Digital Commons Network^™

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 …

Enhancing Safety In Healthcare Construction: A Comprehensive Training Program On Managing Construction Dust, Melissa Nalath

Capstone Experience: Master of Public Health

In healthcare settings, construction activity poses significant risks due to the formation and release of construction dust containing allergens, pathogens, and toxic substances. This culminating project will develop a comprehensive training course for contractors to mitigate these risks while ensuring the safety of patients, employees, and construction workers. The training programs will raise awareness of the health risks associated with construction dust and educate contractors on proper dust handling techniques and ensure compliance with relevant regulations. Key elements such as containment, ventilation, and proper personal protective equipment (PPE) use will be emphasized. The program will also underscore the potential for …

Examining The Association Between Diabetes And Hypertension Among Women 40 Years And Older Using The Framingham Study, Stefanie F. Starinsky

Capstone Experience: Master of Public Health

Objectives: To investigate the association between diabetes and hypertension over 24 years using the Framingham Heart Study in women 40 or older.

Methods: The study utilized a subset of data from the Framingham Study (initiated in 1948), a longitudinal prospective cohort study, which followed participants for 24 years. The exposure was diabetes, while hypertension was the outcome. Women aged 40 years or older who had no missing data on diabetes or hypertension were included (N=2,187). Logistic regression was used to estimate unadjusted and adjusted odds ratios (OR) and 95% confidence intervals (CI). Adjusted models controlled for body mass index, smoking, …

The State Of Abortion Training In Medical School And Family Medicine Residency Curricula: A Scoping Literature Review, Eric James Reece

Capstone Experience: Master of Public Health

This project aims to assess how abortion education has been integrated into medical training over the past decade, with a particular focus on understanding its current state in medical schools and family medicine residencies, including those offering specialized programs affiliated with RHEDI (Reproductive Health Education in Family Medicine) and TEACH (Training in Early Abortion for Comprehensive Healthcare). Given the ever-evolving legal landscape following the June 4^th, 2022 Supreme Court case of Dobbs v. Jackson Women’s Health Organization, this review explores how both federal- and state-level legal restrictions impact access to abortion training and attempts to identify gaps …

A Landscape Analysis Of Rapid Evidence Curation During The 2022 Sudan Virus Disease Outbreak In Uganda, Jemimah J. Wachap

Capstone Experience: Master of Public Health

Uganda's 2022 Sudan Virus Disease (SVD) outbreak emphasized the need for rapid and effective evidence curation in public health emergencies. This analysis examines evidence curation practices during the SVD response, identifying challenges and assessing the timeliness and effectiveness of strategies in low-resource settings. While global responses to previous outbreaks, like COVID-19, have advanced evidence synthesis, the SVD outbreak revealed infrastructure and data integration gaps. The study aims to map the evidence curation landscape, focusing on models and tools, such as data-sharing platforms, mobile Polymerase Chain Reaction (PCR) labs, and Integrated Management Systems (IMS). It will also address gaps in surveillance, …

Evaluating The Nebraska Medical Center's Repatriation Of Inter-Hospital Transfers, Natalie Crump

Capstone Experience: Master of Public Health

Background: Bed capacity challenges at large academic medical centers delay the transfer of rural patients, negatively impacting their safety and quality of care. Repatriating inter-hospital transfer (IHT) patients to referral facilities upon completing specialized care can improve tertiary hospital bed capacity and community hospital financial sustainability.

Objectives: This project aims to identify the barriers and facilitators to successful IHT repatriation and the process and outcome variables influenced by the Nebraska Medical Center’s reverse transfer program.

Study Design: A retrospective observational cohort study was conducted to identify barriers and facilitators of NM’s IHT repatriation program.

Methods: Descriptive and comparative analyses of …

Emergency Sheltering For Unhoused Populations During Extreme Winter Weather Events: A Comparison Between Guidance Documents And Local Planning, Shannon A. Bakke

Capstone Experience: Master of Public Health

In a world experiencing drastic climate changes, extreme winter weather is a present and future concern. Regardless of geographic location, extreme winter weather has detrimental effects on communities across the United States. Exposure to extreme winter weather may result in cold-related injuries or death, disproportionately impacting populations that spend more time outside, such as people experiencing homelessness. Gronlund concluded that there is "a higher risk of hypothermia, hyperthermia, and mortality among the homeless vs. non-homeless during periods of extreme heat or cold (Gronlund, 2018)." Communities across the United States routinely combat the effects of cold weather by implementing various disaster …

A Research Report: What Are The Challenges That Refugee Women Experience When Seeking Healthcare Related To Pregnancy In The United States?, Manuela Krieger-Adi

Capstone Experience: Master of Public Health

Background

Refugees in the United States, including African refugee women, face many challenges in seeking healthcare after moving to the United States to resettle. It is urgent and essential to look into some of the health challenges the refugee community faces here in Omaha, Nebraska, that prevent them from seeking healthcare, especially when pregnant. This Capstone research project aims to focus on African refugee women, specifically in Omaha, Nebraska, and the challenges they face seeking healthcare related to pregnancy.

