Digital Commons Network^™

Voice As A Biomarker: Exploratory Analysis For Benign And Malignant Vocal Fold Lesions, Phillip Jenkins, Rylan Harrison, Steven Bedrick, Lisa Karstens, Bridge2ai-Voice Consortium

Mathematics and Statistics Faculty Publications and Presentations

Benign and malignant vocal fold lesions can alter voice quality and lead to significant morbidity or, in the case of malignancy, mortality. Early, noninvasive identification of these lesions using voice as a biomarker may improve diagnostic access and outcomes. In this study, we analyzed data from the initial release of the Bridge2AI-Voice dataset to evaluate which acoustic features best distinguish laryngeal cancer and benign vocal fold lesions from other vocal pathologies and healthy voice function. Seven diagnostic cohorts were grouped into two analyses: the first included participants with laryngeal cancer, benign lesions, or no voice disorder; the second included those …

Post-Pandemic Restaurant Patronage: The Importance Of Neuroticism In Shaping In Person Dining Intentions., Matthew Gorton, Min Yan, Honglyu Lin, Dora Gaćeša Brlić, John White, Ružica Brečić, Ana Tkalac Verčič

Plymouth Business School

Purpose Even after the lifting of all government restrictions, introduced to combat the spread of Covid-19, many consumers remain fearful of in-person dining. This paper seeks to understand this reticence, and explain post-pandemic restaurant dining intentions. Design/methodology/approach The paper introduces and tests a conceptual framework for understanding in-person dining intentions in the post-Covid-19 era, utilizing structural equation modelling. To empirically validate the model, survey data collection (n = 436) occurred in China after the government lifted its “Zero-Covid” policy. Findings Neuroticism, as a personality trait, negatively affects restaurant trust and increases fear of Covid-19 (threat appraisal), which in turn reduces …

Mental Health Disparities In Hospital Admissions For Youth With And Without Autism, Ben Pfingston, Lindsey Sneed

Journal of Social, Behavioral, and Health Sciences

The purpose of this study was to compare mental health diagnoses in a sample of youth with autism spectrum disorder (ASD) and youth without ASD (non-ASD) admitted to inpatient hospitals across the United States. We hypothesized that autistic youth would have a greater proportion of co-occurring psychiatric diagnoses compared to their typically developing peers. To do this, we conducted a cross-sectional analysis of the Healthcare Cost and Utilization Project (HCUP) 2019 Kids’ Inpatient Database (KID). We compared the proportions of co-occurring psychiatric diagnoses between autistic and typically developing youth. Compared to 21% of non-ASD admissions, 36% of the ASD admissions …

Trauma-Born Generations And Intergenerational Conflict: A Study Of Tensions In The Contemporary South Korean, Daihyun Kim

Dissertations and Theses

This paper analyzes how traumatic events that have been repeated in modern Korean history have affected each generation's identity and emotional structure, and how intergenerational conflicts arise, are structured, and reproduced. This study divides the groups of people born in the period from "The Liberation" in 1945 to 2025 into four generations: the Industrialization Generation, the Democratization Generation, the Capitalist Generation, and the Isolation Generation. Each generation has remembered major historical events such as the Korean War, the Gwangju Democratization Movement, the IMF foreign exchange crisis, the Sewol ferry and the Itaewon disaster in a unique way, thereby forming an …

Optimising The Care Of The Trapped Patient Following A Motor Vehicle Collision: A Uk-Based Delphi Consensus Study, Tim Nutbeam, Rob Fenwick, Ian Marritt, Brian Lee, Luke Staveley-Wadham, Nigel Lang, Louise Johnson, Nicolas Mattock, Jane Ogilvie, Emily Foote, Francis Screech, Lara Lebeau-Humarau, Caroline Leech

Peninsula Medical School

Background Motor vehicle collisions (MVCs) are a leading cause of injury and death worldwide. Up to 40% ofcasualties may become trapped and entrapment is associated with delayed care and worse outcomes. There is littlenational or international consensus guiding the care of physically trapped patients who cannot self-extricate. Thisstudy aimed to develop multidisciplinary consensus-based principles to optimise clinical and operational care fortrapped patients following MVC.Methods A three-round Delphi study was conducted from January to March 2025, following the CREDES framework.A multi-professional steering group developed preliminary statements informed by literature review and expertconsultation. Subject matter experts (SMEs) with operational experience in extrication, …

Editorial: Health Misinformation: Examining Its Presence And Impact Across Communication Contexts, Christopher Mckinley

College of Communication and Media Scholarship and Creative Works

No abstract provided.

