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2026

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Intravenous Infusion Of Nicotinamide Adenine Dinucleotide (Nad+) Versus Nicotinamide Riboside (Nr): A Retrospective Tolerability Pilot Study In A Real-World Setting, Kirsten Reyna, Greer Heinzen, Nikita Patel, Marie Ritter, Alexandra Siojo, Henry Legere, Rachele Pojednic Jan 2026

Intravenous Infusion Of Nicotinamide Adenine Dinucleotide (Nad+) Versus Nicotinamide Riboside (Nr): A Retrospective Tolerability Pilot Study In A Real-World Setting, Kirsten Reyna, Greer Heinzen, Nikita Patel, Marie Ritter, Alexandra Siojo, Henry Legere, Rachele Pojednic

Research outputs 2022 to 2026

Background: Nicotinamide adenine dinucleotide (NAD+) is a cofactor for NAD+-dependent enzymes that regulate DNA repair, cellular metabolism, and immune function. Supplementation with NAD+ and its precursors is commonly used to prevent age-related disease and extend healthspan. Commercial clinical and wellness settings increasingly provide intravenous (IV) NAD+ and nicotinamide riboside (NR) despite limited evaluation of safety and effectiveness. These considerations are important, as NAD+ and its precursors differ in reported side effects, cellular uptake, and metabolism. This study sought to compare commercially administered NAD+ IV and NR IV in humans by evaluating infusion …

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Sustainable Healthcare In Action: Six Practice Changes That Make A Difference, Christine Catling, Carol Crevacore, Melisa Young, Wayne Varndell, Jack Cornish, Sue Sheppard-Law, Elaine Correia Moll Jan 2026

Sustainable Healthcare In Action: Six Practice Changes That Make A Difference, Christine Catling, Carol Crevacore, Melisa Young, Wayne Varndell, Jack Cornish, Sue Sheppard-Law, Elaine Correia Moll

Research outputs 2022 to 2026

Problem: Planetary health, linking the well-being of human populations with the stability of Earth's natural systems, is increasingly recognised as essential for all organisations. Healthcare is a major contributor to environmental harm, responsible for an estimated 4.4% of global net emissions. As a result, healthcare workers have an important role in driving sustainable, low-waste practices within clinical settings. Aim: This paper outlines six practical, evidence-informed changes that can be introduced within healthcare organisations: adopting reusable tourniquets, reducing unnecessary glove use, recycling medication blister packs, promoting reusable nappies, using reusable or compostable blueys, and reintroducing stainless steel holloware. Discussion: These examples …

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Review Of Outcomes: Quality Improvement Of Upper-Extremity Necrotizing Soft Tissue Infections, Cailey A. England Bs, Ryan A. Reinhart Bs, Tien Do Do, Maame A. Effirim Bs, Dylan Bezzini Md Jan 2026

Review Of Outcomes: Quality Improvement Of Upper-Extremity Necrotizing Soft Tissue Infections, Cailey A. England Bs, Ryan A. Reinhart Bs, Tien Do Do, Maame A. Effirim Bs, Dylan Bezzini Md

Summer Research Program Abstracts

No abstract provided.

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The Relationship Between Functional Measures And Patient Reported Outcomes In Adult Spine Patients, River M. Tomlinson, Eric Klineberg, Jacob Jelmini, Nicole Baker Jan 2026

The Relationship Between Functional Measures And Patient Reported Outcomes In Adult Spine Patients, River M. Tomlinson, Eric Klineberg, Jacob Jelmini, Nicole Baker

Summer Research Program Abstracts

No abstract provided.

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Use Of Sonorheometry To Treat Trauma-Induced Coagulopathy, Dawson L. Weiss, Gabrielle E. Hatton, Miranda E. Wood, Oscar I. Estrada Munoz, David H. Kim, John A. Harvin Jan 2026

Use Of Sonorheometry To Treat Trauma-Induced Coagulopathy, Dawson L. Weiss, Gabrielle E. Hatton, Miranda E. Wood, Oscar I. Estrada Munoz, David H. Kim, John A. Harvin

Summer Research Program Abstracts

No abstract provided.

