Digital Commons Network^™

Heat Misers, Snow Misers, And Cognitive Misers: The 'Nukewarm' Perceptions Of Nuclear Power, Tyler Williams

Dissertations and Theses

Rising energy demand in the United States necessitates alternatives to fossil fuels, yet renewable energy sources alone are insufficient to meet this demand. Nuclear power presents a promising option but faces persistent public hesitancy. This study examines how heuristic-based biases relate to American's risk-benefit perceptions towards nuclear power. Guided by the heuristic-systematic model. Results indicate that competence and affect are related to risk-benefit perceptions, and naturalness shows no relationship with risk perceptions but does correlate with benefit perceptions. Implications highlight the importance of affect-driven communication strategies for nuclear communicators, while also underscoring the need for participatory approaches that foster trust …

What Race Means For Health Among Black Americans: How Microaggressions Shape Self-Efficacy And Readiness For Behavior Change, Amanda Lee Almond

Publications and Research

Objectives: Persistent racial disparities in cardiovascular health among Black Americans reflect not only structural inequities in the United States, but also the racialized meanings of cardiovascular disease reproduced through public and private health communication. Drawing on ecological systems theory, this research examines how beliefs linking race and cardiovascular disease are reinforced through routine clinical interactions and how these meanings shape health behavior change. Method: Across two experimental mixed-methods studies, a model integrating ecological, social–cognitive, and behavior-change frameworks was tested. In Study 1 (N = 374), health-message framing was experimentally manipulated to examine effects on self-efficacy and decisional balance while controlling …

A Brief Measure Of Decisional Balance For Health Equity Engagement Among Health Professionals, Amanda Lee Almond

Publications and Research

Racial health and healthcare inequities are sustained in part by health professionals’ beliefs about the benefits and costs of equity-focused action, yet no validated decisional balance measure exists for this domain. This study introduces and evaluates the Health Equity Decisional Balance (HEDB) scale. Eighty-eight health professionals completed the scale of ten proposed items assessing perceived pros and cons of engaging with health and healthcare equity work, along with a measure of Anti-Racist Efficacy (ARE) (Eschmann et al., 2023). Confirmatory factor analysis and structural equation modeling were used to test the latent structure of the scale and its predictive validity. A …

Infection Control Across Clinical And Laboratory Dental Settings Protocols, Risks, And The Role Of Emerging Technologies, Khrystyna Vyprynyuk, Laura Andreesku

Publications and Research

This article explores infection prevention strategies and disease transmission pathways in dental settings, emphasizing the critical connection between clinical practice and dental laboratories. It highlights the risks of cross-contamination, disinfection and sterilization challenges, and the growing role of technology in enhancing infection control.

Challenging Stem Learning Spaces: The Paradigm Of Contemplative Traditions As The Bedrock Of Creativity And Healing, Raaghav Pandya, Christopher Emdin

Publications and Research

As the post-pandemic classroom and pedagogy evolve to remedy oppressive norms, young people’s mental health and alienation has taken front stage (Rahmani & Zitouni, 2022). Traditional STEM learning spaces often teach inquiry as a linear, non-deviated approach to problems about self and nature (Hrisa & Psillos, 2022). Furthermore, because our classrooms often strip students and educators of their inherent creative abilities through constant assessments, improvement scales, and market-driven expectations, classrooms cease to become places of healing (Pandya, 2021). Eastern wisdom traditions and their associated philosophies provide a unique pedagogical lens that emphasizes a deep inquiry into self, empathy, and creativity …

Hidden In The Mist: Three New Species Of Salamanders Of The Genus Pseudoeurycea (Amphibia: Plethodontidae) From Oaxaca, Mexico, Eduardo A. Aguilar-Herrera, Salomón Sanabria-Urbán, Dulce L. Flores-Martínez, José David Gómez-Tapia, Misael Seba-Chacha, Leopoldo D. Vázquez-Reyes, Francisco A. Rivera-Ortíz, Patricia Ramírez-Bastida, Bruno Cortés-Ortiz, R. Alejandro Calzada-Arciniega, Etienne U. Avila-Ortega, Dónovan I. Víquez-Vega, Omar Hernández-Ordoñez, Christopher Blair, Víctor H. Jiménez-Arcos

