Digital Commons Network^™

The Repercussions Of Race-Based Egfr On The Morbidity & Mortality Of Black Children With Renal Disease, Angelina Siino

Rowan-Virtua Research Day

This study investigates the implications of race-based adjustments in estimated glomerular filtration rate (eGFR) calculations on the health outcomes of Black children with renal disease. Historically, a race coefficient has been added to eGFR calculations for patients identified as Black, resulting in an artificial inflation of kidney function by approximately 16%. This inflation can delay the classification of chronic kidney disease (CKD), postpone eligibility for essential interventions like preemptive kidney transplantation, and prolong reliance on maintenance dialysis. Through a comprehensive literature review of peer-reviewed U.S. medical journal articles published between 2000 and 2023, this work explores how these clinical delays …

Cardiovascular Risk Factors In The Autism Spectrum Disorder Population, Christian C. Iannuzzelli, Andrea L. Iannuzzelli

Rowan-Virtua Research Day

The population of patients with Autism Spectrum Disorder (ASD) have multiple risks and barriers that may make access to proper health care more difficult. After extensive research, some of these barriers may have been identified that pose greater risks to generating proper care for those with ASD. Some of these barriers include medical complexity, more sedentary lifestyles, poor food choices, as well as health comorbities. Some of these health comorbidities include hypertension, metabolic dysfunction, sleep apnea, and inflammation. This study aims to understand what barriers and risks for CVD are present in those with ASD.

Addressing Gaps In Clinical Trial Access For African Americans, Vanessa Veltre, Michael Acevedo, Alexandra Stone, Lydell Lettsome, Brian Stone

Rowan-Virtua Research Day

Background: Clinical trials are essential for generating evidence on the safety and efficacy of new treatments. However, Black Americans remain underrepresented in clinical research, particularly for conditions that disproportionately affect them. This underrepresentation compromises the generalizability of findings and perpetuates health disparities. This study aimed to identify barriers and facilitators to African American participation in clinical trials and to inform culturally sensitive strategies to improve enrollment of diverse populations.

Methods: We developed a 38-question web-based survey, divided into three domains: (1) cultural affinity, (2) trust, and (3) background information. The survey was administered using Jotform, a HIPAA-compliant platform. Participants—Black adults …

Child Sex Trafficking In Pediatrics: From Screening To Comprehensive Care, Victoria Shwe, Tracy Lin, Nicole M. Leopardi

Rowan-Virtua Research Day

Child sex trafficking is a significant issue in New Jersey, with minors making up 22% of trafficking victims in 2023. While screening tools exist to identify at-risk youth, there is a major gap in understanding the steps healthcare providers should take after identification to ensure appropriate care, support, and referrals. Current research highlights the lack of data on the use of trafficking screening tools and the absence of standardized post-screening protocols. Most pediatricians rely on referrals to social services or law enforcement, yet limited coordination between healthcare providers and these agencies complicates effective care. The shortage of child abuse pediatric …

Assessing The Impact Of The Covid-19 Pandemic On Health Literacy In Patients Presenting To A Student-Run Free Clinic, Sabah Iqbal, Kirsten Carlberg, Krisha S. Patel, Ashlyn Mcclelland, Sarah Marotta, Rebecca Moore

Rowan-Virtua Research Day

Background

Health literacy as defined by the Center for Disease Control and Prevention (CDC), refers to an individual’s ability to find, understand, and use health information and services1. This definition has evolved with the onset of the COVID-19 pandemic and increasing emphasis on preventative healthcare. We aimed to observe the impact of the pandemic on the health literacy of patients in a free community clinic run by medical students.

Hypothesis

This study aims to assess the effect of various demographic and socioeconomic factors and the COVID-19 pandemic on health literacy levels estimated by the NVS assessment in the patient population …

Beyond The Label: Understanding And Addressing Occupational Stigma In Psychiatry, Mahesh Vasudevan, Madeeha Sheriff

Rowan-Virtua Research Day

Introduction:Stigma is a social classification that devalues individuals or groups, and occupational stigma targets entire professions. Psychiatry is particularly affected, often viewed by the public and medical community as lacking scientific rigor and prestige. This negative perception has far-reaching consequences.

