Digital Commons Network^™

Evaluating Relationships Between Immunometabolism And Excess Adiposity Using Anthropometric And Body Composition Measurements, Corina Grimaldo

Department of Food Science and Technology: Dissertations, Theses, and Student Research

Metabolic dysfunction is a key contributor to the development of chronic disease and is associated with excessive adiposity. Though body mass index (BMI) is a common screening tool used to identify possible metabolic dysfunction, it does not consider fat distribution. Other tools are needed to assess body composition and determine fat distribution. In recent studies, it has been suggested that alterations in metabolic processes may occur prior to a clinical diagnosis, and the combination of body composition and blood-based markers can help identify those early changes. The overall objective of this study is to identify low-cost indicators of metabolic dysregulation …

Wooster Magazine: Summer 2026, Caitlin Paynich Stanowick, The College Of Wooster

Wooster Magazine: 2021-2030

 The summer 2026 issue of Wooster magazine explores the role of mentorship in shaping inquiry, confidence, and lifelong learning at The College of Wooster. Features examine how personalized guidance supports student research through Independent Study, including projects by psychology and music, classical studies, physics, and computer science and neuroscience students that explored music cognition, ancient texts, consciousness, and distant galaxies. Additional featured stories highlight a faculty professional learning community focused on strengthening mentoring practices across campus and alumni Amber Rice ’01, Austin Russell ’19, Marcel El Kouri ’21, and Emily Beuter ’20, who carry forward the lessons and values of …

A Word From The Writing Team (July 2026), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.

Desert Desires And The War On Terror: Pre- And Post-9/11 Sheikh Romances, Leena Altamimi

Book Publishing Final Research Papers

The existence of sheikh romances as a subgenre has prevailed for well over a century in Western literature. Therefore, would one be able to discern whether the book cover imagery as well as the textual content showcases any tangible differences pre and post 9/11, and America’s “war on terror” campaign? A total of five books are observed: The Sheik by E.M. Hull published in 1919, Sarah Holland’s Desert Destiny published in 1991, Loreth Anne White’s The Sheik Who Loved Me and Penny Jordan’s Possessed by the Sheikh (both published in 2005), and lastly Crowned for the Sheikh’s Baby by Sharon …

Evaluating The Use Of Artificial Intelligence To Enhance Pediatric Simulation Among Associate Degree Nursing Students, Kaitlyn Price

Theses

Abstract

Background: Simulation has long been used to prepare pre-licensure nursing students for clinical practice. Traditional written pre-simulation assignments have been the assignment of choice for many years. However, artificial intelligence (AI) guided preparatory tools may offer students a more interactive, personalized way to enhance their simulation experience.

Purpose: The purpose of this project was to utilize AI technology in pre-simulation preparatory work to enhance learning in second-semester associate degree nursing students. 

Methods: The study consisted of randomized traditional and AI-guided preparatory groups among consenting participants. The sample consisted of 23 participants. Both sets of students completed the same simulation. …

Fostering Inclusion: Supporting Children With Hearing Loss In Social Interactions, Danielle Kaletta, Mary Jan Greer

Summer 2026 OTD Capstone Symposium

This project provided an open-access online program for caregivers of children with hearing loss to facilitate social engagement. Qualitative methods were used to conduct a needs assessment and identify areas of concern, barriers, and limited resources that affect participation in social activities. Based on the needs assessment, a 6-module website was created and published. Occupational therapy-based evidence, research, interventions, and best practices were compiled and adapted to target identified areas. Participants reported overall favorable feedback, stating an increase in knowledge, confidence, and participation.

Pragmatic Measures In Aided Language Measurement: Aac Clinical Expert Perspectives, Makayla Hydiea Smith

Speech and Hearing Sciences ETDs

Purpose: The augmentative and alternative communication (AAC) discipline currently lacks psychometrically sound aided language measures. This thesis is designed to address one step in developing such measures: to begin to establish the clinical feasibility of three pragmatic measures – communicative intent, independence/co-construction, and imitation/non-imitation. Therefore, the objective of this thesis is to identify the useability of these pragmatic measures.

