Digital Commons Network^™

Social Workers’ Perceptions Of Pediatric Hiv Disclosure Process, Colleen Myrie

Walden Dissertations and Doctoral Studies

Although the social problem of pediatric HIV disclosure has been studied by researchers internationally, there remains a gap in the experiences of social workers in facilitating this process. The purpose of this generic qualitative study was to explore the experiences and perceptions of social workers in the United States regarding the disclosure process for HIV positive children. This study was grounded in Rosenstock’s health belief model, which posits that an individual will take necessary action to prevent or manage a disease based on their perceptions of health. This model was effective in helping to identify what social workers think about …

Teachers’ Perspectives About Early-Career Implementation Of Culturally Responsive Teaching Practices In Secondary Science Classrooms, Nicole D. Wilson-Pringle

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was that little was known about how secondary science teachers use their training to implement culturally responsive teaching practices (CRTPs) during their early careers in classrooms with diverse student populations. Grounded in the culturally relevant pedagogy and the teacher identity development frameworks, the purpose of this basic qualitative study was to explore secondary science teachers’ perspectives on the use of their training to implement CRTPs during their early careers in classrooms with diverse student populations. Data were collected through semistructured interviews with 10 middle and high school science teachers who received certification …

Comments Re: Medicare Drug Price Negotiation Program And Medicare Prescription Drug Benefit Program, Fred D. Ledley M.D., Edward Zhou Pharm. D.

CISI Publication

Thank you for the opportunity to provide written comments in response to the Medicare Drug Price Negotiation Program proposed rule published on June 16, 2026 in the Federal Register. [1] We are answering as academic researchers with experience in medicine, pharmacy, biomedical research, and the biopharmaceutical industry. Our perspective is informed by extensive, published research on the economics and finance of pharmaceutical innovation, the value created by new medicines, and the impacts of the Inflation Reduction Act (IRA).

We applaud the accomplishment of the IRA in establishing the precedent for the government to negotiate “fair market prices” for drugs on …

Two-Thirds Return But Performance Suffers: Acl Reconstruction Outcomes Across Elite European Women's Soccer Leagues, Haneef Khan, Forest Rodriguez, Amina Khan, Ashley Rosenberg, Stephen Marcaccio

Student Papers, Posters & Projects

PURPOSE: To analyse return-to-play (RTP) rates, timing and performance outcomes following anterior cruciate ligament (ACL) reconstruction (ACLR) in elite European women's soccer players across the top five leagues.

METHODS: We reviewed ACL injuries sustained by female professional soccer players across the Bundesliga, Women's Super League, Primera División Femenina, Serie A Women and Première Ligue between 2007 and 2025. Players were included if they had a confirmed ACL injury requiring ACLR and one season of performance data pre- and post-injury. Players were excluded if the injury occurred during their rookie season or after the 2023 season. Data were collected from Soccerdonna.de …

Closing On The Cardiovascular Disparity Among Black Adults In Boston Through Church-Based Community Health Worker Intervention, Ana Porfirio

Capstones

Hypertension and cardiovascular disease disproportionately affect Black adults age 40 and older in Boston's Roxbury, Dorchester, and Mattapan neighborhoods, as heart disease mortality is three times higher among blacks than whites across Boston, and premature death rates are over twice as high in Dorchester and Roxbury as in richer neighborhoods. Historic redlining contributes to barriers in food access and is one factor behind Mattapan's highest age-adjusted mortality rate from heart disease in the city. These brief outlines a culturally concordant church-based Community Health Worker (CHW) intervention that includes a trained CHW who assists adults with uncontrolled hypertension in managing their …

Closing Boston's Pediatric Asthma Equity Gap Through Housing-Integrated Care, Valeria Miranda

