Digital Commons Network^™

Florida Local Public Administrator Perspectives On Decentralized Wastewater Treatment, Jude Hagan

Honors Undergraduate Theses

Decentralized wastewater treatment (DWT) systems, such as onsite greywater recycling and septic systems, have been demonstrated to be a potentially more sustainable, cost-effective, and disaster-resilient alternative to traditional centralized systems by treating wastewater at or near the source. However, many barriers exist that have prevented the widespread implementation of DWT, such as public opposition, lack of resources, government regulations, public health concerns, and capital costs. In this study, local emergency managers, urban planners, and utility/wastewater managers in Florida were surveyed to determine their perceptions and levels of knowledge on DWT. The results of this study were inconclusive due to a …

The Psychological Effect Of Maternal Separation From A Child During Incarceration: A Survey And Critique Of Risk Needs Assessments, Samantha Yearwood

Honors Undergraduate Theses

This study examines whether frequently used correctional assessment instruments adequately capture the psychological impacts of maternal-child separation among incarcerated women. This research was conducted in response to growing criticisms that traditional risk and needs assessments fail to account for gender-specific experiences, specifically those related to caregiving roles and pregnancy. Using a qualitative analysis content analysis to assess four widely used instruments, the Women’s Risk and Needs Assessment (WRNA), Correctional Offender Management Profiling for Alternative Sanctions (COMPAS), Brief Symptom Inventory-18 (BSI-18), and Level of Service Inventory–Revised (LSI-R), the thesis  examines the inclusion of pregnancy-related variables, caregiving responsibilities, and separation-related psychological factors. …

The Impact Of Social Media Movements On Policy Changes Made In The United States, Michelle Levy Korine

Honors Undergraduate Theses

This study focuses on researching the relationship between social media movements and policy changes in the United States. Over the last decade, digital platforms such as TikTok, Instagram and X have become important tools to encourage political involvement. These platforms have led to an increase in public participation, movements to become more popular and to organize protests. Many current studies focus on the social and cultural aspects of online activism, but fewer examine wither these movements lead to the legislative change asked for.

This thesis relies on the question, "To what extent does social media activism contribute to policy change …

Centralism: Ecuador's Major Constraint Towards Decentralization, Daniel A. Moreira Castañeda

Honors Undergraduate Theses

Centralized governance has predominantly characterized Latin America, with few countries adopting decentralized systems or federalism. This study explores why decentralization and federalism remain uncommon in the region, focusing on Ecuador’s persistent centralist traditions. Despite federalism being proposed as an alternative governance model, its adoption has been limited due to structural constraints and historical legacies. Ecuador’s centralized authority, rooted in its independence, has shaped institutional arrangements and political dynamics over time. Through a comparative analysis of the decentralization process and governance quality in Ecuador, Colombia, and Argentina, the research argues that Ecuador’s ongoing centralist practices stem from historical path dependency. This …

A Historical Analysis Of The Squatter Settlements (Sukumbasi) In Nepal And The Role Of Smart Settlements, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

In Nepal, landless populations can broadly be categorized into two groups: urban squatters and rural landless families. Each group can further be distinguished by its level of political connection and access to power.

Among urban squatters, politically connected groups often occupy open public spaces in cities with some degree of protection or tolerance from political parties. In contrast, less powerful urban squatters usually settle on public land because they cannot afford formal housing. These settlements are commonly located in unsafe or marginal areas, such as riverbanks, flood-prone zones, and unused public spaces. Despite these risks, many remain in urban areas …

Preserve Democracy By Teaching Social Action, Cheyenne C. Luzynski

2026 Scholarly Teaching Conference: Concurrent Session Papers

This presentation introduces social action pedagogy aimed to empower students to lead campaigns on pressing social issues and strengthen their participation in democracy. Teaching social action has enhanced the knowledge, practice, and skills of leadership and civic engagement. America’s Promise Alliance conducted a research study on the state of young people in 2024 and found that young people have low trust in American institutions and adults and feel negatively affected by the current social and political climate (Flanagan et al., 2025). The report also found that young people want access to civic education and engagement opportunities to correct inequalities and …

Edible Cannabis Product Information Captured Within Patient Poison Center Records, G. Fulkerson, B. J. Holstege, R. Farah, A. Zmuda, C. P. Holstege

Department Psychiatry & Behavioral Science Faculty Publications

Introduction

United States poison centers are encountering increasing numbers of calls pertaining to edible cannabis exposed patients following state decriminalization. The emergence of these edible products has led to numerous emergency department visits in both adults and children following exposure. The capturing of specific data associated with the product type is imperative as state government regulators attempt to control cannabis products emerging on the market as a growing public health issue.

