Digital Commons Network^™

A Qualitative Exploration Of How Spanish-Speaking Latino Parents Communicate With Their Adolescent Children About Substance Use, Diana Karina Diaz

Doctoral Dissertations

Substance use during adolescence remains a significant public health concern, particularly within Latino communities where cultural values, family dynamics, and communication patterns play a central role in youth development. This qualitative study explored how Latino parents communicate with their adolescent children about substance use, the strategies they use for prevention, and the cultural and contextual factors that shape these conversations. Using a focus group design, data was collected from four focus groups consisting of two groups of Latino mothers (n = 10) and two groups of Latino fathers (n = 9). A thematic analysis revealed six primary themes: (1) parent–child …

Tiny Tusk Internship: Gut Instincts: A Review Of Literature On The Impact Of Breastfeeding On The Infant Gut Microbiome, Rayla Payne

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The purpose of this systematic review was to investigate both the short- and long-term benefits that breastfeeding has on the infant gut microbiome. The PICOT question was: In full-term infants, how does exclusive breastfeeding compared to mixed or formula feeding influence the diversity and composition of the gut microbiome throughout the first 12 months of life? For this research, EBSCOhost, CINAHL, and the National Library of Medicine databases were searched to find relevant studies and systematic reviews. Terms such as “breastfeeding and infant gut microbiome” were used to conduct the search. Other terms used included “breastfeeding OR formula feeding”, “human …

Total Intravenous Anesthesia Versus Inhalation Anesthesia For The Prevention Of Post Operative Nausea And Vomiting: A Comprehensive Literature Review, Francesca A. Diflorio

Nursing Undergraduate

Postoperative nausea and vomiting (PONV) is a common complication defined as the occurrence of nausea and/or vomiting within the first 24–48 hours following surgery. While nausea represents the subjective urge to vomit, vomiting involves the physical expulsion of gastric contents; both remain among the most distressing postoperative complications, strongly associated with the type of anesthesia administered. According to Timerga and Befkadu (2024), the incidence of PONV ranges from 25% to 30% in the general surgical population and may increase to as high as 80% among high-risk patients. Complications resulting from PONV can further prolong recovery and negatively impact patient outcomes, …

Bridging Care Gaps For Sickle Cell Disease: Examining Case Management And Healthcare Utilization., Lindsey Page

Doctor of Social Work Capstone Projects

Individuals living with sickle cell disease (SCD) experience complex medical and social needs, including high emergency department (ED) utilization, fragmented care, and systemic inequities. Disease-specific case management has emerged as a promising strategy to improve care coordination, patient outcomes, and healthcare efficiency. This mixed-methods case study examined the impact of disease-specific case management on healthcare utilization, patient-reported outcomes, and healthcare providers’ perspectives. Quantitative analysis evaluated the impact of disease-specific case management on ED and inpatient admissions, healthcare-related costs, and the length of stay for inpatient admissions. Qualitative data were collected using interviews with patients and healthcare providers, exploring utilization, bias, …

A Word From The Writing Team (May 2026), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.

The Physiological And Psychological Effects Of Social Media Addiction: A Mixed Methods Study, Ella M. Roper

Biological Sciences Undergraduate Honors Theses

Abstract

Objectives: This study sought to examine the physiological and psychological effect of social media addiction displayed through sleep quality, cortisol levels, heart rate, and emotional affect in students at the University of Arkansas.

Methods: Seven adults (Age range = 18-21; 100% female) participated in a mixed-methods study investigating social media addiction across a two-week period. Sleep quality and duration were assessed using the Pittsburgh Sleep Quality Index (PSQI). Participants provided saliva samples which were used to quantify cortisol levels. For two weeks, participants were asked to spend at least ten minutes on social media daily and to report their …

The Effect Of Facial Adiposity On Hypothetical Medical Treatments As A Function Of Disgust, Lindsey Duran

Biological Sciences Undergraduate Honors Theses

Perceivers are capable of estimating the health of individuals through cues to facial adiposity, with such inferences having accuracy in recognizing worse chronic health among those exhibiting greater adiposity. Nonetheless, these inferences could extend beyond health assessments into subsequent anti-fat prejudice based on perceptions of such individuals as pathogenically threatening. Although potentially functional in ancestral contexts, modern healthcare settings could render this functional stigmatization a liability that results in worse medical care toward those with higher adiposity. In this study, I tasked medical workers to evaluate male and female hypothetical patients at high and low levels of facial adiposity, particularly …

