Digital Commons Network^™

Leveling The Playing Field? Exploring The Moral Ambiguity Of The Private Attorney General Model, Nathan Heastie

Washington and Lee Law Review Online

Johnson & Johnson’s market cap is twice the GDP of Oklahoma. So, when Oklahoma hauled Johnson & Johnson and other behemoth pharmaceutical companies into state court for their participation in the opioid epidemic, Big Pharma’s resources created a David v. Goliath situation. Against all odds, Oklahoma stood toe-to-toe with Big Pharma and brought home more than $650 million in settlement funds.

Oklahoma’s success would be otherwise impossible without the assistance of three private law firms serving the role of “private attorneys general.” The State signed contingency fee arrangements with the firms, transferring the financial burden of litigation from the State …

Representing The Incommunicado Client: Regulating The Attorney-Client Relationship In A Civil Rights Emergency, Michael Kagan

Washington and Lee Law Review Online

When the government obstructs a detainee’s ability to communicate with attorneys, normal rules governing the formation of attorney-client relationships break down. While some work-arounds exist to allow lawyers to bring such cases to court, they have significant limitations and can create problems of their own. The legal profession and the courts should adopt new rules modeled on emergency medicine to facilitate the filing of urgent civil rights claims for clients who are not in a position to consent. In emergency medicine, physicians can presume client consent for certain narrow and urgent purposes. Certain lawyers, in extreme cases, should be able …

Issue 477 December 2025, The Local Voice

The Local Voice

Featured Articles: "Proud Larry’s Owners Support Southern Culture."; "Families Anonymous Established in Water Valley."; "The View From The Balcony: The Worst Christmas Ever."

When Strength Becomes Stress: The Strong Black Woman Schema And Burnout Among Black Women In Community And Social Services, Portia D. Gordon

LSU New Orleans Theses and Dissertations

This quantitative study explores the relationship between the Strong Black Woman Schema (SBWS) and burnout among Black women in community and social service roles. It uses Black feminist theory (Collins, 1990), intersectionality frameworks (Crenshaw, 1989), and the racial identity development theory (Cross, 1991). Data from 217 women who work or volunteer in community and social services, collected through the Oldenburg Burnout Inventory (OLBI), Social Issues Advocacy Scale-2 (SAIS-2), Activism Orientation Scale (AOS), and Stereotypic Roles for Black Women Scale (SRBWS), along with demographic details, assessed SBWS endorsement, advocacy involvement, and burnout levels. Responses were analyzed across ethnic groups and levels …

Elucidating The Oxidation Mechanisms In Cr2alb2 Using Density Functional Theory And Thermodynamic Modeling, Ushan Asela Adhikarige

Theses and Dissertations

This thesis investigates the oxidation behavior of Cr2AlB2 surfaces using density functional theory calculations combined with thermodynamic modeling. Our analysis encompassed surface stability assessments, oxygen adsorption studies on various surfaces, and thermodynamic insights into oxidation mechanisms. Surface stability assessments reveal that the (010) surface terminated with an Al layer exhibits the lowest surface energy. Oxygen adsorption studies on the (010), (111), and (021) surfaces demonstrate strong dissociative adsorption with binding energies ranging from -4.72 to -4.22 eV depending on coverage. Thermodynamic analysis shows that elevated temperatures reduce oxidation favorability, while increased oxygen partial pressure enhances it. The study reveals that …

A Space Propulsion Concept Based On Inertial Confinement: Exploring Nuclear Fusion Utilizing Polywell Geometry, Preeti Nair

Theses and Dissertations

Nuclear fusion propulsion represents a promising solution for future interplanetarymissions due to its high energy density and potential for continuous power generation. However, existing fusion propulsion systems face significant limitations, particularly in achieving stable plasma confinement. The Polywell concept, introduced by physicist Robert Bussard in 1985, offers advantages through its compact, polyhedral geometry that is wellsuited for spacecraft applications where mass and volume constraints are critical. Despite these advantages, Polywell designs have encountered stability challenges in maintaining the electric potential well over time. Plasma instabilities induced by magnetic fields disrupt containment and reduce fusion efficiency, limiting overall performance and scalability …

Integrated Machine Learning For Predicting Reservoir Properties And Experimental Approach For Evaluating Co2-Brine-Rock Interactions In Carbonate Formations, Luc Yvan Nkok

