Digital Commons Network^™

The Ai Doppelgänger Dilemma: Cloned Voices In The Music Industry, Elizabeth Shields

Seattle University Law Review

With the rise of generative artificial intelligence (AI), there has been an influx of “voice clones”—deep-learning algorithms that create synthetic speech to realistically mimic human voices. Celebrities and, in particular, music artists, have been subjected to the proliferation of AI voice clones on social media platforms like TikTok and streaming platforms such as Spotify. Despite music utilizing AI voice clones having amassed much popularity, this technology can be harmful and highly invasive to musicians whose livelihoods often depend on their distinct voices. While legal scholars have attempted to articulate various rights that could protect a person’s voice, individuals are largely …

Data-Driven Fusion Of Earth Observation And Hydrologic Data To Forecast Flood Extents At Regional To Continental Scales, Kel N. Markert

Theses and Dissertations

Accurate and timely flood inundation forecasts are crucial for mitigating the devastating impacts of floods, which affect 1.47 billion people globally and cause significant economic losses. While traditional flood forecasting methods, such as hydrologic and hydrodynamic models, have limitations in providing comprehensive and spatially explicit inundation information, recent research has focused on leveraging Earth observation data and machine learning for enhanced flood prediction. This dissertation advances the state-of-the-art in data-driven flood inundation forecasting by exploring the capabilities and scalability of the Forecasting Inundation Extents using Rotated Empirical Orthogonal Function (FIER) framework. This dissertation focuses on investigating different aspects of FIER …

A Century Of Depicting Characters With Disabilities In Newbery Award And Honor Books, Merna Kay Raines

Theses and Dissertations

A Century of Depicting Characters With Disabilities in Newbery Award and Honor Books Merna Kay Raines Department of Counseling Psychology and Special Education, BYU Educational Specialist Between 1922 and 2021, 426 books received the Newbery Award, with 64 books featuring characters with disabilities. However, it was not until 1931 that the Newbery Honor Award was given to recognize the author of a book featuring a character with disabilities. Newbery Award-winning books are considered quality literature and are found in most libraries and classrooms. Understanding the portrayal of characters with disabilities is important because students easily access these books. This content …

Cover And Contents

Turkish Journal of Zoology

No abstract provided.

Comparing Postoperative Opioid Use In Primary And Revision Lumbar Fusion: A Propensity-Matched Analysis, Jonathan Dalton, Jarod Olson, Nicholas B. Pohl, Rajkishen Narayanan, Omar Tarawneh, Yunsoo Lee, Michael V. Carter, Gokul Karthikeyan, Logan Witt, Aayush Mehta, John J. Mangan, Mark F. Kurd, Jose A. Canseco, Alan S. Hilibrand, Alex R. Vaccaro, Gregory D. Schroeder, Christopher K. Kepler

Department of Orthopaedic Surgery Faculty Papers

OBJECTIVE: This study compared postoperative opioid use for patients undergoing short segment primary versus revision lumbar fusion.

METHODS: Patients who underwent primary or revision 1-2 level lumbar fusion (2017-2021) were included in this study. The state Prescription Drug Monitoring Program was reviewed for all patients to quantify preoperative and postoperative opioid, benzodiazepine, muscle relaxant, and gabapentin use. A 1:1 propensity match was performed to match primary lumbar fusion patients with revision lumbar fusion patients. Revision lumbar fusion patients were substratified into those with or without persistent postoperative opioid use to identify demographic differences between these patient cohorts.

RESULTS: The final …

Perceptions Of Artificial Intelligence In Healthcare: A Qualitative Study Among Physicians And Nurses In Florida, Aaron Miri

MUSC Theses and Dissertations

This investigation will leverage participant focus group interviews with 32 clinicians (16 nurses / 16 physicians) to study what, if anything, is inhibiting AI adoption across the hospital. Specific physicians will be sourced across the key service lines of primary care, oncology, cardiology, behavioral health, and emergency department medicine, as these tend to be patient volume driven and thus have the maximum amount of potential for positive impact leveraging AI. Nurses in these same departments will be assessed to analyze if there is a similarity or difference between the nursing and physician AI adoption barriers.

