Digital Commons Network^™

Bridging The Diagnostic Gap: Expanding Dementia Care Navigation For Timely Diagnosis, Lucille Carriere, Morgan Minyo, David Bass, Katherine L Possin, Rafael Samper-Ternent, Joel Salinas, Nicole Deaner

Faculty, Staff and Student Publications

Over half of dementia cases remain undiagnosed, with persistent disparities across racial, ethnic, and socioeconomic groups. Dementia care navigation (DCN) has demonstrated value in post-diagnosis settings. If implemented earlier, DCN could address diagnostic delays and care gaps. We define the diagnostic window as the period from initial symptom awareness through diagnosis and early care planning. Drawing on deliberations from the Alzheimer's Association Dementia Care Navigation Roundtable, we present a pre-diagnosis DCN framework organized across six domains and describe navigator roles across three phases: pre-evaluation, diagnostic assessment, and immediate post-diagnosis and transition. We address special considerations, including people without a care …

Barriers And Facilitators To The Implementation Of The Diabetes Prevention Program (Dpp) In Health Settings: Protocol For A Mixed Methods Systematic Review, Miquel Colom-Rosselló, Manuela Abbate, Laura Capitán-Moyano, Elena Pastor-Ramon, Maria E Fernández, Aina M Yañez, Miquel Bennasar-Veny

Faculty, Staff and Student Publications

This is the protocol of a Campbell Systematic Review. The objectives are as follows: to identify implementation determinants from the perspectives of both participants and implementers, and to assess their influence on specific implementation outcomes, thereby clarifying why certain aspects of the implementation process succeed or fail. If sufficient data is available, variations in perceived barriers or facilitators related to individuals and program characteristics will also be explored.

Evaluation Of A Novel Antegrade-To-Retrograde Femoral Sheath Conversion System: A Preclinical, Cadaveric Study, Ramakrishnan Ranganath, Kerry K Gilbert, Randy Hickle, Anuva Iyer, Ryan Um, Rex Johnson, Randall Torrence, Daniel I Sessler

Faculty, Staff and Student Publications

Background: Peripheral arterial disease often affects the lower extremities, is frequently bilateral, and typically involves multiple leg segments. Symptomatic disease is usually treated endovascularly. Antegrade access may be necessary in some cases and can be challenging compared with retrograde common femoral artery access. The ability to convert a conventional retrograde access to antegrade access would thus be valuable. We developed and tested a novel system, named as antegrade-to-retrograde converter. Our aim was to establish antegrade superficial femoral artery access from initial retrograde entry and reconvert to retrograde access.

Methods: We tested the antegrade-to-retrograde converter bilaterally in 15 fresh (unembalmed) human …

Language Attitudes And Stereotypes Condition The Processing Of Contact-Induced Linguistic Variants, Sonia Barnes, Whitney Chappell

Spanish Languages and Literatures Research and Publications

This study examines the effect of language attitudes and stereotypes on vowel perceptions by two groups of listeners from Asturias, Spain that differ in their relationship with the languages present in their communities: Spanish, the national majority language, and Asturian, the regional minority language. The responses of 165 participants from the Nalón Valley (a mining area in the region) were compared with those of 156 listeners from Gijón (the largest urban area) as they categorized words containing synthesized productions of Spanish [o] and Asturian [u] in a task that combined binary forced-choice identification and visual priming. The results of a …

Dental Care Utilization Among Sexual And Gender Minority Individuals, Ishita Singh, Oladipo Afolayan, Sarah S Jackson, Irene Tamí-Maury

Faculty, Staff and Student Publications

Objectives: Sexual and gender minority (SGM) individuals can experience notable health disparities, including higher HIV prevalence, social isolation, substance abuse, lack of culturally competent providers, and poorer health outcomes compared to heterosexuals due to stigma and discrimination. This study aims to identify predictors of dental care utilization across sexual minorities using the 2023 TEXAS PRIDE Survey.

Methods: We analyzed data from 517 SGM individuals, assessing sociodemographic characteristics, health behaviors, and recent medical and dental visits. Multivariable logistic regression identified predictors of dental care utilization (i.e., a dental visit in the past year).

Results: Among sexual orientation groups, reported dental care …

Content Release Form For Smu Digital Repository, Smu Digital Repository

SMU Scholar Administrative Documents

No abstract provided.

