Digital Commons Network^™

On The Brink: Unveiling The Crisis Of Burnout Among Va Clinic Physicians, Aaron Clarke

Theses, Dissertations and Capstones

Introduction: This study investigates the significant challenge of burnout among physicians at Veterans Affairs (VA) clinics. Characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, physician burnout is a growing concern that compromises the well-being of the doctors and the quality of healthcare they provide. Recent studies have shown an alarming increase in burnout symptoms among healthcare providers, reflecting systemic issues that adversely affect patient care and the operational efficacy of healthcare institutions.

Purpose of the Study: The research aimed to dissect the intricate effects of physician burnout on medical outcomes within the VA healthcare system’s outpatient settings. …

Impact Of The Methamphetamine Epidemic On Healthcare, Amanda Brumfield

Theses, Dissertations and Capstones

Introduction: The surge in methamphetamine use in the U.S. has presented various challenges for individuals and healthcare systems. Research has shown high relapse rates, oral health issues, and increased susceptibility to blood-borne viruses among users, underscoring the gravity of the situation. Furthermore, the absence of approved pharmacological treatments and systemic barriers to effective treatment highlighted the pressing need for holistic approaches to address this epidemic successfully.

Purpose of the Study: The purpose of this research was to identify the challenges faced by treatment providers specializing in substance use disorder treatment amid rising instances of methamphetamine abuse, including managing heightened relapse …

The Impact Of Big Data Utilization On Quality Improvement In Inpatient Facilities, Lakyn Hare

Theses, Dissertations and Capstones

Introduction: Poor quality in healthcare has resulted in avoidable patient complications, including readmission rates. Big data in healthcare can be analyzed and built into a tools, with machine learning, to aid in reduced readmission rates and overall positive patient outcomes.

Purpose of the Study: The intention of this study was to evaluate the ways that big data can be analyzed to improve healthcare, specifically readmissions, patient outcomes, and show cost savings. This study examined different ways that big data could be used in concordance with machine learning, including predictive analysis, to make these improvements.

Methodology: The hypothesis was the …

A Mixed-Method Triangular Approach To Best Practices In Combating Plagiarism And Impersonation In Online Bachelor’S Degree Programs, Alice Elizabeth Johnson Stephens

Theses, Dissertations and Capstones

This study examines the phenomenon of plagiarism and impersonation in online course assignments. Technological advancements, coupled with lower costs and accessibility, have made online courses and programs a practical option for higher education students. Unfortunately, the increasing online enrollment and advancing technology have allowed an increase in the opportunity for students to commit the act of plagiarism and impersonation in online course assignments, thus potentially compromising the academic integrity of online degree programs. This study examines the various practices and approaches of plagiarism and impersonation made available to students. Utilizing the systemic review of literature, the researcher compiles a list …

The Voice Of Community: Nurturing Personal And Professional Communities On Voxer Among Ap Literature Teachers During The Pandemic, Tia D. Miller

Theses, Dissertations and Capstones

The COVID-19 pandemic interrupted education around the world. During that time, teachers often turned to online communities to compensate for an inability to connect with in-person professional communities. This study aims to highlight a single, successful online community of AP Literature teachers who use the app Voxer to communicate. The purpose of this project was to provide insight into how this group creates personal and professional community, and how they specifically did so during the first year of the COVID-19 pandemic. Data for this ethnography was collected from the group’s posts on the Voxer app from March 11, 2020 to …

Effects Of Disulfiram On The Metabolome Of Mrsa, Surya Teja Naidu

Theses, Dissertations and Capstones

Disulfiram, known as Antabuse®, is an oral drug for the treatment of alcohol dependence. Previous studies have indicated that disulfiram (DSF) exhibits antibacterial effects, particularly against Gram-positive bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA). Our study delves into the antibacterial mechanism of DSF in MRSA through High-Pressure Liquid Chromatography (HPLC) metabolomics, investigating the underlying mechanism of DSF effects on thiamine and amino acid metabolism. Thiamine pyrophosphate (TPP) plays a crucial role as a cofactor for critical enzymes such as transketolase, pyruvate dehydrogenase, and 2-oxoglutarate dehydrogenase. These enzymes are integral to the carbohydrate metabolism process within bacterial cells. TPP also contributes …

