Digital Commons Network^™

The Role Of Nutrition In Modulating Neurodevelopmental And Mental Health Outcomes In Pediatric Populations: A Review, Athul M. Vikas

Senior Theses

Introduction: Neurodevelopmental and mental health disorders, including Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety, and depression, have risen sharply in prevalence among children and adolescents, creating substantial public health concerns. Traditional interventions, primarily pharmacological and behavioral, offer critical but limited support, underscoring the need for integrated approaches. Recent findings suggest that nutrition may play a significant role in supporting brain development and mitigating mental health risks, offering preventive benefits that complement conventional therapies. This review aims to evaluate the influence of specific nutrients—such as folate, iron, DHA, zinc, and vitamin B12—on neurodevelopmental outcomes, emphasizing the importance of these nutrients during critical growth …

Devices And Dining: A Cross-Cultural Analysis Of Mobile Device Use In Italian And American Restaurants, O'Malley Jenkins

Senior Theses

The field of technology ethics has seen increasing growth and interest over the years. Many have begun to consider the impacts of technology’s use and whether it is being employed in a healthy manner by users. However, there has been limited investigation into whether the ways in which technology use varies across cultures. This study begins to address this gap by researching Italian and American device usage in fast food settings. Non-participant naturalistic observations were used to record data for 89 Italian and 88 American customers of fast food restaurants. Analysis of the collected data indicates that Americans use their …

Understanding Patterns Of Hope And Sense Of Belonging From Mentoring Through Latent Class Analysis, Bailey Dow

Theses and Dissertations

Youth who have safe, stable, nurturing relationships (SSNRs) are more resilient to adverse childhood experiences and have better mental health. Compared to prior generations, today’s youth feel lonelier and more socially isolated than ever, and they crave the sense of belonging and hope that comes from meaningful social connections. Mentors can play a crucial role in bolstering these attributes. Mentors help youth in different ways, depending on the mentee's characteristics, preferences, or circumstances. Despite the well-known significance of natural mentoring relationships as a SSNR, researchers have paid little attention to how and why natural mentoring benefits vary among mentees. The …

You're Not The Only One Who Can Teach Us: Teacher Facilitation In Three Secondary School Music Contexts, David Dwight Bowman

Theses and Dissertations

Over the last half-century, school music reforms have focused more on content than process, and the directive teaching that serves as the dominant method used by secondary school music teachers is not adequately meeting the needs of the students who currently occupy American high schools. To improve teaching practice in one such high school, an action research study was conducted to investigate the use of facilitative teaching strategies, how those teaching strategies impact students’ learning experience, and what the perceived impacts of those strategies are. A qualitative case study methodology was employed to determine how an intervention period of facilitative …

The Role Of The Basolateral Nuclear Complex & Central Nucleus Of The Amygdala In Fear-Conditioned Responses To External Stimuli And Anxiety Responses, Oluwaseyi A. Adelakun

Senior Theses

This thesis reviews the role of the amygdala, particularly the basolateral nuclear complex (BLA) and central nucleus (CeA), in fear-conditioned responses and generalized anxiety disorder (GAD). By investigating the neurological and physiological mechanisms that influence the amygdala’s fear and anxiety responses, further connections can be made between this region and other notable brain regions, like the prefrontal cortex (PFC). We review both human and rodent models to explore the overlap between the two and explore various therapeutic interventions that regulate amygdalar activity and therefore mitigate anxiety symptoms. Key research into the patient SM, who lacks fear responses due to bilateral …

Juries And Tax: The Effect Of Income Taxation On Tort Damages, Jeffrey H. Kahn, John E. Lopatka

South Carolina Law Review

No abstract provided.

