Digital Commons Network^™

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 …

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 …

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 …

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 …

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 …

Understanding The Role Of Impounded Water Bodies In River Network Nutrient Exports In A Dynamic Landscape, Christopher Thomas Whitney

Doctoral Dissertations

Impounded water bodies are a significant component of aquatic networks and various forms have been studied extensively. However, knowledge gaps exist in the research on human-made dams and their reservoirs as well as beaver ponds as both uniquely affect water quality and nutrient exports in different ways. This study fills those knowledge gaps by investigating fluxes of all forms of dissolved nitrogen from small, human-made reservoirs at seasonal timescales. This study found that small reservoirs have a significant effect on nitrogen concentrations but this effect is seasonal and fluxes transported downstream are highly dependent on discharge. Removal of small dams …

Investigating Interpersonal And Community Drivers Of Taenia Solium Prevention To Reduce Acquired Seizure Disorders In Northern Peru: An Analysis Of Social Networks, Social Capital, And Community-Identified Barriers And Facilitators, Angela Gayle Spencer

Dissertations and Theses

Background: In Northern Peru and other low- and middle-income countries (LMICs) worldwide, the Taenia solium parasite causes an estimated 30% of acquired epilepsy -- an entirely preventable disease burden. Sanitation development and pork production regulation would reduce infection risk in endemic communities, but large-scale systemic improvements are not likely to occur in the near future. In the meantime, communities can reduce infection risk by adopting protective behaviors. Social networks can provide role modeling and support for health-promoting behaviors, and deliver social capital in the form of trusting relationships, norms of reciprocity, and information exchange in support of T. solium control. …

Projecting The Effects Of Climate Change And Urbanization On Longleaf Pine Stands In The Florida Flatwoods, Lilian Grace Hutchens

Theses and Dissertations

The southeastern United States once held millions of hectares of highly connected longleaf pine ecosystem. In a dramatic range reduction, longleaf pine now occupies less than 5% of its original extent, its remnant patches existing within a matrix of human-dominated land uses. Conservation planning for longleaf pine ecosystems is complicated given the ecosystem’s reliance on fire and the broad spatial and temporal scales at which longleaf pine management must operate. Planning timelines for longleaf pine management extend into the end of the 21st century, a period during which climate, fire regimes, and land cover are all expected to change, influencing …

Detection And Identification Of Covert Devices Using Infrared And Stacked Optics Detection, Michael A. Reyneke

Theses and Dissertations

This work investigates stacked optics detection methodologies to successfully detect and identify observational systems with a cyber-physical sensing tool, ODIN (Observational Device Identification Network). ODIN successfully detected the presence of stacked optics and LiDAR systems using night-vision devices with a 96.32% average accuracy rating, both overt and covertly placed, with objective lens diameters ranging from 17 mm to 50 mm at distances between 1 m to 5 m with and without commonly employed anti-reflective countermeasures. ODIN provides a foundation for counter- measure capabilities of NIR devices and stacked optical systems in stationary environments. Additionally, a pilot study on smartphone LiDAR …

Mela: Vessels Of Ephemeral Architecture, Neha Tummalapalli

Renée Crown University Honors Thesis Projects - All

No abstract provided.

Generational Leadership In The American Revolution And Early Republic, 1763-1800, Kevin Cassidy

All Master's Theses

This thesis examines the Loyal Twenty-Seven, a group of Massachusetts revolutionaries, and their importance in the American Revolution using a combination of qualitative and quantitative methods combined with traditional historical research, to attempt to show that there was a generational shift in leadership between the revolutionaries who led early British protests, and those who led the Revolutionary War and the Early Republic. This thesis is based off an original work, the United States Colonial Dataset, made up of 416 individuals divided into three groups, the Framers, Prominents, and Loyalists, and 215 unique attributes for these individuals, such as their occupation, …

Regional Variations In The Incidence Of Brain Glioma In Adults In Alabama, Mina Lobbous

