Digital Commons Network^™

Psychological And Neuromechanical Recovery After Concussion: Dual-Task Stability And Kinesiophobia From Return To Play To Six Months., Melissa Anderson, Daniel Le, Mallory Faherty, Carolyn Killelea, Jeffrey Bytomski, Corina Martinez, Michael Bergeron, Timothy Sell

OhioHealth Research Institute Articles

BACKGROUND: Sport-related concussion (SRC) increases the risk of subsequent musculoskeletal injury, yet the mechanisms underlying this vulnerability remain unclear. Fear of movement (kinesiophobia) may contribute to impaired motor control.

PURPOSE: This study examined kinesiophobia and postural stability in adolescent athletes at return-to-play (RTP) after SRC and evaluated changes six months later.

DESIGN: Observational analytical study with cross-sectional (case-control) and prospective cohort components.

METHODS: Thirty-seven concussed athletes (15.7 ± 1.3 years, 45.9% female) and 17 matched controls (16.4 ± 2.1 years, 52.9% female) completed static single-leg stance and dynamic single-leg landing tasks under single- and dual-task (Stroop) conditions. Fear of movement …

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 …

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. …

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 …

Evaluating Special Education Teachers’ Competence In Inclusive Education: A Study Of Behavior Management, Level Of Confidence, And Training Needs, Kourtney Guthrie

Electronic Theses and Dissertations

The purpose of this mixed-methods study is to examine the competence of special education teachers in rural East Texas, focusing on their experiences, perceptions, and professional development needs related to behavior management and inclusive education. Quantitative data were gathered through questionnaires given to special education teachers and elaborated upon through focus group interviews, where themes emerged. An explanatory sequential mixed-methods design was used to develop a better understanding of teachers’ preparedness and the problems involved in the implementation of inclusive practices. The findings may inform more effective teacher training, policy-making, and support systems in rural educational settings by highlighting professional …

Navigating Unemployment Without Unemployment Insurance: Evidence From Singapore, Kim, Lanjie Wang

Research Collection School Of Economics

This study investigates the short-term impacts of unemployment among older workers (aged 50–62) in Singapore, a setting with-out public unemployment insurance. Using monthly panel data from the Singapore Life Panel, we analyse dynamic effects onmajor life outcomes such as income, spending, health, and subjective wellbeing over 2 years post-unemployment. Our findingsreveal substantial initial earnings losses with incomplete recovery: income remains 50.7% below pre-unemployment levels after24 months. Despite this persistent income gap, total household expenditure declines by 9.8% on average over 2 years (rangingfrom 7% to 16% across months). The implied two-year marginal propensity to consume is about 0.182, smaller than …

Commentary: Survey Finds Singapore Workers Disengaged - But We Shouldn’T Resign Ourselves To This, Nick Chiam

Research Collection Yong Pung How School Of Law

If narratives of unhappy and disengaged Singapore workers solidify, there will be less reason to strive for a better workplace, says SMU’s Nick Chiam.

From Injury To Recovery: Clinical And Psychological Outcomes In Pediatric Trauma, Andrew M. Dlugosch

Summer Research Program Abstracts

No abstract provided.

Perceptions Of Research Participation Among Underrepresented Groups: Insights Using Freelisting Methodology, Tamar Klaiman, Jasmine Silvestri, Emma Britez Ferrante, Dorothy Sheu, Adina Lieberman, Erich Dress, Modele Ogunniyi, Neal Dickert, Meghan Lane-Fall, Rosemary Frasso, Rachel Kohn

College of Population Health Faculty Papers

BACKGROUND: Low enrollment and retention in clinical research disproportionately impact Black, Hispanic or Latinx, women, and rural populations, undermining generalizability and perpetuating health disparities. However, few studies have compared mechanisms driving underrepresentation across populations. Freelisting is a qualitative methodology that elicits lists of terms, explores perspectives about domains, and identifies common themes within groups with shared characteristics; however, it has not been systematically applied to understand research participation across underrepresented populations.

OBJECTIVE: To explore perspectives on clinical research participation across underrepresented populations using freelisting methodology to ultimately inform culturally-responsive recruitment strategies.

METHODS: We conducted a web-based freelisting survey among adults …

Marketplace Summer 2026, Southern Adventist University

MarketPlace - School of Business Newsletter

The Summer 2026 issue of MarketPlace features an article about Ruth McKee's legacy. Additional articles explore interdisciplinary student exploration of challenges and possibilities in rural Kenya and fundraising projects for local non-profits.

Factors Associated With Pre-Donation Health-Related Quality-Of-Life Among Pediatric Sibling Hematopoietic Cell Donors: A Donorkids Ql Study., Galen E. Switzer, Jessica G. Bruce, Bronwen E. Shaw, Vidya Kuniyil, James W. Varni, Brandan J. Butler, Connor Erickson, Alisha Mussetter, Allison Neutzling, Hisham Abdel-Azim, Paibel Aguayo-Hiraldo, Eric J. Anderson, Victor M. Aquino, Karlie Boone, Farid Boulad, Joseph H. Chewning, Jessica Cooper, Ann Dahlberg, Christopher C. Dvorak, Jorge Galvez-Silva, Ann E. Haight, Jennifer A. Hoag, Michelle Hudspeth, David Jacobsohn, Kimberly A. Kasow, Carrie L. Kitko, Lakshmanan Krishnamurti, Lisa Madden, Holly K. Miller, Erin Morales, Timothy S. Olson, Anna B. Pawlowska, Vinod K. Prasad, Troy C. Quigg, Andromachi Scaradavou, Niketa C. Shah, Shalini Shenoy, Nancy Terwilliger, Lori Wiener, Gregory A. Yanik, Lolie C. Yu, Michael A. Pulsipher

Manuscripts, Articles, Book Chapters and Other Papers

Due to limited published data assessing pediatric hematopoietic cell donor experiences, we previously conducted one of the largest quantitative investigations of pediatric donor experiences and health-related quality-of-life (HRQoL) at the time (RDSafe). Findings from RDSafe demonstrated that a subset of pediatric HC donors experienced very poor HRQoL; unfortunately, that dataset addressed only a limited number of factors, and key associations explaining this poor HRQoL were not found. In this study, our goal was to address that deficit by describing pre-donation donor HRQoL in detail and identifying factors across five key domains that were associated with donor HRQoL. We conducted a …

Conceptualizations Of "Public Health" And Government Action Among U.S. Adults In 2025., Lauren Yan, Emily Cramer, Peter J. Winch, Emily A. Hurley

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Understanding how Americans think about public health and the role of government institutions is crucial for informing effective health communication in a polarized political climate.

METHODS: We deployed an open-ended national survey of 1004 adults in October 2025 to assess public perceptions of these topics.

RESULTS: Respondents associated the term "public health" with health for everyone (44%) and health of everyone (23%), alongside healthcare (20%) and other themes. The most common perceived government benefit was facilitating access to healthcare (39%)-particularly by addressing cost (16%). Among perceived government harms, more Republicans than Democrats cited overregulation (16% vs 8%, P < 0.01), limiting …