The Importance Of Better Natural History Studies For Duchenne Muscular Dystrophy, David J. Birnkrant

Faculty Scholarship

No abstract provided.

Dietary Effects On The Retina Of Hamsters, Nicole El-Darzi, Natalia Mast, Yong Li, Irina A. Pikuleva

Faculty Scholarship

The retina is a sensory tissue in the back of the eye, which captures visual information and relays it to the brain. The retinal pigment epithelium separates the neural retina from the choroidal (systemic) circulation and is thereby exposed to circulating lipoprotein particles. Herein, we used hamsters and conducted various retinal evaluations of animals fed either a normal diet or a Western-type diet (WTD). Prior to evaluations, hamsters were injected with indocyanine green (ICG), a fluorescent dye that binds to various proteins and lipids in the systemic circulation. The WTD increased plasma levels of total and HDL cholesterol 1.8- and …

Older Women In The U.S. Were Lonelier Than Men During The Covid-19 Pandemic, Qiyu Deng

Population Health Research Brief Series

Loneliness damages health and quality of life. The COVID-19 pandemic increased social isolation and loneliness among some groups in the U.S. This data slice uses data from the 2020 Health and Retirement Study to examine gender and age differences in loneliness among older adults (50+) in the U.S. during the first year of the pandemic. The author finds that loneliness was more prevalent among women than among men, with the highest rate among women ages 80 and older.

Jill Hunsberger, Oral History Interview, 2025, Kat Hacanyan

Oral Histories

Jill Hunsberger is Associate Vice President for Advancement at EMU and a long time supporter and advisory board member of the Center for Jewish Studies. Since making her way here in 1999, Hunsberger has established herself as a dynamic and engaged community leader through her work with the EMU Foundation and the EMU Chapter of Women in Philanthropy. She became involved with the Center for Jewish Studies early on and helped to advance its initial growth and development. In this interview, Hunsberger talks about her deep rooted background in community service, developing university programs from start to finish, and how …

Diverse Ancestral Representation Improves Genetic Intolerance Metrics, Alexander L Han, Chloe F Sands, Dorota Matelska, Jessica C Butts, Vida Ravanmehr, Fengyuan Hu, Esmeralda Villavicencio Gonzalez, Nicholas Katsanis, Carlos D Bustamante, Quanli Wang, Slavé Petrovski, Dimitrios Vitsios, Ryan S Dhindsa

Duncan NRI Faculty and Staff Publications

The unprecedented scale of genomic databases has revolutionized our ability to identify regions in the human genome intolerant to variation—regions often implicated in disease. However, these datasets remain constrained by limited ancestral diversity. Here, we analyze whole-exome sequencing data from 460,551 UK Biobank and 125,748 Genome Aggregation Database (gnomAD) participants across multiple ancestries to test several key intolerance metrics, including the Residual Variance Intolerance Score (RVIS), Missense Tolerance Ratio (MTR), and Loss-of-Function Observed/Expected ratio (LOF O/E). We demonstrate that increasing ancestral representation, rather than sample size alone, critically drives their performance. Scores trained on variation observed in African and Admixed …

Mind Matters: How Anxiety And Depression Shape Low-Risk Prostate Cancer Active Surveillance Adherence In A Real-World Population, Zachariah Taylor, Kayla Meyer, Danielle Terrenzio, Ryan Wong, Sharon L. Larson, Stephanie Kjelstrom, Natalina Contoreggi, Laurence Belkoff, Ilia Zeltser

Jefferson Hospital Staff Papers and Presentations

PURPOSE: While the mental health impact of a prostate cancer diagnosis, including low-risk prostate cancer, is well-documented, the effect of pre-existing anxiety and/or depression on adherence to active surveillance protocols in low-risk prostate cancer patients remains unclear. This study assessed the association between prior anxiety and/or depression and active surveillance adherence in men with low-risk prostate cancer.

