Digital Commons Network^™

Predicting Hospitalisation In Older Patients Attended In The Emergency Department Using Classical And Artificial Intelligence Mathematical Strategies, Nere Larrea Aguirre, Susana García Gutiérrez, Oscar Miro, Javier Jacob, Pere Llorens, Guillermo Burillo-Putze, Cesáreo Fernández, Aitor Alquezar-Arbé, Sira Aguiló, Francisco Javier Montero Pérez, José J. Noceda Bermejo, María Teresa Maza Vera, Ángel García García, Patxi Ezponda, Juan González Del Castillo

Journal of Health Research

Background: The ageing population poses a significant challenge for health and social care systems. Emergency Departments (EDs) frequently experience overcrowding due to the high volume of patients and the limited availability of hospital beds. From the perspective of bed management planners, knowing the likelihood of a patient's admission at the earliest stage of care can be highly beneficial for effective resource planning. The goal of our study was to develop a prediction model to identify patients with a high probability of being admitted to the hospital.

Methods: We included all patients aged 65 or older who were treated over …

Factors Predicting Health-Related Quality Of Life Among People With Epilepsy, Thanin Rounratana, Noppawan Phinitkhajorndech, Nipaporn Butsing

Journal of Health Research

Background: Epilepsy is a chronic neurological disease that has a significant influence on individuals' daily activities and health-related quality of life (HRQoL). The HRQoL among people with epilepsy varies depending on several factors. This study aimed to investigate the HRQoL of people with epilepsy and its predicting factors.

Methods: A convenience sampling method was applied to enroll 157 participants with epilepsy who were treated with medication at a tertiary hospital in Bangkok, Thailand, from August 2023 to January 2024. The questionnaires included general characteristics, comorbidities, generalized anxiety disorder (GAD), the International Physical Activity Questionnaire (IPAQ) short form, the Pittsburgh …

Relationships Between Perceptions And Breastfeeding Preparation Behaviors Among Mothers Of Preterm Infants Received Donor Human Milk, Roykrong Kheawlamyong, Jiraporn Punyoo, Tipawan Daramas

Journal of Health Research

Background: Donor human milk (DHM) is a vital nutritional alternative for preterm infants when mothers experience insufficient milk supply during the early postpartum period. However, supporting mothers in producing their own milk remains essential, as it provides specific immunological nutrients for infant health. This study aimed to investigate the relationship between perception factors within the Health Belief Model (HBM) and breastfeeding preparation behaviors among mothers of preterm infants receiving DHM.

Methods: A descriptive correlational study was employed to examine the relationship between perception factors—including perceived susceptibility to and severity of illness, perceived benefits, perceived barriers, and perceived self-efficacy—and breastfeeding preparation …

Individual- And Contextual-Level Factors: A Multilevel Analysis Of Colorectal Cancer Risk In Thai Older Adults, Jiranya Bureemas, Jarin Chindaprasirt, Pongdech Sarakarn

Journal of Health Research

Background: Colorectal cancer (CRC) is a growing public health concern, especially among older adults. In Thailand, CRC risk is influenced by individual and environmental factors. This study investigates the association between individual- and contextual-level factors and CRC risk in Thai older adults.

Methods: A retrospective cohort study included 11,167 adults aged ≥60 years from the Khon Kaen Cohort Study (1990–2001), followed through 2020. CRC cases were histologically confirmed. Multilevel Cox regression estimated hazard ratios (HRs) with 95% confidence intervals (CIs).

Results: Over a median follow-up of 21.7 years, 100 CRC cases were identified. At the individual level, unemployment (HR = …

Renal Function Associated With Mortality Among Patients With Leptospirosis In Upper Southern Thailand: A Hospital-Based Case-Control Study, Lamoon Saengsuwan, Somkiattiyos Woradet, Bhunyabhadh Chaimay

Journal of Health Research

Background: Leptospirosis is a major public health issue in tropical regions. This study investigated the association between renal function and mortality among leptospirosis patients in upper southern Thailand.

