Digital Commons Network^™

Promoting Mental Health And Wellness For Adults With Developmental And Intellectual Disabilities, Tristen Six Caceres

OTD Capstone Projects

This doctoral capstone project was completed in partnership with the Metro Parks disABILITIES Program. This community-based program provides recreational, social, and wellness opportunities for adults with intellectual and developmental disabilities (IDD) in the Nashville area. The purpose of this capstone project was to address a need for increased mental health support, education, and accessible resources for adults with IDD participating in the day programs, as well as for the staff who support these participants. Adults with IDD often experience barriers to receiving mental health care, including limited access to providers with appropriate training and confidence in working with this population. …

Interventions For Geriatric Patients With Dementia In Inpatient Psychiatric Settings, Kenya Raybon

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Geriatric patients with dementia in inpatient psychiatric units are admitted with cognitive and behavioral challenges that often lead to increased agitation and greater reliance on 1:1 support, limiting participation in group therapy. While evidence supports structured, activity-based and sensory-informed interventions to promote regulation and engagement, implementation is often inconsistent due to workflow barriers, staffing limitations, and lack of structured guidance for staff, especially if cognitive impairment is not immediately recognizable.

This quality improvement capstone project aimed to develop and implement an evidence-informed staff training program, along with a structured activity binder system with adaptable, unit-specific interventions to support consistent activity-based …

The Integrated 31-Gene Expression Profile Test Identifies Low-Risk Patients With Cutaneous Melanoma Who Can Forego The Slnb Procedure: Results From A Prospective, Multicenter Trial., Timothy Beard, J Michael Guenther, Stanley P Leong, Maki Yamamoto, Samuel Dierks, Brenda Sickle-Santanello, Andrew Ward, Mark Cripe, Parth Shah, Shawn Young

Oncology Articles

AIMS: Prospectively confirm use of the integrated 31-gene expression profile test (i31-SLNB) in patients with cutaneous melanoma to predict sentinel lymph node biopsy (SLNB) positivity and assess recurrence rates in those considered low risk by i31-SLNB who did not have an SLNB.

METHODS: Patients with T1-T4 tumors being considered for SLNB who received 31-gene expression profile (31-GEP) testing in the multi-center, prospective DECIDE study were included (n = 912). Kaplan-Meier analysis was used to estimate recurrence-free survival (RFS).

RESULTS: Among 430 patients with T1-T4 tumors who had an SLNB, the positivity rate was 2.6% (3/114) in those with < 5% i31-SLNB-predicted risk versus 21.4% (28/131) in those with >10% predicted …

A National Security Strategy For The Middle East, Vanessa Rice, Rudy Torres, Addy Horgan, Joy Omosa, Mark Westfall

School of Public Policy Capstones

This National Security Strategy addresses the persistent national security challenges the United States faces in the Middle East, a region vital for global energy supply, economic connectivity, and a source of anti-American extremism. Recognizing the failures of past "haphazard experimentation," the strategy proposes a thoughtful, pragmatic plan prioritizing five distinct and congruent interest areas: Maintaining Regional Access, Supporting Regional Stability, Ensuring Energy Security, Defending American Citizens and Personnel, and Preserving and Protecting Western Ideals. The strategy outlines actions such as: countering Chinese and Russian influence through intelligence sharing and defense incentives; containing Iran via a new, permanent nuclear deal and …

Social Media Engagement And Financial Performance In Apparel Retail, Emily M. Burke

Student Publications

As companies increasingly rely on social media to engage with consumers, questions remain about whether social media metrics translate into measurable financial outcomes.This study investigated whether changes in Instagram engagement metrics predicted financial performance among publicly traded apparel and lifestyle retail companies. Social media data, including the number of posts and average likes, were collected manually for February 2025 and February 2026. Financial data, including adjusted stock prices and year-over-year quarterly revenue growth, were collected from Yahoo Finance. The final sample included 28 companies after removing outliers and cases with missing data. Multiple linear regression analyses showed that percent change …

From Mine To Meal: A Scoping Review Of Galamsey-Related Food Contamination In Ghana, Anne-Vanessa Vanderpuije

GW Research Showcase 2021-2026

No abstract provided.

