Digital Commons Network^™

Text Messaging Support For Patients Diagnosed With Impaired Glucose Tolerance During Pregnancy: Nonrandomized Pre-Post Implementation Study Assessing Impact On Postpartum Transitions Of Care, Natasha R. Kumar, Whitney Bender, Celeste Durnwald

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Patients with impaired glucose tolerance (IGT) identified during pregnancy who do not develop gestational diabetes mellitus (GDM) often do not receive additional interventions for their long-term metabolic risks.

OBJECTIVE: This nonrandomized pre-post implementation study reports the design process and initial program evaluation for Better Follow-up of Impaired Glucose Tolerance (BRIDGE), a 12-week text-based postpartum support program promoting hemoglobin A1c (HbA1c) completion and primary care provider (PCP) visit scheduling for patients diagnosed with IGT during pregnancy, assessing improvement in desired postpartum transition milestones. The 19-month program was divided into 2 arms lasting 9.5 months each, BRIDGE- (SMS text messaging support …

Stages Of Belonging: The Yiddish Art Theatre’S Search For Its Home In New York City, 1918-1934, Octavia Chudnow

Lawrence University Honors Projects

In the first decades of the twentieth century, the main form of entertainment for the Jewish immigrant community was shund (trash) theater: popular and commercial theater. Although many immigrants enjoyed this kind of entertainment, playwrights, artists, and intellectuals critiqued its place in immigrants’ lives, especially since shund revealed the process of assimilation and was considered low-brow art. In 1918, Maurice Schwartz opened the Yiddish Art Theatre to create high-brow art for Jewish audiences. In my essay, I focus on the company’s history between 1918 and 1934, on the theater’s move from downtown to Midtown and back to the Lower East …

The 2026 Sc Administrator Working Conditions Survey, Angela Starrett, Brian Cartiff, Svetlana Dmitrieva

Reports

The SC Administrator Working Conditions Survey (SCAWCS) was developed to systematically examine the work environments of school leaders. Grounded in the job demands-resources (JD-R) model, the survey conceptualizes administrator working conditions as a balance between the demands of the role and the resources available to support it. The JD-R framework emphasizes that high job demands, such as workload and accountability pressures, can contribute to stress and burnout when not sufficiently offset by job resources. In contrast, robust resources can buffer these demands and promote engagement, resilience, and long-term commitment to the profession. Designed by SC TEACHER, the SCAWCS measures 13 …

Evaluation Of Corneal Infections Using A Smartphone Macro Lens For Synchronous Telemedicine, Joseph A. Anaya, Julia Yu, Marisa A. Schoen, Dilru C. Amarasekera, Cherie A. Fathy, Sophia Lam, Christopher J. Rapuano, Zeba A. Syed

Wills Eye Hospital Papers

PURPOSE: To determine the efficacy of synchronous telemedicine consultation with a corneal specialist using a macro lens attachment to a smartphone to evaluate corneal infections.

METHODS: Patients aged 18 years or older who presented to the Cornea Clinic at Wills Eye Hospital between June 2020 and March 2021 with a corneal infection were examined by two fellowship-trained cornea specialists. One examiner (CJR) performed face-to-face (FTF) slit-lamp evaluations, whereas another examiner (ZAS) performed synchronous telemedicine visit (STV) evaluations via a smartphone with a macro lens of 7× magnification (Olloclip; Foothill Ranch, CA, USA) held by trained study coordinators. Agreement between examinations …

Bridging The Romantic Repertoire Gap: Transcribing Nineteenth- Century Opera Arie For Oboe And String Quintet, Joshua Tyler Matthews

Electronic Theses and Dissertations Archive

This dissertation presents transcriptions of three nineteenth-century opera arie for oboe and string quintet as a means of engaging and adding to the instrument’s relatively limited Romantic-era repertoire. While the eighteenth and twentieth centuries produced substantial bodies of work for the oboe, the nineteenth-century reflects a noticeable reduction in solo and chamber compositions, influenced by factors including slower mechanical development, and aesthetic-related acoustic constraints. The study includes transcriptions of Léo Delibes’s “Air des clochettes” from Lakmé, Jacques Offenbach’s “Les oiseaux dans la charmille” from Les contes d’Hoffmann, and Vincenzo Bellini’s “Casta Diva” from Norma, selected to represent vocal styles from …

