Digital Commons Network^™

Responding To The Needs Of Dementia Care Partners: Recommendations For Policy Change At The State And Federal Levels., Walter D. Dawson, Jenn Reed, Allison Lindauer, Sherril B. Gelmon

Institute on Aging Publications

The need to optimize supports of Alzheimer's disease and related dementias (ADRD) care partners through policy innovation is high. This study sought to frame the care and support needs of multiple historically underrepresented populations who may be underserved and/or have difficulty accessing culturally specific services and determine specific policies that may reduce ADRD care partner burden and improve wellbeing. Qualitative data were gathered through interviews ( = 24) with leaders of organizations that support people living with ADRD and focus groups ( = 5) with dementia care partners from four communities historically underserved in the United States (Asian, Black, Indigenous, …

A User Experience Approach To Technical Editing Of Academic Library Digital Resources, Krista Sarraf, Danielle Daugherty, Morgan White, Madelyn Cruz

Library Scholarship

This paper reports on a teaching practice that integrates user experience and technical editing instruction to improve academic library digital content and support students' learning of technical editing as an exercise in user experience. Students, faculty, and academic librarians at California Polytechnic State University, San Luis Obispo (Cal Poly) worked to improve the accessibility and usability of their library's digital interfaces. The paper shares preliminary findings from a study of the teaching practice, exploring how a pedagogical framework for library and technical and professional communication partnerships can be designed, implemented, and evaluated to enhance student learning in technical editing and …

Improving Multilingual Competence In Higher Education: An Integrated Framework For Parallel Learning Of Two Foreign Languages, Aiym Kontek, Albina Dossanova, Galiya Kulzhanbekova

Higher Learning Research Communications

Objectives: The study aims to create a comprehensive framework for the effective organization of parallel teaching of two foreign languages in higher education in Kazakhstan, accounting for linguistic, psychological, didactic, and technological aspects.

Methods: We used theoretical (modeling, analysis, and generalization) and empirical methods (pedagogical experiment, testing, questionnaires, and methods of mathematical statistics) in the research. An original structural and content model of parallel learning was developed, including interrelated blocks for the integrated formation of speech activity skills and a lexico–grammatical base in each of the languages. The effectiveness of the proposed model was confirmed during the pedagogical experiment, which …

Acute Respiratory Distress Syndrome In Patients With Lymphopenia: Results From The National Inpatient Sample (2017-2021), Arnav Garyali, Trishna Parikh, Dhruv Kumar, Ishan Gupta, Adishwar Rao, Akriti Agrawal, Sabiha Armin, Rishi Panjala, Rohan Patil, Nikhil Sriram, Sruthi Parthasarathy, Aarohi Parikh, Bindu Akkanti

Faculty, Staff and Student Publications

Background: Lymphopenia has been associated with in-hospital, early, and late mortality. We aimed to elucidate differences in baseline characteristics in patients with lymphopenia with and without acute respiratory distress syndrome (ARDS) and determine predictors of in-hospital mortality in this patient population.

Methods: Patients ≥ 18 years of age with lymphopenia were identified in the National Inpatient Sample (2017-2021) and stratified according to ARDS diagnosis. Predictors of in-hospital mortality were determined using multivariate analyses with a logistic regression model.

Results: From 183,185 patients with lymphopenia, 10,420 (5.7%) had ARDS, of which 92.8% had coronavirus disease 2019. The patients with ARDS suffered …

Potential Biological And Genetic Links Between Dementia And Osteoporosis: A Scoping Review, Abayomi N Ogunwale, Paul E Schulz, Jude K Des Bordes, Florent Elefteriou, Nahid J Rianon

Faculty, Staff and Students Publications

Background: The biological mediators for the epidemiologic overlap between osteoporosis and dementia are unclear. We undertook a scoping review of clinical studies to identify genetic and biological factors linked with these degenerative conditions, exploring the mechanisms and pathways connecting both conditions.

