Digital Commons Network^™

Addressing The Root Causes Of Population Health In Central Appalachian Virginia, David L. Driscoll, Kol Gold

Journal of Appalachian Health

Introduction: The Southwest Virginia Health Authority (SWVHA) recently commissioned a community health needs assessment (CHNA) to reduce the high rate of preventable health problems in Virginia’s (VA) Appalachian Region. The CHNA took place over a two-year period from 2023 – 2025.

Purpose: This iterative, mixed-method CHNA informed the development of a new iteration of the regional Blueprint for Health Improvement and Health-Enabled Prosperity identifying and prioritizing health issues and develop strategic planning to address them in VA’s three westernmost regional health districts.

Methods: The CHNA followed a sequential mixed methods design to assess the regional health status, the contextual factors …

Align Appalachia’S Opioid-Settlement Spending With Evidence And Emerging Threats, Bradley Firchow

Journal of Appalachian Health

State and local governments across Appalachia are allocating opioid-settlement dollars over the coming years. This funding opportunity can support lasting public health infrastructure or be spent on short-term programs anchored in the opioid crisis of the past. Evidence indicates that emerging synthetic drugs such as nitazenes and xylazine are altering overdose risk patterns in ways that require urgent policy attention.

A Town Divided: Leadership At Hoxie, Rodney W. Harris

The Ozark Historical Review

Five elected School Board members, a School Superintendent, and local leaders in rural Hoxie, Arkansas, were people of strong beliefs who in 1955 desegregated their school district. In this article, I argue that a combination of moral leadership and pocketbook concerns drove these men to oppose outside forces intervening in Hoxie, Arkansas, and that by doing so these men created a precedence of using the federal courts to uphold integration.

“This Is The Job Now”: A Phenomenological Study Of Meaning Making In University Faculty Regarding Role Expectations In Response To Student Crises, Leslie Watland

Dissertations

In recent years, faculty members in higher education found themselves at the intersection of rising student mental health concerns and increasing institutional expectations regarding student support. While universities traditionally framed faculty as educators and researchers, faculty roles now require engagement in emotional labor and crisis management—often without corresponding training. This dissertation explores how instructors at one university navigate these expanding expectations, examining their self-understanding, institutional positioning, and the broader implications of compliance care work. Compliance care work is a term developed in this study to describe the bureaucratization of faculty involvement in student well-being. It is an institutionalized response to …

“Buying Time Or Doing Harm?”: Tracing Contestation And Consensus In Debates On Puberty Blockers For Trans Youth, Dana R. Lavergne

Dissertations

The use of hormone blockers and other forms of gender affirming medical care for trans youth has emerged as a site of medical and political contestation, with 26 states passing legislation outlawing their use (Movement Advancement Project, 2024). Drawing from a multiple-methods approach, this dissertation examines the ways in which this contestation emerged and has been framed both in political case law and digital spaces, which a specific attunement toward how medical discourse is used to support arguments calling for either the allowance or ban of hormone blockers. This dissertation highlights the ways in which the families of trans youth …

Fear Of Victimization, Trust, Security, And Public Spaces In Guatemala, Keyla Navarrete

Dissertations

This dissertation explores fear of victimization, personal encounters with crime, perceptions of institutional trust, support for informal justice practices, and avoidance of spaces in Guatemala. Institutional trust—understood as individuals’ confidence in the police, judiciary, and correctional systems, particularly their fairness and effectiveness—is vital for democratic governance and social stability. High levels of trust in legal institutions can foster civic engagement, reduce social fragmentation, and encourage public cooperation in crime prevention. In contrast, diminished trust may lead individuals to withdraw from formal systems of justice, limiting the state's capacity to function effectively. Utilizing nationally representative data from the National Survey of …

Controlling The Curriculum: A Content Analysis Of Prageru's Children's Educational Material, Heather Katherine Costa

Dissertations and Theses

PragerU is a conservative media outlet founded by Dennis Prager in 2009 that aims to insert new conservative content into existing U.S. public school curricula. While conservative activist groups have attempted for decades to alter educational content and policy, PragerU is attempting to directly influence public school curricula by having their materials authorized for use in public schools.

This study utilizes qualitative content analysis to understand the meaning behind PragerU's content, using a sample of 39 videos, targeted at students in grades 6 and higher. The transcript data were analyzed to address two research questions: 1) What are the key …

Introduction To Sociology: Groups And Organizations, Marcia Morrison Ph.D.

