Digital Commons Network^™

Endovascular Repair With A Vbx Device Covered Stent In A Patient With Leriche Syndrome, Angelo Piazza, Micheline Tantchou

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Painfully Obvious: Expanding Inpatient Buprenorphine For Opioid Use Disorder, Aline Levy-Sitnoveter, Mark Delic, Jonathan Aires Pinheiro, Eleana Estrella, Sankalp Goberdhan, Lauren Hundley, Richard Henriquez, Shamol Williams

North Florida Division GME Research Day 2025

No abstract provided.

Complete Gastric Transection After Blunt Force Trauma, Sydney Parker, Sophia Jimenez, Riley Blanton, Samprit Karra, Alejandro Garcia

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Albuterol: An Often-Forgotten Cause Of Lactic Acidosis, Sania Moonnumackel, Sameera Muqueet, Machaiah Madhrira

North Texas Research Forum 2025

Introduction Lactic acid (LA) is a commonly used biomarker and is often indicative of severity of disease in critically ill patients. Lactic acidosis which is defined as LA > 4.0 can be divided into two categories: Type A which is the more common type is caused by systemic tissue hypoperfusion most likely due to shock and Type B which is caused by impairment of cellular metabolism and or decreased clearance of LA. An important cause of Type B lactic acidosis is medications including acetaminophen, anti-retroviral drugs, antibiotics and beta-adrenergic agonists including albuterol. Often patients with severe lactic acidosis are given fluid …

Splenic Laceration And Hematoma In The Setting Of Acute Pancreatitis And Decompensated Cirrhosis, Rasmeet Kaur, Eric Romero, Oscar Garcia

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Thyrotoxic Periodic Paralysis And Pesticide Exposure, Vinh Ngo, Huy Vuong, Oscar Garcia

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

When Appendiceal Obstruction Looks Metallic: An Unusual Radiologic Presentation Of Appendicitis, Nathan Cohen, Gary Padilla-Maldonado

East Florida Division GME Research Day 2025

Introduction: Right lower quadrant pain is a common presentation of acute appendicitis, but presentations in elderly patients may be subtle. Appendiceal obstruction is frequently caused by fecaliths; however, not all radiopaque findings in the appendix represent fecaliths. Rarely, these obstructions can mimic metallic foreign bodies on imaging, complicating interpretation and management. This case highlights an unusual radiologic presentation of appendiceal obstruction with metallic appearance, underscoring the importance of careful image analysis in atypical cases of appendicitis.

Case Description: An elderly man presented to the emergency department with a three-day history of constant right lower quadrant abdominal pain. He denied associated …

Towards Cost Effective Autonomous Mapping Of Invasive Aquatic Plants Using Deep Learning And A Gpu Enabled Microcomputer, Swarup Bhattarai, Sathishkumar Samiappan, Piyush Chaudhary, Ashutosh Shah

GRI Publications

We present a dataset for the autonomous identification of invasive aquatic plant species using deep learning techniques. The dataset includes high-resolution images captured using a Canon EOS REBEL T3 DSLR camera for model training and low-resolution images captured with a Raspberry Pi camera for evaluating model performance under real-world conditions. Eight invasive aquatic plant species: Alternanthera philoxeroides, Cyperus blepharoleptos, Salvinia molesta, Ludwigia peploides, Panicum repens, Pontederia crassipes, Pistia stratiotes, and Nymphaea odorata were cultivated in mesocosms at the R.R. Foil Plant Research Center, Mississippi State University. The controlled environment of mesocosms serve as …

The Banner - V. 160, No. 1 - (January 2025), Christian Reformed Church In North America

The Banner

No abstract provided.

Ashwagandha And Sexual Health In Women With Hypoactive Sexual Desire Disorder: Exploring Extent Of Adaptogenic Properties, Rhea Chatterjee

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

Hypoactive Sexual Desire Disorder (HSDD) affects 40% of women and potentially decreases their quality of life. Currently, the primary treatment for HSDD is Flibanserin, which is a serotonergic agonist and an antidepressant. However, the limited efficacy of Flibanserin encourages the exploration of the utilization of traditional drugs such as Withania somnifera, otherwise known as Ashwagandha, as an alternative treatment for HSDD. Minimal studies examine ayurvedic medications or the symptoms of illnesses that traditional Western medicines are unable to treat. This comprehensive literature review investigated the efficacy of Ashwagandha in improving sexual function in women with HSDD. The paper evaluated …

