Digital Commons Network^™

The Rash After The Remedy, Elaine Chen, Md

Books, Presentations, Posters, Etc.

Introduction: Trimethoprim/sulfamethoxazole (TMP/SMX) is a widely prescribed and generally well-tolerated antibiotic. Cutaneous reactions occur in up to 4% of patients, including morbilliform rash, urticaria, DRESS, Stevens-Johnson syndrome, and toxic epidermal necrolysis. More rarely, TMP/SMX can trigger leukocytoclastic vasculitis (LCV), a small-vessel vasculitis characterized by neutrophilic infiltration, fibrinoid necrosis, and leukocytoclasia. LCV typically manifests as palpable purpura on dependent areas. While often skin-limited, systemic involvement may occur. We present a case of TMP/SMX-induced LCV with multi-organ features. Case description: A 53-year-old healthy male presented to urgent care with dysuria. Urine culture grew pan-sensitive E. coli, and he completed a 7-day course …

Hepatic Schistosomiasis: An Unexpected Culprit Behind The Hepatic Mass, Jin Yun Do, Udip Dahal Md, Kenneth Flora, Md

Books, Presentations, Posters, Etc.

Introduction: Schistosomiasis is the second most common parasitic infection worldwide and is associated with significant morbidity and mortality. We present an unusual case of hepatic schistosomiasis presenting as a hepatic mass. Case Description: A 78-year-old male with no prior hepatobiliary disease with an incidental finding of a hepatic lesion on postoperative abdominal CT imaging after an endovascular aneurysm repair. He lived in China until immigrating to the United States over 50 years ago. Previously hospitalized for abdominal pain and diarrhea, at which time he was told he had an infection in his liver. Details of treatment are unknown. He has …

When Common Isn’T Typical: A Diagnostic Twist In Hyperparathyroidism, Connor Shortt, Do*, Laura Loertscher, Md*

Books, Presentations, Posters, Etc.

Introduction: Primary hyperparathyroidism is the third most common endocrine disorder, following diabetes and thyroid disease. It is characterized by excess calcium and inappropriately elevated parathyroid (PTH) levels. Severe disease classically presents with a combination of nephrolithiasis, bone pain, osteoporosis, constipation, abdominal pain, anxiety, depression, or confusion. However, due to the availability of routine labs, most cases now present as asymptomatic hypercalcemia. Case Description: A 60-year-old female was evaluated for falls, generalized weakness, constipation, and brain fog. Her admission labs revealed a calcium of 19.6 mg/dL and subsequent PTH of 1,932 pg/mL. She was treated with intravenous fluids, pamidronate, and cinacalcet, …

Spur Cell Anemia: A Crucial Unanticipated Anemia In Critical Care, Jobe Ashby

Books, Presentations, Posters, Etc.

INTRODUCTION: Spur Cell Anemia (SCA) is a rare underrecognized non-autoimmune hemolytic anemia occurring in severe liver disease with prognostic implications. Since the 1980s there have been only a few dozen case reports and clinical images concerning SCA. We present a case of a young man managed in the ICU with multiorgan failure and a masked diagnosis of SCA. DESCRIPTION: A 33-year-old man was found down and presented to the ICU with hematemesis and hemorrhagic shock. He required massive transfusion for bleeding esophageal varices that were later banded and an expanding thigh hematoma. He was diagnosed with alcohol induced liver cirrhosis …

Automated, Modular, Agentless Adversarial Emulation In Cloud Environments For Higher Education And Student Training, Doc Harley

Senior Honors Theses

Currently, the leading technologies in the market of adversarial emulation are MITRE Caldera, Atomic Red Team by IBM, and multiple proprietary products that come with support packages for different vendors like AttackIQ, Cymulate, SafeBreach, and many more. While it is clear that much work has been done in the broad category of adversarial emulation, when it comes to open source solutions, there are no agentless options with built in automation and modularity that have good support for cloud environments. Agentless adversarial emulation provides a unique advantage in that it can be both simpler and a better representation of the true …

Changing Employee Motivation From Obligation To Opportunity: Increasing Intrinsic Motivation In Non-Profit Organizations, Evelyn L. Williams

