Digital Commons Network^™

The Gut Microbiome’S Effect On Metabolic Syndrome, Kayla Turner

The PA Department Journal of Medical Science

Introduction: Metabolic Syndrome (MetS) is a chronic condition characterized by insulin resistance and low-grade inflammation. The purpose of this review is to focus on pre-/pro/symbiotic supplementation as a means of improving MetS parameters in place of pharmacological intervention.

Methods: PubMed was searched with the terms “metabolic syndrome”, “obese”, “obesity”, “overweight”, “insulin resistance”, “insulin sensitivity”, “probiotic”, “symbiotic”, and “bifidobacter*”. Operators and filters narrowed the results down to 55 results, 4 of which were picked due to their relevance and quality.

Results: The 4 articles chosen were RCT and a systematic review that explored the Bifidobacterium genus in relationship to the MetS …

Pharmacological Management Of A Spinal Cord Injury: A Review, Victoria A. Sumner

The PA Department Journal of Medical Science

Introduction

A spinal cord injury results from damage to the cord itself. People who experience such an injury often live with pain for the rest of their lives. This review aims to compare the effectiveness of gabapentin versus tramadol in managing post-spinal cord injury pain.

Methods

A search using the key terms “spinal cord injury,” “gabapentin,” and “tramadol” was conducted on PubMed. Five relevant results were identified after applying operators and filters to narrow down the articles. Of those five articles, four were reviewed in this analysis.

Results

All four articles directly compare gabapentin to a test substance. Three of …

Psilocybin Treatment For Refractory Depression: A Clinical Review, Hailey A. Jensen

The PA Department Journal of Medical Science

Introduction:

Depression is a widespread mental illness that affects a large portion of the world population and many of those who suffer from depression are resistant to treatment currently available. The purpose of this review is to compare the efficacy of psilocybin to the current available methods for the treatment of refractory depression.

Methods:

PubMed was searched with the key search terms: resistant depression, psilocybin therapy, and adults. Operators and filters narrowed down the search to 43 results. Four articles were then chosen based on quality and specificity with this review.

Results:

The articles included in this review compare the …

Hyaluronic Acid For The Treatment Of Knee Osteoarthritis: A Clinical Review, Victoria G. Morrison Cerda

The PA Department Journal of Medical Science

Introduction: Osteoarthritis of the knee (KOA) is a progressive degenerative disease of the knee joint characterized by knee pain and limited knee function which negatively impacts activities of daily living. Effective and safe IA treatments are needed to meet the needs of an ever-increasing population of those living with KOA. This clinical review aims to assess the effectiveness of IA hyaluronic acid compared to corticosteroids for pain management in KOA.

Methods: PubMed was searched using the key terms “hyaluronic acid injection”, “knee osteoarthritis”, “corticosteroid injection”, and “pain relief”. Modifiers and operators were applied, and results were narrowed to four relevant …

Beyond Steroids: A Head-To-Head Review Of Hyaluronic Acid And Prp In Knee Osteoarthritis, Phillip A. Sekander

The PA Department Journal of Medical Science

Introduction: Osteoarthritis of the knee is one of the most common primary complaints in the US. Newer injectable therapies that target specific cartilage degeneration are being developed. The purpose of this review is to compare the efficacy of PRP and HA injections for the management of knee osteoarthritis.

Methods: PubMed was searched using the key terms “osteoarthritis of the knee,” “hyaluronic acid,” “platelet-rich plasma,” and “management of pain.” This search was refined using MeSH terms, Boolean operators, and applied filters (English, free full-text, publication date between 2020-2025). Four articles were selected for in-depth review of the efficacy of platelet-rich plasma …

A New 17 U.S.C. § 108a: Restoring The Intellectual Property Clause's Balance In Copyright Consideration Of Digital Disruption And The Prevalence Of Onerous Licensing Practices, Caroline L. Osborne

Faculty Publications

Accessibility of knowledge and control over information is key to an informed public and democracy. The founding fathers recognized the benefits of an informed citizenry, enshrining this concept in the Intellectual Property Clause of the Constitution. Such a clause created a delicate balance between creator and consumer, incentivizing creation for the benefit of society. The beauty of the Clause is the concept of balance. Balance resting delicately on the fulcrum with the dual requirements of reward for creation and benefit to society. The evolution of the means and formats in which information is delivered to the consumer in the creation …

Employee Engagement And Retention Strategies For Merchandisers Within The First 90 Days Of Employment At Refresh Drinks - Mixed Methods, Valerie M. Williams

