Digital Commons Network^™

Community-Based A1c Screening Initiative To Improve Diabetes Risk Identification Among People Experiencing Homelessness, Rebecca Drake, Deedee Long, Mariita Carter

Student Works

Abstract

Purpose: People experiencing homelessness (PEH) experience high rates of undiagnosed diabetes yet face significant barriers to preventive screening. This quality improvement project aimed to improve access to diabetes screening for PEH through on-site hemoglobin A1C (A1C) testing in a trusted community setting.

Methods: On-site A1C screening was implemented at the Utah County Food and Care Coalition (F&CC) using a low-barrier, community-based approach. Screening was conducted during routine service hours and integrated into existing workflows. Process, outcome, and balancing measures were used to evaluate feasibility, reach, and unintended effects.

Results: The intervention primarily supported identification of diabetes risk and referral …

Multifocal Papillary Thyroid Carcinoma With Ret P.V804m, Eml4-Alk Fusion, And Braf V600e Positivity, Jacob Beiriger, Leonard Estephan, Lubna Zuberi, Stacey Gargano, Elizabeth Cottrill

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

Multifocal papillary thyroid cancer (PTC) can arise from independent primaries with discordant drivers in parallel clonal evolution rather than a single-clone pattern. We present a 31-year-old female with multifocal PTC harboring 3 distinct oncogenic alterations: a germline RET p.V804M mutation, low-frequency EML4-ALK fusion, and BRAF V600E mutation. The RET and ALK alterations were identified in a midpole nodule, whereas BRAF positivity was seen in a separate lower pole tumor. Ultrasound revealed multiple right-lobe thyroid nodules; the dominant 2.1-cm lesion was hypoechoic with calcifications. Fine needle aspiration revealed Bethesda III cytology, prompting thyroid lobectomy and an ipsilateral central neck dissection was …

Milk Matters: Milk Fat Impact On Phthalate Exposure, Vivika Arocho, Tanya Pach, Erika L. Doctor

Student Publications and Presentations

Phthalates are plasticizers added to plastics to improve flexibility. Research has shown that phthalates impact human health through endocrine disruption as well as posing a risk of cancer. Food packaging made of plastics has the potential to cause an increased risk of exposure. Milk packaged in plastic has previously been found to have contamination with phthalates due to the extended contact with the packaging material. However, the amount of phthalate leeching has not been addressed for variation in milk fat. Other packaging components such as perfluoroalkyl substances (PFAS), have shown variation in leeching based on the amount of fat in …

From Resilience To Risk Reduction: The Role Of Cognitive Reframing In Problematic Drinking, Brandon Li, Melissa Lehman, Patrick J. Cooper

Student Publications and Presentations

Prior research suggests that resilience is associated with the use of adaptive emotion regulation strategies, such as cognitive reappraisal, and that these strategies are linked to lower levels of problematic drinking. However, it remains unclear whether resilience is related to problematic drinking directly or indirectly through specific emotion regulation processes. This study examines associations amongst resilience, cognitive reappraisal, and problematic drinking in a sample of 188 college students. Correlational analyses indicate that resilience is not significantly associated with problematic drinking. In contrast, resilience is positively associated with cognitive reappraisal, and cognitive reappraisal is negatively associated with problematic drinking. A mediation …

Apoe Ε2 Potential Protection Against Long-Term Consequences Of Traumatic Brain Injury, Rebecca Faith Mesidort, Kimberly Rowland

Student Publications and Presentations

Traumatic brain injury (TBI) can alter the quality of life, often resulting in cognitive decline, neurodegeneration, or death. There have been no biological advances to resolve the long-term consequences of TBI. The APOE ε2 gene is widely known as a neuroprotectant for neurodegenerative diseases such as Alzheimer’s and Parkinson’s. However, the biological mechanisms of how APOE ε2 protects the against neurodegeneration is unknown. The purpose of this study is to investigate APOE ε 2’s response to an environmental stimulus that leads to neurodegeneration, TBI and further investigate APOE ε2’s biological mechanisms. After inflicting blunt force trauma to our model organism …

The Effect Of Forever Chemicals From Paper Cups On Planarians, Sara Miller, Erika L. Doctor

