Digital Commons Network^™

Associations Between Cardiovascular Disease And Utilization Of Dental Preventive And Periodontic Services, Amirhossein Fakhre Yaseri

Theses and Dissertations

Cardiovascular disease (CVD), including coronary artery disease, heart failure, myocardial infarction, and stroke, remains a leading cause of global mortality, with approximately 20.5 million deaths in 2021. Despite advancements in medical science, CVD prevalence continues to rise, underscoring the need for preventive approaches and increased awareness. CVD is closely associated with oral diseases, and poor oral health is linked to worse cardiovascular outcomes. This study investigates the association between CVD and the utilization of dental preventive and periodontal services using data from the Dental Experience and Research Exchange (DERE) database, which aggregates clinical data from dental practices across the U.S. …

A Multifaceted Perspective Of Scaling Entrepreneurial Innovation And Impact In Developing Country Contexts, Chanyong Yoo

Theses and Dissertations

This paper redefines the understanding of venture scaling in emerging and developing countries through a longitudinal case study of over a decade of transformative growth by Gojek, a local venture in Indonesia. Contrary to the replication logic common among global players—which prioritizes rapid and broader market opportunity expansion using a single, proven business model—Gojek adopted a more incremental and depth-oriented approach. By identifying untapped local demands and developing new market opportunities through stacking different business models, Gojek generated both demand- and supply-side complementarities within its business model portfolio that led to subsequent scaling. The findings suggest that scaling in developing …

Exploiting Structures In Reinforcement Learning: Multi-Agent Homogeneity, Euclidean Symmetry, And Natural Languages, Dingyang Chen

Theses and Dissertations

Reinforcement learning (RL) has emerged as a powerful paradigm for decision-making in complex environments. However, many RL tasks exhibit inherent structural properties—such as homogeneity, symmetry, and linguistic patterns—that are often underutilized, leading to inefficiencies in learning and generalization. This dissertation systematically exploits these structures to improve the efficiency, scalability, and robustness of RL algorithms across multi-agent and sequential decision-making settings. First, we investigate homogeneity in multi-agent systems, where agents share similar roles and objectives. By leveraging this structure, we develop communication-efficient actor-critic methods for homogeneous Markov games, enabling scalable learning with reduced coordination overhead. Second, we introduce Euclidean symmetry in …

Comparing And Contrasting Diversity And Inclusion Concepts: An Identity-Blind And Identity-Conscious Application, William Ward

Theses and Dissertations

This dissertation systematically investigates the differences between diversity and inclusion concepts. Notably, this dissertation focuses on exploring the differences between diversity and inclusion climates and recruitment messages. This paper first explores the theoretical traditions that are often applied to diversity (social identity theory) and inclusion climate (optimal distinctiveness theory) and offers guidance on why individuals may react to diversity and inclusion climates differently from the basis of these theoretical foundations. Additionally, this dissertation expands existing theory by promoting a more novel approach of differentiating diversity and inclusion through exploring their relationships with identity-blind and identity-conscious human resource practices. The first …

Supercritical Water Oxidation For Removing Pfas Contaminants: A Numerical Study, Ashley Joy Poyner

Theses and Dissertations

Per – and polyfluoroalkyl substances (PFAS) are a group of stable pollutants known for their long lifetimes and resistance to treatment methods used traditionally to remove other contaminants. PFAS and their ability to accumulate in both aquatic and terrestrial environments present threats such as detrimental effects to people and ecosystems due to their ability to penetrate entire systems. Though many methods are being explored to treat PFAS contamination in different systems, Supercritical Water Oxidation (SCWO) is a promising method for both removing and decomposing PFAS, with the ability to completely oxidize these persistent contaminants. This study is a numerical investigation …

Designing A Genetics-Based Bibliotherapy Model For Children With Inborn Errors Of Metabolism, Kaitlyn Abagail Gmitro

Theses and Dissertations

Bibliotherapy is a psychotherapy technique utilized to teach individuals about concepts through the use of literature and the arts. The primary aim of this research was to examine how a bibliotherapy model could be applied to improve diet and treatment adherence for people affected with Inborn Errors of Metabolism. Prior to this research, no paper has proposed a tailored bibliotherapy approach for genetic conditions. Through analysis of the caregiver-child relationship and disclosure process and the perceived support needs of both caregivers and providers caring for children with IEMS, our goal was to propose a bibliotherapy model to improve adherence and …

Experimental And Numerical Analysis Of Fluidization Of Pelletized Activated Carbon Columns: Effects Of Glass Bead Retention Layer, Amin Nemati Tamar

