Digital Commons Network^™

Implementing The Tips Toolkit To Prevent Falls In Hospitalized Older Adults: A Rural Hospital Approach, Viridiana G. Gonzalez Msn, Rn

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Falls remain the leading cause of injury-related deaths among hospitalized older adults, contributing to significant morbidity, extended hospital stays, and increased healthcare costs. Implementing effective fall prevention strategies is especially challenging in rural hospitals due to staffing shortages, limited funding, and variability in clinical practice.

Local Problem: A 30-bed Medical-Surgical Unit in a rural Southwest Texas hospital experienced a rise in patient falls among older adults aged 65 and older, including several incidents requiring advanced medical treatment and one resulting in serious injury. A gap analysis revealed inconsistent implementation of tailored fall prevention strategies.

Methods: A quality improvement (QI) …

Bundled Approach To Improve Colorectal Cancer In Primary Care, Elizabeth Reddiar

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Abstract

Background: Colorectal cancer (CRC) remains the second leading cause of cancer-related deaths in the United States, despite being preventable through timely screening. National guidelines recommend regular screening for adults aged 45 to 75; (American cancer Society (ACS), 2025) however, screening rates remain suboptimal, particularly in primary care settings serving diverse and high-volume populations. Local Problem: At the project site, a community-oriented primary care clinic in North Texas, baseline data revealed CRC screening completion rates were below benchmarks set by the organization. Barriers included limited patient awareness, inconsistent provider reminders, and workflow challenges in distributing and tracking fecal immunochemical test …

Implementing The Gad-7 Screening Tool In An Adult Outpatient Psychiatric Clinic, Elizabath George

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Abstract

Background: Anxiety disorders are among the leading causes of disability worldwide and the most prevalent mental illness in the United States. Despite affecting 6.8 million adults annually, fewer than half with Generalized Anxiety Disorder (GAD) receive treatment. Many patients present with somatic complaints, leading to underdetection. Standardized screening tools such as the Generalized Anxiety Disorder-7 item (GAD-7) can improve identification and outcomes.

Purpose: This quality improvement (QI) project implemented the GAD-7 screening tool in an adult outpatient psychiatric clinic in North Texas and evaluated its impact on identifying patients with GAD, compared to the prior year without structured screening. …

Nonlinear Wave Dynamics In Asteroseismology With Application To Delta Scuti Stars, Mohammed Mourabit

Physics Dissertations - Archive

This thesis compiles the collection of works in nonlinear astroseismology and its implication to the δ Sct variable that we carried over the course of five years. With the advent of high-resolution space missions such as the Kepler and TESS telescopes, we were able to see significant progress in the field in recent years. Nonetheless the new technologies also brought an increasing number of observation that are seemingly contradictory to the linear theory of asteroseismology. In particular, we find the δ Sct variable, which eludes our models in terms of how varied we find they spectra for stars with very …

Algebra Structures For The Koszul Homology Of Minimal Intersections, Kathryn A. Grebel

Mathematics Dissertations - Archive

The Koszul homology of a local ring is a powerful tool in commutative algebra as it provides information on the structure and properties of the ring. In this research, we explore the relationship between quotients of regular local rings and their Koszul homology algebra. One such relationship is detailed by the Tate-Assmus theorem, which asserts, in part, that a ring is a complete intersection if and only if the Koszul homology is generated by its degree 1 homology elements. An objective of this research is to examine and identify the properties of a minimal intersection and its Koszul homology algebra. …

Soft Prompt Tuning For Augmenting Dense Retrieval With Large Language Models, Zhiyuan Peng, Xuyang Wu, Qifan Wang, Yi Fang

Computer Science and Engineering

Dense retrieval (DR) converts queries and documents into dense embeddings and measures the similarity between queries and documents in vector space. One of the major challenges in DR is the lack of domain-specific training data. While DR models can learn from large-scale public datasets like MS MARCO through transfer learning, evidence shows that not all DR models and domains can benefit from transfer learning. Recently, researchers have resorted to large language models (LLMs) to improve the zero-shot and few-shot DR models. However, the hard prompts or human-written prompts utilized in these works are suboptimal and the generated weak …