Student Publications and Presentations

Per- and polyfluoroalkyl substances (PFAS) are synthetic chemicals added to products like paper cups, Teflon pans, and muffin tins to make them water-resistant and durable. PFAS have been a growing concern for the human health and the environment due to their migration into the beverages and foods we consume. PFAS have been linked to various health issues such as cancer, immunotoxicity, and thyroid disturbances. The purpose of this study is to determine the amount of PFAS leaking from paper cups into water and their impact on planarians through three different experiments: optimization of PFAS detection, determination of leaching PFAS from …

Resilience And Emotional Eating: Gender Differences In Undereating, Tinei Nyakuyedzwa, Patrick J. Cooper

Student Publications and Presentations

Emotional eating refers to eating in response to emotional states as opposed to hunger and is linked to stress, which is important for college students who experience unique stressors (e.g., academic, social, and interpersonal) in their college experience. It is also often found to be more prevalent in women, but not always. During the COVID-19 pandemic, females and males reported similar levels of emotional eating, but for different reasons: female emotional eating was linked to isolation and/or extra care-giving responsibilities, whereas male emotional eating was linked to reward seeking behaviors. The purpose of this study is to examine whether there …

Optimizing Glycerin Concentration For Xerostomia Treatment Via Refractive Index Measurements, Angelina Pologeorgis, Khalique Ahmed

Student Publications and Presentations

Xerostomia is also commonly referred to as dry mouth, this is a condition that is characterized by a reduced salivary flow that can negatively impact things like overall oral health, swallowing, or even speaking. The current artificial saliva substitutes vary widely in their composition, physical chemical properties, and effectiveness, many or the products available now as treatment do not disclose the concentrations included in their ingredients. Glycerin is a known saliva substitute that is frequently used due to its abilities to retain moisture. The optimal concentration of glycerin is required in order to best mimic natural saliva. The purpose of …

Autonomous Motivation And Campus Mental Health Services Utilization, Vishwa Shukla, Brandy Whitford

Student Publications and Presentations

Mental health services are available across U.S. universities, yet many Generation Z students experiencing psychological distress do not make use of them. Researchers have identified stigma, limited mental health literacy, concerns about confidentiality, and negative past experiences as possible explanations for low engagement. Students move through several stages when using services, including initiating help-seeking, attending appointments, and continuing over time. Existing models tend to focus primarily on external barriers, giving less attention to internal motivational factors that influence whether students decide to engage at all. Self-determination theory offers a framework for examining this issue. When students do not see help-seeking …

Virtual Reality Rehabilitation And Visual Recognition Recovery After Stroke, Ivy Westfall, Brandy Whitford

Student Publications and Presentations

Every year, many stroke survivors experience challenges that go beyond movement. In addition to physical weakness, changes in thinking and vision can last long after the stroke. Most rehabilitation programs focus first on balance and motor skills. As a result, problems with visual recognition and interpretation can go unnoticed. When the temporal lobe is damaged, a person may not be able to recognize familiar faces, everyday objects, or even well-known places, even when they can see. Virtual reality (VR) has become a growing tool in stroke recovery. By immersing patients in interactive, goal-directed visual environments, VR may engage neuroplastic mechanisms …

Catalase Activity In The Presence Of Pure Flavonoids, Emily Weems, Erika L. Doctor

Student Publications and Presentations

Catalase is an enzyme which catalyzes hydrogen peroxide into water and molecular oxygen. Flavonoids inhibit catalase, which allows for a buildup of hydrogen peroxide in our bodies that is important when we are sick. Pure flavonoids, like those found in colorful fruits and vegetables, will inhibit catalase by reducing the enzymes’ ability to break down hydrogen peroxide. The pure flavonoids that we looked at are hesperidin and naringenin, found in citrus fruits, and quercetin, found in vegetables like onions and hot peppers. Plant flavonoids are seen to inhibit catalase but are found bounded to compounds like sugars while pure flavonoids …

Effects Of Sublethal Bisphenol A On Planarian Phototaxis, Alexis Galindez, Emily Pintilie, Kevin Sosa, Cassandra S. Korte

