Digital Commons Network^™

Neural Correlates Of Cognitive Fatigue In Regular Cannabis Users And Non-Users: A Pilot Fnirs Study, Mariia Vistyzenko

Theses and Dissertations (Comprehensive)

Background: Cognitive fatigue impairs performance across multiple domains, yet how regular cannabis use affects fatigue responses remains unclear. This pilot study investigated neural and behavioural correlates of cognitive fatigue in abstinent cannabis users versus non-users.

Methods: Twenty-six participants (18 non-users, 8 regular cannabis users after 24-hour abstinence) completed cognitive tasks before and after a 60-minute Sustained Attention to Response Task (SART) designed to induce fatigue. Tasks assessed working memory (N-Back), cognitive flexibility (Wisconsin Card Sorting), psychomotor speed (Digit Symbol Substitution), sustained attention (Continuous Performance Task), inhibition (Stroop, Stop Signal), and motion perception. Functional near-infrared spectroscopy (fNIRS) continuously monitored prefrontal cortex …

Children's Peer Selection In Stem: The Influence Of Gender, Ethnicity, And Disability, Meagan Girard, Kim P. Roberts

Theses and Dissertations (Comprehensive)

The present study examined how children’s peer selection in STEM (science, technology, engineering, and mathematics) may be influenced by gender, ethnicity, and physical disability. Sixty-four children (ages 6-12) from elementary schools in Southwestern Ontario completed three tasks: a simulated peer selection task, an attribution of ability task, and a stereotype belief questionnaire. In the peer selection task, participants were repeatedly asked to select one peer from a set of AI-generated photographs showing children who differed by gender (male, female), ethnicity (White, Black, East Asian), and physical disability status (able-bodied user vs. nondisabled). The Peer Selection Task was based on the …

Religious And Spiritual Struggles: The Stories Of Nigerian, Immigrant, Christian Women In Waterloo Region, Halima D. Fuller

Theses and Dissertations (Comprehensive)

ABSTRACT This research investigates religious and spiritual struggles among Nigerian, immigrant, Christian women in Waterloo Region. Twelve women settled in the region for six months to 11 years participated in the study. Qualitative methodology, narrative inquiry, and a storytelling paradigm informed the research. Semi-structured, in-depth interview questions were used to explore the experiences of religious and spiritual struggles. A meticulous review identifies a scarcity of literature on religious and spiritual struggles in the context of immigration. However, immigration challenges such as language barriers, precarious employment, and mental health issues are well-documented (Bauder, 2012; Beiser & Hou, 2016; Berry et al., …

Eeg Correlates Of Tactile Synchrony, Devon K. R. Gallagher

Theses and Dissertations (Comprehensive)

New research on the tactile system has suggested that cortical representations of body parts are not fixed, as previously thought, and are instead dynamically maintained through constant sensorimotor information and feedback. Within the somatosensory cortex (S1), the capacity for both permanent and temporary changes have been the topic of ongoing research. The current study aimed to corroborate whether 24 hours of a finger adhesion manipulation is sufficient to elicit behavioural and electrophysiological correlates from cortical reorganization of digit representations in S1, using a behavioural paradigm outlined by Kolasinski et al. (2016). Through electroencephalography (EEG) recording during a tactile discrimination task, …

Moral Identity And Cognitive Mechanisms In Moral Decision-Making, Zachariah I. Hamzagic

Theses and Dissertations (Comprehensive)

Moral identity can be broadly conceptualized as the degree to which an individual places moral values as directly relevant to their personal identity. A recently introduced developmental framework of moral identity argues that moral identity can be conceptualized as a lifelong goal. According to this theoretical framework, the moral identity goal (i.e., to be a moral person and engage in moral action) becomes stronger over the course of development by becoming more abstract (i.e., general), internalized (to satisfy personal ideals) and promotion (i.e., action) oriented. Additionally, the strength of the moral identity goal predicts moral functioning. To date there has …

Identifying The Physical Activity Promotion Practices Of Obstetricians And Gynecologists: Patients With Endometriosis And Polycystic Ovary Syndrome, Allison P. Herman

