Digital Commons Network^™

A Study Exploring Negative Outcomes Associated With Adolescent Adhd And Parenting Excluding Co-Occurring Conduct Problems, Kaitlyn Lancia

Honors Theses

Previous research has suggested a link between ADHD and experiencing negative outcomes in adolescence. These include mental health issues, substance use problems, and especially social dysfunction. Additionally, prior research has discovered high comorbidity rates of certain behavioral disorders, like Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD), with ADHD. Furthermore, other research has focused on the transactional influences between ADHD and parenting. Existing research has been limited by conduct problems being a possible confounding variable and the lack of longitudinal studies. The current study attempts to combat these limitations by separating conduct problems from ADHD symptoms and using a longitudinal …

Ehr Integration Of A Violence Risk Tool To Promote Safer Work Environments, Kirk Bradford

Creating Healthy Work Environments (CHWE)

In October 2022, a tragic act of workplace violence within our health system highlighted the need for a proactive, data-driven approach to staff safety. Workplace violence impacts nearly one in four nurses each year (McCollum et al., 2024); yet most organizations lack an objective tool to predict and prevent such incidents. The goal of this project was to implement and evaluate a systematic, evidence-based screening process to improve early risk detection and foster safer clinical environments—aligned with the AACN Healthy Work Environment Standard of Effective Decision-Making (AACN, 2016).

A multidisciplinary team of nursing, informatics, and security leaders integrated a modified …

Mitigating Burnout Syndrome Through Mindfulness-Based Stress Reduction, Rachel Kathryn Fajardo

Creating Healthy Work Environments (CHWE)

Burnout Syndrome (BOS) continues to affect critical care nurses, resulting in emotional exhaustion, disengagement, and threats to patient safety [1–4]. This Doctor of Nursing Practice (DNP) project evaluated the impact of a Mindfulness-Based Stress Reduction (MBSR) toolkit on BOS among nurses in a rural intensive care unit. Using a pre-post quality improvement design, baseline burnout was measured with the Maslach Burnout Inventory–Human Services Survey for Medical Personnel (MBI-HSS-MP) and custom Likert-scale surveys administered at three time points [5]. A convenience sample of ten nurses participated in asynchronous and live sessions supported by weekly education and QR-linked resources. The MBSR toolkit …

Nazi Germany And Humanities Education As Propaganda, Sam Marie Smith

Honors Theses

One of the Third Reich’s most significant actions in their pursuit of the consolidation of power was the Gleichschaltung, in which all cultural, social, political, and economic goals were subordinated to that of the goals of the Nazi party. One of the most dramatic shifts to take place in the process of Gleichschaltung was in the realm of academia, where legitimate pedagogical and educational imperatives were overshadowed by an emphasis on perpetuating the Nazi regime’s agenda, especially racial ideology, even with the youngest students. While educators in the Third Reich carried this out in all subject areas, this project focuses …

Crossing Borders: Ways To Address Oral Health Disparities In Guatemala And U.S. Latinx Communities, Yeimi Bartolon Perez

Honors Theses

Oral health disparities remain a significant global public health concern, particularly among economically and socially marginalized populations. This study investigates the structural, socioeconomic, and cultural determinants that influence access to dental care across these two populations. Guatemala represents a context where poverty, limited healthcare infrastructure, and geographic isolation restrict access to preventive dental services, often resulting in treatment-seeking only during advanced stages of disease. In contrast, Hispanic/Latinx communities in the United States encounter barriers shaped by language differences, lack of dental insurance, immigration-related concerns, and systemic inequities within the healthcare system. This research employs a mixed-methods approach that integrates secondary …

The Impact Of Photo-Id Laws On The Youth Electorate, Jakob A. Burdick

Honors Theses

Voting access among young adults has become an increasingly important issue in recent U.S. elections, particularly as turnout among voters aged 18–24 has risen in several recent election cycles. However, this age group faces unique challenges to the voting system, many of which are overlooked or intentionally written in a way to limit their participation. Using a mixed-methods approach, this study will analyze both quantitative data, such as voter turnout statistics, and qualitative data, including survey responses from college students at the University of Dayton. The survey will employ both quantitative and qualitative data collection methods, allowing for the analysis …

Effective Small Business Leadership Strategies Used In Rural Areas To Optimize Employee Retention, Michelle Lynn Cathey

