Digital Commons Network^™

Increasing Health Literacy Within The Unhoused Population, Alyse Mk Abraham, Zoe J. Foucaultt, Sean P. Sieber, Simran Gill, Andrew Kang, Fatou Goudiaby

Nursing Leadership in Community Engagement Projects

Nursing Leadership Executive Summary

The unhoused population in Washington State increased by 12% from January 2022 to January 2023, underscoring a growing regional crisis (Washington State Department of Commerce, 2024). To serve this population, we partnered with an agency in Western Washington. In collaboration with the agency’s health services administrative director, we developed a multilingual handout on healthcare and insurance options to improve health literacy.

Our project involved a windshield survey, demographic analysis, evidence-based research, and collaboration with translators to ensure accessibility. This paper outlines the project’s development, research process, creation of the handout, and its intended impact.

Background

A …

Take Charge Of Your Health: Start With Your Smile, Jordan L. Lacey, Brizette O. Owusu, Sophia Gardner, Madeline Whitehead, Haeun Park, May Ligno

Nursing Leadership in Community Engagement Projects

Take Charge of Your Health: Start with Your Smile

Oral health is a fundamental component of overall health, yet it is often neglected-particularly among vulnerable populations like houseless individuals (Freitas et al., 2019). Houseless individuals face numerous barriers to accessing healthcare, with dental services being limited. This lack of access contributes to a higher prevalence of oral diseases, which if left untreated, can lead to severe complications. Poor oral health doesn’t just affect the mouth; it negatively impacts one’s overall systemic health, psychosocial well-being, and quality of life (Csikar et al., 2019).

As nursing students engaged in a Community Health …

Predicting Students At Risk Of Dropping Out In The College Of Medicine At Mohammed Bin Rashid University Of Medicine And Health Sciences. A Machine Learning Approach To Understand Attrition Factors Over The Past Seven Years, Moza Sulaiman Al-Zaabi

Theses

This master’s thesis investigates student attrition within the College of Medicine at Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU) by applying the CRISP-DM methodology to analyse a dataset of 19 variables and around 2,000 records from Student Admission and Academic Performance sources. Although the dataset was relatively small, several machine learning models were developed to predict students at risk of dropping out, including Logistic Regression, Decision Trees, Support Vector Machines (SVM), and Artificial Neural Networks (ANN). Of these models, the ANN model, particularly when combined with Principal Component Analysis (PCA), achieved the highest performance with an accuracy …

A Qualitative Analysis Applying Uses And Gratifications Theory To Explore The Types Of Spaces Within Facebook Post Comments Regarding Mental Illness And Suicide, Melissa Rice

Doctoral Dissertations and Projects

The current study investigated spaces created within Facebook comments on posts related to mental illness and suicide. The uses and gratification theory and Maslow’s hierarchy of needs served as the framework for this qualitative study utilizing content analysis to analyze 14,186 comments from 175 Facebook posts. This study highlights how user comments on specific posts create engagement spaces that turn positive or negative based on Facebook users' need for fulfillment. The findings also suggest that users engage with posts to meet various needs, such as seeking validation and attention, fulfilling a desire to feel valued, connecting with others through shared …

The Impact Of Adverse Childhood Experiences On The Eating Behaviors Of Black American Women, Teshia Stovall Dula

Doctoral Dissertations and Projects

This dissertation explores the impact of behaviorism on understanding adverse childhood experiences (ACEs) and their effects on eating behaviors, particularly emotional overeating, and satiety responsiveness, in Black women. It highlights the importance of addressing ACEs to promote holistic well-being, especially given racial health disparities. The study investigates various factors shaping the behavior of Black women, including individual traits, environments, and behavioral patterns, focusing on an under-researched area. It calls for standardized definitions in this context and advocates for more extensive and diverse sample sizes for future research. Ultimately, the research aims to empower Black women by translating insights into effective …

Societal Obstacles In Higher Education That Hinder Adulthood Development In Northern Myanmar: A Phenomenological Study, Sau Nam

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of college graduates who faced societal obstacles in higher education in Kachin State, Myanmar. The theory guiding this study was the theory of emerging adulthood in higher education, as it looks at how the psychological environment in which they live influences their psychological characteristics development process. The theory helped to explore the central research question: What are the lived experiences of college graduates who faced societal obstacles in higher education in Kachin State, Myanmar? The study collected data through individual interviews, focus groups, and journal prompts, and the …

