Digital Commons Network^™

Increasing Compliance In Pain Reassessment And Documentation In An Acute Care Facilityy, Kriss S. Jones

Doctor of Nursing Practice (DNP) Scholarly Projects

Purpose: This guideline-directed project aimed to increase registered nurse (RN) compliance with documenting pain reassessment in an adult medical-surgical unit at an acute care facility.

Background: Proper documentation is crucial for clinical decision-making and legal and ethical reasons. The Joint Commission (TJC) has standardized pain documentation requirements to ensure consistent assessment, recording, and management across healthcare settings. Non-compliance can lead to misdiagnosis, inadequate treatment, patient dissatisfaction, and legal consequences. Accreditation bodies audit medical records, and non-compliance may result in penalties, financial losses, or loss of accreditation. Adherence is a clinical best practice and strategic necessity for healthcare organizations. Methodology: A …

Enhancing Breast Cancer Screening Uptake In Hispanic Women Residing In Rural Texas Through A Quality Improvement Project, Bianca Batchelor-Salazar

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Breast cancer remains a leading cause of cancer-related mortality among women in the United States. Despite the effectiveness of mammography in early detection, Hispanic women in rural communities experience lower screening rates due to socioeconomic, cultural, and access-related barriers. At a rural South Texas clinic, the baseline screening rate among Hispanic women aged 50–74 years was 70.6%, below national benchmarks.

Purpose: To increase breast cancer screening compliance among Hispanic women aged 50–74 years in a rural South Texas family practice clinic.

Methods: Guided by the Lean A3 quality improvement framework, this project implemented a multifaceted intervention bundle that included …

Early Pressure Injury Identification And Intervention In Emergency Department Older Adults Who Are Admitted Into A Community Hospital Intensive Care Unit, Lisa M. Britt

Doctor of Nursing Practice (DNP) Scholarly Projects

A clinical gap was identified when reviewing a hospital acquired pressure injury (HAPI) dashboard from a 369- bed, acute care community hospital located in North Texas. Fifty percent of HAPIs acquired occurred in older adults, aged 60 or higher, who were admitted into the intensive care unit (ICU) from the emergency department (ED). A retrospective review of the electronic health records (EHR) demonstrated that none of the patients had received HAPI prevention interventions while they were in the ED and the inconsistent document of skin assessments resulted in identification of few HAPIs present on admission (POA). The purpose of this …

Shared Decision-Making To Improve The Vaccination Rate Among Older Patients, Muxian Chen

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Vaccines recommended for patients over the age of 50 include those for influenza (Flu), COVID-19, respiratory syncytial virus (RSV), pneumococcal disease, shingles, hepatitis A, hepatitis B, and a booster dose of the Tetanus, diphtheria, and pertussis (Tdap) vaccine every 10 years (American Association of Retired Persons, 2025). Unfortunately, these vaccines are often not adequately discussed during patient visits or are mentioned only briefly, without a clear plan for administration (American Association of Retired Persons, 2025). A vaccination bundle, which included resources for all vaccines and the opportunity to receive vaccines such as flu, COVID-19, RSV, Pneumococcal, Tdap, shingles, and …

A Chronic Pain Self-Management Quality Improvement Bundle For Veterans, Srijana D. Baniya

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction: Veterans often face challenges accessing care services due to limited awareness of available resources for support, Self-care, and mental health (Harding et al., 2019; Patel et al., 2024). Given the high prevalence of Chronic pain and opioid use in this population, Self-management (SM) education and non-pharmacologic interventions are required to address the biological, psychological, and social effects of pain (Bair et al., 2015; Mumba et al., 2024; Nahin, 2017; Higgins et al., 2020). This Quality improvement project aims to determine whether implementing an evidence-based SM bundle for chronic pain improved Pain severity scores and increased understanding of SM strategies. …

Implementation Of The Downes Scoring Tool, Jennifer Oney

Doctor of Nursing Practice (DNP) Scholarly Projects

Background

Respiratory Distress Syndrome (RDS) is a leading cause of morbidity and mortality in premature infants. It is managed with continuous positive airway pressure (CPAP), but CPAP can mask the signs of RDS, and delay surfactant therapy.

Purpose

This quality improvement project (QI) was to assess healthcare providers’ confidence in RDS and surfactant therapy through pre- and post- surveys and provided education on RDS and the implementation of the Simplified Downes Scoring Tool to assess respiratory distress in premature infants (25-36 weeks gestation).

