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The End Of Means-End Scrutiny, Francesca Procaccini

Duke Law Journal

It is black-letter law that courts apply means-end scrutiny to evaluate laws that burden constitutional rights. Not anymore. Discreetly and pervasively, the Supreme Court has ousted means-end scrutiny from constitutional law. It has done so through a series of smaller and seemingly unconnected doctrinal incursions, including the introduction of history and tradition tests, the transformation of equality doctrines, and the embrace of formalist rules to govern constitutional law.

This Article provides a complete and interconnected critique of the numerous doctrinal transformations that together comprise the larger constitutional revolution of ending means-end scrutiny. It tracks how this upheaval now touches nearly …

"The Persistent And Muddy Dispute": How The Facial/As-Applied Distinction Creates Problems For Constitutional Litigants, Sean P. Wilson

Duke Law Journal

The distinction between facial and as-applied challenges continues to play a central role in constitutional litigation, including at the Supreme Court. Yet, the distinction and its related rules have long suffered from a lack of doctrinal clarity and consistency. This Note sets out a descriptive taxonomy of three problems facing constitutional litigants because of the murkiness surrounding the facial/as-applied distinction.

First, the “Doctrinal-Test Problem” refers to the fact that many constitutional doctrines appear to require the courts to engage in facial adjudication, even if a litigant wishes to bring an as-applied claim. Thus, as-applied litigants are forced into facial challenges, …

Journal Staff

Duke Law Journal

No abstract provided.

Tammy Knieling V. Don Fook

2026 Decisions

USDC for the District Court of the Virgin Islands

John Butler V. Kanjorski

2026 Decisions

USDC for the Middle District of Pennsylvania

Tammy Knieling V. Don Fook

2026 Decisions

USDC for the District Court of the Virgin Islands

John Butler V. Kanjorski

2026 Decisions

USDC for the Middle District of Pennsylvania

Association Between Environmental Exposures To Perfluoroalkyl And Polyfluoroalkyl Substances And Military Veterans Cancer Determination, Stephen A. Pereira Jr

Walden Dissertations and Doctoral Studies

This study involved evaluating whether cumulative exposure to perfluoroalkyl and polyfluoroalkyl substances (PFAS) was associated with kidney cancer, bladder cancer, and adult leukemia among U.S. veterans. Pooled National Health and Nutrition Examination Survey (NHANES) data from 2005–2015 were analyzed for sample of 2,500 veterans with available serum PFAS measurements and physician-diagnosed cancer histories. This study employed a cross-sectional, correlational design grounded in a post-positivist paradigm. Inclusion required complete data for (a) serum PFAS concentrations, (b) kidney cancer, bladder cancer, and adult leukemia, and (c) covariates age, sex, race/ethnicity, smoking status, and body mass index. Cumulative PFAS was modeled as a …

Staff Education To Improve Antipsychotic Medication Adherence, Okikiola Oluwabunmi Ogunbunmi

Walden Dissertations and Doctoral Studies

Non-adherence to antipsychotic medication among patients with schizophrenia and other severe mental illnesses is a critical issue, contributing to high rates of relapse, rehospitalization, and increased healthcare costs. Despite the necessity of these treatments, patients often struggle with compliance due to lack of insight, side effects, or complex regimens. The project aimed to evaluate how structured staff education interventions increase knowledge and confidence among healthcare providers, regarding medication adherence strategies, including the use of Long Acting Injectable (LAI) antipsychotics and the “teach-back” methods. Staff education programs typically utilize evidence-based tools, pre-and post-intervention assessments, and training sessions to enhance knowledge on …

Survivors Of Sexual Trauma: Abortion Experiences Of Black Women In The Southern United States, Katie Grace Geter

Walden Dissertations and Doctoral Studies

Women who experience both sexual trauma and abortion within their lifetime are highly likely to struggle with serious mental health symptoms; however, social work students and practitioners lack education and knowledge on how to serve these women. Recent events, including the uprising of gender and race related movements, COVID-19, heightened political division, and increased governmental control on abortion rights also impact social-work practice. Acknowledging intersectionality, the purpose of this qualitative study was to explore the experiences of abortion for Black women in the Southern United States who have a history of sexual trauma. The experiences of 6 Black women with …

