Digital Commons Network^™

Preserving The Untold Stories: Leveraging Emerging Technologies (Ai And Machine Learning) For Archiving Hidden Histories Of Children And Families Impacted By The Little Rock School Integration Crisis, Oluseyi Noah Adebanjo

Theses and Dissertations

This thesis challenges the dominant narrative of the Little Rock School Integration Crisis by recovering the hidden histories of families and siblings who made integration possible but have been systematically overlooked by historians. While existing scholarship focuses on the Little Rock Nine as individual heroes, this research demonstrates that integration was fundamentally a family crisis requiring collective decision-making, economic sacrifice, and multigenerational support networks. Through close reading of published memoirs, newspaper clippings, school board minutes, and original oral history interviews with Phyllis Brown and Dr. Sybil Jordan Hampton, this study reveals how approximately 200 eligible families were systematically reduced to …

A Cross-Sectional Study To Explore Healthcare Providers’ Wellness: Current Challenges & Gut Health, Linda Liu, Simi Joseph

Creating Healthy Work Environments (CHWE)

Background: Healthcare provider well-being is essential for high-quality patient care. However, stress, burnout, and demanding work environments negatively impact physical and mental health, including gut health. The gut-brain axis underscores the link between gastrointestinal function, stress, and well-being, yet limited research has explored gut health among healthcare professionals.

Purpose: This study assessed the prevalence of gastrointestinal symptoms among healthcare providers and examined associations with stress levels, clinical environment, and quality of life in acute and outpatient settings.

Framework: Guided by the Biopsychosocial Model, this research explored how biological, psychological, and social factors influence the well-being and gut health of healthcare …

Fostering A Healthy Academic Environment In Nursing Education, Donna M. Hedges

Creating Healthy Work Environments (CHWE)

A healthy academic environment is foundational to the preparation of future nurses, the retention of faculty, and the overall success of nursing education programs. This presentation examines the multidimensional nature of a healthy academic environment, highlighting psychological safety, equity and inclusion, supportive infrastructure, academic integrity, and collaborative learning as critical elements. Drawing from relational-cultural theory and caring science, the presentation explores how these elements shape outcomes for students, faculty, and institutions. Common challenges—including incivility, limited resources, and faculty workload strain—are discussed alongside evidence-based strategies to foster resilience, collegiality, and organizational change. Implications for practice, policy, and research are identified, underscoring …

Integrating A3 Thinking To Drive Collaborative Clinical And Operational Improvements, Deltra Muoki, Sarah Fleming, Eliud Faz, Dan Hootman, Whitney Adams

Creating Healthy Work Environments (CHWE)

Introduction: Delivering high-quality care and achieving optimal outcomes rely on efficient clinical processes. Continuous improvement enhances care (Endalamaw et al., 2024), and staff should identify evidence-based solutions to drive change.

At this 350-bed Magnet-recognized hospital, clinical and operational teams worked in silos despite shared goals. Clinical staff used gap analyses, while operational teams applied A3 problem-solving to determine whether issues required kaizen events or quick fixes. A3 supports root cause analysis, targeted interventions, and outcome evaluation (Brennan & Wendt, 2021).

However, no standardized process existed for submitting or tracking gap analyses or A3s. In Q1 2025, only two A3s and …

Systematic Review Of Multi-Level Determinants And Equity Implications Of Mode Of Birth In The U.S., Abdul-Manaf Mutaru, Cynthia Nicole Lebron, Wonsuk Yoo, Alexa Parra, Lunthita Duthely, Thomas Mike O'Shea, Hudson P. Santos Jr.

Creating Healthy Work Environments (CHWE)

Background: Giving birth by surgical operation (cesarean birth) is linked to complications such as postpartum infection, rehospitalization, and respiratory issues in newborns. However, the cesarean rate remains high, accounting for 32.4% of all births in the United States (U.S.). Understanding the impact of factors beyond the individual level is crucial for developing interventions to reduce preventable cesarean births and promote health equity.

Purpose/Aim: This systematic review synthesized evidence from U.S.-based studies to identify factors beyond the maternal level that are associated with mode of birth (vaginal or cesarean).