Methods

In a Level III NICU, healthcare providers received education on RDS and the scoring Tool, they …

Deterministic Black-Box Context-Free Grammar Inference: Scaling From Small To Big Languages, Mohammad Rifat Arefin

Computer Science and Engineering Dissertations

Context-free grammars are essential for a number of software engineering tasks like program understanding, debugging, and grammar-based testing. However, formal language descriptions (i.e. grammars) are often unavailable, outdated, or inaccessible because parsers are closed-source or cannot be instrumented. Black-box grammar inference addresses this gap using only valid sample programs and parser acceptance decisions. The problem is challenging because finite samples rarely exercise all language features or their combinations, while the inference process cannot inspect the parser’s internal representation of syntax. This dissertation develops deterministic techniques for black-box context-free grammar inference. The first tool, TreeVada introduces the structural assumption that balanced …

“None In Velvet Gowns”: Camp Followers And White Womanhood In Eighteenth-Century Anglo-American Warfare, Angelica Labren Torres

History Theses

For over two hundred years, women who followed American and European armies during the long eighteenth century were popularly stereotyped and denigrated as prostitutes, burdens, and generally individuals of ill repute by both contemporaries and subsequent generations of historians. While recent scholarship has largely debunked this long-standing characterization as simplistic and inaccurate, the question remains: why exactly were these women so mischaracterized in their own time, particularly by commissioned officers and other members of Anglo-American middling and elite classes, when ample evidence existed of their material usefulness and comparative marital fidelity? This thesis seeks to address the ideological and cultural …

Aging With A Chronic Illness: Symptom Burden, Everyday Challenges, And Quality Of Life Among Older Adults With Multiple Sclerosis, Swasati Handique

Social Work Dissertations

This three-article study examined the quality of life and everyday lived experience of older adults living with multiple sclerosis (MS). The first article is a scoping review of 14 peer-reviewed studies published between 2012 and 2025, conducted in accordance with Arksey and O’Malley’s five-stage framework and the PRISMA checklist. The second article is a cross-sectional study using the Aging Concerns, Challenges, and Everyday Solution Strategies (ACCESS) Phase II data set of 60 older adults living with MS. Multiple linear regression and moderation analysis was conducted to examine the association between physical symptom burden and quality of life, and whether participation …

Behind The Curtain: A Literature Review Of Personal And Ecological Risk Factors And Current Multi-Level Interventions For Performing Artists, Christopher A. Robles

Social Work Theses

Performing artists experience psychological distress, including anxiety, depression, burnout, and substance use disorders, at rates significantly exceeding those of the general population. Guided by Bronfenbrenner’s Ecological Systems Theory (EST) and the Person-in-Environment (PIE) perspective, this structured literature review synthesizes research published between 2010 and 2026 to examine individual personality traits, environmental stressors across meso- and macro-systems, and existing multi-level mental health interventions for performing artists. Findings reveal that while traits such as high openness to experience, sensory processing sensitivity, and perfectionism foster artistic expression, they also heighten vulnerability to occupational stressors, financial precarity, social isolation, and venue-based substance exposure. Current …

Cross-Layer Supervisory Control For Low-Altitude Uav Swarm Networks, Nitin Singh Rathore

Computer Science and Engineering Theses

Low-altitude unmanned aerial vehicle (UAV) swarms are increasingly used in applications such as aerial sensing, disaster response, and communication support, where reliable operation under dynamic and uncertain conditions is essential. In these environments, performance degradation arises from multiple sources, including external disturbances, sensing uncertainty, and communication impairments. Although these effects originate from different layers of the system, such as dynamics, observation, and networking, they often manifest as similar tracking or coordination errors. Conventional control approaches, which rely primarily on error-driven feedback, do not explicitly account for the underlying cause of these deviations, limiting their effectiveness in multi-agent settings. This thesis …

Effects Of Metals On Persulfate Activation For The Decomposition Of Pfas, Malu Deav Devadasan

Civil Engineering Dissertations

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental contaminants widely used in industrial and consumer products due to their unique physicochemical properties. Their resistance to degradation, potential for bioaccumulation, and associated adverse health effects have prompted increasing regulatory attention, including the establishment of drinking water standards for six PFAS compounds by the U.S. Environmental Protection Agency in 2024.

