Digital Commons Network^™

Unmuted: An Augmentative And Alternative Communication User’S Experience In Accessing And Engaging In Mental Health Care, Kanbi Faith Knippling

Graduate Student Theses, Dissertations, & Professional Papers

Communication accessibility is a critical yet underexamined factor influencing access to and engagement in mental health care for individuals who use augmentative and alternative communication (AAC). Existing literature suggests that AAC users experience significant barriers to obtaining communication-accessible mental health services, including limited provider preparation, communication-related assumptions, and broader structural inequities. Despite growing recognition of these concerns, little research has explored how AAC users experience and navigate mental health counseling or how communication accessibility shapes participation in care.

This single-case study explored communication accessibility within the context of an adult AAC users' experiences accessing and engaging in mental health counseling. …

Bridging The Gap: Improving Access To Specialty Care For Adults With Type 2 Diabetes In Rural Communities, Sydney Castil

IdeaFest 2026

Rural communities face disparities in managing Type 2 diabetes due to limited access to specialized care, leading to poor glycemic control and higher complication rates. In rural Northern California, provider shortages hinder timely, evidence-based treatment. This project proposes integrating a diabetes nurse specialist in a local hospital to deliver education, support medication management, coordinate care, and monitor outcomes. The goal is to improve HbA1c levels, reduce complications and readmissions, and enhance self-management, addressing gaps in care and reducing health disparities.

Hydrotherapy As An Emerging Treatment For Children With Cerebral Palsy, Monserrat Rodriguez

IdeaFest 2026

This project explores cerebral palsy (CP) with a focus on classification, severity, and the role of pain in limiting movement and participation in children. It reviews common land-based interventions used in rehabilitation, highlighting their benefits in improving motor function and independence, as well as their limitations such as fatigue and reduced engagement. The project then introduces hydrotherapy as an emerging intervention, examining its benefits in improving movement, balance, and participation. Current research suggests hydrotherapy can enhance rehabilitation outcomes, especially when used alongside traditional therapies.

Growing Agroecology: Two Case Studies From The U.S. Student Farm Movement, Amelia B. Armstrong

Graduate Student Theses, Dissertations, & Professional Papers

Scholars and activists identify agroecology as a crucial science, practice, and movement to move towards more just, equitable, and sustainable agriculture and food systems. Yet, the exploitative industrial food system, that deepens inequalities like food insecurity (Clapp et al., 2025), reduces farmer autonomy (Rotz, 2015), and contributes to increased carbon emissions (Lin et al., 2011) and biodiversity decline (Rotz, 2015), still dominates. Understanding and mobilizing the different spaces that teach agroecology, then, is a crucial step in challenging the dominant industrial food system. Agroecology education in university settings is an important domain to investigate as potential contributors to this movement, …

Blue Lake Rancheria Daluviwi’ Field Restoration Project, Bella Evenson

IdeaFest 2026

Blue Lake Rancheria’s community garden, Daluviwi’, is dedicated to promoting Indigenous food sovereignty by providing a variety of produce to tribal communities across Humboldt County. Over the past two years, tribal employees and College Corps fellows at Daluviwi’ have worked to remediate an acre of field space, increasing crop production and expanding our ability to feed the community. The project has been completed by hand to promote long-term, sustainable, regenerative agriculture.

Building Trust Through Partnership: A Community Advisory Board Self-Evaluation Within A Blackfeet Nation Community-Based Participatory Research Collaboration, Lauren Dupuis

Graduate Student Theses, Dissertations, & Professional Papers

Community Advisory Boards (CABs) are frequently used within community-based participatory research (CBPR) to promote community engagement, shared decision-making, and cultural responsiveness. Although CABs are widely utilized in Indigenous research partnerships, relatively few studies have evaluated CAB function from the perspectives of Indigenous community members. Our study describes the development of a CAB established through a collaborative partnership between the University of Montana and the Blackfeet Nation and evaluates the quality and impact of the partnership from the perspectives of CAB members. We conducted a mixed-methods partnership self-evaluation with members of a CAB supporting an Indigenous healthcare research initiative. Three of …

Illusions Of Fairness And Sacrifice, Brady Schwertfeger

Graduate Student Theses, Dissertations, & Professional Papers

The American West is a shifting landscape. An incongruous expanse of isolation and urbanity, wilderness and extraction, wealth and welfare, clear water and fire. Fifteen years ago, I moved to my mother’s ancestral homeland of Montana, and have been here ever since. Before that, I was born and raised in Texas, both the West and the South (and often something else entirely), depending on who you ask. My experiences in this region have shaped me indelibly, and have inspired this collection of essays built around culture, politics, and justice in the West. “Pinedale, Wyoming” considers the musician as itinerant wanderer …

2026 Annual Report, Wolf Law Library, William & Mary Law School

Library Annual Report

No abstract provided.

