Digital Commons Network^™

Punishment, Cruelty & Justice: Critically Interrogating Grants Pass V. Johnson, Sara K. Rankin

North Carolina Civil Rights Law Review

No abstract provided.

Intertidal Ecosystem Variation Along A Latitudinal Gradient Across The Gulf Of Maine, Reuven William Frye, Justin Baumann

Standard Theses

Rocky intertidal ecosystems are structured by environmental conditions and are particularly sensitive to climate change driven stressors such as ocean warming and acidification (Fernandez et al., 2020; Kleisner et al., 2017). This study examined algal and invertebrate community composition across eight rocky intertidal sites spanning northern and southern regions along the Gulf of Maine to assess how tidal height, site, and region shape species distributions and interactions. Surveys quantified percent cover and total count across low, mid, and high tidal zones, and patterns were analyzed using two-way ANOVA and Tukey HSD post hoc tests. Algal community composition varied significantly with …

Assessing The Impact Of Toxic Fescue Consumption During Gestation On Muscle Growth Gene Expression And Beef Color Quality Of The Offspring, Madison Blank

Animal Science Undergraduate Honors Theses

Endophyte-infected tall, toxic fescue is the most common forage for beef cattle in the southeastern U.S. However, exposure to this forage causes detrimental effects on the health of gestating cattle. The exposure to toxic fescue during gestation has been shown to impact fetal development during pregnancy and their offspring’s subsequent growth. However, limited information is currently available on the impact of this exposure on the meat quality of the offspring. Our objective is to determine how the dam’s exposure to toxic fescue during gestation impacts the beef color and quality of the final offspring.

A total of 22 animals (11 …

Software Integration In Personal Healthcare Devices And The Patient User Experience, Yassine Chahid, Patrick Slattery

Publications and Research

This study examines the current landscape and future direction of medical device hardware and software integration, focusing on how each contributes to patient care. It begins by analyzing hardware focused medical devices, such as implantable tools patients may rely on to assist with their condition, alongside diagnostic and monitoring equipment used to treat conditions in a variety of medical areas (e.g. cardiovascular conditions). It then evaluates how software is currently integrated through embedded systems, data processing, and user interfaces that support real time monitoring and clinical decision making, and how this impacts quality of care for the patient whilst minimizing …

Establishing The Inter-Rater Reliability Of The Titleist Performance Institute (Tpi) Movement Screen, Ian Henry Dahners, Matthew Fetner, Carlan Haugrud, Hunter Johnson, Braeden Lee Knutson, Erica Jo Peters, Dana Jayde Zarn

Physical Therapy Scholarly Projects

Background: The Titleist Performance Institute (TPI) Movement Screen is a golf-specific physical assessment widely used by professionals to identify physical limitations that may influence swing mechanics and injury risk. Despite its popularity, there is limited peer-reviewed evidence regarding the screen’s inter-rater reliability. Without established reliability, clinical and performance decisions based on TPI scores may be questionable. Prior research on similar tools, such as the Functional Movement Screen (FMS) and Selective Functional Movement Assessment (SFMA), shows that reliability varies based on evaluator experience, scoring objectivity, and standardization—all relevant concerns for the TPI Movement Screen.

Purpose: To determine the inter-rater reliability of …

The Effects Of Dynamic Blood Flow Restriction On Transmembrane Fluid Shifts, Parker Bradley Carroll, Caden John Heinert, Isaiah John Kludt, Lucas Robert Simon

Physical Therapy Scholarly Projects

The benefits of blood flow restriction (BFR) training, particularly its ability to induce muscle hypertrophy, are well established. However, the physiological mechanisms underlying this hypertrophy remain unclear. This study hypothesized that fluid shifts within the skeletal muscle, specifically changes in intracellular fluid (ICF) and extracellular fluid (ECF) composition, contribute to hypertrophic responses following BFR exercise. The purpose of this study was to investigate ICF and ECF dynamics in the lower extremity skeletal muscle using bioelectrical impedance spectroscopy (BIS) following BFR in combination with submaximal resistance exercise. Additionally, the researchers aimed to determine the duration of fluid shifts by assessing ICF/ECF …

