Digital Commons Network^™

Impact Of Chronic Pain On The Families Of U.S. Adults, Jennifer S. De La Rosa, Katherine E. Herder, Rita D. Romero, De'sha S. Wolf, Tally M. Largent-Milnes, Mohab M. Ibrahim, Stacy S. Pigott, Greg T. Chism, Beth E. Meyerson, Julie G. Pilitsis, Multiple Additional Auhors

School of Social Work Faculty Publications and Presentations

Introduction:. Chronic pain (CP) can profoundly strain family systems, yet few population studies have explored prevalence and population dynamics of CP with high impact on families. Objectives:. Examining prevalence and phenomenological characteristics of chronic pain with high impact on the families of U.S. adults. Situating HICP-family within a tiered cascade of functional impact. Methods:. Prevalence estimated using 2023 National Health Interview Survey Data (n = 29,522) Results:. Findings are as follows: (1) the population prevalence of CP with high impact on families (high-impact chronic pain [HICP]-Family) is 4.4% among U.S. adults, 18.1% among U.S. adults with CP, and 46.3% among …

Enhancing Nursing Self-Efficacy In Advance Care Planning Conversations Through Role-Play Education: A Quality Improvement Project, Rachel Williams

DNP Projects

Background:
Advance care planning (ACP) conversations are essential for ensuring that patient healthcare preferences are understood and respected; however, nurses often report limited confidence and self-efficacy when initiating these discussions. Educational interventions that emphasize communication skills may improve nurses' preparedness to engage in ACP conversations.

Methods:
A quality improvement project utilizing a pre-post intervention design was conducted on three adult inpatient medical units within a regional Midwestern hospital. Registered nurses participated in an educational intervention consisting of ACP education, role-playing case scenarios, guided discussion, and debriefing. A modified 22-item Advance Care Planning Self-Efficacy Questionnaire was administered before and after the …

Tracking Daily Coparenting Quality: Validation And Utility Of The Polish D‐Cop, Dorota M. Jankowska, Boguslawa Lachowska, Brandon T. Mcdaniel

Health Services and Informatics Research

Objective: To adapt and validate the Polish Daily Coparenting Scale (D- Cop PL) and to test its utility for modeling day-to-day coparenting quality.

Background: Daily coparenting quality varies across daily contexts; brief, ecologically valid tools to capture within-person change are scarce.

Methods: A 7-day diary study with 178 dual-income Polish parents of young children was conducted. Confirmatory factor analysis tested the two-factor structure (positive and negative daily coparenting dimensions), reliability, and convergent validity; measurement invariance examined factorial equivalence across mothers and fathers. Generalized Additive Models for Location, Scale, and Shape (GAMLSS) estimated same-day daily associations between coparenting quality: parental negative …

Reducing Unreliability Of Complex Systems By Numerical Optimization: A Hybrid Approach, Fouad Hamza Abd Alsharify, Ahmed Hasan Alridha, Zahir Al-Khafaji

Baghdad Science Journal

This paper investigates the effectiveness of numerical optimization techniques in enhancing the reliability of complex systems. The main objective of the study is to reduce the unreliability of complex systems by narrowing the range of component unreliability, thereby reducing the probability of system failure and achieving stability and robustness in the reliability of complex systems. The technique for this task involves formulating the problem as a multi-objective numerical optimization problem under specified constraints using Particle Swarm Optimization and Simulated Annealing algorithms, as well as a hybrid approach combining the two algorithms. The multi-objective optimization techniques were applied to a more …

Genocidal Occupation And The Occupier’S Dilemma: From Lemkin’S Axis Rule To 21st Century Palestine, Martin Shaw

Genocide Studies and Prevention: An International Journal

Following Israel’s campaign in Gaza after October 7, 2023, which was widely recognized as a genocide, the “ceasefire” of late 2025 introduced the prospect of a new occupation of the territory by the USA and Israel, leading to its redevelopment by them rather than the restoration of the pre-2023 Palestinian society. Together with the parallel accentuation of Palestinian dispossession under Israeli occupation in the West Bank, this development calls for a theorization of the relationship between occupation and genocide. Yet, although the concept of genocide was introduced by Raphael Lemkin in his analysis of the German occupations of European countries, …

U.S. Public Opinion During The Rwandan Genocide And The Power Of Executive Detachment, Carly Schmitt, Matthew L. Bergbower

