Digital Commons Network^™

Teen Suicide And The Outcomes Of Surviving Peers, Emily Cuddy, Janet Currie, Elisa Jácome, Lucy Manly

Cowles Foundation Discussion Papers

By age 17, a quarter of U.S. students have experienced a peer suicide. Using linked administrative data from South Carolina and a matched difference-in-differences design, we find that exposure to a peer’s self-harm death increases the probability of a self-harm diagnosis by nearly 50% and both the incidence and frequency of mental health visits. Effects on care use and criminal behavior are concentrated among white boys, and responses diverge by prior mental health history: students without a prior diagnosis increase felony offending rather than care-seeking. Deaths from assault and transportation accidents produce no comparable rise in self-harm, consistent with contagion.

Assessing And Correcting Bias In Gridded Reference Evapotranspiration Over Agricultural Lands Across The Contiguous United States, John M. Volk, Christian Dunkerly, Justin L. Huntington, Blake A. Minor, Yeonuk Kim, Charles G. Morton, Peter Revelle, Ayse Kilic, Forrest Melton, Richard G. Allen, Christopher Pearson, Adam J. Purdy, Todd G. Caldwell

AES Faculty Publications and Presentations

Gridded reference evapotranspiration (ET_o) data are widely used for agricultural water management and remote sensing evapotranspiration (RSET) models, but biases can arise where coarse meteorological inputs fail to capture agricultural microclimates. We investigated biases in the gridMET ET_o product across irrigated agricultural areas of the contiguous United States using ET_o calculated from 793 agricultural weather stations, then used those stations to develop monthly correction surfaces. Results show that gridMET systematically overestimates ET_o by 10–20% at most cropland sites, while pockets of underestimation appear in some arid western regions, primarily due to wind speed bias. Wind …

Early Radiographic And Patient-Reported Outcomes Of Percutaneous Distal Metatarsal Osteotomy In Adolescent Hallux Valgus., David Cieremans, Sara Ruzzi, Matthew Titus, Susan Dubowy, Reid Nichols, Joseph Rosenblatt

PCOM Scholarly Works

BACKGROUND: Percutaneous osteotomy for adolescent hallux valgus has become an increasingly popular technique due to its quick recovery time and effectiveness. Few studies have assessed both the radiographic and clinical outcomes of percutaneous osteotomy. We present a series that demonstrates adequate radiographic correction and favorable postoperative patient-reported outcomes.

METHODS: A retrospective review of 27 percutaneous distal metatarsal osteotomies for adolescent hallux valgus performed by two surgeons was conducted at two urban, tertiary children's hospitals. Cases were excluded if radiographic imaging information was not available. Pre- and postoperative radiographic measurements, including hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal …

Improving Mobility Awareness And Jh-Amp Tool Utilization On A Cardiac Care Unit, Courtney Joe, Clarissa Chaires, Jocelyn Martin, Eunice Sanchez

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

The quality improvement project evaluated the impact of staff education and a unit-wide mobility awareness campaign on the use of the Johns Hopkins Activity and Mobility Promotion tools and patient mobilization in a 48-bed Cardiac Care Unit (CCU). The project involved registered nurses, nursing assistants, unit leaders, and adult cardiac patients represented by aggregate mobility data. A preliminary survey completed by 42 CCU staff members, CCU Partnership Council focus group, meetings with clinical nurse specialists, and a baseline unit audit identified inconsistent mobility practices, uncertainty regarding Johns Hopkins Highest Level of Mobility tool, and limited completion of in-room mobility signs. …

Mind Over Scrubs – A Peer-Led Anxiety Reduction Program, Nhi T. Tran, Angelica Dirige, Adeleke Fashola

