Digital Commons Network^™

The Experience Of Homelessness Among Older Adults In Bhutan - A Narrative Inquiry Study, Phuntsho Om

Theses: Doctorates and Masters

A shift in the demographics of homelessness started to occur in the 1900s, with a significant increase in the number of middle-aged or elderly men and women being recognised as a part of the homeless population. The rising urgent global concern of homelessness of older adults necessitates a deeper understanding of the lived experience and holistic well-being of these marginalised adults. This thesis aimed to explore the phenomenon of homelessness of older adults in Bhutan, which is an often neglected topic in both national and international gerontological research.

Employing narrative inquiry within the constructivist approach as articulated by Pino Gravidia …

Lidar-Based Point-Cloud Human Modeling: Pose Estimation, Body-Parts Segmentation, 6g Localization, And Applications, Omar Rinchi

Doctoral Dissertations

"The human body represents a rich source of physiological and behavioral information, where precise analysis of anatomy, body parts, 3D pose, and motion enables cross-disciplinary precision applications. This dissertation formulates this challenge as a human modeling problem, where proposed algorithms convert the human body into a three-dimensional digital twin capturing anatomical structure and pose. These representations are further analyzed using additional algorithms to enable precision applications. To realize this vision, LiDAR sensing is adopted due to its privacy-preserving nature, robustness to lighting conditions, color-blind sensing characteristics, and decreasing cost.

Human modeling using LiDAR is challenging due to sparse, irregular, and …

Increased Risk Of Alzheimer Disease–Associated Mortality In Nonobese Vs Obese Metabolic Dysfunction–Associated Steatotic Liver Disease: A 30-Year National Cohort Study, Sarpong Boateng, Guy Loic Nguefang, Mexan Mapouka, Ridwan Lawal, Solomon Gyabaah, Bright Nwatamole, Amita Kasar, Selom Adatsi, Basile Njei

School of Medicine Publications

Background and aims: Metabolic dysfunction-associated steatotic liver disease (MASLD) is increasingly recognized for its extrahepatic consequences, including emerging links to neurodegenerative disorders such as Alzheimer disease (AD). Whether AD mortality risk differs across MASLD phenotypes, remains unclear.

Methods: We analyzed adults from the Third National Health and Nutrition Examination Survey (1988-1994) with mortality follow-up through 2019 via the National Death Index. Participants were followed for AD mortality. Cumulative incidence was estimated using Kaplan-Meier methods. Cox proportional hazards models evaluated MASLD phenotypes and AD mortality, adjusting for age, sex, race/ethnicity, poverty-income ratio, body mass index, and smoking status.

Results: Among 7125 …

Gvsu Undergraduate And Graduate Catalog 2026-2027, Grand Valley State University

Course Catalogs, 1963 - Current

Grand Valley State University 2026-2027 undergraduate and graduate course catalog. Course catalogs are published annually to provide students with information and guidance for enrollment.

Preventing G/J Tube Dislodgement: A Device And Communication Innovation, Sarah Clark

2026

The Problem
G/J tube dislodgement is a frequent complication in pediatric patients
Leads to:

• Emergency department visits
• Hospital admissions
• Delays in nutrition/medication

Impact on Patients & Families:

• IV placement (traumatic)
• Radiation exposure
• Overnight hospital stays

Impact on Nurses & System:

• Increased workload (admissions, coordination)
• Occupied inpatient beds for stable patients
• Inefficient care processes

Aims/Objectives
Aim: Reduce unplanned G/J tube dislodgements and related hospital utilization.
Objectives: Develop a breakaway connector prototype

Implementation and Evaluation
Setting: Pediatric inpatient & outpatient system
Participants: Nurses (bedside, GI, IR), caregiver, innovation team
Process:
Roundtable discussions → identified workflow gaps
Communication/workflow audit
Developed device …

Clinical Microbiology & Infectious Diseases: A Concise Guide On The Fundamentals Of Infectious Disease In Podiatric Medical Education, Paramita Basu

Open Touro Created

2026

This Open Educational Resource (OER), Clinical Microbiology & Infectious Diseases, is a student-centered textbook designed to support pre-clinical podiatric medical students enrolled in PCLP 610 Infectious Diseases at the New York College of Podiatric Medicine. The book is structured as a collection of concise “chapter briefs” or high‑yield notes that align closely with the course syllabus, lecture objectives, and student learning outcomes, while also reflecting the Microbiology learning objectives outlined in the AACPM Council of Faculties Curricular Guide.

