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Design And Analysis Of An Intermediate Heat Exchanger And Passive Decay Heat Removal System For A Generic Fluoride Salt-Cooled High-Temperature Reactor Application, Bao Hoang Nguyen May 2026

Design And Analysis Of An Intermediate Heat Exchanger And Passive Decay Heat Removal System For A Generic Fluoride Salt-Cooled High-Temperature Reactor Application, Bao Hoang Nguyen

Nuclear Engineering ETDs

Generation IV reactors, such as the Fluoride salt-cooled High-temperature Reactor (FHR), feature efficient heat transfer and passive heat removal systems. However, accurately predicting thermal behavior under steady-state and transient conditions remains challenging. This work designs and evaluates a twisted tube heat exchanger (TTHX) serving as an intermediate heat exchanger (IHX) and a reactor cavity cooling system (RCCS) serving as a passive decay heat removal system for a generic FHR (gFHR), integrating both systems into a system-level MELCOR model. The TTHX was first designed and assessed using a MATLAB-based framework, followed by detailed MELCOR simulations. The results demonstrate effective heat transfer …


Sensitivity-Informed Resonance Parameter Cross Section Adjustments, Matthew Juan Lazaric May 2026

Sensitivity-Informed Resonance Parameter Cross Section Adjustments, Matthew Juan Lazaric

Nuclear Engineering ETDs

This work details the process of developing several new features into the MCNP6.3 Monte Carlo code for use in uncertainty quantification and reduction. These new capabilities, which include the CLUTCH method of calculating k-eigenvalue cross section sensitivities and the Windowed Multipole method of calculating cross sections, are implemented and verified against previous implementations and existing cross section data, respectively. These capabilities are then combined to produce sensitivities of k-eigenvalue to resonance parameters, which are verified against direct perturbation sensitivity estimates. The resonance parameters are calibrated using linear Bayesian methods and the accuracy of the resulting cross section is evaluated via …


Representativeness And Sensitivity Analysis Of Accident Tolerant Fuel Cladding Behavior In Reactivity-Initiated Accidents, Melissa Andrea Moreno May 2026

Representativeness And Sensitivity Analysis Of Accident Tolerant Fuel Cladding Behavior In Reactivity-Initiated Accidents, Melissa Andrea Moreno

Nuclear Engineering ETDs

Accident Tolerant Fuels (ATFs) such as FeCrAl are being developed to enhance safety margins in light water reactors during transients like Reactivity Initiated Accidents (RIAs). This dissertation evaluates the accuracy and representativeness of TRACE thermal hydraulic models for predicting FeCrAl C36M cladding behavior under steady state and transient flow boiling conditions. Benchmarking against University of New Mexico separate effects experiments shows that TRACE reproduces key thermal trends but underpredicts cladding temperatures near CHF by approximately 25 to 30%. A calibrated uncertainty and global sensitivity analysis, using Sobol indices, demonstrates that CHF and cladding temperature variability are dominated by mass flux, …


The Role Of Cumulative Usage In Language Learning And Language Variation: Evidence From Spanish Voiced Stops, Sarah Lease May 2026

The Role Of Cumulative Usage In Language Learning And Language Variation: Evidence From Spanish Voiced Stops, Sarah Lease

Linguistics ETDs

This dissertation investigates the cumulative repercussions of a word’s typical context of use on lexical representations and speech production, both in cases of language learning and language variation, through the lens of Usage-Based Linguistics. The data come from sociolinguistic interviews with Spanish-speaking children and adults of Mexican heritage living and working in the Pacific Northwestern United States. Each study examines Spanish word-initial /bdɡ/ productions using a myriad of statistical approaches. The dissertation adds to our understanding of the long-term storage of variation in lexical representations, as well as its nuanced impact on children’s and adults’ speech production. The dissertation also …


From Sparse To Precise: Modeling Beam Profiles Using Wavelet-Based Implicit Neural Network (Winn) For Linear Accelerator Commissioning And Quality Assurance, Maryam Ali Albuainin May 2026

From Sparse To Precise: Modeling Beam Profiles Using Wavelet-Based Implicit Neural Network (Winn) For Linear Accelerator Commissioning And Quality Assurance, Maryam Ali Albuainin

Computer Science ETDs

Commissioning and routine quality assurance (QA) in radiotherapy require extensive measurements using bulky water tank systems, making the process time-consuming and costly. This research proposes an efficient framework for radiotherapy commissioning and QA by generating complete LINAC physics data from sparse measurements and developing a portable solid-water detector with embedded diodes for high-resolution dosimetry.

