Digital Commons Network^™

The Coffee Crisis: What Starbucks Coffee Company Teaches Us About Exploitation, Chloe Baker

Masters Theses, 2020-current

The average American consumer associates the coffee shop with an earth-toned color pallet, a comfortable seating arrangement, and a delicious beverage. American popular culture mimics that imagery, in television shows like NBC’s Friends and Frasier, and movies like You’ve Got Mail. Coffee shops are one kind of third place, a term coined by sociologist Ray Oldenburg to describe tertiary spaces to work and home where people commune and form community. But a darker side of coffee shops exists relatively unnoticed. This thesis demonstrates how popular cultural portrayals of coffee and coffee shops—small businesses and Starbucks Coffee Company—have both …

Geopolitical Chessboard: How Vietnam Shapes American-Chinese Competition, Kiet H. Lê, Hiep X. Trần

The US Army War College Quarterly: Parameters

Vietnam’s geostrategic position—bordering China and commanding key South China Sea maritime routes—makes it a pivotal actor in shaping great-power competition in Southeast Asia. This article argues that the United States should support Vietnam’s neutrality and strategic autonomy as a means of countering Chinese influence. Unlike prior studies that portray regional states as passive players, this analysis highlights Vietnam’s active role in influencing regional dynamics. Through comparative analysis with the Philippines, using historical case studies, geographic assessments, and policy reviews, the article offers practical insights for military and policy practitioners on how geography shapes alliance formation and strategic competition.

Parameters, Usawc Press

The US Army War College Quarterly: Parameters

No abstract provided.

Measuring The Exorbitant Privilege: A Unified Estimate Of The Financial Benefits Of Dollar Dominance, 1976–2024, Carson T. Weeks

Honors Theses

This paper constructs a unified annual time series of the major measurable components of the United States' exorbitant privilege from 1976 to 2024. Drawing on established econometric estimates from the literature, it measures three channels through which the international role of the dollar generates financial benefits for the United States: seigniorage from foreign holdings of physical currency, borrowing cost savings on federal debt arising from reserve-driven demand for Treasuries, and the return differential on the U.S. external balance sheet, covering both public and private holdings. All dollar figures are reported in real 2024 dollars, deflated by the Consumer Price Index. …

Inherited Strategies: Why The U.S. And France Pursued Different Counterterrorism Approaches In The Horn Of Africa And The Sahel, Matthew B. Blackwood

Honors Theses

This thesis examines the counterterrorism strategies employed by the United States and France in Sub-Saharan Africa. In Somalia, the United States utilized a remote warfare centric strategy, precision drone strikes and limited special operations raids, in an attempt to degrade the Somali groups al-Shabaab and ISIS-Somalia. In the broader Sahel, France utilized large ground operations in Operation Serval and Operation Barkhane fighting various groups such as AQIM and JNIM. The thesis aims to explore why the United States and France, both Western countries, who fought similar non-state actors decided to employ drastically different strategies. Through process tracing and comparative analysis, …

Taxidermy And Technology: A History Of Climate Change Exhibitions At American Museums Of Natural History, Laura Haushalter, Amy Woodson-Boulton

Honors Thesis

My research is on the history of temporary and permanent climate change exhibitions at natural history museums in the United States. My primary research question is: How have natural history museums responded to human-caused environmental destruction through their exhibitions, and what, if anything, are natural history museums doing now to address our current environmental crisis? My research begins with a historiography of natural museums and examines how early 20th-century museums responded to a sense of environmental crisis and widespread threats of species extinction. In the early 20th century, museums shifted from Victorian-era glass cases to modern and artistic dioramas that …

Inflammatory Markers In The Emergency Department And Ptsd Symptoms In The Aurora Study: A Longitudinal Cohort Study, Kristen Nishimi, Stacey L House, Et Al.

