Digital Commons Network^™

Church Attendance, Post-Pandemic Stress, And Resilience Factors, Pavel Bugriyev

Doctoral Dissertations and Projects

Stress levels among adults increased, and a sense of community loss occurred due to the COVID-19 pandemic and subsequent events. Despite previous studies establishing an association between religious practice and psychological well-being, much remains unknown about the differences in religious practice format (i.e., in person, virtually, and not at all) with post-pandemic stress and resilience-related traits. This quantitative cross-sectional study examined whether the format of church attendance (in-person, virtual, or no church attendance at all) was related to post-pandemic stress and resilience-related traits. Also, whether hope, making meaning out of hardship, and perceived social support statistically mediated the difference in …

The Impact Of Covid-19 On Longevity Trends And Disparities Among Native Americans And Whites In The Four Corners States, Ashley M. Lenarz, Hyojun Park, Max T. Roberts, Anwesha Pan, Erin Trouth Hofmann, Eric N. Reither

Sociology and Anthropology Student Research

Prior research has shown suboptimal health and longevity among Native Americans in the Four Corners region of the United States, which encompasses Arizona, New Mexico, Colorado, and Utah. Our study (1) investigates how life expectancy trends and disparities changed among non-Hispanic Native Americans and Whites in the Four Corners States (FCS) during the COVID-19 pandemic and (2) examines the extent to which longevity changes are directly attributable to COVID-19, relative to other causes of death. Data sources include mortality data from the National Center for Health Statistics and population data from the U.S. Census Bureau. Life expectancy at birth for …

Global Health Financing Of Diagonal Interventions: Building Resilient And Sustainable Health Systems In Sub-Saharan Africa, Lucy Kim

Master in Public Policy Theses

Background: Global health financing has historically prioritized disease-specific “vertical” programs over broader “horizontal” strengthening of general health systems. Vertical programs in HIV have led to unprecedented reductions in mortality worldwide, but HIV remains a significant public health threat in sub-Saharan Africa, where vertical strategies have long been criticized for creating fragmented health systems. In response, global health strategies have shifted towards combining vertical investments with broader horizontal activities, commonly referred to as “diagonal” programming. While evidence suggests that diagonal programming has the potential to create more resilient and sustainable health systems, evaluating its value for money is challenging due to …

Impairment And Disability In Mesoamerica: Bioarchaeological Evaluation And Interpretation Of The Maya Of Palenque, Dayanira Lopez

UNLV Theses, Dissertations, Professional Papers, and Capstones

The application of disability theory to the past is of growing interest among bioarchaeologists, both nationally and internationally. However, its application poses greater challenges when considering ancient contexts, such as Mesoamerica. Nonetheless, engagement with disability studies has led to the development of various theoretical frameworks in bioarchaeology, including dis/ability. This model views physical impairment as a fluid state that may exhibit adaptability and resilience rather than a biological deficit. Importantly, it views ability on a spectrum and does not make assumptions about social and cultural perceptions of ability where there is a lack of contextual data. Thus, it is a …

Quality Improvement (Qi) Project Aimed At Reducing Unnecessary Antibiotic Usage Among Older Adult Patients By Addressing Inappropriate Antibiotic Prescribing In Primary And Long-Term Care Settings, Pamela M. Thomas

Seton Hall University Dissertations and Theses (ETDs)

Antibiotic overuse among older adults remains a significant patient safety and public health concern. Recent national data indicate that approximately 30%–50% of outpatient antibiotic prescriptions may be unnecessary, particularly for viral or self-limiting conditions (Chua et al., 2021). Antimicrobial resistance has been associated with more than 1.27 million deaths globally (Murray et al., 2022). This quality improvement project evaluated a multifaceted antimicrobial stewardship intervention in primary and long-term care settings. Baseline review of 167 antibiotic cases revealed 37.1% were inappropriate or questionable, and 28.7% lacked adequate diagnostic documentation. The intervention incorporated provider education, electronic health record decision-support tools, audit and …

From Your Pov: Using Narrative-Focused Methodology To Study Psychological Correlates Of Sexual Health Behaviors, Zoë E. Sweaney, Stephanie Afful

The Confluence

How far would you go (or not go) to protect yourself from risky sexual behaviors? Additionally, what influence does our gender identity and socialization have on these decisions? In the current series of studies, a story-driven safe-sex behavioral assessment was developed and administered to participants to assess the relationships amongst psychological indices, personal values, and sexual health. This research confirms the validity of an instrument that queries sensitive data while controlling for social desirability concerns. The applications of this research are especially pertinent to improving upon interpersonal communication, sexual health education, and women’s sexual health advocacy.

