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Evaluation Of Antifungal Properties Of Shiitake And The Effects Of Its Extracts On Some Pathogenic Fungi, Asal Faiz Hameed Aldabbgh, Abdalkarim S. Hasan Alnuaimi, Inaam Jasim Mohamad Jul 2026

Evaluation Of Antifungal Properties Of Shiitake And The Effects Of Its Extracts On Some Pathogenic Fungi, Asal Faiz Hameed Aldabbgh, Abdalkarim S. Hasan Alnuaimi, Inaam Jasim Mohamad

BioMed Visions Journal

The present study aims to investigate the inhibitory effect of shiitake mushrooms on some common fungi found in the soil of Mosul City. The fungal extract from Shiitake was prepared using ethanol or water. Different concentrations of the extract were prepared to analyze the antifungal properties of the mushroom by first making a stock solution and then adding specific amounts to the plates containing (Potato Dextrose Agar) PDA medium to achieve the desired concentrations. The active components found in Shiitake were pinpointed through the use of HPLC. The findings revealed how the aqueous extract of Shiitake affected Trichoderma sp. Penicillium …


Pharmacy Students' Perceptions And Attitudes Toward Online Learning: Insights From A Cross-Sectional Study In Iraq, Heba M. Attash, Luma M. Al-Obaidy, Harith Kh. Al-Qazaz, Fahad Saleem Jul 2026

Pharmacy Students' Perceptions And Attitudes Toward Online Learning: Insights From A Cross-Sectional Study In Iraq, Heba M. Attash, Luma M. Al-Obaidy, Harith Kh. Al-Qazaz, Fahad Saleem

BioMed Visions Journal

Background: The rapid shift to online learning during the pandemic has reshaped pharmacy education in Iraq, yet student perceptions remain underexplored. This study examines how pharmacy students view online and hybrid models, with attention to gender, location, and access to technology. Method: A cross-sectional online survey was conducted between October 2024 and January 2025 with 386 fourth- and fifth-year pharmacy students from differrent universities across Iraq. Data were collected using a structured questionnaire adapted from validated tools, assessing demographics, learning preferences, and attitudes toward digital education. Descriptive and inferential statistics were analyzed using SPSS version 25. Results: Most participants were …


Lowland Tropical Forests Remain A Methane Sink Under Warming And Long-Term Hurricane Disturbance Recovery, Gabriele Larocca Conte, Lucia Zuvela, Rachel Cruz-Pérez, Tatiana Barreto-Vélez, Nibia Becerra-Santillan, Sophia F. Campbell, Molly A. Cavaleri, Et Al. Jul 2026

Lowland Tropical Forests Remain A Methane Sink Under Warming And Long-Term Hurricane Disturbance Recovery, Gabriele Larocca Conte, Lucia Zuvela, Rachel Cruz-Pérez, Tatiana Barreto-Vélez, Nibia Becerra-Santillan, Sophia F. Campbell, Molly A. Cavaleri, Et Al.

Michigan Tech Publications

Methane (CH4) is a potent greenhouse gas, and tropical forests account for roughly one–third of global atmospheric CH4 uptake by soils. Projected warming and more frequent hurricanes in these ecosystems may alter soil CH4 sink strength, as warmer and wetter soils enhance methanogenesis activity. We measured soil CH4 and CO2 efflux during the calendar summer months of 2023 and 2024 alongside continuous records of soil moisture, soil and air temperature, and precipitation in an in–situ warming experiment (TRACE) located in a lowland tropical forest in Puerto Rico, six to seven years after Hurricanes Irma and Maria (2017). The realized warming …


Éditorial, Lina Iskandar Hawat Jul 2026

Éditorial, Lina Iskandar Hawat

Horizons et Conjonctures

Notre revue Horizons et Conjonctures consacre ce numéro spécial à deux documents d’orientation scientifique d’envergure, indissociables l’un de l’autre : le Manifeste pour une théologie depuis la Méditerranée et les Notes de méthode qui l’accompagnent. En tant qu’émanation de notre centre de recherche (CRSR), notre publication a pour mission de diffuser des travaux académiques rigoureux, mais également de structurer de nouveaux champs d’investigation. Ce diptyque programmatique répond pleinement à cette exigence. Il propose un véritable changement de paradigme, instituant l’espace méditerranéen au rang d’authentique lieu théologique et de nouveau cadre épistémologique.
[...]