METHODS: We conducted a retrospective, multicenter study involving 426 men diagnosed with low-risk prostate cancer who were recommended active surveillance as the primary management strategy. Active surveillance adherence was defined by completion of both a prostate-specific antigen test and a prostate biopsy within …

An Exploration Of The Experiences Of Perinatal Depression And Anxiety Among Pregnant And Parenting Adolescents In The Tampa Bay Area Of Florida, Olajumoke Adetoun Ojeleye

USF Tampa Graduate Theses and Dissertations

Perinatal depression (PND) and perinatal anxiety (PNA) are increasing among pregnant and parenting adolescents (PPAs), with PNA often underrecognized. This leads to significant socioeconomic costs and adverse maternal consequences if untreated. Hence, this dissertation explores the experiences of PND and PNA among PPAs, focusing on their knowledge gaps, perception, mental health needs, care preferences, and access to PMH care. The research employs a qualitative design (free-listing and in-depth interviews) to gather participant insights. Key findings reveal that many PPAs possess limited knowledge about PNA when compared to PND. Lack of support from partners, family, and peers emerged as the topmost …

Working Paper No. 90, Social Hierarchies In The Music Industry And Thorstein Veblen's Understanding Of Institutions, Citlactli Carrera López

Working Papers in Economics

This inquiry seeks to establish that Thorstein Veblen’s understanding of institutions could be used to offer insights into social hierarchies found within the music industry. Institutions, as viewed by Veblen, are structures that are influenced by and extensions of habits that provide an understanding of human behavior. Society creates standards which determine the way that the population operates, setting levels of what is considered as correct and incorrect behaviors. Institutions have a way of altering the way society is governed, setting expectations and new mindsets of how people should interact with each other. Through the introduction of new technologies, these …

The Metaphysics Of Frank Herbert's Dune And God Emperor Of Dune: On Time And Language, Garrett J. Busshart

LSU Doctoral Dissertations

This dissertation studies the metaphysics of time and rhetoric in the science fiction novels Dune (1963) and God Emperor of Dune (1981) by Frank Herbert. The first chapter critiques the protagonist’s sense of temporality, an ideology in which the future consists of multiple possible choices while each decision of one forecloses a still larger set. Jean-Pierre Dupuy calls this a “supermarket” model of temporality, as if the future were a contingent-free menu of possibilities a subject is free to pick between. My assertion is that this sense of temporality—the Western norm—matches the protagonist’s, Paul Atreides’s, rhetoric. In disclosing Paul’s sense …

“It Is Now In Flames, But It Will Never Burn Down”: A Conservation Of Resources Perspective On Resilience In The Yugoslav Wars, Sarah Denton

Undergraduate Honors Theses

The genocides, sieges, and brutal longevity of the Yugoslav Wars profoundly affected the lives of millions of people across the Balkans. Here, the theory of Conservation of Resources (COR) has been applied to contextualize the trauma and regrowth of survivors of these wars. COR theory suggests that people work to protect, maintain, and expand their resources, such as material assets, desirable personality traits, and religion. The threatening or actual loss of these resources induces stress. In environments that threaten or deplete many resources—such as war—other resources become essential for survival and healing. Applying this theory to the memoirs and oral …

"Firm Selection And Growth In Carbon Offset Markets: Evidence From The Clean Development Mechanism", Qiaoyi Chen, Nicholas Ryan, Daniel Yi Xu

Cowles Foundation Discussion Papers

We study carbon offsets sold by firms in China under the Clean Development Mechanism (CDM). We find that offset-selling firms, meant to cut carbon emissions, instead increase them by 49% after starting an offset project. In a model of firm investment decisions and offset review, we estimate that CDM firms increase emissions due to both the selection of higher-growth firms into projects (35 pp) and because offset projects themselves boost firm growth and therefore emissions (14 pp). The CDM reduces global surplus by causing damages from increased emissions four times greater than private gains from trade in the offset market.

Health System, Community-Based, Or Usual Dementia Care For Persons With Dementia And Caregivers: The D-Care Randomized Clinical Trial, David B Reuben, Thomas M Gill, Alan Stevens, Jeff Williamson, Elena Volpi, Maya Lichtenstein, Lee A Jennings, Rebecca Galloway, Jenny Summapund, Katy Araujo, David Bass, Lisa Weitzman, Zaldy S Tan, Leslie Evertson, Mia Yang, Katherine Currie, Aval-Na'ree S Green, Sybila Godoy, Sitara Abraham, Jordan Reese, Rafael Samper-Ternent, Roxana M Hirst, Pamela Borek, Peter Charpentier, Can Meng, James Dziura, Yunshan Xu, Eleni A Skokos, Zili He, Sherry Aiudi, Peter Peduzzi, Erich J Greene, D-Care Study

Faculty, Staff and Student Publications

Importance: The effectiveness of different approaches to dementia care is unknown.