Gatekeeping, Denial, And The Fight For Voice: Leadership Lessons From The Early Hiv/Aids Epidemic, Kimberlea Gibbs, Preethy Kolinjivadi, Sarah Hurlbert, Timmy (Imomotimi) Imomotebegha

GW Research Showcase 2021-2026

No abstract provided.

Lipoprotein(A) And Incident Peripheral Artery Disease The Atherosclerosis Risk In Communities Study, Kaleb Lema, Emma K. Stapp, Minghao Kou, Shoshana H. Ballew, Ning Ding, Ron C. Hoogeveen, Christie M. Ballantyne, Maya J. Salameh, Kunihiro Matushita, Melinda C. Power

GW Research Showcase 2021-2026

No abstract provided.

Drivers, Processes, And Outcomes Related To Burnout And Moral Injury In The Public Safety Workforce: A Scoping Review, Alys Barton, Margaret Ziemann, Samantha Meeker

GW Research Showcase 2021-2026

No abstract provided.

Labor Substitution In Healthcare: The Impact Of Nurse Practitioner Scope Of Practice Laws On Physician And Nurse Practitioner Wages And Employment, Grace Etzel

Economics Honors Theses

No abstract provided.

A Tribute To Professor Brian C. Murchison, Mary Z. Natkin, Adedayo (Dayo) Abah, Richard K. Welch, C. Elizabeth Belmont, Melanie D. Wilson, Brant J. Hellwig, Barry Sullivan, Patrick Darby, John M. Perryman, Kelly L. Faglioni, Nathan Heastie, Brandon Hasbrouck

Washington and Lee Law Review

No abstract provided.

Improving Patient Satisfaction In The Emergency Department Waiting Room Through Enhanced Communication Strategies: A Quality Improvement Initiative, Wael P. Karaki

Doctor of Nursing Practice Final Project Abstract

Purpose: This QI project aimed to improve ED waiting room experience by standardizing communication to increase transparency and expectation management, targeting an increase in Net Promoter Score (NPS) from 33.5 to ≥35.4 within three months.

Background: ED waiting room dissatisfaction is driven by uncertainty (unclear wait times, inconsistent updates, and limited understanding of triage and ED flow), supporting structured communication over individual clinician delivery.

Methodology: A 3-month, single-site QI project in an urban ED used iterative PDSA cycles and included all ED encounters (n=17,444). The bilingual intervention included orientation pamphlets (print/QR-based), standardized triage verbalization of …

To Work Or Not To Work? Lessons From Older Adults In Maine, Kimberly Snow, Mary Lou Ciolfi, Sarah Currie, Catherine Taylor

All Cutler Institute Publications

Work in later life is currently widely discussed for myriad reasons including that  many older adults want or need to work well past typical retirement age; employers  want and need the expertise, experience, and reliability of older workers; social and  health benefits often accompany later life work; anti-ageism awareness is  heightening the visibility and value of older workers; and economists and  demographers cite the importance of a dependable workforce that includes older  adults. The topic of later life work intersects with several other disciplines in social  science, business, health, technology, communications, and data collection - among  others - presenting opportunities …

Analyzing Antibody Immune Response In Α1,3galt-Ko Mice After Intranasal Vaccination Of Α-Gal Virus-Like Particle, Faith Brown

Honors Theses

In this study, we evaluated the immunogenicity of intranasal immunization with α-Gal-conjugated virus-like particles (VLPs) in an α1,3-galactosyltransferase-knockout (α1,3GalT-KO) mouse model that mimics the human immune response to the α-Gal epitope. The carbohydrate epitope galactose-α-1,3-galactose (α-Gal) is expressed on the cell surface of several pathogens, including Leishmania species. This molecule is absent in humans and has emerged as a promising immunogenic vaccine target. α1,3GalT-KO mice were intranasally immunized with 10 μg either Qβ-α-Gal or Qβ per nostril and boosted twice prior to sample collection. Blood and lung lavage samples were used to evaluate the antibody response. The Qβ-α-Gal group developed …

