Digital Commons Network^™

Adjunctive Psychosocial Interventions And Opioid Abstinence Among Patients Receiving Buprenorphine: A Randomized Clinical Trial., Michelle R. Lent, Emily E Hurstak, Kevin G Lynch, Emily Loscalzo, Kimberly Mazur, Helen L Lugo, Karen L Dugosh

PCOM Scholarly Works

IMPORTANCE: Adjunctive psychosocial treatments are recommended for many using medications for opioid use disorder (MOUD), but it is unclear which approaches can best enhance treatment outcomes.

OBJECTIVES: To evaluate the comparative effectiveness of 2 psychosocial treatments, peer recovery support (PRS) and cognitive-behavioral therapy (CBT), on opioid abstinence when used as adjunctive therapies to office-based buprenorphine treatment in adults with opioid use disorder (OUD).

DESIGN, SETTING, AND PARTICIPANTS: This randomized clinical trial included US adults diagnosed with OUD referred for care at 5 federally qualified health centers with office-based addiction treatment programs by their clinicians from 2020 to 2024. Participants were …

The Spiritual Communities Of Bronies, Amie Sexton

Theses, Dissertations and Culminating Projects

Bronies, adult, typically male, fans of the cartoon My Little Pony: Friendship is Magic, have long been regarded for seemingly breaking expectations around gender norms. This study finds that Bronies break expectations around what is expected of spiritualism. Through interviews and ethnographic observation of social media spaces Bronies frequent, it is found that spirituality based on the cartoon within the fandom is broad, diverse, and at times, normative. A proportionally-small group of fully sincere spiritualists with plural experiences and strong convictions inspire a much larger community of post-ironic aspirants. Aspirations towards spiritual experiences and the development of profound terminologies create …

Peaks Island Star : June 2026, Vol. 46, Issue 6, Service Agencies Of The Island

Peaks Island Star, 2026

The Peaks Island Star is the newsletter of the island's service agencies and other community news.

Managing Migration And Political Change: Lessons From Sweden’S 2015 Asylum Crisis For South Korea’S Emerging Immigration Era, Sean Lee

Dissertations, Theses, and Capstone Projects

The purpose of this capstone project is to analyze how two nations that have little in common in terms of geography or politics have been required to deal with immigration issues in ways that their institutions did not anticipate. One nation has been dealing with immigration-related issues for some time now, while the other nation has yet to do so. In 2015, when Sweden received approximately 162,000 asylum applications in one year alone, Sweden’s housing systems were strained, many of the municipalities were unable to keep up with the demand, and the political climate began to shift in ways that …

Goddess In A Trash Can: Religious Ritual Disposal In New York City Public Parks, Zoe Oro-Hahn

Dissertations, Theses, and Capstone Projects

Practitioners of Afro-Caribbean religions, including Santería, Vodou, Espiritismo, and Las 21 Divisiones, utilize the New York City Public Parks system to hold rituals, connect with spirits and ancestors, and dispose of religious remains leftover from trabajos (workings) and brujería (witchcraft). Utilizing photos from Van Cortlandt Park in the Bronx, my thesis considers the religious, political, social, and practical rationale behind this phenomenon, explores the rituals occurring, and provides policy suggestions that balance religious needs of practitioners with the safety and wellbeing of New York City’s parks.

Assessing The Influence Of Disability Views On Perceptions Of Hearing Aids Among Older Korean Adults, Stasha Lee

Dissertations, Theses, and Capstone Projects

Background

Age-related hearing loss, also known as presbycusis, is highly prevalent among older adults, yet hearing aid adoption remains low, in part due to concerns about stigma and negative social perceptions. This study aimed to examine whether attitudes towards disabilities influence perceptions of individuals wearing hearing aids among older Korean adults. It also explored the potential effects of cultural identity and the age of the individual wearing the hearing aid on these perceptions.

