Suspended Futures: Exploring The Lived Experiences Of Black Adult Males Affected By Exclusionary Discipline, Tamara Jones

UNF Graduate Theses and Dissertations

Black males continue to experience exclusionary discipline at disproportionately high rates in American schools, often resulting in academic disruption and long-term educational and social consequences. While existing research had extensively documented disciplinary disparities, less attention had been given to how Black males interpret and make meaning of these experiences over time. This hermeneutic phenomenological study explored the lived experiences of Black adult males who experienced exclusionary discipline during their secondary school years and examined how they now make sense of those experiences in adulthood. Grounded in Critical Race Theory and Social Cognitive Theory, the study focused on participants’ perceptions of …

Exploring The Lived Experiences Of Families Of Students With Significant Disabilities In Accessing Community Transition Supports In Rural Settings, Michael David Green Jr.

UNF Graduate Theses and Dissertations

The transition process beyond high school can be daunting for students with disabilities and their families. Families often encounter difficulties accessing community-based supports after students leave the K–12 education system despite federal legislative mandates under the Individuals with Disabilities Education Act (IDEA) and the Workforce Innovation and Opportunity Act (WIOA). Rural contexts further complicate the experience for families accessing adult services after high school. The current hermeneutic phenomenological study explored how families of students with significant disabilities experienced accessing community transition supports after leaving high school in rural contexts. Through the lens of van Manen’s hermeneutic phenomenology, the study explored …

When The Why Is Greater Than The What: "Exploring School Deans' Discipline Decision Making: A Grounded Theory Investigation Into Disciplinary Practices & Policies At The School Level", Lashawn S. Russ-Porterfield

UNF Graduate Theses and Dissertations

This constructivist grounded theory study investigated how school deans interpret and enact disciplinary decision-making within the complex social, organizational, and policy environments of contemporary secondary schools. Despite increasing advocacy for restorative and non-exclusionary disciplinary approaches, exclusionary practices—such as out-of-school suspension—remain prevalent, often contributing to disproportionality and adverse student outcomes. The purpose of this study was to generate a grounded theory explaining how contextual, relational, and structural factors shape deans’ decisions when selecting between exclusionary and restorative responses to student behavior.

Twenty-one deans from secondary schools in north Florida participated in semi-structured interviews. Data collection and analysis followed Charmaz’s (2014) constructivist …

Integrating Inquiry, Peer Observation, And Professional Learning Communities: Teachers’ Experiences With A Job-Embedded Professional Learning Design, Tiffany Outman

UNF Graduate Theses and Dissertations

Professional learning is often experienced through disconnected initiatives that limit opportunities for sustained collaboration, reflection, and instructional growth. This qualitative action research study explored teachers’ experiences with the integration of teacher inquiry, peer observation, and professional learning communities (PLCs) as a design for job-embedded professional learning within an elementary school setting. The study emerged from an existing culture of collaboration and peer observation at Timber Oaks Elementary, a suburban elementary school in Northeast Florida, and examined what happened when inquiry was intentionally integrated into those structures as the next stage of the school’s professional learning journey. While the professional learning …

Finding Community: Addressing Doctoral Student Loneliness And Fostering Belonging In Higher Education, Sydney Hamrick

UNF Graduate Theses and Dissertations

Doctoral students often experience loneliness, isolation, marginalization, and other challenges related to belonging. While prior research has connected belonging to persistence, well-being, and academic success, little is known about doctoral students’ lived experiences of belonging and loneliness. This hermeneutic phenomenological study, grounded in Max van Manen’s Phenomenology of Practice, guided by the Sense of Community Theory and informed by a Transformative Worldview, explored how institutional, structural, relational, and personal factors shaped doctoral students’ experiences. Data were collected through semi-structured interviews and analyzed using an interpretive phenomenological approach informed by van Manen’s lifeworld existentials, including lived relation, lived space, lived …

Novice Teachers' Perceptions Of Clinical Experience And Their Preparedness To Teach In High-Need Urban Schools, Robin D. Renelus

UNF Graduate Theses and Dissertations

This hermeneutic phenomenological study examined novice teachers’ perceptions of how clinical experiences in a teacher preparation program prepared them to teach in high-need urban schools. The study included 12 novice teachers with three or fewer years of teaching experience who completed their clinical experience at the same university in Northeast Florida. Data were collected using Seidman’s (2019) three-interview approach, which explored participants’ backgrounds, day-to-day teaching experiences, and reflections on their sense of preparedness. Data were analyzed to develop textural descriptions of what participants experienced and structural descriptions of how those experiences were shaped (Moustakas, 1994).

