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Articles 2821 - 2850 of 44017
Full-Text Articles in Entire DC Network
Climate Conversations: An Intergenerational Artistic Exploration With Family, Julia A. Craven
Climate Conversations: An Intergenerational Artistic Exploration With Family, Julia A. Craven
Pursuit - The Journal of Undergraduate Research at The University of Tennessee
This cross-generational study explores perceptions of climate change through interviews and visual art from three generations: the author, their grandparents, and their aunt. Guided by questions such as “Whose responsibility is it to address climate change?” and “How has climate change affected you?,” the interviews were used to create three art pieces that explore different aspects of climate change. The first art piece, titled “Eco-Anxiety,” visually represents the author's anxiety about climate change through the detangling of hair in their hands that "pull" at relevant climate news articles in the background. The second piece, “Beauty’s in the Eye of the …
Parallel Punishments: The School-To-Prison Transgender Pipeline, Rayna Momen, Lindsay K. Semprevivo, Cris Mayo
Parallel Punishments: The School-To-Prison Transgender Pipeline, Rayna Momen, Lindsay K. Semprevivo, Cris Mayo
Journal of Queer and Trans Studies in Education
With increasing criminalization of transgender people, especially legislation targeting youth, researchers need to consider more closely the historical and continuing criminalization of gender non-normativity. We suggest in this article that closer attention to queer criminology in relationship to transgender and gender-related social justice education can help shape research agendas and school practices and disrupt the school-to-prison pipeline for transgender youth. Our focus is specifically on how disciplinary practices requiring identification as well as those that ignore identification both contribute to the growth of punitive responses to gender diversity, especially in relationship to race and ethnicity.
Examining The Creative Process Of Visual Artists: A Phenomenological Study, Filiberto Vargas
Examining The Creative Process Of Visual Artists: A Phenomenological Study, Filiberto Vargas
Dissertations
Creativity fuels problem solving and innovation, driving both economic growth and individual success. Yet, many schools and organizations fail to nurture it. Today, there is a decline in creativity scores among U.S. students. This is concerning since many of these students will be the future leaders of organizations and communities. For this reason, this dissertation explores the creative process of visual artists to better understand how creativity can be cultivated. Visual artists' perspectives and sense-and-meaning-making processes offer a unique view of innovation and creativity. However, there is limited research on the creative processes of contemporary visual artists from culturally diverse …
Genome-Wide Association Study Reveals Shared And Distinct Genetic Architecture Of Fatty Acids And Oxylipins In The Hispanic Community Health Study/Study Of Latinos, Carolina G Downie, Heather M Highland, Mona Alotaibi, Barrett M Welch, Annie Green Howard, Susan Cheng, Nick Miller, Mohit Jain, Robert C Kaplan, Adam G Lilly, Tao Long, Tamar Sofer, Bharat Thyagarajan, Bing Yu, Kari E North, Christy L Avery
Genome-Wide Association Study Reveals Shared And Distinct Genetic Architecture Of Fatty Acids And Oxylipins In The Hispanic Community Health Study/Study Of Latinos, Carolina G Downie, Heather M Highland, Mona Alotaibi, Barrett M Welch, Annie Green Howard, Susan Cheng, Nick Miller, Mohit Jain, Robert C Kaplan, Adam G Lilly, Tao Long, Tamar Sofer, Bharat Thyagarajan, Bing Yu, Kari E North, Christy L Avery
Faculty, Staff and Student Publications
Bioactive fatty acid-derived oxylipin molecules play key roles mediating inflammation and oxidative stress. Circulating levels of fatty acids and oxylipins are influenced by environmental and genetic factors; characterizing the genetic architecture of bioactive lipids could yield new insights into underlying biology. We performed a genome-wide association study (GWAS) of 81 fatty acids and oxylipins in 11,584 Hispanic Community Health Study/Study of Latinos (HCHS/SOL) participants with genetic and lipidomic data measured at study baseline (58.6% female, mean age = 46.1 years (standard deviation 13.8)). Additionally, given the effects of central obesity on inflammation, we examined interactions with waist circumference using two-degree-of-freedom …
Camp Research Forum Book Of Abstracts - 2025, American Camp Association
Camp Research Forum Book Of Abstracts - 2025, American Camp Association
ACA National Camp Research Forum Abstracts
This book includes 30 abstracts that will be presented at the 2025 American Camp Association (ACA) Research Forum to be held during the ACA annual conference from February 18-21 in Dallas, TX. Abstracts have been grouped into similar areas and will be presented across five verbal sessions and one poster session.
