Digital Commons Network^™

Status Of Mental Health Of Children And Sociodemographic Factors Associated With It Three Years Following Covid-19 Pandemic, Dr Dhanyatha T S, Dr Mithila Das Mazumder, Dr Likitha A C

Digital Journal of Clinical Medicine

Background: COVID-19 disrupted every aspect of life, particularly affecting the mental well-being of children. Prolonged school closures, isolation, and lifestyle changes significantly impacted emotional and behavioral development.This study evaluated the mental health status of children three years after the pandemic and analyzed the influence of sociodemographic factors.

Objectives:

1. To assess the current status of mental health among children 7–15 years, three years after  COVID-19.
2. To evaluate the sociodemographic factors associated with mental health outcomes.

Methods:

 A cross sectional study was conducted from June2023 to December 2024 among 125 children aged 7–15 years at our institute.The Child Behavior Checklist (CBCL) was …

Family Mental Health – A Case Report, Vikrant Arora, Medha Kosireddy, Mathumitha Ananth, Kishor M. Manohar Rao

Digital Journal of Clinical Medicine

Psychiatric illness in India is estimated to be 15% as per National Mental Health Survey 2015-16.  Mental health challenges within families, especially depression, anxiety disorders that are not common and when unaddressed exert cascading effects on all members, disrupting emotional cohesion, relational functioning, and socioeconomic stability. There are few case reports on entire family presenting to psychiatry department.

With informed consent a city-based middle-class family of non-consanguineous origin, where the 40-year-old female, presented with intractable limb pains and health anxiety, she had multiple consultation in last few months and her 48-year-old husband also had with episodic pains, irritability and her …

Biomedical Waste Management Practices In A Rural Health Training Centre In Southern India: A Cross-Sectional Facility Audit Using Kayakalp Guidelines, Mathivathani Palaniyappan, Kathiravan Rajendran

Digital Journal of Clinical Medicine

Background

Effective biomedical waste management (BMWM) is essential to prevent environmental contamination and health hazards in healthcare settings. In India, regulatory frameworks like the Biomedical Waste Management Rules, 2016, mandate proper handling, but compliance varies, particularly in rural facilities. This study evaluated BMWM practices at a rural health training centre using the Kayakalp assessment tool.

Methods

A cross-sectional audit was conducted from April to June 2024 at a rural health training centre affiliated with a medical college in Coimbatore, Tamil Nadu, India. The Kayakalp checklist for primary health centres was employed, encompassing 10 measurable elements with 20 checkpoints scored as …

Dietary Micronutrients And The Risk Of Gestational Diabetes: Evidence From A Tertiary Care Setting In India, Sujatha Mahadevarao Premnath, Moneesh Sivasoupramaniane, Maghida S

Digital Journal of Clinical Medicine

Background: Gestational Diabetes Mellitus (GDM) is a significant health concern in India, affecting nearly 22.4% of pregnant women. While macronutrient roles are well explored, the impact of micronutrients on GDM risk, particularly with the Indian ethnic phenotype, requires exploration

Objectives: To compare the micronutrient intake between GDM and non-GDM pregnancies and evaluate the association between specific dietary micronutrients and GDM risk

Methods: An observational cross-sectional study was conducted among 115 South Indian pregnant women. Dietary history was taken using 24-hour recalls on two occasions and analysed via the Indian Food Composition Table (IFCT). GDM was diagnosed using International Association of …

Student Centered Approaches To Analyzing Engagement And Discourse, Kamil Hankour

Theses and Dissertations

Student engagement and participation in classroom discourse are widely recognized as powerful predictors of meaningful science learning, yet students’ own perspectives on the factors that shape their engagement and participation are currently underexamined. Prior research has established strong links between engagement, discourse and outcomes such as academic achievement (Bae & DeBusk-Lane, 2019; Fredricks et al., 2004; Sedova et al., 2019), but less is known about how students understand and interpret their experiences across individual, group-level and classroom contexts, particularly within historically marginalized populations (Cook-Sather, 2013; Schaefer et al., 2024). This three paper dissertation advances a line of inquiry integrating a …

Tangled Up In Blues, Clara B. Deweese

Theses and Dissertations

Martin Buber’s philosophy teaches us that when our masks fall and our armor’s unveiled, we discover humanity shared. Tangled Up in Blues unpacks the snapshot photographic practice I’ve had for years, which documents my mutually uplifting relationships, and is presented for my thesis exhibit through a painterly technique that deconstructs and reconstructs  the images onto wood panels using laser transfer. As we navigate a distracted and fragmented society made of greed and bigotry, cherishing the deep connections and shared memories brings us optimism.