Advancing Wind Turbine Blade Longevity Through Innovative Trailing Edge Reinforcement Using Auxetic Tpu Structures, Gianluca Provvisiero

Open Access Master's Theses

The trailing edge of wind turbine blades represents one of the most failure prone regions due to local buckling phenomena and repeated mechanical stresses. This thesis explores a specific reinforcement strategy aimed at extending blade longevity by integrating Re-entrant honeycomb structures made of thermoplastic polyurethane (TPU) within the trailing edge. By numerically identifying and targeting high stress zones, the insertion of lightweight auxetic TPU foam enhances local stiffness and mitigates premature failure without compromising aerodynamic performance. Finite Element Analysis (FEA) simulations demonstrate the effectiveness of this approach when compared to blades models without any internal reinforcement. The methodology of this …

Fire District Impacts On Coastal Access In Rhode Island, Annie Longo

Open Access Master's Theses

There are forty-two fire districts in the coastal state of Rhode Island, nine of which are now archaically named, as they no longer provide firefighting services nor have any firefighting responsibilities. Weekapaug, Watch Hill, and Bonnet Shores fire districts are three coastal fire districts that are uninvolved with fire suppression generally, aside from the occasional bonfire permit or fireworks show. Fire districts are quasi-public entities with taxing authorities and land ownership capabilities that act as the “keepers” of many miles of pristine coastline, instead of strictly as fire departments. The actions of these fire districts often conflict with coastal access …

A Systematic Review Of The Role Of Emotion Regulation In Predicting Behavioral Inhibition Symptoms Among School-Aged Youth, Anne C. Nields

Open Access Master's Theses

Mental health challenges represent a key construct to focus on in support of childhood and adolescent well-being. Mental health challenges represent the leading cause of disability among children and adolescents. Recent research on critical periods in brain development shows that early childhood and adolescence mark times in which behavioral, neurodevelopmental, and mental health features arise. Anxiety disorders, which involve the excessive presence of fear and anxiety, are among the most common psychiatric disorders affecting youth and adults today. Emotion regulation (ER) and behavioral inhibition are important constructs correlated to anxiety which may be leveraged to predict and intervene on the …

Association Between Vitamin D Status And Cortisol Concentration Among Pregnant Women, Kenneth Addae

Open Access Master's Theses

Objective: Vitamin D deficiency (VDD) and high circulating cortisol during pregnancy have each been linked to adverse maternal and child outcomes such as preterm birth. However, limited research has explored the association between vitamin D status and cortisol concentration during pregnancy. Our objective for this study was to determine the association between vitamin D status and cortisol concentration among pregnant women.

Methods: The Prenatal Health and Nutrition (PHAN) study was a pilot cross-sectional study of 30 healthy pregnant women conducted in targeted areas in Rhode Island. Data was collected on sociodemographic characteristics, substance use, perceived stress scale, household food security, …

Guide To The Board Of Trustees Records (University Of San Diego), University Of San Diego, San Diego College For Women, San Diego College For Men

University Records

The Board of Trustees acts as the governing body of the University of San Diego. The board holds regular quarterly meetings and special meetings as necessitated by important issues or events. This collection contains the Board of Trustees minutes and related materials reflecting the merger of the San Diego College for Women with the San Diego College for Men and the School of Law in 1972 as well as combined University of San Diego activities through 2016.

Finding Aids are tools used to aid research by describing the materials in a collection. Special Collections Finding Aids include historical and/or biographical …

Diet Quality And Quality Of Life Among People With Parkinson’S Disease, Elizabeth Tierney

Open Access Master's Theses

Poor diet quality (DQ) and reduced quality of life (QoL) are concerns for people with Parkinson’s disease (PwPD). Non-motor (NMS) and motor symptoms (MS) significantly impact the DQ and QoL of PwPD which can be alleviated through diet intervention. This study examined the relationship between DQ and QoL in PwPD and investigated participant perspectives to identify themes related to nutrition care. This was a secondary data analysis of EMPOWER PD. Diet intake was assessed via the Dietary Screening Tool (DST). Quality of life was assessed by the Parkinson’s Disease Questionnaire-39-item (PDQ-39). Participant perspectives were collected through 1:1 interviews. Nineteen participants …

