Social and Behavioral Sciences Commons^™

Examining Treatment Options In Youth With Major Depressive Disorder: Observations From The Tx-Ydsrn Registry Study, Emine Rabia Ayvaci, Karabi Nandy, Ryan Becker, Laura Stone, Abu Minhajuddin, Holli Slater, Lynnel C Goodman, Sarah M Wakefield, Eric A Storch, Joseph C Blader, Cesar A Soutullo, Graham J Emslie, Madhukar H Trivedi

Center for Medical Ethics and Health Policy Staff Publications

Objective: Treatment decisions for depression are a complex process, influenced by factors such as clinical characteristics, socioeconomic factors, and patient/caregiver preferences. This study examines the characteristics of treatment options during the first month of enrollment among depressed youth.

Methods: Data for 646 depressed youth were extracted from the Texas Youth Depression and Suicide Research Network study. Participants' treatments during the first month were categorized as no treatment (NT), psychotherapy only (THER), pharmacotherapy only (MED), or a combination of psychotherapy and pharmacotherapy (COMB). Sociodemographic and clinical features were compared across these treatment types.

Results: 7% were on NT, 5% on THER, …

Methadone For Critically Ill Patients Under Mechanical Ventilation In The Intensive Care Unit: A Systematic Review, Sérgio Martins Pereira, Megan Abbott, João Francisco Figueiredo Marcondes Ferraz, Akash Goel, Andrea Rigamonti, Charmaine De Castro, Lisa Burry, Airton Leonardo De Oliveira Manoel, Michael Chaim Sklar

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Pain may pose significant challenges in the intensive care unit, especially in mechanically ventilated patients. Methadone has recently emerged as an alternative option for eliciting acute analgesia. In this systematic review, we evaluated the use of methadone in mechanically ventilated patients in the intensive care unit.

Source: We searched MEDLINE, EMBASE, Wiley's Cochrane Library, CINAHL, PubMed (non-MEDLINE), Scopus, and LILACS databases from inception to January 24th, 2025. Eligible studies included randomized controlled trials and observational studies that compared the use of methadone to the standard of care or to other analgosedation strategies in mechanically ventilated patients in the intensive …

Patient-Centric Federated Learning: Automating Meaningful Consent To Health Data Sharing With Smart Contracts, Kristin M Kostick-Quenet, Marcelo Corrales Compagnucci, Mateo Aboy, Timo Minssen

Center for Medical Ethics and Health Policy Staff Publications

Federated Learning (FL) promises to enhance data-driven health research by enabling collaborative machine learning across distributed datasets without direct data exchange. However, current FL implementations primarily reflect the data-sharing interests of institutional controllers rather than those of individual patients whose data are at stake. Existing consent mechanisms-like broad consent under HIPAA or explicit consent under the GDPR-fail to provide patients with control over how their data is used. This article explores the integration of smart contracts (SCs) into FL as a mechanism for automating, enforcing, and documenting consent in data transactions. SCs, encoded in decentralized ledger technologies, can ensure that …

Ethical, Legal, And Social Issues In Metaverse-Enabled Healthcare, Kristin M Kostick-Quenet, Vasiliki Rahimzadeh

Center for Medical Ethics and Health Policy Staff Publications

Metaverse is heralded by some as the next iteration of the internet. It offers three-dimensional, immersive virtual spaces, where users, represented as avatars, can synchronously work, play, interact, and transact. Initially developed within the realm of massive multiplayer online role-playing games, the metaverse now extends into sectors such as music, entertainment, retail, real estate, and, more recently, healthcare. Users engage in the metaverse using augmented reality or virtual reality (AR/VR) headsets that interoperate with other sensory devices to integrate biofeedback and multimodal data streams.1 In this article, the authors offer a conceptual synthesis and anticipatory policy analysis grounded in …

Examining Geographic Access To Specialty Education In Richmond, Virginia, Nonso Akunwafor