Current PFAS treatment technologies are often energy-intensive and costly or generate secondary waste streams requiring further management. Meanwhile, this research investigated transition metal-catalyzed advanced oxidation processes for PFAS decomposition in water under ambient conditions. Previous studies demonstrated effective degradation of perfluorocarboxylic acids …

Gaussian Process Regression–Based Uncertainty Quantification For Unmanned Aircraft System Traffic Management And Advanced Air Mobility Applications, Aakarshan Khanal

Mechanical and Aerospace Engineering Dissertations

Uncertainty quantification has gained significant attention in recent years as a research area in dynamical systems. Mathematical representations of the physical system, combined with an understanding of model uncertainties, enable the propagation of uncertainty in temporal space, which allows us to make informed decisions. However, what if the true dynamics of the system is unknown or too complex to define explicitly? In such cases, the system’s behavior can instead be inferred or learned from observed input–output data rather than from an analytical or physics-based model. To this end, this dissertation focuses on developing a data-driven framework for nonparametric dynamics modeling, …

Trustworthy Multimodal Ai For Medical Imaging: Enhancing Diagnosis, Reasoning, And Human-Agent Interaction In Extended Reality, Jai Prakash Veerla

Computer Science and Engineering Dissertations

The transition from traditional microscopy to digital pathology has digitized diagnostic data, yet clinical workflows remain constrained by two-dimensional screens and passive, opaque analysis tools that fail to capture the spatial complexity of biological systems. While Foundation Models now promise to reason across histology and genomics, a critical disconnect persists between the richness of this data and the limited cognitive bandwidth of clinicians, who currently lack the immersive interfaces and trustworthy agents necessary to utilize it effectively. This dissertation presents a unified framework for "Embodied Agentic AI," establishing a pipeline that augments physician capabilities through immersive visualization, robust security, and …

Poorly Controlled Type 2 Diabetes (T2dm) In A Rural County In Texas: A Diabetes Intervention Bundle, Roxanne Morales

Doctor of Nursing Practice (DNP) Scholarly Projects

Type 2 diabetes mellitus (T2DM) remains a significant public health concern, particularly in rural and underserved communities where patients often face barriers to effective self-management. This quality improvement (QI) project evaluated the impact of a diabetes intervention bundle consisting of individualized diabetes education, biweekly support phone calls, and digital self-monitoring tools on glycemic control, body weight, diabetes knowledge, medication adherence, diet compliance, and physical activity. The project was implemented over an eight-week period in a rural family medicine clinic and included 18 adults with uncontrolled T2DM (HgbA1c >7%). Participant outcomes were evaluated using pre- and post-intervention clinical measures, the Diabetes …

Beyond Permissions: A Privacy And Security Analysis Of Sensor And Network Activity On Xr Devices Using Xrmonitor, Gayatri Sravya Siripurapu

Computer Science and Engineering Theses - Archive

Standalone virtual reality headsets integrate multiple sensors and cameras whose runtime behavior is not transparently documented, creating potential privacy and security risks that are difficult to audit using existing tools. The relationship between software feature activation and the underlying hardware engaged at runtime remains opaque, limiting the ability of users and researchers to assess what data is being collected and when.

This thesis presents XRMonitor, a unified framework for monitoring and analyzing sensor activation behavior and network traffic on Meta Quest devices. The framework is motivated by the lack of transparency in how standalone XR devices engage their hardware sensors …

Preliminary Investigation Of The Carbon Storage Potential In The Fort Worth Basin: Reservoir Characterization And Modeling Of The Lower Atoka Grant South Sand In Tarrant County, Texas, Mary Ann M. Moody

Earth & Environmental Sciences Theses

Carbon capture and storage (CCS) is crucial for mitigating atmospheric carbon dioxide (CO₂) emissions that rise from industrial activities. Paleozoic sedimentary basins in Texas are significant reservoirs for hydrocarbon production, and when depleted, show promise for CCS. Long-term reservoir storage suitability requires a multifaceted approach, including site screening and ranking, as well as reservoir characterization, modeling, and simulation. This project first evaluates the CCS potential for the Fort Worth Basin in North Central Texas, then focuses on reservoir characterization of the Lower Atoka Grant South (STH) Sand in Tarrant County and finally assesses the sand’s CO₂ storage …

“The Irishmen – Immigrants, Soldiers, And The Spark Of Revolutions”, Joshua Hanscheck

