Digital Commons Network^™

Dementia De-Escalation Staff Education Program, Gretchan Edwards

Walden Dissertations and Doctoral Studies

Behavioral and psychological symptoms of dementia (BPSD), including agitation and aggression, present significant challenges in acute care settings and contribute to increased staff injury risk and inconsistent patient care. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of a structured dementia de-escalation education program on staff knowledge, confidence, and perceived ability to manage dementia-related behaviors. The guiding PICOT question asked: In acute care staff, how does participation in a structured de-escalation training program that incorporates environmental modifications and organizational support, compared with no formal de-escalation training, affect staff knowledge, confidence, and perceived impact …

Education To Increase Students’ Knowledge, Perceptions, And Interest In Occupational Therapy, Brooke Hineman

Capstone Projects

In response to the declining program fill rates across all levels of occupational therapy (OT) education, this Doctoral Capstone Experience (DCE) aimed to promote the field through development of informational resources and delivery of educational sessions for high school and undergraduate students. The primary objective was to foster deeper understanding, accurate perceptions, and career interest among participants. A thorough literature review and needs assessment exploring current OT knowledge, promotion efforts, student characteristics, and underrepresented groups revealed a need for intentional education to address gaps in student knowledge regarding the field of OT among all students, especially those without exposure to …

Advocacy, Outreach, And Expansion Of The Michigan Occupational Therapy Association Mental Health Special Interest Section, Isabel Evola

Capstone Projects

The history of occupational therapy (OT) is rooted in supporting mental health, emerging in the United States during World War I. Over time, the practice of OT has evolved in its scope and emerging specialties. The role of OT in mental health is underutilized and misunderstood by professional organizations. However, OT remains a vital service in supporting mental health in psychiatric and non-psychiatric settings. The focus of this doctoral capstone experience (DCE) was to address this gap by advocating for the presence and understanding of OT in mental health through the expansion of the Michigan Occupational Therapy Association (MiOTA) Mental …

Refreshing Recess: An Every Moment Counts Initiative For Engaging Recess Participation, Paige Kuhn

Capstone Projects

Research supports the role of occupational therapy (OT) in school-based mental health promotion and the use of occupation-based interventions to enhance student participation, social-emotional learning, and self-regulation. However, there is limited evidence on the implementation of Every Moment Counts (EMC): Refreshing Recess in elementary school settings, particularly when adapted to real-world contexts. The focus of this doctoral capstone experience (DCE) was to address this gap through the development and implementation of an adapted recess-based program at Douglas Elementary School in Douglas, Michigan.

This project involved implementing a six-week Refreshing Recess program designed to promote inclusive play, peer interaction, and emotional …

Strengthening Leadership And Expanding Engagement: Enhancing Volunteer, Participant, And Donor Involvement In Michigan Victory Games, Abbey Smith

Capstone Projects

This doctoral capstone experience (DCE) addressed organizational development and community engagement within the Michigan Disability Sports Alliance (MiDSA), an adaptive sports nonprofit serving individuals with physical disabilities. The project is relevant to occupational therapy (OT) through its focus on promoting participation, health, and inclusion in meaningful occupations such as sport. A key gap identified was the lack of structured resources to support leadership, inconsistent outreach methods, and limited strategies to reduce barriers for participants, volunteers, and donors.

The objectives of this DCE included developing a centralized data management portal, creating a standardized community outreach presentation, establishing clear board role frameworks, …

Final 2022 Insufficiently Reclaimed Sites Sampling: Bres No. 96 – Washoe Dump Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Our Stories: Black Parents’ Experiences At K-12 Predominantly White Institutions, Jason Thompson

Dissertations

Black parents of Black children attending K–12 predominantly White institutions (PWIs) often experience stress as they navigate school environments where they may be perceived as uninterested, combative, or “token” members of the school community. These deficit-based perceptions can cause Black parents to limit school interactions, question whether their perspectives will be valued, and develop distrust toward school personnel. Although research has examined Black students’ experiences in PWIs, fewer qualitative studies have centered on Black parents’ stories. Capturing these experiences in parents’ own words helps challenge harmful stereotypes and offers schools, especially school counselors, deeper insight into strengthening relationships with Black …

Evaluating The Impact Of Vosoritide On Complications Of Achondroplasia, Ravi Savarirayan, Jacqueline T Hecht, Kala Jayaram, Sheetal Ingole, Anne Dee, Julie Hoover-Fong

Faculty, Staff and Student Publications

Purpose: Impaired endochondral bone growth in people with achondroplasia causes complications that impair function, cause pain, require surgery, and contribute to mortality. Rates of complications in participants with achondroplasia enrolled in clinical trials of vosoritide, a targeted treatment, were analyzed and compared with published natural history (NH) rates.

