Digital Commons Network^™

Status Of Mental Health Of Children And Sociodemographic Factors Associated With It Three Years Following Covid-19 Pandemic, Dr Dhanyatha T S, Dr Mithila Das Mazumder, Dr Likitha A C

Digital Journal of Clinical Medicine

Background: COVID-19 disrupted every aspect of life, particularly affecting the mental well-being of children. Prolonged school closures, isolation, and lifestyle changes significantly impacted emotional and behavioral development.This study evaluated the mental health status of children three years after the pandemic and analyzed the influence of sociodemographic factors.

Objectives:

1. To assess the current status of mental health among children 7–15 years, three years after  COVID-19.
2. To evaluate the sociodemographic factors associated with mental health outcomes.

Methods:

 A cross sectional study was conducted from June2023 to December 2024 among 125 children aged 7–15 years at our institute.The Child Behavior Checklist (CBCL) was …

Clinical Correlates And Predictors Of Suicide Attempt Severity In Elderly Patients: A Cross-Sectional Study From South India, Rajamani Siddamallappa, Kiran Kumar Kadarappa Dr, Megha C N

Digital Journal of Clinical Medicine

Background: Suicide in late life is a major yet under-recognized public health problem in low- and middle-income countries. Elderly suicidal behaviour reflects interactions between psychiatric morbidity, substance use, psychological distress, intent, and method selection. Indian data examining these factors comprehensively remain limited.

Objectives: To assess psychiatric morbidity, hopelessness, suicide intent, planning patterns, methods, and independent predictors of suicide attempt severity among elderly suicide attempters.

Methods: This cross-sectional study included 75 elderly individuals (≥60 years) admitted following a suicide attempt to a tertiary care hospital in South India. Depression severity, hopelessness, and suicide intent were assessed using Beck’s Depression Inventory-21 (BDI-21), …

Family Mental Health – A Case Report, Vikrant Arora, Medha Kosireddy, Mathumitha Ananth, Kishor M. Manohar Rao

Digital Journal of Clinical Medicine

Psychiatric illness in India is estimated to be 15% as per National Mental Health Survey 2015-16.  Mental health challenges within families, especially depression, anxiety disorders that are not common and when unaddressed exert cascading effects on all members, disrupting emotional cohesion, relational functioning, and socioeconomic stability. There are few case reports on entire family presenting to psychiatry department.

With informed consent a city-based middle-class family of non-consanguineous origin, where the 40-year-old female, presented with intractable limb pains and health anxiety, she had multiple consultation in last few months and her 48-year-old husband also had with episodic pains, irritability and her …

From Controversy To Comeback: The Renewed Role Of Pralidoxime In Op Poisoning, Dr Sanaa Jain, Dr Savitha V, Dr . Shashidhara K C

Digital Journal of Clinical Medicine

Organophosphorus compounds are commonly used as pesticides in agriculture, but they are responsible for approximately one-third of suicide deaths in Asian countries.The symptoms of organophosphate (OP) poisoning vary over time and are categorized into three phases: Acute Cholinergic Crisis (minutes to 24 hours), Delayed Phase (24 hours to 2 weeks), which may include intermediate syndrome, coma, and extrapyramidal symptoms, and Late Phase (OPIDP). Treatment typically involves Atropine, Pralidoxime, and symptomatic management, including airway support and mechanical ventilation.

Ropinirole-Induced Sleep-Related Behavioral Disturbances And Psychotic Symptoms In Parkinson's Disease: A Case Report, Kareena Arora, Akshatha C. J, Rajesh Raman, Vikrant Arora, Bindu Annigeri, Megha Sadashiv

Digital Journal of Clinical Medicine

Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized primarily by motor symptoms such as bradykinesia, rigidity, and tremor. Though commonly associated with motor symptoms but can also present with significant non-motor symptoms such as sleep disturbances, psychosis, and cognitive decline. These symptoms may arise spontaneously or be medication-induced. We present the case of a 53-year-old male with Parkinson’s disease who developed nocturnal behavioural disturbances and psychotic features, likely secondary to dopaminergic agonist medication. Symptom resolution followed adjustment of antiparkinsonian medications and the introduction of antipsychotic medication

