Digital Commons Network^™

Variability In Insurance Adequacy For Children With Special Health Care Needs On Medicaid., Amy J. Houtrow, Matt Hall, James M. Perrin, Dennis Z. Kuo, Jeffrey D. Colvin, Allysa Ware, Jeffery S. Schiff, Jay Berry, Ryan J. Coller

Manuscripts, Articles, Book Chapters and Other Papers

This survey study quantifies state-to-state variation and predictors of Medicaid insurance continuity and adequacy among children with special health care needs.

Moderators Of A Mhealth Intervention For Adolescent Physical Activity: Intervention Refinement Study., Christopher C. Cushing, Adrian Ortega, David A. Fedele, Calissa J. Leslie-Miller, Jordan A. Carlson, Ann M. Davis, Joshua M. Smyth

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: An adaptive text messaging intervention to promote adolescent physical activity has demonstrated feasibility, acceptability, and preliminary efficacy in a recent proof-of-concept study. To inform future intervention development, a secondary analysis of the data examined how physical activity is influenced by mood, environment, and physical feelings of energy and fatigue.

OBJECTIVE: This study aims to understand how both macro- and microtemporal variables (eg, psychological and environmental variables at both levels) influence the efficacy of a brief mobile health intervention (ie, NUDGE) for physical activity.

METHODS: Using a matched control design, we evaluated the effect of daily positive and negative affect, …

Patient-Centered Televisit For Chronic Obstructive Pulmonary Disease Discharge Transitions: User-Centered Design Study, Joanna Abraham, Alicia Meng, Nicolas Caravelli, Leah Traeger, May Nguyen, Vineet Arora, Valerie G Press

2020-Current year OA Pubs

BACKGROUND: Chronic obstructive pulmonary disease (COPD) affects approximately 16 million Americans and often results in avoidable readmissions due, in part, to medication errors and lack of education. Telehealth interventions can support medication reconciliation and inhaler education following hospital discharge for patients with COPD.

OBJECTIVE: This study aimed to design and prototype TELE-TOC (Telehealth Education: Leveraging Electronic Transitions of Care), a post-discharge, in-home, televisit intervention, and to map its workflow to ensure integration into the routine discharge care transition process for patients with COPD.

METHODS: A user-centered design approach across 3 phases was followed to develop and prototype TELE-TOC. Participants included …

Resilience In African History, Cymone Fourshey

Faculty Journal Articles

Between 1960, when seventeen African countries gained independence from French colonial rule, and 2020, when the global pandemic of Covid-19 emerged, just over five hundred scholarly books or articles were published addressing, to varying degrees, resilience on the African continent. Working toward this special issue has made it clear that there continues to be a great deal of slippage in how scholars describe resilience. This concept is often conflated with terms such as “resistance,” “persistence,” and “endurance.” While these do express ways humans respond to adversity, they are distinct from resilience, which is rooted in adaptation not opposition.1 Some people …

2025-12-05 Minutes & Appendices, Longwood University

Board of Visitors Meeting Minutes 1964-

No abstract provided.

2024 Child Fatality Annual Report, Tennessee. Department Of Health.

Child Fatalities in Tennessee Report

No abstract provided.

December 5, 2025 Minutes, Swosu Faculty Senate

Faculty Senate Minutes

No abstract provided.

Russian Cyber Disinformation In Mexico And Spain, Isabella Lafranchise

Honors Theses

Disinformation campaigns are being spread throughout Mexico and Spain by Russia, and these campaigns are among the tools most used by a foreign country to manipulate societies, weaken democracies, and deepen divisions. This research seeks to answer the question: How does Russia use cyber tools to spread disinformation in Mexico and Spain? To address this question, the paper will examine government reports and academic research of recent Russian influence operations. Variables will include the types of cyber tools used, platforms used, the narratives/themes being promoted, audiences targeted, and the political or social outcomes observed. Data will be analyzed using a …

U-Glide Program Fall 2025, Unf Office Of Undergraduate Research, Unf Graduate School

Undergraduate – Graduate Learning, Inquiry, and Distinctive Experimentation (U-GLIDE) Symposium Programs

No abstract provided.

