Digital Commons Network^™

A Scoping Review Of Non-Instrumental Dysphagia Screening Tools: Building Flowcharts To Guide Tool Selection, Yu-Chun Chang, Ming-Jhuan Wang, Shu-Fen Siao, Yu-Juan Xu, Meng-Shan Wu, Tyng-Guey Wang, Cheryl Chia-Hui Chen

Rehabilitation Practice and Science

Selecting an appropriate non-instrumental dysphagia screening tool is a complex process. This scoping review aimed to identify dysphagia screening tools with established reliability and validity, and to develop administrator-based flowcharts to guide tool selection across different clinical populations. A scoping review was conducted using studies identified in CINAHL, Embase, PsycINFO, PubMed, and Web of Science. Our search was guided by five keywords: “dysphagia,” “deglutition,” “screening,” “test,” and “measure.” Original studies about the development and validation of non-instrumental dysphagia screening tools were selected. Six reviewers were involved in the review process, and at least two reviewers independently completed each step of …

Constraining Citizenship: Presidential Threshold In Indonesia’S Judicial Framework, Arfan Yanayir Akbar Sabillilah

Jurnal Hukum & Pembangunan

This research critically evaluates the constitutionality of Indonesia's Presidential Threshold as regulated by Article 222 of Law No. 7/2017, requiring political parties or coalitions to secure 20% of DPR seats or 25% of national valid votes for presidential nominations. The term “Presidential Threshold” follows Constitutional Court jurisprudence, distinguishing it from the election threshold in Article 6A(3) requiring 50%+1 votes to win the presidency and the parliamentary threshold in Article 414 requiring 4% of votes for legislative seat allocation. Through normative legal analysis of Constitutional Court decisions No. 51-52-59/PUU-VI/2008, 53/PUU-XV/2017, and 62/PUU-XXII/2024, this study examines 33 judicial reviews from 2017 to …

An Ex-Post Analysis Framework For Assessing The Effectiveness And Driving Factors Of Green Building Certification Adoption: A Case Study Of Singapore, Hao Gu, Xiaoyu Jin, Fu Xiao, Maomao Hu, Clayton Miller

Research Collection College of Integrative Studies

Cities worldwide are adopting green building certification policies to meet sustainability and decarbonization targets in the building sector. However, the effectiveness of green certifications remains contested due to the difficulty of decomposing multiple influencing factors on building energy consumption. This study proposes an econometrics-based ex-post analysis framework to assess the effectiveness of green building certification policies in energy savings and identify driving factors by decomposing multiple influential factors. The proposed framework incorporates time-fixed effect models to examine factors driving the adoption of green building certifications, and causality analysis to quantify the effectiveness. Applying the framework to analyze a panel dataset …

Milk, Miles, And Money: Rural Food Access And Breastfeeding In Georgia (Linking Food Security And Breastfeeding), Hadeer Hegazy, Adra Muntaha, Bethrand O. Ugwu, Alba Kuqi, Christabel Uti, Joanne Chopak-Foss

Eagles Talking About the Public’s Health

No abstract provided.

Alcohol Awareness, Prevention, And Education In Greek Life, Vivian J. Mcmechen, Kara Ann Lasater, Page Dobbs

2026 Honors Symposium

Background: Alcohol consumption is normalized in Greek Life culture, and this social standard can lead to risky health behaviors and overconsumption. At the University of Arkansas, approximately one-third of students are members of Greek Life; there is a need for prevention methods that understand students’ lived experiences. Purpose: The purpose of this study is to examine students’ experiences with alcohol prevention, awareness, and education as current members of Greek Life at the University of Arkansas. Through student interviews and surveys, this project aims to inform and provide recommendations for relatable and student-centered alcohol prevention and education efforts. Methodology: This study …