UROP Posters

This study examines how the geographic distribution of selective admissions schools (SAS) in Richmond, Virginia, affects student enrollment patterns and access to specialized education. It aims to (1) identify whether spatial distribution and transportation availability create barriers to accessing SAS and (2) evaluate possible solutions for improving access to specialty education. SAS in Richmond are secondary schools with specialized and rigorous academic programs, requiring a selective process for admissions. Existing research has explored the equity implications of the admissions processes of these types of schools, but limited research addresses access from a geographic perspective, particularly for Richmond Public Schools (RPS), …

Trust On Trial: How U.S. Foreign Policy Eroded Public Trust, Rawan Al-Samarrie

UROP Posters

Public trust in the U.S. government has declined sharply over the past several decades, falling from roughly 75% in the late 1950s to almost 15% today. This project examines how major U.S. foreign policy decisions, specifically during the Vietnam War, the post-9/11 Global War on Terror, and the ongoing conflict in Palestine, have contributed to this erosion of trust. Through qualitative analysis of historical records, public opinion data, and scholarly assessments of U.S. military actions and their global consequences, the research identifies recurring patterns in how government narratives, media framing, and revelations of human rights violations shape public perception. Findings …

On Minimizing Risk And Harm In The Use Of Psychedelics, Jules Evans, Marc Aixalà, Brian T Anderson, William Brennan, Rebecka Bremler, Joost J Breeksema, Lisa Burback, Abigail E Calder, Robin L Carhart-Harris, Katherine Cheung, Neşe Devenot, Ingmar Gorman, Jakub Greń, Peter S Hendricks, Brian Holoyda, Edward Jacobs, Joy Krecké, Daniel J Kruger, David Luke, Tomislav Majić, Amy L Mcguire, Nicky J Mehtani, David S Mathai, Kristin Nash, Tehseen Noorani, Roman Palitsky, Oliver C Robinson, Otto Simonsson, Elin Stahre, Michiel Van Elk, David B Yaden

Center for Medical Ethics and Health Policy Staff Publications

Objective: This article outlines recommendations from 30 psychedelic researchers on how to create a better psychedelic safety net.

Methods: A survey of 30 psychedelic researchers asked them to identify key critical research gaps around psychedelic harm and safety.

Results: The critical research gaps identified by the authors included defining the main types of psychedelic harm, the predictors of those harms, and the most effective way to treat those harms. They also call for better support for those experiencing post-psychedelic difficulties, including better online information, peer support groups, affordable therapy, and psychiatric consultation and medication. Finally, the authors call for better …

A Landscape Analysis Of Psychedelic Retreat Organizations Advertising Online, Logan Neitzke-Spruill, Caroline S Beit, Jill Oliver Robinson, Nikita Singh, Srijith Kambala, Rishi Ramesh, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

Research into psychedelics' clinical potential has corresponded to a growth in public interest and adult use. One common pathway to accessing psychedelics is through psychedelic retreats. While individual retreats have been characterized in the anthropological literature, no systematic evaluation of the psychedelic retreat industry exists. Assessing the characteristics of the psychedelic retreat industry is critical to understanding the associated ethical, legal, and social implications and ensuring consumer safety. To this end, we conducted a landscape analysis of online, publicly available information to capture and characterize a broad range of organizations offering psychedelic retreats and marketing to English-speaking consumers. From July …

Adolescent And Caregiver Preparation For Legal Changes At Age 18, Blanca Sanchez-Fournier, Jordyn Babla, Mary Majumder, Beth H Garland, Constance M Wiemann, Albert C Hergenroeder

Center for Medical Ethics and Health Policy Staff Publications

Background: Most adolescents with special healthcare needs (ASHCN) will assume legal responsibility for making decisions about their medical treatment at age 18. Simultaneously, parents or other legal representatives (Caregivers) will lose ASHCN medical record access. This study examined ASHCN and Caregiver knowledge of, satisfaction with, and suggestions for improvement in preparing for these changes.

