Digital Commons Network^™

A Spatiotemporal Study Of Environmentally Associated Pulmonary Diseases In Georgia, Jason Raymond Baum

Walden Dissertations and Doctoral Studies

Exposures to particulate dust matter (PM10 and smaller) from aggregate comminution facilities (ACF) can lead to the onset of environmentally associated pulmonary diseases (EAPDs); acute and chronic asthma (Type I allergic hypersensitivity reaction), chronic pulmonary disease, interstitial lung disease (ILD), and lung cancer. In this environmental epidemiological research study, three primary spatial and spatiotemporal research questions related to nonoccupational exposures from 118 facilities across Georgia were evaluated. Secondary data analysis was conducted from the Centers for Disease Control and Prevention’s (CDC) 2018–2023 Behavioral Risk Factor Surveillance System (BRFSS) and the Metropolitan Statistical Areas, Micropolitan Statistical Areas, and Metropolitan Divisions to …

Descriptive Epidemiology Of Tuberculosis Case With Diabetes Mellitus Identified Through Screening Activities In Indonesia, 2024, Chrisshanti Putri Pasaribu

Jurnal Epidemiologi Kesehatan Indonesia

Tuberculosis (TB) remains a major public health problem, particularly among individuals with diabetes mellitus (DM), who are at an increased risk of developing TB disease. Screening activities conducted through health facility-based screening and active case finding (ACF) provide opportunities to identify TB cases with DM comorbidity. This study aimed to describe the epidemiological characteristics of TB-DM cases identified through screening activities in Indonesia in 2024. This descriptive study used routine secondary program data obtained from the Tuberculosis Information System (SITB). The source population consisted of 615,357 individuals screened for TB in 2024, among whom 14,727 TB cases were identified. Of …

Studying Extreme Weather Event Impacts For Transit-Reliant Unhoused Populations, Costanza Rampini, Serena Alexander, Jeff Wootton, Amruta Ashish Gandhi

Mineta Transportation Institute

No abstract provided.

State And Regional Variation In Access To Pediatric Extracorporeal Membrane Oxygenation., Allan M. Joseph, Andrew J. Lautz, Carlie N. Myers, Ranjit S. Chima, Juan P. Gurria, Shafee Salloum, Wendy Hasson, Matthew P. Malone, Jenna Miller, Reanna Smith, Maya L. Dewan

Manuscripts, Articles, Book Chapters and Other Papers

Extracorporeal membrane oxygenation (ECMO) is only available in specialized medical centers. We conducted a geospatial analysis and found state- and region-level variation in the supply of ECMO centers, and the number of children who had access to ECMO. These findings may help target areas for the development of new ECMO programs.

Charity Pharmacies: An Integrative Overview Of Operations: A Continuing Education Program For Pharmacists, Stella Bertram

Honors Theses

PROGRAM DESCRIPTION

The goal of this activity is to educate pharmacists about Charity Pharmacies by creating an integrative overview of their purpose, laws and regulations, processes and procedures, eligibility, and opportunities for involvement. This course will ensure pharmacists are competent in the operations involved in volunteering or working within a charitable pharmacy.

Additionally, the information provided supports pharmacists in understanding their roles as well as roles of volunteers. They will understand the importance of their role in the community and the depth of their service within Charity Pharmacies.

Heat And Socioeconomic Deprivation Compound To Drive Coronary Heart Disease In Los Angeles, Shutong Huo, Tessa R. Pulido, Reginald S. Archer, Joshua B. Fisher, Jason A. Douglas

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Background:

Socioeconomic deprivation and environmental heat exposure each increase cardiovascular risk, yet evidence is limited on how these stressors co-occur and jointly shape disease burden within cities. Mapping their overlap can inform equity-oriented planning and needs-based allocation of health and social protection resources.

