Digital Commons Network^™

The Spiritual Care Of Hospice Patients With Cognitive Deficits, Shane Sullivan

Doctor of Ministry Theses and Dissertations

ABSTRACT How can a hospice chaplain know whether their presence and ministry make a meaningful difference when visiting patients with dementia or other serious cognitive impairments? This project thesis seeks to answer that question conclusively. The theological foundation of this project centers on the doctrine of the imago Dei—the image of God—as it relates to individuals who are dying with cognitive deficits. Specifically, it explores how a person who is helpless and near death continues to reflect the image of God. The project intervention described here is the creation of a specialized training guide for hospice chaplains at Bridge Hospice …

Patch Mow Grazing: Investigating The Effects Of Mowing On Forage Nutritive Value, The Biomass–Nutritive Value Relationship, And Herbivore Selection, Trace R. Stauble

Department of Agronomy and Horticulture: Dissertations, Theses, and Student Research

Herbivore foraging behavior plays a critical role in shaping grassland structural heterogeneity, with selection often driven by forage biomass and nutritive value. Currently, it is thought that herbivores primarily select areas that are greater in nutritive value, and low in biomass. More specifically, disturbances like fire and grazing have been thoroughly studied showing that recently burned and grazed areas are not only higher in nutritive value but disproportionately selected by herbivores in comparison to undisturbed areas. However, most studies address only narrow ranges of defoliation, comparing intensely defoliated sites (< 10 cm) to those that are either not defoliated or have experienced a much longer time since defoliation, thereby decreasing grazing pressure as biomass increases. However, one of the most widely used methods of defoliation in grasslands, mowing, hasn’t been thoroughly studied for its effects on nutritive value, and how it impacts herbivore selection. Our study aimed to (1) evaluate how mowing treatments—i.e., short (5 cm), medium (18 cm), and tall (>30 cm, unmown)—affect nutritive value and herbivore selection, (2) assess …

Cover Crop Influence On Arthropod Biodiversity And Soil–Water Dynamics In A Semi-Arid Maize–Soybean Sequence Of The Nebraska High Plains, Carlos Eduardo De Oliveira Martins

Department of Agronomy and Horticulture: Dissertations, Theses, and Student Research

With the expansion of cover crop (CC) use in semi-arid regions, producers in the Nebraska High Plains are increasingly interested in understanding how CCs influence both beneficial arthropods and soil-water within maize-soybean (Zea mays L., Glycine max [L.] Merr.) rotations. Integrating CCs in these systems can enhance soil water availability and beneficial insect activity, but potential trade-offs include higher early-season water use by CCs and the risk of increasing potential pest populations. This thesis addresses these questions through two complementary studies conducted under field conditions near Brule, Nebraska. The first study evaluated the effects of a multi-species CC mixture …

Chatgpt In Teaching English As A Foreign Language: Teacher And Learner Perspectives, Sameiha Alhussain N Khawaji

University of Tabuk Journal for Humanities and Social Sciences

This study investigates ChatGPT as a supplementary tool in English as a Foreign Language (EFL) education through surveys of 150 teachers and 350 learners in Asia, Europe and Latin America. Results show that ChatGPT improves language proficiency by providing personalized feedback, conversational fluency (72% of users reported improvement), writing scores by 22% and vocabulary through contextualized practice. Teachers found it useful for lesson planning and administrative tasks. However, challenges such as plagiarism risks (15% of cases), occasional inaccuracies and cultural insensitivities especially in idiomatic and formal language use require ethical guidelines and human oversight. For example, Asian participants noted mismatches …

From Awareness To Action: Improving Advanced Directives With The Five Wishes In College Aged Young Adults, Dina M. Giovanetti

Electronic Theses and Dissertations 2020 - Present

This quality improvement project aimed to increase early education, initiation, documentation, and completion rates of advance directives (ADs), specifically the Five Wishes, among college-aged young adults (18–24 years old) in a concierge primary care setting. The project addressed the low engagement and completion rates of ADs in this population, which can result in inadequate end-of-life care planning. The initiative involved training all staff members through collaborative instruction, informational sessions, and personalized provider-patient discussions. A convenience sample of eligible patients was identified via chart review. Inclusion criteria included English-speaking young adults aged 18–24, regardless of comorbid conditions who were members of …

Enhancing Provider Knowledge And Implementation Of Medication For Opioid Use Disorder (Moud) To Improve Treatment Outcomes: A Quality Improvement Project., Motunrayo Abigael Ibraheem

