Digital Commons Network^™

Beyond Restless Sleep: A Cross-Sectional Study Of Obstructive Sleep Apnea Risk, Aging Biomarkers, And Chronic Low Back Pain, Khalid W Freij, Fiona Bat Agbor, Philemon Domoyeri, Kiari R Kinnie, Asia M Wiggins, Demario S Overstreet, Tammie L Quinn, Shivraj S Grewal, S Justin Thomas, Walid W Freij, Shameka L Cody, Michael A Owens, Robert E Sorge, Burel R Goodin, Edwin N Aroke

2020-Current year OA Pubs

This secondary data analysis aimed to determine the nature of the relationship between obstructive sleep apnea (OSA) risk, biological age acceleration, and nonspecific chronic low back pain (CLBP). In total, 199 adults aged 18-82 years who filled both STOPBANG and pain questionnaires subsetted for secondary analysis. Based on the STOPBANG questionnaire, 104 had a low OSA risk and 95 had an intermediate or high OSA risk. Dunedin Pace of Aging Computed from the Epigenome (DunedinPACE), Horvath's, Hannum's, PhenoAge, and GrimAge clocks were used to determine biological age and pace of biological aging. Individuals with low OSA risk reported increased DunedinPACE …

Lost Before Forgetting: Objective Driving Metrics Track Navigation Deficits Tied To Preclinical Alzheimer's Disease, Yiqi Zhu, Ramkrishna K Singh, Semere Bekena, David C Brown, Chen Chen, Matthew Blake, Jean-François Trani, Ganesh M Babulal

2020-Current year OA Pubs

BACKGROUND AND OBJECTIVES: Navigation is a complex, multisensory process in which subtle changes may emerge before the onset of symptomatic Alzheimer's disease (AD). This study investigated whether navigation abilities were associated with amyloid and tau pathology in cognitively normal older adults.

RESEARCH DESIGN AND METHODS: Among 285 cognitively unimpaired older adults, navigation and objective driving behaviors were assessed using the self-reported Santa Barbara Sense of Direction Scale (SBSOD) and a datalogger, respectively. Amyloid and tau burden were quantified using PET-MRI 2 years post-initial driving data collection. Linear mixed-effects models were used to evaluate the associations between biomarker status and longitudinal …

Perception Of Dementia Risk Among Black Adults: An Ecological Analysis Of Causal Loop Diagrams With A Structural And Social Determinant Of Health Composite Index, Jean-Francois Trani, Ramkrishna K Singh, Alexis Ib Walker, Semere Bekena, Yiqi Zhu, Ganesh M Babulal, Robbie Hart

2020-Current year OA Pubs

INTRODUCTION: To investigate drivers of dementia risk disparities among older Black Americans using a community-based system dynamics (CBSD) approach.

METHODS: Over 18 months, 234 participants created 36 causal loop diagrams (CLDs) on dementia risk. An ecological analysis compared structural differences across groups based on scores on a structural and social determinants of health composite index (S/SDOH-CI).

RESULTS: Groups in the highest SDOH-CI quantile were more likely to identify key protective pathways linking mental health, substance use, exercise, medication, and community support to reduce dementia risk. In contrast, fewer than 25% of low-SDOH-CI groups identified these connections, and under 15% recognized …

The Impact Of Congenital Heart Disease On The Timing Of Alzheimer's Disease In Down Syndrome, Julianne G Clina, Beau Ances, Et Al.

2020-Current year OA Pubs

INTRODUCTION: The incidence of Alzheimer's disease (AD) in Down syndrome (DS) exceeds 90%. Approximately 50% of people with DS have congenital heart disease (CHD). Having CHD increases risk for early-onset AD in populations without DS, but it is unclear if CHD influences AD in DS.

METHODS: Data from the Alzheimer Biomarker Consortium-Down Syndrome (ABC-DS) were used. Participants with CHD (

RESULTS: People with CHD scored lower for visuospatial ability (

DISCUSSION: Presence of CHD may influence AD progression in DS.

