Digital Commons Network^™

Spatial Association Of Acute Respiratory Infection, Diarrhea, And Low Birth Weight With Stunting Prevalence In Indonesia, 2024, Dian Rosadi, Husaini Husaini, Triawanti Triawanti, Musafaah Musafaah

Kesmas

Stunting remains unevenly distributed across Indonesia, but national evidence integrating spatial analysis and spatial regression is limited. This study examined the spatial distribution of stunting and its associations with acute respiratory infection (ARI), diarrhea, and low birth weight (LBW) across Indonesian provinces. An ecological cross-sectional study used data from the 2024 Indonesian Nutritional Status Survey. Stunting-only analyses included all 38 provinces, whereas analyses involving ARI, diarrhea, and LBW included 37 provinces with complete data. Spatial analyses used a row-standardized symmetric four-nearest-neighbor spatial weights matrix and included Global Moran’s I, bivariate spatial analysis, Local Indicators of Spatial Association, ordinary least squares, …

Implementing A Routine Fall Risk Assessment In Older Adults In An Inpatient Psychiatric Setting, Amaka Obi

Walden Dissertations and Doctoral Studies

The purpose of the project was to implement and evaluate a structured fall risk assessment process that promoted the early identification of patients at increased risk for falls and supported interventions designed to prevent fall-related events. A pre- and post-implementation evaluation design was used to assess the intervention's effectiveness by comparing fall rates before and after implementation of the standardized assessment protocol. De-identified data obtained from the electronic health record (EHR) were analyzed using descriptive statistics to evaluate changes in fall incidence and protocol adherence. The project findings demonstrated that provider-led, standardized fall-risk assessments improved screening compliance, provider adherence, and …

A Discursive Analysis Of Lesbian And Queer Experiences Of Unwanted Consensual Sex, Sarah E. Swanson

Graduate Doctoral Dissertations

This study drew on a critical discursive psychology (CDP) analytical approach to examine how lesbian and queer participants made sense of unwanted consensual sex (UCS).  The data analysis traced how UCS was constructed on three discursive levels: the construction of UCS across narratives, the interpretive repertoires mobilized (including sexual scripts), and the broader sociocultural discourses that shaped what elements of their experiences were intelligible. Therefore, I sought to understand both how participants drew on familiar heteronormative and queer ways of talking about sex and how various discursive resources shaped how they could construct themselves and others. Data for this research …

“School’S Not For Me. I Don't Belong In School.”: Students With Dis/Abilities’ Perspectives On Special Education During State Intervention, Leila E. Parks

Graduate Doctoral Dissertations

This qualitative study presents the lived experiences of 10 racialized teens with dis/abilities who received special education services in the Boston Public Schools during state intervention. As a youth participatory action research collective, the young people in the study’s Youth with Dis/Abilities Research Group explored issues of inclusion and exclusion, ableism, racism, and safety at school. The project was framed by dis/ability critical race studies, incorporating aspects of critical race theory and disability studies in education. Based on stories expressed through free-writes, poetry, drawings, interviews, and group conversations, the racialized teens with dis/abilities shared negative school experiences overall. Though most …

Our Claims Matter: Latin American Migrants’ Nonviolent And Everyday Resistance Across Transnational Spaces, Pryanka Penafiel-Cevallos

Graduate Doctoral Dissertations

This dissertation examines how Latin American migrants engage in nonviolent resistance across transnational spaces in Ecuador, challenging dominant narratives that portray migrants primarily as passive actors or humanitarian subjects. Focusing mainly on Venezuelan, Colombian, and returned Ecuadorian migrants, the study places migrants’ political agency at the center of analysis. It asks how migrants resist, for what purposes, and under which conditions they mobilize nonviolent and everyday resistance practices to claim rights, dignity, and human security in a host country marked by both legal innovation and growing exclusion.

