Digital Commons Network^™

Smart Drip Irrigation: A Sustainable Solution For Community Gardens, Kevin Brennan

CURE Proceedings

No abstract provided.

Behavioral And Psychological Financial Hardship Among Caregivers Of Pediatric Cancer Patients, Josiane Kabayundo, Cheng Zheng, Edward S. Peters, Don W. Coulter, Shinobu Watanabe-Galloway

Journal Articles: Epidemiology

BACKGROUND: Financial hardship encompasses material, behavioral, and psychological domains; however, most research among caregivers of pediatric cancer patients has focused on material hardship. This study examined factors associated with behavioral and psychological financial hardship among caregivers of pediatric cancer patients in Nebraska.

METHODS: We conducted a cross-sectional survey of caregivers of children diagnosed within the past 5 years and treated at two pediatric oncology specialty clinics. Behavioral hardship was defined as delaying medical or mental healthcare due to cost, while psychological hardship was measured by worry about ability to pay medical bills. Descriptive statistics and poisson regression with robust variance …

The Successful Transition To Executive Leadership Roles In The Pharmaceutical Industry, Eddie J. Fuller

Theses, Dissertations and Capstones

The underrepresentation of minority groups in leadership roles within the pharmaceutical industry constitutes a significant issue, as evidenced by various studies. These studies consistently indicate that individuals from underrepresented groups are less likely to progress into leadership positions. It appears that much of the existing literature discusses African American women as the identified underrepresented group. This dissertation investigates the underrepresentation of minority groups in leadership roles within the pharmaceutical industry. The sample comprises both minority and majority participants who currently hold or have previously held leadership positions in pharmaceutical companies within the United States. This dissertation uses survey questionnaires to …

Voices Of Change: Nurses Advocating For Progress, Brennan Lewis, Christi Welter, Sally Derrick, Latieia Key

Podcasts

On this episode, we're discussing the importance of nurses involvement in professional advocacy - within your profession, within your practice for your patients, within your community.

Into Me See: Visibility, Recognition, And The Need To Be Seen In Kazuo Ishiguro’S Never Let Me Go, Vicki L. Wine Carney

Anthós

While critical scholarship on Kazuo Ishiguro’s Never Let Me Go often emphasizes bioethics, transhumanism, and the commodification of life, this lens overlooks the novel’s profound engagement with the psychological necessity of visibility. This paper argues that the tragedy of the clones is fundamentally a crisis of recognition, where invisibility is not incidental but structurally produced to facilitate exploitation. Drawing on Caroline Levine’s concept of the "Form of Utility" and Axel Honneth’s Theory of Recognition, this study examines how systemic indoctrination and objectification deny the clones their innate humanity to soothe the conscience of the "normals." Furthermore, it analyzes the characters’ …

Chatbot Therapy - Help Or Hindrance, Kadi Rae Smith

Anthós

Introduction

Generative artificial intelligence (Gen-AI) chatbots are complex computer programs designed to mimic human conversations using programming that incorporates large language models (LLM) and natural language models (NLM) to simulate human interactions that are being rapidly integrated into everyday life across an increasing amount of online platforms. This article explores the applications and efficacy of chatbots for mental healthcare, from self-directed chatbot interactions to clinician-supervised implementation of chatbot-based therapeutic tools, weighing the benefits and limitations of this ever-expanding technology.

Methodology/Taxonomy

A literature review was conducted primarily using Web of Science, accessed through Portland State University, and Google Scholar, with specifications …

Predicting Off-Track Development In Infants Aged 0–6 Months In Low-Resource Settings Using Machine Learning, Faith Benson, Rachel Odhiambo, Anthony Ngugi, Willie Brink, Akbar Waljee, Cheryl Moyer, Ji Zhu, Felix Agoi, Amina Abubakar

Institute for Human Development, East Africa

Background This study aimed to address the critical gap in the limited application of machine learning (ML) for identifying developmental delays in low-resource settings by developing models to predict off-track development in infants aged 0 to 6 months and identify key predictors.

