Digital Commons Network^™

Analyzing The Relationship Between Diabetes Duration And Self-Management In Adults With Diabetes, Caroline Noel Stroo

Master's Theses

Diabetes mellitus (DM) is a metabolic disease that affects 14.7% of adults in the United States (Centers for Disease Control and Prevention, 2023). Prevalence of diabetes increases with age, with rates for adults aged 65 and older reaching 29.2% (Centers for Disease Control and Prevention, 2023). Factors such as age, race, obesity, physical activity level, and genetics strongly increase the risk of developing type 2 diabetes (T2DM) (National Institute of Diabetes and Digestive and Kidney Disease, 2016). Diabetes requires complex and comprehensive management to reduce the risk of developing comorbidities (Al-Shabeeb et al., 2021). Factors such as education, familial support, …

Advancing Rfid Systems: From Head Orientation To Robotic Localization Using Passive Tags, Guilherme Ricardo Mendes Da Silva Barreto De Figueiredo

Doctoral Dissertations

No abstract provided.

Hardiness, Coping, And Well-Being In Trauma-Exposed College Student-Athletes, Kiara Scott

Doctoral Dissertations

College student-athletes (CS-As) face many stressors, such as adjusting to a university setting, academic pressures, and the demands of an elite athlete (e.g., battling at a high level during training and competition and managing mental struggles in their sport) (Barbayannis et al., 2022; Barnard, 2016). Some individuals are exposed to events that may be classified as traumatic, such as physical and sexual assault, natural disasters, and other related forms of human suffering (American Psychiatric Association, 2013). Around 50%-80% of college students have been exposed to at least one traumatic event throughout their lifetime (Frazier et al., 2009; Read et al., …

An Envisioned And Efficient Design Of Next Generation Decentralized Iot Bot Detection Model, Ahmed Abdullah Almalki

Doctoral Dissertations

The Industrial Internet of Things (IIoT) and Internet of Medical Things (IoMT) are revolutionizing critical infrastructures, but their expansion has also introduced severe cybersecurity vulnerabilities. Traditional IoT Bot Detection Systems (IBDS) struggle to scale in environments characterized by high-dimensional, large-scale, and redundant network traffic. These challenges hinder the development of reliable cloud-based intrusion detection systems. The limitations of static and rulebased methods in detecting evolving IoT botnet attacks—such as those launched by Mirai and Gafgyt—underscore the need for intelligent, adaptive approaches. To address this, the present study proposes a machine learning and deep learning-driven IoT Botnet Detection Model, validated through …

Vitamin B12 Deficiency: Confidence, Perspectives, And Practices Among Registered Dietitian Nutritionists, Avery Miller Adams

Master's Theses

Vitamin B12 deficiency is common in the United States, occurring in 20% of adults aged 60 and above (Andres et al., 2004). Veterans are susceptible to B12 deficiency due to tobacco product usage, alcohol consumption, and poor diet quality. Megaloblastic anemia is the second most prevalent vitamin deficiency disorder recorded in military personnel from 1997 to 2015 (Knapik et al., 2021). This exploratory, analytic research aims to assess registered dietitian RDN nutritionists’ (RDN) knowledge, perceptions, and intentions regarding treating vitamin B12 deficiency in a clinical setting. Due to population prevalence differences, responses from VA and non-VA practicing registered dietitian-nutritionists (RDNs) …

Is There An Association Between Food Literacy And Diet Quality In Young Adult College Men?, Morgan Claire Mayeux

Master's Theses

Food literacy skills can improve dietary intake in young adults as it provides them with the tools they need to make healthier food-related decisions. The benefits of improving food literacy includes the reduction in the risk of prevalent, preventable dietrelated diseases such as obesity, T2DM, heart disease, and other chronic diseases that plague the Unites States today. Previous literature reports primarily on college female samples. Because a large proportion of the samples in the available studies are female, the current literature may not reflect young adult men’s food literacy and its comparison to their overall diet quality. The purpose of …

Comparing Ordinary Least Squares And Quantile Regression: A Causal-Comparative Approach To Modeling Conditional Relationships, Samuel Nnorom