Method: A qualitative approach in the form of a focus group was used to examine the perceptions of SLP practitioners who are experts in AAC. Rapid qualitative analysis (RQA) was used to identify relevant themes and subthemes.

Results: Overall, the themes …

Understanding Student Success Campaigns, Regina Wine-Nash

Student Success Analytics

Slides from Student Success Stories session on Understanding Student Success Campaigns at James Madison University

Tales Of The Empathic Support Provider: How Emerging Adult Women Make Sense Of Providing Empathic Support To Female Friends, Emma R. Eslinger

Department of Communication Studies: Dissertations, Theses, and Student Research

The current study explored the stories and reflections of 33 emerging adult women who made sense of their empathic support provider (ESP) identity in the context of female friendships. From the standpoint of the retrospective storytelling heuristic, within communicated narrative sense-making theory, participants told stories about their ESP identity, including how they provide support to others and reflect on the benefits of drawbacks of serving in this role (CNSM, Koenig Kellas, 2022). Under Proposition 1 of CNSM theory, meanings, values, and beliefs (MVBs) that ESP women expressed in this role were depicted as key takeaways gathered. Findings illuminated how ESP …

Doctor Decision Making And Patient Outcomes, Janet Currie, W. Bentley Macleod, Kate Musen

Cowles Foundation Discussion Papers

Doctors often treat similar patients differently, which affects health outcomes and medical spending. We assess the recent literature on doctor decision making through the lens of a model that incorporates diagnostic and procedural skills, beliefs, incentives, and differences in patient pools. Decision making is affected by beliefs, training, experience, peer effects, financial incentives, and time constraints. Interventions to improve decision making include providing information, guidelines, and technologies like electronic medical records and algorithmic decision tools. Economists have made progress in understanding doctor decision making, but applications of that knowledge to improving health care are still limited.

Framework For Building A Social Media Marketing Strategy For Micro-Small Businesses, Joanna Byrne

Theses

Existing social media marketing literature consistently fails micro-small businesses with five or fewer staff. These sources default to models built for brands with dedicated marketing teams and large budgets. This project addresses that gap using a mixed-methods, practitioner-based action research design. It combines quantitative platform analytics with qualitative process documentation. The research covers four businesses at distinct stages of digital development: Torched Motorsport Supply, a new automotive parts retailer built from zero digital infrastructure; Byrne Diesel Performance, an established diesel shop with an unoptimized presence; Texas Best Compost, a startup developing its brand identity and digital launch disrupted by supply …

Visual Structure, Cultural Memory, And Viewership In Early Medieval Irish High Crosses, Trinity Smith

Theses

This thesis examines how Irish high crosses functioned as structured visual forms through which religious authority and cultural memory were communicated within early medieval Ireland. Previous scholarship has emphasized the theological coherence of these monuments, often assuming a single idealized viewer. This study reconsiders Irish high crosses through the concept of multiple viewership by examining how different audiences may have encountered and understood these monuments. Using comparative visual and contextual analysis, this study examines four case studies: the Cross of the Scriptures at Clonmacnoise, Muiredach’s Cross at Monasterboice, the High Cross of Durrow, and the Market Cross at Kells. This …

From Grid To Freedom: A Comparative Analysis Of Canva’S Guardrails And Adobe Illustrator’S Design Flexibility, Caroline Wilmes

Theses

This project focuses on graphic design software becoming increasingly accessible and questions emerging regarding the role of professional designers and the value of industry-standard design tools. This project examines the differences between Canva, a widely used template-driven design platform, and Adobe Illustrator, a professional vector-based design application. Through a hands-on, project-based research approach, the same brand identity was developed in both programs, including a style guide, business card, website homepage mock-up, and tri-fold. The comparison focused on workflow efficiency, creative freedom, typography, color management, scalability, and production readiness.