2020-Current year OA Pubs

BACKGROUND: Systemic inflammation is hypothesized to contribute to post-traumatic stress disorder (PTSD) vulnerability. Few studies have examined inflammation shortly after trauma as a predictor of later PTSD symptoms. We examined whether inflammation from the emergency department (ED) post-trauma is associated with PTSD symptom severity over the following 6 months.

METHODS: Our sample included 742 AURORA participants, a longitudinal cohort of patients in 29 EDs across the United States after a traumatic stressor, followed up to 6 months. Plasma cytokines were assessed from a study blood draw in the ED: an inflammatory index (standardized sum of generally pro-inflammatory markers interleukin [IL]-6, …

How Ai Governance Differs Between Regime Type, Jackson T. Guillou

Honors Theses

This thesis will examine how artificial intelligence (AI) regulation and development differ across political regime types, arguing that governance outcomes are fundamentally shaped by institutional political structures. This thesis will draw on comparative frameworks analyzing democratic and authoritarian systems. This thesis will also include case studies of the European Union, the United States of America, China, and Russia. The study finds that democratic regimes tend to emphasize transparency, accountability, and rights-based regulation of AI. This often results in slow regulation of AI, but it is more ethically legitimate and constrained. In contrast, authoritarian regimes prioritize centralized control, strategic coordination, and …

Fear Of The Other: Explaining Immigration Anxiety In The United States, Ramon Arguelles

Student Scholar Symposium Abstracts and Posters

Illegal immigration has become one of the most politically divisive issues in the United States, with many Americans fearing its social, political, and economic effects. This paper examines possible causes of the fear of illegal immigration, specifically focusing on media consumption, employment status, and education level. Using Wave 11 of the Chapman Survey of American Fears, a nationally representative survey of U.S. adults, this paper analyzes whether these variables can serve as indicators of fear of illegal immigration. Drawing on media framing theory, labor-market competition theory, and theories of education and cognitive sophistication, three hypotheses were tested using Pearson correlation …

Maternal Fish Intake In The Year Prior To Conception And Birth Defects, National Birth Defects Prevention Study, 1997-2011, Dorothy Kim Waller, Zeyu Miao, Renata H Benjamin, Richard Finnell, Nithya Lakshmi Mohan Dass, Eirini Nestoridi, Marcia C De Oliveira Otto, Julie Peterson, Tunu Ramadhani, Mark A Canfield

Faculty, Staff and Students Publications

Background: Epidemiologic data on the association between maternal fish intake and birth defects are sparse. Our objective was to assess associations between maternal fish intake and 52 different birth defects, most of which have not been assessed previously.

Methods: Using logistic regression, data was analyzed for 29,242 mothers of infants with birth defects and 10,973 mothers of control infants who participated in the National Birth Defects Prevention Study (NBDPS) and delivered between 1997 and 2011. We focused on associations between mothers who reported high fish intake of 2 or more servings of fish per week for the year prior to …

Analyzing Social Implications Of The Gender Wage Gap, Jessie A. Clarke

Electronic Theses, Projects, and Dissertations

The researcher seeks to understand the gender wage gap in the United States. The research question studied is “Why do women in the United States on average earn less income than men?” Women gain less power and resources as they earn less income than men. The researcher explores the phenomenon in this paper. This research proposal utilizes qualitative methods via interviews, and analysis through coding. In previous research, there is a lack of inclusion on the gender wage gap regarding various identities such as sexual orientation, other gender identities, and race/ethnicity. The researcher hopes to fill in these gaps in …

A Qualitative Study Of Maternal Morbidity And Mortality In The United States, Stacy D. Harris

Electronic Theses, Projects, and Dissertations

Maternal morbidity and mortality (MMM) in America are largely preventable. The aim is to analyze disparities found in women of color regarding MMM in America and evaluate: How does adequate maternal health care affect the morbidity and mortality disparities found in communities of disadvantaged mothers? This research will employ a qualitative analysis of mothers, a more specified age group, and region (West Coast) of the United States. Previous work neglected to obtain in-depth, first-hand interviews with mothers residing regionally in the United States from a specified age group. An interview guide will be used to conduct comprehensive interviews virtually. Expert …