Publications and Research

We describe three new species of lungless salamanders (Plethodontidae) in the genus Pseudoeurycea from Cerro Rabon, located on the eastern slopes of the Sierra Mazateca, Oaxaca, Mexico. This mid-elevation mountain, largely surrounded by warmer lowlands, remains relatively understudied. We present molecular and morphological evidence distinguishing the three new species from their congeners. According to our phylogenetic analysis, one of the new species belongs to the P. leprosa group, while the other two are members of the P. juarezi group. Notably, one of the new species represents the fourth worm salamander known from west of the Isthmus of Tehuantepec, and another …

What Race Means For Health Among Black Americans: How Microaggressions Shape Self-Efficacy And Readiness For Behavior Change, Amanda Lee Almond

Publications and Research

Objectives: Persistent racial disparities in cardiovascular health among Black Americans reflect not only structural inequities in the United States, but also the racialized meanings of cardiovascular disease reproduced through public and private health communication. Drawing on ecological systems theory, this research examines how beliefs linking race and cardiovascular disease are reinforced through routine clinical interactions and how these meanings shape health behavior change. Method: Across two experimental mixed-methods studies, a model integrating ecological, social–cognitive, and behavior change frameworks was tested. In Study 1 (N = 374), health-message framing was experimentally manipulated to examine effects on self-efficacy and decisional balance while …

Rethinking Dfw In Gateway Mathematics: Preserved, Disrupted, And Dissipated Momentum Pathways To Student Retention, John Alan Nunnery, Charles Mathies

Educational Leadership & Workforce Development Faculty Publications

This study examines how disaggregated first-year mathematics outcomes, including failure, low-passing grades, course withdrawal, and no attempt at a credit-bearing mathematics course, are associated with second-year retention at a large, diverse, urban public university. The study extends academic momentum theory by positing and operationalizing preserved (marginal passing), disrupted (failure or withdrawal), and dissipated (non-enrollment) as qualitatively distinct momentum states rather than a single condition. Using a segmented binary logistic regression model with more than 26,000 first-time, full-time students across ten entry cohorts (2012–2021), we estimate differences in retention by mathematics outcome, course type, and cohort context. Results show a pronounced …

Teachers' Perspectives On Inclusive Education For Children With Special Needs, Abakah Francis, Ava-Gay Annakaye Morgan, Emmanuel Ogheneovo Sodje, Francis Dugbartey, Gabriel Lagbel, Okezie Chika Chibundu

Educational Leadership & Workforce Development Faculty Publications

Inclusive education is widely recognized as a key approach to ensuring equitable access to quality education for children with special needs, requiring teachers to possess adequate knowledge, skills, and supportive resources. In the Nigerian context, particularly in private schools, gaps in teacher training, limited resources, and insufficient institutional support continue to hinder the effective implementation of inclusive education practices. This study investigates teachers' perspectives on inclusive education for children with special needs in Nigerian private schools. The primary purpose is to assess teachers' understanding of inclusive education, their familiarity with effective teaching strategies, and their preparedness to implement inclusive practices. …

The Presidential Address To The Association For Career And Technical Education Research: Cte Research Ecosystem Growing Scholars And Workforce Capacity, Michelle E. Bartlett

Educational Leadership & Workforce Development Faculty Publications

Career and Technical Education (CTE) research has advanced knowledge, strengthened communities, informed policy, and expanded pathways to opportunity for decades. As ACTER begins a new chapter, we are invited to imagine the future of our field beyond a linear pipeline. We can embrace a view of CTE research as a living ecosystem that grows talent, supports collaboration, and sustains discovery over time. This presidential address emphasizes three priorities for that future: applied research that reaches practice, mentorship that nurtures the next generation of scholars, and partnerships that ensure knowledge becomes action. By centering learners and communities in our work, we …