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Women In Science: A Theoretical, Historical, And Creative Work, Stephen M. Devito Jan 2026

Women In Science: A Theoretical, Historical, And Creative Work, Stephen M. Devito

Antioch University Dissertations & Theses

This creative dissertation investigates the barriers that patriarchy has historically created for women scientists as they pursue scientific discovery. It also examines theater as a critical and creative practice for challenging the patriarchal system. To contextualize this inquiry, the study reviews literature on women scientists whose significant contributions were historically minimized, overlooked, or neglected. Additionally, multiple plays, movies, and creative theatrical works are discussed in the literature review, with particular emphasis on different styles of using theater to illuminate the achievements of women scientists. The creative component of this dissertation is an original musical play that explores Albert Einstein’s relationship …

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We’Re The Aunties Now: Intersections Of Mourning Practices, Intergenerational Trauma, And Matrilineal Responsibility In Oneida Life, Marena Bridges Jan 2026

We’Re The Aunties Now: Intersections Of Mourning Practices, Intergenerational Trauma, And Matrilineal Responsibility In Oneida Life, Marena Bridges

Antioch University Dissertations & Theses

This dissertation examines how Oneida and broader Haudenosaunee mourning practices, as I have lived and understood them, shape grief, healing, and matrilineal responsibility in my family. Using Indigenous autoethnography and storywork, I first present a crafted narrative, then return to that narrative through reflexive thematic analysis. The analysis identifies patterned meanings in how grief is structured, shared, and carried across closely stacked deaths in the maternal line. Mourning practices function as community infrastructure that organizes time, redistributes labor, transmits knowledge, and sustains continuing bonds with the dead. At the same time, repeated loss produces a form of matriarchal ascension, concentrating …

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Octavia E. Butler's Healing Heroines: An Exploration Of Black Girl Magic In The Patternist Series, Monique Skinner Jan 2026

Octavia E. Butler's Healing Heroines: An Exploration Of Black Girl Magic In The Patternist Series, Monique Skinner

Antioch University Dissertations & Theses

This study explores the concept of healing as Black Girl Magic in the five novels that make up Octavia E. Butler’s Patternist series. Through textual analysis backed in Afrofuturist theory the study answers the questions: How does Butler depict Black women as healers in the Patternist series? and What is her vision of Black women in the Afrofuture? On a deeper level, the study uses character analysis to examine the literary trope of the Black woman healer and how her magical power translates as literal Black Girl Magic. Through a journey of speculative literary discovery, we uncover the archetypes of …

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Emotionally Healthy Black Men: Guidelines For Supporting Mental Health Treatment For Black Men In Ohio, Eira Nichell Yates Jan 2026

Emotionally Healthy Black Men: Guidelines For Supporting Mental Health Treatment For Black Men In Ohio, Eira Nichell Yates

Antioch University Dissertations & Theses

This study examines the barriers that prevent Black men in Ohio from seeking treatment for depression and other mental health conditions and explores strategies to improve engagement and outcomes. Although depression is the most prevalent mental health disorder in the United States, it remains underdiagnosed and undertreated among Black men, contributing to persistent mental health disparities. The limited body of research addressing help-seeking behaviors within this population necessitated the use of a Delphi methodology to obtain expert consensus on key challenges and promising practices. A panel of subject-matter experts in mental health, social services, and culturally responsive care participated in …

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The Phenomenon Of Church Growth Through Authenticity: How African American Gen Z Christians Are Sharing The Gospel Of Jesus Christ Without The Program Structure Of The Black Baptist Church, Devin E. West Jan 2026

The Phenomenon Of Church Growth Through Authenticity: How African American Gen Z Christians Are Sharing The Gospel Of Jesus Christ Without The Program Structure Of The Black Baptist Church, Devin E. West

Antioch University Dissertations & Theses

This dissertation examines the perspectives of Black Generation Z Christians regarding factors within the Black Baptist church that may limit their full engagement. In this study, the Black Baptist church refers to congregations with predominantly Black membership led by Black pastors. Generation Z, born between 1997 and 2012, is forming its religious identity within a rapidly changing cultural and institutional environment. Historically, the Black Church has served as a central institution in African American communities, functioning as a place of worship as well as a source of social support, leadership development, identity formation, and justice advocacy (Lincoln & Mamiya, 1990). …

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Building A Digital Altar For The Justice-Centered Torch-Bearers: The Role Of Digital Networks In Supporting Contemporary Racial Justice Activists Through Contemplative Practices, Renée L. Bradford Jan 2026