Lora Test Iv, Lora Lennertz

Theatre Undergraduate Honors Theses

This is a test of the comments field

State-Dependent Queueing For Adaptive Signal Control: A Simulation-Based Performance Evaluation, Shaimaa Alseddiek, Usama Elrawy Shahdah, Hala B. Nafea, Hossam El-Din Moustafa, El-Said Ahmed Marzouk, Mohamed M. Ashour

Mansoura Engineering Journal

Urban traffic congestion persists as a critical challenge to transportation system efficiency, sustainability, and safety. Traditional queuing models utilizing fixed service rates inadequately represent the dynamic feedback between congestion and capacity in real vehicular flow. State-Dependent Queuing Models (SDQMs) address this limitation by modelling service rate as a function of queue length or density. This research advances SDQM application for adaptive traffic signal control through development of a calibrated state-dependent departure rate implemented within a microscopic simulation environment using SUMO and TraCI. Six control strategies including fixed-time, actuated, and two SDQM variants were evaluated across traffic demands ranging from undersaturated …

Intelligent Torque Control Of Switched Reluctance Motors Based On Ditc And Wavelet Neural Network, Ameer L. Saleh, László Számel

Mansoura Engineering Journal

Switched Reluctance Motors (SRMs) have been considered a high-performance and environmentally friendly solution for Electric Vehicle (EV) applications owing to their simpler construction, robust design, and high efficiency. However, it suffers from high torque ripple and acoustic noise due to its highly nonlinear magnetic characteristics and double-salient structure.  This paper introduces a nonlinear torque control based on the Direct Instantaneous Torque Control (DITC) scheme and a Wavelet Neural Network (WNN)  to achieve better dynamic response and mitigate torque ripple.  The proposed WNN is employed as a nonlinear torque controller, inserted between the torque error and the hysteresis torque controller within …

Psychological Impact Of Cultural Heritage Vr Experience Using Well-Mind Framework. (Case Study: Mahmoud Sami Palace In Mansoura)., Sara Ahmed El-Bayoumi, Hager Ahmed El-Sayed El-Ayouti, Mohamed Mohamed Shawki Abo Leila

Mansoura Engineering Journal

This study examines the psychological effects of immersive virtual reality (VR) experiences designed to preserve and disseminate intangible cultural heritage. It addresses the growing challenge of declining cultural engagement and the need for innovative tools that support psychological well-being, emotional engagement, and cultural connection. A VR-based reconstruction was developed within the historic Mahmoud Sami Al-Baroudi Palace in Mansoura, Egypt, focusing on traditional Egyptian practices and oral storytelling. The evaluation employed the WELL-MIND framework alongside participant feedback to assess both structured well-being indicators and subjective user experiences. The WELL-MIND-based assessment indicated improvements in cognitive stimulation, emotional engagement, and environmental perception. In …

Optimization Of Mechanical Properties Of Copper Nanofiller Reinforced Banana Fiber Polyester Composites Using Grey–Taguchi Method, Nikhil Janardan Rathod, Mayur Jayant Gitay, Markala Karthik, Harshwardhan Ghongade, Upendra Rajak, Rajendra Sopan Narkhede

Mansoura Engineering Journal

Mechanical performance of banana fiber-reinforced polyester composites maximized using a composite Taguchi and a Grey Relational Analysis (GRA) process. This will aim at enhancing dispensation limits to enhance better tensile, flexural and impact belongings. The hand lay-up method was used to create composites by variable three key limits and they included banana fiber content (30 wt%), copper nanoparticle content (15 wt%), and curing temperature (80 o C). Trial design and mechanical properties were being measured in form of ASTM values on a L9 orthogonal array.

The multi-response optimization was performed with the help of the Grey Relational Analysis, which was …

Disability And Accessibility In The Voice Studio: An Open Educational Resource, Katherine Meizel, Anne Slovin

Open Educational Resources

No abstract provided.

