Digital Commons Network^™

A Narrative Review Of Military Reverse Triage., Daniel J Hurst

Rowan-Virtua School of Osteopathic Medicine Departmental Research

INTRODUCTION: Military reverse triage has been described at several points in the literature. However, an extensive review of the concept and any gaps that may exist has not been conducted. This narrative review seeks to understand how reverse triage is used in the military literature and how it might be implemented in practice, as well as the documented historical applications of reverse triage.

MATERIALS AND METHODS: Four databases were searched manually for English-language articles: PubMed, SCOPUS, JSTOR, and Worldwide Political Science Abstracts. In addition, a manual search of references, U.S. DoD, and NATO doctrine, as well as other published works …

Funding Opportunities For Non-Profit Organizations Led By Black Women, Laquasha A. Dixon

Walden Dissertations and Doctoral Studies

This study addressed significant disparities in funding awarded to non-profit organizations (NPOs) in the United States, led by Black women. Racial bias and the lack of knowledge about alternative funding sources were key factors contributing to this funding gap, which limited the capabilities of these organizations. The research question guiding this study was: In addition to government grants and program sponsorships, what other funding sources are available to NPOs led by Black women? The conceptual framework employed as a foundation for the research was the concept of creating a diverse funding portfolio for sustainability. The purpose of the project was …

Activity Levels Among Older Adults In A Life Plan Community, Emily D. Winters

OHSU-PSU School of Public Health Annual Conference

This study aimed to analyze resident's knowledge of the health and wellness programs available to them in their facility. It explored activity levels, preferred activity methods, and health and wellness program utilization among older adults residing in a life-plan community. A total of 166 survey respondents, aged 65 and older, were included in the analysis. Data were collected using a self-administered questionnaire designed to assess physical activity patterns, preferences for activity types, and engagement with the facility’s health and wellness offerings. Open-ended questions were assessed qualitatively through thematic analysis to find common themes within data. Results indicated that the most …

Comparing Cpr Ventilation Strategies Within Tualatin Valley Fire And Rescue Using A Retrospective Observational Cohort Study, Jack T. Hindley

OHSU-PSU School of Public Health Annual Conference

Study Objective: This was a registry based retrospective observational cohort study of roughly 1,150 cardiac arrest cases transported by the Tualatin Valley Fire and Rescue emergency medical service (EMS) agency to hospitals in the Portland area from 2018-2019 and from 2022-2023 to compare cardiopulmonary resuscitation (CPR) ventilation policy changes between these two years from continuous chest compressions (CCC) to a compression ventilation ratio of 30:2. Hospital outcomes were linked to EMS records through trauma registries, state discharge and emergency department data. The primary outcome was survival to discharge, and the secondary outcome was positive neurological outcome (Cerebral performance category score …

Academyhealth - 2024 Data Visualization Winners, Chelsea Keating, Emily Boniface, Mina Colon

OHSU-PSU School of Public Health Annual Conference

Social determinants of health, such as income, employment, social contexts, and the built environment, influence the risk of food insecurity. Food insecurity can be defined as uncertain access to food and can lead to negative health outcomes like increased risk for obesity, chronic disease, and adverse effects on a child's development and mental health. Drivers like limited physical access to food, limited transportation options, and the quality and access to food assistance programs within local systems perpetuate health disparities—particularly in those communities with populations who have been systematically marginalized. This descriptive study uses 2022 data from the National Health Interview …

Exploring Health Equity With Culturally Specific Providers Of Permanent Supportive Housing, Judith R. Solomon

OHSU-PSU School of Public Health Annual Conference

Chronic homelessness is an important public health issue. Permanent Supportive Housing (PSH) is a promising opportunity for transitioning people experiencing homelessness into housing, however there remain unaddressed racial inequities in service provision and outcomes. The aim of this study is to better understand the role of culturally specific (CS) providers of PSH in improving health equity. I analyzed interviews with CS PSH providers for themes related to health and healthcare. Providers spoke about the importance of connecting clients to healthcare. Providers stressed the importance of honesty and lived experience, highlighting the strong sense of responsibility to the community. Providers also …

Comparing Acuity Of Patient Care At Student Run Free Medical Clinic Locations, Hana Warmflash, Olivia Krol, Alex Foster

OHSU-PSU School of Public Health Annual Conference

Intro:

Student run free medical clinics (SRFC) are present at roughly 75% of Association of American Medical Colleges member institutions1,2 providing care for underserved populations, such as those experiencing houselessness. 3 Persons experiencing houselessness have a higher burden of illness than housed persons but experience a greater barrier to obtaining care4. Delays in care result in more complex and longer hospitals stays4,5.