The Relationship Between Medical Mistakes, Organizational Culture, And Patient Safety In South Florida Hospitals, Tachaumbi Lamaya Williams

Walden Dissertations and Doctoral Studies

The present study investigated the relationship between safety-promoting management structures and medical errors in South Florida hospitals. The purpose of the study was to determine if safety-promoting management frameworks reduce medical errors. Using Donabedian’s model, the main research question focused on whether specific organizational management systems are significantly associated with the frequency and severity of medical mistakes in these hospitals. Using a quantitative, cross-sectional research design, the study analyzed secondary data, initially collected by Leapfrog group. Data analysis involved descriptive statistics to profile the sample’s demographics and baseline characteristics, followed by inferential statistical tests to assess the primary hypothesis. Findings …

Staff Education To Improve Knowledge On Early Recognition Of Staff Burnout In Nurses Working In Long-Term Care, Geraldine Ndeng Akonwah

Walden Dissertations and Doctoral Studies

This doctoral project was a practice-based staff education project aimed at educating nurses concerning early burnout recognition. The educational intervention was chosen to promote awareness and knowledge related to the concept of burnout and self-care among nurses employed in a long-term care facility. The practice problem addressed was the high prevalence of nurse burnout and the limited ability of nurses to recognize early signs of burnout. The problem is significant in nursing practice as burnout is detrimental to the clinical judgment, patient safety, job satisfaction and staff retention. The guiding question of the project was as follows: Does a staff …

Understanding Reporting Decisions: Qualitative Exploration Of Hate Crime Underreporting Among Minority Transgender Individuals, Shanise Anita Benitez

Walden Dissertations and Doctoral Studies

Minority transgender individuals experience disproportionately high rates of hate‑motivated violence, yet these incidents remain substantially underreported. This qualitative study examined the social, structural, and identity‑based factors that influence reporting decisions among minority transgender adults in the United States. Guided by Bandura’s social learning theory and Crenshaw’s intersectionality theory, the study examined how participants’ lived experiences, community-based observations, and intersecting marginalized identities influence their perceptions of safety, trust, and institutional legitimacy. Semi‑structured interviews with minority transgender participants were analyzed using thematic analysis to identify patterns related to reporting behaviors, community‑driven coping strategies, and barriers to formal engagement with law enforcement. Findings …

Improving Nursing Knowledge Of Medication Adherence In Bipolar Disorder, Abisola Omobolanle Disu

Walden Dissertations and Doctoral Studies

The purpose of the project was to improve staff knowledge using a structured educational intervention. The project was guided by the Johns Hopkins evidence-based practice model. Approximately 30 relevant articles were identified, with 20 meeting inclusion criteria and levels of evidence ranging from Level I to V, indicating moderate overall strength of evidence. The educational intervention consisted of a single, in-person, staff education session delivered to 11 outpatient mental health staff members. I administered a project-developed pre- and postknowledge assessment to evaluate participants’ knowledge change. De-identified data were analyzed using descriptive statistics. Results demonstrated increased staff knowledge, with mean scores …

Faculty Perceptions About The Challenges Of Declining Enrollment In A Caribbean University, Courtney Palmer

Walden Dissertations and Doctoral Studies

The precipitous decline in enrollment is a concerning aspect of higher education. The problem addressed in this study was that faculty members at a local university on a Caribbean island have faced an approximate 44% reduction in student enrollment over the past six years. Guided by the new learning compact framework (NLC), the purpose of this basic qualitative study was to explore industrial technology lecturers' perceptions from one Caribbean Island university about the challenges they experience from declining enrollment and examine their suggestions to improve enrollment. Twelve lecturers with tertiary-level teaching experience at the institution were interviewed using semi-structured interviews. …

Emergency Nurses’ Perspectives On Workload, Stress, And Violence In The Context Of The U.S. Nursing Shortage, Wanda Marie Haynes

