Digital Commons Network^™

Improving Maternal Health: Investigating The Early Impacts Of Medicaid Coverage Of Doulas In Oregon, Miriam Akhmetshin

Scripps Senior Theses

While the U.S. spends more per-capita than any country on healthcare, we experience the worst maternal health outcomes of high-income nations. In addition to hefty healthcare bills, an overwhelming majority of mothers experience pregnancy-related health issues that decrease productivity and utility. Thus, it is critical to research cost-effective solutions that can improve maternal health and promote equitable outcomes. Doulas are trained non-medical professionals who support mothers and families before, during and after birth. As a growing body of medical literature points to the role of doulas in decreasing costly medical interventions, insurance companies have begun covering their services. In 2014, …

These Roots Run Deep: The Exploitative And Progressive Legacy Of California's Citrus Industry, Pia N. Snellman

Scripps Senior Theses

While California’s modern citrus production is mainly centered in the Central Valley, Southern California was once the home of hundreds of thousands of commercial citrus groves. These groves have since been replaced with residential and industrial development, but the history and physical development associated with the citrus belt continue to affect this region. This thesis examines whether Southern California’s citrus industry has had a progressive or exploitative lasting legacy. Focusing on the impacts that this industry has had on environmental, social, and suburban contexts, this thesis suggests that exploitation and progress mark the orange empire’s legacy through opposing yet dynamic …

Food Stamp Participation And Health Outcomes In Ca Immigrants, Esther Kang

Scripps Senior Theses

The U.S. social welfare system includes programs aiming to increase access to nutritious food to reduce nutrition insecurity. However, studies suggest that immigrants continue to face disproportionate risks of nutrition insecurity and may face barriers to enrollment due to legal status. This study, using secondary data from the 2023 California Health Interview Survey, examines the associations between food stamp participation, food insecurity, and clinical diagnosis of diabetes among adult U.S.-born, naturalized, and non-citizen adults in California. The findings suggest that those enrolled in food stamps are more likely to report food insecurity than those who are not enrolled, and that …

Enhancing Discharge Knowledge In Adolescent Behavioral Health Patients By Evaluating Nurses’ Use Of The Teach-Back Method, Mark Perpose

Doctor of Nursing Practice Projects

This quality improvement project evaluated the impact of a teach-back refresher course on nurses’ discharge education practices within an inpatient adolescent behavioral health setting. Nurses participated in refresher training and completed pre- and post-intervention surveys, while patient surveys assessed discharge understanding and readiness. Findings demonstrated positive patient satisfaction, understanding of discharge instructions, and confidence managing care at home. Ongoing workflow and communication barriers highlighted the need for continued staff development and reinforcement of teach-back to support consistent discharge education practices and improve transitional care outcomes.

Empowering Stroke Survivors Through Video Education On Post-Stroke Depression, Breanna Ho, Odavie Okonda

Doctor of Nursing Practice Projects

Background: Post-stroke depression (PSD) is a common complication following stroke and is associated with poor rehabilitation, reduced quality of life, increased rehospitalization, and higher mortality. PSD remains underrecognized and undertreated due to limited emotional health education during discharge planning. Objective: This quality improvement project evaluated whether video-based education improved stroke survivors’ knowledge of PSD, coping strategies, and available healthcare resources before hospital discharge. Methods: A pre-experimental one-group pretest/posttest design was implemented on the inpatient stroke units of the region’s largest Comprehensive Stroke Center (CSC), where the highest level of complex stroke care is given. Adult stroke survivors preparing for discharge …

Evaluating Impacts Of Second Victimhood In The Emergency Department Using The Svest-R, Elliott Barronian

Doctor of Nursing Practice Projects

No abstract provided.