Towards Auto-Evaluation For Large Language Models, Jiahao Ying

Dissertations and Theses Collection (Open Access)

The rapid advancement of large language models (LLMs) has created an urgent need for evaluation methodologies that are timely, scalable, reliable, and informative. Conventional evaluation benchmarks, although essential for measuring model capabilities and guiding model development, are often constructed and maintained through labor-intensive human annotation. As LLMs continue to improve through increases in model scale, training data, and computational resources, static benchmarks may quickly lose discriminative power. Moreover, the growing use of large and diverse training corpora increases the risk of benchmark leakage, which can inflate evaluation results and obscure the true capabilities of models. These challenges call for a …

The Tyrannical Woman: The Collapse Of Idolized Feminine Sexuality In Blake’S Visions Of The Daughters Of Albion, Asha A. Lambson

Criterion: A Journal of Literary Criticism

One year before the publication of William Blake’s Visions of the Daughters of Albion, Mary Wollstonecraft, the mother of modern Western feminism, published A Vindications of the Rights of Woman. In her influential essay, she describes the concept of the tyrannical woman: a woman who, oppressed by reductive and stereotypical views of femininity, especially within the Madonna-whore complex, turns to forms of cunning and trickery to gain power over her environment. This paper explores Oothoon’s character in Blake’s Visions and how, over the course of the poem, she becomes a tyrannical woman. Oothoon, often praised by critics of Blake as …

Narrative Blindness: Gretta And The Limits Of Seeing In Joyce’S “The Dead”, Madison Reber

Criterion: A Journal of Literary Criticism

This essay examines narrative vision and its correlation with gender representation in James Joyce's “The Dead,” focusing mainly on how the narration renders Gretta both visible and unseen. The story is framed by the language of sight in which words such as eyes, watching, and looking repeatedly reveal how meaning is formed. Yet the narrative consistently restricts readers from seeing Gretta's interiority, reducing her to a mere reflection of Gabriel's consciousness, which leads Gretta to become an example of what Simone de Beauvoir theorizes as “the Other”. Scholars commenting on “The Dead” often note that Gretta's objectification comes from Gabriel's …

Brains And Hearts: Virginia Woolf’S Natural, Incomparable Care In Mrs. Dalloway, Olivia L. Landgraf

Criterion: A Journal of Literary Criticism

This paper offers an ecofeminist reading of Mrs. Dalloway that centers vulnerability as a unifying ethical concept through which Virginia Woolf interrogates care, selfhood, and the human relationship to the natural world. While existing scholarship has examined Woolf’s use of nature in relation to aging, loss, trauma, and sexuality, I argue that these themes are bound together by a shared condition of ontological vulnerability. Drawing on ecofeminist theory and care ethics, the paper contends that Woolf challenges inherited Cartesian dualisms that separate rationality from nature and mind from body, revealing how such separations distort ethical perception and impede care.

Through …

The Once And Future Freedom Of The Church: Three Stories, Steven D. Smith

BYU Law Review

This Essay, prepared to be delivered as a lecture at Brigham Young University, discusses three historical stories as a vehicle for suggesting that the concept of “freedom of the church” (or libertas ecclesiae) has not only a colorful and momentous past but an important future as well. Part I discusses how the Supreme Court’s decision in Hosanna Tabor v. Evangelical Lutheran Church helped to revive the venerable theme of freedom of the church. Part II considers the relation between freedom of the church and political authority during the centuries between the collapse of the Western Roman Empire and modernity. Part …

The Spirit Of Jubilee, Christopher D. Hampson

BYU Law Review

The Jubilee texts of the Hebrew Bible call for debts to be forgiven and enslaved persons freed every seven years and for farmland to be restored to families every fifty years. Tightly woven into the legal, narrative, and prophetic vision of the text, the Jubilee tradition offers an inspiring and dramatic vision of socioeconomic justice for multiple religious traditions. Yet the American legal tradition, which purports to draw on its religious heritage for inspiration and moral authority, has not fully drawn on the Jubilee tradition for a contemporary vision of equality and justice. This Essay seeks to rekindle that conversation. …

