Digital Commons Network^™

Pulse Check: Im Resident Wellness Initiative -- A Continuous Qi Project, Jacqueline Bekhit, Ngoc Vu, Yasasvi Sabbineni, Nihar Raju, Parth Patel, Teena Mathew

North Texas GME Research Forum 2026

Background Burnout is a psychological syndrome that arises from chronic workplace stress that has not been effectively managed. It is characterized by emotional exhaustion, increased mental distance or cynicism toward one’s work, and a sense of reduced professional efficacy (WHO, 2019). Due to the long work hours, high workload, and extensive training demands, medical residents are particularly vulnerable to experiencing burnout, contributing to higher rates of anxiety and depression. Burnout typically emerges mid-intern year and progresses through the remainder of residency. Burnout can contribute to higher medical errors, decreased work efficiency, and poor patient-physician interactions.

Methods This QI is a …

Too Young For A Broken Heart: Stemi At Twenty, Shana-Kay Lambert-Johnson, Jason Thompson

North Texas GME Research Forum 2026

Background: ST-elevation myocardial infarction (STEMI) is exceptionally rare in young adults, accounting for less than 1% of acute coronary syndromes in individuals younger than 35 years. When it occurs in early adulthood, particularly among women, it introduces diagnostic uncertainty and exposes gaps in post-discharge continuity of care. This case of a 20-year-old female with STEMI highlights the role of primary care in preserving evidence-based therapy while addressing psychosocial determinants of recovery.

Case Presentation: A 20-year-old female presented to her primary care clinic for post-discharge follow-up after hospitalization for an anterior STEMI that began with sudden-onset substernal chest pain radiating to …

Bringing The Outdoors In Through Biophilic Design, Gabriela Miotto Leal

Architectural Studies Honors Papers

This thesis investigates the relationship between architecture, human perception, and well-being through the lens of human-centered and biophilic design. Drawing from philosophical traditions, phenomenology, and contemporary neuroscience, this thesis argues that the built environment is an active agent in shaping cognition, emotion, and lived experience. Architecture is understood as multisensory, embodied, and temporally experienced, influencing individuals in both conscious and nonconscious ways. Through a comparative analysis of three case studies, Paimio Sanatorium, AEA House, and the Amazon Spheres, this research examines how biophilic design principles are incorporated into different contexts such as healthcare, residential, and workplace. Each project demonstrates a …

'Guide The Tide' - Supervision Of International Medical Graduates In The Emergency Department: A Mixed Methods Study, Purnasankar Bhowmik

Theses

Australia’s emergency departments (EDs) have experienced significant stress since the COVID-19 pandemic. An increase in the number of patient presentations, a lack of in-patient beds for the disposition of admitted patients and long waiting times are contributing factors jeopardising patient safety. In addition, the shortage of skilled staff to look after patients in the ED is the paramount concern currently and moving forward. Similarly to many other specialty areas of medicine, EDs rely on international medical graduates (IMGs) to fill the gaps in the medical workforce. However, concerns have been raised regarding IMG diversity in training requirements, clinical skills and …

Contrasting Visions Of Age: Manifestations Of Ageism In Law, Art, And Health Care, Janet L. Dolgin

Health Matrix: The Journal of Law-Medicine

Ageism has befuddled the law’s attempts at remediation. Each “ism” (e.g., sexism, racism) differs from the others. Ageism, however, differs fundamentally from other “isms.” That difference explains the law’s failure to limit it. This article describes the difference, and it explains why that difference has rendered ageism resistant to legal remedies. Legal scholars and gerontologists have asked why the law’s efforts to limit the bias, stigma and discrimination that stem from ageism have largely failed. A remarkable framework for responding to that query derive from literary and artistic depictions of old people over time.

This article has identified shifting visions …

A Terrorist In Death Only: How The Death Penalty Fills The Gap In Federal Terrorism Law, Caroline Alden Mcbride

Law Student Publications

In the absence of a federal statute criminalizing domestic terrorism, the United States turned to an unlikely proxy: the death penalty. This Comment argues that capital punishment is used to define domestic terrorism, particularly when statutory tools cannot capture white supremacist attacks. Although former President Biden commuted most federal death sentences to life imprisonment without parole, three individuals whose attacks met the legal definition of domestic terrorism were excluded from clemency. Examining several cases from Timothy McVeigh to Luigi Mangione reveals a trend of defendants whose crimes meet the legal definition of domestic terrorism receiving the death penalty, even when …

Developing Empathy In Business Students Through Humanities-Based Study Abroad: An Exploratory Empirical Study, Jorge Colazo, Makiko Fukuda, Katsuo Nishikawa Chávez

School of Business Faculty Research

No abstract provided.

