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Improving Pain Assessments In The Medical Icu, Tyler J. Wiorek Apr 2026

Improving Pain Assessments In The Medical Icu, Tyler J. Wiorek

Doctor of Nursing Practice Projects

Background 

Approximately half of intensive care unit (ICU) patients experience moderate-to-severe pain during admission, yet pain assessment in non-communicative patients remains inconsistent. Evidence-based behavioral tools such as the Critical Care Pain Observation Tool (CPOT) have been recommended to improve detection and management of pain in this population.

Aims/Objectives 

This quality improvement (QI) project aimed to implement the Critical Care Pain Observation Tool (CPOT) among registered nurses in a 29-bed medical ICU and evaluate its impact on nurse knowledge, acceptability, and documentation of pain assessments.

Methods 

A pre–post quality improvement design was used. A convenience sample of registered nurses in a …


Effectiveness Of Aromatherapy To Improve Postoperative Nausea And Vomiting, Mengtian Bludsky Apr 2026

Effectiveness Of Aromatherapy To Improve Postoperative Nausea And Vomiting, Mengtian Bludsky

Doctor of Nursing Practice Projects

Background: Postoperative nausea and vomiting (PONV) remains one of the most common and distressing complications following general anesthesia, negatively affecting comfort, recovery, and satisfaction. Although antiemetics are routinely administered, many patients continue to experience PONV. Aromatherapy using essential oils such as ginger and lavender has demonstrated benefit as a low‑risk complementary modality, it was underutilized in clinical settings.

Purpose: The purpose of this quality improvement project was to implement an evidence‑based aromatherapy intervention to increase aromatherapy utilization and decrease PONV incidence among eligible post-anesthesia care unit (PACU) patients; as well as educate and improve perioperative nurses’ acceptance of aromatherapy.

Methods: …


How Does Education Regarding Stress Reduction Technique Activities Affect Phq9 And Gad7, Olu Akande Apr 2026

How Does Education Regarding Stress Reduction Technique Activities Affect Phq9 And Gad7, Olu Akande

Doctor of Nursing Practice Projects

Mental health conditions such as depression, anxiety, and PTSD are prevalent among home care patients and significantly impact quality of life. This Doctor of Nursing Practice (DNP) project aims to assess the impact of structured education on stress reduction techniques—such as mindfulness-based stress reduction (MBSR), progressive muscle relaxation, cognitive reframing, and guided breathing—on PHQ-9 and GAD-7 scores. A selected registered nurse at Human Touch Home Care (HTHC) will provide targeted education to eligible patients, using a teach-back method to ensure comprehension. PHQ-9 and GAD-7 assessments will be administered before and two weeks after the intervention. Data will be analyzed to …


Breathing Kagome Lattice-Based Nb3i8 Monolayer: Theoretical Insights Into Enhanced Hydrogen Evolution Catalysis, Narender Kumar, Radha Somaiya, Ravindra Pandey, Nacir Tit Apr 2026

Breathing Kagome Lattice-Based Nb3i8 Monolayer: Theoretical Insights Into Enhanced Hydrogen Evolution Catalysis, Narender Kumar, Radha Somaiya, Ravindra Pandey, Nacir Tit

Michigan Tech Publications

Photocatalytic water splitting is a promising strategy for clean energy production, but its efficiency is restricted by poor light absorption, charge recombination, and slow reaction kinetics in photocatalytic materials. To address these challenges, a breathing Kagome lattice-based Nb3I8 monolayer is considered in the present study. Its photocatalytic performance is assessed via descriptors including the effective d-band center, spin-dependent carrier mobility, Gibbs free energy, and exchange-current density. The results based on density functional theory predict that the Nb3I8 monolayer is a type II magnetic semiconductor, with spin-up and spin-down bandgap energies of 1.06 and 1.77 eV, respectively. The application of biaxial …


New School Troubles: How Building Community Impacts Sense Of Belonging, Naydine Naileah Garcia Apr 2026

New School Troubles: How Building Community Impacts Sense Of Belonging, Naydine Naileah Garcia

