Digital Commons Network^™

Case Report Of Tricyclic Antidepressant Toxicity With Prolonged Qt/Qtc And Widened Qrs On Ekg, Alexandra Doan, Joshua Wilkes, Jonathan Leggett, Jarratt Lark

South Atlantic Division GME Research Day 2025

No abstract provided.

Retrospective Comparison Of Emergency Department (Ed) Length Of Stay (Los) Between Marijuana And Alcohol Users, Paul Bomar, Jonathan Leggett, Lisa Persaud, Franklin Schaefer, Vanessa Knapp, Lauren Eisenberg, Austin Johnson

South Atlantic Division GME Research Day 2025

No abstract provided.

Bilingual Latinx Adolescents Experiences In A Predominantly White Institution: A Mixed Method Study, Danieli Marie Mercado Ramos

Dissertations

Extent scholarship has provided insight into how Latinx adolescents actively experience exclusion. These adolescents are often the targets of microaggressions tied to their language (Gonzalez et al., 2018), ethnicity, race, and intersecting identities--such as being bilingual Latinx students--which serve as reminders that they do not belong. However, little is known about Spanish-English bilingual Latinx adolescents and how their heritage language plays a role in predominantly white spaces and institutions. This convergent parallel mixed methods study explored how Spanish-English bilingual Latinx students in the Midwest described their experiences in a predominantly white institution (PWI). A total of 42 Spanish-English bilingual Latinx …

The Impact Of Lactobacillus Supplementation On Gut Microbiome Composition And Phage Induction In Mice, Kimia Boreiri

Dissertations

The mammalian gastrointestinal (GI) tract harbors a dense and dynamic community of microbes known as the gut microbiota, which plays vital roles in digestion, immunity, and overall health. Among these, probiotic bacteria such as Lactobacillus strains have garnered attention for their ability to influence microbial community structure and host physiology. This study investigated the effects of five Lactobacillus strains, Lactobacillus casei R1A482, Lactobacillus casei O3, Lactobacillus rhamnosus GG, Lactobacillus gasseri ATCC 33323, and Lactobacillus paragasseri UMB1065, on the gut microbiome of Swiss Webster mice over a six-week feeding period. To reduce stress, mice were fed Lactobacillus strains using gelatin pellets …

Capturing Diverse Adolescents’ Social Contexts: The Development Of An Ethnic-Racial Microaffirmations Scale For Peer Interactions, Maria Radulescu

Dissertations

The development of a strong and positive sense of ethnic-racial identity (ERI) has been identified as an asset for ethnically and racially marginalized adolescents. Peer interactions during the adolescent years can support ERI development. In particular, a subtle micro-level form of peer support—microaffirmations—may be protective for ERI processes. However, the field of microaffirmations is very small, and there is no scale that captures adolescents’ experiences of ethnic-racial microaffirmations from their peers. The current study developed an ethnic-racial peer microaffirmations scale based on extant literature and feedback from 4 focus groups with 22 sophomore high school students. Findings indicated that 5 …

“What’S Happening In The Gulf Of Maine?”: Middle School Students’ Engagement In Climate Science Through Data Visual Representation And Reflections, Grace Ocular

Dissertations

This study examined how middle school students engaged with science concepts while working with data visualizations during a field trip learning experience. Fifty-one teams of 2–4 students from 35 schools participating in the LabVenture program were video- and audio-recorded. Students completed two activities: one using a frequency table of marine species illustrating threats to Maine’s lobster population, and another using maps depicting changes in Gulf of Maine sea surface temperature. After each activity, students annotated the visualization, discussed their claims, and recorded short reflections. Transcripts were coded for science-related talk, and annotations and gestures were also analyzed. Findings indicate that …

"I'M Not Having Fun Anymore": A Qualitative Analysis Of Gender And Harassment In Bars And Clubs, Phoebe Marie Jackson

Dissertations

Sexual harassment, while often spoken about in hushed tones or ignored altogether, happens frequently and often loudly. 66 percent of women who have experienced sexual harassment report that the harassment took place in a public space, such as work, school, or on the street (Kearl, 2018). Harassment is not discreet, but rather normalized, and those who experience it are expected to brush it off or take it in their stride. However, such harassment and subsequent dehumanization has a deteriorating effect on the mental well-being of those affected (Graham et. al., 2016). This study aims to hone in on the effect …

