Digital Commons Network^™

Unequal Access, Unmet Needs: Rethinking Occupational Therapy In Private Practice, Meghan Smith

Occupational Therapy Student Capstones

Individuals from low-SES backgrounds often experience barriers to occupational therapy services, while private practitioners face challenges balancing accessibility with financial sustainability. These challenges underscore the need to better prepare future occupational therapists to provide equitable, accessible, and sustainable services within private practice.

Cdt-1d Cnn Integration With Simpson-Sobolev Regularization For High-Frequency Options Trading: With Fem-Based Heston Option Pricing, Daniel M. Margolis, Johannes Tausch, Arthur K. Selender

Mathematics Theses and Dissertations

This dissertation presents a computational framework for high-frequency options trading that combines Cross-Data-Type 1-D Convolutional Neural Networks (CDT-1D CNN) with Simpson-Sobolev regularization for directional prediction, and finite element methods (FEM) for realistic option pricing during backtesting. The core innovation lies in developing a mathematically rigorous regularization approach that maintains the adaptability of modern deep learning while enabling accurate evaluation through stochastic volatility models. The primary contribution is the Simpson-Sobolev regularization scheme, which extends traditional Sobolev regularization by incorporating Simpson’s rule for numerical integration. This approach achieves higher-order accuracy in approximating the Sobolev norms that control function smoothness. Simpson’s rule attains …

Hope College Magazine, Volume 58, Number 1: Summer 2026, Hope College

Hope College Magazine

No abstract provided.

Fy 2024-2025 Annual Report (Lwlc), Lwlc Faculty And Staff

LWLC Publications

No abstract provided.

Dnp Final Report: Implementing The 5-2-1-0 Lifestyle Framework To Address Elevated Bmi In Pediatric Primary Care, Mary K. Williams

DNP Final Reports

Pediatric obesity remains a significant public health concern, particularly in rural areas where access to specialty care is limited. Primary care settings provide an important opportunity for early identification and intervention through family-based lifestyle modification. The purpose of this quality improvement project was to evaluate the feasibility and preliminary impact of implementing the 5-2-1-0 healthy habits framework, developed by researchers at Penn State, in a rural pediatric primary care clinic to promote improved lifestyle behaviors among children with elevated body mass index (BMI).

This project included pediatric patients ages 5–16 years presenting for well-child visits with a BMI at or …

Adaptive Sports Program & Wellness Initiatives For Individuals With Intellectual/Developmental Disabilities Beyond The Service Cliff, Jordan Pare, Erin K. Wells

OTD DEx Reports - College of Pharmacy and Health Sciences

Young adults with Intellectual and Developmental Disability over the age twenty-one face significant barriers to accessing support in mental health, physical activity, and social communication opportunities due to the loss of federal educational entitlement at this age. Individuals with a disability who lose their educational funding at age twenty-one may be forced into underfunded and uncoordinated systems for support, also known as the service cliff. This paper evaluates the benefits of implementing an adaptive sports program for this population, which research suggests can foster social and physical needs while influencing executive functioning in mental health. The benefits of providing education …

Toward Intentional Praxis: A Design Thinking Multi-Case Study Of Cognitive-Constructive Toolkit Implementation In An Elementary Professional Learning Community, Azam Nathaniel

Dissertations

Among several learning theories that were dynamic and constantly evolving with time, cognitive and constructive theories were predominant in the field of education. However, these theories often included overlapping and contrasting concepts, contributing to confusion in terminology among teachers and limited explicit use in instructional practice. Within the context of K-12 education, teachers demonstrated conceptual awareness of cognitive and constructive learning theories; however, the theories were not a part of day-to-day conversations and were minimally identified in practice. Instead, the theories were implicitly applied as teachers balanced competing professional responsibilities, including daily routines, syllabus requirements, district standards, new initiatives, differentiated …

Sweet Potato Gene Clusters Control Anthocyanin Biosynthesis And Leaf Morphology, Dong An, Tiechen Shen, Shiyu Wu, Yanshen Li, Weijuan Fan, Mengxiao Yan, Yinghui Meng, Xinyi Wang, Ximing Xu, Zunfu Lv, Ling Yuan, Jun Yang, Guoquan Lu, Hongxia Wang