Our SRFC, Bridges Collaborative Care Clinic (BCCC), functions to address emergent complaints and monitor chronic health conditions. We aim to demonstrate how relocating from River District Navigation Center (RDNC) to a more accessible location, Resource Center (RC), enabled …

How To Kill A Human: Creating An Immersive Learning Game, Théo Caldwell, Nathan Bonnell

OHSU-PSU School of Public Health Annual Conference

How to Kill a Human is an experiment in teaching through gameplay. The environmental crisis facing the planet, though denied by many, is a collection of well-documented historical environmental catastrophes. The purpose of this project was to design a method of relating the impacts of environmental systems on human health, highlighting the dangers of ill planned human tampering, by presenting hypothetical environmental catastrophes and then relating them to documented historical disasters. In pursuit of this goal, we designed a semi-collaborative game for three to six players with a suggested age rating of 10+, ideal for teaching individuals of middle school …

Differences Between Stem Students And Faculty On Seeing Value In A Classroom Belonging Exercise, Kaisa S. Holt

OHSU-PSU School of Public Health Annual Conference

Efforts to enhance belonging in undergraduate STEM classrooms are believed pivotal for student success. However, we must not only promote belonging interventions but also understand STEM students and faculty perceptions of their value and utility. We gathered perspectives of faculty and undergraduates regarding the implementation and efficacy of a belonging exercise (Our Lives Lived, OLL) used in multiple STEM classes at one university over two years. We hypothesized that students would see more value in the exercise than faculty. We sent a survey instrument with an OLL summary and a series of open-ended responses to faculty. We recruited for focus …

Primary Health Care: Strengthening Health Systems In Low- And Middle-Income Countries, Erin Young

OHSU-PSU School of Public Health Annual Conference

In recent decades, global health priorities have shifted away from promoting selective, donor-led interventions and towards the goal of strengthening primary health care systems in low- and middle-income countries. This project seeks to identify recommendations for and best practices of primary health care system development from the existing literature. A critical literature review was conducted using the Ovid-MEDLINE database to identify articles that focused on primary health care, included recommendations for health systems strengthening, and addressed low- and middle-income countries. Ultimately, 27 articles published between 2004 and 2019 were included in this review. Results suggest that important priorities for building …

Universal Health Care, Oregon, Jennifer S. Arnold, Bethany Clouse, Alec Martin

OHSU-PSU School of Public Health Annual Conference

Historically, the US has chosen not to fund universal health care at every opportunity, leaving our nation as the only industrialized country without some system of health coverage for our citizens and with the worst health care outcomes of any high-income nation in the world. Health care in Oregon is no exception. Our current health care system is financially unsustainable, harmfully complex, and socially unjust, as well as inequitably delivered. Too many Oregonians, because of their race, age, income, geography, or insurance, endure vastly different health care access, varied health care quality, and wide-ranging health outcomes. In 2019, the Oregon …

Behind The Walls: The Implications Of Assisted Living Building Codes On Resident Safety, Adam Pennavaria, Lindsey Smith, Paula Carder, Cassandra Hua, Eric Jutkowitz, Kali Thomas

OHSU-PSU School of Public Health Annual Conference

As the US population collectively ages, issues related to assisted living (AL) resident safety have become an increasingly pressing issue for the general public, reflected by major media reporting in the last year. The building codes that govern ALs play an important role in mitigating the risks associated with falls, wandering, and other hazards, especially for residents living with Alzheimer’s disease and related dementias. We sought to understand how states vary in their approaches to building code regulations that might impact resident safety. We used search term-based text retrieval to identify areas of text relevant to locks, alarms, and egress …

Expanded Patient Reach At New Student Run Free Medical Clinic Location, Olivia Krol, Hana Warmflash, Alex Foster

OHSU-PSU School of Public Health Annual Conference

Background: Critical to modern medical education, student run free medical clinics (SRFCs) are present at more than 75% of AAMC member institutions. SRFCs educate students while providing low-barrier, free healthcare to underserved populations. SRFCs provide unique leadership and health systems management opportunities not traditionally emphasized in training, including leading logistical and operational changes.