The content covers core principles of medical microbiology and infectious diseases, including bacteria, viruses, fungi, parasites, host–pathogen interactions, antimicrobial therapy, resistance …

Dietitian-Led Nutrition Care Across The Cellular Therapy Continuum Supports Weight And Strength Recovery, Ashley Pagano Ms, Rdn, Ldn, Samantha Okerson Rdn, Erin Levine Rd, Cso, Ldn, Deanna Yerg Ms, Rdn, Ldn

Clinical Nutrition Service

No abstract provided.

High-Osmolality Medication Exposure And Length Of Stay In Icu Patients With Rectal Tubes, Kimberly Cephas Ms, Rdn, Ldn, Rachel Geosits Ms, Rdn, Cnsc, Ldn, Matthew Fair Pharmd, Hope Kincaid Mph, Cph, Alison Sutter Mph

Clinical Nutrition Service

No abstract provided.

Reinterpreting Stochastic Optimal Control Under Ecological Uncertainty: Inferring Decision Urgency From Vegetation Biomass Dynamics, Komi Mensah Agboka, Tobias Landmann, Elfatih M. Abdel-Rahman

All Peer-Reviewed Publications

Stochastic optimal control provides a rigorous framework for systems subject to uncertainty, yet its operational use in ecological crisis contexts remains limited by interpretability. We reinterpreted a stochastic control formulation in which selected parameters emerged as indicators of decision urgency rather than normative preferences. Vegetation biomass was modeled as a stochastic stock subject to nonlinear loss driven by feeding pressure (e.g., desert locust activity) and multiplicative noise, with uncertainty represented by a time-varying volatility term that integrated extreme rainfall anomalies and conflict-related disruption. Rather than prescribing an optimal policy, we inverted the closed-form solution of the control problem to infer …

Fumigant Toxicity Of Essential Oils From Chemotypes Of Curry Tree (Murraya Koenigii) Against Adult African Malaria Mosquito (Anopheles Gambiae Sensu Stricto), Clarence M. Mang’Era, Fathiya M. Khamis, Ahmed Hassanali, Paul O. Mireji

All Peer-Reviewed Publications

The toxicity of fumigant formulations of essential oils (EOs) from curry tree (Murraya koenigii (L.) Spreng (Rutaceae)) against African malaria adult mosquito (Anopheles gambiae sensu stricto (Giles, 1902) (Diptera: Culicidae: Culicini)) was evaluated to identify most effective chemotype of the curry tree against the mosquitoes. Ninety-two compounds (91.78%–96.47% coverage) in the EO profiles were identified, among which EO isolated from curry tree chemotype from Kibwezi was most toxic. This chemotype had a median lethal dose (LD50) of 3.6 × 10⁻³ mg/cm³ (95% CI: 2.70–4.58) and a lethal time (Ti50) of 1.91 ± 0.086 h (p < 0.001). The equivalent LD50 of EOs of chemotypes from Mombasa, Makindu, and Malindi in Kenya was 4.9 × 10⁻³, 6.6 …

Fundamental Rights Betrayed: How Pregnancy Exclusions In Advance Directive Statutes Silence Pregnant People’S Wishes, Molly Hill

American University Journal of Gender, Social Policy & the Law

INTRODUCTION: In 2013, Marlise Muñoz collapsed at her home and was rushed to the hospital, where the doctors informed her family that she had suffered a pulmonary embolism and was now brain-dead. Marlise had previously expressed to her family that she never wished to be kept on life support if she was left brain-dead, so her family wanted to honor her wishes. However, despite her irreversible brain death, because Marlise was fourteen weeks pregnant, Texas law required that her body remain on life-sustaining treatment until her fetus became viable. Her body lay in the hospital hooked up to machines against …

Optimization Of Roasting Conditions Of Salak Seed As Coffee Substitute And Its Physicochemical Properties, Aqilah Basir, Siti Roha Ab Mutalib, Wan Saidatul Syida Wan Kamarudin, Syed Abdul Illah Alyahya, Junaidah Mat Jusoh, Adi Md Sikin

Baghdad Science Journal

The growing attention towards utilizing salak seeds as a substitute for coffee has increased due to the presence of caffeine and its health-enhancing properties. The present study aimed to determine the optimum roasting conditions for salak seed coffee (SSC) with high total phenolic content (TPC) and desirable lightness (L*) using response surface methodology (RSM). Regular SSC was produced at optimal roasting temperature and time of 189.36 °C and 39.54 min, respectively. An instant SSC was produced by hot water extraction at 90∘C of regular SSC, followed by freeze drying. Physicochemical and antioxidant properties of regular and instant …

