Digital Commons Network^™

Summer Vacation: An Ot Program To Address Social Participation, Ashley Jacobs, Lakeisa Boykin

Summer 2024 OTD Capstone Symposium

This project aimed to develop asix-week program that addresses the development of social skills during summer vacation for children and adolescents who demonstrate difficulties with social engagement. The program will focus on initiating, building, and maintaining friendships with peers to encourage increased social engagement.

Flow: An Ot-Based Yoga Program, Na'talia Orebeau, Keisa Boykin, Sadé Barnswell

Summer 2024 OTD Capstone Symposium

At-risk youth are at risk for decreased mental wellness and occupational engagement. There are limited programs available from an occupational therapist standpoint for the population. Flow: An OT-Based Yoga Program focused on bridging this gap by providing a 10-week program focusing on emotional regulation skills, social skills, and occupational engagement.

Cycle Syncing: Optimizing Women's Quality Of Life, Megan Francois

Theses and Graduate Projects

A woman’s hormones are in constant fluctuation throughout the menstrual cycle. This 28-day, on average, fluctuation can cause major shifts in mood, cognition, exercise tolerance, and nutrition needs. Because of this, there is potential to optimize quality of life if each phase is synced with diet, exercise, and complementary medicine utilizing holistic methods. Implications for further research include a need for additional longitudinal and prospective studies. Factors that need to be addressed include further analysis of the windows of vulnerability over the menstrual cycle according to female hormone fluctuations, effects of hormonal contraceptives, and effects of pathology on the cycle.

Preserving Pediatric Wellness: Enhanced Recovery After Surgery Protocols And Pain Management In Pediatric Surgery, Kimberly Kim

Theses and Graduate Projects

Background: Enhanced recovery after Surgery (ERAS) protocols and multimodal pain management strategies have revolutionized perioperative care in adult surgical practice by leading to improved postoperative outcomes and better pain management. However, the adoption of these protocols to pediatric surgical care remains underexplored.

Purpose: This systematic review aims to examine recent randomized clinical trials on the implementation of ERAS protocols and multimodal pain management strategies in pediatric surgical patients.

Methods: A computer-based literature search of databases through Google Scholar and PubMed with manual reference searches was used to identify eligible studies. The review includes randomized controlled trials focusing on multimodal pain …

Digital Scribes: A Possible Solution For Provider Burnout By Reducing Provider Workload, Shannon Storley

Theses and Graduate Projects

Background: Provider burnout is continuing to be a massive problem for our healthcare industry. One major contributor to provider burnout is burdensome administrative tasks associated with documentation of electronic medical records (EMR). This review aims to uncover the applications for artificially intelligent digital scribes as a solution to reduce EMR documentation burden. Purpose: Provider burnout has shown to increase the incidence of major mistakes and decreased patient safety grades. Digital scribes could be a solution in reducing provider burnout by reducing the administrative burden of EMR documentation. Methods: A comprehensive literature review was conducted using articles from PubMed using search …

Queering Pa School: An Audit Of Augsburg University’S Physician Assistant Program Regarding Lgbtq+ Related Health Topics, Annika Kuchar

Theses and Graduate Projects

Background: Historically LGBTQ+ people have encountered discrimination in the world of medicine, and often providers are sometimes unaware of how to manage medical issues of these patients. In order to best serve queer and trans patients, a more coherent, consistent curriculum needs to be established so that all medical professions are capable of giving high quality treatment to these patients. Physician assistants (PAs) are advanced practice providers who take care of LGBTQ+ patients on a daily basis and are trained under a similar model as physicians. PA programs must also be up to date on the most culturally sensitive ways …

Barriers Primary Care Physician Assistants Face In Referring Patients To Palliative Care Services Early In The Disease Process, Claire Petersen

Theses and Graduate Projects

Background: Medical specialties such as hospice and palliative care have been proven to improve quality of life for patients facing end-of-life and chronic illness. Though increasing awareness of these specialties has resulted in greater availability, it is essential to investigate the barriers clinicians, such as Physician Assistants, face in making these referrals in order to provide quality healthcare to those who need it. Physician Assistants specifically are an essential clinician group to evaluate, as they continue to become more prevalent in the healthcare system.