At the core of the framework is a Wavelet-based Implicit Neural Network (WINN) that reconstructs full measurement datasets from limited inputs while maintaining clinical accuracy. The model achieves gamma passing rates above 95% (1%/1 mm) and mean absolute errors below 0.5%, while reducing parameters by 99.46% …


Amplifying Strengths: A Phenomenological Exploration Of Elementary Teachers’ Culturally Proficient Practices With Newcomer Students Through An Appreciative Inquiry Lens, Mary Elizabeth Bradford May 2026

Amplifying Strengths: A Phenomenological Exploration Of Elementary Teachers’ Culturally Proficient Practices With Newcomer Students Through An Appreciative Inquiry Lens, Mary Elizabeth Bradford

Teacher Education, Educational Leadership & Policy ETDs

This qualitative study explored the lived experiences of elementary educators working with newcomer students in a Southwest urban school district, with the purpose of identifying culturally proficient strengths that support student belonging and learning. Guided by an interpretive (hermeneutic) phenomenological approach and informed by Appreciative Inquiry, the study centered educators’ meaning-making rather than deficit-oriented perspectives. Data were collected through in-depth, semi-structured interviews with five elementary educators serving newcomer students across kindergarten through fifth grade. Analysis followed van Manen’s phenomenological methods and resulted in six interrelated themes: belonging before language; school as a cultural system; language as agency and identity; cultural …


Write To Lead: A Document Analysis Of Leadership Communication, Rosenda B. Minella May 2026

Write To Lead: A Document Analysis Of Leadership Communication, Rosenda B. Minella

Teacher Education, Educational Leadership & Policy ETDs

This qualitative study examined how executive leaders at an urban community college in the Southwestern United States used motivating language in written communication. Community colleges face increasing complexity, including enrollment declines, limited resources, and heightened expectations for student success. In this context, written leadership communication helps align organizational goals, build trust, and reinforce institutional values. Motivating Language Theory served as the primary coding framework, with findings interpreted through the lens of Authentic Leadership and informed by AACC Leadership Competencies. Using qualitative document analysis and an AI-assisted workflow to support coding consistency, the study analyzed publicly available executive communications produced over …


Heavy Metal And Metalloid Accumulation In The Gallinas River Following The Hermit's Peak / Calf Canyon Wildfire, Olivia A. Kelly May 2026

Heavy Metal And Metalloid Accumulation In The Gallinas River Following The Hermit's Peak / Calf Canyon Wildfire, Olivia A. Kelly

Geography ETDs

This study evaluates the persistence and bioavailability of heavy metals and metalloids in the Gallinas River three years after the Hermit’s Peak/Calf Canyon Wildfire of 2022 using a multicompartment sampling framework that includes water, sediment, and benthic macroinvertebrate tissue analysis via inductively coupled plasma optical emission spectrometry (ICP-OES) and inductively coupled plasma mass spectrometry (ICP-MS). Results indicate that the Hermit’s Peak/Calf Canyon Fire continues to influence the hydrogeochemical condition of the Gallinas River. Sediments contain elevated concentrations of several metals and metalloids, and these same elements are detectable in macroinvertebrate tissues, linking sediment contamination to biological uptake. Zinc (Zn), silicon …


Statistical And Spectral Theory For Spatially Correlated Random Aperiodic Antenna Arrays, Thomas Edward Christian Jr May 2026

Statistical And Spectral Theory For Spatially Correlated Random Aperiodic Antenna Arrays, Thomas Edward Christian Jr

Electrical and Computer Engineering ETDs

Aperiodic phased arrays enable beam steering, interference suppression, and spectrum efficiency for 6G, radar, biomedical imaging, and distributed sensing. Minimum inter-element spacing and keep out zones induce spatial correlation, violating the i.i.d. element-position assumption behind classical probabilistic random array theory. This dissertation develops a unified probabilistic spectral framework for correlated (non-i.i.d.) arrays. Second moment power pattern analysis incorporates the pair-correlation function  and structure factor , recovering the i.i.d. limit when  and accommodating unequal excitations. Side lobe and main lobe fields deviate from Rayleigh/Exponential and are modeled by weighted Nakagami and Gamma-mixture distributions, parameterized via Monte Carlo. The blue noise spectral …