Participants described clinical experiences as …

Fostering Reading: Review Of A College Bridge Program For Deaf And Hard Of Hearing High School Students, Cara Wilmot

UNF Graduate Theses and Dissertations

This mixed-methods formative program evaluation examined the reading component of a summer College Bridge Program (CBP) designed for high school students who are deaf and hard of hearing (d/Dhh). Persistent disparities in reading outcomes among d/Dhh students have been linked to differences in language access, communication access, and opportunities to receive specialized instruction. Using the Context, Input, Process, Product (CIPP) evaluation model, this study evaluated how the CBP identified and addressed students' reading needs, implemented evidence-based instructional practices, and supported reading development through a three-week summer program.

Participants included 45 d/Dhh high school students from 12 southeastern states, as well …

Implementing Multi-Tiered Systems Of Support For School-Based Mental Health Services: An Explanatory Case Study Of An Elementary School, Laura Acker

UNF Graduate Theses and Dissertations

This qualitative explanatory case study examined how school-based mental health services (SBMHS) are implemented within an elementary school’s Multi-Tiered System of Supports (MTSS). Guided by the Consolidated Framework for Implementation Research (CFIR) and sensemaking theory, the study examined how educators and school-based professionals interpret and enact their roles in supporting student mental health within educational contexts. Data were collected through interviews with five MTSS team members and analyzed using a combination of deductive and inductive coding. Results showed that mental health implementation is not a fully integrated system of supports but rather a process shaped by roles and relationships influenced …

From Preparation To Practice: A Study Of Assistant Principals After Completion Of An Aspiring Assistant Principal Preparation Program, Mallory L. Mcconnell

UNF Graduate Theses and Dissertations

Leadership programs and readiness in schools, particularly those in Florida, is well studied. However, few studies have investigated how current assistant principals who have completed Clay County District School’s Aspiring Assistant Principal Program describe their experiences, believe the program has prepared them for the realities of school leadership, or identify the most impactful elements that have supported their leadership development. This case study seeks to collect foundational research knowledge by analyzing data from the program, participants, and key facilitators. Using a sampling of current assistant principals who have completed the Aspiring Assistant Principal Program, this research examines the results in …

The Un-Bridged Pipeline: Leading And Preparing Women Of Color To Senior-Level Higher Education Administration, Jacqueline D. Slater

UNF Graduate Theses and Dissertations

Despite increased educational attainment among Black women, representation in senior‑level leadership positions within higher education remains limited. This qualitative study examines the experiences of Black women who serve or have served in senior‑level academic administrative roles and explores how those experiences inform guidance, preparation, and decision‑making for future Black women leaders. The study focuses on practical barriers, workplace realities, and strategies that shape leadership entry, advancement, and retention.

Using a descriptive case study design, five Black women with professional experience as presidents, provosts, vice provosts, and academic deans participated in semi‑structured interviews lasting 45 to 75 minutes. Purposeful sampling ensured …

Teacher Judgment In The Age Of Artificial Intelligence: Collaborative Inquiry Into Generative Ai For Udl-Aligned Instructional Planning In Elementary English Language Arts, Melissa G. Metz

UNF Graduate Theses and Dissertations

This action research study explores how teacher-facing generative artificial intelligence (GAI), specifically Google Gemini, can support educators in UDL-aligned instructional planning within a Title I elementary school. Although AI is often discussed in terms of student-facing applications, less is known about how GAI can assist teachers with lesson planning, differentiation, and the demands of sustaining inclusive Tier I instruction. Guided by a conceptual framework integrating Universal Design for Learning (UDL) and technology integration perspectives, the study engaged four educators in collaborative inquiry through AI Visioning Workshops, reflections, interviews, and planning artifacts.

