Digital Commons Network^™

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 …

Parent-Child Interaction Therapy For Toddlers In Japan: Comparing Outcomes For Children With And Without Autism And/Or Developmental Delays, Emily-Anne Sevilla Del Rosario

Graduate Theses and Dissertations

Parent-Child Interaction Therapy for Toddlers (PCIT-T) is a toddler adaptation of Parent-Child Interaction Therapy designed to improve social-emotional development and parenting practices among children under two years of age. This study evaluated the effectiveness of PCIT-T among Japanese families and explored whether treatment outcomes differed between neurotypical toddlers and autistic children and/or children with developmental delays. Data was analyzed from 83 parent-child dyads who received PCIT-T in community-based agencies across Japan between 2018 and 2023. Results indicated significant improvements in children’s protective developmental factors, caregiver use of PRIDE skills, and reductions in Avoid skills following treatment. CARES skills did not …

Drawing Conclusions: Autonomy And Mental Maps In Denmark And The Faroe Islands, Erik Steven Breidinger

Graduate Theses and Dissertations

This dissertation develops and tests a comparative heuristic device called optimal autonomy to explain when and how autonomous territories, or simply autonomies, become durable components of the global system of sovereign states. Drawing on a mixed‑methods case study of Denmark and the Faroe Islands, the study operationalizes optimal autonomy as a heuristic device using three interacting metrics: territorial delineation, national distinction, and state dependence. Using semi‑structured interviews with public officials and a mental‑mapping experiment with university students, this research shows that optimal autonomies are not made from single institutional designs but rather a dynamic equilibrium between maximal territorial delineation, medial …

“We Have The Right To Education”: Exploring Student Experiences, Disability Policy, And The Need For Culturally Refined Awareness Raising On Inclusive Higher Education Within The English-Speaking Caribbean, Kadesha Treco

Graduate Theses and Dissertations

Within the English-speaking Caribbean, research at the intersection of inclusive education policy and higher education (HIED) remains limited. Despite the ratification of the United Nations Convention on the Rights of Persons with Disabilities (2006) by countries across the region, the establishment of the CARICOM Special Rapporteur on Disabilities, and the creation of several pieces of national disability legislation, there is little evidence regarding the effectiveness of these initiatives at improving access to HIED. Therefore, this dissertation contributes to regional scholarship on inclusive education by examining how access to, and experiences within HIED institutions are shaped for students with disabilities. This …

Effectiveness Of Pcit With Toddlers In A Community-Based Sample: Special Considerations For Youth With Neurodevelopmental Conditions, Rebecca Scott Bradley

Graduate Theses and Dissertations

The early caregiving environment serves as the context in which young children develop emotional regulation abilities. While supportive, responsive caregiving is crucial for helping children regulate their own emotions in times of stress, disruptions to the parent-child relationship may set the stage for poor emotion regulation throughout childhood. Emotional and behavioral problems, particularly in children with neurodevelopmental conditions, may stem from early difficulties with emotion regulation. If left untreated, emotion dysregulation in children can mark a trajectory towards continued social-emotional concerns and family disruption; as such, the toddler years represent an ideal time for intervention. Parent-Child Interaction Therapy for Toddlers …

Black Americana: Packaging Black Critique For White Consumption, Sean Bloemetjie

Graduate Theses and Dissertations

In this project, I extend the theorization of Black Americana, a conservative, racialized mass media project where Black celebrities, through the assertion of the American-ness and promotion of the American empire, engage in the containment of Blackness and Black people. Historically, Black Americana was conceptualized by Michele White around the online marketplace for racist, caricatured, slavery-era memorabilia, but I argue that this practice has morphed and evolved into a prominent form of mediated Black subjugation by Black elites. Utilizing Whitney Houston’s performance of the national anthem as a case study, I argue in the introduction that, by insisting upon her …

Montana’S Outfitting Industry - 2024 Economic Contribution And Industry-Client Analysis, Carter Bermingham, Kara Grau, Emma Keinath-Lopez

Institute for Tourism and Recreation Research Publications

Montana's outfitting and guiding industry remains a vital economic sector driven primarily by nonresident visitors, generating an estimated $314 million in direct expenditures in 2024 and supporting more than $1.27 billion in total economic output when indirect and induced effects are included. This report, an update to ITRR's 2017 industry analysis, draws on a survey of outfitting businesses alongside ITRR's annual nonresident visitor survey to examine roughly 980,000 clients served by an estimated 1,500 outfitting and guiding entities statewide. While wildlife viewing and sightseeing attracted the largest share of clients, fishing generated the most revenue despite serving a smaller portion …

Pengaruh Penggunaan Internet Terhadap Pendapatan Wirausaha Pemuda Di Indonesia, Nabella Primasetya, Putu Geniki Lavinia Natih

Jurnal Ekonomi dan Pembangunan Indonesia

An important element in entrepreneurship is being alert to unexploited opportunities. In the context of entrepreneurial development, internet users in Indonesia continue to increase but the percentage of young people using the internet for business remains low. This study analyzes the effect of internet usage on the income of young entrepreneurs in Indonesia using the Ordinary Least Square (OLS) method and Propensity Score Matching (PSM). The results show that internet usage significantly increases the income of youth entrepreneurs. Internet usage for communication contributes positively to their income but usage for promotion, social media and marketplaces does not affect their income.