Electronic Theses and Dissertations

Ordinary Least Squares (OLS) regression has traditionally been the preferred quantitative method for estimating linear relationships. However, it assumes that the effect of a predictor variable remains constant across the entire outcome distribution, which can miss important insights when data are heterogeneous. Quantile Regression (QR), on the other hand, offers a more detailed analysis by focusing on the full response variable distribution, thereby revealing different relationship patterns at various quantiles within the outcome. This study compares how OLS and QR perform in modeling conditional relationships within a causal-comparative framework based on ex post facto research. Using the mortality data from …

Does Green Stem Photosynthesis Affect Plant Drought Tolerance And Recovery In Avocado?, Nadia A. Valverdi, Paula Guzmán-Delgado, Gregory R. Goldsmith, Eleinis Ávila-Lovera

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Woody plants with green stems may have advantages over non-green-stemmed plants in that extra photosynthetic carbon gain has the potential to improve plant drought tolerance and aid drought recovery. However, most studies relating to green stem photosynthesis and drought tolerance have been conducted on non-horticultural plants under natural growing conditions. We investigated whether avocado green stem photosynthesis enhances drought tolerance and recovery. We applied light exclusion and drought treatments to 3-year-old potted trees of cultivars ‘Hass’ and ‘Fuerte’. Measurements of soil moisture, midday stem water potential, stem photosynthesis, bark chlorophyll concentration, concentration of sugars + starch and stem hydraulic conductivity …

Code Before Clause: Building Canada’S Digital Defences Before Negotiating Trade, Barry Appleton

Articles & Chapters

Canada is about to give away the keys to its digital future — before it even decides what future it wants.

This paper argues that any exploratory discussions between Canada and the European Union on a digital trade agreement must be paused until Canada legislates a domestic digital sovereignty framework and builds the governance capacity to implement it.

Phase 1 Clinical Trial Of ¡Iniciando! La Adultez: A Culturally Tailored Intervention For Transitioning Latino Young Adults With Autism, Antonio F Pagán, Ana Esparza, Ana Ramirez, Miriam Ortiz, Linda Hernandez, Mary Beth Morgan, Geohanna Noel, Alejandro L Pagán, Jada Salas, Katherine Maurano, Grace Sattem, Leela Sydow, Noor Ahmed, Katherine A Loveland, Cecilia Montiel-Nava, Ron Acierno

Faculty, Staff and Student Publications

This Phase 1 clinical trial evaluated ¡Iniciando! la Adultez, a culturally adapted intervention for Latino autistic young adults (n = 56) and their parents (n = 63). Young adults showed significant post-treatment improvements on measures of social responsiveness (SRS-2), adaptive behavior (ABAS-3), executive functioning (BRIEF-A), quality of life (WHOQOL-BREF), transition readiness (TRS-A), coping self-efficacy (CSES), and emotion regulation (DERS-SF). Parents reported significant improvements in their perceptions of their child’s social responsiveness, adaptive behavior, and executive functioning, as well as increased transition readiness ratings. Notably, parents evinced a significant decrease in acculturative stress (RASI) and depressive symptoms (PHQ-9), however, …

Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt

Electronic Theses and Dissertations

This study investigated barriers influencing supervisees’ willingness to disclose clinical errors in mental health training contexts, with a focus on the supervisory working alliance (SWA) as a potential moderating factor. Participants read two vignettes – one describing a clinical error and the other a client concern – and were asked to indicate which case they would discuss with their supervisor. They also completed the Brief Supervisory Working Alliance Inventory–Trainee Form (BSWAI-T) and the Supervisee Disclosure in Supervision Scale (SDSS), which assessed the quality of the supervisory alliance and perceived barriers to disclosure, including fear of negative evaluation, lack of confidence, …

Transgender Individuals’ Experiences Of Ruptures And Repairs In Group Psychotherapy, Gabrielle W. Kaufman

Electronic Theses and Dissertations

As the political climate across the United States worsens for transgender and gender diverse (TGD) individuals (Harmon, 2025), it has become increasingly important to attend to the mental health needs of this population (James et al., 2016). Group therapy is a widely used treatment modality that is often more accessible than individual therapy (Burlingame & Strauss, 2021) and provides unique interpersonal opportunities (Burlingame et al., 2016). While it is expected that TGD individuals face unique challenges in group therapy due to their gender identities (Chen et al., 2020), very little is actually known about the experiences of TGD individuals participating …

The Experiences Of School Psychologists Serving Students With Traumatic Brain Injuries: A Phenomenology, E. Grace Ritchie

