Digital Commons Network^™

Rethinking Ethics For An Era Of Trusted Computational Tools, Kristin M Kostick-Quenet, Meghan Hurley, John Herrington, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Computer perception (CP) technologies are poised to deliver near real-time behavioral insights with high precision. As technical barriers recede, our field's ethical focus must shift from "Can we trust the data?" to "Should we use it here, and how?" We propose a contextual ethics framework that: (1) defines the appropriate scope of CP integration; (2) advocates codesigned roadmaps to manage expectations and epistemic conflict; (3) expands evaluation beyond performance metrics to humanistic outcomes; and (4) anticipates future high performance systems to safeguard dignity, empathy, and shared decision-making in clinical care.

Public Attitudes Toward Cascade Genetic Screening In The United States, Hadley Stevens Smith, Emilie S Zoltick, Madison R Hickingbotham, Emily S Bonkowski, Stacey Pereira, Tara A Lavelle, David L Veenstra, Amy L Mcguire, Katherine E Bonini, Leila Jamal

Center for Medical Ethics and Health Policy Staff Publications

Introduction: After a patient receives genetic test results that indicate an actionable health condition, cascade genetic screening (CGS) is the process of evaluating the patient's relatives for a potentially elevated genetic risk of disease. The United States primarily relies on patients to communicate with their relatives, resulting in suboptimal rates of risk communication, familial genetic testing uptake, and risk-reducing interventions. There is ongoing debate about whether and how best to inform relatives of a potentially increased genetic risk.

Methods: We conducted a nationally representative survey of US adults to assess attitudes toward informing at-risk relatives, acceptability of system-mediated communication, and …

The Use Of Modular Construction To Improve Schedule Efficiency, Brandon Ritchie

Construction Management

The construction industry continues to face growing pressure to deliver projects on tighter schedules with fewer resources. Modular construction has emerged as a delivery method with the potential to improve schedule efficiency by allowing off site fabrication and on site work to occur simultaneously. This research examines how modular construction affects schedule performance compared to traditional construction methods. When modular construction is well coordinated, project schedules will show improved efficiency compared to traditionally built projects. Qualitative interviews were conducted with members of the Whiting Turner team on the Cal Poly Student Housing Project, backed up by a review of schedule …

Ada Concrete Walkway Improvements At The Gala Pride And Diversity Center, Jonathan A. Mintz, Manuel Gonzalez

Construction Management

This paper presents the planning, design, and construction of an accessible concrete walkway completed for the GALA Pride and Diversity Center in San Luis Obispo, California. The project addressed an accessibility gap between the center's front entrance and rear parking lot through a combination of site preparation, concrete work, retaining wall construction, and supporting improvements. Construction was managed around the active events schedule while staying within the constraints of a nonprofit budget. Challenges encountered during the project included scope changes, material selection decisions, and client coordination. The completed walkway provides a safe and stable path for all visitors and directly …

Designing And Building Benches For Slo City Farm, Julian Cervantes

Construction Management

The purpose of this project was to design and create multiple small benches for the City Farm SLO during the term of Spring 2026 quarter. This project was specifically intended to be an affordable, pragmatic, and durable project that would last a long time in order to serve the people that visit a comfortable place to sit and come together. In order to achieve the project delivery for these benches the pre-construction of the project started by visiting the city farm to inspect the existing benches and taking the measurements of them in order to shorten them for the use …

Skip The Grid: Bringing Power To The Navajo And Hopi Nation, Benjamin R. Narciso

Construction Management

Skip the Grid is an interdisciplinary service-learning project that provides sustainable energy solutions to families with school-aged children living in the Navajo and Hopi Nations. In March 2026, a team of 23 students from five academic disciplines at California Polytechnic State University (Cal Poly) partnered with Heart of America, SOLV Energy, and NextPower to complete the program's fifth year. The project's purpose was to improve the quality of life and support educational success by providing reliable access to electricity, lighting, and refrigeration in underserved communities. Participants were organized into five installation teams consisting of Cal Poly students, faculty, industry partners, …