كلمة التحرير, لينا إسكندر حوّاط Jul 2026

كلمة التحرير, لينا إسكندر حوّاط

Horizons et Conjonctures

يخصّص هذا العدد من مجلة "آفاق وسياقات" وثيقتين علميتين هما "البيان من أجل لاهوت من حوض البحر الأبيض المتوسط" و"الملاحظات في المنهج". وينسجم نشرهما مع رسالة المجلة في دعم البحث الأكاديمي واستكشاف آفاق معرفية جديدة، إذ يدعوان إلى تجديد المنهج اللاهوتي وجعل فضاء البحر الأبيض المتوسط مجالًا لاهوتيًا ومعرفيًا قائمًا بذاته
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Enhanced Mobilenet With Multi-Scale Feature Fusion For Automated Breast Cancer Histopathology Classification, Amany M. Abdo Prof. Jul 2026

Enhanced Mobilenet With Multi-Scale Feature Fusion For Automated Breast Cancer Histopathology Classification, Amany M. Abdo Prof.

Information Systems

Accurate and efficient diagnosis of breast cancer from histopathological images remains a major challenge in clinical practice due to subjective interpretation, inter-observer variability, and labor-intensive manual examination. To address these limitations, this work introduces a transfer learning–based framework for automated breast cancer classification using the Breast Cancer Histology Images (BACH) dataset. Several pre-trained deep architectures—including MobileNet, ResNet variants, EfficientNet, and Vision Transformers—were evaluated and extended with a Multi-Scale Feature Fusion (MSFF) module to capture morphological heterogeneity across spatial resolutions. Among these, the Enhanced MobileNet (E‑MobileNet) with MSFF outperforming recent state‑of‑the‑art models and achieving a classification accuracy of 95%, precision of …


Premature Ventricular Contractions As A Result Of Subacute Myocarditis In A Professional Football Player, Charlotte Pirquet, Daniel Underberg, Brian Osler, Derek Schwabe-Warf, David Shipon Jul 2026

Premature Ventricular Contractions As A Result Of Subacute Myocarditis In A Professional Football Player, Charlotte Pirquet, Daniel Underberg, Brian Osler, Derek Schwabe-Warf, David Shipon

Department of Medicine Faculty Papers

BACKGROUND: Return-to-play (RTP) decisions for professional athletes with arrhythmias are challenging, particularly when the diagnosis is uncertain.

CASE SUMMARY: A 33-year-old professional football player presented for RTP evaluation of premature ventricular contractions (PVCs) and atypical chest pain. Work-up was significant for fragmented R waves and PVCs on electrocardiogram as well as late gadolinium enhancement on cardiac magnetic resonance imaging. Positron emission tomography scan was normal. These findings suggested possible subacute myocarditis. He elected to rest for 2 to 3 months and was treated with guideline-directed medical therapy. Risk stratification highlighted increased risks associated with late gadolinium enhancement and incomplete genetic …


Improving Antimicrobial Stewardship In Pediatric Acute Otitis Media Management In Urgent Care Settings, Madison Haines, Gina Crudden Jul 2026

Improving Antimicrobial Stewardship In Pediatric Acute Otitis Media Management In Urgent Care Settings, Madison Haines, Gina Crudden

Group: Nebraska Methodist College

Problem: Acute otitis media (AOM) is a leading cause of pediatric antibiotic prescribing in urgent care (UC) settings. Despite guidelines recommending watchful waiting, inappropriate prescribing persists, contributing to increased antimicrobial resistance and healthcare costs. This quality improvement project aimed to enhance antimicrobial stewardship through provider education and clinical decision-making support tools.

Intervention: Utilizing the Plan-Do-Study-Act framework, the 30-day intervention was implemented across Midwestern UC centers. The intervention involved asynchronous provider education focused on evidence-based prescribing, watchful waiting strategies, and caregiver communication.

