Digital Commons Network^™

Deaths Of Despair Among Cancer Survivors In Rural/Urban Appalachia (2000-2022), Jason Semprini, Anders Erickson, Nosa Osazuwa-Peters

Journal of Appalachian Health

Introduction: Rising deaths of despair (premature deaths from suicide, overdose, alcohol, and violence) in adults under age 65 persist across the United States, especially in Appalachia. People diagnosed with cancer may face elevated risks of such deaths due to pain, psychosocial distress, and financial hardship.

Purpose: Deaths of despair trends were compared among adults with cancer across Appalachian and non-Appalachian regions, stratified by sex and rurality.

Methods: Analyzing SEER-21 Incidence-Based Mortality data (2000–2022), deaths caused by suicide, cirrhosis of the liver, or accidents (includes overdose) were identified among adults aged 20–64 years. Annual mortality rates per 100,000 total population were …

Corruption In The Service Of The Common Good: The Legitimation Of Traditional Practitioners In Cameroon, Victorine Oyane Ossah

Journal of Law and Public Policy

This article shows how health law and public policy, in seeking to regulate traditional medicine, without fully recognising it, paradoxically end up producing the very social conditions for the corruption that they are supposed to combat. The aim is to identify, based on the experience of traditional healers, the various factors that contribute to establishing corruption not as a moral choice, but as a pragmatic strategy for preserving their knowledge, resources, and place in the healthcare system. The analysis presented is based on a qualitative survey of 30 traditional medicine practitioners in Yaoundé and Douala between 2021 and 2026, in …

Bridging Fiscal Sustainability And Health Equity: A Policy Analysis Of California’S Healthcare Coverage Safeguards, Guadalupe Castaneda Martinez

Master's Projects and Capstones

Without structural policy intervention, approximately 4.6 million Californians remain at risk of being uninsured by 2030, worsening racial and ethnic health disparities and hospital uncompensated care burdens. This policy analysis advocates for a hybrid universal coverage model combining sliding-scale subsidies (California Senate Bill 78) with full-scope Medi-Cal expansion for all income-eligible residents regardless of legal status (California Assembly Bill 133). The framework relies on existing funding mechanisms, including the Managed Care Organization tax and the Health Care Affordability Reserve Fund. Comparative analysis indicates that market-only subsidies leave severe equity gaps, whereas immediate single-payer transitions pose substantial fiscal and administrative risks. …

"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee

Electronic Theses and Dissertations

Contemporary research on the Rorschach and culture is striking for the latter’s disappearance as a variable of significance (Meyer et al., 2015; Meyer et al., 2007; Mihura et al., 2013; Viglione & Hilsenroth, 2001). This erasure is chronicled and reproduced in the narratives of universal objectivity, of extensive international meta-analyses, of replications, of standardized norms (Ritzler, 2004; Smith et al., 2018; Smith et al., 2020; Weiner, 2004). A different story emerges, however, when we ask, how has culture disappeared? The proposed study is a multimethod qualitative analysis of Singaporean responses to the Rorschach, aimed at generating sensitive yet critical discourses …

Race And Trauma: An Analysis Of Trauma Symptomology Across Diverse Youth Populations, Mara J. Niccoli

Electronic Theses and Dissertations

The adverse effects of trauma, particularly among youth who identify as Black, is a critical issue. This study investigated the relationship between race and trauma symptomology among children and adolescents who received weekly trauma therapy. With the use of clinical assessment data, this study sought to determine whether Black youth presented to treatment with higher trauma acuity than non-Black youth and if there were disparate outcomes in symptomology after treatment. The results indicated that on average, Black youth presented to treatment with lower trauma acuity than non-Black youth, and there were disparate outcomes in trauma symptomology between the two racial …

Consecuencias De La Violencia Docente: Recuentos Desde El Campo De La Formación Musical Universitaria En México, Karla M. Reynoso Vargas, Basilio Fernández-Morante

