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Articles 40471 - 40500 of 1791776
Full-Text Articles in Entire DC Network
Enhancing The Playing Field: Effects Of Playground Renovation On Recess Physical Activity, Hudson M. Parsley
Enhancing The Playing Field: Effects Of Playground Renovation On Recess Physical Activity, Hudson M. Parsley
2026 Honors Symposium
Background: Children in recent years have become increasingly sedentary, which poses major risks to their health and overall well-being. Recess is a point of interest in the field of exercise science, as research has found increased recess time is associated with increased levels of PA, but little is known on how the quality of recess, such as playground structures, affects physical activity. Purpose: The aim of my study is to investigate if there is a significant change in physical activity habits during recess among elementary school students due to a change in playground play structures and surfaces, in the form …
Nanocomposite Mediated Delivery Of 5-Fluorouracil Using Silver Nanoparticles To Promote Wound Healing, Kamal Nath Kasi
Nanocomposite Mediated Delivery Of 5-Fluorouracil Using Silver Nanoparticles To Promote Wound Healing, Kamal Nath Kasi
Theses, Dissertations and Capstones
Chronic wounds, particularly in diabetic patients, remain a significant clinical challenge due to the complex interaction of persistent infection, chronic inflammation, and impaired cellular regeneration. Conventional drug therapies often fail to achieve effective treatment due to rapid drug degradation, poor targeting, and localized toxicity. This study explores a nanotechnology-based approach by developing and evaluating 5-FU loaded AgNP (AgNP–5FU) as a controlled drug delivery system. AgNP (AgNP) were synthesized and characterized using scanning electron microscopy (SEM), energy dispersive X-ray (EDX) analysis, particle size, and zeta potential analysis, while Fourier Transform Infrared Spectroscopy (FTIR) analysis suggested possible interaction between 5-FU and the …
Development And In Vitro Characterization Of 5-Fluorouracil–Loaded Plga Nanoparticles For Controlled Drug Delivery, Kavya Yandapalli
Development And In Vitro Characterization Of 5-Fluorouracil–Loaded Plga Nanoparticles For Controlled Drug Delivery, Kavya Yandapalli
Theses, Dissertations and Capstones
Non-Alcoholic Fatty Liver Disease (NAFLD) is a progressive metabolic disorder characterized by excessive lipid accumulation in hepatocytes and chronic inflammation. Nanoparticle-based drug delivery systems offer a promising strategy to enhance therapeutic efficacy while minimizing systemic toxicity. The objective of this study is to formulate and characterize 5-FU–loaded PLGA nanoparticles and evaluate their in vitro performance. 5-FU–loaded PLGA nanoparticles were prepared using the double emulsion solvent evaporation method. The nanoparticles were characterized by particle size, polydispersity index, zeta potential and SEM. Drug encapsulation efficiency, loading capacity and in vitro drug release studies were conducted. The formulated nanoparticles exhibited sizes within the …
Comparative Machine Learning Models For Disease Risk Prediction, Mercy Mawusi Agbley
Comparative Machine Learning Models For Disease Risk Prediction, Mercy Mawusi Agbley
Theses, Dissertations and Capstones
Accurate prediction of disease outcomes is crucial for improving clinical decision-making and enabling early intervention. This study compares the performance of various statistical and machine learning models for clinical risk prediction using two healthcare datasets: diabetic retinopathy and heart disease. The models assessed include Logistic Regression, LASSO, k-Nearest Neighbors (KNN), Support Vector Machines (SVM), Neural Networks, Random Forests, Gradient Boosting Machines (GBM), and a stacked ensemble model. Prior to modeling, datasets were split into train and test sets. Standardization was applied to numeric features whilst categorical features were one-hot encoded. These transformations were later applied to the test set. Principal …
Hepatocyte Peroxisome Biogenesis And Phytol-Induced Metabolic Stress In Liver Disease, William Galloway
Hepatocyte Peroxisome Biogenesis And Phytol-Induced Metabolic Stress In Liver Disease, William Galloway
Theses, Dissertations and Capstones
Hepatocyte peroxisomes are required for metabolism of phytol-derived branched-chain fatty acids through the ACOX2-SCPx beta-oxidation pathway. This study tests whether hepatocyte-specific deletion of PEX16 (Pex16Alb-Cre), which eliminates peroxisome biogenesis, sensitizes the liver to phytol-induced injury. The Pex16Alb-Cre mice and their normal control Pex16fl/fl mice were fed the Lieber-DeCarli liquid with or without 0.1 percent phytol for eight weeks. Serum alanine aminotransferase (ALT) and liver index were measured. Liver sections were stained with hematoxylin and eosin and Masson’s trichrome. Immunoblot analysis of peroxisomal enzyme expression was also performed. Phytol had no effect in Pex16fl/fl mice as …
Anaerobic Digestion Of Variable, Heterogeneous Organic Wastes Under Changing Operational Conditions And Bioaugmentation: Impacts On Process Performance And Microbiome Dynamics, Victoria Holliday
Theses and Dissertations--Biosystems and Agricultural Engineering
Expanding the adoption of anaerobic digestion (AD) is limited by system instabilities caused by feedstock composition and variability. Understanding how changes in feedstock and operational parameters influence microbiome dynamics is essential for developing biology-driven strategies to improve digester stability.