Unusual Case Of Pelvic Fracture Urethral Distraction Defect, Varuni Pragya, Madhukesh Rudramurthy, Siddalinga Murthy G

Digital Journal of Clinical Medicine

INTRODUCTION

Urinary bladder ruptures are an uncommon injury, occurring in less than 1% of all blunt abdominal trauma. Extraperitoneal bladder ruptures are generally associated with pelvic fractures and usually managed nonoperatively but open surgery is required when these injuries are associated with additional trauma to structures like prostate and urethra.

CASE PRESENTATION

We report our experience with a 32-year-old male who suffered a head on collision with a four-wheeler while driving a two-wheeler in a road traffic accident. He presented to the hospital with abdominal and pelvic pain, difficulty in passing urine and swelling of the scrotum. His X Ray …

Biomedical Waste Management Practices In A Rural Health Training Centre In Southern India: A Cross-Sectional Facility Audit Using Kayakalp Guidelines, Mathivathani Palaniyappan, Kathiravan Rajendran

Digital Journal of Clinical Medicine

Background

Effective biomedical waste management (BMWM) is essential to prevent environmental contamination and health hazards in healthcare settings. In India, regulatory frameworks like the Biomedical Waste Management Rules, 2016, mandate proper handling, but compliance varies, particularly in rural facilities. This study evaluated BMWM practices at a rural health training centre using the Kayakalp assessment tool.

Methods

A cross-sectional audit was conducted from April to June 2024 at a rural health training centre affiliated with a medical college in Coimbatore, Tamil Nadu, India. The Kayakalp checklist for primary health centres was employed, encompassing 10 measurable elements with 20 checkpoints scored as …

Comparison Of Post Operative Analgesia Between Dexmedetomidine Versus Clonidine As Adjuvant To Ropivacaine In Ultrasound Guided Adductor Canal Block In Arthroscopic Knee Surgeries: A Randomized Controlled Study, Shwetha Arun, Archana B N, Dr. Shivakumar G Pofessor And Hod, Devika Lekshmi S

Digital Journal of Clinical Medicine

The current study evaluated the analgesic efficacy of dexmedetomidine versus clonidine as adjuvants to 0.2% ropivacaine in ultrasound-guided adductor canal block. Effective postoperative pain management is essential for early mobilization and improved recovery following arthroscopic knee surgeries. Sixty ASA I–II patients aged 20–60 years undergoing elective arthroscopic knee procedures were randomized into two groups: Group D received ropivacaine 0.2% 30ml with dexmedetomidine 100 mcg, and Group C received ropivacaine 0.2% 30ml with clonidine 150 mcg. Duration of analgesia, pain scores, sedation levels, hemodynamic changes, and rescue analgesic requirements were recorded. Group D demonstrated significantly prolonged analgesia (18.08 ± 0.514 h) …

Pulmonary Hemosiderosis In A Young Child Presenting With Recurrent Respiratory Illness And Refractory Anemia: A Case Report, Praveen Das, Ratnapriya Chowdhry, Neha Bhongale, Poonam Wade

Digital Journal of Clinical Medicine

Pulmonary hemosiderosis (PH) is a rare cause of diffuse alveolar hemorrhage in children and often presents with nonspecific respiratory symptoms and refractory iron‑deficiency anemia. We report a 2.5‑year‑old girl with recurrent lower respiratory tract infections, severe transfusion‑dependent anemia, failure to thrive, and persistent bilateral pulmonary infiltrates since infancy. Bronchoalveolar lavage demonstrated hemosiderin‑laden macrophages, confirming pulmonary hemosiderosis. Further evaluation revealed C‑ANCA positivity and PR3‑ANCA negativity, raising suspicion for an ANCA‑associated vasculitis; however, there was no renal, ear‑nose‑throat, or other systemic involvement, and a lung biopsy could not be performed. The child was managed with systemic corticosteroids with clinical improvement. This case …