All ETDs from UAB

Purpose: Gliomas are the most common primary brain tumor in adults in the US with an annual age-adjusted incidence rate of 4.67 to 5.73 per 100,000 persons. Exposure to ioniz-ing radiation is the only established risk factor for non-hereditary glioma risk. There are several sources of carcinogenic contaminants in northeast Alabama and western Georgia with the Coosa River serving as the region’s primary water source. In this study, we aimed to examine the incidence rate of glioma in northeast Alabama compared to the rest of the state as well as the association of possible environmental exposure on disease risk and …

Machine Learning & Big Data Analyses For Wildfire & Air Pollution Incorporating Gis & Google Earth Engine, Abdullah Al Saim

Graduate Theses and Dissertations

The climatic condition, the vegetation type, and the landscape of the United States have made it susceptible to wildfires. This research is divided into two parts based on the analysis of two different aspects of wildfires of two distinct regions. The first part of the study investigates the wildfire susceptibility in Arkansas. Arkansas is a natural state, and it is heavily dependent on its forest and agricultural resources. During the last 30 years, more than 1,000 wildfires occurred in Arkansas and caused more than 10,000 acres of burned areas. Therefore, identifying wildfire-susceptible areas is crucial for ensuring sustainable forest and …

Easily Overlooked: Modelling Coastal Dune Habitat Occupancy Of Threatened And Endangered Beach Mice (Peromyscus Polionotus Spp.) Using High-Resolution Aerial Imagery And Elevation Models Of The Northern Gulf Of Mexico, Wesley Burger

Theses and Dissertations

The Gulf of Mexico dune system is a broad and dynamic environment that varies greatly in geomorphology and vegetative composition across the Gulf coastline. Beach mice (Peromyscus polionotus spp.) are an endangered species that rely on coastal habitat structure. I hypothesized that beach mouse occupancy would be dependent upon coastal dune land cover and landform features. I identified coastal landforms using high-resolution elevation data and landform models in GRASS GIS and identified coastal dune vegetation classes using high-resolution aerial imagery and object oriented vegetation classification. These features were used to create a dynamic occupancy model to determine occupancy patterns in …

Human Dimensions Research For Informed Decisions About Aquatic Restoration In New Hampshire: Environmental Justice In Implementation Of Compensatory Mitigation, Simone Tania Chapman

Master's Theses and Capstones

New Hampshire’s aquatic resources provide many important ecosystem services and values, such as recreation, wildlife habitat, flood storage, nutrient reduction, community identity and aesthetic enjoyment. However, the many competing interests that seek to benefit from New Hampshire’s aquatic resources present challenges for efforts to steward public aquatic resources in the public interest. This thesis presents findings about the environmental justice outcomes of New Hampshire’s compensatory mitigation program, the Aquatic Resource Mitigation (ARM) fund, to inform aquatic restoration policy.

Previous studies have found evidence that aquatic restoration programs can lead to systemic resource relocation and patterns of inequality in outcomes. Using …

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong

Walden Dissertations and Doctoral Studies

The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …

Predicting Spawning Habitat For Coho Salmon (Oncorhynchus Kisutch), Chinook Salmon (Oncorhynchus Tshawytscha), And Steelhead (Oncorhynchus Mykiss) Using Geospatially Constructed Stream Morphology From High-Resolution Lidar-Derived Digital Elevation Model And Field Survey Data In The Indian Creek Watershed, Mendocino County, California, Justin Patrick Bissell Mr.

