Digital Commons Network^™

Investigating Fentanyl-Xylazine Interactions: Implications For Opioid-Induced Hyperalgesia And Affective Dysregulation In Rats, Alejandra R. Lujan

Electronic Theses, Projects, and Dissertations

The growing prevalence of fentanyl adulterated with xylazine presents a major public health concern, yet the behavioral and physiological effects of this combination remain poorly characterized. This study examined the effects of acute fentanyl administration, alone and in combination with xylazine, on opioid-induced hyperalgesia, affective behavior, and mortality in male and female Sprague-Dawley rats (n=80). Rats received four fentanyl injections (60 µg/kg) administered at 15-minute intervals, with or without xylazine (0, 0.1, 0.333, or 1.0 mg/kg), as well as a saline control condition. Pain sensitivity was assessed using a hot plate assay at 6.5, 12, 24, and 48 hours post-injection. …

Understanding The Impact Of Childhood Trauma On Recidivism Among Justice-Involved Youth, Jasmine Valencia, Karina V. Garcia, Genaro Fabela

Electronic Theses, Projects, and Dissertations

Adverse Childhood Experiences (ACEs) are especially common among youth involved in the juvenile justice system, and research has consistently linked these early traumatic experiences to a variety of negative behavioral and developmental outcomes. Still, we do not fully understand how strongly cumulative ACE exposure predicts whether detained youth will reoffend, or whether trauma-informed rehabilitation programs can help reduce that risk. This proposed quantitative study explores the relationship between ACE scores and recidivism among youth ages 11–18 detained at the San Bernardino County Juvenile Detention Center. Grounded in trauma theory and ecological systems theory, the study focuses on two primary questions: …

Juvenile Custody Severity And Adult Mental Health Outcomes Among Black Men: The Role Of Trauma Informed And Culturally Responsive Care, Leslie Moreno, Tammy Monique Borunda

Electronic Theses, Projects, and Dissertations

Black young men are overrepresented in the juvenile justice system, yet limited research has examined how severe custody experiences are related to mental health in adulthood. This study will examine how the severity of juvenile custody experiences is related to adult mental health outcomes among Black men who have been released from custody for at least two years. Being able to understand these long-term outcomes is important for addressing disparities in mental health and access to care. This research will utilize the principles of trauma theory and will use a quantitative cross-sectional design. The study will use a purposive snowball …

The Effects Of Administration Policies On Patient Care Quality And Healthcare Service Costs, Rajveer Kaur

Electronic Theses, Projects, and Dissertations

This study examines how administrative policies in U.S. healthcare systems affect patient care quality and service costs. It addresses a gap by analyzing the combined effects of policy, leadership, and technology on both clinical outcomes and financial performance. Using a qualitative descriptive approach guided by the PRISMA protocol, the study systematically identified and analyzed eighteen peer-reviewed articles. The findings show that value-based purchasing policies relate to improved patient safety indicators. Standardized clinical protocols and workforce competency initiatives strengthen care consistency and reduce hospital readmissions. The use of digital health technologies, such as telehealth and predictive analytics, helps optimize resources and …

Encounters Of Third Space: A Case Study On Salvadoran Political Art And Identity Interplay, Breanna Delgado

Electronic Theses, Projects, and Dissertations

Third space is an in-between thought space designated for marginalized collectives, allowing multiple recontextualizations of identity interplay. However, Third Space is colonized due to western ideological influences such as criminalization of political art, stunting collective growth. This project serves to question and challenge Salvadoran political art and collective identities through questions such as why political art? Can political art be considered “safe spaces”? and dissecting the process of political art, third space meaning making, and identity interplay. Preserving the collective’s political art serves as a grassroots method of justice, accountability, and collective reparation.