A Survey Of Health Professions Learners’ Attitudes Towards Social Media In Medical Education: A Substance Use Disorders Education Case Study, Gregory A. Jaffe, Sarah Lawson, William Leach, Mallika Kodavatiganti, Erin Avanzato, Katherine Fesperman, Heather Klusaritz

Department of Family & Community Medicine Faculty Papers

BACKGROUND: Social media is a ubiquitous part of the modern world and plays a key role in the dissemination of information. While utilizing social media for educational purposes has been repeatedly demonstrated as feasible, it has been underutilized in medical education and remains a critical opportunity to integrate microlearning and stigma reduction curricula.

METHODS: A cross-sectional survey on social media usage, attitudes, and beliefs was sent to medical and nursing students at two large academic institutions within Philadelphia. Descriptive statistics are reported, and non-parametric tests were utilized for exploratory analyses.

RESULTS: Health learners were low consumers of social media, reporting …

Understanding Perceived Agency: An Analysis Of Sex Workers’ Lived Experiences, Alyssa King

Undergraduate Research Journal

This study explores the perceived agency of female sex workers through narrative analysis of publicly available YouTube interviews from the Soft White Underbelly series. Using a qualitative design grounded in Modified Grounded Theory, the research employed open, axial, and selective coding to identify key dimensions of agency, including bodily autonomy, workplace control, financial decision-making and coping mechanisms. Findings reveal that sex workers’ agency exists on a spectrum, shaped by intersecting structural constraints such as criminalization, stigma, poverty, and violence. While some interviewees describe empowerment through control over clients and earnings, others report diminished autonomy due to coercion, financial dependency, and …

Cracks In The Great Wall: Zero-Covid Protests And The Reassertion Of Political Security In China, Khannia Zhafira Ronaulli Pandjaitan, Arfin Sudirman

Jurnal Wacana Politik

The protests of the zero-COVID policy in 2022, which led to the issuance of Ten New Measures in China, are an interesting political phenomenon to study. This phenomenon raises questions about the dynamics of China’s political security during the zero-COVID policy period and how the government responded to the social pressures that arose. Applying political security theory that emphasizes national objectives, threat perceptions, and political freedom of action, this article analyzes China’s political dynamics during that period. This article concludes that political security for a country is often realized through various actions justified to protect national interests and maintain social …

Exploring The Benefits Of Yoruba Indigenous Knowledge And The Herbal Medicine System, Sunday Opene Ozonuwe 7317673, Ayobami Aderonke Ogungbade, Faith Ohwofasa

Library Philosophy and Practice (e-journal)

The Yoruba people are one of the West African's main ethno-linguistic or ethnic groups. They have an impressive indigenous knowledge and herbal medicinal system. They pre-occupied Oyo, Osun, Ekiti, Kwara, Ondo, Lagos and Koji state. The researchers developed seven (7) research objectives and seven (7) research questions to investigate the nature, forms, benefits and methods of preparing and administering Yoruba Herbal Medicine. Descriptive research design was adopted for the study, interviews and observations were the instruments used for data collections. Eight (8) herbal medicine practitioners were interviewed in Oyo and Ogun state. The result of the interviews was also presented …

The Influence Of Prosthetic Obturators On Quality Of Life In Individuals With Maxillectomy Defects, Minseok Kim

Oral Health

Abstract

Introduction: In recent years, there has been a growing focus on understanding the impact of oral cancer on patients' quality of life. Prosthetic rehabilitation techniques, such as maxillary obturators, often in conjunction with reconstructive surgery, have emerged as interventions to address the challenges posed by post-maxillectomy abnormalities.

Objective: This study aims to systematically review and evaluate the effectiveness of maxillofacial prosthetic rehabilitation using obturators in enhancing the quality of life of patients following maxillectomy.