Visions of Research in Music Education

Este es un trabajo independiente, pero complementario al estudio «La violencia docente en la educación musical universitaria: una exploración en el contexto mexicano». Presenta el análisis de la información que se desprende de 53 relatos de víctimas de violencia docente en programas universitarios de música. Incorporamos reflexiones y aportaciones de estudiantes, profesionales y personas que abandonaron sus carreras de música en la República Mexicana, quienes compartieron voluntariamente sus historias. La primera categoría describe las consecuencias de la violencia docente. Por un lado, se observaron efectos interpretados como positivos, entre ellos la activación de la orientación al logro, el sobreesfuerzo y …

C.S.A. Assessment - Tamp Family Health Center Portal, Delante Clark

Graduate Scholarship and Creative Works

This C.A.S. assessment evaluates how the Tampa Family Health Centers website influences userattention, cognitive processing, information accessibility, navigation efficiency, and digital user experience.The assessment examines whether the platform supports intentional engagement and informed decision-making while minimizing cognitive overload, distraction, confusion, and unnecessary attentional demands.

TFHC serves as a healthcare access portal providing appointment scheduling, patient resources, providerinformation, healthcare services, MyChart access, payment services, and community health resources.These functions make attention management and information clarity critical to successful user outcomes.

Sociology Of Mind Trap In Nepal, Makar Bahadur Sarki

Transformations

Nepali society is multilingual, culturally and ethnically diverse. It holds great potential for development and thought. However, the existing mental traps in society are creating obstacles to fulfilling those potentials. Mental entrapment is a problem in which people follow someone's words with complete faith, just like someone who runs after a crow without touching their own ears after hearing that it has ears. This forces people to live in illusion. This leads to individuals mistrusting their own abilities and pushing society towards inaction. This situation is not only due to individual thinking, but is the combined result of social structural …

Media Emotion Regulation And Executive Function In Childhood: Associations With Respiratory Sinus Arrhythmia, Lara M. Almeida

Theses and Dissertations

Media emotion regulation (MER), or the use of media to help children manage emotions, may influence children's development by shaping opportunities for practicing self-regulatory skills. Guided by the Dynamic, Relational, Ecological Approach to Media Effects Research (DREAMER) model, this study examined longitudinal associations between MER and executive functioning (EF) in early childhood and explored whether respiratory sinus arrhythmia (RSA), a physiological index of regulation, predicted developmental changes. Participants included 175 parent-child dyads assessed across two annual waves when children were approximately 4 and 5 years old. Structural equation modeling was used to test bidirectional associations between MER and EF while …

Physical Activity, Trauma, And Posttraumatic Stress: The Indirect Role Of Exercise Addiction, Anastasiia Rozumna

Theses and Dissertations

Exercise is often conceptualized as a protective factor for mental health, including for individuals exposed to trauma. However, less is known about whether exercise may relate to posttraumatic stress symptoms differently when it is accompanied by compulsive or addictive features. The present study examined whether volume and intensity of physical activity were associated with posttraumatic stress symptom severity indirectly through exercise addiction symptoms. This secondary cross-sectional analysis included 557 adults living in the United States who reported regular participation in sport or physical activity. Participants completed self-report measures of physical activity behavior, exercise addiction symptoms, trauma exposure, and posttraumatic stress …

A Systematic Review Of Posttraumatic Stress Disorder Among Hispanic Immigrants In The United States, Rashel Acireale

Theses and Dissertations

This study systematically reviews the literature on posttraumatic stress disorder (PTSD) among Hispanic immigrants in the United States, a population exposed to cumulative trauma across the migration process. Stressors may occur before, during, and after migration and include violence, family separation, dangerous travel conditions, discrimination, and fear of deportation. Despite these risks, findings on PTSD prevalence remain mixed, and Hispanic immigrants are underrepresented in clinical research and culturally informed interventions. This review examines sample representation, types and timing of trauma, PTSD measurement approaches, and the inclusion of cultural and contextual factors such as acculturation and immigration-related stress. It also evaluates …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

Rethinking Methodological Frameworks In Qualitative Comparative Migration Policy Research, Afag Javadova