Walden Dissertations and Doctoral Studies

The nursing shortage is a critical global issue that significantly impacts emergency nurses (ER), leading to increased workloads, psychological stress, and heightened exposure to workplace violence (WPV). This phenomenon raises concerns among healthcare administrators and nurse leaders who seek strategies to improve retention and ensure quality patient care. The purpose of this qualitative study was to explore the meaning of workload, stress, and WPV among ER nurses during the U.S. nursing shortage. Guided by Herzberg’s two-factor theory, the study employed a phenomenological approach to capture nurses’ lived experiences. Data were collected through semi-structured interviews with eight ER nurses from diverse …

Understanding Interventions For Generational Trauma From The Experienced Counselors’ Perspective, Christina Ann Cartagena

Walden Dissertations and Doctoral Studies

Healing generational trauma involves counselors’ understanding and recognizing the symptoms of unhealthy coping mechanisms in adults who witnessed adverse emotional reactions as children. Generational trauma occurs when generations have trouble building healthy relationships and pass unhealthy coping mechanisms to future generations. There has been a reported increase in youth and adults seeking mental health services for generational trauma. The problem was that there was insufficient information about how counselors recognize and respond to the symptoms of generational trauma or what treatment methods or modalities to use to support patients. The purpose of this generic qualitative study was to explore the …

Group Antenatal Care Model As An Innovative And Sustainable Maternal And Child Health Service Delivery In A Northern Nigerian State, Pius I. Christopher-Izere, Abiola Ajibola, Abimbola Phillips, Dorcas Magbadelo, Ibidun Jolaoso, Obioma Azurunwa, Francis Ogirima, Collins Imarhiagbe, Anthony Onwuegbusi, David Udanwojo, Emmanuel Udeh, Victor Obagunlu, Adebola Adekogbe, Sunday Joseph, Hamza Abubakar, Neyu Iiyasu, Adetosoye Adebanjo, Barlarbe Gaya, Olayiwola Jaiyeola, Damilola Olaniyan, Bankole Olatosi Ph.D., Deborah Lynn Billings Ph.D., Et. Al.

Faculty Publications

The maternal and child health situation in developing countries remains critical and deeply concerning, These regions account for 99% of global maternal and under-five deaths. In Nigeria, uptake of critical life-saving maternal, neonatal and child health (MNCH) services, delivered through antenatal care (ANC), are sub-optimal, leading to poor outcomes. Group antenatal care (G-ANC) is an evolving antenatal care delivery model in low and medium-income countries. G-ANC models can improve quality and uptake of maternal health services.G-ANC model was implemented across 255 primary health facilities (PHFs) to ensure pregnant women receive components of a well-defined package of MNCH services at regular …

Sexual And Gender Minority Nurses’ Minority Stress In The Workplace: A Scoping Review, Justin Chavis, Robin Dawson Phd, Rn, Cpnp-Pc, Faan, Liam C. Hein

Faculty Publications

Background

Purpose

Methods

Agent-Based Model Details For Quantifying Error In Drone-Based Animal Surveys: Animal Density, Distribution And Flight Patterns, Emma A. Schultz, Natasha Ellison-Neary, Landon R. Jones, Kristine O. Evans, Raymond B. Iglay

Research Data

The following dataset pertains to Python scripts of an agent-based model simulating various drone survey design and quantifying potential count bias of stationary animals in fixed landscapes as part of an accepted manuscript in Ecosphere. Simulated animals were distributed among five animal densities (n = 4, 9, 25, 49, 100 animals/survey area) and three distribution patterns (random, uniform, aggregated). Eight drone flight patterns surveyed a 4.16-km² landscape within constraints of real-world battery and line-of-sight limitations. The simplified landscape also provided 100% animal classification (i.e., all animals within image frame observed and identified).

