Digital Commons Network^™

Assessing The Reliability Of Machine Learning Models In Classifying Depression Severity Using Facebook Text, Keito Yoneyama

Chulalongkorn Medical Journal

Depression is a growing global issue that requires urgent attention, particularly in Thailand. Without timely intervention, it can lead to serious consequences such as health complications, reduced social participation, and even suicide. Consequently, there has been increased research focused on developing algorithms to identify and classify social media data according to depression severity. This study aimed to evaluate the extent to which such algorithms are a suitable tool for the preliminary classification of Thai Facebook text into different levels of depression severity. The methodology involved data collection through surveys and Facebook scraping, followed by data preprocessing, feature engineering, and model …

The Normative Status Of States' Obligations To Mitigate The Climate Crisis: Implications For The Right To Adequate Housing, Erna Dyah Kusumawati, Sasmini Sasmini

Padjadjaran Jurnal Ilmu Hukum (Journal of Law)

The convergence of the global climate crisis, pursuant to the UNFCCC Paris Agreement and its implementing protocols as well as the fundamental right to housing has fundamentally disrupted established legal paradigms, necessitating a rigorous re-examination of the normative status of state obligations. This paper examines the scope of governmental responsibility to mitigate climate-induced threats to housing security. Drawing upon international human rights frameworks and contemporary legal discourse, the study interrogates the complex friction emerging at the intersection of environmental mandates and housing protections. Through a systematic analysis of the existing literature and recent developments in the international climate change framework, …

Tracking Toward Zero: Implementing A Picc Team Tracker To Prevent Clabsis, Christian Justin Carreon

Master's Projects and Capstones

Problem: Central line-associated bloodstream infections (CLABSIs) remain a significant and preventable patient safety concern in acute care settings, contributing to increased morbidity, mortality, prolonged hospitalization, and substantial healthcare costs.

Context: At Hospital A, a tertiary referral center in Northern California, six adult CLABSIs were identified between June and December 2025 following an eight-month CLABSI-free period. Four events occurred in adult medical surgical telemetry. All peripherally inserted central catheter (PICC) line CLABSIs were attributed to gaps in maintenance bundle adherence and the lack of a standardized, real-time tracking mechanism for the PICC Team.

Interventions: A PICC Team Tracker was implemented as …

Moralized Indulgence In The Age Of Inflation: How “Better-For-You” Dessert Brands Reframe Pleasure As Self-Care, Dariya Savrukova

Honors College Theses

In the modern U.S. food landscape, the line between indulgence and wellness has nearly disappeared. The booming “better-for-you” dessert industry, owned primarily by multinational giants such as Mondelēz International, PepsiCo, and Mars Inc., reframes high-sugar, high-calorie treats as acts of self-discipline or self-care. This phenomenon is often referred to as “healthwashing” (Tufts Health & Nutrition Letter, 2022), when through verbal and visual language, these companies transform indulgence into moral consumption, inviting consumers to feel virtuous through consumption. Many consumers crave stability and health, but navigate an environment saturated with manipulative design and ambiguous claims. “Better-for-you” branding exploits this gap by …

Do Dynamic Capabilities Moderate The Effect Of Managerial Attitudes On E-Marketing Adoption? Evidence From Small And Medium Tourism Enterprises In Zanzibar, Hilal Maabad Ame, Omari Khalifa Mbura, Amani Gration Tegambwage

Business Management Review

This study examines the influence of managerial attitudes and dynamic capabilities on e-marketing adoption among Small and Medium Tourism Enterprises (SMTEs) in Zanzibar. Grounded in the Decomposed Theory of Planned Behaviour (DTPB) and Dynamic Capabilities Theory (DCT), the study tests the effects of perceived ease of use, perceived usefulness, compatibility, and perceived security on e-marketing adoption, with dynamic capabilities examined as a moderating factor. Data were collected from 216 SMTEs operating in the Urban and South Regions of Zanzibar and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicate that perceived ease of use and perceived security …

The Effect Of External Auditors’ Competence And Independence On The Cost-Saving Of Audit Recommendations: Evidence From Tanzanian Local Government Authorities, Lenatusi Leonard L. Munyangabi, Henry Zeno Chalu, Keregero M. Chirongo

Business Management Review

This study examined the effect of external auditors’ competence and independence on the cost-saving of audit recommendations among Tanzanian Local Government Authorities (LGAs). Persistent non-implementation of audit recommendations in developing countries raises concerns regarding the extent to which audit reports contribute to fiscal prudence and resource efficiency. Grounded in the Theory of Inspired Confidence and Stewardship Theory, the study hypothesized that competent and independent auditors enhance the cost-saving potential of audit recommendations. A descriptive-explanatory design was employed, involving 345 respondents drawn from 126 selected LGAs. Data was collected using structured questionnaires and analyzed through multiple regression analysis. Both independent variables …

Beyond The Binary: Strengthening Nursing Students’ Proficiency Of Equitable Health Promotion, Martha K. Findley

Theses

Background: Sexual and gender diverse (SGD) populations continue to experience significant health inequities, yet prelicensure nursing curricula often lack structured, evidence‑based training to prepare students for equitable care.