Exploring Exercise Motivation And Mental Well-Being In College Students, Elaine M. Lindesmith, Anqi Deng Dr

Health, Human Performance and Recreation Undergraduate Honors Theses

This study examined the relationship between physical activity, exercise motivation, and mental well-being among 48 undergraduate students at the University of Arkansas. Guided by Self-Determination Theory, the study used survey data to measure depression, anxiety, physical activity, and open-ended exercise motivation responses. Motivation responses were coded as autonomous or controlled.

Results showed that physical activity was weakly and negatively related to depression and anxiety, but these relationships were not statistically significant. There were also no significant differences in mental health between autonomous and controlled motivation groups, and motivation did not significantly predict mental health outcomes in regression analyses. Overall, the …

Exploring Sexually Explicit Material Literacy In Compressive Sex Education, Ashton Payne

Health, Human Performance and Recreation Undergraduate Honors Theses

Background: Adolescents increasingly encounter sexually explicit material (SEM) through digital media, often before receiving formal instruction about sexuality, relationships, or consent. This early and unmediated exposure has prompted growing interest in pornography literacy as a necessary component of comprehensive sex education (CSE). Purpose: This literature review synthesizes empirical research published between 2015 and 2025 examining pornography literacy pedagogy, its implementation within CSE, and its documented impacts on adolescent knowledge, attitudes, and behaviors. Methods: The University of Arkansas’s OneSearch served as the primary search engine, drawing from major academic databases including ProQuest, PubMed, Web of Science, JSTOR, and …

When Optimal Therapy Becomes High Risk: A Risk-Benefit Framework For Beta-Lactam Desensitization In Life-Threatening Mssa Infection, Rana Amoush, Aaron Kobernick

Conference Presentation Abstracts

Background Beta-lactam antibiotics are preferred for invasive methicillin-sensitive Staphylococcus aureus (MSSA) infections, especially those involving prosthetic material. Management is challenging in patients with severe beta-lactam hypersensitivity, as alternative agents may be less effective or poorly tolerated. Limited guidance exists on reassessing desensitization risk when second-line therapies become untenable. Purpose To present a case-based risk-benefit framework for evaluating beta-lactam desensitization in medically complex patients with life-threatening MSSA infections. Methods We retrospectively reviewed a patient with recurrent MSSA prosthetic graft infection and severe beta-lactam hypersensitivity. Clinical decision-making was analyzed using a structured risk–benefit framework incorporating infection severity, therapeutic superiority of beta-lactams, tolerance …

An Evaluation Of Leading Indicators In The Construction Industry And Their Relationship With Incident Rates, Kitti Miller Whalen

All-Inclusive List of Electronic Theses and Dissertations

Improving safety programs has been a focus of organizations for decades. Historically, focus has been directed towards lagging indicators such as recordable incident rates and experience modification rate (EMR). While these remain beneficial, they are only one component of the broader framework. In recent years, companies have started to examine what occurs prior to an incident, which are known as leading indicators. The research into leading indicators is promising, however research into the area is limited. The focus of this study is to identify which leading indicators are most strongly associated with improved incident rates in the construction industry specifically. …

Grace Under Pressure: An Analysis Of School Administrator Personal And Professional Stress And Self-Efficacy, Andrew Mcdaniel

All-Inclusive List of Electronic Theses and Dissertations

Indiana public school administrators are one of the most important factors for a school’s academic success. If those administrators are effective, they can help maintain an excellent school’s academic success or perhaps even turnaround a failing school. Without a doubt, their performance is critical for a school’s success. If they have confidence in their ability to help create positive outcomes, their school can achieve great things. Unfortunately, assistant principals and principals are facing significant challenges, not only from schools, but also at home. How do these personal and professional stressors affect their sense of self-efficacy? The purpose of this study …

Exploring The Impact Of University-Recognized Spaces On Racial Battle Fatigue Among Black Faculty & Staff At Historically White Institutions, Tiffany M. Courseault

LSU New Orleans Theses and Dissertations

Black Faculty and Staff (BFS) at Historically White Institutions (HWIs) navigate environments shaped by racial microaggressions, systemic inequities, and institutional marginalization. These conditions contribute to Racial Battle Fatigue (RBF), a psychological, behavioral, and physiological response to sustained exposure to racialized stress. While institutional Diversity, Equity, and Inclusion (DEI) initiatives are often positioned as mechanisms for improving campus climate, existing research suggests they frequently fail to address the lived realities of BFS. This study examined how university-recognized communal spaces function as critical sites of support, resistance, and mitigation within these environments.

