Digital Commons Network^™

Diabetic Nephropathy Masquerading As Systemic Disease: The Critical Role Of Renal Biopsy In A Young Uninsured Woman With Nephrotic Syndrome, Yolanda V. Gutierrez, Alexis Vargas Del Toro, Cristina Kochi Yamamoto, Jose Loayza Pintado, Andres Suarez-Parraga

School of Medicine Publications

Nephrotic syndrome can have overlapping features across multiple diseases, making diagnosis difficult without tissue confirmation. We describe a 30-year-old uninsured Hispanic woman with type 1 diabetes, hypertension, and CKD3B who presented with nephrotic syndrome, sepsis, and progressive muscle weakness. Her pleural effusions, periorbital changes, elevated free light chains, and dysphagia raised concern for systemic conditions such as amyloidosis or polymyositis, especially given inconsistent outpatient follow-up. Because her management would differ significantly depending on the underlying cause and due to the high risk of loss to follow-up, a renal biopsy was pursued. Serologic studies were unremarkable, and biopsy ultimately confirmed diabetic …

How Are Us Legal Attorneys Being Prepared To Handle Ai-Enhanced Evidence During Evidence Discovery?, Enoch Martin

Honors

Evidence is the means by which arguments are presented, supported, and challenged in the United States court of law. With the recent emergence of consumer AI-systems in 2023 and their unprecedented growth since, U.S. courts are facing the greatest disruption in evidentiary procedure since the introduction of photographs over a century ago. Yet despite widespread acceptance of this fact, there exists no discussions regarding how US attorneys are being prepared to uphold the right of U.S. citizens’ to proper representation in court by properly challenging and defending the admission of AI-enhanced evidence. This project examines how U.S. courts and legal …

Preserving Fashion History: Conservation And Storage Solutions For Eastern Kentucky University’S Applied Human Sciences Department’S Historic Costume Collection, Kylie Farler

Honors Theses

Dress archives are critical repositories of material culture that preserve garments, textiles, and related objects as primary sources of historical evidence. Unlike written records, which often showcase elite perspectives, clothing provides insight into the everyday lives, identities, and experiences of individuals across social classes. This project examines the significance of dress archives and documents the process of organizing and preserving the Eastern Kentucky University Applied Human Sciences Department’s dress collection. Through an assessment of existing materials, storage conditions, and preservation needs, this study identifies both the challenges and opportunities present in managing a mixed media, partially undocumented collection. Guided by …

Exploring Microbiome Communities Of Two Belize Coral Species Five Years After Reciprocal Transplant, Lily E. Kratz

Biology Honors Papers

Coral holobionts, which include the coral animal host, dinoflagellate algae, bacteria, etc., support coral reef biodiversity by providing habitat to many marine species. In the face of global change, identifying and understanding the microbial diversity of corals is extremely important because their survival indicates overall ocean health. Coral-associated bacterial and algal communities contribute to the health and survival of a coral species through creating resistance to stressors and supplying essential nutrients. As coral reef environments continue to change, microbial communities must respond to ensure the survival of reef-building corals. To investigate if coral microbiomes possess the ability to acclimatize to …

Bats In A Modified Suburban Landscape, Brittany Morgera

Biology Honors Papers

This research assesses bat species richness and activity across a gradient of suburban habitat modification surrounding Ursinus College and Green Lane Park in Montgomery County, located in southeastern Pennsylvania. Habitat modification was quantified using GIS-based land-cover metrics (e.g. impervious surfaces and canopy cover), and bat activity and species richness were measured though acoustic surveys conducted at 15 sites during the summers of 2024 and 2025. The project tests the hypothesis that increasing habitat modification has a negative correlation with bat species richness and activity.

