Digital Commons Network^™

Hydroxychloroquine-Induced Cardiomyopathy: A Case Report, Ahmed Hussein, Aya Salih, Tebyan Mohammedali, Yousif Mohamed, L Maximilian Buja

Faculty, Staff and Student Publications

Hydroxychloroquine (HCQ) is an immunomodulatory medication used for decades. HCQ is a weak base accumulating in acidic cytoplasmic vesicles, such as lysosomes. This accumulation raises the pH and interferes with the functions of the lysosomal enzymes, including α-galactosidase A, resulting in a unique clinical and pathologic feature. We present a case with severe HCQ-induced cardiomyopathy to show the pattern of cardiac involvement and available imaging and pathologic modalities. The case involves a 76-year-old woman with a history of Sjögren's disease who had been treated with HCQ for 13 years and presented with symptoms of heart failure. An echocardiogram showed thick …

Impact Of Tobacco Control Policies On Socioeconomic Inequalities In Smoking Prevalence And Quit Ratios: An Ecological Study In The European Union (2009–2020), Ariadna Feliu, Esteve Fernandez, Irene Tamí-Maury, Cristina Martinez

Faculty, Staff and Student Publications

Background: Tobacco control efforts have succeeded in reducing smoking prevalence and increasing smoking cessation rates in the European Union Member States (EU27). However, the impact of these policies has been unequal across different income groups.

Methods: Ecological study with the country as unit of analysis. We used the Tobacco Control Scale (TCS) in EU27 in 2010 and the prevalence of smoking and quit ratios from the Eurobarometer surveys (2009, n=27 788; and 2020, n=28 288). We analysed the relationship between the TCS scores (2010) and smoking indicators and their relative changes (between 2009 and 2020) using scatter plots and multiple …

Community-Involved Economic Evaluation And Development Of A Cost-Effectiveness Calculator For Two Peer-Driven Substance Use Interventions, Sierra Castedo De Martell, Margaret B Moore, Hannah Wang, Lori Holleran Steiker, J Michael Wilkerson, Sheryl A Mccurdy, Nalini Ranjit, H Shelton Brown

Faculty, Staff and Student Publications

Introduction: While peer-driven substance use interventions have proliferated across the U.S., economic evaluations of these interventions have lagged behind. A key characteristic of these interventions is the centrality of the "nothing about us without us" ethos, which should extend into economic evaluation research. To that end, this study sought to take a community-based participatory research (CBPR) approach to conducting a cost-effectiveness analysis (CEA) of peer recovery support services (PRSS) and turning that CEA and a CEA of bystander naloxone distribution (BND) into components of a free, web-based calculator for use by recovery community centers (RCCs).

Methods: We engaged staff and …

Development, Delivery, And Evaluation Of The Texas Epidemic Public Health Institute Infection Control Module Program 200 Series, Kayla E Ruch, Anabel Rodríguez, Janelle Rios

Faculty, Staff and Student Publications

Background: The Texas Epidemic Public Health Institute (TEPHI) aims to safeguard public health and the Texas economy by preparing for infectious disease outbreaks. The Infection Prevention and Control (IPC) Webinar series was created to offer free educational resources and continuing education for public health and healthcare personnel responsible for IPC programs in rural regions of Texas. The IPC 200 Series succeeds the founding IPC 100 Series established by the TEPHI Small Rural Healthcare Preparedness.

Methods: IPC registration and attendance data were collected through WebEx® and Microsoft Teams®, which also served as the platforms for module delivery. Learning assessments and post-module …

What We Know About The Peer Workforce And Economic Evaluation For Peer Recovery Support Services: A Systematic Review, Sierra Castedo De Martell, J Michael Wilkerson, Nalini Ranjit, Lori Holleran Steiker, Sheryl A Mccurdy, H Shelton Brown

Faculty, Staff and Student Publications

Background: Peer recovery support services (PRSS) for substance use disorder (SUD) have expanded in the past 2 decades to be formally certified and reimbursed under Medicaid in almost every US state. This rapid expansion has been followed by a growth in research, but 2 persistent gaps remain: a lack of research on the peer workforce, and a lack of economic evaluation research. This systematic review examines the current literature on PRSS to summarize what is currently known about the SUD peer workforce and collect potential PRSS economic evaluation parameters, and clearly identify the current gaps in each category.

