Solving The Crisis Of Asthma/Copd Medication Nonadherence With New “Smart Inhalers”., Dalia Abdalla, Gregory Edward Suliga

Physician Assistant Capstones, 2020-current

Asthma and COPD are two common chronic respiratory diseases that have the potential to result in acute life-threatening exacerbations¹. These episodes cost America’s healthcare system several billions of dollars annually and can be largely prevented through proper medication adherence². Objective: Assess the effectiveness of smart inhaler usage and biofeedback interpretation with medication adherence and quality of Asthma and/or COPD control. Design: Systematic literature review. Methods: Searches were done in PubMed, Wiley Online Library, ScienceDirect Database, and DynaMed utilizing the terms smart inhaler, asthma/COPD management, biofeedback, inhalation technique, SABA, LABA, and LAMA. In PubMed, the following limits …

Comparing Transcatheter Edge-To-Edge Repair (Mitraclip) To Surgical Approaches For Secondary Mitral Regurgitation, Iain Slater, Jordan Maddra

Physician Assistant Capstones, 2020-current

Objective: To compare clinical outcomes of surgical mitral valve replacement (SMVR) and TEER with MitraClip therapy in patients with secondary mitral regurgitation.

Methods: We performed a review of the literature of primary research comparing clinical outcomes of surgical mitral valve replacement (SMVR) and TEER with MitraClip therapy in patients with secondary mitral regurgitation. A preliminary search of the medical database PubMed was conducted in October 2024 using the terms mitral valve, secondary mitral regurgitation, transcatheter edge-to-edge repair, surgical candidacy, and comparative outcomes. Limits included “published in the last 15 years, humans, English, randomized controlled trials, and cohort studies.”

Results: After …

Capstone Project Proposal: The Role Of Nutrition Education On Dietary Vitamin B12 Intake In Decreasing Postpartum Depression- A Pilot Randomized Controlled Trial, Andrea Villalba Torres

Department of Nutrition Student Projects

Postpartum depression (PPD) is a mental health condition that affects many women after giving birth but tends to go untreated. Research has identified that nutrition has an essential role in neurological health, including iron, folate, and the B vitamins. However, recent research regarding PPD and dietary interventions is limited. To address this gap, a 12-week-long pilot randomized controlled trial is proposed to evaluate the effectiveness of a text-based nutrition education program, encouraging dietary vitamin B12 intake, on reducing PPD symptoms in women 2-6 weeks postpartum. 128 participants will be recruited from 15 different Miami-Dade WIC clinics. The Edinburgh Postnatal Depression …

The Adverse Digital Childhood Experiences (Adces) Framework: A Transformative Paradigm For Decoding Digital Adversity And Safeguarding Human Agency In Child Development And Lifespan Trajectories, Asrat G. Amnie

Publications and Research

Childhood is no longer confined to physical spaces; It increasingly unfolds within digitally saturated environments where algorithmically mediated technologies shape attention, learning, and identity formation from the earliest years. Traditional adversity frameworks, particularly the Adverse Childhood Experiences (ACEs) model, do not capture the distinctive, persistent, and often invisible risks of digital life. To address this gap, this study advances the Adverse Digital Childhood Experiences (ADCEs) framework, an empirically informed and theory-driven extension of ACEs that systematizes ten interrelated domains of digital adversity encompassing social, cognitive, and environmental stressors. These include cyberbullying and exploitation, commercial surveillance and privacy harms, technoference and …

A New Model For Predicting Two-Zone Parameters Based On Geometric Modifications In Computational Fluid Dynamics Simulations, Jason B. Metten

Theses and Dissertations

This study uses Computational Fluid Dynamics (CFD) to create a new and improved model for key Two-Zone modeling parameters, 𝜒 and 𝛿2𝑝. It explores how geometric changes to centrifugal compressors impact these modeling parameters. While centrifugal impellers are an important part of many systems, the flow through such impellers is inherently complex, making performance often difficult to predict. There are many approaches for modeling this complex flow environment, one method being the Two-Zone model developed by Dave Japikse. Values for 𝜒 and 𝛿2𝑝 are often determined from data obtained from test rigs or correlations. In this study high-fidelity CFD simulations …