Roasting-Dependent Changes In Antioxidant Activity And Metabolite Profiles Of Coffea Liberica: Unraveling Bioactive Compounds And Their Functional Properties, Nuratikah Abdullah, Lay Kek Teh, Mohd Zaki Salleh, Mohd Salleh Rofiee, Lay Jing Seow, Eleena Mohd Yusof, Ye Han Sam, Eng Keng Seow

Baghdad Science Journal

Coffea liberica, despite its high antioxidant activity reported in the green bean, has had limited research in the literature on changes in metabolite profiling across different roasting levels. Therefore, the objective of the present study was to evaluate the antioxidant activity and metabolite profiling of the green beans and various roasting levels of Coffea liberica brew using multiple antioxidant assays namely (total phenolic content, total flavonoid content, 1,1-Diphenyl-1-picrylhydrazyl, ferric reducing antioxidant power, 2,2’-azinobis(3-ethylbenzothiazoline-6-sulfonic acid), and hydrogen peroxide scavenging activity) and liquid chromatography mass spectrometry coupled with quadrupole time-of-flight (LC/MS-QTOF), respectively. Notably, light-roasted coffee brew retained the highest antioxidant activity …

Development Of 4-Vinylbenzyl Chloride (Vbc) Grafted Onto Branched Polyethylenimine (Pei) Onto Bacterial Cellulose Sheet By Gamma-Induced Irradiation Technique For Cu Ion Adsorption, Methinee Wongwai, Supitchaya Kulratkitiwong, Thitirat Rattanawongwiboon, Sarute Ummartyotin

Journal of Metals, Materials and Minerals

Bacterial cellulose extracted and purified from Nata de coco was employed as a platform for Cu2+ ion adsorption. 4-vinylbenzyl chloride (VBC) was successfully grafted at the hydroxyl position by using gamma irradiation. The optimum was typically related to VBC concentration of 2% (v/v) and a radiation dose of 50 kGy. FTIR significantly reported the functional group of C-Cl related to VBC. No change of crystallinity and morphology was observed. The thermal decomposition was stable up to 200℃. The modification of branched polyethylenimine (PEI) was prepared in order to change the functionality to N‒H stretching. This was expected to adsorb Cu2+ …

Controlled Release Of Holy Basil Essential Oil Nanoemulsion Encapsulated In Gelatin/ Carboxymethyl Cellulose Hydrogel For Wound Care, Shehbaz Ameer, Pranut Potiyaraj, Tu Minh Tran Vo

Journal of Metals, Materials and Minerals

Holy basil essential oil (HBEO) is a therapeutic agent recognized for its antioxidant, anti-inflammatory, and wound-healing properties. However, its clinical use is limited by poor aqueous solubility, volatility, and instability. Nanoemulsion (NE) is an effective strategy to overcome these limitations. In this study, 1% HBEO in 0.5% polyvinyl alcohol (PVA) aqueous solution formulation yielded nanosized droplets (182±3 nm, PDI = 0.286) and showed sustained release, with 92% drug release over 30 h, compared to the rapid release for 1% HBEO in pure water. To further enhance stability and biocompatibility, the HBEO nanoemulsion (HBEONE) was incorporated into a glutaraldehyde (GA) crosslinked …

Examining Developmental Outcomes And Follow-Up Engagement Among High-Risk Preterm Infants In A Diverse Urban Nicu Program, Madyson Kolbes

PCOM Psychology Dissertations

Preterm infants are at elevated risk for developmental delays across cognitive, language, and motor domains, yet factors associated with engagement in NICU follow-up care remain poorly understood, particularly in diverse, urban populations. This study examined developmental outcomes at initial NICU follow-up and explored factors associated with follow-up completion among high-risk preterm infants. Participants included 174 infants enrolled in a hospital-based NICU follow-up program who completed an initial developmental screening using the Bayley Scales of Infant and Toddler Development, Fourth Edition Screener (Bayley-4 Screener). A subset of 58 infants completed a second screening visit. Binary logistic regression was used to examine …

Paternal Age Is Associated With Offspring Bone Health—But Not Soft Tissue Composition Or Fracture: The Vitamin D In Pregnancy Study, Mia A. Percival, Kara B. Anderson, Julie A. Pasco, Marc Sim, Sarah M. Hosking, John D. Wark, Natalie K. Hyde

