Digital Commons Network^™

Neuro-Affirming Sexual Health: Education And Autism, Joanne Barnhart

Student Research Design & Innovation Symposium

Neuro-affirming sexual health education is critical due to the high risk of emotional and physical assault for those with autism and intellectual developmental disabilities (IDD). There is a critical need for sexual health policies, resources, and training for caregivers, healthcare workers, and individuals with IDD or ASD as it is often overlooked and avoided. There is limited sexual education available targeted toward this vulnerable population, especially in schools and clinics. Occupational therapy practitioners (OTPs) are equipped to provide education and guidance on sexual health and identity concerns and challenges. This scoping review seeks to identify the effect of inclusive sexual …

Adaptive Skiing And Complex Communication Needs, Jordan Chizmadia Ba, Ot/S

Student Research Design & Innovation Symposium

Effective communication is crucial for individuals with Complex Communication Needs (CCN), enabling them to express their needs, build confidence, and promote autonomy during adaptive skiing. However, there is currently a lack of systems specific to those with CCN for use in adaptive skiing. The capstone project assessed both verbal and non-verbal alternative communication methods, including a Picture Exchange Communication Systems (PECS), gestures, written and verbal/tactile cues to develop and implement an effective communication method suited for use in adaptive skiing, in collaboration with Wasatch Adaptive Sports (WAS). To enhance communication between adaptive ski instructors and individuals with CCN, a three-step …

Improving Infant Feeding Practices, Ytossie Graves

Student Research Design & Innovation Symposium

This project addressed knowledge gaps and misconceptions related to infant feeding practices among participants in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Rhode Island. Infants in this population face increased health risks influenced by socioeconomic disparities, cultural beliefs, and limited access to consistent breastfeeding education. The project aimed to improve maternal understanding of breastfeeding and formula feeding while supporting informed, culturally responsive decision-making. Guided by the Health Belief Model, a bilingual (English and Spanish) educational intervention was developed, consisting of an evidence-based infographic and a structured nutrition education class for expecting and new mothers. A pre-test …

Healthy Starts: Cooking, Culture & Confidence, Lindsey Plumb

Student Research Design & Innovation Symposium

Healthy Starts: Cooking, Culture, and Confidence for Healthier Families is a culturally tailored nutrition intervention designed for pediatric patients and caregivers served by the Nutrition Teaching Center at Hasbro Children's Hospital in Providence, Rhode Island. The program addresses high rates of childhood overweight and obesity, food insecurity, and low caregiver confidence in meal preparation among racially, ethnically, and socioeconomically diverse families. Grounded in Social Cognitive Theory, Healthy Starts focuses on building practical cooking skills, nutrition knowledge, and self-efficacy through bilingual, hands-on cooking classes, family nutrition workshops, and peer support circles. Sessions emphasize preparing affordable, culturally familiar meals while accommodating religious …

Oakley Home Access: Changing Homes Changes Lives, Grace Carolonza

Student Research Design & Innovation Symposium

Older adults are challenged to safely remain in their homes, or, "age in place." Multi-level residences and lack of sturdy adaptive equipment can be unsupportive of activities of daily living (ADL) completion. This scoping review examines the effect of home modifications on improving people's quality of life (QoL) and ability to safely live in the community.

Keywords: QoL: an individual's impression of how well their place in life reflects personal goals, expectations, standards, and concerns (Khourieh et al., 2025)

Impact Of Sgm Education On Provider Preparedness, Stephanie Tudela Bs

Student Research Design & Innovation Symposium

Objective: Sexual and gender minority (SGM) populations experience persistent health inequities, often exacerbated by healthcare providers‚Äô lack of preparedness. This scoping review explored whether SGM focused educational interventions improved healthcare students‚Äô preparedness to provide inclusive, affirming care. Ten studies met inclusion criteria and examined multimodal educational interventions targeting students in medicine, nursing, occupational therapy (OT), physical therapy, and physician assistant programs. Findings: Nine of the ten studies reported statistically significant improvements in at least one learner domain, (confidence, communication skills, attitudes, and knowledge) post-intervention. The strongest and most consistent gains were observed in confidence and communication comfort when interacting SGM …

Community Intervention: Cooking And Nutrition Education, Vanessa Mello

Student Research Design & Innovation Symposium

With my intervention, I hope to address the high rate of food insecurity amongst households with children (keiki) in Hawai`i. The target population are Native Hawaiians and marginalized communities that have long-term risk of developing CVD, hypertension, and T2DM (Hawaii Foodbank, 2024). This program will be an extension of the Food 4 Keiki program that distributes food to this population; however, with my program addition, it will promote self-efficacy by hosting community cooking classes and nutrition education events. This intervention incorporates elements of Social Cognitive Theory (SCT) to encourage observational learning that reflects these families‚Äô social and community needs. SCT‚Äôs …