Using a narrative inquiry methodology, this study explored the lived …

Implementation Of A Multi-Institutional Enhanced Recovery After Surgery (Eras) For Elective Spine Surgery: Two-Year Michigan Spine Surgery Improvement Collaborative (Mssic) Experience, Anisse Chaker, Kylie Springer, Kari Jarabek, Michael Melhem, Heegook Yeo, Jian-Hui Hu, Jad Khalil, Kenneth Easton, Richard Easton, Doris Tong, Miguelangelo Perez-Cruet, Noojan Kazemi, Ilyas Aleem, Muwaffak Abulhak, Victor Chang

Conference Presentation Abstracts

Introduction: Enhanced Recovery After Surgery (ERAS) protocols have been introduced to several surgical specialties with the intention to reduce peri-operative adverse events and improve various health-system quality metrics including length of stay and patient satisfaction. Though this has been studied in the setting of spine surgery, the vast majority are single institution protocols biased toward academic teaching hospitals. There is a paucity of literature studying the utilization of a multi-institutional ERAS protocols that is applicable to community hospitals without associated training programs. We present the Michigan Spine Surgery Improvement Collaborative (MSSIC) two-year experience implementing a multi-institutional ERAS protocol for elective …

Changes In Opioid Prescribing Patterns In Opioid Naive Patients Can Translate To Improved Outcomes In The Opioid Non-Naive Patients With Anterior Cervical Surgery: A Michigan Spine Surgery Improvement Collaborative (Mssic) Study, Anisse Chaker, Geoff Kahn, Michael Melhem, Jian-Hui Hu, Kari Jarabek, Heegook Yeo, Bhargav Ayloo, Trevor Ruesch, Adam Junn, Jad Khalil, Kenneth Easton, Richard Easton, Doris Tang, Miguelangelo Perez-Cruet, Noojan Kazemi, Ilyas Aleem, Muwaffak Abulhak, David Nerenz, Victor Chang

Conference Presentation Abstracts

Introduction: Though often necessary for adequate analgesia after spine surgery, continued opioid use can lead to chronic dependency. The Michigan Spine Surgery Improvement Collaborative (MSSIC) has demonstrated in prior work the promise of utilizing a multi-institutional morphine milliequivalent (MME) cutoff for elective anterior cervical surgery in the opioid naıve population. However, the effect of this cutoff in patients who were already on opioids pre-operatively have not previously been studied. The goal of this study was to evaluate whether changes in prescribing patterns in the opioid naıve population would also translate to the non-naıve populations, and whether the non-naıve population would …

The Impact Of Covid-19 On Spine Surgery: Temporal Trends In Complications And Patient-Reported Outcomes Across A Statewide Cohort, Ali Mehaidli, Richard Easton, Ahmad Almaat, Gary George, Alqasim Elnaggar, Victor Chang, Doris Tong, Jad Khalil, Kevin Taliaferro

Conference Presentation Abstracts

Introduction: The COVID-19 pandemic caused major disruptions in elective surgical care, including spine surgery, due to widespread hospital restructuring and resource limitations. Although previous studies have examined surgical volumes and safety during the pandemic, limited data exist on how outcomes varied across multiple phases of the pandemic, especially in real-world, multicenter spine surgery populations. Material and Methods: This retrospective cohort study used data from the Michigan Spine Surgery Improvement Collaborative (MSSIC) to compare outcomes in patients undergoing lumbar or cervical spine surgery across four COVID-19 timeframes: pre-COVID (1/2019-2/2020), onset-COVID (3/2020-9/2020), active-COVID (10/2020-2/2022), and post-COVID (3/2022- 12/2022). Patient demographics, surgical characteristics, …

Cultural Adaptation Of A Single Session Acceptance And Commitment Therapy Guide For College Students In Uganda, Miriam Mukasa Kasozi

