Digital Commons Network^™

State Benchmark Plan Coverage Of Opioid Use Disorder Treatments And Services: Trends And Limitations, Stacey A. Tovino

South Carolina Law Review

No abstract provided.

Utilizing Pharmacists And Educational Services To Promote Proper Use Of Opioids Across South Carolina, Kayce M. Shealy, Erika E. Tillery, Cheryl A. Anderson, Katelyn L. Cheek

South Carolina Law Review

No abstract provided.

Historical Events In Fictional Playwriting, Darrell Johnston

Theses and Dissertations

This Masters thesis explores the use of historical events and legends within the form of fictional playwriting.

Exploring Patient Perceptions And Misconceptions: Beliefs Regarding Hereditary Cancer, Margaret Flach

Theses and Dissertations

Many patients who enter a genetic counseling session have preconceived notions about why they or their family members developed a genetic condition. Often these perceptions are deeply rooted in personal, familial, and/ or cultural beliefs; individuals typically have a personal framework, or schema, into which they incorporate new information. There is limited research on what information patients are retaining during a genetic counseling session and how they are assimilating that knowledge into their existing views. We attempted to characterize these patient perceptions with respect to hereditary cancer, in order to assess how patients are adopting the information presented in a …

The Impact Of Peer Mediated Instructional Strategies In An Inclusive Project Based Learning Environment, Kathie Stroman

Theses and Dissertations

This paper describes a problem of practice that evolves from a shift in curriculum from a more traditional direct instruction format to that of a progressive, student centered project based learning model. This shift in instructional practices seeks to increase student engagement within the high school and reduce a number of negative factors that stem from low levels of student engagement. In order to adequately meet the needs of students with disabilities within this new model, a systematic review of the use of peer mediated instructional strategies led to the following research question: what impact can the peer mediated instructional …

Brca1 And Brca2 Mutation Carrier Perspectives On Direct-To- Consumer Genetic Testing For Brca Mutations, Caitlyn E. Mitchell

Theses and Dissertations

Recently the FDA authorized one direct-to-consumer genetic testing (DTC-GT) company to begin reporting certain genetic variants in the BRCA1 and BRCA2 genes. Pathogenic variants in these genes confer lifetime risks for breast and ovarian cancer in women as high as 87% and 62%, respectively. Historically, genetic testing for these mutations has been offered in a clinical setting where genetic counseling is part of the testing process. Genetic counseling is not routinely a part of DTC-GT, raising concern that those undergoing DTC-GT for BRCA1/2 mutations may not fully understand what is being tested, the implications of results, or that they may …

Violence In The Hands Of Women: An Analysis Of Gendered Violence In Life Is Strange And Before The Storm, Mitchi Anne Maja

Senior Theses

This thesis is an analysis of the video games Life is Strange and Before the Storm and how they serve to reflect social expectations and norms placed upon both women and men even today. Cultural studies recently accepted video games as a form of media to study, especially with the prevalence and accessibility of video games in various platforms. Violence in video games is culturally associated with men and the male audience; my analysis focuses on violence in the hands of women. By analyzing the choices I made as a player and how these games present their narratives and characters, …

The Pharmabiotic For Phenylketonuria: Development Of A Novel Therapeutic, Chloé Elizabeth Lebegue

Senior Theses

Phenylketonuria, now known as phenylalanine hydroxylase (PAH) deficiency, is a genetic disorder of metabolism affecting approximately one in every 15,000 infants born in the United States. Patients have nonfunctional PAH enzyme secondary to one or more genetic mutations. The enzyme deficit results in destructive supraphysiologic blood phenylalanine levels upon consumption of the essential dietary amino acid phenylalanine. Current standards of care mitigate signs and symptoms of the disorder, but do not approach a cure. The methods for creating a prototype pharmabiotic as an innovative treatment strategy for PAH deficiency are described herein.

DNA molecular cloning techniques were utilized to engineer …

Jim Jones: A Case Study In The Relationship Between Antisocial And Narcissistic Personality Disorders, Taylor Martin

Senior Theses

Ambiguity between some characteristics of Narcissistic and Antisocial Personality Disorders has caused difficulties in the accurate diagnosis of these disorders (Gunderson & Ronningstam, 2001; Burke, 2006), and some clinicians and researchers have suggested that this may reflect a lack of clinical utility in the current categorical model of diagnosing personality disorders (Livesley, 2001). This study identifies confounding factors in the concepts of NPD and ASPD as enumerated in the DSM-5 (APA, 2013) and DSM-IV-TR (APA, 2000). Concepts identified in independent research that may clarify some apparent similarities and assist in differentiating between the two disorders are discussed. Clarifying features of …

The Opioid Crisis And The Federal Death Penalty, Richard Broughton

South Carolina Law Review

No abstract provided.

