Digital Commons Network^™

Valet Health And The Healthcare Digital Marketing Industry, Matt Merk

Theses & ETDs

This report presents an account of an internship completed at Valet Health, an online healthcare digital marketing service based out of The Woodlands, Texas. It starts out with an indepth analysis of the healthcare, digital marketing industry (which is what Valet Health is a part of) in which it outlines it’s different marketing strategies, its revenue and projected growth, different regulations, and guidelines included, and how many different tools (especially AI) greatly enhance the working of this industry. This report also covers major competitors in this industry and goes in depth on many different economic theories as well in healthcare, …

Perfectionism And Discrimination In The Workplace, Kyla Simone Baldonado

Theses & ETDs

Work engagement has been found to relate to both workplace discrimination and employee perfectionism. Building on earlier research, the current study investigated correlations between work engagement, sexual discrimination, racial discrimination, perfectionistic strivings, and perfectionistic concerns. A total of 430 participants responded to an online questionnaire about their personal and interpersonal experiences at work. Work engagement correlated positively to perfectionistic strivings, but negatively to perfectionistic concerns and racial discrimination. Work engagement correlated negatively to sex discrimination but only in the women participants. Hierarchical multiple regression revealed that perfectionism did not moderate the relationship between racial discrimination and work engagement. It did, …

Adaptive Reuse Of Old Brainerd Junior High: Community Driven Creative Spaces, Jenna Pumpelly

Honors Theses

Community spaces are becoming increasingly important and they are not just a fun space that someone can visit every now and then. They are actually a way of promoting health, welfare, and connection throughout a community (Francis et al., 2012). Creating what is called a “third space” is increasingly important in a world that is becoming more solitary. I propose that the Old Brainerd Junior High is a great candidate for a space like this. The arts are proven to be an increasingly popular way to bring people together. Creative spaces are an effective tool to foster community development. It …

Brainerd Junior High Adaptive Reuse: Transitional Living For Foster Care Graduates, Gavin J. Watson

Honors Theses

Brainerd Junior High is being reused as a transitional living and working facility for foster care age-outs in need of assistance as they learn skills of independence and confidence. The first floor serves the community of Brainerd with a variety of commercial spaces, offering the graduates onsite places for employment. The upper levels serve as studio and 1 bedroom apartments for 24 residents, with shared laundry and community building spaces.

Adaptive Reuse Of Brainerd Junior High: Creating Third Spaces, Nathan S. Shevick

Honors Theses

This thesis project explores how the transformation of a local building in the community can bring people together through adaptive reuse. The Brainerd Junior High School was built in 1930 and designed by Chattanoogan architect R.H. Hunt, who has designed many significant buildings in the area such as the Medical Arts Building, 2nd Presbyterian Church, Lookout Mountain Hotel (Carter Hall, Covenant College), Soldiers’ and Sailors’ Memorial Auditorium, the Chattanooga Bank Building, and many other beloved buildings in the area. The Brainerd Junior High School building was expanded in 1956 and 1959 and changed ownership and became the magnet school, 21st …

Determining The Role Of Maumee River Sediments In Microbial Nitrogen Transformations And Net Fluxes, Ashlyn Stanalonis

Master's Theses

The Maumee River watershed is the largest of any river feeding into the Laurentian Great Lakes and is primarily comprised of agricultural land uses. Most cultivated crops require fertilizer applications to sustain growth and productivity. Fertilizer runoff is a major source of nutrient loading to the river, and total nitrogen (N) and phosphorus (P) inputs contribute to eutrophication and cyanobacterial blooms in the western basin of Lake Erie. This study aimed to characterize Maumee River sediments as net N sinks or sources to the western basin and evaluate N removal efficiency (a valuable ecosystem service) to determine if river sediments …

There’S A Lot Happening In Macomb!, Michael Saba

Journal of the Macomb Dental Society

This article features a monthly column from the Macomb Dental Society's editor, Dr. Michael Saba.

A Place To Return, Jerry Wesley Dds

Journal of the Macomb Dental Society

This month's edition of the President's Message column features the new Macomb Dental Society President Dr. Jerry Wesley's inaugural article.

Macomb Dental Society Journal Summer 2026

Journal of the Macomb Dental Society

In the Summer 2026 issue, the reader will find the following feature articles:

• Give Kids a Smile
• Dedicated Dental Sportsman’s Club - 2026 Pistol Shoot
• Macomb, Oakland, Genessee, and Detroit Golf Event

Also included are regular columns from the President, Executive Director and Editor, as well as news shorts and information on upcoming events.