Open Educational Resources

Abstract:

This comprehensive analysis explores the dynamics of social groups and bureaucratic organizations, drawing on foundational theories and empirical studies to illuminate how structure, identity, and informal culture shape collective behavior. The paper examines the essential elements of group dynamics—regular interaction, defined roles, shared norms, and collective identity—alongside the four stages of group decision-making that guide consensus and effectiveness. It distinguishes between primary and secondary groups, emphasizing their respective influences on personal identity and social cohesion, and discusses the pivotal role of reference groups in identity formation.

Further, the discussion extends to the mechanisms of group survival, analyzing concepts such …

Essays On Operational Issues Of Online Medical Consultation Platforms, Jinxin Zhang

Lingnan Theses (MPhil & PhD)

The increased demand for Online Medical Consultation (OMC) services has accelerated the development of Online Medical Consultation Platforms (OMCPs). OMCPs are third-party digital platforms on which patients can access medical consultation services with comparatively less effort and lower cost, while physicians can expand their service coverage and benefit financially from the provision of paid OMC services in their spare time. Although OMCPs have attracted a growing interest in academia, the role of various decision-making behaviors of physicians on these platforms on their patients and themselves remains unclear. To fill this research gap, we conduct two empirical studies based on proprietary …

The Italian Colony Of São Paulo: Race, Class, And Cultural Capital In Brazil, Giulia Riccò

Race & Ethnic Studies

WINNER, 2024 ALDO AND JEANNE SCAGLIONE PUBLICATION AWARD FOR A MANUSCRIPT IN ITALIAN LITERARY STUDIES, MODERN LANGUAGES ASSOCIATION

Introduces a way to study migration that privileges literary analysis over and against sociological data and insists on the importance of culture in the production of political identities

This book argues that Italians first became racialized as white in São Paulo, Brazil, at the turn of the twentieth century. Whereas Italians in the United States struggled with xenophobia and were often not fully acknowledged as white, in São Paulo, due to a series of social, economic, and cultural fac­tors, Italians became closely …

Opting Out: Over-Alerting And Warning Fatigue In The Era Of Wireless Emergency Alerts, Jeannette Sutton, Michele M. Wood

Emergency Preparedness, Homeland Security, and Cybersecurity Faculty Scholarship

While warning fatigue is commonly described among emergency management practitioners as a problem due to over-alerting, which leads to opting out, there has been limited research to define these concepts in a systematic manner that can inform policymaking around public alerting strategies, especially as they relate to Wireless Emergency Alerts (WEA). In this study, we draw from semi-structured interviews with emergency managers and open-ended responses from surveys with emergency managers and members of the public, to develop definitions of “over-alerting” and “warning fatigue” and to identify the conditions that cause the public to “opt out” of WEA messages. We conduct …

Factors Contributing To The Demographic Cliff: More U.S. Women Of Childbearing Age, But Fewer Have Given Birth, Kenneth M. Johnson

Carsey Publications

In this brief, author Kenneth Johnson reports that in 2024 there were 5.7 million more childless women of prime child-bearing age than would have been expected given fertility patterns prior to the Great Recession, up from 2.1 million in 2016 and 4.7 million in 2022. There are 4 million more women aged 20–39 than in 2006, but 7 million fewer have given birth. The shift in fertility patterns has resulted in 11.8 million fewer babies in the past 17 years.

Fertility rate declines were greatest among women under 30, where childless rates increased the most. Childless rates increased modestly among …

Community Empowerment For Strengthening The Local Economy Based On Cultural Heritage In Kampung Tudong, Pontianak City, Siti Fatimah, Egy Abdi, Winda Chelsea Meisari

Journal of Indonesian Tourism and Policy Studies

Kampung Tudong, located in Bansir Laut Subdistrict Pontianak City represents a local community that has successfully revitalized its cultural heritage through a traditional product called Tudong (a protective cover) made from mengkuang leaves that has existed since 1915. This product not only serves a functional purpose for the local community but also symbolizes cultural identity and has become a driver of the local economy across generations. The establishment of Kampung Tudong was driven by local residents’ concern for social and economic conditions and their independent initiative to build a craftsman village for Tudong production. This study employs a qualitative approach …

How Subversive Is Shipping Really? An Analysis Of Heteronormative Elements In Same-Sex Relationships Focused On German-Language Anime And Manga Fan Fiction, Saskia Dreßler

Proceedings from the Document Academy

This study investigates whether German-language fan fictions featuring lesbian and gay characters within the anime and manga domain can be regarded as genuinely queer. It situates these fan works within the specific traditions and practices of German fandom. Employing qualitative content analysis, the research examines two prominent fandoms, Naruto and Sailor Moon, focusing on the presence of heteronormative narrative patterns in fan fiction with queer protagonists. The study analyzes which aspects of the original media are adapted and how these adaptations shape the portrayal of queer identities. Furthermore, fan comments are examined to assess the extent to which readers …

Editor’S Note: Comparative Civilizational Turn: The Future Of The Iscsc In The Wake Of Geopolitical “Grey Rhino” Events, Greg Lewicki

Comparative Civilizations Review

The last few years seem to have brought some bitter realizations among political scientists, forecasters, and security analysts. Namely: they tend to err, and their forecasts too often remain off-target.