Doctor of Education Dissertations

This convergent mixed methods study examined employee engagement and retention strategies for frontline merchandisers during the first 90 days of employment at Refresh Drinks (pseudonym) in North Carolina and South Carolina. Guided by Herzberg’s (1959, as cited in Miner, 2005) Two-Factor Theory, the study investigated how onboarding, management engagement, professional development, career advancement, and recognition influenced early employee experiences and retention. Quantitative data were collected from 75 participants using Likert scale survey items, while qualitative data were gathered through open-ended responses to provide deeper insight into employee perceptions. Findings revealed that onboarding and management engagement were perceived as strong organizational …

An Exploratory Study In Sports Geography: The Interaction With The Environment And Sense Of Place In Endurance Running Events, Jackson Steffener

Dissertations and Theses @ UNI

This study examines how endurance running shapes runners' sense of place through interactions with physical environments, social dynamics, and embodied experience. With sports geography, it explores how participants form emotional and spatial connections to race settings while moving through varied landscapes under physical strain. A phenomenological multi-site case study design was used, focusing on four endurance events in Iowa that differed in terrain, setting, and structure.

Data were collected from 46 participants using mental mapping and semi structured field notes. Mental maps identified meaningful locations along race courses, while field notes captured emotional responses, environmental conditions, and social interactions. Thematic …

Distillation Laundering: Regulatory Arbitrage And A Potential Beijing Effect In Ai, Laura Edelson, Filippo Lancieri

Georgetown Law Faculty Publications and Other Works

This essay introduces distillation laundering, a new form of regulatory arbitrage. Distillation, a technique for training large language models based on the outputs of other models instead of from scratch, is generally prohibited by the terms of service of closed-weight frontier models. However, it is economically efficient and has been key to the success of the cheap, distilled (largely Chinese) open-weight models, which have reshaped the global political economy of AI regulation. US companies have now begun to re-import the effects of distillation through various means—a process we call distillation laundering. We also discuss how attempts to lobby these models …

Annual Reports Of The Town Of Seabrook, New Hampshire For Year Ending December 31, 2025 As Compiled By Town Officers, Seabrook Town Representatives

Seabrook, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Adults With Dyslexia: Experiences Accessing And Using Reading Strategies And Assistive Technology, Brenda Rosalie King

Graduate Student Theses, Dissertations, & Professional Papers

Dyslexia is a specific learning disorder of neurobiological origin characterized by persistent difficulties with accurate and/or fluent reading, word recognition, spelling, and decoding. Although dyslexia is widely recognized as a lifelong learning difference, the majority of research has historically focused on children and adolescents, with less attention given to adult experiences. The purpose of this study was to explore how adults with dyslexia access and use reading strategies and assistive technologies to support reading comprehension and independence across contexts. The study also examined barriers and supports influencing access to these tools, as well as the emotional experiences associated with their …

Expectations In The Preservation Of Dna And Bacterial Organisms In Differential Montana Burials, Kaylee M. Hinds

Graduate Student Theses, Dissertations, & Professional Papers

This study investigates patterns of decomposition and biomolecular preservation in domestic pig (Sus scrofa domesticus) proxies under varying burial conditions in a cold, seasonal climate. Conducted at the Lubrecht Experimental Forest in western Montana, the project aims to evaluate DNA degradation, microbial activity, and environmental influences across shallow, deep, surface, and secondary burial contexts. Three pigs were placed in distinct burial treatments (surface exposure, partial burial, and full burial), with a fourth site later added following bear disturbance and carcass relocation. Environmental monitoring included temperature, and soil sampling before and throughout the decomposition process. Systematic sampling of bone, soft tissue, …

An Ecology Of Small Sorrows: Small Animals And The Fragile Ecosystems Inside Us, Haley H. Yarborough

Graduate Student Theses, Dissertations, & Professional Papers

In An Ecology of Small Sorrows, Haley Yarborough uses a series of personal essays to explore how encounters with small life shape her understanding of herself. This collection is inspired by many talented writers — Lucy Cooke’s insights into animal biology, Andy Weir’s humor and knack for explaining complicated topics, Ben Goldfarb’s insightful exploration of the overlooked, and Sabrina Embler’s beautiful, poetic reflections on the natural world.

