Digital Commons Network^™

Simultaneous Application Of Multiple Process Control Rules, Tran B. Ngo

Electronic Theses and Dissertations

Statistical Process Control (SPC) charts are tools used in quality control to monitor and analyze the stability of a process over time. This study evaluates the effectiveness of eight individual Western Electric rules, also known as WECO rules, and the various combinations of these rules with Shewhart rule (or WECO rule 1) to SPC charts. As more rules are added to a process control scheme with Rule 1, there is a trade-off: a higher false out-of-control signal rate but an increase in sensitivity, that is the ability of a specified process control scheme to capture a true out-of-control signal. This …

Identifying The Diagnostic Challenges And Indicators Of Orthostatic Tremor: Patient Perspectives, Diego Torresrussotto

All Publications

Background: The diagnosis of orthostatic tremor (OT) is challenging because of its non-specific symptoms and a broad range of differential diagnosis, resulting in a complex and lengthy diagnostic journey.

Objective: The aim was to assess the diagnostic delay in OT and to identify key clinical indicators as reported by patients.

Methods: In 2019, the American OT community developed and distributed a web-based survey titled "Symptoms and Diagnosis of Orthostatic Tremor (OT)." The survey included questions on demographics, the diagnostic process, and symptomatology.

Results: An international cohort of 360 OT patients participated in the study, of which 147 with electromyography (EMG)-confirmed …

Fort Hays State University Tiger Weekly, August 01, 2025, University Relations

Tiger Weekly Newsletters

No abstract provided.

Guided Modes Through The Dual Perspectives Of Geometrical Optics And Wave Equation, Mason Spears

Mathematics and Statistics Undergraduate Departmental Honors Theses

In an optical waveguide, only finitely many electric field intensity profiles travel without loss, and these are aptly named guided modes. This paper uses fundamental concepts from the two paradigms of interpreting light, geometrical and physical optics, to derive guided modes axiomatically. First, basic principles of geometrical optics are demonstrated in a slab waveguide to explain characteristics of optical waveguides such as total internal reflection and numerical aperture. Dispersion curves are assembled from the same principles and used to show that only finitely many guided modes exist for a given waveguide. Next, Maxwell’s equations are used to derive the famous …

Sabin Cdc Affordable Infill Initiative, Andrew Lindstrom, Casey Dobbert, Josh Miller, Laura Fleming, Menodora Roos-Lemaster, Nick Flowers

Master of Urban and Regional Planning Workshop Projects

Grounded Growth Planning Cooperative partnered with Sabin Community Development Corporation (CDC), a non-profit affordable housing developer in North/Northeast Portland. The project goal was to examine 11 sites in their Scattered Sites Portfolio for the possibility of infill development to increase the portfolio’s financial performance and to provide additional housing to individuals with intellectual and developmental disabilities (IDD). Accessory Dwelling Units (ADUs) were the primary focus of the evaluation, as they can be constructed without modifying the existing housing and displacing existing tenants. The report identifies opportunities for Sabin CDC to take advantage of Portland zoning code changes that allow increased …

Honoring Childhood Agency In Developmental Research: Best Practices, Applications, And Insights, Amanda N. Howery, Olivia J. Lashley, Hanna R. Wright, Julia L. Williams, Olivia K. Nomura, Eline Lenne, Elizabeth K. Wood, Hanna C. Gustafsson, Elinor L. Sullivan

School of Social Work Faculty Publications and Presentations

Pediatric research requires caregivers to provide informed consent on behalf of their children. While not a formal requirement for children under the age of seven, it is important to involve child participants in the assent and decision-making processes in developmentally appropriate ways. This is especially important in longitudinal research, where the extent to which a developing child understands study tasks evolves over time. Although there is consensus that assent procedures are important and necessary, limited resources synthesizing strategies for pediatric researchers to encourage positive and respectful research experiences for young children exist. We describe methods used in an ongoing longitudinal …

Rebounds Reconsidered: Exploring Perceived Causes And Consequences Of People's Beliefs About Rebound Relationships, Hunter Krampe