Systematic Review Examining How Black Youth In The United States Cope With Stressful And Traumatic Experiences, Marcus Aaron Flax

Dissertations

Coping is an important behavioral skillset that youth use to emotionally regulate after experiencing stress or trauma. Research has repeatedly highlighted the stressors that Black youth experience, often finding that Black youth face higher levels of stress and trauma than their White peers. However, there has been a lack of research in understanding how Black youth cope with these higher levels of stress. This systematic review includes 72 studies (N = 16,205 participants) examining the frequency and effectiveness of coping strategies used by Black youth in response to a trauma or stressor, along with the associations between utilized coping strategies …

Voices Of Chinese American Emerging Adults: Complex Racial Identities, Family Dynamics, And Mental Health Experiences, Maxwell Lou Xu

Dissertations

Although Asian Americans are the fastest growing racial minority group in the United States, they remain significantly underrepresented in mental health research. Furthermore, research on Asian American mental health often aggregates the experiences of different Asian ethnic groups, creating a limited understanding of how distinct ethnic groups may differ in their mental health experiences. This interview study with Chinese American emerging adults ages 18–25 from varied family contexts (single-race, multiracial, and adoptive households) examines how members of this population make sense of the relationships between their identity, family, and mental health. This thesis posits that Chinese Americans' nuanced experiences—particularly around …

Experiences And Perceptions Of Gaslighting In The Workplace, Lauren Flanagan

Dissertations

The topic of gaslighting has gained increasing traction over the last several years. People have begun researching it in real-world settings such as relationships, politics, and the workplace. Furthermore, researchers have looked at the effects it has on the victim. However, there has been limited research on how one might react to an instance of gaslighting. This study examines how the victim’s race and the perpetrator’s position of power influence third parties’ recommendations on how to handle a scenario of workplace gaslighting. Psychology 101 students (N = 154) were randomly assigned to a 2 (race of victim: white vs black) …

Ultramodern Racism: A Critical Discourse Analysis Of The Impact Of Anti-Crt Legislation On Us History Curriculums, Amelia Gernand

Dissertations

In the wake of Donald Trump’s failed 2020 bid for a second presidential term, there was a surge in anti-CRT legislation targeting how issues of race and racism could be taught in public school curricula. While proponents claim that anti-CRT laws will protect students of all races from discrimination, curriculums have historically been used as a tool by those with symbolic power to legitimize white supremacy and perpetuate anti-Black and color-evasive racism. Two states--Florida and Arkansas--recently enacted anti-CRT legislation in addition to Black history mandates. While legislators in these two states claim that their goal is to expand the teaching …

The Forced Sterilization Of Quechua-Speaking Women In Peru: The Role Of Epistemic Injustice In The Perpetration Of Genocide, Geraldine Diaz

Dissertations

The forced sterilization of Quechua-speaking women in Peru from 1996 to 2000 represents a case of genocide in which the state as an epistemic agent has a fundamental role. Although the systematic sterilization was carried out under the guise of a family planning program, the targeting of these women provides strong circumstantial evidence of genocidal intent. According to the testimonies of these women, medical staff, acting on behalf of the government, performed tubal ligation procedures through coercion, threats, lies, bribery, manipulation, and other tactics where the state intentionally withheld information, misinformed women, and failed to obtain proper consent. This research …

Aspiration To Achievement: A Mixed Methods Study Of Post-Secondary Access For Firstgeneration College Students, Traveon L. Jefferson

University of the Pacific Theses and Dissertations

This mixed-methods study examines the effectiveness of Destination Diploma, a community-based post-secondary access program, in supporting the college readiness, enrollment, persistence, and completion of first-generation college students (FGCS). Grounded in Social Capital Theory, the study explores how structured support systems—such as mentorship, academic coaching, and financial aid navigation—enhance educational outcomes for students historically underrepresented in higher education. Quantitative data from 2014 to 2024 was analyzed to assess post-secondary placement and completion rates, while qualitative data from semi-structured interviews with former program participants provided insight into the lived experiences and perceived impact of the program. Findings demonstrate that Destination Diploma plays …

Pre-Migration Victimization And Fear Of Violent Crime Among New Arrivals In Chicago / Victimización Y Miedo Al Crimen Violento En El País De Origen De Los Migrantes Recién Llegados A Chicago, Cristian L. Paredes, Keyla Navarrete, Anna E. Bullock, Brianna Hernandez, Raymond A. Akumbilim

