Digital Commons Network^™

The Prohibition Of Force Is The First Principle Of International Humanitarian Law, Mary Ellen O'Connell

Saint Louis University Law Journal

With the end of the Cold War, United States presidents have shown growing disinterest in complying with the United Nations Charter prohibition on the use of force. Their legal advisers have based justifications for resort to military force on ever thinner legal grounds to the point that justifications appear to focus only on the legal principles governing the conduct of military force, not on the right to resort to force in the first instance. Samuel Moyn captured the phenomenon in his book, Humane: How the United States Abandoned Peace and Reinvented War. The phenomenon of decline has not stopped with …

United States Internal Displacement Policy In The Era Of Climate Change, Bashar Zaheer

Saint Louis University Law Journal

At the outset of 2025, the United States was greeted with a series of unprecedented wildfires sweeping through Los Angeles, causing immense damage to property and loss of lives, while thousands were forced to evacuate their homes. This came just months after flooding from Hurricane Helene hit North Carolina and surrounding States, causing at least 130 deaths and rendering many residences uninhabitable. Despite this deepening crisis, the identification and protection of the rights of climate refugees and Internally Displaced Persons (“IDPs”) remains a burgeoning topic internationally, and even more so in the domestic context of the United States. As described …

The End Of Asylum: Biden, Trump, And Latin America In Crisis, Ernesto Sagas, Ediberto Roman, Richard T. Middleton

Saint Louis University Law Journal

When Rosa crossed the Rio Grande in the summer of 2022, she sat to rest on the U.S. side of the muddy river that serves as the international border with Mexico. After weeks of a trip that took her from her hometown in Cuba to Nicaragua, Honduras, Guatemala, and across the length of Mexico, she was physically exhausted and emotionally drained. Instead of a sense of great fear of being discovered by U.S. authorities, she felt a sense of relief upon seeing them, even calling her relatives before the authorities made it to her to let her family know that …

A Systematic Review: Comparative Analysis Of Healthcare Waste Management Practices In Kenya And In The United States, Esther Nyokabi Gathungu

Electronic Theses and Dissertations

This comparative study used a systematic literature review to explore waste management practices in Kenya and the USA, examining predefined concepts to identify new patterns relevant to sustainable healthcare waste management (HCWM) practices. The study aimed to understand sustainable practices in healthcare waste management and how developing nations such as Kenya can benchmark from practices in developed nations such as the USA. While the study identified challenges in waste management across Kenya and the USA, it also identified sustainable practices that could be adopted across contexts. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines …

Dnp Final Report: Poverty Stigma: The Effects Of A Poverty Simulation On Undergraduate Nursing Students And Their Attitudes Toward Caring For Impoverished Patients, Jessica P. Bowen

DNP Final Reports

Background: Current evidence demonstrates that stigma toward individuals living in poverty persists among undergraduate nursing students and negatively influences patient outcomes. Evidence-based educational strategies addressing social determinants of health have been shown to improve nursing students’ perceptions of vulnerable populations.

Purpose: This quality improvement project intended to evaluate the feasibility of integrating an interactive Community Action Poverty Simulation© (CAPS) activity into an undergraduate nursing (BSN) program at an academic health system university in East Texas.

Methods: Guided by the Plan Do Study Act (PDSA) quality improvement framework and The Johns Hopkins Evidence-Based Practice (JHEBP) Model, Missouri's Community Action Poverty Simulation …

Dnp Final Report: Reducing 30-Day Readmissions Through Follow-Up Appointments In An Acute Care Setting, Sukhnandan Kaur

DNP Final Reports

Thirty-day hospital readmissions remain a persistent quality and financial concern for acute care organizations. Poorly coordinated discharge processes, inconsistent follow-up appointment scheduling, and gaps in care transitions may increase the risk of avoidable readmissions among adult medical-surgical patients. The purpose of this quality improvement project was to implement a standardized follow-up appointment scheduling workflow prior to hospital discharge and evaluate its effect on follow-up scheduling compliance and 30-day readmission trends in a 93-bed acute care hospital. The intervention was implemented over 12 weeks on an adult medical-surgical unit from September through December 2025. The standardized workflow included electronic health record …

Enhancing Postoperative Esophagectomy Outcomes With Preoperative Education: A Quality Improvement Project, Gaelyn Kattman

DNP Projects

Title

Enhancing Postoperative Outcomes with Preoperative Education for Esophagectomy Patients

Background/Significance

Esophageal cancer is an aggressive disease and the fourth most common gastrointestinal cancer. A surgical treatment for a patient with esophageal cancer who is a surgical candidate is an esophagectomy. Immediate postoperative complications may include pneumonia, arrhythmias or anastomotic leaks, all of which can potentially increase the patient’s length of stay. Delayed discharges can lead to a backup throughout the hospital, limiting the amount of available inpatient beds for patient care.