Two semi-continuous reactors, an experimental and a control, operated over 39 weeks across five phases with varying feedstocks and organic loading rates. Substrate-specific enrichment cultures were developed for bioaugmentation and implemented in select phases to assess its impact. Both reactors exhibited similar performance, transitioning through periods of stability, stress, and recovery in response to operational changes. Corresponding shifts in dominant taxa …
Comparing Strength Testing Measures And The Association Of Strength And Body Composition In Young Children, Abigayle R. Spong
Comparing Strength Testing Measures And The Association Of Strength And Body Composition In Young Children, Abigayle R. Spong
Theses and Dissertations--Kinesiology and Health Promotion
Muscle strength is an important component of physical fitness; however, measuring it with isokinetic dynamometry (IKD) is expensive and requires dedicated space. Handheld dynamometry (HHD) provides a practical alternative for field and clinical settings. Thus, the purpose of this study was to compare peak knee flexion and extension torque measured by IKD and HHD in 37 children (ages 5-11 years) and examine relationships with body composition. Participants completed a RAMPing protocol at 90o knee flexion consisting of two warm-up contractions at 50% and 75% effort followed by three maximal voluntary isometric contractions. Body composition was assessed via DXA scans. …
Fiscal Decentralization, Foreign Capital, And Economic Development In Sub-Saharan Africa, Kwadwo D. Frempong
Fiscal Decentralization, Foreign Capital, And Economic Development In Sub-Saharan Africa, Kwadwo D. Frempong
Theses and Dissertations--Public Policy and Administration
Economic development in Sub-Saharan Africa has been shaped by two transformative policy shifts: widespread fiscal decentralization reforms transferring revenue and expenditure authority to subnational governments, and the pursuit of foreign direct investment to supplement domestic capital. Despite the breadth of these reforms, their effectiveness in promoting sustainable economic development remains empirically contested. This dissertation examines three interconnected questions about fiscal governance and capital flows in Sub-Saharan Africa: what determines the extent to which governments decentralize fiscal authority; how county fiscal composition and revenue autonomy shape subnational economic performance; and how foreign direct investment interacts with domestic investment and growth.
The …
Spatial Temporal Modeling Of Infectious Disease Patterns In Texas, Robert E. Lashbrook
Spatial Temporal Modeling Of Infectious Disease Patterns In Texas, Robert E. Lashbrook
Earth & Environmental Sciences Theses
The Texas Department of State Health Services monitors numerous notifiable conditions statewide, including Campylobacter, Salmonella, Shiga toxin-producing Escherichia coli (STEC), Rabies, and West Nile virus (WNV). Given the substantial health, economic, and public health burden associated with these conditions, improving prediction is an important step toward reducing their overall impact. This study evaluated whether external demographic, social, climate, and environmental data could improve prediction of county-year disease activity across Texas. County level data was analyzed using supervised machine learning models, including linear regression, ridge regression, multilayer perceptron, random forest, XGBoost, as well as K-means clustering to identify broader …
Investigating The Viability Of Fully Online Asynchronous Physics Instruction In Formal Education, Clifton W. Massey-Noel
Investigating The Viability Of Fully Online Asynchronous Physics Instruction In Formal Education, Clifton W. Massey-Noel
Physics Dissertations
In this dissertation we present results from two consecutive investigations into the fully online asynchronous modality in Physics Education. We first discuss the efficacy of a fully online asynchronous section of Modern Physics held in Fall 2024. The asynchronous section is compared with four prior partially-flipped sections of the same class, two of which were held in-person, and two of which were held synchronously online. Results suggest that all three modalities can be made to be about equally as effective. We also discuss the efficacy of a fully online asynchronous section of Calculus-Based Introductory Mechanics held in Fall 2025. The …
Equitable Siting Of Green Stormwater Infrastructure In Urban Areas For Flood Resilience In Vulnerable Communities, Elnaz Chitsazzadeh
Equitable Siting Of Green Stormwater Infrastructure In Urban Areas For Flood Resilience In Vulnerable Communities, Elnaz Chitsazzadeh
Planning Dissertations
Cities face increasing pressure from rapid urbanization, aging gray infrastructure, intensifying rainfall, and uneven flood protection. In this context, green stormwater infrastructure (GSI) and other nature-based solutions are increasingly promoted as tools for climate adaptation, flood resilience, and environmental justice. Yet a central planning challenge remains: how to identify where GSI should be prioritized when flood-related physical burden, weak environmental protection, social vulnerability, and lower recovery capacity overlap. This dissertation addresses that challenge in Fort Worth, Texas, by examining how equitable GSI siting can support flood resilience in vulnerable urban neighborhoods.