A Constructional Approach To Multimodal Linguistic Analysis, Fredy A. Mendieta Rodriguez May 2026

A Constructional Approach To Multimodal Linguistic Analysis, Fredy A. Mendieta Rodriguez

Spanish and Portuguese ETDs

This dissertation investigates the systematic organization of co‑speech gestures in referential communication, using data from Spanish‑speaking monolinguals and Spanish–English bilinguals. While traditional gesture research treats pointing as a universal phenomenon, the current analyses show that gestural productions display internal phonological patterning and context‑conditioned variability that parallels spoken constructions. Quantitative results demonstrate how referential distance and communicative context (find‑it versus misunderstanding situations) shape the selection of embodied phonological features—handshape, orientation, movement, and beats—revealing consistent associations between form and interactional demands. Qualitative analyses trace how gestural realizations reduce across discourse as shared understanding emerges. A new complexity metric, based on token frequency …


Realizing The Long Wavelength Array Swarm, Craig Anthony Taylor May 2026

Realizing The Long Wavelength Array Swarm, Craig Anthony Taylor

Physics & Astronomy ETDs

Sensitive modern radio interferometers are costly to build and operate at the university level. The `swarm telescope' concept addresses this challenge by enabling the collaborative use of individual telescope systems, overseen by separate institutions, that come together to form a more powerful and manageable facility. This dissertation focuses on demonstrating this concept using the Long Wavelength Array (LWA) by commissioning an aperture synthesis telescope consisting of interconnected LWA stations, called the LWA Swarm. The presented work details building a cost-efficient prototype LWA platform -- the LWA--North Arm station -- to enable synthesis imaging using the 3-element interferometer comprised of LWA1, …


A Multi-Frequency Investigation Of Compact Symmetric Objects, Evan E. Sheldahl May 2026

A Multi-Frequency Investigation Of Compact Symmetric Objects, Evan E. Sheldahl

Physics & Astronomy ETDs

Some of the brightest objects in the radio sky are jetted active galactic nuclei (AGN), supermassive black holes in the centers of galaxies that accelerate relativistic electrons into twin radio jets. One of the biggest questions surrounding AGN is how they produce radio jets in the first place. We search for an answer to this question by exploring a class of AGN that have uniquely well-constrained physical properties and are thought to be in an early stage of AGN development: compact symmetric objects (CSOs). Throughout our journey with these remarkable sources, we quantify their efficacy as calibrator sources for radio …


A Colonial Past Revisited: An Authethnography Of Outsider And Insider Identities In Indigenous Education Communities, Tara L. Deyoung May 2026

A Colonial Past Revisited: An Authethnography Of Outsider And Insider Identities In Indigenous Education Communities, Tara L. Deyoung

Teacher Education, Educational Leadership & Policy ETDs

In the late 90s, at Rehoboth Christian school, a small private boarding school in northwest New Mexico, I had four different English teachers in my four years of high school. All but two of my teachers at that time would be considered outsiders to the community in which they taught. Teacher outsiders leave schools and districts at higher rates than insiders to a community; this is especially true for rural and remote areas (Hudson et al., 2020). The purpose of this autoethnographic study is to analyze my history as a cultural outsider and insider in relation to my core beliefs …


Millimeter-Wave Antenna Gain Enhancement Through Stacked Planar Substrates, Zachary Bergstedt May 2026

Millimeter-Wave Antenna Gain Enhancement Through Stacked Planar Substrates, Zachary Bergstedt

Electrical and Computer Engineering ETDs

This work presents a new wideband millimeter-wave (mmWave) and sub-terahertz antenna design with flexible directivity through the integration of stepped horn antennas and transverse substrate integrated waveguide (SIW) slots for radar and communication applications. The work gives a theoretical and analytical basis for this filter-inspired approach to improving bandwidth and directivity, and presents design and results for a standalone stepped horn, a Ka-band antenna with a solid stepped horn and SIW feed, and W-band antennas with empty SIW feeds and stepped horns manufactured out of multiple planar layers. The realized antennas show bandwidth up to 40% and gain up to …


Calibration Methodology, Diagnostic Performance, And Redesign Of The Current Monitors On The Z Machine At Sandia National Laboratories, Stacie Hernandez May 2026

Calibration Methodology, Diagnostic Performance, And Redesign Of The Current Monitors On The Z Machine At Sandia National Laboratories, Stacie Hernandez

