Digital Commons Network^™

Improving Continuity Of Care: Evaluating Universal Nursing Handoff Sheets, Elizabeth Ifeloluwa Sanya

Doctor of Nursing Practice Scholarly Projects

Effective communication during nursing handoffs is essential for safe, patient-centered care, as breakdowns in communication are a leading cause of adverse patient outcomes. At a large academic level I trauma center, inconsistent nursing handoff practices were identified across progressive care units following the COVID-19 pandemic. This variability contributed to incomplete transfer of patient information and was associated with increased patient safety incidents, including delayed wound care, central line dressing lapses, and medication errors involving high-alert therapies. The purpose of this DNP project was to plan, implement, and evaluate the use of  standardized nursing handoff sheet and its impact on continuity …

A Qualitative Study Of Key “Regulatory” Factors Influencing Patient Access To Medical Assistance In Dying In Canada, Ruthie Jeanneret, Eliana Close, Jocelyn Downie, Ben P. White

Dalhousie Law Journal

Medical assistance in dying (“MAiD”) was legalized federally in Canada after the landmark case, Carter v Canada (AG), 2015 SCC 5. Bill C-14 introduced a federal legislative framework for MAiD in 2016, which was amended by Bill C-7 in 2021. Some Bill C-7 amendments directly responded to the decision in Truchon c Canada (PG), 2019 QCCS 3792. Other amendments responded to several factors identified as barriers to patient access, including the requirement for two independent witnesses, the 10-day reflection period, and the requirement to provide final consent at the time of administration of MAiD medication. However, emerging literature identifies that …

Antibody-Oligonucleotide Conjugates: An Emerging Modality For Precision Rna Therapeutics, Chen-Hsu Yu, Summer Y Y Ha, Zhiqiang An, Kyoji Tsuchikama, Wenbo Li

The Brown Foundation: Institute of Molecular Medicine

RNA-targeting therapeutics have enormous potential to precisely target disease-causing RNAs, extending beyond the traditional limits of "druggability" for small molecules, antibodies, and protein-targeting cell therapies. However, one crucial limitation is that RNA-targeting drug modalities (such as oligonucleotides) cannot effectively reach diseased tissue or cell types. Antibody-oligonucleotide conjugates (AOCs) emerge as a promising frontier in aiding RNA therapeutics by harnessing antibodies to deliver drug modalities to target specific RNAs in desired tissues or cells. In this Review, we summarize the critical components of AOCs, key considerations for their design and manufacturing, ongoing AOCs in preclinical/clinical development, and disease indications. We discuss …

Dc/Dc Converter For A Solar Module, Stella Uribe, Richie Zaragoza, Olivia Grace Tran, Phillip Tyler Rich

Electrical Engineering

This project focuses on the design and validation of a general-purpose DC/DC power converter intended for use with photovoltaic (PV) solar modules operating under variable environmental and loading conditions. Solar panels exhibit significant variation in output voltage, current, and available power due to changes in irradiance, temperature, and operating point, making direct connection to downstream loads impractical. The proposed system addresses this challenge by providing a single, user-adjustable regulated DC output capable of both stepping up and stepping down the solar module voltage. The converter is designed to interface with solar modules rated between 50 W and 400 W, with …

Remote Controlled Pushcart, William B. Rakoz, Logan M. Beard, Jesus B. Galindo, Jacob Anderson

Electrical Engineering

This senior project developed a low-cost remote controlled golf push cart by retrofitting a conventional cart with independently driven hoverboard wheels, an ESP32 controller, BLE communication, a 36 V battery, an MPU-6050 IMU, an LD-19 LiDAR, and custom PETG components. The final scope emphasized reliable remote operation, differential steering, controlled acceleration, heading stabilization, emergency stopping, and obstacle-aware speed limiting. A separate neural-network controller was trained in simulation as a future autonomy pathway; autonomous target following was not integrated into the final cart. Verification recorded a maximum speed of 4.3 mph, operation on a 15-degree incline, a 0.75 s emergency-stop response, …