Evaluating Artificial Intelligence Large Language Mocdels In Dental Education: A Cross-Sectional Survey On Usage, Perceptions, And Integration At A U.S. Dental Scho, Celine Sheng, Camie Mcfarland, Nikola Angelov, Sridhar V K Eswaran, Richard Halpin, Jennifer Chang

Faculty, Staff and Student Publications

Introduction: The adoption of artificial intelligence (AI) in higher education presents opportunities and challenges for dental education. This study explores the use of Large Language Model (LLM) based AI tools, including ChatGPT and Grammarly AI, among faculty and students at the UTHealth School of Dentistry in Houston (UTSDH). This research assessed usage patterns, perceived benefits and concerns, and AI training demand.

Methods: A piloted, cross-sectional survey was administered via email. The survey included Likert-scale, multiple-choice, and open-ended questions. Respondents provided demographics and rated their LLM-based AI tools for use and perceptions in educational, clinical, and research contexts. Data was analyzed …

Treatment Manual For Sequential Format. Two Part Program For Symptom Self-Management (12 Session Course & Support Group For Booster Dose Of Course)., Robin Buccheri, Louise Nigh Trygstad, Martha D. Buffum

Nursing and Health Professions Faculty Research and Publications

This is the Treatment for Sequential Format Two Part Program for Symptom Self Management of Auditory Hallucinations (12-Session Course & Support for Booster Dose of Course).

Treatment Manual For Nonsequential Format. Two Part Program For Symptom Self-Management (12 Session Course & Support Group For Booster Dose Of Course)., Robin Kay Buccheri, Louise Nigh Trygstad, Martha D. Buffum

Nursing and Health Professions Faculty Research and Publications

This is the Treatment Manual for NonSequential Format: Two-Part Program for Symptom Self-Management of Auditory Hallucinations: 12 Session Course & Support Group for Booster Dose of Course

N Y State Dent J January 2026

The New York State Dental Journal

In the January 2026 issue, the reader will find the following feature articles:

• No Need to Travel the Road to Licensure Renewal Alone
• IPS Subperiosteal Implant for the Maxilla and Mandible
• Amyloidoma of the Palate
• Titanium Hypersensitivity as Possible Cause of Dental Implant Failures

This issue includes regular columns with regional news impacting the New York membership including editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Health Literacy/Numeracy-Related Factors Affecting Interpretation In Medical Laboratory Values, Rachel L. Childs

School of Medical Diagnostics & Translational Sciences Publications

Background

Health literacy and numeracy are broad terms that relate to a patient’s understanding of their health information. While there is a substantial amount of research on this topic in a general sense as well as in relation to how deficiencies in these skills impact patients’ understanding of laboratory results, little is known regarding the extent to which underlying factors, which are impacted by health literacy/numeracy, affect how patients interpret their results. This literature review attempts to shed light on the current literature on this more focused and narrow issue, including recommendations to address these barriers.

Content

To perform this …

Commercial Determinants Of Health Revisited: Integrating Business Scholarship For Greater Public Health Impact, Junghoon Park, Bryan W. Husted

Management Faculty Works

In her influential 2020 review in Globalization and Health, Mialon synthesizes the commercial determinants of health (CDOH) literature and underscores how commercial actors are connected to public health through the institutional environments in which they operate. Much of this research conceptualizes firms as institutionally embedded but relatively homogeneous actors, emphasizing external practices such as the production and promotion of harmful commodities, lobbying, and corporate social responsibility initiatives. While recent CDOH scholarship has begun to recognize the importance of organizational-level factors, few studies analyze the internal processes through which corporate conduct with public health consequences emerges. We argue that integrating insights …

Strategic Peer Region Selection For Economic Development, Xiaobing Shuai, Riley Ford

School of Professional and Continuing Studies Faculty Publications

Benchmarking against peer and aspirational regions is essential for economic development because it provides meaningful context for evaluating performance and shaping strategy. These comparisons help highlight regional advantages that attract new investments, as well as uncover gaps that may represent opportunities for future growth. ...

This article provides a practical, data-driven framework that economic development organizations can use to identify peer and aspirational regions, strengthen benchmarking efforts, and support strategy development. A case study illustrates how this can be applied to better interpret economic indicators and inform decision-making. For EDOs, this approach offers a more consistent way to evaluate competitiveness, …

Alternative English Language Development Scheduling In High School: Long-Term English Learners’ Attitudes And Perceived Control, Kira Rashada

University of the Pacific Theses and Dissertations

This explanatory sequential mixed-methods study examined whether an alternative English Language Development (ELD) scheduling model influenced ninth-grade Long-Term English Learners’ (LTELs) attitudes toward school and perceived control at a California high school operating on a block schedule. Guided by Self-Determination Theory (Ryan & Deci, 2000), the study explored how differing ELD scheduling models may shape students’ experiences related to autonomy, competence, and relatedness. Specifically, the study compared ninth-grade LTEL students who participated in a traditional 90-minute ELD course during the 2023-24 school year with students who participated in an alternative scheduling model during the 2024-25 school year in which designated …

Words That Heal Or Harm: A Narrative Review On Language Use In Nursing Care.", R. Sudha, A.S. Neya

Manipal Journal of Nursing and Health Sciences

No abstract provided.

