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Breaking The Silence: Investigating The Impact Of Stigma On Help-Seeking Behaviors Among Adults With A History Of Adverse Childhood Experiences In Ghana, Deborah Amoako-Atta

West Chester University Graduate Theses, Dissertations, and Final Projects

In Ghana, cultural beliefs often silence open discussion about mental health. Many view emotional struggles as spiritual weakness, leading to stigma and avoidance of care. For adults who experienced Adverse Childhood Experiences (ACEs), this silence can worsen the long-term impact of trauma. While Western research links stigma to reduced help-seeking and shows that trauma knowledge can promote openness, little is known about how these relationships function within Ghana’s cultural context. This cross-sectional study examined how stigma and trauma knowledge influence help-seeking behaviors among 103 Ghanaian adults (ages 19-62, M = 30.0; 49% women) with childhood adversity histories. Participants completed anonymous …

Mindfulness And Anxiety Symptoms: The Role Of Cognitive Reappraisal In Community Adults, Calla L. Pritulsky

College of Graduate Studies: Theses & Dissertations

Anxiety is the most common mental health condition worldwide and contributes to substantial societal costs, personal distress, and impairment (World Health Organization, 2023). Given its high prevalence, low treatment utilization, and modest response rates, identifying protective factors to inform prevention efforts is critical (Mamede et al., 2022; Mendelson & Eaton, 2018). Mindfulness, or the ability to nonjudgmentally pay attention to the present moment, comprises five key facets: observing, describing, acting with awareness, nonjudging, and nonreactivity (Baer et al., 2006b). Although mindfulness is inversely associated with anxiety, the mechanisms underlying this relationship remain unclear (Desrosiers et al., 2013). Cognitive reappraisal, defined …

Turning To The Sacred: The Role Of Religious/Spiritual Coping In Psychological Outcomes Of Childhood Interpersonal Trauma, Vanessa S. Tomasik

College of Graduate Studies: Theses & Dissertations

Adverse Childhood Experiences (ACEs) are widespread and associated with significant and lasting psychological consequences, including posttraumatic stress symptoms (PTSS) and dissociation. Much of the existing literature has focused on adult trauma or narrowly examined childhood abuse and neglect, with comparatively limited attention given to other forms of childhood adversity such as witnessing intimate partner violence, parental separation, or household dysfunction. As a result, the differential psychological impact of distinct types of ACE exposure (i.e., maltreatment vs. household dysfunction) remains insufficiently understood. Emerging literature on coping identifies religious and spiritual (R/S) coping as an important factor in trauma adaptation. Positive R/S …

Medical Distrust And Willingness To Engage In Mental Healthcare: The Moderating Roles Of Mental Health Literacy And Stigma Among Rural Populations, Alex Cudd

College of Graduate Studies: Theses & Dissertations

Healthcare and mental healthcare disparities among rural communities in the United States remain a persistent and growing public health concern, driven by both structural barriers and sociocultural factors that continue to compromise rural community members’ utilization of healthcare services. Though structural barriers to rural healthcare are well-documented, there are continued gaps in the literature related to the understanding of sociocultural mechanisms contributing to these disparities. The present study investigated the influence of medical distrust, mental health literacy, and perceived public stigma on attitudes toward seeking professional psychological help among rural adults living within the United States. A sample of 240 …

Faculty Handbook, Georgia Southern University

Faculty Handbooks

Faculty Handbook for Georgia Southern University for the 2026-2027 academic year. The Faculty Handbook is published online by the Office of the Vice President for Academic Affairs and archived in Digital Commons@Georgia Southern.

Pathways Of Influence: Indigenous Peoples’ Agency And Leadership In Arctic Governance, Justin Barnes

Theses and Dissertations (Comprehensive)

For the peoples and communities who have lived in the Arctic since time immemorial, Arctic governance is not only about international cooperation, environmental management, or geopolitical competition. It is also about sustaining and advocating for Indigenous livelihoods, relationships with land and water, rights and responsibilities, and opportunities for future generations – all themes directly affected by political decisions made across local, regional, national, and international levels. This dissertation begins from a central question about how Indigenous Peoples exercise their agency and influence in Arctic governance despite operating within an international system largely organized around states. It examines this phenomenon by …

The Bidirectional Effects Of Traumatic Brain Injury And Caudal Fin Amputation On Regeneration In Zebrafish (Danio Rerio), Makenna Wiebe

Theses and Dissertations (Comprehensive)

