Digital Commons Network^™

Predicting Burnout Among Graduate Healthcare Students In Clinical Placements, Meghan E. Visek

PCOM Psychology Dissertations

Healthcare systems increasingly recognized provider burnout as an essential target for improving population health. Burnout, characterized by emotional exhaustion, depersonalization, and diminished personal accomplishment, has been linked to impaired clinical practice and poorer patient outcomes. Although burnout among healthcare professionals is well-studied, far less attention has been given to understand how burnout develops earlier in training among graduate healthcare students in clinical placements. Research has identified year of graduate study, self-care practice, social problem-solving ability, team resilience, and attitudes toward interprofessional collaborative practice as potential burnout predictors. This study examined these factors among graduate healthcare students in clinical placements. Findings …

Understanding Depression And Adl Decline In Dementia: The Impact Of Subtype And Social Frailty, Melanie C. Ventura

PCOM Psychology Dissertations

The interplay of depression and dementia alters the ability to complete activities of daily living (ADLs). When depression occurs concurrently with or because of dementia, it has a more significant link to disability than the impairment of depression or dementia. This occurrence often increases older adults’ risks and a faster progression of the disease. Patients with different types of dementia have varying experiences in the interplay among dementia, depression, and ADL impairment. Moreover, the dementia type can cause variations in awareness and symptoms, influencing different levels of ADL impairment, relative preservation of awareness, and depression levels.

The present study examined …

Neuropsychological Prediction Of Alzheimer’S Disease And Functional Abilities Using Brief Screeners, Ashley Bennett

PCOM Psychology Dissertations

Alzheimer’s disease (AD) is a neurodegenerative disease that is primarily characterized by memory impairment and decline in function. Patients often undergo lengthy neuropsychological evaluations that create testing fatigue and, ultimately, affect their validity. There are brief assessment options to assess probable AD that are not commonly explored in research and clinical settings. This study investigated the predictive ability of the Mini-Mental State Examination (MMSE) with the addition of a semantic fluency measure compared to the Montreal Cognitive Assessment (MoCA) and the Alzheimer’s Disease Assessment Scale-13-Item Cognitive Subscale (ADAS-Cog-13) in diagnosing AD. Additionally, this study examined the potential use of the …

First Steps: Supporting Infant Development And Family Bonding, Katana M. Evans

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

First Steps: Supporting Infant Development and Family Bonding is a capstone project that was developed to bring awareness to the importance of development within the first few months of life, as well as exploring occupational therapy’s role with this population. The project focused on areas of program development, education, and clinical skill development, which were all developed following the completion of a scoping review. Educational materials, including a video library, were created for families to continue to access materials following the completion of the experience. These videos covered topics including safe sleep, milestones, tummy time, and more. Additionally, two sessions …

Rheumatic Resilience: An Occupational Therapy Approach, Shannon N. O'Donnell

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Rheumatic conditions affect nearly one in four adults in the United States (U.S. Department of Health and Human Services, n.d.) and are characterized by chronic, often progressive symptoms, requiring long-term self-management. Despite this need, accessible and non-pharmacological resources remain limited. The capstone project, Rheumatic Resilience: An Occupational Therapy Approach, was developed to address this gap by promoting sustainable symptom management strategies through programming and education, while increasing awareness of occupational therapy (OT)’s role in chronic pain management. This project focused on areas of program development, education, clinical practice, and advocacy. A 10-week, in-person program based on Lifestyle Redesign principles was …

Holistic Healing Through Horses: An Evaluation Of Interdisciplinary Collaboration In Equine-Assisted Services And Associated Pilot Program, Catherine M. Balestrini, Kathleen Hughes-Butcher

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Holistic Healing through Horses: An Evaluation of Interdisciplinary Collaboration in Equine-Assisted Services and Associated Pilot Program was an occupational therapy doctoral capstone project conducted through Misericordia University. This project involved the implementation of equine-assisted services to improve occupational capabilities of physically disabled community-dwelling adults and research related to interdisciplinary collaboration in the equine-assisted service industry. The education component of this capstone disseminated information regarding safe techniques and procedures for volunteers involved in the Holistic Healing through Horses program. The program component of Holistic Healing through Horses involved 12 weekly sessions designed to target goal areas of the respective participants. Progress …

