Digital Commons Network^™

Therapist Experience As A Moderator Of Therapeutic Alliance Across The Course Of Couple Therapy, Julia K. Christensen

Theses and Dissertations

Therapeutic alliance is a key predictor of successful couple therapy outcomes. Little research has explored how therapist experience may predict its development. This study was designed to examine whether initial therapeutic alliance scores differ between couple clients of training clinics versus couple clients of community clinics, and whether the rate of change in alliance across sessions varies between these groups. Additionally, I controlled for initial relationship distress. Using dyadic therapy process data for at least one partner of 1,330 couples, a multilevel growth curve model with therapist experience as a moderator was fit to determine the difference in initial therapeutic …

Journal Of The Arts And Special Education: Volume 5, Issue 1

Journal of the Arts and Special Education

No abstract provided.

Promising Partnerships In Art Education And Special Education: An Interview With Beverly Gerber, Jennifer Elaine Smith, Yilin Shen

Journal of the Arts and Special Education

Dr. Beverly Gerber is a strong advocate for developing “promising partnerships” between art educators and special educators. She has spent her career working to advocate for increased inclusive opportunities for students with disabilities. From this advocacy, she has written books that have sat atop the National Art Education Association’s best seller’s list. In addition, Dr. Gerber is a co-founding member of the Division of Visual and Performing Arts Education (DARTS) in the council for Exceptional Children. DARTS will celebrate it’s 10^th anniversary in 2025. Dr. Gerber’s work has had a notable impact on the intersection of art and special …

Mindfulness-Based Stress Reduction And Mindfulness-Based Cognitive Therapy As Interventions For Generalized Anxiety Disorder: A Meta-Analytic Review, Amitojeroop Kaur

Honors Scholar Theses

This systematic review and meta-analysis examined the efficacy of mindfulness-based interventions (MBIs), specifically Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), in reducing anxiety symptoms in individuals with Generalized Anxiety Disorder (GAD). A review of the literature revealed that while GAD affects millions globally, many individuals diagnosed with GAD do not receive treatment. This review evaluated the effectiveness of MBIs using randomized controlled trials (RCTs) and non-RCTs, focusing on effect sizes, study quality, and control conditions. The central hypothesis was that MBCT would significantly reduce anxiety symptoms, particularly in comparison to inactive control groups. Meta-analytic results showed that MBSR …

Reactivity To Environmental And Social Demands In Autistic And Neurotypical Children: More Alike Than Different?, Sarah-Ann Louder James

Theses and Dissertations

Research has increasingly recognized that empathy difficulties between autistic and neurotypical individuals are mutual. As empathy depends on shared understanding, identifying common ground between autistic and neurotypical children is important to foster greater empathy. This study examined reactivity patterns in autistic and neurotypical children to explore how similarities in reactivity might promote empathy across neurodiverse groups. Using a quantitative, survey-based design, parents of 56 children (19 autistic, 37 neurotypical; ages 5-11) completed a novel measure developed for this study, the Reactivity to Scenarios of Differing Intensity (RSDI), which measures children's reactivity to various social and environmental scenarios of differing intensity. …

The Role Of Gender And Sexual Identity In Mental Health Outcomes For Asylum-Seeking Survivors Of Sexual Torture, Samantha A. M. Doerr

Clinical Psychology Dissertations

Millions of people worldwide flee violent persecution each year, with more than 6.8 million estimated to have sought asylum in 2023 alone (United Nations High Commission on Refugees, 2025). Up to 40% of refugees and asylum-seekers are reported to be survivors of torture, with sexual torture one of the most commonly-reported means of torture, particularly among women and LGBTQ+ populations (Abu Suhaiban, 2019; Hopkinson et al., 2017; United Nations High Commission on Refugees, 2017). Sexual torture has been associated with severe impacts on mental health, including posttraumatic and depressive symptoms. Despite marked differences in sexual torture risk across gender and …

Patterns Of Late Holocene And Historical Extinctions On Madagascar, Laurie R. Godfrey, Zachary S. Klukkert, Brooke E. Crowley, Robin R. Dawson, Peterson Faina, Benjamin Z. Freed, Evon Hekkala, Cortni Borgerson, Harimanjaka A. M. Rasolonjatovo, Patricia C. Wright, Stephen J. Burns