Methods: PRISMA …

Diversity In United States Dementia Prevention Trials: An Updated Systematic Review Of Eligibility Criteria And Recruitment Strategies, Najoua Lazaar, Sabine E Van Beek, Awaale F Rirash, Janne M Papma, Jaime Perales-Puchalt, Ashley R Shaw, Eric D Vidoni, Sanne Franzen

Faculty, Staff and Student Publications

Introduction: Given the elevated dementia risk in underrepresented demographic groups in the USA - particularly in Latino and Non-Latino Black individuals compared to Non-Latino White individuals - it is vital that these groups are well-represented in dementia prevention research. Eligibility criteria and recruitment strategies may play a key role in promoting participant diversity. The aim of this review was to examine eligibility criteria and recruitment strategies in US dementia prevention trials in light of participant diversity.

Methods: A systematic review was conducted using Medline (including PubMed), Embase, Cochrane Library, and CINAHL. We explored the percent White participants for trials using …

Use Of Digital Health Interventions For Cancer Prevention Among People Living With Disabilities In The United States: A Scoping Review, Chinenye Lynette Ejezie, Lea Sacca, Sylvia Ayieko, Sara Burgoa, Yasmine Zerrouki, Diana Lobaina, Goodness Okwaraji, Christine Markham

Faculty, Staff and Student Publications

BACKGROUND: The use of digital health strategies for cancer care increased dramatically in the United States over the past 4 years. However, a dearth of knowledge remains about the use of digital health for cancer prevention for some populations with heath disparities. Therefore, the purpose of the present scoping review was to identify digital health interventions for cancer prevention designed for people with disabilities.

METHODS: This scoping review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews and the Arksey and O'Malley methodological framework. The Embase, PubMed, Ovid MEDLINE, and CINAHL/EBSCO databases were …

On Wings Of Hope, Volume 29, No. 1, 2025, Phadp, Esther Brown, Anthony Boyd, Marcus Williams, Bart Johnson, Tony Barksdale, Earl J. Mcgahee, Jeffery Lee, Mike Mitchell

On Wings of Hope

January–March issue, featuring:

• Anthony Boyd on the extradition of Demetrius Frazier and the commutation of Rocky Myers's sentence to life without parole
• Esther Brown's open letter to Kay Ivey expressing gratitude for Myers's commutation
• Poetry from Marcus Williams
• Bart Johnson, Tony Barksdale, Earl J. McGahee, Jeffery Lee and Mike Mitchell in A Christian Perspective

Refining Albert O. Hirschman’S Model: High-Performance Employee Covert Behavior Toward Organizational Identity Change, Lisa Christine Bahar

Theses and Dissertations

This explanatory single case study revisited economist and philosopher Albert O. Hirschman’s (1970) exit, voice, and loyalty (EVL) model to explore two covert scenarios, which included how and why a high-performance employee stays silent and turns to apathy and neglect amid organizational identity change. A case study focused on Elon Musk’s Twitter, Inc. takeover was selected with a cross-case analysis procedure for validation and reliability. The unit of analysis was one high-performance employee and one organization that both served as an archetype for each unit. The study focused on occurrences before and during the takeover from June 2019 through July …

Corporate Soft Power Strategy In Shaping Global Influence: A Case Study Of Microsoft, Qiang Qiang

Theses and Dissertations

Soft power, defined as the ability to attract and persuade through appeal and influence rather than coercion, has emerged as a critical component in the arsenal of global corporations navigating the complexities of the interconnected world. This study, using Microsoft as a case, delves into the realm of soft power in global corporations. Drawing upon qualitative methodology, this study aims to uncover the nuanced factors contributing to global corporation soft power prowess. Key areas of investigation include organizational culture and communication, corporate branding, corporate social responsibility, emerging technological applications, global branding strategies, and leadership approaches. Through an analysis of these …

Consumer Satisfaction & Complaint Resolution In The Los Angeles Home Improvement Industry, Aimee Joy

Theses and Dissertations

Home has many layers of meaning as does the term, home improvement. The first and most common way of thinking about home is the structure in which we reside. For decades the American dream has involved home ownership. It is important to understand both the emotional and financial value of having a shelter and structure to call home. Losing this can be one of the most stressful events in life. The fires in Los Angeles County during the beginning of 2025 impacted thousands of people. Individuals, families, and communities were disrupted and forced to rebuild as well as reconsider what …

Navigating Leadership As A Black Woman In The United States Space Industry: An Exploration, Rogena Thurber

Theses and Dissertations

This phenomenological study explored the ontological perspectives and leadership experiences of Black women in the U.S. space industry, employing an intersectionality conceptual framework. The research aimed to understand how Black women navigated their paths to leadership at the intersection of gender and race within Predominantly White Institutions (PWIs) in the U.S. Space Industry (USSI).

