Digital Commons Network^™

Drought, Worry, And Preparing For The Future: The Ethnopsychology Of Climate Distress In Kilifi County, Kenya, Edna Bosire, Syed Wahid, Linda Khakali, Benjamin Oestericher, Felix Agoi, Anthony Ngugi, Rosebella Iseme, Jasmit Shah, Zul Merali, Lukoye Atwoli

Brain and Mind Institute

The impacts of climate change in sub-Saharan Africa (SSA) presents a chronic and intensifying disaster, with drought, flooding, and extreme heat, presenting unique challenges and profound disruptions. Growing evidence links such events to ecological grief, ecological anxiety, and solastalgia – negative affective states that reflects responses to climate change related destruction of nature, species, culturally significant or sacred spaces, and other ways of life. While this literature is expanding in the Global North, little is known about how communities in SSA perceive and respond to deteriorating or depleting natural ecosystems. This article explores the ethnopsychology of distress precipitated by environmental …

Community Perspectives On Factors Contributing To Resilience For Healthy Aging In Kenya, Linda Khakali, Everline Onchari, Maureen Ondire, Catherine Onyancha, Chinedu Momoh, Edna Bosire

Brain and Mind Institute

Background: The global elderly population is increasing and expected to double in thenext decade. Aging increases the likelihood of adversities, with resilience becomingan important aspect of healthy aging. Understanding how individuals conceptualizeresilience offers an opportunity to create contextually relevant interventions forpromoting healthy aging. This study aimed to explore adults’ perspectives on factorsinfluencing resilience in Kenya.

Method: Using qualitative methods, 36 adults aged 35 years and above werepurposively recruited from various communities in Nairobi County to participate ininterviews. We asked questions about their understanding of aging, adversity andresiliency. We also provided them with case scenarios of two individuals respondingdifferently to the …

Perceptions And Attitudes On Biospecimen Sample Collection For Dementia Research In Kenya, Lucy Kamau, Chinedu Momoh, Karen Blackmon, Caroline Kiio, Jasmit Shah, Vaibhav Narayan, Irene Meier, Olivera Nesic Taylor,, Zul Merali, Edna Bosire

Brain and Mind Institute

Background: Biospecimen sample collection is crucial in dementia diagnosis and evaluation. Limited research exists from African Countries including Kenya on people's perception on biospecimen sample collection for dementia- a disease that is largely unknown. Our aim was to understand the public perceptions towards collection of biospecimen samples for dementia research in Kenya.

Method: We conducted 8 focused group discussions (FGDs; age and gender stratified) in Nairobi to understand people's perceptions about different biospecimens (urine, saliva, blood, tears, hair, cerebrospinal fluid (CSF) and the brain samples). An open-ended FGD guide was used for the discussions, each lasting about 90 minutes.

Result: …

A Quantitative Exploration Of Risk And Protective Factors Affecting The Mental Health Of Chitimacha Tribal Youth, Daphnie Vilcan-Tanner

LSU New Orleans Theses and Dissertations

This study examines the relationships between demographics, risk factors, and protective factors with mental distress among Chitimacha Tribal adolescents aged 12 to 18. Using a Positive Youth Development framework, the research aimed to identify the prevalence of mental distress, trauma, discrimination, and protective factors, as well as their collective and individual impacts on mental health. Data were collected through online surveys completed by 73 participants residing on or near the Chitimacha Tribal Reservation. Descriptive statistics and multiple linear regression analyses were conducted to analyze the data. Results revealed that while trauma and discrimination collectively predicted mental distress, family and community …

Three Funny Things: A Multicultural Validation, Jon Hook

Dissertations

This dissertation evaluated the efficacy of Three Funny Things, a humor-based positive psychology intervention (PPI) designed to enhance subjective well-being (SWB) and reduce depressive symptoms. Subjective well-being was operationalized through self-reported happiness, measured by the Authentic Happiness Inventory (AHI), and depressive symptomatology, measured by the Center for Epidemiologic Studies Depression Scale (CES-D). A repeated-measures design was employed across three time points: baseline (Time 1), post-intervention (Time 2), and one-month follow-up (Time 3). Participants (N = 126) represented a racially diverse community sample, including individuals identifying as White (61%), Black or African American (18%), Hispanic or Latino/a (11%), Asian (6%), and …

Reliability Analysis Of In-Person And Virtual Goniometric Measurements For Select Shoulder And Forearm Motions, Autumn Whitson, Tracy Cook, Lisa Middleton, Casey E. Humphrey, Aaron D. Sciascia