Objectives

This study was performed to determine if the exact products involved with edible cannabis exposure were being captured in the electronic medicial records and to delineate those specific …

The Concrete Picket Fence: Reconnecting Interstate-Straddled Urban Communities, Brian J. Koluch

Pell Scholars and Senior Theses

Within the ongoing dialogue on substantive equity, the circumstances regarding enduring issues faced by black urban neighborhoods are called into question. Cities across the United States typically have major automotive arteries that tend to cut through or past said neighborhoods. Advocates argue that it is increasingly apparent that these systems of infrastructure especially in regard to these neighborhoods have been constructed in racist manners. Urban Interstates majorly contribute to equity disadvantages, as well as environmental hazards such as increased rates of asthma and respiratory disease. By mixing and matching various forms of equitable infrastructure, such as with cap parks, public …

Improving Clinic Workflow To Enhance Rubeola Immunity Screening In Pregnant Patients, Courtney Mcduffie

Doctor of Nursing Practice Final Project Abstract

Purpose: The purpose of this quality improvement (QI) project was to improve provider adherence to Rubeola IgG serum order entry for prenatal care visits by implementing a standardized workflow and an electronic medical record (EMR)-based order-entry process in a high-risk maternal outpatient clinic.

Background: Rubeola infection during pregnancy is associated with significant maternal and fetal complications. Despite recommendations from the American College of Obstetricians and Gynecologists (ACOG) to use serologic testing to determine immunity status, inconsistent provider ordering practices and workflow gaps contribute to missed opportunities for identifying non-immune patients and planning post-partum vaccination.

Methodology: A ten-week intervention period utilized …

The Impact Of Substance Abuse Problems And Serious Mental Illness/Serious Emotional Distress On Post-Discharge Residential Status Among Clients With Behavioral And Cognitive Disorders: Evidence From Samhsa Mh-Cld Data, Eden Moges, Norma Rochez, William Peycha, Aditya Chakraborty

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

BACKGROUND: Behavioral and cognitive disorders can undermine housing stability, a key determinant of mental health recovery, with persistent disparities across demographic and socioeconomic groups. This study examined the associations of substance abuse problems (SAP) and serious mental illness/serious emotional distress (SMISED) with residential status at discharge from mental health facilities.

METHODS: This cross-sectional study used the utilized data from the Substance Abuse and Mental Health Services Administration (SAMHSA). Descriptive statistics were used to summarize demographic characteristics, whereas univariate and multivariable logistic regression models were employed to assess associations between the covariates and the residential outcome, adjusting for a variety of …

The Moderating Role Of Social And Emotional Support In The Association Between Adverse Childhood Experiences And Adult Mental Health Across Racial Groups: The Need For Investing In Social Capital, Syeda S. Jesmin, Aditya Chakraborty

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background

The sustained impact of Adverse Childhood Experiences (ACE) on mental health outcomes in adulthood is well documented in the literature. ACE survivors may be especially vulnerable to poor mental health outcomes if they have limited or no social support. This study examined the moderating role of social support on the association of ACEs and mental health across different racial groups.

Methods

Data were obtained from the 2022 Behavioral Risk Factor Surveillance System (n = 14,327). The nine ACE questions about traumatic events in childhood were used to create ACE scores. Chi-square tests were used for bivariate comparisons. Both stratified …

Financing Global Health Governance: The World Health Organization, The Who Foundation, And The Shifting Landscape Of Development Financing, Johanny O. Reyes

Dissertations and Theses

This thesis analyzes the structural financing challenges facing the World Health Organization (WHO) and their implications for global health governance. It argues that WHO’s financial fragility is not merely a technical problem but the result of long-standing political and institutional choices that have shifted the Organization away from predictable public financing toward donor-driven, earmarked voluntary contributions. Drawing on WHO constitutional provisions, programme budget data, governance documents, and academic literature, the study traces the evolution of WHO’s financing model and examines how this transformation has constrained the Organization’s priority-setting authority, operational flexibility, and normative leadership.