Methods: We searched PubMed, Web of Science, PsycINFO, and CINAHL for studies …

Disparities In Policing Through The Lens Of Indigenous Communities In Michigan: A Research Proposal, Abigail Ruddle

Honors Theses

This study examines the historical and contemporary factors shaping relationships between Indigenous communities and law enforcement in the United States, with a specific focus on tribal nations in Michigan. Using a historical framework that includes treaty-making, forced removal, and evolving legal decisions, this research examines the use of treaties and diplomacy to initiate new socio-political structures in Native American communities. Similarly, the emergence of policing in the United States impacted the relationship between law enforcement and Indigenous communities by creating hostility and distrust. The existing literature highlights themes of police violence and the paradoxical nature of over-policing and under-policing in …

Anterior Cruciate Ligament (Acl) Injuries In Female Athletes: Implications For Prevention And Rehabilitation, Natalie Amm

Honors Theses

Anterior cruciate ligament (ACL) injuries are among the most common lower limb injuries and pose significant physical, psychological, and long-term functional challenges for athletes. Additionally, research has suggested that females are up to eight times more likely to experience an ACL injury than their male counterparts. This increased risk is multifactorial with risks including anatomical structure, neuromuscular control, strength deficits, and hormonal fluctuations. However, the elevated risk of ACL injuries in female athletes may not solely be caused by biological differences, but also due to training programs and sports being designed around male athletes. This pushes us to change the …

Expression And Purification Of Mayaro Virus Nsp2 Protease, Emma Grace Tourville

Honors Capstone Projects and Theses

No abstract provided.

Nurse Education On Nonpharmacological Management Of Knee Osteoarthritis, Toyin Mary Ajayi

Walden Dissertations and Doctoral Studies

The Doctor of Nursing Practice (DNP) project aims to fill the gaps in the management of knee osteoarthritis (OA) in adults aged 40 to 75 years in a primary care practice. Knee OA is a common chronic disease that significantly impacts pain, mobility, and quality of life. Although there is empirical evidence that nonpharmacological interventions, including exercise, weight control, and self-management education, are effective, these methods are not consistently used in clinical practice, and pharmacologic treatment continues to be used. The project was designed to inform healthcare personnel about evidence-based nonpharmacological strategies to improve patient outcomes and reduce reliance on …

Staff Education On Early Sepsis Recognition For Medical-Surgical Nurses In The Acute Care Setting, Nadine Nzenga Udom

Walden Dissertations and Doctoral Studies

In this staff education project, I targeted early sepsis recognition and response among medical-surgical nurses. The practice gap at the site was nurses’ limited knowledge of sepsis indicators and screening tools, which contributed to delayed escalation of care. The practice-focused question guiding the project was “Does educating medical-surgical nurses on early sepsis recognition and response improve knowledge of early sepsis recognition and response?” I applied the analysis, design, development, implementation, and evaluation (ADDIE) and Johns Hopkins Evidence-Based Practice (JHEBP) models to design a structured sepsis education program for nursing staff. I searched for peer-reviewed literature via databases accessed through the …

Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly disrupted higher education, requiring institutions to rapidly transition to virtual learning environments and leaving faculty to manage increased workloads, stress, and challenges related to instructional quality and student engagement. The problem in this study is traditional faculty continue to experience these challenges in the post pandemic academic landscape, with implications for faculty wellbeing and student success. The purpose of this qualitative generic study was to explore experiences of traditional college faculty members educating students while transitioning from in-person to virtual learning environments post-COVID-19. Guided by the ecological systems theory, multilevel influences on faculty experiences were examined. …

Exploring Lived Experiences And Perceived Quality Of Life In Individuals With Parkinson’S Disease Engaging In Rock Steady Boxing: A Qualitative Study, Emma Norman

Capstone Projects

It is well established that exercise provides numerous benefits to the general population, including improved physical functioning, fall prevention, and better sleep (National Institute on Aging, 2025). For individuals living with Parkinson’s Disease, the benefits of exercise are especially meaningful as exercise plays a key role in managing symptoms. Regular exercise plays a critical role in managing both motor and non-motor symptoms of Parkinson’s Disease, contributing to improved quality of life and independence (Ellis & Rochester, 2018). A group fitness program for individuals with Parkinson’s Disease, called Rock Steady Boxing, has demonstrated positive quantitative outcomes, including improved balance, strength, and …

