Digital Commons Network^™

Navigating The Path: Barriers And Motivators For Physical Therapy Students Pursuing Residency Programs Or Board Certification, Lauren Butler, Amanda L. Thomas, Erasmo Alvarez, David Capote, Teresa Munecas, Abigail Adjei, Erik Estevez, Robert Haller, Isabella Satizabal, Leonardo Valdesuso,, Mark D. Rossi

Internet Journal of Allied Health Sciences and Practice

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Introduction: While the number of physical therapists (PTs) pursuing post-graduate education has increased since the inception of residency programs, the volume of new Doctor of Physical Therapy graduates applying for residency training has remained low. Therefore, the purpose of this study is to examine the barriers and motivations of PT students in their pursuit of PT residency programs and board certification. Review of the Literature: The American Physical Therapy Association provides licensed PTs with a wide range of opportunities to advance their knowledge through residency programs and board certification.The decision to pursue these opportunities is left to each individual …

The Impact Of Pet Therapy On Stress Reduction And Academic Performance Among Allied Health Students, Catherine Brock

Internet Journal of Allied Health Sciences and Practice

Purpose: Interest in pet therapy is increasing due to its potential to alleviate internal and external stress signs through the human-animal bond. This study investigates the effects of pet therapy compared to environmental and behavioral modifications on allied health students' stress levels and exam performance. Methods: We conducted an anonymized randomized intervention design with allied health students to compare perceived stress and test scores. Eighty-five students were randomly assigned to one of three intervention groups. We hypothesized that students who participated in pet therapy before their exam would report lower anxiety and achieve higher exam scores than those who received …

Health Maintenance: Oral Health For Primary Care. The Role Of The Inflammatory Process In Periodontitis And Diabetes, Maureen O'Hara, Debra A. Dixon

Internet Journal of Allied Health Sciences and Practice

There is a bidirectional relationship for inflammation with periodontal disease and chronic, systemic diseases. The focus of this review specifically includes diabetes because it is a global health problem. Periodontal disease is reversible in the early stages. The benefit of controlling the inflammatory process associated with periodontitis is a reduction in serum levels of inflammatory mediators, which can improve hemoglobin A1c and other microvascular complications of diabetes. Dental practitioners may be the first health care professional to encounter the patient with diabetes and periodontal complications. Having a relationship with primary care providers in the community is essential for the care …

Dietary, Behavioral, And Psychosocial Factors Related To Cardiovascular Disease Risk Among South Asian Americans: A Scoping Review, Lakshmi Meyyappan, Peggy A. Ursuy, Olivia S. Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: South Asian Americans disproportionately represent the world’s prevalence of cardiovascular disease. This scoping review assessed the dietary and psychosocial factors associated with cardiovascular disease risk that South Asian Americans encounter and concluded with considerations for health professionals who encounter this population in practice. Method: Inclusion criteria included studies with the primary population as South Asian Americans and investigated diet or psychosocial factors as variables and cardiovascular disease as an outcome variable. Results: Thirteen studies were included. Analysis of nutritional factors showed that South Asian Americans have high dietary quality yet eating non-vegetarian diets and high alcohol consumption is associated …

Retracted: Mathematical Properties And Simulations Of The Neutrosophic Gompertz-Inverse Burr-X Distribution With Application To Under-Five Mortality, Mustafa Hassan Jumaa, Asmaa S. Qaddoori, Sara A. Khalaf, Nooruldeen A. Noori, Mundher A. Khaleel

Iraqi Journal for Computer Science and Mathematics

Despite significant progress in the development of statistical distributions, there remain clear gaps in modelling complex datasets, such as those involving uncertainty or requiring flexible representations of multidimensional variables. This study introduces a new distribution the Neutrosophic Gompertz-Inverse Burr-X (NGoIB-X) distribution to address these challenges. The model is based on the Neutrosophic Gompertz family (NGo-G), which itself employs the T-X method in its formulation. Characterised by four Neutrosophic parameters and a Neutrosophic random variable, the NGoIB-X distribution offers enhanced flexibility for representing and analysing uncertain data. The theoretical properties of the NGoIB-X distribution are explored, including its Neutrosophic probability density …