Vamorolone Safety, Pharmacokinetics, And Exploratory Efficacy In Duchenne Muscular Dystrophy: A Phase Ii, Nonrandomized, Multiple-Dose Study In 2–<4-Year-Old Boys, Jean K. Mah, Hernan D. Gonorazky, Elisa Nigro, Hanns Lochmüller, Alberto Alemán, Amanda Yaworski, Maryam Oskoui, Anne Marie Sbrocchi, Kathryn A. Selby, Ana De Vera, Rashmi Mathur, Ekaterina Gresko, Aki Linden, Catherine Dutreix, Eric P. Hoffman

Pharmacy Faculty Scholarship

Background and Objectives: Vamorolone is a dissociative corticosteroid (CS) approved by the US Food and Drug Administration in 2023 for treating Duchenne muscular dystrophy (DMD). This study evaluated the safety, tolerability, and pharmacokinetics (PK) of vamorolone in young boys with DMD; exploratory objectives included efficacy and patient-reported outcomes. Methods: A 12-week, phase II, open-label, multiple-dose study (VBP15-006) enrolled CS-naive boys with DMD aged 2–< 4 years in Canada. Participants received 2 or 6 mg/kg/d oral vamorolone. An ongoing expanded access protocol (EAP) provided longer-term data. Primary end points were the occurrence of treatment-emergent adverse events (TEAEs) and changes from baseline to week 12 in height, weight, and body mass index (BMI); other end points included PK and effects of vamorolone on muscle function. Results: Twenty boys (mean age [SD] 3.4 [0.39] years) with similar baseline characteristics were enrolled; all completed VBP15-006 and 19 continued to receive vamorolone through EAP Canada. TEAEs were mostly mild, with no deaths, serious TEAEs, or TEAEs leading to drug discontinuation during VBP15-006. TEAEs were more frequent with 6 mg/kg/d vamorolone than with 2 mg/kg/d, with gastrointestinal disorders and infections/infestations, respectively, most reported. Vamorolone use was associated with morning serum cortisol reductions in all patients, more pronounced with 6 mg/kg/d. Stable growth trajectories were observed at both doses throughout VBP15-006 and the EAP Canada follow-up period, with a total median (Q1; Q3) exposure to vamorolone of 2 years (1.7; 2.3). By EAP Canada last visit, 8/19 patients had weight and BMI z-scores changes >0.5, suggestive of excessive weight gain over time. Vamorolone displayed a dose-dependent PK profile with rapid absorption and no accumulation. Dose-dependent improvements in motor function (measured by Bayley-III gross motor scaled score) were observed. Glucose metabolism …

The Effect Of Face Masks On The Perception Of Trustworthiness And Competence In Individuals With Autistic Traits, Farid Pazhoohi, Maryam Rostami-Aghoui, Leilani Forby, Keina Aoki, Alan Kingstone

School of Psychology

Facial expressions play a crucial role in social communication, influencing judgments of trustworthiness and competence. While previous research has examined how face masks affect trust and competence in general populations, little is known about their impact on individuals with high autistic traits, who often rely more on the mouth region for social cue interpretation. The present study investigates the effects of face masks on perceptions of trustworthiness and competence as a function of high and low autistic traits. Results show that masked faces are generally perceived as more trustworthy and competent than unmasked faces. The effect of mask wearing on …

English Language Learners’ Perceptions Of Challenges To Persisting To Graduation In Higher Education, Rania Alhajjar

Walden Dissertations and Doctoral Studies

No abstract provided.

The Role Of Project Managers And Pmp Principles In Improving Operational Efficiency In Healthcare Organizations, Karan Thakkar

Harrisburg University Dissertations and Theses

Healthcare organizations operate in increasingly complex, regulated, and resource-constrained environments while managing a growing volume of projects tied to digital transformation, process improvement, regulatory compliance, and infrastructure development. Despite the project-intensive nature of healthcare operations, many organizations do not formally employ trained project managers or consistently apply Project Management Professional (PMP) principles; project responsibilities are frequently absorbed by clinical or administrative leaders whose primary expertise lies outside formal project management. This qualitative study examined how the project manager role and PMP principles contribute to operational efficiency in healthcare organizations. The study was conducted as a qualitative document analysis and thematic …