Methods

Ten participants completed the Attitudes and Perspectives on Persons with Disabilities (APPD) questionnaire and rated 8 different images of individuals (one younger male and one older …

New York State Excelsior Scholarship Program: A Post-Implementation Analysis Of Student Success, Eligibility, And Indebtedness – An Intersectional Study Of Black And White Female Students, Marcus I. Richardson

Dissertations, Theses, and Capstone Projects

The New York State (NYS) Excelsior Scholarship Program, introduced in 2017, was designed as a “first-in-the-nation” tuition-free initiative intended to expand college affordability for undergraduate students attending public institutions in New York State. While the program aims to increase access to higher education, its eligibility requirements, particularly the expectation that students complete 30 credits annually through continuous full-time enrollment, may disadvantage students whose academic pathways diverge from traditional enrollment patterns. This study examined the relationship between structural, financial, and academic factors and students’ ability to retain Excelsior Scholarship eligibility at the City University of New York (CUNY). Using institutional data …

Radiotheranostics For Gynecological Pathologies, Joni Sebastiano

Dissertations, Theses, and Capstone Projects

Molecular imaging, specifically positron emission tomography (PET), is vital for detecting disease and understanding its biological makeup. The exploitation of radiolabeled antibodies for PET imaging has proven to be indispensable to the field of molecular imaging over the last several decades. The development of radioimmunoconjugates for use in immunoPET has not only allowed for the sensitive, specific, and high-resolution detection of disease, but has also enabled a deeper understanding of the disease biology, ultimately guiding more personalized therapeutic strategies. Most typically, this technology is harnessed for the diagnosis and treatment of cancer, however more recently, the field has explored the …

Music Appreciation In Cochlear Implant Users: A Questionnaire, Hanna Davidson

Dissertations, Theses, and Capstone Projects

Cochlear implants provide significant benefits for speech perception in individuals with severe to profound hearing loss; however, music perception and appreciation remain challenging due to limited spectral and temporal resolution. This study examined music appreciation in post lingually deafened adult cochlear implant users, focusing on changes in enjoyment, listening behaviors, and subjective experiences following implantation. Sixteen adults completed a 36-item questionnaire assessing pre- and post-implant music engagement, perceived sound quality, and emotional responses to music. Quantitative data were analyzed using descriptive statistics and inferential statistics, and qualitative responses were analyzed thematically.

Results indicated a moderate decline in music enjoyment following …

Access Denied: Financial Aid Inequalities And The Economic Impact On Daca Students, Teresa D. Jordan

Dissertations, Theses, and Capstone Projects

This capstone project argues that financial aid policies in the United States create a system of structural inequality that systematically denies Deferred Action for Childhood Arrivals (DACA) recipients’ equitable access to higher education. Drawing on peer-reviewed scholarship, federal policy data, and large-scale survey research, this paper demonstrates how the categorical exclusion from federal financial aid, inconsistent in-state tuition laws, and recurring DACA renewal fees form an interlocking barrier with profound psychological and economic consequences for a population that is deeply integrated into American society. These compounding barriers force students into a framework of constrained rationality, distorting their academic major choices …

How Temporal Integration And Complexity Drive Musical Enjoyment, August Miller

Dissertations, Theses, and Capstone Projects

Music is a type of aesthetic stimulus that unfolds dynamically over time. Combining approaches from previous research on musical preferences and research on spatial integration as a driver of visual aesthetic appreciation, we investigated how the integration of musical percepts over time influences listener enjoyment and the level of agreement between the enjoyment ratings of each listener. We used a DNN tool to quantify temporal dependencies in 32 music clips and also computed complexity scores for them. Subjects listened to each music clip while using a rotating dial to provide a continuous enjoyment rating, changing the dial’s position at the …

A Hot Topic:
Congressional Polarization And Climate Change, Mercedes R.P. Wilby

Dissertations, Theses, and Capstone Projects

Scholars offer competing explanations for how congressional polarization develops and operates. The literature variously points to shifting agendas, procedural change, or member adaptation or replacement. In this project, I study how congressional polarization occurs by asking what mechanisms account for the emergence of climate policy polarization. Climate policy is a useful test case to evaluate these competing theories. As a relatively low-salience, highly technical issue that is neither new nor inherently ideological, it is not an obvious candidate for deep partisan division. Yet climate policy has become sharply polarized, extending partisan disagreement even to the underlying science.

