Digital Commons Network^™

Pathways To Aggression: Understanding Peer Victimization In Adolescence, Makenzie H. Clarken

Theses/Capstones/Creative Projects

Insight into aggression among early adolescents is important to understanding its predictors and consequences. In adolescence, aggression is typically related to underlying issues. Addressing this is important, as unmanageable aggression progressing past early adolescence can result in involvement in the criminal justice system. Studies show that peer victimization is associated with increased levels of aggression. Aggressive adolescents may attract victimization from their peers, or those who are victimized may respond with aggression. The current study followed a sample of 182 fifth and sixth graders over the course of the school year. Constructs such as aggression, peer victimization, and social withdrawal …

Holistically Analyzing The Initial Athlete-Provider Interaction During Sports Injury Diagnosis, Tyler Baldwin

Theses/Capstones/Creative Projects

Recovering from injury is crucial for an athlete’s health-related quality of life and mental health. A potentially significant moment that could influence an athlete’s mindset towards recovery is the interaction between the provider and athlete during initial diagnosis. To analyze this moment from both perspectives, this study performs a thematic analysis of five semi-structured provider interviews and ten athlete interviews. In this study, all five providers exemplified an understanding of this moment’s significance, expressing awareness of their potential impact on the athlete’s mindset, and emphasizing mutual understanding to ensure streamlined recovery. Meanwhile, all ten of the athletes expressed self-awareness regarding …

Building Focus: Using Relaxation Music To Support Students With Autism In The Classroom, Whitney Drewrey

Electronic Theses and Dissertations

This study explores the use of audio sensory input, specifically, relaxation music, as a strategy to reduce off-task behavior in elementary students with autism within the general education classroom. The aim was to minimize distractions and teacher redirections, thereby promoting a more inclusive and productive learning environment for all students. Guided by the principles of improvement science, the research employed a single-case design with three elementary students diagnosed with autism. Data were collected through momentary time sampling and mood inventories during independent classwork periods.

The central research question guiding this study was: What effect does relaxation music have on the …

Cognitive Behavioral Therapy (Cbt) Benefits For Autism Spectrum Disorder, Riley Q. Thomas

Institute for Disability Studies

No abstract provided.

Best Practice Recommendations For Anesthesia Providers In Preventing Postoperative Delirium In The Geriatric Population Undergoing Non-Cardiac Surgery, Ana Primeaux, Ashanti Reed

Doctoral Projects

Postoperative delirium (POD) is a significant and preventable complication in geriatric patients undergoing non-cardiac surgery. Such complication is associated with foreseeable consequences, such as prolonged hospitalization, long-term cognitive decline, increased morbidity and mortality, and increased costs. Despite the emerging awareness of evidence-based nonpharmacologic and pharmacologic interventional strategies, POD still represents a clinical challenge for anesthesia providers.

Currently, there is a lack of clinical guidelines to guide formalized education and evidence-based interventions on POD prevention across anesthesia practice settings. Consequently, there is a critical need to raise awareness that the lack of clinical guidelines and the high incidence of POD may …

The Edge Of The World: An Examination Of The Wild West In California, 1840-1880, Chloe J. Cushing

Master's Theses

“The Edge of the World” revolves around the history of the Wild West in California through the lens of Richard Maxwell Brown’s Western War of Incorporation theory. Rather than being a mythology sensationalized by Hollywood and literature, for the Golden State, the Wild West was a very real and tangible part of its early-American era, characterized by U.S. imperialism, high murder rates, anti-authoritarianism, and other rampant forms of chaos that affected the state for generations. By examining the conditions and effects of the late Mexican period, the Gold Rush, Confederate sympathizers, and the Southern Pacific Railroad, this thesis highlights the …

Structural Racism And Intimate Partner Violence Perpetration Among Racially Diverse Men Transitioning Into Fatherhood: An Anti-Racist Approach To Ipv Prevention, Tiara C. Willie, Sabriya Linton, Leslie B. Adams, Nicole Overstreet, Shannon Whittaker, Theresa Faller, Deja Knight, Trace S. Kershaw

