Digital Commons Network^™

Managing Dietary Nonstructural Carbohydrates In Insulin Dysregulated Horses: Pasture, Long-Stem Forage, And Restrictive Grazing Strategies, Morgan J. Askins

Theses and Dissertations--Veterinary Science

Insulin dysregulation (ID) is a complex endocrine disorder, impacting a large percentage of the equine population. ID is the defining characteristic of equine metabolic syndrome (EMS). Within the various classifications of EMS horses, the commonality is ID and their higher risk of laminitis. To mitigate insulin response and laminitis risk in ID horses, current management focuses on restricting pasture exposure and feeding low nonstructural carbohydrate (NSC) rations. Minimal studies have evaluated how ID horses respond to pasture of various NSC, long-stem forages, and restrictive grazing strategies. Providing horse owners and managers with improved nutritional management recommendations for ID horses with …

Between The Rails: Experiential Education And Its Impact On Compliance And Consistency In Racetrack Surface Management, Heather Mackenzie

Theses and Dissertations--Community & Leadership Development

Recent regulatory requirements within the Thoroughbred racing industry have increased expectations for consistent collection and reporting of racetrack surface data. Despite clear standards, implementation in daily operations remains inconsistent, highlighting a gap between regulation, knowledge, and practice. This study examined the impact of an experiential education curriculum on racetrack personnel’s self-efficacy and reporting consistency.

Using a quantitative design, data were collected through pre- and post-surveys measuring self-efficacy and records of the number of days surface data were entered. Descriptive statistics, paired-samples t-tests, and effect size analyses were used. Results showed a statistically significant increase in self-efficacy (p < .001) with large effect sizes, indicating meaningful gains in confidence and comfortability. Reporting consistency did not show a statistically significant change (p = .885).

Overall, experiential education …

A Quality Improvement Project: Nurse-Led Nutritional Support To Reduce Missed Chemotherapy Appointments, Eva Balboa

Doctor of Nursing Practice (DNP) Scholarly Projects

Introduction/Background

Malnutrition affects approximately 43% of cancer patients nationally and is associated with missed chemotherapy appointments, treatment interruption, and poor clinical outcomes. At a 30-chair outpatient cancer center in South Texas, a retrospective chart review revealed that 45% of patients experienced malnutrition-related symptoms contributing to appointment disruptions. Despite evidence-based recommendations for routine nutritional screening and support, no standardized protocol existed at this site.

Objectives

 The purpose of this quality improvement project was to implement a nurse-led nutritional support protocol and evaluate its effectiveness in (1) reducing the missed chemotherapy appointment rate from 10% to 5%, (2) achieving 100% compliance with …

An Exploration Of Vicarious Trauma In The Integrated Trauma Team, Victoria L. Hadix

PCOM Psychology Dissertations

This study aimed to explore the impacts of self-care, coping skills, and resilience on the perceptions of vicarious trauma by members of the trauma team in a small community hospital in the Northeastern United States, through the use of qualitative methodology and a semi-structured interview. The goal of this study was to gain an understanding of the mental health factors impacting health care professionals functioning in the fast-paced, demanding environment of the emergency room. Furthermore, the study explored health care professionals’ perceptions of the integrated trauma team and the relationships between individual and team-based characteristics. This study helped increase understanding …

Court Of Arbitration For Sport: A Flawed But Necessary System That Will Shape The Future Of The Olympic Games, For Better Or For Worse, Michael Digeronimo

Student Works

No abstract provided.

Improving The Game: How Removing Health And Safety Protocol From Nfl Collective Bargaining Agreements Can Serve To Benefit Players And The League Altogether, Randall Lazzaro

Student Works

No abstract provided.

Immigration Detention, Punishment Without Conviction: Civil In Name Only, Christopher Mongelli

Student Works

No abstract provided.

Are We In Oz? The Constitutionality Of Inhumane Treatment In Noncitizen Detainment Centers, Grace Callahan

Student Works

No abstract provided.

Recalibrating 47 U.S.C. Section 230 For Algorithmic Feeds: A Mens Rea-Bounded Carve-Out And Statutory Blueprint For Platform Push Recommendations To Minors, Evander Tang

Student Works

No abstract provided.

Motherhood Behind Bars: Reproductive Rights And Oppression In The Carceral State, Elena Bresnan

Student Works

No abstract provided.

