Digital Commons Network^™

Adaptive Insole Design To Prevent Foot Ulcers In Diabetic Neuropathy Patients, Ali Ahmed Osman Abuelgasim

Masters Theses and Doctoral Dissertations

This thesis investigates whether an adaptive multilayer insole can sense high plantar pressure and redistribute load through soft robotic pneumatic actuation to prevent diabetic foot ulcers. The prototype includes a cushioning layer, a 16-zone force-sensitive resistor array, a McKibben pneumatic actuator, and a 3D-printed TPU structural base. Experimental procedures included sensor calibration, passive TPU evaluation, actuator displacement testing, localized pneumatic offloading, and closed-loop sensing-and-actuation testing, all under controlled laboratory conditions. Pressure data was converted to kilopascals and evaluated using heat maps, zone-by-zone comparisons, and measures of actuator deformation and percent change. Most sensor zones showed a pressure decrease due to …

Perceived Effectiveness Of Cigar Warnings Among Young People In The U.S., Leah M. Ranney, Rime Jebai, Michael Jetsupphasuk, Sonia A. Clark, Kristen L. Jarman, Sarah D. Kowitt, Jim Thrasher Ph.D., Ma, Ms, Adam O. Goldstein, Jennifer Cornacchione Ross

Faculty Publications

Introduction: The effectiveness of warning size and format on cigar packaging in influencing youth and young adult smoking behaviors is not well understood. This study tested these cigar warning characteristics among youth and young adults who use or are susceptible to using little cigars or cigarillos.

Methods: The study recruited 506 U.S. youth and young adults, aged 15−20 years, between April and June 2023. Participants reported ever or past 30-day use of little cigars or cigarillos or were susceptible to using little cigars or cigarillos. A 2 £ 2 between-subjects online experiment was conducted where youth and young adults were …

Measuring Administrative Hiring Confidence Of Music Teachers In The Context Of Shallow Hiring Pools, Aaron M. Strum

Dissertations

The purpose of this study was to identify and measure the confidence of K-12 administrators in hiring music faculty. This study also aimed to analyze administrators’ perspectives and confidence in key stages of the hiring process, including defining job expectations, posting, advertising, interviewing, and selecting highly specialized music teachers in K-12 settings. Confidence of K-12 administrators can be gauged through their understanding of how well an applicant aligns with the specific needs of the school’s program. Three research questions guided this investigation: (1a) How confident are K-12 administrators in their understanding of music teaching pedagogy when interviewing music teacher candidates …

Eusocial Caste Specialization Under Abiotic And Biotic Stress In A Stingless Bee, Tetragonisca Angustula, Kristin M. Robinson

Dissertations

Eusocial insects rely on division of labor to achieve high colony efficiency and provide essential ecosystem services, but specialization may also constrain colony resilience when workers operate near their physiological or behavioral limits under abiotic and biotic stressors. How specialization mediates these responses remains poorly understood, particularly in stingless bees (Tribe: Meliponini). Using the agriculturally relevant stingless bee Tetragonisca angustula, which possesses a specialized soldier subcaste, I investigated how a high degree of worker specialization influences physiological tolerance and predator responses across worker subcastes.

In this dissertation, I quantified variation in thermal tolerance and desiccation resistance among worker subcastes …

Blueprints For Resilience: A Delphi Study Of Architects' Competencies In Gulf Coast States, Richard J. Cantu

Dissertations

This study identifies and defines core competencies for licensed architects practicing in Gulf Coast states, emphasizing their critical role in protecting health, safety, and welfare (HSW) amid the region’s unique environmental challenges. Hurricanes, flooding, climate-induced risks, and other coastal hazards demand specialized expertise that existing architectural competency models do not adequately address. Leveraging Delphi’s research design, this study engaged Gulf Coast experts to develop and refine a region-specific competency framework across four iterative rounds. The findings highlighted the essential knowledge, skills, and abilities required for resilient and sustainable architectural practice. The study advances architecture’s human capital development (HCD) by addressing …

A Trombone Studio Teacher's Guide To Non-Injury-Related Embouchure Changes, Austin A. Handley

Dissertations

This dissertation is a pedagogical guide for trombone studio teachers who will lead students through embouchure changes. These changes and adjustments are normal in brass pedagogy, but there is limited literature that addresses how teachers should identify the need for change, initiate the process, and support students through it. There are a growing number of resources available about embouchure injury and dysfunction, rehabilitation, and long-term prevention. This leaves a gap for teachers who are trying to help students using an inefficient embouchure setup.

