Digital Commons Network^™

Making Meaning In Gender Affirming Therapy: Voices Of Transgender And Gender Diverse Individuals, Shelby Freeman

Graduate Theses and Dissertations

Transgender and gender diverse (TGD) people frequently seek out counseling services and experience greater mental health difficulties than the general population. Oppressive political and social structures are often cited as a main contributor to mental health disparities. As antitransgender laws and sentiments increase in the U.S., the likelihood of mental health professionals encountering TGD clients will also increase. This requires specific competencies in how to provide effective gender-affirming mental health services. Affirming MHPs are more accessible to TGD clients now than ever due to increases in provider training and improved attitudes. However, previous research revealed that MHPs who identify as …

Beyond Access: Native American Students' Sense Of Belonging At Land-Grant Pwis, Skyler Ames-Patton

Graduate Theses and Dissertations

Native American students remain one of the most underrepresented populations within higher education and continue to experience unique challenges related to belonging, visibility, and persistence, particularly within predominantly White institutions (PWIs). Although sense of belonging has been widely recognized as a significant factor influencing student success and retention, traditional approaches to belonging often fail to account for distinct cultural, historical, and relational experiences that shape Native students’ educational journeys. This study explores how Native American students describe their interpersonal experiences and sense of belonging at a public, land-grant, PWI in the mid-South region of the United States. Guided by Tribal …

Item Response Theory Evaluation Of Mental Health Sentiment Scales, Muhammad Amzad Hossain

Graduate Theses and Dissertations

Mental health is an essential part of overall well-being. Accurate measurement of constructs such as loneliness, anxiety, depression, and life satisfaction is extremely important in research and practice. Traditional approaches based on Classical Test Theory (CTT) are limited. They rely on total test scores and assume constant measurement error across individuals. They may not reflect true variability in measurement precision (Zein & Akhtar, 2025; Marvianto, 2023). In contrast, Item Response Theory (IRT) provides an advanced approach by examining item-level performance. It models the relationship between latent traits and responses (Zein & Akhtar, 2025 ). To address these limitations, this study …

Identifying Muscle Health Deficits Among Older Adults With And Without Cognitive Impairment, Ray Guerreros Urbina

Graduate Theses and Dissertations

Age-related declines in skeletal muscle health (SMH) and cognitive function are major contributors to disability, loss of independence, and reduced quality of life among older adults. Emerging evidence suggests that skeletal muscle and cognitive health may be interconnected through shared physiological mechanisms; however, the relationships between specific aspects of SMH and cognitive performance remain unclear. Therefore, the purpose of this study was to examine the relationships between SMH and cognitive performance among older adults and to determine whether SMH differs between cognitively healthy and cognitively impaired individuals after accounting for age and physical activity. A cross-sectional analysis was conducted using …

Retirement Investment Behaviors Of Itin Immigrants, Krzysztof Zoltek

Theses and Dissertations from DePaul University

This study examines retirement related financial behaviors among foreign-born immigrants living in the United States, with particular focus on the role of Individual Taxpayer Identification Number (ITIN) status. Using a cross-sectional survey of 223 foreign-born respondents, including both ITIN and non-ITIN respondents, the study examined whether ITIN status, financial literacy, fintech usage, remittance behavior, demographic characteristics, and attitudes toward financial inclusion were associated with participation in formal retirement saving and likelihood of using retirement products if available. Binary logistic regression and multiple linear regression analyses were conducted to test the study hypotheses. The findings indicated that ITIN status was negatively …

Histologic Evaluation Of Late Burn Scars With And Without Dermal Substrate, Melaina Barbe, Daniel Magallanes, Sigrid A. Blome-Eberwein Md

Research Scholars

No abstract provided.

