Digital Commons Network^™

Defining Consensus‐Based Components For Integrating Dietitians Into Primary Dental Care For Paediatric Populations: A Delphi Study, Lauren Hallewell, Raul Bescos, Zoe Brookes, Robert Witton, Patricia Casas‐Agustench

School of Health Professions

Background: Diet is a modifiable risk factor linking oral and systemic health, contributing to dental caries and weight-related outcomes (including underweight, overweight and obesity) in the paediatric population. However, dietary advice provided by dental professionals in primary dental care is often brief and sugar-focused, representing a missed opportunity to address shared risk factors. Integrating dietitians into primary dental care may support more holistic paediatric preventative care. Objective: To develop expert consensus on the components required to integrate dietitians into primary dental care to address diet as a common risk factor in paediatric oral health and weight-related outcomes. Methods: A three-round …

Spatial Evolution In Temporal Dynamics Of Hemodynamic Response Function In Human Superior Colliculi With Ultra-High-Resolution Mri At 9.4t, Nooshin J Fesharaki, Artemy Vinogradov, David Ress, Jung Hwan Kim

Faculty, Staff and Student Publications

The superior colliculus (SC) plays a crucial role in multisensory integration, visual information processing, saccadic target selection, visual selective attention, and decision making. In particular, the SC has a key role in oculomotor coordination, following a rostro-caudal organization. The rostral SC, which corresponds to foveal representation, is linked to fixation, microsaccades, smooth pursuit, and vergence adjustments. In contrast, the caudal SC, representing more peripheral visual field, is associated with the large gaze shifts (saccades). However, evidence regarding whether this functional gradient is preserved in the human SC remains limited. In this study, we employed a sequence-following visual-motor task to specifically …

Polyfluoroalkyl Substances And Altered Glucose Homeostasis In Adolescents Following Bariatric Surgery, Elizabeth Costello, Brittney O Baumert, Zhenjiang Li, Vishal Midya, Shudi Pan, Justin R Ryder, Thomas H Inge, Todd M Jenkins, Stephanie Sisley, Stavra A Xanthakos, Anita Courcoulas, Douglas I Walker, Nikos Stratakis, Damaskini Valvi, Scott M Bartell, Angela L Slitt, Rohit Kohli, Sarah Rock, Michele A La Merrill, Sandrah P Eckel, Max T Aung, Rob Mcconnell, David V Conti, Lida Chatzi

Children’s Nutrition Research Center Staff Publications

Objectives: Bariatric surgery is an effective treatment for severe obesity and associated metabolic comorbidities. Exposure to polyfluoroalkyl substance (PFAS) before bariatric surgery may attenuate improvements in glucose metabolism and explain some of the heterogeneity in post-surgery outcomes.

Design: This is an observational cohort study.

Methods: Adolescents (n = 186) enrolled in the Teen-Longitudinal Assessment of Bariatric Surgery study were included. Eight-PFAS congeners were measured in plasma before surgery. Linear and logistic regressions were used to examine cross-sectional associations between log2-transformed PFAS (ng/mL) and fasting glucose, insulin, hemoglobin A1c (HbA1c), and homeostatic model assessment for insulin resistance (HOMA-IR). Linear mixed …

Corticotropin-Releasing Factor Neurons In The Bed Nucleus Of The Stria Terminalis Modulate Avoidance Behaviors And Feeding, Juan Manuel Romero, Shae-Marie Stafford-Trujillo, Mitzy Mendoza, Pey-Shyuan Chin, Snigdha Srivastava, Mikhail Kochukov, Qingchun Tong, Benjamin Russell Arenkiel

The Brown Foundation: Institute of Molecular Medicine

Introduction: Animals rely on defensive avoidance of exposed or potentially threatening environments as a fundamental survival strategy, often expressing this behavior as thigmotaxis, or a preference for the periphery of an open space. However, researchers still do not understand how neural circuits coordinate avoidance behavior with competing physiological drives such as feeding. In this study, we investigate how corticotropin-releasing factor (CRF)-expressing neurons in the bed nucleus of the stria terminalis (BNST) integrate environmental avoidance and feeding behavior.

