Digital Commons Network^™

Recommendation Of Minimal Distal Tibial Length For Long Axis Coordinate System Definitions, Erika P. Muhlrad, Andrew C. Peterson, Abigail M. Anderson, Katelyn C. Aragon, Rich J. Lisonbee, Bruce A. Macwilliams, Karen M. Kruger, Amy L. Lenz

Biomedical Engineering Faculty Research and Publications

Accurate anatomical coordinate systems for the foot and ankle are critical for interpreting their complex biomechanics. The tibial superior-inferior axis is crucial for analyzing joint kinematics, influencing bone motion analysis during gait using CT imaging and biplane fluoroscopy. However, the lack of consensus on how to define the tibial axis has led to variability in research, hindering generalizability. Even as advanced imaging techniques evolve, including biplane fluoroscopy and weightbearing CT, there exist limitations to imaging the entire foot together with the full length of the tibia. These limitations highlight the need to refine axis definitions. This study investigated various superior-inferior …

The Effects Of Occupational Disruption During Covid-19 Lockdowns On Health: A Cross-Sectional Study, Bernard Austin Kigunda Muriithi, R. Curtis Bay

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

The disruption in daily activity performance during COVID-19 lockdowns is widely understood to have impacted health, but a better understanding of how restricted performance of specific activities are associated with health is needed. This cross-sectional study answers the following question: How were changes in the performance of 16 daily activities associated with health during COVID-19 lockdowns? A total of 116 participants completed an online survey rating their health before and during COVID-19 lockdowns and comparing their recollection of the performance of 16 activities before COVID-19 with their performance during lockdowns. Multiple stepwise linear regression analysis was used to estimate the …

Understanding The Impact Of Whiteness On The Lived Experiences Of Racially Underrepresented Students At A Predominantly White College Campus, Samantha Marie Kibbish

Social Justice in Educational Leadership EdD Dissertations

The purpose of this study was to understand how whiteness impacts the lived experiences of racially underrepresented students at a predominantly white campus. Through preliminary research, Critical Whiteness Studies (CWS) was found as a means for white practitioners to understand race and racism within systems of higher education. In this study, a history of racism and whiteness is reviewed in order to better understand how they contribute to the history of higher education. Critics of CWS mention that the area of study continues to oppress the experiences of racially underrepresented students as it does not highlight the impact whiteness can …

Neurocognitive Outcome Following Tuberculous Meningitis Treatment: A Systematic Review, Muhammad Ilham Dhiya Rakasiwi, Erlina Burhan, Afid Brilliana Putra, Ihya Fakhrurizal Amin, Nadhif Wiratara

Pakistan Journal of Neurological Sciences (PJNS)

Background and objective: Tuberculous meningitis (TBM) is an infectious disease of the central nervous system that remains to be a global health challenge. Patients who survive after experiencing TBM have a risk of developing functional, cognitive and psychological disorders that can affect daily activities. The objective of this study is to present a comprehensive review of data on cognitive outcome after TBM infection.

Method: We conducted a systematic literature search to identify studies addressing cognitive outcomes in adult TBM patients. Following a systematic literature search (PubMed, Scopus, EBSCO), studies were reviewed by independent reviewers to assess eligibility for inclusion. Three …

International Consensus On Standard Outcome Measures For Neurodevelopmental Disorders: A Consensus Statement, Melissa Mulraney, Umanga De Silva, Andria Joseph, Maria Da Luz Sousa Fialho, Iain Dutia, Natalie Munro, Jonathan M. Payne, Tobias Banaschewski, Cláudia Bandeira De Lima, Susan Wamithi

Paediatrics and Child Health, East Africa

Importance: The use of evidence-based standardized outcome measures is increasingly recognized as key to guiding clinical decision-making in mental health. Implementation of these measures into clinical practice has been hampered by lack of clarity on what to measure and how to do this in a reliable and standardized way.

Objective: To develop a core set of outcome measures for specific neurodevelopmental disorders (NDDs), such as attention-deficit/hyperactivity disorder (ADHD), communication disorders, specific learning disorders, and motor disorders, that may be used across a range of geographic and cultural settings.

