Digital Commons Network^™

Improving Nursing Adherence To Chg Bathing And Pivc Maintenance Practices To Reduce Hospital-Onset Bacteremia In An Adult Medical-Surgical Unit, Mohabat Barikzai, Dinazar Altamirano, Edward Rivas, Sarah Trilles

Master's Projects and Capstones

Preventing hospital-onset bacteremia (HOB) is a healthcare priority given its association with increased morbidity, mortality, prolonged hospitalization, and healthcare costs. Literature identifies inconsistent adherence to evidence-based practices for chlorhexidine gluconate (CHG) bathing and peripheral intravenous catheter (PIVC) maintenance as a modifiable risk factor for HOB. This quality improvement (QI) project evaluated whether implementing standardized nurse education, routine compliance audits, and performance feedback would improve adherence to evidence-based CHG bathing and PIVC maintenance practices. The project aimed to achieve at least 90% nursing compliance with HOB prevention practices over an intended 8-week implementation period. A pre-post quality improvement design was implemented …

Improving Pressure Injury Prevention Through Braden Scale Compliance And Education In The Emergency Department, Joycelyn Lee, Kira Simone Faerstain, Alyssa Kristine Ortiz, Ashley Briseida Cruz

Master's Projects and Capstones

Pressure injuries are a major burden in healthcare, particularly in the Emergency Department (ED). Patients can be sedentary for prolonged periods of time and don't always get their skin checked promptly. Patients visiting the ED often have comorbidities and patient-specific medical needs, such as seniors with fragile skin, malnourishment, immobility, etc. At a Southern Los Angeles Hospital, leadership found that there was a need for improvement in this area. Implementing standardized risk assessment methods can help to improve the consistent use of the Braden Scale as a predictive and preventive tool for identifying patients' risk for pressure injuries and promoting …

Nourishing Confidence: Empowering Seniors To Make Healthy Food Choices, Ina Patricia Bangawan

Master's Projects and Capstones

Objective This quality improvement (QI) project evaluated the effectiveness of a 10-week nutrition education program designed to improve nutrition knowledge and confidence in making healthy nutritional choices among independent older adults living in a low-income senior housing community. Aim By August 10, 2026 the goal of this project was to increase average nutrition knowledge and confidence scores related to selecting nutritious foods and preparing healthier meals by 20% among senior housing facility residents. Methods A microsystem assessment and gap analysis, literature review, SWOT analysis, fishbone diagram, and GANTT chart were completed to guide the project development and implementation. Weekly nutrition …

A Dosimetric Comparison Of Halcyon 6x-Fff And Truebeam 6x In Prone Left Whole Breast Radiation Therapy, Maritza Soto, Kelly Labant, M.S., Cmd, Rt(T), Kristen Vu, M.S., Cmd, Rt(T)

Masters Projects

Purpose:

This retrospective study compared dosimetric differences between prone left whole breast radiation (WBRT) treatment plans originally generated for Halcyon using 6X flattening- filter-free (FFF) beams and replanned for a conventional TrueBeam using 6X beams.

Methods:

Ten prone whole left breast treatment plans were paired and retrospectively analyzed. Clinically treated Halcyon 6X flattening filter free plans were replanned on TrueBeam using flattened 6X beams in Eclipse v16.1. Contours for all plans were generated using artificial intelligence-based autosegmentation, reviewed by a medical dosimetrist and radiation oncologist, and forward planned with a tangent technique in EZFluence to achieve identical planning objectives. Dose …

A Middle School Reading Intervention Framework, Ryan Patrick Eder

Masters Projects

Middle school students face increasing literacy demands as they transition from learning to read toward reading to learn content knowledge in science, social studies, and other subjects. However, reading intervention frameworks found in most elementary and middle schools may not fully meet the growing cognitive, academic, and affective needs of middle school students. The purpose of this project is to present a schoolwide reading intervention framework designed for middle school students. Drawing from current research, the proposed framework integrates daily, teacher-assisted intervention and enrichment with data-driven identification of students’ specific literacy growth points using rigorous, grade-level informational texts to provide …

Is Hanpp A Stressor Of Bird Species Richness?, Kaeli Mueller, Gustavo Ovando-Montejo, Christopher Lant

