Digital Commons Network^™

An Unlikely Burden, Kendall J. Aufmuth

Electronic Theses & Dissertations (2024 - present)

An Unlikely Burdening follows the story of twins, Madeline and Isaac Blake. The harrowing story explores the adversities faced by these high achieving siblings, uncovering deeper truths and depths of pain far seen from the surface. It takes place in various settings, beginning in a mental health inpatient facility after Madeline’s failed suicide attempt, uprooting the entire family’s world as they knew it. Uniquely written in diary form, it provides prospective to the reader from Madeline, Isaac, and both parent’s viewpoint as well. An Unlikely Burdening addresses real world issues such as mental health, and assault. Can Madeline overcome her …

Ribosome Hibernation In Mycobacterium Abscessus And Its Effect On Antibiotic Resistance, Ryan Treen

Electronic Theses & Dissertations (2024 - present)

Non-tuberculosis mycobacteria (NTM) represent a diverse repertoire of species, most of which are ubiquitous in the environment. Some NTM species, such as Mycobacterium abscessus, can cause life-threatening infections in people with underlying medical conditions. The clinical incidence of such infections is on the rise, posing an emerging threat to public health. M. abscessus is characterized by intrinsic and acquired antibiotic resistance, complicating treatment strategies. Most chemotherapeutic approaches for M. abscessus infection target the bacterial ribosome, necessitating a better understanding of the physiological processes which confer this resistance. Multiple mycobacterial species respond to zinc-limiting conditions by inducing remodeling and hibernation …

The Emotional Side Of Migration: Peruvian Women Migrant's Experiences In The U.S., Arinka A. Abad

Electronic Theses & Dissertations (2024 - present)

Migration is a complex social, economic, cultural, and political issue. While research often highlights the positive aspects of migration, the emotional well-being of migrants is frequently overlooked. This qualitative dissertation examines the emotional experiences of heterosexual Peruvian women migrants, focusing on those who migrate either to join male partners in the United States or alone after abandonment. It analyzes how their emotional health is affected during pre-migration, migration, and post-migration stages. The study reveals persistent stressors impacting emotional well-being using migration, transnational, and human capital theories, a gender-focused perspective, and the Ulysses Syndrome or Immigrant Syndrome concept.

The research question …

Influence Of Cloud-Radiative Forcing On Tropical Cyclone Development In Moderate Vertical Wind Shear, Jannetta C. Richardson

Electronic Theses & Dissertations (2024 - present)

This research seeks to better understand how cloud–radiative forcing (CRF) influences the structural evolution and intensity change of tropical cyclones (TCs) during the organizaional stage, with a particular focus on environments characterized by moderate vertical wind shear. While CRF has been shown to impact TC development during genesis and mature stages, its role during the transitional post-genesis phase—when TCs exhibit disorganized convection and are highly sensitive to environmental influences—remains poorly understood. Moreover, forecasting TC intensity in moderate shear environments continues to present substantial challenges, underscoring the need for focused investigation of TC development in the moderate-shear regime.

The Weather Research …

Integrable Deformations, T-Dualities And Higher Order Corrections In String Theory, Parita Shah

Electronic Theses & Dissertations (2024 - present)

This thesis explores the interplay of hidden symmetries and dualities in string theory, with a particular emphasis on the role of T-duality. As a fundamental symmetry of string theory, T-duality offers a powerful lens through which one can study integrability, solution-generating techniques, and quantum corrections, all essential aspects of modern string theoretic frameworks.

A central focus of this work is the application of the duality covariant formalism of Double Field Theory (DFT) to address problems involving integrable deformations and higher-order quantum corrections. We examine how generalized integrable models can be embedded into DFT and how the formalism captures hidden symmetries …

Essays On Health Economics, Quan Qi

Electronic Theses & Dissertations (2024 - present)

The first chapter examines whether Medicare Part D---the largest expansion of Medicare in recent decades---had a lasting impact on retirement behavior by providing subsidized prescription drug coverage to older adults. We employ a difference-in-difference-in-differences framework that compares changes in labor supply among individuals aged 65–68 versus 55–64 in a treatment group with employer-sponsored retiree health insurance (RHI) only until age 65, relative to a control group with lifetime RHI, before and after the 2006 implementation of Part D. Using data from Health and Retirement Study (2000-2018), we find that Part D reduces full-time employment by 6.52 percentage points among the …