Research outputs 2022 to 2026

Summary: Emerging evidence suggests that paternal health may be associated with offspring later life heath. In this study, advanced paternal age at childbirth was associated with poorer offspring bone mineral density and content at age 11 years. These findings suggest that paternal age may impact childhood musculoskeletal development, warranting further investigation. Introduction: Maternal health during pregnancy is known to impact offspring’s later life health. However, emerging evidence suggests that paternal factors may also be important. Advanced paternal age is associated with poorer offspring outcomes, yet few studies assess musculoskeletal outcomes. This study investigated the association between paternal age at childbirth …

College Students’ Use Of Cell Phones And Their Level Of Attention To Academics, Social Relationships, And Health, Nicole L. Istvan

West Chester University Graduate Theses, Dissertations, and Final Projects

This research utilized a single case study design to examine how college students, ages 18–24, perceive their attention in relation to cell phone use within academic, social, and health-related contexts. The case was bound by undergraduate students enrolled at a public university in the northeastern United States, referred to as Tapaton University. The study employed multiple sources of data to support triangulation and credibility, while providing an in-depth exploration of a complex, real-world phenomenon.

Following Institutional Review Board approval, participants were recruited through community flyers, social media outreach, and snowball sampling. Data collection included observational field notes, a quantitative survey, …

Bridging Vision And Practice: A Case Study Of Educator Perceptions Within The Community School Model, Jessica M. Riedel

West Chester University Graduate Theses, Dissertations, and Final Projects

Guided by a qualitative collective case study employing two focus groups and six individual interviews, this dissertation in practice examined educator and community school specialist perceptions of the community school model and sought to understand how those perceptions inform the district’s approach to teaching and school operations. Findings indicated a genuine desire to make the community school model successful for students within the buildings but also emphasized a lack of role clarity and professional development opportunities, misconceptions around the model, and siloing within different programs in the schools. These results highlight the need for more communication within districts and schools …

School-Based Mental And Emotional Support For Urban Students Experiencing Traumatic Loss, Britney Daniel-Harris

West Chester University Graduate Theses, Dissertations, and Final Projects

This study explores the perception of educational staff members on school-based mental and emotional resources for urban students experiencing traumatic loss. With increased levels of research centered on enhancing training protocols to educate teachers on identifying, supporting, and guiding traumatic care through evidence-based resources, there is an opportunity to understand their experiences by hearing their voices through a narrative inquiry qualitative research design. The Substance Abuse and Mental Health Services Administration (SAMHSA) has six principles of a trauma-informed environment, which were utilized to analyze participant stories. Five teachers, one social worker, and one special education leader participated in one-on-one interviews …

January 2026, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

• Tired of Failing New Year's Resolutions? Try "Health Esteem" instead.
• January Health Tips
• Route 66 Walking Challenge

Navigating Prediabetes In A Foreign Country: A Qualitative Study Of Self-Management Experiences Among Chinese-Speaking Immigrants In Australia, Min Zhang, Kirsten J. Coppell, Johnny Lo, Lisa Whitehead

Research outputs 2022 to 2026

Aim: Chinese-speaking immigrants in Australia have a higher risk of type 2 diabetes and face more barriers to accessing quality healthcare compared to non-culturally and linguistically diverse populations. This study aimed to explore the self-management experiences of Chinese-speaking Australians with self-reported lived experience of prediabetes following immigration. Design: Qualitative study. Methods: Semi-structured interviews were conducted with 10 purposively selected Australian Chinese-speaking immigrants aged over 40 years. Data collection was undertaken in Perth, Western Australia between April and August 2024. Data were analysed using reflexive thematic analysis. Results: Three themes are presented in this paper: (1) An acculturation journey: Reshaping cultural …

The Politics Of Survival: South-South Migration, Urban Informality, Governance, And The Food Security Nexus In Nairobi, Kenya, Zack Ahmed

Theses and Dissertations (Comprehensive)

This dissertation contributes to the scholarship on South-South migration by integrating food security into the analysis of urban governance and migrant livelihoods in Sub-Saharan Africa. While migration and development have been widely examined, their connection to food systems remains underexplored, particularly in urban settings where informality, displacement, and transnational mobility converge. The research addresses this gap by investigating how Somali migrants and refugees in Nairobi’s Eastleigh navigate food insecurity within overlapping systems of governance, inequality, and transnational exchange. It explores three dimensions: the structural and socio-economic determinants of migrant household food insecurity, the impact of the COVID-19 pandemic as a …

Investigation Of Mercury Bioaccessibility In Subsistence Fishes From The Canadian Subarctic, Kiran Mateo Sharma Mr

Theses and Dissertations (Comprehensive)