Purpose: To determine barriers primary care Physician Assistants face when identifying candidates for and referring to …

Unveiling Healthcare Disparities By Addressing Historical Traumas To Build Inclusive Spaces For Marginalized Communities: An Autoethnographic Study, Helena Humphreys

Theses and Graduate Projects

This paper delves into the pervasive disparities within the healthcare system, rooted in historical injustices that are perpetuated by systemic biases, particularly affecting Black, Indigenous, and People of Color (BIPOC) communities, as well as the LGBTQIA2S+ community. Through a comprehensive literature review and autoethnographic study, the paper examines the deep-seated issues faced by these marginalized groups, including access barriers, discrimination, mistrust of healthcare providers, and the enduring impact these have on health outcomes. Historical traumas such as the Tuskegee Syphilis Study and the use of HeLa cells underscore the enduring impact of past injustices on present-day healthcare experiences. Moreover, the …

Investigating The Impact Of Intervention Design Specialists In Bedford County Public Schools: A Collective Case Study, Brian W. Wilson

Graduate Dissertations and Theses

Educators are focused on helping students achieve academic success. One method that has gained popularity in recent years is multi-tiered systems of support. Tiering systems of support is not a new concept in the field of education. Tiering systems of support rely on the basic concepts of a Response to Intervention (RTI) model for academic and behavioral support. In an RTI model, the level of intervention is increased based on the effectiveness of the intervention on an individual student’s progress toward an established goal. Tiered systems of support create a structured RTI model with leveled systems of support that can …

2024-08-09 Agenda Book, Morehead State University. Board Of Regents.

Morehead State Board of Regents Agenda Books and Meeting Minutes

Agenda booklet for the Board of Regents meeting of August 9, 2024, which includes the Board meeting minutes for June 14, 2024.

The Effects Of Combining Β-Lactam Antibiotics And Mefloquine In Multi-Drug Resistant Pseudomonas Aeruginosa, Kayla C. Maas

Theses and Dissertations

Pseudomonas aeruginosa, a notorious opportunistic pathogen, is a leading cause of hospital-acquired infections. The newest generation of β-lactam antibiotics, the carbapenems, are often used to treat multi-drug resistant (MDR) P. aeruginosa infections. Treatment of P. aeruginosa has become increasingly difficult due to its remarkable ability to resist antibiotics through various intrinsic and acquired mechanisms. Physicians rely on a limited group of antibiotics to treat these infections, but many P. aeruginosa isolates are evolving to become resistant to all available antibiotics, including carbapenems. The multifaceted mechanisms underlying P. aeruginosa antibiotic resistance include β -lactamases, efflux pumps, altered membrane porins, and antibiotic …

Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers

Walden Dissertations and Doctoral Studies

An argument can be made for the continued existence of Federally Qualified Health Centers (FQHCs) because of the level of importance of the service they provide to society. The problem addressed in this research is that despite the millions of people in need of affordable health care, the leaders of many FQHCs are fighting to keep facilities open amidst financial struggles. The purpose of this research was to identify leadership characteristics that promote FQHCs’ success by assessing effective leadership styles. This study applied a quantitative, descriptive non-experimental approach. Probability sampling was used to select the sample size and the Multifactor …

Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds

Walden Dissertations and Doctoral Studies

During the COVID-19 global pandemic, there was no precedence set or documented protocol to govern the transition from face-to-face to online teaching. The purpose of this study was to explore middle school administrators' perspectives on their challenges and opportunities when assisting teachers as they transitioned from face-to-face to online teaching during the COVID-19 pandemic. Bass’s transformational leadership theory was used as the conceptual framework to emphasize the need for administrators to motivate teachers to persevere and adapt during times of crisis. The study’s two research questions were designed to explore administrators’ perspectives on whether they experienced challenges or opportunities when …