Measures: Primary outcomes included provider confidence in implementing watchful waiting and perceived adherence to clinical guidelines, measured via pre- …


Increasing Patient Education On Obesity, Claire Maddux, Linda Hughes Jul 2026

Increasing Patient Education On Obesity, Claire Maddux, Linda Hughes

Group: Nebraska Methodist College

Obesity is a prevalent and undertreated chronic disease associated with significant morbidity and mortality, yet patient education and engagement in treatment remain limited in primary care. This quality improvement project aimed to evaluate the effectiveness of a brief, theory-driven educational handout in improving patient knowledge, self-awareness, and readiness to engage in obesity-related care. The intervention was implemented in a Midwestern primary care clinic and targeted adult patients with a body mass index of 30 or greater. Participants were provided with an educational handout and completed pre- and post-handout tests assessing knowledge of obesity etiology, risks, and treatment options, as well …


Targeted Temperature Management: Controversy Surrounding Post-Cardiac Arrest Care, Ishan Abdullah, Shawn Reginauld, Ramesh Mazhari Jul 2026

Targeted Temperature Management: Controversy Surrounding Post-Cardiac Arrest Care, Ishan Abdullah, Shawn Reginauld, Ramesh Mazhari

URGENT Matters

No abstract provided.


Introduction To Jcihe Special Issue 18(4a), Louise Michelle Vital, Jing Yu, Benjamin Denga Jul 2026

Introduction To Jcihe Special Issue 18(4a), Louise Michelle Vital, Jing Yu, Benjamin Denga

Journal of Comparative & International Higher Education

This introduction frames the special issue, “Examining Race, Racism, and Racialization in the Internationalization of Higher Education from Global Perspectives,” by arguing that race is foundational, rather than peripheral, to the internationalization of higher education. Emerging from an unprecedented response to the call for proposals, and from an editorial decision to expand the project into two special issues in light of the urgency of the topic and the broader geopolitical climate, this introduction is organized around five interconnected themes: (1) positioning race as foundational to internationalization; (2) framing internationalization as a set of power relations; (3) examining the …


Exercise Training Prior To And During Cancer In Mice Preserves Muscle Mass, Reduces Tumour Weight And Suppresses Molecular Mediators Of Cachexia, Stavroula Tsitkanou, Pieter J. Koopmans, Ana Regina Cabrera, Nathan Serrano, Calvin S. Peterson, Ruqaiza Muhyudin, Zain B. Malik, Micah Goeke, Eleanor R. Schrems, Francielly Morena, Yuan Wen, Tyrone A. Washington, Kevin A. Murach, Nicholas P. Greene Jul 2026

Exercise Training Prior To And During Cancer In Mice Preserves Muscle Mass, Reduces Tumour Weight And Suppresses Molecular Mediators Of Cachexia, Stavroula Tsitkanou, Pieter J. Koopmans, Ana Regina Cabrera, Nathan Serrano, Calvin S. Peterson, Ruqaiza Muhyudin, Zain B. Malik, Micah Goeke, Eleanor R. Schrems, Francielly Morena, Yuan Wen, Tyrone A. Washington, Kevin A. Murach, Nicholas P. Greene

Physiology Faculty Publications

Abstract: We investigated the prophylactic effects of exercise before and during cancer cachexia (CC) using a model designed to mimic endurance and resistance (i.e., concurrent) adaptations. Male and female Balb/c mice were randomly assigned to exercise or control groups whereby exercise groups were subjected to an 8-week voluntary progressive weighted wheel running (PoWeR) programme of habitual loading-mediated physical activity beginning at 8 weeks of age. At 16 weeks of age, mice were injected bilaterally with colon-26 adenocarcinoma (C26) cells or phosphate-buffered saline, and exercise training was maintained throughout disease progression. Twenty-five days post-tumour induction, we assessed whole-body and muscle phenotype, …


Fixing What You Cannot Xray: Mental Health Crisis In The Pediatric Emergency Department, Juliana Castaneda, Miriam Hancock, Ashlyn Holt, Nina Petersen, Jillian Vo Jul 2026

Fixing What You Cannot Xray: Mental Health Crisis In The Pediatric Emergency Department, Juliana Castaneda, Miriam Hancock, Ashlyn Holt, Nina Petersen, Jillian Vo

2025

No abstract provided.