Assessing The Unionid Assemblage Of The Robert C. Byrd Pool, Ohio River, Ethan Hunter Bellamy

Theses, Dissertations and Capstones

Unionid mussels are the most imperiled taxa in the United States and are vastly understudied. The entire Robert C. Byrd (RCB) pool of the Ohio River is the study area. I selected sites from the 2019 and 2013 ORSANCO RCB pool assessments that utilize random site selection across the pool. I used SCUBA to survey and collect data on unionid diversity, reproduction, and habitat. I collected 1,083 individuals over 19 species in RCB pool. I compared results from RCB pool survey to two similar surveys conducted in Greenup Pool. Both richness and abundance in the Upper Section of Greenup Pool …

Assessing Ecotoxicity Of Surface Water And Sediment In The Little Scioto River, Leah Suzanne Morgan

Theses, Dissertations and Capstones

Aquatic toxicology evaluates the impact of pollution on freshwater and marine biota. Polycyclic aromatic hydrocarbons (PAHs) are one class of chemicals prevalent in the environment that impair aquatic organisms. This study examined the effect of contaminated surface water and sediments from a former wood treatment facility on four aquatic species: Pimephales promelas (fathead minnow), Ceriodaphnia dubia (water flea), Chironomus dilutus (midge), and Daphnia magna (water flea). The findings showed that sediment contamination had no significant effect on survival and growth of C. dilutus or on survival of D. magna. Surface water contamination began to have a significant effect on …

Elementary Classroom Ethics: The Emergence Of Ethical Literacy Within The Morning Meeting, Leo A. Zumpetta

Theses, Dissertations and Capstones

Rituals have proven effective in the elementary classroom. One ritualistic practice, the morning meeting, is rooted in social and emotional learning (SEL), an approach that integrates traditional academic pursuits with an understanding of emotional regulation, self-actualization and interpersonal relationships. Ethical literacy, a facility with ethical concepts empowering individuals to act as autonomous ethical beings, may be cultivated through SEL. The purpose of this qualitative case study was to investigate the morning meeting for evidence of foundational experiences leading to ethical literacy in student participants, along with an analysis of the effectiveness of these experiences. Data were collected through nonparticipant observation …

Characterizing The Vegetation And Effects Of Climate Change On Parris Island, A Sea Island Ecosystem, Cody Hart Goodson

Theses, Dissertations and Capstones

Coastal habitats provide many ecosystem services, protecting coastlines from storm surges and erosion, diminishing the effects of eutrophication, sequestering large amounts of carbon, and acting as vital wildlife habitat. Sea-level rise and increased storm surge intensity associated with climate change are increasingly disrupting coastal habitats. These disturbances can shift environmental gradients that drive the zonation of coastal vegetation types, driving habitat conversion. Monitoring coastal habitat conversion can improve our understanding of the dynamic effects of climate change on these landscapes. Therefore, our objectives for chapter 1 were to identify and describe the distributions of vegetation types present on Marine Corps …

Academic Library Leadership And Mental Health During The Covid-19 Pandemic: An Interpretative Phenomenological Analysis, Sabrina Nicole Thomas

Theses, Dissertations and Capstones

Prior to the pandemic academic library leadership faced a host of challenges, such as budget shortfalls, serials crisis, shifting and evolving technologies and patron expectations. These long-term obstacles were compounded by the advent of the COVID-19 pandemic which required library deans and directors to implement ever evolving safety measures while balancing the needs of library employees, students, faculty, and staff. The mental health of academic librarians and staff has long been the subject of research; however, few studies focused on the mental health experiences of academic library deans and directors. The purpose of this interpretative phenomenological analysis is to describe …

Leading Toward Solutions To America’S Overcrowding And Underfunding Environmental Preservation Issues, James Seth Caudill

Theses, Dissertations and Capstones

This research aims to better comprehend how the environmental preservation issues of underfunding and overcrowding of America’s parks, recreation areas, and environmental surroundings are solved through quality leadership. These environmental issues are national, state, and community problems. Currently, there exists a wealth of literature on the environmental problems caused by overcrowding and underfunding. Unfortunately, the successful problem-solving ideas identified throughout these works often do not connect with an element of leadership. This research helps fill this identified gap in the currently available environmental preservation resources. This mixed methods study explored the perceptions, ideas, and successful solutions exhibited by environmental preservation …

