Digital Commons Network^™

An Evaluation Of Therapeutic Harm Reduction And Psilocybin-Assisted Therapy Within Oregon's Measure 109, Bodhi Norton

Dissertations and Theses

Despite psilocybin still being a Schedule I substance in the Federal Controlled Substance Act (OHA, 2022), Oregon voters passed Measure 109 in 2020, now codified into law as ORS457A, which allowed for the opening of psilocybin clinics for eligible clients. The passing of Measure 109 allowed for an adult-use model to be created, which is different from a therapeutic-use model. Advocates and Measure 109 framers employed the terms "harm reduction" and "mental health support" in order to secure the passing of Measure 109, but there is no specific definition of therapeutic harm reduction within M109 and ORS475A. To receive psilocybin …

October 2, 2025, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.

Engagement With And Impact Of An Mhealth App For Childhood Obesity Prevention And Management: Protocol For A Mixed Methods Study, Madison Milne-Ives, Ananya Ananthakrishnan, Sophie R. Homer, Jackie Andrade, Edward Meinert

School of Psychology

Background: Childhood obesity is a serious global health concern that affects approximately 20% of children worldwide. Digital health behavior change interventions have the potential to improve behaviors that can contribute to childhood obesity, such as diet and physical activity, but often lack sufficient user engagement to achieve significant impact. Objective: The aim of this project is to develop evidence to better understand how users engage with digital interventions and how behavior change techniques can be leveraged to support engagement. Specifically, the study will examine the impact of a family-focused app for childhood obesity prevention on health behaviors, health outcomes, and …

Tax Trends, E. S. Linett

Tax Adviser

No abstract provided.

Frozen Mindset: Relationship Beliefs In Blutch’S Peplum, Mckenna Holz

International Journal of Undergraduate Research and Creative Activities

Blutch’s fictional, peplum style bande dessinée titled Peplum explores the consequences of a relationship influenced by hegemonic masculinity and a desire for the penetrator role. His protagonist Publius experiences three failed relationships because of the delusion of a destiny relationship belief. Publius’ relationship odyssey enlightens him to adopt a growth relationship belief which pushes Blutch’s message of healthy relationship dynamics. Blutch focuses on Publius’ eyes to show this belief transition and uses bande dessinée techniques of rhythm, shading, and mise en page to achieve this visual.

Disabilities Project Initial Report, Enaya Othman

Journal of Gender, Ethnic, and Cross-Cultural Studies

This report describes the processes, aims, and outcomes of the Disabilities Digital Archive, a project conducted as part of Arab and Muslim Women’s Research and Resource Institute’s vision to create data and oral histories regarding women’s experiences and transform them into meaningful information. To this end, this project seeks to explore gendered disability and facilitate more complex understandings of disability at the intersection of gender, culture, immigration, and other modes of identity. By collecting data from Muslim community members in Milwaukee, including people with differences of ability and their families, caregivers, Imams and religious scholars, community organization leaders, and health …

Nursing Perspective Regarding The Stigma Associated With Disability, Abir K. Bekhet

Journal of Gender, Ethnic, and Cross-Cultural Studies

The “Gendered Disabilities” project is an attempt to shed the light on the support needed for families caring for persons with disabilities, in general, and Muslim families caring for persons with disabilities, in particular. Without a doubt, stigma plays a major role in the ways in which different sociocultural groups experience disability. Therefore, understanding stigma as related to disability will help the health care professionals include strategies to reduce stigma and health disparities within minority communities.