In this project, we highlight the impact of a student-led operational initiative that transitioned our clinic from the River District Navigation Center (RDNC) to the Resource Center (RC), improving accessibility.

Methods:

Deidentified patient data from medical clinics from January 2024 to February 2025 were analyzed using RStudio …

How Can The Adoption Of Biodegradable Packaging In The Beverage Industry Specifically Contribute To Reducing Single-Use Plastic Waste, And What Regulatory Or Cost-Related Challenges Hinder Its Widespread Implementation In Developing Countries?, Rebecca Aba Gaisie

2025 Awards for Excellence in Student Research and Creative Activity - Documents

This research investigates the potential of biodegradable packaging to reduce single-use plastic waste in the beverage industry and explores the regulatory and cost-related barriers to its adoption in developing countries. The beverage sector is a major contributor to global plastic pollution, and biodegradable alternatives offer a promising path toward sustainability. Using a mixed-methods approach, this study combines qualitative interviews with industry experts and case studies of businesses implementing biodegradable solutions, alongside quantitative survey data from 100 manufacturers and 200 consumers across Africa, Asia, and Latin America. Findings reveal that while biodegradable packaging significantly reduces plastic waste and appeals to environmentally …

Pain-Related Sleep Disturbance And Hazardous Alcohol Use Among Veterans With Chronic Pain, Alexa G. Deyo, Kyle Mackenzie White, Joon Kyung Nam, Victoria E. Carlin, Grant H. Ripley, Joseph W. Ditre

Voices of Service Symposium

Introduction: Pain-related sleep disturbances (PRSD) may contribute to patterns of alcohol consumption that elevate risk for negative health outcomes among U.S. military veterans with chronic pain, with this association potentially heightened among those who experienced combat. We are not aware of any prior research that examined either relations between PRSD and hazardous alcohol use among veterans, or the potential influence of combat exposure. The goal of this study was to test the hypothesis that PRSD would be positively associated with hazardous drinking among veterans, and that combat exposure would moderate this relationship. Method: Participants included 430 U.S. veterans (Mage = …

Cannabis Use, Psychological Distress, And Suicidal Ideation Among U.S. Veterans, Grant H. Ripley, Colin J. Jarrat, Joseph W. Ditre

Voices of Service Symposium

Introduction: Frequent cannabis use is rising among U.S. adults, particularly among those experiencing psychological distress. While Veterans generally report lower cannabis use than civilians, they face higher risks of mental health disorders, with approximately 17 Veterans dying by suicide daily. Understanding the relationship between cannabis use and psychological distress, particularly among Veterans with and without suicidal ideation, is crucial.

Ovma Resiliency Program: A Holistic Approach To Supporting Veteran And Military-Connected Students, Ken Marfilius, Brenic Nam, Natalie Hawes

Voices of Service Symposium

The Syracuse University Office of Veteran and Military Affairs (OVMA) Resiliency Program (ORP), launched in August 2024, is an innovative initiative designed to support veteran and military-connected students. Developed in partnership with the OVMA, School of Social Work, and Hendricks Chapel, the program provides tailored resources and support networks to help students navigate academic, financial, physical, social, and mental well-ness challenges. Staffed by an Associate Director and graduate-level social work interns, the ORP addresses the critical needs identified in a U.S. Government Accountability Office report on veteran college experiences. Through dynamic support systems, the ORP fosters success and engagement, advancing …

Social Work Advocacy In Veterans Treatment Court, Ken Marfilius, Elizabeth Kubala, Bill Rielly, Margo Lance, Paige Esposito

Voices of Service Symposium

Veterans Treatment Court provides a rehabilitative alternative to incarceration for justice-involved veterans by addressing the underlying causes of legal involvement. Social workers are key to this model, offering trauma-informed assessments, case management, and service coordination. By connecting veterans to mental health care, housing, employment support, and treatment programs, social workers promote stability and successful reintegration. The collaboration with legal professionals and community partners strengthens the Veterans Treatment Court's capacity to reduce recidivism and support long-term well-being for veterans navigating the justice system.

