Digital Commons Network^™

Examining The Intersectional And Structural Issues Of Routine Healthcare Utilization And Access Inequities For Lgb People With Chronic Diseases, Shiya Cao, Mehreen Mirza, Sophia Silovsky, Nicole Tresvalles, Lucia Qin, Sarah Susnea

Statistical and Data Sciences: Faculty Publications

In the United States, although the gaps in health insurance coverage by sexual orientation have been closing since the implementation of the Affordable Care Act and legalization of same-sex marriage, the LGB group (i.e., lesbian, gay, bisexual) continues to report healthcare utilization and access inequities such as more delayed or unmet care. The extant research has often examined healthcare utilization and access inequities due to affordability (e.g., out-of-pocket costs). However, healthcare utilization and access inequities are only partially explained by cost reasons; there are non-cost reasons that have not been adequately empirically examined. The present study innovatively includes discrimination structural …

The Safety Kuznets Curve: Context In Occupational Safety, Andy Knickerbocker

ASEM Capstones

2025 ASEM 620 Capstone Project

Integrating A “World -Class” Safety System Into Diverse Teams, Mark D. Keller

ASEM Capstones

2025 ASEM 620 Capstone Project

Holiday Concert

Bailey School of Music Concert Programs

Celebrate the season with an unforgettable evening of music and cheer! Join the Bailey School of Music student ensembles, featuring the Chamber Singers, Jazz Ensemble I, Symphony Orchestra and Wind Ensemble for a festive performance packed with holiday favorites the whole family will love. From timeless classics to joyful surprises, this concert is sure to warm your heart and lift your spirits.

Experiences Of Non-Hispanic Black And African American Women With Postpartum Healthcare, Margaret F. Sposato, Claire Draucker, Jasmine D. Johnson, Kristin Tully, Julie Otte

Biennial Convention (CONV)

Racial and ethnic disparities in maternal mortality and morbidity are stark in the United States, especially for non-Hispanic Black and African American women who experience elevated rates of pregnancy-related deaths and severe maternal morbidity.^1,2 Effective postpartum healthcare is essential for optimizing birthing people’s health,³ yet little is known about non-Hispanic Black and African American women’s experiences with postpartum healthcare in the year following delivery. The purpose of this study was to describe non-Hispanic Black and African American women’s experiences with postpartum healthcare throughout the one-year postpartum period from their perspectives. For this qualitative descriptive study semi-structured interviews with …

Rebuilding Trust In The Used Car Industry: A Five Forces Analysis, Ghaika Vera

Honors Capstones

Consumer distrust has become one of the greatest barriers to success in today’s automotive retail environment, especially within the used-car market where skepticism toward dealerships and repair services is widespread. This research investigates how dealerships can rebuild consumer confidence while also improving profitability and long-term competitive positioning. Using Porter’s Five Forces framework, the study analyzes key industry pressures including high buyer power, strong competitive rivalry, and increasing substitute transportation. Findings show that transparency, trust-building communication, and consistent relationship-based service are essential for sustainable differentiation. Strategies such as mobile-friendly scheduling systems, real-time repair updates, transparent pricing and inspection visuals, partnerships with …

Tennyson & Contemporary Science: Herschel’S Preliminary Discourse, A Book That Got Away, Patrick Scott

Faculty Publications

Discusses the rediscovery, provenance, and authenticity of the copy of John Herschel's Preliminary Discourse on the Study of Natural Philosophy (1831), with an ownership inscription by Tennyson dated 1843, and marginal markings on multiple pages, that was previously only known from a brief catalogue description for a 1924 auction.

