Digital Commons Network^™

Differences In Rational And Relational Autonomy During End-Of-Life Care, Michael Balce, Mark C. Navin, Abram Brummett, Jason Wasserman

Posters

Within biomedical ethics, the principle of autonomy focuses on a patient’s right to make choices about his or her medical decisions and care. Along these lines, patients can then make decisions based on their own beliefs, attitudes, and customs, which is referred to as rational autonomy. However, shared-decision making is often more complicated than this, and patients often desire input from their spouse, family, and other trusted individuals, which is termed relational autonomy. These two concepts of autonomy drive different approaches to an individual’s perceptions and choices regarding medical-decision making during the end of one’s life.

The Ethics Of Medical Interventions Against Parental Consent, Corey Carney, Mark C. Navin, Jason Wasserman, Abram Brummett, Kaitlyn Hanson

Posters

Between an adult patient and physician they are the only two people that have a say in the patient’s medical treatment with the patient having the final say. In pediatrics, there is a patient, parent, and physician which adds a third party that is a proxy decision maker for the child but lacks absolute authority over the child’s treatment. The goal of this study is to give a sense of the diversity of the pediatric ethics literature regarding parent/physician disagreements and to address ambiguities about pediatric interventions.

Conceptualization Of Intervention In Pediatrics Systematic Review, Kaitlyn Hansen, Mark C. Navin, Jason Wasserman, Stephanie Swanberg

Posters

Navigating when to intervene against parents’ wishes is a difficult task in pediatrics. Different frameworks have been proposed, but disagreements remain. One problem debated about in pediatric intervention principles often refer to different kinds of interventions (e.g. calling Child Protective Services, consulting the Ethics Committee). This project reports results of a critical scoping review of recent bioethics literature about the concept of pediatric intervention principles.

Analyzing Medical Student Call To Action Letters Following 2020 Black Lives Matter Protests, Nick Mcmillen, Jason A. Wasserman

Posters

The Flexner Report, written in 1910, may have revolutionized medical education, but it also recommended and led to the closure of all but two Black medical schools. While recent decades have lead to increased attention to diversity and inclusion, representation of historically marginalized groups among students and faculty has been slow to materialize.

Black Lives Matter protests encouraged a national dialogue over the need for more effective DEI initiatives and increased antiracist material in medical school curricula. Organizations such as White Coats 4 Black Lives developed “Call to Action” letters to medical school administrations across the country.

'Best Interest' In Clinical Medicine: A Critical Scoping Review, Joshua R. Jones, Saketh Akula, Jason Wasserman, Mark Navin

Posters

The Best Interest Standard (BIS) has been a much-debated guidance principle in clinical ethics with ambiguous definition and application. In this study we focus on the conceptions of best interests that differ according to which kinds of interests are included. While there is wide agreement that ‘best interests’ include the physiological welfare of a patient, there is still substantial disagreement about which other interests are included in wider accounts of welfare, the balancing of those other interests, and whether interests are objective or subjective.

Conceptualization Of Effective Surrogate Decision Making, Zachary Armstrong, Michael Bourgoin, Abram Brummett, Jason Wasserman, Mark C. Navin, Stephanie Swanberg

Posters

Surrogate decision making is a key component in the hierarchy of medical decisions, whereby an assigned individual makes choices on behalf of a patient incapable of making the decision themselves. Although this is common in healthcare, there are still many questions about best surrogate practices and ethical credibility. This capstone project aspires to map these concepts and discuss issues related to the current landscape of surrogate decision making with regards to medical ethics through the use of a systematic literature review.

Interdisciplinary Approaches To Pediatric Aquatic-Based And Land-Based Therapy, Danielle E. Scheck

Occupational Therapy Capstone Presentations

With various injuries, diseases, and conditions continuing to grow and expand with our rising population size, so does the need for therapeutic intervention. To assist in the rehabilitation process, aquatic therapy may be used by multiple healthcare professionals to best benefit their clients through the aquatic medium's unique hydrodynamic and hydrostatic qualities. The aquatic medium is particularly beneficial to the pediatric population as water is usually naturally motivating and "fun." Occupational and physical therapists are among the professionals qualified to perform "aquatic-based" therapy in addition to or in place of more traditional "land-based" therapy. This project aims to expand on …

Restoring Identity For The Homeless: Exploring Occupational Therapy Services For Unhoused Populations, Christina E. Geistfeld