Traumatic brain injury (TBI) and caudal fin amputation initiate robust regenerative responses in adult zebrafish (Danio rerio), yet whether regenerative activity in one tissue influences repair at a distant site remains unclear. This study investigated the bidirectional effects of concurrent brain and peripheral injury on regeneration and functional recovery. Specifically, we assessed the effects of TBI on caudal fin regeneration, caudal fin amputation on neural stem cell-associated cellular responses, and combined injury on behaviour. Adult zebrafish received no injury, TBI, caudal fin amputation, abdominal puncture, or combined TBI and caudal fin amputation. I assessed caudal fin regeneration morphometrically and evaluated …

Self-Reflecting On 30 Years Of Liberational Praxis: A Pluri-Epistemic Journey Embracing The Relational Indigenous Research Paradigm To Expand The Emancipatory Aims Of The Psychology Of Liberation., Adriana Fernand Salazar Ms

Theses and Dissertations (Comprehensive)

This thesis asks how embracing Relational Epistemology, through accountable Pluri-Epistemic Dialogue, expands the Emancipatory aims of the Psychology of Liberation and deepens Liberational Praxis. Grounded in thirty years of Liberational Praxis, it brings the Psychology of Liberation into accountable encounter with Indigenous and Postcolonial Relational Epistemologies, without claiming Indigenous identity, authority, ceremony, or ownership. Within this situated encounter, Pensar Bonito (Tidy Thinking) illuminates movements from Martín-Baró’s Historical Memory toward Territorial and Ancestral Memory, from Freirean Dialogue toward walking the Word, from Fals Borda’s sentipensante toward Body-Nature and Body-Us, and from decolonial critique toward practices of Care and Subversion. Through a …

The Power Of The Mind: Exploring The Perceived Benefits Of Spiritual Meditation For Children's Loss And Grief, Shefali Bhalla

Theses and Dissertations (Comprehensive)

Grief and loss can significantly affect children’s emotional, cognitive, and social development, yet many existing interventions remain difficult to access due to stigma, cost, and limited cultural fit. Meditation has shown promise as a low-cost and adaptable strategy for supporting emotional regulation, but little is known about how children themselves perceive its usefulness in grief-related contexts. The present study explored children’s beliefs about the usefulness of spiritual meditation as a coping strategy across grief, interpersonal conflict, and positive emotional vignettes. Fourteen children between the ages of 8 and 13 participated in individual Zoom sessions in which they listened to three …

Time Series Mediation Analysis With Non-Linear And Machine Learning Methods, Timothy Marsh

Theses and Dissertations (Comprehensive)

Non-linearity in mediation analysis has been primarily studied in the context of binary variables which encode a treatment and control, estimating a `direct` and `indirect` effect of a covariate (a.k.a. treatment) X on a response Y, with a third variable M (the `mediator`) that is affected by X and in turn affects Y. The focus of mediation analysis in general is to quantify the overall effect of X on Y, including the effect through M. This presentation will focus on one or more continuous treatments and apply non-linear methods, including splines and machine learning models, to mediation analysis in a …

Sediment Redox-Driven Iron Flux And Phytoplankton Community Responses: Implications For Cyanobacterial Suppression And Functional Stability Across Boreal Lakes, Julia K. Kozak

Theses and Dissertations (Comprehensive)

Freshwater eutrophication contributes towards the development of cyanobacterial harmful algal blooms (cHABs), but nutrient availability alone does not fully explain variation in phytoplankton community composition or physiological performance. While phosphorus (P) availability has been known to regulate phytoplanktonic biomass, iron (Fe) is an important micronutrient supporting Fe-heavy processes within cyanobacteria (i.e., nitrogen fixation and photosynthetic electron transport). Sediment Fe availability in freshwater ecosystems is regulated by reduction oxidation (redox) conditions at the sediment-water interface (SWI), where nitrate (NO₃^-) has been found to maintain oxidizing conditions and prevent the reduction of Fe(III) to more readily bioavailable soluble Fe(II), …

Imsa 2027 Profile, Office Of College And Academic Counseling

IMSA Profile

The nationally-ranked Illinois Mathematics and Science Academy (IMSA) develops creative, ethical leaders in science, technology, engineering and mathematics. As a teaching and learning laboratory created by the State of Illinois, IMSA enrolls academically talented Illinois students in its tuition-free residential Academy for grades 10-12. Students are challenged with a rigorous curriculum designed to develop them into problem solvers and critical thinkers.

Notable IMSA students include YouTube Co-Founder Steve Chen, PayPal Co-Creator Yu Pan, Yelp Co-Founder Russell Simmons, SparkNotes and OkCupid Co-Founder Sam Yagan, and Hearsay Social Founder Clara Shih.

