Digital Commons Network^™

Early Mental Health Screening In The Gi Patient Population: A Quality Improvement Project, Jacqueline Sagala

Loma Linda University Electronic Theses, Dissertations & Projects

Aims

This quality improvement project aimed to increase awareness and better integrate mental health screening in a GI clinic by educating staff and providers. The project evaluated changes in depression literacy, attitudes toward mental illness assessment, perceived training effectiveness, use of the training in clinical practice, and referrals to the Resiliency Clinic.

Background

Patients with chronic GI disorders commonly experience anxiety and depression, yet mental health concerns are often overlooked in specialty care. Although annual depression screening was already a part of the standard care at the Digestive Disease Center at Loma Linda University Faculty Medical Clinics, staff education and …

Implementing A Noise Reduction Protocol To Reduce Perceived Noise In The Icu – An Evidence-Based Practice Project, Soh Jeon

Loma Linda University Electronic Theses, Dissertations & Projects

Purposes/Aims:

This project aims to reduce perceived noise in the ICU and promote a healing environment through a multi-interventional noise-reduction protocol and nursing staff education.

Rationale/Background:

The World Health Organization (WHO) recommends that hospital noise levels remain below 35 decibels during the day and 30 decibels at night. However, ICU noise often exceeds 50-70 decibels. Increased noise levels are primarily caused by conversations, monitoring alarms, and routine care activities, such as cleaning and procedures. These high noise levels directly affect patients’ sleep, which is essential to recovery. Insufficient rest can lead to immunosuppression, prolonged mechanical ventilation, and elevated stress …

Exploring Nurses' Documentation Prioritization Strategies To Alleviate Ehr Documentation Burden: A Phenomenological Study, Rosemary Mugoya, Jennifer Thate, Fan Hao, Sarah C Rossetti, Po-Yin Yen

2020-Current year OA Pubs

OBJECTIVE: This study aims to understand how inpatient nurses determine and prioritize necessary documentation within the context of the Excessive Documentation Burden (ExDocBurden) in Electronic Health Records (EHRs).

METHODOLOGY: A phenomenological approach was used to explore inpatient nurses' lived experiences of prioritizing EHR documentation. Interpretive phenomenology guided the study design, focusing on how nurses prioritize documentation. Purposive sampling recruited 14 registered nurses (RNs) from acute and critical care settings. Data was collected through semi-structured interviews and analyzed using Colaizzi's 7-step and Smith's Interpretive Phenomenology Analysis.

RESULTS: Five themes emerged: (1) Advocating for Quality Patient Care Environment and Patient Needs, (2) …

Icarus’S Fall: Villainization In Wicked, Star Wars, And The Untamed, Laura Renfroe

Honors Theses

When looking back on the most beloved, yet infamous, villains of popular culture, one can note an abundant rise of prequels and backstory-driven media exploring the paths that villain characters take that lead them to their tragic fall. Some of those stories include John M. Chu’s Wicked, George Lucas’s Star Wars: Episode III: Revenge of the Sith, and Chen Jialin and Zheng Weiwin’s The Untamed, each of which explores protagonists who are labeled as “wicked” and depicted as fallen to the “dark side.” While these characters are often studied in existing literary research, there have yet to be explicit ties …

Utilizing A Brief Experimental Analysis To Examine Therapeutic Interventions On Math Anxiety And Math Fact Fluency In School-Age Children, Erin Simon

Honors Theses

This study utilized a brief experimental analysis (BEA) to examine the effects of taped problems (TP) alone and in combination with brief therapeutic interventions on math fact fluency and math anxiety in elementary-aged students with language disorders. Math anxiety was assessed pre- and post-intervention using the Early Elementary School Abbreviated Math Anxiety Scale (EES-AMAS), a standardized measure for examining math anxiety levels in young students, and math fact fluency was measured using 2-minute Curriculum-Based Measurement (CBM) probes. Results indicated that TP-only was associated with improvements in digits correct per minute (DCPM) for most participants; further, the addition of therapeutic interventions …

