Digital Commons Network^™

Federal Funding For The Arts & Developmental Success In Western Nations, Sophia Ciokajlo

Undergraduate Honors Thesis Collection

Culture is undeniably a vital part of any society. To preserve and develop their culture, a majority of modern states allocate some part of their annual expenditure to the arts. The amount of money and system through which it is distributed varies from country to country, but the principle remains the same. Not only do countries value the contribution of culture to their common well-being, but it is also widely accepted that participation in the arts, as a performer or viewer, holds benefit for the individual. All of this considered, I sought to investigate whether or not the size of …

Hispanic Hoosiers: Ethnonym Use Among The Hispanic Population In The Midwest, Ericela Yetlanezi Sahagun

Undergraduate Honors Thesis Collection

This study expands on previous research on one dimension of ethnic identity construction within the Hispanic community by considering ethnonym usage. A majority of the research on Hispanic identity in the U.S. has been conducted in the western region of the country. However, regional differences with varying concentrations of Hispanic populations can have a huge impact on ethnic identity and by extension, ethnonym adoption and usage. For many, ethnonyms are symbols of who a person is, how they perceive themselves, and how they want the world to perceive them. Previous studies have acknowledged the relationship between ethnic identity and ethnonym …

Analysis Of Indianapolis Waterways For Evidence Of Eutrophication And Contamination Induced By Urban Pollution, Kiley Grace Wardwell

Undergraduate Honors Thesis Collection

The focus of my research will be largely focused on the water quality of the White River throughout Indianapolis. I will be testing water samples from five different points along the White River to analyze three of its contents, assessing the differing levels of pollution along different points progressing down the river and through the city. The locations I have chosen to test coincide with water gauge sites along the White River and are as follows: Logan Street in Noblesville, 82nd Street, Broad Ripple Dam, Michigan Road and Raymond Street. The surface water at these five locations will be tested …

Functional Movement Screen And Its Link To Sports Injury In Butler University Division I Student Athletes, Sarah Dickinson

Undergraduate Honors Thesis Collection

The Functional Movement Screen (FMS) is a physical assessment made up of seven fundamental movements which are designed to evaluate an individual’s functional movement patterns. The seven subtests target mobility and stability to identify limitations or asymmetries in normal movement (O’Conner et al., 2011). It is suspected that individuals who continue to use substandard movements during training are more susceptible to musculoskeletal injury (Chorba et al., 2010). In this study, FMS data from Butler University’s Division I men’s and women’s basketball, soccer, and cross-country teams were analyzed to investigate potential correlation with injury prevalence, sports team, and gender. Research from …

Agricultural Practices And Nitrogen Cycling Microbes: The Impact Of Sustainable Farming Practices On Nutrient Movement In Indianapolis Urban Farms, Margaret Davis

Undergraduate Honors Thesis Collection

As population movement to urban centers and decreased availability of fresh foods becomes more common, the prevalence of food deserts is becoming far greater. Urban farming can potentially help address these issues by bringing healthy and fresh food sources directly to these areas that lack access to quality food. Urban farming is reliant on the implementation of sustainable practices, like the use of cover crops, to increase the amount of nutrients that are accessible to plants from the soil. Nitrogen is a vital nutrient but cannot be readily produced by plants, so it must be obtained by either an external …

Racial Implicit Bias In Healthcare: Physicians’ Expectations Of Black Vs. White Patients’ Health Insurance, Brianna M. Avery

Undergraduate Honors Thesis Collection

Systemic racism is affecting all sorts of systems in America, specifically the healthcare system. When it comes to racial implicit bias in healthcare, it could involve race, gender, weight, education, and more. Depending on how qualities of patients affect the physician subconsciously, this could affect the quality of care a patient receives. An understudied area of bias in the healthcare system involves how a patient’s race and health insurance affects physician implicit bias. In this study, we examined whether a patient’s race would influence whether the physician thought the patient would pay with either private insurance or Medicaid. We found …

Identifying How Home Advantage Manifests In Butler Basketball Using Sfa, Emily M. Shoemaker

Undergraduate Honors Thesis Collection

Butler University’s basketball team has been in the Big East Conference since 2013 and is known for having a distinct home court advantage named ‘Hinkle Magic’ by fans. It is of interest to identify how home court advantage affects a Big East team’s ability to play to its full potential for generating wins and what factors are most accurate in measuring this potential. This project will utilize the Stochastic Frontier Approach (SFA) model to identify a team’s efficiency when playing at home vs. away in order to identify when teams meet their potential and if game location has an effect …