Methods: We used adult male and female mice and applied fiber photometry to monitor BNST CRF neuronal activity in vivo. We performed both …

The Southeastern Librarian 73(4) Winter 2026 (Full Issue)

The Southeastern Librarian

No abstract provided.

Accessibility Services And Support In Small And Rural Academic Libraries, Robert M. Amerson, Deborah Tritt Harmon

The Southeastern Librarian

This exploratory study examines how small and rural academic libraries support students with disabilities. While grounded in a professional commitment to equitable service, these libraries often face challenges, such as limited staff, aging infrastructure, and stagnant funding. Survey results from 38 librarians reveal a strong dedication to accessibility, despite institutional constraints. Respondents identified barriers, such as insufficient training, inadequate resources, and minimal collaboration with campus disability offices. However, many also reported implementing personalized, student-centered services and cited the advantages of flexibility and close student relationships in small academic settings. The findings underscore the need for tailored support, increased training opportunities, …

Critical Connections: The University Of Tennessee And Oak Ridge From The Dawn Of The Atomic Age To The Present, Camille Mccutcheon

The Southeastern Librarian

Lee Riedinger, Al Ekkebus, Ray Smith, and William Bugg

Knoxville: University of Tennessee Press, 2024

ISBN: 9781621906544

488 pp. $39.95 (Hbk)

Improving Efficiency In Noma Schemes Having Inter-User Interference Using Mechanism Design, Zory Marantz

Publications and Research

Modern wireless systems utilize non-orthogonal multiple access to increase their rate capacities; however, the efficiency of the individual utility defined in bits per Joule has yet to be considered. Multiple variations of non-orthogonal multiple access have the interference of the signal-to-interference-plus-noise ratio as a function of the received power from multiple other users due to code implementations that are non-orthogonal or non-ideal cancellation in successive-interference-cancellation methods. Game theoretic concepts are used to improve user bits-per-Joule performance. Previous solutions increment transmit power and are not based on closed form systematic methods. The mechanism design presented here led to a non-cooperative Nash …

Reclaiming Agency: Ai Hallucinations And Translingual Interrogations In The City Tech Writing Center,, Joseph Franklin, Anna Laura Falvey

Publications and Research

No abstract provided.

Ancient Wisdom & Its Cultural Relevance: Reimagining Deeper Learning In Science Classrooms Through The Lens Of Yoga And Vedānta, Raaghav Pandya

Publications and Research

Contemporary calls to reconceptualize how science is taught and understood have brought deeper learning to the forefront of education at-large for its emphasis on critical perspectives, creativity, and student-centered inquiry. Yet this paper argues that its prevailing framework remains constrained by Cartesian dualism, a materialist foundation that disassociates the individual from self, other, and nature, and falls short of addressing the mental health, environmental, and cultural challenges facing youth today. To address this limitation, this paper proposes a complementary convergence between deeper learning and the contemplative traditions of Yoga and Vedānta, whose ancient paradigms of self-inquiry, interconnectedness, and well-being offer …

From Passive To Powerful: Creating Engaging Resident-As-Teacher Modules, Anna E Rueda, Stephanie V Sherman, Sherita J Love, Glenn C Bridges, Wesley A Mayer, Mark J Harbott, Teri L Turner, Bani M Ratan

Faculty and Staff Publications

Background: We aimed to design, implement, and evaluate three novel institutional resident-as-teacher (RAT) e-modules for postgraduate year (PGY) 1, 2, and 3 and compare them to previously utilized online trainings.

Methods: We utilized PICRAT, a model examining both students' relationship with technology (passive, interactive, creative) and instructors' use of technology (replaces, amplifies, or transforms) to create interactive experiences that amplified teaching methodologies. We compared evaluations of the previous and new trainings with an unpaired t test. New modules were assessed with one-way analysis of variance for specialty-based acceptability and content analysis of two open-ended questions.

