Digital Commons Network^™

Factors Influencing Patient Recall For Follow-Up In The Multi-Stage Deployment Of Medical Intelligent Screening Systems, Wenjie Chen

Dissertations and Theses Collection (Open Access)

With the deep integration of artificial intelligence (AI) technology in the healthcare sector, intelligent screening systems have achieved significant breakthroughs in predictive accuracy; however, they commonly face a management challenge in clinical implementation: accurate early warnings but limited patient recall. To address this ineffective technological empowerment issue in practice, this study proposes a theoretical framework featuringbidirectional interactions between "technological empowerment" and"relational empowerment" based on empowerment theory to systematicallyinvestigate the dynamic evolution mechanisms and boundary conditions of patient recall willingness under multi-stage, cross-departmental deployment of medical intelligent screening systems. Using a leading municipal hospital as the primary experimental setting, the study …

The Impact Of Successor Differences In Family Businesses On Firm Performance: An Empirical Analysis Based On China Listed Company Data, Xulong Zhao

Dissertations and Theses Collection (Open Access)

Family businesses are an important pillar of global economic development. Currently, Chinese private enterprises are ushering in an unprecedented wave of intergenerational succession. At this critical historical juncture, "who" takes over and how the succession behavior affects firm performance have become core issues of common concern to academia and practice. Traditional principal-agent theory usually posits that introducing professional managers can break the limitations of family governance and improve corporate efficiency. However, Chinese family businesses are deeply rooted in specific institutional environments and cultural soils, where blood-based "relational trust" and socioemotional wealth (SEW) play irreplaceable roles in power transitions. Therefore, how …

Exam Approach Impacts On Test Anxiety And Motivational Outcomes, Makenna Lynn Frias

Undergraduate Honors Thesis Collection

In science, technology, engineering, and math (STEM) fields students are facing exams with record high rates of worry and discomfort, this is known as test anxiety (Rajiah, et al., 2014). Factors such as self-concept (Simpkins et al., 2006) and views of control (Levenson, 1974) are negatively affected by examinations (the terms ‘exam’ and ‘test’ will be used interchangeably) (Spielberger, 1980). A student’s fear of failure, or how the students perceive setbacks or challenges, impacts and is impacted by test anxiety (Henry et al., 2021; Conroy, et al., 2002). Being established by the professor, the exam approach is beyond a student’s …

When “Voice” Becomes Law: A Caution Against Emancipatory Complacency In Anti-Sexual Violence Feminism, Samantha Lillian To

LL.M. Essays & Theses

This Essay destabilizes a feminist project that seeks to emancipate sexually violated women in the United States through a rhetoric of voice. There is a body of feminist literature that imagines voice as unconstrained self-expression through which sexually violated women resist patriarchal oppression and heal from trauma. When projected onto the courtroom, however, this framework becomes an ideal that the legal process, by its structure, cannot fully accommodate. This Essay presents three claims. First, despite the emergence of a legal promise of “voice” after the enactment of the Crime Victims’ Rights Act, feminists should not treat it as the culmination …

“It’S Hard To Look At All Our Trauma All At Once”: What Personal Narratives Reveal About The Triple Burden Of Intimate Partner Violence, Substance Use, And Homelessness, Céline E. Guedj

All Student Scholarship

Scope of the Problem

Intimate partner violence constitutes a pervasive public health issue, impacting nearly half of all women in the United States, about 61.7 million, over the course of their lifetime (Leemis et al., 2022). For Black, Latina, Indigenous and Asian Women, these rates are even higher. The majority of women of color will experience intimate partner violence, including nearly 2 out of 3 mutiracial women, demonstrating a grave overrepresentation amongst victims (Leemis et al., 2022). A study of college students found that LGBTQ women are even more likely to be targeted by abusive partners than their cis and …