Successful Strategies Used By Health Care Business Managers To Reduce Data Breaches, Amber Branson Rubis

Walden Dissertations and Doctoral Studies

Ineffective strategies to reduce data breaches in healthcare organizations can harm patient safety, erode trust, and jeopardize financial stability. Healthcare managers Healthcare managers must implement effective strategies to protect their organization's reputation and ensure long-term business stability. Grounded in protection motivation theory (PMT), the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare business managers used to reduce data breaches and sustain profitability. The participants were six healthcare business managers who had successfully implemented strategies to reduce data breaches and sustain profitability. Data were collected using semistructured interviews and public records. Using thematic analysis, four themes were identified: …

Unraveling The Link Between Language Barriers And Cancer Risk, Eman A. Toraih, Mohammad H. Hussein, Manal S. Malik, Alaa N. Malik, Emad Kandil, Manal S. Fawzy

School of Medicine Faculty Publications

Purpose: Clear patient communication with the physician is an integral aspect of cancer treatment and successful health outcomes. Previous research has shown improved cancer screening in cases of patient navigator assistance to limited English proficient patients, but no research has analyzed the relationship between language isolation and cancer incidence rates in the United States. Methods: Using state-level data from the United States Census Bureau and the National Cancer Institute, we analyzed the correlations between language isolation and age-adjusted incidence rates across 19 different invasive cancers. Results: A complex relationship between language isolation and cancer incidence rates was found. States such …

Lindenwood Digest, December 11, 2024, Lindenwood University

Lindenwood Digest

The Lindenwood Digest has been a digital employee newsletter since 2009.

A Study On Private Piano Curriculum Using Edwin Gordon’S Music Learning Theory, Cody Chandler

Masters Theses

This quantitative descriptive research study addresses the deficiencies in modern piano educational literature pertaining to aural development at the earliest stages of piano education. Contemporary piano methodologies often prioritize music notation over aural skill development during the initial stages of instruction. This study addresses this imbalance, offering insights into curriculum selection based on its influence on competition performance scores, music theory exam results, and student retention. The participants in this study are 329 piano students who began lessons between kindergarten and twelfth grade selected from five qualified piano teachers from 2010-2024. Data was collected by recording competition and festival scores, …

Expanding The Toolbox Of Sustainable Business Law: The Transnational Impacts Of The Eu Corporate Sustainability Due Diligence Directive (Csddd), Anne-Marie Weber

Pace Environmental Law Review

The contemporary global economy relies extensively on interconnected value chains that often span different continents, presenting challenges when operations result in human rights violations or environmental damage. This has prompted the emergence of non-binding due diligence guidelines and binding laws in several countries, reflecting the necessity of fostering accountability in transnational business activities. The European Union’s adoption of the Corporate Sustainability Due Diligence Directive (CSDDD) on May 24th, 2024, represents a novel significant milestone in this trajectory. As a new instrument of binding transnational business law, the CSDDD aims to promote sustainable business practices, with implications extending beyond EU borders. …

An Orphan Kinesin In Trypanosoma Brucei Regulates Hook Complex Assembly And Golgi Biogenesis, Qing Zhou, Yasuhiro Kurasawa, Huiqing Hu, Thiago Souza Onofre, Ziyin Li

Faculty, Staff and Student Publications

Kinesins are microtubule-based motor proteins that play diverse cellular functions by regulating microtubule dynamics and intracellular transport in eukaryotes. The early branching kinetoplastid protozoan Trypanosoma brucei has an expanded repertoire of kinetoplastid-specific kinesins and orphan kinesins, many of which have unknown functions. We report here the identification of an orphan kinesin named KIN-G that plays an essential role in maintaining hook complex integrity and promoting Golgi biogenesis in T. brucei. KIN-G localizes to the distal portion of the centrin arm of the flagellum-associated hook complex through association with the centrin arm protein TbCentrin4. Knockdown of KIN-G in T. brucei …

Cellular Air Quality Sensors With Lora Backchannel A Robust Sensor Suited For Remote Deployment In Harsh Environments, Joseph R. Miera

Theses and Dissertations

Air quality significantly impacts health and overall quality of life, making its measurement essential. However, most affordable air quality devices are designed only for use within WiFi range and cannot handle extreme temperatures, limiting their usefulness for people in remote or extreme environments, such as regions with harsh winter climates. This limitation is concerning, as winter often brings worse air quality due to temperature inversions that trap pollutants and increase fuel burning for heating. Inversion is a problem as close to home as Utah Valley, and as far away as Ulaanbaatar, Mongolia. Most low-cost air quality sensors are not built …