Autonomous Terrain-Mapping Robot For Search And Rescue, Soumil Joshi, Seann Calub

Electrical Engineering

This report documents the design, modular testing, and challenges faced while developing an autonomous terrain-mapping robot intended to navigate to a destination waypoint and deliver a small payload for search-and-rescue applications. The system combines a LiDAR sensor, an IMU sensor, and a Raspberry Pi 3B as the onboard processor, and an ESP32 microcontroller interfacing with motor drivers over a four-wheel chassis. A companion mobile application was developed to enable remote control and monitoring of the robot over a WiFi hotspot connection. A lithium-ion battery pack supplies power to all onboard components, with power budgets verified against component datasheets. Testing progresses …

Privacy, Paternalism, And Standing In Health Professions Regulation, Anthony Sangiuliano

Dalhousie Law Journal

When investigating whether a doctor has behaved unethically while treating a patient, professional regulatory colleges may search patients’ confidential medical records without patients’ consent. I argue that this practice is not paternalistic, nor does it usurp patients’ standing to decide for themselves whether to sacrifice their privacy to hold the doctor to account for professional wrongdoing. College investigations that non-consensually invade patient privacy do not express disrespect for patients’ agency because they aim to mitigate harm to the broader public. Unlike criminal prosecutions of doctors which uphold moral values pervading the public at large, college investigations enforce ethical standards within …

Assessing Vertebrate Biodiversity In An Agricultural And Urban Impacted River Using Environmental Dna Metabarcoding, Surabhi Nair

AES Theses

Rivers are dynamic freshwater systems that can experience shifts in flood regime that are driven by anthropogenic activity and climate change. These changes may no longer support the native species in the ecosystem and can favor invasive generalist species. The Pajaro River supports a range of urban, agricultural, and natural habitats and is prone to seasonal flooding that can affect habitat conditions and biodiversity. Current vertebrate diversity in the Pajaro River is not well understood, although traditional surveys have documented both rare and invasive species. Environmental DNA, or eDNA, can help address gaps in traditional monitoring by detecting elusive or …

Collectivist Culture Values And Self-Esteem In Asian Americans With Adhd, Skye Taemi Jieling Sakashita

Doctoral Dissertations

This study is a quantitative correlational analysis that evaluated the relationship between collectivism and self-esteem in Asian American adults diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). A total of 29 Asian American adults with ADHD participated in this study that included a survey of three scales assessing for collectivism, self-esteem, and ADHD symptoms. The results indicated that the correlation between self-esteem and collectivism in participants was not statistically significant. The correlation between self-esteem and ADHD symptoms was also found to be not statistically significant. However, certain correlational analyses regarding collectivism and ADHD symptoms were found to be statistically significant. Specifically, the results …

An Exploratory Analysis Of Neurocognitive Performance And Posttraumatic Stress Disorder (Ptsd) Among Latinx Asylum Seekers, Elsie A. Arias

Doctoral Dissertations

Asylum seekers are exposed to violence and traumatic events in their home countries at high rates, leading to mental health challenges such as posttraumatic stress disorder (PTSD). PTSD symptoms and comorbidities such as depression and alcohol misuse are associated with impacts to multiple domains of cognitive functioning among populations such as Veterans. However, the neurocognitive performance of Latinx asylum seekers who experience PTSD symptoms are under-documented in the current literature despite its meaningful impact on clinical care engagement and navigation of the legal process. This study utilized an exploratory, quantitative, cross-sectional design to examine whether higher levels of self-reported PTSD, …

Table Of Contents

Washington and Lee Law Review

No abstract provided.

Procedural Drift: How Judicial Restraint Enables Legalized Backsliding, Dessie Otachliska

Washington and Lee Law Review

This Article introduces Procedural Drift, a new theory of constitutional erosion in which legality itself enables democratic decline. Legal forms remain intact, but their constraining force quietly recedes as procedural doctrines withdraw courts from sites of contestation. Executive power expands not by defying law, but by strategically complying with it—exploiting judicial restraint to evade review.

