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Pain Management In Opioid Users, Dawn Starbinski May 2026

Pain Management In Opioid Users, Dawn Starbinski

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

Chronic pain remains a significant public health concern in the United States, contributing to disability, reduced quality of life, and over-reliance on traditional opioids. Amid the opioid epidemic, healthcare systems are increasingly seeking safer alternatives to conventional opioid prescribing. (NIDA, 2023).This Doctor of Nursing Practice (DNP) project aimed to evaluate nursing knowledge on the implementation of buprenorphine/naloxone (Suboxone) as a pain management strategy in adult patients with chronic opioid use. The project was conducted in an inner-city Subacute Nursing facility with a population of adult patients experiencing long-term pain who were either opioid-tolerant or at high risk for opioid-related …


Principals’ Perceptions On How Artificial Intelligence (Ai) Is Used In Schools By Administrators, Teachers, And Students: A Mixed Method Research Study, Dianna M. Sopala May 2026

Principals’ Perceptions On How Artificial Intelligence (Ai) Is Used In Schools By Administrators, Teachers, And Students: A Mixed Method Research Study, Dianna M. Sopala

Seton Hall University Dissertations and Theses (ETDs)

Abstract

In the same way electricity changed how people lived, artificial intelligence (AI) is being hailed as that next transformative technology that will change every aspect of daily living, including education.  As AI is in its infancy and humans are just beginning to make sense of this new technology, educators are trying to integrate it into the educational landscape.  While many technologies are often initiated at the district level, school principals are often charged with leading the adoption and implementation of new technologies within their school.  Additionally, New Jersey has decided to invest $165 million dollars into being the artificial …


Weaving In The Ends: Analyzing Fiber Art As A Subversive Symbol In Virginia Woolf’S To The Lighthouse And The Years, Samantha J. Klein May 2026

Weaving In The Ends: Analyzing Fiber Art As A Subversive Symbol In Virginia Woolf’S To The Lighthouse And The Years, Samantha J. Klein

Seton Hall University Dissertations and Theses (ETDs)

Scholars have long overlooked the role of fiber arts in Virginia Woolf’s fiction, treating the artform as acts of ‘women’s work.’ In an attempt to fill this gap, I posit that fiber arts operate as subversion of the Victorian ‘Angel in the House’ trope within two of Woolf’s novels, To the Lighthouse and The Years. While scholarship on To the Lighthouse cites Mrs. Ramsay’s perpetual status within the home as proof of her role as an ‘Angel in the House,’ her preferred hobby of knitting actually subverts this. Most Englishwomen during the Victorian era chose to follow their Queen’s example …


A Quality Improvement Project: The Implementation Of A Nurse Driven Morbidity And Mortality Review In An Emergency Department Setting, Abby Beutel May 2026

A Quality Improvement Project: The Implementation Of A Nurse Driven Morbidity And Mortality Review In An Emergency Department Setting, Abby Beutel

Seton Hall University Dissertations and Theses (ETDs)

Abstract

Background: Morbidity and mortality reviews/conferences (MMR) are a mandatory curriculum requirement for medical residency programs throughout the United States to identify and reduce medical errors. Only within the past few decades have hospital organizations expanded MMRs to multidisciplinary teams to include medical professionals who are rendering care at the bedside more than medical providers.

Purpose: This quality improvement (QI) project focuses on the application of a nurse drive MMR amongst emergency department (ED) nurses in a community hospital in Northern Bergen County, New Jersey. This ED nurse driven MMR measured the ED nurse’s knowledge and confidence levels as it …


Eat Or Be Eaten: A Posthuman Ecofeminist Reading Of The Vegetarian And Organ Meats, Erin Grace Elizabeth Kostic May 2026

Eat Or Be Eaten: A Posthuman Ecofeminist Reading Of The Vegetarian And Organ Meats, Erin Grace Elizabeth Kostic

Seton Hall University Dissertations and Theses (ETDs)

As two novels that feature the reformation and reconstruction of the female body, both Han Kang’s The Vegetarian and K-Ming Chang’s Organ Meats emphasize the posthuman existence of women seeking to break free from the gender-based shackles that constrain them, leading to a striking rejection of the anthropocentric and patriarchal worldviews that plague contemporary society. My thesis comparatively examines each novel through an ecofeminist lens in an attempt to prove that it is only when a woman is able to reframe her existence outside of a male-centric worldview that she can truly find freedom. The Vegetarian’s Yeong-hye loses her …


