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Identity Formation Through The Lived Experiences Of Immigrant Muslim High School Students, Badera Muhanna Dec 2025

Identity Formation Through The Lived Experiences Of Immigrant Muslim High School Students, Badera Muhanna

Theses and Dissertations

The growing number of Muslim students enrolled in U.S. public schools necessitates a more comprehensive understanding of their unique experiences within their educational environments. This phenomenological qualitative study investigated Muslim students' perceptions of their lived experiences in a high school in the Northern Great Plains of the United States. Six Muslim students in their junior and senior years were selected to participate in semi-structured interviews. Through the lens of Bronfenbrenner’s ecological systems theory, this study aimed to deepen understanding of how Muslim students develop their sense of identity and the factors that contribute to this development. The findings revealed that …


Optimizing Virtual Reality User Experience With Balanced Integration Of Quality Attributes, Ananth Ramaseri Dec 2025

Optimizing Virtual Reality User Experience With Balanced Integration Of Quality Attributes, Ananth Ramaseri

Theses and Dissertations

This dissertation presents a real-time adaptive framework for mitigating cybersickness and enhancing user experience in virtual reality (VR) environments by dynamically adjusting key visual rendering parameters in response to users’ head movements. Conventional VR systems typically rely on fixed or manually configured settings that do not account for individual motion patterns or varying susceptibility to discomfort, leading to suboptimal usability and degraded immersion. In response, this work integrates software architecture tactics with data-driven machine learning models to proactively manage cybersickness while preserving rendering performance.

The proposed system employs a client–server architecture based on the Model-View-Controller (MVC) pattern. We conducted a …


A Climatology Of Northern Plains Tornadoes With Regard To Radar Coverage, Charles Richie Ii Dec 2025

A Climatology Of Northern Plains Tornadoes With Regard To Radar Coverage, Charles Richie Ii

Theses and Dissertations

Tornadoes are among the costliest and deadliest severe weather events in the United States. Doppler weather radar is one of a meteorologist’s most useful tools for early detection of tornadoes. However, there are several notable areas across the Northern Plains (Minnesota, Montana, North Dakota, and South Dakota) where the National Weather Service’s (NWS) radar coverage exceeds 10,000 feet above radar level, leaving an effective “radar gap” where tornado detection becomes increasingly challenging, if not impossible in some cases. Even within these radar gaps, the NWS is still responsible for issuing Tornado Warnings to fulfill their mission of protecting life and …


The Impacts Of Hydrometeor Centrifuging On Numerical Simulations Of Supercells And Tornado-Like Vortices, Ronald Stenz Dec 2025

The Impacts Of Hydrometeor Centrifuging On Numerical Simulations Of Supercells And Tornado-Like Vortices, Ronald Stenz

Theses and Dissertations

Supercell simulations capable of resolving a tornado-like vortex (TLV) have typically ignored hydrometeor centrifuging, resulting in the unrealistic buildup of precipitation in the center of TLVs. To improve the realism of numerical simulations of supercells and their resulting TLVs, an algorithm to parameterize bulk hydrometeor centrifuging was incorporated into an idealized cloud model. Simple idealized vortex simulations and simulations of supercells producing TLVs were analyzed to determine the impacts of hydrometeor centrifuging on numerically simulated supercells and TLVs. The inclusion of hydrometeor centrifuging does not appear to directly impact the intensity and duration of supercell spawned TLVs. Although precipitation minima …


Beyond Artemis: A Framework For Strategic International Cooperation In Space Exploration And Security, Lang Eric Sundby Dec 2025

Beyond Artemis: A Framework For Strategic International Cooperation In Space Exploration And Security, Lang Eric Sundby

Theses and Dissertations

The need for a more robust and formalized international cooperation framework has grown from the technological and political developments of both State and commercial actors in the space domain. Existing treaties, such as the Outer Space Treaty, have established norms for space activities, and recent agreements, like the Artemis Accords, have advanced additional innovative principles. Despite this progress, these agreements fall short of offering organizational structures for cooperation and methods for legal enforcement. Growing geopolitical competition has led to the formation of new models for China’s and Russia’s cooperation with other States in space, which include the International Lunar Research …


