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Town Of Lempster, New Hampshire, Incorporated 1767, Annual Reports For The Year Ending December 31, 2025, Lempster Town Representatives

Lempster, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Importance Of Placental Evaluation In Pregnancies At High Risk For Placenta Accreta Spectrum: Expert Clinical Perspective, Rebecca H. Jessel, Alesha White, Hope Y. Yu, Amie L. Hollard, Meena Khandelwal, Carolyn M. Zelop, Jennifer Philips, Alireza A. Shamshirsaz, John C. Kingdom, Alfred Abuhamad, Christina L. Herrera, Pan American Society For Placenta Accreta Spectrum (Pas2)

Department of Obstetrics & Gynecology Faculty Publications

Background

Placenta accreta spectrum (PAS) is a leading cause of obstetric morbidity and peripartum hysterectomy. Rising cesarean delivery rates, advanced maternal age, and assisted reproductive technologies have increased its incidence. Early, standardized diagnosis is essential for multidisciplinary planning and improved outcomes, yet formal screening guidelines are lacking.

Objective

To raise awareness of the importance of antenatal screening for PAS, summarize key clinical and imaging risk factors, and propose a standardized mid-trimester ultrasound protocol for high-risk patients.

Methods

An expert panel convened under the Pan-American Society for the Placenta Accreta Spectrum (PAS2) reviewed available evidence, risk stratification models, and prior consensus …

Racial/Ethnic Disparities In Economic Hardship: The Role Of Financial Capability, Rui Yao, Jing Jian Xiao

Human Development and Family Science Faculty Publications

Purpose: Previous research shows that the capability approach is association with lower poverty rates and higher well-being. Nonetheless, little research applied this approach to understanding economic hardship. To fill this gap, this study applies this approach to explore whether financial capability mitigates racial/ethnic disparities in economic hardship in the U.S.

Design/methodology/approach: Data were from the U.S. 2022 Survey of Consumer Finances. Multivariate logistic and ordered regressions were used to examine of the association between financial capability, measured both through individual components and a composite index, and pandemic-induced economic hardship. Oaxaca-Blinder decomposition analyses were used to evaluate the extent …

Non-Destructive Hhxrf Archaeometry For Grouping Individuals Via Trace Element Analysis Of Dental Remains, Griffon G. Binkowski

Graduate Studies Theses and Dissertations 2026

Handheld X-ray fluorescence (HHXRF) spectrometry has been validated as an accurate, non-destructive method for analyzing archaeological osseous materials. This study utilizes HHXRF to address key bioarchaeological questions, including population differentiation, individuation, and the interpretation of bioaccumulated trace elements versus diagenetic impacts. Using dental enamel from the Maya site of Altun Ha, Belize (n=20) and several Roman-Christian sites in the Dakhleh Oasis in Egypt (n=6), the occlusal surface of molar crowns was assayed in air using a Bruker Tracer III- equipped with a 12 mil Al, 1 mil Ti, 6 mil Cu filter. Semi-quantitative trace element ratios (Sr/Ca, Fe/Ca, and Zn/Ca) …

Genuine And Meaningful Black Character Narratives In Video Games, Derek L. Manns

Graduate Studies Theses and Dissertations 2026

The lack of Black representation in video games reflects stereotypes and hollow narratives. Authentic and meaningful design of Black characters allows Black players a reflection of emotional attachments everyone wants when playing a game. Examining racial identities through avatars, critiquing the notion that customization equates to racial inclusivity, limited options and predominant, white-coded protagonists reinforce systemic biases in games (Dietrich, 2013). My Afrofuturistic content analysis framework explores Black culture with a future of speculative fiction. Reimagining the past, present, and future through Black narratives for alternate futures (Womack). Integrating these ideas enhance culture and aesthetics in this dissertation to highlight …

Experimental And Numerical Study On The Stability Limits Of Ammonia And Ammonia/Hydrogen Flames Inside A Toroidal Jet-Stirred Reactor, Guillermo Alberto Barrios Cadenas

Graduate Studies Theses and Dissertations 2026

Ammonia’s (NH₃) properties as a carbon-free hydrogen carrier, its phase characteristics, and its wide global infrastructure present a solid case as a potential surrogate for carbon-based aviation fuels. Delivering a zero-emission NH₃-based engine requires careful integration and optimization of the combustor and thermal management systems, a process that requires high-fidelity chemical reacting models experimentally validated through the use of simplified combustors. This study investigates NH₃ fundamental combustion characteristics at conditions relevant to aviation gas turbines using a newly constructed toroidal jet-stirred reactor (TJSR) facility. Lean blow-off (LBO) experiments were carried out for NH₃ blends …