Payrolling In The Deep, Kyle Rosenfeld

Business and Economics Honors Papers

This study examines how Major League Baseball teams can build their rosters to spend their payroll more efficiently. Using a manually constructed dataset, consisting of thirty teams over the past five years, this paper studies different payroll allocation strategies, such as the percentage of a team’s payroll to homegrown players or free agents, to improve the efficiency of how an MLB club is spending. Through running regression models, results have shown there is a statistically significant positive relationship between how efficient MLB teams spend their payrolls to the percentage of a team’s payroll designated to homegrown players. Additionally, there is …

Why Read In The Age Of Post-Literacy?, Corrine H. Martello

Educational Studies Honors Papers

This research paper aims to answer the question, “Why read?” by exploring the significance and purpose of reading, during what many have begun to call the post-literacy era, in order to convey the message that we as human beings have a fundamental need for reading and a failure to fulfill this need may result in an inability to reach one’s full potential as both an individual and as a society at large.

Differences In Gendered Educational Experiences Through A Hegemonic Lens: Cultural Influences On Schooling Norms, Camille M. Hubbs

Educational Studies Honors Papers

Recent research literature has found boys to be failing in school compared to girls; because of this a wave of awareness and furthered research on boys has followed. However, girls’ struggles in education must not be ignored as a result of boys’ issues. This project aims to describe and analyze the differences in educational experiences that both sexes have, and it operates under the understanding that culture is a primary influence on these different experiences. Experiences are divided into three broad sections: academic outcomes, confidence, and behaviors. In short, boys generally have worse academic outcomes, girls have poor confidence, and …

Occupational Therapy Program Development In Unhoused Communities, Abbigayle Jackson, Emma Pacheco, Mariko Turley, Jennifer Wickham, Tina M. Deangelis, Edd, Ms, Otr/L, Faota

Doctorate of Occupational Therapy Program Capstone Presentations

Objectives

- Outline the Modified Delphi process and its purpose for manual development

- Describe foundational elements of occupational therapy (OT) program development for unhoused populations

- Illustrate a program's community and societal impact

Julie And Julia 2.0 Emergent Themes Of “One Year” Food Blogging Challenge, Anna Hollrah

Departmental Honors & Graduate Capstone Projects

This study analyzed the thematic patterns that emerge in year-end posts by food bloggers who undertook a one-year blogging challenge. Using rhetorical criticism and an open coding process, 25 reflective blog posts were analyzed to identify recurring themes and motivations from the legacies of Julia Child and Julie Powell. The analysis identified seven primary themes, which were then grouped into two categories: advice and response. The themes included authenticity, inspiration, hard work, learning, enjoyment, gratitude, and community building.

Several of these themes reflected the influence and advice of Child and Powell, and they also highlighted the blogger’s personal growth, creativity, …

A Comparative Analysis Of Acoustic And Electroglottographic Measures: Insights From Vocal Fold Vibratory Patterns, Henry S. Heyden

Linguistics Honors Projects

This study aims to improve cross-linguistic understanding of the production of contrastive phonation by investigating sources of variation within vocal fold vibration. Individual glottal pulses were selected from electroglottographic recordings of speakers of eight languages across five language families. Functional principal component analysis was used to determine dominant dimensions of variation within the glottal pulses. One dimension correlated meaningfully with contact quotient, an electroglottographic measure known to be meaningful in the context of voice quality research.  Interpretations of the other dimensions were revealed only through the interpretation of support vector machine weights. Results were mixed regarding the extent to which …

Nurturing The Nurturers: Caritas Literacy Wellness Program, Pakeeza Ali

Doctoral Projects

Burnout, compassion fatigue, and emotional exhaustion remain significant concerns among oncology staff in high-demand ambulatory settings. This quality improvement project implemented the Caritas Literacy and Resilience Training Program (CLARITY), a microlearning-based intervention grounded in Watson’s Caring Science Theory, to support self-caring behaviors and emotional resilience among oncology staff in an ambulatory cancer center. A quasi-experimental, mixed-methods design was used, incorporating pre- and post-intervention survey data and qualitative focus group feedback. Quantitative outcomes were assessed using the Watson Caritas Self-Rating Score (WCSR) and post-intervention ratings of perceived effectiveness of the microlearning format. Wilcoxon signed-rank tests were used to examine pre-post change …