Racialised Gradients Of Human Value And Marx’S Working Day, Today, Anthony F. Peressini

Philosophy Faculty Research and Publications

This paper reconsiders the ‘working day’ discussion in chapter ten of Capital and how it centres two parameters in the generation and appropriation of surplus value. The first parameter is the cost of labour-power paid by the capitalist and the second is the time that the worker must yield to the capitalist: the ‘length of the working day’. The first parameter represents the amount of pay required to keep the worker alive and able to work. Marx understood it as a lower limit below which capitalism would cease to function. This paper argues that, while analytically coherent, this understanding of …

Transplantation And Mortality As Competing Outcomes Among Patients On Dialysis With Newly Diagnosed Cancer: A Longitudinal Cohort Study, Ryan Gately, Eric A. Engels, Dharshana Sabanayagam, Armando Teixeira-Pinto, Scott Campbell, Carmel Hawley, Wai Lim, Germaine Wong

Research outputs 2022 to 2026

Rationale & Objective: A cancer diagnosis is associated with complex risks for patients that may influence survival and access to transplantation. This study characterized the probability and timing of cancer-related death, noncancer death, and transplantation among patients with an incident cancer diagnosis after dialysis initiation. Study Design: Longitudinal cohort study. Setting & Participants: In Australia and New Zealand, 2000-2021, 3,052 patients receiving dialysis, identified via the Australia and New Zealand Dialysis and Transplant Registry, with cancer diagnosed after they had started dialysis. Exposure: Cancer, categorized by type and stage. Outcome: Transplantation as well as cancer-related death and noncancer death for …

Yorga Moorditj Koort: Aboriginal And Torres Strait Islander Women’S Perspectives About Heart Health On Noongar Boodjar, Elia Bidgood, Cathy Garlett, Richard Chenhall, Amie Bingham, Francine Eades, Emily Banks, Melinda J. Carrington, Grace Joshy, Sandra Eades, Tabassum Rahman

Research outputs 2022 to 2026

In Australia, despite overall declines in cardiovascular disease (CVD)-related mortality, Aboriginal and Torres Strait Islander women develop heart disease earlier and experience more than twice the rate of related morbidity and mortality compared with non-Indigenous women. This study explores Aboriginal women’s understandings of the factors that shape their heart health and lived experiences of CVD. We spoke with 28 Aboriginal women aged ≥18 years—15 semistructured interviews and two yarning circles with an additional 13 Aboriginal women—with/without pre-existing CVD, and 10 healthcare professionals (HCPs) working with Aboriginal communities in the Perth metropolitan region, between May 2024 and April 2025. Data were …

De-Centering And Re-Centering Digital Scholarship, Ten Years On, Matthew Hunter, Aaron Retteen, Micah Vandegrift

Faculty Scholarship

Ten years after the publication of a manifesto attempting to describe what digital scholarship could do for and within libraries, some of the original authors reflect on the progress of the call-to-action. This article describes areas in which the integration of digital scholarship activities as core parts of librarianship has and has not become commonplace and traces larger-scale developments in the academy and global knowledge landscape that have contributed to the accuracy of the predictions made in 2017.

Differential Effects Of Physical Activity Interventions On Gross And Fine Motor Difficulties In Children With Autism Spectrum Disorder: Insights From A Multilevel Meta-Analysis With Moderator Analyses, Changhui Peng, Jinrong He, Kai Xu, Xueping Wu, Dandan Wang, Lei Zhang

Research outputs 2022 to 2026

Background Difficulties in gross and fine motor skills negatively affect the healthy development of children with autism spectrum disorder (ASD), yet evidence for physical activity interventions (PAIs) remains limited and inconsistent. Therefore, this study aimed to investigate the differential effects of PAIs on gross and fine motor difficulties in children with ASD and to explore potential moderators. Methods Following PRISMA guidelines, empirical studies published from inception to April 21, 2026 were systematically searched across PubMed, Web of Science, Embase, the Cochrane Library, and SPORTDiscus. Effect sizes were synthesized using a three-level random-effects model and were expressed as Hedges’ g (g). …

Plant-Based Diets, Ultra-Processed Foods, And Risks Of Mortality And Major Chronic Diseases: A Prospective Cohort Study, Alysha S. Thompson, Amy Jennings, Nicola P. Bondonno, Aedín Cassidy, Tilman Kühn

