. There is a need for more research on recovery capital among women who are incarcerated, who often face complex barriers to recovery, such as poverty, unemployment, and histories of trauma.

Methods: Women (N ¼ 900) were recruited from Kentucky jails as part of the broader NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) cooperative project. Measures from baseline interviews (during incarceration) were selected in alignment with the Substance Abuse Mental Health Service Administration (SAMHSA)’s four …

“Being Treated As The Expert:” A Blueprint For A Community Advisory Board Approach To Elevate The Voice Of People With Living Experience With Substance Use In Academic Research, Trevor Moffitt, Survivors Union Of The Bluegrass, Bryson Henson, April M. Young, Sharon L. Walsh, Rachel Vickers-Smith, Junior Cruz, Jeremy Byard, Brook West, Amanda Fallin-Bennett

Nursing Faculty Publications

Introduction: Researchers have traditionally engaged Community Advisory Boards (CABs) to meaningfully involve community members in the research process. However, CABs are often formed only after a grant is funded, leading to criticisms of functioning merely as “ethical approvers.” For substance use researchers, the inclusion of people with living experience (PWLE; current experience with drug use) across all stages of research is especially important as they have historically been the experts in the needs of their community.   Methods: In response to this need for community engagement in research, the University of Kentucky, in partnership with a local recovery community center (RCC; …

Coalition Building And Citizen Science For Radon Risk Reduction, Stacy Stanifer, Kathy Rademacher, Whitney Sedio, Naomi Cheek, David Gross, Caitlyn Curtis, Amanda Thaxton-Wiggins, Mary Kay Rayens, Ellen J. Hahn

Nursing Faculty Publications

We evaluated the implementation of local coalitions led in partnership with citizen scientists, community-based organizations, and public libraries in four rural communities to lower exposure to radon in the home. The objectives were to (1) describe the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) of four radon coalitions, and (2) compare RE-AIM factors among citizen scientists who participated in the coalitions and those who did not. A larger community-engaged research project embedded coalition building using a citizen science approach. Three of the four coalitions focused on health and wellness more broadly (18–34 members); one focused solely on radon (10 members). Coalition membership and activities varied …

Evaluation Of A Tobacco Treatment Specialist Training Program Targeted To Behavioral Health Professionals, Chizimuzo T. C. Okoli, Sarret Seng, Bassema Abu Farsakh, Emily Koyagi, Heather Beck, Audrey Darville

Nursing Faculty Publications

Tobacco use remains disproportionately high among adults living with mental illnesses (MIs), contributing to excess morbidity and mortality, particularly in high-burden states such as Kentucky. Behavioral healthcare providers are well-positioned to address this disparity but often lack formal training in evidence-based tobacco treatment. Tobacco Treatment Specialist (TTS) training provides healthcare providers with skills to deliver evidence-based tobacco treatment; however, traditional TTS training models often rely on synchronous, in-person or live virtual formats, which may limit accessibility for some healthcare workforces. Asynchronous, web-based delivery models may reduce these barriers. This study evaluates a targeted, asynchronous TTS training program designed for providers …

Financial Status, Fatalism, And Self-Care Of Cardiovascular Disease Risk Factors Among Rural Adults Living In Socioeconomically Distressed Areas, Ashmita Thapa, Geunyeong Cha, Dustin Hodges, Jia-Rong Wu, Misook L. Chung, Martha J. Biddle, Jennifer L. Smith, Debra K. Moser

Nursing Faculty Publications

Purpose: Adults with fewer financial resources often have poor self-care. Rural dwellers commonly have fewer financial resources than urban dwellers and are often stereotyped as fatalistic about health. We examined whether fatalism mediates the association of financial status with cardiovascular disease (CVD) self-care in rural adults in economically distressed areas. We hypothesized that those with fewer financial resources would have poorer self-care, and fatalism would mediate this relationship.