Closeness, Conflict, And Achievement: The Role Of Parent–Child Relationships In Homeschooled And Public-Schooled Children, Celeste Gonçalves Tomaz

Honors Capstones

The parent–child relationship has been found to be a predictor of children’s academic and socio-emotional outcomes, with parent-child closeness linked to motivation and persistence (Mo & Singh, 2008; Silinskas & Kikas, 2022) and parent-child conflict associated with emotional and behavioral difficulties (Dotterer et al., 2008; Pinquart, 2017). The homeschooling context may increase these associations since children spend more time with their parents, who have caregiving and instructional roles (Padilla, 2021; Thomas, 2016). Even with growing research on academic and socio-emotional outcomes, few studies have examined whether the strength of the parent–child relationship is influenced negatively or positively by schooling type. …

State Of Technology Usage In Smaller Public Accounting Firms In 2025, Arun Kumararaj, Candice Hux

Honors Capstones

Prior research gives significant attention to technology usage of large public accounting firms, particularly the Big 4. However, limited evidence exists on the smaller public accounting firms, which constitute a majority of the public accounting field. In this study, we conducted semi-structured interviews with eight highly experienced professionals of smaller accounting firms. Findings reveal that firm size does not necessarily predict technological sophistication. Rather, individual leadership, including a single partner, emerges as a critical driver towards technological advancement. AI was primarily used for administrative tasks and, as of yet, the return on investment has been unclear. Despite this, all interviewees …

Ract: Ranking-Aware Chain-Of-Thought Optimization For Llms, Haowei Liu, Xuyang Wu, Guohao Sun, Hsin-Tai Wu, Zhiqiang Tao, Yi Fang

Computer Science and Engineering

In information retrieval, large language models (LLMs) have demonstrated remarkable potential in text reranking tasks by leveraging their sophisticated natural language understanding and advanced reasoning capabilities. However, conventional supervised fine-tuning approaches for specializing LLMs in ranking tasks often lead to significant degradation of the models' general-purpose abilities. To address this fundamental challenge, this paper presents a novel methodology that strategically combines Chain-of-Thought (CoT) prompting techniques with an innovative two-stage training pipeline consisting of Supervised Fine-Tuning followed by Ranking Preference Optimization (SFT-RPO). The Chain-of-Thought prompting component encourages models to explicitly articulate their reasoning process during ranking decisions, creating a transparent pathway …

Strategies For Prolonging Ventricular Action Potential Duration Without Increasing Transmural Dispersion Of Repolarization, Candido Cabo

Publications and Research

Dispersion of repolarization results from a non-homogeneous recovery of excitability in cardiac tissue, and it is an important factor in arrhythmogenesis because it could lead to the initiation and maintenance of a variety of arrhythmias. Antiarrhythmic agents that prolong action potential duration (APD) by selectively blocking specific ion channels (like IKr) often increase dispersion of repolarization, which could result in a pro-arrhythmic risk. In this report, using computer models of the action potential of human epicardial, mid-myocardial, and endocardial myocytes, we have identified strategies to prolong APD without increasing transmural dispersion of repolarization. The first strategy, which involves blocking several …

Changing Opinions: The Supreme Court After Dobbs, Lora E. Judge

Honors Theses

No abstract provided.

The Reception Of Neurodiversity Represented Within Netflix’S Wednesday, Anna Stevens

Graduate Theses & Dissertations

This paper explores how neurodiversity is represented through popular media - particularly Netflix's show Wednesday - and aims to discuss the effects this representation could have in regards to how it's received by the public, as well as those who are neurodiverse.

Proteome-Wide Association Study Of Prostate Cancer Risk Across Populations, Hua Zhong, Jingjing Zhu, Shuai Liu, Chong Wu, Liang Wang, Seamus P. Whelton, Catherine H. Marshall, Michael J. Blaha, Peter Durda, Xiuqing Guo, Craig W. Johnson, Henry J. Lin, Kent D. Taylor, Russell P. Tracy, Ronit I. Yarden, Ani W. Manichaikul, Stephen S. Rich, Jerome I. Rotter, Rajat Deo, Ruth F. Dubin, Peter Ganz, Lang Wu

School of Graduate Studies Faculty Publications

There is insufficient understanding of the molecular basis of prostate cancer (PCa) across different populations. We perform a large-scale proteome-wide association study (PWAS) to identify proteins with genetically regulated expression in plasma to be associated with PCa risk across populations. We develop genetic prediction models for expression of 1578, 1993, 1218, and 1390 proteins for African (n = 450), European (n = 758), Asian (n = 289), and Hispanic/Latino (n = 474) males, respectively, and evaluate associations of genetically regulated protein expression with PCa risk in 19,391 PCa cases and 61,608 controls of African population, 122,188 cases and 604,640 controls …