Building A Digital Altar For The Justice-Centered Torch-Bearers: The Role Of Digital Networks In Supporting Contemporary Racial Justice Activists Through Contemplative Practices, Renée L. Bradford

Antioch University Dissertations & Theses

This mixed-methods study aimed to identify factors critical in building a digital support network employing contemplative practices to support activists engaging in racial justice work in the United States. The research question that guided this study was: What factors do racial justice activists regard as critical in building a digital support network employing contemplative practices? The study’s importance lies in addressing the evolving landscape of digital activism while honoring the spiritual and relational foundations that have historically sustained social justice movements, particularly as contemporary activists navigate new technological tools while seeking to maintain authentic connection and contemplative grounding. Key findings …

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Through The Eyes Of A Daughter: Blues City Cultural Center And The Black Arts Movement, Ayana Williams Jan 2026

Through The Eyes Of A Daughter: Blues City Cultural Center And The Black Arts Movement, Ayana Williams

Antioch University Dissertations & Theses

This creative dissertation examines the Blues City Cultural Center (BCCC) as a living continuation of the Black Arts Movement in the American South. Founded in Memphis, Tennessee, in 1979 by Deborah Frazier and Levi Frazier, Jr., BCCC emerged from the cultural and political momentum of the Black Arts and Black Power Movements and continues to sustain their principles through original theater, community-based arts education, and grassroots cultural organizing. Challenging the notion that the Black Arts Movement is a concluded historical period, this study argues that the movement remains ongoing, adaptive, and deeply embedded within Southern Black communities. Using a creative …

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Navigating Financial Futures: A Case Study Of A Targeted Financial Literacy Program For African American College Students, Michael L. James Jan 2026

Navigating Financial Futures: A Case Study Of A Targeted Financial Literacy Program For African American College Students, Michael L. James

Antioch University Dissertations & Theses

This dissertation presents a qualitative analysis of a targeted financial literacy program designed for African American college students. The dissertation examined how African American college students describe and make meaning of their participation in a targeted financial literacy program, particularly in relation to the program’s structure, content, and delivery. Despite growing interest in financial literacy education, interventions that acknowledge the persistent wealth gap and systemic financial inequities faced by African Americans remain underexplored. Employing a case study research method within a program understanding framework, this study investigated a program at Historically Black Colleges and Universities (HBCUs). Findings reveal that the …

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The Efficacy Of International Conflict Feminism In Postconflict Peacebuilding: Learning From The Lived Experiences Of Liberian Women Through A Decolonial Lens, Kristen N. Mcnutt Jan 2026

The Efficacy Of International Conflict Feminism In Postconflict Peacebuilding: Learning From The Lived Experiences Of Liberian Women Through A Decolonial Lens, Kristen N. Mcnutt

Antioch University Dissertations & Theses

Focusing on Liberia, this study investigates the efficacy of governance feminism (GF) and international conflict feminism (ICF) in postconflict liberal peacebuilding, specifically analyzing United Nations Security Council Resolution 1325 and the Women, Peace, and Security (WPS) agenda to reveal critical gaps between policy narratives and the lived realities of Liberian women. Grounded in decolonial feminism and the coloniality of gender and peace frameworks, the research integrates ideographic narrative analysis of UN Women and Liberian government policy reports, a day-in-the-life study with 13 Liberian women, and surveys and interviews with multilevel actors across international organizations, government, and grassroots organizations, guided by …

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Navigating An Uncharted Path: Chief Diversity Officer Challenges In Creating And Implementing A Dei Strategy Plan Within Major Hospital Systems, Diane Shines Mcdaniel Jan 2026

Navigating An Uncharted Path: Chief Diversity Officer Challenges In Creating And Implementing A Dei Strategy Plan Within Major Hospital Systems, Diane Shines Mcdaniel

Antioch University Dissertations & Theses

This qualitative phenomenological study investigated the major challenges Chief Diversity Officers (CDOs) face when creating and implementing DEI strategy plans within major hospital systems in the United States. The study was guided by one research question: What are the major challenges that Chief Diversity Officers face in creating and implementing a DEI strategy plan within major U.S. hospital systems? A phenomenological design was used to examine the challenges of six Chief Diversity Officers serving in major U.S. hospitals as they led DEI strategy planning and implementation. Data were generated through semi-structured interviews consisting of eight open-ended questions designed to elicit …

