Digital Commons Network^™

Aiding Our Heroes: Addressing Gaps In Care For U.S.A. Veterans With Disabilities In Low-Income Areas, Marisa E. Gabriel

OTD DEx Reports - College of Pharmacy and Health Sciences

Veterans with disabilities living in low-income areas must overcome significant obstacles to access affordable rehabilitative care. These challenges alongside physical and mental health concerns severely impact their independence, social participation, and overall quality of life. Following military service, many veterans experience additional physical and mental health difficulties that contribute to financial burdens and stressors and increase the demand for community resources. However, inflated healthcare costs and limited service availability leave many veterans without the support they need despite existing resources. Many veterans, particularly those in underserved regions, face further barriers due to geographic isolation, financial constraints, and lack of transportation …

Factors Associated With Lapses In Care Among People Living With Hiv In South Carolina, Xueying Yang Ph.D., Fanghui Shi, Shujie Chen, Gavi Samuel, Bankole Olatosi Ph.D., Sharon Weissman, Xiaoming Li Ph.D., Jiajia Zhang Ph.D.

Faculty Publications

Utilizing statewide electronic health records (EHR) data, this study aims to assess the factors determining the occurrence of lapses in HIV care among people with HIV (PWH) in South Carolina (SC). All adult (≥ 18 years old) PWH who were diagnosed with HIV between 2006 and 2018 with at least two HIV care encounters and at least 1-year follow-up record were included in the analysis. The outcome, a lapse in care, was defined as a repeated measure of HIV care encounter that occurs over a year following the previous visit. Generalized Estimation Equation models were employed. The study cohort had …

Bcaas Newsletter Spring 2026, Bcaas

BCAAS Newsletter

No abstract provided.

Ruby's, Clarissa Sigale

English Honors Projects

Ruby's is a realistic fiction novel that follows the complex lives and relationships between a group of small town Nevada sex workers.

The first five chapters follow a unique cast of characters. Digo, who has given up on his dreams of being an artist and is terrified of honest emotional conversation, falls into a messy relationship with Samir, a disabled drag queen who wears his heart on his sleeve. Meanwhile, Faun grapples with the news of her abusive mother's death as well as her relationship with her still-alive father.

Yarrow is the perfect place for messy people in a messy …

Lessons Learned From The Implementation Of A Pragmatic Trial Evaluating Non-Pharmacological Approaches To Dementia Care In Us Nursing Homes, Carin Wong, Catherine V. Piersol, Felicia Chew, Cara Lekovitch, Victoria Shier, Mike Morris, Jenny Martínez, Julie Britton, Natalie E. Leland

Department of Occupational Therapy Faculty Papers

RATIONALE: The consistent delivery of effective evidence into nursing home practice has been shown to enhance quality of care and residents' outcomes. Pragmatic trials enable the evaluation of efficacious interventions in a real-world context, including care of residents living with Alzheimer's Disease and Related Dementias (ADRD). Yet, there are limited pragmatic trials conducted in nursing homes and even less evidence on the strategies to successfully conduct such research in this setting.

OBJECTIVE: To identify the lessons learned from a pragmatic trial and provide recommendations for future successful studies in United States (US) nursing homes.

METHODS: Drawing on a case example …

Interventions For Reducing Barriers To Future Employment Success In First-Generation College Students., Kellie M. Burke

Doctor of Social Work Capstone Projects

First-generation college students (FGCS) comprise a significant and diverse segment of the U.S. undergraduate population, yet they remain disproportionately vulnerable to barriers that impede both academic achievement and career advancement. These challenges, rooted in intersecting factors (e.g., race & gender), are amplified by institutional structures that inadequately address the realities faced by FGCS. Despite the proliferation of career development programs, internship participation, and subsequent employment, among FGCS remains notably low, revealing persistent gaps in support, access, and program efficacy.

This qualitative study evaluates the Rising Leaders Program, an agency-driven intervention designed to promote career readiness for FGCS at Kentucky universities …

Alternative Anticoagulation Strategies For Heparin-Intolerant Patients Undergoing Cardiopulmonary Bypass: A Scoping Review Of Patient Outcomes, Zachary Nelson

Student Works

Background/Introduction: Heparin intolerance, most notably heparin-induced thrombocytopenia (HIT), presents a major clinical challenge during cardiopulmonary bypass (CPB), where systemic anticoagulation is essential for safe circulation through the extracorporeal circuit. While several alternative anticoagulants have been described, there is limited consensus regarding their safety, dosing, and outcomes. The objective of this study was to map existing evidence describing alternative anticoagulation strategies for heparin-intolerant adult patients undergoing CPB and to summarize reported patient outcomes, dosing strategies, and intraoperative management considerations.

