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2026

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Disability And Accessibility In The Voice Studio: An Open Educational Resource, Katherine Meizel, Anne Slovin Jan 2026

Disability And Accessibility In The Voice Studio: An Open Educational Resource, Katherine Meizel, Anne Slovin

Open Educational Resources

No abstract provided.


A Constructivist Grounded Study: At The Intersection Of Religion And Intimate Partner Violence In The Context Of An Ultra-Orthodox Jewish Community, Lauren Kalvari Jan 2026

A Constructivist Grounded Study: At The Intersection Of Religion And Intimate Partner Violence In The Context Of An Ultra-Orthodox Jewish Community, Lauren Kalvari

Theses and Dissertations (Comprehensive)

This constructivist grounded theory study, informed by a critical intersectional lens and guided by symbolic interactionist theory, explored how Ultra-Orthodox Jewish women experience and navigate intimate partner violence (IPV) within their religious and community contexts. Ten participants, recruited through purposive and theoretical sampling, were separated or divorced from abusive partners for at least eight months and had engaged in psychotherapy, allowing for retrospective meaning-making. Each participant completed one to three in-depth interviews on IPV, community responses, spiritual conflict, and recovery. Data collection and analysis were conducted concurrently using Charmaz’s iterative constructivist grounded theory approach, which included initial, focused, and theoretical …


Exploring Religious-Spiritual Struggles Among Muslim Immigrants In The Canadian Context, Ayse Erenay Jan 2026

Exploring Religious-Spiritual Struggles Among Muslim Immigrants In The Canadian Context, Ayse Erenay

Theses and Dissertations (Comprehensive)

Migration to a new culture and adaptation to a different lifestyle may cause emotional and psychological stress. In some cases, immigrants may experience religious and/or spiritual (R/S) struggles due to challenges to their beliefs and practices in the country they have immigrated to. Based on Pargament (2007, 2013)’s R/S struggle framework, these struggles may include questions about the ultimate meaning of life, one’s relationship with God, or doubt about one’s belonging within a religious or spiritual community. Muslim immigrants face unique struggles since Islamic teachings require Muslims to visibly practice their faith and reflect on God’s presence as a central …


Sex Differences In The Use Of Cognitive Strategies In Brown-Headed Cowbirds (Molothrus Ater), Nicole E. Robinson Ms. Jan 2026

Sex Differences In The Use Of Cognitive Strategies In Brown-Headed Cowbirds (Molothrus Ater), Nicole E. Robinson Ms.

Theses and Dissertations (Comprehensive)

Cognition is widely believed to be adaptive, yet few studies directly show that variation in cognitive performance is related to fitness. Brown-headed cowbirds (Molothrus ater) provide a powerful system for addressing this gap because brood parasitism creates strikingly different reproductive problems for females and males. Females face the spatial demands of nest-prospecting, whereas males face social and competitive demands associated with access to mates. Across five experiments, cowbirds were tested on an outdoor foraging task designed as an analogue of nest prospecting, with manipulations of retention interval, cue conflict, and breeding condition, followed by observations of reproductive behaviour. …


Is Prosocial Behavior A Unique Correlate Of Academic Success In Emerging Adulthood?, Jacqueline Di Biase Jan 2026

Is Prosocial Behavior A Unique Correlate Of Academic Success In Emerging Adulthood?, Jacqueline Di Biase

Theses and Dissertations (Comprehensive)

Prior developmental research has frequently linked prosocial behavior to stronger academic functioning during childhood and adolescence (Cruz et al., 2024; Gerbino et al., 2018; Oberle et al., 2022), yet its relevance to academic success in emerging adulthood remains unclear. Guided by a Positive Youth Development (PYD) framework, the present study sought to address gaps in emerging adulthood research by examining the academic relevance of prosocial behavior while accounting for influential developmental assets and testing its independent contribution to academic achievement. Undergraduate students (N = 501) completed a cross-sectional self-report survey assessing prosocial behavior, self-control, dutifulness, sociability, and cumulative grade …


Mixed Methods Insights Into Understandings Of And Stigma Towards Autism In Children And Young Adults, Natalia Gc Van Esch Jan 2026

Mixed Methods Insights Into Understandings Of And Stigma Towards Autism In Children And Young Adults, Natalia Gc Van Esch