Electrical and Computer Engineering ETDs

A proper evaluation of the current diagnostics fielded in the inner-MITL region of the Z facility in 3D simulation models had not been performed until now. The evaluation of the current monitors has brought insight to their performance in a new view that has led to discoveries. The B-dot probe was the current diagnostic-of-choice since before the refurbishment of the Z facility [1] and until the development of the Inductively Driven Transmission Line (IDTL) current diagnostic [2]. Experimental data has shown that the IDTL can produce cleaner signals and it is more robust than conventional B-dots. Simulation (modeled using COMSOL …


Hierarchical Safe Reinforcement-Learning Framework For Mission-Aware, Edge-Enabled Multi-Uav Iot Networks, Abee F. Alazzwi May 2026

Hierarchical Safe Reinforcement-Learning Framework For Mission-Aware, Edge-Enabled Multi-Uav Iot Networks, Abee F. Alazzwi

Electrical and Computer Engineering ETDs

This Ph.D. dissertation presents a unified Hierarchical Safe Reinforcement Learning (HSRL) framework for mission-aware, edge-enabled multi-UAV Internet of Things (IoT) networks. The work addresses the need for autonomous aerial infrastructures capable of delivering low-latency communication, scalable edge computation, and provably safe operation in dynamic environments. The dissertation develops three primary contributions. First, it formulates longhorizon drone base station placement and load balancing as a strategic actor–critic learning problem, enabling proactive adaptation to spatiotemporal demand variations. Second, it introduces a mission-aware multi-agent reinforcement learning controller for coordinated mobility, sensing, and computation offloading under latency and energy constraints. Third, it integrates a …


Automation, Migration, And Development: Geography Of Job Precarity In South Asia And North Africa, Keshav Bhattarai, Ambika P. Adhikari May 2026

Automation, Migration, And Development: Geography Of Job Precarity In South Asia And North Africa, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

This article examines how accelerating automation and the adoption of artificial intelligence (AI) in advanced economies reshape labor markets across the Global South through interconnected channels of production, migration, and remittances. Drawing on the theories and practices of economic geography, labor economics, and development studies, the analysis conceptualizes automation as a transnational shock that contracts demand for migrant labor while simultaneously amplifying employment precarity in labor-surplus economies. The article advances a geographically grounded framework linking technology adoption in core industries with labor displacement, youth unemployment, and urban labor saturation in South Asia and North Africa. It further highlights the macroeconomic …


Fault Location In Dc Microgrids Using Traveling Waves, Sajay Krishnan Paruthiyil May 2026

Fault Location In Dc Microgrids Using Traveling Waves, Sajay Krishnan Paruthiyil

Electrical and Computer Engineering ETDs

In DC power systems, rapid fault location is crucial for maintaining reliable operation, particularly with the prevalence of DC-DC converters. This study investigates fault location techniques in DC systems utilizing Traveling Waves (TWs). Following data normalization, multi-resolution analysis employs discrete wavelet transform to capture high-frequency patterns of TW's wavelet coefficients. Parseval's theorem is utilized to quantify the energy of these coefficients. First, a curve-fitting technique is employed to estimate fault locations in DC microgrids. Then, two transfer learning approaches are proposed: first approach integrates Parseval energy curves into a Gaussian process estimator, while second employs feedforward neural network for fault …


Active Brazing Of Single Crystal Al2o3 To Kovar Alloy With Agcuzr Filler Metal, Anthony M. Mcmaster May 2026

Active Brazing Of Single Crystal Al2o3 To Kovar Alloy With Agcuzr Filler Metal, Anthony M. Mcmaster

Mechanical Engineering ETDs

Brazing provides high strength and hermetic joining between metal, ceramic, and composite materials. Origins of the brazing process trace back to 3000BC, yet the technique continues to maintain relevance and demand across aerospace, medical, electronic, optical, and mechanical engineering. Here, single crystal Al2O3 (sapphire) was joined to Kovar in a single step via an AgCuZr active braze filler metal. The microstructure of the completed joint was investigating using microscopy and spectroscopy techniques. A unique braze chamber, paired with an optically clear top substrate (sapphire), allowed further investigation into the dynamics of the active braze process via in situ video monitoring. …


The Role Of Gender And Salient Social Identities In Producing Vulnerability And Maladptation To Flooding In Koraso, Berekum, Ghana, Kingsley Damoah Oppong May 2026