Educating Future Nurse Practitioners And Physician Associates On Pretreatment Of Swallowing In Head And Neck Cancer, Hannah M. Berk, Erin L. O'Bryan, Imran Musaji, Carly A. Thomas, Jamie Harrington

Teaching and Learning in Communication Sciences & Disorders

Head and neck cancer treatment frequently results in long-term severe swallowing deficits, often requiring feeding tube dependency. Patients who have completed swallowing exercise programs before and during cancer treatment experienced more positive swallowing outcomes, but most patients are not referred for swallowing intervention early enough in their care to prevent long-term deficits. This student research project aimed to measure health profession students’ knowledge of swallowing pretreatment for head and neck cancer patients and to investigate the impact of an educational module developed and presented by a Communication Sciences and Disorders graduate student to improve knowledge and awareness of this clinical …

A Mixed-Methods Examination Of Interprofessional Preschool Virtual Simulations For Speech-Language Pathology And Occupational Therapy Graduate Students, Danika Pfeiffer, Ashley Lankford, Alexandra Durfee, Casey Branson

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education (IPE) is a required prerequisite of interprofessional practice (IPP), the most collaborative service delivery model for speech-language pathologists working in both health care and educational settings. This exploratory, mixed methods study was conducted to examine the impact of an experiential IPE training program on graduate speech-language pathology (SLP) and occupational therapy (OT) students working together in a preschool classroom for children with developmental disabilities. Eight SLP and five OT students participated in a 2-hour in-person workshop and two 1.5-hour virtual simulations using ViewPoint technology. The training program provided instruction related to: three of the Interprofessional Education Collaborative’s (IPEC) …

The Role Of Interprofessional Education In Preparing The Next Generation Of Pre-Service Professionals: A Pilot Study, Shannon Wade Salley, Jennifer Cuchna, Tammy M. Hines, Karla Collins, Jennifer Hutchinson

Teaching and Learning in Communication Sciences & Disorders

Interprofessional practice is a growing expectation in health and human services professions, as is collaboration between education professionals, to bring the best care and services to clients and students. Future professionals need to learn about other professions and be taught how to work with others as members of an interprofessional team. This mixed-methods pilot study examined the impact of an interprofessional education experience on future education, health, and human services professionals, including speech language pathologists, teachers, and counselors. Event participants showed an increased understanding of the roles of other professionals and recognition of the benefits of working in an interprofessional …

The Impact Of Year-Long Teaching Symposium On Faculty Implementation Of Evidence-Based Education Approaches, Julie A. Honaker, Joan Besing, Radhika Aravamudhan, Loretta Nunez

Teaching and Learning in Communication Sciences & Disorders

On May 17-28, 2021, the American Speech-Language-Hearing Association (ASHA) launched a two-week teaching symposium on Foundational Communication Sciences and Disorders (CSD) science courses and innovation in teaching and learning: speech, language, and hearing sciences. Participants also joined asynchronous threaded discussions and a series of synchronous peer-based online discussions. Ninety-four participants completed a teaching symposium pre-assessment and two post-assessment surveys, and quantitative and qualitative results were reviewed across all time points. All 94 participants indicated motivation to use evidence-based strategies to improve teaching and students’ learning after participation, reinforcing the need for continued review and faculty engagement in these topics.

Comparing Massed And Distributed Course Formats: Effects On Outcomes In A Graduate Augmentative And Alternative Communication Course, Brandon Scott Eddy, Alli Sauerwein, Leah Meloy, Eric Sanders

Teaching and Learning in Communication Sciences & Disorders

The effects of massed versus distributed learning have been well studied in the verbal and motor learning literature, with findings suggesting enhanced outcomes from distributing learning over time. However, some studies have found limited evidence to support enhanced outcomes from distributed learning when applied to an entire academic course. The effects of course scheduling on student learning in speech-language pathology graduate coursework have received limited attention. This study compared learning outcomes between a one-week massed format and an eight-week distributed format in an online two-credit augmentative and alternative communication graduate-level course. Learning outcomes were assessed before students enrolled, immediately after …

Applying Interprofessional Practice And Education With Slp Graduate Students: An Exploratory Study, Mariam Abdelaziz, Ye He, Mayra Hayes

Teaching and Learning in Communication Sciences & Disorders

Purpose: The present study examines the impact of an interdisciplinary case-based learning experience between pre-service speech-language pathology (SLP) and pre-service teachers from the teaching English to speakers of other language (TESOL) program.

