Digital Commons Network^™

An Exploratory Study Of Therapeutic Relationships And Participant Retention In A Specialized Home Visiting Program, Danielle F. Chiang, Stephen S. Gardner, Emily Siedlik, Emma Sexton

Manuscripts, Articles, Book Chapters and Other Papers

Previous studies have shown the positive impacts that home-visiting programs have on children, parents, and families. Despite the record of success from home-visiting programs, there can be high rates of attrition in such programs, and researchers have explored the impact of a variety of socio-demographic factors to understand attrition in home-visiting programs and to drive improvements in the delivery of service. This exploratory study examines how various factors impact participant completion and retention in the TIES program, a home-visiting program based at Children’s Mercy Hospital in Kansas City, Missouri, that serves families impacted by substance use. Three hundred nineteen (N …

Indoor Air Quality Conditions And Respiratory Virus Detections In Elementary Schools—Kansas City, Missouri, February–March 2023, Olivia M. Almendares, Jasmine D. Ruffin, Luke Gard, Rangaraj Selvarangan, Anjana Sasidharan, Dithi Banerjee, Nibha Sagar, Amanda Hayes, Sydnie Petty, Brian R. Lee, Chris T. Young, Janelle Potter, Shannon Tilsworth, Jennifer Goldman, Jennifer E. Schuster, Hannah L. Kirking

Manuscripts, Articles, Book Chapters and Other Papers

Background/Objectives: Respiratory viruses circulate year-round and can spread indoors via inhalation of airborne particles. Effective ventilation and filtration may reduce transmission, particularly in school settings where children and staff spend significant time. This study examines the impact of indoor air quality (IAQ) and ventilation in schools on respiratory virus detection.

Methods: During February 27 to March 30, 2023, we assessed the relationship between IAQ and respiratory viruses in two Kansas City, Missouri, elementary schools by collecting bioaerosol samples, student and staff nasal swabs, and monitoring IAQ across 10 rooms (six classrooms, two common spaces, and two nurses’ offices). We calculated …

Inhibitor Development And Clinical Characteristics In Children With Severe Hemophilia A In The Athn 8 Us Cohort Study., Courtney D. Thornburg, H Marijke Van Den Berg, Martin Chandler, Lynn Malec, Matthew Manuel, Carrie O'Neill, Michael Recht, Elizabeth Taggart, Shannon L. Carpenter, American Thrombosis And Hemostasis Network (Athn) 8 Investigators Study Group

Manuscripts, Articles, Book Chapters and Other Papers

Clotting factor concentrate (CFC), used to treat and prevent bleeding in hemophilia, is rendered ineffective if clotting factor neutralizing antibodies (inhibitors) develop. Inhibitors occur most often in children, early in treatment. The American Thrombosis and Hemostasis Network (ATHN) 8: US Cohort Study of Previously Untreated Patients (PUPs) with Congenital Hemophilia, conducted in children born in 2010 to 2020 with severe or moderate hemophilia, was designed to determine the percentage of participants who developed a confirmed, clinically significant inhibitor within the first 50 CFC exposure days (EDs). Cox proportional hazards models were used to evaluate risk factors for inhibitor development in …

Producing A Map Of Political Advocacy – Locational Difference And Interconnectedness In West Michigan Lgbt Advocacy, Samuel J. Darnell

Masters Theses

This study examines, through a qualitative lens, the influence of a local environment upon the operations, messaging, and perspectives of individuals within LGBT advocacy organizations and broader LGBT advocacy efforts. This was achieved via analysis of in-person and verbal interviews with individuals involved in the operation of these advocacy organizations. Interviews were analyzed with a focus on political perception, organization structure and history, funding sources, and challenges faced in operation such as political conflicts or harassment. Initially focusing on a comparison of the advocacy environment of Kalamazoo and Grand Rapids, the study expanded to several neighboring towns that hosted advocacy …

Navigating Stigma And Privacy: Health-Related Communication Among Bangladeshi Women, Nazmul Shajib

Graduate Theses and Dissertations

Women in Bangladesh often silently bear the burden of stigma tied to their bodies, minds, and societal roles. This study examines the coping strategies women use to manage health-related stigma and their privacy while facing issues like reproductive health, mental health, and postpartum challenges. The study was conducted by utilizing in-depth interviews with 17 Bangladeshi women. Stigma Management Communication Theory (SMC) and Communication Privacy Management Theory (CPM) are the two frameworks that guided the study. The findings of the study reveal that stigma often silences women and threatens their social identities, and women feel that having a health problem means …

