Digital Commons Network^™

Relationship Between Undergraduate Students Study Abroad Experiences In The Mediterranean Region And Changes To Dietary And Functional Movement Habits, Katherine Heublein

Honors Theses

This research explored the relationship between study abroad experiences within the Mediterranean region and their impact on dietary and functional movement habits. College students are at a critical juncture for establishing lifelong health behaviors. Understanding the influence of cultural immersion on food and movement choices can provide valuable insights into strategies to promote healthier lifestyles among college students. The Mediterranean diet (MD) is characterized by high consumption of fruits, vegetables, olive oil, beans/lentils, and fish, and low consumption of red meat and processed foods, along with increased functional movement from walking and biking. This lifestyle has been correlated with lower …

Developing Adult Glioma Model In Drosophila, Anna Lindenmuth

Honors Theses

Glial brain tumors typically occur in older adults and have no known cure. Therefore, it is important to study the growth and physiological effects that this disease causes in hopes of finding an adequate solution. A great and inexpensive model to study glial cell tumors is flies because they share similar neurological pathways with humans. Our lab studies glioma brain tumors in larval stages of Drosophila, but no adult models have been made to account for and match the occurrence of cancer developing in older adults. Therefore, this study’s purpose is to create and study the growth of glial cell …

Gender-Based Violence In El Salvador: The Role Of Political Developments And The Impact On The Rights Of Salvadoran Women, Maison E. Mclean

Honors Theses

This thesis analyzes the ways women in El Salvador are subjected to genderbased violence (GBV), including domestic violence, reproductive violence, economic violence, and marital rape. It examines the institutional social and political conditions that shape women’s experiences with violence, with particular attention to recent policy changes under the Bukele administration. Through literature and media analysis, as well as interviews with activists, researchers, solidarity groups, and human rights organizations, this research explores how shifts in government policy and institutional practices have impacted protections and resources available to women facing GBV. In addition to examining legal frameworks, this thesis highlights the obstacles …

Ud College Student Health Literacy And Well-Being, Olivia R. Upchurch

Honors Theses

In my Honors Thesis Research Project, I studied University of Dayton (UD) students' health literacy and well-being. Well-being is a state of being comfortable and happy. It includes mental well-being and physical activity. Mental well-being is a state of positive psychological, social, and emotional health. Physical activity is bodily movement that promotes physical health. Health literacy is the ability of someone to understand and effectively use health information to make well-informed decisions regarding their health. This project is important because college represents a time when young adults begin to manage their well-being and healthcare independently from their parents or guardians. …

Parental Behaviors In Response To Childhood Internalizing And Externalizing Problems, Quinn Ryan Willerton

Honors Theses

Parents and children have been shown to mutually influence parenting behaviors (Burke et al., 2008). Abnormal behaviors in children, namely externalizing and internalizing problems, offer a route of observation that can further demonstrate the bidirectionality of the parent-child relationship. Externalizing problems (i.e. Oppositional Defiant Disorder, Attention Deficit Hyperactivity Disorder, or Conduct Disorder) are easier for parents to see because of their overt and outward nature, but they pose more difficult challenges for both parental response and treatment approaches. Internalizing problems (i.e. anxiety or depression) are more emotion-based, making them harder to recognize and diagnose. Our research is observing the presence …

When Is Engagement ‘Good’? Values And Integrity In Community-Engaged Autism Research, Margaret Janse Van Rensburg

Faculty and Staff Publications

Community engagement (CE) in autism research has been promoted as “good practice,” and is described through approaches such as co-production, participatory action research, and community-based participatory research. Although CE can enhance relevance and trust, its potential burdens or harms are rarely examined or disclosed to community members, and it is often implemented without evaluating its processes or outcomes. Limited attention is also given to values: the axiological foundations of CE and whether engagement is conducted with integrity. This perspective introduces an axiological lens to CE in autism research by arguing that researchers’ value commitments shape not only why engagement occurs …