Voluntary Legal Obligations: From Contract To Cohabitation, Gregory Klass

Georgetown Law Faculty Publications and Other Works

Although cohabitants often live together in ways indistinguishable from those who are married, the law treats them differently than it does spouses. In Toward a Private Law of Intimates’ Obligations, Emily Stolzenberg asks why, identifies the need for reform, and brings the law of cohabitation into conversation with recent work in private law theory. This Response builds on Stolzenberg’s excellent article to think more about the different types of obligations involved in contract, marriage and cohabitation. Although the moral and legal obligations attaching to these relationships are all voluntary, they exhibit different degrees of choice-dependence, and choice figures into …

Post-Divorce Lgbtq-Parent Families: Navigating Loyalty Conflicts And Stepfamily Closeting, Caroline Sanner, Abbie E. Goldberg, Katherine R. Allen

Psychology

Objective: The purpose of this study was to investigate underexplored dynamics of post-divorce LGBTQ-parent families.

Background: In LGBTQ-parent families in which children were conceived in the context of a prior different-gender partnership, children experience the coinciding events of parental separation and a parent's coming out as LGBTQ. In recent decades, research on LGBTQ-parent families formed following different-gender divorce has stalled, perhaps due to the increasing emphasis on planned LGBTQ-parent families, or families formed after parents have come out.

Method: Twenty-four adults who were born to different-gender married parents (i.e., mother/father families) who divorced when one parent came out as LGBTQ …

Experiences With Discrimination And Microaggressions Among Sexual And Gender Minority And Intersectional College Students, Hans Saint-Eloi Cadely, Susan D. Mueller, Melissa A. Sutherland

Human Development and Family Science Faculty Publications

This study examined experiences with discrimination and microaggressions among sexual and gender minority (SGM) and college students with multiple intersectional identities. Participants included 49,967 college students derived from the 2022 American College Health Association National College Health Assessment III Survey. Findings from logistic regression modeling showed that SGM students were more likely to experience discrimination and microaggression. SGM students were also more likely to experience distress and poor academic performance secondary to experiences of discrimination and microaggression. Results of this study emphasize the need for support and resources towards minoritized groups within college settings.

Dysfunctional Leadership As A Dynamic And Relational Process, Rory E. Kuhn, S. Burak Ozkum

Faculty Publications – Psychology

First paragraph in lieu of abstract:

The focal article by Ducheyne and De Fruyt (2026) calls for a clear conceptual distinction between toxic and incompetent leadership, proposing that these categories can guide research and practice by reducing ambiguity. Although we agree that this differentiation offers useful conceptual clarity, we contend that it becomes unstable in its application. Dysfunctional leadership unfolds through both temporal fluctuation in leader behavior and relational variation in follower appraisal. These intertwined processes suggest that the same leader may appear toxic in one moment and merely incompetent in another, depending on shifting behavioral cues and the relational …

Fitness To Work Evaluation In A Combined Physical And Office Working Activity With Piriformis Syndrome: A Case Report, Arif Prasetya, Nuri Purwito Adi

Occupational and Environmental Medicine Journal of Indonesia

Background Piriformis syndrome (PS) is a neuromuscular disorder with significant impact on workforce productivity. This case report presents a comprehensive evaluation of fitness for work and job modification strategies for a patient with PS in a combined physical and sedentary working environment. A 44-year-old male medical facility supervisor presented with left buttock pain, radiating to the left leg, diagnosed with left gluteal piriformis syndrome. Despite undergoing multiple conservative therapies by Physical Medicine and Rehabilitation Specialist, the patient showed minimal improvement.

Methods A seven-step fitness for work assessment approach was implemented following Indonesian Association of Occupational Medicine Specialists guidelines. The evaluation …

Factors Associated With The Atherogenic Index Of Plasma Among Workers At A National Respiratory Hospital In Jakarta, Muhammad Abror Rizani Fahmi, Herqutanto Herqutanto, Iqbal Mochtar, Dewi Yunia Fitriani, Marsen Isbayuputra, Resultanti Resultanti, Ariningsih Ariningsih

Occupational and Environmental Medicine Journal of Indonesia

Background Cardiovascular diseases (CVD) represent the primary cause of mortality globally. The atherogenic index of plasma (AIP) can predict the risk of CVD more accurately than other indices. Hospital workers are at risk of developing CVD. There are several factors that can influence the AIP. No studies have specifically investigated these associations in Indonesia, particularly regarding the AIP in hospital workers. This study aims to determine factors associated with the AIP among workers at a national respiratory hospital in Jakarta.