Walden Dissertations and Doctoral Studies

Employee retention remains a persistent challenge for rural small business leaders. The specific business problem addressed in this study was that some rural small business leaders lack effective leadership strategies to retain employees, which threatens organizational sustainability and workforce stability in rural communities. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective leadership strategies used by rural small business leaders in Northeast California to optimize employee retention. Data were collected from semistructured interviews with six rural small business leaders in Northeast California and were triangulated with publicly available documents, websites, and …

Health Is Where The Huddle Is, Lyndsey Anthony, Anna E. Komistek, Philip C. Pritchett, Emma K. Swanson

SPARK Symposium Presentations

“Health is Where the Huddle Is”

Huddles are an evidence-based strategy to facilitate a culture of safety within nursing teams. A review of 158 huddle studies found that 44.3% reported improved clinical outcomes and 24.3% showed fewer medical errors when huddles were implemented (Pimentel et al., 2021). Currently, a local hospital’s 13-bed ICU lacks an effective system for nursing staff to huddle due to staffing constraints and the absence of monitor technicians, creating safety concerns when nurses leave monitors unattended. This project aims to implement an effective, nurse-led shift huddle that maintains continuous patient monitoring while also strengthening patient safety …

Transforming Education With Ai, Kenna C. Lorenzini

SPARK Symposium Presentations

Artificial intelligence (AI) is becoming more common in college classrooms, especially when students are completing papers and assignments. This project explores how college students can use AI responsibly while still learning and developing their own ideas. The goal of this project is to compare the perspectives of both professors and students in order to better understand how AI can support learning while still maintaining academic honesty. This research highlights the importance of clear expectations, responsible use of technology, and open conversations between students and educators about AI in academic work.

Editors - Intertext 2026, Intertext Journal

Intertext

No abstract provided.

Complete Issue - Intertext 2026, Intertext Journal

Intertext

No abstract provided.

A Treatise On Tool Development: The Arthroscope’S Cultural, Technological, And Metascientific Translation, Montgomery F. Waterer

Honors Theses

The arthroscope was a revolutionary development in the fields of medicine, engineering, and ethics. There are many valuable lessons to be learned from the story of its development and translation that are relevant to the future of medicine and society. Beginning with a brief description of the tool’s design, this paper will examine a period within the history of the arthroscope. This window contains multiple innovators and ends with the life and work of Dr. Robert Jackson. In examining the relevant historical facts of its development, this paper will then briefly address the importance of sports medicine in the development …

An Expressive Arts Therapy Literature Review: Spiritual Experiences And Dsm-5 Assessment In Bipoc Communities, Amanda Paige Rodriguez

Expressive Therapies Theses

Spiritual and non-ordinary experiences such as clear-hearing, visions, and spiritual perception are frequently interpreted within Western mental health systems through diagnostic frameworks rooted in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). For Black, Indigenous, and other People of Color (BIPOC), these interpretations may overlook cultural, spiritual, and ancestral contexts in which such experiences hold meaning rather than indicate pathology. This literature review examines how DSM-5 frameworks conceptualize spiritual experiences in BIPOC communities and explores assessment practices that may reduce the risk of misdiagnosis.

A literature review methodology was employed, drawing on sixteen peer-reviewed articles representing qualitative, quantitative, and …

Improving Pneumococcal Immunization Counseling In Children With Systemic Lupus Erythematous, Sarah Dettmann

Doctoral Dissertations & Projects

Background: Pediatric patients with systemic lupus erythematosus (SLE) face elevated risk for invasive pneumococcal disease, yet fewer than 10% are estimated to be current on pneumococcal vaccine (PCV) recommendations.

Local Problem: This quality improvement (QI) project aimed to develop and implement a standardized pneumococcal immunization screening and counseling process in a pediatric rheumatology clinic.

Method: Three consecutive PDSA cycles guided implemention across a nine-week intervention period using a pre-post quasi-experimental design.

Interventions: A multicomponent strategy was employed, including a PCV decision algorithm, EHR Smart Phrase, PCP referral template, and patient education brochure.

