Digital Commons Network^™

Melanoma Incidence, Mortality, And Dermatologist Availability Across Selected Urban And Rural Counties In Southwest Missouri, George Ladas, Derek S. Towery

Student Publications

Melanoma is the most lethal of the common skin cancers, and its incidence continues to rise in the United States. Access to dermatologic specialty care remains below recommended benchmarks, particularly in rural and nonmetropolitan regions. This descriptive, population-based analysis examined melanoma incidence and dermatologist availability across five selected counties in southwest Missouri, with limited county-level mortality reporting. Age-adjusted melanoma incidence data were obtained from the State Cancer Profiles database (National Cancer Institute and Centers for Disease Control and Prevention) and standardized to the 2000 U.S. population. Dermatologist availability was calculated using National Provider Identifier data and reported as dermatologists per …

Widening Participation In Dentistry: A Quantitative Study Of Changing Demographics At A South West Uk Dental School (2014-2021)., Sally Hanks, Ian Mills, Marie Bryce, Daniel Zahra, Rebecca Glanville

Peninsula Dental School

Introduction: Access to National Health Service (NHS) dental care in the UK, particularly in rural and coastal regions such as the South West, remains a significant concern. Increasing socio-economic diversity in the dental workforce has previously been reported to improve access to care in underserved areas. Widening Participation (WP) initiatives aim to address this by encouraging applications from underrepresented groups. Methods: This study analysed admissions data from the University of Plymouth's Bachelor of Dental Surgery (BDS) programme for cohorts between 2014 and 2021. Metrics included entry qualifications, age, gender, ethnicity, disability and socio-economic markers. Statistical analyses included chi-squared tests and …

The Evolving Landscape Of Social Education In The Uk: The Legacy Of Neoliberalism Affecting Uk Children And Those Who Support Them, And The Considerable Value Of Its Potential Counterbalance — Social Pedagogy, Robyn Kemp

Journal of Social Care

This paper examines the erosion of concern for the social and relational in the United Kingdom through four decades of neoliberal policy, and argues for social pedagogy as a principled and urgently needed counterbalance. Drawing on a career spanning public, charitable, and academic practice primarily with children in and on the edges of care, it traces how the introduction of neoliberalism under Thatcher in the 1980s — and its institutionalisation through New Public Management in the 1990s — systematically dismantled the relational, ethical, and communal foundations of work with children. The consequences are documented in stark statistical terms: rising school …

Youth Care Under Pressure: Addressing Complex Cases Of Youth Homelessness Through Cross‑Sectoral Collaboration And Reflective Practice., Gwendy Moentjens

Journal of Social Care

Young adults (18–25 years) constitute about a quarter of the homeless population in Flanders and often experience difficulties transitioning to adulthood. Research conducted at KU Leuven shows elevated rates of mental health issues (23%), intellectual disabilities (14%), and addiction-related challenges (17.7%) within this demographic, with many individuals having a history in youth care services (Hermans & Italiano, 2021).

Due to the combination of these complex factors, these young adults frequently fall between the cracks of existing service provision. Previous literature argues that addressing youth homelessness effectively requires a specialised, integrated and intensive approach (Hermans & Italiano, 2021).

Drawing on experiences …

Practices And Ethics In The Act Of Transmission In Social Work In A Disrupted Environment, Ana-Luana Deram, Ségolène Payan

Journal of Social Care

At the dawn of the 21st century, we are witnessing demographic, sociological, professional and institutional changes that accompany educational policies and transformations in social work training, giving rise to paradoxical demands sometimes being placed on educators. Like a beacon, adherence to an ethic of consideration in transmission through teaching, sharing and comprehension, nourish the reflection associated with the support of today's social work students.

En ce début de XXIème siècle nous sommes témoins des changements démographiques, sociologiques, professionnels et institutionnels qui accompagnent les politiques éducatives et les mutations de la formation en travail social, à l’origine des injonctions paradoxales parfois …

Dillemas Facing Social Care, Paula Byrne

Journal of Social Care

No abstract provided.

2026-03-10 University Graduate Committee - Course Proposal For Soc 631, Morehead State University. Faculty Senate., University Graduate Committee.

Faculty Senate Records

Course proposal for SOC 631 Health Structures and Behavior submitted to the University Graduate Committee on February 6, 2026 and approved on March 10, 2026.