Left Ventricular Noncompactation: A Case Of Preserved Function In An Asymptomatic Adult, Daya Woodyard

Bachelor of Science in Diagnostic Ultrasound Projects

This case study presents a 40-year-old female in for an annual echocardiogram. Diagnostic evaluation included a transthoracic echocardiogram (TTE), cardiac CT, MRI, and genetic testing. Echocardiographic findings demonstrated prominent trabeculation consistent with left ventricular non-compaction (LVNC). Cardiac function was otherwise normal with an ejection fraction of 55% and no hemodynamically significant valvular heart disease. Cardiac CT further supported the diagnosis by revealing prominent right-sided trabeculi. Despite these structural abnormalities, the patient remained fairly asymptomatic with management consisting of routine TTE every 6-12 months and a 14-day Holter patch to monitor for arrhythmias. This case demonstrates the importance of multimodality imaging …

Investigation Of Thrombophilia As A Causative Factor In Acute Limb Ischemia: A Case Report On Antiphospholipid Syndrome And Protein C & S Deficiency, Leah Dorsey

Bachelor of Science in Diagnostic Ultrasound Projects

Acute limb ischemia (ALI) represents an abrupt decrease in arterial perfusion that endangers life and limb viability. This pathology is rarely seen in younger populations with no significant comorbidities such as peripheral arterial disease or diabetes. One uncommon cause of ALI includes hypercoagulable states from acquired or inherited thrombophilias such as antiphospholipid syndrome and Protein C & S deficiency. This report examines a case of Rutherford 2A acute limb ischemia in a 45-year-old male patient who presented with paresthesia and worsening pain in his right lower extremity. Due to the emergent nature of ALI, swift diagnosis and prompt revascularization to …

The Myth Of Capitalism, Marcus Mosquera

Master of Liberal Studies Theses

Capitalism is a contentious topic in contemporary political discourse. Understandings of capitalism vary dramatically, particularly in a polarized political climate. This thesis aims to shed light on the history of capitalism, detailing how it arose, what its fundamental features are, and on what grounds it is defended and criticized in the United States following World War II. Far from being objective, many understandings of capitalism are infused with emotional and dramatic framing devices that elevate these worldviews to the level of myth. This analysis will assess the ways that views on capitalism deploy the concept of myth and storytelling to …

Civic Grammar: Why Classical Architecture Endures In The American State, Jesse Walker

Master of Liberal Studies Theses

The dominant visual language of American federal buildings has been classical, surviving repeated ideological challenges, professional revolts, and political controversy. While this persistence has been widely observed, the mechanism behind it has not been clearly identified. This thesis isolates that mechanism. Drawing on architectural history, federal procurement policy, and primary sources from Jefferson's correspondence through the executive orders of 2020 and 2025, it argues that classicism endures not because its meaning has remained stable, but because federal architecture is governed by a persistent functional constraint: government buildings must be immediately legible to an ordinary citizen, without signage or prior knowledge, …

The Importance Of After-School Programs For Middle And High School Students, Chelsey Wright

Integrated Studies

After-school programs for middle and high school students have become an important part of today’s education system. They started as safe places for students after-school, but now they also help students succeed academically, develop social and emotional skills, involve families, and offer more learning opportunities. Programs like the 21st Century Community Learning Centers (21st CCLC) are among the largest federally funded after-school efforts in the U.S., focusing on underserved and high-poverty areas. This paper reviews national studies, peer-reviewed research, meta-analyses, dissertations, conference presentations, and insights from practitioners, including an interview with Hillary Bumpus, a program coordinator with ten years of …

From Teleprompter To Table Talk: How Authenticity Is Replacing Perceived Objectivity, Hannah Bullard

Integrated Studies

Abstract

This thesis will be titled “From Teleprompter to Table Talk: How Authenticity is Replacing Perceived Objectivity”. The paper will analyze why the American audience has increasingly begun to shift their trust from traditional media to personality driven sources, primarily podcasts, to receive their news. This paper will dive into the numbers showing an undeniable decline in legacy media viewers and an exponential growth in podcast viewership. Obtaining points of view from multiple sources on media analysis, this thesis will argue that podcasters and other alternative sources of news, create trust with your viewers through authenticity and transparency. Consequentially, it …

Advancing Nanotechnology For Hematological And Osteological Disorders, Chase K. Hamilton

