Digital Commons Network^™

Increasing Lung Cancer Screenings In A Family Medicine Clinic, Ashley Williams

Doctor of Nursing Practice Projects

Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Although lung cancer screening is an established guideline for intervention in primary care, eligible patients do not receive it. Patients at high risk of developing lung cancer are aged 50 to 80 and currently smoke or have quit smoking within the last 15 years. Obtaining an annual low-dose computed tomography for patients at high risk of developing lung cancer helps detect lung cancer earlier and, therefore, improves patient outcomes.

Purpose: The Doctor of Nursing (DNP) project aimed to increase lung cancer screenings in patients at high risk of developing …

Implementing A Comprehensive Tobacco-Cessation Program For Patients With Tobacco Use Disorder, Jalen Eaton

Doctor of Nursing Practice Projects

Background: Individuals who use tobacco are at an increased risk for the development of heart disease, congestive heart failure, and chronic obstructive pulmonary disease. Tobacco use is one of the most preventable causes of death in the world.

Purpose: The focus of the quality improvement project was to improve access to tobacco cessation resources in patients with tobacco use disorder at a primary care clinic.

Methods: Weekly stakeholder meetings were held to ensure the validity of the project. The plan, do, study, act (PDSA) model of continuous quality improvement guided the project. A comprehensive tobacco-cessation program including informational materials and …

A Quality Improvement Project: Improving The Clinical Practice For Assessing Hemoglobin A1c On Admission In Diabetic Ketoacidosis Patients Admitted To The Intensive Care Unit, Tiara Lawson

Doctor of Nursing Practice Projects

Background: Diabetic ketoacidosis (DKA) is a life-threatening problem that affects people with diabetes. Early treatment and adherence to guidelines are crucial in preventing DKA. The American Diabetes Association (ADA) publishes annual guidelines for effective DKA management, and the Education Recognition Program National Benchmarks program can help maintain adherence to the published guidelines. Improving the intensive care unit (ICU) admission process enhances the quality of care to DKA patients and improves progress towards national benchmarks.

Purpose: This quality improvement project aimed to improve Hemoglobin A1C (HbA1c) evaluations in DKA patients admitted to the ICU.

Methods: The intervention of triggering HbA1c orders …

Reducing No-Show Rates In An Outpatient Gi Endoscopy Lab, Mwaba Chisela

Doctor of Nursing Practice Projects

Background: Patients who do not attend their scheduled appointments cost the healthcare industry approximately $150 billion annually. They are at higher risk of missed diagnoses, delay in care, and increased morbidity and mortality.

Purpose: This quality improvement project aimed to determine the effectiveness of serial reminders using phone calls and electronic messaging to reduce no-shows for patients scheduled for gastrointestinal (GI) endoscopy.

Methods: No-show data was retroactively analyzed from June 2023 to December 2023 and compared to post-implementation data from February 2024 to March 2024. For eight weeks, a trained staff team called patients scheduled for endoscopic procedures seven days …

Gustav Klimt: A Modern Representation Of The Pregnant Female Body, Emma Fanger

Theses

This thesis analyzes Gustav Klimt’s Hope I (1903) and Hope II (1907–1908) to explore how the artist offered a revolutionary and rare representation of pregnancy at the turn of the twentieth century. Klimt, a key figure in the Symbolist and Art Nouveau movements, is recognized for his decorative, allegorical, and emotionally charged style. His portrayal of the pregnant female body challenged traditional artistic conventions. This thesis argues that Hope I and Hope II are significant not only for their modern visual language, but also for their contribution to the limited representation of pregnancy in Western art. In addition to examining …

Michigan's Youth Justice Reform: A Potholed But Sure Road To Change, Kimberly Thomas, Jason Smith

South Carolina Law Review

No abstract provided.