Understanding The Dynamical Mechanisms Governing Northern Hemisphere Wintertime Persistent Flow Regimes And Their Associated Extreme Weather Events, Tyler Christopher Leicht

Electronic Theses & Dissertations (2024 - present)

Weather regimes are characterized as patterns of low-frequency variability in the middle to upper troposphere of the extratropics. Weather regimes can also be linked to variations in surface weather, making the study of weather regimes a bridge between traditional synoptic-dynamic meteorology and subseasonal-to-seasonal variability. This dissertation identifies and categorizes persistent flow regimes (PFRs), analyzes the dynamics underpinning PFR formation, identifies the linkages to atmospheric teleconnections, and examines the occurrence of surface weather extremes before and during PFRs.

PFRs are identified from 1979–2022 and grouped into five clusters using k-means clustering, which then allows for time-lag composite analysis to determine the …

Polygenic Risk Scores Of Grip Strength In Men And Women With Or At Risk For Hiv, Sreevidya Sadananda Sadasiva Rao

Electronic Theses & Dissertations (2024 - present)

Background: Adequate hand function among older adults is necessary for the successful completion of activities of daily living and can affect whether an older adult is able to live independently. Current research highlights grip strength, the strength people have in their hands, as a robust predictor of morbidity and mortality, and explores the decline in grip strength over time. A person’s family history and genes (DNA) affect how much grip strength they have. Previous studies have identified genes that affect grip strength, mainly in European ancestry populations. In this study, we examined whether these genetic elements predict grip strength in …

Non-Profit Hospital Spending On Community Health Improvement: Catalysts, Impediments, And Opportunities In New York State, Isaac H. Michaels

Electronic Theses & Dissertations (2024 - present)

This dissertation assesses the distribution and determinants of spending by non-profit hospitals in New York State on community health improvement services and community benefit operations. Utilizing the Social Ecological Model of Health, this study considers multiple levels of influence on this spending, including organizational and community characteristics. Using quantitative analysis, it examines cross-sectional, spatial, and longitudinal patterns in spending and identifies organizational and community-level factors influencing it. Qualitative analysis investigates operational factors affecting spending, including individual and interpersonal influences. The results of this mixed-methods study can inform hospital administrators, public health officials, policymakers, and communities in optimizing policies and decision-making …

The Senior International Officer: A Sociological Perspective On The Development Of A Higher Education Profession, Mohammad Mansoor Khan

Electronic Theses & Dissertations (2024 - present)

Internationalization of higher education institutions in the United States has progressed rapidly since World War II. The pace and specifics of this internationalization vary by institution. However, there are some shared characteristics including, but not limited to, increase in student mobility, both inward and outward, exchange of scholars, cross-border research, and internationalization of the curriculum. This increased the institutional administrative burden and necessitated the centralization of internationalization activities under a single administrative unit and led by an individual capable of providing leadership at their institution in the area of higher education internationalization. This individual is recognized as the Senior International …

Dna And Protein Determinants For P63 Transcriptional Activity, Abigail Mccann

Electronic Theses & Dissertations (2024 - present)

The transcription factor p63 is critical for development of the epidermis and other epithelial-related structures. Mutations in the DNA-binding domain of p63 lead to a range of human developmental disorders characterized by symptoms such as ectrodactyly, painful skin dysplasia, and cleft lip and palate. The TP63 gene is also amplified in squamous cell carcinomas, contributing to tumor pathogenesis. While the importance of p63 in human health is well established, the mechanisms underlying its control of an essential gene network remain unclear. TP63 encodes multiple isoforms with distinct N- and C-terminal domains. The ∆Np63α isoform is directly linked to epidermal development …

Identity Art Reexamined: Boundaries And Narratives In The Outsider Art World, Fanling Cheng

Electronic Theses & Dissertations (2024 - present)

This dissertation examines how cultural meanings shape market boundaries through a case study of outsider art, an art category deeply embedded in a "culture of authenticity." Using mixed methods, the dissertation analyzes hierarchies and structures of the outsider art market, narratives in biographies crafted by dealers, and interactions between artists, dealers, and the audience. Through strategically constructed narratives, dealers portray outsider artists as heroes using art to fight against hardships. They not only present the authenticity of the art but also perform their own authenticity and extend it to the audience, performing civic commitment in the aesthetic public sphere and …

