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Growing evidence suggests patient perceptions of discrimination in healthcare directly affects health outcomes. This research uses the Discrimination in Health Care Survey (DHS) to investigate the perceived quality of healthcare in the geriatric population. The DHS tool assesses a person’s experiences of mistreatment in healthcare attributed to race, ancestry, national origin, sex, disability, and age. Use of the DHS tool, followed by a personal interview may improve provider knowledge so that patients and their families can experience improvement of the quality of care and health outcomes. Combining a standardized screening tool with qualitative patient feedback offers a more comprehensive understanding of discrimination in healthcare.
Few have heard of the small town of Reading, Kansas, but this case study seeks to tell its history and describe its current nature as a rural and underserved community. For this analysis, I reviewed publicly available statistics on the town and completed individual interviews with community members to determine the impact of a dwindling population on Reading. With a population of only 128 people, Reading faces a lack of healthcare, law enforcement, and amenities. Despite these disadvantages, however, the town benefits from an abundant community spirit that I discuss through the community capitals framework.
This paper analyzes three Pixar movies to determine if a genre exists among them and if so, what are characteristics of the genre. I uncover rhetoric in Pixar’s animated movies that we may have watched as kids. Pixar is the rhetor in the study that uses symbols, which can be anything from themes, characters, settings, words, and imagery to communicate to the audience. Findings help audiences understand possible messages movie creators at Pixar send without us realizing. Analysis of the three artifacts help us understand Pixar’s creative strategy, the nature of contemporary Hollywood animation, and underlying elements of Pixar movies.
This op-ed tackles the issue of mental health stigma. This stigma can result in issues that range from workplace discrimination to social exclusion and not seeking needed treatment altogether. This can often lead to isolation and suicide. This phenomenon is not a product of individual attitudes, but can be attributed to social dynamics on a large scale, specifically groupthink and cognitive bias. By examining these dynamics, we can gain understanding of why mental health stigma persists despite continued reduction efforts. Confronting mental health stigma head on requires individual insight as well as systematic change. Relevant social psychological research is discussed.
My name is Shane Roles, and I am currently pursuing a bachelor’s degree in psychology. With five years of experience in the Army, I have developed a strong foundation in discipline and leadership. I work as a Behavioral Health Specialist, where I focus on supporting individuals... Read More →
Gauley Bridge is a rural town in Fayette County, West Virginia. In this case study, I use publicly available data and community interviews to explore this geographically isolated and sparsely populated community. Once known as a town reliant on coal mining, the town has since experienced an economic decline that has become all too common in rural areas. As a result, Gauley Bridge has also struggled with health disparities, food insecurity, and school closures. Despite these difficulties, the town maintains its culture of resilience, which is evident through an analysis of its community capitals.
Using an auto-ethnographic frame and my experience with the Soliya Project, this research project attempts to close the gap in literature researching the presence of an American Southern dialect within cross-cultural settings. This research seeks a deeper understanding of how a perceived linguistic bias toward a Southern Dialect affects self-disclosure. Consequently, I explore an understanding of cross-cultural communication in light of linguistic biases and insecurities, their influence on self-disclosure, and cultural variations in the use of silence, specifically within computer-mediated communication.
Over the last decade, videogaming has increased in popularity with some of these gamers turning their hobbies into robust careers. Due to prolonged sitting and repetitive use required, video gamers are prone to injuries of the neck and upper extremity. A variety of conservative treatments may be used for these musculoskeletal injuries, but other treatment options may include injection therapies. Dextrose prolotherapy, an injection therapy, has shown to be effective in various musculoskeletal conditions, most notably, osteoarthritis (OA). Its proposed mechanism is that increasing inflammation prompts a proliferative response, resulting in increased strength and stability at the injection site. In this case, dextrose prolotherapy was used to treat a 34-year-old female hobby gamer who presented with pain in her right thumb. The patient was diagnosed with a sprained first CMC joint, and a dextrose solution was injected into the joint space.
This op-ed examines the implications of excessive screen time on young children, highlighting its effects on cognitive development, particularly in the areas of attention and executive functioning. Research reveals a negative correlation between fast-paced digital overstimulation and essential conceptual and practical skills, such as concentration, problem solving and decision-making. As gatekeepers of digital access, parents play a crucial role in shaping their children’s screen habits. This piece explores alternative activities that promote hands-on learning and independent play, both of which foster cognitive flexibility and academic achievement.
Critics of J.R.R. Tolkien often reference archetypal races in "The Hobbit" as symbols of ancient mythological figures. While scholars acknowledge these archetypes, I argue that Tolkien economically bridges Middle-Earth and the human world using the races to warn against economic corruption. Tolkien presents Hobbits as his ideal anarchist and 'green' society which embodies an economy based on mutual aid, free will, and natural resources. In contrast, the villains in his story succumb to corruption through mechanization and pride. "The Hobbit" critiques modern economic systems by highlighting the dangers of industrialization and greed, while advocating for a simpler, morally-grounded society.
This quasi-experimental study will evaluate the effects of virtual reality (VR) gaming on balance and stress in Campbell University undergraduate students aged 18-30. Participants, untrained in college athletics, will complete the Profile of Mood States (POMS) survey and modified Star Excursion Balance Test (mSEBT) before, midway through, and after a 4-week VR program. The study aims to assess changes in stress and balance following 12 VR sessions, providing insights into VR's potential as an intervention for stress management and balance improvement in younger adults. Results will help determine VR's effectiveness compared to traditional methods.
Comparing the daily temperature data in Raleigh using statistical analysis methods, there is clear evidence that there is a significant increase in temperatures in the past 30 years.
Graduating from Campbell University in December ‘25 with a bachelor’s degree in science in mathematics. Love helping other students succeed in math, it makes me happy to see them finally understand.
In the last fifty years, there has been a drastic increase in representation of LGBTQ+ characters in entertainment media, particularly television. This research paper explores the influence of LGBTQ+ characters depicted in television on the public’s opinion of the LGBTQ+ community. After exploring the past literature on the topic, the paper will examine the data depicting this increase in visibility, and then get into specific examples of queer characters and how their portrayal either helps or harms the cause of widespread queer acceptance. This paper finishes with an analysis of research exploring the relationship between LGBTQ+ characters and public acceptance.
This op-ed discusses how screen time is known to cause anxiety and feelings of loneliness, especially when spent on social media. Anxiety and loneliness generate an array of symptoms. Overuse of smartphones and social media increase the likelihood of social isolation, causing individuals to be stuck in a loop. In order to combat social isolation, particularly since the pandemic, individuals and parents need to be made aware of harmful effects. By gaining understanding, we can become more intentional with how much time is spent on social media and on our phones in general.
“The Appalachian Murder Ballad: An American Search for Transcendence” discusses the evolution of the ballad form, inherited by America from Europe. Many Appalachian ballads broke from the European tradition in form and content, essentially creating a subgenre: the lyrical ballad (related but not identical to the form championed by Romantic poets Wordsworth and Coleridge). Still a narrative folksong, the American lyrical ballad features non-objective narrators, non-narrative lyrics, and credited songwriters. The paper shows how these ballads incorporated socioeconomic and religious ideologies, blues influences, and supernatural and grotesque elements to manifest a search for emotional expression and transcendence in Appalachian culture.