Imagery Intelligence And Presidential Crisis Decision-Making: The Case Of The Cuban Missile Crisis, Codie Mcdonald

Honors Theses

Although the Cuban Missile Crisis was a short period of time relative to our nation’s history, this research has illuminated how much information, tension, and impactful moments lie within each minute; and the fact is, intelligence collection absolutely is a main factor in the de-escalation of the nuclear threat. Without the intelligence collection and production that was completed and given to Kennedy, policy would not be able to be made nearly as easy. Throughout each moment of the crisis, generally speaking, IMINT was able to provide and support the most aid to President Kennedy and his advisers. While the degree …

Challenging Batson: Interest Convergence And Permanence Of Racism In Jury Selection, Addrain Conyers, Amanda Bergold, Antoinette Critelli

The Scholar: St. Mary's Law Review on Race and Social Justice

A Batson challenge is an objection to the use of peremptory challenges to dismiss potential jurors based on their race; however, Batson challenges are rarely successful. In this paper, we apply Critical Race Theory (CRT) as a framework to analyze the Batson Challenge. More specifically, we argue that the Batson challenge is a practice grounded in interest convergence that underscores the permanence of racism in the judicial system. We explore three interests of Batson: (1) the protection of the Sixth Amendment right to a fair trial; (2) the protection of the Fourteenth Amendment; and (3) the promotion of public trust …

From Fear To Familiar: Decreasing Technology Anxiety Among Older Adults In A Senior Community, Regina Rayz

Master's Projects and Capstones

Objective: Older adults (defined by the WHO as those 65 and older in developed countries) are more susceptible to technophobia than younger adults (Song et al., 2025). The fear and anxiety occurs with use of smartphones, tablets, social media, and telehealth and is associated with higher rates of social isolation and reduced autonomy. Technology-use anxiety is a preventative obstacle that inhibits both technology acceptance as well as overall health (Kim et al., 2023). Aim: To reduce technology-related anxiety among older low-income adults living in a senior residential facility in Richmond, CA by at least 25% using a brief, individualized technology …

Bicultural Identity, Work-Life Balance And Mental Health Outcomes In Swana Students, Julie M. Salama

Master's Theses

Southwest Asian and North African (SWANA) college students navigate academic demands alongside immigration-salient stressors that may shape their mental health and academic performance. This study examined generational status (Gen 1 vs. Gen 2+), identity conflict, ethnic identity, and work–life balance (WLB) in overall GPA and major GPA, and mental health outcomes of depression (PHQ-9), and anxiety (GAD-7) among SWANA students (N = 35). Two one-way MANOVAs found no generational differences for academics (overall/major GPA) or mental health (PHQ-9/GAD-7). Identity conflict was unrelated to GPA or symptoms but was positively associated with ethnic identity, while WLB was negatively correlated with depression …

Pi Gain Scheduling And Stall Margin Protection For A Jt9d Turbofan Engine Using T-Mats, Ian Torres

Mechanical Engineering and Materials Science Independent Study

The objective of this study was to understand the theory behind turbofan electronic engine controllers (EECs) and to develop a Simulink based controller with stall margin limits, which was then used to build a simple 1-D cruise controller for a Boeing 747. The turbofan model used was the JT9D Pratt & Whitney engine in T-MATS with an attached ”ambient” block to input altitude, Mach, and 𝐹𝐴𝑅. Holding altitude at 35000 ft, the 𝐹𝐴𝑅 controller stall lower and higher limit maps were obtained from the 6% LPC and 15% HPC stall margins at steady state for 0.83-0.85 Mach and 2000-4000 𝑁1 …

Application Of Augmented Reality Technology As A Dietary Monitoring And Control Measure Among Adults: A Systematic Review, Gabrielle Victoria Gonzalez, Bingjing Mao, Ruxin Wang, Wen Liu, Chen Wang, Tung Sung Tseng

School of Public Health Faculty Publications

Background/Objectives: Traditional dietary monitoring methods such as 24 h recalls rely on self-report, leading to recall bias and underreporting. Similarly, dietary control approaches, including portion control and calorie restriction, depend on user accuracy and consistency. Augmented reality (AR) offers a promising alternative for improving dietary monitoring and control by enhancing engagement, feedback accuracy, and user learning. This systematic review aimed to examine how AR technologies are implemented to support dietary monitoring and control and to evaluate their usability and effectiveness among adults. Methods: A systematic search of PubMed, CINAHL, and Embase identified studies published between 2000 and 2025 that evaluated …