The Qualitative Report

Capturing the nuanced dynamics of sub-national migration policy requires methodological frameworks that integrate multiple sources of evidence while remaining attentive to context-specific processes. Such approaches are well-suited to tracing interactions among policy actors and institutions within evolving, locally embedded systems of comparative policymaking. This study examines why municipalities operating under similar macro-level conditions pursue divergent policy trajectories in migration governance and demonstrates the analytical rigor and explanatory power of qualitative thematic analysis in accounting for this variation. Drawing on policy documents, archival records, and media sources from Toronto, San Francisco, and Wellington, it employs a hybrid inductive–deductive coding approach to …

Translating English‑Language Cosmetic Catalogues Into Persian: A Thematic And Content Analysis Of Health Information And Product Marketing Across Cultural Contexts, Afshin Soori, Laleh Khojasteh, Sanaz Mojarrad, Sedigheh Shakib Kotamjani

The Qualitative Report

The translation of English-to-Persian cosmetic catalogues presents unique challenges due to their hybrid nature, combining health communication with marketing language. These challenges, including linguistic inaccuracies, cultural misalignment, and functional inadequacies, can compromise consumer safety and trust. This study investigates the root causes of these issues and proposes strategies to enhance translation practices. A qualitative design was employed, analyzing 100 English-to-Persian cosmetic catalogue translations and incorporating feedback from 10 experts in TESL, translation studies, and health communication. The analysis revealed recurring issues such as misinterpretations of technical terms, omissions of safety warnings, and inconsistent terminology use. These issues were primarily attributed …

Reimagining Photovoice: Leveraging Ai For Inclusive And Equitable Engagement In Refugee Research, Areej Al-Hamad, Kateryna Metersky, Yasin M. Yasin, Victoria Hayrabedian, Rezwana Rahman

The Qualitative Report

This methodology paper reimagines photovoice, a visual research method, by integrating artificial intelligence (AI), thereby expanding methodological options for both researchers and participants to foster more inclusive and equitable engagement in refugee research. Using AI-generated images, metaphors, and photocollage, displaced Ukrainian women in Canada co-created symbolic visuals to express complex emotions and experiences that may be difficult to capture through traditional photography. This approach addresses limitations of conventional photovoice by reducing technological and linguistic barriers, enhancing emotional expression, and supporting diverse representations of displacement and resettlement. Rather than replacing existing methods, this AI-assisted approach expands the methodological options available to …

History Repeats Itself – A Discourse Analysis Exploring The Voices Of School Shooting Survivors, Public Perception, And Governmental Response For The Sake Of A Shooting-Free, Nicolette Tran, Frank Gorritz

The Qualitative Report

School and public shootings have been an increasing epidemic in the United States over the last 20 years. We used discourse analysis to provide insights into the conversations, attitudes, and perceptions of public shootings through the analysis of news coverage, magazines, and social media. We found themes associated with growing public despair around governmental lack of response and inevitability of gun violence everywhere, racial and gender disparities of gun violence, and the widespread impact of trauma to gun violence. The results of this discourse analysis indicate how problematic discourse still perpetuates gun violence and trauma in the United States. Implications …

Impunity: A Case Study Of Sex Trafficking In Nevada Brothel Prostitution, Christen Price

Dignity: A Journal of Analysis of Exploitation and Violence

It is well-documented that legalization and other forms of official protection for prostitution lead to an increase in sex trafficking, including by encouraging demand for prostitution. This paper will consider the relationship between official protection, organized crime, and sex trafficking in pro-prostitution legal regimes, both historical and contemporary. Prostitution is legal in rural counties in Nevada that have fewer than 700,000 residents, if prostitution occurs within a brothel. There is significant overlap between sex trafficking and legal brothel prostitution in Nevada, as well as a nexus to corruption and organized crime, illustrating the normalization of coercion that occurs within legalized …

Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin

Dignity: A Journal of Analysis of Exploitation and Violence

The article examines Transaction Intercept (TI), an artificial‑intelligence platform designed to reduce sex trafficking by disrupting the revenue streams that draw organized crime into the market. Transaction Intercept deploys decoy online ads that appear to offer commercial sexual exploitation or prostitution. Automated "decoy" personas connect to individuals who click on these ads and engage them in text conversations. These exchanges can remain fully automated, ending with deterrence messages, or be transferred to police for potential enforcement action or to trained volunteers who attempt to discourage further attempts to buy sex. Transaction Intercept generates extensive, real‑time data on local demand for …

Project Care Poster, Jeff Gutierrez, Rayna Sage, Rtc: Rural

Independent Living and Community Participation

The CARE Project connects rural Centers for Independent Living (CILs) and rural libraries to improve disability services and respond to community needs together. RTC:Rural has designed a participatory curriculum development project to collaboratively create a resource to provide a roadmap to community partnerships between rural CILs and libraries.

The Internet Did This To Me: Forms, Consequences, And Coping Strategies Of Cyberbullying, Isaac Oppong

Electronic Theses and Dissertations

This study examined self-reported cyberbullying experiences recounted in a subreddit (r/cyberbullying) to identify forms of cyberbullying, its effects, and ways to cope with it. The findings indicate that there are several types of cyberbullying, such as verbal aggression, deceptive manipulation, privacy invasion, and coercive control. These experiences led to emotional, social, and behavioral consequences, including fear, anxiety, withdrawal, and decreased online activity. Based on concepts from Social Information Processing theory and Symbolic Interactionism, this study reveals how cyberbullying can produce the same or similar consequences as traditional bullying. People experienced disturbances in their self-presentation, contended with spoiled identities, and dealt …

Using Photovoice And Life Course Theory To Understand The Lived Experiences Of Filipino Teenage Parents, Nina Linly D. Capulong, Liane Peña Alampay, Bernice Landoy Mamauag, Jennel Drezza Fe C. Reyes

Psychology Department Faculty Publications

Teenage parents face the unique challenge of simultaneously navigating adolescence and parenthood. Rising adolescent pregnancy rates in the Philippines necessitate urgent efforts to better understand and support them. Using Photovoice, Filipino teenage parents captured their lived experiences through photographs, resulting in eight themes: (1) Managing stresses and conflicts in partner relationships, (2) Peers as a source of emotional support, (3) Support and strain in family relationships, (4) Shifts in normative adolescent experiences and priorities, (5) Strain and agency in balancing roles, (6) Desire to enhance parenting knowledge and skills, (7) Environmental drivers of early sexual exposure, (8) Sexual knowledge from …

State Medicaid Expansion And Mental Health In The Poorest States: Examining Differences In States That Expanded Medicaid Compared To Those Which Did Not, Steven Kyle Yates

Master's Theses

Medicaid expansion is a contentious issue in U. S. political debates, especially regarding its impact on public health outcomes. The Republican Party often shows hesitation to support government funding initiatives, citing concerns about creating dependency on entitlement programs like Medicaid. As a result, state legislatures have significant authority to shape their Medicaid programs, including setting eligibility requirements and defining the scope of benefits and services. In this study, I examine disparities in mental health indicators between economically disadvantaged states that expanded Medicaid and those that did not expand Medicaid. The dependent variables include medical costs, measured by how often individuals …

End Matter

Comparative Civilizations Review

No abstract provided.

Introduction To Liah Greenfeld’S Scholarship On Nationalism, Civilizations, And Humanity, Zeying Wu

Comparative Civilizations Review

This introduction to the special issue of Comparative Civilizations Review, dedicated to the late Professor Liah Greenfeld, summarizes her original approach to the study of nationalism, civilization, and humanity. It describes her groundbreaking contributions across multiple disciplines ⎯ including sociology, political science, anthropology, economic history, and psychiatry ⎯ and introduces Greenfeld’s comparative civilizations project, an ambitious endeavor to which she dedicated her final years. The introduction concludes by examining examples of her influence on the work of scholars around the world featured in this special issue and how her intellectual legacy provides vital frameworks for understanding the world in …

