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Competency-Based Medical Education And Entrustable Professional Activities In Dental Education: Global Perspectives And Implications For Taiwan, Johnson Hsin-Chung Cheng, Sharon Hsuan-Jung Chen

Journal of Dental Sciences

Background/purpose:

Competency-based medical education (CBME) and entrustable professional activities (EPAs) have been adopted in medical education as frameworks to align training with real-world clinical practice. Although international dental education has begun to explore EPA-based assessment, the implementation of CBME in dentistry remains inconsistent and underdeveloped, particularly in Taiwan. This narrative review aimed to summarize global and local developments in CBME and EPAs, identify current gaps in Taiwanese dental education, and clarify the rationale for examining faculty readiness in future CBME implementation.

Materials and methods:

A narrative literature review incorporating international and Taiwan-specific sources

was conducted and thematically synthesized to …

Performance Of Large Language Models In Answering Orthodontic Questions: A Scoping Review, Tu Manh Nguyen, Fang-Yu Fan, Ying-Sui Sun, Yang-Che Wu, Sheng-Wei Feng, Hao-Ting Chen, I-Ta Lee, Pao-Chang Chiang

Journal of Dental Sciences

Large language models (LLMs) are increasingly explored as novel platforms for delivering orthodontic information. Although their capacity to generate rapid, structured, and accessible responses has been widely recognized, concerns persist regarding performance variability and the risk of generating inaccurate outputs. Given the heterogeneity of existing evidence, this scoping review aimed to systematically map the current research landscape and synthesize findings on the application of LLMs in addressing orthodontic queries. This review was conducted in accordance with the PRISMA-ScR guidelines. Studies were retrieved from PubMed, Scopus, and the Cochrane Library up to November 30, 2025. Twenty-six studies met the eligibility criteria …

International Comparison Of Oral Hypofunction Among Community-Dwelling Older Adults In Three Asian Countries: A Cross-Sectional And Multi-National Study, Ryosuke Yanagida, Kohei Yamaguchi, Kazuharu Nakagawa, Chantaramanee Ariya, Patcharaphol Samnieng, Megan F Liu, Nai-Chia Teng, Ting-Yi Renn, Rieko Moritoyo, Sirinthip Amornsuradech, Kanako Yoshimi, Haruka Tohara

Journal of Dental Sciences

Background/purpose: In aging Asian societies, oral hypofunction among older adults has gained importance, with most epidemiological studies conducted in Japan. We aimed to compare oral function in community-dwelling older adults in Japan, Taiwan, and Thailand.

Materials and methods: Community-dwelling older adults aged ≥ 60 years who participated in Yokohama, Taipei, and Phitsanulok health surveys (May 2022–September 2024) were included. Age, sex, body mass index (BMI), and denture use data were recorded. Using the Japanese Society of Gerodontology diagnostic framework, seven oral hypofunction components were evaluated: oral hygiene, oral dryness, occlusal force, tongue–lip motor function, tongue pressure, masticatory function, …

A Scientometric Study On Research Trends And Characteristics Of Lymph Node Metastasis In Oral Cancer, Linjian Huang, Xiaocui Tong, Wei Liu, Xinyu Zhang

Journal of Dental Sciences

Background/purpose: Cervical lymph node metastasis (LNM) is the most critical prognostic factor in oral cancer (OC) patients. The purpose of this study was to analyze the scientometric characteristics and research trends of LNM in OC.

Materials and methods: All the papers on LNM in OC were comprehensively retrieved from the Scopus database. The years of publication were divided into before 2016 and after 2016 in the analysis of research trends.

Results: There were 946 papers on LNM in OC, with total citations of 21,154 and the h index of 70. The trend of clinical aspect including lymph …

Tools Used To Measure Fear Avoidance Behaviour In The Management Of Mild Traumatic Brain Injury (Concussion), Liam Sherwood

Theses: Doctorates and Masters

Concussion can present challenges with respect to diagnosis and management. Fear avoidance behaviour and beliefs may be perpetuating factors in the clinical course of concussion. Understanding which patients may adopt such behaviours and beliefs can offer important information to allow tailoring of clinical management and implementing strategies to minimise the risk of progression to persisting post-concussion symptoms.

