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Exploring The Impact Of Age On Traumatic Brain Injury Cause And Recovery In Arkansas: A Retrospective Review, Abby Jones Jan 2026

Exploring The Impact Of Age On Traumatic Brain Injury Cause And Recovery In Arkansas: A Retrospective Review, Abby Jones

2026 Research Poster Competition

Traumatic brain injury remains a major public health concern, and increasing evidence demonstrates the significance of the effect of age in quality of care, diagnosis, and recovery outcomes. In rural states, such as Arkansas, where research has shown a lack of resources and higher fatality rates among persons with TBI, healthcare professionals can become better informed and equipped to optimize recovery and rehabilitation as a result of research efforts to explore the effects of age from the standpoint of cause and recovery (Daugherty et al., 2022). This study was a retrospective analysis involving data covering a two-year period extracted from …


Effectiveness Of Occupational Recommendations In Maintaining Cognitive Function Under Hot-Dry And Warm-Humid Conditions, Zane Garner Jan 2026

Effectiveness Of Occupational Recommendations In Maintaining Cognitive Function Under Hot-Dry And Warm-Humid Conditions, Zane Garner

2026 Research Poster Competition

National Institute for Occupational Safety and Health (NIOSH) recommendations dictate heat safety practices in occupations throughout the United States. Currently, the effectiveness of these recommendations is unknown. Likewise, there is a lack of consensus regarding the effect of combined heat and exercise stress on cognitive function. PURPOSE: To examine the effectiveness of NIOSH heat safety recommendations in maintaining cognitive function after moderate work in the heat, alongside whether the type of heat has any effect. METHODS: A counter balanced, repeated measures, randomized controlled trial was conducted to evaluate differences in cognitive function in two distinct environments. Participants completed two experimental …


Development Of A Scalable 32x32 Capacitive Sensing Array Using Fpga Controlled Multi-Bus I2c Communication, Jonathan Digby Jan 2026

Development Of A Scalable 32x32 Capacitive Sensing Array Using Fpga Controlled Multi-Bus I2c Communication, Jonathan Digby

2026 Research Poster Competition

High-resolution capacitive sensor arrays are widely used in applications such as robotics, wearable devices, and biomedical devices where accurate detection of touch, proximity, and motion is crucial. As these systems are scaled up to achieve higher resolutions, challenges pertaining to communication reliability, data synchronization, and system latency become more important. Capacitive sensor arrays detect changes in capacitance caused by disturbances in nearby electric fields. While these arrays are effective at small scales, large arrays often suffer from signal degradation and latency when all sensors rely on a single controller and communication bus. This research addresses these challenges by developing a …


Solidfit: A Decentralized Mobile Health-Tracking App Using Personal Online Data Stores (Pods), Evan Meyers Jan 2026

Solidfit: A Decentralized Mobile Health-Tracking App Using Personal Online Data Stores (Pods), Evan Meyers

2026 Research Poster Competition

Personal fitness data is increasingly collected through mobile applications, yet most current systems store this information in centralized platforms that limit user control, long-term ownership, and data portability. This project addresses the question of whether a decentralized data model can be used to support everyday fitness tracking while preserving user autonomy and privacy. As individuals become more aware of how their health data is collected and shared, there is a growing need for systems that allow users to retain ownership of their personal information without sacrificing usability or functionality.This research presents SolidFit, an Android-based fitness tracking application designed around the …


A Bayesian Late-Fusion Supportability Framework For Rare-Disease Severity Prediction In Glut1 Deficiency Syndrome, Jordan M. Rodriguez Jan 2026

A Bayesian Late-Fusion Supportability Framework For Rare-Disease Severity Prediction In Glut1 Deficiency Syndrome, Jordan M. Rodriguez

Mathematics Dissertations

Glucose transporter type 1 deficiency syndrome (GLUT1-DS) is a rare neurometabolic disorder with heterogeneous neurological and developmental severity. Because patient-level severity is not observed as a single validated outcome, this dissertation develops a Bayesian late-fusion supportability framework for constructing and predicting an ordered latent severity phenotype from clinical, genetic, and EEG-derived evidence. The primary target was constructed in a larger clinical cohort using age-5 symptom burden and learning cognition, then assigned to an aligned multimodal prediction cohort. Target-defining variables were excluded from supervised predictors, and models were evaluated using patient-exclusive cross-validation with training-fold preprocessing and fold-wise EEG PCA.