Infusing Authenticity Into A Service-Learning Program: Examining Long-Term Impacts On Professional Development, Mohan Yang, Jonathan Harbor, Belle Li, Jacqueline Nikiema

Educational Leadership & Workforce Development Faculty Publications

Purpose

The employability of postgraduate students remains a critical concern in higher education, as postgraduate programs, particularly at the doctoral level, traditionally focus on disciplinary and research competencies. This leads to a lack of adequate preparation for employment, especially for non-academic roles. This study examines the long-term impacts of an authentic service-learning program on trainees' professional lives, with a particular emphasis on academia. This addresses the need for insight into the long-term impacts of initiatives that enhance postgraduate programs with opportunities for students to acquire transferable competencies prior to entering employment.

Design/methodology/approach

We adopted a narrative inquiry approach to investigate …

Debt Decisions: The Effects Of Paying For College In The United States With Student Loans, Kim E. Bullington, David J. Thomas, Minghui Hou, William L. Nuckols, Dennis E. Gregory, Joshua L. Howell, Kaycee L. Bills, Amy-Leah Joaquim

Educational Leadership & Workforce Development Faculty Publications

Student loans have increasingly become a burden on individuals. This qualitative analysis explores how structural inequities and financial literacy gaps influence US student loan borrowers’ decisions to finance postsecondary education. The study highlights racial and economic disparities, examining participants’ reflections on debt aversion and systemic barriers to equitable access. We asked why participants took out federal student loans, asked about their decision processes when taking on debt, whether participants took any action to reduce accumulated debt, and if they’d made any discoveries about their decisions to take on student loan debt. After coding and a thematic analysis, five themes and …

Uncertainty-Guided Test-Time Optimization For Personalizing Segmentation Models In Longitudinal Medical Imaging, Jaehee Chun, Austin Castelo, Mckell Woodland, Caleb O'Connor, Mais Al Taie, Mohamed Eltaher, Aashish Gupta, Bilel Daoud, Shanli Ding, Jeddy Bennett, Anirban Maitra, Matthew A Firpo, Kimberly Kirkwood, Eugene J Koay, Kristy K Brock

Faculty, Staff and Student Publications

Background: Accurate and consistent image segmentation across longitudinal scans is essential in many clinical applications, including surveillance, treatment monitoring, and adaptive interventions. While personalized model adaptation using patient-specific prior scans has shown promise, current approaches typically rely on fixed training durations and lack mechanisms to determine optimal stopping points on a per-patient basis, particularly in the absence of validation labels.

Purpose: We propose an uncertainty-guided test-time optimization (TTO) framework that dynamically adjusts the personalization duration for each patient using a validation-free stopping criterion based on predictive uncertainty.

Methods: Our framework personalizes a generalized segmentation model using patient-specific prior imaging and …

Outcomes Of Patients With Melanoma Brain Metastases Treated With Ipilimumab And Nivolumab With Or Without Upfront Comprehensive Stereotactic Radiosurgery, Troy J Kleber, Denái R Milton, Subhiksha Srinivasan, Bikash Panthi, Warren Floyd, Eric A Goethe, Michael A Davies, Hussein A Tawbi, Isabella C Glitza Oliva, Diana Kaya, Jing Li, Todd A Swanson, Subha Perni, Martin C Tom, Chenyang Wang, Sujit Prabhu, Jeffrey S Weinberg, Ian E Mccutcheon, Caroline Chung, Sherise D Ferguson, Thomas H Beckham

Faculty, Staff and Student Publications

Background: The efficacy of ipilimumab and nivolumab (ipi/nivo) for melanoma brain metastases (MBMs) has been previously reported, leading to uncertainty regarding the optimal role of comprehensive stereotactic radiosurgery (cSRS). We therefore conducted a single-institution retrospective study to compare outcomes of upfront versus deferred cSRS for MBM treated with ipi/nivo.

