Digital Commons Network^™

Increasing Compliance In Pain Reassessment And Documentation In An Acute Care Facilityy, Kriss S. Jones

Doctor of Nursing Practice (DNP) Scholarly Projects

Purpose: This guideline-directed project aimed to increase registered nurse (RN) compliance with documenting pain reassessment in an adult medical-surgical unit at an acute care facility.

Background: Proper documentation is crucial for clinical decision-making and legal and ethical reasons. The Joint Commission (TJC) has standardized pain documentation requirements to ensure consistent assessment, recording, and management across healthcare settings. Non-compliance can lead to misdiagnosis, inadequate treatment, patient dissatisfaction, and legal consequences. Accreditation bodies audit medical records, and non-compliance may result in penalties, financial losses, or loss of accreditation. Adherence is a clinical best practice and strategic necessity for healthcare organizations. Methodology: A …

Enhancing Breast Cancer Screening Uptake In Hispanic Women Residing In Rural Texas Through A Quality Improvement Project, Bianca Batchelor-Salazar

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Breast cancer remains a leading cause of cancer-related mortality among women in the United States. Despite the effectiveness of mammography in early detection, Hispanic women in rural communities experience lower screening rates due to socioeconomic, cultural, and access-related barriers. At a rural South Texas clinic, the baseline screening rate among Hispanic women aged 50–74 years was 70.6%, below national benchmarks.

Purpose: To increase breast cancer screening compliance among Hispanic women aged 50–74 years in a rural South Texas family practice clinic.

Methods: Guided by the Lean A3 quality improvement framework, this project implemented a multifaceted intervention bundle that included …

Shared Decision-Making To Improve The Vaccination Rate Among Older Patients, Muxian Chen

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Vaccines recommended for patients over the age of 50 include those for influenza (Flu), COVID-19, respiratory syncytial virus (RSV), pneumococcal disease, shingles, hepatitis A, hepatitis B, and a booster dose of the Tetanus, diphtheria, and pertussis (Tdap) vaccine every 10 years (American Association of Retired Persons, 2025). Unfortunately, these vaccines are often not adequately discussed during patient visits or are mentioned only briefly, without a clear plan for administration (American Association of Retired Persons, 2025). A vaccination bundle, which included resources for all vaccines and the opportunity to receive vaccines such as flu, COVID-19, RSV, Pneumococcal, Tdap, shingles, and …

Italian Commedia Dell’Arte And Modern American Performance: Comedy As A Cultural Window, Sofia Craig

Undergraduate Honors Theses

Commedia dell’Arte, a form of improvisational comedy for the stage developed in the Renaissance, is at least half a millennium old, and leaves minimal records of its content. However, its stock characters still seem to appear in modern media, including television, movies, and current theatre. Commedia characters' noticeable persistence in the modern day suggests that our culture continues to enforce social dynamics which have elements in common with sixteenth-century Italy. This thesis compares Commedia stock characters with their counterparts in modern media, to learn what cultural analysis can be made from their similarities and differences. Most retain traits that keep …

Annual Report Of The Town Officers Northwood, Nh For The Fiscal Year Ending December 31, 2025 And Of The School District For The Fiscal Year Ending June 30, 2025, Northwood Town Representatives

Northwood, NH Annual Reports

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

Town Of Sunapee Annual Report For The Year Ending December 31, 2025, Sunapee Town Representatives

Sunapee, NH Annual Reports

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

Annual Report Town Of Center Harbor, New Hampshire For Year Ending December 31, 2025, Center Harbor Town Representatives

Center Harbor, NH Annual Reports

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

Employing The Marketing Mix Framework To Increase Usage Of Academic Libraries, Chantelle Swaren

The Southeastern Librarian

Academic libraries face a regular influx of new students, creating an ongoing need to increase awareness and usage. To accomplish this, many academic libraries rely on short-term outreach tactics that focus on only one element of the marketing mix: Promotion. This article introduces the complete marketing mix framework, including seven elements (7 Ps), and explains how they can be applied in academic libraries. Definitions and library-specific examples are provided for each element: Product, Price, Place, Promotion, People, Process, and Physical Proof. The integrated approach of marketing mix theory and planning can be employed by academic libraries to increase patron awareness, …

Town Of Lyman, New Hampshire Annual Report Year Ending December 31, 2025, Lyman Town Representatives

Lyman, NH Annual Reports

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

Legislatively Erased: The Failure Of Privacy Legislation To Protect People Connected To The Criminal Legal System, Chaz Arnett, Kate Weisburd

Faculty Scholarship

No abstract provided.

