Digital Commons Network^™

Barriers To Veterans Affairs (Va) Healthcare Utilization: Exploring The Underutilization Of Va Healthcare Services Among Rural, West Texas Veterans, Adam G. Rodgers

Electronic Theses and Dissertations

Rural veterans forgo Department of Veterans Affairs (VA) healthcare at disproportionate rates, and this study found that the primary barrier is not enrollment but utilization. Seven of the eight participants were already enrolled yet remained functionally outside the system. The purpose of this qualitative single-case study was to explore why rural West Texas veterans forgo and underutilize Veterans Health Administration (VHA) healthcare. Two research questions examined the perceptions contributing to that decision and the barriers preventing access. Andersen’s behavioral model of health services use provided the framework. Semistructured virtual interviews with eight rural West Texas veterans were analyzed using Braun …

World Transit Research October 2026 Newsletter, Institute Of Transport Studies Monash University

World Transit Research Newsletter

No abstract provided.

Ungrammaticalities And Film Music, Jonathan Rhodes Lee

Music Faculty Research

This essay advocates Michael Riffaterre’s concept of “ungrammaticality”—a moment within a text that appears illogical or confusing according to its own internal grammar— as a useful heuristic for analyzing film music. While intertextuality has long underpinned film music studies, scholars have yet to fully engage with Riffaterre’s model, which emphasizes how such disruptions compel interpretive work by sending audiences outside the text to make meaning.

In cinema, music often functions precisely this way: moments like the entrance of nondiegetic underscoring or abrupt changes in sonic logic interrupt the coherence of the diegetic world and thereby activate the viewer’s intertextual competence. …

Midwifery Student Attrition In Australia: A Scoping Review, Terri Downer, Tanya Capper, Olav Muurlink

Research outputs 2022 to 2026

Problem: Global literature suggests that attrition rates from entry-to-practice midwifery programs are increasing. However, little is known about student attrition in the Australian context.

Background: Australia faces a growing midwifery shortage, prompting calls to increase program enrolments. Evidence from the United Kingdom shows high and rising attrition in entry-to-practice programs. In Australia, the scale of midwifery student attrition and the factors influencing it remain largely underexplored.

Aim: To identify and synthesise existing Australian literature on factors influencing midwifery student attrition.

Methods: A search of PubMed, Medline, CINAHL Ultimate, Embase, MIDIRS, EBSCO, and Google Scholar databases was conducted with key data …

Wright State University Libraries Annual Report 2025 - 2026, Wright State University Libraries

University Libraries' Annual Reports

The 2025-2026 Annual Report by the Wright State University Libraries highlighting the various happenings at the University Libraries including staff updates, public services highlights, and events.

What Controls The Spatial Variation In Thermal Sensitivity In A Cascades River Basin During An Extreme Heat Year?, Savannah Milburn, Michael Krochta, Heejun Chang

Geography Faculty Publications and Presentations

Increasing stream temperatures resulting from climate change and consequent detrimental impacts on temperature‐dependent aquatic species have signalled the need to better understand how different streams respond to changes in air temperature. This research generates a new assessment of thermal sensitivity in the Clackamas River Basin, Oregon, USA by analysing how underlying geology, climate, hydrology and land cover explain spatial variation in stream thermal sensitivity. Multiple linear regression analysis using spatially explicit landscape predictors across 72 sites identified upstream High Cascades geology, elevation, baseflow index, total upstream area and upstream shrubland area as the most significant and stable predictors determining thermal …

Approaching Chinese Art Songs: A Mandarin Diction Guide For English-Speaking Singers, Tianming Qi

Doctoral Scholarly Projects & Capstones

This article presents a graded Mandarin diction guide for English-speaking singers studying Chinese art song. Responding to the limited availability of Mandarin diction resources organized by level, it examines Qing Zhu’s “The Great River Goes East,” Yuanren Zhao’s “How Can I Not Think of Him?,” and Yong Chen’s “Love of the Sea” as beginning, intermediate, and advanced case studies. The analysis considers initials, finals, lexical tones, tone-sandhi, syllable structure, text density, and their coordination with rhythm, legato, and melodic phrasing. The study shows that diction difficulty arises not from isolated sounds but from the concentration and interaction of these features …

Incorporating High-Quality Simulations Into The Undergraduate Health Management Curriculum: A Pragmatic Approach For Learner Engagement, Noemí Rodríguez, Laura M. Penalo

Publications and Research

Despite the well-documented benefits of simulation-based education, their use remains limited in undergraduate health management programs. Faculty might be unfamiliar with the processes required to design and implement high-quality simulations. This article presents a structured methodology—grounded in Healthcare Simulation Standards of Best Practice and The Jeffries Simulation Theory—through the experience of an undergraduate healthcare policy and management course at a large urban public university. This article focuses on describing the multilayered Online Standardized Participant Simulation including a detailed description of the simulation design, prebriefing, online standardized participant scenario, and debriefing. A unique feature of the shared simulation experience is the …

A Word From The Writing Team (October 2026), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.

