Digital Commons Network^™

Optimizing Feasibility And Acceptability Of An Online Expressive Writing Intervention For Survivors Of Adolescent And Young Adult Cancer: A Pilot Randomized Trial Of Iterative Modifications And Outcomes, Eunju Choi, Yusi Aveva Xu, Celia Cy Wong-Meli, Michael E Roth, Yisheng Li, Qian Lu

Faculty, Staff and Student Publications

Objective: To evaluate the feasibility of an online expressive writing (EW) intervention for survivors of adolescent and young adult (AYA) cancer and determine whether iterative, theory-driven modifications can enhance response, adherence, and completion rates.

Methods: In this randomized pilot trial, survivors of AYA cancer were recruited through a hospital-based AYA oncology clinic and an online community. Forty participants were randomly assigned to the EW intervention or control group. To improve on lower-than-expected adherence and completion rates in a previous cohort, the protocol was iteratively revised using the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS). Modifications included …

A Comprehensive Biomechanical Material Characterization Of The Human Breast Fibro-Structural Support System, Aroj Bhattarai, Gregory P Reece, Kristy K Brock, Krishnaswamy Ravi-Chandar

Faculty, Staff and Student Publications

Breast surgery for aesthetic purposes, such as breast augmentation or breast reduction, and breast reconstruction after cancer treatment require an accurate structural (anatomical) and mechanical (functional) understanding of the breast components, including the fascial-ligamentous support system of the breast, to achieve optimal results. This paper aims to provide a comprehensive description of the mechanical behavior of the ligamentous and fascial connective tissues of the human female breast. Fasciae and ligaments obtained from 17 patients between 35 and 85 years of age who were undergoing mastectomy and three female cadavers were tested. Uniaxial tensile tests were conducted, and three constitutive models …

Intraoperative Ultrasound Imaging Features Guiding Surgical Strategy In Spinal Cord Ependymoma Resection, Esteban Ramirez-Ferrer, Ian E Mccutcheon, Gil Kimchi, Behrang Amini, Romulo Andrade Almeida, Francisco Call-Orellana, Juan Pablo Zuluaga-Garcia, Robert Y North, Christopher A Alvarez-Breckenridge, Jeffrey S Weinberg, Laurence D Rhines, Claudio E Tatsui

Faculty, Staff and Student Publications

Background and objectives: Preoperative imaging provides surgeons with an initial estimate of tumor infiltration and the likelihood of achieving an en-bloc resection in spinal cord ependymomas, yet the definitive decision is made intraoperatively. This study characterizes the intraoperative ultrasound (iUS) features that guide real-time surgical strategy and are associated with successful en-bloc removal.

Methods: A retrospective review of iUS images obtained during resection of spinal cord ependymomas was performed. The presence of a peritumoral halo representing the transition zone between the tumor and the spinal cord, the dorsal sagittal area of the spinal cord overlying the tumoral poles, the presence …

Pharmacokinetic Modeling Strategies For Dynamic Hyperpolarized Urea Imaging, Keith A Michel, Collin J Harlan, Christopher M Walker, Matthew E Merritt, Yunyun Chen, Stephen Y Lai, James A Bankson

Faculty, Staff and Student Publications

Purpose: To evaluate pharmacokinetic modeling methods for quantification of tissue perfusion/permeability with hyperpolarized 13C urea.

Methods: Three models for quantitative analysis of dynamic HP urea imaging data were proposed and evaluated in numerical simulations and a thyroid cancer mouse model. A multicompartment model resembling the extended Tofts model for DCE-MRI (Model I) and two simplified models were used. The simplified models each eliminate a volume parameter representing vascular (Model II) or impermeable cellular space (Model III). Signal curves were generated from Model I, and models were fit to these synthetic data to quantify the effects of acquisition settings, bias in …

Impact Of Cyp2d6 Metabolizer Status On Ondansetron Efficacy In Early Pregnancy Induced Nausea And Vomiting: A Case Control Study., Michelle Liu, Megan M. Shuey, Sabrina E. Holley, Darlene F. Fountain, James Jaworski, Carol Griffin, Jeewoo Kim, Melissa Stec, Sudeep D. Sunthankar, Henry H. Ong, Srushti Gangireddy, Wei-Qi Wei, Andrea Gaedigk, Digna R. Velez Edwards, Vivian K. Kawai