Let's Go Play: Creating Adaptive Play Opportunities For Children, Haleigh J. Merriman

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Children experiencing chronic conditions or life-threatening diseases are at a significantly greater risk of having poor mental health, with symptoms including anxiety, depression, aggression, physical impairment, and problems with academics and socialization (Nijhof et al., 2018). The Let’s Go Play project focuses on program development and education to provide children with disabilities opportunities to play. Play is an important occupation that children engage in. Play is a way that children learn new things, including developing resiliency, overcoming challenges, cooperating, and negotiating with others in a social sense. This program includes weekly video modules on hospital play and switch-adapted toys. This …

Harmony In Health: Supporting College Students Through Multidimensional Wellness, Hannah Strong

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Young adults entering college face a critical developmental transition in which they assume greater responsibility for managing their health and wellness, often without adequate guidance or supportive structures. National data indicate rising rates of mental health concerns, sleep deprivation, and food insecurity among college students, highlighting the need for holistic, context-specific wellness initiatives. The Harmony in Health doctoral capstone project was developed to address this gap by applying occupational therapy’s holistic, occupation-based perspective to promote balance across the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Eight Dimensions of Wellness within the Misericordia University community. The purpose of this capstone …

Emerging Through The College Experience: Supporting The Role Of Occupational Therapy In Higher Education Institutions, Kaitlyn Dixon

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Emerging Through the College Experience was a doctoral capstone project designed to support students during the pivotal transitions of college while substantiating the role of occupational therapy (OT) in higher education. Inspired by the Emerging statues by Dugan located on Misericordia University’s campus, this project focused on developing institutional resources to support college students as they adjust to the college lifestyle. A scoping review was conducted to explore the role of OT in supporting college students with emphasis on adult life skill training. Results from the scoping review identified life skills development as foundational for increasing confidence, academic success, and …

Aging With Mercy, Thriving In Place, Emma Layne Katzman, Karen Weis, Jennifer Rugletic Washko

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Occupational engagement, spirituality, and quality of life are recognized as important dimensions of aging, however, these factors remain underexplored among older adults residing within faith-based communal living environments. This doctoral capstone experience, Aging with Mercy, Thriving in Place, consisted of two distinct but complementary components: an Institutional Review Board (IRB)-approved mixed methods research study and a quality improvement initiative. The purpose of the research study was to explore occupational engagement, occupational role transitions, spirituality, identity, and perceived quality of life among older adults residing within a faith-based communal living environment. Quantitative data were collected using the World Health Organization Quality …

Transformative Paths: Advancing Inclusive Healthcare Education, Morgan Young

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Transgender individuals continue to experience significant healthcare disparities, provider bias, discrimination, and barriers to accessing affirming healthcare services (White Hughto et al., 2015; World Professional Association for Transgender Health [WPATH], 2022). Despite increasing awareness of these disparities, healthcare education often lacks comprehensive training related to gender-affirming care (American Occupational Therapy Association [AOTA], 2021; Office of Disease Prevention and Health Promotion [ODPHP], n.d.; White Hughto et al., 2015). A concurrent scoping review was conducted to answer the research question: Among healthcare providers, how do educational strategies grounded in transgender perspectives and lived experiences affect provider competence in transgender healthcare? The review …

Protecting The Debtor Across The Atlantic: A Comparative Analysis Of The United States And European Union Regulatory Frameworks Against Debt Collection Abuse And Harassment, Terin Michelle Tyson

South Carolina Journal of International Law and Business

Consumer debt is a long-standing global phenomenon, yet the regulation of debt collection practices remains fragmented across international borders. This lack of uniform standards leaves consumers vulnerable to debt collectors who exploit weak legal frameworks, resorting to abusive, harassing, and deceptive tactics to pressure repayment. Such practices not only undermine consumer trust in the financial services industry but also prove self-defeating; aggressive collection methods can destabilize a consumer’s financial footing and daily livelihood, ultimately impairing their capacity to repay.

