Digital Commons Network^™

A Phenomenological Study On The Experiences Of Educators As Mentors For Homeless And Highly Mobile Students In A Rural Community, Tracy Dawn Mcpheron

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to explore how educators perceive an implemented mentoring program in which they will serve as mentors of homeless and highly mobile students in a rural school district. The mentoring program will include educators working as mentors to students coded as homeless through the McKinney-Vento Act for Homeless Education. The educators participating in the mentoring program will be the participants in this study. The participants will include middle school (6th-8th grade) through high school (12th grade), teachers, counselors, librarians, the district’s homeless liaison, and the federal programs coordinator for an East Tennessee school …

Use Of The Casper Test As An Admissions Test For Predicting Academic And Clinical Performance In Student Registered Nurse Anesthetists: A Predictive Correlational Study, Barbara A. Acord

Doctoral Dissertations and Projects

This quantitative, non-experimental, predictive correlational study examined the extent to which CASPer test scores predict academic and clinical performance among student registered nurse anesthetists (SRNAs). Certified registered nurse anesthetists (CRNAs) provide over 80% of anesthesia services in the United States, showing the importance of effective admissions processes to identify candidates most likely to succeed academically and clinically. Traditional admissions criteria in nurse anesthesia programs largely prioritize grades and may underrepresent non-cognitive attributes associated with student success. A convenience sample used a medium effect size, power of .8, and alpha level of .05, with G*Power calculated to be 85 participants 2nd …

How Rural Veterans Enrolled In Veteran’S Treatment Courts Describe Their Experiences With Having Their Health Care Needs Adequately Met By The Court, Armando B. Dela Rosa

Doctoral Dissertations and Projects

This study investigates the experiences of rural veterans enrolled in Veterans Treatment Court (VTC) with a focus on their access to healthcare services. The purpose of this research is to understand how these veterans' healthcare needs are being met and the barriers they face, contributing to the academic discourse on veteran healthcare accessibility. The central research questions address the adequacy of healthcare provision for rural veterans and how they navigate court-ordered care. The study employs a qualitative research design, utilizing in-depth interviews with a sample of 15 veterans from various rural locations in Nevada. Data was collected through structured Zoom …

James And Paul: Conflict Or Continuity, Brian Allan Elensky

Doctoral Dissertations and Projects

This dissertation investigates whether the Epistle of James presents a fundamentally different gospel from Pauline theology, a claim advanced by Robert Eisenman and other scholars who portray James as the leader of a rigorist, non-resurrectional, sectarian movement. The study employs a forensic investigative model shaped by the researcher’s experience as a police officer, combining historical-grammatical exegesis of James with analysis of key New Testament texts, early Christian witnesses such as Eusebius and Hegesippus, and modern scholarship on James, Paul, and the Dead Sea Scrolls.

The research concludes that James does not oppose Paul but complements him. James 2:14–26 rejects a …

A Phenomenological Study Of Pastoral Perspectives Of Conservative Churches Effectively Serving The Disability Community, John D. Hall

Doctoral Dissertations and Projects

This phenomenological study explored the experience of pastors leading conservative churches engaging with and serving persons with disabilities and their families. It focused on six theologically conservative churches providing special needs ministry, with at least three distinct scheduled ministry opportunities staffed by lay leadership, meeting a minimum of quarterly, and overseen by a paid staff member. This research sought to understand the perspectives of the pastors leading these churches, focusing on their personal experiences with disability, vision implementation, and leadership development. This study explored these pastors’ leadership through the lens of Transformational Leadership Theory and whether their style demonstrates transformational …

The Lived Experiences Of Olympic Medalists As They Describe Their Sense Of Self: A Qualitative Hermeneutic Phenomenological Study, Ana Barend

Doctoral Dissertations and Projects

Olympic medalists are characterized by their commitment to performance excellence. While research has extensively examined factors that influence athletic outcomes, comparatively less attention has been paid to how elite athletes experience and make meaning of their own identities beyond sport. Despite possessing extraordinary personal resources, many struggle with identity foreclosure during transitions and mental health challenges at rates comparable to the general population. This hermeneutic phenomenological study explored the lived experiences of Olympic medalists as they perceive and describe their sense of self. Guided by van Manen's approach to human science research and informed by Self-Determination Theory, this inquiry examined …

