Digital Commons Network^™

Fractured Focus: Understanding Stress In Second-Year Radiologic Science Students Across Alabama, Kelsi Clotfelter

Honors Theses

Higher education is a period of rapid transition and growing responsibility, where stress often becomes a routine part of students’ lives. In health professional programs, the combined demands of intensive coursework and clinical training can intensify emotional strain and negatively affect overall well-being. Radiography students experience uniquely high levels of academic, clinical, and emotional stress due to the simultaneous demands of didactic coursework, competency-based clinical training, and high-stakes professional expectations. A cross-sectional mixed-methods study was employed to evaluate the prevalence, sources, and perceived impact of stress among second-year radiography students across multiple Alabama institutions with the goal of identifying strategies …

Influence Of Stormwater Flooding Events On The Mobile County School District Student Population, Kadence Kali Johnston

Honors Theses

Mobile County, Alabama, receives among the highest annual rainfall totals in the United States resulting in frequent stormwater flooding that intersects with existing socioeconomic vulnerabilities. Within the Mobile County Public School System (MCPSS), 77% of students are economically disadvantaged and over 10% experience homelessness, creating heightened risk for educational disruption during flood events. This study investigates how stormwater flooding influences school attendance, closures, and academic performance across MCPSS, providing insight into how climate-driven hazards exacerbate educational inequities. The research integrates flood frequency, school performance metrics, and GIS flood-zone mapping and teacher perceptions to understand how flooding affects student learning opportunities. …

Implementing A Professional Wellness Session To Foster Improvement In Oncology Nurse Retention And Well-Being, Connie Tran

Doctor of Nursing Practice Final Project Abstract

Purpose

The purpose of this quality improvement (QI) project was to implement chaplain-led professional wellness sessions to improve the well-being of nurses on an oncology pilot unit.  Aims were to increase nurse retention by 5%, decrease staff absenteeism by 3%, and improve Perceived Stress Scale (PSS) scores by 10%, and Professional Quality of Life (ProQOL) scores by 10% from baseline.

Background

The emotionally taxing nature of oncology patient care creates a high-pressure environment, which can lead to turnover. Literature has shown that allowing staff to pray, debrief and engage in peer support groups to discuss work-related stressful encounters reduces stress …

Improving Physiologic Monitoring Adherence During Behavioral Emergencty Sedation In A Prehospital Ems System, Jared Aucoin

Doctor of Nursing Practice Final Project Abstract

Abstract

Purpose:

This quality improvement (QI) project evaluated whether provider education and standardized documentation improved adherence to evidence-based physiologic monitoring during behavioral emergency sedation in a prehospital EMS setting.

Background:

Behavioral emergencies are common and often require rapid chemical sedation, with risks of hypoxia, hypercapnia, and cardiovascular instability. At baseline, inconsistent adherence to recommended monitoring and documentation of end-tidal carbon dioxide (EtCO₂) and pulse oximetry (SpO₂) presented an opportunity to improve patient safety.

Methodology:

This QI project educated current adult behavioral emergency protocol in a prehospital EMS setting, re-emphasizing standardized documentation and evidence-based monitoring practices. Utilizing Plan-Do-Study-Act (PDSA) through pre- …

Scroll Control: Reducing The Influence Of Social Media Trends On Adolescent Risk-Taking, Camilla Vitola-Franchi

Psychology

Adolescents tend to take more risks than other age groups due to a combination of sensitive reward systems, lower impulse control, and stronger susceptibility to peer influences. These days, many adolescents spend a substantial amount of time on social media, which can further influence their decision-making. Although risk-taking plays an important role in adolescent development, social media can increase exposure to unhealthy and potentially dangerous forms of risk. Dangerous online trends and the addictive nature of social media algorithms contribute to the normalization of risky behavior and expose adolescents to social pressures, leading them to be more likely to take …

Evaluating Fungicide Programs For Grapevine Disease Management And Fungicide Sensitivity Monitoring, Abraham Ahumada

Master's Theses

Grapevine diseases, such as powdery mildew and Botrytis bunch rot, require repeated fungicide applications to maintain fruit quality and reduce yield losses. However, fungicide performance can vary among products, application programs, disease pressure, and pathogen sensitivity. This thesis evaluated fungicide programs for control of powdery mildew in ‘Chardonnay’ grapes and assessed fungicide sensitivity of Botrytis cinerea isolates collected from California vineyards.