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

Nursing students experience elevated anxiety during the transition into accelerated programs, which can negatively affect academic performance, well-being, and retention. This quality improvement project evaluated Mind Over Scrubs, a peer-led anxiety reduction program for incoming Entry-Level Master of Science in Nursing students at the University of the Pacific, consisting of four 45-minute sessions on evidence-based coping strategies. Generalized Anxiety Disorder-7 surveys were administered at baseline, before and after each session, and at two- and four-week follow-ups; Wilcoxon signed-rank tests evaluated matched changes. Thirty-one of 62 enrolled students (50%) attended at least one session. Post-session scores fell below individual baselines for …

Know Your Birth, Jasmine Mckelvey, Reagan L. Hunt, Michaela M. David

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

Maternal mortality remains a significant public health concern in rural Kenya because of limited healthcare resources, inadequate emergency obstetric training, and barriers to accessing timely, high-quality maternal care. This quality improvement project evaluated the implementation of the Know Your Birth educational intervention, a culturally responsive, simulation-based training program designed to improve healthcare providers' knowledge, confidence, and competency in evidence-based maternal and newborn care. The project was conducted at Sega Dispensary in Sega, Siaya County, Kenya, and included 26 healthcare staff members. Guided by the Plan-Do-Study-Act framework, participants completed a brief educational presentation followed by three interactive skills stations focused on …

An Examination Of Leadership Approaches In Alcoholics Anonymous As Perceived By Its Members, Kelly J. Shaw

Masters Theses and Doctoral Dissertations

This research analyzed leadership dynamics within Alcoholics Anonymous (AA), a 12-step recovery group that operates without traditional organizational structures. Although AA's Ninth Tradition emphasizes minimal formal organization, it allows the formation of service boards and committees. This contradiction raises questions about how AA functions effectively without a clearly defined leadership model. Using a qualitative approach, this study aimed to identify the type of leadership present within AA and explore its impact on maintaining sobriety. Additionally, the study examined AA members' perceptions of leadership and how leadership is reflected in the organization's practices. Applying the six-phase reflexive thematic analysis by (2006), …

The True Scope Of Trusting Your Gut: A Study Into The Enteric Nervous System And The Relationship Between The Gut-Brain Axis And The Mind, Bryan Pham

Theses & ETDs

Since the early days of medicine, the “gut” had been associated as a seat of emotions and intuition, but as modern science marched forward, the brain itself was given complete dominion over mental health. But thanks to research into the enteric nervous system (ENS), which innervates the digestive tract and bilaterally communicates with the brain as a secondary function, we now know that, in a sense, the gut does indeed have a substantial impact on mental health outside of its primary functions. This profound discovery could potentially cause a massive rewrite for decades of modern neuroscience-based medicine. Overall, the study …

Effective Strategies To Improve Ai Governance And Regulatory Compliance, Mursal Haroon

Walden Dissertations and Doctoral Studies

Senior business leaders across sectors face increasing risks because many organizations lack effective strategies to ensure transparency and regulatory accountability in artificial intelligence (AI) governance. This problem is critical for industry leaders who rely on transparent and compliant AI systems to protect consumers and maintain operational stability. Grounded in the ethical usage of AI systems, the purpose of this qualitative pragmatic study was to explore effective strategies senior business leaders use to improve transparency and regulatory accountability in AI governance. The participants were six senior business leaders in the United States who successfully implemented such strategies. Data were collected through …

Staff Education To Improve Provider Knowledge Of Marijuana Use And Mental Health In A Community Mental Health Setting, Kalubi Florence Muganguzi

Walden Dissertations and Doctoral Studies

This staff education doctoral project addressed a practice gap in provider knowledge, confidence, and consistency when assessing, educating, and documenting marijuana use among patients receiving mental health services. The practice-focused question was the following: For staff in a community mental health setting, does a structured staff education intervention on marijuana use and mental health improve knowledge and confidence related to assessment, patient education, documentation, and psychotropic treatment monitoring? The purpose was to translate current evidence into a practical education session, screening guidance, patient counseling points, and documentation prompts. The evidence base included 10 peer-reviewed articles addressing cannabis use, mental health …

Reliability Generalization Of The Learning Transfer System Inventory, Ashlee Tolliver