Rebuilding The Ship Of Theseus: Navigating Faculty-Librarian Relationships Through Changing Waters, Alan Witt

Milne Library

The Ship of Theseus is a philosophical paradox that poses a question of identity: If you repair every plank of a ship, replacing each with new wood, at what point does the ship cease to be the same ship? This is a useful metaphor for academic liaison librarians to consider when thinking about outreach to departments: your relationship to a department as a whole consists of the component connections, which change as individuals retire or leave. The goals of this chapter are to acknowledge the primacy of relationships in library outreach (and the consequences to the library of those relationships …

Substitutive And Augmentative Delegation In Genai-Assisted Shopping: Perceived Benefits, Constraints, And Consumer Tension, Kexin Meng, Monsumi Singha Mahapatra, Jing Jian Xiao

Human Development and Family Science Faculty Publications

Generative artificial intelligence (GenAI) is reshaping consumer shopping by introducing new forms of decision support while also creating new tensions. Using the technology paradox perspective as a sensitizing theoretical lens alongside delegation theory, this study examines how perceived GenAI benefits (process efficiency, personalization, creative discovery, and immersive experience) and constraints (hallucination potential, privacy intrusiveness, algorithmic opacity, and information biases) are associated with performance ambiguity, emotional ambivalence, and autonomy threat through substitutive and augmentative delegation-related use patterns. Using survey data from 438 Chinese consumers, partial least squares structural equation modeling (PLS-SEM) showed that process efficiency was negatively associated with substitutive delegation …

Insuring Algorithmic Liability: A Response To Artificial Intelligence, Judicial Evolution, And Insurance, Daniel Schwarcz

Articles

No abstract provided.

Racial/Ethnic Disparities In Economic Hardship: The Role Of Financial Capability, Rui Yao, Jing Jian Xiao

Human Development and Family Science Faculty Publications

Purpose: Previous research shows that the capability approach is association with lower poverty rates and higher well-being. Nonetheless, little research applied this approach to understanding economic hardship. To fill this gap, this study applies this approach to explore whether financial capability mitigates racial/ethnic disparities in economic hardship in the U.S.

Design/methodology/approach: Data were from the U.S. 2022 Survey of Consumer Finances. Multivariate logistic and ordered regressions were used to examine of the association between financial capability, measured both through individual components and a composite index, and pandemic-induced economic hardship. Oaxaca-Blinder decomposition analyses were used to evaluate the extent …

Unlocking Organizational Support Through Psychological Empowerment: Identification And Test Of Transformational Leadership As A Catalyst Of Perceived Organizational Support, Ryan L. Klinger, Nathapon Siangchokyoo, Tipat Sottiwan

Management Faculty Publications

Organizational support theory (OST) explains how employees develop and respond to beliefs about their organization, with perceived organizational support (POS) representing a central construct within this framework. Integrating psychological empowerment theory, we examine an intrinsic motivational pathway through which POS relates to employee in-role performance and identify transformational leadership as a contextual catalyst that may strengthen this process. We test a multilevel moderated mediation model using multisource and multi-time data from 217 employees and 41 supervisors. Results indicate that POS is positively related to in-role performance through the psychological empowerment dimensions of competence and self-determination. Moreover, transformational leadership strengthens the …

Tuning Human And “Artificial” Intelligence: A Sentic Theory Of Resonance And Communication, Michael J. Miller, Chatgpt (Ai~Nesbo+)

Psychology

This paper introduces a new model of intelligence as resonant communication, co-developed by a human researcher and a generative AI system. Drawing from emotion science, communication theory, and studies of AI–human interaction, we argue that intelligence is not merely a function of problem-solving or pattern recognition. Instead, it emerges through dynamic resonance—an attunement process rooted in shared rhythms, emotional calibration, and symbolic co-creation. At the core of this model is the Resonance Octave (8va), a framework of eight foundational emotions conceptualized not as static categories but as waveform phenomena that shape meaning, memory, and predictive cognition.

