Digital Commons Network^™

The Predictors Of Adverse Birth Outcomes In Pre-Eclampsia: An Explanatory Sequential Study, Maadwoa F. Asamoah

Graduate Theses, Dissertations, and Capstones

Objectives: The goal of this study was to identify health factors associated with adverse birth outcomes among women diagnosed with preeclampsia. Three logistic regression models were developed and analyzed. In addition to the quantitative analysis, 10 women discussed their experiences with provider communications, access to resources, barriers to care, and the quality of the postpartum support they received.

Research questions: Research questions asked how women diagnosed with preeclampsia feel about their care. 1. Does learning about preeclampsia before diagnosis help reduce negative birth outcomes? 2. Which personal and health factors align with birth outcomes? 3.What barriers do women face in …

Community-Based A1c Screening Initiative To Improve Diabetes Risk Identification Among People Experiencing Homelessness, Rebecca Drake, Deedee Long, Mariita Carter

Student Works

Abstract

Purpose: People experiencing homelessness (PEH) experience high rates of undiagnosed diabetes yet face significant barriers to preventive screening. This quality improvement project aimed to improve access to diabetes screening for PEH through on-site hemoglobin A1C (A1C) testing in a trusted community setting.

Methods: On-site A1C screening was implemented at the Utah County Food and Care Coalition (F&CC) using a low-barrier, community-based approach. Screening was conducted during routine service hours and integrated into existing workflows. Process, outcome, and balancing measures were used to evaluate feasibility, reach, and unintended effects.

Results: The intervention primarily supported identification of diabetes risk and referral …

Assessing Visual Analysis Skills With Board Certified Behavior Analysts: A Replication And Extension, Daniella Fronte

Thesis Projects

Visual analysis of single-subject data is a necessary decision-making method in the field of behavior analysis. This analysis helps practitioners evaluate the efficacy of their interventions and informs subsequent decisions to complete, continue, modify, or discontinue an intervention. The purpose of this study was to assess behavior analysts’ visual analysis skills and to evaluate whether using a decision-making flowchart increases correct clinical decisions. Talk-aloud data were used to analyze errors in behavior analysts’ decision-making. Additionally, the extent to which participants rated the flowchart’s significance and effectiveness was assessed. Four of 16 participants reached mastery in the baseline phase without access …

Environmental Dna Barcoding For Non-Model Organisms: Challenges And Outcomes Of Developing Barcodes For Freshwater Mussels, Nicholas Duellman

Longwood Senior Theses

Freshwater mussels are a keystone species providing crucial ecosystem services and river composition resiliency. Globally, they remain one of the most imperiled invertebrate groups, facing threats of water quality declines and urban development. Traditional field sampling can often be laborious and ineffective in surveying rare species’ distributions. Anecdotal evidence suggests the presence of freshwater mussels within the Appomattox River; the specifics of population sizes and suitable habitat remains an open question. Environmental DNA (eDNA) usage in conservation ecology has increased dramatically within the past two decades, being a far less invasive and cost-demanding option than traditional surveys. In an effort …

Resilience And Emotional Eating: Gender Differences In Undereating, Tinei Nyakuyedzwa, Patrick J. Cooper

Student Publications and Presentations

Emotional eating refers to eating in response to emotional states as opposed to hunger and is linked to stress, which is important for college students who experience unique stressors (e.g., academic, social, and interpersonal) in their college experience. It is also often found to be more prevalent in women, but not always. During the COVID-19 pandemic, females and males reported similar levels of emotional eating, but for different reasons: female emotional eating was linked to isolation and/or extra care-giving responsibilities, whereas male emotional eating was linked to reward seeking behaviors. The purpose of this study is to examine whether there …

Investigating Barriers Toward Implementation Of Harm Reduction, Mati Abrahami, Melissa Lehman, Ali Cunningham Abbott

Student Publications and Presentations

Harm reduction is a public health initiative that focuses on reducing the harms associated with substance use. These initiatives are currently being implemented all throughout Europe and across Canada in order to combat the addiction and overdose crisis. Despite strong empirical evidence of the efficacy of harm reduction in preventing death and overdose, these initiatives face many barriers to implementation in the United States and are not widely accepted or practiced. The aim of this study is to investigate overall feelings, perceptions, and attitudes towards harm reduction with the goal of identifying factors that predict such outcomes. Participants completed a …