State Social Benefit Schemes For Women In Continuity Of Psychiatric Care: A Case Report, Mathumitha A, Kishor M. Manohar Rao Professor

Digital Journal of Clinical Medicine

Mental health disorders are a major global public health challenge. The disorders affect over a billion people worldwide, while depressive and bipolar spectrum disorders also contribute substantially to disability and reduced quality of life. According to the World Health Organization, major depression alone affects more than 300 million people globally and is considered a leading cause of years lived with disability. Beyond clinical morbidity, mental illnesses exert a profound economic impact, with depression and anxiety accounting for an estimated USD 1 trillion annually in lost productivity worldwide, while the overall global economic burden of mental disorders is projected to reach …

Dietary Micronutrients And The Risk Of Gestational Diabetes: Evidence From A Tertiary Care Setting In India, Sujatha Mahadevarao Premnath, Moneesh Sivasoupramaniane, Maghida S

Digital Journal of Clinical Medicine

Background: Gestational Diabetes Mellitus (GDM) is a significant health concern in India, affecting nearly 22.4% of pregnant women. While macronutrient roles are well explored, the impact of micronutrients on GDM risk, particularly with the Indian ethnic phenotype, requires exploration

Objectives: To compare the micronutrient intake between GDM and non-GDM pregnancies and evaluate the association between specific dietary micronutrients and GDM risk

Methods: An observational cross-sectional study was conducted among 115 South Indian pregnant women. Dietary history was taken using 24-hour recalls on two occasions and analysed via the Indian Food Composition Table (IFCT). GDM was diagnosed using International Association of …

Smart Cities Beyond Methodological Cityism: Foregrounding Developmentalism, Scalar Flexing And The Rebranding Of The 'Urban', Prerona Das, Orlando Woods, Lily Kong

Research Collection College of Integrative Studies

In this paper we show that in Southeast Asia, smart city development has become a type of digital urban transformation that is not targeted towards any particular territorial formation or settlement. Instead, development-oriented states in the region leverage the smart city rhetoric as a nationwide branding strategy to leapfrog development stages. Such smart city policies are infused with a scalar logic – which we call ‘scalar flexing’ – that captures the enmeshing of local and national scales, causing local scale smart city initiatives to be stretched across wide-ranging, national-scale urban transformation agendas. We examine the nationwide 100 smart cities policies …

How Do You Fix Knowledge In Place? Digital Nomads And Infrastructural Stickiness, Emma Grimley, Prerona Das, Orlando Woods, Lily Kong

Research Collection College of Integrative Studies

Remote work has become increasingly accessible due to the growing acceptance of remote work arrangements following the COVID-19 pandemic. Some state actors, especially in countries which face a shortage of digital talent and have reputations as leisure-tourism destinations, have begun considering the opportunities for digital transformation or workforce upskilling that highly skilled remote workers may offer. This paper develops the case of remote workers in Thailand to argue that infrastructural stickiness is a critical determinant for effective knowledge transfer to occur. By infrastructural stickiness we refer to the regulatory and socio-material infrastructures that both attract and retain international remote workers …

Multidimensional Analysis Of Human Outdoor Comfort: Integrating Just-In-Time Adaptive Interventions (Jitais) In Urban Digital Twins, Binyu Lei, Pengyuan Liu, Kunihiko Fujiwara, Mario Frei, Clayton Miller, Xuan Yun Chua, Filip Biljecki

Research Collection College of Integrative Studies

How can bidirectional information exchange be enhanced in urban digital twins, and support human-centric data and processes? Their key characteristic is the nearly real-time exchange of information, allowing adjustments to physical environments based on simulations and analytics within virtual models. Yet, achieving such interaction remains challenging, particularly regarding device deployment and infrastructure development. Embracing the concept of humans as sensors, this work develops a two-way framework based on the emerging concept of just-in-time adaptive interventions (JITAIs), exploring how urban digital twins can play a role in understanding and enhancing human comfort outdoors. Human comfort outdoors is inherently spatio-temporal and personalised, …

