Digital Commons Network^™

Discussing Poverty Within Primary Care Consultations: Implications For Mental Health Support, F. Thomas, K. Wyatt, K. Berzins, I. Lee, J. Horrell, A. Mcloughlin

Peninsula Medical School

No abstract provided.

Sibling Rivalry In The Financial Safety Net: Governance Arrangements For Bank Resolution And Deposit Insurance (2025), Atilla Arda, Jan Nolte

Documents

No abstract provided.

She Speaks: Amplifying Women's Voices For Wellbeing, Narelle Lemon

Reports accepted as research outputs

Executive Summary

The SheSpeaks project successfully transformed how 223 Western Australian women understand and practice self-care, demonstrating  that targeted wellbeing literacy interventions can create lasting change  in women’s relationship with their own wellbeing. Funded by the Women’s Grants for a Stronger Future program, this innovative initiative combined evidence-based workshops with authentic podcasting to challenge the pervasive cultural narrative that positions women’s self-care as selfish  or impossible.

Resisting Neoliberalism: Testimonios Of Language Teachers As Social Activists, David Martinez-Prieto

Bilingual and Literacy Studies Faculty Publications

This study examines the testimonios of Mexican language teachers who experienced the violent and institutional imposition of neoliberal policies at the main university at the state of Puebla. Through the analysis of testimonios, language teachers narrated their own trajectories to resist the implementation of the neoliberal policies, such as the restriction of teaching freedom for educators, the elimination of the right to free education for students, and the current subjugation educators experience at the site of study. Based on the Foucauldian concepts of sovereign and institutional power, along with governmentality, this article analyzes the activism of language teachers, and …

Ni1 Demonstrates Anti-Tumor Activity In Group 3 Pediatric Medulloblastomas, Julia Dziekan, Maria Burkovetskaya, Ranjana Kanchan, Abhishek Bhattacharya, Sidharth Mahapatra

Posters: 2025 Summer Undergraduate Research Program

Medulloblastoma is one of the most common malignant pediatric brain tumors, typically arising in the cerebellum of children between the ages of 3 and 8 years. Of the four subgroups, group 3 is the most aggressive, with a < 50% 10-year overall survival rate. In group 3 medulloblastoma, alterations to chromosome 17 can result in an isochromosome (i17q) and haploinsufficiency of the 17p13.3 region. This locus houses miR-1253, a tumor suppressor gene that regulates CD276 (B7-H3), an immunomodulatory protein implicated in cancer aggressiveness. Silencing miR-1253 can trigger overexpression of B7-H3, leading to immune suppression and increased tumor growth. In this study, we investigated a small molecule inhibitor of B7-H3, B7-H3-Ni1 (Ni1). Group 3 MB cancer cells (HDMB03) were treated with varying concentrations of Ni1. The effects of Ni1 on viability, proliferation, and stemness were assessed using MTT ( 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide), wound healing (scratch), and colony formation assays, respectively. Ni1 induced a dose-dependent reduction in proliferation and viability, alongside a significant impairment in cellular migratory ability. These findings suggest that Ni1 affects key oncogenic behaviors in group 3 medulloblastoma cells, warranting further investigation as a potential targeted therapeutic.

Editors’ State Of The Journal, Nancy E. Krusen, Stacy Smallfield, M Nicole Martino

Translational Science in Occupation

No abstract provided.

The Power Of Podcasting In Knowledge Translation For Occupational Therapy, Matthew C. Brandenburg

Translational Science in Occupation

No abstract provided.

Value Of Case Studies For Translating Evidence In Occupational Therapy: A New 3-Dimensional Model, George S. Tomlin, Bonnie Riley, Aimee Piller, Jessica Mchugh Conlin, Ashlea D. Cardin, Katrina M. Serwe, Deborah A. Dougherty

Translational Science in Occupation

Importance: Occupational therapy (OT) practitioners often address complex occupational performance needs of diverse consumers. Professional reasoning, theory, and trial and error interventions can be demonstrated in case studies. Case studies are usually relegated to the lowest level in evidence hierarchies. Yet they have a long tradition in health care literature, and may particularly document the holism, inclusivity, uniqueness, and complexity of OT practice.