Digital Learning For English Learners: A Selected Annotated Bibliography For English Learner Research, Policy, And Practice, Center For Equity For English Learners

Annotated Bibliographies

Digital Learning for English Learners: A Selected Annotated Bibliography for English Learner Research, Policy, and Practice is comprised of 17 annotations from recent and seminal literature regarding digital learning resources for English Learners (ELs) and Multilingual Learners (MLs). These annotations build on the annotations regarding digital learning in CEEL’s 2022 annotated bibliography, Ensuring Equity and Excellence for English Learners: An Annotated Bibliography for Research, Policy, and Practice (Center for Equity for English Learners, 2022) to include publications from 2022-2025. This selected annotated bibliography serves as a resource for researchers, policymakers, educators, and advocates who are working for equity and …

Reproductive Success Is Secured By A Rapidly-Evolving Short Peptide In Female Aedes Aegypti Mosquitoes, Priyanka Lakhiani

Student Theses and Dissertations

The mosquito lineage spans hundreds of millions of years of evolution, and this period has honed the yellow fever mosquito, Aedes aegypti, into a precise and expert predator. While nectar and plant-derived carbohydrates are sufficient sources of nutrition to maintain energy and metabolism, female mosquitoes must acquire multiple ingredients to successfully reproduce and produce offspring. Healthy, motile sperm from a conspecific male and a complete blood meal from a human host are required for females to develop viable eggs, and thus ensure species survival. What are the internal mechanisms that coordinate the acquisition of these key elements with the maturation, …

The Reinnervation Of Sensory Hair Cells Following Lesion Of The Lateral Line Cranial Nerve, Rohan S. Roy

Student Theses and Dissertations

Loss of hearing is a prevalent sensory pathology in the United States and worldwide. A significant proportion of deafness is attributed to sensorineural hearing loss, which often involves damage and retraction of the nerve fibers that relay auditory information between the mechanosensitive hair cells of the inner ear and the brain. The restoration of physiologic hearing would require the regeneration of nerve fibers back into the sensory epithelium of the cochlea, followed by the reinnervation of appropriate hair cell targets. Nerve regeneration studies in humans and other mammalian models are lacking due to the limited accessibility of the inner ear. …

Structural And Functional Studies Of The Sars-Cov-2 Niran Domain, Gabriel I. Small

Student Theses and Dissertations

The COVID-19 pandemic was a dramatically disruptive event, wreaking devastation across the globe and radically impacting nearly every facet of human life. For the first time, a significant amount of global money and attention was directed at coronavirus (CoV) research, propelling the field to the forefront of biomedical research. This allowed for the rapid development of a suite of vaccines and antivirals targeting SARS-CoV-2 that aided in ameliorating the effects of the pandemic. SARS-CoV-2 was the third CoV zoonosis of the 21st century and is now endemic. Global understanding of the threats posed by CoVs circulating among animals in the …

Influence Of The Solar Cycle And Interplanetary Shocks On Turbulence At 1 Au, Sujan Prasad Gautam

Dissertations

This thesis studies the effect of the solar cycle and interplanetary shocks on turbulent fluctuations at 1 AU. We examine the solar cycle dependence of turbulence cascade rates corresponding to the total turbulence energy using the methodology developed by Adhikari et al. that utilizes a Kolmogorov phenomenology. Turbulence cascade rates are derived using 25 years (1995–2020) of Wind spacecraft plasma and magnetic-field observations. We find that the total turbulence energy cascade rate changes with the solar cycle, such that the cascade rate is largest during solar maximum and smallest during solar minimum. It is positively correlated with the solar wind …

The Complexities Of The Bilingual Advantage, Melisa Sierra

Behavioral Neuroscience Honors Papers

The bilingual advantage hypothesis, which proposes an enhancement of executive functions in bilinguals, remains heavily debated with inconsistent findings across studies. This study investigated working memory performance in bilingual and monolingual young adults using a modified n-back task with an interruption while recording EEG activity. Participants completed 1-back, 2-back, and 3-back conditions across the pre-interruption phase and a post-break 2-back condition. Behavioral measures (accuracy and response times) were analyzed alongside ERP, focusing on P300 and sustained activity components, were analyzed. Results showed a decrease in accuracy as task difficulty increased from 1-back to 3-back, indicating the expected effects of higher …