Development Of Purposeful Movement Breaks And Sensory Pathways To Enhance Student Engagement And Participation, Ashlyn Houck

Capstone Projects

Children in school settings frequently spend extended periods seated in classrooms, which can make it difficult to meet their sensory and movement needs throughout the school day. When these needs are unmet, students may demonstrate behaviors that disrupt learning and limit participation in classroom activities. This capstone project addressed the need for sensory and movement opportunities within the school environment. Objectives included establishing a baseline of teacher knowledge related to the sensory systems, implementing movement breaks within daily classroom routines, and introducing sensory opportunities in hallways to support smoother transitions. The project was implemented with second- and third-grade classrooms. Outcomes …

Promoting Maternal Well-Being: Occupational Therapy In Pregnancy And Postpartum, Nora Udrys

Capstone Projects

Navigating pregnancy and the postpartum period can be a complex experience for women. There is a lack of diverse information, accessible resources, and support during this phase of life. Hormonal levels fluctuate not only during pregnancy but after giving birth as well, contributing to significant physical, emotional, and cognitive changes. Some of these changes may create barriers to meaningful participation in daily occupations, contributing to feelings of isolation, mood disruptions, and decreased overall well-being. Occupational therapy has a unique role in supporting women through pregnancy and postpartum by helping them navigate these transitions through a holistic, client-centered lens. The purpose …

Sexuality And Intimacy: Education On Ot Approach, Abby Stritzinger

Capstone Projects

Providing proper education on sexuality and intimacy is important for increasing comfort when addressing sex and intimacy with individuals in the professional field.  “Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled” (WHO, 2006a). Creating occupational therapists (OTs) that are comfortable addressing this topic is extremely important for the OT profession to continue to maintain its holistic, client-centered …

Expanding Nbcot® Exam Readiness Resources In An Entry-Level Otd Program, Thahiyatul Sarah

Capstone Projects

The National Board for Certification in Occupational Therapy (NBCOT®) exam is a critical requirement for entry-level occupational therapy (OT) practice in the United States; however, many students face challenges in effectively preparing for its clinical reasoning demands. This literature review examines existing research on NBCOT® exam preparation strategies to inform the development of a comprehensive exam content guide and resources tailored for OT graduate students. Existing barriers, including gaps in curriculum alignment, limited access to effective study tools, and high levels of student stress, highlight the need for more structured and accessible preparation methods. By examining key themes such as …

Expanding Access To Equine-Assisted Occupational Therapy: Integrating Clinical Application And Program Development, Deanna Rietveld

Capstone Projects

This capstone project explored the role of hippotherapy in occupational therapy through enhanced clinical practice skills as well as supporting program development through community education and funding accumulation for the capstone site organization. Guided by a needs assessment drawn from literature, site mentor input, and other local organizations providing similar services, it was determined that occupational therapy using equine movement provides more impactful results while simultaneously addressing deficits in a variety of areas, but lack of financial resources, community participation, and therapy scholarships threaten the opportunity to expand programs and provide access to individuals who would benefit from services. In …

Practical Exploration Of The Role Of Occupational Therapy In A Nature-Based School Setting, Emma Campbell

Capstone Projects

School-based occupational therapy (OT) plays a critical role in supporting children’s participation, development, and engagement in educational environments. However, non-traditional school settings often lack therapeutic supports, such as OT services. The purpose of this doctoral capstone experience (DCE) is to explore and expand the role of occupational therapy within a non-traditional academic setting, specifically a nature-based preschool program. Sunflower Farm’s preschool program provides a unique learning environment that supports children’s development through farm-based learning. While this setting offers rich opportunities for exploration and growth, additional supports are needed to facilitate students’ sensory processing, self-regulation, and participation.

