Digital Commons Network^™

Injection Or Ingestion: A Comparative Review Of Antipsychotic Delivery Methods And Patient Outcomes In Schizophrenia, Jeffrey K. Fear

The PA Department Journal of Medical Science

Introduction: Schizophrenia is a chronic psychiatric disorder that causes significant functional impairment and decreased quality of life for those who suffer from it. The purpose of this review is to compare the use of long-acting injectable (LAIs) antipsychotics with oral antipsychotic medications and to evaluate which treatment modality provides more favorable outcomes in terms of symptom control, adherence, and relapse prevention.

Methods: PubMed was searched to find articles examining the efficacy of both long-acting injectables and oral antipsychotics, and why long-acting injectables are becoming the preferred method of delivering treatment to patients suffering from schizophrenia. Four articles were selected for …

Glp-1 Agonists For Pediatric Obesity: A Clinical Review, Grace Burgin

The PA Department Journal of Medical Science

Introduction: Pediatric obesity is a chronic disease with multiple complex causes and many potential consequences if carried into adulthood. Lifestyle modifications alone have not been effective for all patients in the treatment of pediatric obesity. GLP-1 RAs already being prescribed in the adult population were also recently approved for pediatric patients. The purpose of this clinical review is to analyze the efficacy of GLP-1 RAs in decreasing markers associated with obesity, such as BMI, cholesterol, etc. in pediatric patients diagnosed with obesity.

Methods: PubMed was first searched using synonyms of the keywords “pediatric obesity,” “GLP-1 agonists,” “lifestyle modifications,” and “biomarkers …

The Gut Microbiome’S Effect On Metabolic Syndrome, Kayla Turner

The PA Department Journal of Medical Science

Introduction: Metabolic Syndrome (MetS) is a chronic condition characterized by insulin resistance and low-grade inflammation. The purpose of this review is to focus on pre-/pro/symbiotic supplementation as a means of improving MetS parameters in place of pharmacological intervention.

Methods: PubMed was searched with the terms “metabolic syndrome”, “obese”, “obesity”, “overweight”, “insulin resistance”, “insulin sensitivity”, “probiotic”, “symbiotic”, and “bifidobacter*”. Operators and filters narrowed the results down to 55 results, 4 of which were picked due to their relevance and quality.

Results: The 4 articles chosen were RCT and a systematic review that explored the Bifidobacterium genus in relationship to the MetS …

Pharmacological Management Of A Spinal Cord Injury: A Review, Victoria A. Sumner

The PA Department Journal of Medical Science

Introduction

A spinal cord injury results from damage to the cord itself. People who experience such an injury often live with pain for the rest of their lives. This review aims to compare the effectiveness of gabapentin versus tramadol in managing post-spinal cord injury pain.

Methods

A search using the key terms “spinal cord injury,” “gabapentin,” and “tramadol” was conducted on PubMed. Five relevant results were identified after applying operators and filters to narrow down the articles. Of those five articles, four were reviewed in this analysis.

Results

All four articles directly compare gabapentin to a test substance. Three of …

Understanding The Efficacy Of Photodynamic Therapy In Comparison To Topical Therapies In Treating Actinic Keratosis In Those At Increased Sun Exposure Risk, Tatum R. Mcbride

The PA Department Journal of Medical Science

Introduction: Actinic keratoses are precancerous skin lesions that arise secondary to increased sun exposure. These lesions have a propensity to transform into non-melanoma skin cancers, mainly squamous cell carcinoma, if left untreated. There are a multitude of different treatment options for the prevention and clearance of these lesions. Among these options is photodynamic therapy (PDT). The purpose of this paper is to investigate the effectiveness of PDT when compared to other options for AK treatment.

Methods: A search was conducted using PubMed for studies to analyze the efficacy of PDT when compared to other treatment options. 3 articles were selected …

Psilocybin Treatment For Refractory Depression: A Clinical Review, Hailey A. Jensen

The PA Department Journal of Medical Science

Introduction:

Depression is a widespread mental illness that affects a large portion of the world population and many of those who suffer from depression are resistant to treatment currently available. The purpose of this review is to compare the efficacy of psilocybin to the current available methods for the treatment of refractory depression.

