Digital Commons Network^™

Bias In Nursing Students: How Student Exposure Impacts Patient Interactions, Claire Roy

Honors Theses and Capstones

Bias is a pervasive issue in healthcare. It affects all aspects of the healthcare system and affects patients primarily through their interactions with healthcare providers. This study aimed to identify if exposure to various patient populations reduced bias among participants and increased their understanding of the way bias impacts patients. Two participants were recruited from a baccalaureate nursing program course titled “Living with Mental Illness” to participate in a series of two-semi structured interviews to identify bias, perceptions of community-based care, and the growth from the beginning to the end of their clinical experiences. Results showed skill development, increased understanding …

Enhancing Nursing Education To Improve Care For Women Experiencing A Substance Use Disorder During Pregnancy, Sadie Caddell

Honors Theses and Capstones

Introduction: Nursing education prepares students to care for patient populations by enhancing knowledge of clinical pathophysiology and applying foundational nursing skills to tailor to the unique care requirements of each patient. When analyzing the nursing course curriculums as guides for what is included in nursing education, it is essential to consider relevant patient populations to ensure adequate representation in lectures. Inclusivity of relevant patient populations within curriculums equips students to encounter a variety of patients in a clinical setting. Perinatal substance use has prevalence in the local community of this university, with 6% of all births in New Hampshire in …

Ethical Considerations For Hospice Patients In Inpatient Settings: A Systematic Review And Thematic Analysis, Matthew D. Harry

Honors Theses and Capstones

Hospice care is intended to prioritize comfort, dignity, symptom management, and quality of life for individuals with life-limiting illness. However, when hospice-eligible patients are managed within inpatient hospital settings, significant ethical challenges frequently emerge due to the tension between comfort-focused care and the curative, intervention-driven structure of acute care medicine. This paper presents a systematic literature review and thematic analysis examining the ethical considerations surrounding hospice patients in inpatient settings, with particular attention to clinical decision-making, communication, prognostic uncertainty, moral distress among nurses, and conflicts involving patient autonomy and family wishes. A structured review of peer-reviewed literature was conducted using …

Surveillance Of A Novel Vesivirus Discovered In An Urban Mephitis Mephitis Population, Amanda E. Diggins

Honors Theses and Capstones

Caliciviridae is a family of non-enveloped, positive-sense, single stranded RNA viruses, including eleven defined genera that contain important pathogens of humans and animals. Within the Caliciviridae family, the genus Vesiviridae includes feline calicivirus, a leading cause of upper respiratory disease in cats, and vesicular exanthema of swine virus, a historical disease of domestic swine that has now been implicated in several marine mammal vesicular diseases, one of which has been confirmed zoonotic. Urban landscapes create a unique environment for rapid intra- and interspecies transmission of viruses. Clustered resources attract high-density populations of synanthropic wildlife species, increasing spatial overlap and heightening …

Guidelines For Enhancing Voter Accessibility, Anna Barrows

Honors Theses and Capstones

No abstract provided.

Metabarcoding Ixodes Scapularis To Characterize Feeding Behavior In Comparison To Pathogen Carriage And Geospatial Distribution, Adrianna Kate George

Honors Theses and Capstones

No abstract provided.

Program Notes On Haydn Sonata No. 31 In A Flat, Hob. Xvi. 46, Chopin Nocturne In F Sharp Minor, Op. 48, No. 2, And Prokofiev Visions Fugitives, Op. 22, Lucas Kamon

Honors Theses and Capstones

No abstract provided.

Political Media Hesitancy And Avoidance In College Students, Taylor Mandile

Honors Theses and Capstones

No abstract provided.

Effects Of Perching Behavior In Broilers On Welfare And Production Benefits, Natalie G. Bunn

Honors Theses and Capstones

Broiler chickens are bred for feed efficiency, rapid growth rate, and muscle development. Conventional broiler farms utilize fast-growing breeds that reach market weight rapidly and present welfare concerns. Primarily raised indoors with little enrichment, the genetics and husbandry practices of broilers encourage inactivity and perpetuate health problems such as skeletal deformities, lameness, and pododermatitis. Despite the commonness of these issues, there is little research on the reduction of such health complications through production management. This study investigated methods to promote perching behavior and the effects of riser perch and platform perch utilization in broilers. A mixed flock of slow-growing Gray …

How Historical Experiences Shaped The Italian Constitution: A Comparative Perspective With The United States, Kaitlin M. Rocca

Honors Theses and Capstones

No abstract provided.