Delivering Safe Sleep And Breastfeeding Education To Pregnant And New Mothers Through Private Facebook Groups: Study Protocol For A 4-Armed Randomized Controlled Trial, Rebecca F Carlin, Margaret G Parker, Ann L Kellams, Fern R Hauck, Stephen Kerr, Benjamin T Cornwell, Marc T Kiviniemi, Nicole Geller, Katherine E Boguszewski, Michael J Corwin, Eve R Colson, Rachel Y Moon

2020-Current year OA Pubs

BACKGROUND: Annually, more than 3500 US infants die suddenly and unexpectedly. Many sudden unexpected infant deaths (SUID) are preventable with greater adherence to safe infant sleep guidelines. There are racial and economic disparities in guideline adherence and SUID rates. Education alone has proven ineffective at altering behavior for many parents, and social networks and social norms regarding infant care have been found to influence rates of unsafe sleep. Using the power of social networks to shape social norms by delivering education through moderated online social media groups provides a unique opportunity to influence these practices in large groups of parents. …

Hbcus And Disparate Law School Rankings, Michael Conklin

Cleveland State Law Review

This Article measures the difference between perceptions of HBCU (Historically Black Colleges and Universities) law schools and their objective performance. This is conducted by comparing the disparities between each law school’s U.S. News & World Report subjective peer ranking and objective overall ranking. This novel methodology provides valuable insight into the role race plays in legal education and the practice of law. This comes at a critical juncture where issues such as the Supreme Court’s banning of race-conscious admissions, new findings regarding law school mismatch, the racially motivated rankings boycott, and the Trump administration’s aggressive targeting of colleges are all …

The Retreat Of Federal Power And The Rise Of Post-Supremacy Federalism, Victoria Grace Litman

Cleveland State Law Review

This Article introduces the theory of post-supremacy federalism to describe a structural condition in which federal law remains formally binding, but enforcement has durably receded or collapsed. Unlike frameworks grounded in intergovernmental friction or negotiated cooperation, this account begins from federal retreat—the cumulative erosion of enforcement capacity across judicial, administrative, legislative, and executive institutions. Post-supremacy federalism arises when three conditions are met: (1) federal law remains intact; (2) enforcement retreats; and (3) no formal devolution occurs. In this vacuum, states are not merely filling gaps. They are governing by default—under laws that still bind but no longer structure governance in …

Evaluating Pre-Task Versus Post-Task Reinforcer Choice: A Replication And Extension Of Blackman (2023), Evan M. Lipsky

Thesis Projects

Discrete trial training (DTT) is an individualized method of instruction that is foundational to the clinical practice of Applied Behavior Analysis. When presenting choices for reinforcement during a DTT session, there appear to be two plausible options for when the client may choose: either before task completion or after task completion. The overall conclusion drawn by previous researchers was that the relative effectiveness of either condition may be idiosyncratic. The purpose of this present study was to replicate and extend Blackman (2023) teaching only new skill acquisition targets, using non-edible tangible reinforcers, and including preassessment data for all participants. Two …

Language Barriers In The Healthcare System, Gulten Altunbulak, Rebecca King, Lee Ann Hoffman

Spring 2026 OTD Capstone Symposium

Language barriers in healthcare negatively impact quality of care, patient satisfaction, and health equity, particularly among individuals with limited English proficiency (LEP). This capstone program aimed to develop and implement an occupational therapy communication protocol to address language barriers in a skilled nursing facility. A mixed-methods approach was used, including a pre-survey of staff, post-implementation interviews, and observational feedback to evaluate communication practices, interpreter use, and staff confidence. A total of 25 staff members completed the pre-survey, with additional insights gathered through interviews and observations following implementation. Interventions included staff education on interpreter services and culturally responsive care, along with …

Development Of A Mental Health Program For Work Rehabilitation, Vannida M. Nguyen, Cassandra Nelson

Spring 2026 OTD Capstone Symposium

Work-related injuries often result in decreased work performance and extended recovery time. This can lead to mental health challenges and a risk of re-injury. Typical work rehabilitation focuses on physical recovery while overlooking psychosocial factors. This capstone project developed a wellness program to support emotional wellness and improve return-to-work (RTW) outcomes. The program incorporated educational content, coping strategies, and interventions targeting emotional wellness for injured workers receiving physical therapy. Occupational therapy has the ability to address both physical and psychosocial factors and increase interdisciplinary efforts during work rehabilitation. Improved confidence reflected in the self-reported RTW-SE scores suggests that occupational therapy …