From Land Reform To Landfare: Land Claims And The Welfare State In Kerala, India, Sudheesh R.C
From Land Reform To Landfare: Land Claims And The Welfare State In Kerala, India, Sudheesh R.C
Articles
While large-scale land reform may still be underway in many countries, other contexts have states responding to land claims through scattered land provision measures. This article puts forward “landfare” as a lens to capture such measures and unpacks its features in one location. The article first explains this term, outlining its location in and departure from the land reform scholarship. It next shows how Kerala, India, widely cited in the scholarship for its 20th century land reform, addresses the land claims of its Adivasi citizens in the 21st century through landfare. Through an exploration of Adivasi land claims and an …
Disrupted Relatedness And Shifting Perceptions Of Others: Changing Moods Over Time For People Diagnosed With Bipolar Disorder, Joanna Farr, Jonathan A. Smith, John E. Rhodes
Disrupted Relatedness And Shifting Perceptions Of Others: Changing Moods Over Time For People Diagnosed With Bipolar Disorder, Joanna Farr, Jonathan A. Smith, John E. Rhodes
The Qualitative Report
For people diagnosed with bipolar disorder, the relationship between mood episodes and interpersonal life is critical. Yet little is known about how their experience of other people changes during and between episodes of depression and mania. This longitudinal study aimed to investigate the experience of interpersonal change during depression, mania and euthymia (stability). Semi-structured interviews were conducted with three women at two time points and were analysed using longitudinal interpretative phenomenological analysis. One longitudinal theme, “Changing sense of others impacts relatedness,” demonstrates profound changes in participants’ experiences of other people within and between episodes. During depression, participants experienced other people …
Composing With Theory: Considerations For Teaching Novice Qualitative Researchers, Janie Copple, Kathryn Roulston
Composing With Theory: Considerations For Teaching Novice Qualitative Researchers, Janie Copple, Kathryn Roulston
The Qualitative Report
Newcomers to qualitative research are frequently overwhelmed by the range of theories, methodologies, and concepts that qualitative researchers use. This article provides ideas for instructors working with novice qualitative researchers who are beginning to engage with theoretical frameworks used in qualitative research traditions. These practical strategies can assist students navigating challenges commonly encountered in the design and conduct of a first qualitative study. Strategies include developing understandings of disciplinary traditions within which a study will be situated, identifying a phenomenon of interest, defining disciplinary and theoretical terminology, reading deeply, articulating a theoretical perspective, and writing up findings. Through integrating these …
Profiles Of Major Amish Settlements In North America: A Guide For Researchers And Service Providers, Cory Anderson, Rachel Bacon
Profiles Of Major Amish Settlements In North America: A Guide For Researchers And Service Providers, Cory Anderson, Rachel Bacon
Journal of Amish and Plain Anabaptist Studies
Amish populations cluster in ethnic enclaves, or “settlements,” which are located across much of North America, notably in the regions of the Mid-Atlantic, Great Lakes, Midwest, and Upper South. This article profiles 38 of the largest and best known Amish settlements. The profiles include (1) a recent population tally and population projections to 2050, (2) population density maps, (3) settlement history, (4) socio-economic attributes, (5) religious affiliations, and (6) an overview of the physical and economic landscape. The purpose of this article is to provide scholars and service providers an informative introduction to the different settlements. This article can help …
From Cypherpunks To Decentralized Finance: How Crypto-Anarchy Is Redefining Legal And Economic Systems, Alesia Zhuk
From Cypherpunks To Decentralized Finance: How Crypto-Anarchy Is Redefining Legal And Economic Systems, Alesia Zhuk
Markets, Globalization & Development Review
This article explores the evolution of crypto-anarchy, tracing its origins from the cypherpunk movement to the rise of decentralized finance (DeFi) and its transformative effects on legal and economic systems. Central to crypto-anarchy is the belief in individual empowerment through privacy, financial autonomy, and decentralization, which allows users to bypass traditional intermediaries like banks. While these technologies offer increased freedom and financial inclusion, they also introduce significant risks such as money laundering, tax evasion, and the facilitation of illegal activities, posing challenges to current regulatory frameworks. The article examines the socio-economic implications of decentralization, including both the democratization of finance …
Navigating The Academic Terrain: Examining The Challenges And Success Factors Of Student Veterans In Higher Education Institutions, Katherine Reyes, Corey Idleburg
Navigating The Academic Terrain: Examining The Challenges And Success Factors Of Student Veterans In Higher Education Institutions, Katherine Reyes, Corey Idleburg
Education Division Scholarship
This study investigates the academic experiences of student veterans, addressing specific challenges they face in higher education. Using Schlossberg’s adult transition theory, it explores the effects of invisible barriers, enrollment trends, and institutional factors on veteran student success, leveraging the VA’s GI Bill Comparison tool to examine public versus private school support. Findings underscore the need for targeted resources, faculty training, and institutional awareness to foster a supportive and inclusive environment that enhances veteran students' academic success and sense of belonging.