Factor Structure Of The Neuropsychological Battery In The Mexican Cognitive Aging Ancillary Study (Mex-Cog), Lily Kamalyan, Zachary J. Kunicki, Sangha Jeon, Guanyi Yang, Silvia Mejia-Arango, Alejandra Michaels Obregon, Rebeca Wong, Joseph Saenz, Emily M. Briceño, Miguel Arce Rentería

School of Medicine Publications

Objective: The Mexican Cognitive Aging Ancillary Study administers a comprehensive cognitive assessment based on the Harmonized Cognitive Assessment Protocol. To ensure accurate measurement of cognition for older adults in Mexico, we sought to determine the cognitive factor model of the Mexican Cognitive Aging Ancillary Study battery at Wave 1. Method: Participants were 2,042 adults over the age of 55 living in Mexico in 2016, selected from the Mexican Health and Aging Study survey of 2015. We used confirmatory factor analysis to assess and refine a theoretically driven multiple domain hierarchical factor structure. Correlation estimates between cognitive scores and age and …

Resistant Hypertension Secondary To Renal Arteriovenous Malformation: A Case Of Cure After Nephrectomy, Alexis Garza, Maximo A. Alvarez, Paul Kim, David Alonzo

School of Medicine Publications

BACKGROUND: Evaluation of multidrug-resistant hypertension in young adults requires consideration of uncommon secondary etiologies, including renovascular disease and congenital renal vascular anomalies. Renal arteriovenous malformations (rAVMs) represent a rare cause of secondary hypertension, accounting for less than 0.1% of renal vascular abnormalities. They most commonly present with hematuria, flank pain, or, in high-flow lesions, high output cardiac failure. Hypertension as the principal manifestation is uncommon.

CASE REPORT: We describe a 33-year-old woman with longstanding uncontrolled hypertension requiring 5 antihypertensive agents who presented for evaluation of refractory blood pressure control. Initial duplex ultrasound and angiography identified a large complex left renal …

The Last Days Of Judas Iscariot

Theatre and Performance Studies Programs

The Last Days of Judas Iscariot 2026 program

Recanalisation Quality, Not First-Pass Effect, Drives Outcomes In Paediatric Mechanical Thrombectomy: A Multicentre Prospective Study, Adam A. Dmytriw, Iman Kiani, Kartik Bhatia, Todd Abruzzo, Lisa Pabst, Stuart Fraser, Melissa Chung, Warren Lo, Ahmed Othmann, Ameer E. Hassan

School of Medicine Publications

Introduction: In adult endovascular thrombectomy (EVT), first-pass success is associated with better outcomes, but whether this "first-pass effect" also holds true in childhood stroke remains unknown. We investigated the association of thrombectomy pass counts with 90-day outcomes after paediatric EVT.

Patients and methods: We analysed prospectively collected data from the international Save ChildS Pro registry (ages 0-17 years). All EVT-treated patients were included irrespective of the reperfusion grade achieved. Successful reperfusion was defined as expanded thrombolysis in cerebral infarction (eTICI) ≥ 2b and complete/near-complete reperfusion as eTICI 2c-3. The primary outcome was ordinal 90-day mRS in a proportional odds model. …

Beyond Balochistan: The Designation Of The Balochistan Liberation Army And The Majeed Brigade As Terrorist Organizations, Dexter Ingram

Reports, Projects, and Research

This report is part of a white paper series focused on the 25 groups designated as foreign terrorist organizations (FTOs) by the U.S. Department of State in 2025. As the Department of Homeland Security’s center of excellence focused on counterterrorism, NCITE’s mission is to work with homeland security partners to provide scientific insights on terrorists and other illicit actors that pose a threat to U.S. homeland security and defense. The intent of this report is to support government, law enforcement, and policymakers tasked with protecting the U.S. from terrorism and related threat actors with information on: 1) the threat actors …