Electronic Theses and Dissertations 2020 - Present

This quality improvement project sought to enhance healthcare providers' knowledge and attitudes toward Medication for Opioid Use Disorder (MOUD) at Galt Ocean Rehab Center to improve treatment outcomes for patients with opioid use disorder. Despite evidence supporting the efficacy of MOUD, significant knowledge gaps and stigmatizing attitudes among providers create barriers to optimal care. Sixteen healthcare providers participated in a comprehensive educational intervention grounded in Jean Watson's Theory of Transpersonal Caring and the Institute for Healthcare Improvement's Model for Improvement. The intervention consisted of a 4-hour workshop, six weekly reinforcement sessions, and the implementation of standardized buprenorphine management protocols. Pre- …

Implementing Primary Care Fall Prevention With The Steadi Algorithm Toolkit, Roslyn Pechet

Electronic Theses and Dissertations 2020 - Present

Falls among older adults remain a leading cause of morbidity and mortality, especially in underserved populations. The Centers for Disease Control and Prevention (CDC) developed the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) toolkit to help providers systematically identify and address fall risks. The purpose of this Doctor of Nursing Practice (DNP) project was to implement and evaluate integration of the CDC STEADI toolkit within primary care at Palm Beach Program of All-Inclusive Care for the Elderly (PACE) Greenacres. The aim was to train the interprofessional leadership team to use the STEADI program to enhance knowledge, confidence, screening, and implementation …

Assembling Life From Death: Examining The Archaeological Fauna Of Jupiter Inlet Lighthouse’S Past To Preserve Biodiversity For The Future, Victoria Sherwood

Electronic Theses and Dissertations 2020 - Present

This project utilizes an assemblage of faunal remains from a precontact midden at the Jupiter Inlet Lighthouse archaeological site in northern Palm Beach County, Florida. The assemblage was identified and analyzed through the lenses of resource use and paleoenvironmental changes. The Indigenous groups in the area heavily utilized estuarine resources such as fish and marine turtles. The archaeological assemblage was compared to a modern survey of species present at the site. The species identified in the precontact collection are present in the surrounding area today. The archaeological assemblage matching up with modern species speaks to the success of Loxahatchee River …

Environmental Sanitation In Long-Term Care Facilities: A Focus On Regulations And Implementations, Ruwan Dissanayake Dissanayake Mudiyanselage

All Theses

Environmental sanitation is a fundamental component of infection prevention in long-term care facilities (LTCFs), where residents are at increased risk due to advanced age, underlying health conditions, and communal living arrangements. Despite its critical role, significant gaps remain in implementing environmental sanitation procedures and the regulatory frameworks that guide them.

This study combines two components: (1) an across-state regulatory review of environmental sanitation in LTCF regulations and (2) a cross-sectional survey assessing environmental sanitation characteristics of nursing homes (NHs) and assisted living facilities (ALFs) and Rural and Urban LTCF observation study in South Carolina (SC) . For the regulatory review …

Plant Community Responses To Wildfire, Timber Thinning, And Bison Reintroduction On The Northern Great Plains, Ethan H. Van-Derpoel

All Theses

The Northern Great Plains (NGP) is one of the largest intact grasslands remaining in the world. These two studies examine a few of the ecological concerns on the NGP today. First, the woody encroachment of conifers into grasslands and the effects of wildfires. Second, the effects of bison (Bison bison) reintroduction on plant communities. In Chapter 1, this study aims to examine the effects of wildfire and mechanical timber thinning, using a two-by-two factorial design, on plant community responses and forage quality in the Bull Mountains area of central Montana, USA. We found that our treatments had varying …

Large Language Models (Llms) For Clinical Note Generation: International Classification Of Disease (Icd) Code, Knowledge Graph (Kg) And Prompt Evaluation, Ivan P. Makohon

Computer Science Theses & Dissertations

In the past decade, a surge in the amount of electronic health record (EHR) data in the United States occurred, driven by a favorable policy environment created by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 and the 21st Century Cures Act of 2016. Clinical notes for patients’ assessments, diagnoses, and treatments are captured in these EHRs in free-form text by physicians, who spend a considerable amount of time entering them. Manually writing these notes is time-consuming, increasing patient waiting times and potentially delaying diagnoses. Large language models (LLMs), such as GPT-4o, possess the ability …