Theses and Dissertations (Comprehensive)

Despite efforts to promote physical activity, many females in Canada do not meet recommended physical activity guidelines. For individuals with gynecological conditions such as endometriosis and polycystic ovary syndrome (PCOS), physical activity may aid in symptom management and improve daily functioning. Healthcare settings, including obstetrics and gynecology, represent an area of opportunity to promote physical activity among this population. This thesis aims to understand the physical activity promotion practices of Ontario-based Obstetricians and Gynecologists (OBGYNs) to patients with endometriosis and/or PCOS. A cross-sectional online survey was conducted to explore OBGYNs promotional practices and perceived factors influencing their engagement in physical …

" Who Am I Here?" Exploring The Racial Identity Development Of Chinese Adolescent International Students In Canada: A Constructivist Grounded Theory Approach, Wen Juan Song

Theses and Dissertations (Comprehensive)

Abstract

This dissertation explores the racial identity development and associated mental health challenges of Chinese Adolescent International Students (CAIS) in Canada, a population navigating complex intersections of race, age, migration, and belonging. Despite their growing presence in Canadian secondary education, CAIS remain understudied in both educational and mental health research, particularly in relation to racial identity development within Western, multicultural societies. Using a Constructivist Grounded Theory methodology, this study draws on in-depth interviews with twenty-five CAIS participants, including ten current high school students, three returnees to China, and twelve who remained abroad in post-secondary education or employment.  The study is …

Mediating Effect Of Social Determinants Of Health Between Race And Phthalate Biomarkers In Pregnancy, Tetsuya Kawakita, Misa Hayasaka, Carole Barake, Trinity Soto, Jillian Fleming, Amir Lueth, Stevens Danielle, Alfred Abuhamad, Ann Pryzybylska, Elena Sinkovskaya, Kelly K. Ferguson, George Saade

Department of Obstetrics & Gynecology Faculty Publications

Introduction

Prenatal phthalate exposure is linked to adverse reproductive and developmental outcomes and is consistently higher among non‐Hispanic Black compared to non‐Hispanic White pregnant individuals, yet the factors responsible for these disparities are poorly characterized. We sought to quantify Black–White differences in repeated urinary concentrations of phthalate biomarkers during pregnancy and to estimate the extent to which neighborhood‐level social determinants of health (SDoH) mediate these disparities.

Methods

This secondary analysis used data from the Human Placenta Project Study, a prospective observational cohort study conducted at two academic institutions between 2016 and 2018. Eligible participants had singleton pregnancies, were recruited before …

Biomechanical Integrity Of The Female Pelvic Floor: A Comparison Of Military And Civilian Women, Vladimir Egorov, Peter Takacs, Vincent Lucente, Heather Van Raalte, Joy A. Greer, Noune Sarvazyan

Department of Obstetrics & Gynecology Faculty Publications

Introduction

The health of the pelvic floor depends on the integrity of its muscles, connective tissue, ligaments, and their innervation. The female pelvic floor may be more vulnerable to repetitive heavy loads in a military environment than the male pelvic floor because of anatomical and physiological differences. The study aim was to identify and explore possible differences in the female pelvic floor conditions between active military and civilian women with similar demographics.To identify and explore possible differences in the conditions of the female pelvic floor between active military women and civilian women with similar demographics.

Materials and Methods

Military active …

Hungarian Validation Of The Pelvic Floor Distress Inventory - 20 (Pfdi-20) Questionnaire And The Pelvic Floor Impact Questionnaire - 7 (Pfiq - 7), Barbara Kozma, Bence Kozma, Peter Takacs, Dávid Rátonyi, Nelli Farkas, Attila G. Sipos, Balint Farkas

Department of Obstetrics & Gynecology Faculty Publications

Introduction and Hypotheses

Pelvic floor disorders (PFDs) affect women's quality of life through physical, psychological, and social domains. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are validated tools for assessing symptom severity and quality of life impact. The current study aim to investigate the reliability and validity of the Hungarian versions of these questionnaires in women with PFD symptoms.

