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Cost Of Health Systems Strengthening For Small And Sick Newborn Care In Four Sub-Saharan African Countries Implemented With Nest360: Incremental Cost Analyses, Alice Tarus, Meghan Kumar, Rebecca Penzias, Rosemary Kamuyu, James Cross, Mbozu Sipalo, Edith Gicheha, Christine Bohne, George Okello, William Macharia May 2026

Cost Of Health Systems Strengthening For Small And Sick Newborn Care In Four Sub-Saharan African Countries Implemented With Nest360: Incremental Cost Analyses, Alice Tarus, Meghan Kumar, Rebecca Penzias, Rosemary Kamuyu, James Cross, Mbozu Sipalo, Edith Gicheha, Christine Bohne, George Okello, William Macharia

Paediatrics and Child Health, East Africa

Background

Newborn survival requires high-quality small and sick newborn care (SSNC). Domestic and donor financing for SSNC is low, yet real-world cost data to inform investment are scarce. We analysed primary financial data for SSNC health system improvements nationally in Malawi and subnationally in Kenya, Nigeria, and Tanzania.

Methods

We analysed incremental health system perspective costs using hospital-specific assessments, inpatient data (n=93 942 admissions per year), and government and NEST360 costs. We compared annual hospital-specific costs post-implementation (June, 2022, to June, 2023) and pre-implementation (September, 2019, to March, 2021). We calculated per-hospital and per-baby costs disaggregating by health system building …


Environmental Sustainability Assessment Of Field Phosphate Monitoring Methods For Creeks, Quintino Medi May 2026

Environmental Sustainability Assessment Of Field Phosphate Monitoring Methods For Creeks, Quintino Medi

All Theses

Creeks serve as conduits for water, nutrients, and contaminants to larger water bodies such as rivers and lakes, and their health is a key indicator of overall watershed water quality condition. Unlike rivers, creeks are under-monitored due to their small size, hydrological variability, and limited accessibility. Many technologies exist for monitoring phosphorus in surface waters. Technologies may be classified into two general categories: i) proxy real-time sensors, which record generic water quality parameters, and ii) chemical reagent-based assays, which quantify soluble reactive phosphorus (SRP) in batch samples. There is a lack of studies that compare the features and benefits of …


Denisovan Introgression And Selection At Cntnap2 In Ancient And Modern American Populations, Matthew Barker May 2026

Denisovan Introgression And Selection At Cntnap2 In Ancient And Modern American Populations, Matthew Barker

All Theses

The peopling of the Americas created new opportunities for genetic adaptation as ancient populations encountered novel environments across North and South America. Previous research has shown that segments of Indigenous American ancestry contain elevated proportions of Denisovan alleles. The gene CNTNAP2, which is involved in brain development and neuronal function, contains a Denisovan-derived haplotype that represents a candidate locus for adaptive introgression in admixed American populations. A Denisovan-derived core haplotype approximately 55 kb in length was identified within intron 13 of CNTNAP2. This haplotype is primarily found in admixed American populations and occurs rarely outside the Americas, and …


Interfacing Pre-Sampling Platforms With Icp-Ms For High Sensitivity Atomic Detection In Biological And Environmental Matrices, Cameron J. Stouffer May 2026

Interfacing Pre-Sampling Platforms With Icp-Ms For High Sensitivity Atomic Detection In Biological And Environmental Matrices, Cameron J. Stouffer

All Dissertations

Inductively coupled plasma mass spectrometry (ICP-MS) is a widely employed technique in analytical chemistry for the detection of trace level (sub parts-per-trillion to parts-per-billion) atomic detection. Despite its usefulness in quantifying small quantities of analytes, there are many challenges that arise with the employment of this technique as matrix effects, lack of structural information, and difficulties with sample preparation can hinder the usefulness of the technique. The use of pre-sampling techniques to alleviate these limitations is therefore of great importance. No sampling technique is comprehensive, as sample types have different challenges. Therefore, pre-sampling methods need to be customized based on …


Understanding Variability In Geographic Isolate Of Rotylenchulus Reniformis Across The Us Cotton Belt, Sagar Gc May 2026