Senior Honors Theses

Motivation is a key driver behind tasks within the workforce. Harnessing employee motivation increases productivity, employee retention, efficiency, and output quality. Non-profit organizations, however, are often unable to devote resources to externally increasing motivation. This study presents a motivational model that is built from three motivation theories: Maslow’s Hierarchy of Needs, Herzberg’s Two Factor Theory, and Self-Determination theory. By incorporating principles from these theories this model helps organizations internalize and increase the effectiveness of their employees’ motivation through increasing the autonomy, competence, and relationality felt by each employee. The six tenets of the REWARD model give non-profit organizations a framework …

Echoes Of Deception: The Historical Impact Of Propaganda And Disinformation On Public Opinion, Justina Zgaljardic

Honors Theses

This study reconceptualizes propaganda not as a collection of regime-specific messaging practices, but as a structured and adaptive system of perception management operating across political and ideological boundaries. Addressing fragmentation within existing scholarship, it examines how propaganda constructs legitimacy, organizes interpretation, and aligns individual cognition with state objects through recurring narrative strategies and disinformation mechanisms. Using a qualitative framework, the analysis draws on primary materials from four wartime cases: the Stalinist Soviet Union, Nazi Germany, the United States during World War II, and wartime Britain. The findings demonstrate that, despite variation in political systems, propaganda consistently operates through three interrelated …

The Impact Of Covid-19 On Playwork: Five Years On, Pete King

International Journal of Playwork Practice

In 2020, at the start of the March 2020 COVID-19 lockdown in the United Kingdom, a study was undertaken with 23 participants exploring the impact this may have on playwork and playwork practice.  That project started an 18-month longitudinal study between March 2020 and September 2022.  COVID-19 was five years ago, and this final study aimed to explore the current impact on playwork and playwork practice.  In total, 8 interviews were undertaken, and the results constructed 4 main themes regarding the continuing effects of COVID-19: 1) Community Engagement, 2) Emotional Regulation, 3) Outdoors, and 4) Health and Safety.  The findings …

Impact Of Multicultural Literature Through Reader's Response, Rachel Konrad

Theses and Dissertations

The purpose of this study is to examine how students respond to using five multicultural read aloud texts and responding to them in a response. The goal of this study was to see if student engagement improved as a result of the study and if student comprehension improved through the use of pre and post assessments. Student data was collected that included a pre and post assessment, anecdotal records of student discussion, responses to texts, and student and parent surveys. Students discovered and discussed themes across texts such as cultural identity, community, and belonging.

Well-Being For Novice Nurses With The Powerful Feeling Of Belonging Through Mentorship, Shelli Anne Marie Chernesky, Natalie Bermudez, Diane Kramer

Creating Healthy Work Environments (CHWE)

Nursing is a known profession to help others by providing an environment of healing that includes elements of physical and psychological comfort. Our project looks at the importance of belonging as a form of supportive protection for the acute care novice nurse by using mentorship to help navigate the everchanging clinical environment. Mentoring has a direct correlation with belonging for nurses, being part of something with shared goals. Mentorship supports professional development while endorsing career pathway direction. Demanding clinical environments increase nursing responsibilities. Therefore, healthy work environments can be compromised and produce physical fatigue and mixed feelings leading to decreased …

Hidden Barriers: Enforcement Asymmetry And The Political Economy Of U.S.–Mexico Food Trade And The Cattle Industry, Sabina Prieto, Chris Jackson

Honors Thesis

This project examines how enforcement irregularities in Mexican food safety regulation affect small exporters’ ability to access U.S. markets. On paper, agricultural trade is regulated by laws on food quality, certification, and logistics. In practice, it is how those rules are enforced. In Mexico, big firms and producer associations tend to gain steady support and easier certification, while smaller producers face delays, rejections, or inconsistent oversight that make it much harder to compete. This study uses a comparative case study approach to analyze how similar industries produce different outcomes in market access. By tracing key events such as disease outbreaks, …

Cross-Cultural Neuropsychological Testing: A Behavioral Item Analysis Of The Party Subtest From The Muns Battery Administered To Argentinian And U.S. Participants, Arwen A. Miranda, Alberto Luis Fernandez

Honors Thesis

In response to prevalent cultural bias in neuropsychological testing, cross-cultural tests (CCTs) were developed for accessibility across cultures through the use of “universal” stimuli. The Multicultural Neuropsychological Scale (MUNS) is a CCT developed to be appropriate across education levels, cost-effective and capable of assessing cognitive functions. The MUNS consists of seven subtests, including the Party subtest, which measures executive functioning by instructing participants to organize a party on a map. During this activity, participants purchase items such as food while remaining mindful of a 100-coin budget and minimizing travel distance. The present study examined whether the Party subtest functions comparably …