Methods:

We conducted an ecological geospatial analysis of 2,513 census tracts in Los Angeles County. Adult coronary heart disease (CHD) prevalence was obtained from CDC Population Level Analysis and Community Estimates (2021). Socioeconomic deprivation was measured using the Social Deprivation Index (SDI), and heatwave surface heat hazard was measured using land surface temperature (LST) retrieved from the …

Geographic Access To Pediatric Ecmo And Ecpr: A Geospatial Study Of Transport Networks And Disparities., Allan M. Joseph, Andrew J. Lautz, Carlie N. Myers, Ranjit S. Chima, Juan P. Gurria, Shafee Salloum, Wendy Hasson, Matthew P. Malone, Jenna Miller, Maya L. Dewan

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND AND AIM: Extracorporeal membrane oxygenation (ECMO) can help children survive severe cardiac and/or respiratory failure, but it is only provided in specialized centers. There are disparities in access by ground transport to ECMO services, but it is unknown to what extent interfacility transfer systems can expand access. Additionally, the number of children who live in proximity to centers that perform extracorporeal cardiopulmonary resuscitation (ECPR) to be potential candidates in case of out-of-hospital cardiac arrest (OHCA) is unknown. We conducted a geospatial analysis to answer these questions.

METHODS: We conducted a geospatial analysis of the Extracorporeal Life Support Organization (ELSO) …

Appraisal Of Aquifer Protective Capacity And Groundwater Potential Using The Vertical Electrical Sounding Technique In Illah, Delta State, Nigeria, John E. Okonkwo, Efemena D. Emmanuel

Al-Bahir

Groundwater is a critical resource in Illah, Delta State, where surface water is unreliable. This study aims to evaluate groundwater potential and aquifer properties using geoelectric methods, with a particular focus on Dar-Zarrouk parameters. Thirteen Vertical Electrical Sounding (VES) surveys were conducted using the Schlumberger array. Derived parameters, including resistivity, thickness, and Dar-Zarrouk indices, were analysed to characterise the aquifers’ hydraulic properties. Four to five geoelectric layers underlie the study area. Aquifer resistivity ranged from 124–2499 Ω·m, thickness from 3.4–57.9 m, and transmissivity from 27.54–468.99 m²/day. VES 4, VES 1, and VES 7 were identified as high-potential sites. Longitudinal conductance …

Preferences Of Health Professions Learners: A Scoping Review Of The Use And Role Of Dces In Health Professions Education, Sarah O'Neal, Natalie Smith, Jan Ostermann Ph.D., Binbin Zheng, Laiton Steele, Chris Gillette

Faculty Publications

While discrete choice experiments (DCE), have increasingly been used in the medical literature, little is known about the use of these methods for eliciting preferences from and about students and trainees in health professions. The objectives of this scoping review are to (1) describe the extent to which DCEs have been used in health professions’ education, (2) identify which health professionals have been studied, and (3) identify thematic areas of research in which these methods have been used thematic areas. Between June and September 2024, we conducted a scoping review of the PubMed/Medline, EconLit, Web of Science, and Global Index …

Sociodemographic Differences In Sepsis-Related Medicare Hospitalizations: A State-Level Analysis Of Diagnosis-Related Groups For Severe Sepsis In 2019 And 2022, Alba Kuqi

College of Graduate Studies: Theses & Dissertations

Introduction: This state-level ecological repeated cross-sectional study examined sociodemographic differences in sepsis-related Medicare hospitalizations assigned to Medicare Severity Diagnosis-Related Groups (MS-DRGs) 871 and 872 in 2019 and 2022.

Objective: The study focused on three outcomes: changes in sepsis-related Medicare discharge volume, changes in average Medicare payment per sepsis discharge, and changes in the proportion of MS-DRG 871 discharges relative to MS-DRG 872 discharges.

