Digital Commons Network^™

Community Perspectives On Factors Contributing To Resilience For Healthy Aging In Kenya, Linda Khakali, Everline Onchari, Maureen Ondire, Catherine Onyancha, Chinedu Momoh, Edna Bosire

Brain and Mind Institute

Background: The global elderly population is increasing and expected to double in thenext decade. Aging increases the likelihood of adversities, with resilience becomingan important aspect of healthy aging. Understanding how individuals conceptualizeresilience offers an opportunity to create contextually relevant interventions forpromoting healthy aging. This study aimed to explore adults’ perspectives on factorsinfluencing resilience in Kenya.

Method: Using qualitative methods, 36 adults aged 35 years and above werepurposively recruited from various communities in Nairobi County to participate ininterviews. We asked questions about their understanding of aging, adversity andresiliency. We also provided them with case scenarios of two individuals respondingdifferently to the …

Reassessing Dementia Risk: Expanding The 2024 Lancet Commission Report For A More Accurate Global Understanding, Cyprian Mostert

Brain and Mind Institute

Background: The 2024 Lancet Commission Report analyzes 14 risk factors thataccount for 45 percent of global dementia cases. However, it overlooks four criticalrisk factors: poverty, wealth shocks, income inequality, and viral infections. This isparticularly concerning given that 57 percent of the identified risk factors in theLancet report are more prevalent in men, even though dementia predominantly affectswomen worldwide.

Method: In this policy paper, we used the recent global review studies and argue that itis essential to recalibrate and expand the 2024 Lancet Commission’s list of risk factorsto include poverty, wealth shocks, income inequality, and viral infections. Our analysissuggests that these …

Understanding And Willingness To Participate In Dementia Clinical Trials In Kenya: An Ethnographic Study, Edna Bosire, Lucy Kamau, Chinedu Momoh, Jasmit Shah, Karen Blackmon, Caroline Kiio, Irene Meier, Vaibhav Narayan, Olivera Nesic Taylor,, Zul Merali

Brain and Mind Institute

Background: Advancements in dementia research are in part contingent on participation in clinical research. Clinical trials can help researchers determine if new drugs, devices, or diagnostic procedures for dementia are safe and effective. However, little is known about clinical trials for dementia in resource constrained settings such as Kenya. The aim of our research was to explore people’s understanding of dementia clinical trials, their attitudes and perceptions towards dementia clinical trials and what can be done to enhance enrollments on such clinical trials.

Method: This was an ethnographic study involving 8 focused group discussions (FGDs; age and gender stratified; n=81) …

Perceptions And Attitudes On Biospecimen Sample Collection For Dementia Research In Kenya, Lucy Kamau, Chinedu Momoh, Karen Blackmon, Caroline Kiio, Jasmit Shah, Vaibhav Narayan, Irene Meier, Olivera Nesic Taylor,, Zul Merali, Edna Bosire

Brain and Mind Institute

Background: Biospecimen sample collection is crucial in dementia diagnosis and evaluation. Limited research exists from African Countries including Kenya on people's perception on biospecimen sample collection for dementia- a disease that is largely unknown. Our aim was to understand the public perceptions towards collection of biospecimen samples for dementia research in Kenya.

Method: We conducted 8 focused group discussions (FGDs; age and gender stratified) in Nairobi to understand people's perceptions about different biospecimens (urine, saliva, blood, tears, hair, cerebrospinal fluid (CSF) and the brain samples). An open-ended FGD guide was used for the discussions, each lasting about 90 minutes.

Result: …

Dual-Model Approach For Accurate Chest Disease Detection Using Gvit And Swin Transformer V2, Kamal Ahmad, Hafeez Ur Rehman, Babar Shah, Farman Ali, Irfan Hussain

All Works

The precise detection and localization of abnormalities in radiological images are very crucial for clinical diagnosis and treatment planning. To build reliable models, large and annotated datasets are required that contain disease labels and abnormality locations. Most of the time, radiologists face challenges in identifying and segmenting thoracic diseases such as COVID-19, Pneumonia, Tuberculosis, and lung cancer due to overlapping visual patterns in X-ray images. This study proposes a dual-model approach: Gated Vision Transformers (GViT) for classification and Swin Transformer V2 for segmentation and localization. GViT successfully identifies thoracic diseases that exhibit similar radiographic features, while Swin Transformer V2 maps …