All Graduate Theses and Dissertations, Fall 2023 to Present

Mental health problems such as depression, anxiety, and stress are common among Ugandan university students and can make it difficult for them to succeed in school or maintain well-being. However, many students do not have access to professional mental health care. Digital self-help programs can make support more available, especially when they are designed to fit the local culture and context. This project examined how an online program called ACT Guide Lite, which teaches skills from Acceptance and Commitment Therapy (ACT), could be adapted for use with Ugandan college students. Students and other university community members first completed the program …

Characterizing Metabolic Flux Of Plant Secondary Metabolites From Diverse Animal-Source Foods To Humans, Muhammad Ahsin

All Graduate Theses and Dissertations, Fall 2023 to Present

There is a popular saying: “You are what you eat.” But does this also mean, “You are what your food eats”? This dissertation explores that question by examining how farming practices shape the nutritional quality of meat—and what, if anything, those differences mean for the people who consume it. While modern livestock production and nutrition research often emphasize protein and fat, this work tests the idea that animals function as biological mediators, linking soil and plant conditions to human diets through the chemical composition of meat and milk. To evaluate this hypothesis, we tracked health-relevant plant compounds— phytonutrients—across the soil–plant–animal–human …

Probing The Roles Of Connexin 43 Hemichannels In A Mouse Model Of Alzheimer's Disease, Madison Treasure-Areno

All Graduate Theses and Dissertations, Fall 2023 to Present

Alzheimer’s disease is a progressive disorder involving neuronal death and cognitive decline, such as memory loss and changes in personality. One feature of the disease is buildup of abnormal protein called amyloid-beta in the brain. Amyloid-beta may activate support cells called astrocytes, triggering them to release large amounts of chemicals, possibly harming nearby cells. This study set out to examine the roles of the channels on astrocytes involved in releasing these chemicals, called connexin 43 hemichannels. Using a mouse model of Alzheimer’s disease, this study blocked the hemichannels using the drug Tonabersat, and measured spatial learning and memory in a …

The Rodent Electronic Nicotine Delivery System (Rends): Effects Of Age On Self-Administration Of Inhaled Nicotine In Female Rats, Daniel Santos Da Silva

All Graduate Theses and Dissertations, Fall 2023 to Present

Smoking tobacco is the leading avoidable cause of death and drives many health problems. Nicotine, the main chemical in tobacco products, keeps people using it. This study used the Rat Electronic Nicotine Delivery System (RENDS), an inexpensive and freely shared, to examine e-cigarette use in adolescent and adult female rats by exploring four phases of nicotine delivered and not delivered to understand use patterns among ages. Our study found that both adolescent and adult female rats chose to inhale nicotine when given the opportunity, showing drug-seeking behavior. Overall, nicotine use was similar between ages. These results could help inform therapies, …

Dyadic Agreement In And Task Correlates To A Measurement Of Conversational Success, Samantha Budge

All Graduate Theses and Dissertations, Fall 2023 to Present

Successful conversation matters for social connection, wellbeing, and quality of life, but people do not always agree on whether a conversation was successful, even when they participated in the same interaction. Conversation is also commonly measured through task success, even though it’s unclear how task success correlates to how successful a conversation feels. This study examined how conversational success is experienced by different conversation partners and whether feeling successful in a conversation is related to how well a task is completed.

Participants took part in a structured conversational task and then rated their own conversational experience using a self-report questionnaire …

Food-Form Delivery Of Spore-Forming Probiotics As An Alternative To Gavage In Animal Models, Aubreyona Faith Migliori Skalka

All Graduate Theses and Dissertations, Fall 2023 to Present

Western dietary patterns are characterized by nutrient-poor, calorie-rich diets and have been linked to poor health outcomes and gut inflammation phenotypes. Probiotics are often taken to support gut health, but many beneficial bacteria do not survive transport through the digestive system to produce any effect. Spore-forming bacteria, such as Bacillus coagulans, are more resilient due to their hardy outer coat which aids in survival through many obstacles encountered in the gastrointestinal tract, including acidic stomach conditions. In research studies, probiotics are usually given to mice through a procedure called oral gavage, where a tube is used to deliver the …

Artistic Embodiment: The Role Of Art-Based Research In Communicating Disability Experiences, Juliana Scheopner

