Digital Commons Network^™

Differing Circulating Microrna Profiles Of Long-Lived Polish Populations, Fabrizzio Lijeron-Herrera

Honors Undergraduate Theses

Exceptional longevity, defined as a lower biological age relative to chronological age and maintenance of functional capacity or a slowing of functional decline, is a phenotype most readily observed in centenarians and nonagenarians. These individuals exhibit a phenomenon known as compressed morbidity, spending substantially less time in poor health compared to younger elderly populations, thus representing a unique human model of delayed aging. Circulating microRNAs (miRNAs), potent post-transcriptional regulators of molecular pathways, have emerged as important modulators of aging-related pathways; however, no study has comprehensively profiled miRNAs from serum in long-lived individuals from Central Europe. In particular, Polish populations present …

Symbolic Racism And Punitive Policy Preferences In The First Quarter Of The Twenty-First Century, Anthony T. Fulinello

Honors Undergraduate Theses

Despite the decay in the acceptability of explicit racism brought about by the passage of the Civil Rights Act of 1964, implicit racism may continue to inform individual decision making even into the first quarter of the twenty-first century. Utilizing data from 25 years of the General Social Survey, this study examines how indicators of symbolic racism, a form of implicit racism, impact punitive policy preferences among the general United States population using separate logistic regression models isolating each indicator, plus a full model, for each outcome. Punitive policy preferences were operationalized as support for increased spending on crime prevention …

The Adjustment Of Autistic First-Generation Students To Higher Education, Paris J. Cumba

Honors Undergraduate Theses

The purpose of the current study is to investigate how first-generation students on the autism spectrum adjust to higher education compared to their continuing generation and neurotypical peers through the lens of intersectionality. Previous research has studied how first-generation students and autistic students transition into college environments, but little research has explored how these identities intersect and affect college adjustment.

For this study, 189 undergraduate students completed a survey that measured different dimensions of college adjustment, such as academic motivation, self-efficacy, and current life satisfaction. ANOVA tests showed that there was no significant interaction between first-generation status and autism status …

Viral And Host Cell Determinants Of Resistance To Complement-Mediated Killing During Parainfluenza Virus Type 5 Infection, Jenna R. Aquino

Graduate Studies Theses and Dissertations 2026

RNA viruses are a major global public health concern due to high mutation rates, zoonotic potential, and immune evasion. Parainfluenza virus 5 (PIV5) can establish persistent infections (PIs) despite encountering innate immune responses, including the complement (C′) system. RNA virus replication produces defective interfering particles (DIPs) containing truncated defective viral genomes (DVGs) that depend on standard (STD) virus for replication. DVGs are increasingly detected in natural infections and modulate type I interferon (IFN-I), but their role in the C′ system is unclear. We investigated how DVGs affect C′-mediated lysis during PIV5 infection using real-time in vitro cell viability assays. C′ …

It's All The Same, Lauren A. Bedevia

Graduate Studies Theses and Dissertations 2026

It’s All the Same is a collection of short stories that center around lesbian characters. The stories explore themes such as ambition, morality, karma, mental health, exploitation, and relationships. The collection opens with “Forget Her Inc.,” a short story that juggles an ensemble cast of lesbians and examines whether memory eraser therapy is an ethical practice for treating a broken heart. “It’s All the Same,” the titular story, uses lyricism to present the parallels between two women in terms of family dynamics, interests, and attachment styles; the story explores a loving friendship between a lesbian and a straight woman.

“Fun …

Carbaryl Exposure Alters Gut Microbiome Composition Without Affecting Morphometrics In Eastern Purple Martin (Progne Subis Subis) Nestlings, Stephanie A. Gaspar

Graduate Studies Theses and Dissertations 2026

Eastern purple martins (Progne subis subis) rely entirely on human-provided nesting structures throughout their breeding range in eastern North America. To control haematophagous mites that commonly infest these nests, many landlords apply the carbamate insecticide, carbaryl. Although effective at reducing ectoparasite populations, carbaryl exposure may have unintended effects on the gut microbiome, growth, and condition of developing birds. This study examined the effects of carbaryl exposure on gut microbial communities and morphometric condition in wild nestlings. Nests were experimentally treated with carbaryl, and nestling morphometrics and fecal microbiomes were compared between treated and untreated groups at 18 days …

Governing Harm: Three Essays On Anti-Lgbtq+ Legislation In The United States, Kathryn Hickey