Theses and Dissertations

Understanding subsurface properties is fundamental for optimizing hydrocarbon recovery and ensuring the long-term integrity of carbon capture and storage (CCS) operations. Conventional methods such as empirical correlations, advanced logging, and laboratory measurements, though widely used, are costly, time-consuming, and often limited in accuracy within formations. This study develops an ML framework to enhance the prediction of petrophysical and geomechanical properties and experimental investigation to evaluate time-dependent alterations in petrophysical and geomechanical rock properties under CO₂-brine exposure.In the first phase, six ML algorithms Decision Tree, Random Forest, Extra Trees, XGBoost, LightGBM, and K-Nearest Neighbor were applied to predict key petrophysical parameters …

A Climatology Of Northern Plains Tornadoes With Regard To Radar Coverage, Charles Richie Ii

Theses and Dissertations

Tornadoes are among the costliest and deadliest severe weather events in the United States. Doppler weather radar is one of a meteorologist’s most useful tools for early detection of tornadoes. However, there are several notable areas across the Northern Plains (Minnesota, Montana, North Dakota, and South Dakota) where the National Weather Service’s (NWS) radar coverage exceeds 10,000 feet above radar level, leaving an effective “radar gap” where tornado detection becomes increasingly challenging, if not impossible in some cases. Even within these radar gaps, the NWS is still responsible for issuing Tornado Warnings to fulfill their mission of protecting life and …

The Hunga Volcanic Eruption Atmospheric Impacts Report, Simon Carn

Michigan Tech Publications

No abstract provided.

Gender Differences In Psychological Strengths Among Rural Adolescents, Angela Preston, Jodi Bullard, Rachel Smith, Ashlyn Peppler

Nursing Faculty Publications and Presentations

Purpose: Rural adolescents often lack access to mental health care along with increased rates of depression and suicide completion. While psychological strengths have been associated with positive outcomes globally, little is known regarding the prevalence of these indicators (hope, self‐efficacy, resilience, optimism, and gratitude) among adolescents living in rural Texas. The purpose of this study was to describe how rural adolescents report their psychological strengths and examine the data for potential gender differences.

Design and Methods: A secondary analysis of cross‐sectional data was performed on the RStudio platform using tests of central tendency and inferential statistics. Results: There were 425 …

Pilot Study Of The Barriers To Exercise Adherence And Motivation (Beam) Questionnaire For Adults With Osteoarthritis, Haley Ciara Hughes

Dissertations

Osteoarthritis (OA) is a chronic condition affecting over 33 million adults in the United States (Center for Disease Control and Prevention [CDC], 2024). While exercise is one of the leading, non-pharmacological treatments for OA (Zhang et al., 2008), patients often struggle to meet physical activity guidelines, increasing their risk of lifelong disability, falls, and dependence (Wallis et al., 2013). Researchers in physiotherapy have struggled to identify effective, individualized treatments to improve exercise adherence for patients with OA that maintain long-term effects (Ezzat et al., 2015); an area behavior analysts could offer insight and guidance. Behavior analysts have developed indirect functional …

Understanding Hepatitis C Risk And Harm Reduction Needs Among People Who Smoke Drugs: A Client-Centered Qualitative Inquiry, Maxwell Gustin

Anthropology

The spread of Hepatitis C virus (HCV) via non-injectable equipment is plausible, making people who smoke drugs (PWSD) at-risk for possible infection and transmission. While much research has been conducted into injection drug use (IDU), likely due to the rising opioid epidemic, limited studies focus on the risks PWSD face. Currently, state-funded syringe service programs (SSPs) provide harm reduction education and materials to combat these risks. Safer smoking initiatives have been created and are widely used by PWSD, and have access to SSPs. To gain better insight into the HCV and non-HCV-related risks and burdens PWSD face, a qualitative study …

Impact Of Thermodynamic Factors And Intrinsic Properties On Crystallization Behavior And Physical Properties Of Edible Fats, Nabila Anjum

All Graduate Theses and Dissertations, Fall 2023 to Present

Crystallization behavior of three edible fats: interesterified soybean oil (IESBO), interesterified palm olein (IEPO), and fully hydrogenated palm kernel oil (FHPKO) were explored to understand how this process is affected by different factors. The study focused on how the chemical composition of these fats affects their behavior like how much time they require to be crystallized at a certain temperature. By using different scientific methods, how quickly each fat began to crystallize and how much energy it took to start the process was measured. Among the methods used, Gompertz equation, a mathematical model, gave the most consistent and reliable results …

Implications Of The Attenuated Allee Effect On Population Dynamics, Dana Strong

All Graduate Theses and Dissertations, Fall 2023 to Present

The Allee effect is an ecological phenomenon characterized by a per capita growth rate that increases as the population size increases in the context of low population density. The Allee effect can lead to rapid extinction events. Consequently, ecologists can attempt to control the strength of the Allee effect to help increase the population (in the case of endangered species) or decrease the population (in the case of parasites or pests).