A New Lightweight Encryption Method Based On The Dna-Rc4 Substitution For Resource-Constrained Iot Devices, Athraa J. H. Witwit, Ahmed Fanfakh, Ali Kadhum Idrees

Iraqi Journal for Computer Science and Mathematics

Technology's impact on daily life necessitates increased data protection. Cryptographic systems improve security, ensuring confidentiality and legitimacy of Internet of Things systems. However, resource-constrained devices face challenges like memory, battery life, processing power, and small size. In light of this, lightweight cryptography (LWC) provides techniques specifically tailored to the constraints of resource-constrained Internet of Things devices. However, the presence of a fixed S-Box in some LWC algorithms, such as Advanced Encryption Standard, or the absence of one in others, such as Speck and Tiny Encryption Algorithm, renders them more susceptible to attacks. In this paper, we suggest a new lightweight …

Hybrid Organic–Inorganic Corrosion Inhibitors: Bridging Performance And Eco-Safety, Hasan M. Luaibi, Saja S. Al-Tweel

AUIQ Technical Engineering Science

Corrosion leads to global economic losses exceeding $2.5 trillion annually and accounts for up to 30% of infrastructure failures. Conventional corrosion inhibitors face limitations such as aquatic toxicity (LC50 <100 mg/L), moderate efficiencies (65–82%), and poor long-term durability (<500 hours). This review critically evaluates hybrid organic–inorganic corrosion inhibitors, focusing on their composition, mechanisms, performance metrics, and eco-safety. Hybrid systems comprising organic molecules integrated with inorganic matrices like sol–gel networks, nanocomposites, and layered double hydroxides (LDHs) demonstrate enhanced functionality through barrier effects, self-healing, and controlled release. These materials achieve inhibition efficiencies of 88–98.5%, outperforming conventional systems by 18–35%. Sol–gel coatings protect carbon steel at 92–98% efficiency in 3.5% NaCl, while LDHs sustain 94–97% protection over 1200–1500 hours. Nanocomposites reduce corrosion rates from 0.95 mm/year to 0.002–0.004 mm/year. Electrochemical techniques (EIS, PDP) show increased charge transfer resistance (500–2500 Ω·cm²) and coating resistance up to 10⁸ Ω·cm². Surface analysis reveals smoother films (Ra = 15–35 nm), higher contact angles (95–125°), and adhesion strengths of 12–18 MPa. Case studies report 90–96% protection in marine settings, 88–94% in acidic media, and over 92% under atmospheric conditions. Durability tests confirm >90% efficiency after 1000 hours, significantly higher than the <60% for conventional coatings. Overall, hybrid inhibitors offer a high-performance, eco-conscious alternative for corrosion control, combining efficiency, environmental safety, and scalability. Their superior metrics and adaptability position them as next-generation solutions for diverse industrial applications.

Equine Assisted Services To Increase Participation In Activities Of Daily Living And Social Engagement For Veterans With Ptsd, Mackenzie A. Alexander, Rebecca King, Gwen R. Morris

Summer 2025 OTD Capstone Symposium

Currently there are limited occupational therapy programs in equine assisted services that promote engagement in meaningful occupations for veterans who experience PTSD. This capstone project aims to increase occupational participation of veterans with PTSD by providing modules on education and interventions to therapy staff who work in equine assisted services. The modules focus on increasing engagement in activities of daily living and social participation to promote overall quality of life.