The Analysis Of Artificially Flavored Coffees, Hannah Knights

Longwood Senior Thesis Proposal

This project aims to determine the molecular components that give artificially flavored coffees their advertised flavor. Much work has been conducted to determine various characteristics such as antioxidant properties, phenolic compounds, flavors, and aromas found in natural coffees. In addition, there is ample literature on the results of sensory tests for a variety of commercial coffees. However, not much work has been conducted to determine the compounds found in artificially flavored coffees that give rise to their distinctive aroma and flavor. This is, perhaps, due to the proprietary nature of the flavoring process employed by commercial producers. The goal of …

Effects Of Spatial And Temporal Variability On Bacterial Diversity And Community Composition In Roof-Harvested Rainwater Across Central Virginia, Jade Riddle

Longwood Senior Thesis Proposal

No abstract provided.

In Their Voices: Kenyan Women's Experiences With Cancer Treatment–Related Side Effects, Tayreez Mushani, Dinah Kassaman, Sharon Brownie, Peterson Kiraithe, Margaret Barton-Burke

School of Nursing & Midwifery, East Africa

Objective This article reports on a secondary analysis of a qualitative study conducted in Nairobi, Kenya that reported several initial themes. In this article, the authors explore the theme of treatment-related side effect management by women receiving treatment for breast or cervical cancer.

Methods Women were interviewed at three points during their active treatment trajectory. Participants were purposefully selected and saturation was reached when interviews did not yield any new themes. The interviews were transcribed and analyzed for internal consistency, frequency, extensiveness, intensity and specificity. The Nvivo pro 12 software was used in organizing and managing the data to facilitate …

Green Finance Growth Prediction Model Based On Time-Series Conditional Generative Adversarial Networks, Aya Salama Abdelhady, Nadia Dahmani, Lobna M. Abouel-Magd, Ashraf Darwish, Aboul Ella Hassanien

All Works

Climate change mitigation necessitates increased investment in green sectors. This study proposes a methodology to predict green finance growth across various countries, aiming to encourage such investments. Our approach leverages time-series Conditional Generative Adversarial Networks (CT-GANs) for data augmentation and Nonlinear Autoregressive Neural Networks (NARNNs) for prediction. The green finance growth predicting model was applied to datasets collected from forty countries across five continents. The Augmented Dickey-Fuller (ADF) test confirmed the non-stationary nature of the data, supporting the use of Nonlinear Autoregressive Neural Networks (NARNNs). CT-GANs were then employed to augment the data for improved prediction accuracy. Results demonstrate the …

Interdisciplinary Perspectives On Multimorbidity In Africa: Developing An Expanded Conceptual Model, Justin Dixon, Ben Morton, Misheck Nkhata, Alan Silman, Ibrahim Simiyu, Stephen Spencer, Myrna Van Pinxteren, Edna Bosire, Christopher Bunn, Claire Calderwood

Brain and Mind Institute

Multimorbidity is an emerging challenge for health systems globally. It is commonly defined as the co-occurrence of two or more chronic conditions in one person, but its meaning remains a lively area of academic debate, and the utility of the concept beyond high-income settings is uncertain. This article presents the findings from an interdisciplinary research initiative that drew together 60 academic and applied partners working in 10 African countries to answer the questions: how useful is the concept of multimorbidity within Africa? Can the concept be adapted to context to optimise its transformative potentials? During a three-day concept-building workshop, we …

The Role Of Social Capital In A Fishing Community’S Adaptation To Climate Change, Endah Saptutyningsih, Romi Bhakti Hartarto, Wanggi Jaung

DLSU Business & Economics Review

Climate change threatens the livelihoods of many communities around the world, including fishing communities. Low catches of fish caused by climate change may have devastating impacts on fishing communities, particularly on those poor communities with a lack of preparation for climate change adaptation. This study investigates how social capital influences fishermen’s support for climate change adaptation. We conducted a contingent valuation survey in a fishing community vulnerable to climate change in Lamongan, Indonesia. Our study results reveal that fishermen’s trust in a person and their community involvement played significant roles in their support for climate change adaptation. These study findings …