Temporal Legitimacy And Civilizational Logic: A Sociological Perspective On The Foundational Principles Of Chinese Civilization, Yuk Man Cheung

Comparative Civilizations Review

This article departs from the recent social-scientific analytical framework for comparative civilizations proposed by the sociologist Liah Greenfeld (2024a, 2024b, 2025) and puts forward several basic conjectures regarding the analysis of the characteristics of Chinese civilization, with the aim of assisting our understanding, execution, and integration of empirical studies. Precisely because these are conjectures, they differ from conventional academic research–especially the case-study-oriented research style dominant in contemporary Anglophone academia. Accordingly, this article can only be regarded as an attempt that, starting from sociological theory, offers preliminary conjectures and tentatively constructs a theoretical framework within which specialists from different fields may …

Cognitive Foundations Of The Absence Of Antisemitism In Japan: Towards A Civilizational Perspective, Chikako Takeishi

Comparative Civilizations Review

This paper explores the gap between civilizations in the forms antisemitism takes and the cognitive modes on which it is based, given its significance for comparative civilizational analysis. Antisemitism is characterized by two features — the expressive nature of violence and an orientation toward the elimination of an entire group — which are particularly salient compared to other forms of anti-sentiment familiar in the age of nationalism. In the first section of this paper, I argue that antisemitism exhibiting these features has not been present in Japanese history. The subsequent sections, building on Greenfeld’s theory of civilization, examine existential envy …

The Family As A Mechanism Of Civilizational Continuity: Absorption, Localization, And Rejection Of Modern Values In The Indic Case, Monika Monika

Comparative Civilizations Review

Contrary to the common view that the family socializes the individual into a given culture, this paper insists that the family performs a far more profound, indeed, a constitutive function. It is not simply the first school of civilizational values; it is the primary institutional site through which a civilization reproduces its symbolic order and, in so doing, acts as the gatekeeper of civilizational continuity and change. It is here that a civilization’s foundational principles are first internalized; and it is here, too, that modern values, or new norms thrust upon it by encounters with alien civilizations ⎯ are first …

Exploring Rural Culture And Gambling Harm Among Young Adults In Central Appalachia, Noah S. Anderson, James P. Whelan, Meredith K. Ginley

Appalachian Student Healthcare Research Review

Background: Gambling-related harms are increasing among young adults, yet limited research has examined how rural cultural identity shapes gambling engagement and associated harms. Appalachia is a predominantly rural region with distinct cultural values, limited behavioral health access, and increasing exposure to legalized and informal gambling opportunities.

Purpose: This study examined whether Appalachian self-identification and affective states are associated with gambling engagement and gambling-related harm among college students residing in central Appalachia.

Methods: Participants were 395 undergraduate students recruited from a central Appalachian public university who completed an online survey assessing Appalachian self-identification, gambling engagement, gambling-related symptom severity (Problem Gambling Severity …

Market Rate Survey & Narrow Cost Analysis: 2026 Worksheet, Nh Department Of Health And Human Services

New Hampshire Early Care and Education Research Consortium

Child care providers in New Hampshire can use this worksheet to gather the information they will need to complete the 2026 Market Rate Survey and Narrow Cost Analysis. Not all questions may be relevant to each program. All questions should be answered with information current as of September 15, 2026.

Social Support As A Resource In Emerging Adulthood: Examining Siblings' Unique Potential, Leslie A. Page

All Graduate Theses and Dissertations, Fall 2023 to Present

This dissertation consists of three studies that examined the influence of multiple relational processes and partners across adolescence and emerging adulthood. Drawing on family systems (Bowen, 1978; Cox & Paley, 1997) and social convoy (Antonucci et al., 2013) theories, social support was conceptualized as a relational dimension that shapes how close others function as resources during key developmental transitions. With this perspective, siblings were included as important, but relatively understudied, members of the social convoy who may provide enduring and flexible support that is extremely relevant for this population. In Study 1, support was treated as an outcome of longitudinal …