Digital Commons Network^™

An Education Project To Address Pain Management Solutions For Adult Clients With Ue Involvement To Reduce Dependence On Pharmacological Options To Increase Comfort And Performance With Life Activities, Alexander J. Birdsall

Student Capstone Papers

Upper extremity (UE) pain affects approximately 30.7% of adults in the United States and is associated with decreased function and participation. Despite evidence supporting non-pharmacological approaches, pharmacological interventions remain commonly used. This capstone project implemented and evaluated an occupation-based educational program to promote non-pharmacological pain management among adults receiving outpatient occupational therapy for UE conditions. This 14-week project included 10 participants and utilized a mixed-methods design with pre-, mid-, and post-surveys. The program consisted of an introduction and three modules addressing therapeutic movement, physical agent modalities, and sensory regulation. Outcome measures included pain, activity engagement, medication use, confidence, and program …

Inequality And Well-Being, Sarah E. Boslaugh

Theses

Human well-being has been a topic of interest to philosophers at least since the time of Aristotle, and well-being has also been a core concern of social scientists since the birth of the discipline in the late 18^th century. Some theories of well-being include economic inequality as a factor, and multiple ways to measure this factor have been developed; as with well-being, there is no single best measure of economic inequality and the choice of which measure to use may be based on both theoretical and practical reasons. I argue that income inequality should always be included as a …

Secondary Contact Dynamics In White-Breasted Nuthatches (Sitta Carolinensis) Across The Pine Ridge Of Nebraska, Eugene A. Huryn

Biology Theses, Dissertations, and Student Creative Activity

Populations’ interactions in contact zones are important for understanding divergence dynamics of closely related taxa. Such interactions may vary from inter-population divergence being reinforced to secondary contact resulting in the creation of a hybrid swarm. The ecology of each lineage, and different factors like behavior and ecological niches, may impact the outcome of such contact. However, there is little current research on how habitat choice at local scales might reflect distinct populations, particularly in cryptic species. To study how niche dynamics affect diversification, we studied the White-breasted Nuthatch (Sitta carolinensis) complex in northwestern Nebraska. Two members of this …

Resource-Aware Cooperative Perception For Autonomous Driving, Matthew Magee

Theses

In recent years, many new vehicles equipped with autonomous driving capabilities have been deployed around the world, but they still have a number of failure cases. One proposed solution to improve performance in these scenarios is cooperative perception, a paradigm in which vehicles communicate with other vehicles and nearby sensors to collect additional perception information about the environment. Prior work has demonstrated that cooperative perception can be accomplished with the high accuracy and low latency needed for autonomous driving. However, state-of-the-art systems rely on unrealistic assumptions about the conditions of the network connections between participating nodes and the compute resources …

Hypertext Transfer Protocol Fingerprinting: Techniques For Attacker-In-The-Middle Proxy Detection, Evasion, And Counter-Evasion, Jensen George Wood

Theses and Dissertations

Attacker-in-the-middle (AitM) phishing toolkits have emerged as a critical threat to enterprise and individual security by enabling adversaries to bypass multi-factor authentication (MFA) and compromise cloud-based accounts at scale. Traditional detection techniques--such as IP blocklists or content-based detection methods--are often ineffective against these increasingly sophisticated attacks. We propose a novel method that detects malicious proxies by identifying artifacts they introduce into HTTP request headers. To evaluate our approach, we systematically analyze traffic passed through several open-source AitM toolkits and proxies, identifying distinct modifications to header structures and content, then formalize these features as YARA rules for automated use. To validate …

Hip Strengthening Exercises That Improve The Sit-To-Stand In Older Adults, Savanna Pohly

Doctorate in Kinesiology

To date, no home-based exercise programs have been established as definitive interventions for improving the sit-to-stand (STS) performance in older adults (OAs). Previous research identifies a duration of >15 seconds on the Five-Time-Sit-to-Stand Test (FTSST) as a significant predictor of increased fall risk for OAs. This study applies higher-ranked gluteal activation therapeutic exercises that can improve STS performance for OAs.