All-Inclusive List of Electronic Theses and Dissertations

Romantic breakups are common and can significantly impact emotional well-being. Many individuals enter rebound relationships despite the prevailing belief that these relationships are disingenuous or unhealthy. While limited empirical research exists, some studies suggest rebound relationships may have positive effects, contradicting common advice. This study examined perceptions of rebound relationships, assessing whether individuals who entered a new relationship shortly after a breakup (3 weeks) were perceived more negatively than those who waited longer (3 months). Using a 2x2 experimental design, participants rated targets on emotional state, personality traits, and expected relationship stability. Results indicated that rebounders were not perceived as …

The Impact Of Previous Police Contact And Attitudes Toward Police On Firearm Carriage In A College Student Population, Amanda Kroll

All-Inclusive List of Electronic Theses and Dissertations

This study examines whether an association exists between police contact and firearm carriage. Additionally, the present study examines whether the intrusiveness of police contact has an association with firearm carriage. Questionnaires measuring participant demographics, perceptions of the police, contact with the police, and firearm carriage were administered to 222 participants recruited through undergraduate psychology courses at a state university in the Midwest. Results indicated that participants with a history of contact with the police were more likely to carry a firearm than participants with no contact with the police. Regarding frequency of firearm carriage, participants with a history of police …

Criminogenic Risk Factors For Delinquency In Relation To The Custodial Parent: Incorporating Parent-Child Gender Dyads, Behavioral Control, And Support, Niko Noel Piña-Anastasiadis

All-Inclusive List of Electronic Theses and Dissertations

Juvenile delinquency tends to be higher in single-parent households (Kroese et al., 2021). Research investigating this phenomenon has found conflicting results on whether a juvenile has lower rates of delinquency with a custodial father (paternal hypothesis), custodial mother (maternal hypothesis), or whether gender is secondary to other factors. Similarly, some studies found that the interaction of the juvenile living with a same-gendered parent was associated with lower levels of delinquency. Further complications include how parental variables, such as behavioral control and support levels, may interact with the juvenile and custodial parent gender (Hoeve et al., 2009). The current study utilizes …

Model Explainability: From Post-Hoc To Self-Explainable, Xin Miao Lin

Theses

Deep learning models have achieved remarkable success across diverse domains, yet their ``black-box" nature poses significant challenges to trust and adoption, particularly in high-stakes applications. This dissertation addresses the critical need for explainable artificial intelligence by advancing model interpretability through three complementary approaches: improved post-hoc explanation methods, internal mechanism understanding, and inherently interpretable architectures. First, we tackle the challenge of explaining video understanding models by proposing Frequency-based Extremal Perturbation (F-EP), which generates spatiotemporally consistent explanations for video classification. By leveraging frequency domain analysis and extending perturbation-based methods to the temporal dimension, F-EP achieves superior spatiotemporal consistency while maintaining high classification …

Survey Of Aquatic Invasive Plants In Selected Umpqua National Forest Lakes And Ponds, Jacob Rose, Gabriel E. Campbell, Catherine De Rivera

Center for Lakes and Reservoirs Publications and Presentations

Seven lakes and ponds within the Umpqua National Forest were surveyed for aquatic invasive weeds during the summer of 2025. These survey results support the US Forest Service and collaborators’ preparations for an upcoming National Environmental Protection Act (NEPA) effort to provide coverage for management actions. Center for Lakes and Reservoirs previously surveyed selections of these waterbodies in 2011 and 2009. For this survey, staff sampled 44-105 points per waterbody, and recorded species frequency, species proportion, and water depth. Surveyed waterbodies predominantly featured diverse native plant communities with 12 to 25 aquatic and emergent species. However, the invasive yellow floatingheart …

What's The Value Of A State? Accounting For The Ecosystem Services And Natural Capital Of Oregon, Kathryn Liebrecht

University Honors Theses

Ecosystem services are vital to human welfare and society, but often are overlooked when it comes to planning and setting policy. By neglecting to incorporate the benefits received from natural resources, policy makers may unknowingly be making decisions that harm the long term sustainability and use of these services. To highlight the importance of Oregon's ecosystems, the present study aims to provide a full accounting of the ecosystem services and natural capital of the state. Using data from the Institute for Natural Resources' updated Oregon statewide habitat map, Oregon's ecosystems were matched to biome categories from the Ecosystem Services Valuation …

