Digital Commons Network^™

An Inference Approach For Assessing Place-Based Vulnerability To Heat Mortality, Junkang Xu, Chao Fan, Xing Xu, Haoying Han

Publications

A global increase in the frequency, severity, and scale of extreme heat raises concerns about human vulnerability to climate change and associated mortality. Heat vulnerability and mortality have largely been studied separately, lacking an understanding of their causation. Here, we create a non-parametric generalized inference approach that links socioeconomic, environmental, and infrastructure factors articulated in vulnerability theory and heat mortality between 2010 and 2020 for counties across the United States. We find that the lack of vegetation coverages drives mortality in the Southern U.S. and among Hispanic people. Limited air conditioning is a key factor in heat-related mortality among White …

The Effect Of Supervisor Multicultural Competence And Supervisor Cultural Humility On The Supervisory Working Alliance And Trainee Nondisclosure: A Structural Equation Model, Johnny Liang

Selected Full-Text Dissertations 2020-

Parental post-traumatic stress disorder (PTSD) symptoms have been associated with various psychological and behavioral outcomes in their offspring. Utilizing a sample of (N=330) adult offspring of trauma-exposed parents, this study used self-report and behavioral measures to examine the relationship between parental PTSD symptom severity and adult participant’s romantic attachment insecurity, pathological personality traits, and facial emotion recognition (FER) accuracy for subtle emotional expressions. Additionally, it explored the role of maladaptive parenting behaviors on these associations. Results indicated that higher parental PTSD was associated with higher levels of parental care and an affectionate constraint parenting style. Additionally, parental PTSD was related …

Faculty Development Update, August 2025, Lindenwood University

Faculty Development Update

The Faculty Development Update is a newsletter created by the Lindenwood University Learning Academy.

Perceptive Portraits: A Qualitative Study Exploring The Adolescent Experience Of Connectedness Through Their Words And Photos, Emily Anne Guthrie Strong

Dissertations

The mental health of children and adolescents in the United States has been in a state of crisis for over a decade. Connectedness, defined as the level of closeness individuals have to other individuals, groups, or institutions, has been shown to be a preventative and protective factor in adolescent mental health. The purpose of this qualitative study was to explore how adolescents experienced connectedness and the meaning they ascribed to those experiences. This study was guided by the following questions:

Q1 How do adolescents describe their experience of connectedness both inside and outside of school?

Q2 What meaning do adolescents …

Exploring Moral Distress In Hospital-Based Nurse Case Managers: A Qualitative Descriptive Study, Mary Margaret Leas

Dissertations

Moral distress is a well-known phenomenon among hospital-based bedside nurses that is damaging and dangerous to patients, nurses, the healthcare system, and society. There is a gap in the literature related to the experience of moral distress (MD) among hospital-based nurse case managers. The purpose of this qualitative research study was to understand the experience of MD for the hospital-based nurse case manager and identify triggering events and consequences of MD. The following research questions guided this study:

Q1 What is the experience of MD among hospital-based nurse case managers?

Q1a What do they identify as causes or precursors of …

Teaching Strategies Clinical Educators Use To Develop Undergraduate Students’ Clinical Reasoning Skills, Lisa González

Dissertations

The purpose of this study was to describe the teaching strategies nurse educators used to develop students' clinical judgment in the clinical education setting. A significant gap in clinical education has persisted for years with a need for evidence to guide teaching and learning that emphasizes clinical judgment. Concerns regarding underdeveloped clinical judgment skills in new graduate nurses have led to initiatives and research aimed to increase clinical judgment emphasis in nursing education. The following research questions guided this study:

Q1 What teaching strategies do clinical nurse educators use to develop students’ clinical reasoning and clinical judgment skills in the …

Clemson Commencement Program, August 2025, Clemson University

Clemson Commencement Programs

No abstract provided.

Non-State Actors: Opportunity Or Challenge To Ace And Capacity Building Under Cop30 Mutirão Action Plan, Youssef Moftah

COP30

No abstract provided.

Shaping Justice-Centered Adaptation For A Fair And Resilient Climate Future In Kenya, Ann Wangoi Mwangi

COP30

No abstract provided.

Scaling And Governing The Loss And Damage Fund Ahead Of Cop30: From Commitment To Climate Justice, Josiane Rose Dibanzilua

COP30

No abstract provided.