Methods:

PubMed was searched with the key search terms: resistant depression, psilocybin therapy, and adults. Operators and filters narrowed down the search to 43 results. Four articles were then chosen based on quality and specificity with this review.

Results:

The articles included in this review compare the …

Hyaluronic Acid For The Treatment Of Knee Osteoarthritis: A Clinical Review, Victoria G. Morrison Cerda

The PA Department Journal of Medical Science

Introduction: Osteoarthritis of the knee (KOA) is a progressive degenerative disease of the knee joint characterized by knee pain and limited knee function which negatively impacts activities of daily living. Effective and safe IA treatments are needed to meet the needs of an ever-increasing population of those living with KOA. This clinical review aims to assess the effectiveness of IA hyaluronic acid compared to corticosteroids for pain management in KOA.

Methods: PubMed was searched using the key terms “hyaluronic acid injection”, “knee osteoarthritis”, “corticosteroid injection”, and “pain relief”. Modifiers and operators were applied, and results were narrowed to four relevant …

Beyond Steroids: A Head-To-Head Review Of Hyaluronic Acid And Prp In Knee Osteoarthritis, Phillip A. Sekander

The PA Department Journal of Medical Science

Introduction: Osteoarthritis of the knee is one of the most common primary complaints in the US. Newer injectable therapies that target specific cartilage degeneration are being developed. The purpose of this review is to compare the efficacy of PRP and HA injections for the management of knee osteoarthritis.

Methods: PubMed was searched using the key terms “osteoarthritis of the knee,” “hyaluronic acid,” “platelet-rich plasma,” and “management of pain.” This search was refined using MeSH terms, Boolean operators, and applied filters (English, free full-text, publication date between 2020-2025). Four articles were selected for in-depth review of the efficacy of platelet-rich plasma …

Gluten-Free Diet For Patients With Hashimoto's Thyroiditis: A Clinical Review, Sallie Young

The PA Department Journal of Medical Science

Introduction: Hashimoto’s thyroiditis (HT) is the most common cause of hypothyroidism worldwide. Although levothyroxine remains the standard treatment for hypothyroidism caused by HT, interest has grown in dietary interventions, particularly gluten-free diets (GFDs), as a means of reducing thyroid autoimmunity and improving clinical outcomes. The purpose of this clinical review is to analyze the effectiveness of GFD on improving thyroid autoantibodies in patients with HT.

Methods: PubMed was search with a specific search strategy using key terms “Hashimoto’s thyroiditis”, “autoimmune hypothyroidism”, “Hashimoto’s” and “diet”. Operators and filters narrowed results to sixteen. Four studies met the inclusion criteria, including …

Government Religious Speech And The Establishment Clause, Mark Storslee, Michael Helfand

Faculty Publications

The government says religious things. From monuments and holiday displays to legislative prayers, religion saturates the government’s public voice. But how can that be permissible when the Establishment Clause, at least in theory, indicates the government should be religiously neutral?

So far, the Supreme Court’s attempts to address the puzzle have come up short. Early on, the Court suggested that seemingly all government speech must be secular, or that it refrain from “endorsing” religion. But the Court never consistently enforced those limits, struggling to reconcile them with America’s historical experience. And in recent years, the Court has rejected those approaches …

Beyond The Paycheck: An Exploration Of The Role Of Management And Leadership Support In Employee Retention, Stacia Leach Lomax

Doctor of Education Dissertations

Employee retention remains a significant organizational challenge, particularly in the post-COVID-19 workplace where employees increasingly seek meaningful support, recognition, and workplace well-being in addition to compensation. Guided by Herzberg et al.’s (1959) Two-Factor Theory, the purpose of this qualitative study was to explore how employees perceive management support and how those perceptions influence decisions to remain with or resign from an organization. The study was conducted using a qualitative descriptive design involving 12 semi-structured interviews with individuals who had voluntarily resigned from organizations across multiple employment sectors. A follow-up focus group was conducted to confirm and validate emerging findings. Data …

A Multiple Case Study Exploring The Lived Experiences Of Special Education Teachers Of Students With Intellectual Disabilities, Patrece A. Scott