Preserving The Untold Stories: Leveraging Emerging Technologies (Ai And Machine Learning) For Archiving Hidden Histories Of Children And Families Impacted By The Little Rock School Integration Crisis, Oluseyi Noah Adebanjo

Theses and Dissertations

This thesis challenges the dominant narrative of the Little Rock School Integration Crisis by recovering the hidden histories of families and siblings who made integration possible but have been systematically overlooked by historians. While existing scholarship focuses on the Little Rock Nine as individual heroes, this research demonstrates that integration was fundamentally a family crisis requiring collective decision-making, economic sacrifice, and multigenerational support networks. Through close reading of published memoirs, newspaper clippings, school board minutes, and original oral history interviews with Phyllis Brown and Dr. Sybil Jordan Hampton, this study reveals how approximately 200 eligible families were systematically reduced to …

A Cross-Sectional Study To Explore Healthcare Providers’ Wellness: Current Challenges & Gut Health, Linda Liu, Simi Joseph

Creating Healthy Work Environments (CHWE)

Background: Healthcare provider well-being is essential for high-quality patient care. However, stress, burnout, and demanding work environments negatively impact physical and mental health, including gut health. The gut-brain axis underscores the link between gastrointestinal function, stress, and well-being, yet limited research has explored gut health among healthcare professionals.

Purpose: This study assessed the prevalence of gastrointestinal symptoms among healthcare providers and examined associations with stress levels, clinical environment, and quality of life in acute and outpatient settings.

Framework: Guided by the Biopsychosocial Model, this research explored how biological, psychological, and social factors influence the well-being and gut health of healthcare …

Fostering A Healthy Academic Environment In Nursing Education, Donna M. Hedges

Creating Healthy Work Environments (CHWE)

A healthy academic environment is foundational to the preparation of future nurses, the retention of faculty, and the overall success of nursing education programs. This presentation examines the multidimensional nature of a healthy academic environment, highlighting psychological safety, equity and inclusion, supportive infrastructure, academic integrity, and collaborative learning as critical elements. Drawing from relational-cultural theory and caring science, the presentation explores how these elements shape outcomes for students, faculty, and institutions. Common challenges—including incivility, limited resources, and faculty workload strain—are discussed alongside evidence-based strategies to foster resilience, collegiality, and organizational change. Implications for practice, policy, and research are identified, underscoring …

Integrating A3 Thinking To Drive Collaborative Clinical And Operational Improvements, Deltra Muoki, Sarah Fleming, Eliud Faz, Dan Hootman, Whitney Adams

Creating Healthy Work Environments (CHWE)

Introduction: Delivering high-quality care and achieving optimal outcomes rely on efficient clinical processes. Continuous improvement enhances care (Endalamaw et al., 2024), and staff should identify evidence-based solutions to drive change.

At this 350-bed Magnet-recognized hospital, clinical and operational teams worked in silos despite shared goals. Clinical staff used gap analyses, while operational teams applied A3 problem-solving to determine whether issues required kaizen events or quick fixes. A3 supports root cause analysis, targeted interventions, and outcome evaluation (Brennan & Wendt, 2021).

However, no standardized process existed for submitting or tracking gap analyses or A3s. In Q1 2025, only two A3s and …

Systematic Review Of Multi-Level Determinants And Equity Implications Of Mode Of Birth In The U.S., Abdul-Manaf Mutaru, Cynthia Nicole Lebron, Wonsuk Yoo, Alexa Parra, Lunthita Duthely, Thomas Mike O'Shea, Hudson P. Santos Jr.

Creating Healthy Work Environments (CHWE)

Background: Giving birth by surgical operation (cesarean birth) is linked to complications such as postpartum infection, rehospitalization, and respiratory issues in newborns. However, the cesarean rate remains high, accounting for 32.4% of all births in the United States (U.S.). Understanding the impact of factors beyond the individual level is crucial for developing interventions to reduce preventable cesarean births and promote health equity.

Purpose/Aim: This systematic review synthesized evidence from U.S.-based studies to identify factors beyond the maternal level that are associated with mode of birth (vaginal or cesarean).

