Digital Commons Network^™

Assessment And Documentation Of Social Determinants Of Health Among Health Care Providers: Qualitative Study, Brooks Yelton Ma, Lmsw, Jancham Rachel Rumthao, Mayank Sakhuja, Mark M. Macauda, Lorie Donelle Phd, Rn, Fcan, Michelle Angelique Arent, Xueying Yang, Xiaoming Li, Samuel Noblet, Daniela B. Friedman

Publications

BACKGROUND: Research clearly demonstrates social determinants of health (SDOH) impact health outcomes. Provider consideration of patient SDOH in prevention and treatment planning is critical for improved health care quality and health equity. Despite awareness of the connections between SDOH and improved population health, research demonstrates few providers document patient SDOH. OBJECTIVE: This qualitative study aimed to better understand the barriers and facilitators of SDOH assessment, documentation, and referral in different health care settings and roles. METHODS: Individual semistructured interviews were conducted with practicing health care providers in South Carolina between August 25, 2022, and September 2, 2022. Participants were recruited …

Three Strategies For Improving Access To Civil Legal Assistance In South Carolina, Elizabeth Chambliss

South Carolina Law Review

No abstract provided.

Ethics, Lawyering, And Regulation In A Time Of Great Change: Field Notes From The (R)Evolution, Lucian T. Pera

South Carolina Law Review

No abstract provided.

Retrospective Analysis Of Benzodiazepine And Sedative Use In The Surgical-Trauma Intensive Care Unit, Ronelle Guinyard Goodwin

Doctor of Nursing Practice Scholarly Projects

Problem Statement: There has been an increase in benzodiazepine use and delirium occurrences in the surgical-trauma intensive care unit (STICU). Purpose: This Doctor of Nursing (DNP) project aimed to explore the current practice of benzodiazepine and sedative use for adult patients admitted to the STICU who developed alcohol withdrawal syndrome (AWS) or delirium. Method: A retrospective chart review with descriptive analysis was completed for all adult patients admitted to the STICU at a regional community level 1 adult and level 2 pediatric trauma center, diagnosed with AWS or delirium, and treated with benzodiazepines during their intensive care unit (ICU) stay. …

Parenting During A Pandemic: Understanding The Impact Of Covid-19 On Early Childhood Development, Jessica A. Manes

Senior Theses

The early years of a child's life are crucial for their development, shaping their ability to process information, communicate, and form their identity. However, the COVID-19 pandemic disrupted essential elements necessary for optimal early childhood development, including quality education, nurturing environments, and social stimulation. This study explored how parents in South Carolina perceived the pandemic's impact on their children's development. Five themes emerged from the study. Firstly, remote work due to pandemic protocols significantly affected the parent-child relationship. Secondly, the family's socioeconomic status influenced their ability to cope with and protect their children from the pandemic's impact. Thirdly, isolation resulting …

Black And Battered: The Impact Of The Violence Against Women Act On Women Of Color, Antonia D. Adams

Senior Theses

Domestic violence is the intentional act of someone exerting control to harm another person. Domestic violence can impact individuals of all genders, ethnicities, and backgrounds. However, domestic violence has a disproportionate impact on Black women over their white counterparts. By analyzing raw SLED data, as well as peer-reviewed articles and personal interviews, this paper will explore whether the Violence Against Women Act (VAWA) helped Black women, or if it failed to protect them. The hypothesis is that VAWA did not address the unique needs that Black women faced in domestic violence. Due to the myriad of circumstances that Black women …

Magnetic Softness Tuned Superparamagnetic Nanoparticles For Highly Efficient Cancer Theranostics, Jie Wang

Theses and Dissertations

Magnetic resonance imaging (MRI)-guided magnetic nanofluid hyperthermia (MNFH) using iron oxide based superparamagnetic nanoparticles (SPNPs) has recently attracted considerable attention as a treatment modality for cancer theranostics, because MRI-guided MNFH can allow for diagnosis, therapeutics, and prognosis simultaneously using the same administrated magnetic nanofluid agent. However, several primary limiting factors: (1) insufficient AC magnetic heating induction (specific loss power/intrinsic loss power, SLP/ILP) at the biologically safe and physically tolerable range of AC magnetic field (H_AC,safe: f_appl × H_appl < 3.0 ~ 5.0×10⁹ A·m^-1·s^-1), (2) low _r2- relaxivity directly related to the low resolution of …

Shakespeare In Virtual Reality: Social Presence Of Students In A Virtual Reality Book Club, John Funchess Ott Jr.

