Digital Commons Network^™

Watching Over Cold Waves: The Influence Of Social And Technology Surveillance On Independent Older Adults’ Safety, S M Ashfaqur Rahman

All Graduate Theses, Dissertations, and Other Capstone Projects

Cold waves pose a recurring and serious hazard for independently living older adults, yet the monitoring arrangements that shape their protective responses remain understudied. This study examined how social surveillance, defined as check-ins and support from family, neighbors, and community contacts, and technological surveillance, defined as weather applications, smart devices, and emergency alert platforms, jointly and independently predicted cold-wave safety behavior. A cross-sectional, exploratory mixed-methods design was employed. One hundred independently living adults aged 65 and older, residing in cold-prone U.S. states, completed a survey measuring monitoring frequency, source trust, perceived autonomy, concern across six cold-wave hazard types, and a …

Pbis Fidelity As A Predictor Of School Connectedness For Secondary Students, Danielle German

All Graduate Theses, Dissertations, and Other Capstone Projects

School connectedness, defined as the extent to which students "feel accepted, respected, included, and supported in the school environment," (Goodenow, 1993, p.80) has been identified as a protective factor linked to numerous positive behavioral, academic, and affective outcomes for secondary students. Given its importance, schools may seek to invest in efforts that enhance students’ sense of school connectedness. Research suggests that targeted instruction may be particularly effective in promoting school connectedness among adolescents (German et al., 2026). Positive Behavior Interventions and Supports (PBIS) is an evidence-based, multi-tiered framework that emphasizes explicit instruction of behavioral expectations and reinforcement of appropriate behavior. …

Stories That Wound, Stories That Heal: Navigating The Effects Of Performing Traumatic Experiences In Collegiate Forensics, Manuel Reyes

All Graduate Theses, Dissertations, and Other Capstone Projects

This thesis explores the student's motivation for performing traumatic experiences in forensics and what considerations come with the performance of choice. The literature review highlights the intricate nature of trauma, emphasizing benefits of storytelling in recovery, and the current state of forensics when it comes to performing traumatic experiences on judges and spectators. The research examines the motivation on students for performing traumatic experiences and how the students navigate the tensions before, during, and after performance. Through semistructured interviews with current and former competitors, the research delves into the justification and the impacts of performing traumatic experiences. The thesis shows …

Evaluating Soil And Plant Health In A Wide-Row Maize (Zea Mays L.) Production System Integrated With Perennial Cover Crops And Turkey (Meleagris Gallopavo), Sovika Bhattarai

All Graduate Theses, Dissertations, and Other Capstone Projects

In regions dominated by intensive maize (Zea mays L.) production systems, such as the US Midwest, sustainable agricultural practices such as cover crops and livestock integration are gaining interest for their potential to improve soil, plant, and environmental health. Traditionally, annual cover cropping systems (ACCs) have been used to maintain soil quality and crop performance without compromising ecosystem services. However, the high establishment and management costs of ACCs highlight the need for alternative approaches, such as perennial cover crops (PCCs). Grown as companion crops with maize, PCCs provide extended soil cover and can improve soil biochemical properties (e.g., total C …

Town Of Merrimack, Nh Annual Report 2025, Merrimack Town Representatives

Merrimack, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

The Future Of U.S. Higher Education: Equity Implications Of Shifting Immigration Policies, Research Institute For Social Equity Rise

Research Institute for Social Equity

This report examines the impact of U.S. immigration policies on higher education and international students from 2000 to 2025. It traces five major policy eras, from the post- 9/11 security overhaul and Obama-era expansion to the restrictive turns of 2017–2020 and 2025, and analyzes how shifting regulations have influenced enrollment patterns, economic contributions, and student well-being. Despite hosting more than 1.1 million international students in 2023–2024, the U.S. share of the global student market has fallen from 20% to 16%, underscoring how policy volatility and restrictive measures weaken national competitiveness. Drawing on federal data, scholarly research, and institutional reports, this …

From Diet To Deviance: Exploring The Link Between Eating Habits And Delinquent Behaviors In Early Adolescents, Mingxi Tong