Slavery And The Myth Of Religious Liberty, Audra Lyn Savage

BYU Law Review

This is a story about two ships. One is semi-mythical. The other is half-forgotten but brutally real. The first ship is the story of early settlers who sailed from Europe to escape religious persecution and—through hard work, perseverance, and righteous rebellion—built a nation upon the fundamental freedom of religious liberty for all. The second ship represents the painful history of America, with its millions of Africans stolen from their homeland, placed in unimaginable conditions, and stripped of their language, heritage, and most significantly, their beliefs. Current religious liberty jurisprudence centers around the historical understanding of the creation and ratification of …

Government Health Care Worker Training Needs For Intestinal Schistosomiasis Morbidity Management, Phyllis Isaiah, Betty Nabatte, Lauren Wilburn, John Oryema, Noah Ukumu, Morris Okumu, Juma Nabhonge, Hilda Kyarisiima, Prudence Beinamaryo, Christopher Opio

Internal Medicine, East Africa

Background Schistosomiasis causes substantial chronic morbidity in sub-Saharan Africa, yet case definitions, clinical management guidance, and health worker training for schistosomiasis-related morbidity remain limited.

Methods We conducted a qualitative needs assessment for schistosomiasis morbidity management. Workshops were held over one day in each of Pakwach, Buliisa, and Mayuge Districts in Uganda in October 2024. 105 government health workers participated including clinicians, nurses, laboratory technicians, sonographers, and district health managers from health facilities at different levels of care. The workshops comprised six structured sessions: presentations on schistosomiasis burden in Uganda and the SchistoTrack cohort, a clinical case report by an expert …

Trust In Cancer Information Sources And Awareness Of Human Papillomavirus As A Cause Of Cervical Cancer Among Us Adults, Olajumoke Ope Oladoyin, Paula Cuccaro, Lara S Savas, Robert Yu, Joel Fokom Domgue, Sheryl Mccurdy, Sanjay Shete

Faculty, Staff and Student Publications

Importance: Religiosity, trust in physicians, and trust in government health agencies influence individual decision-making and behavior toward public health programs. However, trust in information about cancer from these sources and their association with public awareness of human papillomavirus (HPV) as a cause of cervical cancer remain understudied.

Objective: To assess the association of trust in cancer information sources with awareness that HPV causes cervical cancer among US adults.

Design, setting, and participants: This cross-sectional study used the nationally representative 2022 Health Information National Trends Survey (HINTS) data on noninstitutionalized US adults aged 18 years or older collected between March 7 …

Association Of Insulin Resistance And Fracture Risk In The Osteoporotic Fractures In Men (Mros) Cohort, Jeonghoon Ha, Li-Yung Lui, Kristine Ensrud, Qian Xiao, Andrew R Hoffman, Joy Y Wu

Faculty, Staff and Student Publications

Context: Insulin resistance (IR) is more prevalent in men than in women, but evidence directly linking IR to fracture risk in older men remains limited.

Objective: To evaluate the association between insulin resistance (IR), estimated using the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) and the triglyceride-glucose (TyG) index, and fracture risk in older men.

Methods: Data from 5994 men (≥65 years) in the MrOS cohort were analyzed. A total of 5416 participants were included in the HOMA-IR analysis and 5384 in the TyG index analysis. Fractures were self-reported and confirmed radiographically. Participants were grouped into quartiles based on IR …

The Court And The Killing State, Eric Berger

Michigan Law Review

A review of Secrets of the Killing State: The Untold Story of Lethal Injection. By Corinna Barrett Lain.

Teaching Telemachus: Learning To Live And Lead In A Flawed World, Sherman J. Clark

Michigan Law Review

A review of The Odyssey By Homer. Translated by Emily Wilson.

Global Youth Development: Challenges And Remedies, Raymond Chimezie

Faculty Publications and Presentations

Young people have enormous potential for growth and innovation, but not all have access to resources and opportunities to explore, achieve their dreams, and contribute immensely to society. Absence or limited opportunities and resources pose great challenges to young people’s aspirations. Through a review of literature and study of some countries young people globally face challenges, though at varying degrees like unemployment, limited access to healthcare, social services, and education; lack of professional support, skills acquisition and retraining, and political exclusion; judicial inequity, loneliness, and poor parenting. There still exist policies, structures, or regulations that encourage racial and ethnic or …

Age And Sex Affect The Prevalence And Severity Of Periodontal Conditions In An Academic Setting, Karo Parsegian, Nikolaos Soldatos, Tonia C Carter, Nikola Angelov, Neel Shimpi, Krishna Kumar Kookal, David K Okano, Effie Ioannidou

Faculty, Staff and Student Publications

Background: The aim of the present study was to examine whether age and sex affected the prevalence and severity of periodontal conditions in patients attending an academic dental clinic.

