Digital Commons Network^™

An Exploration Of Substance Abuse By Healthcare Workers During The Covid-19 Pandemic: A Scoping Review, Andrew Hills

Capstone Experience: Master of Public Health

Objective

This scoping review aims to identify available literature and research on substance abuse by healthcare workers (HCWs) during the COVID-19 pandemic to examine whether the stress of their duties during the pandemic exacerbated existing issues of substance abuse.

Methods

A literature search using PubMed and Google Scholar using Harzing Publish or Perish identified 100 relevant professionally-authored, peer-reviewed, English-language academic articles published between 2015 and 2025 on substance abuse by HCWs. Exclusions were done via a review of the abstract and then from the full text, reducing the number of articles to three from those three articles which generated an …

The Association Between Economic Outcomes And Abortion: A Scoping Review, Larisa Nicole Stephenson

Capstone Experience: Master of Public Health

Background: Abortion access is not just an issue of autonomy, but an economic issue as well. Evidence of the intersectionality of abortion health care and economics has endured due to the financial cascading effects a denial of an abortion, or the inability to access an abortion, has on one’s personal, professional, and economic upward mobility. A change in recent policies impacting access to abortion warrants an updated synthesis examining the relationships between economic outcomes and abortion access for people of reproductive age in the United States (U.S.).

Aim: This scoping review summarizes evidence pertaining to the association …

Transgender And Gender-Diverse Health Care Access And Availability Of Care According To Resident Leaders In The Mahoning County, Ohio, Robin A. Perry

Capstone Experience: Master of Public Health

BACKGROUND: Transgender and gender diverse health is significantly under attack in the United States and there is a continued need to further research to identify ways to increase their access to both inclusive care as well as gender affirming care. The purpose of this study was to explore barriers and supportive factors that professionals and community leaders perceive surrounding the availability and accessibility of inclusive and gender affirming care for transgender and gender diverse people in Mahoning County, Ohio.

METHODS: Key informant interviews were conducted with professionals and community leaders who could be considered “facilitators” helping transgender and gender diverse …

Focus Group Study Of Racial Disparities And The Effects Of Parental Marijuana Use On Youth Marijuana Use, Avina K. Mahroke

Capstone Experience: Master of Public Health

Marijuana has become one of the most used drugs in the United States. There has been an increase in use among both adults and youth during the past several years. Public health interventions are needed to address marijuana use because of its detrimental effects on youth well-being. Research shows that marijuana can lead to problems with memory, learning, attention, and even depression among youth. Furthermore, marijuana exposure in-utero can lead to developmental issues and problems with other organs such as the lungs. Youth are influenced to start using drugs, like marijuana, for numerous reasons, and parents are one of those …

Active Shooter And Radiological Contamination Full-Scale Exercise, Elise M. Lowe

Capstone Experience: Master of Public Health

Planning and conducting exercises in rural settings highlights the unique features and challenges of emergency preparedness in rural America. Exercise designers must employ creative solutions to plan for player/controller contingencies, limited resources, and patient management across large geographical areas. This paper outlines the process by which a full-scale mass casualty exercise was conducted in a small Wyoming town. It analyzes some of the major problems encountered in rural exercise development and the solutions employed. The focus is on the success and failures of the exercise design based on direct observation/participation, hotwash forms, the after-action review, and direct feedback from participants. …

Kansas City Health Department – Childhood Lead Poisoning Prevention Program – Quality Improvement, Hanh Pham

Capstone Experience: Master of Public Health

This capstone manuscript evaluates the Kansas City Health Department's Childhood Lead Poisoning Prevention Program’s effectiveness. Through comprehensive data analysis of grant utilization, return-on-interest (ROI) and participant satisfaction evaluation, the project will provide actionable recommendations for improving sustainable long-term outcomes in lead poisoning prevention.