This article provides a comparative evaluation of consumer protections against abusive and harassing debt collection practices in the United States and …

Eeg And Imu Gait Signal Processing: A Comparative Assessment Of The "Reza" Exponential Filter And Classic Filters, Reza Pousti, Daniel M. Russell, Derek C. Monroe, Christopher K. Rhea

Rehabilitation Sciences Faculty Publications

Noise degrades both EEG and gait signals, and classical IIR filters (Butterworth, Chebyshev, elliptic) involve trade-offs between passband flatness, ripple, and roll-off. This study compared a novel exponential "Reza" filter with these designs for neural and locomotor data. We analyzed an open-source mobile brain-body imaging dataset with EEG and gait data from 49 healthy adults (EEG: 256-channel, 512 Hz; IMUs: six APDM Opals, 128 Hz). EEG channels were grand-averaged and band-pass filtered at 0.5-50 Hz, while IMU axes were averaged and band-pass filtered at 0.5-5 Hz. The outcomes were signal-to-noise ratio SNR (dB) and band-integrated Welch PSD (EEG:0.5-50 Hz; IMU:0.5-5 …

A Narrative Review Of Bertolotti's Syndrome: Etiology, Classification, Diagnosis, And Treatment, Matyas Abel Tsegaye, Andrea Muffly

Rehabilitation Sciences Faculty Publications

Bertolotti's syndrome is a congenital condition characterized by chronic low back pain stemming from a lumbosacral transitional vertebra (LSTV). Because the condition is frequently overlooked, patients often face years of delayed diagnosis before the true source of their pain is identified. Furthermore, current information regarding the biological origins and clinical management of the condition remain scattered. To address this knowledge gap, this narrative review aims to provide a comprehensive overview of Bertolotti’s syndrome by consolidating these disparate sources and suggesting new connections. We synthesize the latest understanding of this condition, ranging from its genetic origins to modern clinical management. We …

Music-Based Storytelling For Older Adult Well-Being: An Adapted Multiple Case Study, Zachary Michael Palma

Theses and Dissertations--Music

Autobiographical storytelling can be a meaningful way for older adults to reflect on life experience and support social and emotional well-being. Music has been widely documented as a cue for autobiographical memory. Although the benefits of storytelling and music as a memory cue have been independently examined, limited research has explored its combination with older adults. The purpose of this study was to explore music-based autobiographical storytelling in the lives of older adults. There were three research questions: (1) How do older adults describe their experiences with music-based storytelling? (2) How do they describe the social experience with music-based storytelling? …

Structuring The Musical Year: Dance, Topic, And Semiosis In Eighteenth-Century Calendar Music, Braden Shaw

Theses and Dissertations--Music

In this thesis, I apply a multifaceted analytical approach to examine a niche category of music called calendar music. In chapter one, I discuss Gregor Joseph Werner’s composition, the New and Very Curious Musical Calendar, and specifically address the minuets found within this work. Werner composes irregular measure groupings in his binary minuets and did so to represent the number of hours in day and night. This irregularity of measure groupings might superficially suggest that Werner’s pieces are stylized minuets only, unintended to accompany physical dancing and far removed from any actual choreographic influence of embodied performance. Werner, …

Belting In Musical Theatre: Vocal Pathologies, Injuries, And Pedagogical Implications, Kaylee Piatt

Theses and Dissertations--Music

Belting has become one of the most defining and contested vocal styles in contemporary musical theatre. Valued for its dramatic immediacy, speech-like intensity, and ability to cut through amplified orchestration, belting is frequently associated with heightened injury risk and pedagogical controversy. This thesis examines the relationship between belting, vocal pathology, and pedagogy through an interdisciplinary lens that integrates voice science, clinical literature, and professional performance practice. Rather than framing belting as an inherently harmful or stylistically aberrant technique, this study conceptualizes belting as a functional vocal coordination shaped by physiological mechanisms, cumulative vocal load, and occupational demands.

