Social and Behavioral Sciences Commons^™

Determinants Of Patient Satisfaction In An Academic Primary Care Setting: A Cross-Sectional Study Of The Postpandemic Era, Alvin Maliakal, Rajita Kanapareddy, Zooha Altaf, Janani Anbazhagan, Kristin Olson, Cynthia Avila, Rehan Qayyum

Department of Medicine Faculty Publications

Background

Patient satisfaction, a key indicator of healthcare quality, is associated with improved adherence, continuity, and outcomes. However, limited evidence describes determinants of patient satisfaction in contemporary primary care settings reflecting the postpandemic era, when care delivery models and patient expectations have evolved substantially.

Objective

To evaluate the sociodemographic and clinical factors associated with patient satisfaction in an academic primary care setting following the postpandemic era.

Methods

We conducted a cross-sectional survey of adult patients (≥18 years) attending a primary care clinic. Participants completed a self-administered questionnaire including the Visit-Specific Satisfaction Questionnaire (VSQ-9) and measures of sociodemographic and clinical characteristics. …

Nature-Based Solutions For Urban Resilience And Environmental Justice In Underserved Coastal Communities: A Case Study On Oakleaf Forest In Norfolk, Va, Farzaneh Soflaei, Mujde Erten-Unal, Carol L. Considine, Faeghe Borhani

Civil & Environmental Engineering Faculty Publications

Climate change and sea-level change (SLC) are intensifying flooding in U.S. coastal communities, with disproportionate impacts on Black and minority neighborhoods that face displacement, economic hardship, and heightened health risks. In Norfolk, Virginia, sea levels are projected to rise by at least 0.91 m (3 ft) by 2100, placing underserved neighborhoods such as Oakleaf Forest at particular risk. This study investigates the compounded impacts of flooding at both the building and urban scales, situating the work within the framework of the UN Sustainable Development Goals (UN SDGs). A mixed-method, community-based approach was employed, integrating literature review, field observations, and community …

Identifying Occupational Stressors: A Storyboard Challenge, Marlene Goldstein

Open Educational Resources

Students analyze four illustrated workplace scenarios to distinguish among occupational stressors—role conflict, role ambiguity, role overload, and role insufficiency—with explanatory feedback and an optional scenario-writing activity to reinforce understanding.

Personality Assessment Inventory Profiles In Adults Seeking Autism Spectrum Disorder Assessment, Emily Kinsey

Murray State Theses and Dissertations

The current study aimed to examine differences in interpersonal functioning and response validity among adults presenting for autism spectrum disorder (ASD) assessment compared to those seeking services for other clinical concerns. The study used archival data from 238 client files collected in an outpatient clinical setting. Interpersonal functioning was assessed using the Dominance (DOM), Warmth (WRM), and Nonsupport (NON) subscales of the Personality Assessment Inventory (PAI; Morey, 1991). Response validity was evaluated using the Negative Impression Management (NIM) and Positive Impression Management (PIM) scales. A multivariate analysis of variance (MANOVA) showed no significant group differences across DOM, WRM, and NON …

Barriers To Mental Healthcare Among Men, Adrienne White

Murray State Theses and Dissertations

Men are consistently less likely than women to seek professional mental health services despite experiencing significant rates of depression and psychological distress. Traditional masculine norms and depression-related stigma have been proposed as major contributors to this disparity. The present study examined the relationships among depression stigma, conformity to masculine norms, depression severity, perceived barriers to care, and attitudes toward seeking professional mental health treatment among adult men with current or past depression. Seventy participants completed measures of depression severity (PHQ-9), conformity to masculine norms (CMNI-30), depression stigma (DSS), attitudes toward help seeking (MHSAS), and perceived barriers to care (BMHS). Contrary …

Hosts, Scouts, And Female Indentured Sexual Servitude In Contemporary Japan, Caroline Norma, Seiya Morita