Methods A cross-sectional study involving 1,995 singleton infants aged 0 to 6 months was conducted in Kaloleni and Rabai sub-counties, Kilifi, Kenya, between March 2023 and March 2024. Development was assessed using the World Health Organization’s Indicators of Infant and Young Child Development tool, with Development-for-Age Z-scores used to classify infants as on- or off-track. Ridge logistic regression …

Three Essays On Disparities And Outcomes Among Patients With Diabetes, Aiemere O. Oikeh

Theses and Dissertations--Health Services Research (HSR)

The American Diabetes Association (ADA) recommends that patients with diabetes adopt 7 preventive care measures to improve their health outcomes. The recommendations are to check their blood glucose levels daily, undergo biennial hemoglobin A1c tests, undergo dilated eye exams once every 2 years, engage in regular physical activity, check their feet daily, have annual feet examinations performed by a clinician, and receive diabetes self-management education services (DSMES). Marital status has been found to be associated with positive health outcomes; thus, it is ideal to evaluate if there is an association between marital status and diabetes preventive care. The ADA also …

A Case Study Examining The Strengths And Gaps Of Servant Leadership Within Pentecostal Churches Of Ohio, Octavia Denise Hardaway

All Electronic Theses and Dissertations

This study examined the gaps in servant leadership within Pentecostal churches in Ohio that could contribute to the departure of members from Pentecostal churches. This qualitative study examined the biblical servant leaders Nehemiah and Paul, as well as theological literature. The researcher created an instrument to assess the strengths and gaps in servant ministry leadership within Ohio Pentecostal churches.

Raising Not So Little Leaders, Rob M. Burke

All Electronic Theses and Dissertations

The problem this research addressed was understanding how parents, supported by local churches, can instill values of love and kindness and cultivate a servant leadership mindset in children from birth through age eighteen within the Orange County context. This study examined how churches can partner with parents to help children live out these values through the relationships, environments, and everyday rhythms that shape them. In response to this problem, the researcher explored the biblical and theological themes of love, kindness, and service in the Gospel of John and the Johannine Epistles. John shares how Jesus demonstrated these values through being …

Author Biographies

Roger Williams University Law Review

No abstract provided.

Rethinking The Religious Purpose Test After Catholic Charities Bureau: The Sincerity-Then-Standards Framework, Victoria Litman

Roger Williams University Law Review

No abstract provided.

Koziol Firearms, Inc. V. Marchand, 334 A.3d 439 (R.I. 2025)., Grace D. Guachione

Roger Williams University Law Review

No abstract provided.

2025 Rhode Island Public Laws, Ryan Claudino

Roger Williams University Law Review

No abstract provided.

Time Out: Mandatory Holds As A Tool For Domestic Violence Response & Prevention In Rhode Island, India Awe

Roger Williams University Law Review

No abstract provided.

Another Look At Judicial Review Of Labor Arbitration Awards In Rhode Island, William E. Smith, Stefanie Fischer, Kai Wiggins, Sam Jaksa

Roger Williams University Law Review

No abstract provided.

Investigating The Impact Of Cyanobacterial Harmful Algal Blooms On Freshwater Bivalves, Destiny Devlin

Theses, Dissertations and Culminating Projects

Harmful algal blooms (HABs) threaten freshwater ecosystems by producing toxins that disrupt aquatic organism functions and pose risks to human health. This study investigated how exposure to toxin-producing cyanobacteria affects the behavior and toxin accumulation of Asian clams (Corbicula fluminea) under controlled laboratory conditions. Asian clams were collected from a freshwater site in New Jersey, maintained in greenhouse bins, and fed either Microcystis novacekii (non-toxin-forming, control N=3) or Microcystis aeruginosa (toxin-forming, experimental N=3) at 100,000 cells/mL for 28 days. Weekly behavioral assays were conducted to track shell opening, burying, clustering, valve closure, foot extension, and time to first opening. Toxin …

Dgamlss: An Exact, Distributed Algorithm To Fit Generalized Additive Models For Location, Scale, And Shape For Privacy-Preserving Population Reference Charts, Fengling Hu, Jiayi Tong, Margaret Gardner, Chris Adamson, Sophie Adler, Aaron F. Alexander-Bloch, Evdokia Anagnostou, Kevin M. Anderson, Ariosky Areces-Gonzalez, John Blangero

Human Genetics Publications

Motivation There is growing interest in estimating population reference ranges across age and sex to better identify atypical clinically-relevant measurements throughout the lifespan. For this task, the World Health Organization recommends using Generalized Additive Models for Location, Scale, and Shape (GAMLSS), which can model non-linear growth trajectories under complex distributions that address the heterogeneity in human populations. Fitting GAMLSS models requires large, generalizable sample sizes, especially for accurate estimation of extreme quantiles, but obtaining such multi-site data can be challenging due to privacy concerns and practical considerations. In settings where patient data cannot be shared, privacy-preserving distributed algorithms for federated …

100 Conversation Starters To Develop Student Critical Thinking In Intermediate And Financial Accounting Courses, Joe B. Hoyle

Bookshelf

INTRODUCTION

Why create a book containing nothing but accounting problems?