Funding Allocations Concerning Composition Creation Standards, Garrett L.H. Robertson

Masters Theses

The purpose of this study is to provide applied research data showing either a correlation or no correlation between the amount of school funding allocation for music education programs in various elementary, middle, and high schools and pedagogical approaches associated with elementary, middle, and high school student’s ability to carry out composition creation relating to the Nation Coalition for Core Art Standards. Additionally, it provides applied research data on how music educators should perceive their effectiveness regarding the quality of school funding. By examining historical evidence through multiple studies, the research data will be able to help conclude if a …

“His” Gentleman’S Farm, Virginia Payne Dow

Masters Theses

Based on our farming experiences in rural Maine, this memoir relates a personal narrative of gardening and animal husbandry. The idea and passion for this gentleman’s farm project was solely my husband Mark’s, but due to his expanding work schedule, the execution of it fell largely on my shoulders. The narrative follows our exploits on the farm, beginning with that first experimental year. Nearly forty years later, Mark decided to try again. However, like our original farming venture, the gentleman’s farm that was supposed to be completely Mark’s project has become another shared adventure. The memoir comes full circle, showing …

Technology-Based Music Instruction, Alfredo Bedolla

Masters Theses

Many beginning band and choir students lack proficiency in basic sight-reading skills. A significant learning curve exists between the late elementary and early middle school years regarding music reading competency. This study aims to ascertain the effectiveness or ineffectiveness of music notation apps such as Prodigies, Yousician, and Noteflight. The study will use a mixed-method approach. To obtain quantitative data, the study will use an experimental approach to test the effectiveness of digital notation apps on student learning by utilizing a survey. The working hypothesis is that digital notation apps will improve sight-reading skills by using the tools present in …

Aquatics As A Therapeutic Intervention And Its Effects On The Quality Of Life Of People Diagnosed With Amyotrophic Lateral Sclerosis, Brianna Barcelo, Lakesia Boykin, Helen Carey

Summer 2024 OTD Capstone Symposium

: Interventions in the form of aquatics have been utilized with the profession of occupational therapy as the aquatic environment is a model setting for addressing occupational therapy interests (Becker, 2009). Although aquatic interventions are utilized within profession, there is limited research discussing how aquatics as a therapeutic intervention effects the quality of life (QoL) of people diagnosed with ALS. Therefore, the purpose of the research project was to explore the effects of aquatics as a therapeutic intervention on the QoL of those diagnosed with ALS.

Karate For Adolescent’S Mental Health, Brooke Albertson, Lakeisa Boykin, Amanda Piepgras

Summer 2024 OTD Capstone Symposium

Description: Mental health is essential for overall health because it affects emotional, psychological, and social well-being, which affects how individuals feel, act, and think (Center for Disease [CDC], 2022). Everyone can react differently to the same issue, which can cause diverse health risks (Gopalkrishnan, 2018). Mental health affects how people handle stress, interact with others, make choices, and participate in occupations that are important to them (CDC, 2022). Mental health issues are most prevalent in young adult, teen, and pre-teen populations.

By promoting based karate program, occupational therapy can prevent and/or reduce mental health issues (Bird, et al., 2019; Jurewicz, …

A Hermeneutic Phenomenological Study Of First-Year Christian Student Success In Theological Studies During The Pandemic, Philip Lamar Nash

Doctoral Dissertations and Projects

This study examined the journeys of first-year undergraduate theological students during the coronavirus (COVID-19) pandemic to figure out what, if anything, aided the students in completing their coursework with passing grades. COVID-19 has impacted organizations and individuals around the world, prompting changes to ensure that things kept moving forward safely. The research was conducted to discover what, if anything, brought about achievement for students in a COVID-19 collegiate environment. The research was guided through a hermeneutic phenomenological qualitative approach by conducting interviews with students about their first year in a residential secondary educational setting that moved to being online because …

Optimizing Care Delivery: Determining The Impact Of A Mobile Interpreter App On Patient Satisfaction, Leslie M. Bright

Doctoral Dissertations and Projects

Introduction: Patients with limited English proficiency (LEP) experience increased health disparities including poorer health outcomes, lack of access to quality healthcare services, and decreased patient satisfaction related to cultural and language barriers.