Methods: Publicly available Medicare inpatient hospital data and state-level demographic data were used to evaluate whether age, race, gender composition, and median household income were associated with these changes across the 50 U.S. states and …

Enhancing Coastal Vulnerability Assessments And Policy Impacts On Socioeconomic And Environmental Equity In Michigan's Great Lakes Communities, Esther N. Acheampong

Dissertations, Master's Theses and Master's Reports

Accelerating shoreline erosion, fluctuating lake levels, and climate-induced hazards are transforming the Great Lakes’ freshwater coasts, exposing the limitations of static and inequitable management frameworks. This dissertation investigates how Michigan’s coastal governance systems produce and manage vulnerability along the Lake Michigan shoreline by integrating geospatial modeling, institutional policy analysis, and environmental justice theory. It argues that both physical processes and institutional designs co-determine patterns of exposure, protection, and equity. The research begins by developing a refined Coastal Vulnerability Index (CVI) tailored for lacustrine environments, applying it to Muskegon County to assess how shoreline change, armoring, and seasonality influence localized risk. …

Environmental Health Risks To Children In Sub-Saharan Africa: A Scoping Review Of Evidence And Gaps In Global Interventions, Tadius C. Chitambwe, Dewi Susanna

Jurnal Epidemiologi Kesehatan Indonesia

Sub-Saharan Africa’s (SSA) children experience a disproportionate burden of environmental health risks, contributing to over half of global under-five deaths despite representing only 27% of live births ¹. This scoping review synthesised evidence from sixty-seven (67) eligible studies (2010–2025) to map out environmental exposures affecting children (0–18 years) in Sub-Saharan Africa, and to identify gaps in global interventions. Included studies focused on children (0-18 years) in SSA, addressed one or more of the four predefined environmental exposure domains (air pollution, WASH, toxic chemicals, climate-related risks), and reported on child health outcomes or interventions. Guided by the PRISMA and Arksey …

Gis Librarians' Involvement In Critical Information Literacy Instruction, Melissa Chomintra, Pete E. Pascuzzi

Libraries Faculty and Staff Scholarship and Research

Critical information literacy (CIL) is a theory and practice that considers the sociopolitical dimensions of information and knowledge production. As the field of geospatial information evolves, equipping librarians with the skills to critically engage with geospatial information becomes integral to facilitating informed research, promoting spatial literacy, and strengthening the accessibility of geospatial data for their user communities. To understand geospatial data librarians’ current involvement in CIL, librarians were surveyed to examine if they incorporate CIL into their instruction, how they incorporate CIL into their instruction, and what are the benefits and challenges of doing so. The survey gathered both quantitative …

Mapping Climatic And Environmental Determinants Of Parasitic Helminth Prevalence In Southeast Asia, Angelica Avisado

UNLV Theses, Dissertations, Professional Papers, and Capstones

Climate change is reshaping environmental conditions across Southeast Asia (SEA) through rising temperatures, altered precipitation patterns, and increased droughts. These changes alter transmission dynamics of neglected tropical diseases (NTDs) by shifting spatial distribution, increasing larval development rates, faster pathogen growth development, and increasing transmission rates. NTDs are a group of preventable and treatable infections that disproportionately affect more than 1 billion people globally, specifically in tropical and subtropical regions. A subgroup of NTDs, parasitic helminth infections (PHIs) - particularly schistosomiasis, soil-transmitted helminths, and lymphatic filariasis remains a public health concern in the Southeast Asian region. PHIs and their ecological responses …

Fault Lines In Fossil Fuel Policy: The Ripple Effect On Mineral Rights And Regulatory Taking Implications, Myles Meyring

Oil and Gas, Natural Resources, and Energy Journal

No abstract provided.

Beyond Smoking: A Geospatial Investigation Of Factors Associated With Lung And Bronchus Cancer Risk In Pennsylvania, Tesla D. Dubois, Daniel Wiese, Kevin A. Henry, Shannon M. Lynch

Kimmel Cancer Center Faculty Papers

INTRODUCTION: While smoking is the leading cause of lung and bronchus cancer (LBC), additional exposures have been implicated and may explain the rise in LBC among never-smokers. To better understand the spatial distribution of LBC incidence and associated risk factors, this study aims to identify geographic areas with significantly elevated incidence rates in Pennsylvania and investigate the potential underlying risk factors.