Evidence Review: An international working group composed of clinical and research experts …

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …

Cooperative Pathways: Insights From Teacher Experiences On Improving Union And District Cooperation, Whitney Fink

Dissertations

This study involved an evaluation of teacher experiences within their districts, schools, and unions across the United States. The primary research question was: How are teachers currently experiencing the relationship between their unions, districts, and administrators and what opportunities exist to improve cooperation and shared ownership between those groups? The study used a mixed methods approach by gathering quantitative data in the form of a survey and qualitative data through open-ended responses on the survey as well as interviews with seven teachers. The results formed a general understanding of the current state of teacher experiences that was then applied to …

Persistence Of Female Faculty In Stem, Andrea Constantinou

Dissertations

The lack of women entering certain STEM fields impacts female representation in research faculty, teacher faculty, and leadership positions in higher education. Through a narrative inquiry methodology utilizing the theoretical paradigms of self-determination theory and relational autonomy, this study extended understanding of the factors that motivate persistence for women in certain STEM fields. While prior research focused on understanding the barriers to retention, this study sought to identify the factors motivating retention for women in certain STEM fields. The results of this study contribute to understanding the motivating factors that influence a woman’s persistence in STEM. The data gathered from …

Undergraduate Student Sense Of Belonging And Edtech Tool Engagement: A Mixed Methods Exploration Of The Virtual Campus Experience, Veronica Wilson

Dissertations

The contemporary postsecondary learning experience is heavily mediated by educational technology (EdTech) tools and yet little is known about the ways in which these tools impact student engagement and sense of belonging, two indicators which are important to student persistence and graduation. Using Strayhorn’s (2023) critical socioecological sense of belonging framework, this convergent mixed methods study offers insights into these relationships by examining student engagement with EdTech and student sense of belonging and the impact of student traits on the relationship between EdTech and sense of belonging. This study was conducted at a private, broad access Hispanic-Serving Institution in the …

An Examination Of The Relationship Between Instructional Modality And Pedagogy Licensure Exam Scores In Post-Baccalaureate Educator Preparation Programs In Indiana, Kelly Eckel

Dissertations

The efficacy of the modality of instruction employed in higher education institutions has been a point of contention among students, faculty, administration, and other stakeholders in the educational realm. Since the COVID-19 pandemic, online and hybrid instruction has become a valued and desirable option for Educator Preparation Programs (EPPs) to offer for recruitment and retention purposes. The effectiveness of varying modalities in relation to teacher licensure exams has been limited in research and can serve as a critical quantitative measure for EPPs to assess. This longitudinal study examined the relationship between instructional modality and pedagogy teacher licensure exam scores in …

Understanding Latino Students' Perspectives On Their High School Experiences And Post-Graduation Options, Rubi Ortiz

Dissertations

Projections from the U.S. Department of Education National Center for Education Statistics indicate Latinos will constitute 30% of the school-aged population in the United States by the year 2030. Enhancing the quality of education for this demographic becomes increasingly crucial. Such improvements not only benefit Latino communities but also hold significant implications for the progress and future prosperity of our nation. The focus in this study was to understand Latino students’ perspectives on their high school experiences and post-graduation options, as well as to explore the influence of high school programming on their experiences. This qualitative study was conducted with …

A Program Evaluation Of The Necessary Attributes, Accommodations, And Resources Neurodivergent Students Require For Success In Higher Education, Barbara Muñoz

Dissertations

Without academic resources and accommodations, neurodivergent students with mild to moderate Learning Disabilities (LD) may be unable to navigate the academic challenges and rigor associated with college success. I used a mixed-methods research design to collect data from various stakeholders to determine the supports neurodivergent students with LD need to be successful in college. My findings indicated students need accommodations for their learning differences, access to assistive technology, access to counseling or mental health services, and access to specialized support personnel to be successful. I recommended a policy to ensure neurodivergent students and their caregivers are aware of post-secondary institutions …

Determining Factors For Improved Uptake Of Harm Reduction Services In The United States: A Study Of Inclusive, Culturally Sensitive Messaging, Lauretta Ekanem Omale

Dissertations

Harm reduction refers to public health policies and programs aimed at decreasing the adverse consequences associated with drug use. While harm reduction services (e.g., syringe exchange programs) can mitigate health risks, marginalized groups face barriers to service access and utilization, partially due to ineffective messaging approaches that fail to align with cultural values and experiences. A one-size-fits-all approach to messaging can negatively impact service utilization, health outcomes, and health disparities. Ineffective communication can lead to poor adherence to treatment, poorer health outcomes, and increased adverse events.

