Digital Commons Network^™

Healing Beyond Bars: Integrated And Sustainable Recovery Models For Post-Incarcerated Women, Patricia A. Nunez, Jonathan Solomon

Electronic Theses, Projects, and Dissertations

Substance Use Disorders (SUDs) significantly impact the re-entry process for formerly incarcerated individuals, particularly Latina/x women, who face unique cultural, social, and economic challenges in accessing effective treatment. The purpose of this study is to explore the effectiveness of substance use disorder treatment programs in support of successful reentry outcomes for Latina/x women post-incarceration. Previous research on SUD treatment for this population remains limited despite growing awareness of the need for gender-responsive and culturally informed interventions. Qualitative research with an exploratory design within an interpretive research paradigm will be utilized to investigate the lived experiences of Latina/x women who have …

Disproportionate Use Of Behavioral Restraint In Schools A Descriptive Study Of The K-12 System In California, Samuel F. Deck

Electronic Theses, Projects, and Dissertations

Behavioral restraint is widely used in California schools with the stated purpose of ensuring safety, despite being an unsafe intervention that can exacerbate unsafe behaviors. Certain student demographics and school district policies are associated with disproportionate behavioral restraint risk; however, these disproportionalities have not been systematically examined at the district level within California in a way that directly benefits affected students. This study aims to examine which student identifying factors were associated with the disproportionate use of behavioral restraints in California school districts during the 2023-2024 school year. Using the Positive Behavioral Intervention Supports (PBIS) framework, this research will calculate …

The Effects Of Excessive Smartphone Use On Interpersonal Relationships, Lisa M. Whitesell

Electronic Theses, Projects, and Dissertations

Smartphones are integral to daily life, generating a propensity for overuse that raises concerns about the potentially adverse effects on social connections and communication. Previous research is primarily quantitative, focused on male subjects outside the United States, and has not explored the impact of smartphone use on relationships from the perspective of close friends and family. This study addresses the gap by applying qualitative methodologies using a more balanced gender sample in the United States. Semi-structured interviews will capture participants’ experiences and perceptions of how excessive smartphone use affects their interpersonal relationships. Open-ended questions will explore smartphone use patterns, the …

Exploring Resilience Factors And Interventions Among Transition-Age Youth Facing Homelessness, Sandy Flores

Electronic Theses, Projects, and Dissertations

This study will explore the resilience factors and interventions that promote positive outcomes among transition-age youth (18–24 years old) experiencing homelessness in Southern California. Youth homelessness is a critical issue linked to systemic barriers and limited resources. This research will address the gap in understanding how resilience mechanisms enable youth to overcome challenges and navigate support systems. Using a qualitative approach, semi-structured interviews will be conducted with 20 participants located in San Diego County to examine their coping strategies, social networks, and experiences with interventions. Thematic analysis will be used to identify key resilience factors, barriers, and facilitators, providing insights …

Barriers To Healthcare In Lgbtq+ Baby Boomers, Kellie Jones, Alexandra Lomeli, Bryant Vargas

Electronic Theses, Projects, and Dissertations

LGBTQ+ Baby Boomers have experienced decades of discrimination, societal suppression, and exclusion from equitable healthcare. Despite advancement in recent years, healthcare disparities persist, and past experiences of discrimination may contribute to present-day barriers in accessing quality care. Existing research often neglects the intersectionality of aging, sexual orientation, and identity, leaving a gap in understanding the long-term effects of historical trauma on healthcare access for this population.

This quantitative study seeks to answer the question: How does the historical trauma experienced by the LGBTQ+ Baby Boomer population impact the healthcare barriers they face? This study proposes to examine the relationship of …

The Hidden Cost Of Students With Dependents In The California State University System, Sandra Serrano, Christina Gonzales

Electronic Theses, Projects, and Dissertations

This study explores the hidden costs faced by students with dependents in the California State University (CSU) System. Although students with dependents make up a significant population within the California student population, data on student with dependents is limited, their needs and struggles remain underreported making efforts to address their needs effectively harder. Despite the passage of California’s Assembly Bill 2881, which mandates that all community colleges and Cal State systems do more for this population, compliance remains low, citing a lack of reliable data. This study takes on a mixed-methods approach to investigate the hidden costs associated with being …