A Randomized Trial Of Heart Rate Variability Biofeedback Following Traumatic Brain Injury, Leah D. Talbert
A Randomized Trial Of Heart Rate Variability Biofeedback Following Traumatic Brain Injury, Leah D. Talbert
Theses and Dissertations
Traumatic brain injury (TBI) affects over 1.7 million people annually in the U.S., often leading to autonomic nervous system (ANS) dysregulation and reduced heart rate variability (HRV), which may impact cognitive performance. This study investigated whether HRV biofeedback (HRV-B) improves HRV at rest and recovery after stress in individuals with TBI. Secondary aims examined links between HRV improvements and reductions in physical symptoms, enhanced emotional functioning, and better cognitive performance, as well as the role of practice adherence in moderating HRV-B effects. This randomized controlled trial compared HRV-B treatment to a sham control using a pre- and post-assessment design. Of …
The Latter-Day Saint Indian Placement Program: An Examination Through An Experiential Lens, Quinn Elise Christiansen
The Latter-Day Saint Indian Placement Program: An Examination Through An Experiential Lens, Quinn Elise Christiansen
Theses and Dissertations
The Indian Placement Program, operated by the LDS Church from around 1947 to 2000, was influenced by the Church's belief in a connection between Native Americans to a Book of Mormon group known as the Lamanites. This group held a special status within the LDS Church because of their believed Israelite heritage as well as a prophecy promising their conversion in the last days. Spencer W. Kimball, motivated by both personal goals and his authority within the LDS Church, expanded on a successful experience of a young Native girl, Helen John, growing it into the broader Indian Placement Program. This …
Gendered Sexual Behaviors: Unintended Pregnancies, And Sexually-Transmitted Infections, Deirdre Ferguson
Gendered Sexual Behaviors: Unintended Pregnancies, And Sexually-Transmitted Infections, Deirdre Ferguson
All ETDs from UAB
Education is the most effective way to address unintended pregnancies and sexually-transmitted infections (STIs). Education through preventative counseling has been negatively correlated with unintended pregnancies. Although research has shed light on the risks posing challenges to the prevention of unintended pregnancies, the consequential costs of these pregnancies continue to mount, both individually and societally. Birth control counseling corresponds with reducing the behavior of nonuse of contraceptives significantly. Education is thus associated with combatting inaccurate information passed along via primary social groups. To gain insight into the prevention of unintended pregnancies and STIs, data was gathered using a mixed-method approach incorporating …
The Power Of Connection: Unraveling The Significance Of Social Support In The Stress Levels Of Informal Black Women Caregivers, Antoinette Shantay Williams
The Power Of Connection: Unraveling The Significance Of Social Support In The Stress Levels Of Informal Black Women Caregivers, Antoinette Shantay Williams
All ETDs from UAB
This study examines how three types of social support—having someone to talk to, someone to help with activities, and someone to provide care—affect the stress levels of informal Black women caregivers compared to Black men, White men, and White women caregivers in the United States. It explores the intersection of race and gender, with a specific focus on how social support influences the emotional, financial, and physical stress levels of informal Black women caregivers. This research aimed to answer two questions. Does social support decrease stress levels among informal caregivers? Does the association between social support and stress levels differ …
Autoethnographic Action Research As A Contemplative Practice: Awareness And Transformation Of Inner And Outer Selves, Jiju Varghese, Bal Chandra Luitel, Niroj Dahal