Methods: We enrolled 1,122 adults (53 ± 15 years) at risk for CVD. Financial status was reflected by individuals’ perceptions of how well they made “ends meet” with their financial resources, fatalism …

The Effects Of Pornography On Romantic Relationships, Jade A. Green

McNair Scholars Research

This study examined the relationship among pornography use, attitudes toward pornography, and romantic relationship outcomes among adults in the United States. The hypotheses are as follows: 1. Pornography use is negatively associated with relationship satisfaction. 2. Positive attitudes toward pornography are negatively associated with relationship satisfaction. 3. Men will report more positive attitudes toward pornography than women, 4. Higher pornography use is associated with being single.  A convenience sample of 165 adults from central Arkansas completed measures assessing pornography use/acceptance and relationship satisfaction. Statistical analyses included a correlation matrix, an independent-samples t-test, and a chi-square analysis. Results showed that pornography …

Cybersecurity Risk Shifting, Deborah R. Farringer

Law Faculty Scholarship

This article analyzes the growing problem of ransomware attacks in the healthcare sector and evaluates the evolving legal frameworks used to address cybersecurity risks affecting patient data. The authors trace the rapid increase in ransomware incidents, driven in part by the rise of digital health records and cryptocurrency-enabled extortion, and highlight the significant operational and privacy harms resulting from such attacks. The article critically examines existing federal and state legal mechanisms—including statutes such as HIPAA, criminal fraud provisions, and emerging state-level immunity laws—and argues that current approaches are insufficient due to jurisdictional challenges, particularly the transnational nature of cybercrime and …

Comparison Of Enrichment Interaction Duration Between Male And Female Panthera Leo Leo, Maegen G. Meldrum

Undergraduate Honors Thesis Projects

African lion (Panthera leo leo) populations have declined significantly over the past century within their natural habitats, increasing the importance of effective management strategies for individuals in human care. Environment enrichment is a critical tool for promoting species typical behavior in human care; however, enrichment practices are often generalized and may not account for sex-specific differences. This study examined how sex, enrichment types, behaviors, and time of day influenced enrichment interaction duration in a small pride of African lions (n = 4) housed at the Columbus Zoo and Aquarium. Two enrichment types were evaluated: cognitive/occupational (CO, a manipulable barrel) …

Ruth Fine: In Search Of The Place, Carrie Robbins, Maggie North

Books, pamphlets, catalogues, and scrapbooks

This catalogue was published in conjunction with the exhibition Ruth Fine: In Search of the Place, on view in Bryn Mawr College's 1912 Gallery from August 27–December 18, 2026.  The exhibition explores Philadelphia-based artist Ruth Fine's longstanding engagement with the natural world in terms of her "search for the place," an approach to artmaking that invites close looking and collaboration. The catalogue was edited by Maggie North and Carrie Robbins and designed by Nathanael Roesch. It also includes contributions from Wendy Edwards, Ruth Fine, Marianne Hansen, Janelle Rebel, and Chloe Sun.

The Effects Of Financing Green And Brown Sectors: What Do Theories And Evidence Say?, Hao Liang, Maria Teresa Punzi

Research Collection Lee Kong Chian School Of Business

This paper critically examines the economic and welfare implications of financing green and brown sectors. Drawing on a comprehensive review of recent theoretical and empirical literature, we highlight that while conventional green finance—allocating capital toward environmentally friendly (“green”) sectors and away from carbon-intensive (“brown”) sectors—can promote decarbonization, it may also produce unintended externalities. In particular, it can inadvertently incentivize higher emissions from brown firms and contribute to economic disruption. Using a dynamic stochastic general equilibrium (DSGE) model, we demonstrate that lowering the cost of capital for green sectors leads to only modest reductions in emissions, whereas raising it for brown …

Fluid Agency In Ai Systems: A Case For Functional Equivalence In Copyright, Patent, And Tort, Anirban Mukherjee, Hannah H. Chang