Dignity: A Journal of Analysis of Exploitation and Violence

This article sweeps away glossy abstractions obscuring the indenturing of women in sexual servitude in Japan. These abstractions were generated by anthropologists writing in English in the first two decades of the 21^st century who inverted the relationship between perpetrator and victim to suggest that female customers exploited hosts. To overturn this view and expose the ‘gendered reality that [i]s really going on’ in Japan, this article differently explains from a feminist perspective how present-day host and scout businesses indenture Japanese women in sexual servitude. This role is one of both procuring victims as well as keeping young women …

Examining Reproductive Equity In The Post-Roe United States, Yali Pang, Anna Grace Causey, Nakeina E. Douglas-Glenn, Research Institute For Social Equity Rise

Research Institute for Social Equity

Four years after the U.S. Supreme Court overturned Roe v. Wade, state-level variation in reproductive rights policy is associated with substantial geographic inequities in access to abortion and reproductive health care across the United States. The adoption of restrictive or protective reproductive rights policies is closely tied to legislative control, underscoring the political drivers of reproductive inequity. The evidence suggests that advancing reproductive equity will require coordinated national, state, and local response to strengthen healthcare infrastructure, reduce economic barriers, and establish durable legislative protections for reproductive rights.

Beyond Income Deprivation: Assessing The Compounding Impacts Of Fixed Costs And Broadband Equity On Food Security, Aemro Worku, Morgan Woodle Phd, Nakeina E. Douglas-Glenn, Research Institute For Social Equity Rise

Research Institute for Social Equity

Nearly 47 million people in the United States, including 14 million children, are considered food insecure by the U.S. Department of Agriculture. These nutritional deficiencies are often considered problems of uniform economic hardships. Analyzing 50-state data, this report reveals two distinct structural challenges: financial cash flow and physical geography. First, absolute food insecurity is driven by high costs of living, fueled by housing rent burdens, and is mitigated by strong broadband internet access that connects families to benefits. Second, physical access to healthy food shows no independent relationship with household budgets; rather, it is a problem of corporate grocery placement …

Missed Opportunities For Stroke Prevention In Patients With Hypertension: A Retrospective Case-Control Study, Huanhuan Yang, Yuntian Liu, Chungsoo Kim, Chenxi Huang, Mitsuaki Sawano, Patrick Young, Jacob Mcfadden, Mark Anderson, John S. Burrows, Harlan M. Krumholz, John E. Brush Jr., Yuan Lu

Department of Medicine Faculty Publications

Background

Hypertension is the leading modifiable risk factor for ischemic stroke, yet the adequacy of preventative hypertension care in routine clinical practice remains suboptimal, potentially representing missed opportunities for stroke prevention. We evaluated the association between hypertension care delivery and incident ischemic stroke.

Methods

 We conducted a retrospective, matched, nested case-control study among adults with hypertension using data from a large regional health system (2010-2024). Patients with a first-ever ischemic stroke were matched 1:2 to controls on age, sex, race and ethnicity, and calendar time. Three care metrics were assessed: (1) outpatient visits with blood pressure measurement per year; (2) …

Performance And Safety Of A Multi-Cancer Early Detection Test: The Pathfinder 2 Study, Nima Nabavizadeh, Charles Mcdonnell, Dax Kurbegov, Marc Matrana, Shirish Gadgeel, Raymond H. Kim, Gretchen Stipec, Kevin C. Oeffinger, Michael J. Demeure, James W. Lillard Jr., Rebecca Kaltman, Jennifer Tran, Alan Roth, Samia Tahhan, Andrews Poklepovic, Donald Richards, Margarita Lopatin, Celine Marquez, Margaret Mccusker, Karthik V. Giridhar