Human Resource Development Theses and Dissertations

The purpose of this dissertation research was to examine variability in coefficient alpha estimates across the 16 Learning Transfer System Inventory (LTSI) constructs and evaluate reliability-reporting practices within the literature using a reliability generalization meta-analysis. Studies published between 1997 and 2025 were identified through database searches and a review of Academy of Human Resource Development conference proceedings. Following screening and listwise deletion, 118 studies were included in the final analyses. Unweighted mean coefficient alpha estimates were calculated, and ordinary least squares regression and commonality analyses examined the influence of instrument version, translation status, and full or partial use. Reliability estimates …

Juvenile Lifers: Adapting To Life While Doing Life, Tristin Faust

Theses, Dissertations and Culminating Projects

This qualitative study examined psychosocial maturation among individuals sentenced to life imprisonment for offenses committed during adolescence. Archival interview and survey data were analyzed for 30 men who had been resentenced and released after serving an average of 31 years in prison. Findings revealed a developmental progression across four stages: pre-incarceration, initial incarceration, catalysts for change, and later incarceration. Participants described entering prison with developmental immaturity compounded by trauma, unstable home environments, educational disruption, and antisocial peer influence. Their early years of incarceration were marked by anger, fear, misconduct, and survival-oriented behavior. Over time, participants identified discrete events and ongoing …

Cognitive Flexibility In Broader Autism Phenotype: Does Bilingualism Benefit And Emotion Hinder?, Nardin M. Yacoub

Theses, Dissertations and Culminating Projects

The broader autism phenotype (BAP) is a milder manifestation of autistic traits just below the clinical threshold for Autism Spectrum Disorder (ASD), and provides a framework for studying and defining these traits in individuals related to autistic people. Cognitive flexibility (CF) is an executive functioning (EF) skill characterized by the ability to switch between tasks or thoughts based on environmental demands. The current study examined whether BAP was associated with CF and how bilingualism and emotion influenced this relationship across development. Previous research has found that bilinguals show enhanced task-switching abilities. Individuals with BAP may show differences in emotional processing, …

Validating The Expression Of Genes Potentially Involved In The Development Of Aggressive Melanoma Tumor In The Zebrafish Melanoma Model, Mayra Matos Diaz

Theses, Dissertations and Culminating Projects

Melanoma is an aggressive form of skin cancer characterized by rapid progression, metastatic potential, and the frequent development of resistance to targeted therapies. Although the Inducible cAMP Early Repressor (ICER) has been identified as a potential tumor suppressor in melanoma, the molecular mechanisms underlying its role in tumor progression remain poorly understood. Building upon the transcriptomic findings of Wheelan et al. (2025), this study investigates the relationship between ICER and ten candidate genes (gdf6a, pdgfra, col4a4, fgfr2, pdgfrb, cdkn1a, fgf5, akt1, met, and notch3) associated with BMP signaling. Quantitative polymerase chain reaction (qPCR) was used to compare gene expression between …

"I Feel Really Jazzed Up": Using Lesson Study To Improve Teacher Morale In A Rural High School, Caitlin Blackwell

All Dissertations

Providing teachers with relevant professional development that uses current research is essential for school success; however, many schools struggle to implement professional development that teachers find beneficial. This study examined how providing on-going teacher-led professional development impacted teacher morale through the implementation of Lesson Study, a cyclical framework for professional development. Using improvement science tools, it was hypothesized that participation in Lesson Study would improve teacher morale by utilizing teacher autonomy and efficacy; however, the study found that collaboration was the driver for improving morale while supporting teacher autonomy and efficacy. Data collected in this study indicated that teacher morale …

Explaining The Relationship Between Trust And Dependence: The Unexplored Interactive Effect Of Workload And Individual Differences In Cognitive Abilities, Connie Ku

All Dissertations

Trust is often treated as a key driver of automation use, with the assumption that higher trust leads to greater dependence. Yet findings have been inconsistent, with trust-dependence correlations ranging from negative to positive, and some studies finding no relationship at all. One factor that may explain this inconsistency is mental workload, which has received little attention as a moderator. This research examined whether workload moderates the trust-dependence relationship, and whether attention control, working memory, and fluid intelligence further shape this moderation.