History Theses

The Irish, as a people and a revolutionary inspiration, have been the subject of research and discussion for much of the late twentieth and twenty-first centuries. A trope has emerged that the Irish could take over the world, if they were not so busy chasing the bottom of their pub glasses, but the trope – stereotypes about Irish drinking aside – is grounded in some truth. The diaspora encouraged many things: a revival in Gaelic culture, a general disdain among outsiders for the Irish as a people group, and, most importantly, a revolutionary fervor that seemed almost infectious. This fervor …

Toward Interpretable Multi-Omics Multimodal Biomedical Artificial Intelligence, Yanjun Lyu

Computer Science and Engineering Dissertations

The complexity of human disease arises from biological processes that unfold across multiple scales, from molecular variation through cellular function, tissue organisation, brain phenotypes, each of which is associated with distinct measurement modalities, regularities, and characteristic. Contemporary biomedical artificial intelligence has brought the opportunity to reveal the complexity with in; however, its methodological default, in which models are trained on most readily available modality, does not adequately engage with the multi-scale connected structure by which biological meaning is constituted. The research area of multi-omics and multi-modal AI for biomedicine remains at an early exploratory stage, and the work presented in …

Pre-Training And Interpretability In Deep Learning Models, Weizhi An

Computer Science and Engineering Dissertations

In the evolving field of artificial intelligence, the efficacy of deep learning models is often gated by the quality of their training and the clarity of their decision-making processes. This dissertation addresses these crucial challenges by focusing on two key areas: enhancing pre-training strategies and improving model interpretability. Our approach is twofold, integrating novel pre-training methodologies that embed domain-specific knowledge early in the model training process, and developing advanced techniques for disentangling and clarifying the decision-making mechanisms within these models. The first direction of our research employs MoDNA, a motif-oriented pre-training framework specifically designed for DNA language models. By leveraging …

Uncertainty Quantification, Propagation & Conjunction Assessment In Orbital Mechanics Using Generalized Polynomial Chaos Expansion & 2-Dimensional Conjunction Plane Analysis Techniques, Monalisa Karim

Mechanical and Aerospace Engineering Theses

Uncertainties, that are inherent to dynamic models, can be associated with state initial conditions, force modelling errors, navigation and actuation errors. In system modelling stochastic differential equations are used to represent dynamic phenomena with uncertainties, for which the solutions are probability density functions of quantities of interest characterizing the realization of the stochastic processes. In Polynomial Chaos Expansion (PCE) propagation, these solutions are represented as weighted sums of multivariate spectral polynomials that are functions of the input random variables. Generalized polynomial chaos expansion (gPC) is an extension to the original homogenous PCE which projects the random solution onto a basis …

Flow Injection Determination Of Fluoride For Total Organic Fluorine Analysis, Memona Zulafiqar

Chemistry & Biochemistry Theses

Poly- and perfluoroalkyl substances (PFAS) are anthropogenic chemicals that have gained increasing attention due to their association with a wide range of adverse health effects. These compounds are highly diverse, with approximately 15,000 PFAS reported. Their exceptional environmental stability and strong tendency to bioaccumulate result in environmentally relevant concentrations that typically occur at very low levels, often in the ng L⁻¹ range. This chemical diversity presents a major analytical challenge, as reference standards are available for only a limited number of PFAS. Consequently, conventional targeted analytical methods frequently quantify less than 1% of the total PFAS present, leading to a …

Liutex - A Fluid Vortex, Oscar Alvarez

Mathematics Dissertations

Fluid vortices are found everywhere in our universe. A vortex can take the form of almost anything - from the classical spiral vortex to chaotic plumes. Defining a vortex physically and mathematically is absolutely necessary if we desire to study vortices and their interactions with each other as well as our physical world. Fluid vortices are incredibly important in the study of turbulent flows. From determining wear, optimizing design for better flow, efficiency, etc., to even predicting the weather on Earth or other planets, having the ability to measure vortices in fluid flow is invaluable. In this study, I investigate …

Reliability-Based Performance Evaluation Of Slurry Wall For Leakage Control At Chakaria Landfill, Bangladesh, Shishir Bhandari

Civil Engineering Theses

Landfill leachate threatens groundwater quality in low-lying coastal Bangladesh, where a shallow water table and a discontinuous natural clay barrier heighten contamination risk beneath municipal solid waste sites. At the Chakaria Landfill in Cox's Bazar District, a cement-bentonite slurry wall was proposed as a vertical cutoff to control seepage, but its reliability under the site's high-groundwater condition had not previously been evaluated in probabilistic terms.