Return To Occupations For Individuals With Sci, Emily Lieberman, Sara Brouillard, Meghan Dinsmore, Carlos Deus

Student Research Design & Innovation Symposium

Individuals with a spinal cord injury (SCI) experience challenges in their ability to participate in meaningful activities. OT researchers investigate interventions that will provide the best care to these individuals, but there is a lack of information on the effects of community-based interventions on their return to work or school. This scoping review aimed to explore the effects of community-based interventions on return to work or school in adults with SCI. A total of 8 articles were analyzed, and the results indicate that community-based interventions that utilize client-centered care, assistive technology, and contextual and client factors can increase positive RTW …

Language Models For Enhanced Patient-Provider Communication: Methods, Measures, And Benchmarks, Joseph Gatto

Dartmouth College Ph.D Dissertations

In recent years, significant efforts have been made to integrate Large Language Models (LLMs) into healthcare. In this study, we explore how to improve patient-provider communication using LLMs --- with explicit focus on asynchronous communication through EHR-integrated web portals. Throughout this thesis, we describe three interconnected studies that allow us to adapt, train, and evaluate LLMs in asynchronous portal communications. The first study focuses on Patient Message Triage, which is the task of determining the medical urgency of patient-authored message content. We introduce a novel benchmark, alongside methods and training strategies producing a state-of-the-art and publicly available triage solution. Our …

Understanding The Support And Information Needs Of Family Members After Acquired Brain Injury: A Systematic Review, Craig Andrews, Alyson Norman, Sue Jackson, Mark Holloway

School of Psychology

The aim of this systematic review was to (a) identify the specific information and support needs of family members caring for ABI survivors and (b) assess the effectiveness of current support systems and resources available. A comprehensive search of the literature was carried out, focusing on studies that were published between the years 2000 and 2025. Seventeen studies met the inclusion criteria. The review employed a narrative synthesis approach to collate findings across papers. The analysis identified five key themes: ABI Knowledge, The Strain of Unsupported Transitions, Emotional and Financial Cost, ABI Support Groups, and Supporting Social Connectedness. The findings …

International Law And The Defense Of Political Prisoners And Prisoners Of Conscience, Judith Abitan

Fordham International Law Journal

The international community continues to witness a concerning trend of political repression and unjust incarceration of dissidents, including political opposition members, activists, intellectuals, academics, journalists, and human rights defenders. From authoritarian regimes to democratic nations, the suppression of dissenting voices has become prevalent. As fundamental rights and freedoms are increasingly violated, the strengthening and enforcement of international legal frameworks become even more essential to sustain the rules-based international order. Against the backdrop of geopolitical tensions, shifting power dynamics, and evolving interpretations of sovereignty, the examination of international legal instruments and mechanisms becomes not only a matter of scholarly inquiry but …

The Wto Is Dead, Long Live The Wto: The Lingering Interpretive Problem Of Article 27.1 Of The Trips Agreement, Faisal Chaudhry

Fordham International Law Journal

No abstract provided.

Promise, Progress, Or Posturing? India And The Intellectual Property Chapter In The United Kingdom-India Comprehensive Economic And Trade Agreement, Pratyush Nath Upreti, Virender Chandel

Fordham International Law Journal

No abstract provided.

Reversible Hemi-Parkinsonism Syndrome Secondary To Bilateral Subdural Hematomas: Case Report And Literature Review, Musa Machibya, Godlove Mlay, Kelvin Sawe, Zainab Ali, Mugisha Clement, Philip Adebayo

General Surgery, East Africa

Introduction: Chronic subdural hematoma (CSDH) is a rare but reversible cause of secondary parkinsonism. Bilateral CSDH presenting with unilateral parkinsonian features is exceptionally uncommon.

Case presentation: A 61-year-old male from Comoros developed a right-hand tremor, intermittent dystonia, and mild right-sided motor deficits months after a motor vehicle accident. Medical therapy was ineffective. Imaging revealed bilateral frontoparietal subdural collections with a right hematoma causing a midline shift. Bilateral burr-hole evacuation led to marked improvement, with the UPDRS Part III score improving from approximately 7 to 1–2 points and near-complete hematoma resolution on follow-up.