The Bison, December, 05, 2025

The Bison Newspapers

No abstract provided.

Capstone Reflection: Developing A Muslim Prayer App For Psu Students, Jeremiah Su

University Honors Theses

This thesis examines the development process of the Muslim Student Association (MSA) App, a computer science capstone project. The app strives to help the Muslim community at Portland State University (PSU) and the Portland area by consolidating essential information for prayers, such as local prayer times, nearby masjids, and the direction of Qibla. The team behind this project was developed by 6 computer science developers, a majority of whom were from the Muslim culture and background. This paper describes the entire capstone development process from the perspective of a developer who is not rooted in Muslim customs. It also describes …

Outcomes After Ulnar Collateral Ligament Reconstruction And Repair In Nonthrowing Athletes, William L. Johns, Neel K. Patel, Benjamin Miltenberg, Ryan W. Paul, Adeeb J. Hanna, Michael C. Ciccotti, Steven B. Cohen, Michael G. Ciccotti, Christopher C. Dodson

Rothman Institute Papers

BACKGROUND: Surgical management of ulnar collateral ligament (UCL) tears in nonthrowing athletes is less commonly performed, and the outcomes of that management have not been thoroughly described.

PURPOSE: To describe the clinical outcomes of surgical management of UCL injury in nonthrowing athletes.

STUDY DESIGN: Case series; Level of evidence, 4.

METHODS: A retrospective review was conducted on all patients who underwent UCL reconstruction or repair across a 10-year period (2010-2020), with nonthrowing athletes who had >2-year follow-up being specifically identified. Demographic variables such as age, sport participation, concomitant procedures, and graft type, as well as postoperative outcomes such as complications, …

Perception Of Veterans With Traumatic Brain Injury Regarding The Veterans Administration Rehabilitation Process, Kalangie J. Serrano

Walden Dissertations and Doctoral Studies

There was a social work practice gap on the perceptions of veterans with traumatic brain injury (TBI) regarding the Veterans Administration's (VA’s) rehabilitation process in terms of its ability to enhance their vocational skills and employability. The purpose of this qualitative study was to explore the vocational and employment needs of military veterans with TBI and to understand their perceptions and challenges in navigating the vocational rehabilitation and employment process. Using a generic qualitative approach and ecological systems theory, data were collected through semistructured interviews with seven veterans who had participated in rehabilitation programs. Thematic analysis of the data revealed …

Tapering Opioids In Older Adults With Chronic Pain, Carolyn D. Concia

Biennial Convention (CONV)

As the older adult population increases, so does the prevalence of conditions associated with chronic pain (Tinnirello et al., 2021). Chronic pain, defined as lasting longer than three months, affects approximately 20.8% (50.2 million) of adults (Nahin et al., 2023; Yong et al., 2022; Zelaya, 2020), of whom almost 20.5 million are age 65 and over (Rickard et al., 2023). Pain is the leading cause of disability, costing up to $635 billion annually (Turk et al., 2022; Institute of Medicine, 2011). Chronic pain in older adults causes significant suffering (Dahlhamer et al., 2016), social isolation (Tsang et al., 2008), increased …

Intimate Partner Violence And Adverse Birth Outcomes During Covid-19 Pandemic: A Prams Analysis, Doncy Joji Eapen, Krystin Matthews, Lydia Manikonda, Vyoma Soni, Courtney Byrd-Williams

Biennial Convention (CONV)

Background: Intimate Partner Violence (IPV) is a serious public health problem that affects millions in the United States. Pregnancy-related violence is a risk factor for adverse maternal and pregnancy outcomes. The COVID-19 pandemic has presented unique challenges for pregnant women. While a growing body of literature has examined the influence of the pandemic on IPV, a few studies have evaluated the effect on those who were pregnant during COVID-19, and its association with adverse birth outcomes. Therefore, this study aimed to determine the prevalence of IPV during pregnancy before and during the COVID-19 pandemic and compare its association with adverse …