EKU Faculty and Staff Scholarship

Background Previous research on upper extremity range of motion has compared in-person to virtual measures for sagittal plane motions (flexion/extension) showing good-excellent reliability. Since upper extremity evaluation includes motion in all planes, it is important to assess whether transverse plane motion (rotation, supination, pronation) can be reliably measured during a virtual assessment. Purpose To evaluate the reliability (test/re-test inter-rater and intra-rater) of goniometric measurements of shoulder internal rotation and forearm pronation/supination obtained in-person and virtually. Study Design Observational cohort, Reliability study Methods Subjects 18-60 years of age with no upper extremity injuries were recruited for range of motion (ROM) testing …

A Systematic Review Of Corporate Ethics Program Training Strategies To Improve Ethical Workplace Cultures, Robin Raye Altice

Educational Leadership & Workforce Development Theses & Dissertations

The demand for corporations to practice more ethically responsible conduct and decision making is growing with every news report of another corporate scandal, lawsuit, fine, or high-visibility C-suite firing. To develop an ethical workplace culture, organizations should implement a comprehensive ethics program that fosters and encourages ethical decision making, especially among current and future leaders. However, there is little research and few guidelines for how ethics program administrators should design corporate ethics training to effectively practice and master the skill of ethical decision-making in efforts to continually grow a more ethical work environment. This study aims to identify corporate ethics …

Pharmacy Matters December 2025/January 2026, University Of Mississippi School Of Pharmacy

Pharmacy Matters Newsletters

Featured stories: School of Pharmacy Celebrates Employees of 25 Years, A Word of Gratitude and Year-End Highlights, Pharmacy Students Earn Top 10 Finish in ASHP Clinical Skills Competition, Pharmacy Students Earn Top Honors in 3MT Competition, Student Pharmacist Named to National Community Pharmacy Scholars Cohort, UM Pharmacy Celebrates First Year of Dietary Supplements and Medical Cannabis, Pharmacy Student Balances Rigorous Academics With Rebelettes Dance Team, Research Professor Recognized with Two Prestigious Awards, Oregano Oil Shows Promise as Natural Fire Ant Repellant, Researchers Develop Tool to Study Autism Risk Factors, Pharmacy Alumnus, Former Football Player Inducted Into MAIS Hall of Fame, …

Augmenting Large Language Models To Predict Social Determinants Of Mental Health In Opioid Use Disorder Using Patient Clinical Notes, Madhavi Pagare, Deva Sai Kumar Bheesetti, Inyene E. Essien-Aleksi, Mohammad Arif Ul Alam

Health Sciences Faculty Publications

Objective

Identifying social determinants of mental health (SDOMH) in patients with opioid use disorder (OUD) is crucial for estimating risk and enabling early intervention. Extracting such data from unstructured clinical notes is challenging due to annotation complexity and requires advanced natural language processing (NLP) techniques. We propose the Human-in-the-Loop Large Language Model Interaction for Annotation (HLLIA) framework, combined with a Multilevel Hierarchical Clinical-Longformer Embedding (MHCLE) algorithm, to annotate and predict SDOMH variables. Materials and Methods

We utilized 2636 annotated discharge summaries from the Medical Information Mart for Intensive Care (MIMIC-IV) dataset. High-quality annotations were ensured via a human-in-the-loop approach, refined …

Differences In Loading Rate In Shod And Unshod Treadmill Walking, David Austin Kropushek

Master's Theses

The purpose of this study was to compare the loading rates of shod and unshod conditions in treadmill walking. It was hypothesized that walking barefoot would demonstrate higher loading rates than walking with shoes. It was also hypothesized that walking barefoot on a treadmill would result in greater stride-to-stride variability than walking with shoes. Sixteen healthy adult females volunteered and provided their consent to participate in this study. Participants were given time to accommodate to the instrumented treadmill both while wearing shoes and without. Two 10-minute trials were collected with a rest period between. Data were analyzed using Vicon Nexus …

Topic Modeling And Culturomic Analysis Of 30,000 Books Over 100 Years Using Gensim, Michael A. Freeman

Electronic Theses and Dissertations

This thesis explores the cultural influence of historical events on English-language fiction published between 1820 and 1929. Using a corpus of 30,256 digitized books from Project Gutenberg, Latent Dirichlet Allocation (LDA) topic modeling was applied to identify recurring themes across eleven decades. The study sought to determine whether historically significant events could be detected within fictional narratives. One clear instance emerged: Napoleon Bonaparte and the Napoleonic Wars appeared explicitly in the 1820s corpus. Beyond this, several thematic patterns were observed—such as maritime language in the 1840s, national identity in the 1880s, and youth-oriented dialogue in the early 20th century—that plausibly …