The Role Of Gender And Salient Social Identities In Producing Vulnerability And Maladptation To Flooding In Koraso, Berekum, Ghana, Kingsley Damoah Oppong

Geography ETDs

This paper highlights how social identities like polygamy, illiteracy, and ethnicity hinder rural women farmers in Ghana from adapting to climate change. It advocates for an intersectional approach to address these challenges, moving beyond simplistic gender binaries. Using qualitative interviews (n=49) in a flood-prone village in Berekum, Ghana, the study reveals how these identities intersect with gender roles and colonial legacies, exacerbating vulnerability. It bridges Black feminist thought with climate change, an underexplored area, offering insights into climate change and environmental studies, as well as Black feminist scholarship. This research urges a reevaluation of how we understand climate change in …


Peace Corps Recruitment: Info Session, Anastasia Bannikova May 2026

Peace Corps Recruitment: Info Session, Anastasia Bannikova

LAII Events

Serving in the Peace Corps is a great way to immerse yourself in a new culture, learn a new language, and make a lasting impact. Join us at this information session to learn about Volunteer experiences, ask questions about service, and gain tips to guide you through the application process.

Anastasia Bannikova Anastasia Bannikova is the Senior Regional Recruiter for Peace Corps serving New Mexico, Arizona, Utah, and Colorado. She graduated from Lock Haven University of Pennsylvania and is a Returned Peace Corps Volunteer who served in Ghana, Ukraine, and Armenia in a variety of roles. Some of her most …


H5p Activity Log, Jacob Lujan May 2026

H5p Activity Log, Jacob Lujan

Publishing Collection

This H5P Activity Log documents the structured design, placement, and quality tracking of interactive learning activities within an educational resource. It captures key instructional elements including activity type, learning objectives, pedagogical purpose, and user interaction settings such as attempts, feedback visibility, and scoring criteria. The log also integrates workflow management fields—such as assignment, review status, and readiness checks—to support collaborative content development and quality assurance. By combining instructional design metadata with project tracking, the log functions as both a pedagogical planning tool and a production management system, enabling consistent implementation of interactive learning experiences aligned with defined educational outcomes.


Exploring Policy Change To Support Early Diagnosis Of Congenital Heart Defects (Chd) In New Mexico, Kelsey Carson Leibenhaut May 2026

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

Doctor of Nursing Practice Scholarly Projects

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 …


The "Confidential Whispers" Of Charles Francis Adams From His Teens Through Marriage At Age 22, Mitchell Jay Freedman May 2026

The "Confidential Whispers" Of Charles Francis Adams From His Teens Through Marriage At Age 22, Mitchell Jay Freedman

History ETDs

The early diaries and letters of Charles Francis Adams (1807-1886) reveal, contrary to previous scholarship, a passionate and sensitive young man engaged in multiple social activities with male and female friends and family, as well as enjoying licentious and respectful personal relationships with women. CFA was strategic with whom he was friendly or reserved, rooted in his hostility towards “hangers-on” and “hypocrites.” CFA also read widely both fiction and non-fiction with an affected sensitivity consistent with his desire for a literary-oriented life, the latter most reflected in his later curating his forebears’ papers. CFA’s early life experiences led CFA to …


Dungeons And Dragons As Game-Based Learning, Moses Allen May 2026

Dungeons And Dragons As Game-Based Learning, Moses Allen

Language, Literacy, and Sociocultural Studies ETDs

This phenomenological qualitative study explored the use of the Dungeons and Dragons (D&D) Role-Playing Game as a Game-Based Learning (GBL) model, measuring middle school student perceptions of engagement, motivation, and skill development through interactive storytelling. The study used a Practitioner Research theoretical framework and Thematic Analysis to identify emergent themes from the collected data. The study included gameplay of D&D after school with a small group of participants grades 6-8. Results indicated that participants reported consistently high levels of motivation and engagement. Participants perceived that D&D gameplay promoted the development of 21st Century Skills and middle school curricula skills, specifically …


Ambient Air Pollution In New Mexico: Nurse Practitioner Awareness, Mckenzie Hemmes, Grayson Kemp May 2026

Ambient Air Pollution In New Mexico: Nurse Practitioner Awareness, Mckenzie Hemmes, Grayson Kemp