Department of Medicine Faculty Publications

Early cancer detection improves survival; however, most cancer types do not have guideline-recommended screening. We previously reported the first PATHFINDER study that established feasibility of cancer screening with a blood-based multi-cancer early detection (MCED) test that predicts cancer signal origin (CSO) to guide diagnostic workup. The prospective, interventional PATHFINDER 2 study expands clinical evidence for the MCED test by evaluating co-primary endpoints of MCED performance metrics and safety in participants aged 50 years or older without clinical suspicion of cancer. Performance measures included cancer detection rate, positive and negative predictive values, episode sensitivity, specificity and CSO prediction accuracy. Safety was …

The Balance Of Power In Ukraine And Deterrence Effectivenes Against Nuclear-Armed Russia, Chick Edmond

Political Science & Geography Faculty Publications

Russia's invasion of Ukraine has raised several significant questions regarding the impact of deterrence, the European balance of power and the ability of current security frameworks to restrict the actions of nuclear-armed revisionist powers. This paper uses an integrated theoretical framework consisting of deterrence theory, the balance of power theory, the security dilemma and neorealism to analyze the dynamic relationships between Russia, Ukraine and the Western alliance. The primary contribution of the paper is to develop a comprehensive analytical framework to evaluate the relationship between different aspects of deterrence (i.e., to prevent an initial attack, to limit further escalation and …

Hybrid Threats And Deterrence Effectiveness In Europe, Chick Edmond

Political Science & Geography Faculty Publications

Objectives:
The current European security landscape is characterized by the growing intersection of historical security challenges (i.e., "traditional" security issues) and new forms of hybrid threats. These changes call for a significant re-evaluation of the role of deterrence in today's world. Traditional deterrence approaches have focused on the use of military capability as well as credible retaliatory threats. However, the recent development of hybrid warfare, including cyber-attacks, disinformation campaigns, economic coercion, and clandestine sabotage has made it increasingly difficult to distinguish between times of war and times of peace. This research argues that existing frameworks for deterring adversaries will increasingly …

The Evolving Beijing Consensus: Chinese Communist Party Political Control And Economic Trade Offs, Ian Murphy

Political Science & Geography Faculty Publications

China’s rapid economic rise and unique development trajectory have long been the subject of scholarly debate, often framed through the concept of the “Beijing Consensus” as an alternative to the Washington Consensus. While initial conceptualizations highlight innovation, sustainability, and national sovereignty, later analyses highlighted elements like state capitalism and authoritarianism, particularly in the wake of the 2008 Global Financial Crisis. This paper argues that the Beijing Consensus is undergoing a significant evolution under Chairman Xi Jinping, increasingly prioritizing the Chinese Communist Party’s political security, regime stability, and ideological control at the expense of economic growth. This marks a notable departure …

Evidence-Based Policymaking And Global Governance: An Examination Of The Role Of The Policy Studies Organization And Ecosoc, Chick Edmond

Political Science & Geography Faculty Publications

Transnational challenges, such as climate change, global inequality, pandemics, digital governance, and institutional legitimacy crises, are becoming increasingly complex, therefore, the demand for evidence-based decision-making has become an important developing normative and practical issue in the area of global governance. The Economic and Social Council (ECOSOC) is the principal organ of the UN responsible for coordinating policy processes across all areas of economic, social and development issues. However, despite ECOSOC’s ability to make decisions concerning how the world addresses these problems, it has been widely criticized for being unable to translate expert knowledge into tangible policy outcomes. Therefore, this paper …

Exploring Drone Technology For The Survey And Documentation Of Aerospace Archaeology Sites, David G. Morgan, Thomas R. Allen

Political Science & Geography Faculty Publications

This research examines the implementation of Unmanned Aerial Systems (UAS) during a pilot mission in Nike Park to support its aerospace preservation. Located in Carrollton, Virginia, it was a Cold War missile installation that formed part of the area’s air-defense network. This project aims to use a drone to capture high-resolution video and imagery of Nike Park’s Administrative Office Supply and PX building and the Nike Ajax missile to create virtual 3D models for the Isle of Wight County Museum’s exhibit. For this mission, the DJI Mini 4 Pro drone manually flew a circular flight pattern around the missile and …

