Digital Commons Network^™

Navigating Recovery: A Qualtitive Study Of Harm Reduction And Sobriety Among African American In Redlined Chicago Neighborhoods, Erica N. Tate

Dissertations

This qualitative study examines the lived experiences of African American individuals residing in historically redlined communities in Chicago who are maintaining sobriety using harm reduction strategies. Grounded in the context of structural inequities, the study explores how social determinants of health, including limited healthcare access, transportation barriers, and community disinvestment, shape recovery pathways. Semi-structured interviews were conducted with individuals in sustained recovery and providers, and the data were analyzed using inductive and deductive thematic approaches. Findings indicate that recovery is an ongoing process influenced by environmental exposure, trauma, and access to support systems.

Participants identified harm reduction strategies, such as …

Agnikarma Therapy In Management Of Plantar Fasciitis (Vatakantaka): A Systematic Review Of Ayurvedic Case Reports, Karishma Sebastian, Nidhin John, Amanda Killeen

School of Podiatric Medicine - Student Research

Plantar fasciitis is a leading cause of heel pain, commonly affecting adults aged 40–60, characterized by microtears and inflammation of the plantar fascia.

Conventional treatments (NSAIDs, corticosteroids, orthotics, surgery) often provide incomplete relief or cause adverse effects.

In Ayurveda, plantar fasciitis corresponds to Vatakantaka, a Vata-dominant condition of the heel region (Khudukapradesha).

Agnikarma, a para-surgical Ayurvedic technique involving therapeutic thermal cauterization using heated metallic rods (Shalaka), is described for disorders involving ligaments, bones, and joints with chronic pain and stiffness.

This review synthesizes clinical case reports evaluating Agnikarma as a treatment for plantar fasciitis to determine its efficacy, safety, and …

The Impact Of Palm Cooling On The Physiological And Cognitive Function Of Aerobically Trained Individuals, Katherine L. Tibbs

Honors Theses

Background: Cooling strategies have been shown to combat the harmful effects that an increase in body temperature can potentially cause, and palm cooling in particular has been adopted due to its effectiveness in mitigating muscle fatigue during exercise. While there is clear support that this improves muscular strength and endurance, there is a lack of research on the impact palm cooling has on the mental aspect of physical activity. The purpose of this study was to investigate the cognitive and physiological effects of palm cooling on aerobic exercise performance. Methods: Ten aerobically trained participants between the ages of 18-35 were …

Navigating The Gray Area: The Unregulated Surge Of Unique Glp-1 And Glp-1/Gip Products, Jordyn Belcourt, Amy Sapowadia, Charles Michael White

Honors Scholar Theses

Purpose: To identify unique compounded semaglutide and tirzepatide products that existed after the shortage grace period ended and to assess their characteristics.

Methods: Researchers searched for compounding pharmacies using specific terms on Google. They collected the formulation, ingredients, dosage, and monthly cost of products. Researchers also contacted compounding company websites with available information to ascertain further information about products.

Results: Researchers identified 26 sites selling a total of 86 semaglutide or tirzepatide products. Of the included products, 33 were unique, and 41 products were essentially copies of FDA-approved products. Unique formulations included sublingual solution (n=9), sublingual tablets (n=5), and orally …

Investigating The Role Of The Fascia In The Development Of Fibrodysplasia Ossificans Progressiva (Fop), Liv Nevo

Honors Scholar Theses

Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder that primarily affects connective and muscle tissues. It is characterized by heterotopic ossification (HO), which is the formation of bone tissue where it does not normally form. HO can be triggered by physical trauma, infection, inflammation, or stress. The formation of HO leads to impaired muscle function and reduced patient quality of life. Concurrently, the loss of muscle function indicates there is an impairment in the ability of the muscle to regenerate effectively. The most common genetic cause of FOP is an arginine-to-histidine substitution within the type I bone morphogenic protein …

A Comparative Analysis Of Two Play-Based Upper Extremity Training Programs In Improving Arm Motor Function In Children With Hemiplegia, Kara Borkowski