Fish consumption is the primary pathway for human exposure to methylmercury (MeHg), a global contaminant of concern known to cause adverse health effects. Fort Albany First Nation, a remote Indigenous community in northern Ontario that relies on fish for both subsistence and cultural practices, has expressed concern regarding the safety of local fish consumption. Community members and leaders have communicated several priorities for scientific research that are the foundation of this thesis. Specifically, consumers of wild-caught fish have asked how traditional cooking methods may affect mercury concentrations in fish, and how mercury concentrations in little-studied organs, such as liver and …

Examining Firefighter Perceptions Of Stress And Recovery Across A Shift And Engagement In Recovery Activities, Nathan T. Ebersole

College of Graduate Studies: Theses & Dissertations

The occupational demands of firefighting, such as fire suppression and rescue tasks, working in hazardous conditions, inconsistent sleep patterns, and exposure to traumatic events, can lead to work-related injuries, burnout, and feelings of isolation. To date, there is limited research on the impact of a single work-shift on firefighter perceptions of stress and recovery and the recovery activities that may influence these perceptions. Thus, the purpose of this study was to examine the effect of a single work-shift on firefighter perceptions of stress and recovery status as well as the recovery activities firefighters choose to engage in. Forty-three firefighters across …

Intravenous Infusion Of Nicotinamide Adenine Dinucleotide (Nad+) Versus Nicotinamide Riboside (Nr): A Retrospective Tolerability Pilot Study In A Real-World Setting, Kirsten Reyna, Greer Heinzen, Nikita Patel, Marie Ritter, Alexandra Siojo, Henry Legere, Rachele Pojednic

Research outputs 2022 to 2026

Background: Nicotinamide adenine dinucleotide (NAD⁺) is a cofactor for NAD⁺-dependent enzymes that regulate DNA repair, cellular metabolism, and immune function. Supplementation with NAD⁺ and its precursors is commonly used to prevent age-related disease and extend healthspan. Commercial clinical and wellness settings increasingly provide intravenous (IV) NAD⁺ and nicotinamide riboside (NR) despite limited evaluation of safety and effectiveness. These considerations are important, as NAD⁺ and its precursors differ in reported side effects, cellular uptake, and metabolism. This study sought to compare commercially administered NAD⁺ IV and NR IV in humans by evaluating infusion …

Diagnosing The Discourse: How The Academy Of Breastfeeding Medicine Constructs And Constrains Treatment Of Tethered Oral Tissues, Mary E. Miller

Antioch University Dissertations & Theses

While breastfeeding is recognized as fundamental to global public health, oral restrictions that can affect infant latch, milk transfer, and feeding efficiency warrant further examination within policy frameworks. This dissertation proposes an expanded conceptualization of tethered oral tissues (TOTs) that encompasses not only anatomical frenal restrictions but also fascial tensions, neuromuscular limitations, and other conditions restricting orofacial function that may be congenital or acquired. The purpose of this study was to critically examine how this clinical guidance document shapes understandings and responses to TOTs. Using Carol Bacchi’s “What’s the Problem Represented to Be?” approach, a critical discourse analysis of the …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Decolonizing Teacher Mindsets With Precolonial Worldview Precept Reflection And Transformation, Gabriela Armendariz

Antioch University Dissertations & Theses

Colonial education systems, rooted in Western epistemologies, have perpetuated a legacy of settler colonialism that continues such problems as environmental disconnection, inequality, and power dynamics that disadvantage marginalized and Black, Indigenous, People of Color (BIPOC) communities. While decolonizing education has generally been about critically examining how entrenched colonial practices shape curricula, teaching methods, and institutional policies, the emphasis of my proposed study is a focus on contrasting precolonial (Indigenous) worldview precepts, using the contrasting but non-dualistic worldview chart created by Four Arrows and Darcia Narvaez (Wahinkpe Topa [Jacobs], 2024). In partnership with K-12 educators from major school districts across the …

External Impacts On Internal Accounting, Maggie E. Boswell

Honors Theses

This thesis examines how external economic, legal, political, and consumer pressures can affect internal operations, accounting, and audit risk, using PepsiCo, Inc. as a case study. The analysis draws on PepsiCo’s annual reports and Form 10-K, company disclosures, government materials, and business and news sources. Attention is given to the Make America Healthy Again initiative, changing health expectations, food regulation, tariffs, and sustainability concerns. The analysis finds that these pressures could increase research and development, production, inventory, legal, and supply-chain costs while also creating opportunities for PepsiCo to expand healthier products and sustainable practices. These operational changes may also increase …