Digital Commons Network^™

The Effects Of Caregiving For A Family Member With Alzheimer’S Disease, Megan Layton

Student Works

Alzheimer’s disease (AD) is a progressive disease that leads people with AD to become dependent on a family member. As the disease worsens, caregivers face an increase in responsibility and burden. There is a rising number of AD cases which will result in an increase of caregivers. Twelve articles were examined using the EBSCO database by using keywords such as “Alzheimer’s disease,” “caregiver burden,” “coping,” “assisted living,” and “grief.” An analysis of these articles indicated the complexities of caregiving for a loved one with AD. These complexities such as stress, decision-making challenges, changes in family dynamics, the adjustment to placing …

Examining Family Accommodation In Early Childhood, Allison Smith Dupre

LSU Doctoral Dissertations

The relationship between parent and child anxiety is well established. One factor that may account for this relationship is family accommodation (how family members alter their behavior to alleviate child distress). Family accommodation has been studied in child anxiety for the past decade and has been linked to increased parent and child anxiety. However, little research has focused on a young sample without clinical elevations of anxiety. Acknowledging the impact of family accommodation on child anxiety, the strong link between parent anxiety and accommodation, and the importance of early intervention, this study aimed to expand the literature of family accommodation …

China’S Role In A Future Korean War, Jake Rinaldi

The US Army War College Quarterly: Parameters

This article argues that China’s intervention in a Korean conflict will hinge more on North Korea’s ability to hold territory than on bilateral ties. Rather than treat Chinese intervention as a yes-or-no proposition, this study models three scenarios—full intervention, sustained support, and limited support—based on North Korean resilience. Using Chinese-language sources and scenario-based analysis, it assesses how each model would shape key functional areas such as ISR, cyber, materiel, and force posture. The findings offer US defense planners a framework for anticipating variable People’s Liberation Army involvement in a future Korea contingency.

The Effect Of Sars-Cov-2 Reinfection On Long-Term Symptoms In The Innovative Support For Patients With Sars-Cov-2 Infections Registry (Inspire), John J. Openshaw, Ji Chen, Robert Rodriguez, Michael Gottlieb, Kalyani Mccullough, Michelle Santangelo, Mandy J. Hill, Kristyn Gatling, Ahamed H. Idris, Samuel Mcdonald, Lauren E. Wisk, Jonathan Dyal, Ralph C. Wang, Kristin L. Rising, Efrat Kean, Kelli N. O'Laughlin, Kari A. Stephens, Caitlin Malicki, Zhenqiu Lin, Erica S. Spatz, Huihui Yu, Robert A. Weinstein, Joann Elmore

Department of Emergency Medicine Faculty Papers

BACKGROUND: The clinical consequences of repeated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are not clear, especially as they relate to long-term symptoms after infection. We analyzed data collected for the Innovative Support for Patients with SARS-CoV-2 Infections Registry (INSPIRE) to determine whether reinfection changes the likelihood of symptoms 3-6 months after reinfection compared with the likelihood in individuals experiencing a single infection.

METHODS: Individuals reporting a single SARS-CoV-2 infection or a single reinfection were included in this analysis. A positive SARS-CoV-2 test occurring ≥90 days after a first infection was considered a reinfection. Outcomes included severe fatigue (fatigue …

Exploring Leadership's Role In Improving Completion Rates In Substance Use Disorder Programs, Benjamin John Hoppie

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the influence of leadership on low treatment completion rates in a nonprofit outpatient substance use disorder program in the Pacific Northwest region of the United States. The purpose of this case study was to examine how leadership styles, decision-making processes, and supervisory alignment affected client engagement and treatment outcomes at the program. The study was grounded in the Baldrige Excellence Framework, which provided a systems-thinking lens to assess leadership behavior and organizational performance. Data were collected through semistructured interviews with two senior leaders and a review of limited internal documents, including the organization’s …

Stuck In The Maze: Syrian Unaccompanied Children Navigating Spheres Of Protection In Egypt, Anouk Pelletier De Chambure

Theses and Dissertations

This research explores the protection of Syrian unaccompanied and separated children (UASC) in Egypt who have fled the Syrian conflict and reflects on the role of formal protection providers and informal networks of solidarity. In hopes of pushing back against the over- essentialization of UASC as vulnerable children, this research unravels the lived experiences of seven aged-out Syrian UASCs who have been living in Egypt for a few years, which reveals their authentic and original crafting of spheres of protection. This thesis aims to contribute to a more extensive and more accurate understanding of the lives and needs of Syrian …

