Digital Commons Network^™

A Patient-Centered Approach To Physician-Assisted Death For Patients With Treatment-Resistant Major Depressive Disorder, Moc Lan Nguyen

Honors Program Theses

In medical ethics, the arguments for allowing physician-assisted death (PAD) access for physically and terminally ill patients are well-accepted. These arguments mainly stem from the rise of support for patient autonomy and recent criticisms of paternalism. While this notion in support of PAD is generally held in various medical disciplines, psychiatry remains staunchly couched in their conviction of paternalism. Compounded with the principle of suicide prevention, psychiatry is reluctant to accept PAD for its mentally ill patients as it goes against their profession’s role responsibilities. Furthermore, there is plenty of skepticism regarding mentally ill patients’ competency, which calls into question …

Ambivalence In The Context Of Competing Narratives: Exploration Through A Case Of The Us Military Base Issue In Okinawa, Maho Aikawa, Andrew Stewart

Psychology

The current research focused on how competing narratives (i.e., dominant and resistance narratives) are endorsed among low-status group members, through the case of the US military base issue in Okinawa, Japan. Specifically, we explored patterns of Okinawans’ narrative endorsement (i.e., dominant and resistance narratives surrounding the presence of US military in Okinawa), as well as their behavioural responses (e.g., resistance and compliance) using survey responses of Okinawan participants (N = 172). Following the identification of factors in narrative endorsement and behavioural responses through exploratory factor analyses, we identified narrative profiles of participants through a latent profile analysis. Then, we mapped …

Empowering Stroke Survivors Through Video Education On Post-Stroke Depression, Breanna Ho, Odavie Okonda

Doctor of Nursing Practice Projects

Background: Post-stroke depression (PSD) is a common complication following stroke and is associated with poor rehabilitation, reduced quality of life, increased rehospitalization, and higher mortality. PSD remains underrecognized and undertreated due to limited emotional health education during discharge planning. Objective: This quality improvement project evaluated whether video-based education improved stroke survivors’ knowledge of PSD, coping strategies, and available healthcare resources before hospital discharge. Methods: A pre-experimental one-group pretest/posttest design was implemented on the inpatient stroke units of the region’s largest Comprehensive Stroke Center (CSC), where the highest level of complex stroke care is given. Adult stroke survivors preparing for discharge …

Evaluating Impacts Of Second Victimhood In The Emergency Department Using The Svest-R, Elliott Barronian

Doctor of Nursing Practice Projects

No abstract provided.

Investigation Of Thrombophilia As A Causative Factor In Acute Limb Ischemia: A Case Report On Antiphospholipid Syndrome And Protein C & S Deficiency, Leah Dorsey

Bachelor of Science in Diagnostic Ultrasound Projects

Acute limb ischemia (ALI) represents an abrupt decrease in arterial perfusion that endangers life and limb viability. This pathology is rarely seen in younger populations with no significant comorbidities such as peripheral arterial disease or diabetes. One uncommon cause of ALI includes hypercoagulable states from acquired or inherited thrombophilias such as antiphospholipid syndrome and Protein C & S deficiency. This report examines a case of Rutherford 2A acute limb ischemia in a 45-year-old male patient who presented with paresthesia and worsening pain in his right lower extremity. Due to the emergent nature of ALI, swift diagnosis and prompt revascularization to …

The Myth Of Capitalism, Marcus Mosquera

Master of Liberal Studies Theses

Capitalism is a contentious topic in contemporary political discourse. Understandings of capitalism vary dramatically, particularly in a polarized political climate. This thesis aims to shed light on the history of capitalism, detailing how it arose, what its fundamental features are, and on what grounds it is defended and criticized in the United States following World War II. Far from being objective, many understandings of capitalism are infused with emotional and dramatic framing devices that elevate these worldviews to the level of myth. This analysis will assess the ways that views on capitalism deploy the concept of myth and storytelling to …