Method: Over the course of a semester, 34 SLP students built rapport, provided education, collaborated and designed an evaluation plan about a fictional client using the knowledge gained from their TESOL counterpart. This mixed-methods study utilized paired t-tests to measure the efficacy of the learning experience and one-way ANOVA as well as content analysis to identify key differences in the qualitative data across four student groups based on …

Students’ And Faculty’S Experiences With An Objective Structured Clinical Examination: A Pilot Study, Carrie A. Axt, Jessica M. Smith, Kathie M. Stillwell

Teaching and Learning in Communication Sciences & Disorders

This study examined the implementation of an objective structured clinical examination (OSCE) as a competency-based assessment in a graduate speech-language pathology program. Although OSCEs are widely used in health professions education, they remain less common in speech-language pathology. OSCEs provide opportunities to assess clinical skills beyond traditional knowledge-based measures through simulated patient encounters across multiple stations. The purpose of this mixed-methods study was to explore student and faculty perceptions of OSCE participation, identify factors contributing to effective competency assessment, and gather feedback for future use. Fifteen first-year graduate students and four faculty members completed surveys, station rating scales, and interviews. …

Impact Of A Novel Hybrid Computer-Based Simulation Adult Dysphagia Training On The Confidence And Clinical Knowledge Of Speech-Language Pathology Graduate Students, Jaime Bauer Malandraki, Jennine Bryan, Dawn Wetzel, Allison Schaser, Bruce A. Craig, Georgia A. Malandraki

Teaching and Learning in Communication Sciences & Disorders

The purpose of this project was to examine the impact of a novel hybrid computer-based dysphagia simulation training on student confidence and clinical decision-making in the area of adult dysphagia. We developed a pilot SBT database, including computer-based simulations utilizing real-life actors who simulated standardized adult patients with dysphagia. Students completed a comprehensive bedside swallowing evaluation and analysis of a videofluoroscopic swallow study (VFSS) as part of the training. We evaluated confidence and clinical decision-making through the following outcome measures: student self-rated confidence levels using a self-efficacy survey and agreement levels with our gold standard rater on clinical evaluation forms. …

Kicking In The Copper Country: The Rise And Fall Of Early Soccer In Michigan's Upper Peninsula 1909-1914, Gabe Logan

Upper Country: A Journal of the Lake Superior Region

Near the beginning of the twentieth century, Cornish miners introduced soccer to Michigan's Upper Peninsula. They initially played informal scrimmages and friendlies until 1909 when several mining communities organized the Copper League. This began spirited competition until the Copper Strike of 1913-1914 terminated interest in the sport. Following labor hostilities, many players moved away from the Keweenaw and ended this once promising league.

Subjectivity And Decolonisation In The Post-Independence Novel And Film, Heather Bigley

Journal of Religion & Film

This is a book review of Sarah Jilani, Subjectivity and Decolonisation in the Post-Independence Novel and Film (Edinburgh University Press, 2024).

Transnational Horror: Folklore, Genre, And Cultural Politics, Damon T. Berry

Journal of Religion & Film

This is a book review of Cüneyt Çakırlar, ed. Transnational Horror: Folklore, Genre, and Cultural Politics (Liverpool, 2025)

Lived Islam In Films: Faith-Based Resilient Responses Of Syrian Refugees, Jumana S. Al-Ahmad

Journal of Religion & Film

This article provides educators in fields such as Middle Eastern studies, refugee studies, cultural and Islamic studies with a framework from documentaries to challenge stereotypes about Muslim refugees and migrants. Using the framework of lived Islam, the article explores how Syrian Muslim migrants, as seen in documentaries, draw on their faith to build resilience that enables them to continue striving for better lives. Resilience is defined as the ability to overcome challenges and catastrophes, envision solutions, and lead a purposeful life. This article conceptualizes resilience not only as a personal trait but also as a collective tool for survival and …