Powdery mildew, caused by the fungal pathogen Erysiphe necator, is a major threat to the production of Vitis vinifera grapes worldwide. Because powdery mildew management relies heavily on fungicide applications, field evaluations are needed to compare the efficacy …

Religiosity And Female Autonomy In Indonesia, Milda Irhamni

Economics and Finance in Indonesia

This study estimates the effect of religiosity on married women’s autonomy within households in Indonesia using panel data from the 2007 and 2014 rounds of the Indonesia Family Life Survey (IFLS4 and IFLS5). Women’s autonomy is measured by the wife’s decision-making power relative to her husband across eighteen household decisions, complemented by indirect proxies such as asset ownership and contraceptive use. Applying household fixed-effect and IV estimation to control for endogeneity, the analysis finds little robust evidence that religiosity systematically reduces female autonomy, suggesting that any negative association is weak and sensitive to specification.

Birds Of A Tether Flock Together: Examining Centromere Tethering And Chromosome Segregation In Caulobacter Crescentus, Jake Dwyer, Simon Kruczak, Rodrigo Arana-Garrido, Paola Mera

MICRO-CCS student projects

Introduction:

Chromosome segregation is essential for all domains of life. Caulobacter crescentus is a key model for studying this process. It divides asymmetrically into two morphologically distinct cells. Proteins can be seen directly with fluorescent tags.

Research done on Caulobacter can apply to many different bacteria. The ParABS system is integral to chromosome segregation in Caulobacter.

ParS – DNA sequence on the chromosome

ParB – CTP-binding protein that specifically recognizes parS

ParA – ATP-binding protein that non-specifically binds DNA and provides the force for segregation.

PopZ – Polar tethering protein via interactions with ParB.

TipN - Polar protein that …

How Does High-Oil Sorghum Change Potential Extracellular Enzyme Activity Across Soil Depth Profiles Under Drought Conditions?, Krystal Monique Role, Rounak Patra, Wendy Yang

MICRO-CCS student projects

Transgenic oil sorghum reallocates photosynthate-carbon (C) into vegetative lipids, accumulating nonstructural lipids in both shoot and root tissues. Altered plant C allocation and root lipid accumulation may shift root exudate chemistry, belowground C inputs, and microbial nutrient demand throughout the soil profile. While aboveground productivity in high-oil sorghum is well-characterized, its belowground impacts on soil microbial enzyme activity and exchangeable cation dynamics, especially across soil horizons under drought stress remain unknown.

Project objective was to find out how transgenic high oil sorghum (Tx-HO1) influences CNP acquiring extracellular enzyme activities and soil exchangeable cation dynamics across soil horizons under drought and …

What We Know About Accounting Ratios: Methodological Considerations, Wojciech Kuryłek, Oskar Kowalewski

Studia i Materiały Wydział Zarządzania Uniwersytet Warszawski

Purpose: This paper provides a comprehensive literature review of the methodological aspects of financial ratio analysis, consolidating dispersed knowledge on the computation, statistical properties, and appropriate usage of accounting ratios.

Design/Methodology/Approach: The study adopts a narrative literature review methodology, systematically surveying published research on financial ratio distributions, normality testing, data transformations, outlier handling, the proportionality assumption, dimensionality reduction techniques, compositional data analysis, and recommended ratio sets for corporate financial research.

Findings: Financial ratios predominantly deviate from normal distributions, exhibiting skewness, excess kurtosis, and sensitivity to outliers. Transformation techniques such as logarithmic, square root, and Box‑Cox methods yield mixed results in …

Empowering Women Farmers Through Leadership And Entrepreneurship: A Pathway To Sustainable Development In North‑East Nigeria, Freda Ijanada Fidelis, Faith Debaniyu Ibrahim

Studia i Materiały Wydział Zarządzania Uniwersytet Warszawski

Purpose: This study explores the role of leadership engagement, decision‑making autonomy, and access to finance in boosting the empowerment of rural women farmers in conflict‑affected areas of North‑East Nigeria. The objective is to furnish empirical evidence regarding the impact of these elements on women’s socioeconomic empowerment and entrepreneurial achievements, thereby contributing to the discourse on sustainable development.