Theses and Dissertations

In pressure swing adsorption (PSA) processes there is always a desire to process as much gas as possible in the smallest beds possible. This necessarily leads to velocities that, especially during pressure-changing steps, may exceed the adsorbent particle fluidization velocity within the bed. To prevent the possibility of bed expansion and fluidization bed retention systems are usually employed at the top of the bed in the form of dense beads, bags of the same or springs, otherwise the mechanical integrity of the adsorbent might become compromised. PSA process simulation, based on Archimedes’ force balance involving weight, buoyancy and the drag …

The Effects Of Acute Nutrient Intake On Raw Segmental Bioelectrical Impedance Values And Fluid Shifts In Premenopausal Women, Callie Unrein

Theses and Dissertations

Background: Raw bioimpedance measures—impedance (Z), resistance (R), reactance (Xc), and phase angle (PhA)—are emerging tools to assess hydration, cellular integrity, and muscle quality. While multifrequency bioimpedance analysis (MF-BIA) can detect acute physiological shifts, its sensitivity to nutrient intake, especially across hormonal phases in women, remains underexplored. Purpose: This study investigated how essential amino acids (EAA), carbohydrates (CHO), and water (CON) influence postprandial segmental bioimpedance and fluid distribution in healthy women, and whether these responses vary by menstrual hormone phase. Methods: Twenty-two recreationally active women (18–40 years) underwent serial MF-BIA (InBody 970) assessments during high- and low-hormone phases, randomized to one …

Estimating Proximity To Failure Using Repetitions In Reserve In Adults Treated For Cancer, Kylah Elizabeth Jackson

Theses and Dissertations

BACKGROUND: There is a consensus from governing bodies that more evidence is needed in understanding how to properly prescribe, monitor and progress resistance training (RT) in oncology populations. Repetitions in reserve (RIR) has been demonstrated as a quick/easy tool to monitor proximity to failure and interventions using RIR have shown promise in improving muscle strength and mass in older adults and apparently healthy populations. However, the validity of RIR in RT in oncology has yet to be examined. Therefore, the purpose of this study was to assess the accuracy of RIR predications in individuals treated for cancer in a pragmatic …

The Pharmaceutical Applications Of Poisonous Compounds Found In Datura Stramonium, Ruby M. Raffaldt

Senior Theses

Datura stramonium is a plant that is known for its toxicity. However, a facet of this plant’s noxious chemicals, namely its tropane alkaloids, can be used medicinally. The aim of this paper was to compile knowledge on the botanical, chemical, and medicinal properties of Datura stramonium L with a focus on atropine, scopolamine, and anisodamine; three tropane alkaloid compounds with the ability to be both a poison and a medicine. Information was compiled using pre-existing studies, articles, and literature reviews on D. stramonium. For each of the three alkaloids, their biosynthetic pathways, targets, administration, distribution, metabolism, and excretion were discussed. …

The Benefits Of Blood Flow Restriction Training Combined With Low-Load Resistance Training In Arthritis Treatment: A Scoping Review, Maya L. Butcher, Dr. Christine Pellegrini, Kailyn Horn

Senior Theses

Background: Arthritis is a condition affecting millions worldwide, with osteoarthritis (OA) and rheumatoid arthritis (RA) being the most common forms. Resistance training is a widely accepted intervention to strengthen muscles and support joint function, however, high-load resistance training may exacerbate joint pain. Blood Flow Restriction (BFR) training, which involves applying controlled vascular occlusion during low-intensity resistance exercises, has gained attention as a potential alternative to promote muscle growth and strength with minimal joint stress. Objective: This scoping review aims to explore the benefits of BFR techniques in conjunction with low-intensity resistance training for the treatment of arthritis. Methods …

Augmenting Deep Learning For Efficient Nextg Wireless Communication And Sensing Systems, Hem Kanta Regmi

Theses and Dissertations

Wireless networks have become an integral aspect of our daily lives. Over the years, earlier generations of wireless networks have enabled some innovative applications, such as wireless gaming, fast internet browsing, and home automation, which were previously unattainable. However, to support emerging technologies like autonomous driving, virtual reality, telemedicine, and intelligent manufacturing, which require high data throughput and low latency, there is a need for advanced wireless networks. Legacy networks like WiFi/LTE, which operate below 6 GHz, have limited bandwidth and are insufficient to fulfill the high data throughput demands of several applications. Millimeter-wave (mmWave) networks, operating between 30 GHz …

Newborn Screening For X-Linked Adrenoleukodystrophy: Experiences, Perspectives, And Future Directions For Genetic Counseling, Sophia Salvatore