Methodology: This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) …

Soft-Floor Auctions: Harnessing Regret To Improve Efficiency And Revenue, Dirk Bergemann, Kevin Breuer, Peter Crampton, Jack Hirsch, Yero S. Ndiaye, Axel Ockenfels

Cowles Foundation Discussion Papers

A soft-floor auction asks bidders to accept an opening price to participate in a second-price auction. If no bidder accepts, lower bids are considered using first-price rules. Soft floors are common despite being irrelevant with standard assumptions. When bidders regret losing, soft-floor auctions are more efficient and profitable than standard optimal auctions. Revenue increases as bidders are inclined to accept the opening price to compete in a regret-free second-price auction. Efficiency improves because a soft floor allows for a lower hard reserve, reducing the frequency of no sale. Theory and experiment confirm these motivations from practice.

Complex Iliac Artery And Iliocaval Venous Reconstruction Using Temporary, Redundant Graft To Facilitate Resection Of Recurrent Metastatic Sex Stromal Tumor, Shah-Jahan M Dodwad, Blaz Podgorsek, Ezra Koh, Taha S Zaidi, Justin E Bird, Shalin S Patel, Thanila A Macedo, Gustavo S Oderich

Faculty, Staff and Student Publications

We report a complex case of recurrent, metastatic sex cord stromal tumor involving the pelvic vasculature and spinal nerves. Posterior and anterior approaches were required with redo iliac artery reconstruction using a temporary, redundant aortoiliac to right external iliac artery graft and iliocaval venous reconstruction. After completion of tumor resection from nerve structures, reconstruction of the right iliac veins was completed and the redundant aortoiliac arterial graft was shortened. The redundant graft minimized ischemia time, enabling meticulous dissection and tumor removal. This case underscores the importance of multidisciplinary collaboration in managing rare, aggressive malignancies with complex vascular and neural involvement.

Decarceration & Voting Rights Advocacy, Sophie E. Trudgeon

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Portfolio detailing my MSW practicum placement at Catalyst MT under the Justice Initiative and the growth that accompanied it.

Evolving Humanity: Educational Leadership And Research In A Technological Age, Winona State University, Matthew G. Howard, Kari J. Johns, Peter Johnson, Kateri J. Johnson, Kelly Muller, Kate Glogowski, Niesha Conley, Sara Welch, Kristin E. Brendt, Cody B. Henrichs, Lance Davis, Kate Macdonald, Jody Shong, Oscar Uribe Mardones, Stacy L. Schilling, Allison R. Grainger, Kristen Fenlason, David E. Kline, Rachel Nihart, Rebecca R. Simataa, Steven M. Baule

Education Doctorate Books

The essays in this book are selected from Winona State University (WSU) doctoral students as part of the 2025 summer  WSU Doctoral Residency course. The residency course is a core portion of the WSU Education Doctorate Program.

Quote from the back of the book:

Our Doctoral students and doctoral graduate faculty are community members sharing experiences, asking questions, exploring our world, celebrating successes, and learning from missteps. We build and reconstruct our community as we learn, but never forgetting the end goal. We are together on this journey. This is the exciting part of learning. - Rhea Walker, Professor, WSU …

The Original Meaning And Understanding Of The Investigative Power Of The Grand Jury In The Constitution Of Alaska, Savannah Shoffner, Richard W. Garnett

Journal Articles

The investigatory, or reporting, power of grand juries refers to the body’s ability to issue statements on wide-ranging matters of public policy, generally aimed at exposing “inefficiency, neglect, or criminal or quasi-criminal conduct” by government officials. Grand jurors may propose an investigation themselves or respond to a request from a citizen. The reports produced by these investigations need not be tied to a specific indictment to be released.