Methods: We searched PubMed, Web of Science, PsycINFO, and CINAHL for studies …

Disparities In Policing Through The Lens Of Indigenous Communities In Michigan: A Research Proposal, Abigail Ruddle

Honors Theses

This study examines the historical and contemporary factors shaping relationships between Indigenous communities and law enforcement in the United States, with a specific focus on tribal nations in Michigan. Using a historical framework that includes treaty-making, forced removal, and evolving legal decisions, this research examines the use of treaties and diplomacy to initiate new socio-political structures in Native American communities. Similarly, the emergence of policing in the United States impacted the relationship between law enforcement and Indigenous communities by creating hostility and distrust. The existing literature highlights themes of police violence and the paradoxical nature of over-policing and under-policing in …

Anterior Cruciate Ligament (Acl) Injuries In Female Athletes: Implications For Prevention And Rehabilitation, Natalie Amm

Honors Theses

Anterior cruciate ligament (ACL) injuries are among the most common lower limb injuries and pose significant physical, psychological, and long-term functional challenges for athletes. Additionally, research has suggested that females are up to eight times more likely to experience an ACL injury than their male counterparts. This increased risk is multifactorial with risks including anatomical structure, neuromuscular control, strength deficits, and hormonal fluctuations. However, the elevated risk of ACL injuries in female athletes may not solely be caused by biological differences, but also due to training programs and sports being designed around male athletes. This pushes us to change the …

Expression And Purification Of Mayaro Virus Nsp2 Protease, Emma Grace Tourville

Honors Capstone Projects and Theses

No abstract provided.

Nurse Education On Nonpharmacological Management Of Knee Osteoarthritis, Toyin Mary Ajayi

Walden Dissertations and Doctoral Studies

The Doctor of Nursing Practice (DNP) project aims to fill the gaps in the management of knee osteoarthritis (OA) in adults aged 40 to 75 years in a primary care practice. Knee OA is a common chronic disease that significantly impacts pain, mobility, and quality of life. Although there is empirical evidence that nonpharmacological interventions, including exercise, weight control, and self-management education, are effective, these methods are not consistently used in clinical practice, and pharmacologic treatment continues to be used. The project was designed to inform healthcare personnel about evidence-based nonpharmacological strategies to improve patient outcomes and reduce reliance on …

Staff Education On Early Sepsis Recognition For Medical-Surgical Nurses In The Acute Care Setting, Nadine Nzenga Udom

Walden Dissertations and Doctoral Studies

In this staff education project, I targeted early sepsis recognition and response among medical-surgical nurses. The practice gap at the site was nurses’ limited knowledge of sepsis indicators and screening tools, which contributed to delayed escalation of care. The practice-focused question guiding the project was “Does educating medical-surgical nurses on early sepsis recognition and response improve knowledge of early sepsis recognition and response?” I applied the analysis, design, development, implementation, and evaluation (ADDIE) and Johns Hopkins Evidence-Based Practice (JHEBP) models to design a structured sepsis education program for nursing staff. I searched for peer-reviewed literature via databases accessed through the …

Exploring The Experiences Of Faculty Members Educating Students Virtually Post-Covid-19, Raven Ashley Richardson

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly disrupted higher education, requiring institutions to rapidly transition to virtual learning environments and leaving faculty to manage increased workloads, stress, and challenges related to instructional quality and student engagement. The problem in this study is traditional faculty continue to experience these challenges in the post pandemic academic landscape, with implications for faculty wellbeing and student success. The purpose of this qualitative generic study was to explore experiences of traditional college faculty members educating students while transitioning from in-person to virtual learning environments post-COVID-19. Guided by the ecological systems theory, multilevel influences on faculty experiences were examined. …

Exploring Lived Experiences And Perceived Quality Of Life In Individuals With Parkinson’S Disease Engaging In Rock Steady Boxing: A Qualitative Study, Emma Norman

Capstone Projects

It is well established that exercise provides numerous benefits to the general population, including improved physical functioning, fall prevention, and better sleep (National Institute on Aging, 2025). For individuals living with Parkinson’s Disease, the benefits of exercise are especially meaningful as exercise plays a key role in managing symptoms. Regular exercise plays a critical role in managing both motor and non-motor symptoms of Parkinson’s Disease, contributing to improved quality of life and independence (Ellis & Rochester, 2018). A group fitness program for individuals with Parkinson’s Disease, called Rock Steady Boxing, has demonstrated positive quantitative outcomes, including improved balance, strength, and …

Development Of Purposeful Movement Breaks And Sensory Pathways To Enhance Student Engagement And Participation, Ashlyn Houck