Exploring How Acculturation In Childhood Impacts The Adult Identity Of Children Of Hispanic/Latinx Immigrants, Maritza De La Torre, Irene Zapata-Macareno

Electronic Theses, Projects, and Dissertations

The purpose of this study is to provide perspective of struggles with identity for children of Hispanic immigrants. There is limited existing literature on the impact of acculturation on children of Hispanic/Latinx immigrants in the United States. The intention is to provide insight about common experiences and underlying traumas faced by individuals who grow up in immigrant Hispanic/Latinx families. The objective is to provide adults with some insight into their identity based on their specific family dynamic since there is a gap in society about the topic. This study will use a phenomenological qualitative approach to collect data through semi-structured …

Human Trafficking Of Children Efficacy Of Counter Trafficking Programs For Youth, Alma Rodriguez

Electronic Theses, Projects, and Dissertations

Human trafficking is a global problem, and it is a significant problem within the United States. Children are a vulnerable group that become victims of human trafficking operations. Human trafficking prevention programs are available to address this issue, but there is much needed research to test the effectiveness of the countertrafficking programs for high-risk children. This study is a systematic review of studies on countertrafficking programs. This study will use a mixed methods approach to analyze quantitative and qualitative data from selected studies. This study hopes to find if current counter-trafficking programs are effective in preventing at-risk youth from becoming …

Why So Few? Sense-Making The Latino Librarian’S Place In The Hispanic-Serving Institution: A Phenomenological Approach, Valentin Macias Jr.

Electronic Theses, Projects, and Dissertations

Despite record Latinx student enrollment across California's higher education systems, Latino men remain severely underrepresented in academic librarianship, comprising less than 0.5% of librarians nationally. This persistent gap represents a critical equity issue within a profession that increasingly serves diverse student populations. This qualitative study explored the lived experiences of twelve Latino male academic library professionals at Hispanic-Serving Institutions (HSIs) through in-depth interviews to understand the factors shaping their professional identity, the barriers they encounter, and what sustains their persistence in the profession. Using transcendental phenomenology as the methodological approach and Critical Race Theory as the theoretical framework, the study …

Understanding Challenges Faced By Refugee Women And Women With Experiences Of Forced Migration In Entrepreneurship In The Midwest Region Of The United States, Ritu Jadwani

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The labor market participation of refugee women was only 6%. The United States had the maximum employment rate for the refugee women population, which was 40%, as compared to 6% in Germany, Lebanon, and Jordan (Kabir & Klugman, 2019). Refugee women faced many challenges in labor force participation and especially in entrepreneurship. As demonstrated by Desai, Naude, and Stel (2020), refugees faced challenges like cultural integration, language barriers, level of education, and acceptance of education merits. This eventually led to disparities in income generation. Thus, many either remained in low-paying jobs or started their own business (Desai et al., 2020). …

Treatment Of Haemophilia A Without Inhibitors: Real-World Treatment Patterns And Clinical Outcomes In The Us., Allison P. Wheeler, Lauren Amos Md, Shveta Gupta, Sylvie Bozzi, Gandarvaka Miles, Kalyani Hawaldar, Andrew Wilson, Gillian Hanson, Emily Cibelli, Amanda Wilson, Siddhi Umarje, Anne-Laure Tardy, Jennifer Dumont, Graham Neill, Alix Arnaud

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Despite available prophylactic therapies for haemophilia A, breakthrough bleeding and consequent pain and joint damage still occur.

AIM: To provide insights into the unmet treatment needs of people with moderate-to-severe haemophilia A in the US.