Methods

This validation study was carried out at the University of Debrecen among women with clinically confirmed pelvic floor disorders. The PFDI-20 and PFIQ-7 questionnaires were translated into Hungarian using independent native English speaker in …

The Impact Of The 7th October War On Preterm Birth Rates And Neonatal Outcomes: A Retrospective Comparative Study From Northern Israel, Raghda Zidan Sweid, Adi Sharabi Nov, Hana Helfgot, Steven L. Warsof, Inbar Ben-Shachar

Department of Obstetrics & Gynecology Faculty Publications

PURPOSE: Maternal psychological stress is associated with adverse obstetric and neonatal outcomes, including preterm birth and low birthweight. Warfare represents a significant source of acute and chronic stress, yet its impact on pregnancy outcomes remains unclear. This study aimed to evaluate the association between a 6-month period of continuous wartime exposure following October 7, 2023, during the "Iron Swords" conflict and preterm birth, neonatal outcomes, and obstetric management.

METHODS: This retrospective cohort study included all deliveries at ZIV Medical Center during the 6-month conflict period, compared with a pre-war cohort from 2021 until October 6, 2023. The primary outcome was …

Racial Differences In Adverse Pregnancy Outcomes And Incident Hypertension: A Mediation Analysis, Lucia C. Petito, Xiaoning Huang, C. Noel Bairey, Natalie Bello, Janet Catov, Ernesto Licon, Abbi Lane, David M. Haas, Lisa D. Levine, Rebecca B. Mcneil, Eliza Miller, Uma M. Reddy, Bethany Barone Gibbs, George Saade, Lauren Theilen, Laura E. Wiener, Brian M. Mercer, Hyagriv N. Simhan, Lynn M. Yee, Philip Greenland, William A. Grobman, Sadiya S. Khan

Department of Obstetrics & Gynecology Faculty Publications

Background

Adverse pregnancy outcomes (APOs) are associated with increased hypertension risk. Black women experience higher rates of APOs and hypertension compared with White women, but whether APOs contribute to Black-White hypertension disparities remains unknown.

Methods

The nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be-Heart Health Study) prospectively recruited nulliparous pregnant people at 8 US centers (2010-2013) with follow-up 2 to 7 years postpartum (2014-2017). Race, which represents a social construct, was self-identified. The primary outcome was incident hypertension at follow-up. APOs included hypertensive disorders of pregnancy, preterm birth, and small-for-gestational age birth. Potential confounders (psychological health, social factors, and health behaviors) …

Evaluating The Role Of Provider Perspective And Their Impact On Individuals With Sickle Cell Disease In The United States Of America, Jadyn C. Oppong

Undergraduate Theses and Capstone Projects

Individuals affected by invisible disabilities, such as Sickle Cell Disease (SCD), have additional challenges beyond the physical manifestation of their disease, which is otherwise unknown externally. SCD patients continually consider disease manifestation in everyday life and experience varying degrees of disease perception in and out of the hospital environment. Additional considerations of a patient’s other intersecting identities, such as race and cultural identity, call attention to the sociological landscape of the United States of America. The dynamics observed within this landscape can be seen through the symbolic interaction of these identities with the invisible disability identity, in which a compounding …

A Qualitative Study: How Does The Underrepresentation Of Black American Contributions To American Society In K-12 Curricula Affects Black Students' Self-Perception?, Deniece M. Rogers

Theses and Dissertations from DePaul University

This qualitative phenomenological study examined how the underrepresentation of Black American history in K–12 curricula influences individuals’ understanding of American society, identity, and cultural belonging. Using open-ended questionnaires distributed via Qualtrics, thirty-seven participants reflected on their educational experiences, the extent to which Black American history was included, and how its omission shaped their self-perception and social awareness. Guided by Critical Race Theory (CRT) and The 1619 Project, the study was organized around six a priori themes identified in existing scholarship: Awareness of Historical Omission, Identity and Self-Perception, Social and Cultural Impact, Reactions to the Education System, Emotional Responses, and Broader …

