Digital Commons Network^™

Comparative Effectiveness Of Biologic Or Targeted Synthetic Disease-Modifying Antirheumatic Drugs In Terms Of Opioid Tapering And Discontinuation Among Medicare Beneficiaries With Rheumatoid Arthritis, Shadi Bazzazzadehgan

Electronic Theses and Dissertations

Objectives: Pain is the most common patient-reported outcome in rheumatoid arthritis (RA), frequently managed with long-term opioid therapy (LTOT), despite limited evidence supporting its efficacy and safety. Given the inflammatory nature of RA pain, biologic or targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs) may relief pain and facilitate opioid withdrawal. This study compared rates of any opioid tapering, rapid opioid tapering, and opioid discontinuation among Medicare beneficiaries with RA who initiated b/tsDMARDs, including tumor necrosis factor inhibitors (TNFi bDMARDs), non-TNFi bDMARDs, or Janus kinase inhibitors (JAKi).

Methods: A new-user cohort study design was implemented using 5% Medicare (2012-2020). Beneficiaries with RA, …

Do College Students Delegate Over The Counter Product Choice To Pharmacists? A National Survey Experiment, Joanne Elizabeth Mansalay Canedo

Electronic Theses and Dissertations

Background: College students are known to have more frequent use for over-the-counter (OTC) cold products. Choice overload can lead to an increased burden of responsibility and dissatisfaction with one’s decision. The act of delegating to a pharmacist can prevent OTC product misuse and potential for abuse. The objective was to examine the effect of OTC choice difficulty and pharmacist accessibility on college students’ likelihood to delegate pharmacists for choosing OTC products for the common cold.

Methodology: An experimental within-subjects survey design was utilized on a national convenience sample of undergraduate students aged 18 years and older through Qualtrics market research …

Changing Minds, Changing Behavior: The Role Of Cognitive-Behavioral Therapy In Addressing Intimate Partner Violence, Natalie Freeman, Courtney Mcdonald

University of South Carolina Upstate Student Research Journal

Intervention programs for intimate partner violence abusers are designed to address and mitigate violent behaviors and promote healthier relationships to reduce recidivism. This literature review examines various intervention programs and their strategies, including cognitive-behavioral therapy (CBT), group therapy, and educational programs, along with their theoretical foundations and effectiveness. Cognitive-behavioral therapy focuses on altering thought patterns that contribute to abusive actions, demonstrating efficacy in reducing violent behaviors and promoting emotional regulation. This study utilized a qualitative design in collaboration with Anger Management of the Upstate, where participants in a CBT-based intimate partner violence intervention program completed an anonymous Qualtrics survey exploring …

#Mmiw On Instagram: Contemporary Representations Of Missing Indigenous Women, Girls, And Two-Spirit People​, Sydney E. Cathcart, Renu Pariyadath

University of South Carolina Upstate Student Research Journal

This research paper overlooks the disproportionate number of missing persons and violence towards Indigenous groups, particularly women. Communication research has pointed to mass media lacking coverage on missing or murdered cases of Indigenous people, contributing to invisibility of the issue and lack of attention to the problem. Individual efforts to increase sources of information have been utilized in social media to make up for where mass media lacks. Social media creators who look to raise awareness, mobilize grassroot actions, and expand community ties. Content analysis was used to analyze content in Instagram under hashtags relevant to #MMIW–Missing and Murdered Indigenous …

A Dog Tail: To Trust Or Not To Trust, Victoria A. Denishchich, Christa C. Christ

University of South Carolina Upstate Student Research Journal

Trust plays an important role in relationships and social functioning while also influencing communication, cooperation, and emotional well-being. Previous research has found that dogs enhance social relationships, approachability, and perceptions of safety and friendliness in everyday interactions. However, not much is known about how the effect dogs have on perceptions of trust applies when photographs are used. Such info is essential given the amount of online social interaction that occurs in society today. This current study examined whether the presence of a dog in a photo affects our trust levels in strangers. In Study 1, 74 participants viewed photos of …

Lived Experiences Of Marginalized Pre-Service Teachers' Technology Ownership And Acquisition Of Digital Skills, Jerolyn Brown, Tian Luo

STEMPS Faculty Publications

Aim/Purpose

Despite increasing access to technology, persistent disparities in digital competence and self-efficacy remain among marginalized pre-service teachers, often exacerbated by systemic inequities and the digital divide. This research explores the gap in knowledge of the lived experiences of marginalized pre-service teachers’ (PST) prior access to technology and their current perceptions about educational technology integration.

