Digital Commons Network^™

Addressing Obesity In Rural Health Clinics, Morgan P. Trusley

Student Scholarly Projects

Practice Problem: According to the Centers for Disease Control and Prevention (CDC), more than 2 in 5 adults in the United States are obese (CDC, 2024a). In a rural primary care clinic in South Carolina, approximately 70% of patients are obese and there is no current intervention in place to help educate and guide these patients in weight loss strategies.

PICOT: In obese adults over the age of 18 at a rural health clinic with a Body Mass Index (BMI) greater than or equal to 30, does implementing weekly virtual and in person multicomponent behavioral intervention educational sessions compared to …

Improving Fluoride Varnish Application Rates In A Pediatric Primary Care Microsystem, Roman G. Roxas

Master's Projects and Capstones

Problem

Childhood caries is a preventable public health issue disproportionately affecting the underserved. National guidelines recommend fluoride varnish (FV) application during well‑child visits. In California, fewer than 15% of children under age six received FV. In a pediatric primary care clinic, baseline performance was 11% in 2025.

Context

A six‑month quality improvement project was implemented. Key barriers included reduced team cohesion, workflow variability, unclear roles, and underutilized electronic health record (EHR) prompts.

Interventions

The change package standardized medical assistant–led workflows, activated EHR prompts, and provided targeted education. Leadership reinforcement through regular huddles supported adoption, consistency, and team engagement.

Measures

Outcome …

Prospect Capital Management Lp V. Stratera Holdings Llc

2026 Decisions

USDC for the District of Delaware

Usa V. Lamar Mccullough

2026 Decisions

USDC for the District of New Jersey

Paul Lisenby V. Olympus Corporation Of The Americas

2026 Decisions

USDC for the Eastern District of Pennsylvania

The Method And The Machinery: Gloria Steinem, India, And The Cold War Making Of American Second Wave Feminsim, 1956-1972, Rashida Shafiq

History Theses and Dissertations

This dissertation argues that Gloria Steinem became one of the most visible feminists of her generation because two political inheritances — postcolonial India and the Cold War liberal United States — converged in a single career. In 1957 and 1958, on a Chester Bowles Asian Fellowship, Steinem spent eighteen months in India, where she moved from elite intellectual circles in Delhi to Gandhian and Sarvodaya peace work in the villages of Ramnad. Walking with Bhoodan fieldworkers through caste-riot-stricken communities, she absorbed a repertoire of organizing practices — listening across difference, lateral and leaderless structure, decision by consensus, and the conversion …

Measuring Cosmic Expansion From Early To Late Times Using Quasars, Galaxies, & Local Supernovae, Rajeev Vaisakh

Physics Theses and Dissertations

This dissertation investigates the evolution of cosmic expansion across a wide redshift ($z$) range by combining measurements from quasars \& galaxies in the distant universe $(z > 0.8)$ with those obtained from stripped-core collapse supernovae observations from the nearby universe $(z < 0.1)$. Using the DESI spectroscopic survey, we analyze large-scale clustering from quasars over $0.8 < z < 2.1$ and emission line galaxies over $0.8 < z < 1.6$, contributing to DESI DR2 BAO and full-shape measurements of cosmic expansion and structure growth. Combined with BBN in flat $\Lambda$CDM, DESI DR2 BAO gives $H_0 = 68.51 \pm 0.58$ km s$^{-1}$ Mpc$^{-1}$, while combinations of DESI BAO with CMB and supernova data show a preference for evolving dark energy, with representative constraints such as $w_0 = -0.752 \pm 0.057$ and $w_a = -0.86^{+0.23}_{-0.20}$ for DESI+CMB+DESY5. Using the ROTSE-III Supernova Survey and the expanding photosphere method (EPM), we measure distances to a sample of six supernovae for which the thermal phase can be clearly identified. This analysis focuses on testing whether reliable EPM distances can be obtained for this population. The resulting distances will eventually be compared with independent estimates from the literature. Establishing consistency with these external measurements represents an important step toward applying this methodology to larger samples, with the eventual goal of using ROTSE supernova distances to provide an independent measurement of the local Hubble constant.