HIGHLIGHTS: In adults with Down syndrome (DS), those with congenital heart disease (CHD) had higher amyloid beta and reached the …

Participatory Systems Modeling In Implementation Research: Exploring Benefits, Facilitators, And Future Needs, Natalie Riva Smith, Jennifer L Cruz, Jessica Gannon, Stephanie Mazzucca-Ragan

2020-Current year OA Pubs

BACKGROUND: Implementation science increasingly uses participatory systems modeling (PSM) approaches to handle the complexity inherent to implementation science issues. To support the process of integrating PSM with implementation science, we aimed to understand and explicate the benefits, facilitators, and future needs of applying PSM to implementation research.

METHODS: We conducted semi-structured qualitative interviews with 23 researchers (n = 18) and practitioners (n = 5). We purposively sampled participants and identified additional participants through recommendations. Interviews were inductively analyzed. Key concepts were identified via iterative description, comparison, and conceptualization.

RESULTS: Engagement with people in the system was typically focused in earlier …

Developing And Evaluating A Multidimensional Measure Of Pride In The Lgbtqia+ Community, Donovan Edward

College of Graduate Studies: Theses & Dissertations

Pride in LGBTQIA+ spaces has thus far been an ethereal concept with no universally agreed-upon definition. Previous literature frequently connects pride to traits such as resilience, comfort, confidence, and identity expression. This is a critical oversight, as most measures of LGBTQIA+ experiences focus on the negative aspects of queer experiences (e.g., vulnerability, victimization) or are created to evaluate non-LGBTQIA+ perceptions of LGBTQIA+ people, falsely characterizing this community in a deficit-based light. In response, this study aimed to offer a holistic definition of pride and develop a psychometrically sound measure of pride stemming from culturally salient expressions by using rigorous analytical …

Remember To Say Her Name - Addressing Black Women's Experiences Of Vicarious Police Brutality And Testing A Racial Trauma Meditation, Gabriella A. Roper

College of Graduate Studies: Theses & Dissertations

Black women and girls are disproportionately impacted by police violence, as some are victims of brutality but also as viewers of police violence videos and advocates for police reform (Williams, 2021). Yet, most media coverage centers on police brutality against Black men, rendering the suffering of Black women largely invisible. Studies indicate heightened rates of distress experienced by Black women as a result of race-based stressors, compounded by their limited access to adaptive coping mechanisms (Beauliere, 2022; Hawkins, 2022). This study investigated the psychological effects of vicarious police brutality exposure on Black women. In addition, this study evaluated the effectiveness …

Exploring The Effects Of Mindset And Mood On Cognitive Performance, Pamela Kplivi

Honors College Theses

Individual and situational factors such as mindset and mood can shape performance on creative problem solving tasks. This study examined the potential effects of mindset (growth vs. fixed) and mood (positive, neutral, negative) on performance. Performance was measured using a shortened 60-item version of the Compound Remote Associates Task (CRAT; Bowden & Jung- Beeman, 2003). 92 undergraduate students completed self report measures of mindset (ITIS; Dweck, 1999) and self-efficacy (Schwarzer & Jerusalem, 1995). Participants were randomly assigned to a video-based mood induction condition and completed a self-reported mood survey (PANAS; Watson et al., 1988). Manipulation checks confirmed the effectiveness of …

Examining How Engagement Strategies Of Principals Influence Teacher Retention In Urban Title I Schools, Bridgette Allen

College of Graduate Studies: Theses & Dissertations

As the teacher shortage continues to rise, it is critical for educational leaders to focus on teacher retention. Principals play a significant role in teacher retention, teacher engagement, and job satisfaction; therefore, they must implement effective engagement strategies to improve teacher retention. The purpose of this basic qualitative study is to explore how engagement strategies employed by principals at urban Title I schools contribute to teachers’ decisions to remain at these schools. The research question for this study examines teachers’ perspectives on how the engagement strategies used by their school principals influence their decision to remain in an urban Title …

Staff Perceptions Of The Roles, Responsibilities, And Effectiveness Of School Resource Officers In Ensuring School Safety, Jana B. Collins