EKU Faculty and Staff Scholarship

Around 1000 years ago, Madagascar experienced the collapse of populations of large vertebrates that ultimately resulted in many species going extinct. The factors that led to this collapse appear to have differed regionally, but in some ways, key processes were similar across the island. This review evaluates four hypotheses that have been proposed to explain the loss of large vertebrates on Madagascar: Overkill, aridification, synergy, and subsistence shift. We explore regional differences in the paths to extinction and the significance of a prolonged extinction window across the island. The data suggest that people who arrived early and depended on hunting, …

Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran

Walden Dissertations and Doctoral Studies

Integrating innovative healthcare technology into strategic planning and implementation has transformed how organizations address healthcare disparities through enhanced leadership strategies. Some health facility leaders are concerned about the lack of effective strategies for implementing innovative technology, as it hinders patient access and weakens organizational competitiveness. Grounded in transformational leadership theory and the technology acceptance model, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that health facility leaders used to implement innovative technology to improve healthcare access and competitive advantage. The participants were four leaders within the healthcare and information technology sector, with at …

Thin And Ephemeral Snow Shapes Melt And Runoff Dynamics In The Peruvian Andes, Catriona L. Fyffe, Emily Potter, Evan Miles, Thomas E. Shaw, Michael Mccarthy, Andrew Orr, Edwin Loarte, Katy Medina, Simone Fatichi, Rob Hellström, Michel Baraer, Emilio Mateo, Alejo Cochachin, Matthew Westoby, Francesca Pellicciotti

School of Geography, Earth and Environmental Sciences

The snow and glaciers of the Peruvian Andes provide vital water supplies in a region facing water scarcity and substantial glacier change. However, there remains a lack of understanding of snow processes and quantification of the contribution of melt to runoff. Here we apply a distributed glacio-hydrological model over the Rio Santa basin to disentangle the role of the cryosphere in the Andean water cycle. Only at the highest elevations (>5000 m a.s.l.) is the snow cover continuous; at lower elevations, the snowpack is thin and ephemeral, with rapid cycles of snowfall and melt. Due to the large catchment …

Translucency And Stain Resistance Of A Light Cured Pontic Paste, Ahmed Abumustafa

All ETDs from UAB

Objectives: Light-cured pontic pastes can be applied to the internal aspect of clear retainer/aligner trays at sites of missing teeth. Ideally, the pontic tooth should appear visually opaque and resist staining. The aim of this study was to determine if the number of coats of the paste will affect its translucency and stain resistance. Materials and Methods: 12mm diameter discs of a biocryl clear retainer material (Clear Splint) (n=10) were punch-cut. Light-cure pontic paste (Perfect-A-Smile Pontic) was applied to one side of the biocryl discs in 1, 2, 3 or 4 coats (200-400g /coat). The paste was light cured between …

Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko

Walden Dissertations and Doctoral Studies

Some small and medium-sized enterprise (SME) owners in the hotel industry face survival challenges during economic downturns, such as the coronavirus disease (COVID-19) and the 2016 oil glut crisis. SME hotel owners are concerned about addressing these challenges to ensure profitability and sustainability amid economic crises. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME hotel owners used to maintain business success amid economic crises. The participants were six SME hotel owners in Nigeria who had implemented strategies to remain profitable and sustainable. Data were collected through semistructured interviews and a …

The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis

Walden Dissertations and Doctoral Studies

Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …

Swi/Snf Atpase Silenced Hlf Potentiates Lung Metastasis In Solid Cancers, Jin Zhou, Austin Hepperla, Jeremy M Simon, Kangsan Kim, Qing Hu, Chuanhai Zhang, Lei Dong, Lianxin Hu, Cheng Zhang, Chengheng Liao, Alice Fang, Yayoi Adachi, Haoyong Fu, Tao Wang, Qian Liang, Fangzhou Zhao, Hongyi Liu, Masashi Takeda, Jun Fang, Hua Zhong, Peter Ly, Lu Wang, Payal Kapur, Lin Xu, Liwei Jia, Srinivas Malladi, James Brugarolas, M Celeste Simon, Bo Li, Qing Zhang