Study 1 used a web-based AI chatbot quiz to test whether workload moderated the trust-dependence relationship. Trust was …

The Startup: Critical Perspectives On Technology Entrepreneurship And Digital Labor, Kochav Koren

All Duquesne Faculty Scholarship

Communication and media studies are rapidly reshaped by socio-technological forces within the framework of informational capitalism, where startups emerge as key drivers of the global creative economy. This study critically examines the global startup movement through political economy, classical sociology, and Southern perspectives to assess whether digital entrepreneurship fosters genuine, decentralized innovation or perpetuates speculative financialization and labor precarity. Employing a multi-layered theoretical framework—including Schumpeterian creative destruction, Marxist commodity fetishism, and Weberian charismatic authority—and qualitative fieldwork across North and Latin American tech hubs, the analysis reveals startups as network enterprises that both disrupt markets and reproduce structural inequalities. The findings …

Brainerd Junior High Adaptive Reuse: Independent Senior Living And Community Center, Samantha E. Bowlan

Honors Theses

Brainerd Junior High's proposed adaptive reuse is Bell & Brick: Independent Senior Living and Community Center. The goal is to redefine senior living by integrating it with community engagement. Bell & Brick is place where older adults can enjoy independence while actively participating in community life, bridging the gap between generations. Public spaces are accessed on level one while apartments are on level 2 and 3.

Medicare’S Hospital Wage Index Exceptions Grew By Nearly 60% From 2016 To 2024, Geoffrey J. Hoffman, Jun Li

Center for Policy Design and Governance

This brief summarizes "Medicare’s hospital wage index exceptions grew by nearly 60% from 2016 to 2024," co-authored by Geoffrey J. Hoffman and Jun Li in Health Affairs.

Ai You Can Trust: Understanding The Role Of Structural Assurance And Situational Normality In The Use Of Generative Ai, Olushola Bunmi Abayomi

Dissertations

The rapid growth of generative artificial intelligence (GenAI) has increased its use in productivity, content creation, and decision support; however, adoption depends on user trust, as GenAI performs tasks that are often associated with human judgment. Drawing on the Trust in Technology Model, this dissertation examines how structural assurance and situational normality influence Trust in GenAI, and how Trust in GenAI affects trusting intentions and users' willingness to depend on GenAI. Structural assurance and situational normality, captured through several factors, were modeled as antecedents of Trust in GenAI and, in turn, trusting intentions. The model was tested using survey-based experimental …

Identifying The Threshold: Using Regulatory Focus As A Predictor Of Ceo Adaptibility During Environmental Changes, George B. Constantine Iii

Dissertations

Building on research on CEO turnover and strategic leadership, this study examines how decision makers' regulatory focus shapes strategic decision-making and how this can contribute to performance decline, often resulting in CEO replacement. Drawing on regulatory focus theory, the study theorizes that measurable chronic regulatory focus attributes influence decision makers’ capacity to adapt to environmental change—conditions under which prior research suggests executives may become rigid and persist with established strategies. Despite its relevance for strategic adaptation, such chronic trait behavior has received limited attention in the current business literature. To address this gap, effectuation theory is integrated into a simulation-based …

The Misinterpretation Of “Corporation” In Indonesia’S Penal Code No. 1 Of 2023: Ensuring Legal Certainty For Recognized Corporate Forms, Rizaldy Alif Syahrial

Indonesia Law Review

Abstract

Law No. 1 of 2023 on the Indonesian Penal Code expands criminal liability to include entities that do not possess legal personality, allowing informal entities such as commanditaire vennootschappen (CV), partnerships (firm), unincorporated business groups, and unregistered associations to be prosecuted as corporations. This expansion aims to close legal loopholes in addressing modern criminal activity and to align Indonesia with global developments in corporate criminal liability. However, extending criminal liability to non legal persons generates conceptual tension because Indonesian legal doctrine distinguishes between natural persons and legal persons, which possess legal personality, decision making organs, separate assets, and autonomous …

Nonunanimous Acquittals, Peter Povilonis

North Carolina Law Review

No abstract provided.