College of Graduate Studies: Theses & Dissertations

School safety remains a critical concern in education, particularly in rural settings where resources, staffing, and community dynamics may differ from urban and suburban environments. The purpose of this quantitative study was to examine staff perceptions of the roles, responsibilities, and effectiveness of school resource officers in maintaining and enhancing school safety within a rural school system. A researcher-designed survey using a 4-point Likert scale was administered to teachers and staff members (N = 417). Descriptive statistics summarized overall staff perceptions, and analyses of variance (ANOVAs) examined differences based on demographic and professional characteristics. Findings indicated that staff generally …

The Efflorescence Of Apocalypticism (Imminent & Prepping Beliefs): Considering Informational And Motivational Regulatory Mechanisms, James T. Good Mr.

College of Graduate Studies: Theses & Dissertations

In the last quarter of the 21st century, apocalyptic beliefs emerged in scholarly and lay representations notably doubling over the last decade. With nearly forty percent of United States citizen reporting this belief, unfulfilled questions arose: What drives discrepancies in beliefs of an imminent end of the world? Additionally, what drives beliefs in the need to prepare for an end of the world? These individual questions were examined together in this study using Construal Level Theory (CLT) and Regulatory Focus Theory (RFT) in an attempt to identify how psychological mechanisms are significantly affecting the fluctuations, in these self-reported beliefs. A …

A Program Evaluation Research Study Of The Implementation Of Mothers With Mentors: A Dissertation On Shelter From The Rain’S Mentorship Program, Danielle Louise Smith

College of Graduate Studies: Theses & Dissertations

This program evaluation study examines the implementation of the 2025 Shelter From the Rain “Mothers with Mentors” program in Savannah, GA. Utilizing a convergent parallel mixed-methods approach, the study evaluates the program’s acceptability, feasibility, and perceived benefit through the theoretical lenses of the Theory of Planned Behavior (TPB), the Health Belief Model (HBM), and Bonding Social Network (BSN). The analysis incorporates quantitative and qualitative data for participant mentees (n=7) and mentors (n=12), with a specialized paired analysis of five mentor-mentee matches.

The findings indicate a complex landscape of convergence and divergence across the groups. Quantitative results depicted high convergence on …

Exploring The Impact Of Adverse Childhood Experiences On Preventive Healthcare Utilization In Rural Georgia, Ryan R. Traylor

College of Graduate Studies: Theses & Dissertations

This study examines the relationship between Adverse Childhood Experiences (ACEs) and preventive healthcare use among adults in Georgia, specifically within rural populations facing structural barriers. Using 2023 Georgia Behavioral Risk Factor Surveillance System (BRFSS) data, the research analyzes associations between ACE exposure, rural residence, and preventive care outcomes, including physical exams and flu vaccinations. Guided by an intersectionally adapted version of Andersen’s Behavioral Model of Health Services Use, the study evaluates how predisposing factors, enabling resources, and perceived barriers relate to healthcare engagement. Logistic regression analyses assess the correlation of ACE exposure, cost barriers, provider access, and sociodemographics with preventive …

Impact Of Religion On Mental Outcomes Among Racial/Ethnic And Sexual/Gender Minority Individuals, Braden J. Waugh, Michael E. Nielsen

College of Graduate Studies: Theses & Dissertations

Marginalized identities (Adams & Miller, 2022) are associated with elevated risks for negative outcomes (Ching et al., 2018; Kayode et al., 2024). Religion has been found to act as a protective and risk factor. Minority Stress Theory (Meyer, 2003) and Intersectionality Theory (Crenshaw, 1991) are used to examine the relationship between identity status and anxiety, prosocial tendencies (PT), and quality of life (QoL). One hundred fifty-two participants were primed with a religious or neutral stimulus, and then answered measures regarding these outcomes (GAD-7, Spitzer et al., 2006; PBIS, Baumsteiger & Siegel, 2019; WHOQOL-BREF, The Whoqol Group, 1998; IFS, Hammer & …