Generative Ai In Higher Education: A Survey Analysis Of Ethics And Adoption Patterns Across University Faculty, Staff, And Students, Michele Gibney, Sinky Zheng, Cory Davia, Lindsay Gietzen, Karen M. Sarafian, Jennifer Helgren, Rajvinder Bains, Jonas Bianchi, Andrew Lloyd, Bhavana Raja

University Libraries Librarian and Staff Articles and Papers

As generative artificial intelligence (GenAI) emerges as a provocative new innovation in higher education, institutions require practical, evidence-based strategies for its integration. This study provides a comprehensive evaluation of GenAI adoption, usage patterns, and attitudes by surveying the complete range of campus constituents – students, faculty, and staff – at one United States university (N=355). Moving beyond prior research that has focused predominantly on student or faculty perspectives, this multi-constituent approach reveals a more holistic view of institutional AI dynamics and uncovers a notable "ethics asymmetry," where individuals trust their own AI use more than others'. The findings offer actionable …

Connecting With Augmentative And Alternative Communication Users: An Internship Report, Karaline Kerzie

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

This article evaluates and reflects on personal experiences working with children with autism in an early intervention, multidisciplinary setting. Implementation of Applied Behavior Analysis, Speech-Language Pathology, Augmentative and Alternative Communication, and Occupational Therapy techniques created a multifaceted and comprehensive intervention environment in a free-clinic setting.

Supporting An Inclusive Summer Camp For Children With Developmental Disabilities Who Use Aac And Their Neurotypical Peers: A Practice-Based Report, Jessica Hicks

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

For my honors research, I completed an internship in an augmentative and alternative communication (AAC) lab at the University of Arkansas. For most of my internship work, I helped support an inclusive AAC summer camp for children with and without developmental disabilities, such as autism, for whom speech does not fully meet their communication needs. AAC includes high-tech tools such as communication apps on tablets that serve as speech-generating devices (SGDs). SGDs were used by many of the AAC summer camp participants with developmental disabilities. In this report, I will provide background information on AAC and developmental disabilities. I will …

Beyond Duality: The Doppelganger And The Multiplicity Of Identity In Oscar Wilde's The Picture Of Dorian Gray, Alyssa Roberts

Theses, Dissertations and Culminating Projects

This paper argues that Oscar Wilde uses The Picture of Dorian Gray to transform the Gothic doppelganger from a symbol of moral duality into a site of multiplicity that exposes the instability of identity. Earlier iterations of the double–ranging from mythic traditions to nineteenth-century texts—such as The Strange Case of Dr. Jekyll and Mr. Hyde—tend to structure the self through binary opposition. Wilde, however, reconfigures the double as an accumulative and dynamic process. This paper analyzes how Wilde disrupts the rigidity of Victorian binaries and society’s investment in duality through the portrait’s accumulation of the consequences of Dorian’s actions as …

Understanding How Latinx Millennials Attend To Their Mental Health And Emotional Well-Being: A Phenomenological Study, Natalie A. Nieves

Theses, Dissertations and Culminating Projects

Latinx millennials represent over half of the millennial population in the United States. Yet, existing research on how this population attends to their mental health and emotional well-being remains largely absent from the counseling literature. This descriptive phenomenological study asked: How do Latinx millennials attend to their mental health and emotional well-being? Twelve participants, identifying as Latinx millennials born between 1981 and 1996, residing in the United States, and actively engaging in practices supporting their mental health and emotional well-being, participated in a two-part, semi-structured interview process. Data were collected and analyzed using Colaizzi's phenomenological data analysis method. The findings …

Consumerism In The Digital Age: Environmental And Cultural Consequences, Danielle Andrea Montoya

Student Theses 2015-Present

Overconsumption has emerged as a significant environmental problem, characterized by persistent patterns of buying, using, and discarding goods at rates that exceed ecological limits. In the digital age, these patterns of consumption are reinforced by economic systems, technological advancements, and cultural norms that make constant consumption feel normal and convenient. While consumption is necessary for everyday life, consumption beyond basic needs contributes to increased waste, resource depletion, pollution, and climate change. Overconsumption is embedded in daily habits such as online shopping, food consumption, and frequent product replacement. Therefore, understanding and addressing overconsumption is crucial for achieving environmental sustainability and social …