Intention To Take Pre-Exposure Prophylaxis (Prep) As An Hiv Preventive Medication: An Application Of The Health Belief Model And Theory Planned Behavior, Besuthu Nakekelwa Nkambule

Graduate Theses and Dissertations

South Africa (SA) has 7.7 million citizens (12.6% of its 2023 population) living with human immunodeficiency virus (HIV). The use of pre-exposure prophylaxis (PrEP) as an antiretroviral medication for HIV-negative individuals is a promising HIV prevention strategy in SA that can help the attainment of an HIV free generation. PrEP offers greater than 90% protection against HIV acquisition. Despite SA’s efforts in increasing PrEP coverage for its citizens, primarily to those at substantial risk, its adoption remains relatively low. Structural barriers related to access, costs, lack of awareness, and, more recently, US funding cuts exacerbate the challenges of PrEP’s potential …

Identification Of Secondary Metabolites In Ethyl Acetate Extract Of Ki Encok Plant Roots (Plumbago Zeylanica Linn) And In Silico Cytotoxicity Activity, Mitayani Purwoko, Trisnawati Mundijo, Yesi Astri, Siti Rohani

Chimica et Natura Acta

The Ki Encok plant (Plumbago zeylanica Linn) has been extensively studied and is known to have cytotoxic activity. However, no research has yet investigated the compound content of the ethyl acetate extract from that plant. This study aims to identify the secondary metabolite content in the ethyl acetate extract of Plumbago zeylanica L. roots and to determine the potential of these secondary metabolites to bind with the Caspase-3 protein in silico. The ethyl acetate extract of Plumbago zeylanica roots was tested for its phytochemical properties and examined using GC-MS. The compounds found were then searched for their structures in Pubchem, …

Use Of A Preliminary Artificial Intelligence-Based Laryngeal Cancer Screening Framework For Low-Resource Settings: Development And Validation Study, Shao Wei Sean Lam, Min Hun Lee, Michael Dorosan, Samuel Altonji, Hiang Khoon Tan, Walter T. Lee

Research Collection School Of Computing and Information Systems

Background: Early-stage diagnosis of laryngeal cancer significantly improves patient survival and quality of life. However, the scarcity of specialists in low-resource settings hinders the timely review of flexible nasopharyngoscopy (FNS) videos, which are essential for accurate triage of at-risk patients.Objective: We introduce a preliminary AI-based screening framework to address this challenge for the triaging of at-risk patients in low-resource settings. This formative research addresses multiple challenges common in high-dimensional FNS videos: (1) selecting clear, informative images; (2) deriving regions within frames that show an anatomical landmark of interest; and (3) classifying patients into referral grades based on the FNS video …

Work Impairment And Financial Outcomes Among Adults With Vs Without Long Covid, Michael Gottlieb, Ji Chen, Huihui Yu, Michelle Santangelo, Erica S. Spatz, Nicole L. Gentile, Rachel E. Geyer, Caitlin Malicki, Kristyn Gatling, Kelli N. O'Laughlin, Kari A. Stephens, Joann G. Elmore, Lauren E. Wisk, Michelle L'Hommedieu, Robert Rodriguez, Juan Carlos C. Montoy, Ralph C. Wang, Kristin L. Rising, Efrat Kean, Jonathan W. Dyal, Mandy J. Hill, Arjun K. Venkatesh, Robert A. Weinstein

Department of Emergency Medicine Faculty Papers

IMPORTANCE: While much of the focus on long COVID (LC; defined as developing new, persistent symptoms lasting 3 months or longer after SARS-CoV-2 infection) has been on health status and quality of life, the impact on individual work productivity and financial distress are less well established.

OBJECTIVES: To assess differences in work and financial outcomes among individuals with current, resolved, and no LC up to 3 years after initial infection.

DESIGN, SETTING, AND PARTICIPANTS: This prospective, multisite, longitudinal cohort study enrolled adult participants (age ≥18 years) with at least 1 reported SARS-CoV-2 infection from December 7, 2020, to August 29, …

Multi-Crop Systems And Crop-Switching Strategies To Enhance Water Use Efficiency And Climate Resilience In Arid Agricultural Regions, Shahryar Fazli, Wenzhao Li, Surendra Maharjan, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