This study evaluated the wall's performance using a two-dimensional SEEP/W finite-element seepage model, a validated response surface (RSM) equation relating seepage rate to wall permeability, thickness, depth, and a Hasofer-Lind first-order reliability (FORM) analysis built …

Integrative Approaches And Data Analysis For Single-Cell Rna Sequencing Data, Teng Long

Computer Science and Engineering Dissertations

The rapid growth of single-cell RNA sequencing and transcriptomic datasets has created major computational challenges in causal discovery, representation learning, and biologically faithful data generation. To address these challenges, this dissertation presents three complementary deep learning frameworks for the analysis and modeling of transcriptomic data. Together, these methods form an integrative computational toolkit for understanding complex biological systems from high-dimensional and heterogeneous gene expression data.

First, this dissertation introduces DAG-VAERL, a causal discovery framework that integrates variational autoencoders, graph neural networks, reinforcement learning, and attention mechanisms to infer directed acyclic graphs for gene regulatory network analysis. DAG-VAERL improves causal structure …

Synthetic Contact Zones: Meeting Nature And Animals In Video Games, Sarah C. Mcpherson

English Theses

Due to economic and environmental barriers, encounters with animals and nature have become increasingly inaccessible for many people, while video games have emerged as a common site for simulated environmental interaction. This thesis conceptualizes video games as synthetic contact zones, or digital spaces where representations of humans, animals, and environments interact, conflict, and shape one another. Drawing on the theories of Mary Louise Pratt, Donna Haraway, and Alenda Y. Chang, this project analyzes how video games model relationships between players, animals, and ecological systems through interactive mechanics and environmental storytelling. Explorations of Red Dead Redemption 2, Blair Witch, …

Too Warm To Lead? How Motherhood And Racioethnicity Shape Perceptions Of Warmth And Competence, Patricia Guerrero

Management Dissertations

Women continue to face workplace bias, including wage disparities (Fry & Aragao, 2025) and barriers to advancement like the glass ceiling (Babic & Hansez, 2021). For mothers these challenges are compounded by stereotypes tied to their maternal status, such as assumptions about reduced commitment and the motherhood penalty (Arena Jr. et al., 2023). Research shows mothers are often viewed as warmer but less competent than non-mothers, which can hinder career progression (Cuddy et al., 2004; Heilman & Okimoto, 2008). Racial and ethnic stereotypes further shape perceptions, with Black women often labeled as “aggressive” and Latinas as “nurturing” (Ghavami & Peplau, …

Enhancing The User Experience Of Colorado Bend State Park Through The Implementation Of Cultural Landscape Analysis, Hunter C. Lynch

Landscape Architecture Masters & Design Theses

This design thesis investigates how landscape character and sense of place can be more clearly expressed through a cultural landscape approach to design at Colorado Bend State Park, a state park in Texas, with a focus on guiding future trail and campsite development in the currently undeveloped eastern portion of the park.The park’s dramatic canyons, limestone bluffs, spring-fed systems, and upland prairies form a series of distinct, yet interconnected landscape conditions shaped by the interaction of physical structure, ecological systems, and cultural associations. While these characteristics define the site's identity and are reflected in portions of the existing park, they …

Voice And Student Engagement With Writing: Integrating Perspective, Personality, And Style, Sara S. Martin

English Dissertations

The rise of generative AI has many teachers worried about the future of writing classes and students’ desire to learn. However, instructors can motivate students to write by valuing what AI can never replace: their voices. Previous definitions of voice took the concept for granted and left it either vague or reductive, unhelpful for structured lessons. I propose a new, more teachable definition of voice as perspective, personality, and style. Perspective takes priority because it belongs solely to the individual and the unrepeatable moment of composition. Personality infuses passages with emotion, forming a bond between author and reader. Style, the …

(Trans*)Gressing Discourse: Producing And Disrupting Normativity In Education For Trans* Students With Dis/Abilities, Meagan Meredith

Educational Leadership & Policy Studies Dissertations - Archive

This dissertation investigates how political rhetoric, education policy, and educational community member discourse construct, circulate, and contest meanings about trans*ness and dis/ability in K-12 public schools. In doing so, the study examines how meanings about normativity are discursively produced and disrupted for students living at this specific intersection. Grounded in a trans* methodology, this study performs a critical discourse analysis through a rhizomatic reading of policy texts, political rhetoric, and publicly available stakeholder discourse. This work responds to a gap in the literature that fails to understand the complexities experienced by trans* students with dis/abilities, particularly in hostile school climates. …