Purpose/Significance: The purpose of this project was to determine the impact of a technology-based mobile app used for medical interpreter services on patient satisfaction in patients with LEP during urgent care visits.

Methods: The project design consisted of a mobile interpreter app used for medical translation services during urgent care visits. Pretest and posttest patient satisfaction questionnaires were administered before and after the mobile app use to determine …

Parental Stress And Perceived School-Based Support Amongst Parents Of Children With Autism, Julia Unger

Educational Specialist, 2020-current

Parents of children with autism spectrum disorder (ASD) experience stress due to the wide range of social, emotional, and behavioral challenges their child may exhibit (Ali Nathwani et al., 2021; Goldrich Eskow et al., 2018). Children with ASD receive school services that can be impactful on their performance (Goldrich Eskow et al., 2018; Rosen et al., 2019); however, parent perspectives are also impacted by services (Zagona et al., 2019). Overall, current literature contains gaps in the exploration of patterns between school services, ASD child presentation and severity, and parental stress and perceptions. This study intends to explore the relationship between …

Middle School Teachers’ Perceptions Of Supporting Students With Adverse Childhood Experiences, Jordan Phipps

Educational Specialist, 2020-current

While adverse childhood experiences (ACEs) can occur through the age of 18, there is minimal research on how to support adolescents in the school setting. This study examined teacher perceptions at a local middle school on trainings they have received, supports in place for students, and a potential identification system for students at risk. Data were collected through completion of a Qualtrics survey (n=4) and a brief interview (n=1). It was found that teachers mainly received trainings through professional developments. While they have used information they have learned through trainings, they did not feel prepared to support students nor did …

Exploring Sexual- And Gender-Minority Adolescent's Use Of Online Spaces As A Potential Socio-Ecological Protective Factor, Courtney Hassan

Educational Specialist, 2020-current

The purpose of this study was to explore the use of online resources for support in SGM youth with the goal of informing the potential use of these supports as tools for suicide prevention in this population. Six students from a high school in a large school district in Southern New Hampshire who identify as LGBTQ+ participated in a focus group exploring what their lived experiences are in the context of using online spaces for support, as presented using a socio-ecological model. Qualitative data from the focus group session was analyzed using thematic analysis and eight themes emerged from the …

School Psychological Practices Within Personality Assessment Of Non-Binary Youth, Christian Fary

Educational Specialist, 2020-current

The following analysis provides the school psychology community with a discussion pertaining to the assessment of personality, particularly with Gender Non-Conforming and Non-Binary students. This student population faces greater mental health concerns and faces a higher amount of discrimination. Emerging research has shown that this population faces a higher risk for developing both mood disorders and harmful behaviors to themselves. The use of personality assessments provides practitioners with a vast look into many facets of mood, personality, and behavior. These measures can look deeper into behavior, especially internalizing behaviors, which can be useful for students with depression and other mood …

Teacher Wellness: Cognitive-Behavioral, And Mindfulness Techniques (Cbm), Jacob Nadler

Educational Specialist, 2020-current

The purpose of this study was to examine the impacts of participating in a teacher wellness program on teachers’ self-reported stress, well-being, mindfulness, and burnout. Participants included a small group of teachers from a primary school and elementary school in a small school district in rural Virginia. Self-reported stress as it relates to inadequate school-based support and teaching-related demands decreased from pre- to post-test completion, however none of these changes were significant. Teacher subjective well-being as it relates to school connectedness and teaching efficacy increased slightly yet was not significant. Teacher mindfulness defined by aspects of calmness, clarity, and kindness …