Master of Arts in Criminal Justice Theses

This study examines associations between dietary habits and delinquent behaviors among U.S. adolescents, guided by biosocial and social bond theories. Using multilevel logistic regression analysis of 6,274 participants (ages 11-15) from the 2009/10 Health Behavior in School-aged Children survey, the research investigated relationships between four dietary patterns (breakfast consumption, fruit/vegetable intake, sweets consumption, and soft drink consumption) and five delinquent behaviors (bullying perpetration, physical fighting, alcohol use, cannabis use, and tobacco smoking). Results demonstrate partial support for the hypothesis that healthier dietary habits are associated with lower delinquency. Breakfast consumption emerged as a consistent protective factor across all behaviors (7-15% …

Evaluating The Burnout Mitigating Effects Of A Structured Mentorship Program In Newly Hired Advanced Practice Providers, Melissa Soper

DNP Projects

Importance: Burnout is a leading driver of clinician intent to leave, lower productivity, increased medical errors, and increased resource use.

Objective: The purpose of this project was to evaluate the effects of an evidence-based mentorship program on newly hired advanced practice providers’ (APPs’) level of stress, burnout, and professional fulfillment.

Results: At baseline, APPs demonstrated higher stress levels, moderate professional fulfillment, and low burnout. Outcomes showed improvement at the end of a mentorship program.

Conclusion: Longitudinal studies with larger sample sizes are needed to determine the true effect of a 6-month mentorship intervention on APP burnout, stress, and professional fulfillment.

Establishing An Advanced Practice Provider-Led Transient Ischemic Attack Clinic: A Quality Improvement Initiative, Brittany A. Young

DNP Projects

Background: Due to lack of subspecialized neurological care in many rural community settings, care in tertiary hospitals is in demand. Insufficient care pathways can lead to lack of bed and provider availability. Advanced Practice Provider Transient Ischemic Attack clinics have been shown to be safe alternatives to hospital admission, for patients who meet criteria. This study targeted practice change at a 1000 bed tertiary academic hospital.

Methods: The quasi-experimental study sample inclusion criteria included Transient Ischemic Attack patients presenting to the emergency department with an ABCD2 < 4, complete symptom resolution, and no new cardiac changes on monitoring. A pre and post survey with educational PowerPoint intervention was provided to all emergency department and Neurology providers and nurses. A Transient Ischemic Attack clinic was established with a corresponding order set to be utilized for streamlined outpatient work up.

Results: During the pilot period, 29 admissions were deferred with 69% …

Sepsis In Sight: Immersive Vr Simulation For Pediatric Training, Kelsey Wagler

DNP Projects

Abstract

Objectives: This project aimed to decrease the time required to administer antibiotics and fluid boluses to pediatric patients with sepsis by implementing a virtual reality (VR) simulation program. The initiative sought to enhance bedside nurses’ and pediatric residents’ knowledge, clinical reasoning, and confidence in sepsis assessment, early recognition, and evidence-based management. A secondary objective was to evaluate the effectiveness of VR simulation as an educational strategy for nurses in a high-acuity pediatric setting.

Design: This quality improvement project used a quasi-experimental design that incorporated a VR simulation intervention followed by a structured debriefing and targeted education session. Participants completed …

Stronger Together: Exploring The Impact Of Peer Support Meetings On Stress And Burnout In Ambulatory Nurse Managers, Sara Wellman

DNP Projects

Background

Nurse manager (NM) burnout is common and leads to decreased staff productivity, departmental effectiveness, and leadership capacity. This results in decreased staff morale, poor conflict management, and ineffective communication. Stress reduction and resilience programs have been shown to reduce burnout and enhance resilience in NMs, but more focus needs to be directed toward NMs who work in ambulatory settings.

Purpose

The aim of this project was to evaluate the effectiveness of a peer-to-peer resilience intervention in reducing stress and burnout among ambulatory nurse managers.

Methods

This project used a pre-test/post-test survey design and a convenience sample of ambulatory NMs. …

Treatment Of Clear Cell Renal Cell Carcinoma (Ccrcc) In Interventional Radiology, Silvia M. Mendoza

Student Research Poster Presentations 2026

This project focuses on clear cell renal cell carcinoma (ccRCC) and the role that interventional radiology plays in treating this form of cancer. Clear cell renal cell carcinoma is the most common form of kidney cancer and is often diagnosed using diagnostic imaging such as CT scans, MRIs, and biopsies. This research includes information explaining what ccRCC is, its common symptoms, prognosis, methods of treatment, and what interventional radiology is. Some forms of treatment include surgery and immunotherapy. The main treatment of this project is minimally invasive ablation therapy. Techniques such as radiofrequency ablation, microwave ablation, and cryoablation use imaging …