Sociology: Faculty Publications and Other Works

This project explores the situations and experiences of new arrivals/asylum seekers who have recently arrived in Chicago. Chicago has experienced a significant increase in the number of newcomers, due to Operation Lone Star, launched by Texas Governor Greg Abbott in March 2021. Since August 2022, Governor Abbott has bused more than 30,000 migrants to Chicago. The City of Chicago has acknowledged its responsibility to welcome everyone regardless of immigration status, adopting a proactive stance toward this humanitarian emergency. However, newcomers still struggle to get access to basic needs in the city. We have conducted a face-to-face, cross-sectional survey to collect …

Bibliometric Analysis With R Biblioshiny On Safety Behavior In Aviation, Büşra Yıldırım, İnan Eryılmaz, Ahmet Karacan, Nusret Erceylan

International Journal of Aviation, Aeronautics, and Aerospace

Safety behaviors in aviation are not limited to technical knowledge and skills in ensuring the safety of flight operations, but also include the attitudes, decision-making processes and collaborations of individuals and teams. In this context, in this study, a bibliometric analysis of publication and citation trends, key concepts and interactions of studies in the field was conducted to identify current and potential trends in aviation and safety behavior-based research, and to explore the intersections between safety behavior and aviation studies and the areas waiting to be explored. The bibliometric analysis using the RStudio-based Biblioshiny program was conducted on 1065 articles …

Evaluating The Reporting And Safety Culture Of An Airline According To Patankar And Sabin's Safety Culture Pyramid, Seda Mumlu Karanfil

International Journal of Aviation, Aeronautics, and Aerospace

As a result of the literature review, it is seen that the safety management system in airline businesses is mostly evaluated with Reason's just culture model. The fact that there is no research examining Patankar and Sabin's (2010) safety culture pyramid on airline operations, except for a study conducted in the field of ground handling services (Poçar, Işık, & Durmaz, 2022), constitutes the importance and unique value of the research. As stated by Poçar et al. (2022), Patankar and Sabin's (2010) safety culture pyramid is not sufficiently included in practice, and this model is important in terms of drawing attention …

Design, Implementation, And Testing Of Spatial Disorientation Scenarios In A Modified Hexapod Motion Simulator, Jarod Hinckley, Ryan Paul, Logan Rock, Joe Conner, Jon M. Loffi

International Journal of Aviation, Aeronautics, and Aerospace

Abstract

Investigations into aviation accidents aim to identify root causes and enhance safety. Despite advancements in safety measures, technology, and education, general aviation accident rates remain stable, with loss of control identified as the leading cause. Spatial disorientation is a significant contributing factor in these incidents, accounting for approximately 10% of general aviation accidents—90% of which are fatal. Addressing spatial disorientation is increasingly critical with the emergence of Advanced Air Mobility (AAM) vehicles, a sector projected to reach a $30 billion market by 2030. While AAM is expected to transition toward full autonomy, human pilots will operate these vehicles during …

Generalizing Classification Of Pilot Workload: Transfer Learning Versus A Jepa-Inspired Transformer Architecture, Naim Barnett, Shivani Nagrecha, Morgan Glover, Clayton Harper, Justin Wilson, James Maher, Eric C. Larson

International Journal of Aviation, Aeronautics, and Aerospace

Within the context of learning, there poses difficulty when objectively measuring human performance. In this work, we investigate the evaluation of human performance via its relation to the individual's mental capacity by classification of cognitive load within the domain of aviation. By utilizing a mixed virtual and physical flight simulation environment in conjunction with biometric sensing, we create and evaluate the predictive capabilities of a Joint-Embedding Predictive Architecture (JEPA) and compare the architecture and results to traditional methods for transfer learning and domain adaptation. We find that our JEPA inspired architecture can achieve more than 70% accuracy of cognitive workload, …

Singapore’S Health Outcomes After Critical Illness In Kids: A Mixed-Methods Longitudinal Cohort Study To Explore Health Outcomes Of Children And Parents Six Months After Critical Illness, Pei Fen Poh