The primary …


Blood Flow Regulates Metabolism In Hematopoietic Development, Pamela L Wenzel Jan 2026

Blood Flow Regulates Metabolism In Hematopoietic Development, Pamela L Wenzel

Faculty, Staff and Student Publications

Blood flow modifies oxygen availability and biomechanical forces within the vasculature of the embryo as the hematopoietic system develops. The aorta-gonad-mesonephros (AGM) envelops the largest artery in the body and is a critical site for the emergence of hematopoietic stem cells (HSCs). Herein, I discuss the role of hypoxia-inducible factors (HIFs) and force as determinants of metabolism and fate determination. To address the effects of blood flow on hematopoietic development, I employ mouse embryo models and biomimetic culture. Real-time cell metabolic analyses show that oxygen consumption rates (OCR) and extracellular acidification rates (ECAR) are altered by flow in cultures of …


The Effect Of Cybersecurity Breaches On Analysts’ Earnings Forecasts, Chih-Ying Chen, Beng Wee Goh, Kiat Bee Jimmy Lee, Na Li Jan 2026

The Effect Of Cybersecurity Breaches On Analysts’ Earnings Forecasts, Chih-Ying Chen, Beng Wee Goh, Kiat Bee Jimmy Lee, Na Li

Research Collection School Of Accountancy

We investigate the implications of cybersecurity breaches for financial analysts because they play an important role as information intermediaries in capital markets, and it is unknown whether analysts’ earnings forecasts are affected by cybersecurity breaches. Based on a sample of cybersecurity breaches from 2005 to 2018, we find that analysts’ earnings forecasts for firms with cybersecurity breaches are less accurate and more dispersed after a breach than for firms without such breaches. In cross-sectional analyses, we find that the adverse effects of cybersecurity breaches on analysts’ earnings forecasts are more pronounced for firms operating in more volatile business environments, for …


Does Auditor Quality Enhance Csr Disclosure?, Jimmy Lee, Chee Yeow Lim, Gerald J. Lobo, Yanping Xu Jan 2026

Does Auditor Quality Enhance Csr Disclosure?, Jimmy Lee, Chee Yeow Lim, Gerald J. Lobo, Yanping Xu

Research Collection School Of Accountancy

We investigate the relation between auditor quality and client firms’ corporate social responsibility (CSR) disclosure. Using an international sample of firms from 36 countries over the period 2009–2018 and a measure of the extent of CSR disclosure from Bloomberg, we find strong evidence that client firms with higher quality auditors provide more CSR disclosure. In cross-sectional analyses, we show that the relation between auditor quality and CSR disclosure is accentuated when the information environment is poorer and when the financial reporting environment and the legal institutions are weaker. Lastly, we document that firms with higher quality auditors also exhibit better …


The Impact Of True Crime Podcasts On Cold Case Investigations And Victims' Advocacy, Kyle Gamache, Karlie Rice, Ashley Allen, Willem Pontbriand Jan 2026

The Impact Of True Crime Podcasts On Cold Case Investigations And Victims' Advocacy, Kyle Gamache, Karlie Rice, Ashley Allen, Willem Pontbriand

Arts & Sciences Faculty Publications

True crime has long captivated public interest, evolving from sensationalized accounts in the Middle Ages to the widespread popularity of modern podcasts. This qualitative study explores the ethical complexities of true crime media by examining how it intersects with criminal investigations, public perception, and victim advocacy. Through in-depth interviews with law enforcement officers, victim advocates, and true crime content creators, the study investigates differing attitudes toward the role of podcasts in active and cold cases. Using Colaizzi’s (1978) phenomenological method, data were analyzed to uncover shared and divergent themes across professional roles. Law enforcement participants voiced concerns over web- sleuthing …


Updates To Version 1.0 Of The Four‐Dimensional Ecology Education Framework Create Version 1.1., Christopher W. Beck, Loren B. Byrne, Jennifer Doherty, Amanda E. Sorensen, Et Al. Jan 2026

Updates To Version 1.0 Of The Four‐Dimensional Ecology Education Framework Create Version 1.1., Christopher W. Beck, Loren B. Byrne, Jennifer Doherty, Amanda E. Sorensen, Et Al.

