Digital Commons Network^™

Creating A Responsible Authorship Culture In Science: Anchoring Authorship Practices In Principles Of Transparency, Credit, And Accountability, Susan Wolf, Véronique Kiermer, Sofia Adams, Kirsten Bibbins-Domingo, Kathleen Hall Jamieson, Joerg Heber, Mohammad Hosseini, Ana Marušić, Beau Nielsen, Magdalena Skipper, Geeta K. Swamy, Yensi Flores Bueso

Articles

Authorship remains the primary currency of academic credit and a cornerstone of research integrity, yet current practices often fail to reflect the collaborative and interdisciplinary nature of modern science and questionable authorship practices persist. We argue that addressing these shortcomings is a collective responsibility shared by researchers, journals, research funders, scholarly societies, and research institutions. We examined authorship guidelines issued by journals and research institutions and found that their recommendations to researchers are highly variable. We propose that fostering a responsible authorship culture requires a shared, principle-based framework grounded in transparency, credit, and accountability. These three interconnected principles highlight when …

Designing Faculty Standards For Technology Integration In Higher Education Institutions: A Design-Based Research Study, Helen Crompton, Diane Burke, Christine Nickel

STEMPS Faculty Publications

This design-based research study responds to the call from scholars, organizations, and institutions to address the gap in scholarly knowledge regarding the lack of technology standards for faculty in higher education. These standards cover the three areas of faculty workload: teaching, research, and service. Conducted over two iterative macro cycles, this unique study engaged 114 participants, including faculty from a range of disciplines and institutional types, accreditation organizations and coordinators, and education and technology organizations. The outcome is a framework comprising six faculty standards; Instructor, Coordinator, Leader, Researcher, Learner, and Contributor. Each outcome is accompanied by practical indicators that support …

Perceived Hiv Risk, Barriers, And Preferences For Hiv Testing In Structurally Vulnerable Communities In St. Louis: A Best-Worst Scaling Survey, Emmanuel K Tetteh, Noelle Le Tourneau, Gregory Gross, Mckenzie Swan, Tyrell Manning, Justin Cole, Katie Wolf, Lawrence Hudson-Lewis, Julia D López, Todd Combs, Virginia R Mckay

2020-Current year OA Pubs

BackgroundPersistent gaps in efforts to end the HIV epidemic in the United States highlight the need for community-specific, evidence-based HIV testing strategies. This study investigated barriers and preferences around HIV testing among underserved populations, including Black, queer, and young adults in the St. Louis, Missouri area.MethodsWe conducted a Best-Worst Scaling (BWS) survey with adults (16+ years) recruited at community events, collecting responses electronically and providing a $25 incentive. The survey assessed the relative importance of 13 potential barriers to HIV testing such as stigma, structural barriers, and perceived HIV risk, chosen based on literature review and community input. Mean preference …

Use Of Transcranial Magnetic Stimulation As An Assessment Of Corticospinal Excitability In Individuals With Persistent Postural Perceptual Dizziness, Elizabeth Cornforth

Theses and Dissertations

Persistent postural-perceptual dizziness (PPPD) is a common, disabling, chronic vestibular disorder whereby individuals experience symptoms of non-vertiginous dizziness, unsteadiness, and sway or rocking that are present most hours of the day, most days of the week. Individuals with PPPD have been noted to have an increased burden of dizziness and reduced quality of life compared to other dizziness diagnoses. The cause of PPPD is not well understood which can lead to years of diagnostic testing, failed therapies, and poor symptom management. It is important to understand PPPD pathophysiology so that optimal treatment interventions can be developed for this disorder to …

Neurofilament Light Chain But Not Glial Fibrillary Acidic Protein Serum Levels Are Elevated In Wolfram Syndrome, Matthew J Jansen, Heather M Lugar, Cris M Brown, Abby F Tang, Liam J Oiknine, Ling Chen, Jonathan M Koller, Brian A Gordon, Bess A Marshall, Fumihiko Urano, Tamara Hershey

2020-Current year OA Pubs

BACKGROUND: Wolfram syndrome is a rare genetic disorder caused by pathogenic variants in the

OBJECTIVE: To determine if serum NfL and/or GFAP levels are elevated in Wolfram syndrome compared to controls and whether they can serve as monitoring biomarkers.