Research outputs 2022 to 2026

Background: Higher-quality plant-based diets (PBDs) are associated with lower risks of mortality and chronic disease, but whether ultra-processed food (UPF) content affects these associations remains unclear. We examined whether UPF content influences the relationship between plant-based dietary patterns and risks of mortality and major chronic diseases, accounting for nutrient quality. Methods: This prospective cohort study included 124,836 UK Biobank participants aged 40–70 years (recruited 2006–2010). Dietary intake was assessed using the Oxford WebQ 24-h recall. Four modified Plant-Based Diet Indices (PDIs) were derived to distinguish healthy (hPDI) and unhealthy (uPDI) patterns with high- and low-UPF content, using the Nova classification …

Post-Vaccination Confidence In Covid-19 Vaccines And Associated Determinants In Post-War Context Of Tigray, Northern Ethiopia: A Mixed-Methods Study, Genanew Kassie Getahun, Yohannes Addisu Wondimagegne, Alemayehu Deressa, Barkot Tamiru, Trhas Tadesse Berhe, Moges Mekonnen, Tsegay Hadgu, Znabu Hadush Kahsay, Mussie Alemayehu, Gebrehaweria Gebrekurstos, Joy Kenyi, Eshetu Girma, Finina Abebe Ware, Nardos Gelana, Menen Tsegaw, Eyob Ketema Bogale, Asaye Alamneh Gebeyehu

Research outputs 2022 to 2026

Introduction It is widely recognized that access to and utilization of health services are negatively impacted by war. These effects worsen particularly when combined with pandemics such as COVID-19. Therefore, this study aimed to assess adults' COVID-19 post-vaccination confidence in the conflict-affected region of Tigray, Northern Ethiopia. Methods The study employed a concurrent parallel mixed-methods design, combining a quantitative survey of 1599 adults and six key informant interviews and six focus group discussions. Survey participants were selected using a multistage cluster sampling technique, while qualitative participants were purposively sampled. Quantitative data were collected using a pre-tested, structured questionnaire administered via …

Source-Specific Nitrate And Nitrite Intake And Bladder Cancer: Findings From The Danish Diet, Cancer And Health Cohort, Dorit W. Erichsen, Cecilie Kyrø, Jörg Schullehner, Susanne Rosthøj, Catherine P. Bondonno, Liezhou Zhong, Ole Raaschou-Nielsen, Pratik Pokharel, Torben Sigsgaard, Peter Fjeldstad Hendriksen, Frederik Dalgaard, Christina Dahl, Jonathan M. Hodgson, Christina C. Dahm, Anja Olsen, Anne Tjønneland, Nicola P. Bondonno

Research outputs 2022 to 2026

Introduction Nitrate and nitrite, present in ground and drinking water, as well as foods, may contribute to bladder cancer through the formation of carcinogenic N -nitrosamines. However, risk likely depends on both the source and endogenous nitrosating factors. Methods Among participants of the Danish Diet, Cancer, and Health Cohort (N = 54,610) with no history of cancer, source-specific nitrate and nitrite intakes (drinking water, plant sources, naturally occurring animal sources, and additive-permitted meat sources) were estimated from national water monitoring data and food frequency questionnaires using food databases. Bladder cancer cases were ascertained through the Danish Cancer Registry. Multivariable-adjusted Cox …

The Ilese Project: Building An Evidentiary Database About Students' Use Of Learning Environments, W. Imms, J. E. Morris, K. Day, C. Bradbeer, L. Lockhart-Barker, C. Campbell

Research outputs 2022 to 2026

This paper presents the progress of a unique study of significant scope. The industry-funded innovative Learning Environments and Student Experience (ILESE) study asked two questions: In what ways has more than two decades of learning spaces research culminated in readily used evidence that meets the needs of those involved in providing innovative education infrastructure? Second, based on perceived strengths and gaps, how do we design research to address identified gaps? This paper reports on the findings to these questions. It draws on the results of a large-scale Scoping Study that sought perspectives from experts equally distributed across (1) industries providing …

Yap1-Dependent Regulation Of Cell Size In Bcam-Positive Limbal Corneal Progenitor Cells, Kosei Suzuki, Shinri Sato, Markus H. Frank, Natasha Y. Frank, Yuzuru Sasamoto