Enhancing Inclusivity In Primary Care On A College Campus, Amanda Finkle Plyler

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals who identify as lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) face higher health disparities and are less likely to seek healthcare due to fear of being misgendered or judged by staff. Purpose: The purpose of this DNP project was to implement an intervention for college students seeking care at Student Health Services (SHS) that includes a question addressing preferred pronouns during establishment of care, creating the opportunity for staff to address patients appropriately and to provide gender-affirming care. Method(s): A pre and post intervention patient satisfaction survey related to sexual orientation and gender identity (SOGI), …

Assessing The Impact Of Mindfulness-Based Stress Reduction (Mbsr) On Emergency Nurses' Absenteeism And Receptive Awareness Of And Attention To What Is Taking Place In The Present, Rachael Moore Drake

Doctor of Nursing Practice Scholarly Projects

Problem: The changing terrain of modern healthcare has made emergency nurses' well-being a top priority. Within the small community hospital where this project was conducted, the issue of employee work-related stress was identified through managers' feedback and employee surveys. Purpose: Leaders employ a comprehensive mindfulness program based on assessed employee needs to understand the practical interventions to address work-related stress. This project implemented mindfulness-based stress reduction (MSBR) interventions and assessed emergency nurses' absenteeism and receptive awareness of and attention to what is taking place in the present. Method: The project utilized the Mindful Attention Awareness Scale (MAAS) to assess emergency …

Identifying Adolescent Depression In The Public School System, Laura Lee Griffith

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Twenty percent of United States adolescents experience major depression at some point. Elevated school dropout rates, substance abuse, chronic disease, mortality and morbidity rates, and impaired growth remain because 60 % of adolescents with unidentified depression do not receive treatment. Purpose: This evidence-based project identified adolescents aged 16-19 in a South Carolina high school who had symptoms of depression. Counseling and resource information were provided for students with scores of 10 or greater, or thoughts of self-harm on the PHQ-9. Method: Students were screened using the PHQ-9. Data was organized in Excel and analyzed using the T-tests and …

Increasing Pre-Procedure Communications To Decrease Colonoscopy Cancellations, Natalie Brooke Midkiff

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Colonoscopies play a vital role in early colorectal disease detection and prevention. Yet, the field of gastroenterology faces a persistent challenge - frequent procedure cancellations and incomplete examinations due to suboptimal bowel preparation. This not only compromises the effectiveness of colonoscopies but also poses potential health risks.

Purpose: This project aimed to reduce procedure cancellations and incomplete examinations by regularly communicating pre-procedure instructions and reminders through text messages and phone calls.

Inclusion Criteria: The criteria were clearly defined, targeting patients aged 18 and older who needed colonoscopies. This focus ensured the project's relevance to specialized gastrointestinal intervention. Establishing …

Identification Of Obstructive Sleep Apnea Symptoms Among Veterans In The Primary Care Setting, John Dominic Rosella Iv

Doctor of Nursing Practice Scholarly Projects

Untreated obstructive sleep apnea (OSA) has long-term cardiovascular and metabolic health implications, impacting quality of life and increasing health expenditures. Veterans have a higher prevalence rate of OSA attributed to an aging population and higher rates of comorbid conditions. The problem of under recognition of OSA symptoms partly relates to clinicians needing to elicit relevant symptoms routinely. At the same time, the lack of primary-care-based screening protocols contributes to the percentage of undiagnosed OSA. The purpose of this evidence-based project was to implement routine screening to identify OSA risk among veterans in primary care settings in South Carolina. The method …

Depression In Individuals With Chronic Liver Disease: Improving Screening In The Outpatient Setting, Kayla Corine Wright

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals with chronic conditions such as chronic liver disease experience higher rates of depression, often underdiagnosed and placing high risk demographics in jeopardy of adverse outcomes, including worsening prognosis, decreased quality of life, and increased symptomatology.

Purpose: Evidence advocates for routine depression screening within high-risk patient populations. This paper outlines the implementation of a quality improvement initiative aimed at enhancing depression screening at a selected outpatient liver clinic within an extensive hospital system by implementing the PHQ-9 questionnaire during patient clinic visits, where no standardized screening protocol was previously in place.