Graduate Studies Theses and Dissertations 2026

In the United States, over 140 state bills were passed between 2014 and 2024 that directly targeted the lives of LGBTQ+ individuals. Drawing on administrative evil and the minority stress model, this dissertation demonstrates how policy environments that normalize discrimination through the passage of anti-LGBTQ+ legislation can lead to devastating consequences. Using a three-essay format, the first study conducts a qualitative content analysis of state level anti-LGBTQ+ laws passed between 2015 and 2024 to identify how administrative evil is woven into the language of the legislation. The results of this analysis show these laws systematically dehumanize LGBTQ+ individuals, restrict their …

Reliability Of Staged Maximal Aerobic Capacity Protocol Using A Combined Upper- And Lower-Body Air-Braked Ergometer, Jack J. Livingston

Graduate Studies Theses and Dissertations 2026

Maximal oxygen uptake (VO₂max) is widely recognized as the preeminent measure of aerobic capacity and is typically assessed using graded exercise testing (GXT). This study examined the test–retest reliability of VO₂peak and associated physiological responses during a staged GXT performed on a combined upper- and lower-body air-braked ergometer. Fifteen recreationally active adults (9 males, 6 females; age: 26.9 ± 7.2 years; body mass: 75.1 ± 11.0 kg) completed one familiarization session and two trials separated by ≥72 hours. Participants performed a staged GXT (40 RPM start, +3 RPM every 3 min to exhaustion) on a combined upper- and lower-body air-braked …

Behavioral Economic Factors Implicated In Young Adult Drinking In The Natural Environment: An Ema Study, Tatiana Magri

Graduate Studies Theses and Dissertations 2026

Background: Young adult (YA) alcohol use remains a prominent public health concern. Despite research efforts aimed at mitigating harms related to drinking, rates of alcohol use and adverse outcomes related to use, remain high among YAs. Previous research has identified alcohol demand, craving, and delay discounting as risk factors for problematic drinking among YAs. However, few studies have concurrently examined these constructs using methodologies that maximize ecological and contextual validity. Method: YA individuals (N=104) completed an ecological momentary assessment (EMA) protocol assessing three demand indices (i.e., intensity, Omax, and breakpoint), delay discounting, craving, and alcohol use and problems. Participants received …

The Revelations, Lily Mckenna

Graduate Studies Theses and Dissertations 2026

The Revelations is a self-actualization in the form of a poetry collection. The speaker’s realization that reality is relative arrives through a Title IX case against an abusive boyfriend and former bandmate. Poems such as “Complainant / Respondent” use rigid legal structures to investigate the fluidity of truth and perception and how they can be manipulated. With her band on hiatus and the case propelling her into a new world, the speaker starts running DIY shows alongside a cast of characters with a shared love of music. She interrogates their realities in the character studies “On The Relative Reality Of…,” …

An Investigation Into The Impact Of Open Educational Resources (Oer) On Postsecondary Student Outcomes, Amber Mullens

Graduate Studies Theses and Dissertations 2026

Increasing higher education costs are a concern for policymakers and the American public. In 2024-25, undergraduate students paid on average $1,290 for books and supplies (College Board, 2024). These costs have led policymakers and educators to advocate for the use of open educational resources (OER). OER are teaching and learning materials that are in the public domain or licensed under copyright allowing no cost access, reuse, repurpose, adaptation, and redistribution (UNESCO, 2019, p. 5). While research has demonstrated OER use significantly reduces costs for students, less is known about OER's impact on student academic outcomes. Despite significant research on these …

Characterization And Antibacterial Assessment Of An Isoborneol-Loaded Nanoemulsion, Sharon M. Rodriguez Villacis

Graduate Studies Theses and Dissertations 2026

In the United States, about 35,000 fatalities occur annually due to antibiotic resistant infections. It is progressively becoming one of the largest challenges when treating hospital-acquired infections. This decline in effectiveness of commonly used antibiotics makes it essential to identify, synthesize, and formulate compounds that possess antimicrobial activity against these common pathogens. Isoborneol, a compound that is naturally occurring terpene that can be derived from the Camphor tree, Cinnamomum camphora, is known for its antimicrobial properties in traditional medicine and in prior literature. To assess this hypothesis, an oil-in-water (OW) nanoemulsion of isoborneol was synthesized, characterized, and assessed for …

Black Mothers' Experiences Of Birth Trauma: A Conceptual Analysis And Mixed-Methods Study To Advance Perinatal Mental Health Counseling, Lisa Rickman