Effects Of “Zero Sugar” Energy Drinks On Microbial Proliferation In Relation To The Gastrointestinal Microbiome, Madison Hines

Honors Theses

Energy drinks have rapidly increased in popularity and availability in recent years. With the rise of high-caffeine beverages, complications due to caffeine consumption have become more common in younger populations. The aim of this study was to use controlled laboratory methods to determine the effect of energy drinks on a variety of organisms commonly found in the gastrointestinal (GI) tract. The diverse and dynamic nature of microbes in the gut makes conditions of the GI tract difficult to replicate in a laboratory setting. As an alternative, isolates of bacteria commonly found as normal flora in the GI tract were plated …

Does Sponsorship Context Matter? Comparing Local And National Sponsorship Effects On Consumer Behavior, Kathryn Flock

Honors Theses

Sponsorship use has become increasingly important as a marketing strategy for influencing consumer perceptions of the sponsoring company. This, in turn, establishes consumer relationships that result in favorable behavioral intentions. While prior research has examined national and global sponsorships, there is limited research on the differences between national and local sponsorships and how these differences could influence consumer perceptions and behavioral intentions. The purpose of this study was to examine how local or national sponsorship affects consumer perceptions, including sincerity, trust, attitude toward the sponsor, and behavioral intentions.

A mixed-methods approach was employed for this study. Study 1 used qualitative …

Csbs Kudos, Spring 2026, University Of Northern Iowa. College Of Social And Behavioral Sciences.

CSBS Kudos

Contents:

--- Faculty Accolades
--- Retirements - Ken Atkinson, Gregory Bruess, Todd Evans, Mark Grey, James Hall, Wallace Hettle, Mary Losch
--- Promotions - Disa Cornish, Tyler O'Brien, Jayme Renfro, Eran Hanke, Kyle Endres
--- In Memoriam - Mary Louise Franken, John Johnson, Susan Welch, Charlotte C. Wells
--- $1.22 million grant to UNI’s Center for Civic Education
--- University of Northern Iowa receives $2.4 million grant to launch Humanities Hub
--- UNI announces restructuring to strengthen humanities and public service education
--- UNI launches online non-thesis Master of Arts in Geography
--- UNI teacher education program continues to boast …

Spe 2400-Career Communication Course Syllabus, Alyse Anna Keller Johnson

Open Educational Resources

This syllabus outlines a 12-week asynchronous Career Communication course focused on developing practical communication skills for professional contexts. Through open educational resources (OER) and a Zero Textbook Cost (ZTC) approach, students engage in applied learning activities such as resume development, interview practice, and professional writing. The course is designed for adaptability across institutions and emphasizes accessibility, skill-building, and real-world application.

Bridging Theory And Practice: A Criminal Justice Course Collection, Penny Geyer

Open Educational Resources

Dr. Penny Geyer compiled a full reading list, course calendar, set of weekly discussion questions, in-class experiential exercises, a death penalty case-study module, and a final paper assignment into a single, organized course packet that can be easily accessed, revised and remixed by other instructors teaching theory-to-practice criminal justice courses.

Expanding Traditional Literacy Frameworks: A Multiliteracies Approach In Elementary Classrooms, Caroline Cuenca

Doctoral Dissertations

Teaching literacy in elementary schools can provide students with a rich, meaningful, and engaging learning experience. Furthermore, cultivating a culturally responsive approach to teaching and learning can promote feelings of acceptance and belonging in young children (Comber, 2018). However, elementary educators are feeling increased pressure to emphasize literacy instruction with a sole focus on foundational literacy skills, standardized curriculum, and accountability measures (Unadkat & Ochoa, 2026). Unfortunately, these instructional practices often limit students' opportunities to engage in creative, collaborative, multimodal, and meaningful learning (Unadkat & Cuenca, 2025). This mixed-methods study examined how a critical multiliteracies curriculum was implemented in a …

Wharton's Duct Injury As A Complication Of Oral Surgery And Its Management: A Clinical Case Report, María Paulina Araneda, Zabiel A. Faundez, Martin A. Sanchez, Pablo Romero, Ramon A. Rivera

Journal of Dentomaxillofacial Science

Introduction: Oral surgery may be associated with intraoperative complications, such as nerve injury, hemorrhage, and other procedure-related adverse events. Wharton's duct laceration is an uncommon but significant complication involving the floor of the mouth. Owing to the region's anatomical complexity, unrecognized injuries may affect gland function and patient well-being.