The objectives of this …

Simple Guide To Using Generative Artificial Intelligence Writing Tools In Research & Scholarship At Unh, Julie Simpson, Patricia Condon, Bonnie Brown, William C. Clyde, James J. Connell, Ramonda Kindle, Jennifer Miksis-Olds, Christopher Neefus, Jennifer O’Brien, Theresa Oehmke, Shantel Palacio, Allyson Ryder, Nathan A. Schwadron, John E. Sparrow, Xueting Sun, Engin Taze, May-Win Thein, Anita R. Tucker, Karen T. Van Gundy, James Wible

Integrity in Research and Scholarship

While Artificial Intelligence (AI) technologies have existed for years, the recent arrival of widespread generative AI writing tools such as ChatGPT has provoked varied reactions in the scholarly community worldwide. Undoubtedly easy access to such tools may help to level the scholarly playing field for certain groups, particularly those with limited writing skills or proficiency with English as the primary language for written and oral communication of research and scholarship. There are, however, concerns about these tools, including, but not limited to, the accuracy, consistency, and bias of the information generated, appropriate acknowledgement of source material, and the tools’ lack …

Multifocal Papillary Thyroid Carcinoma With Ret P.V804m, Eml4-Alk Fusion, And Braf V600e Positivity, Jacob Beiriger, Leonard Estephan, Lubna Zuberi, Stacey Gargano, Elizabeth Cottrill

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

Multifocal papillary thyroid cancer (PTC) can arise from independent primaries with discordant drivers in parallel clonal evolution rather than a single-clone pattern. We present a 31-year-old female with multifocal PTC harboring 3 distinct oncogenic alterations: a germline RET p.V804M mutation, low-frequency EML4-ALK fusion, and BRAF V600E mutation. The RET and ALK alterations were identified in a midpole nodule, whereas BRAF positivity was seen in a separate lower pole tumor. Ultrasound revealed multiple right-lobe thyroid nodules; the dominant 2.1-cm lesion was hypoechoic with calcifications. Fine needle aspiration revealed Bethesda III cytology, prompting thyroid lobectomy and an ipsilateral central neck dissection was …

The Future Is Now: The Digital Dentistry Symposium, Casper Jonker

Peninsula Dental School

Introduction: From the perspective of our current undergraduates the period that I grew up in must appear something akin to a technological Stone Age. Concepts such as browsing web pages were unheard of, everything was done on paper, and communication could take weeks or even months to complete. Something as simple as making a phone call could cause endless frustrations: not being able to reach someone or just leave a voice message, running out of credit mid-conversation or ridiculously high phone bills was the norm in most households. Most of us will remember our time attending primary and secondary school, …

Oral Health-Related Quality Of Life (Ohrqol) In People With Dentin Hypersensitivity: A Systematic Review Of Interventional Studies, Sumanth Kumbargere Nagraj, Georgios Kitsaras, K. Bekes, C.L. Randall, K. Asimakopoulou

Peninsula Dental School

ObjectiveThis systematic review, the first in this field, aimed to evaluate if interventions for dentin hypersensitivity (DH) affect patient-reported oral health-related quality of life (OHRQoL).MethodsA systematic search was conducted across seven electronic databases and gray literature sources, focusing on interventional studies published from 2010 onward. Eligible studies included adult participants with DH and assessed OHRQoL using validated measures. Data extraction followed the PRISMA guidelines. Risk of bias was appraised using the JBI tool.ResultsThirteen randomized controlled trials involving 616 participants were included. Interventions ranged from desensitizing agents, fluoride varnishes, and laser therapy to nonpharmacological approaches like behavioral techniques. QoL was measured …

Learning The Notes: Developing Absolute Pitch, Emma Joyce

Student Publications and Presentations

Absolute pitch (AP) is the ability to identify or name a musical pitch without the aid of a reference tone. Although the concept has been known for centuries, the processes of its development remain unclear. Researchers have proposed a variety of explanations, yet despite advances in neuroscience and cognitive psychology, there is still no agreement on whether AP results from natural ability or learned experience. By understanding neurological and developmental research, reviewing existing literature, analyzing case studies, and evaluating current theories, this paper aims to identify gaps in previous research and suggests a new approach for developing AP in young …

Reassessing Additive Diversity Measures: Dawson's Negro Folk Symphony In A Brass Audition Context, Daniel Combs Jr.

