Digital Commons Network^™

Healthcare Access And Community Nursing Outreach Effectiveness In Underserved Zip Codes In Central Florida, Miah Sanchez

Honors Undergraduate Theses

Access to healthcare depends on more than whether healthcare services are available. A person’s ZIP code, income, education, transportation options, health literacy, and neighborhood resources can all affect whether care is reached at the right time and in an appropriate setting. This literature review examines healthcare access and the role of community nursing outreach in underserved ZIP codes across Central Florida. The review synthesizes current literature on social determinants of health, geographic disparities, medically underserved populations, and community-based nursing interventions to better understand how these factors shape access to care. Across the literature, poverty, limited transportation, lower educational attainment, neighborhood …

Cardiovascular Disease Risk Profiles Among Metropolitan And Nonmetropolitan Young Adults - A Cross-Sectional Analysis Of The 2024 National Health Interview Survey (Nhis), Steven Dimitrakakis

Honors Undergraduate Theses

Cardiovascular disease (CVD), a group of disorders affecting the heart and blood vessels, is one of the leading causes of death worldwide, driven by genetic, lifestyle, and environmental factors. Young adults, although not a common group at risk for CVD, can face reduced health quality due to physical limitations and other environmental factors that can increase their risk for development of CVD. Depending on where young adults live, their risk of developing CVD varies. Young adults fall within the category of individuals ranging in age from 18-24 years old, the average between all ages for young adults between the research …

A Historical Analysis Of The Squatter Settlements (Sukumbasi) In Nepal And The Role Of Smart Settlements, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

In Nepal, landless populations can broadly be categorized into two groups: urban squatters and rural landless families. Each group can further be distinguished by its level of political connection and access to power.

Among urban squatters, politically connected groups often occupy open public spaces in cities with some degree of protection or tolerance from political parties. In contrast, less powerful urban squatters usually settle on public land because they cannot afford formal housing. These settlements are commonly located in unsafe or marginal areas, such as riverbanks, flood-prone zones, and unused public spaces. Despite these risks, many remain in urban areas …

Public Art’S Role In Urban Transformation In New York City: 5 Pointz And The High Line, Shelby Stanton

Pomona Senior Theses

Urban spaces are made not only of buildings and infrastructure but of the social and cultural practices that integrates into social fabric and assigns their meaning. They are a living, transforming entity where humans and the environment influence each other in lifestyle and identity. In New York City, art, both formally commissioned public works and grassroots urban interventions, have become central to the processes of urban transformation. Murals, installations, and curated parks are crucial to the urban environment and are frequently leveraged as tools of placemaking. Place-making is a concept used to describe and understand how meaningful places emerge from …

61st International Congress On Medieval Studies, Medieval Institute, Western Michigan University

International Congress on Medieval Studies Archive

The printed program of the 61st International Congress on Medieval Studies (May 14–16, 2026), together with the Corrigenda.

Reach Of Community-Selected Strategies To Reduce Opioid-Related Overdose Deaths In The Healing Communities Study, Megan E. Hall, La Shawn Glasgow, Ja Nae Holloway, Rouba A. Chahine, Jill Davis, Miriam T.H. Harris, Hannah K. Knudsen, Jessica L. Neufeld, Emmanuel Oga, David W. Lounsbury, Nasim Sabounchi, Alissa Davis, Marissa Smith, Rachel P. Chase, Sylvia A. Ellison, Judy Harness, Hilary L. Surratt, Sharon L. Walsh, Peace Julie Nakayima, Redonna Chandler

Psychiatry Faculty Publications

Introduction: Despite recent declines, the U.S. opioid overdose crisis persists. The HEALing Communities Study (HCS) aimed to reduce opioid overdose deaths through community-level adoption of evidence-based practices (EBPs), including overdose education and naloxone distribution (OEND) and medications for opioid use disorder (MOUD). This paper describes the reach of OEND and MOUD strategies implemented by the 33 HCS wait-list control communities. Methods: We conducted descriptive statistical analysis of reach data collected from July 2022 through December 2023 to (1) summarize overall EBP implementation and reach and (2) compare the demographic representation of individuals reached to community demographic population estimates. Results: Communities …