Purpose 

The DNP project purpose was to implement an additional preoperative telehealth visit in order to provide  patient …

Improving Awareness And Use Of The First-Responder Alerting Application, Pulsepoint Respond, In The Nursing Profession, Maclaine Matties

DNP Projects

Background/Significance

Out-of-hospital cardiac arrest (OHCA) is a sudden, life-threatening emergency that can occur anywhere and to anyone. In 2023, the American Heart Association identified OHCA as a public health crisis, with survival rates around 10%. Outcomes depend heavily on rapid intervention, as each minute without cardiopulmonary resuscitation (CPR) significantly reduces survival. Mobile phone–based alert systems help bridge the gap between collapse and emergency medical services (EMS) arrival by notifying nearby trained responders. In a county in the Northeast, PulsePoint Respond serves this role. However, despite 1,302 registered responders as of November 2025, only 7 registered nurses were enrolled, highlighting an …

Implementation Of An Updated Opioid Overdose Response Policy To Address Xylazine-Involved Overdoses In A Federally Qualified Health Center, Dana Umbro

DNP Projects

The increasing prevalence of non-opioid adulterants like xylazine, a veterinary tranquilizer, has introduced significant challenges in overdose recognition and management. Non-opioid adulterants cause central nervous system depression, respiratory compromise, and severe soft tissue injury that is not reversed by naloxone. Many healthcare organizations lack standardized clinical guidance for managing overdoses involving non-opioid adulterants, resulting in variability in care and increased risk for adverse outcomes. The purpose of this Doctor of Nursing Practice project was to update and implement an opioid overdose response policy incorporating evidence-based guidance for the recognition and management of overdoses potentially involving non-opioid adulterants. This was conducted …

Leveraging Technology To Improve Throughput: A Qi Project Utilizing Electronic Sbar, Suzy Candito

DNP Projects

The DNP practice site, a high-acuity Level I trauma center and regional referral hub, experiences persistent emergency department (ED) crowding and prolonged admission throughput times. Regional data show average ED wait-times near 252 minutes, underscoring the urgency of reducing delays between bed assignment and bed occupancy (assigned-to-occupied time). Inefficient or varied written handoffs contribute to calls for clarification, omissions, and transition delays, where structured, electronic SBAR tools are associated with improved completeness, standardization, and workflow efficiency. At the systems level, prolonged ED boarding is linked to higher daily hospital costs and safety risks, making communication optimization an operational and patient-safety …

Enhancing Postoperative Outcomes: The Impact Of Instruction Format On Patient Satisfaction In Ambulatory Surgery An Evidence-Based Quality Improvement Project, Gillian Shelby

DNP Projects

Background

Effective postoperative discharge communication is essential in ambulatory surgery centers, where short recovery periods and rapid patient turnover increase the risk of misunderstanding postoperative care instructions. Inconsistent delivery of discharge education may contribute to decreased patient satisfaction and reduced adherence to postoperative plans. Project Goals

The goals of this DNP quality improvement project were to: (1) implement standardized dual-format postoperative instructions using written and verbal education reinforced with the teach-back method, and (2) improve patient satisfaction and confidence in understanding postoperative care instructions. Methods

Following IRB exempt approval on September 10, 2025, implementation occurred from November 20,2025 to February …

Managing Green And Sustainable Construction Projects: A Computational Analysis Of Associated Risks And Challenges For Improved Performance, Bahaa Chammout, Islam H. El-Adaway