Design/Methodology/Approach: The study utilises a quantitative research approach employing survey data obtained from 1,146 rural women recipients across three states in North‑East Nigeria. Data were analysed using advanced statistical approaches to test the hypothesised links between leadership engagement, decision‑making autonomy, financial access, and …

Use Of Information Technology Tools In The Area Of Occupational Health And Safety In Polish Workplaces – Results Of A Survey, Dariusz Smoliński

Studia i Materiały Wydział Zarządzania Uniwersytet Warszawski

Purpose: The aim of this article is to analyse the level of implementation of digital technologies in the digitalisation of occupational health and safety (OHS) management in Poland and to identify the factors influencing the adoption of digital tools by OHS specialists. The research questions posed are: to what extent do OHS services use software; which organisational factors affect the adoption of digital tools supporting the work of OHS services; and which barriers hinder implementation? The study also sought to assess the differences in the level of digitalisation tool implementation according to the size of workplaces and the professional experience …

Studia I Materiały 1/2026 (44)

Studia i Materiały Wydział Zarządzania Uniwersytet Warszawski

Entire Volume Studia i Materiały 1/2026 (44)

Statistical Evaluation Of A New Orleans Historic Rainfall Dataset (1840–1893), Arielle C. Filostrat

LSU Master's Theses

This study evaluates the climatic credibility of a newly identified historical rainfall dataset for New Orleans, Louisiana, spanning 1840–1893. The New Orleans Historical Dataset (NOHD) is compared to a modern observational record from the Audubon rain gauge (1893–2024) to determine whether nineteenth-century rainfall observations are consistent with known precipitation behavior in the region. Establishing the reliability of early records is critical for extending climatological baselines and improving understanding of long-term rainfall variability.

Historical rainfall observations were first evaluated through archival review using the New Orleans Medical and Surgical Journal and other nineteenth-century meteorological records to verify notable rainfall events. Daily …

Pengaruh Program Indonesia Pintar (Pip) Terhadap Angka Putus Sekolah (Apts) Di Indonesia, Hening Indreswari, Thia Jasmina

Jurnal Ekonomi dan Pembangunan Indonesia

Program Indonesia Pintar (PIP) is a Conditional Cash Transfer (CCT) provided by the government to improve access for poor students aged 6–21 years and prevent school dropout. The dropout rate (APTS) at the Senior High School (SMA) level is the highest among levels. Although SMA management was delegated to provincial governments in 2017, examining PIP’s effect at the district/city level remains important because PIP involves central and local governments and schools. This study uses a Fixed Effect method with panel data from 514 districts/cities during 2020–2022. Results show that PIP has no significant effect on APTS at SMA level.

Evaluasi Dampak Digitalisasi Regional Terhadap Pembangunan Berkelanjutan Di Indonesia, Tomi Setiawan, Muhammad Farras Samith, Shifwah Murran Nashifa

Jurnal Ekonomi dan Pembangunan Indonesia

Digitalization has become a key pillar in driving economic, social, and governance transformation in Indonesia. However, it is necessary to verify whether digitalization has supported sustainable development goals. This study evaluates the impact of digitalization on sustainability dimensions at the district/city level in Indonesia using the Propensity Score Matching (PSM). The results show that digitalization has a significant negative impact on environmental quality. Conversely, the impact on the economy and social welfare is not statistically significant, indicating that the benefits of digitalization are not evenly distributed and tend to be concentrated among groups that already have digital access and capabilities.

Food Insecurity, Economic Shocks, Poverty, And Inequality In Nigeria, Ibrahim Tijjani Salihu, Jahen F. Rezki

Jurnal Ekonomi dan Pembangunan Indonesia

Drawing on the 2018/2019 Nigeria General Household Survey — a nationally representative sample of 5,000 households across six geopolitical zones obtained using multi-stage stratified sampling — this study applied linear probability and probit models to examine poverty’s socioeconomic drivers. Findings show food insecurity and economic shocks worsen poverty, while remittances, credit access, employment, safety nets, and education help reduce it. Using poverty indices and the Gini coefficient, the analysis found rural households face greater poverty incidence, depth, and severity than urban households, despite urban areas showing marginally higher income inequality. Inequality among lower-income households, however, was nearly identical across both …

Nsu Library Link - Summer 2026, Nova Southeastern University

NSU Florida Link Newsletter

No abstract provided.