Hey, Siri: How Companionate Ai Usage Affects Social Satisfaction And Personal Intelligence, Ryan E. Moran, Marley Ireland

Honors Theses and Capstones

Artificial intelligence is a field that is growing and changing faster than humanity can keep up. While part of the population is benefiting from its unmatched diagnostic power, increased productivity in school and in work, and even its surgical and therapeutic contributions, others are filing lawsuits based on claims that an AI chatbot was a key factor in the mental health crisis of someone they loved. Research has found that reliance on these AI-generated conversational agents can lead to social withdrawal, unrealistic relationship expectations, addictive tendencies, and, in the worst cases, increased or encouraged suicidal ideations, especially in vulnerable populations. …

Concord Public Transportation Improvement Project, Jacob Holt

Honors Theses and Capstones

The capital city of Concord, New Hampshire, has been served by Concord Area Transit (CAT) since 1989. Despite continued population growth and economic development within the city, CAT’s fixed route bus system has remained unaltered since 2011. The purpose of this project is to rework the CAT system to provide service that better aligns with Concord resident’s current needs. A public survey was conducted to gather data regarding Concord resident’s needs, habits, and perception of the existing system, which was used in the development of the revised system. The project includes suggestions for both system-wide and route-specific modifications. Key changes …

Restoring Tidal Function: Hydrologic And Erosion Controls, On Rare Plant Distribution In New Hampshire Salt Marshes, Nikhila B. Lampman

Honors Theses and Capstones

No abstract provided.

Differential Effects Of Growing-Season Climate Anomalies On New England Crop Yields: A 1990-2024 Comparative Analysis Of Heat-Tolerant And Heat-Sensitive Crops, Rhea Shirodkar

Honors Theses and Capstones

As rising temperatures and variable precipitation effects are becoming increasingly prevalent in New England, as does the need to consider how these climate change-induced weather patterns affect the region's agricultural productivity and food system stability. Using annual crop yield data from the United States Department of Agriculture’s National Agricultural Statistics Service (USDA NASS) and growing-season climate anomaly data from NOAA’s National Centers for Environmental Information (NCEI), this study examines how growing-season temperature and precipitation anomalies affect seven major New England crop yields (tomatoes, potatoes, sweet corn, cranberries, carrots, lettuce (head), and apples) over a 34-year period from 1990 to 2024. …

Improving Low Fresh Gas Flow Adherence To Lower Co2e Emissions, Luke Charles Ricci

Honors Theses and Capstones

Volatile anesthetic gases contribute significantly to healthcare-related greenhouse gas emissions. These greenhouse gas emissions can be increased due to higher fresh gas flows. At Dartmouth-Hitchcock Medical Center (DHMC), open and semi-open systems with fresh gas flow (FGF) rates above two liters per minute result in anesthetic gas waste. Literature suggests multifaceted quality improvement interventions are effective in improving low fresh gas flow adherence in anesthesia provider practices. The purpose of this study was to evaluate the potential reduction in anesthetic gas waste and carbon dioxide equivalent (CO₂e) emissions at Dartmouth-Hitchcock Medical Center through improved adherence to low fresh gas flow …

Investigating Microbe-Mediated Temperature Tolerance In Lemna Minor, Matthew Thomas Farbaniec

Honors Theses and Capstones

Temperature limits plant growth and survival more than many other environmental variables, and increases in the frequency of extreme hot or cold weather events pose significant challenges for plant growth and crop yields. Previous studies have shown that bacteria, fungi, and other microorganisms associated with plants ( i.e., the plant microbiome) can influence host response to temperature stress. These same microbes have their own temperature tolerances. We investigated whether microbial temperature tolerance correlates with plant resilience using an aquatic plant model, Lemna minor, and isolates derived from its microbiome. Microbial isolates were assessed at −10°C, 4°C, and 32°C for …

Stress And Reward Interactions In Substance Use Disorder: An Evolutionary Mismatch Framework, Nicholas L. Castrucci

Honors Theses and Capstones

Substance use disorder (SUD) is a major public health concern characterized by compulsive substance use despite adverse consequences. While contemporary models emphasize biological, psychological, and environmental contributors, stress- and reward-related systems are often examined in isolation. This review integrates these systems within an evolutionary mismatch framework to examine how chronic stress exposure and repeated substance use increase vulnerability to addiction. Stress and reward systems are evolutionarily conserved but may become chronically dysregulated under modern conditions characterized by persistent psychosocial stressors and highly potent rewarding stimuli. This is associated with converging neuroadaptations across stress and reward circuitry, resulting in altered affective …

Effects Of Volatile Organic Compounds Produced By Temperature-Adapted Microbes On Duckweed Growth, Phaedra Yael Stemp