Framed by urban resilience and environmental justice, the study …
Sexually Dimorphic Effects Of Gpnmb Modulation On Vertebral Bone Mass Regulation And Intravertebral Disc Health, Hakem Altawil, Fayez Safadi
Sexually Dimorphic Effects Of Gpnmb Modulation On Vertebral Bone Mass Regulation And Intravertebral Disc Health, Hakem Altawil, Fayez Safadi
Williams Honors College, Honors Research Projects
Osteoporosis and vertebral degeneration are major contributors to musculoskeletal morbidity, yet the molecular mechanisms regulating vertebral bone and intervertebral disc (IVD) homeostasis remain incompletely understood. GPNMB (osteoactivin) has been identified as a regulator of bone remodeling, though its role in spine health is unclear. This study evaluated the effects of GPNMB deficiency on lumbar vertebral bone microarchitecture and IVD integrity in a sex-dependent context.
Six-month-old male and female wild-type (WT) and GPNMB knockout (KO) mice were analyzed using micro–computed tomography (µCT) of lumbar vertebrae (L4–L6) and histological assessment of the L5–L6 IVD. KO males exhibited increased bone volume fraction, bone …
Conch Gone? Examining Cultural Preservation Through Bahamian Menu Analysis, Adiah J. Saunders
Conch Gone? Examining Cultural Preservation Through Bahamian Menu Analysis, Adiah J. Saunders
Undergraduate Honors Theses
Social identity theory and acculturation theory expose how cultural practices, such as cuisine, can adapt due to external pressures. In The Bahamas, external pressure from the tourism industry shapes many aspects of public life, by analyzing menus we can see how cultural identity resists or succumbs to change. This study examined how Bahamian cuisine is represented on restaurant menus in Nassau, New Providence amid a dominating tourism industry. Using a stratified random sample of 30 restaurants, 1,155 menu items were coded for cultural origin, cultural language use, promotional features, as well as pricing. The results show that international dishes appear …
Innocence Interrupted: A 25-Year Study Of Reported Filicide Incidents In The United States, 1999 To 2023, Jeffrey A. Walsh, Jessie L. Krienert, Ema Voksic
Innocence Interrupted: A 25-Year Study Of Reported Filicide Incidents In The United States, 1999 To 2023, Jeffrey A. Walsh, Jessie L. Krienert, Ema Voksic
Faculty Publications - Criminal Justice Sciences
This study examines filicide, the killing of a child by a parent or parental figure, using 25 years of data (1999–2023) from the National Incident-Based Reporting System (N = 3,974). Multinomial logistic regression was used to analyze variations in offender, victim, and incident characteristics across four victim age categories: neonaticide (within 24 hr of birth), infanticide (1–364 days), child filicide (1–17 years), and adult filicide (18+ years). Results reveal significant differences in offender age, sex, race, weapon use, and victim demographics. Neonaticide is most often associated with younger female offenders and the use of personal weapons, while adult filicide …
Implementing Impact Data Collection And Program Evaluation In A Nonprofit, Jamie Devellis
Implementing Impact Data Collection And Program Evaluation In A Nonprofit, Jamie Devellis
OTD Capstones
This doctoral capstone highlights a gap between data collection practices and nonprofits, which impacts participation rates of children experiencing poverty. This gap is an issue for nonprofits because stakeholders and donors are more likely to fund organizations that can provide impact data about their services. This capstone addresses that gap through creating and implementing data collection and program evaluation for a grassroots nonprofit that funds enrichment programs for children experiencing poverty in southeastern Massachusetts. Data collected found that the program has a positive effect on the children and families of whom they serve that surpass their main goal of building …
Breaking The Boom-Bust Cycle: Supporting Pediatric Fatigue And Participation After Hsct Using The 5-Pet And Caregiver Education, Annelie Claire Kershaw
Breaking The Boom-Bust Cycle: Supporting Pediatric Fatigue And Participation After Hsct Using The 5-Pet And Caregiver Education, Annelie Claire Kershaw
OTD Capstones
Pediatric patients recovering after hematopoietic stem cell transplant (HSCT) often experience persistent fatigue, physical deconditioning, cognitive changes, and decreased participation after discharge. Fatigue is complex and multidimensional, making it difficult for children to understand, communicate, and manage as they return to school, play, social activities, and daily life. Occupational therapists are well positioned to support participation, activity pacing, caregiver education, and health management for children recovering after HSCT.