Assessing And Advancing Pandemic Emergency Preparedness In New York City's Hospitals: A Strategic Management Toolkit Integrating Policy Analysis, Risk Assessment, And Stakeholder Insight, Irrem Jamal

College of Graduate Studies: Theses & Dissertations

This dissertation examines pandemic emergency preparedness in New York City hospitals, which were severely strained during COVID-19, revealing critical gaps between documented plans and operational readiness. Using a multimethod approach combining a survey of 20 stakeholders across city hospitals, semi-structured interviews, and document analysis of policy frameworks and after-action reports, the study identifies a persistent "documentation-execution paradox": while 80% of respondents confirmed clear pandemic plans, only 45% expressed confidence in staffing adequacy, 55% in surge planning realism, and just 45% confirmed regular drills. Qualitative analysis revealed workforce as the single greatest yet most underinvested vulnerability, supply chain fragility rooted in …

The Effect Of Complexity Of Expert Testimony And The Presence Of A Defensive Rebuttal On Jurors' Decisions In Criminal Trials, Shelby E. Madden

College of Graduate Studies: Theses & Dissertations

Forensic science plays a critical role in criminal trials, yet forensic techniques vary in their reliability. Expert testimony, often held in high regard by jurors, can be a decisive factor in verdicts, but its influence is complicated by factors such as technical complexity, adversarial bias, and heuristic processing. The present study examined how the complexity of prosecution expert testimony and the presence of a defensive rebuttal influenced jurors’ decisions when presented with faulty forensic evidence. Participants (N = 142) were randomly assigned to one of four conditions in a 2 (testimony complexity: high v. low) x 2 (defensive rebuttal …

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 …

Ni De Aqui, Nor There. Pero As The In-Between, Vanessa Franquez

College of Graduate Studies: Theses & Dissertations

This thesis explores first-generation Mexican American identity as a lived experience of translation and survival. Drawing from Judith Butler, Gloria Anzaldúa, and Jack Burnham, the work frames identity as performative, embodied, and shaped by overlapping cultural systems. Insects function as models of adaptation, camouflage, and defense, paralleling survival strategies such as code-switching and cultural hybridity. Through sculptural processes including tufting, felting, sewing, layering, and the inscription of Spanglish text, repetition and puncture become material metaphors for pressure, repair, and resilience. Language operates as both subject and substance, resisting grammatical purity in favor of hybridity. The work ultimately positions the in-between …

The Battle Of Eden Station: Locating The Linchpin In Sherman’S Savannah Campaign, Roberto J. Jorge Jr

College of Graduate Studies: Theses & Dissertations

In December 1864, General William T. Sherman’s Union army approached Savannah, Georgia, towards the end of his “March to the Sea.” The Fifteenth Army Corps, part of Sherman’s Right Wing and commanded by General P. J. Osterhaus, crossed the Ogeechee River at Jencks and Wright’s Bridges, and advanced towards Station No.2 on the Central of Georgia Railway and the crossroads at Eden Station, located in Effingham County, Georgia. Three companies of the Tenth Battalion, North Carolina Heavy Artillery contested the crossing, falling back to multiple defensive positions before escaping by train in an effort to delay Sherman’s inevitable advance on …

Effects Of The Menstrual Cycle Phase On Rpe, And Symptom Characteristics In Pre-Professional Female Soccer Players, Emily Potts

College of Graduate Studies: Theses & Dissertations

Hormonal fluctuations across the distinct phases of the menstrual cycle have been shown to influence physiological and psychological responses to exercise, with some evidence suggesting phase-dependent changes in symptom presentation and ratings of perceived exertion (RPE); however, findings remain inconsistent, and few studies have examined these relationships across an entire competitive season in female soccer players. The purpose of this study was to examine changes in RPE and menstrual symptoms across cycle phases, as well as the relationships between RPE and symptom reporting in pre-professional female soccer players. A total of 22 female soccer players (age 22± 1.85) were recruited …

