Digital Commons Network^™

Screening For Bullying In A Middle School Setting, Paige Bernau

Dissertations

Problem: Bullied youth are two and a half times more likely to experience depression and three times more likely to experience anxiety and suicidal ideation than their peers (Li et al., 2024). Schools represent a key access point for mental health support and treatment for youth (Duong et al., 2020). Despite this, schools typically do not have formal bullying screening integrated into student support services.

Methods: This program evaluation used a descriptive, observational design to evaluate a bullying screening program in a suburban middle-school. This program used the California Bullying Victimization Scale (CBVS) to assess for bullying victimization (BV) followed …

Leveraging Weekly Snow Cover Time Series For Improved Glacier Monitoring And Modeling, Rainey Aberle, Ellyn M. Enderlin, David R. Rounce, Shad O'Neel, Brandon Tober, Alexandra Friel

Boise State University Publications and Presentations

Seasonal snow and ice melt strongly influence glacier mass balance, yet sparse sub-annual observations limit our understanding of seasonal dynamics. Here we construct and analyze weekly snow cover time series for 200 glaciers across western North America from 2013 to 2023 using an automated image processing pipeline. Snow cover varied widely across the region: snow minima timing varied with latitude — from August from 62 to 64N to October from 48 to 50N—and accumulation area ratios ranged from near-zero to 0.92 (median of 0.52). A comparison of snowlines from observations and the PyGEM glacier mass balance model revealed seasonally evolving …

Implementation Of A Human Papillomavirus Vaccination Toolkit Postpartum, Eriola Arapi

Dissertations

Problem: Despite strong recommendations from the Centers for Disease Control and

Prevention (CDC, 2021) for HPV vaccination in individuals aged 9 to 26, postpartum women

are often overlooked as a target population. Every year in the U.S., oncogenic human

papillomavirus (HPV) infection causes approximately 330,000 cases of precancerous cervical

dysplasia and 12,000 cases of cervical cancer, the most common female cancer attributable to

HPV (Wang et al., 2024). Many providers miss the opportunity to offer the vaccine during the

postpartum hospital stay and the six-week visit—when patients are insured, motivated, and

more accessible.

Methods: This quality improvement (QI) project used …

Implementation Of An Evidence-Based Postpartum Depression Screening Tool In A Level Iv Neonatal Intensive Care Unit, Morgan A. Takacs

Dissertations

Problem: Postpartum depression (PPD) affects up to 40% of mothers with infants admitted to the Neonatal Intensive Care Unit (NICU), yet many remain undiagnosed due to the absence of standardized screening protocols. Early identification and referral to Perinatal Behavioral Health Services (PBHS) is critical to support maternal well-being and improve neonatal outcomes.

Methods: This evidence-based quality improvement project utilized a descriptive and correlational design to evaluate the impact of implementing the Patient Health Questionnaire-8 (PHQ-8) for PPD screening among mothers of infants born ≤ 32 weeks’ gestation in a Level IV NICU. A convenience sample of 29 mothers received the …

Evaluation Of A Behavioral Response Team To Decrease Use Of Violent Restraint, Katherine Skrade

Dissertations

Abstract Introduction: The purpose of this Quality Improvement project was to evaluate the implementation of the Behavioral Assessment and Response Team (BART) and evaluate its effect on occurrence and duration of violent restraints on non-psychiatric floors in a pediatric hospital. This QI project also aimed to correlate the use of the Broset Violence Checklist (BVC) to the utilization of the BART as a means of predicting patient escalation, as well as to assess the effect of booster education on the BVC and BART on bedside staff confidence in utilization of these resources.

Methods: Data was collected across three time periods: …

Implementing A Standardized Protocol To Screen For Depression In A Gastroenterology Outpatient Clinic, Catherine M. Karle

Dissertations

Problem: There is a lack of mental health screenings for depression taking place in outpatient gastrointestinal (GI) clinics. Outpatient gastrointestinal (GI) offices are not consistently screening patients for depression despite a rise in depression rates and the known adverse impact depression can have on the GI tract.