Factors Associated With The Use Of Combined Nutritional Complementary And Alternative Medicine Among Southern Us Older Adults: Results From The Study Of Aging Ii, Kristen Allen-Watts, Deanna Rumble, Taylor Taylor, Andrew Sims, Lisa H. Antoine, Georgiana Logan, Cynthia J. Brown, Thomas W. Buford, Burel R. Goodin, Andrea Cherrington, Richard Kennedy

School of Medicine Faculty Publications

Background: Older adults use nutritional complementary and alternative medicine (CAM) to reduce the risk of (or treat) non-communicable conditions and diet deficiencies. While prior research has explored the individual use of dietary supplements, vitamins, and minerals among older adults, few studies have examined factors influencing the combined use of these modalities, especially among Southern, older adults in the United States. Methods: Data were extracted from 419 participants from the University of Alabama at Birmingham Study of Aging II, a population-based longitudinal study of mobility among community-dwelling older adults. Self-reported data, including insurance and rural residence status, was collected. Comorbidity burden …

Varona, Federico, San Jose State University

Emeritus and Retired Faculty Biographies

USA:

University of Kansas, Major: Organizational Communication. Minor: Intercultural Communication, 1991 Ph.D.

University of Kansas, Major: Organizational Communication Minor: Intercultural Communication, 1988, M.A. [M.A. Thesis: A Comparative Study of Communication Satisfaction in Two Guatemalan Companies]

FRANCE:

Center AudioVisuel Recherche et Communication, Lyon, France, Audiovisual Communication.1977 Diplome

SPAIN:

Universidad Pontificia de Salamanca, Spain, Major: Theology, 1976 Licenciado [Thesis: De Carl Rogers a la Pedagogía de la Fe]

Universidad Pontificia de Salamanca, Spain. Major: Psychology. Minor: Clinical and Educational Psychology, 1976 Diplomado

GUATEMALA:

Universidad San Carlos de Guatemala, Guatemala, Psychology, 1972-1974

Universidad Francisco Marroquín, Guatemala, Theology, 1972-1974 …

Charting Suicide Risk In Latina Adolescents: A Qualitative System Dynamics Approach, Lauren E. Gulbas, Peter S. Hovmand, Esther J. Calzada, Carolina Hausmann-Stabile, Su Yeong Kim, Luis H. Zayas

School of Social Work Faculty Publications

Objectives: Suicide risk among Latina adolescents is shaped by dynamic interactions among emotional, behavioral, and sociocultural factors. This study develops a causal feedback theory to illustrate how these factors reinforce or mitigate suicide risk over time.

Method: Using grounded theory analysis, we analyzed qualitative interviews with 60 Latina adolescents (ages 11-19) recruited from New York City: 30 with a history of suicide attempts and 30 with no reported history of suicidal behaviors. Participants varied by Hispanic cultural group, place of birth, and documentation status.

Results: Our feedback theory is organized around seven categories: cognitive vulnerabilities, avoidant coping, high-risk behaviors, family …

Developing Resilience In First Year Collegiate Athletes: The Effectiveness Of A Resilience And Strengths Based Course, Dorian J. Hayden

Dissertations, 2020-current

Research shows that college students have increased levels of mental health difficulties with freshmen transitioning into college experiencing even more strain. What further contributes to these difficulties includes having experienced the COVID pandemic in high school, low socioeconomic status (SES), and racial minority status. Student-athletes, although known to have better mental health than non-student-athletes, still underutilize their abundance of resources. Generally, a skill that has been established as beneficial in managing the difficulties related to college is resilience, suggesting the implementation of a more accessible resource to support the mental health of student-athletes transitioning into college. One such resource is …

Enduring The Torturing Shears: Gardens And Novel Conventions In The Brontës' Novels, Grace Mattingly

Honors Theses

This thesis is a literary analysis of the use of gardens and garden imagery in Anne Brontë’s The Tenant of Wildfell Hall, Charlotte Brontë’s Jane Eyre, and Emily Brontë’s Wuthering Heights to subvert Victorian novel conventions. This work is part of the larger conversation of how female authors in the literary canon express dissatisfaction with or resistance to Victorian social mores. This thesis is divided into three chapters, each focusing on one novel, and it primarily evaluates how gardens are employed by the Brontës to challenge plot and genre conventions. The work examines concerns surrounding the Victorian marriage institution, female …