Integrating Neuroaesthetic Design Into Brain-On-Chip Research: Toward Enhanced Neural Engagement And Cognitive Accessibility, Piper Hutson, James Hutson

Faculty Scholarship

This study examines the potential for neuroaesthetic design and adaptive neurofeedback principles to enhance brain-on-chip (BoC) research, with an emphasis on optimizing neural engagement and cognitive accessibility for diverse populations. Existing BoC platforms have transformed neuroscience through high-fidelity modeling of neural circuits, yet cognitive accessibility and sensory inclusion remain comparatively underexplored. Drawing upon recent studies in neuroinclusion, multisensory interface design, and adaptive feedback, this work synthesizes findings from biophilic interface architecture, neurofeedback literature, and embodied cognition frameworks. The manuscript outlines a multidisciplinary research agenda that prioritizes sensory diversity and ethical considerations in the evolution of BoC systems. Instead of making …

Team Resilience In The Nba: When Teams Fall Behind, Chloe M. Howell, Nadav Goldschmied

McNair Summer Research Program

National Basketball Association (NBA) games have become more volatile in scoring as the pace of the game has quickened and reliance on the three-point shot has increased. This research analyzes 20-point scoring deficits and the comeback abilities of NBA teams from an archival, as well as team resilience perspective, which is the ability of a team to deal with adversity. The collective experience of challenge by all team members is a process more complex to study than individual resilience due to the diverse interactions between teammates. Another aspect of this study is the context of locale or home versus away …

Shared Kitchens Changing The Housing Development, Agniya Seliuzhytskaya

McNair Summer Research Program

In response to the escalating housing crisis and ongoing economic disruptions, many individuals have turned to home-based food entrepreneurship as a means of financial stability. The Microenterprise Home Kitchen Operation (MEHKO) program enables residents to legally operate small-scale food businesses from their private kitchens, effectively blurring the line between domestic and commercial space. This research investigates how MEHKOs challenge conventional understandings of housing, domesticity, and zoning, and considers how shared or adaptable kitchen models might inform emerging housing typologies.

The study combines spatial and policy analysis by mapping the distribution of approved MEHKO sites in San Diego and overlaying that …

Streamlining The Cleaning And Analysis Of Eye Tracking Data For Cross-Recurrence Analysis, Michael V. Rosalia

McNair Summer Research Program

The use of multimodal data to understand and support collaborative learning has grown in popularity recently as it allows researchers to study complex learning tasks from different facets. However, multimodal analysis is often computationally complex and often requires a strong set of technical skills and mathematical understanding to clean and process the data, creating barriers that restrict researchers without advanced programming skills from conducting these analyses. There are existing software packages that can help with this process, but they are often piecemeal requiring the user to understand how to put them together and what best practices may entail. This can …

Immigrant Surveillance In San Diego During A Fascist Era, Jennifer L. Torres Leon

McNair Summer Research Program

The following qualitative study examines a new increase of technological surveillance used on immigrants by San Diego’s local law enforcement. Drawing from in-depth interviews of the San Diego Privacy Advisory Board and Trust SD, insights of technological related violations are sanctioned by the San Diego Police Department. This is done through ambiguous language regarding “criminal investigations” and lack of definitive use policy, despite several memorandums and recommendations by the SD Privacy Advisory Board. Present findings reveal a duality of immigrant surveillance instigating hyper-visible tracking and broadcasting an image of their criminality. This study contributes to scholarship or crimmigration and urban …

The Consequences Of Workplace Racial Discrimination: A Scoping Review, Yaritza A. Ortiz, Evelyn D. Sarsar

McNair Summer Research Program

Racial discrimination has been consistently associated with negative mental health outcomes among marginalized communities. Racial discrimination within the workplace has shown to be detrimental to mental well-being and behavioral outcomes, however, there is much less work investigating these links. Therefore, this scoping review aimed to understand the association between workplace racial discrimination and mental and behavioral health outcomes.

Empirical articles were identified using Google Scholar and PsycINFO. The extracted data included, design of the study, the number of participants, ethnicity or race, type of discrimination, mental or behavioral outcome, and the results produced by the data. For the final review, …

Where Pipes Meet The Water: Urban Infrastructure In Tijuana, Joab Barrientos

McNair Summer Research Program

Tijuana's rapid urban growth and industrial development have placed significant pressure on its water infrastructure, resulting in ongoing pollution concerns in the Tijuana River Watershed and elsewhere in and beyond the city. In many areas of the city, rapid urban growth has outpaced the building of critical infrastructure like sewage and stormwater systems. These factors have left neighborhoods at risk for a long time. At the same time, industrial growth has often relied on old infrastructure or happened without the right systems in place. Although poor water quality has been a problem for years, few studies have used spatial analysis …

Implementation Of Medication Administration Education To Increase Medication Technician Knowledge And Confidence, Nicole C. Yan

Master's Projects and Capstones

Problem: Medication technicians have minimal formal training and education in medication administration. Insufficient knowledge and a lack of confidence present safety concerns, such as medication errors, which decrease the quality of patient care.