Text, history, and tradition reveal that the grand jury has been understood as an intermediary between the government and the people, empowered to make public statements on the people’s behalf and entrusted …

The Transparent Crypt: Temporal Stratification, Materiality, And The Affective Archive In Jenny Erpenbeck’S "Kairos", Mallory Wooldridge

Comparative Literature M.A. Essays

For Germany, the process of reckoning with the past is not a new one. Termed Vergangenheitsbewältigung in the post-war period and envisioned as a project extending beyond the academy into public consciousness, “dealing with the past” was first envisioned in response to the Nazi regime and its horrors. While already a disjointed project in the Nazi context, the question of how reunified Germany reckons with the former German Democratic Republic’s past remains unresolved.

In her 2021 novel Kairos, Jenny Erpenbeck proposes a different model of historical consciousness. Drawing on Theodor Adorno’s post-war theory of working through the past ( …

Occupational Epidemiology Of Acral Lentiginous Melanoma, Lily Guo, Robin Kikuchi, April W. Armstrong, Suephy C. Chen

Department of Dermatology and Cutaneous Biology Faculty Papers

Acral lentiginous melanoma (ALM) classically presents in glabrous skin. Some studies suggest an association between mechanical stress and ALM development. People working jobs with long periods of standing/walking may be exposed to near-daily mechanical stress. To investigate the relationship between occupation type and ALM development, we performed a retrospective cohort study using Optum’s Clinformatics Database (2007—2023). We compared the risk of ALM in adults with occupational data (n = 9,270,935). Retired patients had the highest prevalence (0.081) and incidence per 1,000,000 person-years (0.514, 95% confidence interval = 0.487—0.542) of ALM. We performed multivariate logistic regression, adjusted for demographics and insurance, …

The Impact Of Corporate Venture Capital On Financing And Innovation In Academic Entrepreneurial Firms, Tingting Luo

Dissertations and Theses Collection (Open Access)

Amid the ongoing advancement of China’s innovation-driven development strategy, the effective transformation of scientific research into industrial impact has become a central concern. Corporate Venture Capital (CVC), as a strategic investment mechanism connecting industrial capital with entrepreneurial ventures, is increasingly viewed as a critical external resource for high-technology start-ups. At the same time, Academic Entrepreneurship Firms (AEFs), characterized by their deep research capabilities and original technological trajectories, play a distinctive role as knowledge suppliers in uncertain, emerging industries. However, whether AEFs can effectively attract CVC support and convert it into innovation performance remains an open empirical and theoretical question.

This …

The Impact Of Genai Guidance Strategies On Employee Ai Acceptance: A Field Experiment Based On Private Domain Marketing, Mai Chen

Dissertations and Theses Collection (Open Access)

As a novel technological instrument for content production and customer communication, generative artificial intelligence (GenAI) has garnered significant attention for its value in private domain marketing. However, enterprises frequentlyencounter a paradox of high initial introduction rates coupled with a lackof substantive application. Employee apprehensions regarding the qualityof AI-generated content (AIGC) and organizational guidance strategies are critical factors impeding the realization of technological value. Drawing upon the technologyacceptance model (TAM), the unified theory of acceptance and use of technology(UTAUT), and the task-technology fit (TTF), the study constructs a theoretical model positioning corporate AI guidance strategies as the independent variable andemployee AI …

The Determinants And Consequences Of Green Credit In Commercial Banks: A Dual-Pillar Perspective Of Asset Quality And Esg, Jianmei Xia

Dissertations and Theses Collection (Open Access)

As China’s “dual carbon” strategy advances, green credit has increasinglybecome a crucial financial instrument driving the green transition of China’s industrial structure. From a dual perspective of asset quality and ESGperformance, this paper systematically examines the determinants andconsequences of green credit practices among commercial banks. Employing a multiple-method approach that combines comparative case study, in-depthinterview, and large-sample empirical analysis, this study aims to address twocore questions: First, what are the key factors driving commercial banks toprovide green credit, and what is the logic behind their differentiated decision- making? Second, how does green credit affect banks’ financial and non-financial performance? This …

Generative Ai In Enterprises: Optimizing Applications With Large Language Models, Donghao Huang

Dissertations and Theses Collection (Open Access)

This dissertation investigates how to deploy Large Language Models (LLMs) effectively in enterprise settings, where accuracy, reliability, cost, privacy, and operational constraints often matter more than benchmark performance alone. Drawing on seventeen peer-reviewed publications (eleven published and six accepted for publication), the work develops and validates optimization strategies across three connected themes: retrieval-augmented generation (RAG), agentic AI for workflow automation, and deployment guidelines for real-world enterprise environments.