Methods: Studies selected (1) involved clinical research investigating genetic factors or biomarkers associated with dementia or osteoporosis, and (2) were published in English in a peer-reviewed journal between July 1993 and March 2025. We searched Medline Ovid, Embase, PsycINFO, the Cochrane Library, the Web of Science databases, Google Scholar, and the reference lists of studies following the guidelines for …

Incidence Of Heart Failure Following Carpal Tunnel Release Surgery, Harrison S. Fellheimer, Mahaa Ayub, Gabriel I. Onor, Lauren O'Mara, Eric Tecce, Pedro K. Beredjiklian

Department of Orthopaedic Surgery Faculty Papers

PURPOSE: Previous literature suggests a relationship between carpal tunnel syndrome (CTS) and heart failure (HF), indicating that patients with CTS are more likely to experience cardiomyopathy. Amyloid deposition leading to CTS may be prodromal for the development of amyloid cardiomyopathy. We hypothesized that patients undergoing surgery for CTS would have an increased risk of HF compared to those who did not undergo surgery.

METHODS: The TriNetX database was queried using the primary ICD-10 code for CTS to identify patients. Patients were included if they had surgical treatment for CTS, reported as endoscopic or open carpal tunnel release, or median nerve …

Varieties And Domains: A Syncretic Synthesis Of Law And Justice In India ( Including A Special Emphasis On Alternate Dispute Resolution), Amrith Bhargav B

Theses and Dissertations

From the abstract idea of Dharma that enabled the practice and sustenance of local custom and usage, law was defined without verbiage but in meanings and understandings. In the colonial age, law was constantly being defined and codified not just textually, but through projects of economies of politics, knowledge and power in a way that their transactional metrics produced social and cultural genres that changed India forever. In that state of play, lawyers and their associated players contributed to the emerging culture of power and dominance with their tool of making the law through cases and mainstreamed the colonial legal …

Pembrolizumab And Lenvatinib In The Treatment Of Recurrent Ovarian Carcinoma: A Single Institution Experience, Helen Toma, Rebeca Kelly, Chelsea Katz, Hannah Hong, Hannah Diasti, David P Warshal, Lauren Krill

Kimmel Cancer Center Faculty Papers

BACKGROUND: Advanced stage ovarian carcinoma has a poor prognosis with recurrence rates of over 80%, 5-year survival of 36-45%, and limited response to standard therapy. Pembrolizumab and lenvatinib are FDA approved for treatment of microsatellite stable (MSS)/mismatch repair proficient (pMMR) endometrial and renal cell cancers. Early phase II studies have shown promising results in a variety of advanced solid tumors, including ovarian cancer. We report on the clinical outcome of recurrent MSS/pMMR ovarian cancer patients treated with this therapy.

METHODS: For this retrospective cohort study, patients with a diagnosis of ovarian cancer treated with pembrolizumab and lenvatinib from January 2020 …

Liberalism And Lockdowns, D. Robert Macdougall

Publications and Research

Some authors have argued that liberalism cannot support lockdowns because it cannot engage in collective welfare-type reasoning. Others have thought that liberalism can justify lockdown measures, but that legitimate lockdown measures must be based on pre-legal moral principles that set acceptable limits to the imposition of risk or forbid contributing to collective harm. In this essay, I assess the overall relationship between liberalism and lockdowns. Against the first interpretation of liberalism, I argue in favor of the idea that lockdowns can be justified by liberalism. Liberalism protects the liberty of each and so can presumably protect persons from some kinds …

Family Caregivers’ Perceptions Of Quality Of Dementia Self-Care In Wakiso District, Uganda, Martha Sajatovic, Kylie Meyer

Faculty Scholarship

INTRODUCTION: In Sub-Saharan Africa, most people with dementia are cared for in the home setting (dementia self-care) with hardly any support from the formal health and social care system. The study explored family caregivers' perceptions of quality of dementia self-care. METHODS: A descriptive-exploratory qualitative study design was used. Data were collected through four focus group discussions with 48 family caregivers of older people with dementia, recruited from four villages of the Wakiso district in Uganda. RESULTS: Five themes emerged: (1) patience and understanding; (2) maintaining hygiene and cleanliness; (3) constant supervision and safety precautions; (4) personalized care by understanding individual …