Life Skills For Individuals In A Juvenile Detention Center, Carrington Brown, Rebecca King, Jaimee Fielder

Spring 2026 OTD Capstone Symposium

This capstone project involved developing, implementing, and evaluating a life skills program for justice-involved youth in a juvenile detention setting. Guided by a needs assessment, the program targeted financial literacy, job readiness, professionalism, and soft skills through structured sessions incorporating education, interactive activities, and group discussions. Findings from pre- and post-surveys and qualitative feedback indicated improved knowledge, confidence, and readiness for community reintegration, supporting the value of rehabilitative, occupation-based programming.

Maintaining Leisure Participation For Adults With Vision Loss, Kennedy Brumbelow, Rebecca Jo King

Spring 2026 OTD Capstone Symposium

Vision loss can significantly limit participation in meaningful leisure activities, impacting overall quality of life. This capstone project explores strategies to support and maintain leisure participation in adults with vision loss by identifying common barriers and developing practical and accessible activities. A needs assessment revealed challenges including decreased accessibility, reduced confidence, and limited awareness of adaptive resources. In response, intervention strategies were developed focusing on activity modification, assistive technology, environmental adaptations, and client education. Findings emphasize the important role of occupational therapy in promoting continued engagement in leisure occupations and enhancing well-being for individuals with vision impairment.

Supporting Meaningful Participation For Elementary School Students With Physical And Developmental Disabilities Across School Environments, Alyssa Marshall, Rebecca King, Justine Faghihifar

Spring 2026 OTD Capstone Symposium

Elementary school students with physical and developmental disabilities often experience barriers to meaningful participation across school environments. This capstone project aimed to address these barriers by equipping teachers and paraprofessionals with practical occupational therapy-informed strategies to best support student engagement, inclusion, and independence in school activities. The program included delivering a professional development presentation and an educational guidebook highlighting key concepts such as task analysis, activity modification, multisensory learning, and environmental adaptations. Findings from the post-program survey and informal interviews indicated increased participant knowledge, confidence, and perceived ability to support meaningful participation, highlighting the value of occupational therapy-informed training and …

Non-Pharmacological Pain Management Educational Capstone, Alexander J. Birdsall, Cassandra Nelson

Spring 2026 OTD Capstone Symposium

Upper extremity (UE) pain affects approximately 30.7% of adults in the United States and is associated with decreased function and participation. Despite evidence supporting non-pharmacological approaches, pharmacological interventions remain commonly used. This capstone project implemented and evaluated an occupation-based educational program to promote non-pharmacological pain management among adults receiving outpatient occupational therapy for UE conditions. This 14-week project included 10 participants and utilized a mixed-methods design with pre-, mid-, and post-surveys. The program consisted of an introduction and three modules addressing therapeutic movement, physical agent modalities, and sensory regulation. Outcome measures included pain, activity engagement, medication use, confidence, and program …

From Evidence To Action: Promoting Civility For Sustained Healthy Work Environments, Nicole Lynne Demeter, Erik Carter

Creating Healthy Work Environments (CHWE)

Background: Incivility and bullying erode psychological safety, belonging, and professional formation in nursing education (Ehsani et al., 2023). Harms fall disproportionately on historically marginalized students (Park & Kang, 2020) and occur across student–student, faculty–student, and faculty–faculty interactions (Clark & Kenski, 2022). Many students normalize bullying as a “rite of passage” (Hale & Phillips, 2019), further undermining respect (Birks et al., 2019). Reflecting the urgency, the ANA’s 2025 Code of Ethics links nurse well-being to ethical practice (ANA, 2025).