Honors Scholar Theses

Cerebral Palsy is one of the most common causes of childhood motor disability. Children with cerebral palsy often experience impaired movement, posture, and balance (Vitrikas et al., 2020). A key factor in the success of upper extremity training for children with cerebral palsy is the frequency and intensity of therapy sessions (Jackman et al., 2020). However, these sessions can be expensive, time consuming, and often difficult to fit into home routines. These limitations have led to an increasing exploration of the effects of caregiver-led programs, bridging many of the gaps these barriers create. The efficacy of a play-based training program …

Exploring Stem Cell-Based Approaches To Ameloblast-Like Cell Development: Progress And Limitations In Enamel Formation, Ava L. Abruzzese

Honors Scholar Theses

Enamel is one of the most critical structural components of the tooth. As the outermost layer, it serves as a protective barrier, shielding the underlying dentin and dental pulp from physical trauma and mechanical forces. The formation and mineralization of enamel are regulated by specialized cells known as ameloblasts. Once enamel maturation is complete, these cells undergo apoptosis. Consequently, enamel lacks the capacity for natural regeneration after damage or erosion, which can result from various environmental factors. When enamel is compromised, current clinical interventions focus on preventing further deterioration rather than true regeneration. These approaches include the use of remineralizing …

Implementation Of A Standardized Short Stay Pain Protocol To Reduce Pain In Short Term Care Facility, Maggie O'Brien, Kenzie Reuter, Holly Hansen, Elle Wichmann

Celebrating Scholarship and Creativity Day (2018-)

Pain is a common symptom across all areas of nursing care, yet it is often undertreated in skilled nursing facilities, particularly among residents receiving rehabilitation services. Pain in this population may result from a variety of causes, including musculoskeletal conditions, wounds and pressure injuries, neuropathic pain, and chronic illnesses. A review of Minimum Data Set (MDS) reports and resident pain reports from the short-term rehabilitation unit revealed a concern of disparity. Long-term care residents demonstrated strong quality indicator scores (9.21 out of 10), while short-term stay residents scored significantly lower (2.76 out of 10). This discrepancy raised concerns about pain …

Dental Rehabilitation Of Pediatric Patient With Ellis-Van Creveld Syndrome: Case Report, Emma Kojima Dds, Robin Onikul, Neena Patel, Jenna Sparks, Amy Burleson

Posters

Ellis-van Creveld Syndrome, also known as Chondroectodermal dysplasia, is a rare autosomal recessive disorder caused by mutations in the EVC and EVC2 genes4. This syndrome is characterized by polydactyly of the hands, short limbs, ectodermal dysplasia, and congenital heart defects. Because Ellis–van Creveld syndrome affects all three embryonic layers, it presents with a range of oral manifestations, including absence of the mucobuccal fold, a serrated alveolar ridge, multiple labial frenula, abnormalities in tooth morphology, and congenitally missing teeth1. This report details a 20-month-old female who presented to the Children’s Mercy Dental Clinic in May 2019 for comprehensive dental care. The …

Two Glands, One Problem: Navigating Fertility Treatment In Concurrent Nonclassic Congenital Adrenal Hyperplasia And Polycystic Ovary Syndrome, Paul Meram, Mary Show, Elliott Gappy, Ajaz Banka

Conference Presentation Abstracts

Background: Nonclassic congenital adrenal hyperplasia (NCCAH) caused by 21-hydroxylase deficiency is generally a milder variant of congenital adrenal hyperplasia characterized by partial enzyme activity and variable increases in adrenal androgen levels. Patients presenting with such a condition may present in adolescence or adulthood with symptoms such as acne, hirsutism, irregular menses, and infertility. These symptoms often overlap with those of Polycystic Ovary Syndrome (PCOS), creating challenges in differentiation and management. It is critical to differentiate between PCOS and NCCAH in females of reproductive age, as hyperandrogenism treatment depends on the underlying cause, such as adrenal, ovarian, or a combination of …