How Ip Ends, Dave Fagundes, Aaron Perzanowski

Articles

Real and personal property may last forever, but intellectual property (IP) ends. Despite the doctrinal complexity and practical significance of the mechanisms that terminate IP rights, scholarship has scarcely focused on them, and none has analyzed these doctrines as a unified field. As a result, the discourse about the ways IP ends remains impoverished, with courts, legislatures, and commentators offering imprecise and inconsistent formulations that obscure the rationales for these doctrines. This Article offers the first comprehensive taxonomy of IP’s terminal mechanisms, providing much-needed conceptual and definitional coherence. It then reveals the underappreciated policy leverage these mechanisms can deliver and …

The Psychology Of A Favor: Why Hidden Witness Payments Demand A New Brady Rule, Adam M. Gershowitz

Faculty Publications

Prosecutors and the police regularly pay informants and other witnesses in criminal cases. These payments can be in the form of rewards, relocation expenses, crime victims funds, and even simple cash. Although witness payments are legal, prosecutors are supposed to disclose them under the Brady doctrine because they are favorable evidence that the defense could use to impeach the witness. Yet prosecutors often fail to disclose witness payments because of communication failures with the police, poor training, excessive caseloads, and occasional ethical lapses.

This Article examines dozens of hidden witness payments that prosecutors failed to disclose. In nearly eighty percent …

Available Space… The Final Frontier An Empirical Analysis Of The Heterogeneous Regulatory Burdens That Oversee Private Schools Within States With School Choice Policies, Patrick J. Wolf, Colyn Ritter, Misty Gallo

Education Reform Faculty and Graduate Students Publications

Using administrative data available from a variety of public sources, our research team examined the ways in which state and local regulatory burdens along with state political and economic factors work to encourage or depress the supply response of private school providers in the years following the adoption of school choice policies. We tracked counts of private schools using NCES and state departments of education at baseline year 1 of program implementation and a second outcome variable measuring the change from baseline to the current year (2024). We estimate the effect of state political and socioeconomic controls, two regulatory and …

Relational Victimization And Student Dropout Intentions: Examining The Impact Of Trauma And The Buffering Role Of Friend Support, Makaila Belk

Honors Theses

Universities prioritize strategies that improve student success, with graduation rates serving as a key indicator of institutional effectiveness (Kinzie & Kuh, 2017; York et al., 2015). Considering this, we examined peer relational victimization, an interpersonal stressor involving exclusion and reputational harm (Casper et al., 2020; You & Bellmore, 2012), as a predictor of dropout intention. Using archival data collected from undergraduate volunteers recruited from the University of Southern Mississippi (N = 291), we tested a moderated mediation model. We predicted that trauma-like symptoms would partially mediate the relationship between peer relational victimization and dropout intention and that perceived social …

Algorithm Performance In The Search For Hamiltonian Cycles, Chance Davis

Honors Theses

The Hamiltonian cycle problem is ubiquitous in both computer science and graph theory: Given a connected graph, a solution would either confirm the existence of a cycle which visits each vertex only once or its nonexistence. The importance of this problem, as well as its difficulty, is described in the Clay Mathematics Institute’s Millenium Prize Problems and Karp’s 21 NP-complete problems. Despite its “hardness,” solutions to the Hamiltonian cycle problem are desired in logistics, electronic circuit design, and network routing, among other fields. In this work, we benchmark a promising exhaustive enumeration algorithm on various graphs, including ones derived from …

The Student Movement Volume 110 Issue 19: Summer Surprise, Secret Sidewalks, And Superstars, Nathaniel Reid, Kyle Simpson, Ysa Dennis, Melanie Webb, Addison Randall, Anna Pak, Reagan Westerman, Madison Vath, Alyssa Caruthers, Maya Thomas, Anna Rybachek

The Student Movement V. 110 (2025-2026)