Culturally insensitive communication contributes to stigma, mistrust, and lack of perceived relevance, discouraging service …

Hear Their Voices: Black Male Student Perceptions Of Retention Initiatives At An Hsi In The Midwest, Joshua Watson

Dissertations

The enrollment of Black male students in colleges and universities over the last 30 years increased yet Black male retention rates have not increased proportionately to the enrollment rates of Black male students. Many colleges and universities recognized the importance of increasing Black male retention and invested millions of dollars in Black male retention initiatives, mentorship initiatives as well as hiring additional staff dedicated to Black male retention. Black male students use a variety of social support systems and coping strategies to persist in college despite facing economic, social, and political barriers to persistence. However, many Black male retention initiatives …

The Fourth Wall Of Dialogue: A Co-Constructive Collaboration On Bipoc Student Sense Of Belonging In Higher Education, Valarie Lindsey

Dissertations

Black, Indigenous, People of Color (BIPOC) students’ sense of belonging (SOB) at higher education institutions has decreased over the last 30 years despite numerous initiatives aimed at increasing a sense of belonging for this group of students and addressing the challenges they face from various intersectionalities including cultural biases, gender marginalization, and racial subjectivities. Sense of belonging is often subjective in nature because it refers to an individual's lived experience, it is important for higher education institutions to tailor their Diversity, Equity, and Inclusive (DEI) initiatives to meet the needs of the students on their campus. This initiative should include …

Why Not Community College As A Pathway To A Degree, Gretchen Jorndt Reyes

Dissertations

This qualitative phenomenological study aimed to understand if Gen X parents are motivating their Gen Z students' college choice not to attend community college. The few studies that focused on parent involvement in choosing a community college did not focus on the generational differences between parents and their children when it came to college choice, they also did not focus on whether parents influenced their children to attend community college or not (Bers, 2005; Bers & Galowich, 2002).

The study explored Ajzen’s Theory of Planned Behavior and how his theory and the college choice process are intertwined during the college …

An Exploration Of Contributors To Intergenerational Trauma Transmission In American Families: Parental Life Experiences And Parenting Styles., Shantrell P. Sutton-Mckenzie

Dissertations

Preexisting research on intergenerational trauma transmission primarily addresses biological and behavioral routes of transmission, leaving little room for systemic influences. This research reviews preexisting biological and behavioral contributors and explores systemic contributors to intergenerational trauma transmission in American families as it relates to post-traumatic growth, parental centrality distress, and parenting styles. It was that post-traumatic growth and parental centrality of distress (comprised of ACES, centrality of events, and access to community resources) and PTG predict parenting styles. The research hypothesis was partially supported. It was found (1) Post-traumatic growth, ACEs, and perceived access to community resources while parenting added significantly …

Gender Disparity In Students’ Performance Of Science And Mathematics: Evidence From Nationwide Study In Pakistan, Sadia Muzaffar Bhutta, Aisha Naz Ansari, Sohail Ahmad

Institute for Educational Development, Karachi

Gender disparity in science and mathematics performance is being researched internationally. In a complex education system, like Pakistan, studying the difference in isolation may not generate holistic understanding. Therefore, this paper investigates changes in trends of performance in Science and Mathematics for both genders across public and private schools. Data were gathered from a nationwide sample of elementary grades students (n=15,391) using SATs/MATS. Independent t-test and two-way-ANOVA were employed to analyse data. Results revealed that girls outperformed boys in Science (p<0.01) while no gender differences in performance were observed in Mathematics. Gender and school systems demonstrated significant interaction effect only in mathematics, unveiling that girls perform better in public schools while this difference diminished in the private school system. The results show implications for employing gender-fair policies and practices in science and mathematics education.