Controlling Hypertension In The African American Population Through Dash Diet Education, Tanya K. Mccaskill

Doctor of Nursing Practice Projects

Hypertension disproportionately affects African Americans, contributing to elevated risks of stroke, cardiovascular disease, and kidney failure. Despite the well-established benefits of the Dietary Approaches to Stop Hypertension (DASH) diet, its adoption remains limited due to cultural, socioeconomic, and health literacy barriers. This Quality Improvement (QI) project aimed to evaluate the effectiveness of a culturally tailored DASH diet education intervention in improving nutritional knowledge among African American adults with hypertension (HTN). Using a quasi-experimental pre-post intervention design, 50 participants received a structured educational session during a single clinic visit, which included counseling, printed materials, and sample menus. The intervention was guided …

“It Felt Like Solving A Mystery Together”: Exploring Virtual Reality Card-Based Interaction And Story Co-Creation Collaborative System Design, Yaojiong Yu, Mike Phillips, Gianni Corino

School of Art, Design and Architecture

Virtual reality interaction design and story co-creation design for multiple users is an interdisciplinary research field that merges human–computer interaction, creative design, and virtual reality technologies. Story co-creation design enables multiple users to collectively generate and share narratives, allowing them to contribute to the storyline, modify plot trajectories, and craft characters, thereby facilitating a dynamic storytelling experience. Through advanced virtual reality interaction design, collaboration and social engagement can be further enriched to encourage active participation. This study investigates the facilitation of narrative creation and enhancement of storytelling skills in virtual reality by leveraging existing research on story co-creation design and …

Smartboot: Real-Time Monitoring Of Patient Activity Via Remote Edge Computing Technologies, Gozde Cay, Myeounggon Lee, David G Armstrong, Bijan Najafi

Center on Aging Staff Publications

Diabetic foot ulcers (DFUs) are a serious complication of diabetes, associated with high recurrence and amputation rates. Adherence to offloading devices is critical for wound healing but remains inadequately monitored in real-world settings. This study evaluates the SmartBoot edge-computing system-a wearable, real-time remote monitoring solution integrating an inertial measurement unit (Sensoria Core) and smartwatch-for its validity in quantifying cadence and step count as digital biomarkers of frailty, and for detecting adherence. Twelve healthy adults wore two types of removable offloading boots (Össur and Foot Defender) during walking tasks at varied speeds; system outputs were validated against a gold-standard wearable and …

Genes Encoding Multiple Modulators Of The Immune Response Are Methylated In The Prostate Tumor Microenvironment Of African Americans, Vinay Kumar, Tara Sinta Kartika Jennings, Lucas Ueta, James Nguyen, Liankun Song, Michael Mcclelland, Weiping Chu, Michael Lilly, Michael Ittmann, Patricia Castro, Arash Rezazadeh Kalebasty, Dan Mercola, Omid Yazdanpanah, Xiaolin Zi, Farah Rahmatpanah

Faculty, Staff and Students Publications

Background/Objectives: Prostate cancer (PCa) is diagnosed at an earlier median age, more advanced stage, and has worse clinical outcomes in African American (AA) men compared to European Americans (EA).

Methods: To investigate the role of aberrant DNA methylation in tumor-adjacent stroma (TAS), methyl binding domain sequencing (MBD-seq) was performed on AA (n = 17) and EA (n = 15) PCa patients. This was independently confirmed using the long interspersed nuclear element-1 (LINE-1) assay. Pathway analysis was performed on statistically significantly differentially methylated genes for AA and EA TAS. DNA methylation profiles of primary cultured AA and …

Critical Mineral Mining And Native American Rights, Spencer Beeman Janes

Dissertations and Theses

This thesis examines the intersection between critical mineral mining and Native Americans' rights. Critical minerals are essential for creating electric and sustainable energy sources that fuel the world's evolving technological landscape. The United States is making a concerted effort to mine these minerals on American soil due to their vital role in serving the U.S economy and national defense. However, many of these mineral reserves lie within close proximity to Native American reservations, and mining them directly impacts Native American communities. The development of critical mineral mines can offer substantial benefits to indigenous communities, but they also have the capacity …