Objective: To determine how case studies make a distinct contribution to professional knowledge, using a new model for categorizing them.

Evidence Review: 103 case studies published in AJOT from 1990-2023 were rated by the authors “1” or …

Translating Knowledge Of Functional Cognition Into Occupational Therapy Practice, Mckenzie R. Behrendt, Emilea Rogers, Azia Ourada, Sara Mengler, Mackenzie Post, Stacy Smallfield

Translational Science in Occupation

Functional cognition is a critical component for safely and effectively performing daily occupations. Occupational therapy (OT) practitioners are uniquely positioned and trained to address functional cognition while considering a client’s abilities and environments. A multimedia e-learning module was developed as a teaching modality to enhance understanding and application of functional cognition concepts for OT students and practitioners. As educators, it is important to assess the effectiveness of the teaching and learning experiences we create. We evaluated the multimedia e-learning module for quality, value, and usefulness using critical reflection perspectives. These perspectives included a literature review, as well as from learner, …

Gazing In The Mirror: Reflecting On Student Perspectives In Work-Integrated Learning In Healthcare Education, Cassidy P. Johnson, Simone C. Regnier, Leah M. Stade Otd, Mhptt, Otr/L

Translational Science in Occupation

Abstract: Student engagement is typically woven into the curriculum of healthcare education through hands-on experiences, lectures, discussions, active learning, and lab components. This engagement is critical to developing student confidence, efficacy, and esteem in important skills that will serve them as they enter their profession. In our doctoral program, we are allowed additional engagement opportunities, including belonging to a research project with professionals. Upon reflection, our experience on an interprofessional research team has helped to translate our classroom knowledge to research and professional practice skills.

Plain-Language Summary: This paper is a reflection on the value of adding work skills beyond …

Retrospective Chart Review Of The Acute Care Psychosocial Evaluation Process For Females Diagnosed With Breast Cancer, Kimberly Conrad, Lou Jensen, Shelley Ashcroft, Antoine Bailliard, Vanessa D. Jewell

Translational Science in Occupation

Background: A breast cancer diagnosis can significantly impact an individual’s quality of life. This retrospective chart review explored the occupational therapy evaluation process with female patients in an inpatient acute care hospital with a breast cancer diagnosis.

Methods: This descriptive retrospective chart review analyzed 134 occupational therapy evaluations of female patients with breast cancer admitted to a southeastern US academic medical center. Data were extracted and categorized using the Occupational Therapy Practice Framework.

Results: The most frequently administered assessments were non-standardized and the AM-PAC "6-Clicks." Documented short-term goals primarily focused on self-care (56.6%), gross motor skills (24.7%), and instrumental activities …

Exploration Of Learning Preferences For Parents Of Children With Sensory Over-Responsivity: A Mixed-Methods Study, Lisa M. Porter, Shelly J. Lane, Barbara B. Demchick, Jane K. Sweeney, Breanne Kearney

Translational Science in Occupation

Importance: Parent education is essential to pediatric occupational therapy (OT), yet there is a paucity of research regarding how to best support parents as adult learners.

Objective: To explore the learning experiences of parents of children with sensory over-responsivity (SOR).

Methods: An embedded mixed-methods design was used. Sixteen parents of children with SOR, aged 3–8 years, were recruited using purposive sampling. All parents participated in group trainings; of these, nine participated in one-on-one interviews. Quantitative data included pre-intervention parenting self-efficacy (PSE) scores and post-intervention learner satisfaction measures. Semi-structured interviews were used to explore parents’ learning experiences during …

Perceptions And Barriers Of Vestibular Rehabilitation Among Occupational Therapy Practitioners, Rebecca Callais

Translational Science in Occupation

Background: Vestibular dysfunction affects 15-20% of adults annually, often impacting daily activities and quality of life (Neuhauser, 2016). While occupational therapists and occupational therapy assistants (OTs/OTAs) can address functional limitations caused by vestibular disorders, their role in vestibular rehabilitation (VR) is under-studied.

