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Articles 1621 - 1650 of 62458

Full-Text Articles in Public Affairs, Public Policy and Public Administration

Male Disposability, Law, And Feminism, Edward Cantu Jan 2026

Male Disposability, Law, And Feminism, Edward Cantu

Faculty Works

This article explores scientific evidence that societies care more about the welfare and safety of females than that of males, and that this dynamic of "male disposability" is deeply entrenched in culture, and thus in law. The recognition and integration of male disposability theory would mean an evolutionary leap in modern theorizing about gender and the law, but it is ignored. Why? Feminist theory dominates current academic gender discourse. Far from appreciating the explanatory power of male disposability theory, feminist theorists are often invested in theorizing gendered problems in ways that mischannel compassion away from men and toward women. The …


Educational Inequality In Health Insurance Coverage Before And After The Affordable Care Act, Madelaine R. Adamich Jan 2026

Educational Inequality In Health Insurance Coverage Before And After The Affordable Care Act, Madelaine R. Adamich

Journal of Earth and Life Science

Health insurance and health care accessibility have historically been ongoing issues within the United States. Two key factors associated with the likelihood of an individual being insured are educational attainment and income. The 2010 Affordable Care Act (ACA), which has been the largest overhaul of health care in the US to date, aimed to reduce disparities in health insurance coverage and health care accessibility. My research analyzes the extent to which the ACA succeeded in reducing disparities related to educational attainment. To examine the ACA’s effects, I utilize the US Census Bureau’s American Community Survey data from 2008 and 2015 …


Indigenous Land Seizure & Environmental Injustice: Impacts Of Settler Colonialism, Lydia Moorman Jan 2026

Indigenous Land Seizure & Environmental Injustice: Impacts Of Settler Colonialism, Lydia Moorman

Journal of Earth and Life Science

The fields of conservation and environmentalism prioritize ecosystem health, yet both emerged from western frameworks that displaced and criminalized Indigenous land stewardship. The idealization of “pristine wilderness” narratives served to justify the removal of Indigenous peoples from their homelands and erased millennia of sustainable land stewardship that had maintained ecological balance long before western conservation existed. These narratives not only misrepresented Indigenous relationship with land but also constructed a false dichotomy between humans and nature that positioned Indigenous presence as a threat rather than a source of ecological knowledge. Simultaneously, anthropogenic expansion; such as pipelines, mining, railroads, and other extractive …


Powering The Machine, Draining The Planet: Whether U.S. Environmental Law Is Equipped To Regulate The Energy And Water Demands Of Ai Data Centers, Michael Marcu Jan 2026

Powering The Machine, Draining The Planet: Whether U.S. Environmental Law Is Equipped To Regulate The Energy And Water Demands Of Ai Data Centers, Michael Marcu

Journal of Earth and Life Science

Artificial intelligence (AI) data centers have become one of the United States' fastest-growing and least-regulated sources of environmental stress. In 2024 alone, U.S. data centers consumed 183 terawatt-hours (TWh) of electricity more than the entire nation of Pakistan and consumed an estimated 17 billion gallons of water (IEA, 2025; Berkeley Lab, 2024). By 2030, electricity demand from these facilities is projected to reach 426 TWh, a 133% increase in six years (Pew Research Center, 2025). This paper examines whether the existing U.S. environmental regulatory framework put by the National Environmental Policy Act (NEPA), the Clean Water Act (CWA), and the …


Nuclear Deterrence And Nuclear Modernization: A Strategic Analysis Of Global Nuclear Threats And U.S. Policy, Abraham Morland Jan 2026

Nuclear Deterrence And Nuclear Modernization: A Strategic Analysis Of Global Nuclear Threats And U.S. Policy, Abraham Morland

Graduate Theses/Dissertations

The nuclear imperative comes from the idea that all three legs of the Triad must be retained to ensure a viable deterrent posture, provide flexibility in a response, and give decision makers options to create uncertainty in an adversary’s decision calculus. The nuclear imperative is the need to fund suggested shortfalls in the nuclear enterprise and modernize the U.S. Triad, not just one or two legs, but all three, due to the ever-increasing nuclear risk. To understand the current state in which the United States finds itself and the need for the nuclear modernization program, this thesis will review nuclear …