Integrated Studies

When people think of medicine, they often picture stethoscopes, routine clinical checkups, surgeries, and standard prescriptions. One field that needs more acknowledgement is the technological side. As technology continues to evolve, healthcare advances alongside it, with nanotechnology emerging as a substantial area of innovation. This paper reflects the expanding role of nanotechnology in modern medicine, focusing on its potential applications in trauma and internal medicine care and in the treatment of blood and bone disorders as well as bone and blood related cancers. By working at an extremely small scale, nanotechnology allows for more precise and targeted treatment, reducing damage …

Role Of Trauma-Informed Care In Promoting Child And Family Well-Being, Chloe Goins

Integrated Studies

Children and families all over the world experience trauma in all different ways, including abuse, neglect, instability, family separation, or poverty. Trauma-informed care has been critical within the child welfare system emphasizing the need for social workers to understand the impact of trauma as they navigate solutions that promote healing and not retraumatization. This paper examines the role of trauma-informed care within child welfare systems in establishing ethical and social practice focused on the well-being of the children and their families. Deriving from trauma theory, attachment theory, and research on the neurobiology of trauma this paper digs deep into how …

Understanding Child Development Through Social And Environmental Systems, Collin E. Curling

Integrated Studies

For this 50-page research paper, this study focuses on “The Role of Family Structure in Childhood Development.” The categories examined in this research include: Two-parent households, Single-parent households, Blended/Stepfamilies, Multigenerational households, and Foster and adoptive families. This research seeks to demonstrate the impact of different family structures impact and influence the developmental states of children. Using perspectives from education, economics, psychology, sociology, and public policy, this study argues that the structure of families alone does not determine the development of the child. Instead, factors such as family stability, access to resources, quality of relationships, and cultural context play a huge …

The Role Of Dental Hygienists In Preventive Care, Chloe Robinson

Integrated Studies

Preventive care is a critical component of overall health, yet oral health is often overlooked within the broader healthcare system. Dental hygienists play a vital role in addressing this gap by providing preventive services, patient education, early disease detection, and advocacy for long-term oral and systemic health. The purpose of this paper is to examine the role of dental hygienists in preventive care and to explore how their responsibilities extend beyond traditional clinical tasks to include education, public health initiatives, and interprofessional collaboration. Through a review of current literature, this paper highlights the impact dental hygienists have on improving patient …

Public Libraries: Communities Need Them To Survive, Genesis Wilson

Integrated Studies

Public libraries continue to play a highly impactful and transformative role in community life, even as digital technologies reshape how individuals access information, participate in civic life, and access social support. The literature consistently shows that public libraries function not only as information centers but also as inclusive community anchors that advance digital equity, civic engagement, lifelong learning, and social well-being. Drawing on research from respected scholars such as Akst, Alemanne et al., Lewis, Elmborg, and Schencker, this literature review integrates key themes related to public libraries as community builders, technology and broadband leaders, and essential social support systems for …

Silent Longevity: A Rare Case Of Unrepaired Tetralogy Of Fallot In Adulthood, Michelle De La Torre

Bachelor of Science in Diagnostic Ultrasound Projects

This case describes the findings of a 65-year-old patient with unrepaired Tetralogy of Fallot (TOF) and explores factors contributing to prolonged survival without intervention. Transthoracic echocardiography (TTE) confirmed the four characteristic anatomical features of Tetralogy of Fallot. The literature indicates that adult survival without surgical repair is rare and influenced by the severity of right ventricular outflow tract (RVOT) obstruction, ventricular septal defect (VSD) size, and systemic pulmonary collateral circulation. This case highlights that adults with unrepaired TOF may remain asymptomatic despite significant anatomical abnormalities and emphasizes the importance of equitable multidisciplinary care.

Improving Flood Risk Mapping By Incorporating Local-Scale Calibration Data Derived From Stakeholder Input, Jennifer M. Holifield, Wei Wu, Patrick D. Biber, Margo Posten, Dennis Mcgrury, Stephen C. Deal, Alexandria Hancock

Gulf and Caribbean Research

Globally, flooding is the most frequent and costly natural hazards, disproportionately affecting populations based on environmental, social, and economic factors. Understanding the spatial variability of flood risk as well as the respective flood drivers is essential for informing cost-effective mitigation strategies and enhancing community resilience. Here we mapped flood risk that combines flood hazards and vulnerability in an under-resourced coastal community prone to compound flooding. Our approach integrates stakeholder engagement with GIS-based analysis using open-access datasets.

