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Articles 481 - 510 of 204430
Full-Text Articles in Entire DC Network
The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo
The Role Of Political And Media Narratives In Housing Affordability, Craig Anthony Bardo
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that persistent reliance on market-oriented affordability strategies continued despite evidence of declining housing affordability in Nashville. Understanding how policy narratives structured accepted solutions may help explain the persistence of existing policy approaches. Research has shown that housing affordability is a significant policy concern in many U.S. cities. Rising housing costs, displacement pressures, and persistent rent burdens have been indicated in studies as contributing factors. However, less attention has been paid to how political and media narratives shape the boundaries of recognized housing policy solutions within local discourse, specifically in Nashville, Tennessee. The purpose …
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Exploring The Psychosocial Barriers To Kidney Transplant For African Americans In Southern Florida Diagnosed With End-Stage Renal Disease, Erica Lindsey Mitchell
Walden Dissertations and Doctoral Studies
African Americans experience disproportionately high rates of end-stage renal disease (ESRD) yet continue to experience disparities in access to kidney transplantation, the preferred treatment for ESRD. The purpose of this qualitative action research study was to explore the psychosocial barriers to kidney transplantation for African Americans living with ESRD in south Florida. This capstone project was guided by the tenets of intersectionality theory. Data was obtained through semi-structured interviews with four human services professionals and analyzed using thematic analysis. The findings revealed six interconnected themes: a) social support, b) practical barriers, c) psychological and cognitive barriers to transplant navigation, d) …
Prenatal Health Factors Of Pregnant People Associated With Second Degree Postpartum Hemorrhage Across The United States, Elizabeth Simpler
Prenatal Health Factors Of Pregnant People Associated With Second Degree Postpartum Hemorrhage Across The United States, Elizabeth Simpler
Walden Dissertations and Doctoral Studies
Secondary postpartum hemorrhage (SPPH) is a significant contributor to maternal morbidity in the United States and occurs after hospital discharge during the postpartum period. Persistent disparities in terms of maternal outcomes suggest access to prenatal care alone may not adequately address clinical and social factors associated with SPPH. Guided by the Social Ecological Model, which recognizes that health outcomes are influenced by a collective approach to examining health. The purpose of this study was to examine associations between SPPH, prenatal care access, and social determinants of health from 2019 to 2022 while controlling for maternal age, race, and delivery type. …
An Interdisciplinary Approach To Sampling Hard Rock Cores Of The Oceanic Crust For Microbiological And Biogeochemical Research, William J. Brazelton, Oscar Cavazos, Jordyn A. Robare, Gordon Southam, Johanna Suhonen, Fengping Wang, Susan Q. Lang, Andrew Mccaig, Peter Blum, Natsue Abe, Remi Coltat, Jeremy R. Deans, Kristin L. Dickerson, Marguerite Godard, Barbara E. John, Frieder Klein, Rebecca Kuehn, Kuan-Yu Lin, C. Johan Lissenberg, Haiyang Liu, Ethan L. Lopes, Toshio Nozaka, Andrew J. Parsons, Vamdev Pathak, Mark K. Reagan, C. Geoffrey Wheat
An Interdisciplinary Approach To Sampling Hard Rock Cores Of The Oceanic Crust For Microbiological And Biogeochemical Research, William J. Brazelton, Oscar Cavazos, Jordyn A. Robare, Gordon Southam, Johanna Suhonen, Fengping Wang, Susan Q. Lang, Andrew Mccaig, Peter Blum, Natsue Abe, Remi Coltat, Jeremy R. Deans, Kristin L. Dickerson, Marguerite Godard, Barbara E. John, Frieder Klein, Rebecca Kuehn, Kuan-Yu Lin, C. Johan Lissenberg, Haiyang Liu, Ethan L. Lopes, Toshio Nozaka, Andrew J. Parsons, Vamdev Pathak, Mark K. Reagan, C. Geoffrey Wheat
School of Geography, Earth and Environmental Sciences