Nuclear Deterrence In The Age Of Hybrid Warfare, Chick Edmond

Political Science & Geography Faculty Publications

The main mechanism through which strategic stability can be preserved amongst nuclear armed states has traditionally been viewed as nuclear deterrence. Deterrence works on the premise that catastrophic consequences will cause rational restraint due to the fear of nuclear conflict. The proliferation of hybrid warfare (the coordinated use of conventional, cyber, informational, economic, and proxy instruments below the threshold of open war) has changed the strategic environment within which deterrence now operates. This research paper assesses whether nuclear deterrence is still effective in preventing escalation in an era marked by continuous grey zone competition amongst major powers. The paper also …

The Contested Kinmen Model, Ian Murphy

Political Science & Geography Faculty Publications

[Introduction] Kinmen County, Taiwan, stands as an anomaly in East Asia- it is an archipelago administered by Taipei but visually and geographically tethered to the coastline of the People's Republic of China (PRC). For over seven decades, these islands have served as the physical frontline of the unfinished Chinese Civil War, functioning first as a kinetic battleground and later as a laboratory for cross-strait engagement. Yet, to view Kinmen as a relic of the Cold War is to miss it's contemporary strategic significance. The region has now become the primary theater for the PRC's "Kinmen Model" (Jinmen Moshi, symbols redacted), …

Winning Without War In Africa: The Will To Fight, Strategic Openness, And Great Power Rivalry, Chick Edmond

Political Science & Geography Faculty Publications

This research assesses how “will to fight” impacts the ability of African nations to achieve strategic success during periods of increased competition between powerful nations (great powers) and increasing global and transnational threat. Unlike most studies on strategy which focus on the physical assets (material capacity), institutions (governance), and the support received from other nations (external assistance) a new study provides evidence that the will to fight of an African nation has a significant impact on its ability to sustain its deterrent capability, remain strategically open, and resist coercion. Using case studies of four regions (the Sahel, Mali, Cameroon, and …

The Psychiatric Burden Of Hidradenitis Suppurativa: A Trinetx Analysis Of Sex-Specific Disparities In Mental Health And Medication Use, Emily Sheetz, Julia Feord, Collette Sholi, Parker Adams, Tamas Gal, Susan G. Kornstein, Arturo Saavedra

Department of Medicine Faculty Publications

Background:

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition associated with physical and psychological burden. Prior research has shown increased rates of depression and anxiety among individuals with HS; however, sex-based disparities in the prevalence of these mental health conditions in patients with HS remain underexplored.

Objective:

To evaluate sex-based differences in the prevalence of major depressive disorder (MDD), generalized anxiety disorder (GAD), and the prescribing of antidepressants and anxiolytics among patients with HS.

Methods:

Using the TriNetX database, we identified patients over the age of 18 who had a recorded diagnosis of HS. Propensity score matching based on …

Insurance Disparities In Hidradenitis Suppurativa: A Comprehensive Review Of Demographics, Outcomes, And Access To Care, Alim Osman, Alexandra R. Nigro, Michael C. Povelaitis, Marc Z. Handler

Department of Medicine Faculty Publications

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that disproportionately affects women, African Americans, and individuals of biracial descent. It is associated with substantial physical and psychiatric morbidity, reducing quality of life.

Objective: This review analyzed disparities in treatment outcomes, disease progression, and healthcare access among HS patients based on insurance type.

Methods: Using PRISMA guidelines, a comprehensive literature search identified 7 studies meeting inclusion criteria. Owing to data heterogeneity, studies were qualitatively analyzed.