Mexican Health And Aging Study Biomarker And Genetic Data Profile, Rafael Samper-Ternent, Jesús Daniel Zazueta-Borboa, Alejandra Michaels-Obregon, Dolly Reyes-Dumeyer, Sandra Barral, Giuseppe Tosto, Rebeca Wong

Faculty, Staff and Student Publications

The Mexican Health and Aging Study (MHAS) is one of the largest ongoing longitudinal studies of aging in Latin America, with six waves over 20 years. MHAS includes sociodemographic, economic, and health data from a nationally representative sample of adults 50 years and older in urban and rural Mexico. MHAS is designed to study the impact of diseases on adults' health, function, and mortality. As Mexico is experiencing rapid population aging, providing adequate information to study this phenomenon is vital for designing and implementing public policies. The availability of biomarker and genetic data and longitudinal survey data elevates opportunities for …

Etherealbreathing: A Holographic Biofeedback Game To Support Relaxation In Autistic Children, Arturo Morales Téllez, Isabel López Hurtado, Franceli L. Cibrian, Monica Tentori

Engineering Faculty Articles and Research

Biofeedback training for box breathing is becoming increasingly accessible due to advancements in consumer-grade breathing sensors. However, there is limited research on their design and applications for specialized populations. This study evaluates a novel biofeedback holographic game, EtherealBreathing, designed to support autistic children. In EtherealBreathing, children practice box breathing to collect virtual elements to maintain the Earth's balance, using a wearable sensor to measure chest expansion for breath detection. A deployment study with 20 autistic children revealed that EtherealBreathing effectively promotes box breathing, leading to better health-related outcomes, such as lowering participants’ heart and respiratory rates than traditional practices. Biofeedback …

Barriers To Prompting And Shaping Techniques In Behavior Intervention For People With Autism, Olumuyiwa O. Fagbohun

Walden Dissertations and Doctoral Studies

This study investigated the barriers to effective prompting and shaping techniques in behavioral interventions for individuals with autism spectrum disorder (ASD). Using a generic qualitative design grounded in Skinner’s behaviorism theory as a theoretical framework, the study was focused on the experiences of 10 behavioral intervention specialists with at least 5 years of experience implementing these techniques. Data from one-on-one interviews with 10 participants were analyzed using thematic analysis to reveal three key issues: insufficient integration of contingent reinforcement, neglect of environmental settings, and underutilization of comprehensive behavioral strategies. These findings highlight the need for treatment programs to adopt a …

Oncology Nurses' Palliative Care Instructional Assessment, Micah Brown Mcarthur

Walden Dissertations and Doctoral Studies

Palliative care is comfort care measure that compliments care of the chronically ill patient involving the mind, body, and soul and is recognized as part of the solid tumor oncology patient treatment plan. Solid tumor nurses often lack knowledge of palliative care regarding awareness in pain management, disease symptom management, and crucial conversations regarding goals of care which may result in costly, and poor quality healthcare. The purpose of this quantitative, one group pretest/posttest study, guided by the humanistic nursing theory, was to determine (a) what effect a palliative care online module has on the understanding of palliative care options …

Effective Strategies Used By Trinidad And Tobago Financial Institution Leaders To Attract And Retain Small Businesses As Customers, Billy Brian Seaman

Walden Dissertations and Doctoral Studies

Ineffective strategies to attract and retain small to medium enterprises (SMEs) can significantly affect business revenue. Financial institution leaders in Trinidad and Tobago (T&T) who fail to effectively engage and retain SMEs are at risk facing instability and long-term challenges. Grounded in relationship marketing theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by T&T financial institution leaders to attract and retain SMEs. The participants were four financial institution leaders in T&T who effectively implemented strategies to attract and retain SMEs. Data were collected using semistructured interviews and publicly available documents. …

Urban African American Women’S Perceptions Of Health Care Inequalities Experienced During Or After Pregnancy, Janel Scott