Discussion: This case demonstrates the variable …

Identifying And Prioritizing Essential Healthcare Services For A Private Start-Up Healthcare Hub In Laxmipasha, Bangladesh, Ferdous Ara Mostofa

Dissertations

This quantitative study identifies and prioritizes essential healthcare services for developing a private start-up healthcare hub in Laxmipasha, Bangladesh, a rural community with significant gaps in healthcare access. Using secondary data from national and international sources, the research analyzed disease burden, population characteristics, and service availability to determine the most urgent health priorities. A structured, evidence-based framework was used to evaluate services based on mortality and morbidity, service gaps, and potential health impact. The findings indicate that Maternal and Child Health (MCH), Non-Communicable Disease (NCD) management, and infectious disease control represent the most critical priorities for initial implementation. The study …

Histopathological Effects Of The Intrathecal Chondroitinase Abc Administration In Spinal Cord Injured Rats: A Systematic Review, Mohammad Amin Habibi, Ali Anjomshoa, Mohsen Sadeghi-Naini, Zahra Ghodsi, Samuel Berchi Kankam, Erfan Razavi, Armin Aryannejad, Seyed Mohammad Piri, Akam Ramezani, Rasha Atlasi, Kawthar Mohamed, Sina Shoo, Meysam Kaveh, Akbar Fotouhi, Arman Zeinaddini, James S. Harrop, Alex R. Vaccaro, Michael G. Fehlings, Vafa Rahimi-Movaghar

Department of Orthopaedic Surgery Faculty Papers

Introduction: Chondroitinase ABC (ChABC) has been considered a potential treatment for spinal cord injury (SCI). We aim to identify and evaluate the histopathological effects of intrathecal ChABC administration in SCI rat models.

Methods: We searched PubMed/MEDLINE, Scopus, Web of Science, Embase, and Cochrane Library for studies published from the inception of each database until November 22, 2022.

Results: Of 3857 screened citations, 17 studies met eligibility criteria and were entered into the qualitative analysis. Sixteen studies were of high quality, and one study was of medium quality. The four main rat strains used in studies were Sprague-Dawley, Wistar, Lister hooded, …

Why Person-Environment Fit Matters When Addressing Homelessness: An Intersectional Analysis Of King County, Washington’S Coordinated Entry System, Cori L. Cafaro

Theses and Dissertations from DePaul University

Coordinated Entry (CE) systems aim to address homelessness by allocating resources based on need and prioritizing the most vulnerable individuals. However, system success depends on appropriately matching people to housing. This study examined person-environment fit (P-E fit) and associated housing outcomes for single adults matched to permanent supportive housing through King County, Washington's CE for All system, with intersectionality as a secondary lens. This was a secondary analysis using Qualitative Content Analysis of interview and focus group transcripts from tenants (n = 18), staff (n = 27), and policy leaders (n = 11). Five dimensions of fit emerged as consequential …

The Creative Nonfiction Story, Lee Gutkind

Literary History: The Creative Nonfiction Story

How a little magazine defied resistance and ridicule and helped launch the true-story revolution.

Programa De Mentoría Basado En El Proceso De Discipulado Para Líderes De La Iglesia Adventista Del Séptimo Día Hispana De Rogers Heights, En Wyoming, Michigan, Darling Ayala

Doctor of Ministry Projects

Problem

Making disciples is the mission given by Jesus Christ to His followers; this must be the primary objective of the Christian life. Therefore, the church must carry out activities that follow the model of biblical discipleship in order to attract prospective disciples. Since its formation in 2012, the Hispanic Church of Rogers Heights has not experienced sustainable numerical growth because it did not implement a discipleship program or an intentional mentoring plan. The progressive loss of members, the lack of missionary commitment among its leaders, limited resources, and the low number of new disciples in proportion to the number …

Mission Refocus: A Strategic Realignment Of The Seventh-Day Adventist Worldwide Mission Effort In The Context Of The Three Mission Refocus Windows, Erton Kohler

Doctor of Ministry Projects

Problem

The Seventh-day Adventist Church emerged as a worldwide missionary movement committed to proclaiming the everlasting gospel to every nation, tribe, language, and people. Throughout much of its history, the Church demonstrated a strong commitment to cross-cultural mission and the establishment of an Adventist presence in territories with low or no access to the gospel message. However, as the Church expanded globally in membership, institutions, organizational structures, and administrative responsibilities, a gradual shift in mission priorities occurred. Increasing attention to institutional maintenance and regional demands often reduced emphasis on frontline mission territories and populations with no or low Adventist presence. …

Intergenerational Bible Study As A Means Of Discipleship At The Waukesha Community Seventh-Day Adventist Church, Myoung Kwon

Doctor of Ministry Projects

Problem

The Waukesha Community Seventh-day Adventist Church faced a plateau in Bible study engagement. Newly baptized members were disengaging from continuing Bible study and not reproducing disciples, resulting in a spiritual growth process that was minimal and heavily dependent on the pastor.

