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Association Between The Combined Herbal Medicines And Risk Of Dental Diseases In Patients With Rheumatoid Arthritis: Insight From A Nationwide Database, Chiu-Hui Ling, Wei-Jen Chen, Ying-To Hsu, Hanoch Livneh, Ming-Chi Lu, Tzung-Yi Tsai Apr 2026

Association Between The Combined Herbal Medicines And Risk Of Dental Diseases In Patients With Rheumatoid Arthritis: Insight From A Nationwide Database, Chiu-Hui Ling, Wei-Jen Chen, Ying-To Hsu, Hanoch Livneh, Ming-Chi Lu, Tzung-Yi Tsai

Leadership, Learning and Counseling Faculty Publications and Presentations

Background and Objectives:

Patients with rheumatoid arthritis (RA) are found to have a higher risk of dental diseases. Although herbal medicines (HMs) have long been used to treat various conditions, few studies focus on its impact on dental diseases. In this longitudinal cohort study, we assessed the correlation between HM use and risk of dental diseases in RA groups.

Materials and Methods:

A total of 2359 persons with RA aged 20–80 who were free of dental diseases between 2001 and 2010 were retrospectively enrolled from nationwide register-based data. They were then classified into HMs and non-HMs groups based on whether …


History Of Florence State Teachers College, Susan Kirkman Vaughn Apr 2026

History Of Florence State Teachers College, Susan Kirkman Vaughn

Documents

The story of the History of State Teachers College in Florence, Alabama.


Improving Drought Science Communication And Accessibility, Lindsay Erin Johnson Apr 2026

Improving Drought Science Communication And Accessibility, Lindsay Erin Johnson

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Effective drought management depends not only on the accuracy of scientific data, but also on how that information is communicated and understood by diverse audiences. This dissertation examines drought communication through the lens of science communication, with a focus on improving readability, accessibility, understandability, and usability of drought information. Using a manuscript-style format, three studies investigate how drought information is written, delivered, and applied. Chapter 1 provides a brief overview and outline of this dissertation. Chapter 2 evaluates the readability of the U.S. Drought Monitor (USDM) national narratives over almost 8 years. Results show that these narratives are consistently written …


Making The Case For Spandex: The Nature Of Re-Novicing And The Merging Of Expertise For Former Elementary And High School Teachers Who Move To Teaching At The Middle Level, Elizabeth K. Boyle Apr 2026

Making The Case For Spandex: The Nature Of Re-Novicing And The Merging Of Expertise For Former Elementary And High School Teachers Who Move To Teaching At The Middle Level, Elizabeth K. Boyle

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

As an academic coach in a large, Midwestern middle school, I noticed an influx of teachers with years of prior experience at the elementary or high school levels being hired to work with students in grades six through eight. Because they were already veteran teachers, they were not assigned mentorship, yet there were aspects of working in a middle-school setting that effectively “re-noviced” them (Hanuscin et al., 2020).

Knowing that cookie-cutter approaches to professional development and learning often do not meet the needs of adult learners, I sought information that would guide what professional growth opportunities could be provided to …


Social Determinants Of Health And Caregiver Mental Health Screening In The Neontal Intensive Care Unit, Chloe Hicks Fisher Apr 2026

Social Determinants Of Health And Caregiver Mental Health Screening In The Neontal Intensive Care Unit, Chloe Hicks Fisher

Master's Theses (2009 -)

Perinatal mental health conditions affect approximately one in five mothers and one in ten fathers in the United States, and caregivers of newborns admitted to the neonatal intensive care unit (NICU) are at an elevated risk for developing mental health conditions due to the significant stress associated with infant hospitalization. However, not all caregivers complete mental health screenings, raising concern that current protocols may be failing to reach a meaningful subset of this population. Social determinants of health (SDOH) are non-medical factors that influence health outcomes and are known risk factors for mental health conditions in perinatal populations. The present …


Foreign Language Experience Effects On L2-Accented Speech Attitudes In College Students, Jordan L. Ellington Apr 2026