An Ex-Post Analysis Framework For Assessing The Effectiveness And Driving Factors Of Green Building Certification Adoption: A Case Study Of Singapore, Hao Gu, Xiaoyu Jin, Fu Xiao, Maomao Hu, Clayton Miller

Research Collection College of Integrative Studies

Cities worldwide are adopting green building certification policies to meet sustainability and decarbonization targets in the building sector. However, the effectiveness of green certifications remains contested due to the difficulty of decomposing multiple influencing factors on building energy consumption. This study proposes an econometrics-based ex-post analysis framework to assess the effectiveness of green building certification policies in energy savings and identify driving factors by decomposing multiple influential factors. The proposed framework incorporates time-fixed effect models to examine factors driving the adoption of green building certifications, and causality analysis to quantify the effectiveness. Applying the framework to analyze a panel dataset …

Computational Modeling Of Bubble Dispersion In Alginate Hydrogel Foams For Radiologically Equivalent Biomedical Phantoms, Godson N. Brako

Graduate Studies Theses and Dissertations 2026

The foaming of hydrogels presents a promising strategy for tailoring mechanical and radiological properties to replicate biological soft tissues for biomedical phantoms. Achieving uniform and predictable void fraction distributions in alginate hydrogel foams remains a challenge due to the complex interplay between bubble dynamics, matrix rheology, and interfacial forces during the pre-gelation aeration stage. This thesis develops a Computational Fluid Dynamics framework using the transient Eulerian two-fluid approach to predict void fraction distribution in alginate hydrogel precursor solutions aerated by air injection through a bottom nozzle. The objective is to use the framework for design of the foaming system to …

Essays On Network Resilience: Enhancing Network Resilience Through Network Governance Structure, Process, Environment, And Leadership, Hanvit Kim

Graduate Studies Theses and Dissertations 2026

As disasters become more complex, their impacts often cascade across interdependent systems, creating failures that extend beyond any single organization or sector. Because such crises cut across organizational and sectoral boundaries, effective response depends not only on the capacity of individual organizations but also on the resilience of interorganizational networks. Yet despite the growing importance of networked coordination in disaster response, the concept of network resilience remains underdeveloped in the literature, with limited consensus on its definition, measurement, and determinants. This dissertation addresses that gap by systematically examining what network resilience is, how it can be conceptualized and assessed, and …

Careless Responding: Testing The Theory Of Vigilance, Rusty Wilson

Graduate Studies Theses and Dissertations 2026

Careless responding (CR) has been identified as a threat to the psychometric integrity of cognitive and non-cognitive tests, with much of the current research focusing on the identification and removal of carelessness from dataset. While this research has proved fruitful in improving data quality, there has been a recent push to move towards preventing carelessness as opposed to post-hoc removal, which harms statistical power. However, the most common prevention strategy to prevent carelessness (pre-survey warnings) has shown equivocal effects. Additionally, the literature lacks an agreed upon theory to explain why carelessness occurs. To address these gaps I introduce theory from …

Source Credibility And Chatbots: How Design Factors Impact Chatbot Effectiveness, Kristen M. Schmidt

Graduate Studies Theses and Dissertations 2026

Source credibility theory states that the more credible a source appears to be, the more likely one is to believe both true and untrue information from it. In the modern day, misinformation is considered a major problem, particularly with virtual communication, meaning it is essential to study what factors influence a system’s source credibility. Virtual agents are a particularly relevant subject of study given that their source credibility can be impacted by both technological and social factors. Across three experiments, this dissertation utilized a novel chatbot interaction design to test how varying design factors would impact a chatbot’s source credibility …