Drawing on civil resistance theory, everyday resistance approaches, and migration scholarship, the research …

Ai Parameters For Enhancing Spine Surgery Outcomes: A Narrative Review, Victoria Verrengia, Frank Vrionis

All Publications

Background and objective: Artificial intelligence (AI) is increasingly applied in spine surgery for diagnosis, operative planning, intraoperative guidance, and outcome prediction. However, reported technical performance does not always translate into clinical reliability. This narrative review evaluates how parameter-level decisions influence the reliability and clinical translation of AI models in spine surgery.

Methods: A structured literature search of PubMed, Scopus, and Google Scholar was performed for English-language studies published from January 2015 through March 2025. Search terms combined spine surgery concepts with AI, machine learning, deep learning, hyperparameters, learning rate, feature selection, regularization, model validation, and training strategy. Studies were synthesized …

The Difficulty In Defining The Construct Of Perseverance, Davon W. Ferrara, Linda W. Jones

Papers

Perseverance is a character virtue necessary for flourishing in the STEM disciplines; however, there are competing definitions of perseverance in scientific literature, which makes measuring the trait and researching its impact difficult. This work provides a review of the definitions of construct found within the literature and compares it to conflated terms such as grit, persistence, resilience, and self-efficacy that have related, but distinct meanings. Finally, we summarize the role of perseverance in STEM and what factors may influence its formation.

The authors gratefully acknowledge support from the Belmont Formation Collaborative and the Formation Scholars Cohort for Character Research and …

The Difficulty In Defining The Construct Of Perseverance, Davon W. Ferrara, Linda Jones

Posters

Perseverance is a character virtue necessary for flourishing in the STEM disciplines; however, there are competing definitions of perseverance in scientific literature, which makes measuring the trait and researching its impact difficult. This work provides a review of the definitions of construct found within the literature and compares it to conflated terms such as grit, persistence, resilience, and self-efficacy that have related, but distinct meanings. Finally, we summarize the role of perseverance in STEM and what factors may influence its formation.

The authors gratefully acknowledge support from the Belmont Formation Collaborative and the Formation Scholars Cohort for Character Research and …

Modeling Kinetics Of 5-Aminolevulinic Acid-Induced Protoporphyrin Ix Accumulation For Optimal Photodynamic Therapy, Priscilla Melebor

Graduate Masters Theses

Photodynamic therapy (PDT) is a minimally invasive treatment that uses light-activated photosensitizers to selectively destroy diseased tissue through the generation of reactive oxygen species. However, conventional in vitro models often fail to accurately reproduce the pharmacokinetics of photosensitizer accumulation and clearance observed in vivo. This study investigated protoporphyrin IX (PpIX) accumulation following 5-aminolevulinic acid (ALA) exposure under physiologically relevant conditions using two-dimensional (2D) monolayers and three-dimensional (3D) spheroids. By comparing continuous ALA exposure with transient exposure followed by ALA washout, this work provides a more biologically relevant framework for studying PpIX kinetics and optimizing photodynamic therapy.

Crosstalk Between Upr And Mitochondria: The Triad Of Er-Mitochondria Contacts, Ca²⁺, And Ros, Ester Zito, György Hajnóczky

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Endoplasmic reticulum (ER) stress is triggered by several cellular perturbations causing protein misfolding, and activates the unfolded protein response (UPR), an initially adaptive signaling network that aims to restore ER and cellular homeostasis. Growing evidence indicates that UPR signaling extends beyond ER proteostasis, influencing mitochondrial function and bioenergetics through ER-mitochondria contact sites (ERMCs). The CHOP-ERO1A-IP3R axis has a primary role in recruiting mitochondria to adaptive UPR. However, its sustained activation renders UPR signaling maladaptive, leading to mitochondrial dysfunction through both outer mitochondrial membrane permeabilization (OMMP) and mitochondrial permeability transition pore (mPTP) opening, ultimately contributing to irreversible cell injury and disease …

Leading Change In Healthcare: Building Systems, Retaining Nurses, And Creating Healthy Workplaces, Kaynabess Freda, Lisa A. Seldomridge, Crystal Devance-Wilson, Kimberly Hampton, Abigail Johnson

International Nursing Research Congress (INRC)

Nurse retention remains a significant international challenge, especially in acute care hospitals where workplace culture, belonging, and professional growth strongly influence retention (Lal, 2024; NursingSolutions, Inc., 2024). The need for effective retention strategies is amplified by factors such as the limited supply of experienced nurses causing hiring delays, declining enrollment in nursing programs, and an aging nursing workforce (AACN, 2024; WHO, 2025).