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

Green and sustainable building practices have emerged as effective strategies to address the environmental challenges posed by the construction industry. This includes unsustainable resource utilization, excessive waste production, greenhouse gas emissions, and high energy consumption. However, the integration of green and sustainable initiatives in construction introduces distinct risks and challenges that affect project management and may lead to claims and disputes. To this end, and while previous research examined dispute causation across various aspects of the construction industry, there is limited investigation of the unique and complex nature of risks and challenges - and consequently conflicts, claims, and disputes - …

Evaluation Of Two-Group Iate Coupling With Pbe For Beyond Bubbly Flows In A Large Diameter Pipe, Sungje Hong, Joshua P. Schlegel, Subash L. Sharma

Nuclear Engineering and Radiation Science Faculty Research & Creative Works

This study evaluates the two-group interfacial area transport equation (2G IATE) coupled with the S-Gamma (Sγ) population balance equation (PBE) model for beyond bubbly flow regimes in a vertical large-diameter pipe. The 2G IATE framework incorporates intergroup mass transfer mechanisms and is implemented within the Sγ model, which assumes a log-normal bubble size distribution. The numerical approach is validated against experimental data from Schlegel et al. (2012), with a focus on the void fraction and interfacial area concentration (IAC) distributions. The results show that 2G IATE improves the predictions of the void fraction and IAC, although its accuracy varies with …

Experimental Investigation Of Subcritical Neutron And Gamma Noise Methods At The Seven Percent Critical Experiment (7upcx), Cole Kostelac, Jesson Hutchinson, George Mckenzie, Robert Weldon, Nicholas Whitman, Ayodeji Babatunde Alajo

Nuclear Engineering and Radiation Science Faculty Research & Creative Works

As part of a collaborative international effort organized by Lawrence Livermore National Laboratory (LLNL), with key participants from L'Institut de radioprotection et de s ˆuret´e nucl´eaire (IRSN), Los Alamos National Laboratory (LANL), and Sandia National Laboratories (SNL), a series of high-multiplication subcritical neutron and gamma noise measurements were planned and executed. The primary aim of this research was to advance detector technology, assess the validity of gamma noise for subcriticality measurements, and nuclear criticality safety, focusing on collecting list-mode or time-series data from various reactor configurations with multiplication values ranging from 20 to 310. This comprehensive dataset enabled a detailed …

Shaping The Future: Emerging Technologies And Their Role In Industry 4.0 And Beyond, Liuliu Qin

Information Technology & Decision Sciences Faculty Publications

This paper provides a comprehensive review of emerging technologies driving the transition from Industry 4.0 to Industry 5.0. It examines the foundational concepts and pillars of Industry 4.0 and explores the transformative roles of Artificial Intelligence (AI), Extended Reality (XR), Collaborative Cobots (Cobots), Brain–Computer Interfaces (BCIs), quantum technologies, and next-generation connectivity (5G/6G). By integrating technological, human-centric, and sustainability perspectives, the study outlines how these emerging technologies reshape industrial systems and enable intelligent, adaptive, and inclusive futures.

Digital Speech Biomarkers Of Cognitive Functioning In Multilingual Kenyan Adults, Adolfo M. Garcia, Levi Muyela, Alejandro Sosa Welford, Matías Caccia, Anne Njoki Gitere, Anne Nyambura, Erick Muhando, Zul Merali, Chinedu Momoh, Karen Blackmon

Brain and Mind Institute

Background: Digital speech biomarkers show promise as cost-effective and scalable diagnostic tools for cognitive decline and dementia in African research and healthcare settings. However, significant gaps remain in language-specific normative data, cross-linguistic validation, and standardized protocols for multilingual populations. Targeting cognitively unimpaired multilingual Kenyan adults, here we aim to validate speech timing features from natural language, against performance on standardized culture-sensitive neuropsychological measures.

Method: This study was funded by Davos Alzheimer's Collaborative and took place in an outpatient clinic at the Aga Khan University in Nairobi, Kenya. Participants completed culturally adapted tests tapping on word list learning, visual memory, …

Longitudinal Implementation Of A Neurodevelopmental Screening Program For Children Born To Mothers Living With Hiv In Maternal–Child Clinics In Kenya: A Mixed Methods Study, Megan S. Mchenry, Eren Oyungu, Amina Abubakar, Ananda Roselyne Ombitsa, Micaela Gaviola, Cleophas Cherop, Beatrice Kaniaru, Carolyne Jerop, Alan Mcguire, Rachel C. Vreeman

Institute for Human Development, East Africa

Background: Children with perinatal HIV exposure are at increased risk for neurodevelopmental (ND) delays, yet little is known about ND screening implementation for this population.