Agriculture in the Lower Colorado River (LCR) region faces mounting challenges from climate change, arid conditions, and water scarcity. This study evaluates water use efficiency (WUEc) and crop-switching strategies under SSP2-4.5 and SSP5-8.5 scenarios for 2025–2049, 2050–2074, and 2075–2099. Using historical data, climatic drivers such as temperature and precipitation were analyzed for their influence on key crops, including durum wheat, winter wheat, and corn. Results show SSP2-4.5 supports water use reductions up to 16%, stable profits (80–90%), and modest calorie increases (up to 15%), while SSP5-8.5 poses severe challenges, with water use reductions of 2–5%, profits dropping to around 20%, …

Wildfires Classification In Canadian Boreal Forest: A Comparative Study Of Logistic Regression And Xgboost Models, Brandon Tran, Elijah James Duran, Mike Luu, Hesham Morgan, Surendra Maharjan, Wenzhao Li, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

In recent years, Canada has faced a growing number of wildfires. These events have devastated ecosystems, displaced communities, and posed severe health risks. To minimize the damage caused by such disasters, this study aims to develop an early warning system that predicts wildfire occurrences. Two machine learning models for binary classification of wildfire occurrence in Canadian wild forests, Logistic regression and XGBoost, will be compared and evaluated. The models are used to predict the likelihood of wildfire events based on various environmental and climatic factors. The models are evaluated using a 70-30 split validation approach and their performance is assessed …

Insights From Swot Data On Transboundary Upstream-Downstream Impacts In The Nile Basin, Hesham Morgan, Wenzhao Li, Ali Elgendy, Surendra Maharjan, Rejoice Thomas, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

This study utilizes high-resolution data from NASA's Surface Water and Ocean Topography (SWOT) mission to investigate water dynamics and upstream-downstream impacts across key reservoirs in the Nile Basin. Focusing on the Grand Ethiopian Renaissance Dam (GERD), Rosaries Dam, Merowe Dam, and the Aswan High Dam, the analysis spans 15 months (August 2023 to October 2024). By systematically selecting 30 points across each reservoir, monthly boxplots of surface water elevation were generated, revealing significant temporal and spatial variability. The results show that GERD’s filling phase led to a steady increase in water levels (peaking at ~615 meters from June to October …

How Do Ceos Communicate Their Activism For Social Change?: A Content Analysis Of Fortune 500 Ceos’ Activism Statements, Katharine E. Miller, Young Kim

College of Communication Faculty Research and Publications

The purpose of this study is to explore the social actions taken by organizational leaders in the pursuit of activism. In recent years, corporate leaders, namely CEOs, have garnered substantial public notice due to their activism and personal rhetoric around social issues, therefore attracting attention within organizational scholarship and practice. By applying the theoretical frameworks of framing, this study conducted a content analysis of activism statements (N = 199) from CEOs of Fortune 500 companies using a mixed-methods approach involving manual coding and computational methods (NVivo). By doing so, this study advances CEO activism communication research by identifying dominant …

Epidemiology Of Shoulder Dislocations In The United States From 1990 To 2019: A Temporal Study Using The Global Burden Of Disease Database., Gabrielle Dykhouse, Ambrose Loc T Ngo, Phillip C Mckegg, Peter B Spencer, Arsalaan Sayyed, Taylor J Manes, Morgan Turnow, Nathaniel Long

Surgery Articles

Introduction The shoulder joint is a common site for joint dislocation, with many individuals suffering from recurrent dislocations following treatment. The purpose of this study was to evaluate the epidemiology of shoulder dislocations in the United States from 1990 to 2019. Methods The Global Burden of Disease database was utilized to collect epidemiological data on shoulder dislocations in the United States (U.S.) from 1990 to 2019. These data included age-standardized rates of years lived with disability (YLDs), prevalence rates, and incidence rates per 100,000 people. Using the U.S. Census Bureau definitions, the data were stratified into four regions: the Northeast, …

Reconstruction Of A Pelvic Nonunion Secondary To Metastatic Breast Cancer And Palliative Radiation., Ronald Peirish, Landon Reading, Cesar Cereijo

Surgery Articles

Pathologic pelvic nonunions are uncommon, although they remain a difficult problem and require meticulous surgical planning and execution for desired outcomes. In this paper, we discuss a patient who sustained a pathologic pelvic insufficiency fracture secondary to radiation therapy for metastatic breast cancer, who subsequently developed a symptomatic nonunion that required surgical intervention secondary to debilitating pain and inability to ambulate. We also discuss the classification of insufficiency fractures of the pelvis to guide treatment, in addition to complications associated with surgical intervention. A 51-year-old female with a 12-year history of metastatic breast cancer. She presented to an outside facility …

Hypertension, Diabetes, And Chronic Kidney Disease In Young Adults: Nhanes Data From 2013-2018, Ashly Rodriguez Reyes

Undergraduate Scholarship and Creative Works

Background. Several studies have reported the link between diabetes, cardiovascular disease, hypertension, and obesity as risk factors for the onset of chronic kidney disease (CKD), ultimately leading to renal replacement therapies such as dialysis and kidney transplantation. Although extensively researched in adults aged 55 years and older, CKD remains under-researched for young adults. Despite its emergence as a healthcare concern, limited data exists on risk factors impacting young adults without major comorbidities.