An Exploration Of The Structure Of The Linear Algebraic Model Of Color, Isaac Martin

University Honors Theses

This thesis surveys the mathematical grounding of linear algebraic models of color. It aims to build from the ground up the framework by which additive color is broadly understood in the digital age. Primarily building on the work of Jozef Cohen, Eric Dubois, David H. Krantz, and Günter Wyszecki, it aims to chart the construction of a model of color that underpins most modern understandings of color. While the construction is certainly established in colorimetric circles, the construction is, in the thesis author's opinion, either obtuse or non-rigorous. Ideally, this thesis serves to make the construction accessible to an audience …

Comparison Of Psychological Data Between Populations, A Measurement Perspective, Ype H. Poortinga, Hester Van Herk, Johnny Fontaine

Online Readings in Psychology and Culture

In cross-cultural psychology there is a strong tradition of psychometric analysis of bias and invariance (equivalence) after collection of data in distinct populations with identical instruments developed in one population. This implies a focus on measurement outcomes and an operationalist orientation to science. Here we explore how a focus on joint development and content validity of instruments combined with relaxation of the demand of item identity can provide an additional perspective. Three points are addressed:(1) Any comparison between participants from two, or more, populations presumes a common quality (property, attribute) and requires a common measurement scale, a “standard of comparison”. …

The Real Story Of “The Happy Mother”: A Narrative Inquiry Exploring The Construction Of Motherhood And Postpartum Depression, Elizabeth Erin Falconer

Seton Hall University Dissertations and Theses (ETDs)

The transition to motherhood is a complex and challenging period, during which mothers undergo a considerable number of biological, hormonal, and identity changes. The first six to eight weeks following childbirth is a time of great susceptibility to postpartum depression for mothers. Despite its prevalence, there is a lack of research beyond the biological understanding of the experience. Prior literature has examined the biological aspects of postpartum depression and its societal influences on motherhood. However, no prior study has explored how postpartum depression impacts mothers’ construction and understanding of motherhood through investigating their subjective, lived experiences. This study fills that …

"I'Ll Leave The Back Porch Light On:" An Exploration Of The Legitimization Of Same-Gender Male Couple Members Through Marriage And Parenthood For Those With Adverse Coming Out Experiences, Devin S. Simpkins

Seton Hall University Dissertations and Theses (ETDs)

Reczek and Bosley-Smith (2022) identified several reasons why queer adult children reported feeling compelled to maintain relationships with their rejecting parents, and the strategies that they utilized to do so. The construct of legitimization exists within a heteronormative context, contributing to the theory that adherence to cis-heteronormative relational ideals allows same-gender couples to have a greater chance of being accepted by the dominant culture (Chevrette & Eguchi, 2020). Unintentional or deliberate aligning with idealized images of traditional (i.e., cisgender and heterosexual) couples or families is a means by which same-gender couples may seek this acceptance.

The present study sought to …

Hemorrhagic Gastropathy From Paclitaxel-Carboplatin Combination Chemotherapy, Kristeen Onyirioha, Maya Balakrishnan

Faculty, Staff and Students Publications

A 58-year-old woman with endometrial cancer started on paclitaxel in combination with carboplatin chemotherapy, presented to the hospital with severe anemia and melena. An esophagogastroduodenoscopy with biopsies revealed diffuse gastric antrum hemorrhagic gastropathy without inflammatory changes. She had recurrent admissions with similar presentations during her chemotherapy. Her management included frequent blood transfusions, endoscopic Argon plasma coagulation to hemorrhagic lesions, and a prolonged course of proton pump inhibition to facilitate post-Argon plasma coagulation mucosal healing. Weeks after completing chemotherapy, her hemoglobin improved and recurrent upper gastrointestinal bleeding resolved. In this case, we identify a rare paclitaxel, in combination with carboplatin, associated …

Racial And Ethnic Disparity For Cancer Mortality In General And Single-Payer Healthcare Systems In The United States, Rock Bum Kim, Emily Zhou, Kaitlin N Swinnerton, Jennifer La, Shengling Ma, Mrinal Ranjan, Nhan V Do, Mary T Brophy, Nathanael R Fillmore, Ang Li

Faculty, Staff and Students Publications

Background: It remains unclear what factors significantly drive racial disparity in cancer survival in the United States (US). We compared adjusted mortality outcomes in cancer patients from different racial and ethnic groups on a population level in the US and a single-payer healthcare system.