Studying life in the deep, rocky subseafloor involves many layers of technological and methodological challenges, and each drilling project or expedition must make a series of choices to address these challenges. We report on the workflow for sampling hard rock cores for microbiological and biogeochemical research that was developed and optimized during International Ocean Discovery Program (IODP) Expedition 399. All steps of the workflow, including selection of the sample and its shipboard homogenization and subsampling for specific analyses, were designed to maximize the potential for interdisciplinary collaborations and syntheses of results. Furthermore, multiple strategies to minimize and detect potential microbial …
Narrating The Bucolic South: How Southern Living Reflected And Shaped The South In The 1990s, Krista C. Wright
Narrating The Bucolic South: How Southern Living Reflected And Shaped The South In The 1990s, Krista C. Wright
The Thetean: A Student Journal for Scholarly Historical Writing
In December 1995 at a company Christmas party, previous editor Gary McCalla spoke with Emory Cunningham, sitting president and chair who oversaw the transition from the practical Progressive Farmer to a lifestyle magazine for the “New South.” Looking around the room, Cunningham remarked, “These young people have no idea where we came from.” McCalla recalled a memo he and John Logue, creative director of the magazine, had written in the early days, outlining “what we believed had to be done to save Southern Living.” At that moment, the two noticed the song playing in the background— “History” by Michael …
Real-Time Fused Sensor System For Early Onboard Detection Of Weather Phenomena, Sanjana Singh
Real-Time Fused Sensor System For Early Onboard Detection Of Weather Phenomena, Sanjana Singh
Discovery Day - Daytona Beach
Weather-related hazards continue to be a major cause of operational interruptions and safety issues in the aviation sector. Atmospheric phenomena, including turbulence, microbursts, convective storms, and rapidly changing boundary-layer conditions, can arise quickly and often occur on spatial scales that are not adequately addressed by regional forecasting systems. These phenomena particularly endanger aircraft flying at low altitudes, such as general aviation planes, unmanned aerial vehicles (UAVs), and those during takeoff and landing Although meteorological forecasting systems and ground-based radar networks offer important regional insights, they may fail to detect localized atmospheric variations encountered along specific flight routes. Consequently, pilots and …
School-Centered Tobacco Retailer Exposure And Neighborhood Opportunity Across Urban And Rural Tennessee, Sima Namin Dr, Jacob Black, Jennifer Ferris, Robert E. Heidel Dr
School-Centered Tobacco Retailer Exposure And Neighborhood Opportunity Across Urban And Rural Tennessee, Sima Namin Dr, Jacob Black, Jennifer Ferris, Robert E. Heidel Dr
Journal of Appalachian Health
Introduction: Tobacco retailer availability contributes to youth tobacco use, and retailers are concentrated in socioeconomically disadvantaged communities. However, few studies have examined how school-centered retailer exposure intersects with neighborhood opportunity in a predominantly rural Appalachian state.
Purpose: The purpose of this study is to assess the association between neighborhood opportunity and school-centered tobacco retailer exposure across Tennessee (TN), including differences by rurality and Appalachian status.
Methods: We constructed a tract-level, school-centered youth tobacco exposure index for TN using tobacco retailer locations and public and private K-12 school data. The index incorporated retailer proximity, density, and distance-decay accessibility measures. Child Opportunity …
Disparities In Access To Medicare-Approved Medical Specialists In Rural Kentucky, Logan Hurm, Jacob A. Welch, James Adkins
Disparities In Access To Medicare-Approved Medical Specialists In Rural Kentucky, Logan Hurm, Jacob A. Welch, James Adkins
Journal of Appalachian Health
Introduction: Approximately 20% of the United States population resides in a rural community; however, only 10% of all healthcare resources and physicians are dedicated to these areas. Appalachia, and Kentucky (KY) in particular, have higher populations living in rural areas which leads to a greater number of individuals affected by medical access disparities. As of 2026, 21% of KY’s population is eligible for Medicare, making access to Medicare-accepting specialty physicians crucial for the state’s population.