An Investigation Of The Perceived Effects Of, And Preparedness For, Climate Change On Tourism Stakeholders In The North Devon Unesco Biosphere, Mai Albaek

Plymouth Business School Theses

This thesis investigates the perceived effects of climate change and the level of preparedness among tourism stakeholders and local residents in the North Devon UNESCO Biosphere (NDUB), a protected area in southwest England. Using a mixed-methods approach, the study draws on quantitative surveys and qualitative interviews with residents, tourism-related business owners, and industry professionals to explore how climate change is understood, experienced, and addressed at the local level. The research is underpinned by stakeholder theory and collaboration theory, which are operationalised to examine the dynamics of climate perception, adaptation, and collective action. Findings reveal that while concern about climate change …

In Trust We Trust: Role Of Trust In Business Negotiations In The Context Of Switzerland As A High-Trust Country, Aksana Babich

Plymouth Business School Theses

The present research examines the role of trust in business negotiations in the context of Switzerland, a high-trust country. Using a qualitative, practitioner-oriented design grounded in template analysis, the research draws on semi-structured interviews with thirty professionals from diverse sectors of the economy of the canton of Geneva. Switzerland’s high-trust environment provides an empirical context in which trust mechanisms are particularly visible and operational.The research advances conceptual, empirical and methodological knowledge of trust in negotiations. Conceptually, it clarifies the meaning of trust, demonstrating that trust is not a one-dimensional construct centred on risk and vulnerability, but a multifaceted moral value …

Prediction Of Phytocompounds For Environmental Sustainability: A Framework Using Computational Tools, Ankita Halder, Sayoni Dam, Sisir Nandi, Asmita Samadder

Trends in advanced sciences and technology

In response to the abruptly elevated environmental impact caused by the usage of chemical-based synthetic compounds in agricultural fields and pharmaceutical pollution, phytocompound-based products have become the choice of use for their ability to foster environmental sustainability. The potential of new phyto-based compounds has been explored in agriculture, phytoremediation, etc. Computer-based in silico prediction through ADMETlab 2.0, SwissADME, and Way2Drug software secured an important role in screening of these phyto-based compounds in terms of lethal concentration (LC₅₀FM, LC₅₀DM), Bioconcentration Factors, IGC50, and role in the TOX21 pathway ahead of their environmental exposure. These aforementioned softwares also …

Early Stem Impressions, Student Engagement, And Readiness For Digitalization, Myron Sheu

Journal of International Technology and Information Management

This study examines how early impressions of science, technology, engineering, and mathematics (STEM) shape business students’ learning behaviors and, ultimately, their readiness for organizational digitalization. Focusing on gender differences, subgroup identities, and perceived obstacles, the analysis uses survey data processed through correlation matrices, regression models, and subgroup heatmaps to trace the relationship between initial attitudes toward STEM and subsequent engagement patterns. The findings reveal consistent links between positive early impressions and active participation in structured STEM activities, along with gender-based distinctions in action preferences. Subgroup analyses further uncover nuanced patterns where stereotypes or perceived barriers correspond with reduced engagement. Collectively, …

Does Digital Innovation Matter For Hospital Efficiency? Evidence From U.S. Hospitals, C. Christopher Lee, Shihui Fan, Jung Young Lee, David W. Hwang

Journal of International Technology and Information Management

Purpose – This study examines the impact of digital innovation on hospital performance, providing evidence to guide healthcare administrators and policymakers in making informed decisions regarding digital investment.

Design/Methodology/Approach – Using data from the 2020 American Hospital Association (AHA) U.S. Hospital Survey and the 2019 AHA Information Technology Survey, we empirically analyze the relationship between five dimensions of digital innovation—automation, cybersecurity, telehealth, health information exchange (HIE), and IT spending—and three efficiency indicators: occupancy rate, capacity productivity, and manpower productivity.