School of Nursing and Midwifery Theses

Background: Post-Intensive Care Syndrome in paediatrics (PICS-p) encompasses physical, cognitive, social, and emotional health impairments in children, as well as psychological challenges in parents, following PICU discharge. While PICS is well-studied in adults, research on its long-term effects in the paediatric population is limited, and the influence of ethnicity remains unexplored.Aim: The aim of this study was to explore and understand the long-term health outcomes and experiences of children and their parents during the first six months following discharge from the paediatric intensive care unit (PICU), and to examine the influence of ethnicity. Methods: The SHACK study was informed by …

Natural Allies: A Qualitative Exploration Of The Impact Of Nature Immersion For Wellbeing And Its Relevance To Nursing: Challenges And Opportunities On The Journey Towards Interconnected Human And Planetary Health, Sarah Howes

School of Nursing and Midwifery Theses

Human beings have evolved in direct relationship with the natural world, our health and survival inextricably connected to that of the planet. In recent years, an expanding evidence base has extolled the benefits of time in green and blue space for restoration from busy and stressful lives, yet limited literature explores the impact of time in nature from a nursing perspective. Through three study phases, this reflexive qualitative ethnographic study examines the complex, multifaceted and perpetually shifting contexts which influence nature connection and sustainability concepts in nursing, highlighting a shared vulnerability between people and planet. Through a critical interpretive synthesis …

The Usability Evaluation Of Digital Health Technologies: : Methods And Insights, Inocencio Maramba

Peninsula Medical School Theses

The Usability Evaluation of Digital Health Technologies: Methods and InsightsINOCENCIO DANIEL CORTES MARAMBAAbstract Background: Digital health technology holds promise for improving healthcare delivery, but usability is crucial for adoption and user safety. Whilst large companies often have user experience (UX) expertise, Small and Medium Enterprises (SMEs) developing these technologies lack guidance for conducting usability evaluations. Furthermore, evidence of proper user testing is now required by Digital Technology Assessment Criteria (DTAC) being used by the National Health Service (NHS). Aim: To find ways to offer practical help to SMEs to carry out user experience testing. Methods: There were three stages to …

Factors Influencing Adherence To Surveillance Guidelines In Individuals With Tuberous Sclerosis Complex, Kashish Khanna

Theses and Dissertations

Tuberous Sclerosis Complex (TSC) is a genetic condition that is caused by pathogenic changes in either the TSC1 or TSC2 gene and is characterized by multiple benign tumors, otherwise known as hamartomas, in various organs such as the brain, skin, lungs, and kidneys. Because of the many different clinical manifestations of TSC, extensive surveillance guidelines are recommended for individuals with TSC. Past studies have shown that there has been a gap in knowledge of these surveillance guidelines. These studies also suggest projects that measure adherence to surveillance guidelines and address specific challenges hindering surveillance guideline adherence. This study aims to …

“Digital Shame Shift”: From Telling The Pain To Recording The Truth — Black Maternal Health And Digital Counter-Narrative Storytelling On Tiktok, Odera Covenant Ezenna

Theses and Dissertations

This dissertation explores how digital storytelling on TikTok is used to challenge medical racism, with a particular focus on Black maternal health. Guided by Critical Race Theory (CRT) and Critical Technocultural Discourse Analysis (CTDA), the study examines how TikTok users—ranging from Black mothers to healthcare professionals—create and circulate counter-narratives through two prominent campaigns: #BlackMaternalHealthWeek and #BlackMamasMatter. These digital stories serve as acts of resistance, disrupting dominant medical discourse and amplifying the lived experiences of Black birthing individuals. The research analyzes over 2900 TikTok videos posted between 2021 and 2024, identifying key themes, storytelling strategies, and rhetorical shifts over time. The …

Creative Psychotherapy, Including Art. A Module For Pluralistic Identities And A Case Study From An Artist's Perspective., Amani Alsaad

School of Art, Design and Architecture Theses

This thesis investigates the complexities of pluralistic identities, focusing on Arab Muslims in non-Muslim countries and Westerners residing in the Arabian Gulf. Grounded in the author’s dual heritage as an Arab Muslim artist and psychological practitioner, this study offers a distinctive perspective informed by lived experience. The author’s unique background, shaped by a Saudi Arabian birthplace and upbringing in the United Kingdom, serves as a foundation for this multidisciplinary research.The study aims to develop a creative psychotherapy module integrating art-making as a therapeutic technique to address the mental health challenges faced by individuals with pluralistic identities. These challenges, arising from …