Virtual Reality For The Management Of Postoperative Pain And Anxiety In Children And Adolescents Undergoing Nuss Repair Of Pectus Excavatum: Randomized Controlled Trial, Charlotte M. Walter, Dillon Froass, Nora Bell, Lauren Haack, Chloe Boehmer, Claudia Bruguera Torres, Rachel Spivak, Max Chou, Kristie Geisler, Keith O'Conor, Sara E. Williams, Lili Ding, Christopher D. King, Vanessa A. Olbrecht

Department of Medicine Faculty Papers

BACKGROUND: Virtual reality (VR) is a novel technology with implications for pain and sensory processing. VR may serve as a novel, scalable method to deliver clinically validated therapy for pain management as an alternative or adjunct to opioids for acute pain. Given that psychological factors and pain perception are both components of postoperative pain, it may also be beneficial to incorporate modalities that decrease anxiety, such as active relaxation and guided meditation with VR. Unfortunately, these therapies are not widely available due to multiple barriers. VR has the potential to deliver pain-reducing, psychologically based therapy to children, thereby enhancing multimodal …

A Transcendental Phenomenological Study Of Cognitive Overload In Manufacturing Engineers During Online Training In An Industrial Environment, Sarah J. May

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore experiences of cognitive overload among engineers in manufacturing during digital training in industrial environments. Engineers in manufacturing manage substantial physical and cognitive demands in order to maintain safe and efficient industrial environments. In addition to these responsibilities, engineers are often expected to engage in digital training within active work settings, frequently without physical or cognitive separation from job-related tasks. A qualitative research design was employed, with data collected from 10 participants and analyzed through triangulation and thematic coding. Data collection methods included a qualitative questionnaire, individual interviews, and a letter-writing …

The Lived Experiences Of Individuals With Intellectual And Developmental Disabilities (Idd) On Work Success Within Organizations In North Carolina: A Phenomenological Study, Yvonne D. Wright

Doctoral Dissertations and Projects

Individuals with intellectual and developmental disabilities (IDD) continue to experience substantially lower employment rates than individuals without disabilities. The purpose of this qualitative phenomenological study is to explore the lived experiences of individuals with IDD with regard to their work success within organizations in North Carolina. This study is guided by the Self-Determination Theory (SDT and the Social Model of Disability Theory (SMDT). This study also explores the perspectives and roles of the caregivers in supporting inclusion and work success for this population. Semi-structured interviews were used to collect data from nine individuals with IDD and seven caregivers. The thematic …

A Multimethod Study Of The Barriers Of Women In The General Schedule 15 Grade And Senior Executive Staff Experience In Promotion At The Department Of Veterans Affairs, Terry Michael Acie

Doctoral Dissertations and Projects

The purpose of this research study was to discover why the female executive employee population is experiencing a gap in representation in senior management at the Department of Veterans Affairs (VA). The scholarly literature addressing federal disparities across the gender demographic identified several issues such as underrepresentation, social equity, pay equity, turnover intention, job satisfaction, and diversity as primary barrier drivers preventing or slowing female promotion. The issues are rarely investigated in an intersecting manner which plausibly could create several hurdles women must navigate to obtain a promotion and decrease their representation in executive service. The theoretical approach used is …

The Exploration Of Parental Involvement On Student Academic Achievement From The Perspective Of The Educator: A Phenomenological Study, Kwame Vladamir Hennagan

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the lived experiences of educators regarding parental involvement in a rural South Carolina school district. Guided by Vygotsky's Sociocultural Theory and Epstein's Parental Involvement Theory frameworks, the study examined how teachers perceive, promote, and experience parental engagement, and what barriers influence effective collaboration between school and home. The Central Research Question answered in the study is: What are the lived experiences of educators with students with low parental involvement at a local school district in South Carolina? The methodology of this manuscript begins with the phenomenological research design.The sample size included …

Encouraging Ethical And Practical Local Government Managers: How The Icma Code Of Ethics Promotes Servant Leadership, Steven Vaughn-Lewis

Doctoral Dissertations and Projects

This study empirically examined the association between the adoption of ethical codes and servant leadership in local government organizations. Analyzing survey data from the International City/County Management Association (ICMA) from 2012-2018, along with the U.S. Census Bureau’s Community Engagement and Volunteering Supplement (CEVS) to the 2021 Current Population Survey (CPS), this study explored how the associations between adoption, scope, and enforcement mechanism of ethical codes impacted seven categories of servant leadership: relationships with elected officials, policy collaboration, information exchange, innovation, performance effectiveness, service delivery, and public/community engagement. This study also explored the relationship between ethics training and these seven dimensions …