Capstones

Asthma morbidity is disproportionately high for preschool-age children (2-5 years) in Roxbury, Dorchester, and Mattapan neighborhoods of Boston owing to poor housing conditions and a lack of coordination between housing remediation and healthcare systems. Data at the neighborhood level indicate rates of (0-17) emergency department visits as high as 144.1 per 10,000 in Mattapan, compared to 15.0 per 10,000 in West Roxbury, where Black children have emergency department visit rates that are 6.9 times more than the rates for White Children across the city (Boston Public Health Commission, 2023). Additionally, Community Health Worker (CHW)-led home visiting with environmental trigger remediation, …

Pericardial Cyst, Mohamed Elsisy, Ibrahim K. Zazai, Mohamed H. Alahmadi, Chris Kyriakopoulos

Manuscripts, Articles, Book Chapters and Other Papers

Pericardial cysts are typically considered a congenital anomaly of the anterior and middle mediastinum, with most patients diagnosed via incidental findings on routine chest imaging. They represent a small proportion of mediastinal masses but a substantial proportion of mediastinal cysts. Most are asymptomatic at presentation, and when symptoms occur, they are usually related to compression of adjacent mediastinal, pulmonary, or cardiac structures rather than intrinsic malignant behavior.

Review Of Letters From The Edge: Outrider Conversations By Margaret Randall, Ann Ferguson

Wagadu: A Journal of Transnational Women's & Gender Studies

No abstract provided.

Review Essay: Incarcerated Women’S Voices And A Critique Of Carceral Feminism, Mechthild Nagel

Wagadu: A Journal of Transnational Women's & Gender Studies

No abstract provided.

Motherhood And The Illusion Of Delayed Gratification In Gerotti Kyomuhendo’S Waiting And Secrets No More, Mopelola R. Olayiwola

Wagadu: A Journal of Transnational Women's & Gender Studies

The birth of a girl child in most African societies automatically signals the arrival of another procreator. Her role is assigned long before birth: she is to be a woman, a wife, and a mother whose nurturance continues until death. Motherhood demands nurturing children alongside the husband, and most myths tie a woman’s relevance to this single role. To ensure undivided attention to this occupation, societies empower the virtue of patience. As a result, many African narratives corroborate the ideology of delayed gratification, encouraging women to give excessively toward a distant future when children may return the favour. Little attention …

From The Traditional Role Of Motherhood To The Creation Of Ritual Fertility Dolls Among The Ashanti People, Youssoupha Mane

Wagadu: A Journal of Transnational Women's & Gender Studies

This article explores the art and traditional sculpture of the Ashanti people of Ghana. The study delves into the symbolic, spiritual, therapeutic, and psychological implications of ritual fertility dolls known as Akua’ba, which serve as a means for infertile women to experience the joy and delight of motherhood. The study will also focus on how accessing motherhood is highly esteemed and regarded as a social obligation in most African cultures. The psychological burden and pressure associated with the social duty of bearing children to avoid ‘‘social death’’ or being ‘‘the dead end of human life’’ is undoubtedly at the root …

Winnie's Feminism: A Tribute To Mama Dr. Winnie Madikizela-Mandela As A Radical Feminist From 1986-2018, Anna Lefatshe Moagi

Wagadu: A Journal of Transnational Women's & Gender Studies

Growing up in South Africa and having read several “tell-all” biographies by influential women have made this researcher aware of the struggles of women to be recognised and valued within their social environments. The many names that come to mind, when speaking of women’s voices that challenged their position in our society, belong to those of struggle veterans such as Adelaide Tambo, Ruth First, Lilian Ngoyi, Albertina Sisulu, Thandi Modise, Baleka Mbethe, Leymah Gbowee, Ruth Mompati, Charlotte Maxeke, Joice Majuru, Thuli Madontsela and Winnie Madikizela-Mandela. Their as women leaders roles remain undervalued (Shekhawat 2015). These phenomenal influential women and many …

Meeting Van Gogh, Yuan Changming

The Sucarnochee Review

No abstract provided.

Encounters Xlv: Solid Ground, Susan Johnson

The Sucarnochee Review

No abstract provided.