Modular Student Housing At California Polytechnic State University, San Luis Obispo: A Case Study On Efficiency And Implementation, Michelle Lara

Construction Management

As universities continue searching for ways to deliver student housing more efficiently, volumetric modular construction has emerged as a potential alternative to traditional construction methods. However, there is limited documentation on how modular student housing projects are implemented on active California State University campuses. This study examines the implementation of volumetric modular construction on the California Polytechnic State University Student Housing Project through a qualitative case study approach. Data was collected through interviews with project personnel involved in construction management, project engineering, and fire and life safety compliance, along with a review of existing literature. While the project demonstrated several …

Robotic Layout Systems In Construction: Evaluating Accuracy And Efficiency In Blueprint Marking, Saxon Moseman

Construction Management

Robotic layout systems represent a significant advancement in construction technology, automating the transfer of Building Information Modeling (BIM) coordinates onto construction surfaces to improve accuracy and efficiency. This study evaluates the implementation of robotic layout systems, specifically the Dusty Robotics FieldPrinter, and their effectiveness in improving accuracy and efficiency during construction blueprint marking. Through a review of existing literature, analysis of the Skanska and Sutter Health healthcare case study, and qualitative interviews with three construction professionals, the research examines impacts on productivity, labor requirements, trade coordination, BIM integration, and project quality. Findings consistently demonstrate that robotic layout systems reduce layout …

Skip The Grid: Bringing Power To Navajo Nation Through Off-Grid Solar Systems, Maggie Papaharisi

Construction Management

Skip the Grid is an interdisciplinary service-learning project where California Polytechnic State University (Cal Poly) students partner with Heart of America and SOLV Energy to install off-grid solar systems for families in the Navajo Nation who do not have reliable access to electricity. Due to the remote location and high cost of infrastructure, a significant portion of households lack basic utilities, making access to lighting, refrigeration, and power difficult. During the 2026 project, a team of students from multiple disciplines spent several months preparing before traveling to Arizona, where installation teams completed solar systems in 50 homes over three days. …

Solar Charging Station For Construction Gang Boxes​, Scott J. Burfield

Construction Management

This senior project explores the feasibility of a solar-powered charging system that attaches to the top of a construction gang box or knack box. The purpose of the project is to provide a cleaner and more convenient way to charge tool batteries and small devices on construction sites. Adding on, it will reduce reliance on generators, extension cords, and temporary power setups by being supplemental support. Research included interviews with construction electricians, product selection, cost estimating, energy calculations, and an evaluation of constructability and project risks. The proposed design uses a 100-watt solar panel, a portable power station, and a …

The Sleep Effects Of Construction Management Students At Cal Poly Slo, Riley James Coalwell

Construction Management

Sleep deprivation and poor sleep quality have become increasingly common among college students, particularly in demanding studies such as construction management. This study examined sleep patterns, sleep duration, and perceptions related to sleep deprivation among construction management students at California Polytechnic State University, San Luis Obispo. The study replicated prior research conducted at Mississippi State University while focusing exclusively on one academic program and institution. A quantitative research method was used through an anonymous Microsoft Forms survey distributed to construction management students over a ten-week period. The survey collected demographic information, sleep behaviors, academic workload, and perceptions regarding sleep within …

Logistics And Workforce Management In Remote Reforestation Projects: A Case Study Of Ponterra In Panama, Omar Mejia-Meraz

Construction Management

With global efforts in reducing carbon emissions, large-scale reforestation projects are becoming increasingly important. While the environmental benefits of reforestation are well known, the operational and logistical challenges of reforestation projects are often overlooked. This case study examines the reforestation efforts conducted by Ponterra in the Azuero Peninsula region of Panama and analyzes how construction management principles support the planning, execution, and long-term success of restoration projects. Through a qualitative analysis consisting of an interview with Ponterra’s Field Operations Lead and supporting literature, this study evaluates the planning strategies, logistical challenges, workforce coordination, and client engagement involved in large-scale reforestation …