METHODS: For this descriptive, observational cohort study, eligible participants diagnosed with moderate-to-severe haemophilia A were enrolled in the PicnicHealth database on or before 3 October 2022. Three patient groups were established to identify: (1) treatment patterns; (2) clinical outcomes by therapy class (standard half-life [SHL] factor VIII [FVIII]; extended half-life FVIII [EHL]; emicizumab); (3) health-related quality of life (HRQoL) using the Patient-Reported Outcomes Measuring …

A Smoking-Related Plasma Protein Score And Smoking-Related Cancer Risk And Mortality In The Atherosclerosis Risk In Communities Study, Meng Ru, Christopher Douville, Aghiles Guenoun, Hana Zahed, Christie M Ballantyne, Kenneth R Butler, Josef Coresh, David J Couper, Panagis Galiatsatos, Marc J Gunter, Ron C Hoogeveen, Mattias Johansson, Corinne E Joshu, P Martijn Kolijn, Christina M Lill, Jiayun Lu, Michael T Marrone, Giovanna Masala, David C Muller, Anna E Prizment, Raul Zamora-Ros, Nilanjan Chatterjee, Adrienne Tin, Elizabeth A Platz

Faculty, Staff and Students Publications

Background: Self-reported smoking may not fully capture individualized risk of smoking-related cancer, but circulating proteins may reflect biological consequences of smoking. Thus, we developed a score based on smoking-related proteins and evaluated its association with smoking-related cancer.

Methods: This prospective cohort study included 10 563 participants aged 47-70 years in the Atherosclerosis Risk in Communities study. Plasma proteins were measured using the SomaScan Platform (SomaLogic Operating Co, Inc). The score was constructed from proteins associated with current smoking, pack-years, or recent quitting identified by linear regression and elastic net regression. Cox regression was used to estimate adjusted hazard ratios and …

Exploring The Alignment Between Medical School Outcomes With Residency Competencies: A Modified Delphi Study, Sally A. Santen, Luan Lawson, Jose A. Negrete Manriquez, Marjorie Westerveld, Laurah Turner, Anita Wilson, Phd, Yoon Soo Park, Eric S. Holmboe, Michael S. Ryan, Medical School Outcomes Milestone Study Group

JeffMD Academic Affairs

PURPOSE: Facilitation of competency-based medical education adoption would benefit from alignment between medical school (undergraduate medical education [UME]) and residency (graduate medical education [GME]) assessments. This study explores the strength of an a priori alignment of medical school assessments with residency competency domains to guide programmatic assessment and research.

METHOD: In fall 2023, the authors (US faculty with UME and GME expertise) used a 2-phase Delphi consensus approach (9 participants in phase 1 and 16 in phase 2) to independently map medical school assessments to the Accreditation Council for Graduate Medical Education competency domains (0, no association; 1, some or …

Tips For Health Care Practitioners: A Guide For Adolescent Obesity, Regina Santana

Electronic Theses, Projects, and Dissertations

Adolescent obesity continues to be a significant public health concern that is associated with long term physical consequences. The purpose of this project was to develop an evidence based, user friendly guidebook that supports healthcare professionals in the education of adolescents with obesity and their families. A structured literature review development process was used to inform the current development of the guidebook. The guidebook includes components of obesity management such as nutrition and physical activity recommendations. The validity of the content was established through the evaluation of five healthcare professionals that include registered dietitians and licensed therapists. The guidebook was …

Perceived Neighborhood Environment And Objectively Assessed, Habitual Physical Activity Among Us Adults: An All Of Us Research Program Study, Natalia I Heredia, Michael C Robertson, Christopher D Pfledderer, Ethan T Hunt, Timothy J Walker, Deborah Salvo

Faculty, Staff and Student Publications

Introduction: The purpose of this study was to assess the associations between perceived socioenvironmental neighborhood attributes and objectively assessed habitual physical activity among US adults as well as whether associations vary by sociodemographic characteristics.