Objective: This study explored the competence and confidence of occupational therapy practitioners (OTP) in VR and identified barriers to implementation.

Methods: A cross-sectional survey was distributed to 532 OTP in the Gulf South region, with 79 responses received. The survey included questions on VR training, techniques used, barriers of implementation in practice, and educational supports. Quantitative data were …

Integration Of The Science Of Team Science (Scits) With Applied Healthcare Frameworks: Interprofessional Education Through A University-Based Head Injury Clinic, Part I: Theory, Emily Balog, Susan Paparella, Natalia Noce, Stephanie Hubbell, Kelly Pena

Translational Science in Occupation

Background: Wicked problems in healthcare, such as the complex health condition of head injury, demand interprofessional collaboration that transcends traditional disciplinary boundaries. These complex clinical challenges call for theoretical frameworks that integrate both disciplinary expertise and interdisciplinary processes.

Definitions and Concepts: Grounded in Repko and Szostak’s (2017) framework of interdisciplinary studies, this paper integrates the Science of Team Science (SciTS), the Interprofessional Education Collaborative (IPEC) competencies, and TeamSTEPPS® to construct a novel heuristic that informs the design of an interprofessional education (IPE) and practice model.

Relationships Between Concepts: We align SciTS’ four phases with IPEC and TeamSTEPPS® to enhance team-based …

C 3 An: Custom, Compact And Composite Ai Systems - A Neurosymbolic Approach: 4Th-Generation Evolution Of Intelligent Systems, Amit P. Sheth, Kaushik Roy, Revathy Venkataramanan, Venkatesan Nadimuthu

Publications

Artificial Intelligence (AI) systems continue to evolve rapidly. From the architecture perspective, it is evolving from large, monolithic models trained on massive internet data to complex, multi-component “compound” systems and “agentic” frameworks capable of semi-autonomous decision-making. These systems show immense promise yet face numerous challenges in reliability, consistency, transparency, and alignment with user goals. In this article, we propose Custom, Compact and Composite AI with Neurosymbolic (C3AN) approach, a framework that paves way to 4th-generation of AI that integrates data, knowledge, and human expertise to build robust, intelligent and trustworthy AI systems defined by 14 foundation elements.

Custom emphasizes …

New York Environmental Legislation In 2024, Michael B. Gerrard

Faculty Scholarship

In 2024, New York State enacted several laws aimed either at dealing with the adverse impacts of climate change such as extreme heat and increasingl severe and frequent storms or at helping to mitigate greenhouse gas emissions to avoid or minimize the adverse impacts. The final bill signed by Governor Kathy Hochul in 2024 was the most high-profile of these laws — the Climate Change Superfund Act, which will require fossil fuel companies to pay for adaptation measures.

Other new laws last year related to extreme heat in schools and prisons, food waste, expanded polystyrene containers, community gardens, and native …

Examining And Classifying Reasons For Missing Viral Loads Among Adults Living With Hiv: An Extended Outcome Investigation And Ascertainment Approach In Western Kenya, Harriet Fridah Adhiambo, Jayne Lewis-Kulzer, Edwin Nyagesoa, Sarah Gimbel, Eliud Akama, Dorothy Mangale, Lina Montonya, Ingrid Eshun-Wilson, Sarah Iguna, Everlyne Nyandieka, Elizabeth Bukusi, Lisa Abuogi, Thomas Odeny, Maya L. Petersen, Elvin H. Geng

2020-Current year OA Pubs

Gaps in HIV RNA monitoring persist globally impeding the ability to determine clinical progress and outcomes. This study systematically evaluated provider (e.g., guideline non-adherence), system (e.g., laboratory error) and participant-level (e.g., refusal) drivers of missed viral load (VL) monitoring measurements among people with HIV in Kenya. Adults aged 18-65 years were followed across five health facilities in Kenya as part of a clinical trial (NCT#02338739) where HIV RNA monitoring was done routinely. Instances of missed VL despite being indicated per Kenyan guidelines were identified. An algorithm for assessing root causes of missing HIV RNA was developed and generalized linear models …