Evaluating Large-Scale Propensity Score Adjustment When Sample Size Is Small, Fleur Vereijken, Jenna M Reps, Marc A Suchard, Linying Zhang, George Hripcsak, Peter R Rijnbeek, Ross D Williams, Martijn J Schuemie

2020-Current year OA Pubs

BACKGROUND: Large-scale propensity score (LSPS) models are increasingly used to control confounding in observational studies, but their reliability in small-sample settings is unclear. Small samples can limit a study's ability to estimate propensity scores accurately and achieve adequate covariate balance, raising concerns about insufficient confounding adjustment. Resulting in small datasets being excluded, despite potentially containing valid information.

METHODS: We evaluated the balancing and bias reduction performance of LSPS models using six target-comparator pairs. To emulate a distributed data network analysis setting, we partitioned two large real-world data sources into smaller subsets. Within each subset, LSPS models were fit locally and …

A Deep-Learning Based Biomarker Of Systemic Cellular Senescence Burden To Predict Mortality And Health Outcomes, Shangshu Zhao, Chia-Ling Kuo, Eric J Lenze, Julie L Wetherell, Laura Haynes, Perla El-Ahmad, Richard Fortinsky, George Kuchel, Trevor Harris, Breno S Diniz

2020-Current year OA Pubs

The accumulation of senescent cells is a recognized hallmark of biological aging and is associated with the onset of multiple chronic medical conditions. Senescent cells exhibit a distinct secretory profile, known as the senescence-associated secretory phenotype (SASP), which can propagate cellular senescence to neighboring and distant tissues. Measuring SASP factors in blood serves as a practical proxy for cellular senescence burden and may help track disease states and intervention outcomes. We developed and validated a composite SASP Score by integrating large-scale population proteomics data with a semi-supervised deep learning framework. The analytical workflow included: (1) selection of biologically curated SASP …

Expanded Umbilical Cord Blood Transplantation In Cerebral X-Linked Adrenoleukodystrophy: A Case Report, Rachel E Granberg, Thomas Pfeiffer, Sanil Sansar, Rafael Galindo, Shalini Shenoy

2020-Current year OA Pubs

Umbilical cord blood transplantation is a viable source of stem cells due to accessibility and low incidence of chronic graft-versus-host disease despite human-leukocyte-antigen mismatching. Disadvantages of low stem cell dose in larger recipients include delayed immune reconstitution, graft rejection, and mortality. Successful transplants with ex-vivo expanded cords resulted in approval in malignant disorders and aplastic anemia. We report the first successful expanded cord transplantation in an adolescent with cerebral adrenoleukodystrophy who had no alternative donor/treatment options and required transplant emergently for neurologic preservation. This report highlights a mechanism for timely transplant in metabolic disorders, and preservation of functional advantages despite …

Deflation-Based Preconditioning For Parallel Time Stepping Algorithms, Marina Nacianceno, Josef A. Sifuentes

School of Mathematical & Statistical Sciences Faculty Publications

Often, in solving large systems of differential equations using a time-stepping algorithm, one must solve multiple linear systems where the coefficient matrix is unchanged or shifted by a constant multiple of the identity. This can be computationally expensive when the coefficient matrix involved is very large. Where direct methods like Gaussian elimination are infeasible, iterative methods like GMRES are often used. It is especially useful when the matrices involved are sparse or allow for fast matrix multiplication algorithms. In this paper, we propose preconditioning strategies that glean information from previous runs of GMRES to build an effective preconditioner for subsequent …

Where Are Linearized Gauge Invariants Encoded For Plane Waves In Linearized Gravity, Ramesh Radhakrishnan, David Mcnutt, Delaram Mirfendereski, Eric Davis, William Julius, Gerald Cleaver

Physics & Astronomy Faculty Publications

In this work we will investigate the structures of invariants within the class of plane waves in linearized General Relativity, to introduce a new approach to determine the linearized gauge invariants encoding the polarization of the plane waves. The Newman–Penrose (NP) formalism is traditionally used to analyze the polarization content of gravitational waves, while the gauge-invariant Bardeen formalism provides a complementary description based on the irreducible scalar, vector, and tensor perturbations of the metric. We will apply the Bardeen formalism to compute all scalar, vector, and tensor gauge-invariant variables explicitly and verify that only the two transverse–traceless tensor modes survive. …