Results: Response rates averaged 93.2% …

Role Conflict And Role Ambiguity Amongst U.S. Black Women In Executive Leadership: A Qualitative Phenomenological Study, Alyssa D. Claybrooks

Theses and Dissertations

Many Black women in executive leadership roles in corporate and/or business settings are being undermined, underpaid, overworked, and excluded despite their tenure or executive-level positions. This qualitative phenomenological study explored role conflict and role ambiguity experienced by Black women serving in executive leadership roles in corporate or business settings in the United States. The lived experiences, as described in narrative accounts, provided a platform for Black women to voice their stories, struggles, triumphs, and aspirations and offer insights into the broader context of role conflict and role ambiguity for Black women in executive leadership. The theoretical underpinnings of role theory, …

¡Salud! Sacrificing The Sacred Sip: A Critical Analysis Of The Impact Of The Spiritual Conquest On Alcohol Traditions In Central México, Elizabeth Vilchis

Graduate Theses/Dissertations

By thoroughly investigating the available primary sources, this thesis will convey the importance of the Mesoamerican inebriating drink pulque in both the ethos and mythos of ancient Nahua society, examining how the ritual use of pulque became problematic in the eyes of the Spaniards, by investigating the cultural and ideological contradictions or double standards that enabled the tensions, struggles, and violence with which the Spanish colonial regime repressed the ritual use of pulque. This thesis compares the Nahua ethos and mythos of pulque to the Christian ethos and mythos of wine, highlighting the parallels perceived by Spaniards in Central México …

Exploring Factors Mediating White-Nose Syndrome In Little Brown Bats, Carly R. Trujillo

Graduate Theses/Dissertations

The little brown bat (Myotis lucifugus) has experienced drastic population declines across North America due to the recent disease white-nose syndrome (WNS). Previous studies have identified putatively adaptive alleles (PAAs) that may give individuals a greater likelihood of survival. However, there could be geographic-specific adaptation, creating different adaptive landscapes. Additionally, there may be energetic trade-offs between disease survival and reproductive output, and it is not clear what the long-term survival outcomes for the species may be as a result. Long-term evolutionary outcomes are unclear because this species has a lifespan exceeding the arrival of WNS and is difficult …

Flood-Regime Shifts Across The Lower Midwest, Usa: Identifying Patterns Through Flood Magnitude–Frequency Analysis And Clustering, Kaiser Mostafiz

Graduate Theses/Dissertations

Flood regimes describe how flood behavior changes in magnitude, recurrence, and occurrence through time. Changes in these flood characteristics can affect flood hazards, river systems, infrastructure, and floodplain management. This thesis examines flood-regime change across the Lower Midwest, focusing on Nebraska, Iowa, Kansas, and Missouri from 1961 to 2020. Records from 1,452 U.S. Geological Survey gaging stations were initially compiled, and 208 stations were retained after screening for record availability and analytical consistency. Flood-regime change was evaluated between two 30-year study periods: Period 1 (1961–1990) and Period 2 (1991–2020). The analysis combined Log-Pearson Type III flood-frequency analysis using L-moments in …

Healthcare Students' Perspective On The Clinical Placement Learning Environment: A Cross-Sectional Study Of Third- And Fourth-Year Students At A College Of Health Sciences In The Uae., Wuni Abdul Razak, Fatima Alrayssi, Arwa Alkarbi, Latifa Al Saedi, Suliman Salih, Ajnas Alkatheeri, Mohamed Hassaneen, Mohd Nazmi Nordin, Mbambo Collen, Emne Hammoud, Shaik Balkhis Banu, Monika Sachdeva, Noon Kamil

Health Professions Education

Purpose: This study evaluates the clinical placement learning environment from the standpoint of Year 3 and Year 4 healthcare students in the UAE. Methods: The perspectives of healthcare students on clinical learning environments were studied using the validated Undergraduate Clinical Education Environment Measure (UCEEM). Third- and fourth-year (fifth-year pharmacy students inclusive) undergraduate healthcare students (radiography and medical imaging, emergency health, midwifery, nursing, pharmacy, physiotherapy, and psychology) (n=647) at a United Arab Emirates university were invited to participate in the study. The UCEEM contains 25 items under two overarching aspects, experiential learning and social engagement, with four subscales: learning opportunities at …