Student Publications and Presentations

Bisphenol A (BPA) is a common plastic found in many consumer products, including water bottles, food containers, and toys. Previous research shows BPA is an environmental contaminant with potential neurotoxic effects, including nociceptive behaviors in planaria flatworms. Planaria flatworms, such as Girardia dorotocephala, are valuable model organisms for studying neurotoxicity due to their simple but well-characterized nervous systems and measurable phototaxis or light response behaviors. Earlier experiments in our lab demonstrated that BPA concentrations of 1 ppm and higher caused high mortality and reduced movement. We were thus unable to measure phototaxis behavior at this higher concentration. This study investigated …

Planarian Exposure To The Herbicide 2,4- Dichlorophenoxyacetic (2,4-D), Emily Pintilie, Alexis Galindez, Kevin Sosa, Cassandra S. Korte

Student Publications and Presentations

Widespread use of pesticides such as 2,4-dichlorophenoxyacetic acid (2,4-D) raises serious concerns about their effects on non-target aquatic organisms. In vertebrates, 2,4-D has been associated with neurotoxic outcomes such as impaired motor function and altered neurotransmitter activity. Planarians offer a valuable system for toxicological studies due to their well-characterized nervous system, regenerative capacity, and measurable behavioral responses. This study investigates the neurotoxic effects of 2,4-D exposure in the planarian species, Girardia dorotocephala, including assessment of nociceptive behaviors, survival rate, and phototactic responses. Worms were exposed to various concentrations of 2,4-D (0–100 mg/L) over multiple time points. Nociceptive responses such …

From Plastics To Pathways: Phthalates, Oxidative Stress, And Nervous System Function In Planaria, Destiny M. Perez, Cassandra S. Korte

Student Publications and Presentations

Phthalates are widely used chemicals added to plastics to increase flexibility and durability. Because they are not chemically bound to products, they can leach into the environment and contribute to human exposure through food packaging, plastic containers, and hygiene products such as lotions, shampoos, and fragrances. This widespread exposure has raised public health concerns because many phthalates are linked to endocrine disruption and have been associated with reproduction, developmental, metabolic, and neurological disruption. To investigate how phthalates may impact nervous system function, planarian flatworms will be used as a toxicology model. Planaria will be exposed to phthalates and then tested …

Circadian Genes In Fruit Flies: What They Teach Us About Human Sleep And Health, Laney Wilson, Mia Gonzalez, Kimberly Rowland

Student Publications and Presentations

Circadian rhythms are cycles developed internally that influence the behavioral and physiological changes that happen daily. They occur in organisms as diverse as humans and fruit flies. They are the product of “clock” genes that set the rhythm and tune them in response to changes in the ambient light. In the present study, we aimed to determine the contribution of functional clock genes to the circadian regulation of movement of the fruit fly Drosophila melanogaster. An equal number of wild-type flies (n = 5) and clock-mutant flies (n = 5) were placed in an incubator for 1 week to allow …

Study On Temperature Field And Temperature Effect Of A Continuous Rigid-Frame Bridge With Horizontal Bottom Cables, Li Guodong, Li Guangmao, Gao Yingjie, Huang Fanglin, Zhou De

Journal of China & Foreign Highway

To study the temperature field and temperature effects of a continuous rigid-frame bridge with horizontal bottom cables, a large-span prestressed concrete continuous rigid-frame bridge with a horizontally arranged bottom cable system was selected as the research object. A Python program was developed to calculate the solar radiation boundary conditions, and the Abaqus software was used to establish a two-dimensional transient heat conduction model of the bridge. The time-dependent temperature field of the bridge during summer and winter was analyzed. Based on this, the temperature effects caused by the vertical temperature gradient, transverse temperature gradient, effective temperature, and various temperature modes …

Research On Intelligent Safety Control Of Deep Water Foundation Of Bridges Based On Digital Twins, Guo Feng, Li Ting, Mao Ali

Journal of China & Foreign Highway

To achieve real-time monitoring data collection, intelligent evaluation and warning of safety risks, and rapid disposal of emergency plans for steel cofferdam structures during the construction process of deep water foundations of bridges. Research on intelligent safety control of steel cofferdams of deep water foundations of bridges was conducted based on digital twins. Firstly, BIM software was used to construct a virtual model of the entire construction process of the steel cofferdam, and IoT devices were used to collect real-time data on the stress, displacement, and construction water level of the steel cofferdam structure. Secondly, by using the Web-GL engine …

Pediatric Thyroid Cancer Lung Metastases And Rai: Long-Term Results, Ryan C Mueller, Nikhil Rammohan, Anthony J Apicelli, Ana Maria Arbelaez, Farrokh Dehdashti, Barry A Siegel, Vikas Prasad, Perry W Grigsby, Stephanie Markovina

2020-Current year OA Pubs

OBJECTIVES: Children with differentiated thyroid cancer (DTC) often present with lung metastases but historically have good outcomes. Radioactive iodine (RAI) is commonly used to treat these children. Given the rarity of this condition, little evidence detailing long-term outcomes and risk of radiation pneumonitis exists.