Methods: A hospital-based case-control study was conducted on leptospirosis patients from 2012 to 2018. Cases were patients who died, while controls were survivors (1:3 ratio). A total of 42 cases and 126 controls were included. Data were sourced from the Office of Disease Prevention and Control 11, Nakhon Sri Thammarat, and medical records. Key renal function indicators included blood urea nitrogen (BUN), creatinine (Cr), and estimated glomerular filtration rate (eGFR). In-hospital mortality …

Erectile Function And Quality Of Life Among Undergraduate University Students In Almaty, Kazakhstan, Malik Safargaliyev, Denis Vinnikov

Journal of Health Research

Background: Erectile function (EF) in healthy young adults and students is underexplored, as erectile dysfunction (ED) is typically linked to aging. This study aimed to quantify EF in university students and examine its association with quality of life (QL).

Method: This cross-sectional survey was conducted among 1,556 undergraduate students (aged 16 to 22 years; median: 18, IQR: 18–19) at the largest university in Kazakhstan, Almaty. Participants completed a web-based anonymous survey assessing EF using the IIEF-5 and QL using the WHOQOL-BREF. The association between EF and QL was analyzed using multivariate linear regression.

Results: Quality of life (QL) scores were …

Preliminary Validation Of The Thai Version Of The Brief Assessment Of Social Skills In Dementia (Bass-D Th), Pornsinee Laisathit, Chavit Tunvirachaisakul

Journal of Health Research

Background: The Brief Assessment of Social Skills – Dementia (BASS-D) was developed to provide a concise and effective measure of social cognition across four domains. This study aimed to validate the Thai version of BASS-D (BASS-D TH) by examining its psychometric properties and the associated factors.

Method: BASS-D was forward and back-translated between Thai and English language. Minor modifications were made to enhance cultural replicability. The BASS-D TH was administered to 28 older adults without dementia and 13 dementia patients.

Results: Mean age (t=-3.67, p < 0.001), education years (t=2.70, p=0.01) and TMSE score (t=7.49, p< 0.001). The control non-dementia group and dementia group showed mean BASS-D TH total scores of 76.43 (SD = 9.1) and 45.85 (SD = 15.1). The findings demonstrated construct validity of BASS-D TH (group difference t = 8.093, p < 0.001). Correlation with established concurrent tests exhibited concurrent validity, particularly with the face emotion perception and memory of new faces tests, and lower correlations with Theory of Mind. Reliability analyses indicated strong internal consistency (Cronbach’s alpha = 0.807). Receiver Operating Characteristic (ROC) analysis yielded an Area Under the Curve (AUC) of 0.974.

Conclusion: While limited by sample size and the availability of concurrent tests in the Thai …

The Current 'Ban-Demic': School Book Bans In The U.S., Barbara Perez, Jane Caputi

Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy

This essay examines the alarming rise of U.S book. Our stance is grounded in our experiences as educators and academics in Florida, the state with the highest number of book bans and legislation that has significantly impacted education. Book bans infringe on freedom of expression, right to access information, = students’ right to education, and real harm to targeted communities (i.e., LGBTQIA+ and BIPOC communities), as the bans contribute to the ongoing marginalization and stigmatization of these communities. Diverse representation is key in literature and education. Banning popular culture texts from the classroom stifles critical thinking, social dialogue, and, ultimately, …

Analysis Of The Characteristics Of Lower Limb Muscle Synergy Controlistic Patterns During Unilateral Load-Bearing Walking, Jinwei Zhao, Luyao Chen, Fuyong Liu, Piotr Aschenbrenner, Tomasz Grzywacz, Jan Strawiński

Baltic Journal of Health and Physical Activity

Background: This study aims to investigate how unilateral load-bearing conditions influence lower limb muscle synergistic control patterns during walking. Understanding these patterns is crucial for elucidating the biomechanics of gait under loaded conditions. Materials and Methods: Sixteen healthy adults participated in the study. The Qualisys 600 series motion capture system was used to collect kinematic data, and the Delsys 16-channel wireless surface EMG system to record muscle activity. Four unilateral loading conditions (LL10, LR10, LL20, LR20) were tested, with normal walking as the control. Results: Load-bearing conditions significantly altered muscle contributions in different synergistic units. For example, in Synergistic Unit …

