Digital Commons Network^™

Prostitution In Video Games: Stigma, Violence And Male Pleasure, Laura Aguilera-Ávila, Lara Escobar Hernández

Dignity: A Journal of Analysis of Exploitation and Violence

Prostitution has traditionally been framed in society as a space significantly determined by patriarchal hierarchies, in addition to being affected on many occasions by stigmatisation and violence. The representation of prostitution and of those who practice it in the media is a topic of special interest, since the discourses and messages disseminated by the media play a fundamental role in socialisation. Video games are not exempt from this debate: with millions of players worldwide and a special reach among young people, they are among the most influential media outlets today. This qualitative research analyses a series of titles, both AAA …

A Change In Practice: Improving Uti Management In A Long-Term Care Facility By Implementing Rapid Urinary Culture Collection Protocols To Enhance Timely Treatment And Reduce Hospitalizations, Tania Ojeda

Doctor of Nursing Practice

ABSTRACT

Background: Urinary tract infections (UTIs) remain a leading cause of morbidity among elderly residents in long-term care facilities, where diagnosis is frequently delayed due to atypical presentation, cognitive impairment, and inconsistent urine specimen handling. Purpose: This quality improvement (QI) project aimed to improve the timeliness and accuracy of UTI management in a memory care facility through standardized evidence-based protocols. Objectives: The project sought to ensure that: (a) 100% of staff would be educated on the protocol; (b) 100% of residents with suspected UTIs would have urine sent for urinalysis and culture within 8 hours of symptom onset; (c) 100% …

Examining And Addressing Increased Hospital Inpatient Falls Rates At An Urban Community Hospital, Juan Lira

Doctor of Nursing Practice

Abstract

Background: Falls are the leading cause of reported injuries within the hospital setting. Injuries from falls occur in about20-45% of the time and is the leading cause of injury and injury death among the adult population. Inpatient falls are associated with an additional $14,0000 per occurrence and a prolonged hospitalization by 6.3 days. Increased falls rates affect hospitals rating, accreditation and reimbursements. This hospital is experiencing inpatient falls that exceed national average and corporate goals.

Purpose: The purpose of this project is to reduce the hospital falls rate by 10% within 90 days of initiating evidence-based evaluation and facility-wide …

Implementing A Cardiac Catheterization Pre-Procedure Protocol To Decrease Avoidable Same-Day Cancellations, Christina C. Perry

Doctor of Nursing Practice

Background and significance of the problem: Pediatric congenital heart defect patients are amongst the sickest hospital population. These patients require planned palliation in the cardiac catheterization lab (cath lab), which has a limited number of providers and appointments available. In the cath lab, the percentage of avoidable same-day cancellations for interventional procedures was found to be greater than 30%, representing significant resource utilization opportunities.

Purpose: The purpose of this project was to develop and implement a standardized, evidence-based pre-procedure protocol to decrease avoidable same-day cath lab cancellations.

Goals and objectives: The goals of this project were a 10% decrease in …

Exploring Speech-Language Pathology In The Age Of Ai, Charis Gray

Communication Studies

Speech-language pathologists (SLPs) constantly strive to find the balance between maintaining efficiency and high-quality therapeutic treatment. Now, with the rapid growth of artificial intelligence (AI), another layer is added into the mix. Many questions and concerns are being voiced about how these technologies will reshape the professional practice. Guided by two research questions, this project interviewed ten practicing SLPs regarding efficiency and the future of AI. Through thematic analysis, five central themes emerged: flexibility with unpredictability, AI’s usefulness for documentation and materials, ethical and professional concerns, commitment to lifelong learning, and the human element. Diffusion of Innovation Theory (DOI) can …

El Poder Del Bilingüismo Y La Ciencia, Isabella Winslow

World Languages and Cultures

This project is an explanation of the importance of bilingualism, science, and our responsibility as humans within this environment. As living beings on this planet, we have a responsibility to respect and protect it. Over the course of the last several hundred years, we humans have made countless advancements. We have created unimaginable technology and discovered incredible resources produced by the land. However, in the process of doing so, we have damaged and continue to damage our environment. Reefs in the ocean have been bleached by increases in acidity, thousand year old glaciers have melted, forests have been destroyed by …