Student Perceptions Of Artificial Intelligence-Generated Child Sexual Abuse Material: A Qualitative Content Analysis, Paige Horton, Amanda Isabel Osuna

Dignity: A Journal of Analysis of Exploitation and Violence

The rapid growth of artificial intelligence (AI), especially generative AI and deepfake technology, has introduced new challenges in the production and dissemination of child sexual abuse material (CSAM). While existing research has examined the technological and legal implications of AI-generated child sexual abuse material, less is known about how the public, especially young adults who are most likely to use AI technologies, perceive these developments. The present study addresses this gap by examining undergraduate student perceptions of AI-generated child sexual abuse material at a medium-sized private university in the Southeastern United States. Using data from a Qualtrics survey, this study …

Society Of Tennessee Archivists Annual Meeting Program, 2026, Society Of Tennessee Archivists, Janine Winfree, Jill E. Anderson, Sandra Campbell, Kathleen Feduccia

Society of Tennessee Archivists Annual Meeting programs

Program of the Annual Meeting of the Society of Tennessee Archivists held in Memphis, Tennessee on 2026 October 8-9.

A Prospective Natural History Study Protocol For Clinical Trial Readiness In Synaptic Disorders, Joeylynn Coyne, Ian Mcsalley, Michael C Kaufman, Bintou Bane, Torrey Chisari, Jonathan Toib, Carlyn Glatts, Sarah Tefft, Julie M Orlando, Viveknarayanan Padmanabhan, Alexander K Gonzalez, Alicia Harrison, Charlene Woo, Stephanie A Zbikowski, Rency Dhaduk, Johanna Mercurio, Macie Mccarthy, Jan H Magielski, Zachary Grinspan, Megan Abbott, Juliet Knowles, Hsiao-Tuan Chao, Katherine Xiong, Elizabeth Berry-Kravis, Sepideh Tabarestani, J Michael Graglia, Kathryn Helde, Virginie Mcnamar, Charlene Son Rigby, James Goss, Scott Demarest, Andrea Miele, Benjamin Prosser, Michael J Boland, Samuel R Pierce, Ingo Helbig

Faculty, Staff and Students Publications

Objective: STXBP1-related disorder (STXBP1-RD) and SYNGAP1-related disorder (SYNGAP1-RD) are two common genetic synaptopathies that are associated with epilepsy, developmental delay, intellectual developmental disorder, and behavioral problems. Both STXBP1-RD and SYNGAP1-RD are potential targets for disease-modifying therapies, but there is limited information in the literature describing the natural history of either disorder, which impedes outcome selection for future clinical trials. The objective of this study is to develop a framework to better define and outline the clinical spectrum and longitudinal trajectories of STXBP1-RD and SYNGAP1-RD natural history, including development, behavior, seizure histories, and electrophysiology.

Methods: Here, we describe a protocol, regulatory …

Loss Of An Adolescent Peer By Suicide Through The Lens Of Qualitative Interpretive Description, Kristin S. Burgess

Nursing Theses and Dissertations

Adolescence is an important period of development during which relationships and life experiences influence mental health and well-being. Understanding these experiences is essential to providing individualized, developmentally informed nursing care. This portfolio dissertation examines adolescent connectedness, mental health, and the lasting influence of peer suicide through three manuscripts that collectively contribute to nursing knowledge and future research. Chapter 1 introduces the background, significance, and problem of adolescent peer suicide bereavement, establishes the gap in understanding its long-term developmental impact, and presents the purpose and research questions guiding the dissertation. Chapter 2, Connectedness in Adolescence: A Concept Analysis, clarifies the defining …

Retention Rates: A Qualitative Study Exploring Teachers’ Perspectives Of Teaching In Northeast Florida, Dawn J. Kell

Doctor of Education (Ed.D)

This qualitative phenomenological study explored workplace experiences and motivational factors influencing teacher retention among Northeast Florida charter school educators. With nearly half a million teachers leaving the classroom annually and approximately 41% leaving within their first five years, understanding why educators remain in the profession is imperative for sustaining student success and educational quality. The purpose of this study was to explore motivational factors that lead teachers to remain in the profession despite current challenges. Using a purposeful sampling method, 12 certified Northeast Florida charter school teachers participated in 30-minute semi-structured interviews conducted via Zoom. Each 30-minute interview was recorded, …

When Going Alone Feels Right: The Effect Of Solo Cues On Interest In Attending Cultural Events, Inyoung Lee, Sang-Hoon Kim