In order to …

Implicit Attitudes Toward Hearing Aid Visibility: Conspicuous Versus Inconspicuous Hearing Aid Colors, Orly R. Ames

Dissertations, Theses, and Capstone Projects

Hearing aid stigma remains a significant barrier to treatment uptake, with device visibility frequently identified as a contributing factor. Although prior research has examined visibility in relation to hearing aid size and style, the role of color as a distinct aesthetic dimension has not been systematically investigated. The present study assessed whether hearing aid color affects implicit and explicit attitudes toward hearing aids and whether such evaluations differ across contexts. Twenty-six adults who were not current hearing aid users participated in an online quantitative multi-method study consisting of an Implicit Association Test (IAT) and self-report questionnaires. The IAT measured implicit …

A Comparison Of Manufacturers’ Claims Of Attenuation Rates In Non-Custom Earplugs, Skyler M. Shipley

Dissertations, Theses, and Capstone Projects

Recreational and social environments frequently expose individuals to high intensity noise environments; however, the use of hearing protection devices (HPDs) remains limited. This study evaluated whether non-custom, over-the-counter musicians’ earplugs provide attenuation consistent with manufacturers’ claims and whether cost is associated with performance. Six commercially available earplug models were tested using both human participants and a KEMAR manikin system. Attenuation was measured across frequencies from 250–8000 Hz (octave and inter-octave frequencies) and were tested using different ear tip sizes. Results indicated that several earplugs achieved attenuation levels comparable to or exceeding their advertised noise reduction ratings (NRR), though consistency varied …

Gramsci’S ‘Democratic Philosopher’ And The Concept’S Foundations In Marxian Social Ontology, Eli Recht-Appel

Dissertations, Theses, and Capstone Projects

This thesis deals with the term ‘democratic philosopher’ from Antonio Gramsci’s Prison Notebooks. In order to lay the groundwork for my distinct interpretation of the ‘democratic philosopher,’ I begin by providing an overview of Gramsci’s theory of the role of intellectuals in civil and political society. I then argue that the ‘democratic philosopher’ emerges from Gramsci’s typology of intellectuals but is a category which is both temporally and ontologically distinct from his more well-known concept of ‘organic intellectuals.’ ‘Organic intellectuals,’ intellectuals who co-develop alongside their fundamental social group or class, occupy a variety of cultural and political roles in …

Race And The Enduring Logic Of Exclusion In U.S. Immigration Policy, 1882–2025, Kejda Nikollaj

Dissertations, Theses, and Capstone Projects

This thesis examines how immigration law in the United States has historically functioned as an instrument of racial exclusion and argues that this logic continues to shape contemporary policy and enforcement. Although overtly racist laws such as the Chinese Exclusion Act (1882) or the National Origins Act (1924) have long been repealed, their underlying rationales and structures continue to survive under the modern language of legality, security, and national interest. This study argues that restrictive immigration policies tend to emerge when racial and social insecurities intersect, allowing old hierarchies to be revived under new legal justifications. Through a comparative historical …

An Investigation Of The Impact Of Privacy On Sexual And Reproductive Health Using Reports On The 2010 Earthquake In Haiti, Jillian E. Myers

Dissertations, Theses, and Capstone Projects

In 2010, a massive 7.0 magnitude earthquake hit the capital city of Haiti, Port-au-Prince, causing great destruction of infrastructure and the devastating loss of about 316,000 lives and over a million homes. The earthquake destroyed agricultural production and clean water sources, causing severe resource scarcity along with the overcrowding in the relief camps. Following the earthquake, international aid organizations flooded into Haiti in an effort to help provide immediate relief. The relief efforts were unprepared and lacked coordination among each other to efficiently implement the needed aid services. Without strategic planning to ensure all people’s needs are met, women and …

Erosion And Accretion: Mobilities Of Sand, People, And Memory At Queer Riis Beach, Jah Elyse Sayers

Dissertations, Theses, and Capstone Projects

The People’s Beach at Jacob Riis Park on the Rockaway Peninsula of Queens, New York, is a vibrant place of queer and trans public-space placemaking—and especially Black and working class queer and trans placemaking. A distinct queer ecology emerges in the interplay of the dynamic movement of the barrier island, queer and trans—especially queer and trans Afro-diasporic—mobilities. This queer ecology, while articulated with, also defies and exceeds logics and workings of private property. In response to a convergence of pressures on Black, queer, trans, and working-class placemaking on the beach site in the 2020s, beachgoers have mobilized longstanding provisional socialities …

Mapping Nucleosome Stability: Linking Oncogenic Structural Alterations To Long-Range Allosteric Communication, Augustine C. Onyema