Autoethnographic Action Research As A Contemplative Practice: Awareness And Transformation Of Inner And Outer Selves, Jiju Varghese, Bal Chandra Luitel, Niroj Dahal
The Qualitative Report
Contemplation as a spiritual practice has taken various forms across different religious traditions and regions worldwide. Over the years, various contemplative practices have evolved and become popular even outside religious traditions to promote the well-being of all for inner and outer selves’ transformation. In education, many scholars worldwide have expounded on the benefits of contemplative practices in the classroom for students and teachers. Contemplative practices have penetrated research practices in the form of contemplative inquiry considering performative, philosophical, and artistic transformations, where researchers enter into a deep, thoughtful, and reflective introspective journey to see the connection between what is seen …
From Climate To Conflict: Unravelling Multidimensional Vulnerabilities Of Small-Scale Fisheries In The Jaffna Peninsula Of Sri Lanka, Mahinda Senevi Gunaratne, R. B. Radin Firdaus, Augustine Sosai Sihivaitthasan, Sarjiyanto Sarjiyanto, Mohd Hafiidz Jaafar
From Climate To Conflict: Unravelling Multidimensional Vulnerabilities Of Small-Scale Fisheries In The Jaffna Peninsula Of Sri Lanka, Mahinda Senevi Gunaratne, R. B. Radin Firdaus, Augustine Sosai Sihivaitthasan, Sarjiyanto Sarjiyanto, Mohd Hafiidz Jaafar
The Qualitative Report
Vulnerability studies have often centered on climate change and catastrophic climatic events. Contrary to this trend, this study explores the multidimensional vulnerabilities faced by small-scale fisheries (SSFs) in the Jaffna peninsula of Sri Lanka. We employed the Integrated Vulnerability Analysis for Sustainability (IVAS) Framework for this analysis. Data was collected through focus group discussions and key informant interviews using semi-structured questionnaires. We analyzed our data following Reflexive Thematic Analysis using ATLAS.ti software and identified 15 vulnerability drivers across five domains specific to the local context, revealing that SSFs in the Jaffna peninsula are highly susceptible to multiple vulnerabilities. Notably, the …
Urban Security And The Crisis Of Values In A Risk Society: Elements For Reflection And Research, Bahamou Abdelilah, Abdelghani Chafik
Urban Security And The Crisis Of Values In A Risk Society: Elements For Reflection And Research, Bahamou Abdelilah, Abdelghani Chafik
Journal of Maya Heritage
Abstract: Urban security has become one of the most pressing challenges of the 21st century, shaped by the complexities of modern urban life. As cities grow and evolve, they face unprecedented security challenges that transcend traditional notions of crime prevention. These challenges encompass social, cultural, economic, and psychological dimensions, deeply intertwined with societal transformations.
In the context of what sociologist Ulrich Beck refers to as the "risk society," rapid globalization, technological advancement, and cultural diffusion have disrupted traditional social values. This disruption has created environments of uncertainty and fear, where mutual trust and social cohesion are eroded. As Émile Durkheim …
Covid-19 Vaccine Hesitancy Among Black Women In The Us, Brittany C Slatton, Farrah G Cambrice, Serwaa S Omowale
Covid-19 Vaccine Hesitancy Among Black Women In The Us, Brittany C Slatton, Farrah G Cambrice, Serwaa S Omowale
Faculty, Staff and Student Publications
IMPORTANCE: COVID-19 vaccine hesitancy among Black women is a critical public health concern, potentially exacerbating existing health disparities and impacting community-wide vaccination efforts.
OBJECTIVE: To explore the factors associated with COVID-19 vaccine hesitancy among Black women in the US and identify the specific concerns and experiences shaping hesitant attitudes toward vaccination.