Caregiver Perceptions, Knowledge, And Likelihood To Intervene With Suicidal Youth, Amber L. Willwerth

All-Inclusive List of Electronic Theses and Dissertations

This study utilized an online survey to target primary caregivers of a child aged 5-18. The survey highlighted factors regarding caregiver involvement in suicide prevention efforts, such as their knowledge, comfort and confidence intervening with a youth experiencing suicidality, and barriers to doing so. It was found that caregivers who had experienced suicide prevention training reported higher levels of comfort and confidence intervening with their own child and another child than those who had not, as well as lower levels of worry. Higher levels of education were also found to predict lower levels of worry, suggesting that further training and …

Later Wittgenstein’S Metaphysics, Jeremy Barris

Humanities Faculty Research

Introduction

Ludwig Wittgenstein, in different ways in his earlier and later work, famously denies the general meaningfulness and consequently the legitimacy of traditional philosophical questions. Accordingly, he also denies the meaningfulness and legitimacy of any metaphysics. I focus here on Wittgenstein’s later view. In that view, words and statements are given their meanings by their uses in specific contexts of everyday life. As a result, any attempt to use words to talk or think about anything outside of those contexts literally deprives those words of their meaning. But traditional philosophical questions, and metaphysical questions and statements in particular, are characterized …

Beyond World War I: Post-War Trauma In Agatha Christie’S The Mysterious Affair At Styles, Alayna Puckett

All Theses

This thesis reexamines Agatha Christie’s The Mysterious Affair at Styles as a literary response and representation to World War I, arguing that it deserves recognition as a novel of wartime trauma rather than being confined solely to the realm of popular detective fiction. Influenced by Christie’s firsthand experiences as a wartime nurse, the novel subtly weaves themes of personal wartime experience and trauma into its plot, characters, and setting. Christie’s protagonist, Mr. Hastings, represents the returning soldier attempting to reintegrate into society, while Hercule Poirot—a Belgian refugee—embodies the war’s broader displacement and disruption. Set during World War I in a …

Factors Informing Referral Of Adult Patients To Palliative Care Services In A Tertiary Facility In Kenya: Physicians' Perspective, Donnah A. Opiyo

Master of Medicine in Family Medicine

Background The growing burden of chronic diseases underscores the urgent need for palliative care integration into healthcare systems worldwide. Despite its benefits, palliative care remains underutilized due to various barriers, including health system limitations, institutional challenges, infrastructure gaps, and individual provider factors. However, limited research has explored the specific factors influencing physicians' decisions to refer patients to palliative care. This study sought to fill that gap by examining the key determinants shaping referral practices in a tertiary facility in Kenya.

Design and Methods This exploratory qualitative study examined 22 physician specialists from five departments at Aga Khan University Hospital, Nairobi. …

Using Tier 1 Multi-Tiered Systems Of Support (Mtss) For Student Behavior To Decrease Discipline Referrals Among Black Ninth-Grade Students, Lauren L. Merck

All Dissertations

I begin this dissertation with an introduction to a problem of practice that affects many schools in America- inequity in school discipline. After reviewing literature that explains why this is an important research topic, I share information about the research site, Mountain View High School (MVHS). It was seen that majority of the discipline referrals written over the school year was from ninth-grade students. When looking closer at the ninth-grade students, it also was determined that Black/ African American students were also receiving a disproportionate amount of discipline referrals compared to their White peers. After introducing the problem of practice …

Incidence Of Peripheral Intravenous Cannula Complications And Associated Factors Among Paediatric Patients At A Tertiary-Care Referral Hospital, Vanessa Minsari Ogega

Master of Medicine in Paediatrics and Child Health

Introduction: Peripheral intravenous catheters (PIVCs) are widely used in clinical practice and are a major source of procedure-related pain in children. Their use is associated with complications including occlusion, dislodgement, infiltration, extravasation, phlebitis, and, rarely, bloodstream infections.

Objectives: To determine the incidence and risk factors associated with PIVC complications among paediatric patients aged 1 day to 18 years at Aga Khan University Hospital, Nairobi. The study also assessed the average survival time of PIVCs.