The First Cut Is The Deepest: Understanding Learner Trauma In The Emergency Medicine Clerkship, Dimitrios Papanagnou, Leela Raj, Karen E. Watkins, Xiao C. Zhang, Andres Fernandez, Md, Victoria J. Marsick

Department of Emergency Medicine Faculty Papers

BACKGROUND: As third-year medical students transition into high-stakes, high-stress clinical environments like the emergency department (ED), they may experience significant personal trauma. However, little is known about how this trauma is experienced early in their training - specifically during the transition from preclinical to clinical learning environments. This study addresses that gap by exploring third-year medical students' experiences of trauma during the emergency medicine (EM) clerkship through the lens of Trauma-Informed Care (TIC) and identifies workplace factors and intersectional demographics influencing these experiences.

METHODS: This qualitative study used the critical incident technique to explore emotionally-significant events encountered by third-year medical …

Exploring Policy Change To Support Early Diagnosis Of Congenital Heart Disease (Chd) In New Mexico, Kelsey Carson Leibenhaut

Doctor of Nursing Practice Posters and Presentations

Congenital heart disease (CHD) is not a new or rare problem; it has likely always been a leading cause of childhood morbidity and mortality and clocks in today as the most frequently occurring birth defect, affecting an estimated 1 in 100 newborns (CDC, 2025). Prior to the middle of the 20th century, there was little to be done about CHD, as no treatments existed. Everything changed with the advancement of options for surgical repair of CHDs, significantly prolonging lifespans and improving quality of life for affected individuals. Despite these incredible advancements, babies are born with CHD every day, leading to …

Preclinical Animal Modeling To Investigate Redox-Mediated Molecular Dysfunction In Traumatic Brain Injury, Brandon Z. Mcdonald

Department of Agricultural and Biological Systems Engineering: Dissertations, Theses, and Student Research

Impacts associated with traumatic brain injury (TBI) induce a multitude of neurological morbidities mediated by a spread of biochemical dysfunction. Redox stress is a significant contributor to TBI pathophysiology and several redox stress markers have substantial evidence to support their role in diagnosing preclinical and clinical TBI. However, there is a critical need to verify their translational utility through correlations with behavioral, imaging, and molecular modalities. In chapter two, we examined the therapeutic efficacy of an antioxidant treatment (NPC3) using a controlled cortical impact (CCI) mouse model of TBI. NPC3 alleviated glial expression and reactivity while influencing the expression of …

Hidden Word Treasure Hunt: Design Of Dyslexia Game-Based Intervention, Olivia N. Epp

Honors Program: Senior Projects (Public)

For this creative project, a literacy intervention board game entitled Hidden Word Treasure Hunt was designed for elementary students with dyslexia. Developmental Dyslexia is a neurodevelopmental learning disability which causes reading and writing difficulties. The goal of the intervention is to provide a fun and engaging way for students with dyslexia to practice skills like spelling, phonemic awareness, rhyming, and more. The game includes multiple choice question cards (treasure cards) and challenge spelling cards (key cards), and the student also has the opportunity to practice spelling the words with a whiteboard and marker. The student and SLP can play their …

Engineering Silicone Magnetic Fluids For Localized Radiation Attenuation During Ocular Melanoma Brachytherapy, Zachary L. Caprow

All Dissertations

Ocular melanoma is commonly treated using plaque brachytherapy; however, radiation-induced damage to healthy ocular tissues frequently results in partial or complete vision loss. This work investigates the development of an injectable, magnetically responsive silicone magnetic fluid designed to localize adjacent to the tumor and attenuate low-energy gamma radiation during treatment.

