Digital Commons Network^™

From Clinic To Code: Using Clinician Insights To Develop A Framework For Fair And Representative Datasets In Women’S Health Ai, Andrea Heaney, Emma Murphy, Eugene Hickey

Research Outputs: 2025-Present

The development of Artificial Intelligence (AI) in healthcare is largely dependent on the quality of medical datasets. However, these datasets often fail to accurately represent women (and those seen as women) due to historic, implicit and biological biases. This under-representation can lead to biased, inequitable and even harmful models. Building upon the findings of previously conducted qualitative semi-structured semantic interviews with clinicians on their perceptions of women’s health, this paper presents a framework for translating qualitative findings to dataset characteristics via operationalisation. This framework outlines the key characteristics and considerations a dataset should include or consider to more accurately represent …

A Multidisciplinary Transitional Care Bundle To Reduce Hospital Readmission In Patients With Heart Failure: A Quality Improvement Project, Pearl Zehua Stahler

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Heart failure (HF) is associated with substantial morbidity, mortality, healthcare utilization, and risk of unplanned hospital readmission. Gaps in structured discharge planning and post-discharge follow-up may contribute to preventable readmissions. Purpose: This quality improvement (QI) project aimed to implement a multidisciplinary transitional care bundle to strengthen care coordination, improve the post-discharge pathway, and reduce unplanned heart failure hospital readmissions (UHFHR). Methods: The project included 20 adults hospitalized with HF in a 56-bed telemetry unit in a South Texas acute care hospital. The eight-week intervention included social determinants of health (SDoH) assessment, nursing-led discharge education, HF clinic follow-up within 14 …

Summoning Firms: Promoting Democratic Stability And Economic Prosperity In Times Of Constitutional Crisis, Jon D. Michaels

Emory Business Law Review

No abstract provided.

Pharmaceutical-Telehealth Confederacies, Michelle Onder, Michael S. Sinha

Emory Business Law Review

Access to prescription pharmaceuticals has historically been controlled by a physician’s pen. As a result, pharmaceutical companies spend billions of dollars on advertising and promotion to mitigate this barrier: first and primarily, to physicians and other prescribers, and more recently, to the general public through direct-to-consumer advertising. The success of these promotional efforts can be seen in the greater prescribing of costly brand-name medicines, even in settings where lower-priced, comparably efficacious generic alternatives exist. Brand-name prescriptions now make up only 10% of all prescriptions written yet account for 88% of drug spending. Despite these substantial returns on investment, companies continue …

Fallen Unicorns, Xuan-Thao Nguyen

Emory Business Law Review

Tech unicorns, from healthcare, teledentistry, space, ecommerce, trucking logistics, pre-owned cars, wearables, design, image search, to home-building sectors, receive effusive praises and secure enviable venture capital investments. Very soon after garnering notoriety, these unicorns die. This Article theorizes why unicorns suddenly collapse shortly after they have achieved the mythical status of being the rare tech startups with valuations of one billion dollars or more. With an in-depth case study of fallen unicorns, the Article identifies and examines the reasons for their tragic deaths, offering a critique of the fear of missing out (FOMO), overfunding, and irrational exuberance investors heaped on …

Unsafe2safe: Controllable Image Anonymization For Downstream Utility, Minh Dinh

Dartmouth College Master’s Theses

Large-scale image datasets frequently contain identifiable or sensitive content, raising privacy risks when training models that may memorize and leak such information. We present Unsafe2Safe, a fully automated pipeline that detects privacy-prone images and rewrites only their sensitive regions using multimodally guided diffusion editing. Unsafe2Safe operates in two stages. Stage 1 uses a vision--language model to (i) inspect images for privacy risks, (ii) generate paired private and public captions that respectively include and omit sensitive attributes, and (iii) prompt a large language model to produce structured, identity-neutral edit instructions conditioned on the public caption. Stage 2 employs instruction-driven diffusion editors …

Anti-Domestic Violence In China: Re-Accessing The Public Value Of Individual Experience, Xiaoran Tang

Dartmouth College Master’s Theses

In December 2019, Kim Lee, a symbolic figure in China’s anti-domestic violence (ADV) movement, publicly stated on the Chinese social media platform Weibo that she forgave her ex-husband Li Yang, sparking widespread controversy.