Secured Communication And Coexistence For Efficient Spectrum Utilization, Xue Wei

Electronic Theses & Dissertations (2024 - present)

Over the years, the demand for wireless communications has grown exponentially, resulting in a scarcity of available spectrum. This scarcity leads to the need for efficient spectrum utilization, a key factor in ensuring reliable and uninterrupted communications. One of the key challenges in achieving reliable communication is ensuring secure transmissions to protect the privacy and integrity of data for active users. Wireless communications are vulnerable to eavesdropping, interception, and unauthorized access, which can compromise the confidentiality and integrity of transmitted data. The coexistence of multiple wireless communication systems is another challenge to be addressed for passiver users. In many cases, …

Personal Characteristics, Goal Setting, And Academic Thriving, Hedayat Ghazali

Electronic Theses & Dissertations (2024 - present)

Abstract

This dissertation examines if pre-existing personal characteristics influence the effectiveness of a reflective goal-setting intervention on credits completed among first-year university students. Grounded in goal-setting theory and self-regulated learning frameworks, the study investigates the roles of self-efficacy, intrinsic motivation, metacognitive strategies, and autonomy in shaping students’ academic outcomes. Using hierarchical cluster analysis, four distinct learner profiles were identified based on these personal characteristics. A two-way repeated measures ANOVA was conducted to evaluate whether the intervention significantly affected students’ academic performance—measured in credits completed —over three time points (T0, T1, T2) across intervention and control groups.

The results revealed a …

Restorative Justice Initiatives In Marin County: Mitigating The Impacts Of The School-To-Prison Pipeline On Youth, Gina Dudley

Social Justice | Senior Theses

My senior thesis project delves into Restorative Justice's role in addressing the school-to-prison pipeline in Marin County. Restorative Justice prioritizes repairing the harm caused by crime to individuals, relationships, and communities, advocating for offenders to take responsibility and make amends rather than solely facing punishment (Restorative Justice Exchange, 2022). My capstone aims to pinpoint factors driving student exclusion from schools and subsequent entanglement in the legal system while highlighting how restorative approaches can prevent such outcomes. Additionally, it discusses the benefits of removing police officers from schools and reducing reliance on law enforcement within educational settings. My research will use …

Shedding, Emerging; A Rebirth, Christina Van Dueck

English and Creative Writing | Senior Theses

This thesis is a collection of poems; divided into two parts, the first section intimately explores physicality and essence through graphic writing, inspired by Emerson’s work that is deeply rooted in transcendentalism, idealism, and the divinity of nature. The second part of the collection breathes life into the first through an introspection of naturalistic elements based on linguistic tactility. Inspired by Emily Dickinson, this collection embodies complex celestial imagery to display the abstractness of presence and detachment. Both collections comment on the interconnectedness of human nature in its rawest form and seek to encapsulate a soulful display of the innate …

Homiezation, Isa D. Ferris

Social Justice | Senior Theses

This thesis presents Homiezation as a practical framework for building transformative relationships across cultural and racial boundaries, focusing on intercultural engagement for scholars, educators, and community practitioners. Based on community research in Marin County, California, it draws on interviews with Latino/a immigrants, first-generation Latino/a citizens, and one non-Latino BIPOC community member. I coined the term ‘Homiezation’ during my community work to describe the process of fostering care, trust, and shared humanity within Third Spaces, where diverse cultures interact and learn from one another.

Six interconnected themes—showing up, trust, social awareness, cultural humility, humor, and compañerismo—form the foundation of Homiezation. These …

Reducing Levels Of Compassion Fatigue Among Generation Z Hospital Nurses, Kailani Yee

Nursing | Senior Theses

Background: Compassion fatigue is a critical issue and one of the many difficulties encompassed within the nursing profession. It affects a large number of registered nurses who work in hospital settings and who are constantly exposed to the suffering of others. With more young nurses entering the workforce, it's imperative that there is a better understanding of how to properly address this issue among the youngest generation of nurses: Generation Z, or those born between 1997-2012.

