Digital Commons Network^™

Decreasing Hospital Acquired Pressure Injuries Through A Multi-Intervention Approach: A Quality Improvement Project, Kendra D. Crawford

DNP Scholarly Projects

BACKGROUND: Hospital acquired pressure injuries (HAPIs) continue to plague hospitals across the country. HAPIs are an indication of the quality of care delivered by the hospital’s nursing workforce. These injuries are costly to organizations and can lead to increased length of stay (LOS). The development of a HAPI, depending on severity, is a reportable injury and is classified as patient harm. Patients who suffer from HAPIs can experience significant pain and at times, permanent disfigurement. This project’s focus is a community hospital that has seen a steady increase in HAPIs over the last 2 years. During 2025, 28% of the …

Succession Planning As A Tool For Nursing Recruitment, Retention, And Resilience, Natalie Kennett

DNP Scholarly Projects

Background: Healthcare is facing a significant nursing shortage. This shortage not only impacts bedside nurses but also nurse leaders. Succession planning is a method for recruiting, retaining, and building resilience among nurse leaders.

Purpose: This quality improvement project applied principles of succession planning, including leadership education, training, and assessment of leadership retention and resilience.

Methods: Two interventions were implemented in this quality improvement project. The first was an assessment of a modification in nursing leadership organizational structure that was made in 2024 with the purpose of improving succession planning. This evaluation was completed with the use of …

Reducing School Absenteeism In Children With Avoidance Behaviors, Kimberly Carey

DNP Scholarly Projects

Background: Chronic absenteeism and school avoidance are a problem facing schools across the nation following the COVID-19 pandemic. Chronic absenteeism is financially, emotionally, and academically expensive for society. Purpose: This quality improvement project aimed to decrease absences by 50% over a 6-week timeframe when compared to the same timeframe from the previous year. Methods: Utilizing a Plan-Do-Study-Act framework, an intervention based on tracking multi-day consecutive absences and reaching out to families to provide education and support was implemented. At three days of absence, the school nurse would either call the family for absence with unknown etiology or email with an …

Improving Psychiatric Paraprofessional Preparedness Through Mental Health First Aid Training In An Outpatient Mental Health Clinic, Anisha Hampton

DNP Scholarly Projects

BACKGROUND: Paraprofessional staff in outpatient mental health clinics play a critical role in monitoring clients with serious mental illness (SMI) and supporting continuity of care in community-based settings. However, the absence of standardized training contributes to variability in staff knowledge, confidence, and ability to recognize early signs of mental health deterioration. Mental Health First Aid (MHFA) is an evidence-based training designed to improve mental health literacy and crisis response skills among frontline workers.

METHODS: This quality improvement project utilized a pre-post design within a Plan-DoStudy-Act (PDSA) framework at an outpatient mental health clinic. Paraprofessional staff completed the Mental Health Literacy …

Supporting Clinical Readiness And Well-Being In New Graduate Nurses: A Scoping Review, Angela Cyr Msn, Rn, Rnc-Nic, Npd, Bc

MaineHealth Maine Medical Center

Objectives: To map and synthesize current evidence on orientation strategies that integrate clinical and psychosocial support for newly licensed nurses, with a focus on first-year retention outcomes.

Manufacturing And Performance Evaluation Of Carbon/Epoxy Laminated Composites Cured Using Single- And Six-Magnetron Microwave Applications, Nayan Pundhir

Doctoral Dissertations

Microwave curing is fast, energy-efficient, and a viable alternative to conventional thermal curing processes. It has been widely adopted for processing carbon fiber-reinforced polymer (CFRP) composites because the high electrical conductivity of carbon fibers enables strong microwave coupling, leading to rapid volumetric heating and reduced energy consumption. The aim of this study is to investigate the use of microwave curing for manufacturing CFRP composites. IM7/Cycom 5320-1 unidirectional prepreg was utilized to fabricate laminated composites in two thickness ranges: 16-layer laminates (2.5 mm thickness) and 64-layer laminates (9.2 mm thickness). Two lay-up configurations were examined: symmetric cross-ply and quasi-isotropic. Different curing …

Adaptive Machine Learning Framework For Microstructural Optimization And Mechanical Performance Prediction In Steels, Henry Adekola Haffner

