Digital Commons Network^™

The Impact Of Pet Therapy On Stress Reduction And Academic Performance Among Allied Health Students, Catherine Brock

Internet Journal of Allied Health Sciences and Practice

Purpose: Interest in pet therapy is increasing due to its potential to alleviate internal and external stress signs through the human-animal bond. This study investigates the effects of pet therapy compared to environmental and behavioral modifications on allied health students' stress levels and exam performance. Methods: We conducted an anonymized randomized intervention design with allied health students to compare perceived stress and test scores. Eighty-five students were randomly assigned to one of three intervention groups. We hypothesized that students who participated in pet therapy before their exam would report lower anxiety and achieve higher exam scores than those who received …

Integrating Neuroaesthetic Design Into Brain-On-Chip Research: Toward Enhanced Neural Engagement And Cognitive Accessibility, Piper Hutson, James Hutson

Faculty Scholarship

This study examines the potential for neuroaesthetic design and adaptive neurofeedback principles to enhance brain-on-chip (BoC) research, with an emphasis on optimizing neural engagement and cognitive accessibility for diverse populations. Existing BoC platforms have transformed neuroscience through high-fidelity modeling of neural circuits, yet cognitive accessibility and sensory inclusion remain comparatively underexplored. Drawing upon recent studies in neuroinclusion, multisensory interface design, and adaptive feedback, this work synthesizes findings from biophilic interface architecture, neurofeedback literature, and embodied cognition frameworks. The manuscript outlines a multidisciplinary research agenda that prioritizes sensory diversity and ethical considerations in the evolution of BoC systems. Instead of making …

Investigating Relationships Between Education Professionals' Trauma Histories And Causal Attributions For Students' Disruptive Behaviors, Christina D. Rodefeld

Theses and Dissertations

Using attribution theory as a theoretical framework, this mixed methods study investigated how education professionals reported and perceived the relationship between their histories of trauma and their attributions for disruptive student behavior. Participants completed four surveys to measure Adverse Childhood Experiences, adulthood trauma, COVID-19-related trauma, and causal attributions for disruptive behavior. Bivariate correlations between each of the trauma history datasets and causal attributions datasets were conducted to investigate these relationships. Two semi-structured interviews with six participants were also conducted and analyzed using deductive and inductive coding processes. Quantitative analyses found a statistically significant relationship between participants’ reported adulthood trauma amounts …

Perceptions Of Child–Adult Relationship Enhancement (Care) Training Usefulness For Educational, Behavioral, And Allied Health Professionals: Attitudes Toward Evidence-Based Practices, Julia L. Kiefer, Kristin J. Perry, Dustin E. Sarver, Emily-Anne S. Del Rosario, Lauren B. Quetsch

Psychiatry Publications

Child–Adult Relationship Enhancement (CARE) is an evidence-informed approach to promote positive child–adult relationships in youth with behavior problems or traumatic stress. Implementing CARE in community settings may extend accessibility to evidence-based practices (EBP) for children in underserved areas. The present study examined health professionals’ perceptions of CARE. Participants were 277 professionals from a statewide training initiative including early childhood educators (n = 178), allied health professionals (n = 48; speech, occupational, physical therapists), and behavioral health clinicians (n = 51) completing CARE training. Participants completed the Evidence-Based Practice Attitude Scale (Aarons (2004) Mental Health Services Research 6:61–74) …

Preventing Nurse Burnout Through Self-Care Strategies, Doris Iwuh

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Preventing Nurse Burnout through Self-Care Strategies by Doris Iwuh MS, Walden University, 2022 BSN, Grand Canyon University, 2020 ADN, Radiance College, 2016 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2025 Summary An outpatient mental health clinic identified a rise in burnout among psychiatric nurse practitioners, licensed therapists, and social workers. A gap in practice revealed that staff lacked knowledge of self-care strategies to manage burnout, leading to the project question: Does implementing an educational program for nurses and mental health specialists on …

Recidivism Reduction Through Collaboration For Those With Serious And Persistent Mental Illness, Marion Joseph Fowler