Sensory Constellations, Madaline K. Gardner

Theses and Dissertations

This thesis situates neurodiversity within the field of fine arts by integrating disability studies, institutional critique, and material practices in painting and printmaking. Through visual analysis and studio-based research, the project examines how tactile engagement, color relationships, and repetitive mark-making can articulate embodied experiences of neurodivergence. It challenges dominant institutional frameworks that pathologize neurodivergent behaviors by reframing stimming as a generative and communicative practice. The resulting body of work includes both image-making and the creation of tactile objects designed to facilitate sensory interaction. The thesis proposes alternative ways of understanding artistic practice and accessibility within art institutions.

Comorbid Psychosis In The General Population, Mariam Sankoh

Theses and Dissertations

Psychosis is a complex psychiatric phenotype characterized by substantial heterogeneity in symptom presentation, psychosis diagnosis, comorbidity patterns, and genetic architecture across diverse populations in the general population. Despite advances in psychiatric epidemiology and genomics, important gaps remain in understanding how psychosis symptoms and psychosis-related diagnoses manifest across racial and ethnic groups and how evolutionary genomic factors may contribute to disease risk and cross-ancestry genetic prediction. This dissertation, Characterizing Comorbidity in Psychosis in the General Population, integrates epidemiological, psychometric, and evolutionary genetic approaches to examine psychosis across diverse populations.

Aim 1 examined racial and ethnic differences in psychosis comorbidity patterns …

From Cultural Binaries To Coexistence: A Graphic Autoethnography Of Individualism And Collectivism In An International Context, Shahad Alsubaie

Theses and Dissertations

This arts-based autoethnographic study investigates individualism and collectivism, specifically through my study-abroad experience traveling from Saudi Arabia to the United States. Through arts-based reflective practice, I depicted the diasporic experience of being ontoepistemologically collectivistic while navigating a primarily individualistic society. I use the medium of a graphic memoir to illustrate and develop frameworks of confluence that embrace the two distinct cultural orientations simultaneously. This arts-based self-study not only contributes to the body of transnational scholarship but also serves as a reference for international students, researchers, and educators to use arts-based subgenres and data analysis methods to gain better insights into …

24-H Circadian Rest-Activity Rhythms And Physical Frailty In Older Adults: A Biopsychosocial Perspective On Sex Differences And Social Capital, Jisu Kim

Theses and Dissertations

Physical frailty is a prevalent geriatric syndrome characterized by age-related decline across multiple physiological systems. Physical frailty is associated with an elevated risk of adverse health outcomes, including chronic disease progression and all-cause mortality, representing a significant and growing public health concern. Disrupted circadian rest-activity rhythms (RARs) are increasingly recognized as clinically meaningful markers of physical frailty in older adults. However, the extent to which biological sex and social determinants of health (SDoH), particularly social capital, contribute to or modify the associations between RARs and physical frailty remains underexplored.

Therefore, this dissertation summarizes the existing literature on age-related changes in …

Comparison Of Artificial Intelligence Vs Human Observer For Periapical Radiolucency Detection, Adam J. Pink

Theses and Dissertations

Objective: The aim of this study was to assess the performance of an Artificial Intelligence (AI) program (OverJet AI) with that of experienced endodontic residents, endodontists, a radiologist, and dental students in detecting periapical radiolucencies using radiographic images.

Methods: One hundred and fifty periapical radiographic images were analyzed using the OverJet AI software to determine the presence/absence of a periapical radiolucency as well as the size (small 1-3mm, medium 4-6mm, and large 6+mm). The unaltered images were also evaluated by two endodontic residents, two practicing endodontists, an oral radiologist and two 4th year dental students.