Navigating Fear: Exploring The Influence Of Media And Other Factors On Perceptions Of Terrorism, Malachi-Chaim A. Robinson

Doctoral Dissertations and Projects

This dissertation examined factors influencing the fear of terrorism among U.S. adults in the post-9/11 context, where frequent media coverage impacts public perception. The central research question asked: To what extent is the fear of terrorism influenced by news consumption, ethnic intolerance, religion, gender, education, race and ethnicity, political affiliation, age, previous victimization of violent crime, and trust in government institutions? A quantitative, cross-sectional survey was conducted in 2025 using Zoho Survey, collecting 408 responses through stratified random sampling to approximate national representation. Chi-square tests revealed significant bivariate relationships for nine predictors: perceived credibility of terrorism-related news, perceived risk of …

A Qualitative Case Study Of Teachers’ Responses And Adaptation To How They Transitioned From Traditional Classrooms To Partial Or Full Virtual Learning Environments Post Covid-19, Kaprice L. Smith

Doctoral Dissertations and Projects

The purpose of this qualitative case study was to understand the responses and adaptation process for public school teachers in a southern state that transitioned from traditional classrooms to full or partial online learning environments post-COVID-19. The theory that guided this study was the Theory of Adaptation of Educators Teaching Technology-Based Courses, which theorizes that educators experience phases of transformation visioning, learning, rationalizing and doing, and modernizing that foster resilience and adaptability within evolving educational landscapes (Pinatil & Ramos, 2023). Guided by the social constructivist paradigm, the study examined how teachers adjusted instructional strategies, demonstrated emotional resilience, and integrated technology …

The Benefits Of A Holistic Biblical Approach To Adolescent Substance Use Treatment And Prevention, Amberlin D. Salas

Doctoral Dissertations and Projects

Adolescent addiction is increasingly problematic in the United States, including substance use and other addictive behaviors that carry a risk of continued adult addiction if not resolved effectively. Current treatment models are primarily limited to meeting the mental, emotional, and physical needs, but have gaps in treating areas such as spirituality and healthy parental relationships. From a biblical standpoint, Christian principles are relevant to all areas of need in the addicted individual, and considering a holistic biblical approach to address all areas of life could fill the gaps left by conventional addiction interventions. To understand the possible implications of a …

Health Disparities Resulted From The Relationships Between Vulnerable Patients And Providers, Matthew Maurice Bradley

Doctoral Dissertations and Projects

The study's purpose was to understand patterns of mistrust between providers and patients in vulnerable and underserved populations. The theories guiding this study were the critical theory and the critical race theory created by Max Horkheimer as it explains how people can collaborate and actively participate in rebuilding trust. The intention is to rebuild trust and reduce health disparities in the United States. The general problem is the lack of provisional resources for underserved and vulnerable communities, resulting in the population lacking trust in healthcare administration. Speicher and Francis (2022) examined how increasing physician turnover, burnout, depression, and dissatisfaction affect …

The Shared Experiences Of High Functioning Autistic Adults Receiving Mental Health Care In The Texas Metroplex: A Phenomenological Study, Katherine Ivey Marie Vaughan

Doctoral Dissertations and Projects

The purpose of the study is to describe the lived experiences of high functioning autistic adults who have engaged in mental health services in mental health services in Texas. Individuals with autism often face unique challenges, such as heightened sensory intake and cognitive inflexibility, which may complicate traditional therapeutic interventions. The theories that guided the study were the biopsychosocial model, social cognitive theory, the neurodiversity paradigm, and cognitive-behavioral theory, all exploring how cognitive processes influence emotions and behaviors in neurodiverse populations. Using a qualitative phenomenological design, semi-structured interviews were done with adults with high functioning autistic adults. Analysis of the …

The Psychometric Use Of Word Embeddings, Thomas Benjamin Lyle Wasden

Doctoral Dissertations and Projects

This quantitative study examined the feasibility of categorizing individuals by English-language competency using word embeddings derived from language samples obtained from these individuals and by viewing word embeddings as a psycholinguistic construct. Word embeddings have been shown to be a versatile tool for performing a large number of important natural language processing (NLP) tasks, as well as a plausible model for some processes in the human mind, including processes within the domain of psycholinguistics. This research seeks to build upon previous research by showing that word embeddings may shed light on the underlying neural representation of semantic entities being acquired …