Genocide Studies and Prevention: An International Journal

We examine U.S. public opinion during the Rwandan genocide in the spring and early summer of 1994. Drawing on more than a dozen public opinion polls fielded during this period, we analyze Americans’ levels of knowledge about the violence in Rwanda, their views on United Nations involvement, support for U.S. military intervention, and evaluations of President Bill Clinton’s handling of the crisis. Longstanding theory recognizes public opinion as an important variable in explaining foreign policy choices during international crises. In the case of U.S. policy toward the Rwandan genocide, our analysis reveals widespread public unfamiliarity with a distant African conflict …

Strategies For Effectively Socializing Remote Workers, Emily Dahlen

Walden Dissertations and Doctoral Studies

Improper socialization of remote workers into the organization can increase employee turnover and create an unstable remote workforce. Business leaders who fail to effectively socialize remote workers in ways that strengthen organizational identification and reduce turnover risk may create workforce instability that exposes the organization to additional business risks. Grounded in the theory of organizational socialization, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies some business leaders use to socialize remote workers and increase employee retention. The participants were eight business leaders who had implemented effective socialization strategies to remote employees. …

Staff Education To Address Medication Nonadherence Among Patients With Mental Health Challenges, Almena Ilis Huggins

Walden Dissertations and Doctoral Studies

Patients’ non-adherence to prescribed medication regimens remains a significant challenge in healthcare. Patients often misuse or skip their medications, which undermines treatment outcomes. This was evident at a mental health medical practice located in a suburban area of the southeastern coast. To address this problem, I developed, implemented, and evaluated a staff education program on evidence-based strategies to improve medication adherence among individuals with mental illness. The practice question focused on whether staff knowledge increased following participation in the education program. Four nursing staff participated in the 2-hour education program. Pre- and posttest questionnaires consisted of 15 multiple-choice questions. The …

Order Re: Motion For Derivative Standing

Catholic Dioceses in Bankruptcy

No abstract provided.

Order Granting Derivative Standing

Catholic Dioceses in Bankruptcy

No abstract provided.

Wildfire Impacts On Fluvial Hydrology From Watershed To National Scales, Paige G. Tunby

Civil Engineering ETDs

Wildfires alter the water quantity and quality in downstream river networks. Fires promote biodiversity, maintain habitat, and provide many ecosystem services in a fire-adapted landscape. However, changes in the natural fire regimes can alter ecosystem function and threaten the water security of impacted downstream communities. The magnitude, timing, and persistence of these impacts are difficult to predict due to the lack of high-resolution datasets with adequate coverage to evaluate spatiotemporal trends after a fire. This dissertation moves us beyond the status quo to evaluate post-fire fluvial responses across scales, from the event-scale impacts after the Hermit’s Peak-Calf Canyon wildfire in …

Effect Of Geothermal Conditions On Silica Flour Modified Wellbore Cement, Travis Benjamin Broadhurst

Civil Engineering ETDs

Considerable work has been conducted on modified wellbore cements, but a knowledge gap exists in the effects of downhole conditions on cement, especially tensile strength. In this study, a pressure vessel simulates representative downhole conditions (200⁰C, 1.5 MPa) with a reference solution for geothermal brine and naturally occurring geothermal gases. Samples are removed after 28-days for unconfined compressive strength testing, Brazilian tensile strength testing, elastic moduli measurement, and chemical analyses by X-ray diffraction and electron microprobe. Aqueous chemical analysis suggests multiple active reactions between the geothermal fluid and cement that are exacerbated by higher temperatures, but do not …

K-12 Teachers’ Perspectives On The Adoption Of Virtual Reality And Augmented Reality Technology In Classroom Instruction, Breanna Mckenley

Walden Dissertations and Doctoral Studies

The problem addressed in this basic qualitative study was that although some K–12 teachers have access to virtual reality (VR) and augmented reality (AR) technologies, these tools are not widely accepted or adopted for classroom instruction. Guided by the technology acceptance model, the purpose of the study was to explore K–12 teachers’ perspectives on their willingness to incorporate VR/AR, the perceived usefulness and ease of use of these technologies, and the challenges they encounter or anticipate during the adoption process. Semistructured interviews were conducted with 10 K-12 teachers from public, charter, and private schools in the United States who had …

Burnout And Job Satisfaction As Mediators Of Nurse Turnover Post-Pandemic, Yulia Gendler

International Nursing Research Congress (INRC)

Background: The COVID-19 pandemic has exacerbated the global nursing shortage, leading to increased turnover intentions among nurses due to heightened workplace stress, burnout, and job dissatisfaction. This study investigates the mediating effects of burnout and job satisfaction on the relationship between professional identity, occupational stress, and nurses' turnover intentions. Additionally, it explores the impact of socio-demographic factors on these relationships in the post-pandemic era.