Manuscripts, Articles, Book Chapters and Other Papers

Real-world data investigating CYP2D6 on the efficacy of ondansetron for nausea and vomiting in pregnancy (NVP) is lacking. Evidence shows CYP2D6 ultrarapid metabolizers are at risk of ondansetron nonresponse due to increased metabolism. We conducted a retrospective cohort study of early pregnant patients on ondansetron for NVP. Genotype data for 11 CYP2D6 variants and copy number variations were translated into activity score (AS) and metabolizer status: poor (PM), intermediate (IM), normal (NM), and ultrarapid (UM) metabolizers. A total of 264 women met inclusion/exclusion criteria (99 cases and 165 controls). Multivariate regression analyses of metabolizer status and AS were adjusted for …

Improving Vaccination In People With Ckd: Report From A National Kidney Foundation Working Group, Susan F. Massengill, Kenneth A. Andreoni, Keith A. Bellovich, Cheryl Courtlandt, Vimal K. Derebail, David L. Feldman, Gia J. Oh, John W. Sleasman, Kristina A. Bryant, Improving Vaccination In Ckd Working Group

Department of Surgery Faculty Papers

People with chronic kidney disease (CKD) are particularly vulnerable to vaccine-preventable infections. Therefore, the National Kidney Foundation organized a multidisciplinary working group, including people with CKD and family care partners, to develop recommendations to improve vaccination rates, vaccination effectiveness, and health care for the CKD population. A modified Delphi process was used to achieve consensus on the recommendations. Recommendations on vaccination in CKD patients were organized into these categories: (1) patient preferences; (2) assessing the vaccination status of patients with CKD; (3) assessing vaccine response in patients with CKD; (4) vaccination of immunocompromised patients; (5) vaccination in posttransplant patients; (6) …

A Physician Survey On Research And Implementation Priorities For Caffeine Citrate Use In Newborn Care In Sub-Saharan Africa, Olufunke Bolaji, Osayame Ekhaguere, Franck Houndjahoue, Nicholas Embleton, Helen Nabwera

Centre of Excellence in Women and Child Health

Background:Evidence on caffeine citrate (CC) for apnoeaof prematurity (AOP) originate from high-income countries. This study aimed to develop consensus on research design for evidence in sub-Saharan Africa (SSA).

Methods:We surveyed physicians in newborn units across SSA to assess their opinions on CC research and their preferred study designs.

Participants rated four study designs:a) an observational before-and-after study; a randomized controlled trial (RCT) of b) caffeine versus placebo; c) caffeine versus aminophylline; d) a traditional or stepped wedge cluster trial.  They  assessed  each  design  using  a  Likert  scale  for  evidence, feasibility, and ethics considerations.

Results:Ninety-two   newborn   physicians …

Determinants Of Agroecological Practices Adoption In Mango-Based Farming Systems: Evidence From Southern Ethiopia, Fasikaw Belay Mihretu, Melkamu Alemayehu, Mengistie Mossie, Yayeh Bitew, Tadele Tefera

All Peer-Reviewed Publications

Agroecological practices are a promising strategy for improving the productivity of mango-based farming systems sustainably. However, their adoptions among farmers in Ethiopia remain low and inconsistent. Despite their potential benefits, little is known about the extent of adoption, the interdependent nature of these practices, and the determinants associated with the farmers' decisions to adopt multiple agroecological practices. Hence, this investigation explores the determinants associated with the adoption of agroecological practices in mango-based farming systems in southern Ethiopia. The study employed a mixed-methods design using 395 randomly selected households. The multivariate probit and Poisson regression models were used for data analysis. …

Hybrid Deep Learning For Anti-Money Laundering: Unsupervised Detection Of Emerging Schemes Via Feature Fusion And Explainable Artificial Intelligence, Cosmas Ochieng Kungu, Kennedy Senagi, Evans Omondi

All Peer-Reviewed Publications

Traditional rule-based anti-money laundering (AML) transaction monitoring systems suffer from high false-positive rates and rigidity in detecting complex emerging risk. This limitation has prompted changes to the Financial Action Task Force (FATF) recommendation 16, mandating the use of advanced systems for detecting money laundering schemes in cross-border payments. This study developed a hybrid framework integrating VAE-learned behavioural latent factors, GNN-captured relational network signals, and rule-based heuristics for enhanced anomaly detection. The model was evaluated on 54,258 real-world cross-border transaction records from an East African commercial bank. The One-Class SVM, optimised via a rigorous grid search proved superior compared to Isolation …

Adapting Lessons From The Indian Subcontinent To Accelerate Elimination Of Visceral Leishmaniasis As A Public Health Problem In East Africa, Eva Iniguez, Daniel Masiga, Caryn Bern, Sridhar Srikantiah