This capstone project addressed the need for developmentally appropriate fatigue management resources through the creation of multiple deliverables. The primary deliverable was the 5-Zone Pediatric Energy and Fatigue Scale (5-PET), which is …
Exploring Gaps And Opportunities For Nonprofit Support For African American Veterans: Insights From The Historymakers Digital Archive, Michael A. Davis Ii
Exploring Gaps And Opportunities For Nonprofit Support For African American Veterans: Insights From The Historymakers Digital Archive, Michael A. Davis Ii
All Capstone Projects
This study draws on qualitative thematic analysis of oral histories from The HistoryMakers Digital Archive to examine gaps in services experienced by African American veterans during their transition from military to civilian life and how nonprofit organizations can develop more resilient and equity-centered support systems to better meet veterans’ needs. The findings confirm existing literature that characterizes veteran reintegration as complex and multidimensional, while extending it by demonstrating how challenges such as mental health, employment instability, and housing insecurity are deeply interconnected and cumulative. The findings also reveal that African American veterans face additional structural barriers due to systemic inequalities …
From The Margins To Presidency: The Pathways Of African American Women Into Community College Leadership, Patricia A. Edmond
From The Margins To Presidency: The Pathways Of African American Women Into Community College Leadership, Patricia A. Edmond
All Capstone Projects
African American women hold only 7% of community college presidencies nationally, a disparity rooted not in deficits of preparation or qualification but in structural conditions shaped by the intersection of race and gender bias. This phenomenological qualitative study explored the lived experiences of six African American women currently service as community college presidents, examining how race, gender, and mentorship influence their pathways, challenges, and success strategies. Guided by the theoretical frameworks of Black Feminist Through (Collins, 2000) and Intersectionality (Crenshaw, 1989), the study collected data through semi-structured interviews, reflective narratives, and document analysis. Five themes emerged: Pathways and Access to …
Observation, Analysis, Compassion, William J. Maloney Dds, Pgcertmed, Facd
Observation, Analysis, Compassion, William J. Maloney Dds, Pgcertmed, Facd
Journal of the American College of Dentists
Drawing on examples from literature, art, and history, this article argues that optimal health care rests on a triad of observation, analysis, and compassion. Referencing physician-writers and keen observers such as Anton Chekhov, Arthur Conan Doyle, and Leonardo da Vinci, the discussion illustrates how careful attention to the human condition enhances diagnostic insight and ethical care. In the context of unprecedented global migration and strained health care systems, clinicians are challenged to move beyond technical competence toward a deeper understanding of patients’ fears, cultural barriers, and dignity. At the intersection of careful observation, thoughtful analysis, and genuine compassion, the highest …
Perceptions And Practices Of Incorporating Student-Centered Menu Items In School Meals, Kristi L. Lewis Phd, Rdn
Perceptions And Practices Of Incorporating Student-Centered Menu Items In School Meals, Kristi L. Lewis Phd, Rdn
Institute of Child Nutrition, Applied Research Division
Student-centered menu planning prioritizes learners’ preferences, nutritional needs, cultural relevance, and engagement in the development of school nutrition program offerings. Menus that reflect student preferences and incorporate student input are associated with increased meal participation and consumption. This study examined school nutrition professionals’ perceptions, best practices, and strategies for incorporating students’ voices into school-based menu planning and modification.
