Digital Commons Network^™

Understanding Loss To Follow-Up: The Role Of Social Determinants Of Health In Infants Referred After A Positive Newborn Screening – A Quantitative Analysis, Betsy Graham-Moeller Graham-Moeller

Walden Dissertations and Doctoral Studies

Newborn screening (NBS) is a vital U.S. public health initiative that identifies medical conditions shortly after birth. Patients with positive screenings are referred for medical follow-up or evaluation. However, many patients do not receive the recommended long-term follow-up, posing concerns for healthcare providers and public health professionals working to ensure timely treatment and care continuity. Based on the Social Determinants of Health framework, this quantitative, retrospective cohort study aimed to examine demographic and clinical factors associated with follow-up adherence among 691 infants identified through NBS in Colorado and Wyoming. The purpose of the study was to determine whether race, ethnicity, …

Predicting Utilization Of Mental Health Services Among Undergraduate Nursing Students On College Campuses In The Mississippi Delta, Deidra Michelle Byas

Walden Dissertations and Doctoral Studies

Over recent years, concerns about the mental health of nursing students in the Mississippi Delta have increased. However, research indicated that many nursing students do not utilize mental health services. This population has received little research attention, creating a gap in the literature and leaving counselor educators and supervisors ill-equipped to prepare counselors to meet the needs of nursing students. This quantitative study examined whether attitudes toward mental health services, social and cultural stigmas, and demographic characteristics explained the variance in nursing students’ willingness to seek help. Guided by the Theory of Planned Behavior, the study focused on three areas: …

A Content Analysis Of Podcasts Exploring The Experiences Of Nba Players And Mental Health, Joanna D. Hedin

Walden Dissertations and Doctoral Studies

Black male athletes are at a greater risk of not seeking treatment for their mental health issues due to cultural stigmas and expectations. The purpose of this qualitative secondary data research study was to understand the experiences of Black NBA players regarding their mental health and the sociocultural factors that influence their decision making regarding participation in mental health services, as revealed through podcast appearances. Vygotsky’s sociocultural theory was applied in this study to suggest that learning is an integral part of the social process and that culture contributes to how and what one learns. This study asked about what …

Difference In High School Geometry End-Of-Year State Exam Scores Between Three Different Retake Time Frames, Christina Noel Walton

Walden Dissertations and Doctoral Studies

A grading policy was implemented in a Northeastern suburban public school district that left it to curriculum teams to define the amount of time between the original test and its retake resulting in a slight decrease in high school students’ geometry end-of-year state exam scores. Guided by Bloom’s theory of mastery learning, the purpose of this quantitative causal-comparative study was to investigate if there were statistically significant differences between high school students’ geometry end-of-year state exam scores or between high school students’ geometry math growth scores when controlling for the preassessment score differentiated by three schemes of retake timing: short-term, …

Cationic Liposome Nanoparticles For Drug Delivery To The Inner Ear, Firas Al-Ashker

Master's Theses (2009 -)

Cisplatin is a widely used chemotherapy drug associated with a high incidence of hearing loss, particularly in younger patients. This ototoxicity is linked to the drug’s long-term accumulation in the cochlea, where it can persist for years following treatment. Current clinical interventions, such as sodium thiosulfate (STS), offer partial protection against hearing loss but are limited by poor drug penetration into the inner ear. The objective of this study was to develop and evaluate a targeted drug delivery platform capable of overcoming anatomical and physiological barriers to reach the cochlea more effectively. Specifically, we aimed to design cationic liposome nanoparticles …

Cardiac And Coronary Hemodynamics: Using An Integrated Ex-Vivo Beating Heart Experiments And Computational Modeling, Chenghan Cai

Master's Theses (2009 -)

Cardiovascular function arises from the complex interactions among the heart, the arterial system, and the coronary circulation. Questions such as how variations in left ventricular (LV) loading conditions affect LV and aortic functions through LV–aorta interactions; and how coronary artery diseases, such as stenosis, impact cardiac function and myocardial perfusion including left and right coronary perfusion via LV–coronary interactions, remain understudied. To answer these questions, this thesis focuses on two core objectives: (1) investigate the effects of LV loading conditions on LV and aortic functions through LV–aortic interactions by performing ex-vivo beating rat heart experiments, and (2) elucidate the impact …