Civic Grammar: Why Classical Architecture Endures In The American State, Jesse Walker

Master of Liberal Studies Theses

The dominant visual language of American federal buildings has been classical, surviving repeated ideological challenges, professional revolts, and political controversy. While this persistence has been widely observed, the mechanism behind it has not been clearly identified. This thesis isolates that mechanism. Drawing on architectural history, federal procurement policy, and primary sources from Jefferson's correspondence through the executive orders of 2020 and 2025, it argues that classicism endures not because its meaning has remained stable, but because federal architecture is governed by a persistent functional constraint: government buildings must be immediately legible to an ordinary citizen, without signage or prior knowledge, …

Und Doch: Das Idealbuch Revisited | A Preview Exhibition Of German Private Press Books To 1935, Beppy Owen

Master of Liberal Studies Theses

This master’s thesis project, the central topic of which is German private press books of the early 20th century, lays a foundation for an exhibition scheduled to be held at The Grolier Club of the City of New York in the spring of 2029. That exhibition, proposed to be titled Und Doch, Das Idealbuch Revisited: German Private Presses to 1935, will mark the centenary of another important exhibition of German private press books, one curated by the German private press printer Willy Wiegand and held at the Grolier Club in April,1929. The 2029 exhibition will include a researched catalog, the …

The Reggio Emilia Approach: Exploring Implementation And Challenges In An American Classroom Setting, Karoline S. Kniel

Master of Liberal Studies Theses

Over the past decades, the Reggio Emilia Approach has gained popularity as an early childhood pedagogy due to both its child-led approach and its inherent inclusive nature. An innovative alternative to traditional early childhood education practices, the Reggio Emilia Approach focuses on fostering a deep relationship between the child and teacher wherein the child takes the lead on choosing classroom projects, themes, and topics for exploration. Emphasis is placed on the child’s self-expression, ideas, and emotions, culminating in a child-driven classroom agenda with a strong focus on the arts. According to the North American Reggio Emilia Alliance (NAREA) data, there …

Advancing Nanotechnology For Hematological And Osteological Disorders, Chase K. Hamilton

Integrated Studies

When people think of medicine, they often picture stethoscopes, routine clinical checkups, surgeries, and standard prescriptions. One field that needs more acknowledgement is the technological side. As technology continues to evolve, healthcare advances alongside it, with nanotechnology emerging as a substantial area of innovation. This paper reflects the expanding role of nanotechnology in modern medicine, focusing on its potential applications in trauma and internal medicine care and in the treatment of blood and bone disorders as well as bone and blood related cancers. By working at an extremely small scale, nanotechnology allows for more precise and targeted treatment, reducing damage …

Noncommercial Radio: What Wkms Gets Right, Autumn S. Crawford

Integrated Studies

Noncommercial radio is an uncommon form of media in modern times. Free access to news and music is rare when commercials, advertising, and paywalls on news sites have become overwhelmingly normal. Public and noncommercial media offers free access to news and entertainment, but has struggled with funding issues and awareness in recent years. WKMS, a station in western Kentucky, is a National Public Radio (NPR)-affiliated noncommercial station that serves a broad, tri-state region. In January 2026, the Corporation for Public Broadcasting ceased operations due to political-based funding cuts, leaving many NPR-affiliate stations with major budget losses. Given the funding cuts, …

Role Of Trauma-Informed Care In Promoting Child And Family Well-Being, Chloe Goins

Integrated Studies

Children and families all over the world experience trauma in all different ways, including abuse, neglect, instability, family separation, or poverty. Trauma-informed care has been critical within the child welfare system emphasizing the need for social workers to understand the impact of trauma as they navigate solutions that promote healing and not retraumatization. This paper examines the role of trauma-informed care within child welfare systems in establishing ethical and social practice focused on the well-being of the children and their families. Deriving from trauma theory, attachment theory, and research on the neurobiology of trauma this paper digs deep into how …