What Is The Relationship Between Mental Health Court Participation And Recidivism In Georgia's Juvenile Courts?, Damarius Thompson-Lewis

Doctoral Dissertations and Projects

Juvenile Mental Health Courts (JMHCs) intend to address mental health issues that are related to youth delinquency through a therapeutic justice model rather than a punitive justice model. Still, the question of whether JMHCs decrease recidivism among young offenders in Georgia remains understudied due to limited empirical research on these programs. This quantitative, causal-comparative study addresses this gap by examining two key aspects: (1) the impact of JMHC participation on recidivism rates and (2) the predictive role of individual program components. The study included 300 juveniles (150 JMHC and 150 standard court participants) across five Georgia counties. Recidivism was operationally …

Teachers’ Perceptions Of Social-Emotional Learning Of Special Education Middle School Students, Stephen Thurman

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the influence COVID-19 and related shutdowns had on middle school special education students' social-emotional learning based on teachers lived experiences at a middle school in north Georgia. At this stage in the research, the influence COVID-19 and related shutdowns had on middle school special education students' social-emotional learning was generally defined as how student social-emotional learning has changed since the COVID-19 pandemic. The theory guiding this study was social cognitive theory, as this theory closely aligns with the topic of the importance of social-emotional learning and how students attain social-emotional …

The Role Of Social Media In Shaping Romantic Relationships, Chelsea A. Fiszbajn

Doctoral Dissertations and Projects

This quantitative study’s purpose was to examine the role social media has in adult romantic relationships. This study focused on the impact social media has on trust, communication, and the quality of the relationship. Social media platforms have become a very integral part of today’s relationships, which in turn has added room in the relationship for more jealousy, temptation, and validation from others. This study used a survey-based methodology to collect data on individuals' personal experiences and perceptions of how social media impacts their current romantic relationships. Using quantitative measures, the research evaluated how often a partner uses social media, …

How To Build A Successful High School Sports Program, Jacob Jude Mulligan

M.S. in Leadership

The goal of this study was to explore the most influential factors for building a successful high school sports program. Through an expansive literature review, including testimonies from Hall of Fame coaches, themes emerged around the importance of Vision, Relationships, Belief, and Identity when it comes to the question of how to build a successful high school sports program. This research was conducted with the purpose of highlighting evidence of how these four themes have led to a positive culture and success for sports programs and athletes. This study is designed to help current and future high school coaches so …

Evaluating The Screening And Referral Process For The Use Of Phq-9 Screening Tool In Middle-School Aged Students: A Scoping Review, Kaythi Soe, Msn, Pmhnp-Bc, Fnp-Bc, Margaret Harvey Phd, Acnp-Bc, Fhrs, Sharon Little Dnp, Fnp-Bc

Doctor of Nursing Practice Projects

No abstract provided.

Parent Well-Being In Early Intervention: The Case For Assessing Parental Stress, Karla Michelle Chaff

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

Importance:

Research shows that parental stress negatively impacts child developmental outcomes, indicating caregiver well-being can directly influence intervention responses. Parental stress is a well-documented barrier to effective early intervention that remains unmeasured.

Objective:

This quality improvement project aims to assess the potential for adoption of a parent stress measure into family assessment to ensure caregiver well-being is systematically identified, documented, and addressed.

Design:

A feasibility project design was used to evaluate relevance, usability, barriers, and facilitators to introducing a standardized stress measure in practice.

Setting:

The project is based in an early intervention program.

Participants:

Key stakeholders were recruited from …

April 29, 2026 Blazer Weekly, University Of Alabama At Birmingham

Blazer Weekly (student newsletter)

No abstract provided.

Sepsis Transitional Care Management: A Phone Call To Reduce Readmission Health Inequity, Linh Tang Taylor, Md, Erica Leser, Ms, Alyssa Nelson, Michelle Schoepflin Sanders, Md

Books, Presentations, Posters, Etc.

Introduction: Sepsis accounts for 52% of hospital admissions in the United States and is the leading cause of death among hospitalized patients1 . However, disparity exists among sepsis survivors with race being reported as a determinant of recovery2 . Such disparity exists in Providence Oregon 8 hospitals: Providence Black patients have higher sepsis readmission rates than White (12.93% vs 11.65%). Using modified community-based participatory research, data analysis, and stakeholder interviews, we identified one potential root cause of the disparity: Black patients being readmitted are not receiving our system's Transitional Care Management (TCM) services. We aim to eliminate the Black/White sepsis …

Enhancing Gestational Diabetes Screening, Sataj Johnson, Daniel Ruegg

Books, Presentations, Posters, Etc.