Disruption Of The Placenta–Brain Axis In Transgenic Mice Lacking Serotonin Transporter (Sert) In Trophoblast Cells, David T. Ellenberger, Zhen Lyu, Rosalind T. B. Herrington, Jessica A. Kinkade, Gustavo W. Leone, Ji Ying Sze, Nathan J. Bivens, R. Frank Baker, R. Michael Roberts, Trupti Joshi, Cheryl S. Rosenfeld

Biomedical Sciences

Serotonin reuptake inhibitors (SSRIs) are commonly prescribed to pregnant women experiencing depression. Such drugs, however, might adversely affect placenta and fetal brain development. Parietal trophoblast giant cells (pTGCs) in the mouse placenta are postulated to internalize maternal serotonin (5-HT) via transport through SERT, encoded by Slc6a4, and to provide the initial source of 5-HT to the emerging brain via the placental–brain axis. Genetic deletion of Slc6a4 in pTGCs has been hypothesized to impact placental and fetal brain development. A transgenic mouse line with high-affinity SERT, encoded by Slc6a4, was selectively deleted by pairing mice with Cre recombinase linked …

Effects Of Injectable Trace Mineral Timing On Calf Performance And Health Indicators, Marie E. Goulais

Graduate Theses and Dissertations

One hundred and fourteen calves (average BW= 224kg ± 89kg) were utilized to evaluate the effects of injectable trace mineral (ITM) administration on calf performance and health when administered pre-weaning and at weaning. Calves were blocked by sex, stratified by age, and randomly assigned to one of the following treatment groups: 1) no ITM injection (CON), 2) ITM administered 28 d before weaning (PW), or 3) ITM administration at weaning (WEAN). Calves were vaccinated against respiratory pathogens on D-28 and D0. At weaning, cattle were transported to a local auction market, held overnight and returned the following morning. Body weight …

Finding Utopia: An Examination Of Pedagogical Approaches To Teaching Utopianism In U.S. College Classrooms, Brittany Page Brake

Dissertations

This dissertation investigates how, and if, utopianism is being taught in college classrooms across the United States. Long considered impractical, overly idealistic, and/or politically dangerous, utopianism has been largely marginalized in political science and American culture. However, this project finds that there are instructors teaching utopianism and they are using the concept to challenge students to think differently about governance, justice, and institutional design. Drawing from political theory literature, course syllabi submitted by faculty from different U.S. universities, interviews with instructors, and personal case studies of my own courses at Central State University and Manchester University, I explore how utopian …

Three Funny Things: A Multicultural Validation, Jon Hook

Dissertations

This dissertation evaluated the efficacy of Three Funny Things, a humor-based positive psychology intervention (PPI) designed to enhance subjective well-being (SWB) and reduce depressive symptoms. Subjective well-being was operationalized through self-reported happiness, measured by the Authentic Happiness Inventory (AHI), and depressive symptomatology, measured by the Center for Epidemiologic Studies Depression Scale (CES-D). A repeated-measures design was employed across three time points: baseline (Time 1), post-intervention (Time 2), and one-month follow-up (Time 3). Participants (N = 126) represented a racially diverse community sample, including individuals identifying as White (61%), Black or African American (18%), Hispanic or Latino/a (11%), Asian (6%), and …

Development Of The Hydrogeology Concept Inventory And Exploration Of Its Embedded Spatial Thinking Components, Oluwarotimi Akindele Popoola

Dissertations

Hydrogeology is a sub-discipline of geoscience that deals with the occurrence and movement of water and possible contaminants within the subsurface. Understanding basic principles of hydrogeology is important for applying practical solutions to hydrogeology problems. Hydrogeology is a visuospatial discipline in which spatial thinking skills play a significant role. To assess the hydrogeology knowledge of students, a valid and reliable assessment instrument with spatial components is required.

This research was conducted as a series of quantitative studies with three goals: (1) to develop the Hydrogeology Concept Inventory (HCI), a valid and reliable measure of upper-level undergraduate students’ hydrogeology knowledge, (2) …

Reliability Analysis Of In-Person And Virtual Goniometric Measurements For Select Shoulder And Forearm Motions, Autumn Whitson, Tracy Cook, Lisa Middleton, Casey E. Humphrey, Aaron D. Sciascia