All Peer-Reviewed Publications

This viewpoint draws lessons from the elimination of visceral leishmaniasis (VL) as a public health problem in the Southeast Asia region (SEAR) to inform efforts in East Africa (EA), now the global epicenter of Leishmania donovani transmission. VL is fatal and there is no licensed vaccine. Success in India relied on robust surveillance, rapid diagnosis, single-dose treatment, vector control, and multi-partner coordination. EA faces additional challenges than SEAR with multiple sand fly vectors, sensitive diagnostics and longer treatment regimens, high population mobility, and gaps in ecological and epidemiological knowledge. We highlight how strategies from South Asia could be adapted while …

From Relic To Relevance, The Resurgence Of Tariffs, Reuven S. Avi-Yonah, Doron Narotzki, Tamir Shanan

UC Law Journal

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 …

The Disney Adult: A Consumer That Creates Free Marketing, Emily Elizabeth Kempf

Theses

This research looks at the evolving complex relationship between the Walt Disney Company, The Disney Adult content creators and the fan base. It focuses on how user-generated content (UGC) and social media can play a large role in contemporary marketing strategies. As the target audience has expanded to include Disney Adult, this new audience has become a central part in the company’s marketing strategy encouraging fan engagement across all social media platforms. This research is a qualitative case study on the Disney Adult and how social media content can be used as a core marketing strategy. The Disney Adult influencer …

The Gospel Of Glamour: A Christian Woman's Style Blueprint, Osaromwenyeke Osemwota

Theses

The Gospel of Glamour: The Christian Woman’s Style Blueprint was a luxury-branded, sustainability-focused, faith-based style guide that addressed a gap in fashion, theology, and sustainability scholarship. Existing literature had either systematized fashion, explored the spiritual significance of dress, or examined sustainable and luxury practices—but none had integrated these dimensions into a prescriptive, actionable guide for Christian women. Drawing on Scripture as the foundational authority, including passages from Genesis, Exodus, Psalms, and Proverbs, the guide framed clothing as both practical provision and visible expression of covenantal identity. The style guide synthesized secular fashion methodology, modest-fashion scholarship, and sustainable luxury principles to …

Artemisia Gentileschi's Judith And Her Maidservant Serves As A Message Of Hope, Holly Kyseth

Theses

This thesis argues that through iconography and specific artistic techniques, Artemisia Gentileschi’s Judith and Her Maidservant utilizes the biblical story of Judith and Holofernes to relay a distinctly female-centered narrative, reflective of the ideals of her seventeenth century Italian community. This piece stands apart from other representations of this narrative in that Judith was commonly shown as either dainty yet violent in the act of decapitating Holofernes, or as a saintly victor proudly displaying his head to her people. With Judith and Her Maidservant, Artemisia displays an obvious sororal alliance between Judith and her servant Abra, while cleverly implementing Caravaggesque …

Mediators Of The Dead: Funerary Strategies And Material Practice In The Final Jōmon Period, Celeste Marie Tran

Theses

Shakōki-dogū are prehistoric clay figurines from Japan’s Final Jōmon period, characterized by enlarged, goggle-eyed features. In both scholarship writing and museum display texts, generalized thematic labels or iconographic readings sometimes reduce the corpus’s internal variability. This study examines a focused set of Final Jōmon shakōki-dogū from northern Honshū (Tōhoku) and Hokkaidō (Figures 2–6) through their formal and material evidence—shape, surface treatment, and condition—read alongside published excavation reports and catalogue records. It asks what these figurines can be shown to do, as prehistoric artworks, within death-related practice when interpretation is anchored to observable features and documented context, rather than to a …

Art Therapy In The Art Classroom, Sherry Williams

Theses

The integration of art therapy practices within the art classroom provides a transformative framework for supporting the emotional and psychological well-being of students. Research into these strategies demonstrates that creative practices allow students to manage stress and anxiety while fostering mindfulness, reflection, and self-expression. Art educators can create safe and supportive environments by incorporating therapeutic activities such as drawing mandalas, doodling, and engaging in collaborative projects. These methods prioritize the creative process over technical achievement, allowing students to communicate complex feelings that may be difficult to articulate verbally. 

While art teachers are not licensed therapists, they can effectively implement therapeutic …

Rocscholar Annual Report 2025, Lisa Buda

Rochester Regional Health authored publications and proceedings

RocScholar is the institutional repository (IR) for Rochester Regional Health (RRH) and is managed by the Libraries at RRH. It provides storage and access for RRH’s research and scholarly activity. This report highlights the repository’s fifth year of implementation.

