Digital Commons Network^™

Analysis Of The Clinical, Socioeconomic, And Sociodemographic Characteristics Of Virally Unsuppressed Children Aged 2-14 Living With Hiv/Aids In The Region Of Abidjan 2 – Côte D’Ivoire (Region Supported By Usaid), Maman Fathim Kamagate

Capstone Experience: Master of Public Health

Background: Viral suppression among children living with HIV (CLHIV) remains suboptimal in Côte d’Ivoire. This study assessed clinical, socioeconomic, and demographic characteristics associated with viral non-suppression among CLHIV aged 2–14 years in Abidjan 2 to inform targeted interventions under the U.S. Agency for International Development (USAID)-supported Reaching Impact, Saturation, and Epidemic Control (RISE) project.

Methods: A retrospective analysis was conducted using routine program data from 1,203 CLHIV across 73 health facilities. Descriptive, bivariate, and multivariate analyses were performed to examine associations with viral load suppression status. Findings guided the development of a multi-level implementation plan using Kotter’s Change Management Framework, …

Collaborative Action In Education: Empirical Explorations Of The Role Of Partnerships In College Readiness Programs, Jose A. Sanchez

Dissertations

Education gaps exist in the United States in large part because not everyone has equal access to the educational resources or role models that will prepare them to seek a college education. To help combat this phenomenon, Federal and State Governments have promoted college readiness programs via collaborative partnerships between school districts, on the one hand, and colleges and universities, on the other.

To better understand the role that partners can play in creating and sustaining college-readiness programs, this study focused on the history and current practices of collaborations involving oversight of college readiness programs in two school districts. Partnership …

Pediatric Occupational Therapists’ Perception On How Nature-Based Play Affects Fine Motor Development, Abbi M. Rosenow

Human Development and Family Sciences Undergraduate Honors Theses

This study aimed to explore the benefits of nature-based pediatric occupational therapy and the influence of nature and nature-based play on fine motor development. It was hypothesized that nature and nature-based play would positively impact a child’s fine motor skills, and that nature-based occupational therapy would offer unique benefits to a child’s therapeutic experience. To examine these relationships, a survey was distributed to pediatric occupational therapists across the United States. The survey was designed to gather insights into how occupational therapy supports fine motor development, how nature-based play/therapy enhances these skills, and the perceived benefits of incorporating nature into therapeutic …

Popular Culture As Conduit: Navigating Integrated Marketing Communication In An Age Of Hyperconsumerism, Abbey N. Mccann

Electronic Theses and Dissertations

This dissertation examines the discipline and practice of integrated marketing communication, acknowledging the limitations inherent in analyzing a field deeply embedded in the structures of hyperconsumption. This inquiry adopts a constructive hermeneutic approach, interpreting the dialectical tensions that define integrated marketing communication. These tensions include that between commercial imperatives and cultural critiques, which are further complicated by the influence of popular culture and shifting political climates. As popular culture increasingly intersects with sociopolitical discourse, brands are compelled to navigate these dynamics publicly. This evolving landscape reshapes consumer perceptions and brand strategies, reinforcing integrated marketing communication’s role as both a cultural …

Gastric Sarcina Ventriculi: A Report On Two Cases, Yaomin Chen, Yu Liu, Zhiyan Fu

School of Medicine Faculty Publications

: Sarcina ventriculi is a rare Gram-positive coccus that thrives in acidic environments such as the human stomach. It has been increasingly identified in individuals with delayed gastric emptying and has been reported in association with various gastric disorders. However, its exact pathogenic role is not fully understood and remains controversial. : We present two cases of patients, one with a small bowel obstruction and the other with epigastric pain, both diagnosed with Sarcina ventriculi infection by histological examination of gastric biopsies. The patients were managed with a combination of antibiotics and a proton pump inhibitor, resulting in symptom resolution …

Examining The Perspectives Of School Administrators Regarding The Participation Of Students With Disabilities In Career And Technical Education, Kerstin Wheeler

Education Doctoral

Research consistently indicates that career and technical education (CTE) programs offer significant benefits for students. Participating in CTE programs has been shown to improve academic performance, increase graduation rates, and support successful post-school outcomes for all students. While laws and regulations require clear and intentional post-secondary transition planning, participation in CTE among students with disabilities in New York State remains low, less than one in five take part. Using a phenomenological, qualitative design, this study applied Theoharis and Causton’s (2014) framework of Seven Steps to Inclusive Leadership Practices to add to the research the perspectives of school administrators on the …

