Digital Commons Network^™

Enhancing Dementia Classification For Diverse Demographic Groups: Using Vision Transformer-Based Continuous Scoring Of Clock Drawing Tests., Mengyao Hu, Yi Lu Murphey, Tian Qin, Edmundo R Melipillán, Laura B Zahodne, Richard Gonzalez, Vicki A Freedman

Faculty, Staff and Student Publications

Objectives: Alzheimer's disease and related dementias significantly affect older adults' quality of life. The clock-drawing test (CDT) is a widely used dementia screening tool due to its ease of administration and effectiveness. However, manual CDT-coding in large-scale studies can be time-intensive and prone to coding errors and is typically limited to ordinal responses. In this study, we developed a continuous CDT score using a deep learning neural network (DLNN) and evaluated its ability to classify participants as having dementia or not.

Methods: Using a nationally representative sample of older adults from the National Health and Aging Trends Study (NHATS), we …

Measuring What Matters To Patients: A Multiple Methods Sequential Study Of Disease Burden, Quality Of Life, And The Alignment Of Patient-Reported Outcome Measurements For High-Risk Myelodysplastic Syndrome And Acute Myelogenous Leukemia Patients, Anthony J. Messina

Doctor of Philosophy in Translational Health Sciences Dissertations

Background

High-risk myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML) are aggressive hematologic malignancies with poor prognoses, where extending survival often comes at the cost of substantial morbidity. This study was grounded in the quality of survival (QoS) framework, which emphasizes that treatment outcomes should balance longevity with the health-related quality of life (HRQoL) experienced during the period of survival. In this context, patient-reported outcomes are crucial to capturing what truly matters to patients. However, existing patient-reported outcome measures (PROMs) used in MDS/AML clinical trials may not fully reflect patient priorities. A complementary Wilson–Cleary model perspective, linking biological factors to …

Exploring The Lived Experiences Of Rural Women Of Color Seeking Police Intervention During An Intimate Partner Violence Crisis, Michelle Angelica Perez

Walden Dissertations and Doctoral Studies

Exploring the lived experiences of rural women of color in the United States who seek police intervention during an intimate partner violence crisis is a necessity. In rural regions, many African American and Caribbean Blacks in rural communities endure physical assaults perpetrated by their partners throughout their lives. IPV among women of color, especially the obstacles that they face in requesting police intervention. The findings of this research study provide valuable insights that can support the establishment of intervention centers for rural women of color by involving key stakeholders, such as police departments in these regions. This study used semi-structured …

Improving Health Outcomes For Elderly Patients With Post-Stroke Depression: A Staff Education Project For Implementing A Collaborative Care Model In A Connecticut Behavioral Health Facility, Nneka Mcclane

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project is a staff education program aimed at improving nursing care for elderly patients with post-stroke depression (PSD) through education on the collaborative care model (CCM). The practice concern addressed is the underrecognition and undertreatment of PSD in elderly patients in a rehabilitation setting due to a lack of staff knowledge and confidence in screening for PSD in the elderly. The aim of this DNP project was to provide staff with the knowledge necessary to engage PSD screening as a part of the CCM, which has the potential to enhance PSD management and improve …

Structure-Function Coupling In The First Month Of Life: Associations With Age And Attention, Ursula A Tooley, Jeanette K Kenley, M Catalina Camacho, Aidan Latham, Dimitrios Alexopoulos, Ashley N Nielsen, Tara A Smyser, Barbara B Warner, Joshua S Shimony, Jeffrey J Neil, Joan L Luby, Deanna M Barch, Cynthia E Rogers, Christopher D Smyser

2020-Current year OA Pubs

How brain structure relates to function is a critical and open question in neuroscience. Here, we characterize regional variation in structure-function coupling, capturing the degree to which a cortical region's structural connections relate to patterns of coordinated neural activity in healthy, term-born neonates (

Exploring The Feasibility Of Using Virtual Reality With Children With Autism, Gemma Leighton