Background

Grounded in Sociocultural Theory and the Theory of Planned Behavior, this study seeks to answer how marginalized pre-service teachers perceive prior and current technology ownership and related skill acquisition, what beliefs and intentions they have for future classroom technology integration, and what systemic disparities …

Technology Integration In Online Feminist Pedagogy, Xinyue Ren

STEMPS Faculty Publications

Feminist pedagogy refers to a liberatory way of teaching to develop democratic and transformative learning experiences in which students can be empowered to make a social change (Grissom-Broughton, 2020). Previous research showed that feminist pedagogy was often used to guide course design and development in various disciplines, such as music, art, language, and environmental education (Cannizzo, 2021; Grissom-Broughton, 2020; Jespersen, 2014; Springgay & Zaliwska, 2017). For example, in music education, instructors increased the representations of multicultural voices in course materials and applied in-depth discussions and essays as learning assessments to develop critical and reflective thinking among students. In a feminist-oriented …

Addressing Anti-Black Racism In Library And Information Science Curriculum: A Canadian-Centric Learning Model, Amber Matthews

STEMPS Faculty Publications

Canadian communities are facing a crisis of inequity, and library service providers must do more to respond to the causal conditions of anti-Black and other forms of systemic racism (Black & Mehra, 2023). Beginning in 2022, the first known Canadian MLIS course, Anti-Racism in Library and Information Science, was piloted at Western University. It aimed to allow students to engage with transformative and collaborative anti-racism frameworks relevant to the Canadian library sector and MLIS curriculum. The one-semester (13-week) course was offered once each summer in 2022 and 2023. The multi-faceted course aimed to equip students with community-based approaches to learning …

The Ethical Imperative Of Leadership In Dentistry, Mike Graham, Toni M. Roucka Rn, Dds, Ma, Facd

Journal of the American College of Dentists

Leadership is one of the four pillars of the American College of Dentists, taking its place alongside excellence, ethics, and professionalism. Leadership in dentistry carries an inherent ethical responsibility to uphold the trust and well-being of those who depend on us—our patients, our teams, and the community. When leaders in our field exercise their influence, they wield significant power over patient outcomes, industry standards, and public health policy. With this influence comes an imperative to act ethically, to ensure that decisions are guided by a commitment to care, integrity, and the best interests of those we serve. At the heart …

Navigating The Meaning Of The Social Contract In Dentistry As A Former Dental Staff And Current Dental Student, Sophia Kim Hbsc

Journal of the American College of Dentists

Ozar-Hasegawa Award-winner, Sophia Kim, shares her personal narrative and experience with the concept of the social contract within the oral care field.

Pls 3613 : Public Policy, Political Science

Approved Course Proposals

No abstract provided.

Nur 4555 : Using Evidence To Guide Practice In Nursing, Honors, Nursing

Approved Course Proposals

No abstract provided.

Nur 3250 : Emerging Trends In Healthcare, Nursing

Approved Course Proposals

No abstract provided.

Author Benefits From The Tmc Library, Joanne Romano

TMC Library Newsletter (2015-)

Learn more about Author Benefits from the TMC Library in our OpenAccess Publishing Support LibGuide. Use the QR code on this blog, or go to our LibGuides list on our website and select Open Access Publishing Support.

The Time Is Now For Oral Health To Embrace Trauma-Informed Care, Carlos Smith, Ruth Bravo-Anez Med, Ncc, Shelvia English Phd

Journal of the American College of Dentists

Trauma-informed care (TIC) starts with a comprehension of trauma and the recognition of its profound impact on individuals and their well-being.1 Trauma is pervasive and affects almost everyone in one way or another. This dynamic extends to dental care as well: people approach and respond to subsequent encounters with dental professionals based on past experiences, especially if trauma is involved. By adopting a trauma-informed approach, healthcare professionals can cultivate empathy and responsiveness to patients’ needs and enhance their self-efficacy.