Soma Body Help Me! How The Superwoman-Schema And Marianismo Contribute To Weathering Among Collegiate Women, Chantelle Christina Miller

Theses and Dissertations from DePaul University

Educational attainment is widely conceptualized as a protective factor for health; however, growing evidence suggests that these benefits do not accrue equally across social groups. Women of color, particularly Black and Hispanic/Latina women, experience persistent health disparities despite increasing levels of educational attainment, raising critical questions about the physiological and psychosocial costs of upward mobility. The weathering hypothesis posits that chronic exposure to structural inequities accelerates physiological deterioration over time, while related frameworks such as skin-deep resilience and marginalization-related diminished returns highlight the hidden health costs of sustained high-effort coping. Gendered cultural schemas including the Superwoman-Schema among Black women and …

Developmental Risk In Context: A Network Perspective On Adversity And Resilience, Alexander J. O'Donnell

Theses and Dissertations from DePaul University

Exposure to childhood adversity is common, unequally distributed, and strongly linked to negative outcomes across development. Efforts to improve well-being should consider protective factors across multiple levels, in addition to addressing the structural causes of adversity. Traditional approaches to resilience, such as cumulative risk and interaction models, provide useful information but do not capture the full complexity of how adversities and protective factors are connected. Network analysis offers a way to examine these interconnections by mapping associations and clusters of variables. This study uses data from the National Study of Adolescent to Adult Health (Add Health) to explore the combined …

Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena

Department of Medicine Faculty Publications

The rise in mental illnesses after the COVID-19 pandemic is well documented. However, it is not known whether the rates of mental illness comorbidity increased. The objectives of this study were to compare mental illness comorbidity rates before and after the pandemic among inpatients with SUD and to test associations between mental illness comorbidity, physical illness, and demographics. We used a retrospective cross-sectional design in a sample of inpatient discharges (N = 233,017) at Virginia public hospitals from January 2018 to December 2022. We used Z tests to compare rates of mental illness comorbidity pre- and post-pandemic and Chi-square tests …

Persistent Peristomal Pain Due To An Exposed Cutaneous Nerve, Iain Noel Encarnacion, Kaylin Beiter, Natasha Hakkal, Emily Hejazi, Paul Hernandez, Melissa Laughter, Shannon Nugent, Samir Thaker, Xiaowei Xu, Misha Rosenbach

Department of Medicine Faculty Publications

[Introduction]

Case description

A 25-year-old woman with a history of ulcerative colitis treated with multiple abdominal surgeries complicated by peristomal pyoderma gangrenosum (PPG) presented with severe peristomal pain and ulceration. Treatment course was complicated; disease control was achieved via combination infliximab 10 mg/kg every 4 weeks, corticosteroids (topical triamcinolone 0.1% ointment, intralesional 10 mg/ml injections, and oral prednisone 30 mg daily with a gradual taper), and cyclosporine 125 mg tapering by 25 mg every 3 weeks, ultimately tapered to infliximab monotherapy.

Insurance Disparities In Hidradenitis Suppurativa: A Comprehensive Review Of Demographics, Outcomes, And Access To Care, Alim Osman, Alexandra R. Nigro, Michael C. Povelaitis, Marc Z. Handler

Department of Medicine Faculty Publications

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that disproportionately affects women, African Americans, and individuals of biracial descent. It is associated with substantial physical and psychiatric morbidity, reducing quality of life.

Objective: This review analyzed disparities in treatment outcomes, disease progression, and healthcare access among HS patients based on insurance type.

Methods: Using PRISMA guidelines, a comprehensive literature search identified 7 studies meeting inclusion criteria. Owing to data heterogeneity, studies were qualitatively analyzed.

Results: Findings consistently demonstrated that Medicaid patients experienced worse outcomes than those with private insurance or Medicare. Medicaid patients had higher rates of comorbid …

Regional Pain Is Associated With Functional Performance In People With Parkinson's Disease, Ryan P. Duncan, Monica R. Hendricksen, Luke Ekdahl, Kevin Smaller, Benjamin Friedman, Miriam R. Rafferty

Department of Medicine Faculty Publications

Background and Purpose:

Little is known about how pain influences physical function in people with mild Parkinson disease (PwPD). The purpose of this study was to investigate the association between physical function and pain presence, location, and intensity in PwPD who were evaluated in an early physical therapy program.