Doctoral Dissertations

Evolution of microstructures, such as polygonal ferrite, acicular ferrite, bainite, and martensite, plays a pivotal role in determining the final microstructural and mechanical properties of steel products. Given the established inter-relationship between processing parameters, microstructure, properties, and performance, precise control of phase transformation is essential to achieve pre-determined properties. To understand transformation routes in different steel grades, time-temperature-transformation (TTT) and continuous-cooling-transformation (CCT) diagrams are necessary and can be described using the Johnson-Mehl-Avrami-Kolmogorov equation and Scheil’s additivity rule. This study presents a comprehensive computational framework for predicting and optimizing microstructure and mechanical properties in advanced high-strength steels (AHSS) using adaptive machine …

Machine Learning Based Automation Of Pcb Pdn Design And Optimization, Haran Manoharan

Doctoral Dissertations

The rapid increase in power density and stringent power-integrity requirements in modern System-on-Chip (SoC) platforms have made Power Delivery Network (PDN) design an increasingly complex, multi-stage challenge. Critical decisions must be made both during pre-layout planning, such as stackup configuration, power-plane geometry, and early decoupling capacitor (decap) budgeting, and during post-layout refinements. Traditional heuristic and evolutionary optimization techniques struggle with scalability, require extensive manual iteration, leading to long runtimes and limited adaptability across varying board configurations. To address these challenges, this work proposes a unified reinforcement-learning-driven framework for automated PDN synthesis and decap optimization that spans both pre-layout and post-layout …

Incremental Cluster Validity Indices And Their Role In Interpreting Lifelong Learning Systems, Niklas Max Melton

Doctoral Dissertations

Clustering and supervised learning are often treated as distinct paradigms, yet both rely on structure in feature space. This dissertation investigates the relationship between cluster validity indices (CVIs) and supervised learning in real-time and lifelong learning settings where data arrive incrementally and cannot be revisited. Across four studies, it develops methods for online cluster validation, uses supervised learning to improve their interpretability, and applies these ideas to evaluating performance degradation in continual learning.

The first study extends incremental cluster validity indices (iCVIs), enabling widely used validation metrics to operate in streaming environments. Experiments on synthetic and real-world datasets show systematic …

Critical Parameters Controlling Oxide Scale Formation And Hydro-Descaling Efficiency During Steelmaking, Tochukwu Princewill Ojiako

Doctoral Dissertations

In modern steelmaking, cast slabs are exposed to high-temperature oxidizing environments during secondary cooling, reheating, and hot rolling, resulting in the formation of multilayer oxide scales on the steel surface. These scales interact with mold-flux residues originating from the casting process (CC). The morphology, chemistry, and adhesion of oxide scale strongly influence its removability during high-pressure hydraulic descaling and ultimately determine the surface quality of hot-rolled products. However, the mechanistic relationship between oxide scale evolution, scale-steel interfacial structure, and hydraulic descaling performance remains poorly understood.

This dissertation investigates oxide scale formation, modification, and removal in low-carbon thin-slab steels produced by …

Probability Of Detection For Corrosion-Induced Mass Loss And Yield Strain In Metal Structures Using Fe-C Coated Long Period Fiber Gratings Sensors And Electroresistive Strain Gauges, Ying Zhuo

Doctoral Dissertations

"Graphene-based, Fe-C coated long-period fiber grating (LPFG) sensors individually reveal a causal relation between LPFG wavelength change and Fe-C mass loss. Their correlation parameters vary significantly between the sensors mainly because hydrophobic multilayer graphene and graphene oxide make sensor fabrication inconsistent. This study explores MXene-based, Fe-C coated LPFG sensors due to MXene’s inherent hydrophilic property in the presence of surface functional groups such as hydroxyl and oxygen and the probability of detection (POD) for mass loss from Fe-C coated LPFG sensors when deployed at a fixed location. A novel fabrication process incorporating Piranha solution pretreatment is proposed to ensure uniform …

Milankovitch Paleoclimatic Signals In Upper Permian–Lower Triassic Fluvial-Lacustrine Records, Bogda Mountains, Greater Turpan-Junggar Intracontinental Rift Basin, Nw China, Wentao Zhang

Doctoral Dissertations

"The objective of this study is to understand whether Milankovitch climatic and/or tectonic processes influenced the sedimentation of the upper Permian–Lower Triassic fluvial-lacustrine cyclic deposits in Bogda Mountains, greater Turpan-Junggar intracontinental rift basin, Xinjiang Uygur Autonomous Region, NW China. This study carried out gamma analysis, gamma and astronomical tuning, and spectral analysis on the Wutonggou, Jiucaiyuan, and Shaofanggou low-order cycles of the South and Central Taodonggou, South and North Tarlong, Dalongkou, and Zhaobishan sections. Stable and positive gamma values support the assumption of facies-dependent sedimentation rates for non-marine facies. The sedimentation rates range from 0.04 to 2.43 m/kyr, and 0.21 …