Environment and Society Student Research

One of the leading drivers of biodiversity loss is land use change due to the ever-increasing demand for food, livestock feed, biofiber, and biofuel. The concept of human appropriation of net primary production (HANPP) was developed to measure the impact that humans have on the environment by accounting for biomass removed from the environment in the form of crops, timber, and grazing. The species–energy hypothesis is an established ecological hypothesis postulating that greater species diversity is correlated with higher levels of energy from plant productivity; this can be measured as net primary production minus harvested HANPP or NPP_ecological. …

Enhancing Algae Biofilm Quantity And Value Through Controlled Light Intensity For Treatment Of Municipal Anaerobic Digestor Effluent, Joshua D. Wintch, Ronald C. Sims

Biological Engineering Student Research

Rotating algae biofilm reactors (RABRs) have been shown to remove nutrients from wastewater and to cultivate algae for bioproducts. Another key variable in RABR technology for cultivating microalgae biomass is light intensity. The goal of this study was to address a gap in the design and operation of algae biofilm reactors by analyzing the effects of light intensity on biomass quality and quantity, chemical precipitation of phosphorus, and phosphorus uptake into biomass. This study utilized a triplicate laboratory-scale experiment with PAR intensities from 10 to 2000 µmol m⁻²·s⁻¹. Municipal wastewater anaerobic digester effluent (ADE) was utilized …

Self-State Shifts During Nonsuicidal Self-Injury: Associations With Trauma History And The Functions Of Self-Harm, Katie E. Callahan

Dissertations, 2020-current

Nonsuicidal self-injury (NSSI) is a clinically significant behavior associated with substantial psychological distress and elevated suicide risk. Despite considerable research on the emotional triggers and functional implications of NSSI, the internal relational states activated during self-harm remain poorly understood. This study examined shifts in self-directed relational patterns during NSSI episodes using the Structural Analysis of Social Behavior (SASB) model and Interpersonal Reconstructive Therapy (IRT) theory. A cross-sectional secondary data analysis was conducted with 125 participants who reported current or past NSSI. Residualized change scores were computed to index shifts in self-state between general and NSSI conditions. Measures included the SASB-based …

Fall Risk In Community-Dwelling Adults: A Comparison Of English And Spanish-Speaking Individuals, Jesus D. Gomez

Dissertations, 2020-current

Falls are a leading cause of injury-related mortality among middle-aged and older adults. Although vestibular dysfunction, hearing loss, behavioral factors, and social determinants of health have been associated with increased fall risk, few studies have examined these relationships. Furthermore, limited research in audiology and vestibular science has investigated fall-risk vulnerability among Spanish-speaking individuals.

This study aimed to: (1) estimate the prevalence of fall risk among community-dwelling adults and compare prevalence between English-speaking and Spanish-speaking participants; (2) assess the prevalence of previously undiagnosed benign paroxysmal positional vertigo (BPPV) and compare prevalence between language groups; and (3) develop predictive models of fall …

Performing Methods Of Beethoven’S Violin Concerto In D Major, Op. 61, Third Movement: “Rondo: Allegro”, Zike Qi

Dissertations, 2020-current

This document examines the third movement “Rondo: Allegro” of Violin Concerto in D major, Op. 61 by Ludwig van Beethoven, focusing on how structural relationships in the score are transformed into auditory experience through performance methods. Rather than treating performance as a direct reproduction of the text, this research understands it as a process in which structure becomes perceptible in time.

Combining structural analysis, recording comparison, and self-recording practice, the study interprets the movement within a rondo–sonata framework (A–B–A–C–A–B–A). It demonstrates that the rondo theme assumes different functions—presentation, transition, and development—depending on its structural position.

Through comparison of recordings by …

African American Gold Star Mothers: Race, Black Motherhood, Loyalism And European Superiority In The First World War, Giovanni Nickolette Gibbs

Masters Theses, 2020-current

This thesis examines the US government’s pilgrimages for Gold Star Mothers of the First World War. It focuses on the Jim-Crowing of black Gold Star Mothers. Through the analysis of archival records, letters, telegrams, newspaper articles, poems, and secondary literature, the thesis explores how two domineering forces, the National Association for the Advancement of Colored People and the federal government of the United States of America, captured dissension when seeking to send black Gold Star Mothers on segregated pilgrimages to Europe. The War Department’s announcement that the widows’ pilgrimages to Europe in the 1930s would be segregated caused a great …

Imsa Summer Symposium 2026, Student Inquiry And Reserach Reserach (Sir)

IMSAloquium Event Booklets

For nearly four decades, IMSA has worked to advance the human condition through educational innovation. The Summer Symposium is our annual showcase for the research projects that were conducted in IMSA’s experiential learning programs between May and August. These programs include Student Inquiry and Research (SIR), IN2 Business Internships, and the Student Research and Experiential Learning Opportunity (SRELO) program. For the first time, we are also excited to welcome IMSA Research, Inquiry Skills, and Experimentation (RISE) students to present at the Summer Symposium.

