Digital Commons Network^™

Investigating The Protective Role Of Breastfeeding Against Postpartum Depression, Aysha Paxman, Claire Jansen

Physician Assistant Capstones, 2020-current

No abstract provided.

Effect Of Lymphatic Microsurgical Preventive Healing Approach (Lympha) On The Prevention Of Lymphedema In Breast Cancer Patients, Emma Barker, Lindsey Lubin

Physician Assistant Capstones, 2020-current

No abstract provided.

Semaglutide For Weight Reduction In Non-Diabetic Adults With Overweight And Obesity, Kaela Fiutak, Maite Velazquez Hernandez

Physician Assistant Capstones, 2020-current

No abstract provided.

A Constitution Of The Earth, To Save Humanity, Luigi Ferrajoli

Buffalo Law Review

Humanity is facing one of the most dramatic moments in its history. There are several global challenges and problems that are not part of the political agenda of national governments, even though their solution is crucial for the survival of humanity.

Anchored In Excellence: The Journey Of Resilience, Achievement And Brilliance For First-Generation Black Male Scholars, Destyni A. Davis

Masters Projects

The experiences of first-generation Black male scholars in historically White institutions are often shaped by intersecting challenges of race, gender, and academic status, highlighting the need for a deeper understanding of their resilience, achievements, and the structural barriers they navigate in pursuit of academic and personal success. This project examines the lived experiences and realities of first-generation undergraduate Black male scholars in historically White institutions, utilizing Harper’s (2012) anti-deficit achievement framework and Masten’s (2001) resilience theory to explore the complexities of their academic and social journeys. The project aims to highlight how these scholars navigate structural barriers, racial stereotypes, and …

Perceived Engagement And Achievement Of Students In A Career And Technical Education And Math Co-Taught Lesson In Southeast Tennessee: A Mixed Methods Study, Charis P. Reagan

Ed.D. Dissertations

Given the problem that students were not engaged in math class and were leaving high school without the basic math skills needed to be successful for college and career, the purpose of this convergent mixed methods case study was to investigate student and teacher perceptions of how math application through a Career and Technical Education (CTE) and math co-taught lesson influenced the level of student engagement in math and whether this co-teaching affected student achievement with math. As I reviewed the literature, I found a lack of studies related to co-teaching and if providing the students with the opportunity for …

Meeting People Where They Are At: Master Of Social Work Portfolio, Zachary Palmer Alexander

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio documents my understanding and ability to apply the ten social work competencies through a combination of assignments completed over the course of this degree as well as through examples from the internship and practicum placements I engaged in to develop practical experience. The paper is organized into sections that capture the Five Elements of Integrated Practice and the social work competencies that correspond to each element. Within the discussion of each competency is an examination of the four Dimensions of Practice and how they were applied within each competency both in my assignments and my work. Accompanying examples …

Charlie Reischl, Interview, 2024, Alexis Braun Marks

Oral Histories

Throughout 2024, the city of Ann Arbor celebrated its 200th anniversary with community events, festivals, and art displays that highlighted its rich culture and history. To cap off the celebrations, in December 2024 the EMU Center for Oral History Research invited community members to Skyline High School to share what makes Ann Arbor special. In this interview, Charlie Reischl talks about growing up in the city, working for non-profits, and the importance of Ann Arbor's art and music scene.

Dental Hygiene Programs’ Use Of Oral Health Literacy Techniques For Special Needs Patients And Caregivers, Socorro D. Tejeda Diaz

Dental Hygiene ETDs

This study examined oral health literacy communication techniques in dental hygiene programs across the U.S. for special needs patients and their caregivers. The study surveyed 46 U.S. dental hygiene program directors on communication techniques, degrees offered, and subject areas. Two-sample t-tests compared differences in communication techniques between AAS and BAS and subject areas. Most respondents routinely employed printed materials with 2 or 3 concepts, speak slowly, and simple language. When comparing the variances in communication techniques offered in AAS and BAS, we observed a t-statistic of 2.06 with a corresponding p-value of 0.54. This suggests that the mean communication techniques …

The Social Matter Of Opioids: Glitches In Immunity Beyond The Human, Nathan A. Leach

American Studies ETDs

The Social Matter of Opioids: Glitches in Immunity Beyond the Human examines the contemporary opioid crisis and its relationship to capitalism, imperialism, and biomedicine. This dissertation also considers how the twin processes of crisis and racialization relate to how human-opioid entanglements perform and transgress normative anthropological assumptions of difference. Through theories of biopolitics, Black feminism, queer of color critique, and psychoanalytic insight, I argue for a more critical account of the entanglement of humans with opioids where processes of capitalist and imperial crisis produce novel forms of social ontology. I substantiate this by examining speculative tissue economies, interspecies relationality, draconian …

It's The Journey That Matters Most, Jenny Petersen

Graduate Student Portfolios, Professional Papers, and Capstone Projects

My MSW journey has been one of profound growth, marked by the integration of academic knowledge, hands-on fieldwork, and personal reflection. Through challenges and triumphs, I have developed resilience, empathy, and a deeper commitment to advocating for justice and empowering individuals and communities.