Lucid Dream: Embracing Uncertainty, Zhiyun Zhang

Masters Theses

Glass is a tool, a projection surface, a medium for optical phenomena. It creates a tangible link between physical space and perception, transcending the physical realm to reshape our sensory perceptions and resonate within our psyche, deepening our understanding. Inspired by cosmic and natural phenomena, my installations narrate the contemplation of the moon and the appreciation of rainbows. They reference historic optical technologies, incorporating glass, mirrors, light, darkness, and space to produce an encounter that extends beyond personal experience, resonating with our collective unconscious, uniting us in profound ways. The blurred boundaries between observer and observed, reality and illusion, sensory …

Recomposing Museums: Designing Rhythmic Experiences For Short Attention Spans In The Digital Age, Yujiang Wu

Masters Theses

Learning, being the primary aspiration of museums, “is a byproduct of attention.”¹ A visitor’s ability to focus and sustain attention on the objects, narratives, and messages within the exhibition environment profoundly influences their overall experience and the educational impact of their visit.

In an era of rapid digital evolution, changes in how information is consumed and communicated have led to shorter attention spans. Traditional museums, which are rooted in continuous, linear storytelling, now face a need for adaptation. This thesis advocates for an innovative exhibition design approach tailored to the realities of shorter attention spans, proposing curatorial and design …

Milpa: Cultivating Community Through Grid Remediation In México, Marianna Pasaret Molinar

Masters Theses

In México, the proliferation of monotonous affordable housing developments on the outskirts of urban centers stems from a profit- driven approach that prioritizes rapid construction over livability and community well-being. These housing developments, stark rows of barren husks, reflect a system that depletes both land and human connection. Abandoned units — consequences of a patchwork (or non existent) infrastructure —now stand as silent critiques of this broken system.

Drawing inspiration from the cycical strategies of ancestral agricultural traditions, that recognize the full spectrum from barren stalk to abundance, this project proposes a cyclical model for community growth. Current housing practices, …

忘年交 / A Friendship That Transcends Age, Zichen Zhou

Masters Theses

In today’s swiftly aging society, China grapples with the challenge of elderly individuals gradually becoming disconnected from the social fabric, often leading to the phenomenon of empty-nesting, especially in China’s eastern urban areas. Understanding and addressing the needs of the elderly is crucial for designing environments, that give continued meaning to the lives of the elderly, and create connections with the rest of society. Further, the elderly are a resource for families, capable of providing childcare and even housing to younger generations, whether the younger generations want this help or not. In response to the challenge of keeping the elderly …

Using Intellectual Property To Regulate Artificial Intelligence, Dennis D. Crouch

Missouri Law Review

This Article examines the complex relationship between intellectual property (“IP”) rights and the regulation of artificial intelligence (“AI”). It advances two primary claims: First, while IP plays a role in guiding innovative behaviors in AI development, it does not serve as an effective mechanism for direct regulation of AI. This claim is based on the observation that IP rights, such as patents and copyrights, are primarily designed to incentivize innovation and protect creative works, while lacking the levers necessary to address the broader societal implications of AI technology. The narrow focus of IP rights on rewarding creators makes them ill-suited …

Neuropsychological Intra-Individual Variability In Traumatic Brain Injury: Clinical Utility, Classification, And Associations With Outcomes, Jeremy A. Feiger

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Traumatic brain injury (TBI) survivors experience a range of sequelae including neurobiological brain changes, cognitive impairment, psychological difficulties, and functional changes. Neuropsychological assessment after injury is used to characterize current strengths and weaknesses to inform prognosis and interventions. There is currently no reliable and consistent method of assessing and classifying injuries in the post-acute and chronic phases of moderate to severe TBI (msTBI) that is associated with long term psychosocial outcomes. This study aimed to combine the use of within-person variability on neuropsychological test batteries and in cognitive response latency, known as intra-individual variability (IIV), with a novel cognitive phenotyping …

A Mixed Method Examination Of Bipositivity As A Factor Protecting Cis, Trans, And Gender Expansive Plurisexual Women Against Harmful Sexual Violence Outcomes, Allison E. Cipriano