Methods This cross-sectional study collects data from the medical check-up records of workers at Persahabatan Hospital in 2024, who met …

Health Matters: Advancing Pediatric Health Equity Through Accessible And Engaging Health Literacy Activity Books, Lorraine Sheldon

2026

This poster describes the development and implementation of the Health Matters activity book series, a health literacy initiative designed to provide engaging, accessible, and developmentally appropriate health education for pediatric patients and their families. Through multidisciplinary collaboration, audience-centered design, and distribution across more than 30 departments, the project demonstrates how interactive educational materials can advance pediatric health equity, support family engagement, and improve health literacy outcomes.

No One Left Behind: Identification Of Healthcare Needs Through System-Wide Social Determinants Of Health Screenings, Rose Dela Cruz, Amanda Marquez, Madison Lemmons

2026

This poster describes a system-wide quality improvement initiative designed to increase completion rates of Social Determinants of Health (SDOH) screenings by addressing workflow barriers, educating staff, and implementing standardized processes across clinical teams. The project demonstrates how interdisciplinary collaboration, nursing engagement, and structured screening workflows can improve identification of social needs and connect pediatric patients and families with resources that support health equity and better health outcomes.

Improving Sdoh Screening Compliance In Pediatric Settings: Addressing Health Literacy In East Texas, Katie Bien, Shannon Blalock, Donna Procell

2026

This poster focuses on efforts to improve compliance with social determinants of health (SDOH) screening in pediatric healthcare settings, with a particular emphasis on addressing health literacy challenges in East Texas. The project examines how health literacy considerations may influence the effectiveness and consistency of SDOH screening practices among pediatric patient populations.

From Motherhood To Sisterhood: Women Strike For Peace And The Transmission Of Feminist Consciousness, Olivia R. Aldrich

Graduate Studies Theses and Dissertations 2026

Women Strike for Peace (WSP) has traditionally been understood as a maternalist peace movement that emerged in response to atmospheric nuclear testing during the early Cold War era. This thesis argues that WSP’s history reveals a more nuanced relationship between motherhood, feminism, and political activism than existing scholarship has suggested. Rather than operating in distinct stages, maternalism and feminism operated simultaneously, working alongside one another throughout the organization’s history. Furthermore, this thesis builds upon Ednie Kaeh Garrison’s concept of feminist “radio waves,” arguing that WSP functioned as a transmitter of feminist consciousness, where ideas, organizational practices, and different political identities …

Scaling Up Health Literacy Practices Through A Champion Program, Cameron Stine, Kelli Williams, Diana Montoya, Leslie Moore, Carol Howe

2026

This poster describes the development and expansion of a Health Literacy Champion Program designed to improve the consistent use of health literacy best practices across a healthcare organization. The program successfully expanded from ambulatory nursing to 13 disciplines, using champion training, newsletters, clinical observations, and peer influence to promote plain language communication, information chunking, and teach-back techniques that support patient understanding and safety.

Nativity And English Language Use In Relation To Undiagnosed And Diagnosed Diabetes In U.S. Adults, Aliya Kuerban Phd, Fnp-Bc, Ms, Ma, Rn

Nursing: Faculty Presentations

Introduction and Objective: Diabetes detection varies across demographic and immigration-related groups. Foreign-born adults and individuals with limited English proficiency may be less likely to have diabetes identified, even when the disease is present. This study examined demographic, socioeconomic, and immigration-related correlates of undiagnosed and diagnosed diabetes among U.S. adults.

Methods: Data from the National Health and Nutrition Examination Survey (NHANES, 2011-2023) were analyzed using survey-weighted multinomial logistic regression. Diabetes status was categorized as no diabetes, undiagnosed diabetes, or diagnosed diabetes based on self-report and laboratory criteria. Models sequentially adjusted for age, sex, race/ethnicity, nativity, English language use, income, and education. …

Success Stories From Ecd Educators And Community Lead Facilitators, Yasmeen Mehboob, Kausar Waqar, Tahira Jabeen, Bibi Salima, Zakir Ahmad

Books

These stories are intended to inspire learning and reflection. As each context is different, the approaches and outcomes described may not apply in the same way elsewhere. Readers are encouraged to thoughtfully adapt these insights to their own settings.

