Digital Commons Network^™

Contextualized Divergence Detection In Health Advice: A Benchmark And Analysis, Reet Kothari

Dartmouth College Master’s Theses

Large language models (LLMs) are increasingly used as sources of health advice, raising urgent concerns about reliability, safety, and personalization. While prior work has studied health advice conflicts, these efforts typically ignore patient context and treat contradictions as universal. In this paper, we propose the task of contextualized divergence detection, which frames divergence not only as strict contradictions but also as context-dependent mismatches. To support this task, we introduce a novel dataset of 10,545 samples that combines user profiles, consumer medication guideline documents, and advice statements, with divergences synthetically generated across four categories: direct, conditional, temporal, and sub-typical. We benchmark …

Tusqh: Topological Control Of Volume-Fraction Meshes Near Small Features And Dirty Geometry, Brian Reese Shawcroft

Theses and Dissertations

This work develops a framework to create meshes with user-specified homology from potentially dirty geometry by coupling background grids, persistent homology, and a generalization of volume fractions. For a mesh with fixed grid size, the topology of the output mesh changes predictably and monotonically as its volume-fraction threshold decreases. Topological anti-aliasing methods are introduced to resolve pinch points and disconnected regions that are artifacts of user choice of grid size and orientation, making the output meshes suitable for downstream processes including analysis. The methodology is demonstrated on geographical, mechanical, and graphics models in two-dimensions (2D) and three-dimensions (3D) using a …

Remote Language Assessment In School-Age Children With Phelan–Mcdermid Syndrome And Genotype–Phenotype Correlation, Sarah Quadri-Valverde, Jessica Klusek Ph.D., Ccc-Slp, Linda D. Ward, Diana Ivankovic, Nancy Powers, Vijay Shankar, Rachel A. Lyman, Trudy F.C. Mackay, William Bridges, Katy Phelan, Chris Rogers, Luigi Boccuto, Sara M. Sarasua

Faculty Publications

People with Phelan–McDermid syndrome (PMS) have reduced speech and language abilities, yet little research has profiled the communication abilities in this population. The purpose of this study was threefold: identifying the language and communication profiles of school-aged children with PMS, identifying genetic contributions to language and communication abilities, and determining the feasibility of remote data collection for research purposes. A speech language pathologist used standardized assessments and direct evaluations by video conferencing to evaluate language and communication abilities. Sixteen children and adolescents were evaluated: 5 with SHANK3 pathogenic variants, 9 with 22q13 deletions including SHANK3 (PMS-SHANK3 related), and 2 …

Faculty Senate Executive Committee Agenda (3/17/2026), Csusb Faculty Senate

CSUSB Faculty Senate records

No abstract provided.

Faculty Senate Executive Committee Minutes (3/17/2026), Csusb Faculty Senate

CSUSB Faculty Senate records

No abstract provided.

Spirituality In Abstraction: The Female Future In 20th-Century Art, Lauren T. Sargent

Epochs Art History Journal

No abstract provided.

Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma

Walden Dissertations and Doctoral Studies

Domestic abuse continues to be a prevalent and intricate matter within society, frequently concealed by silence. The comprehension of individuals’ perceptions of abuse is of utmost importance in the advancement of efficacious interventions and support systems. Among African immigrants in the United States, perceptions of domestic violence were often influenced by several factors like religion and migration stressors. Despite increasing concerns about abuse within this population, limited research has explored how they interpret abuse and how these perceptions shape help seeking behaviors and disclosure. The gap was significant because of the cultural transition and many immigrant experiences. This qualitative study …

Spartan Daily, March 17, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 23

Schneider, Phil, Evelyn Burkholder

Bronx Jewish History Project

Summarizer: Sophia Maier

Phil Schneider was born to American-born parents of Ashkenazi descent in 1948. After World War Two, his parents moved to Parkchester, where Schneider lived until he married. He describes Parkchester as racially segregated, with Irish and Jewish communities who were generally “friendly,” except when he was chased on Sunday mornings after Hebrew school. Despite ethnic divisions among the children, his parents identified as American first. Schneider grew up more closely identified with his Jewish cultural identity than his religious one, while his grandparents, from Eastern Europe, spoke Yiddish and were religiously observant. Shneider, who was an anti-religious …

Und Leads Implementation Team Meeting Agenda — March 17, 2026, University Of North Dakota

LEADS Implementation Documents

Agenda for the March 17, 2026 meeting of the UND LEADS Implementation Team. The agenda includes subgroup reports, Discovery recommendation development, and discussion of graduate student surveys.