Cold Plasma Treatment Of Hydroponically Grown Basil: Effects On Essential Oil Composition For Sustainable Applications (Ocimum Basilicum), Judith Serwaa Marfo May 2026

Cold Plasma Treatment Of Hydroponically Grown Basil: Effects On Essential Oil Composition For Sustainable Applications (Ocimum Basilicum), Judith Serwaa Marfo

Seton Hall University Dissertations and Theses (ETDs)

Abstract Essential oils are known to have medicinal benefits and pharmaceutical applications. This study investigates the impact of cold plasma treatment on hydroponically cultivated basil (Ocimum basilicum), focusing on physical growth traits, and essential oil composition. Preliminary trials validated our solvent extraction protocol using IPA, hexanes, and methanol without heat on store-bought basil. Rotary evaporation and GC-FID analysis successfully identified key compounds; eugenol, estragole, eucalyptol, and linalool. Plasma-treated hydroponic plants exhibited enhanced physical characteristics, including larger leaves and intensified green pigmentation, compared to untreated controls under identical conditions. The plasma treatment didn't just increase how much oil was extracted, but …


Semi-Rational Strategies For Antifungal Peptide Design, Akilah I. Mateen May 2026

Semi-Rational Strategies For Antifungal Peptide Design, Akilah I. Mateen

Seton Hall University Dissertations and Theses (ETDs)

A recently emerged opportunistic fungi, Candida auris, has been subject to increased scrutiny due to its virulence and rapid geographical spread. Due to the indiscriminate use of antimicrobials as treatments for infectious diseases and as pesticides, the ubiquitous threat of multidrug resistance (MDR) looms large. The lack of progress in antifungal development is of high concern in the treatment of infectious diseases and a rise in fungal resistance highlight the need for updated treatment strategies. This work describes three strategies used to address these concerns:

  •  The synthesis of a photosensitizer-membrane-active peptide (PS-MAP) conjugate, Ir-HKII15, that combines the ability of …


Leading Beyond Concrete Ceilings: The Lived Experiences Of African American Women Presidents At Predominantly White Institutions, Marsha Philemon May 2026

Leading Beyond Concrete Ceilings: The Lived Experiences Of African American Women Presidents At Predominantly White Institutions, Marsha Philemon

Seton Hall University Dissertations and Theses (ETDs)

Despite their significant educational attainment, African American women remain significantly underrepresented in higher education presidential leadership, comprising fewer than 5% of presidents at Predominantly White Institutions (PWIs). The purpose of this phenomenological study was to examine the lived experiences of 13 African American women who serve or have served as presidents of four-year, doctoral-granting PWIs. It explored how they ascended to the presidency, navigated barriers, and sustained themselves in the role. Guided by the engagement, retention, and advancement (ERA) model and by glass ceiling theory, semi-structured interviews were conducted to better understand each participant’s presidential journey. In response to the …


Exploring Practicing Registered Eeg Technologies' Opinions And Preferences Regarding Electroencephalographic Scope Of Practice Standard Forms Of Occupational Regulations, Richard A. Steer May 2026

Exploring Practicing Registered Eeg Technologies' Opinions And Preferences Regarding Electroencephalographic Scope Of Practice Standard Forms Of Occupational Regulations, Richard A. Steer

Seton Hall University Dissertations and Theses (ETDs)

Abstract Background: Neurodiagnostic (NDT) is the study and recording of electrical activity in the central and peripheral nervous systems, it is essential for providing critical information that can aid in the diagnosis and treatment of neurological disorders. EEGs are the most frequently performed NDT procedures. The proportion of hospitalizations involving EEG use increased by 122.7% from 2003 to 2014, an average increase of 11.2% annually and continues to grow. The rate of rEEG use increased by 49.4% over 11 years (4.5% annually), while cEEG use increased by 302.3% (27.5% annually) (Bernheimer et al., 2018). Under existing law, the EEG profession …


Employers' Perception Of The Hiring Process And Implications For Black Men Without High School Diplomas, Tracy Mcphatter May 2026

Employers' Perception Of The Hiring Process And Implications For Black Men Without High School Diplomas, Tracy Mcphatter