Methods: This longitudinal study evaluated ND screening implementation at a health clinic in Kenya, from 9/2021 to 8/2023. Children aged 18-36 months with perinatal HIV exposure were screened using a 12-item general ND tool. Implementation outcomes—acceptability, feasibility, fidelity, and sustainability—were assessed through time-motion observations, clinic records, and semi-structured interviews with caregivers and staff.

Results: Of 507 eligible children, 405 (80%) were screened. Screening rates were consistent over 24 months, with average time …

Doing Drag: Exploring The Experiences Of Drag As An Occupation For Performers In California, Alicia Montes, Anna Ranario, Lilibeth Rosales, Eileen Spahle, Nathan Gelman, Laura Greiss Hess, Karen Mccarthy

Occupational Therapy | Faculty Scholarship

Background: Drag is a performative art where individuals explore identity, challenge societal norms, and foster community through exaggerated gendered performance. Drag in the United States is facing potential restrictions and remains underexplored in occupational science and occupational therapy literature.

Methods: This qualitative study explored the experiences of drag performers in California, applying an occupational perspective through the framework of form, function, and meaning. Five drag performers were interviewed. Reflective thematic analysis was used to interpret qualitative data.

Findings: Identity was the central theme, interconnected with form, belonging, non-belonging, meaning and motivation, and resistive occupation. Findings highlight drag …

Virtual High School Classes And The Impact On Rural Students And Teachers, Ashley M. Storck

All Electronic Theses and Dissertations

This literature review examines the impacts, advantages, and disadvantages of virtual high school classes on rural teachers and students. The review examines research on academic outcomes, instructional models, funding structures, stakeholder dynamics, and the effects of the COVID-19 pandemic. Virtual learning can expand access to courses and provide flexibility to students, especially in the case of credit recovery. Full-time virtual schooling is frequently associated with weaker long-term outcomes in comparison to traditional brick-and-mortar education. These findings are often intensified in rural settings where there are broadband insufficiencies as well as existing deficiencies in institutional capacity and student support systems. The …

A Qualitative Study Of Spanish Speaking Latino/A Teachers And Their Impact On Spanish Speaking Latino/A Students, Catherine Bennett Nwosu

Theses, Dissertations and Capstones

Despite the rapid growth of Spanish speaking students in U.S. schools, Spanish speaking educators remain underrepresented in the teaching workforce. This qualitative study examines the perceived impact of Spanish speaking educators on Spanish speaking students and families. Guided by Critical Race Theory (CRT) and Latino/a Critical Theory (LatCrit), this study explores how language, identity, and lived experience shape educators’ practices within school communities. Data was collected through focus group interviews with four Spanish speaking educators working in public schools in the Mid-Atlantic region of the United States serving Spanish speaking students. Thematic analysis revealed that Spanish speaking educators serve as …

Apply, Pack, Travel, Repeat: An Autoethnographic Study Of Travel Grant And Travel-Based Learning Experiences As Professional Development For Educators, Julie Ann Midkiff

Theses, Dissertations and Capstones

This qualitative research study examines the impact of travel grants and travel-based learning experiences as professional development for educators. Using autoethnography as a research method, this study is written from the positionality of an elementary art teacher living and teaching in Southern West Virginia and as a doctoral student who was a successful applicant for two travel grant experiences, and a self-funded travel-based learning experience. I reflectively and reflexively to recount my personal and professional travel-based learning experiences, the lifelong and transformative learning that occurred because of them, and the direct and emergent outcomes that were the result of travel-based …

Backward, Benjamin W. Abbott

Playwriting (MFA) Theses

Backward is a solo show about a man who, when he turns forty-five, starts living backward in time. Every day he wakes up, he has traveled back to the day before the one he just lived and there's nothing he can do to stop it. As he relives his life in reverse, he must confront his failures as a husband and father. Even as he learns the lessons necessary to repair them, those relationships get left behind in the future. He continues moving backward and eventually must confront the most difficult relationship of them all: his relationship with his own …

Rainbows And Shades Of Gray, Lillian I. Savage

Playwriting (MFA) Theses

Rainbows and Shades of Gray is an original musical that explores the complexities of addiction, memory, and grief through a nonlinear, liminal narrative structure. The story follows Aaron, a deceased veteran, father, and musician forced to confront moments from his life as he grapples with the impact of his addiction on his relationships with his wife, Danielle, and daughter, Natalia. Through a series of fragmented scenes spanning past and present, the musical examines the emotional aftermath of trauma and the ways in which love persists despite harm.