Capstone Projects and Master's Theses

In this quantitative two group study, there were opportunities for 11th-grade students in ELA to build a classroom community throughout a three-week intervention, designed to examine if implementing these activities would increase their sense of school belonging. Sense of belonging is significant for students to feel personally accepted, respected, included, and supported by others in the school's social environment. Sense of belonging was measured using the Psychological Sense of School Membership Scale as a pre and post test. The treatment group participated in four, 15-minute classroom community building activities a week, completing twelve activities by the end of the intervention. …


Appellate Review Of Child Custody In Mississippi, 1994-2024, Eleanor Detweiler Apr 2026

Appellate Review Of Child Custody In Mississippi, 1994-2024, Eleanor Detweiler

Honors Theses

This study examines changes in child custody decision-making within the Mississippi appellate court system over a thirty-year period, with a particular focus on the role of legal custody as a separate consideration from physical custody. Using a longitudinal empirical research design, appellate court decisions from 1994, 2004, 2014, and 2024 were analyzed using Nexis Uni. Cases were identified using the search term “child custody” with emphasis on case headnotes indexed under “child custody” as the area of law. Variables including party roles, types of custody sought, reasons for appeal, and case outcomes were recorded and evaluated to identify trends over …


Utilizing A Brief Experimental Analysis To Examine Therapeutic Interventions On Math Anxiety And Math Fact Fluency In School-Age Children, Erin Simon Apr 2026

Utilizing A Brief Experimental Analysis To Examine Therapeutic Interventions On Math Anxiety And Math Fact Fluency In School-Age Children, Erin Simon

Honors Theses

This study utilized a brief experimental analysis (BEA) to examine the effects of taped problems (TP) alone and in combination with brief therapeutic interventions on math fact fluency and math anxiety in elementary-aged students with language disorders. Math anxiety was assessed pre- and post-intervention using the Early Elementary School Abbreviated Math Anxiety Scale (EES-AMAS), a standardized measure for examining math anxiety levels in young students, and math fact fluency was measured using 2-minute Curriculum-Based Measurement (CBM) probes. Results indicated that TP-only was associated with improvements in digits correct per minute (DCPM) for most participants; further, the addition of therapeutic interventions …


Agenda Control And Precedent, Thomas P. Schmidt Apr 2026

Agenda Control And Precedent, Thomas P. Schmidt

Faculty Scholarship

The U.S. Supreme Court now has vast control over its agenda: It has the power to pick and choose not only what cases it will hear through writs of certiorari, but also what specific legal questions within those cases it will consider. As a result, the Court never revisits a precedent unless it has made a prior, discretionary choice to put the viability of a precedent on its agenda. For that reason, the Court’s powers of agenda control play a significant and underappreciated role in maintaining the continuity of the legal order. Indeed, it is no surprise that the formal …


Thinking Constructively About International Law, Monica Hakimi Apr 2026

Thinking Constructively About International Law, Monica Hakimi

Faculty Scholarship

The international order that has defined the post-World War II period is being radically transformed, presenting a once-in-a-generation opportunity to reconstitute its basic foundations. The pressing questions for international lawyers are about the roles their enterprise can and should play going forward. I argue in this Article that most lack the analytic framework they need even to begin tackling these questions. Worse, most seem mired in an old theory about law that corrupts how they approach their enterprise. My goals in the Article are to expose the prevalence of this bad theory and to present the grounds for discarding it, …


Uncomfortably Reminiscent: Odonnell V. Harris County In History And Memory, Kellen R. Funk Apr 2026

Uncomfortably Reminiscent: Odonnell V. Harris County In History And Memory, Kellen R. Funk

Faculty Scholarship

In ODonnell v. Harris County, a federal trial court enjoined the misdemeanor bail system of Houston, Texas, freeing approximately 20,000 indigent defendants annually. To do this, the trial court drew upon Reconstruction era precedents establishing intensive federal oversight of state criminal proceedings. The court explicitly invoked the Civil War and Reconstruction transformation of the federal judiciary, comparing the County’s defenses to slavery era arguments. Conversely, when the en banc Fifth Circuit reviewed a similar order in Dallas, Texas, six years later, it rejected this historical framework, condemning such litigation as an impermissible “ongoing federal audit of state criminal proceedings.” …


Post-Covid Update: Magic Can Still Happen, Michelle C. Dziurgot Apr 2026

Post-Covid Update: Magic Can Still Happen, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

In this editorial, Dr. Michelle Dziurgot addresses the persistent staffing shortages in dentistry six years after the onset of the COVID-19 pandemic. She shares personal insights on managing a leaner practice by utilizing virtual assistants, cross-training existing staff, and emphasizing the "TEAM" philosophy—Trust, Education, Accountability, and Magic. Dziurgot discusses the transition to new practice models and the importance of patient communication during times of limited personnel. Ultimately, the piece encourages practice owners to find innovative ways to maintain high standards of care and team morale despite a difficult labor market.