Handbook On Gender Mainstreaming In The Maritime Sector, Momoko Kitada

Reports

This handbook aims to serve as an introductory practical guide for maritime organizations that intend to apply gender mainstreaming. It guides them in critically reviewing their policies and practices from a gender and diversity lens. Some organizations may view their maritime operations as having nothing to do with gender and, therefore, not requiring any gender considerations. Such mindsets are good signs that an organization would benefit from gender mainstreaming. Others may view the fact that their organizations have women working in every unit as evidence of gender equality and see no need for further action. Gender mainstreaming can help identify …

Agency Of Different Actors In China Through The Utilization Of Community-Level Environmental Education, Matthew K. Leung

Pitzer Senior Theses

Large national Chinese frameworks such as the Chinese Dream and Ecological Civilization currently provide frameworks for Xi Jinping’s governance of China. However, these large national frameworks have fractured into individual interpretations. Literature on Authoritarian Environmentalism and nongovernmental actors in Chinese Environmental Governance are examined to give a framework in which to view the following research. This thesis examines how these frameworks are interpreted and reinterpreted on the ground level through the lens of community level environmental education by three different actors: local government officials, individuals, and the community. Case studies are examined for each of these actors. We deflatten the …

Women’S Exposure To Incel Content, Perceived Safety, And Gender-Based Violence Risk In The United States, Deja Bledsoe

Criminology & Criminal Justice Theses

The rapid proliferation of incel-related content across digital platforms has raised concerns about online misogyny and its potential impact on women’s perceived safety. However, less is known about how exposure to such content shapes women’s perceptions of risk and emotional responses in everyday digital environments. This study examines the relationship between exposure to incel-related content and women’s perceived risk of gender-based violence and safety-related anxiety. Guided by strain theory, social control theory, hegemonic masculinity, and intersectionality, the study employs an anonymous cross-sectional online survey of women aged 18 and older. Quantitative analyses were conducted to assess whether exposure to incel-related …

A Productivity Rate-Based Comparative Carbon Footprint Cost Analysis Of Small To Large-Sized Open-Cut Pipeline Installation Activities For Sanitary Sewerage Construction: A System Boundary Concept, Amir Reza Zakeri

Civil Engineering Theses

Underground sanitary sewer pipelines are essential components of urban infrastructure; however, open-cut pipeline installation requires excavation, bedding preparation, pipe placement, backfilling, embedment, and compaction activities that rely heavily on construction equipment and fuel consumption. As a result, open-cut installation can generate measurable greenhouse gas emissions during the construction phase. With increasing attention to sustainable infrastructure delivery, there is a need for a consistent approach to quantify construction-phase carbon footprint and convert those emissions into a comparable economic indicator. Accordingly, this thesis aims to create and apply a productivity rate-based calculation framework for estimating and comparing construction-phase CO₂e emissions and carbon …

Development Of Multimodal Measurements And Analysis For Early Detection Of Alzheimer’S Disease, Fiza Saeed

Bioengineering Dissertations

Alzheimer's disease (AD) is the leading cause of dementia, and existing diagnostic methods such as PET scans, cerebrospinal fluid sampling and biomarker quantification, and gene sequencing are all either invasive, costly, or not sensitive enough for early detection. This dissertation introduces three different studies that develop a novel multimodal, non-invasive approach to diagnosing AD at its early stages by combining broad band near infrared spectroscopy (bbNIRS) and electroencephalography (EEG) technologies.