This presentation shares results from a collaboration among the Maryland Nursing Workforce Center, Lead Nursing Forward, and the Maryland Action Coalition to assess retention strategies in acute care hospitals. Two surveys were developed using the six Nurse Staffing …

How Do Governments Combat Jihad Online?, Noah Cook

Honors College Theses

Since the September 11th, 2001 attacks, jihadist groups like ISIS, al-Qaeda, and al-Shabaab have used the internet as a tool for recruitment, radicalization, and propaganda dissemination. Since then, governments, non-governmental organizations, and private companies have developed strategies to combat jihadism on the internet. This paper examines how these actors have worked to mitigate the digital jihadist footprint and its effects by analyzing three main approaches to countering violent Islamist extremism on the internet: counter narrative initiatives, awareness-raising programs, and content removals. This paper finds that each of these methods has its own strengths and weaknesses. Counter narrative campaigns show the …

The Impact Of Inclusive Leadership And Leader Cultural Intelligence On The Work Engagement Of Migrant Employees, Dena Semonia Whittle

Walden Dissertations and Doctoral Studies

With the rise of globalization and the growing demand for skilled workers, the number of foreign-born employees in the American workforce has grown significantly over the last 20 years. These numbers continue to grow, as the upward trend of foreign-born employees has been even more significant over the last 5 years. However, despite having a now more diverse workforce, there are still signs of discrimination and unequal treatment of migrants in the workplace. Such mistreatment has been linked to health-related, occupational, and psychological consequences and has been negatively associated with work engagement. The purpose of this quantitative study was to …

Clinical Outcomes Of Adjunctive Use Of Oxygen-Releasing Formula In Non-Surgical Treatment Of Periodontal Abscess Associated With Type 2 Diabetes Mellitus, Anil Kumar Kanakamedala, Laxmi Kavya Gangireddy, Gautami S Penmetsa, Sruthima Gottumukkala, Mohan Kumar Pasupuleti, Konathala Santhosh Venkata Ramesh

Journal of Dentistry Indonesia

Background: This study aimed to evaluate the effectiveness of oxygen-releasing formula (ORF) as an adjunct in the non-surgical management of periodontal abscess in patients with type 2 diabetes mellitus.

Methods: This split-mouth clinical trial was conducted on 14 patients with periodontal abscess with type 2 diabetes mellitus (T2DM), who were divided into a control group, nonsurgical periodontal therapy (NSPT) alone, and a test group (NSPT+ORF). Parameters such as Landry's healing index (HI) were evaluated at 1 week, 2 weeks, and 1 month. Probing pocket depth (PPD), clinical attachment level (CAL), and bleeding on probing presence or absence (BOP) …

Diode Laser And Conventional Ferric Sulfate Pulpotomy In Deciduous Molars: Comparative Outcomes In Myanmar Children, Moe Myat Noe Phyu Dr, Ei Ei Myo, Soe Naing

Journal of Dentistry Indonesia

Background: Pulpotomy is a widely accepted treatment for carious exposure of vital primary molars, using various medicaments. Currently, lasers have emerged as a non-pharmacologic pulpotomy technique. However, comparative clinical studies in Myanmar remain limited. This study aimed to compare the effectiveness of diode laser and conventional ferric sulfate pulpotomy in deciduous molars among children in Myanmar.