Dissertations, Theses, and Capstone Projects

The nucleosome core particle (NCP) is essential for chromatin structure and function, serving as the fundamental unit of eukaryotic chromatin. Oncogenic mutations in core histones disrupt chromatin dynamics, altering DNA repair and transcription processes. How DNA communicates with histones, and how this information propagates through the histone, has been suggested to be a cooperative process. Here, I investigate the molecular consequences of two mutations, H2BE76K and H4R92T, using 36 µs of all-atom molecular dynamics simulations on Anton2. I also characterize the kinetic correlation within histone/DNA domains via conditional activity (CONDACT) using the dihedral angle as our degrees of …

Wageless By Design: Dependency In U.S. Visa Regimes, Cristina Ochoa Echeverri

Dissertations, Theses, and Capstone Projects

This capstone examines how U.S. dependent visa regimes create a population of migrants who are legally present but structurally excluded from paid work and independent legal status. Focusing on visa categories such as H-4, F-2, M-2, O-3, P-4, R-2, and TD, it argues that wagelessness is not incidental but structurally embedded in the legal design of temporary migration governance through employment restrictions, derivative legal status, and the tethering of dependents to a principal visa holder.

Using a qualitative, interpretive approach, this study draws on documentary and secondary sources as well as digital narratives from platforms such as Reddit. This capstone …

Kanak-Ish Misfits: Queer Imaginaries, Racialized Borders, And The Politics Of Care In Berlin, Germany, Faruk Seref

Dissertations, Theses, and Capstone Projects

This dissertation examines queer Muslim experiences of border politics, racialization, and care in Berlin, Germany. By formulating bordering as a domineering and oppressive practice of boundary-making, I study how global bordering mechanisms shape and disrupt structures of care, caring, and being cared for. With an intersectional focus on race, gender, sexuality, and sex, I argue that borders are simultaneously materialized and challenged in varying localities, including the nightclub, the queer scene, the diasporic neighborhoods, and households. Ultimately, viewing collective care as fundamental to survival, healing, resistance, and building non-punitive lifeworlds, I theorize the counter-hegemonic practices of queers of color through …

The Exception: Refugee Camps And Governmental Control, Kyle L. Mans

Dissertations, Theses, and Capstone Projects

This capstone study examines the relationship between governmental control and the state of exception in refugee camps. This connection is analyzed by examining the control mechanisms employed by the nation state to erode the sovereignty of the individual within a refugee camp space. This study also examines how humanitarian organizations contribute to the perpetuation of the state of exception and how their involvement facilitates further state control. Included in this capstone are two case studies that examine both Libya and Kenya as examples of governmental control on the sovereignty of refugees and migrants. This research contributes to the overall understanding …

Managing Multi-Channel Service Operations, Omer Berk Olmez

Dissertations, Theses, and Capstone Projects

In today’s evolving service landscape, the growth of virtual channels alongside traditional in-person services is changing how providers interact with customers and how services are delivered. This dissertation studies how service systems should be designed and managed when customers can choose between virtual and in-person channels through three connected perspectives: customer behavior, work design, and public policy. The first study examines booking-window design in a pooled multi-channel appointment system using appointment-level data from an undergraduate advising office, a queueing model, and a digital twin. It shows that booking windows shape the offered set and the flow of demand across channels, …

Pedagogy Of Care: Exploring Climate Justice Frameworks In Cuny Undergraduate Courses, Ismerlyn Gonzalez

Dissertations, Theses, and Capstone Projects

Climate justice centers the human rights of communities most impacted by the climate crisis rather than solely focusing on the scientific aspects of environmental challenges and disasters. Higher education institutions play a key role in advancing climate justice education, but research shows that frameworks are not consistently defined across institutions. The IRB-approved study that produced the findings in this capstone sought to explore how climate justice frameworks are implemented at the CUNY undergraduate level and learn more about the instructors delivering these courses. From February to April 2026, instructors from different CUNY undergraduate campuses were surveyed, interviewed, and asked to …

An Ecological Approach To School Climate, Safety, And Space: Accounts From Educators, Architects, And Guidelines, Mahnaz Izadi

Dissertations, Theses, and Capstone Projects

This dissertation explores how the spatial and social contexts of schools interact to influence how school safety and climate are perceived and enacted. Using ecological psychology theories, I examined the perspectives of teachers, counselors, and architects, school stakeholders involved in school planning and operation at different times, with varying levels of control and involvement in the daily life of schools. The study investigates how these stakeholders think about school climate and safety, the strategies they employ to improve it, and the challenges they face in doing so.