The genesis of an idea is often difficult to recall, but I can trace the creation of this project to a single sentence found in a specific book.  One recent summer, to help prepare myself for the upcoming academic year, I began reading Why Don’t Students Like School? by Daniel T. Willingham.  On page 16 of the dog-eared copy I acquired on the Internet, I was drawn to a key sentence like a moth to a flame.  The words were buried rather unobtrusively within a long paragraph but, for me, …

[Introduction To] Shakespeare And Identity In A Divided World, Kristin M.S. Bezio

Bookshelf

Shakespeare and Identity in a Divided World examines some of the most pressing issues about identity and so-called identity politics in the highly polarized twenty-first century. The book uses Shakespeare’s plays and the history of sixteenth and seventeenth-century England to discuss gender, race, mental health, disability, and fatness as they were perceived in Shakespeare’s age and then considers ways in which audiences, readers, and classrooms might use them to think about those same topics in the twenty-first century.

The book includes discussion of both Shakespeare’s text and contemporary productions, films, and reimaginings of those plays, as well as the historical …

Procedural-Based Contemporary Management Of Bell's Palsy Long-Term Sequelae: A Narrative Review, Robert M. Frederick, Rhorie Kerr, Eric Dobratz, William Dougherty

Department of Otolaryngology (ENT) Faculty Publications

Objective

To describe the long-term sequelae of Bell's palsy and summarize available treatment options, including recent advances, so that general otolaryngologists and other practitioners are aware of the clinical findings and available interventions.

Data Sources

PubMed.

Review Methods

A literature search was performed on December 18, 2024, via PubMed using keywords such as "synkinesis," "selective myectomy," "selective neurectomy," "botulinum toxin," "intervention" in the context of "Bell's palsy" with preference for articles published within the last 5 to 10 years but inclusion of select older articles that provided necessary context for the current topic. Articles included in the review were written …

Differences In Biologic Clinical Trials For Chronic Rhinosinusitis With Nasal Polyps—Are We Comparing Apples With Oranges?, Marjolein Cornet, Peter W. Hellings, Martin Desrosiers, Martin Wagenmann, Richard Follows, Laura Walrave, Luz Adriana Jimenez, Lee Tombs, Dawn Edwards, Peter Howarth, Joseph K. Han

Department of Otolaryngology (ENT) Faculty Publications

In recent years, several biologics targeting Type 2 inflammation have been developed for treating chronic rhinosinusitis with nasal polyps (CRSwNP). These have been studied in registrational randomized controlled trials (RCTs), which vary in their patient populations, trial design, endpoints, geography, timing, or data-handling processes. While (in)direct treatment comparisons and meta-analyses have been carried out to compare efficacy results from RCTs, often these fail to properly account for these between-study differences. Here, we summarize the key between-study differences that can influence trial outcomes and highlight the resulting challenges faced when comparing outcomes from different Phase III RCTs of biologics in CRSwNP.

Medicaid's Broken Promise To Children, Jerron R. Wheeler

Faculty Articles

In the United States, poor children's access to necessary healthcare is determined more by geography than medical need. This variation is not the result of thoughtful local tailoring but of excessive state autonomy and passive federal oversight. The result is a fragmented and unequal system that obscures accountability and fails the Nation's most vulnerable children.

