Digital Commons Network^™

Pathways To Better Sleep, Mairead E. Moloney, Emily Slade, Joon Chung, Kory Heier, Daniela C. Moga

Sociology Faculty Publications

Background: Rural Appalachia has some the highest rates of sleep and health disparities in the United States. This study investigates the relationship between social support and insomnia severity in rural Appalachian adults, with specific attention to the potential mediating roles of depression, anxiety, and stress. Methods: Participants from 12 rural Eastern Kentucky counties completed validated measures of insomnia severity, social support, depression, anxiety, and perceived stress. Using R, we calculated descriptive statistics and fit mediation models for depressive symptoms, anxiety symptoms, and stress, with social support as the exposure and insomnia severity as the outcome. Results: Aligning with regional demographics, …

Evaluating The Impact Of System, Information, And Service Quality On User Outcomes In Malaysian Public Hospitals: A Structural Equation Modeling Approach, Muhd Siv Azhar Merican Abdullah, Azimatun Noor Aizuddin, Mohd Rizal Abdul Manaf

Makara Journal of Health Research

Background: Increasing use of hospital information systems (HIS) underscores the need to evaluate their impact on User Satisfaction and Perceived Net Benefits. This study investigated the connections among outsourced System Quality, Information Quality, Service Quality, Perceived Usefulness, User Satisfaction, and Perceived Net Benefits in the context of Malaysian public hospitals.

Methods: Data were collected from 1,376 healthcare personnel across six public hospitals and analyzed using structural equation modeling through analysis of moment structures grounded in the DeLone and McLean Information Systems Success Model.

Results: System and Service Qualities significantly influenced User Satisfaction and Perceived Usefulness, while Information Quality impacted …

A Cross-Sectional Study On Patient Safety Attitudes And Their Determinants Among Medical Staff In Malaysian Public Specialist Hospitals, Sharifah Balqis Sayed Abdul Hamid, Aniza Ismail, Saperi Sulong

Makara Journal of Health Research

Introduction: This study aimed to assess the baseline level and mean scores of patient safety attitude domains among doctors and nurses in Malaysian public hospitals and to identify determinants associated with these attitudes across six domains: teamwork, safety climate, working conditions, job satisfaction, stress recognition, and perception of management.

Methods: A cross-sectional study was conducted using the Safety Attitudes Questionnaire (SAQ) among 142 doctors and 231 nurses from three public tertiary hospitals. Participants were selected through proportionate stratified random sampling. Data were analyzed using descriptive, bivariate, and multivariate methods.

Results: The study achieved an 81% response rate. …

The Relationship Between Religious Attitude And Breastfeeding Attitude: A Cross-Sectional Study From Türkiye, Melike Yavaş Çelik, Cuma Tunçkaşık

Makara Journal of Health Research

Background: This study aimed to evaluate the relationship between religious attitudes and breastfeeding attitudes and the effect of this relationship on breastfeeding practices.

Methods: This study was conducted with 203 mothers with babies aged 0–24 months. Simple random sampling was used in sample selection. The Religious Attitude Scale and Breastfeeding Attitudes of the Evaluation Scale were used in data collection.

Results: A significant relationship was found between religious attitudes and breastfeeding attitudes. Additionally, mothers' negative breastfeeding attitudes and positive breastfeeding attitudes were found to be close to each other. The time it took for mothers to start breastfeeding their …

Knowledge, Attitudes, And Practices Concerning Water, Sanitation, And Hygiene And Related Diseases Among University Students In Malaysia, Renee Ng Jeffrey, Aida Soraya Shamsuddin, Farah Diyana Ariffin, Aziemah Zulkifli

Makara Journal of Health Research

Background: Water, sanitation, and hygiene (WASH) practices are fundamental components of public health, being crucial in preventing disease transmission and promoting healthy living environments. In this context, university students play an essential role as future professionals and community advocates in fostering proper hygiene behaviors and preventing disease outbreaks. Understanding knowledge, attitudes, and practices (KAP) in regard to WASH among individuals, particularly university students, is crucial for promoting proper hygiene behaviors. This study aimed to assess the KAP in regard to WASH and related diseases among undergraduate students from the Faculty of Health Sciences, Universiti Kebangsaan Malaysia (UKM).