Occupational Therapy Capstone Presentations

Individuals experiencing homelessness face many occupational and social barriers that limit the ability to participate in meaningful daily living activities, impacting the overall identity of individuals within this population. Occupational therapy services have been explored but there is a continued need to expand and advocate for the effect of occupational therapy in meeting the population’s needs and ultimately aim to reduce homelessness rates. This capstone project sought to explore service delivery for individuals at the Stephen Center in Omaha, Nebraska who are experiencing homelessness, providing increased advocacy efforts along with continuing to explore clinical skill development to best serve the …

Individual Research Consultations And Undergraduate Social Work Students: Understanding Feelings, Thoughts, And Actions During The Information Search Process, Patrick Leeport

Education Doctorate Dissertations

The purpose of this qualitative case study is to build an understanding of the impact of individual research consultations (IRCs) on upper-level undergraduate social work students’ feelings, thoughts, and actions during the information search process. The purpose and research questions of this study were guided by Kuhlthau’s Information Search Process framework (Kuhlthau, 2004). Seven student participants were sampled from a social work research seminar course at a regional university in northern Minnesota. The information search processes of participants were recorded before and after an IRC with a liaison librarian, using screencast videography (SCV) methods. SCV methods involved having participants share …

Co-Teaching For English Learners, Fabiola Addink

Master of Education Program Theses

This action research study investigated the effects of a co-teaching model on English learners’ academic performance and confidence levels in the general education classroom in a public middle school in Northwest Iowa. The research participants were five seventh-grade English learners with varying English proficiency levels. Students completed a survey before and after a co-teaching model was implemented to determine their confidence level in a general education social studies classroom. Using data from content and cognitive skill rubrics, a comparison of growth was made between a semester without a co-teaching model and a second semester with a co-teaching model. Findings of …

Adversarial Deep Learning And Security With A Hardware Perspective, Joseph Clements

All Dissertations

Adversarial deep learning is the field of study which analyzes deep learning in the presence of adversarial entities. This entails understanding the capabilities, objectives, and attack scenarios available to the adversary to develop defensive mechanisms and avenues of robustness available to the benign parties. Understanding this facet of deep learning helps us improve the safety of the deep learning systems against external threats from adversaries. However, of equal importance, this perspective also helps the industry understand and respond to critical failures in the technology. The expectation of future success has driven significant interest in developing this technology broadly. Adversarial deep …

Why Indiana Harbor Is The Worst Torts Decision In American History

Connecticut Law Review

Judge Richard A. Posner’s opinion for the Seventh Circuit in Indiana Harbor Belt Railroad Co. v. American Cyanamid Co., concerning a spill of the hazardous chemical acrylonitrile at a railyard near Chicago, is considered the definitive statement on the abnormally dangerous activity doctrine. That doctrine (also known as the ultrahazardous activity doctrine) holds that one who engages in an abnormally dangerous activity is strictly liable for harm caused to others, regardless of negligence. However, Judge Posner’s opinion suggests that strict liability should rarely displace the negligence standard, even for commercial activities that externalize high degrees of risk. That approach leads …

Implementing A Prescreening Process To Fully Assess Risk Factors And Outcomes Associated With Obesity And Hepatic Steatosis To Prevent Cirrhosis, Shana Broussard, Jennifer Eaglebarger

Doctoral Projects

Fatty liver disease can be treated if is identified in the initial stages of the disease. Once the disease progresses to fibrosis and/or cirrhosis, there is irreversible damage. The leading cause of non-alcoholic fatty liver disease is obesity. Obesity has reached epidemic proportions, with most obese individuals not fully cognizant of the repercussions of prolonged obesity. Other risk factors for fatty liver disease are uncontrolled diabetes mellitus, hyperlipidemia, and hypertension. Certain medications can also increase the risk of fatty liver disease. Currently, there is no prescreening tool to identify patients who are at risk for fatty liver disease. The researchers …

Mitochondrial Roles In Developmentally Programmed Heart Disease, Eli John Louwagie

Dissertations and Theses

Offspring of diabetic and obese mothers (ODOM) have greater risks of heart disease at birth and later in life. However, prevention is hindered because underlying mechanisms are poorly understood. Mounting studies in the Developmental Origins of Health and Disease field suggest that mitochondria play key roles in developmentally programmed heart disease similar to the roles they play in cardiomyopathy in adults with diabetes and obesity. However, whether mitochondria are responsible for the short[1]and long-term cardiac disease seen in ODOM remains unknown. Here, we sought to delineate the roles of mitochondria in the hearts of ODOM, determine whether mitochondria are playing …

A Walk-Through Corruption On Wall Street, Allison Ciocan

Finance Undergraduate Honors Theses

Wall Street is viewed as the center of global finance. Although surrounded by a vast amount of popularity, Wall Street has had its fair share of unethical scandals. Despite numerous rules and regulations existing with the hopes of suppressing unethical behavior, multiple infamous individuals and companies have discovered ways around these rules which have led to detrimental effects on consumers, employees, companies, and the economy as a whole. Often, corruption can be traced back to one of three reasons. First, the individuals that are employed at big firms could lack morals and good character, which affects overall company culture. Second, …