Theses and Dissertations (Comprehensive)

BACKGROUND: Autism is widely stigmatized and misunderstood. Existing research using methods such as questionnaires finds that autistic individuals are often evaluated more negatively than their non-autistic counterparts. Unfortunately, this approach provides limited insight into the underlying representations of autism that individuals hold. The present study seeks to examine how children and adults define, describe, and represent autism, and how these representations relate to stigma. METHODS: In Part I, children participated in a semi-structured interview in which they defined autism and created autistic and non-autistic characters using a guided character-building task. Children then rated their characters on a series of social …


Exploring The Role Of Cognitive Load In Applicant Faking And Prevention Methods, Sabah Rasheed Jan 2026

Exploring The Role Of Cognitive Load In Applicant Faking And Prevention Methods, Sabah Rasheed

Theses and Dissertations (Comprehensive)

Personnel selection is critical to organizational success, and personality assessment is widely used to identify the best job candidates. However, applicant faking threatens the validity of personality assessments in high-stakes contexts. Faking is widely assumed to be more cognitively demanding than honest responding, and several faking-prevention methods rest on this premise. This dissertation examines that assumption across three studies using the dual-task paradigm to impose cognitive demands during personality assessments. Study 1 used a verbal digit-span task with a student sample and limited faking on the three job-relevant personality composites. Study 2 used a visual dual-task with a student sample …


Fear Across The Map: A Cross-Municipal Analysis Of Fear Of Crime In Canada, Muhammad Ali Jan 2026

Fear Across The Map: A Cross-Municipal Analysis Of Fear Of Crime In Canada, Muhammad Ali

Theses and Dissertations (Comprehensive)

This study examines the predictors of fear of crime (FOC) across three Canadian municipalities: Hamilton, Ontario; Brantford, Ontario; and North Battleford, Saskatchewan. Data from 1,956 survey responses were analyzed to understand how certain factors shape FOC across different municipal contexts in Canada. This study uses descriptive statistics, reliability analyses, correlation matrices, and Ordinary Least Squares regression models to examine whether FOC, and the predictors of FOC, operate consistently across municipalities. The findings indicate that the predictors of FOC are relatively reliable across municipal contexts. However, the influence of the predictors of FOC can vary across municipalities. Importantly, the level of …


Timing, Targets, And Teaching: How Employee Help-Seeking Influences Downward Knowledge Sharing, Nicholle E. Kovach Jan 2026

Timing, Targets, And Teaching: How Employee Help-Seeking Influences Downward Knowledge Sharing, Nicholle E. Kovach

Theses and Dissertations (Comprehensive)

Knowledge sharing between managers and employees is critical for employee development and organizational performance. However, managers differ in whether they share knowledge, and in the type of knowledge shared. While solution-oriented knowledge offers immediate answers to improve short-term performance, process-oriented knowledge promotes long-term learning and employee development. The purpose of my dissertation is to investigate factors that influence managers’ knowledge-sharing decisions.

I conduct two studies to investigate my predictions. In Study 1, I examine how the timing of employee help-seeking requests, the source of performance targets and employee historical performance influence the type and quality of managers’ knowledge-sharing responses. Drawing …


The Effects Of Environmental Complexity On Brain Development And Personality Expression In Western Hognose Snakes, Gokulan Nagabaskaran Jan 2026

The Effects Of Environmental Complexity On Brain Development And Personality Expression In Western Hognose Snakes, Gokulan Nagabaskaran

Theses and Dissertations (Comprehensive)

There is growing interest in snake cognition, personality, and welfare as more snakes are kept as pets, yet little research has been conducted. The effects of enrichment and environmental factors have been well documented in other taxa, and recent evidence suggests that snakes may benefit in similar ways. This dissertation investigated the impact of environmental and social enrichment on personality expression, personality stability, and brain development. Western hognose snakes (Heterodon nasicus) were used as the model species, as they are a popular choice in the pet trade. This allows the research to be readily translatable to husbandry practices of many …


Neural Correlates Of Cognitive Fatigue In Regular Cannabis Users And Non-Users: A Pilot Fnirs Study, Mariia Vistyzenko Jan 2026

Neural Correlates Of Cognitive Fatigue In Regular Cannabis Users And Non-Users: A Pilot Fnirs Study, Mariia Vistyzenko

Theses and Dissertations (Comprehensive)

Background: Cognitive fatigue impairs performance across multiple domains, yet how regular cannabis use affects fatigue responses remains unclear. This pilot study investigated neural and behavioural correlates of cognitive fatigue in abstinent cannabis users versus non-users.