Integrating Production And Repair Operations Through Data Driven Defect Flow Analytics For Yield And Resource Optimization In Pcba Manufacturing, Ali Tahmasebi, Yingge Zhou, Daryl Santos, Sai Srikanth Reddy Kolli, Edward Wong

Systems Science and Industrial Engineering Student Scholarship

In Printed Circuit Board Assembly (PCBA) manufacturing, maintaining a closed loop connection between production and repair operations is critical to improving product quality and operational efficiency. However, in the manufacturing environment that motivated this work, production and repair data are often managed separately, and repair findings are not systematically fed back to production teams, limiting visibility into defect routing patterns and repair workload drivers. This study developed a data-driven framework that integrates production and repair data streams to analyze defect flow and support repair resource planning. The framework applies descriptive statistics, cross tabulations of repair inflow by product/project and repair …

Agrivoltaic Shading Reduces Soil Greenhouse Gas Fluxes In A Semi-Arid Vineyard, Marcelo Gomes Da Silva, Rafael M. Almeida, Carine Cocco, Engil Pereira

School of Earth, Environmental, & Marine Sciences Faculty Publications

Agrivoltaic systems are expanding in semi-arid regions, raising questions about how panel driven shading alters soil greenhouse gas exchange. We used automated chambers to measure high frequency soil CO2, N2O, and CH4 fluxes in a newly established vineyard agrivoltaic system in Texas across three shading intensities (0%, 35%, 88%) that represent the light environment beneath panels as shaped by panel tilt and solar trajectory. Shading primarily cooled the soil, reducing mean soil temperature from 35.9 °C (0%) to 32.5 °C (35%) and 30.5 °C (88%), while mean soil water content shifted modestly (0.125, 0.106, and 0.130 m3 m−3, respectively). Over …

Brain Reward Function In Young People With Cannabis Use Disorder: A Functional Magnetic Resonance Imaging Study, Martine Skumlien, Lisa‐Marie Greenwood, Arush Honnedevasthana Arun, Isabella Goodwin, Anastasia Paloubis, Tribikram Thapa Rana, Marianna Quinones Valera, Eugene Mctavish, Gabrielle Abbott, Suraya Dunsford, Antonio Verdejo‐Garcia, Jessica Ramamurthy, Mark M. Schira, Nadia Solowij, Chao Suo, Valentina Lorenzetti

School of Psychology

Background and Aims: Cannabis use disorder (CUD) affects ~50 million people globally. Neuroscientific theories suggest that a blunted neural response to non-drug rewards is a hallmark of substance use disorders; however, this remains untested in CUD. The current study tested whether brain reward system responses to the anticipation and feedback of monetary rewards differed in people with CUD and controls. Design: Observational study using functional magnetic resonance imaging (fMRI). Setting: Participants were recruited from universities and the community in Wollongong, Australia. Participants: Sixty-four individuals with CUD (20 female) and 28 controls (9 female), aged 18–32 years. Measurements: Participants completed a …

The Technology Of Tradition And Biology Of Narrative: New Analogies For The Study Of Homer And Epic, Eunice Kim

Open Access Fund Publications

In two separate, timely books Bozzone and Christensen draw from a wide range of scientific disciplines and modern parallels to consider how Homeric language and epic stories are in some ways living and alive. For Bozzone, who analyses the various formal features of Homer’s poetic technique by incorporating cognitive and linguistic frameworks, Homeric language is ‘living’ insofar as it operates on mechanisms analogous to those a speaker uses for natural languages and other kinds of speaking performances. Christensen, on the other hand, applies a series of biological analogies to epic poetry and imagines that the narrative of Homeric epic is …

Trauma-Informed Conversational Agents For Mental Health: Understanding User Perspectives And Experiences, Xintong Lu, Shion Guha, Rachel Pfafman, Jessica Pater, Courtney L. Washington, Fayika Farhat Nova

Health Services and Informatics Research

Introduction:

Mental health conversational agents (MHCAs) offer scalable, accessible psychological support yet raise concerns about safety and appropriateness for trauma, exposed users. While trauma-informed care (TIC) principles, emphasizing safety, trust, empowerment, collaboration, peer support, and cultural sensitivity, are well-established in clinical practice, their application and user interpretation in chatbot contexts remain unexplored. This study aimed to explore (1) how users conceptualize trauma-informed care in the context of mental health chatbots and (2) what factors can help us predict whether users perceive their chatbot interaction as trauma-informed.