Objective: To determine the effectiveness of health system-based, community-based dementia care, and usual care for persons with dementia and for caregiver outcomes.

Design, setting, and participants: Randomized clinical trial of community-dwelling persons living with dementia and their caregivers conducted at 4 sites in the US (enrollment June 2019-January 2023; final follow-up, August 2023).

Interventions: Participants were randomized 7:7:1 to health system-based care provided by an advanced practice dementia care specialist (n = 1016); community-based care provided by a social worker, nurse, or licensed therapist care consultant (n = 1016); …

Predicting The Suitable Habitats Of Alosimus Marginicollis (Haag-Rutenberg, 1880) (Coleoptera: Meloidae) And Evaluating Its Potential Distribution In Relation To Geographical And Climatic Barriers, Muhammed Ari̇f Demi̇r, Mahmut Kabalak

Turkish Journal of Zoology

The main objective of this study was to predict the ecological requirements of Alosimus marginicollis (Haag-Rutenberg, 1880), for which limited ecological information is available, and to predict possible suitable habitats under current conditions and different future scenarios. An ensemble model-based approach, combining multiple algorithms (GAM, GLM, MARS, MaxEnt), was used to predict suitable habitats for this species using bioclimatic, topographic and land cover variables. The models indicated that the elevation variable among the topography variables, BIO15 (precipitation seasonality) and BIO4 (temperature seasonality) among the bioclimatic variables, and the cropland variable (cultivated and managed vegetation cover) among the land cover variables …

Morphological, Linear, And Geometric Morphometric Differences (Skull, Mandible, And Pelvis) Among Subspecies Of Talpa Levantis (Eulipotyphla: Talpidae) With Molecular Divergence (Mtdna And Nuclear Dna), Ahmet Yesari̇ Selçuk, Alaetti̇n Kaya, Haluk Kefeli̇oğlu

Turkish Journal of Zoology

In this study, we conducted comprehensive analysis to determine the morphological, linear morphometric, and geometric morphometric differences between three subspecies of Talpa levantis: T. levantis levantis, T. levantis dogramacii, and T. levantis transcaucasica. Molecular analyses including mitochondrial DNA (complete cyt b gene) and nuclear DNA (BRCA-2) were also used. The subspecies of T. levantis showed similarities in the parastyle of the first upper molar and the mesostyle of the second and third upper molars, as well as in the morphology of the pelvis and linear measurements of the ventral skull, mandible, and pelvis. T. levantis dogramacii and T. levantis levantis …

Ypfs Lessons Learned Oral History Project: An Interview With Daniel K. Tarullo, Daniel K. Tarullo, Sophia Alden, Rosalind Z. Wiggins

Documents

No abstract provided.

Teaching Physician Advocacy: A Collaborative Learning Approach, Ellen Hutchinson, Caitlin Bowers, Vanessa Maier, Kelli Qua

Student Scholarship

Physician advocacy is defined as the use of professional expertise to address socioeconomic factors that affect health.1 In the USA, physician advocacy is recognised as a professional responsibility, and the Accreditation Council for Graduate Medical Education has even adopted competencies for post-graduate education. However, there is no consensus on how to incorporate advocacy training into undergraduate medical education.