The material system consists of iron oxide nanoparticles surface-functionalized with a siloxane polymer, in which the nanoparticles provide magnetic responsiveness and radiation attenuation, while the polymer coating ensures colloidal stability, injectability, and biocompatibility. A one-pot synthetic approach was developed wherein a functionalized siloxane polymer containing iron-affinitive groups was reacted with …

Clinical Impact Of Prior Versus De Novo Selective Serotonin Reuptake Inhibitors Use On Motor Recovery After Ischemic Stroke, Jonathan Xi, Alexandre Mazar, Michelle Jankkowski, Jose Mendez, P Tyler Roskos

Conference Presentation Abstracts

Background: Cerebrovascular Accident (CVA), or stroke, is the fourth highest cause of death and the leading cause of disability in the United States. Although used typically as antidepressants, Selective Serotonin Reuptake Inhibitors (SSRIs) have been linked to positive outcomes in stroke recovery. This retrospective chart review evaluated differences in motor recovery with prior versus de novo Selective Serotonin Reuptake Inhibitor use in the inpatient rehabilitation setting. Methods: Participant data were obtained using a convenience sample of adult (aged 18 or older) ischemic stroke patients admitted to the inpatient rehabilitation unit at a suburban inpatient rehabilitation unit from January 1, 2016, …

Three Essays On Veterinary Drug Maximum Residue Limits, Akinbode Okunola

Department of Agricultural Economics: Dissertations, Theses, and Student Research

This dissertation consists of three essays: the first examines the prevalence of veterinary drug maximum residue limits (MRLs), the regulatory behavior of countries in setting these MRLs, and the degree of country-level compliance with international standards of Codex Alimentarius (Codex). The second evaluates the extent to which compliance with international standards across countries can help to manage potential transmission of resistant bacterial from animals to humans through consumption of contaminated meat, dairy and aquaculture products. The third focuses on how differences in regulatory standards across countries can impact international trade in the global beef, pork, and poultry markets.

The first …

Novel Applications Of Coronary Cta In Patients With Intermediate Risk Of Cad, Ashley Armstrong, Luai Madanat, Robert D. Safian

Conference Presentation Abstracts

Background: ACC/AHA guidelines provide class 1 and 2A recommendations respectively for coronary CTA and FFRCT in patients with chest pain and intermediate risk of CAD. We present a case in which novel applications of CTA excluded obstructive CAD, identified the correct diagnosis, and allowed optimization of medical therapy. Case: In a 72-year-old male with stable angina and HEART score 6, stress ECG was positive for angina and frequent PVCs (Fig 1A). Coronary CTA (Fig 1B) and FFRCCT (Fig 1C) showed non-obstructive CAD and intramyocardial bridging/severe systolic compression in the mid-LAD (Fig 1D). AI plaque analysis demonstrated a mixed plaque burden …

Leveraging State Of The Art Simulation-Based Education To Enhance Medical Student Interest In Internal Medicine And Cardiology, Mohamed Abdalaziz, Nicholas Mitchell, Ryan Madder

Conference Presentation Abstracts

Abstract Background: Early clinical exposure plays a critical role in shaping medical student interest, and therefore choice in medical specialty. Traditional curricula offer limited opportunities for hands-on engagement with cardiovascular decision-making and procedures. Simulation-based education may address this gap by providing immersive, low-risk learning experiences. Methods: An internal medicine resident and Cardiology fellow led, faculty-supported simulation curriculum was developed for third- and fourth-year medical students using a state-of-the-art simulation laboratory. Two 75-minute sessions were conducted over a two-month period, with a total of 27 students participating. The first session included a focused electrocardiography didactic emphasizing ST-elevation myocardial infarction (STEMI) recognition, …

A Pain That Wouldn't Sleep: Osteoid Osteoma Masquerading As Lateral Epicondylitis, Madelyn Bagley, Luca Halalau, Aimee Espinosa, Terrence Metz

Conference Presentation Abstracts

Osteoid osteoma is a benign osteogenic tumor that accounts for approximately 10% of all benign bone tumors and predominantly affects adolescents and young adults. It classically presents with nocturnal pain that responds dramatically to nonsteroidal anti-inflammatory drugs, a feature attributed to increased prostaglandin production within the nidus. The femur and tibia are most commonly involved, whereas upper extremity lesions are relatively uncommon. A 19-year-old male presented with nearly two years of chronic, progressive left lateral elbow pain and left wrist weakness. The pain was nocturnal, radiated along the left arm, and was markedly relieved by nonsteroidal antiinflammatory drugs. He was …