Methods: Prevalence (medical history + new events post-treatment initiation) and incidence (new/worsening events posttreatment initiation) were calculated for complications across 6 clinical trials (2.5-30 μg/kg/day vosoritide) in children with achondroplasia, stratified by age at treatment initiation (< 5 years/≥5 years). Complication-related procedures and mortality rates were examined.

Results: By August 2024, 230 participants received vosoritide (68 aged < 5 years at treatment initiation [exposure, 289.1 person-years]; 162 aged ≥5 years at treatment initiation [exposure, 834.5 person-years]). Prevalence for most complications was consistent with or lower than NH rates. Incidence of leg malalignment; foramen magnum stenosis; spinal stenosis; kyphosis; lordosis; hydrocephalus; ear, nose, and throat complications; and pain was generally lower than NH rates. Foramen magnum decompression frequency was 3.0% overall (5.9% in participants who initiated treatment aged < 2 years). Crude mortality was lower than NH rates.

Conclusion: Vosoritide was not associated …

Moving From Pico To Ppco, Amy Six-Means

PPCO Resources & Education

No abstract provided.

Appeal No. 1046: David & Kathryn Belknap, Et Al. V. Division Of Oil & Gas Resources Management And Eog Resources, Inc., Ohio Oil & Gas Commission

Ohio Oil & Gas Commission Decisions

Appeal of Chief's Order 2025-123

Appeal No. 1055: City Of Marietta. V. Division Of Oil & Gas Resources Management And Deeprock Disposal Solutions, Llc., Ohio Oil & Gas Commission

Ohio Oil & Gas Commission Decisions

Appeal of Steph #1 Well Permit

Appeal No. 1056: Donna M. Murry V. Division Of Oil & Gas Resources Management, Ohio Oil & Gas Commission

Ohio Oil & Gas Commission Decisions

Appeal of Chief's Orders 2025-276 and 2025-320

Appeal No. 1057: Donna M. Murry V. Division Of Oil & Gas Resources Management, Ohio Oil & Gas Commission

Ohio Oil & Gas Commission Decisions

Appeal of Chief's Orders 2025-276 and 2025-320

Analyzing Label Structure And Regional Similarity In Watershed Data Via Spectral Clustering, Yifan Luo

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

This project focuses on identifying patterns of seasonal transitions and nutrient salt fluctuations within the watershed environment. To capture the complex relationships between multiple sampling sites and environmental variables, we represent the watershed dataset as a weighted graph, where nodes correspond to water samples and edge weights reflect similarity in environmental conditions or nutrient concentrations. Using the Gaussian kernel function, we encode the connectivity structure of this network and quantify how similar different nodes are. We then perform spectral embedding by projecting the high-dimensional graph into a lower-dimensional space using the eigenvectors of the Laplacian matrix. This approach preserves the …

Assessment Of Undergraduate And New Graduate Nursing Confidence In Caring For Actively Dying Patients, Alyssa Boersma

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Undergraduate nursing students and new graduate nurses frequently report feeling underprepared and uncomfortable when caring for actively dying patients. The purpose of this study was to identify potential gaps in the current curriculum and assess what improvements were needed to better prepare students. Dorothea Orem’s Self-Care Deficit Theory highlights the importance of providing holistic and self care needs when patients are not able to do it themselves. A cross-sectional, quality improvement design was utilized. A 17 item Likert-scale survey was administered to investigate the level of confidence that participants have when caring for actively dying patients. Senior level nursing students …

Servant Leadership In Undergraduate Nursing Students: A Concept Analysis, Ellie Bonanni

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Leadership is necessary in the nursing profession and can be cultivated within undergraduate nursing programs. Servant leadership shows great promise as an appropriate leadership model for nurses. The purpose of this study was to complete a concept analysis of servant leadership (SL) and apply it in cases of undergraduate nursing students. The theoretical framework was Greenleaf’s Servant Leadership Model. This study was completed using Walker and Avant’s model of concept analysis, which clarifies the defining attributes, defining characteristics, antecedents, and consequences of a concept. A literature review was performed using CINAHL Plus (Cumulative Index to Nursing and Allied Health Literature) …

The Spirit And The Letter: Performance Practice, Piano Pedagogy, And The Steinway Spirio, Rachel Chia, Jesse Puglia

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Steinway’s Spirio high resolution player piano combines technology and musicmaking in ways that open new possibilities for piano pedagogy. But as of yet, these have not been extensively researched. The present study focuses on how classical piano students can emulate historical style and performance through the practice of embodiment as made possible by the Spirio. Steinway’s iPad app features historically significant video performances of “Steinway Immortals” which are synched to the piano as it replays performances by these musicians, bringing the past to life on the instrument the students are practicing on. To better understand character as expressed in performance, …