Success Rate Of Batterers Intervention Programs, Brittney Perez, Manuel Mercado

Electronic Theses, Projects, and Dissertations

The success rate of men completing the Batterer’s Intervention Program (BIPs) using the Duluth Model remains a significant concern in domestic violence prevention. The Duluth Model, designed to challenge patriarchal beliefs and promote nonviolent behavior, has shown mixed results. Factors such as program length, financial barriers, and prior offense influence completion rates. While some research suggests reduced recidivism among program completers, high drop out rates undermine overall effectiveness. This study aims to assess the success rates of men completing BIPs using the Duluth Model, focusing on factors influencing program completion, recidivism, dropout rates, and long-term behavioral change over two to …

Examining Distrust Marginalized Populations Experience Within Healthcare In The Us, Mikela Jennings, Marco Ramos, Estrella Garcia

Electronic Theses, Projects, and Dissertations

Background: In the United States (US), Black and Brown individuals experience a significant amount of distrust towards medical professionals in the healthcare field. This distrust often results in an ongoing underutilization of medical care due to fears surrounding the quality of treatment Black and Brown individuals receive within the healthcare system. Previous research on this issue has identified many factors that contribute to the severity of medical distrust. Objective: This proposed quantitative study seeks to describe and examine the commonalities Black and Brown individuals have in association with medical distrust towards the healthcare system in the US. Methods: …

Overcoming Obstacles: Exploring Mental Health Service Barriers For Immigrants And The Impact Of Acculturation, Mallory Manahan, Joyce Guevara

Electronic Theses, Projects, and Dissertations

Immigrants are faced with various challenges as they adjust to a new life in a foreign country and undergo acculturation. The acculturative stressors experienced by immigrants increase the risk of mental health issues like depression and anxiety. Yet, mental health services are underutilized by the immigrant population despite a high need for mental health support. The underutilization of mental health services can be attributed to barriers like stigma, language barriers, and a lack of culturally competent care. This study explores the acculturation impacts on immigrant mental health and identifies the barriers to accessing mental health services to gain a deeper …

Mental Health Stigma And Barriers Among The Latino Community, Noemi Toraya

Electronic Theses, Projects, and Dissertations

Being faced with a lack of awareness of mental health in the Latino community has brought much attention to the reasons why Latinos lack treatment or choose not to get treated. In Latino culture, mental health is a construct of society, a label applied to justify not being able to function, work, or be present. For many Latinos who experience mental health problems, getting treatment is critical. However, there are several obstacles to overcome, one of which is the stigma associated with mental health and how it is viewed in the Latino community. In Latino communities, stigma sometimes involves associating …

Learning A Second Language In A Second Language: Bi/Multilingual Students’ Experiences In Stem, Lara L. Spence

Electronic Theses, Projects, and Dissertations

Drawing on qualitative interview data from undergraduate students at a public university in California, this thesis conducts a Critical Discourse Analysis (CDA) of the experiences of bilingual and multilingual STEM students as they navigate language barriers in higher education. Specifically, it examines how disciplinary sublanguage, defined as the specialized vocabulary and communication practices unique to an academic field of study, and dominant language ideologies (e.g., monoglossic ideology, the English-only movement, etc.) gatekeep students’ access to knowledge, participation, and academic success. To do so, this thesis employs Fairclough’s three-dimensional model of CDA to connect individual experiences with broader institutional and societal …

Examining Physical Activity Behaviors And Associated Health Indicators In College Students, Elizabeth A. Reyes

Electronic Theses, Projects, and Dissertations

Background: Physical activity (PA) is a critical determinant of both physical and mental health, yet many individuals fail to meet recommended guidelines. College students face increasing challenges related to physical inactivity, elevated stress levels, and poor sleep quality, all of which negatively impact their overall health and academic success. College students who fail to meet recommended PA guidelines are at an increased risk of chronic diseases. This study aimed to examine patterns of PA among college students and explore associations with sleep quality and perceived stress.