Rethinking The Fund Termination Sanction, Samuel R. Bagenstos

Articles

Title VI of the Civil Rights Act of 1964 is often referred to as the “sleeping giant” of civil rights law. It is a “giant” because it prohibits any form of race discrimination engaged in by any recipient of federal financial assistance, and because the remedy set forth in the statute for a violation is the termination of federal funds. And it is “sleeping” because, except for a brief moment during the desegregation era, the federal government had never seriously attempted to terminate a recipient’s federal grants for a violation of the statute. Nor had the federal government seriously attempted …

What's The Point Of Reparation?, Daniel Fryer

Articles

Despite its ancient history in philosophical and legal thought, importance to progressive social movements, and relative simplicity as a notion of fairness—if you break something, you ought to fix it—reparative justice is largely misunderstood. This is problematic given increasing calls for reparation from historically disadvantaged groups. Rather than assessing the validity of these claims, this Article addresses a fundamentally antecedent issue: what’s the point of reparation? Rejecting arguments that claim reparation is about compensation, supplementing distributive justice, and reconciliation, I argue that the point of reparation is to repair unjust social relations created by past wrongdoing. The relational theory of …

From Relic To Relevance, The Resurgence Of Tariffs, Reuven S. Avi-Yonah

Articles

Modern legal scholarship has largely relegated tariffs to economic analysis, overlooking their legal and policy significance. This Article challenges that view by examining tariffs as a potential pillar of fiscal policy, exploring their viability as a revenue source alongside or in place of traditional income and corporate taxation. While historically central to U.S. government funding, tariffs’ importance diminished with the rise of income taxation and trade liberalization. However, their recent resurgence as a tool for trade protection raises broader questions about their role in national economic strategy.

This Article critically assesses the feasibility of a tariff-based tax system, drawing on …

Seasonal And Geographic Trends In Photodynamic Therapy And Cryosurgery Use In The United States: A Cross-Sectional Study From 2015-2022., Dawn Merritt, Jon Lyons, Mouna Mikati, Christian Geils, Todd Schlesinger

Ambulatory and Primary Care Articles

BACKGROUND: Photodynamic therapy (PDT) is an effective field treatment for actinic keratoses (AKs). It is an ideal option for patients who prefer a minimally invasive procedure conveniently administered in their physician's office. Anecdotal clinician insights suggest that it may not be used at the same rate year-round.

OBJECTIVE: This study investigates whether PDT and cryosurgery usage is affected by season and geographic location in the United States.

METHODS: The data source is an aggregate of closed and open United States medical procedural claims (

RESULTS: PDT utilization is affected by season and geographic location. Procedural claims peak during cooler months …

Shunk Papers, Harold W., Sdsu Archives And Special Collections, Hilton M. Briggs Library

Archives Finding Aids

The Harold W. Shunk Papers document the career and historical interests of an educator, public servant, and historian active in South Dakota during the mid to late twentieth century. The collection focuses on Native American history, particularly the Dakota and Lakota tribes, and includes newsletters, manuscripts, notebooks, transcripts, and historical lists. Prominent materials include Wahehe Heirship hearing transcripts, personal histories connected to the Cheyenne River Indian Reservation, writings on the Dakota tiospaye system, and documentation related to military posts such as Fort Laramie and Fort Totten. The papers also address significant historical events and individuals, including Wounded Knee and tribal …

A Single-Cell Atlas Characterizes Dysregulation Of The Bone Marrow Immune Microenvironment Associated With Outcomes In Multiple Myeloma, William C Pilcher, Lijun Yao, Yizhe Song, Kazuhito Sato, Julia T Wang, Reyka G Jayasinghe, Jennifer A Foltz, Mark A Fiala, Chiang I-Ling, Julie Fortier, Michael Slade, Stephen T Oh, Michael P Rettig, John F Dipersio, Shaji Kumar, Ravi Vij, Li Ding, Et Al.