How To … Coach Problem Representation To Strengthen Diagnostic Reasoning In Trainees, Cody Clary, Adam Cohen, Satid Thammasitboon

Faculty, Staff and Students Publications

Problem representation (PR) is a concise synthesis of clinical information that captures the core diagnostic problem in a single statement, often referred to as a 'one-liner'. Although central to diagnostic reasoning, this skill is frequently underdeveloped in medical training. Many trainees struggle to transform clinical data into meaningful representations, which can hinder communication, diagnostic reasoning and patient safety. The Assessment of Reasoning Tool-Reconstructed (ART-R) provides a structured framework that educators can adapt as a coaching rubric to strengthen PR during clinical teaching. Using the ART-R, faculty can guide trainees to refine their PR by focusing on three elements: (1) clarity …

Plasma Biomarkers Of Brain Injury In Critically Ill Children Receiving Extracorporeal Membrane Oxygenation, Matthew L Friedman, Michael J Bell, Bonnie A Brooks, Adam S Himebauch, Asavari Kamerkar, Kerri Larovere, Laura L Loftis, Jose A Pineda, Ahmed Said, Hitesh S Sandhu, Martin Stengelin, Catherine Demos, Mark S Wainwright, Alina N West, Allan Barnes, Allen D Everett, Ryan J Felling, Sue J Hong, Jennifer L Roem, Cynthia F Salorio, Derek K Ng, Melania M Bembea

Faculty, Staff and Students Publications

Importance: Timely identification of acute brain injury (ABI) in children receiving extracorporeal membrane oxygenation (ECMO) support is critical for early neuroprotective interventions.

Objectives: To determine if elevations in plasma glial fibrillary acidic protein (GFAP), neurofilament light chain (NfL), and tau levels in children receiving ECMO precede new ABI confirmed by neuroimaging, and if they are associated with mortality and functional outcomes.

Design, setting, and participants: This was a prospective observational cohort study conducted from 2019 to 2023, with 18-month follow-up completed in 2025. Children aged 2 days to younger than 18 years at ECMO cannulation were recruited from 11 US …

Association Of Infection Frequency And Incident Clonal Hematopoiesis Of Indeterminant Potential, Ajibike Lapite, Vernon A Burk, James Decuir, Junichi Ishigami, Seyedmohammad Saadatagah, Pradeep Natarajan, Christie M Ballantyne, Elizabeth A Platz, Katherine Y King

Faculty, Staff and Students Publications

Clonal hematopoiesis of indeterminant potential (CHIP) is an age-related phenomenon associated with increased risk of hematologic malignancy. Preclinical studies have shown that infection is a driver of CHIP; clinical studies in people living with HIV suggest a relationship between chronic infection and CHIP, but the association between infection frequency and incident CHIP in the general population remains unknown. We leveraged the atherosclerosis risk in communities study to design a closed prospective cohort study. CHIP was determined based on whole-exome sequencing at 2 time points 20 years apart. Included were 3,367 individuals without cancer or CHIP at time 1 and without …

Non-Isolated Dandy-Walker Malformation: Exome Sequencing Efficacy And Phenotypic Expansions, Sarah Araji, Xiaonan Zhao, Jill A Rosenfeld, Seema R Lalani, Daryl A Scott

Faculty, Staff and Students Publications

Dandy-Walker malformation (DWM) is a rare congenital abnormality of the posterior fossa and the cerebellum and has an incidence of 1 in 10 000 to 30 000 births. Although DWM can present in isolation, it is often associated with other central nervous system (CNS) abnormalities or extra-CNS anomalies (DWM+). A molecular cause is not identified in the majority of individuals with DWM+. This is due, in part, to uncertainty regarding optimal testing strategies and an incomplete understanding of the genetic causes of DWM+. In this study, we analyzed clinical exome sequencing (cES) data from 91 individuals with DWM+ to determine …