Doctor of Nursing Practice Scholarly Projects

Ambient air pollution is a significant public health concern in New Mexico and contributes to respiratory disease, cardiovascular illness, and adverse pregnancy outcomes (Dominski et al., 2021; Di et al., 2022). Despite well-established evidence linking environmental exposures to health outcomes, environmental exposure screening is not routinely incorporated into clinical practice. The purpose of this Doctor of Nursing Practice (DNP) project was to improve environmental health literacy (EHL) among advanced practice registered nurses (APRNs) in New Mexico and to increase their intention to integrate ambient air pollution exposure screening and mitigation counseling into routine clinical practice. A virtual educational intervention guided …


The Las Cruces International Mariachi Conference: Breaking Down Constructed Borderlands, Melissa Rios May 2026

The Las Cruces International Mariachi Conference: Breaking Down Constructed Borderlands, Melissa Rios

Music ETDs

Despite its significant contribution to the educational mariachi movement in the United States, the history of the Las Cruces International Mariachi Conference (LCIMC), established in 1994, remains largely absent from existing scholarship. This study offers a historical account of mariachi music in Las Cruces and the development of the LCIMC, establishing a foundation for future research on mariachi music in the Mesilla Valley. Distinct from other mariachi conferences that emerged at the turn of the 21st century, the LCIMC was shaped by its location in a border city in New Mexico. Conceptualizing both physical borders and metaphorical border spaces as …


From Synapse To Circuit: Mechanisms Of Behavioral Flexibility And Its Restoration After Prenatal Alcohol Exposure, Jayapriya Chandrasekaran May 2026

From Synapse To Circuit: Mechanisms Of Behavioral Flexibility And Its Restoration After Prenatal Alcohol Exposure, Jayapriya Chandrasekaran

Biomedical Sciences ETDs

Behavioral flexibility—the ability to adapt behavior when contingencies change—is a fundamental executive function supported by orbitofrontal–striatal circuitry. This dissertation examined molecular, motivational, and circuit mechanisms underlying flexibility and its restoration after prenatal alcohol exposure (PAE). In healthy mice, GluN2B-containing NMDA receptors in the orbitofrontal cortex increased during outcome updating, while AMPA receptor subunits in the dorsal striatum rose during new learning, defining temporally distinct plasticity processes. PAE impaired reversal learning under low-reward conditions, but not when motivation was high, indicating altered thresholds for circuit engagement rather than permanent loss. Finally, optogenetic stimulation of OFC→dorsal striatum projections rescued flexibility in PAE …


At The Intersection Of Policy, Mission, And Student Needs: How New Mexico Higher Education Professionals Make Transfer Decisions, Roberto P. Vasquez May 2026

At The Intersection Of Policy, Mission, And Student Needs: How New Mexico Higher Education Professionals Make Transfer Decisions, Roberto P. Vasquez

Teacher Education, Educational Leadership & Policy ETDs

Transfer is a critical step for community college students pursuing a bachelor’s degree, yet it remains a complex and inconsistent process. Transfer research highlights tensions related to student experience, institutional mission, and state transfer policy that higher education decision-makers must navigate.

This qualitative study examined how New Mexico higher education decision-makers experience these tensions in practice. Using narrative inquiry, thematic analysis was conducted on interviews with purposively selected decision-makers. Decision-maker stories were interpreted through a Critical Leadership Theory lens, examining how power, discretion, and institutional context shape transfer practices.

Findings indicate that policy is unevenly enacted, with institutional discretion significantly …


Improving Identification And Referral Of Xylazine‑Associated Wounds In Homeless Healthcare, Ramon A. Gambino Apr 2026

Improving Identification And Referral Of Xylazine‑Associated Wounds In Homeless Healthcare, Ramon A. Gambino

Doctor of Nursing Practice Scholarly Projects

Background: Xylazine-adulterated fentanyl is linked to distinctive necrotic wounds and complex care needs in unsheltered populations. This quality improvement (QI) project implemented a brief survey and referral log at Albuquerque Health Care for the Homeless (AHCH) to track suspected xylazine-associated wounds and referrals to advanced care. Methods: Final data were exported from Qualtrics, cleaned to retain finished responses, standardized categories, and de-identified. The analytic sample included 18 encounters. Results: Results showed that 55.6% (n = 10) documented suspected xylazine-associated wounds; 5.6% (n = 1) reported no suspicion; 38.9% (n = 7) were uncertain. Referrals were rarely documented overall at AHCH …