Foreign Language Experience Effects On L2-Accented Speech Attitudes In College Students, Jordan L. Ellington

Theses and Dissertations

The purpose of the study is to test whether knowledge of a second language in college students can affect perceptions and prejudices towards speakers with foreign accents. The testing was completed through both implicit and explicit attitudinal measures in regard to recorded audio stimuli. The explicit attitudinal testing was performed through participant self reporting of attitudes. Participants were presented with first (L1) or second (L2) language accented English samples and then rated that speaker in terms of various characteristics or traits that represented the speaker's solidarity and status. The implicit testing was performed in an Auditory Implicit Associations Test on …


Neutrophil Responses Are Substantially Prolonged And Robust Following Early Postnatal Chorda Tympani Or Lingual Nerve Transection, Jacquelyn M. Omelian, Andrew J. Riquier, Suzanne I. Sollars Apr 2026

Neutrophil Responses Are Substantially Prolonged And Robust Following Early Postnatal Chorda Tympani Or Lingual Nerve Transection, Jacquelyn M. Omelian, Andrew J. Riquier, Suzanne I. Sollars

Psychology Faculty Publications

While the mature gustatory and trigeminal systems are capable of regeneration following surgical nerve transection, transections occurring early in life result in permanent effects on innervated tissues. Converging evidence suggests that facilitators of the innate immune response, such as neutrophils, may contribute to these developmental differences in injury recovery. In the current study, Sprague-Dawley rats underwent transection of the trigeminal lingual nerve (LX) or gustatory chorda tympani nerve (CTX) at either 10, 25, or 65 days of age. Tongues were extracted 12, 24, or 48 h post-surgery, and MPO+ leukocyte (neutrophil) densities in the taste buds and surrounding muscle and …


New Beginnings: A Well-Being Program For The New Graduate Nurse, Adriana Rumoro Apr 2026

New Beginnings: A Well-Being Program For The New Graduate Nurse, Adriana Rumoro

Creating Healthy Work Environments (CHWE)

Graduate nurses are valuable to an organization because they bring a fresh outlook, enthusiasm, and dedication to providing excellent patient care. It marks a new beginning in their professional development. However, along with these new beginnings, they also face feelings of inadequacy, uncertainty, and workload pressure during the transition from student nurse to registered professional nurse (Asseiri et al., 2025). Transitioning into the workplace presents a variety of stressors for new graduate nurses, who experience both psychological well-being and distress during their first year of practice (Jarde, et al., 2021). Starting a new career can be the best of times, …


Your Workforce Sustainability Kit: Is Debriefing The Underutilized Tool For Safety And Well-Being?, Maggie Runyon, Tara Ryan Kosmas Apr 2026

Your Workforce Sustainability Kit: Is Debriefing The Underutilized Tool For Safety And Well-Being?, Maggie Runyon, Tara Ryan Kosmas

Creating Healthy Work Environments (CHWE)

Purpose: To pilot a professional development offering providing a comprehensive debriefing model inclusive of quality, safety, and clinician well-being concerns. This is responsive to main gaps identified in recent systematic reviews exploring the evidence for debriefing to support emotional well-being of clinicians.

Theoretical Framework: Ajzen’s Theory of Planned Behavior guides this professional development and evaluation by examining behavioral beliefs, normative beliefs, and control beliefs.

Project: This program evaluation explored baseline gaps identified by 17 nurses who attended a comprehensive debriefing workshop in Maryland. Data was collected before the workshop to assess baseline exposure to debriefing behaviors and practice norms. The …


Empowering Nurse Educators Through Cognitive Rehearsal, Mary Kathryn Sanders, Teresa B. Bailey Apr 2026

Empowering Nurse Educators Through Cognitive Rehearsal, Mary Kathryn Sanders, Teresa B. Bailey

Creating Healthy Work Environments (CHWE)

Background: Creating and sustaining healthy work environments in nursing education requires educators to be proficient in evaluation, feedback, and communication. Traditional preparation programs lack structured training in these areas6. Gaps in giving and receiving constructive feedback span health professions education, and early career nurse attrition is frequently linked to perceived bullying, inadequate preparation, and poor clinical support1,4. These challenges affect psychological safety and professional development for students and new graduates.