Improving Oral Hygiene Practices In A Long-Term Care Setting For Individuals With Advanced Dementia: A Quality Improvement Initiative, Rachel L. Mcinerney

Capstone Experience: Master of Public Health

This quality improvement project utilized the Plan-Do-Study-Act framework to enhance oral hygiene practices in a long-term care setting for individuals with advanced dementia. Advanced dementia often leads to significant oral health challenges due to the individuals’ inability to communicate needs or independently manage oral care. Poor oral hygiene results in pain, systemic infections, and reduced quality of life. The project aimed to identify and address barriers to effective oral care delivery by focusing on organizational factors such as leadership, training, and caregiver support. This capstone paper provides insights into the quality improvement initiative’s aims, background, and methodology, while emphasizing its …

Integrated Primary Care And Mental Health In Rural Communities: A Comprehensive Literature Review To Understand Barriers, Zinab Alaskar

Capstone Experience: Master of Public Health

This comprehensive literature review capstone project identifies structural barriers to integrating primary care and mental health services in rural areas. It examined reliable literature and validated research articles to determine challenges and barriers to the adoption and expansion of integrating primary care and mental health services in rural communities. The hypothesis of this work is that the issues of workforce shortages, financial constraints, technological limitations, and stigma in a society limits the development and viability of integrated healthcare models. These structural limitations must be addressed to address issues related to access to health care, costs and patient well-being. As it …

Unbridled Healing: Identifying The Barriers Of Equine-Assisted Therapy, Sally A. Hamm

Human Development and Family Sciences Undergraduate Honors Theses

Despite the documented benefits of equine-assisted therapy (EAT) for mental health conditions, this complementary approach remains underutilized. This qualitative study investigated barriers preventing wider EAT implementation by examining challenges faced by clients, facilities, and volunteers. Data collected through open-ended surveys from 33 participants and the researcher's autoethnographic observations revealed eight common barriers: Accessibility (48 mentions), Money (43), Time (30), Awareness (23), Physical Factors (13), Relationships (13), Risk (13), and Weather (7). Clients identified financial constraints as their primary barrier, particularly insurance limitations. Facilitators struggled most with accessibility challenges, including lack of resources, trained staff, suitable horses, and appropriate facilities. Volunteers …

Redefining Children’S Experience In Social Services Offices, Julia K. Bryant

Human Development and Family Sciences Undergraduate Honors Theses

The effects of childhood trauma are far-reaching and diverse, influencing physical, emotional, and mental health across a child’s entire lifetime. Research indicates that children who experience adverse childhood experiences (ACEs) such as abuse or neglect are at an increased risk for various consequences and that the environments they encounter post-trauma play a significant role in shaping their experiences. Social services offices, where many traumatized children are taken for interviews or assessments after being removed from their homes, can often become places of additional distress. This project seeks to address this issue by proposing redesigns for social services offices to create …

Parental Expectations On Pediatric Care For Children, Brenan Cash

Human Development and Family Sciences Undergraduate Honors Theses

Childhood pediatrics is a major factor for a full and healthy childhood for all children from adolescence to adulthood. However, the physical health aspect has been the main focus through most primary care clinics and hardly focuses on the mental health side. Mental health issues which involve anxiety, depression, and post-traumatic stress are more prominent than they have ever been, as up to 30% of children have experienced mental health issues such as posttraumatic stress disorder, especially in recent pandemic years (Meherali et al., 2021). This study employed a non-experimental, quantitative analysis utilizing online close-ended survey questions. The type of …

Telehealth And Medical Consumerism In The Digital Age, Yibing Hu

Finance Undergraduate Honors Theses

This paper discusses the role of telehealth in medical consumerism. As a cheap and convenient model of healthcare, telehealth enables patients to access healthcare regardless of location, as long as they have the necessary technology.

In the current healthcare landscape, insurance policies and high costs push patients to act as consumers of medical services. With the rise of telehealth as another healthcare option, the medical sector further becomes consumer-oriented. This ultimately changes the way patients interact with healthcare.