Prognostic Predictors Of Developmental And Functional Outcomes In Children With Global Developmental Delay: A Retrospecive Chart Review, Rachel Lynne Kuechle, Sadie Elizabeth Olson, Eliana Hazel Parks, Hailee Lynn Schauer, Mara Marie Vannyhuis, Audrey Elizabeth Whitman

Physical Therapy Scholarly Projects

Background and Purpose: Global developmental delay (GDD) is a broad, global disorder in which children do not reach the appropriate gross and fine motor milestones as expected for their age. GDD’s impact can extend beyond motor skills to include speech and language development, cognitive abilities, social and personal skills, and ADL’s. This study aims to investigate the prognostic predictors of developmental and functional improvement of children with GDD. Our study also examines how the prognosis of children diagnosed with GDD will be affected based on therapeutic intervention in order to offer evidence-based recommendations to support children with GDD and their …

Normative Data Analysis For The Modified Clinical Test Of Sensory Integration And Balance Protocol With The Biodex Balance System, Crystal Rose Koglin, Ellie Rose Tillma, Tyler Edward Schmit, Madison Faith Bowers, Hannah Janice Ust, Logan Aaron Petznick, Quincie Naomi Floden

Physical Therapy Scholarly Projects

This study was designed to assess postural stability in standing on a Biodex Balance System to gather consistent, accurate data on individuals between the ages of 18-30 years old. This tested the participants' sensory integration (vestibular, visual, somatosensory) and balance which can be examined and treated within physical therapy. This study excluded NCAA athletes as more research has been obtained that includes NCAA athletes. Most of the human population has not been NCAA athletes, so we gathered more data for this greater population of individuals. The data provided gained an understanding of what normative data will look like to other …

Assessing The Preparedness Of New Graduate Physical Therapists For Primary Care Physical Therapy Roles, Hannah Ellen Snobeck, Olivia Mavis Manuel, Rachel Jean Dukart, Samantha Marie Krogfoss, Logan Nicole Redding, Haley Paige Hase, Reese Paige Richards

Physical Therapy Scholarly Projects

Background and Purpose: The growing shortage of primary care providers in the United States has led to increased discussion about expanding the role of physical therapists (PTs) in primary care. Physical therapists have advanced diagnostic and musculoskeletal expertise that helps them succeed in these roles. This study aimed to assess how new graduates perceive their readiness to practice as primary care providers and to identify the education and experiential factors that shape this.

Methods: Using a qualitative research design guided by self-perception theory, semi-structured interviews were conducted with three physical therapists who graduated between 2022 and 2024. Participants were asked …

Electromyography (Emg) Of Lower Extremity Muscles During The Spanish Squat In Varied Foot Positions, Matthew Feddema, Jake Graf, Jenna Hildebrant, Allison Jepson, Jake Marciniak, Benjamin Oie

Physical Therapy Scholarly Projects

Background: Knee injuries are among the most common sports-related injuries, often linked to weakness or imbalance in the quadriceps and gluteal muscles. Squat variations are frequently prescribed in rehabilitation to strengthen these muscle groups and enhance knee and hip stability. The Spanish squat (SS) has shown to be effective for increasing quadriceps activation while reducing joint stress. However, limited research has examined how different stance widths during Spanish squats may effect lower extremity muscle activation.

Purpose: This study aimed to compare surface electromyography (EMG) activity of selected lower extremity muscles during Spanish squat variations (narrow, shoulder-width, and wide stances) and …

Minimal Change Disease Following B-Cell Maturation Antigen-Directed Chimeric Antigen Receptor T-Cell Therapy, Kiran Shivaraj, Omar Mamlouk, Amanda Tchakarov, Krina Patel, Ala Abudayyeh

Faculty, Staff and Student Publications

Acute kidney injury (AKI) is a well-recognized complication of chimeric antigen receptor (CAR) T-cell therapy, typically attributed to cytokine release syndrome and acute tubular injury. However, glomerular disease post CAR-T cell is rare. We report a case of minimal change disease presenting with AKI and nephrotic-range proteinuria 3 weeks after B-cell maturation antigen-directed CAR-T cell therapy, ciltacabtagene autoleucel, in a patient with relapsed refractory multiple myeloma. The kidney biopsy revealed diffuse podocyte foot process effacement and a predominance of CD4+ T cells with potential on-target, off-tumor effect of B-cell maturation antigen-directed CAR-T cell therapy, leading to podocyte injury. The patient …