Plant and Soil Sciences Faculty Publications

Sweet potato (Ipomoea batatas) exhibits diversity in pigmentation and leaf morphology, yet the genetic architecture and regulatory organisation underlying these traits remain poorly resolved, particularly with respect to organ-specific control. We hypothesised that phenotypic variation is governed by clustered genetic modules comprising regulatory and structural genes operating in an organ-specific manner. To test this, we conducted genome-wide association studies (GWAS) using 4.6 million SNPs across 260 diverse accessions, integrated with transcriptomic, haplotype and functional analyses. GWAS identified two tandem clusters of MYB transcription factors on chromosome 5 as the primary regulators of leaf anthocyanin accumulation. Expression profiling, heterologous expression and …

Empowering Independence For Young Adults With Disabilities, Grace Sloan, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

Young adults with disabilities often face challenges in maintaining and finding employment, living independently, and participating socially. The purpose of this capstone project was to develop a program to enhance job readiness, independent living, and social participation skills for young adults with disabilities. This project highlighted the need for occupation-based activities to support the transition from high school to adulthood for young adults with disabilities.

Empowering Amputees Through Education And Resources To Improve Independence And Quality Of Life, Brooke A. Hodges, Wendy M. Tremaine

Summer 2026 OTD Capstone Symposium

This doctoral capstone project aimed to develop and implement an evidence-based educational toolkit to increase community resource awareness for individuals with amputations. The project was completed at Baylor Scott & White Institute for Rehabilitation in Dallas, Texas, and involved adult patients with limb loss and rehabilitation healthcare professionals. A needs assessment was conducted using surveys, semi-structured interviews, and informal discussions to identify educational gaps and resource needs. Findings informed the development of educational materials addressing mental health, peer support, financial assistance, transportation, driving rehabilitation, home modifications, adaptive recreation, prosthetic resources, and community organizations. The toolkit was designed to accommodate varying …

Using Creative Arts In Occupational Therapy To Address Motor And Nonmotor Symptoms Of Neurodegenerative Disorders, Elizabeth L. Batista, Kristin Domville, Pam Kasyan-Howe

Summer 2026 OTD Capstone Symposium

Neurodegenerative disorders (NDD), including Parkinson's disease, Alzheimer's disease, multiple sclerosis, and amyotrophic lateral sclerosis, significantly impact motor function, cognition, self-esteem, and occupational engagement. Although creative arts interventions have demonstrated psychosocial benefits, there is limited research examining visual arts as an occupational therapy-led modality addressing both motor and nonmotor symptoms through meaningful occupation (Gros et al., 2024; Li et al., 2024; Chancellor et al., 2014).
This capstone project developed and implemented an OT-led creative arts program utilizing painting as the primary intervention for individuals with NDD residing in an assisted living facility and/or attending an adult day center. Guided by MOHO, …

Navigating Concussion Recovery: An Educational Module-Based Approach To Strengthening Occupational Therapist Confidence And Effectiveness In Concussion Rehabilitation, Alejandra Abella, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

Background: Mild traumatic brain injury (mTBI), commonly known as concussion, presents with complex physical, cognitive, visual, vestibular, and emotional symptoms that can significantly affect an individual's ability to participate in meaningful daily occupations. Although occupational therapists play an essential role in concussion rehabilitation, many clinicians report that confidence in evaluating and treating this population develops primarily through years of clinical experience rather than structured education. Inconsistent exposure to concussion cases and limited access to current evidence-based resources contribute to variations in clinical confidence and practice.