Cover Design

Luke Berryman

Brain Perivascular Macrophages Regulate Endothelial Cell Function Via A Cmaf-Dependent Transcriptional Program In Mouse And Human, Simone Brioschi, Julia A Belk, Steffen E Storck, Yue Wu, Zhuoying Wang, Ziang Feng, Lynn Van Olst, Josie L Emery, Raki Sudan, Junjie Wu, Siling Du, Marco Genua, Federica La Terza, Alex J Edwards, Khai M Nguyen, Jessie Sanford, Daniel D Lee, Mattia Bugatti, Arnold J Federico, Yun Chen, Zuoxu Wang, Silvia Penati, Patrick Fernandes Rodrigues, Alina Ulezko Antonova, Hui Qi Loo, Igor Smirnov, Susan Gilfillan, Carmen M Halabi, Jennifer Ponce, Jun Yan, Howard Y Chang, Gwendalyn J Randolph, William Vermi, Marina Cella, Michael Meers, Renato Ostuni, David Gate, Aivi T Nguyen, Carlos Cruchaga, Song Hu, Jonathan Kipnis, Marco Colonna

The Brown Foundation: Institute of Molecular Medicine

Brain perivascular macrophages maintain brain physiology, yet their transcriptional regulators and functions in health and disease remain unclear. Using single-cell multi-omics and functional experiments, we identify cellular musculoaponeurotic fibrosarcoma oncogene (cMAF) as a key transcription factor for brain perivascular macrophages, and conditional deletion of cMAF disrupts their phenotype in vivo. Functionally, cMAF drives insulin-like growth factor-1 (IGF1) expression in perivascular macrophages, enabling communication with endothelial cells. Consistently, cMAF deletion in perivascular macrophages causes transcriptional alterations in cerebral arteries, affecting vascular functions. Notably, cMAF emerges as the main transcription factor for human perivascular macrophages, suggesting conservation of this transcriptional module. During …

A Case For Color: Reclaiming Beauty In Reformed Worship, Kyle J. Dieleman

Faculty Work Comprehensive List

"For Reformed Christians, reclaiming color in our worship spaces and in our experiences with God reflects God’s own colorful revelation in the Bible and can awaken us to awe and wonder at the glorious works of our Creator God."

Posting about how color is God's design in In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

A Case for Color: Reclaiming Beauty in Reformed Worship

In The Loop: Delivering Consistent, Compassionate Communication At Every Step Of The Ed Journey, Karina Basilio

Master's Projects and Capstones

Objective: Nearly 70% of patients in the emergency department (ED) at Hospital X are never roomed and instead wait in the main waiting area for evaluation, results, or disposition. Frequently, without structured updates on their plan of care, expected wait time, or next steps. This communication gap leaves patients feeling forgotten and disengaged from their own care. It is associated nationally with lower satisfaction, increased anxiety, and higher rates of patients leaving without being seen. Context: Hospital X is a mid-sized, community-based acute-care hospital in the Bay Area, California, serving a diverse patient population, with an ED that …

Cultural Tailoring Of Digital Nutrition Interventions: A Scoping Review Of Adaptation Strategies, Evaluation Methods, And Evidence Gaps, Wendy Liang

Master's Projects and Capstones

Background: Nutrition-related chronic diseases disproportionately affect culturally diverse populations, highlighting the need for effective and equitable interventions. Digital nutrition interventions have expanded rapidly due to their accessibility; however, the extent to which they incorporate and evaluate cultural tailoring remains unclear.

Research aim: This scoping review maps the existing evidence on culturally tailored digital nutrition interventions, describes cultural adaptation strategies used, examines methods used to evaluate cultural appropriateness, and identifies gaps for future research and public health practice.

Methods: A scoping review was conducted following the PRISMA-ScR guidelines.

Findings: Culturally tailored digital nutrition interventions generally improved participant engagement, acceptability, and dietary …

Infographic: The Lasting Impact Of Teachers, Dominique Russell

Teacher infographics

A national survey in the UK has looked into the long-lasting effects teachers have beyond the classroom. Adult respondents were asked about the qualities teachers have helped them carry into adult life, and their view of the profession.