Graduate Studies Theses and Dissertations 2026

This dissertation study follows the manuscript model and consists of two manuscripts, one conceptual manuscript and one empirical study, both focusing on the experiences of Black mothers following psychologically and physically traumatic childbirth. The conceptual manuscript centers birth trauma within the social, historical, and cultural contexts of perinatal mental health disparities and obstetric racism. This framework guides clinicians in centering Black mothers’ needs utilizing Relational Cultural Theory to promote equitable perinatal mental health practice. The empirical study employs a phenomenological sequential mixed methods approach prioritizing interview data collected from Black mothers who experienced birth trauma. This study also explores their …

The Importance Of The Proline Residue In The Ldiapa Motif Of Cholera Toxin, Akash Bharathan

Honors Undergraduate Theses

Cholera is currently on its seventh global pandemic, disproportionately affecting developing countries. Vibrio cholerae, the bacterial etiologic agent, is able to cause infection by adhering to intestinal epithelial cells and secreting cholera toxin (CT), an AB-type exotoxin that dysregulates signaling pathways. Previous research by the Teter lab has shown that Hsp90, a host cytosolic chaperone, is required for CT to enter the cytosol where it produces toxic effects. Hsp90 binds to CT at two specific motifs, RPPDEI and LDIAPA. The prolines in the RPPDEI motif are essential for binding, but the proline in the LDIAPA has yet to be …

Barriers To Healthcare For Traditionally-Aged Lgbq+ College Students, Parker Long

Honors Undergraduate Theses

Seeking and receiving high-quality healthcare are key components of healthy living. Greater access to high-quality healthcare is associated with higher quality of life (Bunker, 2001). Despite the many benefits of quality healthcare, many people face barriers to accessing quality healthcare, resulting in poorer physical and mental health outcomes (Jatrana & Crampton, 2021). Individuals who identify as LGBQ+ face serious health disparities as a marginalized group. The current research was designed to examine and address these specific barriers to accessing high-quality healthcare among LGBQ+ traditionally-aged college students in order to inform ways to improve access to care. Specifically, this study investigated …

Designing Presence Together: A Coi-Guided Summit And Accountability Approach, Latisha D. Haag, Rachel Dolechek, Janet Stramel, Jessica Heronemus-Claiborn

Teaching Online Pedagogical Repository

This strategy, developed as part of a Digital Teaching Champions initiative at a regional comprehensive university, describes an Engage & Elevate summit and accountability model that helps faculty implement small, presence‑focused changes in their online courses using the Community of Inquiry (CoI) framework. In two synchronous Zoom summits, faculty cohorts completed a brief CoI self‑assessment, explored discipline‑neutral examples of social, cognitive, and teaching presence, and analyzed low‑, moderate‑, and high‑presence versions of common online activities. Guided by summit worksheets and templates, each instructor selected one existing activity (such as a discussion, peer review, or feedback workflow), identified one “small teaching” …

Efficiency Without Compromise: Automating Group Formation And Peer Accountability In Online Graduate Courses, Aj Dalal, Whitney Newman, Tanla Bilir, Liz Drabkin

Teaching Online Pedagogical Repository

This strategy uses Canvas's built-in random group assignment tool paired with FeedbackFruits' Teammate Evaluation to create a near-fully automated group work pipeline in online graduate courses. By eliminating manual group formation and connecting peer evaluations directly to the gradebook, instructors can implement accountable, structured group work with minimal administrative effort.

C.A.S. Full Assessment Report: State Of Florida Government Portal, Delante Clark

Graduate Scholarship and Creative Works

The purpose of this assessment is to evaluate the cognitive overhead, transparency, and attentional integrity of

official State of Florida digital interfaces using the Cognitive Attentional Standards (C.A.S.) platform.

While the Florida Digital Bill of Rights (FDBR) establishes strict regulatory guardrails for consumer data

transparency, tracking opt-outs, and attentional safeguards, the State of Florida explicitly exempts its own

government agencies, public universities, and non-profit entities from complying with these rules.