Methodology: Systematic review of identified literature spanning the timeframe from 2000 to 2020 was used. The comprehensive search encompassed widely recognized databases including PubMed, …

Making Sense Of Hospitalization: An Interpretative Phenomenological Analysis Of Covid-19 Patients’ Psychological Experiences In Indonesia, Mira Wahyu Kusumawati, Heni Dwi Windarwati, Setyawati Soeharto

The Qualitative Report

While previous research has probed into the experiences of COVID-19 patients during isolation in hospitals, little is known about their psychological experiences and the meaning of such experiences. To address the gap,this study was designed to explore the psychological experiences of patients who were confirmed positive for COVID-19 while undergoing isolation in hospitals. Using a phenomenological approach, we recruited 19 COVID-19 survivors who were confirmed positive for COVID-19 in the first six months of the pandemic entering Indonesia, located in Madiun Regency, East Java Province, Indonesia. We conducted face-to-face semi-structured interviews with health protocols and analysed the data using the …

Food For Thought: Community Perspectives On Access To Produce In The Mississippi Delta Region, Mckenzie S. Cox

Honors Theses

Historically, MS has struggled to provide access to nutritious food for its residents. Approximately 15.3% of households in the state were classified as food insecure between 2018 and 2020, which is significantly higher than the national food insecurity rate of 10.7% for the same year (USDA Economic Research Service, 2023). According to the National Park Service (2022), between 55% and 60% of all land area in the MS Delta region is used for agricultural purposes. However, there appears to be a missing link in the chain connecting individuals and local communities to these crops.

This qualitative study focuses on food …

The Response Of Child Protection Services To Prenatal Substance Exposure, Cierra Hassel

Dissertations, Theses, and Projects

Prenatal Substance Exposure (PSE) is a growing public health concern that requires Child Protection Services (CPS) involvement. CPS is a government agency that investigates child safety to determine whether child removal is necessary. Due to the increase of substance use during pregnancy, often linked to the opioid epidemic, more mandated reporters are submitting reports for positive drug tests at birth, which are screened in as neglect by the mother. PSE has significant implications for developing fetuses, potentially causing both short- and long-term behavioral, medical, and developmental challenges.  

Pregnant women with substance use disorder may often neglect prenatal care, as they …

Exploring Child Trafficking Survivors' Experiences: Support, Revictimization, And Justice Institutions, Max Lubin

Walden Dissertations and Doctoral Studies

No abstract provided.

How The U.S. Virgin Islands Government Responded To The Covid-19 Crisis: A Leadership Perspective, Erica Dover

Walden Dissertations and Doctoral Studies

No abstract provided.

The Bonds Of Family: A Case Study On Interconnectedness In The Prison-Industrial Complex, Cameron Stone

Binghamton University Undergraduate Journal

Beginning in the 1960s, a rightward shift in politics and “War on Drugs” policies propelled the United States toward mass incarceration. The result was a prison population of around 2 million people, in which minority groups have been disproportionately imprisoned. While historians and legal scholars have examined the policies and legal structures behind mass incarceration, oral historians working in the tradition of social history emphasize the importance of narratives of those most impacted yet traditionally neglected. This paper specifically examines the relatively unstudied Columbia University's 2019 Mass Incarceration oral history collection, which explores the interconnected perspectives of one family’s experience …

Understanding Barriers To Breast Cancer Screening Among Rural Women In South Carolina: A Qualitative Study Using The Idea Model, Israt Jahan

All Theses

Breast cancer screening rates remain low among rural women in South Carolina, leading to higher incidences of late-stage cancer diagnosis. This qualitative study used semi-structured interviews to investigate reasons why many women delay or avoid screenings, even when free screening programs such as the Best Chance Network are available in South Carolina. Guided by the IDEA model, the study explored how women interpret cancer risk, how they seek and trust cancer information, how they understand screening explanations, and what barriers affect their ability to take action. Participants described fear of pain, fear of diagnosis, personal relevance, confusion about the screening …

Avoiding Pathogens Or Avoiding People? Pathogen Avoidance, Pathogen-Specific Stereotypes, And Intergroup Bias Toward South Asians, Aashvi Dahiya

Psychological Science Undergraduate Honors Theses

People are motivated to avoid pathogens because infection poses serious risks (e.g., illness, death). Pathogen avoidance often relies on indirect cues and stereotypes—like appearance or group membership—to identify potential pathogen threats. A large body of literature has linked pathogen avoidance to intergroup bias, but recent work suggests that this link may vary across social groups. In particular, pathogen avoidance may be more strongly associated with intergroup bias toward groups specifically linked to pathogen-specific stereotypes. The present study examined whether pathogen-specific stereotype endorsement moderates the relationship between pathogen avoidance and intergroup bias toward South Asians. A sample of 684 participants completed …