Drone Dichotomy: Investigating The Application Of Unmanned Aerial Systems For Offensive And Defensive Chemical, Biological, Radiological, And Nuclear-Related Tasks, Evan Jacob Martinovitch Jan 2026

Drone Dichotomy: Investigating The Application Of Unmanned Aerial Systems For Offensive And Defensive Chemical, Biological, Radiological, And Nuclear-Related Tasks, Evan Jacob Martinovitch

Graduate Theses/Dissertations

This thesis investigates the application of unmanned aerial systems (UAS) for both offensive and defensive chemical, biological, radiological, and nuclear (CBRN) tasks to determine if they serve as a force multiplier on the modern battlefield. As CBRN weapons reemerge as realistic threats alongside the rapid proliferation of UAS, the intersection of these fields presents unique challenges and opportunities. Through a methodology that examines the history of the UAS-CBRN intersection, military doctrine, and the status of UAS technology, this research evaluates the capability of current and emerging UAS against specific CBRN delivery, reconnaissance and surveillance, and decontamination tasks. The analysis conducted …


Northern Luzon In A Taiwan Flashpoint: The Philippines’ Place In U.S. Strategy, Carson Keller Jan 2026

Northern Luzon In A Taiwan Flashpoint: The Philippines’ Place In U.S. Strategy, Carson Keller

Graduate Theses/Dissertations

While the defense of Taiwan from a potential invasion by the People’s Republic of China (PRC) has long been a topic of debate and scrutiny in U.S. strategic thinking, the role of its southern neighbor, the Philippines, has received far less attention. This thesis argues that northern Luzon would constitute key terrain in a cross-strait conflict and may become an early target of People’s Liberation Army (PLA) operations. Its proximity to Taiwan and position along the Luzon Strait, particularly the Bashi Channel, places it at the center of efforts to control access to the hypothetical battlespace. Drawing on PLA and …


The Hollow Parent: A Philosophical Capabilities-Based Care Ethics Critique Of The U.S. Foster Care System, Lindsey E. Scanlan Jan 2026

The Hollow Parent: A Philosophical Capabilities-Based Care Ethics Critique Of The U.S. Foster Care System, Lindsey E. Scanlan

Honors Program Theses

This thesis argues that the U.S. foster care system systematically undermines transition-age youth by failing to secure the capabilities required for genuine independence and a life of basic human dignity, particularly through aging-out policies that terminate support before these capabilities are fully developed. Using Martha Nussbaum’s capabilities approach as a normative foundation, it integrates classical American pragmatism (Jane Addams, John Dewey) and Maurice Hamington's contemporary care ethics to construct a context-sensitive framework for evaluating and reforming foster care. Pragmatism grounds normative assessment in lived experience and institutional context, while care ethics provides a relational account of moral practice structured around …


Experiential Learning: Making It Matter In Early Childhood Preparation, Laura Mccorkle, Sheena Jennings, Dana Childress Jan 2026

Experiential Learning: Making It Matter In Early Childhood Preparation, Laura Mccorkle, Sheena Jennings, Dana Childress

Human Movement Studies & Special Education Faculty Publications

In recent years, the Division for Early Childhood (DEC) of the Council for Exceptional Children (CEC) has put forth recommendations for the field through the development of the Position Statement on Ethical Practice and Personnel Standards in Early Childhood Special Education. Additionally, principles outlined in the Early Childhood Education/Early Intervention/Early Childhood Special Education (ECE/EI/ECSE) Crosswalk and the DEC promote supervised, community-based learning across varied environments and the birth-to-age-8 continuum. This article, which includes four figures, provides support to faculty in developing experiential learning opportunities (ELOs) within their programs of study for EI, ECE, and/or ECSE preservice professionals.