Data were analyzed through iterative coding, analytic memoing, and …

Operationalizing Mtss: A Case Study Of Principal Leadership Practices In Guiding School-Based Leadership Teams Through Inquiry And Improvement Science, Heather M. Teto

UNF Graduate Theses and Dissertations

The COVID-19 pandemic widened academic achievement gaps, creating an urgent mandate for school leaders to implement systemic, data-driven frameworks to support student academic recovery. While the Multi-Tiered System of Supports (MTSS) is a widely adopted framework for addressing these disparities, its success is dependent on the strategic involvement and instructional leadership of the school principal. This qualitative case study explores the lived experiences and leadership characteristics of elementary school principals as they lead School-Based Leadership Teams in implementing a district-developed MTSS framework.

Guided by the principles of Improvement Science and the Plan-Do-Study-Act (PDSA) inquiry cycle, this research examines the specific …

Exploring The Undergraduate Student Perceptions Of Sense Of Belonging At Their University: A Q-Methodological Approach, Jose Acevedo

UNF Graduate Theses and Dissertations

       The transition to higher education is a significant life event requiring substantial social, academic, and psychological adjustment, during which a powerful sense of belonging is critical for student success and retention. While traditional models of student retention often prioritize support services and academic integration, they frequently overlook the intricate relational dynamics and deeply personal subjective experiences that shape belonging. This research utilized Q methodology to explore the multifaceted ways undergraduate students at the University of North Florida (UNF) understand and prioritize the determinants of institutional belonging. Guided by an integrated conceptual framework of Maslow’s Hierarchy of Needs, Self-Determination Theory, Social …

From Framework To Fidelity: A Cipp Evaluation Of Mtss Implementation In A Rural Secondary School, Jodi Arroyo Nagel

UNF Graduate Theses and Dissertations

This formative program evaluation examined implementation of the Multi-Tiered System of Supports (MTSS) at Rowling Middle High School, a rural secondary school in Northwest Florida. Using the Input and Process domains of Stufflebeam’s Context, Input, Process, and Product (CIPP) evaluation model, this evaluation sought to assess the resources currently in place to support MTSS implementation and the extent to which MTSS procedures were implemented with fidelity across grade levels and target subject areas, namely ELA/English/Reading and Math courses. Data were collected through analysis of the 2025-2026 Rowling master schedule, six classroom observations, six semi-structured staff interviews, individual responses to the …

Human Centered Learning Management System Design Inspired By Social Networking Platforms, Giseung Lee

World Languages and Cultures Faculty Publications

The rapid integration of generative artificial intelligence (GenAI) into higher education is reshaping interaction within digital learning environments. As AI-enabled tools such as conversational agents and automated feedback systems become embedded in Learning Management Systems (LMSs), questions arise regarding how these systems can support social presence, dialogue, and human-centered pedagogy without reproducing the attention-driven logics of commercial social media. This paper presents a conceptual, design-oriented framework for human-centered LMS design inspired by selected interactional affordances of Social Network Sites (SNSs). Drawing on social presence theory, post-process pedagogy, and hyperpedagogy, the framework articulates four interrelated design dimensions—Familiar Interaction, Dialogic Feedback, Community …

The Judicial Voice On The Courts Of Appeals, Allison Orr Larsen, Neal Devins

Faculty Publications

The judicial voice on an appellate court typically speaks in the collective, so when a judge chooses to go solo—either in a dissent or a concurrence—that act deserves a close look. Separate opinions on the U.S. Supreme Court are common because the Justices have strong incentives to articulate a distinctive personal jurisprudence. But lower court judges have always been more reluctant to write separately, and for good reason. The institutional design and longstanding practices of the U.S. courts of appeals are very different from the Supreme Court: Lower appellate court judges are bound by precedent in a different way, rarely …

The Influence Of Adverse Childhood Experiences On Female Violent Offending: A Scoping Systematic Review, Alexis M. Wolgemuth

Theses, Dissertations and Capstones

Female-perpetrated violence has exhibited concerning data trends in recent years. Prior scholarship indicates that past victimization and trauma in childhood, known as adverse childhood experiences (ACEs), are highly prevalent among women offenders. However, the research concerning ACEs and violent females is scattered. This thesis provides a scoping literature review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) updated 2020 guidelines. A systematic database search was conducted using Academic Search Complete, SAGE Journals, Springer Nature Link, and HeinOnline to identify relevant peer-reviewed journal articles. Inclusion and exclusion criteria are established, focusing on studies published after January 2015. These …