Cal Poly Humboldt theses and projects

Restoration of anadromous salmonid habitat is of primary importance to the economic, historical, and cultural geography of the Pacific Northwest. Derivation and use of geospatial habitat models as guides to pinpoint key areas where limited restoration funding can be cost-effectively employed is of great importance. To this purpose, 1 meter resolution lidar-derived Digital Elevation Model data was acquired for the Indian Creek and neighboring watersheds in Mendocino County, California, and used together with field-acquired geomorphic stream data to geospatially model stream widths, depths, and streambank morphology. These geospatial covariates were field-verified in selected locations and then used in conjunction with …

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong

Walden Dissertations and Doctoral Studies

The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …

Using Deep Learning To Forecast Spatiotemporal Crime Patterns, Shuzhan Fan

LSU Doctoral Dissertations

The distributional patterns of crime occurrences are closely related to their spatial, temporal, and environmental contexts. It has been a hot topic for researchers and crime analysts to discover such complex relationships in order to forecast crime, both spatially and temporally. Many factors play a role in the occurrences of crimes. Conventional crime forecasting research has primarily relied on historical crime records and socioeconomic data, while ignoring the rich social media and other environmental context data. The large volume of data requires a more appropriate forecasting framework with the ability to take in massive multimodal data and possibly achieve better …

Mapping With Modern Prosumer Small Unmanned Aircraft Systems: Addressing The Geospatial Accuracy Debate, Madison Palacios Dixon

Theses and Dissertations

Modern prosumer small unmanned aircraft systems (sUAS) have eliminated many historical barriers to aerial remote sensing and photogrammetric survey data generation. The relatively low cost and operational ease of these platforms has driven their adoption for numerous geospatial applications including professional surveying and mapping. However, significant debate exists among geospatial professionals and academics regarding prosumer sUAS ability to achieve “survey-grade” geospatial accuracy ≤ 0.164 ft. in their derivative survey data. To address this debate, a controlled accuracy test experiment was conducted in accordance with federal standards whereby prosumer sUAS geospatial accuracies were reported between 15.367 ft. – 0.09 ft. horizontally …

A Geospatial Study Of The Drought Impact On Surface Water Reservoirs: Study Cases From Texas And California, Zachary Asbury

Graduate Theses and Dissertations

Drought in Texas and California has been a long-term problem. Over the past 60 years reservoir construction has occurred to remedy the situation. Satellite imagery has been used historically to measure and monitor fluctuations in surface water reservoirs. This investigation integrates remote sensing and geographic information system (GIS) technologies to study the impact of drought on selected surface water reservoirs in San Angelo and Dallas in Texas, and Lake Oroville in California. Expansion and shrinkage over the 2005-2016 period reveal the concrete impact that drought, along with other factors, have on the selected lakes. Fluctuations in reservoir sizes during summer …

Smartphone-Based Self Rescue System For Disaster Rescue, Xitong Zhou

Theses, Dissertations and Capstones

Recent ubiquitous earthquakes have been leading to mass destruction of electrical power and cellular infrastructures, and deprive the innocent lives across the world. Due to the wide-area earthquake disaster, unavailable power and communication infrastructure, limited man-power and resources, traditional rescue operations and equipment are inefficient and time-consuming, leading to the golden hours missed. With the increasing proliferation of powerful wireless devices, like smartphones, they can be assumed to be abundantly available among the disaster victims and can act as valuable resources to coordinate disaster rescue operations. In this paper, we propose a smartphone-based self-rescue system, also referred to as RescueMe, …

Importance Of Concentrated Flow Paths In Agricultural Watersheds Of Southern Illinois, Prabisha Shrestha

Theses

Field scale research shows concentrated flow paths (CFPs) are prevalent in agricultural watersheds. They are an important source of soil erosion in cropland and significantly contribute to the transport and delivery of agricultural pollutants such as sediment and nutrients to nearby water resources. High resolution LiDAR data have enabled the investigation of the prevalence of concentrated flow at a large geographic extent. This study focused on identifying CFPs in 389 agricultural fields in Jackson County in southern Illinois and estimating the contribution of the CFPs to drainage of the fields. Addressing the lack of literature on factors influencing CFP characteristics, …

Geospatial Analysis Of The Global Supply Chain And Transportation Infrastructure Considering Extreme Weather, Climate, And Sustainable Energy Policies, Craig Freeman Davis