Building on Bruce Ackerman’s theory of constitutional moments and Kim Lane Scheppele’s concept of autocratic legalism, this Article develops a U.S.-specific account of democratic backsliding that is lawful, gradual, and institutionally embedded. It traces how judicial restraint—operating amid partisan alignment and epistemic fragmentation—erodes legal checks …

Reimagining International Investment Law For The Age Of Minerals, Taylor Nchako

Washington and Lee Law Review

New technologies––from artificial intelligence (AI) and electric vehicles to medical devices and consumer electronics––demand an ever-increasing amount of minerals like lithium, cobalt, and copper. The United States requires these aptly named “critical” minerals to develop AI infrastructure, advance the clean energy transition, and remain economically competitive. As technology continues to advance at an astonishing pace, the U.S. has grown increasingly interested in securing critical minerals from sources in Africa. To obtain critical minerals, the U.S. must utilize investment treaties in its business dealings with African countries. At the same time, international investment law has garnered increased attention due to a …

Fur, Feathers, And Frameworks: The Federal Legal Landscape Of Animal Welfare In The United States And Switzerland, Michael Melch

Washington and Lee Law Review

The United States relies on a predominantly utilitarian, welfarist framework that regulates certain uses of animals while preserving their status as property. Switzerland embeds the concept of animal dignity in its constitutional and statutory law, formally recognizing animals as beings with intrinsic worth. This foundational divergence produces significant doctrinal and practical differences, including the breadth of species covered, the structure of legal obligations, and the normative goals of regulation.

This Note provides a comparative analysis of animal welfare laws in the United States and Switzerland, exploring their philosophical, legal, and practical dimensions. It examines the U.S.’s utilitarian approach, exemplified by …

Litigating The Youth Mental Health Crisis: Mechanisms To Regulate Addictive Social Media Design, Talia Elliott

Washington and Lee Law Review

While social media offers real benefits to users, such as providing access to information and facilitating the free exchange of ideas, excessive social media use is associated with increases in anxiety, depression, and other serious mental-health harms. Social media platforms are designed to maximize profit by capturing user attention, resulting in interfaces that are dangerously addictive and prone to exposing users to harmful content. Currently, social media users alone bear the burden of navigating the dangers of social media. This is untenable. Young users, whose less developed brains leave them more vulnerable to addictive design features, find self-regulation especially challenging. …

Evaluating The Safety Efficiency Of U.S. Air Traffic Control Tower Operations Using Data Envelopment Analysis, Kenneth James Gilbert Ii

Doctoral Dissertations and Master's Theses

Air traffic control (ATC) tower safety efficiency remains inadequately measured despite critical workforce challenges, including staffing shortages, training pipeline constraints, and geographic retention difficulties. This mixed-methods study developed and validated a comprehensive framework for measuring tower safety efficiency by integrating subject-matter expert insights with multi-model data envelopment analysis (DEA) across 66 Federal Aviation Administration (FAA) tower facilities from 2016 to 2024. Six focus group interviews with experienced professionals (100% with > 20 years of experience), averaging 96.4 minutes, identified critical efficiency factors through systematic coding, achieving substantial inter-rater reliability (Cohen's kappa 𝜅 = .68). Qualitative findings showed that staffing shortages don't …

Can Laws Be Flexible? Rethinking Legislation For Innovation, Nicholson W. Price Ii, Nick K. Schneider, Ariel Dora Stem, Jochen K. Lennerz

Articles

Agile legislation adapts principles from agile software development to lawmaking, emphasizing iteration, multi-stakeholder feedback, and embedded revision. We outline this learning-oriented governance model using three case studies: Germany’s stepwise digital health legislation, the EU AI Act, and U.S. FDA user-fee reauthorization. These examples highlight legislative designs that enable structured generation of real-world data and evidence during implementation, informing regulatory interpretation and iterative refinement in rapidly evolving technological domains.