Theses and Dissertations

This study explored the feasibility and social validity of teenagers with autism spectrum disorder (ASD) using a virtual reality (VR) head-mounted display (HMD). VR is emerging as a promising tool for teaching and therapeutic intervention among ASD. Therefore, this study serves to contribute to the field's development by comprehensively evaluating the accessibility for young people with ASD to independently using a VR HMD in a meaningful way. Five teenagers participated (four female, aged 13-15, with mild and mild to moderate support needs) and independently completed tutorials in a virtual environment when learning to operate the VR HMD controllers and hand-tracking …

Neat Vs. Scruffy: How Early Ai Researchers Classified Epistemic Cultures Of Knowledge Representation, Lindsay Poirier

Statistical and Data Sciences: Faculty Publications

Accounts of the history of symbolic artificial intelligence (AI) often categorize researchers and their programs through binary oppositions: logicist versus procedural, or alternatively, neat versus scruffy. These terms were often referenced throughout the 1970s and 1980s by AI researchers at institutions in the United States and Europe to document epistemic and esthetic differences in approaches to knowledge representation. In this article, I historicize and situate these binary oppositions, showing how researchers leveraged them in discourse to demarcate the beliefs and commitments underpinning certain AI approaches. I argue that the labels helped knowledge representation scholars identify, trouble, and grapple with the …

Optimal Well Being Of Those Recovering From Alcohol Use Disorder: An Exploration Of Individual Difference Factors And Treatment Outcomes, Jared Davis

USF Tampa Graduate Theses and Dissertations

Harmful alcohol use has continued to be one of the largest negative impact factors of daily living worldwide. Despite the pervasive use of alcohol and negative impacts that it has on the individual and society there is large disagreement on how to know when someone has “recovered” from AUD (El-Guebaly, 2012), with much of the literature focused narrowly on negative indicators (e.g., return to heavy drinking, re-occurrence of AUD symptoms). Such views have not only restricted definitions of recovery but has also created public perception that those with AUD will continue to struggle even when cessation of drinking has occurred. …

More Equal Than Others: Taxonomic Bias In Animal Management, Barrett L. Christie

Animal Sentience

Oldfield & Bonano (2024) point out not only the scarcity of research on fish welfare but also significant taxonomic bias in broader research on these species. This bias extends to the management practices of aquaria and zoos, where the focus is on higher vertebrates. More resources need to be allocated to research to address this disparity. We also need to develop welfare constructs that recognize the inherent differences between aquatic and terrestrial species, taking into account the unique ecological contexts and behavioral patterns of fishes.

Leveraging An Arts-Based Approach To Foster Engagement, Nurture Kindness, And Prevent Violence, Yok-Fong Paat, Diego Garcia Tovar, Nathan W. Myers, Max C. E. Orezzoli, Anne M. Giangiulio, Sarah L. Ruiz, Angela V. Dorado, Luis R. Torres-Hostos

School of Social Work Faculty Publications

Drawing from the insights of community partners, this study explored the roles and benefits of arts-based approaches to foster civic learning, critical media literacy, and community engagement. It also uncovered approaches to promote kindness, prevent violence, and combat online extremism, offering insights into strategies that may enhance community engagement and create a positive impact. We presented our model framework, a detailed case study of our project, and qualitative methods incorporating 15 interviews with our community partners to capture a broad range of perspectives and experiences. Interviewees were community partners who collaborated with our project in organizing events and activities using …

Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton

Walden Dissertations and Doctoral Studies

Autistic adults face a high risk of co-occurring mental health challenges, yet standard psychotherapy often fails to meet their unique needs, raising concerns about treatment effectiveness. This qualitative study aimed to understand how clinical psychologists decide on therapeutic approaches and adaptations for their autistic adult clients through three research questions: RQ1: How do clinical psychologists decide on the appropriate therapeutic approach they use with their autistic adult clients? RQ2: How do clinical psychologists decide which adaptations are appropriate to implement in psychotherapy with their autistic adult clients? RQ3: Does the therapeutic approach affect how a clinical psychologist chooses appropriate adaptations …