Methods: This Quality Improvement (QI) study used a descriptive research design guided by the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model. Its purpose was to implement a 10-week PHQ-2/PHQ-8 depression screening protocol at a large midwestern health center's gastroenterology outpatient clinic. The study used purposive sampling, including all GI outpatients aged 18+ with …

Palliative Care Beyond Cancer: The Use Of The P-Cares Tool, Breslin E. Meyer

Dissertations

Emergency Departments (EDs) often lack the necessary resources and protocols to provide comprehensive palliative care, resulting in inadequate pain and symptom management (Stoltenberg et al., 2022). This study investigates the potential transformative impact of a palliative care consultation on patients with advanced disease who screen positive using the validated P-CaRES tool. The PICOT questions: Will patients with end-stage COPD, CHF, and or other chronic conditions benefit from P-CaRES screening in the emergency department over nine weeks and receive more palliative care consultations from their primary care providers?

This project was conducted over 9 weeks, utilizing convenience sampling to select 20 …

Implementation Of Quantitative Blood Loss To Detect Postpartum Hemorrhage After Vaginal Birth, Raven S. Simpson

Dissertations

Problem: In the U.S., postpartum hemorrhage (PPH) is attributed to maternal morbidity and mortality, resulting in long-lasting effects of extended recoveries, surgical interventions, birth-related trauma, interruptions in mother-infant bonding, or death. Performing estimated blood loss (EBL) measurement methods postpartum is subjective and often associated with over- and underestimations of blood volume. The delay in recognition interferes with timely, efficient, and appropriate interventions, yielding a PPH (≥1000ml).

Methods: A quality improvement (QI) project was initiated with a descriptive, pre-implementation/post-implementation focus on a high-risk Labor and Delivery unit to explore the effects of Quantitative Blood Loss (QBL) measurements on the identification of …

Report Of The Special Rapporteur On The Implications For Human Rights Of The Environmentally Sound Management And Disposal Of Hazardous Substances And Wastes, Marcos Orellana - Military Activities And Toxics, Marcos Orellana

PEEL Faculty Scholarship

Implications for human rights of the environmentally sound management and disposal of hazardous substances and wastes

Note by the Secretary-General

The Secretary-General has the honour to transmit to the General Assembly the report of the Special Rapporteur on the implications for human rights of the environmentally sound management and disposal of hazardous substances and wastes, Marcos Orellana, in accordance with Human Rights Council resolution 54/10.

From The Sidelines To The Courtroom: Nfl Coaches And Anti-Tampering Policy In Wake Of Ftc's Non-Compete Ban, Ruslan Aminov

Jeffrey S. Moorad Sports Law Journal (1994 - )

No abstract provided.

Ldt Fda Ruling: A Conundrum For Laboratories Across The Usa, Charma Henry

MSMLS Capstone Projects

Abstract

In the article “The Future of Laboratory Medicine Understanding the New Pressures," author Mauro Panteghini expresses that the clinical laboratory has always undergone significant changes due to technological advances and external economic pressures. “Laboratories are indeed an easy target for economic restrictions and limitations due to their technological characteristics.” (Panteghini, 2004, pg. 205) Though these words were written over 20 years ago, no more valid words have been spoken in light of the newest pressure all laboratories face with the new LDT regulation set by the FDA.

This regulation places drastic economic pressure on laboratories to pay the FDA …

Increasing Access To Asthma Education Through Digital Technology And Surveying Preferences Of Children And Families, Corrin E. Brockschmidt

Dissertations

Abstract

Asthma is a chronic respiratory condition impacting approximately 4.6 million children, with high rates of uncontrolled cases in Missouri. This quality improvement project aimed to explore the use of a digital media system to provide asthma education to children and families receiving care in a rural pediatric pulmonology clinic aged 6 months- 21 years of age; and to assess preferred media format, priority topics, and knowledge gained from exposure to digital educational materials. Utilizing a prospective cohort design, families completed a pre-survey to identify educational preferences and tailored digital asthma education through the use of Patient Education Genius (PEG). …

Implementation Of A Nurse-Driven Process To Decrease Npo Times In A Geriatric Emergency Department, Luke D. Little