The Intersection Between Adverse Childhood Experiences And Alcohol Use In Rhode Island High Schoolers From Marginalized Backgrounds, Sydney Iacoi

Open Access Master's Theses

Objective: Adverse childhood events (ACEs) are pervasive, affecting more than half the United States’ population. A large body of research has described an association between an increased number of ACEs and negative outcomes, including the development of a substance use disorder later in life. Further, ACEs are disproportionately experienced by individuals from historically marginalized groups. Thus, the interaction between ACEs and substance use may disproportionately impact individuals from historically marginalized groups (i.e., based on ethnicity and sex). The present study’s main aim was to examine the interaction of group differences, specifically based on sex and ethnicity, on the associations …

Financial Factors And Relationship Satisfaction: A Systematic Review Using The Tccm Framework, David Gardner

Open Access Master's Theses

Relationship satisfaction is critically important for the overall health of the relationship and is therefore inherently desirable for anyone who wants to maintain a long-term romantic relationship. Financial factors have been associated with relationship satisfaction in past research, demonstrating a need for systematic exploration. The purpose of the study is to systematically explore how financial behaviors, values, and macroeconomic systems are connected to relationship satisfaction. The current systematic review follows the PRISMA framework for exclusion and identifies 30 articles studying financial factors and relationship satisfaction from Scopus, PsychInfo, and Web of Science. The analysis followed the Theory, Context, Characteristic, and …

Using A Self-Report Survey To Determine Students’ Self-Concept, Math Attitudes, And Achievement In Ability-Grouped Math Classrooms, Jessica T. Blake

Theses and Dissertations--Educational, School, and Counseling Psychology

Ability grouping is a common practice in the United States that aims to acknowledge differences in student ability by dividing students into more homogeneous groups. Numerous studies have examined factors associated with ability grouping such as self-concept, math achievement, and attitudes toward math, but there is little empirical research exploring these three factors simultaneously. The current study examines the differences in achievement level, achievement gains, math self-concept, and attitudes toward math in middle school students enrolled in math classes based on student ability. Participants included 407 middle school students across two schools that use between-class ability grouping for math. Students …

Earthquake Wrangler: Leveraging Ios Technology For Earthquake Detection And Early Warning Application To Enhance Public Safety., Luis F. Salome

Theses and Dissertations--Civil Engineering

Earthquakes are devastating natural phenomena and generate secondary hazards such as tsunamis, landslides and fires. Their catastrophic impacts span both developed nations including the United States, Japan, Turkey, and Italy and developing countries such as El Salvador, Haiti, Nepal and the Philippines, where disparities in early warning infrastructure remain important. Seismic events start with stress waves generated by tectonic plate motion, with body waves (P- waves and S-waves) and surface Rayleigh and love waves that carry energy through the earth. While some regions have adopted advanced early warning systems based on seismic hazard models and strong ground motion analysis, others …

The Disappearance Of Shannon White, Kathryn J. Limberg

Theses and Dissertations--English

The Disappearance of Shannon White is a Mystery-Thriller novel. The aim of the piece is to explore thematic components including perseverance, socio-economic inequities, the stigmas and medical malpractice of the American mental health system in the late twentieth century, and, ultimately, to entertain. My earliest love in the literary world was science fiction and fantasy. Writers like Robert Jordan, and more recently, Simone St. James, create worlds that test the bounds of reality in a way that I find liberating, and I seek to implement this in my own work. Such authors have taught me that fiction offers freedom to …

No Hope?: Queer Negativity, Afropessimism, And The Limits Of Futurity, Colton Barton

Theses and Dissertations--English

Since their inceptions, black and queer studies have sought to articulate the positions of “black” and “queer” within American social life—often converging on the goal of liberation. This thesis examines the intersection of two “negative” theoretical frameworks—Afropessimism and anti-social queer theory (or “queer negativity”)—to interrogate both the limits and generative potential of radical negativity. Though emerging from distinct intellectual traditions, these frameworks conceptualize blackness and queerness as constitutive negations—gaps within the dominant social order that render those so marked inassimilable to normative notions of humanity. While the convergences of these theories can be illuminating, their shared pessimism risks obscuring alternative …