Methods: A cross-sectional design was employed using a self-administered questionnaire that included items on …

Racial Disparities In Sentencing Across The United States: A Regression Analysis, Katlyn Moreno

Electronic Theses, Projects, and Dissertations

Background: Mass incarceration has been a serious social problem in the United States with millions of people under the supervision of the criminal justice system. This problem is even more challenging for minority populations with African-Americans, Hispanics, and other minority racial groups experiencing harsher punishment than their non-minority counterparts. Previous research on this topic is limited in scope and methodology. Purpose: This study will fill a gap in the literature by comparing sentencing lengths among racial groups in the United States. It was hypothesized that racial minorities (African-American and Hispanic offenders will receive lengthier sentencing as compared to their counterparts …

Can Carpobrotus Edulis Cause Significant Changes To The Soil Microbiome?, Samantha J. Cowan

Electronic Theses, Projects, and Dissertations

Invasive species cause significant damage to ecosystem biodiversity and can cost billions of dollars to restore native species (Van der Wal et al, 2008; Diagne et al., 2021).  In certain instances, even if the invasive species are removed, they can leave legacy effects on the environment that make restoration more challenging (Conser and Connor, 2008; Elgersma et al., 2011). Carpobrotus edulis is an invasive species of plant that is known to cause changes to its environment such as affecting the soil nitrogen cycle and the pH, potentially leading to persistent changes in the soil microbiome and causing native species to …

Structural Erasure And Suicide Risk: The Impact Of Gender Misrecognition And Institutional Nonsupport On Incarcerated Transgender Adults In California, Julliana Lex Alcala, Allyza Rae Roxas

Electronic Theses, Projects, and Dissertations

Incarcerated transgender and gender-diverse (TGD) individuals experience disproportionately high rates of suicide risk, and correctional environments may intensify minority stress through institutional misrecognition, discrimination, victimization, and restricted access to gender-affirming care. Despite protective policy reforms such as Senate Bill 132, limited research have examined how structural practices shape suicidal ideation among incarcerated TGD populations. This study will investigate how denial of gender-affirming recognition and staff support contributes to suicidal ideation among incarcerated TGD adults in California state prisons. From the perspective of the Gender Minority Stress framework, this study will use a convergent mixed-methods design to examine both statistical relationships …

Effects Of Cannabinoid Agonist Win 55-212-2 On Latent Inhibition, Ashley Peterson

All Graduate Theses and Dissertations, Fall 2023 to Present

The endocannabinoid system (ECS) is a modulatory system that helps regulate brain functions, including learning and memory, influencing processes such as latent inhibition (LI). LI refers to the slower association formed when a familiar event is paired with a new outcome, compared to the association of an unfamiliar event. LI is a process that is often disrupted in individuals with schizophrenia and is known as a cognitive symptom. This study aimed to determine whether the drug WIN-55-212-2 (WIN), which interacts with the ECS, influences the process of LI using a fear-conditioned response procedure. The results found no significant interaction among …

A Mixed-Methods Investigation Of Physician Compassion In Consultations For Chronic Primary Pain, Sarah Daehler

All Graduate Theses and Dissertations, Fall 2023 to Present

Chronic primary pain refers to physical pain that has no apparent organic cause, cannot be explained by another condition, and has associated psychological distress or functional impairment. Chronic primary pain is common and can significantly interfere with functioning, including occupational or social functioning. Research has shown that physicians struggle to treat this population, with many physicians reporting feeling unequipped and many patients feeling that their physicians are unhelpful and dismissive. Compassion may play a key role in improving these difficult interactions. The present study analyzed a sample of 99 participants with chronic pain and 100 healthy controls to learn more …

Using Picturebooks In Elementary School To Support Discussion, Connection, And Community Action, Polly Parkinson

All Graduate Theses and Dissertations, Fall 2023 to Present

Children are in school to acquire knowledge, so the books they read are a significant influence on how they see themselves and others. School curricula often lack diverse voices, which may limit students’ views of themselves and how they relate to their communities. The research objective of this study was to examine the potential for fostering empathy in students, to encourage societal benefits of positive community behaviors, deepen understanding of history, and future contributions to an engaged democratic society.