This research aimed to study not the strength of the Allee effect, but the intensity of the Allee effect, or how rapidly cooperation between individuals causes the per capita …

Assessing The Human Health Impacts Of Nutrient-Dense Diets: Clinical Trials On Regenerative Agriculture And Protein Source, Jennifer Jensen-Cloward

All Graduate Theses and Dissertations, Fall 2023 to Present

Increasing consumer demand for sustainable, animal-friendly food options has sparked discussion about farming production practices. As more people prioritize their food choices, questions have circulated about how farming practices might impact not just the environment, but also human health. Regenerative agriculture is a farming method that has gained popularity for its potential to improve both food quality and environmental outcomes. It focuses on restoring ecosystem function, ultimately impacting the resulting nutrients in food products, and includes foods like grass-fed meat and organic produce. However, it is still unclear whether these practices make a difference in human health. This dissertation informs …

An Evaluation Of Virtual Reality Modeling To Improve Accuracy Of Physical Education Skills In Teenage Students With Disabilities, Kristen Lee

All Graduate Theses and Dissertations, Fall 2023 to Present

Virtual Reality (VR) technology is becoming more common in schools, especially for teaching and training. In this study, researchers explored how VR can help teenagers with disabilities improve their physical education skills, specifically push-ups, lunges, and jumping jacks. The participants all showed an increase in their skills and reached a high level of accuracy on every skill. The results showed that adding feedback was also necessary for some participants. Additionally, participants enjoyed using the VR equipment and showed high levels of happiness throughout the study. These findings suggested that using VR technology can be an effective way to support teenagers …

Assessing Patient Experiences And Priorities In Traumatic Brain Injury Health Care, Temitayo R. Okusanya, Madeline D. Furie, Sergey Tarima, Courtney O. Barry, Terri Deroon-Cassini, Yuka Kobayashi, Michael A. Mccrea, Kathleen S. Williams, Staci A. Young, Lindsay D. Nelson

Biostatistics Faculty Publications

Improving patient experiences and outcomes of traumatic brain injury (TBI) will require understanding patient perspectives of current care systems. Experts have called for building more integrated, patient-centered systems of care to better support patients through stages of TBI recovery. Informed by an earlier qualitative study, we conducted a survey to quantify patient perspectives on discharge and post-discharge experiences across seven hospitals in a single southeastern Wisconsin health system. Eligible participants were English or Spanish speakers and received TBI care between February 2023 and June 2024 at one level I trauma center emergency department (ED) and inpatient unit, two level III …

Association Of Genetic Scores Related To Insulin Resistance With Neurological Outcomes In Ancestrally Diverse Cohorts From The Trans-Omics For Precision Medicine (Topmed) Program, Chloé Sarnowski, Yixin Zhang, Farah Ammous, Lincoln M.P. Shade, Daniel Dicorpo, Xueqiu Jian, Donna K. Arnett, Thomas R. Austin, Alexa Beiser, Joshua C. Bis, John Blangero, Eric Boerwinkle, Jan Bressler, Joanne E. Curran, Charles S. Decarli, Harsha Doddapaneni, Josée Dupuis, David W. Fardo, Jose C. Florez, Stacey Gabriel, Richard A. Gibbs, David C. Glahn, Namrata Gupta, Hector M. González

Biostatistics Faculty Publications

To better characterize the potential biological mechanisms underlying insulin resistance (IR) and dementia, we derive cross-population and population specific polygenic scores [PSs] for fasting insulin and IR-related partitioned PSs [pPSs]. We conduct a cross-sectional study of the associations of these genetic scores with neurological outcomes in >17k participants (36% men, mean age 55 yrs) from the Trans-Omics for Precision Medicine (TOPMed) program (50% Non-Hispanic White, 23% Black/African American, 21% Hispanic/Latino American, and 4% Asian American). We report significant negative associations (P < 0.002) of the cross-population (P = 1.3 × 10^-5) and European (P_EA = 3.0 × 10^-8) fasting insulin PSs with total cranial volume, …

Drug Overdose Deaths In Kentucky, 2019–2024, Aaron P. Smith, Juan Lang, Carmen Canedo, Patricia R. Freeman, Lindsey R. Hammerslag, Daniel R. Harris, Amber Kizewski, Peter Rock, Nima M. Seyedtalebi, Philip M. Westgate, Jeffery Talbert, Sharon L. Walsh, Svetla Slavova