2020-Current year OA Pubs

Multiple myeloma (MM) remains incurable despite advances in treatment options. Although tumor subtypes and specific DNA abnormalities are linked to worse prognosis, the impact of immune dysfunction on disease emergence and/or treatment sensitivity remains unclear. We developed an Immune Atlas of MM by generating profiles of 1,397,272 single cells from the bone marrow (BM) of 337 newly diagnosed participants and characterized immune and hematopoietic cell populations. Cytogenetic risk-based analysis revealed heterogeneous associations with T cells of BM, with 17p13 deletion showing distinct enrichment of a type 1 interferon signature. The disease progression-based analysis revealed the presence of a proinflammatory immune …

A Catecholamine-Independent Pathway Controlling Adaptive Adipocyte Lipolysis, Xiao Zhang, Sreejith S Panicker, Jordan M Bollinger, Anurag Majumdar, Rami Kheireddine, Lila F Dabill, Clara Kim, Brian Kleiboeker, Fengrui Zhang, Kristann L Magee, Adam Kepecs, Gretchen A Meyer, Irfan J Lodhi, Erica L Scheller, Et Al.

2020-Current year OA Pubs

Several adipose depots, including constitutive bone marrow adipose tissue, resist conventional lipolytic cues. However, under starvation, wasting or cachexia, the body eventually catabolizes stable adipocytes through unknown mechanisms. Here we developed a mouse model of brain-evoked depletion of all fat, including stable constitutive bone marrow adipose tissue, independent of food intake, to study this phenomenon. Genetic, surgical and chemical approaches demonstrated that catabolism of stable adipocytes required adipose triglyceride lipase-dependent lipolysis but was independent of local nerves, the sympathetic nervous system and catecholamines. Instead, concurrent hypoglycaemia and hypoinsulinaemia activated a potent catabolic state by suppressing lipid storage and increasing catecholamine-independent …

Perceived Hiv Risk, Barriers, And Preferences For Hiv Testing In Structurally Vulnerable Communities In St. Louis: A Best-Worst Scaling Survey, Emmanuel K Tetteh, Noelle Le Tourneau, Gregory Gross, Mckenzie Swan, Tyrell Manning, Justin Cole, Katie Wolf, Lawrence Hudson-Lewis, Julia D López, Todd Combs, Virginia R Mckay

2020-Current year OA Pubs

BackgroundPersistent gaps in efforts to end the HIV epidemic in the United States highlight the need for community-specific, evidence-based HIV testing strategies. This study investigated barriers and preferences around HIV testing among underserved populations, including Black, queer, and young adults in the St. Louis, Missouri area.MethodsWe conducted a Best-Worst Scaling (BWS) survey with adults (16+ years) recruited at community events, collecting responses electronically and providing a $25 incentive. The survey assessed the relative importance of 13 potential barriers to HIV testing such as stigma, structural barriers, and perceived HIV risk, chosen based on literature review and community input. Mean preference …

Defining Radiological Healing In Perianal Fistulizing Crohn's Disease: A Topclass Global Expert Delphi Consensus, Easan Anand, Jalpa Devi, David H Ballard, Shivani Joshi, Phil Tozer, Ailsa Hart, Anna Antoniou, Parakkal Deepak, Jaap Stoker, Phillip Lung, Topclass Collaborative Authors

2020-Current year OA Pubs

BACKGROUND & AIMS: Perianal fistulising Crohn's disease (pfCD) affects one-fifth of patients with Crohn's disease (CD), significantly affecting their quality of life. Magnetic resonance imaging is the gold standard for evaluating fistula healing in pfCD, but variability in radiological definitions hampers meaningful clinical interpretation and consistent trial design. This study aimed to establish an international consensus on the definition of radiological healing in pfCD.