Patients and methods: We selected adult patients with incident solid and hematologic malignancies from the Surveillance, Epidemiology, and End Results (SEER) 2011-2020 and Veteran Affairs national healthcare system (VA) 2011-2021. We classified the self-reported NIH race and ethnicity into non-Hispanic White (NHW), non-Hispanic Black (NHB), non-Hispanic Asian Pacific Islander (API), and Hispanic. Cox regression models for …

Incidence Of And Risk Factors For Hospital-Acquired Bleeding In People With Cancer: A Systematic Review, Mansour Gergi, Jinah Kim, Amalia Dolan, Laura Haines, Ang Li, Neil A Zakai

Faculty, Staff and Students Publications

Background: Hospital-acquired (HA) bleeding (bleeding occurring during hospitalization) in cancer patients is poorly characterized, potentially increasing morbidity and mortality due to under- or overprescription of low-dose anticoagulation for venous thromboembolism prevention.

Objectives: To perform a systematic review and meta-analysis (as appropriate) to identify the incidence of and risk factors for HA bleeding in people with cancer.

Methods: A systematic English-language search was conducted using Ovid MEDLINE, Ovid EMBASE, Google Scholar, and Cochrane Library. Keywords and controlled vocabulary related to bleeding risk in hospitalized cancer patients were iteratively refined. Studies assessing HA bleeding as a primary or coprimary endpoint were included, …

Stool-Based Molecular Tuberculosis Treatment Monitoring: A Faster Means For Detecting Persistent Mycobacteria Compared To Phenotypic Culture, Clement Gascua Adu Gyamfi, Abigail Seeger, Durbbin Mulengwa, Anca Vasiliu, Lucia Carratala-Castro, Bariki Mtafya, Nontobeko Maphalala, Shilzia Munguambe, Belen Saavedra, Tara Ness, Gugu Maphalala, Sozinho Acacio, Edson Mambuque, Joanna Ehrlich, Rojelio Mejia, Mangaliso Ziyane, H Lester Kirchner, Christoph Lange, Alexander Kay, Alberto L Garcia-Basteiro, Anna Mandalakas, Andrew R Dinardo

Faculty, Staff and Students Publications

Background: Tuberculosis (TB) treatment monitoring is hindered by the lack of a rapidly measured biomarker that accurately predicts clinically relevant outcomes. Symptom screening poorly correlates with bacillary burden. Although culture is a direct measure of viable bacillary burden, the long turnaround time makes it clinically irrelevant.

Methods: The TB treatment monitoring potential of stool-based, quantitative polymerase chain reaction (qPCR) was prospectively assessed among 231 participants of all ages from Eswatini, Tanzania, and Mozambique with microbiologically confirmed TB. Stool qPCR results were compared to sputum culture, persistent symptoms, drug resistance, and World Health Organization TB outcomes.

Results: Quantitative bacillary burden measured …

The Resilience Of The Human Lungs: Evolution, Smoke, And Disease, Joan B Soriano, Francesca Polverino

Faculty, Staff and Students Publications

No abstract provided.

Molecular Maestro In The Lung: The Sphingolipid Rheostat, Joselyn Rojas-Quintero, Francesca Polverino

Faculty, Staff and Students Publications

No abstract provided.

Experiences Of The Emergency Department Environment: A Qualitative Study With Caregivers Of People With Dementia, Anita N Chary, Michelle Suh, Annika Bhananker, Norvin Hernandez, Ana Paulina Rivera, Ed Boyer, Mark E Kunik, Manish N Shah, Christine Ritchie, Aanand D Naik, Shan W Liu, Maura Kennedy

Faculty, Staff and Students Publications

ED crowding and boarding adversely impact older patients' care and outcomes. Little is known about how ED crowding impacts persons living with dementia, a vulnerable population. This study sought to explore ED experiences of caregivers of people with dementia during a period of ED crowding and boarding. We performed semi-structured interviews with caregivers of people with dementia with an ED visit during a period of ED crowding and boarding at two public hospitals experiencing a threefold increase in boarding from pre-pandemic levels. Participants were recruited via chart review. We coded data using an inductive approach. Three themes emerged from 29 …

