Digital Commons Network^™

Methadone For Critically Ill Patients Under Mechanical Ventilation In The Intensive Care Unit: A Systematic Review, Sérgio Martins Pereira, Megan Abbott, João Francisco Figueiredo Marcondes Ferraz, Akash Goel, Andrea Rigamonti, Charmaine De Castro, Lisa Burry, Airton Leonardo De Oliveira Manoel, Michael Chaim Sklar

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Pain may pose significant challenges in the intensive care unit, especially in mechanically ventilated patients. Methadone has recently emerged as an alternative option for eliciting acute analgesia. In this systematic review, we evaluated the use of methadone in mechanically ventilated patients in the intensive care unit.

Source: We searched MEDLINE, EMBASE, Wiley's Cochrane Library, CINAHL, PubMed (non-MEDLINE), Scopus, and LILACS databases from inception to January 24th, 2025. Eligible studies included randomized controlled trials and observational studies that compared the use of methadone to the standard of care or to other analgosedation strategies in mechanically ventilated patients in the intensive …

Perceptions And Treatment Decisions For A Drug Offender Based On Social Class, Cocaine Type, Personal Characteristics, And Compassionate Love: A Vignette Study, Yasmin A. Odeh

Theses and Dissertations

Problem: The shift from a focus on rehabilitation to the more punitive, “tough on crime” approach to illegal behavior in the U.S. has been enacted in no small way by policies connected to the use and abuse of drugs. The disparities between crack and powder cocaine—two chemically similar substances—have headlined this shift (Vagins and McCurdy 2006). However, research is scarce on laypeople’s approval of deterrence approaches for drug offenses, including as a function of types (e.g., powder vs. cocaine possession). This study examined people’s perceptions of prosecutorial decisions for drug offenders—whether they are punished, rehabilitated, or both—and whether people perceived …

Principals And The Careless Erosion Of Employment Standards In The Context Of School Autonomy And Marketisation: A Case Study Of School Support Staff, Brad Gobby, Jill Blackmore, Scott Eacott, Amanda Keddie, Katrina Macdonald, Richard Niesche, Jane Wilkinson

Research outputs 2022 to 2026

Devolved governance, school autonomy and marketisation impact the employment practices of schools and the working conditions of teachers. However, the employment-related effects on school services staff are under-researched. This study draws on data from interviews with staff at one public high school to analyse school services staff experience of school autonomy and the employment practices of principals in the context of competitive education markets. This case study illustrates how a principal's management of employment and labour relations in a school experiencing declining enrolments and reduced resources impacted the labour and working conditions of school services staff. We argue that the …

A Call To Action For Transport Justice: Exploring Transportation Disadvantages Faced By Justice-Impacted Individuals Reintegrating Into Rural Communities, Tarnika Edmunds

Master of Urban and Regional Planning Capstone Projects

This study explores the intersection of rural reentry and transportation planning, emphasizing the importance of Transport Justice in overcoming barriers faced by transit-dependent populations, particularly formerly incarcerated individuals. While urban transportation planning is widely discussed, this research highlights the overlooked challenges that rural environments pose for individuals reentering society. Through a multi-method approach that involved document analysis, participant observations, and informal discussions, this study uncovers a range of themes related to accessibility, reliability, vulnerability, and the quality of commuting experiences. The findings underline the necessity for transparency, accountability, and collaboration across sectors to address these gaps and inform policies that …

Implementation Of Standard Operating Procedures 'Cold Kitchen' In Food Storage Process At Hotel Indonesia Kempinski Jakarta, Alya Kamilianada

Journal of Indonesian Tourism and Policy Studies

The background of this study was conducted to find out how a kitchen must have SOP (Standard Operating Procedure), because the kitchen is very influential in supporting food management operations at Cold Kitchen Hotel Indonesia Kempinski Jakarta and to find out the system of storage procedures for perishable food ingredients has an important role as the main raw material in making types of menus in cold kitchens as a provider of various types of fruits and vegetables. The problem formulation consists of: (1) How to strive for the implementation of SOP (Standard Operating Procedures) in the process of storing foodstuffs …

Legislating Trans Lives: An Archival Analysis On Trans Canadian Rights, Charlie E. C. Davis

Theses and Dissertations (Comprehensive)