Magnetic Resonance Imaging Of Multiple Sclerosis, Olivia Finlay

Student Research Poster Presentations 2026

Magnetic resonance imaging (MRI) is a key tool in the diagnosis and monitoring of multiple sclerosis (MS). MRI allows doctors to see lesions in the brain and spinal cord and track disease activity over time. MS is an autoimmune neuroinflammatory disorder affecting the central nervous system. MS affects an estimated 900,000 people in the United States. MS most often develops in young adults, typically between the ages of 20 and 30. MS can lead to physical disability, cognitive difficulties, and a reduced quality of life. Globally, studies show that the incidence and burden of MS have increased over the past …

Mobile Stroke Units: Improving Stroke Care, Alysha Gargone

Student Research Poster Presentations 2026

This project examines the role of Mobile Stroke Units (MSUs) in improving stroke diagnosis and treatment time in emergency care. Strokes occur when blood flow to the brain is interrupted, requiring rapid evaluation to reduce brain damage and improve patient outcomes. This study focuses on how MSUs, which are specialized ambulances equipped with computed tomography (CT) scanners and trained medical personnel, allow imaging and clinical decision-making to occur before hospital arrival. The project highlights the importance of CT imaging in quickly identifying stroke type, including ischemic and hemorrhagic strokes, which directly impacts treatment selection. MSU workflow allows for faster diagnosis, …

The Effects Of Virtual Reality Interventions On Gait And Balance In Patients With Chronic Stroke: A Systematic Review, Meghan Darrough, Stephanie Layland, Breena Kravchick

Student Research Poster Presentations 2026

Background: Chronic stroke survivors often experience long-term gait and balance impairments that impact their functional abilities and activities of daily living. Emerging interventions, such as virtual reality (VR), are being evaluated on their potential to enhance rehabilitation outcomes.

Objective: This systematic review aimed to evaluate the effects of virtual reality interventions on gait and balance in individuals with chronic stroke.

Methods: Two literature searches were performed in September 2025 and January 2026 using the CINAHL Complete, MEDLINE, and PubMed databases.

Results: Fourteen studies met the inclusion criteria and were categorized based on balance outcome measures (Berg Balance Scale, Tinetti Performance-Oriented …

Computed Tomography: Contrast Induced Acute Kidney Injury, Keileen E. Trochez Tome

Student Research Poster Presentations 2026

Abstract

Computed tomography is a widely used imaging modality in clinical practice due to its ability to produce detailed cross-sectional images of the body. The administration of iodinated contrast agents enhances the visualization of internal structures and diagnostic accuracy. While pre-contrast scans provide important baseline information, contrast enhanced imaging can further aid in the detection of various pathologies. However, the use of contrast media has raised concerns regarding its potential to contribute to acute kidney injury (AKI), a sudden decline in renal function typically identified in changes in creatinine levels and glomerular filtration rate (GFR). This research reviews current evidence …

Contrast-Enhanced Spectral Mammography, Alyza Vega

Student Research Poster Presentations 2026

Contrast-Enhanced Spectral Mammography (CESM) is an advanced breast imaging technique that enhances the detection and characterization of breast lesions, more specifically in patients with dense breast tissue where conventional mammography is limited. This research explores the principles, clinical applications, advantages, and limitations of CESM. The technique utilizes dual-energy imaging combined with intravenous iodinated contrast to highlight areas of increased vascularity, which are often seen with malignancy. CESM provides both anatomical and functional imaging in one efficient examination. Studies demonstrate that CESM offers higher sensitivity and comparable specificity to traditional mammography, with diagnostic performance approaching that of breast MRI while being …

Alignrt In Radiation Therapy, Collin N. Domozych

Student Research Poster Presentations 2026

This project focuses on the implementation of AlignRT, a surface-guided radiation therapy (SGRT) system, and its impact on improving precision, safety, and efficiency in radiation therapy. AlignRT uses real-time 3D surface imaging to monitor patient positioning and detect motion throughout treatment, allowing for accurate and consistent radiation delivery. This study examines how AlignRT enhances clinical workflows by reducing the need for permanent skin markings and limiting additional imaging, ultimately decreasing unnecessary radiation exposure to patients. Emphasis is placed on its role in high-precision treatments such as stereotactic body radiation therapy (SBRT), where even small positional errors can significantly affect outcomes. …

The Effects Of A Core Strengthening Program On Functional Walking Endurance And The Perception Of Fall Risk In Individuals Over The Age Of 65, Melissa Cencetti, Nicole Evanosky, Amber Hackenberg, Angela Shander, Nick Dworetsky, Ryan Zuch, Andrew Layne

Student Research Poster Presentations 2026

No abstract provided.

