Digital Commons Network^™

Global, Regional, And National Burden Of Hiv/Aids, 1990–2023, With The Estimated Burden Attributable To Intimate Partner Violence And Forecasted Impacts Of Funding Cuts Through 2030: Results From The Global Burden Of Disease Study 2023, Austin Carter, Meixin Zhang, Bricia G. Trejo, Megan Verma, Edmond D. Brewer, Dylan Lasher, Jiawei He, Regina Mae Villanueva Dominguez, Amanda Movo, Jianing Ma, Olivia Angelino, Hans J. Elliott, Carolyn M. Shyong, Ian E. Cogswell, Abdullah, Hasan Aalruz, Mulatu Abageda, Ukachukwu O. Abaraogu, Qamar Abbas, Samar Abd Elhafeez, Ashraf Nabiel Abdalla, Emad M. Abdallah, Reda Abdel-Hameed, Siddig Ibrahim Abdelwahab, Wakgari Mosisa Abdisa, Meriem Abdoun, Arman Abdous, Zahir Vally

All Works

Background Despite a general improvement in the HIV burden over the past two decades, gendered social determinants including intimate partner violence (IPV) continue to affect women's vulnerability to HIV, which could be further exacerbated as resources dwindle over the coming years. Our study aimed to quantify recent trends in the HIV burden, the magnitude of the HIV burden associated with IPV, and the potential impact of declining financial support globally. Methods Using the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023 framework, we estimated annual HIV incidence, prevalence, and mortality for 204 countries and territories from 1990 …

Valet Health And The Healthcare Digital Marketing Industry, Matt Merk

Theses & ETDs

This report presents an account of an internship completed at Valet Health, an online healthcare digital marketing service based out of The Woodlands, Texas. It starts out with an indepth analysis of the healthcare, digital marketing industry (which is what Valet Health is a part of) in which it outlines it’s different marketing strategies, its revenue and projected growth, different regulations, and guidelines included, and how many different tools (especially AI) greatly enhance the working of this industry. This report also covers major competitors in this industry and goes in depth on many different economic theories as well in healthcare, …

Perfectionism And Discrimination In The Workplace, Kyla Simone Baldonado

Theses & ETDs

Work engagement has been found to relate to both workplace discrimination and employee perfectionism. Building on earlier research, the current study investigated correlations between work engagement, sexual discrimination, racial discrimination, perfectionistic strivings, and perfectionistic concerns. A total of 430 participants responded to an online questionnaire about their personal and interpersonal experiences at work. Work engagement correlated positively to perfectionistic strivings, but negatively to perfectionistic concerns and racial discrimination. Work engagement correlated negatively to sex discrimination but only in the women participants. Hierarchical multiple regression revealed that perfectionism did not moderate the relationship between racial discrimination and work engagement. It did, …

Adaptive Reuse Of Old Brainerd Junior High: Community Driven Creative Spaces, Jenna Pumpelly

Honors Theses

Community spaces are becoming increasingly important and they are not just a fun space that someone can visit every now and then. They are actually a way of promoting health, welfare, and connection throughout a community (Francis et al., 2012). Creating what is called a “third space” is increasingly important in a world that is becoming more solitary. I propose that the Old Brainerd Junior High is a great candidate for a space like this. The arts are proven to be an increasingly popular way to bring people together. Creative spaces are an effective tool to foster community development. It …

Brainerd Junior High Adaptive Reuse: Transitional Living For Foster Care Graduates, Gavin J. Watson

Honors Theses

Brainerd Junior High is being reused as a transitional living and working facility for foster care age-outs in need of assistance as they learn skills of independence and confidence. The first floor serves the community of Brainerd with a variety of commercial spaces, offering the graduates onsite places for employment. The upper levels serve as studio and 1 bedroom apartments for 24 residents, with shared laundry and community building spaces.