Previous research has outlined trans histories within the United States and Europe, illustrating historic transphobia, oppression and the origins of gender identity clinics. This type of historical literature is limited in the Canadian context, with more contemporary research demonstrating that trans people experience significant barriers to accessing healthcare, aversive health outcomes, and high rates of discrimination. Trans activists and advocates have always been and continue to resist these oppressive systems and have worked to improve the social and physical wellbeing of trans people in Canada. Utilizing archival data of trans activism and community mobilizing, I sought to address the gap …

Nontraditional Students Enrolling In Online Education: Assessing Outcomes And Barriers To Success, Kua Vang

Master's Projects

Online education has significantly reshaped how colleges and universities define and evaluate academic achievement. In March 2020 during the height of the Covid-19 pandemic, the U.S. government enforced social distancing regulations that affected operational continuity for higher education institutions. The need to transition from traditional classroom instruction to online was unavoidable. Institutions were not prepared, however, and their shortcomings in providing high-quality online learning for students were exposed. The inadequacy can be due to higher education institutions decade-long mindset of seeing online education as a less credible alternative. As a result, institutions are more eager than ever before to invest …

“Tw-Ironic": The Ironic Consumption Of Media Examined Through Twilight, Sydney J. Rooney

Pell Scholars and Senior Theses

“It’s so bad it’s good” is a phrase often uttered in order to justify watching, reading, or listening to a piece of media with a poor reputation. In the 20 years since the first novel’s debut, the Twilight saga has become renowned for its massive level of popularity and influence. However, it has also faced a great deal of backlash and criticism for a variety of reasons, which affected the nature of the fan base. Through analysis of short-form content, the ironic consumption of Twilight media is observed in contemporary times.

A New Frontier In Political Communications: Analyzing The Electoral Influence Of The 1960 Televised Presidential Debates, Leah Spengler

Pell Scholars and Senior Theses

Although Kennedy’s success in the 1960 election is often attributed to his performance in the first televised presidential debates, I contend that the party affiliation of voters and proposed policies by Kennedy, specifically those targeting civil rights, held more weight in securing his victory. The Kennedy image had been carefully curated for over a decade prior to the election, and Kennedy’s performance in the first televised debates reinforced the calm and collected impression he wanted to make to the American people. While his debate performance held significance as it was the first to be televised and led to a discrepancy …

Instruments Implementation Audits And Development Strategies For Taiwan As A Non-Member State Of The Imo, Hui-Huang Tai, Tun-Hao Hsu

Journal of Marine Science and Technology–Taiwan

The International Maritime Organization (IMO) has formulated numerous maritime-related conventions. The promotion of mandatory audits is required to ensure that the implementation of maritime management systems in various countries complies with the IMO Instruments Implementation Code (III Code) and that both member states and non-member states implement these conventions. This is not only an obligation but also a responsibility for all countries to promote the development of the maritime industry. This study investigates how Taiwan, one of the non-member state of the IMO, implements the audit process and develops future implementation strategies for various maritime conventions. This issue is of …

Integrating Satellite-Based Precipitation Analysis: A Case Study In Norfolk, Virginia, Imiya M. Chathuranika, Dalya Ismael

Engineering Technology Faculty Publications

In many developing cities, the scarcity of adequate observed precipitation stations, due to constraints such as limited space, urban growth, and maintenance challenges, compromises data reliability. This study explores the use of satellite-based precipitation products (SbPPs) as a solution to supplement missing data over the long term, thereby enabling more accurate environmental analysis and decision-making. Specifically, the effectiveness of SbPPs in Norfolk, Virginia, is assessed by comparing them with observed precipitation data from Norfolk International Airport (NIA) using common bias adjustment methods. The study applies three different methods to correct biases caused by sensor limitations and calibration discrepancies and then …

A Review Of Infrared Thermography Applications For Civil Infrastructure, Prabal Shrestha, Onur Avci, Sahabeddin Rifai, Feras Abla, Michael Seek, Karl Barth, Udaya Halabe

Engineering Technology Faculty Publications

Civil infrastructure is continuously subject to aging and deterioration due to multiple factors, which lead to a decline in performance and impact structural health. Accumulated damage on structures increases operational costs and poses significant risks to public safety. Effective maintenance, repair, and rehabilitation strategies are needed to ensure civil infrastructure’s overall safety and reliability. Non-Destructive Evaluation (NDE) methods are utilized to assess latent damage and provide decision-makers with real-time information for mitigating hazards. Within the last decade, there has been a significant increase in the research and development of innovative NDE techniques to improve data processing and promote efficient and …