Methods: Electronic health record (EHR) data on the demographic characteristics and periodontal conditions of patients presented for a comprehensive periodontal evaluation were extracted from the institutional dental EHR database. Retrospective analysis of independent associations of age, sex, and other subject characteristics with periodontal conditions was determined using multinomial logistic regression. The null hypothesis stating that age and sex were not associated with the increased prevalence and/or severity of periodontal conditions was …

Cytosignal Detects Locations And Dynamics Of Ligand-Receptor Signaling At Cellular Resolution From Spatial Transcriptomic Data, Jialin Liu, Hiroaki Manabe, Weizhou Qian, Shion Orikasa, Javid Ghaemmaghami, Yichen Wang, Yichen Gu, Angel Ka Yan Chu, Gaurav Gadhvi, Yuxuan Song, Patrick Mcclinden, Vibha N Lama, Noriaki Ono, Joshua D Welch

Faculty, Staff and Student Publications

Cells communicate through ligand-receptor (LR) signaling interactions, but identifying when and where these interactions are active remains challenging. We developed CytoSignal to infer the locations and dynamics of cell-cell communication at cellular resolution from spatial transcriptomic data. Here we show that our cellular resolution, spatially resolved signaling scores enable several important analyses-identifying spatial gradients in signaling strength, quantifying the locations of contact-dependent and diffusible interactions, detecting signaling-associated genes and identifying differential signaling across multisample data. Additionally, we can predict the temporal dynamics of a signaling interaction at each spatial location. We experimentally validate our results in situ by proximity ligation …

Voucher Model For Family Planning: Empowering Poor Women And Expanding Access To Family Planning Services In Punjab, Population Council Pakistan

Sexual and Reproductive Health, Rights, and Choices

Pakistan continues to face significant inequalities in access to family planning (FP) services, with the poorest women bearing a disproportionate burden of unmet need. Financial constraints, transportation costs, limited mobility, restricted decision-making power, and inadequate access to quality services often prevent women from obtaining the family planning services they need.

To address these barriers, the Population Council, in partnership with the Benazir Income Support Programme (BISP) and the Punjab Population Innovation Fund (PPIF), designed and rigorously evaluated an innovative Family Planning Voucher Scheme.

The model linked social protection with reproductive health services, enabling poor women from Rahim Yar Khan (RYK) …

Evidence Brief: Shifting Attitudes And Social Norms On Fgm Through Community-Based Interventions In Isiolo And Narok Counties Of Kenya, Stella Muthuri, Dennis Matanda, Francis Obare, Robert Omondi, Stephen Kizito, Chi-Chi Undie

Sexual and Reproductive Health, Rights, and Choices

The Girl Generation: Support to the Africa-Led Movement (TGG-ALM) programme in Kenya demonstrates that community-based, dialogue-driven interventions can shift social norms, attitudes, and behavioural intentions related to female genital mutilation (FGM), while also strengthening gender-equitable beliefs. Drawing on evidence from Isiolo and Narok counties, this evaluation shows that exposure to intergenerational dialogues, women’s reflection circles, and couple-based engagement is associated with stronger personal opposition to FGM, increased acceptance of uncut girls, and greater willingness to abandon the practice.

Strategic Communication For Population Stabilization: From Narrative To Sbcc Action, Population Council Pakistan

Sexual and Reproductive Health, Rights, and Choices

The Population Council led a landmark national effort to redefine population discourse in Pakistan through the development of a unified, rights-based national narrative—Tawazun (Balance). This narrative, endorsed by the Federal Task Force on Population and adopted at the highest policy forums, reframed population from a fragmented and sensitive issue into a shared national development priority. Tawazun established a clear framework—balancing rights, responsibilities, and resources—positioning family planning within the broader goals of family well-being, human development, and national sustainability. Importantly, the narrative was formally adopted by federal and provincial governments, and integrated into policy frameworks, communication strategies, and development planning processes.