Advancing Multi-Modal Learning, Swetha Sirnam

Graduate Studies Theses and Dissertations 2026

Multimodal learning aims to develop systems that understand and reason across multiple sources of information such as images, videos, audio, and text. These capabilities are central to applications including visual search, digital assistants, robotics, and visual question answering. Despite recent progress in multimodal large language models, current approaches struggle to capture the structured complexity of real-world visual data. Fine-grained visual details are often lost during multimodal alignment, models frequently fail to capture nuanced human intent, and existing methods remain limited in understanding long-form videos with complex temporal dynamics. Furthermore, many evaluation benchmarks rely heavily on explicit visual cues, which can …

A Systematic Review And Characterization Of Privacy Noncompliance In Real-World Applications, Alexander E. Charkiewicz

Graduate Studies Theses and Dissertations 2026

Software applications increasingly rely on user data to provide their functionality, but improper handling of such data can lead to serious privacy noncompliance with applicable regulations and policies. A prominent example is the Facebook–Cambridge Analytica scandal, in which a third-party application collected the personal data of approximately 87 million Facebook users without users' consent. Despite growing attention to privacy compliance, two key challenges hinder the systematic understanding and analysis of privacy noncompliance. First, unlike security vulnerabilities, which have been systematically categorized through taxonomies such as the Common Weakness Enumeration (CWE), privacy noncompliance lacks a technical taxonomy describing how it manifests …

Contextual Influences On Algebra 1 Achievement In Florida: A Multilevel Analysis Of Fsa Data And Policy Implications For B.E.S.T., Alberto Leiro Jr

Graduate Studies Theses and Dissertations 2026

This study examined how school-level and district-level contextual factors are associated with Algebra 1 achievement in Florida using a multilevel modeling framework. Drawing on statewide publicly available data from the Florida Standards Assessments (FSA), the analysis included schools nested within districts to account for the hierarchical structure of educational data. School-level predictors included absenteeism, economic disadvantage, English language learner status, student mobility, and the proportion of students with disabilities, while district-level variables included poverty and crime rates. Results from the null model indicated that a meaningful proportion of variance in Algebra 1 achievement was attributable to differences among districts, supporting …

“How Far Do These Roots Go Down”: An Exploration Of Latinx And Latina Fans On Representation In Disney's Encanto, Noemi Nunez

Graduate Studies Theses and Dissertations 2026

In this dissertation, I examine how Latinx and Latina audiences engaged with and interpreted Disney’s 2021 Encanto, an animated film celebrated for its representation of Colombian and broader Latinx culture. While scholarship on Latinx representation in media has expanded, less attention has been given to how Latinx audiences themselves respond to narratives that are meant to represent them, particularly within fan studies. Focusing on both a broader Latinx fan community and first-generation Latinas in the United States, this project explores how audiences negotiate representation and recognition using Encanto as a media text that centered a Latinx story. Drawing from …

Toward Evidence-Based Disposition Assessment In Counselor Education: Advocating For Established Measures And Evaluating The Psychometric Properties Of The Pdca-Ra, Laura Rendon Finnell

Graduate Studies Theses and Dissertations 2026

Professional dispositions are recognized as an essential component of counselor competence and are now explicitly included within accreditation standards. However, questions remain regarding how these characteristics should assessed in ways that are fair, systematic, and supported by empirical evidence. This two-manuscript dissertation focused on professional disposition assessment in counselor education. The first manuscript provides a conceptual examination of professional dispositions, counselor competence, and gatekeeping responsibilities while reviewing established disposition assessment instruments in counselor education. The manuscript advocates for the use of established disposition measures rather than relying solely on locally developed assessment procedures. The second manuscript presents an empirical evaluation …

Design, Fabrication Modeling, And Optical Metrology Of Mwir Silicon Metalenses, Weiyu Chen

Graduate Studies Theses and Dissertations 2026

Mid-wave infrared (MWIR) optical systems require compact, broadband, manufacturable components whose performance can be predicted and measured reliably. Silicon metalenses are attractive because silicon combines high refractive index, MWIR transparency, and semiconductor-compatible fabrication. This dissertation develops a scale-bridging design–fabrication-modeling–metrology framework for MWIR silicon metalenses.