Context: The setting is an assisted living facility in the San Francisco Peninsula that provides around-the-clock patient care, promoting independence in a safe and home-like environment for 53 patients.

Interventions: The proposed intervention involves implementing a quality improvement (QI) project to educate medication technicians on medication administration safety. The educational sessions, completed in two in-person sessions, include a PowerPoint lecture, interactive case studies, and group discussion.

Measures: …

Empowering Medical-Surgical Nurses To Conquer Burnout: Building Resilience And Wellness, Catherine P. Morante

Master's Projects and Capstones

Problem: In the healthcare industry, nurse burnout is a well-documented issue that affects the well-being of both healthcare professionals and their patients. Burnout manifests as intense exhaustion, depersonalization, and diminished personal accomplishment (Okoniewski & Verni, 2024).

Context: Burnout affects patient outcomes and drives up costs (Dall’Ora et al., 2020). When nurses are overwhelmed, attendance is affected (Unpublished confidential document; 2024). Resilient nurses are essential to a healthy, reliable workforce (Unjai et al., 2024).

Interventions: From May to July 2025, a 12-week initiative was launched to reduce the effects of nurse burnout in the workplace. Evidence-based interventions were implemented, incorporating educational …

Illuminating Leadership Excellence: An Evidence-Based Qi Intervention Reigniting Nurse Leaders From Burnout To Brilliance Using Caring Science And Reflective Practice, Matthew S. Elliott

Master's Projects and Capstones

Abstract

Problem: A 2024 assessment at a 250‑bed Northern California medical center revealed that 76% of 16 inpatient nurse leaders met "high‑burnout" criteria on the Maslach Burnout Inventory, and leader turnover had climbed to 25%, more than triple national benchmarks, threatening patient care quality, financial stability, and alignment with Magnet® and employee engagement goals.

Context: Root causes included pandemic‑era promotions without development support, a task‑oriented leadership culture, and eroding psychological safety (Press Ganey engagement ≈ 30%). An integrative logic model positioned Watson's Caring Science as the theoretical base, Schön's Reflective Model for adaptive learning, and the Prosci ADKAR change framework …

Enhancing Client Intake Efficiency In The Removal Defense Program: A Nursing-Led Quality Improvement Initiative, Johnny Linares, Julia Tran Ngo, Daniel Orea, Atheana Yadira Lopez

Master's Projects and Capstones

This quality improvement project focuses on optimizing the intake process for the Removal Defense Program at a nonprofit immigration legal office serving asylum-seeking clients. The existing intake relied on unstructured, phone-call-based intake interviews that gathered incomplete information, leading to inconsistent documentation, reduced efficiency, and significant client processing delays. A structured, multilingual, and multiplatform new-client admission protocol coupled with the implementation of a client-facing resource guide for waitlist clients were co-developed and implemented using the Lippitt Change Theory framework. Utilizing a mixed methods approach, the study involved staff interviews and observational assessments with staff members from the program. Baseline intake process …

Increasing The Feasibility, Impact, And Equity Of The Medicare Annual Wellness Visit (Awv) With A Practice Tailored Awv Intervention: A Stepped Wedge Clinical Trial Protocol, Chi-Hong Tseng, Neil S. Wenger

Faculty Scholarship

Background Older adults vastly underutilize evidence-based preventive health services and screenings that reduce illness, morbidity and mortality. The free-to-patient Medicare Annual Wellness Visit (AWV) is an opportunity to enhance preventive healthcare use, but also is underused. Objectives To evaluate the effect of a practice-tailored intervention on the sustained use of Medicare AWVs and on guideline-recommended preventive services and racial/ethnic disparities in 3 types of practice settings. Methods This is a stepped wedge cluster randomized controlled trial. The intervention will be implemented at the practice level in 24 primary care practices across the country (8 community-based, 8 academic, and 8 serving …