Investigating Instagram Marketing Strategies For Nonprofit Donor Engagement During The Covid-19 Pandemic, Annabella Cobos

Undergraduate Honors Thesis Collection

The implications of the COVID-19 pandemic have led to a profound shift in various industries around the world, the non-profit industry being one of them. In this research the author virtually interviewed four participants with experience in marketing from three non-profit organizations to determine what strategic components of Instagram marketing worked best to influence donations during the COVID-19 pandemic. The changed marketing strategies in the nonprofit industry are the result of changed donor behavior. The results from the interview findings reveal two Instagram marketing strategies were successfully adapted to influence donations during the pandemic: focusing on authentic media to increase …

A Narrative-Based Comparative Analysis Of College Experiences Among Racial And Ethnic Minority And Majority Students, Camryn Ellison

Undergraduate Honors Thesis Collection

The goal of this paper is to analyze student stories and discourse around race on Butler’s campus in order to create greater empathy and understanding of the experiences of students of color, foster conversations about race among students, and lead to greater racial allyship at Butler University.

Inducing Alternative Forms Of Cell Death In Multidrug Resistant Ovarian Cancer, Chloe Reese Kotrba

Undergraduate Honors Thesis Collection

Ovarian cancer remains the deadliest gynecological cancer for women today. In 2021, an estimated 21,410 new cases of ovarian cancer were diagnosed in the US, and approximately 13,770 of these women will not survive the disease[2]. This malignancy’s low survival rate is attributed to late diagnoses, as well as the cancer’s tendency to recur after chemotherapy treatment due to acquired drug resistance. The standard of care for this disease includes surgery and chemotherapy. One of the commonly used chemotherapeutic drugs is cisplatin, which works by inducing a programmed form of cell death known as apoptosis. However, many ovarian cancer tumors …

Examining How Current Higher Education Outdoor Experiential Education Program Structure Impacts Inclusion Of African American Students, Albert Mitugo

Education Policy and Leadership Theses and Dissertations

Outdoor Experiential Education (OEE) in higher education is a common and important method of student learning and engagement in the curricular and co-curricular arenas. Because of its importance, many institutions have an OEE program, usually housed in campus recreation for co-curricular student engagement or in academic units for credit-bearing OEE undertakings. The importance of OEE in higher education is widely documented for its impact on college students’ change in environmental attitudes, interpersonal development, resilience, risk management, self-efficacy, self-esteem, sense of belonging, and transition in college. Little has been studied about African American students’ engagement in higher education OEE programming and …

Operating Room Nurses Sleep Health: An Evidence-Based Practice Sleep Health Education Project, Gabriella M. Castignoli

DNP Projects

Background: "Sleep Health" is a new Healthy People 2023 priority due to notable poor sleep health across the nation, with more than 25% of U.S. adults reporting insufficient sleep. Adequate sleep is necessary to work effectively and safely, with operating room (OR) nurses at high risk for inadequate sleep due to atypical work schedules.

Purpose: This project aims to establish the importance of sleep health for OR nurses at a community-based hospital and improve sleep health perception and sleep health through sleep health education with staff.

Methods: The IOWA model for evidence-based practice and quality improvement tools, Plan-Do-Study-Act, and the …

Increasing Opioid Abuse Screening In Primary Care Clinic: An Evidence-Based Quality Improvement Project, Carlos Milla

DNP Projects

Introduction

To address substance abuse multiple organizations recommend increase drug abuse screening as part of routine health care. CAGE AID is five-question tool used to screen for drug and alcohol use, answering yes to two or more questions indicates further assessment is advised. Unfortunately, most primary care centers do not use screen for substance abuse using validated instrument tools such as the CAGE-AID tool.

Purpose

The purpose of this evidence-based practice (EBP) project is to implement the CAGE-AID Substance abuse screening tool by nurse practitioners students in a family clinic located in Bridgeport in order to increase to number of …

Implementation Of A Nurse Driven Palliative Care Consult: A Quality Improvement Project, Socnite Sebourne-Francis

DNP Projects

Background: Palliative care consult (PCC) is an approach that can improve the quality of life and symptom management of patients facing life-threatening illnesses. At a 20-bed medical oncology unit in Connecticut, patients with poor prognosis and worsening symptoms have high re-admission rates within 30 days of post-hospital discharge; yet healthcare providers fail to initiate PCC.