METHODS: Serum NfL and GFAP levels were log

RESULTS: NfL levels were higher in the Wolfram group relative to all control groups (

CONCLUSION: Serum NfL elevation in Wolfram syndrome may reflect the ongoing, relatively slow neurodegeneration occurring in this disorder. However, without any correspondence between serum levels and currently used clinical and neuroimaging metrics, it has limited utility as a …

Beyond Restless Sleep: A Cross-Sectional Study Of Obstructive Sleep Apnea Risk, Aging Biomarkers, And Chronic Low Back Pain, Khalid W Freij, Fiona Bat Agbor, Philemon Domoyeri, Kiari R Kinnie, Asia M Wiggins, Demario S Overstreet, Tammie L Quinn, Shivraj S Grewal, S Justin Thomas, Walid W Freij, Shameka L Cody, Michael A Owens, Robert E Sorge, Burel R Goodin, Edwin N Aroke

2020-Current year OA Pubs

This secondary data analysis aimed to determine the nature of the relationship between obstructive sleep apnea (OSA) risk, biological age acceleration, and nonspecific chronic low back pain (CLBP). In total, 199 adults aged 18-82 years who filled both STOPBANG and pain questionnaires subsetted for secondary analysis. Based on the STOPBANG questionnaire, 104 had a low OSA risk and 95 had an intermediate or high OSA risk. Dunedin Pace of Aging Computed from the Epigenome (DunedinPACE), Horvath's, Hannum's, PhenoAge, and GrimAge clocks were used to determine biological age and pace of biological aging. Individuals with low OSA risk reported increased DunedinPACE …

Lost Before Forgetting: Objective Driving Metrics Track Navigation Deficits Tied To Preclinical Alzheimer's Disease, Yiqi Zhu, Ramkrishna K Singh, Semere Bekena, David C Brown, Chen Chen, Matthew Blake, Jean-François Trani, Ganesh M Babulal

2020-Current year OA Pubs

BACKGROUND AND OBJECTIVES: Navigation is a complex, multisensory process in which subtle changes may emerge before the onset of symptomatic Alzheimer's disease (AD). This study investigated whether navigation abilities were associated with amyloid and tau pathology in cognitively normal older adults.

RESEARCH DESIGN AND METHODS: Among 285 cognitively unimpaired older adults, navigation and objective driving behaviors were assessed using the self-reported Santa Barbara Sense of Direction Scale (SBSOD) and a datalogger, respectively. Amyloid and tau burden were quantified using PET-MRI 2 years post-initial driving data collection. Linear mixed-effects models were used to evaluate the associations between biomarker status and longitudinal …

Marijuana, Marinol, And Chapter 11: The Federal Roadblock To Bankruptcy Protection, Grace Griggs

Oklahoma Law Review

No abstract provided.

Making Art For The Love Of The Game, Alissa Beth Burch

Graduate Studies Theses and Dissertations 2026

“Making Art for the Love of the Game” interweaves visual aesthetics from video games and associated online fan community practices with self-portraiture to reflect and process personal past medical trauma, a developmental period in online interactive environments, and showcases self-expressive fan content which joins an underrepresented and emerging sub-culture to contemporary art. Working through an interdisciplinary studio practice, combining printmaking, found-sticker collage, and painting refracts digital aesthetics found in online communities. I intentionally juxtaposed these physical modes of making with digital subjects to examine these subjects’ merit as artistic mediums.  It reflects a contemporary mode of art making, and acts …

Investigating The Association Between Polycystic Ovary Syndrome (Pcos) And Idiopathic Intracranial Hypertension (Iih): A Cross-Sectional Analysis, Savannah L. Adams

Graduate Studies Theses and Dissertations 2026

Polycystic ovary syndrome (PCOS) and idiopathic intracranial hypertension (IIH) are chronic conditions that disproportionately affect women of reproductive age and share several metabolic risk factors, including obesity, insulin resistance, and hormonal dysregulation. Despite growing clinical interest in a potential relationship between these conditions, limited research has examined awareness, knowledge, symptom presentation, and barriers to healthcare among young adult populations. The purpose of this study was to investigate awareness, knowledge, perceived healthcare barriers, and potential associations between PCOS and IIH among college-aged individuals. A cross-sectional survey was administered to students aged 18-25 at the University of Central Florida through classroom recruitment …

The Role Of Personality Traits In The Relationship Between Executive Functioning And Identity Dimensions, Faith Alexander

Graduate Studies Theses and Dissertations 2026

This study examined the mediating role of personality traits on the relationship between executive functioning (EF) domains and dimensions of identity development. A cross-sectional, correlational design was utilized. 364 participants (MAge = 20.03, SD = 4.11) completed self-report measures of EF, personality, and identity. It was hypothesized that the Big 5 personality traits would mediate associations between EF components (working memory, inhibitory control, and cognitive flexibility) and adaptive or maladaptive identity dimensions. Results indicated that conscientiousness partially mediated the relationship between working memory and identification with commitment, while fully mediating the relationship between working memory and commitment making, suggesting …