In this thesis, I:

-       systematically reviewed the current measurement tools used to assess fear avoidance behaviours and beliefs associated with concussion;

-       explored the experience of clinicians, researchers and people with lived experience of concussion in relation to fear avoidance behaviours;

- …

Heat Misers, Snow Misers, And Cognitive Misers: The 'Nukewarm' Perceptions Of Nuclear Power, Tyler Williams

Dissertations and Theses

Rising energy demand in the United States necessitates alternatives to fossil fuels, yet renewable energy sources alone are insufficient to meet this demand. Nuclear power presents a promising option but faces persistent public hesitancy. This study examines how heuristic-based biases relate to American's risk-benefit perceptions towards nuclear power. Guided by the heuristic-systematic model. Results indicate that competence and affect are related to risk-benefit perceptions, and naturalness shows no relationship with risk perceptions but does correlate with benefit perceptions. Implications highlight the importance of affect-driven communication strategies for nuclear communicators, while also underscoring the need for participatory approaches that foster trust …

Cervical Laminectomy For Degenerative Cervical Myelopathy: Is There A Role In The Modern Day? A Systematic Review And Meta-Analysis, Christopher S. Lozano, Armaan K. Malhotra, Husain Shakil, Vishwathsen Karthikeyan, Neevya Balasubramaniam, Uzondu Agochukwu, Ankit I. Mehta, Aditya Vedantam, C. Rory Goodwin, Nathan Evaniew, Aminul I. Ahmed, Ricardo Rodrigues-Pinto, Michael Fehlings, James S. Harrop, Shekar N. Kurpad, Jefferson R. Wilson

Department of Neurosurgery Faculty Papers

Study DesignSystematic Review and Meta-Analysis.ObjectivesTo compare clinical outcomes in degenerative cervical myelopathy (DCM) patients treated with laminectomy alone (LA) vs laminectomy with fusion (LF) and determine post-laminectomy kyphosis incidence.MethodsWe searched PubMed, Scopus, Embase, Web of Science, and MEDLINE from inception-September 2024 for studies comparing LA and LF for DCM. Outcomes assessed included post-laminectomy kyphosis, neurological recovery outcomes, patient-reported outcomes (PROs), and complication rates. Meta-analyses were performed using random-effects models.ResultsTwenty-seven studies including 3286 patients (2272 LA and 1014 LF), met the inclusion criteria. The pooled incidence of post-laminectomy kyphosis in the LA patients was 2.02 events per 100 person-years (95% CI: …

Meaningful Work: A Phenomenological Study Of Embedded Writing Peer Mentors, Susan S. Detwiler

Electronic Theses & Dissertations (2024 - present)

This phenomenological case study examines the experiences of writing peer mentors who are embedded in a first-year inquiry-based writing seminar. It aims to understand how peer mentors who are engaged in the complex practice of supporting first-year writers in a writing classroom make sense of themselves and writing. At a large R-1 diverse university, I interviewed 6 writing peer mentors 3 times over 1 calendar year. I traced their development from mentees, (first-year writing students), through their three semesters of peer mentoring. They also shared written reflections from their training praxis course (a course for peer mentors focusing on their …

The Effect Of A Functionally Indicated Choice-Based Antecedent Intervention On Academic And Behavioral Outcomes For Students In A Public School, Alyssa M. Rodriguez

Electronic Theses & Dissertations (2024 - present)

The present study examined the effects of functionally indicated choice-based antecedent interventions on academic and behavioral outcomes for elementary general education students exhibiting elevated levels of off-task behavior during independent seat work. A replicated hybrid single-case design was used to compare two interventions: choice of task sequence (across-activity choice) and choice of peer (within-activity choice). Brief functional behavioral assessments (FBAs) informed hypothesized behavioral function and intervention match. Dependent variables included academic engagement (on-task behavior), with off-task behavior conceptualized as its inverse, as well as academic completion and accuracy; social validity was assessed from teachers and students. Results indicated support for …

Spectral Analysis Of Traffic Accidents In New York's Capital Region, Michael Barr

Electronic Theses & Dissertations (2024 - present)