Sachi Prasad Ray-Chaudhuri: Drosophila Genetics And Mutagenesis In Indian Science, Rajiva Raman, Awadhesh Jha

School of Biological and Marine Sciences

This article summarizes the scientific contributions of Professor Sachi Prasad Ray-Chaudhuri and his unwavering commitment to advancing research and teaching in mutagenesis and genetics in post-independence India, following his postgraduate training in the United Kingdom under the mentorship of Professor H. J. Muller. His contributions in basic mutagenesis, radiation protection, animal cytogenetics, and population genetics using a range of model and native species laid the foundation of scientific research in India in these contemporary fields. This played a pivotal role in advancing genetics and biological sciences in India at a time when scientific infrastructure and resources were limited. He also …

Presidential Immunity: Before And After Trump, Thomas P. Schmidt

Faculty Scholarship

“All the officers of government,” the Supreme Court said long ago, “from the highest to the lowest, are creatures of the law, and are bound to obey it.” Despite that ringing and categorical language, however, the Court has held that the President — the “highest” and most powerful of all government officers — is “immune” from judicial oversight in several respects. Indeed, when the Court held last Term that former presidents are presumptively immune from criminal prosecution for officials acts, the dissenters warned: “In every use of official power, the President is now a king above the law.”

This Article …

The Contested Contingent Constitution: Plutocrats, Right-Wing Populists, And Labor Rights In The U.S., Kate Andrias

Faculty Scholarship

Constitutional labor rights have long been negligible in the United States. Now, with the ascendance of Donald Trump’s right-wing authoritarianism, even statutory labor rights are under threat. Yet there is an apparent paradox: While the Trump Administration seeks to declare the NLRB unconstitutional and has decimated federal workers’ rights, Trump’s “Make America Great Again” (MAGA) movement rose to power in part by invoking the plight of the American worker. The more populist wing of the American Right does not expressly challenge the constitutionality of labor law. Indeed, some right-wing populists urge an expansion of labor rights, emphasizing such goals as …

Understanding The Experiences Of Faculty Members Who Teach Case Conceptualization, Asianna Harris

Dissertations (1934 -)

Competence in case conceptualization (CC) is a core skill in clinical training. However, many graduate programs lack a structured process for teaching this complex and dynamic clinical skill. While most research focuses on students’ perspectives on learning CC, there is a distinct gap in research on faculty experiences, successful teaching methods, and the assessment of teaching practices. Therefore, this study addressed the gap in extant literature by exploring how doctoral programs’ faculty taught transtheoretical CC and how they evaluated the effectiveness of their instruction. A Consensual Qualitative Research (CQR) design was employed to deeply examine the experiences of 13 faculty …

How Wounded Healer Trainees Develop Self-Awareness Of Their Wounds And Use This Self-Awareness In Clinical Work, Nishi Ravi

Dissertations (1934 -)

The wounded healer, a concept originally introduced by Carl Jung (1951), characterizes individuals who, having undergone personal struggles or ‘wounding,’ feel inclined to alleviate the suffering of others. Extant literature attests to the prevalence of woundedness among counseling professionals and to the potential benefits and risks their wounds pose in clinical practice. Despite its widespread use across the literature, the wounded healer concept has yet to be formally and empirically operationalized, and this study addresses that gap by offering a concrete, empirically grounded definition of the construct. Yet, while wounded healers are increasingly recognized across counseling training contexts, little research …

Latina Representation In Children’S Literature: A Content Analysis Approach., Vanessa Varela

Dissertations (1934 -)

This quantitative content analysis investigates the representation of Latina girls and women in children’s books across two distinct publishing periods. Drawing on foundational scholarship in gender and racial representation in children’s literature (Casey, 2021; Hamilton et al., 2006; Leslie, 2021; Pérez Huber, 2018; Paynter, 2011; Weitzman et al., 1972), and informed by the emergence of multiracial feminism in the 1990s, the study examines a total of forty books, using the book as the unit of analysis (20 published in 1995 and 20 in 2025). A comprehensive 60-item coding instrument was used to generate descriptive statistics, conduct inferential testing, and support …

Carrying The Midwife’S Bag Across The Atlantic: German Midwives And Paraprofessional Midwifery In The Us, 1850s-1920s, Melanie Simone Lorenz

Dissertations (1934 -)

This dissertation compares the occupational development of midwifery in the United States and Germany between the 1850s and the 1920s. It examines how midwifery in nineteenth-century Germany developed into an early paraprofession through its inclusion in the paramedical division of labor and the creation of professional associations and a trade journal. In the United States, by contrast, such a development did not occur. Instead, physicians excluded midwives from the emerging paramedical division of labor. Even though a dedicated group of German American physicians and midwives attempted to replicate the German model of midwifery in St. Louis, Missouri, this paraprofessional form …

Coping With Uncertainty In Everyday Situations (Cues©): The U.S. Pilot Study, Sarah Lehman