Psychology

Background: Young couples transitioning into parenthood are at elevated risk of experiencing intimate partner violence (IPV), in part, due to the social and economic stressors associated with this critical time. Interpersonal racial discrimination is a known risk factor for male-to-female IPV perpetration, however few studies have examined this relationship among men transitioning to fatherhood. Similarly, structural racism acknowledges how inequitable systems reinforce racial discrimination; yet, few studies have investigated whether structural racism relates to the discrimination-IPV perpetration association. This study examined relationships among structural racism, racial discrimination, stress, and IPV perpetration among racially diverse men transitioning into fatherhood. Methods: Using …

Study Protocol For The Rainbow Austrian Longitudinal Family (Ralf) Study: A Longitudinal, Multi-Method, Multi-Rater Investigation Of Risk And Resilience Factors In Austrian Lgbtq+ Parent Families, Betty Geidel, Magdalena Siegel, David Steryl, Abbie E. Goldberg, Guy Bodenmann, Martina Zemp

Psychology

Background: Research on LGBTQ+ parent families is evolving to include a growing range of family systems, identities, methodologies, and topics. However, studies that examine minority-specific risk and resilience factors and their associations with within-family processes remain scarce, particularly outside a US-American context. Addressing these research gaps quantitatively poses challenges for researchers, because traditional modelling techniques based on (generalized) linear models are not ideally suited to capture the complexity and intersectionality of family experiences. Within this study protocol, we introduce the Rainbow Austrian Longitudinal Family (RALF) study. Its main goal is to comprehensively investigate general and minority-specific factors that affect the …

Exploring Factors Informing The Choice Of Caesarean Sections Among Couples, And Healthcare Workers: A Case Of The Nairobi Hospital, Kenya, Mercy Mukubwa

MSc in Advanced Practice Midwifery

Background: A caesarean section (C/S) is a lifesaving procedure to reduce maternal and newborn morbidity and mortality. It is associated with more risks compared to a vaginal birth. The rates of C/S have been on an upward trend globally and are expected to continue to rise further. C/S predisposes neonates to poor outcomes, some of which could be life-threatening compared to vaginal birth. Similarly, C/S mothers are at greater risk for serious complications.

Objective: The primary objective of this study was to investigate the factors influencing the decision to undergo a caesarean section among couples and healthcare workers …

Lived Experiences Of Chemotherapy-Induced Nausea And Vomiting Among Patients Diagnosed With Cancer At Machakos Level Five Hospital, Nancy Njeri Kamau

MSc in Advanced Practice Nursing

Background: Chemotherapy-induced nausea and vomiting (CINV) remains one of the most prevalent and distressing adverse effects of cancer treatment, affecting a substantial proportion of patients and significantly compromising their physical functioning, nutritional status, treatment adherence, and overall quality of life. However, there is a paucity of localized evidence on the magnitude and functional burden of CINV among patients diagnosed with cancer receiving chemotherapy at county referral hospitals, such as Machakos Level 5 Hospital, hence the current study.

Aim of the study: The study aimed at exploring the lived experiences of chemotherapy induced nausea and vomiting among patients diagnosed with …

The Guardian The Month Of December 2025, Wright State Student Body

The Guardian Student Newspaper

News articles from The Guardian for the Month of December 2025. The Guardian is the official student-run newspaper for Wright State University. It has been published regularly since March of 1965.