Investigating Help-Seeking Behaviors Of Adult Children With Parents With Mental Health Conditions, Logan Dasher

Educational Specialist, 2020-current

This study intended to address the topic of mental health and help-seeking behaviors in college-aged children of a parent with a mental health condition. For this study a locally developed survey was administered on three different days with six different sessions that participants were able to sign up for. Participants were all volunteers from a preexisting subject pool at one southeastern public university who received course credit for participating. In total, 34 college-aged children signed up and completed the entirety of the survey. From their response, descriptive statistics and frequency analysis were run and open-ended qualitative questions were explored for …

Investigation Of Using Natural Deep Eutectic Solvents (Nades) For Extraction Of Bioactive Compounds From Aronia Melanocarpa Fruit, Melek Zor

Turkish Journal of Agriculture and Forestry

In this study, for the extraction of polyphenolic compounds found in high amounts in aronia fruit, three different extraction methods (classical, ultrasound, ultrasonic), three different traditional solvents (water, ethanol, acidified 80% methanol) as well as five different natural deep eutectic solvents (NADES) were used. Color indices as L*, a*, b*, C* and H° values, total phenolic, total flavonoid, total monomeric anthocyanin, total antioxidant capacity (DPPH, ABTS and FRAP assays) and phenolic compounds of aronia fruit extracts were analyzed. There were significant differences in the measured parameters depending on the extraction method and solvent type. Extracts in ultrasound extraction and classical …

Biostimulant-Mediated Cellular Repair By Improving Antioxidant Dynamics And Osmoregulation Against Metal Stress In Canola, Hina Kanwal, Iram Shoaib, Ali Noman, Muhammad Faisal Maqsood, Rashda Naheed, Omar Mahmoud Alzoubi, Mohamed Hashem, Rehab Elnour, Fahad Mohammed Alzuaibr, Noreen Khalid, Muhammad Kashif Irshad, Muhammad Aqeel

Turkish Journal of Agriculture and Forestry

Global crop yield and growth are severely impacted by hazardous heavy metal contamination of the soil and water. This study examined the effects on a range of physiological, biochemical, and morphological parameters of two canola (Brassica napus L.) cultivars, Punjab (V1) and Super (V2), when they were subjected to three different levels of cadmium (Cd) stress (0, 1.5, and 2.25 mM) and foliar application of biostimulant, i.e., Moringa leaf extract (MLE). Plants in V1 (Punjab) collect more Cd in both their aerial and subterranean sections than in V2 (Super).The morphological and physiological indicators showed a substantial (p < 0.05) deterioration as a result of the Cd buildup. Ascorbic acid and malondialdehyde (MDA) and hydrogen peroxide (H2O2) were considerably (p < 0.05) elevated under Cd stress. V1 has considerably higher H2O2 values than Super (V2), which suggests that oxidative stress levels there are higher. Additionally, the activity of some antioxidant enzymes, such as catalase and peroxidase (65 and 40%, respectively), were reduced by a higher concentration of Cd (2.25 mM). V2 demonstrated stronger antioxidant defence mechanisms than V1, as seen by a 115% rise in POD activity, a 70% increase in shoot fresh weight, and a 49% increase in amino acids following MLE spray. Despite this, the V2 was still able to withstand Cd. Under Cd stress, foliar treatment of MLE increased both kinds' yield, growth, biochemical, and physiological characteristics. The findings indicated that applying MLE foliar spray can improve crop productivity and lessen the impacts of metals on B. napus L.

Amy Spahr V. Amy Collins

2024 Decisions

USDC for the District of Delaware

Wandrea Russo V. Bryn Mawr Trust Co

2024 Decisions

USDC for the Eastern District of Pennsylvania