AUTHENTIC FACTS

Andrew Francis to Return to Student Movement as Editor in Chief, .- .. -.- ---

Summer Break Canceled for AU Architecture Students, (Not) Nathaniel Reid

Mysterious Message in Andrews' Sidewalks Reveals Long-Lost History, Kyle Simpson

ARTS & ENTERTAINMENT

Should Actors' Public Personas Influence Their Award Chances?, Ysa Dennis

The Collingsworth Family to Bring Hymns to the HPAC. Melanie Webb

How Close Is Too Close? The Nature of Press Tour Relationships, Ysa Dennis

Andrews University Choirs Present Spring Concert, Addison Randall

HUMANS

Women in STEM Faculty Spotlight, Anna Pak

NEWS

Pre-Law Students Take the Stand in Campus Mock Trial, …

Multi-Jurisdictional Hazard Mitigation Plan For Landslides For The Kentucky River Area Development District, Kentucky, Hudson J. Koch, Matt M. Crawford, Jason M. Dortch

Contract Reports--KGS

Landslides are a widespread and complex geologic hazard that affects people and infrastructure. The Kentucky River Area Development District, Kentucky, sustains relatively high landslide activity that impacts several municipalities in eastern Kentucky. This hazard mitigation planning project outlines landslide hazard and risk assessments for the Kentucky River Area Development District, with information needed for each community in the region to develop mitigation strategies that will support infrastructure and development needs, land-use planning, situational awareness, and response and recovery actions for the communities.

Identidad Flamenca: Formation Of And Negotiations With The Flamenco Identity, Kayla Lyall

Theatre & Dance ETDs

The core of this dissertation is an inquiry into belonging in flamenco. Expanding beyond the personal, it examines how flamenco identity is constructed through embodiment and practice. Challenging dominant narratives of purity and authenticity, I argue that identity in flamenco emerges through multiple pathways—including inheritance, training, cultural proximity, and artistic inquiry—and is continually reshaped by social, political, and aesthetic forces. Through phenomenology and practice-as-research, I position the body as an archive of knowledge and a site of meaning-making. My creative project, NUDE, serves as an embodied investigation into vulnerability, lineage, and self-definition, demonstrating identity as something enacted rather than …

Ageless Law: The Case For (Some) Age Discrimination, Nina A. Kohn

North Carolina Law Review

No abstract provided.

Grand Valley Magazine, Vol. 25, No. 2, Spring 2026, Grand Valley State University

Grand Valley Magazine

Grand Valley Magazine is a quarterly publication about Grand Valley State University produced by University Communications since 2001.

Machiavelli’S Realist International Law, Will Iboshi

Araneum: Richmond Journal of American & Global Affairs

By bridging the gap between scholarship on Machiavelli’s realism and legal thought, “Machiavelli’s Realist International Law” supports a historical approach of understanding Machiavellian international law through a realistic, human-centered project for state survival. I argue that if realism shapes the way that law produces order, then our interpretation of Machiavelli’s realism determines how we understand his views on the law’s source and function. Through a careful textual analysis of The Prince and The Discourses on Livy, I frame Machiavelli’s relationship to international law as a historical-ahistorical axis that situates his conception of foreign affairs alongside modern debates about realism and …

Posture And Pain: Investigating The Effects Of Study Habits On Musculoskeletal Discomfort In College Students, Eden G. Potter

Honors Theses

Musculoskeletal discomfort is increasingly common among college students, particularly in the neck, shoulders, and lower back, due to prolonged sitting and frequent use of electronic devices. This study examines the relationship between posture habits, study behaviors, ergonomic awareness, and musculoskeletal discomfort among students at Eastern Kentucky University. A cross-sectional survey design was used to collect data through an anonymous Qualtrics questionnaire. Participants reported their study duration, posture habits, device usage, ergonomic awareness, and levels of musculoskeletal pain using a 0–10 scale.

Descriptive analyses were conducted to identify patterns among variables. Results indicated that while study duration alone did not show …

Click Here For Counsel: Can Ai Uphold The Scales Of Justice?, Brianna L. Garcia-Perez

Honors Theses

This project examines the expanding role of Artificial Intelligence (AI) in the legal field, with a specific focus on whether AI will enhance or undermine public access to justice. In particular, it explores how AI is currently being used, and is likely to be used in the future, by both law firms and individual users. As AI becomes more widely integrated into legal practice, this research evaluates whether it improves the efficiency and effectiveness of legal services or instead introduces new risks and liabilities. Drawing on academic and professional sources, this project analyzes perspectives from lawyers, judges, AI experts, and …