Research Collection Lee Kong Chian School Of Business

Modern Artificial Intelligence (AI) systems exhibit fluid agency in multi-step workflows: lacking human-like consciousness or culpability, yet they display behavior that is (i) stochastic (probabilistic and path‑dependent), (ii) dynamic (co‑evolving with user interaction), and (iii) adaptive (able to reorient across contexts). These properties generate valuable outputs but collapse attribution, irreducibly entangling human and machine inputs. Doctrines that assume traceable provenance—authorship, inventorship, and liability—fracture under this unmappability, yielding ownership gaps and moral “crumple zones.”This Article argues that only functional equivalence stabilizes doctrine under unmappability: Where provenance is indeterminate, legal frameworks should treat human and AI contributions as equivalent for allocating rights …

Large Owner Expropriation Threat And Stock Option Pay's Effect On Firm Risk-­Taking Behaviors In Weak Institutions, Cuili Qian, Lipeng (Gary) Ge, Xuesong Geng, Jiatao Li, Maria Hasenhuttl

Research Collection Lee Kong Chian School Of Business

Research Question/Issue: This study investigates the impact of managerial stock option pay on firm risk-­ taking behaviors in aweak institutional context, a critical question that has been overlooked by the literature. Specifically, we build on the comparative corporate governance perspective that emphasizes the implications of large shareholders' expropriation threat in weak institutions to develop predictions about their impact on the stock option's incentive alignment effect. We further explore the boundary conditions of such a relationship.Research Findings/Insights: Based on a sample of Chinese listed firms between 2006 and 2016, we find that a high level of large shareholders' expropriation threat weakens …

Optimal Control Analysis Of Malaria Transmission In The Presence Of Insecticide Resistance And Climate Variability In Kenya, Lorna Chepkemoi, Titus Okello Orwa, Samuel Mwalili, Rachel Waema Mbogo, Steeven Belvinos Affognon, Daisy Salifu, Henri E.Z. Tonnang

All Peer-Reviewed Publications

Malaria remains a major public health concern in Kenya, where changing climatic conditions, insecticide resistance, and mosquito behavioral adaptations continue to challenge control efforts. This study develops and analyzes a climate-sensitive malaria transmission model that incorporates mosquito behavior, insecticide resistance, and vector–human ecological dynamics to identify optimal control strategies for the Kenyan context. The model’s well-posedness was established, the basic reproduction number (R0) computed using the next-generation matrix method, and the stability of equilibrium points assessed. Spatial analysis of R0 was performed using temperature and rainfall raster data to map transmission risk across Kenya under varying insecticide use scenarios. Results …

Taxonomy, Distribution And Ecology, Biology, Nutritional Composition, And Conservation Status Of Critically Endangered Lake Chala Tilapia Oreochromis Hunteri (Günther, 1889): Implications For Aquaculture Development, Jonathan Munguti, Mavindu Muthoka, Domitila Kyule, Esther Magondu, Jacob O. Iteba, Kevin Obiero, Paul Orina, Menaga Meenakshisundaram, Tanga M. Chrysantus

All Peer-Reviewed Publications

Oreochromis hunteri Günther, 1889, commonly known as Lake Chala tilapia, is an endemic cichlid restricted to the small crater lake, Lake Chala, on the border of Kenya and Tanzania. This review synthesizes existing knowledge on the taxonomy, and phylogenetic placement, distribution and ecology, and biology including nutritional composition, and conservation status of O. hunteri and identifies knowledge gaps to assess its potential for aquaculture development. The knowledge gaps include its reproductive biology, population structure, and adaptive capacity to environmental and climatic variability. As the type species of the genus Oreochromis, O. hunteri is a unique, genetically isolated lineage within a …

Autonomy Without Alignment: Professional Development And The Fragmented Ai Landscape In Higher Education, Kelly D. Muller

Essays in Education

Higher education’s strong commitment to autonomy and academic freedom has produced a fragmented and ethically inconsistent approach to artificial intelligence (AI) professional development. As AI reshapes teaching, assessment, authorship, and academic integrity, faculty responses range from prohibition to enthusiastic adoption, often without shared institutional guidance. Current professional development efforts are largely optional, tool-focused, and reactive, leaving instructors to construct individual ethical frameworks while students encounter inconsistent expectations across courses. This variability raises concerns about equity, accountability, and institutional risk. Drawing on scholarship related to academic freedom, AI governance, and diffusion of innovation, the article proposes a three-layer model that reframes …