Case Report: A 69-year-old female patient presented with left submandibular swelling associated with a prior Wharton's duct injury. Initial management included local interventions and marsupialization; however, clinical symptoms recurred, which required submandibulectomy. The postoperative course was favorable.

Discussion: Early diagnosis is key to managing submandibular duct injuries. Up to 32% of …

Nigella Sativa Oil-Loaded Treated Dentin Matrix Hydrogel As An Alternative Biomaterial For Direct Pulp Capping: A Systematic Review, Alfin R. Cahyadi, Ayu Annafi, Malika Q. Rahmalia, Adelisa D. Ryani, Tania Saskianti, Harly Prabowo, Nadia Kartikasari, Abil Kurdi, Agus Dahlan

Journal of Dentomaxillofacial Science

Objective: To assess evidence on Treated Dentin Matrix Hydrogel (TDMH) and Nigella sativa oil (NSO), individually or combined, as biomaterials for direct pulp capping (DPC) and their reparative dentin promotion ability. Methods: A systematic search of PubMed, EBSCO, ScienceDirect, and Wiley (January 1, 2018–December 31, 2023) was conducted using MeSH-based terms associated with ``treated dentin matrix hydrogel,'' ``Nigella sativa oil,'' and ``direct pulp capping.'' Eligible studies included in vitro, in vivo, and clinical research evaluating TDMH or NSO for DPC; studies with no outcome data were excluded. Risk-of-bias assessment was performed using ROB2 (clinical) and SYRCLE (animal). Because of …

Caries Risk Assessment As The Strongest Predictor Of Oral Health–Related Quality Of Life: A Cross-Sectional Multivariate Study Of Adolescent Students, Fadil Abdillah Arifin, Mila Febriany, Husnah Husein, Eva Novawaty

Journal of Dentomaxillofacial Science

Objective: This study aimed to determine the factors associated with oral health–related quality of life (OHRQoL) among adolescent students, with a particular focus on identifying the strongest predictor using a multivariate analytical approach.

Material and Methods: A cross-sectional study with 249 adolescent students in Sekolah Menengah Pertama Negeri 54 Makassar, Indonesia, was conducted. Clinical examinations were performed to assess dental caries experience using the Decayed, Missing, and Filled Teeth index (DMF-T), oral hygiene status using the Oral Hygiene Index–Simplified (OHI-S), Body Mass Index (BMI), sex, and caries risk level using the Caries Risk Assessment (CRA) tool, categorized into low, medium, …

Oral Health–Related Quality Of Life Following Complete Denture Rehabilitation In Diabetic Edentulous Patients: A 6-Month Prospective Study, Eri Hendra Jubhari, Edy Machmud, Mohammad Dharma Utama, Bahruddin Thalib, Stang Stang, Rifaat Nurrahma, Indah Tresnawati

Journal of Dentomaxillofacial Science

Objective: Edentulism and diabetes mellitus (DM) are associated with impaired oral function and diminished quality of life. Complete denture rehabilitation plays a pivotal role in the restoration of mastication, comfort, and self-confidence. This study aimed to examine changes in oral health–related quality of life (OHRQoL) after complete denture insertion in diabetic edentulous patients using the OHIP-14 and Geriatric Oral Health Assessment Index (GOHAI) questionnaires.