Fighting For Fairness: Combating Wage Disparities, Unequal Pay, And Lack Of Protections Through The Reclassification Of Ufc Fighters, Salma Mohamed

Student Works

No abstract provided.

Incarcerated Infants: The Mothers And Infants Nurturing Together Program And New Jersey’S Obligation To Care For Its Children, Hayley G. Friedman

Student Works

No abstract provided.

An Unjustified Judicial Invention: A Case For The Removal Of The Natural Law Exception For Patentable Subject Matter, Bradley O. Schlager

Student Works

No abstract provided.

Utility Of Minnesota Multiphasic Personality Inventory–Third Edition (Mmpi-3) Eating Concerns Scale In A Bariatric Sample, Darryl Ray

Doctor of Psychology (PsyD)

The utility of the Eating Concerns (EAT) scale on the Minnesota Multiphasic Personality Inventory–3 (MMPI-3) was examined in a preoperative bariatric sample through comparisons with established measures and an assessment of internal consistency. Participants (N = 161) enrolled in a bariatric surgery program completed a comprehensive preoperative psychological evaluation that included the MMPI-3, the Three-Factor Eating Questionnaire (TFEQ), and the Weight Efficacy Lifestyle Questionnaire–Short Form (WEL-SF). The EAT scale differentiated the disordered eating groups and showed moderate associations with the TFEQ-C, TFEQ-D, and WEL-SF. Within this sample, the Cronbach’s alpha coefficient for the EAT scale was lower than the alpha …

Culturally Responsive Retelling Practices In Fourth Grade, Jennifer L. Ippolito

Doctor of Education (EdD)

This action research study examined whether culturally appropriate, relevant materials could improve fourth-grade students' retelling skills. The study implemented four well-structured strategies over a nine-week intervention, involving fifteen students (five males and ten females) from an Indigenous reservation. The primary goal was to improve their retelling scores, which would, in turn, enhance their overall reading scores. Beginning-of-year data showed that students struggled to achieve passable reading scores, with retelling as a primary hindrance. Students were strategically paired to build reading skills and encouraged to collaborate effectively to improve comprehension, fluency, and retelling. Data were collected throughout the nine weeks using …

Bidenomics: An Analysis, Chad Marzen

Dickinson Law Review (2017-Present)

“What’s Bidenomics? It’s about investing in—and I feel like I’m going to—I’m going to try not to repeat some of what my colleagues have already said, but it’s about investing in America—investing in America and investing in Americans—American People” – Former President Joseph R. Biden, Jr.¹ “It’s about growing the economy from the middle out and bottom up instead of the top down. Because when the middle class does well, the poor have a ladder up and the wealthy still do very well.” – Former President Joseph R. Biden, Jr.² “The West Wing may believe Bidenomics is working …

Decreasing Risk Factors For Post-Intensive Care Syndrome Using Nurse-Led Rounds And A Novel Icu Liberation Bundle, Jennifer Kepler, Kenneth Moller

Publications 2026-present

Background: Critically ill patients are more likely to survive today than at any other time in history. As more patients recover from critical illnesses, however, many experience health impairments known as post-intensive care syndrome. The Society of Critical Care Medicine developed the ICU Liberation Bundle to decrease the risk of post-intensive care syndrome.

Problem: An audit of 100 patient charts identified complete ICU Liberation Bundle documentation in only 20% of eligible patient days, highlighting the need for increased consistency in bundle implementation. Since the ICU Liberation Bundle addresses modifiable post-intensive care syndrome risk factors, lack of consistency implementing bundle interventions …

The Murdock Daily Reilly (M.D.R.) Scale: A Pressure Injury Risk Assessment Scale For Critical Care, Ann Murdock, Andrea Daily, Deby Reilly, Shih-Ting Chiu, Melissa Robinson

Publications 2026-present

No abstract provided.

Optimizing Healthy Aging: A Preventative Approach To Support Community-Dwelling Older Adults, Jada Welke

Occupational Therapy Capstones

Introduction: Healthy aging is a complex and multidimensional process influenced by physical, cognitive, psychosocial, environmental, and lifestyle factors across the lifespan. Increasing evidence from researchers suggests that many health care systems continue to rely on reactive models that address decline only after functional limitations emerge. Preventive interventions initiated in midlife have the potential to significantly influence long-term health outcomes, independence, well-being, and quality of life. As a result, there is growing recognition that multidimensional, proactive screening and intervention should begin earlier, before age-related conditions become clinically significant.