Mapping Phosphorylated Tau Using Multidimensional Mri In Alzheimer’S Disease, Hongyi Zhang, Caitlin S. Latimer, C. Dirk Keene, Dan Benjamini, Shinjini Kundu

Electrical and Systems Engineering Undergraduate Student Research

INTRODUCTION: Alzheimer’s disease (AD) is a progressive neurodegenerative disorder that severely impairs memory and cognition, posing an increasing public health challenge worldwide. Current research suggests that AD is strongly linked to the abnormal accumulation of phosphorylated tau (pTau), a pathological hallmark reflecting neuronal dysfunction and neurodegeneration. Clinically, pTau is typically assessed via cerebrospinal fluid (CSF) analysis or tau positron emission tomography (tau-PET). Although informative, CSF analysis is invasive, and tau-PET requires ionizing radiation. Furthermore, tau-PET is limited in routine clinical settings due to its high cost and radiation exposure. There remains an urgent need for a non-invasive, safe, and widely …

The Social Side Of Aging In Place: Community, Belonging, And Cultural Fit, Michael Crespo

University Honors Theses

Aging in place, or the capacity of older adults to remain in their homes and communities as they age has been a central tenet of the field of gerontology and the gerontological social policy area. Although access to physical facilities and service provision has been the main focus of traditional studies, contemporary experience demonstrates that social and cultural issues are equally important as determinants of the quality of life. This thesis discusses the influence of social networks, cultural congruence, and community belonging on the aging in place experience. The content of the study is based on the Ecological Model of …

A Study Of The Stratigraphic And Petrological Characteristics Of Section (10,323-10,325 Ft), Prevost 1- 11, Bay County, Michigan, Hajir Al Harthi

Honors Theses

This study presents a detailed petrological characterization of a short core section (10,323-10,325 ft) from the Prevost 1-11, Bay County, Michigan. This work is part of a broader carbon capture, utilization, and storage (CCUS) project to determine whether the Glenwood Formation could be an effective confining unit (CU) for carbon dioxide (CO2) injection in the underlying St. Peter Sandstone. The methods used to collect petrological data include standard core description, Xray fluorescence spectroscopy (XRF), powder X-ray diffraction (XRD), thin section microscopy, and scanning electron microscopy (SEM) including backscattered electron (BSE), energydispersive X-ray spectroscopy (EDS), and secondary electron (SE) modes. These …

Early Warning Detection Of Gravitational Waves With Sgnl, Megan Norris

Honors Theses

Gravitational waves (GWs) provide a whole new spectrum with which to observe astrophysical events. Multi-messenger observations including GWs are of particular interest, and these are best facilitated by early warning searches of GWs, which are typically aimed at detecting binary neutron star (BNS) mergers. This work provides an introductory overview of gravitational waves and summarizes the origins and basic physical properties of neutron stars and black holes in binary systems, focusing on BNS mergers and the detection of gravitational waves with LIGO using a modeled search. We assess the performance of a new GW search pipeline called SGNL to evaluate …

The Role Of Sustainability In Family And Consumer Science Curricula, Emily Hill

Honors Theses

As climate change intensifies and global food systems face growing environmental pressures, there is an increasing need to prepare younger generations to respond to these challenges. Sustainability education is increasingly recognized as essential for helping students understand the connection between human actions, environmental resilience, and their overall well-being. This form of education already has a foundation in the Family and Consumer Sciences (FCS) curriculum. This study examines the effects of integrating sustainability lessons into secondary Family and Consumer Sciences food and nutrition courses in a rural Michigan high school. It was hypothesized that if students participate in sustainability presentations and …

Signal Processing Of Ecologically Significant Signals For Transient Bedload Characterization, Nathan R. Sjullie, Quinn B. Morgan, David Burnett

PSU McNair Scholars Online Journal

When rivers achieve a great enough flow rate, sediment along their riverbed becomes mobilized and transported downstream. This process is known as bedload transport. As bedload transport initiates, micro-collisions of various sediments and gravel generate underwater acoustic signals that can be detected by hydrophones. While there is extensive research on underwater acoustic theory and surrogate methods for monitoring bedload transport, there is a lack of heuristic work that analyzes collected bedload samples in conjunction with underwater acoustic recordings. The aim of this work is to complete an analysis on collected bedload samples and the simultaneous underwater acoustic recordings via signal …