In this paper we estimate the spectral density of traffic accident events in the Capital Distict, NY area using a band-pass filter known as the Kolmogorov-Zurbenko Fourier Transform (KZFT). The source data is provided by Moosavi, et al. (2019) and originally captured from various public entities and sensors in the road network. Spectral density estimation with KZFT suppresses noise to reveal the constituent frequencies embedded in the noisy signal. Signal reconstruction based on KZFT produces an approximate weekly accident arrivals for this noisy signal, or in other words a pattern which is proportionate to the event expectation viewed over a …

Categories, Homology And Sheaves For Hypergraphs, Robert Green

Electronic Theses & Dissertations (2024 - present)

Hypergraphs are a prominent tool for representing networks with connections among three or more entities. There is an inherent flexibility that allows hypergraphs to more naturally represent certain types of networks than graphs or simplicial complexes can on their own. This flexibility, however, comes at a cost, as there is a zoo of various categories and homology theories that are applicable to hypergraphs. The first chapter of this dissertation explores various categorical perspectives on hypergraphs, focusing on what the natural notion of morphism between hypergraphs should be. It also contains an exploration of the functoriality of vertex-edge duality in these …

Photo And Spatial Control Of Rna Structures And Functions: Exploring Positional Effects And Photo-Responsiveness Of Azobenzene Modified Nucleotides, Jinxi Du

Electronic Theses & Dissertations (2024 - present)

RNA molecules perform many important biological functions by forming complex three-dimensional structures stabilized by base pairing, tertiary interactions, and metal ion coordination. Because RNA function depends strongly on its structure, methods that allow reversible control of RNA conformation and activity are important for understanding RNA behavior and for potential therapeutic applications. However, achieving reversible and site-specific control of RNA structure, especially at the single-nucleotide level, remains challenging. In this dissertation, I developed and applied azobenzene-modified nucleotides as a chemical tool to enable optical and spatial control of RNA structure and function.

The first part of this dissertation focuses on establishing …

When Civilians Involve Themselves In Crime Control: Do Perceived Police Legitimacy And Trust In The Police Predict Support For Vigilantism And Citizen’S Arrests?, Charlotte T. Parque

Electronic Theses & Dissertations (2024 - present)

Recent cases in which civilians involved themselves in the crime control process have garnered divided reactions, with some people supporting and others disapproving the civilians’ actions. Although existing research shows that perceptions of the police predict support of civilians involved in crime control, exact directions of the effects conflict. I address these conflicting findings by examining how people conceptualize police legitimacy and trust in the police, whether those conceptualizations align with scholarly definitions of legitimacy and trust, and explore if the two constructs differentially predict support of vigilantism. Additionally, I explore whether people approve of two types of civilian crime …

Understanding The Experiences Of First-Generation College Students Working As Resident Assistants, Mairead S. Murray

Electronic Theses & Dissertations (2024 - present)

First-generation college students have been a population of interest in higher education for several decades as they are both a historically underserved group and make up a significant portion of the college-going population (RTI International, 2019a; Schuyler et al., 2021), making them an impactful group of students to research. As a whole, first-generation college students tend to fall behind their non-first-generation college student peers in key areas that are indicators of student success, including engagement, persistence, and degree completion (Goldman et al., 2022; Kezar & Kitchen, 2020; Kuh et al., 2007; McCallen & Johnson, 2020; Means & Pyne, 2017; Pendakur, …

Investigation Of Fine-Grain Cu And Cu Alloys For Low-Temperature Hybrid Bonding Applications, Sarabjot Singh

Electronic Theses & Dissertations (2024 - present)

Hybrid bonding has emerged as a key enabler for next-generation three-dimensional (3D) integration, offering fine-pitch interconnects and improved electrical performance. However, conventional Cu–Cu hybrid bonding typically requires elevated temperatures to achieve sufficient diffusion and interface quality, posing challenges for temperature-sensitive device integration and process compatibility. This work investigates materials engineering approaches to enable low-temperature Cu–Cu bonding through both microstructure design and alloying strategies.