Cooperative Agreement Between Countries Of The North Atlantic Ocean Reduces Marine Plastic Pollution But With Unequal Economic Benefits, Nicola J. Beaumont, Tobias Börger, James R. Clark, Nick Hanley, Robert Johnston, Keila Meginnis, Christopher Stapenhurst, Frans P. De Vries Dec 2025

Cooperative Agreement Between Countries Of The North Atlantic Ocean Reduces Marine Plastic Pollution But With Unequal Economic Benefits, Nicola J. Beaumont, Tobias Börger, James R. Clark, Nick Hanley, Robert Johnston, Keila Meginnis, Christopher Stapenhurst, Frans P. De Vries

Economics

Plastic pollution in the world’s oceans threatens ecosystems and biodiversity. The connected nature of the marine environment suggests that coordinated actions by countries sharing an ocean border may provide more effective pollution control than unilateral actions by any one country. However, countries often fail to cooperate, even when joint economic benefits would be higher under cooperation. Here we present a modelling framework to determine the potential economic benefits of cooperative marine plastic pollution management. The framework integrates an estimated plastic transfer matrix from a particle tracking model with game theory to derive the economic benefits of international cooperation for 16 …


Auction Consensus Algorithm With Loss Mechanism For Decentralized Task Allocation, Jose Rodriguez, Wenjie Dong, Constantine Tarawneh, Qi Lu Dec 2025

Auction Consensus Algorithm With Loss Mechanism For Decentralized Task Allocation, Jose Rodriguez, Wenjie Dong, Constantine Tarawneh, Qi Lu

Electrical and Computer Engineering Faculty Publications

This paper presents an Auction-Consensus Algorithm with a Loss Mechanism (ACALM), a decentralized task allocation method for multi-robot systems that enhances the existing Consensus-Based Auction Algorithm (CBAA) by incorporating a novel loss propagation mechanism. In contrast to purely greedy bidding strategies, it enables agents to dynamically update task priorities based on the accumulated loss from previously unsuccessful bids. This extended work reduces globally inefficient allocations caused by early suboptimal decisions. The proposed approach is evaluated through large-scale simulations in thousands of randomized scenarios and swarm sizes ranging from 5 to 120 robots. Compared to existing CBAA and GCAA algorithms, ACALM …


Community College Student Admissions Experiences, Jeremy D. Loy Dec 2025

Community College Student Admissions Experiences, Jeremy D. Loy

Electronic Theses and Dissertations

Community college students have always faced barriers to going to college and getting their degrees. Much of the research centers on the completion of their degrees. The purpose of this qualitative, phenomenological study was to understand the experiences of community college students during enrollment. To understand how community college students experience the enrollment process, the study used phenomenology to hear the experiences of students through semistructured interviews. Findings showed that three broad themes emerged from this research. First, students felt both nervous and uncertain about college, but they also recognized the importance of college to improve their lives. Second, students …


Principals’ Perceptions Of Their Preparedness To Facilitate And Support Technology Integration In Schools: A Case Study Of Four Rural Texas Principals, Christina J. Campbell Ed.D. Dec 2025

Principals’ Perceptions Of Their Preparedness To Facilitate And Support Technology Integration In Schools: A Case Study Of Four Rural Texas Principals, Christina J. Campbell Ed.D.

Electronic Theses and Dissertations

School administrators face the challenge of leading technology integration that provides meaningful learning opportunities to prepare students for 21st-century skills and careers. Research has shown that administrative leadership support, behaviors, assumptions, and policies impact technology integration in the classroom. The International Society for Technology in Education (ISTE) standards include guidelines for education leaders and their role in supporting educators using technology. However, leaders underestimate the impact of their leadership on effective use in the classroom. The purpose of this qualitative case study was to explore the perceptions of South Texas rural public school principals working in Chapman Independent School District …


World On Fire: The Hunger Games And The Rhetoric Of Revolution, Rachel Olivares Dec 2025