Findings revealed that Canva excels in accessibility, speed, and ease of use …

Quiet Relief: Voice In Migraine Packaging, Nicole Allgeyer

Theses

This paper explores typography as a form of nonverbal communication in pharmaceutical branding for a fictional medication called Neura by investigating how font choice, visual hierarchy, spacing, and color function as communicative tools to its viewers. This paper combines the studies of semiotics and branding to create a brand that evokes trust, calm, and clarity through a visual branding system. This study investigates visual signifiers (semiotics) such as color and type through visual analysis and implements the findings into the brand. By researching branding, I was able to create a brand that has a focused demographic and image. In creating …

Beyond Affection Meters: A Framework For Relationship Repair Mechanics And Meaningful Play, Christopher B. Del Gesso

Theses

This thesis develops and tests a repair-centered framework for relationship mechanics in narrative games, positioned as an alternative to the affection-meter model that reduces relationships to a single accumulating score. Drawing on eudaimonic media research, relational repair theory, and interpretive-attribution research, the framework argues that meaningful relationship play depends on tracking multiple, potentially divergent relational dimensions; distinguishing repair attempts from repair outcomes; modeling interpretation of player actions rather than fixed action-to-effect mappings; and treating stable, non-restorative endings as legitimate outcomes rather than failure states. A comparative survey of five commercial games, Fallout 4, Tell Me Why, Life is Strange Remastered, …

The Significance Of Abstract Art In Self-Expression: A Study Developed By Analyzing Kandinsky's Black Lines And Producing Visual Juxtapositions, Keturah K. Bowles

Theses

This paper will contemplate how the creation of abstract art, a creative style born from the Avant-Garde movement of the 20th century by artists such as Wassily Kandinsky, was imperative in the pursuit of artistic freedom. Additionally, it will seek to prove that abstraction is one of the unparalleled genres to utilize for self-expression in comparison to genres that uphold traditional art techniques, such as realism. This theory is further emphasized when considering abstract art in juxtaposition to the art standards maintained by the academy. Moreover, the research conducted to support the proposed theory falls into various categories, such as …

Web Of Sisterhood: Somehow Connected, Catherine Scott

Theses

This thesis project is about the connection between female community (sisterhood) and art-making practices. This connection is explored through qualitative research, including research in art history, feminism, community interviews, and personal experience. The connection between sisterhood and art-making is expressed through the construction and development, as well as the visual elements, in the final project. Communication and collaboration with women in my community about the artwork and our connections as women shaped how the work would be constructed, as well as the imagery and colors used in the final piece.

Seeing Power: Authority, Gender, And Spectatorship In Charles I And Henrietta Marie With Their Two Eldest Children, Prince Charles And Princess Mary (1632), Danielle Scaramuzzi

Theses

The visual construction, enactment, and legitimization of political authority is the subject of this thesis concerning Charles I and Henrietta Maria with their two eldest children, Prince Charles and Princess Mary (1632), painted by Anthony Van Dyck. Through examination of sovereign representation, gendered body, dynastic continuity, and spectators, this research argues that authority within Northern Baroque portraiture is not established as a single or unchanging entity. However, instead of a monolithic representation of authority, it arises from relational elements, including body language, gesture, space, family relations, and viewer engagement. Although Van Dyck's portrait is generally considered a dynastic image in …

Implementing A Sensory-Informed Protocol For Fall Prevention In A Skilled Nursing Facility, Riley R. Scholberg, Amy Lyons-Brown, Elizabeth Force