Understanding Variability In Geographic Isolate Of Rotylenchulus Reniformis Across The Us Cotton Belt, Sagar Gc

All Dissertations

Management of the reniform nematode (Rotylenchulus reniformis Linford and Oliveira) in cotton (Gossypium hirsutum L.) is a challenge since the resistant cultivars lack uniformity in nematode suppression when tested across multiple geographical regions. The central hypothesis of this study was that regional variability in performance of resistant cotton cultivars is associated with unique reproduction biology (reproduction and virulence) of R. reniformis from distinct geographic origins. Greenhouse studies were conducted to assess differential reproduction biology among nine geographic population of R. reniformis originated from South Carolina (SC), Alabama (AL), Florida (FL), Arkansas (AR), Georgia (GA), Louisiana (LA), Texas (TX), …


A Study Of The Agricultural Industry In Belize And Associated Future Growth Opportunities, Henry J. Conner May 2026

A Study Of The Agricultural Industry In Belize And Associated Future Growth Opportunities, Henry J. Conner

Accounting Undergraduate Honors Theses

During the summer of 2025, I had the opportunity to complete an internship in Belize with Peacework. During my time there, I worked with the Ministry of Agriculture. This Thesis is a summary of my time there and a study of the agricultural industry in Belize. It explores topics like climate change, sustainable agriculture, and the economic impact of recent events and potential future events on Belize.


Reducing Textile Waste Through 3d Body Scanning Technology: A Comparative Study Of Traditional And Digital Apparel Design Methods, Anna Delap May 2026

Reducing Textile Waste Through 3d Body Scanning Technology: A Comparative Study Of Traditional And Digital Apparel Design Methods, Anna Delap

Apparel Merchandising and Product Development Undergraduate Honors Theses

The fashion industry generates a substantial amount of textile waste each year, highlighting the need to incorporate more sustainable methods in the design and production of apparel garments. Emerging technologies such as three-dimensional (3D) body scanning and digital design software present the potential to reduce the amount of waste generated during product development while also improving fit and customer satisfaction. The purpose of this study was to investigate the potential of 3D body scanning to reduce waste in the apparel industry by comparing garment development using 3D digital design and traditional flat pattern design methods.

In this study, 3D body …


Understanding Music In The Digital Era: Media & Listening Changes, William H. Gawtry May 2026

Understanding Music In The Digital Era: Media & Listening Changes, William H. Gawtry

Departmental Honors & Graduate Capstone Projects

Our ever-growing reliance on technology and digital media has profoundly impacted how we consume music in the internet age. In analyzing music semiology, particularly by using music semiology as a method, I analyze Ethel Cain’s Preacher’s Daughter, the differences between physical and digital media are assessed as well as how digital technology is changing the listening experience, both in terms of quality and quantity. The drastic shift from analog to digital has inherently changed access and distribution, while also expanding the interpretive tools available to all listeners. A variety of factors—such as the immediate gratification from streaming services and …


Analyzing Educators’ Roles In Preparing Students For Civic Engagement In Arkansas Communities, Mia L. Hastings May 2026

Analyzing Educators’ Roles In Preparing Students For Civic Engagement In Arkansas Communities, Mia L. Hastings

Curriculum and Instruction Undergraduate Honors Theses

This study identifies practical strategies educators can implement in their instruction to strengthen students’ political efficacy and civic engagement in Arkansas communities. This qualitative research study sought to answer the question, “How do educators prepare students for civic engagement in Arkansas?” The research was conducted within the framework of a practice-based experience with the Arkansas Collegiate Civic Leadership Academy (ACCLA), a seven-month program hosted by the Winthrop Rockefeller Institute. I participated in five seminars on topics such as public service, journalism, and local governance, to analyze how engagement with these experiences can inform educators’ roles in promoting civic engagement. After …


Creating Supportive Environments For Children To Bloom: A Trauma-Informed Occupational Therapy Approach, Morgan Benson May 2026

Creating Supportive Environments For Children To Bloom: A Trauma-Informed Occupational Therapy Approach, Morgan Benson