Purpose: This study evaluated whether a targeted, transgender‑focused simulation could improve nursing students’ clinical knowledge and preparedness for providing equitable health promotion to SGD populations.

Methods: A pre‑/post‑intervention design was used with senior‑level nursing students who completed a transgender patient simulation emphasizing communication, assessment, and equitable health promotion. Students completed a validated survey measuring knowledge and preparedness in caring for SGD patients.

Results: Significant improvements across most survey items demonstrated that the …

Gender Inequality In Political Participation: Focusing On Social Structure, Legal Instrument, And Social And Cultural Change, Eakpant Pindavanija

Indonesia Law Review

The transition of Thailand's political system from absolute monarchy to parliamentary constitutional monarchy in 1932 brought about opportunity in developing democratic society in this country. However, 90 years after the political transition Thailand is still struggling to pursue democratic stability while the degree of authoritarianism is very high due to several political, economic, and social factors. This circumstance raises concerns on the democratic development in this country. This paper is written based on Westminster Foundation for Democracy (Thailand)’s preliminary report on situation analysis of gender equality for the female and other genders who are the candidates, and potential candidates to …

Representasi Identitas Dan Gastronomi Budaya Kuliner Jawa Dalam Lima Lagu Karya Ki Narto Sabdo, Aditya Pratama, Darmoko -, Ari Prasetiyo, Dwi Woro Retno Mastuti

Paradigma: Jurnal Kajian Budaya

Culinary is not just food and drink, but has transformed into a study of culinary gastronomy which focuses on aspects of history, values, philosophy, taste and components. The study of the problems discussed in this research is related to the cultural identity of Javanese culinary gastronomy in the five songs by Ki Narto Sabdo. Descriptive qualitative research methods with an objective approach were applied in this research. This research uses Santich's culinary gastronomy theory and Stuart Hall's theory of cultural identity representation with a constructionist approach. As a result, the representation of Javanese culinary gastronomic cultural identity is built on …

Transmutation Of Psychological Phenomena (Academic Burnout And Fomo) Into Cyanotype Art Creation, Zulfan Ali Mujtaba, Adi Kuntoro

Paradigma: Jurnal Kajian Budaya

The pressure of hustle culture and the Fear of Missing Out (FOMO) in the digital era have triggered an escalation of academic burnout among students, demanding alternative psychological recovery interventions beyond verbal clinical approaches. This research aims to explore the creation of alternative Cyanotype photography as a medium for catharsis and resistance against toxic productivity. Utilizing a Practice-Based Research methodology with an autoethnographic approach, data were extracted from the researcher's subjective experiences and transmuted into a visual artifact titled "Metamorfosis yang Lelah". The cultural studies approach and wabi-sabi aesthetics are specifically applied to analyze visual elements in the Prussian Blue …

The Experience Of Bipoc Participants In Wilderness Therapy, Rachel Esrig

Doctoral Dissertations

Wilderness therapy is an alternative to residential treatment for adolescents and young adults. Although these programs predominantly serve White-identifying individuals, a proportion of participants identify as Black, Indigenous, and/or People of Color (BIPOC). Research has shown that race and ethnicity shape individuals’ experiences with mental health treatment; however, no studies to date have specifically explored the experiences of BIPOC individuals in wilderness therapy programs. This qualitative study addresses that gap by examining the experiences of BIPOC individuals who participated in wilderness therapy during adolescence. Using an interpretive phenomenological approach, nine themes emerged from the data. Findings suggest that participants’ levels …

Resilience Ain’T Free: Surviving And Resisting While Navigating Well-Being As Black School Social Workers In California’S Bay Area, Ashley Lynnette Bonton