Objective: This research proposal aims to explore the most effective strategies to decrease levels of compassion fatigue in Generation Z nurses working in hospital …

Preparing Nurses For Medical-Assistance In Dying: The Role Of Comprehensive Education And Training, Keira O'Reilly

Nursing | Senior Theses

Medical-assistance in dying (MAID) is a process in which a consenting patient self-administers lethal medications with the intent of ending their life. This process is marked with ethical, emotional, and spiritual complexities. Nurses play a key role in MAID, through providing care as well as being a patient advocate. Specifically, intensive care unit (ICU) nurses often provide care to critical or terminally ill patients. However, according to the research, little formal training or education about MAID has been put into place for ICU nurses. To investigate, primary research articles regarding healthcare professionals’ experiences with MAID, educational gaps, and current training …

Impact Of Non-Pharmacological Interventions On Immunization-Related Anxiety Among Pediatric Patients, Jessica Ho

Nursing | Senior Theses

Immunization-related anxiety can lead to vaccine hesitancy, which can be detrimental to public health by reducing herd immunity and increasing the spread of preventable diseases. This research proposal aims to investigate how nurses implementing non-pharmacological interventions can reduce immunization-related anxiety among pediatric patients. The literature critique focuses on examining the efficacy of various non-pharmacological interventions on reducing procedural pain, fear, and anxiety in pediatric patients. Research shows that those who received non-pharmacological interventions experienced decreased pain, fear, and anxiety levels. This proposal will use a randomized control trial design with a convenience sample of 200 pediatric patients from flu clinics …

The Impact Of A Educational Program On Depression And Anxiety For Low Socioeconomic Latina Postpartum Mothers, Lizbeth Valdez Duran

Nursing | Senior Theses

Postpartum depression (PPD) and anxiety are significant mental health challenges that affect many mothers, especially Latina women with low socioeconomic backgrounds. These mothers often face barriers to care, health literacy, and access to healthcare resources. The problem is compounded by a lack of culturally competent care, which can contribute to mistrust of healthcare providers and discourage Latina mothers from seeking help. The literature review articles highlight that health literacy plays a crucial role in managing mental health, with effective education potentially reducing negative outcomes by improving coping strategies and bringing awareness to symptoms that are associated with postpartum. This research …

The Critical Role Of External Involvement In Supporting Adolescent Mothers Facing Postpartum Depression, Samantha Campopiano

Nursing | Senior Theses

Postpartum depression (PPD) is a significant mental health concern for adolescent mothers, especially those without a reliable support system. The current research demonstrates the importance of a support system, effective interventions, and prevention strategies for easier navigation of postpartum depression. Some effective interventions researched were therapy groups, personalized home visits, and using social media platforms to deliver therapy. This research proposal aims to examine the effectiveness of a nurse-led educational intervention for postpartum adolescent mothers without support. A quasi-experimental design will be used, with pre-and post-test assessments using the Edinburgh Postnatal Depression Scale (EPDS) to measure PPD symptoms in 100 …

Impact Of Whole Foods Diet On Cognitive Functions In Children From Low-Income Families With Attention Deficit Hyperactivity Disorder (Adhd), Jasmine Le

Nursing | Senior Theses

Purpose

Current studies have examined dietary interventions for ADHD, emphasizing the value of good nutrition, the lack of nutritional foods in schools, and the difficulties low-income families have finding healthy options. Nutritious food has been shown to enhance cognitive abilities, yet many low-income households still lack access to it. This quantitative research will provide vital information for nurses and healthcare professionals on how they can assist these populations.

Methods

A quantitative randomized controlled design study will be conducted, with students separated into an experimental and control group. The objective will be to evaluate the effects of nursing nutrition education and …

The Impact Of Complementary Therapies On Postpartum Pain Relief Among Mothers Of Multiples, Jewel Thomas

Nursing | Senior Theses

The process of recovery after birth can be an arduous process for many women. Many patients experience discomfort that affects their quality of life. Especially for mothers who give birth to twins or triplets, there is additional need for support in this crucial time as they are more likely to develop postpartum complications. Current management for postpartum pain include pain control medications and heat/cold therapy. The purpose of this proposal is to examine if complementary therapies such as aromatherapy and music therapy decreases the postpartum pain levels in mothers of multiples. This paper proposes an experimental trial, in which a …