Understanding Child Development Through Social And Environmental Systems, Collin E. Curling

Integrated Studies

For this 50-page research paper, this study focuses on “The Role of Family Structure in Childhood Development.” The categories examined in this research include: Two-parent households, Single-parent households, Blended/Stepfamilies, Multigenerational households, and Foster and adoptive families. This research seeks to demonstrate the impact of different family structures impact and influence the developmental states of children. Using perspectives from education, economics, psychology, sociology, and public policy, this study argues that the structure of families alone does not determine the development of the child. Instead, factors such as family stability, access to resources, quality of relationships, and cultural context play a huge …

How Baseball Stadium Design Influences Player Performance, Jacob D. Roettgen

Integrated Studies

How Baseball Stadium Design Influences Player Performance

Baseball stadiums on all levels have unique designs and dimensions. The MLB had 45,000+ seats to watch professionals battle it out. College baseball ranges from a field with a couple hundred seats to massive stadiums with almost 20,000. This paper is going to investigate how these dimensions and number of seats can affect player performance. Certain professional stadiums have interesting quirks to their field that provide advantages and disadvantages depending on how it is looked at. For example, Fenway Park, home of the Boston Redsox, has a huge left field wall called “The …

The Impact Of Pre-Primary Education, Hailey Marie Doran

Integrated Studies

Pre-primary schooling is defined as the first stage of organized instruction that introduces young children to an environment similar to school; it aims to ease the transition from home life to a school setting. Daycares and pre-primary education are not mandatory for children. This paper will discuss the impact that pre-primary education has on children’s development and future. The impacts discussed will cover multiple aspects of a child’s holistic development. Children's behavioral, cognitive, social, and emotional development as well academic success will be discussed from both a long-term and short-term perspective. The first five years of a child’s life are …

The Role Of Dental Hygienists In Preventive Care, Chloe Robinson

Integrated Studies

Preventive care is a critical component of overall health, yet oral health is often overlooked within the broader healthcare system. Dental hygienists play a vital role in addressing this gap by providing preventive services, patient education, early disease detection, and advocacy for long-term oral and systemic health. The purpose of this paper is to examine the role of dental hygienists in preventive care and to explore how their responsibilities extend beyond traditional clinical tasks to include education, public health initiatives, and interprofessional collaboration. Through a review of current literature, this paper highlights the impact dental hygienists have on improving patient …

Public Libraries: Communities Need Them To Survive, Genesis Wilson

Integrated Studies

Public libraries continue to play a highly impactful and transformative role in community life, even as digital technologies reshape how individuals access information, participate in civic life, and access social support. The literature consistently shows that public libraries function not only as information centers but also as inclusive community anchors that advance digital equity, civic engagement, lifelong learning, and social well-being. Drawing on research from respected scholars such as Akst, Alemanne et al., Lewis, Elmborg, and Schencker, this literature review integrates key themes related to public libraries as community builders, technology and broadband leaders, and essential social support systems for …

The Benefits And Challenges Of Digital Technology In Smes, Amanda Rux

Integrated Studies

Small organizations play a vital role in global economic stability. While their continued growth is essential, the majority fail within the first few years of operation. These organizations face multiple challenges that are difficult to overcome but can be mitigated by digitalizing their processes. The digitalization process also comes with its own set of challenges, and many of these organizations' attempts to digitalize fail. This paper will describe the types of technology these organizations may use to achieve their digitalization goals, the challenges and benefits that come with these technologies, and how organizational culture can affect their digitalization efforts. The …

Silent Longevity: A Rare Case Of Unrepaired Tetralogy Of Fallot In Adulthood, Michelle De La Torre

Bachelor of Science in Diagnostic Ultrasound Projects

This case describes the findings of a 65-year-old patient with unrepaired Tetralogy of Fallot (TOF) and explores factors contributing to prolonged survival without intervention. Transthoracic echocardiography (TTE) confirmed the four characteristic anatomical features of Tetralogy of Fallot. The literature indicates that adult survival without surgical repair is rare and influenced by the severity of right ventricular outflow tract (RVOT) obstruction, ventricular septal defect (VSD) size, and systemic pulmonary collateral circulation. This case highlights that adults with unrepaired TOF may remain asymptomatic despite significant anatomical abnormalities and emphasizes the importance of equitable multidisciplinary care.