Compellingness In Nash Implementation, Shurojit Chatterji, Takashi Kunimoto, Paulo Daniel Salles Ramos

Research Collection School Of Economics

A social choice function (SCF) is said to be Nash implementable (in pure strategies) if there exists a mechanism in which every pure-strategy Nash equilibrium induces outcomes specified by the SCF. The main objective of this paper is to assess the impact of considering mixed-strategy equilibria in Nash implementation. We define compelling Nash implementation as a case where the implementing mechanism possesses a pure-strategy equilibrium that strictly Pareto dominates any undesired mixed-strategy equilibrium. We show that if the finite environment and the SCF to be implemented jointly satisfy what we call Condition COM, then we can construct a finite …

Addressing The Stale Line Of Sports-Betting Behavior: Examining The Economic Shortfalls And Tax Solutions In Legalizing Sports Betting, Peyton Rameas

Vanderbilt Journal of Entertainment & Technology Law

Sports betting is a form of gambling that does not suffer from the same negative social stigma as casino gambling despite its equally addictive properties and damaging impact on household consumption. While sports betting was previously banned in most of the United States, following the Murphy v. National Collegiate Athletic Association decision, which empowered states to regulate sports betting within their borders, a wave of states that previously banned all forms of sports betting legalized the practice. Unsurprisingly, this rapid legalization of sports betting was accompanied by a flurry of statewide regulations, leading to disparate consumer protection across the states. …

When The Purse Strings Paint The Picture: Executive Overreach And Censorship In Federal Arts Funding, Megan Brown

Vanderbilt Journal of Entertainment & Technology Law

For decades, the National Endowment for the Arts (NEA) has been tasked with distributing federal funds to museums, galleries, and artists to promote visual artwork for its meritorious qualities and cultural impact. However, the NEA’s role as both a patron and regulator of visual artwork has placed it at the center of a balancing act—funding creative expression that often displays controversial themes, while facing political pressure to define what is a worthy investment of taxpayer dollars. This conversation continues in light of recent executive orders: “Ending Illegal Discrimination and Restoring Merit-Based Opportunity” and “Ending Radical and Wasteful Government DEI Programs …

2025, Richard Delgado

Seattle University Law Review

"In a cutting and provocative social critique in one of the more extended Rodrigo Chronicles, Richard Delgado in 2025 employs skillful narrative—one of CRT’s many contributions to legal scholarship —to tell a gripping story of just how far the nation has descended into darkness with President Trump’s re-election. In Delgado’s vision, law professors—along with other political opponents of the President: immigrants, people of color, LGBTQ+ people, women, the underserved—have targets on their backs."

-excerpt from Kevin Johnson's review of 2025

Design And Development Of A Resonance Ignition System Using Gaseous Propellants, Benjamin J. Hoefer

Master's Theses

This work presents the development and experimental evaluation of a resonance igniter (RI) operating with premixed gaseous propellants. Resonance ignition is a non-electrical ignition concept in which an underexpanded jet impinges on a closed-end Hartmann–Sprenger tube (HST), generating cyclic compression and expansion waves that rapidly heat gas near the tube endwall. A modular experimental system was designed and built to investigate resonance ignition using methane–air and methane–oxygen mixtures. The system includes a supplemental configuration that may probe for mixture conditions favorable to ignition, informing RI testing. Pressure and temperature measurements were used to characterize pressure control, mixture pressure ratio (MPR), …

Political Inconsistency Detection Across Legislative Speech And Public Communications, Scott M. Pramuk

Master's Theses

Political actors communicate about legislation across multiple contexts, including committee hearings, recorded votes, and public-facing press releases. Differences between these forms of communication can provide useful signals for journalists and researchers seeking to understand how legislators present policy positions to different audiences.

This thesis extends the Digital Democracy Project, a legislative transparency initiative that provides access to California state legislative hearing transcripts, voting records, and related legislative data. Specifically, this work incorporates publicly accessible, legislator-authored news releases into the Digital Democracy Database and develops a pipeline for analyzing legislative communication across multiple sources. The system collects news releases from California …