Improving Early Detection Of Suicidal Ideation Through Routine Screening In Adults With General Anxiety Disorder, Brittanie N. Bush

Doctor of Nursing Practice

Suicide is a leading cause of death in the United States, with anxiety and depression recognized as independent risk factors for suicidal ideation (Centers for Disease Control and Prevention, 2024 September 26; Grant et al., 2023; Li et al., 2022; Moon et al., 2025; Wiebengo et al., 2021). Incorporating valid screening tools like the General Anxiety Disorder-7 and the Columbia-Suicide Severity Rating Scale can help identify suicidal ideation early, enabling quicker provider intervention (Johnson et al., 2019; O’Connor et al., 2022). The purpose of this project was to implement the Columbia-Suicide Severity Rating Scale as a standardized screening tool for …

Enhancing Adherence To Veterans Affairs/Department Of Defense And American Psychiatric Association Clinical Guidelines For Alcohol Use Disorder, Corinna M. Trevino

Doctor of Nursing Practice

Alcohol use disorder continues to be significantly undertreated within outpatient behavioral health settings, particularly concerning pharmacological interventions. Despite the presence of robust national clinical guidelines recommending medications such as naltrexone for individuals with moderate to severe dependence, the rates of prescribing these medications remain modest owing to inconsistent screening procedures, limited referral practices, and provider follow-through barriers. This project was implemented at a substance use treatment center in a large metropolitan area to improve adherence to clinical practice guidelines. The purpose of this project was to increase prescribing of naltrexone and improve referral for patients with moderate to severe alcohol …

A Psychometric Evaluation Of The Pbss-20 Among Sexual And Non-Sexual Minority College Students, Alex Melville

Master's Theses

This study evaluated the psychometric properties of the Protective-Behavioral Strategies Scale-20 in a large national sample of college students containing sexual minority and non-sexual minority students. Specifically, confirmatory factor analysis was used to evaluate the model fit with this sample, invariance testing was used to compare the model among sexual and non-sexual minority students, and construct validity was evaluated. Participants included college students (N = 1,730; M_age = 19.41) from 12 universities across the United States, who were predominantly White non-Hispanic (63.6%), identified as female (70%), and as completely heterosexual (67.6%). Participants completed demographic information and measures of …

Personality And Perceived Police Legitimacy, Yuxuan Yang

Master's Theses

Police legitimacy refers to one’s trust in the police to be fair and make just decisions in their interactions with the public. Individuals’ perceptions of police legitimacy play a crucial role in predicting how they interact with police. More positive perceptions are associated with cooperative behaviors; less favorable views are associated with resisting behaviors. Few studies have examined the relationship of broad personality traits with perceptions of police legitimacy. The current study examined the HEXACO model of personality and right-wing authoritarianism as predictors of perceived police legitimacy among college students (N = 268). While taking gender, race, and social …

Influence Of Depressive Symptomatology On Vocal Production, Olivia Taylor

Honors Theses

Language has been widely recognized as a crucial form of social connection, providing both contextual and semantic information, including intonation, pitch, rate of speech, and pauses. As mental health conditions begin to rise while mental health providers begin to decrease, research in psychology has focused on investigating other factors that may aid in the diagnosis of mental health disorders. Research has indicated that physiological factors, including vocal production, may highlight specific shifts in speech patterns or vocal characteristics. Limited research has been conducted to investigate the possible implications for the emerging adult population, despite the group obtaining the highest prevalence …

“If He Be Mr.Hyde…I Shall Be Mr.Seek”: Crime, Surveillance, And Narrative Structure In The Strange Case Of Dr. Jekyll And Mr. Hyde, Haley N. Durrett

Honors Theses

This research seeks to situate Robert Louis Stevenson's novella, The Strange Case of Dr. Jekyll and Mr. Hyde into the historical context of the time period using 19th century criminal-typing, policing structures, and the genre of detective fiction. Focusing on the representation of the criminal, Edward Hyde, the layout of the detective novel, and narrative structure, the novel creates an implicit desire for the police, that is not fulfilled throughout the novel's unraveling.

