Digital Commons Network^™

Improving Colorectal Cancer Screening Referrals In A Rural Health Clinic, Kysha Mcbee

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Colorectal cancer is the second leading cause of cancer death in the United States. Preventive screening for colorectal cancer has been associated with early detection and improved 5-year survival rates. The referral rates for colorectal cancer screening at the practicum site were 17.7%, well below the national benchmarks of 71.8%.

Aim of the Project: The aim of this project was to increase the screening referral rates in adults aged 45 to 75 years by 50% over a ten-week period by implementing an evidence-based toolkit.

Review of the Evidence: Literature review highlighted barriers to colorectal cancer screening, such as knowledge …

Optimizing Pressure Injury Prevention: Implementation Of The Sskin Bundle In Acute Care, Joycelyn Mccall

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Hospital-acquired pressure injuries (HAPIs) contribute to increased morbidity, extended hospitals stay, and significant healthcare costs. At the project site in northwest, Indiana, HAPI rates averaged 6.29%, which significantly higher than the national benchmark of 2.24%. Inconsistencies in documentation, a lack of standardized preventive practices, and variable staff engagement contributed to these increased rates. Despite the use of the Braden Scale, staff inconsistently implemented preventive interventions.

Aim of the Project: The aim of the project is to reduce HAPI incidence by 30% over 10 weeks by implementing the surface, skin inspection, keep moving, incontinence/moisture management, and nutrition (SSKIN) bundle and …

Integrating Kangaroo Care Into Cesarean Delivery Practices: A Pathway To Enhanced Health Outcomes, Julia Swords

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Cesarean deliveries often interrupt early mother-infant bonding, delaying the initiation of breastfeeding and limiting opportunities for skin-to-skin contact. Despite national guidelines promoting immediate postpartum contact, cesarean-born infants receive kangaroo care (KC) at significantly lower rates than those born vaginally. Prior to this project, only 2% of cesarean births at the project site received KC, highlighting a significant gap in care delivery.

Aim of the Project: The aim was to evaluate the feasibility and impact of implementing kangaroo care during cesarean deliveries in a community hospital to improve neonatal outcomes and adherence to evidence-based postpartum practices.

Review of the Evidence: …

Fall Prevention In Long-Term Care, Steven Zissler

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls among older adults residing in long-term care facilities continue to rise, resulting in injuries that contribute to adverse outcomes, a reduced quality of life, and increased healthcare costs. Despite existing safety interventions, falls persist, indicating a gap in effective, sustainable fall prevention strategies. Repeated failures to reduce falls among adults aged 65 years and older highlight the need for a structured, evidence-based approach aimed at addressing this critical patient safety issue.

Aim of the Project: The aim of this project was to reduce falls and fall-related injuries by 25% for older adults residing in a long-term care facility …

Celebrity Politics: Construction And Validation Of A Scale To Measure The Political Influence Of Celebrities, Azmat Rasul, Donghee Shin

All Works

This study develops and validates the Political Influence of Celebrities Scale (PICS), designed to assess how entertainment celebrities influence young adults’ political attitudes and behaviors. Drawing on survey data collected from 498 university students in the United States, we applied exploratory and confirmatory factor analysis to test the scale’s structure and psychometric validity. The results support a three-factor model consisting of general attitudes toward celebrities, enjoyment of celebrity-centered political content, and behavioral outcomes such as political discussion and participation. Each subscale demonstrated strong internal reliability (Cronbach’s α ≥ .79). The PICS provides a theoretically grounded and empirically supported measure to …

The Procedural Architecture Of Climate Justice: Comparative Lessons From Regional Human Rights Courts, Indira Boutier

National Law School Journal

Climate change, once narrated through scientific data and economic costs, is now unavoidably framed as a question of rights and justice. This article examines how litigation before the African, European, and Inter-American human rights courts makes the procedural dimensions of climate justice visible. Procedural justice here is understood capaciously and includes not only rules of access, standing, and evidence, but also the recognition of corporations as duty bearers in transnational accountability regimes. A comparison of the three regions shows how colonial legacies, institutional architectures, and political economies shape the channels through which communities can contest climate harm. Litigation emerges less …