Predicting Income Satisfaction From Artists’ Annual Income And Collegiate Embedded Entrepreneurial Knowledge And Skills, Joy Albert Quarmout

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive correlational study was to determine how accurately income satisfaction could be predicted from a linear combination of annual income and inclusion of entrepreneurial knowledge and skills curricula in liberal arts education programs among public college graduates within the past ten years. A purposive sample of 87 graduates was drawn from universities with established art programs who graduated one to ten years ago. The planned behavior theory formed the logic model that guided the thought process, attitude, and reasoning behind this study. The research instrument, The Strategic National Arts Alumni Project: Survey Questionnaire, served as …

"Hoch Der Kaiser, Der Kaiser Killed A Cat." An Examination Of Anti-German Sentiment In Print In The British Empire During The Great War: Australia And New Zealand, 1914-1918, Grace A. Bailey

Doctoral Dissertations and Projects

The unprecedented rise in anti-German sentiment across the British Empire during World War I, 1914-1918, was intensified by an “us vs. them” mentality that was reflected daily in the newspapers of the Empire. However, the intense hatred expressed in Antipodean newspapers surpassed that of the rest of the Empire. This dissertation examines the explicit role newspapers in Australia and New Zealand played in inciting Germanophobia among the public and the societal consequences that followed. Ultimately, the hatred led to the internment of those with German heritage, despite their naturalized status. Along the way, however, German Australians changed their last names, …

Evaluating Strategies For Reducing Rates Of Adult Obesity In The United States Through Childhood Education And Exercise, Ameer M. Abdelkrim

Doctoral Dissertations and Projects

Obesity is a growing national public health crisis, impacting millions of adults and children in the U.S. Untreated obesity causes or aggravates diseases across multiple body systems. The societal impacts of obesity include an avoidable strain on the national healthcare system, with obesity and its comorbid conditions raising healthcare costs. Proactive policy and practices, with strict oversight, are essential for achieving a reduction in obesity rates. One proactive strategy that may be effective is early-age intervention, including enhanced physical activity and nutrition education for U.S. children. This study evaluates adolescent-intervention strategies for reducing rates of adult obesity. The employed methods …

The Perspectives Of Mental Health Providers Concerning Public Personnel Management And Staffing Shortages In The Navy: A Qualitative Multiple-Case Study, Shauna L. Turner

Doctoral Dissertations and Projects

The federal government's public personnel management policies, established over a century ago, may now be ineffective in addressing twenty-first-century problems. The Navy faces an unprecedented global staffing shortage in the mental health career field. To address the problem, the Navy implemented human resource strategies to improve personnel quality of life and invested in improving service members' mental health. The problem is that the Navy’s existing personnel management policies may be ineffective at retaining clinical counselors at Fleet and Family Support Centers (FFSCs), contributing to persistent staffing shortages that undermine service delivery and warrant an evaluation of alternative retention strategies. This …

Not All Ei Dimensions Are Created Equal: Differential Effects Of Perceived Leader Emotional Intelligence On Lmx Quality And Employee Engagement, Michael Frommack

Doctoral Dissertations and Projects

This quantitative study examined the pathways through which employees’ perceptions of their leaders’ emotional intelligence influenced employee engagement, with leader-member exchange (LMX) quality as a mediating mechanism. Using structural equation modeling with data from 368 full-time employees, the study investigated whether the four dimensions of leader emotional intelligence differentially predicted the three dimensions of employee engagement. Results demonstrated that leader EQ strongly predicted LMX quality (β = .80, p < .001, R² = .64), and that leader emotional intelligence and LMX quality significantly predicted employee engagement in bivariate analyses (β = .43, p < .001, R² = .19; β = .47, p < .001, R² = .22, respectively). However, LMX quality completely mediated this relationship. The indirect effect was significant (β = .26, p = .002), while the direct effect was nonsignificant after accounting for LMX (β = .17, p = .108), indicating full mediation. No dimension-specific pathways emerged after controlling for relationship quality. Supplementary analyses revealed that others’ emotion appraisal (OEA) demonstrated almost twice the predictive strength of the other emotional intelligence dimensions for predicting LMX quality (β = .45, p < .001). These findings provide empirical support for Social Exchange Theory and demonstrate that leader emotional intelligence is statistically accounted for by relationship quality mechanisms. Practical implications suggest that organizations should prioritize relationship building competencies in leadership development and selection. Theoretical implications challenge assumptions about dimensional equivalence in emotional intelligence frameworks and establish LMX quality as the complete mediator for leadership influence on employee engagement.