Methods:

A 59-item web-based survey (REDCap) assessed demographics, technology proficiency, adverse life experiences, chatbot …

The Invisible Disease Made Visible: A Qualitative Inquiry Into The Lived Experience Of Cold Agglutinin Disease Patients, Paul Mowry

Electronic Theses and Dissertations Archive

The purpose of the phenomenological study was to better understand the lived experience of Cold-Agglutinin Disease (CAD) patients. Eleven white female participants who had moderate to severe symptoms of CAD were recruited via a CAD support group on Facebook and were prompted with a series of open-ended questions about their lived experience with CAD. Interview questions focused on how vital life domains (i.e., mental and physical health, family, community, and work) are impacted by CAD, how CAD patients experience the medical and mental health system, CAD patients’ perceptions of the medical healthcare they received, and their recommendations for how medical …

“Your ‘Magic Dick’ Won’T Fix Us”: The Lived Experience Of Women With Vaginismus, Alisun Fiona Hughes

Electronic Theses and Dissertations Archive

Genito-Pelvic Pain/Penetration Disorder, or what is commonly referred to as Vaginismus, is a pelvic floor dysfunction which causes penetration of the vagina to be painful or impossible. This qualitative study examines the lived experiences of women living with vaginismus, looking specifically at how they were socialized to perceive sex and how they navigate their condition. Grounded in theories such as Sexual Scripts Theory, Stigma Theory and Gender as Performance, this research analyzes how this condition is not just a biological trait, but also a socialized phenomenon that often causes a “spoiled identity”. Data was collected through an open-ended online survey …

Best Strategies To Teach Nutrition Courses In Graduate Programs: A Systematic Review, Zeina Hojeij, Suzan Haidar, Rana Rizk, Nadine Mahboub

All Works

Introduction – Graduate-level nutrition education requires innovative teaching strategies that foster advanced clinical competence, professional communication, cultural responsiveness, and self-directed learning. Methods – This systematic review synthesized evidence from fifteen peer-reviewed studies examining diverse teaching strategies in graduate nutrition programs. Results – Most interventions employed simulation-based learning, experiential placements, or flipped classrooms, often incorporating technology such as virtual simulations and online collaborative platforms. Simulation and experiential approaches improved clinical competence, communication skills, empathy, and self-efficacy by providing realistic, hands-on experiences that bridged theoretical knowledge with professional practice. Flipped classrooms, though less frequently implemented, promoted teamwork, problem-solving, and reflective learning, while …

Investigation Of Electrochemical Transport, Gate Leakage, And Transconductance Behavior In Pedot:Pss Organic Electrochemical Transistors, Vinay Bhudhraja, Bilal Khan, Abijeet Mehta

Health & Biomedical Sciences Faculty Publications

Organic Electrochemical Transistors (OECTs) are promising candidates for low-voltage bioelectronic systems due to their high transconductance, mixed ionic–electronic transport, and compatibility with flexible substrates. In this work, we investigate the electrochemical transport, gate leakage, and transconductance behavior of screen-printed PEDOT:PSS OECTs, with emphasis on the relationship between ionic coupling and output characteristics. Key electrical and electrochemical parameters—including drain current modulation, transconductance evolution, gate current behavior, and capacitance–voltage response—were systematically analyzed to elucidate the mechanisms governing device operation. The results reveal clear trade-offs between parasitic resistance, volumetric electrochemical capacitance, and effective gate control, which in turn influence signal integrity and amplification …

Volunteers' Motivation And Better Volunteer Recruitment In Nonprofit Organizations, Ashley Denise Williams

Walden Dissertations and Doctoral Studies

No abstract provided.

