Digital Commons Network^™

Wastewater Surveillance For Sars-Cov-2 In Rural Kentucky, 2021–2023, James W. Keck, Reuben Adatorwovor, Ann Noble, Savannah Tucker, William Strike, Soroosh Torabi, Mohammad Dehghan Banadaki, Blazan Mijatovic, Steven K. Roggenkamp, Donna Mcneil, Lindell Ormsbee, Scott M. Berry

Family and Community Medicine Faculty Publications

Wastewater testing for SARS-CoV-2 provided useful public health information during the COVID-19 pandemic yet was underutilized in rural communities. We addressed this gap by implementing wastewater surveillance and assessing its performance in 10 communities in Eastern Kentucky. We collected wastewater samples 1–2 times weekly at 10 wastewater treatment plants (WWTPs) from May 2021 until April 2023 and measured SARS-CoV-2 RNA concentrations using polymerase chain reaction testing. We calculated time-lagged correlations between wastewater concentrations and county-level reported COVID-19 cases by site. We developed a generalized linear model to estimate COVID-19 incidence from wastewater SARS-CoV-2 concentrations. The 10 participating WWTPs served 2430 …

Perceptions Of The Proposed Food And Drug Administration Graphic Cigarette Warnings Among Adults Who Smoke On A Nondaily Or Daily Basis: A Within-Subjects Experiment, Bethany Shorey Fennell, Renee E. Magnan, Jennifer I. Vidrine, Damon J. Vidrine

Family and Community Medicine Faculty Publications

Introduction: People who smoke nondaily represent nearly one third of U.S. adults who smoke and experience significant smoking-related morbidity and mortality, yet they are rarely considered when evaluating the efficacy of graphic cigarette warnings.

Method: In October 2019, U.S. adults who smoked nondaily ( n =59) and daily ( n =183) evaluated 13 Food and Drug Administration–proposed graphic warnings and 13 equivalent text-only warnings on the extent to which they elicited understanding, perceived new knowledge, worry about smoking, and discouragement to smoke and were believable. Repeated-measures ANOVA and planned comparisons tested for between-subjects (smoking status) and within-subjects (warning type) effects. …

Why Queer People Like Horror Films: An Empirical Study, Oscar Garcia

Theses & ETDs

Many queer people hold a particular affinity for horror films, despite the history of harm to queer people that those films have helped to perpetuate. Previous explorations of this relationship have focused on timelines of queer and film history, personal anecdotes, and theorization about these films and the audiences who view them, with no broad study examining how queer people themselves interact with and perceive the media. This study explores how queer people engage with horror films using a multi-method approach that involves a survey and qualitative interviews, examining queer horror fans’ opinions about subgenres, identifications, preferences, impacts of horror …

Structure-Conduct-Performance Analysis Of The Sports Industry In The United States, Luisa Hoffmann Araujo

Theses & ETDs

This study examines the U.S. professional sports industry through the Structure-Conduct-Performance (SCP) framework, which is a model commonly used to analyze how a market organization (structure) affects a firm’s behavior and its economic performance. When applying this analytical framework to the sports sector in the United States, it is possible to see with more clarity how the competition develops, the firm’s strategic decisions, and how they perform in the market. The data and research from this study were retrieved from secondary data sources, where it was possible to analyze academic literature, industry performance reports, and financial publications to deepen the …

Empowering Paraeducators: A Mixed Methods Study Of Targeted Paraeducator Training In Trauma-Informed And Restorative Practices, Amy K. Stevenson

Doctor of Education (Ed.D.)

This mixed-methods study, grounded in Improvement Science, examines behavioral support provided by paraeducators, sometimes referred to as paraprofessionals, to students who receive special education services. Districts employ paraeducators to implement Individualized Education Programs (IEPs) for students with a range of disabilities. Often, paraeducators possess limited skills and receive little training to provide effective support to students. Additionally, paraeducators remain among the lowest-paid employees in school districts. Research suggests that targeted professional development, particularly whole-group instruction, followed by coaching, modeling, and feedback, can improve both paraeducator implementation fidelity and student outcomes. Five paraeducators working in a program serving elementary students with …

U.S. Insurance Industry: Strategic Analysis On Auto And Property Insurance, Luan De Mendonca Marques