Combating Antimicrobial Resistance In Asia: A Comprehensive Review Of Strategic Action Plans, Policies, And The Role Of The Who, Saud Almawash

Saudi Medical Journal

ABSTRACT Over the past 70 years, antimicrobial resistance (AMR) has emerged as a critical public health concern in Asia. Regional challenges such as dense population, scarce resources, and diverse healthcare systems further complicate the containment efforts. To address this, Asian countries have adopted several strategies and policies. A comprehensive review of published literature was conducted to identify key policies and interventions. Findings revealed diverse approaches to AMR containment, including surveillance and monitoring systems, antibiotic stewardship programs, infection control measures, vaccination strategies, and public health awareness campaigns. However, implementation of these strategies is hindered by resource, political, and regulatory barriers. The …

Why Doody's New Health Humanities List Is A Vital Catalyst, Sandra Y. Desjardins

Library Staff Publications

No abstract provided.

Drought, Worry, And Preparing For The Future: The Ethnopsychology Of Climate Distress In Kilifi County, Kenya, Edna Bosire, Syed Wahid, Linda Khakali, Benjamin Oestericher, Felix Agoi, Anthony Ngugi, Rosebella Iseme, Jasmit Shah, Zul Merali, Lukoye Atwoli

Brain and Mind Institute

The impacts of climate change in sub-Saharan Africa (SSA) presents a chronic and intensifying disaster, with drought, flooding, and extreme heat, presenting unique challenges and profound disruptions. Growing evidence links such events to ecological grief, ecological anxiety, and solastalgia – negative affective states that reflects responses to climate change related destruction of nature, species, culturally significant or sacred spaces, and other ways of life. While this literature is expanding in the Global North, little is known about how communities in SSA perceive and respond to deteriorating or depleting natural ecosystems. This article explores the ethnopsychology of distress precipitated by environmental …

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

Brain and Mind Institute

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

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

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

Brain and Mind Institute

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

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

Result: …

A Quantitative Exploration Of Risk And Protective Factors Affecting The Mental Health Of Chitimacha Tribal Youth, Daphnie Vilcan-Tanner

LSU New Orleans Theses and Dissertations

This study examines the relationships between demographics, risk factors, and protective factors with mental distress among Chitimacha Tribal adolescents aged 12 to 18. Using a Positive Youth Development framework, the research aimed to identify the prevalence of mental distress, trauma, discrimination, and protective factors, as well as their collective and individual impacts on mental health. Data were collected through online surveys completed by 73 participants residing on or near the Chitimacha Tribal Reservation. Descriptive statistics and multiple linear regression analyses were conducted to analyze the data. Results revealed that while trauma and discrimination collectively predicted mental distress, family and community …

Three Funny Things: A Multicultural Validation, Jon Hook

Dissertations

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

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

EKU Faculty and Staff Scholarship

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

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

Educational Leadership & Workforce Development Theses & Dissertations

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

Pharmacy Matters December 2025/January 2026, University Of Mississippi School Of Pharmacy

Pharmacy Matters Newsletters

Featured stories: School of Pharmacy Celebrates Employees of 25 Years, A Word of Gratitude and Year-End Highlights, Pharmacy Students Earn Top 10 Finish in ASHP Clinical Skills Competition, Pharmacy Students Earn Top Honors in 3MT Competition, Student Pharmacist Named to National Community Pharmacy Scholars Cohort, UM Pharmacy Celebrates First Year of Dietary Supplements and Medical Cannabis, Pharmacy Student Balances Rigorous Academics With Rebelettes Dance Team, Research Professor Recognized with Two Prestigious Awards, Oregano Oil Shows Promise as Natural Fire Ant Repellant, Researchers Develop Tool to Study Autism Risk Factors, Pharmacy Alumnus, Former Football Player Inducted Into MAIS Hall of Fame, …

Augmenting Large Language Models To Predict Social Determinants Of Mental Health In Opioid Use Disorder Using Patient Clinical Notes, Madhavi Pagare, Deva Sai Kumar Bheesetti, Inyene E. Essien-Aleksi, Mohammad Arif Ul Alam