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From Margin To Mandate: Examining Community Development Strategies That Support Black Lgbtq+ Youth Experiencing Homelessness, Martel Okonji Jan 2026

From Margin To Mandate: Examining Community Development Strategies That Support Black Lgbtq+ Youth Experiencing Homelessness, Martel Okonji

Antioch University Dissertations & Theses

Black LGBTQ+ transitional-aged youth (TAY) experiencing homelessness navigate intersecting systems of marginalization that shape their access to safety and stability. While community development organizations play a critical role in addressing these inequities, limited research examines how these strategies are implemented. This study explored how a community development organization supports Black LGBTQ+ TAY experiencing homelessness. Using a qualitative single case study design, data was collected through semi-structured interviews with leadership, staff, and youth, and analyzed using thematic analysis. Grounded in community development theory and ethical leadership, the study examined how organizational practices shape outcomes. Findings revealed an affirming, relational approach centered …

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Approaching Social Cohesion And Social Progress From A Systems Perspective: A Mixed Methods Analysis Of The Canadian Multiculturalism Act, Melissa Kimmel Jan 2026

Approaching Social Cohesion And Social Progress From A Systems Perspective: A Mixed Methods Analysis Of The Canadian Multiculturalism Act, Melissa Kimmel

Antioch University Dissertations & Theses

Social cohesion plays an important role in supporting stable, equitable, and resilient societies. Growing social division and polarization have weakened collective trust and challenged progress in many nations. Understanding how social cohesion can be strengthened has become increasingly important as societies face rising inequality, political partisanship, and declining institutional legitimacy. This study examines how social cohesion can function as a systemic driver of social progress through the example of Canada’s Multiculturalism Act. The Act provides a lens for understanding how national policy can serve as a way to strengthen inclusion, equality, and belonging within diverse societies. This study utilizes a …

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Hospitality As A Philosophy Of Care, Freddy Clark Jan 2026

Hospitality As A Philosophy Of Care, Freddy Clark

Antioch University Dissertations & Theses

This study examines hospitality as a philosophy of care and a practice of social justice, particularly within marginalized communities. While hospitality is often understood as a gesture of kindness or a function of the service industry, this research reframes it as an ethical and relational practice grounded in human dignity, mutuality, and community formation. It explores how hospitality extends beyond transactional exchanges to become a transformative expression of care that challenges exclusion and affirms belonging. Drawing on interdisciplinary frameworks, the study integrates biblical narratives, including the Good Samaritan and Matthew 25:35–40, philosophical perspectives from Emmanuel Levinas and Jacques Derrida, and …

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Good News For The Poor And More: Reclaiming Martin Luther King, Jr.'S Radical Gospel Of Economic Justice In Pursuit Of The Beloved Community, Lester A. Mccorn Jan 2026

Good News For The Poor And More: Reclaiming Martin Luther King, Jr.'S Radical Gospel Of Economic Justice In Pursuit Of The Beloved Community, Lester A. Mccorn

Antioch University Dissertations & Theses

This dissertation, Good News for the Poor and More: Reclaiming Martin Luther King Jr.’s Radical Gospel of Economic Justice in Pursuit of the Beloved Community, argues that Martin Luther King Jr.—one of the most transformational American leaders of the 20th century—should be best understood as a central figure within the Black Social Gospel tradition whose rhetoric constitutes a sustained socio-political and theological critique of economic injustice. Moving beyond interpretations that limit King to racial integration and civil rights, this study demonstrates that his preaching confronts the structural realities of poverty, racial capitalism, and militarism as interrelated forms of systemic …

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Beyonce´, The Womanist Entertainer: Womanism, Anti-Racism And Cultural Pride In Beyonce´ Knowles Carter’S Music, Nena Carpenter Jan 2026

Beyonce´, The Womanist Entertainer: Womanism, Anti-Racism And Cultural Pride In Beyonce´ Knowles Carter’S Music, Nena Carpenter

Antioch University Dissertations & Theses

This research explores the latter portion of Beyoncé Knowles-Carter’s career and her distinguishing herself as a womanist/feminist icon. Beyoncé Knowles-Carter has been regarded as a popular music icon since her days as the lead singer in the R&B group Destiny's Child. The group’s music, including songs like "Say My Name" and "Independent Women", have often been recognized by cultural critics as empowerment anthems for women and girls. When Beyoncé performed at the Video Music Awards in 2014, the sample of Chimamanda Ngozi Adichie's 2013 Ted Talk on feminism in her song "Flawless" precipitated a more focused discourse about the authenticity …

