Digital Commons Network^™

Physical Inactivity In Preclinical Alzheimer's Disease: Risk Factor, Early Symptom, Or Both, Jiawei Zhao, Xin Li, Mengxuan Wu, Zhanjun Zhang

Communication Sciences & Disorders Faculty Publications

Physical inactivity is a key modifiable risk factor for Alzheimer's disease (AD). However, emerging evidence suggests a bidirectional relationship where inactivity also serves as an early manifestation of AD pathology. This perspective synthesizes recent findings from long-term epidemiological cohorts, brainstem neuropathology, and digital phenotyping to reconceptualize the role of inactivity in preclinical AD. Early tau accumulation in catecholaminergic nuclei (locus coeruleus and ventral tegmental area) disrupts circuits essential for reward valuation and effort calculation. We hypothesize that this neurobiological failure may manifest as prodromal apathy and declining physical activity years before cognitive impairment. Standard metrics like step counts fail to …

Allied Health Professions (Ahp) Engagement With And Leadership Towards Actionable Carbon Reduction Interventions To Meet The Nhs Net Zero Agenda:: A Consensus Study, Frances Slowie, Linda Hindle, Louise Davey-Hewins, Sarah Cooper, Clare Pettinger

School of Health Professions

Background: Climate change is one of the greatest threats to human health. The UK health and care system is responsible for 4%–5% of the country’s carbon footprint. Following an ambitious commitment to ‘Delivering a Net Zero NHS’, there is an ongoing urgent drive to advocate for proactive sustainability measures across the workforce healthcare practice areas. As the third largest workforce within the NHS, allied health professionals (AHPs) are crucial players in this net zero commitment. Implementing suitable carbon reduction strategies requires leadership and more clarity on the practical steps that AHPs can take specific to their unique skill set. Objective: …

Insurgent Until Proven Innocent: Land, Power, And The Right To Defend Rights, Kelsey Jost-Creegan

Michigan Journal of International Law

As the climate crisis intensifies, advocates worldwide have stood up to defend their communities, territories, and environment. In response, they have faced violent retaliation. This repression persists despite evolving international, regional, and national-level legal frameworks around the “right to defend rights” and the “right to protection.” This article begins by providing a comprehensive overview of this evolving legal landscape. Against this backdrop, the article examines the tactics and architectures of violence used to repress land and environmental defenders through the lens of counterinsurgency theory.

The article proposes a typology of counterinsurgent violence including: surveillance; stigmatization; criminalization; arbitrary detention; infiltration; cooptation; …

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 …

Do I Fit In Here? How Immigrants’ Endorsement Of Social Markers Is Related To Their Wellbeing In Three Migrant Receiving Societies, Justine Dandy, Chan Hoong Leong, Adam Komisarof, Travis Lim, Krystal Perkins

Research outputs 2022 to 2026

Social markers of acceptance are the attributes seen as important for immigrants to achieve or display in order to be accepted similarly to a local-born citizen. In research on constructions of national identity, factor analysis reveals a culture-specific, two-factor structure akin to the ethnic–civic distinction observed. In this paper, we extend this work by examining the relationship between social markers of acceptance and immigrants’ well-being in three national contexts: Australia, Japan, and the U.S. Specifically, in study 1 we examined the factor structure of social markers in non-immigrant samples in each context (Australia, n = 1357; Japan, n = 2000; …

Scams All The Way Up: The Scam As Vernacular Analytic Of Digital Capitalism, Courtney T. Wittekind, Elizabeth Resor, Jovanna Rosen, Hilary Faxon, Kendra Kintzi, Julien Migozzi, Luis F. Alvarez León, Desiree Fields

Research Outputs: 2025-Present

Scams have proliferated under digital capitalism; so too have stories of scams and allegations of scamming. In this commentary, we focus on the latter to situate the scam as a “vernacular analytic:” an everyday mode of critique invoked to question the normative systems and institutions that rule our lives, but are experienced as exploitative or rigged. While this vernacular analytic is a powerful and pervasive means to highlight inequality, we argue that it obscures what is unique about scams amid capitalism's digitalization. In response, we develop a systematic approach to study this vernacular analytic as it circulates under digital capitalism. …