Transcranial Doppler Ultrasound Velocity Measurements In Children With Sickle Cell Disease In Kenya, Catherine Mwalimu, Oscar Odhiambo, Elaine Mashisia, Teresa Mwanja, Allan Ade, Maria De Vita, Katherine Oyieke, Pauline Samia, Fenella Kirkham, Samson Gwer

Paediatrics and Child Health, East Africa

Background Sickle cell disease (SCD) is the most common inherited haemoglobinopathy and poses a high public health burden in Sub-Saharan Africa. Children with sickle cell anaemia are at a highrisk of ischemic stroke, and transcranial Doppler (TCD) ultrasonography helps identify those at highest risk for primary stroke prevention.

Objective To determine the prevalence of abnormal cerebral blood flow velocity (CBFV) in children with SCD and describe CBFV in children without SCD.

Methods We conducted a two-component study comprising a retrospective review and a cross-sectional assessment. TCD measurements from 143 children with confirmed SCD aged 2–16 years were reviewed. In a …

Bayesian Assembly Tool For Intelligent Digital Twin Selection, Shishir Sharma

All Theses

Digital twins can be used for system performance optimization, health monitoring, predictive maintenance, and investigating system anomalies. A ground vehicle digital twin may be assembled using representations of the subsystem models (tires, suspension system, powertrain, etc.) of different fidelity. Lower fidelity Digital Twins have relatively simpler design and physics, hence are generally computationally less expensive, but may not represent the physical system accurately. On the contrary, higher fidelity Digital Twins are generally more precise in their ability to represent the physical system, but due to complexity, are usually computationally more demanding. This thesis describes the application of Bayesian Classification within …

Dental Rehabilitation With General Anesthesia And Analysis Of Waiting Time Periods, Hannah Shelton, Bethany Castro, Neena Patel, Robin Onikul, Amy Burleson, Jenna Sparks

Posters

Purpose: The aim of this research project is to understand how long patients are waiting to be seen to have dental rehabilitation completed under general anesthesia at Children’s Mercy Hospital. The data will help determine if additional surgical blocks are needed for dental providers to serve the patient population in a more reasonable time frame. Methods: A retrospective review of all appointments in the CMH dental clinic was conducted for all patients referred for general anesthesia. Data collected included patient wait times, patient age, ASA (American Society of Anesthesiologists) classification, type of appointment in which GA referral was made, and …

Barriers To Effective Parent-Teacher Communication In K-5 Settings, Dylan Sawicki

Leadership Education Capstones

The purpose of this study was to examine barriers that influence parent-teacher communication in K-5 educational settings, with a focus on cultural background, communication methods, and parents’ prior experiences with educators. This study employed a quantitative research design and collected data through a nationwide Qualtrics survey distributed via email and social media platforms. Participants included parents of K-5 students. Findings suggest that most parents feel comfortable communicating with teachers and perceive cultural background and prior experiences as having minimal influence on communication. However, the data also indicate areas for improvement, particularly in the consistency, frequency, and clarity of communication methods …

Examining Organizational Factors Contributing To Burnout In Community College Employees: An Anthropological Perspective, Jesse N. Blue

Leadership Education Capstones

Organizational culture and systemic inequities remain under-researched factors driving the mental and physical deterioration of community college employees. The purpose of this phenomenological study was to describe and interpret the lived experiences of job-related burnout among community college employees. This qualitative short-term ethnography was conducted at Big Rock College, a rural community college in central Arkansas. The sample consisted of six volunteer participants across administrative, faculty, and staff roles. Data collection involved semi-structured interviews conducted via Zoom®. Interviews were recorded, transcribed, and triangulated with institutional document analysis. Findings indicated that 84% of participants experienced varying degrees of burnout, driven by …

Burnout Among Wisconsin Career Firefighters: An Examination Of Shift Schedules, Sleep Disturbances, And Organizational Factors, Nickolas R. Pridgeon

Leadership Education Capstones

Occupational burnout among career firefighters represents a growing crisis with serious consequences for individual health, public safety, and fire department sustainability. This study investigates the factors contributing to burnout among career firefighters in Wisconsin, with a focus on three primary areas: shift schedules, sleep disturbances, and organizational culture. Using a concurrent mixed-methods design, the research combines an online quantitative survey with semi-structured qualitative interviews to examine how these factors interact to produce burnout in the fire service context.