Methods: A total of 40 deciduous mandibular molars requiring pulpotomy treatment were selected from children between 4 and 8 years of age. The subjects were randomly assigned to the diode laser group (Group A) or the ferric sulfate group (Group B) using …

The Association Between Hypodontia, Supernumerary Teeth, Cleft Type, And Cleft Side In Pediatric Non-Syndromic Cleft Patients In Malaysia, Tan Hwa En, Mohammad Majduddin Sulaiman, Norsamsu Arni Samsudin, Nurhafizah Ghani

Journal of Dentistry Indonesia

Background: Cleft lip and palate are the fourth most common congenital facial anomalies worldwide. Cleft patients have a higher prevalence of dental anomalies than the general population. This study aimed to evaluate the prevalence of hypodontia and supernumerary teeth among the permanent teeth of pediatric patients with clefts at Hospital Pakar Universiti Sains Malaysia (USM).

Methods: A retrospective record review study was conducted using dental records and panoramic radiographs from 64 non-syndromic cleft patients aged 6 to 17 years who attended Hospital Pakar USM between 2019 and 2024. Inter-examiner reliability for the assessment of hypodontia was strong, with …

Psychosocial And Functional Impact Of Temporomandibular Disorder Subtypes Among Adults: A Cross-Sectional Study In Indonesia, Ni Luh Dewi, Wita Anggraini, Maria Valiente-Lopez, Carolina Marpaung

Journal of Dentistry Indonesia

Background: Temporomandibular disorders (TMDs) affect psychological, functional, and pain-related aspects of oral health-related quality of life (OHRQoL). However, the differential impact of pain-related and non-pain-related TMDs remains limited. This study aimed to evaluate the impact of different TMD subtypes on psychological distress, jaw function, and OHRQoL in young adults and to determine whether pain-related TMDs exert a greater effect than non-pain-related TMDs.

Methods: In this cross-sectional study, 278 university students (aged 18–24 years) were categorized into no TMD (NT), pain-related TMD (PT), intra-articular TMD (IT), and combined TMD (CT). Diagnoses were made using the 5Ts Questionnaire screening tool …

Investigation Of Patients' Use Of Non-Pharmacological Substances In Dental Pain Management, Neslihan Yılmaz Çırakoğlu, Özgenur Kaya

Journal of Dentistry Indonesia

Background: Dental pain is a complex condition influenced by biological, biochemical, environmental, and psychological factors. Before seeking professional care, many patients attempt to relieve dental pain using self-administered, non-medical agents. This study aimed to investigate patients’ use of non-pharmacological substances in dental pain management and to identify factors influencing these practices.

Methods: The questionnaire consisted of four sections addressing demographic characteristics, oral hygiene habits, pain characteristics, and pain-relief agents. Categorical variables were analyzed using Pearson’s chi-square test. Categorical data are presented as frequencies and percentages, while continuous data are expressed as mean ± standard deviation and median values. …

The Correlation Between Medication Adherence, Blood Glucose Levels, And Quality Of Life In Patients With Type 2 Diabetes Mellitus At Ciamis Regional Hospital, Amyla Putri Nurul Nazmi, Nur Rahayuningsih, Lusi N

Pharmacology and Clinical Pharmacy Research

Type 2 diabetes mellitus is a chronic condition requiring continuous treatment, including patient adherence to prescribed medication. This study aimed to explore the relationship between medication adherence, blood glucose levels, and quality of life in patients with type 2 diabetes mellitus at Ciamis Regional Hospital, conducted from January to March 2025, the research employed a quantitative, prospective cross-sectional design involving 49 hospitalized patients. Data included blood glucose levels (RPG, FPG, 2hPG), medication adherence measured using the Medication Adherence Report Scale (MARS-5), and quality of life assessed via the Diabetes Quality of Life-Brief Clinical Inventory (DQOL-BCI). The chi-square test was used …

Analysis Of Pharmacotherapy And Non-Pharmacotherapy Burden From The Ina-Cbgs Package For Cesarean Section Surgery At The Regional General Hospital Dr. Soedarso In 2023, Ananda Rizky Awwaliyah, Nurmainah Nurmainah, Ridha Ulfah