Purpose: This research aims to quantify healthcare disparities among rural communities in KY through quantification of the potential distance required to travel to access specialty …
Threads Across The Atlantic: A Dialogue Of Feminist Writings Between Portugal And Cape Verde, Elliana Shillig Venancio
Threads Across The Atlantic: A Dialogue Of Feminist Writings Between Portugal And Cape Verde, Elliana Shillig Venancio
Theses and Dissertations
This thesis examines the feminist literary traditions of Portugal and Cape Verde through a comparative analysis of Ana de Castro Osório’s Infelizes and Dina Salústio’s Mornas eram as noites. Separated by nearly nine decades and an ocean, these two works nonetheless converge in their insistence on women’s autonomy, bodily sovereignty, and resistance to patriarchal structures. Drawing on Hélène Cixous’s theory of écriture féminine and Kimberlé Crenshaw’s framework of intersectionality, this thesis argues that despite the significant differences in time, geography, and socio-political context that separate these authors, powerful threads of feminist consciousness bind their writing together. At the same time, …
Automated Classification, Measurement, And Semantic Segmentation Of Open-Web Joists From Point Cloud Data, Justin Raymond Dworacek
Automated Classification, Measurement, And Semantic Segmentation Of Open-Web Joists From Point Cloud Data, Justin Raymond Dworacek
Theses and Dissertations
This thesis presents a BIM-oriented methodology for the automated classification, measurement, and segmentation of structural trusses from point cloud data. A real truss point cloud and a complementary synthetic dataset derived from CADBIM Revit families were used to develop and evaluate the workflow. Classification was performed using a rule-based Python algorithm based on principal component analysis, side-view feature extraction, and family-specific geometric decision logic, while a separate family-aware script was used to extract key truss dimensions. Semantic segmentation was evaluated using a PointTransformerV3 model to separate truss and non-truss points in mixed point cloud scenes. The results demonstrated strong performance …
The Al-Bahah Paradox: Divergent Patterns Of Increased And Decreased Infectious Disease Incidence Relative To National Saudi Rates Over 12 Years Of Surveillance, Mohammed A. A. Alqumber
The Al-Bahah Paradox: Divergent Patterns Of Increased And Decreased Infectious Disease Incidence Relative To National Saudi Rates Over 12 Years Of Surveillance, Mohammed A. A. Alqumber
Saudi Medical Journal
Objective: To identify statistically significant deviations in notifiable infectious disease incidence between Al-Bahah region and national Saudi averages, and to generate hypotheses that may inform future epidemiological, microbiological, and public health investigations. Methods: In April 2026, a 12-year retrospective ecological study (2013–2024) was conducted using surveillance data from the Saudi Ministry of Health for 37 notifiable infectious diseases across 20 health regions. Cumulative incidence rates, standardized morbidity ratios (SMRs), and Z-tests compared observed cases in Al-Bahah against national estimates. Results: Overall incidence was 15.8% lower in Al-Bahah than nationally (86.42 versus 102.68; incidence rate ratios = 0.842; p …
Escherichia Coli Concentrations In Sand And Water At Tributary-Influenced Lake Michigan Beaches, Josie Elaine Kuhlman
Escherichia Coli Concentrations In Sand And Water At Tributary-Influenced Lake Michigan Beaches, Josie Elaine Kuhlman
Masters Theses
Contamination of public recreational water and sand is a human health concern, creating a management challenge for public health officials. Past research has shown that Escherichia coli can persist in sediment and can be washed into recreational water. Currently, beach monitoring practices only utilize E. coli concentrations in water samples to determine beach safety and do not consider potential exposure to sediment/sand concentrations. In this study, I investigated the relationship between E. coli concentrations in water and sand samples, which will aid public health officials in making more informed decisions about beach closures. I utilized culture-based measurements of E. coli …
Mountain Development In Nepal: Settlements, Infrastructure, And Economic Transformation, Keshav Bhattarai, Ambika P. Adhikari
Mountain Development In Nepal: Settlements, Infrastructure, And Economic Transformation, Keshav Bhattarai, Ambika P. Adhikari
Himalayan Research Papers Archive
As Nepal urbanizes, expands infrastructure, strengthens local governments, and explores deeper connectivity with India and China, climate change is increasing floods, landslides, heat, and water insecurity. Rapid internal migration, rising disaster risks, youth outmigration, and dependence on remittances are also revealing the limits of conventional urban development, especially in the mountainous region. The central challenge for Nepal is no longer just to accommodate growing towns and cities, but to build settlements that are safe, productive, environmentally resilient, and capable of sustaining long-term prosperity.