Influence Of Self-Reported Maternal Mental Health Diagnosis And Parenting Practice On Child Externalizing Behavior, Caitlin E. Smith

All-Inclusive List of Electronic Theses and Dissertations

Maternal psychopathology generally has been associated with greater likelihood of childhood pathology (e.g., Bellina et al., 2020) which is likely due to both genetic (e.g. heritability of mental health diagnoses) and environmental (e.g., parenting) influences. ADHD, in particular, is a disorder with a high heritability rate (Kuja-Halkola et al., 2015). Other parent mental health difficulties, such as anxiety or depression, can also influence parenting behavior as well as child behavior. Broadly, maternal psychiatric history is related to child ADHD symptom severity (López Seco et al., 2015). Positive parenting may be especially important when parenting a child with ADHD as positive …

How Cultural Homogeneity Couples With Organizational Climate In Public School Environments, Steven R. Peterson

All-Inclusive List of Electronic Theses and Dissertations

This quantitative study examines how cultural homogeneity influences teachers’ perceptions of school climate in Indiana public schools. Grounded in systems thinking and organizational theory, the study analyzes how shared values and norms shape teachers’ responses to leadership practices and stakeholder demands. Data were collected from educators using the School Culture Survey and a custom scenario-based climate instrument capturing reactions to organizational challenges. Statistical analyses explored relationships between cultural homogeneity and teachers’ perceptions of stability, workload, and adaptive capacity. Results indicate that alignment in key cultural dimensions—particularly Collaborative Leadership—significantly shapes climate experiences, while overall homogeneity alone does not predict workload pressures. …

Personal Goal Facilitation, Burnout And Work Engagement: The Role Of Self-Discrepancy, Jacinth Jia Xin Tan, Bek Wuay Tang

Research Collection School of Social Sciences

Employees who perceive greater personal goal facilitation through work (PGFW) experience lower burnout and higher work engagement. This research examined whether self-discrepancies and emotional experiences explain these relationships across two cross-sectional studies involving a nationally representative sample of working adults (Study 1; N = 889) and a sample of public school teachers (Study 2; N = 228) in Singapore. Participants listed personal goals and rated how much their jobs facilitated these goals, alongside measures of self-discrepancy, emotions, burnout, and engagement. Across both samples, higher PGFW predicted lower burnout and greater engagement. These associations were consistently explained by lower ideal self-discrepancy …

Global Prevalence Of Internet Gaming Disorder: An Umbrella Review Of Meta-Analytic Evidence And Implications For Child And Adolescent Psychiatry, Elisabeth C. S. Poon, Xun Ci Soh, Trina J. H. Poh, Andre C. S. Tan, Andree Hartanto

Research Collection School of Social Sciences

Background/Objectives: Internet gaming has become a widespread global activity, raising concerns about the prevalence of Internet Gaming Disorder (IGD). However, existing meta-analyses report highly variable prevalence estimates. This umbrella review aims to clarify the prevalence and variability of IGD by synthesizing evidence from meta-analyses to provide a comprehensive overview of IGD prevalence across populations, age groups, and regions. Methods: Following PRISMA guidelines, systematic searches were carried out across five published literature databases and two supplementary search sources. Title and abstract screening, followed by full-text eligibility assessment, were conducted independently by three authors. The same three authors then performed data extraction …

Fugue State: The Body Politic Of Identity Theatre, Sean Patrick Ryan

Graduate Theses and Dissertations

This paper will cover my approach as an actor and a creator in two separate productions during my time at the University of Arkansas. The first is a solo theatre piece that I devised under the tutelage of Michael Landman. This work, Half Brother, is a piece of theatre that takes an abstract approach to exploring the familial and psychological ripples that can occur in the life of a queer person when a parental unit takes on a political and religious identity that is oppositional to the LGBTQ community. It exposes the effect this transformation has on the child, their …

Procedural Justice And Instructional Alignment In Body-Worn Camera Policies: A Comparative Policy Analysis Of Large U.S. Urban Police Departments, Michael A. O'Connor

