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“I Felt From That Place”: A Qualitative Case Study Of Emerging Practices To Build Youth Peer Supports In Residential Care, Catherine S. Kramer May 2024

“I Felt From That Place”: A Qualitative Case Study Of Emerging Practices To Build Youth Peer Supports In Residential Care, Catherine S. Kramer

Legacy Theses & Dissertations (2009 - 2024)

Background and Purpose: Effectively responding to children and youth who experienced trauma and enter the foster care system is an ongoing challenge in child welfare. In response to the poor outcomes for children and youth in foster care, and the growing understanding of the effects of complex trauma, the Family First Prevention Services Act (FFPSA) was enacted in 2018 by Congress to overhaul the child welfare system. Among many required changes, states were required to establish guidance and processes for residential agencies to become qualified residential treatment programs (QRTPs) consistent with federal guidelines, which prioritized becoming trauma informed.


Advancing Equity: An Examination Of Education Policy Impacts On Students With Disabilities, Arzana Myderrizi May 2024

Advancing Equity: An Examination Of Education Policy Impacts On Students With Disabilities, Arzana Myderrizi

Legacy Theses & Dissertations (2009 - 2024)

Students with disabilities (SWDs) in U.S. public schools face unique challenges that profoundly shape their educational experiences and transition into adulthood, such as lower academic achievement and higher rates of exclusionary discipline and juvenile justice involvement. These disparities have far-reaching implications, impacting high school graduation rates, college enrollment, and future employment prospects, thus perpetuating broader social and economic inequalities. Understanding what aspects of special education are conducive to learning and development for SWDs is important for identifying evidence-based strategies that can help improve educational experiences and outcomes for SWDs. This dissertation contributes to our understanding of effective educational practices for …


Radio Frequency Interference (Rfi) Detection In Microwave Radiometry Using Multi-Dimensional Data Mining Techniques, Fathima Imara Mohamed Nazar May 2024

Radio Frequency Interference (Rfi) Detection In Microwave Radiometry Using Multi-Dimensional Data Mining Techniques, Fathima Imara Mohamed Nazar

Legacy Theses & Dissertations (2009 - 2024)

Measurements of natural electromagnetic radiation from Earth using microwave radiometers provide deep insight into our planet and its environmental conditions. These insights are essential for quantifying, understanding, and predicting various geophysical processes, such as climate patterns, water cycles, carbon cycles, and more. These passive measurements are diverse and cover a wide range of frequencies, depending on the sensitivity of microwave radiation to changes in important geophysical parameters. However, it is important to note that the microwave spectrum is also utilized by active services, such as wireless communication networks and radars. As a result, Radio Frequency Interference (RFI) in the measurements …


The Potential For Enhancing Tumour Detection In Medical Imaging With Coherent Scatter, Aastha Boora May 2024

The Potential For Enhancing Tumour Detection In Medical Imaging With Coherent Scatter, Aastha Boora

Legacy Theses & Dissertations (2009 - 2024)

A number of medical disorders may only be diagnosed with the use of medical imaging, and X-rays are commonly used to detect fractures, abnormal masses, and cavities. The penetration power of X-rays enables them to effectively see these structures inside the body. However, since background structures like fat or fibrous glandular tissue have similar absorption coefficients, X-ray radiography often face challenges when imaging soft tissues for cancer/tumour diagnosis. Research has shown the theoretical potential for X-ray phase imaging to increase contrast factors by a factor of 100 or more, which theoretically could result in enhanced visualization of tumours. In addition …


Regulation Of Information Privacy: A Process Tracing Case Study Of Online Behavioral Advertising In The Eea, Thora Knight May 2024

Regulation Of Information Privacy: A Process Tracing Case Study Of Online Behavioral Advertising In The Eea, Thora Knight

Legacy Theses & Dissertations (2009 - 2024)

Legislators worldwide are enacting or proposing privacy legislation to address online privacy concerns, with the most consequential global law, the General Data Protection Regulation (GDPR), taking effect as recently as 2018. Scholars have long argued for or against various regulatory strategies (legal, self-regulation, and privacy self-management) as appropriate policy interventions, often through an economic lens. At the same time, research in the Information Systems (IS) domain contributed significantly towards understanding and explaining privacy-related issues in information and communication technologies, with privacy concerns emerging as a vital construct. Drawing on these theoretical foundations and the emerging online behavioral advertising (OBA) research, …