This work begins by examining grain refinement in Cu as a pathway to enhance diffusion through increased grain boundary density, providing efficient atomic transport without introducing additional elements. Three Cu-based systems Cu–Co, Cu–Ag, and Cu–Al were systematically …

Next-Generation Computing Hardware: Advancements In Tantalum Oxide Reram For Ai And Neuromorphic Applications, Rajas Ravindra Mathkari

Electronic Theses & Dissertations (2024 - present)

The rapid development of artificial intelligence, machine learning, and data-intensive computing has exposed the fundamental limitations of conventional von Neumann architectures, in which energy and time are continuously lost transferring data between physically separate memory and processing units. In contrast, the human brain performs complex computations directly at the point of memory storage through billions of parallel synaptic connections, a paradigm known as in-memory computing. Realizing this in hardware requires memory devices that are fast, energy-efficient, non-volatile, and capable of storing multiple resistance levels in an analog manner. Resistive Random Access Memory (ReRAM) based on tantalum oxide (TaOx) is one …

Addressing Mental Health In College Athletics: Developing A Mindfulness-Centered Curricular Intervention For Student-Athletes And Coaches, Douglas W. Lampman

Electronic Theses & Dissertations (2024 - present)

Rising rates of mental health concerns among collegiate student-athletes have intensified calls for a more holistic approach to athlete development and well-being.  While student-athletes regularly interact with coaches and educators, few curricular interventions explicitly address mental and emotional wellness in the athletic context.

The purpose of this qualitative study was to examine the development, implementation, and perceived impact of a mindfulness-centered approach and curriculum.  This curriculum is designed explicitly for collegiate student-athletes and coaches.  Grounded in mindfulness-based pedagogy, the curriculum addressed stress management, emotion regulation, interpersonal relationships, performance anxiety, and personal growth.

Using a multi-tiered qualitative design, data were collected …

From Sparks To Insights: An Aggregate Analysis On Arson And Explosive Data Reporting Published By The Atf (2014-2024), Zahra A. Khan

Electronic Theses & Dissertations (2024 - present)

This thesis provides an aggregate assessment of arson and explosives incidents reported by the Bureau of Alcohol, Firearms, and Tobacco, from 2014 to 2024. This thesis is written to highlight trends, investigative outcomes, and evolving patterns of criminal activity. Analysis of the data reveals notable shifts in incident frequencies, data distributions, and case resolution rates. This suggests both emerging technologies and changing operational dynamics that have affected long-term trends in arson and explosive incidents. Variations in incident types and investigative outcomes underscore the interplay between law enforcement priorities, resource allocation, and reporting practices over the ten-year period. The study also …

Graph-Based And Graph-Transformer Representation Learning For Healthcare Data, Rui Wang

Electronic Theses & Dissertations (2024 - present)

Healthcare data exhibit complex structures, including heterogeneous clinical entities, sparse observations, and longitudinal patient trajectories. Effectively modeling such data remains a fundamental challenge in computational healthcare research. Traditional machine learning approaches often rely on flat feature representations that fail to capture relationships among clinical events, limiting their ability to model complex healthcare processes. These challenges motivate structured learning frameworks that capture both relational structure and temporal dynamics in healthcare data. This dissertation develops a series of graph-based representation learning approaches, extended through graph-transformer architectures for modeling complex healthcare data. Such data can be represented as graphs, where nodes correspond to …

Channel-Opening Kinetics Of Complex Kainate Receptors, Noah S. Saunders

Electronic Theses & Dissertations (2024 - present)

Ionotropic glutamate receptors (iGluRs) are found both pre- and postsynaptically in neuronal membranes, and mediate the majority of fast excitatory synaptic transmission in response to the binding of glutamate, a major excitatory neurotransmitter in the central nervous system (CNS). Ionotropic glutamate receptors are divided into three distinct subtypes: kainate, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA), and N-methyl-D-aspartic acid (NMDA) receptors. Auxiliary proteins specific to each receptor subtype also play a role in tuning both receptor expression and gating properties, such as neuropilin and tolloid-like (NETO) proteins that modulate kainate receptors, and transmembrane AMPA receptor regulatory proteins (TARPs) that regulate AMPA receptors. Like …

Recent Climatology And Changes In Precipitating Storm Characteristics Over Conus, Tyler Landsparger

Electronic Theses & Dissertations (2024 - present)

As anthropogenic greenhouse gas emissions continue to warm the global climate system, improving our understanding of how precipitating storms are responding in the real world has become increasingly important.  This study leverages 22 years of high-resolution hourly precipitation data from the NCEP Stage IV dataset to produce a seasonal climatology and long-term trend analysis of precipitating storm frequency, duration, area, and intensity across the Contiguous United States (CONUS) from March 2002 through February 2024.  Storms were identified and tracked using an object-tracking algorithm and their characteristics were computed for each season, from which 22-year climatology and trends were derived.  The …