Growth And Yield Of Curly Red Chili (Capsicum Annum L.) In Response To Mulching And Chicken Manure Application In The Erosion-Prone Area Of Loto, Ternate Island, Tri Mulya Hartati, Lily Ishak, Krishna Aji, Chumidach Roini

Jurnal Kultivasi

Information on soil resources in volcanic landscapes presents a high potential for agricultural land development, but its development is always faced with the potential for continuous land degradation. This study aims to reduce the rate of land degradation through the application of vegetative conservation in erosion-prone Loto agrotourism area, Ternate Island. The research location is focused on erosion-prone areas. The research consisted of a soil resource inventory and a vegetative conservation application. The vegetative conservation application method used a Randomized Block Design (RBD) pattern, composed of 2 factors. The first factor is mulching, namely: no mulching (M0) and mulching (M1), …

Perceptions Of Child–Adult Relationship Enhancement (Care) Training Usefulness For Educational, Behavioral, And Allied Health Professionals: Attitudes Toward Evidence-Based Practices, Julia L. Kiefer, Kristin J. Perry, Dustin E. Sarver, Emily-Anne S. Del Rosario, Lauren B. Quetsch

Psychiatry Publications

Child–Adult Relationship Enhancement (CARE) is an evidence-informed approach to promote positive child–adult relationships in youth with behavior problems or traumatic stress. Implementing CARE in community settings may extend accessibility to evidence-based practices (EBP) for children in underserved areas. The present study examined health professionals’ perceptions of CARE. Participants were 277 professionals from a statewide training initiative including early childhood educators (n = 178), allied health professionals (n = 48; speech, occupational, physical therapists), and behavioral health clinicians (n = 51) completing CARE training. Participants completed the Evidence-Based Practice Attitude Scale (Aarons (2004) Mental Health Services Research 6:61–74) …

Chew On It: A Pilot Study Of A Multimodal Assessment Of Mastication Protocol, Michelle Catão

Electronic Theses and Dissertations

Despite its subconscious nature, deglutition is an elaborate and multifaceted process, contingent on the activation of specific neural pathways and muscles. The inherent complexity gives rise to a wide array of potential complications and difficulties, known as dysphagia. Screening and assessment for dysphagia aid in determining the presence and etiology of swallowing difficulties, providing information that is critical for maintaining and improving the health status of vulnerable populations from the standpoint of nutrition, hydration, and socialization (Dziewas et al., 2017). Previous studies surrounding dysphagia assessment have prioritized formulating clinical protocols to evaluate the nonvolitional stage, often failing to address the …

Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine

Electronic Theses and Dissertations

More and more people worldwide are requesting euthanasia, physician-assisted suicide (PAS), or medical assistance in dying (MAiD). Arguments in favor of expanding access to MAiD tend to prioritize the rational, competent, autonomous subject who has the right to make decisions about their body, including their death. Some have argued that this perspective – common in biomedical and bioethical literature – tends to neglect the fact that requests for assisted dying involve a relational structure: a relationship between the subject who requests an assisted death and the Other to whom this request is addressed. After reviewing relevant psychoanalytic approaches to suicide …

An Implementation Study Of Phonological Awareness Assessment Tasks For Literacy Development In D/Deaf And Hard Of Hearing Students, Sara Tuddenham

Electronic Theses and Dissertations

Minimal auditory input can impact phonological awareness skill acquisition in d/Deaf and hard of hearing (DHH) students. Teachers of the Deaf and speech-language pathologists can assess and instruct DHH students through methods tailored to their needs, but research on effective strategies is limited. This study explores the development and implementation of a linguistically and culturally inclusive set of phonological awareness tasks for DHH students at Western Pennsylvania School for the Deaf (WPSD). Tasks investigate phonological awareness in spoken English (i.e., rhyming, sound matching, blending, etc.) and American Sign Language (i.e., ASL parameters) for nine DHH students. Results indicate the feasibility …