Methods: …

Climate Change Anxiety Related To Women’S Health Among Health Sciences Students, Derya Kaya Şenol, Semiha Aydın Özkan, Durdu Cennet Omuş

Makara Journal of Health Research

Background: Climate change impacts are unequally distributed globally, with children, women, pregnant women, the elderly, marginalized populations, and refugees bearing a disproportionate burden. This study aims to determine the levels of related anxiety among female students and to examine the relationship between the anxiety and their perceptions, knowledge levels, and health behaviors related to women’s health.

Methods: The study has a descriptive cross-sectional design. The study population included women students enrolled in the fall semester of the 2023–2024 academic year at the Faculty of Health Sciences of a university between October and December 2023. Personal Information Form and …

Moving Toward Healthy Ageing: The Role Of Physical Activity In Cognitive Function And Self-Esteem Among Older Adults In Türkiye, Canan Birimoglu Okuyan, Müjde Kerkez

Makara Journal of Health Research

Background: This study aimed to evaluate the relationship between religious attitudes and breastfeeding attitudes and the effect of this relationship on breastfeeding practices.

Methods: A cross-sectional study was conducted with 251 older adults. Data were collected using the International Physical Activity Questionnaire, the Standardized Mini-Mental State Examination, and the Rosenberg Self-Esteem Scale. Spearman’s correlation and chi-square tests were employed for statistical analysis.

Results: Physical activity levels were positively correlated with both cognitive function (r = 0.546, p < 0.001) and self-esteem (r = 0.168, p < 0.05). No significant association was observed between cognitive function and self-esteem. Physical inactivity, cognitive decline, and low self-esteem were more prevalent among women, participants with lower educational attainment, those with chronic diseases, and individuals engaged in polypharmacy.

Conclusions: The findings emphasize the importance of integrating physical activity promotion into national healthy ageing policies, particularly in Mediterranean contexts such …

Effects Of Proactive Interference On Adults With Adhd: A Sex-Based Study, Julia Switzer

Honors Theses

ADHD is a widespread phenomenon that affects individuals in a variety of ways. Many individuals exhibit strong proactive interference, in which past memories interfere with the memorization and recall of new information. One of the ways symptoms differ is through the biological sex of individuals, although differences in proactive interference have not been studied in relation to sex. This study hypothesized that women with ADHD are better at resisting proactive interference than males with ADHD. The study involved a digital activity in which a series of colored shapes was shown to participants, who identified whether the previously displayed shapes or …

Sticker Or No Sticker, That Is The Question: A Test Of Two Competing Hypotheses, Dongdong Yang, Yi Luo, Marylou Naumoff

College of Communication and Media Scholarship and Creative Works

Stickers, as an important nonverbal communication affordance on social media, have been understudied in Western contexts. This study employed an online survey (N = 300) to test two competing hypotheses—the social compensation and withdrawal hypotheses—to examine how personality traits influenced sticker use for emotional expression and self-presentation among U.S. college students. Results demonstrated that when communicating with a new friend on their mobile messenger, participants used stickers more frequently for self-presentation than emotional expression. Moreover, loneliness was positively related to neuroticism and negatively related to agreeableness and extraversion. Neuroticism was negatively related to sticker use for both emotional expression and …

Multi-Criteria Decision-Making For Bid Evaluation And Selection In Water Resource Management Projects, Abdulaziz Alkabaa, Salah Omar Ammari, Abdul Z. Hameed

Journal of King Abdulaziz University: Engineering Sciences

We propose an enhanced multi-criteria decision-making (MCDM) framework using the Analytic Hierarchy Process (AHP) tailored for bid evaluation in water resource management projects. This approach addresses the persistent challenges of transparency, inconsistency, and technical-financial weighting observed in competitive bidding systems. By incorporating structured criteria across qualitative and quantitative dimensions, our model offers a more systematic, equitable, and operationally robust alternative to traditional evaluation practices. Case study applications demonstrate the framework's ability to yield clear differentiation among bids, improve decision traceability, and support procurement efficiency. These findings offer practical implications for policymakers and project stakeholders seeking to modernize bidding practices within …

Cv: Maria Josefina Natividad (Medical Assistant, Pharmacy Technican), Maria Josefina Natividad

Health Sciences Department Curricula Vitae

No abstract provided.