This paper argues that Nepal's urban future must be guided by a new development paradigm centered on …
Demographic Influences On Awareness Of Speech-Language Pathology Services In The U.S., Phil Weir-Mayta, Joshua Ayala
Demographic Influences On Awareness Of Speech-Language Pathology Services In The U.S., Phil Weir-Mayta, Joshua Ayala
Communication Sciences and Disorders Faculty Articles and Research
Introduction
Public awareness of speech-language pathology services is essential for the early identification and treatment of communication and swallowing disorders. Although previous studies have reported limited public awareness of speech-language pathology services, few studies have examined how awareness varies across demographic groups within the United States. The purpose of this study was to examine public awareness of speech-language pathology services and determine whether awareness differed according to race and ethnicity, education level, age, and gender identity.Methods
A cross-sectional online survey was administered to adults residing in the United States using CloudResearch and Qualtrics. A total of 471 participants completed …Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari
Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari
Himalayan Research Papers Archive
Nepal’s constitutional commitment to a “socialism-oriented” state places social justice, equitable access to resources and housing, and protection of marginalized populations at the center of national development discourse. However, persistent landlessness, informal settlements, unemployment, youth outmigration, and unequal access to infrastructure reveal a significant gap between constitutional aspirations and socioeconomic realities.
This article examines lessons Nepal can draw from Tanzania’s experience with Ujamaa, the African socialist development model initiated by President Nyerere in 1967. Using comparative policy analysis, published research, official documents, and exploratory field observations from selected Tanzanian locations, including the capital and villages in the Iringa Region, the …
States Strip Local Governments Of Authority To Govern Causing Some Rural Communities To Suffer, Terence J. Centner
States Strip Local Governments Of Authority To Govern Causing Some Rural Communities To Suffer, Terence J. Centner
Kentucky Law Journal
No abstract provided.
The New Parens Patriae, Meredith Johnson Harbach
The New Parens Patriae, Meredith Johnson Harbach
Kentucky Law Journal
No abstract provided.
Centering As Contemplative Inquiry And Practice: Teaching, Learning, And Living In The Anthropocene, Jennifer L. Schneider
Centering As Contemplative Inquiry And Practice: Teaching, Learning, And Living In The Anthropocene, Jennifer L. Schneider
Journal of Contemplative and Holistic Education
The Anthropocene may be an inescapable trap—one unwittingly shaped by human ways of relating to self, others, and the more-than-human world. While dominant discourses surrounding this epoch often evoke fear, apocalypse, or blame, how might it also invite us, as humans, into an opportunity for more holistic and contemplative education. This paper explores “centering,” a contemplative concept and practice introduced by curriculum theorist James Macdonald (1995), as a regenerative way of engaging with the Anthropocene through lived experience. Drawing from research on a graduate-level place-based course and an arts-based, pragmatic inquiry, I explore how centering can foster attunement to place, …
A Comprehensive Review Of Hybrid Renewable Energy Systems: Integration Challenges And Optimization Strategies, Laith Jaafer Habeeb, Monaem Elmnifi, Wissam H. Alawee
A Comprehensive Review Of Hybrid Renewable Energy Systems: Integration Challenges And Optimization Strategies, Laith Jaafer Habeeb, Monaem Elmnifi, Wissam H. Alawee
Terra Joule Journal
Hybrid renewable energy systems (HRES) combine complementary renewable generators, storage and coordinated controls to reduce the variability and integration burden associated with single-source plants. This review synthesizes peer-reviewed studies, authoritative energy statistics and documented projects, with emphasis on solar–wind, hydro-coupled and multi-source configurations; storage selection; grid integration; and design and operational optimization. The evidence shows that the value of hybridization depends on resource complementarity, grid conditions, control architecture and life-cycle sizing rather than on technology combination alone. The review therefore distinguishes established findings from illustrative comparisons and avoids presenting literature-derived values as new experimental results. Six recurring implementation challenges are …
Waterfront Ecologies: Coastal Resilience And Urbanization In Cali-Baja Region, Agniya Seliuzhytskaya
Waterfront Ecologies: Coastal Resilience And Urbanization In Cali-Baja Region, Agniya Seliuzhytskaya
McNair Summer Research Program
This research contributes to “Waterfront Ecologies,” a binational initiative addressing urbanization and climate change along the San Diego-Tijuana coastal area and watershed systems. By examining the threshold between land and water, this paper investigates the impacts of sea-level rise, coastal erosion, watershed contamination, and rapid urban development. The study employs a case-study methodology focused on coastal conditions within the Cali-Baja region. Through this framework, it reviews planning history, environmental reports, and past precedent studies. Methodologically, the project produces analytical drawings and comprehensive base maps that synthesize regional environmental systems, urban patterns, topography, hydrology, and infrastructure.