Master Of Social Work Portfolio, Kiana L. Emge

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Improved Detection Of Great Lakes Water Quality Anomalies Using Remote Sensing, Karl Bosse, Robert Shuchman, Michael Sayers, John Lekki, Roger Tokars

Michigan Tech Publications

Due to their immense economic and recreational value, the monitoring of Great Lakes water quality is of utmost importance to the region. Historically, this has taken place through a combination of ship-based sampling, buoy measurements, and physical models. However, these approaches have spatial and temporal deficiencies which can be improved upon through satellite remote sensing. This study details a new approach for using long time series of satellite remote sensing data to identify historical and near real-time anomalies across a range of data products. Anomalies are traditionally detected as deviations from historical climatologies, typically assuming that there are no long-term …

Improving Obsolescence Management By Enhancing Supplier-Customer Collaboration, Mora Issa

Theses

There are currently many legacy facilities operating in the Middle East & Africa region that have plans in place to extend the plant life. Oil prices have been steadily going up, leading to increases in production, and driving economic growth. In order to extend the life of these older facilities, the sites are budgeting to replace critical parts accordingly. Obsolescence is an inevitable part of every product lifecycle and, with the new wave of technology and AI in the market, facilities face the challenge of increasing profitability in the fast-paced economy. The number of more efficient upgrades available presents an …

Nutritional Composition Of Mucuna Pruriens Var. Utilis (Velvet Bean) Seeds Grown In Nanyumbu District, Tanzania, Florence Boniface, Stephen I. Nnungu, Washa B. Washa

Tanzania Journal of Science

In tropical countries, Mucuna seeds have been utilized to promote better health and ensure a stable food supply. The use of Mucuna pruriens var. utilis seeds in Tanzania has prompted an evaluation of the nutritional composition of two common cultivars grown in the Nanyumbu district. Mucuna seed samples (black-reddish brown and black-greyish) were collected and analyzed for their nutritional content using standard extraction and spectrophotometric techniques. Data analysis was conducted using GraphPad InStat 3.0 software, with a t-test employed to compare means at a 95% confidence level. The results indicated that the differences in nutritional parameters between the black-reddish brown …

Does Physician-Hospital Vertical Integration Affect Hospital Output?, Soumya Upadhyay, Neeraj Bhandari

Healthcare Administration and Policy Faculty Research

Background: Physician-hospital vertical integration is gaining steam but it is unclear how they affect hospital output.

Objective: To examine the direct impact of vertical integration on hospital output.

Design: A pooled design with 6-year data using linear regressions was used. Then, panel data design with hospital fixed effects was used.

Methods: We linked American Hospital Association data (2016-2021) with AHRQ Comparative Health System Performance Initiative’s Compendium (2018, 2020, 2021; 34 987 hospital-year observations) to develop new measures of vertical integration and assess its relationship with several measures of hospital output including annualized total admissions, total number of inpatients days, …

The Impact Of Transformational Leadership And Knowledge Sharing On Intention To Use Gamification In Teaching, Truong M. Vu

Dissertations, 2020-current

This paper investigates the impact of transformational leadership and knowledge sharing on university professors' intentions to use gamification in teaching, employing the Technology Acceptance Model (TAM) as a theoretical framework. Gamification, defined as the integration of game-based mechanics to promote learning and engagement, has shown significant potential in enhancing educational experiences but remains underutilized in higher education. This study suggests that knowledge sharing is a critical antecedent influencing the perceived ease of use, usefulness, and adoption of gamification by educators. Using a quantitative methodology, data are collected from 204 university professors in Vietnam, analyzing their perceptions of transformational leadership behaviors, …

Perceived Environmental Uncertainty Levels Of Ncaa Athletic Directors, Tiffany Brutus

Dissertations, 2020-current

This study explores predictors of perceived environmental uncertainty among college athletic directors (ADs) of National Intercollegiate Athletic Association (NCAA) member institutions amidst the evolving dynamics of the intercollegiate athletics industry. This research specifically focuses on uncertainty associated with environmental forces outlined in the political, economic, sociocultural, technological, environmental, and legal (PESTEL)model, which captures recent industry disruptions such as Name, Image, and Likeness (NIL) legislation, social justice movements, the COVID-19 pandemic, changes in transfer rules, and conference realignments. Using a contingency theory perspective, the central inquiry of this study is how AD individual, departmental, and institutional characteristics relate to ADs' perceptions …