The Impact Of Transformational Leadership On Leader Emotional Exhaustion And Patient Safety Culture: A Quantitative Study Devoted To Enhancing U.S. Healthcare Leaders, Katrina J. Wojciechowski

Education Doctoral

The United States (U.S.) healthcare system faces significant challenges, including high costs and disparities in access and quality of care. These issues were exacerbated by the COVID- 19 pandemic, which strained resources and staffing. Healthcare leaders must navigate the complexities of delivering care, managing costs, and ensuring high-quality, equitable healthcare services. Their role is crucial in transforming the healthcare system, driving change, and implementing innovations to enhance its effectiveness and efficiency. Equipping healthcare leaders with transformational leadership skills allows them to foster a culture of collaboration by inspiring and motivating teams to embrace change. This quantitative study aimed to (a) …

Internet Of Things And Modern Digital Evidence Collection, Muhammad T. Haider

Student Theses

The ever-evolving landscape of technology and its innovations are populating our houses, streets and all kinds of industries. The use of smart devices is booming from most developed nations to underdeveloped countries. The complications which come with the use of the Internet of Things has been an active discussion for the past many years. If we look around in a room of 30 people, we will most likely find double the amount of IoT devices than the people in that room. All of those devices are connected to the Internet, and are communicating with data servers across the world. The …

Development And Implementation Of An Ob/L&D Sbar Framework To Enhance Communication Between Obstetric Nurses And Anesthesia Providers: A Quality Improvement Initiative, Jenna E. Bigam, Laina J. Uzarski

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Effective communication between obstetric (OB) nurses and anesthesia providers is critical to ensure patient safety during epidural placements in labor and delivery (L&D) settings. At a large teaching hospital, communication gaps were identified when OB nurses requested anesthesia for epidural placements without consistently providing vital patient information. The lack of structured communication can result in important details being overlooked, which may lead to delays in care and potential patient harm. To address this, the SBAR (Situation, Background, Assessment, Recommendation) communication framework was implemented to standardize and improve information exchange. This Doctorate of Nurse Anesthesia Practice (DNAP) project aimed to enhance …

Dlsu Monthly Report Of The Philippine Economy (August 2025 Report), Jesus Felipe, Mariel Monica Sauler, Gerome Vedeja, Clarence Gabriel Romero Fernandez

Angelo King Institute for Economic and Business Studies (AKI)

No abstract provided.

Prevalence And Risk Factors Of Gastroesophageal Reflux Disease Among Population Of Saudi Arabia: A Meta-Analysis, Waleed D. Khubzan, Dana O. Kaddah, Ola E. Alkhoshiban, Mirza H. Alkhater, Botool A. Alshahrani, Rama A. Alhatlani, Muntaha S. Alsulaimani, Dalal A. Elyas, Majed A. Almourgi

Saudi Medical Journal

ABSTRACT Objectives: To find how common gastroesophageal reflux disease (GERD) is in Saudi Arabia and to identify the main risk factors linked to it. Methods: We followed PRISMA guidelines and registered the study on PROSPERO (CRD42025637142). A full literature search was done across PubMed, MEDLINE, and Google Scholar up to December 2024. Two reviewers independently reviewed the results. We assessed the risk of bias using the JBI critical appraisal tool and evaluated potential reporting bias through Egger’s test. To determine the overall prevalence and key contributing risk factors, we conducted a meta-analysis utilizing a random-effects approach. We also did subgroup …

Invisible Algorithms, Visible Outcomes: Roles Of Emotional Labor And Work Gamification In Gigs, Yali Zhang, Liaoliao Li, Xiaoyu Ma, Jun Sun, Yifei Dong, Zhaojun Yang

Information Systems Faculty Publications

As algorithm governance becomes increasingly crucial in gig economy ecosystems, understanding the behavioral impact of algorithmic transparency remains a key research gap. Using the stimulus-organism-response framework and uncertainty management theory, this study examines how platform algorithmic transparency affects gig workers’ in-role and extra-role service behaviors, with emotional labor acting as a mediator and work gamification as a moderator. Analyzing survey data from 325 ride-hailing drivers using partial least squares structural equation modeling (PLS-SEM), the findings reveal that greater algorithmic transparency enhances both in-role and extra-role behaviors. Emotional labor mediates this relationship: deep acting strengthens both behaviors, while surface acting primarily …

