Digital Commons Network^™

Addressing The Challenges Of Cognitive Decline In The Physician Workforce, Sharona Hoffman

Faculty Publications

This book chapter examines the growing challenge of cognitive decline among aging physicians and analyzes various approaches to addressing it. In 2024, twenty percent of working physicians were sixty-five or older, and evidence suggests that 12-14% of older clinicians have cognitive deficits that may affect job performance. The chapter evaluates two primary approaches to cognitive assessment: employer-initiated programs and programs operated by state medical boards. Employer "late career practitioner policies" (LCPP) that require older physicians to undergo testing are becoming increasingly popular among health care organizations. But they are vulnerable to challenge under disability and age discrimination laws, as evidenced …

Embracing Social Media In Identity Exploration And Treatment, Sharon G. Stalions

Psychology Doctoral Specialization Projects

In recent years, Americans are utilizing social media, and particularly video-based social media like TikTok. At the same time, and potentially in response to the ease of access to mental health information online, Americans are increasingly seeking diagnoses. This can be seen not only for mood disorders, but of neurodevelopmental disorders such as attention deficit/hyperactivity disorder (ADHD) and Autism Spectrum Disorder (ASD). Clinicians are no longer the gatekeepers to information on mental health diagnosis, and some communities question the relevance and validity of a professional diagnosis at all. As digital natives become adult therapy consumers, it is important that clinicians …

Revising The Role Of Minors And Their Participation In Their End-Of-Life Care: An Argument For A Shared Decision-Making Model Rooted In Pediatric Patients’ Decision-Making Capacity, Taylor Talcott

Student Works

No abstract provided.

Work-Life Balance Of Parents: Comparing The Parental Leave Systems And Their Legal Structures In The United States And European Union, Michelle C. Hunter

Student Works

No abstract provided.

Bearpaw Reserve Wildlife Monitoring And Mapping With The Wildlands Conservancy, Hope Hansen

Scripps Senior Theses

For my Environmental Analysis Capstone, I worked in a small group to monitor and map the wildlife at Bearpaw Reserve. Bearpaw Reserve, located in Forest Falls, California, is a 600 acre tract of wilderness that is owned by The Wildlands Conservancy. Bearpaw is located about an hour from Claremont, in the San Bernardino Mountains. The Wildlands Conservancy makes management decisions about its reserves while applying conservation research to the real world.

My group’s task was to use trail cameras to gather data on the wildlife at Bearpaw, then visualize this information into a GIS map. We used a combination of …

Loneliness And Social Isolation: Finding Connection Through Art, Elijah K. Wong

Art Therapy | Master's Theses

This study explored whether creativity might help alleviate feelings of loneliness and social isolation. The COVID-19 pandemic was an extraordinary event that significantly impacted people's emotional, physical, psychological, and social health globally. To gain insight into these impacts, the research focused on participants’ creative activities and their experiences of loneliness during and after the pandemic. The aim was to find possible links between making and viewing art and reducing feelings of loneliness and loneliness-related experiences. Ten participants were surveyed and asked about their artistry, their time during the COVID-19 pandemic, and their sense of belonging to a community. This investigation …

The Roles Of Trauma, Secrecy, And Epistemic Mistrust In Attention Deficit Hyperactivity Disorder On Socioemotional Outcomes, Rina Goldstein

Selected Full-Text Dissertations 2020-

Former research has shown that attention deficit/hyperactivity disorder (ADHD) has significant negative implications for people’s socioemotional functioning. Additionally, trauma and ADHD have been biologically and bidirectionally connected in the literature. A notable gap exists in the literature regarding how ADHD and trauma interact to affect socioemotional functioning. The following study sought to examine epistemic mistrust as a potential mediating factor between ADHD and socioemotional functioning, when moderated by trauma. Specifically, childhood interpersonal trauma was expected to amplify ADHD’s negative impact on socioemotional functioning, partially explained by epistemic mistrust. Additionally, disclosure of trauma and others’ reactions to disclosure were examined as …

Imsa 2027 Profile, Office Of College And Academic Counseling

IMSA Profile

The nationally-ranked Illinois Mathematics and Science Academy (IMSA) develops creative, ethical leaders in science, technology, engineering and mathematics. As a teaching and learning laboratory created by the State of Illinois, IMSA enrolls academically talented Illinois students in its tuition-free residential Academy for grades 10-12. Students are challenged with a rigorous curriculum designed to develop them into problem solvers and critical thinkers.