Barrett’S Esophagus-Associated Genetic Loci In African Americans: A Case-Control Study Using The All Of Us Research Program, Ashwin Rao, Jinyoung Byun, Aaron P Thrift, Hashem B El-Serag

Faculty, Staff and Students Publications

Background and aims: Barrett's esophagus is the only known precursor lesion to esophageal adenocarcinoma (EAC). Barrett's esophagus and EAC are less common in African Americans than in non-Hispanic Whites. Studies in European populations have identified Barrett's esophagus-associated risk loci; however, none have examined loci in African Americans cohorts. We conducted a case-control targeted replication study to investigate previously identified Barrett's esophagus risk loci in an African Americans cohort in the All of Us (AoU) Research Program.

Methods: We abstracted phenomic and genomic data from 108 African Americans with Barrett's esophagus and 778 African Americans controls in the AoU database. We …

Treatment Of Obsessive-Compulsive Disorder Via Mental Health Technology, Erika S Trent, Nisha Jagannathan, Eric A Storch

Faculty, Staff and Students Publications

Obsessive-compulsive disorder (OCD) is a debilitating neuropsychiatric disorder that remains chronic unless intervened with evidence-based intervention. Cognitive behavioral therapy (CBT) with exposure and response prevention is the gold-standard psychological intervention for OCD, but many individuals do not receive this intervention due to barriers to accessing treatment. Mental health technology tools such as telehealth, computerized programs, internet-delivered CBT, and mobile applications have been adopted to expand the accessibility of CBT. An up-to-date summary of the evidence base of technology-mediated formats of CBT for OCD treatment is provided. Clinical benefits offered by such approaches, current limitations, and future research directions are discussed.

Historic Parkrose: Planning For Vacant Properties, Rowan Anderson, Julia Cruz Jones, Akasha Lawrence Spence, Clara Lietz, Cal Storrs

Master of Urban and Regional Planning Workshop Projects

Crescent Consulting was engaged by Historic Parkrose, a Portland-based non-profit, to analyze vacant and under-utilized properties along Northeast Sandy Boulevard within the Historic Parkrose Business District. The area has been the focus of many planning efforts at the neighborhood, city, and state level that have identified community needs and priorities, yet implementation has been limited. Forthcoming Tax Increment Financing (TIF) funding may create opportunities to implement these plans and encourage reinvestment that will contribute to the corridor’s vitality and economic capacity. This report is a resource for evaluating and prioritizing vacant lot redevelopment opportunities in Parkrose, helping align future investment …

Westside Foodshed Hub Initiative: Farm-To-Food-Assistance Feasibility Study, Andrew Bugh, James Shelstad, Jordan Rasmussen, Kenton Marquigny, Reed Johnson

Master of Urban and Regional Planning Workshop Projects

The Westside Foodshed Planning Initiative is a feasibility study exploring how Farm-to- Food-Assistance, or F2FA, can supplement CAFE's food assistance work in Northwest and Downtown Portland. The study was conducted by Soil for Roses, a planning team consisting of members of Portland State University's Master of Urban and Regional Planning program. Through this project, Soil for Roses envisions the F2FA as a regional food aggregation and distribution hub tailored to CAFE’s goals of advancing food security and nutrition, environmental stewardship, and resilience.