First, we study RAG optimization through systematic evaluation of open and proprietary models, highlighting conditions under which efficient open-weight models can match or exceed proprietary alternatives. To address a pervasive failure mode in …

Pitch Perfect: From Neural Perspective To Behavioural Outcomes—Live, Online, And Brochure, Randy Sison De Guzman

Dissertations and Theses Collection (Open Access)

Business presentations have long been a cornerstone of persuasion in business-to-business (B2B) markets. Yet, the rapid shift to virtual communication in the wake of the COVID-19 pandemic has left managers to grapple with a pressing question: Do online presentations measure up to traditional in-person meetings, or can asynchronous formats like brochure-only communication truly take the place of real-time pitching? While this question has clear relevance for everyday business practice, there is still relatively little empirical research to guide these decisions.

This dissertation draws on the Elaboration Likelihood Model (ELM) to suggest that the way information is delivered shapes how people …

Ai-Assisted Thematic Analysis On Consumer Acceptance Of Upcycled Food In Asia, Oon Ling Lee

Dissertations and Theses Collection (Open Access)

Food waste overuses natural resources and is responsible for a considerable share of greenhouse gas (GHG) emissions. Coupled with the growing global food insecurity, food wastage appears even more irresponsible and showcases the inefficiencies of the current food system. These escalating global environmental concerns and strained planetary resources have necessitated sustainable food innovation (James & Sheena, 2025; Upadhyay, 2025), particularly the production of upcycled food (UF), a novel food product category transformed from production byproducts such as Okara, barley grain, and beer spent grain (Zhang et al., 2023). This upcycling process supports waste reduction, achieves a circular bioeconomy (Ribeiro et …

The Impact Of Brand Authenticity And Innovation On Stakeholder Behaviours, Jacky Xu

Dissertations and Theses Collection (Open Access)

This study employs a dual-perspective questionnaire survey, collecting data separately from corporate employees and brand consumers, and uses multiple regression analysis to test the hypotheses. The findings reveal the following: (1) both brand authenticity and innovation have significant positive effects on employee brand citizenship behaviour and consumer purchase intention; (2) brand commitment plays a negatively moderating role in these relationships, such that when stakeholders’ commitment levels are relatively low, the positive effects of brand authenticity and brand innovation on behaviour are stronger, whereas under conditions of high commitment, these effects are weakened, reflecting a substitution effect between emotional attachment and …

Enhancing Market Acceptance Of Sports Rehabilitation Services: A Perspective Of Public Health Literacy And Information Acquisition, Na Li

Dissertations and Theses Collection (Open Access)

This article takes public health literacy as its point of departure, constructs a theoretical model of “Health Literacy–Health Information Acquisition–Market Acceptance”, and introduces rehabilitation experience and service accessibility as moderating variables, in order to systematically examine the formation pathways and underlying mechanisms of market acceptance in the sports rehabilitation service sector.

This study adopts a combination of questionnaire survey and empirical analysis, collecting data from public samples across multiple regions and conducting statistical tests. The findings indicate that, Firstly, public health literacy has a statistically significant positive influence on the market acceptance of sports rehabilitation services. As the level of …

The Impact Of Mortality Awareness On Task And Relationship Leadership Styles, Sang Yeol Lee

Dissertations and Theses Collection (Open Access)

In current organizational management practice, the question of how leaders can transform the universal awareness of human finitude into constructive leadership is an issue that embodies both profound humanistic concern and significant managerial implications. Based on transcendence management theory and leadership style theory, this study explores how mortality awareness affects leaders’ task orientation and relationship orientation styles, revealing its underlying mechanisms and boundary conditions. By conducting a three-wave, matched-pair questionnaire survey involving 203 enterprise managers and their subordinates, the theoretical hypotheses were tested. The findings are as follows: First, mortality awareness has a significant direct positive effect on both task-oriented …

How Do Investors View Mandatory Esg Disclosure? Evidence From China’S A-Share Market, Suk Wah Inessa Lee

Dissertations and Theses Collection (Open Access)