Your First Hire: Building Your Team From The Ground Up, Amrita Patel Dds Apr 2026

Your First Hire: Building Your Team From The Ground Up, Amrita Patel Dds

The Journal of the Michigan Dental Association

Dr. Amrita Patel offers strategic guidance for new dentists entering practice ownership, focusing on the critical decision of the first team hire. The article describes the initial employee as a "brand ambassador" who establishes the practice’s culture and patient expectations. Patel advises against rushed hiring and suggests seeking candidates with complementary strengths rather than matching personalities. The piece emphasizes that while clinical skills can be trained, integrity and empathy are innate. Consistent leadership and clear protocol reinforcement are presented as essential for turning the first hire into a stabilizing force for long-term success.


Relational Victimization And Student Dropout Intentions: Examining The Impact Of Trauma And The Buffering Role Of Friend Support, Makaila Belk Apr 2026

Relational Victimization And Student Dropout Intentions: Examining The Impact Of Trauma And The Buffering Role Of Friend Support, Makaila Belk

Honors Theses

Universities prioritize strategies that improve student success, with graduation rates serving as a key indicator of institutional effectiveness (Kinzie & Kuh, 2017; York et al., 2015). Considering this, we examined peer relational victimization, an interpersonal stressor involving exclusion and reputational harm (Casper et al., 2020; You & Bellmore, 2012), as a predictor of dropout intention. Using archival data collected from undergraduate volunteers recruited from the University of Southern Mississippi (N = 291), we tested a moderated mediation model. We predicted that trauma-like symptoms would partially mediate the relationship between peer relational victimization and dropout intention and that perceived social …


Investigating The Effects Of Depth And Distance On Jumping Decisions, Ean Fisher Apr 2026

Investigating The Effects Of Depth And Distance On Jumping Decisions, Ean Fisher

Honors Theses

For an actor to accurately perceive if a gap affords crossing, they must consider environmental constraints, particularly spatial dimensions like gap depth and gap width, and their own physical capabilities, as determined by body/action-scaled information, namely body height and jumping ability. Prior research has examined the gap-crossing affordance across various contexts (real-world, augmented reality, and virtual reality). However, no research has investigated the gap-crossing affordance through performing a standing jump estimation within VR. The present study investigated how depth and width influence the perception of gap-crossing, operationalized as the act of performing a standing jump across a gap within a …


Exploring Student Academic And Grief Functioning After Loss: Perceptions And Influence Of Faculty Responses To Student Bereavement, Vivian Hale Apr 2026

Exploring Student Academic And Grief Functioning After Loss: Perceptions And Influence Of Faculty Responses To Student Bereavement, Vivian Hale

Honors Theses

Bereavement is a common yet underrecognized experience among college students, with many experiencing the death of a loved one during their academic careers. The university environment can present unique challenges that may impede the grieving process. Thus, faculty members may play an important role in shaping students’ academic and emotional outcomes following a loss. Understanding how students are affected by their faculty’s response to loss is critical for identifying strategies to support bereaved students within the academic environment. This study builds on previous research demonstrating that bereaved college students experience academic and emotional challenges while specifically examining the role of …


Competitive Reaction Pathways In The Fully Green Synthesis And Surface Modification Of Silver Nanowires Under L-Ascorbic Acid-Limited Conditions, Finley Neal Apr 2026

Competitive Reaction Pathways In The Fully Green Synthesis And Surface Modification Of Silver Nanowires Under L-Ascorbic Acid-Limited Conditions, Finley Neal