Pinochet’S Upswing: The Demise Of A Democratic Society In Chile, Jacob Behnk

Honors Program: Senior Projects (Public)

In the United States, we tend to view democracy as an inviolable tenet of political life. Our nation’s founding is even romanticized as a heroic fight for liberty against the wicked tyranny of the British monarchy. It is unthinkable that democracy could ever be destroyed, let alone have the citizens cheer on those who engineer its destruction—yet this is the very situation that Chile found itself regarding Augusto Pinochet, a brutal dictator who ruled the country with an iron fist from 1973 to 1990. Pinochet would be voted out of power in a 1988 plebiscite, but still managed to win …

Addressing Bias Against Sopo Vee Opp Polyamory, Nafees Alam

Social Work Faculty Publications

Polyamory is a consensual relationship style involving multiple romantic and/or sexual partners, with SOPO (solo polyamory), VEE, and OPP (one penis policy) being specific polyamorous dynamics that often face heightened bias. The reality show "Sister Wives" offers a compelling case study of both stigmatization and potential normalization of non-monogamous relationships in mainstream media. This manuscript examines how "Sister Wives" both reinforces and challenges stereotypes about polyamory, its impact on public perception, and how the experiences of the Brown family parallel those of SOPO VEE OPP practitioners. By analyzing media representation alongside lived experiences, we can better understand how to promote …

Animal Assisted Interventions For Older Adults Experiencing Cognitive Impairment, Preeti Bachu

Psychology

As individuals age, they often experience gradual declines in cognitive abilities that ultimately affect their quality of life and independence. Severe cognitive decline is not necessarily a natural or universal part of the aging process and tends to be exacerbated by various neurodegenerative diseases, most notably Alzheimer's disease (Colita et al., 2024). There have been promising outcomes of animal assisted interventions in improving the conditions of several populations and spaces, including educational, rehabilitative, and therapeutic settings. Animal assisted therapy specifically is delivered by a qualified or licensed health professional. Previous research has shown a large benefit in long-term memory, verbal …

Examining The Effectiveness Of Nature Metaphor Patterns For Cultivating Intimacy, Acceptance, Relationship Satisfaction, Self-Compassion, And Positive Communication In Couples, Jenna Rice, Sarah Fraher, Elizabeth Engelkamp, Melissa Mcternan, Hannah Grigorian, James Cordova

Psychology

Effective couple interventions, such as Integrative Behavioral Couple Therapy and the Relationship Checkup, include the labeling of common relationship patterns. This study hypothesized that a micro-intervention using nature metaphors, such as “Porcupine–Turtle,” would produce greater improvements in relationship health relative to descriptive labels such as “Approach–Withdraw.” Twenty-five couples were presented with nature metaphor patterns, while 24 couples were presented with descriptive patterns. Several measures of relationship health showed significant improvements across both groups, while other measures showed significant improvements for descriptive patterns only. Generally, nature metaphor patterns were initially rated as more novel and more resonant. Broadly, these results add …

Improving Urban Search And Rescue Team Coordination Through Adaptive Context Awareness, Daniel Reyes Duran

Doctoral Dissertations and Master's Theses

Modern multi-agent Urban Search and Rescue (USAR) operations heavily rely on mobile geospatial Common Operating Pictures (COPs) to maintain team coordination and Situational Awareness (SA). However, the proliferation of high-frequency sensor telemetry at the tactical edge has introduced a data saturation paradox challenge: while information theoretically drives informed decision-making, unmanaged data surges induce increased operator cognitive overload and alert fatigue on mobile End-User Devices (EUDs), while downstream data-broadcasting models inherently strain edge processing and viewport environments.