Elm: The Case Of Experiential Programming, Matthew Miller, Lynette Campogiani

Faculty and Staff Publications & Presentations

Experiential Programs (EPs) provide immersive, destination-focused experiences within luxury resort settings. However, research has yet to apply the elaboration likelihood model (ELM) to examine how guests evaluate their experiences with EPs, particularly within luxury tourism or resort contexts. Using the ELM framework, this study examined how the experience of luxury resort EPs influences guests’ revisit intentions. Guests’ experiences were categorized into central and peripheral processing cues and qualitative interview responses were analyzed. The findings indicate that elements such as ambient music and scenic views associated with peripheral processing had a significantly stronger positive impact on guests’ intentions to return than …

An Updated Annotated Checklist Of The Mammals Of The Crane Trust, Hall County, Nebraska, Bethany L. Ostrom, Amanda H. Medaries, Andrew J. Caven, Jenna M. Malzahn, Alexa Rojas, Matthew R. Schaaf, David M. Baasch, Thomas E. Labedz, Greg D. Wright

Transactions of the Nebraska Academy of Sciences and Affiliated Societies

The Crane Trust is a regional nonprofit conservation organization that has protected land in the biologically important Central Platte River Valley for over four decades. A mammal inventory was conducted on the Crane Trust’s main habitat complex in 1980. Since, a variety of environmental conditions have shifted locally, regionally, and globally. An analysis of the mammal community was conducted using past and recent data to determine how species composition and relative abundance have shifted categorically from 1980 to 2021. We used all available data to categorize relative abundance during two distinct time periods per a modified “DAFOR” scale including 7 …

Characterization Of Peg-Modified Composite Membranes For Microfluidic Oxygenator Applications, Nicholas C. Higgins, David G. Blauvelt, Shuvo Roy

Department of Pediatrics Faculty Papers

Microfluidic oxygenators promise to advance extracorporeal membrane oxygenation (ECMO) devices with enhanced hemodynamics and low prime volume. We are developing a silicon-based membrane oxygenator that will offer improved gas transfer and fluid flow control. Polyethylene glycol (PEG) has been used to improve hemocompatibility by providing excellent resistance to protein adsorption. Here, we characterized a polyethylene glycol surface modification of composite silicon–PDMS membranes to evaluate their effects on microfluidic oxygenator properties. X-ray photoelectron spectroscopy (XPS) and water contact angle goniometry confirmed successful PEG attachment, evidenced by the presence of characteristic C-O bonds and increased hydrophilicity, which was stable for 2 weeks. …

Hospital Length Of Stay In Sepsis Patients Across Age, Comorbidity, And Invasive Device Use Categories, Heri Sutanto, Alif Nurul Izzati, Syifa Mustika

Folia Medica Indonesiana

Sepsis is a life-threatening condition caused by a dysregulated response of the body to infection. Sepsis is closely associated with high costs and prolonged length of hospitalization. The purpose of this study was to determine the correlation between sepsis risk factors and length of hospitalization for sepsis patients at Dr. Saiful Anwar Malang General Hospital. This study used a retrospective cohort approach with a sample size of 56 medical records. The study used inclusion criteria for sample selection. The analysis results in a p-value of 0.976 and an r-value of 0.004; the findings demonstrated a correlation between patient age and …

Evaluation Of Antibacterial Activity Of Amaranthus Spinosus Extract Against Streptococcus Mutans: An In-Vitro Study, Fakhrun Nisa, Juen Carla Warella, Valentine Hursepuny, Johan Bruyif Bension, Khairunnida Rahma

Folia Medica Indonesiana

Streptococcus mutans is a component of the normal oral flora that can become a primary pathogen, leading to dental caries and tooth decay. Tooth decay and dental caries are the most common oral health issues worldwide. Treatment of dental caries and tooth decay represents a crucial effort in addressing global health concerns. One alternative treatment the community used to treat dental caries and tooth decay is thorn spinach (Amaranthus spinosus). Thorn spinach leaves contain bioactive compounds with potential antibacterial properties, including flavonoids, tannins, saponins, and alkaloids. This study aimed to evaluate the antibacterial activity of thorn spinach leaf …