Honors Theses

Silver nanowires (AgNWs) are critical building blocks for transparent conductive films (TCFs) in flexible electronics, yet their commercial viability is hindered by environmentally hazardous, energy-intensive synthesis methods and limited intrinsic chemical stability. This study investigated a fully green, room-temperature (25℃) batch synthesis of pristine AgNWs using tannic acid as a biodegradable dual reducing and capping agent under strict kinetic pH control (pH 1.25). To enhance oxidative resistance, a subsequent surface modification protocol was evaluated to deposit a protective palladium (Pd) shell using L-ascorbic acid (LAA) as a secondary reducing agent. The pristine green synthesis yielded one-dimensional Ag nanostructures with a …


Evaluating Predictive Structure In Penny Stocks Using Machine Learning And Statistical Methods, Susom Hait Apr 2026

Evaluating Predictive Structure In Penny Stocks Using Machine Learning And Statistical Methods, Susom Hait

Honors Theses

Market prediction attempts have primarily focused on large-cap stocks due to their stability and market consistency. As such, studies that use time-series techniques to predict large-cap stocks have produced consistent results. Despite the success of large-cap predictions, penny stocks have remained unexplored in modern academia due to their high volatility, low liquidity, and structural instability. Regardless, unexplored market potential and technological advancements underscore the need for preliminary research into penny stock forecasting. This study aims to determine whether meaningful predictive structures exist in time-series penny stock data. This study utilizes an incremental approach. Various penny stocks were selected, pooled, and …


Synthesis And Photophysical Studies Of Coumarin-Quinoline Derivatives, Nishrenika Pokhrel Apr 2026

Synthesis And Photophysical Studies Of Coumarin-Quinoline Derivatives, Nishrenika Pokhrel

Honors Theses

A new family of oxime-functionalized coumarin-quinoline derivatives, 5a and 5b, has been synthesized through a five-step procedure in high yields (45-98%). Compound 5a is designed as the sensing probe, while 5b serves as a model system to support mechanistic understanding. The sensing approach is based on the reactivity of the oxime group, which can undergo phosphorylation in the presence of organophosphate nerve agents. Based on this behavior, it is hypothesized that 5a can react irreversibly with a nerve agent mimic. The structures were fully characterized by NMR, FTIR, and HRMS. Photophysical properties of 5a were studied in various solvents, …


Effects Of “Zero Sugar” Energy Drinks On Microbial Proliferation In Relation To The Gastrointestinal Microbiome, Madison Hines Apr 2026

Effects Of “Zero Sugar” Energy Drinks On Microbial Proliferation In Relation To The Gastrointestinal Microbiome, Madison Hines

Honors Theses

Energy drinks have rapidly increased in popularity and availability in recent years. With the rise of high-caffeine beverages, complications due to caffeine consumption have become more common in younger populations. The aim of this study was to use controlled laboratory methods to determine the effect of energy drinks on a variety of organisms commonly found in the gastrointestinal (GI) tract. The diverse and dynamic nature of microbes in the gut makes conditions of the GI tract difficult to replicate in a laboratory setting. As an alternative, isolates of bacteria commonly found as normal flora in the GI tract were plated …


The Spread Of Conspiracy Theories And Social Media Radicalization: “Stop The Steal” On Social Media, Zaynab Saleem Apr 2026

The Spread Of Conspiracy Theories And Social Media Radicalization: “Stop The Steal” On Social Media, Zaynab Saleem

Honors Theses

This study examines how conspiracy-related content spread across social media platforms following the 2020 U.S. Presidential election, specifically the “Stop the Steal” (STS) movement. While conspiracy theories are often seen as influential on niche parts of the internet, less is known about how they compare to non-conspiracy content in terms of engagement, visibility, and how they change over time. To address this gap, this study uses a quantitative approach to compare STS and non-STS content across two distinct types of social media platforms: a text-based platform (Platform A) and a video-sharing platform (Platform B). Data was collected using keyword searches …