Thiamine-dependent enzymes catalyze a variety of transformations in nature. We hypothesize that thiamine can also facilitate cross-coupling reactions between carbonyl compounds and alkyl halides, going beyond its natural scope. Preliminary results indicate that the thiamine-dependent enzyme, SucA, catalyzes the coupling of α-ketoglutarate with 1-(bromoethyl)benzene, an unprecedented reaction for these enzymes. To advance our study, we will continue reaction optimization and characterize the enzyme’s selectivity. This will involve conducting reactions and monitoring product formation by liquid chromatography-mass spectrometry. The successful completion of this project will result in a novel pathway to valuable products with high yield and selectivity.
Zeke Epps analyzes Truman Capote's Other Voices, Other Rooms through various critical frameworks, focusing on power dynamics. Starting with Feminist theory, citing works from Kramare, Orbe, and Wood; and Queer theory, pulling from Ball and Butler, Epps identifies limitations of both, suggesting that a holistic analysis of the novel requires an intersectional framework focused on the complex, overlapping systems of privilege and discrimination created by intersections among social categories such as race, gender, class, and sexuality. Epps compares intersectional theory to specific, identity-oriented theories and argues in favor of rigorous intersectional analysis for Capote's novel and other works of gothic literature.
Randle McMurphy of One Flew Over the Cuckoo’s Nest acts as a Christ figure to the other patients of the ward, bringing hope and dignity to them against their oppressor Nurse Ratched. He fights for his friends (the other patients), which eventually leads to him getting lobotomized (crucified). His “spirit” remains with them after his lobotomy, along with the patient Chief who escapes acting as the resurrection of McMurphy’s words.
I am a Psychology Major and Graphic Design Minor. I am a photographer and aspiring Therapist/Mental Health Counselor. I also am part of the Campbell Honors College.
One of the most common elements present in our universe is carbon. It is used in rubber, plastics, material coatings, and pencil graphite. However, how has this element impacted human history in terms of communication, religion, culture, and recording history itself? In an exciting blend of science and human studies, this lecture aims to answer this question by showcasing just how valuable carbon black-based inks have been in developing societies and written languages. Additionally, this lecture seeks to recapitulate major movements in preserving and spreading of knowledge through writings from antiquity as well as methods for dating carbon-based artifacts and manuscripts.
This study investigates the variables of family structure, resilience, and academic performance among Campbell University undergraduates. Family structure in this study is defined as: (a) Parents are married/cohabitating, or (b) Parents are divorced/separated. Previous research has highlighted negative correlations on resilience and academic performance when compared to parental divorce (Schaan & Vögele, 2016). The study utilizes an independent samples t-test to assess the data. Results are as followed; GPA (t(52) = 0.624, p = 0.536), and resilience (t(52) = -0.227, p = 0.821) when comparing the two familial structures. Limitations include a homogenous sample and potential respondent fatigue.
This paper discusses and evaluates factors within society making it harder for women to gain leadership roles in corporations and especially political office. It addresses two main factors: partisanship and media influence. The history of gender inequality and how it manifests in society today is also described. Evidence regarding how Republicans or Democrats view gender inequality is shown through different figures, especially relating to prominent media topics such as the #MeToo Movement. The discrepancy between women in politics compared to their male counterparts is discussed.
North Carolina's Constitution has long recognized that the people of our State enjoy a right to education and that it is the duty of the State to guard and maintain that right. The North Carolina Supreme Court affirmed the substantive character of that right in 1997 in Leandro v. State, but has since struggled to enforce and protect it. Despite recognized violations of the constitutional right to education in Hoke County, a remedy has yet to be realized. This work chronicles the history of the right to education in North Carolina, establishes the challenges with judicial enforcement, and proposes strategies to more effectively enforce the right and/or realize relief for violations going forward.
In the 14th-century poem Sir Gawain and the Green Knight, Sir Gawain is initially presented as the perfect knight, but he then experiences many challenges to his core values and beliefs through tests of honor, purity and courage. The "Nature versus Nurture" theory helps explain how personality is influenced throughout a lifetime. In this poem, "Nurture" - the environment and external challenges - have a significant effect on Sir Gawain's thought processes and actions, influencing his psychology and character development, and revealing his conflict as primarily mental, rather than physical.
This piece is a typographic logo containing my initials ACH. The design is European inspired with a minimalistic touch. Implied lines are emphasized in this logo to make each letter stand out.
"Below" is based on the concept of memento mori, or "remember, you will die." The viewer starts at a staircase that spirals down into a portal formed by distorted images of the Paris Catacombs, leading into a cold, dead graveyard -- the underworld. The composition doubles as an imitation of an eyeball: the stairs acting as the sclera, the portal as the iris, and the graveyard as the pupil. As the viewer looks down the staircase, it looks back at them -- reminding them that they too will meet the fate as the dead buried in those graves.
For this assignment I went with a surrealist and horror approach. As I combined the yolk of the egg and the spiraling amber eye, it created a sense of unease and mystery in the piece. The juxtaposition of seemingly unrelated elements contributed to the overall surreal atmosphere of the artwork.
A redesigned and more modern cover of the 1961 Literature Nobel Prize winning book, "The Bridge on The Drina". This project was fully created using Photoshop with pictures of the actual bridge in Višegrad along with images of the actual text that Andrić wrote. I wanted to show how Andrić’s words flowed like the river Drina, so I took a picture of the text with the paper imitating the swells of the water and implemented them into the river in the photograph. I then made the bridge stand out more by making the background have a blue blurred hue.
Inspired by the dramatic nuclear tensions in the world currently, I created this illustration to bring awareness to the dialogue and encourage peace. My use of comical typography provides a deep contrast to the harsh and terrifying background, almost as a means to cope with the horror. The goal of this piece is to make this issue visual and communicated in the most effective way I can- through art.
Draped plaster bust of a bearded man with Grecian curls clustered around his face. His full beard and intense brow give him a look of wisdom that belies his youthful age. His intense lifelike gaze seems to ask piercing questions. A toga is gracefully draped across his shoulders. This bust portrays Professor of Political Theory Dr. Matthew H. Young of Elon University in the likeness of the Greek philosopher Plato, a particular interest of his.
This Is my photo montage; I wanted to create a simple symbolic meaning for the saying "The light of the world" and to show a humorous visual of God placing light for the earth. In a deeper context, God, on the first day said, "let there be light", but on the fourth day God put up the sun and moon for a light source. Humorously I imagined God on the first day making the lamp and on the fourth day placing the bulb in the lamp so there is a light source for the world.
The goal of this project was to create a vibrant and meaningful redesign of Iceland’s currency, celebrating the contributions of three influential women in the country’s history. By incorporating the legacies of Vigdís Finnbogadóttir, Bríet Bjarnhéðinsdóttir, and Sigríður Tómasdóttir, the design not only honors their achievements but also highlights Iceland’s progressive history in gender equality and environmental preservation.
From the Victorian idea of women being the “angel of the house,” this series of paintings explores the concept of the corruption of femininity by society by creating femininity as something to be performed or perfected, rather than something unique and inherent to every woman. Through this series, this presentation will guide the viewer through the artistic process of these paintings and answer any questions the viewer may have regarding the process or pieces.