An Analysis Of The Housing Affordability Crisis: Private Equity Or Legislation Issue, Jack Polk

Finance Undergraduate Honors Theses

The aim of this thesis is to explore the claim that private equity investment is the cause of the modern unaffordability in the single family housing market. Through empirical study and historical research we found that the footprint of institutional investors in this space is insignificant. However, legislative errors which have artificially inflated demand and suppressed supply over the past decade have greatly contributed to the crisis and must be corrected for the long term health of the housing space. These corrections will focus primarily in the alleviation of supply pressures for new development and the continuation of the low …

How The Finance Industry Is Shaped By Technology – A Corporate Experience, Max Pabin

Finance Undergraduate Honors Theses

For this paper, I want to analyze how new technology affects the financial industry for individual clients. My internship at Fidelity Investments provided me with a back-end view of the technology used for clients, while my Chase experience has provided me with an in-depth view of how clients use technology daily. I believe that the financial services industry is being taken over by new technology. This has created a new experience for customers that has made it easier for them to bank, apply for credit, and invest their money. I find this subject to be very interesting as someone who …

Internship Experience At Accenture, Drew Keatts

Finance Undergraduate Honors Theses

This paper discusses my internship experience at Accenture and all of the things I learned from it. I worked out of Dallas, Texas, and it was a 10-week internship. Some of the things I discuss include financial management, financial analysis, profit margins, and professionalism. I cannot express how amazing this experience was and I am so grateful to have had the opportunity to work for Accenture. I hope you enjoy my experience and the key takeaways I had from it.

Company Provided Retirement Plans: Key Distinctions And Impacts For Employers And Employees, Ashley Valentine

Finance Undergraduate Honors Theses

Employee retirement plans vary from company to company as a result of organizational goals to attract and retain employees and drive overall company performance. This thesis will explore the differences between key retirement plans offered in the United States, including 401(k) plans, pension plans, Employee Stock Ownership Plans (ESOP), and profit-sharing. By understanding and evaluating each, a company can determine the ideal structure of retirement plans for the benefits of both their employees and the company’s growth. This review will provide insights on the financial and productivity benefits to employees and employers from offering each of the various retirement options. …

Assessing The Impact Of Impact Investing: Practices, Challenges, And Opportunities Towards The Standardization Of Impact Assessment Mechanisms, Taylor Poe

Finance Undergraduate Honors Theses

This research project focuses on gathering information on which impact measurement mechanisms are currently used in the impact investing industry, and how these mechanisms are standardized across various firms, geographic locations, and fund types. The overarching goal of the study is to provide an assessment of the impact investing industry and the use of standardized impact assessment practices. The specific goal of this research study is to collect and present information on the current state of impact measurement standardization. Research is separated into three large components: interviews with industry leaders, findings from social finance conferences, and research of scholarly sources. …

"The Intersection Of Healthcare And Technology: Reflections And Impact From My Netsmart Internship”, Jacob Anderson

Finance Undergraduate Honors Theses

Internships provide valuable opportunities for students to gain hands-on experience in their field of study. As a Solution Delivery Analyst intern at Netsmart, a healthcare technology company, I had the opportunity to work in the human services and post-acute care sector. During my internship, I shadowed the development and implementation of innovative technology solutions aimed at improving patient outcomes and increasing efficiency in healthcare delivery. I will provide a comprehensive overview of my internship experience as a Solution Delivery Analyst at Netsmart. I will discuss a project and tasks that I worked on during my internship, including learning about software …

Does Cultural Immersion Around The World Create Stronger Students? A Study Of The Benefits Of Studying Abroad On Students’ Mental Health And Wellbeing., Hanna Lynn Strombom

Finance Undergraduate Honors Theses

Mental illnesses have been increasing throughout the population of the United States. College-aged students are being affected by mental illnesses at alarming rates. This is a pivotal age range for people as they transition towards more adult responsibilities. Universities provide its students a lot of opportunities to prepare them for the real-world. One of these opportunities that has become popular amongst students is studying abroad. This research focuses on the effects of study abroad on students’ mental health and wellbeing. 104 students from the summer 2022 CIMBA study abroad program participated in this study. This set of respondents encompassed ten …