Materials and Methods: This prospective, longitudinal observational study included 25 completely edentulous diabetic patients. Their OHRQoL was evaluated at baseline and at 1, 2, and 6 months postdenture insertion using validated questionnaires, namely, OHIP-14 and GOHAI. …

Comparative Evaluation Of Mechanical And Chemo-Mechanical Methods Of Caries Excavation In Permanent Teeth: A Randomized Clinical Trial, Rahul Rao, Neha Pol, Ashish Jain, Pooja Shah, Amit Patil, Sanpreet S. Sachdev

Journal of Dentomaxillofacial Science

Objective: To compare excavation efficacy and pain perception among air-rotor (carbide bur), polymer bur, and chemo-mechanical excavation (Carie-Care™)  in adult permanent posterior teeth as a confirmatory, population-specific evaluation.

Materials and Methods: A single-center, single-blind, randomized split-mouth clinical trial was conducted in 29 adults with three permanent posterior teeth each (total = 87 teeth) presenting with occlusal caries and an ICDAS score of 4 or 5. The trial was registered with the Clinical Trials Registry of India (CTRI Ref No.: REF/2025/07/109637). Each participant received all three interventions in the same session under standardized conditions. Excavation efficacy was assessed using a caries …

Euphorbia Tirucalli L. Accelerates Mandibular Bone Healing: Analysis Of Pmns, Fibroblasts, Osteoblasts, And Osteoclasts In Wistar Rats, Florence Meliawaty, Juni Handajani, Heni Susilowati, Poerwati Soetji Rahajoe, Euis Reni Yuslianti, Rahmadaniah Khaerunnisa, Kertamaya Sundawan, Adzra Farah Fajrina, Lorintan Sitepu

Journal of Dentomaxillofacial Science

Objective: The present study aimed to elucidate the therapeutic potential of Euphorbia tirucalli L. stem extract in accelerating mandibular bone defect healing through the modulation of inflammatory and regenerative cellular responses, including polymorphonuclear cells, fibroblasts, osteoblasts, and osteoclasts in Wistar rats.

Material and Methods: A laboratory-based experimental study with a randomized post-test only control group design was conducted using 40 male Wistar rats. Standardized mandibular defects were created in the symphysis region utilizing a low-speed round bur. The animals were randomly assigned into four groups, including a negative control and three treatment groups receiving topical Euphorbia tirucalli L. stem extract …

Effects Of Ethanol On Opg Expression, Osteoclasts, And Osteoblasts During Orthodontic Tooth Movement In Wistar Rats: An Experimental Study, Nadia Setiawati Widjaja, Ardiansyah S. Pawinru, Nasyrah Hidayati, Eddy Heriyanto Habar, Eka Erwansyah, Baharuddin M. Ranggang, Ita Purnama Alwi

Journal of Dentomaxillofacial Science

Objective: This research sought to assess how ethanol influences the expression of osteoprotegerin (OPG) and the number of osteoclasts and osteoblasts during alveolar bone remodeling associated with orthodontic tooth movement.

Materials and Methods: A laboratory-based experimental study was conducted using 30 male Wistar rats. Palatal movement of the maxillary incisors was induced using a nickel–titanium (NiTi) closed coil spring applied to the maxillary arch. Rats were randomly divided into two groups: a control group (CG) receiving orthodontic force only, and an experimental group (EG) receiving both orthodontic force and ethanol administration. Observations were conducted on days 0, 3, and 14. …

2026 April - Mary V. Jordan Center Newsletter, Mary V. Jordan Center, East Tennessee State University

Mary V. Jordan Center Newsletters

No abstract provided.

The Impact Imperative: Building Universities And Institutions That Demonstrably Matter, Scott Fritzen

Asian Management Insights

The university has never been more powerful— or more embattled. Research output has expanded sharply. Global collaborations span continents. Elite institutions, once concentrated in the West, have taken root across Asia, the Middle East and beyond. Universities anchor innovation districts, train professionals and generate discoveries that shape modern life. By the conventional measures long used by the academy to evaluate itself—publications, rankings, enrolments, revenue—higher education, taken as a whole, is thriving in many contexts.

Why Complex Risks Demand Multidisciplinary Action, Lisa Ng, Benny Chew, Julian Lai, Siti Naqiah Amrun

Asian Management Insights

The A*STAR Infectious Diseases Labs offers a model for how organisations can move from ad-hoc crisis response to sustained, shared preparedness.