DESIGN, SETTING, AND PARTICIPANTS: Qualitative study using in-depth, semistructured interviews conducted virtually between June and November 2021. Thematic analysis was used to identify key themes from the interview data. Participants were recruited through social media platforms and word-of-mouth referrals from various regions of the US. Interviews were conducted remotely …
Building A Community Of Inquiry Around Narrative Practice, John Mcleod
Building A Community Of Inquiry Around Narrative Practice, John Mcleod
The Qualitative Report
This paper offers a commentary and reflection on papers included in the Narrative Practice Research Network Special Issue of The Qualitative Report. A brief introductory account is offered around the distinctive nature of narrative therapy and community work, in contrast to more widely used models of therapy. Challenges and dilemmas associated with research into counselling and psychotherapy are discussed. It is suggested that the work of the Narrative Practice Research Network represents a promising means of addressing these challenges through a combination of grounding in practice, commitment to an ethics of care, and creative reconceptualization of standard research tools such …
Parents Who Make America Great Again: Identity Politics In Right-Wing Populist Discourses On Gender Ideology And Immigration, Alina Hechler
Parents Who Make America Great Again: Identity Politics In Right-Wing Populist Discourses On Gender Ideology And Immigration, Alina Hechler
Theses and Dissertations--Gender and Women's Studies
This dissertation explores how anti-immigration and anti-(trans)gender campaigns in the United States engage in an identity politics in which a group benefiting from heteronormative, white supremacist, and nationalist social structures discursively positions itself as an oppressed minority facing an elitist, oppressive, and parasitic establishment. While anti-transgender and anti-immigration platforms represent two distinct issues, they need to be situated within the broader context of right-wing politics. With a focus on the construction of parenthood, my dissertation juxtaposes these two forms of right-wing campaigns through a mixed-method approach by tracing the depiction of two parental figures that have recently emerged in right-wing …
Suicide Exposure In The Army National Guard: A Three Manuscript Dissertation, Rebecca Willis-Nichols
Suicide Exposure In The Army National Guard: A Three Manuscript Dissertation, Rebecca Willis-Nichols
Theses and Dissertations--Social Work
Between 2000-2022, the U.S. suicide rate increased 36% with one death now occurring every 11 minutes (CDC, 2024). Despite the Department of Defense making a concerted effort to curb the suicide increases in their ranks, the rates have continued to rise. Active-duty component rates have slowly increased since 2011 while reserve and guard components have held steady (U.S. Department of Defense, 2023). After adjusting for age, the suicide rate in the veteran population was 57% greater than the civilian population in 2020 (CDC, 2024). There is a need for a better understanding of the impact of these deaths and the …
Gender Equality Plans In Research Organisations And Higher Education Institutions As A Catalyst For Transformative And Sustainable Change, Yvonne Galligan
Gender Equality Plans In Research Organisations And Higher Education Institutions As A Catalyst For Transformative And Sustainable Change, Yvonne Galligan
Articles
Gender Equality Plans (GEPs) play a pivotal role in shaping the European Union’s commitment to fostering sustainable structural change in Research organisations regarding gender equality. This article considers the dynamic evolution of the EU policy on GEPs, assesses the state of play with regards to GEPs following the requirements at EU level, and poses the question: What further can be done to deliver the transformative potential of GEPs, embed their sustainability and advance towards inclusiveness at greater speed? Drawing on the insights of feminist institutionalism, which highlights the relevance of informal practices as well as formal rules in shaping an …
A Localized Strategy To Boost Public Opinion And Increase Community Support For Rural Public Education By Understanding Parental Motivations For School Choice, Stephanie Marie Lambrecht
A Localized Strategy To Boost Public Opinion And Increase Community Support For Rural Public Education By Understanding Parental Motivations For School Choice, Stephanie Marie Lambrecht
Theses, Dissertations and Capstones
Families and educators understand school choice as a broad concept, however its implications for rural public education in Virginia are less frequently considered. In rural areas, school choice has a disproportionate impact due to funding formulas and the effects of average daily membership (ADM) on school budgets. While there is a great deal of research on school choice, the rationale behind families’ decisions varies depending on the cultural and material resources of their community. It is vital to consider the regional and cultural context when developing strategies to support rural public schools. By analyzing motivations and factors which influence school …
An Analysis Of The Impact Of The Transition To Online Learning And Remote Work On The Army Congressional Fellowship Program, Jason Edward Roberts
An Analysis Of The Impact Of The Transition To Online Learning And Remote Work On The Army Congressional Fellowship Program, Jason Edward Roberts
Theses, Dissertations and Capstones