Dissertations (1934 -)

Autistic youth experience anxiety at an increased rate compared to their neurotypical counterparts. The presence of anxiety often amplifies the social and functional difficulties faced by autistic youth, which can exacerbate poor outcomes. Intolerance of uncertainty (IU), defined as negative beliefs and reactions to unpredictable or ambiguous situations, has been identified as a key factor to the manifestation of anxiety in autistic populations. The current study aimed to replicate the protocol and results from Rodgers et al. (2023) by conducting the first U.S. pilot study examining the feasibility and efficacy of Coping with Uncertainty in Everyday Situations (CUES©); an 8-week …

The Effects Of Anti-Parkinsonian Medications On Bone Mineral Density: A Systematic Review, Mícheál Ó Breasail, Motaz B. El-Leissy, Karan P. Singh, Matthew Smith, Jakub Mesinovic, Marc Sim, Andrew Evans, David Blacker, Saman Heshmat, Neil Mahant, Christian Girgis, Peter R. Ebeling, Ayse Zengin

Research outputs 2022 to 2026

IntroductionParkinson's disease (PD) is associated with elevated fracture risk, particularly at the hip. Antiparkinsonian medications have also been associated with increased fracture risk; although their direct effects on bone mineral density (BMD) remains unclear.ObjectiveInvestigate whether antiparkinsonian medications influence BMD.MethodsA systematic search of four databases (Embase, MEDLINE, APA PsycINFO, Web of Science) was conducted up to 24/11/2025 using terms related to PD, antiparkinsonian medications and bone.ResultsA total of 748 records were identified, with 543 screened following deduplication. Fourteen studies underwent full-text review, of which seven met inclusion criteria. Three studies assessed bone mineral content or surrogate measures at non-standard sites (hand …

Advancing Dimensional Models Of Psychopathology In Cancer: Insights From Applying The Hierarchical Taxonomy Of Psychopathology (Hitop), Darren Haywood, Jai Carmichael, Miriam K. Forbes, Roman Kotov, Robert F. Krueger, Aidan G.C. Wright, Susan L. Rossell, David Castle, Wendy Lam, Maryam Lustberg, Colin E. Vize, Anna Ugalde, Phyllis Butow, Nicolas H. Hart

Research outputs 2022 to 2026

Objective: Cancer survivors, defined as those living with or beyond a cancer diagnosis, experience more than double the prevalence of psychopathology when compared to the general population. Categorical diagnostic systems, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), remain dominant in psycho-oncology despite concerns about reliability, validity, and clinical utility for this population. Dimensional frameworks, such as the Hierarchical Taxonomy of Psychopathology (HiTOP), offer a more precise alternative; however, they have not yet been widely applied in cancer survivors. Accordingly, the objective of this research was to examine the applicability of HiTOP to cancer survivors. Methods: Data …

Does Poor Regulation Lead To Pollution? Key Takeaways From A Systematic Review, Vincent Emenyonu, Kat O. Mara, Mark Lund

Research outputs 2022 to 2026

Formal recycling of used lead acid batteries (ULAB) is a multibillion-dollar industry, valued at US$12.12 billion in 2024, and expected to grow to more than $26 billion within eight years. Demand for recycled lead (Pb) for new batteries grows in developing countries where costs limit the uptake of lithium-ion batteries. ULAB recycling in these regions poses significant danger to human health and the environment. Stringent regulatory approaches for ULAB recycling in developing countries, intended to reduce pollution, have thus far been ineffective as they typically do not adequately cover small-scale informal recycling in rural and remote communities. We examine what …

Pragmatic Conceptualism, Public Nuisance, And The American Opioid Litigation, Benjamin C. Zipursky

Washington and Lee Law Review

Public nuisance as a part of American tort law has been as high profile in the first decades of this century as products liability law was in the last several decades of the twentieth century. The American opioid litigation over the past decades is a spectacular example, filling headlines and generating billions of dollars of settlements. There is a plausible argument, however, that the doctrinal core of the opioid litigation is meritless because there simply is no “interference with public right” as required by public nuisance law. The first aim of this Article is to articulate and assess that argument. …

Equality Before Tax Law, Charles Delmotte

Washington and Lee Law Review

The income tax code is riddled with exceptions—exclusions, rate preferences, and deductions—that reduce tax burdens for dominant majorities and powerful interest groups. These carveouts now amount to an astonishing $1.9 trillion, equivalent to 75 percent of all federal income tax revenue. By granting policymakers discretion to allocate tax exceptions, the tax system not only invites capture but also the weaponization of taxation against disfavored economic and political groups. Yet despite the central role of these exceptions, tax scholars have not articulated a principle requiring taxation according to general rules.