Unbottling The Truth: A Study Of Alcohol Rehabilitation Access And Outcomes In Kentucky, Kendall Pierce

Honors Theses

Alcohol use disorder (AUD) remains a significant public health concern in the United States, with disproportionately higher rates in Kentucky. Despite the availability of various treatment modalities, barriers to access and perceptions of treatment effectiveness continue to influence recovery outcomes. This study examines the accessibility and perceived success of alcohol rehabilitation programs in Kentucky through qualitative focus groups with individuals with lived experience of AUD (n = 9). Using an inductive thematic analysis approach, four major themes were identified: individual readiness for recovery, social support and resource navigation, structural barriers within the treatment system, and perceived characteristics of …

Airborne Fungal Monitoring In Healthcare Environments: A Systematic Review, Dana L. Surwill, Patricia Cruz, Mark P. Buttner, Jennifer R. Pharr, Nancy Lough, Theresa T. Roehr

Environmental & Global Health Faculty Research

Background: Fungal infections pose a significant threat to public health, with over 6.55 million cases and 2.55 million deaths annually. Exposure to fungal spores in indoor environments primarily occurs through inhalation or direct contact with surfaces. Monitoring is critical for early detection and prevention of outbreaks, yet routine airborne fungal testing is not universally mandated across healthcare settings. Methods: A systematic review of peer-reviewed articles from four databases was conducted to identify current airborne fungal monitoring guidelines and best practices for sample collection, culture media, incubation conditions, and results interpretation. Results: Eighteen articles met the inclusion criteria, and four studies …

Invisible Fallout: Economic Health, Environmental Injustice, And The Social Legacy Of The Paducah Gaseous Diffusion Plant, Isabella G. Bailey-Sims

Honors Theses

This paper examines the long-term impacts of the Paducah Gaseous Diffusion Plant (PGDP) in western Kentucky, framing its legacy as a form of “invisible fallout” in which economic growth was accompanied by delayed environmental and public health consequences. Established in the early 1950s, the plant served as a major economic driver, providing stable employment and transforming the regional economy. However, its operation involved the handling of radioactive materials and hazardous chemicals, leading to environmental contamination and occupational exposure risks that were not fully disclosed during its active years.

Drawing on epidemiological studies, environmental reports, and socioeconomic analyses, this study identifies …

Why Did Pikeville Blow Up That Mountain? Post-Evaluation On Public Projects In The United States, Gavin Cantrell

Honors Theses

Public project evaluation in the United States follows that projects are developed with constant checks and measurements to ensure that budgetary expectations, efficiency expectations, and output expectations are being met consistent with what was approved for the project. However, post-evaluation (also known as ex-evaluation) is not mandatory for constructing a project. Post-evaluation is a systematic approach of assessing and evaluating a project after its completion. Evidence suggests that there is no standardized system of post-evaluation across the branches of government, nor is there one that measures success. The logic model can fill this gap in post-evaluation. The logic model is …

Handmade Vs Ai, A 2d Animator’S Perspective, Leilani Scarambone

Honors Theses

My honors thesis covers various aspects of animation and techniques used by animators to lessen time spent on a project, a brief summary of how AI functions and processes inputs, and finally a simple cross comparison of hand made animation and AI generated products of varying type. Animation with a fast-approaching deadline often requires animation tricks to be able to get the product out in time. I listed a few of the most prominent animation techniques and gave a brief overview of the evolution of 2D animation as it grew towards an easier workflow. 2D animation, even then, takes a …

Cancer Risk Perceptions And Nicotine Use Behaviors Among Eastern Kentucky University Students, Kassidy Burke

Honors Theses

The use of electronic nicotine delivery systems (ENDS), including vaping devices and oral nicotine pouches, has increased among adolescents and young adults. Although often marketed as safer alternatives to cigarettes, emerging evidence suggests these products may still pose significant health risks, including potential contributions to cancer. Despite this, many college students perceive them as low risk. This study examines cancer risk perceptions and nicotine use behaviors among students at Eastern Kentucky University, focusing on perceptions of cigarettes, vaping devices, and oral nicotine pouches, as well as how these perceptions influence behavior. It also explores sources of health information and the …

Prefatory Matter And Table Of Contents

University of Miami Law Review

No abstract provided.