Evaluating How Public Land Managers Use General Visitor Survey Data For Decision-Making, Kayla E. Wernsing

All Theses

Using data to inform decisions about policy, staffing, resource management, and infrastructure is widely regarded as a best practice among public land managers. A substantial body of empirical research has examined frameworks for data-informed decision-making on public lands, as well as factors that support or hinder its implementation. However, relatively little attention has been given to how managers use general visitor survey data to make site-specific decisions. This study explored how managers in one U.S. federal agency use data from a general visitor survey specific to their site, or, if they are not, what barriers are preventing application. Researchers conducted …

Evaluating The Feasibility Of Blockchain Technology For Secure Voting Systems: A Systematic Mapping, Dijesh Shrestha, Shishir Poudel

Annual Research Symposium

Voting is central to democracy. Yet it can be vulnerable to manipulation, fraud, and limited transparency. Traditional ballot-based voting faces challenges in record-keeping and trust, while electronic voting (e-voting) struggles with data integrity and central authority control. Blockchain known for its decentralized and immutable ledger, presents a promising solution to enhance trust, transparency, and security in the voting process.

Objective: Investigate and evaluate the current state of blockchain-based voting approaches to determine feasibility, benefits, and security considerations. Research questions: (1) issues in traditional voting system and can blockchain be a solution to it; (2) what are the current solution and …

Quantum Safe Encryption (Qse) Within The Internet Of Medical Things (Iomt) Environment Using Zero Trust Architecture (Zta), Michael Grant Williams

Dissertations

This research will use a Design Science Research (DSR) methodology and show that the results would be feasible, since there will not be any actual validating or testing occurring within or on this research project because this model is a theoretical model. In addition, this proposed theoretical model is based on extensive use of NIST standards and frameworks. This theoretical model will focused on the use of Quantum-Safe Encryption (QSE) within the Vivalink Electrocardiogram (ECG) Patch Monitor Internet of Medical Things (IoMT) device in a Zero Trust Architecture (ZTA). The advancement of quantum computing (QC) is expected to …

Main And Interactive Effects Of Self-Disgust And Affect Intensity In Predicting The Severity Of Mental Contamination, Contact Contamination, And Ptsd Symptoms, Jordyn M. Tipsword, Grace M. Seymour, Christal L. Badour

Psychology Faculty Publications

Purpose: Self-disgust has been linked to contact contamination (i.e., experiences of dirtiness caused by exposure to a contaminant), mental contamination (i.e., experiences of dirtiness that occur absent a contaminant), and PTSD symptoms in theoretical work. Separate lines of research have also linked higher affect intensity (i.e., the tendency to experience emotions strongly) to negative mental health outcomes, including more severe PTSD symptoms. However, empirical research examining associations between self-disgust and both contamination concerns and PTSD symptoms remains limited, and these associations may differ as a function of affect intensity. Method: The current study evaluated main and interactive effects of self-disgust …

Risk Management Strategies Used By Project Leaders In Construction Projects On The East Coast, Dylan David Decuffa

Construction Management

Construction projects are often defined by their visible outcomes, structures completed on time, within budget, and built to the required standards. Yet beneath these outcomes lies a less visible force that quietly shapes whether success is achieved or compromised. Uncertainty is present in every phase of construction, influencing decisions, performance, and ultimately the trajectory of the project. The ability to recognize and respond to this uncertainty may separate projects that proceed with stability from those that experience delays, escalating costs, and diminished quality. Project managers, superintendents, project engineers, and other related fields play a central role in navigating this uncertainty …

Assessing The Current Experiences With Electrically- Powered Construction Vehicles Within The Heavy Civil Industry, Matthew Joseph Beauchesne

Construction Management

Heavy machinery, such as cranes, trucks, dozers, and more, are a necessity to build dams, bridges, highways, and all the other types of projects within the Heavy Civil Construction industry. Traditionally, such machinery is powered using fossil fuels - gas or diesel - which in turn affects both the efficiency and emissions of these vehicles. This study focuses on the prospects of using alternative energy - namely electricity - to power such vehicles, and these electric variants differ from their fossil fuel using versions. The methodology of this paper involved seeking out construction contractors within the Heavy Civil sector who …

Impact Of Regional Heat Differences On Construction Productivity: A Comparative Study Of California’S Central Valley And Central Coast, Berthalidia Acosta