This assessment serves to investigate the tension between legislative intent and government execution. By

analyzing public sector websites through the C.A.S. platform, this project will establish a “state-enforced vs.

state-executed” …

The Attention Safeguard Models: Governing Digital Harm Without Restricting Lawful Speech, Delante Clark

Graduate Scholarship and Creative Works

Digital platforms increasingly govern contemporary social, civic, and psychological life through systems optimized for attention capture, amplification, and monetization. While lawful expression remains protected under the First Amendment, the infrastructural mechanisms that determine how speech circulates have produced a range of attention‑based harms, including cyberbullying, engagement farming, compulsive doom scrolling, emotional dysregulation, and civic polarization. This research paper introduces the Attentional Safeguards Model (ASM), coined and formalized by Delante Clark, as a novel governance framework that mitigates such harms by regulating systems of amplification rather than restricting expression itself. Building on attention economy theory, technological mediation, constitutional free‑speech doctrine, …

100 Years: The Uniform System Of Accounts For The Lodging Industry (Usali) 12th Revised Edition, Agnes Defranco, Raymond S. Schmidgall

Journal of Hospitality Financial Management

No abstract provided.

Meeting Accreditation On A Deadline: Using Generative Ai To Rapidly Develop A Graduate Course, Cory Knill, Sean Devan

Teaching Repository of AI-Infused Learning

This entry details an "expert-in-the-loop" framework for rapidly developing an accredited, graduate-level Health Physics course under significant time constraints. The strategy utilized Large Language Models to generate foundational course materials including the syllabus, lecture outlines, and in-class simulations, which were then rigorously curated by faculty. This human-AI collaborative approach enhanced efficiency, enabling instructors to focus more on high-impact, active learning experiences for students.

Takotsubo Cardiomyopathy In A 55-Year-Old Female With Atypical Chest Pain And A History Of Autoimmune Disease, Carrie Greene, Dana Mathew

Florida Journal of Emergency Medicine (FJEM)

A 55-year-old woman with rheumatoid arthritis and supraventricular tachycardia presented with acute chest pain radiating to the back/left shoulder, with nausea and lightheadedness. Initial ECG showed inferior–lateral ST-segment elevation with reciprocal depressions; within 90 minutes the STE resolved with new incomplete RBBB and diffuse low voltage. High-sensitivity troponin rose (delta ~270 ng/L). Point-of-care and formal echocardiography revealed LV wall-motion abnormalities. Emergent catheterization showed no obstructive CAD (<30% distal OM) with apical ballooning and EF 40–45%, consistent with Takotsubo cardiomyopathy; cardiac MRI confirmed myocardial edema. She was managed with anticoagulation initially, telemetry, and supportive care, and recovered uneventfully with normalization of function on follow-up.

ED Takeaways

• TTC can mimic STEMI with transient STE and conduction changes.

• Troponin rise + non-obstructive coronaries should prompt consideration of TTC.

• Consider TTC in post-menopausal women and those with autoimmune disease; use …

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Meningococcemia In Boy With Dense Deposit Disease Receiving C5 Complement Inhibitor Ravulizumab, Andrew Gonedes, Alexandra Martinez, Allan M. Greissman, Hanan Atia, Eric Boccio

Florida Journal of Emergency Medicine (FJEM)

No abstract provided.

Complete Atrioventricular Block In A Heart Transplant Recipient, Jalyn Joseph, Morgan Reel, Eric Boccio

Florida Journal of Emergency Medicine (FJEM)

Complete atrioventricular (AV) block, though uncommon in heart transplant recipients, is a potentially life-threatening condition that demands rapid diagnosis and management in the acute care setting. During complete AV block, there is a failure of electrical conduction from the atria to the ventricles resulting in the independent and dyssynchronous contraction of the heart chambers. Due to the resultant decrease in cardiac output, patients may experience lightheadedness, fatigue, shortness of breath, syncope and near syncope, and, in severe cases, cardiogenic shock may develop. A 58-year-old female with past medical history including hypertension, diabetes, chronic kidney disease, and congestive heart failure and …

Distinguishing Acute Cardiac Events From Chronic Troponin Elevation: Integrating High-Sensitivity Troponin Trends With Objective Ischemic Evidence Under The 4th Udmi Across Diverse Renal Function Profiles, Aidan Fernandez, Amanda Green, Silvija Milanovic, Eric Han, Asia Elbooz, Michael Petrauskis, Justin Nippert, Michael Marchick, Nicholas Maldonado, Mohammed Ruzieh, Elizabeth Warren, Matthew Shaw, Lars Beattie, Brandon Allen

Florida Journal of Emergency Medicine (FJEM)

The Fourth (4th) Universal Definition of Myocardial Infarction (UDMI) provides a standardized framework to enhance diagnostic accuracy and clinical decision-making. However, challenges can arise due to the use of subjective clinical assessment in diagnostic criteria or in the presence of impaired renal clearance. This study modifies the 4th UDMI by requiring objective ischemic evidence to improve consistency in myocardial infarction (MI) classification and applies it across diverse patient populations.