How Important Is Clean Energy To Utahns?, Elizabeth Brunner, Stacia Ryder

Utah People and Environment Poll (UPEP)

Utah's energy mix has changed significantly over the past several decades as it has moved to cleaner forms of generation. For example, according to the Energy Information Administration, in 2024, coal fueled about 45% of Utah's total electricity net generation, down from 75% in 2015. As can be seen in the chart below, the state anticipates demand growth, with further reductions in coal alongside a significant increase in solar, storage, and natural gas by 2032. Though not represented in these charts, plans for nuclear power generation have been proposed in Brigham City as well as outside of Green River. Utah …

July 2026 Mda Insurance — Voluntary Benefits Help With Employee Recruitment, Satisfaction, Retention, Craig Start

The Journal of the Michigan Dental Association

Craig Start, president of MDA Insurance, addresses the ongoing dental staffing shortage by advocating for comprehensive employee benefit packages. He explains how offering a mix of employer-paid and voluntary benefits, such as disability, life, and vision insurance, can make a practice a more desirable employer. The article specifically highlights the MDA Health Plan and employee-paid options like critical illness insurance, which help offset financial exposure from high-deductible plans. Start notes that these voluntary benefits are cost-effective for employers and can be administered through pre-tax cafeteria plans to improve employee economic security and retention.

July 2026 The Back Page — Fighting Burnout By Building A Better Sense Of Community, Tamar Shrikian, Dmd

The Journal of the Michigan Dental Association

Dr. Tamar Shrikian shares a personal commentary on overcoming professional burnout by seeking fulfillment outside the clinical setting. Identifying isolation as a key factor in clinician stress, she discusses her transformative experience joining a community chorus. The article introduces the concept of a "third place"—a social space distinct from home and work—as essential for maintaining a healthy identity beyond being a health care provider. Shrikian encourages her colleagues to actively build social connections, whether through faith communities, hobbies, or organized dentistry, to foster mutual support and overall well-being within the profession.

Reducing Missed Opportunities For Crc Screening Via Provider Reminder System In A Primary Care Setting, Komfort Cofield

Doctor of Nursing Practice Projects

Background: Although highly preventable with screening, colorectal cancer (CRC) continues to be a major source of illness and mortality in the United States. Healthcare providers at the Doctor of Nursing Practice (DNP) project site inconsistently ordered CRC screening for eligible patients due to deficiencies in the point-of-care reminder system. These system failures created missed opportunities for CRC prevention and reduced compliance with established practice guidelines.

Purpose: This DNP project aimed to implement and evaluate a CRC screening checklist given to patients at appointment check-in, serving as a reminder for providers to order appropriate screening tests.

Project Design: Using the National …

Addressing Hypertension Medication Non-Adherence Through The Use Of Reminders And Morisky Medication Adherence Scale In Adults Diagnosed Within The Past Year In A Rural Primary Care Clinic, Amanda M. Weaver

Doctor of Nursing Practice Projects

Background: Adherence to antihypertensive medications is essential for decreasing long-term consequences of uncontrolled hypertension, including stroke, kidney failure, and cardiovascular diseases. However, nonadherence is a widespread problem among patients diagnosed with hypertension. In patients who have been diagnosed with hypertension in the past year, more than half stop taking their medications. Mobile health interventions, such as text message or telephone reminders, are a low-cost way to improve medication adherence.

Purpose: The purpose of this Doctor of Nursing Practice project is to examine how a weekly text message or telephone reminder impacts medication adherence among patients taking antihypertensives in a rural …

A Multifaceted Approach To Human Papillomavirus (Hpv) Vaccine Uptake Among Adolescents Ages 10-14 In A Public Health Clinic, Amy T. Norris

Doctor of Nursing Practice Projects

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and a leading cause of several preventable cancers. Although the HPV vaccine is safe, highly effective, and routinely recommended for adolescents, vaccination rates remain below national targets, particularly in rural and public health settings. Multiple internal and external factors contribute to low HPV vaccination rates in public health settings.

Purpose: The Doctor of Nursing Practice quality improvement project aimed to increase HPV vaccine uptake through the implementation of a multifaceted, evidence-based intervention.

Project Design: Guided by Pender’s Health Promotion Model and the Reach, Effectiveness, Adoption, …

Reducing Asthma-Associated Absenteeism At A School-Based Health Center Using Asthma Control Test (Act) Scoring, Concetta Terry

Doctor of Nursing Practice Projects

Background: Asthma is a common chronic condition that can lead to increased school absences and lower academic performance. A needs assessment at a rural school-based health clinic identified gaps in care for students with asthma and high absenteeism rates.

Purpose: This Doctor of Nursing Practice (DNP) quality improvement project aimed to reduce asthma-related absences by personalizing care using Asthma Control Test (ACT) scoring.