Optimization And Fabrication Of Semiconductor Power Devices On 4h-Sic, Justin M. Lynch May 2024

Optimization And Fabrication Of Semiconductor Power Devices On 4h-Sic, Justin M. Lynch

Legacy Theses & Dissertations (2009 - 2024)

The work presented in this document focuses on the design, optimization, and fabrication of power devices on 4H-Silicon Carbide (SiC) substrates. Power devices convert or control electric power flow and are the main components of electronic power systems worldwide. Power electronic systems are used in both low-power and high power settings, including prevalent applications such as fast charging set-ups for personal electronic devices, electric vehicle motor drives, and renewable energy storage and grid connections. With a wide spread of applications and the further electrification of our society on the horizon, it is crucial to minimize the power loss of power …


Supporting At-Risk Kindergartners’ Subtraction Knowledge And Language Use Through Shared Book Reading., Jaime Lynn Bellini May 2024

Supporting At-Risk Kindergartners’ Subtraction Knowledge And Language Use Through Shared Book Reading., Jaime Lynn Bellini

Legacy Theses & Dissertations (2009 - 2024)

The purpose of this study was to explore how shared book reading may promote meaningful, multimodal language interactions to support subtraction learning and language use and understanding for kindergarten students who have been previously identified as at-risk for mathematical difficulties. This study is underpinned by theoretical notions that language is developed in social contexts and is a multimodal phenomenon. In addition, this study is also shaped by sociocultural views of mathematics learning that position discourse at the core of mathematics learning. This study took a micro-ethnographic approach to qualitative research and utilized multimodal discourse analysis to analyze the data. The …


Searching For Regulators Of Catalase Activity Using Enzymatic Screens, Aram Joseph Alaxanian May 2024

Searching For Regulators Of Catalase Activity Using Enzymatic Screens, Aram Joseph Alaxanian

Legacy Theses & Dissertations (2009 - 2024)

Catalase is found in a plethora of organisms and plays a crucial role in safeguarding cells against oxidative stress-induced damage to proteins, RNA, and DNA. Catalase catalyzed the decomposition of hydrogen peroxide (H2O2) into oxygen and water. Deficiencies in catalase have been linked to pathological conditions such as Diabetes, Alzheimer's, and Cancer, underscoring its significance in cellular health. In bacteria like Escherichia coli, catalase is encoded by two genes, KatG and KatE, both subject to regulation through transcription, translation, and post-translational modification. Our study focused on assessing the catalase activity of mutants lacking stress response genes (e.g., lexA, soxR, soxS, …


Relating Perception And Memory For A Novel Set Of Reconfigurable Auditory Stimuli, Nathan Francis Gillespie May 2024

Relating Perception And Memory For A Novel Set Of Reconfigurable Auditory Stimuli, Nathan Francis Gillespie

Legacy Theses & Dissertations (2009 - 2024)

Although real-life events are complex and temporally extended, most memory research employs discrete, static stimuli presented in the visual modality. We begin to bridge this gap using a novel set of auditory stimuli constructed by adjusting the distribution of power across upper frequency bands. Across three experiments, participants rated similarity between pairs of sounds and engaged in a recognition memory task. We applied non-metric multidimensional scaling to similarity ratings to obtain a three-dimensional psychological representation of the stimuli. The representation inferred from the similarity ratings predicted recognition memory performance for single probe sounds following sequential presentation of two sounds. Recognition …


State Policies On Maternal And Infant Health In The United States, Heeun Kim May 2024

State Policies On Maternal And Infant Health In The United States, Heeun Kim

Legacy Theses & Dissertations (2009 - 2024)

In the United States (US), state-level policies are critical structural determinants of maternal and infant health outcomes. State policies profoundly affect prenatal care utilization and pregnancy outcomes, particularly among marginalized pregnant persons with stigmatized health conditions. In this three-paper dissertation, I focus on two closely interrelated policies that aim to address significant public health concerns in the US: prenatal syphilis screenings and the criminalization of prenatal substance use. My research revolves around two central questions: First, do these policies effectively improve the pregnancy outcomes of high-risk populations, or do they cause unintended consequences? Second, if challenges in policy design and …


Understanding Engineering Students’ Ethical Decisions: Machiavellianism, Ultimatum Bargaining Choices, Student Experience, And Implications For Engineering Education, Susan Henry May 2024