Methods: Eighty-three dyads (18-year-old ASHCN and Caregivers) completed an assessment to evaluate their knowledge about changes in responsibility for decision making with a focus on consent, satisfaction with the preparation received, and recommendations for improved preparation. Descriptive statistics and mean comparisons were used. Responses to open-ended …

Development Of Physics-Based Deterioration Models For Reinforced Soil Retaining Structures, Amr Morsy, Islam Ebo

Mineta Transportation Institute

Reinforced soil walls are key earth retention features in the transportation infrastructure. They are used to support and retain soil in a wide variety of crucial structures, such as highways, bridges, and railways, to ensure stability. They also provide solutions for constructing embankments and slopes in constrained spaces, allowing for efficient land use and improved infrastructure planning. This study used advanced numerical modeling to improve the understanding of the behavior and long-term performance of the aging reinforced soil walls from the 1970s for asset management purposes. An asset-scale model was created to simulate the effects of weather on these walls. …

Conceptual Critical Success Factors Model On Infrastructure Sustainability Rating System For California Construction Projects, Joseph J. Kim, Jose A. Arroyo-Turcios

Mineta Transportation Institute

This report addresses the sensitivity and reliability of the sustainability rating systems by comparing each category’s verified scores with its respective submitted scores to evaluate how points are awarded for infrastructure projects, examine which categories present the most challenges for verification, and identify the best category for verification in the sustainability rating system. The authors conducted three analyses using credit score data obtained from fourteen actual civil infrastructure projects certified under Envision. First, the Natural World category had the highest average score from the submitted and verified data. Pairwise comparisons using t-tests indicate that the mean value of one category …

Understanding Mobility-Related Challenges For Aapi Older Adults: A Preliminary Study In Southern California, Yongping Zhang, Priscila Salgado Inzunza, Carol Kachadoorian, Wen Cheng, Calvin Wong

Mineta Transportation Institute

The Federal Highway Administration (FHWA) and state Departments of Transportation (DOTs) Nationwide, the Asian American Pacific Islander (AAPI) community is projected to constitute 11 percent of people 65 years and older in the United States by 2050 (He et al., 2005). The challenges limiting the transportation and mobility of AAPI older adults include, but are not limited to, language barriers, cultural barriers, anti-Asian hate, accessibility to public transit, traffic safety and public security concerns, and changes to mobility due to the COVID-19 pandemic. This project conducted an extensive literature review and a preliminary multi-language survey in Southern California to better …

Association Between Neighborhood-Level Social Vulnerability And Hypertension Outcomes, John E. Brush Jr., Chungsoo Kim, Yuntian Liu, Xin Xin, Chenxi Huang, Iris J. Lundy, Jordan R. Asher, Mitsuaki Sawano, Patrick Young, Jacob Mcpadden, Mark Anderson, John S. Burrows, Harlan M. Krumholz, Yuan Lu

Department of Medicine Faculty Publications

Background

Neighborhood-level social vulnerability is associated with hypertension prevalence and severity and with cardiovascular complications in conditions other than hypertension, but its association with cardiovascular complications in patients with hypertension is understudied.

Objectives

The aim of the study was to examine how the neighborhood-level social vulnerability index (SVI) influences cardiovascular outcomes in a large, diverse cohort of patients with hypertension.

Methods

We used electronic health data to examine the association between census tract-level rankings for the SVI with a composite endpoint of incident myocardial infarction, congestive heart failure, or stroke.

Results

In a longitudinal cohort of 330,972 patients with hypertension …

More Than Just Food And Money: An Exploration Of College Students’ Challenges With Food Access And Insecurity, Orianna Duncan Carvalho

Open Access Dissertations

There has long been a popular prototypical image of the starving college student surviving on cheap ramen noodle meals, but research suggests there is more to this than meets the eye. Food insecurity, the condition in which individuals are unable to secure enough food to support a healthy lifestyle, has been investigated and reported with increasing frequency on college campuses, including the university at which the present study is conducted. Thus, the purpose of the present study was to delve further into college student food insecurity to gain a better understanding of how students experience and perceive it. To achieve …

The Position Of The United States Of America Vis-A-Vis The Question Of Western Sahara: Assessing The Role Of Think Tanks In The Conflict, Hamid Baadeche