We-Making Through Technology: Social Cohesion And Virtual Adaptation In Community Arts Organizations For Artists With Idd During Covid-19 Pandemic, Yumi Shirai, Michelle Boulanger Thompson, Tamara Shetron Jan 2026

We-Making Through Technology: Social Cohesion And Virtual Adaptation In Community Arts Organizations For Artists With Idd During Covid-19 Pandemic, Yumi Shirai, Michelle Boulanger Thompson, Tamara Shetron

Rehabilitation Sciences Faculty Publications

COVID-19 public health restrictions disrupted in-person arts participation, increasing risks of social isolation and reduced community access. Prior research shows that many people engaged in home-based arts and cultural activities during lockdown, supporting emotional regulation, a sense of belonging, and social connection; however, little is known about how these shifts affected community arts organizations that serve artists with intellectual and/or developmental disabilities (IDD), a population disproportionately impacted by the pandemic and longstanding inequities. We examined how community-based arts organizations adapted programming for artists with IDD during the COVID-19 pandemic, including barriers and unanticipated outcomes relevant to equitable access and participation …


Simulating Social Attitudes With Llms: Accuracy, Demographic Effects, And Refusal Behavior In The Sensitive Domain Of Suicide Prevention, Cristina J. Perez, Michael P. Vasquez Jr., Philippe J. Giabbanelli, Patrick Y. Wu Jan 2026

Simulating Social Attitudes With Llms: Accuracy, Demographic Effects, And Refusal Behavior In The Sensitive Domain Of Suicide Prevention, Cristina J. Perez, Michael P. Vasquez Jr., Philippe J. Giabbanelli, Patrick Y. Wu

VMASC Publications

Large language models (LLMs) are increasingly used to simulate public opinion, yet their validity in sensitive policy domains remains underexplored. We evaluate whether LLMs can reproduce attitudes toward suicide prevention policies using 32 questions drawn from seven nationally representative U.S. surveys (2023-2025). We systematically vary demographic conditioning (race/ethnicity, gender, age, education, income, party), prompt framing (direct elicitation, respondent embodiment, specialist embodiment), and model architecture (GPT-5 Nano, DeepSeek V3.2, Meta Llama 3.1 8B, Mistral Small 24B). Across 811,560 prompts, the mean absolute error—the average gap between predicted and human response distributions—is 23 percentage points. We also find that LLM responses to …


Enhancing Traffic State Estimation At Bottlenecks Through Improved Demand Modeling: A Greenshields-Grounded Approach, Yuyan Annie Pan, Xianbiao Hu, Qing Tang, Yanyan Chen, Xuesong (Simon) Zhou Jan 2026

Enhancing Traffic State Estimation At Bottlenecks Through Improved Demand Modeling: A Greenshields-Grounded Approach, Yuyan Annie Pan, Xianbiao Hu, Qing Tang, Yanyan Chen, Xuesong (Simon) Zhou

Civil & Environmental Engineering Faculty Publications

Accurate estimation of traffic state under oversaturated conditions is fundamental to a wide range of transportation applications. While intuitive, volume-to-capacity (q/qc) ratio-based link performance functions (LPF) are challenged by the U-shaped pattern of real-world speed-flow plots, which contradict the monotonic assumptions of link performance models such as the Bureau of Public Roads (BPR) function, particularly when q/qc ≥ 1. This study addresses this critical gap by proposing an enhanced demand estimation method grounded in the Greenshields model, incorporating a real-time inflow correction factor to more accurately capture traffic demand at bottlenecks. In parallel, a modified LPF is introduced, replacing …


Geography Of Erasure: Manufactured Housing, Heat Exposure, And State Neglect In Florida, Gianna M. Hutton Jan 2026

Geography Of Erasure: Manufactured Housing, Heat Exposure, And State Neglect In Florida, Gianna M. Hutton

Pomona Senior Theses

This thesis examines Florida's manufactured housing communities through the intersecting frameworks of energy justice, critical heat studies, and housing displacement scholarship, centering how structural, political, and economic forces shape uneven exposure to thermal insecurity and housing precarity. Using a mixed-methods approach combining statistical regression analysis of American Community Survey microdata (2019-2023) and spatial case study of Miami-Dade County's heat governance and The Li'l Abner Mobile Home Community’s displacement, this research investigates how manufactured housing residents experience compounded exclusions across energy systems, urban heat governance, and housing security. The findings reveal that manufactured home residents face a 26% higher energy burden …