Electronic Theses and Dissertations

Traumatic Brain Injury (TBI) is a complex experience associated with a diverse constellation of symptoms and challenges. TBI scholars have extensively explored the varying needs of youth in the aftermath of a head injury. Likewise, recent literature details recommendations for school psychological services in support of these students. Such recommendations largely reflect insights drawn from broader TBI and disability research, integrated with the established scope of school psychologists’ practice (e.g., the National Association of School Psychologists Practice Model). Nevertheless, school psychologists’ perceptions of these students’ challenges have been inadequately examined. Such perspectives are likely valuable, given school psychologists’ unique training …

Behavioral Neuroscience Of Drug Addiction And Mental Disorder, Mona Muzammil, Muzammil Arshad, Washain Muzammil

School of Integrative Biological & Chemical Sciences (Formerly Dept. of Chemistry)

This book explores the molecular, cellular, and neurocircuitry systems in the brain that are responsible for drug addiction. Common neurobiological elements are emphasized that provide novel insights into how the brain mediates the acute rewarding effects of drugs of abuse and how it changes during the transition from initial drug use to compulsive drug use and addiction. The book provides a detailed overview of the pathophysiology of the disease. The information provided will be useful for neuroscientists in the field of addiction, drug abuse treatment providers, and undergraduate and postgraduate students who are interested in learning the diverse effects of …

A Clinical Pathway For Differential Diagnosis Of Adhd Vs Trauma: Early Childhood Recognition And Intervention, Maria Neiers

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Distinguishing Attention-Deficit/Hyperactivity Disorder (ADHD) from Complex Posttraumatic Stress Disorder (C-PTSD) presents significant diagnostic challenges due to overlapping symptom presentations, shared neurobiological impacts, and frequent comorbidities. This paper explores the nuanced clinical differentiation between ADHD and C-PTSD, and other trauma disorders, in pediatric populations, emphasizing the importance of trauma-informed assessment, early identification, and integrative clinical reasoning. The discussion highlights how structured diagnostic reasoning can reduce uncertainty, enhance diagnostic clarity, and support effective treatment planning. As a central contribution, this paper introduces an original clinical reasoning flowchart and a case conceptualization to illustrate its practical application in real-world diagnostic dilemmas. The need …

Essays On Economic Behaviour, Yiting Guo

Lingnan Theses (MPhil & PhD)

My PhD thesis comprises three studies. The first study examines prosocial behavior; the second analyzes vaccination behavior; and the third investigates communicative behavior in the context of trade. Specifically, the first study investigates the impact of donation visibility on individual prosocial behavior. It develops a sequential-move model based on the prosocial behavior framework proposed by Benabou and Tirole (2006). In Stage 1, individuals decide whether to attend a charity event, and if so, in Stage 2, decide on the amount to donate. In this model, an individual’s decision to engage in prosocial behavior is influenced by three main factors: intrinsic …

There Is No Finish Line: The Ramps Framework – An Evolving Model For Working With Racial Identities In Sport And Performance Psychology, Dylan Vas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The field of sport psychology has persisted in its calls for action on increasing cultural competence, being more inclusive of underrepresented identities, and progressing towards social justice (AASP, 2024b; Bejar et al., 2022; Fisher et al., 2003; Martens et al., 2000; Quartiroli, et al., 2023; Ryba et al, 2013; Ryba et al., 2024). This work attempts to contribute to these calls by providing attention on racial identity – including the proposal of an actionable and novel model, The Racial Identity Model of Psychology in Sport (RAMPS) Framework. The proposed model incorporates publications from sport psychology, clinical psychology, and social justice …

Playing Catch Up: A Brief Look Into Modern Internet Culture And Its Impact On Adolescent Male Development, Xavier Bird

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper argues that the internet, particularly the "manosphere," poses three significant threats to the development of adolescent males in the U.S.: the influence of misogynistic online personalities, the normalization of risky online behavior, and the spread of right-wing misinformation. The paper highlights the role of the COVID-19 pandemic in exacerbating these issues due to increased internet usage. Furthermore, it proposes a research study to investigate the link between exposure to online misogynistic content and aggressive behavior in schools, emphasizing the unique challenges of studying adolescents and their online culture. Finally, the paper stresses the urgent need for updated …

