Digital Commons Network^™

Disparities In Access To Medicare-Approved Medical Specialists In Rural Kentucky, Logan Hurm, Jacob A. Welch, James Adkins

Journal of Appalachian Health

Introduction: Approximately 20% of the United States population resides in a rural community; however, only 10% of all healthcare resources and physicians are dedicated to these areas. Appalachia, and Kentucky (KY) in particular, have higher populations living in rural areas which leads to a greater number of individuals affected by medical access disparities. As of 2026, 21% of KY’s population is eligible for Medicare, making access to Medicare-accepting specialty physicians crucial for the state’s population.

Purpose: This research aims to quantify healthcare disparities among rural communities in KY through quantification of the potential distance required to travel to access specialty …

Threads Across The Atlantic: A Dialogue Of Feminist Writings Between Portugal And Cape Verde, Elliana Shillig Venancio

Theses and Dissertations

This thesis examines the feminist literary traditions of Portugal and Cape Verde through a comparative analysis of Ana de Castro Osório’s Infelizes and Dina Salústio’s Mornas eram as noites. Separated by nearly nine decades and an ocean, these two works nonetheless converge in their insistence on women’s autonomy, bodily sovereignty, and resistance to patriarchal structures. Drawing on Hélène Cixous’s theory of écriture féminine and Kimberlé Crenshaw’s framework of intersectionality, this thesis argues that despite the significant differences in time, geography, and socio-political context that separate these authors, powerful threads of feminist consciousness bind their writing together. At the same time, …

Automated Classification, Measurement, And Semantic Segmentation Of Open-Web Joists From Point Cloud Data, Justin Raymond Dworacek

Theses and Dissertations

This thesis presents a BIM-oriented methodology for the automated classification, measurement, and segmentation of structural trusses from point cloud data. A real truss point cloud and a complementary synthetic dataset derived from CADBIM Revit families were used to develop and evaluate the workflow. Classification was performed using a rule-based Python algorithm based on principal component analysis, side-view feature extraction, and family-specific geometric decision logic, while a separate family-aware script was used to extract key truss dimensions. Semantic segmentation was evaluated using a PointTransformerV3 model to separate truss and non-truss points in mixed point cloud scenes. The results demonstrated strong performance …

The Al-Bahah Paradox: Divergent Patterns Of Increased And Decreased Infectious Disease Incidence Relative To National Saudi Rates Over 12 Years Of Surveillance, Mohammed A. A. Alqumber

Saudi Medical Journal

Objective: To identify statistically significant deviations in notifiable infectious disease incidence between Al-Bahah region and national Saudi averages, and to generate hypotheses that may inform future epidemiological, microbiological, and public health investigations. Methods: In April 2026, a 12-year retrospective ecological study (2013–2024) was conducted using surveillance data from the Saudi Ministry of Health for 37 notifiable infectious diseases across 20 health regions. Cumulative incidence rates, standardized morbidity ratios (SMRs), and Z-tests compared observed cases in Al-Bahah against national estimates. Results: Overall incidence was 15.8% lower in Al-Bahah than nationally (86.42 versus 102.68; incidence rate ratios = 0.842; p …

Escherichia Coli Concentrations In Sand And Water At Tributary-Influenced Lake Michigan Beaches, Josie Elaine Kuhlman

Masters Theses

Contamination of public recreational water and sand is a human health concern, creating a management challenge for public health officials. Past research has shown that Escherichia coli can persist in sediment and can be washed into recreational water. Currently, beach monitoring practices only utilize E. coli concentrations in water samples to determine beach safety and do not consider potential exposure to sediment/sand concentrations. In this study, I investigated the relationship between E. coli concentrations in water and sand samples, which will aid public health officials in making more informed decisions about beach closures. I utilized culture-based measurements of E. coli …

Mountain Development In Nepal: Settlements, Infrastructure, And Economic Transformation, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

As Nepal urbanizes, expands infrastructure, strengthens local governments, and explores deeper connectivity with India and China, climate change is increasing floods, landslides, heat, and water insecurity. Rapid internal migration, rising disaster risks, youth outmigration, and dependence on remittances are also revealing the limits of conventional urban development, especially in the mountainous region. The central challenge for Nepal is no longer just to accommodate growing towns and cities, but to build settlements that are safe, productive, environmentally resilient, and capable of sustaining long-term prosperity.