Theses and Dissertations

The purpose of this mixed methods study was to implement and evaluate the impact of a virtual reality book club on the social presence of students. This research examined participants using virtual reality headsets to study the works of William Shakespeare. This study examined two research questions: 1) How does the implementation of a virtual reality technological innovation affect students’ knowledge of Shakespearean works? 2) How does the implementation of a virtual reality technological innovation affect social presence in students? Participants interacted within virtual worlds with one another and the researcher. Data was collected using a pre-post assessment test, writing …

Expanding On The Solid State Chemistry Of F-Element Chalcogenides, Logan Skyler Breton

Theses and Dissertations

An overarching goal in solid state chemistry is to achieve predictability regarding the synthesis of compounds with desired properties. While this goal is far from being reached, solid state chemists are hard at work synthesizing and characterizing new materials to further our understanding of structure-property relationships, and to expand our fundamental knowledge to rationalize the outcomes of solid-state syntheses. With the advent of new solid state synthetic methods, novel compounds exhibiting exciting properties are still being discovered today. The infancy of these synthetic methods promises a myriad of undiscovered compounds with potentially interesting properties which has resulted in a recent …

Parent Facilitation Of Child Emotion Regulation In Autism Spectrum Disorder, Aimee K. Rovane

Theses and Dissertations

Parents play a substantial role in their children's emotional regulation (ER) abilities, promoting both adaptive and maladaptive development. Children with autism spectrum disorder (ASD) often have difficulties regulating their emotions, manifesting in externalizing behavioral issues (Mazefsky & White 2014). Though there are many similarities to parents of typically developing (TD) children, parents of children with ASD facilitate their children's ER development (i.e., emotion socialization) in response to unique challenges, often developing resiliency but other times contributing to their children’s dysregulation and behavioral challenges. Using Morris et al.'s (2007) Tripartite Model of Family Impact of Children's Emotion Regulation and Adjustment as …

The Parental Well-Being Gap Before And After The Covid-19 Pandemic, Morgan Renee Koziol

Theses and Dissertations

Prior research has examined the emotional costs and benefits associated with parenting. In general, this body of literature finds that parents experience lower levels of subjective well-being compared to non-parents—a phenomenon referred to as the parental well-being gap. There is evidence that this parental well-being gap has narrowed or disappeared altogether in more recent years. However, the COVID-19 pandemic presented unprecedented challenges to parents that may have resulted in a widening or reopening of this gap once again. This project aims to test this possibility by drawing on data from The General Social Survey that capture the survey year prior …

In Re Anonymous Applicant For Admission To The South Carolina Bar, O. Gracie Fowler

South Carolina Law Review

No abstract provided.

Drug Repurposing: New Mechanisms And Applications Of Existing Compounds, Biyun Celia Cui

Theses and Dissertations

HIV infection remains a significant global health challenge. Despite the widespread use of combination antiretroviral therapy, people living with HIV (PLWH) still face a disproportionate burden of major health problems. One of these problems is HIV-associated neurocognitive disorders (HAND), which includes a spectrum of cognitive, motor, and behavioral impairments. Although severe forms of HAND have decreased, milder forms are on the rise, posing a significant obstacle for PLWH.