Proposed Theoretical Model Of Pediatric Onset Multiple Sclerosis And Restrictive Eating Behaviors, Anna L. Smith

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Multiple Sclerosis (MS), a chronic, demyelinating, autoimmune disease that causes an array of physical and cognitive symptomatology, is commonly diagnosed in adulthood. Pediatric Onset Multiple Sclerosis (POMS) is characterized by diagnosis of the disease before age 18 and accounts for about 5% of MS cases. While there is a growing body of literature examining the impact of adult-onset multiple sclerosis on psychosocial functioning, research specifically addressing POMS remains limited. Moreover, there is a notable gap in the literature regarding the risk of eating disorders among individuals with POMS. This paper will explore a constellation of potential risk factors that may …

Review Of Human Papillomavirus Vaccination Programs In United States Schools, Cassandra Duran, Aditi Gupta, Lynda Aririguzo, Norma Castillo, Sanghamitra M Misra

Faculty, Staff and Students Publications

Background: School vaccination programs (school-based and school-located) that include the human papillomavirus (HPV) vaccine have been implemented throughout the United States since 2009.

Methods: We conducted a review of school HPV vaccination programs in PUBMED, Google Scholar, Web of Science, Ovid, Medline, and Embase and included peer-reviewed studies originating in the United States that focused on any aspect of HPV school vaccination programs.

Results: Our review yielded 47 articles that fell into several categories: (1) parent and child perceptions, (2) school nurse perceptions, (3) development, (4) implementation, (5) outcomes, and (6) barriers and facilitators of HPV vaccination programs in schools. …

The Developmental Cohort Model Of Interpersonal Process Groups: A Clinician's Guide For University Counseling Centers, Lauren Caldas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this paper is to outline a clinician's manual that guides providers in the development, facilitation, and maintenance of long-term interpersonal process groups (IPGs) within university counseling centers (UCCs). This manual also presents a new model: The Developmental Cohort Model (DCM), which utilizes a stepped model throughout a traditional student's college timeline. I will present this manual in the context of the Developmental Cohort Model (DCM), but it can certainly remain useful for any type of IPG. Research suggests that group therapy is an effective way to increase access to mental health care (Burlingame & Strauss, 2021) and …

Growing Dreams: Enabling Rural High School Students' Healthcare Career Futures Via A Summer Camp, Minerva Gonzales, Adrian Billings, John Dijo, Katie Miller

Creating Healthy Work Environments (CHWE)

Rural health systems and hospitals are foundational to the health and economy of rural communities. Although rural healthcare organizations face multiple challenges, one of the most significant is recruitment and retention of the workforce. According to the American Hospital Association (2022), rural areas account for nearly 70% of Health Professional Shortage Areas (HPSAs). In addition, recruitment to a rural community can be difficult and retainment is even more challenging (Cosgrave et al., 2019). With these challenges in mind, an interdisciplinary and multi-institutional team collaborated to initiate a rural healthcare summer camp for rural high school students from the region at …

Contributing Factors To Low Airspeed On Climb-Out As A Precursor To Loss Of Control In Flight, Owen D. Poborsky

Journal of Aviation Technology and Engineering

The nature of aviation is not without inherent risk. Conducting training flight operations increases these inherent risks. Flight data monitoring and voluntary safety action programs seek to reduce risk, as seen in their success at commercial airlines. These successes are slowly permeating into general aviation through programs such as the National General Aviation Flight Information Database (NGAFID). The NGAFID is a program funded by the Federal Aviation Administration that allows general aviation operators to have the ability to collect and share de-identified flight data on an aggregate level to identify trends and increase safety margins during flight operations. This study …

Fostering A Healthy Work Environment: Assessing And Implementing Aacn Standards, Kelly O'Meara, Lauren Simon, Jacqueline Swindell, Nicolette Vaccaro

Creating Healthy Work Environments (CHWE)

This project examines the need for enhancing healthcare work environments. Healthy work environments (HWEs) provide increased job satisfaction, retention, and most importantly improved patient outcomes. Unhealthy work environments can lead to job dissatisfaction and poor performance, burnout, high levels of stress, and poor patient care. “To foster healthy work environments, the American Association of Critical-Care Nurses (AACN) established six standards, which include skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership” (AACN, 2016). To further study HWEs, the current work environment of a cardiac telemetry unit was assessed by way of interviews, a pre-survey, professional …