Findings – The results show that digital innovation has varying effects on hospital efficiency. Automation is positively associated with capacity and …

The Crowdfunding Paradox In Crisis: Rising Funder Demand Vs. Declining Entrepreneur Supply, Dan Liu, Guangzhi Shang, Cynthia Fan Yang

Journal of International Technology and Information Management

This study investigates how the crowdfunding marketplace responds to major crises, focusing on behavioral shifts among funders and entrepreneurs. Results show a dual impact on platform dynamics. On the demand side, funders become more engaged, with notable increases in the number of backers, average contributions, and total pledge amounts. This heightened activity suggests stronger altruistic motivations, as individuals view crowdfunding as a way to support others during difficult times. On the supply side, however, entrepreneurs act more cautiously, leading to a decline in new project launches. This drop likely reflects increased risk aversion and uncertainty as creators navigate volatile conditions. …

Making Their Community Proud: First-Generation Latinx Students' Participation In Clep, Michelle Van Beek, Abby Holland

Journal of College Access

This study explores the impact of earning Spanish CLEP credit on first-generation Latinx students' levels of self-efficacy, college-going mindset toward earning a post-secondary degree, and their perceptions of bilingualism. Study participants (n=47) were all enrolled or previously enrolled in a college access program in high school. All participants received the opportunity to take the Spanish CLEP exam. Participants (n=33) completed a pre/post survey, and a paired sample t-test showed self-efficacy, college-going mindset, and language perceptions remained neutral for participants. Five semi-structured group interviews (n=26) were conducted after the post-survey. Participants showed that earning Spanish CLEP credit impacted their way of …

Palosanto. Made In Ecuador, Emilia Andrade Morán

Grado en Gestión y Comunicación de la Moda

ste proyecto se basa en PALOSANTO, una marca de bolsos y accesorios premium de paja toquilla ecuatoriana que busca revalorizar este material, reconocido por la UNESCO como Patrimonio Cultural Inmaterial, desde una perspectiva contemporánea. El trabajo de fin de grado trata de desarrollar una marca. Desde la investigación del material hasta la implementación estratégica, demostrando que la artesanía latinoamericana puede posicionarse dentro de un mercado internacional sin perder su autenticidad. Dentro de este proyecto se hará un análisis del sector de la moda y del mercado de bolsos y accesorios, una investigación profunda sobre la paja toquilla y sus comunidades …

Plan De Comunicación Para La Internacionalización De Loreak Mendian, María Teresa De Donesteve Luengo

Grado en Gestión y Comunicación de la Moda

El presente Trabajo de Fin de Grado analiza la viabilidad y el potencial estratégico que tiene la marca Loreak Mendian para internacionalizarse en el mercado surcoreano. El proyecto defiende que el storytelling y la identidad de una marca pueden generar interés y valor en un mercado con tantas diferencias tanto culturales como digitales. La investigación se ha llevado a cabo a través de un enfoque metodológico mixto, es decir, cuantitativo y cualitativo. En cuanto a lo cuantitativo se destacan el uso de informes como BoF, McKinsey, Vogue Business y WGSN. Por otro lado, en cuanto a lo cualitativo se destaca …

Transportation Law’S Congestion Problem, Sara C. Bronin

GW Law Faculty Publications & Other Works

Transportation law has a congestion problem: our federalist system of government allows federal and state actors to stymie innovative, locally driven projects that aim to reduce driving. This problem is illustrated in the decades-long legal battles over New York City’s plan to impose “congestion pricing” to toll drivers entering certain parts of Manhattan. Overcoming grandstanding elected officials, lawsuits resting on state and federal supremacy, and even a federal legislative override, congestion pricing was finally launched in January 2025. New Yorkers and suburbanites alike almost immediately started benefiting from cleaner air, faster commutes, safer roads, and increased economic activity and productivity—plus …

Taking Stock Of Comparative Law Teaching In U.S. Legal Education, Francesca Bignami, Irene Calboli

GW Law Faculty Publications & Other Works

For over 25 years, U.S. law schools have sought to globalize their curricula, reflecting the increasing interconnectedness and international scope of legal practice. Although there have been efforts to take stock of the impact of globalization on law schools, the vast majority have focused on international law, not comparative law. This U.S. National Report, written for the International Academy of Comparative Law’s 2026 Congress, fills the knowledge gap. In summer and fall 2024, we conducted a survey that examined course offerings, requirements, and opportunities for JD students. The survey was supplemented by interviews and a literature review of law schools …

Hiw 301: Ottoman History, Firat Koklu

Open Educational Resources

Hybrid asynchronous survey of Ottoman history from the empire’s emergence through its collapse, examining major political, social, economic, and legal transformations across six centuries. Through primary sources, historical scholarship, and audiovisual materials, the course considers themes including imperial expansion and governance, religious communities, migration, economic change, reform, European imperialism, and the transition from empire in a broader global and comparative context.

Syllabus: Guttman Psyc101: Introduction To Psychology, Natalia Lara Gonzalez

Open Educational Resources

The present syllabus includes materials to be used for an introduction to psychology class. The topics range from basic cognitive, behavioral and developmental psychology to social sciences and nature vs. nurture debates. The syllabus also includes an abnormal psychology open access textbook where students can access details on mental health conditions which they present on at the end of the semester.