World On Fire: The Hunger Games And The Rhetoric Of Revolution, Rachel Olivares

Electronic Theses and Dissertations

In the decade between 2010 and 2020, more people participated in mass protests than at any other point in human history. From the Arab Spring to Occupy Wall Street and Hong Kong’s “umbrella movement,” street demonstrations exploded on a global scale. This period of global unrest coincided with another explosion: the dystopian young adult series The Hunger Games surged in popularity, quickly becoming a cultural phenomenon. Following the release of the book series and its subsequent film adaptations, The Hunger Games became a global symbol of grassroots resistance as social and political movements adopted the language and symbols of its …


Sex, Riots, And Holy Water: How Modern Society Desecrates And Reconsecrates The Sacred, Jodeyah J. Mills Dec 2025

Sex, Riots, And Holy Water: How Modern Society Desecrates And Reconsecrates The Sacred, Jodeyah J. Mills

Electronic Theses and Dissertations

This thesis explores how modern societies desecrate and reconsecrate the sacred through rhetoric, ritual, and visual performance. Using three case studies, Nazi Germany’s transformation of Quedlinburg Abbey, the January 6th attack on the U.S. Capitol, and Sabrina Carpenter’s controversial church music video, “Feather,” this project analyzes how sacred meaning is violated and restored in religious, civic, and popular contexts. Drawing on Kenneth Burke’s dramatistic cycle and postsecular theory, it argues that desecration and reconsecration are dialogic acts that expose competing moral vocabularies within culture. Each event demonstrates that even in a secular age, people respond to ruptures of ultimate meaning …


A Qualitative Descriptive Study On The Importance Of Principal Leadership On Title I Middle School Teachers’ Decisions To Remain Teaching In The School, Lebrandan Keshaun Jenkins Dec 2025

A Qualitative Descriptive Study On The Importance Of Principal Leadership On Title I Middle School Teachers’ Decisions To Remain Teaching In The School, Lebrandan Keshaun Jenkins

Electronic Theses and Dissertations

This qualitative descriptive study examined the perspectives of novice middle school teachers with 0–5 years of experience who taught core academic subjects in Texas Title I school districts. I sought to understand how principal leadership or the building administrator to whom these teachers report influenced their decisions to remain in the teaching profession. Grounded in Herzberg’s motivation-hygiene theory, I described how leadership functions as both a motivator and a hygiene factor in shaping job satisfaction and retention. Data collection involved semistructured interviews and an optional Likert scale survey to capture both narrative insights and measurable perceptions. The findings illuminated the …


Exploring The Role Of Christian Religiosity In The Acceptance Or Rejection Of Ai Chatbot Use Among Faculty At Church Of Christ Universities, Amos Gutierrez Dec 2025

Exploring The Role Of Christian Religiosity In The Acceptance Or Rejection Of Ai Chatbot Use Among Faculty At Church Of Christ Universities, Amos Gutierrez

Electronic Theses and Dissertations

Higher education institutions are navigating the benefits and challenges of generative AI chatbot use and preparing faculty and students to engage with these tools ethically and responsibly. The problem is that there are many challenges and barriers to using these technologies in higher education, and Christian higher education institutions must also address context-specific considerations regarding mission and vision rooted in biblical faith and practice. The purpose of this quantitative, nonexperimental, cross-sectional study using confirmatory factor analysis and multiple regression through structural equation modeling was to examine faculty perceptions of AI chatbots and how Christian religiosity moderates acceptance. An online survey …


Response To Intervention Implementation With Culturally Diverse Students, Alysia R. Chatman Dec 2025

Response To Intervention Implementation With Culturally Diverse Students, Alysia R. Chatman

Electronic Theses and Dissertations

This qualitative descriptive study examined how elementary educators implement response to intervention (RTI) and multitiered systems of support with culturally and linguistically diverse students. Drawing on self-determination theory and culturally relevant pedagogy, the researcher conducted semistructured interviews with five participants, three classroom teachers, one interventionist, and one campus administrator from three Title I elementary schools in a large suburban Texas district. Transcripts were analyzed through thematic coding. Four themes emerged: (1) training and preparedness for RTI implementation, (2) administrator support and follow-through, (3) understanding and application of culturally responsive teaching, and (4) RTI meeting structure and process. Participants reported a …