Left In The (Road) Dust: Analyzing Advanced Clean Cars Ii In California’S Disadvantaged Communities, Jj Hoffman Jan 2026

Left In The (Road) Dust: Analyzing Advanced Clean Cars Ii In California’S Disadvantaged Communities, Jj Hoffman

Pomona Senior Theses

Across the United States, air pollution disproportionately impacts minority groups. California’s Advanced Clean Cars II (ACC II) waiver was positioned to lead to significant environmental justice impacts, such as reductions in emissions and adverse health outcomes, by establishing stricter regulations for vehicle emissions and ensuring that 100 percent of new passenger vehicle sales are zero-emission by 2035. As the federal government recently nullified ACC II, pollution, and by extension health, could worsen, especially in disadvantaged communities. The thesis established several important relationships, including how disadvantaged communities experienced higher traffic, pollution, and worse health outcomes than non-disadvantaged communities. Though the results …


From Comparison To Integration: Building Energy Simulation Tool Variability And The Case For Intelligent Retrofit Workflows, Amir Safari, Dalya Ismael, Mahsa Safari, James Freihaut Jan 2026

From Comparison To Integration: Building Energy Simulation Tool Variability And The Case For Intelligent Retrofit Workflows, Amir Safari, Dalya Ismael, Mahsa Safari, James Freihaut

Engineering Technology Faculty Publications

As the urgency to address climate change and modernize energy infrastructure grows, the building sector plays a key role in improving energy efficiency and reducing carbon emissions. This study evaluates five energy retrofit strategies for Building 101 at The Navy Yard in Philadelphia, comparing two real-world proposals from energy service companies with three simulation-based packages derived from Building Energy Simulation (BES) tools. The study examined whether advanced BES tools provide greater accuracy and decision-making value compared to simpler alternatives. Electricity savings ranged from 5 % to 40 %, gas savings from 29.7 % to 61 %, and annual cost reductions …


Enhancing Graduate Surgical Education: Recommendations For Development Of Common Surgery Education And Training Accreditation Standards, Edwin Christopher Ellison, David B. Hoyt, L. D. Britt, Gerald B. Healy, John R. Potts Iii, Michael M. Awad, Eric A. Gantwerker, Apostolos Gaitanidis, Carol R. Bradford, Robert Phillip Burns, Mary T. Hawn, John G. Hunter, Cheryl T. Lee, Keith D. Lillemoe, Najjia N. Mahmoud, Jeffrey B. Matthews, Michael W. Neumeister, Kathleen C. Y. Sie, The Independent Committee For Graduate Surgical Education Jan 2026

Enhancing Graduate Surgical Education: Recommendations For Development Of Common Surgery Education And Training Accreditation Standards, Edwin Christopher Ellison, David B. Hoyt, L. D. Britt, Gerald B. Healy, John R. Potts Iii, Michael M. Awad, Eric A. Gantwerker, Apostolos Gaitanidis, Carol R. Bradford, Robert Phillip Burns, Mary T. Hawn, John G. Hunter, Cheryl T. Lee, Keith D. Lillemoe, Najjia N. Mahmoud, Jeffrey B. Matthews, Michael W. Neumeister, Kathleen C. Y. Sie, The Independent Committee For Graduate Surgical Education

Department Surgery Faculty Publications

Background:

Concerns persist within the surgical community that completion of an accredited surgical residency no longer consistently ensures that trainees are ready for independent practice. In response, the Independent Committee for Graduate Surgical Education (ICGSE) was established in January 2025 to address the unique requirements of surgical training. The committee’s mandate was to recommend program standards that would potentially optimize education and training for surgical residents, with the goal of improving patient care.