The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith

Walden Dissertations and Doctoral Studies

Affective polarization, a phenomenon characterized by animosity between opposing political parties, has emerged as a growing and intractable problem in the United States. Affective polarization threatens American democracy, as polarized citizens become increasingly unwilling to trust cross-partisans, hold their political leaders accountable, or support the results of free and fair elections. While prior research has investigated the mitigating effect of intellectual humility and perspective-taking on affective polarization, researchers have yet to investigate whether intellectual humility and perspective-taking work synergistically to mitigate affective polarization. Informed by social identity theory, this quantitative study determined if intellectual humility mediated the relationship between perspective-taking …

Middle Meningeal Artery Embolization For Chronic Subdural Hematoma: Meta-Analysis Of Three Randomized Controlled Trials And Review Of Ongoing Trials., Gillespie Cs, M Veremu, Cook Wh, M Ashraf, Lee Ks, Y Chedid, Alam Am, Y Karepov, Davies Bm, E Edlmann, P Papanagiotou, S Korfias, T Santarius, A Kolias

Peninsula Medical School

Background: Middle Meningeal Artery Embolization (MMAE) has been proposed as adjunct and stand-alone treatment for Chronic Subdural Hematoma (CSDH). We aimed to meta-analyze three recently published randomized controlled trials, to reliably estimate the effect of MMAE. We also carried out a systematic review of ongoing trials and their key outcomes. Methods: A PRISMA-compliant meta-analysis was conducted (PROSPERO ID CRD42024618816). Three published RCTs (MAGIC-MT, EMBOLISE, and STEM) assessing MMAE in CSDH were included. Trial primary outcomes were pooled for analysis using random effects models. Primary and secondary outcomes (recurrence/surgical rescue, functional outcome) were obtained, stratified by treatment group (undergoing surgery, and …

Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students With Autism Spectrum Disorder, Karen Denise Buchanan

Walden Dissertations and Doctoral Studies

Early Childhood Teachers’ Perspectives on the Challenges of Teaching Students with Autism Spectrum Disorder by Karen D. Buchanan Ed.S. Mercer University 2017 MA, Mercer University, 2016 BA, Mercer University, 2012 AS Georgia Perimeter College, 2009 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Education Walden University August 2025

A Veblenian Approach To Chaos Theory, Isaiah Henry

Hatfield Graduate Journal of Public Affairs

This paper provides a comparative analysis of Veblen's belief in disequilibrium, the field of chaos theory, and how these two frameworks connect. We explore the similarities and differences between Veblen's theories and the principles of chaos theory, including their shared emphasis on complexity and unpredictability. By analyzing the connections between Veblen's economic theories and chaos theory, we can gain a deeper understanding of the nature of disequilibrium and the complex forces that shape our world.

One Health Integration To Control And Prevent Zoonoses: Application Of Organizational Theory Literature, Lisset M. Dumet Poma, Sherril Gelmon, Julia M. Goodman, Seth E. O’Neal

Hatfield Graduate Journal of Public Affairs

Zoonoses are infectious diseases transmitted between animals and people that disproportionately affect low- and middle-income countries (LMICs). The One Health (OH) approach aims to integrate systems, incentivizing collaboration among animal, human, and environmental systems to address zoonoses and improve health. Innovative solutions for effectively and sustainably achieving systems integration are needed. Organizational theories can facilitate the study of the context of OH implementation, applying comprehensive approaches that recognize the interconnections among organisms, the environment, and social systems, including the diverse entities needing integration (e.g., policy, community, public organizations). This narrative review examines organization and systems literature to provide recommendations for …

How The U.S. Can Protect Taiwan In The 21st Century, Zachary Surmacz

Hatfield Graduate Journal of Public Affairs

What U.S. policy would deescalate cross-strait tensions, while maintaining Taiwan’s security? This article is supported by the information and perspectives received from 12, one-on-one, semi-structured interviews with a variety of thought leaders in Taiwan. The goal of this proposal is to provide policymakers in the United States with a path for protecting Taiwan, while responsibly managing the U.S.-China relationship. The paper begins with a short background of the complex policy problem facing Taiwan and a review of the current official U.S. policy of “strategic ambiguity." The article then provides an evaluation of the U.S. policy by comparing its stated goals …

Evaluating The Elder Justice Act: Challenges In Funding, Implementation, And Coalition Dynamics, Annabelle Weberg

Hatfield Graduate Journal of Public Affairs

The Elder Justice Act (EJA) was a significant policy that passed in 2010 as part of the Patient Protection and Affordable Care Act. The goal of the EJA was to provide public health and social service programs for preventing, detecting, and treating elder abuse. Due to limited federal discretionary spending, most programs authorized under the Elder Justice Act have not been fully funded or implemented as intended.