Drawing on existing …

Seriosa And The Song Recital Tradition: Reframing The Antologi Musik Klasik Indonesia: Seri I—Vokal Dan Piano (Seriosa), Pharel Silaban

Theses and Dissertations--Music

This project traces the changing life of seriosa, later known as Indonesian art song, from its colonial emergence in the 1930s–1950s to its post-independence expansion and institutional contraction in the 1960s–1980s, and contemporary reframing since the early 2000s. It argues that the genre functioned as a vocal infrastructure that coordinated training, repertoire production, radio broadcast circulation, and public audibility. The study further shows that when the influence of Radio Republik Indonesia weakened, the fragility of this infrastructure became visible. Efforts to sustain the genre by figures such as Rose Pandanwangi, Pranawengrum Katamsi, Catharina Wiriadinata Leimena, and Aning Katamsi appeared …

A Conductor's Guide To All-State Orchestra: An Overview Of Repertoire And Best Practices, Nicoletta Moss

Theses and Dissertations--Music

For over one-hundred years, all-state orchestras have served as the premier gatherings of high school musicians across the United States. These short-term events offer intensive ensemble experiences that bring together students from diverse musical and social backgrounds. While conductors play a central role in shaping these experiences, research is limited examining the areas of repertoire programming, pedagogical practices, and other logistical considerations associated with all-state orchestra leadership. In this dissertation, I address these gaps and develop a comprehensive resource for current and future all-state conductors. The present study employs a two-study design: 1) a content analysis of repertoire performed between …

A Method For Beginners Volume 1: The Intersection Of The Yaqui Tribe And Guitar Pedagogy, Daniel Preciado Arreola

Theses and Dissertations--Music

This dissertation is divided into four chapters. The first is an introduction explaining the project; the second describes the Yaqui Tribe's background, significance, and musical traditions, primarily based on three sources: the thesis Sones de Pascola by Cristian Salvador Islas Miranda, the biographical book El Viaje de Mechabili by Daniel Librado Luna, and the album Juya Ánia. The third chapter details the methodological framework and development process used to construct the guitar method presented in Chapter 4. This fourth chapter consists of the first volume of an ongoing multi-volume guitar method—authored by me—focused largely on the melodies from the aforementioned …

Form As Threshold: The Ontology Of Musical Discourse In Preludio, Fugue And Saturnal, Angel Gomez Ramos

Theses and Dissertations--Music

This study analyzes the formal organization and musical discourse of Preludio, Fugue and Saturnal through a relational and process-oriented framework. It defines form as an emergent condition resulting from the interaction of musical parameters rather than as a predetermined structural model. The analysis focuses on the behavior of pitch organization, rhythmic structure, harmonic stratification, and motivic processes.

The compositional system is examined as a network of differential relations in which musical elements acquire identity through contrast and contextual function. Harmonic and temporal stratification are treated as primary structural mechanisms, alongside the use of non-teleological organization. Motivic material is characterized by …

Cantate Fratres: Forming And Sustaining Traditional Catholic Music, Liturgy And Culture In The Institute Of Christ The King Sovereign Priest, Reyers P. Brusoe

Theses and Dissertations--Music

The Institute of Christ the King Sovereign Priest is an understudied member of the Traditional Catholic and Latin Mass Communities whose unique approach to Catholic liturgy, culture, and formation offers a sustainable model for the Catholic Church's longevity and renewal. This study is the first of its kind, combining the theoretical positions of affect theory, ecomusicology/musical sustainability, and the musicology of religion to explore and explain the success of this growing classical community. This dissertation examines Church documents, theological literature, and multidisciplinary academic sources as a foundation for the study.             In studying the Institute of Christ the King Sovereign Priest, …