Adaptive Reuse Of Brainerd Junior High: Creating Third Spaces, Nathan S. Shevick

Honors Theses

This thesis project explores how the transformation of a local building in the community can bring people together through adaptive reuse. The Brainerd Junior High School was built in 1930 and designed by Chattanoogan architect R.H. Hunt, who has designed many significant buildings in the area such as the Medical Arts Building, 2nd Presbyterian Church, Lookout Mountain Hotel (Carter Hall, Covenant College), Soldiers’ and Sailors’ Memorial Auditorium, the Chattanooga Bank Building, and many other beloved buildings in the area. The Brainerd Junior High School building was expanded in 1956 and 1959 and changed ownership and became the magnet school, 21st …

2026 Concise Summer Update To The Corporations Curriculum - Caremark: The Board’S Duty Of Oversight Regarding Work Force Safety & Sexual Misconduct, Sarah Haan

Faculty Scholarship

No abstract provided.

Determining The Role Of Maumee River Sediments In Microbial Nitrogen Transformations And Net Fluxes, Ashlyn Stanalonis

Master's Theses

The Maumee River watershed is the largest of any river feeding into the Laurentian Great Lakes and is primarily comprised of agricultural land uses. Most cultivated crops require fertilizer applications to sustain growth and productivity. Fertilizer runoff is a major source of nutrient loading to the river, and total nitrogen (N) and phosphorus (P) inputs contribute to eutrophication and cyanobacterial blooms in the western basin of Lake Erie. This study aimed to characterize Maumee River sediments as net N sinks or sources to the western basin and evaluate N removal efficiency (a valuable ecosystem service) to determine if river sediments …

There’S A Lot Happening In Macomb!, Michael Saba

Journal of the Macomb Dental Society

This article features a monthly column from the Macomb Dental Society's editor, Dr. Michael Saba.

A Place To Return, Jerry Wesley Dds

Journal of the Macomb Dental Society

This month's edition of the President's Message column features the new Macomb Dental Society President Dr. Jerry Wesley's inaugural article.

Macomb Dental Society Journal Summer 2026

Journal of the Macomb Dental Society

In the Summer 2026 issue, the reader will find the following feature articles:

• Give Kids a Smile
• Dedicated Dental Sportsman’s Club - 2026 Pistol Shoot
• Macomb, Oakland, Genessee, and Detroit Golf Event

Also included are regular columns from the President, Executive Director and Editor, as well as news shorts and information on upcoming events.

Role Of Libraries In Promoting Sustainable Development: A Thematic Literature Review, Ayushi Soni, Dr. Ritu Singh

Library Philosophy and Practice (e-journal)

Sustainable development is a priority worldwide and is driving institutions in different sectors to be environmentally, socially and economically responsible. Libraries have also taken action on the topic of sustainability, including greening, sustainable service, digital transformation and support for Sustainable Development Goals (SDGs). The library's contribution to Sustainable Development is explored in this study by reviewing the literature on the topic from 2020 to 2025. Scholarly databases were searched for literature and analysed to find key trends and themes on sustainability in libraries. Five thematic areas were identified during the review process: Sustainable resources and services, Sustainable library practices, ICT …

Computer Self-Efficacy As Predictor Of Electronic Information Resources Use By Academic Staff Of Selected Polytechnics In South-West, Nigeria., Temitope Adeleke Osisanwo Dr, Yemisi Tomisin Babalola Prof

Library Philosophy and Practice (e-journal)

Electronic information resources have become a significant portion of library resources available to academic staff for teaching and research purposes. However, studies suggest that their use has not been fully optimized by academic staff at polytechnics located within South-West, Nigeria. This could be attributed to the low level of self-effectiveness of technology among the academic staffs. In light of this, this study aimed to examine the relationship between computer self-efficacy and the usage of electronic information resources among polytechnics academic staff in South-West, Nigeria.

A survey research design was used for this study, while 3,807 academic staff members were selected …

Identification Of Inhibitors Of An N- Monooxygenase From Aspergillus Fumigatus, Kendra B. Bufkin, Pablo Sobrado

Arts, Languages and Philosophy Faculty Research & Creative Works

The flavin-dependent N-monooxygenase SidA from Aspergillus fumigatus catalyzes the conversion of l -ornithine to N⁵-hydroxy- l -ornithine. This product is incorporated into hydroxamate containing siderophores, which are iron chelators required for growth during A. fumigatus infection in mammals. The activity of SidA has been shown to be required for siderophore biosynthesis. Here, we used a colorimetric product formation assay to screen a small-molecule library for the identification of potential inhibitors of SidA. Ebselen, an organoselenium compound, was identified as an inhibitor of SidA. This compound inhibited SidA with an IC50 value of 11 ± 1 μM. Ebselen derivative, …

Concerns With The Statistical Analysis In “Effect Of Combined Glp-1 Analogue And Bupropion/Naltrexone On Weight Loss: A Retrospective Cohort Study”, Thirupathi Reddy Mokalla, Henry T Robertson, Sherri Pals, David B Allison

Children’s Nutrition Research Center Staff Publications

No abstract provided.