Doctor of Education Dissertations

Special educators, particularly the teachers of students with intellectual disabilities, remained an understudied group in research. The purpose of this phenomenological qualitative study was to examine how special educators navigated their lived experiences collaborating with three key stakeholder groups: parents, general education teachers, and administrators, particularly working with students with intellectual disabilities. Specifically, this study examined how special educators experienced collaboration with those stakeholder groups through the framework of McClelland's (1961) Theory of Needs. The study involved two semi-structured interviews with each of the 12 participants, all of whom were special educators at the middle or high school level. These …

Master's Recital: Anna Godtland, Anna Godtland

Dissertations and Theses @ UNI

The two purposes of this recital are to partially fulfill the requirements for the Master of Music degree in Jazz Pedagogy and to display proficiency on the drum set, piano, and string bass. Anna Godtland presented her graduate recital on April 27, 2026, at 7:30 PM in Bengtson Auditorium. The recital program included two pieces each on piano, drum set, string bass, and four pieces on trombone. These selections showcased an array of styles and required a variety of skills necessary to fulfill the requirements of the Jazz Pedagogy degree. The recital featured personnel from two UNI jazz combos (Cincopatos …

Trusting With All Her Heart - And A Kidney, Beverly Matiko

Faculty Publications

No abstract provided.

Mission-Focused Multidisciplinary Design Optimization Of Tilt-Rotor Evtol Propulsion System, Tyler Critchfield, Andrew Ning

Faculty Publications

Tilt-rotor propulsion system design requires a multidisciplinary approach to tackle important challenges and competing tradeoffs between disciplines. In this paper, we model rotor aerodynamics, blade structures, vehicle drag, electric propulsion, and tonal/broadband acoustics for a tilt-rotor, electric vertical takeoff and landing aircraft using low-to-mid fidelity tools. We use gradient-based design optimization with automatic differentiation and parameter sensitivity analyses to explore the design space and complex tradeoffs of tilt-rotor distributed electric propulsion systems, exploring effects of variations in payload/empty weight, battery specific energy, and blade tip speed. This framework models multiple operating points with a mission-focused objective to account for the …

Living The American Dystopia: Parallels Between Louise Erdrich's Future Home Of The Living God, Leni Zumas's Red Clocks, And Us Abortion Legislation, Erin R. Walden

Graduate Student Theses, Dissertations, & Professional Papers

This thesis highlights the parallels between contemporary U.S. culture and legislation (particularly after the overturning of Roe v. Wade) and two pieces of feminist speculative fiction: Louise Erdrich’s novel Future Home of the Living God and Leni Zumas’s Red Clocks. Through a rhetorical analysis of political and cultural discourse, legislation, and the two novels, utilizing the frameworks of theorists such as Catharine MacKinnon, Michel Foucault, and Stacy Alaimo, I investigate the similarities in legislation, culture, rhetoric, and atmospheres of reproductive dystopian fiction and our current political environment after the U.S. Supreme Court case Dobbs v. Jackson Women’s Health …

Adults With Dyslexia: Experiences Accessing And Using Reading Strategies And Assistive Technology, Brenda Rosalie King

Graduate Student Theses, Dissertations, & Professional Papers

Dyslexia is a specific learning disorder of neurobiological origin characterized by persistent difficulties with accurate and/or fluent reading, word recognition, spelling, and decoding. Although dyslexia is widely recognized as a lifelong learning difference, the majority of research has historically focused on children and adolescents, with less attention given to adult experiences. The purpose of this study was to explore how adults with dyslexia access and use reading strategies and assistive technologies to support reading comprehension and independence across contexts. The study also examined barriers and supports influencing access to these tools, as well as the emotional experiences associated with their …

Advancing Understanding Of Lived Experience Of Unhoused People To Reduce Social Stigma And Promote Community Health: A Theoretically-Guided Photovoice Study, B-Rad Stephen Applegate

Graduate Student Theses, Dissertations, & Professional Papers

Homelessness is a persistent public health challenge shaped by structural inequities, stigma, and exclusion from social and health systems. Community-Based Participatory Research (CBPR) has increasingly been used to center the knowledge of people who are unhoused, yet limited attention has been given to the theoretical frameworks guiding this work across disciplines. The purpose of this dissertation was to examine theories and methods used in CBPR with unhoused populations and to explore the extension of Margaret Newman’s Theory of Health as Expanding Consciousness from a nursing-focused theory to a public health framework for understanding lived experience.