Initiative Fatigue, Courtney Wildoner

All-Inclusive List of Electronic Theses and Dissertations

This quantitative study examined the prevalence of initiative fatigue in K–12 education and its relationship to emotional, mental, and physical work fatigue. The sample included 169 participants who identified as public school educators, school-based leaders, or district office staff. Participants completed the Three-Dimensional Work Fatigue Inventory (Frone & Tidwell, 2015) and the School-Wide Initiative Inventory (O’Quinn, 2018). Findings showed that initiative fatigue is most strongly rooted in concerns about the implementation process rather than the initiatives themselves. The “how” of implementation emerged as a significantly greater challenge than the “what,” functioning as a job demand that depletes emotional, mental, and …

Anatomy Of Authority: Dissecting The Rare Species Of Women Deans, Marlana K. Beck

All-Inclusive List of Electronic Theses and Dissertations

This dissertation explores the lived experiences of women physician medical school deans, aiming to understand the factors that influence their career pathways and the challenges they face in achieving and maintaining leadership roles in academic medicine. Despite the increasing number of women entering the medical profession, there remains a significant gender disparity in leadership positions, particularly in the role of medical school dean. This study addresses the gap between the growing number of women physicians and the disproportionately low number of women in senior academic leadership roles. The research is grounded in feminist and role congruity theories, which provide a …

“I Found My Place:” Exploring The Counterspace Experiences Of Black Alumni On Historically White College Campuses, Jacquelyn Burns Rucker

All-Inclusive List of Electronic Theses and Dissertations

This qualitative study explored the life experiences of Black alumni and their participation in intentional, multicultural programming of cultural facilities to create a sense of counterspace for Black students on historically White college campuses. The study captured the stories of 12 Black alumni who graduated from seven historically White institutions (HWIs), between the years of 2010 and 2016, across four different states. The 12 study participants completed undergraduate and terminal degrees during the years 2009 - 2016 and identified as Black, African, or bi-racial. The interviews, conducted during the Covid-19 pandemic, were conducted on zoom. The theoretical framework of the …

Quality Of Life And Mental Health: A Qualitative Exploration Of Perceived Factors That Impact Older Adults, Chasiti Herring

All-Inclusive List of Electronic Theses and Dissertations

Enhancing quality of life and well-being is a universal phenomenon across the lifespan. As the population ages, older adults are in great need of supportive services to enhance quality of life and their ability to manage their mental health. The purpose of this study is to examine the quality of life (QoL) of older adults. This study aimed to provide valuable research in the area of QoL through the exploration of perceived factors that impact the older adult population. This exploratory qualitative research study consisted of 10 older adult participants between the ages of 65 and 95. Research recruitment prioritized …

Exploring Online Teaching Self-Efficacy Among University Faculty Members During The Period Of Covid-19 Pandemic, Sarah Alamri

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study is to examine faculty’s perceptions of their self-efficacy regarding online teaching and some variables that may affect online teaching efficacy. A quantitative survey was administered to examine whether three faculty variables (online teaching experience, professional development experience, and COVID-19) predict a significant portion of the variance in faculty self-efficacy in online teaching on four subscales: student engagement, instructional strategies, classroom management, and teachers’ computer use. Faculty participants were recruited from King Khalid University in the Kingdom of Saudi Arabia. Data were collected using a web-based survey adapted from Robinia (2008). The data collected in this …

Implementing Pain Curricula In Prelicensure Physical Therapy Education: Faculty Perspectives And Experiences, John D. Kiesel

All-Inclusive List of Electronic Theses and Dissertations

The impact of pain on society has implications for individuals’ well-being and the overall health of society. Despite the high prevalence of pain, many new healthcare providers often lack the confidence and skills to manage patients with pain effectively. This phenomenological research study aimed to understand the lived experiences of faculty responsible for developing and delivering pain education to prelicensure physical therapy students. A secondary purpose was to examine the barriers that exist from the perspective of faculty members with subject matter expertise in pain education to implementing effective pain education in prelicensure curricula. Prelicensure pain education is essential for …

Onset Of Strong Iceland-Scotland Overflow Water 3.6 Million Years Ago, Matthias Sinnesael, Boris Theofanis Karatsolis, Paul N. Pearson, Anne Briais, Sidney R. Hemming, Leah J. Levay, Tom Dunkley Jones, Ying Cui, Anita Di Chiara, Justin P. Dodd, Deepa Dwyer, Deborah E. Eason, Sarah A. Friedman, Emma Hanson, Katharina Hochmuth, Halima E. Ibrahim, Claire E. Jasper, Saran Lee-Takeda, Danielle E. Leblanc, Melody R. Lindsay, David D. Mcnamara, Sevasti E. Modestou, Margaret A. Morris, Bramley J. Murton, Suzanne Oconnell, Gabriel Pasquet, Sheng Ping Qian, Yair Rosenthal, Sara Satolli, Takuma Suzuki, Thena Thulasi, Bridget S. Wade