Doctoral Dissertations

The well-being of school-based mental health professionals is critical to the functioning of educational systems, yet the experiences of Black school social workers remain largely absent from existing research. Black school social workers often navigate complex professional demands while also confronting racialized expectations, systemic inequities, and emotional labor within predominantly white educational institutions. This qualitative study examines how Black school social workers in the San Francisco Bay Area navigate their personal and professional well-being within these conditions. Guided by Ecological Systems Theory and Critical Race Theory, this study explores how multiple environmental contexts and racialized institutional dynamics shape their experiences. …

Responding To Medetomidine In Philadelphia: Narrative Summary Of The Public Health Response To A New Psychoactive Substance, Tareva Warrick-Stone, Serge-Emile Simpson, Phil Durney, Dennis Goodstein, Catherine Abrams, Raymond Bobb, Kory London, Daniel Teixeira Da Silva

Division of Internal Medicine Faculty Papers & Presentations

BACKGROUND: Despite the emergence of medetomidine as the dominant adulterant in Philadelphia's illicit opioid supply, coordinated public health responses are limited or non-existent in the literature. Thus, we summarize a recent Summit in Philadelphia of outpatient and inpatient service providers who specialize in the care of persons who use drugs to discuss medetomidine response readiness and building ongoing community readiness for potential destabilizing drug supply changes.

PURPOSE: Describe a public health intervention that distributed information about practices across health care settings and mobilized key informants to identify and address barriers to treatment.

METHODS: Descriptive summary of the in-person Summit organized …

Beyond Monolithic Narratives: The Interaction Of Ethnic-Racial Socialization And Resistance In Shaping Mental Health Among Black Immigrants In The U.S., Krystel Francis

Graduate Masters Theses

Black immigrants represent one of the fastest-growing segments of the U.S. Black population, yet their unique racialized and cultural experiences remain understudied within psychological research. This thesis examined how ethnic-racial socialization and resistance and empowerment against racism can influence how race-related stress was associated with psychological distress among Black immigrants in the United States. This study tested a moderated moderation model to determine whether ethnic-racial socialization and resistance and empowerment against racism, independently and jointly, buffered the adverse effects of race-related stress on psychological distress. Using data from a larger IRB-approved study on racism and mental health among people of …

Urinary Collagen As An Indicator Of Prostate Fibrosis In Lower Urinary Tract Dysfunction, Claweens Quetant

Graduate Masters Theses

Lower urinary tract dysfunction (LUTD) is a progressive disorder that affects millions of men over the age of 50 years old. LUTD manifests as urgency, nocturia, urinary frequency, weak urinary stream, and incomplete bladder emptying (Egan, 2016). The current treatment for LUTD doesn’t always yield the desired results due to several issues. In this thesis, we aim to address the lack of suitable tools for detecting prostatic collagenization and to assess whether urine could serve as a substrate for detecting pro-fibrotic proteins associated with moderate-to-high AUASI scores. We used whole urine from 2 different cohorts, the Boston and the LURN …

Beyond A Little Italy: Italian Community Formation In Washington, D.C., Kathleen P C Millander

Graduate Masters Theses

This thesis examines the development of the Italian immigrant community in Washington, DC, from the early nineteenth century through the beginning of the Second World War. Unlike the dense ethnic enclaves that characterized Italian settlement in many American industrial and port cities, Washington never developed a recognizable Little Italy. Nevertheless, Italians in the nation's capital constructed a cohesive community through social, religious, familial, and economic networks that connected a geographically dispersed population.

Drawing on extensive original archival research, including oral histories, personal memoirs, parish records, newspapers, and manuscript collections, this thesis reconstructs the experiences of Washington's Italian immigrants and their …

Cmsi Translations #35: How To Leverage The "Butterfly Effect" To Cause The Collapse Of "Taiwan Independence" Elements?, Su Ming

CMSI Translations

Intelligent Tools for Designing Operational Concepts: Intelligent Agents Innovating Mechanisms for Victory

If a large model is likened to a machine, interacting via conversation is akin to a worker manually operating that machine. Although machine tools have significantly reduced human workloads, “manual operation” still entails challenges: demanding skill requirements for operators; difficulty in resolving complex, specialized tasks through conversation alone; difficulty in standardizing and reusing repetitive workflows; susceptibility to hallucinations; and the time- and labor-intensive nature of verifying results. To this end, the Department of Theoretical Innovation Research has proposed a technical roadmap for programming large models. The underlying concept …

Uhsp Student Handbook 2026-2027

Handbooks

No abstract provided.