The Role Of Application Questions In Identifying Underrepresented Applicants In A Doctor Of Physical Therapy Program: A Retrospective Cross-Sectional Study, Michael Bourassa, Allison Bourassa, Saurabh Mehta

Health Professions Education

Purpose: The underrepresentation of U.S minority groups in the physical therapy profession remains a persistent challenge, with student enrollment in U.S doctoral education programs being the main pipeline to increase representation within U.S healthcare fields. This study aims to examine the association between non-academic application questions and applicant diversity in a Doctor of Physical Therapy program. Methods: The main outcomes measured in this study include demographic and cognitive variables, as well as non-academic application questions, for a single DPT program admissions cycle. Demographic variables include race, gender, and age, while cognitive variables include GRE scores and GPA. General non-cognitive question …

Effectiveness Of 3d-Printed Models In Undergraduate Dental Endodontic Education: A Systematic Review., Razi Jalali, Shankargouda Patil, Frank W Licari, Kamran H Awan, Shilpa Bhandi

Health Professions Education

Purpose: With the development of flexible polymers and stereolithography, 3D printed models have been proposed for dental education to overcome the shortcomings of extracted natural teeth and artificial resin blocks. This review aimed to systematically review the literature available for the effectiveness of the use of 3D printed tooth models for undergraduate endodontic education. Methods: Based on the inclusion and exclusion criteria, PubMed, Scopus, Web of Science, and Google Scholar electronic databases were searched. Clinical studies with full-text articles available in the English language were selected. Data extraction, risk of bias assessment using the ROBINS-I tool, and assessment of the …

Exploring Job Stressors And Burnout Among Core Faculty In Entry-Level Physical Therapist Education Programs: A Convergent Mixed Methods Study, Jj Ferguson, Adam Fritsch, Jodi L. Young

Health Professions Education

Purpose This study explored burnout among core faculty in Doctor of Physical Therapy (DPT) programs, identifying its most prevalent aspects and key organizational correlations. Methods A convergent parallel mixed-methods design integrated quantitative data from the Maslach Burnout Inventory–Educators Survey and the Areas of Worklife Survey with qualitative data from semi-structured interviews. Data were collected concurrently, analyzed independently, and merged during interpretation. Quantitative analyses used multiple linear regression, while qualitative data underwent thematic analysis. Results Eighty-one faculty completed the survey and 20 participated in interviews. Emotional exhaustion emerged as the most prevalent burnout dimension, with 51.9% reporting moderate to high levels. …

Assessing The Effectiveness Of The Well-Being Through Occupational Participation (Wbop) Intervention In Promoting Well-Being In Occupational Therapy Students From A Philippine University: A Convergent Mixed-Methods Study, Elena Wong Espiritu, Maria Concepcion Dc. Cabatan, Guia Allyza D. Rabacca, Marlowe Eriberto P. Acuña Jr, Jay Allen B. Villon, Peñafrancia E. Ching

Health Professions Education

Purpose: Filipino occupational therapy students experience decreased well-being during their educational experience. However, there is a limited amount of literature describing their well-being and a scarcity of culturally specific interventions to promote student well-being. The Well-Being Through Occupational Participation intervention is an evidence-based, manualized program consisting of a variety of occupation-based activities. The objective of this study aimed to assess the effectiveness of a modified version of the intervention in promoting undergraduate Filipino occupational therapy student well-being.