Results: Agreement between the AI …

Sex In Plants: Birth, Death, And Trying To Survive In Changing Climates, Elena M. Meyer

Theses and Dissertations

Plant mating systems are key determinants of fitness. Angiosperms exhibit a wide variety of reproductive strategies, including self-fertilization (or selfing), outcrossing, and mixed mating. It has been estimated that up to 43% of plant species are capable of selfing, and selfing has been hypothesized to provide reproductive assurance where opportunities for mating may be limited, such as in marginal environments. However, questions regarding the overall distribution of selfing rates across angiosperms, the maintenance of mixed mating in the face of inbreeding depression, and the impact of self-fertilization on diversification rates remain incompletely resolved. Here, we explore the dynamics of self-fertilization …

Assessment Of Major Adverse Cardiovascular Event Across Diverse Racial Groups Of Psoriasis Patients On Biologic Therapy: A Retrospective Cohort Study, Chunghwan Ro, Ana Ormaza Vera, Waleed Adawi, Clinton W. Enos

Department Dermatology Faculty Publications

Psoriasis is associated with an increased risk of major adverse cardiovascular events (MACE), and biologic therapy may reduce this risk by targeting systemic inflammation. However, limited data exist on whether long term MACE risk differs by biologic class or across racial groups. We conducted a retrospective cohort study to assess the risk of primary MACE in psoriasis patients receiving biological therapies, stratified by biological class, compared with biologic-naïve psoriasis patients. Whether MACE risk among biologic-treated patients varied by race was further examined. After 1:1 propensity score matching, 36 330 biologic-treated patients were compared with 36 330 non-biologic-treated patients. Incident MACE …

Dodgeballs And Dragons: Gamified Live Theatre In The Service Of Community Betterment, Teddy Mcpherson

Theses and Dissertations

This thesis qualifies and documents a new genre of interdisciplinary, interactive theatre called Dodgeballs and Dragons. It covers a brief history of Dungeons and Dragons and Theatre of the Oppressed (the two foundational works for the new genre) as well as previous uses of D&D as a form of theatrical entertainment. After establishing the precedence used to create this product, the rest of the thesis breaks down how to write, lead, and play these shows on a regular basis. The document culminates in collected data providing concrete evidence for the future of the form and its many applications.

Optimizing Markov Chain Monte Carlo Algorithms For Fairness, Scalability, And Interpretability In Electoral Redistricting, Madhukara Kekulandara

Open Access Dissertations

Gerrymandering undermines democratic representation by manipulating electoral district boundaries to dilute the political influence of targeted communities. While Markov Chain Monte Carlo (MCMC) based redistricting algorithms have become a standard computational tool for detecting partisan gerrymandering, their effectiveness in addressing racial gerrymandering and their scalability on modern computing systems remain limited. This dissertation advances the theory and practice of algorithmic redistricting by optimizing MCMC-based approaches across three dimensions: racial fairness, computational efficiency, and interpretability.

First, this work introduces the Partial Map MCMC algorithm, a novel redistricting method designed specifically to address racial gerrymandering under the legal framework of Section 2 …

Mg-Spair: Multi-Grade Sparse-Guided Implicit Representation For Training-Data-Free Image Restoration, Jianmin Liao, Lei Huang, Ronglong Fang, Ashley Prater-Bennette, Lixin Shen, Yuesheng Xu

Mathematics & Statistics Faculty Publications

MG-SpaIR is a training-data-free framework for restoring a clean image from a single observation corrupted by a mixture of blur, downsampling, noise, and missing pixels. Building on implicit neural representations (INRs), we introduce a multi-grade residual hierarchy that progressively refines the reconstruction from low to high spatial frequencies across grades, improving representational fidelity and mitigating spectral limitations. To stabilize reconstruction optimization and suppress INR-induced artifacts, we further propose an explicit sparse proximal regularization (e.g., ℓ0 type) applied directly in the high-resolution image domain, which discourages spurious high-frequency patterns while preserving sharp structures. The resulting optimization is solved efficiently via a …

The Library Of Congress At A Crossroads: Executive Overreach And The Future Of Public Knowledge, Leslie A. Street, Amanda M. Runyon

Library Staff Publications

This Article argues that the removal of the Librarian of Congress and the Register of Copyrights exposed a dual vulnerability: a constitutional breach of the separation of powers and a cultural threat to the nation’s knowledge infrastructure. The Library’s structural ambiguity—its simultaneous identity as a legislative library, national library, and copyright agency—has left it vulnerable to executive overreach. By asserting control over an institution designed to serve Congress and safeguard America’s intellectual heritage, the President destabilized a statutory framework that has endured for over two centuries. To protect both constitutional integrity and the Library’s role as custodian of national memory, …

A Digital Audio Workstation Approach For Matching The Sound Quality Of Speech And Music For Single-Sided Deaf Patients Fit With Cochlear Implants, Stephen R Dennison, Katelyn A Berg, Sarah C Natale, Beatriz De Diego-Lázaro, David Carabias-Galindo, Alberto Acebes-De-Pablo, Joshua S Stohl, Michael F Dorman

2020-Current year OA Pubs

INTRODUCTION: Cochlear implant (CI) patients who are single-sided deaf can match the sound quality of speech presented to their CI ear and speech presented to their normal hearing ear. Previous work using this patient population has generated acoustic approximations of CI sound quality for speech, achieving high similarity ratings through interactive manipulation of sound parameters such as filtering, pitch shifting, and spectral smearing. The present study aimed to extend this approach to music.