A hand-thrown teapot with mugs and a cooling bowl, glazed with a Western flair to embody cowboy culture. This piece represents the gathering of individuals to have a warm cup of tea or coffee and sit around telling stories or chit-chatting.
“Ld” is a logo for “Lucas Design” my personal Graphic Design business. The logo creatively uses an italic manipulation of Helvetica to mimic movement demonstrating my flexibility, professionalism, and organization as a Graphic Designer. The choice of a sky blue tone and sequential darker shades create unity, furthering the notion of movement in the logo. In this project, I learned the importance of having clean and collective marketing. The balance between font choice, color, and layout impacts how your brand is perceived, remembered, and upheld.
This paper discusses how the sublime, defined by Edmund Burke as "delightful terror," informs and shapes American Western literature in relation to the Romantic tradition. From the journals of Lewis and Clark to Larry McMurtry's Lonesome Dove, Western writers used Romantic-inspired language to describe the grandeur and unpredictability of the frontier. In the "Cowboy Sublime" individuals find a source of purpose and awe in danger and difficulty. This essay argues that Western literature is not an isolated genre but a continuation of Romantic ideals. Its depictions of landscapes and characters transform the West into an American extension of the sublime.
Enzymes represent attractive catalysts for sustainable synthesis given their ability to perform under mild conditions and carry out highly selective transformations. However, their adoption in industry is hampered by the limited scope of enzymatic reactions available. We seek to overcome this limitation by exploring the use of thiamine-dependent enzymes for synthesis of α-substituted ketones, which are precursors to more complex, bioactive compounds. This will be accomplished by screening enzymes against substrates possessing multiple chiral centers to form stereochemically complex products. This research will expand the scope of reactions available to thiamine-dependent enzymes, making them more broadly useful for chemical synthesis.
Within the past decade, virtual reality has enhanced the well-being of individuals in both the exercise and rehabilitative realms. Pertinent studies have concluded that virtual reality as a medical and kinesiological device shows promising results boosting proprioception, physical function, and performance while minimizing risk. In similar populations, improved mood and an enhanced perception of physical well-being have been observed. Virtual reality immersion games in which it is possible to simulate realistic sports scenarios are hypothesized to mimic the same effects in Division One athletes undergoing rehabilitation. Using a cardio-based application, our study aims to broaden this collection of research.
Chagas disease, caused by Trypanosoma cruzi, can lead to heart and digestive issues. While common in South America, kissing bugs are also found in the southern USA, including two species native to North Carolina. Information was analyzed on kissing bug collection dates and locations, along with temperature data from the National Weather Service. PCR testing on 14 bugs found four positive for T. cruzi, indicating potential transmission in North Carolina. Given heart disease is a leading cause of death in the state, Chagas disease should be considered in cardiovascular diagnoses, emphasizing the need for surveillance.
Using Harnett County, NC, as the site of a hypothetical Malaria outbreak, a series of emergency management recommendations are proposed to mitigate and respond to the emerging public health emergency. Malaria is a mosquito-borne, infectious disease, found mostly in Sub-Saharan Africa and South America but is occasionally found in the United States. Supposing an outbreak was to occur locally, it would necessitate exploring local, state and federal resources, available for a successful cross-jurisdictional response. This paper approaches a hypothetical public health emergency using a multijurisdictional-intergovernmental approach.
Fairfield, a rural community in Hyde County, North Carolina, faces significant challenges, including low median income, limited education access, and inadequate infrastructure. With only 214 residents, its isolation restricts essential services like healthcare and reliable internet. This case study draws on publicly available data and local interviews to examine how these barriers impact the community and students' preparation for life in or beyond it. Despite these struggles, Fairfield’s natural and social resources foster resilience and community pride. This study explores Fairfield’s history, current challenges, and strategies to strengthen its community capitals to address educational and economic disparities in rural areas.
Osteoarthritis (OA) cases have doubled over the last two decades, now exceeding 32 million in the US and over 240 million worldwide. Dextrose prolotherapy is a potential alternative treatment for OA that demonstrates a good safety profile and is less costly than bio-injectables or partial or full joint replacement. This comprehensive review aims to provide background information and summarize findings from dextrose prolotherapy use in clinical trials, from January 2013 to December 2024. Human clinical trials using dextrose prolotherapy show promising clinical outcomes in reducing pain and improving function while maintaining a high degree of safety.
We will use film analysis techniques, shot frames, and video clips to argue this thesis: Wonder Woman is portrayed as a Christ figure through her self-sacrifice, sense of justice, and ability to perform miracles through the use of various film techniques.
The beauty standard refers to physical traits that society deems beautiful. This can include an individual’s body weight and shape, height, and facial features. The positive relationship between attractiveness and benefits presented to attractive individuals leads people to seek to be ‘beautiful’ by society’s standards. Beauty ideals are often influenced by mass media and social media platforms which have negative impacts on an individual's mental well-being. Heavy media exposure to social media representations of the beauty standard has negative consequences for adolescents’ mental health and self-esteem. While social media use has numerous downsides, there are beneficial applications to its use.
Scholars have noted the exclusiveness of organized Christianity as a leading factor in the membership decline of Southern Baptist and similar denominations. However, the theology of medieval anchoress Julian of Norwich offers those ostracized by SBC's restrictive doctrines a perspective centered around God's divine love and care for all creation. Julian's "hazelnut theology" recognizes that while humanity is fallen, we are still made in God’s image. While the SBC employs a theological framework that excludes certain groups, Julian’s Revelations offer an inclusive and optimistic theology focused on God's steadfast love and the redemptive nature of sin—a restorative theology.
Case: A 9 x 4 cm tumor was found at the rectosigmoid junction during dissection of a 64-year-old man whose cause of death was failure to thrive. Possible metastases to the abdominal and thoracic lymph nodes, lungs, right adrenal gland, and brain were found. Findings: Histology showed a well- to moderately-differentiated adenocarcinoma arising in the mucosa, invading the submucosal lymphatics, and extending through the muscularis externa. The adrenal lesion was morphologically similar to the colorectal tumor. Discussion: Primary treatments for metastatic colorectal cancer include resection and chemotherapy. More recent targeted treatments based on molecular testing have improved survival rates.
The current diesel-powered hydraulic system for installing and removing MQ-9A Reaper payloads is bulky and difficult to maneuver. A new lifting device is proposed, powered by various outlet power sources ranging from 100-240 VAC and 47-63 Hz, which will be used globally. It will lift up to 4,000 lbs using linear actuators and a robust base, providing 12 inches of vertical lift, 6 inches of X-Y movement, and 5 degrees of tilt. User-friendly joystick and button controls will enhance precision. The design prioritizes mobility, easy disassembly for transport, and safe, accurate payload alignment.
This article analyzes HBO’s Succession through the Narrative Paradigm (Fisher, 1984, 1985, 1989), Co-Cultural theory (Orbe 1998; Razzante & Orbe, 2018; Razzante, et al., 2021), and Dominant Group theory (Razzante & Orbe 2018; Razzante et al., 2021) to examine its portrayal of power dynamics and identity conflicts. The series probes the Roy family’s multibillion-dollar company, uncovering problems such as familial dysfunction, corporate greed, and systemic privilege. Using Walter Fisher’s Narrative Paradigm, the examination emphasizes how the Roy family creates narratives to maintain control. Mark Orbe’s Co-Cultural theory and Robert Razzante’s Dominant Group theory analyze Siobhan “Shiv” Roy’s navigation of gendered challenges set by her father, Logan Roy, while benefiting from her privileges as a rich white woman. Through thematic analysis (Braun & Clarke, 2006), vital scenes showcase Logan’s persuasive dominance and Shiv’s complicity in aiding oppressive structures. This analysis emphasizes Succession’s portrayal of oppression and privilege, providing an important commentary on power and cultural identity in organizational communication.