Arts & Sciences Faculty Publications

Since its introduction in 2018, the Four-Dimensional Ecology Education (4DEE) Framework has advanced ecology education. Yet, ecology educators have had different understandings of aspects of the Framework. Here, we describe the updates to the original Framework that aim to provide more clarity. Specifically, we describe higher-level changes in how the Framework is presented on the 4DEE website, changes to some of the elements within the dimensions, mostly in the Human–Environment Interactions dimension, and perhaps most substantively, replacing the lists of subelements with more descriptive paragraphs that explain the intent of the elements. We hope that these updates will promote the …


Meta-Analysis Of The Health Effects Of Gas Cooking In Homes, P. Jacob Bueno De Mesquita, Núria Casquero-Modrego, Erik Pontes Jan 2026

Meta-Analysis Of The Health Effects Of Gas Cooking In Homes, P. Jacob Bueno De Mesquita, Núria Casquero-Modrego, Erik Pontes

Arts & Sciences Faculty Publications

Background: Given existing evidence linking indoor gas combustion with potential health effects, we aimed to quantify from epidemiologic field studies the health impacts associated with residential gas cooking and unvented heating.

Methods: We evaluated and synthesized results from peer-reviewed epidemiologic studies that isolated associations between exposure to residential gas cooking and/or unvented heating and an unrestricted range of health outcomes. We focused on studies conducted since 2000 that cited at least one of five, well-regarded studies. We evaluated relevant studies and computed pooled effect estimates, where at least three studies contributed data, using random effect meta-analysis models with inverse-variance weighting. …


Comparative Evaluation Of Hplc And Capillary Electrophoresis In Intestinal Permeability Of Oseltamivir Phosphate Via Single-Pass Intestinal Perfusion (Spip) Method, Senem Şanli, Gülpembe Halay, Mustafa Sinan Kaynak, Nurullah Şanlı Jan 2026

Comparative Evaluation Of Hplc And Capillary Electrophoresis In Intestinal Permeability Of Oseltamivir Phosphate Via Single-Pass Intestinal Perfusion (Spip) Method, Senem Şanli, Gülpembe Halay, Mustafa Sinan Kaynak, Nurullah Şanlı

Arts & Sciences Faculty Publications

Introduction: Oseltamivir phosphate (OP), a widely used antiviral prodrug for influenza, requires accurate Biopharmaceutics Classification System (BCS) classification to inform formulation and bioequivalence decisions. Despite its high solubility, the permeability characteristics of OP remain inadequately defined. Methods: This study evaluated the intestinal permeability of OP using the in situ Single-Pass Intestinal Perfusion (SPIP) model in male Sprague Dawley rats. Two validated analytical methods - High-Performance Liquid Chromatography (HPLC) and Capillary Zone Electrophoresis (CZE) were developed and compared. Metoprolol tartrate served as the high-permeability reference standard, and phenol red was used to monitor water flux. Permeability coefficients (Peff) were calculated after …


The Scoop, Vol. 12 Issue 10, January 2026, Health Sciences Library Jan 2026

The Scoop, Vol. 12 Issue 10, January 2026, Health Sciences Library

Volume 12

Latest news and updates from the Health Sciences Library in our monthly newsletter for January 2026. Please see page 2 for a text-only version of this issue!


Continuum Of Care Zine, Natanya Dewar Jan 2026

Continuum Of Care Zine, Natanya Dewar

Open Educational Resources

No abstract provided.


Sustaining Success: Strengthening The Capacity Of The Office Of Student Advocacy To Support Students During Financial Emergencies, Sean P. Carlin, Erick U. Lainez-Villanueva, Diane C. Williams Jan 2026

Sustaining Success: Strengthening The Capacity Of The Office Of Student Advocacy To Support Students During Financial Emergencies, Sean P. Carlin, Erick U. Lainez-Villanueva, Diane C. Williams

Doctor of Education Capstones

For many college students, unanticipated financial expenses such as medical bills, transportation failures, or housing insecurity pose immediate threats to academic persistence and overall well-being. Literature has demonstrated student emergency funding can mitigate financial stress and support persistence; however, literature has been limited in examining how institutional structures, communication practices, funding models, and eligibility systems shape equitable access to these resources. This mixed-methods study examined the Virginia Commonwealth University Office of Student Advocacy’s Student Emergency Fund (SEF) and the systemic factors that influenced its effectiveness in supporting students experiencing short-term financial hardship. Guided by the financial stress theory, theory of …