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

North Atlantic Deep Water (NADW), the return flow component of the Atlantic Meridional Overturning Circulation (AMOC), is a major inter-hemispheric ocean water mass with strong climate effects but the evolution of its source components on million-year timescales is poorly known. Today, two major NADW components that flow southward over volcanic ridges to the east and west of Iceland are associated with distinct contourite drift systems that are forming off the coast of Greenland and on the eastern flank of the Reykjanes (mid-Atlantic) Ridge. Here we provide direct records of the early history of this drift sedimentation based on cores collected …

Environmental Justice In Indigenous Communities: The Disproportionate Effects Of Environmental Contamination, Rae Cade, Danlin Yu, Charles Knoble, Kyle Whyte, Pankaj Lal, Cortni Borgerson

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

Indigenous communities in New Jersey, New York, and Pennsylvania (referred to as the northeastern United States) face disproportionate environmental pollution, with mortality rates 60 % higher than their white counterparts –an inequity that extends beyond formal recognition categories. While previous research has revealed pollution from facilities that cause severe health issues in Indigenous communities, broad geographic studies examining the spatial correlation between Environmental Justice (EJ) indicators and Indigenous populations remain limited. This study addresses this gap by examining contamination patterns across the northeastern United States, focusing on Superfund sites, drinking water violations, oil spills, and natural gas releases. Our analysis …

A Hedonic Analysis Of Combined Sewer Overflows (Csos) In Northern New Jersey, Taylor Wieczerak, Pankaj Lal, Pralhad Burli, Benjamin Barnett Witherell, Erik Lyttek, Bernabas T. Wolde, Ava Distaso

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

Significant water pollution caused by flooding due to heavy precipitation and extreme weather events has become a considerable problem, and changing weather patterns and sea level rise attributable to global climate change stand to further exacerbate the issue. During heavy precipitation events, combined stormwater and untreated sewage may be diverted to adjacent water bodies via combined sewer overflows (CSOs), resulting in contamination and water pollution that can be harmful to human and environmental health. Though water quality effects of CSO discharges have been studied, the socio-economic aspects of this infrastructure have not received much scientific attention. This study provides an …

School Attendance In Southern Illinois: A Mixed Methods Analysis Of Trends And Implications, Mary Beth Goff

Ed.D. Capstone Reports

The purpose of the study was to examine the demographic data reported on the Illinois School Report Card within the four southernmost Regional Offices of Education to determine the rates of chronic absenteeism. Following the identification of chronic absenteeism numbers, this study sought to analyze the relationships between subgroups to determine correlations within data sets. In order to develop an understanding of potential interventions, interviews were conducted with districts that were both successfully addressing absenteeism and those not experiencing success within each of the Regional Offices of Education. The findings of the study aim to contribute insights for educators and …

Millennial-Timescale Thermogenic Co2 Release Preceding The Paleocene-Eocene Thermal Maximum, Shijun Jiang, Ying Cui, Yasu Wang, Maurizia De Palma, B. David A. Naafs, Jingxin Jiang, Xiumian Hu, Huaichun Wu, Runjian Chu, Yangguang Gu, Jiuyuan Wang, Yizhou Huang, Miquela Ingalls, Timothy J. Bralower, Shiling Yang, James C. Zachos, Andy Ridgwell

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

Geologic records support a short-lived carbon release, known as the pre-onset excursion (POE), shortly before the Paleocene-Eocene Thermal Maximum (PETM; ~ 56 Ma). However, the source and pace of the POE carbon release and its relationship to the PETM remain unresolved. Here we show a high-temporal-resolution stratigraphic record spanning the POE and PETM from the eastern Tethys Ocean that documents the evolution of surface ocean carbon cycle, redox and eutrophication, confirming the global nature of the POE. Biomarkers extracted from the sedimentary record indicate a smaller environmental perturbation during the POE than that during the PETM in the eastern Tethys …

Integrated Perspectives: Florida Ems Workforce And Agency Synthesis 2025, Michael Lozano

Florida Center for Emergency Medical Services Research Reports

The Florida Center for Emergency Medical Services (FL-CEMS) integrated findings from the 2024 EMT and Paramedic Renewal Survey (49,200 clinicians), the 2025 EMS Provider Survey (260 agencies), and 2024 NREMT Cognitive & Certification exam outcomes to provide a comprehensive picture of Florida’s EMS workforce and training environment.