Occupational Therapy Capstone Presentations

A significant number of children receiving occupational therapy services have histories of adverse childhood experiences (ACEs), including neglect, abuse, frequent changes in caregiving environments, and exposure to chronic stressors. These experiences can strongly affect sensory processing, emotional regulation, behavior, and participation in meaningful daily occupations. These challenges are often made more complex by limited caregiver education, inconsistent access to trauma-informed resources, and differences in therapist confidence when addressing trauma in pediatric practice. Occupational therapy practitioners are well-positioned to support these needs through holistic, occupation-based, and client-centered care that considers sensory, emotional, environmental, and developmental factors. The purpose of this capstone …


Enhancing Child Development In A Daycare Setting Using An Ot Perspective, Autumn F. Glaser May 2026

Enhancing Child Development In A Daycare Setting Using An Ot Perspective, Autumn F. Glaser

Occupational Therapy Capstone Presentations

The purpose of this capstone project was to implement a program within a daycare setting using an occupational therapy perspective. The project explored the impact of staff education combined with guided, hands-on activities in supporting child development. Seven developmental areas served as a focus for two weeks each during the capstone experience. Main components of the program included presentations and debrief sessions for staff, hands-on, developmentally supportive activities with the children, handouts for caregivers, and the creation of a resource with activity ideas for daycare staff to utilize after program implementation. Pre and post-test surveys were used to assess the …


Blooming Beginnings: An Occupational Therapy Approach To Helping Families Grow, Grace L. Mcconnell May 2026

Blooming Beginnings: An Occupational Therapy Approach To Helping Families Grow, Grace L. Mcconnell

Occupational Therapy Capstone Presentations

The transition to parenthood is accompanied by monumental changes in health, wellness, roles, and routines. These changes impact an individual's ability to participate in their daily activities and particularly for mothers, this experience impacts her entire life. Through this transition, parents must not only participate in their own occupations but also learn how to advocate and care for their child(ren). However, families are provided very limited educational resources to prepare them for this transition. Occupational therapy can bridge the gap in family preparedness by utilizing evidence-based education to address physical, psychological, and social wellbeing. Occupational therapy education can advise parents …


Empowering Children Through Self-Regulation: A Multi-Setting Occupational Therapy Initiative, Aarika Denae De Jong May 2026

Empowering Children Through Self-Regulation: A Multi-Setting Occupational Therapy Initiative, Aarika Denae De Jong

Occupational Therapy Capstone Presentations

Self-regulation skills are essential for well-being during childhood and are associated with academic performance and positive psychosocial outcomes. Children with developmental disabilities such as autism spectrum disorder (ASD) often experience sensory differences that impact occupational performance and self-regulation. Rural populations face additional barriers to accessing early childhood opportunities and occupational therapy services. This doctoral capstone project aimed to support the development of self-regulation skills among children in both clinical and community settings. Through partnership with a rural public library, a Sensory Storytime Program was implemented using inclusive design principles to promote regulation skills. Additional resources, including a Sensory Regulation Kit …


Integrating Trauma-Informed Care Into Pediatric Occupational Therapy, Kylie H. Rodig May 2026

Integrating Trauma-Informed Care Into Pediatric Occupational Therapy, Kylie H. Rodig

Occupational Therapy Capstone Presentations

This capstone project examined how trauma-informed care (TIC) and Trust-Based Relational Intervention® (TBRI) can be integrated into pediatric occupational therapy to better support children impacted by trauma. The project was guided by the question of how structured trauma-informed strategies, clinical tools, and caregiver education influence therapist understanding and application in practice.

A mixed-methods approach was used, incorporating TIC- and TBRI-informed interventions during pediatric treatment sessions, trauma-informed evaluations, and ongoing reflective practice. Data were gathered through pre- and post-surveys, informal staff feedback, and reflective logs to capture changes in knowledge, confidence, and clinical application over time.