Theses and Dissertations

There is a notable lack of research regarding genetic counseling practices for infants with screen-positive results for X-linked adrenoleukodystrophy (X-ALD) via newborn screening (NBS). The exploratory study aimed to understand the experiences of genetic counselors providing follow-up care for these infants, assess the complexities associated with NBS for X-ALD, identify potential gaps in genetic counseling practices, and describe the subsequent impact on patient care. A mixed-methods approach was utilized, incorporating an initial survey and optional semi-structured interviews with practicing genetic counselors who had seen a minimum of five cases of infants with screen-positive results for X-ALD in the last two …

The Role Of B Cells In Promoting Lipid Absorption By Promoting Lacteal Development, Kenny Johnson

Theses and Dissertations

The absorption of dietary lipids in the gut is necessary to maintain the metabolic tone of tissues. Inflammation in the gut can cause defects in lipid absorption, which can result in tissue wasting, otherwise known as cachexia. Cachexia is commonly observed in patients with inflammatory bowel disease and cancer patients. The underlying cause of cachexia is unknown, and there are currently no effective therapeutic options available to treat it. Lymphatic drainage in the small intestine (SI) is specialized to promote the transport of dietary lipids into circulation. Lacteals are blunt-ended lymphatic vessels localized to the central axes of villi in …

Addressing Gaps In Access: Examining Language Barrier Accommodations In Medicaid Member Handbooks, 2015-2019, Sanskruti Patel

Senior Theses

Objective: This study examines the linguistic accessibility of Medicaid Managed Care Organization (MCO) handbooks from 2015 to 2019 by analyzing the instructions provided to access interpreter and written translation services. Trends were compared over time, considering state and plan-level factors that impact equitable healthcare access for Limited English Proficiency (LEP) enrollees.

Methods: A systematic search using manual efforts and FOIA requests located all publicly available Medicaid handbooks from 2015-2019 (N=657) across 39 states with comprehensive MCO plans. These handbooks were coded by independent reviewers to assess the study outcome variables. Random mixed-effects logistic and linear regression models were conducted to …

The Roles Of Literature And Film In Shaping Culture: An Examination Of All Quiet On The Western Front And The German Lesson, Charles Hansen

Senior Theses

This paper examines the cultural impacts of All Quiet on the Western Front (Im Westen nichts Neues) and The German Lesson (Deutschstunde). More specifically, it examines the impacts of the works through the shaping of German identity and public memory following World War I and World War II, as well as any long-term impacts that have lasted into the present day. These two works of literature, as well as their respective film adaptations, can serve as vehicles for national reflection, education, and confrontation of the past. This paper will examine the key themes of All Quiet …

Multiscale Modeling Techniques For Electrodynamic Systems, Hunter Teel

Theses and Dissertations

In order to rapidly develop better electromagnetic and electrochemical systems, approaching these complicated topics from multiple perspectives is necessary. The use of mathematical models and numerical simulation offers the ability to evaluate and predict the performance of these systems based off the principles of electrodynamics in an ideal setting. Through the use of Computational Fluid Dynamics (CFD), representative geometries of scales can be created and evaluated to provide insight into the behavior of these systems. Simulation offers a modifiable environment that can approach the relevant physics from both the microscale and macroscale. Conclusions, results, boundary conditions, or other information from …

Robotics In Early Childhood Stem Education (Rec-Stemed): The Impact On Preservice Teachers’ Attitudes And Intentions Toward Computational Thinking, Lucus Vasconcelos Ph.D., Ismahan Arslan-Ari, Bridget Miller, Renato Gonzalez-Tapia

Faculty Publications

There is a large disconnect between the increasing need for computer science education in K-12 schools and the preservice teacher training provided. Consequently, preservice teachers may graduate feeling unprepared to infuse computer science concepts such as computational thinking (CT) into their teaching. To address this, we created Robotics in Early Childhood STEM Education (REC-STEMEd), a module that infuses computational thinking, robotics, and science content into an early childhood teacher education methods course. This study investigated changes in early childhood preservice teachers’ (n = 39) attitudes toward learning to teach CT and their intentions to teach CT. Findings revealed a statistically …

Quality Of Life In Caregivers Of Toddlers With Autism Features, Sarah Edmunds, Daina M. Tagavi, Collen M. Harker, Trent Deschamps, Wendy L. Stone

Faculty Publications

Understanding factors that contribute to the quality of life (QoL) of primary caregivers of young autistic children can help researchers and clinicians provide high-quality support to caregivers and families. This study examined whether family demographic factors, parenting stress, and caregivers’ perceptions of family-centered healthcare experiences uniquely predict caregivers’ QoL. Participants were caregivers of toddlers with: features of autism (n = 119), other developmental delays (n = 101), and no developmental concerns (n = 264). We hypothesized that higher levels of perceived family-centered care would moderate (ameliorate) the relation between parenting stress and QoL. Higher levels of perceived family-centered …

