Choral Music Educator Pedagogies For Multilingual Learner Inclusion: A Critical Multiple Case Study, Austin Cole Norrid

Theses and Dissertations--Music

Multilingual learners are the fastest growing student population in US public schools. The purpose of this critical multiple case study was to discover three music teachers’ and one Multilingual Learner resource teacher’s perspectives on the strengths and areas of growth in pedagogies for teaching Multilingual Learners in choral music ensembles. Common areas of strength included: student-centered learning, culturally responsive teaching, and positive classroom environment. Common areas of growth were: multilingual teaching strategies, knowledge of diverse repertoire, community and culture, and multilingual learner empowerment.

An Examination And Analysis Of Four Collegiate Holiday Programs: St. Olaf College’S Christmas Festival, Emory University’S Festival Of Nine Lessons And Carols, Florida State University’S Seasonal Celebration, And The University Of Kentucky’S Holiday Collage, Margaret Gurtcheff

Theses and Dissertations--Music

The choral departments of St. Olaf College, Emory University, Florida State University, and the University of Kentucky are well-known for their excellent and successful programs. In addition to respected and accomplished choirs, each of these schools offer a choir-centric, winter holiday event. The traditions and community relationships that have developed through these programs are reflections of the strengths of these schools’ choral departments. Each event may serve as a model for individuals to adapt and modify for their own programs.

The St. Olaf College Christmas Festival premiered in 1912 and offers a look into how such a program may serve …

Patient And Therapist Perceptions Of Respiratory Functioning Due To Spinal Cord Injury: Implications For Music Therapists, A'Marie Dotson

Theses and Dissertations--Music

Decreased respiratory functioning is a common symptom of spinal cord injury (SCI) and can impact individuals’ personal, professional, and social lives. In spite of this, researchers have not explored the use of music in the lives of individuals with SCIs or music’s role in their healthcare professionals’ treatment plans to improve respiratory functioning. The purpose of this qualitative study was to better understand how decreased respiratory functioning affects individuals with SCIs and healthcare professionals through a multiple case study design. Participants were two individuals with SCIs and three healthcare professionals (physical therapist, recreational therapist, and music therapist) who worked with …

Should Conductors Listen To Recordings When They Learn Scores?, Jan Pellant

Theses and Dissertations--Music

We can observe the conductor’s work at his performances and rehearsals. However, we cannot see the process of score preparation from the time they get the score to the downbeat of the first rehearsal because the conductor does this work alone. This dissertation discusses the debate among conductors past and present about whether, when, and how to use recordings as part of the score preparation. It considers the advantages and disadvantages of using recordings in the score preparation process. I conducted several types of research on the use of recordings by living conductors. I interviewed conductors using Skype and phone …

Leveraging Cultural Assets Of Culturally And Linguistically Diverse Individuals In Music Therapy: A Qualitative Phenomenological Study, Emma Grace King

Theses and Dissertations--Music

The purpose of this thesis was to explore how music therapists can engage in cultural humility and leverage cultural assets of those who are culturally and linguistically diverse (CLD). The primary research question involved in this study was: “In what ways can music therapists leverage cultural assets of CLD individuals in practice?” Sub-questions were: “What awareness, knowledge, and skills do music therapists need to grow in culturally sensitive practice?” “How can music therapists whose first language is English effectively serve linguistically diverse individuals?” “What steps might music therapists take to effectively serve culturally diverse individuals?” and “How might cultural and …

Fantasies Of Race And Place: White Nationalist And Alt-Right Undercurrents In Fantasy Roleplaying Games, Mark Hines

Theses and Dissertations--English

Representations of fantasy settings in roleplaying games often draw upon understandings of the medieval and early Renaissance world. This dynamic often extends to racial politics in such worlds. For the contemporary roleplaying game, this often means that game mechanics are built around race, species, or gender. Often, players interpret such mechanics as a means of bioessentializing race or practicing stereotypes rooted in Eurocentric morality and values.