Bridging The Gap: Strategic Leadership For Student-Centered Advising And Retention At A Community College, Dina Abdul Rahman, Wenjun Chi, Katelynn Jarrells, Janet Ping Jan 2026

Bridging The Gap: Strategic Leadership For Student-Centered Advising And Retention At A Community College, Dina Abdul Rahman, Wenjun Chi, Katelynn Jarrells, Janet Ping

Doctor of Education Capstones

Community colleges serve as the most accessible gateway to higher education for millions of Americans, yet persistent dropout rates continue to undermine both student opportunity and institutional mission, particularly for first-generation students, students of color, adult learners, working students, and those experiencing financial precarity. This dissertation in practice examined high dropout rates at Delaware County Community College (DCCC), a multi-campus institution serving diverse communities across Delaware and Chester Counties in Pennsylvania. Guided by improvement science and grounded in critical pragmatism, Team RISE partnered with DCCC's Student Affairs division to investigate the systemic roots of student attrition and retention to develop …


The Ettrick Trail Town Guide: Trail Tourism As An Economic Revitalization Strategy, Dagny Oakley Jan 2026

The Ettrick Trail Town Guide: Trail Tourism As An Economic Revitalization Strategy, Dagny Oakley

Master of Urban and Regional Planning Capstone Projects

The Ettrick Trail Town Guide: Trail Tourism as an Economic Revitalization Strategy in Ettrick, Virginia provides context-specific strategies for the Ettrick community to utilize to capitalize on existing and future trail infrastructure. This plan outlines demographic trends, development patterns, and trail networks, and establishes actionable recommendations for transforming Ettrick into a trail hub. Utilizing the Asset Based Community Development (ABCD) framework, this plan focuses on existing strengths within the community as it pertains to trail tourism, and investigates how these assets can be capitalized on. Key recommendations include improving both physical and cultural connections to trails, adopting marketing and branding …


Understanding Community-Defined Success Of Urban Community Gardens, Josephine H. Laprad Jan 2026

Understanding Community-Defined Success Of Urban Community Gardens, Josephine H. Laprad

Master of Urban and Regional Planning Capstone Projects

No abstract provided.


The Rva Resilience Network: Filling Gaps With Resilience Microhubs, Andrew Bunn Jan 2026

The Rva Resilience Network: Filling Gaps With Resilience Microhubs, Andrew Bunn

Master of Urban and Regional Planning Capstone Projects

Richmond, Virginia has experienced a steady increase in climate-related disruptions including more hot days and more extreme storm events than in previous decades. Frontline communities disproportionately feel the impacts of these events, revealing gaps in the services and resources that should allow these communities to prepare for and recover from disruptions more effectively. This plan, developed for Groundwork RVA, explores neighborhood-scale resilience microhubs as a tool to fill these gaps and increase resilience in frontline communities.

The plan establishes a repeatable process for creating and expanding a network of resilience microhubs in the Richmond region. This process was tested and …


Planning For Equitable And Transparent Outdoor Recreation Permitting Within The James River Park System, Sarah J. Girard Jan 2026

Planning For Equitable And Transparent Outdoor Recreation Permitting Within The James River Park System, Sarah J. Girard

Master of Urban and Regional Planning Capstone Projects

The City of Richmond has experienced an imbalance within the current special event permitting process for the Department of Parks, Recreation, and Community Facilities. Park users are not reporting sizeable events being held within the James River Park System, which has caused concern pertaining to environmental and societal impacts. The current permitting process lacks depth and clarity that could be solved by beginning with expanding park user data. This gap of data is the missing piece for the City to be able to make informed future decisions based on a wide array of stakeholder input and tangible visitor use metrics.


