Digital Commons Network^™

Empowering Women Through Surf Therapy: A Trauma-Informed Facilitation Toolkit, Ashlie Steppe

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Women who have experienced trauma often face challenges with emotional regulation, sense of safety and daily functioning. Additionally, one in three women experience trauma throughout their lifetime and this can lead to difficulty with connection, body awareness, and engagement in meaningful activities. A local non-profit surf therapy organization was established to provide women with a supportive community and meaningful, nature-based activity to promote healing and connection. The purpose of this quality improvement capstone experience was to address and develop a sustainable trauma-informed wellness toolkit to support facilitators in delivering structured wellness activities within the program. The toolkit specifically addressed key …

Cultus: Eco-Phenomenology In The Work Of John Steinbeck, Robinson Jeffers, And Jack London, Carter D. Johnson

Theses and Dissertations--English

In the face of increasingly dire environmental crises, proposed solutions have gravitated toward imperatives for faster, cleaner, and more efficient technologies and resources. While practical solutions are necessary, they are entirely insufficient to deal with an underlying issue driving environmental degradation: unbridled instrumental reason. In this dissertation, I suggest a theoretical posture, cultus, which attempts to balance the necessity of instrumental action with the guiding counterweight of receptivity. Furthermore, I argue that such personal receptivity is uniquely fostered in aesthetic experiences, attuning the individual to the non-identical and renewing a relationship of care.

I examine the life and work of …

The Moderating Effect Of Workplace Generations And Industry 4.0 Technology On The Relationship Between Self-Determination Factors And Gen Z’S Turnover Intentions, Josh Kauffman

Doctor of Business Administration (DBA)

This study investigated relationships among the three factors of self-determination theory (SDT)—autonomy, competence, and relatedness—and Generation Z’s engagement with Industry 4.0 technologies and employee turnover intentions within the U.S. manufacturing sector. Specifically, it evaluated whether SDT factors and technology adoption differentially influence turnover intentions for Generation Z compared with other cohorts, while examining effects of specific technologies and their interaction with motivational variables. A quantitative research design employed survey methodology and random sampling of full-time manufacturing employees across the United States. Data were collected anonymously over a 2-week period using validated instruments, including the Basic Psychological Need Satisfaction for Technology …

Psilocybin-Assisted Therapy And Alcohol Use Disorder, Zoe R. Evans

Theses, Dissertations and Capstones

This current paper has studied whether the psilocybin-assisted treatment has been linked with meaningful shifts in three clinical outcomes among adults 18 years old and above diagnosed with alcohol use disorder (AUD): percentage of heavy drinking days, abstinence rates, and neural responsiveness to alcohol-related cues. A literature review following a systematic approach was performed using guidelines from PRISMA 2020 based on four databases, namely PubMed and PsycINFO, and Scopus and CINAHL, where peer-reviewed articles published between 2015 and 2026 were included. A semi-structured professional interview with a clinical researcher in the Division of Addiction Sciences of Marshall University was also …

Eastern Michigan University, Spring Commencement, May 2, 2026, Eastern Michigan University

Commencement Programs and Materials

No abstract provided.

Emotional Contagion In Nonhuman Working Animals: Lessons From Canine Rescue Teams, Kimberly T. Schneider, S. Burak Ozkum, Alexandra Ilie, Dan Ispas

Faculty Publications – Psychology

No abstract provided.

A Psychometric Evaluation Of Obsessive-Compulsive Items In The Hierarchical Taxonomy Of Psychopathology (Hitop)-Self Report Among Caregivers Of Children, Zach Wasserman

Honors Theses

Introduction: The classification and assessment of psychopathology is a crucial part of understanding mental health. The current model, published in the Diagnostic and Statistical Manual of Mental Disorders, with the current 5th edition (DSM-5; American Psychiatric Association, 2022), utilizes a categorical approach to psychopathology (i.e., one has the disorder or they do not). This creates ~300 diagnoses that are understood as theoretically distinct from one another. In reality, categorical diagnoses are often heavily comorbid (Forbes et al., 2024) and within a diagnostic category there are large amounts of heterogeneity (Feczko & Fair, 2020). To address these issues, dimensional models …