Interprofessional Models Of Care: A Strategic Framework For Advancing Integrated Healthcare, Daniel J. Pihlstrom Dds

Journal of the American College of Dentists

Interprofessional models of care (IPMC) provide a vital framework for improving the delivery of health services through the alignment of medical and dental protocols, integration of shared health data, and collaborative, team-based care. Drawing on both empirical data and theoretical models, this analysis explores how integrated care can become the norm rather than the exception.

Unifying Health And Oral Health—An Ethical Imperative, Shelia Brear Bds

Journal of the American College of Dentists

The 2024 Ethics Summit, Breaking Down the Silos, convened by the American College of Dentists, marked a pivotal moment in the ongoing discourse on the ethical responsibilities of oral healthcare professionals. This distinguished gathering of interprofessional experts offered an insightful and urgent exploration into one of healthcare’s most pressing yet underexamined ethical imperatives: the moral obligation to fully integrate oral health into the broader healthcare system. The summit’s focus aligns powerfully with the mission of the American College of Dentists to advance excellence, ethics, professionalism, and leadership in oral healthcare.

Inquiries Into The Mycobacterial Caseinolytic Protease System, Felipe Badke D'Andrea

Student Theses and Dissertations

Despite progress over the last century, Mycobacterium tuberculosis (Mtb), the causative agent of tuberculosis (TB), remains the leading cause of death from an infectious disease worldwide. The high global burden of Mtb, alongside its protracted treatment regimen and insidious rise of multi-drug resistance, underscores the need for non-canonical drug targets and pathways to improve antitubercular chemotherapy. Mtb's success as a pathogen is linked to its ability to infect and evade clearance by the human immune system despite a wide range of noxious host stressors. Along with transcriptional responses, the maintenance of protein homeostasis is critical to this adaptability and pathogenicity. …

Serine Metabolism Leverages The Integrated Stress Response To Direct Stem Cell Fate During Tissue Regeneration, Jesse Stephen Swyer Novak

Student Theses and Dissertations

Epidermal stem cells constantly rejuvenate the skin's barrier, which excludes harmful microbes and prevents dehydration. While hair follicle stem cells (HFSCs) normally regenerate hair, they must also reconstruct and thereafter maintain the overlying epidermis upon a barrier breach, such as a wound. How these fate choices are balanced to restore physiologic function to damaged tissue remains poorly understood. Here, I uncover the non-essential amino acid serine as a surprising regulator in this process. Utilizing dietary intervention and HFSC-specific loss-of-function studies, I demonstrate that under serine-depleted conditions HFSCs delay hair growth. Upon injury, serine-restricted HFSCs skew their fate towards epidermal re-epithelialization …

Molecular And Cellular Mechanisms Of Lim Protein Mechanotransduction, Donovan Yong Zhi Phua

Student Theses and Dissertations

For tissues to develop and maintain mechanical homeostasis, cells must be able to perceive and respond to mechanical cues in their local environments (mechanosense). While there has been significant progress in understanding the physiological significance of mechanosensation, the mechanisms by which proteins convert mechanical stimuli into biochemical signals (mechanotransduction) are poorly understood. The actin cytoskeleton serves as a nexus for cellular mechanotransduction, generating and transducing forces into intracellular signals that coordinate cell migration, cellular contractility, organelle dynamics, and gene expression. However, our understanding of the molecular mechanisms by which cytoskeletal mechanotransduction is achieved is limited. LIM domain proteins are a …

Effective Shoulder Width On Rural Highway System Related To Roadway Departure Crashes, Mario A. Barahona, Vamsi Krishna Bandaru, Mario A. Romero, Andrew Tarko

JTRP Technical Reports

Roadway design plays a crucial role in traffic safety, particularly on rural roads. This research investigates the safety effectiveness of shoulder width on Indiana’s rural two-lane highways, and to use this understanding to provide a basis for more effective shoulder improvement programs. Although previous studies have established the benefits of shoulder widening in other states, limited research has been conducted in Indiana conditions. This research aims to evaluate the safety effectiveness of shoulders on rural roads in Indiana and to propose a practical and systemic approach to identifying road segments that require additional attention and possible need for shoulder improvements. …

Ksr 3903 : Introduction To Pharmacology For The Pre-Healthcare Professional, Ksr

Approved Course Proposals

No abstract provided.