Student Publications and Presentations

There is a notable gap in representation of American composers—especially historically underrepresented African American composers—on most symphonic brass audition lists used today. Audition repertoire shapes what orchestral musicians study, and educational institutions also prioritize a nearly exclusively Eurocentric canon to produce audition-ready musicians. As a result, engagement with Black American composers in symphonic culture remains limited. Recent scholarship by Brandon Farnsworth suggests that one commonly used method of addressing this issue—including a requirement that auditionees find and include works by underrepresented composers—further masks structural inequity rather than changing it. In this context, William Dawson’s Negro Folk Symphony (1934, rev. 1952) …

The Role Of Human-Centered Artificial Intelligence In Crewed Mars Missions, Jordan Neuman

Student Publications and Presentations

The suggestion of implementing Artificial Intelligence (AI) in crewed missions to the Martian surface can revolutionize mission operations, psychological support, and ethical decision‑making under challenging conditions. This study is a structured, qualitative literature review of current AI research for the future of human space exploration. It uses publicly available peer‑reviewed journal articles and NASA/ESA technical reports on AI for Mars missions. Using Perplexity, the researcher first prompted the AI tool to identify recurring topics across these sources and generate themes. The researcher independently reviewed all sources to confirm and refine those themes. Three themes—mission autonomy, local resource utilization and life‑support, …

Moving On Stage, Moving The Audience: The Overlooked Impacts Of Body Language On Performance Reception Of Classical Music, Julia Jacobsen

Student Publications and Presentations

A large focus in productions of classical music is put towards executing the music at the highest level to achieve both the composer’s and interpreter’s visions. However, modern-day musicians often overlook the importance of visually conveying their music through their emotional expressions and movements. In this paper, I will examine existing research on audience perceptions of classical music performances, utilizing highly successful musicians as examples to determine their impact on audience reception of classical music. In so doing, I hope to develop strategies for greater audience engagement that will help music students and performers increase their connection to their auditors. …

Digital Marketplaces As Conditional Economic Infrastructure In Conflict-Affected Economies, Diana Umerova

Student Publications and Presentations

Armed conflict disrupts trade, logistics, and financial institutions, constraining firms’ ability to participate in domestic and international markets. While prior research documents macroeconomic losses and supply-chain shocks, there is limited explanatory analysis of how digital marketplaces operate as conditional economic infrastructure under active conflict. Using the Russia–Ukraine war as a contextual case, this thesis extends a qualitative, secondary-data analysis to explain how digital marketplaces function through the economic mechanisms of alternative market access, organizational reconfiguration, and digital payment facilitation, while acknowledging structural constraints, elevated transaction costs, and platform governance risks. Building on existing research, the study argues that digital marketplaces …

The Opioid Crisis In The United States Vs. Portugal’S Public Health Approach, Ciara Dillon

Student Publications and Presentations

The opioid epidemic in the United States is a persistent public health issue exacerbated by increasingly dangerous and potent synthetic opioids. Although there are growing levels of access to naloxone and medication-assisted treatment (MAT) as well as growing numbers of overdose-related deaths, these data indicate that U.S. drug policy continues to be characterized by a primarily reactive and partially punitive framework. This study will compare the U.S. drug policy model to that of Portugal, which fully decriminalized all illicit drugs in 2001, shifting from a national drug policy based on punishment and repression to one focused on preventing the consumption …

Engineering Function In Lung Biology: Integrating Imaging, Regenerative Constructs, And Functional Biodesign, Rene A Girard, Jamie Tran, Yuqing Cai, Mary C Farach-Carson, Hadi T Nia, Allison M Greaney, Laura E Niklason, Killian Hurley, Elvin Blanco, Sinem Koc-Günel, Harry Karmouty-Quintana

Faculty, Staff and Student Publications

The lung is a uniquely demanding target for regeneration because function depends on the coordinated integration of cellular diversity, three-dimensional architecture, cyclic mechanical forces, vascular perfusion, immune surveillance, and extracellular matrix remodeling. While single-cell and spatial profiling, lineage tracing, and iPSC-derived models have transformed our understanding of lung cell states and developmental potential, these descriptive approaches have also highlighted a central bottleneck: the field still lacks broadly adopted platforms to test whether engineered tissues and regenerative interventions restore function under physiologic load. In this review, we focus on emerging technologies that enable functional biodesign in lung biology by coupling engineered …

University Challenges, Ewen Mccoll, Philip Preshaw

Peninsula Dental School

The recent article by Lalloo highlighted some of the conflicting challenges faced by universities across the world, particularly the UK. The conclusion drawn in the article related to metrics for ranking dental schools touching on the importance of research to universities: the rankings are biased to research metrics and reputation, rather than the quality of the teaching of oral health professionals.