Digital Commons Network^™

Exploring The Relationship Between Body Composition, Bmi, And Sleep Outcomes Among Nepalese Brick Workers, Zoe C. Peterson

Undergraduate Honors Theses

Sleep is a critical determinant of metabolic health, with extensive evidence linking insufficient and fragmented sleep to increased adiposity and obesity risk in high-income populations. However, these relationships remain poorly understood in labor-intensive, low-income occupational settings. This study examined associations between objectively measured sleep characteristics using accelerometry and body composition among a population of Nepalese brick workers, a group of people exposed to substantial environmental and occupational stressors.

A secondary cross-sectional analysis was conducted using data from 233 adult brick workers in the Nepal Kathmandu valley. Sleep metrics – including total sleep, wake after sleep onset (WASO), and number of …

Design And Development Of Foot Arch Diagnosis Application, Arif Wicaksono, Arta Farmawati, Neni Trilusiana Rahmawati, Herianto Herianto

Folia Medica Indonesiana

The foot is a part of the lower extremity that has several characteristics, namely foot length, width, height, and arch. Foot arch is a characteristic that has not been widely researched in Indonesia, but it plays a crucial role in movement and daily life. A normal foot arch facilitates physical activities, work, and overall human health, whereas an abnormal foot arch can hinder physical activities, work, and negatively affect health. Foot-arch diagnosis is commonly performed using footprint creation and foot-arch determination. Foot arch diagnosis can be established through conventional examinations, which are relatively more time-consuming, and examinations using scanning devices, …

Differences In The Effects Of Multicomponent Vivifrail Training And Senam Lansia On Physical Performance And Fall Risk In Pre-Frail Elderly, Nadia Ovianti, Annisa Susilowati, Endang Ambarwati, Robby Tjandra Kartadinata, Tanti Ajoe Kesoema, Erna Setiawati

Folia Medica Indonesiana

Pre-frailty is a condition where individuals experience early signs of frailty. Frailty is a geriatric syndrome associated with falls and reduced physical performance, which will impact the health and well-being of the elderly population. To mitigate the harmful effects, the WHO recommends Vivifrail, a multicomponent exercise that is effective in preventing frailty. In Indonesia, the most common program for the elderly community is Senam Lansia (elderly exercise). No studies have compared the effects of these two exercises on the pre-frail elderly community. This study aims to assess differences between Vivifrail training and Senam Lansia on physical performance and fall risk, …

From Risk Perception To Readiness: Understanding Us Wildfire Preparedness Drivers, Dominic Kyei, William Donner, Arlett Sophia Lomeli, Dean Kyne

Sociology Faculty Publications

Background: Wildfires in the USA are becoming more frequent and severe as climate change and population growth expand exposure in fire-prone regions. Understanding the human dimensions of wildfire preparedness—particularly how individuals perceive risk, build awareness, and develop evacuation readiness—is critical for effective fire management.

Methods: This study examines cognitive, experiential, behavioral, and sociodemographic predictors of wildfire preparedness using the wildfire-specific subsample (n = 509) from the 2023 FEMA National Household Survey. Generalized structural equation modeling (GSEM) was used to analyze three key outcomes: readiness awareness, evacuation readiness, and perceived wildfire risk.

Results: Results show that readiness awareness and preparedness self-efficacy …

Sushilaben Patel V. Attorney General United States Of America

2026 Decisions

Agency

Analysis Of Song Choice At An Anglican Church In The North West, Yvette Wong

Masters Theses

The rise of Contemporary Christian Music (CCM) in the last hundred years has gradually led to the so-called worship wars in the late twentieth century. While scholars (Lester Ruth, Ted Peter, and Vernon Whaley) note that the tension has several fronts, Ruth points out that the most obvious front line of combat in the wars was music on instrumentation, song repertoires between hymns and choruses, and the role of song in corporate worship. To keep the peace, many churches have settled for either one style of service, combined the two in the same service, commonly known as a blended service, …