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

The Position of the United States of America Vis-à-vis the Question of Western Sahara: Assessing the Role of Think Tanks in the Conflict

Hamid Baadeche

Think tank organizations, particularly in the United States, have become a prominent feature of the political landscape. They act as advocates for specific policies that they consider beneficial for the country or a particular societal group. They function as a primary source of information, which they then aim to transform into well-informed policies and sound decisions. They are referred to as "the revolving doors," "idea brokers," and "idea factory." As such, their foremost objective …

A Learning History Of A State Physical Activity Plan, Jessica Nicole Riffee

Graduate Theses, Dissertations, and Problem Reports (ETD)

Physical inactivity remains a persistent public health concern in the United States, disproportionately affecting rural populations like West Virginia. To address statewide physical activity challenges, West Virginia developed one of the nation’s first state level physical activity plans, ActiveWV: 2015, that was revised to ActiveWV: 2030. Limited research has investigated how statewide physical activity plans unfold over time or how stakeholder learning can drive improvement.

This dissertation employed a learning history action research methodology to construct a collective narrative of the development, dissemination, implementation, and evaluation activities across both iterations of the West Virginia Physical Activity Plan. Reflective interviews with …

The Overlooked Dynamics Of Sibling Violence: Sociological Perspectives And Intervention Strategies, Rowland Edet

Department of Sociology: Faculty Publications

Sibling violence (SV) represents a pervasive yet underexplored dimension of family violence, encompassing physical, emotional, and psychological abuse. This paper critically examines the intersection of gender dynamics, societal norms, and family structures in shaping SV behaviors. Using social learning theory (SLT) as a foundational framework, the analysis explores how gendered expectations and traditional roles influence the prevalence and forms of aggression, with boys more likely to exhibit overt physical aggression and girls engaging in relational aggression. The paper critiques the deterministic tendencies of SLT, highlighting the agency of individuals in rejecting modeled behaviors, and incorporates intersectionality to address the interplay …

Exploring The Impact Of Collaboration Processes On Policy Networks Success: A Case Study Of Food Policy Councils, Beomgeun Cho, In Hae Noh, April M. Roggio, Luis Felipe Luna-Reyes

Research Collection School of Social Sciences

Innovative forms of collaborative governance have evolved to address a diversity of wicked problems. Collaboration processes involved in these forms of governance appear to have a paradoxical nature, where the necessary inclusiveness and diversity of actors may also be important obstacles for a successful collaboration. We apply theories of collaborative and network governance, and fuzzy-set Qualitative Comparative Analysis, to explore the impact of collaboration process characteristics (network density, diversity, inclusion and participation) on 12 food policy councils. Our findings suggest that collaborative arrangements where diverse stakeholders have equal and inclusive access to active deliberation constitute one path to effective outcomes.

Discontent In The World City Of Singapore, Gordon Tan, Jessie P. H. Poon, Orlando Woods

Research Collection College of Integrative Studies

A burgeoning literature on ‘left behind’ places has emerged that captures the backlash against globalisation and highlights the locales that lag world cities. This paper integrates the ‘left behind’ and world cities literatures through the lens of discontent in the context of Singapore, using sentiment analysis and topic modelling as well as interviews with local professionals to unpack the multidimensional aspects of discontent. Focusing on the Singapore–India Comprehensive Economic Cooperation Agreement that spurred discontent directed at foreign Indian professionals, we show that the worlding generated by transnational flows has accentuated intra-urban inequality through racialisation and spatialisation of financial business and …

China's Global Leadership Aspirations And Domestic Support For Climate Policy, Chen Xiang, Terry Van Gevelt

Research Collection College of Integrative Studies

In recent years, China has pivoted towards a global leadership role in mitigating and adapting to climate change. Notwithstanding the complex political economic reasons underlying China's global leadership aspirations, we are interested in seeing whether the associated national discourse championed by the state increases domestic support for climate policy. That is, do China's international leadership aspirations foster a unifying sense of national pride among the domestic population, thereby lending support to the legitimacy of the state and expediting the implementation of costly domestic climate policies? To test our hypothesis, we enumerated a vignette experiment embedded with conjoint analysis to a …