The purpose of this research was to examine how Greek life impacts students’ academic performance, campus involvement and mental well-being. Results will be discussed in terms of understanding college life, student engagement, and possible changes that could be made to support academic success.
Wapello is a rural community in Louisa County, Iowa that serves as an integral part of the broader region with its many anchor institutions, including the courthouse, high school, and historical society museum. However, Wapello’s current issues with food security and limited healthcare access are emblematic of the issues of many other rural American communities. Through interviews and data analysis, this case study seeks to understand the local employment decline, physician shortages, and Wapello’s classification as a food desert. I conclude that the town’s issues can be mitigated through its community capitals and an appreciative inquiry approach to community development.
This project is developing a drone to video record skydivers autonomously. It drops before the skydivers and then aligns with them after they jump from an aircraft. The drone will acquire the skydiver and then circle nearby to video record the dive. Its purpose is to replace the human videographer who must jump after the recorded skydiver; a drone will be cheaper and safer and will allow another space for a paying passenger on the skydive aircraft. It will be less than 10 lbs., shorter than 20 inches long, simple to operate, and self-landing.
Legends of King Arthur have passed through generation after generation, adapting to various cultures. Thomas Malory’s fifteenth-century Morte d'Arthur remains one of the most well-known collections of Arthurian legends. Malory makes the adulterous affair between Sir Lancelot and Arthur’s queen, Guenevere, a key element of the plot. Six centuries later, the BBC television series Merlin retells the Arthurian love triangle—this time with a twist. Through their representation of Guenevere and her role in the infamous Lancelot–Guenevere affair, Thomas Malory and the creators of Merlin reveal the specific gender and political concerns of their respective cultures.
“The Troubles” in Northern Ireland refers to a time of conflicts, public murders, and terrorist attacks in the closing decades of the 20th century, often characterized as a conflict about religion, pitting Irish Catholics versus Protestants. But were the Troubles really about religious differences? This project critiques that simplistic characterization, demonstrating that social inequities, the vestiges of colonialism, and an apocalyptic hermeneutic contributed at least as much to the Troubles as religion.
Assessing the risk of major adverse cardiac events (MACE) before initiating aerobic exercise is vital with direct access to physical therapy (PT). While there are various methods, PT lacks a standardized approach. This scoping review yielded 1,519 articles; 35 articles met established criteria. Five methods were identified: (1) risk factor assessment (2) questionnaires (3) calculators (4) physical examinations (5) exercise testing with electrocardiogram. Risk factor assessment yielded the most statistical information regarding MACE. Risk calculators provided a clearer assessment low, medium, or high-risk categories. PTs can use these tools to assess risk and identify patients that require further evaluation.
An artist's talk focused on our current work as individual artists. The talk will showcase artworks and explore the intricacies of various artistic processes while also discussing chosen mediums and highlighting the materials and techniques that define our work. Additionally, we will each share our unique approaches to art-making, demonstrating how our perspectives influence our creative decisions.
Physician Assistant students often have limited exposure to Pediatrics before clinical rotations, leading to knowledge gaps in weight-based dosing, developmental milestones, immunization guidelines, and diagnosing common acute conditions. A 75-minute "What to Know Before You Go: Pediatrics Rotation Preparation" workshop was developed to address these gaps using case-based learning and small-group discussions. Pre- and post-rotation surveys showed significant improvement in self-efficacy (p<0.05), though end-of-rotation scores remained unchanged. Student feedback was highly positive, emphasizing workshop interactivity and helpfulness. Continued implementation and analysis will refine the workshop while exploring additional rotation prep initiatives based on preceptor evaluations and future student performance.
All states and the Federal government have developed their own process for criminal trial of minors as adults, an action that involves reclassifying the criminally accused outside a status with Constitutional rights acknowledged in current Supreme Court jurisprudence. The processes, protections, and standards for this movement vary substantively, with some that fail to conform to known minimal standards of procedural due process. We seek to address these discrepancies, their history, their probable causes, and their ancillary effects to show how they fail to provide adequate procedural safeguards to the least represented and least protected defendants in the criminal justice system.
Sigmund Freud’s psychoanalytic theory provides insight into Adolf Hitler’s personality through defense mechanisms, psychosexual maldevelopment, and the unconscious mind. Hitler exhibited projection, reaction formation, castration anxiety, and thanatos (death drive), leading to emotional instability and aggression. His weak ego and superego allowed his id to dominate, resulting in extreme behaviors and contradictions. Hitler’s compensatory actions and violent tendencies align with Freud’s psychic determinism, suggesting that his early experiences shaped his destructive impulses. This analysis highlights Freud’s enduring influence in understanding pathological personalities and their impact on history.
Paparazzi earn a profit by taking highly intrusive photographs of celebrities and their children. This paper examines the beginnings of the profession and how it has evolved alongside the growth of mainstream media. The objective of this research is to explore what lawful protection children of public figures have in place for their privacy. Additionally, addressing whether the media does an effective job of reprimanding this level of intrusion or if they perpetuate it further.
Buffy the Vampire Slayer is a show about “one girl in all the world” chosen to fight the vampires, demons and the forces of darkness. In a show with a female hero, “traditional masculinity” is often represented symbolically through the supernatural. In this paper, I give a gendered reading of the vampires Angel, Spike, and Willow to examine vampirism as masculinity through sexuality, gender performance and essentialism. Several critics seem to assume Buffy exclusively explores femininity through the images of strong female characters, I contend however that masculinity is explored symbolically via vampirism through images of sex, gender roles and sexuality.
While it is commonly agreed that human trafficking is a horrendous crime and action should be taken to prevent it, the question arises of whether governments actually allow or even encourage trafficking to take place. The European Union (EU) has explicitly been working against trafficking for a number of years, yet the crime still frequently occurs in the region. As many countries in the EU have legalized prostitution in some way, one would wonder whether there was a relationship between legislative leniency towards prostitution and human trafficking, specifically of a sexual nature. This research seeks to test the question: how does the legalization of prostitution affect human trafficking in the European Union?
Chronic obstructive pulmonary disease (COPD) is a group of lung diseases. Gross and microscopic evaluation of an 80 y.o. male cadaver showed that the left lung had dilated air spaces and showed notable alveolar wall destruction and dilated airspaces. The right lung was dense and firm, containing macrophages laden with anthracotic pigment and alveoli filled with red blood cells and fibrin. Anthracotic pigment in the lungs indicates long-term exposure to airborne pollutants (e.g. smoke, dust). This profile is aligned with the typical presentation of COPD and demonstrates the risk of comorbid infection with the presence of an organizing pneumonia.