The Association Between Naloxone Distribution, Buprenorphine Treatment And Retention And Incident High-Risk Opioid Prescribing With Opioid Overdose Death In Kentucky, Massachusetts, New York And Ohio, United States, Alexander Y. Walley, Debbie M. Cheng, Nathan Vandergrift, Marc Larochelle, Ja Nae Holloway, Jennifer L. Brown, Redonna Chandler, Laura C. Fanucchi, Daniel J. Feaster, Patricia Freeman, Timothy Hunt, Michelle R. Lofwall, Hannah K. Knudsen, Edward V. Nunes, Emmanuel Oga, Douglas R. Oyler, Jeffrey H. Samet, Jennifer Villani, Sharon Walsh, T. John Winhusen

Psychiatry Faculty Publications

Aim: We evaluated whether community-level naloxone distribution, medication for opioid use disorder treatment and retention and incident high-risk opioid prescribing rates were associated with opioid overdose death rates. Design: Observational cohort conducted using 2019 to 2023 community-level data as an exploratory analysis of the HEALing (Helping to End Addiction Long-term®) Communities Study (HCS). Exposures included: (1) community-level naloxone distribution, past 12-months, categorized as ≤1000 units per 100 000 population vs. 1001–3000 units per 100 000 population vs. >3000 units per 100 000 population; (2) individuals treated with buprenorphine per 100 000 adult population in the current quarter; (3) individuals retained …

Exploring Cultural Competence Of Alabama Nurse Educators : A Mixed Methods Study, Rachel Bloodworth

Dissertations

Cultural competence is a vital skill in nursing practice and nursing education. Nurse educators must be able to teach this concept and prepare students to provide culturally competent care to patients. This study examined the cultural competence of Alabama pre-licensure nurse educators in associate degree nursing (ADN) and baccalaureate (BSN) programs and explored their perceptions of cultural competence's role in nursing education. An explanatory sequential mixed-methods design was employed, guided by Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care Services Model. In Phase I, 51 nurse educators completed the Cultural Diversity Questionnaire for Nurse Educators-Revised (CDQNE-R) and …

Rhythmic Gymnastics Gesture Animation, Tyriana White

Digressions: Literary & Art Journal

No abstract provided.

The Global Privacy Frontier: Bridging User Expectations And Ai In Mental Health Technology, Salauddin Ahmed, Mohammad Asaduzzaman

Student Publications

This study examines privacy concerns in AI-driven mental health apps through the lens of Communication Privacy Management (CPM) theory, utilizing qualitative research of consumer opinions on Google Play Store. It explores how global consumers articulate privacy concerns, experience boundary turbulence in online conversations, and exhibit culturally oriented privacy expectations in this high-stakes emerging tech arena. Results indicate that users are most likely to voice concerns about control and transparency of data, with ambiguous privacy policies raising suspicion. Boundary turbulence narratives, e.g., improper use of data, are most directly related to loss of trust and app abandonment, highlighting critical challenges for …

Impacts Of Spatial Intensity Policies On Jakarta Property Prices, Stevanus J. Manahampi, M. Halley Yudhistira

Jurnal Ekonomi dan Pembangunan Indonesia

This study examines the effects of floor area ratio (FAR) and building coverage ratio (BCR) on property prices in Jakarta. Using a hdonic price mdel with data from property listings and a geographical information system (GIS) analysis, it explores how these regulations influence values across regions and property types, accounting for access to amenities and infrastructure. Results show FAR lowers prices in dense areas like Central Jakarta but raises them in less developed regions like East Jakarta. BCR effects are mixed, positive where infrastructure is strong but negative where it is weak, underscoring the need for context-specific urban planning.

History 102- History Of Modern Europe, Stephen F. Haller Phd

Open Educational Resources

No abstract provided.

Urbst 103 Urban Diversity Syllabus, Padmini Biswas

Open Educational Resources

This course introduces the study of urban diversity in the United States. It explores the different forms of identity, community and cultural belonging that dot the urban landscape, and analyzes the historical, social, political, and economic forces that shape the everyday lives of diverse urban populations.