Burnout And Mindful Self-Care Practices Among Bipoc Women Music Therapists: A Cross-Sectional Survey, Melissa V. Peters

Theses and Dissertations--Music

Music therapy as a profession has long acknowledged burnout as a significant occupational concern, yet the experiences of marginalized therapists remain understudied. In particular, little research has explored how burnout and self-care manifest for those who identify as Black, Indigenous, or People of Color (BIPOC) women in a field historically dominated by white women. Most of the existing literature on this topic is focused on the majority identity of music therapists, white women. The purpose of this thesis was to examine the reported levels of burnout among BIPOC women music therapists as well as their reported frequency of engagement in …

Balancing Inquiry Based Learning And Direct Instruction, Sharon Liu , '26

Senior Theses, Projects, and Awards

No abstract provided.

Esther Brown Correspondence On International Communications, Esther Brown

Esther Brown Collection

Esther Brown's letter to an otherwise-unidentified "Robbie" concerning conversations with UN Human Rights Council Special Rapporteur Philip Alston and Honorary German Consul Lutz Hermann Georgens.

Exploring The Synergy Between Very Large Transformer And Lstm Models For Effective Medical Captioning From Videos To Text: The Impact Of Captioning In Healthcare, R. V. Aswiga, Moin Ahmed Zahir

Data Science Faculty Publications

In today’s rapidly evolving digital landscape, the demand for accurate and contextually relevant subtitles for image and video content, particularly in the medical domain, is increasingly critical. Despite the proliferation of visual data across various platforms, existing captioning systems often struggle due to variations in visual settings, complex temporal relationships, and nuanced semantics. Additionally, challenges such as limited datasets, privacy issues, and specialized annotation requirements make medical image captioning particularly difficult. To tackle these challenges, we investigate cutting-edge deep learning methodologies, specifically Transfer Learning and Transformer models, through a comparative analysis. Specifically, we focus on Transfer Learning through the MedVisionCapturer …

Exploring The Impact Of Group Art Therapy On Sense Of Belonging In Early Adolescents: A Mixed Methods Study, Carol Chu

Art Therapy | Master's Theses

During adolescence, peer relationships strongly influence development and emotional well-being. In addition, Adlerian theory emphasizes social interest and the importance of connectedness within the social environment. This mixed methods study explores the impact of a four-session group art therapy intervention in a middle school setting on young adolescents’ sense of belonging. Seven students in the seventh and eighth grade from a public middle school in Sacramento County participated in the study. Quantitative data were collected at two time points in the study, before and after the intervention, using the Sense of Belonging Scale (SBS). All seven participants demonstrated an increase …

Blue Spring (2001):, George Dibble

BYU Asian Studies Student Journal

“Congratulations on your graduation,” broadcasts on the upper secondary school’s PA system—the first sound in the film Blue Spring (2001), directed by Toshiaki Toyoda—yet none of the students we follow for the next 83 minutes have anything to graduate for. Like a chick denied egg-shell breakage, stuck in its hard world, the film-focused boys are told to live. But where, and how? Blue Spring exists between the graffiti laden walls of high school where classes are secondary to student politics and fights are as common as words.

Annoyances lead to murders. Money is extorted. Teachers are harassed. The first image …

Iterative Design And Implementation Of A Two Semester Pre-Doctoral Fellowship Writing Course For Biomedical Sciences Phd Students, Kathryn Frietze, Brooke Hafer, Isabella Romano

HSC Education Days

No abstract provided.

A First Amendment Right To Know, David S. Ardia

Faculty Publications

This Article tackles an increasingly important question: Can police round up people on American streets and keep secret the names of those they detain without violating the First Amendment? Alarmingly, the government made this very argument in the summer of 2020 when it sought to break up Black Lives Matter protests occurring in cities across the country. Based in part on a Supreme Court decision from the 1970s involving access to prisons, the government argued that the First Amendment imposes no constraints on government secrecy. If it is true that the government can shield its exercise of police power from …