Examining Student Critical Thinking Dispositions Within The College And Career Readiness Of Students Involved In Ffa And 4-H In Georgia, James D. Scott, Eric Rubenstein, Jason Peake, Nicholas E. Fuhrman Phd, Jori N. Hall

Journal of Youth Development

Preparing youth, primarily as they become high school graduates, to be ready to enter college and careers, has been a primary driving force in primary and secondary education for over 20 years. However, there lacks consistency in the definition and of the true idea of college and career readiness in the twentyfirst century. Additionally, there is a lack of research examining the impacts that student involvement in youth organizations has on the development of college and career-readiness skills. One facet of college and career readiness is the development of critical thinking skills and dispositions, which include enjoying solving problems, respecting …

Civilization: The Gaze Of Photography, William Alexander Ewing

Comparative Civilizations Review

If the lifetime of our species were imagined as a single 24-hour day, then civilization makes its appearance at the 23.02 mark. And photography? It comes on stage under a minute before midnight.

How marvelous it would have been to have had photography recording our lives throughout those millennia.

Beyond Earth: Strategic Pathways To A Multiplanet Civilization And The Case For Mars Settlement, Andrew Targowski

Comparative Civilizations Review

This research provides a comprehensive and interdisciplinary exploration of the transition toward a multiplanet civilization, with a special focus on Mars as humanity’s first major step beyond Earth. By addressing technological, political, economic, and ethical dimensions, it aims to inform policymakers, scientists, and the public about the feasibility, challenges, and philosophical implications of interplanetary expansion.

As humanity approaches the threshold of becoming a multiplanet civilization, it faces unprecedented scientific, technological, economic, and ethical challenges. This paper explores the rationale, methodologies, and critical considerations for establishing sustainable human settlements beyond Earth, with a particular focus on Mars. By analyzing advances in …

Early Adult Outcomes Of 4-H Program Alumni: A Propensity-Matched Comparative Study, Steven M. Worker, Roshan K. Nayak, Anne Marie Iaccopucci, Nicole Marshall-Wheeler

Journal of Youth Development

A young person’s engagement in high-quality youth development programs should lead to stronger positive outcomes as a young adult. Theoretical literature advances broad indicators that mark success in young adulthood; however, there is a dearth of empirical publications reporting long-term outcomes to support this assumption. We conducted a cross-sectional survey study to report on three long-term outcomes (economic stability, health and well-being, and community involvement) of young adult (aged 19 to 34) alumni of the University of California 4-H Youth Development Program. We compared 4-H alumni outcomes to matched peers using secondary data sources. The 4-H alumni sample demonstrated more …

Assessing The Psychological Wellbeing And Resilience Of Frontline Health Workers In Uganda: A Cross-Sectional Study, Ahmed Sarki, Joseph Atukwatse, Gideon Mbithi, Sabina Odero, Mary Namuguzi, Bernard Mutwiri, Lestine Bitakwitse, Peninah Wachira, Kevinson Mwangi, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Health workers in the frontline are the major drivers of health systems in low- and middle-income countries. However, these health workers face both chronic and acute shocks and stressors that expose them to mental health problems which are often overlooked. We examined the prevalence of mental health problems, correlates of psychological functioning, and resilience of frontline health workers in Uganda.

Methods: We conducted a cross-sectional study comprising 1800 frontline health workers across all regions of Uganda from August through October 2023. We used tools such as the PC-PTSD-5, PHQ9, PSS, GAD-7, Oldenburg Burnout Inventory, and CD-RISC-10 to assess PTSD, …

Promising Strategies For Impacting Youth Development Systems From Christian Summer Camps, Rachael Botting, Jacob Sorenson, Karen K. Melton, Rob Ribbe Dr.