For Whose Benefit Is The Freedom Of Speech?, Vincent A. Blasi

Faculty Scholarship

In United States v. Alvarez, the US Supreme Court ruled that an official of a water district who introduced himself to his constituents by falsely stating in a public meeting that he had earned the Congressional Medal of Honor had a First Amendment right to make that demonstrably untrue claim. Audience members misled by the statement might well be considered to have a First Amendment interest in not being directly and knowingly lied to in that way. Other members of the community might be thought to have a First Amendment interest in public officials such as Xavier Alvarez telling …

The Politics Of Bank Supervision: From Eccles To Bessent, Kathryn Judge

Faculty Scholarship

Throughout his tenure as chair of the Federal Reserve Board, Marriner Eccles pressed President Franklin D. Roosevelt to over­haul bank supervision. Eccles eventually made his ongoing service as chair contingent on FDR agreeing to support the effort. This initiative is commonly depicted as a power grab. Federal bank regulation and supervision, then and now, is divvied up among three agencies, the Federal Reserve, the Federal Deposit Insurance Corporation, and the Comptroller of the Currency. Eccles wanted the Fed, and the Fed alone, to be the federal bank supervisor. Having already succeeded in enhancing his power once, by spearheading reforms that …

2025 Fall Commencement, Georgia Southern University

Commencement Programs

No abstract provided.

Copolyamide-Based Modified Atmosphere Packaging Attenuates Phenolic Degradation And Maintains Postharvest Quality Of Rubus Berries, Hafiz Muhammad Shoaib Shah, Zora Singh, Mahmood Ul Hasan, Eben Afrifa-Yamoah, Andrew Woodward

Research outputs 2022 to 2026

The highly perishable nature of Rubus berries, particularly their susceptibility to water loss and earlier senescence, significantly limits their shelf life. In this study, we investigated the mechanistic role of modified atmosphere packaging (MAP) on the physiochemical quality, phenolic metabolism, and antioxidant potential of blackberries and raspberries during cold storage (2 ± 1 °C) for 12 and 10 days, respectively. Modified atmosphere (MA)-packed Rubus berries exhibited higher total phenolics accompanied by higher activities of shikimate dehydrogenase, and phenylalanine ammonia-lyase. Furthermore, MA-packed Rubus berries demonstrated lower hydrogen peroxide by maintaining higher catalase activity and delayed lipid peroxidation during the entire period …

Do Anxiety, Depression, Fear Of Movement And Fear Of Achilles Rupture Correlate With Achilles Tendinopathy Pain, Symptoms Or Physical Function?, George White, Fletcher Bright, Ebonie K. Rio, Ruth L. Chimenti, Myles C. Murphy

Research outputs 2022 to 2026

Objectives: To determine if psychological factors, such as anxiety, depression, fear of movement and fear of rupture are associated with increased tendon-related disability, quantified by the Tendinopathy Severity Assessment-Achilles (TENDINS-A). Design: Cross-sectional. Setting: Online Qualtrics survey. Participants: Sixty-eight participants (54% female) with Achilles tendinopathy and a mean (standard deviation) age of 40.1 (12.6) years. Main Outcome Measures: The TENDINS-A (including subscales of pain; symptoms such as stiffness; physical function), Patient Health Questionnaire-9, General Anxiety Disorder-7, Tampa Scale for Kinesiophobia and fear of tendon rupture. Associations were evaluated using generalised linear models (adjusting for age and sex), with significance accepted when …

Exploring The Relationship Between Melanopsin Gene Variants, Sleep, And Markers Of Brain Health, Ayeisha Milligan Armstrong, Eleanor O'Brien, Tenielle Porter, Vincent Dore, Pierrick Bourgeat, Paul Maruff, Christopher C. Rowe, Victor L. Villemagne, Stephanie R. Rainey-Smith, Simon M. Laws