Construction Management

Construction productivity is influenced by many environmental conditions, particularly extremely high temperatures. In regions where high temperatures are normal, workers experience increased fatigue, require additional safety controls, and can even lead to scheduling conflicts. This senior project evaluates how heat differences in two parts of California affect productivity by comparing two projects managed by the same general contractor: one located in California’s Central Valley (Sacramento) and one located on the Central Coast (San Luis Obispo). Throughout the study, there will be two data sources seen: weekly labor recap reports focusing on a particular task (Concrete) and semi-structured interviews with industry …

Factors Impacting Wildland-Urban Interface (Wui) Fires: A Systematic Literature Review, Albert Jimenez

Construction Management

Fires in the wildland-urban interface (WUI) pose a significant danger to communities. The WUI refers to the space where development meets vegetation. Significant research has been conducted into wildfire and WUI vulnerability across the world to help combat vulnerability. These include the identification of factors of vulnerability to create indices that quantify vulnerability, and address scope gaps and inconsistencies within literature. However, existing research seems to be fragmented in finding the WUI vulnerability factors and often it focuses on wildfires and not WUI fires. The objective of this systematic literature review is to synthesize wildfire vulnerability factors identified in the …

Spatial Variability Of Nitrates And Nitrogen Mineralization Kinetics And Their Effects In Long-Term Tillage Systems, Bibash Rokaya

Department of Agronomy and Horticulture: Dissertations, Theses, and Student Research

Nitrogen (N) and water management are essential for water quality protection and crop production. However, soil N and water are spatiotemporally variable. Soil water spatial dependencies are described in the literature with known associations with preferential flows among other factors. In contrast, a knowledge gap exists on the spatial dependence of soil N mineralization kinetics. We hypothesize that soil N mineralization kinetics and soil water have distinct and cross-correlated spatial characteristics among soil management practices and climatic regions. For the field study, we measured soil-N mineralization kinetics, volumetric water content (VWC), and a suite of soil properties along ~70 m …

The Impact Of Bilingual Superintendents On A Multilingual Job Site, Cesar Barajas

Construction Management

Language barriers are frequently encountered on construction job sites. Construction crews can often be limited in their proficiency when speaking English and in states like California, construction superintendents oversee a lot of Spanish-speaking crews. This study aims to identify if bilingual superintendents lead to better performing projects. Communication impacts major metrics of project performance including schedule, rework costs, safety performance, and coordination across trades. This qualitative study includes superintendents, project managers, and field crew semi structured interviews backed by survey answers. Interview participants discuss specific examples of how communication can affect jobsite performance both negatively and positively. Subjects are asked …

Evaluating The Feasibility Of Recycled Asphalt Pavement And Warm Mix Asphalt In California Highway Construction, Ryan A. Milanesa

Construction Management

California’s highway infrastructure faces increasing material costs, limited aggregate availability, and aggressive greenhouse gas reduction mandates. Reclaimed Asphalt Pavement (RAP) offers a practical solution to reduce virgin binder demand and improve sustainability. However, Caltrans maintains conservative RAP limits due to concerns regarding stiffness related cracking and long term durability. This research evaluates the feasibility of increasing RAP content to approximately 40% when combined with Warm Mix Asphalt (WMA) technologies under California performance standards. A performance based framework was developed by reviewing federal guidance, peer-reviewed fatigue studies, life cycle cost analysis, and environmental assessment literature. Findings indicate that high RAP mixtures …

Life Cycle Assessment And Cost Analysis Of Exterior, Electrical, And Appliance Systems In A Prefabricated Mass Timber Residential Unit, Ella Rohrbough

Construction Management

This study presents a detailed process-based life cycle assessment and life cycle cost analysis of selected building systems within a prefabricated mass timber residential unit constructed through an interdisciplinary design build project at California Polytechnic State University. The research focuses specifically on exterior envelope systems electrical infrastructure and major appliances. Material quantities were derived from a comprehensive construction material takeoff and modeled in OpenLCA using the ecoinvent database. A cradle to site system boundary including modules A1 through A5 was applied to quantify embodied environmental impacts such as global warming potential acidification fossil fuel depletion and human toxicity. Results indicate …

The Future Of Commercialized Bamboo Construction, Katie Hunt

Construction Management

Bamboo construction is a niche area of research and development in the sustainable construction realm. The material has impressive structural properties and minimal carbon emissions relative to the world’s most common building materials (concrete, steel, and timber). It has long been used to build homes in tropical regions around the world. Outside of these regions, bamboo is rarely used for construction despite its abundant benefits as a sustainable building material. This report took an interview-based approach to address why bamboo is not more popular in the American commercial construction market and where it has potential for growth in the global …