Opioid-Free Hernia Repair Protocol Reduces Pediatric Opioid Exposure Without Compromising Pain Control, Abigail Teitelbaum, Kristin E. Lemarbe, Diane Studzinski, Corey Shafer, Antonela Muca, Emanuela Peshel, Randall Hilleary, Anthony Stallion, Nathan M. Novotny, Pavan Brahmamdam, Begum Akay

Conference Presentation Abstracts

Abstract: Purpose: Protocolizing perioperative pain management may reduce opioid exposure in children. We designed a multimodal pain management protocol for pediatric ambulatory hernia surgery with the goal of reducing opioid use. This study evaluates the impact of this protocol on opioid use, pain control, and patient/proxy satisfaction. Methods: Our protocol utilized child life services, regional anesthesia, and non-opioid analgesic adjuncts in the perioperative period. We reviewed all pediatric ambulatory hernia cases two years before and after protocol implementation. Protocol adherence was stratified by level of opioid use: high (no opioid use), medium (opioids used intraoperatively or postoperatively), and low adherence …

Right Atrial Thrombosis In Behcet's Disease Presenting With Tricuspid Inflow Obstruction, Famta Basher Bisher, Thekrayat M. Asad, Sireen Shehadah

Conference Presentation Abstracts

Introduction Behçet’s disease (BD) is a chronic multisystem vasculitis characterized by recurrent mucocutaneous, ocular, vascular, and neurologic manifestations. Cardiac involvement is rare but can be severe, with intracardiac thrombosis representing an uncommon and potentially life-threatening complication. Management is challenging, as first-line medical therapy may be limited by bleeding risk or hemodynamic compromise. Case Presentation A 26-year-old woman with a 9-year history of Behçet’s disease presented with two weeks of progressive dyspnea, palpitations, fever, fatigue, and cough. She denied chest pain, or syncope, or lower extremity swelling. One year prior, she had been hospitalized for pulmonary embolism and was found to …

Igg4-Related Aortitis Presenting As Intramural Hematoma Of The Descending Thoracic Aorta, Sarah Ibrahim, Tejasvini Khanna, Lark Steafo, Ioannis Karageorgiou, Judith Bateman

Conference Presentation Abstracts

IgG4-related aortitis is a rare manifestation of IgG4-related disease and can closely mimic acute aortic syndromes, including intramural hematoma (IMH), on imaging. Isolated involvement of the descending thoracic aorta is particularly uncommon, and misdiagnosis may lead to unnecessary surgical or endovascular intervention. A 68-year-old man with extensive cardiovascular disease, including prior coronary artery bypass grafting, recent percutaneous coronary intervention with drug-eluting stent placement, permanent pacemaker implantation for complete heart block, and recent pulmonary embolism, presented with three days of chest pain, shortness of breath, and left lower quadrant abdominal pain. At presentation, he was receiving apixaban, aspirin, and clopidogrel. Computed …

Chit-Chat With Hats: Addressing Mental Health Decline Through Art Therapy And Community Engagement, Zoe G. Mendez-Sosa

Capstone Projects and Master's Theses

This capstone addresses the prominent social issue of mental health decline in Central Pacific California driven by lack of support systems for individuals. In partnership with Health Advocacy Team Support (HATS), “Chit-Chat with HATS was developed as a peer to peer group with art therapy techniques to promote emotional resilience and community connection. The primary objective of the program was to provide individuals struggling with mental health with tools to help them manage their feelings and thoughts.