Spotted Seal Coastal Haul Out Behavior In Arctic Alaska, Maeghan Connor Dec 2025

Spotted Seal Coastal Haul Out Behavior In Arctic Alaska, Maeghan Connor

Biological Sciences

Hauling out - the act of exiting the water to rest, molt, breed, and pup on solid surfaces - is a key behavior of pinnipeds worldwide. Unlike other ice seals (i.e., ice-associated phocid species), spotted seals (Phoca largha) in Alaska frequently use terrestrial substrates to haul out during the summer and fall open-water period in the Chukchi and Beaufort Seas. Despite being a core aspect of spotted seal ecology, their terrestrial haul out behavior remains understudied. To address this, we analyzed data collected from 2020 - 2022 near two known haul out sites in Dease Inlet, Alaska, including time-lapse camera …


Impact Of Silencing Automated Penicillin Cross-Reactivity Alerts On Perioperative Antibiotic Prescribing And Surgical Site Infection Rates, Michael J Durkin, Joshua Nordman, Alice Bewley, Andrew Atkinson, Jonas Marschall, Helen Newland, Kimberly G Blumenthal Dec 2025

Impact Of Silencing Automated Penicillin Cross-Reactivity Alerts On Perioperative Antibiotic Prescribing And Surgical Site Infection Rates, Michael J Durkin, Joshua Nordman, Alice Bewley, Andrew Atkinson, Jonas Marschall, Helen Newland, Kimberly G Blumenthal

2020-Current year OA Pubs

We evaluated the impact of silencing penicillin cross-reactivity alerts on perioperative antibiotic prescribing and surgical site infections (SSIs) in 6 hospitals using an interrupted time series analysis. Silencing the alerts minimally increased cefazolin prescribing among penicillin allergy labeled patients (sensitivity analysis only;


Phenotypic Variability And Paternal Inheritance Of A Chd8 Variant Causing Intellectual Developmental Disorder With Autism And Macrocephaly Confirmed By Epigenetic And Structural Analyses, Yutaka Furuta, Jonathan H Sheehan, Et Al. Dec 2025

Phenotypic Variability And Paternal Inheritance Of A Chd8 Variant Causing Intellectual Developmental Disorder With Autism And Macrocephaly Confirmed By Epigenetic And Structural Analyses, Yutaka Furuta, Jonathan H Sheehan, Et Al.

2020-Current year OA Pubs

BACKGROUND: Intellectual developmental disorder with autism and macrocephaly (IDDAM, OMIM #615032) is an autosomal dominant neurodevelopmental disorder characterized primarily by intellectual disability, autism spectrum disorder, macrocephaly, tall stature, gastrointestinal symptoms, and variable neurological manifestations. Most cases result from de novo pathogenic variants in CHD8.

METHODS: We conducted genome sequencing through the Undiagnosed Diseases Network (UDN) in a female proband harboring a CHD8 variant of uncertain significance (VUS), whose clinical presentation was consistent with IDDAM but included atypical features such as ptosis and hearing loss. Variant pathogenicity was further evaluated using EpiSign DNA methylation analysis and structural biology modeling.

RESULTS: Genome …


A Roadmap To Scale Up Person-Centred Care In The Hiv Response: Recommendations From A Global Consensus-Building Process, Lina Golob, Elvin H Geng, Et Al. Dec 2025

A Roadmap To Scale Up Person-Centred Care In The Hiv Response: Recommendations From A Global Consensus-Building Process, Lina Golob, Elvin H Geng, Et Al.

2020-Current year OA Pubs

INTRODUCTION: World Health Organization global normative guidance recommends person-centred care (PCC) approaches to reduce HIV-related mortality and morbidity and to improve health-related quality of life (HrQoL). However, consensus on the priority PCC elements and guidance on how different stakeholders can realize PCC principles at the health systems, service delivery and individual client-healthcare worker (HCW) levels are lacking. We conducted a global consensus-building process to define core PCC elements and develop recommendations for implementation at scale.