Bi-Objective Dynamic Tugboat Scheduling With Speed Optimization Under Stochastic And Time-Varying Service Demands, Xiaoyang Wei, Hoong Chuin Lau, Zhe Xiao, Xiuju Fu, Xiaocai Zhang, Zheng Qin

Research Collection School Of Computing and Information Systems

With the growing emphasis on green shipping to reduce the environmental impact of maritime transportation, optimizing fuel consumption with maintaining high service quality has become critical in port operations. Ports are essential nodes in global supply chains, where tugboats play a pivotal role in the safe and efficient maneuvering of ships within constrained environments. However, existing literature lacks approaches that address tugboat scheduling under realistic operational conditions. To fill the research gap, this is the first work to propose the bi-objective dynamic tugboat scheduling problem that optimizes speed under stochastic and time-varying demands, aiming to minimize fuel consumption and manage …

Sustainability Assessment: The State Of The Art In 2026, Alan Bond, Angus Morrison-Saunders, A. John Sinclair

Research outputs 2022 to 2026

Sustainability assessment (SA) has developed over the past three decades as a decision-support process explicitly directing choices towards sustainability. This paper provides an updated state-of-the-art review of SA in 2025, building on the 2012 assessment by Bond, Morrison-Saunders and Pope. We examine progress in theory, practice and process across selected jurisdictions, considering how SA has evolved conceptually and in application. While the volume of academic research on SA continues to grow, practical uptake remains uneven and context-dependent. Key innovations shaping the field include the embedding of sustainability provisions within Canada’s next-generation impact assessment framework, the incorporation of holistic assessment principles …

Possibilities For Climate Change Adaptation Investments In Ghana: Exploring Private Sector Concerns And Perceptions About Policy Incentives, Jane Osei, Albert Ahenkan, Samuel Weniga Anuga

Research outputs 2022 to 2026

Policy incentives can significantly boost private sector investment in climate change adaptation, especially in developing countries. Leveraging private sector resources, including human capital, financial assets, and technological innovations, is crucial for enhancing adaptation efforts. However, many private entities are reluctant to invest due to the perceived business risks associated with climate change. This hesitancy increases vulnerability in developing nations. This study examines the private sector's views in Ghana on policy incentives for climate adaptation investments and the barriers impeding their involvement. The findings show that corporate social responsibility, financial requirements, and access to relevant information are key motivators for private …

Principals And The Careless Erosion Of Employment Standards In The Context Of School Autonomy And Marketisation: A Case Study Of School Support Staff, Brad Gobby, Jill Blackmore, Scott Eacott, Amanda Keddie, Katrina Macdonald, Richard Niesche, Jane Wilkinson

Research outputs 2022 to 2026

Devolved governance, school autonomy and marketisation impact the employment practices of schools and the working conditions of teachers. However, the employment-related effects on school services staff are under-researched. This study draws on data from interviews with staff at one public high school to analyse school services staff experience of school autonomy and the employment practices of principals in the context of competitive education markets. This case study illustrates how a principal's management of employment and labour relations in a school experiencing declining enrolments and reduced resources impacted the labour and working conditions of school services staff. We argue that the …

A Comparative Analysis Of Artificial Intelligence Regulation: Implications For Singapore, Cheng Kit Kit Pang

Research Collection Yong Pung How School Of Law

In relation to artificial intelligence (“AI”) regulation, Singapore presently adopts a wait-and-see approach, refraining from implementing any hard regulation before 2026. This article is directed at making recommendations for Singapore’s future AI hard regulation and conducts a comparative analysis of the hard AI regulation in the EU, the People’s Republic of China (“China”) and South Korea. This article draws lessons specifically from Asian jurisdictions with similar socio-legal and commercial considerations. In particular, China and South Korea are at the forefront, actively pushing for hard regulation. Key takeaways include the potential drivers for a shift towards hard regulation, the scope and …

Assessing How Patients With Spinal Cord Injury Are Affected By Climate Change And Extreme Weather: A Scoping Review, Lien-Chieh Lin, Hung-Chou Chen, Tsan-Hon Liou