Understanding Engineering Students’ Ethical Decisions: Machiavellianism, Ultimatum Bargaining Choices, Student Experience, And Implications For Engineering Education, Susan Henry

Legacy Theses & Dissertations (2009 - 2024)

The Accreditation Board for Engineering and Technology (ABET) which accredits higher education programs globally, has placed the ability for students to recognize professional and ethical responsibilities among their seven stated student outcomes that undergraduate engineering programs must ensure their students achieve to maintain their accreditation. This is to ensure that these students are appropriately prepared to enter professional practice (ABET, 2021). Because of this, along with the importance of engineers understanding their obligations to act ethically in ensuring public safety and professional integrity, there is a need to better understand the ethical decision-making of undergraduate engineering students. Knowing what factors …


The Characteristic Polynomial And Its Applications, Kate Helen Auguste Howell May 2024

The Characteristic Polynomial And Its Applications, Kate Helen Auguste Howell

Legacy Theses & Dissertations (2009 - 2024)

This dissertation examines some applications of the characteristic polynomial \[Q_A(z):=\det (z_0I+z_1A_1+\cdots+z_nA_n),\] where $A_0,\dots,A_n$ are complex square matrices and $(z_0,\dots,z_n)\in\mathbb{C}^{n+1}$. In particular, it proves that a Coxeter system is completely determined by its characteristic polynomial with respect to the Tits representation and that the characteristic polynomial for pairs of projection matrices can be calculated using their orthogonal decomposition described by Halmos~\cite{Hal}. A consequence of this calculation is that their characteristic polynomial is a complete unitary invariant for the pairs of projections, which may be alternatively proven by their trace. These results have been published in~\cite{HY}. The unitary equivalence of tuples of …


Indecent Exposure And The Court As Custos Morum, Bruce Davis May 2024

Indecent Exposure And The Court As Custos Morum, Bruce Davis

Legacy Theses & Dissertations (2009 - 2024)

Indecent exposure has been a crime in America since colonial times. Laws governing this crime are a cornerstone of government regulation of morals in America, sharing a common history with the jurisprudence of religion, obscenity, marriage, and sexual relations. The first reported case of indecent exposure in English common law is a widely acknowledged source of American moral jurisprudence that justifies the courts’ role as custos morum, or custodian of the morals.


Understanding Variations And Trends In Convection Over The Congo Basin From A Diurnal Perspective, Kathrin Alber May 2024

Understanding Variations And Trends In Convection Over The Congo Basin From A Diurnal Perspective, Kathrin Alber

Legacy Theses & Dissertations (2009 - 2024)

Tropical rainforests regulate global and regional climate systems and play a vital role in the world’s water and carbon cycles. The Congo Basin, situated in central equatorial Africa, is home to the second largest rainforest on the planet and is one of the most convective regions in the world. Recent studies indicate that a large-scale and long-term drying trend, characterized by an increase in dry season length, a decrease in forest greenness, and a decrease in precipitation, has been stressing the region since the 1980’s. Despite the alarming drying trend and the Congo’s important role in the planetary circulation and …


The Impact Of Wildfire Activities On Air Quality And Solar Energy In New York And California, Chin-An Lin May 2024

The Impact Of Wildfire Activities On Air Quality And Solar Energy In New York And California, Chin-An Lin

Legacy Theses & Dissertations (2009 - 2024)

An increasing trend of wildfire activity over North America over the past decades has been observed. Elevated surface fine mode particulate matter (PM2.5) concentration and reduction of solar radiation during the smoke episodes have been widely reported. Given that the intensity and frequency of wildfires are expected to increase under changing climate, the impact of smoke aerosols on air quality and solar energy could become more significant. This study aims to characterize the transport of smoke aerosols and quantify their impact on local air quality and solar energy over New York (NY) and California (CA) States. A multi-year analysis of …


A Reimagined Periphery: Environment And The Construction Of The French Colonial Empire In North Africa, Tyson A. Luneau May 2024

A Reimagined Periphery: Environment And The Construction Of The French Colonial Empire In North Africa, Tyson A. Luneau

Legacy Theses & Dissertations (2009 - 2024)