Drawing on Joan W. Scott’s method of examining experience, this study analyzes Kim’s case within the broader historical development of China’s ADV movement. It traces how Kim’s personal experiences and public images were continuously constructed, interpreted, and reshaped across different stages of the movement. This study finds that Kim’s experiences became public knowledge through the social, legal, and institutional processes that framed her as a domestic violence …

The Backside Of The Pond, Wendy Murphy

Dartmouth College Master’s Theses

The Backside of the Pond is a collection of personal essays that braid lived experiences with academic inquiry, exploring a variety of themes and the transformative power of reflective writing. Anchored in the geography of Occom Pond, on the northside of the Dartmouth College campus, the collection uses this familiar landscape as both refuge and metaphor.

The thesis also examines the ethics and craft of writing creative nonfiction, considering the tensions between emotional truth and the fallibility of memory. The essays trace moments of clarity, frustration, humor, grief, and renewal. Together, they offer an inquiry into how humans create meaning: …

Lens: Llm-Enabled Narrative Synthesis For Mental Health By Aligning Multimodal Sensing With Language Models, Wenxuan Xu

Dartmouth College Master’s Theses

Multimodal health sensing offers rich behavioral signals for assessing mental health, yet translating these numerical time-series measurements into natural language remains challenging. Current LLMs cannot natively ingest long-duration sensor streams, and paired sensor–text datasets are scarce. To address these challenges, we introduce LENS, a framework that aligns multimodal sensing data with language models to generate clinically grounded mental-health narratives. LENS first constructs a large-scale dataset by transforming Ecological Momentary Assessment (EMA) responses related to depression and anxiety symptoms into natural-language descriptions, yielding over 100,000 sensor–text QA pairs from 258 participants. To enable native time-series integration, we train a patch-level encoder …

John Frederick Kensett & Lotus-Eating, Elizabeth Montfort

Dartmouth College Master’s Theses

This thesis examines Lotus-Eating: A Summer Book (1860) by George William Curtis, with illustrations by John Frederick Kensett. Situating the work within the broader culture of the nineteenth-century travel literature, it analyzes the text’s intermedial construction across memoir, poetry, and visual imagery. By considering each of these modes both independently and in relation to one another, the thesis argues that Curtis and Kensett collaboratively produce a hierarchical framework for viewing and experiencing nature.

Drawing on intermedial and ecocritical methodologies, this project demonstrates how the book does not simply depict landscape but actively instructs its audience in how to see it. …

From Physical Correlation To Emotional Connection: The Role Of Passive Haptics On Empathy In Virtual Reality, Jemely Robles

Dartmouth College Master’s Theses

Virtual reality is increasingly explored as a tool for cultivating empathy, and haptic feedback as a tool for enhancing immersion. This paper investigates the effects of combining the two.  Fifty-two participants experienced a custom-built VR scene in which a character was shown packing up a room. Participants were assigned to either a haptic condition, receiving passive haptic feedback corresponding to the character's actions, or a non-haptic control condition that did not receive any haptic input. Trait empathy was measured beforehand, and state empathy and engagement were measured after the experience. Thematic analysis was conducted on post-study interviews, and headset recordings …

Netchoice V. Wilson, District Of South Carolina

Historical and Topical Legal Documents

No abstract provided.

Judge V. Academia, Northern District Of California

Historical and Topical Legal Documents

No abstract provided.

In Re: Social Media Adolescent Addiction/Personal Injury Products Liability Litigation, Northern District Of California

Historical and Topical Legal Documents

No abstract provided.

Ningbo Jiaruisi E-Commerce Co., Ltd. V. Wham-O Holding, Ltd., Northern District Of Illinois

Historical and Topical Legal Documents

No abstract provided.