Cognitive rehearsal has shown promise in preparing nurses to respond to incivility and enhancing self-efficacy2,3. While used in faculty development, its integration into formal …


Reducing College Dropout Rates Of People With Autism In Hillsborough County, Florida, Jennifer Warren Apr 2026

Reducing College Dropout Rates Of People With Autism In Hillsborough County, Florida, Jennifer Warren

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

Significant barriers exist for neurodivergent individuals when they try to access higher education and these barriers continue to disrupt their ability to persist and obtain a college degree or secondary professional education. By implementing targeted academic supports and increasing authentic inclusive education practices on campuses and in online education spaces, barriers can be reduced or eliminated. With clear actionable steps and intentional buy in from institutions, barriers present for teens and young adults with autism are removed and higher education.

Significant Findings

College students with autism spectrum disorder (ASD) are a growing population in higher education, but they …


Handgrip Strength, Handgrip Endurance And Bmi: A Comprehensive Approach To Health Assessment Among The General Population Of Madikeri, Dr Asha S. Das, Dr Ravikiran Kisan, Dr Suhas Y. Shirur, Dr Narasimha Rai K, Dr Sanjay Bhagoji Apr 2026

Handgrip Strength, Handgrip Endurance And Bmi: A Comprehensive Approach To Health Assessment Among The General Population Of Madikeri, Dr Asha S. Das, Dr Ravikiran Kisan, Dr Suhas Y. Shirur, Dr Narasimha Rai K, Dr Sanjay Bhagoji

Digital Journal of Clinical Medicine

Introduction: Being physically fit is essential for lowering the risk of illness and enhancing longevity. While Body Mass Index (BMI) is frequently used to evaluate body composition, Hand Grip Strength (HGS) and Hand Grip Endurance (HGE) are important indicators of general well-being. Goal: To assess BMI, HGS, and HGE and ascertain how they correlate in a selected group of subjects. Methods: Fifty participants between the ages of 20 and 40 years participated in a comparative cross-sectional study at the Department of Physiology, Kodagu Institute of Medical Sciences, Madikeri. Participants were divided into three BMI groups after anthropometric measurements were taken. …


Neurodiverse Secondary School Educators Transitioning To Online Teaching During Covid-19 Pandemic, Leane Pupo Apr 2026

Neurodiverse Secondary School Educators Transitioning To Online Teaching During Covid-19 Pandemic, Leane Pupo

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic affected individuals, families, communities, and a variety of workplaces across the world. Many studies have addressed the impact of the emergency transition from on-ground to online on educators, students, and their families. However, while there is emerging literature on the impact of COVID-19 on neurodiverse individuals and on neurodiverse individuals in the workplace, there is little or no research on neurodiverse teachers. The purpose of this study was to explore the experiences of neurodiverse educators who transitioned from on-ground to online teaching during the COVID-19 pandemic. Bandura’s social cognitive theory of self-efficacy and Garmezy’s theory of resilience …


Bound By Belief: Exploring The Influence Of Internalized Rape Myths On Survivor Agency And Identity, Arika I. White Apr 2026

Bound By Belief: Exploring The Influence Of Internalized Rape Myths On Survivor Agency And Identity, Arika I. White

Walden Dissertations and Doctoral Studies

This qualitative study explored how internalized RMA impacts survivors’ cognitive processing, coping strategies, and psychological agency, as observed by licensed psychotherapists who treat sexual assault survivors. Despite extensive literature on the societal impacts of RMA, less attention has been given to understanding how these cultural myths are internalized by survivors and manifest intrapsychically, influencing self-perception, self-blame, and identity reconstruction following trauma. Using a phenomenological approach, semi-structured interviews with therapists provided meta-level insights into how survivors’ narratives reflect internalized cultural stigma and misogynistic beliefs. Thematic analysis was used to identify patterns of maladaptive coping, internalized misogyny, and diminished agency, revealing how …


The Oppression Of Transgender People Across The World, Dheeraj Swaminathan Apr 2026

The Oppression Of Transgender People Across The World, Dheeraj Swaminathan

Student Scholarship

Spring 2026 SOCI 232: Social Policy and Global Issues course.