Purpose: This project hypothesizes how implementing a nurse-driven PCC on admission or hospital stays compared to the timing of a physician to a physician PCC improves a plan of care for oncology patients? Will it result in a decrease in 30-day re-admission rates? The …

Improving Specialist Referrals In Outpatient Primary Care: An Evidence-Based Practice Quality Improvement Project, Kimberly Gaznabie

DNP Projects

Background: In the United States, more than a third of patients receive specialty referrals per year, constituting more than half of outpatient visits. Patients require efficient, immediate referrals for specialty-based treatment plans and the prevention of worsening conditions.

Purpose: This evidence-based practice improvement project aimed to improve the specialty-provider referral system for a community-based outpatient primary care clinic.

Increasing The Utilization Of A Cardiovascular Risk Assessment & Screening Tool Through Education In A Primary Care Setting: A Quality Improvement Project, Taylor A. Massey

DNP Projects

Background and Significance: The World Health Organization (WHO) (2021) reports that 55.4 million people died worldwide in 2019; cardiovascular diseases due to ischemic heart disease and stroke were the top two leading causes of these deaths. Experts predict that by the year 2030, more than 22.2 million people will die annually from cardiovascular disease (Ruan et al., 2018). Noninvasive cardiovascular screening tests, such as the "Pulse4Pulse" screening tool, are a way to help providers identify patients at high-risk for cardiovascular disease and initiate treatment to reduce future risk.

Purpose: To increase provider utilization of the "Pulse4Pulse" screening test in a …

Increasing Awareness Of Hereditary Fructose Intolerance: An Evidence-Based Practice Implementation Project, Jacqueline M. Bridge

DNP Projects

Background: Hereditary Fructose Intolerance (HFI) is an inborn error of metabolism which results in the absence of an effective Aldolase B enzyme. Without this enzyme, ingestion of fructose and metabolic precursors leads to acute illness, multiorgan damage, and possible death. The increased presence of these sugars results in earlier onset of symptoms and more difficulty for those with HFI.

Purpose: The project’s aim is to increase awareness of HFI in healthcare providers using a learning module and assessments of knowledge at three different points in time.

Methods: The IOWA model for evidence-based practice projects was applied during the development and …

The Use Of Telemedicine In Primary Care To Improve Medication Adherence: Quality Improvement Project, Chadae S. Haffenden-Morrison

DNP Projects

Introduction: Lack of medication adherence, a major issue in healthcare, can be costly to the healthcare system and result in poor patient outcomes. Wong et al. (2020) noted that enhanced involvement with health care professionals using the Telemedicine platform can improve a patient’s medication adherence as well as decrease the use of emergency services and hospitalizations. Telemedicine allows the healthcare provider, to contact the patient through a mobile phone or computer to provide education and reinforcement regarding medication adherence.

Purpose: The purpose of this project was to improve medication adherence and health outcomes, by piloting a quality improvement project using …

Enhancing Depression Screening For The Adolescent Population In The Pediatric Emergency Department By Utilizing The Patient Health Questionnaire: A Quality Improvement Project, Chelsea Alvarez

DNP Projects

Background:

Mental health disparities make up 16% of the global burden of disease and injury in people ages 10-19. Many cases of mental health are unidentified and left untreated. Failure to address mental health disorders in children can lead to poor outcomes of health and well-being. Evidence-based practice supports the utilization of screening tools such as the Patient Health Questionnaire-9 (PHQ-9) for depression screening in adolescents ages 12-18 years.

Objectives:

By implementing the PHQ-9 in the pediatric emergency department, the goals for this quality improvement project were to increase staff knowledge on the PHQ-9, improve staff screening compliance, and to …

Implementing A Stroke Process Improvement Group To Reduce Time To Thrombectomy In Patients With Acute Ischemic Stroke At Greenwich Hospital, Victoria Merrill

DNP Projects

Introduction: Delays in door to skin puncture time for patients with ischemic stroke are associated with worse clinical outcomes. The following quality improvement study was conducted at Greenwich Hospital which aimed to decrease door to skin puncture time for endovascular stroke treatment. Greenwich Hospital began its new stroke program in January 2020 and opened thrombectomy capable interventional radiology (IR) services. Delays to door to skin puncture times existed with average time being 100 minutes with a goal time of 90 minutes or less for 50% or more of patients directly arriving to the hospital and 60 minutes or less for …