Twenty-five OAs age 72.68 ± 4.02 years old were given a 6-week home exercise program that included five therapeutic exercises to be performed three times a week using a Perform Better resistance loop. The FTSST and surveys were completed pre- …

Advancing Hand Therapy Practice Through Specialized Clinical Reasoning And Patient Education, Candace Heinlein

Capstone Projects

This doctoral capstone experience (DCE) was completed at Corewell Health Grand Rapids Hospitals Hand Therapy Clinic and focused on two ACOTE concentration areas including advanced clinical practice skills and education. The experience combined hands-on clinical practice in a specialized outpatient hand therapy setting with the development of high-quality client education materials and home exercise programs (HEPs). Objectives were created to address identified needs through the creation of client education handouts, development of diagnosis-specific Medbridge HEP templates, and creation of training resources to improve therapist efficiency with Medbridge use. Outcomes of the project included improved access to evidence-based educational materials, reduced …

From Disaster To Decision: Spatial And Temporal Patterns In Disaster-Affected Voting, Jake L. Shaw

Dissertations

This dissertation examines how natural disasters shape electoral behavior in gubernatorial and presidential elections in the United States, with particular attention to geographic proximity, disaster severity, and partisan accountability. Using county-level gubernatorial and presidential election returns from 2016 to 2022, it analyzes the electoral effects of hurricanes, wildfires, and tornadoes through three frameworks: direct disaster impact, near-distance exposure, and disaster severity. Employing the difference-in-differences and fixed effects models across more than 31,000 county-year observations, the study finds that natural disasters can significantly reduce incumbent party vote share and voter turnout, particularly in gubernational elections. Results further demonstrate that electoral effects …

Mastery By Mistakes: Reframing Failure In Higher Education Skill-Based Teaching And Assessment, Maura Metheny

JWU Dissertations & Theses

Experiencing a mistake, error or failure while learning generates an additional inquiry process that activates prior knowledge and increases retention of subsequent feedback and new material (Kapur, 2008). The use of errors to guide practice has been shown to lead to skill-mastery and expertise (Ericsson et al., 1993). When classrooms are psychologically safe environments where penalty-free exploration and knowledge application are encouraged, students gain a deeper understanding of the content (Tulis, 2013). This qualitative exploratory descriptive study aimed to understand the ways that undergraduate faculty in skill-based disciplines involve errors, mistakes and failures in teaching and …

Path Planning And Control For Vertical Takeoff And Landing Aircraft, Dean Benjamin Anderson

Theses and Dissertations

One of the challenging problems of unmanned aerial vehicles (uav) is controlling vertical takeoff and landing (vtol) aircraft. Vtol aircraft can take off and land without landing strips while retain the efficiency of fixed-wing airplanes for long range flight. Unfortunately, the transition from takeoff and forward flight, and from forward flight to landing, is an extremely difficult control problem. Most current controllers for transition switch between flight regimes based solely on airspeed. The trajectory for such switching transitions is a straight vertical ascension followed by a straight forward startup flight; it does not allow for the development of more complex …

Top Management Team (Tmt) Demographic Characteristics, Remuneration And Esg Performance In China, Liu Huajie

Student Works (2020-2029)

Environmental, Social, and Governance (ESG) performance has emerged as more prominent in the contemporary business environment, serving as a non-financial key performance indicator besides classical financial indicators. Among the factors influencing ESG performance, the top management team (TMT) demographic characteristics have become an important determinant. Drawing on Upper Echelons Theory (UET), this study explores how the demographic characteristics of the top management team, specifically diversity in gender, age, and functional background, as well as the degree of professionalism indicated by the level of educational background influence firm ESG performance. Furthermore, it examines the moderating effect of TMT remuneration on these …

Suppressing Saints And Suffering Sinners: An Analysis Of Reductive Tropes Through The 2025 Film Sinners, Kaila Palmer

Electronic Theses and Dissertations 2020 - Present

Ryan Coogler’s 2025 horror film Sinners is set in a predominantly Black Mississippi community during the Jim Crow era and explores the vulnerability and hypervisibility of Black people. Vampires and Klansmen fixate on Black bodies, treating them as consumable and dispensable sources. Prior to its Amazon Prime debut and extended theatrical run, Sinners grossed over $300 million, signaling its cultural impact and contribution to reshaping representations of Black identity in cinema. As part of Coogler’s broader array of Black storytelling, the film disrupts entrenched stereotypes by emphasizing character depth rather than caricature.