Results: Findings consistently demonstrated that Medicaid patients experienced worse outcomes than those with private insurance or Medicare. Medicaid patients had higher rates of comorbid …

Maintaining Balance And Wellness In Remote Work, Michelle Bartlett

Educational Leadership & Workforce Development Faculty Publications

In today's rapidly evolving work environments, remote work has become more than a trend; it is now a mainstay and rising (Ewers & Kangmennaang, 2023). This shift has necessitated a re-evaluation of traditional work paradigms, particularly in the realms of work-life balance and employee wellness. This chapter details the core strategies for thriving in remote work settings by setting boundaries, combating isolation, and fostering supportive corporate cultures. Transitioning from offices to remote work can blur the lines between personal and professional lives (Bella, 2023; Beňo, 2023). This section provides practical advice on how remote workers can effectively delineate these aspects. …

Assessing The Possibilities And Speculations Of Blended Teaching-Learning (Btl) Based On The Online Teaching-Learning (Otl) Experience During Covid-19 In Bangladesh, Nazmun Chaitee

Educational Leadership & Workforce Development Faculty Publications

This research paper investigates the potential and viability of implementing Blended Teaching Learning (BTL) in Bangladesh, drawing on the lessons learned from the COVID-19 Online Teaching Learning (OTL) practice experiences. The study specifically focuses on examining the advantages and challenges encountered by teachers and students in online classes during the pandemic. Through a mixed-methods approach, including questionnaire surveys, interviews, and focus group discussions (FGDs), data was collected from secondary-level teachers and students in Bangladesh. The findings highlight the dedicated efforts made by educators and students in embracing and adapting to online education during the COVID-19 crisis. Furthermore, the study identifies …

Rethinking Dfw In Gateway Mathematics: Preserved, Disrupted, And Dissipated Momentum Pathways To Student Retention, John Alan Nunnery, Charles Mathies

Educational Leadership & Workforce Development Faculty Publications

This study examines how disaggregated first-year mathematics outcomes, including failure, low-passing grades, course withdrawal, and no attempt at a credit-bearing mathematics course, are associated with second-year retention at a large, diverse, urban public university. The study extends academic momentum theory by positing and operationalizing preserved (marginal passing), disrupted (failure or withdrawal), and dissipated (non-enrollment) as qualitatively distinct momentum states rather than a single condition. Using a segmented binary logistic regression model with more than 26,000 first-time, full-time students across ten entry cohorts (2012–2021), we estimate differences in retention by mathematics outcome, course type, and cohort context. Results show a pronounced …

Debt Decisions: The Effects Of Paying For College In The United States With Student Loans, Kim E. Bullington, David J. Thomas, Minghui Hou, William L. Nuckols, Dennis E. Gregory, Joshua L. Howell, Kaycee L. Bills, Amy-Leah Joaquim

Educational Leadership & Workforce Development Faculty Publications

Student loans have increasingly become a burden on individuals. This qualitative analysis explores how structural inequities and financial literacy gaps influence US student loan borrowers’ decisions to finance postsecondary education. The study highlights racial and economic disparities, examining participants’ reflections on debt aversion and systemic barriers to equitable access. We asked why participants took out federal student loans, asked about their decision processes when taking on debt, whether participants took any action to reduce accumulated debt, and if they’d made any discoveries about their decisions to take on student loan debt. After coding and a thematic analysis, five themes and …

Workflow-Induced Evaluation Targets In Automation-Assisted Screening: Implications For Cumulative Evidence In Research Synthesis, John Alan Nunnery

Educational Leadership & Workforce Development Faculty Publications

Automation-assisted title-abstract screening is routinely evaluated using metrics such as recall, precision, and workload reduction, and results are increasingly summarized across studies. Synthesis presupposes that evaluation results refer to comparable target quantities. This article examines whether screening evaluation results produced under diverse automation-assisted workflows can meaningfully support cumulative inference, and under what conditions cross-study comparison is warranted. This conceptual article treats screening evaluation targets as workflow-induced rather than task-inherent. Evaluation design is decomposed into four workflow dimensions (representation, inference, governance, and evaluation) plus the reference-decision set produced or specified. Recurring choice patterns across these elements …

Lgbtq People's Experiences With Crime, Victimization, And The Criminal Legal System, Vanessa R. Panfil