METHODS: A digital audio workstation (DAW) methodology was developed for generating sound quality matches to both speech and music in 11 adults with unilateral MED-EL CIs and …

Examining Perceptions, Social, And Policy Factors Influencing Hepatitis B Birth-Dose Vaccine Uptake: A Pen-3 Cultural Model Mixed-Methods Study Of Healthcare Workers In Nigeria, Olufunto A Olusanya, Caven Ngoe, Maria Afadapa, Peter Kalulu, Nkiruka Obodoechina, Temitope Ojo, Juliet Iwelunmor, Et Al.

2020-Current year OA Pubs

INTRODUCTION: The timely administration of the birth-dose hepatitis B (HepB-BD) vaccine is recommended by global and national guidelines to effectively prevent perinatal transmission. In high-disease-burden countries, such as Nigeria, the adoption of the HepB-BD vaccine remains limited. Emerging global policy discussions highlight the need to examine healthcare workers' (HCWs') perceptions of pediatric vaccination guidelines, the safety and effectiveness of the HepB-BD vaccine, and how family, social support, and community factors influence vaccine delivery.

METHODS: A convergent mixed-methods study of HCWs was conducted in Nigeria between July and August 2024. Using the PEN-3 Cultural Model as our framework, we concurrently administered …

Resolving Heterogeneity In Lymph Node Stromal Cells Using High-Dimensional Analysis Of Non-Optimized Flow Cytometry Data, Mikala E Heon, Eduardo Rosa-Molinar

2020-Current year OA Pubs

Lymph Node Stromal Cells (LNSCs) are a diverse population of cells responsible for maintaining the lymph node environment and regulating the immune response. Given these roles, they have the potential to help replicate lymph node functions

The Past, Present, And Future Of Customer Knowledge Management: A Review And Research Agenda, Victoria Y. Ourzik

Research Outputs: 2025-Present

We develop and present a framework for research in customer knowledge management (CKM) that synthesizes insights from a comprehensive literature review spanning 2000 to 2024. This framework highlights the determinants, impacts, and moderators shaping CKM and its role in contemporary organizations. Using this approach, we organize and categorize existing research across various disciplines, identifying multiple definitions of customer knowledge based on their theoretical underpinnings and research fields. Building on this synthesis, we propose an interdisciplinary definition of the CKM construct that integrates diverse perspectives. Finally, we outline evolving issues within CKM, highlight key research gaps, and set a forward-looking agenda …

Volatility In Transition: Fossil Fuel Dependence, Renewable Shifts, And Financial Risk Across Europe’S Eastern Divide, Lucía Morales, Daniel Rajmil, Bernadette Andreosso-O’Callaghan

Research Outputs: 2025-Present

Europe’s energy landscape has undergone profound disruptions following the escalation of the Russo-Ukrainian war, exposing deep structural vulnerabilities in the continent’s persistent reliance on fossil fuels. The crisis intensified political and economic tensions across the longstanding European Eastern divide, as the abrupt suspension of Russian gas disrupted energy security, triggered unprecedented price volatility, and accentuated disparities in the capacity of European Union Member States to pursue their green transitions. This paper investigates the asymmetric dynamics of fossil-fuel dependency and renewable energy expansion across ten Central/East European countries (CEEs, namely Bulgaria, the Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slovakia, …

Alignment Of The Planetary Health Diet With Pregnancy Dietary Guidelines: Insights From Two Cohorts, Aoife Davis, Sophie Callanan, Gillian A. Corbett, Eileen C. O’Brien, Alexander Douglass, Fionnuala M. Mcauliffe