Low Beta Anomaly In Some European Emerging Markets, Tadeusz Winkler-Drews, Mateusz Mogilski

Journal of Banking and Financial Economics

The aim of the study was to identify the low beta anomaly and analyse the causes of its occurrence in five European emerging markets that were components of the MSCI Emerging Markets Europe index in the period 2010–2019. It was hypothesized that the determinants of the low beta anomaly in the analysed markets are factors from at least two of the three categories of variables. Using the Betting Against Beta model proposed by A. Frazzini and L. H. Pedersen (2014), we found that this phenomenon was not identified in three markets, but occurred in the remaining two markets, for which …

Strategies To Use Diversity, Equity, And Inclusion Programs To Increase Employee Performance And Profitability, Kecia Bailey Alexander

Walden Dissertations and Doctoral Studies

A lack of effective strategies for implementing diversity, equity, and inclusion (DEI) programs to increase employee performance and profitability is a concern for leaders in the education industry. This problem is significant to educational leaders because, without effective strategies for implementing DEI programs, they cannot address the gap in practice that hinders improvements in employee performance and organizational profitability. Grounded in Ajzen’s theory of planned behavior, this qualitative pragmatic inquiry identified and explored the effective strategies educational leaders used to successfully implement DEI programs to increase employee performance and profitability. Participants were six leaders from both for-profit and non-profit educational …

Ski Resort Cybersecurity, Nathan Clark

All Student Scholarship

By comparing ski resorts to other industries, such as beach resorts, infrastructure, and live events, this study aims to establish a foundation of understanding for ski hills. Through an analysis of data collected from state-level data breach lists and corporate filings required by the SEC, the study utilizes this broader scope to identify the primary cyber concerns facing the ski industry. The study aims to identify the unique cybersecurity challenges faced by ski resorts and compare them in terms of security concerns with those in large-scale events and the tourism industry.

Impact Analysis On Silicone Breast Implants Using In Vitro Experiments And Finite Element Analysis, Brenna Marie Tiernan

Masters Theses

Silicone breast implants are commonly used in breast augmentation and reconstruction procedures. Mentor introduced two newer models of silicone gel-filled implants, the MemoryGel^TM Xtra and MemoryGel^TM Boost, designed to increase the gel fill and projection of the implants while reducing wrinkling and rippling of the shell. Modifications to the shape and fill of these implants may result in different mechanical responses under compressive or impact loading conditions. To investigate whether these structural differences influence implant behavior, in vitro drop testing and finite element analysis (FEA) simulations were conducted, focusing on impact forces, internal stresses, and deformation patterns experienced …

Adapting Publishing Principles And Best Practices For Repository-Hosted Journals: Sustainable Ideas For Enhancing Local Open Access Publishing, Andrea A. Wirth

Library Faculty Research

This poster addresses the question: How can librarians and administrators working with repository-hosted journal editors incorporate best practices into hosted journals without taking on the role of publisher and without overextending themselves?

The "Principles of Transparency and Best Practice in Scholarly Publishing" (COPE, DOAJ, OASPA, WAME, 2022) provides foundational guidance for journal publishing. The guidelines cover a robust suite of topics such as authorship, peer review, funding sources, author cost transparency, and licensing and copyright. Publishers with staff who support a suite of journals (whether 10 or 1000) may be able to evaluate and adopt such guidance relatively quickly and …

Anti-Tumor Activity Of Camptothecin Analog Conjugate Of An Rspo4-Based Peptibody Targeting Lgr4/5/6 In Preclinical Models Of Colorectal Cancer, Yukimatsu Toh, Ling Wu, Jianghua Tu, Zhengdong Liang, Adela M Aldana, Jake J Wen, Li Li, Sheng Pan, Julie H Rowe, Martha E Hensel, Carolyn L Hodo, Rick A Finch, Kendra S Carmon, Qingyun J Liu

The Brown Foundation: Institute of Molecular Medicine

Background: Antibody-drug conjugates (ADCs) are a significant advancement in targeted cancer therapy, but none are approved for colorectal cancer (CRC). LGR4/5/6, highly expressed in most CRCs, are promising targets. While LGR5-targeting ADCs show strong anti-tumor effects, their efficacy is limited by LGR5 loss in some CRC cells. RSPO4, a natural ligand for LGR4/5/6, binds all three receptors with high affinity. This research develops RSPO4-based peptibody drug-conjugates (PDCs) to simultaneously target LGR4/5/6, offering a novel therapeutic approach for CRC.