Assessing Coastal Vulnerability And Climate-Driven Migration Risk In West Africa, Wenzhao Li, Surendra Maharjan, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

This study presents a GIS-based multi-criteria decision-making framework to assess climate-induced migration risk along the West African coast. We developed a comprehensive risk index that integrates environmental hazards such as flood frequency and socio-economic vulnerability indicators, including poverty levels, population density, and adaptive capacity. By utilizing datasets such as the Geocoded Disasters (GDIS) dataset, Social Vulnerability Index (SVI), Poverty and Adaptive Capacity Index (PACI), and the Population Exposure Index (PEI), the study identifies regions most susceptible to displacement. Results reveal that areas like Benin’s Abomey-Calavi, Cotonou, and Akpo-Misserete are especially vulnerable due to high disaster frequency, substantial population exposure, and …

Low-Power Hardware-Based Real-Time Cervical Spine Localization Via Image Processing, Patricia Angela R. Abu, Chao-Shin Liu, Sung-Hsin Tsai, Po Lin Huang, Hong-Kai Wang, Shih Wei Chung, Chiung-An Chen, Shih-Lun Chen, Sze-Teng Liong, Tsung-Yi Chen

Department of Information Systems & Computer Science Faculty Publications

With the growing prevalence of cervical spine degeneration in the aging population, there is an urgent need for accurate and real-time cervical image analysis to assist in preliminary evaluations during neurosurgical outpatient visits. This study suggests a hard-ware-based real-time cervical spine localization system that uses image preprocessing algorithms to address this need. The system can quickly finish image enhancement and greatly speed up the localization process by turning preprocessing steps like median filtering and binarization into hardware modules. With a power consumption as low as 4.859 mW, the proposed hardware-based median filter demonstrates over 60% reduction in power and 35% …

Green Growth Is A Pathway To Sustainable Development: An Empirical Study Of Saudi Green Initiative, Reema Gh. Alajmi

Journal of Economics and Administrative Sciences

For climate change adaptation and mitigation, a sustainable transition to green growth is essential. The aim of this study is to evaluate green growth indicators using three methods to assess the situation of green growth in Saudi Arabia. The vector error correction model (VECM) was used to estimate the relationship between electricity generation and carbon emissions (CO2), and then examine the mitigation scenario, followed by analysing Saudi green growth indicators versus Organisation for Economic Co-operation and Development (OECD) indicators. The results indicate carbon emissions are influenced by the GDP and electricity generation in Saudi Arabia. Environmental scenarios findings indicate that …

Unified Mathematical Modeling, Analysis And Simulation Of Covid-19 And Ecological Processes, Jacob Derrick

Masters Theses and Doctoral Dissertations

This dissertation is concerned with the modeling, simulation, and analysis of complex population dynamics using compartmental modeling frameworks based on ordinary differential equations (ODEs). First, we propose a mechanistic model to investigate the transmission dynamics of COVID-19, particularly focusing on the emergence and population-level impact of a post-acute sequela referred to as long COVID and vaccination effects. We then move forward with a model that incorporates multiple strains and reinfection dynamics. By fitting these models to epidemiological data from the United States and the United Kingdom, we conduct both mathematical analyses and numerical simulations to better understand the factors driving …

Influence Of A Summer Bridge Program On African American Students At East Tennessee State University, Carshonda Harris

Masters Theses and Doctoral Dissertations

The purpose of this research was to investigate if there was a significant difference of academic success between African American participants and non-participants of the B.U.C.S. Academy program, a summer bridge program, at East Tennessee State University (ETSU). Although African American students’ enrollment has increased for several years, this population remains underrepresented in comparison to majority groups regarding retention, grade point average, and attainment of bachelor’s degrees (East Tennessee State University, 2021). For the purpose of this study, academic success was defined as key metrics of fall-to-fall retention rate, grade point average, and four and six-year graduation rate. Through further …

When Opportunity Knocks, Do Dark Personality Traits Aid In Students’ Rationalization Of Academic Misconduct?, Jacqueline R. Strowd

Dissertations

Concerns about academic misconduct are receiving increased attention within academia due to a proliferation of advanced technologies and reports of the high prevalence with which students engage in misconduct. Contextual factors (e.g., peer acceptance, opportunity) appear to be stronger predictors of students’ propensity for academic misconduct than individual factors (McCabe & Trevino, 1997). The Fraud Triangle Theory (i.e., pressure, opportunity, rationalization) has been adapted to this context and provides a useful theoretical model for considering contextual factors (Cressey, 1973; Wolfe & Hermanson, 2004). Research integrating this theory with the Dark Triad (i.e., Machiavellianism, narcissism, psychopathy) suggests that these traits may …