These essays touch on how small animals serve as mirrors for us, through our experiences with illness, loss, insecurity, and survival. While a lot of modern media emphasize larger, charismatic species to tell …

Advancing Understanding Of Lived Experience Of Unhoused People To Reduce Social Stigma And Promote Community Health: A Theoretically-Guided Photovoice Study, B-Rad Stephen Applegate

Graduate Student Theses, Dissertations, & Professional Papers

Homelessness is a persistent public health challenge shaped by structural inequities, stigma, and exclusion from social and health systems. Community-Based Participatory Research (CBPR) has increasingly been used to center the knowledge of people who are unhoused, yet limited attention has been given to the theoretical frameworks guiding this work across disciplines. The purpose of this dissertation was to examine theories and methods used in CBPR with unhoused populations and to explore the extension of Margaret Newman’s Theory of Health as Expanding Consciousness from a nursing-focused theory to a public health framework for understanding lived experience.

Using a scoping review methodology …

Embodied Women’S Health In The Pacific: Biocultural Pathways Of Hormones, Immunity, And Reproduction, Courtney Callidora Manthey

Graduate Student Theses, Dissertations, & Professional Papers

This dissertation examines women’s health through a biocultural framework that integrates biological anthropology, medical anthropology, and public health, with a central focus on the Pacific. It advances embodiment theory as a unifying approach for understanding how lived experience becomes biologically incorporated across the life course, shaping reproductive, endocrine, and immune outcomes. Grounded in research in Sāmoa and situated within broader comparative contexts in the United States and Amazonian populations, this work argues that women’s health cannot be fully understood through biomedical indicators alone, but must instead be interpreted within historically, culturally, and environmentally embedded Pacific contexts and beyond. The dissertation …

Promoting Hope And Resilience: Measuring The Psychological Effects Of An Undergraduate Climate Change Education Course, Clare Bridgett Maguire

Graduate Student Theses, Dissertations, & Professional Papers

The psychological effects of climate change are increasing, which has led to an increase in advocacy to research these effects. Current literature has included a focus on categorizing and understanding the psychological impacts, creating psychometrically sound instruments to measure the effects, and education as a tool to enhance coping strategies. However, limited research exists on measuring the emotional outcomes for students who engage in climate change education at the post-graduate level.

This dissertation explores the effects of an undergraduate-level climate change course on participants’ experiences of eco-anxiety, ecological grief, resilience, and hope to better understand the psychological effects of climate …

Ghostly Grieving In Theatre’S Now Also The Dramaturgy Of Perception And The Body In Contemporary American Ghost Plays, Jacob Mann Christiansen

Graduate Student Theses, Dissertations, & Professional Papers

“Ghostly Grieving in Theatre’s Now Also” explores how contemporary American plays and playwrights stage the dead as a way of understanding theatre’s unique language for dealing with the shared, complex human experience of grief. Focusing on theatrical ghosts and other “impossible” presences, I articulate how these figures function as dramaturgical devices. I also argue that theatre’s ghosts “set the stage” (as it were) for communicable meaning-making by inviting audiences into the tasks of creation and mourning.

My work draws on performance theory (especially phenomenological accounts of theatrical storytelling), on dramaturgical analysis, and on grief studies. In this dissertation project, I …

Á’Po’Taki Iiyika’Kimaa Work/Try Hard For Such A Time As This, Misamsai’Piaakíí Longtime Charging Woman Kimberly Lynn Paul

Graduate Student Theses, Dissertations, & Professional Papers

This body of work adds to a recent shift in the academic landscape, valuing interdisciplinary research and Indigenous worldview. Predominant is the reversal of extractive research norms within Indigenous populations and the biosystems they steward, instead claiming Piikani (Blackfeet) led community-needs-based research valuing Indigenous data sovereignty, research methodologies, ethics, equity, and Indigenous empowerment. This research proffers requisite historical information providing the ‘why’ context, followed by three of the author’s studies: in toxic dumping, food sovereignty, and Piikani well-being. Under an environmental justice framework, the first study presents a cursory investigation of decades-long illicit toxic waste disposal reports linked to observed …

Hidden Wounds: Exploring Moral Injury In Childhood Exposure To Domestic Violence, Megan Elizabeth Denny

Graduate Student Theses, Dissertations, & Professional Papers

The profound impacts of Childhood Exposure to Domestic Violence (CEDV) have been documented extensively, revealing long-term psychological effects such as the potential development of post-traumatic stress disorder (PTSD) and increased likelihood of future victimization or perpetration of violence. Yet, the concept of moral injury (MI) traditionally explored in military and healthcare contexts, remains significantly underexplored in populations exposed to CEDV. This study examines the relevance of MI among individuals who experienced domestic violence (DV) during their youth. The research focused on two primary aims: (1) to describe the level and variability of moral injury-related distress among adults with histories of …