Methods: We identified patients who started ipi/nivo for newly diagnosed MBMs between 2018 and 2023, with or without upfront cSRS. Patients with >15 MBMs, leptomeningeal disease, or whole-brain radiotherapy at baseline were excluded. Outcomes were compared using multivariable regression and reported as adjusted hazard ratios (aHRs) with 95% CIs.

Results: Of …

Reply To: Late Nonrelapse Mortality: A Hidden Risk In Triplet Therapy For Idh-Mutated Aml?, Jennifer Marvin-Peek, Courtney D Dinardo

Faculty, Staff and Student Publications

No abstract provided.

Metastasis-Directed Radiotherapy For Oligometastatic Urothelial Carcinoma Of The Bladder And Upper Tract, Patrick Carriere, Omar Alhalabi, Jianjun Gao, Amishi Shah, Sangeeta Goswami, Matthew Campbell, Ruitao Lin, Lauren Mayo, Osama Mohamad, Karen Hoffman, Henry Mok, Charmaigne Lozano, Ashish Kamat, Neema Navai, Kelly Bree, Byron Lee, Charles Guo, Michael Rooney, Chad Tang, Seungtaek Choi, Comron Hassanzadeh

Faculty, Staff and Student Publications

Background: Metastasis-directed therapy (MDT) for oligometastatic cancer is utilized for genitourinary malignancies including prostate and kidney cancers. Clinical research on MDT for urothelial carcinoma (UC) remains sparse, especially as systemic therapy advances have improved outcomes.

Objective: We investigated the role of MDT, specifically radiotherapy, for patients with oligometastatic bladder or upper-tract UC.

Methods: Data were collated on patients with metastatic UC with 5 or fewer metastatic sites undergoing MDT with ablative radiotherapy with or without preceding systemic therapy during January 2016 to July 2024. Endpoints were progression-free survival (PFS), and overall survival (OS). Cox proportional hazards analysis was conducted to …

The Effects Of Fitness Self-Testing With Instant Feedback On Changes In Health-Related Fitness Among Chinese Male College Students, Yongshun Wang, Xiaofen D Hamilton, Rulan Shangguan, Anlu Yang, Na Xiao, Chenhao Wu, Sizhe Liu, Ren Yang, Jiren Zhang, Mark F Hamilton

Faculty, Staff and Student Publications

Background: The decline in health-related physical fitness resulting from physical inactivity remains a critical global public health concern. Technology-supported fitness self-testing has the potential not only to improve students' testing experiences but also to enhance their health-related fitness. However, the effectiveness of such approaches has not yet been systematically examined, and their validity within university populations remains largely unestablished.

Method: A quasi-experimental research design with a control group (n = 45) and an experimental group (n = 44), incorporating pre- and post-tests, was employed in this study. The experimental group completed monthly self-testing sessions accompanied by GAI-generated instant feedback over …

A Multidisciplinary Transitional Care Bundle To Reduce Hospital Readmission In Patients With Heart Failure: A Quality Improvement Project, Pearl Zehua Stahler

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Heart failure (HF) is associated with substantial morbidity, mortality, healthcare utilization, and risk of unplanned hospital readmission. Gaps in structured discharge planning and post-discharge follow-up may contribute to preventable readmissions. Purpose: This quality improvement (QI) project aimed to implement a multidisciplinary transitional care bundle to strengthen care coordination, improve the post-discharge pathway, and reduce unplanned heart failure hospital readmissions (UHFHR). Methods: The project included 20 adults hospitalized with HF in a 56-bed telemetry unit in a South Texas acute care hospital. The eight-week intervention included social determinants of health (SDoH) assessment, nursing-led discharge education, HF clinic follow-up within 14 …

Improving Hpv Vaccine Series Completion Rates Among Adolescents In A Primary Care Clinic, Emily K. Nettle

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction

Human Papillomavirus (HPV) vaccination prevents HPV related cancers, yet completion rates remain below state (Texas) and national goals. At the selected primary care clinic, 42% of adolescents aged 15-18 years had completed the HPV vaccine series as of October 2025. This quality improvement project aimed to improve HPV vaccine initiation and follow-up dose scheduling through a culturally tailored, multilevel intervention.