EKU Faculty and Staff Scholarship

Background Previous research on upper extremity range of motion has compared in-person to virtual measures for sagittal plane motions (flexion/extension) showing good-excellent reliability. Since upper extremity evaluation includes motion in all planes, it is important to assess whether transverse plane motion (rotation, supination, pronation) can be reliably measured during a virtual assessment. Purpose To evaluate the reliability (test/re-test inter-rater and intra-rater) of goniometric measurements of shoulder internal rotation and forearm pronation/supination obtained in-person and virtually. Study Design Observational cohort, Reliability study Methods Subjects 18-60 years of age with no upper extremity injuries were recruited for range of motion (ROM) testing …

Application Of Natural Language Processing And Machine Learning For Analyzing Mining Accident Reports And Automating The Process Of Root Cause Analysis, Siddhartha Agarwal, Y. P. Chugh, Atul Singh, Vikram Sakinala, Ayan Mukherjee, Balbir Prasad, Cihan Dagli, Yuhao Zou

Engineering Management and Systems Engineering Faculty Research & Creative Works

Coal mining accidents are a major concern worldwide, necessitating effective safety measures and comprehensive analysis to prevent future accidents. Our proposed solution is the first attempt for Indian mines, inspired by the potential of Natural Language Processing (NLP) that can read and analyze vast repositories of accident records in seconds. In combination with machine learning (ML), NLP algorithms can extract unstructured text by eliminating manual data entry errors, reading poorly scanned reports, and understanding multiple versions of the event and cluster documents based on types that would otherwise take months to collate. In the case of accident records, it can …

A Systematic Review Of Corporate Ethics Program Training Strategies To Improve Ethical Workplace Cultures, Robin Raye Altice

Educational Leadership & Workforce Development Theses & Dissertations

The demand for corporations to practice more ethically responsible conduct and decision making is growing with every news report of another corporate scandal, lawsuit, fine, or high-visibility C-suite firing. To develop an ethical workplace culture, organizations should implement a comprehensive ethics program that fosters and encourages ethical decision making, especially among current and future leaders. However, there is little research and few guidelines for how ethics program administrators should design corporate ethics training to effectively practice and master the skill of ethical decision-making in efforts to continually grow a more ethical work environment. This study aims to identify corporate ethics …

Evaluating The Impact Of Policy In Theatre: The Influence Of Public & Political Policy On The Theatrical World, John Q. Rhodes

Undergraduate Honors Theses

In the second half of the twentieth century, there is distinct evidence to exhibit a direct correlation between daily occurrences and matters of public policy. This paper serves to analyze the impact of U.S. public policy on theatrical practices. To provide a detailed and targeted analysis of the exponential impact public policy had upon the theatrical industry, this examination will look at theatre beginning in 1961 and will extend towards the current administration of President Donald Trump and is organized in ten-year segments. Each decade will be generalized for its direct or indirect changes that occurred within the period and …

(R2115) Analysis Of Single Server Queueing System With Differentiated Vacations And Differentiated Breakdowns, V. Karthick, V. Suvitha

Applications and Applied Mathematics: An International Journal (AAM)

This research work considers a single server queueing model with differentiated vacations. In addition there is a possibility of two types of failures when the server is in a busy period; namely hard failure and soft failure. In the time of soft failure server may work with a slow service rate. We analyzed as a Quasi-Birth-and-Death (QBD) process, using the matrix geometric method, the steady state probability vector of the number of customers in the queue and the stability conditions are produced. Busy period analysis of the proposed model in given. The effects of various parameters on the system performance …

(R2132) A Multi Server Markovian Working Vacation Queue With Randomly Varying Environment, A. Sundaramoorthy, R. Kalyanaraman

Applications and Applied Mathematics: An International Journal (AAM)

In this article, we consider a multi server Markovian queueing system with working vacation. During busy period, the arrival and service completion are generated by K distinct randomly varying environments. At a service completion epoch, if no customer in the system, the servers take vacation, the vacation policy is multiple vacation policy and the vacation period follows negative exponential distribution. In addition, during vacation period the servers serve customers if they arrive. Based on the vacation termination point we define two Models. For the two models, the steady state probability vector of number of customers in the queue, the stability …

(R2135) System Dynamical Analysis For Ann-Based Numerical Solutions Of A Compartmental Model: A Bio-Mathematical Model Of Drug Diffusion Through The Compartments Of Blood And Tissue, Rakesh Kumar, Sudarshan Dhua

Applications and Applied Mathematics: An International Journal (AAM)

This paper provides a considerably efficient numerical approach to acquire the solutions of a biomathematical model administrating oral and intravenous distribution of pharmaceuticals in the human body. The proposed numerical approach based on an artificial neural network is employed to extract numerical solutions for a detailed set of ordinary differential equations and analyze the change in concentration of drug diffusion via the compartments of blood and tissue medium. We primarily focus on analyzing three different models established on the diffusion process, exercising laws of mass action and Fick’s principle. In this work, the existing model is reformulated as an optimization …

(R2107) Analysis Of A Bivalent Vaccine Model With Peer Influence Effect On Testing, Manoj Kumar Singh, Anjali .