Research outputs 2022 to 2026

Cell size has been associated with stem and progenitor cell states across multiple tissues, yet its regulation in the human corneal epithelium remains incompletely understood. This study aimed to characterize cell-size differences among limbal and corneal epithelial cell populations defined by the limbal stem cell (LSC) marker ABCB5 and the transit-amplifying cell (TAC) marker BCAM, and to investigate the molecular regulators of progenitor cell size. ABCB5-positive LSCs and BCAM-positive TACs were identified and isolated by flow cytometry, and the mean cell size was estimated using forward scatter (FSC). As a result, ABCB5-positive LSCs were significantly smaller than ABCB5-negative limbal epithelial …

Environmental Psychology In Historic Preservation, Eva Kindall

Honors Theses

This thesis explores the adaptive reuse of the historic Brainerd Junior High School in Chattanooga, TN, as a catalyst for community revitalization. Initially built in 1930, the building served generations of students for 75 years. Currently, the main building is closed, while the additional buildings serve as the Midtown Community Center. Its architectural character, accessible location, and nostalgia present an opportunity to reimagine its role in the current economy. Adaptive reuse offers more than architectural preservation, but is a strategy to address urban challenges such as housing affordability, lack of amenity access, and cultural erasure. Through this project, the aim …

Implementation Of Phq-9 To Improve Depression Identification In Icu, Jenny C. Manoly Bsn, Rn

Doctor of Nursing Practice Final Project Abstract

PURPOSE This quality improvement project aimed to improve depression identification by screening 80% of eligible adults admitted to two heart failure intensive care units (ICU) using the Patient Health Questionnaire-9 (PHQ-9).

RESULTS Screening compliance increased from 42.1% to 85% by Week 13, exceeding the project goal. Of 101 patients screened, 16.8% screened positive for depression. Workflow changes, leadership support, and peer engagement improved compliance, though psychiatric referrals remained inconsistent.

BACKGROUND Depression is common among critically ill patients but is frequently underrecognized because ICU care primarily focuses on physiologic stabilization. Existing admission screening was limited to suicide risk assessment, delaying identification …

Enhancing Heart Failure Transitional Care To Reduce 30-Day Readmission Rate, Thuy Nhu Uyen Tran

Doctor of Nursing Practice Final Project Abstract

Purpose: The purpose of this quality improvement (QI) project is to reduce 30-day readmissions for adult patients with heart failure (HF) by implementing a standardized HF pathway beginning in the intensive care unit (ICU) and continuing through discharge.

Background: The project was implemented within a large healthcare organization in Northwest Houston, Texas.

Methodology: This project utilized a pre- and post-implementation design guided by the Plan-Do-Study-Act (PDSA) model. Eligible adult patients (≥18 years) with a primary or secondary HF diagnosis were identified during March 2026. The My Pathway to Wellness HF education pathway was initiated at the time of ICU downgrade …

Polyphenol Diet And Exercise As Neuroprotection From Effects Of Alzheimer's Disease, Michelle Morgan

Loma Linda University Electronic Theses, Dissertations & Projects

Healthy non-pharmacological lifestyle factors, such as regular physical exercise and a dietary supplementation, have been shown to significantly improve cognitive outcomes over time compared to a more sedentary lifestyle and poor diet. Furthermore, exercise may serve as a potential protective factor in attenuating the effects associated with cognitive decline that are characteristic of neurodegenerative disorders, such as Alzheimer's disease (AD). Further, evidence indicates that certain diet interventions can also attenuate the effects of neurodegeneration and positively impact longevity. Supplementation of polyphenols, such as ellagic acid (EA), which are abundant in pomegranate juice, may help provide neuroprotective benefits and elicit a …

Genetic Regulation Of Uterine Organogenesis, Diana A. Machado

Dissertations and Theses (Open Access)

In eutherian and marsupial mammals, the site of embryo implantation and gestation is the uterus. The precursor tissue of the uterus, oviducts, cervix, and upper vagina is the Müllerian duct epithelium and its adjacent mesenchyme. Morphological uterine variation between species is established during embryogenesis by species-specific differences in Müllerian duct fusion at the midline, growth, and differentiation. For example, laboratory mice have a bipartite uterus with two uterine horns and a single cervix, whereas humans have a simplex uterus with a single chamber and single cervix. In humans, variations in the fusion process can alter typical uterine morphology, correlating with …