Factors Associated With Medication Adherence And Systolic And Diastolic Blood Pressure Of Hypertensive Patients, Hamka Ziddan, Meity Ardiana, Linda Dewanti, Anudya Kartika Ratri

Folia Medica Indonesiana

Uncontrolled hypertension can cause complications such as heart disease, brain disease, kidney disease, and other diseases. Medication adherence is a primary factor in controlling blood pressure (BP) in hypertensive patients. This study aims to provide an overview of the factors associated with medication adherence of hypertensive patients treated at Taman Public Health Center in Sidoarjo, Indonesia. This study used a cross-sectional approach involving hypertensive patients. This study employed consecutive sampling, with the number of samples comprised of patients undergoing outpatient care from January 2, 2023, to February 25, 2023, totaling 103 respondents. The study employed the Morisky Medication Adherence Scale …

The Formation And Dynamics Of Colonial “Lived Spaces” : Urban Space And Society In Colonial Hanoi, 1883–1916, Nam Khanh Hoang '25

Student Research

This study examines the nuanced experiences and perceptions of urban space among different social groups in colonial Hanoi in the late nineteenth and early twentieth centuries by analyzing the French colonial agendas, as reflected through modern urban planning and practices, and its reception among the colonial urban inhabitants, as suggested through their responses to the Statue of Liberty—a colonial urban monument. While existing scholarship has often framed colonial cities as stages for consolidating imperial power, introducing Western ideals of modernity, and forming systems of oppression and exploitation against colonial subjects, it has often overlooked the perceptions and experiences of colonial …

Double Burden Stress In Women And The Role Of Psycho-Religious Worship In Alleviating It, Fahmi Mandala Putra, Zata Ismah, Rizky Indah Syahfitri, Citra Cahyati Nasution, Az-Zahra Atika Putri, Fitria Amirah, Tri Amelia Rahmitha Helmi

Folia Medica Indonesiana

It has been recognized that women are twice as likely to experience depression compared to men. In addition to biological vulnerability, there is also a combined effect of bearing the burden of household responsibilities while contributing financially through employment. One coping strategy that helps women endure these challenges is meditation, which in Islam includes the practice of dhikr (remembrance of God). This study aims to analyze the phenomenon of double burden stress in women and how psychoreligious practices can help reduce stress levels. The study employed a prospective cohort design, tracking the respondents' dhikr habits over a 21-day period. On …

Innovative Offshore Transition-To-Practice Model For International Nurses Using Tele-Simulation, Lisa Mceathron, Christian Striggow, Jose Arnold Tariga

Biennial Convention (CONV)

Empirical evidence underscores the importance of optimal nurse staffing in delivering high-quality patient care, improving outcomes, and enhancing nurse well-being. Internationally educated nurses (IENs) play a crucial role in addressing staffing shortages in the United States, yet they face challenges in bridging gaps between varying international nursing standards and US healthcare practices. Innovative approaches are essential to ensure their readiness to integrate effectively prior to arrival.

The International Transition to Practice Program leverages tele-simulation as a pioneering strategy to address these challenges, providing an offshore, immersive learning experience for IENs. This program was implemented from July 2023 to September 2024, …

Improving Hiv Knowledge And Attitudes Of The Youth In The Philippines Through Mobile Text Messaging, James Montegrico

Biennial Convention (CONV)

Background: The Philippines has the highest HIV incidence rate in the Asia-Pacific region, with the highest incidence between the ages 15 to 34 years. There are low levels of HIV knowledge, negative attitudes towards people with HIV/AIDS, and a lack of interventional studies to improve HIV knowledge and attitudes in the country. The high rate of mobile phone use and text messaging in the Philippines offers potential in using technology to address gaps in HIV knowledge and negative attitudes regarding HIV.