Methods: LGR4/5/6 expression in CRCs was analysed using RNA-seq datasets and Western blot. Peptibody binding affinities were measured, conjugated to camptothecin analog, …

Insights Regarding The Role Of Administrative Support And Teacher Retention In A Suburban Arizona School District, Kristen Louise Tiffany

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that teachers are leaving the profession in an Arizona high school district (AHSD, a pseudonym), which might be due to a lack of administrator support. The purpose of this basic qualitative study was to explore teachers’ perceptions of reasons they chose to remain in their positions as well as administrators’ perceptions on the support they provide to encourage teacher retention at AHSD. Grounded in Bandura’s social cognitive theory, semistructured interviews were conducted with six administrators and 10 teachers from AHSD. Saldana’s pattern coding was used with the following themes emerging: Teachers …

Using Exercise To Treat Anxiety In Adult Patients With Addiction, Emmanuella N. Nnadozie

Walden Dissertations and Doctoral Studies

Summary In this Doctor of Nursing Practice (DNP) project, I selected a staff education as the best intervention to improve staff knowledge in using exercise to treat anxiety disorders in adult patients at a recovery clinic for addiction. Anxiety disorders are highly prevalent among individuals undergoing substance abuse treatment, often exacerbating withdrawal symptoms and increasing relapse risks; thus, integrating the use of exercise in addition to existing standard care for anxiety treatment in individuals with substance use disorder (SUD) will lead to decreased anxiety, decreased alcohol use and drug cravings, improved quality of life and affect, increased abstinence, and improve …

Enhancing Social Determinants Of Health Education In Home Health Care Including Social Determinants Of Health In Assessments And Care Plans For Home Health Clinicians, Emilia Mbanwite

Walden Dissertations and Doctoral Studies

This staff education-focused doctor of nursing practice (DNP) project addressed the critical practice problem of one southern health care facility staff’s knowledge on the integration of social determinants of health (SDOH) into home health care plans. Despite SDOH screening, clinicians lacked standardized training to effectively assess and intervene on factors such as housing, transportation, and food insecurity, contributing to preventable hospitalizations, particularly in vulnerable populations. The practice-focused question addressed whether an evidence-based education module could improve home health nurses’ knowledge and application of SDOH in assessments and care plans. The project’s purpose was to develop, implement, and evaluate this training …

Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams

Walden Dissertations and Doctoral Studies

Historically, substance use disorder (SUD) treatment in the United States has been firmly grounded in abstinence-only treatment approaches. Harm reduction as a treatment model has gained additional traction. With increased rates of opioid use, overdoses, and advancements in medications for SUDs, harm reduction treatment approaches are becoming more important to improve lives of people who use drugs. Little is known about how counselors who have been educated, trained, and deliver abstinence-based SUD treatment reconcile use of harm reduction into their practice. To address this gap in literature, a generic qualitative study was conducted using the social constructivism theory. A purposive …

Re: Comment Letter For Butte Priority Soils Operable Unit (Bpsou) Draft 2024 Site-Wide Surface Water Monitoring Data Summary Report (Dated May 30, 2025), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Smartphone Attachment In Emerging Adults : Impacts On Mental Health Through Basic Psychological Needs, Jialin Xiao

Lingnan Theses (MPhil & PhD)

In the digital era, smartphones have become integral to daily life, fulfilling various emotional needs. Mirroring human attachment, past studies have found people can develop three types of attachment to smartphone: secure (comfortable, dependable connection), anxious (intense emotional reliance with separation anxiety) and avoidant (preference for independence from one’ s phone) attachment. However, little is known about how these types of smartphone attachment relate to mental health over time. Moreover, the mechanism underlying the relationship between smartphone attachment and mental health is unknown. To fill these gaps, based on the attachment theory, this study examined the longitudinal associations between smartphone …