Walden Dissertations and Doctoral Studies

African American women are more likely than Hispanic and non-Hispanic White women to die during or after childbirth from complications. Incidences of African American maternal death are especially prevalent in the urban living population. The purpose of this qualitative study was to explore the healthcare inequalities that urban-living African American women have experienced during or after pregnancy. Link and Phelan’s fundamental cause theory, which states that there may be a relationship between socioeconomic status and mortality, served as the theoretical foundation for the investigation. A generic qualitative research design was used. Ten participants were interviewed and surveyed to gain insight …

Oncology Nurses' Palliative Care Instructional Assessment, Micah Brown Mcarthur

Walden Dissertations and Doctoral Studies

Palliative care is comfort care measure that compliments care of the chronically ill patient involving the mind, body, and soul and is recognized as part of the solid tumor oncology patient treatment plan. Solid tumor nurses often lack knowledge of palliative care regarding awareness in pain management, disease symptom management, and crucial conversations regarding goals of care which may result in costly, and poor quality healthcare. The purpose of this quantitative, one group pretest/posttest study, guided by the humanistic nursing theory, was to determine (a) what effect a palliative care online module has on the understanding of palliative care options …

Successful Strategies Used By Health Care Business Managers To Reduce Data Breaches, Amber Branson Rubis

Walden Dissertations and Doctoral Studies

Ineffective strategies to reduce data breaches in healthcare organizations can harm patient safety, erode trust, and jeopardize financial stability. Healthcare managers Healthcare managers must implement effective strategies to protect their organization's reputation and ensure long-term business stability. Grounded in protection motivation theory (PMT), the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare business managers used to reduce data breaches and sustain profitability. The participants were six healthcare business managers who had successfully implemented strategies to reduce data breaches and sustain profitability. Data were collected using semistructured interviews and public records. Using thematic analysis, four themes were identified: …

Middle School Special Education Teachers’ Perceptions Of Behaviors Among Middle School Students With Disabilities, Laurey Carthy

Walden Dissertations and Doctoral Studies

Middle school students lack coping skills which cause misbehaviors and disruptions to their education. The misbehaviors are higher among middle school students with disabilities and middle school special education teachers are struggling to implement effective strategies to address the disruptive behaviors of their students` in a suburban Northeastern school district. Guided by Skinner’s theory of behaviorism, the purpose of this basic qualitative study was to explore the perceptions of middle school special education teachers about student behaviors/misbehaviors and to determine what teaching strategies middle school special education teachers need to incorporate into their classrooms. Data were collected through nine semi …

Urban African American Women’S Perceptions Of Health Care Inequalities Experienced During Or After Pregnancy, Janel Scott

Walden Dissertations and Doctoral Studies

African American women are more likely than Hispanic and non-Hispanic White women to die during or after childbirth from complications. Incidences of African American maternal death are especially prevalent in the urban living population. The purpose of this qualitative study was to explore the healthcare inequalities that urban-living African American women have experienced during or after pregnancy. Link and Phelan’s fundamental cause theory, which states that there may be a relationship between socioeconomic status and mortality, served as the theoretical foundation for the investigation. A generic qualitative research design was used. Ten participants were interviewed and surveyed to gain insight …

Middle School Special Education Teachers’ Perceptions Of Behaviors Among Middle School Students With Disabilities, Laurey Carthy

Walden Dissertations and Doctoral Studies

Middle school students lack coping skills which cause misbehaviors and disruptions to their education. The misbehaviors are higher among middle school students with disabilities and middle school special education teachers are struggling to implement effective strategies to address the disruptive behaviors of their students` in a suburban Northeastern school district. Guided by Skinner’s theory of behaviorism, the purpose of this basic qualitative study was to explore the perceptions of middle school special education teachers about student behaviors/misbehaviors and to determine what teaching strategies middle school special education teachers need to incorporate into their classrooms. Data were collected through nine semi …

A Novel, Direct Matrix Solver For Supersonic Boundary Element Method Systems, Cory D. Goates, Doug Hunsaker

Mechanical and Aerospace Engineering Faculty Publications

For problems with very fine surface meshes, typically the most time-consuming step of a boundary element method (BEM, also called a panel method) is solving the final linear system of equations. Many have already studied how to efficiently solve the dense, asymmetric systems which arise in elliptic BEMs. However, this has not been studied for a supersonic aerodynamic BEM, for which the governing PDE is hyperbolic. Due to this hyperbolic character, the matrix equation which arises from a supersonic BEM has a large number of identically zero elements. But the resulting linear system of equations is also not sparse in …