METHODS: Using cancer registry data aggregated to the census tract level, spatial scan statistics were applied to detect areas of higher-than-expected LBC incidence across the state. Associations were then tested between census tract inclusion in a high-incidence area and …

Temporal Disparities In Diagnosis: The Critical Impact Of Laboratory Workflow Inefficiencies On Outcomes In Metabolic And Cardiovascular Disorders, Evans Dzreke, Celene Dzreke, Ramseyer Adekorang Asamoah, David Kanze

Health & Biomedical Sciences Faculty Publications

Diagnostic delays and laboratory process inefficiencies constitute a common but unaddressed dilemma in contemporary healthcare, quietly undermining patient outcomes in metabolic and cardiovascular illnesses where immediate intervention is critical. This seminal work goes beyond traditional operational viewpoints to demonstrate diagnostic inefficiency as an independent, adjustable risk factor with far-reaching implications. We rigorously quantified the impact of delayed test processing and reporting on clinical outcomes using a comprehensive mixed-methods approach that included multi-center retrospective cohort analysis (N=128,743 patients), real-time workflow mapping across 37 laboratories, in-depth case reviews, and economic modeling. Our findings challenged conventional wisdom by indicating that each 24-hour increase …

Addressing Socioeconomic Disparities In The Treatment Of Antimicrobial-Resistant Infections: The Role Of Pharmacists In Mitigating Barriers, Arin Wade, Danielle Egbujor, Anna Spalvieri, Owen Fox, Marisa Petrunich, Joshua Honaker, Samantha Mccord, Kasie Landin

Pharmacy and Wellness Review

Antimicrobial resistance is an escalating global threat driven by inappropriate antibiotic use and shaped by socioeconomic disparities. Social determinants of health, including limited healthcare access, poverty, low health literacy, and environmental conditions, contribute to higher rates of resistant infections and poorer treatment outcomes in underserved populations. Barriers such as pharmacy deserts, self-medication, and inadequate stewardship infrastructure amplify these risks. Pharmacists, as accessible and highly trained healthcare professionals, play a critical role in combating antimicrobial resistance by optimizing antibiotic use, delivering culturally competent education, and leading antimicrobial stewardship programs across settings. Community and clinical pharmacists are especially well positioned to bridge …

Materials Data Science Ontology(Mds-Onto): Unifying Domain Knowledge In Materials And Applied Data Science, Balashanmuga Priyan Rajamohan, Alexander C. Harding Bradley, Van D. Tran, Jonathan E. Gordon, Hayden W. Caldwell, Redad Mehdi, Gabriel Ponon, Quynh D. Tran, Ozan Dernek, Benjamin G. Pierce, Raymond Wieser, Weiqi Yue, Kiefer Lin, Jiana Kambo, Arafath Nihar, Pawan K. Tripathi, Yinghui Wu, Laura S. Bruckman, Erika I. Barcelos, Roger H. French

Faculty Scholarship

Ontologies have gained popularity in the scientific community as a way to standardize terminologies in organizations’ data. Although certain cohorts have created frameworks with rules and guidelines on creating ontologies, there exist significant variations in how Materials Science ontologies are currently developed. We seek to provide guidance in the form of a unified automated framework for developing interoperable and modular ontologies for Materials Data Science that simplifies the ontology terms matching by establishing a semantic bridge up to the Basic Formal Ontology(BFO). This framework provides key recommendations on how ontologies should be positioned within the semantic web, what knowledge representation …

The “Marketplace” Myth: Addressing Amazon’S Defense To Product Liability Claims, Andrew Ackley

Seattle University Law Review Online

Many courts continue to analyze law as if we have not evolved from the early days of the internet, when Facebook was a “social networking” site, AOL made messages “instant,” and eBay let everyone auction random items. The internet connected people. Because it did not touch them, it could not harm them. However, with storefronts closing, brick-and-mortar retail chains declaring bankruptcy, and “Uber lots” popping up at airports, the internet “cloud” has touched down all over the country, and online businesses are now harming people just as human actors and brickand-mortar stores always have.

