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COVID-19 was declared a pandemic by the World Health Organization on March 11th, 2020. Many states issued stay-at-home orders to prevent the spread of the coronavirus. Any non-essential clinical services were canceled or postponed to decrease in-person visits at clinics, which led to clinics having decreased patient volume. Telehealth was used as a way to continue clinical care to patients in an alternate form. Health departments (HD) provide fundamental services to patients based on a sliding fee scale. Federally Qualified Health Centers (FQHC) provide a wide variety of health care services to underserved communities. Policies on the implementation of telehealth varied between the two systems. The concentration of this study is on the characteristics of telehealth service provision before and during the COVID-19 pandemic and future considerations for clinic service provision. A quantitative analysis was conducted through statewide surveys. The statewide surveys assessed clinic characteristics and contraceptive care service provision among HD family planning clinics and FQHC clinics in two Southeastern states, South Carolina (SC) and Alabama (AL), with similar clinic structures. The survey was conducted from July- November 2020. Survey items included evaluating the impact of COVID-19 on clinical service provision, including services provided prior to (2019) and during (March-June 2020) the pandemic. The response rate was 86.8% (N=112) among HD clinics and 53.8% (N=127) among FQHC clinics. Chi-Squared tests of independence were used to assess differences in service provision among HD and FQHC clinics in SC and AL. Fischer’s Exact test was applied where categorical responses were fewer than five. Among survey respondents, 64.9% (N=72) of HD clinics and 38.9% (N=49) of FQHC clinics indicated no telehealth services were provided prior to the pandemic (p < .0001). Nearly 35% (N=85) of all clinics reported introducing at least one telehealth service during the pandemic. The most prevalent telehealth service provided by HD clinics during the pandemic was prescribing refills of hormonal contraceptive methods at 58.2% (N=64). FQHC clinics’ most prevalent telehealth service provided during the pandemic was primary health care at 89.8% (N=114). Regarding the future of telehealth, 12.4% (N=12) of HD clinics plan to continue all telehealth services offered during March-June 2020, whereas 52.5% (N=62) of FQHC clinics plan to continue all telehealth services offered during March-June 2020 (p < .001). These findings highlight the significance of policy and procedures among the HD clinics in states that have a centralized health department structure. The telehealth services adopted by HD clinics and FQHC clinics varied and further research is needed to understand the barriers to telehealth provision in each state. The importance of reimbursement policy for telehealth services plays a vital role in providing contraceptive services, thus it may be critical to expand billing options and maintain reimbursement of telehealth through Medicaid.

<p> Over the last one hundred years, F. Scott Fitzgerald&rsquo;s <i> The Great Gatsby</i> has become one of the most popular American novels in the literary canon. Though thousands of critical articles have circulated concerning one of American&rsquo;s greatest tragic heroes, Jay Gatsby, it is the object of his desire that is often neglected. By applying the theories of feminist thinker Simone de Beauvoir, it can be shown that Daisy&rsquo;s status as mutable anti-heroine is representative of the patriarchal ideologies of the novel&rsquo;s time. Equally ripe for analysis is Daisy&rsquo;s film legacy, as four major motion pictures have been adapted for the big screen. In this project, I argue that Daisy represents the treacherous dichotomies often imposed on women, whether through idolatry, illusion, commodification, or slavery. I also seek to prove that Daisy is part and parcel of the American New Woman and how this further distorts America&rsquo;s identification with her. The ability to identify with characters is compulsory, which is perhaps why the story of Jay Gatsby has been adopted as a telling of the American Dream. As a contrast, however, the women in <i>The Great Gatsby</i> are difficult to identify with. If Daisy Buchanan is confined to a strict set of misshapen stereotypes, and we as Americans celebrate this novel as one of our Greats, how do we time and time again read women in the Great American Narrative?</p>

<p> The purpose of this project was to locate a potential funding source and write a grant to implement a support group for women who have experienced pregnancy loss at the Mariposa Women and Family Center, Orange County, California. An extensive literature review regarding the theoretical frameworks surrounding pregnancy loss was performed in order to gain knowledge of prevalent risk factors among women after miscarriage. Pregnancy loss commonly occurs in 14%-20% of clinically recognized pregnancies during the first 20 weeks of gestation and it can cause psychological distress such as depression, anxiety, extended grief, and post-traumatic stress disorder. Women receive minimal emotional support from medical professionals, partners, and family members leaving them to cope in silence. If funded, this program would help provide awareness surrounding pregnancy loss and most importantly support women in managing their grief as they come to make meaning of their loss. Actual submission of this grant was not a requirement for this project.</p>

<p> Low levels of self-esteem have been supported by research as a predisposing factor to a number of negative outcomes. Female youth approaching adolescence have been supported as demonstrating the greatest risk for low levels of self-esteem. Low levels of self-esteem in adolescent females as indicated by previous research often manifests itself in devastating physical, mental, and social health issues such as depression, dating violence, substance use, as well as others. The purpose of this project was to write a grant proposal to potentially seek funds for a psychoeducation group focusing on the prevention of low levels of self-esteem. The groups are focused on identifying risk factors and engaging protective ones. The grant writer selected The Ueberroth Family Foundation as a potential funding source for the proposed project. The actual submission and/or funding of this grant were not a requirement for the successful completion of this project.</p>

<p> Both her feminine subjectivity and extensive time frame (ranging from 1914-1974), make the works of Ana&iuml;s Nin an important example of the depth and range of self-exploration, perhaps more so than in previous writers. Nin was committed to a creative process inclusive of psyche, the body and aesthetics derived from her own life experiences. This analysis of the mythic tropes that permeate Nin&rsquo;s literary diaries and fiction demonstrates the ways in which Nin created a mythic style of her own, which contrasts with the aesthetics of T.S. Eliot&rsquo;s mythic method. In fact, as a late Modernist, Nin particularly emphasized what this dissertation will call earth mother consciousness as a response to the wasteland of her time, and as a way to create a connection between literature and life. Thus, a better understanding of Nin&rsquo;s literary achievements emerges through a study of a mythic perspective, which helps to secure Nin&rsquo;s belonging in the literary canon. </p><p> This archetypal analysis shows myth playing a fluid role that reveals psyche in the process of writing a continuously changing sense of self into a personal myth of her own, revealing the extensive possibilities of an opulent feminine psyche. The literary diary, for Nin, is a genre that with its traces of the trickstar/trickster archetype, among others, reveals a mercurial, yet particular understanding of an internalized and embodied experience as a writer. Keywords: Ana&iuml;s Nin, modernism, mythology, literary diaries, women&rsquo;s studies, feminism, personal myth, archetypes, trickstar, trickster, Jung, self-life writing.</p>