Following a pilot phase to refine the research approach, eight one-hour, one-on-one interviews were conducted with Black women leaders from seven major USSI organizations in Southern California (LibGuides, n.d.). The study probed participants' leadership approaches, educational backgrounds, access to opportunities, and professional development experiences.

Emotional Intelligence …

Culturally Specific Interventions And Indigenous Practices In Correctional And Forensic Settings: A Systematic Review, Jordyne James

Theses and Dissertations

While professional guidelines, legislation and research emphasize the importance of adapting treatment approaches to patient characteristics and culture (American Psychological Association [APA], 2021, 2019; Correctional Service of Canada [CSC], 2013; Canadian Psychological Association [CPA], 2017; Canadian Counseling and Psychotherapy Association [CCPA], 2021), psychological and forensic research and practice related to culturally specific programming lags behind expectations to meet the needs of ethnically diverse clients. Given the continued overrepresentation of minorities within forensic institutions (Aguiar, 2020; Carter & Forsyth, 2007; Hanser & Gomila, 2015; Leguizamo et al., 2018), this systematic review aimed to raise awareness of culturally-specific interventions and Indigenous practices …

Assessing The “Plateaus” Vertical Development Model With A New Likert Scale Instrument, Mark Divine

Theses and Dissertations

This research project will focus on the assessment of the Five Plateaus (Plateaus) vertical leadership development model with a newly constructed Likert Scale instrument. Part one of the research project was a pilot study to create a simple, internet-based instrument. The scale, comprised of 100 questions and completed in 30 minutes, assesses participants' self- perceived stage of development as presented in the Plateaus vertical development model. The instrument was designed to capture the experience of participants and to overcome limitations of existing assessments by mitigating the subjectivity of sentence completion instruments, as well as to enhance efficiency and reliability. The …

Polarization And Civil Discourse In America: A Case Study Of Respectful Dialogue As A Moderating Influence On Generation Z, Liane Weintraub

Theses and Dissertations

Animosity between opposing political parties is longstanding, but the phenomenon is now acutely pervasive and dangerous. Today, polarization is further fueled by social media algorithms that create echo chambers, limiting discourse about diverse viewpoints. Consequently, polarization has become pernicious and threatens the founding principles of American democracy. This dissertation considers the roles of free speech, civility, and social capital in the US polarization problem. Through an exploration of historical scholarship on virtue, ethics, and civility, the study seeks to identify actionable tools for promoting civil discourse. The dissertation investigates Generation Z (Gen Z), focusing on intergenerational differences, the role of …

Leading Organizational Learning Through Stories In U.S. “Big Technology” Companies, Stephanie R. Voss

Theses and Dissertations

Storytelling is becoming increasingly influential across various domains, particularly in executive education and leadership development, where it plays a crucial role in the concept of leadership as performance (Gonzalez & Chakraborty, 2012). Storytelling in the classroom setting provides an opportunity for learners to embed elements of narrative and identity in classroom pedagogy (Edwards et al., 2013). In the professional context, employees construct meaning in their workplace by hearing and/or participating in stories (Echeverria et al., 2017).

This qualitative exploratory study investigates the influence of storytelling in driving organizational learning. The research focuses on the U.S. Big Technology (Tech) sector, home …

Assessment And Treatment Outcomes Of Women Experiencing Miscarriage And Pregnancy Loss: A Systematic Review Of The Literature, Hanieh Fakhrai

Theses and Dissertations

This systematic review examined the assessment tools, mental health outcomes, supportive resources, and intervention strategies related to women experiencing miscarriage and pregnancy loss. Despite affecting 10-20% of recognized pregnancies, the psychological impact of miscarriage is often overlooked in healthcare settings. Following PRISMA guidelines, 18 studies published between 2010-2021 from diverse international contexts were systematically analyzed. Findings revealed significant mental health consequences, including depression (prevalence 31-48.8%), anxiety (2.4-61%), and PTSD symptoms (14.7-43.9%). Risk factors for adverse outcomes included previous mental health conditions, history of infertility, multiple pregnancy losses, and difficulty finding meaning. Women identified helpful, supportive resources, including internet forums, sensitive …

Rewriting The Climb: How Black Women Leaders Illuminate The Gaps In Organizational Advancement Efforts, Leslie Williams