Objective. This research study aims to understand the potential risk factors unique to this population, seeking to guide prevention strategies and improve prognosis in already diagnosed individuals. Additionally, …

Right To Work Laws – The Effects On Unionization With A Theatrical Emphasis, Jade A. Randle

Political Science Undergraduate Honors Theses

A look at the impacts that right to work laws may have on theatrical unions.

Identifying Topographic Influences Of Landcover Change In A Subarctic Watershed, Mason Bull

Boise State University Theses and Dissertations

Increased temperatures over the last 40 years have globally promoted a loss of ice and increase of plant cover and density, known as greening. Greening is seen more in arctic and alpine environments than elsewhere, and current literature states that new growth consists of low-lying tundra plants, as well as encroaching shrub communities into previously uninhabited rocky slopes. However, our understanding of greening processes and extent is potentially biased by study strategies. Many vegetation studies take place at either the small plot or arctic regional scale, and do not encapsulate the intricacies of watershed scale processes on greening. This study …

Veterans Of Color At The Crossroads: Unraveling The Intersection Of Military And Racial Identity When Receiving Mental Health Care From White Providers In The Current Sociopolitical Context, Tabitha Alverio

Dissertations

The purpose of this phenomenological study was to explore the lived experiences of post-9/11 veterans of color (VoCs) who have received mental health services from White mental health providers (WMHPs) within the current sociopolitical context. Specifically, this study addressed two research questions: (a) How do VoCs describe their experiences of receiving mental health care from White providers in the current sociopolitical environment? and (b) How can White mental health providers improve their understanding of the identities of VoCs to provide greater quality of care, to improve treatment retention, and ultimately help to achieve better mental health outcomes for VoCs? Twelve …

Response Rates And Response Quality Of Online Course Survey For Deaf College Students: A Mixed-Method Study, Abdulaziz Abdullah M. Alqahtani

Dissertations

The purpose of the current dissertation study was to investigate how different delivery formats (written vs. sign language) of the course survey evaluation affect the response rate, psychometric properties and experiences of deaf and hard of hearing students taking course evaluation of total effectiveness. The following research questions guided this study:

Q1 To what extent do the different delivery formats of the online course evaluation of total effectiveness affect the response rate of DHH college students in KSA? (Quantitative question)

Q2 Do psychometric characteristics of the online course evaluation of total effectiveness differ by the design format of the online …

Teachers’ Perceptions On Success And Effectiveness Of Required Professional Development In A Midwest Middle School, Genevieve Kate Adams

Dissertations

The purpose of this study was to examine how teacher voice could be meaningfully integrated into the structure and development of site based professional development. This participatory action research study investigated teachers’ perceptions of the structure, delivery, and impact of weekly, site-based professional development (PD) at a middle school in Northern Colorado. Grounded in a constructivist theoretical framework, the study sought to elevate teacher voice and promote collaborative reflection on how professional learning could be more relevant, responsive, and empowering. The study explored the following research questions:

Q1 What professional development structures do teaching staff view as beneficial to their …

Private Equity And The Public Good, Daniel J. Morrissey

Buffalo Law Review

Private Equity (PE) is a term for large funds that use mostly borrowed money to buy and restructure companies, supposedly to make them more profitable. They manage trillions of dollars in holdings and have come to dominate many sectors of our economy, often not for the better. Private Equity is perhaps a more genteel form of the hostile take-overs that were so prevalent several decades ago, because now instead of ousting management of the firms they acquire, Private Equity offers their officials sweet deals to stay on. Those arrangements often raise conflicts which result in the shareholders of the target …

Climbing Mount Laurel: Federal Land Use And Zoning Policy As The Bipartisan Solution To The Affordable Housing Crisis, Nina Stockman

Buffalo Law Review

No abstract provided.

Mckillop Library Newsbrief Sep 2025

McKillop Library Newsbrief

No abstract provided.