METHODS: We conducted a retrospective analysis of patients < 20 years old who received RAI for DTC lung metastases between 1973 and 2018. Disease-free survival (DFS) was calculated from diagnosis to last follow-up. Overall survival and rates of acute and late radiation pneumonitis were determined by chart review and obituary searches.

RESULTS: Sixteen patients met eligibility criteria. Fourteen presented with thyroid, nodal, and lung disease; one presented with thyroid and nodal disease with nodal and lung recurrence; and one presented with thyroid-only disease with nodal and lung recurrence. All patients underwent thyroidectomy, 10 underwent neck dissection, and four underwent …

Suspicious Activity Reports (Sars) Intake, Triage, And Outcomes, Jeff Gruenewald, Noah Turner, Seamus Hughes

Reports, Projects, and Research

The Nationwide Suspicious Activity Reporting Initiative (NSI) established a national infrastructure for sharing information related to terrorist activity. Fusion centers facilitate the receipt, investigation, documentation, and sharing of suspicious activity reports, or SARs. Eighty fusion centers currently operate across the United States, but research into how these centers process SARs is limited. Using closed-source data on SARs from two fusion centers, this brief describes the characteristics of SARs in terms of intake, triage, and outcome.

Influence Of Sediment Composition On Seagrass Growth, Hattie Lechner, Joshua Ahrens

Ocean Engineering and Marine Sciences Student Publications

Seagrass Beds are a vital component of the Indian River Lagoon (IRL). They support biodiversity and improve water quality, yet they have experienced significant declines in recent years. Multiple restoration efforts have attempted to replant seagrass in the lagoon and have experienced varying levels of success. Sediment characteristics such as grain size, pH, and nutrient/sulfide concentrations can influence seagrass health and growth, but the relative importance is unclear. This study investigated the relationship between sediment characteristics and the performance of the seagrass Halodule wrightii across multiple different types of sediments found within the IRL in order to identify ideal sediments/locations …

Finding Jaws: Dna Barcoding Shark Cartilage To Identify Species, Kenna Peters

Ocean Engineering and Marine Sciences Student Publications

Elasmobranchs (sharks and rays) are vital keystone predators that help regulate the health of marine ecosystems, and some of the largest and most wide-ranging fishes in the ocean1. Elasmobranch identification is difficult due to morphological similarities between species, and the high risk of encountering cryptics. These are evolutionarily distinct, but physically identical to more common taxa, and can only be identified using genetics. Misidentification is a major obstacle to shark science, especially considering new data showing that >70% of all elasmobranchs have been lost in the past 50 years, and many sharks are now shifting ranges in response to global …

Photoswitchable Metal Chelators, Rhea Sharma

Chemistry and Chemical Engineering Student Publications

Develop a light-responsive chelator that switches between OFF and ON metal-binding states, enabling spatiotemporal control of metal coordination.

Sustainable Ethanol Production From Agricultural Waste, Eva Shealy, Bre Venditti, Muath Alharbi, Jacob Dymock

Chemistry and Chemical Engineering Student Publications

This project presents a commercial-scale process which converts waste corn stover into fuel grade ethanol through syngas fermentation. By integrating thermochemical conversion with microbial processing, the design explores an innovative pathway for ethanol production, resulting in a lower-impact alternative to traditional processes.

Non-Isocyanate Polyurethanes From Kraft Lignin, Savannah Madairy, Ayden Weil, Eric Huynh, Elliott Bischof

Chemistry and Chemical Engineering Student Publications

Adhesives from isocyanate polyurethanes have strong bonding properties yet pose serious health risks in both production and daily life. Kraft Lignin, a common organic waste, contains the functional groups that can make a renewable alternative and replace isocyanate’s role in adhesives. Our production plant will be placed in Rome, Georgia attached to an existing paper mill with competitive pricing of 26.47$/kg. Our three-step process proposes a sustainable approach to producing polyurethane adhesives without incorporating isocyanates.