Background: Gestational diabetes mellitus (GDM) screening is recommended between 24–28 weeks of gestation to allow timely diagnosis and treatment and reduce adverse maternal and neonatal outcomes. The two-step glucose tolerance testing method is supported by ACOG, though completion can be delayed due to the need for multiple tests. In 2024 at Providence Milwaukie Family Medicine Clinic, incomplete GDM screening occurred in 23.1% of patients, and incomplete two-step screening occurred in 33.3%, with an average completion time of 12 days. Objective: To increase completion rates of two-step GDM screening and reduce time between abnormal 1-hour and diagnostic 3-hour glucose tolerance tests …

A Case Of Pembrolizumab Associated Sjs/Ten Spectrum Reaction, Lauryn Orsillo, Do, Alex Zhu, Md, Linh Tang Taylor, Md

Books, Presentations, Posters, Etc.

Introduction: Immune checkpoint inhibitors (ICIs), such as pembrolizumab, are becoming increasingly more common.1 They are associated with a variety of cutaneous immune-related adverse events which can range from drug eruptions to life-threatening Stevens–Johnson syndrome (SJS)/ toxic epidermal necrolysis (TEN) spectrum reactions.2 As use of these ICIs and PD1 inhibitors expands, the incidence of severe dermatologic toxicity can be expected to rise. Early recognition is critical, as SJS/TEN spectrum reactions carry substantial morbidity and mortality compared with drug eruptions. Case report: An 80-year-old female with a history of triple-negative breast cancer on pembrolizumab presented to the ED for evaluation of a …

Acquired Amegakaryocytic Thrombocytopenia And Pure Red Cell Aplasia As Initial Presentation Of Thymoma, Nidhi Patel, Md, Natasha Edwin, Md

Books, Presentations, Posters, Etc.

Introduction: Pure Red Cell Aplasia (PRCA) is a common feature of thymomas, but it rarely presents with acquired amegakaryocytic thrombocytopenia (AAMT). Here, we present a case of a 59-year-old male with fatigue found to have severe anemia and thrombocytopenia, who was eventually diagnosed with a thymoma Case Presentation: Found to have Hg of 6.1 g/dL and platelet count of 33 k/uL; Reticulocyte count was 0.0068. CT chest showed an anterior mediastinal mass measuring 4.5 x 6.6 cm. Mass biopsy showed thymoma. Bone marrow biopsy showed 50% cellularity with absence of erythroid and megakaryocyte precursors compatible with AAMT and PRCA. At …

Addition Of Gitr Agonist To A Dark Matter Cancer Vaccine And Anti-Pd-1 Increases Regulatory T Cell Numbers Without Appearing To Impact Therapeutic Efficacy, Rom S. Leidner1, Guo Hui Gan1, Christopher C. Paustian, Shawn M. Jensen

Books, Presentations, Posters, Etc.

Background: DPV-001 is an off-the-shelf cancer vaccine containing tumor associated proteins commonly overexpressed in adenocarcinoma and squamous cell carcinoma. It is enriched for short-lived proteins (SLiPs) and defective ribosomal products (DRiPs), including both canonical and non-canonical (or “dark matter”) antigens —comprising over 100 identified non-canonical microproteins. These antigens are delivered in spectrin-coated microvesicles that contain 5 TLR/ NOD agonists and 15DAMPs/molecular chaperones, and target CLEC9A+ conventional dendritic cells (cDCs). Preclinical models showed enhanced antitumor responses when the murine analog of DPV-001 (DRibbles) was combined with co -stimulatory agonists. Additional studies showed enhanced antitumor responses when co-stimulatory agonists were combined with …

Acute Pancreatitis Outcomes In Native Americans In Northern Arizona, Jin Yun Do1, Afsheen Moshtaghi Do2, Hamza Khan, Md2, Hady Shahbaz Bs2, Yoshinobu Koguchi, Tarsem L. Moudgil, Noah D. Simons, Venkatesh Rajamanickam

Books, Presentations, Posters, Etc.