Consumer Choice And Indoor Air Quality, Crystal Jadach

Civil and Environmental Engineering Undergraduate Honors Theses

Outdoor air pollution has drastically improved for everyone since the passage of the clean air act. However, indoor air quality is not monitored or enforceable in the United States. Yet, the EPA estimates that people of developed nations spend approximately 90% of their time indoors. Candles, a common ambiance setting choice for many household consumers, have been well characterized as a source of volatile organic compounds (VOCs). VOCs can have a wide variety of negative effects on human health. A benchtop and pilot scale study were used to characterize the difference in the accumulation and displacement of total volatile organic …

Entropy In Leadership: Reframing Performance Decline As A Failure Of Internal Growth, Joshua M. K. Simmons

M.S. in Leadership

This project explored leadership degradation among mid-to-senior enlisted members (E5–E9) of the United States Air Force using the concept of leadership entropy, the gradual decline of psychological and relational capacity in the absence of sustained support. The topic was selected to address a gap in understanding how internal leadership resilience erodes despite continued performance. A convergent mixed methods design was used, integrating quantitative survey constructs such as burnout, psychological capital, and perceived organizational support with open-ended narrative responses. Twenty-four participants contributed data. Results showed that while leaders remain outwardly effective, internal motivation and connection often deteriorate over time, especially at …

Versatile Imidazole Scaffold With Potent Activity Against Multiple Apicomplexan Parasites, Monique Khim, Jemma Montgomery, Mariana Laureano De Souza, Melvin Delvillar, Lyssa J. Weible, Mayuri Prabakaran, Matthew A. Hulverson, Tyler Eck, Rammohan Y. Bheemanabonia, P. Holland Alday, David P. Rotella, J. Stone Doggett, Bart L. Staker, Kayode K. Ojo, Purnima Bhanot

Department of Chemistry and Biochemistry Faculty Scholarship and Creative Works

Malaria, toxoplasmosis, and cryptosporidiosis are caused by apicomplexan parasites Plasmodium spp., Toxoplasma gondii, and Cryptosporidium parvum, respectively, and pose major health challenges. Their therapies are inadequate, ineffective or threatened by drug resistance. The development of novel drugs against them requires innovative and resource-efficient strategies. We exploited the kinome conservation of these parasites to determine the cellular targets and effects of two Plasmodium falciparum inhibitors in T. gondii and C. parvum. The imidazoles, (R)-RY-1-165 and (R)-RY-1-185, were developed to target the cGMP dependent protein kinase of P. falciparum (PfPKG), orthologs of which are present in T. gondii and C. parvum. Using …

The Effects Of Race And Ethnicity On School Connectedness And Academic Outcomes Among Adolescents, Hafsa Khan Owens

College of Science and Health Theses and Dissertations

This study examines the role of school connectedness and how racial/ethnic identity in academic outcomes among adolescents/. Guided by the self-determination theory (Ryan & Deci, 2017) and Garcia-Coll et al’s (1996) Integrative Model, it was hypothesized that higher school connectedness predicts higher GPAs, that students whose racial/ethnic identity aligns with their schools’ majority composition experience stronger school connectedness, and the relationship between school connectedness and GPA will be stronger in schools with more matching peers. Participants included 138 youth (M = 14.98, SD = 1.92) from three urban schools (two K-8th; one high school). The sample was 33.3% Hispanic, 23.9% …

Criminalization Of Homelessness: The Impact Of A Market-Oriented Approach, Gabriella M. Chioffi

Duke Journal of Comparative & International Law

Since the fourteenth century, countries have sought to criminalize unhoused individuals by labeling them as "vagrants." Currently, the United States and other countries continue to criminalize acts of sleeping rough, begging, loitering and other vagrancy-type activities that disproportionately target unhoused persons. Despite going through a period of decriminalization in the 1960s and 1970s, these punitive measures were largely reinstated by the 1990s. In the most extreme case, vagrancy criminalization was entrenched in a state's constitution. This Note contends that the reversion to punitive measures is triggered by a country's transition to a market-oriented approach that privatizes housing development and de-emphasizes …

Collaboration Across The Silos: Consultation As A Means For Integrating Services For Twice-Exceptional Learners, Kimberly Bowers Yoshino