Notable IMSA students include YouTube Co-Founder Steve Chen, PayPal Co-Creator Yu Pan, Yelp Co-Founder Russell Simmons, SparkNotes and OkCupid Co-Founder Sam Yagan, and Hearsay Social Founder Clara Shih.

Shadow Garments: Costume Creation For Integrating Alienated Parts Of The Self, Mega M. Galvin

Art Therapy | Master's Theses

This study explores costume creation as a narrative-based intervention for integrating "shadow" parts, or aspects of the self that are repressed or alienated due to shame, trauma, or social pressure. Grounded in Jungian analytic psychology, narrative therapy, and expressive arts theory, the research addresses the limitations of traditional talk therapy in accessing somatic memory and proposes costume making as a pathway for externalization and re-authorship. Using a qualitative, participatory study inspired by Pat B. Allen’s Open Studio Process, four adult participants engaged in a three-session workshop to design, construct, and wear costumes representing their identified shadow aspects. Data was collected …

Restorative Environments And Therapeutic Artmaking: A Strengths-Based Art Gallery Workshop To Enhance Well-Being In Emerging Adults, Jeannine Case

Art Therapy | Master's Theses

Emerging adults aged 18 to 29 face increased mental health risks yet encounter considerable barriers to traditional care, which highlights the need for accessible, preventive alternatives. This mixed-methods pilot study investigated whether an art gallery environment could serve as a supportive setting for a strengths-based, positive art therapy-informed wellness workshop aimed at promoting well-being for this population. Six participants between the ages of 20 and 27, all enrolled in post-secondary education, took part in this study. Five identified as female and one as male. Three participants (50%) identified as Hispanic/Latino, one as Asian, one as White, and one as Hispanic/Latino …

Southern Adventist University Undergraduate Catalog 2026-2027, Southern Adventist University

Catalog, Undergraduate

Southern Adventist University's undergraduate catalog for the academic year 2026-2027.

Southern Adventist University Graduate Catalog 2026-2027, Southern Adventist University

Catalog, Graduate

Southern Adventist University's graduate catalog for the academic year 2026-2027.

Bee Positive Missoula, Sophia Mahoney, Mckenna Hill, Olivia Cornwell, Lucas Hardoerfer, Brandon Quamme

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Bees are an essential species that support the growth of plant communities and enhance human agricultural success. Urbanization is associated with increased impermeable surfaces, large-scale land-use change, and changes in plant and animal community assemblages. Urban expansion exacerbates habitat fragmentation and loss, which has a particularly negative impact on wild or native specialist bee pollinators and the plant species they pollinate. Global and local research indicate the widespread nature of these negative trends; however, there are abundant opportunities to mitigate the impacts on bee pollinators by restoring wild bee habitat in urban areas. Habitat includes nesting and floral resources, and …

Turning To The Sacred: The Role Of Religious/Spiritual Coping In Psychological Outcomes Of Childhood Interpersonal Trauma, Vanessa S. Tomasik

College of Graduate Studies: Theses & Dissertations

Adverse Childhood Experiences (ACEs) are widespread and associated with significant and lasting psychological consequences, including posttraumatic stress symptoms (PTSS) and dissociation. Much of the existing literature has focused on adult trauma or narrowly examined childhood abuse and neglect, with comparatively limited attention given to other forms of childhood adversity such as witnessing intimate partner violence, parental separation, or household dysfunction. As a result, the differential psychological impact of distinct types of ACE exposure (i.e., maltreatment vs. household dysfunction) remains insufficiently understood. Emerging literature on coping identifies religious and spiritual (R/S) coping as an important factor in trauma adaptation. Positive R/S …

Emotion Regulation In Relation To Cumulative Stress And Cortisol For Children Attending Head Start Preschool, Emily Schnarr