This paper argues that Nepal's urban future must be guided by a new development paradigm centered on …

Demographic Influences On Awareness Of Speech-Language Pathology Services In The U.S., Phil Weir-Mayta, Joshua Ayala

Communication Sciences and Disorders Faculty Articles and Research

Introduction

Methods

Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

Nepal’s constitutional commitment to a “socialism-oriented” state places social justice, equitable access to resources and housing, and protection of marginalized populations at the center of national development discourse. However, persistent landlessness, informal settlements, unemployment, youth outmigration, and unequal access to infrastructure reveal a significant gap between constitutional aspirations and socioeconomic realities.

This article examines lessons Nepal can draw from Tanzania’s experience with Ujamaa, the African socialist development model initiated by President Nyerere in 1967. Using comparative policy analysis, published research, official documents, and exploratory field observations from selected Tanzanian locations, including the capital and villages in the Iringa Region, the …

States Strip Local Governments Of Authority To Govern Causing Some Rural Communities To Suffer, Terence J. Centner

Kentucky Law Journal

No abstract provided.

The New Parens Patriae, Meredith Johnson Harbach

Kentucky Law Journal

No abstract provided.

Centering As Contemplative Inquiry And Practice: Teaching, Learning, And Living In The Anthropocene, Jennifer L. Schneider

Journal of Contemplative and Holistic Education

The Anthropocene may be an inescapable trap—one unwittingly shaped by human ways of relating to self, others, and the more-than-human world. While dominant discourses surrounding this epoch often evoke fear, apocalypse, or blame, how might it also invite us, as humans, into an opportunity for more holistic and contemplative education. This paper explores “centering,” a contemplative concept and practice introduced by curriculum theorist James Macdonald (1995), as a regenerative way of engaging with the Anthropocene through lived experience. Drawing from research on a graduate-level place-based course and an arts-based, pragmatic inquiry, I explore how centering can foster attunement to place, …

A Comprehensive Review Of Hybrid Renewable Energy Systems: Integration Challenges And Optimization Strategies, Laith Jaafer Habeeb, Monaem Elmnifi, Wissam H. Alawee

Terra Joule Journal

Hybrid renewable energy systems (HRES) combine complementary renewable generators, storage and coordinated controls to reduce the variability and integration burden associated with single-source plants. This review synthesizes peer-reviewed studies, authoritative energy statistics and documented projects, with emphasis on solar–wind, hydro-coupled and multi-source configurations; storage selection; grid integration; and design and operational optimization. The evidence shows that the value of hybridization depends on resource complementarity, grid conditions, control architecture and life-cycle sizing rather than on technology combination alone. The review therefore distinguishes established findings from illustrative comparisons and avoids presenting literature-derived values as new experimental results. Six recurring implementation challenges are …

Waterfront Ecologies: Coastal Resilience And Urbanization In Cali-Baja Region, Agniya Seliuzhytskaya

McNair Summer Research Program

This research contributes to “Waterfront Ecologies,” a binational initiative addressing urbanization and climate change along the San Diego-Tijuana coastal area and watershed systems. By examining the threshold between land and water, this paper investigates the impacts of sea-level rise, coastal erosion, watershed contamination, and rapid urban development. The study employs a case-study methodology focused on coastal conditions within the Cali-Baja region. Through this framework, it reviews planning history, environmental reports, and past precedent studies. Methodologically, the project produces analytical drawings and comprehensive base maps that synthesize regional environmental systems, urban patterns, topography, hydrology, and infrastructure.

Preliminary findings reveal that post-colonial …

Illuminating Hemophilia: Distinguishing Normal And Factor Deficient Plasma Clots Via Brightfield Microscopy And A Convolutional Neural Network, Jason H. Tullis

Undergraduate Honors Theses

When blood vessels are damaged, clots formed by the protein fibrin stabilize platelets and stem active bleeding. Coagulation, the physiological process that forms fibrin clots from blood plasma, hinges on the clotting cascade, a complex network of interacting proteins. These so-called clotting factors help control fibrin polymerization and thereby coagulation. A clotting factor deficiency generally slows coagulation, resulting in bleeding disorders like hemophilia A, B or C. Diagnosing the deficient factor's identity is essential to optimal treatment. Currently, missing factors are determined in reference laboratories via specialized tests. A more accessible test could help streamline the diagnosis process--in this work, …

Wip: Developing A Generative Ai Autoethnography Assistant, Jyoti Suhag, Jennifer Drewyor, Kathryn Bugbee, Michelle Jarvie-Eggart, Lynn Albers, Leo Ureel