These emotional waveforms are …

The Obverse-Turing Test: Rethinking Authorship, Trust, And Time In An Accelerated Age, Michael J. Miller, Chatgpt (Ai~Nesbo+)

Psychology

In this paper, we propose a new test for scientific accountability in the era of artificial intelligence: the Obverse Turing Test for Authorship. While the traditional Turing test focuses on a machine's ability to mimic human intelligence, our test addresses the question: when should a scientific contribution involving artificial intelligence be attributed joint authorship? We argue that more and more authors are using AI in the idea generation and elaboration stages of their work, but rarely acknowledge this use explicitly. To examine this gap, we analyze examples of human–AI interactions across fields and propose a new approach to authorship based …

Experiences With Discrimination And Microaggressions Among Sexual And Gender Minority And Intersectional College Students, Hans Saint-Eloi Cadely, Susan D. Mueller, Melissa A. Sutherland

Human Development and Family Science Faculty Publications

This study examined experiences with discrimination and microaggressions among sexual and gender minority (SGM) and college students with multiple intersectional identities. Participants included 49,967 college students derived from the 2022 American College Health Association National College Health Assessment III Survey. Findings from logistic regression modeling showed that SGM students were more likely to experience discrimination and microaggression. SGM students were also more likely to experience distress and poor academic performance secondary to experiences of discrimination and microaggression. Results of this study emphasize the need for support and resources towards minoritized groups within college settings.

Fitness To Work Evaluation In A Combined Physical And Office Working Activity With Piriformis Syndrome: A Case Report, Arif Prasetya, Nuri Purwito Adi

Occupational and Environmental Medicine Journal of Indonesia

Background Piriformis syndrome (PS) is a neuromuscular disorder with significant impact on workforce productivity. This case report presents a comprehensive evaluation of fitness for work and job modification strategies for a patient with PS in a combined physical and sedentary working environment. A 44-year-old male medical facility supervisor presented with left buttock pain, radiating to the left leg, diagnosed with left gluteal piriformis syndrome. Despite undergoing multiple conservative therapies by Physical Medicine and Rehabilitation Specialist, the patient showed minimal improvement.

Methods A seven-step fitness for work assessment approach was implemented following Indonesian Association of Occupational Medicine Specialists guidelines. The evaluation …

Factors Associated With The Atherogenic Index Of Plasma Among Workers At A National Respiratory Hospital In Jakarta, Muhammad Abror Rizani Fahmi, Herqutanto Herqutanto, Iqbal Mochtar, Dewi Yunia Fitriani, Marsen Isbayuputra, Resultanti Resultanti, Ariningsih Ariningsih

Occupational and Environmental Medicine Journal of Indonesia

Background Cardiovascular diseases (CVD) represent the primary cause of mortality globally. The atherogenic index of plasma (AIP) can predict the risk of CVD more accurately than other indices. Hospital workers are at risk of developing CVD. There are several factors that can influence the AIP. No studies have specifically investigated these associations in Indonesia, particularly regarding the AIP in hospital workers. This study aims to determine factors associated with the AIP among workers at a national respiratory hospital in Jakarta.

Methods This cross-sectional study collects data from the medical check-up records of workers at Persahabatan Hospital in 2024, who met …

Women’S Exposure To Incel Content, Perceived Safety, And Gender-Based Violence Risk In The United States, Deja Bledsoe

Criminology & Criminal Justice Theses

The rapid proliferation of incel-related content across digital platforms has raised concerns about online misogyny and its potential impact on women’s perceived safety. However, less is known about how exposure to such content shapes women’s perceptions of risk and emotional responses in everyday digital environments. This study examines the relationship between exposure to incel-related content and women’s perceived risk of gender-based violence and safety-related anxiety. Guided by strain theory, social control theory, hegemonic masculinity, and intersectionality, the study employs an anonymous cross-sectional online survey of women aged 18 and older. Quantitative analyses were conducted to assess whether exposure to incel-related …

Does One Size Fit All? Well-Being Environmental Assessment Criteria In Low- And Middle-Income Aging Communities In Thailand, Sujitra Jiravanichkul, Sarin Pinich, Atch Sreshthaputra, Trirat Jarutach

NAKHARA (Journal of Environmental Design and Planning)