The Lived Experience Of Filipino Nurses Caring For Patients With Covid-19, Kristeline Suasin

Creating Healthy Work Environments (CHWE)

Reports of individuals exhibiting respiratory symptoms causing sudden deaths emerged as a pandemic in the start of a new decade. The onset of the novel Coronavirus Disease 2019 (COVID-19) as a worldwide health crisis brought out the significance of the nurses’ role in healthcare. This descriptive phenomenological research focused on the caring experiences of Filipino nurses among patients who were infected with COVID-19 in Negros Oriental, Philippines. Seven participants were identified through purposive and snowball sampling and were asked the question: What is it like to be caring for patients diagnosed with COVID-19 in Negros Oriental, Philippines during this pandemic? …

Path Analysis Of Filipino Nurses' Intent To Stay In The United Kingdom, Blaise B. Nieve, Sarah Bernadette L. Baleña

Creating Healthy Work Environments (CHWE)

Nature and Scope. Nurse attrition remains a significant issue in the UK, particularly among Filipino nurses, who form a substantial portion of the healthcare workforce.

Research Method. This descriptive-correlational study utilized path analysis to identify the best-fit model for predicting the intent to stay among Filipino nurses in the UK, based on job embeddedness, sociocultural adaptation, and job satisfaction. Purposive sampling was employed to recruit 553 respondents, all of whom were Filipino nurses of legal age, qualified to practice in the UK, and employed as registered nurses for at least one year in the public or private sector. Data were …

Enhancing Cataract Surgery Outcomes: Optimal Use Of Pre- And Post-Operative Eye Drops, Keith Skolnick M.D., Anu Valiaveedu

Mako: NSU Undergraduate Student Journal

Many preoperative and postoperative cataract patients struggle with comprehending the use of prescription medication as directed. Language barriers and low health literacy levels are major factors contributing to improper use of prescriptions. To increase patients comprehension, the Fort Lauderdale Eye Institute employed an educational intervention consisting of a live presentation and an instructional video. Results found that 44% of patients were hesitant to ask questions to clinical staff, 32% felt overwhelmed, and nearly 70% lacked confidence in using their prescribed eye drops. Following the intervention, 91% of patients reported increased confidence in their medications, and most indicated that the video …

“Can You Hear Me?” Teacher Stories About State-Mandated Standardized Testing, Michele I. Shelton

Educational Studies Dissertations

This study strives to understand teacher perceptions as a meaningful examination of state-mandated standardized testing's impacts on students and its outcomes by asking:

How do teachers experience the impact of state-mandated standardized tests on the students as evidenced in their stories?

What are the benefits and disadvantages to the use of state-mandated standardized tests?

To what extent has state-mandated standardized tests created inequalities in the educational system?

This study utilized a Narrative Research approach with [descriptive] interpretive qualitative research. Questionnaires and interviews were analyzed using the Thematic Inductive Analysis approach. The theoretical framework was adopted from Robinson & Robinson: centering …

Government Policies Influencing The Retainment Of Civil Engineers In Guyana's Public Sector, Gracelyn George

Walden Dissertations and Doctoral Studies

The low retention of civil engineers in Guyana’s public sector has impeded the execution of needed infrastructure projects in the country. The literature reviewed highlighted that there continued to be questions regarding why people leave engineering jobs. Moreover, there was a limited understanding of what societal attributes influenced the problem, while there continued to be a growing demand for civil engineers. The literature specific to government policies influencing the retention of civil engineers in the public sector was lacking, presenting an opportunity to expand the application of the policy feedback theory, which provided a lens for examining retention measures in …

Strategies To Mitigate Contractor Safety Noncompliance In The Construction Industry, Sallieann Wilson

Walden Dissertations and Doctoral Studies

Some contract managers lack clear communication channels with their contract stakeholders on construction safety noncompliance, which is a well-known industry challenge. Stakeholders, contractors, and workers of construction companies need to communicate more effectively with contract managers to ensure job-related injuries are minimized. Grounded in contingency theory, the purpose of this qualitative pragmatic inquiry research study was to explore the strategies contract managers use to mitigate contractor safety noncompliance with awarded contracts. Ten contract managers with more than 5 years of experience in contract or construction management participated in semistructured interviews guided by an interview protocol. Data were analyzed thematically, revealing …