To resolve these constraints, this dissertation presents a context-aware Value of Information (VoI) data-management framework integrated directly with a custom, event-driven Android Team Awareness …

Polarized Truth Decay & The Role Of Education In A Democracy, Sonja Varbelow, William Yaworsky

Anthropology Faculty Publications

The purpose of this paper is to delineate the causes and dangers of truth decay for a democracy, the role education has played in the process, and how education can present a resistance to this dangerous trend. Truth decay has been characterized as an increase in quantity of opinion over fact, divergent views on what constitutes a fact, and decreased confidence of traditional sources of information. We agree that truth decay is a serious problem but would characterize it somewhat differently. Opinions, divergent views, and decreased confidence in traditional sources of information are not detrimental by themselves. Instead, we see …

Through The Lens Of Clarity: Perceived Organizational Tightness Boosts Creativity For Men, But Not For Women, Grace J. H. Lim, Roy Y. J. Chua

Research Collection Lee Kong Chian School Of Business

A commonly held perspective in the cultural tightness literature is that cultural tightness tends to negatively impact creativity. Yet some findings indicate that this relationship is not strictly negative and that a more nuanced perspective should be considered. Drawing on social information processing (SIP) theory and social role theory, we build theory on how the perception of organizational cultural tightness can increase creativity for some employees, but not for others. Specifically, we propose that perceived organizational tightness—the extent to which one perceives that an organization is characterized by strong norms and sanctions for deviation—increases clarity on creativity evaluation standards and …

2026 July, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for July of 2026.

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. …

The Narrative Dynamics Of Special Books By Special Kids Youtube Videos And Comments: A Study Of Disability Rhetoric And Public Narrative Engagement, Jessica Louise Allee

Graduate Theses and Dissertations

Digital media has expanded disability advocacy and community building by enabling accessible, visual storytelling and connection. Special Books by Special Kids (SBSK), a YouTube channel using interview-based disability storytelling, foregrounds people’s experiences with disabilities in the videos, while inviting viewers to interpret, identify with, and respond in the comments. As a participatory storytelling space, SBSK offers a site for examining how disability meanings are constructed, negotiated, and transformed through narratives, multimodal practices, and audience uptake, while revealing how dominant disability rhetoric or ableist discourse that positions people with disabilities as burdens, inherently deficient, or socially devalued, can be reproduced, complicated, …

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 …

Board Exam Preparation Resource Trends In Academic Health Sciences Libraries Serving Colleges Of Osteopathic Medicine Programs., Joanne Muellenbach, Kyle Robinson, Hsin-Liang (Oliver) Chen, Harold S Bright, Lori Fitterling

PCOM Scholarly Works

BACKGROUND: The study seeks to identify the board exam preparation (prep) resources made available to medical students by academic health sciences libraries and other departments within U.S. colleges of osteopathic medicine (COM) programs, and the extent to which these resources are utilized by medical students and educators.

METHODS: The study was conducted in two phases. In phase one, forty-two COM library directors were invited to complete a survey regarding their usage, funding, and access models for available board prep resources. In phase two, semi-structured interviews were conducted via Zoom to explore the library's role in providing access to these resources. …

Cultural Diplomacy Through Museums: An Analysis Of The Role Of Sheikh Dr. Sultan Al Qasimi In Promoting Intercultural Dialogue Through History, Culture, And Tourism, Abdulla Almheiri, Fareed Awae, Muhammad Talhah Jima’Ain, Hamdan Chehdimae, Mohamad Azrien Mohamed Adnan, Fuad Trayek

All Works

This study aims to analyze the role of cultural diplomacy in the Emirate of Sharjah through museums. Particular emphasis is placed on the important contributions of His Highness Sheikh Dr. Sultan Al Qasimi in promoting intercultural communication and consolidating cultural identity through the support of history, archaeology, and tourism. The study uses a quantitative approach with a survey research design. The perspectives of 285 museum visitors have been analyzed based on arithmetic means and standard deviations to measure their level of awareness regarding the museum’s historical, cultural, and tourism dimensions. The findings indicate a high level of awareness concerning the …

The Unintended Consequences Of International Student Shortage: Evidence From South Korea, Chung-Yoon Choi, Syngjoo Choi, Seonghoon Kim, Jongkwan Lee

Research Collection School Of Economics

We study the role of international students in the higher education sector and the local economy by exploiting a policy reform in South Korea that restricted the admission of foreign students to local universities. By comparing the pre- and post-reform differences across universities with different pre-reform shares of international student enrollment, we show that an international student shortage resulting from this policy reform significantly worsened the financial outcomes of universities and consequently led to reduced investment in their students. We also document that a reduction in the number of international students in local areas decreased native employment, mainly in low-skilled …

The Effect Of Vaccine Mandates On Disease Spread: Evidence From College Covid-19 Mandates, Riley K. Acton, Wenjia Cao, Emily E. Cook, Scott A. Imberman, Michael F. Lovenheim

Research Collection School Of Economics

Nearly 700 4-year U.S. colleges mandated students receive COVID-19 vaccinations in fall 2021. Using data on college policies and county health, we estimate how mandates affect surrounding communities. Event studies from August to November 2021 show that mandates covering all colleges in a county reduced COVID-19 deaths by 5.6 per 100,000 persons, a 4.6% reduction in the U.S. total during this period. Mandates reduced COVID cases by 504 and ICU admissions by 16.2 per 100,000, though we see no statistically significant impact on hospitalizations. Impacts are larger in counties with larger college populations and low estimated ex-ante student vaccination rates.