Adult Stakeholders’ Perspectives Of Children’S Engagement With Xr And Ai Technologies, Tenneh Kanneh, Meherunnesa Tania, Samjhana Pokharel, Jerry Fails

2026 Undergraduate Research Showcase

Extended Reality (XR), including Virtual, Augmented, and Mixed Reality, together with rapidly advancing Artificial Intelligence (AI), is creating immersive technologies with unprecedented and unpredictable implications for children. As these systems become more integrated into learning, play, and social environments, establishing ethical guidance before widespread adoption is essential. This project investigates two core questions: “What ethical concerns do stakeholders identify regarding children’s research and use of XR/AI?” and “How do these concerns vary across youth populations and contexts?” Using an anticipatory and participatory approach, I’m conducting a series of focus groups exploring potential future uses of XR/AI for children ages 5-12. …

Optimizing Costs & Efficiency With Heartcode Complete: A Quality Improvement Project, Jessica Bryant

Doctor of Nursing Practice Final Project Abstract

PURPOSE

This quality improvement project aimed to implement HeartCode Complete (HCC), a simulation-based BLS training platform, at a 154-bed community hospital. The goal was to replace instructor-led BLS training, improve training efficiency, reduce costs, increase certification compliance, and enhance staff satisfaction.

BACKGROUND

Maintaining competency in CPR is a regulatory requirement for healthcare providers. Traditional instructor-led BLS training requires scheduled classes, instructor availability, and staff time away from clinical duties, contributing to certification delays and operational inefficiencies. Simulation-based training platforms offer self-directed learning with real-time feedback.

METHODOLOGY

This quality improvement project used Lean Six Sigma principles and Plan-Do-Study-Act cycles to guide …

An Evidence-Based Approach To Boosting Recovery In Endurance Runners, Sayla F. Rios

Doctor of Nursing Practice Final Project Abstract

Purpose

The purpose of this quality improvement project was to implement evidence-based recovery strategies among endurance runners. The project aims to decrease injury prevalence, improve recovery behaviors, and reduce perceived muscle soreness.

Background

Running-related injuries are common among endurance runners and are often associated with inadequate recovery. Evidence suggests that the use of recovery strategies may support muscle repair and reduce injury risk.

Methodology

This project used the Plan–Do–Study–Act framework to guide the implementation of strategies. 24 endurance runners participated in the project. Interventions included education and the implementation of recovery strategies, such as adequate protein intake, sleep optimization, self-myofascial …

Words That Work: Healthcare Providers’ Acceptability Of Aba Terminology, Marisa A. Hurlock

Thesis Projects

Effective collaboration between behavior analysts and healthcare providers depends on a shared understanding. This study explored how healthcare professionals perceive technical versus plain-language ABA terminology. Healthcare providers (n = 44) rated 10 common ABA terms and their plain-language counterparts across clarity, acceptability, comfort, and likelihood of use. In addition, participants completed a paired-choice procedure in which they selected their preferred terminology for each term pair. Plain-language terminology was generally rated more favorably across all four dimensions and was preferred by approximately 70.6% of respondents. However, this pattern was not consistent across all terms, as several technical terms (e.g., negative …

Plant Growth Promoting Phenotypes Of Fungal Isolates From The International Space Station, Shane Doyle, Frances A. Edmonson

Ocean Engineering and Marine Sciences Student Publications

• In situ (on site) space crop production is vital for sustainability and dietary health of astronauts. 
• We hypothesize that International Space Station (ISS) derived fungal isolates will stimulate plant growth and express PGP phenotypes.
• Eleven space-viable fungi were screened via phenotypic testing to identify plant growthpromoting (PGP) activity.
• Prior research has been conducted solely with ISS derived bacteria, while ISS fungi are unexplored, which could reveal new or improved symbiotic relationships and growth factors.

Cardio Clarity -Wearable Cardiac Monitoring, Kaitlyn Dunn, Matthew Kotze, Emily Matheson, Caroline Moore

Biomedical Engineering and Sciences Student Publications

Purpose: Develop a low-cost wearable system for an accessible cardiac monitoring platform