Methods:

Retrospective cross-sectional analysis of electronic medical records from patients with PD evaluated at a single center (2016-2023). Pain presence, location, and intensity (0-10 scale) were recorded at the initial physical therapy evaluation. Functional outcomes included 5-time sit-to-stand, 10-meter walk test, 6-minute walk test, timed up and go, mini-BESTest, and Functional …

The Impact Of Substance Abuse Problems And Serious Mental Illness/Serious Emotional Distress On Post-Discharge Residential Status Among Clients With Behavioral And Cognitive Disorders: Evidence From Samhsa Mh-Cld Data, Eden Moges, Norma Rochez, William Peycha, Aditya Chakraborty

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

BACKGROUND: Behavioral and cognitive disorders can undermine housing stability, a key determinant of mental health recovery, with persistent disparities across demographic and socioeconomic groups. This study examined the associations of substance abuse problems (SAP) and serious mental illness/serious emotional distress (SMISED) with residential status at discharge from mental health facilities.

METHODS: This cross-sectional study used the utilized data from the Substance Abuse and Mental Health Services Administration (SAMHSA). Descriptive statistics were used to summarize demographic characteristics, whereas univariate and multivariable logistic regression models were employed to assess associations between the covariates and the residential outcome, adjusting for a variety of …

Paneugenesis: A Regenerative Systems Hypothesis For Advancing Health Promotion, Craig M. Becker, Leslie Hoglund, Beth Chaney, Joseph G. L. Lee, Michael Stellefson, Alex Davis

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Despite major advances in health promotion science, dominant approaches remain largely prevention-and risk-reduction-oriented. The prevailing orientation creates a substantial opportunity to advance generative, system-design strategies that intentionally produce well-being rather than merely prevent disease. This article proposes paneugenesis as a regenerative systems framework and a testable theoretical model for the intentional creation of net-positive outcomes, thereby extending health promotion beyond its traditional pathogenic emphasis. Paneugenesis integrates systems science, salutogenesis, behavioral science, complexity theory, and quality management principles into a unified four-function process: operationalizing idealized outcomes, identifying key precursors, optimizing processes, and continually plotting progress through feedback mechanisms. The central hypothesis …

The Moderating Role Of Social And Emotional Support In The Association Between Adverse Childhood Experiences And Adult Mental Health Across Racial Groups: The Need For Investing In Social Capital, Syeda S. Jesmin, Aditya Chakraborty

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background

The sustained impact of Adverse Childhood Experiences (ACE) on mental health outcomes in adulthood is well documented in the literature. ACE survivors may be especially vulnerable to poor mental health outcomes if they have limited or no social support. This study examined the moderating role of social support on the association of ACEs and mental health across different racial groups.

Methods

Data were obtained from the 2022 Behavioral Risk Factor Surveillance System (n = 14,327). The nine ACE questions about traumatic events in childhood were used to create ACE scores. Chi-square tests were used for bivariate comparisons. Both stratified …

Substitution Of Cannabis For Prescribed Medications In The Management Of Anxiety And Depression Among Midlife Women: A Cross-Sectional Study, Jocelyn Mueller, Jamia Sapp, Jennifer Attonito, Aditya Chakraborty, Karina Villalba

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background and Aims

Given the rising prevalence of cannabis use as an alternative strategy for managing mental health symptoms, there is a crucial need to understand the determinants of substitution behavior, particularly among midlife women who may experience distinct psychosocial and clinical profiles. This study examined the predictors of cannabis substitution among midlife women by comparing profiles of women who substituted cannabis for antidepressant medications versus those who substituted for anxiolytic medications.