The Divide Of Women’S Health: Systematic Thinking Of Women, Tasfia T. Howlader

Honors Theses

Women’s health has constantly been changing- from public health infrastructure to health policies, and even medical advancements. Yet, the struggles are persistent within the gaps present in women’s health. The Socio-Ecological Model (SEM) explains interactions between different levels of relationships, which result in health outcomes that vary from individual factors to environmental factors. Applying the SEM to describe health disparities can help explain how the relationships an individual has influenced their health. This project serves to exemplify these different levels while discussing the tailoring of services to the needs and the importance of populations based on their experiences. Specifically, adhering …

Persistence Of Pet Scan Positivity After Chemoimmunotherapy For Dlbcl, James O. Armitage, Matthew A. Lunning, Julie M. Vose, Dan L. Longo

Journal Articles: Oncology and Hematology

Approximately 80% of patients with diffuse large B-cell lymphoma achieve a complete response after chemoimmunotherapy as defined by positron emission tomography (PET) scan. However, not all patients who fail to achieve a metabolic complete response are destined to relapse. In a number of these patients, the PET scan is falsely positive (ie, 20%-40% in several large series), particularly when the PET scan has a Deauville score of 4. Reflexively intervening with salvage systemic therapy or radiotherapy in these patients is potentially harmful. It seems that very sensitive measurements of circulating tumor DNA might be able to differentiate between patients who …

Efficacy And Safety Of Epcoritamab In Relapsed Or Refractory Large B-Cell Lymphoma: 3-Year Update From The Epcore Nhl-1 Trial, Yasmin H. Karimi, Chan Y. Cheah, Michael Roost Clausen, David Cunningham, Umar Farooq, Tatyana Feldman, Herve Ghesquieres, Wojciech Jurczak, Kim M. Linton, Tycel Phillips, Julie M. Vose, Won Seog Kim, Pegah Jafarinasabian, Barbara D'Angelo Månsson, David Soong, Andrew J. Steele, Zhu Li, Christian W. Eskelund, Martin Hutchings, Catherine Thieblemont

Journal Articles: Oncology and Hematology

Epcoritamab, a CD3xCD20 bispecific antibody, resulted in deep, durable responses with a manageable safety profile in patients with relapsed/refractory large B-cell lymphoma (LBCL) in EPCORE^® NHL-1 (NCT03625037). We report results from a 3-year follow-up. Adults with relapsed/refractory LBCL received epcoritamab until progressive disease or unacceptable toxicity. The primary endpoint was overall response rate (ORR). Median age was 64.0 years, 39% of patients received prior CAR T-cell treatment, and 75% were refractory to ≥ 2 consecutive lines of treatment. As of May 3, 2024 (median follow-up 37.1 months [range, 0.3-45.5]), ORR was 59% and complete response (CR) rate …

Effectiveness Of Post-Discharge Interventions Following Psychiatric Hospitalization On Readmissions And Suicide Prevention Among Adolescents, Maria Paz Eladia Posadas

Nursing | Senior Theses

Background: Suicide is a pervasive and far-reaching issue. Psychiatric hospitalization is often used as an intervention for individuals, including adolescents, experiencing suicidal ideation and/or behavior. However, post-discharge care may lack structure or clearly defined follow-up services, which can result in rehospitalizations and increased suicidality. Objective: The goal of the proposed research study is to investigate how implementation of peer support groups for adolescents following psychiatric hospitalization can assist in reducing readmissions and mitigating suicide risk. This can also help shape strategies for managing care after discharge. Method: The proposed research study utilizes a quantitative quasi-experimental design to determine the efficacy …

Othering And Belonging In The Face Of Displacement, Stephanie Fayette

Social Justice | Senior Theses

This project showcases the perspectives of residents in affordable housing in the Bernal Heights neighborhood in San Francisco, CA. The long-time residents share how rising housing costs, redevelopment, and neighborhood change affect their sense of identity, stability, and belonging.  In Bernal Heights, as redevelopment projects expand and housing prices continue to rise, long-term residents face pressures that extend beyond affordability. They face the possibility of losing not just housing, but community memory, cultural visibility, and social stability. This research seeks to understand how residents define belonging amid these changes and how displacement operates not only as physical removal but also …

Patient Safety: Paramedic To Nurse Patient Handover Quality And Its Influence On Clinical Deterioration In The Emergency Department, Madison P. Penick

Nursing | Senior Theses

Background: Quality patient handoff from Emergency Medical Services to the Emergency Department is a crucial transition of care that directly impacts patient safety, medical intervention, and patient outcomes. If concise, effective communication is not achieved, critical details can be left out resulting in medical errors, delayed intervention times, and lack of identification of clinical deterioration.