A Virtual Or In-Person Infrared Spectroscopy Laboratory Activity For The Analysis Of Fibers And Understanding Of Spectral Library Searches, Erika L. Doctor, Alanna L. Lecher

Faculty and Staff Publications & Presentations

The COVID-19 pandemic caused a rapid pivot of instruction in higher education from traditionally in-person modes to virtual modes with a need to maintain student learning outcomes, especially in laboratory courses. The next pandemic and other natural disasters cannot be predicted, and there are other reasons such as lack of resources that may inhibit courses from being implemented in-person. This paper provides a laboratory activity that can be completed in-person or with virtual instruction. This laboratory activity provides a novel approach to teaching students about fiber analysis using ATR-FTIR and elucidates the process of spectral analysis with databases. Students use …

A Mouse Model Of Lipoatrophy Reveals Relationships Between Beige Fat Appearance And Female Fertility, Elizabeth S Anaya, William Dion, Pradip K Saha, Aaron R Cox, Evelyn De Groot, Avery A Ahmed, Jessica B Felix, Bokai Zhu, Stephanie A Pangas, Sean M Hartig

Faculty, Staff and Students Publications

White adipose tissue (WAT) performs vital metabolic and endocrine functions, but roles in female reproduction remain understudied and poorly understood. Here, we report that female mice experiencing progressive lipoatrophy after knockout of Ubc9 in adipocytes (Ubc9fKO) displayed disrupted estrous cycles, reduced ovarian reserve, and subfertility. During aging, female Ubc9fKO mice lose subcutaneous WAT more quickly than their male counterparts and weigh less than littermate controls. Subcutaneous WAT excised from female Ubc9fKO mice strongly enriched for thermogenesis genes generally associated with metabolic benefits. Female Ubc9fKO mice exhibited hypermetabolism and accumulated thermogenic, Uncoupling Protein 1-expressing beige fat cells in residual subcutaneous WAT …

Teaching With V.I.S.I.O.N.: A Qualitative Case Study, Abbrissola A. Shull

Graduate Theses, Dissertations, and Capstones

This qualitative case study explored how those matriculating through a teacher education program can develop a critical consciousness of K-12 students experiencing homelessness or high mobility using the Teaching with V.I.S.I.O.N workshop model. This acronym stands for V: Value the culture and lived experiences of students reflected in the classroom, I: Implicit Bias Awareness, S: Study scenarios using the equity literacy case analysis approach (Gorski, 2018), I: Increase the diversity of texts provided in the classroom to reflect these experiences, O: On-going reflection regarding current practices and ways to improve using equity literacy (Gorski, 2018), …

The Anatomy Of Change: A Scoping Review Of Surgical Curriculum Renewal Processes, Marc A. Seifman, Robyn Woodward-Kron, Roi Y. Kagan, Kirsten Dalrymple, Aimee K. Gardner, Ian Incoll, Lars Konge, John T. Paige, Debra Nestel

School of Medicine Faculty Publications

PURPOSE: Renewal of surgical curricula is critical in maintaining relevance to contemporary healthcare needs. A curriculum document usually describes its purpose, intended outcomes, content, methods, and assessment and evaluation processes. The document may also consider cultural, professional, political, and social contexts. While there are published curriculum development approaches, guidance on renewal processes is limited. This scoping review aims to synthesise literature on surgical curriculum renewal, to understand the key elements of this process, and identify areas for improvement. METHODS: A scoping review was conducted by the core author team, with co-creation involving a Knowledge User Group (KUG). Seven databases were …

Exploring The Impact Of Caring For Patients Diagnosed With Iv Drug Use Endocarditis At End Of Life, Kendrea Lea Todt

Biennial Convention (CONV)