The purpose of this phenomenological, qualitative case study is to investigate the extent to which the compulsory transition to online learning and remote work affected the academic and workplace performance of select personnel in the Army Congressional Fellowship Program (ACFP). This study also aims to better understand the role of classroom and workplace socialization in supporting desired academic and professional outcomes. The sample consisted of twelve Army personnel selected as part of Cohort FY2021 of the ACFP. Each participant was asked to express how online learning and remote work affected their ability to perform their duties as a fellow in …
No. 87: Mythologies Of Mixed Migration And The Southern Route, Jonathan Crush, Zack Ahmed
No. 87: Mythologies Of Mixed Migration And The Southern Route, Jonathan Crush, Zack Ahmed
Southern African Migration Programme
In Africa, various international organizations have promoted “mixed migration” as a new governance challenge requiring innovative policy responses. The narrative, which has been repurposed from discussions on African migration to Europe to include intra-African movements, positions migration flows as primarily irregular, organized and driven by smugglers, and requiring tight control by states. This report shows that textual and cartographic representations of the so-called Southern Route are a form of cartopolitics, constructing migration as a permanent flow of irregular migrants from a singular origin toward a common destination. By portraying migration as solely a function of smuggling and coercion, the Southern …
The Debate Surrounding Ozempic And Other “Miracle” Weight Loss Drugs Situated In The Scholarly And Public Spheres, Allison Rivard
The Debate Surrounding Ozempic And Other “Miracle” Weight Loss Drugs Situated In The Scholarly And Public Spheres, Allison Rivard
Honors Senior Capstones and Theses
Over the last few years, there has been a frenzy of media outlets, celebrities, and influencers publicizing the effectiveness of semaglutides, like Ozempic, for an off-label use: weight loss. With the larger presence and availability of these medications for off-label use instead of diabetes management, outsiders believe that obese and overweight people who begin to look different are cheating. The public nature and visibility of weight loss subject the people losing weight to much speculation and scrutiny. In the past, many weight loss “solutions” have been proposed, diets created, and even surgeries performed, but these “solutions” have proven temporary. Most …
Developing A Culturally Sensitive Nursing Framework For Muslim Patients Practicing Ramadan: Focusing On Fasting Benefits And Islamic Dietary Recommendations, Amreen M. Munshi
Developing A Culturally Sensitive Nursing Framework For Muslim Patients Practicing Ramadan: Focusing On Fasting Benefits And Islamic Dietary Recommendations, Amreen M. Munshi
Nursing | Senior Theses
Background: Muslims practice Ramadan, a month-long period of fasting from dawn to dusk, yet many healthcare providers lack knowledge of its principles and practices. Hospitals lack formal education on caring for fasting Muslim patients, leading to a knowledge deficit in cultural competence and sensitivity of Islamic practices. Purpose: This paper proposes a research design for a nurse education program on Ramadan fasting to promote cultural competence and sensitivity in nursing care. The proposed research aims to educate nurses on Islamic practices, particularly Ramadan, to bridge the cultural competency gap. The literature review also explores the health benefits of …
From Adversity To Achievement: The Resilience Of Black Students Raised In Single-Parent Households, Kim Loren Johnson
From Adversity To Achievement: The Resilience Of Black Students Raised In Single-Parent Households, Kim Loren Johnson
Selected Full Text Dissertations, 2011-
There is limited literature on the resilience strategies of Black students raised in single-parent households and their academic success. Black children are often portrayed as facing negative outcomes educationally. Yet, despite there being challenges they graduate from high school, go to college and are successful. This qualitative phenomenology study explores the lives of 12 Black college students raised in a single-parent household, aged 21-65 years and older, that persevered through adversity and the strategies they utilized to achieve academic success. It examines the internal and external motivational factors that contributed to their achievements as well as the role of support …
Stigma And Isolation: The Lived Experiences Of Male Sexual Assault Survivors In College, Vanessa Vela
Stigma And Isolation: The Lived Experiences Of Male Sexual Assault Survivors In College, Vanessa Vela
Theses and Dissertations--Family Sciences
Male sexual assault survivors on college campuses face barriers to disclosure, support, and recovery due to stigma, societal expectations of masculinity, and inadequate institutional resources. This hermeneutic phenomenological study explored the lived experiences of six male survivors of sexual assault enrolled in college, focusing on their perceptions of sexual violence before and after their assault, the psychological burden of disclosure, and their experiences with available support systems. Participants described challenges including rape myths, feelings of isolation, fear of emasculation, and limited access to gender-inclusive resources. While online communities provided some support, institutional services often failed to meet their needs due …