Consolidating The Carbon Trade: Policy Recommendations To Promote Standard Convergence Among The Vcm, Article 6, And Regional Pricing Instruments, Jack M. Barrett

CMC Senior Theses

Efforts to construct robust international carbon markets have repeatedly fallen short of their climate and sustainable development objectives. From the Clean Development Mechanism’s collapse under the weight of non-additional credits to the Voluntary Carbon Market’s recent legitimacy crisis, structural flaws and fragmented standards have undermined offsetting systems for more than two decades. Today, the emergence of the Paris Agreement's Article 6 mechanisms, alongside initiatives like the Integrity Council for the Voluntary Carbon Market (ICVCM), offer a critical but fragile opportunity to rebuild market credibility. The proliferation of diverging standards across Article 6, voluntary markets, and regional carbon pricing instruments risks …

Factors Contributing To Fatalities In Helicopter Emergency Medical Service Accidents, Jenna Korentsides, Joseph R. Keebler, Mihhail Berezovski, Alex Chaparro

Publications

INTRODUCTION: T his study aimed to update and reinforce previous research on helicopter emergency medical service accidents in the United States. By investigating predictors of fatalities after helicopter emergency medical service crashes through the application of machine learning techniques, we updated existing data sets and sought to uncover patterns that traditional analysis might not reveal.

METHODS: Using the National Transportation Safety Board database, the authors analyzed a dataset of 267 helicopter emergency medical service accidents between 1991–2022. We first calculated fatalities odds ratios for each condition. We then plotted geospatial locations of all reported accidents. Finally, we used XGBoost regression …

Exploring The Dynamics And Outcomes Of Family Engagement In Child Welfare Services: A Structural Equation Modeling Approach, Jianchao Lai, Michelle Graef, Todd Franke

Center on Children, Families, and the Law: Faculty Publications

Background: Engaging families effectively in child welfare services remains a persistent challenge, shaped by complex interactions between agency practices and family circumstances. While existing research has explored this issue, it has predominantly relied on data from agency and caseworker perspectives, often overlooking the crucial viewpoint of the families. Objectives: This study investigates families’ subjective experiences and perceptions within the child welfare system, focusing on their satisfaction with child welfare workers and overall engagement. Methods: The study draws on data collected through an evaluation of the implementation of Alternative Response in a Midwestern state. Agency administrative data is integrated with additional …

Climate Liberalism And Decarbonization, Jonathan H. Adler

Faculty Publications

Existing climate policy goals require dramatic and rapid reductions in greenhouse gas (“GHG”) emissions. Achieving such reductions within the desired time frame is a tremendous challenge, particularly through conventional regulatory approaches. The conventional approach to environmental problems is to treat such problems as “market failures” that can be corrected by government intervention, such as through regulation. Such approaches are constrained by various sources of government failure that are exacerbated by the scale and scope of the problem. The knowledge problem, administrative transaction costs, and limits on regulatory throughput capacity all hamper the use of traditional regulatory tools to address the …

A Study Of Regulatory Compliance In U.S. Nursing Homes, Patrick Schumacher

Electronic Theses & Dissertations (2024 - present)

The federal government is responsible for ensuring that nursing homes comply with regulations designed to protect residents from abuse, neglect, and substandard care. To this end, the Centers for Medicare and Medicaid Services (CMS) partners with states to conduct onsite inspections of nursing homes, during which regulators may identify violations. The agency can take one or more actions in response to violations, including imposing civil money penalties (fines), appointing a state monitor, or mandating remedial education for staff. Despite this regulatory framework, the quality of care in nursing homes remains poor, with many facilities failing to protect the well-being of …

2025-2026 Craft Academy Student Handbook, Morehead State University. Office Of Communications & Marketing.

Communications and Marketing Publications Archive

The 2025-2026 Craft Academy Student Handbook.