Faculty, Staff and Student Publications

Metastasis is the main cause of cancer-related deaths, yet the underlying mechanisms remain elusive. Here, using clear cell renal cell carcinoma (ccRCC), a tumor type with frequent lung metastases, we conduct an in vivo genome-wide CRISPR-Cas9 screen and identify HLF as a potent suppressor of lung metastasis. HLF depletion enhances ccRCC cell migration and lung metastasis, whereas HLF overexpression abrogates these effects. In ccRCC patients, HLF expression is reduced at metastatic sites and associates with epigenetic silencing mediated by the SWI/SNF ATPase subunit BRG1. HLF levels negatively correlate with migration potential in collagen. Mechanistically, HLF regulates LPXN expression, modulating the …

Unraveling The Enigma Of Classification Of Synthetic And Genuine Information Using Machine Learning And Explainable Ai, Vishnu S. Pendyala

Faculty Research, Scholarly, and Creative Activity

There is a preponderance of AI-generated text everywhere today. Literature shows that there has been considerable success in detecting such text. This paper uses explainable AI (XAI) techniques to get insights into the workings of the machine learning models used to classify synthetic text. In detecting such text, this work analyzes synthetic and genuine information from visualization and explainability perspectives. The text is converted into vector embeddings using Robustly Optimized BERT Pretraining Approach (RoBERTa). Variational Autoencoders (VAEs) are used for visualization and Support Vector Machine (SVM) is used for classification. Local Interpretable Model-Agnostic Explanations (LIME), SHapley Additive exPlanations (SHAP), and …

Multi-Omic Spatially Resolved Analysis Of The Neuroinflammatory Response To Intracortical Microelectrode Arrays, E. Ricky Chan, Jeffrey R. Capadona

Faculty Scholarship

Intracortical microelectrode arrays (MEAs) are devices implanted into the brain's cortex with the ability to record or stimulate neuronal activity. Unfortunately, MEAs tend to fail over chronic time points, limiting their clinical utility. Chronic failure has largely been attributed to the brain's neuroinflammatory response. Until recently, most of what was understood about the neuroinflammatory response to MEAs was learned through immunohistochemical analysis of small numbers of proteins. More recently, gene expression studies have sequenced thousands of mRNA molecules that contribute to neuroinflammation, but few studies have performed large-scale proteomic analyses. To expand the knowledge of molecular mechanisms involved, we have …

Leadership Attributes To Guide The Adoption And Curricular Design Process Of Environmental Sustainability Education For Ec-12 Public School Districts, Katherine Marie Seguino

Theses and Dissertations from DePaul University

Though awareness of environmental issues increases, limited resources are available as guidance for public school leadership to introduce and implement Environmental Sustainability Education (ESE) into their curriculum. Increasing evidence exists supporting the why ESE should be part of the curriculum, however few resources are available on the how to successfully implement it. This study seeks to provide insight to public school leaders regarding attributes beneficial to gain support of their communities and points to consider for crafting culturally relevant ESE curriculum. Public schools serve over 90% of American students, if this environmental crisis is to be solved, ESE must be …

Spatial Analysis Of La Nana Bayou Watershed To Assess Stream Health, Rylee G. Gabbert

Electronic Theses and Dissertations

The purpose of this study was to evaluate the feasibility of using land cover mapping to identify water quality indicators within a river basin, assessing whether this method provides greater efficiency compared to traditional field-based water quality testing. Land cover mapping has efficiently monitored environmental changes by detecting alterations within specific areas. With the La Nana Bayou Watershed positioned in the heart of Nacogdoches City, an urbanized environment; it is subject to human induced alterations that can negatively affect the natural functionality of its system. When water quality indicators are successfully related to land cover maps, changes within the landscape …

Childhood Myopia Part Ii: Treatment Mechanisms, Emerging Options, And Considerations, Safal Khanal Dr, Erin S. Tomiyama Dr, Síofra Harrington Dr