Purpose: The purpose of this doctoral capstone project was to develop and implement a comprehensive …

Beyond The Athlete: An Autoethnographic Exploration Of Occupational Identity, Sofia Paniagua-Bauer, Karen Park

Summer 2026 OTD Capstone Symposium

Adolescent student-athletes experience unique demands as they navigate the expectations of competitive sport alongside academic, social, and developmental responsibilities. These demands may influence mental health, executive functioning, occupational balance, and the development of occupational identity. The purpose of this Doctor of Occupational Therapy (OTD) capstone project was to explore the development of occupational identity through the lived experience of growing up as a competitive athlete and to examine how participation in sport influenced mental health, self-regulation, executive functioning, and engagement in meaningful occupations. An autoethnographic approach was used to reflect on my personal experiences while completing a capstone experience at …

Ethos: A Computational Framework For Material Culture Research, Chelsea L. Grafe

Department of Textiles, Merchandising and Fashion Design: Dissertations, Theses, and Student Research

Museum catalog records make large collections searchable, but they do not always preserve the reasoning behind the claims they contain. A record may present a quilt's identity as settled while leaving the reasoning behind that claim invisible, making it difficult for later researchers to check, question, or reuse. This project asks whether museum catalog data can be analyzed in a way that keeps each analytical claim connected to the evidence that supports it. To test this question, the project applies a material-first computational framework named Ethos. Ethos formalizes an object-centered inquiry sequence in which material dependencies establish where analysis begins …

Household Water Use For Circular Transitions: Elasticity Estimates And Circular Economy Signals From Metro Manila, Albert E. Lamberte, Abed Alaswad, Luciano C. Batista

Angelo King Institute for Economic and Business Studies (AKI)

The study examines household water demand in Metro Manila and evaluates how demand behavior and infrastructure access shape the transition from a linear to a circular water and wastewater economy. Estimated prices, ranging from -0.441 to 0.468, and income elasticities, which are between 0.550 and 0.572, for those with and without access to both water and sewerage systems reveal consistently inelastic demand. Thus, water is treated as a necessity with limited behavioral responsiveness to tariff changes. The similarity of elasticities across service groups suggests that behavioral factors are not the primary constraint to circularity. Instead, the findings highlight that infrastructure …

Mathematical Methods For Engineering And Physics, Andrei Ludu

OER Main

Imagine if you could see the hidden laws that shape everything around us—engineered structures, natural phenomena, even the technology we use every day. Wouldn’t you want to harness this knowledge to create groundbreaking engineering solutions that impact the world?

My young, bright engineering friends. In an age where codes, software, and artificial intelligence promise solutions at the click of a button, you wonder – why should I invest my precious time and brainpower struggling with abstract theorems and unworldly equations? You might be asking why deep math is still relevant, especially in an age dominated by sophisticated technology. Whether …

Pigmented Villonodular Synovitis In The Thoracic Spine: A Rare And Under-Recognized Condition, Leonardo Furtado Freitas

All Publications

No abstract provided.

Anti-Lag-3 With Or Without Anti-Pd-1 In Recurrent Glioblastoma: A Phase 1 Trial, Manmeet Ahluwalia

All Publications

Lymphocyte activation gene 3 (LAG-3) is an immune checkpoint implicated in T cell exhaustion and a potential therapeutic target in glioblastoma (GBM). We conducted a multicenter, open-label, phase 1 study with sequential allocation to evaluate the safety and preliminary activity of the anti-LAG-3 antibody relatlimab, administered alone or with the anti-programmed cell death protein 1 (PD-1) antibody nivolumab, in patients with recurrent GBM. Forty-six patients were treated (23 per cohort). The primary endpoint of safety was met, with maximum tolerated doses of 800 mg relatlimab for monotherapy and 160 mg relatlimab/240 mg nivolumab for combination therapy. Treatment-related grade 3-4 adverse …

Evolution, Structuration Theory, And New Research On Free Will, James Lull

Faculty Research, Scholarly, and Creative Activity

Classic structuration theory explains how social actors use their personal and collective agency to contend with the structural forces they encounter in everyday life. The antonimous interface between structure and agency is analyzed from an evolutionary communication perspective as it applies to structuration theory generally and to media audiences specifically. The explanatory power of structuration theory is then reconsidered in light of new research on an eternally profound question: Is the power of human agency restricted, if not entirely eliminated, by a lack of free will that can be exercised in human endeavors? Although the nature of structural influence is …

Nh 4-H Dog Show Scoresheet, Extension

UNH Cooperative Extension

No abstract provided.