Implementation Of Robotics And Artificial Intelligence To Oncological Surgery, Ian Ngo

Nursing | Senior Theses

Background/ significance: Introduced in the late 20th century, robotic systems have enhanced surgeons’ capabilities by providing accurate and precise control of instruments. These systems helped minimize invasiveness in surgical procedures, providing greater precision, and gave flexibility to difficult-to-access areas of the body. Tools powered by AI help surgeons accurately identify and remove cancerous tissues, which can lead to better surgical outcomes and fewer complications. Purpose: The purpose of this study is to focus on evaluating how Robotic-Assisted Systems (RAS) and Artificial Intelligence (AI) impact surgical precision, patient recovery, and to address economic efficiencies. associated with integrating said systems into the …

Education On The Early Recognition Of Antepartum Sepsis For Labor And Delivery Nurses, Diana Egan

Nursing | Senior Theses

Even though rare in occurrence, sepsis in pregnancy causes high morbidity and mortality rates, most deaths preventable with timely recognition and intervention. With symptoms difficult to identify, adjusted screening tools were created. The literature review highlighted the importance of using approaches such as these tools to improve on maternal outcomes and treatment. The review displayed how nurses in other departments find difficulty defining and identifying sepsis in adults as well as education surrounding interventions in maternal sepsis and obstetrical emergencies improve knowledge deficits. In response, questions emerge about what labor and delivery nurses know about recognizing sepsis in the pregnant …

Optimizing Discharge Education For Patients With Heart Failure, Connie-Rose Pangan

Nursing | Senior Theses

Noncompliance can be a result of a lack of comprehension of discharge instructions and a lack of concise, effective educational resources. Due to this deficit, patients with heart failure are less likely to comply with their discharge protocol and are therefore more likely to be readmitted to the hospital. The aim of the study is to consolidate a teaching method that accommodates one's existing educational barriers, implement follow-up to increase knowledge retention and improve self care, and prevent readmission among HF patients. Two hundred hospitalized, English-speaking patients with heart failure above 65 years old across 20 US Hospitals will be …

Nurses’ Perception On The Gut-Brain Axis And Its Implications On Mental Health, Geethika Manoj, Celine Bautista

Nursing | Senior Theses

Background: Most medical interventions recommended for patients with anxiety and depression include pharmacological treatments and psychotherapy. Thus, undermining the existence of modifiable risk factors, such as diet. Despite being an area of growing research, the gut-brain axis is a very broad topic among the healthcare field. Purpose: The purpose of this study is to investigate registered nurses’ perceptions and understanding of the gut-brain axis and its implications for mental health management. Methods: This proposed exploratory descriptive study will conduct research among fifteen registered nurses, each with at least two years of experience in specialties such as gastroenterology, psychiatry, or hospital …

Nursing Education On Sleep Health And Its Impact On Insulin Resistance In Adolescents, Salamasina Tufa

Nursing | Senior Theses

Modern-day adolescents are increasingly at risk for poor sleep quality due to rapid physical and physiological changes and stressors from technology and social media. Recent research suggests poor sleep affects endocrine function and contributes to insulin resistance (IR), a precursor to Type II Diabetes Mellitus (T2DM). This proposed quasi-experimental study will examine if a nurse-led sleep education program can improve sleep quality and decrease the incidence of IR in adolescents with poor sleep. A total of 100 participants aged 12-18 across Berkley, California who score ≥ 5 on the Pittsburgh Sleep Quality Index (PSQI) will be randomly assigned to either …

Nursing Students’ Attitudes And Preparedness For Maid, Kristal Candray

Nursing | Senior Theses

Medical assistance in dying (MAiD) also known as physician-assisted suicide in addition to euthanasia is on the rise with an increase in decriminalization of the practice(s) and enactment of practice-protected policies in many countries. Ethics and morals on the subject continue to be controversial in healthcare. As student nurses enter the field as clinicians, they may encounter a patient requesting MAiD. Studies from students in other countries where MAiD and/or euthanasia is practiced found that student nurses do not feel adequately prepared to navigate such situations. However, although MAiD has been legalized in a handful of states within the United …