Reduced Lower Extremity Strength, Altered Muscle Activation, And Unchanged Kinetics During Single-Leg Squatting In Males With Patellofemoral Pain Versus Pain-Free Males: A Cross-Sectional Analysis, Lisa T. Hoglund, Amy H. Amabile, Thomas Alexander Hulcher, Victoria K. Polansky, Erin L. Dopke

Department of Physical Therapy Faculty Papers

BACKGROUND: Patellofemoral pain is frequently a cause of reduced quality of life in physically active males. The cause of patellofemoral pain is theorized to include aberrant biomechanics during weight-bearing activities. Altered biomechanics of females with patellofemoral pain have been reported, but there is a dearth of research for males with this condition. This study aimed to compare males with and without patellofemoral pain for hip and knee joint moments and muscle activation during single-leg-squatting and proximal muscle strength.

METHODS: Twenty males with patellofemoral pain and 20 pain-free males aged 20-39 years performed single-leg-squatting while motion, ground reaction force, and proximal …

Assessing The Feasibility Of A Self-Management Intervention For Individuals With Advanced Prostate Cancer And Comorbid Type Ii Diabetes Mellitus, Amy L. Shaver, Christina Steinbock-Malfer, William Tester, Patrick Mille, William K. Kelly, Kevin K. Zarrabi, Costas D. Lallas, Mihir M. Shah, Rose Dimarco, Emily Brand, Shawntel Brown, Swapnil Sharma, Nikita Nikita, Cindy Cogen, Scott W. Keith, Grace Lu-Yao

Kimmel Cancer Center Faculty Papers

BACKGROUND: Many older adults with cancer have at least one comorbidity. Type II diabetes mellitus (T2DM) is a common comorbidity among patients with prostate cancer (PC) and represents an important consideration in this population. Comorbid T2DM can negatively impact cancer-specific outcomes for patients, suggesting the need for better glycemic management, especially for patients on active cancer treatment. The goal of this modified Diabetes Self-Management Education Services (mDSMES) pilot study was to provide patients with the opportunity to learn methods of diabetes self-management, including how to manage their glucose levels, improve their understanding and utilization of medication to promote improvements in …

Multidimensional Determinants Of Gait, Balance, And Softball Performance In Female Youth: Biomechanics, Resource Access, And Psychosocial Factors, Allie G. Mcauliffe

Master's Theses

Movement quality is a fundamental indicator of healthy childhood development and supports physical, emotional, psychosocial, and cognitive well-being. Movement quality is influenced by multiple biomechanical, environmental, and psychosocial factors, yet the relationships among them remain poorly understood in underrepresented populations such as female youth, particularly in softball. Previous studies have largely examined biomechanics, resource access, and psychosocial experience independently, and few have investigated how these factors interact in female youth softball players. To address this gap, this study compared gait and balance characteristics between softball (N = 34) and non-softball (N = 7) female youth, examined associations between resource access, …

Economic Contribution Of The Agricultural Sector To The Arkansas Economy In 2024, Frank Seo, Luke Pullo

AAES Research Reports and Research Bulletins

This report is the nineteenth in a series that examines agriculture’s economic contribution to the Arkansas economy. The total economic contribution of agriculture (direct, indirect, and induced effects) on value added, employment, and labor income was estimated with the Impact Analysis for Planning System (IMPLAN) for the most recent year available, 2024.

Following Through Dialogues: A Chinese Scholar’S Reminiscence Of Professor Liah Greenfeld, Xinqi Jia

Comparative Civilizations Review

Ordinarily, a Chinese teacher of ethics who had never set foot in a Western country before the age of forty and a Jewish-American sociologist born in the former Soviet Union would have no reason to cross paths. Yet, throughout 2010, they spent an entire year in Boston in close contact. Should anyone someday write a biography of the late Professor Liah Greenfeld, this story alone would be excellent material for exploring how her theory has influenced the world, and how, as an outstanding theorist, she continually expanded the boundaries of our understanding of it.

Liah Greenfeld On Antisemitism As A Defining Characteristic Of The Monotheistic Civilization, Efraim Karsh

Comparative Civilizations Review

One cannot overstate the scholarly and intellectual loss occasioned by the untimely death of Boston University Professor Liah Greenfeld. Through her prodigious interdisciplinary research, Professor Greenfeld has established herself as one of the foremost social science theorists of our time and a worthy heir to the great firstgeneration nationalism scholars, in particular Eric Hobsbawm, Ernest Gellner, and Anthony Smith.