Methods: Twenty-six participants (18 non-users, 8 regular cannabis users after 24-hour abstinence) completed cognitive tasks before and after a 60-minute Sustained Attention to Response Task (SART) designed to induce fatigue. Tasks assessed working memory (N-Back), cognitive flexibility (Wisconsin Card Sorting), psychomotor speed (Digit Symbol Substitution), sustained attention (Continuous Performance Task), inhibition (Stroop, Stop Signal), and motion perception. Functional near-infrared spectroscopy (fNIRS) continuously monitored prefrontal cortex …


Children's Peer Selection In Stem: The Influence Of Gender, Ethnicity, And Disability, Meagan Girard, Kim P. Roberts Jan 2026

Children's Peer Selection In Stem: The Influence Of Gender, Ethnicity, And Disability, Meagan Girard, Kim P. Roberts

Theses and Dissertations (Comprehensive)

The present study examined how children’s peer selection in STEM (science, technology, engineering, and mathematics) may be influenced by gender, ethnicity, and physical disability. Sixty-four children (ages 6-12) from elementary schools in Southwestern Ontario completed three tasks: a simulated peer selection task, an attribution of ability task, and a stereotype belief questionnaire. In the peer selection task, participants were repeatedly asked to select one peer from a set of AI-generated photographs showing children who differed by gender (male, female), ethnicity (White, Black, East Asian), and physical disability status (able-bodied user vs. nondisabled). The Peer Selection Task was based on the …


Religious And Spiritual Struggles: The Stories Of Nigerian, Immigrant, Christian Women In Waterloo Region, Halima D. Fuller Jan 2026

Religious And Spiritual Struggles: The Stories Of Nigerian, Immigrant, Christian Women In Waterloo Region, Halima D. Fuller

Theses and Dissertations (Comprehensive)

ABSTRACT This research investigates religious and spiritual struggles among Nigerian, immigrant, Christian women in Waterloo Region. Twelve women settled in the region for six months to 11 years participated in the study. Qualitative methodology, narrative inquiry, and a storytelling paradigm informed the research. Semi-structured, in-depth interview questions were used to explore the experiences of religious and spiritual struggles. A meticulous review identifies a scarcity of literature on religious and spiritual struggles in the context of immigration. However, immigration challenges such as language barriers, precarious employment, and mental health issues are well-documented (Bauder, 2012; Beiser & Hou, 2016; Berry et al., …


Eeg Correlates Of Tactile Synchrony, Devon K. R. Gallagher Jan 2026

Eeg Correlates Of Tactile Synchrony, Devon K. R. Gallagher

Theses and Dissertations (Comprehensive)

New research on the tactile system has suggested that cortical representations of body parts are not fixed, as previously thought, and are instead dynamically maintained through constant sensorimotor information and feedback. Within the somatosensory cortex (S1), the capacity for both permanent and temporary changes have been the topic of ongoing research. The current study aimed to corroborate whether 24 hours of a finger adhesion manipulation is sufficient to elicit behavioural and electrophysiological correlates from cortical reorganization of digit representations in S1, using a behavioural paradigm outlined by Kolasinski et al. (2016). Through electroencephalography (EEG) recording during a tactile discrimination task, …


Moral Identity And Cognitive Mechanisms In Moral Decision-Making, Zachariah I. Hamzagic Jan 2026

Moral Identity And Cognitive Mechanisms In Moral Decision-Making, Zachariah I. Hamzagic

Theses and Dissertations (Comprehensive)

Moral identity can be broadly conceptualized as the degree to which an individual places moral values as directly relevant to their personal identity. A recently introduced developmental framework of moral identity argues that moral identity can be conceptualized as a lifelong goal. According to this theoretical framework, the moral identity goal (i.e., to be a moral person and engage in moral action) becomes stronger over the course of development by becoming more abstract (i.e., general), internalized (to satisfy personal ideals) and promotion (i.e., action) oriented. Additionally, the strength of the moral identity goal predicts moral functioning. To date there has …