Walden Dissertations and Doctoral Studies

The purpose of this quantitative descriptive study was to investigate the levels of collaboration between mental health agencies in Hamilton County, Tennessee, which provide services to individuals who were arrested at least five times between 2018 and 2021, released from jail, and who were diagnosed with serious and persistent mental illness (SPMI). The primary research question revolves around the problem: in Hamilton County, Tennessee, despite available resources for those with SPMI, the current system for continuity of care does not include collaboration, which assists with holistic services to reduce recidivism. Respective services focus on single risk/need areas, leaving other issues …

Chew On It: A Pilot Study Of A Multimodal Assessment Of Mastication Protocol, Michelle Catão

Electronic Theses and Dissertations

Despite its subconscious nature, deglutition is an elaborate and multifaceted process, contingent on the activation of specific neural pathways and muscles. The inherent complexity gives rise to a wide array of potential complications and difficulties, known as dysphagia. Screening and assessment for dysphagia aid in determining the presence and etiology of swallowing difficulties, providing information that is critical for maintaining and improving the health status of vulnerable populations from the standpoint of nutrition, hydration, and socialization (Dziewas et al., 2017). Previous studies surrounding dysphagia assessment have prioritized formulating clinical protocols to evaluate the nonvolitional stage, often failing to address the …

Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine

Electronic Theses and Dissertations

More and more people worldwide are requesting euthanasia, physician-assisted suicide (PAS), or medical assistance in dying (MAiD). Arguments in favor of expanding access to MAiD tend to prioritize the rational, competent, autonomous subject who has the right to make decisions about their body, including their death. Some have argued that this perspective – common in biomedical and bioethical literature – tends to neglect the fact that requests for assisted dying involve a relational structure: a relationship between the subject who requests an assisted death and the Other to whom this request is addressed. After reviewing relevant psychoanalytic approaches to suicide …

Summer Commencement: August 8, 2025, University Of North Dakota

UND Commencement Programs

UND Summer Commencement program from August 8, 2025.

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Greg S. Young, Tony Charman, Cherly Klaiman, Ami Klin, Natasha Marrus, Sally Ozonoff, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Jane E. Roberts

Faculty Publications

Importance Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification.

Objective To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD.

Design, Setting, and Participants This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

Sex-Related Measurement Bias In Autism Spectrum Disorder Symptoms In The Baby Siblings Research Consortium, Catherine A. Burrows, Sooyeon Sung, Shuting Zheng, Tony Charman, Cheryl Klaiman, Ami Klin, Natasha Marrus, Sally Ozonof, Joseph Piven, Diana L. Robins, Rebecca J. Schmidt, A. J. Schwichtenberg, Sara Jane Webb, Lonnie Zwaigenbaum, Leslie J. Carver, Katarzyna Chawarska, Suzanne Curtin, Shafali S. Jeste, Jana M. Iverson, Rebecca J. Landa, Daniel S. Messinger, Jane E. Roberts, Wendy L. Stone, Helen Tager-Flusberg, Amy N. Esler, Meghan Miller, Somer L. Bishop, Jed T. Elison

Faculty Publications

IMPORTANCE Disparities exist in age of diagnosis and prevalence of autism spectrum disorder (ASD) for female compared with male children. Correcting for sources of bias is critical for improving equitable ASD identification. OBJECTIVE To determine whether sex differences exist in measurement of ASD symptoms using the Autism Diagnostic Observation Schedule (ADOS) among young children at high familial likelihood (HFL) and low familial likelihood (LFL) of ASD. DESIGN, SETTING, AND PARTICIPANTS This cohort study collected longitudinal, prospective data from the Baby Siblings Research Consortium between January 1, 2003, and December 31, 2021. Participants included 3106 children who had an older sibling …

Enhancing Adversarial Robustness In Convolutional Neural Networks By Integrating Human Viewing Strategies, Diana Velychko

Theses

Adversarial examples pose a serious threat to the reliability of deep neural networks by subtly manipulating inputs to induce incorrect outputs. Despite progress in the field, convolutional neural networks (CNNs) remain vulnerable to such perturbations. This research proposes a novel approach to improve adversarial robustness of CNNs by incorporating human viewing behavior into both training and testing processes. To establish a baseline for comparison with models trained from scratch, an eye-tracking dataset—collected during experiments involving novel objects from the Greeble dataset—was used to capture how humans learn to classify previously unseen object categories. This study compares model saliency with human …

Improving Intraoperative Antibiotic Stewardship To Reduce Surgical Site Infections: A Quality Improvement, Allyson Nichelle Heard