Seton Hall University Dissertations and Theses (ETDs)

This study explored employers’ perceptions of the hiring process and its implications for Black men without high school diplomas. Data were collected using qualitative methods, including semi-structured interviews and survey tools such as Prolific and Survey Monkey. Between August 2024 and May 2025, 232 applications were approved, with five rejected; 161 were returned and two timed out. Ultimately, 14 participants completed the study. In April 2025, the study was modified through Seton Hall University to recruit more Black participants. Although 22 individuals expressed interest, none completed the interviews. Participants represented diverse backgrounds, with preliminary questions capturing gender, age, race, industry, …


They Can’T “Shut Us Up”: Emily Dickinson’S And Mina Loy’S Use Of Religious Struggles In Girlhood To Empower Their Feminist Poetic Voices As Women, Bridget H. Anderson May 2026

They Can’T “Shut Us Up”: Emily Dickinson’S And Mina Loy’S Use Of Religious Struggles In Girlhood To Empower Their Feminist Poetic Voices As Women, Bridget H. Anderson

Seton Hall University Dissertations and Theses (ETDs)

Poet Emily Dickinson and Modernist poet Mina Loy’s works stand the test of time to create a striking religious and feminist narrative today. Dickinson’s poetry, which remained largely unknown in her lifetime, will come to wield great power in the feminist and religious spheres in the years following her death in 1886. Following in Dickinson’s footsteps, Loy’s poetry is direct and engaging in a more urgent message with her bold imagery and brash words. Dickinson’s “We talked as Girls do” (392) and “They shut me up in Prose” (445) are texts that subtly challenge the misogyny in the Calvinist religion …


Phase Identification Of (La, Sr)Coo3 Solid Oxide Cell Electrode Films Using Dft Based Exafs, Musab A. Siddiqui May 2026

Phase Identification Of (La, Sr)Coo3 Solid Oxide Cell Electrode Films Using Dft Based Exafs, Musab A. Siddiqui

Seton Hall University Dissertations and Theses (ETDs)

Perovskite structured mixed ionic electronic conductor (MIEC) materials formed as films by metal-organic precursor deposition have excellent electrochemical performance in solid oxide cell (SOC) air electrode applications due to the large surface area provided by the manufacturing approach. MIEC films created by metal organic precursor deposition are often multi-phased due to low heat treatment temperatures and locally generated low oxygen partial pressures caused by the release of carbonaceous gases during the drying step of the fabrication process. In this work, we use extended x-ray absorption fine structure spectroscopy (EXAFS) to examine the phase contents of La0.8Sr0.2CoO3 (LSC82) and La0.6Sr0.4CoO3 (LSC64) …


Exploring Direct Support Professionals' (Dsps) Attitudes Regarding Trauma Informed Care And Its Impact On Turnover Intention, Lorraine D'Sylva-Lee May 2026

Exploring Direct Support Professionals' (Dsps) Attitudes Regarding Trauma Informed Care And Its Impact On Turnover Intention, Lorraine D'Sylva-Lee

Seton Hall University Dissertations and Theses (ETDs)

The relationship between Direct Support Professionals’ (DSPs’) attitudes toward trauma-informed care (TIC) and their turnover intention has remained empirically untested, despite DSPs’ exposure to primary and secondary trauma. An estimated 8.38 million Americans with intellectual and developmental disabilities (IDD) depend on this workforce, yet 2024 turnover rates reach 53.7%. This convergent mixed methods study examined TIC attitudes, turnover intention, and their relationship among 109 DSPs in IDD provider agencies in New Jersey. Grounded in the Theory of Planned Behavior (TPB), the cross-sectional design used the ARTIC-10, TIS-6, and two open-ended items. DSPs with more favorable TIC attitudes were significantly less …


The Use Of Video Modeling With Older Learners With Autism Spectrum Disorder To Increase Adl Skill Acquisition: A Systematic Review, Marianne Feliciano May 2026

The Use Of Video Modeling With Older Learners With Autism Spectrum Disorder To Increase Adl Skill Acquisition: A Systematic Review, Marianne Feliciano

Seton Hall University Dissertations and Theses (ETDs)