Development And Validation Of The Emergency Department Transitions Measure, Sara Beachy, Danielle M. Mccarthy, Julianna Lenoir, Alexzandra Gentsch, Richard W. Hass, Marissa Witmer, Paula Ostroff, Melissa Tupas, Lindsey Shughart, Hailey Shughart, Kristin L. Rising

Jefferson Center for Connected Care Faculty Papers

BACKGROUND: Transitions of care are high-risk periods for patient safety in the emergency department (ED), particularly for patients who are still in the diagnostic process and are discharged with diagnostic uncertainty. Care transitions must be improved for these patients, as one third of discharged ED patients have diagnostic uncertainty. Yet there are no validated measures that assess the quality of care transitions from the ED, limiting the ability to assess the impact of interventions. Thus, we developed and validated the ED Transitions (EDT) measure.

METHODS: This mixed methods study was conducted across a large healthcare system in three phases: item …

Fungal Meningitis In Us Patients Who Received Epidural Anesthesia In Matamoros, Mexico, Dallas J Smith, Elizabeth Misas, Jeremy A W Gold, Nicole Evert, Thi Dang, Emilie Prot, Simone Godwin, Julieanna Rivas, Jessica Pearson, Lori Koenecke, Nirma D Bustamante, Maria Julia Marinissen, Gabriel Garcia Rodriquez, Irma López-Martínez, Caitlyn Lutfy, Samantha Williams, Axel A Vazquez Deida, Katrina M Byrd, Julian A Villalba, Sarah Reagan-Steiner, Lindsay Parnell, Lalitha Gade, Romney M Humphries, Nathan P Wiederhold, Charles Y Chiu, Joshua A Lieberman, Anastasia P Litvintseva, Tom Chiller, Luis Ostrosky-Zeichner, Fungal Meningitis Response Team

Faculty, Staff and Student Publications

Background: Fungal meningitis outbreaks are rare and entail high mortality rates. Beginning May 2023, we investigated fungal meningitis caused by Fusarium solani species complex occurring in US patients who received epidural anesthesia in Matamoros, Mexico.

Methods: Early epidemiological information suggested US patients with suspected fungal meningitis had undergone mostly cosmetic procedures under epidural anesthesia performed in 2 Matamoros clinics. US patients known to have received surgery at these clinics during 1 January-13 May 2023 (clinic closures date) were identified and notified by public health officials. Epidemiological and clinical data were used to update diagnostic and clinical guidance for outbreak response, …

Multimodal Imaging Reveals A Lysosomal Drug Reservoir That Drives Heterogeneous Distribution Of Parp Inhibitors, Carmen R Moncayo, Lauren Pendergast, Priyanka Verma, Et Al.

2020-Current year OA Pubs

For all drugs, effective target engagement requires sufficient intracellular concentrations of drug to be reached, but whether tumour heterogeneity impacts drug distribution and efficacy is poorly studied. Poly (ADP-ribose) polymerase (PARP) inhibitors have transformed treatment opportunities for women with high-grade serous ovarian carcinoma, but resistance remains a clinical hurdle in this highly heterogeneous tumour type. Here, we present a patient-derived explant multi-modal imaging pipeline, which demonstrates that cell-intrinsic PARP inhibitor accumulation is highly variable, both between patients and within tumours. Spatial transcriptomics reveals enrichment of apoptotic and lysosomal signatures in high-drug regions. Rucaparib, an intrinsically fluorescent PARP inhibitor, accumulates heterogeneously …

Using Mobile Devices To Support Outdoor Stem Learning In Rural Contexts: An Embedded Mixed-Methods Study, Jayson Seaman, Amanda Bastoni, Andrew D. Coppens, Cindy L. Hartman, Courtney Lachaine, Katelyn Moscouver, Janet Gronneberg

Faculty Publications

Background: Rural youth face barriers to involvement in effective Science, Technology, Engineering, and Math (STEM) learning experiences, leading to persistent underrepresentation in STEM fields. Purpose: This study examined the feasibility of using mobile devices to engage rural youth in informal STEM learning (ISL) during free-choice, outdoor recreational activities. We assessed outcomes of a 10-month intervention related to STEM interest, identity, and future planning. Method: Fifty-four youth ages 12 to 17 completed monthly STEM challenges delivered via a mobile platform, aligned with connected learning and free-choice learning principles. Surveys measured pre/post changes in STEM supports, STEM confidence, and …

Pilgrimage On Paper: A Contemplative Writing Practice, Angelika Halstead

International Journal of Religious Tourism and Pilgrimage

Autobiographers, poets, and journal keepers have always intuitively known the transformative and healing power of personal writing. Some people write in a cathartic way to empty themselves of stored up emotions and experiences. Having freed themselves from old baggage they are prepared for their lives to take new directions. Others write because they want to find out what they think and make meaning of their lives. They write in pursuit of truth and find that as they become honest and face the truth their lives change and their stories turn into new and re-storied versions. It is also known that …

Pilgrimages In Aotearoa - Uncovering The Hidden, Giving Voice To The Silences, Peter Bowden (Te Atiawa, Ngati Te Whiti), Sarah Bowden