The quantitative component employs the Copenhagen Burnout Inventory and the Pittsburgh Sleep Quality Index alongside measures of organizational factors, targeting a sample …

Impact Of Intracranial Pressure Monitoring On 30-Day Mortality In Severe Traumatic Brain Injury: A Retrospective Cohort Study In Kenya, George Ongas, Idris Chikophe, Jacqueline Mavuti, David Olunya, Mubashir Qureshi, Beverly Cheserem, Edwin Mogere

General Surgery, East Africa

OBJECTIVE The objective of this study was to evaluate 15-year trends in epidemiology, baseline severity, management, and outcomes of severe traumatic brain injury (sTBI) at a Kenyan tertiary center, and to determine the impact of invasive intracranial pressure (ICP) monitoring on 30-day mortality in a low- and middle-income country (LMIC) context.

METHODS A retrospective quasi-experimental cohort analysis of consecutive sTBI admissions (postresuscitation Glasgow Coma Scale [GCS] score ≤ 8, age ≥ 13 years) from January 1, 2010, to December 31, 2024, was conducted. This time period was divided into two eras: era 1 (2010–2014), premonitoring, and era 2 (2015–2024), routine …

Exploring Alternative Curriculum Implementation In Special Education Settings, Amber R. Wilson

Dissertations

The purpose of this qualitative case study was to understand teachers’ perceptions of implementing an alternative curriculum in their self-contained special education settings and grade levels, as well as their perceptions of the training and ongoing support provided for its implementation. This study used a case study research design. Findings revealed that the participants experienced several challenges related to training, ongoing support, and curriculum implementation, including issues aligning the alternative curriculum with state standards and assessments. This study is significant because alternative curriculum implementation is under-researched in the United States, and the international literature on this topic is limited.

Teaching Legal Thinking In The Age Of Ai: Reimagining Legal Education Through Cognitive Science And Deliberate Practice, Joan R. M. Bullock

University of Baltimore Law Review

No abstract provided.

Defining My Country: An Appalachian Educator’S Autoethnography Of Linguistic Erasure And Ai, Kimberly B. Wright

Dissertations

When students use AI writing tools to revise their work, the algorithms often erase the cultural and linguistic markers that constitute their authentic voice. This erasure operates through the same mechanisms that linguistic justice scholars have documented for decades: a dominant language ideology that frames non-dominant expression as deficient and “corrects” it into standardized prose. As a first-generation Appalachian educator who spent years suppressing her own voice to succeed in academic spaces, I recognize this pattern from the inside. Using autoethnography as a methodology, this study examines how my journey from voice erasure to reclamation informs my pedagogy to help …

Seats At The Roundtable: Guidance On The Training And Resource Priorities Of Rural Cils, Jeff Gutierrez, Luke Santore

Independent Living and Community Participation

In October 2025, RTC:Rural staff hosted a roundtable session in Portland, OR, at the annual APRIL (Association of Programs for Rural Independent Living) Conference. The session, Collaborating for Rural Outreach and Assessing the Resource and Training Needs of Rural CIL Staff and Consumers, provided participants with the opportunity to inform future research, training, and development projects and build partnerships for future collaborations.This factsheet provides a synthesized synopsis of the roundtable discussions.

Protecting Access To Rural Community Living For People With Disabilities, Rtc: Rural

Independent Living and Community Participation

RTC:Rural's 2026 research, policy, and practice summit, exploring rural home health care and ways to strengthen the direct care workforce. The summit includes a presentation by RTC:Rural researchers and a panel discussion.

The Intersection Between Adolescent Pregnancy, Mental Health Concerns, Stigma, And Sex Education, Madelon Cox

Honors Program: Senior Projects (Public)

This thesis discusses research from the past two decades focused on factors contributing to an increased risk of adolescent pregnancy and the lasting impact of that pregnancy. The consequences of being a pregnant adolescent can be compounded by race, gender, socioeconomic class, and access to education. Adolescent pregnancy also carries significant physical and mental health risk for the adolescent and the child. Awareness and various interventions can help pregnant adolescents or those who may be at risk for adolescent pregnancy to support them, prevent isolation, and reduce further negative mental health conditions, such as depression and anxiety.