The Role Of Cultural Intelligence In Hotel Employee Engagement, Self-Efficacy, Job Satisfaction, Performance, And Intent To Stay, Meaad Eid F Almotairi

Graduate Studies Theses and Dissertations 2026

This research examined how Cultural Intelligence enhanced hotel employees’ engagement, self-efficacy, job satisfaction, performance, and intent to stay. CQ was defined as an individual’s capability to understand, adapt to, and work effectively in culturally diverse situations. This thesis utilized a quantitative methodology based on the Job Demands–Resources (JDR) model and self-efficacy theory. The study focused on the hospitality industry in Saudi Arabia, where increasing diversity has created a need for stronger cross-cultural skills among employees. Data were collected from hotel employees and managers to examine the relationships between CQ and key employee outcomes. The findings indicated that Cultural Intelligence significantly …

Un Lugar A Donde No Puedo Volver: Perteneciendo En La Distancia, Alberto J. Alonso

Graduate Studies Theses and Dissertations 2026

“A Place I Cannot Return To: Distance and Belonging” investigates how home is not limited to a fixed place, but instead a reconstruction sustained through memory and longing, which focuses on personal experiences of being away from Puerto Rico. I contribute to this broader dialogue by offering a deeply personal perspective shaped by the complexities of cultural belonging. Through photography, collage, and painting, my art practice reconstructs fragmented visual narratives of lived experience to explore homesickness, nostalgia, and displacement, examining how personal and shared histories become anchors to what continually slips away. Although I can physically return to Puerto Rico, …

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 …

In The Walls, Taylor S. Arnold

Graduate Studies Theses and Dissertations 2026

In the Walls is a collection of short and flash fiction that uses gothic and speculative elements to explore isolation, identity, gender roles, and experiences of women, including pressures of conformity and the persistent draw of the domestic. In “Poltergeist,” a scorned ghost discovers her supernatural abilities when her husband brings home a new woman. “Home For Sale,” an experimental story structured as a Zillow listing, contains the tale of a housewife’s psychological unravelling amid paranormal encounters in her family’s new home. The titular story, “In the Walls,” focuses on a woman who attempts to conform to a homemaker role …

The Uncanny And Uneasy: An Exploration Into Using Puppets To Share Dark Stories, Grace Auls

Graduate Studies Theses and Dissertations 2026

In this thesis, I will explore the role of puppetry and practical effects in evoking the uncanny and the uneasy as well as questioning the implications they have in dark theater and cinematic contexts. This paper will examine how puppetry and practical effects can contribute to potentially disturbing and dark imagery both on screen and in live theater. I will be focusing on looking at Jim Henson’s The Dark Crystal, as well as at different puppetry performances used in Voyage of the Little Mermaid (1992), Don’t Hug Me I’m Scared, Kirikou and the Sorceress (Kirikou et la Sorciere), and even …

Factors Influencing Feedback In A Problem-Based Learning Curriculum: A Mixed Methods Study In The Context Of Saudi Arabian Medical Schools, Abdulmohsen M. Alomair, John Sandars, Michelle Marshall, Pirashanthie Vivekananda-Schmidt

Health Professions Education

Purpose Even though there is extensive literature about good practice in feedback, it is currently unclear how to sustain a good quality feedback experience in a problem-based learning (PBL) curriculum. This research aims to explore students’ and tutors’ experiences of the feedback process in a PBL curriculum in the local context of Saudi medical schools, and to identify factors that influence perceived feedback quality. Method A mixed methods approach was adopted. First, 856 students from six medical schools completed a survey, followed by 12 student focus groups and 11 tutor semi-structured interviews across four schools. Results Verbal feedback was reported …

Reclaiming The Self: A Visual Narrative Of A Process Of Individuation Through Artistic Practice, Stacie Becker

Graduate Studies Theses and Dissertations 2026

Reclaiming the Self: A Visual Narrative of a Process of Individuation Through Artistic Practice features a multidisciplinary practice that uses visual narrative, metaphor, and symbolism to reconcile the complex intersections of internal and external identity-shaping experiences, informed by lived experience as a woman. Working across painting, mixed media, printmaking, book arts, sculpture, and restorative medical tattooing, the artist dissects the tension between internal identity and external expectations, addressing themes of gender roles, relationships, trauma, and agency. Various artistic methods serve not only as a process but also as a parallel for reclaiming, healing, and restoring an authentic, unashamed sense of …

It's All The Same, Lauren A. Bedevia

Graduate Studies Theses and Dissertations 2026

It’s All the Same is a collection of short stories that center around lesbian characters. The stories explore themes such as ambition, morality, karma, mental health, exploitation, and relationships. The collection opens with “Forget Her Inc.,” a short story that juggles an ensemble cast of lesbians and examines whether memory eraser therapy is an ethical practice for treating a broken heart. “It’s All the Same,” the titular story, uses lyricism to present the parallels between two women in terms of family dynamics, interests, and attachment styles; the story explores a loving friendship between a lesbian and a straight woman.