Theses and Dissertations from DePaul University

This study examined how written Body-Worn Camera (BWC) policies in large U.S. urban police departments operationalize Procedural Justice (PJ) through instructional alignment and how those policies shape expectations for officer training. Policy analysis showed that all departments required BWC activation during key encounters such as traffic stops and arrests and included some form of supervisory review. However, substantial variation existed in policies governing data retention, citizen notification, pre-report viewing safeguards and documentation requirements, and disciplinary guidance. These inconsistencies were most evident in the PJ dimensions of neutrality and voice, particularly where policies permitted pre-report viewing without consistent documentation requirements and …

Understanding Chronic Bodily Pain Across Multisystemic Illnesses: A Comparative Analysis Using Exploratory Factor Analysis And Invariance Testing, Suvetha Ravichandran

Theses and Dissertations from DePaul University

Chronic pain is a debilitating symptom that often remains under-researched and poorly treated, particularly for those with multisystemic conditions. This study explored the shared and distinct experiences of chronic bodily pain across four multisystemic illnesses: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), Multiple Sclerosis (MS), Post-Polio Syndrome (PPS), and Long COVID. Comparative exploratory factor analysis (EFA) and invariance testing were used to examine commonalities and differences in underlying pain experiences for those with the above diagnoses as well as healthy controls based on their responses to pain items from the DePaul Symptom Questionnaire-1 (DSQ-1). A total of 3,724 participants were included: 2,403 …

Privacy, Paternalism, And Standing In Health Professions Regulation, Anthony Sangiuliano

Dalhousie Law Journal

When investigating whether a doctor has behaved unethically while treating a patient, professional regulatory colleges may search patients’ confidential medical records without patients’ consent. I argue that this practice is not paternalistic, nor does it usurp patients’ standing to decide for themselves whether to sacrifice their privacy to hold the doctor to account for professional wrongdoing. College investigations that non-consensually invade patient privacy do not express disrespect for patients’ agency because they aim to mitigate harm to the broader public. Unlike criminal prosecutions of doctors which uphold moral values pervading the public at large, college investigations enforce ethical standards within …

A Qualitative Study Of Key “Regulatory” Factors Influencing Patient Access To Medical Assistance In Dying In Canada, Ruthie Jeanneret, Eliana Close, Jocelyn Downie, Ben P. White

Dalhousie Law Journal

Medical assistance in dying (“MAiD”) was legalized federally in Canada after the landmark case, Carter v Canada (AG), 2015 SCC 5. Bill C-14 introduced a federal legislative framework for MAiD in 2016, which was amended by Bill C-7 in 2021. Some Bill C-7 amendments directly responded to the decision in Truchon c Canada (PG), 2019 QCCS 3792. Other amendments responded to several factors identified as barriers to patient access, including the requirement for two independent witnesses, the 10-day reflection period, and the requirement to provide final consent at the time of administration of MAiD medication. However, emerging literature identifies that …

Typicality Of Inferences Resulting From Limited Psychometric Models And Statistical Techniques Used: A Review Of Education Studies Published In Arab Journals (2016–2024), Mohammed A. A. Abulela, Mustafa Ali Khalaf

Journal of Educational and Psychological Studies

The study assessed the typicality of inferences in educational research published in Arab journals between 2016 and 2024 by determining the prevalence of psychometric models, the statistical techniques utilized, and the extent to which their assumptions were checked. Reviewed studies included 410 articles from eleven journals. The findings indicated that most studies relied on Cronbach’s alpha for estimating score reliability (60%) without checking its assumptions, while the use of confirmatory factor analysis and item response theory was limited. Additionally, researchers predominantly relied on face validity (expert judgment) at a rate of 55.3%, reflecting limited validation efforts for achieving the quality …

Understanding The Forest School Experience: A Conceptual Exploration Of Benefits And Barriers, Ziad F. Dabaja