This paper will analyze:

  1. How do cultural belief systems and biases such as religion affect transgender people and a country’s perception of transgender people?
  2. What historical and political context affects the oppression of transgender people as well as the betterment of transgender rights?


Supporting Those Who Serve: The Impact Of Peer Support On Law Enforcement Suicide, Emily N. Warren Apr 2026

Supporting Those Who Serve: The Impact Of Peer Support On Law Enforcement Suicide, Emily N. Warren

Honors College Theses

Individuals working in law enforcement face daily stressors that far exceed those experienced by the general population. This elevated exposure to stress has been associated with increased rates of mental health disorders and suicide among law enforcement officers. In response, peer support programs have gained recent attention, with new state and federal legislation promoting peer support as a strategy to address the mental health crisis within law enforcement. This paper examines the impact of statewide peer support programs on law enforcement suicide rates through statistical analysis. A difference-in-differences analysis is used to compare state-level law enforcement suicide rates before and …


Expanding The Pantheon Of “Place-Myth”: Media-Induced Travel In College Students Who Study Abroad, Isabella M. Shevetz Apr 2026

Expanding The Pantheon Of “Place-Myth”: Media-Induced Travel In College Students Who Study Abroad, Isabella M. Shevetz

Honors College Theses

Media-induced tourism refers to any travel that is in some part motivated by the consumption of mass media related to that location. Media-induced tourism and mass-tourism have led to nation branding and destination marketing across the globe, two industry phenomena that have worked to skyrocket tourism in places where it was not previously a large driver of the local economy. The expansion of mass media availability and the birth of social media mean the media roles of producer and audience member have blurred. Ordinary people now have the influential power of large media corporations. In destination marketing, the user-generated content …


Academic Advising As A Pathway To Belonging: Examining The Sense Of Belonging Of West African International Students In United States Universities, Samuel A. Ahutorvie Apr 2026

Academic Advising As A Pathway To Belonging: Examining The Sense Of Belonging Of West African International Students In United States Universities, Samuel A. Ahutorvie

Masters Projects

West African international students pursuing higher education in the United States encounter several challenges upon their arrival, including cultural adjustment, racial experiences, language barriers, and navigating unfamiliar academic systems. These challenges can significantly impact their perception of the institution, particularly their sense of belonging. Research indicates that when students feel a sense of belonging, it positively influences their academic success, confidence, and overall well-being. However, many current institutional practices, particularly in academic advising, do not fully account for the cultural and racial experiences of these students. To address these challenges, this project introduces the Culturally Responsive Academic Advising Intervention (CRAAI) …


Personality, And Generation In Green Entrepreneurship, Julie Garritano Apr 2026

Personality, And Generation In Green Entrepreneurship, Julie Garritano

Honors Projects

This research investigates the drivers of Green Entrepreneurial Intent (GEI) by examining the intersection of personality traits and immigrant generation status. Utilizing the Theory of Planned Behavior (TPB) framework, the study focuses on how openness to experience and conscientiousness—the traits most strongly associated with sustainability-oriented innovation—influence entrepreneurial intentions.

A central aim is to determine how first- and second-generation immigrant statuses moderate these relationships, particularly through the lens of intergenerational transmission of values and social norms. The study integrates illustrative case analyses of Timberland and Patagonia to trace how environmental stewardship and ethical business practices evolve across successive leadership generations.