Integrating Stakeholder Priorities Into Resilience Planning And Investment Decision-Making, Victoria Jeaneen Kraemer

Doctoral Dissertations

"Resilience is a system’s ability to bounce back from a disruption. However, resilience needs may vary across different stakeholders. To better integrate stakeholder input into resilience planning and investment decision-making, existing frameworks were combined to develop the Integrated Stakeholder-Centered Resilience Framework. This broad framework is tailorable across contexts and stakeholder types. Research results demonstrate the use of this framework to evaluate the effects of disruptions and represent stakeholder preferences for investments. In the first study, participants were randomly assigned to power outage scenarios, which did not affect their criteria priorities. An exploratory factor analysis revealed two main priorities, (1) Absorption …

An Energy-Stable Mixed Cg-Dg Scheme For A Full Shliomis Phase Field Model Of Two-Phase Ferrofluid Flows, Mahdi Gharehbaygloo

Doctoral Dissertations

"Ferrofluids are magnetic nanoparticle suspensions whose motion couples surface tension, flow field, magnetostatics, and magnetization dynamics. This dissertation develops, analyzes, and validates an energy-stable finite element method for a two-phase ferrofluid model that couples the Cahn-Hilliard equations with the full Shliomis model of single-phase ferrofluids, retaining its damping torque term, magnetic torque term, and magnetic stress term.

The spatial discretization is a mixed continuous Galerkin (CG) and discontinuous Galerkin (DG) formulation. It uses continuous ��2 elements for the phase field, chemical potential, velocity, and magnetostatic potential, discontinuous ��2 elements for the magnetization, and discontinuous ��1 elements for the pressure. The …

Innovative Methods In Intact Rock Deformation Detection, Ali Abdullah M Alzahrani

Doctoral Dissertations

"An accurate assessment of intact rock deformation is imperative in engineering activities carried out either in or above rock masses. However, instruments used for post-peak deformation are easily debonded and cannot record the whole process of post-peak deformation required in the failure modeling of rocks. This dissertation focuses on the investigation of the performance of two non-contact measuring systems (Laser Displacement Sensor (LDS) and Inductive Proximity Sensor (IPS)) compared to the contact type instrument (conventional Strain Gauge System (SGS)) in monitoring intact rock deformations. Subsequently, an IPS was installed in a high-pressure triaxial testing system before investigating its performance in …

Anxiously Ever After: The Fear Of Choosing The Wrong Person Among Individuals With Relationship Obsessive-Compulsive Disorder, Liv Fante

PCOM Psychology Dissertations

Obsessive-compulsive disorder (OCD) is a distressing condition in which individuals experience recurrent intrusive and unwanted thoughts (i.e., obsessions), engage in repetitive behaviors (i.e., compulsions), or both. A relatively underexplored presentation of OCD involves obsessions and compulsions centered on romantic relationships, referred to as relationship OCD (ROCD). Although OCD has been extensively studied, research specific to ROCD remains limited. Disordered eating behaviors, retroactive jealousy, social media use, social comparison, and relationship history may be associated with the development and maintenance of ROCD. The current study examined these variables as predictors of two forms of ROCD: relationship-centered and partner-focused symptoms. Gender differences …

Dental Professionalism In A Changing World: Challenges & Opportunities, Robert P. Iovino, Dds, Ma Dds, Ma

Journal of the American College of Dentists

This manuscript examines the erosion of traditional dental professionalism amid rising educational costs, declining membership in professional associations, and the growing influence of corporate ownership and private equity in dentistry. Drawing perspectives from economics, sociology, philosophy, law, and ethics, it traces the historical development of professional licensure and its role in safeguarding clinical autonomy, ethical integrity, and public trust. The analysis highlights how deregulation and profit-driven practice models challenge the profession’s social contract. The manuscript argues that preserving strong civic institutions, restrictive licensure standards, and humanities-informed education is essential to sustaining dentistry as a learned profession rather than a commodified …

Hester’S Dubious Roots And Legacy: Open Fields Doctrine Under Scrutiny, Laura K. Donohue