Biostatistics Faculty Publications

Background: Kentucky has historically experienced a high burden of drug overdose deaths. During the first years of the COVID-19 pandemic, the state saw a 45% increase in overdose deaths in 2020, followed by an additional 15% increase in 2021. However, drug overdose deaths declined in 2023 and 2024. This study used electronic death certificate records from the Kentucky Office of Vital Statistics (2019–2024) to evaluate whether Kentucky’s 2024 drug overdose death rates have declined to pre-pandemic levels and if declines were observed across all demographic groups. The results from Poisson regressions are reported as rate ratios (RRs) and their 95% …

Quantifying Nuanced Differences In Hand Dexterity Between The Dominant And Nondominant Hands Of Healthy, Right-Handed, Young Adults, Brian J. Conway, Léon Taquet, Timothy F. Boerger, Kaitlin Goetschel, Kate B. Krucoff, Sergey Tarima, Brian D. Schmit, Max O. Krucoff

Biostatistics Faculty Publications

When individuals present with hand injuries, clinicians often use the contralateral hand as an internal control. However, subtle differences in baseline dexterous abilities between the dominant and nondominant hands are poorly understood. To address this gap, here we quantified such differences, measured as independence (individuation) and smoothness of finger movements. A cohort of 47 right-hand-dominant healthy adults (22 males and 25 females) moved each finger independently 10 times, while joint angle data were tracked with a dataglove (CyberGlove III, CyberGlove Systems, San Jose, CA). Each finger’s performance was compared with its counterpart on the opposite hand using Wilcoxon-signed rank tests. …

Using An Intersectional Framework To Explore Cannabis And Tobacco Co-Use Patterns, Bethany Shorey Fennell, Cherell Cottrell-Daniels, Kory Heier, Kristen Mcquerry

Biostatistics Faculty Publications

Cannabis and tobacco co-use is an emerging public health concern linked to increased dependence and reduced cessation success for both substances. However, little is known about how co-use patterns vary by product type, motivation, and demographic characteristics. This protocol outlines a cross-sectional study designed to characterize the frequency, type, and context of cannabis and tobacco co-use among U.S. adult tobacco users using an intersectional framework. A national sample of adults who used tobacco in the past 30 days (N = 3777) were recruited via CloudResearch Prime Panels. Participants completed detailed measures of tobacco and cannabis use, co-use behaviors, motivations, expectancies, …

Bridging The Digital Divide: Enhancing Digital Literacy In Florida's Ged® Education Program, Nicole Howard-Rice

Graduate Student Dissertations, Theses, Capstones, and Portfolios

This dissertation addressed the critical need for mandated digital literacy courses in Florida's General Educational Development (GED®) programs. As digital skills become increasingly essential for success in education, employment, and daily life, GED® recipients often face significant disadvantages due to a lack of digital proficiency. The findings revealed positive results between digital literacy and employability, emphasizing the transformative potential of integrating digital skills training into GED® curricula. The research highlighted the barriers to acquiring digital skills faced by adult learners, including limited access to technology, varying skill levels, and insufficient instructional support. This study advocated for curriculum updates that align …

Exploring The Perceived Impact Of Instructional Coaching On K-12 Staff In A Midwestern State Region, Viloshinee Murugan

Dissertations

This study looked at how K–12 educators in one Midwestern state region perceived the impact of instructional coaching on their instructional practices. The purpose of this quantitative study was to determine how the type and frequency of coaching predicted the educators’ self-reported improvements in instruction. 307 educators who had participated in instructional coaching within the past five years completed the survey measuring three coaching types, content-focused, pedagogical-focused, and data-focused, and the frequency of one-on-one coaching interactions. Descriptive analyses identified the prevalence of each coaching type and the ways that the educators rated their growth, while a multiple regression tested the …

An Analytical Assessment Of Sentiment Analysis Trends And Methods Through Systematic Review And Topic Modeling, Chelsey Hill, Fatima Irshaidat, Marina Johnson, Jorge Fresneda

Department of Information Management and Business Analytics Faculty Scholarship and Creative Works

Sentiment Analysis (SA) applies Artificial Intelligence (AI) and Machine Learning (ML) techniques to identify and interpret opinions, emotions, and sentiment polarity in text data. This study presents a systematic literature review of SA research published between 2012 and 2024 using a dataset of 14,482 journal articles indexed in Scopus. The primary objective of this research is to provide a data-driven overview of the evolution of SA research, offering insights into methodological evolutions, emerging application areas, and the growing influence of AI in the field. The research findings reveal a multidisciplinary growth of SA research, with increasing contributions from Health Sciences …