Evidence Based Project: Japanese Immigrant Elderly Couples In The Midwest, Isabel Anderson

Student Projects

This paper examined the unique needs and challenges of Japanese immigrant elderly couples living in the rural Midwest of the United States through the lens of systemic family therapy. The focus family consisted of an elderly husband showing early signs of dementia and a wife who recognized the necessity of transitioning to independent living. Their adult daughter and son-in-law’s involvement intensified intergenerational tension, as traditional cultural norms granted the husband decision-making authority. The study provided a statistical overview of Japanese immigrant families in the U.S., highlighting aging trends, linguistic barriers, and geographic dispersion. Common psychosocial and systemic issues such as …

Athletic Participation Among Students And Its Correlation To Increased Outcomes In Academic Performance, Benjamin Carl Anderson

All-Inclusive List of Electronic Theses and Dissertations

This quantitative study investigated the correlation between student participation in athletic-based extracurricular activities and academic performance among high school students in rural Indiana. The research sought to determine whether athletic involvement contributes to academic success indicators such as PSAT and SAT scores, and school attendance. The study looked at how athletics can serve as a lever for improving academic outcomes and supporting students in meeting the criteria for postsecondary readiness. Key research questions explored the influence of gender, ethnicity, grade level, and attendance on academic performance within the subset of students participating in athletics. A review of the literature supported …

“I Was The Only One Who Was Alone:” The Impacts Of Covid-19 Pandemic On International Students In U.S. Higher Education, Lawrence Ejiofo

All-Inclusive List of Electronic Theses and Dissertations

This research examined the impact of the COVID-19 pandemic on international students. The study focused on their academic, racial, emotional, psychological stress and trauma experiences. The student participants interpreted these experiences through their lens and backgrounds as international students. They expressed the feelings of desertion and abandonment during the pandemic. The findings showed that the impacts sustained and endured by international students during the COVID-19 pandemic were real, painful, disturbing, and emotional. The image created of the US and other first world countries in the 21st century was very damaging and showed failure of leadership management. It had been more …

Reclaiming Bodily Autonomy Through Gullah Geechee Natural Healing, Tamaray Yvonne White

Electronic Theses and Dissertations

In today’s sociopolitical climate, restrictive reproductive laws continue to disproportionately target Black women, reinforcing historic patterns of racialized and gendered oppression. This thesis argues that Black women will recommence their usage of traditional herbal healing as both a survival strategy and an act of reclaiming bodily autonomy in defiance of hostile legal, financial, and medical systems. The Gullah Geechee community serves as a blueprint for this transition, offering cultural continuity, intergenerational knowledge, and a model for community-based healthcare and resistance. By tracing the historical necessity of herbal medicine among Gullah Geechee women, this study situates ancestral natural healing within contemporary …

Location Design For Ev Charging Stations In Terre Haute, He Wen

2025 Fall Reports (Terre Haute)

This project aims to support the City of Terre Haute in expanding electric vehicle (EV) charging infrastructure using a comprehensive framework that integrates engineering feasibility, system safety analysis, engineering economy, and project risk management. Students evaluated multiple candidate locations across Terre Haute and developed recommendations aligned with the city’s sustainability goals and long-term mobility planning. Drawing on spatial discovery, stakeholder input, and technical analysis, five priority locations emerged from student evaluations: Walmart East (SR-46/I-70), Meijer on Margaret Drive, Honey Creek Mall/Haute City Center, ISU Lots 5 & 14, and Plaza North. These results are based on the aggregated student ranking …

First-Hand Perspectives Of Autistic And Neurodiverse Individuals In Social And Extracurricular Settings, Stephen M. Hinkle

Education (PhD) Dissertations

This dissertation explores the firsthand experiences of autistic and neurodiverse individuals in social and extracurricular settings. Grounded in symbolic interactionism and disability studies, this study leveraged qualitative interviews to provide greater insight into the extracurricular lives of autistic persons and the quality of preparation and education provided to said participants to successfully navigate those experiences. Due to the limited number of studies on this topic, and the tendency of programs to focus on general skill development for this population, significant attention was also given to investigating the activity-specific skills needed for various social and extracurricular activities.