Results: Pre-implementation PCV counseling was documented …

Color And Cognitive Performance, Madeleine R. Scott, Erin Johnson, Christian Mitchell, Andreq Lopez Hernandez

SPARK Symposium Presentations

The current study aims to determine if colored backgrounds (red, blue, white (neutral)) on a series of memory tasks impact an individual's stress level and cognitive performance. Previous research indicates that color exposure may impact stress and cognitive performance, although the relationship is not fully understood. For example, participants completing memory assessments with a red light have been shown to perform better than those with blue or white lights (Jadho et al., 2020). However, red light is also associated with greater experiences of stress compared to blue or white light (Shahidi et al., 2021). There are several studies exploring different …

Development Of A Survey For Assessing Women’S Perceptions Of Weight-Related Side Effects Of Hormonal Contraceptives, Ayla Mae Laro

Theses

Background —Hormonal contraceptives (HCs) are widely used among reproductive-age women, yet concerns about weight gain remain common and are frequently cited as a reason for dissatisfaction or discontinuation. Dissatisfaction and discontinuation of HCs can lead to unintended pregnancy—a serious health concern in the United States. Existing research has largely focused on objectively measured weight change as a secondary outcome rather than on perceptions of weight-related side effects, and no validated tool currently assesses these perceptions. Additionally, studies have historically failed to include women with overweight and obesity. This cross-sectional mixed-methods study developed and face-validated an online survey measuring reproductive-age women’s …

Anthropometric And Lifestyle Metrics Compared In Postmenopausal Women, Amanda Louise Daniel

Theses

Background: Hormone changes and aging that lead to menopause have a significant impact on quality of life. Understanding health thresholds for the components of body composition in this population are not well known. The relationship between menopausal symptoms and lifestyle factors is understudied. Methods: A mixed-methods approach included surveys and face-to-face body composition analysis using bioelectric impedance. Eating competence, sleep quality, and physical activity were assessed online with validated surveys prior to body composition measurement. Data were transformed to normality and analyzed with Pearson correlation coefficients and independent t-test correcting for multiple comparisons. Results Of the 69 interested people, 50 …

Crafting The Narrative: A Look At Long-Form Storytelling Through The Art Of Quilling, Jaycee R. Lundell

Undergraduate Honors Theses

This thesis explores the journeys of four contemporary quilling artists and their works. It dives into the creative process of conducting the interviews, capturing the footage, and making the documentary. The documentary also explores the history of quilling including its resurgence in the 1980s and the complicated process of navigating the declining numbers of the International Quilling Guild while the craft spreads across the internet, potentially losing its rich history and standards of excellence. Since quilling is a lesser known art, this thesis is also an attempt to spread the knowledge of the craft since there are very few scholarly …

The Lumberjack, April 22, 2026

Cal Poly Humboldt's Student Newspaper

The student newspaper of Humboldt State University.

Implementing A Nutrition Screening, Education, And Risk Reduction Framework In Optometric Care To Prevent Diabetic Retinopathy In Adults With T2dm, Juliana M. Varanelli

Department of Nutrition Student Projects

Diabetic retinopathy (DR) is a leading cause of preventable vision loss among adults with Type 2 diabetes mellitus (T2DM), driven largely by chronic hyperglycemia, oxidative stress, and inflammation. Despite strong evidence supporting the role of nutrition in modifying these risk factors, nutrition screening and counseling are not routinely integrated into optometric care. This project aimed to develop a practical, evidence-based framework to incorporate nutrition screening, patient education, and referral pathways into comprehensive optometric practice to support prevention and reduce the onset and progression of diabetic retinopathy.

This project involved a literature review of peer-reviewed research and clinical guidelines related to …

Comparison Of Pfas-Free Hydrophobic Layer-By-Layer Coatings For Cellulosic Textiles: Evaluation Of Water Repellency, Mechanical Durability, And The Effects Of Fabric Construction, Elvira Isenzhulova, Radika Bhaskar

School of Design and Engineering Papers

Environmentally safe water-repellent coatings are urgently needed for the textile industry as an alternative to PFAS-based finishes. Challenges include development of coatings that are effective in imparting both water repellency and mechanical durability, with relatively simple synthesis to promote industry use. This study compared the performance and abrasion resistance of two different bio-based, layer-by-layer (LbL) self-assembled hydrophobic coatings for cellulosic fibers. Textile samples were coated with bilayers composed of negatively charged plant-derived carnauba wax and a positively charged component: either poly-L-lysine or lower-cost zinc oxide nanoparticles. To investigate the influence of surface microroughness on coating adhesion and performance, two different …

Foreword, Joshua Farquhar

Global Insight

No abstract provided.