Methods: A convergent mixed-methods approach was used, specifically longitudinal survey for the quantitative design and qualitative descriptive for the qualitative design. Data was …

Development Of A Faculty-Led Program To Improve Npte Readiness, Yaqiong Wang, Marlon Addison, Michael Hauber, Rachel Mcgraw, Karen Bock, Brendon Stewart

Health Professions Education

Purpose. The National Physical Therapy Examination (NPTE) is a multiple-choice examination that Doctor of Physical Therapy (DPT) students must pass to obtain licensure as physical therapists in the United States. Recent national data show a concerning decline in first-time pass rates, dropping from 91% in 2020 to 82% in 2025.¹ This downward trend is also reflected at our university. These findings underscore the need for effective strategies to enhance NPTE preparation. Therefore, the purpose of this study is to: 1) Describe a scaffolded model of faculty-guided exam preparation, designed to enhance students’ success on the NPTE during the months …

Attitudes Toward Dementia Among Nursing Students: A Cross-Sectional Study, Ngoc Ha Vo Thi, Thuy Nga Tran Thi, Ngoc Sen Hoang Thi

Health Professions Education

Purpose: Dementia is the loss of cognitive function, including thinking, memory, and communication, due to brain disorders. The global prevalence of dementia is increasing, affecting younger populations. Caring for individuals with dementia requires preparedness to manage behavioral and psychological symptoms. As future healthcare providers, nursing students are expected to have the necessary knowledge and attitudes to support dementia patients. To describe nursing students' attitudes toward dementia and explore related factors.

Methods: A cross-sectional study was conducted on 520 nursing students at Da Nang University of Medical Technology and Pharmacy. A structured questionnaire assessed demographic characteristics, academic information, knowledge, and attitudes …

A Pilot Study In Student Perceptions Of Technology-Enhanced Learning In Dpt Education, Pamela Bartlo, Michael Seils, Michael Policella

Health Professions Education

Purpose. Doctor of Physical Therapy (DPT) students have grown up immersed in technology, which may influence how they learn. Technology-Enhanced/Enriched Learning (TEL) refers to technology used in face-to-face, online, or hybrid learning environments. Limited research has examined TEL within DPT education programs. This study investigated DPT students’ experiences with TEL and compared its impact to traditional lecture-based learning (TLBL) on classroom participation, engagement, and comprehension.

Methods. This cross-sectional, mixed-methods study used a convenience sample of DPT students at a private university across three cohorts over two years. Inclusion criteria were completion of at least half of required degree coursework …

Are We On The Right Path? Finding Direction In Student Feedback At Mid-Semester: A Case Report., Tamara L. Buck, Michael Kiefer, Tom Cappaert

Health Professions Education

Background and Purpose Students receive feedback frequently; however, professors rarely receive, solicit, or process formative feedback. This work describes an innovative method to gather midsemester feedback to inform instructional changes for student learning and course engagement. Case Description Students provided feedback regarding the class’s strengths, weaknesses, and opportunities for improvements using a modified ICF Framework. The course was the condition, lectures: the body structure and function domain, labs: the activity domain, and course participation: the participation domain. Contextual factors were student/self and instructors. A qualitative analysis occurred with inductive methods to develop themes. The themes were organized using the green, …

Health Students’ Knowledge, Perceptions, And Willingness Toward Artificial Intelligence In Tackling Antimicrobial Resistance: A Cross-Sectional Study, Ikhwan Yuda Kusuma, Fauziah Fauziah, Afriza Pujiati, Dhiya Zulayta, Septi Nurkhasanah, Khamdiyah Indah Kurniasih

Health Professions Education

Background: Antimicrobial resistance (AMR) causes approximately 4.95 million deaths annually. Although artificial intelligence (AI) may enhance AMR detection, surveillance, and antimicrobial use, evidence remains limited regarding how health students’ knowledge, perception, and willingness influence AI adoption for AMR control.

Purpose: This study aimed to examine the direct and mediating relationships between health students’ knowledge, perception, and willingness toward AI-based approaches for combating antimicrobial resistance in Indonesia using structural equation modeling.