Preserving Nature: Mapping Patriarchal And Imperial Control In Victorian Fiction, Hannah Schultz

Theses and Dissertations--English

In Thomas Hardy’s Tess of the D’Urbervilles, a group of fallen women see “themselves and surrounding nature forming an organism of which all the parts harmoniously and joyously interpenetrated each other” (65). As relational, boundary-dissolving, ecological subjects, these women are empowered above society’s judgment, made “sublime as the moon and stars” (65). By analyzing such representations of ecological relationality in Victorian fiction, my dissertation reveals new forms of agency for women and racialized others. While many ecofeminists have historically disavowed the nature-gender link as reinforcing the shared oppression of nature and marginalized groups, I depart from this standpoint, as …

Feeling And Experience In American Women's Writing From The First World War, Anika Jensen

Theses and Dissertations--English

This dissertation analyzes the political capacity of feeling in American women’s autobiographical and semi-autobiographical writing from and about their work during the First World War. Women produced emotionally complex accounts that resist easy categorization, and I argue that attending to feeling clarifies not only their emotional experiences with war work but their social and political projects. This dissertation closely examines portrayals and rhetorics of feeling, considering the intersections of gender, class, race, and labor in impacting how feelings are depicted, negotiated, and conveyed. While British women were more compelled to perform and convey feeling according to a rigid class system, …

"These Are The Concepts Of The Father": Proclus' Solution To Parmenides' Dilemma, Daniel J. Grifferty

Theses and Dissertations--Modern and Classical Languages, Literature and Cultures

This master’s thesis will attempt to solve a dilemma presented by Parmenides in Plato’s dialogue of the same name. This dilemma arises because the young Socrates suggests that the forms may be thoughts that come to be in the soul. Parmenides responds to this statement by attempting to force Socrates to admit that this can only lead to one of two outcomes: (1) each thing thinks because it is composed of thoughts or (2) each thing does not think, even though it is composed of thoughts. Both of these outcomes are unsatisfactory and do not provide a solid grounding for …

The Houston Climate Justice Museum As A Catalyst For Environmental Justice: Exploring The Intersection Of Art, Activism, And Creative Placemaking In Houston, Texas, Aylin Castro

Theses and Dissertations--Geography

This thesis explores how the Houston Climate Justice Museum (HCJM) functions as a site for environmental/climate justice education through art and community engagement. Drawing on interviews, participant observation, and document analysis, this research examines how the museum’s curating practices generate new understandings of environmental in/justices, fosters local partnerships, and creates a welcoming space for community dialogue. Findings show that the HCJM does more than exhibit art, it demonstrates how art can be leveraged to advance both activist and educational projects. This study positions the HCJM as a model for how local and justice orientated museums and cultural spaces can contribute …

Making Slums Legible, Visible And Calculable: Geospatial Technologies And The Governance Of Urban Land In Mumbai, Sanjana Krishnan

Theses and Dissertations--Geography

This dissertation examines how geospatial technologies are used to make slums in Mumbai legible, calculable, and hypervisible, and how these practices reshape urban land governance. It situates mapping, remote sensing, and algorithmic systems within their political-economic contexts, showing how technologies intending to see the city often function as instruments of dispossession. The research has three interconnected empirical chapters. The first empirical chapter traces the history of slum mapping in Mumbai, from their absences in early development plans to their selective hypervisibility under the contemporary governance regimes. Using critical cartographic methods, it highlights how novel technologies such as remote sensing, biometric …

Analyzing Agency In Online News Reporting Of The Events Of January 6th, 2021: A Corpus-Based Investigation, Matthew W. Abernethy

Theses and Dissertations--Linguistics

Over the last decade or so, politics in the United States has become increasingly polarized. A central focus of this polarization has been the news media, including both traditional print news, online news, and television news. Results of this have been a rapid rise in misinformation, disinformation, the demonization of news (especially political) providers as purveyors of ‘Fake News’, and distrust in mainstream news outlets. The central focus of this thesis is bias in news reporting, leading naturally to the question of how widespread this bias really is. This thesis uses corpus linguistic and discourse analytic methods to pursue this …

Trashing Gender Scripts: Indexical Misrecognition In The Zine "Galatea's Naked", Jules Blank

Theses and Dissertations--Linguistics

Zines, short for ‘fanzines’ or ‘magazines,’ refer to physical, printed, self-published creations that can consist of a single sheet of paper or many, fastened together. These artifacts are rich with meaning—and, thus, can be read as tangible manifestations of the ideologies and identities of the creator(s).