Autism spectrum disorder (ASD) is a lifelong condition that can significantly impact functional independence across the lifespan. Although video modeling is an evidence-based intervention shown to improve adaptive and daily living skills in children and young adults with ASD, its effectiveness for adults aged 40 years and older remains unclear. This systematic review examined the existing literature on the use of video modeling to increase daily living (ADL) skills and independence among older adults with ASD. A systematic review of PsychINFO via EBSCO was conducted according to PRISMA guidelines. Of 578 records initially identified, 20 full-text articles were assessed for …


Multiple Interest Holder Perspectives Of The True Grit Sci Residential Program: A Mixed Methods Program Evaluation, Keara Mcnair May 2026

Multiple Interest Holder Perspectives Of The True Grit Sci Residential Program: A Mixed Methods Program Evaluation, Keara Mcnair

Seton Hall University Dissertations and Theses (ETDs)

Young adults with spinal cord injury (SCI) face significant challenges during the transition to adulthood, including barriers to independence, community participation, and psychosocial adjustment (Ingimarsdóttir et al., 2023; Zebracki et al., 2010). Current rehabilitation models in the United States prioritize short-term physical recovery and offer limited support for the developmental and contextual needs that shape long-term outcomes after SCI, particularly during transitions from inpatient rehabilitation to the community (Anderson et al., 2024; Bryden & Gran, 2024). Community-based programs may help address these gaps, though few have been rigorously evaluated using implementation science frameworks that attend to health equity, contextual influences, …


The Moderating Role Of Psychological Power Distance On The Relationship Between Moral Disengagement And Submissiveness To Authority In Senior Healthcare Executives, Carl Kirton May 2026

The Moderating Role Of Psychological Power Distance On The Relationship Between Moral Disengagement And Submissiveness To Authority In Senior Healthcare Executives, Carl Kirton

Seton Hall University Dissertations and Theses (ETDs)

Background: Understanding how senior healthcare executives respond to authority is critical in complex health systems where ethical decision-making, hierarchy, and organizational culture intersect. This study explored the relationships among moral disengagement, submissiveness to authority, and psychological power distance (PPD) in U.S. healthcare executives, as well as the influence of selected demographic and professional covariates.

Methods: A descriptive correlational design was used with a non-probability sample of senior healthcare executives (N = 98). Participants completed a demographic questionnaire and three validated instruments: the Submissiveness to Authority Scale (SOAS), the Moral Disengagement through Displacement of Responsibility Questionnaire (MDDR), and the Psychological Power …


Understanding How Teachers Define And Employ Civics Education In Non-Elective Social Studies Classrooms, Joseph Kyle May 2026

Understanding How Teachers Define And Employ Civics Education In Non-Elective Social Studies Classrooms, Joseph Kyle

Seton Hall University Dissertations and Theses (ETDs)

This study explored the perceptions of civics and civic education held by secondary school teachers of non-elective social studies classes in four schools within the same school district. Using a qualitative approach, this study examined how veteran teachers understood and defined civics, the ways in which they employed civics education in their teaching methodology and daily lessons, and the challenges or obstacles they perceived, if any, incorporating lessons reflecting a progressive experimentalist methodology. The study was undertaken in response to popular and governmental rhetoric reflecting a lack of civil discourse and alleging a lack of civics in public education, as …


Student-College Match And Retention For Students With Disabilities, Robert Cohen May 2026

Student-College Match And Retention For Students With Disabilities, Robert Cohen

Seton Hall University Dissertations and Theses (ETDs)

Abstract

Outcomes of the student-college matching process have been shown to influence important postsecondary outcomes, including persistence, retention, and degree attainment. However, limited research has examined how matching outcomes operate for students with disabilities. This dissertation investigates student-college matching patterns for students with disabilities and compares the results with matching quality for students without disabilities. This study also examines the relationship between matching outcomes (undermatch, equal match, and overmatch) and first-year retention. Particular attention is focused on the nature of these relationships and any differences by disability status. Data is used from the Beginning Postsecondary Students (BPS:12-17), and filtered to …


Incivility In Nursing: The Experience Of Registered Nurses In The Emergency Department, Karen Voorhees May 2026

Incivility In Nursing: The Experience Of Registered Nurses In The Emergency Department, Karen Voorhees

Seton Hall University Dissertations and Theses (ETDs)

The American Association of Colleges of Nursing (AACN) predicts that due to the anticipated retirement of the “baby boomer” generation coupled with an expanded need for medical care across the United States, the need for nurses will expand 6% by 2032 (AACN, 2024). This need will be impeded by nurses leaving the profession due to feelings of a poor work environment, burnout and job dissatisfaction. Incivility in nursing has been shown to be a contributor to nurses leaving their current work environments or the profession of nursing entirely.