Seasons That Speak: The Power Of Storytelling In Memoir, Pamela Snead

Masters Theses

Memoir bridges literature and lived experience, transforming personal history into shared meaning through storytelling. This creative-critical thesis examines memoir as a reflective narrative practice through which identity, resilience, and faith are shaped over time. Grounded in narrative theory and selected memoir readings, the primary site of inquiry is the original braided memoir Seasons That Speak, which explores faith, endurance, generational healing, and provision. The project also draws on world literature traditions to show how storytelling across cultures uses voice, structure, imagery, testimony, and reflection to preserve memory, question authority, and shape meaning. Through alternating scenes and reflective passages, Seasons That …

Interviewing Civilians For A Local Perspective Of Violent Extremism In West Africa, Benjamin Ellis

Masters Theses

This study examines how civilians in West Africa experience violent extremism, with the goal of informing more effective policy solutions. Using a qualitative research design, the study draws on a focus group conducted with ten participants from various countries in West Africa. Data was transcribed and analyzed using thematic analysis to identify recurring patterns in participants’ responses. Six major themes emerged: prolonged fear and restricted daily movement; economic and infrastructural disruption; psychological distress and uncertainty about the future; recruitment into extremist groups driven by complex factors; limited outsider understanding of local realities; and support for multidimensional responses rather than purely …

The Relationship Between Musical Aptitude And Multiple Intelligences In High School Music Students, Rachel Connor

Masters Theses

This quantitative correlational study examines the relationship between musical aptitude, measured by Edwin Gordon’s GIA assessments, and students’ predominant multiple intelligences (MIs), as defined by Howard Gardner. Although MI has been widely researched, little is known about how intelligence strengths relate specifically to musically adept students. High school music students at Fayetteville Christian School in Fayetteville, NC, were first assessed using the GIA to identify those demonstrating musical aptitude. Eligible students then completed the AMI R/ARCH Profile to determine their strongest MI. A correlational analysis examined whether specific intelligence strengths are commonly associated with musical aptitude. Grounded in Gardner’s MI …

Creating Trust: Strengthening Visual Communication Systems For Small Nonprofits, Jennifer R. Wenz

Masters Theses

This study explores how small nonprofits often fail shortly after they are created because of weak design practices and limited access to professional design tools and skills. Large organizations and nonprofits survive because they invest in strong branding, clear messaging, and long-term design strategy. Small nonprofits rely on volunteers with little to no design training which leaves them with inconsistent branding, unclear visual communication, and materials that fail to build the trust they need to survive. This project will examine the gap through research in the nonprofit areas of communication, visual psychology, accessible design systems, and case studies of successful …

Designing Clarity: A Framework For Nonprofit Branding, K. Caitlyn Crissler

Masters Theses

Nonprofit founders and leaders regularly face the challenge of communicating their mission clearly while working with limited budgets, limited design knowledge, and limited access to professional creative support. As a result, many organizations unintentionally waste time, money, and resources on inconsistent visual materials, unclear branding, and inefficient design processes. This thesis investigates how an accessible, streamlined design framework can empower non-designers in the nonprofit sector to make informed visual decisions, collaborate more effectively with designers, and produce communication materials that support their mission rather than hinder it. Utilizing a mixed-method approach , including a literature review of foundational design principles, …

To What Extent Do Different Types And Dosages Of Cannabinoids Have In Treating Anxiety Disorder, Lourdes Cristina Garcia Carrillo

Doctoral Dissertations and Projects

This mixed-methods study investigated the efficacy of various cannabinoid types and dosages in treating anxiety disorders among young adults (19–23), examining cannabis's role in regulating a deregulated endocannabinoid system. Fourteen participants tracked real-time anxiety symptoms, strain type, dosage, and affective states using the Releaf App. Quantitative analyses included repeated-measures ANOVA and Pearson correlation, complemented by quantitative content analysis of affect descriptors. Key findings revealed a statistically significant reduction in self-reported anxiety symptoms following cannabis use (p < .001, partial 2 = .97), supporting the hypothesis that cannabis can regulate a deregulated endocannabinoid system. No significant differences in anxiolytic effects were observed among Indica, Hybrid Indica/Sativa, and Hybrid Sativa/Indica strains. The optimal dosage for perceived anxiety relief appeared to be higher than initially hypothesized, with a moderate-to-strong association between dosage and anxiety relief (r = .662, p = .0099). Participants overwhelmingly reported positive affective states, such as "calm," "peaceful," and "relaxed," post-cannabis use, with no negative descriptors observed in the analyzed data. These results suggest that cannabis can serve as a short-term coping strategy for anxiety in young adults, leading to perceived emotional regulation.