The paper seeks to answer this research question: What has caused the limited funding and implementation of the Elder Justice Act, and what role have coalitions played? It analyzes the factors that have …

Beyond The Walls Of The Classroom, Erik L. Ringsby

Faculty Work Comprehensive List

"I would argue that we need to have more fun in today’s school, and if you think back to your most memorable school experiences, I suspect that you have a fun memory, too."

Posting about promoting student flourishing from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

Beyond the Walls of the Classroom

A Participatory Approach To Case Management: Co-Creation Of Effective Anti-Trafficking Programming Based On The Self-Identified Strengths, Needs, And Priorities Of Survivors, Angela Robinson Phd, Kelsey Morgan Phd

SMU Human Trafficking Data Conference

Some estimates claim the existence of 50 million victims of human trafficking and the U.S. Department of State suggests that less than 1% of survivors received services to prevent further exploitation. This presentation shares processes for co-creating knowledge with case management tools that empower survivors while gathering data to improve their care, assist service providers in effectively targeting supportive services, and strengthen anti-trafficking initiatives. Findings will be shared from Freedom Lifemap, a self-assessment used by human trafficking survivors to identity their own strengths, needs, and priorities to prevent the risk of re-exploitation and attain lasting freedom. Global patterns in data …

The Rhetoric Of Responsibilization: A Rhetorical Analysis Of Pre-Exposure Prophylaxis Campaigns For Hiv Prevention, Catherine M. Pabalate

Kentucky Undergraduate Journal for the Health Humanities

Responsibilization refers to the process by which patients are made accountable for their health and wellbeing, which is determined by their habits and behaviors. Though responsibilization affords greater agency to patients, it can also result in anxiety and guilt when the patient appears "deviant" or "noncompliant." Because sexual behavior is attributed to the causality of HIV/AIDS, patients’ sexual patterns and choices are included within their medical decision-making. This rhetorical analysis focuses on pharmaceutical campaigns and commercials for pre-exposure prophylaxis (PrEP), which were released between 2012 and 2024 and are targeted towards patients at-risk for HIV/AIDS. Findings suggest that specific rhetorical …

Across Generations Of Time: Institutional Memory And Individual Memory Of The Kwangju Uprising Regarding The Hong Family, Seung Hong

Undergraduate Honors Theses

On May 18, 1980, the Kwangju Uprising took place in Kwangju, a city in the Chŏlla province of South Korea. Though it was initially a student demonstration against Chun Doo Hwan’s martial law, it grew to involve thousands of Kwangju civilians who united to fight against vicious paratroopers and Chun’s unjust rule. After nine days, state troops recaptured Kwangju and arrested the remaining demonstrators. Years later, as a response to popular demand, the South Korean government compensated victims and began celebrating May 18 as a turning point for democracy in the nation. The institutional memory of the Kwangju Uprising has …

Building Brains And Relationships Beginning From Birth: Exploring Multilingual Parents' Experiences With A Babies Initiative Family-School Partnership, Diane D. Joyce

Theses and Dissertations

This study examined multilingual families’ experiences in a family-school early literacy program during the critical period of brain development, the Phlournoy Babies Initiative (PBI). Participants included five multilingual (ML) and immigrant families who have participated in this program for multiple years. In addition, this study probed how families were applying the strategies shared during PBI sessions within the context of their culture and home environment. Sociocultural, ecological systems, and culturally responsive teaching theories formed the framework of this study. A narrative inquiry approach was applied, which provided the researcher the opportunity to share the stories and experiences of the participants. …