The COVID-19 pandemic serves as a …

Insurance Disparities In Hidradenitis Suppurativa: A Comprehensive Review Of Demographics, Outcomes, And Access To Care, Alim Osman, Alexandra R. Nigro, Michael C. Povelaitis, Marc Z. Handler

Department of Medicine Faculty Publications

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that disproportionately affects women, African Americans, and individuals of biracial descent. It is associated with substantial physical and psychiatric morbidity, reducing quality of life.

Objective: This review analyzed disparities in treatment outcomes, disease progression, and healthcare access among HS patients based on insurance type.

Methods: Using PRISMA guidelines, a comprehensive literature search identified 7 studies meeting inclusion criteria. Owing to data heterogeneity, studies were qualitatively analyzed.

Results: Findings consistently demonstrated that Medicaid patients experienced worse outcomes than those with private insurance or Medicare. Medicaid patients had higher rates of comorbid …

From Sparks To Insights: An Aggregate Analysis On Arson And Explosive Data Reporting Published By The Atf (2014-2024), Zahra A. Khan

Electronic Theses & Dissertations (2024 - present)

This thesis provides an aggregate assessment of arson and explosives incidents reported by the Bureau of Alcohol, Firearms, and Tobacco, from 2014 to 2024. This thesis is written to highlight trends, investigative outcomes, and evolving patterns of criminal activity. Analysis of the data reveals notable shifts in incident frequencies, data distributions, and case resolution rates. This suggests both emerging technologies and changing operational dynamics that have affected long-term trends in arson and explosive incidents. Variations in incident types and investigative outcomes underscore the interplay between law enforcement priorities, resource allocation, and reporting practices over the ten-year period. The study also …

Great Power Competition In Africa: Sustaining Openness Amidst Transnational Threats And Authoritarian Fragmentation, Chick Edmond

Political Science & Geography Faculty Publications

As the United States seeks to position itself in an increasingly competitive world, Africa has emerged as an increasingly key arena of great power competition where the United States, China, and Russia are competing to determine the nature of political norms, economic governance and security architecture on the continent.

The combination of growing transnational threats (such as terrorism, pandemics, climate-related instability, and digital vulnerability), and growing authoritarianism, has transformed the continent into a testbed for competing visions of international order. In light of this backdrop, this paper posits that the United States must pursue a strategy of sustained strategic openness …

Air Quality Risks In Public Housing, Brynn Sheehan, Carolyn Caraballo Velez, Vaughan W. Rees, Miasha T. O'Neal, Kristen E. Moore, Katie M. Jones, Jessica Meadows, Sarah Gehlert, Richard Grucza, Andrew Plunk, Kelli J. England

Department Psychiatry & Behavioral Science Faculty Publications

Importance Public housing residents face elevated environmental health risks, yet indoor air quality in these settings remains underexamined. OBJECTIVE: To evaluate indoor air quality in public housing 5 years after implementation of the federal smoke-free housing policy and compare it with outdoor air quality in the same regions.

Design, Setting, and Participants A 1-year cohort study of indoor air quality (particulate matter ≤2.5 μm in diameter [PM2.5]) across 12 multifamily public housing communities in southeastern Virgina for individuals 65 years and older or persons with disability in cities with the highest rated outdoor air quality. Indoor PM2.5 was continuously measured …

From Coverage To Care: Evaluating The Effects Of Aca Medicaid Expansion On Birth Outcomes, Bailey R. Lengfelder

Economics Honors Projects

I examine the impact of the Affordable Care Act’s Medicaid expansion on maternal and fetal health outcomes using National Center for Health Statistics Natality data from 2006 to 2023. I exploit staggered state adoption as a quasi-experiment, and the staggered differences-in-differences estimates indicate an increase in the share of Medicaid births but broadly no impact on maternal prenatal care, maternal health, and fetal health. The absence of statistically significant effects is consistent across heterogeneity groups. These null findings indicate that expanded insurance access through the Affordable Care Act may be insufficient to improve health outcomes. I do find a statistically …

Spectral Frequency And Broadband Noise Analysis Of The Firefighter Environment: Potential Implications For Cardiac Health, James Blando, Catherine Reed, Amya Turner

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Firefighters are well known to have elevated risk of adverse health outcomes across a wide range of diseases and injuries, including cancer, hearing loss, fatal cardiac events, post-traumatic stress disorder (PTSD), sleep disorders, and many other adverse outcomes. It has been speculated that the noise environment is a significant risk factor for several of these diseases. In particular, the impact of noise on cardiac outcomes has recently been identified. An environmental survey of noise that included spectral and broadband analysis was conducted across all 14 firehouses in a southeastern city in the United States as a first step to investigate …