Brief Therapy Dog Interactions May Increase Self-Efficacy And Lower Perceived Stress And Cortisol In High School Students: A Preliminary Study, Dawn Melzer, Deirdre Yeater, Madison Derubis, Christiana Rose Kohlroser, Barbara J. Pierce

Psychology Faculty Publications

The present study examined changes in high schoolers’ perceived stress, general self-efficacy and cortisol levels after a brief interaction with a certified therapy dog. High school students completed self-report measures of perceived stress and general self-efficacy and provided salivary cortisol samples both before and after a 10-min interaction with a certified therapy dog. Following the interaction, students reported reductions in perceived stress scores, exhibited lower salivary cortisol concentrations and demonstrated increases in self-efficacy scores compared to before the interaction. Although higher self-efficacy scores were observed, general self-efficacy is generally regarded as a stable construct; therefore, these findings may reflect a …

Graduate Student Retention: Examining Why Master’S Students Leave And What Motivates Their Return In A Large Public University System, Sonja Prophete

Theses and Dissertations

Graduate student persistence is a relatively unexplored area in the literature of higher education studies; specifically, at a multi-institutional scale at the master's level. This research study examines the factors which cause students to discontinue their master's degrees, and what conditions could possibly support them returning to their program at a large urban public university system. The current study was guided by Hoyt and Winn's (2004) distinction between non-returning students, and Bean & Metzner's (1985) theoretical model of student attrition. A sequential mixed-methods study was conducted to examine the institutional and environmental influences on students' decision-making processes.

The quantitative data …

Friends Of The Library Newsletter, Spring 2026, Hillary Richardson

Fant Library News and Reports

No abstract provided.

Recent Technological Advances In Monitoring And Neuromodulation Of Non-Malignant And Neurogenic Bladder Conditions, Chang Liu, Yifan Wang, Mario Romero-Ortega, Argyrios Stampas, Yingchun Zhang, Philippe Zimmern, Zhengwei Li

Faculty, Staff and Student Publications

Neurogenic bladder and lower urinary tract (LUT) dysfunctions encompass a wide variety of urinary disorders resulting from nervous system impairments. Unfortunately, conventional treatments are still limited and can have significant complication rates, especially when stent implantations or other surgical procedures are involved. Therefore, there is a critical need to develop novel therapeutic strategies and pharmacological approaches to address these challenging urological conditions. Recent technological advances offer promising solutions to overcome some of these challenges faced by patients with bladder and LUT dysfunction. This review summarizes recent progress in advanced urotechnologies, focusing on bladder monitoring and neuromodulation approaches, advanced medical instruments …

Core Outcome Set For Liver Trauma: A Consensus Approach Using Modified Delphi Methodology, Christian Damone Cain, Saskya Byerly, Nicole A Stassen, David Efron, Thomas M Scalea, John B Holcomb, Gregory J Jurkovich, Rachael Callcut, Deborah M Stein, John A Harvin, Grace Rozycki, David H Livingston, Chad G Ball, Demetrios Demetriades, Ali Salim, Rosemary Kozar, Ajai K Malhotra, Martin Croce, Timothy Fabian, Andrew B Peitzman, Dante Yeh

Faculty, Staff and Student Publications

Objectives: Liver trauma management has evolved over recent decades, shifting from primarily operative to algorithmic approaches incorporating initial non-operative management alongside operative intervention for severe injuries. Inconsistent core outcome measures between studies hamper meaningful clinical research and evidence synthesis. This study aimed to develop a core outcome set (COS) for liver trauma research to standardize outcome reporting and improve study comparability.

