Digital Commons Network^™

Lived Experiences Of Homebound Adults With Health Access Needs, Margaret Henderson-Lee

Electronic Theses and Dissertations Archive

Homebound adults represent a medically vulnerable and rapidly growing population at heightened risk for unmet healthcare needs. Although quantitative studies document disparities in utilization and outcomes, less is known about how homebound individuals experience healthcare access. Grounded in Husserlian transcendental phenomenology, this qualitative study explored the lived experiences of homebound adults facing healthcare access barriers and examined how those experiences align with Levesque et al.’s patient-centered conceptual framework of access. Twenty homebound adults were recruited from a single residential care setting in the southeastern United States. Data were collected through semi-structured interviews and analyzed using an inductive phenomenology approach. Initial …

Oxytocin And Vasopressin Receptors Mediate Dopamine Release In The Nucleus Accumbens, Rebecca Chari Crenshaw

Electronic Theses and Dissertations Archive

Oxytocin (OXT) is a potential therapeutic target for substance use disorders due to its modulatory effects on mesolimbic dopamine function. While OXT activity in the nucleus accumbens (NAc) influences dopamine release, the receptor mechanisms underlying these effects remain unclear. Oxytocin receptors (OXTRs) and vasopressin 1A receptors (V1aRs) are both expressed in the NAc and may differentially regulate dopamine function. This study examined how selective activation and blockade of OXTRs and V1aRs within the NAc modulate phasic and tonic dopamine release using in vivo amperometry in male and female mice. Intra-NAc OXT decreased phasic, but not tonic, dopamine release. Similarly, activation …

Enhancing Psychiatry Residents’ Knowledge And Comfort With Clozapine Prescribing Through Educational Interventions, Christopher Stewart, Alexander Hunter, Faith Franzwa, Quan Huynh, Jennifer Stettler, Nauman Ashraf, Dawny M. Barnhart

Student Publications

Introduction: Clozapine is the most effective antipsychotic for treatment-resistant schizophrenia but remains underutilized due to safety concerns and monitoring complexity. Recent discontinuation of the Clozapine Risk Evaluation and Mitigation Strategy (REMS) program reduced regulatory barriers but shifted responsibility for monitoring to clinicians. Psychiatry residents may lack adequate training and confidence to prescribe clozapine safely in this new context. The goal of this study is to evaluate the impact of a structured educational intervention on psychiatry residents’ knowledge of clozapine prescribing and management.

Methods: This study was a single-institution quality improvement study using a pre-post design. Participants were psychiatry residents from …

Social Prescribing For Refugee Populations: A Rapid Realist Review Of International Evidence, Victoria Touzel, Doreen Reifegerste, Luisa Bartz, Anna-Lena Esser, Kerryn Husk

Peninsula Medical School

BackgroundSocial prescribing offers potential for addressing social determinants of health and supporting health equity among disadvantaged groups. However, evidence for refugee populations remains limited, despite this group facing profound social and systemic barriers. This rapid realist review synthesizes social prescribing and comparable social-capital based intervention evidence to address this gap.MethodsWe conducted a RAMESES-compliant rapid realist review supported by an expert advisory board. Searches across six databases (2014–2024) were supplemented by grey literature and citation chasing strategies. Eligible studies included refugee, asylum-seekers and forcibly displaced populations engaged in either formal social prescribing or comparably operationalized social-capital interventions. Synthesis developed Context-Mechanism-Outcome configurations …

Inflammatory Markers In The Emergency Department And Ptsd Symptoms In The Aurora Study: A Longitudinal Cohort Study, Kristen Nishimi, Sarah Linnstaedt, Thomas Neylan, Lauren Mckibben, Liz Marie Albertorio-Sáez, Ying Zhao, Stacey House, Francesca Beaudoin, Xinming An, Jennifer Stevens, Gari Clifford, Tanja Jovanovic, Laura Germine, Scott Rauch, John Haran, Alan Storrow, Paul Musey, Phyllis Hendry, Sophia Sheikh, Brittany Punches, Robert Swor, Jose Pascual, Mark Seamon, Elizabeth M Datner, Claire Pearson, David Peak, Roland Merchant, Robert Domeier, Niels Rathlev, Brian O'Neil, Paulina Sergot, Leon Sanchez, Steven Bruce, Steven Harte, Ronald Kessler, Karestan Koenen, Kerry Ressler, Samuel Mclean, Aoife O'Donovan

Department of Emergency Medicine Faculty Papers

BACKGROUND: Systemic inflammation is hypothesized to contribute to post-traumatic stress disorder (PTSD) vulnerability. Few studies have examined inflammation shortly after trauma as a predictor of later PTSD symptoms. We examined whether inflammation from the emergency department (ED) post-trauma is associated with PTSD symptom severity over the following 6 months.