Turning Local Strength Into Regional Change: An Operational Plan For Capacity Building In Virginia’S Tobacco Region, Ellie Plisko

Master of Urban and Regional Planning Capstone Projects

Virginia's Tobacco Region possesses meaningful community assets including committed local leadership, established social networks, and demonstrated resilience, yet many localities consistently struggle to translate those strengths into high-impact economic development projects. The gap is not one of vision or funding, but of organizational capacity: the ability to develop, manage, and implement complex projects over time.

This capstone plan was developed for the Virginia Tobacco Region Revitalization Commission (TRRC) to address that gap directly. Drawing on semi-structured stakeholder interviews, document and case analysis, and comparative institutional assessment, the research identifies the structural, relational, and process-based conditions that distinguish successful projects from …

Too Warm To Win Big? Unpacking The Backer Dynamics Behind Female Crowdfunding Success Using A Warmth And Competence Perspective, Dan Liu

Journal of International Technology and Information Management

While crowdfunding is often heralded as a democratized funding avenue that empowers women with higher success rates, this study reveals a more nuanced picture of gender dynamics. The Stereotype Content Model suggests that women are often perceived as warmer but less competent. Using a large dataset from Kickstarter, we find that female-led projects can attract more backers, likely due to warmth-driven appeal, but receive smaller average contributions, potentially due to concerns about risk linked to lower perceived competence. However, the total funding raised by female-led campaigns is comparable to that of male-led ones, showing no clear advantage or disadvantage. This …

The Role Of Ict In Enhancing National Logistics Performance And Economic Productivity, Jin Ho Kim

Journal of International Technology and Information Management

This study sheds light on the transformative impact of Information and Communication Technology (ICT) on national productivity via logistics performance. By distinguishing between mobile and wired Internet speeds, the research demonstrates how these technologies influence logistics performance and, in turn, national productivity across different economic contexts. The findings reveal a nuanced relationship between ICT and logistics performance, with mobile ICT playing a more significant role in developing countries due to its accessibility and cost-effectiveness. In contrast, developed countries benefit from a balanced integration of both mobile and wired ICT. Moreover, the study highlights the mediating role of logistics performance in …

Colorectal Cancer Screening In Saudi Arabia: Current Challenges And Future Directions, Abdulrahman A. Aljabri, Abdulrahman G. Alharbi

Saudi Medical Journal

Abstract Colorectal cancer has become a major public health concern in Saudi Arabia. It is the most prevalent cancer among men and the third most prevalent among women. Although screening for people aged 45-75 is recommended by national recommendations, screening uptake is still below 10%, and less than 1% of older persons have a colonoscopy. With regional differences that vary from age-standardized rates of 3.2 per 100,000 in Jouf to 21.8 per 100,000 in Riyadh among men, approximately 29% of cases are detected at late stages. Therefore, we assessed the epidemiological, social, and health-related systemic structures preventing effective colorectal cancer …

Escenarios Coreográficos, Sara Juárez Díaz

Grado en Diseño de Interiores

Although Espacios Coreográficos is conceived as a contemporary intervention, it establishes a conceptual dialogue with the principles that informed Rafael Bergamín’s original design. Beyond its physical language, the Casa del Marqués de Villora embodies a rationalist approach in which architecture becomes a tool for organising everyday life through clarity, order and carefully articulated relationships between spaces. Spanish Rationalism was not exclusively concerned with constructional efficiency or aesthetic reduction. It also sought to redefine domestic experience by proposing new ways of inhabiting space, where movement, light and functional organisation shaped daily routines. In this sense, architecture operated as an instrument capable …

Ai-Powered Lawyering: Ai Reasoning Models, Retrieval Augmented Generation, And The Future Of Legal Practice, Daniel Schwarcz, Sam Manning, J. J. Prescott, Patrick Barry, David R. Cleveland, Beverly Rich

Articles

Generative AI is set to transform the legal profession, though its most promising uses and ultimate effects are still unclear. While AI models like GPT-4 improve efficiency, they can also “hallucinate” and may undermine legal judgment, particularly in complex tasks typically handled by skilled lawyers. This article examines two emerging AI innovations that may mitigate these concerns: Retrieval Augmented Generation (RAG), which grounds AI-powered analysis in legal sources, and AI reasoning models, which structure complex reasoning before generating output. We conduct the first randomized controlled trial assessing these technologies, assigning upper-level law students to complete legal tasks using a RAG-powered …

Finders Weepers, Losers Keepers Mark 8:27-37, Alyce Mckenzie, Ph.D.