Doing Good In A Bad World: A Social Worker’S Memoir, Connie Woodring

The Sucarnochee Review

No abstract provided.

Understanding Factors Associated With 911 And 988 Use In Mental Health Crises Original Paper Open Access, Michiko Ueda, Colleen M. Heflin, Yanhong Liu, Qingyi Yu, Seethalakshmi Ramanathan

The Lender Center for Social Justice

The 988 Suicide and Crisis Lifeline was launched in July 2022 as an alternative to 911 for mental health crises. However, little is known about the factors influencing decisions to use 911 or 988 among individuals most likely to benefit from 988, including those with suicidal ideation. This study analyzes individual characteristics associated with the likelihood of calling 911 during a mental health crisis and examines awareness of, willingness to use, and concerns about 988. An anonymous online survey was conducted in early 2024 with 1,894 U.S. adults aged 18–50, oversampling racial minorities. Logistic regression models were estimated for four …

Exploring Wearable Technology In Freshmen High School Physical Education: Effects On Engagement And Enjoyment, Danielle Madrid

Doctorate in Kinesiology

Wearable technology offers physical educators a potential tool for providing real-time feedback and supporting student engagement during physical activity. This mixed-methods study examined the influence of Polar A370 wearable fitness trackers on enjoyment and engagement among 99 ninth-grade students enrolled in high school physical education. During a two-week within-subject crossover intervention, students alternated between participating in physical education lessons with and without wearable technology. Physical activity enjoyment was assessed before and after the intervention using the Physical Activity Enjoyment Scale (PACES), while a researcher-developed supplemental survey, open-ended responses, and observational field notes provided additional information regarding students’ motivation, engagement, and …

Investigating The Links Between Iq, Emotion Dysregulation, And Respiratory Sinus Arrhythmia In Childhood Antisocial Behavior, Isley Jean-Pierre

Student Theses

This study examined relationships among cognitive ability, emotion dysregulation, physiological regulation, and antisocial behavior. Participants were 340 children ages 7-10. Caregivers reported on emotion regulation, aggression, and delinquency, and children completed cognitive assessments. Intellectual profiles were classified as even or uneven. No significant differences in aggression or delinquency were found between intellectual profiles. Emotion Regulation Checklist scores mediated relationships between VIQ and both aggression and delinquency. Resting RSA mediated the relationship between VIQ and delinquency, although the indirect effect was small, whereas RSA reactivity did not mediate either outcome. Overall, findings suggest that emotion regulation may be a more consistent …

Retaining Teaching Hospital Nonacademic Nurse Educators: Addressing Burnout And Building Workforce Resilience, Walter Guevara

Walden Dissertations and Doctoral Studies

Burnout and high turnover intentions among nonacademic nurse educators (NANEs) in academic teaching hospitals pose a critical challenge for healthcare administration, threatening workforce stability, nursing education capacity, and healthcare outcomes. The purpose of the integrative review was to examine evidence-based strategies to reduce burnout and enhance resilience among NANEs, thereby improving retention, well-being, and workforce sustainability. An integrative literature review was conducted using the Johns Hopkins Evidence-Based Practice appraisal tools and 49 sources published between 2020 and 2025 were found to match criteria and quality for thematic analysis. Guided by Herzberg’s two-factor theory, a thematic analysis was used to synthesize …

Staff Education On Improving Medication Adherence, Oneil Dobgima Galega

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project addressed a practice gap in an outpatient behavioral health setting involving inconsistent use of structured communication strategies to support medication adherence among psychiatric patients. Although nurses routinely provided medication instructions, approaches such as motivational interviewing and psychoeducation were underutilized, limiting patient engagement, understanding, and adherence, and ultimately affecting care continuity and outcomes. The purpose of the project was to improve psychiatric nurses’ knowledge and intent to use motivational interviewing and psychoeducation to enhance medication adherence. The guiding practice-focused question examined whether a structured educational intervention could strengthen nurses’ competencies in these communication strategies. …