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Understanding The Workplace Belonging Puzzle: An Ecosystem Approach To A Better Future Of Work, Surabhi Lal Jan 2026

Understanding The Workplace Belonging Puzzle: An Ecosystem Approach To A Better Future Of Work, Surabhi Lal

Antioch University Dissertations & Theses

The need to belong is deeply human. Today’s workplaces advertise “cultures of belonging,” but what is workplace belonging? Could remote and hybrid workplaces provide an opportunity for connection and belonging? How are employees experiencing belonging at work, and what are the people around them doing to contribute to their experience of workplace belonging? Weaving together concepts from humanistic management, positive organizational scholarship, and critical theory, this phenomenological study examines how middle managers at B Corp organizations who are working in hybrid and remote arrangements experience belonging, and the actions and behaviors that contribute to workplace belonging. Belonging has been studied …

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Diagnosing The Discourse: How The Academy Of Breastfeeding Medicine Constructs And Constrains Treatment Of Tethered Oral Tissues, Mary E. Miller Jan 2026

Diagnosing The Discourse: How The Academy Of Breastfeeding Medicine Constructs And Constrains Treatment Of Tethered Oral Tissues, Mary E. Miller

Antioch University Dissertations & Theses

While breastfeeding is recognized as fundamental to global public health, oral restrictions that can affect infant latch, milk transfer, and feeding efficiency warrant further examination within policy frameworks. This dissertation proposes an expanded conceptualization of tethered oral tissues (TOTs) that encompasses not only anatomical frenal restrictions but also fascial tensions, neuromuscular limitations, and other conditions restricting orofacial function that may be congenital or acquired. The purpose of this study was to critically examine how this clinical guidance document shapes understandings and responses to TOTs. Using Carol Bacchi’s “What’s the Problem Represented to Be?” approach, a critical discourse analysis of the …

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She Leads: A Phenomenological Study Of Women's Leadership Experiences In Nonprofit Organizations, Trisha W. Lee Jan 2026

She Leads: A Phenomenological Study Of Women's Leadership Experiences In Nonprofit Organizations, Trisha W. Lee

Antioch University Dissertations & Theses

Women comprise a significant portion of the nonprofit sector workforce but are underrepresented in leadership, particularly among executives in larger revenue nonprofit organizations (NPOs). This phenomenological study explored the lived experiences of women who led large, local NPOs (those with annual revenues between $1 million and $5 million) in Ohio. Addressing a gap in understanding the intersection of gender and leadership in large revenue NPOs, this research compared women who were founders of their NPOs with women who ascended to leadership in established organizations. Did founding one’s own NPO provide an advantage in leading it once it grew? How did …

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Digital Griots Playing Lottery Tickets: A Study Of Hip Hop And Social Transformation In Ghana's #Fixthecountry Movement, Jaime M. Kowlessar Jan 2026

Digital Griots Playing Lottery Tickets: A Study Of Hip Hop And Social Transformation In Ghana's #Fixthecountry Movement, Jaime M. Kowlessar

Antioch University Dissertations & Theses

On June 28, 2021, activist Ibrahim Mohammed (Macho Kaaka) was murdered in Ejura, Ghana, after using social media to criticize government failures. When protesters demanding justice were shot by security forces, politically engaged Ghanaian hip hop artists refused silence, contributing to Ghana’s #FixTheCountry movement—the nation’s largest youth mobilization in a generation. Yet scholarly debates about how hip hop contributes to social change remain unresolved, divided between those celebrating its activist potential and those critiquing its limitations. This dissertation introduces the lottery ticket theory as an alternative framework for understanding cultural activism’s relationship to political transformation. Rather than asking whether hip …

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Weaving Leadership: A Participatory Narrative Inquiry Into Alaska Native Women’S' Relational And Intersectional Leadership, Aleesha Ikayuk Towns-Bain Jan 2026

Weaving Leadership: A Participatory Narrative Inquiry Into Alaska Native Women’S' Relational And Intersectional Leadership, Aleesha Ikayuk Towns-Bain