The purpose of this study is to provide a practical resource for teachers by examining the experiences …

Why They Stay: A Qualitative Study Of Experiences Of Veteran Low-Incidence Self-Contained Special Education Teachers Who Remain In The Profession, Jessie Leyden

Dissertations

Persistent shortages of special education teachers in the United States have intensified the need to understand not only why some educators leave, but why others choose to stay. The purpose of this qualitative case study was to understand the experiences of veteran special education teachers working in low-incidence, self-contained classrooms who choose to remain in the profession. With a particular focus on the factors that contribute to their retention beyond the first three years, the study involved a sample of ten low-incidence, self-contained teachers from a variety of states across the country. Using semi-structured interviews, the study explored how these …

History-Dependent Gain Control In The Paraventricular Thalamus: Neural Substrates Of Stress-Enhanced Fear Learning, Michael Martino

MUSC Theses and Dissertations

Post-traumatic stress disorder (PTSD) is characterized by hyperarousal and heightened reactivity that generalize beyond the original traumatic event, yet the neural mechanisms by which prior stress experience biases future fear learning remain poorly understood. Stress-enhanced fear learning (SEFL) is a well-validated rodent model of this phenomenon, in which a severe stressor produces persistent sensitization of subsequent fear acquisition. This dissertation used a 30-day SEFL paradigm to identify the brain-wide functional signature of stress sensitization and to identify candidate neural substrates.

Whole-brain cFos mapping during acute fear acquisition revealed a predominant pattern of suppressed neural activity in sensitized animals, with limbic …

Supporting Occupational Engagement And Regulation For Pediatric Multiple Sclerosis, Robert E. Oehl 3rd, Zeida Gutierrez

Summer 2026 OTD Capstone Symposium

Children diagnosed with pediatric multiple sclerosis (MS) can face cognitive, physical, and emotional symptoms. The symptoms they experience can be barriers to participation in occupations and activities of daily living. For occupational therapy, there is very limited resources for pediatric MS specifically, and it is almost an unknown diagnosis. Occupational therapy in management can help ensure that children reach their developmental milestones in mobility, grasp, social, cognitive, and academic circles. This capstone project was meant to improve awareness and comprehensive treatment and resources through program development. The capstone experience resulted in a project featuring a webinar about pediatric MS and …

Unleashing Potential: Educating Ot Practitioners On Animal-Assisted Therapy For Children With Cp, Karley B. Smith, Lakeisa Boykin

Summer 2026 OTD Capstone Symposium

The purpose of this capstone project is to develop and evaluate the efficacy of an animal-assisted therapy educational package for occupational therapy practitioners treating children with cerebral palsy. This educational package serves as an adjunctive occupational therapy service to address the ongoing need for engaging, holistic interventions that support motor development and participation. The primary focus of this project is practitioner education and training to promote safe, structured, and clinically sound integration of animal-assisted therapy into occupational therapy practice. The methods for this project included a literature review, informal needs assessment, development of an educational package, QR code video demonstrations, …

The Scoop, Vol. 13 Issue 5, August 2026, Health Sciences Library

Volume 13

Latest news and updates from the Health Sciences Library in our monthly newsletter for August 2026. Please see page 2 for a text-only version of this issue!