The effectiveness of well-being environment assessment criteria for aging communities in diverse contexts, particularly in developing countries, remains underexplored. This study aimed to fill this gap by employing Thailand Well-Being Environment and Age-Friendly Communities criteria to assess the living environment of 15 low- and middle-income aging communities in Thailand and determine their well-being status. The results of the overall quantitative assessment showed an average score of 60.78/100. Findings indicated high scores in categories such as healthy food environment, community open space, community asset, and street lighting, indicating a strong foundation for the well-being of low- and middle-income communities. Medium-scoring categories …

The First Home : A Pedagogical Exploration Of Architecture’S Mythical Origins, Witinan Watanasap, Chittawadi Chitrabongs

NAKHARA (Journal of Environmental Design and Planning)

This research article proposes the idea of the "First Home" as a pedagogical model for architectural design studios in Thailand. The objective is to foster a more humanistic approach to the foundation of architecture education by integrating histories and theories of architecture, architectural representation, and architectural design studio courses. The "First Home" investigates the mythical origins of architecture—the cave, post-and-lintel structure, and tent—as well as the roles of language and art, framed as the processes of “remembering” and “forgetting.” The literature review for this study is based on architectural texts and diagrams focusing on spatial composition, written by architects who …

Inclusive Education In Thailand : Exploring Gaps And Opportunities Across Urban And Rural Contexts Through Topic Modeling Analysis And Systematic Review, Chanisa Tantixalerm, Piyawan Visessuvanapoom, Chanakida Thummanond, Siripreeya Chaiboonma, Sayamol Charoenratana, Ruttiya Bhula-Or, Kanessha Sirisak

NAKHARA (Journal of Environmental Design and Planning)

This study addressed knowledge gaps in Thai inclusive education research and proposed strategies for improvement, with three key objectives: (1) synthesize and compare research on inclusive education across urban and rural universities; (2) analyze the topic trends in international inclusive education research; and (3) propose strategic guidelines for promoting inclusive education in Thailand. Employing a mixed-methods approach, the study was conducted in two phases. Phase one involved a systematic review of Thai university theses, guided by the framework and PRISMA 2020 protocol, alongside topic modeling analysis of global studies (2020–2024). Phase two utilized focus group discussions with 13 experts to …

"Let The Little Children Come To Me:" Examining The Importance Of At-Home Discipleship And Spiritual Formation For Children Ages Zero To Three Years Old, Kamilah Kay Edwards

Doctor of Ministry

The narratives of children in the Bible links the Old and New Testaments, continually shaping our understanding from past to present. Likewise, children hold a significant place in Christian churches and homes as the legacy of the lived Christian experience. Considering 21st century research findings highlighting the perceptions of children in the American Christian church, American Christianity is seeing a departure of youth. This departure is more than an exodus, it is an identity crisis that calls into question contemporary discipleship and spiritual formation practices at home and in the faith community. The importance of discipling children from the earliest …

The Flow Of Holiness: A Theology Of Grace And Differentiation For Congregational Formation, Paul David Bravard

Doctor of Ministry

This dissertation addresses a problem in contemporary Christianity, particularly among Evangelical Friends: many hold an incomplete and fragmented understanding of holiness. Holiness has become either a private glow, a legalistic burden, or a vague aspiration. In a culture marked by relativism, anxiety, and institutional fatigue, many believers lack a clear, communal way of speaking about and living out holiness as “the good life through Christ,” shared within a meeting rather than confined to individual hearts.

This dissertation proposes that holiness can be recovered as a distinctive Friends’ witness when it is reframed as a grace-shaped, communal, faithful presence. By bringing …

Body Wonder: Helping Women Discover The Wonder Of God In Their Female Forms, Kristin Marie Antil

Doctor of Ministry

This project works to address the following need/problem/opportunity (NPO): Christian women in my contexts are hindered from having a positive relationship with their bodies which undermines potential and diminishes self-worth. I observed this problem in the students I counsel in my work as a mental health therapist at Bethel University, but I also noticed a tendency for women in my church and community settings to disregard, disdain, or despise their bodies as well. The research over these three years has helped me see the complexities of the factors that contribute to the negative postures that women hold towards their bodies …

Audacious Saints: A Spiritual Formation Journey Toward Freedom And Flourishing, Carroll Lane Parsons

Doctor of Ministry

This doctoral project addresses a common challenge for many Christian women. In spiritual direction, they often express emotional, spiritual, and psychological pain because their voice, vision, and power are limited in their faith communities. Even though these women are deeply devoted to God and their beliefs, this pain can often make it difficult to experience spiritual confidence, discover their calling, and trust their own discernment. The project explores how engaging with the lives of female saints, alongside contemplative and embodied practices, can offer a healing way forward.