The first study showed cerebrovascular-cerebrospinal fluid coupling (CBV-CSF), which is measured by using 2-channel bbNIRS as an indicator of brain aging and early AD. Linear correlations between total blood (Δ[HbT]) …

Teacher Perceptions Of Administrative Support, Student Behavior, And Work Environment: Effects On Morale, Commitment, And Retention Of High School Teachers In A Mid-Sized School District In North Carolina, Joseph M. Serviss

Doctor of Education Dissertations

Teacher attrition remains an ongoing challenge in secondary education, often linked to declining motivation or commitment. This mixed-methods sequential explanatory study aimed to explore high school teachers’ perceptions of administrative support, student behavior, and work environment factors, and how these elements impact job satisfaction and retention. Quantitative data were collected through an internal Teacher Working Conditions Survey distributed to high school teachers within a single public school district. For qualitative insights, semi-structured interviews were conducted with 14 high school teachers, and inductive thematic analysis was used to interpret the survey findings. Quantitative results showed mostly positive views regarding administrative support, …

Hacking With Uncle Sam: Imagining A Public-Private Partnership For Active Cyber Defense, Jonathan Coleman

Catholic University Journal of Law and Technology

Federal law makes no distinction between "good" and "bad" hackers—the Computer Fraud and Abuse Act criminalizes hacking by a private citizen in any form. While an anti-hacking statute is necessary to deter and punish cybercrime, the current law prohibits private entities from "hacking back" or, more precisely, from engaging in active defensive measures in response to a cyberattack. If these measures were legalized, they could allow private entities to assist law enforcement and reduce the financial and reputational costs of a cyber incident. Absent a change in the law, private entities are dependent on law enforcement to provide active cyber …

Inconsistencies At The International Trade Commission And The United States Federal District Courts, Christine Dedoulis

Catholic University Journal of Law and Technology

This article will analyze Section 337 of the Tariff Act of 1930, under which the International Trade Commission (Commission) conducts unfair import investigations, as it applies to patent infringement cases. Further, this article will explore different outcomes regarding parallel litigation at the Commission and District Courts, including what remedies are available and the effect of duplicative and inconsistent determinations on the patentee. In light of these comparisons, this article will provide suggestions on how to minimize inconsistencies between the Commission and District Courts, with particular emphasis on determining if some middle ground exists and if a classification system could be …

Does One Size Fit All? Well-Being Environmental Assessment Criteria In Low- And Middle-Income Aging Communities In Thailand, Sujitra Jiravanichkul, Sarin Pinich, Atch Sreshthaputra, Trirat Jarutach

NAKHARA (Journal of Environmental Design and Planning)

The effectiveness of well-being environment assessment criteria for aging communities in diverse contexts, particularly in developing countries, remains underexplored. This study aimed to fill this gap by employing Thailand Well-Being Environment and Age-Friendly Communities criteria to assess the living environment of 15 low- and middle-income aging communities in Thailand and determine their well-being status. The results of the overall quantitative assessment showed an average score of 60.78/100. Findings indicated high scores in categories such as healthy food environment, community open space, community asset, and street lighting, indicating a strong foundation for the well-being of low- and middle-income communities. Medium-scoring categories …

Inclusive Education In Thailand : Exploring Gaps And Opportunities Across Urban And Rural Contexts Through Topic Modeling Analysis And Systematic Review, Chanisa Tantixalerm, Piyawan Visessuvanapoom, Chanakida Thummanond, Siripreeya Chaiboonma, Sayamol Charoenratana, Ruttiya Bhula-Or, Kanessha Sirisak

NAKHARA (Journal of Environmental Design and Planning)

This study addressed knowledge gaps in Thai inclusive education research and proposed strategies for improvement, with three key objectives: (1) synthesize and compare research on inclusive education across urban and rural universities; (2) analyze the topic trends in international inclusive education research; and (3) propose strategic guidelines for promoting inclusive education in Thailand. Employing a mixed-methods approach, the study was conducted in two phases. Phase one involved a systematic review of Thai university theses, guided by the framework and PRISMA 2020 protocol, alongside topic modeling analysis of global studies (2020–2024). Phase two utilized focus group discussions with 13 experts to …

Where And Why Do Timorese Workers Migrate? Evidence From An Augmented Gravity Model And A South Korea Case Study, Olivia Da Costa Alves Barreto, Jinhwan Oh

NAKHARA (Journal of Environmental Design and Planning)

This study investigates the factors that influence international labor migration from Timor-Leste, with a focus on South Korea under the Employment Permit System. An extended gravity model was employed using bilateral migration data for 29 destination countries from 2000 to 2024 to assess the impact of economic size, geographic distance, trade relations, and migration policy regimes on migration flows. Migration is significantly influenced by political factors, such as formal recruitment channels and visa availability, and a positive correlation is observed between migration arrangements and bilateral exports. Furthermore, primary survey data of 250 Timor-Leste migrant workers in South Korea provide micro-level …