Harness The Darkness! Blackout Poetry And Drama Therapy For Systemic Existential Dread: A Proposed Methodology, Kerry Sullivan

Expressive Therapies Theses

This thesis explores the intersection of drama therapy and blackout poetry as a therapeutic intervention to address systemic existential dread (SED) among emerging adults. The proposed methodology is titled "Bringing Blackout Poetry to Life" and consists of five sessions designed to explore the participants’ SED and generate poetry, culminating in a public performance. By integrating elements from psychodrama and drama therapy with the therapeutic process of blackout poetry, the intervention intends to aid processing on all levels of the expressive therapies continuum (ETC), strengthen tolerance for uncertainty, and facilitate sustainable community action. This theoretical framework is supported by a wide-ranging …

Body And Size Acceptance In Dance/Movement Therapy, Kathryn Pedersen

Expressive Therapies Theses

The pervasiveness of anti-fat bias within American culture is growing due to the rise in popularity of glucagon-like peptide-1 receptor agonists (GLP-1s) and the current United States administration’s discriminatory views towards minority groups. With Dance/Movement Therapy (DMT) being a body-based modality, it is necessary to examine the available literature to discover the theoretical orientations that are being used when working with fat populations. Quantitative and qualitative studies from both international and United States-based sources were reviewed, and findings indicated that while both the medicalized view of fatness and the body acceptance-based view of fatness were employed, United States-based research most …

Reclaiming The Narrative: Integrating Narrative Therapy And Songwriting For Children And Adolescents Living Through Adverse Childhood Experiences, Emma Smith

Expressive Therapies Theses

Children and adolescents tend to lack agency and power in their lives with their status as minors. Lack of agency can be exacerbated if they are experiencing Adverse Childhood Experiences (ACEs). Narrative songwriting is an approach with emerging methods that may support liberation, agency, and ownership for this population. Although there is a plethora of trauma-informed songwriting methods in music therapy literature focusing on young populations, there is sparse research about using narrative songwriting with this population. In this thesis, literature from both music therapy and narrative therapy with young populations experiencing ACEs was located and analyzed using a qualitative …

The Impact Of Monetary Policy Announcements On Trading Reactions To Earnings Reports, Sean A. Maxfield

Economics Honors Projects

This paper examines trading reactions to quarterly earnings reports and the impact of recent monetary policy announcements by the Federal Open Market Committee (FOMC). It argues that the market, as a product of rational and irrational investor behavior, interprets firms’ financial performance within a broader macroeconomic context, affirming the causal channels found in similar studies. This study differs from prior research by looking at the recent, not simultaneous, monetary policy announcement for each earnings announcement in order to understand if the two types of information remain complementary. By conducting an event study model, this study confirms that the interaction of …

Multicultural Marketing: Rebranding Chick-Fil-A For Chinese Audiences, Christina Pan

Senior Honors Theses

China is one of the fastest-growing markets in the world, and consumption is its main cause of growth. With a population of 1.4 billion people, many companies want to establish themselves in China. However, China and the United States markets are vastly different, and China’s post-COVID economy makes success increasingly difficult. Factors such as domestic competition, weakening US-China relations, and increased suspicion in foreign products calls for a new marketing and branding approach for United States companies. Fast-food giants such as McDonald’s and KFC have managed success in the past, but one company that also has potential is Chick-Fil-A. This …