The Impact Of Instructional School Design: The 6–12 School Model As A Strategic Response To Increase Black Boys Self-Efficacy, Xavier E. Edwards

Education Doctoral

This dissertation investigated the impact of the 6–12 instructional school design on the self-efficacy of Black boys, utilizing the theoretical frameworks of Bandura's self-efficacy model and Yosso's community cultural wealth model. The research explored how this specialized school structure supports Black boys' academic achievement, aspirations, and resilience—addressing longstanding disparities in educational and social outcomes. Through qualitative interviews with Black male alumni of 6–12 school models, the study identified factors within the design that positively influence self-efficacy both within and beyond the classroom. Findings indicated that sustained relationships with supportive teachers, a keen sense of brotherhood among peers, and consistent engagement …

Measuring Teaching Success In College Foreign Literature Programs: An Evaluation Perspective Using Double Framed Superhypersoft Set, Lingling Chen

Neutrosophic Sets and Systems

No abstract provided.

Spiritual Practices In Survivor Care: A Qualitative Analysis Of Christian Faith-Based Shelters And Survivor Well-Being, Jeanne L. Allert

Dignity: A Journal of Analysis of Exploitation and Violence

Christian faith-based organizations constituted a significant proportion of shelter programs for survivors of sex trafficking in the United States, with an estimated 63% identifying as Christian-affiliated (Institute for Survivor Care, 2024). Despite their prevalence, such programs often elicited skepticism due to the rise of secularism (Pew Research, 2022) and concerns that spiritual programming might retraumatize survivors (Ahrens et al., 2010; Hodge, 2020). However, Ahrens et al. (2010) and Hodge (2020) also found that religious practices can be helpful. This qualitative study employed a trauma-informed, descriptive survey design to explore the experiences of 158 trafficking survivors, who had either resided in …

Ihpp 2024 Annual Report, Institute For Health Policy And Practice

All Materials

No abstract provided.

Two Essays In Finance: Can Machines Better Predict Insider Trading? And Csr And Firm Value Following Dividend Cuts: International Evidence, Solmaz Batebi

Theses and Dissertations

This dissertation consists of two essays. In the first paper, I find that machine learning (ML) models predict the likelihood and magnitude of insider trading significantly better than linear models such as OLS and logistic regression. I use ML models, including LASSO, Random Forest, and eXtreme Gradient Boosting, optimizing model parameters through Bayesian hyperparameter tuning to identify the best configuration. Additionally, I apply SHAP values to better understand the determinants of insider trading. I also use Gaussian Thompson Sampling (GTS) to explore the sources of insiders’ market-timing capabilities. I find that ML models can boost the R² for models predicting …

Sequential Data Modeling Of Influenza A Via Traditional, Dwt-Gpr Hybrid, And Deep Learning Architectures, Edmund Fosu Agyemang

Theses and Dissertations

Influenza A is responsible for 290,000 to 650,000 respiratory deaths a year, though this estimate is an improvement from years past due to improved sanitation, healthcare practices, and vaccination programs. In this study, we perform a comparative analysis of traditional, deep-learning and discrete wavelet (DWT)-Gaussian Process (GP) hybrid models to predict Influenza A outbreaks. Using historical data from January 2009 to December 2023, we compared the performance of traditional ARIMA and ETS models, four variants of DWT-GPR models and six distinct deep learning architectures: Simple RNN, LSTM, GRU, BiLSTM, BiGRU and Transformer. The results reveal a clear superiority of all …

Returning To Nature: A Virtue-Based Approach To Urban Sustainability, Liam A. L. Cormack

Cities and the Environment (CATE)

This paper advocates for a pragmatic and virtue-ethics-based approach to urban sustainability initiatives that prioritizes the consideration of moral responsibility. Looking at literature on rewilding, this paper argues that the principle of ecophronesis, and the larger discipline of ecopracticology, offers a compelling framework for integrating diverse opinions on the future of conservation from different disciplines and ecological stakeholders. Ultimately, an ecophronetic approach to urban sustainability initiatives facilitates a sense of conceptual rewilding that disregards the nature-culture dualism paradigm limiting Western environmental thought and may help address the perceived alienation from nature characterized by nature-deficit disorder.