Background and Aims: Prior studies have shown the impact of racial and ethnic disparities in outcomes of acute pancreatitis (AP). Data remains sparse for Native American populations, who may be uniquely affected by socioeconomic and geographic factors. This retrospective study aimed to evaluate the disproportionate outcomes of AP in Native Americans compared to the general population in Northern Arizona. Methods: A retrospective cohort study of hospitalized patients with AP at two community hospitals in Northern Arizona. A total of 1,113 patients between Jan and Aug 2024 were included, comprising 413 Native American patients and 700 patients of other racial backgrounds. …

Ceftriaxone-Induced Thrombocytopenia: An Atypical Presentation Of A Commonly Used Antibiotic, Matthew Moritz, Omar Pandhair

Books, Presentations, Posters, Etc.

INTRODUCTION: Drug-induced thrombocytopenia (DITP) is rare and impacts roughly ten persons per million people annually (1). Over one-hundred medications have been identified as possible offenders, with immune response occurring within one to two weeks of drug exposure (2). Here we present a case of ceftriaxone as cause of DITP, an extremely rare complication of a commonly used antibiotic. CASE PRESENTATION: A fifty-year-old male with diabetes and depression initially presented after attempted suicide by hanging. He was intubated in the field and admitted directly to the intensive care unit (ICU). He remained in the ICU due to persistent encephalopathy which was …

Gent-Le Dosing: Evaluating The Safety Of Gentamicin At Higher Doses For Late Preterm And Term Neonates, Jason Hector, D. Erin Wilson, Aiyana Ooki-Knutson, Jennifer Conley

Books, Presentations, Posters, Etc.

Abstract: In June 2024, Providence St Joseph Health updated the standard gentamicin dose in the Pediatric and Neonatal Aminoglycoside protocol from 4 mg/kg to 5 mg/kg every 24 hours for late preterm and term neonates. This project aims to evaluate late preterm and term neonatal patients who received gentamicin for empiric sepsis coverage within the first seven days of life, at 4 mg/kg/dose or 5 mg/kg/dose, to assess the safety of the standardized 5 mg/kg dosing for late preterm and term neonates after the protocol change. This study is a multicenter retrospective pre-/post-intervention analysis at a multistate health system spanning …

Puzzling Papules: Uncovering The Etiology Of A Rash In A Returning Traveler, Lisa Stampke, Md, Shahana Baig-Lewis, Md

Books, Presentations, Posters, Etc.

Introduction: There are an estimated 1.8 billion people that travel internationally every year [1]. Approximately 22-64% of those acquire an infectious disease during or after returning home that is not endemic to their home country [1]. This is especially concerning in our current political climate and declining vaccination rates in the United States which places more patients at risk for preventable diseases [2]. These factors present a unique challenge in diagnosing and treating a symptomatic returning traveler. Case Description: A 25-year-old incompletely vaccinated male returned from Kenya after volunteering for 5-weeks in a rural hospital. He was in his usual …

Pulmonary Pseudomyxoma Peritonei, Hannah Kirk, Do, Omar Pandhair

Books, Presentations, Posters, Etc.

Introduction: Pseudomyxoma peritonei (PMP) is an intra -abdominal cancer occurring in one to four out of one million patients. It begins as a mucinous adenocarcinoma of the appendix that implants on other peritoneal surfaces, spreading into gelatinous ascites. Treatment consists of hyperthermic intraperitoneal chemotherapy (HIPEC) and cytoreductive surgery (CRS). Extra -abdominal metastases are rare. We present the case of a patient who underwent treatment for PMP and was found to have lung nodules over a decade later. Case Presentation: A 73 -year -old woman with pseudomyxoma peritonei presented to the emergency department with progressive dyspnea and unintentional weight loss. Twenty …

Supplement Risk, Allison Connor, Bs, Linh Tang Taylor, Md, Jeffrey Youker, Md

Books, Presentations, Posters, Etc.

Introduction: Increasingly, it is the case that patients are using a variety of supplements. About half of American adults use supplements. ¹. The purpose of this case report is to consider the impact of surreptitious supplement use on clinical presentation and under score the value in gathering a robust patient history. Case report: A 58-year-old man with prior history of infective endocarditis (IE) resulting in bioprosthetic aortic valve replacement (2 years prior) presented with worsening left lumbar pain and low-grade fever. He was found to have Methicillin resistant Staphylococcus aureus bacteremia with L4/5 vertebral osteomyelitis and a left psoas abscess. …

Visual Cues And Pharmacy Pathways Improve Hypertension Management In A Resident Clinic, Gage Lemunyan M.D., Cody Paiva, Do, Mari Kai, Md

Books, Presentations, Posters, Etc.