Pharmacology and Clinical Pharmacy Research

The prevalence of cesarean sections has been increasing each year. Previous studies show that the cost of medications and medical supplies for cesarean patients accounts for one-third of the total care costs. In the era of National Health Insurance (NHI), medications and medical supplies are considered operational expenses for hospitals rather than sources of income. This condition requires proper medication management and the use of medical supplies. This study aims to analyze the percentage of pharmacotherapy and non-pharmacotherapy, including the types and quantities of medications as well as disposable medical supplies used on patients undergoing cesarean section procedures at the …

Alexithymia In Substance Use Disorders: A Scoping Review Of Therapeutic Approaches, Pratami Diah Herliani, Shelly Iskandar, Angela Vera Herman Efendi

Pharmacology and Clinical Pharmacy Research

Alexithymia, defined as the inability to recognize and express emotions, has a high prevalence (40–50%) among individuals with substance use disorders (SUD), particularly alcohol use disorder, and is associated with poorer clinical outcomes. Despite this, comprehensive mapping of psychotherapeutic interventions targeting this condition within the SUD population remains limited. This study aimed to systematically map the therapeutic approaches investigated to address alexithymia among individuals with substance use disorders and to summarize the reported outcomes. A scoping review was conducted in accordance with the PRISMA-ScR guidelines using systematic literature searches in the PubMed and Scopus databases. Relevant studies were screened based …

Effect Of Vocational Training Programs On The Mental Health Of Indian Women Living In Contexts Of Urban Poverty (Or Urban Slums), Sriramya Potluri

Graduate Doctoral Dissertations

Women living in contexts of urban poverty (IWLCUP) experience disproportionately high rates of psychological distress, yet their mental health needs remain largely underrecognized. Beyond individualized explanations, broader ecological perspectives situate these women’s distress within previously underemphasized macrolevel forces and acknowledge the role of inequity and related structural disparities (e.g., economic, sociocultural, political etc.) in their oppression and disempowerment, thereby contributing to increased psychological vulnerability. Such frameworks call for intervention efforts that reduce individual psychological risk by addressing structural determinants proximally and distally impacting the lives of IWLCUP. Specifically, targeting poverty and economic insecurity might drive positive downstream effects that ultimately …

Spiraling Up, Spiraling Down: A Multi-Level Study Of Social Value Creation And Community Capitals In A Mexican Social Enterprise, Karla M. Corres Luna

Graduate Doctoral Dissertations

This dissertation examines how a social enterprise creates social value and, through the same intervention, erodes it in the communities it serves. Research on social entrepreneurship has theorized value largely from the organizational viewpoint, measured it at a single point in time, and rested on an unexamined aggregation assumption: that gains delivered to individual households sum into well-being at the level of the community. This study holds that assumption up to community-level, participant-centered evidence. Through three qualitative studies of a participatory housing model implemented by a social enterprise in two informal settlements in Querétaro, México, it analyzes social value creation …

Informationally Complete Measurements In Quantum Theory: Implementation, Geometry, And Correlations, Sachin Gupta

Graduate Doctoral Dissertations

Informationally complete measurements provide a bridge between the operational and geometric structure of quantum theory. They allow quantum states to be reconstructed from measurement probabilities. This thesis studies informationally complete measurements from two complementary perspectives: their physical implementation and their role in the probabilistic reconstruction of quantum theory.

The first part develops a symmetry-driven Naimark extension for rank-one Weyl- Heisenberg covariant Projective Operator-Valued Measures (POVMs) in arbitrary finite dimension. Since every element of such a POVM is generated from a single fiducial state by the Weyl-Heisenberg displacement operators, the full measurement inherits a strong covariance structure. We show that this …

Towards The Development Of Targeted And Quantitative Mass Spectrometry Methods For The Investigation Of Biological Systems, William Gazlay

Graduate Doctoral Dissertations

Mass spectrometry has become an essential analytical platform for the characterization of complex biological systems, enabling detailed investigation of molecular structure, post-translational modifications, and protein expression. This dissertation applies modern mass spectrometry methodologies to three analytical challenges spanning lipidomics and proteomics.