Methods: A cross-sectional study involving 4,369 health students across Indonesia was conducted using a validated questionnaire. Data on knowledge, perception, and willingness were analyzed using Structural Equation Modeling (SEM), SmartPLS, …

Mapping The Use And Psychometric Characteristics Of The Objective Structured Clinical Examination (Osce) In Musculoskeletal Physical Therapy Education: A Systematic Review, Luis Gómez Miranda, Tomás Reyes Amigo, Hernán Andrés De La Barra Ortiz

Health Professions Education

Purpose. Musculoskeletal disorders are a major cause of disability, underscoring the need for clearly defined and assessable competencies in physical therapy education. Although OSCEs are increasingly used in physical therapy programs, evidence regarding their design and psychometric properties is not yet fully characterized within musculoskeletal physical therapy education. This systematic review aimed to describe how OSCEs have been applied to assess musculoskeletal competencies in physical therapy education, summarize their structural characteristics and reported psychometric properties, and identify methodological gaps.

Method. A systematic review was performed according to PRISMA guidelines. Electronic searches were conducted in PubMed, Scopus, Web of Science, EBSCOhost, …

Reimagining Patient Interviews: The Effect Of Ai-Generated Chatbots On Dpt Student Engagement - A Case Report, Leslie M. Smith, Samantha Hsu, Peter F. Bodary

Health Professions Education

Background and Purpose: Artificial intelligence generated chatbots (AIGC) present new possibilities for physical therapist education, especially for self-directed learning and skill development. Their impact on Doctor of Physical Therapy (DPT) students’ communication and interviewing skills is still underexplored. This case report evaluates DPT students’ experiences and perceptions of AIGC in a case-based classroom activity. Case Description: Participants were first-year entry-level DPT students (n=64) enrolled in a 9-week critical thinking course. They practiced history taking and interview skills with seven patient cases using AIGC and completed a post-activity survey (n=59).

Outcomes: A total of 93.2% found AIGC relevant for learning patient …

Exploratory Study Of The Relationship Among Religiousness, Resilience, Grit, Calling, And Differentiation Of Self In Nursing Students, Christine L. Sommers, Yonathan Aditya, Grace Solely Houghty, Ihan Martoyo

Health Professions Education

Purpose: To explore the relationships between resilience, religiousness, grit, calling, and differentiation of self in nursing students.

Methods: A cross-sectional design with a questionnaire was used. A total of 434 nursing students currently enrolled in a nursing degree program completed the online questionnaire, for a response rate of 32.3%. The study used the Indonesian version of the following instruments: 1) CD-RISC 10; 2) Four Basic Dimensions of Religiousness; 3) 12-Item Grit Scale; 4) Brief Calling Scale; 5) Differentiation of Self.

Results: Most of the participants were female, enrolled in a Bachelor of Nursing program, and desired to be nurses to …

Firearm Violence In Health Care Professional Education In The United States: A Scoping Review., Kim D. Dao, Melissa D. Burgemeister, Sierra M. Hakanson, Audrey Rc Elias, Liana C. Wooten

Health Professions Education

Purpose: Despite widespread recognition of firearm violence (FV) as a public health crisis in the United States (US), gaps persist in understanding the education provided to health care professionals (HCPs) regarding prevention and management. This scoping review aimed to characterize FV education curricula for HCPs in the US, focusing on identifying target learners and understanding curricular content and implementation to inform future educational initiatives.

Methods: This scoping review was conducted according to Joanna Briggs Institute methodology for scoping reviews in PubMed, CINAHL, EMBASE, and Cochrane. Search terms included “health occupations”, “allied health personnel”, “gun violence/prevention”, “firearm violence/prevention”, “curriculum”, “education”, …

Clinical Spanish Instruction In Physical Therapist Education: A Quasi-Experimental Comparison Of Instructional Schedules, Rose M. Vallejo, Eric Kruger

Health Professions Education

Purpose: As the U.S. Hispanic population grows, patients with limited English proficiency encounter health disparities that compromise their care. As a result, clinical Spanish instruction in health professions education has become increasingly necessary to address these disparities. This study compared the effects of two instructional schedules: condensed (8-week) versus distributed (2-year), for a required clinical Spanish course in a physical therapist education program. A secondary aim was to implement a Spanish-language OSCE to assess functional communication proficiency.

Methods: Forty-eight students (mean age 25.0 ± 3.3 years; 54% female) from two consecutive cohorts received 16 hours of flipped classroom Spanish instruction. …