Journal of Educational and Psychological Studies

Forest School, a form of outdoor nature-based education, has increasingly gained international attention, particularly, its educational and developmental benefits are well documented. While existing literature highlights positive outcomes for children, families, and educators, it also identifies a range of challenges that can hinder effective implementation. This paper adopts a conceptual study design and synthesizes findings from three peer-reviewed literature reviews, collectively examining 40 international studies, to develop an integrative concept map of the Forest School experience. Using a thematic synthesis, evidence from the reviewed studies was analyzed to identify overlapping and complementary themes, which were categorized into benefits, implementation challenges, …

Feasibility Of Using Electronic Medical Records To Identify Postdischarge Mental Health Screening Documentation In Trauma Patients., Kellie Girardot, Julie L Otte

Emergency Medicine and Trauma

BACKGROUND: Injury leads to long-term physical and mental health challenges, yet inpatient screening for post-traumatic stress disorder and depression remains inconsistent, and postdischarge mental health is poorly understood, particularly in less resourced trauma centers where emerging symptoms may go unrecognized.

OBJECTIVE: To evaluate the feasibility of using the electronic medical record to identify postdischarge mental health screening documentation in adult trauma patients within 6 months after discharge.

METHODS: This retrospective descriptive feasibility study was conducted at a midwestern US regional Level II trauma center serving a predominantly rural catchment area. Adult trauma patients admitted between January 1 and December 31, …

Sharksrx Newsletter Summer 2026, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Childhood Maltreatment Profiles And Premenstrual Dysphoric Disorder (Pmdd) Among Female Adolescents In Nigeria: A Latent Class Analysis, Wasiu Olorunlambe, Sherifat Adeniyi, Maricela Galdamez, Ruby Charak, Julian D. Ford

Psychological Science Faculty Publications

Background

Objectives

Participants and Settings

Methods

Mental Health Stigma In Latin American Youth With Obsessive-Compulsive Disorder, Ryan J. Mccarty, Matias Jensen, Elissa Paz Jensen Santa Cruz, Melisa N. Sagarnaga, Pamela Claisse Quiroz, Isabella A. Cruz, Laura D. Seligman, Joseph D. Hovey, Monica E. Ochoa, Nadeen Salhadar

Psychological Science Faculty Publications

Obsessive-compulsive disorder (OCD) is an impairing mental health condition that affects individuals across the lifespan. Some literature has evaluated mental health stigma in adults with OCD but limited attention has been given to youth, as well as those of Latino ancestry. The present study reported the extent of stigma experiences among Latin American youth with OCD, as well as examined sociodemographic, clinical and psychological correlates. 235 youth with clinician confirmed diagnoses of OCD from 10 North and South American countries completed questionnaires assessing stigma experiences, symptomatology, and functioning. Sociodemographic and clinical variables were also collected. The average OCD stigma response …

The Accidental Entrepreneur: How Military Spouses Take Their Careers Into Their Own Hands, Jennifer Barnhill, Rosalinda Maury, Jeanette Harvie

Institute for Veterans and Military Families

The Accidental Entrepreneur is the second narrative profile in the Reimagining Military Spouse Employment series, a companion to the initiative's data briefs. Through the story of a mid-career military spouse who builds a business after repeated career disruptions, it examines why many spouses turn to entrepreneurship and what stands in their way. The profile covers the barriers spouses face when starting a business, including access to funding, certifications, and grants, along with the reality that self-employment does not eliminate the military spouse earnings penalty. It offers guidance for military spouses considering entrepreneurship and for the community leaders positioned to support …

Advancing Dimensional Models Of Psychopathology In Cancer: Insights From Applying The Hierarchical Taxonomy Of Psychopathology (Hitop), Darren Haywood, Jai Carmichael, Miriam K. Forbes, Roman Kotov, Robert F. Krueger, Aidan G.C. Wright, Susan L. Rossell, David Castle, Wendy Lam, Maryam Lustberg, Colin E. Vize, Anna Ugalde, Phyllis Butow, Nicolas H. Hart

Research outputs 2022 to 2026

Objective: Cancer survivors, defined as those living with or beyond a cancer diagnosis, experience more than double the prevalence of psychopathology when compared to the general population. Categorical diagnostic systems, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), remain dominant in psycho-oncology despite concerns about reliability, validity, and clinical utility for this population. Dimensional frameworks, such as the Hierarchical Taxonomy of Psychopathology (HiTOP), offer a more precise alternative; however, they have not yet been widely applied in cancer survivors. Accordingly, the objective of this research was to examine the applicability of HiTOP to cancer survivors. Methods: Data …