Methods: A modified Delphi consensus methodology after COMET (Core Outcome Measures in Effectiveness Trials) and COS-STAD (Core Outcome Set-Standards for Development) guidelines was employed and twenty trauma surgery experts were recruited through purposive sampling of high-impact publications and professional …

Evaluation Of Prophylactic Egd Versus Beta Blockade In Hepatocellular Carcinoma Patients On Anti-Angiogenic Cancer Treatments, Panayiotis D Kontoyiannis, Camila Ayerbe, Kok Hoe Chan, Sara Soliman, Victor Machicao, Julie H Rowe

Faculty, Staff and Student Publications

No abstract provided.

Deep Search In K–12 Education: Opportunities, Risks, And Research-Literacy Imperatives For Ai-Enabled Classrooms, Steven Baule, Dillon Martinnez

Essays in Education

Generative artificial intelligence (AI) deep search tools, such as ChatGPT’s Deep Research, Google’s Gemini Deep Search, Perplexity Research, Claude’s extended search, and emerging academic engines like Elicit and Consensus, are reshaping the ways students and educators locate, evaluate, and synthesize information. These tools promise to democratize research and reduce barriers to high-quality sources, particularly in K–12 environments where time, instructional capacity, and access to resources vary widely. However, recent analyses reveal significant challenges: inaccuracies, opaque algorithms, hallucinated facts, and inconsistencies across platforms. Using classroom-relevant examples and controlled experiments, including ambiguous historical searches and complex educational policy queries, this article examines …

No Groundwater, No Fish: The Critical Role Of Groundwater In Supporting Non-Glacial, Salmon-Bearing Rivers In South-Central Alaska, Tyelyn Brigino, Kai Rains, Edgar Guerron-Orejuela, Jacob Argueta, Syverine Bentz, Coowe Walker, Mark Rains

School of Geosciences Faculty and Staff Publications

Groundwater discharge plays an important role in the hydrologic and ecologic functioning of rivers including sustaining streamflow and related habitat year-round. Simultaneously, groundwater supports the increasing demands of people as the global population continues to grow. Balancing the needs of users becomes increasingly important as climate change introduces greater uncertainty in water resources and fisheries, especially for economically important anadromous species that depend on freshwater resources. We investigated the seasonal and regional variability of groundwater contributions to six non-glacial mainstem salmon-bearing rivers in south-central Alaska. We hypothesized that groundwater contributes more than half of the annual streamflow, and nearly all …

Public Coastal Access At Risk: Integrating Social And Environmental Data To Assess Vulnerability To Sea Level Rise, Nathaniel Merrill, Nathan Vinhateiro, Emi Uchida, Jesse Reiblich, Elin Torell, Sarah Schechter, Leah Feldman, Claudia Weitman, Drew Powell

Graduate School of Oceanography Faculty Publications

Sea level rise poses significant risks to coastal infrastructure and recreational activities, limiting public coastal access. In this study, we evaluate the current use and measure the recreational value of coastal access areas in Bristol County, Rhode Island, while assessing the vulnerability of those areas to rising sea levels. By combining measurements of non-market economic value derived from cellular device location data with modeled future sea level projections, we quantify the economic value at risk under different inundation scenarios. We produce site-level results, which provide context and quantifiable measurements of social value that can guide prioritization of mitigation strategies to …

Organized Sports-Based Interventions And Motor Outcomes In Children Diagnosed With Autism Spectrum Disorder: A Systematic Review, Kailash Ram, Maeren Hill, Caitlyn Stewart, Kaitlin P. Hardy Md, Sonia Khurana

Rehabilitation Sciences Faculty Publications

Aim

To evaluate the effectiveness of organized sports-based interventions on motor outcomes in children with autism spectrum disorder (ASD).

Method

Four databases were searched from inception to November 2025 for randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs) reporting motor outcomes of organized sports-based interventions in children with ASD. Risk of bias was evaluated using ROB-2 (Cochrane Risk of Bias Tool, Version Two) for RCTs and ROBINS-I (Risk Of Bias In Non-randomized Studies - of Interventions) for NRCTs.

Results

Eleven studies (six RCTs, five NRCTs) were included and categorized as martial arts (n = 5), aquatic training (n = …