Mouse Metastable Epialleles Are Extremely Rare, Chathura J Gunasekara, Uditha Maduranga, Taylor Zhang, Jonathan N Wells, Maria S Baker, Eleonora Laritsky, Yumei Li, Cristian Coarfa, Yi Zhu, Robert A Waterland

Faculty, Staff and Students Publications

Metastable epialleles (MEs) are genomic loci at which epigenetic marks are established stochastically during early embryonic development and maintained during subsequent differentiation and throughout life, leading to stable epigenetic and phenotypic variation among genetically identical individuals. Although MEs were first described in mice over 20 years ago, the extent of epigenetic metastability in the mouse genome remains unknown. We present the first unbiased genome-wide screen for MEs in mice. Using deep whole-genome bisulfite sequencing across tissues derived from the three embryonic germ layers in isogenic C57BL/6J mice, we identified only 29 MEs, precisely localizing them and documenting their rarity. Consistent …

Stratifying The Population Based On Health Risk: Identification Of Patient Key Health Risk Factors Through Consensus Techniques, Carolina Castagna, Andrew Huff, Aaron Douglas, Phd, Matteo Garofano, Massimo Fabi, Richard W. Hass, Vittorio Maio

College of Population Health Faculty Papers

BACKGROUND: Risk stratification is a population health management approach that classifies patients according to their health risks and projected care needs. This strategy is especially valuable in primary care, where timely interventions for high-risk individuals can lead to better health outcomes, reduced healthcare expenditures, and a more sustainable healthcare system. The goal of this study was to establish expert consensus on the clinical and sociodemographic patient factors that should be incorporated into a primary care risk stratification tool.

METHODS: A multidisciplinary expert panel of 24 healthcare professionals, including primary care providers (PCPs), specialists, and allied health professionals, was convened in …

Benefits And Impact Of Global And Bilingual Education: Dual Master’S Degree In Spanish Language And Culture For Educators, Diana Meza, Felix Wang, Yenisei Montes De Oca

International Journal on Responsibility

The dual master’s degree program in Spanish Language and Culture (SLC) for educators represents a pioneering initiative, emphasizing internationalization and global education through collaboration between James Madison University (JMU) and the University of Salamanca (USAL). This program addresses the escalating demand for bilingual education and the growing population of Spanish speakers in the educational landscape of the United States. The SLC program highlights educators’ responsibility to engage with and promote cultural and linguistic diversity by supporting bilingualism and cultural literacy in diverse communities where Spanish is widely used, particularly in regions where Spanish-speaking populations are marginalized. The program offers the …

From Embarrassment To Prejudice: Online “Cringe Culture” As An Affective And Social Phenomenon, Maxwell Seebold

Sociology Summer Fellows

When scrolling through the myriad content found online, you’re bound to find something that leaves you with negative emotions strong enough that you cringe. While this is largely an involuntary response, “cringe” becoming an adjective, and therefore a label, occurs due to the conscious othering of a user for the nature or presentation of their content. This project conceptualizes cringe as a multidimensional phenomenon rather than a singular emotion, which allows us to more easily make sense of how online cringe specifically has morphed into what is colloquially known as “cringe culture.” Through analysis of academic literature (from disciplines ranging …

Straddling The Boundary Of Misleading Information Group: Exploring The Association Between Network Brokerage And Morality Expressions, Yiqi Li, Marina Mitiaeva, Ximeng Deng, Una Joh, Yafei Zhang

iSchool - All Scholarship

Existing misleading information studies mostly focus on either the message content or social network structures, overlooking the association between the content and structural factors. This research examines the role of brokers, the key network actors straddling between misleading and true/regular information groups. Content-wise, morality expressions are examined, which signal social media users’ expressions toward what is right and wrong. This research provides insights into the understudied relationship between network brokerage and moral expressions and identifies connections between moral foundation and network brokerage theories. Findings suggest that binding morality (i.e., authority and loyalty) is dominant among network brokers. Practical strategies are …

Digital Evidence As A Means Of Proof In Criminal Proceedings In The Uae, Dr.Khaled Ramadan Soltan

Faculty Peer-Reviewed Papers | بحوث هيئة التدريس المحكمة

This paper addresses key issues related to the admissibility of digital evidence—a pivotal concern in modern legal proceedings. The use of such evidence is fraught with challenges, particularly due to the rapid technological changes and heightened concerns surrounding electronic data privacy. In the criminal justice system, these challenges can impact the admissibility of evidence, its presentation in trial, and the charging and resolution of cases.