Methods:A narrative literature review was conducted to explore the scope, sources, and impact of occupational stigma toward psychiatrists. Peer-reviewed articles and professional resources published between 2002 and 2023 were selected based on relevance to psychiatric stigma, education, and public perception. Databases searched included PubMed, Google Scholar, and professional association websites using keywords such as “psychiatry stigma” and “psychiatrist …

Relationship Between Maternal Mortality And Zip Code In New Jersey, Katarina Rusinak

Rowan-Virtua Research Day

Maternal mortality remains a pressing public health concern in the United States, with significant disparities influenced by geography and social determinants of health. This study investigates the relationship between zip code-level factors and maternal mortality rates (MMR) in New Jersey (NJ), a state with demographic and socioeconomic diversity. Using data from the NJ Department of Health, CDC, and recent literature, I identified patterns correlating higher MMR with areas experiencing poverty, limited access to healthcare, and predominantly minority populations. Counties such as Essex, Union, and Cumberland—classified as Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas (MUAs)—exhibited particularly high vulnerability. These …

Exploring The Effects Of Target Race, Gender, And Weight On Pain Perception, Catherine Awad, Theresa Miller, Azer Tuerxuntuoheti, Peter Mende-Siedlecki

Rowan-Virtua Research Day

Healthcare equity is an essential right, and while the quality of care is assumed to be uniform, notable disparities in care are associated with factors of race, gender, and weight-particularly in the domain of pain evaluation and care. In experimental work, target race and gender have varying, and interacting effects on visual thresholds for perceiving painful expressions. Racial bias in pain perception is well established as participants see pain on black faces less readily than pain on white faces; gender also impacts pain treatment, where women are susceptible to having their pain discredited. Across two experiments, the influence of weight …

Disparities In Demographics Of Patients Presenting To A Student-Run Free Clinic In South Jersey, Kirsten Carlberg, Sabah Iqbal, Christian Moya Gamboa, Daliza Diaz, Cerena Moreno, Rebecca Moore

Rowan-Virtua Research Day

Medical schools around the country have established free clinics to better serve the underserved patient populations. In this study, we aimed to evaluate demographic characteristics in the patient population at our free clinic, Rowan-Virtua Community Health Clinic (RVCHC), compared to the general population of Camden County. We found a disproportionately higher percentage of black patients at our clinic when compared to the county overall. Addressing these disparities would require targeted outreach to specific patient populations and improved transit access. Future studies should aim to identify RVCHC health outcomes through the management of chronic disease and understanding emergency room utilization.

The Impact Of Food Deserts And Food Insecurity On Cardiovascular Outcomes In New Jersey, Amina Baig, Cheyenne Myklebust, Jack Hennen, Leah Perez, Rhoda Ukenna-Izuwa, Tayyiaba Farooq

Rowan-Virtua Research Day

Food deserts - areas with limited access to affordable, healthful food - are increasingly being recognized as risk factors for adverse cardiovascular outcomes. This review discusses the link between food desert density and cardiovascular disease risk with a special emphasis on New Jersey. A systematic PubMed, Cochrane, and Embase literature review of studies from 2014 through 2024 was conducted, with some relevant older research dating back to 2001. Some of the keywords used in the search included "food desert," "food insecurity," "cardiovascular disease," and "New Jersey." The search was restricted to English-language research conducted within the United States. The literature …

Recollections Of A Tejana Life, Carolina Yáñez

Art Theses and Dissertations

This thesis encompasses the life of a young woman navigating life in Texas through various political and social barriers. My interdisciplinary practice analyzes the historical context of Mexicans in Texas from its Revolutionary period into current injustices. Through fiber, printmaking, and photography I create a visual diary to illustrate what the political has made personal. These works display the beauty of Tejano culture, but also the power struggles that threaten communities I care for, as well as my own existence that persists against far-right wing agendas.