Results showed clear improvements in …


Occupational Therapy For Caregiver Support And General Clinical Practice In Rural Settings, Madysen M. Handel May 2026

Occupational Therapy For Caregiver Support And General Clinical Practice In Rural Settings, Madysen M. Handel

Occupational Therapy Capstone Presentations

This capstone project aimed to develop advanced clinical practice skills and implement a structured caregiver intervention program within a rural outpatient pediatric occupational therapy setting at Hegg Health Center in Rock Valley, Iowa. Guided by the Model of Human Occupation, the Occupational Adaptation model, and the cognitive behavioral frame of reference, the project emphasized caregiver participation, routine-based strategy use, and support for sensory-emotional regulation across daily environments. Caregiver stress and perceptions of strategy use were assessed using the Perceived Stress Scale (PSS-10) and a caregiver follow-up survey developed to evaluate confidence supporting regulation strategies and participation within home routines. Results …


Optimizing Occupational Therapy In Inpatient Behavioral Health Settings, Haley J. Conrad May 2026

Optimizing Occupational Therapy In Inpatient Behavioral Health Settings, Haley J. Conrad

Occupational Therapy Capstone Presentations

This capstone project aimed to strengthen occupational therapy practice in inpatient behavioral health by creating theory‑aligned, trauma‑informed, and evidence‑supported resources. A needs assessment revealed gaps in resource organization, translation of theory to practice, engagement strategies, and access to behavioral‑health‑specific tools. Guided by MOHO, the CORE approach, the Recovery Model, and trauma‑informed care, a comprehensive OneNote system was developed to offer organized, accessible practice supports. Practitioners completed pre‑ and post‑implementation surveys, and summed domain scores were calculated for each participant. Results showed meaningful improvements in Adequacy & Organization, Knowledge & Theory, Effectiveness, and especially Quality & Usability, where all practitioners demonstrated …


2025-2026 Annual Report - Undergraduate Curriculum Council, Undergraduate Curriculum Council, East Tennessee State University May 2026

2025-2026 Annual Report - Undergraduate Curriculum Council, Undergraduate Curriculum Council, East Tennessee State University

Undergraduate Curriculum Council Minutes

No abstract provided.


The Role Of Advertising In Shaping Eating Habits, Mary J. Landrum May 2026

The Role Of Advertising In Shaping Eating Habits, Mary J. Landrum

Journalism Undergraduate Honors Theses

Today, more individuals worldwide are classified as overweight than underweight (World Health Organization, n.d.-a.). Over the past several decades, obesity rates have increased dramatically, particularly in the United States. Since the 1960s, the prevalence of obesity in the U.S. has risen from 13% to 43%, reflecting a significant shift in population health. Even more striking, less than 1% of Americans were considered morbidly obese in 1960, compared to nearly 10% today (USAFacts, 2023). This trend is not limited to the United States. Globally, the percentage of adults living with obesity more than doubled between 1990 and 2022, increasing from 7% …


Effect Of 1,25(Oh)₂D₃ Glycoside Supplementation Duration On Bacterial Chondronecrosis With Osteomyelitis (Bco) Lameness In Broilers, Zoe R. Zeman May 2026

Effect Of 1,25(Oh)₂D₃ Glycoside Supplementation Duration On Bacterial Chondronecrosis With Osteomyelitis (Bco) Lameness In Broilers, Zoe R. Zeman

Animal Science Undergraduate Honors Theses

Bacterial chondronecrosis with osteomyelitis (BCO) is a significant cause of lameness in commercial broilers, resulting in substantial animal welfare concerns and economic losses. This study evaluated the effect of 1,25(OH)₂D₃ glycoside supplementation duration on the incidence of BCO-related lameness in broilers. Cobb surplus male broiler chicks were assigned to four treatment groups: a wire-flooring positive control, a litter-flooring negative control, and two treatment groups on litter flooring receiving 1 μg 1,25(OH)₂D₃ as glycosides supplementation per kg diet for either 14 or 28 days. Lameness incidence was recorded from day 22 through day 56, and all lame birds were evaluated for …


Diving Into Commercial Banking: Internship Experience At Hilborn & Howell, Llc, Reid W. Finch May 2026

Diving Into Commercial Banking: Internship Experience At Hilborn & Howell, Llc, Reid W. Finch

Finance Undergraduate Honors Theses

This paper attempts to provide insight into the commercial banking industry through personal experience and the help of high-level lending professionals.