This study examines the difficulties of admitting digital proof before the UAE judiciary. Considering the trend towards the digital world as an alternative to the tangible world, interest is increasing in the extent of the …

Designing Context-Specific Physical Activity Interventions For English Primary Schools: Key Learning From A Four-Month Rapid Ethnography, Robert Walker, Danielle House, Simona Kent-Saisch, Alice Porter, Ruth Salway, Lydia Emm-Collison, Michael W. Beets Med, Mph, Phd, David Revalds Lubans, Frank De Vocht, Russell Jago

Faculty Publications

Background

Physical activity is essential for children’s health. Primary schools offer an opportunity to equitably promote physical activity. However, school-based interventions have been shown to have little to no effect, potentially due to a lack of consideration of school heterogeneity. This study reports on a rapid ethnography study that was used to capture insights into English primary schools physical activity. The data are intended to inform the design of a context-specific intervention to improve pupil physical activity.

Methods

Three researchers conducted a four-month rapid ethnography study within three primary schools in Bristol, UK, between March and July 2024. Several methods …

Designing Context-Specific Physical Activity Interventions For English Primary Schools: Key Learning From A Four-Month Rapid Ethnography, Robert Walker, Danielle House, Simona Kent-Saisch, Alice Porter, Ruth Salway, Lydia Emm-Collison, Michael Beets Med, Mph, Phd, David Revalds Lubans, Frank De Vocht, Russell Jago

Faculty Publications

Background

Physical activity is essential for children’s health. Primary schools offer an opportunity to equitably promote physical activity. However, school-based interventions have been shown to have little to no effect, potentially due to a lack of consideration of school heterogeneity. This study reports on a rapid ethnography study that was used to capture insights into English primary schools physical activity. The data are intended to inform the design of a context-specific intervention to improve pupil physical activity.

Methods

Three researchers conducted a four-month rapid ethnography study within three primary schools in Bristol, UK, between March and July 2024. Several methods …

A Perovskite Nanocomposite And Self-Assembled Nanoparticle-Decorated Cathode For Low Temperature Sofcs, Chunyang Yang, Guoan Wang, Xingjian Xue

Faculty Publications

One-pot route synthesis of an A-site Sm-doped simple perovskite with nominal composition Sm_0.10Ba_0.90Co_0.8Fe_0.2O_3−δ leads to a novel perovskite nanocomposite containing ∼90% A-site cation deficient cubic simple perovskite Ba0.925(Co/Fe)0.962Sm0.038O_3−δ and ∼10% orthorhombic layered perovskite SmBa(Co/Fe)₂O_5+δ. The synergy of the two phases in the nanocomposite results in high electrochemical kinetic properties at low temperatures. With the novel perovskite nanocomposite, a surface nanoparticle-decorated nanocomposite cathode is self-assembled through a one-step sintering process. The corresponding anode-supported cell delivers a peak power density of 1271 mW cm^{−2 …}

State-Level Immigrant Policies And Diabetes Prevalence In Latino And Asian American Groups: A Weighted Multilevel Analysis, Md Towfiqul Alam, Jennifer Toller Erausquin, Erica Payton, Elizabeth Vásquez, Sandra Echeverria

Faculty Scholarship

Introduction: Growing literature has shown that immigrant-related policies influence population health by limiting or enhancing immigrants’ rights. However, less is known about the role of state-level immigrant policies shaping chronic health conditions such as type 2 diabetes (T2DM). This cross-sectional study examined the association between state-level immigrant policies (both criminalising and inclusive) and prevalence of T2DM among individuals of Latin American and Asian American origin.