Palladium-Catalyzed Coupling Of Aryl Halides To Organometallics From Tertiary Alcohols, Joseph E. D'Amico, Annabelle G. Frederick, Nicholas S. Corey

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

For years, the Suzuki-Miyaura reaction has served as an effective method of coupling various carbon-carbon structures, typically of aryl halides with aryl boronic acids. However, the Suzuki reaction is not without limitations, specifically with ortho-fluorinated aryl and heterocyclic boron compounds. The palladium catalyzed cross coupling reaction of tertiary alcohols with halides has shown potential in succeeding where the Suzuki reaction is limited. This research aims at exploring the extent of effectiveness in the use of tertiary alcohols in palladium catalyzed coupling reactions. Specifically, this work focuses on the change in reactivity depending on the aryl halide used.

Challenging Implicit Racial Bias In Teacher Preparation: A Critical Race Theory Approach Using Counterstories, Delaney Ingbretson, Abigail Den Bleyker

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

This project examines the potential of counterstorytelling as a tool to disrupt implicit racial bias among pre-service teachers during the early stages of teacher preparation. Existing research consistently demonstrates that educators’ implicit attitudes influence expectations, disciplinary decisions, and interpretations of student behavior, often reinforcing racial inequities within educational systems. Because teachers play a critical role in shaping students’ academic achievement and social development, identifying strategies that address bias before educators enter the classroom is especially important.

Grounded in Critical Race Theory (CRT), this study investigates whether exposure to counterstories, narratives authored by people of color that challenge dominant racial ideologies. …

Human Interactions With Artificial Intelligence: A Pilot Study, Kjersten Heinlein

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Emerging research shows that college students increasingly use artificial intelligence (AI) tools in academic and personal contexts; however, little is known about how factors such as computer literacy and digital comfort influence their communication with AI. This pilot study seeks to establish a protocol to investigate the influence that undergraduate students’ digital comfort and computer literacy has on the style, tone, and effectiveness of interactions with AI during socially-oriented tasks. Grounded in Margaret Newman’s Theory of Health as Expanding Consciousness, this work views students’ digital comfort and literacy as evolving factors that expand their awareness and enable more effective interactions …

The “How Many” Routine As A Catalyst For Computational Fluency And Student Participation, Lillian Iden, Ella Williams, Jen Munson, Sarah Larison, Leslie Yuqui

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

It is not uncommon to hear adults claim they are bad at math or always disliked the subject. This negativity often stems from early mathematical experiences which ranged from boring to highly discouraging and embarrassing. Thus a new emphasis in mathematics education recommendations is to change the narrative and help students develop joy, wonder, and curiosity about mathematics (MAISA & GELN, 2023). This is reflected in defining computational fluency (skill in carrying out arithmetic procedures like addition or multiplication) as comprised of flexibility, accuracy, efficiency, and appropriate strategy use (NRC, 2001). The “How Many” Routine, in which a carefully-designed image …

Divergent Paths Towards Belonging: A Comparative Analysis Of Latina/O/E Domestic And International Student Experiences At A Pwi, Sebastian Lema, Rita Kagaju

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

In this study, we examine how undergraduate international students from Latin America and domestic Latina/o/e students experience belonging and inclusion at a Predominantly White Institution (PWI). While existing research highlights systemic barriers and microaggressions faced by domestic Latina/o/e students, we address a critical gap by exploring the distinct challenges faced by international Latin American students. We ask how these groups’ experiences of inclusion, microaggressions, and support systems differ within a PWI context. Using qualitative interviews with 55 students (40 domestic, 15 international), we employed grounded theory to analyze themes such as classroom dynamics, feelings of inclusion/belonging, and institutional support. Our …

Carbohydrate And Caffeine Mouth Rinsing: Effects On Cognitive And Physical Performance In Fatigued Division Iii Women’S Lacrosse Players, Alexa Burgess, Katie Hermann, Lina Rea, Olivia Dieppa

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

BACKGROUND: Carbohydrate mouth rinsing may enhance performance via central nervous system mechanisms; however, the effects of caffeine mouth rinsing on high-intensity intermittent exercise and reaction time remain understudied in female lacrosse athletes, despite the sport’s repeated high-intensity demands and the practical benefits of mouth rinsing to minimize gastrointestinal discomfort. PURPOSE: To examine the effects of carbohydrate and carbohydrate plus caffeine mouth rinsing on repeated sprint and reaction-time performance in female lacrosse players following high-intensity exercise. METHODS: Fourteen collegiate female lacrosse players (age: 19 ± 1.28 yr; height: 167.8 ± 5.6 cm; body mass: 102.9 ± 43.1 kg) completed three randomized, …