Michigan Tech Publications

Background: Generative AI (genAI) is transforming educational research, offering new possi-bilities for conducting interviews while local sandboxing minimizes data privacy risks and hallucinations. Purpose: This work-in-progress presents the AI Autoethnography Assistant, a project investigating how large language models (LLMs) can support autoethnographic interview design and execution. Approach: Using prompt engineering grounded in Interpretative Phenomenological Anal-ysis, paraphrasing techniques, and structured follow-up questions, we developed protocols that incorporate po-sitionality and prompt reflection on origin stories and pivotal life moments. Outcomes: Conversations conclude at the user’s discretion, with the AI generating a thematic summary. We tested refined prompts across four platforms (Gemini, Claude, …

English Language Arts Remedial Teachers’ Perspectives On Strategies To Close The Academic Achievement Gap Of Minority High School Students, Barbara Williams

Walden Dissertations and Doctoral Studies

The problem that was addressed throughout this study is that 53% of minority students do not reach proficiency on the English Language Arts (ELA) portion of the Florida Assessment of Student Thinking test compared to the 42% of other student populations at Grover High School (GHS, a pseudonym), a large and diverse high school, despite targeted school improvement interventions each school year. Grounded in Ladson-Billings’s culturally relevant pedagogy, the purpose of this basic qualitative study was to investigate ELA remedial teachers’ perspectives on reading strategies and instructional planning tools that might help minority students close the academic achievement gap. Semistructured …

Large-Scale Dna Barcoding Reveals Highly Distinct Insect Distribution Patterns Across Costa Rican Ecosystems, José A. Hernández Ugalde, Daniel H. Janzen, Winnie Hallwachs, Bert Kohlmann, Paul D.N. Hebert, Brian V. Brown, James Whitfield, José. L. Fernández-Triana, Roberto Fernández Ugalde, Eugenie Phillips Rodriguez, Ronald Zúñiga, M. Alex Smith, Dirk Steinke, Michael Sharky, Donald Quicke, Ramya Manjunath, Robert Puschendorf

School of Biological and Marine Sciences

Although insects are fundamental to understanding and conserving global biodiversity, they are vastly understudied. Here, we present a national inventory of Costa Rican insects based upon 3.78 million DNA barcodes representing 152 891 Barcode Index Numbers (BINs, proxies for species) from 28 localities sampled from 2017 to 2023 through the national BioAlfa program of Costa Rica. Although only 3.6% of BINs are linked to Linnean species, barcode-based community analyses revealed strong, consistent ecogeographic structure. Clustering of BIN data using bootstrapped Jaccard distances revealed seven distinct mainland assemblages and a distinct island cluster, shaped primarily by Costa Rica’s mountain ranges, elevation, …

Professionalizing Folklore In Latin America: Four Paradigms Of The Musician And The Coloniality Of Music Education, Matias Recharte

Visions of Research in Music Education

In this article, I discuss the professionalization of folklore and its entanglements with coloniality through an analysis of four paradigms of the musicians I encountered in conversations with students, administrators and instructors at the Escuela Nacional de Folklore Jose Maria Arguedas in Lima, Peru. I contrast two pairs of paradigms, the empírico with the académico and the chivero with the professional in order to show how the “professional folklore musician” is constructed through similarities and differences with these paradigms. For my analysis, I use a coloniality theory framework (Casto-Gomez, 2021; Quijan, 1980, 2000, 2007; Segato 2011, 2022) which considers social …

The Shorthorn: February 21, 1986

The Shorthorn Newspaper Collection: 1980s

No abstract provided.

The Shorthorn: February 13, 1986

The Shorthorn Newspaper Collection: 1980s

No abstract provided.

The Shorthorn: November 14, 1985

The Shorthorn Newspaper Collection: 1980s

No abstract provided.

Perceiving A Competitor: Culture And Cognitive Biases Of The Strong Enemy And The Pacing Threat, Allison Abbe

Books, Monographs & Collaborative Studies

The United States and China are prone to systematic cognitive and cultural biases that distort their mutual perceptions. Addressing these biases through cultural education and professional development is essential to overcoming blind spots in understanding the United States’ primary competitor. By applying dynamic constructivist theories from cross-cultural psychology to national security, this monograph builds on existing scholarship to reveal specific cognitive asymmetries between Western and East Asian observers. Differences such as holism, dialecticism, social inference, and perspective taking reflect the cultural lenses through which security actors perceive their competitors’ actions and intentions, but US observers often overlook the cultural factors …

Effective Strategies Small Business Owners Use To Sustain Their Businesses During Periods Of Disruption, Tracey Starr Moon