Doctor of Nursing Practice (DNP) Manuscripts

Purpose: Surgical site infections (SSIs) have been associated with poor pre-surgical incision antibiotic and intraoperative redosing practices and are the leading cause of postoperative readmissions and healthcare-acquired infections. A Quality Improvement (QI) project was developed to evaluate SSIs rates and pre-surgical incision antibiotic dosing and intraoperative redosing practices of anesthesia providers at a Level 1 trauma center in the Midwest. Methods: A pre- and post-intervention knowledge, attitudes, and practices (KAP) survey addressing intraoperative antibiotic stewardship was administered to 138 anesthesia providers. Interventions included education, a reference sheet, and a clinical pathway. Data analysis for surgical procedures involving anesthesia services, …

Enhancing Care Coordination And Expedited Appointment Scheduling By Structured Workflow Process In Oncology Clinics: A Quality Improvement Initiative, Jasmine Lassiter

Doctor of Nursing Practice (DNP) Manuscripts

Background and Significance: Delays in oncology appointment scheduling can negatively impact timely cancer treatment, care coordination, and patient outcomes. Inefficiencies often stem from inconsistent workflows, communication breakdowns, and limited visibility into provider availability, contributing to scheduling inaccuracies, and treatment delays (Fletcher et al., 2023; Johnson et al., 2020). Purpose: This quality improvement project aimed to implement and evaluate a structured workflow for expedited oncology appointment scheduling in an outpatient setting to improve scheduling accuracy, care coordination, and healthcare team vitality. Intervention and Implementation Plan: Guided by the Institute for Healthcare Improvement (IHI) Model for Improvement and the Johns Hopkins Evidence-Based …

The Implementation Of A Pilot Program On Puberty And Menstruation Education For Adolescent Females And Youth Development Specialists For A Gender-Specific Community Organization: A Quality Improvement Project, Cassandra Tavares

Doctor of Nursing Practice (DNP) Manuscripts

Background & Significance: Adolescent girls in the United States (U.S.) often lack adequate education and support regarding puberty and menstruation, despite the importance of this knowledge for healthy development (Schmitt et al., 2022). Only 21% of school systems serving ages 8–12 provide puberty education, and many educators feel unprepared to teach it (Schmitt et al., 2022). Purpose: This quality improvement project aimed to equip youth development specialists (YDS) at a community organization with a structured curriculum and educational tools to confidently educate adolescent females (ages 8–13) on the physical, emotional, and social aspects of puberty and menstruation. Intervention: A four-day …

Chelidonium Majus L.-Containing Gel May Improve Diabetic Wound Healing By Modulating Mmp-2, Mmp-9, And Collagen Levels, Kaan Kaltalioğlu, Eli̇f Naz Gürsoy, Barbaros Balabanli, Zeki̇ Aytaç, Şule Coşkun Cevher

Turkish Journal of Biology

Background/aim: Delayed wound healing in diabetic patients is a significant complication that reduces quality of life, prompting the continuous investigation of new therapeutic agents. This study designed to explore the dose-dependent effects of different parts of Chelidonium majus L. (CM), a medicinal plant traditionally used for skin disorders, on diabetic skin wounds.

Materials and methods: In diabetic rats, full-thickness excisional wounds were formed. CM-containing gels (aerial parts at 3%, 6%, 9% and root at 0.5%, 1%, 1.5%) were developed and applied to the wounds. After the treatment period, the rats were sacrificed, and wound healing activity was assessed macroscopically, histopathologically, …

Mca 10100 Oer/Ztc Syllabus, Daniel Gilmore

Open Educational Resources

This is a syllabus for the MCA 10100 Introduction to Media Studies course taught at City College in the Media & Communication Arts department. It is an OER & ZTC compliant syllabus.