Journal of Youth Development

As research on summer camp continues to expand and both scholars and practitioners gain a better understanding of the impact of the experience, it has become important to explore how the experience of summer camp is connected to the larger ecology of youth development. This study explores strategies of Christian summer camps for impacting faith in the home through interviews with 20 Christian summer camp leaders across three faith-based camping organizations: Christian Camp and Conference Association (CCCA), Lutheran Outdoor Ministries (LOM), and United Methodist Camp and Retreat Ministries (UMCRM). Using semi-structured interviews and an appreciative inquiry approach, this study identified …

In Remembrance Of Carolyn Potter, Joseph Drew

Comparative Civilizations Review

Carolyn served for the past decade as the Senior Editor of this journal. She was responsible for several aspects of production, including article formatting, the CCR style guide, and copy editing, and she served as the first stop in reviewing, weighing the academic merit of submissions. Her intellectual conclusions were invariably accurate.

Resisting Islamophobia: “Westophobia” In Social Media, Peter O'Brien, Jordan Nelson

Comparative Civilizations Review

Both the practice and study of Islamophobia repose on the concept of comparative civilizations. Purveyors of Islamophobia use what Roger Westcott calls a “denotative” understanding to posit an objective conflict (or “clash” à la Samual Huntington) between Western and Islamic civilizations. Scholars who analyze Islamophobia tend to take what Westcott calls a “connotative” approach that views civilizations as subjective, social constructs (à la Edward Said’s “Orient”).

Despite many advantages, the latter approach tends to dismiss the agency of Muslims to resist Islamophobia. This article counters that trend by exploring Islamist resistance to Islamophobia, to which we give the shorthand label, …

Academic Civilization: Expansion And Development, Inbar Gotlib Gotlib-Rivkin

Comparative Civilizations Review

The concept of academic civilization was developed out of and in relation to that of modern civilization. Prominent characteristics of modern civilization are reflected in institutions of higher education, and they can therefore be regarded as constituting a civilization. The six main characteristics of institutions of higher education that render them a civilization include expansion in terms of scope and growth, flexibility and institutional diversity, center-periphery relations, academic culture, autonomy and academic freedom, and the monopolization of professional training and the professional middle class. This paper addresses the first characteristic — expansion of institutions of higher education — and …

Books Of Interest Fall 2025, Stephen T. Satkiewicz

Comparative Civilizations Review

Books that may be of interest to scholars of the comparative study of civilizations, and may add significantly to the body of scholarship in the civilizational field. These books are also available for book reviews in future editions of Comparative Civilizations Review.

End Matter

Comparative Civilizations Review

No abstract provided.

Structured Discussions About Linguistic Diversity: Student Voices And Campus-Based Cultural Mapping, Adrienne Jankens, Nicole Guinot Varty, Anna Elise Lindner, Linda Jimenez, Marni Lorenz, K. M. Begian-Lewis, Colleen Hart, Anita Mixon, Ma'idah Shiekh, Lena Hakim

English Faculty Research Publications

The study presented in this chapter foregrounds student voice research and students as participants in identifying locations on our urban research campus where linguistic diversity can be acknowledged and developed as a tool for knowledge-making. Beyond acknowledging the presence of diverse languages and linguistic practices on our urban campus, this study takes steps toward ensuring that linguistic diversity is recognized by faculty and administrators as a rich and active feature of campus life that crosses academic boundaries.

The study asks the following questions:

● How do Wayne State University (WSU) students experience diversity on campus?

● How do they experience …

What Guides The Iscsc?, Lynn Rhodes

Comparative Civilizations Review

Clear and well-defined bylaws are the backbone of any nonprofit organization, ensuring transparency, accountability, and effective governance. For organizations like the International Society for the Comparative Study of Civilizations (ISCSC), bylaws serve as a guiding framework that outlines decision-making processes, leadership roles, and the responsibilities of members.

The Fragrance Muse: Musk As A Symbolic Tapestry In Classical Persian Poetry, Akbar Shirini, Shen Xudong, Zhao Dan

Comparative Civilizations Review

This paper explores the symbolic representation of musk in classical Persian poetry, uncovering its role as a multifaceted emblem of Iranian cultural identity and human experience. Drawing on a qualitative analysis of primary texts from the Ganjoor archive and secondary sources, the study traces musk’s historical significance across China, Iran, and Islamic world. In China, musk is prized for its rarity, medicinal properties, and metaphysical roles; in Iran, it intertwines with mythology, Zoroastrian cosmology, and trade; in Islamic contexts, it holds commercial and therapeutic value, cherished by figures like Mohammad. Within Persian poetry, musk transcends its material origins, symbolizing blackness …

Full Issue

Comparative Civilizations Review

No abstract provided.