Flexible Cu Nanostructured Laser-Induced Graphene Electrodes For Highly Sensitive And Non-Invasive Lactate Detection In Saliva, Anju Joshi, Gymama Slaughter

Center for Bioelectronics Publications

A scalable and facile fabrication strategy is presented for developing a flexible, nanostructured, non-enzymatic electrochemical sensor for lactate detection based on copper-modified laser-induced graphene (CuNPs/LIG). A one-step electrodeposition process was employed to uniformly decorate the porous LIG framework with copper nanostructures, offering a cost-effective and reproducible approach for constructing enzyme-free sensing platforms. Scanning electron microscopy and energy-dispersive X-ray spectroscopy confirmed dense Cu nanostructure loading and efficient interfacial integration across the conductive LIG surface. The resulting CuNPs/LIG electrode exhibited excellent electrocatalytic performance, achieving a sensitivity of 8.56 μA µM⁻¹ cm⁻² with a low detection limit of 42.65 …

Recent Advances In Triboelectric Nanogenerators For Biomedical And Cardiovascular Monitoring, Amit Sarode, Jegan Rajendran, Gymama Slaughter

Center for Bioelectronics Publications

Triboelectric nanogenerators (TENGs) have emerged as versatile self-powered platforms for wearable and implantable biomedical sensing, offering an alternative to battery-dependent electronic devices. By converting biomechanical energy from physiological motion into electrical signals, TENGs enable simultaneous energy harvesting and active sensing within flexible, lightweight, and biocompatible architectures. This review summarizes recent advances from 2020 to 2025 in triboelectric nanogenerator (TENG)-based cardiovascular monitoring. The discussion focuses on material systems, device configurations, sensing mechanisms, and applications including pulse detection and cuffless blood pressure estimation. Representative studies are compared to highlight emerging trends in wearable and self-powered sensing technologies. However, differences in experimental conditions, …

Mxene-Enabled Wearable Biosensors: A Design Framework For Autonomous Biosensing, Jegan Rajendran, Gymama Slaughter

Center for Bioelectronics Publications

MXenes, a rapidly expanding family of two-dimensional transition metal carbides and nitrides, have emerged as leading materials for wearable bioelectronics due to their metallic conductivity, termination-rich surfaces, mechanical compliance, and tunable interlayer structures. However, wearable biosensor performance does not arise from conductivity alone, but from coupled interactions among surface termination chemistry, heterointerface engineering, hierarchical architecture, and device integration under dynamic physiological conditions. This review establishes a predictive structure-interface-device framework linking MXene chemistry to system-level performance across electrochemical, mechanical, gas, optical, and energy-storage modalities. We analyze how termination-controlled adsorption governs charge transfer and selectivity, how heterojunction formation modulates carrier density and …

Advances And Challenges In Digitally Connected Point-Of-Care Biosensing, Abdellatif Ait Lahcen, Jegan Rajendran, Gymama Slaughter

Center for Bioelectronics Publications

Point-of-care (POC) biosensors are undergoing a paradigm shift from isolated diagnostic tools to digitally connected, intelligent platforms that enable continuous and decentralized healthcare delivery. This review critically examines recent advances in wearable, implantable, and portable biosensors, highlighting how integration with wireless communication, the Internet of Medical Things (IoMT), and artificial intelligence is transforming their functionality and clinical utility. Particular attention is given to innovations such as smartphone-enabled interfaces, cloud-based analytics, and machine learning-assisted analysis, which collectively enhance sensitivity, specificity, and user accessibility across diverse healthcare settings, from personalized home monitoring and bedside diagnostics to deployment in resource-limited regions. The review …

Ai-Assisted Surface-Enhanced Raman Spectroscopy For Cardiovascular Diagnostics: From Plasmonic Materials To Clinical Translation, Anju Joshi, Gymama Slaughter

Center for Bioelectronics Publications

Raman spectroscopy (SERS) has emerged as a powerful analytical technique, offering molecular fingerprint specificity and ultrasensitive detection of cardiac biomarkers. Recent advances in plasmonic nanostructures, surface functionalization strategies, and flexible sensing platforms have significantly improved the analytical performance of SERS-based biosensors. In parallel, the integration of artificial intelligence (AI) and machine learning has enabled robust interpretation of complex spectral datasets, facilitating automated biomarker classification and improved diagnostic accuracy in heterogeneous biological environments. Despite these advances, the field remains fragmented, with limited integration between nanomaterial design, biomarker selection, and data-driven analysis, and persistent challenges related to reproducibility, standardization, and clinical validation. …