Issue 25: Beyond Blame: Gender-Based Violence Prevention And African Diaspora Communities In The Waterloo Region, Halima Ahmed, Valdrin Dragusha, Stella Omonigho, Fadhilah Balogun

International Migration Research Centre

Gender-Based Violence (GBV) remains a critical social, public health, and governance challenge in Canada, particularly for migrant and refugee women (Tastsoglou, 2025). This is increasingly prominent at the local level in the Waterloo Region, particularly for African and racialized diaspora communities navigating settlement, integration, and institutional access. While multi-level governance and frameworks exist at the city, regional, provincial, and federal levels to address GBV, they tend to work in silos, and local implementation gaps persist. The gaps are shaped by cultural stigma, fragmented service delivery, precarious immigration status, formalinformal networks of support, and unequal access to culturally responsive support systems. …

Implementing Mindfulness Practices To Support Student Self-Regulation: A Qualitative Study Of Elementary Teacher Experiences, Shana Orr

Electronic Theses and Dissertations

The purpose of this phenomenological qualitative study was to explore elementary teachers’ lived experiences of the implementation of mindfulness practices to support self-regulation in students. Although mindfulness practices have increasingly been incorporated into elementary classrooms, limited qualitative research has examined teachers’ experiences implementing these practices and their lived experiences of student engagement. While there is research on the Multi-Tiered Systems of Support (MTSS) and the Collaborative for Academic, Social, and Emotional Learning (CASEL) competencies, the focus on schoolwide implementation of mindfulness strategies expand the literature to close a gap on elementary school teachers’ experiences implementing mindfulness practices in Tennessee.

A …

Building Services Engineering July/August 2026

Building Services Engineering

This issue of Building Services Engineering features heat pumps, propane usage, solar power, and ventilation for indoor air quality. Features include district heating, HVACR optimisation, lift retrofitting, EU water policy, and an interview with WiBSE Ireland Chair Heather Holt.

Vol 71 #4, Rebecca Chavez

MPLA Newsletter

No abstract provided.

Exploring Discretionary Benefits’ Impact On Michigan Public Sector Employees, Sydnie N. Smith

Master of Public Administration Capstone Papers

Productivity, well-being, and retention are factors that impact organizational success and goal attainment; in the public sector in Michigan, employees are the most valuable asset. This research paper seeks to answer the following question: How does the adoption of unlimited PTO policies shape workforce morale, productivity, and retention in public sector employment? Current research into paid leave policy’s impact on employees is scant, it is further limited in the scope of public sector employees. This paper believes that research is needed to determine the relationship between paid leave benefits and employee productivity, well-being/morale, and retention as it could improve public …

Mamma Mia: A Study Of Catholicism, Secularization, And Their Influences On Modern Italian, Lara Zanotti

Undergraduate Honors Theses

This study explores the relationship between religion and language by examining how Catholicism and secularization have shaped modern Italian. While the historical influence of the Catholic Church on Italian is well established, less attention has been given to how recent secularizing trends have transformed the language at lexical, discursive, and sociolinguistic levels. Addressing this gap, the study asks: how have Italy’s deep-rooted Catholic traditions and its more recent shift toward secularization influenced the meanings, frequency, and use of religiously rooted expressions in modern Italian?

Using a mixed-methods approach, this project combines corpus-based linguistic analysis with qualitative analysis. Diachronic data from …

​​Hospital-Acquired Pressure Injury Prevention In The Sutter Sacramento Cardiac Care Unit ​Qi Proposal, Angelina Lucido, Amy Roderick, Karly Link

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

Background: Hospital-acquired pressure injuries (HAPIs) remain a significant source of preventable patient harm despite established prevention protocols. In the Cardiac Care Unit (CCU) at Sutter Medical Center Sacramento, inconsistent patient education and limited patient engagement were identified as potential contributors to ongoing HAPI occurrence. This quality improvement (QI) project evaluated whether implementing structured, individualized patient education could strengthen existing pressure injury prevention efforts.

Methods: A seven-week QI project was conducted in the CCU using the Plan-Do-Study-Act (PDSA) framework. The intervention consisted of nurse-led, individualized pressure injury prevention (PIP) education supported by a standardized patient handout tailored to each patient's risk …

Reducing Falls In The Cardiac Care Unit: An Improvement Project, Andrea Otero, Aryanna Campa, Nia Butac

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

Abstract

Background: Patient falls persist as a leading cause of preventable harm in hospitals, particularly among cardiac care patients who are at increased risk because of medication effects and mobility limitations. Despite existing fall `prevention measures in the Cardiac Care Unit (CCU) at Sutter Medical Center, Sacramento, 43 falls occurred, highlighting the need for improved patient education and consistent staff communication.