An Analysis Of Undergraduate Student Satisfaction, Retention, And Graduation By Instructional Modality And Racial/Ethnic Groups, Kevin Daniel Struble

Theses, Dissertations and Capstones

This study investigated whether instructional modality in an undergraduate degree program, either traditional on-campus or asynchronous online, and racial/ethnic group could predict students’ reports of satisfaction with the institution, retention year-over-year, and graduation within an eight-year award rate. Data from surveys and enrollment status were collected on undergraduate students enrolled in a bachelor’s degree program by instructional modality over a timespan of eight academic years at a single institution. The researcher analyzed categorical predictor variables of instructional modality and racial/ethnic groups with the dichotomous outcome variables of low or high satisfaction, did not or did retain, and did not or …

On 2-Primitive Triangle Decompositions Of Cocktail Party Graphs, Ian P. Waddell

Theses, Dissertations and Capstones

A decomposition of a graph Γ is a collection C of subgraphs, perhaps nonisomorphic, that partition the edges of Γ. Analogously, consider a group of truck drivers whose non-overlapping routes jointly cover all of the roads between a set of cities; that is, each road is traversed by precisely one driver. In this scenario, the cities are the vertices of the graph, the roads are the edges between vertices, and the drivers’ routes are the subgraphs in the decomposition. Given a graph H, we call C an H-decomposition of Γ if each subgraph in C is isomorphic to …

A Path Planning Framework For Multi-Agent Robotic Systems Based On Multivariate Skew-Normal Distributions, Peter Estephan

Theses, Dissertations and Capstones

This thesis presents a path planning framework for a very-large-scale robotic (VLSR) system in an known obstacle environment, where the time-varying distributions of agents are applied to represent the multi-agent robotic system (MARS). A novel family of the multivariate skew-normal (MVSN) distributions is proposed based on the Bernoulli random field (BRF) referred to as the Bernoulli-random-field based skew-normal (BRF-SN) distribution. The proposed distributions are applied to model the agents’ distributions in an obstacle-deployed environment, where the obstacle effect is represented by a skew function and separated from the no-obstacle agents’ distributions. First, the obstacle layout is represented by a Hilbert …

Evaluating Behavioral Intention To Increase Classroom Geotechnology Usage Following Geoinquiry Implementation, Erika S. Klose

Theses, Dissertations and Capstones

As educational practices include foundational and cutting-edge preparation, the value of problem-based instruction employing industry-standard technologies increases. Geospatial technologies (GST), are a group of professional technologies, including GIS (Geographic Information Systems), used by industries to make informed decisions with spatial data. This study investigated educator behavioral intention to use GIS/GST in classroom practice, and the moderating effect, if any, of the GeoInquiry, a curricular resource. The UTAUT framework was employed to evaluate and quantify the factors impacting behavioral intention (performance expectancy, effort expectancy, social influence, and facilitating conditions). These data were examined to identify moderation by GeoInquiry usage. One hundred …

Training Future Hybrid Nonprofit Social Enterprise Leaders: A Research-Based Instructional Needs Analysis, Robert Woodrow Adams

Theses, Dissertations and Capstones

Nonprofit social enterprises (NSEs) seek to address societal problems through for-profit ventures. Because they pursue social and commercial goals, these organizations have great potential to solve social and environmental issues more efficiently and effectively. Given their unique purpose and challenges, NSEs require a different type of leadership than traditional nonprofit organizations, a distinctive competency model with specialized social work and business management training. Research has shown, however, that finding leaders with this necessary mix for effective management poses a challenge for such organizations. This exploratory study aimed to examine the extent to which MPA (i.e., master’s degree in public administration) …

High Body Mass Index Changes Peri-Tumor Adipose Tissue Which In Turn Promotes Triple Negative Breast Cancer, Cora Elizabeth Miracle

Theses, Dissertations and Capstones

Cancer is one of the leading causes of death worldwide, responsible for over half a million deaths each year. There are multiple risk factors associated with the development of cancer. Some of these risks include genetics, smoking, and most recently, obesity (Lewandowska et al., 2019) (De Pergola & Silvestris, 2013). Research has shown that obesity is linked to the promotion of fourteen different cancers, including aggressive triple negative breast cancer (TNBC). Patients that are obese are more likely to develop cancer (Park et al., 2014). In addition, if the patient is obese at the time of a cancer diagnosis, they …