Community-Engaged Medical Student Elective To Improve Knowledge And Attitudes Toward Individuals With Intellectual And Developmental Disabilities, Kathryn J Kemere, Nital Appelbaum, Priya Chandan, Elisha Acosta

Faculty, Staff and Students Publications

Individuals with intellectual and developmental disabilities (IDD) face multiple barriers to inclusion throughout life. One barrier is the medical knowledge and biases of adult healthcare providers with diagnoses traditionally associated with childhood. Medical school curricula have limited content related to IDD, and students have limited opportunities to engage with community organizations during their clinical years. Methods: We created a one-month clinical elective to address medical students' attitudes and knowledge regarding individuals with IDD using experiential learning. Students saw adult patients in our primary care clinic with a variety of IDD diagnoses and spent 30% of their time at community sites …

Rest-Activity Rhythm Phenotypes In Adults With Epilepsy And Intellectual Disability, Nandani Adhyapak, Grace E Cardenas, Mark A Abboud, Vaishnav Krishnan

Faculty, Staff and Students Publications

Objective: Rest-activity rhythms (RARs) are perturbed in many forms of neuropsychiatric illness. In this study, we applied wrist actigraphy to describe RAR perturbations in intellectually disabled adults with epilepsy ("E + ID"), using a cross-sectional case-control design. We examined whether RAR phenotypes correlated with epilepsy severity, deficits in adaptive function, and/or comorbid psychopathology.

Methods: Caregivers of E + ID subjects provided informed consent during routine ambulatory clinic visits and were asked to complete standardized surveys of overall epilepsy severity (GASE, Global Assessment of Severity of Epilepsy), adaptive function (ABAS-3, Adaptive Behavior Assessment System-3) and psychopathology (ABCL, Adult Behavior Checklist). Caregivers …

The Synaptic Architecture Of Layer 5 Thick Tufted Excitatory Neurons In Mouse Visual Cortex, Agnes L Bodor, Casey M Schneider-Mizell, Chi Zhang, Leila Elabbady, Alex Mallen, Andi Bergeson, Derrick Brittain, Joann Buchanan, Daniel J Bumbarger, Rachel Dalley, Clare Gamlin, Emily Joyce, Daniel Kapner, Sam Kinn, Gayathri Mahalingam, Sharmishtaa Seshamani, Shelby Suckow, Marc Takeno, Russel Torres, Wenjing Yin, J Alexander Bae, Manuel A Castro, Sven Dorkenwald, Akhilesh Halageri, Zhen Jia, Chris Jordan, Nico Kemnitz, Kisuk Lee, Kai Li, Ran Lu, Thomas Macrina, Eric Mitchell, Shanka Subhra Mondal, Shang Mu, Barak Nehoran, Sergiy Popovych, William Silversmith, Nicholas L Turner, Szi-Chieh Yu, William Wong, Jingpeng Wu, Brendan Celii, Luke Campagnola, Stephanie C Seeman, Tim Jarsky, Naixin Ren, Anton Arkhipov, Jacob Reimer, H Sebastian Seung, R Clay Reid, Forrest Collman, Nuno Maçarico Da Costa

Faculty, Staff and Students Publications

Despite significant progress in characterizing neocortical cell types, a complete understanding of the synaptic connections of individual excitatory cells remains elusive. This study investigates the connectivity of mouse visual cortex thick tufted layer 5 pyramidal cells, also known as extratelencephalic neurons (L5-ETns), using a 1 mm3 publicly available electron microscopy dataset. The analysis reveals that, in their immediate vicinity, L5-ETns primarily establish connections with a group of inhibitory cell types, which, in turn, specifically target the L5-ETns back. The most common excitatory targets of L5-ETns are layer 5 intertelencephalic neurons (L5-ITns) and layer 6 (L6) pyramidal cells, whereas synapses with …

Ruptured Arteriovenous Malformation Mortality: Incidence, Risk Factors, And Inpatient Outcome Score, Eric Feldstein, Allison Zhong, Kevin Clare, Bridget Nolan, Smit Patel, Nir Lavi-Romer, Zehavya Stadlan, Alis Dicpinigaitis, Jose Dominguez, Haris Kamal, Steven D Shapiro, Arundhati Biswas, Omar Tanweer, Ketan Bulsara, Carrie Muh, Jared Pisapia, Simon Hanft, Stephan Mayer, Chirag D Gandhi, Fawaz Al-Mufti

Faculty, Staff and Students Publications

Background

Limited literature exists on the morbidity and mortality of AVM associated intracerebral hemorrhage (ICH) compared with non-AVM ICH.