Summer 2026 OTD Capstone Symposium

This capstone project developed and implemented a sensory-informed admission protocol to support fall prevention at a skilled nursing facility. The development of this protocol aimed to improve the early identification of vision and hearing impairments and integrate sensory considerations into resident care planning and fall prevention. Participants included newly admitted residents and interdisciplinary staff members from rehabilitation, nursing, and administration. Methods included administering the Screening for Severe Dual Sensory Loss (SDSL), reviewing resident characteristics and fall-related indicators, educating staff on sensory-informed care, and developing practical resources to support consistent screening, documentation, and intervention. Expected outcomes included increased staff knowledge, improved …

A Program To Address Anxiety And/Or Add/Adhd In Children With Cerebral Palsy To Improve Social Participation, Victoria Shaw, Mary Jan Greer

Summer 2026 OTD Capstone Symposium

The purpose of this project was to develop a program for children with cerebral palsy, who experience anxiety and/or ADD/ADHD, that will promote their social participation during play activities. The program lasted for 14 weeks and had two participants, within those 14 weeks, several objectives were accomplished. These objectives include the administration of the needs assessment, implementation of the program modules, pre- and post-interviews with the caregivers and staff, and the finalization of the program. The expected outcome from the program was to determine the effectiveness of the different program modules increasing interactions with peers by decreasing anxiety and improving …

Inactive Nurses In New Mexico: Insights Into License Lapse And Inactive Reserve Status, Kiyoko Dell Davis

Doctor of Nursing Practice Scholarly Projects

Nursing shortages have varied over the decades, yet persist at local, national, and global levels. Nurses report leaving the workforce for many reasons, including professional environment factors resulting from these shortages, further exacerbating a shrinking workforce and population growth. Recent efforts include recruitment and education incentives and implementation of the New Mexico Board of Nursing (NMBON) Inactive Reserve Licensure option, which allows retiring nurses to maintain a reduced-scope nursing license with fewer barriers. Despite these efforts, questions remain: why are nurses in New Mexico leaving the profession and would this licensure category have impacted retention? The purpose of this project …

Improving Continuity Of Care: Evaluating Universal Nursing Handoff Sheets, Elizabeth Ifeloluwa Sanya

Doctor of Nursing Practice Scholarly Projects

Effective communication during nursing handoffs is essential for safe, patient-centered care, as breakdowns in communication are a leading cause of adverse patient outcomes. At a large academic level I trauma center, inconsistent nursing handoff practices were identified across progressive care units following the COVID-19 pandemic. This variability contributed to incomplete transfer of patient information and was associated with increased patient safety incidents, including delayed wound care, central line dressing lapses, and medication errors involving high-alert therapies. The purpose of this DNP project was to plan, implement, and evaluate the use of  standardized nursing handoff sheet and its impact on continuity …

Dc/Dc Converter For A Solar Module, Stella Uribe, Richie Zaragoza, Olivia Grace Tran, Phillip Tyler Rich

Electrical Engineering

This project focuses on the design and validation of a general-purpose DC/DC power converter intended for use with photovoltaic (PV) solar modules operating under variable environmental and loading conditions. Solar panels exhibit significant variation in output voltage, current, and available power due to changes in irradiance, temperature, and operating point, making direct connection to downstream loads impractical. The proposed system addresses this challenge by providing a single, user-adjustable regulated DC output capable of both stepping up and stepping down the solar module voltage. The converter is designed to interface with solar modules rated between 50 W and 400 W, with …

Remote Controlled Pushcart, William B. Rakoz, Logan M. Beard, Jesus B. Galindo, Jacob Anderson

Electrical Engineering

This senior project developed a low-cost remote controlled golf push cart by retrofitting a conventional cart with independently driven hoverboard wheels, an ESP32 controller, BLE communication, a 36 V battery, an MPU-6050 IMU, an LD-19 LiDAR, and custom PETG components. The final scope emphasized reliable remote operation, differential steering, controlled acceleration, heading stabilization, emergency stopping, and obstacle-aware speed limiting. A separate neural-network controller was trained in simulation as a future autonomy pathway; autonomous target following was not integrated into the final cart. Verification recorded a maximum speed of 4.3 mph, operation on a 15-degree incline, a 0.75 s emergency-stop response, …