This Article bridges philosophy with insights from political economy to reveal …

Gold & Blue, Summer 2026, St. Mary's University - San Antonio, Texas

Gold & Blue

This is the Summer 2026 edition of Gold & Blue, which is St. Mary’s University's official alumni magazine.

Investigation Into Molecular Bases Of Pregnancy-Associated Malaria, Nicole Pozo

Biochemistry and Molecular Biology

Plasmodium falciparum causes the most severe and deadly form of malaria and remains a major global health problem, especially in sub-Saharan Africa (Milner, 2018). The parasite infects and multiplies inside red blood cells, leading to fever, anemia, organ damage, and death if untreated (Milner, 2018; Song et al., 2022). It is especially dangerous because it avoids the immune system by changing surface proteins called Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1), which are encoded by more than 60 var genes. By switching between these genes, the parasite hides from immune detection and creates repeated waves of infection (Deitsch & Dzikowski, …

Color Shift: A Graphic Design Process Book Exploring How Color And Motion Influence Emotional Perception And Brand Connection In Affordable Women's Fashion Jewelry, Elizabeth Voight

Theses

This study examines how manipulating color and motion within a single brand identity system influences consumer emotional response and brand consistency. Using a fictional modern jewelry brand, Quanta & Co., the research isolates color as the primary variable by applying nine distinct mid-range color palettes to identical layouts, logos, and structures across both print and digital touchpoints. These collateral assets include jewelry packaging, vehicle wraps, digital advertisements, and an animated logo. A quantitative survey was executed to capture real-time audience impressions regarding brand traits, perceived quality, and the overall alignment of each color variation with the brand's identity.

The findings …

Assessment Of Graduate Medical Educators’ Confidence In Their Institution’S Abilities To Provide Appropriate Resources For Graduate Medical Education Trainees, Madison Berger, Melissa L. Brannen Md

Research Scholars

No abstract provided.

Analysis Of Physicians Who Trained And Remain At Lehigh Valley Healthnetwork, Partof Jefferson Health: Factors Influencing Satisfaction And Retention, Michela Biondi, Terri Vian, Joseph E. Patruno Md

Research Scholars

No abstract provided.

Assessing Language Access Barriers In Medical Settings, Ashley Cardona-Carrillo, Joumana De Santiago, Janiris Sanchez

Research Scholars

No abstract provided.

King Arthur And The Sword In The Stone: A Medieval Latin Account, Christopher Berard, Morris Tichenor

Humanities Program Faculty Publications

How did King Arthur draw the sword from the stone and claim the throne of Britain? Here we present a translation of a medieval Latin account recounting this famous episode, along with Arthur’s victories, conquests and final battle.

The Scoop, Vol. 13 Issue 3/4, Summer 2026, Health Sciences Library

Volume 13

Latest news and updates from the Health Sciences Library in our monthly newsletter for Summer 2026. Please see page 2 for a text-only version of this issue!

Patient Ratio Impact On Patient Safety In The Emergency Department, Erin Griffin Rn, Rhonda Leavitt Rn

Nurse Residency

How does high patient to nurse ratios effect patient outcome and satisfaction compared to lower nurse to patient ratios?

Implementation Of Acute Pain Management Protocols And Effect On Rescue Opioid Administration During Ed Stay, Victoria Nordbeck Rn, Avegail Avila Rn, Sarah Durocher Rn, Isabel Dimek Rn

Nurse Residency

In patients presenting with acute pain processes in the emergency department, how does the implementation of acute pain protocols compared to standard opioid based therapies affect needs for rescue medication and overall length of stay?

Efficacy Of Volume-Based Enteral Feeding Compared With Standard Rate-Based Enteral Feeding, Tashia Stevens Rn, Kelly St Jean Rn, Darah Thomas Rn

Nurse Residency

Is volume-based enteral feeding more effective than standard rate-based enteral feeding in achieving nutritional goals and improving clinical outcomes in critically ill patients?