Optimizing Telehealth Utilization During Covid-19: Enhancing Efficiency And Equity Through Data Envelopment Analysis And Machine Learning, Ying Chih Sun, Ozlem Cosgun, Raj Sharman

Department of Information Management and Business Analytics Faculty Scholarship and Creative Works

This study investigates the efficiency of telehealth utilization across U.S. counties during the COVID-19 pandemic, with a focus on identifying the key drivers of efficiency, especially in rural and underserved areas. The primary research goal is to assess the efficiency of telehealth utilization and examine patterns of resource misallocation. A hybrid methodological framework integrates Data Envelopment Analysis to measure county-level efficiency scores and Machine Learning techniques to uncover the most influential predictors of those scores, revealing patterns in resource distribution and infrastructure that contribute to disparities in telehealth performance. Using secondary data from CMS’s 5% Medicare Fee-For-Service claims and various …

The Wisdom Of The Lexicon Crowds: Leveraging On Decades Of Lexicon-Based Sentiment Analysis For Improved Results, Chelsey H. Hill, Jorge E. Fresneda, Murugan Anandarajan

Department of Information Management and Business Analytics Faculty Scholarship and Creative Works

The “wisdom of the crowd” (WoC) refers to the notion that collective human knowledge is capable of outperforming even individual expert knowledge. This study investigates the application of this phenomenon to lexicon-based sentiment analysis of text data. Lexicons are frequently used to classify the sentiment of text data, particularly in the absence of sentiment class label information. We propose leveraging some of the most popular, publicly-available lexicons created in the last half century to improve sentiment analysis performance. Specifically, this research argues that the collective information provided by the thirteen lexicons included in the crowd constitutes a WoC situation that …

Pathways To Aggression: Understanding Peer Victimization In Adolescence, Makenzie H. Clarken

Theses/Capstones/Creative Projects

Insight into aggression among early adolescents is important to understanding its predictors and consequences. In adolescence, aggression is typically related to underlying issues. Addressing this is important, as unmanageable aggression progressing past early adolescence can result in involvement in the criminal justice system. Studies show that peer victimization is associated with increased levels of aggression. Aggressive adolescents may attract victimization from their peers, or those who are victimized may respond with aggression. The current study followed a sample of 182 fifth and sixth graders over the course of the school year. Constructs such as aggression, peer victimization, and social withdrawal …

Empowerment Or Imprisonment? The Line Between Sex Work And Sex Trafficking: A Comparison Of Law Enforcement And Academic Perspectives, Jocelyn Belcastro

Theses/Capstones/Creative Projects

This research explores the line between consensual sex work and sex trafficking to gain a better understanding of the prevalence and pathways through which sex work may transition into sex trafficking. Semi-structured interviews were conducted with law enforcement professionals that work closely with survivors of sex trafficking to examine the pathways from consent to coercion. An interview with a former sex worker, now college professor, was also conducted to examine the lived experience and academic perspective. Both the law enforcement and academic perspectives were analyzed and compared to one another to form a nuanced understanding of the complex issue of …

Holistically Analyzing The Initial Athlete-Provider Interaction During Sports Injury Diagnosis, Tyler Baldwin

Theses/Capstones/Creative Projects

Recovering from injury is crucial for an athlete’s health-related quality of life and mental health. A potentially significant moment that could influence an athlete’s mindset towards recovery is the interaction between the provider and athlete during initial diagnosis. To analyze this moment from both perspectives, this study performs a thematic analysis of five semi-structured provider interviews and ten athlete interviews. In this study, all five providers exemplified an understanding of this moment’s significance, expressing awareness of their potential impact on the athlete’s mindset, and emphasizing mutual understanding to ensure streamlined recovery. Meanwhile, all ten of the athletes expressed self-awareness regarding …

Factors Associated With Stillbirth In Four Selected Hospital Maternity Units: An Unmatched Case-Control Study In Eswatini, Phetsile Thwala, Abednego Ongeso, Rose Maina, Benard Mutwiri

School of Nursing & Midwifery, East Africa

Background: Stillbirth is a substantially under-recognized adverse pregnancy outcome that predominantly occurs in low-middle-income countries. In 2019, Eswatini’s stillbirth rate was 13.2 per 1,000 births, higher than global targets. However, there is limited research on stillbirths in Eswatini. This study analyzed factors associated with stillbirths among women giving birth in four selected hospitals.

Methods: A multi-center unmatched case-control study was conducted using secondary data sources from July 1 to December 31, 2021. Birth records of 268 stillbirths (cases) and 1,151 live births (controls) were selected using consecutive and systematic random sampling, respectively. A piloted data extraction tool was used to …