The persistence of HIV in the central nervous system (CNS) is a challenge of HAND treatment and involves a combination of factors, including neurotoxic HIV proteins, chronic neuroinflammation, and comorbidity with substance …

Cdk8 And Cdk19 Mediator Kinases As Novel Targets In Advanced Prostate Cancer, Jing Li

Theses and Dissertations

Following androgen deprivation therapy (ADT), prostate cancers (PCa) progress to castration resistant prostate cancer (CRPC) status, where their growth becomes independent of androgen signaling, through altered androgen receptor (AR) signaling or other genetic or transcriptional changes. Metastatic CRPC remains incurable, and the most potent new drugs prolong survival by only a few months. There is an urgent need for novel agents against advanced CRPC. Here we have investigated the roles of CDK8 and CDK19, two isoforms of Mediator kinase, which regulates transcriptional reprogramming, in regard to their biological activities and as potential novel targets for the treatment of CRPC.

To …

Becoming A Man: Concepts Of Writing Witness And Masculinity For Black Adolescent Males In Children’S And Young Adult Literature, Chelsea Danielle Rogers

Theses and Dissertations

Historically, the black male has had the world at his back, from the moment he stepped onto American soil, kidnapped and enslaved, the pressures to be a “good man” as a student or eventually as a father, to the need to “be somebody” as a proud American citizen, a human. In my dissertation, I evaluate further the position of the adolescent black male through the lens of young adult literature. The framework of a young adult novel is grounded in the experience of youth and adolescence rather than in adulthood and its nostalgic tendencies. The young black male experience and …

A Study Of Computational Thinking Skills And Attitudes Towards Computer Science With Middle School Students, Lorien W. Cafarella

Theses and Dissertations

Many middle school students come to Computer Science (CS) classes without any previous CS instruction or any Computational Thinking (CT) skills that are needed to be successful. To overcome this, many curriculums and programming environments have been used to engage students and to instill a love of CS. Which curriculum should be used to develop CT skills that will also increase positive attitudes towards CS so students will continue in this field of study in higher grades? The purpose of this mixed method action research study was to evaluate how Code.org’s block-based programming curriculum affects middle school CS students’ CT …

Words Evaporate, The Images Remain: Testing Visual Warnings In The Context Of Intentions To Vape Among U.S. Adults As An Expansion Of The Theory Of Planned Behavior (Tpb), Carl Arland Ciccarelli

Theses and Dissertations

This dissertation applied the Theory of Planned Behavior (TPB) model variables of attitudes, subjective norms, and perceived behavioral control, along with the variable of fear to explain individuals’ behavioral intentions to vape. Previous studies have explored the social appeal, intrigue, and potential consequences of vaping among adolescent and college student populations. However, these past studies have largely relied upon focus groups and self-reported data conducted among samples of teen, adolescent, and college student populations. Thus, the aims and designs of these previous vaping studies may have been lacking in construct validity and a theoretical approach from which to explain behavioral …

Multimodal Digital Literacy Practices: Perspectives Of L2 Academic Writing Instructors, Priscila Jovazino Bastos Medrado Costa

Theses and Dissertations

The purpose of my dissertation study was to explore the experiences and perceptions of English language instructors about the use of multimodal digital technologies in the teaching of academic writing. Writing academically in English as a second language (L2) is complex and multilayered for international students, and multimodal digital literacy practices are essential in the writing process in the age of information technology. The literature on multimodal digital literacies applied to L2 English instruction and to academic writing and the literature on teachers’ impressions about instructional technologies are vast. However, there is a need for further studies that address the …

Stem Educators’ Perceptions Of Gender Bias And The Contributing Factors That Persist For Women In Stem Education, Haleigh Nicole Kirkland

Theses and Dissertations

Social influence from society holds the key to social norms that influence students and their future aspirations. Gender bias is considered one of the influencing factors that affects the decisions of female high school students on participating in STEM education. This descriptive study describes the key factors that STEM educators perceived as influential for female high school students' participation in STEM education. The research questions of the study included: (1) What are high school STEM educators’ perceptions regarding gender bias in the STEM School of Study cluster at Skyler High School and (2) What factors do high school STEM educators …

Long-Chain Fatty Acid Sensing And Catabolism In Commensal Escherichia Coli Impact Murine Gut Colonization, Tessa Carolina Cox