A Structured Review Of Emerging Prompt Instability Indices (Piis) To Evaluate The Reproducibility Of Prompt-Driven Image Segmentation Models, Katie Stinson, Toufeeq Ahmed Syed

Faculty, Staff and Student Publications

Prompt-aware image segmentation has introduced new flexibility by allowing models to incorporate user-provided cues, such as points, boxes, or text prompts, to guide object delineation across diverse imaging domains. This flexibility introduces a fundamental challenge: ensuring segmentation results remain reproducible when prompts are altered. Minor variations in prompts produce substantially different outputs, raising concerns about the reliability and scientific validity of research and clinical applications. This paper conducts a structured review of emerging Prompt Instability Indices (PIIs), quantitative measures developed to assess the reproducibility of prompt-driven segmentation models. A systematic search of PubMed and arXiv (2020-2025) identified relevant studies, analyzed …

Hierarchical Clustering Reveals Multilevel Structure For Multifactorial Assessment In Community-Dwelling Older Adults, Brittany S. Samulski, Ashwini Kulkarni, Neda Moghim, Ross Gore, Soumya Banerjee, Christopher K. Rhea

Rehabilitation Sciences Faculty Publications

Multifactorial falls assessment is recommended for older adults at elevated risk but can generate numerous potentially overlapping measurements, increasing testing burden despite potentially diminishing informational returns as correlated measures are added. Characterizing how measures covary may inform subsequent efforts to evaluate more efficient assessment procedures. Community-dwelling older adults (n = 298) completed a single-visit assessment including the Physiological Profile Assessment (PPA), preferred- and maximal-speed walking, Montreal Cognitive Assessment (MoCA), and Modified Falls Efficacy Scale (MFES). Hierarchical agglomerative clustering was applied to 51 variables. Dendrogram fidelity, cluster separation, and resampling stability were evaluated using the cophenetic correlation coefficient (CCC), silhouette width, …

Associations And Condition Sensitivity Of Smartphone-And Force-Plate-Derived Sway Metrics During Vr-Ctsib, Saeed Eshghi, Amin Mohammadi, Eric Schussler, Ryan S. Mccann

Rehabilitation Sciences Faculty Publications

Smartphone-based sensors may provide a complement to laboratory-based force-plate balance assessment; however, validation studies have not established whether smartphone–force-plate associations and agreement vary across combined manipulations of visual input and support-surface reliability, or which smartphone-derived metrics are most sensitive to sensory challenges. Therefore, this study compared smartphone-derived and force-plate-derived sway metrics during virtual reality-based clinical test of sensory interaction and balance (VR-CTSIB) conditions. This secondary analysis included 40 adults (20 with chronic ankle instability and 20 healthy controls). Participants completed 30 s double-leg stance trials under six VR-CTSIB conditions combining firm or foam surfaces with NormVision, DisplayOff, and SwayRef visual …

Intra-Coronary Imaging And Transcriptomics Of Calcified Nodules Before And After Intensive Lipid-Lowering Therapy: A Yellow Iii Substudy, Vemuri Krishna Santosh, Monika Karki, Ishani Bansal, Amit Hooda, Joseph K Sweeny, Sahil Khera, Vishal Kapur, Prakash Krishnan, Pedro R Moreno, Roxana Mehran, Xiaobo Zhou, Jagat Narula, Samin K Sharma, Annapoorna S Kini

Faculty, Staff and Student Publications

Aims: Calcified nodules (CNs) contribute to 3-5% of acute coronary syndromes (ACS). Identifying peri-calcific lipid-rich areas is challenging with conventional imaging but feasible using near-infrared spectroscopy (NIRS). This YELLOW III substudy investigated the impact of maximal lipid-lowering on CN morphology and lipid content over 26 weeks.