Research outputs 2022 to 2026

INTRODUCTION: Melanopsin is a photopigment with roles in mediating sleep and circadian-related processes, which are often disrupted in Alzheimer's disease (AD). Melanopsin also impacts cognition and synaptogenesis. This study investigated the associations between melanopsin genetic variants, sleep, and markers of brain health. METHODS: Linear regression analyses examined the relationship of single-nucleotide polymorphisms (SNPs) within the melanopsin gene (OPN4), with cortical amyloid beta (Aβ), cognition, brain volumes, and self-reported sleep traits in cognitively unimpaired older adults. Further analyses assessed whether sleep traits x OPN4 SNP interactions were associated with markers of brain health. RESULTS: OPN4 SNPs rs2355009 and rs3740334 were associated …

Neoadjuvant Anti-Pd-1 Alone Or In Combination With Anti-Tigit Or An Oncolytic Virus In Resectable Stage Iiib–D Melanoma: A Phase 1/2 Trial, Reinhard Dummer, Caroline Robert, Richard A. Scolyer, Janis M. Taube, Michael T. Tetzlaff, Alexander M. Menzies, Andrew Hill, Jean Jacques Grob, David C. Portnoy, Celeste Lebbe, Muhammad A. Khattak, Jonathan Cohen, Gil Bar-Sela, Inderjit Mehmi, Ronnie Shapira-Frommer, Nicolas Meyer, Andrea L. Webber, Yixin Ren, Mizuho Fukunaga-Kalabis, Clemens Krepler, Georgina V. Long

Research outputs 2022 to 2026

Neoadjuvant immunotherapies have shown antitumor activity in melanoma. Substudy 02C of the global, rolling-arm, phase 1/2, adaptive-design KEYMAKER-U02 trial is evaluating neoadjuvant pembrolizumab (anti-PD-1) alone or in combination, followed by adjuvant pembrolizumab, for stage IIIB–D melanoma. Here we report results from the first three arms: pembrolizumab plus vibostolimab (anti-TIGIT), pembrolizumab plus gebasaxturev (coxsackievirus A21) and pembrolizumab monotherapy. Pathologic complete responses occurred in 10 of 26 patients (38%) with pembrolizumab plus vibostolimab, 7 of 25 (28%) with pembrolizumab plus gebasaxturev and 6 of 15 (40%) with pembrolizumab monotherapy. Major pathologic responses occurred in 13 (50%), 10 (40%) and 7 (47%) patients, …

Social Relational Notions Of Successful Aging: Contesting Dominant Individualized Conceptions Of Successful Aging By Examining Migrant Intergenerational Lived Experiences, Hien Thi Nguyen, Loretta Baldassar, Raelene Wilding, Bronte Jones

Research outputs 2022 to 2026

Background and Objectives: Critiques of the concept of successful aging (SA) include attention to its foundation on an individualized western medical approach that emphasizes personal choice, agency, and lifestyle. This paper aims to examine how individual notions of SA can be linked to, and co-constituted by, relational and intergenerational notions of personhood within the broader socioeconomic, familial, and cultural contexts of migration. Research Design and Methods: Qualitative research was conducted in Australia (2020–2021) with 42 Vietnamese migrants using ethnographic interviews and participant observation. Data analysis applied inductive reasoning and intersectional analysis to investigate the notion of SA from the perspectives …

Some Comply While Some Defy: Elementary Teachers’ Responses To Leadership Mandates On Reading Comprehension Instruction, Reid J. Smith, Pamela C. Snow, Tanya A. Serry, Lorraine S. Hammond

Research outputs 2022 to 2026

Purpose: We report the qualitative findings from a survey of elementary teachers regarding reading instruction. The purpose is to extend on quantitative findings in a previously described survey to gain a more in-depth understanding of Australian elementary teachers’ approaches to the literacy block in their schools: how this is used, who makes instructional decisions, and how teachers respond to these. Method: A web-based survey was used to collect data from Australian elementary teachers about their perspectives regarding reading comprehension instruction. Of the 284 respondents, 182 (64.1%) provided free-text comments in response to open-ended questions. Responses were coded and analyzed for …

Exploring How Nutrition Students Used The Relational Employability Framework To Reflect On Their Micro-Placement Experiences, Elizabeth J. Cook, Ros Sambell