The first study examined the influence of complexing agents on the sensitivity of collision-induced dissociation (CID) spectra to fatty acid position in synthetic XYZ-type triglycerides. Comparison of ammonium, lithium, and sodium adducts demonstrated that alkali metal adducts provide substantially improved positional sensitivity and greater consistency across triglyceride systems. These findings support the use of lithium and sodium adducts for …

Motor Imagery Eeg Decoding For Brain-Computer Interfaces: Structured Representation, Transfer, And Drift, Yiming Shen

Graduate Doctoral Dissertations

Motor imagery EEG decoding is often summarized by the accuracy of a final classifier, but the classifier is only the last stage of the pipeline. Before classification, the signal has already been shaped by preprocessing, feature extraction, source-session organization, and adaptation. This dissertation studies how feature representation, source-session transfer, and drift shape reliable MI-EEG decoding for brain-computer interfaces.

It first studies within-session decoding on public MI-EEG datasets using nested validation that keeps preprocessing, feature fitting, and model selection inside the training folds. This analysis separates gains from feature representation from gains due to nonlinear classification, and relates both comparisons to …

The Grasshopper's Journey To The Bloch Sphere, David Llamas

Graduate Doctoral Dissertations

The Grasshopper Problem asks a simple geometric question. A grasshopper lands on a lawn of fixed area and jumps a fixed distance in a random direction. What shape of lawn maximizes the probability that the grasshopper remains on the lawn after jumping? The jump rule is rotationally symmetric, but the best lawns do not have to be. This dissertation studies how that symmetry breaking occurs, maps the continuum problem to a novel constrained spin system, and uses the spherical Grasshopper Problem to compare quantum singlet correlations with classical local models.

For planar lawns, boundary-integral and perturbative calculations explain why the …

Gendered Precarity, Informality And Survival Among Cambodian Women Migrants In Thailand, Sokha Eng

Graduate Doctoral Dissertations

Migration scholars have long assumed that women migrant laborers move as individuals, leave family behind, are governed by labor migration policies, and are employed full-time. However, in the context of South-South migration, many workers migrate as families, with husbands, wives, and sometimes even children. Some engage in the informal economy, serving as casual and on-call workers. These types of employment fall outside the scope of standard labor migration policies and therefore receive less attention. As a result, migrants’ experiences in such work arrangements remain underexplored. This study examines the experiences of Cambodian migrant women in Thailand by examining the case …

Redesigning Quantum Theory, Matthew Weiss

Graduate Doctoral Dissertations

QBism understands quantum mechanics to be probability theory supplemented by additional nonclassical coherence conditions. In this dissertation, we develop these nonclassical coherence conditions from first principles, emphasizing the role of a well chosen reference measurement. After treating standard probability on subjective Bayesian lines, we demonstrate an equivalence between the QBist approach and the existing framework of generalized probabilistic theories. We show that the fundamental nonclassical coherence relation may almost always be taken to be a gentle modification of the law of total probability, and give a coherentist account of when an experimental scenario has a classical explanation. Finally, we show …

Traversing The Broken Staircase: The Experiences Of Academic Neglect For Black & Brown First-Generation College Students, Kashmeel D. Mckoena

Graduate Doctoral Dissertations

Although Black and Brown students are diversifying college campuses and opening doors for their families as new cohorts of first-generation collegians, they often find themselves silently dealing with the aftermath of academic neglect from U.S. secondary education. This phenomenon can be understood from extant literature as absence of reliable guidance, mentorship, resources, and support that help students persist and succeed in their academic goals. Existing explanations of grit and resilience (Duckworth et al., 2007) not only erase the existence and impact of academic neglect, but also mask the creative solutions and compensatory strategies that Black and Brown first-generation college students …