Institutional Support Environments In Higher Education: Rethinking The Role Of Military-Affiliated Student Centers, Coby W. Dillard

Human Resource Development Student Publications and Presentations

Military-affiliated student centers have become common features of higher education institutions serving veterans, active-duty service members, and military-connected students. Despite their growing presence, these centers are often institutionally positioned and evaluated primarily through administrative and compliance functions related to federal education programs. This framing risks overlooking the broader developmental and engagement functions these environments can provide for adult learners transitioning from military to academic contexts. Drawing on organizational support theory, social exchange theory, and belonging frameworks in higher education, this Perspectives essay proposes a conceptual reframing of military-affiliated student centers as institutional support environments rather than transactional service units. Institutional …

Statistical Methodologies For Count Time Series Analysis And Topological Data Analysis Of Medical Images, Yuhyeong Jang

Statistical Science Theses and Dissertations

This dissertation addresses two distinct topics related to count time series analysis and topological medical image analysis, respectively. The first part of the dissertation comprises an application of a count time series model to analysis of US monthly sex trafficking data and development of a new model for multivariate count data that exhibits serial dependence and overdispersion. By imposing a family of multivariate mixed Poisson distributions on the count random vector, the proposed model can accommodate a broad range of overdispersion as well as positive contemporaneous correlations. For maximum likelihood estimation, a computationally feasible EM-type algorithm is derived based on …

Public Perceptions Regarding Surveillance Of Lyme Disease In Tennessee, Shaheena Yasmin Asad

Walden Dissertations and Doctoral Studies

Lyme disease (LD), a tick-borne illness, has been a growing concern in the state of Tennessee. Studies have established environmental concerns regarding a growing tick population and identified a gap between reported cases and disease burden in Tennessee. Despite this information, it remains classified as a low-incidence reporting state, raising concerns about underreporting that indicate an ineffective current surveillance system. Because the public perception regarding surveillance of LD is unknown, the purpose of this qualitative study was to explore how adults in Tennessee perceived LD as a credible public health threat within the context of the current surveillance system. Guided …

Improved Depression Screening In An Outpatient Mental Health Clinic Using The Phq-9, Meghan Rey Young

Walden Dissertations and Doctoral Studies

Depression is a common mental health disorder in the United States that places significant burden on the individual, the community, and the country. It is estimated that 7.8% of adults in the U.S. experienced major depression in 2019. Having a depression diagnosis places the individual at increased risk for suicide by 31%. Therefore, it is important to screen for depression. In a small outpatient mental health clinic, a gap in practice was identified as a lack of depression screening at patient encounters. The question was asked: In the outpatient clinical setting, what is the impact of improved use of the …

A Multifaceted Surgical Suite Quality Improvement Initiative, George Tazvitya Mhosira

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project focuses on modernizing an acute care hospital’s surgical suite, enhancing environmental safety, and supporting the growing complexity of surgical care. As surgical procedures become more advanced, the physical environment must evolve to maintain sterile technique and reduce microbial presence. Current operating room configuration, characterized by overcrowding and outdated ventilation systems, introduces environmental risks that compromise patient safety and limit perioperative efficiency. Modernization is essential to align the surgical environment with contemporary safety expectations and organizational performance goals. The proposed initiative includes a comprehensive renovation and expansion of surgical spaces, integrating advanced air decontamination technologies, …

The Relationship Between Employees’ Involvement, Process Improvement, And Customer Satisfaction In Manufacturing Industries, Nawres Fouad

Walden Dissertations and Doctoral Studies

Customer satisfaction remains a challenge for some manufacturing organizations despite the widespread implementation of TQM practices. Manufacturing leaders must improve customer satisfaction because it enhances customer retention, organizational competitiveness, and long-term business performance. The purpose of this quantitative correlational study was to examine the relationships between employees' involvement, process improvement, and customer satisfaction. The expectancy-disconfirmation theory grounded the research project. Participants were 68 middle managers employed in manufacturing organizations in Ontario, Canada. Data were collected through an anonymous online survey using the Utrecht Work Engagement Scale (UWES-9) and the TQM Practices Scale. The data were analyzed using descriptive statistics, Cronbach’s …

Staff Education To Improve Depression Screening And Management Using Phq-9, Elizabeth Aja