Theses and Dissertations

As another generation of Black women enter the workforce (Gen Z being the most recent as of this writing), organizations face a critical opportunity to reimagine how they identify, develop, and elevate leadership talent. Despite decades of progress in gender equality, Black women remain significantly underrepresented in senior leadership roles. While organizational programs, such as mentorship, sponsorship, and leadership development initiatives have aimed to close this gap, their effectiveness in advancing Black women remains inconsistent and under examined. This qualitative study examines to what extent organization programs and initiatives address or fail to address the unique barriers faced by Black …

Best Practices For Supporting Homeless Youth Achieve Academic Success, Abeni Elizabeth Carr

Theses and Dissertations

California has amassed a vast and growing population of homeless people. There exists a need to discuss the more significant generational impact that homelessness presents for students in secondary schools and to develop strategic planning to dismantle cyclical homelessness. Currently, there is an alarming trend in the number of youths who are experiencing homelessness. While much research in the past observed families experiencing housing instability, there are also burgeoning patterns of youth who are enrolled in high school, yet are becoming homeless due to running away from home. Both nationally and in California, youth are running away from their families …

Cultivating Ethical Leadership In Middle Management: A Qualitative Study Of Formative Experience And Organizational Support, Cha Vang

Theses and Dissertations

Why is ethical leadership foundational for middle managers, especially in complex organizational settings? This study investigates the foundational factors that shape how ethical leadership emerges among middle managers. Through a qualitative phenomenological approach, cross-sector interviews revealed that ethical leadership is not defined by position but is shaped by identity, relational support, and experiential growth. Middle managers act as ethical interpreters, translating organizational values into action where ambiguity and pressure are highest. It is imperative that middle-management leadership cultivation is grounded in identity awareness, relational accountability, and intentional development, minimizing dysfunction and strengthening ethical resilience in complex organizational systems.

Mentorship: The Impact On Defining Identity For Women Veterans After The Military, Brenda V. Lemas

Theses and Dissertations

The purpose of this study was to explore the potential impact that mentorship can have on women veterans to achieve success and define their identity after the military. This study examined women's veteran stories: self-identity, personal narrative, challenges, personal and professional development, physical challenges, sources of motivation, and purpose by addressing their needs as they transition into the civilian sector. Interviews were conducted with a diverse group of 15 women veterans to gather data. This group of women veterans were in different life stages during their transition from the military. The interviews were transcribed and analyzed for further investigation and …

Current Trends In Assessment Training At Clinical Psychology Doctoral Programs, Darcy Perrin Darrell

Theses and Dissertations

Psychological assessment is a fundamental competency in clinical psychology doctoral training, yet inconsistencies persist in the content and structure of assessment education across programs. This study aimed to evaluate current trends in psychological assessment training at American Psychological Association (APA) accredited clinical psychology doctoral programs, with particular attention to the implementation of the APA Guidelines for Education and Training in Psychological Assessment in Health Service Psychology. Utilizing a nonexperimental, descriptive design, the study analyzed 85 syllabi submitted by 58 programs, as well as publicly available curricular information. A rubric was developed to assess the extent to which course syllabi reflected …

Best Educational Practices For Supporting English Learners During Remote Learning, Dimitrina S. Gotzeva

Theses and Dissertations

Remote learning (RL) has gained significant momentum in recent years, particularly following the COVID-19 pandemic lockdown, underscoring the need for technology to facilitate remote education. Despite its increased prominence, RL has been a long-standing educational tool, enabling students to access quality education even when physically distant from prestigious institutions. However, the effectiveness of RL has been a topic of ongoing debate, with no clear consensus in the literature on the optimal strategies to enhance its outcomes. Focusing on English language learning, this study aimed to investigate the challenges and barriers associated with RL and identify effective strategies to improve its …

The Effects Of Exposure To War & Attachment Disruption On Children Of War Leading To Negative Mental Health Outcomes, Chantal Daley

Theses and Dissertations

Children of war tend to endure abuse, witness deaths, killings, and sexual violence, and are also often coerced into committing violent acts. They are subjected to exposure to war-related traumas and as a result often become displaced from their primary caregiver and attachment figure and this relationship is disrupted. The primary aim of this systematic review was to explore the negative mental health outcomes in children of war into adulthood following attachment disruption and exposure to war. It also aimed to examine what protective factors mitigated these negative mental health outcomes and whether outcomes and protective factors varied according to …