The Continuing Specter Of Disease Tuberculosis In The Russian Federation, Joshua Farquhar

Global Insight

For the last two years, the public discussion surrounding global health has focused almost entirely on COVID-19. In the meantime, other historic and dangerous diseases have taken a backseat. Nevertheless, other endemics are worthy of discussion; these diseases, and potential lifesaving solutions, must also be granted attention if global progress on public health is to be achieved. This paper explores the tuberculosis endemic in the Russian Federation (RF), focusing mostly on multi-drug resistant (MDR) TB. While overall rates of tuberculosis have declined in Russia over the course of the 21st century, incidence is still far higher than in most nations, …

Redistricting And Voter Suppression In A Post-Pandemic America, Joshua Slatter

Global Insight

The 2020 election was a referendum on many pressing issues of the time. COVID-19, climate change, and civil unrest propelled Americans to the voting booth in unprecedented numbers, shattering previous turnout records for both previous Vice President Joe Biden and the incumbent Donald Trump. Biden and the Democratic Party field won, but narrowly. With the Democratic Party ostensibly holding only a slim majority in the House and the Vice Presidency as a tiebreaker in a dead-locked Senate, there have been large cries of a “stolen election” and “rampant voter fraud.” This has prompted several states, usually with Republican majorities, to …

Full Issue, Global Insight Editorial Team

Global Insight

No abstract provided.

The Abortion Debate In Post-Roe America, Umber Batool

Global Insight

This paper exhibits the argument surrounding the ethicality of abortion, its restrictive laws, and the makeup of child welfare organizations that may influence one’s decision whether or not to have an abortion. Abortion laws were unregulated in the US until the 1800s. Since then, laws have been changed many times, largely depending on the state the law has been ordained in. Texas’s recent passing of the abortion-restricting Senate Bill 8 in September 2021, as well as the national overturning of the 1973 abortion-permitting Roe v. Wade Supreme Court case in June 2022, have sparked debate on this topic. Defining and …

Propaganda In America How To Recognize And Defend Against It, Chae Balistreri

Global Insight

Corporations and governments use modern propaganda techniques to influence and manipulate the public, incurring social and environmental consequences which are compounding over time. This paper provides both historical and modern examples of propaganda, then highlights key issues that arise as a byproduct, such as planned obsolescence, astroturfing, and the internet filter bubble. Companies like Google and Facebook use proprietary algorithms to shape the internet as well as their users’ minds through dopamine-driven feedback loops. The effects of a consumer driven culture spill over into the environment, with plastic pollution and e-waste littering the shores of distant countries. This paper details …

The Misrepresentation Of American Sign Language And Deaf Culture In Mainstream Film Media A Call For Inclusive Representation, Katherine M. Hamilton, Dr. Lisalee Egbert

Global Insight

Mass film media has the power to shape popular culture and influence public opinions and perceptions; thus, properly portraying Deaf characters, the correct linguistic model of American Sign Language (ASL), and Deaf Culture in this powerful medium is crucial. This research examines the misrepresentation of Deaf Culture and ASL in film and its impact on realworld interactions between Deaf and hearing c/Communties. By analyzing historical film trends, bringing modern trends to light, and creating educational tools, this study aims to create measurable change in media practice. The study uses online questionnaires and interviews with ASL-fluent participants from the Deaf Community …

Social Hierarchy And Purity Of Blood In New Spain, Paula Currie

Global Insight

Racial inequality, white superiority, and socialized economic poverty are issues currently affecting the world. These problems plaguing our nation seem hopeless with no apparent end in sight. All these issues have been repeated time and again throughout history. When the Spanish colonized the New World, they brought with them an ideology known as limpieza de sangre or purity of blood. This rigid ideology was based on the premise of White Spanish superiority, which was imposed upon the people of New Spain. Limpieza de sangre influenced nobility, socio-economic racial hierarchy, life, and art in New Spain. To fully understand the effects …

Regulating The Animal Testing Industry, Preston Gerst

Global Insight

Animal testing has been a customary practice in numerous civilizations throughout human history. Humanity tends to want to understand the true nature of our physiology as a whole, and animals have been beneficial to help satisfy this curiosity. Yet ethically speaking, scientists argue for the protection of the rights of humans, while many fail to do so for our natural counterparts, animals. Current standards of the industry bring up concern for the ethical treatment of animals; additionally, many of the standards that exist are outdated and not systematized throughout the scientific world. Furthermore, new scientific developments can possibly allow for …