Identifying The Physical Activity Promotion Practices Of Obstetricians And Gynecologists: Patients With Endometriosis And Polycystic Ovary Syndrome, Allison P. Herman Jan 2026

Identifying The Physical Activity Promotion Practices Of Obstetricians And Gynecologists: Patients With Endometriosis And Polycystic Ovary Syndrome, Allison P. Herman

Theses and Dissertations (Comprehensive)

Despite efforts to promote physical activity, many females in Canada do not meet recommended physical activity guidelines. For individuals with gynecological conditions such as endometriosis and polycystic ovary syndrome (PCOS), physical activity may aid in symptom management and improve daily functioning. Healthcare settings, including obstetrics and gynecology, represent an area of opportunity to promote physical activity among this population. This thesis aims to understand the physical activity promotion practices of Ontario-based Obstetricians and Gynecologists (OBGYNs) to patients with endometriosis and/or PCOS. A cross-sectional online survey was conducted to explore OBGYNs promotional practices and perceived factors influencing their engagement in physical …


" Who Am I Here?" Exploring The Racial Identity Development Of Chinese Adolescent International Students In Canada: A Constructivist Grounded Theory Approach, Wen Juan Song Jan 2026

" Who Am I Here?" Exploring The Racial Identity Development Of Chinese Adolescent International Students In Canada: A Constructivist Grounded Theory Approach, Wen Juan Song

Theses and Dissertations (Comprehensive)

Abstract

This dissertation explores the racial identity development and associated mental health challenges of Chinese Adolescent International Students (CAIS) in Canada, a population navigating complex intersections of race, age, migration, and belonging. Despite their growing presence in Canadian secondary education, CAIS remain understudied in both educational and mental health research, particularly in relation to racial identity development within Western, multicultural societies. Using a Constructivist Grounded Theory methodology, this study draws on in-depth interviews with twenty-five CAIS participants, including ten current high school students, three returnees to China, and twelve who remained abroad in post-secondary education or employment.  The study is …


Mediating Effect Of Social Determinants Of Health Between Race And Phthalate Biomarkers In Pregnancy, Tetsuya Kawakita, Misa Hayasaka, Carole Barake, Trinity Soto, Jillian Fleming, Amir Lueth, Stevens Danielle, Alfred Abuhamad, Ann Pryzybylska, Elena Sinkovskaya, Kelly K. Ferguson, George Saade Jan 2026

Mediating Effect Of Social Determinants Of Health Between Race And Phthalate Biomarkers In Pregnancy, Tetsuya Kawakita, Misa Hayasaka, Carole Barake, Trinity Soto, Jillian Fleming, Amir Lueth, Stevens Danielle, Alfred Abuhamad, Ann Pryzybylska, Elena Sinkovskaya, Kelly K. Ferguson, George Saade

Department of Obstetrics & Gynecology Faculty Publications

Introduction

Prenatal phthalate exposure is linked to adverse reproductive and developmental outcomes and is consistently higher among non‐Hispanic Black compared to non‐Hispanic White pregnant individuals, yet the factors responsible for these disparities are poorly characterized. We sought to quantify Black–White differences in repeated urinary concentrations of phthalate biomarkers during pregnancy and to estimate the extent to which neighborhood‐level social determinants of health (SDoH) mediate these disparities.

Methods

This secondary analysis used data from the Human Placenta Project Study, a prospective observational cohort study conducted at two academic institutions between 2016 and 2018. Eligible participants had singleton pregnancies, were recruited before …


Biomechanical Integrity Of The Female Pelvic Floor: A Comparison Of Military And Civilian Women, Vladimir Egorov, Peter Takacs, Vincent Lucente, Heather Van Raalte, Joy A. Greer, Noune Sarvazyan Jan 2026

Biomechanical Integrity Of The Female Pelvic Floor: A Comparison Of Military And Civilian Women, Vladimir Egorov, Peter Takacs, Vincent Lucente, Heather Van Raalte, Joy A. Greer, Noune Sarvazyan

Department of Obstetrics & Gynecology Faculty Publications

Introduction

The health of the pelvic floor depends on the integrity of its muscles, connective tissue, ligaments, and their innervation. The female pelvic floor may be more vulnerable to repetitive heavy loads in a military environment than the male pelvic floor because of anatomical and physiological differences. The study aim was to identify and explore possible differences in the female pelvic floor conditions between active military and civilian women with similar demographics.To identify and explore possible differences in the conditions of the female pelvic floor between active military women and civilian women with similar demographics.