The Impact Of Gender, Training Year, Medical Specialty And The Covid-19 Pandemic On Resident Wellness, Sara Beachy, Jessica Luzier, Chantel Weisenmuller, Kathleen Bors, Mary Ann Maurer, Amna Anees, Tiffany Lasky, Lisa Calderwood

Department of Family & Community Medicine Faculty Papers

INTRODUCTION: Data are limited as to which factors most strongly impact medical trainees' well-being, and few studies have assessed trainee's wellness at multiple time points during the COVID-19 pandemic. Additionally, much research has not taken an intersectional approach to understanding the ways in which different facets of a resident's identity impact their wellness. Thus, more person-centred, probability-driven statistical approaches that can produce distinct heterogenous groups of individuals are warranted to understand the way in which different identities are associated with resident wellness scores.

METHODS: A latent profile analysis was conducted using institutional data from resident surveys administered from 2019 to …

Optimal Hypergraph Connectivity With Cut Queries, Hang Liao

Dartmouth College Ph.D Dissertations

Finding connected components in undirected hypergraphs—hypergraph connectivity—is a fundamental problem in computer science. It can be framed as a special case of Symmetric Submodular Function Minimization (SSFM), where the objective is to determine if the non-trivial minimizer is zero. This thesis develops an optimal algorithm for hypergraph connectivity within the $\CUT$ query model, where an algorithm probes a subset of vertices to learn the weight of the hyperedges ``cut" by that partition.

Our approach is constructive, culminating in an optimal algorithm for the general problem by first developing the necessary tools for two foundational subproblems. The main contributions of this …

Journal Of Communication Pedagogy, Complete Volume, 2025

Journal of Communication Pedagogy

No abstract provided.

Reflections Of Linguistic Experiences In A Borderland: Influences On Cultural Identity And Teacher Praxis, Iliana Cantu

Theses and Dissertations

This Autoethnographic dissertation uses autohistoria-teoria to critically analyze my lived curriculum as a Mexican-born raised in the borderland of the Rio Grande Valley. This research aims to understand the influence of my linguistic experiences on my cultural identity and teaching praxis within the same context. Drawing from Anzaldua’s (1987) concept of Borderlands as a contextual lens and Raciolinguistics as a theoretical framework, I examine and reflect on key linguistic experiences that have perpetuated colonizing linguistic practices rather than fostered linguistic diversity. Additionally, Culturally Linguistic Sustaining Pedagogy serves as a framework to critically analyze my teaching praxis in relation to my …

Barriers To Hispanic Post-Secondary Education In Science Fields, Luis Slayton

Theses and Dissertations

The study aimed to examine whether external barriers could be identified and are present throughout a Hispanic individual's educational life. The beliefs of the Hispanic community regarding education and the nature of acquiring an education could be relevant to the factors that impede the completion of high school. A survey approach was chosen as the methodology for the study due to the confidential nature of a questionnaire. Human nature tends to be more honest when not asked personal questions face-to-face. Additionally, there is potential to generalize attributes from a small sample to a larger population, allowing inferences about the identified …

Examining The Relationship Between Teaching Presence In The Community Of Inquiry Framework And Student Satisfaction In Online Graduate Educational Technology Courses, Vianna Madrid

Theses and Dissertations

The Community of Inquiry (CoI) Framework, comprising three key elements, social presence, cognitive presence, and teaching presence, provides a theoretical foundation for understanding how students engage with and perceive their online learning environments. Among these elements, teaching presence, encompassing course design and organization, facilitation of discourse, and direct instruction, plays a fundamental role in shaping students’ perceptions of instructional clarity, support, and overall satisfaction. This quantitative study, grounded in the CoI model, examines the relationship between the categories of teaching presence and student satisfaction among graduate students enrolled in online Educational Technology courses. Accordingly, a survey instrument incorporating the CoI …

Job Satisfaction And Vocational Services In Persons With Acquired Brain Injury, Claudia Eliza Gonzalez