Georgetown Law Faculty Publications and Other Works

For over a century, open fields doctrine has shaped Fourth Amendment law, denying people the right to be secure on their own property. Its application has steadily expanded, with the result that, by some estimates, the Government can now engage in warrantless surveillance of some ninety-six percent of private land and buildings regardless of fences, postings, the distance from public roads or byways, or the use to which the property is put. An originalist approach throws the doctrine into disarray: at the time of the Founding, common law protected the curtilage, which extended to the fields, barns, storehouses, and other …

Creation And The Republican Revival, William M. Treanor

Georgetown Law Faculty Publications and Other Works

Gordon Wood's classic book Creation of the American Republic has long influenced legal thought and originalist scholarship in particular. It played a central role in the Republican Revival movement, an effort by leading scholars such as Cass Sunstein and Frank Michelman to recover a progressive originalism at the same time as conservative originalism was starting to shape constitutional jurisprudence. But, while the Republican Revival nominally relied on Wood, it misread central elements of his book - his concept of virtue and his belief that republicanism had largely been displaced at the time of the drafting of the Constitution.

The time …

Reconstituting A Constitution, And A Republic: The Architecture Of Authoritarian Rule, J. Maria Glover

Georgetown Law Faculty Publications and Other Works

A constitution can be remade without tearing it down, or even changing a single word. It is done by law.

“The judicial power is vested in one Supreme Court and in such inferior courts as Congress may establish,” whose “province and duty” it is to “say what the law is.” U.S. Const. Art. III §1; Marbury v. Madison, 5 U.S. 1 (Cranch) 137 (1803). It is not the power to remake the Constitution that grants it.

The Supreme Court is turning the inherited powers that hold power to law into instruments of its own aggrandizement. It is taking authority from …

Brain Death Versus Circulatory Death: How Functional Warm Ischemia And Cold Storage Impact Myocardial Membrane Repair In Human Donor Hearts, Shiyi Li, Rishav Bhattacharya, Abdussalam E Elsenousi, Katherine V Nordick, Adel M Hassan, Syed B Peer, Camila Hochman-Mendez, Todd K Rosengart, Kenneth K Liao, Nandan K Mondal

Faculty, Staff and Students Publications

This study compares myocardial injury responses in human donor hearts from donation after brain death (DBD) and donation after circulatory death (DCD), with a focus on myocardial membrane integrity, pyroptosis, and damage. Unlike DCD hearts, which are exposed to varying durations of functional warm ischemic time (fWIT), DBD hearts, which are never subjected to warm ischemia, served as controls. A total of 24 human hearts were procured, consisting of 6 from the DBD group and 18 from the DCD group. All procured hearts were placed in cold normal saline and stored for up to 6 h. Left ventricular biopsies were …

The Rise Of Biometrics And The Erosion Of Privacy: A Case Study Of Biometric Systems In Amusement Parks, Sarah A. Yarger

Honors Undergraduate Theses

This thesis explores data privacy concerns surrounding the implementation of facial recognition technology using amusement and theme parks as a case study. With the lack of general federal guidelines, states have been left to address this rapid expansion of technology. This situation has left consumers with inconsistent protections and varied levels of liability for corporations. This thesis will explore the current gaps of legislation on legal use of facial recognition technology using amusement and theme parks as the context of focus. As this technology continues to advance and become normalized in society, the inconsistency in privacy protections amongst states suggests …

Timelines Of Care: Analyzing Treatment Access For Women With Ongoing Reproductive Health Needs, Nyla M. Keith

Honors Undergraduate Theses

Mandates in the United States created pressure on an already strained healthcare system post-COVID-19 pandemic. With new regulations placed upon abortion care forcing the closing of low-cost health clinics such as Planned Parenthood, legislation that has made health insurance more expensive, and rising pharmaceutical prices, women’s OB/GYN care in America has struggled to meet patient needs. A cross-sectional survey was developed and distributed to four clinics in the Orlando area to assess patients' perceived access to care and identify barriers to receiving OB/GYN care. The survey took approximately 10 – 15 minutes to complete, was available in print and online …

Studying Chronotypes And Their Role In Sleep And Mental Health: A Scoping Review, Evan Nguyen

Honors Undergraduate Theses

Sleep patterns remain a significant public health concern globally, impacting several aspects of life, including mental health. This scoping review examined how chronotype and circadian typology predict mental health, with sleep quality serving as a crucial mediator. While the importance of sleep is widely acknowledged, there is a lack of studies specifically investigating chronotype-aligned interventions to reduce psychological distress. To address the shortage, a comprehensive review of the peer-reviewed literature was conducted, identifying six papers for analysis. These studies mostly utilized cross-sectional designs to assess diverse global groups, including university students, healthcare workers, and military personnel. The results indicate that …