Nascent Titanium-/Silicon-Containing Particle Formation In Corona-Discharge-Assisted Combustion, Chanakya Bagya Ramesh, Frank Daoru Han, Yang Wang

Mechanical and Aerospace Engineering Faculty Research & Creative Works

Adding plasmas to a flame has been shown to introduce high concentrations of charges, ions, and radicals to the said flame. This technique of adding plasma to a flame is called plasma-assisted combustion (PAC), and this addition has been shown to make a flame more stable and efficient. At the same time, PAC has also been shown to alter particle formation during combustion. Here, we investigate the effect of a high-frequency (∼21 kHz) alternating current (AC) corona discharge on particle formation and growth in a premixed flame, especially at the initial stages (with particle sizes below 10 nm). We first …

Common Questions And Misconceptions About Diets: What Does The Scientific Evidence Really Show?, Jose Antonio, Brandi Antonio, Alan Aragon, Shawn M. Arent, Bill Campbell, Darren G. Candow, Hannah Eberhardt, Guillermo Escalante, Cassandra Evans, Scott Forbes, Drew Gonzalez, Chad Kerksick, Eric Bustillo, Kworweinski Lafontant, Gianna Mastrofini, Scotty Mills, Michael J. Ormsbee, Kieran Paterson, Flavia Pereira, Valeria Silva Ramirez, Antonella Schwarz, K. Michelle Singleton, Abbie Smith-Ryan, Jeffrey Stout, Grant Tinsley

Faculty Scholarship

The study of diet and nutrition is often filled with numerous myths and misconceptions. A Google Scholar search of “diets health” yields over 4 million results. This review examines frequently asked questions about diets and dietary habits. These questions include the following: 1) Is a caloric surplus necessary for building skeletal muscle? 2) Is it possible to lose body mass or fat mass without caloric restriction? 3) Is intermittent fasting better than chronic caloric restriction for weight loss? 4) Are there sex differences in the response to fasting? 5) Can diet alone fulfill the macro and micronutrient needs of exercise-trained …

How Wounded Healer Trainees Develop Self-Awareness Of Their Wounds And Use This Self-Awareness In Clinical Work, Nishi Ravi

Dissertations (1934 -)

The wounded healer, a concept originally introduced by Carl Jung (1951), characterizes individuals who, having undergone personal struggles or ‘wounding,’ feel inclined to alleviate the suffering of others. Extant literature attests to the prevalence of woundedness among counseling professionals and to the potential benefits and risks their wounds pose in clinical practice. Despite its widespread use across the literature, the wounded healer concept has yet to be formally and empirically operationalized, and this study addresses that gap by offering a concrete, empirically grounded definition of the construct. Yet, while wounded healers are increasingly recognized across counseling training contexts, little research …

Carrying The Midwife’S Bag Across The Atlantic: German Midwives And Paraprofessional Midwifery In The Us, 1850s-1920s, Melanie Simone Lorenz

Dissertations (1934 -)

This dissertation compares the occupational development of midwifery in the United States and Germany between the 1850s and the 1920s. It examines how midwifery in nineteenth-century Germany developed into an early paraprofession through its inclusion in the paramedical division of labor and the creation of professional associations and a trade journal. In the United States, by contrast, such a development did not occur. Instead, physicians excluded midwives from the emerging paramedical division of labor. Even though a dedicated group of German American physicians and midwives attempted to replicate the German model of midwifery in St. Louis, Missouri, this paraprofessional form …

Coping With Uncertainty In Everyday Situations (Cues©): The U.S. Pilot Study, Sarah Lehman

Dissertations (1934 -)

Autistic youth experience anxiety at an increased rate compared to their neurotypical counterparts. The presence of anxiety often amplifies the social and functional difficulties faced by autistic youth, which can exacerbate poor outcomes. Intolerance of uncertainty (IU), defined as negative beliefs and reactions to unpredictable or ambiguous situations, has been identified as a key factor to the manifestation of anxiety in autistic populations. The current study aimed to replicate the protocol and results from Rodgers et al. (2023) by conducting the first U.S. pilot study examining the feasibility and efficacy of Coping with Uncertainty in Everyday Situations (CUES©); an 8-week …