This dissertation examines the relationship between environmental knowledge and empire building in French North Africa during nineteenth and twentieth centuries. Since its 1830 invasion of Algiers, France engaged in a century-long conquest of the Maghreb, extending sphere of influence to the neighboring regions of Tunisia, Morocco, and the Soudan. Under the guise of the mission civilisatrice, colonialists stressed their conquest’s goal of spreading enlightened French civilization for the benefit of both the indigenous populations and the world at large. France’s conquest of North Africa was not, however, solely focused on the peoples and cultures of the region. Simultaneously, France engaged …


Maternal Experience-Driven Changes In Oxytocin Neuron Co-Localization With Crf Receptors In The Hypothalamus Of Mice, Katherine Parra May 2024

Maternal Experience-Driven Changes In Oxytocin Neuron Co-Localization With Crf Receptors In The Hypothalamus Of Mice, Katherine Parra

Legacy Theses & Dissertations (2009 - 2024)

The postpartum period is a time of adaptiveness for new mothers who have to not only maintain their own health and well-being, but also that of a brand-new life. In both humans and across various common laboratory species like rats, mice, and non-human primates, priorities must shift greatly for a new mother to now include initiation and maintenance of offspring-focused behaviors regardless of her circumstances.The neurobiology of this adaptivity includes a complex sequence of changes that amount to suppression of hypothalamic-pituitary-adrenal (HPA) axis activity. Corticotropin-releasing factor receptor 1 (CRFR1) is a receptor involved with initiating the physiological stress response and …


Voices Of The Holistically Educated: Impacts And Outcomes Beyond Academics, Autumnjoy Felicidade Florencio-Wain May 2024

Voices Of The Holistically Educated: Impacts And Outcomes Beyond Academics, Autumnjoy Felicidade Florencio-Wain

Legacy Theses & Dissertations (2009 - 2024)

This dissertation engages a multi-step process to identify and articulate the internally defined goals of prominent holistic pedagogies including Montessori, Waldorf, Democratic Free Schooling, homeschooling, and radical/progressive education. It gives voice to adult former students who speak to, and illustrate, the ways in which they were impacted by their holistic educational settings on each of six identified areas of intended holistic development: physical, creative engagement, intrapersonal, interpersonal, cognitive, and transpersonal. Eighteen participants, ages 19 to 71, from various holistic backgrounds in North America, participated in focus group meetings and interviews. They reflected on their current sense of self on each …


Survival Of The Optimist: How Emotion Words Are Processed Within The Survival Paradigm, Dailyn Quinn Clark May 2024

Survival Of The Optimist: How Emotion Words Are Processed Within The Survival Paradigm, Dailyn Quinn Clark

Legacy Theses & Dissertations (2009 - 2024)

Memory for words encoded for their fitness relevance is enhanced compared to memory for words encoded based on relevance to other scenarios (Nairne et al., 2007). Much of the work examining emotion within the survival paradigm has focused on the presented scenarios (Bell et al., 2013; Kazanas & Altarriba, 2017, 2018; Kroneisen et al., 2022). However, no work has yet to focus on the emotionality of the information that is being encoded. A possible contributor to the advantage may be the emotional valence of the encoded items, as emotion has been known to have effects on memory (Dev et al., …


Toward The Advancement Of High-Efficiency P-Type Doping In Iii-Nitrides: Novel Beryllium Doping Techniques, Benjamin Arthur Mcewen May 2024

Toward The Advancement Of High-Efficiency P-Type Doping In Iii-Nitrides: Novel Beryllium Doping Techniques, Benjamin Arthur Mcewen

Legacy Theses & Dissertations (2009 - 2024)

The III-nitride material system is well-suited to a broad range of applications in light emitting diodes and laser diodes, photodetectors, power management, and telecommunications. Much of III-nitrides’ utility derives from their direct, wide, and tunable bandgap, but it is their ability to be doped n- and p-type that makes them especially useful and attractive. However, despite the decades of academic interest and commercial success, p-type doping in III-nitrides is infamously difficult and inefficient. Magnesium, the only currently viable p-type dopant in III-nitrides, is not a shallow acceptor, and as a result, the activation efficiency of Mg in GaN is only …


The Complexities Of Adverse Childhood Experiences: A Study Of Health, Behavioral Health, And Quality Of Life Among Women With And Without Disabilities, Anne-Marie Gomes May 2024

The Complexities Of Adverse Childhood Experiences: A Study Of Health, Behavioral Health, And Quality Of Life Among Women With And Without Disabilities, Anne-Marie Gomes

Legacy Theses & Dissertations (2009 - 2024)

Background and Purpose: The negative effects of adverse childhood experiences (ACEs) on behavioral and physical health and well-being long after exposure are a global and national concern. For over two decades, ACEs have been associated with numerous medical conditions, health risk behaviors, and poor mental and physical health outcomes. However, few studies have examined the effects of ACEs on the health outcomes of persons with disabilities (PWDs). The main objective of this study was to examine the impact of ACEs on women with and without disabilities, their health and well-being.