Activist Framing Of Abortion And Use For Policy Change In Peru, Cynthia Beavin, Deborah L. Billings, Susana Chávez

Faculty Publications

Identifying how activists frame the topic of abortion is key to unpacking their understanding of “abortion” in Peru. It is important to explore how and why certain frames are privileged in attempts to shift policy and social norms. In 2016, the authors conducted qualitative interviews with 10 activists in Lima, Peru to develop a deep understanding of these issues. Activists worked through different approaches and lenses, including law, medicine, sociology, psychiatry, journalism, non-governmental organisational management, LGBTQ rights, and indigenous rights. Four common frames emerged through the analysis and those frames shifted based on whether activists were speaking to the general …

Coaching By Scaffolding: Increasing Teacher Questioning Through Structured Modeling And Feedback, Sarah J. Little

Theses and Dissertations

The purpose of this dissertation was to explore the effects of the Gradual Increase of Responsibility Model (Collet, 2008) when used by coaches to mentor teachers in best questioning practices in kindergarten through second grade classrooms. The researcher focused on questioning practices after observing missed opportunities to extend student thinking in primary school classrooms during teacher-student conferences in both reading and writing. Vicki Collet’s Gradual Increase of Responsibility Model (2008) was chosen as a coaching model based on the wide range of teacher experiences in the researcher’s educational setting. This coaching model allowed the researcher to scaffold teachers based on …

Codification Of Terminology And Procedure In Mental Practice With Applications To Piano Pedagogy, Anna Beth Rucker

Theses and Dissertations

Mental practice has been discussed among piano pedagogues from the nineteenth century until the present. Over time, many terms have been used to describe different kinds of mental practice. This variety can make it challenging for the independent teacher to consolidate the information and effectively apply mental practice to the private lesson. For this reason, a codification of the terms associated with mental practice is presented in this thesis. Terms are classified into four groups: Visualization (kinesthetic imagery and musical imagery), Aural (aural imagery and audiation), Psychological (mental wellness and guided imagery), and Hybrid (practice away from the piano and …

Examining Caregiver Vigilance For Child Sexual Abuse, Kate K. Chappell

Theses and Dissertations

Child sexual abuse (CSA) affects approximately one in four US children through adolescence. As an adverse childhood experience (ACE) implicated in long-term health and wellbeing, CSA is a pervasive safety concern. The influence of caregivers and healthcare providers is under-realized in CSA prevention. Examining the thinking processes preceding CSA vigilance response has been limited in research. Understanding the complexities in healthcare related to addressing CSA will facilitate caregiver-focused intervention in primary care. Guided by social ecology and protection motivation theories (PMT), the goals of this two-phase study were to explore caregiver cognitive processes towards vigilance for CSA and the challenges …

The Perspectives Of Emerging Adults With Hereditary Diffuse Gastric Cancer, Carrie Anderson

Theses and Dissertations

Individuals with hereditary diffuse gastric cancer (HDGC) caused by a CDH1 mutation have a high lifetime risk of developing gastric cancer. National guidelines recommend CDH1 carriers undergo a prophylactic total gastrectomy (PTG)— a surgery that greatly reduces the risk of developing gastric cancer but has significant comorbidities. This study explores the impact of a diagnosis of HDGC in the transitional life stage between the ages of 18-29 deemed “emerging adulthood.” We surveyed 21 CDH1 carriers and conducted semi-structured phone interviews with 6 CDH1 carriers between the ages of 18-29 to learn about their life experiences regarding education, career, relationships, and …

The Impact Of Individualized Structured Reading Intervention On High School Students In Special Education: An Action Research Study, Nikki Clark

Theses and Dissertations

Reading skills comprise the following three categories: decoding, fluency, and comprehension. All three of these skills are necessary for students to become successful readers in and out of academic settings. Many students in special education read far below their grade level; difficulty reading is particularly challenging for such students because, in addition to limiting academic success, under-developed reading skills compromise students’ academic and functional independence. This study aimed to examine how a structured, individualized reading intervention may help high school students in special education – students who have been diagnosed with one specific disability or a combination of approved disabilities …

Examining Perceptions And Sensemaking Of Wellness Among African American Women Who Manifest The Archetype Of The Strong Black Woman, Donya D. Wallace