All-Cause And Cause-Specific Mortality In Gambling Disorder: Evidence From A Nation-Wide Matched And Sibling Cohort Study In Taiwan, Yang-Chieh Brian Chen, Chih-Wei Hsu, Liang-Jen Wang, Mu-Hong Chen, Yao-Hsu Yang, Chih-Sung Liang, Edward Chia-Cheng Lai

Children’s Nutrition Research Center Staff Publications

Background and aims: Gambling disorder (GD) has been linked to suicidal ideation and suicide deaths; however, evidence on all-cause and cause-specific mortality-particularly in Asian populations-remains limited. Using a retrospective cohort study based on nationwide matched and sibling cohort, we investigated all-cause and cause-specific mortality risk in patients with GD.

Design, setting and participants: A retrospective cohort study was conducted using 2000-2022 data from Taiwan's National Health Insurance Research Database. A cohort of 961 individuals diagnosed with GD was identified. An age- and sex-matched control cohort (n = 3,844) and an unaffected sibling cohort (n = 675) were constructed. Cumulative survival …

Hyperadhesive Von Willebrand Factor Contributes To Pathogenesis Of Preeclampsia, Yajuan Wang, Chenyu Wang, Katie L Houck, Xiaoli Gao, Yuanyuan Chen, Xin Xu, Xue Zhao, Miguel A Cruz, Shu Zhang, Chester Q Li, Fengxia Xue, Min Li, Swati Shree, Jing-Fei Dong, Cha Han

Children’s Nutrition Research Center Staff Publications

Background: Preeclampsia is the most common complication of pregnancy, significantly affecting maternal and fetal health, and is characterized by placental and systemic endotheliopathy. Patients with preeclampsia have elevated levels of VWF (von Willebrand Factor), which is associated with poor clinical outcomes. However, whether VWF serves as a marker for endotheliopathy or contributes to the pathogenesis of preeclampsia remains poorly understood.

Methods: We investigated the role of hyperadhesive VWF in the development of preeclampsia by studying patients, evaluating mouse models, and performing in vitro experiments.

Results: We show that patients develop VWF- and fibrin-rich thrombosis in the placenta and have significantly …

Socially-Minded Investors And Corporate Behavior, Merritt B. Fox, Menesh S. Patel

Faculty Scholarship

Many equity investors are concerned with the world’s worsening social and environmental problems and are losing faith in the capacity of political institutions to respond. Corporate behavior is often contributing to these problems. Some investors, at least if fully informed as to costs and benefits involved, would favor corrective changes to corporate behavior even where that would lessen their investment returns. Two important questions arise: (1) given existing law, are such willing-to-sacrifice equity investors currently affecting firm behavior; and (2) should there be legal reform that makes firms more sensitive to these willing-to-sacrifice investors’ preferences? This Article seeks to answer …

Adaptive Reuse Of Old Brainerd Junior High School: Fostering Community Through Art Education, Brooklyn T. Phillips

Honors Theses

The adaptive reuse project for Old Brainerd Junior High School aims to transform the historically significant building into a space that better serves the community, as it once did. The goal of this project is to create a space that meets the community's current needs while preserving the building's historical significance. ​ Research methods, such as interviews and surveys, showed that preserving and reusing the building is important to the community because the space holds many memories. When asked, the community mentioned the lack of arts and crafts centers available to Brainerd. With this information, the proposed use of the …