The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks

Walden Dissertations and Doctoral Studies

The novel Coronavirus Disease 2019 (COVID-19), first detected in Wuhan, China, is caused by a new virus strain: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On March 11, 2020, COVID-19 was classified as “the second pandemic of the 21st century” by the World Health Organization. To better control the spread of the virus, governments and communities adopted several established public health protocols to quell the spread of the disease and decrease the resulting morbidity and mortality. Specific measures included masking, hand hygiene, social distancing and disinfection. Though these are proven measures, not much was known about adherence in the home …

The Protective Role Of Resilience In Indirect Aggression Perpetration And Victimization, Amelia Klass

Electronic Theses and Dissertations

This study examines the relationship between resilience and indirect aggression, specifically relational and social aggression, utilizing a sample of 104 females aged 18–22. Indirect aggression, characterized by behaviors such as social exclusion, gossip, and manipulation, is associated with significant emotional and interpersonal difficulties. Using a theoretical basis that includes gender schema theory, social learning theory, and social information processing theory, this study investigates whether resilience has a significant relationship in both the perpetration of and victimization through the use of indirect aggression. Participants completed self-report measures, including the Adult Resilience Measure – Revised and the Young Adult Social Behavior Scales …

Collecting The Strands: A Psychoanalytic Study Of Hair-Pulling In Women, Jacklyn Corsitto

Electronic Theses and Dissertations

This dissertation investigated compulsive hair-pulling (i.e., trichotillomania) in women from a psychoanalytic perspective. The assumption, from a psychoanalytic viewpoint, is that the symptom of hair-pulling serves meaningful, and multiple, psychical purposes that should be analyzed rather than immediately removed, as would be the case in the current gold standard of treatment—behavioral therapy with habit reversal training. This behavioral modality leaves little to no room for exploring the historical, relational, symbolic, and emotional dimensions of hair-pulling. This dissertation fleshed out these dimensions and investigated what hair-pulling was doing for the individual, what its function or purpose was, and, indeed, what ideational …

Healthy And Successful Aging Outside The Closet: How Outness And Social Support Relate To Health And Aging Concerns, Jessica Segal

Electronic Theses and Dissertations

The ability to disclose an LGBTQ+ identity is a significant part of many queer lives. A person’s outness can often be tied into their social support whether through their network or available resources. This study investigated how outness, social network, and access to resources relate to older LGBTQ+ individuals’ concerns regarding their care and their aging. A secondary data analysis was conducted using survey data from the American Association of Retired Persons (AARP). The results showed that an increase in one’s social network indicated a decrease in aging-related care concerns; an increase in access to resources indicated a decrease in …

Identifying The Experiences And Perceptions Of School Psychologists On Racial Disparities In Autism Spectrum Disorderidentifying The Experiences And Perceptions Of School Psychologists On Racial Disparities In Autism Spectrum Disorder, Anna Marie Paolicelli

Electronic Theses and Dissertations

This paper investigates the experiences and perceptions of school psychologists who identify as experts in autism spectrum disorder (ASD) regarding racial and ethnic disparities in ASD identification. Utilizing a convergent embedded mixed-methods design grounded in Consensual Qualitative Research (CQR), the study explores how school psychology practices may have contributed to recent changes in ASD outreach and assessment, as well as persistent disparities, particularly for Black children with co-occurring intellectual disability (ID). Thirteen credentialed school psychologists with extensive experience in diverse educational and clinical settings participated in semi-structured interviews and binary survey items. Findings reveal perceived progress in ASD awareness and …

The Influence Of Visualization Type And Gender On Multimedia Learning Performance: An Experimental Study, Ziji Wang

Electronic Theses and Dissertations

The widespread availability of multimedia learning resources, driven by technological progress, presents both opportunities and challenges in education. While these resources, often designed with animations to aid learning, their effectiveness in learning across STEM and non-STEM fields remains controversial. Besides, researchers have increasingly turned their attention to understanding how individual learner characteristics such as gender and spatial ability influence effectiveness of multimedia learning.

This dissertation examined the impact of visualization type and gender on learning algorithms (STEM) and Chinese characters (non-STEM) after accounting for the effect of spatial ability, focusing on learning outcomes and cognitive load. The fact that males …

Optimizing Sourcing Through Agile Project Management: Enhancing Efficiency And Cost Effectiveness In Apparel Production, Gautami Vikrant Moghe

Harrisburg University Dissertations and Theses

Production delays, cost overruns, and inventory mismanagement are a few of the challenges that the garment industry faces in its sourcing process. The main causes of these challenges are fluctuating market demands and evolving customer preferences. This research explored the application of agile project management methodologies to address these challenges by enhancing flexibility and collaboration. This study implemented a qualitative approach, leveraging interviews with industry professionals to gather insights into the practical implementation. The significance of this research lied in its potential to provide actionable insights for companies that were seeking to improve their sourcing efficiency and cost-effectiveness. To contextualize …