From Bed To Table: Improving Outcomes By Encouraging Patient Mobility During Meals, Quyen Ho

Master's Projects and Capstones

Abstract

Background: Hospital-acquired pneumonia (HAP) is a preventable complication associated with increased morbidity, prolonged hospital stays, and elevated healthcare costs. Early mobility, particularly positioning patients out of bed for meals, is a key strategy to mitigate this risk. Problem: On a 42-bed telemetry unit, only 24% of eligible patients were positioned out of bed for meals. This low rate of mobility presented an opportunity to reduce the risk of HAP and improve patient outcomes. Interventions: This quality improvement initiative, guided by the Donabedian Model, employed a nurse-led intervention that included daily mobility assessments, visual bedside cues, and targeted staff education. …

Diagnostic Imaging-Based Radiation Therapy Planning (Dbrp) For Non-Small Cell Lung Cancer (Nsclc) Patients, Joshua Langer

Masters Projects

Purpose

Non-small cell lung cancer (NSCLC) patients benefit by starting radiation therapy (RT) promptly upon diagnosis. Diagnostic scan-based radiation therapy planning (DBRP) eliminates the need for computed tomography (CT) simulation. This is a retrospective study comparing dosimetric differences between volumetric arc therapy (VMAT) diagnostic scan-based plans recalculated onto simulation CT scans.

Methods

Radiotherapy (60 or 66 Gy in 20-30 fractions) for eight NSCLC patients was planned on diagnostic CTs. The plans were recalculated onto the fused simulation CTs, mimicking first treatment setups. Dose-volume histogram (DVH) were used to compare the minimum dose received by 95% of the planning target volume …

Fostering Students' Metacognitive Awareness Through Student Led Learning Logs, Jessica M. Carter

Masters Projects

A key component for middle school students' success is structured opportunities to develop metacognitive awareness and autonomous skills. This project addressed the gap between students' metacognitive capabilities and available classroom tools by developing a comprehensive student-led learning log system for middle school contexts.

Grounded in Flavell's metacognitive theory and culturally responsive pedagogical principles, this project created four primary components: (1) a flexible learning log framework with templates adaptable across subject areas, (2) a reflection prompt bank containing over 100 metacognitive questions organized by planning, monitoring, and evaluating stages, (3) a practical implementation guide requiring minimal professional development, and (4) a …

Assessing Greenhouse Gas Emissions From Michigan’S Drowned River Mouths Using In Situ And Remote Sensing Methods, Jillian A. Greene

Masters Theses

Freshwater estuaries are natural contributors to the carbon cycle including production and emission of methane (CH4) and carbon dioxide (CO2), potent greenhouse gases (GHGs); however, estimates of their contribution to regional and global GHG emissions is largely unconstrained. Few studies have examined the quantification and drivers of lake CH4 and CO2 production in the Great Lakes region and how it may differ in response to anthropogenic development. In this study, CH4 and CO2 emissions were measured from three drowned river mouth estuaries (DRMs) along the eastern shore of Lake Michigan in 2024. The DRMs exist along a latitudinal gradient ranging …

Improving Intraoperative Antibiotic Stewardship To Reduce Surgical Site Infections: A Quality Improvement, Allyson Nichelle Heard

Doctor of Nursing Practice (DNP) Manuscripts

Purpose: Surgical site infections (SSIs) have been associated with poor pre-surgical incision antibiotic and intraoperative redosing practices and are the leading cause of postoperative readmissions and healthcare-acquired infections. A Quality Improvement (QI) project was developed to evaluate SSIs rates and pre-surgical incision antibiotic dosing and intraoperative redosing practices of anesthesia providers at a Level 1 trauma center in the Midwest. Methods: A pre- and post-intervention knowledge, attitudes, and practices (KAP) survey addressing intraoperative antibiotic stewardship was administered to 138 anesthesia providers. Interventions included education, a reference sheet, and a clinical pathway. Data analysis for surgical procedures involving anesthesia services, …