Integrative Oncology For Prostate Cancer: A Narrative Review, Kevin T. Liou, Nicole A. Metri, Robert U. Newton, Divya Ajay, Eleanor M. Walker, Channing J. Paller

Research outputs 2022 to 2026

Prostate cancer is most common malignancy among men in the United States. As men are now living longer with prostate cancer due to advances in treatment, there exists a growing need to manage the long-term physical and psychological sequelae of this disease, which range from genitourinary dysfunction to cardiometabolic and psychosocial consequences. Over half of men with prostate cancer report unmet needs in symptom management. Integrative oncology, a patient-centered, evidence-informed field combining lifestyle, natural product, and mind–body interventions with conventional treatments, offers a promising approach to prostate cancer symptom management. This review summarizes the current landscape of integrative oncology research …

Co-Design And Pilot Testing Of A Nurse-Led Gp-Supported Self-Management Intervention For Breast Cancer Survivors With Cardiovascular Diseases: A Study Protocol, Anu Correya, Jing Yu Tan, Xian Liang Liu, Daniel Bressington, Leah East, Tao Wang

Research outputs 2022 to 2026

Background/Objectives: Self-management intervention strategies are recommended to address the needs of breast cancer survivors (BCSs) who have cardiovascular diseases (CVDs). Despite the benefits, these strategies are often suboptimally implemented, resulting in inadequate cardiovascular management among BCS with CVDs. The project aims to develop a nurse-led and GP-supported self-management (NGPS) intervention to reduce cardiovascular risks in BCS with CVDs and evaluate its feasibility and potential effects in primary care settings using the double diamond co-design process and the Medical Research Council (MRC) Framework for Developing and Evaluating Complex Interventions.

Methods: The study will be conducted in two phases. In phase I, …

Forecast: An Exhibition Inviting Slow Feeling Through Participation In Unstable Weather States, Jo Pollitt, Helena Grehan, Lilly Blue, Peggy Attkinson, Justine Dandy, Naomi Joy Godden, Leanda Mason, Renee Esther Newman, Alexa Taylor, Danielle Gilson

Research outputs 2022 to 2026

This paper presents a series of responses from Western Australian based artists and scholars from a range of disciplines including: meteorology, science, education, social work, psychology, art and performance studies, to a year-long exhibition titled Forecast in Gallery 09 at The Art Gallery of Western Australia (AGWA). Forecast is a collaboration between AGWA's Head of Learning and Creativity Research, Lilly Blue, Edith Cowan University's Centre for People, Place and Planet artist-scholar, Jo Pollitt, together with artists Dianne Jones and Eva Fernández. The exhibition invites audiences to contribute to two participatory works: Weather Patterns, a daily changing installation that makes room …

The Moderating Effect Of Dietary Fiber And Protein On The Relationship Between Symptoms Of Depression And Anxiety And Cognitive Decline, Samantha L. Gardener, Hilal Salim Said Al Shamsi, Stephanie R. Rainey-Smith, Hamid R. Sohrabi, Kevin Taddei, Colin L. Masters, Ralph N. Martins, W. M.A.D. Binosha Fernando

Research outputs 2022 to 2026

Introduction: Depression and anxiety often co-occur with Alzheimer's disease, exacerbating the associated cognitive impairment. This study examined moderating effects of dietary protein and fiber intake on relationships between depressive and anxiety symptoms, and cognitive decline.

Methods: Cognitively unimpaired (n = 553; 39.4% male, 70.6 ± 9.6 years) provided baseline fiber and protein intake, and had repeated cognitive testing and symptoms of depression/anxiety measured (baseline and up to eight follow-ups over 144 months). Moderation and simple slope analyses were employed in the cohort as a whole and following stratification by sex.