Method

The DMin student chose action research as a method for developing, implementing, and evaluating an intergenerational Bible study strategy to revitalize discipleship. The three-phase intervention included: (1) a sermon series featuring intergenerational activities to recruit participants; (2) a workshop to equip lay members as Bible study teachers; and (3) an eight-week program with two tracks: a one-on-one …

So There I Was, Jesse Marie Baggett

Graduate Theses, Dissertations, and Problem Reports (ETD)

This written thesis provides a description and analysis of my thesis exhibition, So There I Was, which presents a body of ceramic sculptures and paintings that explore themes of adventure, travel, and shared experiences. The work reimagines personal experiences through a cast of animal characters, with a rabbit acting as a stand-in for myself. These narratives are inspired by events from my own life and are transformed into imaginative scenes that emphasize playfulness, wonder, and storytelling.

The sculptures combine toy-like animal figures, pull carts, and miniature architectural structures to create playful environments that resemble playsets or staged scenes where …

Posttraumatic Growth In Appalachian Youth: Findings From An Outpatient Pediatric Trauma Specialty Clinic, Marinne M. Morgan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Childhood traumatic event exposure (CTE) involves exposure to extreme events that overwhelm one’s ability to cope. Childhood traumatic event exposure has been linked to a wide range of adverse mental and physical health consequences, including posttraumatic stress symptoms (PTSS). Fewer studies have examined positive trajectories following childhood traumatic event exposure, such as posttraumatic growth (PTG), especially in understudied regions such as Appalachia. The current study used a cross-sectional design to examine posttraumatic growth in 14 youths aged 9 to 15 years seeking trauma-focused therapeutic services at an outpatient pediatric trauma specialty clinic in West Virginia. In line with previous research, …

Fairness Without Demographic Attributes In Medical Vision–Language Models, Ahsan Habib Akash

Graduate Theses, Dissertations, and Problem Reports (ETD)

Vision–language models (VLMs) and the embedding models that underlie them have become the default representation layer for multimodal artificial intelligence. Trained by contrastive alignment over enormous, loosely curated image–text corpora, they inherit the demographic skew of that data, and they encode it in the geometry of the shared embedding space itself. The consequence is a model that performs unevenly across demographic groups even when no protected attribute is ever supplied as an input. In consumer applications this is an equity problem; in medicine it is a safety problem, because an embedding that is systematically less discriminative for one subpopulation translates …

Impact Of An Educational Video Intervention On Word Recognition And Vocabulary Knowledge Of Paediatric Dental Terms Among Low-Income Caregivers Of Youth Children, Melissa L. Sullivan, Denise C. Mckinney, Abdullah Al-Taiar, Deanne Shuman

Dental Hygiene Faculty Publications

Objective

To evaluate the impact of an educational intervention on paediatric dental term recognition and vocabulary knowledge among low-income caregivers of young children.

Methods

A randomized two-group pretest-posttest trial was used to analyze the impact of an educational intervention on caregivers' word recognition and vocabulary knowledge of paediatric dental terms. The study included 60 pregnant women and caregivers with children enrolled in a Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in the Southeastern United States. Both groups received an educational pamphlet on children's oral health. The experimental group also received an educational video with common paediatric dental …

Spiritual And Religious Lay Community Support For Informal Caregivers Of Adults At The End Of Life: A Literature Review, Rachel Lenko

University Faculty Publications and Creative Works

• Informal caregivers of adults at the end of life often experience significant physical, psychological, and economic burden because of their caregiving and bereavement (Schulz et al., 2003; Skantharajah et al., 2022) 
• Prior evidence suggests that spirituality and/or religiosity contribute to positive religious coping and improved adjustment to bereavement (Damianakis et al., 2012; Stelzer et al., 2020) 
• Spiritual and religious communities often provide practical and social, in additional to spiritual/religious, support to their members 
• There is limited evidence describing practical and social support from spiritual/religious lay communities for informal caregivers of patients in the terminal phase of a disease

Dan Subotnik—Three Encounters And One Strong Memory, Honorable Robert S. French

Touro Law Review

No abstract provided.

Rescued Before He Was Born – Dan Subotnik’S Journey In Utero Out Of Nazi-Occupied Europe, Olivia Mattis

Touro Law Review

No abstract provided.

Eulogy For Daniel Subotnik דניאל עזרא בן אליעזר ואהובה Died–March 8 / 29 Adar 1, 57, Rabbi Wayne Franklin

Touro Law Review

No abstract provided.

Can We Talk—Really Talk—About Critical Race Theory? What A Game For All Ages Can Teach Us, Dan Subotnik

Touro Law Review

This essay may shock many readers. What it tries to do is look more closely than usual at the underpinnings of American racial discourse in the hope of leaving its readers, by its end, more willing than before to speak openly and listen carefully to people who disagree with them on the fraught subject of race. Wouldn’t many of us academics like to engage in a more open-minded sort of interracial conversation with a greater variety of our peers than we usually do? And yet it never seems to happen. Do any of us, black or white, feel we can …