Cost Of Capitol: Analyzing Congressional Insider Trading Regulation, Hannah Levy

Finance Undergraduate Honors Theses

The United States Congress has involved itself with the financial regulation of big business for decades. The legislative body has passed a multitude of laws over time which foster greater transparency and trust between individual investors and big business. Until recently, legislators have avoided passing laws which regulate their own financial activity. Recent investigations revealing that dozens of federal lawmakers have violated financial disclosure laws and made stock trades on insider information has successfully angered the public and forced Congress to consider tighter restrictions. But can Americans trust their legislators to effectively regulate themselves? If no legislative action is taken, …

Nexus, A Software As A Service Business Plan, David Ator

Finance Undergraduate Honors Theses

Nexus is a Software as a Service company, focused on offering a more cohesive technology experience for businesses. Typically integration is an afterthought, leaving sensitive or strategically valuable data siloed and underutilized. Nexus plans to change that by integrating everything into a central database.

Effect Of Soy Co-Products In Supplements For Grazing Cattle On Growth, Complete Blood Cell Counts, And Physiological Response Following A Lipopolysaccharide Challenge, Bralee Lansdell

Biological Sciences Undergraduate Honors Theses

The objective of this study was to determine the effect of soy co-products (soybean meal and soy oil) in the diet on the growth and hemocytology of cattle during a 56-day growing phase and the physiological/behavioral response to an endotoxin challenge. Angus crossbred steers (n = 36; 289 ± 31 kg, initial body weight ± SD) were stratified by body weight and sire; and assigned randomly to pastures (n = 9; 0.45 ha/mixed-grass pasture). Pastures were assigned randomly to 1 of 3 dietary treatments: 1) a control supplement containing no soy co-products, 2) a supplement containing soybean meal, or 3) …

Early Life Stress Predicts Future Conduct Disorder In Adolescents, Savannah Ellis

Biological Sciences Undergraduate Honors Theses

Early Life Stress (ELS) and adversity increase people’s risk for developing mental, social, or emotional dysregulation and disorders later in life. The objective of this study was to test whether ELS in adolescents could prospectively predict future conduct disorder. The study additionally tested potential neural mediators of the effect of ELS on future conduct disorder, and specifically targeted the structural connections from the anterior insula and medial prefrontal cortex to the Nucleus Accumbens (NAcc). Data for the project came from the Adolescent Brain Cognitive Development Study (ABCD study), which is a longitudinal multi-site consortium funded by the National Institutes of …

Sex Differences In Host Resistance And Tolerance To The Common Avian Pathogen Mycoplasma Gallisepticum, Chloe Connelly

Biological Sciences Undergraduate Honors Theses

As we face the threat of global pandemics, one thing becomes clear: biological research is not just about the pursuit of the unknown, but about protecting our future. Understanding disease transmission and predicting pathogen epidemics is more important than ever. Prior studies have indicated that in populations where one sex engages in more social behaviors and movement that sex may drive disease transmission. This supports sex as a factor to consider in the study of epidemic dynamics. Host physiology and immune strategies are another factor that can influence epidemics. Two commonly examined strategies are tolerance and resistance. Tolerance is the …

The Impact Of A Carbon Tax On Emissions, Jessica Creech

Industrial Engineering Undergraduate Honors Theses

A carbon tax is an economic policy that aims to reduce various emissions to serve the protection of the environment. Versions of this policy have been implemented in multiple countries across the world to introduce a cost for contributing to environmental damage. Since climate change is prevalent in today’s world, finding an effective method to reduce emissions is essential. However, many countries hesitate to utilize a carbon tax for two reasons. First, they are unsure if the carbon tax is effective at reducing emissions. Second, there is a concern that the implementation of such a tax will be detrimental to …

Oh Tibia Nursing Student, Megan A. Schmit

Honors Capstones

For my nursing school capstone, I chose to create a TikTok that was based over the Pediatrics class content. My TikTok account is called oh.tibia.nurse and it was made to help nursing students like myself review content on a streaming app

Smartphone-Based Fundus Imaging For Evaluation Of Retinopathy Of Prematurity In A Low-Income Country: A Pilot Study, Roha Ahmad Choudhary, Shiraz Hashmi, Haroon Tayyab

Department of Ophthalmology & Visual Sciences

Objectives: To evaluate the feasibility of a novel and simple smart phone-based Retinopathy of Prematurity (ROP) screening approach in a resource-constrained setting.
Methods: This cross-sectional validation study was conducted at the Department of Ophthalmology and Neonatal Intensive Care Unit (NICU) of The Aga Khan University Hospital, Pakistan, from January 2022 to April 2022. A total of 63 images of eyes with active ROP (stage-1, 2, 3, 4 and/or plus or pre-plus disease) were included in this study. The stage of ROP was documented by the principal investigator using an indirect ophthalmoscope and retinal images were obtained using this novel technique. …