Unveiling Resilience: An Exploration Of Relational Cultural Theory, Prevalence Factors, And Emdr’S Impact On Injury And Performance Anxiety In Collegiate Student-Athletes, Brian T. Lusk

Dissertations, 2020-current

This dissertation delved into the mental health challenges encountered by collegiate student-athletes, with a specific focus on injury and performance anxiety. The research is presented in a three-manuscript format. The first manuscript is a conceptual exploration of Relational Cultural Theory [RCT] and its application in supporting student-athletes during injury recovery. By integrating the Five Good Things framework, the study demonstrates how growth-promoting connection and a strong therapeutic alliance can enhance holistic recovery, addressing the physical and emotional impacts of injury. The second manuscript investigated performance anxiety among student-athletes, with an emphasis on gender, sport type, and Adverse Childhood Experiences [ACEs] …

Re-Imagining Technical Communication Concepts Through A Social Work Lens: A Case Study And Content Analysis Of The Department Of Aging And Rehabilitative Services, Jonas Kee

Masters Theses, 2020-current

This thesis highlights how traditional technical communication concepts such as social justice rhetoric, disability studies, and user experience (UX) are re-imagined through the lens of Department of Aging and Rehabilitation Services (DARS) professionals. In this thesis, I present information gathered from a content analysis focused on four documents used within the DARS office, a survey, and interviews administered to DARS Vocational Rehabilitation (VR) counselors. This thesis analyzes the documents, survey, and interview questions through the experiences of DARS professionals, clients, and external stakeholders. This thesis concludes with business and pedagogical implications regarding the field of UX and how to effectively …

Experiences With Crisis And Resilience In Education In Emergencies: Voices And Lenses Of Teachers In Nicaragua, Anita De Anda

Doctorate in Education

This interpretive phenomenological study illustrated how a group of primary school teachers in Nicaragua used ontological values to orient their experiences and negotiations of a destabilizing socio-political crisis compounded by COVID-19. Set within a framework of education in emergencies, this study employed short-term ethnographic methods and trauma-informed principles to explore the dynamic and interconnected domains and relationships during collective duress, and the organic resilience that emerged to preserve core priorities. A history of collective adversity, weak systems, and political hegemony made the nation vulnerable to cycles of emergency while leaving recovery up to individuals, families, and communities. As a result, …

Reduction Of Seclusion And Restraint Among Children And Adolescents In An Inpatient Psychiatric Hospital: A Health Policy Analysis, Huma Moez

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Background: Seclusion and restraint (SR) or restrictive intervention in inpatient/ acute psychiatric hospitals, emergency departments, crisis stabilization units, residentials, or group homes is a pressing and an immediate concern in mental health settings, particularly for children and adolescents, for whom SR rates are higher. The Joint Commission and other national organizations have made significant strides in prioritizing the reduction and elimination of SR among children and adolescents due to its negative physical and psychological consequences.

Objective: This DNP project will aim to provide the results of a policy analysis to present evidence-based techniques and a resulting re-envisioned policy recommendation to …

Advanced Practice Clinician Outcomes: Pre/Post Implementation Of An Advanced Practice Clinician Council, Jeannine M. Moss

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Improving access to quality, affordable, and timely healthcare is a national priority. Health systems across the United States are utilizing Advanced Practice Clinicians (APCs) to fill the void in healthcare delivery. As provider shortages continue and the demand for APCs increases, organizations must develop robust structures to support APC engagement, retention, job satisfaction, and professional growth. Currently, 44% of the provider workforce within a large urban health system are APCs, yet despite substantial APC provider labor pool representation, the organization had little infrastructure to support APC professional growth and no mechanism for organizational involvement. This quality improvement (QI) project aimed …

Reducing No-Shows In A Behavioral Health Setting: A Program Evaluation, Meagan Evans

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Mental healthcare in America faces many significant challenges; this is especially true in rural regions like Southwest Virginia. When patients miss their scheduled appointments, it represents a lost opportunity to deliver the critical mental health services that other individuals in need could have benefited from. A significant access issue presents itself when patients are not able to get the mental health support they need. The lack of outpatient access leads to patients utilizing emergency rooms inappropriately for what could have been routine care visits. A multitude of factors can contribute to patients failing to attend their scheduled appointments, including transportation …

Implementation Of An Advanced Practice Provider Into The Outpatient Neurology Clinic To Improve Access To Care And Medication Compliance, Sean O'Laughlin