Methods

This research report involved five in-depth interviews conducted over Zoom. The target population was refugee mothers who had given …

Assessing The Association Between Total Cholesterol And Hospitalized Myocardial Infarction In Women Ages 32-70: An Analysis Of The Framingham Heart Study, Jolene L. Stapleton Duree

Capstone Experience: Master of Public Health

Objective

Heart disease is the leading cause of death in women that may go undiagnosed due to unexpected symptoms. The purpose of this analysis was to assess the effect of total cholesterol on the odds of hospitalized myocardial infarction (MI).

Methods

This analysis used a sample of 2,445 women from the Framingham Heart Study, an observational prospective cohort study. The exposure was total cholesterol, and the outcome was hospitalized MI. Logistic regression was used to estimate crude and adjusted odds ratios (OR). The adjusted models controlled for age, blood pressure, and diabetes. Effect modification by diabetes status was evaluated in …

A Hodge-Podge Presentation Of Polyarthritis, Hearing Loss And Vasculitis, Gregory P. Ruzich

Advocate GME

No abstract provided.

Muscles Gone Rogue: When Gains Turn To Grains- Unraveling A Case Of Post - Traumatic Myositis Ossificans, Lauren Le

Advocate GME

No abstract provided.

Winning The Battle, Losing The War: Rahimi, Women, And The Supreme Court, Dana Raigrodski

Articles

Domestic violence and DV-related firearm use are a grave and persistent issue in the United States and have an extensive harmful and deadly impact in the lives of many women. In its 2024 Rahimi decision, the United States Supreme Court held that, as applied to the facts of the case, 18 U.S.C. § 922(g)(8), which bans firearms possession by those subject to a DV protective order, is facially constitutional under the Second Amendment. The Court upheld § 922(g)(8) under Bruen’s “Nation’s historical tradition of firearm regulations” test, finding that founding era laws included provisions preventing individuals who threaten physical harm …

Novel Corporate Governance Structures, Jennifer S. Fan, Xuan-Thao Nguyen

Articles

Artificial Intelligence (“AI”) startups have taken center stage, rapidly disrupting conventional industries at an unprecedented pace with their groundbreaking innovations. Hailed by many as the most significant technological advancement of our era, AI’s profound societal impact has garnered heightened public and governmental scrutiny. The spotlight has recently fallen on OpenAI, the creator of ChatGPT, which weathered a tumultuous period marked by the ouster and subsequent rehiring of CEO Sam Altman, a board reconfiguration, and Altman’s later return to the board. Concerns over AI safety were offered as the rationale for the tandem corporate governance structure of nonprofit and for-profit at …

The Kids Aren’T Alright: Changes In The Mental Health Of Adolescents Post-Covid-19, Tanya Belom

Education (PhD) Dissertations

Mental health is an increasing concern for today’s youth, with one in six U.S. children and adolescents aged 6-17 experiencing a mental health disorder each year, and 50% of all lifetime mental illnesses begin by age 14. The COVID-19 pandemic, which resulted in lockdowns, social isolation, school closures, and ultimately a disruption in everyday life, is believed to have adversely impacted the mental health of children and adolescents. There is limited research available on the impacts of the pandemic on adults, and even less research is available on the impact of the pandemic on youth, specifically as we navigate the …

Safety, Efficacy, And Adjacent-Level Fracture Risk Following Vertebral Augmentation And Radiofrequency Ablation For The Treatment Of Spine Metastases In Patients With Cancer, Andrew Niekamp

All Publications

Purpose To evaluate the safety and efficacy of vertebral augmentation (VA) and radiofrequency ablation (RFA) for treating pathologic spinal fractures in patients with cancer and adjacent fracture risk following treatment. Materials and Methods This single-institution retrospective study, conducted from January 2017 to September 2020, included patients with cancer who underwent percutaneous VA with or without spine RFA for pathologic spine compression fractures. The primary outcome was pain reduction, assessed using the 10-point visual analog scale before the procedure, at first follow-up, and 2-4 weeks after the procedure. Logistic regression was performed to identify factors associated with epidural cement leak. Results …

Identification Key For The Fiddler Crabs Image Gallery, Carl L. Thurman

Faculty Publications

No abstract provided.

Sevoflurane Sedation – Blind Alley Or Cunning Plan?, J Robert Sneyd, Anthony R. Absalom

More Faculty of Health Research

Low-dose inhaled sevoflurane sedation impaired volunteers' ability to complete a button-press task, without significant cardiorespiratory compromise. Patient-controlled sedation using sevoflurane might be feasible, however regulatory hurdles require proof of safety and efficacy through clinical trials. Whilst a promising concept, it must be demonstrated that patients cannot induce unconsciousness on their own, despite any interactions with opioid analgesics. Significant steps remain before practical, patient-controlled sevoflurane sedation can be implemented.