Improving Flood Risk Mapping By Incorporating Local-Scale Calibration Data Derived From Stakeholder Input, Jennifer M. Holifield, Wei Wu, Patrick D. Biber, Margo Posten, Dennis Mcgrury, Stephen C. Deal, Alexandria Hancock

Gulf and Caribbean Research

Globally, flooding is the most frequent and costly natural hazards, disproportionately affecting populations based on environmental, social, and economic factors. Understanding the spatial variability of flood risk as well as the respective flood drivers is essential for informing cost-effective mitigation strategies and enhancing community resilience. Here we mapped flood risk that combines flood hazards and vulnerability in an under-resourced coastal community prone to compound flooding. Our approach integrates stakeholder engagement with GIS-based analysis using open-access datasets.

We first developed an initial flood hazard map using an equal-weight combination of factors commonly associated with flood occurrence/prevention, including upslope area, impervious surface …

Stress-Strain Behavior Of Saturated Clays From Vane Shear Test Results: A Numerical Approach, Gustavo Rodrigues De Avila Oliveira

Master’s Theses

The vane shear test (VST) is widely used to estimate the undrained shear strength of soft cohesive soils; however, it does not directly provide constitutive information such as the stress–strain response. Smoothed Particle Hydrodynamics (SPH), a mesh-free numerical method, offers an attractive alternative for modeling the large deformations involved in the VST and extracting additional information from the test.

This study develops and calibrates a two-dimensional SPH model to simulate the field vane shear test and investigate the stress–strain behavior of soft soils. The VST was implemented within an SPH framework, while field and laboratory data were used to define …

Robert Shea '91-Rusty Spears '81, Robert Shea, Rusty Spears

Alumni Oral History Project

No abstract provided.

Dokdo/Takeshima And Maritime Delimitation Between The Republic Of Korea And Japan: A Comment On Icj Dispute Resolution, Katherine Angell

Celebrating WCL Student Authors

The Republic of Korea (Korea) should agree to submit the issue of sovereignty over Dokdo/Takeshima and the issue of maritime delimitation in the East Sea/Sea of Japan to the International Court of Justice (ICJ) because the ICJ is likely to decide that Dokdo/Takeshima is Korean territory and the tensions in the East Sea/Sea of Japan can be resolved to allow further cooperation between the two nations. The ICJ is the primary avenue for peacefully resolving territorial and maritime delimitation disputes between nations, and the ICJ has developed a substantial body of case law analyzing these issues. The ICJ considers various …

Perception Of Posed And Naturally Occurring Emotion Expressions In Close Friendships, Kaitlyn M. Mcmullen

Doctoral Dissertations

While relationships are critical to our daily emotional lives, the limited research on emotion perception among close friends presents inconsistent evidence concerning whether differences exist between close friends and strangers. The present work examined the ways in which familiarity between close friends’ shapes emotion perception. In Study 1a, expressors provided both naturally occurring and dynamic posed emotion expressions for seven emotion categories (anger, sadness, fear, disgust, happiness, surprise, and neutral) in order to develop a stimulus set where the stereotypicality of the expressions varies within-subjects. In Study 1b, a self-identified close friend of each expressor viewed and rated the expressions …

Unified Attack Modeling And Mitigation Framework For Multiple Physical Attacks In Sensor Networks For Advanced Manufacturing, Mohammad Mezanur Rahman Monjur