Incivility in nursing has roots in organizational psychology and has been shown …


Child Study Team Attitudes Toward Inclusion, Kathleen Derillo May 2026

Child Study Team Attitudes Toward Inclusion, Kathleen Derillo

Seton Hall University Dissertations and Theses (ETDs)

The inclusion of students with disabilities has been the focus of both quantitative and qualitative research for more than fifty years. Despite extensive evidence demonstrating positive outcomes for learners with and without disabilities, including improved academic achievement, social skills development, and improved school culture, inclusion rates in New Jersey have remained largely unchanged. Students with disabilities continue to be educated in segregated settings at disproportionate rates. The purpose of this quantitative study was to learn about the attitudes toward the inclusion of students with mild to moderate disabilities held by Child Study Team (CST) members. The CST is composed of …


Defying The Catholic Secondary School Enrollment Decline: A Case Study Exploring Strategic Enrollment Management Practices In An All-Boys Catholic High School, Traci A. Koval May 2026

Defying The Catholic Secondary School Enrollment Decline: A Case Study Exploring Strategic Enrollment Management Practices In An All-Boys Catholic High School, Traci A. Koval

Seton Hall University Dissertations and Theses (ETDs)

Catholic secondary schools in the United States continue to face persistent enrollment decline, closures, and consolidations, creating an urgent need for sustainable and mission-centered strategies. This qualitative case study examined Hillcrest Catholic High School, an all-boys Catholic secondary school in the Mideast region, as a best-practice model for enrollment resilience. Guided by Strategic Enrollment Management (SEM) Theory, the study explored how SEM principles were operationalized across eight pillars: mission and branding, institutional strategy, culture and belonging, programs and outcomes, family engagement and retention, tuition and financial strategy, marketing and recruitment, and selection and onboarding. Data were collected through interviews, focus …


Exploring Catholic School Teachers' Perceptions Of Factors That Support Longevity: A Qualitative Study, Kelly A. Koval May 2026

Exploring Catholic School Teachers' Perceptions Of Factors That Support Longevity: A Qualitative Study, Kelly A. Koval

Seton Hall University Dissertations and Theses (ETDs)

John Staud, the executive director of Alliance for Catholic Education (2022) stated, “The greatest crisis facing Catholic education, and education in general, is the recruitment and retention of talented and committed teachers and leaders for our schools.” Thus, the purpose of this qualitative study is to illuminate and explore the practical experiences of teachers who have longevity in Catholic schools with respect to their perceived needs, challenges and support in the mid-to-later years of their career path. Through the lens of self-determination theory, this study aims to describe the internal and external factors that teachers describe as “playing a role” …


Theosis And The Morality Of Happiness: Investigating The Implications Of The Deification Doctrine In Aquinas, Emma Newgarden May 2026

Theosis And The Morality Of Happiness: Investigating The Implications Of The Deification Doctrine In Aquinas, Emma Newgarden

Seton Hall University Dissertations and Theses (ETDs)

This thesis examines the implications of a connection between the doctrine of deification or theosis (often summarized by the patristic axiom that God became man so that man might become God) and a Christian morality of happiness, an understanding of the moral life as that which comprises our true human flourishing—a transformative growth in virtue by which we grow in our capacity to realize our final telos of union with God. Deification, traditionally more strongly associated with Eastern Christian theology, has not typically been discussed in relation to the morality of happiness, arising primarily within the discourse of the contemporary …


Improving And Supporting Flight Instructor’S Decisions For First Solo, Isabella Piasecki May 2026

Improving And Supporting Flight Instructor’S Decisions For First Solo, Isabella Piasecki

Theses and Dissertations

Flight instructors have the burden of determining when a student is ready for their first solo flight, and many have expressed uncertainty over their own decision-making skills during this phase of a student’s training. Prior studies have examined flight instructors’ pre-solo decisions in other countries, but no such study has been conducted with American flight instructors. For this study, current flight instructors with multiple prior endorsements for a student pilot’s first solo were interviewed to identify the more abstract concepts they use to guide their decision. Qualitative themes were identified from their experiences. Using this information, a checklist was developed …