Behavior Of Magnetic Reconnection In The Relativistic Regime Under The Presence Of Shear Flows And Guide Field, Sarah Peery

Dartmouth College Ph.D Dissertations

Magnetic Reconnection is a ubiquitous phenomenon in plasma, where magnetic energy is released into plasma thermal and kinetic energy through the rearrangement of magnetic topology. In this study we derive fluid scaling models to predict the steady state and onset behavior of magnetic reconnection in the highly magnetized (relativistic) regime, in the presence of plasma shear flows and a (out-of-plane) guide field. We use 2.5D kinetic particle-in-cell simulations to motivate and validate these models. We find that, similar to the non-relativistic regime, shear flows parallel to the reconnecting magnetic field will delay reconnection onset and slow outflow jets. They can …

Building Fluent Readers: Developing Comprehensive Reading Fluency In K-2 Classrooms, Erika Yersak

Masters Projects

Despite extensive research establishing reading fluency as essential to literacy development, many early elementary students fail to achieve grade-level fluency, compromising their reading comprehension and academic success.  Fluency instruction has been narrowed to measuring reading speed, dismissed beyond third grade, and taught as an isolated skill disconnected from authentic reading across content areas.  While research demonstrates that fluency encompasses accuracy, automaticity, and prosody and should be integrated meaningfully across disciplines, many K-2 teachers lack practical resources and guidance for implementing comprehensive fluency instruction in their classrooms.

To address this gap, this project presents a research-based fluency integration guidebook for K-2 …

Establishing Partnerships Between Families, Schools, And Communities To Support Family Involvement In Literacy Education, Matraca Bourdo

Masters Projects

As the percentage of fourth grade students reading at a proficient level continues to decline, schools are seeking effective ways to improve literacy education and student achievement. Research emphasizes the importance of early literacy development in supporting academic success and lifelong learning. However, not all families have the same background knowledge of literacy skills and how to develop them with their children. Partnerships between schools, families, and communities can provide the support and resources needed while working toward the goal of improving student achievement.

The purpose of this project is to implement a team that partners with families to educate …

Teaching Phonics And Phonemic Awareness To Grow Reading, Brianna N. Wildey

Masters Projects

Research has revealed important information about students reading proficiently, yet most students in public schools throughout the country are reading below their grade level. As proficient readers, early elementary students need to know how to read the words on the page and understand what they mean. Students cannot read for knowledge or fun if they don’t know what the words are on the page. Two theoretical frameworks have informed this project to improve student reading. One is Orthographic Mapping Theory and the other is Alphabetic Phase Theory. This project explores the background of teaching reading, both past and present. Students …

Building Culturally Informed Classrooms Through Professional Learning, Samantha Grimm

Masters Projects

Black Americans remain disadvantaged within today’s current education system. Teachers are not always equipped with equitable resources and teaching practices to effectively teach literacy to historically marginalized groups, where cultural differences are complex. When teachers utilize a culturally informed pedagogy that values students’ cultural identities, personal and academic achievement are enhanced. Culturally informed instruction builds upon previous research by Gloria Ladson-Billings, Geneva Gay, and Gholdy Muhammad. This project is designed to support teachers when working alongside culturally diverse students. The resources created in this project are intended to create positive and equitable learning experiences for Black students. These students deserve …

3338 Fish Ave Llc V. Malcolm

All Decisions

Tenant, who had been self-represented when she stipulated to a final judgment of possession, moved to vacate the stipulation on the ground that she unknowingly waived a complete defense—landlord's failure to plead the applicability of the Good Cause Eviction Law as required for proceedings filed after April 20, 2024. The court granted the motion, finding the stipulation was entered into inadvisedly, and vacated both the stipulation and the judgment and warrant of eviction.

Helal V. Mclawrence

All Decisions

Tenant moved to extend the time to vacate an unregulated apartment after failing to locate alternative housing despite holding a CityFHEPS voucher. The court denied the motion, holding that RPAPL § 753 and CPLR § 2201 do not authorize further delay where the parties—each represented by counsel—entered into a clear, final stipulation of settlement after full litigation, and that courts must enforce such stipulations with rigor.