Invasive Honeysuckle: Using Remotely Sensed Imagery To Map Landcover Change At Taylor Fork Ecological Area, Avery Krahwinkel

Honors Theses

Invasive species can have detrimental impacts on biodiversity and local ecosystems and are frequently targeted by natural area management for treatment and removal. Two common species of invasive honeysuckle (Lonicera maackii and Lonicera japonica) decrease plant diversity and alter ecological systems such as food webs in Kentucky. Both species are found in abundance at Taylor Fork Ecological Area (TFEA) and difficult to effectively manage. Remote sensing tools like multispectral imagery can be used to efficiently locate and quantify the abundance of invasive honeysuckle at TFEA because of the unique spectral signatures of various landcovers. This study used a …

More Than Just Hyper: The Mislabeling And Overmedicating Of Adhd In Children Ages 5-10, Katlyn Waltz

Honors Theses

This thesis examines the frequency and consequences of the misdiagnosis and overmedicating of Attention Deficit Hyperactivity Disorder in elementary school aged children, ages 5-10. The information within this paper utilizes recent evidence-based psychological and medical research done surrounding ADHD in children. Specifically focusing on what a misdiagnosis looks like and how this can affect the child. Physically, if an alternative diagnosis is overlooked, the severity of the problem worsens. Emotionally children often feel misunderstood. Misdiagnosis often occurs due to symptoms being shared with other disorders such as thyroid disease, sleep disordered breathing, developmental delays or anxiety/depression.

For children who are …

Musculoskeletal Risk Among Radiology Professionals: Ergo, The Importance Of Ergonomics, Jodie M. Caithamer

Honors Theses

Workers in physically demanding occupations are at increased risk of work-related musculoskeletal disorders (WMSDs), particularly with prolonged exposure to awkward postures and static loading. Healthcare workers, including those in radiology, are particularly affected. This study used an anonymous survey based on the Nordic Musculoskeletal Questionnaire (NMQ) and Rapid Entire Body Assessment (REBA), to assess body regions of discomfort and ergonomic risk factors.

In total, 48 radiology healthcare workers participated. Musculoskeletal discomfort was highly prevalent, with 96% reporting symptoms in the past 12 months. The most affected areas were the lower back (76.1%), neck (56.5%), and shoulders (34.8%). Awkward postures such …

Media On Trial: The Effects Of Media Coverage On Legal Proceedings In High-Profile Cases, Julia Luxon

Honors Theses

This paper examines the constitutional tension between the First Amendment and the Sixth Amendment, specifically in relation to media coverage and the right to a fair trial in high-profile criminal cases. This study explores the contextual and media environments surrounding the high-profile cases of Sheppard v. Maxwell, The People of the State of California v. Orenthal James Simpson, and State of South Carolina v. Richard Alexander Murdaugh. By conducting a comparative analysis, I examined the media narratives present in each case and how they influenced public perception and its impact on the administration of justice. This study …

You Hit Your Head, What Comes Next? How Can Speech-Language Pathologists Assist In Traumatic Brain Injury Recovery?, Elayna R. Wollam

Honors Theses

Traumatic Brain Injuries are complex injuries caused by an impact or penetrating wound to the head that disrupts the typical functioning of the brain. TBIs are highly prevalent and complex injuries. They can present in different severities, have numerous causes, and result in a variety of different types of symptoms and impairments. These impairments can include articulation disorders, language disorders, fluency disorders, swallowing disorders, social communication disorders, cognitive communication disorders, and more. Every injury will be different, and every individual will experience different symptoms and have different priorities for their recovery. This means treatment should also be nuanced to reflect …

Legalizing Sex Work: Transforming Hidden Jobs Into Professions, Sakura L. Wilder-Hamilton

Honors Theses

Prostitution, also known as the “world’s oldest profession,” has long been tried and remembered as a tolerated vice. However, sex work is still a stigmatized and criminalized profession around the globe that has yet to become a real profession. Because of this stigma and criminal label, sex workers have become a hidden population within society. Meaning, although there is a lot of stigma attached to sex work and sex workers, there is relatively little known about the realities of sex work, as sex workers are often excluded from scholarly research and discussions regarding their work. This research, through a thematic-chronological …