Methods:

The ICGSE, consisting of 71 surgeons across 16 specialties, reviewed the history of surgical accreditation and relevant literature. Workgroup-led discussions identified strategies for improving trainee readiness …


Racial Disparities In Maternal Mortality: The Role Of Explicit And Implicit Bias In U.S. Healthcare, Lailah Allen Jan 2026

Racial Disparities In Maternal Mortality: The Role Of Explicit And Implicit Bias In U.S. Healthcare, Lailah Allen

Capstone Showcase

Maternal mortality in the United States remains a critical public health crisis, with disproportionately high rates among Black and other minority women. Despite advances in obstetric medicine, racial disparities in pregnancy-related deaths persist due to structural inequities, implicit bias in healthcare delivery, unequal access to prenatal and postpartum care, and broader social determinants of health. Nationally, Black women are significantly more likely to experience severe maternal morbidity and mortality compared to White women, reflecting longstanding inequities embedded within the healthcare system. This paper examines the relationship between race, healthcare access, and maternal outcomes through a focused case study of and …


From County To Commonwealth: A Study Of Kentucky County Election Office Websites And Collaborative Solutions For Strengthened Voter Information Accessibility, Marissa A. Robinson, Marina E. Smart Jan 2026

From County To Commonwealth: A Study Of Kentucky County Election Office Websites And Collaborative Solutions For Strengthened Voter Information Accessibility, Marissa A. Robinson, Marina E. Smart

MPA/MPP/MPFM Capstone Projects

In 2022, the League of Women Voters discovered inconsistencies across Kentucky county clerk websites in how they offer voter information and in website accessibility and clarity. County clerk websites serve as an important source of accessible voting procedural information, trusted by constituents. Through an audit of county clerk websites and interviews with county clerks, this project identifies how county election office websites can better provide equitable, accurate, comprehensive, and consistent voting information. Recommendations based on the findings include linking the Kentucky State Board of Elections Voter Information Portal universally, adding website training, and state-established website guidelines.


The Political Economy Of Pfas Treatment And Water Regionalization In Harrison County, Kentucky, Jackson S. Patru, Rajan Sampat Jan 2026

The Political Economy Of Pfas Treatment And Water Regionalization In Harrison County, Kentucky, Jackson S. Patru, Rajan Sampat

MPA/MPP/MPFM Capstone Projects

The discovery of per- and polyfluoroalkyl substances (PFAS) in the water supply of Harrison County, Kentucky has prompted an urgent reevaluation of local treatment infrastructure. This situation has exposed a complex political economy between the City of Cynthiana, which owns and operates the municipal water plant, and the Harrison County Water Association (HCWA), which represents the majority of the ratepayers supplied by the plant. Using a qualitative research design grounded in inductive thematic analysis, semi-structured interviews were conducted with leadership from both Cynthiana and HCWA, as well as operators at the treatment plant, to evaluate two proposed solutions: a $14 …


Kentucky Space Futures: Defining The Driving And Limiting Factors Of Growth In The State Aerospace Industry, Ashley M. Grospitch, Isabella A. Sibold Jan 2026

Kentucky Space Futures: Defining The Driving And Limiting Factors Of Growth In The State Aerospace Industry, Ashley M. Grospitch, Isabella A. Sibold

MPA/MPP/MPFM Capstone Projects

Kentucky’s aerospace industry has quietly become one of the state’s most significant economic drivers, generating almost $19 billion in exports in 2024 and ranking third nationally in aerospace exports in 2023 (Mattingly, 2025; Babbage & Hartsough, 2024). Despite this, Kentucky remains largely invisible as an aerospace state, both to Kentuckians and national audiences. This work was conducted on behalf of our client, Kentucky Space Futures, to identify the factors shaping the growth of Kentucky’s aerospace industry, including its driving and limiting factors, and provide actionable guidance for policymakers and industry leaders.

Using a qualitative research design, this study triangulated findings …


Narrowing The K-12 Excellence Gap In Kentucky Schools: Lessons On High Achievement From High Achievers, Jimmy M. W. Bartlett, Johnathan K. Hurley Jan 2026

Narrowing The K-12 Excellence Gap In Kentucky Schools: Lessons On High Achievement From High Achievers, Jimmy M. W. Bartlett, Johnathan K. Hurley

MPA/MPP/MPFM Capstone Projects

Disparities in high-level academic achievement – known as excellence gaps – remain a persistent equity challenge in K–12 education, particularly in access to advanced mathematics learning. This study examines school-level practices associated with narrower excellence gaps in Kentucky public schools. Principals of schools demonstrating higher-than-expected advanced achievement and relatively small gaps by gender and economic status were invited to semi-structured interviews. The interviews cover seven schools, spanning grade levels and other characteristics. Guided by the Excellence Gap Intervention Model, a hybrid inductive–deductive thematic analysis reveals that narrower excellence gaps are not driven by isolated programs or policy mandates, but by …