When School Culture Excludes: Deficit Discourse, Microaggressions, And The Mental Health Of Marginalized Students – A Conceptual Framework With Implications For School Psychology Practice And Equity Policy, Modupe Mercy Oyewunmi

Publications

Deficit-laden language like ‘behavior problem,’ ‘not college material,’ ‘won’t fit in’, ‘not a cultural fit’, operates as a systemic form of implicit bias and microaggression in school settings. Despite decades of research on school belonging and well-being, school psychology has yet to integrate these exclusionary discursive practices into a coherent health-determinant model that also accounts for the current anti-diversity, equity, and inclusion (DEI) policy environment. This conceptual paper proposes a testable framework linking deficit discourse and school-based microaggressions to student identity suppression, academic impostor phenomenon, and educator moral injury, with downstream effects on school mental health outcomes. We situate these …

How Do Us States Define Person-Centered And Family-Involved Care In Assisted Living Regulations, Paula Carder, Lindsey Smith, Jennifer N. Bunker, Cassandra L. Hua, Erh-Chi Hsu, Isabelle Boun, Olivia M. Ainsworth, Kali S. Thomas, Eric Jutkowitz

Institute on Aging Publications

Introduction: A large share of assisted living (AL) residents have a diagnosis of dementia or cognitive impairment, and these individuals can benefit from person-centered care and family-involved care. This study examines whether and how states’ AL licenses address these topics.MethodsThis research analyzed a national database of 249 unique licensing requirements that govern 35,602 ALs in all states and associated regulations, including those that govern memory care (MC) services. We reviewed each regulation for the presence of person-centered or family involved care and then used content analysis of license requirements with at least one relevant policy to identify key categories and …

Positive Partner Support And Veteran Well-Being: How Capitalization Support Strengthens Military Veterans And Partnerships, Maryann Dona Samson

Dissertations and Theses

Among military veterans, the transition to civilian life is often marked by elevated distress and burnout, low job satisfaction, and a lack of perceived psychological safety. Social support, especially from intimate partners, can serve as a critical protective factor. While most support literature focuses on stress-buffering in adverse contexts, positive social support, such as responsiveness to shared positive experiences (i.e., capitalization support), is a powerful though understudied process. This dissertation investigates the role of partner capitalization support, which is the responsiveness shown by a romantic partner when one shares good news, as a source of stress reduction, resilience, and relational …

Why Am I Here? Individual, Organizational, & Societal Influences Of Employee Motives To Attend Voluntary Diversity Training And Their Effects On Training Outcomes, Henri T. Maindidze

Dissertations and Theses

Diversity training is a key part of diversity management efforts, but its effectiveness has repeatedly been called into question in both academic and applied spaces, leading many to question its utility. In the case of voluntary diversity training (VDT), where employees can opt in or out of participation, those motivated to attend might not be the ones who would most benefit from participating, thereby limiting the effectiveness of VDT for the organization. As a result, understanding the predictors and outcomes of employee motives to attend VDT can guide improved implementation and evaluation of VDT. Informed by self-determination theory and training …

In Vivo Orf Overexpression Screening Identifies Ccn4 As A Regulator Of Glioblastoma Growth Validated Across Multiple Models, Pushan Dasgupta

Faculty, Staff and Students Publications

Despite current multimodal therapies for glioblastoma (GBM), its prognosis remains grim. Thus, a tremendous need exists to identify new genetic drivers that may serve as potential therapeutic targets in glioblastoma (GBM). We describe an in vivo overexpression screening strategy to identify drivers of glioblastoma where we have leveraged TCGA datasets to conduct a functional genomics screen of prioritized open reading frames (ORFs) that are overexpressed and/or amplified in GBM. To interrogate these potential drivers within a more relevant physiological context, the screening was accomplished in vivo in an orthotopic patient-derived glioma stem-like cell (GSC) model. Among 5 positive "hits" from …

Right Ventricular–Pulmonary Artery Coupling Predicts Early Myocardial Strain Improvement In Sglt2 Inhibitor-Treated Hfref, Mohammad Ali Hammad, Ramy Magdy Elgamal, Arwa Mohsen Abouelkhir, Osama Abouelfetouh Elshaer, Mohamed Shokry Fahmy, Reda Nabil Dawoud, Reda Biomy, Mohamed Kamal Salama

Journal of the Saudi Heart Association

Background: While sodium-glucose cotransporter-2 (SGLT2) inhibitors clearly benefit left ventricular recovery in heart failure with reduced ejection fraction (HFrEF), their rapid effects on right ventricular (RV) function remain poorly characterized. This prospective observational study investigated the timeline and markers of biventricular changes shortly after SGLT2 inhibitor initiation.