Using a scoping review methodology …

Pestilent Air, Contagious Evil: Infectious Disease In Early Modern Poland, Danielle Marie Airola

Graduate Student Theses, Dissertations, & Professional Papers

The individuals buried in the cemetery of Czysty Square and the population of the vanished village of Gać lived and died during the early modern period in what is now modern-day Poland. Epidemics broke out repeatedly during this time, and the skeletal remains of several individuals buried in Czysty Square’s cemetery display pathological changes suggestive of infectious disease. These non-specific morphological changes created a need for DNA testing to search for pathogens associated with these lesions. In contrast, Gać’s population declined over time until the village’s abandonment. This has led to a hypothesis of an epidemic having contributed to the …

From Mandate To Implementation: A Qualitative Content Analysis Of Early Childhood Coursework In Educational Leadership Preparation Programs, Anna Louise Puryear

Graduate Student Theses, Dissertations, & Professional Papers

Research on principal leadership in the P-3 continuum is limited, even though leadership is second only to teaching in its impact on student outcomes. Most leadership preparation programs emphasize K–12 content, with little focus on early childhood education. Illinois is the only state to codify legislation requiring early childhood content in educational leadership programs, offering a unique case to examine how such mandates are implemented. This study employed qualitative content analysis to investigate how institutions of higher education represent mandated early childhood content in graduate-level coursework. Data sources included program-level documents from 22 Illinois leadership preparation programs and course-level materials …

Ghostly Grieving In Theatre’S Now Also The Dramaturgy Of Perception And The Body In Contemporary American Ghost Plays, Jacob Mann Christiansen

Graduate Student Theses, Dissertations, & Professional Papers

“Ghostly Grieving in Theatre’s Now Also” explores how contemporary American plays and playwrights stage the dead as a way of understanding theatre’s unique language for dealing with the shared, complex human experience of grief. Focusing on theatrical ghosts and other “impossible” presences, I articulate how these figures function as dramaturgical devices. I also argue that theatre’s ghosts “set the stage” (as it were) for communicable meaning-making by inviting audiences into the tasks of creation and mourning.

My work draws on performance theory (especially phenomenological accounts of theatrical storytelling), on dramaturgical analysis, and on grief studies. In this dissertation project, I …

Á’Po’Taki Iiyika’Kimaa Work/Try Hard For Such A Time As This, Misamsai’Piaakíí Longtime Charging Woman Kimberly Lynn Paul

Graduate Student Theses, Dissertations, & Professional Papers

This body of work adds to a recent shift in the academic landscape, valuing interdisciplinary research and Indigenous worldview. Predominant is the reversal of extractive research norms within Indigenous populations and the biosystems they steward, instead claiming Piikani (Blackfeet) led community-needs-based research valuing Indigenous data sovereignty, research methodologies, ethics, equity, and Indigenous empowerment. This research proffers requisite historical information providing the ‘why’ context, followed by three of the author’s studies: in toxic dumping, food sovereignty, and Piikani well-being. Under an environmental justice framework, the first study presents a cursory investigation of decades-long illicit toxic waste disposal reports linked to observed …

Hidden Wounds: Exploring Moral Injury In Childhood Exposure To Domestic Violence, Megan Elizabeth Denny

Graduate Student Theses, Dissertations, & Professional Papers

The profound impacts of Childhood Exposure to Domestic Violence (CEDV) have been documented extensively, revealing long-term psychological effects such as the potential development of post-traumatic stress disorder (PTSD) and increased likelihood of future victimization or perpetration of violence. Yet, the concept of moral injury (MI) traditionally explored in military and healthcare contexts, remains significantly underexplored in populations exposed to CEDV. This study examines the relevance of MI among individuals who experienced domestic violence (DV) during their youth. The research focused on two primary aims: (1) to describe the level and variability of moral injury-related distress among adults with histories of …