Supporting Bibliodiversity And Access Through Library Resource Sharing, J. Silvia Cho

Publications and Research

Librarians, with their core values of access, intellectual freedom, stewardship and democracy, share bibliodiversity advocates’ vision of an eco-social system of diverse cultures and reading as a democratic and emancipatory practice. Librarians bolster bibliodiversity by collecting inclusively, critically reviewing and decolonizing library collections, and centering access. Building on previous discussions on the role of open access in strengthening bibliodiversity, this paper acknowledges and articulates how interlibrary loan and library resource sharing also support bibliodiversity. Doing so is important to augment advocacy and support for these services. Advancing solutions to challenges in resource sharing means also advancing towards bibliodiversity goals, supporting …

Trends In The Utilization Of Metaverse Technology In Media Content Production:A Second-Level Study Of The Arab Experience, Amal Nabil Badr, Tarek Ismail Mohamed, Nassereldin Abdel Qadir Osman

Journal of Arts and Social Sciences

The research problem is defined through a main question: How did Arab studies discuss the interactions of the Arab media experience with metaverse technology and supporting tools, the limits and levels of current and future use of this technology in Arab media institutions, and how did the quantitative and qualitative trends in these studies reflect the applied aspect in using metaverse technology and related tools in media content industry? The research relies on the secondary analysis methodology of the results reached by studies that dealt with the analysis of A sample of (30 studies) from 2015 until 2023. The results …

Sustainable – Low-Cost - Upgrade Of Activated Sludge Process For Nitrogen And Phosphorus (N&P) Removal From Wastewater, Abanoub N. Basta

Theses and Dissertations

Many municipal wastewater treatment plants (WWTPs) in developing countries were designed primarily for organic matter and suspended solids removal and therefore face increasing difficulty in meeting modern nitrogen (N) and phosphorus (P) discharge requirements. Conventional biological nutrient removal upgrades commonly require additional reactor volume, recirculation systems, aeration energy, and capital investment. Accordingly, sustainable retrofit strategies that improve nutrient removal within existing treatment footprints are increasingly needed, particularly in water-scarce and land-constrained regions.

This study investigated the integration of water hyacinth (Eichhornia crassipes) into the aeration stage of an activated sludge process as a hybrid nature-based enhancement for nitrogen and phosphorus …

A Comparative Study: Force Majeure And The Theory Of Unforeseen Circumstances Across Different Jurisdictions In The Middle East, Omar Hamed Sawan

Theses and Dissertations

The motivation behind this study stems from recent global disruption events that impact construction projects worldwide. These events vary across a wide spectrum, whether they are political events such as the Russo-Ukraine war or the war in the Middle East, economic events such as inflation or currency devaluations; or environmental events such as climate change and the emergence of public health crises like the Covid-19 pandemic. These series of events underscore the growing importance of understanding how the different legal frameworks address unforeseeable events in the construction industry. In this context, force majeure and the theory of unforeseen circumstances (also …

Diet Quality As Assessed By The Healthy Eating Index-2020 Among Individuals Diagnosed With And Without Type 2 Diabetes, Minghao Zhou, Hairui Yu, Renee Underwood, Hongning Cai, Tung Sung Tseng, Susu Luo

School of Public Health Faculty Publications

Background: Dietary management is key to preventing and controlling type 2 diabetes mellitus (T2DM). However, few studies have examined differences in Healthy Eating Index (HEI-2020) scores and components among individuals with and without diagnosed T2DM. This study aimed to assess gender differences in HEI-2020 scores and its 13 components by T2DM status. Methods: Using National Health and Nutrition Examination Survey (NHANES) data from 2011 to 2018, this cross-sectional study analyzed 19,464 adults. Diagnosed T2DM was identified via self-report or diabetes medication use. Diet quality was assessed using the HEI-2020, scored from 0 to 100, with a higher HEI score indicates …

Study On The Concept And Framework Of Synergy Between Mitigation And Adaptation, Xianchun Tan

Double Helix Methodology

Carbon neutrality and the Global Goal on Adaptation jointly drive the integration of mitigation and adaptation; however, a clear conceptual and analytical framework for their synergy remains absent. This study first examines the components of mitigation and adaptation, and analyzes the mechanisms through which they interact. It then explores the fundamental principles underlying the synergy between mitigation and adaptation, and construct a corresponding analytical framework. It emphasizes that mitigation and adaptation are mutually influential, providing a foundation for achieving synergy. Furthermore, synergy should be promoted in the five aspects of objectives, regions, sectors, pathways, and policies—and follows the logic of …

Using Randomization To Compare Ai And Expert-Generated Formative Assessment Questions In Medical Education, Akshat Kumar, Katie Stinson, Litao Wang, Elizabeth Nugent, Yongsu Lee, Mark Hormann, Latanya Jones Love, Toufeeq Ahmed Syed

Faculty, Staff and Student Publications

Background: AI-generated content is being used across the education spectrum and is beneficial for creating complex multiple-choice questions, such as those used in medical education. However, evaluating AI-generated content is challenging, and existing testing and evaluation methods are falling short. This study uses randomization to compare medical students' performance on and subjective evaluation of AI versus expert-generated questions. We hypothesized that there would be no difference in student performance or subjective evaluation of AI vs expert-generated questions.