Methods:In this prospective observational study, 50 adults with HFrEF (LVEF

Results:After 3 months, NT-proBNP levels decreased significantly (1116.5 vs 913.5 pg/mL, P

Conclusions: In this prospective observational study without a control group, SGLT2 inhibitor initiation was associated with coordinated biventricular improvements within three months in HFrEF patients. The baseline TAPSE/PASP ratio …

The Effect Of Social Entrepreneurship On Economic Development In Emerging Economies: A Review Of Existing Studies, Samuel Bangura, Princess Thulile Duma, Ntombifuthi Alexia Mthembu

Management Dynamics

Background: Social entrepreneurship (SE) has emerged as an innovative mechanism to tackle persistent societal challenges, such as poverty, unemployment, and inequality, by prioritising social impact alongside sustainable business models. This is particularly relevant in resource-constrained emerging economies like South Africa, where high unemployment (approximately 33%) and weaknesses in the entrepreneurial ecosystem (ranked 49th globally) hinder traditional economic development (ED) pathways.

Objectives: This systematic review aims to examine the relationship between SE and ED, exploring definitions of SE, its interconnections with ED, contextual applications (with a focus on South Africa), associated challenges, opportunities, enabling factors, and contributions to sustainable growth and …

Diagnosis Of Covid-19 Impact On The Construction Employment: Decline And Recovery, Anil Baral, Abdullah Alnuaimi, Yunping Liang, Baabak Ashuri, Mohsen S. Shahandashti

Durham School of Architectural Engineering and Construction: Faculty Publications

The Coronavirus Disease 2019 (COVID-19) had an unprecedented impact on U.S. construction employment. The assessment of employment declines and recoveries across various construction sectors, workforce demographics, and geographic regions helps develop inclusive long-term plans to overcome the setbacks of natural hazards, such as the COVID-19 pandemic. Existing methods for quantifying the employment decline from sudden shocks do not consider trends and seasonality of construction employment under normal conditions. Hence, it is not clear whether the employment declines are due to the impact of a disaster or associated with trends and seasonal patterns of employment. The objective of this research is …

Psychogastroenterology: An Introduction For Behavioral Health And Healthcare Professionals, Jerrod Brown Ph.D., M.A., M.S., M.S., M.S., M.S., M.S., Jeremiah B. Schimp Phd, Ma, Lpcc, Leanne Skehan Dcn, Msacn, Mph, Mba, Cns, Ches, Shelley Mydra Dmft, Lmft, Jonathan Ward Dc, Phd(C), Ms, Dibcn, Tiffany Flaten Cns, Ldn

Nutritional Neurocriminology Today

Although often difficult to discuss with clients, gastrointestinal (GI) issues affect an estimated 60 to 70 million Americans (American Gastroenterological Association, 2022). Yet only about 25% of those experiencing these conditions receive treatment. This is troubling because GI issues frequently co-occur with clinically significant consequences for physical health, psychological well-being, daily functioning, and overall quality of life. Designed for behavioral health and healthcare professionals, this brief article introduces the field of psychogastroenterology, with emphasis on symptoms, stigma, diagnosis, and treatment. Key topics include the gut-brain axis, common digestive health conditions, and the mental health implications associated with gastrointestinal disorders.

Acute And Inpatient Occupational Therapy Practice For People With Chronic Conditions Who Are Experiencing Homelessness, Emily K. Simpson, Anne K. Mokate, Elizabeth A. Gibbs, Nina K. Duric

Internet Journal of Allied Health Sciences and Practice

Purpose: Despite having high rates of chronic illness, people experiencing homelessness (PEH) in the United States face barriers to healthcare access that result in unmet health needs and poor health outcomes.  The objective of the study was to identify the barriers to service experienced by occupational therapy practitioners (OTPs) in acute and inpatient settings in providing services to PEH and to describe education strategies to reduce those barriers. Methods: Researchers employed a cross-sectional design with OTPs (n=292) with experience treating PEH. Results: Barriers to treatment for OTP included lack of education, need to prioritize acute concerns, and inadequate institutional resources. …

Nature And Nurture In Appreciating Neurodivergent Lives, Peter Smagorinsky

Ought: The Journal of Autistic Culture

Review of Neurodivergent, by Nature: Why Biodiversity needs Neurodiversity by Joe Harkness (Bloomsbury Wildlife, 2025)