Environmental And Societal Impacts Of Agricultural Land Abandonment In Indonesia: A Bibliometric Review, Jane A. Landrum

Geosciences Undergraduate Honors Theses

In the past decades, Southeast Asia has faced one of the highest urbanization rates globally, with land conversion, agricultural land abandonment, and deforestation occurring simultaneously. High population growth rates and migration away from rural areas have also led to increased food insecurity, which has increased the need for agricultural production. In Indonesia, high rates of urbanization on the island of Java have historically prompted governmental policy solutions aimed at population redistribution and agricultural extensification (rather than intensification). The cost of this conversion of lands to agriculture often falls on the environment, with peatlands and forested lands being converted to large-scale …

The Weaponization Of Medicine In Arkansas Prison Farms, 1960s-1970s, Grace E. Marr

History Undergraduate Honors Theses

The Arkansas State Penitentiary provides a case study for medical care in prisons during a transformational period. Isolation and state non-involvement in Arkansas allowed the creation of an independent culture in which harrowing abuses flourished. Medical providers could be prisoners themselves, operating the hospital and blood bank creating a complicated hierarchy. By examining medical provisions at the Cummins and Tucker Prison Farms during the 1960s to 1970s, this thesis reveals a system where the lines between treatment and torture and medical practitioner and imprisoned were blurred.

Imagining Indigeneity: The Construction Of The Indio In The Work Of José Carlos Mariátegui, Shaylee Luedders

History Undergraduate Honors Theses

The main focus of José Carlos Mariátegui’s (1894-1930) abundant literature was the adaptation of Marxist theory to the particular needs of Latin America. He is often considered the first major Latin American Marxist and played a key role in the history of leftism in the region. Among his most significant contributions to Marxism in Latin America is his incorporation of indigenous populations into a Marxist framework. He believed that, due to their history of communal ownership under the Inca, a “communist spirit” was retained in Peru’s indigenous population. In his writing about Peru’s potentially communist future, Mariátegui often touched on …

"Troublesome Medicine Man": Representations Of The Sword Bearer Incident In Newspaper Coverage, Cara Sue Swaim

History Undergraduate Honors Theses

Newspaper coverage of Native Americans during the nineteenth century had an “artistic bias,” or a tendency to emphasize action, danger, and treachery as a part of the “Indian formula.” This meant that vast amounts of journalistic zeal was spent on instances of conflict and tension between tribes, within tribes, between tribes and white settlers, or between tribes and the U.S. military, while times of peace and instances of cooperation received miniscule amounts of attention. This was largely motivated by a desire to justify American western expansion and the need to “civilize” Native groups. This “Indian formula” was also applied in …

Building Neocolonial Foundations: The British Government And The Decolonization Of The Gold Coast, 1948-1957, Simon H. Michener

History Undergraduate Honors Theses

In this thesis, I examine the ways that the government of Great Britain attempted to create a pro-Western state in Ghana during the decolonization process, which spanned from the Accra Riots in 1948 to the finalization of independence in 1957, with Kwame Nkrumah’s election as president. Since Ghana became the first sub-Saharan African nation to gain its independence, it provides the initial example illustrating how the British government during the decolonization process in sub-Saharan Africa tried to cultivate states that would align with their interests following independence. To achieve this goal, I will rely on primary sources from the British …

Relationship Between Nutritional Knowledge And Eating Disorder Risk Levels, Valeria Fernandez

Human Nutrition and Hospitality Management Undergraduate Honors Theses

The prevalence of disordered eating is a critical public health concern that often progresses towards the development of a diagnosable eating disorder (ED). This, in turn, has detrimental physical and psychological consequences for individuals. Organizations such as the American Society of Parenteral and Enteral Nutrition (ASPEN) and the Academy of Nutrition and Dietetics (AND) have recognized nutrition education as a crucial component of prevention and recovery. Determining the extent to which nutrition knowledge is related to risk factors for EDs is worth investigating due to its implications for healthcare approaches – especially among adolescent and young adult populations. The goal …

Blackness Under The Big Top: Racism And The Circus Of The Late Nineteenth And Early Twentieth Centuries, Christian Joseph