Theses & ETDs

This paper develops a comprehensive industry analysis of the U.S. insurance market, integrating market definition, value-chain mapping, industry dynamics, competitive forces, benchmarking, and company applications. It concludes with a focused assessment of how artificial intelligence (AI) is reshaping underwriting, claims, fraud detection, customer interaction, and product innovation. Drawing on regulatory and industry sources (NAIC, Insurance Information Institute, U.S. Treasury’s Federal Insurance Office), and management/consulting research (McKinsey, Deloitte, EY, IBM), the analysis finds a large, mature sector under structural transformation via data and AI. Premiums exceed $1.7 trillion, with Property & Casualty (P/C) representing ~53% and Life/Annuity ~47%. Key risks include …

Decreasing Hospital Acquired Pressure Injuries Through A Multi-Intervention Approach: A Quality Improvement Project, Kendra D. Crawford

DNP Scholarly Projects

BACKGROUND: Hospital acquired pressure injuries (HAPIs) continue to plague hospitals across the country. HAPIs are an indication of the quality of care delivered by the hospital’s nursing workforce. These injuries are costly to organizations and can lead to increased length of stay (LOS). The development of a HAPI, depending on severity, is a reportable injury and is classified as patient harm. Patients who suffer from HAPIs can experience significant pain and at times, permanent disfigurement. This project’s focus is a community hospital that has seen a steady increase in HAPIs over the last 2 years. During 2025, 28% of the …

Succession Planning As A Tool For Nursing Recruitment, Retention, And Resilience, Natalie Kennett

DNP Scholarly Projects

Background: Healthcare is facing a significant nursing shortage. This shortage not only impacts bedside nurses but also nurse leaders. Succession planning is a method for recruiting, retaining, and building resilience among nurse leaders.

Purpose: This quality improvement project applied principles of succession planning, including leadership education, training, and assessment of leadership retention and resilience.

Methods: Two interventions were implemented in this quality improvement project. The first was an assessment of a modification in nursing leadership organizational structure that was made in 2024 with the purpose of improving succession planning. This evaluation was completed with the use of …

Enhancing Psychiatric Education And Training For Family Nurse Practitioners In Rural Health Settings, Jared Sanders

DNP Scholarly Projects

Abstract

Title: Enhancing Psychiatric Education and Training for Family Nurse Practitioners in Rural Health Settings

Background: Mental health conditions represent a significant and growing proportion of primary care encounters, particularly in rural and underserved regions where psychiatric specialist access remains critically limited. In these settings, Family Nurse Practitioners (FNPs) frequently serve as the sole point of contact for patients presenting with mental health concerns, often without the benefit of embedded behavioral health support or readily available consultation. Despite carrying this clinical responsibility, many FNPs report gaps in formal psychiatric training, particularly in psychopharmacology and diagnostic differentiation, that contribute to variability …

Reducing School Absenteeism In Children With Avoidance Behaviors, Kimberly Carey

DNP Scholarly Projects

Background: Chronic absenteeism and school avoidance are a problem facing schools across the nation following the COVID-19 pandemic. Chronic absenteeism is financially, emotionally, and academically expensive for society. Purpose: This quality improvement project aimed to decrease absences by 50% over a 6-week timeframe when compared to the same timeframe from the previous year. Methods: Utilizing a Plan-Do-Study-Act framework, an intervention based on tracking multi-day consecutive absences and reaching out to families to provide education and support was implemented. At three days of absence, the school nurse would either call the family for absence with unknown etiology or email with an …

Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney

DNP Scholarly Projects

BACKGROUND: Burnout among nurse leaders is a growing concern, driven by increasing workload, operational demands, and challenges with work-life balance. Addressing burnout is critical to maintaining stability within the leadership team and to delivering high-quality patient care.

LOCAL PROBLEM: Prior to the development of the QI proposal, engagement survey results showed scores 0.11 points below the benchmark in leadership responsiveness, and more than 50 nurse leader positions have turned over in the past 5 years. The specific aims of this project include: 1. 75% of nurse leaders report that they would implement an activity from the toolkit. 2. Fewer than …

Global Expansion And Digitalizationof The Victor Andrews Agency, Victor Andrews Batista Machado

Theses & ETDs

No abstract provided.