Current politics and government leadership in Texas have inspired me to make artwork calling …

Environmental Concern And Its Relationship To Community Attachment And Satisfaction In Southern West Virginia, Terence Asitibasi

All Theses

Extractive industries, especially coal, in the Appalachia region, have contributed to severe environmental challenges. Over the past years, residents in these areas faced increased health risks and damage to natural landscapes, impacting on how connected they are attached to their communities and overall satisfaction with their quality of life. Previous studies have examined these issues but with a focus on amenity-rich rural west, low amenities, urban-suburban, tourist-dependent and Great Lakes regions; this study looks at southern West Virginia, a coal-dependent region. And as such fills that gap by exploring how environmental concerns - combined with a longstanding reliance on coal …

Deep-Fake Revenge Porn: The Intersection Of Artificial Intelligence And Revenge Porn For A Modern Attack On Women, Eva C. Hunt

Capstone Projects and Master's Theses

This study aims to provide a legal analysis grounded in gender legal theory to critique current legislation enacted in the United States. It focuses on the societal and gendered impacts of revenge porn, particularly examining how victimization differs across genders. The legal analysis explores state-by-state legislation addressing revenge porn, assessing the severity of criminal penalties and the timeline of enactment. For current contextual reasons, the study evaluates how emerging Deepfake artificial intelligence technologies intersect with and complicate existing revenge porn laws. Finally, it analyzes the extent to which each state has incorporated Deepfake AI considerations into its legal framework.

Double, Double, Toils And Troubles: Analyzing The “Magical” Relationships Between University Leaders’ Personality Traits And Their Self-Efficacy In Leadership Situations, Fay Ludvine Boudreaux

LSU New Orleans Theses and Dissertations

This present study investigated the relationship between higher education leaders’ personality traits and their self-efficacy in leadership situations. A total of 151 leaders employed across the nine institutions within the University of Louisiana System completed a survey that prompted them to identify their personal values, traits, and skill sets, as derived from the online Pottermore quiz, the official Harry Potter Hogwarts House sorting instrument. This niche personality metric was chosen to cater to higher education’s evolving landscape, as it welcomes an influx of Millennials into leadership positions. Participants’ responses were eventually recoded to “sort” them into their respective Houses: Gryffindor, …

Sibling Groups And Family Adaptability And Cohesion Among Emerging Adult Women, Julianne M. Post

Graduate Theses and Dissertations

This study examined how sibling group size is related to family adaptability, cohesion, and individual resiliency outcomes during emerging adulthood. Using Bowen's Family Systems Theory and Olson's Circumplex Model, the research investigates sibling subsystems as sites where systemic imbalances are first experienced within families. Data from 124 college students revealed that larger sibling groups were associated with marginally higher disengagement and chaos resulting in decreased perceived social support, suggesting resiliency implications for youth growing up within larger families. While sibling size didn't directly predict mental health, family dynamics significantly mediated the relationship between sibling composition and resiliency outcomes. Demographic factors …

Full Issue, Volume 20, Issue 2

Journal of Youth Development

No abstract provided.

How A College Course Benefits Under-Resourced High Schoolers Interested In Veterinary Medicine, Gwendolyn R. Svenson, Olivia Arnold, Patricia Vigil, Naomi Nishi, Christianne Magee

Journal of Youth Development

The Veterinary Perspectives Institute (VPI) was designed to address the challenges faced by underrepresented youth who are interested in veterinary medicine. This study examines the VPI, a tuition-free program that introduces students from under-resourced high schools to veterinary medicine and One Health through a hands-on, transdisciplinary approach. The VPI integrates One Health concepts by linking human, animal, and environmental health in the context of veterinary medicine. The program’s aim is to foster college readiness and career exploration in veterinary and biomedical fields, while also addressing barriers to diversity in veterinary medicine. Through hands-on learning and case studies in One Health, …

Heart To Heart: Exploring Why Cardiovascular Risk Is Higher In South Asians, Jasjeet Kaur Dhaliwal

Rowan-Virtua Research Day

Cardiovascular disease (CVD) is a leading global cause of mortality, but South Asians experience a disproportionately high burden of disease, often developing CVD at younger ages and with lower body mass indices compared to other populations. This project explores the underlying genetic and lifestyle factors contributing to elevated cardiovascular risk in South Asians, aiming to highlight the need for targeted prevention strategies and policy reforms.