Methods and results: Patients with stable CAD and lipid-rich, non-obstructive plaques (lipid arc >90°, FCT < 120 µm on OCT) received Evolocumab (140 mg biweekly) plus maximally tolerated statins. Lesions were evaluated at baseline and 26 weeks using combined NIRS-IVUS and OCT. Exploratory endpoints were the maximum 4 mm lipid core burden index (LCBI) in segments containing CNs (maxLCBI4mm-CN) and morphological changes in CN. Linear mixed-effects models were used to evaluate temporal changes and group interactions. Peripheral blood mononuclear cell (PBMC) transcriptomics were analysed. Among 110 patients, 43 (39.1%) had CNs. A total of 73 paired CNs were analysed for morphology, of which 65 CNs were ≥4 mm. CNs with lipid signal (CNLS) demonstrated a significant reduction in maxLCBI4mm-CN from 176.8 to 113.3 (β = -63.51 ± 17.63; P < 0.001), whereas no change was observed in dense CNs (P = 0.317). Morphological parameters remained largely unchanged in both groups. A modest increase in the surrounding calcium arc was observed in CNLS (P = 0.018), while depth showed a differential change …

Enhancing Inter-Institutional Ai Research Collaboration Across Multidisciplinary Teams To Increase The National Ai Workforce In Healthcare, Zulfiia Ditto, Paul Warhurst, Jay Johnson, Jamboor K Vishwanatha

Faculty, Staff and Student Publications

Inter-institutional team collaboration is critical for impactful multidisciplinary AI research in healthcare. The goal of our project (AIM-AHEAD Connect) is to increase multidisciplinary collaborations by connecting AI/ML experts and healthcare researchers, trainees and professionals to enhance research and improve health for all Americans. As of February 2026, AIM-AHEAD Connect has over 10,100 AI/ML and healthcare experts from across 2,400 institutions, has made more than 7,800 connections and facilitated 194 collaborative online groups. We conducted a unique study to understand collaboration, and analyzed profile, connection, and platform engagement metrics to determine if AI experts and healthcare researchers with more inter-institutional connections …

Nampt Inhibition Uncovers Therapeutic Vulnerabilities To Venetoclax And Chemotherapy In Acute Myelogenous Leukemia, John R Sanchez, Chaomei Liu, Vishakha Pawar, Yanqing Huang, Daisy Diaz-Rohena, Priya Koppikar, Lisa St John, Vinay Puduvalli, Jeffrey Molldrem, Palaniraja Thandapani, Nitin Jain, Rosa Lapalombella, Deepa Sampath

Faculty, Staff and Student Publications

Acute myeloid leukemia (AML) cells depend on nicotinamide adenine dinucleotide (NAD

The Legacy Of A Gentleman Scientist: Pierre Hainaut, Christophe Arnoult, Laura D Attardi, Kerem Batsheva, Giovanni Blandino, Kathleen H Burns, David G Kirsch, Arnold J Levine, Guillermina Lozano, David Malkin, Gerry Melino, Moshe Oren, Carol Prives, Daniel Schramek

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, Ruitao Lin, 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 …

Guadecitabine Improved Relapse-Free Survival In High-Risk Acute Myeloid Leukemia And Myelodysplastic Syndrome Patients After Transplant: Phase Ii Results From A Single Center, Betül Oran, Peter Thall, Amin Alousi, Gheath Al-Atrash, Rohtesh Mehta, Partow Kebriaei, Roland Bassett, Qaiser Bashir, Jin Im, Amanda Olson, Jessica Jewell, Portia Smallbone, Elizabeth Shpall, Richard Champlin

Faculty, Staff and Student Publications

This phase II, single-center clinical trial evaluated the efficacy and safety of guadecitabine, with or without donor lymphocyte infusion, following allogeneic stem cell transplantation in adult patients with acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS). The study had three treatment cohorts based on post-transplant disease status. Cohort 1 included patients with hematologic relapse after transplant (N=13). Cohort 2 consisted of patients with minimal residual disease (MRD) detected after transplant (N=18). Cohort 3 compromised patients in remission without MRD within 100 days after transplant (N=24). The primary objectives were achievement of morphological complete remission in cohort 1 and MRD eradication …

Functional, Pharmacogenomic, And Immune Landscapes Of Long Non-Coding Rnas In Cancer, Runhao Wang, Mei Luo, Yuan Liu, Jingwen Yang, Yamei Chen, Lifei Ma, James Wengler, Yong Zang, Bora Lim, Wenbo Li, Liuqing Yang, Chunru Lin, Lixia Diao, Leng Han