“Fun …

'But George Floyd Wasn't A Saint': A Critical Discourse Analysis Pre And Post George Floyd, Raya Berkley-Jacobs

Graduate Studies Theses and Dissertations 2026

May 25, 2020, George Floyd died at the hands of former police officer Derek Chauvin after he placed his knee on George Floyd’s neck for 8 minutes and 46 seconds. His death sparked outrage, protests, and calls for accountability, justice, and reform. This study addresses the impact of George Floyd’s death as a focusing event that created a policy window under which federal legislation was introduced as a response to his death. Drawing on Punctuated Equilibrium Theory and Social Construction Theory, the study utilizes a critical discourse analysis to test how the death of George Floyd impacted the amount and …

An Integrated Framework For Last-Mile Delivery Optimization Using Reinforcement Learning And Social Media-Based Traffic Prediction In Underdeveloped Megacities, Vasanth Bhat

Graduate Studies Theses and Dissertations 2026

Supply chain management has become increasingly critical as transportation costs rise and urban delivery systems place additional pressure on already congested networks. Last-mile delivery—the movement of goods from distribution centers to end users—represents the most expensive and operationally complex segment of the logistics process, particularly in underdeveloped megacities characterized by unpredictable traffic, limited infrastructure, and sparse real-time data. This dissertation proposes an integrated framework for optimizing last-mile delivery in such environments by combining social media–based traffic intelligence, machine learning, and deep reinforcement learning. The framework leverages unstructured, real-time data from social media platforms to enhance traffic prediction and incorporates these …

Professional Identity Development Among Nursing Students: The Impact Of Structured Reflective Practice, Abdelmonim El Fadely, Kamal Takhdat, Charaf-Eddine Ahraiba, Rahma Bouali, Sabah Selmaoui, Boujemaa Agorram

Health Professions Education

Purpose This study aimed to assess the impact of a structured reflective practice intervention on the development of professional identity among nursing students. Method A mixed-methods design was adopted. The intervention, based on guided reflective practice, was implemented with a voluntary sample of 58 participants. The evaluation relied on a quasi-experimental quantitative approach using the Macleod Clark Professional Identity Scale, with a comparison group and both pre-test and post-test measurements. A qualitative component was also included to explore the dimensions of the studied concept in greater depth. Results Quantitative findings showed a statistically significant difference between the post-test means (p < 0.001), indicating that the reflective practice intervention had a positive effect on the experimental group compared to the control group. The qualitative results further illuminated students’ reflections, which were organized into ten themes corresponding to the study’s conceptual framework: professional knowledge and skills, values and ethics, the nursing role, leadership, professional self-image, social image of the profession, sense of belonging, identification with role models, theory–practice integration, and career choice. These dimensions provided a comprehensive and nuanced understanding of professional identity, capturing the complexity of the concept. Conclusion These results support the integration of reflective practice as a pedagogical approach to fostering the construction and development of a positive professional identity. Professional identity, as a rich and multidimensional concept, goes beyond the process of professionalization—it represents its ultimate achievement.

Developing A Framework To Enhance Medical Student Well-Being: A Cross-Sectional Study Exploring The Interplay Between Stress, Resilience, And Quality Of Life, Omayma Hamed, Elshaimaa Ahmed, Lamiaa Mohsen, Patricia S. Sexton

Health Professions Education

Purpose: Medical training imposes significant stress on students, often leading to burnout, anxiety, and/or diminished quality of life (QoL). Resilience has been identified as a critical factor in mitigating these challenges. However, there is limited research examining how stress and resilience interact to shape QoL in undergraduate medical students. This study expands upon Lazarus and Folkman’s Transactional Model of Stress and Coping by introducing a synthesized framework that integrates resilience as both a mediator and moderator of stress, advancing the understanding of these relationships.