Theses and Dissertations

Furthering a strengths-based approach to mental health and wellness requires researchers to explore the role of cultural systems, sociohistorical factors and the intersectionality of race and gender as factors impacting wellness. To fill the existing gap in the literature describing perceptions of wellness through a cultural lens, I examined experiences of wellness among African American women who manifest the archetype of the Strong Black Woman. Working within the client’s perspective, Interpretative Phenomenological Analysis was employed to analyze data collected during semi-structured in-depth interviews and focus groups. I conducted the interviews to explored participant personal and social experiences with wellness. Super-ordinate …

Cluster Analysis Of Mixed-Mode Data, Yawei Liang

Theses and Dissertations

In the modern world, data have become increasingly more complex and often contain different types of features. Two very common types of features are continuous and discrete variables. Clustering mixed-mode data, which include both continuous and discrete variables, can be done in various ways. Furthermore, a continuous variable can take any value between its minimum and maximum. Types of continuous vari- ables include bounded or unbounded normal variables, uniform variables, circular variables, etc. Discrete variables include types other than continuous variables, such as binary variables, categorical (nominal) variables, Poisson variables, etc. Difficulties in clustering mixed-mode data include handling the association …

Assessing Readiness For A Physical Activity Intervention In Positive Youth Development Afterschool Programs, Brittany Skiles Cook

Theses and Dissertations

Physical inactivity has been identified as a primary health threat to youth, and existing afterschool programs (ASP) are a promising context for implementing physical activity (PA) interventions. However, few PA interventions have been effective and generalizability of programs has been poor. Assessing organizational readiness during the testing of a PA intervention can help inform generalizability and sustainability. The R=MC2 heuristic separates readiness into motivation, innovation-specific capacity, and general capacity, each of which are further divided into subcomponents. The current multiple-case study pilot tests the feasibility and effectiveness/efficacy of a readiness assessment tool based on R=MC2 developed for the Connect through …

The Impact Of Student-Centered Coaching On The Implementation Of Project-Based Learning: An Action Research Study, Wanda Nicole Littlejohn

Theses and Dissertations

The present study describes a student-centered in-service that was implemented with four new teachers. The purpose of the study was to determine the level of confidence the four teachers felt after the coaching sessions. The study took place with teachers who teach in a high poverty school located in Greenville, South Carolina. The teacher-researcher is an Instructional Specialist at the school and she designed a project- based (PBL) learning unit with the teachers for ninth-grade students that was used in the coaching sessions in the fall of 2018. Data sources include: focus group interviews with the teachers; observations in the …

Managing Negative Countertransference Utilizing An Integrated Counselor Mindfulness Training For Counselors Working With Children Exhibiting Externalized Behaviors, Jessie D. Guest

Theses and Dissertations

Using a multiple-probe, single case research design, this study investigated the effects of an integrated mindfulness intervention on counselors’ negative countertransference while working with children exhibiting externalized behaviors in session. More specifically, this study utilized a two-pronged intervention including mindfulness practices as well as the theoretical tenets of relating to children to assist counselors in managing negative countertransference as measured by the Countertransference Management Scale (Perez- Rojas, et al., 2017), reducing negative countertransference feelings as measured by Therapist Appraisal Questionnaire (Cooley & Klingler, 1989; Fauth et al., 1999), and improving the child’s perception of the counselor as measured by Young …

Impact Of Service Delivery Model On Patient Perceptions And Utility Of Genetic Counseling For Hereditary Breast And Ovarian Cancer: An Exploration Of Group Genetic Counseling, Alyssa M. Gates

Theses and Dissertations

Patients at risk for hereditary breast and ovarian cancer (HBOC) traditionally participate in individual cancer genetic counseling sessions to be educated about cancer genetics concepts, their personal cancer risks and genetic testing. With expanding technology and increased public awareness of HBOC, referrals to cancer genetic counseling services have grown. The current number of practicing genetic counselors struggles to meet the demands of increased referrals, so new service delivery models need to be explored. The purpose of this study is to assess the utility of group genetic counseling for HBOC by evaluating the perspectives of patients that received group genetic counseling …

Social Support: Who And What Types Matter For Early Adolescents’ Life Satisfaction, Kimberly G. Sitter

Theses and Dissertations

Trends in current psychological research suggest an increasing interest in indicators of well-being in youth, such as life satisfaction (LS). Studies indicate a strong association between LS and social support from different sources within an early adolescent’s social network. However, the unique contributions of specific types of supportive behaviors (within sources of social support) as they relate to development of early adolescent global LS have been largely overlooked. The current study sought to examine the unique contributions of social support types (emotional, appraisal, informational, instrumental) within three sources of support (parent, teacher, peer) to global LS in a sample of …

Behavioral And Neurophysiological Correlates Of Sensorimotor Impairment In Aphasia, Lorelei Phillip Johnson