Materials and Methods

Military active …


Hungarian Validation Of The Pelvic Floor Distress Inventory - 20 (Pfdi-20) Questionnaire And The Pelvic Floor Impact Questionnaire - 7 (Pfiq - 7), Barbara Kozma, Bence Kozma, Peter Takacs, Dávid Rátonyi, Nelli Farkas, Attila G. Sipos, Balint Farkas Jan 2026

Hungarian Validation Of The Pelvic Floor Distress Inventory - 20 (Pfdi-20) Questionnaire And The Pelvic Floor Impact Questionnaire - 7 (Pfiq - 7), Barbara Kozma, Bence Kozma, Peter Takacs, Dávid Rátonyi, Nelli Farkas, Attila G. Sipos, Balint Farkas

Department of Obstetrics & Gynecology Faculty Publications

Introduction and Hypotheses

Pelvic floor disorders (PFDs) affect women's quality of life through physical, psychological, and social domains. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are validated tools for assessing symptom severity and quality of life impact. The current study aim to investigate the reliability and validity of the Hungarian versions of these questionnaires in women with PFD symptoms.

Methods

This validation study was carried out at the University of Debrecen among women with clinically confirmed pelvic floor disorders. The PFDI-20 and PFIQ-7 questionnaires were translated into Hungarian using independent native English speaker in …


The Impact Of The 7th October War On Preterm Birth Rates And Neonatal Outcomes: A Retrospective Comparative Study From Northern Israel, Raghda Zidan Sweid, Adi Sharabi Nov, Hana Helfgot, Steven L. Warsof, Inbar Ben-Shachar Jan 2026

The Impact Of The 7th October War On Preterm Birth Rates And Neonatal Outcomes: A Retrospective Comparative Study From Northern Israel, Raghda Zidan Sweid, Adi Sharabi Nov, Hana Helfgot, Steven L. Warsof, Inbar Ben-Shachar

Department of Obstetrics & Gynecology Faculty Publications

PURPOSE: Maternal psychological stress is associated with adverse obstetric and neonatal outcomes, including preterm birth and low birthweight. Warfare represents a significant source of acute and chronic stress, yet its impact on pregnancy outcomes remains unclear. This study aimed to evaluate the association between a 6-month period of continuous wartime exposure following October 7, 2023, during the "Iron Swords" conflict and preterm birth, neonatal outcomes, and obstetric management.

METHODS: This retrospective cohort study included all deliveries at ZIV Medical Center during the 6-month conflict period, compared with a pre-war cohort from 2021 until October 6, 2023. The primary outcome was …


Racial Differences In Adverse Pregnancy Outcomes And Incident Hypertension: A Mediation Analysis, Lucia C. Petito, Xiaoning Huang, C. Noel Bairey, Natalie Bello, Janet Catov, Ernesto Licon, Abbi Lane, David M. Haas, Lisa D. Levine, Rebecca B. Mcneil, Eliza Miller, Uma M. Reddy, Bethany Barone Gibbs, George Saade, Lauren Theilen, Laura E. Wiener, Brian M. Mercer, Hyagriv N. Simhan, Lynn M. Yee, Philip Greenland, William A. Grobman, Sadiya S. Khan Jan 2026

Racial Differences In Adverse Pregnancy Outcomes And Incident Hypertension: A Mediation Analysis, Lucia C. Petito, Xiaoning Huang, C. Noel Bairey, Natalie Bello, Janet Catov, Ernesto Licon, Abbi Lane, David M. Haas, Lisa D. Levine, Rebecca B. Mcneil, Eliza Miller, Uma M. Reddy, Bethany Barone Gibbs, George Saade, Lauren Theilen, Laura E. Wiener, Brian M. Mercer, Hyagriv N. Simhan, Lynn M. Yee, Philip Greenland, William A. Grobman, Sadiya S. Khan

Department of Obstetrics & Gynecology Faculty Publications

Background

Adverse pregnancy outcomes (APOs) are associated with increased hypertension risk. Black women experience higher rates of APOs and hypertension compared with White women, but whether APOs contribute to Black-White hypertension disparities remains unknown.