Capstone Projects

Children in school settings frequently spend extended periods seated in classrooms, which can make it difficult to meet their sensory and movement needs throughout the school day. When these needs are unmet, students may demonstrate behaviors that disrupt learning and limit participation in classroom activities. This capstone project addressed the need for sensory and movement opportunities within the school environment. Objectives included establishing a baseline of teacher knowledge related to the sensory systems, implementing movement breaks within daily classroom routines, and introducing sensory opportunities in hallways to support smoother transitions. The project was implemented with second- and third-grade classrooms. Outcomes …

Promoting Maternal Well-Being: Occupational Therapy In Pregnancy And Postpartum, Nora Udrys

Capstone Projects

Navigating pregnancy and the postpartum period can be a complex experience for women. There is a lack of diverse information, accessible resources, and support during this phase of life. Hormonal levels fluctuate not only during pregnancy but after giving birth as well, contributing to significant physical, emotional, and cognitive changes. Some of these changes may create barriers to meaningful participation in daily occupations, contributing to feelings of isolation, mood disruptions, and decreased overall well-being. Occupational therapy has a unique role in supporting women through pregnancy and postpartum by helping them navigate these transitions through a holistic, client-centered lens. The purpose …

Sexuality And Intimacy: Education On Ot Approach, Abby Stritzinger

Capstone Projects

Providing proper education on sexuality and intimacy is important for increasing comfort when addressing sex and intimacy with individuals in the professional field.  “Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled” (WHO, 2006a). Creating occupational therapists (OTs) that are comfortable addressing this topic is extremely important for the OT profession to continue to maintain its holistic, client-centered …

Expanding Nbcot® Exam Readiness Resources In An Entry-Level Otd Program, Thahiyatul Sarah

Capstone Projects

The National Board for Certification in Occupational Therapy (NBCOT®) exam is a critical requirement for entry-level occupational therapy (OT) practice in the United States; however, many students face challenges in effectively preparing for its clinical reasoning demands. This literature review examines existing research on NBCOT® exam preparation strategies to inform the development of a comprehensive exam content guide and resources tailored for OT graduate students. Existing barriers, including gaps in curriculum alignment, limited access to effective study tools, and high levels of student stress, highlight the need for more structured and accessible preparation methods. By examining key themes such as …

Expanding Access To Equine-Assisted Occupational Therapy: Integrating Clinical Application And Program Development, Deanna Rietveld

Capstone Projects

This capstone project explored the role of hippotherapy in occupational therapy through enhanced clinical practice skills as well as supporting program development through community education and funding accumulation for the capstone site organization. Guided by a needs assessment drawn from literature, site mentor input, and other local organizations providing similar services, it was determined that occupational therapy using equine movement provides more impactful results while simultaneously addressing deficits in a variety of areas, but lack of financial resources, community participation, and therapy scholarships threaten the opportunity to expand programs and provide access to individuals who would benefit from services. In …

Practical Exploration Of The Role Of Occupational Therapy In A Nature-Based School Setting, Emma Campbell

Capstone Projects

School-based occupational therapy (OT) plays a critical role in supporting children’s participation, development, and engagement in educational environments. However, non-traditional school settings often lack therapeutic supports, such as OT services. The purpose of this doctoral capstone experience (DCE) is to explore and expand the role of occupational therapy within a non-traditional academic setting, specifically a nature-based preschool program. Sunflower Farm’s preschool program provides a unique learning environment that supports children’s development through farm-based learning. While this setting offers rich opportunities for exploration and growth, additional supports are needed to facilitate students’ sensory processing, self-regulation, and participation.

The objectives of this …

Simple Guide To Using Generative Artificial Intelligence Writing Tools In Research & Scholarship At Unh, Julie Simpson, Patricia Condon, Bonnie Brown, William C. Clyde, James J. Connell, Ramonda Kindle, Jennifer Miksis-Olds, Christopher Neefus, Jennifer O’Brien, Theresa Oehmke, Shantel Palacio, Allyson Ryder, Nathan A. Schwadron, John E. Sparrow, Xueting Sun, Engin Taze, May-Win Thein, Anita R. Tucker, Karen T. Van Gundy, James Wible