This thesis examines the underlying rhetoric and implicit stakes by which race in fantasy worlds overlaps with the rhetoric and proposed stakes of White Nationalist and Alt-right actors. As fantasy roleplaying games, and especially …

"Wearing A Mask To Each Other": Masculinity & The Public Eye In Victorian Sensation Fiction, Shannon Branfield

Theses and Dissertations--English

Sensation fiction, as a genre, offers a field to explore the ways in which ideologies of masculinity are negotiated, contested, and enforced. The Victorian man has no respite from social surveillance; the public is always watching, always evaluating the performance. As these sensation fiction novels build on each other, a portrait of male claustrophobia in response to unceasing surveillance is revealed. The pressure this constant scrutiny puts on Victorian men is immense and sensation novels derive many thrilling plot twists from the dramatic lengths men to which men must go to protect themselves from this gaze. These habits persist even …

Fleshcrawl, Shanita Jackson

Theses and Dissertations--English

I am fascinated with the spiritual, physical, and psychological experiences that occur when one’s flesh crawls. The experiences, akin to inverted goosebumps, result from provocations of the senses or of the mind. James Blake’s latest album, for example, triggers my flesh to crawl. The art on the album cover depicts a decaying body turned into a canyon-like labyrinth. In undergrad, attempts to conceptualize slave-deck diagrams disturbed my flesh to crawl. I am intrigued by how anxiety, epigenetics, and superstition all factor into the subjective intensities of this collective experience. As it seems, circumstance heightens the severity and frequency of the …

An Examination Of Three Transitional Events In The Substance Misuse Trajectories Of Women With Criminal Legal System Involvement, Martha Tillson

Theses and Dissertations--Sociology

Research has consistently demonstrated that criminal legal system (CLS)-involved women are distinct from men in initiation and course of drug use, with important differences on biological, environmental, and sociocultural levels. Thus, the unique pathways and transitions into and out of drug use for women with CLS involvement are critical to consider from a research perspective, but also from a need to develop and support evidence-based, women-centered services in correctional contexts. This dissertation project uses a three-paper format to investigate three aims: (1) to understand CLS-involved women’s initiations to injection drug use and their experiences providing injection initiation assistance (IIA) to …

The Role Of Shoc2 In Embryonic Development, Rebecca G. Norcross

Theses and Dissertations--Molecular and Cellular Biochemistry

The canonical ERK1/2 signaling cascade regulates cellular functions critical in vertebrate embryonic development such as proliferation, apoptosis, differentiation, and migration. Thus, its signals are controlled by a variety of mechanisms. Scaffold proteins are considered central to the mechanisms regulating the transmission of the ERK1/2 signals. Yet, their functions in development nor the molecular mechanisms by which they exert their control are not well understood.

This study focuses on the essential regulator of ERK1/2 signals during development – the scaffold protein Shoc2. Loss of Shoc2 leads to early embryonic lethality in mice and zebrafish. Germline mutations in the shoc2 gene result …

An Integrated Computational Pipeline To Construct Patient-Specific Cancer Models, Daniel Plaugher

Theses and Dissertations--Mathematics

Precision oncology largely involves tumor genomics to guide therapy protocols. Yet, it is well known that many commonly mutated genes cannot be easily targeted. Even when genes can be targeted, resistance to therapy is quite common. A rising field with promising results is that of mathematical biology, where in silico models are often used for the discovery of general principles and novel hypotheses that can guide the development of new treatments. A major goal is that eventually in silico models will accurately predict clinically relevant endpoints and find optimal control interventions to stop (or reverse) disease progression. Thus, it is …

Defining Patient Cohorts For Guiding Clinical Trials And Treatment In Lafora Disease: A Model For The Rare Disease Community, Katherine Janae Donohue

Theses and Dissertations--Molecular and Cellular Biochemistry

In the US, approximately 8000 rare diseases have been identified. Combined, rare diseases impact more than 30 million people in the U.S. alone, with 75% of those being children. However, research, funding, and therapeutic development for the rare disease community remains challenging because of the incredible diversity – not only between diseases, but often even within a single disease.

LD is an ultra-rare childhood dementia and epilepsy caused by mutations in one of two driver genes: EPM2A, which encodes for the glycogen phosphatase laforin, and EPM2B/NHLRC1, which encodes the E3 ubiquitin ligase malin. Children with LD …

Child Welfare: Workforce Retention, Competence, And The Connection To Social Work Education, Brittany Stanley

DSW Capstone Projects

While there are many avenues to discuss and explore, the key area of interest for the Capstone Project is that of retention of a competent frontline workforce. Each state has their own set of guidelines for hiring frontline workers which allows for variety in the educational backgrounds of the investigative and ongoing workers. This can become problematic when the educational background may not be the most suited for the work and challenges faced by child welfare workers.