Southern Miss: The Legacy Of Resilience, Ashley Lewis Apr 2026

Southern Miss: The Legacy Of Resilience, Ashley Lewis

Honors Theses

Southern Miss: The Legacy of Resilience is a creative work composed of two components: a short expository styled documentary and a written component primarily focused on the methods and techniques used to film the documentary. On February 10th, 2013, an EF-4 tornado significantly impacted the University of Southern Mississippi’s campus in Hattiesburg. The campus obtained significant damages to eight buildings located near Hardy Street on the southeastern portion of campus. The impact of the tornado left the university with over $20 million worth of damages. At the time, the university was temporarily closed for Mardi Gras break. However, a recovery …


Deep Learning-Based Automated Pneumonia Detection From Chest X-Rays: A Comparative Study Of Custom Cnn And Transfer Learning Architectures, Ahmed Sajim Apr 2026

Deep Learning-Based Automated Pneumonia Detection From Chest X-Rays: A Comparative Study Of Custom Cnn And Transfer Learning Architectures, Ahmed Sajim

Honors Theses

Pneumonia is a leading global cause of mortality, claiming approximately 2.5 million lives an-nually and placing exceptional diagnostic pressure on radiologists in resource-limited settings. Manual interpretation of chest X-ray (CXR) images is time-consuming, subject to inter-observer variability, and limited by radiologist availability. This thesis presents a systematic investiga-tion into deep learning-based automated pneumonia detection comparing five convolutional neural network (CNN) architectures: a custom-designed 2D CNN and four pretrained transfer learning models—ResNet, DenseNet, MobileNet, and VGG19.

A targeted data augmentation pipeline addresses the severe class imbalance in the Kag-gle Chest X-Ray Pneumonia dataset, expanding the Normal class from 1,583 to 9,495 …


Developing A Range Prediction For The Imperiled Florida Harvester Ant (Pogonomyrmex Badius) Using Species Distribution Modeling, Noah Williamson Apr 2026

Developing A Range Prediction For The Imperiled Florida Harvester Ant (Pogonomyrmex Badius) Using Species Distribution Modeling, Noah Williamson

Honors Theses

The Florida Harvester Ant (Pogonomyrmex badius) was once widespread and commonplace throughout the sandhills of the Southeastern United States, providing key ecosystem services, such as seed dispersal and soil aeration. Over recent decades, however, Florida Harvester Ant populations have declined in some areas. Current literature postulates that Red Imported Fire Ants (RIFA), and the insecticides used to manage them, as well as further human encroachment onto their habitat, all likely contributed to Florida Harvester Ant population declines. Thus, to better protect these organisms, pursue data-driven conservation efforts, and guide management practices, more information about their nest site selection, as well …


Justice And Peace Shall Kiss: A Comparative Analysis Of Law From Ancient Israel To Modern America, Evan Nix Apr 2026

Justice And Peace Shall Kiss: A Comparative Analysis Of Law From Ancient Israel To Modern America, Evan Nix

Honors Theses

Modern legal scholarship frequently attributes American criminal jurisprudence to Roman structures, Enlightenment rationality, and English common law, which obscures the American system’s roots in Hebraic natural-law value frameworks. The present thesis asks: “To what extent does the American criminal justice system embody core values of ancient Hebrew law, and how does such a framework compare to purely secular models regarding societal stability and equity?” A comparative analysis draws on biblical texts of the Torah, Hebrew wisdom literature, and American constitutional and statutory provisions, tracing a genealogy from covenantal laws of ancient Israel to modern American constitutionalism. Findings indicate preservation of …


A Comparative Analysis Of Alternative Pathways To A Law License In The United States, Katherine Willis Apr 2026

A Comparative Analysis Of Alternative Pathways To A Law License In The United States, Katherine Willis

Honors Theses

In recent years, there has been an ongoing discussion of how bar exams may be disproportionately unfair to certain demographic groups as a standard pathway to admission to law practice. Some states have had longstanding alternate pathways to the legal profession that sidestep the bar exam and/or law school, including California, Virginia, Wisconsin, and New Hampshire. In the years following 2020 and the COVID-19 pandemic, other states have joined these jurisdictions in offering alternative pathways to practice that would replace the law school and/or bar exam requirements for aspiring lawyers. This thesis aims to bridge a gap in the literature …


Tuning And Performance Of Pid Controlled Low Complexity Systems, Timothy Evans Apr 2026