Illustrations Of Benevolent And Hostile Heterosexism In Lgbtq+ People’S Lives, Jes L. Matsick, Lindsay Palmer, Flora Oswald, Mary Kruk, Kenneth Ye

Faculty Publications

In this study, we aimed to define heterosexism—a form of sexual stigma that accounts for interpersonal attitudes and institutionalized ideology—in a multi-dimensional way, centering on LGBTQ+ people’s experiences. We draw from an ambivalent theory of prejudice and focus on heterosexism, or an ideology that stigmatizes nonheterosexual behaviors, identities, relationships, and communities. We aimed to learn how LGBTQ+ people would narrate their experiences of heterosexism within a benevolent and hostile framing. In a qualitative online study, LGBTQ+ participants (N = 77; 49% White) reviewed definitions of and recalled encounters with benevolent and hostile heterosexism, providing examples of how heterosexism manifests …

Racial And Ethnic Inequalities In Actual Vs Nearest Delivery Hospitals, Nansi S. Boghossian, Lucy T. Greenberg, Jeffrey S. Buzas, Joshua Radack, Molly Passarella, Jeannette Rogowski, George R. Saade, Ciaran S. Phibbs, Scott A. Lorch

Faculty Publications

IMPORTANCE Minoritized racial and ethnic groups, such as American Indian and Black individuals, often receive lower quality health care compared with White individuals. There is limited understanding of how these disparities extend to obstetric care, particularly when comparing the quality of care at the actual delivery hospital vs the nearest obstetric hospital based on the birthing individual’s residence. OBJECTIVE To examine inequality in care based on the actual delivery hospital and the closest delivery hospital to the birthing individual’s residential zip code centroid. DESIGN, SETTING, AND PARTICIPANTS This population-based retrospective cohort study used data from 5 states (2008 to 2020 …

Family Risk Classes Predict Longitudinal Parent And Child Outcomes: Understanding The Implications Of Poverty-Related Adversity, Daniel K. Cooper, Benjamin L. Bayly, Brianna Tennie, Francesca Lupini, Martha E. Wadsworth

Faculty Publications

Experiencing poverty and associated risk factors can be detrimental to families’ mental health and well-being. However, it is unclear whether experiencing specific types or patterns of adversity leads to distinct outcomes. Guided by the Family Stress Model, the objective of this study was to (a) identify unique family risk classes based on exposure to various combinations of poverty-related adversity and (b) examine whether the family risk classes differed in their levels of parental coping strategies, couple relationship quality, parenting practices, and child behavior problems. The sample included 301 mother–father–child triads (602 adults and 301 children) with a combined income ≤ …

New Method Of Impact Localization On Plate-Like Structures Using Deep Learning And Wavelet Transform, Asaad Migot, Ahmed Saaudi, Victor Giurgiutiu

Faculty Publications

This paper presents a new methodology for localizing impact events on plate-like structures using a proposed two-dimensional convolutional neural network (CNN) and received impact signals. A network of four piezoelectric wafer active sensors (PWAS) was installed on the tested plate to acquire impact signals. These signals consisted of reflection waves that provided valuable information about impact events. In this methodology, each of the received signals was divided into several equal segments. Then, a wavelet transform (WT)-based time-frequency analysis was used for processing each segment signal. The generated WT diagrams of these segments’ signals were cropped and resized using MATLAB code …

Special Delivery Of Proteinaceous Matter To Deep-Sea Microbes, Yuan Shen, Ronald Benner, Taylor A.B. Broek, Brett D. Walker, Matthew D. Mccarthy

Faculty Publications

Earth’s deep ocean holds a vast reservoir of dissolved organic carbon, traditionally considered old and resistant to microbial degradation. Radiocarbon analyses indicate the hidden occurrence of younger dissolved organic carbon components, assumed to be accessible to deep-sea microorganisms but not yet demonstrated. Using compound-class radiocarbon analysis, molecular characterization, and bioassay experiments, we provide direct evidence for rapid microbial utilization of young, labile, high–molecular weight proteinaceous material in bathypelagic waters. The abundance of labile proteinaceous material diminishes from epipelagic to mesopelagic waters but notably increases in bathypelagic waters, where it exhibits a short turnover time (days) and resembles surface plankton in …

Neurosymbolic Knowledge-Grounded Planning And Reasoning In Ai Systems, Amit Sheth, Vedant Khandelwal, Kaushik Roy, Vishal Pallagani, Megha Chakraborty