Purpose/Problem Statement: Caring for patients with substance use disorder is a challenge for nurses, especially patients who use intravenous (IV) drugs and contract endocarditis. Infective endocarditis is a cardiac infection with a high mortality rate, and yet this disease receives little attention in the media or research. IVDU-IE has been referred to as the Cinderella of Cardiology. Nurses disposition young patients in the prime of their lives to hospice care, funeral homes, morgues, or home to die. The purpose of this modified photo elicitation phenomenological study was to explore the impact of caring for patients diagnosed with IVDU-IE at the …

Optimization Of Guava Leaf Extract Cream Formulation Through Variations Of Xanthan Gum And Stearic Acid For Wound Cure In Rats, Ayudia Cipta Khairani, Mia Ariasti

Pharmacology and Clinical Pharmacy Research

Cuts are among the most common skin injuries caused by sharp objects and can lead to infection if not properly treated. Natural ingredients such as guava leaves have been widely investigated for their wound-healing potential. Guava leaves contain bioactive compounds including flavonoids, saponins, alkaloids, and tannins, which contribute to anti-inflammatory, antibacterial, and tissue regeneration processes. This study aimed to formulate and evaluate the physical properties and wound-healing effectiveness of guava leaf ethanol extract cream with varying concentrations of xanthan gum and stearic acid as emulsifiers. The extract was obtained by maceration using 70% ethanol and formulated into four cream formulas …

What Is The Hospital Pharmaceutical Care? Perceptions And Expectations Of Doctors In Interprofessional Collaboration In 2 Types Of Indonesia Hospitals, Anisyah Achmad, Savvy Augustin Tirta, Titi Annisa Bella, Ratna Kurnia Illahi, Bambang Sidharta, Valentina Yurina, Wara Rejeki

Pharmacology and Clinical Pharmacy Research

Hospital Pharmaceutical Care (HPC) is the pharmacist’s direct responsibility to aim for patient safety and quality of life. HPC is a means of avoiding medication and human errors. Carrying out a HPC requires a good collaboration between doctors and pharmacists in treatment management. The aim of the research was to determine the relationship between doctors’ perceptions and expectations of clinical pharmacists at HPC. This research is descriptive quantitative observational with a cross-sectional approach. The data were collected using purposive sampling (type A hospital) and total sampling (type C hospital) through interviews using perception and expectations questionnaires on doctors’ to pharmacists …

Pregnancy Intention And Maternal Morbidity In Oklahoma And Mississippi: A Moderation Analysis Of Abortion Restriction Policies, Vicki Johnson

Walden Dissertations and Doctoral Studies

More than half of all pregnancies are unintended (mistimed or unwanted), and women with unplanned pregnancies may face economic hardships for families and additional health consequences if they have pre-existing medical conditions. This quantitative study was conducted to examine the relationship between pregnancy intention levels and severe acute maternal morbidity, specifically chorioamnionitis, among women who gave birth in Oklahoma and Mississippi in 2022. Using secondary data (N=1939) from the Pregnancy Risk Assessment Monitoring System Automated Research Files and state-level abortion policy data from the Guttmacher Institute, this study employed Bronfenbrenner’s social ecological model framework to investigate the relationship between pregnancy …

Environmental Risk Assessment Of Textile Waste From Bio-Engineered Fibers In The Fashion Industry, Aayush Pankaj Agarwal, Harshit Soral, Irmak Aktan, Karol Montserrat Gonzalez Saad, Maria Daniela Saa Espinosa, Sheetal Suhas Dhanuka, Yi Yang

Harrisburg University Dissertations and Theses

The global fashion industry generates over 92 million tons of textile waste annually, a figure projected to increase significantly by 2030. Bio-engineered fibers, including bacterial cellulose, mycelium-based leather, and recombinant protein textiles emerge as sustainable alternatives to conventional fibers. Despite their promise, recent evidence suggests that these fibers may pose environmental risks at the end-of-life stage, such as incomplete biodegradation in landfills, microfiber shedding, and chemical leaching from dyes and coatings. The purpose of this study is to examine how these risks are represented through scientific literature, corporate sustainability reports, and policy frameworks, and to identify strategies for integrating risk …