FCRH Honors Program Theses

Rattling through American towns large and small during its heyday, the archetypal, three-ring railroad circus was a novel attraction of the late nineteenth and early twentieth centuries. During Reconstruction, the Gilded Age, and the Progressive Era, the circus was the dominant entertainment industry in the United States. Using both archival and historical research methods, my project offers an anatomy of the circus industry in America, both tracing its development and exploring its centrality to American culture and iconography. As a distinctly American institution, the growth of the industry was expressly linked to the physical expansion of the nation, which was …

Learning In Crisis: Analyzing Covid-19’S Effect On Nyc Public High Schools Through Open Access Data, Audrey Leung

FCRH Honors Program Theses

The COVID-19 pandemic triggered widespread disruptions to student learning across the United States, intensifying many pre-existing educational inequalities. This study investigates how public health conditions, environmental factors, and federal stimulus funding shaped pandemic high school outcomes in New York City, one of the nation’s largest and most diverse school districts. Using open-access datasets from city agencies, this analysis examines the relationships between local COVID-19 severity, air pollution exposure, budget allocations, and student success, as measured by attendance and graduation rates. Findings reveal that while local COVID-19 rates and air quality conditions varied across boroughs, they did not consistently predict educational …

Racial Bias In Ai: The Impact Of Discriminative Algorithms On Minority Communities, Morgan A. Jones

FCRH Honors Program Theses

With the rise of generative AI infiltrating many areas of our everyday lives, it's essential to acknowledge how AI can be trained on discriminatory data. When these AI systems are trained with information that is racist, they produce answers that possess a racial bias, which further perpetuates and enforces the systemic inequalities that minorities experience. Prior research discusses that racial bias is a problem in the use of AI and provides case studies on how racial bias has been enacted in large-scale projects. However, this research does not explain or acknowledge the long-term effects of racial bias on minorities. This …

Ripples On The Bronx River: Exploring Gentrification And Indigenous Magical Realism Through Creative Storytelling, Olivia Griffin

FCRH Honors Program Theses

The Bronx River has been left largely unexamined in the realms of literature and art in the 21st century. Prior to colonization, the riverbanks served as a home and resource for Indigenous communities. However, by the Industrial Revolution, the river had become a dumping ground, starting with the first watermill in 1666 in West Farms. Of the twenty-three mile river, the lower five miles served as an informal sewer and was hidden from the public eye, "its few access points blocked by gigantic mounds of submerged cars, worn-out tires, less identifiable garbage, and rusting junk," (Jonnes, 463). Only in the …

Citizens United, Congress Divided: Examining The Connection Between Independent Expenditures And Polarization In The U.S. House, Daniel Melia

FCRH Honors Program Theses

The U.S. Supreme Court ruling Citizens United v. FEC, issued in January of 2010, allowed an unprecedented amount of money to enter federal elections by removing spending limits for corporations on independent expenditure (referred to as ‘IE’, and meaning money spent of the proprietor’s accord, rather than directly by or in coordination with a political party or candidate). This paper addresses the lack of research on the outcomes of this ruling; there are few studies on the impacts of Citizens United on the ideological composition of Congress. To test the theory that this ruling led to significant polarization in Congress, …

The Narrative Effects Of Cure On Representations Of Disability In The Medical Procedural And Body Horror Genres, Will Schuessler

FCRH Honors Program Theses

In disability studies, “cure” can refer both to literal cures and to the cultural belief that disabilities are problems with the body that can and should be solved through these medical interventions. In recent years, disability scholars have written about this topic of cure critically, but an academic media analysis approach to cure has yet to be taken, despite the prevalence of narratives where disabled characters are cured. This thesis explores how cure shapes disabled stories that are told through film and television, by viewing a sample of over 50 films and 70 episodes of television focused on disabled characters …

Genomic Diversity Of Salmonella Enterica Serotype Braenderup In New York State, Nicole Zac Soligno