Law Library Blog (May 2025): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

The Wellness Connection May 2025, Roger Williams University School Of Law

Life of the Law School (1993- )

No abstract provided.

Section 276 Applications In Intimate Partner Sexual Assault Cases: The Impact Of R V Goldfinch, Janine Benedet, Isabel Grant

UBC Law Review

No abstract provided.

Placing Expediency Before Principle: An Empirical Analysis Of The Joint Sentencing Practices Of Canadian Crown Prosecutors And Defence Lawyers, Sharmi Jaggi

UBC Law Review

No abstract provided.

Systemic Racism And Sentencing Indigenous Youth, Helene Love, Stephanie Wiley

UBC Law Review

No abstract provided.

Declarations Of Invalidity And The Metaphysics Of Judicial Review, Amitpal C. Singh

UBC Law Review

No abstract provided.

Enhancing Lawyers' Well-Being And Competencies Beyond The Traditional Law School Curriculum: The Impact Of Mindfulness Education On Law Students, Thomas G.W. Telfer, Emily G. Nielsen, Sara Ahola Kohut, Elli Weisbaum

UBC Law Review

No abstract provided.

58(1) Front Matter

UBC Law Review

No abstract provided.

Empowering Dreams: The Massachusetts Tuition Equity Law And Its Impact On Undocumented Latine Students, Belén Zúñiga, Melissa Colón

Gastón Institute Publications

As a result of the Tuition Equity Law enacted in September 2023, Massachusetts is one of 25 states1 that have encouraged access to higher education for non-citizens, including undocumented students2 (Broder and Kmec, 2024). Under the Tuition Equity Law, undocumented students, who: attended a high school (9th-12th grade)3 in Massachusetts with any combination of three years, graduated from a Massachusetts high school or have a Massachusetts high school diploma equivalent (GED/HiSet), and are admitted to a public institution of higher education in Massachusetts, can attend at in-state tuition rates (Massachusetts Department of Higher Education, 2023). They are also eligible to …

Ama, Juan Gabriel Mendoza

Theses and Dissertations

This collection of interconnected testimonios - essays - follows the life of Socorro Benitez Celedon, an immigrant grandmother who spent decades laboring in the agricultural fields across the United States. After crossing the border from Mexico to Texas at the age of 12, Socorro navigates the harsh realities of migrant farm work low low-paying jobs, discrimination, segregation, and cruel realities, while nurturing dreams for her family's future. The stories shift between her early years in her small town in northern Mexico, San Jose De Raices Nuevo Leon, to her migrant life planting, picking, and harvesting fruits and vegetables, to her …

Low Speed Water Tunnel Flow Testing, Humberto Cesar Grimaldo Jr.

Theses and Dissertations

Water tunnels serve as controlled environments for simulating fluid dynamics, providing an essential platform for studying flow patterns for hydrodynamic effects. This report presents a comprehensive overview and refurbishment of the water tunnel system located at the University of Texas Rio Grande Valley, focusing on its design, operation, calibration, and visualization capabilities for fluid dynamics research. The water tunnel, originally installed in 1995, was restored and updated with structural repairs, including resolving persistent leaks and implementing an improved drain system. A calibration process using a pitot tube and differential pressure transducer was conducted to establish accurate relationships between flow velocity …

A Dg-Algebra Structure With Divided Powers On The Generalized Taylor Resolution, Raul F, Alvarez

Theses and Dissertations

This thesis investigates the construction of a DG Γ-algebra structure on the Generalized Taylor Resolution (GTR) associated with monomial ideals. The classical Taylor resolution is known for providing a free but generally non-minimal resolution, leading to computational challenges and inefficiencies in algebraic analysis. In contrast, the GTR preserves essential algebraic structures while optimizing the resolution process, offering a more efficient and comprehensive framework for studying monomial ideals.

We introduce a novel DG Γ-structure that incorporates divided powers into the GTR, enhancing its multiplicative and homological properties. This structure preserves strict graded commutativity and is fully compatible with the differential graded …

Linguistic (In) Security And Persistence In Doctoral Studies: A Mixed-Methods Study Of The Impact Of Metapragmatic Discourses On The Persistence Of Multilingual Doctoral Students, Germaine Tondji

Theses and Dissertations

Linguistic beliefs and practices in doctoral studies have often been overlooked, partly due to the assumption that advanced students face fewer language-related challenges. However, research on multilingualism in hypernormative academic contexts suggests that linguistic concerns persist even among the most educated. Multilingual doctoral students (MDSs) operate at the intersection of multiple linguistic and epistemic systems. In English-dominant, monoglossic environments, they must not only navigate the complexities of doctoral study but also reconcile competing linguistic and epistemic identities. This study explores the role of linguistic insecurity (LI) in MDSs' doctoral persistence through a mixed-methods design. The quantitative phase draws on survey …