Digital Orthodoxy And Political Populism In Eastern Europe: How Orthodox Media Facilitate Political Mobilization, Dmytro Garaschuk, Oleh Sokolovskyi

Occasional Papers on Religion in Eastern Europe

This article examines the intersection of Orthodox digital media and political populism in Eastern Europe, focusing on how religious institutions utilize digital platforms to facilitate political mobilization, reinforce nationalistic narratives, and undermine democratic institutions. Drawing on a comparative analysis of six countries–Russia, Ukraine, Romania, Serbia, Georgia, and Montenegro–the study identifies a shared ideological matrix that fuses populist rhetoric with theological motifs. The research highlights the strategic use of digital media by Orthodox actors to construct moral binaries, sacralize political resistance, and disseminate disinformation framed in religious language. Particular attention is given to the role of the Russian Orthodox Church and …

Quality Over Quantity: Doula Perspectives On Equity, Access, And Quality Of Care In Black Maternal Health Outcomes, Terry-Ann E. Lynch

West Chester University Graduate Theses, Dissertations, and Final Projects

Black maternal mortality in the United States is a public health crisis. There are a plethora of reasons as to why maternal and fetal deaths disproportionately impact Black women. From a public health perspective, health disparities are an area of concern in marginalized communities, with Black maternal mortality being a risk factor. “According to the Centers for Disease Control and Prevention (CDC), in 2021, the maternal mortality rate for non-Hispanic Black (subsequently, Black) women was 69.9 deaths per 100,000 live births, 2.6 times the rate for non-Hispanic White (subsequently, White) women (26.6)” Maternal Mortality Rates in the United States, 2021” …

Gods Guns: Why Firearms And Firearm Culture Remain Sacred To Rural Americans, Thomas Westrick

West Chester University Graduate Theses, Dissertations, and Final Projects

With ample evidence demonstrating a link between low levels of gun regulation and high levels of firearm fatalities, it seems intuitive that Americans would want to increase the level of firearm regulation to bring down the level of violence. However, the target population, white males living in rural areas of the State of Indiana and practicing the Christian Evangelical Protestant tradition, display high levels of resistance to new firearm regulation. This study sought to explore that resistance through the lens of the rural gun culture with an interpretivist qualitative design using reflexive thematic analysis to answer the research question: How …

Caretaker Of Captors: The Experience Of Role Conflict Among State Correctional Officers, Camille M. Botticelli-Pohl

Antioch University Dissertations & Theses

A variety of policies at the national level over the last 70 years have resulted in the mass incarceration of various marginalized populations, inclusive of individuals with mental health problems or severe mental illness. Although Constitutional mandates require that psychology staff be available at all state and federal facilities, these providers spend a fraction of the time with incarcerated people than correctional officers do. Correctional officers seem to play an important, if often overlooked, supporting role in the management of the day-to-day lives of people in custody, including elements of their mental health care. They are also, theoretically, tasked with …

Adults Drug Court Model's Review: A Case Study, Byron R. Titus

Antioch University Dissertations & Theses

In 1989 Dade County, Florida, the so-called “War on Drugs” was in full swing. As a result, drug courts were created, acting as a diversion program for the many people subsequently caught up in this “war.” Since then, such “specialty courts” have proliferated across the planet. In some cases, local versions have been adopted to adjust to their unique population, culture, risk, and needs. This dissertation is a case study that reviews three Intensive Probation Supervision Programs (IPSP). These IPSPs identify a drug court in their state or country before it becomes a “certified drug court” (now more often referred …

Innovating Chaplaincy Education: Integrating Nonreligious Spiritual Care Interventions To Serve A Diverse Patient Population, Dianne Dragon

Antioch University Dissertations & Theses

The transformation to the curriculum taught in chaplain training in Clinical Pastoral Education (CPE) will now address the spiritual needs of a more diverse, nonreligious, and interfaith population in the United States. Historically rooted in religious frameworks, CPE curricula are evolving to incorporate non-religious spiritual care interventions and promote research literacy among chaplains. This dissertation study uses descriptive analysis to present a study surveying CPE educators across over 300 U.S. based CPE centers to explore teaching practices and adaptation strategies. Findings reveal that integrating evidence-based methods and interdisciplinary collaboration is key to addressing inclusivity and professional competency in chaplaincy. By …

Embracing The Suck: Overcoming Moral Injury-Related Attachment Trauma Through Outdoor Adventure, Emerald D. Ralston