Educating Black Males In Black Lives Matter Movement Space, Kimberly L. Hollis

College of Graduate Studies: Theses & Dissertations

This inquiry has been inspired by the stories of Black boys’ educational experience within the public school system in the South. Theoretically drawing upon anti-Black racism (Alexander, 2010; Collins, 2000; Davis, 2003; Du Bois, 1903; Watkins, 2001; Woodson, 1993; Wynter, 2003) and  Black Intellectual Traditions (Bell, 1992: Crenshaw, 1988; Delgado, R., & Stefancic, J., 2001; Ladson-Billings, 2003; Linscott, 2017; Yosso, 2006), I expound on the concept of systemic racism in the United States as well as the challenges that hinder Black males from achieving academic excellence and thrusts them further to the margins. Methodologically, I employ counter-storytelling (e.g., Delgado, 2017; …

Subliminal Nature: Dialogues In Performance, Carlos A. Carvajal

College of Graduate Studies: Theses & Dissertations

I will discuss how my artwork sets for the development of various layers of experience within the same context and space, to stimulate the subconscious of the audience. This layering is a combination of stimuli of senses (the inclusion of sound and active participation) and the syntax of the dynamics of audience interaction. Sound and visuals create a performance to acknowledge and read, while also pertaining to participation by a sort of instruction for the viewer to partake in the work. These are all different layers of experience that happen simultaneously within a piece, setting up different possible outcomes from …

I Am Because We Are: A Narrative Inquiry Of Waiver Teachers’ Sense Of Belonging In Title I High Schools, Bernard Young

College of Graduate Studies: Theses & Dissertations

This qualitative narrative inquiry examined how former waiver teachers in low-performing Title I high schools in Georgia experienced a sense of belonging within their school communities and how that sense of belonging influenced their engagement in professional learning and their perceived effectiveness in supporting student achievement. Grounded in the Belongingness Hypothesis and guided by narrative inquiry methodology, the study framed participants’ experiences through the Bildungsroman structure to explore their journeys of professional becoming. Data were collected using a life-story interview protocol that combined open-ended narrative invitations with responsive follow-up questioning and were analyzed through a multi-phase narrative inquiry process informed …

Exploring Acculturation And Its Role In Substance Abuse Behaviors Among Refugee Populations In Bowling Green, Ky: An Interactive Learning Experience Through Provider’S Perspectives., Aishwarya Potluri

College of Graduate Studies: Theses & Dissertations

Substance use among refugee populations is an emerging public health concern shaped/influenced by cultural, social, and structural factors associated with resettlement. This qualitative study explored providers’ perspectives on substance use behaviors among refugees in Bowling Green, Kentucky. Using Health Behavior Theory with acculturation as a contextual construct, semi-structured interviews were conducted with 10 providers working with refugee-serving organizations. Data collected through the interviews was analyzed using thematic analysis in NVivo. The findings indicate that substance use is being influenced by peer exposure, occupational stress, and the increased availability of substances in the United States. Providers identified cultural stigma surrounding mental …

Female Athletes’ Mental Health Help-Seeking Experiences: Understanding The Impact Of The Coach-Athlete Relationship And Coach Sex, Verena Zaisberger

College of Graduate Studies: Theses & Dissertations

Mental health help-seeking remains stigmatized in the world of sports (Cosh et al., 2024). Evidence suggests that female athletes may prefer to disclose vulnerable topics to individuals of the same sex (Keil et al., 2023), including help-seeking (O’Keeffe et al., 2022). However, no investigations have explored how coach sex or the coach-athlete relationship may influence female athletes help-seeking experiences. This is despite the importance of coaches in promoting and facilitating mental health services utilization (Bissett et al., 2020). To further understand this topic, the aim of this study was to explore what female athletes’ mental health help-seeking experiences are under …

Taking Off The “Blindfold”: Exploring Montana’S Public Trust Doctrine And The Right To A Clean And Healthful Environment After Held V. Montana, Lizzy Gazeley

Lewis & Clark Law Review

As global average temperatures continue to rise, the threat of climate change looms closer. To evade climate catastrophe, greenhouse gas emissions will need to be substantially reduced. Despite climate change’s imminent risks, in the United States, both the federal government and states remain resistant to transitioning away from fossil fuel energy sources. To combat this government inaction, some litigants have turned to an ancient doctrine. The public trust doctrine provides that sovereigns must protect natural resources from substantial impairment to ensure the public’s right to use those resources.