Blending dialogue and original music, the piece uses song as a narrative device …

Leveraging Research-Based Knowledge Translation Via Rural Libraries To Improve Maize Postharvest Practices In Uganda, Jackline Estomihi Kiwelu, Patrick Ngulube

Libraries

Background: Rural community libraries are increasingly recognised for providing localised knowledge, yet their potential to support agricultural extension services and improve access to postharvest knowledge in Uganda remains underexplored.
Objectives: This study examined the postharvest information needs of smallholder maize farmers and explored how community libraries can be leveraged to translate and repackage research-based knowledge to meet these needs.
Method: A mixed-methods parallel design was employed. Data were collected from a survey of 312 maize farmers, personal interviews and two focus group discussions (FGDs) with 22 extension workers and four librarians. Desk research was conducted to analyse relevant documents. Quantitative …

Ashley Hanson '82-Bruce Morbit '76 And Joe Mastrangelo '76, Ashley Hanson, Bruce Morbit, Joseph Mastrangelo

Alumni Oral History Project

No abstract provided.

Discipline And Punishment, Frank Rosenblatt

Journal Articles

Armed forces must be disciplined, but two bodies of international law relating to military discipline are in tension. On the one hand, international humanitarian law requires armed forces to employ robust disciplinary measures to deter and address military misconduct. On the other hand, some international human rights law scholars recently singled out military disciplinary measures as insufficiently protective of soldiers from unfair treatment. Advocates of this new approach proposed to remedy disciplinary unfairness by permitting soldiers to opt out of disciplinary proceedings and elect military criminal trials instead. This Article critically examines four of the underlying assumptions of this new …

The Birth Of Modern International Criminal Law: The International Military Tribunal At Nuremberg, Frank Rosenblatt

Journal Articles

The International Military Tribunal at Nuremberg (IMT), the most famous and arguably most important international criminal trial in human history, almost did not occur. In fact, it might even be an accident of history that the most senior perpetrators of the Nazi regime’s atrocities eventually faced the courtroom instead of summary execution. That their fate was decided by rights over might has shaped the world; helped birth the fields of international criminal law and international human rights law; and become the starting point for conversations about international law, transitional justice, genocide, and human rights.

Bailey Rodgers-Jill Mckelvie '66, Bailey Rodgers, Jill Mckelvie

Alumni Oral History Project

No abstract provided.

Mathematics And Political Ideology: A Historical Argument Against The Cultural Understanding Of Mathematics As An Apolitical Field, And A Journalistic Report On The Impact Of The Trump Administration On American Mathematics In 2026, Philo Judson

Pitzer Senior Theses

The interplay between political ideology and mathematics is a recurring theme throughout the history of the academic field. Mathematics has been used as a tool of empire, while mathematicians have been elevated by states as symbols of national genius for political prestige. Political ideologies have also shaped the field from within, both through the suppression of mathematical thought and the enforcement of mathematical authority. Since 2025, the Trump administration has launched large-scale political attacks on American institutions of higher education, which include lawsuits, discrimination investigations, and the removal of federal funding from certain institutions that don’t adhere to the administration’s …

Play Without Pain: A Comprehensive Overview About Playing Injuries In Instrumentalists, Emily Hofer

Schultz-Werth Award Papers

Clara Schumann, renowned composer and pianist, writes to Johannes Brahms while on her annual English tour: “I have good news for you in that I am being afforded an enthusiastic reception, people say I have never played so well, etc.; but I am suffering terribly with rheumatism in my arm and finger muscles…I am absolutely exhausted” (Altenmüller & Kopiez 110). Clara had been enduring concert after concert to financially support her family, and though she received high praise for performances, her health was deteriorating because of it. Many musicians like Clara train rigorously, dedicating thousands of hours to master their …