Apuntes: Reflexiones teológicas desde el margen hispano

No abstract provided.

Nanoparticle Carriers Enhance The Prophylactic Antiviral Effects Of Dsrna In Vitro And Ex Vivo, Shayne Oberhoffner, Stephanie Dewitte-Orr, Starla Richardson, Leah Haile, Dominique Daniels, Erin Cooper, Aizah Ijaz, Janet Velasquez Perez, Mathilde Peruzzi, Bertrand Collet, Paul Craig, Kristof Jenik

Theses and Dissertations (Comprehensive)

Aquaculture now outpaces traditional capture fisheries as the world population and demand for sustainable protein sources increases. Wild and farmed species are increasingly susceptible to pathogen spread as global temperatures rise and stocking densities increase. Despite the devastating losses experienced by aquaculture due to viral infections, there remain few effective prophylactic antiviral therapeutics. Long double-stranded (ds)RNA is a uniquely viral molecule produced by nearly all viruses during their replication cycle, and its detection by salmonids like rainbow trout (Oncorhynchus mykiss) and chinook salmon (Oncorhynchus tshawytsha) leads to the establishment of a defensive antiviral state. Previous in vitro studies demonstrated a …

Envisioning The Role Of Community-Owned Stores & Aligning Federal Food Policies: A Participatory Approach To Food Security And Food Sovereignty In Sambaa K’E, Denendeh (Northwest Territories, Canada), Narayan Subramoniam

Theses and Dissertations (Comprehensive)

Northern Indigenous communities have relied on traditional food systems for meaningful, nutritious diets since time immemorial. But many Indigenous communities in remote northern regions of Canada still face disproportionately elevated levels of food insecurity due to climate change radically altering the availability for traditional foods, colonial food policies imposing Western diets, and the high costs of transporting store-bought foods. Extreme weather events such as wildfires further isolate fly-in remote communities increasing both the costs of transporting store-bought foods and the difficulties of harvesting traditional foods. There are many examples of community-based initiatives for supporting traditional and locally grown foods, however, …

Investigating The Impact Of Winter Exposure To Natural Environments On Perceived Health And Well-Being Using Geographic Ecological Momentary Assessment: A Case Study At Arrowhead Provincial Park, Faith M. Laing

Theses and Dissertations (Comprehensive)

This study examined how winter exposure to specific natural environments influenced perceived health and well-being outcomes using Geographic Ecological Momentary Assessment (GEMA) in Arrowhead Provincial Park. Studies performed in the wintertime are limited, as is our understanding of how specific park features and/or activities impact health and well-being. To address this, GEMA was used with a video component to capture participants’ real-time experience and emotional responses in specific park locations defined by polygon boundaries. Two surveys were administered through participants mobile devices, one being an in-situ engagement survey triggered by entering a bounded location, which included a video and …

At A Crossroads: Crisis, Vulnerability, And The Possibility Of Transformation Of Nature-Based Tourism In Canada, Brooklyn Rushton

Theses and Dissertations (Comprehensive)

We live in an era shaped by a global polycrisis, where climate change, pandemics, economic shocks, geopolitical tensions, and social inequities are converging to create complex, cascading, and compounding risks. For Canada’s nature-based tourism sector, situated at the nexus of social and ecological systems, the polycrisis both amplifies the vulnerabilities of tourism and highlights tourism’s role in perpetuating global risks. Recognizing this duality, this dissertation examines how crises amplify systemic vulnerabilities while also acting as leverage points for transformative change in Canada’s nature-based tourism sector, drawing on geography, systems thinking, resilience theory, regenerative tourism, and futures thinking scholarship.