Purpose: This pilot study determined the feasibility and effectiveness of mobile text messaging (MTM) in improving HIV/AIDS knowledge …

Toward Indonesia’S Zero Leprosy 2030: Key Lessons From Epidemiological Trends In Papua 2020-2024, Inneke Viviane Sumolang, Dimas Iqbal Romadhon, Agnes Angelita Suyanto

Folia Medica Indonesiana

Papua, the easternmost province of Indonesia, has consistently reported the highest number of new leprosy cases and leprosy-related disabilities for decades. Despite this burden, no comprehensive study in recent years has systematically examined the epidemiological trends of leprosy in Papua using large datasets. This study provides an updated analysis of leprosy elimination efforts and evaluates the province’s readiness to achieve the Zero Leprosy 2030 target. A retrospective descriptive epidemiological review was conducted using secondary data from the routine health information system of Papua Province from 2020 to 2024. Extracted variables included demographic characteristics, new case reports, diagnostic classification, disability grade, …

How Risk Factors Significantly Affect The Incidence Of Type 2 Diabetes Mellitus In Tarus, Kupang, I Made Subhawa Harsa, Prisilia Christin Velisites Masneno, Eva Diah Setijowati, Andra Agnez Al Aska

Folia Medica Indonesiana

The incidence of type 2 diabetes mellitus (T2DM) is influenced by both unmodifiable factors, such as age, family history, education, and employment status, as well as modifiable factors, including obesity, diet, physical activity, and smoking habits. Researchers have recognized the necessity of research on risk factors for T2DM across various regions. However, the findings have been inconsistent. The absence of research on risk factors for T2DM in some regions has necessitated the conduct of studies in these areas, particularly in primary health care facilities such as Community Health Centers (\textit{Puskesmas}). This study aims to control the risk factors that contribute …

Hardships Increase As Households Rely More On Gig Work, Laura Brugger, Anthony J. Nixon, Amrita Kulkarni, Mathieu Despard, Stephen Roll

Center for Social Development Research

Gig work has grown substantially in the United States in recent years. Although research has examined the relationship between participation in the gig economy and hardship, few studies examine how households’ reliance on gig work relates to hardship experiences. Drawing upon data from the Workforce Economic Inclusion and Mobility survey of a nationally representative sample of low-wage workers, this brief explores the relationship between the proportion of a household’s income from gig work and indicators of financial distress: bill payment difficulties, food insufficiency, budget constraints, blood plasma sales, reliance on alternative financial services such as payday loans, and usage of …

Islamic Prophetic Counseling: An Intervention Strategy In Developing Students' Noble Character, Hardi Santosa, Ahmad Zaki Annafiri, Iin Inawati, Akhmad Fajar Prasetya, Muhammad Sabri Bin Sahrir

Buletin Konseling Inovatif

This study aims to test the effectiveness of Islamic prophetic counseling in developing students' noble morals. The research method uses a true experiment involving a control group. The selection of the control group uses the waiting-list control group model, with consideration of the ethical aspects of the study. The research sample involved 244 students captured the profile of noble morals and their spiritual activism. While the hypothesis test involved 50 students who were divided into control and experimental groups. The sample selection was carried out randomly with the random assignment technique. The research data were collected using a noble moral …

Opportunities, Challenges, And Realities Of Graduate Student Submissions In Institutional Repositories: One Librarian’S Reflection, Sierra Pandy

Journal of Graduate Librarianship

The role of an institutional repository (IR) is to provide open access publishing and archival services for the institution’s faculty, staff, and students. However, despite the wide range of benefits this creates for university researchers, it can be difficult to communicate that value to graduate students. This article will discuss and reflect upon the various challenges, successes, and opportunities we experienced while promoting and utilizing the IR for graduate students at the University of Wyoming during and after a major platform migration, and touch upon goals for the future.

Bringing Mutuality And Reciprocity Into Focus: A Case Study On Sustaining University-Community Partnerships For Local Systems Change And Student Learning, Jessica L. Lucero, Lucas Martin, Jayme Walters

Transforming Communities

This case study explores a long-term university-community partnership focused on addressing homelessness, highlighting the principles of mutuality and reciprocity in achieving systemic change. Over nearly a decade, the partnership has evolved to engage university resources, faculty, and social work students through research, courses, and outreach activities, such as community surveys, the Point-in-Time Count, strategic planning, advocacy, and service system expansion. These collaborative efforts have contributed to enhanced public awareness, increased state funding, and the establishment of vital services, including a warming center. The case study also underscores the challenges inherent in community-engaged scholarship, including capacity constraints like funding and staffing …