A shared full-aperture framework connects meta-atom libraries, physical layout generation, angular-spectrum propagation, point-spread-function calculation, and focal-plane energy metrics. Building on this foundation, the Dispersive Sweatt Model (DSM) incorporates meta-atom dispersion into conventional ray-tracing software, enabling broadband co-optimization of metasurfaces and refractive elements. A process-aware design framework then incorporates scanning electron microscopy (SEM)-measured height–radius relationships produced by …

Flow Field Characterization Of The Hyperreact Vitiated Hypersonic Wind Tunnel, Erik R. Fernandez

Graduate Studies Theses and Dissertations 2026

Reliable interpretation of hypersonic ground-test data requires knowledge of the thermochemical state delivered to the test section, especially in combustion-heated facilities where the gas is chemically altered before nozzle expansion. This thesis investigates the HyperReact vitiated hypersonic wind tunnel using the effective specific-heat ratio, γeff, as an experimentally inferred indicator of the coupled chemical and gas-dynamic behavior of hydrogen-air vitiated flow. HyperReact produces high stagnation temperatures through hydrogen-air combustion before expanding the mixture through interchangeable converging-diverging nozzles. During this expansion, temperature-dependent specific heats, molecular-weight changes, finite-rate chemistry, and internal energy relaxation can modify the relationship between Mach number, pressure ratio, …

Optically-Pumped Semiconductor Optical Amplifiers, Dhruvkumar Desai

Graduate Studies Theses and Dissertations 2026

Semiconductor optical amplifiers (SOAs) offer a low-cost, compact solution for power amplification needs in an optical communication system compared with the dominant erbium-doped fiber amplifiers (EDFAs). They can also provide a wide gain bandwidth. However, conventional electrically-pumped SOAs suffer from larger noise figures, low saturation power, and polarization dependence, in comparison with EDFAs. We propose an optically-pumped SOA (OP-SOA) that will maintain the benefits of conventional SOAs while closing the gaps in other amplifier performance metrics. The underlying reasons for optical pumping are twofold. First, optical pumping allows higher carrier injection and thus "population inversion." Second, optical pumping decouples carrier …

Independent And Interacting Effects Of Co-Presence And Social Media 'Likes' On Online Disinhibition, Margaret M. Doheny

Graduate Studies Theses and Dissertations 2026

Social media platforms have fundamentally transformed interpersonal communication by creating environments in which behaviors are publicly reinforced through visible social feedback systems such as “likes.” Although prior research has linked online environments with increased disinhibition and negative behavior, existing literature has primarily focused on anonymity and invisibility as the primary mechanisms underlying these effects. However, the mechanistic role of physical and psychological co-presence in driving online disinhibition has received little empirical investigation. The central aim of the present study was to determine whether reduced social presence and the selective reinforcement of negative content contribute to online disinhibition and anticipatory reward-seeking …

Non-Gaussian Phenomena In Light Scattering And Applications, Shubham Atul Dawda

Graduate Studies Theses and Dissertations 2026

Physical reality is rarely deterministic; which, when probed by electromagnetic fields that also fluctuate, leads to observables that are most efficiently modelled as statistical processes. At equilibrium, this is usually achieved by invoking the Gaussian statistics of underlying physical processes, however, in practice, one often encounters out-of-equilibrium conditions where Gaussian descriptions may not suffice. Such situations are plentiful in nature– from biology to astronomy. This dissertation addresses several non-Gaussian phenomena associated with light scattering, and includes specific models’ derivations, experimental techniques developments, and demonstrations of potential applications. The systematic presentation will consider circumstances that infringe upon specific assumptions of the …

Scholars Called Ten Years Of Doctorates In Biblical Studies At Asbury Theological Seminary, David B. Schreiner, Jason A. Myers

Academic Books

No abstract provided.