Military And Veterans Law Society At The Syracuse College Of Law, Elizabeth Kubala, Brandon J. Bryant

Voices of Service Symposium

The Military and Veterans Law Society is a student organization at the Syracuse University College of Law. The mission of the MVLS is to better serve the local veteran population in Syracuse and the surrounding areas. The Military and Veterans Law Society provides veteran legal support and services, community outreach, and veteran policy research to support various veteran issues. The Military and Veterans Law Society strives to better connect the College of Law with our veteran population both on campus and in the community. VetFest: The recent 'Cuse Vet Fest was attended by over fifty Central New York veterans who …

Cross-Discipline Collaboration: A Holistic Legal-Social Work Partnership For Veteran Advocacy, Ken Marfilius, Elizabeth Kubala, Margo Lance, Paige Esposito

Voices of Service Symposium

The Veterans Legal Clinic integrates social work into legal advocacy to support homeless veterans facing complex legal and personal challenges. In collaboration with Altamont, social work students provide case management that connects clients to VA benefits, housing, mental health care, and other essential services. The interdisciplinary, trauma-informed model addresses systemic barriers such as service-connected disabilities and social inequalities. By delivering personalized client-centered support, the clinic empowers veterans to rebuild their lives with dignity and resilience.

"Band-Aids Don't Fix Bullet Holes:" The Veterans Who Are Not "Veterans," The Unique Crises They Face, And Why Proactive Interagency Collaboration Is Key, Elizabeth Kubala, Seth M. Owens

Voices of Service Symposium

Not all veterans are "veterans." Over 540,000 living veterans have served this country, yet their military administrative discharge status prevents them from accessing U.S. Department of Veterans Affairs (VA) care and benefits. A shocking number of these veterans suffer from undiagnosed or untreated mental health conditions, and when exacerbated by the secondary effects from lack of access to VA support, put them at one of the highest risks for other psychosocial crises such as suicide and homelessness. The VA excludes these veterans from accessing their services due to the "less-than-honorable" nature of their discharge, which is excluded in the federal …

Primary Care Brief Mindfulness Treatment Reduces Need For Clinical Services And Behavioral Healthcare, Dessa Bergen-Cico, Emily M. Johnson, Kyle Possemato, Mia Zappala, Allyson Smith, Robyn Sedotto

Voices of Service Symposium

Behavioral healthcare engagement is low for Post-Traumatic Stress Disorder (PTSD) even in systems where high-quality evidence-based psychotherapies (EBPs) are available. Mindfulness based interventions (MBI) may mitigate avoidance in treatment through self-regulation and non-judgmental self-awareness. This study analyzed treatment engagement and service utilization of Veterans engaged in a randomized clinical trial MBI for PTSD (A Primary Care Brief Mindfulness Training (PCBMT)) to assess its impact on behavioral healthcare engagement in populations with PTSD.

Veteran's Service In Research Veteran's Advance Complementary And Integrative Mental Healthcare, Dessa Bergen-Cico

Voices of Service Symposium

This poster encompasses findings from research using complementary and integrative health interventions for Veterans with traumatic stress/PTSD. These studies encompass: a.) the use of mindfulness-based interventions for treatment of PTS/PTSD, suicidality, and depression (Possemato, Bergen-Cico et al, 2016) b.) implementation science involving Veteran peers as co-facilitators of primary care delivery of mindfulness-based interventions for Veterans with PTS/PTSD (Possemato, Bergen-Cico et al, 2022) c.) the efficacy of mindfulness-based intervention as evidenced by changes in biomarkers like cortisol a stress hormone(Bergen-Cico, Possemato, et al, 2014) d.) dog ownership and companionship for management of PTS/PTSD (Bergen-Cico et al, 2019; Ramon, Bergen-Cico Possemato, 2022)

Research That Drives Economic & Social Mobility For Veterans And Military Families, Rosalinda V. Maury

Voices of Service Symposium

This poster highlights IVMF's data-driven research and programs that advance economic and social mobility for veterans and military families. It showcases findings on employment, entrepreneurship, transition readiness, and community reintegration, with insights drawn from national surveys and ongoing data monitoring. These findings inform policy, improve program design, and support stakeholders working to enhance veteran outcomes across sectors.