Reducing Challenging Behavior Through Classroom Management Techniques In The Early Childhood Classroom, Mayra Moreno

Masters Projects

This literature-based project examines the impact of challenging behavior on student learning and evaluates the effectiveness of preventative classroom management strategies. Challenging behaviors include aggression, disruption and withdrawal, negatively affect the learning environment by decreasing student engagement, increasing teacher stress and burnout, and contributing to a less supportive classroom climate. Grounded in Piaget’s Theory of Cognitive Development and Vygotsky’s Zone of Proximal Development, this project emphasizes the importance of developmentally appropriate practices that support both cognitive and social-emotional growth. Included are preventative classroom management techniques aimed at reducing challenging behaviors. Key strategies include maintaining a 5:1 ratio of positive to …

Improving Transfer Portal Decision-Making Through A Microsoft Excel Optimization Model, Peyton Steffes

Honors Projects

The creation of the transfer portal has increased the mobility of collegiate athletes, giving players the autonomy to switch teams throughout their career. As a result, the roster development process has become more complex, as coaches are tasked with the challenge of recruiting from the transfer portal, which involves an extensive decision-making process. Coaches not only have to evaluate a substantial pool of players, but they also must consider the following constraints they are under: scholarship budget, roster spots available, and positional needs. To simplify this decision-making process, this analysis includes the results of a Microsoft Excel data optimization model …

Structural Corruption And Political Development In Arizona: Growth, Governance, And Accountability, 1912-1980, Kaitlin D'Amico

Doctoral Dissertations and Projects

This dissertation argues that corruption in twentieth-century Arizona flourished because the regulatory structures created during the Progressive era contained foundational vulnerabilities that were exposed and exploited by Sunbelt-era economic growth. While scholars have tended to treat Arizona’s corruption scandals as episodic, this study demonstrates that they were the predictable outcome of institutional weaknesses embedded at statehood. Covering Arizona’s political structures and identity from statehood in 1912 through the post-Bolles reform era ending in 1980, the dissertation focuses on institutional development while using Don Bolles’s investigations and 1976 assassination as a focal point. This study draws primarily on contemporary newspaper reporting, …

A Phenomenological Study On Pastoral Leadership In Post-Covid In-Person Worship Attendance Growth Within Southern Baptist Congregational Polity, David Christian Justice

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological research is to examine and reveal the perceived experiences of pastoral leadership in post-COVID in-person worship attendance growth among North Carolina Southern Baptist Churches (NCSBCs) operating within the framework of congregational polity. The theory guiding this study is that pastoral leadership is vital for post-COVID in-person worship growth in Southern Baptist Churches (Bryan, 2024; Hudson, 2018). Hudson’s (2018) competency model for church revitalization identifies pastoral leadership as “one of the most consistent predictors of a church’s ability to grow after a period of plateau or decline” (p. 3). The unique leadership structure of Southern …

Psychological Contract And Perma Well-Being, Ryan T. Roddey

Doctoral Dissertations and Projects

The PERMA model, a five-factor framework- positive emotion (P), engagement (E), relationship (R), meaning and purpose (M), and accomplishment (A)- was developed to assess the building blocks of well-being (Seligman & Csikszentmihalyi, 2000). In the workplace setting, organizations perceive how positive organizational psychology shapes employee well-being through exchange relationships (Donaldson et al., 2022). Previous research confirms the effect of the psychological contract on well-being when the contract is violated in the workplace. Yet, limited studies examine the association between overall well-being and employee exchange agreements, such as the psychological contract. This study explored the differences between relational and transactional psychological …

Early Educational Benefits In Criminal Justice Learning And Practice: Efficacy Of High School-Level Criminal Justice Programs, Richard Brewer

Doctoral Dissertations and Projects

The value of educational progress and placing optimally educated agents into the criminal justice career field has been carefully examined throughout the history of justice, and the procurement of skills and knowledge applicable to field operations is aligned with several core Peelian tenets. The safe assumption is that every police action is observed or documented, and efforts must be made to build bridges to amend the law enforcement misconducts of yesteryear. One methodology to reduce the number of undesired incidents, expand occupational growth, and obtain optimal confidence levels among personnel in the volatile policing arena is implementing earlier learning development …