Exploring The Experiences And Support Needs Of African Immigrant Families Raising Children With Autism Spectrum Disorder In Ohio, Linda Nkoumba Eteki

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) presents unique challenges for families; however, African immigrant parents raising children with ASD in Ohio experience additional difficulties related to cultural stigma, systemic inequities, and limited access to culturally responsive services. This social work practice problem is important because it reflects disparities in diagnosis, intervention, service access, and family support that align with social work’s commitment to equity, advocacy, and social justice. The purpose of this qualitative study was to explore the experiences of African immigrant families raising children with ASD in Ohio and to examine how they describe autism-related stigma, caregiving challenges, and interactions with …

Staff Education To Improve Central Line Maintenance Documentation Compliance, Martha Danette Oglesby

Walden Dissertations and Doctoral Studies

This was a staff education quality improvement project aimed at improving compliance with central line maintenance documentation among nurses on a busy transitional care unit (TCU). The practice problem was inconsistent documentation of central line bundle documentation. Documentation is an important part of nursing care and is the most effective way to communicate the care provided. Effective documentation is a pivotal way of identifying evidence-based care to prevent central line-associated bloodstream infections (CLABSIs). The practice-focused question was, In nursing staff working on an inpatient TCU, what is the impact of targeted education on evidence-based central venous catheter bundle care documentation, …

Relationship Between Sociodemographic Factors And Opioid Overdose Mortality In Milwaukee County, 2020-2021, Elizabeth David

Walden Dissertations and Doctoral Studies

Opioid overdose deaths increased significantly from 2020 to 2021, with Milwaukee County experiencing higher rates than the national and state averages. African American and Hispanic residents faced disproportionately high fatal overdose rates. The purpose of this quantitative retrospective cross-sectional study was to examine the associations among socioeconomic status, race, age, access to treatment (measured by emergency medical services [EMS] naloxone administration), and opioid overdose mortality among underserved minority populations in Milwaukee County. Guided by the social-ecological model, the study analyzed data from the Milwaukee Health Department and the Milwaukee County Medical Examiner's Office across 34 ZIP codes. Inclusion criteria for …

Self-Care Behavior And Diabetes Knowledge In African American Women With Type 2 Diabetes, Rena Renee Barron

Walden Dissertations and Doctoral Studies

African American women experience a disproportionate burden of Type 2 diabetes, and limited evidence exists regarding the relationship between diabetes knowledge and self-care behaviors, particularly among African American female veterans. The purpose of this quantitative, cross-sectional study was to examine the relationship between diabetes knowledge and diabetes self-care among African American women with Type 2 diabetes, including a subsample of African American female veterans, and to evaluate whether the COVID-19 pandemic (2017–2019 vs. 2021–2023) moderated this relationship. Additional variables included age, marital status, physical health, and mental health. Guided by the social-ecological model, de-identified data from the Behavioral Risk Factor …

Registered Nurses’ Knowledge, Self-Efficacy, And Willingness To Assess Near-Fatal Strangulation: Development Of The Near-Fatal Strangulation Self-Efficacy Scale, Morgan Kenady Mcmahon

Walden Dissertations and Doctoral Studies

Near-fatal strangulation (NFS) is a time-critical clinical presentation associated with elevated risk of stroke, delayed airway compromise, and future intimate partner homicide, yet no validated instrument existed to assess nurses' NFS-specific knowledge or self-efficacy. The purpose of this cross-sectional study, guided by Bandura's social cognitive theory and Benner's novice to expert theory, was to develop and pilot test the Nurses' Near-Fatal Strangulation Self-Efficacy Scale (NFS-SES) and to examine whether knowledge and self-efficacy predicted nurses' willingness to conduct an NFS assessment. A convenience sample of 150 registered nurses in emergency, labor and delivery, and obstetric emergency departments completed the NFS-SES, a …