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Plurisexual women are more likely to experience sexual violence, post-traumatic stress (PTS), and alcohol use problems compared to women with single gender attraction. Disproportionately high rates of sexual violence may partially explain the prevalence of PTS and alcohol problems experienced by plurisexual women. Yet, research on sexual violence, PTS, and alcohol use problems have rarely specifically investigated these phenomena among plurisexual women. Researchers have identified a positive association between binegative experiences and risk of sexual violence among plurisexual women, suggesting that sexuality-based experiences may be connected to sexual violence victimization for this population. While identifying factors predicting risk of sexual …

The Mental Health Experience Of Transgender And Gender Diverse Colombians: Que La Diversidad No Cueste La Vida, María Natalia Acosta Canchila

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Experiences of TGD people in various countries reflect difficulties accessing mental health services and significant mental health needs. In Colombia, experiences in broader healthcare systems suggest various barriers to care that include experiences of discrimination. However, specific experiences in mental health services have not been thoroughly examined. The current study aimed to understand the experiences, perceptions, and needs of TGD people in Colombia in mental health systems. Qualitative data was collected via 40 semi-structured interviews with TGD people in Colombia, data was analyzed via reflexive thematic analysis. Findings suggests great mental health needs related to needing support in the process …

Impact Of Prenatal Maternal Depression On Gestational Length Post Hoc Analysis Of A Randomized Clinical Trial, Elysia Poggi Davis, Catherine H. Demers, Lillybelle Deer, Robert Gallop, M. Camille Hoffman, Nancy Grote, Benjamin L. Hankin

Mathematics Faculty Publications

Background Shortened gestation is a leading cause of childhood morbidity and mortality with lifelong consequences for health. There is a need for public health initiatives on increasing gestational age at birth. Prenatal maternal depression is a pervasive health problem robustly linked via correlational and epidemiological studies to shortened gestational length. This proof-of-concept study tests the impact of reducing prenatal maternal depression on gestational length with analysis of a randomized clinical trial (RCT).

Methods Participants included 226 pregnant individuals enrolled into an RCT and assigned to receive either interpersonal psychotherapy (IPT) or enhanced usual care (EUC). Recruitment began in July 2017 …

Voluntary Contributions To Pension Schemes: A Study Among Actors In The Informal Economy In Tanzania, Nyagwegwe Wango

Institute for Educational Development, East Africa

The research delves into the participation of informal economic actors in voluntary contributions to pension schemes. It sheds light on the difficulties faced by the Social Security Fun d in reaching out to informal actors regarding membership and voluntary contribution s. The study investigates the operations and strategies employed by informal social organizations, such as the bodaboda association, food vending network, and fishing group, to encourage members to contribute voluntarily. Through qualitative methods, inter views with pension scheme participants were conducted to comprehend the initiatives aimed at including excluded individuals, particularly those engaged in the informal economy. Following the NSSF …

Inside The Adventure: A Case Study On The Immersive Engagement Practices At Universal Studios Hollywood, Jordan A. D'Acquisto

Experience Industry Management

The success of theme parks relies heavily on immersion and identification of the elements that create such immersion to further enhance it. Universal Studios Hollywood utilizes many engagement tactics to immerse their guests in the worlds of their park. The purpose of this study was to analyze guest engagement through themed, immersive experiences and touchpoints at Universal Studios Hollywood. A case study was conducted on Universal Studios Hollywood to analyze what immersive engagement tactics were utilized as well as their effectiveness. The results of this study determined that the park very effectively engages guests through themed experiences with its newer …

A Living Storyscape, Vivian Combariza

Masters Theses

Advocating for a transformative shift, the following proposes a new cultural setting that fosters diverse voices and dialogue, moving away from the singular narratives imposed by traditional curator-visitor dynamics. By drawing inspiration from nature's complexity and mirroring museums with ecosystems, the aim of this thesis is to emulate the adaptability and interconnectedness of natural ecosystems to develop flexible and inclusive environments, encouraging community engagement and shared learning experiences. This new design paradigm fosters a deeper connection with nature and other beings despite the physical separation. Embracing the collaboration and flexibility of nature, cultural institutions can regain relevance as vibrant centers …