Aquaponics: Farming Fish And Growing Greens For Grades 9–12, Amy M. Shambach,, Rebecca M. Ward, J. Stuart Carlton, Kwamena K. Quagrainie, Tomas O. Höök Jul 2026

Aquaponics: Farming Fish And Growing Greens For Grades 9–12, Amy M. Shambach,, Rebecca M. Ward, J. Stuart Carlton, Kwamena K. Quagrainie, Tomas O. Höök

Purdue University Press Books

Aquaponics: Farming Fish and Growing Greens for Grades 9–12 teaches STEM-related course material through aquaponics, a water-based agricultural system that combines aquaculture (fish production) and hydroponics (soilless vegetable production) systems. This curriculum is aligned with Next Generation Science Standards and designed to be used with an onsite aquaponics system. Topics include an introduction to aquaculture, fundamental parts of an aquaponics system, the nitrogen cycle, water quality, population dynamics, our modern food system, and more. The ten lessons presented build on each other and are intended to be delivered in sequential order. Alternatively, lessons may also be utilized as stand-alone units …


Weather And Climate Science Education For Grades 3–12, Natalie J. Carroll, Theodore Leuenberger, Gretchen Leuenberger Jul 2026

Weather And Climate Science Education For Grades 3–12, Natalie J. Carroll, Theodore Leuenberger, Gretchen Leuenberger

Purdue University Press Books

What’s the weather today? People are interested in the weather so they can plan their day, determine what they should wear, if they should venture outside, when and where to vacation, and many other tasks. Gardeners and farmers need to understand both weather and climate to decide what and where to plant, and how best to take care of their animals. Homeowners also need to understand typical climate conditions, allowing them to determine which flowers and shrubs to plant on their properties. It also tells them what kind of insulation, furnace, and air conditioner to install. And when stormy weather …


Experiences Of Reproductive Health Care Practitioners In North Carolina After The Dobbs Decision, Arwyn Lapella Jul 2026

Experiences Of Reproductive Health Care Practitioners In North Carolina After The Dobbs Decision, Arwyn Lapella

Walden Dissertations and Doctoral Studies

Since the Supreme Court of the United States made the decision to overturn Roe v. Wade, providing access to reproductive health care in the state of North Carolina has been a challenge for medical professionals. Findings from existing literature indicate that a lack of access to reproductive health care can have a negative impact on society from socioeconomics, food and home inequality, and other health care complications. The purpose of this study was to focus on the impacts that health care providers faced when providing care for those who live in the state of North Carolina since the Supreme Court’s …


2026 Ids Network Conference Opening Statements, Mark Sullivan Jul 2026

2026 Ids Network Conference Opening Statements, Mark Sullivan

Conference Presentations

No abstract provided.


The Tagmatized Echinoderm, Richard L. Turner Jul 2026

The Tagmatized Echinoderm, Richard L. Turner

Ocean Engineering and Marine Sciences Faculty Publications

Synopsis Tagmosis is a derived condition of metamerism in annelids, arthropods, and chordates in which groups of adjacent segments are modified to perform specific functions. Examples are the clitellum of earthworms, the carapace of lobsters, and the sacrum of tetrapods, to mention a few. The argument is advanced here that examples of tagmosis are not hard to find among echinoderms, a fourth major group of metameric animals; but the degree of tagmosis is weak in most cases. The first few segments of the axial skeleton are often conjoined as a perioral tagma (e.g., the jaws and other parts of the …


Deborah Roseboro V. Doj Jul 2026

Deborah Roseboro V. Doj

2026 Decisions

USDC for the Eastern District of Pennsylvania


Usa V. Gordon Johnson Jul 2026

Usa V. Gordon Johnson

2026 Decisions

USDC for the Western District of Pennsylvania


William Webb, Jr. V. Kirk Neal Jul 2026

William Webb, Jr. V. Kirk Neal

2026 Decisions

USDC for the District of Delaware


مقدّمة عامّة, جيوزيبينا دي سيموني Jul 2026

مقدّمة عامّة, جيوزيبينا دي سيموني

Horizons et Conjonctures

تتناول مداخلتي دور الشبكة اللاهوتية المتوسطية، والتزامها بنسج شركة كنسية وبناء حوضٍ للبحر الأبيض المتوسط يسوده السلام. فالشبكة اللاهوتية المتوسطية ليست جمعيةً ولا هيئةً، بل شبكة تجمع أشخاصًا ومؤسساتٍ ومراكز للتعليم اللاهوتي، اختارت جميعها العمل معًا لمواجهة التحديات التي يطرحها حوض البحر الأبيض المتوسط على فهم الإيمان في عصرنا.

[...]