Faculty, Staff and Student Publications

Long non-coding RNAs (lncRNAs) are emerging as key regulators in cancer, with significant potential as diagnostic, prognostic, and therapeutic targets. Here, this work systematically analyzes lncRNA associations with targeted therapies and immunotherapies across 33 cancer types using The Cancer Genome Atlas (TCGA) and real-world datasets. This work identifies 53,173 lncRNA-pathway associations, millions of lncRNA-drug response associations (via CancerRxTissue and VAEN), and extensive correlations with immune checkpoints and infiltration. This work further identifies 69 lncRNAs associated with immunotherapy response and 2,611 differentially expressed lncRNAs between low and high objective response rate (ORR) groups. Additionally, two lncRNAs are correlated with immune-related adverse …

Initial Experience With Remote Mri Scanning Support In An Oncology Focused Practice: Opportunities For Expanded Access To Radiology Care, Christopher M Walker, Maria G Maldonado, Megan C Jacobsen, Suprateek Kundu, Michelle L Underwood, Brandy J Reed, R Jason Stafford, Marshall E Hicks, Caroline Chung, Aradhana M Venkatesan

Faculty, Staff and Student Publications

Background: As medical imaging demand grows, there is increasing stress on the currently available workforce to deliver consistent, high-quality imaging studies while ensuring rapid study turnaround times and round-the-clock radiology coverage. Advances in remote access technology facilitating remote scan assistance and control are now commercially available to address these pressing clinical needs.

Methods: This work evaluated an early clinical application of a virtual scanner operations system (syngo Virtual Cockpit (VA13A, Siemens Healthineers, Erlangen, Germany) for remote magnetic resonance imaging (MRI) monitoring and scan control at three geographically distant outpatient sites associated with our primary institution.

Results: The system facilitated execution …

Knowledge Distillation And Dataset Distillation Of Large Language Models: Emerging Trends, Challenges, And Future Directions, Luyang Fang, Xiaowei Yu, Jiazhang Cai, Yongkai Chen, Shushan Wu, Zhenyuan Yang, Xilin Gong, Yufang Liu, Terry Ma, Wei Ruan, Ali Abbasi, Jing Zhang, Tao Wang, Ehsan Latif, Wei Liu, Wei Zhang, Soheil Kolouri, Xiaoming Zhai, Dajiang Zhu, Wenxuan Zhong, Tianming Liu, Ping Ma

Faculty, Staff and Student Publications

The exponential growth of Large Language Models (LLMs) continues to highlight the need for efficient strategies to meet ever-expanding computational and data demands. This survey provides a comprehensive analysis of two complementary paradigms: Knowledge Distillation (KD) and Dataset Distillation (DD), both aimed at compressing LLMs while preserving their advanced reasoning capabilities and linguistic diversity. We first examine key methodologies in KD, such as task-specific alignment, rationale-based training, and multi-teacher frameworks, alongside DD techniques that synthesize compact, high-impact datasets through optimization-based gradient matching, latent space regularization, and generative synthesis. Building on these foundations, we explore how integrating KD and DD can …

Perspective: Radiotherapy And Body Composition: Unmet Needs In Low- And Middle-Income Countries, Alexia J Murphy-Alford, Aaron J Grossberg, Vickie E Baracos, Maha Barbar, Judy Bauer, Elena Fidarova, Anastassia Löser, Amy C Moreno, Anurima Patra, Deepa Puttaswamy, David I Rosenthal, Judy Schoeman, Yavuz Anacak

Faculty, Staff and Student Publications

Radiotherapy plays a vital role in cancer treatment, yet its effects on patients' nutritional status can precipitate muscle loss, with significant implications for treatment tolerance and outcomes. Evidence from high-income countries increasingly links radiation-induced muscle loss to adverse clinical outcomes. In contrast, low- and middle-income countries face a stark evidence gap, despite the heightened vulnerability of cancer patients in these settings due to delayed diagnosis, limited access to care, and high rates of co-morbidities. This paper highlights the critical gaps in nutritional care for radiotherapy patients in low- and middle-income countries.