The Role Of State Policy In Influencing Teacher Academic Expectations: A Quantitative Study, Jessica Varevice May 2026

The Role Of State Policy In Influencing Teacher Academic Expectations: A Quantitative Study, Jessica Varevice

Seton Hall University Dissertations and Theses (ETDs)

Standards-based reform has shaped American education for decades, yet the mechanisms through which state policy influences what teachers expect of students and how those expectations shape student outcomes remain understudied. This quantitative study investigates the relationship between state education policy, teacher academic expectations, and student achievement in elementary and middle schools within a single charter management organization (CMO) operating in both Philadelphia, Pennsylvania and Camden, New Jersey. The study utilizes a unique natural experiment: twenty-four schools sharing a common curriculum, instructional model, salary schedule, and leadership structure, but operating under two distinct state accountability systems. This design allows state policy …


Dnp Scholarly Project For Providing An Educational Offering To The Population Affected By Environmental Allergies, Jillian Otter May 2026

Dnp Scholarly Project For Providing An Educational Offering To The Population Affected By Environmental Allergies, Jillian Otter

Doctor of Nursing Practice Scholarly Project

Environmental allergies are a problem that many people suffer from. The Centers for Disease Control and Prevention (2023) has reported that 25.7% of adults have experienced seasonal allergies annually. The concern has arisen that the general public has difficulty properly identifying environmental allergies. This has become evident in recent times with COVID. The rise of COVID has made people wary when it comes to certain symptoms, such as coughing. However, between COVID, cold, allergies, and flu several symptoms are shared and can be mistakenly diagnosed (News in Health, 2022). Improper identification can lead to poor management of any illness and …


Informal Language As An Instructional Tool: Benefits, Drawbacks, And Teacher Intentions, Halle J. Connors May 2026

Informal Language As An Instructional Tool: Benefits, Drawbacks, And Teacher Intentions, Halle J. Connors

Electronic Theses & Dissertations

This study examines the role of informal language, including slang and popular culture references, as an instructional tool in secondary classrooms. Traditional teaching emphasizes academic language; however, research suggests that integrating informal communication can create stronger teacher-student relationships, increase student engagement, and improve learning outcomes. Using a survey of public secondary teachers in Southeast Kansas (n=47), this study investigates teacher perceptions of the benefits and drawbacks of incorporating informal language and measures their willingness to adapt when presented with evidence of best practices. This study found, through a pretest, educational intervention, and post-test design, that educators show reduced …


Turnover In Nursing, Kylie J. Farris May 2026

Turnover In Nursing, Kylie J. Farris

Doctor of Nursing Practice Scholarly Project

A major challenge currently facing the United States healthcare system is a shortage of nurses. Nurses are essential to healthcare, yet in recent years, the rate of nursing turnover has increased rapidly, exacerbating the shortage. The aim of this project is to identify the factors contributing to nurses leaving their positions and to explore potential solutions to reduce the number of nurses exiting the profession. This will be accomplished by surveying clinical nurses across the United States through a multi-part survey. The survey will identify nurses who are considering leaving their current positions and explore potential interventions that could be …


Improving The Assessment And Treatment Of People With Low Back Pain, Kayla Krueger May 2026

Improving The Assessment And Treatment Of People With Low Back Pain, Kayla Krueger

WUSM Theses and Dissertations – All Programs

Low back pain (LBP) is a significant and continually growing public health problem. While some people recover from an initial episode, a proportion will develop chronic or recurrent LBP that limits their ability to perform daily functional activities. The variable and often function-limiting course of LBP underscores the clear need for improved methods of assessment and treatment. One way to improve the assessment and treatment of LBP is to develop a more comprehensive understanding of factors that contribute to LBP. In this dissertation, we investigated two categories of factors that may contribute to a person’s LBP: (1) spinal movement impairments …


Shelters In Motion, Erin Nicole Vallido Trasmano May 2026

Shelters In Motion, Erin Nicole Vallido Trasmano

Hospitality Design Graduate Student Capstones

Shelters in Motion is a modular temporary shelter system for festival and outdoor events that replaces disposable tents with reusable, durable design. Overall reducing environmental impact while significantly improving comfort and user experience.