Pre- And Post-Coppice Production And Biomass Chemistry Of Eastern Cottonwood And Hybrid Poplars In The Southeastern Us, Heidi Renninger

Research Data

Sustainably grown feedstocks for bioenergy and bioproducts are important tools to fight climate change, provide ecosystem services, and sequester carbon. Populus species including hybrid poplars have been utilized around the world, and in the southeastern US native eastern cottonwood (P. deltoides) is often favored due to its resistance to stem cankers. However, P. deltoides has historically been grown in single stem production and its relative performance in short rotation coppice production, prevalent in Europe, is not well documented. Therefore, this study’s goals were to evaluate eastern cottonwood and hybrid poplar productivity under a two-year establishment and two-year coppice …

Linking Local Ecological Knowledge And Management Perspectives On Oyster Predation In Mississippi And Alabama, Cynthia Lupton, Eric Sparks, Mark Woodrey, James M. Drymon, Nigel Temple, Steven Scyphers

Research Data

Eastern oysters (Crassostrea virginica) provide critical ecosystem services, yet populations along the northern Gulf Coast are declining due to environmental stressors, such as water quality issues and predation. To evaluate how threats to oysters are perceived across stakeholder groups, we surveyed oyster Farmers and Resource professionals in Mississippi and Alabama about predator impacts, seasonal patterns, and mitigation strategies. Survey responses (n = 21) were analyzed using descriptive statistics, Fisher’s Exact tests, Mann–Whitney U tests, and t-tests. Farmers and Resource professionals identified multiple predators as important sources of mortality, but their relative rankings differed across groups. Resource professionals consistently viewed southern …

Optimizing Workforce Planning To Reduce Outsourcing Of Clinical Roles In Physician Practices, Heidi Sontag

Walden Dissertations and Doctoral Studies

The increasing reliance on outsourcing of clinical roles in physician practices has raised concerns regarding continuity of care, staff morale, and organizational control over service quality. While outsourcing may offer temporary financial relief, outsourcing often introduces inefficiencies and declines in patient satisfaction. In this integrative review, I identified workforce planning strategies that reduce outsourcing reliance while enhancing organizational efficiency and patient care outcomes. Using the Johns Hopkins evidence appraisal tools, I analyzed sources published between 2022 and 2025 grounded in resource dependency and Herzberg’s two-factor theories. Five thematic areas emerged: organizational efficiency, patient satisfaction, cost management, staff morale and engagement, …

Invisible Man: Mental Health Providers And How Implicit Bias Manifests When Treating African American Men, Jamila Kali Robinson

Walden Dissertations and Doctoral Studies

African American men continue to face disproportionate barriers to engagement, accurate diagnosis, and equitable nonbiased treatment in mental health settings. The purpose of the qualitative narrative inquiry was to explore how implicit bias and sociocultural assumptions manifest among mental health providers who diagnose and treat African American men. Bronfenbrenner’s ecological systems theory, which considers the influences of all the systems that shape an individual’s lived experiences, was the study’s theoretical framework. Semi-structured interviews were conducted with five licensed mental health providers who worked in large hospital systems, private practice, or community-based clinics. The interview data were analyzed using Braun and …

Staff Education To Improve Rn Accountability In Interdisciplinary Rounds Using Qr Code Tracking, Jennifer L. Zimmerman

Walden Dissertations and Doctoral Studies

Interdisciplinary rounding is essential for effective communication, coordinated care, and patient‑centered decision‑making; however, baseline observational audits on pediatric inpatient units at a large northeastern hospital revealed that nurses were present for only 54% of rounding opportunities, with no formal accountability process. This Doctor of Nursing Practice project aimed to improve registered nurse (RN) engagement and accountability in interdisciplinary rounds through a structured staff education intervention paired with a QR code–based tracking process. The practice‑focused question examined whether educating nursing staff on a QR code rounding system would increase nurses’ knowledge of rounding expectations and positively influence accountability behaviors. Fourteen RNs …

The Moderating Role Of Self-Esteem In The Relationship Between Perceived Gender Bias And Job Satisfaction Among Women In The Technology Industry, Roberta L. Minicola

Walden Dissertations and Doctoral Studies

Women employed in the technology industry continue to experience gender-based bias that may adversely affect job satisfaction. Although the deleterious impact of gender bias on women’s job satisfaction has been well documented, the potential of self-esteem to mitigate this impact has not yet been examined. Informed by social dominance theory, the purpose of this quantitative, cross-sectional, correlational study was to examine the moderating effect of self-esteem on the relationship between perceived gender bias (i.e., insufficient support, devaluation, hostility) and job satisfaction among women working in the U.S. technology sector. Data were collected from 138 female technology professionals recruited through Amazon …