Experimental Evaluation And Comparison Of Football-Related Head Impacts Among Ovine, Human, And Hybrid Iii Headforms, Madysn D. Cardinal

All Dissertations

Concussions and traumatic brain injury (TBI) remains a significant public health concern, especially in American football, where repeated head impacts pose long-term risks to athlete health. While current helmet testing standards rely heavily on the Hybrid III surrogate headform to evaluate protective performance, these surrogate models lack anatomical accuracy and exclude the presence of a brain component, limiting their ability to capture the true mechanics of concussion. To address this limitation, this research developed and validated a novel inverted impact testing method that allows the impact testing of a Hybrid III headform and a cadaveric specimen. Additionally, this fixture preserves …

Signals Of Trust: How Privacy Disclosures And Public Responses Drive User Behavior In Digital Markets, Jose Pius Nedumkallel

All Dissertations

This dissertation examines how data privacy practices and complaint response strategies influence user behavior and market outcomes in digital marketplaces. The first study analyzes the impact of Google Play’s Data Safety Label, launched in April 2022 to standardize data collection, third-party sharing, and security disclosures. Grounded in signaling and prospect theories, the label is treated as a compound signal users interpret holistically. A difference-in-differences analysis of 23,877 top Android apps over two years shows that disclosures increase user app adoption. Internal data collection boosts adoption, while third-party sharing reduces it, reflecting behavioral loss aversion. Security disclosures moderate these effects by …

Secure Control And Trust Evaluation Framework For Autonomous Transportation Systems, Grace Muriithi

All Dissertations

This dissertation advances the cybersecurity of hybrid tracked vehicles (HTVs) and ship power systems (SPSs) by developing innovative cyber-attack models and corresponding defence frameworks. First, we formulate stealthy false-data-injection attacks (FDIAs) on HTV energy-management systems as a partially observable Markov decision process (POMDP) solved via deep reinforcement learning. A novel sniffing-based reward function guides the attacker to covertly degrade battery capacity and energy efficiency, which we evaluate using custom stealth–impact metrics and a sliding-window anomaly detector (Isolation Forest with Dynamic Time Warping). Additionally, we model sophisticated control-layer attacks in HTVs, including reinforcement-learning-optimised replay attacks and denial-of-service (DoS) attacks targeting generator-speed …

Understanding The Elements Of Sterile Processing Workflow: Or, Sterilization And Personnel, Sayed Rezwanul Islam

All Dissertations

The Sterile Processing Department (SPD), also known as the Central Sterile Services Department (CSSD), is an essential part of hospitals and healthcare facilities and is responsible for ensuring the cleanliness, sterility, and proper functioning of medical instruments. Sterile processing departments (SPDs) are key drivers of productivity, effectiveness, safety, and infection control in hospitals. A well-designed SPD workflow can enhance patient safety, reduce operating room (OR) delays, and improve productivity. To understand the flow of sterile processing and interactions between the OR and SPD, process maps and task analyses were developed through direct observations of the basic SPD functions: decontamination, assembly, …

Breeding Biofortified Protein Rich Organic Pulses For Better Human Health, Sonia Salaria

All Dissertations

Pulse crops are dry grains of legumes, the second most consumed plant crops in the world after cereals. These crops are one of the primary sources of plant-based protein and contain high concentrations of pre-biotic carbohydrates, minerals and vitamins. Recognizing the health benefits of pulses intake, their demands as sustainable food and changes in people’s diet preferences for plant-based protein have increased awareness for pulses consumption. With this scenario, improving the nutritional profile of pulse crops for rich nutrition has been an opportunity for breeders to explore and tailor the available germplasm to develop nutrient dense pulses. Furthermore, the genomic …

Alternative Therapeutics For Human Breast Cancer: Nutraceutical Underpinnings, In Vitro Metabolomic Profiling, Treatment Efficacy, And Contextual Ethical Implications, Aubrey A. Mattingly

All Dissertations

Breast cancer remains one of the most prevalent diseases worldwide, yet therapeutic equity is still lacking. Standard treatments including surgery, radiotherapy, chemotherapy, and long-term hormone therapy. These approaches are often accompanied by significant side effects. While newer methods such as immunotherapy and targeted therapies have emerged, chemotherapy protocols and incorporation have remained largely unchanged in the past decades. In this context, nutraceuticals represent an alternative or adjuvant to therapy worthy of exploration. The reviewed literature highlights the anti-carcinogenic activity in selected nutraceuticals, marjoram, thyme and persimmon, considering their phytochemical constituents and secondary metabolites. Metabolomic profiling using the Biolog Phenotype Mammalian …