Objective

We examine morbidity and mortality in cAVM in a large nationwide inpatient sample to create a prognostic inpatient ruptured AVM mortality score.

Methods

This retrospective cohort study from 2008 to 2014 compares outcomes in cAVM related hemorrhages and ICH utilizing the National Inpatient Sample database. Diagnostic codes for ICH and AVM underlying ICH were identified. We compared case fatality according to medical complications. Multivariate analysis was used to derive hazard ratios and 95% confidence intervals to assess odds of mortality. …

Diagnostic Value Of Cell-Free Dna Fetal Fraction In Patients With Prenatally Suspected Placenta Accreta Spectrum Disorder, Danielle Chirumbole, Christian M Parobek, Alex Tai, Haleh Sangi-Haghpeykar, Yamely H Mendez, Spoorthi Kamepalli, Christina C Reed, Arthur Ladron De Guevara, Keneshia Lane, Claire Hoppenot, Amir A Shamshirsaz, Michael A Belfort, Jessian L Munoz, Hendrik A Lombaard

Faculty, Staff and Students Publications

Objective: The purpose of this study was to investigate the relationship between fetal fraction (FF) and placenta accreta spectrum (PAS) pathology in patients with prenatally suspected PAS.

Methods: This was a case-control study utilizing a database of pregnancies with suspected or proven PAS delivered between 6/2012 and 7/2024 at a single institution. Pregnancies were excluded if FF was not reported. The primary outcome was mean FF in pregnancies with a final clinical diagnosis of low FIGO grade (no PAS or FIGO1-2) versus high FIGO grade (FIGO3) placenta accreta. Results were reported as mean FF ± standard error of the mean. …

Effect Of Social Drivers Of Health On Screening For Type 2 Diabetes In Individuals With Gestational Diabetes During Delivery Hospitalization And 4-12 Weeks Postpartum, Ingmar N Bastian, Manisha Gandhi, Mark A Turrentine

Faculty, Staff and Students Publications

Objective: To prospectively evaluate postpartum diabetes screening rates among individuals with gestational diabetes mellitus (GDM) offered testing during the delivery hospitalization or at 4-12 weeks postpartum compared with historic outpatient-only screening and to assess the role of social and structural drivers of health.

Methods: This retrospective study compared patients with GDM who delivered between January 1 and December 31, 2023 (retrospective cohort), and underwent outpatient screening at 4-12 weeks postpartum with a 75-g 2-hour oral glucose tolerance test (OGTT) with a prospective cohort (June 24-November 5, 2024) of the first 100 patients who underwent screening in the immediate postpartum delivery …

The Influence Of Ultra-Wide Field Fluorescein Angiography On The Diagnosis And Management Of Diabetic Retinopathy, Nicole K Scripsema, Tala Al-Khaled, Amy Song, Joelle A Hallak, Rawan Allozi, Aziz A Khanifar, Thanos D Papakostas, Christina Y Weng, Ronald C Gentile, J Peter Campbell, Jessica G Lee, Gennady Landa, Felix Y Chau, William F Mieler, Meenakashi Gupta, Amani A Fawzi, Judy E Kim, Jennifer I Lim, Robison Vernon Paul Chan

Faculty, Staff and Students Publications

Purpose: To study the influence of ultra-widefield fluorescein angiography (FA) on the diagnosis and management of diabetic retinopathy (DR).

Methods: Ten experts in DR completed an online survey in which they were asked to diagnose and manage DR cases using different imaging modalities. Experts independently reviewed 20 cases of DR and provided a diagnosis and management plan for each case, first based on ultra-widefield color-free and red-free images alone and again with the corresponding ultra-widefield FA images. Experts were polled on their diagnostic confidence, use of FA in clinical practice, and opinions on the value of ultra-widefield FA. Based on …