Sociology & Criminal Justice Faculty Publications

The ebb and flow of social control efforts aimed at LGBTQ people necessitate a thorough investigation into their experiences. This review of the literature is organized around four key themes that characterize LGBTQ people's experiences with crime, criminalization, victimization, and the criminal legal system—including police, courts, and carceral facilities. LGBTQ people experience excessive rates of arrest and incarceration and have higher rates of victimization, which illustrate disproportionality. Their experiences differ from those of their cisgender and heterosexual counterparts and are conditioned by age, race, class, gender, and sexual orientation, illustrating intersectionality. The two primary, interrelated mechanisms driving LGBTQ criminalization and …

Understanding Risk And Protective Factors Of Intimate Partner Violence: A Public Health And Social Advocacy Approach, Mangai Natarajan, Yasemin Irvin-Erickson, Brittany Suh, Susan Nembhard, Lindsay Smith, Yi-Fang Lu

Sociology & Criminal Justice Faculty Publications

Intimate partner violence (IPV) is a recurring social problem that has individual, interpersonal, community, and societal level consequences necessitating interdisciplinary knowledge and a holistic, systemic approach for prevention. Recent research on IPV indicates the need to identify the implications of the COVID-19 pandemic for IPV risk and subsequent consequences to inform mitigation solutions. Using a mixed-methods design, this rapid assessment research aims to address an existing gap by gathering primary data on the perceived risk and protective factors in addressing IPV through interviews, focus group discussions (n = 102), and surveys (n = 324) from a purposive sample of victim …

[Review Of The Book The Prescription-To-Prison Pipeline: The Medicalization And Criminalization Of Pain, By M. Smirnova], Hayley Jackey

Sociology & Criminal Justice Faculty Publications

[Introduction] Smirnova’s The Prescription-to-Prison Pipeline offers a critical examination of the impacts of prescription drugs as well as the over-policing and policies created to push individuals into the carceral system rather than providing other options for assistance. Smirnova further captures the social inequalities of race and class of those encased in this pipeline. Within this understanding of the detriment that the system, medical providers, and society place on those who use substances, Smirnova’s use of interviews allows for a clear understanding of how these systems work in conjunction to uphold the pipeline.

Understanding Homicide Dynamics: The Role Of Victim-Offender Relationships And The Event Circumstances Across Demographic Groups, Avdi S. Avdija, Christian W. Gallagher, Devere D. Woods Jr., Arif Akgul

Sociology & Criminal Justice Faculty Publications

This study investigates how the victim-offender relationship relates to the circumstances under which homicides occur, with the main focus on variations within gender, race, and age categories. To achieve these research objectives, we analyzed over forty years of data from the FBI's Supplementary Homicide Reports (1976-2017), reported by the U.S. Law Enforcement Agencies. The findings that emerged in this study show that offenders are more likely to kill victims of the same gender when taking into account the victim-offender relationships. Furthermore, this study shows that black offenders are more likely to kill acquaintances and intimate partners whereas white offender demonstrated …

Towards Acoustic Bioindicator Integration In Ai-Based Wildfire Monitoring: A Systematic Review, Sabah Mustafa, Mahsa Mohaghegh, Iman Ardekani, Abdolhossein Sarrafzadeh

Electrical & Computer Engineering Faculty Publications

Wildfires are becoming more frequent, severe, and long-lasting, driving rapid growth in sensor-based and artificial intelligence (AI)-enabled systems for early detection and risk assessment. This article presents a systematic literature review, based on 169 studies screened from 7511 records, of wildfire monitoring approaches using satellite and aerial remote sensing, fixed cameras, wireless sensor networks, and Internet of Things (IoT) platforms combined with machine learning (ML) and deep learning (DL) models for ignition detection, fire-weather indices, spread prediction, and burned-area mapping. The review organizes existing work by sensing modality, spatial and temporal scale, learning task, model type, and deployment architecture, and …