High-Dimensional Analysis Of Injured Patients Reveals Distinct Circulating Proteomic Profiles In Plasma Vs. Whole Blood Resuscitation, Hamed Moheimani, Xuejing Sun, Mehves Ozel, Jennifer L Darby, Erika P Ong, Tunde Oyebamiji, Upendra K Kar, Mark H Yazer, Matthew D Neal, Francis X Guyette, Stephen R Wisniewski, Bryan A Cotton, Jeremy W Cannon, Martin A Schreiber, Ernest E Moore, Nicholas Namias, Joseph P Minei, Christopher D Barrett, Jishnu Das, Jason L Sperry, Timothy R Billiar

Faculty, Staff and Student Publications

Early blood product resuscitation is often essential for optimal trauma care. However, the effects of different products on the underlying trauma-induced coagulopathy and immune dysfunction are not well described. Here, we use high-dimensional analysis and causal modeling in a longitudinal study to explore the circulating proteomic response to plasma as a distinct component versus low-titer O whole blood (LTOWB), which contains plasma. We highlight the differential impacts of plasma and LTOWB on immune mediator levels and the distinct capacity of plasma to modulate coagulation by elevating fibrinogen and factor XIII and reducing platelet factor 4. A higher proportion of plasma …

Mathematical Modeling To Address Questions In Breast Cancer Screening: An Overview Of The Breast Cancer Models Of The Cancer Intervention And Surveillance Modeling Network, Oguzhan Alagoz, Jennifer L Caswell-Jin, Harry J De Koning, Hui Huang, Xuelin Huang, Sandra J Lee, Yisheng Li, Sylvia K Plevritis, Swarnavo Sarkar, Clyde B Schechter, Natasha K Stout, Amy Trentham-Dietz, Nicolien Van Ravesteyn, Kathryn P Lowry

Faculty, Staff and Student Publications

The National Cancer Institute-funded Cancer Intervention and Surveillance Modeling Network (CISNET) breast cancer mathematical models have been increasingly utilized by policymakers to address breast cancer screening policy decisions and influence clinical practice. These well-established and validated models have a successful track record of use in collaborations spanning over 2 decades. While mathematical modeling is a valuable approach to translate short-term screening performance data into long-term breast cancer outcomes, it is inherently complex and requires numerous inputs to approximate the impacts of breast cancer screening. This review article describes the 6 independently developed CISNET breast cancer models, with a particular focus …

Did Raja Asterias Ever Occur In The Sea Of Marmara Or Were Previous Records Just Cases Of Misidentified Raja Clavata?, Hakan Kabasakal, Uğur Uzer, Fi̇rdes Saadet Karakulak

Turkish Journal of Zoology

The current inventories of elasmobranchs in the Sea of Marmara have some taxonomic problems that need to be solved. One problematic species in the elasmobranch fauna of the region is Raja clavata Linnaeus, 1758, and atypically coloured specimens of this skate species may have been misidentified in the past as congeners or closely related species. The present results show that R. asterias may be a misidentified species of the family Rajidae due to confusion with the atypically coloured R. clavata. As taxonomy is central to the integration of data sources in the context of biodiversity research and management of any …

Best Practices For Imaging Of Transcatheter Valve Failure: An Update From The Heart Valve Collaboratory, Omar K Khalique, Syed Zaid, Gilbert H L Tang, Mohamed Abdel-Wahab, Miriama Akodad, Vinayak N Bapat, Jeroen J Bax, Daniel J Blackman, Philipp Blanke, Sabine Bleiziffer, Davide Capodanno, Joao L Cavalcante, Lakshmi P Dasi, Ole De Backer, Matthiew De Beuel, Alison Duncan, Marc R Dweck, Miho Fukui, Aakriti Gupta, Kentaro Hayashida, Howard C Herrmann, Tsuyoshi Kaneko, Nicole Karam, Jaffar M Khan, Jan Kovac, Uri Landes, Jonathon A Leipsic, Martin B Leon, Michael J Mack, Mahesh V Madhavan, Moody M Makar, Raj R Makkar, Mouaz Al Mallah, David Meier, Thomas Modine, Atsushi Okada, Roosha K Parikh, Radoslaw Parma, Dhairya Patel, Philippe Pibarot, Bernard Prendergast, Nishath Quader, Michael J Reardon, Toby Rogers, Lucy M Safi, Stephanie L Sellers, Sabah Skaf, Giuseppe Tarantini, Didier Tchetche, Nicolas Van Mieghem, Dee Dee Wang, John G Webb, Stephan Windecker, Steven J Yakubov, Victoria Delgado, Rebecca T Hahn, Hasan Jilaihawi