Methods: We used data from the All of Us research program, a longitudinal cohort study of a diverse sample of Americans. Perceived neighborhood social cohesion, physical and social disorder, walkability, and sociodemographic characteristics were self-reported. Habitual physical activity was ascertained using Fitbit-derived step counts over ≥24 weeks. Generalized additive mixed-effects models were used to test the associations between perceived socioenvironmental neighborhood attributes and daily step counts. …

The Current Status Of Infant Oral Health Instruction Within Predoctoral Dental Education, Beau D Meyer, Priyanshi Ritwik, Jean Star, Timothy Followell, Mikhail Jones, Leola Royston, Brenda Bohaty, Martina Majstorovic, Adriana Modesto Gomes Da Silva, Katherine Chin, James R Boynton, Chelsea Fosse

Faculty, Staff and Student Publications

A pediatric dental home is a patient-provider relationship that establishes compassionate, comprehensive care that is continually accessible. For more than two decades, professional organizations have recommended children establish a dental home by their first birthday. In 2024, the American Academy of Pediatric Dentistry (AAPD) Council on Pre-Doctoral Education had a governance charge approved by the AAPD Board of Trustees to evaluate the status of infant oral health (IOH) instruction in pre-doctoral dental education. This study was designed to describe the current state of didactic and clinical clock hours dedicated to IOH in U.S. pre-doctoral curricula. Following IRB approval, a 25-item …

Promises, Pitfalls, And Paths Forward For The Pediatric Research Equity Act., Alexa L. Pagano, Danielle J. Green, Jennifer Goldman, Anjali Deshmukh

Manuscripts, Articles, Book Chapters and Other Papers

IMPORTANCE: Since its enactment in 2003, the Pediatric Research Equity Act (PREA) has significantly increased the number of pediatric drug studies performed and expanded pediatric drug labeling. Despite these advancements, many drugs used in children still lack pediatric-specific US Food and Drug Administration (FDA) labeling, even when pediatric studies are required by law. Recent legislative changes strengthened the FDA's enforcement authority over PREA. As these changes are implemented, persistent gaps in pediatric drug development warrant examination. Addressing these gaps may help ensure that children are systematically included in clinical research and that medications used in children are supported by rigorous …

Domain-Specific Concussion Knowledge And Reporting In United States Major League Rugby Players, Julie Stamm, Katherine Hunzinger, Owen Sheehy, Christine Baugh

Department of Exercise Science Faculty Papers

Previous research indicates high concussion knowledge is not associated with better concussion reporting, with research examining the relationship between reporting and global concussion knowledge. Concussion knowledge has not yet been investigated in United States Major League Rugby (MLR) players. This study evaluated domain-specific concussion knowledge, concussion history, and reporting behaviors among active MLR players. In a cross-sectional design, 207 MLR athletes (age 26.6 ± 3.4 years) completed a survey assessing concussion history, knowledge, and nondisclosure reasons. While in the MLR, 24% reported an undisclosed concussion, with nondisclosure reasons related to a lack of concussion knowledge, a desire to continue playing, …

Governing Addiction: An Anthropological Comparison Of Care In The United States And The Netherlands, Kiren K. Bagga

Bates College Journal of Political Studies

This article examines addiction care as a form of moral governance through a comparative anthropological analysis of the United States and the Netherlands. Drawing on a Foucauldian theory of biopolitics alongside this study argues that approaches to addiction treatment reveal how states differentially value life, citizenship, and vulnerability. Joan Tronto's relational definition of ethical care is used to move beyond a solely moral context, towards an ethical understanding of both caretakers and those who require care. In the United States, addiction policy has historically functioned as a punitive and moralizing project, shaped by racialized drug criminalization, neoliberal ideals of individual …

Difference In Weather Delays At U.S. Large Hub Airports By Season, Momoka Okabe, Mitchell Riordan Rivers, Julian Waller, Vivek Sharma, Brooke E. Wheeler

Aeronautics Student Publications

At 31 large hub airports in the United States, there was a statistically significant difference in weather delays between Fall and both Winter and Summer, and Summer and Spring.