In Held v. Montana, youth plaintiffs alleged that the State of Montana …

A Scope For Survival: Creating A Path For The Pregnant Workers Fairness Act Under A Conservative Administration And Supreme Court Bench, Emily Easton

Lewis & Clark Law Review

The Pregnant Workers Fairness Act (PWFA) requires employers to provide reasonable accommodations for known limitations related to pregnancy, childbirth, or related medical conditions, representing a bipartisan congressional effort to fill the gaps in workplace protections afforded to pregnant workers. However, the Equal Employment Opportunity Commission’s (EEOC) final rules interpreting the PWFA have generated significant legal and political controversy—especially around the broad interpretation of the definition of related medical conditions to include lactation, “elective” abortions, menstruation, infertility, and contraception.

Given the current political and legal climate presented by a conservative federal administration and Supreme Court bench, this Note proposes a pragmatic …

A Proposed Conceptual Framework For Assessing Quality Of Life In The United Arab Emirates: Application To Ras Al Khaimah Emirate, Aaesha Saif Al Shehhi

Dissertations

Quality of Life (QoL) has become a central concern in urban planning and sustainable development, particularly in rapidly transforming contexts such as the United Arab Emirates. This dissertation proposes and empirically validates a comprehensive framework for assessing urban QoL, with a focused application to the Emirate of Ras Al Khaimah. A mixed-methods approach integrates objective indicators and residents' subjective perceptions, aligned with national strategies including UAE Vision 2030, the National Strategy for Wellbeing 2031, and UAE Centennial 2071.

The methodology combines Geographic Information Systems (GIS), the Analytic Hierarchy Process (AHP), and statistical analyses to evaluate seven key sectors: environment, infrastructure …

Neurofilament Light Chain But Not Glial Fibrillary Acidic Protein Serum Levels Are Elevated In Wolfram Syndrome, Matthew J Jansen, Heather M Lugar, Cris M Brown, Abby F Tang, Liam J Oiknine, Ling Chen, Jonathan M Koller, Brian A Gordon, Bess A Marshall, Fumihiko Urano, Tamara Hershey

2020-Current year OA Pubs

BACKGROUND: Wolfram syndrome is a rare genetic disorder caused by pathogenic variants in the

OBJECTIVE: To determine if serum NfL and/or GFAP levels are elevated in Wolfram syndrome compared to controls and whether they can serve as monitoring biomarkers.

METHODS: Serum NfL and GFAP levels were log

RESULTS: NfL levels were higher in the Wolfram group relative to all control groups (

CONCLUSION: Serum NfL elevation in Wolfram syndrome may reflect the ongoing, relatively slow neurodegeneration occurring in this disorder. However, without any correspondence between serum levels and currently used clinical and neuroimaging metrics, it has limited utility as a …

Major And Institution Transfer Path Combinations And The Relaxed Lasso Method: Parsimonious Prediction Of Vertical Transfer Student Success, David Wutchiett, A. W. Logue, Martin Kurzweil, Colin Chellman

Publications and Research

The majors, institutions, and their combinations, which characterize transfer between higher education institutions relate to student success but introduce high-dimensionality and multicollinearity to statistical modeling. Relaxed lasso regression, a procedure blending regularized lasso models with unregularized refit models, selects variables and facilitates unbiased coefficient estimation in high-dimensional settings. Using a large sample of students transferring from associate to bachelor’s programs (n=28,166), we compared lasso and ridge regression parsimonious models predicting bachelor’s graduation and posttransfer GPA improvement, evaluating associations using unregularized parsimonious predictive models. Relaxed lasso parsimonious optimal models outperformed standard lasso and ridge regression models while including few of 702 …