Eat My Love:Finding Truth In Fairytales Through Filmmaking, Calypso Camacho

Theses & ETDs

This thesis is both a creative project and a critical investigation into the dissolving boundary between art shaping life and life shaping art in filmmaking. The creative project at its center is EAT MY LOVE, a short film adaptation of the Russian folk tale The Maiden Tsar (Царь-Девица). It is a fairytale set in the modern world that uses elements of surrealism and magical realism, and unexpectedly became a camouflaged documentary. Paralleling EAT MY LOVE’s storytelling rhythm, this thesis is divided into three segments: pre-production, production, and post-production. Each segment documents the corresponding step in the filmmaking process and explores …

“Because We Take Our Values To War” Analyzing The Views Of Un Member States On Aidriven Lethal Autonomous Weapon Systems, Rangita De Silva De Alwis

Chicago Journal of International Law

In paragraph two of its resolution 2 on lethal autonomous weapon systems, pursuant to U.N. General Assembly resolution 78/241, the General Assembly requested the Secretary-General to solicit the views of Member States and Observer States regarding lethal autonomous weapons systems (LAWS). Specifically, the request encompassed perspectives on addressing the multifaceted challenges and concerns raised by LAWS, including humanitarian, legal, security,

Climate Change As A Security Interest: A Novel Defense In Fossil Fuel Investment Arbitration, Nabil Kapasi

Chicago Journal of International Law

Thousands of international investment and trade agreements contain provisions protecting investments made by parties from the signatory states. One such provision is Investor-State Dispute Settlement (ISDS), a mechanism allowing foreign investors to sue host states in arbitration for treaty violations. Fossil fuel investors are increasingly utilizing ISDS successfully to hold states liable for climate action; arbitral tribunals are awarding large compensations to these investors when states deny them permits for upstream activities or enact phase-out policies attempting to ban fossil fuel consumption. These awards impose heavy burdens on states while simultaneously deterring climate action by creating fears of liability. This …

January 2026 Library & Learning Newsletter, Minnesota State University, Mankato. Library & Learning Dean’S Office Communications Team

Library & Learning Newsletters

PDF version of the January (Volume 4, Issue 6) Library & Learning Newsletter.

“Eres Mujer Y Te Tienes Que Aguantar”: Hispanic Maternal Wellbeing, Stephanie Reyes Bravo

CISLA Senior Integrative Projects

No abstract provided.

2026 Forces

Forces

Full issue of Forces, published March 2026.

Esg-Driven Traceability Adoption: An Impact Thinking Multi-Dimensional Framework For The Fashion And Textile Industry, María Tamames Sobrino, David Antonio Rosas Espín, Jaime Gisbert-Payá

Artículos científicos

This study introduces an Impact Thinking Approach (ITA) as a strategic framework to strengthen traceability implementation in the fashion and textile industry. The research examines how ESG impact dimensions shape sustainable strategy definition and how traceability can act as a strategic enabler rather than a mere compliance tool. A mixed-method design combining a narrative literature review, content analysis of 69 sustainability sources, and a two-round Delphi study with 19 experts was employed to identify, evaluate, and prioritize impact drivers related to traceability adoption. The resulting ITA framework connects regulatory requirements, impact materiality, and traceability demands into a unified structure that …

Annual Report Of Undergraduate Research Fellows From August 2025 To May 2026, Office Of Research And Sponsored Programs. Morehead State University.

Office of Research and Sponsored Programs Reports and Publications

Annual Report of Undergraduate Research Fellows from August 2025 to May 2026.

A Word From The Writing Team (January 2026), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.

More Than A Meal: What Death Row Last Meals Reveal About Identity, Power, And Humanity, Mackenzie Helbig

Honors Theses - Providence Campus

Last meals on death row may appear to be a small or insignificant part of the execution process, but they can reveal deeper meaning about the individuals who choose them and the system that allows them. Before execution, inmates are often given the opportunity to request a final meal. While this moment is brief, it can carry emotional, cultural, and symbolic meaning. This study explores what last meals reveal about identity, mental state, and personal control in a highly controlled environment.

Using a descriptive qualitative approach, this research analyzes last meal records, academic studies, and inmate reports to identify recurring …

Stephen Ellmann Clinical Theory Workshop Bibliography (1985-2025), New York Law School

Clinical Theory Workshop

No abstract provided.

From Sacred Practice To Social Identity: The Historical Evolution Of Vegetarianism Through Religion, Psychology, And Social Norms, Makenna Mae Seymour

Honors Theses – Charlotte Campus

This research paper aims to explore how the vegetarian diet has evolved throughout history through lenses of religion and social psychology. Using primary and secondary academic resources, over thirty resources were evaluated, including books and journal articles,  using key words, such as “vegetarian,” “attitudes,” and “social norms.” The beginnings of vegetarianism were established through religious practices, but social norms from families and friends, as well as personal gain reasons, are the driving factors that have maintained the vegetarian diet over time. Vegetarianism began from Pythagoras and his cult in the 600s BC, but it grew once Hinduism and Jainism adopted …

Effects Of Expropriation Of Private Real Estate For Public Benefit In Saudi Law And Islamic Law, Hayat Mohammadali Hassan Nimir

Theses and Dissertations

The expropriation of private real estate for public benefit represents one of the most sensitive and complex legal issues, as it directly intersects with the protection of individual ownership rights while simultaneously addressing the demands of public interest and state development. This research provides a comprehensive analytical study of the legal framework governing expropriation in Saudi Arabia, examining both historical and contemporary legislation, while assessing its consistency with the objectives of Islamic Sharia, which grants strong protection to ownership rights but allows their restriction under strict conditions to serve genuine public needs.