How Social Media Provides Access For Human Traffickers To Victimize Children: A Literature Review With Combative Measures., Ashton Lamb

Honors Theses

This literature review focuses on how human sex traffickers utilize social media to groom children. Social media is utilized by a great number of people around the world, including many children. While social media is intended to be fun and interactive, it does provide new access for dangerous people to reach victims. There is a very real, growing issue online that is not widely known to the public. This hidden danger is known as human trafficking. Human trafficking is defined as the involvement of any force, fraud, or coercion to obtain some labor or commercial sex act (Department of Homeland …

Redefining Inclusion: The Lived Experience Of Physically Disabled Nurses In The United States, Vanessa Cameron

Creating Healthy Work Environments (CHWE)

Purpose: The purpose of this phenomenological study was to explore the lived experiences of inclusion among physically disabled nurses actively working in the United States, including how those experiences differ based on disability timing—before or after licensure. Current literature largely centers on sensory or learning disabilities within academic settings; thus, this study addresses a critical gap by focusing on inclusion within professional nursing practice.

Significance: Physically disabled nurses remain underrepresented and underexamined in nursing research and workforce discussions. Applying Critical Disability Theory (CDT)—a framework never before used in nursing—this study explores how ableism and inclusion shape workplace experiences and opportunities …

Perceived Inadequate Neighborhood Food Shopping And Cardiovascular Disease Risk: The Multi-Ethnic Study Of Atherosclerosis, Amier Haidar, Ghadi Ghanem, Rishi Rikhi, Karol E Watson, Shreela V Sharma, Michael D Shapiro

Faculty, Staff and Student Publications

Background: Individuals with access to healthy food have healthier diets, improved cardiometabolic risk profiles, and decreased cardiovascular disease (CVD). However, previous studies have focused on the neighborhood food environment as distance to and density of food retailers. Our study examines the association between an individual's perceived adequacy of neighborhood food shopping and incident CVD.

Methods: We analyzed data from 6814 participants in the MESA (Multi-Ethnic Study of Atherosclerosis), a prospective cohort study of individuals aged 45 to 84 who were enrolled in the study between 2000 and 2002 and followed longitudinally. Cox proportional hazards models estimated hazard ratios (HRs) for …

Out-Of-Pocket Costs And Antihypertensive Medication Use Among Veterans: A Natural Experiment, Alexander R. Zheutlin, Alexander Chaitoff, Daniel Addo, Joshua A. Jacobs, Catherine G. Derington, Eric L. Stulberg, Peter A. Glynn, Bernardo Modenesi, Jordana B. Cohen, Adam P. Bress

Department of Neurology Faculty Papers

BACKGROUND: Blood pressure (BP) control remains suboptimal in the United States despite available low-cost antihypertensive medications. Even small out-of-pocket medication costs may contribute to adherence. We determined whether $0 versus >$0 out-of-pocket costs for antihypertensive medications is associated with differences in adherence, discontinuation, BP control, and cardiovascular outcomes.

METHODS: We included veterans with newly diagnosed hypertension who initiated antihypertensive medication in the Veterans Health Administration from 2004 to 2022. A fuzzy regression discontinuity design with 2-stage residual inclusion leveraged differences in medication copay policy at a 50% service-connected disability threshold (≥50% service-connected disability: $0 out-of-pocket cost versus < 50%: $8 monthly cost). Outcomes included 1-year medication nonadherence (proportion of days covered < 80%), 1-year medication discontinuation (no medication in the final 90 days of the study year), 1-year BP control (systolic BP/diastolic BP < 140/90 mm Hg and < 130/80 mm Hg) and cardiovascular disease events (myocardial infarction, coronary revascularization, peripheral artery disease, or stroke).

RESULTS: Among 417 …