A Shareholder Primacy Mindset In The Benefit Corporation’S Top Management Team And Greenwashing Actions, Jonathan Wimberly

Walden Dissertations and Doctoral Studies

Benefit corporations exist to benefit society and generate profit for shareholders and stakeholders, but there is evidence that greenwashing is prevalent among these entities. Business leaders need to understand the extent to which a shareholder primacy mindset influences the collective top management team and drives greenwashing in benefit corporations. The purpose of this quantitative correlational study was to determine the relationship between the collective demographic characteristics of top management teams and a shareholder primacy mindset, and to assess the relationship between a shareholder primacy mindset in the top management team of a benefit corporation and greenwashing behavior. Upper echelons theory …

A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss

Walden Dissertations and Doctoral Studies

Insomnia and sleep deprivation are highly prevalent issues among the U.S. college student population, contributing to a significant health care gap due to the inconsistent performance of routine clinical screening. This Doctor of Nursing Practice (DNP) project sought to determine the rigor and applicability of a Clinical Practice Guideline (CPG) designed for the early identification of insomnia in college students using a best-evidence screening tool within a rural health clinic. The primary practice-focused question was: In a rural health clinic, will a CPG for implementation of a screening tool based on best evidence for early identification of insomnia in college …

Contributors - The Crown, Vol. 2, The Crown

The Crown: Syracuse Honors Research Journal

No abstract provided.

Listening To Life In A Noisy World: The Pitfalls And Promise Of Urban Acoustic Ecology, Leah O'Barr

Undergraduate Honors Theses

This thesis examines the application of soundscape ecology principles to urban settings. Soundscape ecology is the study of the entire sonic makeup of a community, composed of biophony (biological sound), geophony (environmental sound), and anthrophony (human-generated sound). By examining the changes in and qualities of the soundscape, researchers can gain information about the biological makeup and ecological quality of an area, and the temporal and spatial distribution of resident species. Recent technological advances in recording equipment and machine learning methods are making soundscape ecology an increasingly relevant and practical tool.

Applying soundscape ecology methods to urban ecosystems introduces unique challenges, …

Editorial Staff - The Crown, Vol. 2, The Crown

The Crown: Syracuse Honors Research Journal

No abstract provided.

The Sociology Of Motherhood In The Workplace, Katharine Batista

The Crown: Syracuse Honors Research Journal

Key themes in this paper include delayed childbearing, uncertain career trajectory, role conflict, and identity blending. These topics highlight the idea that childbearing while possessing a position of power in the workplace is uncommon, which can deter mothers from returning to work after maternity leave. Role conflict is the tension between competing demands of being a mother and a professional. This develops the concept that due to this conflict, women are often expected to adopt a motherly role in the workplace. This extremist ideology surrounding the roles women possess in the workplace, leaves them feeling as though their jobs expect …

Teachers’ Emotional Appraisals And The Reframing Of Student Change In Post-Pandemic Schools, Rachel Gaines, Mei-Lin Chang, Kristen Mosley

Faculty Articles

Introduction:

The return to “normal” schooling after the COVID-19 pandemic reactivated many of the emotional, instructional, and moral tensions teachers experienced during emergency remote teaching. Yet, little is known about how teachers’ emotional appraisals of post-pandemic classrooms intersect with deficit-oriented “learning loss” discourses. Guided by appraisal theory and Frenzel’s reciprocal model of teacher emotions, this qualitative study examined how mid- and late-career teachers interpreted perceived changes in students and how these appraisals shaped their emotions, emotion regulation, and adoption of or resistance to deficit framings.