The dissertation explores the theoretical foundations of property …

Striving To Thrive: Balancing Digital Health Innovation And Patient Protection Under Thailand’S Legal Framework, Thidarat Liamsomboon

Theses and Dissertations

The digitalization of health care has fundamentally transformed how health care services are accessed, delivered, and experienced worldwide. Telemedicine, artificial intelligence–assisted diagnostics, electronic health records, wearables, and mobile health applications are no longer novelties, but have become a substantial part of a modern clinical practice. Although these technologies offer great prospects for making health care more accessible, reducing administrative burden, and improving the quality of care, they also pose significant legal and regulatory challenges. The rate of technological development has far outpaced Thailand’s existing legal frameworks for regulating medical practice, professional accountability, and patient protection. This regulatory “lag” has generated …

Five Tensions Of Artificial Intelligence Adoption For Organ Allocation: Applying The Technology–Organization–Environment Framework, Amaneh Babaee, Daniel Burton Shank, Casey I. Canfield, Joely Grace Hall, Krista L. Lentine, Henry Randall, Mark Schnitzler

Psychological Science Faculty Research & Creative Works

Background: The US organ transplantation system is pursuing modernization of the allocation process through the integration of new technologies such as artificial intelligence (AI). However, the legal and ethical issues within the transplantation industry are still of concern. Objective: We explore the opportunities and challenges for Organ Procurement Organizations (OPOs) to adopt AI. The US organ transplant system is a highly regulated industry yet open to innovation. Methods: Ten structured interviews were conducted with OPO representatives using the Extended Technology, Organization, Environment (TOE) framework. Results: Overall, we identified five core tensions in AI adoption: (1) misconceptions, (2) approach to training, …

Exploring Aggregate Morphological Characteristics Under Laboratory Polishing For Enhanced Pavement Skid Resistance, Ahmed S. El-Ashwah, Magdy Abdelrahman

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

As the use of recycled asphalt pavement (RAP) in pavement construction grows for sustainable development, it becomes essential to investigate potential frictional deterioration over time. This study evaluated the friction properties of recovered RAP material aggregates compared with raw aggregates across various polishing cycles. The micro-Deval test was employed to simulate aggregate loss of texture, while morphological and friction properties were measured using an aggregate imaging measurement system (AIMS-II), along with a British pendulum tester (BPT) and dynamic friction tester (DFT). Additionally, Fourier transform infrared spectroscopy (FTIR) was employed to assess its potential in determining the origin and composition of …

Understanding The Underutilization Of The Campus Recreation Facility: A Mixed-Methods Examination Of Basic Psychological Need Satisfaction, Social Physique Anxiety, Sense Of Community, And Physical Environment Barriers, Caden M. Pfingsten

Master's Theses or Doctor of Nursing Practice

Campus recreation facilities have been identified as important contributors to student well-being, academic persistence, and institutional belonging. Despite these documented benefits, a persistent gap exists between available services and actual student utilization at many institutions. This study examined the psychological, social, and environmental factors associated with students' underutilization of the Campus Recreation Facility (CRF) at a mid-sized Midwestern public university in favor of paid off-campus commercial gym memberships.

Using a cross-sectional survey design, 169 students completed a battery of validated and researcher-adapted instruments assessing basic psychological need satisfaction (autonomy, competence, and relatedness), Sense of Community, and social physique anxiety across …

Implementing An Electronic Referral System In A Community Mental Health Clinic To Streamline Patient Care: An Evidence-Based Quality Improvement Project, Judith Ngante

Master's Theses or Doctor of Nursing Practice

Inefficient referral processes in community mental health clinics contribute to delayed access to care, fragmented communication, and increased administrative burden. Traditional referral methods, including phone, fax, and paper-based systems, often result in prolonged wait times and documentation errors, negatively impacting patient outcomes. Evidence supports electronic referral (e-referral) systems as effective tools for improving care coordination, reducing delays, and enhancing provider satisfaction. This Doctor of Nursing Practice (DNP) quality improvement project aimed to implement an e-referral system in a community mental health clinic in metropolitan Texas to streamline patient care and reduce referral wait times by at least 30% over a …