Doctoral Dissertations

The advanced manufacturing industry (AMI) faces unique challenges in security assurance. Security threats in AMI can originate from both software and hardware. Over the past decade, software security has been addressed extensively, but hardware security has not received enough attention. This work focuses on the security vulnerabilities of typical electronic devices deployed to AMI. Three attack models are proposed to characterize sensing nodes, local processing edge devices, and wired/wireless communication interfaces. Moreover, practical security attacks on hardware are demonstrated to inspire the development of feasible countermeasures against common physical attacks. To explore effective attack mitigation methods, we examine two attack …

The Garden Of The Machine: Simulated Wildness And Digital Domestication In American Literature 1970-2020, Cameron Netland

Doctoral Dissertations

Studying American literature produced during the Information Age, from 1970 to 2020, reveals an evolution of wild human resistance to the increasing powers of digital technology. These increasing powers include capturing attention, fostering dependence, and training behavior through a process I call digital domestication. Digital domestication distances people from wildness, and as William Cronon writes in “The Trouble with Wilderness”, “Learning to honor the wild—learning to remember and acknowledge the autonomy of the other—means striving for critical self-consciousness in all of our actions.” (20). Through this framework of wildness, one reads characters in fictional narratives resisting non-coercive new technologies as …

Analysis Of The Complex Nmr Lineshape Of Polarized Deuterons, Michael Joseph Mcclellan

Doctoral Dissertations

To determine the spin polarization of deuterons, nuclear magnetic resonance (NMR) is used. This is necessary for polarized targets, such as for the upcoming $A_{zz}$ and $b_{1}$ experiment at Jefferson Lab. These polarized target experiments are expected to discriminate between different models of the deuteron, which in turn could lead to a better understanding of short-range correlations (SRCs). NMR measures the impedance of a solenoid around a deuterated sample. Although the impedance is a complex value, conventionally only the real part of the impedance has been used for this purpose. However, often the tune is not precisely real, meaning the …

The Development Of A Convenient And Consistent Methodology For Flight Proficiency To Certify Multi-Rotor Uas Pilots For State Departments Of Transportation, Colin H. Dees, Joseph M. Burgett

The Professional Constructor

To fly an unmanned aircraft system (UAS), commonly referred to as a “drone,” the Federal Aviation Administration (FAA) requires pilots to pass a knowledge test. There is no requirement at the state or federal level for drone operators to demonstrate the ability to operate a UAS. The National Institute of Science and Technology (NIST) has created an exam for public and private entities to assess basic UAS flight proficiency. It is the only nationally recognized flight proficiency protocol. NIST does not provide a scoring recommendation and leaves it to the user to determine the minimum criteria to pass. There is …

Campus Sexual Assault: Cybersex At Bucknell, Rebecca Bonomo

Master’s Theses

Campus sexual assault continues to be a prevalent problem, particularly at Bucknell. The present study is the first study out of Bucknell Campus Sexual Assault Research team to explore the new module of the Sexual Experiences Survey - Victimization (SESV) Cybersex (Koss et al., 2024). This is a mixed methods approach to exploring cybersex at Bucknell. The study explored prevalence rates, differences between gender binary, sexual orientation, and post-traumatic stress symptoms. The first hypothesis was that cybersex victimization will be prevalent at Bucknell. The next hypothesis was that women and sexual minorities would have higher rates of cybersex scores than …

The Spaces Of Queer Childhood, Haley Beardsley

Master’s Theses

This thesis examines how Victorian and early twentieth-century British literature imagines queer childhood as a spatial condition that generates alternative temporalities, rather than as a stable identity. Focusing on The Well of Loneliness (1928), Alice’s Adventures in Wonderland (1865) and Through the Looking-Glass (1871), and Peter Pan (1904) and Peter and Wendy (1911), this project argues that queer childhood emerges within literary environments that actively produce misalignment with normative developmental logics of innocence, growth, and reproductive futurity. Drawing on the work of Lee Edelman, Kathryn Bond Stockton, Jack Halberstam, Sara Ahmed, Elizabeth Freeman, and Guy Debord, this study contends that …