Purpose: The purpose of this scholarly project was to address this need through …

From Play To Pressure: Understanding Early Sports Specialization Through An Occupational Lens, Kiley Jade Washnieski

Occupational Therapy Capstones

Background: Youth sport participation plays a significant role in the daily lives of children ages 6-12 (Lee et al., 2018). Participation in organized sports can offer numerous benefits; however, the expectations surrounding youth sports have evolved over time. Increased emphasis on early specialization has intensified training demands and performance pressures placed on youth athletes during critical developmental years (Brenner et al., 2019). Although occupational therapy is well positioned to address both the physical and psychosocial demands of youth sport participation, the profession’s role within this context remains underexplored (Bulan et al., 2025).

Purpose: The purpose of this scholarly project was …

Enhancing Leisure Opportunities For People With Disabilities In Rural Communities, Joslyn Mary Nordmark

Occupational Therapy Capstones

Purpose. The purpose of this scholarly project was to promote access to leisure opportunities for people with disabilities in rural areas. The author addressed unmet needs among this population considering personal, occupational, environmental, cultural, and socioeconomic factors. The goal was to develop a product that provided opportunities regardless of abilities to promote leisure exploration and participation, social engagement, and life skill development for people with disabilities

Methods. The author conducted a needs assessment through a literature review following the Model of Human Occupation (MOHO), collaborations with site staff, and an on-site observation and environmental analysis. Data was examined to identify …

Introduction Of Occupational Therapy Into A Suburban Supportive Housing Organization, Madeline Kuntz

Occupational Therapy Capstones

Abstract: Unhoused individuals experience compounded barriers beyond housing access and are often underserved within occupational therapy practice. This doctoral capstone project partnered with a nonprofit residential program to develop a research-informed onboarding manual grounded in the holistic occupational therapy framework, Model of Human Occupation (MOHO, O’Brien, 2017). The manual was designed to clarify expectations of the supportive housing program, address diverse resident needs, and promote independence as the organization expands. Development was informed by a comprehensive literature review and informal needs assessment of the organization, identifying anticipatory barriers and supports commonly experienced prior to program entry. Key areas of need …

Empowering Caregivers: An Occupational Therapy-Informed Educational Program For Dementia Care In Rural Communities, Maria Lynn Johnson

Occupational Therapy Capstones

Purpose: Hospitalization presents significant risks for individuals with dementia, including increased behavioral and psychological symptoms (BPSD), delirium, functional decline, and reduced occupational engagement (Boltz et al., 2023; Teichmann et al., 2019; Zwingmann et al., 2020). Acute care environments are often overstimulating, unfamiliar, and task-oriented, which can exacerbate cognitive impairment and contribute to caregiver distress. Despite strong evidence supporting nonpharmacological, occupation-based interventions, structured engagement opportunities are rarely integrated into acute care workflows (Burgdorf et al., 2023; Faeder et al., 2023). This doctoral capstone project aimed to develop occupation-based dementia activities for use during hospitalization while equipping formal and informal caregivers with …

Involving Parents In Prevention: A Case Example Of Research And Intervention Development To Improve Financial Well-Being Support, Nick Axford, Gisella Hanley, Rebecca Summers, Kristin Liabo, Amy Bond, Eleanor Bryant, Georgia Smith, Rachel Silcock, Vashti Berry

Peninsula Medical School

The adverse effects on parent and child outcomes of poverty and stressors associated with low income are well established. With notable exceptions, however, the potential role of frontline services in improving family financial well-being is underexplored. This article outlines how patient and public involvement (PPI) was initiated early on in research on financial well-being support (FWbS). It illustrates how research can build on and integrate what parents say about services and how to research them. The involvement work was undertaken in one city in part to inform the adaptation of an income maximisation service to be delivered in local children’s …

Intermittent High-Fat, High-Sugar Access During Adolescence Drives Binge-Restriction Feeding And Reduced Weight Gain In A Food Unpredictability Model, Calvin G. Miller