Nascar's Transformation From Regional Pastime To National Spectacle, 1990 To 2004, Brett James

Doctoral Dissertations and Projects

NASCAR, the National Association for Stock Car Auto Racing, experienced a rapid rise in popularity during the 1990s and early 2000s. Although the sport originated in the postwar southeastern United States and initially drew a largely regional fan base, by the late-1990s it enjoyed a national following and expanded its race schedule across the country. During this period, NASCAR underwent significant changes that affected nearly every aspect of the sport, including its drivers, manufacturers, and the format determining the season champion. Led by the France family, the sport’s owners since its inception in 1948, the industry pursued these changes in …

Counseling Satisfaction In Lgbtq Clients: The Roles Of Perceived Counselor Religiosity And Perceived Discrimination, Karen Cain Culbertson

Doctoral Dissertations and Projects

LGBTQ individuals experience mental health issues more frequently than the heterosexual population (Benz et al., 2019; Hinton et al., 2024; Nakamura & Logie, 2020). It appears that they often face unique challenges when seeking mental health care (Makadon et al., 2015). These may become complex when working with Christian counselors when there are conflicting beliefs between their religious views and their counseling standards (Lane, 2021). Although previous research has identified barriers to care for the LGBTQ community and the psychological impact of non-affirming religious settings, there is little research on how these dynamics unfold specifically within a Christian counseling relationship …

A Phenomenology Of Sexual Assaults On College Campuses, Karon R. Williams

Doctoral Dissertations and Projects

The rate of sexual assaults for women, lesbian, gay, bisexual, and transgender (LGBT) individuals on college campuses is reported at a higher rate compared to males and is continuing to rise at a staggering rate, causing this to become a national issue. The purpose of this phenomenological study is to understand the subjective experience, campus culture, psychological disorders, and changes in students' religious beliefs after a sexual assault. Victims’ perceptions and campus norms reporting sexual violence and assault incidents help to explain institutional support systems, the afterlife, and long-term outcomes of victims, prevention programs, and services. The frameworks for this …

Cultural Influences On Mental Health Help-Seeking: A Comparative Study Of Haiti And The United States, Luther-King Jean-Baptiste

Doctoral Dissertations and Projects

Mental health stigma and help-seeking behaviors vary across cultural contexts and are shaped by shared beliefs, values, and social expectations. This qualitative study examined how cultural meaning systems influenced mental health help-seeking behaviors in Haiti and the United States. Using surveys and semi-structured interviews, data were collected from 30 participants (15 from each country) who reported a history of psychological distress or mental health challenges. Findings indicated that help-seeking behaviors were not determined solely by symptom severity but were embedded within cultural, relational, spiritual, and structural frameworks. In Haiti, help-seeking was largely collective and shaped by family validation, community norms, …

Teachers' Lived Experiences Addressing The Benefits And Challenges Of Screen Based Technology Use In The Classroom: A Transcendental Phenomenological Study, Amanda M. Thompson

Doctoral Dissertations and Projects

The researcher explored Title I elementary school teachers’ lived experiences in addressing the challenges and benefits of screen based technology (SBT) use in classroom spaces. Guided by Vygotsky’s (1978) sociocultural learning theory, a transcendental phenomenological approach was utilized by the researcher to explore the unique nuances of different learning spaces, buildings, and educational contexts. As SBT has become indispensable to modern education practitioners, teachers must balance the benefits to student learning with screen fatigue, reduced interpersonal interaction, and access disparities. The central research question states: How do Title I elementary school teachers describe their lived experiences in addressing SBT use …

Rivalry, Risk, And Ruin: The Economic Politics Of Antebellum Florida, Tyler Mudd

Doctoral Dissertations and Projects

This dissertation investigates the interplay of land speculation, legal authority, and political governance in the Florida Territory from 1821 to 1845. Centered around the extensive Forbes and Innerarity land claims carried over from the Spanish period, the litigation and politics are demonstrative of the territorial administration and was profoundly shaped by a concentrated cohort. This faction of legally trained officeholders and investors, figures such as Joseph M. White, Richard K. Call, James, Gadsden, and William P. DuVal, operated as governing nucleus. Their ability and command of statutes, access to federal patronage, and strategic involvement allowed them to use land speculation, …