Honors Theses and Capstones

As host-associated microbes adapt to their abiotic environment, these adaptations can affect their host species as well. Previous research showed that varying temperatures and volatile organic compound (VOC) production can affect microbial benefits to hosts. This experiment analyzed how 27 microbes pre-adapted to different temperature conditions affected growth of their host, common duckweed plants, comparing effects of direct contact with microbes, effects of microbe VOCs alone, or both. Each microbe was pre-adapted to one of three temperature regimes: “Northern” at 28 °C, “Southern” at 33 °C, and “Extreme” at 36 °C. We then grew duckweeds in I-plates with each microbe …

Examining The Effectiveness Of Housing First Models On Transitional-Aged Youth Experiencing Homelessness: A Systematized Review, Cadyn Golisano

Honors Theses and Capstones

Abstract

Purpose: The purpose of this review is to examine the outcomes of Housing First (HF) programs or models for transitional-age youth (TAY) experiencing homelessness. Specifically, this review aims to synthesize existing evidence on how Housing First influences housing stability and over-all wellbeing for young adults ages 18-25. By evaluating the effectiveness of these programs within this specific population, the review seeks to identify key benefits, limitations, and gaps in the current literature to inform future practice, policy, and research. The following research question was utilized to guide this paper: How do Housing First principals and interventions impact housing stability …

Annual Report Of The Officers, Trustees, Boards, Committees And Agents For The Town Of Nottingham, New Hampshire For The Year Ending December 31, 2025, Nottingham Town Reports

Nottingham, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Francestown, Nh, Annual Reports Of The Officials, Departments And Committees Of The Town Of Francestown For The Calendar Year Ending December 31, 2025, Francestown Town Representatives

Francestown, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Town Of Bath, New Hampshire Annual Report Of The Town Officers Year Ending December 31, 2025, Bath Town Representatives

Bath, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Rumney, New Hampshire Annual Report Of The Town Offices For Fiscal Year Ending December 31, 2025, Rumney Town Representatives

Rumney, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Town Of Richmond, New Hampshire 2025 Annual Report, Richmond Town Representatives

Richmond, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Novel Socially Assistive Robot For Alzheimer's And Dementia Home Care; Lived Experiences Of Families, Audrey V. Downs

Honors Theses and Capstones

Informal caregivers for individuals with Alzheimer’s disease and related dementias (ADRD) typically experience high levels of subjective caregiver burden due to strenuous role demands, notably the need to provide frequent reminders and 24/7 monitoring to address care recipient cognitive decline. The purpose of this study was to understand the lived experiences of informal caregivers using a novel Socially Assistive Robot (SAR) to care for individuals with ADRD in a home setting and evaluate SAR impact on caregiver subjective burden. SARs are autonomous, interactive devices that can provide timed reminders and monitor home environments, potentially alleviating some caregiver role demands and …

Annual Report For The Town Of Bridgewater, New Hampshire For The Fiscal Year Ending December 31, 2025, Bridgewater Town Representatives

Bridgewater, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

2025 Town Of Walpole, New Hampshire Annual Report Of The Town Officials, Departments, Committees, And Walpole Fire District, Walpole Town Representatives

Walpole, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Kingston New Hampshire Town Report 2025, Kingston Town Representatives

Kingston, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Increasing Colorectal Cancer Screening Rates At A Federally Qualified Health Center: A Quality Improvement Project, Kaeli H. Mcphee

DNP Scholarly Projects

Abstract 

Background: Colorectal cancer (CRC) is on the rise and is currently the second leading cause of cancer-related death in the United States (Wender, 2022). CRC screening rates are below national goals, particularly among underserved populations. At Lowell Community Health Center (LCHC), only 41.9% of eligible adults were up to date with CRC screening as of 2024.

Purpose: This quality improvement project aimed to increase CRC screening rates among average-risk adults aged 45 to 75 by implementing a multifaceted, low-burden intervention targeting both provider and patient behaviors.

Methods: Guided by the Plan-Do-Study-Act (PDSA) framework, the intervention included: (1) provider and …

Development Of An Educational Toolkit For Clinical Staff At Little Rivers Health Care To Guide Shared Decision Making For The Expanded Age Range Of The Hpv Vaccine, Maureen B. Boardman

DNP Scholarly Projects

BACKGROUND: The Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the United States (CDC, 2024). Unlike other common STI's, persistent infection with HPV increases the risk of cancer. A Human Papillomavirus (HPV) vaccination was approved in the United States in 2006 for girls and women aged 9 to 26 and in 2009 it was approved for boys and men in this same age range. Despite 20 years of data on the efficacy and safety of the HPV vaccine, rates of completed HPV vaccine series remain low. In 2019 the Advisory Committee on Immunization Practices (ACIP) expanded …