During the development of the Capstone Project, one could not help but wonder that if workers were adequately prepared for the demands of …

Explainable Data-Driven Motor Condition Monitoring And Fault Disgnosis, Yuming Wang

Theses and Dissertations--Electrical and Computer Engineering

Industrial motors are widely used in various fields such as power generation, mining, and manufacturing. Motor faults and time-consuming maintenance process will lead to serious economic losses in this context. To monitor motor faults and detect motor conditions, different types of sensors that can test vibration and current signals are mounted on motors. However, the main challenge was how to use information gained by sensors to analyze or diagnose motor conditions.

Machine learning is a popular technology in recent years, and it's very suitable for crunching and analyzing data. As an important subset of machine learning, deep learning is suitable …

Development Of Dc Circuit Breakers For Medium-Voltage Electrified Transportation, Trevor Morgan Arvin

Theses and Dissertations--Electrical and Computer Engineering

Medium-voltage DC (MVDC) distribution is an enabling technology for the electrification of transportation such as aircraft and shipboard. One main obstacle for DC distribution is the lack of adequate circuit fault protection. The challenges are due to the rapidly rising fault currents and absence of zero crossings in DC systems compared to AC counterparts. Existing DC breaker solutions lack comprehensive consideration of energy efficiency, power density, fault interruption speed, reliability, and implementation cost.

In this thesis, two circuit topologies of improved DC circuit breakers are developed: the resonant current source based hybrid DC breaker (RCS-HDCB) and the high temperature superconductor …

Energy-Efficient And Secure Hardware Using Adiabatic Logic And Non-Volatile Mtj Devices, Zachary Kahleifeh

Theses and Dissertations--Electrical and Computer Engineering

Internet of Things (IoT) is a collection of devices that exchange data through a network to implement complex applications. IoT devices increase the quality of life of their user base which has a wide variety such as the medical field, consumer electronics, and the manufacturing sector. However, IoT devices have several challenges that need to be overcome namely, security and energy consumption. The threat vector that IoT devices face is growing and includes the following threats, the leakage of information through a side-channel attack known as the Correlation Power Analysis (CPA), authentication, piracy, etc. A side-channel attack is an attack …

Three Dimensional Photonics Structures: Design And Applications, Mansoor Sultan

Theses and Dissertations--Electrical and Computer Engineering

Photonics is an emerging technology for light control, emission, and detection. Photonic devices control photons the same way electronic circuits control electrons in active or passive mode depending on the energy requirement of the device. This dissertation will discuss the design, fabrication, testing of photonic structures with applications including imaging and renewable energy. First, we developed a novel lithography method for fluoropolymer resist based on variable pressure electron beam lithography (VP-EBL). VP-EBL proves to be an efficient method for patterning a widely used, but challenging to process, fluoropolymer, Teflon AF. However, rather than solely mitigating charging, the ambient gas is …

Synthesizing Dysarthric Speech Using Multi-Speaker Tts For Dsyarthric Speech Recognition, Mohammad Soleymanpour

Theses and Dissertations--Electrical and Computer Engineering

Dysarthria is a motor speech disorder often characterized by reduced speech intelligibility through slow, uncoordinated control of speech production muscles. Automatic Speech recognition (ASR) systems may help dysarthric talkers communicate more effectively. However, robust dysarthria-specific ASR requires a significant amount of training speech is required, which is not readily available for dysarthric talkers.

In this dissertation, we investigate dysarthric speech augmentation and synthesis methods. To better understand differences in prosodic and acoustic characteristics of dysarthric spontaneous speech at varying severity levels, a comparative study between typical and dysarthric speech was conducted. These characteristics are important components for dysarthric speech modeling, …

Increasing Staff Compliance With Routine Hcv Screening And Improving Linkage To Care Among Patients Testing Hepatitis C Positive In The Emergency Department, Carson G. Swartz

DNP Projects

Background: Hepatitis C virus (HCV) is a blood-borne pathogen that can cause severe liver disease, cancer, and death and is a significant source of morbidity and mortality in the United States. Several academic medical centers including University of Kentucky Healthcare have implemented routine HCV screening for patients presenting to the emergency department (ED) and have discovered a large viral burden amongst patients who are often symptomatic.