This qualitative study employs semi-structured interviews with 11 teachers and 4 counselors from …

Immunomodulatory And Signaling Molecules From Plant-Associated Bacteria: Toll-Like Receptor 4 Agonist Adjuvants And Diketopiperazine-Mediated Communication, Marian Romaine

Dissertations, Theses, and Capstone Projects

Medicinal plants and their associated microbiomes constitute a rich source of bioactive natural products with applications in immunotherapy and microbial ecology. Herbal formulations have long been valued for safe immune enhancement, while bacterial signaling molecules govern community behaviors critical to pathogenesis, symbiosis, and environmental processes. Bacterial lipopolysaccharides (LPS) from plant-associated Gram-negative bacteria have emerged as potent TLR4 agonists, yet their endotoxic potential limits direct use, and diketopiperazines (DKPs) serve as versatile quorum-sensing mediators capable of modulating biofilms in mixed microbial systems.

The work in this thesis comprises two independent but complementary research strands. The first strand pursued the engineering of …

Exploring Minor Feelings: Asian And Asian American’S Racialized Emotions, Identity, And Mental Health Amidst Covid-19, Kristina Mirasol Arevalo

Dissertations, Theses, and Capstone Projects

The COVID-19 pandemic highlighted the central role of racialized emotions in shaping how Asians/Asian Americans (A/AA) experience, interpret, and respond to racism, yet these emotional processes remain underexamined in psychological research. Rather than treating emotions as outcomes of discrimination, this dissertation conceptualizes racialized emotions as dynamic processes through which structural racism is experienced, interpreted, and embodied in everyday life. This framework positions racialized emotions as a key mechanism linking racialized social contexts to identity development and mental health. Across three studies using qualitative and quantitative methods, I examine how racialized emotions shape racial meaning-making, ethnic-racial identity, and psychological well-being among …

Healing Historical-Intergenerational Trauma And Colonial Soul Wounds With Ancestral Healing Practices And Psychosocial Limpias: An Ofrenda For The Salvadoran Community, Joanna D. Beltrán Girón

Dissertations, Theses, and Capstone Projects

In 1992, the United States-backed Salvadoran military and the leftist guerrillas signed the Chapultepec Peace Accords, which put an end to a 12-year war in El Salvador that resulted in 75,000 deaths, 12,000 forced disappearances, and half a million internal displacements. Around 85% of the reports made by survivors of the war attributed the violence to state agents, paramilitary groups, and death squads.While taking into account this history of state violence, this dissertation is interested in the psychosocial aftermath of the war and in how survivors integrate healing practices in their lives in response to the painful memories their bodies …

Reexamining The Croton Aqueduct: A Ward-Level Microhistorical Analysis Of Infrastructure And Cholera Mortality In 1849 New York City, Alexandria R. Toothman

Dissertations, Theses, and Capstone Projects

This work reexamines the Croton Aqueduct’s role in public health by shifting analysis from the citywide level to the ward level, revealing that infrastructure expansion did not produce uniform benefits across New York City. When the Croton Aqueduct opened in 1842, it was celebrated as an achievement that would deliver pure water and eliminate disease. However, only seven years after its opening, in 1849, cholera returned with greater force in the Sixth Ward. This work shows that the uneven distribution of Croton infrastructure corresponded with uneven cholera mortality rates, challenging narratives that present Croton as a singular triumph of urban …

Identifying Textual Predictors Of Early Termination In Clinical Trials In Medicine: An Explainable Machine-Learning Study, Rohan Ramnarain

Dissertations, Theses, and Capstone Projects

About one in five clinical trials in medicine ends early, wasting valuable resources and reducing the evidence available for developing life-saving medical treatments. This project uses a method called Trial2Vec, which is a self-supervised machine-learning method that converts clinical trial documents into dense numerical representations that capture their key design and clinical characteristics, to turn each proposed clinical trial’s written protocol into a compact numerical profile (a process referred to as embedding). These profiles are then paired with a predictive machine learning models to identify the words and phrases in the trial documents that can signal a higher risk of …