Methods:

Ten K–12 teachers from the southeastern United States participated in semi-structured interviews. Data were …

Platforms, Privacy, And Power: Examining Predictors Of Online Intimate Information Disclosure And Expression, Alexis Shore Ingber, Danielle Keats Citron, Jonathon W. Penney

Articles & Book Chapters

When intimate privacy is violated, self- and relational development is impaired to the detriment of individuals and society. Despite these costs, there is a lack of systematic empirical and theoretical study of intimate privacy and efforts to protect it. This research helps fill this void through two complementary studies. Through a longitudinal experimental design, results from Study 1 highlight that partner trust and response-efficacy were not only positively predictive of online intimate disclosure, but also strengthened following knowledge of intimate privacy protections. In Study 2, we find individuals are more likely to engage in public-facing online sexual expression if the …

The Impact Of Social Media On Social Inclusion: A Case Study On Gun Violence, Ruolin Xu

Honors Scholar Theses

As TikTok increasingly becomes a primary platform for everyday communication and even an important venue for political communication, concerns have emerged about the potential negative effects of its algorithmic design. Prior research suggests the effect of echo chamber that social media may reinforce users' pre-existing attitudes by repeatedly exposing them to belief-consistent contents and limiting opportunities to encounter diverse viewpoints. Such selective exposure can undermine social inclusion by reducing individuals' openness toward people who hold different backgrounds or political beliefs. Meanwhile, gun control, as one of the most polarizing sociopolitical issues in the US, provides a particularly relevant context for …

Understanding Crime Through Harm: A Multi-Stage Study Of Rochester, Ny, Hayder Alhafedhi

Theses

This capstone project develops, critiques, and applies a Crime Harm Index (CHI) for the City of Rochester, New York, as an alternative to traditional crime measures that rely solely on raw counts. Rather than treating all offenses as equal “one crime = one unit,” the project weights crimes by the severity of harm they cause, using New York State sentencing guidelines as the core metric. Across four working papers, the project moves from conceptual foundations and limitations of harm-based metrics, to the construction of a Rochester-specific Crime Harm Index, and finally to a set of spatial regression models that link …

Understanding The Relationship Between Mental Health And Criminal Justice Involvement: Pathways, Disparities, And Improving System Responses, Haley Bly

Theses

This capstone project examines the complex relationship between mental health and involvement in the criminal justice system, emphasizing how pathways, external conditions, structural inequities, and system responses interact to shape long-term outcomes for persons with mental illness (PwMI). While mental illness alone is not a predictor of criminal behavior, the intersection between psychological disorders, social strain, stigma, and systemic failures significantly heightens the risk of criminal justice involvement. Combining four working papers, this capstone examines these relationships across individual, environmental, institutional, and community levels, ultimately arguing that treatment and rehabilitative-centered reforms are essential for improving the experiences of individuals with …

Tangible Recommendations To Execute California Assembly Bill 3099: A Proactive Approach To Combatting The Missing And Murdered Indigenous People Crisis, Hannah Marquis

Loyola of Los Angeles Law Review

Indigenous people across the United States experience disproportionately high rates of violence and relatedly high rates of murders and disappearances. This phenomenon has been coined the Missing and Murdered Indigenous Peoples Crisis (MMIP), and as a state with one of the largest Indigenous populations, California also has one of the largest MMIP caseloads. While California has recently taken action towards combatting the MMIP crisis, these have been largely “reactive” steps aimed at bolstering law enforcement responses to already occurring MMIP cases. As it stands, there is a gap in solutions that have a “proactive” focus aimed at lessening the risk …

Commonthought (2025), Commonthought Staff

Commonthought

This issue features works created by Lesley University students and covers a broad range of topics. The work itself crosses many disciplines from creative writing to visual arts.