A Tragedy Of Incommensurability: Indigenous Rights And The Limits Of Human Rights Law, Zeina Ali

Theses and Dissertations

This thesis explores the tragedy of incommensurability between indigenous rights and international human rights law. Despite the emergence of frameworks like the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), indigenous calls for sovereignty remain fundamentally unintelligible within a liberal order structured to preserve settler-state legitimacy. Tracing the historical and theoretical evolution of indigenous advocacy, this study critiques the strategic shift from demands for self-determination to claims of cultural rights. It argues that this shift offers no real alternative: self-determination and cultural rights are functionally equivalent, as both are ultimately filtered through legal and political frameworks that cannot …

Potential Strategies For Reducing Mortality And Morbidity In Acute Ischemic Cardiogenic Shock, Richard Smalling, James Mccarthy, Tim Henry, Ali Denktas

Journal of Shock and Hemodynamics

Cardiogenic shock is predominantly caused by acute ischemic myocardial injury. Despite advancements in reperfusion strategies, outcomes remain poor, with the duration of ischemia before reperfusion playing a crucial role in the development of irreversible damage. This review synthesizes insights from animal models and human studies, highlighting the limited myocardial salvage beyond 90 minutes of ischemia. In light of the high mortality rates associated with cardiogenic shock, this review proposes re-evaluating pre-hospital fibrinolysis, exploring left ventricular unloading strategies before reperfusion, and assessing the potential role of endothelin antagonists. These approaches aim to improve outcomes in this high-risk population.

The Cellular Mechanisms Of Alzheimer's Disease Protection By The Pilra G78r Variant, Wenhan Cheng

Theses and Dissertations

Microglial dysfunction is increasingly linked to Alzheimer’s Disease (AD). Immune receptors like TREM2 and CD33 play opposing roles in microglial activity. TREM2 activation triggers immunoreceptor tyrosine-based activation motif (ITAM) signaling to promote microglial activities, including amyloid-β clearance, but variants in TREM2 such as R47H that impair its function increase AD risk. In contrast, CD33 is an inhibitory receptor that contains an immunoreceptor tyrosine-based inhibitory motif (ITIM) which transmits signals that suppress microglial function. An AD-protective variant in CD33 alters CD33 activity, potentially enhancing TREM2 function. PILRA is another inhibitory immune receptor expressed by microglia that contains an ITIM. A naturally …

When Access Is Not Enough: The Role Of Utilization Barriers In Nutrition Security And Cardiometabolic Risk, Maha Almohamad, Ruosha Li, Natalia I Heredia, Jayna M Dave, Eric E Calloway, Anjail Z Sharrief, Shreela V Sharma

Faculty, Staff and Student Publications

Background: Food and nutrition security are key social determinants of cardiometabolic health. While food security reflects access to sufficient food, nutrition security incorporates the quality, consistency, and usability of food that supports long-term health. However, few studies have examined how household-level barriers to food utilization shape these relationships. Objective: This study assessed whether tangible (e.g., equipment, storage) and intangible (e.g., time, knowledge) food utilization barriers modify the associations between food and nutrition security and cardiometabolic outcomes in low-income adults.

Methods: A cross-sectional survey was conducted among 486 low-income adults across five U.S. states. Participants reported household food security (USDA …

Economic Value Of Intra-Articular Knee Oa Therapies: A U.S. Perspective, Vinod Dasa, Wilson Ngai, Kevin Steele, Ronald Preblick, Heather Watson, Kevin L. Ong

School of Medicine Faculty Publications

AIMS: This study compared the six-month medical/pharmacy costs and healthcare resource utilization (HCRU) for knee OA patients undergoing intra-articular therapy with different classes of hyaluronic acid (HA) (by molecular weight) or corticosteroid (ICS). MATERIALS AND METHODS: Patients across high molecular weight (HMW) HA, medium molecular weight (MMW) HA, low molecular weight (LMW) HA, and ICS therapy groups were matched from a U.S. claims database (Optum's de-identified Clinformatics Data Mart Database), with a final size of 6,234 patients per group. Adjusted six-month medical/prescription costs per patient per month (PPPM), and HCRU rates and costs, were determined. Secondary endpoints included complication rates …

Comparative Analysis Of Water Management Practices In Denmark, Egypt And Uganda: Implications For Sustainable Water Management In Uganda, Junior Twehamye Ashaba