METHODS: We used a multi-phase process to build consensus and prioritize recommendations, consisting of a literature review, five stakeholder consultations (34-43 participants each) between July …


A Guide For Initiating And Managing Chimeric Antigen Receptor T Cell Therapy Clinical Trials In Autoimmune Rheumatic Diseases, Roberto Caricchio, Stacie Bell, Sasha Bernatsky, Maria Dall'era, David Goddard, Kenneth Kalunian, Alfred H J Kim, Fotios Koumpouras, Jose Rubio, Amit Saxena, Saira Sheikh, Lupus Clinical Investigators Network Dec 2025

A Guide For Initiating And Managing Chimeric Antigen Receptor T Cell Therapy Clinical Trials In Autoimmune Rheumatic Diseases, Roberto Caricchio, Stacie Bell, Sasha Bernatsky, Maria Dall'era, David Goddard, Kenneth Kalunian, Alfred H J Kim, Fotios Koumpouras, Jose Rubio, Amit Saxena, Saira Sheikh, Lupus Clinical Investigators Network

2020-Current year OA Pubs

Chimeric antigen receptor (CAR) T-cell therapy, long transformative in oncology, is now rapidly emerging as a frontier in autoimmune rheumatic diseases, particularly systemic lupus erythematosus (SLE), driven by accumulating evidence of deep B-cell depletion, immune "resetting," and durable drug-free remission in early studies, yet its translation into rheumatology demands mastery of formidable logistical, regulatory, clinical, and ethical complexities that span institutional readiness, multidisciplinary team formation, stringent regulatory compliance, sophisticated operational workflows, comprehensive patient selection and education, meticulous clinical management of both classical toxicities (CRS, ICANS, ICAHT) and autoimmune-specific reactions such as LICATS, robust financial and resource planning, and long-term follow-up …


Genetic Predisposition To Persistent Fatigue After A Diagnosis Of Colorectal Cancer, Elham Kazemian, Adetunji T Toriola, Et Al. Dec 2025

Genetic Predisposition To Persistent Fatigue After A Diagnosis Of Colorectal Cancer, Elham Kazemian, Adetunji T Toriola, Et Al.

2020-Current year OA Pubs

BACKGROUND: Cancer-related fatigue (fatigue) is a common and persistent symptom after cancer treatment, yet the role of genetic susceptibility remains unclear.

METHODS: We used data from a prospective cohort study called the ColoCare Study, conducted over 5 US sites and Germany. Fatigue was assessed at 5 time points using the European Organisation for the Research and Treatment of Cancer Core Quality of Life Questionnaire fatigue subscale and analyzed as (1) a binary summary measure of the trajectory from diagnosis into survivorship (defined as severe: yes/no), (2) a mean score across all time points, and (3) the highest (ie, worst) score …


Telemedicine Preexposure Prophylaxis Prescribing From A Large Online Us Company, Aaron J Siegler, Shi Hao Ernest Koh, Tristan Schukraft, Simon Mazzoni, Edwin Corbin-Gutierrez, Rupa R Patel, Patrick S Sullivan, Wenting Huang Dec 2025

Telemedicine Preexposure Prophylaxis Prescribing From A Large Online Us Company, Aaron J Siegler, Shi Hao Ernest Koh, Tristan Schukraft, Simon Mazzoni, Edwin Corbin-Gutierrez, Rupa R Patel, Patrick S Sullivan, Wenting Huang

2020-Current year OA Pubs

IMPORTANCE: HIV preexposure prophylaxis (PrEP) is highly effective in HIV prevention; telemedicine is a promising avenue for delivering PrEP care.

OBJECTIVE: To explore telemedicine delivery of PrEP care (telePrEP) by the largest telePrEP company in the US.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective, single-arm cohort study used health record data of patients receiving telePrEP from MISTR LLC, a for-profit telehealth company, from November 27, 2018, to March 5, 2025. Patient characteristics and AIDSVu data were assessed to determine levels of PrEP use nationally. Retention in care was assessed for persons initiating PrEP in 2020, 2021, and 2022. Data were analyzed …


Strategic Business Planning For An Optometry Practice: A Comprehensive Approach To Market Analysis, Operations, And Growth, Molly Elizabeth Weber Dec 2025

Strategic Business Planning For An Optometry Practice: A Comprehensive Approach To Market Analysis, Operations, And Growth, Molly Elizabeth Weber

Honors College Theses

This study is a comprehensive analysis of the field of optometry in order to develop a business plan which could be utilized to open a new optometry practice. Strengths, weaknesses, opportunities, and threats are all studied in order to gain a robust view and offer insights of how a business would fair in the field of optometry to allow entrepreneurs to make informed decisions in business endeavors involving practice operations, market terrain, and growth potential.