Shedding Light On Seasonal Depression: Practical Strategies For Pediatric Care, Mike Smith, Sara R. Gould

Pediatrics in Practice: A CME Podcast

As daylight fades and winter approaches, pediatricians often see an uptick in mood-related concerns among children and adolescents. In this episode, we explore how to recognize the signs of seasonal depression, differentiate it from other mood disorders, and apply evidence-based interventions. Our expert guest shares practical screening tools, treatment options—including light therapy and behavioral strategies—and tips for partnering with families and schools to support mental health during the darker months. Whether you’re in primary care or a specialty clinic, this conversation offers actionable insights to help you guide patients through seasonal challenges.

Click here to stream the podcast episode.

Using It And Accounting Education Pedagogy To Address Smaller Firms' Cybersecurity Concerns, Darlene A. Adkins, William Lyle, Walter Smith

The North American Accounting Studies

This study begins by exploring the cybersecurity activities and practices of small public accounting firms. It also examined how a cross-disciplinary curriculum design could be useful to accounting programs that are challenged to integrate cybersecurity-related content while preserving the core accounting knowledge valued by smaller accounting firms. Through interviews with current practitioners from small and regional firms, the research investigated the extent to which cybersecurity concerns impact their practice, how cybersecurity activities are staffed, and the perceptions of current practitioners on the state of accounting education related to information technology (IT) and cybersecurity. The participants expressed a desire for accounting …

Medical Cannabis Conversation Between Adult Oncology Patients And Provider: The Impact Of Provider Education, Jodi Mcclain

DNP and Student Works

Background: It is estimated up to 40% of adult oncology patients use medical cannabis (MC) for a myriad of symptoms, including not limited to, nausea, pain, appetite, and anxiety. Conversely, less than one-third of oncology health care providers (HCPs) feel confident making cannabis recommendations. Furthermore, studies have shown low disclosure rate and poor communication between oncology patient and provider regarding integrative medicine, which includes cannabis. This study sought to examine the degree of correlation between the desire for information regarding cannabis in the adult oncology population, the level of communication regarding cannabis between patients and providers, and educational efforts to …

Eyetracking Measures Of Performance On The Traveling Salesperson Problem, Kanan Levy

Undergraduate Honors Theses

Human solutions to the Traveling Salespersons Problem (TSP) have been proposed to employ heuristics integrating global and local spatial information (Pizlo et al., 2006). Because different neuroanatomical regions may be involved in local vs. global processing, as well as attentional shift between levels, performance on the TSP may provide useful insight into changes that occur in the brain as a result of age or of neurodegenerative disorders (Slavin, 2002). In a previous study, we compared the cognitive processes used to solve spatial problems on a large scale (moving through space) and on a small scale (on a sheet of paper). …

The Effects Of Educational Materials On Knowledge And Attitudes Toward Psilocybin, Lindsey Elise Wade

Master's Theses

Depression is one of the most prevalent and burdensome mental health conditions worldwide, affecting millions and contributing to over 700,000 deaths by suicide annually. Nearly half of patients with major depressive disorder fail to respond adequately to standard antidepressant treatments such as selective serotonin reuptake inhibitors (SSRIs). Psilocybin-assisted therapy (PAT) has emerged as a promising alternative for treatment-resistant depression (TRD), yet public understanding of this therapy remains limited. The present study examined whether a brief psychoeducational intervention could affect knowledge and attitudes toward PAT among members of the general public in the United States. Participants were randomly assigned to read …

The Gray Bird Sings: The Extraordinary Life Of Betty Kwan Chinn (Second Edition), Karen M. Price Ph.D.

Trade & Scholarly Monographs

“Touched by childhood tragedy, Betty Chinn brings hope to those who have fallen on hard times. Left homeless as a child in China, Chinn became mute. When she came to America, she found both her voice and her mission: aiding those without shelter on our own shores. ” -Barack Obama, awarding Betty the Presidential Citizens Medal

As a child during the Chinese Cultural Revolution, she was separated from her family, imprisoned, and ruthlessly tortured. As an immigrant to the United States, she worked tirelessly to shelter and feed thousands in her community. How she survived monstrous conditions, challenged impossible odds, …