The Impact Of Decision-Making Autonomy, Sense Of Shared Identity, And Communications Strategy On Resource Retention Post-Merger And Acquisition, Randeep Rajwant Kaur

Theses and Dissertations

This thesis investigates the impact of decision-making autonomy, a sense of shared identity, and communication strategy on resource retention following mergers and acquisitions. Grounded in organizational development literature, the study examines employee experiences during post-integration periods. Using a qualitative methodology, ten semi-structured interviews were conducted with employees who remained with their organizations for at least twelve months following a merger or acquisition. The research utilizes thematic analysis to explore how autonomy constraints, leadership engagement, transparent communication, and cultural alignment influence retention decisions. The participant sample spans diverse industries such as software, healthcare, financial services, and others, with roles ranging from …

Remove The Invisibility Cloak - Let's Get Women Promoted!, Nina Echeverría Brown

Theses and Dissertations

This two-study research project uses a mixed-methods exploratory sequential research design to investigate the career journey of women in Corporate America and assess how they navigate the tensions that may impede Career Growth. Study 1 employs qualitative interviews to gather insights from 20 diverse women at varying managerial levels. Thematic analysis reveals five primary Pathways to Career Growth—Foundational Development, Social Augmentation, Adaptive Knowledge Expansion, Forward Focus, and Visibility—each associated with specific strategies that women employ to navigate tensions related to Cultural, Organizational, and Domestic spheres. Study 2 builds upon these findings and utilizes quantitative cross-sectional survey data from 385 corporate …

Navigating The New Normal: A Grounded Theory Study Of Lessons Learned About Leadership Practices Since The Pandemic In Multimodal Workplace Settings And The Future Of Work, Jessica Arriaza

Theses and Dissertations

The global pandemic has profoundly transformed leadership and the work landscape across multimodal workplace environments (onsite, virtual, and hybrid). As organizations navigated unprecedented disruption, leaders had to respond with agility, empathy, and innovation. This qualitative, grounded theory study explored the transformative impact of post-pandemic changes on leadership practices within the evolving workplace landscape and future work trends. The overarching research question guiding this study was to what extent, if at all, leadership practices have evolved since the global pandemic across onsite, virtual, and hybrid workplace settings, and what skills, strategies, and practices will future leaders need to navigate the future …

A Practical Theology Of Change: Community-Centered Leadership For Congregational Transformation In Evolving Contexts, Kevin W. Vanhook Ii

Theses and Dissertations

Communities worldwide have been dramatically and rapidly changing, with more of the world’s population expected to live in urban settings by 2030. Christian churches that failed to adapt to their communities’ mergent needs experienced stagnation and decline, while those that survived and thrived rethought their strategies for engaging with their respective communities. Research indicated that churches focusing on achieving and sustaining congregational health and vitality had the potential to defy the prevailing trends of church decline. However, there was a lack of research regarding best practices for doing so. Therefore, this study identified the practices used by ministers of Christian …

A Phenomenological Study Of The Experiences And Leadership Perspectives Of Women Who Have Been Candidates For Elected Political Office, Angela M. Fentiman

Theses and Dissertations

Women’s underrepresentation in leadership is well-documented. Despite making gains in some leadership areas, underrepresentation persists in executive elected positions. Using a life course research framework that examines the life journey, along with leadership theory and literature explaining underrepresentation, this study goes beyond the numbers to explore the experiences of women who have run for executive elected office. Specifically, it includes the perspectives of 10 women who ran for governor during the 2022 U.S. midterm election. The participants demonstrate leadership approaches consistent with servant and authentic leadership and consider characteristics associated with those styles to be the ideal approaches for political …

Blessed Is Anyone Who Will Eat Bread In The Kingdom Of God: Reading The Lukan Meal-Scenes As Proleptic Messianic Banquets Signaling The Dawn Of The End Of Exile, Brian Spencer Kelly

Theses and Dissertations

Scholars frequently claim that there existed an expectation for an eschatological/ messianic banquet in Second Temple Judaism, that the banquet was used as an image for the blessed age to come, and that Jesus’ praxis of banqueting with reputed sinners related to the messianic banquet tradition. These three claims are often assumed, resulting in three problematic trends: evidence for the messianic banquet tradition is often lacking, the tradition is typically treated in isolation from other eschatological expectations, and the tradition’s connection to Jesus’ fellowship is inadequately demonstrated. This thesis begins by surveying the gamut of Second Temple literature for the …