Research outputs 2022 to 2026

As the world grapples with multiple challenges, workforces increasingly require university graduates who can navigate complexity to facilitate positive change. The relational employability framework (REF) is used by educators to help students develop an awareness of their human and more-than-human career interactions, contributions and possibilities, in addition to developing their foundational employability skills and attributes. This case study, situated in a third-year community nutrition unit at Edith Cowan University, explores how students applied the REF in their final written reflection assessment following a micro-placement. Eighteen students reflected on their micro-placement experience and developing relational employability using Gibbs’ reflective cycle. Codebook …

An Expert Opinion On The Management Of Frailty In Heart Failure From The Australian Cardiovascular Alliance National Taskforce, Julee Mcdonagh, Caleb Ferguson, Sarah N. Hilmer, Ruth E. Hubbard, Richard I. Lindley, Andrea Driscoll, Andrew Maiorana, Lindsay Wu, John J. Atherton, Beata V. Bajorek, Bridie Carr, Kim Delbaere, Elsa Dent, Mai Duong, Louise Hickman, Ingrid Hopper, Quan Huynh, Sunita Jha, Anthony Keech, Marc Sim, Gursharan Singh, Anthony Villani, Catherine Shang, Meng Hsu, Jamie Vandenberg, Patricia Davidson

Research outputs 2022 to 2026

Approximately 50% of all adults with heart failure (HF) are classified as frail. Frailty is a clinical state of 'accelerated ageing' that complicates management and results in adverse health outcomes. Despite recommendations for frailty assessment in HF guidelines, its implementation into routine clinical practice has been slow. Further, evidence to inform models of care and pharmacological treatment for individuals with HF who are classified as frail is lacking. The complexity of management underscores the importance of tailoring models of care that can improve the focus on frailty through multidisciplinary care teams. Frailty can be reduced in some cases through the …

Associations Between Flavonoid-Rich Food And Flavonoid Intakes And Incident Unhealthy Aging Outcomes In Older United States Males And Females, Nicola P. Bondonno, Yan Lydia Liu, Francine Grodstein, Eric B. Rimm, Aedín Cassidy

Research outputs 2022 to 2026

Background: Our knowledge of the importance of flavonoid-rich foods in preventing unhealthy aging across its different domains is limited. Objectives: This study aimed to examine prospective associations between flavonoid-rich food and flavonoid intakes and indicators of unhealthy aging, namely frailty, impaired physical function, and poor mental health. Methods: We followed up 62,743 females and 23,687 males, all aged ≥60 y, from the Nurses’ Health Study (1990–2014) and Health Professionals Follow-up Study (2006–2018), respectively. Both time-updated and change in intakes of a flavodiet score (an aggregate of intakes of major flavonoid-rich foods and beverages) and individual flavonoid-rich foods and beverages and …

Automated Abdominal Aortic Calcification Scoring From Vertebral Fracture Assessment Images And Fall-Associated Hospitalisations: The Manitoba Bone Mineral Density Registry, Marc Sim, Abadi K. Gebre, Jack Dalla Via, Siobhan Reid, Mohammad Jafari Jozani, Douglas Kimelman, Barret A. Monchka, Syed Zulqarnain Gilani, Zaid Ilyas, Cassandra Smith, David Suter, John T. Schousboe, Joshua R. Lewis, William D. Leslie

Research outputs 2022 to 2026

Abdominal aortic calcification (AAC), a subclinical measure of cardiovascular disease (CVD) that can be assessed on vertebral fracture assessment (VFA) images during osteoporosis screening, is reported to be a falls risk factor. A limitation to incorporating AAC clinically is that its scoring requires trained experts and is time-consuming. We examined if our machine learning (ML) algorithm for AAC (ML-AAC24) is associated with a higher fall-associated hospitalisation risk in the Manitoba Bone Mineral Density (BMD) Registry. A total of 8565 individuals (94.0% female, age 75.7 ± 6.8 years) who had a BMD and VFA image from DXA between February 2010 and …