Theses and Dissertations

Water scarcity and mismanagement are escalating global challenges, with over two billion people lacking access to safe drinking water and projections indicating that nearly two thirds of the world’s population could face water shortages by 2050 (Jones et al., 2024). This thesis presents an analysis of water governance and management practices in Denmark, Egypt, and Uganda-three countries that exemplify diverse hydro-climatic conditions, socioeconomic realities, and institutional frameworks. The study explains how governance structures, technological innovation, stakeholder participation, and policy design shape water resource outcomes, and how lessons from Denmark and Egypt can inform more resilient and sustainable water management in …

Microglial Phagocytosis In Epilepsy: Mechanisms And Impact, Abhijeet S Barath, Long-Jun Wu

The Brown Foundation: Institute of Molecular Medicine

Microglia are resident immune cells critical in maintaining brain homeostasis via their surveillance and phagocytosis function. Under disease contexts such as seizures and epilepsy, microglial phagocytic signalling is activated in response to both inflammatory and non-inflammatory cell death. This process involves a range of well-characterized 'find me' and 'eat me' signals, phagocytic receptors, and less well-characterized intracellular signalling pathways. In addition, epigenetic and transcriptional regulators orchestrate microglial responses to seizures, including the integration of phagocytic and inflammatory pathways. Interestingly, although inhibiting phagocytosis has been shown to improve neuronal survival and cognitive performance after seizures, it paradoxically increases the risk of …

Preschool Teachers’ Perspectives Regarding Children’S Lack Of Social Skills Needed For Success In Preschool And Kindergarten, Janet S. Grigg

Walden Dissertations and Doctoral Studies

The problem addressed through this study was many preschool students in the United States lack the social skills needed to be successful in kindergarten. The study’s purpose was to explore preschool teachers’ perspective regarding some children’s lack of social skills needed for success in kindergarten and the efforts teachers made to promote development of these skills. Using Flavell’s theoretical framework of metacognition and cognitive monitoring, 2 research questions were developed to address teachers’ perspectives and efforts to improve children’s social skills. Twelve preschool teachers from Louisiana with one to twenty years of experience in early childhood were interviewed via Zoom, …

The Multilayered Control Of Acetylation During Adenovirus-Based Immunotherapy Of Cancer, Akhila Parthasarathy, Maria Frost, Andrew G Gillard, Marta M Alonso, Candelaria Gomez-Manzano, Juan Fueyo

Faculty, Staff and Student Publications

Adenoviruses are highly immunogenic agents that have shown promise first as gene delivery vectors and later as oncolytic viruses. Currently, oncolytic adenoviruses are featured in over 30% of cancer virotherapy clinical trials. Due to their effective cellular uptake and hijack of cellular machinery, replication-competent adenoviruses are promising therapeutic agents for treating a wide range of tumors. Adenoviral influence on host cell acetylome regulation has regained attention, as these viruses redirect or suppress acetylation during replication, making them potentially desirable therapeutic agents for cancers driven by epigenetic modifications. In this review, we aim to cover the viral processes influencing the acetylome …

Re: Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Revised Draft Final Unreclaimed Sites (Ur-05) Remedial Action Work Plan (Rawp) (Dated June 10, 2025), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

"You Need To Make The Decision You Can Live With": An Observational Study Of Anti-Abortion Centers In Tampa Bay, Anna Broich

USF Tampa Graduate Theses and Dissertations

Anti-Abortion Centers (AACs) pose a grave threat to the reproductive health outcomes of Americans. Disguising themselves as licensed health clinics, AACs target vulnerable communities to prevent or delay abortion care through the spread of medical misinformation, contributing to abortion stigmatization. Situated in a state with a near-total abortion ban, this secret-shopper study aimed to understand the ways in which AACs in Tampa, Florida communicate anti-abortion rhetoric to pregnant people seeking abortions. Under the guise of people who suspect they are pregnant searching for abortion care, the main researcher and her assistants conducted the first phase of the study through 25 …

Examining Associations Between Sleep Variability And Treatment Outcomes In A Clinical Sample Receiving Psychotherapy Treatment For Alcohol Use Disorder, Charles A. Manzler

USF Tampa Graduate Theses and Dissertations

Sleep disturbances are highly prevalent among individuals with AUD. Sleep and alcohol have a bidirectional relationship such that alcohol damages sleep-promoting brain regions, and impaired sleep exacerbates cognitive and emotional deficits that can promote alcohol use. Despite the evidence that sleep improves across treatment for AUD, these improvements have had inconsistent associations with treatment outcomes. This may result from previous research focusing solely on mean values of sleep parameters rather than daily within-person variability. Sleep variability is emerging as an important correlate of physiological dysregulation and is connected to a range of negative symptoms that may promote alcohol use. The …