Dim Theory Applied To Law: The Disintegration Of American Law, Tristen Fleig

CGU Theses & Dissertations

Plato, Aristotle, and Montesquieu each argued the importance of law to political regime and Constitution. The ancients emphasized the law as the rational component of the regime and Montesquieu applied some of the first political science to show how political regimes rely upon law. Still, the exact connection between law and politics, and law and philosophy more broadly has remained largely obscured. In my account, legal system ought to be understood as the institutional framework that supports and protect a particular kind of life accepted by the intellectuals and the people of a nation. Using DIM theory from The DIM …

Personal Wisdom And Coping: Insights From The Covid-19 Pandemic, Noah Ringler

CGU Theses & Dissertations

Much of personal wisdom research has focused on the relationship between personal wisdom and difficult life events (DLEs). Research indicates that those high in personal wisdom cope more effectively with DLEs. However, these studies primarily focused on older adults and assessed coping through well-being measures. Seeking to address these limitations, Ringler (2021) found that mindfulness partially mediates the relationship between personal wisdom and coping with DLEs (measured through meaning-making) in a more age-diverse sample. Despite this progress, several gaps in knowledge remain. For example, there is still a lack of understanding about how wisdom relates to the use of specific …

Bridging Generations: Shou-Yi Ch’En, Yanshuo Zhang, And Their Contribution To Asian Studies In American Higher Education, Zhen Zhou

CGU Theses & Dissertations

This thesis examines the lives and academic legacies of Dr. Shou-yi Ch’en (1899–1987) and Dr. Yanshuo Zhang (b. 1988), two Chinese scholars whose contributions have shaped Asian Studies in American higher education across nearly a century. Dr. Ch’en, educated in both China and the United States, played a foundational role in establishing Pomona College’s early Asian Studies program, fostering East–West intellectual exchange through extensive correspondence, and mentoring a generation of scholars. Dr. Zhang, also educated in China and the U.S., represents a new generation of interdisciplinary scholarship, focusing on China’s Qiang ethnic minority through oral history and a multicultural lens. …

Sermons In Stones: Mormon Chosenness And The Politics Of Land In The American West, Emily Mclean

CGU Theses & Dissertations

This study explores the intersection of religion, land use, and political resistance in Latter-day Saint culture, arguing that Mormon land ethics are shaped by a ritualized process I term the “Cycle of Chosenness.” Through historical and ethnographic analysis, I trace how collective memory of the pioneer era informs symbolic labor that reaffirms Mormon exceptionalism. Three case studies illustrate the cycle in action: Brigham Young’s integration of labor and theology, Walter Cottam’s unsuccessful push for ecological restoration, and the Sagebrush Rebellion’s successful reframing of anti-federal activism as sacred labor. I show how the Sagebrush Rebellion marked a turning point by legitimizing …

The Moderating Roles Of Ethnic-Racial Identity Components In The Association Between Adverse Childhood Experiences And Cannabis Use: Exploring Ethnic-Racial Differences Between Black, Asian, & White Students, Julianna Florez, Kaelen Diaz, Llorielle Gregory-Jerome, Abhinaya Sridhar, Arlenis Santana Ph.D., Kiara Brown, Aya Caballero, Chelsea Derlan Williams Ph.D., Spit For Science Working Group

IRBEH/Spit for Science Publications and Presentations

Background: There has been a significant rise in cannabis use among emerging adults. This study focuses on the risk factor that adverse childhood experiences (ACEs) pose in predicting cannabis use and whether dimensions of ethnic-racial identity (ERI) act as a significant moderator. Prior research has shown that ACEs predicts a higher risk of cannabis use. Still, limited research has been done on whether ERI exploration, affirmation, and/or resolution mitigates this risky pathway. Methods: The sample included a total of 733 participants who were predominantly female (72.2%). Participants were 18 – 22 years of age when they began participating in the …

Exploring The Role Of Pain Severity Versus Central Sensitization In Predicting Opioid-Related Outcomes Among Adults With Chronic Pain, Miyah Taylor, Taylor Crouch Ph.D.

IRBEH/Spit for Science Publications and Presentations

Chronic opioid therapy is widely used for managing persistent pain, yet its long-term efficacy is questionable and often associated with adverse outcomes such as opioid misuse and dependence. This study investigated whether central sensitization (CS), a condition of heightened neural response to pain stimuli, better predicts opioid-related outcomes compared to self-reported pain severity. Among adults with chronic pain currently using long-term opioid therapy, participants completed measures assessing CS, pain severity, and opioid-related outcomes including readiness and confidence to change opioid use, misuse, and dependence. Regression analyses revealed that while CS did not significantly predict readiness or confidence to change opioid …

Lived Narratives Of Educators: Emotional Intelligence For Dei In Early Adolescent Classrooms, Colette Bozek