International Journal of Religious Tourism and Pilgrimage

Aotearoa / New Zealand has a history of colonisation with a significant destructive impact on Mãori, the indigenous people. It is only in more recent decades that this history has become more widely ‘remembered’ by the non-Māori population, in large part due to efforts made by Māori activists, scholars and legislators. The growing awareness of this difficult history is often met with a mixture of bewilderment and anger. The authors have observed a growing readiness in themselves and others to look at the emerging truth of our history. We see the practice of pilgrimage as a powerful tool to amplify …

Mundane Or Mystical: Journeying From An Islamic Perspective, Abu Bakr Sirajuddin Cook

International Journal of Religious Tourism and Pilgrimage

Within Islam generally, and Sufism in particular, journeying (safar) takes on a great importance. From the pilgrimage to Mecca (hajj) to the vertical night journey (almiraj), the well-trodden path (shari’ah) to the narrow path (tariqa), there are many kinds of journeying, all of which are ultimately understood as being in the path of Allah (fi sabillillah). Common to all types of journeying is an engagement with Allah’s signs (ayat) ‘on the horizons and within themselves’ so that, correctly understood, this will support the realisation of Truth (Qur’an 41: 53). For …

The Pilgrimage Paradox: Accepting Hardship As A Pathway To Peace, John K. Moore

International Journal of Religious Tourism and Pilgrimage

This essay examines the paradoxical relationship between pilgrimage and inner peace, focusing on the Camino de Santiago and referencing the Shingon Buddhist Goma fire ritual in Japan and the holy mountain of Kata Tjuṯa in Australia. While pilgrimage is often associated with physical hardship and discomfort, the paper argues that adopting a mindset of acceptance toward inevitable suffering can foster psychological and spiritual contentment. Drawing on historical, literary, and contemporary examples—including penitential practices, therapeutic walking, and rituals at the Iron Cross—the article highlights how symbolic acts of relinquishing burdens can lead to inner transformation and may set into motion one’s …

The Migrant As A Pilgrim: Decolonising Identity And Belonging, Susan Nemec

International Journal of Religious Tourism and Pilgrimage

This paper responds to pilgrimage scholar George Greenia’s assertion that meaningful intersections exist between pilgrimage and various forms of displacement, such as migration or involuntary exile due to famine, war, or political unrest. Greenia proposes that vulnerable, displaced individuals might find shelter, both conceptually and emotionally, within the framing of pilgrimage. By extending concepts of pilgrimage, it can be understood as a deliberate and intentional journey, simultaneously emphasising the transformative potential inherent in migratory movement. By adopting a working definition of pilgrimage as ‘any form of travel that is intentional, purposeful, or transformative,’ the paper considers how migrancy, particularly within …

Institutional And Ideational Features Of Canadian-Us Fishery Management Networks: Connectivity, Coherence, And Collaboration, Owen Temby, Evelyn Roozee, Dongkyu Kim, Jasper R. De Vries, Derek A. Katznelson, Antonia Sohns, Gordon M. Hickey

School of Earth, Environmental, & Marine Sciences Faculty Publications

This article examines fishery management along and across the Canadian-US border through the comparison of collaborative transboundary networks in four regions: the Salish Sea, the Great Lakes, the Gulf of Maine, and the northern region including the Gulf of Alaska and the Hecate Strait. Transnational fishery management is an inter-organizational and multi-jurisdictional enterprise constituted by shared understandings of a suite of tasks and by communications among the participants. We use survey data to summarize the inter-organizational scale and participation in the networks, the centrality of different organization types, the factors that contribute to network formation, other ideational network traits like …

Primary School Physical Activity Culture In The Uk: Findings From A Four-Month Rapid Ethnography In Three Schools, Robert Walker, Lydia Emm-Collison, Danielle House, Simoona Kent-Saisch, Ruth Salway, Alice Porter, Abi Howard, Tom Reid, Michael Beets Med, Mph, Phd, Frank De Vocht, Russell Jago

Faculty Publications

Introduction: Physical activity is fundamental for children’s health and well-being, yet most children are not active enough. School-based interventions aiming to increase children’s physical activity have largely been ineffective, perhaps due to a lack of consideration of the unique culture within each school. The aim of this paper is to understand the key aspects of physical activity culture in English primary schools using the organizational culture framework.