This paper analyzes the characters Annie and the …

Improving Patient Health Portal Enrollment In The Primary Care Setting, Erika L. Bell

Doctoral Dissertations & Projects

In today’s increasingly digital healthcare environment, patient health portals have become critical tools for enhancing communication, improving care coordination, and empowering patients to actively participate in their health management. These secure, web-based platforms allow patients to access medical records, request prescription refills, view lab results, and message providers. Although patient health portals are offered by a vast majority of U.S. health systems, they remain underutilized, with only 15-30% of patients engaging with these platforms despite their potential to improve patient engagement, health status awareness, and care quality. Enhancing patient health portal use not only empowers patients but also supports broader …

Predictive Analytics In Oncology And Ophthalmology: Machine Learning Applications For Diabetic Retinopathy And Breast Cancer, Ali Abidalkareem

Electronic Theses and Dissertations 2020 - Present

The convergence of artificial intelligence and healthcare represents one of the most transformative developments in modern medicine, with deep learning technologies emerging as powerful tools for addressing complex diagnostic challenges. This dissertation develops and validates machine learning frameworks that address critical challenges in medical diagnosis through innovative approaches to data augmentation, feature learning, and classification, focusing on two fundamental problems: Diabetic Retinopathy (DR) severity classification using multi-model convolutional neural networks (CNNs), and breast cancer stage identification using microRNA (miRNA) gene expression biomarkers. For diabetic retinopathy classification, this work proposes an ensemble deep learning framework that integrates Diffusion-based data augmentation for …

Integrating Multi-Source Data With Machine Learning Techniques To Upscale Wetland Carbon Dioxide Fluxes, Abdullah Sulaiman Abdullah Al Fazari

Electronic Theses and Dissertations 2020 - Present

Accurate quantification of atmospheric carbon dioxide (CO₂) fluxes in wetland ecosystems is essential for understanding their role in both regional and global carbon dynamics, particularly in the context of climate change. However, the spatial and temporal heterogeneity of wetlands presents major challenges for developing reliable upscaling models. This research developed and validated a comprehensive framework to upscale CO₂ fluxes across the Everglades National Park (ENP) and Big Cypress National Preserve (BCNP) in South Florida through the integration of multi-source datasets, including AmeriFlux eddy covariance (EC) tower measurements, NASA’s BlueFlux airborne CO₂ data, and multispectral satellite imagery from Landsat 8 OLI …

Trading Precarities: How Bangladeshi Freelancers Leverage The Digital Economy Amid Local Insecurity And Ai Disruption, Naim Bin Hasan

Electronic Theses and Dissertations 2020 - Present

This study examines how Bangladeshi freelancers use digital platform work to cope with precarious local labor markets and how this strategy both mitigates and reproduces insecurity. In this form of work, freelancers compete for short-term, skill-based remote jobs posted by global clients. Drawing on 30 in-depth interviews and virtual ethnography, this study challenges dominant Western understandings of the precariat that assume workers fall from stable employment into insecure work. Instead, the findings show that many freelancers enter platform labor strategically as a way out of already unstable and limited local opportunities. While freelancing carries a promise of foreign income, flexibility, …

The "Quiet Professionals": Oral Histories Of The United States Special Forces Veterans Of The Global War On Terror, Chase Rumbley

Electronic Theses and Dissertations 2020 - Present

This thesis examines how United States Army Special Forces veterans of the Global War on Terror narrate the identity of the "Quiet Professional" across training, deployment, and post-service life. Drawing on oral history interviews with four retired Green Berets, as well as archival and material culture analysis, the study approaches Special Forces as a distinctive military institution shaped by narrative, institutional formation, and war. It argues that Special Forces ethos is not a fixed warrior identity, but a lived and contested achievement produced through rites of passage, embodied hardship, informal legitimacy, and collective memory. Participants describe becoming Special Forces as …

Modeling The Combined Effects Of Forest Fire And Climate Change On Snow-Water Storage In The Oregon Cascades, Joseph D. Vigil

Dissertations and Theses

Forest fire and climate change are reshaping the snow hydrology of the Pacific Northwest of the United States, yet the combined effects of these disturbances on snow accumulation, storage, and melt timing remain poorly quantified in these Mediterranean mountain watersheds. This study integrates field-based snow and radiation observations with physically based modelling to evaluate how postfire forest structure, postfire snow albedo decay, and future climate change influence snow-water storage in the Breitenbush watershed of the western Oregon Cascades. This work was conducted as part of a broader U.S. Army Corps of Engineers effort to improve postfire hydrologic prediction and flood …