Preliminary findings reveal that post-colonial …
Illuminating Hemophilia: Distinguishing Normal And Factor Deficient Plasma Clots Via Brightfield Microscopy And A Convolutional Neural Network, Jason H. Tullis
Illuminating Hemophilia: Distinguishing Normal And Factor Deficient Plasma Clots Via Brightfield Microscopy And A Convolutional Neural Network, Jason H. Tullis
Undergraduate Honors Theses
When blood vessels are damaged, clots formed by the protein fibrin stabilize platelets and stem active bleeding. Coagulation, the physiological process that forms fibrin clots from blood plasma, hinges on the clotting cascade, a complex network of interacting proteins. These so-called clotting factors help control fibrin polymerization and thereby coagulation. A clotting factor deficiency generally slows coagulation, resulting in bleeding disorders like hemophilia A, B or C. Diagnosing the deficient factor's identity is essential to optimal treatment. Currently, missing factors are determined in reference laboratories via specialized tests. A more accessible test could help streamline the diagnosis process--in this work, …
Wip: Developing A Generative Ai Autoethnography Assistant, Jyoti Suhag, Jennifer Drewyor, Kathryn Bugbee, Michelle Jarvie-Eggart, Lynn Albers, Leo Ureel
Wip: Developing A Generative Ai Autoethnography Assistant, Jyoti Suhag, Jennifer Drewyor, Kathryn Bugbee, Michelle Jarvie-Eggart, Lynn Albers, Leo Ureel
Michigan Tech Publications
Background: Generative AI (genAI) is transforming educational research, offering new possi-bilities for conducting interviews while local sandboxing minimizes data privacy risks and hallucinations. Purpose: This work-in-progress presents the AI Autoethnography Assistant, a project investigating how large language models (LLMs) can support autoethnographic interview design and execution. Approach: Using prompt engineering grounded in Interpretative Phenomenological Anal-ysis, paraphrasing techniques, and structured follow-up questions, we developed protocols that incorporate po-sitionality and prompt reflection on origin stories and pivotal life moments. Outcomes: Conversations conclude at the user’s discretion, with the AI generating a thematic summary. We tested refined prompts across four platforms (Gemini, Claude, …
English Language Arts Remedial Teachers’ Perspectives On Strategies To Close The Academic Achievement Gap Of Minority High School Students, Barbara Williams
English Language Arts Remedial Teachers’ Perspectives On Strategies To Close The Academic Achievement Gap Of Minority High School Students, Barbara Williams
Walden Dissertations and Doctoral Studies
The problem that was addressed throughout this study is that 53% of minority students do not reach proficiency on the English Language Arts (ELA) portion of the Florida Assessment of Student Thinking test compared to the 42% of other student populations at Grover High School (GHS, a pseudonym), a large and diverse high school, despite targeted school improvement interventions each school year. Grounded in Ladson-Billings’s culturally relevant pedagogy, the purpose of this basic qualitative study was to investigate ELA remedial teachers’ perspectives on reading strategies and instructional planning tools that might help minority students close the academic achievement gap. Semistructured …
Large-Scale Dna Barcoding Reveals Highly Distinct Insect Distribution Patterns Across Costa Rican Ecosystems, José A. Hernández Ugalde, Daniel H. Janzen, Winnie Hallwachs, Bert Kohlmann, Paul D.N. Hebert, Brian V. Brown, James Whitfield, José. L. Fernández-Triana, Roberto Fernández Ugalde, Eugenie Phillips Rodriguez, Ronald Zúñiga, M. Alex Smith, Dirk Steinke, Michael Sharky, Donald Quicke, Ramya Manjunath, Robert Puschendorf
Large-Scale Dna Barcoding Reveals Highly Distinct Insect Distribution Patterns Across Costa Rican Ecosystems, José A. Hernández Ugalde, Daniel H. Janzen, Winnie Hallwachs, Bert Kohlmann, Paul D.N. Hebert, Brian V. Brown, James Whitfield, José. L. Fernández-Triana, Roberto Fernández Ugalde, Eugenie Phillips Rodriguez, Ronald Zúñiga, M. Alex Smith, Dirk Steinke, Michael Sharky, Donald Quicke, Ramya Manjunath, Robert Puschendorf