Zinc Biofortification Technologies , Edible Safety , And Physiological Function Regulation In Edible Mushrooms, Wu Bingbing, Shi Nengpai, Su Jianwei, Hou Xuemei, Lin Xiangyang

Food and Machinery

Zinc (Zn) is an essential trace element for humans, and dietary zinc deficiency is an important global public health issue. Edible mushrooms have become highly promising carriers for zinc biofortification due to their natural mineral accumulation ability and the capacity to convert inorganic zinc into organically bound states with higher bioavailability. The enrichment and absorption of zinc, intracellular homeostasis regulation, and subcellular distribution patterns during the cultivation process of edible mushrooms were summarized, and the key factors influencing the efficiency of zinc biofortification, including fungal species, zinc sources (inorganic, organic, or nano forms ),application methods,and cultivation conditions, were evaluated. In …

Advances In Extraction And Detection Technologies For Veterinary Drug Residues In Food, Luo Qiaoqiao, Yuan Yufeng, Jia Yunzhu, Chen Qingya, Tan Fang, Zhao Xin

Food and Machinery

Veterinary drug residues constitute a global challenge that poses significant threats to food safety and public health. This review systematically summarizes recent advances in detection technologies for veterinary drug residues in food, with a particular focus on the performance characteristics and application status of sample extraction techniques (including liquid-liquid extraction, solid phase extraction, accelerated solvent extraction, QuEChERS, and magnetic solid phase microextraction ),as well as analytical methods (including chromatographic-mass spectrometric techniques, immunoassays, capillary electrophoresis, biosensors, and quantum dots -based approaches ). Comparative analysis reveals that accelerated solvent extraction (ASE ) and QuEChERS have emerged as mainstream pretreatment techniques owing to …

Design And Evaluation Of A Code-Switching-Aware Multilingual Conversational Ai System Using Advanced Rag Architectures, Ashutosh Juvale

Master’s Dissertations

Conversational artificial intelligence has become the primary interface through which hundreds of millions of users in India seek information and customer support. Yet the way these users actually write and speak is fundamentally at odds with the monolingual assumptions baked into most retrieval and generation systems: they code-switch, fluidly mixing one or more of the twenty-two scheduled languages of India with English, frequently typing Indic words in the Roman script ("mera refund kab tak aayega"). Standard Retrieval-Augmented Generation (RAG) pipelines silently fail on such input — the retriever returns off-topic passages because the query and the knowledge base live in …

Telluric Correction Of M-Dwarf Stars Using Machine Learning, Sayak Rana

Master’s Dissertations

The study of M-dwarf stars is of prime scientific interest to us because of their closer habitable zones and the favorable conditions they offer for exoplanet detection. However, telluric contamination of the ground-based spectra results in sharp absorption lines, which makes their study cumbersome. Removing this contamination is necessary for estimating key stellar parameters. The central contribution is a one-dimensional Convolutional Neural Network (CNN) that retrieves the four atmospheric parameters governing telluric absorption: pressure, temperature, humidity, and airmass. These predicted parameters are passed to Telfit which produces an estimated telluric spectrum. The observed spectrum is then divided by this estimated …

Examining Technology Integration In Teaching Science In Secondary Schools In Nigeria, Williams Ahupa Iyango

Walden Dissertations and Doctoral Studies

No abstract provided.

K–3 General Education Teachers’ Experiences On Their Roles In Supporting English Language Learners, Sylvia Pollard-Ware

Walden Dissertations and Doctoral Studies

No abstract provided.

Nursing Staff Education On Transgender Patient Care In A Nursing Home, Cyril Shan Madera Tena

Walden Dissertations and Doctoral Studies

No abstract provided.