Electronic Theses and Dissertations

Twice-exceptional (2e) learners are underserved in American schools. As students who demonstrate both giftedness and disabilities, 2e learners maintain profiles that warrant tailored educational services across special and gifted education programs. Yet, these programs are considered institutionally mutually exclusive as legal mandates create de facto isolation — the antithesis of what is recommended for the students’ optimal development. School psychologists have been identified as professionals critically positioned to support 2e learners because of their specialized skill set, namely in consultation. However, little is known about their consultative practices with the educators who serve 2e learners or how they traverse school …

Young Adults’ Metaperceptions Of Their Childhood Caregivers’ Appraisals And Young Adulthood Mental Health, Cassandra Svelnys

Electronic Theses and Dissertations

Early experiences and relationships have enduring impacts on the development of self and later mental health and wellbeing. In social relationships and interactions, the developing individual is continuously assessing how they view themself, how they view the other person, and how they believe the other person views them. Metaperceptions represent the latter construct: how an individual thinks another person perceives them. Childhood self-esteem, parent-child attachment, and metaperceptions are foundational constructs for the developing individual, yet metaperceptions have not previously been tested as a predictor for adulthood mental health while also accounting for childhood self-esteem and parent-child attachment. This study introduced …

Who Gets To Be A Child And When? The Pervasive Yet Contextually Shaped Nature Of Racialized Adultification Across Perceivers And Contexts, Kevin M. Summers

Electronic Theses and Dissertations

Racialized adultification is a pervasive bias in which individuals tend to judge Black children as older and more adult-like than White children of the same age. This racial bias is discussed across many scientific domains in addition to popular media, yet there is relatively little empirical work documenting its existence, consequences, and boundary conditions. In the current work, I aim to develop an empirical foundation that advances scientific understanding of racialized adultification and in turn contributes to a growing model that elucidates the conditions under which individuals are disproportionately likely to express this pernicious bias. In the current work, I …

Employee Engagement Strategies For Purchasing Managers, Winona L. Sewell Hall

Walden Dissertations and Doctoral Studies

The lack of employee engagement negatively impacts organizations through revenue loss, poor productivity, and toxic cultures. Purchasing managers are concerned with decreased employee engagement as it negatively impacts productivity and revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies purchasing managers use to increase engagement and productivity. The participants were six managers who have been successful in implementing strategies to increase employee engagement. Data were collected using semistructured interviews. Through thematic analysis, three key themes were identified: (a) communication, (b) leadership styles, and (c) culture. A key recommendation is for purchasing managers …

Management Of Embedded Unexploded Ordnance In Low-Resource Settings: A Scoping Review, Eric S. Weinstein, David Nitsch, Chris Leboa, S. Yves G. Sanou, Yves Aziz Nacanabo, Serhii Tertyshnyii, Amila Ratnayake, Akul Gupta, David T. Walker, Paul Amoroso, Barclay Stewart, Hannah Wild

College of Health Professions Faculty Papers

OBJECTIVES: When unexploded ordnance (UXO) is embedded in the body, the effect of explosive weapons used in conflict is amplified. Though relatively rare, such events present potentially devastating consequences for the patient and medical providers as routine diagnostic and therapeutic procedures hold potential to initiate detonation of the embedded UXO (eUXO). The objective is to identify and synthesize available literature relating to the management of eUXO in low resource settings.

METHODS: A scoping review was conducted using PRISMA-ScR methodology to evaluate literature in all languages from all date ranges until January 31, 2024, discussing the management of casualties with eUXO, …

Advances In Bone And Orthopedics 2025 – 5th Edition, Jean-Philippe Berteau, Laurent Pujo-Menjouet, Hélène Follet, Aurélie Levillain

Publications and Research

This volume brings together selected works from the 2025 Bone and Orthopedics Interdisciplinary Symposium (BONITOS), underscoring our community’s ongoing commitment to advancing research in biomechanics, bone health, and orthopedic science. The symposium unites leading experts from around the world, fostering collaboration and the exchange of ideas across disciplines. Organized in partnership with the French-speaking Society of Biomechanics, the French National Institute of Health and Medical Research (INSERM), the University of Lyon, the College of Staten Island of the City University of New York (CUNY), and the American Association of Physical Therapists (APTA) – Brooklyn Staten Island Chapter, BONITOS 2025 represents …