The Impact Of A Wellness Program Consisting Of Meditation And Dietary Education On The Symptoms Of Parkinson’S Disease: A Protocol, Kylee Cush, Maureen Romanow Pascal, Genevieve Montanye, Arden Mccoy, Jillian Mallon, Mason Hayward

Student Research Poster Presentations 2026

Individuals with Parkinson’s Disease (PD) often experience many motor and nonmotor symptoms that impact their ability to participate in their daily life. This protocol aims to address the symptoms of PD by utilizing complementary strategies to manage chronic stress and unhealthy dietary lifestyles, both of which have been identified as risk factors for PD. This eight-week mixed-design randomized controlled trial will take place at Misericordia University, Rock Steady Boxing Old Forge, and the University of Scranton, and will utilize convenience sampling through flyer outreach. Individuals will be randomized into two groups: group one will complete a whole foods diet as …

Rural Oral Health Access Coordination Program Proposal, Anna Luu

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Oral health disparities remain a major public health issue in the United States, particularly in rural Kentucky, with barriers such as limited access to preventive dental services, transportation, and insurance coverage contributing to delayed treatment and worsening oral health outcomes. In response, the proposed Rural Oral Health Access Coordination Program aims to improve care access by strengthening referral systems, integrating oral health screenings into public health settings, and enhancing care coordination for high-risk populations. The program intends to focus on the Kentucky River District Health Department Region, connecting individuals to existing services rather than providing direct clinical care. Expected outcomes …

Perry County Perinatal Access Navigator Program (Pc-Pamp) A Public Health Program Proposal To Improve Timely Prenatal Care Access In Perry County, Kentucky, Amber E. Mcguire-Chun

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Delayed initiation of prenatal care remains a significant public health concern in rural Appalachian communities, including Perry County, Kentucky, where structural barriers such as limited provider availability, transportation challenges, and fragmented referral systems contribute to inadequate access to timely care. This capstone project proposes the Perry County Prenatal Access Navigator Program (PC-PANP), a community-based patient navigation model designed to improve initiation of prenatal care in the first trimester. The program is led by the local health department and leverages partnerships with healthcare providers, the University of Kentucky College of Public Health, WIC, Extension services, and community organizations to support early …

The Seeds Of Peace And Justice, Shai Dothan

Chicago Journal of International Law

Some positive developments in international law had humble beginnings. They started from a small group of idealists who wanted to change the world for the better. Once their ideas gathered momentum, they got the support of people with power and transformed the world. State after state followed each other in a cascade toward improving international law. The purpose of this paper is to investigate the conditions that are beneficial for the initial germination of ideas with the potential to positively revolutionize international law. By using a series of case studies focused on the initiation of major transformations that improved international …

The Nlrb’S Authority To Make Workers Whole, Wanny Mei

Fordham Law Review

In December 2022, the National Labor Relations Board (NLRB or the “Board”) announced a modified make-whole remedial framework in Thryv, Inc.For all standard make-whole relief orders, the Board would order relief for direct or foreseeable pecuniary harms that employees suffer as a result of an unfair labor practice. Proponents of this remedial design assert that this is consistent with the Board’s authority under section 10(c) of the National Labor Relations Act (NLRA). On the other hand, opponents find that this design exceeds the Board’s statutory authority and conflicts with the Seventh Amendment right to a jury trial.

This Note …

The Dead Hand And Frozen Lives: Embryonic Personhood And The Disruption Of Property Interests, Emma Miloglav

Fordham Law Review

Advances in assisted reproductive technology and the expansion of fetal personhood laws are colliding with a body of property doctrine built on assumptions about reproduction that no longer hold. In LePage v. Center for Reproductive Medicine, P.C., the Supreme Court of Alabama held that extrauterine embryos—fertilized and frozen in a laboratory—are “children” under the state’s Wrongful Death of a Minor Act. LePage represents a dramatic extension of fetal personhood.