State Medical Licenses Without Borders, Meighan Parker

North Carolina Law Review

No abstract provided.

Qui Tam Relators As Article Iv Officials, Chad Squitieri

North Carolina Law Review

No abstract provided.

Trademarks, Functionality, And Competition, Glynn Lunney

Faculty Scholarship

Courts and commentators have long thought that the purpose of trademark and unfair competition law is to distinguish fair competition from unfair competition and prohibit the latter. Yet, trademark law has a more fundamental, more foundational purpose. Before trademark law can distinguish fair competition from unfair competition, there must first be competition. That makes ensuring competition trademark law’s highest priority. Identifying and prohibiting unfair competition becomes, by necessity, a subordinate concern. Until 1982, courts recognized this hierarchy and enforced a broad and flexible functionality limitation on trademark or trade dress protection to ensure competitive markets. In 1982, however, this changed. …

Law Enforcement With Rent Dissipation, Murat C. Mungan, J. Shahar Dillbary

Faculty Scholarship

We consider a framework which brings together losses arising from rent-dissipation and the workhorse model of law enforcement. Governmental actors engage in a contest to share the proceeds from the enforcement of the law through monetary fines, which leads to rent-dissipation. This causes monetary sanctions to be costly, rendering the model used for studying nonmonetary sanctions a better fit for their analysis. The effect of rent-dissipation on optimal sanctions is directly related to the sanction elasticity of offenses measured at the classic optimum (i.e., where the expected sanction equals the direct harm from the offense). When offenses are inelastic, the …

History, Myth, Courage, And Selflessness: Kate Shelley And The Bridge Of Darkness, Stephen M. Jennings

All Theses

This thesis documents the research, creative development, and production of the animated short film Kate Shelley and the Bridge of Darkness. The project is inspired by the historical account of Kate Shelley, a fifteen-year-old girl who in 1881 crossed a railroad bridge during a violent storm near Moingona, Iowa, to warn a nearby train station of a catastrophic bridge collapse. Over time, Shelley’s actions became both a documented historical event and a subject of mythologized retellings in American cultural memory. The film explores this tension between history and legend through an interpretation that balances historical research with cinematic storytelling. The …

Painting A Scene: 3d Painterly Rendering From Curves To Rebelle, William M. Luttrell

All Theses

Stylized 3D rendering has seen much development and success over the past few years. From Spider-Man: Across the Spider-Verse to The Bad Guys, many studios have developed tools to incorporate stylistic elements from graphic novels, comic books, watercolor paintings, and more into their productions. This stylization process incorporates the pacing, visual style, and themes from the source medium into the animated work, allowing a much greater freedom of expression for artists and directors.

Inspired by these films as well as the needs of the short film Kate Shelley and the Bridge of Darkness currently in production, This paper presents …

Immersive Attraction Design Using Real Time Virtual Production Techniques: A South Carolinian Ghost-Lore Dark Ride, Gabrielle M. Delo

All Theses

The role of themed entertainment can serve as a tool for cultural enrichment by integrating regional folklore into attraction design, using South Carolina’s “Gray Man” legend as the narrative foundation for a proposed dark ride. This project highlights how attractions can introduce wider audiences to lesser-known folktales while fostering appreciation for regional identity. It also examines the use of real-time virtual production, specifically using Unreal Engine 5.5, as a unified platform for previsualizing narrative-driven environments, enabling efficient iteration and integration of both physical and digital storytelling elements. This project positions game engine technology as a means of preserving and communicating …