A literature review was conducted using peer-reviewed studies, meta-analyses, and reviews published between 2007 and 2024. After screening 47 initial articles, 18 were selected for analysis based on their relevance to genetic and lifestyle risk …

Assessing The Impact Of The Covid-19 Pandemic On Mental Health In Patients Presenting To A Student-Run Free Clinic, Sabah Iqbal, Kirsten Carlberg, Emily Reilly, Jessica Ivanov, Victoria Youssef, Lily Roessler, Maikel Monsour, Nils Brolis

Rowan-Virtua Research Day

Background

Mental health is an important part of patient care, therefore it is imperative to understand how it’s recognized and treated. Socioeconomic status and the COVID19 pandemic contribute to disproportionate incidences of mental illness^{1, 2, 10, 11, 12}. This study uses data from a student-run clinic, the Rowan-Virtua Community Health Center (RVCHC), to examine disparities in mental health needs and screenings among the local population.

Hypothesis

It was hypothesized that underserved populations are at a disadvantage when it comes to both mental health screenings and treatment due to restricted access to healthcare and other unmet needs. Additionally, the …

The Impact Of Environmental Deficiencies On Maternal Health Outcomes, Zahra Wallizadeh, Emiyah Bullock, Antoinette Jones, Katarina Rusinak

Rowan-Virtua Research Day

This study examines the environmental factors contributing to adverse maternal health outcomes in New Jersey, with particular focus on their disproportionate impact on minority women. Analysis of data from PubMed, Policy Map, NIH, CDC, EPA, and the New Jersey Department of Health reveals that women living in low-income areas face significant environmental challenges, including food deserts, air pollution, unsafe living conditions, inadequate infrastructure, and limited transportation options. These environmental determinants exacerbate maternal stress and contribute to complications such as preterm birth and hypertension. Black women are nearly three times more vulnerable to these adverse outcomes compared to white women, highlighting …

Examining The Relationship Between Nutritional Access And Childhood Obesity In Low-Resource South Jersey Communities, Anastasiya Matveyenko, Saul Madrid-Flores, Arleen Fortuna, Kirsten Marie Carlberg

Rowan-Virtua Research Day

BACKGROUND: Childhood obesity is defined as a child considered to have obesity when their body mass index falls in the top 5% compared to other children of the same age and gender. Unhealthy eating habits formed during childhood have been associated with diseases such as obesity and diabetes. We aim to examine the relationship between childhood obesity and barriers to optimal nutrition in our local South Jersey community.

METHODS: We conducted a literature review through Google, Google Scholar, and PubMed utilizing the key terms, “low socioeconomic status (SES),” “Childhood obesity in NJ,” “Nutritional Intervention,” and “Health Risks.”

RESULTS: Our study …

"Bad Things Happen In Philadelphia": Managing Stigma And Threats In The Wake Of False Criminal Accusations, Steven Windisch

Sociology and Criminology Faculty Publications and Presentations

In the aftermath of the 2020 U.S. election, the boundary between activism and extremism blurred, with election officials reporting violent threats and false accusations of election fraud. From a symbolic interactionist perspective, these attacks provide a unique lens for examining the consequences of being falsely labeled a criminal. This study utilizes data from in-depth interviews with 15 election officials to explore the nature of informal false accusations, participants' subjective interpretations of these labels, and their behavioral and emotional strategies for managing their "spoiled identity." The findings highlight the criminalizing and dehumanizing effects of these accusations, with officials enduring verbal abuse, …

The Influence Rural Leaders Have On Local Population Change: A Two-Part Study, Nichole T. Reiner

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

This two-part research study aims to understand factors that influence a rural community population and how local leaders believe they can influence those factors to impact population changes. The first study focuses identifying factors that predict population change using a linear regression model. The second study is a multiple case study focused on three communities, where a mix of secondary data and community leader interviews provided an in-depth understanding of how local leaders perceive their capacity to influence factors influencing population change in their communities.