Paradoxical Forms Of Scientific Heroism When Responsibly Conducting Research, Theresa A. Thorkildsen

Heroism Science

The Stanford Prison Experiment is widely known for offering insight into the responsible conduct of research as well as how prisoners and prison guards fall easily into potentially harmful roles. As the principal investigator of the study, Philip Zimbardo became a polarizing figure in the social sciences -- both celebrated as a pioneering hero and criticized for ethical shortcomings -- while consistently engaging with his critics throughout his career (Zimbardo, n.d.). Highlighting Zimbardo’s influence on the protection of human research participants, this article uses details from Zimbardo’s self-reflections and insights on the paradoxes of heroism to convey how research personalities …

Embedding Self-Determination In Transition Planning For Young Adults With Autism, Kade Lane

Graduate Teacher Education

Despite decades of legal mandates under the Individuals with Disabilities Education Act (IDEA), students with autism spectrum disorder (ASD) continue to face disproportionately poor postschool outcomes in employment, independent living, and higher education. Research consistently identifies self-determination as a critical predictor of positive adult outcomes, yet transition planning in many educational settings remains procedural, adult-driven, and disconnected from student agency. This capstone explores how self-determination can be meaningfully embedded into transition planning by synthesizing literature across legal foundations, structured interventions, culturally responsive practices, and implementation strategies. Grounded in Self-Determination Theory, the literature review reveals that student-led IEPs, autonomy-supportive instruction, and …

Closing The Autism Employment Gap, Sarah Tate

Graduate Teacher Education

This literature review explored how educators can better support transition-aged autistic youth in preparing for, obtaining, and sustaining meaningful employment to improve adult life outcomes. The purpose of this review was to synthesize current research on evidence-based practices that address the persistent employment gap faced by individuals with autism spectrum disorder (ASD). A total of 21 peer-reviewed studies were analyzed, including quantitative, qualitative, and mixed-methods research. These studies examined critical factors such as student motivation, transition planning, social communication, executive functioning, self-advocacy, and collaboration with families and community agencies. Common themes highlighted the importance of student-centered planning and the use …

Proceedings Of The 2025 Undergraduate Research Day, Rebecca Day Babcock Dr., Mohamed Zobaa

UTPB Student Research Day 2026

No abstract provided.

Impact Of Primary Preventive Initiatives To Reduce Burnout And Compassion Fatigue In Emergency Department Nurses, Kelley Molandes

Doctor of Nursing Practice (DNP) Manuscripts

Background and significance: It is estimated that 20% of nurses leave the profession within the first year due to an onset of burnout (Henson, 2020). Prior to the pandemic of 2020, workforce projected models estimated large-scale shortages in full time employee (FTE) registered nurses as demand continued to outpace supply (Lauer, 2022). Researchers estimate projections from 2024 into the year 2032 are now skewed, as pandemic-related contributors and their effects on burnout in the nursing profession have not been thoroughly assessed (Saravanan et al., 2022). When considering the data, an underlying need for burnout prevention amongst nurse residents emerges. Interventions …

Learning Labs As A Professional Development Model To Strengthen Special Education Literacy Instruction, Claire Krajkowski

Masters Projects

Special education teachers face unique challenges in delivering effective literacy instruction to students with disabilities, yet traditional professional development often remains disconnected from the realities of special education classrooms. These conventional models frequently lack opportunities for sustained collaboration, reflective practice, and the application of evidence-based strategies tailored to diverse learner needs. This project presents a comprehensive plan for designing and facilitating Learning Labs, a form of embedded professional development grounded in constructivist and sociocultural theories. The Learning Lab model emphasizes collaborative inquiry, pedagogically productive talk, and the analysis of authentic instructional artifacts to deepen teachers’ understanding of effective literacy instruction. …

Watching The Clock: Time-Tracking And The Erosion Of Privacy And Dignity At Work, Tammy Katsabian

Comparative Labor Law & Policy Journal

This article examines the rise of time-tracking technologies as a dominant form of digital workplace surveillance and their implications for workers’ privacy and dignity. Often framed as neutral tools for enhancing productivity, these systems embed continuous algorithmic oversight into daily work routines, intensifying managerial control and reshaping the employment relationship. Drawing on legal, philosophical, and socio-technical scholarship, the article argues that privacy and dignity are mutually reinforcing values, both of which are undermined by pervasive surveillance practices. Privacy is not treated here as a waivable entitlement grounded in individual consent, but rather as a structural safeguard that protects autonomy and …