Age Of First Smartphone Ownership With Social Media Access And Its Impact On Mental Health Outcomes, Derrick W. Swandol

Doctoral Dissertations and Projects

The purpose of this quantitative study was to examine the relationship between the age of smartphone ownership with social media access (ASO) and self-esteem and depression symptoms, as well as to determine if the results could be moderated by adverse childhood experiences (ACEs) as an individual transitions from adolescence to adulthood. The study was conducted with n=54 (72% female), of whom 83% first owned a smartphone with social media access ≥ 12 years-of-age. This study was unable to obtain the minimum sample size for a statistically significant study and is considered underpowered due to needing a minimum sample size of …

Transcendental Phenomenological Study Of Christian Women’S Response To Their Spouses’ Pornography Use, Margaret Harris

Doctoral Dissertations and Projects

This transcendental phenomenological study explored the emotional responses Christian women experience upon discovering their spouse’s pornography use and how they perceive their spouse’s openness during and after disclosure. Guided by Husserl’s descriptive philosophy, the study used confidential Zoom interviews and a focus group with Christian women aged 18 and older to gather first‑person accounts of the phenomenon. Through phenomenological reduction, repeated readings, and the refinement and synthesis of meaning units, six superordinate themes emerged: faith as an Interpretive lens; pornography as a violation of relational, emotional, and moral boundaries; discovery as an emotional and relational turning point; communication as a …

Smartphone Addiction And Issues Associated With It, Clifford C F Massie Jr.

Doctoral Dissertations and Projects

The focus of this research is the possible addiction to smartphones and the effects on mental, physical, and social health. Smartphones are one of the most commonly used devices in the world today with billions of people in the world having them. People of all ages have formed a connection to and dependence on these devices and use them multiple times daily. People obsess over these devices daily by checking them or just touching their pocket to ensure they are still there. This could be considered a form of addiction. This study aimed to look at the connection to these …

“He Sat Down:” The Session Of Christ And Faithful Perseverance In Hebrews, Jonathan Myers

Doctoral Dissertations and Projects

One of the most prominent themes in the book of Hebrews is the session of Christ – the belief that God’s Son, after successfully completing His earthly mission, was awarded the highest position of honor at the right hand of the Father. As the Davidic Son, He rules and reigns over all creation as its rightful heir, fulfilling texts such as Psalms 2, 8, and 110, as well as 2 Samuel 7. As high priest, He has atoned for sins and is presently interceding for believers. Thus, the session of Christ is no ethereal or esoteric doctrine, but a reality …

Narrative Tension And Theological Memory As Pedagogy In Three Select Samuel–Kings–Chronicles Parallels: A Textual–Literary–Theological Analysis, Mike Prah

Doctoral Dissertations and Projects

This dissertation examines the function of narrative tension in selected passages of Samuel–Kings and Chronicles and argues that such tension operates as theological pedagogy rather than as narrative difficulty or compositional residue. While modern scholarship often explains divergences between these historiographic corpora through redactional development or ideological reshaping, this study investigates how preserved tensions function within the narrative itself. Focusing on three representative case studies—the Ark sanctity narrative (2 Sam 6:1–19; 1 Chron 13–15), the census–altar episode (2 Sam 24; 1 Chron 21), and the succession complex (1 Kings 1–2; 1 Chron 28–29)—the dissertation demonstrates that narrative tension is intentionally …

An Investigation Into Bridging The Rural Stem Gap With Multimedia Learning Principles: A Phenomenological Study, Joseph W. Halko

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the lived experiences of STEM teachers at rural secondary schools concerning the use of multimedia learning tools to support cognitive processes during instruction. Meyer’s cognitive theory of multimedia learning (CTML) provides the theoretical framework for this study, ensuring that multimedia learning modalities, such as e-learning platforms and educational technology, are grounded in sound cognitive theory. The central question is, “What are the lived experiences of rural secondary STEM teachers concerning the use of multimedia learning tools to support cognitive processes during instruction?” To support this investigation, a phenomenological methodology based …

The Flaming Cross Of Kildare: A Model Of Gender And Power In Early Irish Christian Identity, 470-1220 A.D., Patricia M. Hendrick