Environmental Psychology In Historic Preservation, Eva Kindall

Honors Theses

This thesis explores the adaptive reuse of the historic Brainerd Junior High School in Chattanooga, TN, as a catalyst for community revitalization. Initially built in 1930, the building served generations of students for 75 years. Currently, the main building is closed, while the additional buildings serve as the Midtown Community Center. Its architectural character, accessible location, and nostalgia present an opportunity to reimagine its role in the current economy. Adaptive reuse offers more than architectural preservation, but is a strategy to address urban challenges such as housing affordability, lack of amenity access, and cultural erasure. Through this project, the aim …

Enhancing Heart Failure Transitional Care To Reduce 30-Day Readmission Rate, Thuy Nhu Uyen Tran

Doctor of Nursing Practice Final Project Abstract

Purpose: The purpose of this quality improvement (QI) project is to reduce 30-day readmissions for adult patients with heart failure (HF) by implementing a standardized HF pathway beginning in the intensive care unit (ICU) and continuing through discharge.

Background: The project was implemented within a large healthcare organization in Northwest Houston, Texas.

Methodology: This project utilized a pre- and post-implementation design guided by the Plan-Do-Study-Act (PDSA) model. Eligible adult patients (≥18 years) with a primary or secondary HF diagnosis were identified during March 2026. The My Pathway to Wellness HF education pathway was initiated at the time of ICU downgrade …

Full-Fat Dairy Milk Vs. Isolated Free Nutrient Blend On Postprandial Protein Metabolism And Inflammatory Markers In Adults With Overweight And Obesity, Takeshi M. Barnes, Zan Zupancic, Max T. Deutz, Andrew T. Askow, Colleen F. Mckenna, Jonathan A. Aguilera, Cassidy T. Tinline-Goodfellow, Alexander V. Ulanov, Jared W. Willard, Daniel W. D. West, Michael De Lisio, Daniel R. Moore, Nicholas A. Burd

Kinesiology & Sport Management Scholarship

Excess adiposity is linked to anabolic resistance by blunting the postprandial myofibrillar protein synthetic response to protein ingestion. Full-fat dairy milk may overcome this resistance via a matrix combining high-quality protein with anti-inflammatory lipids. Therefore, we compared the effects of ingesting full-fat dairy milk versus a non-dairy macronutrient match isolated blend on the regulation of postprandial myofibrillar and mitochondrial protein synthesis rates and markers of systemic (i.e., IL-6 and TNF-α) and muscle-related inflammation (i.e., NF-κB, NLRP3, TLR4, and MyD88). Twenty-two obese and overweight adult males and females (BMI = 31.1 ± 3.7 kg m−2; aged 35.3 ± 13.2 y) were …

Genetic Regulation Of Uterine Organogenesis, Diana A. Machado

Dissertations and Theses (Open Access)

In eutherian and marsupial mammals, the site of embryo implantation and gestation is the uterus. The precursor tissue of the uterus, oviducts, cervix, and upper vagina is the Müllerian duct epithelium and its adjacent mesenchyme. Morphological uterine variation between species is established during embryogenesis by species-specific differences in Müllerian duct fusion at the midline, growth, and differentiation. For example, laboratory mice have a bipartite uterus with two uterine horns and a single cervix, whereas humans have a simplex uterus with a single chamber and single cervix. In humans, variations in the fusion process can alter typical uterine morphology, correlating with …

Reduced Lower Extremity Strength, Altered Muscle Activation, And Unchanged Kinetics During Single-Leg Squatting In Males With Patellofemoral Pain Versus Pain-Free Males: A Cross-Sectional Analysis, Lisa T. Hoglund, Amy H. Amabile, Thomas Alexander Hulcher, Victoria K. Polansky, Erin L. Dopke

Department of Physical Therapy Faculty Papers

BACKGROUND: Patellofemoral pain is frequently a cause of reduced quality of life in physically active males. The cause of patellofemoral pain is theorized to include aberrant biomechanics during weight-bearing activities. Altered biomechanics of females with patellofemoral pain have been reported, but there is a dearth of research for males with this condition. This study aimed to compare males with and without patellofemoral pain for hip and knee joint moments and muscle activation during single-leg-squatting and proximal muscle strength.