The …


The Importance Of Personality In The Transition To College Life: A Literature Review, Elijah Traud Apr 2026

The Importance Of Personality In The Transition To College Life: A Literature Review, Elijah Traud

Honors Projects

This literature review examines the relationship between personality, specifically the Big Five personality traits, and the academic, social, and emotional transition to college. Previous research has focused on how both non-personality and personality variables are associated with the transition to college. There is also literature that details how colleges have implemented policies in the past to ensure that all students feel welcomed on their campus. The literature review highlights the key findings from these studies, including that conscientiousness is consistently one of the personality traits that is associated with the different aspects of the transition to college, especially the academic …


Environmental Counseling As A Proposed Discipline And Its Associated Implications And Uses, Alexandria Rion Apr 2026

Environmental Counseling As A Proposed Discipline And Its Associated Implications And Uses, Alexandria Rion

Honors Projects

Individuals interact with their environment daily, and whether they realize it or not, these interactions can impact their health. Understanding the health impacts associated with the environment is important to human health at both an individual and population level. I am proposing a new field of environmental counseling that would incorporate principles from a variety of practices into one comprehensive discipline that can be used to promote public health. By studying populations that have had negative environmental exposures and looking at their outcomes, I was able to apply principles of environmental counseling to help determine if it would in fact …


Pathways To Success, Annabelle Fyke Apr 2026

Pathways To Success, Annabelle Fyke

Honors Projects

This paper explores the importance of creating trauma-informed classrooms to support students’ emotional and academic success. As increasing numbers of students are affected by adverse childhood experiences, educators must adopt approaches that recognize and respond to trauma. The purpose of this paper is to examine key principles of trauma-informed education and how they can be effectively implemented in school settings. Drawing on current research and educational frameworks, this paper highlights strategies such as building strong teacher-student relationships, promoting emotional regulation, and maintaining consistent and supportive classroom environments. The findings suggest that trauma-informed practices can improve student behavior, increase engagement, and …


Garlic Breath And Beads Of Sweat: The Effects Of Garlic And Chili Peppers On The Growth And Ph Of Streptococcus Mutans., Lena Pitzer Apr 2026

Garlic Breath And Beads Of Sweat: The Effects Of Garlic And Chili Peppers On The Growth And Ph Of Streptococcus Mutans., Lena Pitzer

Honors Projects

The purpose of this project is to provide a quantifiable and repeatable measurement of how the presence of garlic and chili pepper during the growth of a carious dentine strain of Streptococcus mutans affects the growth of the strain and surrounding pH level.This research project examines two possible alternative agents, garlic and chili peppers, due to the known antimicrobial effects of their active components, allicin and capsaicin. Prepared garlic and chili extracts were used during disk diffusion to assess and measure the zones of inhibition. The anticipated results are that there will be inhibition present with both the garlic and …


Passenger Autonomy In Airport Systems: Integrating Accessibility, Spatial Design, And Technology To Improve Operational Efficiency, John Michael Schmitz Apr 2026

Passenger Autonomy In Airport Systems: Integrating Accessibility, Spatial Design, And Technology To Improve Operational Efficiency, John Michael Schmitz

Honors Projects

Airports are among the most complex operational environments in modern transportation, requiring the coordination of passenger movement, security processes, and infrastructure under significant time constraints. Although there have been many advancements in aviation, most passengers continue to experience high levels of stress and confusion while trying to navigate airport terminals. This paper argues that operational efficiency in airport systems is achieved by increasing  passenger autonomy through the utilization of accessible design, spatial legibility, and new emerging technologies. This paper takes note of some foundational theories that drove urban design and cognitive psychology, including Lynch’s concept of imageability, Passini’s theory of …


Power, Knowledge, And Environmental Justice: The Dakota Access Pipeline Controversy, Mya Chapman Apr 2026

Power, Knowledge, And Environmental Justice: The Dakota Access Pipeline Controversy, Mya Chapman

Honors Projects

In a time of rife political conflict and debate, it is important to understand the underlying power dynamics that permeate our society in America. As devised by French historian and philosopher Michel Foucault, power and knowledge are mutually constitutive forces that shape our social relations. Through the actions of certain discourses, distinct truths are cultivated that in turn, reinforce existing power structures. In this study, these concepts are applied to the Dakota Access Pipeline controversy in the form of a Foucauldian discourse analysis to understand how the pipeline remained operational in the face of great opposition. Written discourse in the …


The Influence Of The Japanese Language On Gender Perceptions, Jasmine Bishara Apr 2026