Asia Marketing Journal

With the rise of solo consumers, cultural event marketers face a challenge: how can events appeal to solo consumers without marginalizing group consumers? To address this question, the impact of solo cues in marketing communication is examined through the lens of role and script theory. Two experiments demonstrate that solo cues, which signal the inclusion of solo consumers among attendees, increase solo consumers' attendance interest but do not affect group consumers. For solo consumers, the impact of solo cues is driven by anticipated enjoyment and is particularly pronounced for events entailing a high (vs. low) level of social interaction, where …

Bridging The Intention-Behavior Gap In Adopting Zero-Waste Grocery Retail Store, Elizabeth Jacob, Salil Sahadevan

Asia Marketing Journal

Growing interest in sustainability within marketing has renewed attention to zero-waste retail, yet it remains largely niche. This study investigates the challenges limiting zero-waste retail adoption and explores consumer expectations through key stakeholder interviews and a large-scale consumer survey in India. Building on earlier work that focused primarily on individual barriers, it incorporates structural factors and the interconnected nature of these obstacles. Adoption of zero-waste shopping practices is constrained by emotional labor, cognitive overload, and systemic friction. Cultural norms favoring convenience and hygiene reinforce disposability, and the lack of conventional packaging creates logistical hurdles. In this connection, the study identifies …

Risk, Benefit, And Trust In Emotionally Intense Services: A Moderated Mediation Model Of Home-Based Palliative Care Adoption In China, Cong Zhuang, Wenfeng Wei, Kyung-Min Kim

Asia Marketing Journal

As aging populations expand across Asia, home-based palliative care remains underutilized despite its potential to preserve dignity and emotional well-being. This study examines adoption decisions under emotionally intense uncertainty by testing a moderated mediation model in which perceived risk reduces adoption intention through diminished perceived benefit, and trust conditions the risk–benefit appraisal link. A scenario-based experiment with 400 Chinese participants was analyzed using PROCESS Models 4 and 7 with bias-corrected bootstrapping. Results show that perceived benefit fully mediates the effect of perceived risk on adoption intention. Trust shows evidence of conditioning the association between perceived risk and perceived benefit; however, …

Bright Shadows, Fresh Appeal: How Shadow Brightness Shapes Perceptions Of Fresh Products, Jonghee Kum, Hyewon Cho, Hyejin Lee

Asia Marketing Journal

This study examines how shadow brightness (light vs. dark) influences consumer responses to fresh products across four studies. Studies 1a and 1b demonstrate that consumers evaluate fresh products with light shadows more favorably compared to those with dark shadows. Study 2 identifies the underlying mechanism, showing that light shadows increase perceived wholesomeness, which positively affects consumer responses. Study 3 tests a boundary condition, revealing that the positive impact of light (vs. dark) shadows is pronounced for uncooked products but reduced for cooked products. These findings contribute to a better understanding of the influential role of visual elements in shaping consumer …

Smart Tourism Technology And Sustainable Tourism: Creating Vivid Memories To Drive Tourists' Behavioural Intention, Hatane Semuel, Regina Jokom, Trixie Nova Bella Tandijaya, Sienny Thio

Asia Marketing Journal

This study examines the impact of smart tourism technology and sustainable tourism on tourists' behavioural intention, with vivid memory as a mediating variable. Earlier studies have investigated smart tourism technology and sustainability separately, but there is a lack of understanding of how these two perspectives interact with memory theory to influence tourist behaviour. To address this gap, a survey was conducted involving 742 tourists across four major Indonesian cities, and the data were analysed using path analysis with SmartPLS. The findings show that sustainable tourism directly and indirectly shapes behavioural intention, while smart tourism technology influences it only indirectly through …

The Afterlife Of Luxury: Triggers, Intentions, And Channel Preference In China's Resale Boom, Junfeng Shi, Dehua Xia

Asia Marketing Journal

This study examines the factors shaping Chinese consumers' intention to resell used luxury products and their preferences for resale channels, drawing on the extended Theory of Planned Behavior (TPB). Data were collected from 381 consumers via an online survey and analyzed using structural equation modelling with confirmatory factor analysis and regression. Results indicate that the primary motivation for reselling is the lack of need when items are no longer useful or suitable. Consumers' resale intentions are driven mainly by internal factors: attitudes, sense of duty, perceived benefits, and behavioral control, while external factors, such as subjective norms, have minimal impact. …