The Evidential Problem Of Evil And The Aesthetics Of Surprise, James S. Spiegel

Faith and Philosophy: Journal of the Society of Christian Philosophers

No abstract provided.

Prayer And Communion, Michael Hatcher

Faith and Philosophy: Journal of the Society of Christian Philosophers

No abstract provided.

Andrew B. Torrance, Accountability To God, Cristian Mihut

Faith and Philosophy: Journal of the Society of Christian Philosophers

No abstract provided.

The Unique Function Of The Crime Against Humanity Of Other Inhumane Acts In The Progressive Development And Codification Of International Criminal Law, David Donat Cattin

Cardozo International & Comparative Law Review

The article explores the evolution and role of "other inhumane acts" as a residual category within the definition of crimes against humanity, tracing its development from the Nuremberg trials through the Rome Statute of the International Criminal Court (ICC). It highlights the potential of this category to adapt to new forms of atrocities and discusses the challenges and opportunities in aligning future treaty developments with existing legal frameworks.

No More Mixed Message, Missing Money: Revisiting The Birth Of Icl’S Victim Restoration-Reparations Regime To Conceptualize Its Modern Reform, Gregory S. Gordon

Cardozo International & Comparative Law Review

The article argues that the International Criminal Court's (ICC) system for victim reparations is fundamentally flawed due to mission dissonance between its punitive and restorative goals, insufficient funding, and procedural limitations. It proposes the creation of an independent Atrocity Victim Reparations Tribunal (AVRT) under the UN to address these issues, ensuring more effective and victim-centered reparations.

Triptyx, Pranav Police

Digressions: Literary & Art Journal

Artist Statement "The inspiration for 'TriptyX' comes from triptych art, where three pieces are displayed side by side with shared features. In 'TriptyX', I aimed to blend my atmospheric melodies with bouncy drums while maintaining consistent sonic elements across the tracks. I believe this project best represents my musical style at this stage. The meaning behind the pieces is open to interpretation, reflecting my current understanding of what defines my sound."

Full Issue

Digressions: Literary & Art Journal

No abstract provided.

Beneath The Sea, Beyond The Sky, Thaily Jeanty

Digressions: Literary & Art Journal

Author Statement

"As a writer, everything I experience serves as inspiration. 'Beneath the Sea and Beyond the Sky' began with an image where the sea and sky shared the same blue, appearing to merge yet never truly meeting. This mesmerizing sight mirrored the emotions of desire and acceptance—feelings I had deeply experienced. The contrast between longing for connection and accepting its impossibility became the heart of my piece."

In My Element, Rachel Harris

Digressions: Literary & Art Journal

Artist Statement

"'Sentiments' is a spoken word piece structured like a text to a friend. Through my personal experience, I've grappled with transparency and finding balance in how much to trust others. This piece shines a light on thoughts that many people have."

Sentiments (Spoken Word), Rachel Harris

Digressions: Literary & Art Journal

Artist Statement "'Sentiments' is a spoken word piece structured like a text to a friend. Through my personal experience, I've grappled with transparency and finding balance in how much to trust others. This piece shines a light on thoughts that many people have."

The Impact Of Students' Attendance On Their Academic Success: A Ypar Study, Quennella Smith

Theses and Dissertations

Youth participatory action research (YPAR) is a collaborative research approach that empowers students to examine issues affecting their lives and communities. This action research aimed to investigate the relationship between students’ attendance and academic success on middle school students, focusing specifically on eighth-grade students based on the theoretical framework of the critical race theory (CRT) in education and the self-determination theory (SDT). Three research questions were explored related to the impact of students’ attendance on their academic success: 1) What do students consider factors that lead to their poor attendance? 2) How do students feel they can be supported in …

"Some Of Them Went To Yale": Ambition, Legal Careers, And Nominations To The Federal Bench, Abigail Violet Hassett