Walden Dissertations and Doctoral Studies

This doctoral project was a staff education initiative. It was motivated by the realization that depression is often under-recognized when standardized screening practices are not consistently implemented. The identified practice gap was inconsistent administration, interpretation, and documentation of the PHQ-9 by the nursing staff. The practice-focused question examined whether a staff education intervention would improve nurses’ knowledge and confidence in using the PHQ-9 for depression screening. The purpose of the project was to implement and evaluate an evidence-based educational program on PHQ-9 administration, scoring, interpretation, and documentation. Data analysis included descriptive statistics on pretest and posttest scores from 14 participating …

Staff Education To Improve Whiteboard Utilization To Focus On Nurse Communication And Patient Experience On A Medical-Surgical Unit, Charline J. Bethea

Walden Dissertations and Doctoral Studies

Inconsistent use of standardized whiteboards in patient rooms may contribute to ineffective nurse communication and lower patient experience scores. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether an evidence-based staff education program improved nursing knowledge, intent to use standardized whiteboards, and whiteboard utilization on a medical-surgical unit. Guided by the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) instructional design model, the intervention included a standardized educational presentation, pre- and post-education knowledge assessments, a workflow integration guide, competency validation, and weekly compliance audits. Thirty-five staff members, including registered nurses and patient care technicians, participated in the project. Following …

Implementation Of Standardized Suicide Risk Screening With Staff Education In An Outpatient Psychiatric Clinic, Gwendoline Nfotiog

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a quality improvement staff education initiative focused on improving suicide risk screening and documentation in an outpatient psychiatric clinic. Inconsistent use of validated screening tools and documentation practices created risks for missed identification of patients at risk for suicide. Addressing this gap was essential to improve patient safety and support evidence-based behavioral healthcare. In the project, I examined whether implementing standardized suicide risk screening with staff education would improve screening and documentation consistency over 12 weeks. The purpose was to increase staff knowledge, screening compliance, and documentation accuracy. Pre- and postimplementation chart audits, …

Improving Suicide Risk Identification Through Standardized Implementation Of The Columbia–Suicide Severity Rating Scale (C-Ssrs) In An Adult Outpatient Behavioral Health Setting, Mirabel Ngwe Boma

Walden Dissertations and Doctoral Studies

Suicide risk may fluctuate throughout treatment, making ongoing assessment essential for timely identification and intervention. At the project site, an adult outpatient behavioral health practice, the Columbia–Suicide Severity Rating Scale (C-SSRS) was administered consistently at intake but inconsistently at follow-up visits, creating gaps in suicide risk reassessment and documentation. The purpose of this quality improvement project was to evaluate the effect of standardized implementation of the C-SSRS during intake and follow-up visits on suicide risk screening compliance over a 9-week period. The practice-focused question asked how standardized implementation of the C-SSRS, compared with current practice, affected suicide risk screening compliance …

Order Denying Approval Of Disclosure Statements

Catholic Dioceses in Bankruptcy

No abstract provided.

Leveraging School Leadership To Strengthen Teacher Retention In Urban High-Needs Schools, Sharri Zachary

Education Theses and Dissertations

This qualitative study, supported by descriptive quantitative data, examined the leadership practices that principals in urban high-needs schools use to influence teacher retention while leading their schools and navigating external conditions and educational policies. The study was grounded in Bronfenbrenner’s bioecological model of human development and reframed the traditional focus on family and social development to examine principal-teacher interactions within school environments. The study addressed the lack of clarity regarding how teacher retention is defined, measured, and interpreted, particularly in relation to principals’ efforts to recruit, develop, and support teachers under shifting conditions and accountability expectations. Descriptive quantitative data provided …

Custom Hydroponic Lid Design, Noah Langenfeld

Browse all Datasets

This data set contains files necessary to recreate a custom hydroponic lid for a two-gallon bucket. Additional component descriptions are available online at cea.usu.edu.

Data Repository For "The Influence Of Hydrologic And Salinity Conditions On Drought-Tolerant Great Salt Lake Wetland Plant Species" By Samantha Kurkowski And Karin Kettenring, Samantha Kurkowski

Browse all Datasets

This greenhouse experiment investigated the effects of salinity (3 levels) and hydrologic condition (5 levels),  on the cover and biomass of a single mix of 11 native drought- and salt-tolerant species.