CGU Theses & Dissertations

This study explores how teachers with high Emotional Intelligence (EQ) integrate Diversity, Equity, and Inclusion (DEI) principles into their instructional practices in early adolescent classrooms. Using narrative inquiry, the research examined the lived experiences of seventh- and eighth-grade educators in the Crestview Heights District (pseudonym), who were nominated for their emotionally responsive and inclusive teaching approaches. Through classroom observations and semi-structured interviews, the study captured how EQ-based strategies—such as self-regulation, empathy, storytelling, and culturally responsive pedagogy— shape classroom climates and influence student engagement, emotional development, and academic resilience. Findings revealed that educators with high EQ not only fostered safe and …

From Self-Determination To Decolonization: How American Indian Activism Reshaped Museum Spaces, Daniel A. Gruber

CGU Theses & Dissertations

The American Indian self-determination movement of the 1960s and 1970s catalyzed fundamental transformations in how museums represent Indigenous cultures, histories, and peoples. Through analyzing the demands for tribal sovereignty, cultural authority, and equitable representation during this pivotal era, I show how these principles were applied in contemporary museum practice through an exhibition analysis of the Autry Museum of the American West. This thesis traces how federal American Indian policy evolved from legal and socio-cultural assimilation toward self-determination while also examining how anthropology and museums historically reinforced colonial and imperial narratives that positioned American Indians as federally dependent, scientific specimens. Through …

¡Adelante Mujer!: Testimonios Of Chicana And Latina High School Principals, Blanca Rocio Esquivel

CGU Theses & Dissertations

As the Latinx student population in U.S. public schools grows incrementally, equitable representation in school leadership remains disproportionately limited. Despite accounting for over 25% of high school enrollments nationwide, Latinas hold only around 4-6% of public high school principal positions (NCES 2022). This lack of proportional leadership representation restricts a school system’s capacity to provide optimized culturally responsive environments, benefiting Latinx youth. Furthermore, it limits advancement opportunities for aspiring Chicana and Latina leaders despite research confirming their effectiveness in spearheading academic improvements. While past scholarship has broadly explored facilitators and barriers for women educational leaders, few studies specifically document the …

The Women’S Legal Rights Index: A New Approach To Measuring Women’S Autonomy, Mona Shadia

CGU Theses & Dissertations

Existing indicators of women’s empowerment focus on women’s educational attainment. Yet theories of women’s empowerment in politics, in particular their role in democratization, extend beyond the consequences of education to require agency and autonomy in their lives. In the first chapter of this dissertation, I argue that in an effort to measure women’s citizenship and standing in their respective societies, access to legal rights should be measured and considered. My theoretical framework builds on literature that demonstrates that while education is critical to women’s prosperity in many facets of life, other measures related to their legal rights can provide a …

Postsecondary Enrollment Demand-Gap Estimation Model: Projecting The Postsecondary Demand-Gap For California By 2035, Manish Ranjan Shrivastav

CGU Theses & Dissertations

The postsecondary education system in California has been under the pressure of expansion by the means of opening a new campus for several years. The Legislative Analyst’s Office has been recommending whether to open new campus or not as a part of its mandate. In 1990, it recommended opening up of one campus of CSU, however, its projections grossly underestimated the future demand. In 2017, the LAO in its report recommended that given the demand projections there is no need for a new campus. The study commissioned by the Chancellor’s office of California State University also made the same recommendation. …

Three Essays On Consumption And Information, Jin Xu

CGU Theses & Dissertations

This dissertation uses theoretical, empirical, and experimental methods to investigate how environmental constraints and psychological mechanisms shape individual consumption and information preference. Chapter 1 explores the impact of COVID-19 lockdown policies on alcohol and tobacco use in the United States. Using data from the 2020 wave of the Behavioral Risk Factor Surveillance System (BRFSS) and exploiting the exogenous variation in initial lockdown orders across states, we estimate the impact of stay-at-home orders on drinking and smoking behaviors for adults in the United States. Combining the propensity score matching method with the difference-in-differences identification strategy, we find that, at least in …

Existence And Uniqueness Of The Solution Of A Traffic Flow Partial Differential Equation On Multi-Lane Freeways, Sina Zareian

CGU Theses & Dissertations

In this dissertation, we shall prove the existence of a solution of the stochastic partial differential equation describing the density of cars on a multi-lane freeway using the operator splitting method. Furthermore, we shall prove the uniqueness of the solution of the stochastic differential equation which forms when we apply the operator splitting method to the traffic flow stochastic partial differential equation.