This study examines the impact of macroeconomic factors on market equity performance using U.S. value-weighted capital data. By merging and resampling datasets to a monthly frequency, we analyze statistical trends and visualize key relationships. Regression models assess how macroeconomic indicators, like short-term interest rates, influence market equity. The findings enhance understanding of factor-based investing and macroeconomic effects on financial markets, offering insights for investors and policymakers.
Cadaveric dissection was completed on a 62-year-old female with acute myeloid leukemia (AML) and pancytopenia. The liver and spleen were enlarged; samples taken for histological processing and staining revealed infiltration of numerous abnormal leukemic cells. Due to the aggressive nature of AML and high risk of relapse, post-remission therapies (chemotherapy or bone marrow transplantation) are used to eliminate residual malignant cells. However, since these therapies may not be viable options for older patients, our discussion highlights alternative therapies targeting isocitrate dehydrogenase (IDH) mutations, commonly seen in AML, and their use in older adults to prevent relapse after initial induction therapy.
Over the past few decades in the US, opioids, despite their limited effectiveness for long-term pain management and addictive nature, were commonly prescribed for acute and chronic non-cancer pain. This has contributed to a significant public health crisis in which overdose deaths have surged. The current study analyzed National Ambulatory Medical Care Survey (NAMCS) data from 2010-2019 to assess the association between chronic pain diagnoses and visits with an opioid, while also considering factors like visit demographics and characteristics. Chronic pain visits had higher odds of receiving opioids, suggesting opioid use from 2010-2019 contradicted current guidelines, emphasizing the guidelines’ importance.
I am a second-year PA student in Campbell’s dual Master of Clinical Research and Master of Physician Assistant Practice program. Our research examines opioid prescribing trends for chronic pain using National Ambulatory Medical Care Survey (NAMCS) data from 2010-2019. I am passionate... Read More →
Research suggests mental health challenges escalated during the COVID-19 pandemic, posing historic public health concerns. This study evaluated the pandemic’s impact on anxiety and depression among U.S. adults from 2019 through 2022 via the National Health Interview Survey. Understanding the prevalence and factors influencing these conditions is essential to address resource allocation, treatment strategies, and preventive interventions. Suitable for clinicians, researchers, and policymakers.
The Johnston County Health Department has the highest number of permitted Mobile Food Units (MFUs) across all North Carolina counties. Despite this, less than 2% of MFUs undergo the three yearly required food safety and health inspections due to key challenges of MFU mobility outside of county lines and communication barriers. This project will explore these challenges through analysis of phone-based surveys and propose strategies to improve the Johnston County Health Department’s permit application process and knowledge of MFU operational patterns.
Case: Gallstones were discovered during dissection of a 104-year-old female whose cause of death was kidney failure. Additionally, white chalky deposits were present in peri-pancreatic fat, suggestive of fat necrosis and saponification seen in cases of pancreatitis. Photographs and samples of the lesions were collected and histologic processing was performed. Findings: The gallstones were consistent with cholesterol stones, and although a common sequela of gallstones, there was no evidence of pancreatitis microscopically. Discussion: Surgery is the primary treatment for gallstones; however, when nonsurgical options warrant consideration, such as in elderly patients, osteopathic manipulative treatment may improve symptoms and relieve pain.
For centuries, plants have played a vital role in medicinal practices. Flavonoids, polyphenols, and anthocyanins found in plants provide important antioxidant benefits. Aristotelia chilensis (Maqui) and Berberis microphylla (Calafate) are a tree and an evergreen shrub native to the temperate rainforests of Chile and southern Argentina and are both recognized for their antioxidant-rich berries. Neuroblastoma (NB) is a tumor of the peripheral nervous system and is the most common cancer and extracranial solid tumor in infants. N18TG2 is an established mouse NB cell line. We hypothesize that Maqui leaves extract and Calafate berry extracts exert anti-proliferative effects on N18TG2 cells.
This study examined fibromyalgia diagnosis trends and associated comorbidities using NAMCS data from 2010-2019, evaluating changes as the American College of Rheumatology's criteria evolved from 1990 to 2016. FM diagnosis increased after the 2010 criteria but decreased significantly following the 2016 revisions. Rheumatoid arthritis (OR 5.51, 95% CI 2.87-10.58) and depression (OR 2.61, 95% CI 1.90-3.58) were strongly associated with fibromyalgia diagnosis, while other comorbidities had minimal associations. The fluctuation in diagnosis post-2016 criteria suggests current criteria may not accurately capture fibromyalgia's complexity, highlighting rheumatoid arthritis and depression as key comorbidities in fibromyalgia diagnosis.
Metoprolol succinate, a commonly prescribed beta blocker for heart failure, can cause underrecognized central nervous system (CNS) effects such as hallucinations, delirium, and sleep disturbances. The likelihood of these effects depends on the drug's lipophilicity. We report a heart failure patient who developed new-onset visual hallucinations after starting metoprolol succinate. Once the association between beta blockers induced hallucinations was recognized, metoprolol was discontinued leading to resolution of symptoms. This case highlights the importance of recognizing this potential adverse effect of beta blocker induced hallucinations, as well as understanding the differences among agents within this drug class.
Cadaveric dissection of an 84-year-old woman with history of hypertension revealed intracranial hemorrhage located in the left brain parenchyma, left lateral ventricle, and subarachnoid space of the left parieto-occipital convexity. Microscopic examination of the brain showed no evidence of cerebral amyloid angiopathy and the bleed likely resulted from chronic hypertension. Most likely the hemorrhage originated deep in the left brain and extended to the left lateral ventricle and left parieto-occipital convexity.
Cadaveric dissection of a 59-year-old male revealed adenocarcinoma of the lower lobe of the right lung with right adrenal and right rib metastases. Lung cancer is categorized as either small cell or non-small cell. Adenocarcinoma is the most common subtype of non-small cell lung cancer. Lung adenocarcinoma frequently metastasizes to hilar and mediastinal lymph nodes, adrenal glands, brain, bone, and liver. Early detection of lung cancer is difficult, and the United States Preventive Services Task Force recommends annual screenings using low-dose computed tomography for high-risk individuals.
Breast cancer poses a major challenge due to the potential for metastasis to distant organs. This project examined a case of breast cancer in a 92-year-old female decedent, with metastatic lesions to the liver. Liver metastases, observed during cadaveric dissection, were confirmed through gross examination and histopathological analysis. Despite its relatively lower incidence, liver metastasis in breast cancer patients significantly worsens prognosis. These findings highlight the complex interplay of genetic and environmental factors in the disease's pathogenesis. We additionally underscore the importance of early detection and review the common sites of metastasis originating from primary breast tumors.
Fibromyalgia is a chronic, widespread pain condition affecting the musculoskeletal system, often accompanied by tiredness, decreased mood, and somatic dysfunction. This report aims to: (1) evaluate perineural therapy as a treatment for fibromyalgia, and (2) observe patient outcomes using an osteopathic approach including acupuncture and Osteopathic Manipulative Treatment (OMT). This case highlights a 63-year-old female with fibromyalgia treated with acupuncture, OMT, and perineural therapy (PNT). This report demonstrates the benefits of combining perineural therapy with other osteopathic techniques and treatment modalities. Further studies could evaluate the standalone effectiveness of perineural therapy.