Graphic Design And Automation, Ellen Fixsen

Masters Theses

This research examines the use of artificial intelligence (AI), machine learning, and DIY-centric template tools in the area of graphic design and how they affect businesses using them for branding and visuals, and how that impacts the graphic design industry. Although the use of AI in graphic design is a fairly new trend, the technology has been developing over the last several decades, if not longer. With AI definitely here to stay, it has become vital to explore how businesses and designers will move forward and utilize the tools it offers. Incorporating historical and statistical evidence, professional insights, case studies, …

Modalities And Meaning: Instructor Adaptation And Student Spiritual Formation Across Higher Education Learning Environments, Stephanie D. Sorensen

Theses and Dissertations

This dissertation explores the dynamic instructor and student experiences inherent in the evolving modalities of higher education. The first article synthesizes qualitative research about the challenges and successes faced by instructors transitioning to online learning environments, especially in their interactions with content and learners. Emphasizing the importance of support for instructors and institutions, it sets the stage for understanding the nuanced experience of online teaching. The second article presents an exploratory case study of a religious education professor teaching across four modalities. His experience emphasized adaptive strategies and underscored the pivotal role of instructor preparation. Findings revealed the instructor's proactive …

Nomenclature For Human And Animal Fungal Pathogens And Diseases: A Proposal For Standardized Terminology, Sybren De Hoog, Thomas J Walsh, Sarah A Ahmed, Ana Alastruey-Izquierdo, Maiken Cavling Arendrup, Andrew Borman, Sharon Chen, Anuradha Chowdhary, Robert C Colgrove, Oliver A Cornely, David W Denning, Philippe J Dufresne, Laura Filkins, Jean-Pierre Gangneux, Josepa Gené, Andreas H Groll, Jaques Guillot, Gerhard Haase, Catriona Halliday, David L Hawksworth, Roderick Hay, Martin Hoenigl, Vit Hubka, Tomasz Jagielski, Hazal Kandemir, Sarah E Kidd, Julianne V Kus, June Kwon-Chung, Shawn R Lockhart, Jacques F Meis, Leonel Mendoza, Wieland Meyer, M Hong Nguyen, Yinggai Song, Tania C Sorrell, J Benjamin Stielow, Rachel Vilela, Roxana G Vitale, Nancy L Wengenack, P Lewis White, Luis Ostrosky-Zeichner, Sean X Zhang

Faculty, Staff and Student Publications

Medically important pathogenic fungi invade vertebrate tissue and are considered primary when part of their nature life cycle is associated with an animal host and are usually able to infect immunocompetent hosts. Opportunistic fungal pathogens complete their life cycle in environmental habitats or occur as commensals within or on the vertebrate body, but under certain conditions can thrive upon infecting humans. The extent of host damage in opportunistic infections largely depends on the portal and modality of entry as well as on the host's immune and metabolic status. Diseases caused by primary pathogens and common opportunists, causing the top approximately …

Understanding The Effectiveness Of State Teaching Licensing For Deaf Instructors, Andrew Knox

Theses

This capstone research examines the systemic barriers that Deaf and Hard of Hearing (DHH) individuals face when pursuing state teaching licensure in the United States. Despite the growing need for Deaf educators, the current licensure process often marginalizes Deaf candidates by failing to provide adequate accommodations and relying heavily on standardized, English-based exams that disproportionately disadvantage non-hearing individuals. Using a mixed-methods approach that incorporates anonymous surveys of candidates’ experiences and a review of policy documents, this study uncovers key institutional biases and explores alternative pathways to licensure. These alternatives include performance-based assessments and innovative solutions such as video-based evaluations and …

Revisiting Men Of Maize: Historical Truths, Literary Distortions, And Asturias In Today’S Guatemala, Elaine Elliott

Maya America: Journal of Essays, Commentary, and Analysis

In 2024, a renewed appreciation for the Guatemalan Nobel Prize winner Miguel Ángel Asturias is taking place to mark the 50th anniversary of Asturias’ death. This essay examines the historical and literary context of the author’s groundbreaking novel Hombres de maíz (Men of Maize), and the book’s portrayal of indigenous Maya resistance against ladino landowners in Guatemala. Evidence indicates that Asturias obtained his views of ladino – Maya conflict from historic land conflicts in Ilom, Chajul. Asturias distorted the events, but his book inspired a generation of revolutionaries, some of whom organized and fought in the Ixil region and Ilom. …