Taking The Thumb Off The Scale: Rebalancing Parental And Children’S Rights To Empower Child Protective Services, Sebastian Wagner

Utah Law Review

This Note provides background on the current legal framework of state prevention of child maltreatment in the United States. It discusses parental rights and the Parental Rights Doctrine, child rights in the United States, and how states prevent child maltreatment through child protective service agencies.

This Note also explores the legal landscape surrounding the balance of parental rights and children’s rights in child welfare cases. One of the central issues in the current framework is how the Parental Rights Doctrine can significantly limit the state’s ability to intervene in cases where children are at risk. State intervention, governed by vague …

The Law Of Health Equity, Govind Persad

Utah Law Review

Since 2025, health equity has faced increasing hostility from federal courts, agencies, and the executive branch. Yet health equity’s promise— to narrow stark health gaps along racial, economic, and other lines— remains urgent and widely endorsed by states, localities, and nongovernmental actors. Evaluating how health equity efforts might falter under or surmount these challenges requires understanding their legal underpinnings: the law of health equity.

This Article is the first in legal scholarship to comprehensively examine federal, state, and private sector health equity commitments. It reveals sustained societal recognition of health equity’s importance, while highlighting the need for more precise and …

Deporting Disability, Tania N. Valdez

Utah Law Review

Since the enactment of the earliest migration laws in the United States, people with disabilities have been targeted for exclusion and expulsion based on stereotypes that they are either dangerous or not productive. Although some of the pejorative language regarding disability in the Immigration and Nationality Act (INA) has changed over time, certain statutory provisions and the very structure of the INA still allow ableism to operate broadly in immigration adjudications. This Article focuses on the subtle, but pervasive, ways that immigration law disfavors noncitizens with disabilities. In particular, this Article examines ableism in the context of removal (commonly known …

Abortion (Re)Federalization, Gerald S. Dickinson

Utah Law Review

 This Article examines how the U.S. Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision has opened an unconventional pathway for the development of a new form of “bottom-up constitutionalism” that could reshape federal abortion rights in the future. Traditionally, federal constitutional law has exerted a dominant influence over state laws and state court jurisprudence. The uniformity in abortion protections nationwide for decades was a product of the Roe v. Wade era of federal supremacy. However, Dobbs reversed this dynamic by dramatically curtailing federal constitutional authority over abortion, thereby leaving states as primary rights regulators. This Article focuses on the …

Learning From Lochner: When Children Are Harmed By Technological Revolutions, Brooke Hodson Davies

Utah Law Review

Drawing on parallels from child labor reform in the Second Industrial Revolution, this Note argues that stopping Big Tech’s harm to children in the Fourth Industrial Revolution requires Congressional legislation and judicial avoidance of Lochnerian approaches to the Constitution. Like its Big Business predecessors, today Big Tech maximizes profits by harming kids, necessitating government intervention of this market failure. Despite noble attempts, state-based efforts have been rendered relatively ineffective due to legislative non-uniformity, interstate competition, and enforcement limitations. Likewise, federal regulations currently in place fall short and even shield Big Tech from liability. Consequently, Congressional action is urgently needed. Critically, …

Medical Monitoring Working Group Meeting Minutes, Mike Mcanulty, Eric Hassler

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Pathologic Misclassification Of Renal Cell Carcinoma In Adolescents And Young Adults, Megan Stout, Derek B. Allison, Leslie Peard, Will Cranford, Yana B. Feygin, Kara Mcabee, Christopher J. Mclouth, Patrick J. Hensley, Jason R. Bylund, Amanda F. Buchanan