The Relationship Between State-Level Career And Technical Education (Cte) Policies And Secondary Student Enrollment In Construction, Manufacturing, And Health Sciences Cte Programs, Brittany A. Kitterman

Electronic Theses & Dissertations (2024 - present)

Across the United States, employers in construction, manufacturing, and healthcare report ongoing difficulty filling positions. These shortages have been driven by an aging workforce, increased demand, and high rates of retirement. Compounding these shortages, Federal investments such as the Infrastructure Investment and Jobs Act and the CHIPS Act have further increased demand. Career and Technical Education programs are well positioned to support workforce development and help close workforce shortages, but access and participation remain limited. Supported by Federal Perkins funding, states have enacted CTE policies to increase access and enrollment in CTE programs aligned with high-demand industries such as construction, …

Excavating Miranda, Samuel J. Levine

Scholarly Works

Sixty years after it was decided, Miranda v. Arizona remains one of the most significant and renowned cases—as well as, arguably, one of the most controversial cases—in the history of the United States. Chief Justice Earl Warren’s majority opinion, establishing the eponymous Miranda warnings for custodial interrogation of criminal suspects, has prompted voluminous and continuing commentary, among both critics and supporters. This Article is part of an ongoing project exploring a particular aspect of Chief Justice Warren’s majority opinion: a footnote referencing Jewish legal sources, documenting an important passage at the start of a pivotal section of the opinion.

Building …

Conventional Versus Advanced Imaging Selection For Endovascular Treatment Of Basilar Artery Occlusion Strokes., Huanwen Chen, Marco Colasurdo, Hidetoshi Matsukawa, Conor Cunningham, Ilko Maier, Sami Al Kasab, Pascal Jabbour, Joon-Tae Kim, Stacey Quintero Wolfe, Ansaar Rai, Robert M. Starke, Marios-Nikos Psychogios, Edgar A. Samaniego, Nitin Goyal, Shinichi Yoshimura, Hugo Cuellar, Jonathan A. Grossberg, Ali Alawieh, Ali Alaraj, Mohamad Ezzeldin, Daniele G. Romano, Omar Tanweer, Justin Mascitelli, Isabel Fragata, Adam Polifka, Fazeel Siddiqui, Joshua Osbun, Roberto Crosa, Charles Matouk, Min S. Park, Michael R. Levitt, Waleed Brinjikji, Mark Moss, Travis Dumont, Ergun Daglioglu, Richard Williamson, Pedro Navia, Reade De Leacy, Shakeel Chowdhry, David J. Altschul, Alejandro M. Spiotta, Peter Kan

Department of Medicine Faculty Papers

INTRODUCTION: Endovascular thrombectomy (EVT) is an effective treatment for basilar artery occlusion (BAO) stroke in select patients. While there is a growing body of literature suggesting that advanced imaging modalities such as computed tomography perfusion (CTP) and magnetic resonance (MR) may not be necessary for selecting anterior circulation large vessel occlusion stroke patients for EVT, whether advanced imaging may be superior to conventional imaging (non-contrast CT and CT angiography) in identifying good treatment candidates among BAO patients is less clear.

PATIENTS AND METHODS: This was a multicenter retrospective cohort study of BAO EVT patients treated from 2013 to 2022 in …

Digital Cognitive Behavioral Therapy Versus Education For Chronic Pain In Adults With Sickle Cell Disease: 12-Month Randomized Trial Results, Olubusola B. Oluwole, Yi-Fan Yi-Fan Chen, Christina M. Lalama, Julia A. O’Brien, Laura M. De Castro, Charles Patrick Carroll, Darla Liles, Nirmish Shah, Santosh L. Saraf, Victor R. Gordeuk, Leshana Saint Jean, Michael Debaun, Robert M. Cronin, Tonya M. Palermo, Sherif M. Badawy, Megan E. Hamm, Jennifer N. Stinson, Chitra Lalloo, Sophie Lanzkron, Cassandra Trimnell, Lakiea Bailey, Raymona H. Lawrence, Kaleab Z. Abebe, Charles R. Jonassaint