Methods

The nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be-Heart Health Study) prospectively recruited nulliparous pregnant people at 8 US centers (2010-2013) with follow-up 2 to 7 years postpartum (2014-2017). Race, which represents a social construct, was self-identified. The primary outcome was incident hypertension at follow-up. APOs included hypertensive disorders of pregnancy, preterm birth, and small-for-gestational age birth. Potential confounders (psychological health, social factors, and health behaviors) …


Evaluating The Role Of Provider Perspective And Their Impact On Individuals With Sickle Cell Disease In The United States Of America, Jadyn C. Oppong Jan 2026

Evaluating The Role Of Provider Perspective And Their Impact On Individuals With Sickle Cell Disease In The United States Of America, Jadyn C. Oppong

Undergraduate Theses and Capstone Projects

Individuals affected by invisible disabilities, such as Sickle Cell Disease (SCD), have additional challenges beyond the physical manifestation of their disease, which is otherwise unknown externally. SCD patients continually consider disease manifestation in everyday life and experience varying degrees of disease perception in and out of the hospital environment. Additional considerations of a patient’s other intersecting identities, such as race and cultural identity, call attention to the sociological landscape of the United States of America. The dynamics observed within this landscape can be seen through the symbolic interaction of these identities with the invisible disability identity, in which a compounding …


A Qualitative Study: How Does The Underrepresentation Of Black American Contributions To American Society In K-12 Curricula Affects Black Students' Self-Perception?, Deniece M. Rogers Jan 2026

A Qualitative Study: How Does The Underrepresentation Of Black American Contributions To American Society In K-12 Curricula Affects Black Students' Self-Perception?, Deniece M. Rogers

Theses and Dissertations from DePaul University

This qualitative phenomenological study examined how the underrepresentation of Black American history in K–12 curricula influences individuals’ understanding of American society, identity, and cultural belonging. Using open-ended questionnaires distributed via Qualtrics, thirty-seven participants reflected on their educational experiences, the extent to which Black American history was included, and how its omission shaped their self-perception and social awareness. Guided by Critical Race Theory (CRT) and The 1619 Project, the study was organized around six a priori themes identified in existing scholarship: Awareness of Historical Omission, Identity and Self-Perception, Social and Cultural Impact, Reactions to the Education System, Emotional Responses, and Broader …


Soma Body Help Me! How The Superwoman-Schema And Marianismo Contribute To Weathering Among Collegiate Women, Chantelle Christina Miller Jan 2026

Soma Body Help Me! How The Superwoman-Schema And Marianismo Contribute To Weathering Among Collegiate Women, Chantelle Christina Miller

Theses and Dissertations from DePaul University

Educational attainment is widely conceptualized as a protective factor for health; however, growing evidence suggests that these benefits do not accrue equally across social groups. Women of color, particularly Black and Hispanic/Latina women, experience persistent health disparities despite increasing levels of educational attainment, raising critical questions about the physiological and psychosocial costs of upward mobility. The weathering hypothesis posits that chronic exposure to structural inequities accelerates physiological deterioration over time, while related frameworks such as skin-deep resilience and marginalization-related diminished returns highlight the hidden health costs of sustained high-effort coping. Gendered cultural schemas including the Superwoman-Schema among Black women and …


Developmental Risk In Context: A Network Perspective On Adversity And Resilience, Alexander J. O'Donnell Jan 2026

Developmental Risk In Context: A Network Perspective On Adversity And Resilience, Alexander J. O'Donnell

Theses and Dissertations from DePaul University

Exposure to childhood adversity is common, unequally distributed, and strongly linked to negative outcomes across development. Efforts to improve well-being should consider protective factors across multiple levels, in addition to addressing the structural causes of adversity. Traditional approaches to resilience, such as cumulative risk and interaction models, provide useful information but do not capture the full complexity of how adversities and protective factors are connected. Network analysis offers a way to examine these interconnections by mapping associations and clusters of variables. This study uses data from the National Study of Adolescent to Adult Health (Add Health) to explore the combined …


Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena Jan 2026

Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena

Department of Medicine Faculty Publications

The rise in mental illnesses after the COVID-19 pandemic is well documented. However, it is not known whether the rates of mental illness comorbidity increased. The objectives of this study were to compare mental illness comorbidity rates before and after the pandemic among inpatients with SUD and to test associations between mental illness comorbidity, physical illness, and demographics. We used a retrospective cross-sectional design in a sample of inpatient discharges (N = 233,017) at Virginia public hospitals from January 2018 to December 2022. We used Z tests to compare rates of mental illness comorbidity pre- and post-pandemic and Chi-square tests …


Persistent Peristomal Pain Due To An Exposed Cutaneous Nerve, Iain Noel Encarnacion, Kaylin Beiter, Natasha Hakkal, Emily Hejazi, Paul Hernandez, Melissa Laughter, Shannon Nugent, Samir Thaker, Xiaowei Xu, Misha Rosenbach Jan 2026

Persistent Peristomal Pain Due To An Exposed Cutaneous Nerve, Iain Noel Encarnacion, Kaylin Beiter, Natasha Hakkal, Emily Hejazi, Paul Hernandez, Melissa Laughter, Shannon Nugent, Samir Thaker, Xiaowei Xu, Misha Rosenbach

Department of Medicine Faculty Publications

[Introduction]

Case description

A 25-year-old woman with a history of ulcerative colitis treated with multiple abdominal surgeries complicated by peristomal pyoderma gangrenosum (PPG) presented with severe peristomal pain and ulceration. Treatment course was complicated; disease control was achieved via combination infliximab 10 mg/kg every 4 weeks, corticosteroids (topical triamcinolone 0.1% ointment, intralesional 10 mg/ml injections, and oral prednisone 30 mg daily with a gradual taper), and cyclosporine 125 mg tapering by 25 mg every 3 weeks, ultimately tapered to infliximab monotherapy.


Insurance Disparities In Hidradenitis Suppurativa: A Comprehensive Review Of Demographics, Outcomes, And Access To Care, Alim Osman, Alexandra R. Nigro, Michael C. Povelaitis, Marc Z. Handler Jan 2026

Insurance Disparities In Hidradenitis Suppurativa: A Comprehensive Review Of Demographics, Outcomes, And Access To Care, Alim Osman, Alexandra R. Nigro, Michael C. Povelaitis, Marc Z. Handler

Department of Medicine Faculty Publications

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that disproportionately affects women, African Americans, and individuals of biracial descent. It is associated with substantial physical and psychiatric morbidity, reducing quality of life.

Objective: This review analyzed disparities in treatment outcomes, disease progression, and healthcare access among HS patients based on insurance type.

Methods: Using PRISMA guidelines, a comprehensive literature search identified 7 studies meeting inclusion criteria. Owing to data heterogeneity, studies were qualitatively analyzed.

Results: Findings consistently demonstrated that Medicaid patients experienced worse outcomes than those with private insurance or Medicare. Medicaid patients had higher rates of comorbid …


Regional Pain Is Associated With Functional Performance In People With Parkinson's Disease, Ryan P. Duncan, Monica R. Hendricksen, Luke Ekdahl, Kevin Smaller, Benjamin Friedman, Miriam R. Rafferty Jan 2026

Regional Pain Is Associated With Functional Performance In People With Parkinson's Disease, Ryan P. Duncan, Monica R. Hendricksen, Luke Ekdahl, Kevin Smaller, Benjamin Friedman, Miriam R. Rafferty

Department of Medicine Faculty Publications

Background and Purpose:

Little is known about how pain influences physical function in people with mild Parkinson disease (PwPD). The purpose of this study was to investigate the association between physical function and pain presence, location, and intensity in PwPD who were evaluated in an early physical therapy program.

Methods:

Retrospective cross-sectional analysis of electronic medical records from patients with PD evaluated at a single center (2016-2023). Pain presence, location, and intensity (0-10 scale) were recorded at the initial physical therapy evaluation. Functional outcomes included 5-time sit-to-stand, 10-meter walk test, 6-minute walk test, timed up and go, mini-BESTest, and Functional …