Methods

A cross-sectional survey of 172 women who reported substituting cannabis for either anxiety or depression medications was conducted. Measures included the PHQ-8, OASIS, AUDIT, and ACEs. Logistic …

The Impact Of True Crime Podcasts On Cold Case Investigations And Victims' Advocacy, Kyle Gamache, Karlie Rice, Ashley Allen, Willem Pontbriand

Arts & Sciences Faculty Publications

True crime has long captivated public interest, evolving from sensationalized accounts in the Middle Ages to the widespread popularity of modern podcasts. This qualitative study explores the ethical complexities of true crime media by examining how it intersects with criminal investigations, public perception, and victim advocacy. Through in-depth interviews with law enforcement officers, victim advocates, and true crime content creators, the study investigates differing attitudes toward the role of podcasts in active and cold cases. Using Colaizzi’s (1978) phenomenological method, data were analyzed to uncover shared and divergent themes across professional roles. Law enforcement participants voiced concerns over web- sleuthing …

Location, Location, Reaction: How Mandatory Ip Disclosure Silences Critics And Sparks Backlash, Sirui Li, Ping Xu, Yue Guo

Political Science Faculty Publications

Previous research has identified two competing outcomes of regulatory disclosure for negative online sentiment: chilling effects, which suppress negative online sentiment, and reactance effects, which intensify it. In this study, we apply these theories to examine the impact of mandatory IP location disclosure on citizens' negative online sentiment expressed on Sina Weibo, a leading Chinese social media platform. We argue that the mandatory IP location disclosure can have opposite effects on negative online sentiment depending on the type of social media context. To test this, we use a quasi-natural experiment and analyze more than 160,000 comments posted before and after …

The Gendered Path Of Least Resistance: First Entry And Exit Behaviors Of Public And Nonprofit Employees, Tiana Marrese, Ying Liu, Femida Handy

Political Science Faculty Publications

Public and nonprofit organizations exhibit high rates of female employment often attributed to sector structures and social roles. To better understand how individual behaviors dynamically contribute to these distinctive ratios, we deconstruct public and nonprofit employment into gendered patterns of attraction and attachment. Using duration analysis and following a cohort from the National Longitudinal Survey of Youth 1997, this research finds that women demonstrate a higher attraction to their first public and nonprofit job compared to men, evidenced through a faster rate of entry into this employment. There are no significant gender differences when considering the duration of an individual's …

Alcohol Advertising At The Beach: Insights From Young People In Western Australia, Renee N. Carey, Gemma Crawford, Nicola D'Orazio, Gina S.A. Trapp, Lauren Nimmo, Tina Lam, Jonine Jancey, Justine E. Leavy

Research outputs 2022 to 2026

Background: Advertising and marketing by the alcohol industry serve to normalise alcohol use, with exposure to alcohol advertising linked to earlier and riskier drinking among young people. Advertising that portrays alcohol use in and around waterways is of particular concern, with one in five fatal drownings being associated with alcohol. Objective: This study aimed to explore the types of alcohol advertising that young people were exposed to, and to determine whether exposure to alcohol advertising was related to their alcohol use in aquatic environments. Methods: We surveyed 102 young people aged 18 to 25 years attending a free event at …

Restorative Restitution, Lula A. Hagos

American University Law Review

How to best meet the needs of crime victims while also furthering the imperative of decarceration has long vexed advocates and scholars alike. This dilemma comes into sharp focus when one examines two developments in criminal procedure that, until now, have been analyzed separately: victim restitution and restorative justice.

Criminal restitution, the monetary payments ordered from defendants to victims, often fails both groups. Because most defendants are indigent, restitution obligations lengthen defendants’ involvement with the criminal legal system without delivering meaningful compensation to victims, making restitution more symbolic than restorative. At the same time, interest in restorative justice has surged …

The Leasehold World, Jeffrey Manns

American University Law Review

The ideal of American fee simple property rests on a popular misconception. Many Americans often think of fee simple property in terms of absolute ownership. In reality, however, fee simple title has many similar features of a “public” leasehold in practice, which has significant implications for understanding the relationship of private property “owners” to the state. The American state, at all levels, effectively serves as a landlord over private property “owners,” mirroring the traditional role of the king in feudal England.

The American Revolution is often framed as a sea change in property rights and individual liberty. But efforts to …