Barriers And Facilitators Of Childhood Immunization: A Mixed Methods Assessment Of Health Care And Community Health Professionals’ Observations, Jenny Dong

Theses/Capstones/Creative Projects

Childhood immunization has led to significant decreases in the burden of infectious disease morbidity and mortality. Despite these contributions, U.S. childhood vaccination rates have been declining in recent years, and updates to the federal immunization schedule have removed recommendations for several childhood vaccinations. Amid such an uncertain public health landscape, understanding how environmental conditions affect childhood immunization behaviors is crucial for ensuring that children receive the vital protections vaccines offer. Thus, the purpose of this study is to examine the barriers and facilitators of childhood immunization observed by Nebraska health care professionals (HCPs). This study utilized an online questionnaire and …

Gme As A Healthcare And Economic Driver In Southern Nevada, Tripp Umbach

Policy Briefs and Reports

In early 2025, the Nevada Health and Bioscience Corporation (NHBC) commissioned Tripp Umbach to conduct a comprehensive study examining the current state and future expansion of physician training and retention in Southern Nevada. The approach recommended in this report is rooted in strategic partnerships among medical institutions, proven funding approaches, and needed policy changes. Tripp Umbach, a nationally renowned private consultancy specializing in medical education expansion strategies, reviewed data, conducted interviews, and developed recommendations to expand GME, highlighting its profound economic impact in Southern Nevada.

Hidden Workload In Emergency Medicine: Examining The Role Of Outside-Of-Shift Duties In Emergency Physician Fatigue, Sarah Meyer

All Theses

Emergency physicians (EPs) face high rates of burnout. In addition to well-known stressors, such as fatiguing shift work schedules and intense emotional and cognitive demands faced during clinical shifts, many EPs must also attend to certain outside-of-shift duties (OSDs)–extra-clinical role responsibilities that are expected but not always formally tracked or compensated. These duties often occur during times when EPs are expected to rest and recover from shift work. Despite concerns surrounding burnout in emergency medicine and beliefs among EPs that OSDs contribute to burnout, the effects of OSDs have rarely been studied. Using daily and weekly surveys across 28 days, …

Arrest Rates And Police Presence In East Bay Area Counties Of Northern California, Christiana M. Tyler

Electronic Theses, Projects, and Dissertations

In this research study, we discuss the social phenomenon of mass incarceration in the United States. Previous research has evidenced clear racial disparities within this social issue, but has yet to make a connection between high incarceration rates and the sheer volume of police officers in many communities. This descriptive study sets out to discover whether there is a difference in incarceration rates based on the level of police presence in select counties in Northern California. The study will measure police presence by the number of police officers, using secondary data from U.S. government and nonprofit agencies. The researcher hypothesizes …

Human Papillomavirus (Hpv) Vaccine Acceptance: A Mixed-Methods Study And Randomized Controlled Trial Examining Messengers Of Hpv Vaccine Information Among Hispanic Parents, Alyssa Andrea Martinez

Open Access Theses & Dissertations

Hispanics make up 19.5% of the U.S. population, making them the nation's largest ethnic minority. Hispanics are disproportionately impacted by health outcomes, including many different types of cancers that are caused by the Human Papillomavirus (HPV). An HPV vaccine is available that can prevent 90% of HPV associated cancers. The purpose of this mixed-methods study and randomized experiment is to develop and test data-driven digital health messages to promote the HPV vaccine in Hispanic parents. Four specific aims were conducted among three major studies. Aim 1 (Study 1): A cross-sectional survey was conducted to obtain preliminary evidence on trusted messengers …

Exploring The Biocultural Profile Of The Undocumented Populations Of The Sonoran Corridor: A Skeletal Assessment Of The Prevention Through Deterrence Strategy, Mary A. Vaughn

Department of Anthropology: Theses and Student Research

Over the last thirty years the mortality rate of the undocumented population at the US-Mexico border has risen, requiring methods distinguishing US-born individuals from immigrants to improve the likelihood of identification and repatriation through foreign consulates. Forensic anthropologists with the Pima County Office of the Medical Examiner (PCOME) have advocated for the use of the biocultural profile, combining the biological profile with factors including oral health, osteological stress, and personal effects. The biocultural profile serves two purposes, functioning both as a tool for identification and with which to document structural inequality within communities of origin.