Methods: A cross-sectional study of 338 nurses across four hospitals in Israel was conducted between June 2023 and January 2024. Self-reported questionnaires were utilized to measure turnover intentions, with professional identity and occupational stress as predictors …

Under Pressure: Negative Urgency And Disordered Eating In The Context Of Parental Differential Support, Hamide Gozu, Jenna K. Rieder

College of Humanities and Sciences Faculty Papers

Disordered eating behaviors are prevalent in emerging adulthood and may be shaped by family dynamics. This study examined associations among maternal and paternal differential support, weight-shape concerns, and binge eating and compensatory behaviors in emerging adulthood, while testing the moderating role of negative urgency. Participants were 517 emerging adults from across the United States (ages 18-29; M = 22.60, SD = 3.81; 76% female). Participants reported on parental differential support, weight-shape concerns, eating behaviors, and negative urgency. Using moderated-mediation analyses, we found that weight-shape concerns mediated associations between differential support and eating behaviors. Unequal maternal support and paternal favoritism showed …

Examining Conditional Indirect Media Effects Through Normative Perceptions: The Role Of Traditional Family Gender Role Expectations And Stigmatizing Beliefs In Human Papillomavirus Vaccination, Moonsun Choi

Communication ETDs

This dissertation examines how indirect media effects operate through normative perceptions within a gendered and stigmatized health context of HPV vaccination. Specifically, this study investigates how these normative mediation processes are conditioned by traditional family gender role expectations at the norm formation stage and stigmatizing beliefs about HPV vaccination at the normative influence stage. A cross-sectional survey was conducted with mothers of children aged 9 – 12 in the United States in June 2025. The key findings show that while gendered perceptions of HPV vaccination persist, the underlying normative mechanism operated in similar ways across gender-referent contexts. Injunctive norms were …

Mapping And Modeling Threat-Evoked Brain States After Early Life Adversity, Taylor W. Uselman

Biomedical Sciences ETDs

Early life adversity (ELA) increases lifelong neuropsychiatric vulnerability. Yet how ELA reorganizes brain-wide activity and circuit coordination across later experience remains unclear. This dissertation tests the hypothesis that ELA alters adult brain-wide activity and responses to threat through disrupted coordination among neural systems that regulate emotional experience, including prefrontal-limbic and monoaminergic systems. Longitudinal manganese-enhanced MRI of adult mice exposed to standard or fragmented early care, combined with computational processing and statistical modeling, quantified brain states before, during, and long after innate predator threat. These studies established that acute threat evokes large-scale, distributed brain activity that evolves over time. ELA potentiates …

Prenatal Alcohol Exposure Induces Vulnerability To Mild Stress Through Heightened Limbic Glial Activation And Cytokine Release, Justine R. Zimmerly

Biomedical Sciences ETDs

Fetal alcohol spectrum disorder (FASD) results from prenatal alcohol exposure (PAE) and is linked to development of mood disorders, which in turn are driven by dysregulation of the sympathetic nervous system, the neuroendocrine hypothalamic-pituitary-adrenal (HPA) axis, and the central nervous system (CNS) neuroimmune response to stressors. PAE alters brain glial activation and proinflammatory cytokine expression through secondary challenges such as psychological stressors. The goals of the experiments presented in this dissertation were to 1) examine peripheral glucocorticoid receptor function following mild acute stress in adult PAE offspring, 2) characterize a sensitized cytokine stress response in the hippocampus, medial prefrontal cortex, …

Co-Constructing The Common Ground: Responses In American Sign Language Conversation, Deborah Wager

Linguistics ETDs

Common ground between two people consists of the things they both know, that they know they both know. This body of knowledge grows in conversation, through both verbal and nonverbal responses. Responses communicate whether what has been said was accepted into the common ground, and return responses acknowledge this acceptance in turn (H. H. Clark, 1996). In addition to the semantic content of utterances, stance is communicated through a variety of means, and alignment with that stance is also communicated through responses.