Real-Time Data Collection System For Low-Cost Diesel Emissions Monitoring, Zachary Driskill

Theses and Dissertations

Diesel trucks are a major source of pollutants, including particulate matter (PM) and NO$_x$. Roadside emissions monitoring can identify high-emitting diesel vehicles, but conventional sensing systems rely on expensive, complex sensing instruments that limit widespread deployment. Low-cost sensors offer increased scalability due to their small size, low cost, and low power consumption, but they have lower accuracy and slower response time. This thesis presents the design and evaluation of a low-cost roadside emissions monitoring system, establishing the foundation for a scalable and widely deployable alternative. We apply machine learning calibration to roadside emission monitoring to improve the usability of low-cost …

Implementation And Evaluation Of Alternative Methods For Simulation Of Sidescan Sonar, Blake Paul Romrell

Theses and Dissertations

The original sonar implementation for the HoloOcean simulator was built upon a cached octree representation of the world. On first runs, building the cache was prohibitively slow, and the cache had a major memory footprint. This work presents alternative implementations for the sidescan sonar using direct raytracing on the CPU and rendering on the GPU. To evaluate and compare the implementations, timing tests on comparable parameters, as well as sweeps on resolution and range parameters, were performed. The render-based GPU implementation outperformed the others in the timing tests.

Innovations In Graph Neural Network Design: Addressing Oversmoothing, Heterophily, And Information Propagation, Kushal Bose

Doctoral Theses

In an unstructured learning paradigm, Graph Neural Networks (GNNs) adeptly tackle graph data like social networks, molecules, transaction networks, etc. In the primitive stage, GNNs are designed to be shallow, comprising two or three layers. Emulating the success of deep CNNs, deep GNNs are also proposed by stacking multiple layers. Those multi-layered GNNs are pivotal in enabling long-range interactions where multi-hop neighbors carry significant information, like molecular property prediction. Yet, the multi-layered GNNs face challenges of Oversmoothing, where node features become indistinguishable due to the recursive nature of message passing. In the second chapter of the thesis, we propose a …

The Solar Car Challenge’S Impact On Participants’ Stem College/Career Aspirations And Nace Career-Ready Competencies Development, Allan Phipps

Electronic Theses and Dissertations 2020 - Present

This quantitative study examined the impact and efficacy of the Solar Car Challenge (SCC), a secondary-level science, technology, engineering, and mathematics (STEM) competition, on alumni postsecondary educational and career outcomes. The study investigated whether participation in the SCC influenced students’ pursuit of STEM college majors, entry into STEM-related careers, and development of career-ready competencies aligned with the National Association of Colleges and Employers (NACE) framework. While prior research has identified positive relationships between participation in national STEM competitions and STEM aspirations, no empirical studies have examined the SCC or its long-term outcomes.

Using survey data from SCC alumni, this study …

New Graduate Nurse Retention Strategies Toolkit For Managers And Leadership, Taryn Ryan

Student Scholarly Projects

Practice Problem:

Nurse retention has been a persistent issue for over a decade, with increasing turnover among new graduate nurses. Many new nurses leave the profession due to inadequate preparation for clinical roles and responsibilities.

PICOT:

The PICOT question that guided this project was: For nurse managers and leaders supporting new graduate nurses (P), how does the development of a best-practice retention toolkit (I), compared to existing retention practices (C), guide evidence-based strategies to improve nurse retention (O)?

Evidence:

Evidence indicates that new graduate nurses often feel insufficiently prepared for patient care responsibilities, compromising patient safety (Haddad et al., 2023; …

Hidradenitis Supprativa: Communication Strategies To Improve Awareness And Reduce Stigma, Temilade Adewale

Theses

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition associated with significant physical and psychosocial burden. Despite increasing clinical recognition, patients frequently experience diagnostic delays, stigma, and inadequate communication with healthcare providers. The purpose of this study was to examine communication patterns surrounding HS and explore how these patterns relate to stigma, misinformation, and patient experiences. This study used a qualitative design incorporating a structured literature review and semi-structured interviews with 85 participants. The Narrative Paradigm guided analysis, focusing on how individuals construct meaning through their experiences and interactions. Thematic analysis identified key patterns in patient-provider communication, misinformation exposure, and …

Mathematical Modeling, Analysis And Numerical Simulation Of Air Quality Using The Advection-Diffusion-Reaction Equation, Md Timorul Islam

Math Theses

In this thesis, we study an air quality model by using a nonlinear one-dimensional advection-diffusion-reaction system of partial differential equations for NO-NO2-O3 chemical cycle. The model incorporates advection, diffusion, chemical reactions, and source terms, and is formulated based on standard atmospheric chemistry.