This study examines changes in …

Miserly Thinking: Understanding The Factors Shaping Public Support Towards Project Wolbachia In Singapore, Shirley S. Ho, Agnes S. F. Chuah, Fiona J. W. Goh, Nova Mengxia Huang, Mengxue Qu, Hye Kyung Kim, Sonny Rosenthal

Research Collection College of Integrative Studies

Project Wolbachia is a vector control method that releases male Wolbachia-infected Aedes mosquitoes to curb dengue transmission in Singapore. While research has primarily focused on its efficacy, few studies have examined public opinion. This study draws upon the cognitive miser model and scientific literacy model to examine the factors shaping public support for Project Wolbachia. A nationally representative door-to-door survey was conducted in Singapore (N = 1,000) using multi-stage stratified random sampling. Our findings revealed that while knowledge about Project Wolbachia explains public support, laypeople may often rely on cognitive shortcuts, such as value predispositions, media attention, and pre-existing perceptions, …

Colonialism, Conflict, Capital, And Coups: Drivers Of Médecins Sans Frontières Operations In Mali Post-2022, Gina T. Fiorenza

Honors Capstones

Previous research has indicated that an NGO’s funding stream can limit its organizational decision making and inadvertently cause NGOs to place the priorities of donors over that of their beneficiaries. Additionally, Western-international NGOs operating in the Global South have been accused of engaging and perpetuating imbalanced power structures, often facing accusations of racism. To analyze these issues, I conducted a quantitative analysis of financial reports in conjunction with a qualitative analysis of activity reports in Mali in the past 20 years.  My findings indicate that MSF’s past collaboration with the Malian government and decision to reject state funding allows the …

From Talking The Talk To Walking The Walk: Reflection On Dartmouth Health's Care Experience Week, Rosie Bartel, Corey Kimpson, Tanya Lord, Victoria Lyons, Tony Serge, Brant Oliver

Patient Experience Journal

This article explores the participation of expert members from the Beryl Institute's Global Patient and Family Advisory Board (GPFAB) during Dartmouth Health's Care Experience Week, under the theme ``From Talking the Talk to Walking the Walk.'' This week aligns with the national Patient Experience Week. The Patient Family Advisor (PFA) presenters and authors of this article have shared their lived experience locally, nationally, and internationally through conferences, webinars, podcasts, videos, blogs, white papers, journal articles, books, and in many other ways for and as PFA members of a multitude of healthcare organizations co-create change that improves outcomes for all human …

Inaccessibility And Performative Inclusivity: Higher-Weight Francophone And Newcomer Adults' Experiences In A Canadian Atlantic Province, Andrea E. Bombak, Norma Chinho, Kathleen O'Keefe, Sumaiya Akhter, Lisa Thomson, Courtney Burk, Lee Turner

Patient Experience Journal

Weight stigma research is needed in diverse populations. Two populations that may experience compromised healthcare in New Brunswick, Canada's only officially bilingual province (English/French), are Francophone New Brunswickers and newcomers to Canada. As such, this study explores the experiences of higher-weight (Body Mass Index ≥ 30) adults (≥ 18 years of age) who also identify as primarily Francophone or as having moved to Canada ≤ 5 years ago in and out of healthcare contexts. Participants were interviewed according to a semi-structured interview guide face-to-face, by telephone, or video-call two times, at 2-to-3-month intervals. Interviews included questions about experiences and effects …

Beliefs Regarding Patient Experience In The Emergency Department Among Individuals With Sickle Cell Disease, Elizabeth A. Ibiloye, Gloria N. Odonkor, Ayobami A. Aiyeolemi, Jamie C. Barner, Carolyn M. Brown, Hyeun Ah Kang, Benita A. Bamgbade

Patient Experience Journal

Individuals with sickle cell disease (SCD) frequently experience intense, unanticipated pain episodes known as vaso-occlusive events (VOEs), which often require emergency department (ED) treatment. However, they often report suboptimal experiences in the ED. Using the Theory of Planned Behavior (TPB), this study aimed to elicit salient beliefs regarding SCD patient experience in the ED. Three virtual focus group sessions were conducted with individuals with SCD recruited through a Texas SCD Association and Rare Patient Voice. Nine open-ended questions were used to elicit participants' behavioral, normative, and control beliefs regarding ED use when experiencing VOEs. Qualitative analysis was performed using a …