We first developed an initial flood hazard map using an equal-weight combination of factors commonly associated with flood occurrence/prevention, including upslope area, impervious surface …

Forage Legume Community Dynamics In Response To Stand Management, Nicholas Warren

Doctoral Dissertations

A primary challenge for perennial forage production systems is maintaining crop productivity and forage quality over time. Including legume species in these systems is an opportunity to reduce external inputs, to extend the seasonal productivity of a pasture, and to balance the nutritional characteristics of grass species. However, legume persistence in mixed stands is frequently poor. Identifying harvest practices, legume species, or species mixtures that improve legume persistence would help to maximize the ecosystem services of forages. I conducted a four-year field experiment (2019 to 2022) in southeastern New Hampshire to evaluate the productivity and persistence of four perennial legumes …

A Period And Cohort Analysis Of Sustained Fertility Decline In The United States, Tyrus Parker

Doctoral Dissertations

Fertility rates in the United States have declined by 21 percent since the most recent peak in 2007. Despite more childbearing-aged women in the United States, this fertility rate decline has resulted in fewer births. Tracking these shifts is not a purely demographic exercise. Rather, a declining number of births has wide-ranging effects on society, including school closures, loss of labor and delivery centers, and eventually labor force implications as the number of workers shrinks. To examine the causes of modern fertility decline, this dissertation contains three interrelated analyses. I first examine population-wide fertility trends using data from the Center …

Syrup Production And Tree Physiology, David Blakney Moore

Doctoral Dissertations

Maple (Acer spp.) syrup production is a culturally and economically important activity in North America, and other types of trees are economically important (or show potential to become more economically important) for their syrup as well. For both established and novel syrup-producing trees, questions remain about tapping sustainability and the physiological mechanisms that underpin winter-dormant-season stem-pressurization cycles, which create the pressures necessary for sap harvesting. I investigated aspects of tapping sustainability related to two important xylem functions, storage and transport. I measured nonstructural carbohydrate concentrations and radial growth of tapped and untapped sugar maples (Acer saccharum) and found a weak …

The Intertemporal Law Doctrine’S Application To The Acquisition Of Colonies In The Americas, Kent Mcneil

All Papers

The intertemporal doctrine provides that international disputes have to be resolved in accordance with the international law that existed at the time the events giving rise to the dispute took place, not at the time the matter is adjudicated.1 It is thought to be impermissible to apply current standards to events that occurred in the past when different legal principles and rules were the norm. This doctrine applies as much to acquisition of colonies as to other international issues.2 So in order to determine whether a European nation acquired sovereignty over an overseas territory, it is necessary to determine and …

Performance-Based Funding’S Influence On Higher Education Through The Eyes Of Department Chairs, Jonathan W. Lackland

Theses and Dissertations

Performance-based funding (PBF) has become a widely adopted policy in higher education, linking state appropriations to measurable outcomes such as graduation rates, degree completions, and workforce alignment. While PBF aims to enhance institutional accountability and efficiency, its implementation has raised significant concerns about equity and political influence. This dissertation examines the political equity and implications of PBF policies through a mixed-methods approach, including surveys, interviews with department chairs, and critical discourse analysis of state statutes and legislative debates. The findings reveal that PBF often exacerbates inequities, particularly for non-flagship universities serving diverse and under-resourced student populations. Department chairs expressed concerns …

An Application Of Molecular Dynamics To Hed Plasma Physics: Point And Group Defect Diffusion In Coulomb Crystals, Levi Webb

Theses and Dissertations

Molecular dynamics (MD) simulations are used to explore the microscopic behaviors of complex systems that cannot be easily studied experimentally. In particular, the microphysics of high energy density (HED) astrophysical plasma environments remain inaccessible by modern experiment---even in laser facilities, these plasmas exist only on short timescales that do not lend easily to investigation. The diffusion of point and group defects through crystallized plasmas in the cores of white dwarfs and neutron star crusts, called Coulomb crystals, has potentially macroscopic implications for the evolution of these bodies. Thus, I employ the widely-used MD code LAMMPS to simulate small Coulomb crystal …