Methods

Guided by the Plan-Do-Study-Act framework, an eight-week intervention included bilingual education for adolescents and caregivers, provider education, electronic health record (EHR) prompts, and digital reminders. Baseline data from an eight-week period in 2025 were compared with intervention data …

Summoning Firms: Promoting Democratic Stability And Economic Prosperity In Times Of Constitutional Crisis, Jon D. Michaels

Emory Business Law Review

No abstract provided.

Illiberal Democracy, Merger Regulation, And Corporate Capture, Brian Jm Quinn

Emory Business Law Review

This Essay examines how the second Trump Administration has weaponized merger regulation and regulatory approval processes as tools of corporate capture in service of democratic backsliding toward an illiberal regime. Drawing on theoretical frameworks of competitive authoritarianism and illiberal democracy, this paper demonstrates how discretionary regulatory authority combined with weakened enforcement mechanisms creates opportunities for grand corruption that systematically undermines liberal democratic institutions.

This Essay accomplishes three primary objectives. First, it establishes the essential characteristics of illiberal regimes which maintain the facade of democratic institutions while systematically skewing the political playing field through selective enforcement and regulatory capture. Second, it …

Justice On Trial: Integrating Ethics In Law School Advocacy Courses, Veronica J. Finkelstein

Emory Business Law Review

The rule of law depends not only on legal doctrine and institutional design, but on the daily ethical choices of the lawyers who operate within the adversarial system. Trial lawyers, in particular, wield extraordinary power courtroom outcomes, yet law schools too often train future advocates to perform persuasive techniques without meaningful engagement with the ethical obligations that constrain those techniques and the lawyers who wield them. This article argues that the persistent separation between trial advocacy education and legal ethics instruction leaves law students ill-prepared for the moral complexities of litigation and threatens public confidence in the justice system.

Tracing …

Pharmaceutical-Telehealth Confederacies, Michelle Onder, Michael S. Sinha

Emory Business Law Review

Access to prescription pharmaceuticals has historically been controlled by a physician’s pen. As a result, pharmaceutical companies spend billions of dollars on advertising and promotion to mitigate this barrier: first and primarily, to physicians and other prescribers, and more recently, to the general public through direct-to-consumer advertising. The success of these promotional efforts can be seen in the greater prescribing of costly brand-name medicines, even in settings where lower-priced, comparably efficacious generic alternatives exist. Brand-name prescriptions now make up only 10% of all prescriptions written yet account for 88% of drug spending. Despite these substantial returns on investment, companies continue …

Fallen Unicorns, Xuan-Thao Nguyen

Emory Business Law Review

Tech unicorns, from healthcare, teledentistry, space, ecommerce, trucking logistics, pre-owned cars, wearables, design, image search, to home-building sectors, receive effusive praises and secure enviable venture capital investments. Very soon after garnering notoriety, these unicorns die. This Article theorizes why unicorns suddenly collapse shortly after they have achieved the mythical status of being the rare tech startups with valuations of one billion dollars or more. With an in-depth case study of fallen unicorns, the Article identifies and examines the reasons for their tragic deaths, offering a critique of the fear of missing out (FOMO), overfunding, and irrational exuberance investors heaped on …

Scrappy Or Strategic? Law Firm Decision-Making In Light Of Executive Orders, Nancy B. Rapoport