Integrity in Research and Scholarship

While Artificial Intelligence (AI) technologies have existed for years, the recent arrival of widespread generative AI writing tools such as ChatGPT has provoked varied reactions in the scholarly community worldwide. Undoubtedly easy access to such tools may help to level the scholarly playing field for certain groups, particularly those with limited writing skills or proficiency with English as the primary language for written and oral communication of research and scholarship. There are, however, concerns about these tools, including, but not limited to, the accuracy, consistency, and bias of the information generated, appropriate acknowledgement of source material, and the tools’ lack …

A Continuous Viral Vaccine Biomanufacturing Platform Utilizing Multiple Bioreactor Configurations, Justin Sargunas, Bradley Priem, Dylan Carman, Taravat Sarvari, Natalie Nold, Vaishali Sharma, Andrew Pekosz, Caryn Heldt, Michael Betenbaugh

Michigan Tech Publications

Scalable, continuous biomanufacturing processes have grown in importance to meet demand for smaller bioreactor sizes, lowered production costs, and improved quality attribute consistency. The Sf9/recombinant baculovirus (rBV) expression system demonstrates promise for virus-like particle (VLP) vaccine and gene therapy production. Here, we present a continuous rBV platform integrating an infection plug flow reactor (PFR) between stirred tank growth (gCSTR) and production (pCSTR) bioreactors. Cell expansion in the gCSTR included a ramp-up stage followed by continuous growth, reaching a steady state of 5×10 cells/mL and >90% viability. Péclet number-fit tracer studies confirmed near-ideal plug flow in the PFR, yielding a 10 …

The Future Is Now: The Digital Dentistry Symposium, Casper Jonker

Peninsula Dental School

Introduction: From the perspective of our current undergraduates the period that I grew up in must appear something akin to a technological Stone Age. Concepts such as browsing web pages were unheard of, everything was done on paper, and communication could take weeks or even months to complete. Something as simple as making a phone call could cause endless frustrations: not being able to reach someone or just leave a voice message, running out of credit mid-conversation or ridiculously high phone bills was the norm in most households. Most of us will remember our time attending primary and secondary school, …

Oral Health-Related Quality Of Life (Ohrqol) In People With Dentin Hypersensitivity: A Systematic Review Of Interventional Studies, Sumanth Kumbargere Nagraj, Georgios Kitsaras, K. Bekes, C.L. Randall, K. Asimakopoulou

Peninsula Dental School

ObjectiveThis systematic review, the first in this field, aimed to evaluate if interventions for dentin hypersensitivity (DH) affect patient-reported oral health-related quality of life (OHRQoL).MethodsA systematic search was conducted across seven electronic databases and gray literature sources, focusing on interventional studies published from 2010 onward. Eligible studies included adult participants with DH and assessed OHRQoL using validated measures. Data extraction followed the PRISMA guidelines. Risk of bias was appraised using the JBI tool.ResultsThirteen randomized controlled trials involving 616 participants were included. Interventions ranged from desensitizing agents, fluoride varnishes, and laser therapy to nonpharmacological approaches like behavioral techniques. QoL was measured …

Learning The Notes: Developing Absolute Pitch, Emma Joyce

Student Publications and Presentations

Absolute pitch (AP) is the ability to identify or name a musical pitch without the aid of a reference tone. Although the concept has been known for centuries, the processes of its development remain unclear. Researchers have proposed a variety of explanations, yet despite advances in neuroscience and cognitive psychology, there is still no agreement on whether AP results from natural ability or learned experience. By understanding neurological and developmental research, reviewing existing literature, analyzing case studies, and evaluating current theories, this paper aims to identify gaps in previous research and suggests a new approach for developing AP in young …

Reassessing Additive Diversity Measures: Dawson's Negro Folk Symphony In A Brass Audition Context, Daniel Combs Jr.

Student Publications and Presentations

There is a notable gap in representation of American composers—especially historically underrepresented African American composers—on most symphonic brass audition lists used today. Audition repertoire shapes what orchestral musicians study, and educational institutions also prioritize a nearly exclusively Eurocentric canon to produce audition-ready musicians. As a result, engagement with Black American composers in symphonic culture remains limited. Recent scholarship by Brandon Farnsworth suggests that one commonly used method of addressing this issue—including a requirement that auditionees find and include works by underrepresented composers—further masks structural inequity rather than changing it. In this context, William Dawson’s Negro Folk Symphony (1934, rev. 1952) …