This study explores ways in which responses are used in American Sign Language (ASL) conversation to co-construct the …

Documenting Regional And Individual Variation In Taiwan Sign Language, Devin Alexander Tankersley

Linguistics ETDs

Taiwan Sign Language (TSL) has been characterized by a north-south dialectal divide since the beginning of its development in the early twentieth century, further complicated by contact with Chinese Sign Language and with Mandarin. Considering increased interconnectivity across Taiwan, this dissertation asks: does the traditional north-south dialectal distinction still hold? To address this question, fieldwork was conducted across six areas of Taiwan to develop a data set consisting of word elicitations and sociolinguistic interviews. Findings from quantitative and qualitative analyses of these data suggest that TSL is not undergoing straightforward dialect leveling, but rather convergence towards a mixed variety shaped …

Surveyception: An Exploration Of Deceptive Survey Forms, Muhammad Danish

Computer Science ETDs

Survey platforms such as Google Forms and Microsoft Forms are widely used for feedback, data collection, and engagement, but scammers increasingly exploit them to distribute phishing and deceptive attacks. This thesis presents a large-scale study of survey-form abuse across ten major providers. We collected 140,000 forms from three sources: public posts on X, search-engine results, and web pages from the top 10 million DomCop-ranked domains. Using automated filtering and manual qualitative review, we identified 2,645 forms requesting sensitive information and classified 566 as scams. These forms used techniques including phishing, private-secret theft, account and personal-data harvesting, financial deception, and psychological …

Myeloid Mmp14 Couples Extracellular Proteolysis To Inflammatory And Metabolic Remodeling During Obesity, Long J Shao, Fathima Elizondo, Feng Gao, Elizabeth L Lieu, Bharati Reddi, Maryam Elizondo, Iqbal Mahmud, Kristin Eckel-Mahan, Philipp E Scherer, Xin Ge, Huaizhu Wu, Sean Hartig, Kai Sun

The Brown Foundation: Institute of Molecular Medicine

Macrophages orchestrate tissue remodeling, inflammation, and metabolic dysfunction in obesity, but the role of macrophage-intrinsic extracellular proteolysis in immunometabolic regulation remains unclear. Matrix metalloproteinase-14 (MMP14), a membrane-bound protease, is strongly induced during monocyte-to-macrophage differentiation and further elevated in adipose tissue macrophages from high-fat diet (HFD)-fed mice. Pharmacological inhibition or myeloid-specific deletion of Mmp14 impaired macrophage differentiation, proliferation, migration, phagocytosis, and inflammatory activation in response to obesity-associated adipose tissue signals. Mechanistically, MMP14 promoted inflammatory programming by increasing endotrophin generation and enhancing TLR4-NFκB signaling. MMP14 also reprogrammed macrophage lipid metabolism by suppressing lipolysis and promoting lipid accumulation, altering metabolic communication with neighboring …

You Can't Teach Kids From A Book: Language, Authority And Revitalization In Jicarilla Apache Life, Mariann Skahan

Anthropology ETDs

This dissertation examines how Jicarilla Apache is learned, taught, and used across community life, with particular attention to contemporary language revitalization. Based on ethnographic research with elders, educators, language workers, families, and community institutions, it follows language practices across classrooms, culture camps, homes, ceremonial settings, and collaborative archival projects. I show that linguistic knowledge does not carry the same authority or consequences in every setting. Words may be recognized without being taken up, speakers may possess linguistic knowledge without being authorized to teach or correct, and archival texts may preserve linguistic forms without preserving the relations needed to interpret and …

Quantum Control Of Qubits And Qudits In Neutral Atom Systems, Sri Datta Vikas Buchemmavari

Physics & Astronomy ETDs

This dissertation explores control of neutral atom quantum systems across multiple levels of abstraction, from atomic physics to system-level fault tolerance, using optimal control to improve performance. First, we propose a Rydberg entangling gate based on dressing with only the qubit control field; an interaction energy near the Rabi frequency benefits both gate speed and Rydberg decay. Second, with Sandia National Laboratories, we show that leakage errors in neutral atom systems can be converted to atom loss errors and detected using two entangling gates with an auxiliary atom, where a SWAP-based leakage detection unit outperforms the standard design. Next, we …

Naturalistic Aided Language Intervention For Children Who Have Multiple Disabilities Including Visual Impairment, Naomi Nattress