Results: Fiber intake moderated the relationship between change in depressive …

Hubungan Rencana Karir Dan Keberhasilan Studi Mahasiswa Pendidikan Bahasa Jerman Universitas Negeri Malang, Andi Burhanudin S., Primardiana Hermilia Wijayati

Journal of Language, Literature, and Arts

This study aimed to examine the relationship between career planning and academic success among undergraduate students in the German Language Education Study Program at Universitas Negeri Malang. A quantitative correlational design was employed. From a population of 335 students, a total of 126 respondents who met the research criteria and completed the questionnaire were selected using purposive sampling. Data were collected using a five-point Likert-scale questionnaire and analyzed through descriptive statistics, the Kolmogorov–Smirnov normality test, and Spearman’s rank-order correlation (ρ). The results revealed a statistically significant positive relationship between career planning and academic success (ρ = .527, p < .001). Students who demonstrated more active career exploration, greater self-understanding, clearer career goals, and better utilization of academic and social support tended to achieve higher academic performance, as reflected in a cumulative grade point average (GPA) above 3.00. Nevertheless, the findings also indicate that students’ career readiness still requires further development. This is reflected in their predominant use of general job-search platforms and the relatively limited participation in career development activities. Therefore, higher education institutions should strengthen career guidance services by providing more systematic career information, expanding access to career development programs, and integrating career services into the academic learning process to better prepare students for the labor market.

An Integrated Cardiometabolic Genetic Testing Program In A Predominantly Hispanic Population Within A Community Setting, Bo Yuan, Layla A Abushamat, Stacey Pereira, Surya Narayan Mulukutla, Grace E Tietz, Eric Venner, Sara E Kalla, Breanna Lee, Donna Muzny, Ginger Metcalf, Mullai Murugan, Sarah H Elsea, Senkottuvelan Kadirvel, Lele Li, Joshi Stephen, Shengfeng Xu, Victoria Yi, Monica Sulit, Christie L Kovar, Kimberly Walker, Marie-Claude Gingras, Jianhong Hu, Fei Yan, Taeko Gerber, Viktoriya Korchina, C Michael Fordis, Ruchi Gaba, Mahesh Changlani, Herschl Silberman, Hadley Stevens Smith, Christine M Eng, Jennifer E Posey, Clarisa Medina, Lisa R Treviño, Christie M Ballantyne, Richard A Gibbs, Ashok Balasubramanyam

Center for Medical Ethics and Health Policy Staff Publications

Purpose: This study aimed to apply cardiometabolic genetic testing in a community setting with a predominantly Hispanic population and assess feasibility and perspectives toward genetic testing.

Methods: A genome-sequencing-based genetic panel for cardiometabolic disorders (177 genes related to monogenic conditions, 2 LPA risk alleles, 2 pharmacogenomic loci, and ancestry-adjusted polygenic risk scores for type 2 diabetes and coronary artery disease) was deployed in community cardiology and endocrinology clinics in South Texas. A survey on perceptions toward genetic testing was administered after return of results.

Results: Testing was completed for 776 patients (18-92 years old, 92% Hispanic). 26 patients (3.4%) were …

Patient Perspectives On Psychiatric Polygenic Risk Scores In Reproductive Decision-Making And Polygenic Embryo Screening., Lauren A Ginn, Amanda R Merner, Page M Trotter, Kaitlynn P Craig, Abigail C Martinez, Ana Lucía Battaglino, Dorit Barlevy, Daphne M Ayton, Takahiro Soda, Eric A Storch, Gabriel Lázaro-Muñoz, Stacey Pereira

Center for Medical Ethics and Health Policy Staff Publications

Polygenic risk scores (PRS) estimate individuals' genetic risk for developing multifactorial conditions. Recent genome-wide association studies have enabled development of psychiatric PRS, which hold potential to streamline diagnosis and treatment of psychiatric conditions. As individuals with mental illness often identify concern about passing on psychiatric conditions as a key factor in family planning, some may also seek to use psychiatric PRS in reproductive decisions like childbearing or embryo selection for in vitro fertilization. Despite calls for increased regulation, there remains no clinical consensus on the utility of psychiatric PRS in reproductive contexts. Therefore, we conducted semi-structured interviews of adults with …