Co-Teaching Secondary Dual Eligible Students, Heidi Macomber

School of Education and Leadership Student Capstone Projects

Students who qualify for both English Language services and Special Education services tend to be underserved and have high failure rates in secondary schools. This project investigates the details related to dual eligible students’ underachievement and strives to create a curriculum that appropriately integrates language learning into topics such as identity and mental health. Research relates to methods of assessment that lead to qualification for both English language services and Special Education services. It also evaluates the complicated nature of co-teaching and the many methods for co-teaching that have been developed through research. In addition, this research shows that dual …

An Examination Of The Effects Of Mindfulness Practices On Self-Regulation And Social-Emotional Skills Among Students In The Early Elementary Grades, Erica Sederstrom

School of Education and Leadership Student Capstone Projects

The research question addressed in this study was: What are the effects of mindfulness practices on students' self-regulation and social-emotional skills in early elementary grades? The literature topics that were researched and analyzed included the benefits and challenges of mindfulness practices, main categories of mindfulness practices, and steps to implementation in school settings. The five-week mindfulness curriculum I designed for this project includes mindful breathing, movement, and listening activities that can be implemented in kindergarten through second-grade classrooms. The curriculum comprises 25 lessons with discussion prompts and writing responses, a printable parent letter, and pre/post assessments. The lessons are designed …

Increasing Diversity In Advanced Placement Classrooms Through Culturally Responsive Pedagogy, Megan Volgren

School of Education and Leadership Student Capstone Projects

This thesis has been designed around the question: How can AP literature teachers use culturally relevant pedagogy to make changes to their curriculum to increase diversity in their classes? Most schools offer advanced classes for students, many of which offer opportunities for them to gain college credit while in school. Yet, these opportunities are not equitably distributed. Students of color are often absent from Advanced Placement (AP) classes. This thesis explores the reasons behind this inequality and considers some changes that can be made to promote equality in schools. The focus of the accompanying project is to create a unit …

School-Wide Policies To Support Ell Students With Lgbtqia+ Identities, Camille Verly

School of Education and Leadership Student Capstone Projects

My research question is What school-wide policies can be implemented to support ELL students with LGBTQIA+ identities? LGBTQIA+ high school students face a myriad of challenges in achieving full integration within academic and school culture. These challenges are especially pronounced for students from an English Language Learner (ELL) background, who may also grapple with language barriers and cultural differences. This intersectional group is at higher risk of marginalization, and as such, they are in particular need of holistic support within their educational environment. This project is the development of a comprehensive website designed to serve as a resource for all …

Providing Heritage-Based Social And Emotional Learning Opportunities For Middle Grade Latina Students, Brianna Bjorge

School of Education and Leadership Student Capstone Projects

All students deserve opportunities that help them feel safe and connected to their school environment. For my capstone, I designed a culturally responsive extracurricular program designed for Latina immigrant-origin middle school students, focusing on heritage-based learning and gaining social and emotional learning (SEL) competencies. My capstone project sought to answer the question: “How can Latina immigrant-origin middle school students benefit from a culturally responsive extracurricular program that revolves around the explicit instruction of SEL skills?” In response to this question, I have designed an after-school curriculum that integrates heritage-based elements to address and support the distinct social and emotional needs …

Healing Students’ Collective Trauma And Growing With School Gardens, Will Ashwood

School of Education and Leadership Student Capstone Projects

This paper examines the potential of school garden projects as a therapeutic intervention for addressing collective trauma among students. It investigates how such gardens can help students recognize, work through, and heal from trauma or PTSD, and explores the benefits of using a therapeutic garden as a setting for learning, healing, and personal growth. The significance of this work lies in its demonstration of how building, implementing, and maintaining a school garden can benefit educational institutions, families, and the broader community. It highlights how school gardens can integrate with existing curricula and Positive Behavioral Interventions and Supports (PBIS) to enhance …