Emory Business Law Review

Some of President Donald J. Trump’s early 2025 Executive Orders targeted specific law firms.  These Executive Orders have created a stir within our legal community.  Why did some firms fight those Executive Orders and other firms agree to quick settlements with the Trump administration?  In this article, I use some rudimentary concepts taken from game theory (as in, “I won’t use numbers or mathematical proofs,” so I expect actual game theorists to roll their eyes at my analysis) to analyze two games:  the game of “who within the firm will decide whether to fight or settle” and the game of …

Reconciling Faith And Modernity: The Sociocultural Dynamics Of Jadidism As An Islamic Reformist Movement In The Russian Empire, Meltem Akıncı, Zhanerke Nyshanbay

Occasional Papers on Religion in Eastern Europe

This study examines the Jadidist movement as a fundamental sociocultural and religious- reformist phenomenon that redefined the intellectual, spiritual, and educational landscape of the Turkic-Muslim populations within the Russian Empire and Central Asia. Moving beyond traditional historical narratives, this article analyzes Jadidism through the lens of sociological theories of modernization, cultural identity, and transnational intellectual exchange, placing special emphasis on its Islamic reformist core. By integrating Western secular pedagogical models with indigenous Islamic renewal discourse, Jadidists attempted to navigate the delicate tension between religious tradition and modern demands. The research investigates the institutional development of "Usul-i Jadid" schools, the role …

Unsafe2safe: Controllable Image Anonymization For Downstream Utility, Minh Dinh

Dartmouth College Master’s Theses

Large-scale image datasets frequently contain identifiable or sensitive content, raising privacy risks when training models that may memorize and leak such information. We present Unsafe2Safe, a fully automated pipeline that detects privacy-prone images and rewrites only their sensitive regions using multimodally guided diffusion editing. Unsafe2Safe operates in two stages. Stage 1 uses a vision--language model to (i) inspect images for privacy risks, (ii) generate paired private and public captions that respectively include and omit sensitive attributes, and (iii) prompt a large language model to produce structured, identity-neutral edit instructions conditioned on the public caption. Stage 2 employs instruction-driven diffusion editors …

Reward-Based Gamification: Evaluating Game Mechanics That Promote The Implementation Of Personal Device Security Measures, Leah Lynne Branstetter

Dartmouth College Master’s Theses

Many everyday computer users lack the cybersecurity knowledge and motivation necessary to secure their personal devices. To better understand these barriers, we conducted an initial study with nine participants who were asked to complete simple laptop security tasks, such as reviewing firewall settings. We found two primary challenges: participants were unfamiliar with basic security features, and many expressed low motivation to engage in security practices even after learning about them. To address the motivational barrier, we developed a beginner-friendly cybersecurity game designed to reward users for completing real device security tasks. We compared this reward-based game to a version of …

Anti-Domestic Violence In China: Re-Accessing The Public Value Of Individual Experience, Xiaoran Tang

Dartmouth College Master’s Theses

In December 2019, Kim Lee, a symbolic figure in China’s anti-domestic violence (ADV) movement, publicly stated on the Chinese social media platform Weibo that she forgave her ex-husband Li Yang, sparking widespread controversy.

Drawing on Joan W. Scott’s method of examining experience, this study analyzes Kim’s case within the broader historical development of China’s ADV movement. It traces how Kim’s personal experiences and public images were continuously constructed, interpreted, and reshaped across different stages of the movement. This study finds that Kim’s experiences became public knowledge through the social, legal, and institutional processes that framed her as a domestic violence …

The Backside Of The Pond, Wendy Murphy

Dartmouth College Master’s Theses

The Backside of the Pond is a collection of personal essays that braid lived experiences with academic inquiry, exploring a variety of themes and the transformative power of reflective writing. Anchored in the geography of Occom Pond, on the northside of the Dartmouth College campus, the collection uses this familiar landscape as both refuge and metaphor.

The thesis also examines the ethics and craft of writing creative nonfiction, considering the tensions between emotional truth and the fallibility of memory. The essays trace moments of clarity, frustration, humor, grief, and renewal. Together, they offer an inquiry into how humans create meaning: …