Aim: This study aims to understand how paramedic to nurse handoff quality impacts a nurse’s early identification of clinical deterioration.

Proposal:

Methodology: A quasi-experimental study of mixed-method research.

Recruitment strategy: A fire department in Marin County, CA and ED nurses from the base trauma center …

Routine Guided Meditation In Nicu Nurses: A Coping Strategy For Nicu Nurses Dealing With Newborn Deaths, Gianna Wong

Nursing | Senior Theses

Purpose: This research study aims to investigate the emotional impact of newborn deaths on Neonatal Intensive Care Unit (NICU) nurses in addition to evaluating their perceptions of routine guided meditation as an effective coping mechanism to manage professional grief and enhance psychological well-being. Methods: Utilizing an exploratory descriptive research design grounded in Pender’s Health Promotion Model (HPM), this study examines the lived experiences and health-promoting behaviors of neonatal nurses following newborn deaths. Data: Anticipatory collection of data will be from a sample of NICU nurses based in California through a twelve-question survey featuring open-ended questions. Qualitative content analysis will be …

Displacement And Belonging: The Search For Identity Through Latina Literature, Noelia A. Alvarado Torres

Literary and Intercultural Studies | Senior Theses

How the Garcia Girls Lost Their Accents by Julia Alvarez and Infinite Country by Patricia Engel are two novels that highlight the Latino search for identity and belonging in the United States.  The characters in these books navigate adolescence and adulthood in the face of displacement, each illustrating how history, culture, and society interfere with the search for one’s self. They also highlight the multicultural experience of being shaped by different spaces that at times contradict one another. Furthermore, these books, written by women and with women at the center, bring forth a voice that often gets left out in …

Developing An Educational Session And Epic-Based Tools To Help Nurses Provide Culturally Sensitive Care To Their Muslim Patients, Laila Albutmeh

Nursing | Senior Theses

Background: Islam is currently the fastest growing religion in the world and the chances of nurses having a Muslim patient is exceptionally high yet many nurses lack the knowledge and resources on how to accurately provide culturally sensitive care to Muslim patients. Hospitals lack educational sessions/training as well as Epic tools to help nurses provide culturally sensitive care to Muslim patients which leads to a knowledge deficit in cultural sensitivity of Islamic beliefs, values, and practices. Purpose: This thesis paper proposes a research design for a nurse education/training program on Islamic beliefs, values, and practices along with an implementation of …

A Contextual Proposal Toward Ministerial Competency: The Theological Education Of Pastors In The African American Baptist Churches Of Central Mississippi, Kevin Thomas

Doctor of Ministry

There is a critical issue affecting some African American Baptist churches in Central Mississippi: the absence of formal theological training among a significant number of pastors. While these ministers are spiritually mature and deeply committed to their congregations, the gap in theological preparedness tends to pose challenges to doctrinal accuracy, exegetical soundness, and the long-term effectiveness of their ministries. This study aims to address the following question: How can a contextually informed and practically accessible theological education model equip African American Baptist pastors in Central Mississippi for faithful ministry? The argument presented asserts that theological education is not a luxury …

That's A Great Question! A Practical Guide To Engage Teens In Honest Conversations, Linda Van Voorst

Doctor of Ministry

This Doctoral Project addresses a significant and persistent challenge within evangelical churches: 70% of Evangelical teens disengage from church upon high school graduation. While often attributed to rebellion or declining belief, this project investigates deeper formative dynamics contributing to this disengagement.