Nanofibrous Materials And Nanoparticles For Combating Antimicrobial Resistance: Synthesis, Integration, And Translational Perspectives, Rewati Raman Ujjwal, Ashish Dilip Sutar, Rahul Shukla, Gymama Slaughter

Center for Bioelectronics Publications

Antimicrobial resistance (AMR) is a major global health challenge driven by mechanisms such as biofilm formation, efflux pumps, and genetic mutations. Nanoparticulate and fibrous materials have emerged as promising strategies to overcome these limitations through multimodal antimicrobial action and controlled drug delivery. This review highlights recent advances in electrospun nanofibrous systems, including natural and synthetic polymer-based scaffolds, stimuli-responsive nanofibers, and functionalized patches. Nanoparticle-loaded nanofiber systems demonstrate enhanced performance, including bacterial eradication, sustained drug release, and significant biofilm disruption. Multifunctional systems combining antimicrobial, antioxidant, and immunomodulatory properties further show synergism. Emerging innovations, such as piezoelectric and smart sensing systems, enable self-powered …

Linker-Free Gold-Sputtered Tapered Optical Fiber Plasmonic Sensors For High-Sensitivity Refractive Index Detection In Microfluidic Platforms, Erem Ujah, Gymama Slaughter

Center for Bioelectronics Publications

Gold-sputtered tapered optical fiber (Au-TOF) sensors were developed for high-sensitivity refractive-index (RI) detection using aqueous glucose standards spanning 1.33–1.41 RIU (0–50% w/v). The sensors were fabricated using a reproducible workflow combining flame-brushing tapering, plasma surface preparation, and rotational magnetron sputtering, enabling azimuthally uniform gold coatings without the use of thiol or sulfur linker chemistries. Two sputtering durations (24 s and 30 s) were investigated to examine thickness-dependent plasmonic coupling and sensing performance. Optical measurements were conducted using a broadband supercontinuum source and compact spectrometer within a 20 µL microfluidic sensing chamber. Increasing glucose concentration produced a monotonic decrease in transmission …

Electrochemical Hemoglobin Biosensors For Point-Of-Care Diagnostics, Ashwini Dantanarayana, Gymama Slaughter

Center for Bioelectronics Publications

Hemoglobin (Hb) and its glycated variant (HbA1c) are essential clinical biomarkers for diagnosing anemia, acute hemorrhage, and long-term glycemic control. The growing demand for decentralized point-of-care (POC) testing has accelerated the development of rapid, inexpensive, and portable electrochemical sensing platforms. These technologies exploit the intrinsic redox activity of the heme prosthetic group, yet achieving efficient direct electron transfer (DET) remains a fundamental challenge because the electroactive iron center is deeply embedded within the globin structure. This review critically examines recent advances in electrochemical Hb sensing, tracing the evolution of electrode architectures from conventional carbon substrates to nanostructured materials, including graphene, …

Engineering Electrospun Pvdf Nanofibers For Next-Generation Wearable Bioelectronics, Reshmi Banerjee, Gymama Slaughter

Center for Bioelectronics Publications

Electrospun poly(vinylidene fluoride) (PVDF) and P(VDF-TrFE) nanofibers offer a mechanically flexible, high-surface-area platform for wearable bioelectronics, including piezoelectric sensing and self-powered operation. This review establishes a process–structure–property–performance framework for engineering electrospun PVDF- and P(VDF-TrFE)-based wearable systems. Relationships amongst precursor composition, electrospinning parameters, fiber morphology and alignment, crystalline phase formation, dipole orientation, and device-level piezoelectric performance are examined. Electrospinning is compared with other established fabrication methods including solution casting, spin coating, melt processing, phase inversion, and printing in terms of electroactive β-phase fraction, flexibility, scalability, manufacturing complexity, cost, and wearable-device suitability. Device architectures and performance are evaluated across pressure and strain …

Write For Mental Wellness - Writing For Self-Advocacy, Ypsiwrites, #Wishyouknew Washtenaw

YpsiWrites Programming

No abstract provided.