Children’S Resilience After A Wildfire: Clinical Themes Of An Art Therapy-Based Curriculum, Rebecca Cuellar, Colter Engber, Gina Robinson, Chloe Seeger, Jenna Siteman, Charliemagne Tapia, Ethel Zafranco

LMU Theses and Dissertations

The present study explored the efficacy of an art therapy-based resilience curriculum for elementary school students in educational settings, whose communities have been impacted by the 2025 Eaton Canyon Wildfires. This art therapy-based curriculum aims to promote post-disaster recovery for early elementary students affected by wildfire-related stress by using a particular focus on traits of resilience. To measure the efficacy of this study, a mixed methods research approach was conducted to evaluate the curriculum’s impact in building resilience. The study uses early elementary student surveys using a Pre/post Emoji Survey, a modified Emoji Current Mood and Experience Scale (ECMES), teacher …

Pedagogical Strategies In Medical Laboratory Science Student Learning Outcomes: A Comparative Study Of Learner-Centered And Lecture-Based Instruction, Kasey Kuker

Medical Laboratory Science Independent Study Projects

Learner centered teaching (LCT) has gained prominence across the health sciences, yet its specific impact on Medical Laboratory Science (MLS) education remains underexamined. This comparative literature review synthesizes findings from various empirical studies to evaluate how active, learner centered pedagogies - such as flipped classrooms, blended learning, team based learning, simulation, gamification, and structured feedback - perform relative to traditional lecture based instruction. Across diverse MLS and allied health contexts, LCT consistently improved cognitive outcomes including examination performance, laboratory skill proficiency, and long term retention. Equally significant were gains in affective outcomes: heightened self efficacy, motivation, engagement, teamwork, and professional …

Course Insight Portfolio Math 1040: Precalculus And Introductory Differential Calculus, Jessica Ayers, Morgan Hayes, Meghan Kerrick, Uthman Rasaq, Drishty Singh

Publications

This portfolio includes four primary elements. First is a document titled “Where did they come from? Where are they going?” that provides a description of the types of students who are likely to take the course, followed by the “Course Concept Map” that visually depicts the flow of topics and possible misconceptions in MATH 1040. Additionally, the “Misconceptions Overlay” document lists articles that offer interesting discussion and further insight into the ideas students may bring to MATH 1040 or develop throughout the course. Two lesson plans are included that cover “Continuity and Introduction to Classifying Discontinuities” as well as an …

Course Insight Portfolio: Math 1080, A Gentle Introduction To Infinite Series, Igor Luis Aureliano, Leyanis Falcon Hernandez, Ross George, Fnu Monika

Publications

This lesson aims to introduce the concept of an infinite series through geometric representations and partial sums to help students develop an intuitive understanding of convergence. A common misconception students may have when first encountering infinite series is the belief that “a sum of infinitely many things must be infinite”. Through the study of a convergent geometric series, students will investigate how the limit of partial sums can produce a finite value, thereby addressing this misconception and developing a more accurate understanding of infinite series.

An Exploration Of Aviation Safety Culture In Nigeria, Ernest N. Ogbozor, Jules Yimga, Nicholas Degarmo, Hana Marz, Kathrine Lopez, Michael Chrisman, Cedric Leon, Joao Souza Dias Garcia, Mariateresa Sestito, Harrison Debrah, Albert Obi, Chidinma Chidoka

International Journal of Aviation, Aeronautics, and Aerospace

Despite sustained regulatory reforms, infrastructural development and capacity-building initiatives, Nigeria, one of Africa’s largest economies and a key regional aviation market, continues to experience significant safety deficiencies. This study examines how national cultural norms shape safety practices and performance in Nigeria’s aviation sector. Using an exploratory mixed-methods approach, it combines a systematic literature review, structured safety culture surveys, and semi-structured expert interviews to analyze interactions among regulatory frameworks, organizational practices, and human factors. Findings show that deeply embedded norms, particularly authority gradients, rule adherence, reporting behavior, and accountability, significantly influence safety outcomes. Although leadership commitment and safety awareness appear relatively …

Comparative Risk Metrics For U.S. Commercial Aviation, Mihhail Berezovski

BCAAS Reports

No abstract provided.