Thyroid nodules are prevalent in the general population and require a systematic approach of evaluation and management. This case focuses on the cadaveric dissection of a 91-year-old female revealing three benign thyroid nodules. Risk factors for the development of thyroid nodules include various lifestyle and environmental factors. Assessment begins with history and physical examination, lab studies, and high-resolution ultrasound. Select individuals with suspected malignancy may undergo additional evaluation via fine-needle aspiration biopsy. Management strategies balance between invasive and non-invasive options. Understanding the etiology, susceptibility, and appropriate interventions ensures optimized care for patients with thyroid nodules.
Solar power-based energy, in recent years, has become extremely popular as a source of renewable energy. Despite current research and popularity of solar panels, the cells within each panel can only reach a certain amount of efficiency due to the environment they are placed into and technological limitations. One way of increasing the efficiency of solar panels is to make use of mirrors since they reflect more light onto the cells. This study aims to confirm this theory and discuss how concentrated light on photovoltaic cells is important in moving towards a sustainable future.
It is estimated that approximately 25% of women experience symptoms associated with the female reproductive system, including abnormal uterine bleeding, decreased fertility, and pain. These symptoms have many possible etiologies, including leiomyomas, also known as uterine fibroids, which are benign tumors arising from the uterine smooth muscle and connective tissue. Detection and treatment of uterine fibroids can be beneficial for symptom reduction and improved obstetric outcomes. This work highlights a pedunculated subserosal fibroid in a 71-year-old Caucasian woman and explores current screening and diagnostic tools and treatment options. Given the variability in patient age and symptoms at presentation, we will explore how treatment strategies can be individualized to best fit patient needs.
Econometric methods are employed to analyze patterns and relationships in crop insurance data. The existence of these relationships paint a more clear picture of how farmers analyze and protect themselves against perceived risks.
Significant challenges exist related to women’s health during childbirth, including complications from pain management, emergency cesarean births due to complications, and effects of coexisting conditions. A literature search was conducted based on the PICO question, “If pregnant women add moderate exercise into their daily life, what impact does it have on the reduction of birth complications as compared to a lack of moderate daily exercise?” Overall, results show implementing a daily, moderate exercise program is beneficial for reducing labor complications in healthy women. Future research should focus on the effect of exercise during pregnancy in women with existing health conditions.
This cadaveric case study examines an 84-year-old female with a brain mass identified as a primary central nervous system lymphoma (PCNSL), discussing its epidemiology, clinical presentation, diagnosis, and treatment. PCNSL is a rare, aggressive lymphoma that primarily affects immunocompromised individuals, the elderly, and males. Diagnosis involves MRI or CT imaging, tumor biopsy, and lumbar puncture. Symptoms include cognitive changes, seizures, incoordination, headaches, papilledema, weight loss, and fever. While the etiology remains unclear, preventive measures include a healthy lifestyle, regular check-ups, and managing immunosuppressive therapy. Raising awareness of at-risk populations can help improve early diagnosis and intervention.
Within various healthcare environments worldwide, healthcare personnel and patients alike are often surprised by the prevalence of violent encounters. Healthcare organizations would seldom choose to be defined as facilities that are unsafe to care for their patients. Government data shows healthcare personnel account for 73% of violent related injuries that require time off to recover. It is important to recognize warning signs and provide support to organizations that appeal to lawmakers on behalf of healthcare workers. In understanding the repercussions of workplace violence, healthcare systems must implement effective changes to the training programs that are provided to their employees.
Mental health services must improve. A New Jersey law increased psychiatric involuntary commitment in emergency departments, delaying transfer to a psychiatric facility. Although this law was created with positive intent, it does not address the root issue: the inability of people to find adequate psychiatric care in their communities. Emergency department directors, staff, and patients agree that the emergency department lacks resources to provide specialized treatment for this population. Patients with longer stays are at greater risk for complications. The state should focus on increasing community funding to provide preventive care, psychiatric walk-in clinics, employment, and transportation.
This study sought to assess the relationship between receiving education (on diabetes, exercise, weight reduction, diet/nutrition) and patient characteristics among adults with Type II Diabetes Mellitus (T2DM). This was a retrospective, cross-sectional study using data from the National Ambulatory Medical Care Survey (2012-2019). Multivariable logistic regression models were constructed to evaluate available predictors of interest on each type of education received. No racial/ethnic disparities were identified. Disparities in patient education for rural areas, visits to a specialist, and smokers highlight the necessity of targeted interventions to improve education access. The poster will provide complete study findings, conclusions and a discussion.
Students used an amateur casing setup to produce 713 aluminum from scrap metal. This was then analyzed to relate the metal to commercially produced material.
Substance Use Disorder is a chronic condition affecting 10% of the population. Harnett Health Family Medicine Residency identified high screening rates for alcohol and tobacco, but low rates for non-medical prescription drug use and illicit drug use, highlighting the need for standardized screening. The NIDA Quick Screen was chosen for its simplicity and was administered during annual exams. Screening rates improved significantly for non-medical prescription drug use (p=0.02) and illicit drug use (p=0.007). Barriers included inconsistent use and lack of EMR integration. Future efforts will focus on this as well as expanding screening to adolescents and improving treatment follow-up.
Healthcare in America is experiencing its own form of climate change. The arrival of the “silver tsunami” poses a challenge to how we will care for senior adults. Medicare instituted the Annual Wellness Visit (AWV) to improve healthy aging among all seniors. Despite its promise for increasing preventive health services, uptake of AWVs has been low for a variety of reasons. This QI project showed that AWV completion rates increased with a variety of interventions based on outreach, education, EMR implementation, and team-based care. These results have significance on several different levels, mainly infrastructure, personal accountability, and economics.
This project tested a hypothesis for a novel cause of bipolar disorder involving changes in levels of brain cholesterol. Mice were treated daily for 7 days with a vehicle (as a control) or a combination of 2 drugs at two different doses. These treatments were hypothesized to reduce brain cholesterol. At the end of the treatment, mice were tested for signs of depression using the spontaneous activity test, change in body weight and the forced swim test. Final results indicated that the only significant effect of either treatment with either dose was that drug-treated mice gained less weight than controls.
A nut from the wheel assembly of a rollercoaster at Kings Dominion was investigated using microscopy and chemical spectroscopy to identify its microstructure and engineering properties, which were then related to its processing.
Green chemical reactions use safer and less toxic reagents compared to traditional reaction conditions, which may involve harsh and hazardous compounds. A Wittig reaction using green reaction conditions was introduced into the organic chemistry labs at Campbell University in 2018. The synthesis resulted in a method that was safer but produced low yields and impure product. This work focuses on improving yields and purity via optimization of reaction time, temperature, concentrations, and other variables including workup modifications. Recrystallization trials with alternative solvents have shown increased yields. These improvements and other progress towards yield and purity improvements will be reported.
A tablet that effectively combines immediate and modified-release properties will be developed by compressing the tablet with a hollow core, applying an enteric coating, and filling the core with concentrated drug granules. Acetaminophen will be used as a model drug. The thickness, hardness, friability, and disintegration tests will be performed on the tablets. Key manufacturing parameters, including formulation matrix, choice of excipients, and coating will be optimized to achieve the desired release profile. A design of experiment (DoE) approach will be implemented via to systematically evaluate and refine these parameters, ensuring the effective release and stability of the formulation.