Advancing Learning Models For High-Dimensional Data: From Molecular Modeling To Motion Planning, Tuan Nguyen Anh Tran May 2024

Advancing Learning Models For High-Dimensional Data: From Molecular Modeling To Motion Planning, Tuan Nguyen Anh Tran

Legacy Theses & Dissertations (2009 - 2024)

Processing and analyzing high-dimensional data, particularly in domains like protein research and robotics, introduces unique challenges. In protein analysis, high-dimensional data often arises from complex molecular structures and their interactions. Analyzing protein data involves intricate computational models and algorithms that must deal with the large size of molecular datasets and the need to extract biologically relevant information. This makes it challenging to discern significant protein structure-activity relationships, understand complex biological interactions, or predict protein behavior accurately. Similarly, in robotics, high-dimensional data is prevalent when dealing with sensory inputs, the dimensionality of the robot, or the complexity of the operational environments. …


How Regional Innovation Networks Are Governed: Three Essays On The Roles Of Network Management In Network Effectiveness And Evolution, Beomgeun Cho May 2024

How Regional Innovation Networks Are Governed: Three Essays On The Roles Of Network Management In Network Effectiveness And Evolution, Beomgeun Cho

Legacy Theses & Dissertations (2009 - 2024)

Although a networked mode of governance has been often considered as an alternative or superior approach compared to hierarchy and market-based models, it has become clear that networks are also susceptible to failure without purposeful and deliberative management of interorganizational relationships. Constructing a longitudinal dataset of 16 regional innovation networks in South Korea, this dissertation examines how Regional Public Research Institutes (RPRIs) serve as network managers who initiate, facilitate, and mediate regional innovation systems. Drawing on a network research tradition rooted in the Dutch School of governance networks, this study examines how RPRIs leverage social structural resources, originating from their …


Understanding Attitudes Among Professionals Who Interact With Youth Who Exhibit Problematic Sexual Behavior, Erin Gardner May 2024

Understanding Attitudes Among Professionals Who Interact With Youth Who Exhibit Problematic Sexual Behavior, Erin Gardner

Legacy Theses & Dissertations (2009 - 2024)

Problematic sexual behaviors (PSB) among youth have been a prominent public health and social concern. Although these behaviors have previously been considered to comprise a “curiosity” or an “experimentation”, PSB is now recognized as causing harm and suffering for victims and family members while also having a considerable economic influence in medical, behavioral health, social services, and criminal justice systems. Much research has examined how perceptions and attitudes impact our behaviors towards PSB among adults, but none examines how perceptions and attitudes impact our behaviors towards youth. Knowing there are several gaps in literature, the current study was conducted to …


Investigating U.S. Entrepreneurship Instructors' Critical Pedagogy And Innovative Teaching Practice: A Mixed Method Approach, Yanghyun Kim May 2024

Investigating U.S. Entrepreneurship Instructors' Critical Pedagogy And Innovative Teaching Practice: A Mixed Method Approach, Yanghyun Kim

Legacy Theses & Dissertations (2009 - 2024)

Inclusive and effective entrepreneurship education (EE) can significantly contribute to empowering underserved communities. However, EE scholars have highlighted pedagogical concerns including a lack of critical perspectives, the prevalence of lecture-centered teaching, and resistance to technology integration, raising questions about the inclusiveness and effectiveness of EE. Nevertheless, there were few studies comprehensively examining how entrepreneurship instructors employed teaching practices. Thus, this study aimed to: 1) investigate the status of U.S. entrepreneurship instructors’ teaching practices regarding critical pedagogy and innovative teaching (teaching practices endorsed by EE scholars), 2) examine factors influencing their teaching practices, and 3) explore how they have developed these …