Inclusive Peace Process From The Backdrop Of Theological Anthropology And Catholic Social Teaching: A Key To Preventing And Ending Violent Conflict, Colman Okechukwu Nwokoro

Dissertations (1934 -)

ABSTRACT INCLUSIVE PEACE PROCESS FROM THE BACKDROP OF THEOLOGICAL ANTHROPOLOGY AND CATHOLIC SOCIAL TEACHING: A KEY TO PREVENTING AND ENDING VIOLENT CONFLICT Violent conflicts and wars have created some of the worst challenges and chaos in world history. However, because humanity has endured these periods, resources have been invested in developing mechanisms and approaches to promote reconciliation and peace among warring or conflicting groups. An inclusive peace process aims to ensure that diverse groups are represented, allowing everyone’s voice to be heard through participation in conflict resolution and peace efforts. The goal is to prevent violence, de-escalate ongoing conflicts, or …

Joan Stringfellow, Joan Stringfellow

Faculty CVs

No abstract provided.

Performance Of Fecal Calprotectin And Serum Procalcitonin For The Diagnosis Of Spontaneous Bacterial Peritonitis In Patients With Cirrhosis: A Prospective Diagnostic Accuracy Study, Mandip Singh Bhatia, Devarakonda Uday Teja, Nipun Verma, Archana Angrup, Saurabh Chandrabhan Sharda

Faculty, Staff and Students Publications

Background:: Spontaneous bacterial peritonitis (SBP) is a life-threatening complication in patients with cirrhosis and ascites. This study aimed to evaluate the diagnostic performance of biomarkers—calprotectin (serum, ascitic, fecal) and serum procalcitonin (PCT)—for SBP.

Methods:: This prospective diagnostic accuracy study, enrolled 137 consecutive patients with cirrhosis and ascites at a tertiary care center in India. Participants were categorized into SBP (n = 55) and non-SBP (n = 82) groups based on the reference standard of ascitic fluid neutrophil count. Serum, ascitic fluid, and fecal calprotectin were measured by enzyme-linked immunosorbent assay, and serum PCT was measured by electrochemiluminescence immunoassay. …

Reclassifying Pediatric Nafld Using The Steatotic Liver Disease Framework: A Multicenter Retrospective Study From The Nash Crn, Tin Bo Nicholas Lam, Katherine P Yates, Sheila L Noon, Kimberly P Newton, Mark H Fishbein, Jean P Molleston, Stavra A Xanthakos, Ajay K Jain, Miriam B Vos, Niviann M Blondet, Krupa R Mysore, Cynthia A Behling, Laura A Wilson, Jeffrey B Schwimmer

Faculty, Staff and Students Publications

Background and aims: The terminology for hepatic steatosis and NAFLD was revised under the umbrella of steatotic liver disease, with metabolic dysfunction-associated steatotic liver disease (MASLD) as the primary subtype. MASLD is defined by hepatic steatosis plus at least 1 cardiometabolic risk factor. A new category, Met-ALD, describes MASLD with alcohol consumption below the defined thresholds for alcohol-associated liver disease (ALD). While adult studies have demonstrated strong concordance between NAFLD and MASLD, the applicability of this framework in children remains unclear.

Approach and results: We assessed children clinically diagnosed with NAFLD and enrolled in the NASH CRN who had available …

Quantization Dimension For A Generalized Inhomogeneous Bi-Lipschitz Iterated Function System, Shivam Dubey, Mrinal Kanti Roychowdhury, Saurabh Verma

School of Mathematical & Statistical Sciences Faculty Publications

For a given r∈(0,+∞), the quantization dimension of order r, if it exists, denoted by Dr(μ), of a Borel probability measure μ on R^d represents the speed how fast the nth quantization error of order r approaches to zero as the number of elements n in an optimal set of n-means for μ tends to infinity. If Dr(μ) does not exists, we call D̲r(μ) and D¯r(μ), the lower and upper quantization dimensions of μ of order r. In this paper, we estimate the quantization dimension of condensation measures associated with condensation systems ({fi}i=1^N,(pi)i=0^N,ν), where the …