Methods: A prospective cohort study was conducted on 320 PIVCs among 192 children admitted between August and October 2024. Data collected included patient demographics, clinical characteristics, …

Predicting Miner Localization In Underground Mine Emergencies Using A Hybrid Cnn-Lstm Model With Data From Delay-Tolerant Network Databases, Patrick Nonguin, Samuel Frimpong, Sanjay Madria

Mining Engineering Faculty Research & Creative Works

Underground mining environments are highly hazardous, often prone to gas explosions, cave-ins, and fires that may trap miners during emergencies. The accurate, real-time localization of miners is vital for effective self-escape and rescue operations. Although the Mine Improvement and New Emergency Response (MINER) Act of 2006 mandates communication and tracking systems, most current solutions rely on low-power devices and line-of-sight methods that are ineffective in GPS-denied, dynamic subsurface conditions. Delay-Tolerant Networking (DTN) has emerged as a promising alternative by supporting message relay through intermittent links. In this work, we propose a deep learning framework that combines Convolutional Neural Networks (CNNs) …

Single-Valued Neutrosophic Multiple Sets And Its Application In Multi-Criteria Decision-Making, Sanjitha Radhakrishnan, Baiju Thankachan

Neutrosophic Sets and Systems

No abstract provided.

Co-Creating Play:Utilizing Comics To Potentialize Participatory Self-Determination In Marginilized Young Adults, Marlin Mcknight

Graduate Theses and Dissertations

Storytelling has long served as a vital mechanism for preserving cultural heritage, transmitting values, and fostering intergenerational connection (Moeshlin, 2024). Despite this significance, graphic narratives such as comics and graphic novels have been historically marginalized—dismissed as trivial “children’s media” or reduced to entertainment rather than recognized as culturally resonant tools (McCloud, 1993). This marginalization intensified as comics evolved to depict adult themes and, at times, harmful stereotypes, triggering social backlash that stigmatized their utility for younger audiences (Segran, 2020). Consequently, scholarly exploration of comics’ therapeutic potential has stagnated, hindered by the medium’s tumultuous history. This study bridges this gap by …

M Book, 2025-2026, University Of Mississippi

M Book

No abstract provided.

Copyright In Characters: A Proposal For Reform, Michael W. Carroll

Joint PIJIP/TLS Research Paper Series

The doctrine of character copyright is an eccentricity in copyright law that should either be abandoned or substantially reformed. Originally limited to literary characters, this doctrine decomposes a narrative work in order to recognize characters as works of authorship independent of the narrative works from which they are derived. Claimants generally seek independent protection for characters for three, sometimes overlapping, reasons: (1) to repackage what would otherwise be a weak claim of substantial similarity if comparison were to be made with the work(s) from which the character has sprung; (2) to overcome obstacles posed by prior licensing decisions that have …

Ucf Pegasus Plan - 5th Grade - Early American Inventions, Del M. Herman, Jaclyne Casella, Kathryn Garner

Pegasus Plans: Social Studies Unit Plans for Florida Teachers

During this unit, students will trace early American inventions' effects on the early United States and the business productivity of that era. Students will complete primary source analyses on the different inventions, take guided notes in a foldable on each invention, and participate in a collaborative project where students will create a PowerPoint on a particular early American invention in order to demonstrate proficiency in this unit.

Interview With Former Chairman Of Cardiology E. Berry Hey, Jr. Md, Caitlin Moss

Historic Narratives

No abstract provided.

Examining Parent Accommodation Of Anxiety And Irritability In Preschool-Aged Children., Anna Olczyk

Electronic Theses and Dissertations

Anxiety and irritability are common developmentally normative emotions in early childhood, yet are also related to risk for psychopathology in childhood, adolescence, and adulthood. Parenting behaviors, including parent accommodation, may influence this risk. Parent accommodation is the parent modification of child/family routines and/or avoidance of activities to reduce child distress and has been documented widely in the anxiety literature. Although some research has examined parent accommodation of anxiety in preschool-aged children, most research has investigated accommodation of anxiety in clinical samples of school-aged children. Further, despite high rates of co-occurrence between child anxiety and irritability, research on parent accommodation of …

Peer Functioning And Risk For Co-Occurring Adhd And Anxiety Symptoms In School-Aged Children: A Cross-Sectional And Longitudinal Analysis., Helena F. Alacha