Theses and Dissertations

This dissertation theorizes and quantifies judicial ambition. Article III judges in the United States judiciary are nominated by a president, confirmed by the Senate, and may hold their seat for the remainder of their lifetime. This is a distinct process from other political actors, like congresspeople, presidents, elected judges, and local officials, who are beholden to voters. This dissertation posits that individuals who are high in judicial ambition should consciously choose career paths and interact in networks which will enable them to achieve their goal. After theorizing and quantifying ambition, the measure is replicated on an original dataset of 1300 …

The Use Of Threat Assessment Protocols In K-12 Schools On Disciplinary Outcomes For Students With Disabilities, Natasha Lynn Mcdonald

Theses and Dissertations

School personnel utilize the BTAM process to investigate threats of violence made by students through identifying, assessing, and managing potentially dangerous situations. This process is not intended to be disciplinary in nature, and previous studies conducted have shown that when a BTAM model is implemented, students who make threats toward others receive fewer suspensions or other types of removal as a result of the threat; however data on threat assessment outcomes has not been conducted in South Carolina. The purpose of this study was to examine administrators' knowledge and perceptions of BTAM models and perceptions of discipline outcomes for students …

Novel Approaches To Combat Neuro-Degradation: Investigations Of Two Supplemental Strategies Aimed At Improving Warfighter Performance, Blaine Lints

Theses and Dissertations

This dissertation examines the efficacy of two distinct nutritional supplementation strategies for improving physical and/or cognitive performance under stress. The first study investigated the effects of 150 mg caffeine plus 150 mg theacrine ingestion in tactically trained individuals. Results indicated that the combination of caffeine and theacrine was associated with significant improvements in reaction time, accuracy, and measures of ocular control following high-intensity interval (HII) exercise. The HII exercise protocol consisted of ten repetitions of 60s high-intensity intervals (≥90% maximal oxygen uptake [VO_2max]) followed by 120s low-intensity intervals (~40% VO_2max) on a treadmill. These benefits were …

The Mediating Role Of Gratifications In Gamified Ai Chatbot Engagement: Astimulus-Organism-Response Approach, Deukmook Bae

Theses and Dissertations

Recent technological advancements and evolving consumer preferences have prompted a substantial shift from live sport attendance to mediated sport consumption, particularly among younger audiences. In response, enhancing the quality of mediated sport experiences has become a strategic priority for sport marketers seeking to maintain consumer engagement and market relevance. Although second-screen usage has been introduced to support this transition, its effectiveness remains uncertain due to limited interactivity, lack of personalization, and the potential for user distraction.

To address these limitations, AI chatbots have emerged as a compelling alternative, offering adaptive, user-centered interactions that promote deeper engagement and enrich the mediated …

Hearing The Unheard: Creating A Brave Space To Analyze The Experiences Of Men Of Color In Student Service Roles And Their Mental Health Challenges Within Higher Education, Calvin Maurice Joyner

Theses and Dissertations

This study analyzed the experiences of five men of color in student service roles dealing with mental health stressors, such as discrimination, workplace burnout, tokenism, and low morale. To highlight their experiences, a brave space was utilized as an intervention. The following questions were examined and answered within this qualitative, action research study: (1) What are the experiences of men of color with mental health challenges in student service roles? (2) How do mental health problems affect the personal and professional lives of men of color in student service roles? (3) How do the brave spaces impact the mental health …

Understanding Community College Students’ Thoughts And Motivations Regarding Tutoring In An Undergraduate Mathematics Course, Whitney Paige Cherekos

Theses and Dissertations

This mixed-methods study examines community college students’ thoughts and motivations regarding tutoring, with the aim of identifying disparities in tutoring utilization and engagement at a community college in North Carolina. The purpose of the dissertation is to evaluate tutoring effectiveness and explore students’ perceptions of tutoring. The findings of this study led to proposed solutions to reduce or eliminate the barriers that today’s community college students encounter when needing academic support.

To evaluate tutoring effectiveness, I collected quantitative data from institution registration reports, transcripts, tutoring logs, and an anonymous student survey for students enrolled in multiple sections of a single …