The Impact Of Delayed Versus Immediate Cord Clamping On Newborn Vitality In Vaginal Deliveries: A Literature Review, Ava Rhea Sherota

Honors Undergraduate Theses

Umbilical cord management at birth is a critical component of neonatal care. Historically starting in the 1950s–1960s, hospitals have utilized immediate cord clamping (ICC), the practice of clamping and cutting the umbilical cord within the first 1–30 seconds after birth, to speed up postpartum care and newborn assessments (Ceriani Cernadas et al., 2006; Ceriani Cernadas et al., 2010; McDonald et al., 2013). This approach gained popularity in the mid-20th century due to concerns about maternal bleeding, the need for rapid neonatal evaluation, and the drive for more efficient delivery room workflows (Weckert & Hancock, 2008; Mohammad et al., 2019). Before …

Honor Of Culture, Gender Socialization And Behavioral Outcomes In College Students, Ana Maria Moreno Henriquez

Honors Undergraduate Theses

Honor of culture is a culturally based concept that involves holding a strong defense for  the dignity and reputation on one’s family and self. This thesis focuses on the relationship between this honor of culture and gender socialization in the behavioral outcomes of college students, who are in a highly important learning phase of discovering their identity and independence from familial values. Participants were University of Central Florida (UCF) students who completed an online Qualtrics survey, which included an Honor of Culture Scale (Rodriguez Mosquera et al., 2016), Gender Role Beliefs Scale (Kerr & Holden, 1996), the Short Dark Triad …

Anti-Muslim Rhetoric In The Trial Of The Templars (1307-1312), Samantha J. Froemming

Honors Undergraduate Theses

This thesis investigates the existence of anti-Muslim rhetoric within documents produced by the French monarchy and papacy during the Trial of the Templars (1307-1312). When French King Philip IV accused the Templars of heresy in 1307, he issued orders for their arrest in an unofficial document which employed anti-Muslim rhetoric against them, even though they were an order of Latin Christian warrior-monks who fought against Muslims in the Middle East. Pope Clement V later reflected this rhetoric in his papal bull Pastoralis praeeminentiae, an official order to arrest the Templars­— evidence of Philip IV’s influence over the papacy during …

The Role Of Resistance Training In Managing Menopause-Related Changes, Alyson K. Strauss

Honors Undergraduate Theses

Resistance training serves as a critical non-pharmacological strategy for mitigating the physiological and psychological declines associated with the menopausal transition. This natural biological phase, marked by declining estrogen levels, typically leads to accelerated bone mineral density loss, sarcopenia, metabolic regulation disturbance, and heightened mood disturbances. To evaluate the efficacy of targeted exercise interventions, a systematic review was conducted following PRISMA guidelines. From an initial pool of 60 relevant articles, 13 studies met the specific inclusion criteria, focusing on structured resistance training protocols for perimenopausal, menopausal, and postmenopausal cohorts.

The synthesis of these studies indicates that resistance training is a highly …

Friends In Niche Places: An Examination Of Anole Abundance And Habitat Use In An Urban Environment Using Point Transect Distance Sampling, Ethan Gau

Honors Undergraduate Theses

Lizards in the genus anolis occupy a wide range of ecological niches, often sharing the same environment due to niche partitioning. In central Florida, the main species of anoles found are the native A. carolinensis and the invasive A. sagrei, two generalist anole species that partition into trunk-crown and trunk-ground niches in each other’s presences respectively. I surveyed the UCF main campus using Apollo Circle as the border for my study area, and I used point sampling to estimate the population abundance and density, while also collecting data on perch substrate, height, and canopy coverage. Population estimates for A. …

Life In Laughter: Comedy’S Impact On Student Health And Success, Julia Weinstein

Honors Undergraduate Theses

College students face rising rates of anxiety, depression, and stress, highlighting the need for accessible, stigma-free wellness interventions. While comedy is often seen as entertainment, research indicates laughter produces measurable psychological and physiological benefits, including reduced cortisol and increased endorphins. Life in Laughter, a creative-research hybrid project, investigates how live and digital comedy experiences affect college students’ mood, stress, and sense of belonging. Using mixed methods, data were collected through anonymous audience surveys, app-based reflections via JoyScroll, and interviews, supplemented by a mini-documentary. Findings suggest humor functions as both an emotional regulation tool and a means of fostering …