METHODS: Twenty males with patellofemoral pain and 20 pain-free males aged 20-39 years performed single-leg-squatting while motion, ground reaction force, and proximal …

Assessing The Feasibility Of A Self-Management Intervention For Individuals With Advanced Prostate Cancer And Comorbid Type Ii Diabetes Mellitus, Amy L. Shaver, Christina Steinbock-Malfer, William Tester, Patrick Mille, William K. Kelly, Kevin K. Zarrabi, Costas D. Lallas, Mihir M. Shah, Rose Dimarco, Emily Brand, Shawntel Brown, Swapnil Sharma, Nikita Nikita, Cindy Cogen, Scott W. Keith, Grace Lu-Yao

Kimmel Cancer Center Faculty Papers

BACKGROUND: Many older adults with cancer have at least one comorbidity. Type II diabetes mellitus (T2DM) is a common comorbidity among patients with prostate cancer (PC) and represents an important consideration in this population. Comorbid T2DM can negatively impact cancer-specific outcomes for patients, suggesting the need for better glycemic management, especially for patients on active cancer treatment. The goal of this modified Diabetes Self-Management Education Services (mDSMES) pilot study was to provide patients with the opportunity to learn methods of diabetes self-management, including how to manage their glucose levels, improve their understanding and utilization of medication to promote improvements in …

Multidimensional Determinants Of Gait, Balance, And Softball Performance In Female Youth: Biomechanics, Resource Access, And Psychosocial Factors, Allie G. Mcauliffe

Master's Theses

Movement quality is a fundamental indicator of healthy childhood development and supports physical, emotional, psychosocial, and cognitive well-being. Movement quality is influenced by multiple biomechanical, environmental, and psychosocial factors, yet the relationships among them remain poorly understood in underrepresented populations such as female youth, particularly in softball. Previous studies have largely examined biomechanics, resource access, and psychosocial experience independently, and few have investigated how these factors interact in female youth softball players. To address this gap, this study compared gait and balance characteristics between softball (N = 34) and non-softball (N = 7) female youth, examined associations between resource access, …

Economic Contribution Of The Agricultural Sector To The Arkansas Economy In 2024, Frank Seo, Luke Pullo

AAES Research Reports and Research Bulletins

This report is the nineteenth in a series that examines agriculture’s economic contribution to the Arkansas economy. The total economic contribution of agriculture (direct, indirect, and induced effects) on value added, employment, and labor income was estimated with the Impact Analysis for Planning System (IMPLAN) for the most recent year available, 2024.

Following Through Dialogues: A Chinese Scholar’S Reminiscence Of Professor Liah Greenfeld, Xinqi Jia

Comparative Civilizations Review

Ordinarily, a Chinese teacher of ethics who had never set foot in a Western country before the age of forty and a Jewish-American sociologist born in the former Soviet Union would have no reason to cross paths. Yet, throughout 2010, they spent an entire year in Boston in close contact. Should anyone someday write a biography of the late Professor Liah Greenfeld, this story alone would be excellent material for exploring how her theory has influenced the world, and how, as an outstanding theorist, she continually expanded the boundaries of our understanding of it.

Liah Greenfeld On Antisemitism As A Defining Characteristic Of The Monotheistic Civilization, Efraim Karsh

Comparative Civilizations Review

One cannot overstate the scholarly and intellectual loss occasioned by the untimely death of Boston University Professor Liah Greenfeld. Through her prodigious interdisciplinary research, Professor Greenfeld has established herself as one of the foremost social science theorists of our time and a worthy heir to the great firstgeneration nationalism scholars, in particular Eric Hobsbawm, Ernest Gellner, and Anthony Smith.

Was Love Invented In Sixteenth-Century England? A Few Comments On Liah Greenfeld’S Theory Of Emotions, Dmitri Panchenko

Comparative Civilizations Review

According to Liah Greenfeld, there are three kinds of emotions. Primary emotions (such as pain, pleasure, fear, positive and negative excitement, hunger, and satiation) and secondary emotions (such as affection, sorrow, and anger) can be observed in both animals and humans. However, most human emotions ⎯ tertiary emotions ⎯ are more complex. “These, though not unusual among our pets, do not exist in the wild. Tertiary emotions are emotions such as love, ambition, pride, self-respect, shame, guilt, inspiration, enthusiasm, sadness, awe, admiration, humility and humiliation, sense of justice and injustice, envy, malice, resentment, cruelty, hatred; one can go on almost …