Plasma Metabolomic And Proteomic Signatures Of Blood Pressure Management After Bariatric Surgery Among Adolescents, Shudi Pan, Zhenjiang Li, Juan Pablo Lewinger, Jesse A Goodrich, Hongxu Wang, Sarah Rock, Carmen Chen, Todd M Jenkins, Stephanie Sisley, Stephen R Daniels, Douglas I Walker, Max T Aung, Erika Garcia, Rob Mcconnell, Sandrah P Eckel, Michele A La Merrill, Tanya L Alderete, Zhuanghua Chen, Frank D Gilliland, Thomas H Inge, David V Conti, Justin R Ryder, Lida Chatzi

Faculty, Staff and Students Publications

Background: Emerging omics approaches, including metabolomics and proteomics, can be integrated into obesity treatment for better blood pressure management. We tested whether preoperative metabolomic and proteomic profiles predict long-term elevated blood pressure (EBP) changes better than known risk factors in adolescents undergoing bariatric surgery.

Methods: We included 108 participants from the Teen-LABS (Teen-Longitudinal Assessment of Bariatric Surgery). Plasma untargeted metabolomics (via liquid chromatography with high-resolution mass spectrometry) and Olink proteomics were assessed pre surgery. An elastic net model with stability selection was used to identify features predictive of EBP reductions 5 years post surgery. Models including identified metabolites, proteins, and …

Impacts Of Including Sprouted Barley In The Diet Of Beef Cattle On Production, Ruminal Health, And Meat Quality, Zachary C. Crump

All Graduate Theses and Dissertations, Fall 2023 to Present

Beef producers in the United States are working to meet rising global demand for animal protein while facing major challenges such as drought, climate uncertainty, and rapid urbanization. These issues make it difficult to produce consistent and dependable feed, pushing producers to explore new ways to grow feed using fewer natural resources. Vertical farming systems are one option that can grow sprouted cereal grains indoors throughout the year while using decreased land and water than traditional agriculture. Sprouted barley grows within six to seven days and may serve as a nutrient dense alternative feed source for cattle at several stages …

Maternal-Infant Mortality In West Michigan: A Comparative Literature Review, Mia Cichowlas, Riley Bourlier

Honors Projects

This literature review aimed to examine and analyze data to identify causes of disparities in infant mortality rates across West Michigan’s four counties, assess demographic factors influencing infant mortality, and explore cultural practices impacting infant outcomes. A comprehensive review of existing literature, public health data, and community health reports from Allegan, Kent, Muskegon, and Ottawa counties was conducted. Key variables examined included race, maternal age, culture, health literacy, education level, income, insurance coverage, employment status, and marital status. Findings indicate that infant mortality rates vary significantly between counties and are higher among certain racial and socioeconomic groups compared to state …

Broiler Responsiveness To Dietary Amino Acid Density In A Commercial Setting, Virginia Slick

Graduate Theses and Dissertations

The majority of research assessing the amino acid responsiveness in broilers has been conducted in experimental designs utilizing pens that contain 12 to 25 birds with high replication. While this trial design is beneficial as a way to perform high replications with multiple treatments in a way that is both economically and spatially feasible, it may not accurately translate to a rearing environment more similar to that of commercial open floor housing. This research was conducted to determine if the effects of lysine driven amino acid density diets that have been found in the traditional floor pen setting correlate to …

A Content Analysis To Investigate The Evidence Of National And State Health And Physical Education Curriculum Standards In Illinois High Schools, Amber Lyn Stewart

Dissertations

Does curriculum in Illinois high schools have evidence of National and State Health and Physical Education Standards? This study consisted of a quantitative descriptive content analysis to examine the extent to which Illinois high school curriculum material included National and State physical education and health standards. The researcher utilized a rubric that was aligned to the three sets of standards: SHAPE America’s National Physical Education Standards; the National Health Education Standards; and the Illinois Learning Standards for Physical Development and Health. The primary aim was to thoroughly examine how the standards are currently integrated. Research Question 1 (RQ1) asked, “What …

Making Explanations Make Sense: Xai For Smishing Detection, Eleni Alexandra Katsarakes

Psychology Theses & Dissertations

Explainable Artificial Intelligence (XAI) is a key component of effective human-AI collaboration, particularly in high-stakes domains such as cybersecurity. While AI tools hold promise for mitigating threats such as SMS-based phishing (SMiShing), their real-world effectiveness may hinge not just on detection accuracy, but on whether users can make sense of the system’s outputs. As SMiShing attacks grow in both frequency and sophistication, so does the urgency of designing human-centered AI systems that support user decision-making under uncertainty. This study examined how four distinct AI explanation types - Normative (rule-based), Attributive (feature-based), Exemplar (case-based), and Recommendation-Only - influence user performance, confidence, …