Monstrous Girls And Celestial Lovers: Fantasy, Fear, And Female Adolescence In The Malayalam Films Ennu Swantham Janakikutty And Njan Gandharvan, Helena Reddington

Journal of Religion & Film

The Malayalam films Ennu Swantham Janakikutty and Njan Gandharvan reimagine figures from Kerala folklore, namely the Yakṣi and the Gandharva, within coming-of-age narratives. Both films position the characters of the Yakṣi and the Gandharva as fantastical figures who usher the young female protagonist into maturity. Rather than offering a pan-Hindu survey, this study focuses specifically on Kerala’s unique reimaginings of these celestial beings, where these figures carry distinct cultural meanings. This interpretive analysis is situated at the intersection of film studies, religious studies, as well as gender and sexuality studies, drawing particularly on feminist theory and critical approaches to vernacular …

Women’S Bonds And Chance Encounters: An Analogical Reading Of The Book Of Ruth And Joshua Marston’S Film Maria Full Of Grace, Luigi De Angelis Soriano

Journal of Religion & Film

This article offers an analogical reading of the biblical book of Ruth and Joshua Marston’s 2004 film Maria Full of Grace, examining how both narratives portray migrant women who form strategic social bonds to navigate precariousness within limiting power structures. While Ruth and María inhabit vastly different cultural and historical contexts, their stories meet in their emphasis on female solidarity and human agency. Focusing on key verses from Ruth and pivotal scenes from Maria Full of Grace, this study highlights how emotional and ethical relationships among women—whether covenantal or born of desperation—become sources of strength in the absence …

100 Years Of Sergei Eisenstein: Iconographic Language And Revolution, Milja Radovic

Journal of Religion & Film

As we commemorate the 100th anniversary of Sergei Eisenstein’s masterpiece Броненосец Потёмкин / Battleship Potemkin (1925), it is essential to re-examine the film that has had enduring influence on film theory, history, and scholarship. Voted one of the greatest films of all time, Eisenstein’s cinematic genius has been crucial to understanding the power of film language. This paper focuses on the underexplored relationship between Eisenstein’s film language and iconography, examining the ways in which Orthodox Christian iconography shaped the story of revolution. The paper delves into the ways in which Eisenstein conveyed complex ideas, demonstrating the technical developments of film …

Post Spinal Cord Injury (Sci) Related Depression And Anxiety, Felecia Marshall

Lynchburg Journal of Medical Science

This article aims to examine the prevalence, significant factors, and clinical significance of depression and anxiety in individuals with spinal cord injury (SCI). Depression and anxiety are common after an SCI. These problems are difficult to recover from and, as such, can have a negative impact on a patient’s quality of life. This article stresses the need for early diagnosis and treatment with both cognitive behavioral therapy and pharmacological treatments for those with SCI. Mental health can be improved through this method. A comprehensive search of studies in PubMed was conducted. In 10 peer-reviewed articles, researchers uncovered findings concerning the …

A Comparison Of Muscular Strength And Power Development In Unilateral And Bilateral Lower Body Exercises, Natalie M. Pickeral, Duann Kremer, Jill M. Lucas

Lynchburg Journal of Medical Science

The purpose of this study was to compare muscle strength and power development following training programs that involved unilateral and bilateral lower-body exercises. A randomized between-groups research design was used in which results from a pretest and posttest were compared across the unilateral and bilateral groups. Sled machine one repetition maximum (1-RM) testing was used as a measure of strength, and countermovement vertical jump (CMVJ) testing was used as a measure of absolute power. Total body bioelectrical impedance analysis testing was used to predict lean body mass in both the left and right legs. Six college-aged female students who were …

An Analysis Of Mental Health In Menopause, Christy Thozer

Lynchburg Journal of Medical Science

Menopause is a major life transition and is frequently accompanied by significant symptoms. While many complaints are often addressed by healthcare providers, many others are frequently left out of the discussion. While these symptoms are significantly detrimental to quality of life and effective treatments are available, many symptoms of menopause remain under-addressed. Mental health symptomatology such as depression, cognitive changes, and decline in libido are common and frequently distressing in the menopause transition and are well worth focused attention. Depression in menopause is well treated by selective serotonin reuptake inhibitors (SSRIs) but may also benefit from treatment with menopausal hormone …