Nur 3999 : Honors Clinical Immersion Practicum In Nursing, Nursing

Approved Course Proposals

No abstract provided.

Nur 3290 : Statistics And Research Methods For Evidence-Based Practice In Nursing, Honors, Nursing

Approved Course Proposals

No abstract provided.

Hsl 3850 : Child And Adolescent Development, Human Services

Approved Course Proposals

No abstract provided.

The Strategic And Governance Implications Of Solar Radiation Modification: Perspectives From Delegates Of International Climate Negotiations, Todd L. Cherry, Steffen Kallbekken, David M. Mcevoy, Wai Yan Siu

ODU Articles

The lack of progress in addressing climate change has led to increased interest in solar radiation modification (SRM)—a collection of large-scale interventions that cool the planet by managing the amount of solar radiation that reaches the earth. SRM complicates climate change governance because, in addition to advancing collective action to reduce greenhouse gas emissions, governance needs to restrain unilateral SRM action while balancing diverging actor interests, ethical risks and scientific uncertainty. We survey international climate policy experts for their assessments of the potential for effective global governance of SRM and the likelihood of possible international responses to unilateral SRM scenarios. …

Coastal Flooding And Housing Market Liquidity: Policy Implications For Eastern U. S. Communities, Wai Yan Siu, Rex Sitti

ODU Articles

Coastal flooding poses an escalating threat to communities across the U.S East Coast, where rising sea levels and intensifying storms increasingly overwhelm existing infrastructure and natural defenses. These events generate complex economic consequences that extend beyond immediate property damage to affect community stability and long-term development patterns. The real estate industry in particular, faces increasing levels of flood risk. Existing research on climate risk and real estate markets focuses predominantly on price capitalization effects, overlooking the critical dimension of housing market liquidity. This study examines the causal impact of coastal flooding on days-on-market (DOM), a metric of liquidity in the …

High-Resolution Modeling Of Extreme Heat Events With Socioeconomic Consideration: A Real-Case Wrf-Les Approach, Maryam Golbazi, Frank Liu, Yin-Hsuen Chen, Timothy W. Juliano, Heather Richter

ODU Articles

The overarching goals of this work is to explore best practices for micro-scale modeling of a real case, identify relevant phenomena by using high-resolution modeling, and to explore their implications for public health, and climate resilience strategies in Hampton Roads, VA, USA. This project employs the Weather Research and Forecasting (WRF) model to conduct a comprehensive study of Hampton Roads, utilizing a coupled mesoscale to microscale modeling capable of resolving boundary layer turbulence. This study has three primary objectives: (1) to establish the optimal mesoscale to Large-Eddy Simulation (LES) configurations for complex geographical regions such as the Hampton Roads (HR) …

2025 Children's Legislative Report Card, Children's Advocacy Institute, University Of San Diego School Of Law

Children's Legislative Report Card

No abstract provided.

Exploring Educator Attitudes And Their Impact On Racial Inequities In School Discipline, Chanel Renee` Rice

Doctor of Education (Ed.D.)

This dissertation presents a mixed methods research study conducted within the framework of the Improvement Science Dissertation in Practice (ISDiP). The primary objective of this research is to investigate targeted interventions and resources designed to enhance educators' cultural awareness and social-emotional competence. These enhancements aimed to foster identity-affirming learning environments for students of color, serving as a mechanism to address and mitigate racial discipline disparities in educational contexts.

The validation of student identities, alongside the establishment of inclusive learning environments, is paramount for promoting academic success and addressing the distinct needs of students of color. Nonetheless, the enduring presence of …