Methods: We designed a single-center, randomized study where medical student participants received either one AI- or expert-generated question per day over four weeks. …

When Probiotics Guidelines Differ: A Practical Guide For Clinicians And Researchers, Geoffrey A Preidis, Hania Szajewska, Marla Cunningham, Howard Bauchner, Daniel J Merenstein

Faculty, Staff and Students Publications

Many professional organizations publish clinical practice guidelines for the use of probiotics in gastrointestinal disorders. Generally, no two guidelines align perfectly, and some differ markedly. These discrepancies occur because clinical practice guidelines are not purely mechanical outputs of data synthesis. They are shaped by structured interpretation, value judgments, and predefined thresholds for uncertainty. These elements become particularly visible when effect sizes are small, heterogeneity is high, and outcomes vary in clinical relevance-as is the case with probiotic research. This article examines why discordance among probiotic guidelines is predictable and provides practical guidance for clinicians who must decide among conflicting recommendations …

Steroid Receptor Coactivator 3-Deficient Regulatory T Cells Eradicate Multiple Solid Tumors In Syngeneic Mouse Models, Nuri Sung, Eunsu Kim, Yosef Gilad, Yuri Park, Adam M Dean, Yan Xia, Jianming Xu, Clifford C Dacso, David M Lonard, Sang Jun Han

Faculty, Staff and Students Publications

Steroid receptor coactivator 3 (SRC-3) is highly expressed in regulatory T cells (Tregs) and is important for their immunosuppressive activity. Recently, we demonstrated that disrupting SRC-3 expression in Tregs eliminates triple-negative breast cancer (TNBC) and prostate cancer in syngeneic animal models by generating an anti-tumor immune microenvironment without inducing immune-related adverse events (irAEs). Further analysis of these mice revealed that SRC-3 knockout (KO) Tregs infiltrated breast tumors and facilitated the infiltration of CD8

Reducing Acute Healthcare Services With Self-Management Of Blood Pressure Monitoring Through Remote Patient Monitoring For Hypertensive Patients A Quality Improvement Project, Becky J. Wagner

Doctor of Nursing Practice (DNP) Manuscripts

Hypertension (HTN) affects nearly half of U.S. adults and remains a leading cause of preventable emergency department (ED) visits, hospitalizations, and healthcare costs due to poor blood pressure (BP) control (Fryar et al., 2024; Mullins et al., 2019). Traditional care models often lack the continuous monitoring and timely intervention needed for effective chronic disease management. Remote Patient Monitoring (RPM) provides an innovative approach by delivering real-time BP data, enabling early clinical intervention, and encouraging patient engagement in self-management (Omboni et al., 2020).

This Doctor of Nursing Practice (DNP) project evaluated the effectiveness of an RPM intervention in reducing acute healthcare …

Is Your Cyst Really A Ganglion Cyst? A Case Report Of Angioleiomyoma Mimicking A Plantar Fascia Cystic Lesion, Christopher Anjorin Ms Dpmc, Joseph Bender Dpm

School of Podiatric Medicine - Student Research

Ganglion cysts are among the most common benign soft tissue masses encountered in podiatric clinical practice, and their diagnosis is often presumed based on location, clinical observation, and transillumination. However, this case highlights a diagnostic idiosyncrasy: a lesion clinically presumed to be a ganglion cyst within the plantar fascia was ultimately identified as an angioleiomyoma following surgical excision and histopathological evaluation. This finding underscores the importance of maintaining a broad differential diagnosis when assessing cystic lesions, particularly those that transilluminate, as benign vascular tumors may closely mimic more common entities in both clinical presentation and imaging. More importantly, what if …

Impact Of Implementing Standard Wound Care Guidelines For Patients In The Home Care Setting On Patient Outcomes, Raymond Anthony Flores Jr

Doctor of Nursing Practice (DNP) Projects

Wound care is among the most significant public health concerns, affecting millions of people worldwide. Most individuals with wounds end up self-managing their condition from their homes due to being discharged early from the hospital, owing to various reasons, and the costs associated with health care. Although home wound management offers convenience and lower costs for patients, it is also associated with substantial challenges, including limited access to and use of appropriate care protocols, wound management tools, and sufficient education on the topic, as well as limited professional advice. These limitations contribute to poor outcomes, including slow healing rates, infections, …