Orthostatic Hypotension In Older Adults And Its Economic Impact On The Healthcare System: A Systematic Literature Review, Olushola E. Ilogho, Jennifer Broyles, Viet Le, Denise Rizzolo

Lynchburg Journal of Medical Science

ABSTRACT

Orthostatic Hypotension (OH) has been shown to lead to poor quality of life, falls, and death. Literature suggests that falls from OH may be preventable, therefore opportunities to reduce its associated cost to the healthcare system exist. This literature review aims to evaluate the importance of diagnosing and treating OH in older adult patients. OH is the drop in blood pressure upon changing to an upright position. This acute hemodynamic drop in blood pressure causes hypoperfusion in the brain, leading to dizziness, syncope, and falls. An extensive literature search for publications in PubMed and Cumulative Index in Nursing and …

Recognizing And Addressing Burnout In Physician Associates, Nellie Garcia

Lynchburg Journal of Medical Science

ABSTRACT

Burnout among Physician Associates (PAs) is a pervasive occupational hazard with far-reaching consequences for clinician well-being, patient safety, and the sustainability of healthcare systems. This doctoral project examines the multifaceted nature of PA burnout, focusing on its impact on mental and physical health, clinical performance, team dynamics, and workforce retention. A structured literature review of peer-reviewed studies published between 2020 and 2025 revealed consistent associations between burnout and emotional exhaustion, anxiety, depression, and diminished job satisfaction. These symptoms impair decision-making, reduce empathy, and elevate the risk of medical errors—factors that compromise patient outcomes and disrupt collaborative care.

The review …

Pain Neuroscience Education In A Telehealth Format: A Case Report, Jason E. Grandeo, Lee Ann Eagler

Lynchburg Journal of Medical Science

Abstract:

Background and Purpose: Describe if pain neuroscience education via telehealth is beneficial for an older adult with persistent pain.

Case Description: A 76 year old female presented with persistent pain in the low back and neck. Pain neuroscience education was delivered via telehealth through book club format and with flash cards.

Outcomes

NPRS improved over the 7 sessions. ROM measures did not show improvement. Fear avoidance belief scores showed significant improvement. The patient reported: “The more understanding about the science behind pain, the more tolerable the pain becomes.”

Discussion:

PNE in a telehealth format is a viable option for …

Leading With A Doctorate: The Impact Of Advanced Scholarship On Leadership Effectiveness, James R. Kilgore

Lynchburg Journal of Medical Science

ABSTRACT

In an era marked by rapid change and complex challenges, the demand for effective leadership has never been more critical. This manuscript explores the transformative impact of doctoral-level education on leadership effectiveness across various sectors, including healthcare and education. Through a comprehensive review of recent literature, this study examines how advanced scholarship fosters critical thinking, ethical reasoning, and strategic insight, which are essential traits for successful leadership. The methodology involves a systematic review of peer-reviewed articles, books, and other scholarly resources published within the past decade, utilizing databases such as PubMed, Cochrane Database of Systematic Reviews, and Google Scholar. …

Problematic Smartphone Use Experiences Of Students, Gbolahan Olasina

The African Journal of Information Systems

Smartphones extend people's opportunities by improving their daily living and well-being. Hence, given the tool’s features and affordances that promote human development, smartphones facilitate the achievement of the individual liberties and freedoms of ordinary people. However, there are serious concerns about the emotional, social and cultural factors underlying smartphone usage patterns and their association with problematic use and depressive behaviors. Therefore, the overriding goal of the research reported on in this paper was to investigate how smartphone use influences individuals’ emotional wellness, interpersonal relationships and sociocultural contexts. Existing academic literature indicated that there was a need to investigate the intricate …