Characterizing Regional Human Necromicrobiome Communities In A Semi-Arid Desert To Inform Postmortem Interval (Pmi) Estimation, Georgia Rane Swelstad

Graduate Student Theses, Dissertations, & Professional Papers

Accurate estimation of the postmortem interval (PMI) remains challenging in forensic anthropology, particularly in arid and high-elevation environments where decomposition processes and insect activity are highly variable. Postmortem microbial succession has emerged as a promising alternative framework for PMI estimation. However, the effects of climate and elevation on microbial decomposition dynamics remain insufficiently characterized.

This study examines skin-associated microbial succession in human remains decomposing at the Forensic Investigation Research Station (FIRS) in western Colorado, a semi-arid, high-elevation environment. Microbial samples collected from five anatomical sites during the early postmortem interval are analyzed using 16S ribosomal RNA (rRNA) gene sequencing, and …

The Subadults Of Casas Grandes: A Bioarchaeological Study, Holli Kaye Mcdonald

Graduate Student Theses, Dissertations, & Professional Papers

Across the span of nearly eight hundred years, from AD 700-1450, the societies of the Casas Grandes region waxed and waned and left an astounding representation in the archaeological record. Best-known through the temporally older site of Convento (occupied during what is known as the Viejo Period) and the later site of Paquimé (occupied during the Medio Period), gradual cultural expansion and florescence across this period are witnessed through a variety of findings across decades of anthropological investigation.

Along with the artifacts and architecture unveiled during initial excavations at Paquimé and Convento, remains of 654 individuals were catalogued as well. …

The Forensic Implications Of Hydrochloric Acid (Hcl) Exposure On Dna Preservation In Human Teeth, Shaelyn Lee Zimmerman

Graduate Student Theses, Dissertations, & Professional Papers

Identity is a human right, and forensic anthropological methods are often aimed at returning identity to decedents. Three main pathways are used for the identification of human remains: fingerprints, dental records, and DNA analysis. Identification efforts may be hindered when perpetrators attempt to obscure the victim’s identity. In cases where corrosive substances, such as hydrochloric acid (HCl) are used, dental comparison and fingerprinting often fail and genetic analysis becomes the best chance of achieving personal identification.

Previous studies have shown teeth are an excellent source of DNA. Large, multi-rooted teeth, such as molars, are often preferred because they contain the …

Skeletal Dna Mapping Of The Post-Cranial Skeleton For The Identification Of Human Remains In A Modern Forensic Context, Mykala Denise Ward

Graduate Student Theses, Dissertations, & Professional Papers

Human identification is a central goal of forensic anthropology and forensic molecular anthropology, particularly when remains are skeletonized, fragmented, degraded, or otherwise visually unidentifiable. Although skeletal elements such as teeth, the petrous portion of the temporal bone, and major long bones are commonly prioritized for DNA sampling, they are not always available, intact, or suitable for destructive analysis. This dissertation evaluates DNA preservation across the post-cranial skeleton to determine whether anatomical location, biological sex, and age-at-death influence DNA quantity and downstream forensic genetic success.

Surface cortical bone samples were collected from predetermined anatomical locations across four modern skeletonized individuals. DNA …

“An Extremely Dangerous Institution:” The Cultures And Controversy Of Public Social Dances In Montana, 1900-1930, Danielle Allison Brown

Graduate Student Theses, Dissertations, & Professional Papers

This paper explores public social dances east of the Continental Divide in Montana from 1900 to 1930. Rural social dances in schoolhouses and urban dances in dance halls created two different dance cultures. The relaxed nature of rural dances preserved the traditional values of nineteenth-century social dances, which reinforced community and family ties. Urban dances reflected the modern fads of the roaring twenties and challenged traditional values with sexual suggestiveness. Progressive Era moral reformers concerned about the possibility that social dance promoted illicit sexuality participated in an anti-dance movement and pushed for regulations of social dances. The anti-dance movement in …

Unmuted: An Augmentative And Alternative Communication User’S Experience In Accessing And Engaging In Mental Health Care, Kanbi Faith Knippling

Graduate Student Theses, Dissertations, & Professional Papers

Communication accessibility is a critical yet underexamined factor influencing access to and engagement in mental health care for individuals who use augmentative and alternative communication (AAC). Existing literature suggests that AAC users experience significant barriers to obtaining communication-accessible mental health services, including limited provider preparation, communication-related assumptions, and broader structural inequities. Despite growing recognition of these concerns, little research has explored how AAC users experience and navigate mental health counseling or how communication accessibility shapes participation in care.