Theses and Dissertations

The gastrointestinal tract is home to trillions of microbes that collectively influence host physiology, immunity, nutrient metabolism, and infectious disease. The overgrowth of naturally-occurring Escherichia coli in the gut is a common signifier of microbiome dysfunction and occurs in many chronic diseases including obesity. Recent studies have shown that higher fat intake is associated with increased gut E. coli growth. However, it remains unknown whether gut E. coli utilize lipids such as long chain fatty acids (LCFAs) as carbon sources to colonize the mammalian gut. Therefore, the central objective of my dissertation was to utilize bacterial genetics and various mouse …

Online Information-Seeking And Cancer Screening Intention: An Analysis Of The Health Information National Trends Survey 2022, Rachel Aileen Ford

Theses and Dissertations

Online information-seeking has become common in modern life, including when patients search for health information to make informed healthcare decisions. Previous research into the effect of online information-seeking on health maintenance behaviors has been mixed. This study sought to expand the current literature concerning the online information-seeking habits of cancer patients and integrate the concept of competence to analyze the effect on cancer screening adherence. The study analyzed HINTS 6 data to examine the relationship between online information-seeking and cancer screening intention as well as the relationship between social media habits and cancer beliefs. Results showed support for competence resulting …

Extreme Persuasion: Analyzing Meaning Creation And Persuasive Strategies Within Extreme Discourse On Alternative Social Media, Naomi Kathryn Lawrence

Theses and Dissertations

Despite a long history of counterterrorism strategy, the U.S. has seen a drastic increase in domestic attacks over the past decade. Previous studies have found that, due to increasing content-related restrictions, many individuals who participate in extremist-related discourse have migrated away from mainstream social media and toward alternative social media platforms. This study consists of a comprehensive content analysis based on Multimedia Critical Discourse Analysis theories to study how meaning is created via the combination of text, image, and symbols, as well as how various persuasive narratives and rhetorical appeals are used within extreme discourse on social media. This research …

The Impact Of Covid-19 On Psychosocial Services And Perceived Supports For Pediatric Patients, Samantha Martinez

Theses and Dissertations

In March 2020, the World Health Organization named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) a global pandemic. While the physiological damage of COVID-19 on individuals and communities is itself immeasurable, both because variants continue to spread and because of the unpredictable nature of “long COVID,” we know even less about the long-term psychological impacts on individuals. Lockdown procedures, including school closures, were necessary to prevent transmission of the virus and to protect the most vulnerable bodies (namely, the elderly and immuno-compromised). However, the effect of the closures disproportionately resulted in psychological damage to children and adolescents. Previous studies have …

Babe (Body Appreciation And Better Eating), Just Add A Dash Of Self-Compassion: A Randomized Controlled Pilot Study For Black/African American Teenage Girls, Nkechi Bianca Okpara

Theses and Dissertations

Introduction

Body dissatisfaction contributes to disproportionately high rates of disordered eating behaviors observed in Black teenagers. Given that self-compassion is found to buffer against eating pathology and body dissatisfaction and is linked to reduced incidences of binge eating and disordered eating behavior. Incorporating the self-compassion construct, specifically centering on nutrition, with a program that combats negative body image, like the Body Project, may further help decrease body dissatisfaction and improve overall nutrition.

Purpose

The aim of this dissertation was to test (1) the acceptability and feasibility of a novel program, Body Appreciation and Better Eating, add self-compassion (BABE+SC), and to …

Beyond Vaccination Coverage: A Critical Look At Zero-Dose Children In Sub-Saharan Africa, Chamberline Ekene Ozigbu

Theses and Dissertations

Background: Despite continuous efforts to enhance childhood vaccination coverage, a considerable number of children in sub-Saharan Africa (SSA) remain unvaccinated (zero-dose). Recent estimates indicate that approximately 17 million zero-dose children reside mainly in 10 Low- and Middle-Income Countries (LMICs) in SSA. The Immunization Agenda 2030 (IA2030) aims to reduce the number of zero-dose children by half, necessitating research to identify populations and groups at higher risk of being unvaccinated.