Rehabilitation Practice and Science

Climate change and the rising frequency of extreme weather events (EWEs) pose significant challenges to vulnerable populations, particularly individuals with spinal cord injury (SCI). These patients are at greater risk due to impaired thermoregulation, limited mobility, poor sensation, and dependence on caregivers or adaptive equipment, increasing their exposure to climate-related hazards and disrupting healthcare access during disasters. Although climate change impacts on the general population are well-documented, research on specific disability groups like SCI patients remains limited. This scoping review investigates how SCI patients perceive and experience health risks from climate change and EWEs, as well as factors influencing their …

Mapping The End Of Coal: How Policy Strength, Ownership, Finance Shape Global Plant Retirements, Jiwon Kim, Theodor Florian Cojoianu, Theodor F. Cojoianu, Maretno Agus Harjoto, Dariusz Wojcik

Research Collection College of Integrative Studies

This study examines how national environmental performance, institutional investor divestment from fossil fuels, investment in renewable energy, and ownership type influence the global phase-out of coal power plants, and whether these effects are constrained by geographical boundaries. Using data on coal plant retirements across 90 countries, we test whether domestic and cross-border factors shape the timing and likelihood of asset closure. We find that companies headquartered in countries with stronger environmental performance are more likely to retire domestic but not foreign plants. While institutional investors divestment is often assumed to exert cross-border influence, our findings show that divestment pressure by …

The Climate-Biodiversity-Pollution Nexus: The Pricing Of Environmental Credit Risks For European Industrial Polluters, Dominik Hirschbühl, Andrej Ceglar, Theodor Cojoianu, Tina Emambakhsh, Yifan Qi, Caterina Rho, Elsie Hu, Marco Petracco, Fabrizio Biganzoli, Alfred De Jager, Laura Garcia Herrero, Andrea Mandrici, Carlo Pasqua

Research Collection College of Integrative Studies

This study examines how euro area banks factor pollution-induced biodiversity risks into lending decisions, using data from 832 banks and 5,000 major polluters. Our results show that banks are increasingly pricing these risks by adjusting loan-to-value ratios and interest rates. Banks adjust lending conditions in line with EU pollution and biodiversity protection legislation, particularly for companies with large pollution footprints near biodiversity-protected areas or those contributing to Environmental Quality Standards failures of downstream surface waters. The former is driven primarily by banks’ adoption of biodiversity policies and public commitments to the Equator Principles, while the latter is a result of …

Desain Dan Konstitusionalitas Penerapan Pilkada Asimetris Di Indonesia, Lalu Aria Nata Kusuma

Jurnal Hukum & Pembangunan

The idea of implementing asymmetric regional elections (Pilkada) in Indonesia is not a new concept. However, to date, there has been no effort to provide a design for the implementation of Pilkada in an asymmetric manner, considering the specific needs of each region and its alignment with the 1945 Constitution. This article aims to implement Pilkada in an asymmetric manner by first mapping the asymmetry models of each region based on their specific needs. This research uses a doctrinal and socio-legal approach. The results of this research indicate a need to implement Pilkada asymmetrically in Indonesia. This urgency arises due …

Participatory Approaches To Climate Adaptation, Resilience, And Mitigation: A Systematic Review, Meg Parsons, Naomi Joy Godden, Karen Paiva Henrique, Petra Tschakert, Noémi Gonda, Ed Atkins, Karin Steen, Roa Petra Crease

Research outputs 2022 to 2026

For decades, social scientists and activists have advocated for equal participation of citizens in decision-making about development and equitable futures. The urgency of this call has intensified with the climate emergency, pushing communities towards resilience. Yet, the concept of participation remains contested. This systematic review examines 187 articles to understand how participatory processes in climate mitigation, adaptation, and resilience initiatives engage with power dynamics. Findings are categorised into three themes: domination and exclusion, negotiation and contestation, and transformation and emancipation. Results reveal that most participatory approaches sustain power imbalances and exclude marginalised groups, hindering meaningful engagement. However, some cases highlight …