This single-case study explored communication accessibility within the context of an adult AAC users' experiences accessing and engaging in mental health counseling. …

An Institutional And Policy Analysis Of Climate Adaptation In Dhaka, Bangladesh: An Examination Of Urban Heat Island Mitigation Strategies, Tamanna Binte Mesbah

Graduate Student Theses, Dissertations, & Professional Papers

This thesis examines the institutional capacity for Urban Heat Island (UHI) mitigation in Dhaka, Bangladesh, focusing on governance structures, institutional arrangements, and implementation effectiveness. An analytical framework is applied to assess the capacity of key urban institutions including Rajdhani Unnayan Kartripakkha (RAJUK), Dhaka North City Corporation (DNCC), Dhaka South City Corporation (DSCC), and the Department of Environment (DoE) across dimensions of leadership, resources, coordination, and learning capacity. The study also examines governance dynamics such as inter-agency coordination, knowledge exchange, and mobilization capacity as they relate to the planning and implementation of heat mitigation strategies. Through semi-structured expert interviews the research …

High Algal Biomass Is Decoupled From Metabolism In The Gallatin River, Cora Mae Steinbach

Graduate Student Theses, Dissertations, & Professional Papers

Assessing eutrophication in rivers is difficult compared to lakes and coastal waters, because most algal biomass occurs on the riverbed and flows interact and co-vary with production (Biggs and Close, 1989; Bernhardt et al., 2018). Riverine eutrophication is typically assessed using algal biomass and water column nutrients (U.S. Environmental Protection Agency, 2000), but biomass is highly variable and labor-intensive to measure, while nutrient concentrations often underestimate enrichment due to rapid biological uptake (Dodds and Smith, 2016). Reach-scale river metabolism can help evaluate long-term functional change in rivers recovering from nutrient enrichment (Arroita et al., 2019; Jankowski et al., 2021; Diamond …

Building Trust Through Partnership: A Community Advisory Board Self-Evaluation Within A Blackfeet Nation Community-Based Participatory Research Collaboration, Lauren Dupuis

Graduate Student Theses, Dissertations, & Professional Papers

Community Advisory Boards (CABs) are frequently used within community-based participatory research (CBPR) to promote community engagement, shared decision-making, and cultural responsiveness. Although CABs are widely utilized in Indigenous research partnerships, relatively few studies have evaluated CAB function from the perspectives of Indigenous community members. Our study describes the development of a CAB established through a collaborative partnership between the University of Montana and the Blackfeet Nation and evaluates the quality and impact of the partnership from the perspectives of CAB members. We conducted a mixed-methods partnership self-evaluation with members of a CAB supporting an Indigenous healthcare research initiative. Three of …

Growing Agroecology: Two Case Studies From The U.S. Student Farm Movement, Amelia B. Armstrong

Graduate Student Theses, Dissertations, & Professional Papers

Scholars and activists identify agroecology as a crucial science, practice, and movement to move towards more just, equitable, and sustainable agriculture and food systems. Yet, the exploitative industrial food system, that deepens inequalities like food insecurity (Clapp et al., 2025), reduces farmer autonomy (Rotz, 2015), and contributes to increased carbon emissions (Lin et al., 2011) and biodiversity decline (Rotz, 2015), still dominates. Understanding and mobilizing the different spaces that teach agroecology, then, is a crucial step in challenging the dominant industrial food system. Agroecology education in university settings is an important domain to investigate as potential contributors to this movement, …

"More Boldly I Shall Go:" Jacobites, Hanoverians, And The Fabrication Of Nostalgia, 1745-1766, Jacob Louis Shropshire

Graduate Student Theses, Dissertations, & Professional Papers

This study investigates how Jacobites and Hanoverians constructed competing forms of nostalgia, identity, and political meaning in the decades after the rebellion of 1745. Although the defeat of Prince Charles Edward Stuart at Culloden ended any realistic hope of a Stuart restoration, it sparked a cultural struggle in which both supporters and opponents of the Stuarts depicted the Highlander as a symbol of heroic resistance or barbarism. A psychic struggle emerged as a result, and the Highlander became beloved by Jacobites and loathed by Hanoverians. These representations circulated through paintings, engravings, clothing, glassware, newspapers, pamphlets, and verse, which became central …