Aerodynamic Performance Of Grid Fins As High Lift Devices, Luke Jeffrey Krick

Senior Honors Theses

Flaps are used in almost all aircraft to increase the amount of lift the wings can produce at low speeds. However, the flaps also increase the amount of drag experienced by the aircraft. The drag induced by the flaps causes energy loss and is unfavorable for aircraft effectiveness. In recent years, grid fins have become a popular choice for aircraft and armaments to control their orientation. First developed for launch escape towers, grid fins are made up of lines that cut the fin into many quadrants, leaving the fin with multiple rectangular shaped open areas. The aim of this study …

Connected Pastors: The Importance Of Having Safe Support Systems In Ministry, Karin A. Hines

Senior Honors Theses

Pastors minister to broken people, but sometimes they need help themselves. Many pastors do not seek help or do not have anyone safe to go to, often for fear of losing their influence or job. This thesis argues that sharing one’s life with safe people is essential, especially for those who are in high-stress professions. It explores pastoral support systems, examines comparable stigmas against seeking help in other fields, analyzes the science of sharing and isolation and their effects on the brain and body, and considers the Bible’s instructions on living in community for one’s personal well-being. Pastors require intentional, …

Gospel Reception And Response In Children With Profound Cognitive Disabilities, Reagan Lewis

Senior Honors Theses

This study attempts to build a bridge over a gap in research regarding how to observe children with profound cognitive disabilities’ understanding of the gospel, also incorporating information about ministry structure, caregiver responsibility, and methods for presenting the gospel. This qualitative study was interview-based: four ministry leaders representing three disability ministries were interviewed, and then a focus group was conducted to discuss further. Field observations also took place at each ministry site. Key findings included importance of flexibility in ministry environments, shared spiritual responsibility of caregivers and ministry leaders, necessity of repetition and concrete examples in gospel presentation, emphasis on …

Nietzsche And Socrates: Reflections Of Redefined Virtue In Greek Tragedy, Kyle M. Lowry

Senior Honors Theses

The works of Friedrich Nietzsche were used to study how Greek Tragedy was “born” and “died,” particularly in relation to the rise of Socratic philosophy in Ancient Greece. The intoxicated “Dionysian” and disciplinary, artistic “Apollinian,” are the elements Nietzsche claims encompass and catalyze human experience; the former containing the primal nature of the Being, and the latter containing the ordering through which identity is formed and art is created. Tragedy, the art form perfectly balancing these two elements was “born” within the conditions of a Dionysian Pessimism, by which the inevitable life of suffering was redeemed aesthetically. Socrates introduced rationality …

Companionships, Transportation, And Health Among Members Of A Hispanic Senior Center: A Sociometric Social Network Dataset, Rebecca Mauldin Phd, Msw, Vismaya Prakasan Msis, Akshay Thakare Msis, Rupal Parekh Phd

Social Networks for Social Good Collection-Archive

This dataset contains survey and social network data from 42 members of a predominantly Puerto Rican senior center in Hartford, Connecticut. It includes two linked components (1) participant-level information on demographics, health, mobility, and transportation, and (2) a sociometric network of companionship ties among members. The data are designed for use in social network analysis and research on aging, mobility, and social relationships. These data can be used to explore questions such as how companionship ties are structured among older adults in a community setting; whether individuals with similar characteristics (e.g., age, gender, health status) are more likely to form …

The Brain And Becoming: Integrating Play And Performance-Based Learning In The Community College Classroom, Hannah M. Green

English

Instruction in the community college classroom is in need of a shift, according to neuroscientific, pedagogical, and demographic data. Primarily, students in today’s community college classrooms are instructed in the form of lectures (Nilson 106), but research has shown that game-based learning would be the way to enhance learning experiences for these adult learners. Game-based learning specifically takes form in student learning through games, interactive reading activities such as performance pedagogy, discussions, and small group work. While research shows that play-based learning at the community college level is neurologically beneficial for students, there is a gap in implementing play-based learning …