Biological Sciences

The Gram-negative Salmonella enterica (family Enterobacteriaceae) is a common foodborne pathogen mainly isolated from foods of animal origin. Salmonella can be transmitted to humans, causing diverse symptoms, from self-limiting gastrointestinal diseases to more fatal typhoid fever. The young, elderly, and Individuals with weakened immune systems are especially at risk from salmonellosis. Salmonella is a concern to public health and the food industry throughout the world, and its severity depends largely on its serotype, a classification based on the unique combination of surface antigens. In this study, I aimed to elucidate the population structure and antimicrobial resistance determinants of S. enterica …

An Unfair Chance For The Formerly Incarcerated: Yim V. City Of Seattle And The Commercial Speech Doctrine, Emilee Kaminski

Cardozo Law Review

Formerly incarcerated persons face disproportionately challenging barriers to housing upon reentry; criminal records are used as a basis to deny otherwise suitable prospective tenants. In 2017, the City of Seattle passed the "Fair Chance Housing Ordinance," prohibiting landlords from relying on criminal history when evaluating prospective tenants. In 2023, the Ninth Circuit struck this provision down on the grounds that this complete ban violated Seattle landlords' constitutionally protected free speech rights. The circuit court held that the ordinance implicated commercial speech and failed to pass intermediate scrutiny review under the four-part test outlined in Central Hudson Gas & Electric Corp. …

Airlines, Sick Time, & Interstate Commerce: The Dormant Commerce Clause And Its Impact On State And Municipal Paid Sick Leave Laws, Zachary Mcgarry

Cardozo Law Review

The United Statesis the only industrialized nation lacking a universal paid sick leave law that guarantees employees the right to time off from work to attend to their own or their family's medical needs. Nonetheless, many states and municipalities have created their own paid sickleave laws to fillin the gap left open by the federal government. Following the passage of three state referendums on paid sick leave laws in the 2024 general election, there are now eighteen states, plus the District of Columbia, which mandate that employers provide employees with paid sick leave. Although there continues to be a growing …

The Humanity Of Globalization: Global Interconnectedness And Cross-Border Migration, Mary Huffman

Honors College Theses

Though scholarly discourse surrounding migration and globalization has often assumed migration causes globalization, this paper seeks to explore the opposite direction of causality. Using a generalized least squares regression and Quality of Governance time series data, the design analyzes the impact of three facets of globalization on net migration between 1970 and 2020. The design controls for population, gross domestic product (GDP) per capita, and Polity score. Based on a review of literature, I hypothesize that each facet– economic, political, and social– will exhibit a positive correlation with net migration levels for each country-year. I also predict that social globalization …

Cognitive Advantages Of Dual Language: Bilingualism And Its Relationship With Working Memory And Controlled Attention, Ellison Alexander

Honors College Theses

This study investigates language familiarity and executive function within individuals who are fluent in or actively learning a second language, demonstrating whether bilingualism influences working memory performance and controlled attention. The study population consisted of undergraduate students attending Murray State University. Three groups were evaluated: students with a low-experience level in a second language (100 level classes), a high-experience group (200 level classes and beyond), and a separate control group of monolingual students without college-level language experience. All groups completed assessments of working memory performance and controlled attention by engaging in the Symmetry Span task and the Simon task. In …

Audacity To Lead: Examining The Experiences Of Elementary School Leaders And The Effects Of Implementing Collective Efficacy, Aneesha Jacko

Education Doctoral

This qualitative study examined how elementary school leaders develop collective efficacy through leadership practices. Through semi-structured interviews with 16 elementary school leaders, the researcher investigated leadership practices that effectively build and sustain collective efficacy while identifying key challenges and supports. Drawing on Bandura's collective efficacy theory, the study employed a phenomenological approach to understanding leaders' lived experiences in developing collective belief systems within their schools.

Key findings indicate that successful collective efficacy development requires intentional leadership practices aligned with school improvement's structural and cultural elements. The study found that 87% of participants reported improved collaborative practices through systematic implementation of …