Methods: A four-month rapid ethnography study was conducted within three primary schools in Bristol, UK, between March and July 2024. The findings draw on observations, interviews, documentary data, photo elicitation, informal conversations and …

Understanding The User Approach In Introductory Accounting: Insights From Practice, Leigh C. Moon

USF Tampa Graduate Theses and Dissertations

The accounting profession faces an insufficient supply of accounting majors to meet the demands of industry. While the number of accounting majors has historically been cyclical, professional accounting organizations and educational institutions have continually sought ways to increase the number of accounting majors. One area that has received continuous attention has been introductory accounting courses because of their ability to both attract and deter possible accounting majors. Discussions and studies around the approaches of teaching introductory accounting have mostly focused on quantitative outcomes, with researchers demonstrating that the user approach does not negatively impact students. However, the user approach has …

Assessing Misidentification Potential When Using Percent Developmental Delay As An Early Intervention Eligibility Criterion, Allison Gladfelter, Sarah Thomas, Christine Nguyen, Sarah O'Connor

CISLL Publications

Purpose:

Method:

Beyond Alumni Dollars: Developing Engagement With Graduate Alumni, Kyra J. Snyder

USF Tampa Graduate Theses and Dissertations

Alumni engagement plays an increasingly important role in supporting graduate program mission, reputation, and long-term sustainability. Despite its recognized value, limited research examines alumni engagement within graduate level programs from a practitioner perspective. The purpose of this study was to examine perceptions of alumni engagement among alumni, faculty, and staff within the University of South Florida (USF) Physician Assistant Program and to identify any needs or gaps in current engagement opportunities. This study employed a survey-based research design to gather data from two stakeholder groups from the USF PA Program: alumni and faculty/staff. A review of program records provided data …

Regression Dressed As Reform: Bharatiya Nyaya Sanhita And The Shifting Contours Of Political Speech, Anushka Singh

National Law School of India Review

This paper examines the shifting contours of criminal law in relation to political speech, with a focus on Section 152 of the Bharatiya Nyaya Sanhita (BNS). It advances three arguments. First, the decolonising narrative behind deleting sedition glosses over substantive continuities between colonial and post-colonial periods, with Section 152 BNS refashioning the colonial-era bifurcation between ‘sedition’ and ‘sedition-like’ activity. The BNS provision represents a backslide in the way it converges the various legal and political connotations of sedition from colonial to contemporary times, creating a new criminal category constructed through popular political-extra-legal discourses. Second, Section 152 BNS borrows from the …

Lessons Learned: Ignazio Visco, Mercedes Cardona

Journal of Financial Crises

Ignazio Visco served as deputy director general (the equivalent of deputy governor) of the Bank of Italy during the Global Financial Crisis of 2007–09 (GFC) and as governor during the European Sovereign Debt Crisis in 2011 (SDC). During his multidecade tenure at the bank, he held several positions and served under nine prime ministers before stepping down in 2023. Although Italy had the third-largest economy in the eurozone, its banking sector had little exposure to mortgages, which resulted in its being somewhat less impacted by the GFC than other countries. However, the SDC had a severe impact. With the assistance …

Lessons Learned: Masaaki Shirakawa, Mercedes Cardona, Benjamin Hoffner

Journal of Financial Crises

Masaaki Shirakawa became governor of the Bank of Japan (BOJ) in 2008, after a long tenure at the central bank. His career spanned a series of significant crisis events in Japan’s economic history, including the economic boom in the 1980s, which was followed by a period of stagnation characterized by low GDP growth, multiple recessions, and persistent deflation. Shirakawa led the BOJ’s response during the Global Financial Crisis of 2007–09 (GFC). He also initiated the central bank’s contingency plan in response to the 2011 tsunami, earthquake, and Fukushima nuclear disaster before stepping down near the end of his term in …

How Medical Students Use Comforting Language When Taking A Sexual History For Different Presenting Complaints, Abigail Breeze, Emily J. Noonan, Laura Weingartner

The Cardinal Edge

No abstract provided.

Patient Presentation Affects Medical Student Comfort During Sexual Health Encounters, Harshith Jella, Emily J. Noonan, Laura Weingartner

The Cardinal Edge

BACKGROUND

Previous research has identified some disparities between the care that masculine- and feminine-presenting patients experience with regards to sexual health. These disparities could cause feelings of unease and also difficulty with patient-physician communication. In medical education, standardized patients can help students identify and address implicit biases that could propagate as providers.

METHODS

The study population consisted of second year medical students (n=100) from the University of Louisville who completed sexual history-taking during a standardized patient encounter. Coders evaluated the phrases used, perceived comfort levels, and SP feedback among masculine- and feminine-presenting standardized patients.

RESULTS

While the patient presentation did …

Making A Victim: The Quest To Define Austria In A Cold War Context, Katherine E. White

The Cardinal Edge

When the Second World War concluded, the Allied Powers were left with the complicated question of how to deal with the territories that they had occupied on their march to Berlin. Of all the territories conquered by Germany under Nazi rule, Austria proved to be one of the most difficult and polarizing to define. It towed the line between victim and accomplice, having endorsed its own annexation to Germany in 1938. For ten years after the war’s end, the Allied Powers occupied Austria, locked in a stalemate over the country’s fate. This paper examines how the various occupying powers, in …