METHODS: The study was conducted in 2 phases. Phase 1 involved a systematic review to identify magnetic resonance imaging-based variables and indices used to define healing in pfCD, assessing methodological quality using the COnsensus-based Standards for …

A Constructivist Grounded Study: At The Intersection Of Religion And Intimate Partner Violence In The Context Of An Ultra-Orthodox Jewish Community, Lauren Kalvari

Theses and Dissertations (Comprehensive)

This constructivist grounded theory study, informed by a critical intersectional lens and guided by symbolic interactionist theory, explored how Ultra-Orthodox Jewish women experience and navigate intimate partner violence (IPV) within their religious and community contexts. Ten participants, recruited through purposive and theoretical sampling, were separated or divorced from abusive partners for at least eight months and had engaged in psychotherapy, allowing for retrospective meaning-making. Each participant completed one to three in-depth interviews on IPV, community responses, spiritual conflict, and recovery. Data collection and analysis were conducted concurrently using Charmaz’s iterative constructivist grounded theory approach, which included initial, focused, and theoretical …

Exploring Religious-Spiritual Struggles Among Muslim Immigrants In The Canadian Context, Ayse Erenay

Theses and Dissertations (Comprehensive)

Migration to a new culture and adaptation to a different lifestyle may cause emotional and psychological stress. In some cases, immigrants may experience religious and/or spiritual (R/S) struggles due to challenges to their beliefs and practices in the country they have immigrated to. Based on Pargament (2007, 2013)’s R/S struggle framework, these struggles may include questions about the ultimate meaning of life, one’s relationship with God, or doubt about one’s belonging within a religious or spiritual community. Muslim immigrants face unique struggles since Islamic teachings require Muslims to visibly practice their faith and reflect on God’s presence as a central …

Sex Differences In The Use Of Cognitive Strategies In Brown-Headed Cowbirds (Molothrus Ater), Nicole E. Robinson Ms.

Theses and Dissertations (Comprehensive)

Cognition is widely believed to be adaptive, yet few studies directly show that variation in cognitive performance is related to fitness. Brown-headed cowbirds (Molothrus ater) provide a powerful system for addressing this gap because brood parasitism creates strikingly different reproductive problems for females and males. Females face the spatial demands of nest-prospecting, whereas males face social and competitive demands associated with access to mates. Across five experiments, cowbirds were tested on an outdoor foraging task designed as an analogue of nest prospecting, with manipulations of retention interval, cue conflict, and breeding condition, followed by observations of reproductive behaviour. …

Is Prosocial Behavior A Unique Correlate Of Academic Success In Emerging Adulthood?, Jacqueline Di Biase

Theses and Dissertations (Comprehensive)

Prior developmental research has frequently linked prosocial behavior to stronger academic functioning during childhood and adolescence (Cruz et al., 2024; Gerbino et al., 2018; Oberle et al., 2022), yet its relevance to academic success in emerging adulthood remains unclear. Guided by a Positive Youth Development (PYD) framework, the present study sought to address gaps in emerging adulthood research by examining the academic relevance of prosocial behavior while accounting for influential developmental assets and testing its independent contribution to academic achievement. Undergraduate students (N = 501) completed a cross-sectional self-report survey assessing prosocial behavior, self-control, dutifulness, sociability, and cumulative grade …

Mixed Methods Insights Into Understandings Of And Stigma Towards Autism In Children And Young Adults, Natalia Gc Van Esch

Theses and Dissertations (Comprehensive)

BACKGROUND: Autism is widely stigmatized and misunderstood. Existing research using methods such as questionnaires finds that autistic individuals are often evaluated more negatively than their non-autistic counterparts. Unfortunately, this approach provides limited insight into the underlying representations of autism that individuals hold. The present study seeks to examine how children and adults define, describe, and represent autism, and how these representations relate to stigma. METHODS: In Part I, children participated in a semi-structured interview in which they defined autism and created autistic and non-autistic characters using a guided character-building task. Children then rated their characters on a series of social …

Exploring The Role Of Cognitive Load In Applicant Faking And Prevention Methods, Sabah Rasheed