West Chester University Graduate Theses, Dissertations, and Final Projects

The present study examined the relations among cumulative poverty-related stressors, emotion regulation (ER), and cortisol functioning among children attending Head Start preschool through a bioecological framework and tested whether children’s ER moderated the association between cumulative poverty-related stressors and cortisol functioning among low-income preschool children attending Head Start. Approximately 288 children attending one of two Head Start preschools participated in the study. Cumulative poverty-related stressors included primary caregiver high school dropout, unemployment, relationship status, disrupted primary caregiving, residential instability, and family size. Child ER was measured via teacher reports, and salivary cortisol was sampled five times across the day. Hierarchical …

Effects Of Varying Biochar Concentrations On The Growth Of Lactuca Sativa (Newham Bibb Lettuce), Lauren Holler

Williams Honors College, Honors Research Projects

The objective of this research experiment was to investigate the effectiveness of using biochar in potting soil in terms of plant growth and soil quality. This experiment was carried out using varying amounts (0%, 5%, 10%, and 20%) of biochar in the soil to see its effect on seed germination, plant growth, and soil quality such as pH, water retention, and soil temperature. The aim of the experiment was to identify whether biochar can be used in soil to promote healthier and stronger plants. There were four treatments which included 0% (Control), 5% (Treatment 1), 10% (Treatment 2), and 20% …

Comparing Monoclonal Antibodies Targeted At Amyloid-Beta Plaques’ Efficacy To Acetylcholinesterase Inhibitors In Alzheimer’S Disease Management, Megan B. Hardy

The PA Department Journal of Medical Science

Alzheimer’s disease is a detrimental neurodegenerative disorder that is the leading cause of dementia worldwide. Without a cure, this disease slowly robs patients of their dignity and livelihoods. Traditionally, pharmacologic management has relied on symptomatic relief with acetylcholinesterase inhibitors (AChEIs). However, new monoclonal antibodies (mAbs) targeting amyloid-beta plaques may be the first disease modifying therapy. The purpose of this clinical review was to compare the efficacy, safety, and clinical utility of mAbs and AChEIs in the management of Alzheimer’s disease.

A comprehensive PubMed search was conducted through June 2026 using terms related to monoclonal antibodies, acetylcholinesterase inhibitors, and Alzheimer’s disease. …

Biologic Therapies Versus Methotrexate In Psoriatic Arthritis Management: A Literature Review, Yisel Ramos

The PA Department Journal of Medical Science

Introduction: Psoriatic arthritis (PsA) is a chronic inflammatory disease that can cause progressive joint damage, functional impairment, and reduced quality of life. Methotrexate (MTX) is commonly used as a systemic therapy, while biologic therapies target specific inflammatory pathways. This review evaluated the efficacy and safety of biologic therapies compared with MTX in adults with PsA.

Methods: A PubMed/MEDLINE search identified studies evaluating biologic therapies and MTX in adults with PsA. Four publications were included based on methodological quality, clinical relevance, and applicability to the PICO question. Outcomes included joint symptoms, disease activity, physical function, radiographic progression, and adverse …

Efficacy Of Sglt2 Inhibitors In The Management Of Polycystic Ovarian Syndrome, Paige N. Curtis-Campbell

The PA Department Journal of Medical Science

Introduction: Polycystic ovarian syndrome (PCOS), recently proposed to be termed polyendocrine metabolic syndrome (PMOS), is a complex multifactorial disorder commonly associated with obesity, hyperandrogenism, infertility, and insulin resistance. First-line treatments for metabolic characteristics include lifestyle modifications and metformin; however, metabolic abnormalities may persist. Sodium-glucose cotransporter-2 (SGLT2) inhibitors represent a potential therapeutic agent due to their effects on insulin resistance, glucose metabolism, and body weight.