Treatment Times For Rural And Urban Patients With Aneurysmal Subarachnoid Hemorrhage In A Provincial Hub-And-Spoke Network, Alexander D. Rebchuk, Hugh Mchugh, Michael A. Rizzuto, David Chen, Kelsey Cruz, Erik N. Vu, Peter A. Gooderham

Department of Neurosurgery Faculty Papers

BACKGROUND: Following aneurysmal subarachnoid hemorrhage (aSAH), aneurysm rebleeding leads to very poor clinical outcomes. Ruptured aneurysms must be urgently secured either by open microsurgery or endovascular techniques to prevent re-rupture. The objective of this study was to compare time-to-treatment and functional outcomes following aSAH between rural and urban patients treated at a quaternary neurosurgical centre with a large geographical catchment.

METHODS: We analyzed patients enrolled in the Vancouver Ruptured Aneurysm Database (VRAD) between December 2022 and September 2025. Demographic, clinical, radiographic, treatment and functional outcomes were compared between groups. Time from ictus-to-presentation, ictus-to-neurosurgical centre, ictus-to-treatment and transfer times were collected. …

Neutrophil Gelatinase-Associated Lipocalin (Ngal) And Urine Albumin-To-Creatinine Ratio (Uacr) In Patients With Chronic Kidney Disease: A Cross-Sectional Study, Nurul Annisa Yunus, Puspa Wardhani, Yessy Puspitasari, Satriyo Dwi Suryantoro, Zulfian Armah

Folia Medica Indonesiana

Chronic kidney disease (CKD) remains a major global health burden with an increasing prevalence and a substantial risk of progression to end-stage renal disease. Urine albumin-to-creatinine ratio (uACR) is widely used as a conventional biomarker reflecting glomerular injury in CKD, whereas neutrophil gelatinase-associated lipocalin (NGAL) has been proposed as a biomarker associated with tubular injury and inflammatory processes. This study aimed to determine the correlation between serum NGAL levels and uACR in patients with CKD. The authors conducted an analytical observational study with a cross-sectional design on 32 CKD patients at Universitas Airlangga Hospital. Serum NGAL levels were measured using …

Histopathological Evidence Of Irreversible Testicular Injury And Spermatogenesis Disruption In A Continuous Scrotal Hyperthermia- Induced Azoospermia Rat Model, Ageng Brahmadhi, Norina Agatri, Andi Muh. Maulana, Rahmadita Cahya Maharani, Dyanti Arisa Nurrizki

Folia Medica Indonesiana

Non-obstructive azoospermia (NOA) is a cause of male infertility characterized by impaired spermatogenesis. NOA remains a challenge for both research and treatment development. Reliable animal models are essential for better understanding its pathophysiology and evaluating therapeutic approaches. Scrotal hyperthermia induction is a cost-effective and technically feasible method for inducing NOA. However, the impact of different exposure patterns remains unsolved. In this study, a total of 30 adult male Rattus norvegicus were randomly assigned to control, discontinuous hyperthermia (every other day), and continuous hyperthermia (daily) groups. This study applied the heat exposure by immersing the scrotum in a 45°C water bath …

Dissecting The Discourse: Colin Kaepernick's National Anthem Protest And Conservative Media As Competing Racial Projects, Travis Moody

Master's Theses

This thesis examines the media portrayal of Colin Kaepernick’s protest against police brutality and racial injustice during the National Anthem in the 2016 National Football League (NFL) season. Using content analysis, I analyze why Colin Kaepernick protested in his own words and how conservative media outlets such as Fox News rearticulated and criticized his social justice stance as an unpatriotic denigration of the American flag and Star-Spangled Banner. As I further argue, social movements such as #BlackLivesMatter and the Colin Kaepernick-inspired “Take a Knee” movement represent a political project to inform racial discourse regarding racial injustice in the United States. …

Satisfaction With Caseworker Services And Child Outcomes For Youth In The Foster Care System, Taira Masuda