Stationary Bike Power/Efficiency Monitor, Paula J. Diaz, Pilar M. Cook, Danielle Rhind

Electrical Engineering

This project developed a real-time power and efficiency monitoring system for a SportsArt ECO-POWR stationary exercise bicycle. The goal was to measure rider mechanical power and electrical power delivered to the utility grid simultaneously, allowing the overall bike-to-grid efficiency to be calculated and displayed in real time. Rider power was measured using Garmin Rally ANT+ power pedals, while grid power was measured using a Yokogawa WT310E power analyzer. A Raspberry Pi 3 Model B+ synchronized both data sources, calculated efficiency, displayed live performance metrics through a graphical user interface, and logged measurement data to CSV files for later analysis. The …

Autonomous Terrain-Mapping Robot For Search And Rescue, Soumil Joshi, Seann Calub

Electrical Engineering

This report documents the design, modular testing, and challenges faced while developing an autonomous terrain-mapping robot intended to navigate to a destination waypoint and deliver a small payload for search-and-rescue applications. The system combines a LiDAR sensor, an IMU sensor, and a Raspberry Pi 3B as the onboard processor, and an ESP32 microcontroller interfacing with motor drivers over a four-wheel chassis. A companion mobile application was developed to enable remote control and monitoring of the robot over a WiFi hotspot connection. A lithium-ion battery pack supplies power to all onboard components, with power budgets verified against component datasheets. Testing progresses …

Privacy, Paternalism, And Standing In Health Professions Regulation, Anthony Sangiuliano

Dalhousie Law Journal

When investigating whether a doctor has behaved unethically while treating a patient, professional regulatory colleges may search patients’ confidential medical records without patients’ consent. I argue that this practice is not paternalistic, nor does it usurp patients’ standing to decide for themselves whether to sacrifice their privacy to hold the doctor to account for professional wrongdoing. College investigations that non-consensually invade patient privacy do not express disrespect for patients’ agency because they aim to mitigate harm to the broader public. Unlike criminal prosecutions of doctors which uphold moral values pervading the public at large, college investigations enforce ethical standards within …

Assessing Vertebrate Biodiversity In An Agricultural And Urban Impacted River Using Environmental Dna Metabarcoding, Surabhi Nair

AES Theses

Rivers are dynamic freshwater systems that can experience shifts in flood regime that are driven by anthropogenic activity and climate change. These changes may no longer support the native species in the ecosystem and can favor invasive generalist species. The Pajaro River supports a range of urban, agricultural, and natural habitats and is prone to seasonal flooding that can affect habitat conditions and biodiversity. Current vertebrate diversity in the Pajaro River is not well understood, although traditional surveys have documented both rare and invasive species. Environmental DNA, or eDNA, can help address gaps in traditional monitoring by detecting elusive or …

Transoral Endoscopic Stapled Diverticulotomy For Pediatric Esophageal Diverticulum: A Case Report, Nadeen Alturki, Huma Quraishi, Keith A. Kuenzler

Manuscripts, Articles, Book Chapters and Other Papers

Introduction

Case presentation

Conceptualizations Of "Public Health" And Government Action Among U.S. Adults In 2025., Lauren Yan, Emily Cramer, Peter J. Winch, Emily A. Hurley

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Understanding how Americans think about public health and the role of government institutions is crucial for informing effective health communication in a polarized political climate.

METHODS: We deployed an open-ended national survey of 1004 adults in October 2025 to assess public perceptions of these topics.

RESULTS: Respondents associated the term "public health" with health for everyone (44%) and health of everyone (23%), alongside healthcare (20%) and other themes. The most common perceived government benefit was facilitating access to healthcare (39%)-particularly by addressing cost (16%). Among perceived government harms, more Republicans than Democrats cited overregulation (16% vs 8%, P < 0.01), limiting …