Methods: A literature search of PubMed identified studies examining SGLT2 inhibitors in women with PCOS compared to metformin, standard therapies, or placebo. The search was restricted to randomized controlled trials (RCTs), systematic reviews, and meta-analyses available …

Effect Of Intramedullary Nailing Vs Plate Fixation On Bone Union Time In Distal Tibial Fractures, Madeline Wasmund

The PA Department Journal of Medical Science

Distal tibia fractures are complex fractures due to the intricate anatomy and minimal soft-tissue protection. There are currently two techniques that are mainstays for repairing a distal tibia fracture: intramedullary nailing and plate fixation. This study explores the bone union time between these two different techniques. PubMed was searched with a specific search strategy using the terms “intramedullary rod”, “plate/screw fixation”, “tibial fractures”, and “time to bone union.” Filters were applied to find articles that were most relevant, which resulted in 4 articles, each of which was appraised. Three articles were systematic reviews/meta-analyses comparing intramedullary nail fixation and plate fixation …

Vitamin D And The Expression Of Systemic Lupus Erythematosus (Sle), Sonephet S. Phoumsavath

The PA Department Journal of Medical Science

Introduction: Systemic lupus erythematosus (SLE) is a chronic multisystem autoimmune disease that disproportionately affects women and minority populations, carrying significant morbidity. The purpose of this literature review is to analyze the effectiveness of vitamin D supplementation in reducing disease activity in SLE patients, compared with none.

Methods: PubMed was searched using a specific strategy with key terms including "vitamin D," "systemic lupus erythematosus," and "disease activity." Boolean operators and filters included a five-year publication limit and restriction to randomized controlled trials (RCTs), systematic reviews, and meta-analyses. This narrowed the results to five quality articles for review.

Results: Two meta-analyses and …

The Role Of Probiotics As Adjunctive Therapy In The Treatment Of Depressive Disorders, Maritza Lopez

The PA Department Journal of Medical Science

Major depressive disorder (MDD) is a common psychiatric disorder that remains difficult to treat for many patients despite available therapies. The purpose of this clinical review was to evaluate the effectiveness of adjunctive probiotic supplementation for adults with major depressive disorder. PubMed was searched using key terms including major depressive disorder, probiotics, Lactobacillus, Bifidobacterium, and gut-brain axis. Search filters and eligibility criteria narrowed the results to six relevant articles for review, including one randomized clinical trial, four systematic reviews, and one clinical practice guideline. Overall, the included studies generally reported reductions in depressive symptom severity and favorable safety …

Prevention Of Chronic Migraine With Injection Medications: Onabotulinumtoxina Vs Monoclonal Antibodies, Jillian Jesser

The PA Department Journal of Medical Science

Introduction: Adults diagnosed with chronic migraine (CM) frequently experience severe pain, nausea, vomiting, sensitivity to light or sound, and blurred vision. All of which are not conducive to routine daily functioning. The purpose of this review article is to explore the efficacy of preventative medications for CM such as OnabotulinumtoxinA injections (onabotA) and calcitonin gene-related peptide monoclonal antibodies (CGRP mAbs).

Methods: PubMed was searched using “OnabotulinumtoxinA,” “chronic migraines,” and “monoclonal antibodies”, and related branch terms. The 263 results of this search were reduced to 20 with the following filters: published date 2020-2025, randomized controlled trials (RTCs), systematic review, meta-analysis, free …

Restrictive Fluid Resuscitation With Early Vasopressor Initiation Vs Liberal Fluid Resuscitation In Adults With Septic Shock: A Review Of Mortality And Clinical Outcomes, Gabriel Locke

The PA Department Journal of Medical Science

Introduction

Septic shock is a life-threatening medical emergency characterized by profound hypotension, impaired organ perfusion, and significant risk of mortality. While large fluid resuscitation has been considered the commonplace, emerging evidence of increased adverse outcomes has prompted further investigation into restrictive fluid strategies in combination with early vasopressor use.

Methods

PubMed was searched with key terms “septic shock”, “vasopressors”, “norepinephrine”, “restrictive fluid resuscitation”, “liberal fluid resuscitation”, and “mortality”. Operators and filters were implemented such as randomized control trial, systematic reviews, meta-analyses published between 2021 and 2026. After applying these filters. Of the 39 results, 4 articles were selected based on …

Pathways Of Influence: Indigenous Peoples’ Agency And Leadership In Arctic Governance, Justin Barnes

Theses and Dissertations (Comprehensive)

For the peoples and communities who have lived in the Arctic since time immemorial, Arctic governance is not only about international cooperation, environmental management, or geopolitical competition. It is also about sustaining and advocating for Indigenous livelihoods, relationships with land and water, rights and responsibilities, and opportunities for future generations – all themes directly affected by political decisions made across local, regional, national, and international levels. This dissertation begins from a central question about how Indigenous Peoples exercise their agency and influence in Arctic governance despite operating within an international system largely organized around states. It examines this phenomenon by …