Methods: The Plan-Do-Study-Act cycle guided the implementation …

Systemic Inflammation And Neurocognitive Deficits In School-Age Children With Sickle Cell Disease., Elizabeth A. Gillooly

Theses and Dissertations

Sickle cell disease (SCD) causes inflammation that contributes to poor clinical outcomes, including cerebrovascular disease (CVD). CVD can take several forms in SCD, including neurocognitive deficits without visible cerebral infarction. The role of chronic inflammation in cognitive development in SCD has received little attention to-date. We aimed to study novel markers of systemic inflammation: neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and the systemic inflammation index (SII) to describe developmental trends and relationships to cognitive outcomes in SCD at early elementary school-age. Sixty-one children with SCD and no history of stroke were identified who completed an early elementary school age cognitive …

Exploring Culturally Relevant School Leadership Practices: An Autoethnographic Study, Kezia Myers

Theses and Dissertations

The focus of this autoethnographic study was on the implementation and impact of Culturally Responsive School Leadership (CRSL) within an elementary school. The school is comprised of approximately 400 P-5 students, with a predominantly Black student body (77%), along with students who identify as Hispanic, multiracial, White, and other ethnic backgrounds.

Three research questions were posed: 1) In what ways have I, as a school principal, integrated culturally relevant leadership practices into the decision-making framework at the school? 2) How might what I learn about other principals’ implementation of CRP in their respective schools inform my understanding of its effectiveness …

Increasing Engagement And Self-Efficacy Levels In Underachieving 5Th Grade Students: A Qualitative Study, Raney Altman

Theses and Dissertations

Student achievement and mastery of content taught in reading is measured each year in the state of South Carolina. A pattern of low achievement was identified, but more specifically, there were patterns of low engagement and self-efficacy levels in 5th grade students in this study. Because reading is a critical tool needed to participate in all life necessities such as finding work and experiencing interviews, paying bills, and following simple everyday directions, it was evident in student behavior in the classroom that adjustments needed to be made instructionally to ensure success for all students in school and in future endeavors. …

The Role Of Spatial Attention In The Maintenance Of Visual Working Memory: Modulatory Effect By Task-Relevance Of Spatial Information And Evidence From Alpha Oscillations, Sori Kim

Theses and Dissertations

The close interplay between spatial attention and visual working memory is essential for optimizing our visual experiences. The following studies investigated this interaction, focusing on how spatial attention influences visual working memory processes. In Chapter 2 a dual-task paradigm was used to examine how the relevance of spatial information to the task modulated the effects of spatial attention. The findings showed that shifting spatial attention away from a potential memory target impaired its consolidation in working memory. In Chapter 3, the experiment aimed to amplify these effects to observe clearer facilitatory and inhibitory processes. However, the results only demonstrated that …

Shared Trauma: An Evolutionary Model Concept Analysis In Light Of Covid-19, April Hutto, Phyllis Raynor Phd, Aprn, Pmhnp-Bc, Beverly Baliko Phd, Rn, Pmhnp-Bc

Publications

Shared trauma (ST) is a term historically applied to social work experiences, but other healthcare professionals (HCP) also experience ST. With the occurrence of COVID-19, ST has impacted HCP globally and has led to new discoveries and more questions regarding its scope, impact and duration. This article aims to explore the concept of ST applied to nurses in light of COVID-19 using the Rogers and Knafl Evolutionary Model for Concept Analysis. Further examination and evolution of ‘shared trauma’, particularly during COVID-19, has led to the development of an adapted model to explore the implications of ST on health-related outcomes for …

Towards Understanding The Relationship Between Hearing Loss And Cognition In Healthy Aging, Samaneh Nemati

Theses and Dissertations

Age-related hearing loss (ARHL) has been increasingly linked to cognitive decline, both directly and through structural brain changes. This study utilized data from the Aging Brain Cohort project at the University of South Carolina (ABC@UofSC) to investigate the relationships between hearing impairments, cognitive performance, and gray matter volume across key brain regions. Specifically, the study aimed to: (i) examine the mediating role of gray matter volume in the relationship between ARHL and cognitive impairments; (ii) investigate the role of regional brain age gap in mediating the relationship between ARHL and cognitive decline; and (iii) delineate the distinctive impact of ARHL …