Method: We included adults aged 18+years sampled in the 2014–2018 behavioral risk factor surveillance system (BRFSS) (n=201 824), a survey design that allows the calculation of state-level estimates. Using existing policy measures, states …

Beyond Translating Cultures: Organizational Cultural Brokering And Latin@/E/X Community Resilience After The "Mobile Home Parks" Fire, Christine Atalie Da Rosa

Dissertations and Theses

As wildfires increase in frequency and severity in rural communities, disaster management agencies are seeking to collaborate with community-based organizations (CBOs) working with rural, low-income Latin@/e/x communities to build wildfire resilience. This qualitative case study examines the critical role of CBOs rooted in their local, predominately low-income Latin@/e/x communities as cultural brokers in supporting Latin@/e/x wildfire survivors following the 2020 "Mobile Home Parks" Fire in a rural county in Oregon. Drawing from 23 semi-structured interviews, three focus groups, a review of relevant documents, and participant observations, the research investigates how Latin@/e/x CBOs navigated the complex cultural landscape between wildfire survivors …

The Silent Identity: Asexuality, Aromanticism, And Convention In Le Roman De Silence And The Story Of Silence, Anita Farrell

English and Creative Writing Summer Fellows

Le Roman de Silence is a 13th-century French romance about Silence, a woman raised as a man to protect their family’s inheritance. Heldris of Cornwall, the author, develops a rich inner world to help the audience connect with Silence, allowing them to experiment with gendered, sexual, and romantic boundaries. This romance intrigues modern scholars, especially feminist and queer researchers due to narrative pressure on conventions like gender and sex. In 2020, Alex Myers, a transgender author, updates Silence’s tale in The Story of Silence, where Silence explores their identity in greater detail. Silence eventually identifies themselves as non-binary and …

W-Rag: Weakly Supervised Dense Retrieval In Rag For Open-Domain Question Answering, Jinming Nian, Zhiyuan Peng, Qifan Wang, Yi Fang

Computer Science and Engineering

In knowledge-intensive tasks such as open-domain question answering (OpenQA), large language models (LLMs) often struggle to generate factual answers, relying solely on their internal (parametric) knowledge. To address this limitation, Retrieval-Augmented Generation (RAG) systems enhance LLMs by retrieving relevant information from external sources, thereby positioning the retriever as a pivotal component. Although dense retrieval demonstrates state-of-the-art performance, its training poses challenges due to the scarcity of ground-truth evidence, largely attributed to the high costs of human annotation. In this paper, we propose W-RAG, a method that draws weak training signals from the downstream task (such as OpenQA) of an LLM, …

The Art Of Memory: The Medieval Peutinger Map, Amber Shrewsbury

Dissertations and Theses

The Peutinger map is an enigma: a twelfth-century map of the Roman Empire, it is secular and oddly shaped, its dimensions distorted to show Rome at the center of the world. Its creator, purpose, and provenance currently remain lost to history. Long considered by classicists to be a copy of a lost Roman original, the map has not been seriously examined by medievalists, possibly because it does not adhere to the Christian "T-O" style of medieval mappaemundi.

While other scholars have focused on what the Peutinger map reflects about ancient Rome, I have chosen to explore how the Peutinger …

Using Artificial Intelligence To Improve Customer Engagement: User Experience With Chatbot Technology, Aicha Zemmouri, Salma Choufari

Journal of Marketing and Consumer Behaviour in Emerging Markets

This study examines the impact of artificial intelligence (AI) on improving customer loyalty through the use of chatbot technology, with a specific focus on the user experience of Moroccan consumers. The increasing integration of AI into customer service, especially through chatbots, represents a significant shift in how companies interact with their customers. Given Morocco’s growing digitalization and the strategic importance of customer loyalty, it is critical to understand how consumers perceive and interact with these technologies. To achieve this, the study used a qualitative research method of semi-structured interviews to investigate consumers’ perceptions, interaction behaviours, and challenges with chatbot usage. …