Physician-assisted suicide or physician-assisted death (PAD) occurs when a healthcare professional aids in providing lethal medication to a patient with a terminal illness. Healthcare policy plays a vital role in shaping protocols related to this issue. North Carolina is 1 of 4 states that has no specific laws or policies regarding physician-assisted death. Whether or not policymakers believe physician-assisted suicide should be legal, there should be clear legislation to determine a physician's role in PAD to eliminate confusion for the physician and patient. Physician-assisted suicide is an ethical issue that requires legislation for the safety and legal practice of physicians.
Montelukast, approved by the FDA in 1998, is a widely prescribed leukotriene receptor antagonist for asthma, exercise-induced bronchoconstriction, and allergic rhinitis. Concerns about its neuropsychiatric side effects prompted several FDA labeling updates, including an update to the patient and prescribing information to include several post-marketing adverse events including depression, suicidality, and anxiety in 2007, an update to the “precautions” of drug’s prescribing information in 2009, ultimately a Black Box Warning in 2020. This study aimed to analyze prescribing trends of montelukast before and after FDA safety warnings using data from the National Ambulatory Medical Care Survey (NAMCS) for 2003–2019.
This observational, retrospective, cross-sectional study included outpatient visits for patients aged two years and older with respiratory complaints. This study was deemed not human subject research by the Campbell University Institutional Review Board due to the nature of the publicly available de-identified database. The primary outcome was the proportion of visits with montelukast. The primary predictor compared two periods: 2003–2007 (pre-warning) and 2008–2019 (post-warning). Secondary and tertiary analyses assessed prescribing trends and the association of demographic and clinical factors available in the dataset with montelukast use. Statistical methods included a plot of the proportion of visits with montelukast by year and a multivariable logistic regression model (MLRM).
Findings showed a slight decline in montelukast prescribing, from 5.3% of visits in 2003–2007 to 4.4% in 2008–2019 (OR 0.89, 95% CI 0.70–1.14, from the MLRM after adjusting for covariates). The plot of the annual proportion of visits with montelukast revealed a slight decline in prescribing over time, with a significant drop in prescribing after 2007, coinciding with updated FDA safety information. The MLRM provided no evidence of significant predictors or the identification of disparities between groups/levels of demographic variables.
The findings suggest that FDA safety communications and the introduction of alternative therapies may have influenced prescribing practices.
The issue of sentencing disparities, especially the influence of race and gender on sentence outcomes, has become a contentious issue within the criminal justice system. In fact, these disparities date back as far as the Jim Crow era, which can be argued is the root of these problems. In modern sentencing practices, racial and gender disparities persist despite these laws being abolished. In comparison to white individuals, African American and Hispanic individuals continue to suffer disproportionately severe punishments. I will examine how race and gender shape judicial decisions and their broader implications for fairness and justice in the legal system as part of my research into ongoing disparities in sentencing.
The study aims to express and purify the receptor-binding domain (RBD) of the SARS-CoV-2 spike (S) protein using recombinant protein techniques and evaluate its binding affinity to the human ACE2 receptor. HEK293T cells were transfected with two plasmids: one expressed RBD fused with a His-tag allowing protein purification via immobilized metal affinity chromatography (IMAC) and the other expressed RBD fused with an sfGFP-tag allowing fluorescence detection of protein expression. Purification of the recombinant His-tagged RDB and sfGFP-tagged RBD protein products using IMAC, Hydrophobic interaction chromatography (HIC) and Ion exchange chromatography is ongoing. BCA protein assay, SDS-PAGE, Western blotting, and ELISA will be performed to assess expression yield, purity, and binding interactions. The research enhances understanding of the effects of two common tags on SARS-CoV-2 RBD dynamics and their potential applications in diagnostics, therapeutics, and vaccine development against COVID-19.
This poster is based on a longitudinal study that has been going on 8+ years on the Campbell University Division I Women’s Lacrosse. We have been able to use physiological & psychological data to see what affects performance and how training affects the athletes. Global positioning system (GPS) units are worn during practice and athletes completed out daily wellness scores via Metrifit app that measured mood, sleep, energy/fatigue, stress, and muscle soreness. In the future we will continue Metrifit survey data, add Athletic Sleep Screening Questionnaire (ASSQ), and create a questionnaire to learn more about the sleep hygiene of the lacrosse players.
My study examined the differences in socio emotional health between two schools, one in a high income area and one in a low income area. The study found that students report being happier in the higher income school. Students in the low income school were more likely to rate their social health as a 0, the lowest score that they were able to give. Whereas at the higher income schools I only had 1 or 2 students report a 0. Overall, my study shows that students who live in low income areas struggle more in school than those in a higher income area.
Oxidative stress plays a crucial role in Alzheimer’s disease (AD) pathology. This study explores the potential of targeting the Keap1-Nrf2 pathway as a therapeutic approach. Keap1 negatively regulates Nrf2, a key antioxidant defense mechanism. Using molecular modeling and virtual screening, we identified and modified compounds such as Andrographolide, Farrerol, and Curcumin analogs to enhance their binding affinity to Keap1. By disrupting Keap1-Nrf2 interaction, these compounds could activate Nrf2, reducing oxidative damage and neuroinflammation. Our findings highlight promising drug candidates for AD treatment, with improved binding affinity and potential blood-brain barrier penetration.
Different alcohol substrates have been tested for a pedagogical multistep synthesis involving alcohol bromination followed by Williamson ether synthesis (WES). The bromination of 1-phenylethanol and 2-phenylethanol was partially optimized according to temperature and acid equivalents, where the former was produced in high yields and conversions. WES trials resulted in a mixture of target ether and styrene that could be quantified by GC. Bromination of 4-biphenylmethanol was optimized according to acid equivalents, temperature, and time, producing a solid alkyl bromide with good yields and high conversions. Both target ethers were formed in WES trials using both MeOH and EtOH.
A 33-year-old male with a past medical history of a traumatic brain injury (TBI) secondary to a fall 8 years prior, attended the Campbell Community Wellness Clinic for physical therapy services. Upon evaluation, impairments in ankle mobility were hypothesized to impacted running speed and distance. Pre-intervention, the patient was able to run 0.4 miles at 4.14 mph. Interventions during an 8-week program consisted of therapeutic exercise, taping, and manual therapy to improve ankle range of motion. The patient’s time, distance and speed varied from week to week proving no correlation in interventions and running outcomes this patient.
With an increasing number of women living past menopause, there is a need for research regarding the management of menopausal syndrome. Particularly, there is a need for research regarding the treatment of pain in postmenopausal women. The case described in this report follows a 52-year-old caucasian female who initially presented on February 7th, 2023 with one month of right sided sacroiliac joint pain. An extensive workup did not reveal a clear etiology of pain. Between her initial visit on day 0 and her most recent follow-up on day 435, she was treated with osteopathic manipulative treatment (OMT) on four occasions for various lumbar, sacral, and pelvic somatic dysfunctions. In addition to OMT, the patient was treated with stretches, tizanidine, naproxen, venlafaxine, a right hip injection, and estradiol. Notably, the patient experienced complete pain relief within one week of starting estrogen replacement therapy. This case is unique to existing literature and suggests that estrogen replacement therapy may have a role in sacroiliac pain relief in postmenopausal women.