Home-Based Digital Exergame For Children With Developmental Disabilities: Protocol Of A Pilot Study, Jaeeun Kang, Yoomi Shin, Naeun Park, Youngeun Lee, Anna Lee

International Nursing Research Congress (INRC)

Background: Compromised sensory integration, reflecting disruptions in neuroplasticity and commonly observed among children with developmental disabilities (DDs), is associated with difficulties in daily functioning and motor and social skills (Rodríguez-Armendariz et al., 2024). Interventions including sensory integration and exergame approaches have demonstrated benefits for enhancing neuroplasticity and functional outcomes (Cardenas et al., 2022). However, clinic-based sensory integration therapy often limits family involvement. We aim to develop and evaluate a home-based digital exergame for children with DDs and their families.

Purpose: This study describes the procedures for developing and assessing the feasibility and preliminary effectiveness of the digital exergame.

Methods: This …

Medical Device Vigilance In Sri Lanka: Identifying Gaps And Developing National Guidelines, Mjf Riyasha, Lm Hettihewa, S Shanmuganathan

Journal of Innovation in Science, Engineering and Technology

Background: Medical Device Vigilance (MDV) systems are essential for ensuring patient safety through post-market surveillance. In low- and middle-income countries such as Sri Lanka, MDV systems remain underdeveloped despite increasing reliance on advanced medical technologies.
Objectives: This study aimed to identify gaps in MDV practices in Sri Lanka and develop context-specific national guidelines aligned with international best practices.
Methods A pragmatic mixed-methods design was used. A desk review of international frameworks (WHO, IMDRF, EU MDR 2017/745, FDA) was conducted alongside a cross-sectional survey of key stakeholders, including healthcare professionals, biomedical engineers, device importers, and regulatory staff. Quantitative data were analyzed …

The Influence Of Budgeting And Financial Reporting On Financial Accountability In Religious Organisations: Evidence From Selected Churches In Tanzania, Plasidi Marcel Bayno, Helena Thomas Haule

Business Management Review

Budgeting processes and financial reporting are widely recognised mechanisms for enhancing financial accountability, yet empirical evidence on how these mechanisms influence financial accountability within faith-based non-profit organisations remains limited. Guided by Stewardship Theory and Stakeholder Theory, this study examines the influence of budgeting processes and financial reporting on financial accountability in religious organisations. Using a deductive approach, empirical data were collected from 173 Catholic and Lutheran parishes in Dar es Salaam, Tanzania, yielding a total of 471 valid responses aggregated at the parish level for analysis using Partial Least Square Equation Modeling (PLS-SEM). The findings reveal that both budgeting processes …

Principals’ Experiences With Implementation Practices For School Board Policies In An Urban School District, Andrea J. Richardson

Walden Dissertations and Doctoral Studies

Effective policy implementation is crucial for improving educational outcomes and ensuring equitable learning environments. While existing literature has shown that policy implementation is influenced by factors such as leadership capacity, stakeholder engagement, communication, resource availability, organization context, and accountability, there is little known about how K-12 urban principals narrate, interpret, and make meaning of their experiences to implementing board-mandated policies. This study addressed this gap by exploring how principals in an urban school district in Ohio navigated the complexities of implementing school board policies amid resource limitations, stakeholder resistance, and accountability pressures. The purpose of this qualitative narrative inquiry study …

A Discursive Analysis Of Lesbian And Queer Experiences Of Unwanted Consensual Sex, Sarah E. Swanson

Graduate Doctoral Dissertations

This study drew on a critical discursive psychology (CDP) analytical approach to examine how lesbian and queer participants made sense of unwanted consensual sex (UCS).  The data analysis traced how UCS was constructed on three discursive levels: the construction of UCS across narratives, the interpretive repertoires mobilized (including sexual scripts), and the broader sociocultural discourses that shaped what elements of their experiences were intelligible. Therefore, I sought to understand both how participants drew on familiar heteronormative and queer ways of talking about sex and how various discursive resources shaped how they could construct themselves and others. Data for this research …

“School’S Not For Me. I Don't Belong In School.”: Students With Dis/Abilities’ Perspectives On Special Education During State Intervention, Leila E. Parks

Graduate Doctoral Dissertations

This qualitative study presents the lived experiences of 10 racialized teens with dis/abilities who received special education services in the Boston Public Schools during state intervention. As a youth participatory action research collective, the young people in the study’s Youth with Dis/Abilities Research Group explored issues of inclusion and exclusion, ableism, racism, and safety at school. The project was framed by dis/ability critical race studies, incorporating aspects of critical race theory and disability studies in education. Based on stories expressed through free-writes, poetry, drawings, interviews, and group conversations, the racialized teens with dis/abilities shared negative school experiences overall. Though most …

The Difficulty In Defining The Construct Of Perseverance, Davon W. Ferrara, Linda W. Jones

Papers

Perseverance is a character virtue necessary for flourishing in the STEM disciplines; however, there are competing definitions of perseverance in scientific literature, which makes measuring the trait and researching its impact difficult. This work provides a review of the definitions of construct found within the literature and compares it to conflated terms such as grit, persistence, resilience, and self-efficacy that have related, but distinct meanings. Finally, we summarize the role of perseverance in STEM and what factors may influence its formation.