Antioch University Dissertations & Theses

Alaska Native women have long supported their families, Tribes, and communities through leadership that is relational, adaptive, and rooted in Indigenous cultural values. In recent years, Alaska Native women have assumed significant leadership roles within a diverse range of Western sectors—including government, business, higher education, and nonprofits—while maintaining roles as critical culture holders and community builders. Despite their contributions, the leadership experiences of these women are poorly understood in both leadership practice and scholarship. The purpose of this research project was to explore how Alaska Native women make meaning of their leadership experiences through Indigenous relational values and at the …

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Exploring The Principles And Values Of Co-Operative Economics And Sustainability To Inform Positive Solutions With Communities Impacted By Incarceration, Mary A. Sutton Jan 2026

Exploring The Principles And Values Of Co-Operative Economics And Sustainability To Inform Positive Solutions With Communities Impacted By Incarceration, Mary A. Sutton

Antioch University Dissertations & Theses

The United States incarcerates more people than any other country. Each month, tens of thousands of people across the country are released from prison or jail. Most return to communities that are economically, socially, and environmentally disenfranchised. The cycling of targeted populations in and out of the carceral system has imposed devastating consequences and inequities on poor Black and Brown communities, consequences that will reverberate for generations. The literature indicates a need for a critical sustainability assessment tool to examine incarceration policies and measure their real impacts on individuals, families, and communities. There is a need for sustainable solutions to …

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Putting Lived Experience At The Centre: A Critical Review Of Multidisciplinary, Person-Centred Mental Health Care, Laura Grattidge, Darren Haywood, Nicolas H. Hart, Bridget Elizabeth Hamilton, Ellie Fossey, Melissa Petrakis, David J. Castle Jan 2026

Putting Lived Experience At The Centre: A Critical Review Of Multidisciplinary, Person-Centred Mental Health Care, Laura Grattidge, Darren Haywood, Nicolas H. Hart, Bridget Elizabeth Hamilton, Ellie Fossey, Melissa Petrakis, David J. Castle

Research outputs 2022 to 2026

Purpose: Person-centred care is widely endorsed in mental health policy yet remains inconsistently enacted in multidisciplinary practice, particularly where services default to diagnostic dominance, risk management, and service-led priorities. This critical review examines what is required to operationalise person-centred, rights-based care across disciplines and settings, positioning lived and living experience as core expertise rather than a supplementary perspective and considering implications for suicide prevention. Methods: A critical review of peer-reviewed and grey literature was undertaken, focusing on person-centred and multidisciplinary mental health care. Five commonly used approaches were compared: the Optimal Health Program, the Strengths Model, Open Dialogue, traditional case …

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A Snapping Surprise, Brian Chan Do, Elliot L Busch Dpm, Megan Ferderber Md Jan 2026

A Snapping Surprise, Brian Chan Do, Elliot L Busch Dpm, Megan Ferderber Md

Fellows and Residents

No abstract provided.

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The Kidney Connection: Sepsis In Hospitalized Lupus, Muhammad Usman Zafar Md, Syeda Haris Mustafa Zaidi Md, Ansar Aziz Md, Sejal Lakhani Do, Courtney Hill Do Jan 2026

The Kidney Connection: Sepsis In Hospitalized Lupus, Muhammad Usman Zafar Md, Syeda Haris Mustafa Zaidi Md, Ansar Aziz Md, Sejal Lakhani Do, Courtney Hill Do

Fellows and Residents

No abstract provided.

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Students’ Perspectives On Authentic Assessment: An Experiential Learning Framework For Work-Readiness And Employability, Claire Lambert, Madeleine Ogilvie, Stephanie Meek Jan 2026

Students’ Perspectives On Authentic Assessment: An Experiential Learning Framework For Work-Readiness And Employability, Claire Lambert, Madeleine Ogilvie, Stephanie Meek

Research outputs 2022 to 2026

Background: Universities are increasingly pressured to enhance graduate employability by embedding career readiness into curricula. Authentic, industry-based assessments offer a means to link theory with practice, yet little is known about their impact from the student perspective. Purpose: This study explored how an industry-based authentic assessment supports students’ transition to work through the lens of Experiential Learning Theory (ELT). Method: Using a qualitative design, guided-introspection questionnaires were completed by 20 marketing graduates 2 years after completing an industry-based social marketing project. Directed content analysis identified themes aligned with ELT stages and mechanisms of confidence, networks, and professional enculturation. Findings: Authentic …

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