Research revealed that many adolescents do not disengage because they reject faith, but because they lack safe, relational spaces within the church to voice meaningful questions about God, suffering, identity, and belief. When questioning is met with discomfort, defensiveness, or premature answers, adolescents often internalize the message that doubt is incompatible with faith. The research also surfaced that many …

Spiritual Friendship: Addressing Clergy Loneliness And Isolation, Tyler Tankersley

Doctor of Ministry

The Need, Problem, or Opportunity (NPO) that grounds this Project Portfolio is the widespread experience of personal loneliness and social isolation among pastors. While pastoral ministry is inherently relational, many clergy serve in emotionally demanding roles that limit their capacity to cultivate mutual, non-instrumental friendships, leaving them vulnerable to exhaustion, isolation, and diminished vocational sustainability.

Research conducted through collaborative design workshops, one-on-one interviews, surveys, and engagement with biblical, theological, and contemporary social research revealed that loneliness among pastors is not merely a social deficit but a spiritual and formational concern. Key insights include the distinction between loneliness and social isolation, …

Faith That Lasts: How Local Churches Can Support Families In Passing On Their Faith To Their Children, Andrew Corbyn Thompson

Doctor of Ministry

NPO Statement

More than ever, children raised in Christian homes leave their faith by adulthood.

A major contributing factor to this tragic exodus is the North American ministry model that outsourced discipleship from the home to age-segregated church programs and professionals. This project responds to the urgent need to equip and empower parents in their foundational role as their children's first disciplers.

Key Benefit or Insights that Emerged from the Research Overall

The research for this project, grounded in biblical and theological foundations and sociological observation, highlights that lasting, authentic faith is fostered in a holistic home environment where parents, …

Rhythms: Realigning To The Peaceable Kingdom, Todd A. Richards

Doctor of Ministry

American Individualism is antithetical to the Gospel of Jesus. It is rooted in individual exceptionalism and meritocracy; one succeeds or fails by one’s own strength and will. The need for community and mutuality is minimized or non-existent. The I does not need the we. I pull myself up by my own bootstraps. I am the captain of my ship. I create my own destiny.

American individualism has created a church ill-equipped to encounter the Peaceable Kingdom in daily life. Faith is private. Christian community is relegated to weekly gathered worship. Spiritual friendships have been replaced with personal quiet …

Leadership Pathways Foundations: Developing Women In Alliance Missions, Melissa Lynne Singfiel

Doctor of Ministry

The project was developed to address the NPO: Women in Alliance Missions have unmet developmental needs, are often overlooked in the first decade of service, and underutilized for leadership opportunities.

A key insight of the research was a twofold obstacle facing women in ministry. First, the fundamental theological disagreement over women’s participation in leadership results in pervasive patriarchal preference and predominance of male leadership voices in the organizational culture. Second, a general lack of preparation and mentoring for women in the areas of leadership and formation results in an absence of women in the leadership pipeline and an additional layer …

Epistemic Lexical Verbs As Hedging Devices And Their Semantic Prosodies In Applied Linguistics Abstracts In Thai International Journals, Soranut Kumdee

PASAA

No abstract provided.

The Grammatical L1 Transfer Of Self-Forms Among Asian Learners Of English, Kittinata Rhekhalilit, Pong-Ampai Kongcharoen

PASAA

No abstract provided.

Impact Of A Resident-Created Family Medicine Clerkship Guide On Medical Student Preparedness, Shana-Kay Lambert-Johnson, Tasaduq Mir, Fredricka Barr

North Texas GME Research Forum 2026

BACKGROUND: Third-year medical students enter the family medicine clerkship with strong foundations in the basic medical sciences. However, they can feel underprepared to meet the demands of outpatient care, including navigating clinic workflows, documenting efficiently, and leading patient-centered visits. This transition-to-clerkship learning curve may contribute to stress during a critical phase of clinical development. Structured educational support during this transition has the potential to enhance learner confidence, promote meaningful learning, and foster positive engagement with family medicine. Through resident-led quality improvement, this project aimed to improve medical student preparedness and confidence for the family medicine clerkship using a resident-created intervention. …

Calcinosis Cutis In A Young Patient With End-Stage Renal Disease: A Severe And Morbid Complication, Gopi Mulaka, Babu Shaik, Jaya Surya Manimekalai, Durga Dandu, Rupali Prabhukhot

North Texas GME Research Forum 2026

BACKGROUND/ INTRODUCTION: Calcinosis cutis is a rare but serious complication of end-stage renal disease (ESRD), often related to disordered calcium–phosphate metabolism. It can lead to significant morbidity, recurrent infections, and challenging management decisions.