Understanding the intricacies in …

Occupation Based Program Development For Indigenous American Populations, Abby P. Glenn

Occupational Therapy Doctoral Capstones

Indigenous peoples in the United States face environmental, socioeconomic, and educational disparities that contribute to the high prevalence and disproportionately higher risks of chronic diseases compared to the average American. Recent literature recognizes knowledge gaps among providers in delivering culturally competent care, and occupational therapy’s (OT) emerging role in primary care shows promising potential for addressing barriers in chronic disease management. However, existing studies have not established a clear framework for how therapists can use OT’s client-centered philosophy to help Indigenous populations address health management in primary care. This project addressed the limited literature by piloting a culturally relevant health …

Pathways To Progress: Understanding Gender Gaps Across Life Stages In The Asean Region, Debbie Wong, Jacqueline Cheng, Elizabeth Cassity, Jeaniene Spink, Payal Goundar, Jeffery H. Marshall

International Education Research

The ASEAN region continues to grapple with some of the world’s most pronounced disparities in educational outcomes. Addressing foundational learning gaps and promoting equity and inclusion for girls, women and marginalised groups remains a central priority in both educational improvement and labour market reform agendas regionally and internationally. This report presents new insights into the factors shaping human development outcomes for girls, women and marginalised groups in the ASEAN region. It supports the priorities under the Initiative for ASEAN Integration (IAI), which aims to reduce development disparities among ASEAN member states. Grounded in case studies from the newer ASEAN member …

Can Easing Financial Constraints Reduce Carbon Emissions? Evidence From A Large Sample Of French Companies, Mattia Guerini, Giovanni Marin, Francesco Vona

Fondazione Eni Enrico Mattei Working Papers

We study how monetary policy shapes firm level carbon emissions. Our identification strategy exploits the European Central Bank’s July 2012 move to the zero lower bound as a plausibly exogenous easing of credit supply, combined with rich administrative and survey data on French manufacturing firms from 2000–2019. Using a difference-in-differences design with debt-to-asset ratios as exposure, we find that financially constrained firms cut emissions by about 9.4% more than unconstrained ones. This effect primarily stems from improvements in energy efficiency, lower carbon intensity of energy, and general productivity improvements associated with capital deepening that outweighed modest scale effects. Small and …

Keeping The Beat: A Case On The Effects Of Communication In Musical Teams During Performances, Shane Christie

Theses/Capstones/Creative Projects

This case study examined whether the effects of positive team affect and team communication quality on the performance quality, or taskwork quality, of teams comprised of musicians, and if team communication quality could further improve the taskwork quality of a group of musicians. It was believed that participants with higher positive team affect scores would perform at a higher taskwork quality than those with lower positive team affect scores. In addition, it was believed that participants that engaged in higher-quality team communication during performances would strengthen this relationship, further increasing taskwork quality. The participants were divided into teams, and the …

The High Cost Of Law School Casebooks, Jeffrey Bellin

William & Mary Bill of Rights Journal

Commentators have forecasted the demise of high-priced commercial casebooks for two decades. Yet little has changed. This Symposium Essay explores the headwinds facing free and low-cost books in the law school casebook market. It suggests that the biggest problem is “casebook selection inertia.” Given the centrality of the assigned casebook to a typical law school course, professors face strong incentives to make a safe choice from among the leading casebooks—typically those published by the handful of established academic presses who set the highest prices. These choices stick, not only determining the book that will be used for that professor’s future …

Post-Discharge Transitions Of Care Pharmacists Follow-Up Impact On Patient Care, Lesly Rapado, Sara Panella, Elaina Rosario, Emilie Collongette, Faaria Quadri, Beatriz Jimenez-Cadilla, Amanda Gronniger

Nursing & Health Sciences Research Journal

Introduction: This quality improvement project assessed the impact of a newly implemented transitions of care (TOC) pharmacist service at a large health system. The service involves a comprehensive review of recently discharged value-based care individuals, including chart review and, when necessary, telephonic follow-up by the pharmacist 3-6 days post-discharge.

Methods: This retrospective evaluation compared two groups: pre-implementation (September 1st, 2023 - January 30th, 2024) and post- implementation (March 1st, 2024 - July 30th, 2024) of TOC pharmacist service, focused on patient evaluations 3-6 days post-discharge. The primary outcome was a composite of 30-day re-hospitalization rates including urgent care, emergency department, …