Theses and Dissertations

The incidence of acquired brain injuries continues to rise world-wide resulting in increased disability status and national costs related to these injuries (Ahonle et al., 2020; BIAA, 2024; CDC, 2003; CDC, 2015; CDC, 2023; Grigorovich, et al., 2017; Tyerman et al., 2017). Long-term health effects associated with acquired brain injuries have social and environmental impacts that influence the individual with the injury beyond acute treatment and rehabilitation (Ahonle et al., 2020; CDC, 2023; Frieden et al., 2015; Grigorovich, et al., 2017; Tyerman et al., 2017). This, in turn, affects employment as many individuals with brain injuries are unable to return …

Exploring Intra- And Interpersonal Connection Through Mindful Moments At A Hispanic-Serving Institution, Yvette Angeline

Theses and Dissertations

The demands of contemporary education have contributed to high levels of stress, anxiety, and burnout among educators (Barton, 2019; Hidajat et al., 2023; Walker, 2022), uncovering a need for pedagogical approaches that prioritize holistic well-being and humanize the learning experience (Palmer, 2009; Salazar, 2013; Wong & Mishra, 2020). This qualitative case study investigates how moments of mindfulness, integrated as curricular practice within a teacher education program at a Hispanic-Serving Institution (HSI), nurtures pre-service teachers’ awareness of the self and world. This study explores aspects of mindfulness from its Eastern origins (Thich Nhat Hanh, 1975) and its Western secular applications (Jon …

The Relationship Between Principal Leadership Behaviors And Teacher Leadership In Secondary Middle Schools In South Texas, Tina Garza

Theses and Dissertations

This study examined the relationship between principal leadership behaviors and teacher leadership opportunities in grade 6 – 8 middle schools in South Texas, with a focus on understanding how leadership structures influence teacher engagement and voice. Utilizing both quantitative and qualitative data, the research found that informal teacher leadership in grade 6 – 8 middle schools in South Texas is significantly more common than formal leadership roles, with peer collaboration emerging as the primary avenue for leadership engagement. Middle school teachers consistently expressed a desire to contribute meaningfully to school improvement but identified principal gatekeeping as a major barrier to …

Social Participation And Health-Related Quality Of Life For Adults With Neurodevelopmental Disabilities: Capabilities Mediation And Employment Status And Social Security Disability Insurance Moderation, Kayi Ntinda

Theses and Dissertations

Social participation is a key determinant of health-related quality of life (HRQoL) of adults with neurodevelopmental disabilities (NDDs), yet how individuals with NDDs engage socially to support their HRQoL remains poorly understood. Furthermore, the influences of personal capabilities, employment status, and Social Security Disability Insurance (SSDI) as social factors for well-being are underexplored with this population.

This cross-sectional study investigated the direct and indirect effects of social participation on HRQoL, examining capabilities as a mediator and employment status and SSDI receipt as moderators. The study sample comprised 304 adults with NDDs (females = 83.3%; age range 18 to 60 years …

Occupational Therapy Educators’ Perceptions Of Preparedness To Teach Students Culturally Responsive Care For Diverse Patient Populations, Jack Ruelas

Theses and Dissertations

This phenomenological investigation examined occupational therapy faculty preparedness for teaching culturally responsive care to entry-level doctorate students in Texas. Despite Accreditation Council for Occupational Therapy Education (ACOTE) mandates requiring cultural competence education, significant gaps persist between regulatory requirements and faculty readiness to deliver such instruction effectively. The study explored three interrelated dimensions: (1) faculty perceptions of their preparedness to teach cultural competence, (2) institutional training and support mechanisms, and (3) pedagogical integration strategies for culturally responsive content.

Employing interpretive phenomenology grounded in Freire's critical pedagogy and Iwama's Kawa Model, this investigation utilized a two-phase data collection methodology with eleven faculty …

Low-Dimensional Learning For Remaining Useful Life Prediction Of Batteries Operating Under Various Environments, Rodrigo Benavides

Theses and Dissertations

In reliability, we typically define the standard operating conditions under which a component operates. However, the differences in battery operating conditions cause variability in the degradation patterns of identically manufactured batteries, rendering remaining useful life prediction a major challenge. To aid this task, several sensors are utilized to monitor battery state-of-health. However, traditional prognostics algorithms do not scale well to the volume of data generated. Furthermore, several authors do not explicitly consider operating environments in their prediction models. Therefore, we present a high-dimensional data analytics framework that integrates operating environment information for battery prognostics. This framework combines Multilinear Principal Component …