Muzzle-To-Target Distance Determination Based On Lead (Pb) Concentration Of Gunshot Residue (Gsr) Using Icp-Oes, Abry Lloyd Jan 2026

Muzzle-To-Target Distance Determination Based On Lead (Pb) Concentration Of Gunshot Residue (Gsr) Using Icp-Oes, Abry Lloyd

Master of Science in Forensic Science Directed Research Projects

The determination of muzzle-to-target distance remains a significant challenge in forensic casework. Current approaches to gunshot residue (GSR) analysis rely primarily on colorimetric testing to indicate chemical components present and subjective interpretation, limiting specificity and contributing to ongoing scrutiny within the field. This study investigates a quantitative method for estimating shooting distance based on the concentration of lead present in GSR samples (w/w%) with the utilization of inductively coupled plasma optical emission spectrometry (ICP-OES). Test firings were conducted using caliber 22 Long Rifle, 9mm Luger, and 40 S&W semiautomatic handguns at defined distances to evaluate the relationship between lead concentration …


Differentiation Of Cell Populations In Saliva-Skin Mixtures Using Autofluorescence Profiling, Kara Fairfax Jan 2026

Differentiation Of Cell Populations In Saliva-Skin Mixtures Using Autofluorescence Profiling, Kara Fairfax

Master of Science in Forensic Science Directed Research Projects

While DNA profiling of sexual assault evidence can identify biological contributors, determining the tissue source of recovered profiles remains a significant challenge, particularly in cases of suspected oral assault involving mixtures of epithelial cells. The initial goal of this study was to identify non-genetic signatures for differentiating two types of epithelial cells relevant to oral assaults, saliva epithelial cells and epidermal skin cells. To develop tissue-specific signatures, reference cell populations from saliva and epidermal skin surfaces were collected from 20 donors and analyzed using full spectrum flow cytometry.

Results from single-source reference samples showed that saliva-derived particle populations exhibited higher …


Beyond Mean Length Of Utterance: Novel Measures For Characterizing The Spoken Language Of Autistic Children, Janine Mathee-Scott, Courtney E. Venker Jan 2026

Beyond Mean Length Of Utterance: Novel Measures For Characterizing The Spoken Language Of Autistic Children, Janine Mathee-Scott, Courtney E. Venker

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

Mean length of utterance (MLU) is a common measure of expressive language complexity in young children, including autistic children. However, means, by nature, obscure some information about spread and variability in data. Thus, we aimed to examine a new approach to characterizing linguistic complexity in autistic children by investigating the validity of two novel measures—range of length of utterance (RLU), standard deviation of length of utterance (SDLU)—alongside established measures: MLU and total utterances (TU).

Method:

Participants were 40 autistic children (12 girls, 28 boys; Mage = 41.78 months). Children participated in 10-min, play-based language samples with their caregivers. …


Seeing The Invisible Load: Xr+ Multimodal Sensing For Cognitive Ergonomics In Industrial Training, Jessica M. Johnson, Andwele Grant Jan 2026

Seeing The Invisible Load: Xr+ Multimodal Sensing For Cognitive Ergonomics In Industrial Training, Jessica M. Johnson, Andwele Grant

Virginia Digital Maritime Center (VDMC) Faculty Publications

Extended reality (XR) technologies are increasingly positioned as disruptive Industry 5.0 tools for human-centric industrial training and intelligent human–system integration. Coupled with multimodal sensing (eye tracking, EEG, HRV, GSR, and other physiological signals), XR environments promise to make otherwise invisible cognitive demands observable, especially for novice trainees entering complex industrial settings. Yet the evidence base is fragmented: (1) there is no quantitative synthesis of the cognitive ergonomics benefits of XR plus sensing; (2) little is known about which XR–sensor configurations yield the strongest effects; (3) prior reviews rarely focus on industrial and manufacturing tasks; (4) multimodal signals are used predominantly …


Restructuring Actor Training For Psychological Wellbeing, Caroline C. Byce Jan 2026

Restructuring Actor Training For Psychological Wellbeing, Caroline C. Byce

Theses and Dissertations

This thesis highlights the importance of performer mental health as it relates to performance pedagogy. Based on a comprehensive review of traditional western actor training methods, survey data, and interviews, this research proposes a framework through which educators, directors, and performers alike can acknowledge both the artistic value and psychological harm prevalent in many prominent acting techniques. The insights put forth by this thesis extend beyond theatre acting and into television and film acting respectively, culminating in a series of practical steps -transferrable to any medium - for implementing a restructured and more human-centered approach to classrooms, workshops, and rehearsal …


Neoliberalism In Education: Three Studies On The Intersection Of Neoliberalism, Science Of Reading, And Policy, Candace Bechtold Jan 2026