The Impact Of Increased Beef Intake On Cardiometabolic Health In Postmenopausal Women: A 16-Week Randomized Controlled Trial, Leen Samman May 2026

The Impact Of Increased Beef Intake On Cardiometabolic Health In Postmenopausal Women: A 16-Week Randomized Controlled Trial, Leen Samman

Biological Sciences Undergraduate Honors Theses

By 2030, it is projected that the number of post-menopausal women globally will reach 1.2 billion. Moreover, because of increases in life expectancy, women will spend a greater proportion of their later years at elevated risk of chronic disease associated with the hormonal changes of the menopausal transition. Dietary interventions, specifically high-protein diets have shown potential mitigating effects; however, most interventions have focused on total protein intake or protein supplements, not whole foods like lean beef. This randomized controlled trial aimed to assess the effects of daily lean beef consumption as part of a higher protein diet on cardiometabolic markers …


Effect Of A Probiotic Microbial Gel Jointly With Two Versions Of Supplemental Direct-Fed Microbials In Receiving Cattle Diets On Growth Performance And Health, John Mitchell May 2026

Effect Of A Probiotic Microbial Gel Jointly With Two Versions Of Supplemental Direct-Fed Microbials In Receiving Cattle Diets On Growth Performance And Health, John Mitchell

Biological Sciences Undergraduate Honors Theses

The objective was to assess the effect of a probiotic microbial gel (BIOFRESH® Microbial Gel, Agrarian Solutions) administered on arrival in combination with feeding one of two different direct-fed microbials (DFM 365a or DFM 365b, Agrarian Solutions) on the health and growth performance of stocker calves at high risk for bovine respiratory disease (BRD). Beef heifer calves (n = 292, BW = 476 ± 5 lb) arriving on 3 separate receiving dates were used in the 42-day receiving study. On arrival (d -1), heifers were processed, stratified by d -1 body weight, and then assigned randomly to 9 pens (10 …


Structure Of The Spoiie Protein In Clostridioides Difficile, Robert B. Bauer May 2026

Structure Of The Spoiie Protein In Clostridioides Difficile, Robert B. Bauer

Biological Sciences Undergraduate Honors Theses

Clostridioides difficile is an opportunistic pathogen responsible for severe gastrointestinal infection. C. difficile-related infection is extremely prevalent in healthcare facilities, causing roughly 30,000 deaths annually in the United States alone. Its main mechanism of virulence is sporulation, which is directed by the SpoIIE protein. This makes SpoIIE an attractive target for the remedy and prevention of infections. The objective of this study was to analyze its structure using both lab techniques and artificial intelligence modeling. A truncated version of this protein, SpoII∆TM, was expressed and analyzed using optimal conditions previously determined in the lab. SDS-PAGE results and analyses confirmed …


Oxytocin-Mediated Trust Formation In Relationship-Based Sales, Isabella G. Farrington May 2026

Oxytocin-Mediated Trust Formation In Relationship-Based Sales, Isabella G. Farrington

Biological Sciences Undergraduate Honors Theses

Trust is a critical driver of success in relationship-based sales, particularly in complex environments such as medical, pharmaceutical, and B2B markets where decisions involve uncertainty, risk, and long-term commitment. Existing research in marketing and psychology primarily explains trust through interpersonal behaviors, communication, and relationship management strategies. However, the biological mechanisms underlying trust formation remain largely underexplored in these contexts.

This thesis examines the role of oxytocin, a neuropeptide associated with social bonding and cooperation, in shaping trust and decision-making in professional sales environments. Drawing on research from neuroscience, neuroeconomics, and relationship marketing, it proposes that oxytocin-mediated processes provide a biological …


From Chaos To Clockwork: Investigating The Role Of Circadian Genes In Metabolic Development Of 2nd And 3rd Instar Drosophila Larvae, Elliott R. Ruegsegger, Stephanie Hood, Amy Poe May 2026

From Chaos To Clockwork: Investigating The Role Of Circadian Genes In Metabolic Development Of 2nd And 3rd Instar Drosophila Larvae, Elliott R. Ruegsegger, Stephanie Hood, Amy Poe