High-Resolution Infrared Spectroscopy Of Jet-Cooled 1-Butene, Vladyslav Filatov

Chemistry Honors Papers

A high-resolution absorbance spectrum of 1-butene was obtained in the 994–1000 cm⁻¹ region using a quantum cascade laser-based spectrometer coupled with a supersonic jet expansion source. To mitigate the low number density of the molecular jet, a multi-pass optical configuration was employed to achieve an effective path length of approximately six passes. Experimental spectra were calibrated using a methanol reference and etalon. Supporting calculations for vibrational frequencies and rotational constants were performed at the MP2/cc-pVTZ level of theory. The observed spectral features were assigned to the vibrational band ν25 (centered at 993.67 cm⁻¹), which was identified as a primarily a-type …

Casting Long Shadows: Political Influence On Classical Scholarship In The 20th And 21st Centuries, Anna Taylor

Classics Honors Papers

History, especially Classical history, is not as objective as it is often made out to be. Classical scholarship is not immune to the influence of politics, even if and when a scholar does not explicitly reference it or intend for the scholarship to be political. To explore this influence, this thesis examines two case studies: Edmund Buchner’s work from the 20th century on the so-called “ Horologium Augusti, ” and the rise of regime transition scholarship in the 21st century. Both case studies examine the impact of contemporary politics on a scholar’s perception of a contentious period of Roman history: …

Building Public Health Data Dashboards: Tutorial Playbook, Elwin Wu, Raymond Balise, Benjamin Katz, Daniel R. Harris, Matthew Bullard, Naleef Fareed, Marc Larochelle, Jennifer Villani

Institute for Biomedical Informatics Faculty Publications

Public health data dashboards have substantial potential to improve transparency, understanding, and decision-making at multiple levels, from individuals to public health practitioners and policymakers. However, creating effective dashboards presents many challenges. In this case-based tutorial on public health dashboard development, we share lessons learned from our experience developing data dashboards for the HEALing Communities Study (HCS), a National Institutes of Health (NIH)–funded, community-engaged intervention to deploy evidence-based practices to reduce opioid overdose deaths in 67 communities across 4 states. We present key decision points dashboard teams must address, along with the major considerations and trade-offs that shaped our approach. First, …

The Sleep, Inhibition, And Performance (Sip) Study: An Erp Investigation Of Sleep, Stress, And Response Inhibition In Early Childhood, Alivia Overbee

Master's Theses and Doctoral Dissertations

Background: Inhibitory control (IC) is fundamental to academic achievement and mental health, yet limited research examines how modifiable environmental factors influence neural substrates of IC in early childhood. Sleep regulation and adversity may shape IC development through experiential canalization processes. Objective: The Sleep, Inhibition, and Performance (SIP) study investigates how sleep characteristics, socioeconomic status (SES), and stress predict neural markers of inhibitory control in children aged 5-8 using event-related potentials (ERPs). Methods: Twenty children were enrolled in this study, which assessed sleep assessment via actigraphy, sleep diaries, and questionnaires. SES and stress were measured through caregiver reports. IC was assessed …

Social Perception Of Rural And Urban Lgbtq+ High School Students, Jordyn Gerwig

Master's Theses and Doctoral Dissertations

Lesbian, gay, bisexual, transgender, queer, and other gender/sexual identities (LGBTQ+) have been subjects of research throughout history, impacting the way they are perceived socially. Experiences of LGBTQ+ people vary not only by person but also by geographic area (rural, urban, and suburban). The focus of this study is the social acceptance of LGBTQ+ identities in high schools in these geographic areas. The overall research question is as follows: How do LGBTQ+ students’ perceptions of social acceptance differ across urban, suburban, and rural high schools? It was hypothesized that students who attended rural schools will feel lower levels of social acceptance …

Using Nmr Spectroscopy And Linear Discriminant Analysis To Molecular Profile Varietal Honey, Taylor Mac