Theses and Dissertations (Comprehensive)

Personnel selection is critical to organizational success, and personality assessment is widely used to identify the best job candidates. However, applicant faking threatens the validity of personality assessments in high-stakes contexts. Faking is widely assumed to be more cognitively demanding than honest responding, and several faking-prevention methods rest on this premise. This dissertation examines that assumption across three studies using the dual-task paradigm to impose cognitive demands during personality assessments. Study 1 used a verbal digit-span task with a student sample and limited faking on the three job-relevant personality composites. Study 2 used a visual dual-task with a student sample …

Fear Across The Map: A Cross-Municipal Analysis Of Fear Of Crime In Canada, Muhammad Ali

Theses and Dissertations (Comprehensive)

This study examines the predictors of fear of crime (FOC) across three Canadian municipalities: Hamilton, Ontario; Brantford, Ontario; and North Battleford, Saskatchewan. Data from 1,956 survey responses were analyzed to understand how certain factors shape FOC across different municipal contexts in Canada. This study uses descriptive statistics, reliability analyses, correlation matrices, and Ordinary Least Squares regression models to examine whether FOC, and the predictors of FOC, operate consistently across municipalities. The findings indicate that the predictors of FOC are relatively reliable across municipal contexts. However, the influence of the predictors of FOC can vary across municipalities. Importantly, the level of …

Evops: Evolutionary Patch Selection In The Embedding Space Of Whole Slide Images, Saya Hashemian

Theses and Dissertations (Comprehensive)

Computational pathology increasingly relies on the analysis of Whole-Slide Images (WSIs), which capture tissue specimens at gigapixel resolution. Because a single slide is far too large to process directly, the

prevailing paradigm decomposes each WSI into thousands of small patches and encodes them as high- dimensional feature embeddings using deep learning backbones. While effective, this paradigm carries a

substantial cost: the resulting collections of patch embeddings are computationally expensive to store and process, and they are frequently dominated by redundant, homogeneous, or otherwise uninformative tissue regions that dilute the diagnostic signal. Existing patch selection methods largely depend on heuristic or …

Timing, Targets, And Teaching: How Employee Help-Seeking Influences Downward Knowledge Sharing, Nicholle E. Kovach

Theses and Dissertations (Comprehensive)

Knowledge sharing between managers and employees is critical for employee development and organizational performance. However, managers differ in whether they share knowledge, and in the type of knowledge shared. While solution-oriented knowledge offers immediate answers to improve short-term performance, process-oriented knowledge promotes long-term learning and employee development. The purpose of my dissertation is to investigate factors that influence managers’ knowledge-sharing decisions.

I conduct two studies to investigate my predictions. In Study 1, I examine how the timing of employee help-seeking requests, the source of performance targets and employee historical performance influence the type and quality of managers’ knowledge-sharing responses. Drawing …

Prediction Of Continuous Amyloid Positron Emission Tomography With Fluid Measures Of Phosphorylated Tau And Β-Amyloid, Niklas Mattsson-Carlgren, Linda Karlsson, Weizhong Tang, Kaj Blennow, Henrik Zetterberg, Randall J Bateman, Suzanne E Schindler, Nicolas Barthelemy, Sebastian Palmqvist, Erik Stomrud, Shorena Janelidze, Oskar Hansson

2020-Current year OA Pubs

Brain amyloid-β (Aβ) pathology is a core feature of Alzheimer disease (AD) and can be quantified using positron emission tomography (PET). Cerebrospinal fluid (CSF) and plasma biomarkers detect abnormal Aβ, but it is unclear to what degree they can predict quantitative Aβ-PET. We explored plasma and CSF biomarkers in relation to Aβ-PET in the BioFINDER-2 study (N = 1053), and the BioFINDER-1 study (N = 238). We developed a machine learning pipeline to predict Aβ-PET using CSF and plasma measures. The best models achieved R