In this retrospective study, patients who presented to the emergency department (ED) with 99th percentile high sensitivity cardiac troponin (hs-cTn) values were classified using the modified 4th UDMI into the categories …

Unexpected Companions: Appendicitis And Bilateral Testicular Torsion, Jc Alvarenga, Melissa Kirk, Michelle Osorio-Rodriguez

Florida Journal of Emergency Medicine (FJEM)

Abdominal pain is a frequent chief complaint in the emergency department (ED), responsible for 5% of all visits yearly. Despite emergency room work ups, 25% of these cases go undiagnosed. In the pediatric population, abdominal pain can be even harder to differentiate with causes ranging from low acuity constipation to emergent surgical emergencies like torsion or appendicitis. During these visits, the likelihood of two emergent surgical diagnoses occurring concurrently is a rare and often overlooked occurrence.

This case describes a 15-year-old male with a chief complaint of nausea and vomiting starting several hours prior to arrival. In the ED, history, …

Acquired Methemoglobinemia Secondary To Oral Ingestion Of Alkyl Nitrite, Larissa L. Tavares, David Neff, Christopher Didonato, Atul Sofat, Eric Boccio

Florida Journal of Emergency Medicine (FJEM)

Methemoglobinemia is a potentially life-threatening condition in which the ferric state of hemoglobin impairs oxygen transport, leading to refractory hypoxia. While most cases are acquired through exposure to oxidizing agents, this report details a rare case of acquired methemoglobinemia complicated by severe hypotension and pulmonary edema secondary to the oral ingestion of alkyl nitrite, colloquially known as a “popper.”

A 54-year-old male presented to the emergency department after orally ingesting an alkyl nitrite product, believing it would be more effective than inhalation. Shortly after, he developed dizziness, dyspnea, and dusky skin, and was found to be hypotensive and hypoxic. Initial …

Disaster Exercise: Evaluating Mci Triage Training, Michael J. Steflovich Jr, Jodie Stobierski, Alexis Davis, Natasha Pavlinetz, Nela Isic, Nicole Roberson, Earl Best Md

Florida Journal of Emergency Medicine (FJEM)

Abstract

Study Objectives

The primary objective of this study was to evaluate the effectiveness of a didactic lecture-based training on mass casualty incident (MCI) triage performance among first- and second-year medical students. Specifically, the study aimed to measure improvements in overall triage accuracy, as well as reductions in over-triage and under-triage rates for both adult and pediatric patients.

Methods

This study employed a pre-test/post-test design involving 31 participants. Participants completed an electronic pre-test consisting of 30 patient scenarios (20 adult and 10 pediatric) before attending a 40-minute didactic lecture on MCI triage principles. The lecture covered the identification of MCI …

Point Of Care Ultrasound For Rapid Identification Of Central Retinal Artery Occlusion And Subsequent Vision Rescue Utilizing Intravenous Alteplase, Joseph Pepe, Karl Kasischke, Calen Hart

Florida Journal of Emergency Medicine (FJEM)

Central retinal artery occlusion (CRAO) is a rare but critical diagnosis to make in patients with acute vision loss. Cases of central retinal artery occlusion historically have a poor prognosis due to delayed presentation, lack of early identification, and limited effective treatment options. Due to these challenges, patients are often left with permanent loss of vision.

We present a case of a male patient in his late 70s with sudden onset of loss of vision to the right eye. Identification of CRAO was made utilizing point of care ultrasound (POCUS). After discussion with neurology, the patient was treated with alteplase …

Hemiballismus Secondary To Acute Cerebrovascular Accident, Benjamin Duppstadt, Andres Vega, Jonathan Hill, David Arbona

Florida Journal of Emergency Medicine (FJEM)

Hemiballismus is a rare hyperkinetic movement disorder characterized by involuntary, large amplitude flinging movements. We present the case of a 61-year-old male with multiple comorbidities who arrived at the emergency department with acute-onset hemiballismus of the left upper extremity, ultimately found to be secondary to a right middle cerebral artery (MCA) infarct. This case underscores the importance of considering stroke in the differential for new-onset movement disorders, even in patients with seemingly psychiatric features and a nondiagnostic initial computed tomography (CT) scan.