Purpose: The purpose of this doctoral project is to increase staff compliance, confidence, and education regarding the HCV screening process in an urban, Level I emergency department, as well as to evaluate whether an …

The Effect Of An Educational Intervention On Attitudes Toward Behavioral Health Patients Among Medical Floor Nurses: A Pilot Study, Caroline C. Bowman

DNP Projects

Background: Stigma towards behavioral health patients by healthcare workers can create barriers to quality care for patients. Addressing these negative attitudes towards behavioral health patients can improve health outcomes and reduce healthcare costs. Current evidence-based practice for tackling stigmatizing attitudes include interventions to improve mental health education among healthcare providers to promote improved patient outcomes.

Purpose: The goal of this project was to enhance medical floor nurses' attitudes toward behavioral health patients by delivering a web-based educational intervention on recognition and management of behavioral health disorders. The aims of the project were to: 1.) Assess nurses' stigma toward behavioral health …

Effectiveness Of Substance Use Disorder Education On Knowledge And Attitudes Among Entry-Level Obstetric Nurses, Kathryn Hughes

DNP Projects

Background: Substance use disorder (SUD) among pregnant women is a significant public health concern in the United States, particularly in Kentucky. Nursing curriculum has not kept pace with the escalating public health crisis regarding SUD. Graduating nurses joining the obstetric field are often not prepared to meet the unique care needs of this vulnerable population.

Purpose: The purpose of this DNP project was to pilot an educational intervention embedded with content regarding SUD with entry-level obstetric nurses that were enrolled in the nurse residency program at UK HealthCare.

Methods: This project used a quasi-experimental pretest – posttest design. Participants completed …

Improving Pediatric Providers’ Intent For Safe Sleep Anticipatory Guidance With An Electronic Educational Intervention, Lindsay Hamilton

DNP Projects

Background: Sudden Infant Death Syndrome or SIDS is the fourth leading cause of infant mortality in the United States. There is no definitive cause of death pertaining to SIDS, but certain risk factors have been identified that increase the risk of SIDS in an infant. While safe-sleep education during the prenatal time of parenthood is important, it is also essential to continue this education comprehensively in the primary care setting and in any other exposure the family has to healthcare.

Objective: The objective of this study is to evaluate the self-reported knowledge of University of Kentucky Children’s Hospital Pediatric Residents’, …

Social Media Use And Mental Health: An Educational Intervention To Reduce Depression And Anxiety In Adolescents, Natalie Catlett

DNP Projects

Background: Most adolescents spend a great deal of their time using various social media platforms. However, excessive and maladaptive social media use is correlated with worsening symptoms of depression and anxiety among adolescents.

Objective: This project aimed to determine whether an educational intervention could help decrease overall time spent using social media and improve mood and mental health outcomes among adolescents with depression or anxiety disorders.

Methods: This was a quasi-experiment with a pretest and posttest design. An educational intervention about the relationship between social media use and symptoms of depression and anxiety among adolescents and strategies to minimize risk …

Addressing The Inpatient Penicillin Allergy: Implementing A Nurse-Driven Allergy Assessment Tool To Enhance Antimicrobial Stewardship., Shelby Ryan Bliss

DNP Projects

Background: In an acute care setting, more than half the inpatient population receives antibiotics. Approximately 10% of the general population reports an allergy to penicillin. It has been replicated in the literature with data that of those who report a penicillin allergy, up to 95% are incorrectly identified. When a patient is admitted to the hospital with a penicillin allergy on their electronic health record, they are at higher risk for adverse events such as a hospital acquired infection, the occurrence of an antibiotic resistant bacteria related to receiving broader therapy and increased healthcare utilization.