The program was structured with check-ins, mindfulness techniques, and opportunities of creative expression through art therapy techniques to help participants with processing complex …

The Birthing Ground Podcast: Assessing The Impact Of Shared Doula Experiences On New Doula Confidence, Arrieanna D. Martinez

Capstone Projects and Master's Theses

There are too few confident, experienced doulas available in Monterey County to meet the needs of birthing families. Community-based maternal health programs face challenges related to limited confidence and experience among newly trained doulas, which affect the quality and consistency of care provided to families. This project addressed the needs of new doulas serving Medi-Cal–eligible families in Monterey County. The purpose of this capstone project was to increase confidence and preparedness among new doulas through a mentorship-based learning intervention. The project was implemented at the Parenting Connection of Monterey County and included new doulas and experienced mentor doulas. Key activities …

Evidence-Based Practice In Speech-Language Pathology: Creating Effective Therapy Materials, Avalee Dunkley

Undergraduate Honors Capstone Projects

Evidence-based practice is a fairly new topic in speech-language pathology, gaining traction among professionals in the field in the last twenty years. Evidence-based practice is the integration of high-quality research, patient cultural and social values, and clinician expertise to treat a patient. Patients are more likely to progress when these three factors are combined. This paper explores four areas of speech-language pathology that are commonly treated in school-aged children: speech sound disorders, language disorders, social communication disorders, and the use of augmentative and alternative communication. Each section gives a summary of the disorder and how the disorder can be treated …

Challenging Myths In Speech-Language Pathology: A Scientific Review Of Augmentative And Alternative Communication (Aac) Use, Bilingualism, And Late Talking, Mariah Morris

Undergraduate Honors Capstone Projects

Persistent myths within the field of speech-language pathology continue to influence clinical decision-making and contribute to biases experienced by both providers and clients. This scientific review examines common misconceptions surrounding late talking, bilingualism, and augmentative and alternative communication (AAC) by evaluating current evidence-based research. Specifically, this review addresses three central questions: Do children outgrow late talking? Does bilingualism cause language delay in children? Does AAC hinder speech development? 

An analysis of multiple peer-reviewed studies revealed little statistical support for the belief that bilingualism or AAC use causes language delays. Instead, research indicates that factors such as limited access to language-rich …

Applying Evidence-Based Practice To Guide Occupational Therapy In The Nicu And Outpatient-Based Early Intervention Settings, Brooke A. Wilson

Occupational Therapy Capstone Presentations

Infants admitted to the neonatal intensive care unit (NICU) are at increased risk for feeding difficulties, developmental delays, and sensory processing challenges due to prematurity and complex medical needs. These effects often persist into the first years of a child’s life, and many receive early intervention or outpatient therapies. Occupational therapy plays a critical role in addressing these concerns while supporting caregivers in building knowledge and confidence. The purpose of this capstone project was to develop in-depth clinical skills in the NICU and outpatient early intervention settings, educate caregivers, and complete continuing education courses related to neonatal and pediatric therapeutic …

Addressing The Motor And Non-Motor Symptoms Of Parkinson’S Disease Through Integration Of Clinical Skills And Community Educational Resources, Alison C. Lee

Occupational Therapy Capstone Presentations

Individuals with Parkinson’s Disease (PD) face many challenges to their daily life including various motor and non-motor symptoms that affects their participation in meaningful occupations. Non-motor symptoms like decreased social participation, sleep disturbances, fatigue, and decline in cognition often go unnoticed and undertreated. Limited resources are available to clinicians and individuals with PD regarding tangible ways to address these concerns. Occupational therapy (OT) has a unique role in addressing both motor and non-motor symptoms through evidence-based resources, education, and general awareness. This project bridged this gap in care regarding non-motor symptoms of PD through the creation of easily accessible handouts, …

Improving Occupational Performance In Vision Neurorehabilitation, Catherine Lentsch

Occupational Therapy Capstone Presentations

Visual dysfunction affects up to 90% of individuals with traumatic brain injuries and up to half of stroke survivors, significantly impacting independence in daily occupations. This capstone project, conducted at Nebraska Methodist Hospital, aimed to improve clients’ occupational performance and enhance occupational therapy vision neurorehabilitation through advanced clinical skill development and the development of resources. The project involved the evaluation and treatment of eleven neurological patients across inpatient and outpatient settings. Guided by Warren’s Hierarchy of Visual Perceptual Skills and Toglia’s Dynamic Interactional Approach, the project emphasized stabilizing foundational visual skills before progressing to higher‑level visual-perceptual tasks and used near …