The Forensic Implications Of Hydrochloric Acid (Hcl) Exposure On Dna Preservation In Human Teeth, Shaelyn Lee Zimmerman

Graduate Student Theses, Dissertations, & Professional Papers

Identity is a human right, and forensic anthropological methods are often aimed at returning identity to decedents. Three main pathways are used for the identification of human remains: fingerprints, dental records, and DNA analysis. Identification efforts may be hindered when perpetrators attempt to obscure the victim’s identity. In cases where corrosive substances, such as hydrochloric acid (HCl) are used, dental comparison and fingerprinting often fail and genetic analysis becomes the best chance of achieving personal identification.

Previous studies have shown teeth are an excellent source of DNA. Large, multi-rooted teeth, such as molars, are often preferred because they contain the …

“An Extremely Dangerous Institution:” The Cultures And Controversy Of Public Social Dances In Montana, 1900-1930, Danielle Allison Brown

Graduate Student Theses, Dissertations, & Professional Papers

This paper explores public social dances east of the Continental Divide in Montana from 1900 to 1930. Rural social dances in schoolhouses and urban dances in dance halls created two different dance cultures. The relaxed nature of rural dances preserved the traditional values of nineteenth-century social dances, which reinforced community and family ties. Urban dances reflected the modern fads of the roaring twenties and challenged traditional values with sexual suggestiveness. Progressive Era moral reformers concerned about the possibility that social dance promoted illicit sexuality participated in an anti-dance movement and pushed for regulations of social dances. The anti-dance movement in …

A Psychogeography Of The Lower Colorado River Basin, Arren L. Kimbel-Sannit

Graduate Student Theses, Dissertations, & Professional Papers

Dried-up canals. Superheated strip malls. Proliferating data centers. Infinite appetite for growth despite its apparent circumstances. Arizona may well be the state of the American future. This multi-genre series of essays from Arren Kimbel-Sannit offers a personal, political-economic and ecological critique of growth and accumulation in Arizona — from the perspective of someone who grew up in its suburban expanses, reported on its politics, and long sought to clarify his relationship with home.

"More Boldly I Shall Go:" Jacobites, Hanoverians, And The Fabrication Of Nostalgia, 1745-1766, Jacob Louis Shropshire

Graduate Student Theses, Dissertations, & Professional Papers

This study investigates how Jacobites and Hanoverians constructed competing forms of nostalgia, identity, and political meaning in the decades after the rebellion of 1745. Although the defeat of Prince Charles Edward Stuart at Culloden ended any realistic hope of a Stuart restoration, it sparked a cultural struggle in which both supporters and opponents of the Stuarts depicted the Highlander as a symbol of heroic resistance or barbarism. A psychic struggle emerged as a result, and the Highlander became beloved by Jacobites and loathed by Hanoverians. These representations circulated through paintings, engravings, clothing, glassware, newspapers, pamphlets, and verse, which became central …

Highway Kind, Caitlin C. Thompson

Graduate Student Theses, Dissertations, & Professional Papers

No abstract provided.

Thistlebloom Moondog, Gary W. Jensen

Graduate Student Theses, Dissertations, & Professional Papers

An aging grieving artist decides to write a memoir as part of a self-healing process, using samples of song lyrics from his extensive collection of original Americana songs as narrative prompts.  Steeped in wanderlust, aspiration, paradox and dysfunction, his is a tale of vexing sub-clinical troubles rooted in the mire of developmental and religious trauma.

Illusions Of Fairness And Sacrifice, Brady Schwertfeger

Graduate Student Theses, Dissertations, & Professional Papers

The American West is a shifting landscape. An incongruous expanse of isolation and urbanity, wilderness and extraction, wealth and welfare, clear water and fire. Fifteen years ago, I moved to my mother’s ancestral homeland of Montana, and have been here ever since. Before that, I was born and raised in Texas, both the West and the South (and often something else entirely), depending on who you ask. My experiences in this region have shaped me indelibly, and have inspired this collection of essays built around culture, politics, and justice in the West. “Pinedale, Wyoming” considers the musician as itinerant wanderer …