The three …

Implementation Of A 3-Dimensional Hydrodynamic Numerical Model On A Large Northern Lake, Kirin Lorente

Theses and Dissertations (Comprehensive)

Climate change is impacting high latitude regions disproportionately more than those at a lower latitude. With polar lakes being highly sensitive to changes in the climate, shifts in lake ice dynamics and hydrodynamics are indicators of such changes in regional and global climates. These changes impact future seasons in a positive feedback loop, where changes in winter ice cover impact open water nutrients levels and lake thermal structure. This highlights the importance for long-term monitoring. Despite the abundance of lakes distributed across Northern Canada, there has been limited research conducted on these sentinels of climate change.

Specifically, Great Bear Lake …

Cultivating Diversity In Sustainable Food Systems: Black Farming And Lived Experience In Rural Southern Ontario, Kadeem Jerofy Morgan-Adamson Mr.

Theses and Dissertations (Comprehensive)

This research examines the lived experiences of Black food growers in rural Southern Ontario to understand how their perspectives challenge dominant narratives of rurality and inform broader discussions on food sovereignty in Canada. Grounded in postcolonial theory, the study highlights how historical dispossession and persistent inequities shape the access of Black communities to land and resources. Using a mixed-methods approach that includes surveys, semi-structured interviews, and reflexive journaling within a community-based research framework, the study documents the barriers Black food growers face. These include limited land access, insufficient funding, inadequate training pathways, and experiences of racial isolation in rural contexts. …

Permafrost Microtopography And Active Layer Hydrology In The Western Canadian Arctic, Tobias L. Leonhard

Theses and Dissertations (Comprehensive)

The growing interest in Arctic regions will likely increase the use of nuclear energy in the Arctic. While this energy source has a high potential to improve economic opportunities in the Arctic, it also increases the release of radioactive material (radionuclides). Radionuclides are already found in the Arctic and are traced back to natural as well as anthropogenic sources. Water is one of the dominant transport vectors for solutes such as radionuclides or other contaminants. Therefore, improving our understanding of Arctic hydrology is important for assessing future environmental risks such as the release of radionuclides. Topographic and microtopographic features are …

Beyond Interests And Ideas: Institutions And The Persistence Of Trade Protectionism In Brazil, Samo Sérgio Gonçalves Tosatti

West Chester University Graduate Theses, Dissertations, and Final Projects

Despite decades of economic reforms and growing international integration since the 1990s, Brazil has remained one of the most protectionist large economies in the global trading system. Tariff levels remain relatively high, the country maintains a limited network of trade agreements, and non-tariff barriers play a significant role in shaping market access. Existing explanations for this persistence have focused primarily on the influence of organized interests, particularly import-competing industries, and the enduring influence of developmentalist ideas rooted in Brazil’s import-substitution industrialization (ISI) legacy.

This dissertation argues that these explanations are incomplete without accounting for a third explanatory dimension: institutions. It …

A Call To Action: Engaging With The Intergovernmental Science-Policy Panel On Chemicals, Waste And Pollution, Miriam L. Diamond, Gabriel Sigmund, Marlene Ågerstrand, Michael G. Bertram, Alex T. Ford, Rainer Lohmann, Andreas Schäffer, Maria Clara V.M. Starling, Anna Soehl, Noriyuki Suzuki, Penny Vlahos, Marta Venier, Martin Scheringer

Graduate School of Oceanography Faculty Publications

No abstract provided.

Which Forms Of Work Flexibility Retain Working Mothers: A Moderated Mediation Model Of Flexibility Need, Flexibility Use, And Top Management Support, Jeanine K. Andreassi, Angela R. Grotto, Leanna Lawter, Tuvana Rua, Cynthia A. Thompson

WCBT Faculty Publications

This study investigates the relative impact of utilizing various forms of work flexibility on mothers’ retention in full-time jobs. Drawing from a model of work reentry for new mothers and Human Ecology Theory (HET), we theorize that mothers’ flexibility needs influence retention through flexibility use and that top management support strengthens this process. Using a cross-sectional Qualtrics online survey, we recruited a diverse sample of 213 women across the United States who stayed with or left their full-time jobs after childbirth or adoption. Using relative weights and path analysis, we compared six forms of flexibility. Schedule, career, and leave flexibility …