Comparing Economic Development And Blight Remediation Tax Increment Financing: Design, Governance, And Measurable Outcomes, Leigh Compton Jan 2026

Comparing Economic Development And Blight Remediation Tax Increment Financing: Design, Governance, And Measurable Outcomes, Leigh Compton

MPA/MPP/MPFM Capstone Projects

Tax Increment Financing (TIF) is a widely used local government tool for redevelopment and economic growth, yet its expanding application has raised questions regarding its design, governance, and measurable outcomes. This study compares two primary uses of TIF: blight remediation and economic development. While remediation-focused TIF is intended to address identifiable market failures in distressed areas, economic development TIF is typically used to attract or accelerate private investment in more competitive environments.

Using a structured comparative analysis of selected Kentucky TIF districts, this research evaluates how differences in statutory justification, financing mechanisms, governance structures, and performance measures align with each …


Kentucky Is Working: An Examination Of Higher-Than-Expected Labor Force Participation Rates In Kentucky, Grace E. Coleman, Gabriel M. Kalla, Joseph S. Matthews Jan 2026

Kentucky Is Working: An Examination Of Higher-Than-Expected Labor Force Participation Rates In Kentucky, Grace E. Coleman, Gabriel M. Kalla, Joseph S. Matthews

MPA/MPP/MPFM Capstone Projects

This client-based capstone examines the drivers of higher-than-expected labor force participation rates across five counties in Kentucky, i.e., Kenton, Pendleton, Owen, Taylor, and Monroe counties. Our client, the Kentucky Chamber of Commerce, requested a qualitative analysis of semi-structured interviews with local stakeholders to identify and contextualize factors contributing to the five counties’ overperformance. Our findings suggest that factors such as collaboration and partnership; education and career pathway initiatives; and community champions all play important roles in supporting strong labor force participation. These insights can be used by other counties seeking to strengthen their local workforce.


Protecting The Vulnerable: Elderly Population Change In Kentucky & Nursing Home Floodplain Proximity, David M. Stevens, Austin Matthew Mullen, Nicklaus P. Hammond Jan 2026

Protecting The Vulnerable: Elderly Population Change In Kentucky & Nursing Home Floodplain Proximity, David M. Stevens, Austin Matthew Mullen, Nicklaus P. Hammond

MPA/MPP/MPFM Capstone Projects

This study explores Kentucky’s changing vulnerability to flooding. Relying on America Community Survey (ACS) survey data estimates for 2019 and 2024, we illustrate how Kentucky’s elderly population has changed over this five-year period. Using nursing home data and floodplain spatial data, provided by the Centers for Medicare & Medicaid Services and FEMA respectively, we identify all 269 facilities and their proximity to floodplains across Kentucky. To narrow the scope of our study, we highlight counties that (a) have seen the largest percentage increase in elderly residents and (b) have a large total elderly population. Using a quartile ranking system, we …


Federal Housing Policy Influences And Impacts On Urban Municipalities As Seen In The City Of Paterson, New Jersey, Jennifer L. Beggs Jan 2026

Federal Housing Policy Influences And Impacts On Urban Municipalities As Seen In The City Of Paterson, New Jersey, Jennifer L. Beggs

MPA/MPP/MPFM Capstone Projects

This paper examines federal affordable housing policy from the early twentieth century to the present, focusing on the City of Paterson, New Jersey. In presenting an overview of policy and decision-making in Paterson, this paper explores how federal policy has aided urban communities that lacked the opportunities afforded to suburban municipalities through FHA mortgage underwriting and single-family homeownership programs, also considering how New Jersey State housing policy has affected the city. Utilizing a case-study methodology and employing extensive archival research, this project examines how federal housing policy structured differential access to homeownership and rental housing in Paterson, and how these …


Redling And Soil Contamination In Los Angles County: Mapping The Influence Of Polutants And Regulatory Landscapes On Enviromental Justice Outcomes, Gillian G. Maynard Jan 2026