Ai-Driven Biomedical Perspectives On Mental Fatigue In The Post-Covid-19 Era: Trends, Research Gaps, And Future Directions, Saba Parveen, Md Belal Bin Heyat, Umair Tariq, Faijan Akhtar, Hafiz Muhammad Zeeshan, Seth Christopher Yaw Appiah, Shang-Ming Zhou, Huang Lei

School of Nursing and Midwifery

Mental fatigue is a complex condition arising from various neurological processes and influenced by external factors such as stress and cognitive demands. This comprehensive review elucidates the primary neurological mechanisms underlying mental fatigue, particularly emphasizing how it was elevated or otherwise affected during the COVID-19 pandemic. We explore the intricate relationship between prolonged cognitive tasks, chronic stress, and the development of mental fatigue, emphasizing the impacts that mental fatigue has on mental health across diverse populations. Utilizing advanced artificial intelligence techniques, including machine learning and deep learning, this study identifies and quantifies the patterns of mental fatigue. The innovative approach …

Environmental Citizenship And Behavioral Determinants Of Wind Farm Tourism: Evidence From Grass Skyline, Zhangjiakou, China, Danqing Liu, Leonardo Jackson, Randall S. Upchurch, Catherine Johnson

Plymouth Business School

This study examines the intersection of renewable energy and tourism by exploring why domestic tourists visit wind farm sites for recreation. Traditionally seen as industrial facilities, wind farms are now recognized as dual-purpose attractions that promote environmental awareness and local economic growth. Using the Value–Belief–Norm (VBN) theory, Theory of Planned Behavior (TPB), and New Environmental Paradigm (NEP) as theoretical lenses, we investigate the psychological, social, and cultural factors influencing wind farm tourism. The key determinants of tourist behavior include attitudes, subjective norms, perceived behavioral control, personal norms, and environmental beliefs. Structural equation modeling (SEM) indicates that personal norms have the …

The Problem Of Selective Miracles, Andrew Hronich

Liberty Theological Review

The problem of evil designates an umbrella of similarly related arguments linked together by family characteristics. Within this larger genus, the problem of selective miracles stands apart as a particularly underdeveloped species of argument that analytical and philosophical theologians have failed to adequately reckon with. By contextualizing this peculiar argument within an adequate metaethical framework, this article synthesizes a deontological framework with the elucidating work of John Peckham and his cosmic warfare theodicy. It further repudiates alternative approaches to the problem of selective miracles proffered by consequentialists and process theologians. In sum, the article contends that Peckham's cosmic warfare theodicy …

Washington Report: Single Level Of Appeals Gains Favor Within Irs; Aicpa To Survey Cpa Practitioners, Thomas R. Hanley, William R. Stromsem

Tax Adviser

No abstract provided.

Helping Bipoc, Women, And First-Generation Students Maximize The Value Of Unpaid Internships, Ted Thornhill, Nicole Torres, Christina Van Wingerden

Journal of Educational Research and Practice

Internships and practicums are a required component of nearly all degree programs in human services and its subfields—and most are unpaid. These unpaid positions often have a disproportionate impact for BIPOC and first-generation students, especially women—many of whom are economically disadvantaged and must work to support themselves and sometimes their families. Increased student activism, non-profit campaigns, and journalistic accounts show student frustration over their unpaid labor. Despite the righteousness of these students’ cause, the reality is that the implementation of an equitable, robust, and sustainable nationwide system of paid internships, in the near-term, is politically impracticable. Given that most human …

Building Climate Resilience: Community Gardens And Environmental Education In Christchurch, New Zealand, Caleb T. Mccauley

Capstone Collection

The socio-political movements in post-earthquake Christchurch are studied to better understand the interplay of community gardens, climate, environmental, and land-based education, and to analyze their relevance to entrenching climate resilience in the region. Social networks and community responses to natural disasters like an earthquake are leveraged to understand their ability to influence the pillars of climate resilience, those being community, economic, and ecological resilience, respectively. The central hypothesis and research question of this paper will seek to answer: Can social cooperation in the wake of a natural disaster influence the ability of a community to respond to similar disruptions caused …

Navigating Early Intervention: The Experiences And Impact Of A Parent Coaching Model On Immigrant And Refugee Families In Rural Massachusetts, Emily Pleasant