Master's Theses

Currently, there are approximately 400,000 children involved in the U.S. foster care system (U.S. Department of Health and Human Services, 2023). Youth involved in foster care experience challenges such as trauma, disruptions to their support system, academic disruptions, and additional public system involvement (Emerson & Lovitt, 2003; Fawley-King et al., 2017; Masuda & Helm, 2024; Modrowski et al., 2023). Considering this context, it is essential to increase efforts to reduce added distress and bolster supportive contexts for youth. Caseworkers are essential service providers for youth in foster care. Caseworkers provide support to youth and families through assessing needs, connecting families …

Oral Cancer Numerical Index (Ocni): Development And Validation Of A Cytology-Based Risk Assessment For Oral Lesions, Michael P Mcrae, Nadarajah Vigneswaran, Alexander Ross Kerr, Spencer W Redding, Martin H Thornhill, Craig Murdoch, Paul M Speight, Rachelle Wolk, Kritika S Rajsri, Pooja Gaikwad, Nancy Ruel, Nicolaos J Christodoulides, John T Mcdevitt

Faculty, Staff and Student Publications

Background/Objectives: Oral potentially malignant disorders (OPMDs) require accurate risk stratification to identify patients at the highest risk for severe oral epithelial dysplasia (OED) or oral squamous cell carcinoma (OSCC). We developed and internally validated the oral cancer numerical index (OCNI), a quantitative risk score derived from clinical features and deep learning-based brush cytology measurements.

Methods: This retrospective model development and internal validation study was conducted using data from the multicenter Grand Opportunity study. Prospectively recruited subjects with OPMD with complete data were divided at the subject level into a training set (n = 384) and a holdout test set …

Surviving And Thriving: The Indigenous Migrant, Danna Guzman-Rodriguez

Honors Theses

This literature and cultural study highlights the generation of children of indigenous immigrants and the relationship with their indigenous identity and culture. This unique experience is complex and encapsulates issues such as indigenous cultural survival, homogeneity, globalization, and lack of cultural identity. Exploring the Totonac community in La Chaca, Veracruz in Mexico, allows for a deeper explanation of this experience. Speakers of Totonac and other indigenous languages often migrate to countries such as the United States and carry such cultural ties with them. What happens to these ties after moving to a Western-dominated country where globalization favors English and Western …

Examining Teachers' Perceptions On How To Close The Ela Achievement Gap Among Black And White Students In Elementary Title I Schools In A Northwest Florida District, Caressa Renae Richardson

Walden Dissertations and Doctoral Studies

No abstract provided.

Young Adults Describe Their Lived Experiences Of Adverse Childhood Experiences Through The Lens Of A Secure Attachment, Martin Weinberger

Walden Dissertations and Doctoral Studies

No abstract provided.

Demographic Congruence On The Therapeutic Relationship Among African American Therapists And Trauma Survivors, Patrice Ann Warren

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore the lived experiences of African American therapists in forming therapeutic relationships with African American adult survivors of childhood sexual trauma. Although the therapeutic alliance is recognized as a critical component of trauma treatment, limited research has examined the role of demographic congruence in therapeutic relationships among African American trauma survivors. Guided by homophily theory, this study explored therapists’ perspectives regarding the influence of shared racial identity on trust, safety, cultural understanding, and therapeutic engagement. Data were collected through semi-structured interviews with 10 African American therapists who had experience treating African …

Predicting Employee Attitudes Toward Artificial Intelligence Technology: The Roles Of Job Embeddedness & Grit On Military Veterans In The U.S. Workforce, Ajay Joseph Koovackal

Doctoral Dissertations and Projects

Today, artificial intelligence (AI) technology demands are growing rapidly to aid organizations in innovation, improving efficiency, increasing profits, and staying competitive within their respective markets. However, the irresponsible implementation of AI tools may cause organizations to suffer significantly by negatively affecting employee attitudes, perseverance, affiliation, and retention. This research is a cross-sectional quantitative study investigating the relationship between attitudes toward artificial intelligence (ATAI), job embeddedness (JE), and grit (GT). The study participants are 132 adult military veterans employed full-time in the United States. The researcher collected data through a self-report survey deployed on the SurveyMonkey online platform. After which, the …