The problem identified was that although much research exists discussing children’s literature and empathy, little explores whether that empathy leads to …

Impact Of Social Worker Bias On African American Fathers With Open Children Family Services Cases, Jenna Espinosa, Cecil Perry, Jasmine Alvarado, Jennifer Garcia, Lacrietia Grate-Dixson

Electronic Theses, Projects, and Dissertations

Systemic barriers and biases within institutions and policies affect how African American fathers engage with Children and Family Services (CFS). According to research, social worker bias, whether overt or covert, can influence case decision-making, affecting fathers' access to resources and overall involvement in their children’s lives. This study aims to quantitatively assess the impact of social worker bias on African American fathers' engagement by evaluating service completion rates at the .21e hearing. A quantitative research design will be utilized by implementing a validated survey to measure social worker bias and case file reviews to assess service completion. Statistical analyses, including …

Eating Patterns Among College Athletes, Sarah Sanchez

Electronic Theses, Projects, and Dissertations

The purpose of this cross-sectional study was to examine eating patterns among college athletes attending a minority-serving, urban institution where commuting is highly prevalent to assess potential risks of disordered eating, nutrient deficiencies, and food insecurity. A total of 189 students [M age (SD) = 20.29 + 1.46 years] from a mid-sized university in the U.S. responded to an anonymous online survey. The survey consisted of questions regarding food security, hydration/beverage status, demographics, disordered eating attitudes and behaviors, and food consumption patterns. Findings indicated a low prevalence of severe disordered eating behaviors within this sample. However, attitudes about disordered eating …

Glucagon-Like Peptide-1ra As A Public Health Interventions, Briana Sepeda

Electronic Theses, Projects, and Dissertations

Glucagon-like peptide receptor agonist (GLP-1RA) medications have become a prominent topic of interest both in clinical medicine and broader societal discussions. Although the medication are relatively new and expensive, ongoing research continues to explore pharmacologic modifications aimed at improving therapeutic effectiveness and prolonged drug half-life. GLP-1RAs have gained significant traction due to their ability to lower glycosylated hemoglobin (A1c) and blood glucose levels in individuals who have been diagnosed with type 2 diabetes (T2D). In addition to glycemic control, evidence suggests its associations with appetite suppression, weight loss, reducing cardiovascular disease, improved renal dysfunction, neuroprotective effects related to neurodegenerative disease …

What Is Transitional Care And Its Role In Reducing Readmissions, Decia Rodriguez

Electronic Theses, Projects, and Dissertations

Thirty-day readmissions to hospitals creates significant clinical and financial burdens in healthcare systems and worsens patient outcomes. This project reviews transitional care programs as strategic interventions to minimize preventable readmission with a specific focus on pharmacist-led medication reconciliation. Due to the extensive literature review, this work proves that structured transitional care is effective in closing the gaps between acute hospital care and home-based recovery because it coordinates medication management, patient education, and follow-up care. As it has been shown, pharmacists are in a central position to minimize medication errors and enhance compliance, especially in chronic patients such as those with …

Resilience, Stress, And Emotion Regulation In College Students: A Moderated Mediation Model Of Tiktok Engagement, Samuel Bibat, Jon Thang, Hui Zhang, Hannah Carrie, Jessica Golden

Journal of Social, Behavioral, and Health Sciences

This study examined associations between stress, resilience, emotion regulation (ER), and TikTok use. Data were collected from 101 undergraduate students (M_age = 20.04, SD_age = 4.02) at a Midwestern private university. Participants completed self-report measures of TikTok use and intensity (i.e., emotional attachment), resilience, perceived stress, and intrapersonal and interpersonal ER. Mediation and moderated mediation analyses were conducted using PROCESS macro models. Stress mediated the relationship between resilience and TikTok use but not intensity. Interpersonal ER moderated the resilience–stress link, with higher interpersonal ER amplifying the negative association between resilience and stress, which in turn was linked …

When The Eagle Strikes The Vein: A Case Of Styloid-Induced Venous Sinus Thrombosis, Neud Kiros, Ahmad Chehab, Abeer Abukamil, Ali Luqman, Kamil Abu-Shaban, Mehdy Haidar, Ay-Ming Wang