METHODS: Our sample included 742 AURORA participants, a longitudinal cohort of patients in 29 EDs across the United States after a traumatic stressor, followed up to 6 months. Plasma cytokines were assessed from a study blood draw in the ED: an inflammatory index (standardized sum of generally pro-inflammatory markers interleukin [IL]-6, …

Fort Hays State University Tiger Weekly, May 08, 2026, University Relations

Tiger Weekly Newsletters

No abstract provided.

Inflammatory Markers In The Emergency Department And Ptsd Symptoms In The Aurora Study: A Longitudinal Cohort Study, Kristen Nishimi, Stacey L House, Et Al.

2020-Current year OA Pubs

BACKGROUND: Systemic inflammation is hypothesized to contribute to post-traumatic stress disorder (PTSD) vulnerability. Few studies have examined inflammation shortly after trauma as a predictor of later PTSD symptoms. We examined whether inflammation from the emergency department (ED) post-trauma is associated with PTSD symptom severity over the following 6 months.

METHODS: Our sample included 742 AURORA participants, a longitudinal cohort of patients in 29 EDs across the United States after a traumatic stressor, followed up to 6 months. Plasma cytokines were assessed from a study blood draw in the ED: an inflammatory index (standardized sum of generally pro-inflammatory markers interleukin [IL]-6, …

An Analysis Of Web-Based Languange Learning On Students Speaking Anxiety, Alfi Syahrina, Zarfina Yenti, Monalisa Monalisa

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This study explores the use of Duolingo as a web-based language learning tool and its influence on students’ speaking anxiety at MTs Nurul Falah Kota Jambi. Speaking anxiety remains a significant affective barrier in English as a Foreign Language (EFL) learning, particularly in traditional classroom settings where students often experience communication apprehension, fear of negative evaluation, and test anxiety. Employing a qualitative case study design, this research involved approximately 15 students who had used Duolingo for at least six weeks, along with one English teacher for triangulation. Data were collected through semi-structured interviews and classroom observations and analyzed using thematic …

Nature As The Foundation: A Shift In Pedagogy, Mary Moroney-Fernandez

The Cicadian

Somewhere in the United States right now, a child is sitting beneath fluorescent lights while the world outside continues without her. This paper argues that her confinement is not accidental, but rather theoretical. Examining the divergent frameworks of Friedrich Fröbel and Jean Piaget, it traces how American public schooling absorbed a vision of learning organized around cognitive individualism while displacing Fröbel's relational vision of child and nature. Drawing on reflection, historical analysis, and research, this paper contends that lasting reform requires confronting the foundational assumptions that built the classroom in the first place.

High-Frequency Vr-Native Eye Tracking: From Data Collection To Machine Learning Models, Meherun Nesa Shraboni, Aryabrata Basu

Research and Creative Works Expo

No abstract provided.

Ending The Stigma: Abolishing India’S Marital Rape Exception And Post Abolition Practices, Hibah Hasan

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

Notes On My Dying, Ruthann Robson

Creative Nonfiction Magazine

No abstract provided.

Artificial Intelligence Challenge To Strategic Assessment Organizations, Thomas J. Welch

Naval War College Review

As artificial intelligence—particularly agentic artificial intelligence—continues to evolve, defense strategists must understand its capabilities and limitations. Emerging technologies will impact established frameworks, practices, and rhythms, and strategic-assessment organizations in particular must maximize efficiency while preserving the human elements that are indispensable to strategic planning.

Emerging Warfare Dynamics In The Algorithmic Age—Artificial Intelligence, Mass, And Deception In Systemic Conflict, Jonathan Compton

Naval War College Review

The rapid proliferation of artificial intelligence and autonomous systems in both the United States and the People’s Republic of China is having a critical impact on the shape of future warfare. Shifting away from the traditional battlefield, technological advances redirect targeting focus from tanks and aircraft toward critical nodes across entire societal frameworks.