While generating thousands of new ride …

Towards The Next Generation Of Geospatial Artificial Intelligence, Gengchen Mai, Yiqun Xie, Xiaowei Jia, Ni Lao, Jinmeng Rao, Qing Zhu, Zeping Liu, Yao-Yi Chiang, Jiao, Junfeng

Research Collection College of Integrative Studies

Geospatial Artificial Intelligence (GeoAI), as the integration of geospatial studies and AI, has become one of the fastest-developing research directions in spatial data science and geography. This rapid change in the field calls for a deeper understanding of the recent developments and envision where the field is going in the near future. In this work, we provide a quantitative analysis of the GeoAI literature from the spatial, temporal, and semantic aspects. We briefly discuss the history of AI and GeoAI by highlighting some pioneering work. Then we discuss the current landscape of GeoAI by selecting five representative subdomains including remote …

Geospatial Analysis Of Social Variables Of The Health Opportunity Index And Stroke Prevalence In Health And Human Services Region 3, Wanderimam R. Tuktur

Walden Dissertations and Doctoral Studies

Disparities exist in stroke prevalence and outcome. There is sparsity of ecological studies at the census tract level that elucidate neighborhood predictors of stroke prevalence in states across U.S. Health and Human Services Region 3 (HHS Region 3: Delaware, Maryland, Pennsylvania, Virginia, West Virginia, and the District of Columbia). This study was conducted to explore the geospatial relationship between the 13 indicators of the Health Opportunity Index (HOI) and stroke prevalence at the census tract level in HHS Region 3 using four HOI indicator profiles: (a) neighborhood and built environment profile, (b) social and community context profile, (c) resource profile, …

Neighborhood-Level Variation In The Effectiveness Of And Participation In An Intensive Health Behavior And Lifestyle Treatment Program For Pediatric Obesity, Grace Wang

Yale Medicine Thesis Digital Library

Bright Bodies (BB) is a family-based intensive health behavior and lifestyle treatment (IHBLT) for pediatric obesity, with demonstrated efficacy and real-world effectiveness. Our study involved two aims: 1) to assess the extent to which real-world effectiveness varied by participants’ neighborhood characteristics, and 2) to evaluate the impact of the COVID-19-associated transition of BB to virtual delivery on participant engagement, particularly for those disadvantaged by inequities in social determinants of health. To achieve Aim 1, we included first-time BB participants 2008-2018 who had an initial BMI ≥85th percentile and available addresses. Addresses were geocoded using ArcGIS Pro and assigned a Child …

Making Slums Legible, Visible And Calculable: Geospatial Technologies And The Governance Of Urban Land In Mumbai, Sanjana Krishnan

Theses and Dissertations--Geography

This dissertation examines how geospatial technologies are used to make slums in Mumbai legible, calculable, and hypervisible, and how these practices reshape urban land governance. It situates mapping, remote sensing, and algorithmic systems within their political-economic contexts, showing how technologies intending to see the city often function as instruments of dispossession. The research has three interconnected empirical chapters. The first empirical chapter traces the history of slum mapping in Mumbai, from their absences in early development plans to their selective hypervisibility under the contemporary governance regimes. Using critical cartographic methods, it highlights how novel technologies such as remote sensing, biometric …

The Impact Of Urbanization On Water Scarcity And Waterborne Diseases In Eastern Africa: A Case Study Of Nairobi, Lucy N. Kamau

Open Access Master's Theses

Urbanization in Eastern African cities has rapidly accelerated, placing immense strain on existing water infrastructure and sanitation systems. In Nairobi, this has resulted in spatial disparities in access to clean water and heightened vulnerability to waterborne disease risks. The study aimed to (1) assess the impact of urbanization on water scarcity and waterborne diseases in Nairobi using geospatial analysis and remote sensing (2) quantify urbanization trends 1999–2024 (3) identify spatio-temporal water scarcity hotspots for the years 2019 and 2024 (4) model waterborne disease risk maps for 2019 and 2024 (5) Overlay disease risk map with hospitals. To quantify urbanization for …