Methods: A cross-sectional study was conducted among 194 first- and second-year medical students at a private …

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 …

Factors Associated With Academic Outcomes And Leave Of Absence Among Health Professions Graduate Students, Laura Plummer, Emile Boutin, Hien Nguyen, Devashish Tiwari, Sanah Chatiwala, Deborah Altsher, Nara Gavini, Keshrie Naidoo

Health Professions Education

Purpose: The purpose of this mixed-methods study was to examine the extent to which health professions graduate students' demographic, academic, and environmental factors influence time to graduation. It also aimed to explore the experiences of graduates who took a leave of absence (LOA), including their perspectives on the factors contributing to delayed graduation and the strategies that supported their reintegration and eventual success.

Methods: A mixed methods explanatory sequential design with the qualitative analysis providing deeper context to the quantitative data. The qualitative arm of the study utilized a phenomenological approach. Descriptive statistics (mean, standard deviations for the continuous variables, …

Applying Harm Reduction To Binge-Eating Disorder: Protective Behavioral Strategies Against Uncontrolled Eating, Emily Burr

Graduate Studies Theses and Dissertations 2026

Binge-eating disorder (BED) is a highly deleterious mental illness, with ramifications ranging from psychological impairment to premature mortality. Despite the awareness of intervention urgency, treatment strategies to manage BED have limited long-term efficacy. Therefore, it is of high necessity to illuminate other methods of reducing the potential effects of binge eating (BE), either by combatting severity or frequency of the behavior. Protective behavioral strategies (PBS), first identified in the substance use field, are methods by which an individual attenuates potential harm from a behavior without expectation of abstaining (i.e., a harm reduction approach). Given high likelihood of treatment relapse for …

The Bite Model And Multi-Level Marketing: How Monat Propagates, Lilly D. Cheung

Graduate Studies Theses and Dissertations 2026

This study aims to understand how MONAT Global Corp, a Multi-Level Marketing (MLM) company, utilizes rhetoric that aligns with Steven Hassan’s BITE Model of Authoritarian Control. Hassan is a cult expert and cult survivor whose work primarily explains undue influence and thought control with BITE representing Behavior, Information, Thought, and Emotional control. The MLM MONAT is a haircare brand that operates through a recruitment-and-sales-based hierarchy, in which sellers sign up and work under one another in a layered marketing structure. To meet quotas and maintain ranks, representatives will use rhetorical strategies to recruit new sellers beneath them in their ‘downline’ …

Motivational Interviewing Impact On Provider Burnout, Julie Cook

Graduate Studies Theses and Dissertations 2026

The study of patient–provider communication rarely considers the impact of provider–patient dialogue on providers themselves. This dissertation explores why motivational interviewing (MI) has been shown to reduce burnout among health care providers who use it. Using the empathic communication model (ECM) as a lens, it examines possible explanations for how MI contributes to lower burnout in providers. A mixed‑methods approach was used, consisting of a survey‑based quantitative study and a qualitative study using semi‑structured interviews. The quantitative study surveyed physicians, nurse practitioners, and physician assistants. Participants were asked questions assessing their knowledge of MI, the types of empathy they experience …

Participatory Systems Modeling In Implementation Research: Exploring Benefits, Facilitators, And Future Needs, Natalie Riva Smith, Jennifer L Cruz, Jessica Gannon, Stephanie Mazzucca-Ragan

2020-Current year OA Pubs

BACKGROUND: Implementation science increasingly uses participatory systems modeling (PSM) approaches to handle the complexity inherent to implementation science issues. To support the process of integrating PSM with implementation science, we aimed to understand and explicate the benefits, facilitators, and future needs of applying PSM to implementation research.

METHODS: We conducted semi-structured qualitative interviews with 23 researchers (n = 18) and practitioners (n = 5). We purposively sampled participants and identified additional participants through recommendations. Interviews were inductively analyzed. Key concepts were identified via iterative description, comparison, and conceptualization.

RESULTS: Engagement with people in the system was typically focused in earlier …

Relationship Among Sleep Disturbance, Stress, And Suicidal Ideation In Clinical High Risk For Psychosis, Heather M Wastler, Daniel Mamah, Et Al.

2020-Current year OA Pubs

BACKGROUND AND HYPOTHESIS: Sleep disturbance is a well-established risk factor for suicide, though few studies to date have examined whether sleep disturbance contributes to suicide risk among individuals at clinical high risk for psychosis (CHR). The current study addressed this gap in the literature. We hypothesized that sleep disturbance would have a unique relationship with suicidal ideation/attempts when accounting for other variables in the model. We also hypothesized that the interaction between sleep disturbance/attenuated positive symptoms and sleep disturbance/stress would be related to suicidal ideation/attempts in CHR.

STUDY DESIGN: The current study used data generated by the Accelerating Medicines Partnership® …