How Does An Advanced Educator Utilize Digital Language Teaching And Learning By Integrating Linguistic, Cultural, And Business Life Perspectives?, Hely Westerholm, Pirjo Takanen-Körperich, Ph.D. Jul 2026

How Does An Advanced Educator Utilize Digital Language Teaching And Learning By Integrating Linguistic, Cultural, And Business Life Perspectives?, Hely Westerholm, Pirjo Takanen-Körperich, Ph.D.

International Journal for Business Education

This paper explores advanced educators’ digital working capabilities in online language teaching, with a particular focus on sharing Finnish language and culture in a foreign context. Cultural and linguistic knowledge play a significant role in enhancing students’ motivation to study foreign languages. In today’s educational environment, digitalisation and globalisation exert an increasing influence on foreign language teaching and learning.

The digital learning environment has brought about a paradigm shift in foreign language didactics. Digital language learning is both challenging and holistic in nature. Continued foreign language learning is simultaneously an individual and a social process, as digital learning cultures impose …


How Grades Changed Before, During And After Covid-19 In A Business College, Douglas R. Moodie, Alison Keefe, Robin Cheramie Jul 2026

How Grades Changed Before, During And After Covid-19 In A Business College, Douglas R. Moodie, Alison Keefe, Robin Cheramie

International Journal for Business Education

Purpose: This study examines how undergraduate business student grades changed before, during, and after the COVID-19 pandemic using a large institutional dataset from a business college in a US university between 2015 and 2024.

Method: The analysis includes over 390,000 student-course observations and incorporates instructional modality, student demographics, course characteristics, and prior academic performance.

Results: Results show a substantial increase in mean course grades during the COVID-19 period, followed by a partial reversion post-pandemic to levels that remain above pre-pandemic trends. These patterns are consistent across modalities, demographics, and departments.

Implications: The findings raise important questions regarding the interpretation of …


Correctional Officers' Perceptions Of Inmate Suicide In Florida State Prisons, Chrishelle Robbins Jul 2026

Correctional Officers' Perceptions Of Inmate Suicide In Florida State Prisons, Chrishelle Robbins

Walden Dissertations and Doctoral Studies

Correctional officers are responsible for the care, custody, safety, and supervision of inmates within jails, prisons, and correctional institutions. They face many hardships within a prison setting including inmate suicides. The purpose of this qualitative study was to explore and understand the perceptions of Florida state correctional officers who have experienced inmate suicide firsthand. This study was formulated using the transcendental, descriptive phenomenology approach and addressed the study’s research questions. Participants included nine Florida state certified correctional officers who witnessed an inmate suicide. Participants were selected using purposive snowball sampling. Interviews were scheduled and conducted via ZOOM or by telephone …


China Maritime Report #56: The Silent Service: Assessing Plan Influence In The Central Military Commission, Natalie Shen, Joel Wuthnow Jul 2026

China Maritime Report #56: The Silent Service: Assessing Plan Influence In The Central Military Commission, Natalie Shen, Joel Wuthnow

CMSI China Maritime Reports

Main Findings

  • Despite its impressive expansion, the People’s Liberation Army Navy (PLAN) is more of a "decision-taker" than a "decision-maker," with its growth driven by top-down political directives from leaders like Xi Jinping rather than by its own institutional influence.
  • The PLAN's bureaucratic influence within the high command remains modest, with minimal representation on the powerful Central Military Commission (CMC) or in its subordinate departments.
  • The PLA Army (PLAA) continues to dominate top leadership and management roles, limiting the navy's ability to compete for resources and influence key decisions despite a strategic shift toward the maritime domain.
  • Career progression for …


Strategies To Increase Attendance In Substance Use Disorder Group Treatment: Results From A Randomized Controlled Trial, Liliane Cambraia Windsor, Heather A Jones, Carla Ellis, Kennya Hooper, Andrea Rucker, Salma Musaad, Moses Okumu Jul 2026

Strategies To Increase Attendance In Substance Use Disorder Group Treatment: Results From A Randomized Controlled Trial, Liliane Cambraia Windsor, Heather A Jones, Carla Ellis, Kennya Hooper, Andrea Rucker, Salma Musaad, Moses Okumu

Faculty, Staff and Students Publications

Background: Attendance in substance-use-disorder group-treatment is challenging with only 32% of patients attending at least one session (Substance Abuse and Mental Health Services Administration and Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2023 admissions to and discharges from substance use treatment services reported by single state agencies, Bethesda, 2025). The present study tested a set of strategies to increase group session attendance in Community Wise, an innovative evidence-based group-intervention delivered in harm-reduction-community-based agencies and designed to reduce alcohol and substance use among people with substance-use-disorders living in predominantly Black and disinvested communities. We examined: (1) …