The Impact Of Artificial Light At Night On The Distribution Of Sea Turtles In The Mediterranean, Molly R. Blyth

The Plymouth Student Scientist

Artificial light at night (ALAN) poses a significant threat to a wide array of species across the world. In coastal areas, artificial lighting is known to disrupt sea-finding behaviour of sea turtle hatchlings and to deter females from nesting beaches. Yet, sea turtles spend the majority of their lifetimes in the sea, where the influence of ALAN on sea turtle distribution has not previously been studied. Using a recently published atlas of ALAN under the sea, this study analysed an online dataset of sea turtle sightings throughout the Mediterranean Sea, to look for a relationship using a binomial generalised linear …

A Dynamic Urban Digital Twin Integrating Longitudinal Thermal Imagery For Microclimate Studies, Vasantha Ramani, Marcel Ignatius, Joie Lim, Filip Biljecki, Clayton Miller

Research Collection College of Integrative Studies

Recently, the concept of a digital twin for the built environment has received significant attention due to its potential benefits to urban planners, engineers, and designers. The development of tools that aid in integrating real-world physical systems with digital capabilities is essential for advancing digital twin technology. In this work, we present one such digital twin tool that integrates the longitudinal thermal envelope data of buildings on the campus of the National University of Singapore with a virtual 3D model. Thermal images of the buildings were captured using a neighborhood-scale infrared observatory for a few months. The temperature profile of …

Artificial Light At Night On Nesting Beaches Of The Green Turtle, Chelonia Mydas, In The Eastern Mediterranean And Its Possible Effect On Populations, Noam Leader, Yaniv Levy, Oğuz Türkozan

Turkish Journal of Zoology

Artificial light associated with coastal development is becoming one of the major threats to coastal biodiversity. Sea turtles are coastal breeders, and it is well-known that hatchlings tend to move toward lighter objects on the beach, which prevents them from reaching the sea. It is, therefore, essential to identify the impact of artificial light at night (ALAN) on the nesting beaches. Here, we investigated ALAN levels using imagery from satellites at important green turtle (Chelonia mydas) nesting beaches in the Mediterranean. Mean August radiance levels at nesting beaches ranged from 0.00473 nW/cm2sr (Northern Cyprus-South Karpaz Beach) to 14.44 nW/cm2sr (Turkey …

Urban School Neighbourhoods Dominated By Unhealthy Food Retailers And Advertisements In Greater Tunis: A Geospatial Study In The Midst Of The Nutrition Transition, Christelle Akl, Nehmat El-Helou, Gloria Safadi, Aline Semaan, Aya El Sammak, Tarek Trabelsi, Sonia Sassi, Chaza Akik, Jalila El Ati, Pierre Traissac, Hala Ghattas Ph.D.

Faculty Publications

Objective:

Food environments are a major determinant of children’s nutritional status. Scarce evidence on food environments exists in low- and middle-income countries (LMIC). This study aims to fill this gap by documenting the obesogenicity of food environments around schools in Greater Tunis, Tunisia – an LMIC of the Middle East and North Africa region with an ongoing nutrition transition and increasing rates of childhood obesity.

Design:

In this cross-sectional study, we assessed built food environments around fifty primary schools. Ground-truthing was performed to collect geographic coordinates and pictures of food retailers and food advertisement sets within an 800-m road network …

Predicted Spread In The Southeastern Us Of The Non-Native Lizard, Agama Picticauda, Based On Current And Future Climate, Sebastian Giddings

Harriet L Wilkes Honors College Theses 2020 - Present

Peters’s rock agama, Agama picticauda, is a West African lizard first observed in South Florida in 1975. It has since spread through much of the state and into southernmost Georgia. To better understand the potential spread of this invasive species in the southeastern US, I used Maxent species distribution models with native and non-native occurrences for A. picticauda with current and future bioclimatic variables. The models suggest that by 2100, the species could spread through all of Florida, much of Georgia, South Carolina, and North Carolina, and southern parts of Alabama, Mississippi, Louisiana, and Virginia.