Me Or We In Criminal Behavior: A Cross-National Examination On The Impact Of Narcissism On Criminal Behavior, Adrian J. Zaragoza

Honors Theses

Crime is a worldwide issue that exists within any society. Many studies have not examined narcissism and its relation to crime in a cross-cultural perspective. The current study aimed to examine how culture can impact narcissism and criminal behavior. Hypothesis 1: Individual narcissism will be positively associated with criminal and antisocial responses to provocation scenarios in the United States. Hypothesis 2: Collective narcissism will be positively associated with criminal and antisocial responses to provocation scenarios in Kenya. Hypothesis 3: The association between individual narcissism and criminal/antisocial behavior will be stronger in the United States than in Kenya, …

All Harm, All Fouls: Human Trafficking At Large Sporting Events, Addison Caravona

Honors Theses

Human trafficking affects thousands of people worldwide every year. During large sporting events, this can become an issue as the line between consenting sex work and trafficking becomes blurred. The difficulty of quantifying human trafficking combined with the legality of sex work creates a predicament where measuring human trafficking statistics over a smaller period of time becomes incredibly difficult. Sporting events bring in millions of patrons every year, which produces unique challenges for law enforcement and advocacy groups to manage and prevent trafficking. This research investigates human trafficking surrounding large sporting events and the processes and legislation in place to …

"See Something, Say Something": The Effect Of Bystanders And Public Posting On Campus Crime Reporting, Makiah Hollinden

Honors Theses

The purpose of this study was to see if bystanders reacting (versus not reacting) and the presence (versus no presence) of a public crime post, on a college campus, affected student participants' intent to report a crime. We hypothesized that if bystanders responded to the crime, and if there is a public post about crime reporting, then participants would be more likely to intend to report the crime. Research participants (n = 68) were given an online survey assessing the intent to report the crime and other social norms in one of four vignette conditions: bystanders react/public post, bystanders do …

Sol Fridge Kenya (Turkana County), Ava Valdez, Dhuha Almutairi, Go Ogawa, Jeremy Boze

Business Core Student Work

Sol Fridge is a solar-powered refrigeration solution designed to improve food security and nutrition for low-income communities in Kenya. The project responds to the challenges of food spoilage, limited refrigeration, and poor access to affordable nutritious food, especially in rural and arid regions where electricity is unreliable or unavailable. By providing portable, affordable, and durable cold storage for families and small vendors, Sol Fridge helps preserve fresh food, reduce waste, and support healthier daily meals. The project also promotes sustainability through solar energy, recycled materials, and community-based distribution, creating social, environmental, and economic benefits for the communities it serves.

Nutri Boost — A Nutritional Powder For Children In Bihar, India, Dimas Sandoval, Sofia De Anda, Everett Macdonell, Mikaella Faye Acob, Maria Fernanda, Haris Khan

Business Core Student Work

This presentation outlines Nutri‑Boost, a fortified, locally sourced nutrition powder designed to reduce childhood malnutrition in Bihar, India. The project responds to widespread poverty, limited healthcare access, and inadequate dietary diversity by offering an affordable, shelf‑stable product for primary schools and low‑income families. Nutri‑Boost strengthens local agriculture, uses environmentally sustainable packaging, and operates through a community‑based value chain involving farmers, NGOs, and government partners. Financial projections demonstrate a scalable nonprofit model with strong social, economic, and environmental impact.

Yes Under Duress: The Paradox Of The Fawn Trauma Response In Consent Law, Madeline Paoli

UC Law SF Journal on Gender and Justice

This article examines the evolving landscape of sexual consent law through the lens of trauma-informed legal analysis, focusing on the underrecognized trauma response known as fawning. Existing consent frameworks fail to capture the complex behaviors of many survivors who outwardly feign consent as a survival mechanism. To assess how fawning evidence might fit into consent statutes, I categorize U.S. state law into four subtypes of consent: affirmative, hybrid, forcible compulsion, and statutory silence. Each sub-type fails to adequately account for trauma-informed behaviors. By examining each of these subtypes and its corresponding case law, I identify statutory and doctrinal gaps that …