Doctoral Dissertations and Projects

This dissertation examines the development of early Irish Christianity through the lens of gender, monasticism, and cultural synthesis, centering on the figure of Saint Brigid of Kildare and her foundational role in shaping one of Ireland’s most influential religious institutions. It argues that the Christianization of Ireland was neither abrupt nor uniform, but rather a gradual, negotiated process that fused indigenous Gaelic traditions with emerging Christian structures. Within this unique context, Ireland’s ecclesiastical organization diverged markedly from continental models, privileging monastic networks over episcopal hierarchies and enabling alternative configurations of spiritual authority. Importantly, this is seen in Kildare Abbey, a …

Developing Biblically Based Media As A Tool To Influence Societal Values Towards Godliness, Jasmine Deanne Andrews

Doctoral Dissertations and Projects

The media can influence cultural values using narrative storytelling. Common tropes in narrative storytelling may reinforce cultural norms that vilify women and reinforce racial stereotypes. Frequent exposure to these negative tropes in the media condition audiences to accept gender and racial biases rather than society taking responsibility for gender and racially motivated violence and social mistreatment. These gender and racial biases can be further reinforced by church doctrines that support cultural norms that vilify women and reinforce racial stereotypes. This study exposed audiences to biblically-based media using the faith-based film, Then Sings My Soul, to determine the types of images …

The Interactions Of Faith Development, Attachment With Relational Authenticity, And Theory Of Mind In Children With Adverse Childhood Experiences, Lisa Haley

Doctoral Dissertations and Projects

Early exposure to adverse childhood experiences (ACEs) interrupts typical spiritual, socioemotional, and cognitive developmental trajectories. Faith Development (FD), attachment with Relational Authenticity (RA), and Theory of Mind (ToM) may serve to provide positive coping strategies for children with ACEs. Few studies explored the interactions of FD, attachment with RA, and ToM in children. Additionally, sparse research involved RA independently or in relation to attachment formation. The purpose of this phenomenological study was to explore how FD, attachment with RA, and ToM interact in children with ACEs. The lived experiences of children with ACEs and the interactions of FD, attachment with …

How Rural Veterans Enrolled In Veteran’S Treatment Courts Describe Their Experiences With Having Their Health Care Needs Adequately Met By The Court, Armando B. Dela Rosa

Doctoral Dissertations and Projects

This study investigates the experiences of rural veterans enrolled in Veterans Treatment Court (VTC) with a focus on their access to healthcare services. The purpose of this research is to understand how these veterans' healthcare needs are being met and the barriers they face, contributing to the academic discourse on veteran healthcare accessibility. The central research questions address the adequacy of healthcare provision for rural veterans and how they navigate court-ordered care. The study employs a qualitative research design, utilizing in-depth interviews with a sample of 15 veterans from various rural locations in Nevada. Data was collected through structured Zoom …

James And Paul: Conflict Or Continuity, Brian Allan Elensky

Doctoral Dissertations and Projects

This dissertation investigates whether the Epistle of James presents a fundamentally different gospel from Pauline theology, a claim advanced by Robert Eisenman and other scholars who portray James as the leader of a rigorist, non-resurrectional, sectarian movement. The study employs a forensic investigative model shaped by the researcher’s experience as a police officer, combining historical-grammatical exegesis of James with analysis of key New Testament texts, early Christian witnesses such as Eusebius and Hegesippus, and modern scholarship on James, Paul, and the Dead Sea Scrolls.

The research concludes that James does not oppose Paul but complements him. James 2:14–26 rejects a …

Life Lessons In Goodbye: Exploring Family Communication And End-Of-Life Depictions And Messages In Disney And Pixar Films Through A Content Analysis, Vanessa A. Gordon

Doctoral Dissertations and Projects

Death is a friend of ours said Francis Bacon, and Hargarten stated that death has an inevitable arrival. This research aimed to explore the depictions and messages of death in Disney and Pixar films. The qualitative content analysis research methodology coded 267 deaths in Disney films (1937–2003) and Disney and Pixar Films (2003–2024). The study centers on replicating the scholarship of three prior works, while extending the research by incorporating more recent films into the analysis. Additionally, this current study applies a new theoretical framework, family communication patterns, to all films, including those previously reviewed solely for depictions of death, …