Tuning And Performance Of Pid Controlled Low Complexity Systems, Timothy Evans

Honors Theses

Proportional integral derivative (PID) controllers are used for precise position and orientation control in systems such as autonomous underwater vehicles (AUVs). This project supports the University of Southern Mississippi’s (USM) Robotics Club’s RoboSub AUV effort by developing, troubleshooting, and manually tuning PID controllers to characterize tracking performance and settling time across systems of increasing complexity. Initially, the project hypothesized that tracking performance would be reduced and settling times would increase as system complexity advanced from one degree-of-freedom (DOF) to two DOF. However, prior research was found that suggests that for small disturbances around an equilibrium state, separate PID-controlled DOFs can …


Optimizing Auv Perception For Competitive Underwater Robotics: Analyzing Performance And Simplicity Of Machine Vision Hardware, Joseph King Apr 2026

Optimizing Auv Perception For Competitive Underwater Robotics: Analyzing Performance And Simplicity Of Machine Vision Hardware, Joseph King

Honors Theses

Underwater robotics is a growing field with many practical applications, such as pipeline and offshore structure monitoring, deep sea mining, mine reconnaissance/removal, and marine environmental monitoring. USM’s Robotics Club will participate in the international RoboSub competition, where student-led teams build autonomous underwater vehicles (AUVs) that perform a variety of tasks within a pool requiring camera-based object detection. This project analyzes affordable hardware and software options for providing machine vision to USM’s future RoboSub AUV. The performance of an ESP32-CAM microcontroller, Raspberry Pi 5, and Jetson Orin Nano single-board computers running FOMO and YOLO object detection models was compared. These models …


Tough Love Or Just Tough?: The Effect Of Juvenile Military Bootcamps On Adolescent Externalizing Behaviors, Paris Labadie Apr 2026

Tough Love Or Just Tough?: The Effect Of Juvenile Military Bootcamps On Adolescent Externalizing Behaviors, Paris Labadie

Honors Theses

Externalizing behaviors, which are mental health problems manifested as outward behavior, have negative impacts on the environment and relationships (Liu, 2004). They include traits such as impulsivity, aggression, and substance use. Externalizing behaviors are more common in justice-involved youth compared to those who were not involved. Interventions for justice-involved youth, such as military boot camps, offer an alternative to incarceration and provide rehabilitation opportunities and routine. Theoretical research suggests military boot camps are problematic, citing the ineffectiveness of “scared straight” tactics. To date, there are few studies examining changes because of completing boot camps. There are also no studies examining …


Standardized Home Blood Pressure Log Implementation For Patients With Hypertension To Increase Patient Awareness And Clinical Action, Ashley Alcala Apr 2026

Standardized Home Blood Pressure Log Implementation For Patients With Hypertension To Increase Patient Awareness And Clinical Action, Ashley Alcala

Doctoral Dissertations & Projects

Background: Home blood pressure monitoring (HBPM) is recommended for hypertension management, yet primary care clinics often lack standardized workflows for distributing, collecting, and using home blood pressure (BP) data. Inconsistent reporting and limited patient understanding of their own BP trends, such as whether readings are stable, elevated, or unchanged, reduce providers ability to make timely clinical decisions.

Problem: Despite evidence supporting HBPM, patients rarely brought usable BP logs to follow‑up visits, limiting providers ability to assess BP control, identify trends, and make timely medication or care plan adjustments.

Approach: This project used a Plan‑Do‑Study‑Act (PDSA) model to implement a standardized …


Deportation And Death: Examining The Second Trump Administration’S Immigration Policy Through The Lens Of Just War Theory, Finley W. Snyder Apr 2026

Deportation And Death: Examining The Second Trump Administration’S Immigration Policy Through The Lens Of Just War Theory, Finley W. Snyder

Augustana Center for the Study of Ethics Essay Contest

From day one of the second Trump administration, the White House has treated illegal immigration as an invasion, both rhetorically and, to a lesser extent, legally. The administration has not shied away from the use of force in this campaign, leading to the notable killings of Renee Good and Alex Pretti along with countless acts of violence across the nation. This essay seeks to evaluate the ethics of the second Trump administration's immigration policy from within this "war" framing through the lens of just war theory. While there has been considerable attention to just war theory in the context of …