First Generation Graduate Student Experiences, Andrew Torres

Theses and Dissertations

The purpose of this qualitative research study was to gain a better understanding of the experiences, inspiration, motivations, and varying aspects of what it is to be a first- generation master’s level student. Throughout the 2024-2025 academic year, I conducted interviews with three first-generation undergraduate students, three first-generation graduate students, and two first-generation postgraduate professionals at a single university to understand how their higher education experiences were similar and different. I pursued this research topic to understand further what resources graduate students used and which were lacking for their needs. The pursuit motivated me to discover why there was such …

Family-Based Support As A Social Determinant Of Health-Protective Factor For Children With Autism Spectrum Disorder, Bisola Duyile, Naomi J. Wheeler

Department of Counseling Scholarship and Creative Works

Parents of children with autism spectrum disorder (ASD) demonstrate resilience and resourcefulness in managing the demands of caregiving. This study highlights the critical role of family based support as a social determinant of health-protective factor (SDHPF) that enhances the well-being of parents, helping to mitigate depressive symptoms. Using a secondary dataset of 199 parents/ caregivers of children with ASD, this study examines how family based support, child symptom severity, and financial resources (income) influence parental mental health. The findings show that strong family support is positively associated with lower levels of depression, underscoring the strength of social networks in enhancing …

Hidden In Plain Sight: Community-Based Human Trafficking Prevention During Major International Events, Jordan Leeds

Criminology and Criminal Justice Theses and Dissertations

Human trafficking is a pervasive and persistent global problem, affecting almost every nation. The United Nations developed a standard known as the Palermo Protocol that provides a comprehensive definition and international strategy for criminalizing and punishing trafficking offenders. This protocol defines human trafficking in terms of its act, means, and purpose. Human trafficking can take on many contexts, such as sex, labor, or servitude, but is uniformly concerned with exploiting individuals, usually from vulnerable populations, for personal profit. The unique characteristics of international sporting events, including increased demand for services, time-sensitive labor needs, and reduced oversight, create conditions for human …

Creativity And Crisis. Case Studies Of Bureaucracy Under Pressure – Determining Factors Affecting Creativity, Andrew Lee Carlson

Theses and Dissertations

I studied creativity and how it interacts with the crisis environment to devise a way of determining if future situations are amenable to creativity. Through studying creativity theories and crisis responses, I developed a framework and instrument that answers the following questions, semi-quantitatively and qualitatively: 1) Is the future situation or problem amenable to creativity? 2) How much “energy” needs to be expended in solving the problem or situation? 3) Where best can I use creative energy as it relates to the subject matter or process of the situation? I studied situations ranging from personal (pursuit of this PhD), critical …

The Role Full-Time Faculty Play In Retaining Students With New Initiatives Implemented By The Administration: A Qualitative Case Study, Kenyatta Collins

Theses and Dissertations

This qualitative study explored the role full-time faculty play in supporting student retention within the context of new administrative initiatives at a New Jersey community college. Grounded in the framework of faculty as institutional agents, the research investigated how faculty understood their role, engaged with retention efforts, and perceived their alignment with institutional goals. Data were collected through semi-structured interviews with full-time faculty involved in or impacted by retention initiatives. Thematic analysis revealed that while faculty were committed to student success, they experienced limited involvement in the development and communication of these initiatives. Participants expressed a need for consistent communication, …

Bereavement Needs Of Parent-Child Dyads Following Sibling Death, Shannon V. D'Alton

MUSC Theses and Dissertations

In the United States, nearly 62,000 children and adolescents experience the death of a sibling each year and sibling bereavement is one of the most distressing life events during childhood; however, it has received less attention in research compared to other forms of childhood loss. Bereaved siblings and parents are at increased risk for negative physical and psychological outcomes, yet little is known about their support and resource needs during the early years following the death. A limitation in understanding sibling bereavement is the methodological and ethical challenges of researching this vulnerable population. Consequently, the bereavement needs of surviving siblings …

Human Rights And Foreign Policy: South Africa's Genocide Complaint Against Israel At The International Court Of Justice, Penelope Andrews

Minnesota Journal of International Law, Vols. 28:2 onward (2019-present)

No abstract provided.