Personalized Learning Instructional Strategies And Student Engagement, Trisha J. Doverspike

Master of Education Program Theses

This action research project sought to determine the effect of implementing personalized learning instructional strategies on student engagement. Over a six-week period, students were observed for on-task behavior to measure engagement in the Social Studies lessons. Data was collected through observation. Results indicate that implementing personalized learning instructional strategies showed an increase in student engagement and suggest that implementing personalized learning instructional strategies are an effective method of increasing student engagement when compared to teacher-centered instruction.

The Expectation Of Pain: Effects On Threshold, Tolerance, And Perception, Emma Paulus

Mechanical Engineering Undergraduate Honors Theses

Brain activity in pain-related regions of the cortex is thought to be influenced by interactions between expectations and incoming sensory information. However, the subjective experience of pain based on expectation has not been thoroughly explored. By changing visual and auditory cues to set expectation levels, a relationship between unconscious expectation of pain and actual sensory pain experienced was characterized. With IRB approval, volunteers were randomly and blindly grouped into low and high pain expectancy groups. Each group completed a survey about initial pain expectations before the muscle stimulation tolerance test, followed by a survey about actual pain perception after the …

Implementing Engagement Strategies For Growth On Twitch, Chandler Gravely

Communications and Digital Media Theses

Online media sites have changed how viewers’ are taking in content in addition to how content creators engage with their audiences. One of these sites that has proven itself as the main source for live-streaming content, is Twitch. Despite how popular the site is, there is a lack of research on how individual creators can use growth and engagement methods over a period of time to help grow an audience and viewer base. This study will look at how doing so over a three-month period can provide valuable insight into expanding one’s viewer base and channel on Twitch. In order …

Exergames And Motivation To Exercise, Nathaniel Clark

Theses & ETDs

Physical inactivity is a significant public health concern, and motivation has been identified as a key barrier to regular exercise. This thesis investigates exergames, video games that require physical activity to play, as a means of increasing exercise motivation and physical activity. Chapter 1 describes the Exertron 5000, a custom exergame system developed in Godot, a free and open source node and scene-based game engine. The system uses a lightweight wearable interface to track physical activity to control the game. Movement data is processed through a multi-stage filtering and smoothing pipeline to extract pedaling speed. The exergame is an asteroids-like …

Splitting Shores: Comparative Analysis Of Italy’S And Spain’S Reactions To Immigration, William E. Montgomery V

International and Global Studies Undergraduate Honors Theses

The divergence in public immigration sentiment between Italy and Spain, two countries with striking historical, geographic, and demographic similarities, is seen as a mystery for popular theoretical frameworks. Although both nations transitioned from net emigration to net immigration beginning in the 1970s and 1980s, Italy has consistently exhibited more negative attitudes toward immigration relative to the European average, while Spain has seen sustained improvement in immigration sentiment despite receiving immigrants at historically unprecedented levels. Employing a Most Similar Systems Design and drawing on quantitative demographic and survey data, primary legislative texts, and secondary scholarly literature, this thesis tests Group Threat …

Limerence, Social Media, And The Reinforcement Of Romantic Obsessions Across Online Contexts, Lily Lawson

Honors Projects

This project examines limerence from both a psychological and sociological perspective. The psychological component aimed to investigates whether higher limerent scores predict greater engagement in social media monitoring behaviors related to a romantic interest, and whether these monitoring behaviors are associated with increased interpretation of ambiguous social cues-failure to obtain IRB approval resulted in limitations in completing the study. The sociological component uses qualitative observational methods to examine how two Reddit communities,  r/NevilleGoddard and r/ShiftingRealities,  reinforce limerent and parasocial romantic behaviors. Findings from the qualitative analysis reveal patterns of emotional attachment, ritualized obsession, perceived reciprocation, self-insert fantasy, and escapism across …

The Moral Influences On Non-Denominational Christian Students’ College Major Decision And Future Career Outlook, Makayla Frame

Honors Projects

This is an undergraduate research project for the Honors College. A qualitative research project in the form of case studies was conducted on the influence of Non-Denominational Christian morals and values on how college students decide college major and future career. Non-Denomination students in particular were chosen for this study because of the recent rise in popularity of the Non-Denominational belief in the US, especially among young adults.