School of Biological and Marine Sciences
Although insects are fundamental to understanding and conserving global biodiversity, they are vastly understudied. Here, we present a national inventory of Costa Rican insects based upon 3.78 million DNA barcodes representing 152 891 Barcode Index Numbers (BINs, proxies for species) from 28 localities sampled from 2017 to 2023 through the national BioAlfa program of Costa Rica. Although only 3.6% of BINs are linked to Linnean species, barcode-based community analyses revealed strong, consistent ecogeographic structure. Clustering of BIN data using bootstrapped Jaccard distances revealed seven distinct mainland assemblages and a distinct island cluster, shaped primarily by Costa Rica’s mountain ranges, elevation, …
Professionalizing Folklore In Latin America: Four Paradigms Of The Musician And The Coloniality Of Music Education, Matias Recharte
Professionalizing Folklore In Latin America: Four Paradigms Of The Musician And The Coloniality Of Music Education, Matias Recharte
Visions of Research in Music Education
In this article, I discuss the professionalization of folklore and its entanglements with coloniality through an analysis of four paradigms of the musicians I encountered in conversations with students, administrators and instructors at the Escuela Nacional de Folklore Jose Maria Arguedas in Lima, Peru. I contrast two pairs of paradigms, the empírico with the académico and the chivero with the professional in order to show how the “professional folklore musician” is constructed through similarities and differences with these paradigms. For my analysis, I use a coloniality theory framework (Casto-Gomez, 2021; Quijan, 1980, 2000, 2007; Segato 2011, 2022) which considers social …
The Shorthorn: February 21, 1986
The Shorthorn: February 21, 1986
The Shorthorn Newspaper Collection: 1980s
No abstract provided.
The Shorthorn: February 13, 1986
The Shorthorn: February 13, 1986
The Shorthorn Newspaper Collection: 1980s
No abstract provided.
The Shorthorn: November 14, 1985
The Shorthorn: November 14, 1985
The Shorthorn Newspaper Collection: 1980s
No abstract provided.
Perceiving A Competitor: Culture And Cognitive Biases Of The Strong Enemy And The Pacing Threat, Allison Abbe
Perceiving A Competitor: Culture And Cognitive Biases Of The Strong Enemy And The Pacing Threat, Allison Abbe
Books, Monographs & Collaborative Studies
The United States and China are prone to systematic cognitive and cultural biases that distort their mutual perceptions. Addressing these biases through cultural education and professional development is essential to overcoming blind spots in understanding the United States’ primary competitor. By applying dynamic constructivist theories from cross-cultural psychology to national security, this monograph builds on existing scholarship to reveal specific cognitive asymmetries between Western and East Asian observers. Differences such as holism, dialecticism, social inference, and perspective taking reflect the cultural lenses through which security actors perceive their competitors’ actions and intentions, but US observers often overlook the cultural factors …
Effective Strategies Small Business Owners Use To Sustain Their Businesses During Periods Of Disruption, Tracey Starr Moon
Effective Strategies Small Business Owners Use To Sustain Their Businesses During Periods Of Disruption, Tracey Starr Moon
Walden Dissertations and Doctoral Studies
Small businesses experience significant challenges sustaining operations during periods of disruption, including economic uncertainty, natural disasters, supply chain interruptions, and other environmental changes. This is a concern for small business owners because disruptions can reduce revenue and strain limited financial and operational resources, putting their continued survival at risk. Grounded in the resilience theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies small business owners use to sustain their businesses during times of disruption. The participants were six small business owners in the southern United States. Data were collected through semistructured interviews and …