Mesotopia: Towards A Place Of Lyrical Inquiry, Tristan Verran

School of Art, Design and Architecture Theses

This research project is a comprehensive investigation into the practical applications of a theoretical place of creative intuition I have called ‘the mesotopia’. A mesotopia is a place between conceptual and physical terrains in which inter-object experiential encounters are turned into communicative events. Mesotopian thinking unsettles purely anthropocentric utopian or dystopian future visions, as well as romantic images of Arcadian pasts. I have been attending to the material present of our coastal regions while attempting to intuit, rather than imagine, concealed aspects of these compositional sites. This thesis argues that attending to local environments using a more embodied form of …

Federal Laws And On-Campus Supports For Students With Disabilities In Postsecondary Education, Bruce J. Reed, Raquel C. Vasquez, Claudia C. Gonzalez

School of Rehabilitation Services & Counseling Faculty Publications

In the United States, the attainment of a postsecondary degree is seen as an important milestone that leads to a financially rewarding career. College graduates can expect an increase of 75% in lifetime earnings compared to non-college graduates (Kumok & Hahn, 2023). It is estimated that in 2022, 54% of American adults had earned at least a bachelor's degree (Welding, 2023). Estimates vary as to the number of students with disabilities (SWD) attending postsecondary education ranging from 9-19% (Blasey et al., 2023). The true number of college SWD at any one time is unknown as students must self-report and seek …

Investigating Trauma-Informed Practices Impact On Teacher Well-Being And Burnout, Philip Walter Schonebaum

Dissertations and Theses

Trauma-informed practices are a way to reduce the negative impacts of trauma without retraumatizing trauma victims (SAMHSA, 2014). Using trauma-informed training for staff, this study herein sought out to examine the overall impacts on utilizing trauma-informed care strategies on teacher well-being and burnout. The action research project, relying on qualitative data collection techniques, was an immersive approach to impact change in the educational landscape of a small, rural school district. Findings showed implementing trauma-informed practices in the school district led to a greater job satisfaction, reduced stress, and a sense of camaraderie with the students within the school. This study …

Educational Trouble In Paradise: Student Perception Of Teaching Behaviors And It's Relation To Intrinsic Motivation And Academic Achievement, David Mchale Davis

Dissertations and Theses

Grounded in self-determination theory, this study explored students’ perceptions of provision of choice, teacher feedback, and emotional support, and how these teaching behaviors relate to intrinsic motivation and academic achievement. This study is a cross-sectional survey design and has data from 197 public high school students in the Bahamas. Path analysis was used to evaluate a model in which the three teaching behaviors predicted intrinsic motivation, which in turn was hypothesized to mediate their effects on academic achievement, measured by GPA, math grade, and students’ perceived likelihood of graduating. Results supported the model, indicating that higher levels of perceived teacher …

Social-Emotional Learning In Out-Of-School Time Settings: A Mixed Methods Investigation Of Perceived Need, Kaitlin Halbert

Dissertations and Theses

This study examines the integration of Social and Emotional Learning (SEL) into Out-of-School Time (OOST) settings. It evaluates the perceived need for SEL curricula among OOST professionals, highlights potential benefits and barriers to implementation, and identifies necessary adaptations to tailor these programs for the unique OOST environment. Using a mixed-methods explanatory sequential design, including surveys (BIRS, URP-NEEDS, URP-IR) completed by 115 OOST providers and interviews with 10 providers, the research analyzes both quantitative and qualitative data. The results demonstrate a strong consensus among OOST professionals on the importance and value of SEL, acknowledging its potential to enhance student behavior, social …

American Indian Survivors Of Domestic Violence And Self-Perceived Mental Health After Seeking Domestic Violence Services, Arial Swallow

Dissertations and Theses

Domestic violence has long-term impacts on women’s emotional, psychological, and physical health, with American Indian women experiencing disproportionately high rates of violence and face unique barriers in overcoming challenges of healing. As part of a larger study, this research aimed to better understand the healing process of American Indian women domestic violence survivors in rural areas. This study examined findings from a mixed methods approach, which investigated the significance of identifying co-occurring mental health needs and providing support, education, and resources to address these needs. The research utilized a quantitative method of descriptive statistics, identifying survivors who endorsed mental health …