Nourishing Births: A Program Evaluation Proposal For Community-Based Nutrition Education, Food Access, And Garden Engagement Among Black Birthing People, Naa Deedei-Vera Hammond

Master's Projects and Capstones

Black birthing people in the United States continue to experience unequal maternal health outcomes, shaped in part by racism and barriers to nutritious food, culturally relevant health education, and supportive community spaces. While prenatal nutrition education and food assistance programs can provide important resources, information alone cannot address the challenges many people face when trying to access healthy and affordable food during pregnancy. The Nourishing Births Initiative is a proposed community-based maternal health program designed to respond to these needs by bringing together prenatal nutrition education, help connecting to food resources, community gardening, and peer support for Black birthing people …

Adolescent And Young Adult Cancer Survivorship: Supportive Care Needs, Resources, And Barriers, Allison Bryn Koplos

Master's Projects and Capstones

Background: Adolescent and young adult (AYA) cancer survivors experience unique physical, psychosocial, developmental, and healthcare-related challenges that often persist beyond treatment completion. Although survivorship resources have expanded, gaps in supportive care needs persist. This scoping review examined the supportive care needs, survivorship resources, and barriers to accessing supportive care among AYA cancer survivors.

Methods: A scoping review was conducted following the Arksey and O'Malley framework and reported in accordance with the PRISMA-ScR guidelines. Peer-reviewed literature published between 2000 and 2026 was identified through searches in PubMed and Google Scholar. Studies examining supportive care needs, survivorship resources, or supportive care services …

20141218: President Stephen J. Kopp Memorial Materials, 2014-2015, President's Office

Guides to University Archives

These items include materials from the office of the President at Marshall University from 2014-2015. Items were received in that time period and include notable materials from President Kopp's departure from this Earth. Included are newspaper articles, obituary write-ups, copies of his memorial service, and write-ups about his life published in the Herald-Dispatch. Please download the inventory for a complete list of the contents.

From State To Nation: A Federal Framework For Breast Cancer Primary Prevention Informed By California's Paths To Prevention, Serena Padda

Master's Projects and Capstones

The United States’ federal government should adopt a primary prevention framework for breast cancer modeled after Breast Cancer Prevention Partners’ (BCPP) Paths to Prevention: the California Breast Cancer Primary Prevention Plan. The plan focuses on systemic actions to reduce breast cancer risk through a social and racial justice lens. Breast cancer is the leading diagnosed cancer among women in the United States, with incidence rates increasing annually by 1% since 2012. Disparities persist in communities disproportionately burdened by chemical and environmental exposures, contributing to unequal and preventable risk. Current federal policy focuses primarily on secondary prevention through screenings, which does …

Robust Statistical Methods For Microbiome Abundance Data, Yiming Shi

WUSM Theses and Dissertations – All Programs

Differential abundance analysis in microbiome studies aims to identify taxa whose abundance differs across biological or clinical conditions. The observed data are typically taxon-specific sequencing read counts, representing reads assigned to different taxa within each sample. These counts are indirect measurements of the underlying microbial abundance profile and are constrained by sample-specific library sizes. Microbiome count data are also typically sparse, overdispersed, and heteroscedastic. Together, these characteristics create substantial challenges for differential abundance analysis and make the results highly sensitive to normalization procedures, model specification, and the statistical methods used for inference.

Normalization defines the scale on which samples are …

Port And Vessel Communication Traffic Intrusion Detection: A Variational Autoencoder‑Enhanced Multilayer Perceptron Approach, Chien-Lin Chiang, Hsien-Cheng Chou, Ming-Yuan Peng, Yi-Yuan Chiang, Yu-Shun Liu

Journal of Marine Science and Technology–Taiwan

Port and vessel networks increasingly operate on IP/Ethernet backbones with high‑noise, high‑dimensional traffic. We present a lightweight hybrid intrusion‑detection model that couples a variational autoencoder (VAE) with a multilayer perceptron (MLP) and augments training with a boundary‑oriented latent‑space mixup strategy. The VAE models the distribution of normal traffic and identifies anomalies through reconstruction errors. Subsequently, it generates robust latent vectors, enabling the MLP to perform highly accurate supervised classification. On the UNSW‑NB15 dataset, the proposed pipeline attains ≥97% accuracy and an outstanding recall of 99.56% in binary intrusion detection, and visualization of the latent space (PCA) together with reconstruction‑error analyses …