Pop-Up Forum: Ice, Minneapolis, And Beyond, Benjamin N. Cardozo School Of Law, Center For Rights And Justice, Cardozo Civil Rights Clinic, Kathryn O. Greenberg Immigration Justice Clinic, Haiyun Damon-Feng, Betsy Ginsberg, Lindsay Nash, Alexander Reinert, Jessica A. Roth

2026 Event Invitations

Join Cardozo professors to discuss and try to better understand what’s been happening in Minneapolis and around the country. We will try to answer such questions as: Are the Vice President and Deputy Chief of Staff correct that ICE officers are entitled to immunity from civil liability and criminal prosecution? Can ICE officers enter a home without a warrant as asserted in the leaked DHS memo? Can states prosecute federal officials for crimes committed in the course of duty? Does ICE have law enforcement authority beyond basic immigration enforcement? What legal remedies exist when ICE injures or kills someone? What …

The Perlmutter Center For Legal Justice And The Death Penalty And Criminal Defense Clinic Present A Screening Of The Oscar-Nominated Film: The Alabama Solution, Perlmutter Center For Legal Justice At Cardozo Law, Death Penalty And Criminal Defense Clinic

2026 Event Invitations

The Alabama Solution is a groundbreaking, critically-acclaimed HBO documentary released in 2025, documenting prison conditions in Alabama from footage recorded by people experiencing incarceration. The screening will be followed by a panel led by Perlmutter Center Deputy Director Derrick Hamilton.

Panelists

• Jose Saldana: Director, Release Aging People in Prison Campaign

• Dr. Donna Hylton: Founder and CEO, A Little Piece of Light

• Alex Duran: Co-Producer of Academy Award Nominated Film, The Alabama Solution

• David Garlock: Reentry professional and criminal justice reform advocate

• Sumeet Sharma: Director, Policy and Communications at the Correctional Association of New York

The Politics Of Territorial Resistance To Federal Authority: Distinctiveness, Partisanship, And Outbidding In Texas And Alberta, André Lecours, Alexandre Couture Gagnon, Daniel Béland

School of Political Science, Public Affairs, Legal and Security Studies Faculty Publications

Federalism involves political struggles around the territorial division of powers. Typically, these struggles tend to occur when the federal government seeks to act in areas of constituent unit jurisdiction. Yet, recent political developments in Texas (Operation Lone Star) and Alberta (Alberta Sovereignty in a United Canada Act) have showcased state/provincial governments seeking to reject federal legislation within seemingly federal jurisdictions. This article develops an explanation for these initiatives that emphasizes regionalism as a form of territorial politics, the partisan dynamics between the state/provincial government and its federal counterpart, and the internal competition within the dominant political …

Impact Of Type 2 Diabetes Mellitus Without Retinopathy On Longitudinal Oct And Visual Field Changes In Primary Open-Angle Glaucoma, Amer Ahmed, Deena Shefter, Fabio Lavinsky, Ronald Zambrano, Qiang (Ed) Zhang, Dilru Amarasekera, Lauren E. Hock, Ping Huang, Natasha Kolomeyer, Reza Razeghinejad, Jonathan S. Myers, Gadi Wollstein, Joel S. Schuman

Phase 1

Introduction/Purpose: Primary open-angle glaucoma (POAG) is a leading cause of irreversible blindness, and diabetes mellitus (DM) is common in this population. However, the effect of DM without diabetic retinopathy (DR) on glaucoma progression is unclear. We evaluated whether structural and functional progression differ between POAG eyes with DM, but no DR, and age- and visual field (VF) mean deviation (MD)-matched non-diabetic POAG eyes.

Methods: We conducted a retrospective longitudinal study at three academic centers comparing POAG+DM (no DR) with POAG-only eyes. Eligibility required ≥3 qualified OCT scans and ≥3 reliable VFs over ≥1 year; eyes with DR or other major …