Investigations In Bertrand’S Paradox, Mary Moore, Hope Weeda, Annika Cunill Krones

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Bertrand’s paradox is a classic problem that highlights how different notions of randomness can lead to different outcomes, even in a simple geometric setting. It concerns the lengths of chords chosen “at random” in a circle. In this talk, we begin by reviewing the three original methods Bertrand proposed for generating random chords, along with several related distributions that have been studied since. We then turn to a geometric application, examining triangles formed by two random chords that share a common endpoint. By joining the remaining endpoints, we obtain a random triangle and compute the probability that it is acute. …

Correcting Faraday Cup Measurements Using Rutherford Backscattering, Spencer Hughes, A. Bunnell, J. Kim

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Faraday cup is a conductive cup that measures the current of an incident beam of charged particles. Faraday cups are frequently used in particle accelerator-based studies where the beam intensity must be measured. A previous study determined the systematic error in Faraday cup measurements for a 3.4 MeV proton beam using Rutherford scattering at large angles. Our study builds upon this previous work to include six different beam energies ranging from 3.0 MeV to 0.6 MeV and two different incident masses (H and He). A silicon surface barrier detector measured the energy of back-scattered ions from a copper target. The …

Dialects In Narration, Olivia Dunphy, Madeline Ellingson, Alexandra Kroger, Elise Ferguson, Annie Lou Howell, Claire Doty

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

This study examines differences in Spanish dialects among native speakers from various countries, while focusing on pronunciation and the use of local slang. Fifteen native Spanish speakers participated in the study, which was divided into two parts. In the first part, participants told a free-form story to elicit and observe their natural speech. In the second part, they completed two more activities that were structured with specific prompts. All the responses were recorded and then later analyzed to identify dialectal features. The analysis was completed by the researchers, with the help of artificial intelligence, specifically ChatGPT. By comparing linguistics in …

Hope College Abstracts: 25th Annual Celebration Of Undergraduate Research And Creative Activity, Hope College

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

The 25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity was held on April 17, 2026 in the Richard and Helen DeVos Fieldhouse at Hope College and featured student-faculty collaborative research projects. This program is a record reflective of those projects between the 2025-2026 academic year.

Temporal Interference Stimulation Effectively Reduces Parkinsonian Beta Band Activity In A Computational Model Of The Basal Ganglia Network, Anna Stolle

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Parkinson’s disease (PD) is a progressive neurological disorder characterized by degeneration of dopaminergic neurons, leading to impaired motor function and disrupted basal ganglia activity. One of the most effective treatments is deep brain stimulation (DBS), which targets deep brain regions to restore abnormal firing patterns. However, DBS requires invasive surgery to implant electrodes, posing surgical risks and limiting accessibility. This has driven interest in non-invasive alternatives that achieve similar therapeutic outcomes. Transcranial temporal interference stimulation (tTIS) is a non-invasive technique delivering two high-frequency currents through scalp electrodes. These currents overlap to produce a low-frequency "beat" capable of reaching deep structures …

Plastic Purgatory: Investigating The Effects Of Plastic Litter On Water And Organic Content In Topsoil In Holland, Michigan, Kamryn Bice, Annis Cairns, Maddie Devries, Sebastian Lema

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

Plastic accumulation in soils can offer important insights into how human activity affects terrestrial ecosystems. In this study, we examined the relationship between plastic litter and soil quality at several sites across Holland, Michigan to determine whether plastic abundance was associated with changes in soil properties. Soil samples from five different site types – construction, residential, commercial, nature, and a control – were collected over a threeweek period, then analyzed for pH, water contents, total organic carbon (TOC), and plastic abundance through field testing and laboratory methods. The number of plastic pieces ranged from 0 to 27 with the largest …

Transcranial Temporal Interference Stimulation Modulates Spike Timing Of Subthalamic Nucleus Neurons In A Computational Neuron Model, Kimberly Maldonado

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

The established treatment for Parkinson’s disease is deep brain stimulation (DBS), an effective but invasive procedure requiring surgical implantation of electrodes. Transcranial temporal interference stimulation (tTIS) is a novel, noninvasive technique with potential to target deep brain regions. It applies two high-frequency currents with a slight offset through scalp electrodes, producing a low-frequency envelope that may modulate neuronal activity where the fields overlap. The subthalamic nucleus (STN) is the favored DBS target in advanced Parkinson’s disease. While tTIS has been studied in humans, animals, and generic neuron models, no work has examined tTIS on optimized models of STN neurons. We …