Moore V. Diouf

All Decisions

In an HP action, the court held the landlord in contempt and found that his conduct constituted harassment. The tenant initiated the proceeding due to a lack of heat and electricity. Despite multiple court orders and a stipulation, the landlord failed to restore services and repeatedly denied the tenant access to retrieve personal belongings. The court found the landlord's testimony to be not credible and his defiance of court orders to be willful. For these violations and for harassment, the court entered a money judgment against the landlord for a total of $6,000, with $4,000 awarded to the tenant and …

Simulated Emergency Room Sign-Outs: What They Tell Us About Diagnostic Accuracy And Opportunities For Improvement, Roni Matin, Brent R King, Amit M Mehta, Susan H Fenton, Nathan R Hoot, David J Robinson, Charles L Maddow, Amy Franklin

Faculty, Staff and Student Publications

Objective: Emergency department (ED) sign-outs provide continuity of care for patients at shift changes. However, these periods have been associated with communication breakdowns and medical errors. We explored information factors (stage-of-the-case and the explicitness of the sign-out narrative) to determine their impact on clinicians' diagnostic accuracy and confidence.

Methods: Clinicians from 2 academic ED sites reviewed patient vignettes sign-out narratives (N=69). Using a within-subjects experiment, the explicitness of the sign-out information (i.e., broad statement about labs versus stating each test) and the patient's stage in the diagnostic process (e.g., labs pending, treatment occurring, etc.) at the time of sign-out varied. …

The Impact Of Mental Health Courts On Public Attitudes Held Toward Justice-Involved Individuals With Mental Illness, Maeve Porter

Student Theses

Prior research has established that mental health court programs play an important role in reducing recidivism and mental health symptoms of defendants. However, there is a lack of understanding of the stigma that justice-involved individuals may encounter upon release from mental health court into the community, and the extent to which the general public is aware of mental health court programs. The present study sought to address public perceptions regarding mental health courts, their efficacy, and their participants based on the awareness and availability of these specialized courts in two similar states (New York and New Jersey), one in which …

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Factors That Influence Female Orthopaedic Surgeons' Decision To Pursue A Career In Sports Medicine: A Mixed-Methods Study, Nichelle M Enata, Katherine M Gerull, Ahmed Hanafy, Mary K Mulcahey, Derrick M Knapik, Matthew V Smith

2020-Current year OA Pubs

BACKGROUND: Despite the increased percentage of women in medical school and in orthopaedic residency programs, the percentage of women pursuing careers in sports medicine has only increased 3% over the past decade.

PURPOSE: To investigate the experiences and perceptions of female orthopaedic surgeons about sports medicine, identifying factors influencing career interest in this surgical subspecialty.

STUDY DESIGN: Cross-sectional study.

METHODS: A mixed-methods approach, combining an online survey and qualitative interviews, was utilized to compare the clinical experiences and personal perceptions of women in orthopaedic sports medicine with women in other orthopaedic subspecialties. Surveys were distributed to members of the Ruth …

Asymmetric Fgf Receptor Dimerization: Implications For Fgf23 Biology And Drug Discovery, Mohammed S. Razzaque, Moosa Mohammadi

School of Medicine Publications

Fibroblast growth factor 23 (FGF23) requires both αKlotho and heparan sulfate proteoglycans (HSPGs) as obligatory coreceptors to bind, dimerize, and activate its FGF receptors (FGFRs) in the kidney, thereby regulating mineral ion and vitamin D homeostasis. Cryogenic electron microscopy studies reveal that FGF23 signaling proceeds through an asymmetric 1:2:1:1 FGF23–FGFR–αKlotho–HS assembly. According to this structural model, αKlotho simultaneously anchors FGF23 and one FGFR chain, referred to as the primary receptor (FGFRP), to form a 1:1:1 FGF23-FGFRP-αKlotho triplex, which boosts FGF23-FGFRP interaction. Subsequently, the HS coreceptor aids the triplex in recruiting a second FGFR chain, or secondary receptor (FGFRS), leading to …