CMC Senior Theses

Food insecurity affects nearly 48 million Americans and 318 million people worldwide, with very low food security disrupting normal eating habits through “feast-or-famine” episodes characterized by cycles of food overconsumption followed by restriction. This dietary pattern alters dopamine signaling within the mesocorticolimbic system — brain circuitry intimately linked to reward processing. This system includes the ventral tegmental area (VTA) and prefrontal cortex (PFC). Overstimulation can be promoted through sporadic high-fat, high-sugar diet (HFHSD) exposure, promoting dopamine neuron architecture alterations and binge-eating behavior. Adolescence represents a vulnerable window, as mesocorticolimbic dopamine projections undergo maturation during this period. Though evidence links food …

Morals Without Movement: Veganism, Contentious Politics, And The Lifestyle Politics Constraint, Luke M. Carfaro

CMC Senior Theses

This thesis examines whether veganism constitutes a social movement through Social Movement Theory frameworks, emphasizing Sidney Tarrow's Power in Movement. Through analysis of veganism's empirical properties (collective challenge, common purpose, collective identity, and sustained interaction) and key procedural mechanisms (framing, mobilizing structures, and repertoires of contention), this thesis determines that veganism fails to meet the empirical criteria of a social movement and is more accurately classified as a lifestyle movement—a movement in which political participation is expressed through private consumption rather than sustained collective contention. Using the Make America Healthy Again movement as a counterexample, this thesis comparatively illustrates …

Pesos For Pesos And No One Feels At Home: Gentrification And Displacement In Mexico City, Sophia L. Castellanos

CMC Senior Theses

This thesis investigates how gentrification and displacement have affected Mexico City, providing historical context and reasoning behind current policies for digital nomads and tourists. It examines policies enacted in similar cities such as Barcelona, Amsterdam, and Venice, which face challenges from increased tourism and short-term rentals like Airbnb. The thesis also reviews these regulations, highlighting their successes and limitations, and offers recommendations for integrating some of these strategies into Mexico City’s 2024 Tourism Law. Additionally, it explores public innovation strategies that could promote collaborations between the government and communities rather than complete government control. Finally, the paper discusses the challenges …

From Statute To Classroom: The Implementation Gap In California's Queer-Relevant Sex Education Policy, Alejandro Quiroz-Novela

CMC Senior Theses

This thesis examines why strong sex education laws do not reliably translate into consistent classroom experiences for LGBTQ+ students. Using a qualitative single-case study of California, it traces the evolution from SB 71 (2003) to the California Healthy Youth Act (CHYA) (2016) and analyzes how mandates move through a decentralized governance chain. Drawing on statutes, legislative records, state guidance, curriculum review tools, advocacy reports, media accounts, and public indicators, the study focuses on implementation mechanisms rather than estimating causal health effects. Three findings emerge: CHYA sets a clear legal floor but is difficult to verify at scale; district discretion and …

Politics Of A Silent Pandemic: Antimicrobial Resistance And State Capacity In India And Nigeria, Mia Kelly

CMC Senior Theses

Antimicrobial Resistance (AMR) has emerged as one of the most pressing yet widely underestimated health threats of the 21st century; this thesis explores the potentially devastating global impact of this “silent pandemic”, exposing how deeply health outcomes depend on political choices, regulatory capacity, and economic constraints. Although the danger of spreading drug-resistant pathogens is now widely acknowledged in both the scientific and political communities, states differ in their abilities to contain the issue, with low- and middle-income countries facing the greatest obstacles to national action plan implementation. This thesis investigates these disparities through a comparison of India and Nigeria, two …

Factors Correlated With State-Level Variation In Grocery Consumption Changes During The Covid-19 Pandemic, Sun Young Byun

CMC Senior Theses

In this paper, I employ a two-part empirical strategy to explore the effects of the COVID-19 pandemic on grocery consumption across U.S. states. First, I use the United States Department of Agriculture's Weekly Retail Food Sales data from 2018-2023 to estimate a time-series panel model. I use the results to test three hypotheses regarding state-level variation in consumption changes and impacts in the initial pandemic period, the remaining pandemic period, and the post-pandemic period. Second, I use the estimated state-level effects as dependent variables in cross-sectional regressions to test three hypotheses linking variation in state-level consumption patterns to economic, demographic, …