Square Functions For Ritt Operators In L1, Jennifer M. Hults May 2024

Square Functions For Ritt Operators In L1, Jennifer M. Hults

Legacy Theses & Dissertations (2009 - 2024)

Let Y be a Banach space. An operator T ∈ L(Y) is a Ritt operator providedsupn n∥Tn − Tn+1∥ < ∞. For Ritt operators T in Lp, where 1 < p < ∞, the square function (?n2m+1|Tn(I − T)m+1f|2)1/2 is bounded. We show that (?nα|Tn(I − nn T)lf|s)1/s is bounded in L1 for for l > 0 and sl > α+1 and (?nα|Tn(I−Tl)f|s)1/s is n 1 + ?n n+1s1/s boundedinL forl∈Z ands>α+1.Wealsoconsider( nl|T lf−T l f|) l where {nl} is an increasing sequence with increasing gaps. Finally, we investigate the related variational and oscillation norms.


Exploring Nucleic Acid Modifications For Rna-Based Therapeutics: Insights From Molecular Dynamics Simulations, Samantha Biaesch May 2024

Exploring Nucleic Acid Modifications For Rna-Based Therapeutics: Insights From Molecular Dynamics Simulations, Samantha Biaesch

Legacy Theses & Dissertations (2009 - 2024)

Nucleic acid modifications are pivotal in biological processes due to their multifaceted roles. They regulate gene expression by modulating transcription, with modifications in the nucleic acid, sugar group, or in its phosphate backbone. In our investigation, we explore the use of molecular dynamics simulations to study nucleic acid modifications for potential applications in RNA-based therapeutics. These modifications introduce nonstandard atoms, such as selenium, and new parameterizations must be performed to properly simulate in GROMACS. These parameters govern bonded (strength of bonds, angles and dihedrals) and non-bonded (size and charges) interactions for each of the atoms in the modification. The first …


Barrier Removal Prioritization To Increase Climate Resiliency And Aquatic Connectivity For Communities In The Upper Susquehanna Basin, Cassandra Mae Davis May 2024

Barrier Removal Prioritization To Increase Climate Resiliency And Aquatic Connectivity For Communities In The Upper Susquehanna Basin, Cassandra Mae Davis

Legacy Theses & Dissertations (2009 - 2024)

The streams and rivers of the Upper Susquehanna Basin have been heavily modified over centuries through deforestation of nearshore areas and creation of physical barriers, such as dams and culverts. Dams and undersized culverts negatively affect aquatic organisms by modifying habitat conditions and restricting movement of these organisms. In addition, improperly maintained dams and undersized culverts can intensify flooding impacts and negatively affect water quality. A standardized method is needed to determine which barriers should be prioritized for assessment and potential replacement or removal based on multiple ecosystem and societal factors. The goal of this analysis was to have a …


Algerian Poetry Without Borders: Jean Sénac, Assia Djebar & Mohammed Dib In Translation, Yolande Gallouët Schutter May 2024

Algerian Poetry Without Borders: Jean Sénac, Assia Djebar & Mohammed Dib In Translation, Yolande Gallouët Schutter

Legacy Theses & Dissertations (2009 - 2024)

Algerian Poetry without Borders: Jean Sénac, Assia Djebar & Mohammed Dib in Translation is a hybrid project that combines literary translation with (post)colonial and translation theories to illuminate the importance of the poetry of three major 20th century Algerian writers: pied-noir poet Jean Sénac (1926-1973), Amazigh poet Assia Djebar (1936-2015), and Arabic poet Mohammed Dib (1920-2003). Algerian Poetry without Borders includes selections from three previously untranslated poetry collections—one from each poet discussed—presenting them alongside critical essays that trace each writer’s individual contributions to (post)colonial Maghrebian poetry and (post)colonial thinking. This dissertation examines the ways in which embodied language and embodied …


Mergers And Acquisitions In The Us Nursing Home Industry, Wenqing Li May 2024

Mergers And Acquisitions In The Us Nursing Home Industry, Wenqing Li

Legacy Theses & Dissertations (2009 - 2024)

This dissertation provides a comprehensive exploration of the strategic formation and outcomes of horizontal Mergers and Acquisitions (M&As) in the US nursing home industry. We delve into two central themes that underpin the strategic decisions and implications of M&A activities in the U.S. nursing home industry.