Climate Change Education For Student Agency, Katie Kirschbaum

School of Education and Leadership Student Capstone Projects

While there is no single solution to climate change, climate change education has been identified as a key component. This capstone paper and the unit plan developed for this capstone project seek to answer the research question: How can a biology curriculum that incorporates climate change science, impacts, and solutions foster a global citizenship mindset and pro-environmental behaviors in high school students? The literature review covers dimensions of global citizenship, defines climate change education, identifies what influences pro-environmental behavior, and discusses adolescent development as it relates to pro-environmental behavior. The resulting ten-lesson unit plan is designed for high school teachers …

Using Zombie Literature To Build Skills In Responding To Real Events For High School Students, Sarah Olson

School of Education and Leadership Student Capstone Projects

This project seeks to enhance student engagement in English language arts through zombie literature, bridging fiction and reality by exploring the question How can zombie literature be used in high school language arts curriculum to discuss and process real-world issues and events? It examines research on fiction's societal impact and horror's ability to boost student interest. The curriculum, adaptable for all high school levels, guides students in connecting fictional narratives to real-life experiences. By exploring the intersection of zombies, literature, and society, the project aims to create a more engaging and relatable learning experience for students.

Putting Play In The Elementary School Classroom, Robert Mchugh

School of Education and Leadership Student Capstone Projects

Elementary school is a major setting for children’s development and the beginning of their academic journey learning language arts, math, and more. One of the primary ways that children learn and develop is through play. This capstone addresses the research question: How can organized play opportunities in elementary schools be leveraged to help nurture students’ development and strengthen their academic learning outcomes? This capstone report delves into the author's personal and professional connections to the topic of children’s play. Through the process of literature review, evidence is compiled to show that play opportunities strengthen the development of children’s physical health, …

Stories Elicit Feelings Of Kinship And Inspire Pro-Environmental Behavior, Ellen Shaw

School of Education and Leadership Student Capstone Projects

Humans pass down stories to transmit ways of knowing and ways of interacting within their culture. For Indigenous humans, stories give outsiders insight into a deeply intertwined connection with the environment. As a woman of European descent teaching Environmental Education classes, my lack of awareness inspired the question, How can a story lead to adolescents developing a kinship with the more-than-human elements of a place and lead to pro-environmental behavior grounded in reciprocity? The literature review focused on elevating Indigenous authors such as; Robin Wall Kimmerer, Gregory Cajete, Jessica Hernadez, Albert Wiggan, Masanobu Fukuoka. Traditional Ecological Knowledge is the current …

How Can Urban Nature-Based Preschools Partner With Churches To Support Each Other?, Sarah Sinclair

School of Education and Leadership Student Capstone Projects

Nature-based preschools are increasing exponentially across the United States. These preschools combine best practices in early childhood education with place-based environmental education. Nature is the unifying theme of nature-based preschools, with programs spending a significant amount of time outdoors learning in, with, and about the natural world. Many nature-based early childhood educators are seeking to create urban nature-based preschools to reach children and communities with little access to green spaces or natural habitats. Urban nature-based preschools thus require locations that have attached green space or can access public green space easily. In most states of the U.S., these preschools must …

Ocean Literacy: Understanding The Importance Of Sharks In Marine Ecosystems, Nicole Mueller Januário

School of Education and Leadership Student Capstone Projects

The ocean covers about 71% of our planet’s surface and provides us with food and marine resources. It regulates global climate and weather patterns, and acts as a climate change carbon sink yet remains largely unprotected. A restorative human-ocean relationship is urgently needed to combat the negative impacts of humanity and climate change and support marine biodiversity. Sharks, one of the oldest fish species and apex predators, play a crucial role in maintaining a balanced marine ecosystem and healthy ocean. However, sharks are threatened by climate change and illegal, unregulated, unreported fishing and finning. A radical behavior change is also …