The study outlines previous research on the Christian religion, the history of Non-Denominationality, and how typical college students decide their major. The conclusions of the study are that Non-Denominational Christian college students …

Odor Vs. Direction Prioritization In Shelter Navigation By The Whip Spider Phrynus Marginemaculatus, Aiden Barno, Daniel D. Wiegmann, Verner Peter Bingman, Sidney Tyler Ley

Honors Projects

Arthropod navigation is known to rely on a variety of multisensory strategies, yet the prioritization of these cues in whip spiders remains poorly understood. This study examined whether Phrynus marginemaculatus prioritizes olfactory cues or idioethic directional cues when the two cues directly conflict with one another. Twelve subjects were trained to associate a shelter with both a specific odor (geraniol or 1‑hexanol) and a consistent directional movement (left or right) from the release site. In a subsequent test trial, odor and direction were dissociated, and subjects’ time spent in front of each shelter was used to determine an association index …

Protecting Abortion By Protecting Speech: Revisiting North Carolina's Mandatory Ultrasound Law After Dobbs And Nifla, Kathryn S. Rowe

North Carolina Civil Rights Law Review

No abstract provided.

More Than Just An "Atypical" Hardship: How Courts Are Missing The Mark On Solitary Confinement, Kyra Goins

North Carolina Civil Rights Law Review

No abstract provided.

Evaluating The Use Of Extended Reality Technology To Improve Marching Band Conducting Patterns, Nathan R. Fuhrman

Electrical Engineering and Computer Science Undergraduate Honors Theses

Conducting pattern consistency is an essential skill for marching band drum

majors, yet developing this consistency through individual practice remains diffi-

cult without real-time feedback. This thesis investigates if the use of extended

reality technologies can be used to enhance the conducting skills of novice drum

majors. Using the Meta Quest 3’s passthrough capability, the system overlays vi-

sual feedback elements — including a 3D pattern guide, path visualization, tempo

cues, and a real-time score — onto the user’s physical environment. A within-

subjects study with seven participants evaluated eight combinations of three binary

feedback variables: pattern guide visibility, tempo …

Assessing The Preparedness Of New Graduate Physical Therapists For Primary Care Physical Therapy Roles, Hannah Ellen Snobeck, Olivia Mavis Manuel, Rachel Jean Dukart, Samantha Marie Krogfoss, Logan Nicole Redding, Haley Paige Hase, Reese Paige Richards

Physical Therapy Scholarly Projects

Background and Purpose: The growing shortage of primary care providers in the United States has led to increased discussion about expanding the role of physical therapists (PTs) in primary care. Physical therapists have advanced diagnostic and musculoskeletal expertise that helps them succeed in these roles. This study aimed to assess how new graduates perceive their readiness to practice as primary care providers and to identify the education and experiential factors that shape this.

Methods: Using a qualitative research design guided by self-perception theory, semi-structured interviews were conducted with three physical therapists who graduated between 2022 and 2024. Participants were asked …

Barriers To Effective Parent-Teacher Communication In K-5 Settings, Dylan Sawicki

Leadership Education Capstones

The purpose of this study was to examine barriers that influence parent-teacher communication in K-5 educational settings, with a focus on cultural background, communication methods, and parents’ prior experiences with educators. This study employed a quantitative research design and collected data through a nationwide Qualtrics survey distributed via email and social media platforms. Participants included parents of K-5 students. Findings suggest that most parents feel comfortable communicating with teachers and perceive cultural background and prior experiences as having minimal influence on communication. However, the data also indicate areas for improvement, particularly in the consistency, frequency, and clarity of communication methods …