Project Design: Using a pre- and post-intervention design, this DNP quality improvement project followed the Plan-Do-Study-Act (PDSA) framework to evaluate the impact of implementing the ACT on asthma-related absenteeism in a rural school-based health center. The project …

Reducing Missed Appointments In An Ambulatory Infusion Center, Jacqueline G. Jones

Doctor of Nursing Practice Projects

Background: Missed appointments at ambulatory infusion centers (AIC) continue to be a problem, even with improved scheduling systems and care coordination efforts. Nationally, missed appointment rates average 10%–12%, and in Central Alabama, the rate is 11.7%. However, one local AIC has a much higher missed-appointment rate of 17.8%. Missed appointments lead to wasted facility resources, increased healthcare costs, and interruptions in infusion therapies.

Purpose: This Doctor of Nursing Practice project used live reminder calls to help lower missed appointments in an AIC. The goal was to improve attendance, reduce missed appointments, and maintain consistent care.

Project Design: Over ten weeks, …

Improving The Accuracy Of Medication Reconciliations For Medicare Advantage Patients At A Primary Care Clinic Using An Interdisciplinary Team, Sallie Mann

Doctor of Nursing Practice Projects

Background: Medication-related problems (MRPs) are a significant and often preventable cause of patient harm, particularly among older adults with complex medication regimens. In primary care settings, inaccurate or incomplete medication reconciliations contribute to adverse drug events, avoidable hospitalizations, increased healthcare costs, and reduced patient satisfaction.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate whether implementing an interdisciplinary medication reconciliation process using the Medications at Transitions and Clinical Handoffs (MATCH) Toolkit would improve reconciliation accuracy in Medicare Advantage patients aged 65 and older in a primary care clinic.

Project Design: This DNP project used the …

Optimizing Workflow In Advanced Gastroenterology: An Initiative To Improve Turnaround Times, Aundrea Prewitt

Doctor of Nursing Practice Projects

Background: Procedure room turnaround time in advanced gastroenterology is defined as the interval between one patient exiting the procedure room and the subsequent patient entering. Prolonged turnaround times contribute to decreased operational efficiency, delays in care delivery, and suboptimal resource utilization. Current facility turnaround time is 39 minutes, and there is no standardized policy to guide the turnaround process.

Purpose: The purpose of this quality improvement project was to develop a standardized operating procedure that guides policy change in advanced gastroenterology through implementing a sustainable turnaround process that reduces procedure room turnaround time.

Project Design: The quality improvement initiative used …

Evaluating The Accuracy Of Face2gene Phenotyping Tools In South African Children With Neurodevelopmental Disorders, Hendrike Mcdonald, Zandrè Bruwer, Michal Zieff, Emma Eastman, Brigitte Melly, Rizqa Sulaiman-Bardien, Karen Fieggen, Shahida Moosa, Charles Newton, Amina Abubakar

Institute for Human Development, East Africa

Objectives Computational phenotyping tools, like Face2Gene, are increasingly used to support genetic diagnosis by analysing facial features. These tools perform well in Global North populations but are less accurate in other groups. This study aimed to assess the performance of Face2Gene’s DeepGestalt, FeatureMatcher, and D-Score in South African children with neurodevelopmental disorders (NDDs) and unaffected controls.

Methods Facial photographs of 301 children from the NeuroDev South Africa study were analysed including 36 children with NDDs with a confirmed molecular diagnosis, 176 with NDDs without a confirmed molecular diagnosis, and 89 controls. Diagnostic accuracy of DeepGestalt and FeatureMatcher was assessed by …

Exploration Of The Vein To Vein Blood Transfusion System In Three Kenyan Counties: A Qualitative Study, Linda Barnes, Jennifer Makin, Jose Paiz, Jana Macleod, Cindy Makanga, Tecla Chelagat, Alejandro Munoz-Valencia, Ejemai Eboreime, Robert Kaburu, Carolyne Njoki

Anaesthesiology, East Africa

Background Severe shortages of blood for transfusion are a persistent global health crisis, with the burden disproportionately concentrated in low-income countries. Diverse stakeholder perspectives on blood availability might inform improvements. We aimed to use a comprehensive approach to identify the challenges, facilitators, and innovations within the blood transfusion continuum (BTC) in three different Kenyan settings.

Methods In this qualitative study, we interrogated the BTC in Siaya, Nakuru, and Turkana counties as part of the Pathways for Innovation in Blood Transfusion Systems in Kenya (PITS Kenya) mixed methods research study. We used purposive sampling, and through interviews and focus group discussions, …