Biostatistics Faculty Publications

Background and Objective: Diagnosis of TFE3-rearranged RCC (tRCC) requires a pathologist’s expertise and a high index of suspicion. The objectives of this study were to determine the rate of misclassification of RCC in the adolescent and young adult (AYA) patient population, identify any clinically significant impact associated with misclassification, and compare oncologic outcomes between patients with tRCC vs. other RCC subtypes. Methods: All patients < 50 years who underwent renal surgery and were diagnosed with renal cell carcinoma at a single institution from 2004 to 2019 were identified retrospectively. Pathology specimens were reviewed by a genitourinary pathologist. Changes in a pathologic diagnosis were denoted as “misclassified.” Clinical and oncologic data were analyzed comparing misclassified and non-misclassified groups as well as tRCC and other RCC diagnoses. A survival analysis was used to compare oncologic outcomes. Results: In total, 169 patients were identified, and 20/169 (11.8%) patients were misclassified after pathologic review, with 50% (n = 84) of this cohort < 40 years of age at diagnosis. There were significant differences between misclassified and non-misclassified groups with respect to race (p = 0.002), Appalachian county status (p = 0.035), and initial RCC subtype (p = 0.004). There were no significant differences in clinical or oncologic outcomes between tRCC and other RCC groups. There were no significant differences in time to death or recurrence in misclassified vs. non-misclassified patients (p = 0.83 and 0.68, respectively) or between patients with tRCC and other RCC subtypes (p = 0.45 and 0.062, respectively). Conclusions: >10% of patients with RCC were misclassified on the original pathologic diagnosis; however, there was no significant impact on oncologic outcomes. This identifies diagnostic blind spots for tRCC diagnosis in a young cohort. Perhaps reflex IHC …

Nh Ece Research Consortium Research & Evaluation Stakeholder Map, Jess Carson, Evan England, Lisa Bauer

New Hampshire Early Care and Education Research Consortium

New Hampshire's early care and education (ECE) ecosystem is complex and includes a broad, dynamic community of people and organizations who contribute to and rely upon ECE research. This visual stakeholder "map" documents the organizations that contribute to research and evaluation in NH ECE. These maps rely on contributions, updates, and refinements from the field and are meant to be a shared resource reflecting the complexity and partnerships in New Hampshire's ECE ecosystem.

Nh Ece Research Consortium Research Funder Stakeholder Map, Jess Carson, Evan England, Kamala Nasirova

New Hampshire Early Care and Education Research Consortium

New Hampshire's early care and education (ECE) ecosystem is complex and includes a broad, dynamic community of people and organizations who contribute to and rely upon ECE research. This visual stakeholder "map" documents the research funders that support NH ECE. These maps rely on contributions, updates, and refinements from the field and are meant to be a shared resource reflecting the complexity of partnerships in NH's ECE ecosystem.

Cultural Effectiveness In Early Care And Education Systems In New Hampshire Project Summary, Evan England

New Hampshire Early Care and Education Research Consortium

No abstract provided.

Other People's Poverty, Emmanuel Hiram Arnaud, Shaun Ossei-Owusu

Faculty Scholarship

Puerto Ricans have a relationship with the United States that is historically unparalleled. They have been citizens of the United States since 1917, served in every major conflict since World War I, and have been influential members of American culture, politics, and society. Yet, Puerto Rico is not fully part of the United States. The island of 3.2 million people— more than the population of eighteen states—is a U.S. territory. This means the federal government wields its complete and largely unrestrained plenary power over the Island, often treating Puerto Ricans differently than the rest of the United States. This differential …

Animal Science Research And Extension Report 2026 (Complete Report), Department Of Animal Science

Animal Science Research Report 2026

This is the 2026 Animal Science and Extension Report. This highlights the research being generated within the department over the previous year.

Assessing Hpv And Hpv Vaccine Awareness And Perception Amongst Undergraduate Students, Maura Hawkins

Honors Theses

Human Papillomavirus (HPV) is one of the most common sexually transmitted infections in the United States. Vaccination rates remain low among college-aged students despite an effective vaccine being available. This study investigates HPV and HPV vaccination-related knowledge, beliefs, and perceptions among undergraduate students to inform targeted intervention strategies. Participants included undergraduate students (n = 19) who attended one of three focus groups conducted in April 2025 at the University of South Alabama. Structured interview guides explored HPV knowledge, perceived risk and severity, attitudes towards vaccination, autonomy in health decision-making, trust in health information sources, and preferred educational strategies. Discussions were …