This thesis focuses on the way zines are used as tools of resistance. Additionally, it shows that the creation and circulation of zines are highly pragmatic acts that solidify social bonds and enable individuals to perform and reinforce their emergent identities within a collective—explicitly making a claim about who they are and what they …

Cognate Facilitation And Processing In English-Speaking Learners Of German, Kaitlin L. Young

Theses and Dissertations--Linguistics

Within the field of second language acquisition, research finds that increased exposure to input results in improved proficiency, especially when those activities are challenging yet manageable for the language learner’s current level. Because of this, listening exercises and speech processing are considered integral to language acquisition, even leading to recommendations of frequent, authentic use of the target language (TL). Instructors’ TL authenticity is, however, sometimes stunted by the demand for comprehensible input and facilitation of classroom activities; they make use of simpler syntax, stronger enunciation, and more cognates (words sharing origins, meanings, and form across languages) than in casual speech. …

Orthographic Errors For Dysgraphic Second Language Learners In Russian And Hebrew, Kyra O. Morgan

Theses and Dissertations--Linguistics

Students of Second Languages might be asked to learn new writing systems in the classroom. This study is interested in how dysgraphic students, that is, students with a specific learning impairment with regards to written expression, make errors in comparison to their peers. These errors revolve around orthography, spelling, and spacing. However, this study will take a turn and focus on how all of the respondents understood the prompt and what that says about their relationship with writing in the classroom.

Paratum Fuit: Double Perfect Marking In Classical Latin Passives, James F. Epperson Ii

Theses and Dissertations--Linguistics

Despite thousands of years of study, certain constructions in Latin remain insufficiently described in modern Latin linguistics. One such construction is the double perfectum, an analytic verbal construction comprising the perfect passive participle and a perfectum forms of the auxiliary esse. These forms are rare, largely absent from educational Latin materials, and receive limited attention in scientific descriptions of Latin, often focusing on their evolution into the modern Romance verbal systems. Pinkster (2015) identifies them within a broader class of resultative constructions, but acknowledges their inconsistent usage. Earlier scholars, such as Riemann (1927), interpreted them as stative, while others, like …

“A True And Broad Sympathy:” Thomas Hughes, Medievalism, And Social Justice In The Nineteenth Century, Sarah E. Stapleton

Theses and Dissertations--History

Thomas Hughes, author of Tom Brown’s Schooldays (1857), used medievalism to help solve social problems of the Nineteenth Century. This contravenes the traditional view of medievalism, especially Anglo-Saxonism, since others have used it to justify the subjugation of people of lower social status, namely the poor in England, enslaved African Americans in the United States, and Indians under British rule.

While the use of medievalism is veiled in Hughes’ work, the subtext of Tom Brown’s Schooldays demonstrated Hughes’ Anglo-Saxonism. Tom Brown and the intertextual material surrounding his narrative exhibit the characteristics of Anglo-Saxonism through cultural primitivism, the concept of allodial, …

Two Network Flow Problems: Volume Inequalities For Flow Polytopes Of Full Directed Acyclic Graphs; Optimal Additions To The Low-Stress Bike Network In Lexington, Kentucky, James F. Mcelroy

Theses and Dissertations--Mathematics

This dissertation addresses two distinct problems related by their foundation in network flows. The first problem concerns volumes of flow polytopes of directed acyclic graphs with out-degree sequence (3,2,...,2,0). It is proved that there is an interchange operation on the edge set of these graphs that induces a partial order on the graphs isomorphic to a Boolean algebra, and that moving up through this partial order decreases (weakly) the volumes of the corresponding flow polytopes. This result is reinterpreted in the context of linear extensions for posets that are bipartite non-crossing trees.

The second problem develops a discrete optimization model …