Integrating Environmental Education Into The 4th-Grade Classroom, Brandi Mckenna

School of Education and Leadership Student Capstone Projects

The growing awareness of the effects of climate change on our planet and the need for solutions that slow, stop, or potentially reverse these effects have led to the desire to increase environmental education in our youth. Research shows that building environmental literacy and stewardship helps create citizens with pro-environmental behaviors. Since the Tbilisi Declaration in 1977, there has been significant growth in environmental education programs in non-traditional education settings. However, despite the need for environmental education, it struggles to gain a strong footing in the traditional classroom. This is due to multiple reasons, with educator preparedness and resources being …

Creating A Community Garden To Enhance Environmental Education And Action In 10th-12th Grade Boys, Tess Ingebrigtsen

School of Education and Leadership Student Capstone Projects

The purpose of this capstone is to understand how making community connections through the creation of a community garden will emphasize environmental education and action from students. The guiding question of this project is: How can creating a community garden enhance environmental education and action for 10th-12th grade boys in a science elective? Throughout this project, I explore how 10th-12th grade boys' perceptions and feelings on environmental education and action develop and change through the process of creating, designing, and maintaining a community garden and making community connections through their school. Throughout this project, a multitude of major learnings occurred …

Experiential Gardening For Environmental Literacy And Food Systems Awareness, Adam De Leeuw

School of Education and Leadership Student Capstone Projects

School and community gardens have a rich history from the late 19th Century to the present, which includes the voices of Agassiz, Greene, Dewey, Washington Carver, Du Bois, and Montessori. This history spans the periods of school gardens from ‘nature study,’ the School Garden Army, Victory Gardens, the Tbilisi Declaration, and Garden-based learning. The purpose of this capstone project was to answer the following question: What are the individual lessons needed in a curriculum to support and connect experiential school and community garden programs for K-2 youth to serve as effective educational tools for environmental literacy and food systems awareness? …

Creating Outdoor Learning Opportunities For Neurodiverse Students: An Outdoor Learning Curriculum For Neurodiverse Students, Erin Barnes

School of Education and Leadership Student Capstone Projects

This project aimed to answer the question, how can special education teachers provide outdoor learning opportunities for neurodiverse students? The benefits of outdoor learning are well-researched and documented. Spending time in nature reduces stress levels and positively impacts mental health. However, many neurodiverse students in special education settings have limited access to outdoor learning due to concerns about safety, accessibility, and lack of training in environmental education for special education teachers. The need for access to outdoor learning is especially true for students in more restrictive special education settings. This project addresses barriers by providing outdoor learning opportunities that are …

Using Geography To Spark Curiosity In Students, Stephen Schmitz

School of Education and Leadership Student Capstone Projects

This capstone project explores geography and student curiosity, designed to answer the research question: How can teachers use geography to spark curiosity in their students? Geography has been an often overlooked and diminished subject, yet it has great potential to engage students. As student apathy and disengagement continue to be an issue within the contemporary school system, this capstone advocates for using geography as a way to spark interest in the subject, and learning altogether. The research undertaken in this capstone has yielded a unit curriculum designed for fifth grade students that weaves important geographic concepts with strategies to spark …

Identifying And Removing Barriers To Accessibility In Environmental Education And Outdoor Recreation, Patricia Bonnin

School of Education and Leadership Student Capstone Projects

There are numerous mental, physical, and socio-emotional health benefits to spending time outdoors, and this is especially true for people with disabilities. However, outdoor spaces such as park systems, nature centers, and other natural places are typically not accessible for people with disabilities. Research shows there are numerous barriers they encounter when trying to attend outdoor areas. The capstone project, titled Nature Adapted: Guidebook for evaluating and modifying current programs and practices to increase outdoor accessibility, was created to assist environmental education centers and outdoor recreation organizations in becoming more inclusive. It includes information sections, pre-assessements, reflections, and places to …