"Making Amends" is an original composition that blends emotive storytelling of musical theatre with a catchy pop melody. With a simple yet dynamic accompaniment, the song builds in intensity through intricate rhythms while mirroring the emotional depth of the lyrics. It tells the story of two siblings who have drifted apart over the years, with one reaching out in a vulnerable attempt to heal old wounds. The piece captures the tension, regret, and hope of reconciliation, offering a raw and relatable exploration of family, forgiveness, and the desire to rebuild lost connections.
This project targets the rising drug overdose crisis in Bartholomew County, Indiana, where overdose deaths peaked at 47 per 100,000 in 2022. The initiative aims to enhance healthcare engagement by partnering with the Alliance for Substance Abuse Progress (ASAP) to train primary care, urgent care, and emergency department staff on addiction resources and interventions. Through structured education, community collaboration, and ongoing evaluation via the Indiana Drug Overdose Dashboard, the goal is to reduce overdose deaths by 50% by 2026. This initiative strengthens provider awareness, expands access to treatment, and fosters a united community response to substance abuse.
Ashe County, NC, a rural mountain community with a median age of 50, faces significant health challenges, including high rates of chronic disease and mental health concerns. The county’s suicide rate (22.3 per 100,000) far exceeds the state target, exacerbated by stigma and limited access to care. This project proposes a community-based primary care intervention to enhance mental health awareness, establish peer support networks, and implement targeted programs. By engaging local organizations and incorporating resident feedback, this initiative aims to address Ashe County’s mental health crisis with culturally responsive, community-driven solutions.
This Community Oriented Primary Care (COPC) project addresses mental health among Charlotte’s homeless population. Charlotte, NC, faces rapid growth but struggles with homelessness, affecting over 3,000 individuals, many with mental health and substance abuse issues. Contributing factors include job loss, housing shortages, and systemic inequalities. This project raises awareness, expands screenings, and establishes support services. Partnering with organizations like Roof Above, it employs interviews, surveys, and data analysis to evaluate progress. The goal is to improve access to care, reduce untreated mental illness, and create sustainable interventions through ongoing monitoring and collaboration with local resources.
The goal of this project is to illustrate the ideological evolution of Dr. Martin Luther King, Jr. and how it demonstrates the necessity of remaining goal-oriented and courageous in the face of challenges and conflicts.
This project addresses the high prevalence of HIV and Hepatitis C among individuals in Wilmington, NC, particularly those affected by substance use/IV drug use, homelessness, and lack of healthcare access. To reduce barriers to care, a mobile health unit intervention is proposed, providing on-site education, testing, and treatment referrals. By partnering with existing programs, such as the Hepatitis C Bridge Counseling Program and Novant’s HIV Outpatient Clinics, this initiative aims to enhance outreach, continuity of care, and patient outcomes. Success will be measured through electronic health records, ensuring a data-driven approach to reducing disease transmission and improving community health.
This project addresses the limited access to healthy food in Harnett County, NC, which contributes to high obesity (40%) and diabetes (14.6%) rates. The initiative involves gathering community data through surveys, town halls, and stakeholder engagement to assess barriers to fresh food access. Proposed solutions include developing farmers' markets, securing funding for farm-to-table initiatives, and advocating for grocery store expansion. The long-term goal is to reduce obesity and diabetes rates below state averages within five years by increasing food access, public education, and sustainable health programs. Success will be monitored through community feedback and health data analysis.
Indigenous history is largely ignored in public school education in the United States, which results in problematic consequences for both Indigenous and non-Indigenous students. Indigenous children experience marginalization that impacts academics and behavior, whereas non-Indigenous children develop inaccurate beliefs of the Indigenous population—savages, scalping, etc.— that frame and perpetuates harmful stereotypes. Do public schools in the United States have a moral responsibility to teach Indigenous history?
This project examines the prevalence and impact of intimate partner violence (IPV) in New York City, where over 11,000 incidents were reported between 2020 and 2021. IPV contributes to significant mental and physical health disorders, requiring targeted interventions. The proposed approach includes public awareness campaigns, trauma-informed training for professionals, and mandatory IPV education for students. The goal is to reduce IPV rates and associated health disparities through structured outreach, education, and evaluation. Success will be measured through incident rate reductions, improved community awareness, and increased access to resources for victims of IPV.
This Community Oriented Primary Care (COPC) project addresses the high lung cancer incidence among never-smoking Asian, Native Hawaiian, and Pacific Islander (AANHPI) women in Alameda County, California. Despite low smoking rates, AANHPI women face disproportionately high lung cancer risks, yet research and awareness remain limited. This initiative focuses on education, early detection, and policy advocacy. Key interventions include distributing educational materials, promoting lung cancer screenings, supporting tobacco control efforts, and engaging the community through outreach programs. By increasing awareness and improving healthcare access, the project aims to reduce disparities and enhance lung cancer prevention and treatment for this underserved population.
This presentation explores the intersection of mental health and firearm safety in Eastern Idaho, a predominantly rural region with limited healthcare access and high suicide rates. Through a community-oriented approach, the project assesses risk factors, including mental health stigma, firearm accessibility, and inadequate mental health resources. The intervention promotes safe firearm storage practices through education, partnerships with gun shops, and mental health integration into firearm safety training. The goal is to reduce firearm-related suicides among young adults by 20% over five years, measured through local health data and community engagement.
The dynamic, shape-shifting speaker of Sylvia Plath’s “Lady Lazarus” takes on the persona of a victimized Jew of the Holocaust and puts on a public performance displaying her transformation from death to resurrection. Scholars tend to see the poem as a sexualized performance that both reverses the gender role of the biblical Lazarus and illustrates Plath’s struggles with mental health disorders as well as her professional challenges. However, this paper argues that some critics misrepresent Plath’s mental struggles while most fail to notice how her use of the Jewish Holocaust and Jewish Phoenix represent a metaphorical way to challenge patriarchy.
At the end of Flannery O'Connor's story "A Good Man is Hard to Find,” a Grandmother calls an escaped fugitive known as the Misfit “one of [her] babies” after his gang has murdered her family while she pleaded to be spared. Some see her gesture as a “moment of grace” while others see it as a final appeal for respect for her Southern ladyhood or a recognition of her own stubbornness in the Misfit. This paper argues that regardless of the author’s theological intentions, the story offers insufficient evidence that the Grandmother has the faith required to receive God’s grace.
Fracking is a hot topic of debate because, on one hand, the methane gas that is collected from fracking provides a tremendous boost to the economy, and has the potential to be a more environmentally friendly alternative to coal. On the other hand, fracking has been proven to be a major pollutant of the atmosphere and ground water sources, and a major health risk for people who live near fracking sites. The major ethical conflict surrounding fracking is whether the economic advantages outweigh the dangers, both to the environment and the health of the people living near the sites.
This project proposes a mentorship program designed to support the Type 1 Diabetes (T1D) community by connecting younger patients with older, more experienced individuals, and linking parents of newly diagnosed children with mentors who have navigated similar challenges. The initiative aims to address the growing mental health needs within the T1D community, offering emotional support, practical advice, and guidance on managing the condition. The program will foster solidarity, reduce isolation, and provide coping strategies for both patients and families. Through structured, empathetic mentorship, the program seeks to enhance emotional well-being and create a supportive, connected T1D community.