Examining The Impact Of Single-Case Design Graph Characteristics On Decision-Making For School-Based Professionals Within An Mtss Context, Jessica L. Andrews

USF Tampa Graduate Theses and Dissertations

Research investigating the display of single-case design (SCD) data has demonstrated that graphing characteristics can influence visual analysis and rater interpretations regarding the effect of an intervention. Data-based decision making within school settings, particularly within the framework of Multi-Tiered Systems of Support (MTSS), commonly includes the use of SCD’s to support this process. Despite the push for adherence to a standard assembly for linear graphs, there is no requirement as to how these graphs should be constructed. MTSS team members are often required to make decisions about whether an intervention should be continued (or not), and thus it is important …

Nepaliness As Assemblage: Diasporic Belonging, Colorism, And Caste In The Associational Life Of Nepali Migrants In Florida, Shuvechha Ghimire Sharma

USF Tampa Graduate Theses and Dissertations

The research fundamentally challenges romanticized ideas of migration—shedding older inequalities, idealizing “leveling up,” and being a part of “unified diasporic communities”—and unmasks a rather uneasy, far more intricate reality: the preexisting sociocultural and political structures and identities are not shed, rather actively reproduced and rigorously, often consciously, reconfigured within the transnational diasporic spaces. As such, the research reveals that Nepali diasporic associations in Florida play a vital role in perpetuating and reshaping social inequalities and contested national identities, significantly impacting transnational dynamics. The work contends that caste hierarchies persist in structuring associational life, influencing participation and resource distribution. Concurrently, colorism …

Do Emotion Malleability Beliefs Buffer Social Ostracism? An Experimental Investigation, Bingjie Tong

USF Tampa Graduate Theses and Dissertations

Social ostracism is linked to adverse psychological outcomes, including increased suicide risk among college students. This study examined a manipulation targeting emotion malleability beliefs and its effect on psychological outcomes after a lab-induced social ostracism task (Cyberball). Psychache, a well-established predictor for suicide risk, was examined as a potential moderator variable. College students (N = 243) were randomly assigned to either an experimental condition, which presented information stating that emotions are malleable, or a neutral control condition. Participants in the experimental condition reported a greater increase in beliefs about emotional malleability, greater use of cognitive reappraisal, and less perceived burdensomeness …

Transformational Leadership Influence On Employee Commitment And Retention In The Business Process Outsourcing Industry, Kalu Umachi Umachi, Leilani I. De Guzman

Journal of Management for Global Sustainability

This study examined the impact of transformational leadership on employee commitment and retention in two business process outsourcing (BPO) companies in Lagos, Nigeria. Grounded in transformational leadership theory and the three-component organizational commitment model, it analyzed leadership practices and their relationship with employee commitment and retention. Using a descriptive-correlational research design and purposive sampling, the study collected data from 259 employees out of a population of 785. The findings revealed that transformational leadership practices, particularly individualized consideration and inspirational motivation, were highly observed among leaders. Employees reported high levels of normative, affective, and continuance commitment, while indicators such as training …

Future Of Work: Implication Of Green Economy On Employment Dynamics In Egypt, Sarah Adel Elgohary

Theses and Dissertations

Is Egypt's green economy a reality or just a policy-level aspiration? This thesis explores the tangible impact of the green economy on Egypt's labor market by examining key sectors—automotive, agriculture, and renewable energy. Through qualitative interviews and focus group discussions with private sector representatives, the study assesses the true implications of the green transition from a business-level perspective, beyond the propaganda and hype surrounding climate policies. What is the current scale of the green economy in Egypt's labor market? What existing policies and regulatory frameworks are in place to support the green economy transition? how urgent is the transition to …

The Social Standing Versus The Mind Standing Of Older Adults In Egypt: Cross-Sectional Analysis Of The Relationship Between Social Capital And Cognitive Functions, Shaza H. Shinaishen Dr

Theses and Dissertations

Introduction: Egypt's population, much like that of other countries, is expected to age considerably over the course of the coming decades. Although biological and socioeconomic predictors of cognitive function have been studied widely, personal level social capital remains unexplored, especially in LMICs.

Purpose: This study primarily investigates the relationship between individual social capital and cognitive functioning among older adults aged 65 years and older in Egypt using the structural and cognitive components of social capital, including group membership, civic engagements, and caregiving roles.