Photochemistry Of Quinones And Combustion-Derived Particles, Desiree J. Sarmiento

Electronic Theses and Dissertations

Quinones are ubiquitous species that can be produced from the photochemical aging of combustion-derived particles (CDPs). Polycyclic aromatic hydrocarbons (PAHs) are a major component of CDPs and are precursors to quinones and other oxidized products (OPAHs). My work first expanded on the PAH and OPAH photochemistry research of Dr. John Haynes, who showed that anthracene (ANT) oxidizes into 1,4-naphthoquinone (1,4-NAPQ), 1,4-anthraquinone (1,4-ANTQ), and 9,10-anthraquinone (9,10-ANTQ), and of Dr. Heather Runberg, who demonstrated the ability of ANT and these quinones to generate reactive oxygen species (ROS). Then at the Pacific Northwest National Laboratory (PNNL), I was given the opportunity to investigate …

The Role Of Adolescent Depression Heterogeneity And Resilience Resources In Adulthood Cardiometabolic Health And Depressive Symptoms, Samantha R. Scott

Electronic Theses and Dissertations

Depression in adolescence is a major public health problem and is a risk factor for early-onset cardiometabolic disease. Although adolescent depression is a risk factor for poor cardiometabolic health, depression is heterogeneous and associations may differ by sex. Additionally, if risk factors such as depression can predict adulthood cardiometabolic health, resilience factors (e.g., social, school, neighborhood) that are protective for depression may also be protective for physical health, but this is an ongoing area of research. The goals of the current dissertation were to gain a better understanding of what depressive symptom presentations in adolescents are most concerning for adulthood …

A Qualitative Examination Of Homelessness Risk Factors And Housing Histories Of Single Room Occupancy (Sro) Tenants In Chicago, Shadman Syed Saquib

College of Science and Health Theses and Dissertations

Single-Room Occupancy (SRO) housing is among the most affordable private market housing options and serves tenants who often have multiple oppressed identities, including economic marginalization, carceral histories, and disabling conditions. However, SRO buildings are often sold for redevelopment, displacing tenants with few alternative housing options and at risk of homelessness. Research suggests that multiple ecological factors, such as prior housing instability, predict future homelessness, which may be compounded for individuals with oppressed identities. Thus, the current study explores the housing histories and identities of displaced SRO tenants to understand their vulnerability to post-displacement homelessness. Seventeen participants who were displaced from …

Dataset For Cholesterol And Q147e Deamidation Modulates Aa-Crystallin Membrane Binding Elucidating Protective Role Of Lens Membrane Composition Changes With Aging, Preston Hazen, Nawal K. Khadka, Laxman Mainali

Biophysics Research Data

Purpose: αA-Crystallin (αAc) binding with lens membranes increases with age and cataract formation. However, the role of lipids and cholesterol (Chol) in Q147E-αAc membrane binding remains unclear, which we aim to elucidate in this study.

Methods: We have used the electron paramagnetic resonance spin-labeling method to probe the Chol/ 1-palmitoyl-2-oleoylphosphatidylcholine (POPC) and Chol/ sphingomyelin (SM) membranes binding with wild-type (WT) and Q147E-αAc.

Results: Compared to WT-αAc, the Q147E mutant had increased binding to POPC and decreased binding to SM membranes without Chol. Adding 33 mol% Chol to the POPC and SM membranes decreased the binding of WT and, to a …

Design, Manufacturing, And Engineering Design Validation Of A Fetal Activity Monitor, Hector Andres Pena Vega

Undergraduate Honors Theses

Fetal movement monitoring is an important indicator of fetal health, but

current methods often rely on subjective self-reporting or medical equipment that

may not be universally available. The research described in this thesis describes

the design, manufacture, and engineering validation of a wearable fetal activity

monitor based on nanocomposite wide-range strain gauge technology. Embedded

in a wearable maternity band garment, the technology is designed to discreetly

record fetal movements with the eventual goal of providing real-time information

that can assist pregnant women and medical professionals in monitoring patterns

of fetal activity.