Building on scholarship showing how decentralized implementation of federal social programs can erode America's social safety net, this Article examines how one of Congress's most ambitious entitlements for children-Medicaid's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit has been quietly undermined. In light of …

A Guide To Growing Broad: : Expanding The Notion Of Social For Mental Health, Natural Resources, And The Infinite Intersections Of How To Care For The World, Leah D. Nuese-Yaker

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This MSW portfolio narrative examines the expanding boundaries of social work practice at the intersection of human and ecological systems. Organized as a series of interconnected personal essays structured around river metaphors, the portfolio argues that social work's anthropocentric foundations limit the profession's capacity to address contemporary crises of environmental justice, climate change, and ecological health. Drawing on fieldwork in natural resources conflict resolution, wilderness therapy, outdoor education, and climate health advocacy in rural Montana, the author demonstrates competency across all ten CSWE social work practice behaviors while advancing a practice framework that centers relational, embodied, and ecologically grounded intervention. …

Master Of Social Work Portfolio, Isabella Faith Decunzo

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This Portfolio has been developed in partial fulfilment of the Master of Social Work (MSW) degree and demonstrates my personal and professional growth over the course of the program. It highlights selected academic and practice-based work completed throughout the past two years, reflecting my developing knowledge and application of the Five Elements of Advanced Integrative Practice and the Ten Competencies of Social Work.

Included is an appendix containing completed assignments from the MSW program in Missoula, Montana, which supports and demonstrates the reflective narrative presented throughout the portfolio. Each artifact directly aligns with and illustrates my progression toward competency in …

At The Intersection Of Care: Bridging Systems Through Connection, Advocacy, And Hope, Taylor Defrees

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This Master of Social Work portfolio, At the Intersection of Care: Bridging Systems Through Connection, Advocacy, and Hope, explores the development of an advanced integrated social work practitioner across clinical, organizational, community, research, policy, and leadership settings. Grounded in the Five Elements of Advanced Integrated Practice and social work competencies, the portfolio reflects the integration of knowledge, skills, values, critical self-reflection, and lived experience across micro, mezzo, and macro levels of practice.

Through practicum, coursework, and professional experiences, the portfolio examines trauma-informed and culturally responsive practice, anti-racism, diversity, equity, inclusion, belonging, behavioral health, and the importance of human connection …

Towards Food Sovereignty In Cameroon: Indigenous Food Practices And Community Grain Banks In The Mayotsanaga Division Of The Far North Region, Prudencia Ayamba, Chimene Tankou Nkouamou Epse Nukunah Dr

Journal of Critical Global Issues

Food security is a term defined in 1996 by the World Food Summit as a situation where everyone has both economic and physical access to nutritious and safe food that meets their dietary needs and food preferences for an active and healthy life. This concept also became a priority during the Millennium Development Goals (MDGs) and later the Sustainable Development Goals (SDGs), which aim to combat world hunger by 2030. However, the term ‘food security’ has faced criticism for overlooking indigenous knowledge and practices in addressing the food crisis and for misrepresenting marginalized populations. Because of these limitations, the term …

Intelligent Dual-Energy X-Ray Absorptiometry (Idxa) And Small Animal Scanning As A Useful Tool To Measure Appendicular Bird Bone Mineral Density, Frank J. Dirrigl Jr., Samuel R. Buchanan

School of Integrative Biological & Chemical Sciences Faculty Publications

Accurately assessing the bone mineralization status of birds is crucial for poultry production and wild bird studies. We investigated the use of dual-energy x-ray absorptiometry (DXA) using Small Animal Measurement software to measure bone mineral content (BMC) and areal bone mineral density (aBMD) in excised radii of the willow ptarmigan (Lagopus lagopus) as a bird model. Our exploratory tests involved 117 scans to evaluate scanning parameters, scanning board types, bone stabilization, scan mode and size, and region of interest placement. Results indicated that mean BMC or aBMD were each significantly different when scanned on a forearm positioner board …

Widening The Avenues For Rehabilitation And Release In The Criminal Legal System Through A Revision Of The First Step Act's Safety Valve Provision In Response To Pulsifer, Drew Svensson

Cardozo Journal of Equal Rights & Social Justice

The note argues that the Supreme Court's decision in Pulsifer v. United States severely undermines the First Step Act by restrictively interpreting the safety valve provision, thereby limiting judicial discretion and increasing incarceration. To remedy this, the note proposes legislative revisions to the safety valve to expand eligibility for relief from mandatory minimums while maintaining public safety.

Race Conscious Programs After Students For Fair Admissions, Seonwoo Kim

Cardozo Journal of Equal Rights & Social Justice

The note argues that the federal government can legally mitigate geographical segregation and economic oppression by implementing race-conscious infrastructure and procurement policies. It contends that such efforts remain a compelling state interest under the strict scrutiny standards established in Students for Fair Admissions (SFFA), provided they are designed to remedy specific, identifiable past government discrimination.