Faculty, Staff and Students Publications

This updated Heart Valve Collaboratory framework addresses the growing concern for transcatheter valve failure (TVF) following transcatheter aortic valve replacement (TAVR). With the increasing volume of redo-TAV and surgical TAV explantation, there is a critical need for standardized pathways and protocols for evaluating TVF using echocardiography and cardiac computed tomography (CT) angiography. This document clarifies prior definitions of bioprosthetic valve deterioration and bioprosthetic valve failure in a practical, imaging directed context for TAVR. It discusses various imaging modalities for diagnosing TVF, including echocardiography, cardiac CT angiography, cardiac magnetic resonance, and positron emission tomography/CT. Recommendations are provided on the systematic imaging …

Framework For Kidney Health Follow-Up Among Neonates With Critical Cardiac Disease: A Report From The Neonatal Kidney Health Consensus Workshop, Stephen M Gorga, Tara Beck, Paulomi Chaudhry, Marissa J Defreitas, Dana Y Fuhrman, Catherine Joseph, Catherine D Krawczeski, David M Kwiatkowski, Michelle C Starr, Matthew W Harer, Jennifer R Charlton, David J Askenazi, David T Selewski, Katja M Gist

Faculty, Staff and Students Publications

Acute kidney injury is common among neonates with critical cardiac disease. Risk factors and associations with kidney-related outcomes are heterogeneous and distinct from other neonates. As survival of children with critical cardiac disease increases to adulthood, the burden of chronic kidney disease is increasing. Thirty percent to 50% of adults with congenital heart disease have impaired kidney function, even in the absence of prior kidney injury episodes. This may be related to the current standardized acute kidney injury criteria, which may not fully capture clinically meaningful kidney injury and long-term kidney health risks. An improved understanding of which neonates with …

Emerging Clostridioides Difficile Ribotypes Have Divergent Metabolic Phenotypes, Firas S Midani, Heather A Danhof, Nathanael Mathew, Colleen K Ardis, Kevin W Garey, Jennifer K Spinler, Robert A Britton

Faculty, Staff and Students Publications

Clostridioides difficile is a gram-positive spore-forming pathogen that commonly causes diarrheal infections in the developed world. Although C. difficile is a genetically diverse species, certain ribotypes are overrepresented in human infections, and it is unclear if metabolic adaptations are essential for the emergence of these epidemic ribotypes. To identify ribotype-specific metabolic differences, we therefore tested carbon substrate utilization by 88 C. difficile isolates and looked for differences in growth between 22 ribotypes. As expected, C. difficile was capable of growing on a variety of carbon substrates. Further, C. difficile strains clustered by phylogenetic relationship and displayed ribotype-specific and clade-specific …

Author Correction: Generation Of A Tree Shrew Breast Cancer Model Using Lentivirus Expressing Pik3ca-H1047r, Li Zeng, Hong-Yan Zhang, Chuan-Yu Yang, Zhuo Cheng, Qiu-Yun Jiang, Yao Luo, Yi Li, Fu-Bing Li, Ce-Shi Chen

Faculty, Staff and Students Publications

No abstract provided.

The Autophagy Protein Atg14 Safeguards Against Unscheduled Pyroptosis Activation To Enable Embryo Transport During Early Pregnancy, Pooja Popli, Arin K Oestreich, Vineet K Maurya, Marina N Rowen, Yong Zhang, Michael J Holtzman, Ramya Masand, John P Lydon, Shizuo Akira, Kelle Moley, Ramakrishna Kommagani

Faculty, Staff and Students Publications

Recurrent pregnancy loss, characterized by two or more failed clinical pregnancies, poses a significant challenge to reproductive health. In addition to embryo quality and endometrial function, proper oviduct function is also essential for successful pregnancy establishment. Therefore, structural abnormalities or inflammation resulting from infection in the oviduct may impede the transport of embryos to the endometrium, thereby increasing the risk of miscarriage. However, our understanding of the biological processes that preserve the oviductal cellular structure and functional integrity is limited. Here, we report that autophagy-related protein ATG14 plays a crucial role in maintaining the cellular integrity of the oviduct by …