Theses and Dissertations

Developing a clearer understanding of the basic impairments which underlie the behavioral characteristics of aphasia is essential for informing the development of targeted and effective treatment techniques. Impairments in sensorimotor integration have already been implicated in the repetition deficits common to individuals with aphasia, but much less is known about the extent to which these integrative deficits occur outside of conduction aphasia and how this manifests behaviorally in areas other than speech repetition. The goal of the present study was to examine these issues further by addressing the following aims: 1) To examine the behavioral and neurophysiological correlates of sensorimotor …

Factors Associated With Advance Care Plans And End-Of-Life Care Choices Among Elderly Americans: An Analysis Of Health And Retirement Study Data, Agha Ajmal

Theses and Dissertations

Introduction

Advance care plans (ACP) allow people to plan for their end-of-life care before they become incompetent to make their treatment decisions. The umbrella term Advance Care Plans (ACP) includes the three most commonly used end-of-life care plans: Advance Care Planning Discussions (ACP discussions) and two advanced directives: living will and Durable Power of Attorney for Health Care (DPAHC). The ACP discussions are the verbal discussions about end-of-life plans, whereas the advance directives are written documents.

ACPs are distinct nuances of end-of-life care planning. ACP discussions address a wide array of end-of-life care issues, including terminal care, funeral, burial and …

Effect Of Severe Economic Recession On The Psychological Distress: Evidence Of Modifying Effect Of Risky Behaviors And Insurance Status, Lumi Bakos

Theses and Dissertations

The investigation identified the effect of the 2007-2009 economic recession on the level of psychological distress (PD) as modified by engaging in risky behaviors and insurance status. The objective was to determine if engaging in risky behaviors and insurance status had an impact upon the level of psychological distress experienced during a recession; the timeframe for the study is 2007 representing pre-recession to beginning of recession year, to 2009 representing the recession year, to 2012-2013 representing post-recession years. The study involved the use of a nationwide non- institutionalized adult population, the Mental Health and Stigma optional module found in the …

The Impact Of A Science Fair On High School Students’ Feelings Of Self-Efficacy In Stem, Nathaniel P. Wharton

Theses and Dissertations

The purpose of this present action research study was to describe secondary students’ feelings of self-efficacy in science, technology, engineering, and mathematics (STEM). Through a curriculum linked to a science fair project, the teacher-researcher focused on student-participants’ perceptions of perseverance and task completion linked to STEM courses and postsecondary STEM careers. A Likert scale pretest (n=44) and posttest (n=33) based on Bandura’s model of four categories of self-efficacy (mastery experience, vicarious experiences, verbal/social persuasion, and emotional/psychological states) was administered to middle to low income students at a high school in Pennsylvania in the fall of 2018.). Data was also collected …

Women’S Writing And The Poetics Of Scientific Knowledge, 1620-1740, Rachel Mann

Theses and Dissertations

Women’s Writing and the Poetics of Scientific Knowledge, 1620-1740 probes the porous boundary between science and literature, revealing that the methodologies undergirding scientific experimentation were developed communally and through a confluence of interdisciplinary and cultural concerns. Ultimately, it shows that our contemporary understanding of the natural world and the scientific method have a history that is largely one of fragments. Secondly, and more importantly, it demonstrates the value of reading imaginative writing alongside scientific developments of the day.

Focusing on women’s imaginative writing in particular reveals the power and limits that ostensibly liminal voices have. As such, Women’s Writing and …

Causes And Consequences Of Police Militarization, Edward Eugene Lawson, Jr.

Theses and Dissertations

After the 2014 shooting of Michael Brown, and many other incidents of police violence that followed, the militarization of policing and the use of violence by police became the subjects of contentious debate among the public, policymakers, and scholars. Research on these subjects necessary to inform the debate has been lacking. This work examines the causes and effects of police militarization in the United States. Specifically, I argue that militarization is a response to perceived threat from minority racial groups, but the rela- tionship between racial demographics and militarization is curvilinear. Militarized begin to see themselves as soldiers fighting on …

A Partially Automated Process For The Generation Of Believable Human Behaviors, Bridgette Parsons

Theses and Dissertations

Modeling believable human behavior for use in simulations is a difficult task. It re- quires a great deal of time, and frequently requires coordination between members of different disciplines. In our research, we propose a method of partially automating the process, reducing the time it takes to create the model, and more easily allowing domain experts that are not programmers to adjust the models as necessary. Using Agent-Based modeling, we present MAGIC (Models Automatically Generated from Information Collected), an algorithm designed to automatically find points in the model’s decision process that require interaction with other agents or with the sim- …