Relationships Between Household Economic Distress And Child Mental Health: Determinants, Mechanisms, And Interventions, Yuanyuan Yang

Brown School Graduate Student Theses and Dissertations

Economic inequality has grown dramatically worldwide, creating serious problems for children and families. At the same time, child and adolescent mental health problems have reached crisis levels, yet many of them cannot access treatment. Researchers have studied how economic inequality affects mental and behavioral health, but most of this work focuses on adults rather than children. This dissertation used recent data from the Panel Study of Income Dynamics (2019 and 2021 waves) to unpack the complex relationships between household economic distress and child mental health across multiple levels, including individual, family, school, and community factors in the United States. This …

2025-08-18 Revisal Of Pac-22 - Draft, Morehead State University. Faculty Senate.

Faculty Senate Records

Draft of the revisal for PAc-22 submitted to the Faculty Senate on August 18, 2025.

Ambient Fungal Spores As Short-Term Predictors Of Respiratory Virus Incidence And Mortality In Puerto Rico: Evidence From Machine Learning And Time-Series Modeling, Felix E. Rivera-Mariani, Armando J. Borrero-Aponte, Benjamín Bolaños-Rosero

Faculty and Staff Publications & Presentations

This poster presentation, which was a Late-Breaking Abstract, demonstrates that outdoor fungal spore concentrations, unlike pollen, serve as effective short-term environmental predictors for surges in both incidence and mortality of influenza and COVID-19 in Puerto Rico’s San Juan-Metro and Caguas regions, particularly during the fall season. Machine learning and time-series analyses indicate that integrating fungal spore data can enhance respiratory virus surveillance and help guide timely public health interventions.

Meta-Analytic Insights On Cover Crop Weed Suppression In The Midsouthern United States, Amar S. Godar, Jason K. Nprsworthy

Crop, Soil and Environmental Sciences Faculty Publications and Presentations

Herbicide resistance poses an escalating challenge to successful weed management in contemporary cropping systems, prompting growing interest in integrated strategies to reduce reliance on herbicides. Although cover cropping has long been recognized for its potential to suppress weeds, it has recently gained renewed attention as a weed management tool and for its ability to help producers achieve broader goals of soil health and environmental sustainability. Although research on its efficacy in the midsouthern United States has accumulated, a meta-analytic synthesis has been lacking. This meta-analysis synthesized 746 effect sizes from 27 peer-reviewed studies (selected based on explicit reporting of weed …

Applying Machine Learning To Developmental Psychopathology, Robert Jesus Jirsaraie

McKelvey School of Engineering Graduate Student Theses & Dissertations

Psychopathology arises from a combination of many contributing factors, which can include genetic predispositions, family history, environmental stressors, developmental processes, and psychosocial dynamics. Each of these contributing factors has been researched for decades, and their influences on mental health have been well documented. In recent years, there has been a growing enthusiasm for integrating these risk factors using machine learning. However, there are a wide array of data-driven frameworks that have been implemented, and the relative strengthens of each approach is not clear. Through of series of four research studies, we examined each data-driven approach in terms of its potential …

Development Of Turbulence Models For Prediction Of Hypersonic Flows Using Compressibility Corrections And Uncertainty Quantification With Emphasis On The Wray-Agarwal Model, Aidan Robert Murphy

McKelvey School of Engineering Graduate Student Theses & Dissertations

Accurate prediction of high-speed compressible turbulent flows remains one of the most significant challenges in Computational Fluid Dynamics (CFD), especially in the realm of hypersonic vehicle design. These flow regimes involve significant aerodynamic heating and shock-wave boundary layer interactions (SBLI) which remain a significant challenge for the current CFD prediction capabilities. While Direct Numerical Simulation (DNS) and Large-Eddy Simulation (LES) provide high-fidelity solutions, their computational demands limit their usability, making the Reynolds-Averaged Navier-Stokes (RANS) equations an efficient alternative for many industrial aerodynamic applications. Traditional RANS techniques, while computationally efficient, often provide limited accuracy in high-speed flows due to the presence …