Spring 2026 Full Issue, The U.S. Naval War College

Naval War College Review

No abstract provided.

Challenges And Innovations In Tennis Coach Development: International Insights From Practitioners Across Continents, Miguel Crespo, Rafael Martinez-Gallego, Christine Nash

Journal of Coach Development

Tennis is a global sport with effective coaches being essential to the continued appeal, therefore the work of the coach developers within the International Tennis Federation (ITF) is crucial. This research examined the work and aspirations of coach developers in tennis using in-depth interviews with 10 ITF coach developers. Subsequently, we developed detailed pen portraits of two ITF coach developers at different levels of experience and engagement in order to highlight any differences in work, objectives or ambition. Findings from coach developers revealed three themes: support from ITF; barriers to learning; making learning less traditional. The pen portraits added further …

Award Nomination

Lloyd Clark Papers

Letters to Ms. Dawn Prejean informing her that Lloyd C. Clark has nominated Barbee Winn for Distinguished Alumni, July 19, 1994.

The Nexus Between Sustainable Banking, Customer Trust, And Bank Loyalty In The Bangladeshi Banking Industry: A Structural Equation Modelling Approach, Rashed Mahmud Shakil, Md. Ashfikul Islam, Md Raihatul Islam Hridoy

Business Review

The increasing customer demand for environmentally-friendly practices makes adoption of sustainable banking (SB) strategies a great opportunity for banks wanting to ensure greater loyalty among their customers. However, the impact of SB on bank loyalty (BL) of customers in the Bangladeshi banking sector is limited in the scholarly literature. Thus, the present research investigates the association between SB and BL and the intervening influence of customer trust (CT) in this association. The proposed research model was developed based on the Social Exchange Theory. The research utilized a purposive sampling technique and employed data obtained through 230 questionnaires distributed amongst customers …

Breaking The Cycle: The C.A.R.E. Manager Model To Address Intergenerational Incarceration, Amber Pelan, Miranda Jacobsen

Criminology and Criminal Justice Theses and Dissertations

Generational incarceration is a significant social problem in which criminal justice involvement is repeated across multiple generations of the same family. Children of incarcerated parents face elevated risks of trauma, poverty, educational disruption, mental health challenges, and later justice system involvement. These patterns demonstrate that incarceration often harms the entire family rather than only the individual offender. This project examines why generational incarceration occurs and identifies strategies to interrupt the cycle. The project uses a literature review methodology to integrate criminological 4 theory, sociological research, and policy analysis. These theories explain how parental incarceration disrupts child development, weakens family bonds, …

Proactive Violence Prevention: A Universal Bi-Annual Violence-Needs Assessment Tool For Grades K-12, Millie Fritzler, Emily Linehan

Criminology and Criminal Justice Theses and Dissertations

“Violence prevention begins in the high chair, not the electric chair” (Reiner, as cited in Davis et al., 2002). Two elements are essential to successful violence prevention: interventions that start early and interventions that are consistent (Davis et al., 2002; Dodge et al., 2015). The first five years are crucial for development; therefore, violence prevention needs to happen as early as possible to identify and address potential risk factors before harmful behaviors become reinforced (Davis et al., 2002). Despite this knowledge for the need for early violence prevention, schools still lack a truly proactive, universal system for identifying violence-related risk …

Crowding, Capacity, And Reform: Exploring The Dynamics Of Correctional Policy, John Ursino

Criminology and Criminal Justice Theses and Dissertations

This dissertation examines the dynamic mechanisms that drive correctional population change and evaluates strategies for sustainable decarceration. Despite widespread calls for evidence-based corrections, methodological tools such as time series analysis remain underutilized for understanding population management. This dissertation addresses this gap through a three-paper design that applies advanced time-series methods to key stages of the correctional continuum. Chapter Two uses interrupted time-series analysis to evaluate the impacts of both proactive (policy-driven) and reactive (COVID-19 and court mandate-related) decarceration events in Washington State on admissions, technical violations, and recidivism outcomes, clarifying how policy design affects prison admission flows. Chapter Three employs …

Carrying The Dream Forward: Intergenerational Hope And Academic Persistence Among Historically Underserved Caregiving Graduate Students, Deborah D. Gaspard