Gateway: Heat Resilience Focus Area Final Report, Jill Coleman, Sletsy Dlamini, Luke Gordon, Danny Harden-Ramella, Joe Kortenhof, Devery Sheridan

Master of Urban and Regional Planning Workshop Projects

In the Summer of 2021, Multnomah County experienced a heat dome that resulted in the tragic deaths of 75 people and caused 258 individuals to seek medical care in emergency rooms and urgent care facilities. While heat related treatment had been experienced in previous heat waves, no heat related deaths had been recorded by the county prior to the Heat Dome. Since 2021, heat-related fatalities have remained elevated above the pre-2021 baseline. Medical visits for illness and injury also remain elevated from 2021 onwards. Many of the more easily implementable short-term solutions have already been implemented in Portland, and the …

C-Tran Bus Stop Accessibility Action Plan, Grace Alston, Michelle Auster, Zoe Beckley, Noah Crawford, Ryan Gallo, Angelique Wallmann

Master of Urban and Regional Planning Workshop Projects

Project Background

C-TRAN is the regional public transportation provider for the Clark County Public Transportation Benefit Area in Southwest Washington, providing connections to the Portland, Oregon, metro region. C-TRAN connects people to opportunities, supports economic vitality, and enhances the quality of life for the community.

The challenge - 66% of C-TRAN’s bus stops are non-ADA compliant, C-TRAN’s existing capital investment strategy lacks community input and a multi-year application.

The Opportunity - Our Bus Stop Accessibility Action Plan will leverage community engagement and social metric data to develop a long-term investment strategy.

Reimagining The Cully 5 Corners, Samuel Anderson, Noah Brown, Kaitlyn Cook, Nicholas Pelster, Michael Wickham, Steven Yee

Master of Urban and Regional Planning Workshop Projects

Reimagining the Cully 5 Corners is a project spearheaded by the Cully Coalition and Confluence Planning + Design, aiming to create a vision and plan for a centralized, connected, resilient hub for this area of NE Portland, Oregon.

The Cully Coalition envisions Cully as an equitable and socially just neighborhood that enriches and uplifts all community members while minimizing displacement, improving community cohesion, and supporting economic vitality.

Like many Portland areas annexed in the late 20th century, the Cully neighborhood has experienced decades of relative underinvestment in terms of public services, urban design, and business development.

Uplifting Cully starts with …

Functional Genomics Studies Of Psychiatric Disorders In Individuals Of Latin American Populations: A Scoping Review, Luz M Porras, Isabelle Rodríguez-Lausell, Gabriel Iglesias-Maldonado, Emily Val F Tuliao, Gabriela Martínez, Chelsey Leveque, Julian Tobon, Rachel Eloy, Sintia Belangero, Cynthia M Bulik, Camila M Loureiro, Carolina Muniz Carvalho, Vanessa Ota, Diego Luiz Rovaris, Eric A Storch, Eva Maria Trujillo-Chi Vacuan, Maria M Velasquez, Latin American Genomics Consortium, Marcos L Santoro, Humberto Nicolini, Elizabeth G Atkinson, Janitza L Montalvo-Ortiz, Paola Giusti-Rodríguez

Faculty, Staff and Students Publications

Over the past 15 years, genetic studies of psychiatric disorders have provided important insight into the contribution of both common variants of small effect, as well as rare exonic and copy number variants with large effect sizes. Genome-wide association studies (GWAS) allow us to understand the intricate polygenicity characteristic of many psychiatric disorders. However, a considerable proportion of single nucleotide polymorphisms (SNPs) implicated in these disorders localize to the non-coding regions of the genome. Unraveling the molecular mechanisms that underlie the etiology of psychiatric illnesses requires integration using functional genomics approaches. Functional genomics methods are critical for developing a mechanistic …

Ilae-Yes Global Webinar Series: Integrating Clinical And Basic Science In Epilepsy Research, Cecilie G Nome, Parthvi Ravat, Fabrice Bartolomei, Marco De Curtis, Rossella Di Sapia, Marian Galovic, Maria Gogou, Lukas Imbach, Julia Jacobs, Katja Kobow, Alice D Lam, Christos Panagiotis Lisgaras, Elisa Micalizzi, Eleni Nikalexi, Jeffrey L Noebels, Jeanne T Paz, Avtar Singh Roopra, Sally Shaaban, Laurent Sheybani, Shobi Sivathamboo, Ana Suller Marti, Adam Williamson, Naoto Kuroda