This shift carries profound consequences for trusts and estates. If frozen embryos are treated as legal persons, they may qualify as heirs under intestacy statutes and as beneficiaries of wills, …

Supporting Functional Independence Through Task-Analytic Instruction: Implications For Skill Acquisition And Generalization In Students With Moderate To Severe Disabilities, Aisha Khan

Doctor of Education (EdD)

Students with moderate to severe disabilities often demonstrate variability in acquiring and generalizing functional skills necessary for independent participation in school and daily life. Although evidence-based practices are widely recommended, less is known about how specific instructional strategies support both skill acquisition and generalization. The purpose of this quantitative single-subject study was to examine the effects of task-analytic instruction on the acquisition, efficiency, and generalization of a functional help-seeking routine among middle school students with moderate to severe disabilities in a self-contained life skills program. Using a multiple-baseline design across three participants, the study measured (a) the percentage of independently …

An Impact Evaluation Study Of The Use Of A Structured Advisory Class To Operationalize Sel Curriculum: An Intervention To Improve School Connectedness, Lacey Rebecca Rotella

Doctor of Education (EdD)

This sequential explanatory mixed-methods study examined the impact of a structured, twiceweekly advisory class designed to operationalize social-emotional learning (SEL) curriculum as an intervention to strengthen middle school students’ sense of school connectedness. Prompted by low California Healthy Kids Survey (CHKS) results and inconsistent curriculum implementation, the study—grounded in stage-environment fit theory, ecological systems theory, social cognitive theory, and self-determination theory—investigated whether this intervention influenced students’ reported sense of connectedness and how students themselves defined and experienced belonging within the school environment. Phase I analyzed CHKS School Connectedness data from 378 eighth-grade students and engagement indicators, including chronic absenteeism, average …

Wastewater Surveillance For Sars-Cov-2 In Rural Kentucky, 2021–2023, James W. Keck, Reuben Adatorwovor, Ann Noble, Savannah Tucker, William Strike, Soroosh Torabi, Mohammad Dehghan Banadaki, Blazan Mijatovic, Steven K. Roggenkamp, Donna Mcneil, Lindell Ormsbee, Scott M. Berry

Family and Community Medicine Faculty Publications

Wastewater testing for SARS-CoV-2 provided useful public health information during the COVID-19 pandemic yet was underutilized in rural communities. We addressed this gap by implementing wastewater surveillance and assessing its performance in 10 communities in Eastern Kentucky. We collected wastewater samples 1–2 times weekly at 10 wastewater treatment plants (WWTPs) from May 2021 until April 2023 and measured SARS-CoV-2 RNA concentrations using polymerase chain reaction testing. We calculated time-lagged correlations between wastewater concentrations and county-level reported COVID-19 cases by site. We developed a generalized linear model to estimate COVID-19 incidence from wastewater SARS-CoV-2 concentrations. The 10 participating WWTPs served 2430 …

Perceptions Of The Proposed Food And Drug Administration Graphic Cigarette Warnings Among Adults Who Smoke On A Nondaily Or Daily Basis: A Within-Subjects Experiment, Bethany Shorey Fennell, Renee E. Magnan, Jennifer I. Vidrine, Damon J. Vidrine

Family and Community Medicine Faculty Publications

Introduction: People who smoke nondaily represent nearly one third of U.S. adults who smoke and experience significant smoking-related morbidity and mortality, yet they are rarely considered when evaluating the efficacy of graphic cigarette warnings.

Method: In October 2019, U.S. adults who smoked nondaily ( n =59) and daily ( n =183) evaluated 13 Food and Drug Administration–proposed graphic warnings and 13 equivalent text-only warnings on the extent to which they elicited understanding, perceived new knowledge, worry about smoking, and discouragement to smoke and were believable. Repeated-measures ANOVA and planned comparisons tested for between-subjects (smoking status) and within-subjects (warning type) effects. …

Evaluating The Factors That Contribute To Lack Of Engagement Of The People Within Community Forest Management Programs, Doraneli Ampudia Parras

Theses & ETDs

Ecosystem loss and degradation around the world are occurring at an alarming rate. This can negatively impact the people that rely on these ecosystems. Community Forest Management is a practice that has been recognized globally to help mitigate these impacts. Community Forest Management (CFM) provides a solution to restoring ecosystems and improving the quality of life of the local people. The different structures and strategies of CFM’s around the world can influence its effectiveness. Researchers have identified several factors that can hinder CFM effectiveness. A crucial factor is participation from the local people. Active participation and support from local people …