Purpose: The purpose of this …

Screening For Severe Mental Illness In A Correctional Setting Using The Brief Jail Mental Health Screening Tool, Stephanie Kohl

DNP Projects

Abstract

BACKGROUND: Prisoners who are detained in jails and detention centers have higher rates of Severe Mental Illness (SMI) compared to the general population. However, SMI is often unidentified in this population, largely due to lack of assessment using effective SMI screening tools and lack of knowledge among prison staff about the prevalence of SMI and the importance of identification in the correctional setting. Prisoners with SMI often act out violently against others and themselves. Current standard practice for SMI screening varies significantly across jails. Many jails use standard medical questionnaires which help obtain a brief medical history but often …

The Effect Of Education On The Nida Modified Assist (Nmassist) Tool On Knowledge And Screening For Substance Use Disorder Among Clinicians, Victoria Page Arnold

DNP Projects

Background: Substance use disorder (SUD) is a disparity affecting nearly 24 million individuals in the U.S., nearly 10% of the total population. Oftentimes, the emergency department (ED) is the only medical care this population receives. There is often a lack of screening for SUD in ED’s, therefore referred care may be limited for these individuals. The National Institute on Drug Abuse Modified Assist (NMASSIST) is an evidence-based tool developed to educate and screen for SUD. This tool can be completed in a timely manner and aid in the recommended referral of care for this select population.

Purpose: The purpose of …

A Multifaceted Approach To Improving Sedation Practices In The Cardiovascular Intensive Care Unit, Casey Mingua

DNP Projects

Purpose: Sedation protocols have been positively correlated with improved patient outcomes in the intensive care unit (ICU). Therefore, healthcare leaders should direct efforts to improving protocol compliance through evidence-based strategies. The purpose of this study was to evaluate the impact of a multifaceted intervention, consisting of educational outreach, point of care (POC) reminders, and audit and feedback (A&F), on nurse compliance with an ICU sedation protocol. A secondary data analysis was performed to evaluate the impact of the intervention on patient outcomes.

Methods: This was a before/after comparative analysis. A Research Electronic Data Capture (REDCap) pre-survey (n=58) was distributed to …

Activating The Patient: A Nurse Led Coaching Intervention To Engage Health Information Seeking Behaviors Using The Ideal Discharge Framework And Get Well Network, Korinne Callihan

DNP Projects

Background: Cardiovascular (CV) patients are often overwhelmed by the unexpected emergence of the health condition, volume of knowledge for self-care mastery and acceptance of the responsibility for self-care upon care transition to the home setting. Low health literacy levels have been linked to poor outcomes in CV patients, requiring investigation into appropriate methods for patient education. The Get Well Network (GWN), an interactive digital patient education care plan at UK HealthCare (UKHC), is underutilized in this patient population.

Purpose: the purpose of this study is to assess the effect of a nurse-to-patient coaching intervention using the IDEAL discharge framework from …

Countering Moral Distress In Ecmo Nurses With Case-Review Debriefings, Sherry D. Griggs

DNP Projects

Abstract

Background: Moral Distress occurs when nurses know the ethically correct action to take, but they are restrained from taking it. It is especially prevalent in nurses caring for critically ill patients, such as those on extra-corporeal membrane oxygenation (ECMO). Effectively addressing moral distress is crucial to the growth and health of the nursing profession, which is the cornerstone of quality and safety in healthcare.

Purpose: The purpose of this project was to evaluate the effectiveness of case-review debriefings on moral distress of ECMO nurses.

Conceptual Framework: Analysis of Moral Distress Process was utilized. This framework addresses moral distress …

Increasing Adherence To Protocolized Diuresis For De-Resuscitation Of Icu Patients By Increasing Nursing Knowledge And Confidence, Jenna Haupert

DNP Projects

Background: Fluid overload in patients requiring intensive care leads to increased costs for hospitals and patients, increased length of intensive care unit (ICU) and total hospital stay, ventilator days, acute kidney injuries, and mortality rates. Multiple studies have indicated that aggressive de-resuscitation with diuretics can decrease length of stay, ventilator days, organ injury, and mortality rates. A nurse-driven diuresis protocol utilizing intravenous (IV) push furosemide was introduced to the University of Kentucky Medicine ICU, but patients are still commonly still over-resuscitated with no plan to diurese until organ damage has occurred. By educating bedside nurses, improving their knowledge and confidence …