Applications and Applied Mathematics: An International Journal (AAM)

The coronavirus caused havoc around the world. There was a terrible situation in villages and cities, and no one knew how to deal with it. Although the governments of each country tried their best to save the common people, vaccination programs and testing centers were built everywhere. However, people were not utilizing it due to fear. Because of this, the infection spread rapidly. The qualitative study of the mathematical model here is in context with the situation when bivalent vaccination and testing are available for an epidemic. The mathematical model combines the exposed period and influenza model with vaccination included …

Accessing Community Needs In The Tri-County Area Of Rural Utah, Cara Murray, Yvette Rea, Lendel K. Narine

Outcomes and Impact Quarterly

Utah State University Extension conducted a needs assessment in the Tri-County area of Utah, encompassing Uintah, Duchesne, and Daggett Counties, to identify key community priorities. Using a three-phased approach, the assessment identified mental health, strengthening relationships, and financial literacy as top concerns. These findings will inform resource allocation to Extension programming to address the region’s most urgent needs.

Tricounty Vaccine Improvement Program (Tc-Vip): Enhancing Vaccine Confidence And Uptake In Rural Utah, Aaron Hunt, Yvette Rea, Annalyz Castro

Outcomes and Impact Quarterly

The Utah State University Extension TriCounty Vaccine Improvement Program addressed low rural vaccination rates across a three-county area through bilingual social media campaigns, health fairs, training in motivational interviewing, and neuromarketing. Evaluation results showed improved skills, broad community reach, and positive participant feedback, demonstrating a replicable model to reduce vaccine hesitancy and strengthen rural health systems.

Pilot Results Of The Teens Lifting Teens: A Statewide Youth Development Program, Megan O. Hall, Vernon C. Parent, Cris Meier, Kaitlyn Line

Outcomes and Impact Quarterly

Youth mental health and teen suicide prevention are among the highest needs in Utah communities. The Teens Lifting Teens (TLT) pilot program seeks to equip Youth Councils with resources and education through training, near-peer mentoring, and service-learning opportunities to build protective factors among teens. Evaluation results showed that TLT youth exposure to near-peer mentoring and service-learning opportunities positively impacted their lives.

2001-Cf-2403: Reflecting On A 24 Year Old Crime In My Family, Nicolas Galindo

Media Projects

No abstract provided.

Triple-Parametric Autoencoder For 2d Reparameterization Via Bézier, B-Spline, And Nurbs Representations, Shaoliang Yang, Jun Wang

Mechanical Engineering

This paper proposes a sample-wise triple-parametric deep learning framework (TPDLF) for 2D curve parameterization. The proposed framework integrates Bézier, B-spline, and Non-Uniform Rational B-spline (NURBS) curve formulations within a unified neural network architecture, enabling the reconstruction of smooth and closed 2D curves such as real-world airfoil and synthetic Superformula shapes (with -fold symmetry). An encoder compresses the input curve shape into a latent space, while three distinct decoders untangle the latent space by inferring corresponding governing parameters for each parameterization (i.e., Bézier/B-spline/NURBS). The corresponding reconstruction modules are then deployed to ensure smooth curve generation using the governing parameters …

Naamkaran At The Border: Reflections On Naming, Identity, And Belonging, Vejoya Viren

Human Development and School Services Faculty Publications

Names serve as primary anchors of identity, carrying histories, cultural markers, and personal significance. Yet individuals with non-Western names frequently encounter mispronunciation, abbreviation, or simplification— practices that subtly diminish or erase aspects of identity. This article employs an autoethnographic lens to explore the complex terrain of naming across personal and professional contexts. Drawing on lived experience from India to the U.S.–Mexico border, the essay examines the emotional and social labor associated with names, the negotiation of linguistic difference, and the ethical imperative of respectful pronunciation. It situates personal narrative within scholarship on microaggressions, identity construction, and linguistic justice, demonstrating how …