Speech and Hearing Sciences ETDs

ABSTRACT

This dissertation examined aided AAC interventions for individuals with multiple disabilities, including visual impairment, across three original studies. Chapter 2, a meta-analysis, found limited rigorous research for this population while showing that individuals at early symbolic stages with diverse visual profiles can successfully engage with AAC when appropriate adaptations are provided. The pilot study in Chapter 3 indicated that caregivers and graduate student clinicians can learn and implement naturalistic AAC techniques and VI accommodations with high fidelity through structured coaching. The mixed methods study in Chapter 4 introduced the ImPAACT-VI program, showing strong outcomes in educator performance, students’ symbolic …

How Forest Structure And Climate Influence Snowpack For Water Resources In The Southwestern United States, Lindsey L. Rotche

Geography ETDs

Climate change, declining snowpack, and increasing wildfire risk have profound impacts on water availability in the southwestern United States. Because the southwestern United States is a global hotspot for freshwater vulnerability, and snowpack provides much of the region’s freshwater, understanding how climate and forest structure influence snowpack dynamics is increasingly important. In this dissertation I aim to better understand and communicate these dynamics through empirical data collection and the development of a simple vegetation driven temperature-index snow model: SNOW-17(VEG). I then implement the model at a watershed scale using remotely sensed imagery to create vegetation zones and climate simulations to …

Regenerative Writing: The Rhetorics Of Indigenous Futurisms As Pedagogical Praxis, Madeline R. Mendoza

English Language and Literature ETDs

This dissertation explores how land-based writing and Indigenous Futurisms can reshape writing pedagogy in higher education, focusing on English courses at the University of New Mexico. At the center of this project is the Land Memoirs assignment, which I designed to encourage students to engage land as a living relative and active participant in the learning process. Through the frameworks of Indigenous Futurisms, Land as Pedagogy, Rhetorical Sovereignty, and Pueblo understandings of marking, I analyze the rhetorical choices across student multimodal narratives, reflections, and interviews to examine the assignment’s pedagogical impact. My findings reveal epistemic differences in how Indigenous …

Helmholtz Reciprocity In Bidirectional Y-Junction Couplers, Hosuk Lee

Optical Science and Engineering ETDs

This thesis explores the light propagation characteristics in Y-junction couplers based on the Helmholtz reciprocity principle. The Helmholtz reciprocity principle is a crucial concept in optical system design, and it has primarily been understood based on input-output symmetry. However, this study emphasizes reciprocity needs to consider the entire system, beyond the traditional input-output symmetry reciprocity interpretation. For this study, we specifically examined the direction-dependent asymmetrical outputs, in the Whistle-geometry Ring Laser (WRL) structure. And the WRL results cannot be fully explained by simple input-output symmetry for reciprocity. The Y-junction coupler in the WRL structure makes different output characteristics based on …

Keeping Communities Safe Through An Alternative First Response Model: Predictors Of Civilian First Responders’ Self-Efficacy In Handling Crisis Situations, Jasmine Desiderio

Organization, Information and Learning Sciences ETDs

The expansion of civilian alternative first responder models reflects a national shift toward community-based approaches to crisis intervention. Grounded in Albert Bandura’s social learning theory, this study examined the extent to which demographic characteristics are associated with crisis self-efficacy, explored how perceptions of the responder role relate to confidence, and identified supports necessary for effective crisis response. A convergent parallel mixed-methods design was employed with civilian first responders in Albuquerque, New Mexico. Quantitative data were collected with the Crisis Self-Efficacy Scale, and semi-structured interviews gathered qualitative data. Exploratory regression analyses (n=31) were not reliably associated with crisis self-efficacy, while role …

Transforming Faculty Development: Organizational Citizenship Behavior, Arts-Based Design, And Communities Of Transformation In Stem Education, Kristen L. Ferris

Organization, Information and Learning Sciences ETDs

This dissertation investigates the relational conditions enabling institutional transformation and diversity, equity, inclusion, and justice (DEIJ) within STEM higher education. Despite needs for systemic change, sustaining faculty engagement remains difficult due to entrenched power dynamics, lack of pedagogical training, and political repression. To address these barriers this research introduces Organizational Citizenship Behaviors (OCB) as an analytic lens and functional infrastructure for change.

Through three papers, this study 1) establishes OCB via a systemic literature review as an actionable metric for faculty development; 2) details the design of a cross-institutional Community of Transformation (CoT) as a design case; and 3) Presents …