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

The American Association of Neurology (AAN) recommended that post-stroke and TIA patients receive follow-up care within 2–4 weeks of discharge to reduce complications, improve medication adherence, and decrease readmission rates (2023). However, in 2022, a Central Virginia neurology practice reported an average wait time of 98.66 days for outpatient follow-up appointments, significantly exceeding the AAN recommendation, while medication adherence was only 72.23%, compared to the national average of 80%. Research by the American Academy of Neurology Workforce Task Force (2013) and Woo et al. (2017) highlighted that incorporating advanced practice nurses into outpatient settings could enhance access to care and …

Naloxone Prescribing At Hospital Discharge: A Quality Improvement Initiative, Timothy Ford

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Opioid overdose deaths remain one of the largest public health challenges in the United States. Naloxone allocation is an important tool to help combat opioid overdose deaths. The literature supports that hospitalized patients are generally receptive to receiving naloxone and opioid education and interdisciplinary teams working together can help facilitate identification of high-risk patients for naloxone allocation. This quality improvement change, guided by the IHI Triple Aims and Model for Healthcare Improvement frameworks, sought to increase the rate of patients leaving the Hospital Medicine Service with naloxone. To accomplish this, during the target units’ daily interdisciplinary rounds, providers were prompted …

Implementation Of A Standardized Screening And Referral Process For Social Determinants Of Health For Families With Children Within Two Rural Health Clinics, Laura Britton Stace

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Abstract

The American Academy of Pediatrics Bright Futures Guidelines recommends social determinants of health (SDOH) screening at well-child checks (WCCs). Social determinants of health are environmental factors, including food accessibility, mental health, and substance use, that can affect quality of life.

Rural health clinics (RHCs) in a county in Virginia did not routinely use a standardized screener to identify pediatric SDOH risks, nor did they have a standardized referral process for identifying SDOH risks. A hospital community needs assessment found that over 20% of the county households were below the federal poverty level. It is estimated that many children in …

Society Of American Foresters (Saf) Academic Publications As They Relate To The Curriculum Standards For Saf Forestry Program Accreditation: A Content Analysis, Lisa M. Bentley

Electronic Theses and Dissertations

Goals that impact decision-making components within academic programs in the university system have the potential to define and change the direction of a field of study, and, with that, should be thoughtfully approached with a certainty of evidence that supports responsible paradigms in forestry education. Periodic revision of the standards for accreditation by SAF influences institutional expectations that result in shifts in forestry education and should be consistent with professional forestry standards. The methodology utilized in this research contextualizes data from a sociological perspective intentionally as a method to holistically integrate data as evidence to support the interpretation of Society …

“Know What I’M Sayin’?”: Advocating Hip-Hop As A Primary Source For Historical Scholarship, Christopher Smith

Electronic Theses and Dissertations

Rap, hip-hop’s most characteristic element, evolved from cultural practices combining in New York and spread across the United States in the latter half of the twentieth century. This thesis argues in favor of the use of rap as primary source material in future historical research. Authenticity has always surrounded hip-hop, making rap a window into artists’ perspectives. Storytelling traditions in rap’s roots allow for fiction’s use as a tool to discuss reality in lyrics. To demonstrate rap’s strengths as a primary source, the thesis examines Let’s Get Free, dead prez’s 2000 debut album. The song “They Schools” is dissected section-by-section …

Acoustofluidics-Based Intracellular Nanoparticle Delivery, Zhishang Li, Zhenhua Tian, Jason N. Belling, Joseph Rich, Haodong Zhu, Zhehan Ma, Hunter Bachman, Liang Shen, Yaosi Liang, Xiolin Qi, Liv K. Heidenreich, Yao Gong, Shujie Yang, Wenfen Zhang, Peiran Zhang, Yingchun Fu, Yibin Ying, Steven J. Jonas, Yanbin Li, Paul S. Weiss, Tony J. Huang

Faculty Publications

Controlled intracellular delivery of biomolecular cargo is critical for developing targeted therapeutics and cell reprogramming. Conventional delivery approaches (e.g., endocytosis of nano-vectors, microinjection, and electroporation) usually require time-consuming uptake processes, labor-intensive operations, and/or costly specialized equipment. Here, we present an acoustofluidics-based intracellular delivery approach capable of effectively delivering various functional nanomaterials to multiple cell types (e.g., adherent and suspension cancer cells). By tuning the standing acoustic waves in a glass capillary, our approach can push cells in flow to the capillary wall and enhance membrane permeability by increasing membrane stress to deform cells via acoustic radiation forces. Moreover, by coating …