The scope of the described research focuses on the …

Synthesis Of Anti-Schistosomal Heterocyclic Compounds Targeting Thioredoxin Glutathione Reductase, Alexander Stewart

Lawrence University Honors Projects

chistosomiasis is a deadly and debilitating parasitic disease caused by Schistosoma mansoni which affects 200+ million people annually who come into contact with contaminated water. Currently only one drug (Praziquantel) has been used to treat this disease for almost 50 years, and fear of resistance is growing, thus a new drug and new target is needed. Inhibition of the organism-specific redox defense protein Thioredoxin Glutathione Reductase (TGR) has lead to the death of the worm in vitro, indicating that it would be a good druggable target. Fragment based analysis and x-ray crystallography have returned the outline of a lead compound …

Burned In Berlin – Banned In Boston: Censorship Of Booksellers During The Interwar Period In The U. S. As Compared To Germany, 1919-1939, Aleksandra Jimerson-Mckinnies

Lawrence University Honors Projects

During the twenty-year interwar period from 1919-1939, two vastly different nations faced their own personal wars with the censorship of booksellers. Germany—at first the Weimar Republic, then later the Nazi Regime—underwent such a transformation that Berlin went from one of the literary capitals of the world to the site of the most infamous of censorship crimes: the book burnings. Meanwhile, the United States was a long-standing democratic nation in which freedom of speech was one of its cornerstone tenants. Despite the differences of governments and the scope and scale of the censorship, there were major similarities between the tactics and …

4th Sbs International Conference 2025: Transforming Business For People And Planet, School Of Business Studies (Sbs)

Conference Proceedings

The IBA-SBS International Conference (IBA-SBSIC) brings together scholars, professionals, and policymakers from around the world, providing a platform for learning, collaboration, and cutting-edge research. As we enter the 4th edition in 2025, the conference embraces the theme "Transforming Business for People and Planet."

The business landscape is evolving rapidly, with companies increasingly held accountable for their environmental footprint, ethical responsibilities, and social impact. Governments, regulators, and consumers now demand responsible business practices that align with sustainability and long-term financial resilience. Sustainability is no longer a choice—it is a necessity. Global movements toward climate action, social equity, and responsible governance are …

Abstract 2587 Recombinant Expression And Purification Of A. Vinelandii Cown In E. Coli, Julie Takei, Cedric P. Owens, Katie Sanders, Neeraja Gajendran

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

The goal of this project is to study the protein CowN in the diazotroph Azotobacter vinelandii (Av) in comparison to CowN in Gluconacetobacter diazotrophicus (Gd). Nitrogenase is an enzyme that catalyzes the reduction of nitrogen gas into ammonia in diazotrophic bacteria. In many diazotrophs, the protein CowN prevents nitrogenase inhibition from the environmental gas carbon monoxide (CO). Previous work studied CowN in the diazotroph G. diazotrophicus. In G. diazotrophicus, CowN binds to nitrogenase and weakens CO binding to its active site. The mechanism of CowN has only been investigated in G. diazotrophicus. Thus, we are interested in determining if CowN's …

Status Of Persistent Organic Pollutant Of Brominated Flame Retardant Hbcd In Daily Diet And Its Potential Health Risks, Zhao Zirui, Ji Hainan, Zhao Chan, Shen Guolin, Zhang Mengling

Food and Machinery

Hexabromocyclododecane (HBCD ) is a brominated flame retardant widely used in flame retardant for various industrial and consumer products.Due to its high biotoxicity,bioaccumulation,pollution persistence,and long -range transport capacity,HBCD has been included in the Stockholm Convention list of persistent organic pollutants (POPs ) and is being phased out globally.In this paper,the contamination of HBCD,additive brominated flame retardants,in daily diet and the characteristics of HBCD absorption and metabolism in the body are briefly described.Then,the evaluation of HBCD exposure toxicity by bioinformatics,in vitro primary cell models,and cell line models are reviewed.Subsequently,the effects of HBCD intervention on the toxicology of zebrafish models,mouse models,and rat …