Daily Life Therapy: Daily Living Skills Training (Handwashing, Brushing Teeth, And Getting Dressed) For Parents Of Autistic Children, Christpher T. Fontecchio

Instructional Design Capstones Collection

The Boston Higashi School founded by Dr. Kiyo Kitahara in 1987 has been utilizing Daily Life Therapy to teach residential autistic children daily living skills. Parents, whose children attend the Boston Higashi school just in the day program, have expressed challenges in teaching daily living skills when their children are home and have asked for strategies to carry over what is being taught at school into their home. Utilizing the tenets of “Kimochi Zukuri,” to prepare the child’s mind for a task, the training proposed with this project is to bridge the gap in teaching daily living skills from Boston …

Differences In Loading Rate In Shod And Unshod Treadmill Walking, David Austin Kropushek

Master's Theses

The purpose of this study was to compare the loading rates of shod and unshod conditions in treadmill walking. It was hypothesized that walking barefoot would demonstrate higher loading rates than walking with shoes. It was also hypothesized that walking barefoot on a treadmill would result in greater stride-to-stride variability than walking with shoes. Sixteen healthy adult females volunteered and provided their consent to participate in this study. Participants were given time to accommodate to the instrumented treadmill both while wearing shoes and without. Two 10-minute trials were collected with a rest period between. Data were analyzed using Vicon Nexus …

From Plate To Picture: The Role Of Gastronomic Offerings In Tourism Marketing, Patricia Picazo, Sergio Moreno-Gil, Robin B. Dipietro, Forest Ma

Faculty Publications

Gastronomic offerings are key components of travel and destinations. However, scant research has focused on how gastronomic offerings are projected to tourists. Using signaling theory as a framework, this study investigated the presence of gastronomic offerings in 25,231 promotional photos to assess how the pictures represented the food offerings at resorts in five countries. Data were gathered from the brochures published by two leading tour operators in the European market, “TUI” and “Thomas Cook.” The results of content analysis showed that gastronomic offerings were often secondary to cultural and natural assets in brochures. In addition, the number of photos with …

Petrology And Geochemistry Of The Middle Pennsylvanian (Langsettian) Clintwood Coalbed, Pike County, Kentucky, James C. Hower, Cortland F. Eble, Shelley D. Hopps, Tonya D. Morgan, Vivian A. Edwards

Earth and Environmental Sciences Faculty Publications

The Middle Pennsylvanian, Langsettian sub-stage Clintwood coal, along with its correlatives, was one of the more important energy resources in eastern Kentucky. The coal thickens from the NE-SW-trending Belfry anticline in central Pike County to the southeast, towards the Virginia-Kentucky border. Much of the thickness increase is in the bright lithotypes below a dull lithology. The bright lithologies transition from a bright clarain + vitrain + fusain lithology to a clarain + fusain lithology to the southeast. Half of the lithotypes in the three analyzed sections exceed 1000-µg/g Rare earth elements + Y + Sc (REYSc) (ash basis). The La …

Topic Modeling And Culturomic Analysis Of 30,000 Books Over 100 Years Using Gensim, Michael A. Freeman

Electronic Theses and Dissertations

This thesis explores the cultural influence of historical events on English-language fiction published between 1820 and 1929. Using a corpus of 30,256 digitized books from Project Gutenberg, Latent Dirichlet Allocation (LDA) topic modeling was applied to identify recurring themes across eleven decades. The study sought to determine whether historically significant events could be detected within fictional narratives. One clear instance emerged: Napoleon Bonaparte and the Napoleonic Wars appeared explicitly in the 1820s corpus. Beyond this, several thematic patterns were observed—such as maritime language in the 1840s, national identity in the 1880s, and youth-oriented dialogue in the early 20th century—that plausibly …

Enhancing Adherence To Veterans Affairs/Department Of Defense And American Psychiatric Association Clinical Guidelines For Alcohol Use Disorder, Corinna M. Trevino

Doctor of Nursing Practice

Alcohol use disorder continues to be significantly undertreated within outpatient behavioral health settings, particularly concerning pharmacological interventions. Despite the presence of robust national clinical guidelines recommending medications such as naltrexone for individuals with moderate to severe dependence, the rates of prescribing these medications remain modest owing to inconsistent screening procedures, limited referral practices, and provider follow-through barriers. This project was implemented at a substance use treatment center in a large metropolitan area to improve adherence to clinical practice guidelines. The purpose of this project was to increase prescribing of naltrexone and improve referral for patients with moderate to severe alcohol …