Antioch University Dissertations & Theses

Moral injury is increasingly recognized as a distinct and debilitating consequence of military service, arising when individuals engage in, witness, or are unable to prevent actions that transgress their deeply held moral beliefs. In this dissertation, I argue that this form of trauma can be experienced as an attachment rupture, particularly when the military—functioning as an institutional attachment figure—betrays the servicemember’s trust. Such experiences compromise internal working models (IWMs) of self, others, and the world, and may result in complex trauma symptoms, including dissociation, depersonalization, and profound relational disconnection. These injuries are frequently stored in the body, rendering traditional cognitive …

2025-2026 Career Guide, Morehead State University. Office Of Communications & Marketing., Morehead State University Career Services.

Communications and Marketing Publications Archive

The 2025-2026 Morehead State University Career Guide from the Morehead State Career Services Office.

Political Turbulence And Aviation Safety: A Cross-National Analysis Of Political Stability's Effects On Aviation Accidents, Léa Faure, Lilliam Maria Cáceres Malachowski

Journal of Aviation/Aerospace Education & Research

To what extent does political stability affect aviation safety? This research aims to link domestic political conditions and public safety through the consideration of aviation accident frequency. Political instability can indeed have profound effects on reducing overall public safety in a variety of domains through its influence on public policies. Reduced regulations and governance efforts can appear in contentious contexts for less-prioritized fields. This could influence the reemergence of technical aviation risk factors like crew training and performance, maintenance issues, infrastructure problems, human errors, etc. This would highlight a correlation between such political instability and weaker aviation safety regulations, investments …

Sustainable Management Of Erosive Shores: An Interdisciplinary Approach Integrating Engineering And Social Sciences At A Tide-Dominant Beach Area, Jun Ik Sohn, Hyun Dong Kim, Kiran Adhithya Ramakrishnan

Civil & Environmental Engineering Faculty Publications

This study investigates the causes and consequences of shoreline erosion at Kkotji Beach, a prominent tourist destination on the west coast of South Korea, where the degradation of the coastal environment has increasingly threatened the local tourism industry and economy, by employing a mixed-methods approach that combines field observations with MIKE 21 hydrodynamic simulations and by integrating perspectives from coastal engineering and the social sciences to develop practical, site-specific strategies for mitigating erosion, enhancing public awareness, and promoting sustainable coastal planning and development that support long-term environmental resilience and economic stability. The results show that dominant ebb currents drive southward …

Multi-Centennial Spatial Coherency Among Atlantic Tropical Cyclones From Simulated And Reconstructed Storm Records, Richard M. Sullivan, Elizabeth Wallace, Sylvia Dee, Gabiel A. Vecchi, Wenchang Yang, Kerry Emanuel

OES Faculty Publications

Proxy-based reconstructions of long-term Atlantic tropical cyclone (TC) variability reveal low-frequency oscillations in regional TC landfalls over the Common Era. However, the limited spatial coverage and increased uncertainty of the proxy records complicates assessments of this feature. Here we present a new multi-ensemble set of synthetic TCs downscaled from the Last Millennium Reanalysis project, which is based on sea surface temperatures that more accurately reflect past conditions. Throughout ensemble members, there are coherent multi-centennial shifts in landfalls with persistent intervals of increased (decreased) occurrence along the eastern US concurrent with inverse activity in the southwest Caribbean and Gulf of Mexico, …

Successful Eastern Oyster (Crassostrea Virginica) Recruitment On Intertidal Artificial Substrates In Virginia, Usa, Rochelle D. Seitz, Kathleen E. Knick, Emily Suchonic, Amanda Pysher

OES Faculty Publications

Declines of eastern oyster (Crassostrea virginica) populations and scarcity of natural oyster shell necessitate quantifying the effectiveness of artificial oyster reef substrates over varying environmental conditions. Oyster castles are often used in intertidal areas with moderate wave energy; however, new concrete, natural-looking substrates, GROW Reef Tiles, are now available. Eastern oyster recruitment and size on oyster castles (OC) and GROW Reef Tiles (GT), with 27% higher surface area on OC, were assessed three times over 25 months in locations with varying salinity. Four sites in the Chesapeake Bay region were examined: Cherrystone Inlet, Mockhorn Bay, Elizabeth River, and …