Determinants Of Mental Health-Seeking Behaviour Among Upgrading Nursing Students At The Aga Khan University, Kenya, Cecilia Wanjiru Ndungu

MSc in Advanced Practice Nursing

Background: Mental health challenges are increasingly recognised, and nursing students often report higher stress and anxiety than other peers.Working nurses in upgrading programmes face additional pressure from balancing work, study and family,yet remain under-studied. At Aga Khan University in Kenya, the determinants influencing mental health-seeking behaviour among upgrading nursing students have not been documented, which is critical for addressing mental health needs. This study aimed to investigate the biological, psychological, and sociological factors influencing mental health-seeking behavior in this cohort.

Methodology: A descriptive cross-sectional study was conducted among 106 upgrading nursing students at AKU, utilizing structured questionnaires to …

Perceived Stress And Coping Mechanisms Among Nurses Working In Oncology Inpatient Units At Kenyatta National Hospital, Bole Ado

MSc in Advanced Practice Nursing

Introduction: Cancer is the second leading cause of death globally and the third leading cause of death in Kenya. Nurses in oncology units often experience stress because of the emotionally demanding nature of providing care for patients diagnosed with cancer. Global studies show that nurses in the oncology unit reported experiencing moderate to extreme work-related stress, with a prevalence of work stress globally varying between 9.2% to 68% globally. Many nurses experience stress, and because of ineffective coping mechanisms, this affects their psychological well-being and negatively impacts the quality of their care as well as patients’ outcomes.

Objective of the …

Vitality Tracking In Kenyan Adults Using Wearable Devices And Ecological Momentary Assessments, Karen Blackmon, Benard Alaka, Catherine Onyancha, Litha Musili, Raechel Kamau, Cyprian Mostert, Mansoor Saleh, Zul Merali, Chinedu Momoh, Thomas Thesen

Brain and Mind Institute

Background: Vitality is essential to healthy aging but is elusive to define and measure.Dynamic capture of fluctuations in vitality can uncover abnormal trajectories thatcould be a harbinger of frailty in older adults. Yet, these fluctuations are missed bystatic and/or sparse sampling strategies. To address the need for dynamic and high-density capture of vitality in older adults, we developed a passive sensing and activeprobing digital platform using wearable devices and smartphones. We deployed thisparadigm in older Kenyan adults and evaluated its potential for use in research on thedynamics of accelerated aging.

Method: Cognitively unimpaired (CU) Kenyan adults ≥ 35 years of …

The Role Of Law Enforcement In Sexual Assault Kit Submissions: A Statewide Analysis Of Decision-Making Processes & Focal Concerns In Kentucky., Rychelle Elizabeth Wilks

Electronic Theses and Dissertations

Sexual assault case attrition persists throughout the criminal justice system, partly due to inconsistent Sexual Assault Kit (SAK) submission decisions. This dissertation examines factors influencing police officers' decisions to submit SAKs for forensic testing, applying the focal concerns perspective to understand how legal and extra-legal characteristics shape these decisions. Using statewide Kentucky data from July 2007 to March 2018, this study analyzed 2,194 adult sexual assault cases from 192 law enforcement agencies. Of these cases, 1,520 (69.3%) resulted in SAK submission. Logistic regression analyses examined the full sample, as well as four subsamples. Results provide mixed support for focal concerns …

The Role Of Psychological Capital And Case Management Intensity In Patient Activation In Permanent Supportive Housing Residents., Sarah J. Carter

Electronic Theses and Dissertations

This dissertation explores patient engagement with health, or patient activation, in the formerly homeless population housed in Permanent Supportive Housing (PSH) and receiving case management support. Research is limited on patient activation in PSH residents; consequently, there is minimal understanding of factors contributing to one’s attitudes and behavior towards health care in this group. Psychological Capital refers to the components of hope, self-efficacy, resilience, and optimism. Research in other marginalized groups indicates increasing psychological capital may improve health behaviors. Case management provides support to PSH residents and forms of social support have been associated with improved health outcomes. Applying the …

Teaching Copyright Beyond Campus: Academic Librarians At Pop Culture Conventions, Craig Finlay, Isabel Soto-Luna Ed.