Purpose: This quality improvement project evaluated the effectiveness of implementing a standardized fall prevention communication script to reduce the average monthly fall rate in the CCU from 3.583 to fewer than 2 falls per month.

Methods: Using the Plan-Do-Study-Act …

Improving Clostridioides Difficile Prevention Practices Through Standardized Stool Collection And Hand Hygiene, Dunya Khateeb, Laura Martin, Jessica Zhang

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

Healthcare-associated Clostridioides difficile (C. diff) infections increase patient morbidity, length of stay, and healthcare costs (Simor, 2010). Our quality improvement project seeks to reduce C. diff infection rates and enhance prevention practices on the Med-Acute Unit at Sutter Medical Center Sacramento (SMCS) by utilizing the Plan-Do-Study-Act (PDSA) framework. Interventions will be implemented between March 2026 and July 2026. The project examined whether introducing a standardized stool collection tote and improving hand hygiene compliance would reduce C. diff infection rates. Participants included all nursing staff on the unit. Data is being collected through observational hand hygiene audits, collaboration with the SMCS …

Improving Knowledge Of Obesity-Related Risks And Healthy Lifestyle Behaviors In Adolescents, Tehroop Notra, Samreet Kaur, Karina Heredia

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

This quality improvement project evaluated the effectiveness of a school-based educational intervention aimed at improving ninth-grade students’ knowledge and understanding of obesity prevention, nutrition, and physical activity. Adolescent obesity remains a significant public health concern, showcasing the need for early, evidence-based education. A total of 57 students participated in the two classroom sessions. Of these students, 49 completed the pre-intervention survey, and 48 completed the post-intervention survey. The intervention included an interactive presentation, group discussions, and educational materials. Student knowledge was assessed using a six-item survey administered before and after the session. The results demonstrated improvements across multiple knowledge areas, …

Business Responsibility And Sustainability In India : A Comprehensive Analysis Of Brsr Disclosures Of India’S Top 1,000 Listed Companies For Fy 2024–25, Rajeev Ranjan Tripathi, Aditya Gupta, Mohan Krishna, Sonika Gandhi

Monograph and Other Reports

The intersection of capital markets, corporate governance, and sustainable development has, over three decades, given rise to a transformative shift in management practice: the systematic disclosure and evaluation of Environmental, Social, and Governance (ESG) performance. Once confined to niche ethical investment circles, ESG reporting has evolved into a mainstream imperative, shaping investment decisions, regulatory frameworks, and stakeholder expectations across both developed and emerging economies. Today, ESG performance is no longer an addendum to financial reporting but a substantive dimension of enterprise value and long-term organisational legitimacy. India’s ESG reporting journey reflects a trajectory of incremental but decisive policy evolution. The …

Id-More Vision: Real-Data Machine-Learning Assessment For A Digital-Twin-Inspired, Xr-Ready Rehabilitation Prototype, Rickey L. Clark

Master's Theses

Rehabilitation assessment often relies on periodic observation, while many XR prototypes show scripted rather than recorded-motion evidence. iD-MORE Vision is an offline pipeline trained on KIMORE and IRDS and linked through JSON packets to a two-mode Unity desktop prototype. Both datasets include controls and rehabilitation participants with neurologic, musculoskeletal, or mobility impairments. This improves relevance but does not clinically validate the system.

Under fixed subject-wise splits, the primary five-seed Random Forest predicted KIMORE clinician scores with MAE 6.087 ± 0.044 cTS and R² 0.568 ± 0.006; the subject-level R² interval crossed zero. The primary IRDS five-run CUDA GRU averaged 0.877 …

Wisdom In Counseling And Psychotherapy: A Conceptual Model For Practice, Mitchell Waters

Posters

Wisdom is increasingly recognized as an important construct in counseling and psychotherapy, yet its clinical application remains underdeveloped. This article presents an integrative model of wisdom as a dynamic, context-sensitive capacity that coordinates cognitive, affective, temporal, and spiritual processes in response to complex life challenges. The model includes four dimensions: (a) cognitive-affective integration, combining emotion and reason; (b) temporal integration, linking past experiences with future possibilities; (c) intrinsic spirituality, fostering meaning-making and reducing egocentric bias; and (d) regulatory flexibility, enabling adaptive shifts among domains. Implications for therapeutic practice, outcomes, and future research are discussed.