The Policy Project: Translating Menstrual Equity Resources, Ashley Jackman

Undergraduate Honors Theses

This creative project focuses on translating key materials from The Period Project, a campaign by the Utah nonprofit The Policy Project that tackles menstrual inequity by pushing for free period products in schools and public spaces. Their educational toolkits guide students and parents toward menstrual resources and outline compliance requirements for school administrators. However, a significant portion of Utah’s population speaks Spanish at home, and current toolkits are not readily available in Spanish. As a Spanish translation major, I saw this as an opportunity to use my skills in a real-world setting, as the translated toolkit will be immediately electronically …

Promoting Interprofessional Collaboration By Increasing Visibility Of Volunteer Doula Services, Ciera Rose Zelie

Master's Projects and Capstones

Objective: The 22-bed Labor and Delivery (L&D) unit lacks a standardized model to introduce doulas, clarify their scope of practice, or communicate the value of the services they provide. To address this gap, the team developed a standardized doula awareness poster featuring each doula's name, photo, years of experience, and personal interests. Aim: Enhance visibility and promote the integration of doula support to strengthen team collaboration and patient engagement. Methods: A pre- and post-implementation survey was distributed exclusively to the volunteer doulas. After the doula awareness poster was displayed for four weeks, a post-survey assessed these same domains to determine …

Msw Portfolio, Angeline Fox Wahl

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Incomplete (A3) Versus Complete (A4) Thoracolumbar Burst Fractures: Results From A Prospective International Multicenter Cohort Study, Jin W. Tee, Barry T. S. Kweh, Alex R. Vaccaro, Klaus J. Schnake, Mohammad El-Sharkawi, Eugen C. Popescu, Shanmuganathan Rajasekaran, Lorin M. Benneker, Sebastian F. Bigdon, John France, Jerome Paquet, R. Todd Allen, William F. Lavelle, Miguel Hirschfeld, Spyridon Pneumaticos, Richard J. Bransford, Andrei F. Joaquim, Harvinder S. Chhabra, Ulrich Spiegl, Hauri Dimitri, F. Cumhur Oner, Marcel Dvorak, Gregory D. Schroeder, Charlotte Dandurand

Department of Orthopaedic Surgery Faculty Papers

OBJECTIVE: The objective was to compare incomplete (A3) versus complete (A4) thoracolumbar burst fractures managed nonoperatively or operatively with respect to reaching minimal clinically important difference (MCID) in Oswestry Disability Index (ODI) score.

METHODS: A prospective observational international multicenter cohort study was conducted. After stratification using the AO Spine Thoracolumbar Injury Classification System, A3 and A4 outcomes were analyzed separately within nonoperative and operative management groups. Outcomes included absolute and relative improvement in ODI scores between discharge and 12-month follow-up. Kaplan-Meier curves were generated and compared with the log-rank test. Multivariable Cox regression models were constructed. The Cox regression models …

Healing, Together, Courtney Cleek

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio reviews the topics of mutual rehabilitation and the human animal bond (HAB) as a holistic approach to addressing topics of mental health, suicide prevention, and innovative services. Displaying work through the Ten Specialization Year Competencies and the Five Elements of Advanced Integrative Practice, we examine ways to expand social justice, amplify voices, and promote healing within our communities.

Hope In The Midst Of Trajedy, Rose S. Deroche

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Social Work In Practice, The Final Stretch, Madison M. Fernandez

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This professional portfolio reflects what I have learned in the MSW program at the University of Montana.