Criss Library Faculty Publications

Academic librarianship has long emphasized campus-based instruction, but transformative learning opportunities often emerge beyond the classroom. This article explores how two librarians extended copyright education into the unconventional setting of multigenre pop culture conventions. Originally developed for faculty, their workshops were redesigned to meet the needs of artists, cosplayers, small business owners, and independent creators seeking practical, legally grounded information about copyright, fair use, and intellectual property. Drawing from real-world interactions, iterative feedback, and instructional theory—including a revised “Informative Avocado” model—the authors describe how their outreach not only empowered new learner communities, but also revitalized their own teaching practices. The …

Host-Intrinsic Factors Determine Anti-Tumor Efficacy Of Exercise In Pancreatic Ductal Adenocarcinoma, Sumedha Pareek

Dissertations and Theses (Open Access)

Pancreatic Ductal Adenocarcinoma (PDAC) is the third leading cause of cancer-related deaths with a low 5-year relative survival rate of approximately 13.3% for all stages combined. We have previously shown that exercise can improve quality of life and enhance functional capacity among patients with PDAC. Exercise induces a variety of changes in the tumor microenvironment with beneficial effects in several tumor types. However, our understanding of the clinical effects of exercise and the mechanisms that mediate anti-tumor effects are limited in pancreatic cancer.

In this project, using C57BL/6 mice from Taconic Biosciences (Tac) and Jackson Laboratories (Jax), we established a …

A Systems Approach To Shedding Sunlight On A.I. Black Boxes, Ran Xi

Hofstra Law Review

A substantial body of literature has emerged around concerns that machine learning and artificial intelligence systems are opaque, or "black boxes. " The black box nature ofA.I.-powered services and applications has resulted in alarming risks in social life, including insecurity, mistrust, lack of accountability, and exacerbated bias and discrimination. Despite the call to open the black boxes, corresponding legal and regulatory measures tend to run aground due to their infeasibility, inefficacy, and ambiguity. This Article offers a unique perspective on the A.I black box problem. Using systems theory as a heuristic tool, this Article views A.I. as a law-related system …

The Truth Will Set You Free: The Importance Of A Psychologically Rooted Framework That Encourages The Admission Of Expert Testimony On Eyewitness Memory, Emma C. Kiernan

Hofstra Law Review

No abstract provided.

The Lived Experiences Of School Counselors, Job Burnout, And The Blurred Lines Of The Profession, Cecilia Angelica Gomez

Theses and Dissertations

This phenomenological qualitative study explores the lived experiences of school counselors during and after the COVID-19 pandemic, focusing on job burnout, role ambiguity, and the blurred lines of the profession. Through semi-structured interviews with practicing school counselors, the study identifies common themes including role overload, manifestations of burnout, coping and resilience strategies, and the impact of administrative support. Findings highlight the systemic factors contributing to counselor stress and the importance of self-care, peer collaboration, and role clarity for counselor well-being and student outcomes.

Happy Kids, Popular Kids? Life And School Satisfaction As Predictors Of Popularity In Early Adolescents, Chloe Mcbreen

Theses/Capstones/Creative Projects

Sociometric popularity measures how well-liked a person is among peers. Life satisfaction has been positively related to self-perception and social functioning, whereas school satisfaction has been linked to stronger peer ties. This study examined how life and school satisfaction affected change in popularity over the course of a school year and how self-perception moderates said relationship. Participants included 182 fifth- and sixth-graders in Montreal, who completed 13 surveys over the school year. Popularity was measured via peer nominations at T1 and T13. Satisfaction variables and self-perception were measured via self-reports at T2 and T13, respectively. A hierarchical regression indicated that …

Understanding Bias And Fairness In Large Language Models: An Empirical Study, Joshua Johnson

Electrical Engineering and Computer Science Undergraduate Honors Theses

This thesis investigates demographic bias in large language models (LLMs) through the use of evaluating outcome disparities when utilized in decision making tasks as well as underlying associations that could contribute to furthering these disparities. Using profiles from the Adult dataset, we analyze how Gemini 2.0 Flash performs in an income prediction task using zero-shot and few-shot prompting methods. Our findings show that models exhibit measurable differences in demographic parity and false positive rates, with the use of few-shot prompting reducing these disparities. Alongside this line of testing, we tested associational bias in Qwen 2.5 using probability based association tests …

Why The Triple Bottom Line Fails: Advancing The Jesuit Vision For Sustainability Education In Business, Trevor Zink, Melissa Fitzpatrick, Justin Nordin, Jeffrey S. Thies

Journal of Management for Global Sustainability

This paper critiques the Triple Bottom Line (TBL) framework as conceptually flawed and ethically insufficient for sustainability education in business. While the TBL aims to balance profit, people, and planet, its logic prioritizes profitability, rendering social and environmental goals conditional and marginal. We argue that this framing undermines critical thinking, moral imagination, and ecological literacy in business students—especially within Jesuit institutions, which are called to form conscientious leaders. Drawing on Jesuit educational tradition, we propose a reorientation of business purpose around economic sufficiency rather than profit maximization, guided by integral ecology and the common good. This shift invites a more …