This study investigates the valuation effects of China's 2024 transition from voluntary to mandatory ESG disclosure across the Shanghai, Shenzhen, and Beijing stock exchanges. Using a two-stage event study surrounding the policy's draft and final confirmation, this research examines how investors price a regulatory reform affecting over 51% of A-share market capitalization. Anchored in Information Asymmetry Theory, the study evaluates whether the mandate acts as an information-enhancing mechanism or a compliance cost shock. The results indicate that mandated firms experience significant negative cumulative abnormal returns, suggesting investors primarily interpret the policy as a compliance-driven cost shock — consistent with the …

The Impact Of De-Familization Of Governance Structures On Corporate Performance During The Intergenerational Succession Of Family Businesses, Jing Qiao

Dissertations and Theses Collection (Open Access)

Intergenerational succession poses a vital challenge for family firms, with only 10% of global family businesses surviving to the third generation. Chinese family firms, growing alongside reform and opening-up, now face a critical succession period as founders average over 60 years old.

Based on 1932 A-share listed family firms from 2007 to 2024, this study theoretically and empirically examines how intergenerational succession affects corporate performance, investigates the mediating role of governance de-familization (management, ownership, control rights), and tests the moderating effect of intergenerational differences.

First, succession significantly harms financial and market performance: ROE falls by 1.330% and Tobin’s Q drops …

From Ancient Harmony To Modern Sustainability: Assessing The Coupling Of Taoist “Harmony Between Humanity And Nature” With Esg And Its Impact On Firm Innovation And Performance, Biyi Wang

Dissertations and Theses Collection (Open Access)

Against the backdrop of intensifying global ecological crises, the ESG evaluation system has become a core metric for corporate sustainable development worldwide. However, the Western-dominated ESG system lacks crucial cultural dimensions in its application within Chinese corporate practices. The ecological wisdom embedded in the Taoist concept of “Harmony between Humanity and Nature” offers a significant philosophical foundation for the ESG localization. Extant research has focused on the influence of Confucian culture on ESG, with insufficient exploration of the modern managerial value of “Harmony between Humanity and Nature”. A scientific coupling framework linking this concept with ESG indicators has yet to …

Compliance Supervision And Firm Performance: An Empirical Study On Digital Transformation Of The Pharmaceutical Manufacturing Industry, Jun Ma

Dissertations and Theses Collection (Open Access)

The biopharmaceutical industry, characterized by stringent global regulatory oversight, faces a pivotal theoretical tension regarding the nexus between regulatory compliance and corporate performance. The traditional perspectives often frame compliance as an “operational burden”, while the emerging viewpoints posit it as a “strategic asset”. Grounded in an integrated framework of the Resource-Based View (RBV) and Dynamic Capability (DC), this study investigates the moderating role of digital transformation in the relationship between Good Manufacturing Practice (GMP) compliance and corporate performance.

Employing a mixed-method design, this paper conducted two complementary studies. Study 1 adopted a grounded theory based on interviews with nine industry …

Technostress, Worker Wellbeing, And Ethics: An Integrative Review, Mackenzie Moreno

Theses and Dissertations from DePaul University

Rapid advances in workplace technologies have led to increasing concerns about technostress and its implications for worker health and wellbeing. While the technostress literature has at times addressed psychological and physiological wellbeing outcomes, these outcomes have not been examined consistently, and explicit integration of ethics is largely absent. This integrative review addresses these gaps by synthesizing empirical findings on how technostress impacts worker health and wellbeing, and by examining the extent to which ethical considerations are integrated into the extant literature. Drawing on these findings, the review proposes a theoretical model of technostress mechanisms. Finally, it summarizes organizational recommendations for …

Silent Or Silenced? A Systematic Review Of Deaf And Hoh Workers In Io Psychology Research, Lora Bishop

Theses and Dissertations from DePaul University

Deaf and Hard-of-Hearing (DHH) workers report routinely missing workplace information that hearing colleagues receive through informal and ambient channels, as well as constrained participation in environments where communication norms treat hearing as the default. Despite over a century of research, this literature remains largely outside flagship industrial-organizational (IO) psychology journals. This dissertation conducts an integrative systematic review of 48 empirical studies published between 1919 and 2025, examining workplace outcomes and methodological patterns, the theoretical frameworks deployed, sampling and reporting practices, and the framing and identity-language conventions through which the literature engages DHH workers. The review appears predominantly in WORK and …

Cannabinoid Hyperemesis Syndrome, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.