Elementary School Teachers’ Perspectives On Project-Based Learning Implementation In Commonwealth Of The Northern Mariana Islands, Xiao Tang Dec 2025

Elementary School Teachers’ Perspectives On Project-Based Learning Implementation In Commonwealth Of The Northern Mariana Islands, Xiao Tang

Walden Dissertations and Doctoral Studies

Elementary schools play an essential role in equipping students with 21st-century skills. Project-based learning (PBL) is a student-centered instructional approach that is associated with the development of these skills, yet PBL implementation in elementary schools is not well understood in Saipan, the Commonwealth of the Northern Mariana Islands (CNMI). The research problem addressed in this study was a lack of understanding of elementary teachers’ practices in implementing PBL in Saipan. Guided by constructivist theory, the purpose of this qualitative study was to examine elementary school teachers’ perspectives on the benefits of PBL, the ease or difficulty when implementing PBL, the …


The Lived Experiences Of Clinicians Who Treat Black Males Who Have Experienced Intimate Partner Violence, Gifty A. Acheampong Dec 2025

The Lived Experiences Of Clinicians Who Treat Black Males Who Have Experienced Intimate Partner Violence, Gifty A. Acheampong

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a global issue that negatively affects humanity. The harmful effects of IPV often result in lifelong consequences for victims. Researchers have consistently identified women and children as the primary victims of IPV, although men can also be affected. The social stigma around men seeking formal help as victims is that they must endure physical, emotional, financial, sexual, and psychological abuse in intimate relationships. Because psychological abuse is the most common form experienced by male IPV victims, there is a higher prevalence of IPV within the Black community. However, research on help-seeking behaviors among Black men …


The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy Dec 2025

The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy

Walden Dissertations and Doctoral Studies

A sizeable number of U.S. heart failure patients are readmitted within 30 days of hospital discharge. There was a need to explore ways to reduce this number and improve the care of heart failure patients when they are discharged home. The purpose of this quantitative correlational study was to determine if there is a relationship between age, gender, and race of heart failure patients and 30-day readmissions in the U.S. state of Mississippi in 2019. The dependent variable was heart failure 30-day readmissions, and the independent variables were age, gender, and race. Wagner’s chronic care model was the theoretical framework …


A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya Dec 2025

A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya

Walden Dissertations and Doctoral Studies

In this evidence-based educational project, I identified the gap in practice with the lack of nurses' knowledge in culturally tailored hypertension management among nurses caring for African American adults at a family nurse practitioner clinic. In this Doctor of Nursing Practice (DNP) project, I focused on a staff education initiative to improve nurses' knowledge to reduce disproportionately high rates of hypertension, complications, and mortality due to factors such as limited access to care, medication nonadherence, mistrust of providers, and improve on culturally competent interventions. The guiding practice-focused question was: Does educating nurses on hypertension in the African American population improve …


Coaching Hero: An Investigation Of Psychological Capital In Black Women Entrepreneurs, Deana Diana Kennedy Dec 2025

Coaching Hero: An Investigation Of Psychological Capital In Black Women Entrepreneurs, Deana Diana Kennedy

Walden Dissertations and Doctoral Studies

The disparity of psychological capital (PsyCap) among diverse cultures and genders in the entrepreneurial area weakens access to the economic and social resources required to develop and sustain entrepreneurial ventures. Black women entrepreneurs continue to lag behind their counterparts in other ethnicities in generating revenue from entrepreneurial efforts, hindering U.S. business maturity. The purpose of this qualitative, constructivist grounded theory study was to explore how coaching facilitates the development of PsyCap among Black women entrepreneurs and the perceived socioeconomic barriers that influence this development. The social cognitive theory and a positive psychology conceptual framework grounded this study. The participants comprised …