Electrochemical Detection Of No And Ca2+ During Cold Atmospheric Plasma Treatment Of Acute Wounds: Sensor Selectivity And Stability In The Plasma-Bio-System, Jonathan E. Thomas, Kristina Pattison, Suneel Kumar, Gagana Karkada, Duncan Trosan, Aunic Goodin, Jason Rainone, Dnyaneshwari Rananavare, Vandana Miller, Francois Berthiaume, Katharina Stapelmann

Kimmel Cancer Center Faculty Papers

Cold atmospheric plasmas (CAP) are a versatile tool in medical applications like wound healing. Its therapeutic benefits are partially attributed to the generation of biologically active reactive oxygen and nitrogen species (RONS). Characterization of RONS, however, typically only occurs after treatment. Here we report the first real-time in situ detection of CAP-generated nitric oxide (NO), and the simultaneous detection of cellular calcium ions (Ca²⁺) release using electrochemical sensors during CAP treatment of murine wounds. In vivo, NO rose rapidly within the first minute of CAP treatment but accumulated less overall than in PBS, reflecting reactions with wound-bed targets. In situ …

Sex Disparities In Prescription Opioids Associated Cardiovascular Adverse Events, Li Ma

Theses and Dissertations

The opioid crisis in the United States has evolved from a medical response to pain into a nationwide public health emergency. The prescription opioids (POs) – associated cardiovascular adverse events (CVAEs) remain insufficiently studied, especially in relation to sex disparities. This dissertation investigates sex disparities in PO-associated cardiovascular adverse events (CVAEs) through an analytic framework integrating artificial-intelligence-assisted literature mining and real-world pharmacovigilance analytics. In the analytic framework, first, AI powered topic modeling was employed to uncover POs-associated CVAEs risks with a focus on sex differences. A total of 1,837 PubMed abstracts were analyzed using two methods, Latent Dirichlet Allocation (LDA) …

Dental Students’ Preferences In Selecting Artificial Teeth For Older Adults' Dentures, Muhammad Afif Sapie, Nur Hanim Farhana Mohamad Hilmi, Aiemeeza Rajali, Nik Rahayyu Nik Zulkifeli, Nor Wati Nur Atikah Mustafa, Hazem Mofreh Dakhilallah Al Tarawneh

Journal of Dentistry Indonesia

Objective: Selecting and arranging acrylic resin teeth for dentures is essential to achieve a natural appearance; however, limited understanding and older adults’ aesthetic expectations may result in inconsistencies and increased patient visits. This study aimed to explore the methods and factors dental students prefer when selecting artificial teeth for dentures for older adults. Method: A validated questionnaire, including consent, demographics, and six domains of the methods with related factors for selecting acrylic teeth, was distributed to dental students of the Universiti Teknologi MARA (UiTM). The participants responded using a five-point Likert scale and closed-ended questions. Result: 161 dental students participated …

Cv: Joanna Maravilla (Literacy), Joanna Maravilla

Education Department Faculty Curricula Vitae

No abstract provided.

Cv: Kelly Vaughan (Secondary/Middle School/Foreign Language Education), Kelly Vaughan

Education Department Faculty Curricula Vitae

No abstract provided.

Concurrent Tb And Hiv Therapies Control Tb Reactivation During Co-Infection But Not Chronic Immune Activation, Riti Sharan, Yi Zou, Bindu Singh, Vinay Shivanna, Edward J Dick, Shannan Hall-Ursone, Xi Luo, Guanlin Guo, Shabaana A Khader, Xavier Alvarez, Jyothi Rengarajan, Zhao Lai, Smriti Mehra, Hulin Wu, Deepak Kaushal

Faculty, Staff and Student Publications

Most HIV-negative individuals exposed to Mycobacterium tuberculosis (Mtb) control infection as latent TB infection (LTBI), but HIV co-infection greatly increases progression to tuberculosis (TB), the leading cause of death in people living with HIV (PLHIV). Although combination antiretroviral therapy (cART) reduces LTBI reactivation, immune control of Mtb is not fully restored, as shown by persistent TB incidence in PLHIV on cART. In macaques, skewed pulmonary effector memory CD4⁺ T-cell (TEM) responses and new TB lesions persist despite cART. We hypothesize that concurrent anti-TB therapy with cART would improve bacterial control and immune restoration compared to cART alone. Using …

Enhancing Flu Vaccination Rates Through Improved Electronic Health Record User Workflow Training, Grace Sayre