Faculty Publications

To build AI systems capable of decision-support assistance, such as AI-assisted healthcare, it is essential to develop user-centric decision-making processes that are robust, interpretable, and capable of effectively processing and acting on natural language interactions. Instruction-based prompting of large language models has demonstrated considerable success in supporting humans with information assistance tasks, including creative writing and content generation. However, recent studies reveal that language models exhibit limitations in performing complex reasoning and planning tasks, such as constructing compositional or hierarchical plans involving multiple reasoning steps. To address these challenges, we propose a neurosymbolic framework that integrates large language models with …

Alcohol Use Disorder Medication Coverage And Utilization Management In Medicaid Managed Care Plans, Maureen T. Stewart, Sage R. Feltus, Christina Andrews Ph.D., Andrea Acevedo, Cindy Parks Thomas, Jeffrey Bratberg, Constance M. Horgan, Dominic Hodgkin, Rachel Sayko Adams

Faculty Publications

IMPORTANCE Evidence-based, patient-centered treatment for alcohol use disorder (AUD) can include pharmacotherapy with naltrexone, acamprosate, or disulfiram; however, these medications are rarely used. Medicaid managed care plans (MCPs) manage health services for nearly 80% of Medicaid enrollees and are the largest payer for addiction treatment services. Little is known about Medicaid MCP policies for AUD medications.

OBJECTIVES To describe Medicaid MCPs’ coverage and management of acamprosate, naltrexone, and disulfiram for AUD and examine associations of plan characteristics and state policies with medication coverage.

DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional study, a content analysis was performed of 2021 insurance benefit …

Real-Time Defect Detection And Classification In Robotic Assembly Lines: A Machine Learning Framework, Fadi El Kalach, Mojtaba Farahani, Thorsten Wuest, Ramy Harik

Faculty Publications

Manufacturing systems have witnessed a significant transformation with the introduction of Industry 4.0, introducing new capabilities with the emergence of new technologies. One such instance is the proliferation of sensors enabling the generation and acquisition of vast amounts of data, leading to advancements in Artificial Intelligence (AI) for manufacturing. One field profiting from this is that of Time Series Analytics (TSC) which includes forecasting and classification. TSC can be crucial for fault detection and diagnosis in manufacturing systems. However, there are still challenges in utilizing manufacturing datasets to train and deploy classification algorithms for real time classification. As such this …

Msbzip55 Regulates Salinity Tolerance By Modulating Melatonin Biosynthesis In Alfalfa, Tingting Wang, Jiaqi Yang, Jiamin Cao, Qi Zhang, Huayue Liu, Peng Li, Yizhi Huang, Wenwu Qian, Xiaojing Bi, Hui Wang, Yunwei Zhang

Faculty Publications

No abstract provided.

Synthesis Of A Series Of Rare-Earth-Based Multi-Anion Chalcogenide Iodides Re3Si2SeXS8-XI (Re = La, Ce, Pr, And Nd) Using The Flux-Assisted Boron-Chalcogen Mixture Method, Gopabandhu Panigrahi, Habiba Binte Kashem, Gregory Morrison, Hans Conrad Zur Loye

Faculty Publications

Single crystals and polycrystalline powders of rare earth mixed chalcogenide iodides La3Si2Se1.21S6.79I, Ce3Si2Se1.39S6.61I, Pr3Si2Se1.22S6.78I, and Nd3Si2Se1.18S6.82I were prepared using the reactive flux-assisted boron-chalcogen mixture (BCM) method at 850 °C. All compounds crystallized in the monoclinic crystal system, space group C2/c (space group number 15). The series adopts the La3Si2O8Cl structure type, containing isolated SiQ4 tetrahedra connected by REQ8 (RE = La, Ce, Pr and Nd) polyhedra; this arrangement creates tunnels that are filled by I atoms. The partial substitution of S by Se was carried out to modulate the optical properties. Phase pure samples and uniform solid solutions were obtained …

Toward A Unified Conceptualization Of Social Capital, Paulina Erices-Ocampo, Miranda J. Lubbers, Jimi Adams

Faculty Publications

Social capital is among the most broadly used concepts in social science. Despite its shared understanding as beneficial resources available from the connections between people, authors vary widely in their conceptualizations of social capital. To extract clarity from these disparate perspectives, we offer a systematic framework for conceptualizing social capital, which identifies three primary theoretical dimensions of scholars’ conceptualizations of social capital: (a) where beneficial resources reside, ranging from within individuals to the relationships between individuals; (b) beneficial network structure, differentiating closure from brokerage arrangements; and (c) the level to which rewards accrue, distinguishing individual from collective benefits. We illustrate …