Educational Leadership Theses, Dissertations, and Student Creative Activity

This qualitative study examined the lived experiences of eight graduate students who serve as caregivers, including those raising children and supporting elderly family members, and how these responsibilities complicate traditional forms of academic engagement. Despite a growing proportion of students with overlapping academic and caregiving roles, institutional structures remain largely oriented toward traditional students with minimal external obligations. Drawing on in-depth narratives, this study explored how caregiving demands shape students’ academic and social integration as well as how institutional policies and practices influence their persistence. Other research has shown that caregiving responsibilities significantly impact students’ time, energy, and access to …

Physical, Environmental, And Psychological Determinants Of Sleep Among Long-Distance South Asian Caregivers Of Older Adults: A Mixed-Methods Approach, Srujana Chekuri

Gerontology Theses, Dissertations, and Student Creative Activity

Long-distance caregiving is an increasingly common yet understudied form of family care, particularly among immigrant communities whose cultural expectations of flial responsibility remain strong despite geographic separation. Among South Asian caregivers of older adults, caregiving across borders is shaped by powerful norms of duty, emotional endurance, and family obligation, creating distinctive patterns of stress that may profoundly afect health. One of the most consequential but underexamined outcomes of this caregiving context is sleep. This mixed-methods dissertation examined the physical, environmental, and psychological determinants of sleep among long-distance South Asian caregivers of older adults living in the United States. Guided by …

A Multi-Layer Graph-Theoretic Framework For Understanding Electric Vehicle Adoption Across U.S. Counties, Fahad Alrasheedi

Computer Science Theses, Dissertations, and Student Creative Activity

This dissertation develops a multi-layer analytical framework to understand electric vehicle (EV) adoption across U.S. counties by integrating (1) temporal correlation networks, (2) predictive modeling, and (3) similarity networks. Existing research often focuses on coarse geographic units, embeds charging infrastructure (CI) within broad multivariable models, or overlooks structural differences among counties. These limitations leave open key questions regarding the directionality of EV–CI relationships, the determinants of county-level adoption, and whether similar counties exhibit similar adoption patterns. The first component examines temporal correlations between counties for EV adoption and CI expansion, as well as Granger-causality relationships under two scenarios: Early Adoption …

“Gc Flight, Lock The Doors” How Communication Resilience Shapes Crisis Response In Human Space Flight, Jessica Hilt

Communications Theses, Dissertations, and Student Creative Activity

A precursor to the National Aeronautics and Space Administration (NASA), the National Advisory Committee for Aeronautics (NACA) has been pushing the boundaries of space flight since 1915 (“NASA History – The NACA,” 2024c). Space flight as we know it today began in 1962, with an address given by President John F. Kennedy at Rice University. “We choose to go to the moon in this decade and do the other things, not because they are easy, but because they are hard…” (Kennedy, 1962, p. 3). Words of which have inspired generations of children, men, and women who were courageous enough to …

Dissertation: Exploring Asian Mental Health Counselors’ Views Of Their Education After Studying Abroad, Linda Ai Kuramoto

Walden Dissertations and Doctoral Studies

No abstract provided.

Relationship Between Judges’ Gender And Caseload Clearance In Jamaica’S Parish Courts, Sonia Bertram Linton

Walden Dissertations and Doctoral Studies

No abstract provided.

Elective Abortion, Moral Injury, And Maternal Bonding To The First Child, Jennifer Marie Lightner

Walden Dissertations and Doctoral Studies

No abstract provided.

Fall-Prevention Program For A Long-Term Care Organization, Roslyn Y. Heyward

Walden Dissertations and Doctoral Studies

No abstract provided.

A Content Analysis Of Emotional Valence And Engagement In Youtube Comments, Lydia Britton '27

Student Research

This study investigated the relationship between YouTube comment participation and emotional valence. We hypothesized that highly negative-valenced comments would generate higher engagement (likes and replies), based on prior research showing that emotionally intense content drives interaction. Fifty comments from ten popular videos across five categories (shopping, music, gaming, news, and sports) were analyzed using linguistic indicators (language and emojis) and intensifiers (capitalization, exclamation points, profanity). Each comment was assigned a dominant valence and a Likert scale rating. Engagement was measured by likes per view and replies per view. Results showed a negative correlation between emotional valence and replies. Despite trending …