Advisor: LJ McElravy

Men’S Fertility Beliefs, Intentions, And Contraceptive Use, Meagan Kunitzer

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Despite advancements in reproductive technology, gender-inclusive approaches remain limited, and research on men’s reproductive health is scarce. Specifically, little is known about how men conceptualize reproductive health and how perspectives vary by race and social class. As such, the purpose of this study is to further the field’s understanding of men’s reproductive health, including fertility beliefs, intentions, and behaviors. Guided by the theory of conjunctural action, this study uses survey-driven narrative construction to explore how 35 men think about their reproductive health and how this varies by race and class. The main benefit of using this method is that it …

Sociological Understandings Of Entrepreneurial Action And Intention, Jeffrey Cavanaugh

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Entrepreneurship as a trend has emerged across many different disciplines, drawing on theory from psychology, economics, and sociology. Importantly, sociologic aspects of entrepreneurship remain hidden from scholarship, as existing topics are often vague or narrowly partitioned. In my dissertation, I utilize sociological understandings of human interactions which define entrepreneurial intention and action. Specifically, I explore how entrepreneurs’ religion, rurality, and social media use influences their behaviors. Throughout these three quantitative essays, I contribute to a better understanding of the social psychology of entrepreneurship, and why entrepreneurial pursuits are so intricately linked to every aspect of society. Throughout my research, which …

Support, School Climate And Teacher Wellbeing In The Wake Of Covid-19: A National Study Using Ntsp Data, Annastashia M. Teepe

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Research indicates a significant number of teachers planned to leave the profession following the COVID-19 pandemic, with national surveys in 2021 revealing about 25% considering departure. Stress, low pay, remote teaching demands, and lack of support contributed to attrition, impacting school climate, which influences productivity, collaboration, and job satisfaction, and is inversely related to turnover. The shift to remote learning also demanded new skills and exposed technological disparities. This quantitative study examined the pandemic's impact on teachers' perceptions of school climate, support, resources, job satisfaction, burnout, and intent to leave using the 2020–2021 National Teacher and Principal Survey. Factor analyses …

Familismo And Family Achievement Guilt In Latine College Students: Relationships With Psychopathology And Wellbeing, Abril Rangel-Pacheco

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

The purpose of this dissertation was to examine the relations between familismo, family achievement guilt, subjective wellbeing, and anxious and depressive symptoms in a sample of Latine young adults enrolled in college in the United States. Familismo has previously been linked to educational success and psychological and behavioral health. On the other hand, family achievement guilt has been linked to low self-esteem and internalizing symptoms. However, it is unclear how these factors interact to impact the psychopathology (i.e., anxious and depression symptoms) and psychological wellbeing (i.e. subjective wellbeing) of Latine young adults in college. Data were collected from 83 Latine …

Exploring The Nexus Of Adverse Childhood Experiences And Illicit Substance Misuse Among Midwestern Adults, Anika R. Eisenbraun

Department of Sociology: Dissertations, Theses, and Student Research

The positive association between illicit substance misuse and adverse childhood experiences (ACEs) has been widely examined in prior literature. Yet, there is limited understanding of the varying factors, such as social support, depressive symptoms, or sexual victimization, that may impact the relationship between substance misuse and ACEs. As such, the purpose of the current study is to examine the relationship between ACEs (i.e., physical and emotional abuse, sexual abuse, neglect) with illicit substance misuse and to investigate indirect pathways of social support, depressive symptoms, and sexual victimization. Private, secondary data from the second cohort of a larger, longitudinal rural health …

Household Wealth And Mental Health In Older Adults Across Racial Groups: Moderating Role Of Social Support, Sunkanmi Folorunsho

Department of Sociology: Dissertations, Theses, and Student Research

This thesis examines the relationship between household wealth and mental health outcomes among older adults, with particular attention to racial and ethnic differences and the potential moderating role of social support. Although financial resources are widely recognized as important determinants of psychological well-being, less is known about how social support interacts with economic conditions to shape mental health in later life. The study also addresses how these patterns may vary among different racial and ethnic groups, given persistent inequalities in wealth and disparities in access to social resources.

Drawing on data from the 2020 wave of the Health and Retirement …

The Affordable Care Act: Analyzing Rates Of Healthcare Claim Denial, Lauren Sitter

Political Science Theses and Capstones

The United States healthcare industry is an integral aspect of every American’s life. The Affordable Care Act (ACA) in 2010 reformed the healthcare system by expanding coverage to millions of Americans and eliminating claim denials due to pre-existing conditions. It requires participating states to submit transparency data. Despite these reforms, coverage denials continue and vary by plan category, metal level, and among different states. I analyze data from The Kaiser Family Foundation (2023) and The CommonWealth Fund to test the correlation between claim denial and a variety of variables, including state political culture, plan type, metal level, and out-of-pocket costs. …