A Systematic Literature Review Of Cvid Reveals Pervasive Detrimental Noninfectious Manifestations, Robert B Lindell, Samir U Sayed, Jose S Campos Duran, Sydney A Sheetz, Apoorva Babu, Montana S Knight, Andrea A Mauracher, Ceire A Hay, Peyton E Conrey, Julie C Fitzgerald, Nadir Yehya, Stephen T Famularo, Teresa Arroyo, Richard Tustin, Hossein Fazelinia, Edward M Behrens, David T Teachey, Lisa R Forbes Satter, Alexandra F Freeman, Jenna Re Bergerson, Steven M Holland, Jennifer W Leiding, Scott L Weiss, Mark W Hall, Deanne M Taylor, Rui Feng, E John Wherry, Nuala J Meyer, Sarah E Henrickson Jul 2026

A Systematic Literature Review Of Cvid Reveals Pervasive Detrimental Noninfectious Manifestations, Robert B Lindell, Samir U Sayed, Jose S Campos Duran, Sydney A Sheetz, Apoorva Babu, Montana S Knight, Andrea A Mauracher, Ceire A Hay, Peyton E Conrey, Julie C Fitzgerald, Nadir Yehya, Stephen T Famularo, Teresa Arroyo, Richard Tustin, Hossein Fazelinia, Edward M Behrens, David T Teachey, Lisa R Forbes Satter, Alexandra F Freeman, Jenna Re Bergerson, Steven M Holland, Jennifer W Leiding, Scott L Weiss, Mark W Hall, Deanne M Taylor, Rui Feng, E John Wherry, Nuala J Meyer, Sarah E Henrickson

Faculty, Staff and Students Publications

BACKGROUND

Sepsis is a leading cause of morbidity and mortality in critically ill children, yet heterogeneous immune responses complicate the development of targeted therapies and the host immune factors driving sepsis pathobiology remain unclear.

METHODS

We integrated deep immune phenotyping, plasma proteomics, single-cell transcriptomics, and phosphoflow cytometry in a prospective cohort of 88 critically ill children to elucidate the mechanisms underlying immune heterogeneity.

RESULTS

Unsupervised clustering of plasma cytokines identified 3 immunologic subgroups, including a high-severity group (“Group C”) characterized by hypercytokinemia driven by IL-6 and IFN-γ. Group C exhibited distinct alterations in immune cell frequency and activation, with a …


Subscribe, Follow, Save: Podcast Preservation In The Platform Era, Ben Pettis, Jeremy Morris Jul 2026

Subscribe, Follow, Save: Podcast Preservation In The Platform Era, Ben Pettis, Jeremy Morris

Rhetoric and Communication Studies Faculty Publications

Podcasting has produced a glut of cultural content. Collecting and saving these sounds for future study, however, remains challenging. This article asks: “How are recent developments in the platformization of podcasting threatening the ability of users and researchers to save, study, and sustain podcasts and the cultural insights they offer?” To answer, we focus on a podcast preservation project, PodcastRE.org, and discuss strategies for creating an (un)stable repository for future studies of podcasting. While new developments challenge preservation efforts, they also offer archivists opportunities to prioritize the cultural significance of podcasts, rather than the economic motives of the podcast industry …


Community Health Workers’ Experiences Distributing Harm Reduction Supplies During Covid-19 In The Barren River Area Development District, Angel Nichole Shoemake Jul 2026

Community Health Workers’ Experiences Distributing Harm Reduction Supplies During Covid-19 In The Barren River Area Development District, Angel Nichole Shoemake

Walden Dissertations and Doctoral Studies

Community health workers (CHWs) distributing sterile injecting equipment help reduce infectious disease transmission among people who inject drugs; however, limited research exists regarding their experiences delivering harm reduction services during public health emergencies in rural areas. The purpose of this qualitative study was to explore CHWs’ experiences and perceptions of health risks, operational barriers, and social influences affecting harm reduction service delivery during the COVID-19 pandemic in the Barren River Area Development District. The health belief model guided this study, emphasizing perceived susceptibility, severity, barriers, benefits, and self-efficacy. Data were collected through semistructured Zoom interviews with eight purposively sampled CHWs …