Pain Interference And Hazardous Drinking Among U.S. Veterans: The Role Of Combat Deployment, Joon Kyung Nam, Kyle Mackenzie White, Victoria E. Carlin, Joseph W. Ditre

Voices of Service Symposium

Chronic pain and hazardous drinking (i.e., patterns of alcohol consumption that elevate risk for negative health outcomes) are both common and often co-occur among U.S. veterans. Research examining associations between pain interference (i.e., extent to which pain disrupts daily functioning) and alcohol use among non-military samples has yielded mixed findings, with some linking greater pain interference to lower levels of alcohol consumption, and others linking it with increased odds of alcohol dependence. However, there has been a paucity of research examining these relations among veterans, and the role of combat exposure remains unexplored. The goal of these analyses was to …

Perceptions About Pain And Alcohol In Relation To Hazardous Drinking Among Veterans With Chronic Pain, Ava Cohen, Victoria E. Carlin, Kyle Mackenzie White, Joseph W. Ditre

Voices of Service Symposium

Introduction. Chronic pain and hazardous drinking (e.g., patterns of alcohol consumption associated with increased risk for negative consequences) are highly prevalent among U.S. military veterans. Perceptions regarding pain-alcohol interplay (i.e., pain as a motivator of drinking, use of alcohol to cope with pain, and pain as a barrier to alcohol cessation/reduction) may contribute to the onset and maintenance of hazardous drinking among individuals with chronic pain. Methods. Participants included 430 veterans who reported current chronic pain and past month alcohol consumption (24% female; 73% White; Mage = 57) and completed an online survey using Qualtrics Panels. Measures included the Perceptions …

Introduction To Military Culture And Mental Health Practice, Ken Marfilius, Sam Coyl

Voices of Service Symposium

The Introduction to Military Culture and Mental Health Practice course equips students across disciplines primarily social work with foundational skills for working with service members, veterans, and their families. Developed in 2016 by a former U.S. Air Force officer, the course addresses trauma, ethical dilemmas, dual loyalty, and command structures within military systems. Coursework includes case studies, ethical analysis, and interviews with military-connected individuals, fostering clinical and cultural competence. With 153 students trained to date, the course supports careers in the VA, nonprofits, and the Armed Forces, while advancing the university's commitment to military-affiliated students.

Legal Services For Homeless Veterans: New Va Grants Aim To Provide Critical Services To Veterans In Crisis, Elizabeth Kubala, Seth M. Owens, Andrew M. Patterson

Voices of Service Symposium

Ending and preventing homelessness among Veterans is a priority for the U.S. Department of Veterans Affairs (VA). In 2022, the VA created the Legal Services for Homeless Veterans (LSV-H) grant program, providing funds for legal services organizations to deliver essential legal aid to homeless veterans and veterans at risk for homelessness. As one of only three law schools that are current LSV-H grant recipients, the Syracuse University Veterans Legal Clinic provides legal aid to homeless veterans in the areas of housing, income support (VA disability), access to healthcare, and requests to upgrade military discharge or dismissal of a former member …

Expectancies For Alcohol Analgesia And Alcohol Use Among Veterans With Chronic Pain: The Moderating Role Of Discrimination In Medical Settings, Victoria E. Carlin, Kyle Mackenzie White, Joon Kyung Nam, Grant H. Ripley, Alexa G. Deyo, Joseph W. Ditre

Voices of Service Symposium

Introduction. Chronic pain and alcohol use are highly prevalent and frequently co-occur among U.S. military veterans. Expectancies for alcohol analgesia (i.e., degree to which an individual believes that consuming alcohol can help reduce or manage their pain) may contribute to alcohol consumption, dependence, and related harms. Discrimination in medical settings (i.e., degree to which one experiences inequitable treatment while receiving healthcare due to a stigmatized identity) has been linked to a variety of deleterious health outcomes and may amplify associations between expectancies for alcohol analgesia and drinking behavior. Methods. Participants included 430 U.S. military veterans with chronic pain who endorsed …

Increasing Access To Valuable Services For Veterans Treatment Court Participants, Elizabeth Kubala, Bill Rielly

Voices of Service Symposium

The Betty and Michael D. Wohl Veterans Legal Clinic (VLC) at the Syracuse University College of Law is partnered with the New York Health Foundation (NYHF) to develop and implement an approach for expanding the services available to Veterans Treatment Court (VTC) participants across New York. VTCs offer an alternative to criminal court for many low-level offenses. The participants complete an intensive 18-month program of counseling, support groups, and recovery before graduating. A significant number of participants earned VA benefits through their service but are not receiving those benefits. Advocating for these veterans benefits reinforces that their service was valuable, …