Articles

Abstract

The rapidly increasing prevalence of myopia and its association with vision-threatening complications in later life has intensified efforts to identify treatments that can prevent the onset and slow the progression of myopia in children. These efforts have led to the development of several optical, environmental, and pharmacological myopia control treatments. Investigations of additional treatment options are ongoing and have shown great promise for clinical translation. Although significant progress has been made in identifying potential pathways and modes of action of these treatments, a complete mechanistic understanding is still lacking. This critical review article explores the potential mechanisms underlying the …

Transition To Organic: Alfalfa Production In Utah, Earl Creech, Ryan Larsen, Marion Murray, Jennifer R. Reeve, Michele Schahczenski

All Current Publications

Transitioning to organic production may not require drastic operational changes on the part of the producer, as alfalfa production lends itself to more organic practices by default. Producers may decide to transition to certified organic production to capture organic price premiums, access niche market opportunities, reduce the use of synthetic inputs, meet growing consumer demand, enact personal values around environmental stewardship, and support soil and biodiversity conservation. Whatever a grower’s motivation, this fact sheet covers transitioning to organic production through understanding organic production systems, the National Organic Program (NOP) regulations, and crop-specific considerations.

‘I Want To Break Free’ - Reflecting On The Use Of Educational Escape Rooms For Entrepreneurial Education And The First Year Experience, Jennifer Cowman

Irish Journal of Academic Practice

This reflective case study explores the use of Educational Escape Rooms (EERs) within a first-year business module at TU Dublin, developed in response to persistent engagement and retention challenges (Shah et al., 2021; Byrne et al., 2012). Using BreakoutEDU kits and guided by best practice principles including alignment, narrative, and debriefing (Nicholson, 2016; Veldkamp et al., 2020a), sequential EERs were implemented over two academic years. The design focused on key entrepreneurial competencies such as collaboration, communication, and problem-solving (Duggins, 2019; Hartman-Caverly, 2022), with tasks embedded in module topics on environmental analysis and introduction to marketing. Observational insights suggest EERs yielded …

Westchester Capital Co., Llc V. Richardson

All Decisions

The court dismissed the landlord's holdover petition, granting the tenant's motion to dismiss. The court found the petition fatally defective for failing to plead the tenant's protected status as a non-purchasing tenant under the Martin Act. Additionally, the predicate 90-day notice was deemed insufficient as it vaguely alleged a "poor history of making rent payments on time" without specific details, failing to establish "good cause" for eviction required by the Martin Act. The court denied the landlord's cross-motion to amend and the tenant's summary judgment motion as moot.

Large Language Models For Quantitative Analysis Of Statutory Stringency And Its Correlation With Sexual Assault Crime Rates, Samhita Konduri, Vishnu S. Pendyala

Faculty Research, Scholarly, and Creative Activity

Sexual assault (SA) crimes are among the most important issues for our current society to solve, with these crimes in particular having long-term consequences on victims and their communities. To solve this issue, one approach is to make laws and penalties for these crimes stricter. However, there have not been any studies on the relationship between stricter penalties and lower crime rates, especially about SA crimes, in a quantitative manner. The biggest barrier to conducting a quantitative study on the strictness of laws and statutes is the lack of a standardized measure of how strict a legal text is. This …

Mutual Suppression Between Mutations In The Dictyostelium Greenbeard Pathway Restores Wild-Type Development, Mariko Katoh-Kurasawa, Lena Trnovec, Peter Lehmann, Blaž Zupan, Gad Shaulsky

Faculty, Staff and Students Publications

Background: The Dictyostelium greenbeard pathway is mediated by two polymorphic transmembrane proteins, the TgrC1 ligand and the TgrB1 receptor. These proteins mediate allorecognition, altruism, and the developmental transition to multicellularity. A genetic suppressor screen revealed activating mutations in tgrB1 and inactivating mutations in rapgapB, a regulator of the GTPase protein RapA. Inactivation of either tgrB1, tgrC1, or rapgapB leads to developmental defects, but the respective double-mutant strains rapgapB-tgrB1- and rapgapB-tgrC1- develop well and produce spores. This mutual suppression could result from inducing an alternative pathway or from restoring wild-type development, but morphological analyses alone could not resolve this question.