Health Sciences Faculty Publications

Objective

Identifying social determinants of mental health (SDOMH) in patients with opioid use disorder (OUD) is crucial for estimating risk and enabling early intervention. Extracting such data from unstructured clinical notes is challenging due to annotation complexity and requires advanced natural language processing (NLP) techniques. We propose the Human-in-the-Loop Large Language Model Interaction for Annotation (HLLIA) framework, combined with a Multilevel Hierarchical Clinical-Longformer Embedding (MHCLE) algorithm, to annotate and predict SDOMH variables. Materials and Methods

We utilized 2636 annotated discharge summaries from the Medical Information Mart for Intensive Care (MIMIC-IV) dataset. High-quality annotations were ensured via a human-in-the-loop approach, refined …

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

Master's Theses

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

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

Electronic Theses and Dissertations

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

Improving Early Detection Of Suicidal Ideation Through Routine Screening In Adults With General Anxiety Disorder, Brittanie N. Bush

Doctor of Nursing Practice

Suicide is a leading cause of death in the United States, with anxiety and depression recognized as independent risk factors for suicidal ideation (Centers for Disease Control and Prevention, 2024 September 26; Grant et al., 2023; Li et al., 2022; Moon et al., 2025; Wiebengo et al., 2021). Incorporating valid screening tools like the General Anxiety Disorder-7 and the Columbia-Suicide Severity Rating Scale can help identify suicidal ideation early, enabling quicker provider intervention (Johnson et al., 2019; O’Connor et al., 2022). The purpose of this project was to implement the Columbia-Suicide Severity Rating Scale as a standardized screening tool for …

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

Doctor of Nursing Practice

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

A Psychometric Evaluation Of The Pbss-20 Among Sexual And Non-Sexual Minority College Students, Alex Melville

Master's Theses

This study evaluated the psychometric properties of the Protective-Behavioral Strategies Scale-20 in a large national sample of college students containing sexual minority and non-sexual minority students. Specifically, confirmatory factor analysis was used to evaluate the model fit with this sample, invariance testing was used to compare the model among sexual and non-sexual minority students, and construct validity was evaluated. Participants included college students (N = 1,730; M_age = 19.41) from 12 universities across the United States, who were predominantly White non-Hispanic (63.6%), identified as female (70%), and as completely heterosexual (67.6%). Participants completed demographic information and measures of …

Personality And Perceived Police Legitimacy, Yuxuan Yang

Master's Theses

Police legitimacy refers to one’s trust in the police to be fair and make just decisions in their interactions with the public. Individuals’ perceptions of police legitimacy play a crucial role in predicting how they interact with police. More positive perceptions are associated with cooperative behaviors; less favorable views are associated with resisting behaviors. Few studies have examined the relationship of broad personality traits with perceptions of police legitimacy. The current study examined the HEXACO model of personality and right-wing authoritarianism as predictors of perceived police legitimacy among college students (N = 268). While taking gender, race, and social …

Influence Of Depressive Symptomatology On Vocal Production, Olivia Taylor

Honors Theses

Language has been widely recognized as a crucial form of social connection, providing both contextual and semantic information, including intonation, pitch, rate of speech, and pauses. As mental health conditions begin to rise while mental health providers begin to decrease, research in psychology has focused on investigating other factors that may aid in the diagnosis of mental health disorders. Research has indicated that physiological factors, including vocal production, may highlight specific shifts in speech patterns or vocal characteristics. Limited research has been conducted to investigate the possible implications for the emerging adult population, despite the group obtaining the highest prevalence …

“If He Be Mr.Hyde…I Shall Be Mr.Seek”: Crime, Surveillance, And Narrative Structure In The Strange Case Of Dr. Jekyll And Mr. Hyde, Haley N. Durrett

Honors Theses

This research seeks to situate Robert Louis Stevenson's novella, The Strange Case of Dr. Jekyll and Mr. Hyde into the historical context of the time period using 19th century criminal-typing, policing structures, and the genre of detective fiction. Focusing on the representation of the criminal, Edward Hyde, the layout of the detective novel, and narrative structure, the novel creates an implicit desire for the police, that is not fulfilled throughout the novel's unraveling.