Dissertations

Prolonged nil per os (NPO) status for geriatric patients in the emergency department is a critical safety issue, leading to increased rates of delirium, hypoglycemia, and perioperative complications. A quality improvement project was designed to address this problem through a targeted, nurse-driven intervention. In geriatric patients (age ≥70) in a geriatric emergency department, this project aimed to determine if implementing an electronic health record (EHR)-prompted nursing workflow to obtain a diet order would reduce the length of time patients were kept NPO compared with standard practice. An EHR documentation tool was designed and implemented along with targeted nursing education sessions …

Transportation: A Barrier To Healthcare Access Among Disabled, Older Adults With Diabetes And Hypertension In Rural Areas, Anne G. Mwangi-Amann

Dissertations

Problem: Transportation is essential for health service utilization (clinic appointments, diagnostic services, and picking up medications from the pharmacy (Hansmann & Razon, 2024). Shekelle et al. (2022) in their systematic review and meta-analysis indicated that the U.S. rural population is 60 million. Rural areas continue to experience transportation as a significant barrier to health, a key social determinant of health. It causes delayed or foregone care in approximately 3.6 million people annually, resulting in more than 25% of missed appointments. Methods: This quality improvement project utilized a descriptive and observational design. A convenience sample of Medicaid patients receiving care at …

Bowel Regimen Protocol Implementation For Pediatric Patients Following Cardiac Surgery, Eryn Watson

Dissertations

Problem: Pediatric patients with congenital heart disease (CHD) are at an increased risk of constipation following cardiac surgery, which contributes to complications and delays in recovery. Standardized protocols are effective tools for prophylactic management of constipation. However, there is no current standardized protocol in place for postoperative bowel management in a pediatric cardiac intensive care unit (CICU).

Method: This quality improvement project (QI) used a descriptive design with pre- and post-implementation data collection to evaluate the effects of a postoperative bowel regimen protocol on constipation rates and compliance with ordering prophylactic bowel regimens. Convenience sampling was used to identify patients …

Drug Versioning And Legal Accountability, Robert A. Bohrer

Faculty Scholarship

No abstract provided.

Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray

Walden Dissertations and Doctoral Studies

There is insufficient understanding regarding the educational leadership practices that have enabled one elementary school, out of 23, to achieve continuous school improvement in ELA and mathematics in Grades 3–5 over 3 consecutive academic years. Although all schools in the district implemented a uniform curriculum, the study site consistently increased the percentage of students scoring proficient or above in both subjects during 2022, 2023, and 2024, as measured by the state end-of-grade assessment. This qualitative single-case study explored how an elementary principal in a suburban Georgia district achieved continuous improvement through distinctive leadership practices. Grounded in Kouzes and Posner’s framework …

A Chat Room In A City Of Missouri's Public Safety Answering Point, Rochele Wynee' Young

Walden Dissertations and Doctoral Studies

Despite new and emerging communications technologies to improve access to 911 emergency services for people with speech, hearing, and cognitive disabilities, there continue to be access barriers for those who may require silent communications due to the nature of the emergency. Chat rooms in 911 communications present a promising solution to this challenge. However, the current literature has inadequately examined the use of chat rooms in 911 communications, mainly due to the nascent nature of this technology. This study aimed to fill that gap by providing valuable insights to enhance access to 911 emergency services for individuals who may require …

Agency Problem And Corporate Philanthropy—Evidence From China’S Anticorruption Campaign, Lihong Liang, Nian Liu, Wenjie Ma

Accounting - All Scholarship

This study explores the effect of China’s anticorruption campaign as a natural experiment for testing the agency-cost view of philanthropy. We find that state-owned enterprises (SOEs), which are more influenced by this campaign, experienced larger declines in philanthropy than non-state-owned enterprises (non-SOEs), especially regarding the percentage of high-agency-cost donations. The effect is more pronounced for firms with higher agency costs, namely firms with higher perks and located in low-legal-protection regions. Further, using manually collected data on firms’ philanthropy disclosure, we find that the campaign improves transparency in corporate philanthropy disclosures. SOEs are more likely to disclose donation information and provide …

Usa V. Martins Inalegwu

2025 Decisions

USDC for the District of New Jersey

Implementation Of A Human Papillomavirus Vaccination Toolkit Postpartum, Emily R. Leone

Dissertations

Problem: Human papillomavirus (HPV) is the most common sexually acquired infection in the world (DeCherney et al., 2018). Even a single dose of the HPV vaccine can provide up to 97% protection against HPV 16 and 18, which are the strains that cause 70% of all cervical cancers (Barnabas et al., 2022). Missouri ranks 35th in the country for HPV vaccination (Office of Disease Prevention and Health Promotion, 2020).