The Influence Of The Japanese Language On Gender Perceptions, Jasmine Bishara

Honors Projects

This study aimed to understand the how the Japanese language impacted people’s gender perceptions of women. Previous research showed that there are words and phrases in the Japanese language that are devaluing towards women, and that there are different societal expectations of women in their speech style. There are also different expectations of women’s behavior, which has impacted them in the workplace. Due to a lack of participants, no conclusions can be drawn about how language and social expectations impact how women are perceived in society. However, based on previous research it can be assumed that these issues still remain …


The Intersection Of Visual Communications, User Experience, & Design Theory: A Case Study With The Dog Spaw, Jessica Miltner Apr 2026

The Intersection Of Visual Communications, User Experience, & Design Theory: A Case Study With The Dog Spaw, Jessica Miltner

Honors Projects

This project explored the intersection of visual communication, user experience, and design theory, focusing on researching design and UX principles and applying them in a real-world case study with The Dog Spaw from Celina, Ohio. The project resulted in a redesigned website that aims to influence user behavior by improving perceptions of trust, professionalism, brand consistency, and ease of use, and by examining how these perceptions, in turn, influence user action.


Harm Reduction Strategies In Addiction Recovery: Effectiveness, Barriers, And The Role Of Social Stigma, Julia J. Amlin Apr 2026

Harm Reduction Strategies In Addiction Recovery: Effectiveness, Barriers, And The Role Of Social Stigma, Julia J. Amlin

Honors Projects

Substance use disorders (SUDs) present a major global public health crisis. An estimated 46.3 million individuals are affected in the United States, with only a small fraction receiving any form of treatment. While abstinence-based models have historically dominated addiction treatment methods, harm reduction approaches have emerged as evidence-based alternatives that reduce overdose mortality, improve treatment engagement, and decrease the transmission of infectious diseases. Despite strong empirical support harm reduction interventions continue to face significant social, political, and structural resistance. These harm reduction interventions include supervised consumption sites, overdose prevention centers, medication-assisted treatment, naloxone distribution, and drug checking technologies. This resistance …


Barriers Asian Adoptees Face In Screening For Inheritable Conditions Due To A Lack Of Family Medical History, Anna Shea Apr 2026

Barriers Asian Adoptees Face In Screening For Inheritable Conditions Due To A Lack Of Family Medical History, Anna Shea

Honors Projects

Adoption has been increasingly common in the United States, with more than 7.8 million people in the United States adopted (Wexler et al., 2025) and over 280,000 children in the United States adopted internationally (Orr et al., 2024). Despite this, those who are adopted, especially internationally, often face medical disadvantages compared to those biologically related to their family. The differences in treatment between adoptees and those who are biologically related are largely due to the knowledge, or lack of knowledge, of the individual’s family medical history and genetic information. Genetic or inherited disease screening is often only completed or covered …


Open Education On Social Entrepreneurship: A Comparative Study Between Mexico And Bolivia To Scale Up Complex Thinking, Inés Alvarez-Icaza, Benito Javier Martinez-Briones, Liz Katherine Marco-Torrez, Evelyn Rondon-Jara Apr 2026

Open Education On Social Entrepreneurship: A Comparative Study Between Mexico And Bolivia To Scale Up Complex Thinking, Inés Alvarez-Icaza, Benito Javier Martinez-Briones, Liz Katherine Marco-Torrez, Evelyn Rondon-Jara

Higher Learning Research Communications

Objectives: This study examined the effectiveness of an open digital educational platform for developing complex thinking competencies through social entrepreneurship education among higher education students in Mexico and Bolivia. Specifically, it assessed changes in perceived systemic, scientific, critical, and innovative thinking and compared learning outcomes across both contexts.

Method: A quasi-experimental pre-post design was implemented with 601 participants (Mexico, n = 509; Bolivia, n = 92). Participants completed a validated 25-item, Likert-scale instrument assessing systemic, scientific, critical, and innovative thinking before and after engaging with the digital platform. Within- and between-group differences were analyzed using permutation-based statistical tests, complemented by …