We first develop numerical methods to approximate the solutions of the governing equations. Both explicit and implicit finite difference schemes are considered, and the implicit scheme provides approximations without any restrictions on the stability.

The model is then nondimensionalized to identify key parameter combinations governing the system. This leads us to a regime in which the transport and …

Effectiveness Of The Mediterranean Diet For Sustained Weight Maintenance Following Glp-1 Medication Discontinuation: A Longitudinal Prospective Study, Nitya Reddy, Josephine Thomas, Julie Salam

Department of Nutrition Student Projects

Glucagon-like peptide-1 (GLP-1) receptor agonists are effective for short-term weight reduction in adults with obesity, yet weight regain is frequent after discontinued use of the medication. Identifying sustainable dietary approaches that support long-term weight maintenance is imperative. The Mediterranean diet has been associated with improving metabolic health and resistant weight control, suggesting it may be an effective strategy for the transition off GLP-1 therapy. Men and women ages 45-55 that are diagnosed with Type 2 diabetes and receiving GLP-1 receptor therapy are the targets of this study, specifically those who plan to discontinue medication within the next three months. On …

Oral Butyrate Supplementation In Patients With Als: Impact On Gut Microbiota And Disease Progression, Annabelle Keller, Kaydee Kinnett, Camaryn Barbanel, Trinity Blakeney

Department of Nutrition Student Projects

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder characterized by progressive motor neuron loss. Emerging evidence suggests that alterations in gut microbiota—particularly reductions in butyrate-producing bacteria—may contribute to neuroinflammatory pathways involved in disease progression. Observational studies in patients with ALS and preclinical findings from transgenic mouse models demonstrate gut microbial dysbiosis, intestinal barrier dysfunction, and improved survival following butyrate supplementation, suggesting the potential role of butyrate availability in ALS pathophysiology. The present study investigates whether oral butyrate supplementation can modulate inflammatory responses, improve gut microbiota composition, and slow functional decline among patients with ALS. Participants will be recruited from …

When Bards Are Barred: The Poet-Lawreate And Advocacy Beyond The Law, Isabel Elsisi

English Honors Theses

No abstract provided.

Growing Up Muslim In America: Discrimination And Religious Identity In Emerging Adulthood, Samira Saleh

Dissertations

This study examined the impact of depression and discrimination on religious identity development among emerging adult Muslims (ages 18–29) in the United States, with attention to religious visibility and gender. Using a cross-sectional survey design, participants completed validated measures including the Perceived Islamophobia Scale, Everyday Discrimination Scale, Patient Health Questionnaire-9, and Centrality of Religiosity Scale. Grounded in Arnett’s Theory of Emerging Adulthood and Social Identity Theory, the study addresses gaps in research on Muslim mental health and identity within Western sociopolitical contexts. Participants were recruited via university listservs, Muslim Student Associations, social media, and community organizations, and completed a brief …

Urban And Suburban Teachers’ Perceptions Of Burnout In The Post-Covid19 Era: A Mixed Methods Dissertation In Education, Dylan Rossin

Graduate Theses & Dissertations

The Covid-19 pandemic fundamentally altered the professional demands placed on K–12 teachers, intensifying concerns related to occupational burnout. This mixed-methods study examined urban and suburban public school teachers’ perceptions of burnout in the post–Covid-19 era, with particular attention to emotional exhaustion, depersonalization, and personal accomplishment. Grounded in Maslach’s theory of burnout, the study sought to determine whether differences existed between urban and suburban teachers’ burnout experiences and to explore educators’ perspectives on factors contributing to burnout following the pandemic.

Participants included full-time public K–12 teachers in Pennsylvania with a minimum of three years of teaching experience. Quantitative data were collected …