Theses/Capstones/Creative Projects

Visual art has immense potential to communicate complex experiences of disability. As a disabled artist, I am interested in how disability has been portrayed in artwork, particularly in how other disabled artists choose to represent their lived experiences. Through art-based research, this study explores how disabled artists have used portraiture to depict their disability. Selected art includes work from Frida Kahlo, Deborah Padfield, Persimmon Blackbridge, and the author. Following an analysis of literature, selected artworks, and salient disability scholarship, emergent themes were identified. The focus on the complexity of disability experiences demonstrated the importance of considering a wide range of …

The Lasting Impact: Aces, Foster Care Placement, And Lifespan Development, Abigail J. Luth

Theses/Capstones/Creative Projects

Research shows that children in foster care experience adverse childhood experiences at a disproportionately high rate. This significantly impacts developmental, and health outcomes across ones lifetime. Through interviews with field specialists and individuals with experience in foster care, a qualitative analysis was conducted to identify thematic responses and draw conclusions. Interviewees were briefed on the project and gave consent to participate. Key findings included a high ACE score prevalence among foster youth as well as a need for stability in home placements. Further research should be done to look into how professionals can help make the transition into foster care …

Barriers And Facilitators Of Childhood Immunization: A Mixed Methods Assessment Of Health Care And Community Health Professionals’ Observations, Jenny Dong

Theses/Capstones/Creative Projects

Childhood immunization has led to significant decreases in the burden of infectious disease morbidity and mortality. Despite these contributions, U.S. childhood vaccination rates have been declining in recent years, and updates to the federal immunization schedule have removed recommendations for several childhood vaccinations. Amid such an uncertain public health landscape, understanding how environmental conditions affect childhood immunization behaviors is crucial for ensuring that children receive the vital protections vaccines offer. Thus, the purpose of this study is to examine the barriers and facilitators of childhood immunization observed by Nebraska health care professionals (HCPs). This study utilized an online questionnaire and …

Success In Motion: A Comparative Thematic Analysis Of Patient Success In Inpatient And Outpatient Physical Therapy, William T. Gish

Theses/Capstones/Creative Projects

Physical therapy is practiced across a wide range of clinical settings that differ substantially in patient populations, goals, and care timelines. While standardized outcome measures are commonly used to evaluate treatment effectiveness, little research has examined how physical therapists themselves define successful outcomes  or whether those definitions vary across inpatient and outpatient contexts. This study employed a qualitative mixed-methods design to explore how physical therapists conceptualize success in clinical practice. Ten licensed physical therapists participated in semi-structured interviews, which were analyzed using thematic analysis.

Supplementary quantitative data were collected via an online background survey. Five primary themes emerged: goal-oriented, patient-centered …

The Undergraduate Education And Scientific Literacy: Exploring How College Influences Student Perception Of Covid-19 Events, Peyton Brooking

Theses/Capstones/Creative Projects

Current undergraduate students received much of their education following the events of the COVID-19 pandemic. Many of these students experienced pandemic events before receiving any or most of their science-based higher education. Exploring their progress through higher education, and how it retroactively influenced their perception of pandemic events, serves as an informative research area. This study explores how undergraduate education in the sciences influences student engagement with complex recent events in science. In addition, this study asked how higher education builds confidence in interpreting this information. Additionally, students were surveyed to understand their scientific literacy baseline at the beginning of …

Utilizing Brain Computer Interfaces That Interact With A Virtual Keyboard, Skye Lilienthal

Honors Theses

A brain-computer interface (BCI) can allow someone to utilize electrical signals in their brain to complete tasks using a computer. BCIs can help people take advantage of technology to type without the need for a traditional keyboard setup. This paper used the OpenBCI Mark IV to test the effectiveness of non-invasive BCIs with dry electrodes within the OpenViBE P300 Speller. This paper shows how to use the P300 speller through a setup pipeline. Results indicate that electrode placement affects P300 accuracy and that areas related to visual processing improve accuracy, suggesting that P300 signals can be detected within OpenBCI Mark …

The Spark, Karen Jackson

Quill & Scope

No abstract provided.

The Duality Of Morals, Priyanka Gera

Quill & Scope

Nature makes no distinction between butterfly and moth; but humans do. Our internal compass is skewed by beauty standards, and what is ugly vs. fair. Half-moth and half-butterfly: the paradox of value. Is this morality or simply preference? Where is the truth?