Faculty, Staff and Students Publications

Bridging clinical and basic research is increasingly recognized as a priority in the epilepsy field, yet opportunities for integration remain limited by the time, space, and financial constraints of scientific meetings. To address this gap, the Research Task Force of the Young Epilepsy Section of the International League Against Epilepsy (ILAE-YES) organized a free global webinar series designed to promote translational dialogue and provide accessible research education for early-career clinicians, researchers, and physician-scientists. Based on a preliminary ILAE-YES community survey, eight topics of high interest were selected: (1) epigenetics, (2) EEG biomarkers, (3) ictogenesis, (4) thalamo-cortical network, (5) sudden unexpected …

Application Of Information Literacy Skills To Everyday Life Information Seeking In College Students: Implications For Instruction, Stephanie Ward, Rachel Dineen, Darren Ilett

Communications in Information Literacy

Academic librarians who teach information literacy (IL) skills hope students will transfer those skills to their information seeking in everyday life. However, there is little evidence that students are transferring what they learn about research to their lives outside college. This study aims to find out what search and evaluation strategies college students who have had IL instruction apply to their own personal information seeking behaviors. To do this, a talk-aloud protocol was used to record participants’ thoughts and actions as they navigated scenarios that required them to select a source that met a non-academic information need. The findings indicate …

The Spectrum Of Authority: A New Approach To Teaching Ai And Primary Source Literacies, Kristen Howard

Communications in Information Literacy

This article presents an information literacy workshop designed for undergraduate history courses that introduces students to generative artificial intelligence (GenAI) while strengthening primary source literacy. Anchored in the Association of College and Research Libraries (ACRL) Framework for Information Literacy for Higher Education, “Authority Is Constructed and Contextual,” the workshop employs an innovative pedagogical device, the Spectrum of Authority, to help students critically evaluate information sources. Through comparative analysis and guided discussion, students increased their ability to assess credibility in information sources. Student feedback indicated increased confidence in analyzing primary sources and a greater understanding of GenAI’s capabilities and …

Critical Information Literacy In Higher Education: An Evolution In Theory, Practice, And Assessment, Dan Williford

Communications in Information Literacy

This article offers a critical synthesis of scholarship on critical information literacy (CIL) in higher education from 2015 to 2026, extending and recalibrating prior longitudinal reviews to account for post-2020 theoretical, political, and technological shifts. Drawing on a corpus of 48 peer-reviewed publications published between 2020 and 2026, the study employs thematic cluster analysis—building on Tewell’s four-domain framework—to examine developments in theory, pedagogy, digital and political engagement, reflexive critique, and assessment. Rather than treating critical information literacy as a settled framework, this review positions it as an evolving and contested practice shaped by the political economy of higher education. It …

"An Open Mind And A Critical Stance": A Content Analysis Of Information Literacy Integration Into A Course About Poverty And Discrimination, Ashley Shealy, C. Rebecca Oldham, Clay Oldham, Tara L. Griffith

Communications in Information Literacy

The ACRL Framework argues that infusing curriculum with information literacy concepts can improve students’ attitudes and abilities to navigate complex information landscapes. This paper describes how a librarian and a faculty member integrated an information literacy curriculum into an undergraduate upper-division course about poverty and discrimination. Curriculum efficacy was assessed through directed content analysis of student responses to open-ended questions about engaging with news and social media, forming opinions, and having conversations about controversial topics. Responses were analyzed using a coding scheme based on course objectives derived from Framework dispositions and knowledge practices. Results indicated that exposing students to an …

Review Of Instructional Design For Teaching Information Literacy Online: A Student-Centered Approach, By J. Mattson, D. Lemmons, V. Linsinbigler, And C. Lowder, Kendall Morgan

Communications in Information Literacy

Review of Mattson, J., Lemmons, D., Linsinbigler, V., & Lowder, C. (2025). Instructional design for teaching information literacy online: A student-centered approach. Association of College and Research Libraries.