Walden Dissertations and Doctoral Studies

Small businesses experience significant challenges sustaining operations during periods of disruption, including economic uncertainty, natural disasters, supply chain interruptions, and other environmental changes. This is a concern for small business owners because disruptions can reduce revenue and strain limited financial and operational resources, putting their continued survival at risk. Grounded in the resilience theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies small business owners use to sustain their businesses during times of disruption. The participants were six small business owners in the southern United States. Data were collected through semistructured interviews and …

Interpreting Continuous Glucose Monitoring Through Metabolic Physiology: A Framework For Precision Nutrition In Type 2 Diabetes, Jitendra D. Belani

College of Pharmacy Faculty Papers

Background: Type 2 diabetes is characterized by substantial interindividual variability in postprandial glucose responses, yet continuous glucose monitoring (CGM)-derived glucose patterns are commonly described using quantitative metrics without sufficient consideration of the physiological mechanisms that generate them. Objective: To develop a physiology-based framework for interpreting CGM-derived glycemic phenotypes in relation to dietary exposures and individual metabolic characteristics, thereby supporting precision nutrition in adults with type 2 diabetes. Methods: A structured narrative review of the literature was conducted using PubMed to identify studies examining CGM, postprandial glucose regulation, dietary exposures, metabolic physiology, and precision nutrition. Evidence was synthesized within a predefined …

Lessons Learned For The Independent Panel For Evidence For Action Against Amr From Previous International Science Panels: Stakeholder Views From The 2025 Lagos Workshop, Iruka N. Okeke, Anthony Mcdonnell, Ayodele A. Akinyele, Javier Guzman, Kevin Outterson

Faculty Scholarship

In September, 2024, the UN General Assembly assigned the Quadripartite Joint Secretariat on Antimicrobial Resistance (AMR) the task of establishing an Independent Panel for Evidence for Action against AMR (IPEA). To promote stakeholder views and input around the constitution and functioning of this Panel, which could feed into the Quadripartite Joint Secretariat’s consultation process, we independently commissioned seven papers to examine the lessons that could be learned from other high-level scientific panels. We then convened 85 stakeholders, primed with the background papers. The Workshop, held in Lagos, Nigeria in April, 2025, drew representation from around the world, particularly low-income or …

Pluto's Arrival, Salarah Seymour

Digressions: Literary & Art Journal

No abstract provided.

An Architecture Of Vanishing: Toward A Protocol Of Archival Disappearance, Edgardo Civallero

Journal of Contemporary Archival Studies

This article rethinks the preservationist reflex that equates archival care with permanence. Drawing on post- and decolonial theory, it provincializes endurance as a historically situated ideal and foregrounds global traditions where disappearance, opacity, and cyclical renewal structure memory. It reframes vanishing as custodianship rather than neglect, introducing a taxonomy of protocols of epistemic disappearance—temporal, spatial, relational, semantic, and material—and a grammar of vanishing that operationalizes them as design tools. Extending to institutions, it outlines seasonal, dismantling, shadow, and nomadic archives as forms that measure success by their capacity to end well. A concluding framework articulates five principles—vanishing as care, duration …

Who Controls The Block? How States Can Regulate Tokenized Residential Real Estate, David J. Reiss, Joseph Bizub, Justin Peralta

Cornell Law Faculty Working Papers

In July 2025, the City of Detroit filed a major nuisance abatement action against RealT, a fintech that had sold blockchain-based fractional interests in more than four hundred Detroit rental properties to some 22,000 investors around the world. Within a year, a court had ordered the company’s rents into escrow, the company had conceded to its investors that its “model no longer works,” and it had announced the liquidation of its portfolio -- leaving tenants without basic services and token holders facing steep losses.

This article uses the rise and collapse of RealT, together with case studies of the other …

Full Issue - Maya America V8, I1, Maya America Editors

Maya America: Journal of Essays, Commentary, and Analysis

Includes Cover Art and Table of Contents

Geographic Origins Of Mam Interpretation Encounters At La Clínica De La Raza Fruitvale Village In Oakland, California: Informed By A Survey-Based Study, Anibal Pablo

Maya America: Journal of Essays, Commentary, and Analysis

This study examined the geographic origins of Mam Maya who sought interpretation services at La Clínica de la Raza’s Fruitvale Village Pediatrics department in Oakland, California. Between February 22 and September 6, 2024. The results showed that 95% of interpretation encounters involved respondents from three municipalities – Todos Santos Cuchumátan, San Juan Atitán, and Santiago Chimaltenango – located within the Sierra de los Cuchumatanes region of western Guatemala. This concentrated pattern suggests that the Fruitvale Mam community is largely rooted in a specific set of municipalities whose linguistic variants and cultural practices have important implications for interpreter training and healthcare …