Redling And Soil Contamination In Los Angles County: Mapping The Influence Of Polutants And Regulatory Landscapes On Enviromental Justice Outcomes, Gillian G. Maynard

Scripps Senior Theses

This thesis examines soil contamination in Los Angeles as a pervasive yet underexamined environmental justice issue, rooted in the region’s history of industrialization, racialized land-use policy, and regulatory failure. It argues that soil operates as both a long-term repository and an active pathway of toxic exposure, embedding environmental risk directly within residential landscapes. Through an analysis of key contamination sources, including legacy lead pollution, urban oil extraction, wildfire-related toxins, and industrial sites such as the Santa Susana Field Laboratory and the Exide battery recycling facility, this study demonstrates how contaminants persist across generations, often long after their original sources have …


The Effect Of The Affordable Care Act Medicaid Expansion On The Risk Of Hospital Closure And Adolescent Hpv Immunization In Rural Counties, Juliette Des Rosiers Jan 2026

The Effect Of The Affordable Care Act Medicaid Expansion On The Risk Of Hospital Closure And Adolescent Hpv Immunization In Rural Counties, Juliette Des Rosiers

Scripps Senior Theses

From 2005 to 2025, over 200 rural hospitals shut their doors, often citing increased operational costs, staffing shortages, low patient volume, regulatory barriers, financial challenges exacerbated by the COVID-19 pandemic, and uncompensated care as common contributors to the closures. Rural patients are often referred by their primary care physician to a hospital for regular immunizations, since smaller clinics have less capacity to provide immunizations due to a shortage of pediatricians and limited vaccine stock. A crucial vaccine that is not required by schools and underutilized in rural areas is that against human papillomavirus (HPV), a virus that infects cutaneous and …


Good Food In The Neighborhood: Localizing Nutritious Food Access, Joseph Pool Jan 2026

Good Food In The Neighborhood: Localizing Nutritious Food Access, Joseph Pool

Honors Program Theses

Given contemporary changes to federal budget priorities and recent challenges to federal food access funding, this research explores the potential benefits of entrusting state-level and municipal-level policymakers with food access policy. More specifically, this research suggests that “localizing” food access has the unique benefit of not just addressing the affordability of food, but the physical accessibility of it. As observed in the previous literature and expounded upon here, food provisioning requires consideration of nutrition, physical accessibility, and financial affordability. Programs that only address one of these priorities fail to adequately help people receive the food they need. Through policy analysis …


Shrines On Asphalt Shoulders: Documenting Roadside Memorials In Western U.S. Roadscapes, Isabella R. Sullivan Jan 2026

Shrines On Asphalt Shoulders: Documenting Roadside Memorials In Western U.S. Roadscapes, Isabella R. Sullivan

Scripps Senior Theses

This thesis analyses the practice of documenting and uploading roadside memorials in the Western United States as a socially transformative process facilitated between two distinct kinds of noticing. Drawing on (auto)ethnographies of roadside memorial sites in Colorado and California, interviews with photographers and cartographers working primarily in the American Southwest, and Google Street View media, this research examines how recognition of the social negotiations involving memory and mortality that are already present in the physical shrines evolves when documenters capture and transpose them online. First, these documenters have developed the “eyes to see” roadside memorials for various significant reasons in …


Improving Maternal Health: Investigating The Early Impacts Of Medicaid Coverage Of Doulas In Oregon, Miriam Akhmetshin Jan 2026

Improving Maternal Health: Investigating The Early Impacts Of Medicaid Coverage Of Doulas In Oregon, Miriam Akhmetshin

Scripps Senior Theses

While the U.S. spends more per-capita than any country on healthcare, we experience the worst maternal health outcomes of high-income nations. In addition to hefty healthcare bills, an overwhelming majority of mothers experience pregnancy-related health issues that decrease productivity and utility. Thus, it is critical to research cost-effective solutions that can improve maternal health and promote equitable outcomes. Doulas are trained non-medical professionals who support mothers and families before, during and after birth. As a growing body of medical literature points to the role of doulas in decreasing costly medical interventions, insurance companies have begun covering their services. In 2014, …