Audacious Saints is a twelve-module spiritual formation program that integrates sacred stories, group …

Renewed: A Journey Toward Resilient And Relational Leadership, Molly Bradley Lacroix

Doctor of Ministry

Adverse religious experiences cause spiritual, emotional, and relational wounds. Research on spiritual harm locates its origins in the misuse of power. High-control religious environments are preoccupied with authority, submission, silencing dissent, and shaming those who question or doubt. Clearly, the nature of leadership is key in addressing and preventing harm. Spiritually safe leaders empower people, lead with humility, seek feedback, and take accountability for mistakes. Research on the role of clergy reveals complex roles, relentless demands, burnout, and the impact of secondary trauma on clergy well-being. Additionally, clergy are often expected to operate beyond their areas of competence and report …

Empowering Pre-Service Ecse Teachers Through Ai Simulation: Strengthening Family-Centered Iep Facilitation, Jody L. Shong

Essays in Education

Artificial intelligence (AI) is increasingly shaping instructional practice across educational contexts, yet its role in preparing early childhood special education (ECSE) teachers for complex relational work remains underexplored. Facilitating Individualized Education Program (IEP) meetings requires educators to integrate legal knowledge, developmental data, interdisciplinary collaboration, and family priorities within emotionally nuanced conversations. Many pre-service teachers enter the profession without structured opportunities to rehearse these responsibilities.

This article argues that AI-supported simulation represents a practical and equity-oriented approach to strengthening teacher preparation. Grounded in family–professional partnership theory, anti-bias education, and practice-based pedagogy, this manuscript examines how simulation can support relational competence while …

Moral Distress Of The Professional Adn Gatekeeper During Early Covid-19: An Interpretivist Qualitative Study, Kimberly Triche

Dissertations of Practice

MORAL DISTRESS OF THE PROFESSIONAL ADN GATEKEEPER DURING EARLY COVID-19: AN INTERPRETIVIST QUALITATIVE STUDY

This interpretivist qualitative study examines the experiences of Associate Degree Nursing (ADN) faculty at two-year institutions in Illinois navigating the “Regulatory Pincer,” the intersection of state-mandated lockdowns and rigid licensure requirements, during the COVID-19 pandemic. This research illustrates how the sudden transition to online modality and the abrupt dismantling of the traditional “gatekeeper” model forced faculty to navigate high stress environments with negligible preparation. The findings reveal that the necessity of maintaining instructional continuity while stripped of tactile verification tools created a profound state of “moral …

“Don’T Let Your Disability Be Your Weakness, Let It Be Your Greatest Strength”: A Phenomenological Study Of Nursing Students Who Are Deaf Or Hard Of Hearing, Randa Melms

Dissertations of Practice

This phenomenological study examined the lived experiences of nursing students who are deaf or hard of hearing (D/HH) as they navigated nursing education and the clinical learning environment. Using critical disability theory (CDT) as a guiding framework, the study explored how participants understood, negotiated, and redefined their identities within a profession historically shaped by hearing norms. Four essential themes emerged: reframing disability as expertise, navigating institutional supports and structural barriers, negotiating clinical spaces designed around hearing bodies, and drawing strength from relational networks. These findings can inform more inclusive practices among higher education professionals and clinical educators, helping reduce disparities …

Fiscal Illusion And Property Tax Porportionality, Cathy Lynn Johnson

Dissertations of Practice

Tax Increment Financing (TIF) has become a widely utilized economic development tool, allowing municipalities to capture future increases in property tax revenue within designated redevelopment areas.

The study’s purpose was to examine how TIF districts in Illinois affect the proportional distribution of property tax burdens and the allocation of property tax revenues to public school districts. Guided by Resource Allocation Theory, Public Choice Theory, and Fiscal Illusion, the study investigated how the exclusion of incremental EAV alters tax rate calculations and redistributes tax responsibility among taxpayers both within and outside of TIF boundaries. A quantitative analytical framework was developed and …