Capstone Collection

Early Intervention (EI) programs play a critical role in supporting the developmental needs of children from birth to age three. This study explores the experiences of immigrant and refugee families engaging with EI services in rural Massachusetts, focusing particularly on the implementation and effectiveness of parent coaching models. Utilizing a mixed methods design that incorporates both narrative and phenomenological approaches, the research examines how families from culturally diverse backgrounds perceive and engage with EI services. This study discusses what barriers or facilitators they encounter throughout their journeys with Early Intervention. Preliminary findings suggest challenges related to language, cultural differences in …

Educational Lifecycle: Transitioning From Undergraduate To Graduate-Level Expectations, Khalil A. Mrabe, Rosie Defeo, Arlenys Loffredo

Internet Journal of Allied Health Sciences and Practice

The World Health Assembly has recognized the current and future place of education, training, and development within their 2030 global strategy. While education in allied health professions continues to evolve, limited information is known about the challenges graduate students face when transitioning into these programs. In response to recent societal and educational shifts, a systematic review was conducted to explore the academic, psychological, social, and professional barriers affecting first-term allied health students. Utilizing the SPIDER framework along with searching across different platforms (Psychinfo, Web of Science, and ProQuest) to locate peer-reviewed studies published within the last five years. Forty-seven studies …

Learning To Treat The Whole Person: Assessing Spiritual Care Curriculum Inclusion At Faith And Non-Faith-Based Doctor Of Physical Therapy And Master Of Athletic Training Programs In Texas, Tricia Blalock, Heather Hudson, Andrew R. Meyer, Ryan Hebdon

Internet Journal of Allied Health Sciences and Practice

Purpose: Given the identified importance of assessing the spiritual domain of health as a component of cultural competence and holistic care in physical therapy and athletic training and the importance that their governing bodies have indicated that spiritual care should play in treating patients, this current study examined how faculty, at entry-level Doctor of Physical Therapy (DPT) and Master of Athletic Training (MAT) programs in Texas, perceive the importance and inclusion of spiritual dimensions of care in their programs. Methods: We disseminated an online, cross-sectional, mixed-methods survey to a total of 289 faculty members from a total of 27 programs …

Holistic Approach To Managing Grade 3 Vaginismus: An Obg Physiotherapy Perspective, Nagma Khan

Internet Journal of Allied Health Sciences and Practice

Background: Vaginismus is a condition characterized by involuntary pelvic floor muscle contractions, which can make vaginal penetration painful or impossible. This disorder has both physical and psychological components, often leading to significant emotional distress, anxiety, and relationship difficulties. Effective management requires a holistic, multidisciplinary approach, combining physical therapy with psychological support. This case report examines the treatment of a 29-year-old woman with grade 3 vaginismus, highlighting the role of Obstetrics & Gynaecology (OBG) physiotherapy in improving both physical symptoms and emotional well-being.

Case Presentation: A 29-year-old female presented with grade 3 vaginismus, with a history of severe pelvic floor tension …

The Impact Of Pet Therapy On Stress Reduction And Academic Performance Among Allied Health Students, Catherine Brock

Internet Journal of Allied Health Sciences and Practice

Purpose: Interest in pet therapy is increasing due to its potential to alleviate internal and external stress signs through the human-animal bond. This study investigates the effects of pet therapy compared to environmental and behavioral modifications on allied health students' stress levels and exam performance. Methods: We conducted an anonymized randomized intervention design with allied health students to compare perceived stress and test scores. Eighty-five students were randomly assigned to one of three intervention groups. We hypothesized that students who participated in pet therapy before their exam would report lower anxiety and achieve higher exam scores than those who received …

Integrating Neuroaesthetic Design Into Brain-On-Chip Research: Toward Enhanced Neural Engagement And Cognitive Accessibility, Piper Hutson, James Hutson

Faculty Scholarship

This study examines the potential for neuroaesthetic design and adaptive neurofeedback principles to enhance brain-on-chip (BoC) research, with an emphasis on optimizing neural engagement and cognitive accessibility for diverse populations. Existing BoC platforms have transformed neuroscience through high-fidelity modeling of neural circuits, yet cognitive accessibility and sensory inclusion remain comparatively underexplored. Drawing upon recent studies in neuroinclusion, multisensory interface design, and adaptive feedback, this work synthesizes findings from biophilic interface architecture, neurofeedback literature, and embodied cognition frameworks. The manuscript outlines a multidisciplinary research agenda that prioritizes sensory diversity and ethical considerations in the evolution of BoC systems. Instead of making …