The authors gratefully acknowledge support from the Belmont Formation Collaborative and the Formation Scholars Cohort for Character Research and …

The Difficulty In Defining The Construct Of Perseverance, Davon W. Ferrara, Linda Jones

Posters

Perseverance is a character virtue necessary for flourishing in the STEM disciplines; however, there are competing definitions of perseverance in scientific literature, which makes measuring the trait and researching its impact difficult. This work provides a review of the definitions of construct found within the literature and compares it to conflated terms such as grit, persistence, resilience, and self-efficacy that have related, but distinct meanings. Finally, we summarize the role of perseverance in STEM and what factors may influence its formation.

The authors gratefully acknowledge support from the Belmont Formation Collaborative and the Formation Scholars Cohort for Character Research and …

Leading Change In Healthcare: Building Systems, Retaining Nurses, And Creating Healthy Workplaces, Kaynabess Freda, Lisa A. Seldomridge, Crystal Devance-Wilson, Kimberly Hampton, Abigail Johnson

International Nursing Research Congress (INRC)

Nurse retention remains a significant international challenge, especially in acute care hospitals where workplace culture, belonging, and professional growth strongly influence retention (Lal, 2024; NursingSolutions, Inc., 2024). The need for effective retention strategies is amplified by factors such as the limited supply of experienced nurses causing hiring delays, declining enrollment in nursing programs, and an aging nursing workforce (AACN, 2024; WHO, 2025).

This presentation shares results from a collaboration among the Maryland Nursing Workforce Center, Lead Nursing Forward, and the Maryland Action Coalition to assess retention strategies in acute care hospitals. Two surveys were developed using the six Nurse Staffing …

How Do Governments Combat Jihad Online?, Noah Cook

Honors College Theses

Since the September 11th, 2001 attacks, jihadist groups like ISIS, al-Qaeda, and al-Shabaab have used the internet as a tool for recruitment, radicalization, and propaganda dissemination. Since then, governments, non-governmental organizations, and private companies have developed strategies to combat jihadism on the internet. This paper examines how these actors have worked to mitigate the digital jihadist footprint and its effects by analyzing three main approaches to countering violent Islamist extremism on the internet: counter narrative initiatives, awareness-raising programs, and content removals. This paper finds that each of these methods has its own strengths and weaknesses. Counter narrative campaigns show the …

The Impact Of Inclusive Leadership And Leader Cultural Intelligence On The Work Engagement Of Migrant Employees, Dena Semonia Whittle

Walden Dissertations and Doctoral Studies

With the rise of globalization and the growing demand for skilled workers, the number of foreign-born employees in the American workforce has grown significantly over the last 20 years. These numbers continue to grow, as the upward trend of foreign-born employees has been even more significant over the last 5 years. However, despite having a now more diverse workforce, there are still signs of discrimination and unequal treatment of migrants in the workplace. Such mistreatment has been linked to health-related, occupational, and psychological consequences and has been negatively associated with work engagement. The purpose of this quantitative study was to …

Psychosocial And Functional Impact Of Temporomandibular Disorder Subtypes Among Adults: A Cross-Sectional Study In Indonesia, Ni Luh Dewi, Wita Anggraini, Maria Valiente-Lopez, Carolina Marpaung

Journal of Dentistry Indonesia

Background: Temporomandibular disorders (TMDs) affect psychological, functional, and pain-related aspects of oral health-related quality of life (OHRQoL). However, the differential impact of pain-related and non-pain-related TMDs remains limited. This study aimed to evaluate the impact of different TMD subtypes on psychological distress, jaw function, and OHRQoL in young adults and to determine whether pain-related TMDs exert a greater effect than non-pain-related TMDs.

Methods: In this cross-sectional study, 278 university students (aged 18–24 years) were categorized into no TMD (NT), pain-related TMD (PT), intra-articular TMD (IT), and combined TMD (CT). Diagnoses were made using the 5Ts Questionnaire screening tool …