Results: …

Psilocybin's Acute And Persistent Brain Effects: A Precision Imaging Drug Trial, Subha Subramanian, Travis Rick Reneau, Demetrius Perry, Ravi Chacko, Timothy O Laumann, Karin Flavin, Christine Horan, Julie Schweiger, Nicholas Metcalf, Eric J Lenze, Abraham Z Snyder, Nico U F Dosenbach, Ginger Nicol, Joshua S Siegel

2020-Current year OA Pubs

Psilocybin (PSIL) is a psychedelic drug and a promising experimental therapeutic for many psychiatric conditions. Precision functional mapping (PFM) combines densely repeated resting state fMRI sampling and individual-specific network mapping to improve signal-to-noise ratio (SNR) and effect size in brain imaging research. We present a randomized cross-over study in which PFM was used to characterize acute and persistent effects of psilocybin or methylphenidate (MTP) on brain networks. Seven healthy volunteers (mean age 34.1 years, SD = 9.8; n = 3 females, n = 6 Caucasians) underwent (1) extensive baseline imaging, (2) imaging beginning 60-90 minutes after drug exposure, and (3) …

The Irreplaceable Role Of Human-Centered Nursing Care In The Age Of Ai, Allyson Louise Brown

Wisdom & Compassion: The LUSON Journal

No abstract provided.

Volume 2, Issue 2 - Complete Issue

Wisdom & Compassion: The LUSON Journal

No abstract provided.

Tilings In The 3 Dimensional Lattice With L-Tetrominoes, Ian N. Bridges

Rose-Hulman Undergraduate Mathematics Journal

We consider three dimensional L-tetrominoes. We show that there exists at least one way to tile every three dimensional rectangle whose side lengths are at least $3$ and area is congruent to $1 \pmod 4$ such that one square goes untiled. In addition, we show that every three dimensional rectangle is tileable provided one side has length at least $2$ and the other is a multiple of $4$.

Changes In Insulin, Leptin, Resistin And Irisin Levels And Their Associations With Blood Pressure After An 8-Week Supervised, Online “Hiit Mama” Program Vs. Self-Performed Moderate-To-Vigorous Physical Activity During Pregnancy - A Randomized Controlled Trial, Anna Szumilewicz, Junjiang Sun, Rita Santos-Rocha, Jan Mieszkowski, Andrzej Kochanowicz

Baltic Journal of Health and Physical Activity

We aimed to determine changes in insulin, leptin, resistin, and irisin levels and their associations with blood pressure (BP) during pregnancy, following an 8-week high-intensity interval training (HIIT) or a self-performed moderate-to-vigorous physical activity (MVPA). The study involved 54 Caucasian women in uncomplicated, singleton pregnancy (age 32 ± 4 years, week of gestation 24 ± 4, mean ± SD). They were randomly allocated to the 8-week supervised, online “HIIT Mama” program (HIIT group, n = 34) or educational intervention and self-performed MVPA (EDU group, n = 20). All participants maintained normotension throughout the study. The HIIT program in-duced a statistically …

Research Integrity In The Era Of Generative Artificial Intelligence, Andrea Wilson, Cheryl Burleigh

Journal of Educational Research and Practice

Protecting research integrity is crucial for maintaining trust in the scholarly record. Historically, threats to research integrity stemmed from deliberate human actions, such as data manipulation and misrepresentation. Generative artificial intelligence (GAI) is increasingly prevalent in higher education and is capable of generating research data and scholarly papers almost instantly. The immediate production of research data challenges traditional standards of academic rigor and integrity. The purpose of this study was to explore the role and impact of GAI on research integrity and the scholarly record, emphasizing the need for robust safeguards. For this study, we submitted Likert-type survey questions to …

Large Language Model Based Automated Labeling Of Keypoints In Images Of Rooms, Adam Zu, Fengtao Fan

Defensive Publications Series

Spatial applications require accurate geometrical measurements of physical spaces. Typically, room geometry can be determined based on the position of various corners in the room. A room keypoints model can provide the locations of corners in an image of a room. However, there is a dearth of diverse types of suitable images with labeled keypoints that can be employed to train keypoint models. Manual labeling does not scale because it is tedious, slow, and expensive. This disclosure describes an LLM-based agent to automate the labeling of keypoints, such as corners within room images at scale, thus enabling speedy generation of …