Using a participatory research approach, school nutrition professionals, administrators, United States Department of Agriculture Food and Nutrition Service representatives, and State agency staff participated as expert panelists and survey respondents. A literature review and qualitative expert panel responses informed the development of …
Meeting The Challenges Of Serving Scratch-Prepared Foods In School Nutrition Programs, Keith Rushing Phd, Rd, Ruaa Al Juboori Phd, Mackinsey Shahan Phd, Rdn
Meeting The Challenges Of Serving Scratch-Prepared Foods In School Nutrition Programs, Keith Rushing Phd, Rd, Ruaa Al Juboori Phd, Mackinsey Shahan Phd, Rdn
Institute of Child Nutrition, Applied Research Division
The increasing prevalence of ultra-processed foods (UPFs) in children’s diets presents a significant public health concern due to associations with obesity, metabolic disorders, poor cardiometabolic health, and reduced academic performance. Scratch cooking in school meal programs has emerged as a promising strategy for improving meal quality by emphasizing preparation from basic, minimally processed ingredients. Although research indicates that scratch-prepared meals can improve nutritional quality and student acceptance, implementation remains challenging due to operational, financial, and workforce barriers.
The purpose of this study was to identify challenges school nutrition professionals face when offering scratch-prepared meals, assess the national prevalence of these …
Covering The Care: The Fourth Trimester, Susy Hawes
Covering The Care: The Fourth Trimester, Susy Hawes
All Materials
The weeks following the birth of a baby are often described as a time of extremes: profound joy paired with deep exhaustion, vulnerability, and adjustment. For birthing people, this period involves physical recovery from childbirth, dramatic hormonal shifts, disrupted sleep, learning to feed and care for an infant, and navigating major emotional changes. While some new parents have strong support systems, others face isolation, housing instability, or unsafe home environments. This critical 12-week period after birth is now widely known as the “fourth trimester.” Although the language is new, the reality is not. Across cultures and history, the postpartum period …
A Hybrid Response Surface Methodology And Machine Learning Framework For Quantifying Effects Of Physicochemical Parameters On Pfas Distribution, Harsh V. Patel, Jazmin Green, Hyoshin Park, Stephanie Luster-Teasley Pass, Renzun Zhao
A Hybrid Response Surface Methodology And Machine Learning Framework For Quantifying Effects Of Physicochemical Parameters On Pfas Distribution, Harsh V. Patel, Jazmin Green, Hyoshin Park, Stephanie Luster-Teasley Pass, Renzun Zhao
Engineering Management & Systems Engineering Faculty Publications
Predicting PFAS adsorption across diverse adsorbents and environmental matrices remains challenging because adsorbent physicochemical properties, PFAS molecular descriptors, and operational conditions simultaneously influence adsorption. This study develops and evaluates a unified hybrid modeling framework that integrates Response Surface Model (RSM) with machine-learning algorithms to quantify how six key variables, surface area, Log Kow, pHpzc, pKa, log dose, and log-initial concentration, affect PFAS distribution coefficients (Log Kd). A data set of more than 1000 adsorption observations spanning 15 PFAS compounds, multiple adsorbent types, and a broad operational range was compiled and preprocessed using …
Retrospective Analysis And Glp-1 Usage And Thyroid Cancer, Kyle Distler, Suzanne Martinez, Des'ree Garvin, Aysu Erdemir, Jyoti Moorjani, Jean Ramos Cardona, Patrick Bailey, Jacqueline Gilmore
Retrospective Analysis And Glp-1 Usage And Thyroid Cancer, Kyle Distler, Suzanne Martinez, Des'ree Garvin, Aysu Erdemir, Jyoti Moorjani, Jean Ramos Cardona, Patrick Bailey, Jacqueline Gilmore
South Atlantic Division GME Research Days 2026
No abstract provided.