“A Civilised Order”: Political Economy Of Welfare State Development In United States And South Africa, Camden M. Webb

Masters Theses

The welfare state and its development across national contexts in the twentieth century signaled a marked change in the state’s relationship with its citizens. They developed in a structural crisis between two political economy organizations, moving from liberal structures to regulated ones. As the world continues the current ongoing structural crisis out of the neoliberal structure, the future of welfare policy is uncertain. My research presents a Qualitative Comparative Analysis (QCA) using the United States and South Africa as most-different cases to explore the similarities and differences in their national contexts that shaped their welfare state development in the early …

Design Considerations For Development Of A Youth Advisory Board, Michelle I. Graef, Penny Putnam Collins

Center on Children, Families, and the Law (and Related Organizations): Publications

This guide provides an overview of youth advisory board (YAB) design components. The guide is organized around key design components, with examples from States across the country to illustrate different approaches. A range of examples are provided that highlight diverse and instructive models of the various ways YABs have been structured. Each section describes approaches that states have used in practice, offering jurisdictions a menu of options to consider when developing or strengthening their own YABs. Descriptive information about state YABs was gathered through interviews conducted with state YAB administrators and contractors from 8 states, conducted from October–December 2024. Examples …

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek

DSW Capstone Projects

Students with severe emotional disturbances (SED) occupy one of the most underserved intersections in American education and mental health care. As they age out of children’s services, they face abrupt service discontinuation, disrupted therapeutic relationships, and adult systems ill-equipped to meet their needs. These vulnerabilities, including heightened risks of crisis, hospitalization, homelessness, and justice involvement, constitute a central practice problem. This capstone addresses these transitions across three scholarly products: a systematic literature review, a theoretical concept paper, and a practical application paper, tracing a unified arc from diagnosing structural failures to proposing an evidence-informed, equity-oriented clinical response. Synthesizing key findings …

Incorporating New Guidelines Into School-Based Asthma Management, Jessica Michala Jindra, Angela Duff Hogan

Department of Pediatrics Faculty Publications

Purpose of the Review

The aim of this review is to identify barriers and provide solutions to the implementation of inhaled corticosteroid-formoterol as rescue therapy within schools.

Recent findings

GINA guidelines in 2019 and NAEPP in 2020 recommended inhaled corticosteroids combined with formoterol for a rescue inhaler over the traditional short-acting beta-agonist.

Summary

The findings discussed in this article describe the barriers to the implementation of inhaled corticosteroids combined with formoterol for a rescue inhaler in school systems. Traditional asthma action plans, school nursing and parental education, and differences in dosing are some barriers identified. This paper provides solutions for …

Fifty Years Of Research In The Commonwealth Of The Bahamas: A Quantitative Thematic Analysis Of Scholarly Output, Amina Moss, Krista D. Sherman, Williamson Gustave, Kathleen Sullivan Sealey, Charlotte Dunn, Nicola Simone Smith, Lindy Knowles, Christy Gibson

Gulf and Caribbean Research

This study presents the first longitudinal bibliometric mapping of peer—reviewed research on The Bahamas, analyzing 12,113 Web of Science records (1975–2025) using CiteSpace v.6.4.R2. We identified 36 co—citation clusters (modularity Q = 0.7967; silhouette = 0.9231) and 28 keyword clusters (Q = 0.7523; silhouette = 0.8695), revealing 8 thematic trajectories over 5 decades. Early research (prior to 1990) focused on carbonate geology and sea—level dynamics across the northwestern Bahama Platform and Blake—Bahama Basin (Cluster#0, silhouette = 0.939). From the 1990s–mid—2000s, attention shifted to marine fisheries, Aliger gigas, coral reefs, and ecological resilience (Cluster #1, n = 203). In the …

Understanding Motivations And Health Outcomes Of College-Aged Triathletes During Covid-19: A Mixed-Methods Study, Patrick Wilson, Eddie Hill, Justin Haegele, Xihe Zhu

Human Movement Studies & Special Education Faculty Publications

A triathlon is a multi-sport event that consists of three simultaneous events: swimming, biking, and running. This sport has experienced significant growth in the past few decades, with colleges and universities now participating. This exploratory mixed-methods study examined the motivations and perceived health benefits of college triathletes during the COVID-19 pandemic, using the Means-Ends of Recreation Scale and the Perceived Health Outcomes of Recreation Scale (N = 29), as well as semi-structured interviews (N = 4). Results indicate no difference in motives or health outcomes between male and female survey respondents. The thematic analysis of open-ended interview questions highlighted lived …