Research Outputs: 2025-Present

The Planetary Health Diet (PHD) is a mostly plant-based diet that aims to optimise human health whilst minimising the environmental impact of food production. Limited data exists on whether the PHD fulfils key nutritional requirements during pregnancy. This research aimed to examine the PHD in early pregnancy and how it aligns with daily nutrient intake and European Food Safety Authority (EFSA) dietary guidelines. Pregnant women (n=678) from two Irish cohorts (ROLO and MicrobeMom) were analysed. Dietary intakes in early pregnancy were determined using a 3-day food diary and used to calculate PHD Index (PHDI) scores. Women were dichotomised by the …

Optimized Nano-Bilosomes Loaded Ocular Insert As A Promising Approach For Boosting Voriconazole Ocular Bioavailability: In-Vitro, Microbiological, And In-Vivo Assessments, Eman Gomaa

Nanotechnology Research Centre

The eye possesses numerous physiological barriers that significantly limit the absorption of administered drugs, as only < 5 % get through. These barriers restrict drug bioavailability, often necessitating multiple dosing, which can lead to poor patient compliance. The study goal is to efficiently incorporate Voriconazole (VRC), a wide-spectrum antifungal candidate with a short half-life, into stable, biocompatible, non-irritating bile salt nanoparticles (Bilosomes, BLOs) to enhance its ocular delivery. Bilosomes were prepared by the ethanol injection method. Experimental (33) Box–Behnken Design (BBD) was employed; the amount of bile salt, cholesterol, and span-60 were chosen as independent variables, while entrapment efficiency (EE%), cumulative VRC release (Q8h), particle size (PS), zeta potential (ZP), and polydispersity index (PDI) were the dependent variables. The formula of optimization showed EE% (59.04 ± 1.88 %), cumulative release after 8 h (81.35 ± 0.69 %), PS (222.53 ± 2.04 nm), ZP (−72.53 ± 1.75 mV), and PDI (0.225 ± 0.03). It was chemically characterized using DSC and FTIR. Its spherical arrangement was confirmed using TEM. For ophthalmic application, the optimized formula was included in ocular inserts to extend ocular residence time while minimizing dosing frequency. The optimal VRC-loaded bilosomal ocular insert met the acceptable physicochemical criteria, was sterilized using UV radiation for conducting microbiological assay, in-vivo study, and pharmacokinetic analysis. For safety evaluation, an eye irritation study and histopathological examination were conducted. The results confirmed its effectiveness as evidenced by a significantly larger inhibition zone and 8.39-fold enhancement in VRC bioavailability compared to its suspension. These findings support the potential of bilosomes-loaded ocular insert as an effective ocular delivery of VRC.

Investment Law, Justice, And Sustainable Development, Frank Emmert, Begaiym Esenkulova

GHEA21 Open Educational Resources

This book is focused on international investment law, justice, and sustainable development. It is intended as a study and research resource for anyone interested in investment law and investor-state dispute settlement (ISDS). It is widely recognized that states receiving foreign direct investment (FDI) often greatly benefit from it, as FDI is one of the driving forces of economic development. Nevertheless, FDI can also cause environmental harm, social unrest, a ‘race-to-the-bottom’ in regulatory standards as well as other negative consequences, if not properly regulated. As FDI may have a double-edged impact, both positive and negative, it is important for states not …

Table Of Contents, California Western International Law Journal

California Western International Law Journal

No abstract provided.

Immigration Judges: The Unfortunate Bellwether For Declining Federal Public-Sector Labor Rights, Hon. Mimi Tsankov

California Western International Law Journal

No abstract provided.

The Fight For Comprehensive Sex Education Legislation: A Comparative Law Analysis Of Policies In The United States And The Philippines, Angeliki Harris

California Western International Law Journal

No abstract provided.

Contras And Climate Change: Can State Responsibility Tests For Paramilitary Activities Be Applied To Climate Change?, Nicolas Tavano Hall

California Western International Law Journal

No abstract provided.

Critical Success Factors For An Effective Security Risk Management Program: An Exploratory Case Study, Jason A. Williams, Humayun Zafar, Saurabh Gupta

Faculty Articles

This paper evaluates the perceived effectiveness of the security risk management (SRM) programs at a Fortune 500 firm. Layers of management and staff participated in the study. Perceived effectiveness of their SRM programs was based on nine critical success factors (CSFs). Interviews confirmed six initial CSFs (Executive Management Support, Organizational Maturity, Open Communication, Risk Management Stakeholders, Team Member Empowerment, and Holistic View of an Organization) that were extracted from the literature. They were confirmed and synthesized with three additional CSFs (Security Maintenance, Corporate Security Strategy, and Human Resource Development). Implications for SRM are discussed.