Background: Managing hypertension in ambulatory settings is becoming increasingly challenging, often competing with other visit priorities. “White coat hypertension” remains a key consideration when considering initiating or increasing anti-hypertensives. Blood pressure may be transiently elevated on initial screening and improve on recheck. Problem: In our clinic, only ~55% of patients were at goal, defined as BP < 140/90 at last office visit. • < 50% of patients received serial recheck after identifying an elevated reading. • 43% of same-day rechecks were < 140/90. Aim: Enhance hypertension management using low-cost, easy to implement interventions. Results: Process was examined iteratively, starting with a yellow card that was placed on the door to alert clinicians to the need to recheck blood pressure before discharge. This was continually refined based on staff feedback. Visual cues prompted more frequent rechecks by rooming staff, increasing the rate of those with elevated initial reading who had serial recheck from 48% to 69%, a net increase of 21%. Improvement was seen in clinic-wide blood pressure control, with the percentage of patients with a blood pressure < 140/90 at most recent office visit increasing from 55.7% to 66.6% after 1 year. This represented a net increase of 10.9%. Discussion: Visual cues in the exam room were effective at alerting clinicians for the need for serial BP recheck. These were most-effective when they were “eye catching”. PharmD visits were effective at creating a visit to focus solely on hypertension management, thereby eliminating competing interests that may dominate office visits with their primary care provider. These paired interventions were surprisingly effective at halting clinical inertia and ultimately led to more effective management of hypertension clinic-wide. Team-based EMR messaging was particularly helpful as an adjunct for coordinating timing of blood pressure rechecks. In a residency setting, this can be performed while ‘staffing’ with a faculty physician. Limitations: Current guidelines identify blood pressures >130/80 as hypertensive. This study utilizes 140/90 as a cutoff. Frequency of blood pressure rechecks highly variable based on available support staff. May place strain on support staff when short staffed. PharmD involvement may not be available in every setting

Impacts Of Biodiversity In Short Rotation Woody Crop Production Systems On Water Quality, Nyla C. Jones

Honors Theses

Mitigating agricultural nutrient runoff and improving water quality are key challenges in meeting food and energy demands. To address this challenge, short rotation woody crops (SRWC), specifically Populus deltoides (eastern cottonwood) and its genotypes, can be planted at the interface of riparian areas and agricultural production fields to alleviate fertilizer runoff into adjacent bodies of water. This research employed an experimental design to evaluate the effects of P. deltoides diversity on tree productivity and nutrient uptake, and how it mitigates agricultural runoff. Ion exchange resins were deployed 0.5 meters below the soil surface at three different sites in Mississippi, each …

The Elements Among Us: The Periodic Table Reimagined, Emily Burris

Honors Capstones

Students often view chemistry as “too difficult to understand” or “Impossible to connect with”, we believe this is because of inability to bridge the gap between the elemental world and the physical world. This capstone sought out to answer the question “How can we make the Periodic Table easier to visualize and conceptualize”. We did this using common household items that represent each of the elements therefore taking away the negative stigma placed on the subject at hand. This project brings the Periodic Table to life through a hands-on, two and three-dimensional model using everyday objects to represent the individual …

Nursing Students Sweep Top Awards At Regional Research Conference, Aaron Sanborn

UNH Today Archive

No abstract provided.

Why We Do This Work, Eric F. Spina

President's Blog: From the Heart

The University of Dayton and other American Talent Initiative institutions have opened the doors of education for more than 75,000 high-achieving, lower-income students. That’s an entire football stadium filled with talented young people.

Energy Transitions By Wire? The Spatial Politics Of Transmission Development In New England, Maddy Kroot

Student Publications [Scholarly]

This data set is a corpus of de-identified transcripts from a doctoral research project examining local opposition to two high-voltage transmission lines in northern New England. The corpus includes 41 transcripts from interview participants who consented for their de-identified transcripts to be posted to the Clark Digital Commons. This research was supported by the NSF Human-Environment and Geographical Sciences Doctoral  Dissertation Research Improvement Award (#2400991).