Community College Student Parents And Their Experiences With Mindfulness Training, Polly Nesselrodt

Educational Leadership & Workforce Development Theses & Dissertations

Community college students who are parents (student parents) are highly motivated to succeed but face many challenges, including finances, transportation, and childcare, which leads to high levels of stress and anxiety. Mindfulness practices of returning to the breath and staying present in the body have been shown to help people manage stress and anxiety and live with greater ease. Using the stress and coping theory of Lazarus and Folkman (1984) as a theoretical framework, the purpose of this study was to examine the experiences of student parents who participated in mindfulness training. Participants attended mindfulness classes, facilitated by an instructor …

Policymaker Receptivity To Corporate Political Activity As Influenced By Activists, Mark E. Bateman

School of Public Service Theses & Dissertations

This dissertation considers the role of shareholder resolutions and employee strikes as representations of activist activities targeting corporations and their influence on corporate political activity (CPA). The study builds from the McDonnell and Werner (2016) study in Administrative Science Quarterly, “Blacklisted businesses: Social activists’ challenges and the disruption of corporate political activity” that assessed the role of consumer boycotts vis-à-vis CPA. Starting with the political marketplace framework, introducing the policy relationship framework, and using signal theory, the dissertation found some support that shareholder resolutions and employee strikes related to increases in PAC refunds, that temporal issue salience to the …

Reframing Fitness And Nutrition For Women: Understanding Hormonal And Metabolic Differences, Brooke J. Luecke

Accounting Undergraduate Honors Theses

This thesis explores how women can consider approaching fitness, nutrition, and recovery based on the physiological differences between men and women. While much of the existing fitness and nutrition research has been based on male participants generalized to women, this paper aims to woman-centric, tailored recommendations. By focusing on hormonal cycles, metabolism, and muscle physiology, my paper will suggest a need for women to adjust their exercise and dietary practices for optimal health outcomes, including fat loss and raised energy levels. My suggestions in this paper are supported by the latest research, including Dr. Stacy Sims' insights on female health, …

Joint 7th Amended Plan

Catholic Dioceses in Bankruptcy

No abstract provided.

Supporting Student Success Through Emergency Food Assistance At Csumb, Axel C. Amaro

Capstone Projects and Master's Theses

Food insecurity among college students is an urgent social justice issue that limits equal access to food and well-being. This capstone project was conducted through the Basic Needs organization at California State University Monterey Bay. The purpose of this project was to reduce food insecurity by implementing an external resource within Basic Needs that distributes emergency food packages to students experiencing high levels of need. Utilizing data from the Hub membership direct outreach tracker, a CHHS intern collaborated with an MSW intern and professional staff to assemble tailored food packages using items donated from Trader Joe's and Safeway. The project …

Building Healthy Smiles: A Bilingual Oral Health Workshop With The Monterey County Health Department, Paulina J. Moran

Capstone Projects and Master's Theses

Untreated dental decay remains high in Monterey County, particularly among low-income, Spanish-speaking families, due to provider shortages and persistent gaps in oral-health education. In partnership with the Monterey County Health Department’s Oral Health Program, which delivers prevention, education, and access initiatives countywide, this capstone project focuses on parents and caregivers of young children living in a diverse community with long-standing access barriers. The project’s purpose was to strengthen parents' knowledge, confidence, and intentions to practice preventive oral-health behaviors at home. To achieve this, an interactive, bilingual (Spanish/English) workshop was designed and delivered on November 5, 2025, featuring demonstrations on proper …

Aligning Capacity With Community Needs: A Comprehensive Donor Assessment System For Sunnyvale Community Services, Tiffany A. Roth

Capstone Projects and Master's Theses

Sunnyvale Community Services (SCS) is an independent nonprofit organization serving as one of Santa Clara counties designated emergency assistance network agencies. It’s located in Sunnyvale, California, in the heart of Silicon Valley, where they operate a high-demand food program to prevent hunger in the local community. Due to the program’s limited resources, strategic donor engagement is essential for sustaining and expanding services to ensure the community needs are met. This project works to develop a comprehensive donor assessment, tool, integrated database, and administrative report to support SCS in evaluating current and prospective donors with greater consistency, efficiency, and insight. The …