Implementing A Patient Reported Outcome Measure For Patient With Anemia Of Chronic Kidney Disease (Ckd) In The Outpatient Setting, Marissa Finger

DNP Projects

Introduction: Chronic kidney disease (CKD) is a growing public health concern in the United States. People with CKD suffer from many symptoms that cause distress and low quality of life (QoL). Research has found an association between symptom burden in patients with CKD and the disease's worsening progression. There is little data on ways to monitor and address CKD symptoms routinely.

Purpose: The purpose of this project was to identify symptoms related to advancing kidney disease using patient-reported outcome measures (PROMs) through IPOS-Renal survey and implement a nurse-driven protocol to manage patient reported symptoms.

Interventions/Setting: Over a three-month period at …

Narrative Capacity, James Toomey

Elisabeth Haub School of Law Faculty Publications

The doctrine of capacity is a fundamental threshold to the protections of private law. The law only recognizes private decision-making—from exercising the right to transfer or bequeath property and entering into a contract to getting married or divorced—made with the level of cognitive functioning that the capacity doctrine demands. When the doctrine goes wrong, it denies individuals, particularly older adults, access to basic private-law rights on the one hand and ratifies decision-making that may tear apart families and tarnish legacies on the other.

The capacity doctrine in private law is built on a fundamental philosophical mismatch. It is grounded in …

Oystershell Scale: An Invasive Threat To Aspen Conservation, Amanda M. Grady, Connor D. Crouch, Nicholas P. Wilhelmi, Richard W. Hofstetter, Kristen M. Waring

Aspen Bibliography

Aspen decline is an acute and chronic problem in Arizona, where high levels of overstory mortality and a lack of recruitment continue to be observed. Oystershell scale (Lepidosaphes ulmi; OSS), an invasive sapsucking insect, has recently become widespread in native aspen stands in the southwestern U.S., further contributing to aspen mortality. Damage is severe in lower elevation stands and within ungulate exclosures created to conserve aspen. Young recruiting aspen that are rare on the landscape incur high levels of OSS-caused mortality when infested (Fig. 1). OSS has only recently become a pest of concern in the Southwest and …

Ilae Classification And Definition Of Epilepsy Syndromes With Onset In Neonates And Infants: Position Statement By The Ilae Task Force On Nosology And Definitions, Sameer M. Zuberi, Elaine Wirrell, Elissa Yozawitz, Jo M. Wilmshurst, Nicola Specchio, Kate Riney, Ronit Pressler, Stephane Auvin, Pauline Samia, Edouard Hirsch

Paediatrics and Child Health, East Africa

The International League Against Epilepsy (ILAE) Task Force on Nosology andDefinitions proposes a classification and definition of epilepsy syndromes in theneonate and infant with seizure onset up to 2 years of age. The incidence of epi-lepsy is high in this age group and epilepsy is frequently associated with significantcomorbidities and mortality. The licensing of syndrome specific antiseizure medi-cations following randomized controlled trials and the development of precision,gene- related therapies are two of the drivers defining the electroclinical pheno-types of syndromes with onset in infancy. The principal aim of this proposal, con-sistent with the 2017 ILAE Classification of the Epilepsies, is …

Risk Factors Associated With Hospitalization And Death In Covid-19 Breakthrough Infections, Geehan Suleyman, Raef Fadel, Indira Brar, Rita Kassab, Rafa Khansa, Nicholas Sturla, Ayman Alsaadi, Katie Latack, Joseph B. Miller Md, Robert J. Tibbetts, Linoj Samuel, George Alangaden, Mayur Ramesh

Infectious Diseases Articles

BACKGROUND: Characterizations of coronavirus disease 2019 (COVID-19) vaccine breakthrough infections are limited. We aim to characterize breakthrough infections and identify risk factors associated with outcomes.

METHODS: This was a retrospective case series of consecutive fully vaccinated patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a multicenter academic center in Southeast Michigan, between December 30, 2020, and September 15, 2021.