Neoliberalism In Education: Three Studies On The Intersection Of Neoliberalism, Science Of Reading, And Policy, Candace Bechtold

Theses and Dissertations

This dissertation consists of three linking projects that study the intersection of neoliberal ideology, American education policymaking, and the Science of Reading (SOR). I sought to understand how neoliberal mechanisms like standardization and accountability have shaped past and current education policies in the United States. In the first project, I take an historical approach to conceptualize neoliberal ideology to explain how it is manifested in Standards-Based Accountability (SBA) reform and demonstrate how its implications have progressed over time. In the second project, I focus on one state's SOR policy–the Virginia Literacy Act (VLA)– to conduct a discourse analysis of documents …


Substance Use Behaviors And Treatment Engagement In Individuals With Severe Psychopathology With And Without Comorbid Obesity, Rachel M. Madera-Arnold Jan 2026

Substance Use Behaviors And Treatment Engagement In Individuals With Severe Psychopathology With And Without Comorbid Obesity, Rachel M. Madera-Arnold

Theses and Dissertations

Research has found significantly higher rates of both substance use and obesity among individuals with SMI compared to population samples which in turn can lead to worsening health outcomes. Despite this, there is limited research on the co-occurrence of obesity, substance use, and SMI and how these conditions may interact to affect patient outcomes. In addition, there are many gaps in the research regarding the relationship between substance use and body weight, appetite and/or eating behaviors. This study conducted a secondary analysis of the NSDUH 2021 survey that characterized substance use and disorders among individuals who had severe psychopathology, examined …


Connectedness And Help-Seeking Among Veterans: Integrating The Andersen Behavioral Model And The Three-Step Theory Of Suicide, Samuel Ochinang Jan 2026

Connectedness And Help-Seeking Among Veterans: Integrating The Andersen Behavioral Model And The Three-Step Theory Of Suicide, Samuel Ochinang

Theses and Dissertations

Veteran suicide rates remain higher than those of nonveterans, yet many veterans who die by suicide are not engaged in care prior to death. Veteran help-seeking research often focuses on healthcare utilization, overlooking informal sources of support and the decision-making processes that precede service use. Connectedness is a central protective factor in suicide theory but has received limited attention within help-seeking models. This study examined how connectedness influences veterans’ willingness to seek help. Guided by the Andersen Behavioral Model and the Three-Step Theory of Suicide, this secondary analysis used data from the Military Health and Well-Being Project. The analytic sample …


Family- And Cultural-Level Influences For Latine Adolescent Nicotine Use: A Qualitative Study Informing Prevention, Cindy M. Hernandez Castro Jan 2026

Family- And Cultural-Level Influences For Latine Adolescent Nicotine Use: A Qualitative Study Informing Prevention, Cindy M. Hernandez Castro

Theses and Dissertations

Early tobacco use among Latine adolescents represents a critical public health concern, with 23.8% reporting current use and exceeding rates among other racial/ethnic groups (Birdsey et al., 2023; Gaddy et al., 2022). This early initiation elevates risks for nicotine dependence and related morbidity in adulthood (Tsao et al., 2023). Guided by Structural Ecosystems Theory (Szapocznik & Coatsworth, 1999) and contemporary grounded theory analysis (Braun & Clarke, 2006; Charmaz, 2006; Noble & Mitchell, 2016), this study examined multilevel influences on nicotine-related attitudes among Latine youth, including: (1) familial factors (i.e., parental monitoring, caregiver-youth communication), (2) cultural dynamics (i.e., cultural values and …


Propensity Score Matching Accounting For Longitudinal Trends Before Baseline With Group-Based Trajectory Modeling, Dustin R. Bastaich Jan 2026

Propensity Score Matching Accounting For Longitudinal Trends Before Baseline With Group-Based Trajectory Modeling, Dustin R. Bastaich

Theses and Dissertations

Propensity score matching is used in observational studies to balance baseline attributes between a treatment of interest and a control group. Propensity score matching typically relies on baseline variables, but longitudinal trends in patient characteristics can also influence treatment decisions and subsequent health outcomes. This dissertation extends standard approaches by explicitly incorporating longitudinal trajectories of key variables into the propensity score estimation process.

Trends in a longitudinal variable prior to baseline were characterized using group-based trajectory modeling. A two-step modeling approach was implemented where trajectory groups of a key variable were first estimated and then included as covariates in the …