Administrative Leadership, Job Resources, And Teacher Burnout In U.S. Middle Schools: A Jd-R Study, Santerous Glenn Colbert

Walden Dissertations and Doctoral Studies

No abstract provided.

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 …

Actioncaptions: Making Movies, Shows, And Daily Life Accessible For All, Haruna Hosokawa, Rhianon Gutierrez, Matt Davis, Justin Wang, Eric Gu, Arthur Miao, Andrew Duan, Perry Yu, Ziqi Yan, Susie Yan

Paul English Applied Artificial Intelligence (AI) Institute Publications

This group project presents ACTIONCAPTIONS, a proposed downloadable application or web application designed to improve access to audio content through customizable captioning. The project addresses limitations associated with existing captioning options in settings such as movie theaters, including limited device availability, cumbersome equipment, lack of portability, and the absence of live captioning capabilities. ACTIONCAPTIONS proposes a free and accessible platform that provides both live transcription and captioning for uploaded files. The application incorporates customizable settings for user preferences, including caption size, color, contrast, and language, and is designed around principles of accessibility and universal design. The project demonstrates how speech …

Strengthening The Shield: Exploring Post-Traumatic Growth In Law Enforcement, Aaleiyah C. Spaulding

Dissertations

Law enforcement officers are routinely exposed to traumatic incidents that can lead to psychological distress, including posttraumatic stress disorder (PTSD). However, emerging literature highlights the potential for posttraumatic growth (PTG), a positive psychological change following adversity. This study examined the prevalence and predictors of PTG in a sample of 33 police officers from a Midwestern department. Using validated self-report measures, the study assessed the role of trauma exposure, cognitive restructuring of core beliefs, and perceived organizational culture, particularly supervisor support. Results indicated that both internal (core belief reflection) and external (supervisory support) factors significantly predicted PTG. Additionally, involvement in a …

Examining The Relationship Between Trauma-Informed Safety Drill Practices And School-Level Chronic Absenteeism In Maine Secondary Schools, Tina Nightingale

Dissertations

School safety practices can influence students' perceptions of safety, emotional well-being, and engagement in the educational environment; however, limited research has examined whether trauma-informed safety drill practices are associated with measurable educational outcomes. The purpose of this quantitative, non-experimental, correlational study was to examine the relationship between trauma-informed safety drill practices and school-level chronic absenteeism in Maine middle and high schools. Guided by trauma-informed care, adolescent neurodevelopment, and Protection Motivation Theory, the study investigated whether higher levels of trauma-informed implementation of safety drills, as measured by the Trauma-Informed Safety Drill Practices Index (TISDPI), were associated with lower rates of chronic …

Preparing Today’S Workforce For Tomorrow’S Autonomous Transportation: Bridging Electrical And Civil Engineering Disciplines, Masoud Ghodrat Abadi, Rohollah Moghadam

Mineta Transportation Institute

Autonomous vehicles (AVs) are expected to transform transportation systems and reshape workforce needs across engineering and related fields. Although existing AV workforce development efforts often emphasize electrical engineering, computer science, and mechanical engineering, transportation engineering remains underrepresented despite its importance to infrastructure, traffic operations, safety, and mobility integration. This study addresses that gap through the development, implementation, and evaluation of an interdisciplinary certificate program, Workforce for Autonomous Vehicle Engineering (WAVE), at California State University, Sacramento. The program was designed to bridge transportation engineering and electrical engineering through a two-step curriculum model consisting of theoretical educational modules and hands-on laboratory activities. …

Fraud And Focus: Examining Self-Control Strategies In Students Experiencing Impostor Phenomenon, Francesca Angela Catalano

Theses and Dissertations

Impostor phenomenon (IP) is a common experience among individuals in achievement contexts characterized largely by feelings of self-doubt, attributions of success that focus on external factors, and beliefs that one is “fooling” others about their competence. Current research suggests the effects of IP are complex (e.g., IP is associated with higher grade point average and productivity but also self-handicapping, psychological distress, and difficulties adjusting to college). To better understand these complex effects, this study proposes a self-control perspective for IP, where this phenomenon is seen as involving additional self-control burdens. Specifically, the study examines whether IP is associated with grade …