“Sé Exactamente De Donde Vine”: The Rivera Sisters And The Development Of A Lamanite Religio-Racial Identity In Salt Lake City’S Rama Mexicana, Kelsee Walker

CGU Theses & Dissertations

This thesis examines the religious participation of three immigrant sisters, Agustina Rivera de Torres, Dolores Rivera de Torres, and Domitila Rivera de Martínez, who were long-term members of Rama Mexicana, the first known Spanish-speaking congregation of the Church of Jesus Christ of Latter-day Saints in Utah. During Rama Mexicana’s existence from the 1920s through 1960 (when it was converted from a branch into a ward), many of its members believed themselves to be descendants of Book of Mormon Lamanites through their indigenous heritage. This belief in a sacred Lamanite lineage, in part, allowed Rama Mexicana to become a place of …

What Did Independent Study Do For Me? Perspectives Of Latine Graduates Of A California Independent Study High School Program, Monique R. Escobedo

CGU Theses & Dissertations

The independent study model in K-12 education has rarely been studied as an opportunity to meet the needs of diverse learners who require access to education outside of the traditional school day and brick and mortar settings (Anderson & Amesse, 2022). This multimethod study (Cram & Mertens, 2016) explores the experiences of 15 Latine graduates of an independent study high school that serves four counties in southern California. The study takes a critical approach both theoretically and methodologically to understand how the independent study model as carried out at the school site met the intersectional needs (e.g. cultural, linguistic, geographic, …

Assessing The Relationship Between Empathy Climate, Motivation To Empathize, Network Ties, And Leader Engagement In Pursuit Of Validating An Empathy Climate Scale, Sarah Gray Shults

CGU Theses & Dissertations

In the current fast-paced, collaborative, and volatile work environment, leader empathy is emerging as a critical leader capability for leaders across all levels. Leader empathy refers to a leader’s ability to understand and relate to the feelings and experiences of another individual or group of individuals while also recognizing that the experience is not their own. In 2018, the European Union cited leader empathy as the top leadership skill; in 2020, Forbes named leader empathy as one of three critical leadership competencies; and in 2023, Harvard Business Review listed it as one of eight essential leader qualities. Leader empathy is …

Pre-Apprenticeship As A Lever For Workforce Equity: A Quantitative Study Of Non-Traditional Adult Learners In California, Joseph Stark

CGU Theses & Dissertations

A pre-apprenticeship is a short-term, structured training program that prepares individuals with the skills, experience, and support needed to enter and succeed in a registered apprenticeship. Nationally, and in California, pre-apprenticeship programs are posited as a key equity strategy to increase access and opportunity for populations who have experienced historical barriers to successful participation in registered apprenticeship programs. However, there is limited empirical research on this topic, especially in a statewide context involving non-traditional adult learners enrolled in California adult school settings. Nontraditional adult learners are typically over the age of 25, with multiple barriers to completing education goals. Nontraditional …

The Impact Of Llms Usage On Learning Outcomes For Software Development Students: A Focus On Prompt Engineering, Mohammed Owaidh Aljohani

CGU Theses & Dissertations

This study investigates the impact of large language model (LLM) usage, specifically ChatGPT, on student learning outcomes in programming education. The research adopts a mixed-methods approach, combining quantitative survey data from students and qualitative interviews with instructors. The study addresses three research questions: (1) the effect of LLM usage on undergraduate students' learning outcomes, (2) the influence of prompt engineering skills on this relationship, and (3) instructors' perceptions on these relationships. Quantitative data were collected from 159 students across two Saudi universities using a structured online survey with sections covering demographic information, LLM usage, self-reported programming understanding, and prompt engineering …

The Price Tag Of A 5-Star Culture: Cultural Performance And The Politics Of Luxury In OʻAhu’S Hotel Industry, Kendall Hutchison Acker

CGU Theses & Dissertations

This thesis examines the intersection of cultural tourism and luxury branding with settler colonial dynamics in Oʻahu’s high-end hospitality industry. Focusing on Disney’s Aulani Resort, the Royal Hawaiian Hotel, the Sheraton Princess Kaiulani, and the Moana Surf Rider, the study investigates how Hawaiian culture is performed, curated, and commodified as part of a five-star guest experience. Through ethnographic research and interviews with Native Hawaiian performers, artists, and cultural advisors, it traces how Indigenous identity is shaped by the demands of the tourism economy and the aesthetics of authenticity. These hotels function not only as sites of leisure but also as …

Diophantine Avoidance, Number Fields, And Quadratic Forms, Sehun Jeong

CGU Theses & Dissertations

Diophantine avoidance has been studied by several authors in recent years. This term refers to effective results on existence of points of bounded size (where size is measured by norm or height, depending on the context) in a given algebraic set avoiding some specified subsets. The application of avoidance conditions allows to understand how ``well distributed" are points of bounded size in a given set. If it is possible to find them outside of some prescribed collection of subsets of the set in question, then it suggests that they are evenly distributed, in some appropriate sense. Our first result investigates …