Purpose: Translate evidence into practice to reduce incivility within the College of Nursing through coordinated policy, reporting, education, and faculty development aligned …

Protecting Nursing Breaks To Reduce Burnout And Support A Healthy Work Environment, Jennifer Fabian, Hannah Kayuha Reed, Isabel Romero-Agsalda, Jachelle Braithwaite Pires, Lindsey Vandolah, Marni B. Kellogg

Creating Healthy Work Environments (CHWE)

Nurses on inpatient units frequently experience interrupted or missed meal breaks due to coworker requests, phone calls, alarm systems (such as equipment alarms and call lights), inadequate staffing to cover breaks, and a lack of a coordinated shift plan for meal breaks. Repeatedly forfeiting protected break time contributes to physical and mental fatigue and is a modifiable workplace stressor. Left unaddressed, this stressor may progress into burnout, a significant occupational risk for nurses.

Burnout in nurses has been defined as a gradual state of physical and psychological exhaustion characterized by anger, indifference, and reduced effectiveness, often accompanied by depression and …

Development Of A Survey For Assessing Women’S Perceptions Of Weight-Related Side Effects Of Hormonal Contraceptives, Ayla Mae Laro

Theses

Background —Hormonal contraceptives (HCs) are widely used among reproductive-age women, yet concerns about weight gain remain common and are frequently cited as a reason for dissatisfaction or discontinuation. Dissatisfaction and discontinuation of HCs can lead to unintended pregnancy—a serious health concern in the United States. Existing research has largely focused on objectively measured weight change as a secondary outcome rather than on perceptions of weight-related side effects, and no validated tool currently assesses these perceptions. Additionally, studies have historically failed to include women with overweight and obesity. This cross-sectional mixed-methods study developed and face-validated an online survey measuring reproductive-age women’s …

Integrated Vaccine Bundle Procurement Framework, Ming Zhu

Theses

Childhood vaccination is among the most effective public health interventions, yet ensuring affordable access in low-income countries (LICs) remains challenging. Centralized procurement agencies such as UNICEF and Gavi purchase vaccines antigen-by-antigen through competitive tenders which is a practice that fails to capture the affordability gains attainable by coordinating vaccine products into optimized bundles tailored to each child’s complete immunization schedule. This study develops an Integrated Vaccine Bundle Procurement Framework that shifts the unit of procurement from the antigen level to the vaccine product level. The framework formulates the procurement as the construction and selection of child-level immunization bundles, feasible sets …

Microbial Composition In The Context Of Rising Temperatures And Chytrid Infection, Emma G. Thompson

Theses

Chytrid fungi, Bd (Batrachochytrium dendrobatidis) and Bsal (Batrachochytrium salamandivorans), are one of the largest threats to amphibian populations worldwide. Research has shown that the amphibian's skin microbiome can inhibit Bd/Bsal infection, but that microbial composition can vary drastically with host and environmental factors. In addition, habitat-wide mitigation methods that capitalize on the thermal mismatch between Bd/Bsal and their hosts (e.g., warming the host or environment) have been proposed to combat infection. These methods have proven successful so far, but do not consider the indirect effects that warming has on the microbiome. Synthetic microbial communities of ten core members to simulate …

Anthropometric And Lifestyle Metrics Compared In Postmenopausal Women, Amanda Louise Daniel

Theses

Background: Hormone changes and aging that lead to menopause have a significant impact on quality of life. Understanding health thresholds for the components of body composition in this population are not well known. The relationship between menopausal symptoms and lifestyle factors is understudied. Methods: A mixed-methods approach included surveys and face-to-face body composition analysis using bioelectric impedance. Eating competence, sleep quality, and physical activity were assessed online with validated surveys prior to body composition measurement. Data were transformed to normality and analyzed with Pearson correlation coefficients and independent t-test correcting for multiple comparisons. Results Of the 69 interested people, 50 …

Ai And Algorithmic Literacy Among Health Workers: A Scoping Review Through A Digital Health Literacy Lens, Ihoghosa Iyamu, Carly Wheelans, Devon Haag, Ian Roe, Hsiu Ju Chang, Lorie Donelle Phd, Rn, Fcan, Faan, Ursula Ellis, Geoffrey Mckee, Sofia Bartlett, Mark Gilbert