The Bidirectional Effects Of Traumatic Brain Injury And Caudal Fin Amputation On Regeneration In Zebrafish (Danio Rerio), Makenna Wiebe

Theses and Dissertations (Comprehensive)

Traumatic brain injury (TBI) and caudal fin amputation initiate robust regenerative responses in adult zebrafish (Danio rerio), yet whether regenerative activity in one tissue influences repair at a distant site remains unclear. This study investigated the bidirectional effects of concurrent brain and peripheral injury on regeneration and functional recovery. Specifically, we assessed the effects of TBI on caudal fin regeneration, caudal fin amputation on neural stem cell-associated cellular responses, and combined injury on behaviour. Adult zebrafish received no injury, TBI, caudal fin amputation, abdominal puncture, or combined TBI and caudal fin amputation. I assessed caudal fin regeneration morphometrically and evaluated …

Endogenous Light In The Brain: Investigating Sources, Propagation, And State-Dependent Emission, Emre Cicek

Theses and Dissertations (Comprehensive)

Ultraweak photon emission (UPE), and by extension light, has long been thought to be a modality of communication in nature. Prior studies have already identified that UPE can depend on cell type and can be used to discern between malignant and benign cells. However, besides theoretical models, not much effort has been made to identify possible biological structures that would allow for light to be used as a method of communication in the human body. According to the framework set by Shannon’s Information Theory, for communication to be possible at minimum a transmitter, a transmission channel, and a receiver are …

Sexual Di(Et)Morphism: Using Experimental Evolution To Test Whether Resource Partitioning Promotes Divergence Of The Sexes In Drosophila Melanogaster, Owen A. Jamieson

Theses and Dissertations (Comprehensive)

Sexual dimorphism has been a long-studied phenomenon in the field of evolutionary biology. Usually, these differences in morphology, physiology and/or behaviour between the sexes are studied through the parsimonious lens of sexual selection. However, there are natural history cases where this lens does not seem applicable. Some species show sex specific morphological traits whose presence may not be due to a direct benefit to reproduction, but a difference in how each sex interacts with the environment and differing selective pressures from the environment on either sex. Darwin even brought up examples of this kind of dimorphism and pondered their existence, …

An Assessment Of Carbon Dioxide Removal Potential From Stormwater Ponds Using Concrete-Based Materials, Yu-Hsuan Tai

Theses and Dissertations (Comprehensive)

Stormwater ponds (SWPs) are engineered stormwater infrastructure known to be major greenhouse gas (GHG) emitters, including carbon dioxide (CO₂). Concrete-based materials have great potential to capture CO₂ as carbonate minerals (CaCO₃), through aqueous carbonation, driven by their alkaline nature and high portlandite (Ca(OH)₂) content. However, the mechanistic understanding of how specific parameters including mass, surface area, and degradation of calcium silicate hydrate (C-S-H) phases collectively control carbonation kinetics and CO₂ uptake under dynamically evolving conditions remains underexplored. Laboratory-scale experiments were conducted to evaluate the effects of cement dosage, particle surface area, and …

Sediment Redox-Driven Iron Flux And Phytoplankton Community Responses: Implications For Cyanobacterial Suppression And Functional Stability Across Boreal Lakes, Julia K. Kozak

Theses and Dissertations (Comprehensive)

Freshwater eutrophication contributes towards the development of cyanobacterial harmful algal blooms (cHABs), but nutrient availability alone does not fully explain variation in phytoplankton community composition or physiological performance. While phosphorus (P) availability has been known to regulate phytoplanktonic biomass, iron (Fe) is an important micronutrient supporting Fe-heavy processes within cyanobacteria (i.e., nitrogen fixation and photosynthetic electron transport). Sediment Fe availability in freshwater ecosystems is regulated by reduction oxidation (redox) conditions at the sediment-water interface (SWI), where nitrate (NO₃^-) has been found to maintain oxidizing conditions and prevent the reduction of Fe(III) to more readily bioavailable soluble Fe(II), …