Cosmetic Surgery And Physiological Disorder: You Should Talk To Someone About Your Unwinding Anxiety, Mona Muzammil, Washain Muzammil Dec 2025

Cosmetic Surgery And Physiological Disorder: You Should Talk To Someone About Your Unwinding Anxiety, Mona Muzammil, Washain Muzammil

School of Integrative Biological & Chemical Sciences (Formerly Dept. of Chemistry)

Body dysmorphic disorder is a mental health condition in which you can't stop thinking about one or more perceived defects or flaws in your appearance — a flaw that appears minor or can't be seen by others. But you may feel so embarrassed, ashamed and anxious that you may avoid many social situations.

When you have body dysmorphic disorder, you intensely focus on your appearance and body image, repeatedly checking the mirror, grooming or seeking reassurance, sometimes for many hours each day. Your perceived flaw and the repetitive behaviors cause you significant distress and impact your ability to function in …


Introducing The Outpace Framework For Health Care Quality Improvement, Michele Bolles, Heather M. Alger, Mitchell S. V. Elkind, Howard Haft, Sabra C. Lewsey, Mariell Jessup, Karen E. Joynt Maddox, Chiadi E. Ndumele, Clyde W. Yancy, Christine Rutan, Michelle Congdon, Katherine Overton, Lynn Serdynski, Kathie Thomas, Gregg C. Fonarow Dec 2025

Introducing The Outpace Framework For Health Care Quality Improvement, Michele Bolles, Heather M. Alger, Mitchell S. V. Elkind, Howard Haft, Sabra C. Lewsey, Mariell Jessup, Karen E. Joynt Maddox, Chiadi E. Ndumele, Clyde W. Yancy, Christine Rutan, Michelle Congdon, Katherine Overton, Lynn Serdynski, Kathie Thomas, Gregg C. Fonarow

2020-Current year OA Pubs

Equitable, timely, and evidence-based care remains a central goal across health care ecosystems, yet significant quality gaps, care variability, and health disparities persist. Professional societies, including the American Heart Association, have long developed clinical practice guidelines to provide standardized, evidence-based recommendations across the cardiovascular care continuum. These guidelines are operationalized into quality measures to monitor care, identify gaps, and guide improvement. Professional societies, agencies, and health systems have applied implementation science strategies, such as education, data sharing, and evaluation, to improve care quality and achieve quality measures defined in the clinical practice guidelines. American Heart Association's Get With The Guidelines …


The Non-Communicable Disease E-Cohort For Hypertension In Latin America: Concept, Survey Development And Study Protocol, Patricia J Garcia, Laura Espinoza-Pajuelo, Hannah H Leslie, Margaret E Kruk, Catherine Arsenault, Agustina Mazzoni, Jesus Medina-Ranilla, Javier Roberti, Marina Guglielmino, Ezequiel Garcia-Elorrio Dec 2025

The Non-Communicable Disease E-Cohort For Hypertension In Latin America: Concept, Survey Development And Study Protocol, Patricia J Garcia, Laura Espinoza-Pajuelo, Hannah H Leslie, Margaret E Kruk, Catherine Arsenault, Agustina Mazzoni, Jesus Medina-Ranilla, Javier Roberti, Marina Guglielmino, Ezequiel Garcia-Elorrio

2020-Current year OA Pubs

Non-communicable diseases like hypertension cause substantial morbidity and mortality in low- and middle-income countries, where limited access to high-quality care contributes to millions of preventable deaths annually. Traditional assessments of health system performance often rely on structural indicators and cross-sectional, overlooking patient experiences and care processes. In Latin America, amid rising cardiovascular disease, longitudinal tools are needed to guide improvements in healthcare delivery models, particularly for chronic diseases such as hypertension. The NCD e-Cohort is a prospective, longitudinal, mixed-mode (in-person and phone) survey designed to assess health system quality in Latin America. Developed by the QuEST Network, it integrates validated …