Biological Sciences Undergraduate Honors Theses

Circadian clocks regulate daily physiological and metabolic rhythms across many organisms. In Drosophila melanogaster, the molecular clock involving period (per) and timeless regulates gene expression across 24-hour cycles. Circadian rhythms are well characterized in adult, mature organisms, but their emergence during early developmental stages remain poorly understood. In D. melanogaster, the circadian regulation of sleep and feeding rhythms emerges during the 3rd instar larval stage. This suggests that the circadian regulation of metabolism may also arise during this stage. Further, the metabolic consequences of circadian clock disruptions during this developmentally rich period remain unclear. This research aimed to …


Escaping The Promotion Trap: A Machine Learning Framework For Brand Equity Preservation In Beverage Cpg, Lucas P. Jones May 2026

Escaping The Promotion Trap: A Machine Learning Framework For Brand Equity Preservation In Beverage Cpg, Lucas P. Jones

Data Science Undergraduate Honors Theses

When companies acquire beverage brands, they typically value them based on total sales revenue. This traditional approach treats all sales equally over time, whether they are driven by genuine consumer demand or temporary discounts. This is important because while promotions can boost short-term sales, they tend to erode brand value over long periods of time. The measurement problem extends to acquisitions, where buyers lack the tools to distinguish real consumer demand from artificial promotional inflation.

This thesis develops a framework to separate genuine baseline demand from promotional dependence using Nielsen scanner data covering 189 beverage brands across 188,304 weekly observations …


Baystate Health Nursing: Together In Excellence Newsletter - May 2026, Brenda Simpson Rn May 2026

Baystate Health Nursing: Together In Excellence Newsletter - May 2026, Brenda Simpson Rn

Baystate Health Nursing: Together in Excellence Newsletters

Baystate Health Nursing: Together in Excellence Newsletter - May 2026


Developing And Mobilizing A Ttrpg Experience: Season D6, Jacob Woodrow Horne May 2026

Developing And Mobilizing A Ttrpg Experience: Season D6, Jacob Woodrow Horne

Master of Fine Arts in Digital Media Culminating Experience

Season D6 is a game that will be developed as an attempt to refine certain issues seen in popular games. These shared problems include allowing players to become self-sufficient in a way that clashes with a team-based mindset, and a lack of flexibility and accidental antagonism placed upon the storyteller. To remedy these issues, Season D6 will break up the statistics that players use to calculate their in-game abilities into three separate groups, employ an experience system used to purchase abilities at a controlled, exponential rate and to calculate encounters, and uses a “Dabble” system intended to specify the roles …


Campus Chronicle - 50th Anniversary Edition, Jayden Park, Andy Langager May 2026

Campus Chronicle - 50th Anniversary Edition, Jayden Park, Andy Langager

Campus Chronicle

Celebrating 50 years!


Improving Dimensional Stability Of Irreversible Hydrocolloid By Condensation Silicone Incorporation, Jefferson David Melo De Matos, João Pedro Oliveira De Batista, Jozely Francisca Mello Lima, Mário Alexandre Coelho Sinhoreti, Umberto Demoner Ramos, Daher Antonio Queiroz, Daniel Sartorelli Marques De Castro May 2026

Improving Dimensional Stability Of Irreversible Hydrocolloid By Condensation Silicone Incorporation, Jefferson David Melo De Matos, João Pedro Oliveira De Batista, Jozely Francisca Mello Lima, Mário Alexandre Coelho Sinhoreti, Umberto Demoner Ramos, Daher Antonio Queiroz, Daniel Sartorelli Marques De Castro

Faculty, Staff and Student Publications

Background: Irreversible hydrocolloid (alginate) is widely used for dental impressions, but its poor dimensional stability over time limits accuracy when delays in pouring occur. Enhancing its stability through material modification, such as incorporating condensation silicone, may improve clinical outcomes.

Materials and methods: Three groups (n = 10) were evaluated: Group I (conventional alginate, Avagel), Group II (extended-pour alginate, Hydrogum 5), and Group III (alginate modified with condensation silicone). Specimens were fabricated using standardized molds and stored under controlled humidity. Dimensional stability was assessed at five time points (immediate, 24, 48, 72, and 120 h) by measuring mass and linear dimensions. …