Conference Presentation Abstracts

Clinical History 41-year-old male with no prior relevant medical history presented to the emergency department with severe neck pain and occipital headaches radiating bilaterally to the temporal regions. He also reported diplopia and “tunnel vision.” He had presented two weeks earlier with similar symptoms and was advised outpatient follow-up. Initial CT head and cervical spine were unremarkable. Imaging Findings Brain MRI/MRV demonstrated heterogeneous signal and enhancement in the left transverse and sigmoid sinuses and jugular bulb, initially thought to reflect possible motion artifact. However, CT venography was recommended for further assessment. The MRI also showed subtle left posterior occipital subdural …

Diffuse Marrow And Orbital Fat Signal Abnormality Mimicking Infiltrative Disease: A Case Of "Flip-Flop" On Mri, Mehdy Haidar, Alexander Pietroski, Kamil Abu-Shaban, Anant Krishnan

Conference Presentation Abstracts

Clinical History A 68-year-old male with a history of left tonsillar squamous cell carcinoma treated 5 months ago and reportedly negative recent PET and CT scans of the neck and body with eye pain with possible but uncertain remote history of trauma was sent in for imaging of the orbits. The patient has a feeding tube and was recently hospitalized and discharged for tube obstruction. Imaging Findings Orbital imaging revealed diffuse signal alterations involving the orbital and scalp fat, and marrow, characterized by low signal intensity on T1WI and high signal intensity on T2WI. In particular on the STIR sequence, …

Persistent Wheezing In An Adolescent Patient, Matilda Dervisevic, Stephen Cliff

Posters

No abstract provided.

Evaluation And Treatment Of Pediatric Pre-Eruptive Intracoronal Resorption, Sophia Rosen, Robin Onikul, Neena Patel, Jenna Sparks, Amy Burleson

Posters

Pre- eruptive intracoronal resorption (PEIR), also known as “pre-eruptive caries,” is a dental condition characterized by the resorption of dental tissue prior to the eruption of the tooth.1PIER is typically found adjacent to the dentin-enamel junction, within the occlusal dentin of the tooth.2PIER may be referred to as “occult” or hidden caries due to the presence of sound enamel and is often an incidental finding on routine radiographs.3PEIR is often misinterpreted as traditional caries due to its radiographic appearance,3however requires careful evaluation for determination of treatment and long term success. Case report: This case report details a 13 year old …

Investigation Into The Effects Of Moderate-Dose Radiation On Ligament Biomechanics, Andrew Landefeld

All Theses

Recent advances in arthritis treatment pin ionizing X-ray radiation as a useful tool in reducing joint pain and immune response. However, due to a lack of fundamental research in the effects of low-dose ionizing radiation on tendon and ligament biomechanics, the safety of these studies is rather unknown. While most related studies investigated cellular response to low dose treatment, surrounding tissue physiology is left out of the picture. Additionally, moderate range doses of irradiation are rarely studied, as most uses of radiation on tendons and ligaments are for sterilization of cadaver tendons for allografts. This study provides a preliminary investigation …

Hidden Workload In Emergency Medicine: Examining The Role Of Outside-Of-Shift Duties In Emergency Physician Fatigue, Sarah Meyer

All Theses

Emergency physicians (EPs) face high rates of burnout. In addition to well-known stressors, such as fatiguing shift work schedules and intense emotional and cognitive demands faced during clinical shifts, many EPs must also attend to certain outside-of-shift duties (OSDs)–extra-clinical role responsibilities that are expected but not always formally tracked or compensated. These duties often occur during times when EPs are expected to rest and recover from shift work. Despite concerns surrounding burnout in emergency medicine and beliefs among EPs that OSDs contribute to burnout, the effects of OSDs have rarely been studied. Using daily and weekly surveys across 28 days, …

Confronting The Darkness: Nightmare Distress, Fear, And Avoidance Through The Lens Of Courage, Casidee Gonzales

All Theses

Nightmares are an infamous phenomenon where subjective meaning and objective implications meet. This thesis examined nightmare distress’ impact on fear of sleep and nightmare processing avoidance, a novel construct measured with a pilot survey; it also investigated the moderating roles of courage and neuroticism, with PTSD included as a covariate. The research was rooted in the dual-process model of courage and a phenomenology to assess approach and avoidance through goals and risks.

Participants were primarily recruited through Clemson’s SONA system, were mainly White, women, and young adults (N = 351); measures were administered via Qualtrics. Four hypotheses were tested, …