CASE PRESENTATION: We present a 23-year-old male with ESRD on hemodialysis, hypertension, anemia of chronic disease, and a left upper extremity arteriovenous fistula who developed progressive pain, swelling, and purulent drainage involving the left third and fourth digits. Imaging revealed extensive soft tissue calcifications consistent with calcinosis cutis. His hospital course was complicated by recurrent infections, osteomyelitis, and gangrene despite antibiotic therapy and wound care, ultimately requiring …

Septic Arthritis Suspected But Pseudogout Confirmed: The Importance Of Early Joint Aspiration And Crystal Analysis, Munazzah Kaleem, Jose Lozano

North Texas GME Research Forum 2026

BACKGROUND/ INTRODUCTION: Septic arthritis present as an acute monoarticular arthritis and is highly suspected in patients with risk factors including DM, ESRD, and bacteremia. As a result, empiric antibiotics are usually started prior to definitive diagnosis. But crystal induced arthropathies closely mimic septic arthritis in their presentation. This case highlights the importance of early arthrocentesis to avoid unnecessary antibiotic treatment.

CASE PRESENTATION: 50-year-old female on antibiotics for MSSA bacteremia presented due to acute onset left hip pain, swelling and decreased range of motion. No trigger was present. PMH included HTN, T2DM and ESRD on HD. She denied fever, chills or …

Tales From The Cryptogenic: A Case Of Recurrent Major Cryptogenic Stroke, Harpreet Matharu, Kennedy Aikins, Kumail Rizvi, Danielle Ford

North Texas GME Research Forum 2026

Background

It is estimated that 30 to 40% of all strokes have no identifiable cause; these are classified as cryptogenic strokes. Often, the unknown nature is secondary to delayed or incomplete investigation of cerebrovascular pathology. At times, strokes are considered truly cryptogenic as extensive stroke workup leads to no identifiable cause or etiology. Acute ischemic strokes in young adults without identifiable risk factors present a diagnostic and therapeutic challenge. Prompt recognition and treatment are critical to optimize outcomes.

Case Presentation

A 32-year-old African American male with a past medical history of a cerebrovascular accident in 2023 at an outside hospital …

Intraosseous (Io) Analgesia Medication Administration In Orthopaedic Surgery: A Brief Review, Jenna Chrabolowski, Troy B. Puga, Abanoub Attallahm, Mckenna W. Box, John T. Riehl

North Texas GME Research Forum 2026

Introduction

Intraosseous (IO) analgesia is a novel strategy for pain control in orthopaedic surgery. This brief review aims to provide an overview of IO analgesia in orthopaedic surgery.

Methods

A search was conducted across seven databases. Titles and abstracts were screened followed by full-text review for inclusion criteria. Demographics and results were extracted from included articles.

Results

Ten studies met inclusion criteria and involved patients undergoing knee surgery and spinal surgery. IO lidocaine was shown to be effective for postoperative and intraprocedural pain control during vertebroplasty and kyphoplasty. IO morphine and IO NSAIDs were shown to be effective in reducing …

Pigmented Villonodular Synovitis (Pvns) After A Distal Femur Non-Union: A Case Report, Troy Puga, Jenna Chrabolowski, Mckenna W. Box, Kisan Parikh

North Texas GME Research Forum 2026

Background Pigmented villonodular synovitis (PVNS) is a rare benign neoplastic process that involves extensive proliferation of the synovium of a joint. Development of PVNS has been potentially linked to traumatic etiologies, however, evidence for this remains limited. This case report aims to present a case of PVNS that developed after a traumatic etiology.

Case Presentation A 62 year old female presented with recurrent left knee effusion and non-union of the left distal femur roughly four years after an MVC and index open reduction and internal fixation with a lateral locking plate and screw construct. Left knee aspiration at initial visit …