Publications

Introduction – Artificial intelligence (AI) and algorithmic systems influence health workers’ access, interpretation, and action on clinical and public health information, positioning them as intermediaries between algorithmically mediated outputs and patients, communities, and decision makers. This study examines how AI and algorithmic literacy are conceptualized and measured among health workers through a digital health literacy (DHL) lens. Methods – Using Arksey and O’Malley’s scoping review framework, we searched Ovid MEDLINE, Ovid Embase, Scopus, IEEE Xplore, ACM Digital Library, Europe PMC, and arXiv for English language sources published between January 2020 and May 2025. Two reviewers screened records and extracted data …

Constitutional Litigation After Trump V. Casa, Howard M. Wasserman

Duke Journal of Constitutional Law & Public Policy

Trump v. CASA resolved a decade-old scholarly debate about whether federal courts can grant "universal" injunctions in constitutional cases—injunctions prohibiting the executive from enforcing the challenged law against all persons subject to the law, beyond the plaintiffs to the action. A 6-3 Court said federal courts could issue remedies necessary to accord "complete relief to the plaintiffs," without the power to protect non-parties.

The various opinions in CASA offer competing visions of litigation, adjudication, and judicial decisionmaking. The case plays and will continue to play an essential role in ongoing challenges to Trump Administration policies and regulations and all constitutional …

The Ninth Amendment And Natural Rights/Social Compact Theory: A Defense Of Fundamental Unenumerated Constitutional Rights In The Wake Of Dobbs, Joseph R. Guerra

Duke Journal of Constitutional Law & Public Policy

In ruling that the Due Process Clause of the Fourteenth Amendment does not protect a right to an abortion, the Supreme Court's decision in Dobbs v. Jackson Women's Health Organization relied on reasoning that casts serious doubt on the continued validity of other unenumerated constitutional rights. According to Dobbs, unenumerated rights cannot be recognized unless they are deeply rooted in this Nation's history and traditions, and have long enjoyed legal protection. In ruling that a right to abortion failed this test, the Court asserted that its decision did not undermine other previously recognized unenumerated rights, such as rights to …

The Impact Of Normothermic Regional Perfusion Compared With Cold Storage On Warm Ischemia Time In Donation After Circulatory Death Organ Transplantation: A Scoping Review, Chris Turner

Student Works

ABSTRACT

2.Structured summary:

Background: Donation after circulatory death (DCD) has expanded the donor pool but introduces an inevitable period of warm ischemia that threatens graft viability. Preservation techniques such as normothermic regional perfusion (NRP) and static cold storage (SCS) aim to minimize this injury and improve transplant outcomes.

Objective: This scoping review identifies and synthesizes published evidence comparing NRP with SCS in DCD organ transplantation, focusing on their respective effects on warm ischemia time, graft function, and early post‑transplant outcomes.

Methods: Following the PRISMA‑ScR framework [23], searches were conducted in MEDLINE, PubMed, Embase, and Scopus for English‑language studies involving DCD …

Jacqueline Humphries V. Hud

2026 Decisions

USDC for the Eastern District of Pennsylvania

Inclusion In Education: Supporting All Students, Sarah E. Cannon

Masters Projects

Inclusion has become a prominent topic in today’s education sector. However, it is far more than just a buzzword, it is federal law. The Individuals with Disabilities Education Act (IDEA) mandates that students with disabilities be educated in their Least Restrictive Environment (LRE), “Each public agency must ensure that—To the maximum extent appropriate, children with disabilities, including children in public or private institutions or other care facilities, are educated with children who are nondisabled,” (U.S. Department of Education, 2017, para 1).  In summary, public schools must provide opportunities for students with disabilities to be educated alongside their general education peers …

Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore

Walden Dissertations and Doctoral Studies

Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …

Staff Education To Nurses To Increase Nursing Staff Knowledge On Qsofa, Pamela Robert

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project evaluated the effectiveness of a structured staff education program aimed at improving nurses’ knowledge and confidence in early sepsis recognition and management using the quick Sequential Organ Failure Assessment (qSOFA) tool. Despite the availability of evidence-based screening methods, inconsistent application and limited nurse confidence were identified as key practice gaps. Guided by the Johns Hopkins Evidence-Based Practice model and the ADDIE instructional design framework, an educational intervention was developed and delivered to hospital-based nurses, focusing on qSOFA criteria, early identification of sepsis, and nurse-driven escalation pathways aligned with current clinical guidelines. A pre- …