Resilience By Design: Evidence From The Richmond Resilience Initiative, Research Institute For Social Equity Rise, Morgan Woodle Phd, Albert Okwei, Yali Pang, Nakeina E. Douglas-Glenn

Research Institute for Social Equity

This report presents a programmatic evaluation of the Richmond Resilience Initiative (RRI), a guaranteed income program designed to support economic stability among Richmond Residents experiencing financial hardship. The evaluation focuses on participants in Cohort Two and Cohort Three, examining program impacts over the two-year periods during which participants received cash transfers. Guaranteed income (GI), the provision of recurring, unconditional cash transfers, has grown in popularity as a significant policy innovation for addressing economic insecurity and inequality in the United States.

Establishing A Nonmedical Cannabis Market In Virginia: Implications For Equity, Craig Dearield Phd, Anna Grace Causey, Rowan Baylosis, Nakeina E. Douglas-Glenn Phd

Research Institute for Social Equity

Virginia passed an adult-use (recreational; non-medical) cannabis law that went into effect on July 1, 2021. Allowing adult possession of cannabis requires the passage of laws and regulations that govern this market (often similar to tobacco or alcohol) due to the intoxicating nature of cannabis and to ensuring the safety of the production processes. Establishing a formal retail market can also address harms related to public health and criminal justice, and benefit state agencies and residents. In order to maximize benefits, Virginia must implement the market with an equity perspective to ensure just treatment for all residents and organizations.

A Closer Look At Substance Use: Understanding Abstinence In Social Gatherings, Hillary Bogyah

UROP Posters

A Closer Look at Substance Use: Understanding Abstinence In Social Gatherings
Hillary Bogyah
Virginia Commonwealth University

Abstract

Alcohol and drug use in social settings remains a central focus in public health research, as these behaviors are often shaped by peer norms, environmental factors, and perceived social benefits. This study observes how people in various social contexts utilize drugs, alcohol, and both at the same time. A survey measuring substance usage throughout the previous month and how social interactions affected these behaviors was completed by a total of 257 participants.

The majority of respondents indicated no recent substance use. According to …

After The Aid Boom: Government Responses To The Global Health Agenda And Political Commitment In Low- And Middle-Income Countries, Sana Abdelkarim

Electronic Theses & Dissertations (2024 - present)

How do governments respond to the global health agenda? Does external health assistance translate to sustained domestic political commitment in low- and middle-income countries? Over the past three decades, development assistance for health has expanded, accompanied by international agreements emphasizing country ownership, alignment, and domestic resource mobilization. Yet domestic fiscal commitment to health remains uneven across countries. These questions have become more pressing as the global aid landscape enters a period of contraction, with a significant decline in development assistance, including health financing, raising concerns about the sustainability of health systems that have become reliant on external support.  This raises …

Exploring Barriers And Facilitators Of Mental Health Treatment For Law Enforcement Officers: The Impact Of Police Occupational Culture, April Reed

Graduate Studies Theses and Dissertations 2026

Prior research has explored the impact of police culture on mental health stigma among law enforcement, however, a deeper understanding about how different aspects of police culture may inhibit or facilitate mental health treatment utilization is needed to inform policy and practice. This dissertation explores the relationship between police culture and mental health using a qualitative research design. Twenty-five (n=25) law enforcement officers from a county sheriff’s office in Central Florida were interviewed and participant observations were conducted during a three-month period. The present study sought to address the following research questions: What are the experiences of the job and …

How Did Covid-19 Affect Volunteer And Donor Management For Human Services Agencies? What Are The Lessons For Future Response?, Nina Yon

Graduate Studies Theses and Dissertations 2026

The COVID-19 pandemic created unprecedented challenges for human services agencies, disrupting the interdependent systems of volunteer engagement and donor support essential to nonprofit sustainability. This study integrates insights from literature, theory, and empirical analysis to examine how nonprofit organizations adapted their volunteer and donor management strategies during this prolonged crisis. Drawing on Contingency Theory and Resource Dependence Theory (RDT), the research explores how organizational structures and strategies evolved in response to shifting environmental conditions, health mandates, and resource constraints. Using a multiple-case qualitative design, data was collected from semi-structured interviews with 20 leaders representing five Central Florida human services agencies, …