Examining Organizational Factors Contributing To Burnout In Community College Employees: An Anthropological Perspective, Jesse N. Blue

Leadership Education Capstones

Organizational culture and systemic inequities remain under-researched factors driving the mental and physical deterioration of community college employees. The purpose of this phenomenological study was to describe and interpret the lived experiences of job-related burnout among community college employees. This qualitative short-term ethnography was conducted at Big Rock College, a rural community college in central Arkansas. The sample consisted of six volunteer participants across administrative, faculty, and staff roles. Data collection involved semi-structured interviews conducted via Zoom®. Interviews were recorded, transcribed, and triangulated with institutional document analysis. Findings indicated that 84% of participants experienced varying degrees of burnout, driven by …

Burnout Among Wisconsin Career Firefighters: An Examination Of Shift Schedules, Sleep Disturbances, And Organizational Factors, Nickolas R. Pridgeon

Leadership Education Capstones

Occupational burnout among career firefighters represents a growing crisis with serious consequences for individual health, public safety, and fire department sustainability. This study investigates the factors contributing to burnout among career firefighters in Wisconsin, with a focus on three primary areas: shift schedules, sleep disturbances, and organizational culture. Using a concurrent mixed-methods design, the research combines an online quantitative survey with semi-structured qualitative interviews to examine how these factors interact to produce burnout in the fire service context.

The quantitative component employs the Copenhagen Burnout Inventory and the Pittsburgh Sleep Quality Index alongside measures of organizational factors, targeting a sample …

Teaching Legal Thinking In The Age Of Ai: Reimagining Legal Education Through Cognitive Science And Deliberate Practice, Joan R. M. Bullock

University of Baltimore Law Review

No abstract provided.

Defining My Country: An Appalachian Educator’S Autoethnography Of Linguistic Erasure And Ai, Kimberly B. Wright

Dissertations

When students use AI writing tools to revise their work, the algorithms often erase the cultural and linguistic markers that constitute their authentic voice. This erasure operates through the same mechanisms that linguistic justice scholars have documented for decades: a dominant language ideology that frames non-dominant expression as deficient and “corrects” it into standardized prose. As a first-generation Appalachian educator who spent years suppressing her own voice to succeed in academic spaces, I recognize this pattern from the inside. Using autoethnography as a methodology, this study examines how my journey from voice erasure to reclamation informs my pedagogy to help …

The Intersection Between Adolescent Pregnancy, Mental Health Concerns, Stigma, And Sex Education, Madelon Cox

Honors Program: Senior Projects (Public)

This thesis discusses research from the past two decades focused on factors contributing to an increased risk of adolescent pregnancy and the lasting impact of that pregnancy. The consequences of being a pregnant adolescent can be compounded by race, gender, socioeconomic class, and access to education. Adolescent pregnancy also carries significant physical and mental health risk for the adolescent and the child. Awareness and various interventions can help pregnant adolescents or those who may be at risk for adolescent pregnancy to support them, prevent isolation, and reduce further negative mental health conditions, such as depression and anxiety.

Rekindling Hearth: An Investigation And Discussion Of The Traditional And Evolving Roles Of Hearth In Architecture, Ruth E. Prenzler

Architecture Undergraduate Honors Theses

This research explores the evolving role of the hearth in domestic architecture, examining its historical significance and its continuing symbolic and architectural significance. Once essential for heat, cooking, and gathering, the hearth has shifted from necessity to nostalgic artifact due to technological advances and changing domestic patterns. This study reexamines the hearth’s spatial, social, and functional roles in architecture through a combination of literature review, theoretical analysis, and visual diagramming. Six case studies, spanning pre-modern to contemporary housing, are analyzed to identify patterns and transformations in hearth placement and significance. Through detailed diagrams, the paper offers a visual and theoretical …