Electronic Theses and Dissertations

The basis of this research is an investigation into the demand, costs, and emissions of a container freight shipping route from South America to the Port of Charleston, South Carolina. Ports and shipping routes play the most crucial role in the global supply chain, allowing people to maintain their standard of living. Once ashore, the delivery routes to five major metropolitan market cities were optimized for the lowest shipping costs for road and freight rail. The costs of transportation are a major factor in the ultimate price of consumer goods and thus must be minimized in the transportation process. Increasing …

Geospatial Analysis Of Spatial Patterns Of U.S. Hospital Readmission Rates, Yamei Wang

Walden Dissertations and Doctoral Studies

Unplanned hospital readmission after a recent hospitalization is an indication of poor healthcare quality and a waste of healthcare resources. The Centers for Medicare and Medicaid Services (CMS) initiated the Hospital Readmission Reduction Program (HRRP) to improve healthcare quality and reduce costs; however, studies found the risk adjustment method used in calculating the standardized readmission rate was less accurate without hospital region or community factors. Accordingly, this cross-sectional quantitative study was designed to examine spatial patterns in hospital readmission rates following Andersen's behavioral model of health service utilization. This study was the first geospatial analysis on risk standardized hospital readmissions …

Optimizing Allocation Of U.S. Humanitarian Civic Assistance Projects In Support Of Developing Foreign Democracy, Christopher E. Wittman

Theses and Dissertations

Humanitarian projects in foreign countries are funded by the U.S. government to foster peace, prosperity, and the spread of democratic ideals around the globe. The type and scope of projects are restricted by current doctrine and funding regulations. Specifically in 2014, USAF personnel supported medical and educational construction projects/programs in the country of Belize. Within Belize, medical and educational projects were funded under the Humanitarian and Civic Assistance (HCA) program through the NEW HORIZONS exercise. Fiscal constraints, including shrinking budgets due to sequestration, have placed greater emphasis in the responsible distribution of resources and foreign assistance. The purpose of this …

Residential Proximity To Manufacturing Facilities And Risk Of Thyroid Cancer, Nathan Kloczko

Public Health Theses

In the past two decades, thyroid cancer incidence has increased at a rate faster than any other malignancy. Environmental contamination has been a suspected risk factor in this trend. One potential source of environmental exposures is pollution from industrial manufacturing facilities. We investigated whether proximity to industrial facilities was associated with an increased risk of thyroid cancer in an exploratory analysis within an existing population-based case-control study in Connecticut using a novel data resource.

Complete residential histories of 408 thyroid cancer cases and 470 controls were collected and geocoded. Manufacturing facility addresses were gathered from a novel source of publicly …

Geographies Of Displacement: The Evolution Of The Champ De Mars Settlement In Port-Au-Prince, Haiti, Austin Swift

Open Access Theses

On the 12th of January 2010, a massive earthquake struck the Caribbean nation of Haiti. One of the worst natural disasters to ever strike the Western Hemisphere, the capital of Port-au-Prince was severely damaged. In the aftermath of the earthquake, internally displaced people (IDPs) sought refuge by erecting hundreds of informal camps throughout the city. At the epicenter of this cataclysmic event was the burgeoning Champ de Mars tent city. Located in central Port-au-Prince, the Champ de Mars quickly transitioned from green space to slum. For two years, the eleven sites would emphasize patterns of insecurity and urban transition in …

Adaptive Controller Using Runtime Partial Hardware Reconfiguration For Unmanned Aerial Vehicles (Uavs), Nikhil Thomas

Graduate Theses and Dissertations

The goal of this thesis is to explore the feasibility of a multirotor controller system which can dynamically change the arm configuration of a multirotor. Currently most of the multirotor systems have to be powered down, rewired, and programmed with new firmware, to configure how many arms/motors they use to fly. The focus of our effort is to develop a Field Programmable Gate Array (FPGA) based hardware/software controller which uses dynamic partial hardware reconfiguration to switch the arm/motor configuration of a multirotor during operation. We believe that this will make a multirotor more fault tolerant and adaptive. This thesis explains …