RESULTS: A total of 982 patients were identified; the mean age was 57.9 years, 565 (59%) were female, 774 (79%) were White, and 255 (26%) were health care workers (HCWs). The median number of comorbidities was 2; 225 (23%) …

Hiv Virological Non-Suppression Is Highly Prevalent Among 18- To 24-Year-Old Youths On Antiretroviral Therapy At The Kenyan Coast, Moses K. Nyongesa, Mwaganyuma H. Mwatasa, Vincent A. Kagonya, Gabriel Mwambingu, Caroline Ngetsa, Charles R. J. C. Newton, Amina Abubakar

Institute for Human Development, East Africa

Background: In sub-Saharan Africa, data on virologic outcomes of young people living with HIV (YLWH) enrolled on antiretroviral therapy (ART) remains scarce. In this study, we describe the prevalence of HIV virological non-suppression (VNS) and its associated factors among YLWH aged 18–24 years from the Kenyan coast.

Methods: Data were analyzed for 384 YLWH who participated in a larger cross-sectional study conducted between November 2018 and September 2019 in two counties at the Kenyan coast (Kilif and Mombasa). Descriptive statistics were used to summarize sample characteristics and logistic regression was used for statistical modeling of factors associated with …

Adolescent Connectedness: A Scoping Review Of Available Measures And Their Psychometric Properties, Ezra Too, Esther Chongwo, Adam Mabrouk, Amina Abubakar

Institute for Human Development, East Africa

Introduction: Adolescent connectedness, a key component of positive youth development, is associated with various positive health outcomes. Several measures have been developed to assess this construct. However, no study has summarized data on the existing measures of adolescent connectedness. We conducted this scoping review to fill this gap. We specifically aimed to: (i) identify the existing measures of adolescent connectedness, (ii) determine the most frequently used measures among the identified measures, and (iii) summarize the psychometric properties of these measures with a keen interest in highlighting their cross-cultural utility and validity.

Methods: We searched CINAHL, Embase, PsycInfo, PubMed, …

Pride Before The Fall: A Historical Fiction Novel, Brenna Smith

Undergraduate University Honors Capstones

The Mycenaean civilization (1650 BCE-1200 BCE) was the first advanced Greek civilization with many features that characterized Classical Greece such as palace states, art, a writing system, intercultural contact, and more. The focus of this capstone project is the ancient Mycenaean civilization, particularly capturing both the build up to and the actual rise of the Greek Early Iron Age (1200 BCE-800 BCE) period, or the Greek Dark Ages. This project takes the form of a historical fiction novel which seeks to offer a possible explanation for how the collapse came to be, using archaeological evidence in partnership with creative writing. …

Methodology For Classification And Definition Of Epilepsy Syndromes With List Of Syndromes: Report Of The Ilae Task Force On Nosology And Definitions, Elaine C. Wirrell, Rima Nabbout, Ingrid E. Scheffer, Taoufik Alsaadi, Alicia Bogacz, Jacqueline A. French, Edouard Hirsch, Satish Jain, Sunao Kaneko, Pauline Samia

Paediatrics and Child Health, East Africa

Epilepsy syndromes have been recognized for >50 years, as distinct electroclini-cal phenotypes with therapeutic and prognostic implications. Nonetheless, noformally accepted International League Against Epilepsy (ILAE) classification ofepilepsy syndromes has existed. The ILAE Task Force on Nosology and Definitionswas established to reach consensus regarding which entities fulfilled criteria for anepilepsy syndrome and to provide definitions for each syndrome. We defined an ep-ilepsy syndrome as “a characteristic cluster of clinical and electroencephalographicfeatures, often supported by specific etiological findings (structural, genetic, met-abolic, immune, and infectious).” The diagnosis of a syndrome in an individualwith epilepsy frequently carries prognostic and treatment implications. Syndromesoften have age- …

The Circulome: A Dynamic Reservoir Of Genetic Heterogeneity In Agricultural Pests, Hailey Spier Camposano

All Theses

Weed and insect pests cost the agricultural sector billions in losses each year across the world, despite distributing over 1 billion pounds of potentially harmful chemicals into agroecosystems to manage these pests. Two major agricultural pests that are rapidly adapting to multiple xenobiotics are Amaranthus palmeri and Musca domestica. A. palmeri, or Palmer amaranth, is highly productive in terms of vegetative structures and reproductive propagules. Palmer amaranth has evolved multiple resistance mechanisms to several herbicidal modes of action. House fly (M. domestica) presents issues as a vector for pathogenic microbes among livestock, poultry, and humans. This …