Master's Theses and Doctoral Dissertations

In recent years, varietal honey has been a massive target of adulteration through mislabeling and the addition of other sugars. Unethical companies do this to cut production costs while still charging the consumer full price. Previous studies have used nuclear magnetic resonance (NMR) to unravel possible adulteration in honey, but currently, there are no standard rapid methods to authenticate varietal honey. In our research, we collected NMR signatures (“fingerprints”) and combined them with linear discriminant analysis (LDA) to predict the varietal, country, and region of varietal honey. As a part of the project, we investigated whether an adjustment to the …

Defending Darnassus: Self-Disclosure Between Characters In World Of Warcraft, Molly Peterson

Electronic Theses and Dissertations

This study examined why players substitute physical contact with people for virtual contact with people, why players engage in self-disclosure, and how they interact with other players. A content analysis analyzed data collected from an online questionnaire. Using data from 125 questionnaires, the research gathered information on why players self-disclose within the game World of Warcraft and if they have experienced any advantages or disadvantages from those interactions.

What Kids Have To Say About Math: Results From Focus Groups With Middle Schoolers, H. Colleen Sinclair, Kyle Wilson, Avery Ellis, Norma Martinez

Reports

Middle school mathematics achievement remains a critical concern in Louisiana. Despite notable recent gains in recovery and signs of resilience, students continue to perform below national averages (ranking 38th in the country). To better understand the factors that support or hinder student success, this report presents findings from six student focus groups conducted in spring 2025 with 39 middle school students at two urban schools in Baton Rouge, Louisiana. The goal was to elevate students’ voices regarding their motivation, anxiety, classroom experiences, and ideas for improving math instruction. Overall, students expressed generally positive feelings toward math, and notably, a strong …

The Pittsburg Micropolitan Area Economic Report, Quarter 2, 2026, Pittsburg State University

Pittsburg Micropolitan Reports

The Pittsburg Micropolitan Area Economic Report is created by the Business and Economic Research Center (BERC) at Pittsburg State University.

The Pittsburg Micropolitan Area Economic Report, Quarter 1, 2026, Pittsburg State University

Pittsburg Micropolitan Reports

The Pittsburg Micropolitan Area Economic Report is created by the Business and Economic Research Center (BERC) at Pittsburg State University.

Common Data Set, Georgia Southern University

Georgia Southern Common Datasets

No abstract provided.

Trade Openness And Economic Growth In Africa: Goods Or Services?, Fe Doukouré Charles

Journal of African Trade

This study examines the impact of trade openness in goods and services on economic growth across Africa, utilizing panel data for all 54 countries from 1980 to 2022. The analysis, conducted at both continental and regional economic community levels, finds that trade openness generally exerts a positive effect on economic performance. However, a significant regional heterogeneity emerges. Notably, a decoupling is observed between goods trade expansion and strong GDP growth in Central and East Africa, a weaker relationship in Northern and Southern Africa, and a similarly decoupled pattern for services trade and GDP growth in most regions, except for a …

Operational Agency: A Permeable Legal Fiction For Tracing Culpability In Ai Systems, Anirban Mukherjee, Hannah H. Chang

SMU Science and Technology Law Review

Modern artificial intelligence (AI) systems act with a high degree of independence yet lack legal personhood—a paradox that fractures doctrines grounded in human-centric notions of mens rea and actus reus. This Article introduces Operational Agency (OA)—a permeable legal fiction structured as an ex post evidentiary framework—and Operational Agency Graph (OAG)—a tool for mapping causal interactions among human actors, organizations, and AI systems. OA evaluates an AI’s observable operational characteristics: its goal-directedness (as a proxy for intent), predictive processing (as a proxy for foresight), and safety architecture (as a proxy for standard of care). OAG operationalizes that analysis by embedding these …

An Empirical Examination Of Law Student Attitudes Toward Legal Writing With Generative Ai, Abigail L. Perdue

SMU Science and Technology Law Review

Amid mounting predictions that generative artificial intelligence (AI) will substantially disrupt legal education, legal writing professors grapple with how and when to integrate generative AI into the classroom. While some believe that it should be woven into existing courses and integrated across the curriculum, even in the first year, others contend that it is better reserved for discussion in upper-level courses dedicated to AI-assistance. Yet it remains unclear which approach will best prepare graduates for the modern practice of law. Indeed, some scholars caution that permitting law students to use generative AI to complete their legal writing coursework, particularly in …