Causes Of Burnout And Job Dissatisfaction Among Marketing And Communications Intercollegiate Athletics Employees, Ricky L. Ray

Theses, Dissertations and Capstones

The purpose of this study was to better understand the role burnout plays in turnover intention and job dissatisfaction among marketing and communications employees in intercollegiate athletics. A secondary aim was to identify to what extent were job requirements, compensation, and expectations of administrators and coaches driving burnout in these employees. Study participants came from those currently working in marketing and/or communications at various levels of intercollegiate competition. The study used the Oldenberg Burnout Inventory, as well as specific questions related to the profession to uncover major causes of burnout in this particular occupation. Findings from this study supported the …

An Analysis Of The Preferences, Morphometrics, And Survey Efficacy Of The Freshwater Mussel Community In The Greenup Pool, Ohio River, Jacob Miller

Theses, Dissertations and Capstones

The Greenup Pool is one of the most unique pools of the Ohio River in terms of habitat richness and anthropogenic impact both historical and current. The Greenup Pool spans 61.8 miles reaching from Greenup Dam in Greenup, KY to Robert C. Byrd Dam in Apple Grove, WV. We surveyed 17 sites to assess mussel communities within the Greenup Pool using the 2017 West Virginia Mussel Survey Protocol. At these sites, six 100-meter transects were surveyed for surface and subsurface mussels. Each transect was divided into 10-meter intervals. These surveys resulted in 4,041 live individuals from 21 species, including eight …

Pharmacology Of Disulfiram As An Antibacterial Agent, Yogesh Meka

Theses, Dissertations and Capstones

Disulfiram (Antabuse®) is an oral prescription drug used to treat alcohol abuse disorder (AUD). Disulfiram (DSF) and its metabolites act on the body by inhibiting multiple enzymes involved in alcohol metabolism. This study aims to understand the pharmacology of disulfiram as an antibacterial medication. Previous studies on DSF showed antibiotic activity against multidrug-resistant Staphylococcus aureus strains (MRSA). The initial aim of this study was to decipher the mechanisms involved in inhibiting bacterial growth by DSF, which was done by performing biochemical studies. The studies revealed that DSF had antagonistic effects on redox buffering and energy production. Another aim of this …

Prenatal Buprenorphine Exposure Reduces Expression Of Myelin Proteins In Neonatal Longs-Evans Rat, Christopher James Grahe

Theses, Dissertations and Capstones

In the USA and especially in WV, there has been a surge in the rise of opioid use disorder (OUD), and with it a rise in neonatal abstinence syndrome (NAS). What makes this rise in NAS so unfortunate is that the Medications for OUD (MOUD) do not prevent the development of NAS. Although the relationship between MOUD and NAS is still unclear, it is thought that buprenorphine, one of the main substances used to treat OUD in pregnant women, may feed into the development of NAS, which may affect mental and physiological development and cause other health problems. Via understanding …

The Opioid Epidemic: Effects On Recidivism In West Virginia, Emilee Frye, Elizabeth Williams

Theses, Dissertations and Capstones

The opioid epidemic began in the 1990s with an increased prescribing of opioids across the nation. Between the years 2013 and 2014, opioid overdose death rates began to increase in West Virginia. By the year 2015, West Virginia held the highest number of opioid overdose death rates in the country. In 2021, fatal overdoses claimed more than 1,417 lives in West Virginia and of those 1,417, an estimated 1,201 of them were due to opioid use.