The Impact Of Sports Betting Legalization On Marital Status, Hosea Gitonga Njogu

Theses and Dissertations

This study examines the causal Impact of sports gambling legalization on marital stability in the United States using data from the Current Population Survey Annual Social and Economic Supplement (CPS-ASEC) and the American Community Survey (ACS) from 2013 to 2024. The analysis leverages variation in the staggered adoption of state-level sports gambling laws and applies two-way fixed effects, event-study, and the Callaway and Sant’Anna (2021) difference-in-differences estimators, controlling for geographic and individual characteristics. Legalization increases divorce rates by 0.42 percentage points in the CPS and 0.51 percentage points in the ACS, corresponding to increases of 2.4% and 2.6%, or approximately …

Campus Sexual Assault: Cybersex At Bucknell, Rebecca Bonomo

Master’s Theses

Campus sexual assault continues to be a prevalent problem, particularly at Bucknell. The present study is the first study out of Bucknell Campus Sexual Assault Research team to explore the new module of the Sexual Experiences Survey - Victimization (SESV) Cybersex (Koss et al., 2024). This is a mixed methods approach to exploring cybersex at Bucknell. The study explored prevalence rates, differences between gender binary, sexual orientation, and post-traumatic stress symptoms. The first hypothesis was that cybersex victimization will be prevalent at Bucknell. The next hypothesis was that women and sexual minorities would have higher rates of cybersex scores than …

Feasibility Of Upcycling Spent Lithium-Ion Battery To Carbon Dioxide Capture Adsorbent, Chimezie Frank Onwudinjo

Master’s Theses

This study investigates the feasibility of repurposing spent lithium-ion battery (SLIB) to lithium orthosilicate (Li₄SiO₄), a high temperature carbon dioxide sorbent. Two synthesis pathways including conventional acid-leaching method (Scenario 1) and a pyrolysis-based route (Scenario 2) were explored. Additionally, techno-economic analysis (TEA) and lifecycle assessment (LCA) of the two processes were also performed. Different analytical characterization techniques were performed to understand the material properties of Li₄SiO₄ including surface area, crystallinity, morphology and thermal stability. CO₂ capture performance of the synthesized Li₄SiO₄ was tested in a thermogravimetric analyzer (TGA) using …

From The Big Leagues To Little League. Identity Tensions And Experiences Of Former Elite Athletes Coaching Their Children In Athletics, Jake Manning

Theses, Dissertations and Capstones

For many families, their children’s athletic activities are a primary source of parent-child bonding for both parents and children, and many parents choose to coach their children’s sports teams to be more involved. While research shows the benefits and challenges that come when the parent navigates a dual role of parent and coach, research has not yet looked at parents who played sports at a professional or collegiate level. Through semi-structured interviews with 5 former elite athletes who coached their children in athletics, this study applies communication theory of identity to analyze their experience and explore the benefits and challenges …

Discovering Naturally Occurring Antifreeze Peptides From Microbiome By Integrating Protein Language Models And Molecular Dynamics Simulation, Ibrahim A. Imam, Trevor Morey, Yuexu Jiang, Duolin Wang, Dong Xu, Qing Shao

Chemical and Materials Engineering Faculty Publications

Antifreeze peptides inhibit ice crystal growth and recrystallization, and are promising components of cryoprotective formulations for cell, tissue, and food preservation, as well as anti-icing surface coatings. However, the discovery of new antifreeze peptides has been hindered by their sequence diversity and the limited scalability of experimental screening. In this study, we identify novel antifreeze peptide candidates from a microbiome-derived sequence library using ensemble machine learning and molecular dynamics (MD) simulations. We developed an ensemble classifier composed of 10 adapter-tuned protein-language models and a random forest meta-learner. After training on a curated dataset of 73 766 sequences, we applied this …