Quality Improvement Project Impact Of Impostor Phenomenon On Medical Personnel, Elizabeth L'Heureux

Doctor of Nursing Practice Projects

The DNP project examined medical healthcare personnel who displayed an impostor phenomenon (IP), as reflected in the Perceived Stress Scale (PSS-10) surveys, identifying a lack of structured support for reducing stress. The aim of the quality improvement project (QI) is to evaluate the impact of a four-week structured mentorship and resilience training intervention on perceived stress levels among medical healthcare personnel experiencing symptoms of the impostor phenomenon. The QI project utilized the Cognitive-Affective framework to shape what needed to change, the origins of IP stress, while Lewin’s Change Theory guided how to implement and sustain those changes. A quasi-experimental study …

The Effects Of A Breastfeeding Educational Program On Nurses’ Self-Efficacy And Knowledge, Amanda Quinn

Doctor of Nursing Practice Projects

Breastfeeding, a cornerstone of maternal and infant health, faces barriers due to inadequate healthcare provider education, contributing to low exclusive breastfeeding rates. The purpose of this quality improvement project was to evaluate the impact of a four-week educational program on clinical staff’s knowledge and self-efficacy in supporting breastfeeding in a rural OB/GYN clinic in central Florida. This project evaluated a four-week educational program’s effect on clinical staff’s knowledge and self-efficacy in supporting breastfeeding in a rural OB/GYN clinic in central Florida. Using a quasi-experimental pre-post design, nine licensed/certified staff (medical assistants, licensed practical nurses, registered nurses, advanced practice registered nurses) …

Quality Improvement Project Evaluating The Impact Of A Structured Training Program On Cultural Competency Among Mental Health Providers In A Local Outpatient Clinic, Adedamola Adefioye

Doctor of Nursing Practice Projects

Culturally responsive care is critical in addressing mental health disparities, but many mental health providers express feeling unprepared to engage with culturally diverse patients. Low cultural competence is associated with communication failures, lack of patient trust, and the possibility of poorer treatment outcomes. This quality improvement project evaluated the impact of a structured cultural competency training program at an outpatient behavioral health clinic. A quasi-experimental, one-group pre-test/post-test design was used with the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals - Revised (IAPCC-R). Eight licensed mental health providers participated in four weekly one-hour interactive training sessions using …

Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams

Walden Dissertations and Doctoral Studies

Despite increasing participation, women have remained significantly underrepresented in elected political office. Existing literature on women elected to political positions highlights persistent gender disparities in representation, access, and political influence. Scholars have examined the structural, cultural, and institutional barriers that women face when seeking and holding public office. While recent research has increasingly focused on intersectionality and the diverse experiences of women in politics, gaps remain in capturing their personal narratives and day-to-day realities. The purpose of this generic qualitative study was to examine the experiences of women currently serving in political positions to understand how prior career opportunities influenced …

Staff Education Project Building Proficiency In Debriefing And Empowering Healthcare Professionals With Confidence And Knowledge, Kristie Lynn Van Waus

Walden Dissertations and Doctoral Studies

Debriefing is a critical reflective practice in healthcare that facilitates team learning, promotes psychological safety, and supports quality improvement following clinical events. Despite its recognized value, healthcare professionals report limited training and a lack of confidence in participating in debriefing. I conducted this staff education project to increase staff knowledge and confidence related to effective debriefing practices by delivering targeted in-person education and measuring outcomes using a pre- and post-intervention knowledge and confidence assessment. The education focused on the essential elements of effective debriefing and use of a standardized data collection form. Participants completed a preintervention assessment measuring their knowledge …

Effects Of Treatment Integrity Level And Error Type On Dro Efficacy: A Parametric And Comparative Analysis, Paige O'Neill

Theses & Dissertations

Differential reinforcement of other behavior (DRO) is a strategy commonly used in applied contexts to address challenging behavior but can be difficult to implement with high treatment integrity. Previous research has shown that DRO may be robust despite marginal errors of commission, but the impact of differing degrees of errors and different error types during DRO is still unclear. The purpose of the current study was to conduct a parametric evaluation of treatment integrity level (100%, 80%, 60%, 40%, 20%) in DRO when implemented with combined errors (Experiment 1) and to directly compare error types (commission errors, omission errors, combined …