Methods: A cross-sectional survey on 363 older individuals in different geographical and demographic segments of Egypt using …

Ways Of Living And Knowing, Reem El Hassan Mohamed

Theses and Dissertations

After decades of sedentarization, the Muzeina tribe in South Sinai now has new generations born into sedentary lifestyles, never experiencing nomadism like their ancestors once did. This shift has impacted their knowledge system, traditionally shaped by interactions and kinship with nature. Exposure to social media is influencing younger generations' ways of living, raising the older generations’ concerns about their Bedouin identity. Despite being one of the largest tribes in South Sinai, the Muzeina are rarely represented in literature.

This ethnography explores the impact of sedentarization and contextual developments on the Muzeina's knowledge system, inherited from their ancestors. Muzeina’s relationship, and …

Finding Meaning In Loss: The Role Of Attachment Styles, Coping Strategies, And Resilience, Salma Seyam

Theses and Dissertations

Grief is a deeply personal yet universal experience impacted by personal, social, and cultural factors. The present study examines how attachment styles, coping mechanisms, and resilience impact both grief intensity and the ability to find meaning after a loss, within an Egyptian sample. While previous studies have explored the experience of grief, few have looked at these factors within a Middle Eastern cultural context. A total of 140 bereaved Egyptians who experienced the loss of a loved one within the past three years completed standardized measures assessing grief intensity (Prolonged Grief Disorder-Revised; PG-13-R), coping strategies (Brief COPE), meaning-making (Grief and …

Opportunistic Networks On The Move: A Context-Aware Framework For Opportunistic Networking Under Heterogeneous Mobility Settings, Sara Elsingergy

Theses and Dissertations

Most computer networks require continuous end-to-end connectivity between sending and destination nodes for data transfer. However, in certain scenarios—such as disaster zones, geographically remote areas with intermittent or no connectivity, or regions facing peak network loads—such continuous communication paths may be unavailable. A notable example of this challenge occurred during Hurricane Milton in 2024 and the Los Angeles wildfires in 2025, where Starlink provided free satellite internet to support disaster relief efforts and enable communication in affected areas. However, while offering satellite services at no cost can be effective in emergencies, it may not always be feasible on a global …

Exploring The Role Of Religious Media In Shaping Public Perceptions Towards Climate Change In Egypt, Hebatullah Ashour Abdel Fatah Ibrahim Ashour

Theses and Dissertations

Climate change poses significant threats globally, with particular vulnerability noted in developing nations like Egypt. While effective communication is crucial for societal engagement, the role of influential actors like religious media within specific cultural contexts remains under-explored. This thesis investigates the role and communication practices of religious media (Islamic and Coptic Christian) concerning climate change in Egypt, a country where religious institutions command significant public trust and influence. Existing literature highlights gaps in understanding how these specific media outlets navigate and frame climate change discourse.

Employing Framing Theory and Communication for Development (DevCom) Theory as a combined framework, this study …

Clinical And Psychosocial Changes In Adults With Opioid Use Disorder And Chronic Pain Using Medical Cannabis: A Brief Report., Michelle R. Lent, Ryan Keen, Michael Ruiz, Hannah R Callahan, Katherine E. Galluzzi, Karen L Dugosh

PCOM Scholarly Works

BACKGROUND: Medical cannabis (MC) is approved for the treatment of opioid use disorder (OUD) in Pennsylvania, but little is known about how MC impacts illicit opioid use or the clinical and psychosocial factors including pain severity levels that can precede illicit opioid use. This observational study examined the extent to which changes in rates of illicit opioid use and in pain and psychosocial functioning were observed following the first three months of MC treatment.

METHODS: A referred sample of 47 adults taking buprenorphine/naloxone for OUD with a minimum pain severity rating of 5/10 enrolled from March 2022-April 2023. Participants were …

In-Service Teachers’ Awareness And Professional Development In Egyptian Public Schools, Hanan Mohamed Metawea

Theses and Dissertations

Neuroscience is an emergent field that focuses on studying brain structure and understanding its significance in the learning process. There has been a recent movement in how to bridge the gap between neuroscience concepts and education by incorporating neuroscience principles into the teaching process. However, there have been limited studies in Egypt on how educators understand and utilize neuroscience principles in the classroom. This qualitative exploratory case study examines Egyptian teachers’ understanding of neuroscience concepts and how they apply them in their teaching practices. This case study was carried out in two government schools, including interviews with 11 teachers representing …