Master's Projects and Capstones

A quality improvement project was implemented at an urban community health clinic primarily serving low-income, underinsured, and Latinx individuals. The site had a history of poorly organized flu vaccine rollout and low vaccination rates among the patient population. Seasonal influenza infects millions of people across the US each year, resulting in hundreds of thousands of deaths (Garza et al., 2023), and vaccination is the best prevention. Electronic health record training has been shown to reduce user burnout and improve efficiency (Gordon et al., 2022). The QI project aims to increase medical assistant satisfaction with the flu vaccine rollout by 15%, …

Improving Chemotherapy Patients' Confidence And Preparedness Through Dual-Format Teaching, Jasmine Esther Aminpour, Harshpreet Kaur, Ana Ruvalcaba, Sarah Muwanas

Master's Projects and Capstones

Section I: Abstract

Objective

Chemotherapy initiation is widely recognized as a period of heightened anxiety and cognitive overload for oncology patients, often limiting their ability to retain essential information during traditional one-time, nurse-led education sessions (Gucuyener & Karabacak, 2025; Howell et al., 2020). This quality improvement (QI) project sought to address gaps in comprehension, preparedness, and digital engagement within an outpatient oncology infusion microsystem by integrating evidence-based digital chemotherapy education with structured follow-up support.

Aim

The project aimed to determine whether a nurse-guided walkthrough of a digital chemotherapy education platform, paired with standardized follow-up calls, would improve patient comprehension, confidence …

From Incomplete To Impactful—Finalizing Unfinished Nursing Projects In Nart And Polypharmacy For Lasting Improvement, Paula Thanh Nhat Pham, Armine Lianna Chamichyan, Anastasia Yerofeyeva, Stelene Alexis Tragus

Master's Projects and Capstones

This quality improvement project addressed the problem of incomplete or unsustained clinical initiatives at a long-term care facility by introducing Kotter’s Change Model, an evidence-based framework designed to support and sustain lasting improvements in clinical practice. Within the context of a religious-based residential community for older adults with complex chronic needs, the objective was to strengthen the facility’s capacity to implement and sustain change more effectively. By using two previously unfinished initiatives, the NaRT triage tool and Polypharmacy management process, the project applied Kotter’s model to evaluate how structured change strategies can improve staff engagement, leadership alignment, and long-term project …

Looking At Labels, Examining Values: Knowledge, Narrative, And Multilingualism In American Art Museums, Mary Mitchell

Masters Theses

Object labels are key components of the knowledge production networks in American museums. But despite their sustained use in the Western museum field since the late nineteenth century, museum labels are not frequently regarded as valuable sources in scholarship on museum history and practices. In this thesis, I reposition labels in art museums as objects of value that should be studied for their important role in producing and disseminating knowledge. What can we learn about art museums by looking closely at their labels—specifically about those institutions’ values? How do labels reveal the hierarchies of value that art museums construct between …

Factors Influencing The Re-Emergence Of Vaccine-Preventable Diseases Using The Social Ecological Model: A Scoping Review, Glenda Dorina Rodriguez Lenarduzzi

Master's Projects and Capstones

Abstract

Background.

Several factors contribute to the resurgence of vaccine-preventable diseases, affecting coverage rates and vaccine uptake during recent outbreaks. The pandemic has underscored how crucial it is to comprehend vaccine literacy, as this understanding influences people's perspectives and behaviors toward vaccination, particularly in their approaches to problem-solving and decision-making.

Objective.

The present study conducts a scoping review of research on the impact of vaccine literacy and vaccine uptake on the re-emergence of vaccine-preventable diseases in the United States, framed by the social ecological model (SEM).

Design.

PubMed and Google Scholar were utilized as online databases to identify papers published …

The Evil Historical Twin: How The Requirement Of A Historical Analogy Could Result In Further Discrimination In The Law, Bryanna Mall

The Scholar: St. Mary's Law Review on Race and Social Justice

In 2024, the Supreme Court decided the case of United States v. Rahimi. The Court, unpersuaded by Rahimi’s objection regarding federal law which prohibited an individual subject to a domestic violence restraining order from possessing a firearm, decided the restriction was constitutional. While the holding of this case represents a win for survivors of domestic violence, the legal reasoning plants itself of flimsy concepts of history. The Court utilized a historical analysis test and looked to precedent rooted in social customs, legislation, and court holdings. The first major issue of this test is the dueling interpretation between a historical …