Improving Advanced Care Planning Conversations And Documentation Through App Education And Standardized Epic Workflow: A Quality Improvement Initiative, Michelle N. Rutter, Emily Goldstein

Doctor of Nursing Practice (DNP) Student Projects

Background & Significance: Advance care planning (ACP) is essential for ensuring (GOC), particularly in acute care settings, defined in this paper as inpatient hospital environments, including critical and intensive care units (ICU), where a patient’s decision-making capacity could become impaired. ICU patients are often critically ill and may lose the ability to make health care decisions. Family uncertainty regarding patient preferences frequently exacerbates psychological distress regarding GOC. Restricted access to ACP may result in non-concordant medical care, as well as elevated healthcare expenditures driven by the underutilization or inappropriate allocation of critical resources. Despite the recognized importance of ACP and …

Understanding Ourselves And Others: A Social Psychology Approach, Whitney Whitaker Ph.D., Noba Project

All Open Educational Resources

This book is a compilation of Open Education Resources for the use in an undergraduate level social psychology course at Fort Hays State University.

Expressive Arts For Women Experiencing Homelessness, Theresa G. Karman, Susan Macdermott, Amy Lyons-Brown

Summer 2026 OTD Capstone Symposium

Background: Women experiencing homelessness due to domestic violence face significant occupational disruptions, including challenges related to emotional regulation, identity, social participation, and engagement in meaningful occupations. Occupational therapy (OT) can support recovery by addressing these occupational needs through trauma-informed and occupation-centered interventions.

Purpose: This doctoral capstone project developed and implemented Express & Empower Studio, a six-week expressive arts program designed to promote emotional expression, self-efficacy, social participation, and engagement in meaningful occupations among women residing in a domestic violence shelter.

Methods: Program development was guided by the Model of Human Occupation (MOHO) and the Expressive Therapies Continuum (ETC) within …

Mertk Inhibition Cooperates With Immunomodulatory Cyclophosphamide To Induce Cxcl9⁺ Monocyte-Macrophage Programming And Durable Antitumor Immunity In Triple Negative Breast Cancer, Alex J Smith, Zachary Schrank, Nan Guan, Diego A Pedroza, Sebastian J Calderon, Xueying Yuan, Na Zhao, Zoe Gabriel, Yang Gao, Charlotte H Rivas, Fengshuo Liu, Jonathan S Serody, Charles M Perou, H Shelton Earp, Jeffrey M Rosen

Faculty, Staff and Students Publications

Triple-negative breast cancer (TNBC) has high rates of recurrence despite chemotherapy and immune checkpoint blockade (ICB). Tumor-associated macrophages (TAMs) can either suppress or support antitumor immunity, but the mechanisms governing these states and therapeutic targets remain unclear. Here, integrating public scRNAseq datasets with TNBC cohorts, we identify a prognostic myeloid signature defined by CXCL9hi programs, associated with improved survival and enrichment of lymphocyte activation pathways. Using immunocompetent p53-null syngeneic TNBC models spanning basal-like (2153L) and claudin-low (T12) subtypes, we show that immunomodulatory cyclophosphamide (CTX) reprograms hematopoiesis toward the monocytic lineage and induces an interferon (IFN) conditioned tumor milieu that supports …

Risk Assessment And Sentencing Bias: The Role Of Socioeconomic Status And Mental Health, Lily A. Walsh

Student Theses

The current research examined the impact of risk assessment information in the sentencing of defendants of varying socioeconomic statuses (SES), and mental health statuses. A US sample of students studying law (N = 137) was assigned to view one of eight vignettes that manipulated the defendants SES (i.e., low or high), mental health status (i.e., schizophrenia diagnosis or no diagnosis), and the availability of risk data (i.e., present or absent). Participants sentenced the defendant to probation, short-term jail, or prison, and indicated the sentence length in years. An Ordinal Logistic Regression and a Three-way Factorial ANOVA indicated neither the availability …