West Virginia had the highest opioid drug overdose rate in the nation and one of the highest incarceration rates for opioid-dependent individuals. West Virginia …

Hospitality And Seminary Culture: A Phenomenological Study On The Presence And Practice Of Hospitality Between Seminary Leaders And Students, Jesse Matthew Adams

Theses, Dissertations and Capstones

While hospitality is a major biblical doctrine and a requirement of Christian living and outreach, few ministers begin their ministries recognizing the essence and essentiality of hospitality in ministry or intentionally highlight and model it to those they lead. One root cause for this may stem from the seminaries in which our ministers train, that our seminaries have no apparent agreement on a formal framework for teaching hospitality and too few seminaries are marked by a culture of hospitality. This study seeks to establish a formal framework for hospitality in seminary education. Such a framework could be used to instigate …

Elucidating The Impact Of Western Diet On Bone Marrow Cytokine Signatures: Understanding Poor Outcomes In Susceptibility To Infection And Progression Of Cancer, Lahari Kondeti

Theses, Dissertations and Capstones

Among other disease outcomes, obesity is associated with 1) reduction in long-lasting immune protection and 2) acquisition of cancer. Given our interest in hematopoietic stem and progenitor cell (HSPC) dynamics, we questioned if similar mechanisms in the bone marrow microenvironment contribute to obesity-induced HSPC alterations responsible for 1) decreased immune protection and 2) transformation of HSPCs in the pathogenesis of hematologic malignancies. The negative effects of obesity on immune protection are most notably established in influenza models. Influenza infection susceptibility is increased and influenza vaccine-induced immunity wains in obese individuals. Ongoing studies aim to define mechanisms for waning immunity at …

The Impact Of Leveled Literacy Kits On Family Engagement And School-To-Home Connections: Stakeholders’ Perceptions, Donna Atwood

Theses, Dissertations and Capstones

Many caregivers do not have materials at home to read with their student that is on the student’s reading level. Educators do not always have the appropriate materials to send home to each student on their reading level. The goal for caregivers is to feel confident in having resources at home to help their students, educators, and caregivers to engage in literacy-focused family engagement and to have a school-home connection. However, based on multiple studies, many students read below grade level, and schools struggle with literacy-focused family engagement and making school-home connections. This study aimed to determine the impact of …

Benefits Of Medical Thc For Neurological Disorders In The U.S., Andrew Lester, Alexandria Gartin

Theses, Dissertations and Capstones

Introduction: The introduction of THC into the medical field has allowed medical professionals to offer a new treatment option to aid in their patients treatment plan by decreasing their symptoms of side effects of other medications used for their conditions.

Methodology: This study utilized a literature review. Five databases were used to collect 116 total sources. These sources were reviewed and reduced to 33 sources that were used in the written research. Of these, 16 sources were used in the results section.

Purpose of the Study: The purpose of this research was to analyze the prescription use of …

Long Term Substance Abuse Programs And Covid, Randall Craft

Theses, Dissertations and Capstones

Introduction: Access to behavioral health care has arisen as both a challenge and an opportunity as America deals with a health care landscape that has been significantly and probably permanently transformed by the COVID-19 pandemic. The pandemic increased the need for behavioral health services while creating new hurdles to care for those who already had disorders. The pandemic, however, also spurred innovation, leading to expanded tele-behavioral health treatments and other technological advancements. Also bringing Overdose death rates sky rocketing.

Methodology: This study utilized a literature review and a semi-structured interview. Four databases were used to collect 41 total …

Effects Of Burnout Amongst Primary Care Providers, Summer Payne

Theses, Dissertations and Capstones

INTRODUCTION: Physician burnout within the United States has been deemed an epidemic within the healthcare system with nearly 63% of physicians reporting burnout. The rate of burnout amongst Primary Care Providers (PCPs) is higher than other provider types at 70%. The presence of burnout affects the likelihood of medical errors, provider retention, and patient-provider communication. Fifty-six percent of PCPs that reported burnout also associated this burnout with their reason for leaving the practice. Physicians that are burnt out are less likely to find nonadherence in their patients, more likely to refer to specialists, and more likely to prescribe medications unnecessary. …

Implications Of Twitter During Its Use In Public Health Practice Involving The Distribution Of The Covid-19 Vaccine, Mia Casingal

Theses, Dissertations and Capstones

Introduction – There were 4.89 projected billion social media users in 2023. Social media platforms such as Twitter have allowed public health organizations to spread information regarding COVID-19 vaccines to the public. Twitter permits government organizations and public health agencies to release accurate information as a primary level of rapid communication.

Purpose – The purpose of this research was to explore the impact of the social media platform, Twitter, on public health information throughout the COVID-19 pandemic regarding the spread of information involving COVID-19 vaccine distribution to the public.

Methodology – This study utilized a literature review with a semi-structured …