Electronic Theses and Dissertations

Background. Youth with Attention-deficit/hyperactivity disorder (ADHD) often have higher rates of anxiety in comparison to their peers without ADHD. Children with co-occurring ADHD and anxiety exhibit a unique clinical presentation that poses challenges to both assessment and treatment. Consequently, children with comorbid ADHD and anxiety experience increased impairment, and often have poorer long-term outcomes than children with either ADHD or anxiety alone. Preliminary evidence suggests that different psychosocial phenomena commonly experienced by children with ADHD—such as peer functioning—may increase susceptibility to anxiety. Considering that children with ADHD encounter a range of peer difficulties, the present study proposed and evaluated different …

Assessing Medical Decision-Making Capacity: The Importance Of Patient Values., Emilee M. Ertle

Electronic Theses and Dissertations

A medical decision-making capacity (MDC) assessment is the assessment of an individual to determine whether they can make their own medical decisions or if a proxy decision maker must make care decisions on their behalf. These assessments are necessary when individuals experience cognitive impairments which limit their ability to think through complex medical decisions. Best practice for MDC assessments is a growing area of research, with no standard approach to guide assessment planning. The current study builds upon the field’s knowledge of capacity assessments by investigating 1) what methods and measures clinicians utilize in capacity assessments, 2) what factors influence …

Dementia Caregiving Styles: Characterizing Dementia Caregivers Via A Novel Framework., Darby M. Simon

Electronic Theses and Dissertations

As dementia rates increase, effective family caregivers are crucial to meeting the increasing demand for dementia care. However, dementia caregiving is a demanding experience, and caregivers have varying strategies for providing care, leading to positive and negative outcomes and appraisals of their caregiving experience. Limited research explores this relationship, and extant work is qualitative with no clinical measure. This study adapted a pre-existing framework/measure from a different caregiver population (parents) to explore a) if the same framework applied to both caregiving populations and b) the associations between the styles and psychological well-being and other caregiving variables. Exploratory Factor Analysis tested …

Cbl Regulation Of C-Met Signaling In Corneal Epithelial Cells., Kate Elise Tarvestad Laise

Electronic Theses and Dissertations

The cornea is the most anterior portion of the eye and permits light passage through to retina, allowing formation of a clear image as long as it remains healthy. If the cornea sustains damage, it creates and entrance for foreign body invasion, infection, and ultimately blindness in the immunocompromised eye. Healing the corneal tissue is critical for vision restoration and pain alleviation, as it is the most densely innervated tissue in the body. Growth factors and their cognate receptors are currently under investigation as tools to restore proper corneal physiology. We hypothesize that manipulating the hepatocyte growth factor (HGF) /c-Met …

Metabolic Regulation Of Cardiac Fibroblast Phenotype And Function., Collin Kleis Wells

Electronic Theses and Dissertations

Cardiac fibroblasts are central effectors of cardiac repair after myocardial infarction (MI). In response to signaling cues, they differentiate to a range of phenotypes with robust capacities to synthesize and secrete extracellular matrix (ECM) and signaling molecules. Although activated fibroblast phenotypes are associated with pronounced changes in metabolism, it remains unclear how the metabolic network upholds the effector functions of fibroblasts in the post-infarcted heart. Here, we identified that critical enzymes in the phosphoenolpyruvate (PEP) cycle, i.e. pyruvate kinase muscle-2 (PKM2) and phosphoenolpyruvate carboxykinase-2 (PCK2), are elevated in the heart after MI and examined their role in regulating post-MI remodeling …

Hybrid Geographies And Nature In The City: A Tale Of Two Greenspaces In Louisville, Ky., Rebecca Dixon

Electronic Theses and Dissertations

Many conservation initiatives position nature and the urban as opposing constructions, which means the possibilities where cities can work with nature are often overlooked. This study uses the lens of relational geographies to examine nature in the city by comparing two greenspaces in the Beargrass Creek watershed in Louisville, Kentucky: Waterfront Botanical Gardens and the Louisville Nature Center. The two organizations are compared by using a combination of content analysis, discourse analysis, and GIS flood analysis methods to determine how their geographical location and history affect the ways in which the dynamic between nature and culture is reproduced. Results show …