Ucf Libraries 2026 Faculty Research Showcase, Thomas R. Caswell, Patrick D. Green, Rae Mair, Yuqing Li, Athena Hoeppner, Sai Deng, Jeanne Piascik, Nokimul Hasan Arif, Peter Spyers-Duran, Tina Buck

Faculty Scholarship and Creative Works

The University of Central Florida (UCF) Libraries’ Faculty Research Showcase is an annual tradition that celebrates the scholarly achievements, research, and creative work of library faculty.

The 2026 Showcase took place on August 4, 2026, and features six engaging presentations covering a diverse range of topics:

• Thomas Caswell – UCF Libraries Faculty Scholarship: Growth & Impact

• Patrick Green – Making Moves: A Cross-Institutional Presentation on Library Skill Transference

• Rae Mair & Yuqing Li – Generative AI as Peer Tutor: Designing & Evaluating a Prompt to Support Source Identification & Evaluation

• Athena Hoeppner – Have you ever …

In Re: Harold Burton

2026 Decisions

USDC for the Eastern District of Pennsylvania

Usa V. Christian Walther

2026 Decisions

USDC for the District of New Jersey

Ryan Castaneira V. C. Fox

2026 Decisions

USDC for the Middle District of Pennsylvania

Ground To Roof Snow Load Ratio (Gr) Data Release, Brennan Bean, Cooper Nelson, Jesse Wheeler, Scout Jarman, Salam Adil Al-Rubaye, Marc Maguire

Browse all Datasets

This data release provides historical ground-to-roof snow load ratio (GR) datasets used for snow load research and model development. The release includes original referenced datasets, cleaned country specific datasets, and a master dataset that combines Canadian and United States datasets into a standardized format for research and engineering applications.

Chronotivity: Concurrent And Prospective Influences On Creative Performance Among College Students, Hreem Mahadeshwar

Theses

Creativity is increasingly understood as a dynamic process influenced by biological, psychological, and contextual factors. Previous research has linked chronotype, sleep quality, affect, curiosity, and creative self-efficacy to creative performance; however, relatively little is known about how these factors jointly relate to creativity among college students or whether they predict creative performance over time. The present study examined concurrent and prospective relationships in undergraduate students at RIT (T1: n = 210; T2: n = 38), between these variables and creative performance using a two-timepoint design. Creative performance was assessed using the Alternative Uses Task and scored for creative quality and …

Cmsi Translations #34: Research On Integrated Defense Against Precision Strikes By The Powerful Enemy At Sea, Zhang Debao, Sun Yunxing, Hu Xiaolong

CMSI Translations

The United States has initiated substantive preparations for high-end warfare and continues to exert coercive pressure on China. Drawing on insights from over a dozen localized conflicts, this article analyzes the US military’s strike capabilities, operational patterns, and systemic ground vulnerabilities. Grounded in the concepts of resilience and survivability, systems-based confrontation, and tiered defense, it proposes targeted operational principles, countermeasures, and strategic recommendations for countering precision strikes by the powerful enemy.

Purdue University School Of Nursing Ai Use And Disclosure Scale, Laura M. Moffat, Amanda Obourn, Courtney Henchon

Purdue School of Nursing Generative AI Toolkit

The Purdue University School of Nursing AI Use and Disclosure Scale provides a five-level framework for communicating expectations for generative artificial intelligence (GenAI) use in learning activities and assessments. The cumulative scale ranges from work completed without GenAI assistance to activities in which extensive GenAI use may be permitted. Each level identifies allowable uses and corresponding disclosure expectations while maintaining student responsibility for the accuracy, integrity, and quality of submitted work. Faculty may select the level appropriate to the learning outcomes and assessment purpose. The scale promotes consistent communication, transparent disclosure, responsible GenAI use, and the development of AI literacy …

Endowment Provides Catalyst For Aspiring Business Leaders, Andy Belt

University of Mississippi News

OXFORD, Miss. – For more than 20 years, the Gillespie Business Model Competition has provided student entrepreneurs at the University of Mississippi with professional feedback, mentoring and financial capital to pursue their dreams. An Ole Miss alumna hopes to help expand those opportunities with a new endowment.