Cultivating Civility: A Multicomponent Approach To Reducing Workplace Incivility In An Assisted Living Facility, Sanam Bral, Kaylyn Chang, Catherine Dinh, Sanjil Kumar, Truc Mai Moon

Master's Projects and Capstones

Workplace incivility remains a common challenge in healthcare, negatively affecting communication, staff well-being, and the quality and safety of resident care. Baseline survey findings from a faith-based assisted living facility in Southern California identified concerns related to workplace incivility, psychological safety, and gaps in staff knowledge of available reporting resources. This project aimed to reduce workplace incivility by improving staff knowledge and recognition of uncivil behaviors, with a target of at least 90% staff training attendance among nursing, assistive nursing, and medical technicians, and 80% attendee-reported high confidence level (agree or strongly agree) in recognizing incivility and understanding reporting options. …

Breaking The Silence: Standardizing Routine Intimate Partner Violence Screening At A Community Clinic Serving The Latinx Community, Victoria M. Hall

Master's Projects and Capstones

Intimate partner violence (IPV) affects the Latinx population disproportionately due to socioeconomic status, cultural stigma, and language barriers. However, routine screening remains inconsistent and unstandardized at a local community clinic in San Francisco’s Mission District, despite evidence-based practices recommending it. The gap in IPV screenings across the Adult, Teens, and Women’s clinics resulted in only 1.6% of patients being screened in July 2025 and 4.1% in June 2026. This quality improvement project aimed to address low screening rates by standardizing IPV screening through a printed bilingual screener, a 60-minute staff in-service on IPV and the new screening protocol, and by …

The Parkinson's Pathway: Enhancing Knowledge And Care Management In Skilled Nursing, Kaitlyn Chau

Master's Projects and Capstones

Parkinson’s disease (PD) is commonly diagnosed among the older population, contributing to high utilization of skilled nursing facility (SNF) services. Objective: SNF A’s current onboarding and training program for staff discussed general geriatric topics but failed to include structured PD-specific education. This may lead to gaps in competence, confidence, and workflow related to PD care and management, resulting in low quality of patient care, poor health outcomes, and decreased safety and satisfaction. Aim: The project aimed to establish and incorporate a structured PD-specialized education program within a SNF located in Northern California, to increase employees’ self-reported confidence, competence, …

Beyond The Tremor: Building Interdisciplinary Confidence In Parkinson's Disease Management Through Structured Education, Roya Oreo

Master's Projects and Capstones

Abstract

Objective: Parkinson’s Disease (PD) is a neurodegenerative disease that is commonly seen in skilled nursing facilities (SNF). Gaps in knowledge among clinical staff regarding PD-specific care have resulted in negative outcomes such as delayed medication administration, unmet activities of daily living (ADL) needs, restricted mobility, and dissatisfaction with care from residents and family members. At a 55-bed SNF in Northern California, clinical staff self-reported 60% confidence in their ability to care for and manage residents with PD. This reflects a need for structured, evidence-based education, specific to Parkinson’s Disease. Aim: This quality improvement (QI) project aimed to increase the …

Steady Steps: Building Confidence In Parkinson’S Disease Care, Jerlyn T. Nicdao

Master's Projects and Capstones

Parkinson’s disease is a movement disorder that greatly impacts one’s quality of life due to its worsening progression and impact on cognitive and physical functions. Objective: The purpose of this quality improvement project is to strengthen staff confidence and competence in caring for residents with Parkinson’s disease (PD) living in a skilled nursing facility. Aim: Clinical nurse leader (CNL) students aim to increase staff confidence and competence in PD care from 60% to 75% over a six-week period, from June 18, 2026, to July 30, 2026. Method: A total of thirteen interdisciplinary staff members (e.g. registered nurses, licensed vocational nurses, …

When Policy Meets Public Distrust: A Social Network Analysis On Indonesia's Mbg Program, Rizky Fauziah, Rehia Karenina Isabella Barus, Ressi Dwiana

JURNAL KOMUNIKASI INDONESIA

The Indonesian government program Free Nutritious Meal, locally abbreviated as MBG, launched in early 2025, has generated significant public controversy. Data from the Institute for Development of Economics and Finance (INDEF) indicate that, as of August 2025, approximately 4,000 students across Indonesia had reportedly suffered food poisoning associated with the program. This situation has fueled widespread public concern and contributed to declining trust in government. This study aims to analyze communication networks surrounding the MBG on the social media platform X. This study draws on Trust and Distrust Theory and employs a Social Network Analysis (SNA) approach to examine how …