I applying three conceptual frameworks: Bhabha’s (1994) …

Easy Travel-Friendly Snack Recipes For College Students To Support Mental Well-Being, Lidia Vides

Electronic Theses, Projects, and Dissertations

College is a pivotal period in life of a young adult, marked by newfound independence, increased responsibilities, heightened academic pressure, and significant changes in daily routine. While this transition can often be exciting for a young adult, it also presents many different challenges. As a result, many students experience increased levels of stress, anxiety, and depression. Nutrition plays a powerful yet often overlooked role in supporting mental and physical health. Current research studies show that a balanced diet rich in whole food ingredients can help regulate mood and promote emotional well-being through multiple biological pathways. However, despite this knowledge, convenient, …

Lgtbq+ Foster Youth Aging Out Of The Child Welfare System, Anna M. Gutierrez Chavez

Electronic Theses, Projects, and Dissertations

ABSTRACT

On the average time frame, former foster youth were reported homeless between 2012 and 2017. Equally important, is that nearly 39% of homeless youth identify as LGTBQ+.  This research will discuss disproportionality and disparities among youth who struggle with homelessness in the LGTBQ+ population. Research suggests that youth aging out of foster care are more likely to become homeless. Studies found that LGBTQ+ youth being discharged from care did not receive adequate support and guidance from the child welfare system to help them transition into adulthood, which may have led to homelessness.  This study will examine what services and …

Utilizing Self-Determination Theory In Therapy For Veterans With Substance Use And Mental Health Disorders, Carlos A. Tinoc

Electronic Theses, Projects, and Dissertations

Substance use disorder (SUD) has increasingly affected U.S. veterans, with rising misuse of alcohol and opioids. Many veterans also confront mental health issues, including Post-Traumatic Stress Disorder (PTSD). To explore this issue further, the researcher will investigate the effectiveness of Self-Determination Theory (SDT) in addressing substance use and mental health disorders (dual diagnosis) among veterans. Previous research on the implementation of SDT for dual-diagnosis patients has not sufficiently addressed the veteran population. The researcher will review existing systematic literature reviews on the topic of SDT implementation in the treatment of SUDs and mental health disorders among both civilian and veteran …

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 …

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 …

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 …

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 …

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, …

Between Chronicle And Legend: A Two-Scene Environment And Visual Effects Examination Of Physical Accuracy And Emotional Exaggeration On The Honey Creek Bridge Collapse, Alison R. Gaddy

All Theses

This thesis explores how truth and dramatization intersect in digital storytelling by comparing realistic and stylized simulations of the Honey Creek bridge collapse within the context of the Kate Shelley animated short. At the core of storytelling lies a tension between factual accuracy and dramatic stylization. We investigate that tension by examining how narrative truth is conveyed, distorted, or enhanced through visual dramatization by focusing on the psychology of audience perception and the motivations behind creative embellishment. The practical contribution of this research is the development of two distinct digital scene setups depicting the same Honey Creek bridge collapse event. …

Identity, Party, And Politics: A Discourse Analysis Of Democratic Elites In Pod Save America, Geneva Lei P. Luteria

All Theses

The rise of popular podcasts has shaped public discourse and influenced millions worldwide on how they ought to think, imagine, and act about controversial subjects. Podcasts create an avenue for stories about power and technology to co-create a narrative that viewers buy into. This thesis analyzes one of these essential podcasts, Pod Save America, in how Democratic elite guests approach identity politics, a phenomenon best described as advocacy based on one position’s in society. I begin the thesis by considering the differences in scholarly interpretation of how identity politics functions conceptually and practically. Then, I integrate ideas about how …

The Impact Of The Video Assistant Referee On Aggregate Match Outcomes And Measured Home-Field Advantage In European Soccer, Christopher P. Vetter

All Theses

The introduction of Video Assistant Referee (VAR) in European soccer aimed to improve referee decision accuracy in high-impact situations. This study examines the association between VAR implementation and match outcomes across Europe’s five major leagues. Exploiting the staggered adoption of VAR in Europe’s leagues between 2017 and 2019, the analysis utilizes both OLS and event study frameworks to evaluate average and dynamic patterns in match outcomes.

The results do not provide clear or consistent evidence of systematic changes in aggregate match outcomes following VAR implementation. While some event-time estimates suggest possible delayed movements in outcomes such as goals and yellow …

Romanticizing 'Monsters': Sexualized Digital Fandom Of The Menendez Brothers, Kimberly M. Brooks

All Theses

This study was conducted to explore the expressions of sexualized fandom and parasocial relationships within the context of true crime. The Menendez Brothers were chosen as the case to focus on due to the Netflix dramatization ‘Monsters: The Lyle and Erik Menendez Story’ release and online popularity. Reddit was the platform chosen for data collection because of the longstanding presence of true crime followers participating in dialogue on the platform. The r/MenendezBrothers thread was chosen to collect data from because of its large following and large number of weekly contributions. Sprinklr, the social media analytics platform, was employed to gather …