Objectives: This research sought to (1) examine individual and contextual factors associated with zero-dose status in SSA, (2) assess the geographical clustering of zero-dose children aged 12-59 months in SSA and …

Unlocking Population-Specific Treatments To Render Equitable Approaches And Management In Cardiovascular Disease (Upstream Cvd): African American Emerging Adults, Shannon Bright Smith

Theses and Dissertations

Cardiovascular disease (CVD) is the leading cause of death in America. African American people have disparate CVD outcomes, and African American emerging adults (AAEAs) aged 18-25 have CVD risk factors. This study aimed to examine the state of CVD risk factors in AAEAs, assess upstream and population factors in AAEAs attending a southeastern historically black college/university (HBCU), compare their perceived and objective CVD risk, explore their level of CVD knowledge, and examine responses when they learn their objective CVD risk.

Chapter 1 presents background literature on CVD in AAEAs and the research plan. Chapter 2 presents a newly synthesized situation-specific …

Effects Of A Self-Monitoring Tracking System Combined With Blended Learning Intervention Time On Students’ Self-Regulated Learning Skills And Academic Performance, Jennifer E. Augustine

Theses and Dissertations

The purpose of this action research was to evaluate the effects of the implementation of blended learning combined with a self-monitoring achievement system on students’ self-regulated learning (SRL) skills and academic performance in an eighth-grade English language arts classroom. SRL has been linked to higher academic achievement and success in and out of school. However, many students lack SRL skills, especially at the middle school level. This study addressed three research questions in order to better understand how students’ SRL skills and academic performance could be improved: (1) How and in what ways does the implementation of blended learning, combined …

Exploring Literary Responses To Culturally Relevant Texts Through An Asiancrit Lens: A Collective Case Study Of Chinese American Students In A Community-Based Book Club, Wenyu Guo

Theses and Dissertations

Building on AsianCrit, reader response theory, and critical literacy perspective, this dissertation study investigated how second-generation Chinese American students at age eight to twelve respond to culturally relevant texts which portray contemporary and historical Chinese American people’s lives and experiences in the United States. In addition, this study explored how these students negotiate their understanding of race, racism, and anti-Asian racism through associating with the stories, their everyday experiences, family traditions, and interactions with peers and researcher in a community-based book club. Specifically, this study examined how students of Chinese descent respond to xenophobia, discrimination, and racism towards Asian people, …

What Are They Thinking?: A Qualitative Study Of Secondary Students’ Critical Thinking In Online Classes, Scott Allan Nolt

Theses and Dissertations

This action research study emerged in response to students’ struggle to understand what critical thinking is and teachers’ corresponding struggle to develop students’ critical thinking skills. In my role as an instructional designer, I studied student and teacher reactions to interdisciplinary course design that used disciplinary inquiry, problem-posing, and concept-based online learning. The primarily qualitative study focused on students’ reflections across five different social studies and English courses, along with interview data from their teachers and post-course survey data. Exploring how students experience instruction designed to develop their critical thinking skills and how instruction in critical thinking impacts students’ critical …

Southeastern Conference (Sec) International Student-Athlete (Isa) Career Transitions - A Cultural Intelligence (Cq) Perspective, Tsu-Lin Yeh

Theses and Dissertations

This dissertation investigated international student-athletes’ (ISAs’) transition experiences of being recruited for, matriculating in, and then leaving high-performance and commercialized Southeastern Conference (SEC) institutions. Adopting the Cultural Intelligence (CQ) theory, this dissertation specifically examined how the four CQ elements (metacognition CQ, cognition CQ, motivation CQ, and behavior CQ) existed in an ISA’s transition process. CQ explains a person’s capability for performing well in culturally diverse environments (Fang et al., 2018). Traditional CQ studies have been utilized to manage international organizations’ diversity and inclusion (Triandis, 2006), particularly regarding employee retention, career transition and development (Mangla, 2021). However, although sports management is …