Department of Medicine Faculty Papers

Background: Chronic pain affects up to 40% of adults with sickle cell disease (SCD), yet treatment options remain limited. While cognitive behavioral therapy (CBT) is effective in other chronic pain conditions, it is underutilized for SCD pain, and its effectiveness remains unclear. Purpose: The Cognitive Behavioral Therapy and Real-time Pain Management Intervention for Sickle Cell via Mobile Applications (CaRISMA) compared digital CBT to Education for chronic SCD pain in adults. At 6 months, the primary outcome (pain interference) showed no between-group difference but both groups improved (CBT: −2.13; Education: −2.66). This report presents 12-month outcomes. Methods: A total of 359 …

Hidden Markov Models For Stock Market Regime Prediction, Meghan Blanch

Electronic Theses & Dissertations (2024 - present)

Hidden Markov Models (HMMs) are a powerful mathematical system used for analyzing time sequences in which the underlying states are unable to be directly observed. This project strives to develop the theory and computation of such models, including deriving the forward and backward variables, the Baum-Welch algorithm, and the Viterbi algorithm. Each of these HMM components are derived and explained to demonstrate the probabilistic principles that allow HMMs to be effective for modeling sequential data.

To demonstrate its practical relevance, the HMM is applied to financial time series. The observable stock market returns tend to be influenced by market regimes …

The Role Of The Coach In Student-Athlete Engagement, Christina Cobb

Electronic Theses & Dissertations (2024 - present)

Student engagement has long been recognized as a key indicator of student success in higher education, but limited research has examined engagement within the context of intercollegiate athletics. This qualitative case study explored how college coaches influence student-athlete engagement and how student-athletes utilize athletic department support services designed to promote engagement practices. Guided by Kuh et al.’s (2006) theory of student engagement, this study examined engagement through the lens of time and effort invested in educationally purposeful activities and the institutional environments that support or constrain participation.

Participants included six student-athletes, four coaches, and two athletic department administrators at a …

The Global Orbit ∞-Category And Applications To Assembly Maps, Zoë Pope

Electronic Theses & Dissertations (2024 - present)

We reformulate the foundations of assembly maps in the context of the global orbit ∞-category of all discrete groups. We first show that the ∞-categorical slice of the global orbit ∞-category over any fixed group G is equivalent to the orbit 1-category of G, and we also frame the subgroup 1-category of G in this global context. We then use the afore-mentioned equivalence to redefine assembly maps as counits of the adjunction between left Kan extension and restriction, and give purely ∞-categorical and conceptual proofs of known results, such as the Transitivity Principle. Additionally, we give equivalent formulations for what …

Investigating The Effects Of Values Clarification And Self-Compassion On Mental Health Self-Stigma And Willingness To Seek Psychological Help, Sara V. White

Electronic Theses & Dissertations (2024 - present)

Mental health self-stigma, or the harmful beliefs that one holds about his or her mental illness, is associated with psychological distress and acts as a significant barrier to help-seeking. Yet, self-stigma is notoriously resistant to change when targeted directly. To address such concerns, the present study examined the effects of two brief writing interventions, self-compassion and values clarification relative to a control condition, in reducing self-stigma and improving willingness and intentionality to seek psychological help. Additionally, the present study also explored the contributions of two theoretically relevant mechanisms—state self-compassion and psychological (in)flexibility—on self-stigma, and whether resistance to self-compassion negatively impacted …

The Chemistry Of Red Lipstick: The Impact Red Lipstick Has On Society, Lilliana Weldeslassie

Electronic Theses & Dissertations (2024 - present)

Cosmetic chemistry is deeply embedded in everyday life, shaping the products people use from morning to night. Among these, red lipstick stands out as a formulation that blends complex chemistry with a cultural meaning. This thesis examines the scientific foundations of red lipstick through its chemical composition, pigment structure, toxicological history, analytical methods, and evolving sustainability practices. Historically, red lipsticks relied on high-risk ingredients such as lead, mercury, and other toxic metals, reflecting an era before chemical safety and regulatory oversight were incorporated.²¹ Modern formulations have established safer synthetic dyes, natural waxes, plant-based oils, and stabilizers created to optimize …