More Than A Profession: A Calling In Social Work, Paulette Lingle

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Reciprocal Teaching With Emergent Bilingual Students: Promoting Academic Reading Strategies And Fostering Hope, Lorissa K. Nelson

All Graduate Theses and Dissertations, Fall 2023 to Present

Many students struggle with reading comprehension, and research shows that low literacy skills in a student’s first language can unfortunately lead to lower rates of university program completion, regardless of the language of instruction. When students feel empowered and confident in their ability to achieve their academic goals, they are much more likely to take ownership of their learning. In fact, students who actively demonstrate hopeful thinking and behaviors are consistently more successful in their academic journeys.

My research explores how we can better support these high school students— specifically concurrent enrollment (CE) students—by examining the impact of Reciprocal Teaching. …

"In Any Other Circumstance I Am Not In Work Mode. I Am Clocked Out": Chappell Roan And The Objectified Persona, Aubry Louise

All Graduate Theses and Dissertations, Fall 2023 to Present

It is known that celebrities have influence on their audience’s attitudes and behaviors. Within the last few decades, multiple celebrities have created distinctions between their public/stage self and their private self, however, less is known about the ways that they differentiate between the two. This paper looks at celebrity public persona’s and how these persona’s influence their audience. I use Kayleigh Amstutz, otherwise known as Chappell Roan, as my case study. This thesis offers an analysis of how Amstutz talks about Kayleigh differently than Chappell within social media posts, interviews, and commentary from media outlets. I use the concepts of …

The Role Of Autonomy, Competence, And Relatedness In The Relationship Between Ai Use, Resilience, And Motivation Among Engineering Students, Daniel Kane

All Graduate Theses and Dissertations, Fall 2023 to Present

The purpose of this study was to determine how the widespread use of Artificial Intelligence (AI) influences engineering students’ motivation and resilience. Specifically, the role of autonomy, competence, and relatedness as defined in Self-Determination Theory (SDT) was assessed to determine how these basic psychological needs interact with students’ AI use and motivation or resilience. The following research questions guided the study: (1) To what extent do the three basic psychological needs defined in SDT (autonomy, competence, and relatedness) mediate the relationship between the frequency of AI use and students’ levels of motivation (on the self-determination continuum) or resilience in an …

Integrative Taxonomic Analysis Of Cryptic Species Diversity In The Spiny Witch-Hazel Gall Aphid, Hamamelistes Spinosus (Hemiptera: Aphididae: Hormaphidini) In Eastern North America, Gavin Andrew Powell Munson

All Graduate Theses and Dissertations, Fall 2023 to Present

Taxonomy is the practice of identifying, classifying and categorizing species, providing structure for the vast diversity of life. Aphids are an ecologically important group of soft-bodied insects, but they can be difficult to identify because of their tiny anatomical size, reduced or simplified morphological features, and morphological variation within a single species across different generations. In this study, the taxonomy of the spiny witch-hazel gall aphid, Hamamelistes spinosus, is revised. The complex multi-generational life cycle of the aphids, which alternates between witch-hazel and birch trees, has led to confusion regarding past descriptions. Scientists in the late 1800s who were …

Nutrient Leaching Under Traditional And Intercropped Cover Crop Fields In Northern Utah, Katherine Hewitt

All Graduate Theses and Dissertations, Fall 2023 to Present

This study examines whether cover crops can be used in Utah and the Intermountain West to improve water quality and reduce contamination due to nutrient leaching from agricultural soils into the groundwater. Cover crops such as grasses, clover, and other seed mixtures can be planted to improve soil health, increasing the soil’s ability to retain water and nutrients, which reduces the amount of nitrate and phosphate fertilizers lost through leaching and contamination. In Utah, short growing seasons and limited irrigation water availability hinder the ability to establish cover crops. By planting the cover crop between the rows (intercropping) when the …