Supporting Healthy Eating Habits In Preschoolers, Adrian Arechiga-Martinez

Capstone Projects and Master's Theses

Unhealthy eating habits in early childhood are a growing health concern that has long-term effects on children’s physical and emotional health. Early childhood is an ideal time to support healthy eating habits because nutritious food choices support 1 children’s growth, brain development, and overall well-being. Making healthy food choices also helps prevent diseases such as diabetes and heart disease (Al-Mahshi et al., 2025). However, many young children face limited nutrition education, a lack of parental influence, and inadequate food environments. To address this issue, I created a one-day workshop for children at an early childhood daycare, Ale’s Learn and Play …

Glp-1 Medications For Kids: Do They Work, And At What Price?, Sylvia Peña, Marilyn Frenn

College of Nursing Faculty Research and Publications

Context

Childhood obesity continues to increase along with the numbers of children with severe obesity and related comorbidities. This meta-analysis1 sought to determine whether or not glucagon-like peptide-1 receptor agonist (GLP-1 RA) medications are safe and effective for children and adolescents.

Methods

Appropriate search and abstraction approaches were used in the meta-analysis of randomised controlled trials making it the highest level of evidence. Included studies were those with participants younger than 18 years with obesity, overweight, pre-diabetes or type 2 diabetes (T2D) assessing GLP-1 RAs alone or with lifestyle modification versus placebo published between 2023 and 2025. Most participants …

A Study On Deepsea Fish Detection Using Convolutional Neural Networks, Poojitha Priyadarshini Madari

Master's Theses

This study investigates automated deep-learning methodologies for two primary tasks, firstly fish and its habitat classification and deep-sea fish detection using the DeepFish dataset. A pretrained ResNet-50 model attained a validation accuracy of 82.8% for multi-class habitat classification, demonstrating robust performance in most habitats based on 6,517 images, although exhibiting lower recall for visually similar or underrepresented classes. A binary ResNet-50 classifier achieved 99.8% accuracy in distinguishing fish from. no-fish images using approximately 40,000 images. The YOLOv5s model, trained on 4,505 images containing 15,463 bounding-box annotations, achieved a mean average precision ([email protected]) of 98.2% All models were trained on the …

Insights From A Survey Of School Nurses: Assessing The Challenges Of Constipation In Schools, Andrew S Chu, Eric H Chiou

Faculty, Staff and Students Publications

Objectives: School nurses are key responders to students with constipation, yet their experiences are underreported. This study surveyed their observations regarding constipation, identified barriers to student restroom access, and assessed educational needs.

Methods: In this descriptive, cross-sectional survey study, an anonymous online survey was distributed to school nurses participating in a virtual education series. The survey assessed nurse demographics, frequency of encounters with constipation and encopresis, school restroom policies, barriers to restroom use, accommodation requests, and training in constipation management.

Findings: Of 125 respondents, 95% encountered students with constipation at least monthly and 55% reported ≥ 6 encounters monthly. Commonly …

The Neonatal Gut Microbiome In Health And Disease, Geoffrey A Preidis

Faculty, Staff and Students Publications

No abstract provided.

Part Ii Common Questions And Misconceptions About Creatine Supplementation: What Does The Scientific Evidence Really Show?, Jose Antonio, Ann F Brown, Darren G Candow, Philip D Chilibeck, Stacey J Ellery, Scott C Forbes, Bruno Gualano, Andrew R Jagim, Chad Kerksick, Richard B Kreider, Sergej M Ostojic, Eric S Rawson, Michael D Roberts, Hamilton Roschel, Abbie E Smith-Ryan, Jeffrey R Stout, Mark A Tarnopolsky, Trisha A Vandusseldorp, Darryn S Willoughby, Tim N Ziegenfuss

Faculty, Staff and Students Publications

Creatine monohydrate supplementation (CrM) is a safe and effective intervention for improving certain aspects of sport, exercise performance, and health across the lifespan. Despite its evidence-based pedigree, several questions and misconceptions about CrM remain. To initially address some of these concerns, our group published a narrative review in 2021 discussing the scientific evidence as to whether CrM leads to water retention and fat accumulation, is a steroid, causes hair loss, dehydration or muscle cramping, adversely affects renal and liver function, and if CrM is safe and/or effective for children, adolescents, biological females, and older adults. As a follow-up, the purpose …