Methods: This quality improvement project implemented an HPV toolkit consisting of: 1) staff nurse education in the form of a written presentation 2) patient and provider education in the form of …

Impactful Programs And Initiatives For Employee Resource Groups That Promote And Sustain Positive Social Determinants Of Health, Lisa Kangas, Maureen Hall, Julie James, Gladys Peters

Journal of Sustainable Social Impact

Organizational diversity, equity, and inclusion (DEI) leaders’ lack of interest in employee resource groups (ERGs) and related programs can negatively impact an organization’s culture, operational excellence, and employee retention and have detrimental implications for social determinants of health (SDOH). Prioritizing ERG programs and initiatives is essential for organizational success and can positively affect SDOH. This qualitative pragmatic inquiry study identified and explored ERG programs and initiatives that support organizational culture, operational excellence, and employee retention.The research question for this study was: What ERG programs and initiatives support organizational culture, operational excellence, and employee retention? The study included eight DEI leaders …

Secrets, Secrets Are No Fun: The Knicks V. Raptors Trade Secrets Dispute And The Implications Of New York's Non-Adoption Of The Utsa, Vanessa Wydeven

Jeffrey S. Moorad Sports Law Journal (1994 - )

No abstract provided.

Righting Sports Law: The Contribution Of The United Nations, Ariel E. Dulitzky

Jeffrey S. Moorad Sports Law Journal (1994 - )

No abstract provided.

July 16, 2025 Blazer Weekly, University Of Alabama At Birmingham

Blazer Weekly (student newsletter)

No abstract provided.

Agriculture And Natural Resources Committee Minutes, Clemson University Board Of Trustees, 2025 July 16, Clemson University Board Of Trustees

Minutes

No abstract provided.

"...Anything My Friend Shares, I Would Want To Support Them By Clicking On It": Co-Designing Story-Based Interventions Against Clickbait For Teenagers, Ankit Shrestha, Audrey Flood, Bryson Hackler, Mahdi Nasrullah Al-Ameen

Computer Science Student Research

Teenagers' lack of digital sophistication and cyber hygiene makes them vulnerable to social engineering attacks, especially as they start using social media. Clickbait, one of such attacks, is primarily performed through social media to trick users into clicking on malicious links. With teenagers' increasing use of social media, clickbait poses a substantial threat to their online safety. The existing online safety measures for teens mainly focus on parental mediation, which can be perceived as restrictive and privacy-invasive. To this end, researchers recommended empowering teens to deal with online risks. In order to design such interventions for clickbait, we conducted co-design …

William Plummer V. Andrew Dancha

2025 Decisions

USDC for the Middle District of Pennsylvania

The Testimonial Double Bind For Disabled People, Avram Hiller

Philosophy Faculty Publications and Presentations

Disabled people face a testimonial double bind: Either (1) they give entirely positive testimony about their disability, which may not be believed, or (2) they give some negative testimony about their disability, which either (2a) may not be believed, (2b) will risk reinforcing false and harmful stereotypes, or (2c) will risk damaging disability rights. While (1) has been discussed to a significant extent in the literature, (2) has been discussed to a much lesser extent, and a goal of this paper is to explore (2) in more detail. I further argue that this testimonial double bind may cause problems for …

Mental Health Services Utilization And Health Insurance Status Among Firefighters, Yvette Evans

Walden Dissertations and Doctoral Studies

Firefighting exposes individuals to significant psychological dangers, leading to mental health issues like anxiety, depression, and posttraumatic stress disorder. This study investigated the underuse of mental health services among firefighters, focusing on the relationship between health insurance status and service utilization while considering age, gender, race, and ethnicity. Data from the National Health Interview Survey within the Integrated Public Use Microdata Series were analyzed using a quantitative approach. The study employed logistic regression to examine the likelihood of mental health service utilization based on health insurance status, adjusting for demographic factors. The sample included 1,526 firefighters, predominantly male (78.9%) and …