Transformational Leadership And Change Management In Equity-Centered Nonprofit Organizations, Lisa M. Merchant
Transformational Leadership And Change Management In Equity-Centered Nonprofit Organizations, Lisa M. Merchant
All Capstone Projects
This qualitative study explores how nonprofit leaders use transformational leadership strategies to respond to rapid or unprecedented change and how these behaviors contribute to resilient change management. Grounded in transformational leadership theory and change management frameworks, including Lewin’s three-stage model and Kotter’s eight-step model, this study examines leadership practices within mission-driven organizations. Semi-structured interviews were conducted with nonprofit leaders representing organizations advancing equity in areas such as education, healthcare, economic opportunity, and social justice. Findings indicate that leadership during disruption in equity-centered nonprofit organizations is not episodic; rather, it is sustained, relational, and values-anchored. Leaders sustain organizational resilience by anchoring …
More Than “Just A Misdemeanor”: Why Diversion Is Critical For Low Level Youth Offenders, Lynn Williams, Ariana M. Ellis
More Than “Just A Misdemeanor”: Why Diversion Is Critical For Low Level Youth Offenders, Lynn Williams, Ariana M. Ellis
Akron Law Student Publications
Over the past two decades, juvenile arrests have declined sharply nationwide. Yet, during this same period, policies and penalties governing youth have grown increasingly punitive. Many lawmakers continue to advance “tough on crime” legislation that subjects all youth in the juvenile justice system to the same level of sanction, regardless of the seriousness of their offense or prior legal history. This article argues that juvenile delinquency should be addressed through individualized assessments of both risk and needs, rather than through uniform punitive measures. Unnecessary or disproportionate court involvement, particularly for low-risk youth, can produce significant short- and long-term harms, disrupt …
2025 Sumner Canary Memorial Lecture: Perspectives On Judicial Restraint In Modern Originalism, Honorable Patrick Bumatay
2025 Sumner Canary Memorial Lecture: Perspectives On Judicial Restraint In Modern Originalism, Honorable Patrick Bumatay
Case Western Reserve Law Review
No abstract provided.
Culturally Sustaining Pedagogy Through Popular Music And Media In Elementary Music Education, Martina Vasil
Culturally Sustaining Pedagogy Through Popular Music And Media In Elementary Music Education, Martina Vasil
Music Faculty Publications
Elementary music teachers in the United States face many challenges today, including an increasing cultural divide between teachers and students, worsening student behavior, and excessive exposure to technology in children’s lives. These challenges are magnified due to the hundreds of students elementary music teachers see weekly, the lack of teaching and planning time, and inadequate teaching resources, making it difficult to fully understand the culture and learning needs of every child. However, music educators may find culturally sustaining pedagogy (CSP) a useful tool for meeting the needs of a diverse student body. Further, when teachers engage in kid culture, the …
Cultural Logics In Agriculture: A Critical Christian Perspective, John Hill Price, Travis Ryan Pickell, Paul Capel, Kyungsoo Yoo, Dominic Christiensen, Marie Culhane, Tyler Dick, John Deen, Erik Watkins
Cultural Logics In Agriculture: A Critical Christian Perspective, John Hill Price, Travis Ryan Pickell, Paul Capel, Kyungsoo Yoo, Dominic Christiensen, Marie Culhane, Tyler Dick, John Deen, Erik Watkins
Faculty Publications - George Fox School of Theology
Imagine a precocious, driven, and empathetic undergraduate student. She has discovered a passion and a talent for biochemistry, and wants to apply to graduate school to pursue agronomy, with the goal of returning to her rural community home after graduation. She loves science and nature; she is also a committed Christian. She has a vague sense that these things are connected, but she isn’t sure how. And to be honest, the people around her in college do not always believe these two parts of her identity are compatible. Nevertheless, she plans to pursue graduate studies and hopes her faith will …
Navigating Yellow Zone Sexual Misconduct Cases: Exploring Title Ix Administrators’ Discretion, Angela E. Hobbs
Navigating Yellow Zone Sexual Misconduct Cases: Exploring Title Ix Administrators’ Discretion, Angela E. Hobbs
Educational Leadership & Policy Studies Dissertations
This study examines how Title IX administrators exercise discretion when responding to ambiguous sexual misconduct reports referred to as yellow zone. The 2020 Title IX Rules and Regulations introduced a more restrictive definition of sexual misconduct, requiring behavior to be severe, pervasive, and objectively offensive (SPOO) to meet the threshold for formal institutional response. Despite the practical challenges these cases present for institutions, there is limited scholarly understanding of how Title IX administrators make decisions when responding to them. Guided by street-level bureaucracy theory (Lipsky, 1969, 1980, 2010), the study explored how institutional actors exercise discretion in response to regulatory …