Write For Mental Wellness - Writing For Social Advocacy, Ypsiwrites, #Wishyouknew Washtenaw

YpsiWrites Programming

No abstract provided.

Genetic Variants Associated With Sjögren’S Disease Subtypes Stratified By Clinical Feature, Nitesh Enduru, Chihiro Iwaya, Akiko Suzuki, Zhongming Zhao, Junichi Iwata

Faculty, Staff and Student Publications

Introduction: Sjögren's disease (SjD) is a chronic autoimmune disorder characterized by dry mouth (xerostomia) and dry eyes (xerophthalmia) due to inflammation in exocrine glands, particularly the salivary and lacrimal glands. The condition presents a wide variety of clinical features, suggesting that it may involve heterogeneous conditions without a clear boundary. Although genome-wide association studies (GWAS) have identified several genetic variants associated with SjD, their roles in SjD pathogenesis remain unclear.

Methods: In this study, we aimed to identify single-nucleotide polymorphisms (SNPs) associated with SjD by categorizing patients based on four diagnostic markers: anti-Ro/SSA and anti-La/SSB antibodies, IgG levels, and lymphocyte …

Enhancing Traffic State Estimation At Bottlenecks Through Improved Demand Modeling: A Greenshields-Grounded Approach, Yuyan Annie Pan, Xianbiao Hu, Qing Tang, Yanyan Chen, Xuesong (Simon) Zhou

Civil & Environmental Engineering Faculty Publications

Accurate estimation of traffic state under oversaturated conditions is fundamental to a wide range of transportation applications. While intuitive, volume-to-capacity (q/qc) ratio-based link performance functions (LPF) are challenged by the U-shaped pattern of real-world speed-flow plots, which contradict the monotonic assumptions of link performance models such as the Bureau of Public Roads (BPR) function, particularly when q/q_c ≥ 1. This study addresses this critical gap by proposing an enhanced demand estimation method grounded in the Greenshields model, incorporating a real-time inflow correction factor to more accurately capture traffic demand at bottlenecks. In parallel, a modified LPF is introduced, replacing …

Performance Assessment And Design Improvements For An Urban Coastal Detention Basin Under Intensifying Rainfall Extremes, Imiya Mudiyanselage Chathuranika, Agyare Asante, Faeghe Borhani, Xixi Wang, Mujde Erten-Unal, Dalya Ismael

Civil & Environmental Engineering Faculty Publications

Coastal urban areas are increasingly exposed to flooding driven by more frequent and intense rainfall events, rising sea levels, and expanding impervious surfaces. Norfolk, Virginia, a low-lying coastal city with aging stormwater infrastructure, faces heightened vulnerability to these hydrologic pressures. This study evaluates the hydraulic performance of an existing urban detention basin within the Edgewater–Larchmont catchment under 10-, 50-, and 100-year, 2-h design storms using the U.S. Environmental Protection Agency’s Storm Water Management Model (SWMM). Simulations were conducted for both pre- and post-development conditions to assess changes in peak discharge, storage capacity, and water level dynamics. Results show that urbanization, …

Optimizing Maintenance Routes For Highway Infrastructure Using Leader-Follower Autonomous Vehicles, Qing Tang, Chenxi Chen, Xianbiao Hu, Yuxin Ding, Tianjia Yang

Civil & Environmental Engineering Faculty Publications

The Autonomous Truck Mounted Attenuator (ATMA), a leader–follower style connected and automated vehicle system, enhances safety during transportation infrastructure maintenance in work zones. However, the significantly lower speed of ATMA, compared to regular vehicles, causes moving bottlenecks that reduce roadway capacity and prolong queuing, leading to further delays. Different ATMA routes lead to varying patterns of time-dependent capacity drop, affecting the user equilibrium traffic assignment and resulting in differing system costs. This study aims to optimize ATMA routing within a network to minimize the system cost associated with its slow-moving operation. To this end, a queuing-based traffic assignment approach is …