Factors Affecting The Transition From Pediatric To Adult Care Among Culturally Deaf Young Adults And Young Adults Who Are Deaf Or Hard Of Hearing, Anna Strickland Kell

Theses and Dissertations

Introduction: Adolescence to adulthood is marked by many transitions, including the transition from a pediatric to an adult medical home, also referred to as a health home. For young adults who are culturally Deaf, deaf, or hard of hearing, this transition may be complicated by population-specific needs related to language, literacy, and accessibility. Prior research with transition-age adolescents and young adults who are culturally Deaf, deaf, or hard of hearing has primarily focused on education or hearing health exclusively. The purpose of this research was to investigate the transition of health care from pediatric to adult services among culturally Deaf …

Intention Or Perception? Signaling Theory In The Online World, Mohona Mandal

Theses and Dissertations

Backlash on social media in response to online behaviors is swift and often decisive with significant consequences. One possible reason for this is that online actions are perceived as reflective of a person’s true self. Signaling theory provides support for this argument and suggests that people intentionally display information about themselves to communicate their beliefs to others. While existing work suggests that social media posts are intentional, social media interactions such as likes, comments, and reposts might also function similarly (i.e., as a signal of beliefs). Two studies were conducted to explore whether interacting with online content is perceived as …

Mitochondrial Function In The Maternal Brain: A New Perspective On Gestational Stress And Pathology Of Postpartum Depression, Erin Rene Gorman-Sandler

Theses and Dissertations

Postpartum depression (PPD) is a major psychiatric complication of childbirth, affecting up to 20% of mothers, yet remains understudied. Mitochondria, dynamic organelles crucial for cell homeostasis and energy production, share links with many of the proposed mechanisms underlying PPD pathology. Brain mitochondrial function is affected by stress, a major risk factor for development of PPD, and is linked to avoidance and social behaviors. Considering the importance of mitochondria in regulating brain function and behavior, we hypothesized that mitochondrial dysfunction is associated with behavioral alterations in a chronic stress-induced rat model of PPD. Chronic mild unpredictable (CMUS) stress during late gestation …

Perception Of Recreational Water Quality In The Scholarly Literature: Where Have We Been & Where Should We Go, Xavier Alberto Basurto Cendeno

Theses and Dissertations

This study explores existing literature and research themes between water quality and recreational participation through use of a bibliometric analysis with content analysis. It identifies key researchers, institutions, and themes that have shaped the field. Despite the growing body of research, gaps remain in understanding the state of the research on this important topic. By analyzing trends and how these trends have changed over time, this study aims to offer insights for future research agendas. Ultimately, the findings will inform strategies for improving water quality management and fostering more resilient, timely water-based recreational research.

Practicing Strategy And Performance Preparation Of György Ligeti’S Musica Ricercata., Xiyao Wang

Theses and Dissertations

ABSTRACT Hungarian composer György Ligeti (1923–2006) is renowned as one of the most significant composers of the twentieth century. Musicians around the world have admired his innovative musical language. “Through the 1950s and 1960s, he went from composing in the style of his countryman Béla Bartók to working at the cutting edge of the Western European avant-garde.” His folk elements and avant-garde compositional techniques expanded through various genres, including orchestral, chamber, and keyboard compositions. This study's primary purpose is to explore Ligeti's piano work Musica Ricercata and ultimately provide a resource to other musicians that will assist in preparing and …

Securing Memorization In Piano Performance With Continuous Audiation, Jie He

Theses and Dissertations

The study explores how incorporating continuous audiation, a concept introduced by pianist and educator Sarah Croom-Hatch, can be used as a strategy to improve pianists’ music memorization abilities and relief performance-related stress. The study presents a four-stage memorization process that emphasizes preparation, early, middle, and late stages. By integrating aural, kinesthetic, analytical, and visual memory with continuous audiation during the four-stage memorization process, pianists can develop a cohesive and secure “sound stream” that significantly enhances their memory system. The study provides practical guidance for systematically developing continuous audiation within daily practice routines to enhance memorization skills and achieve successful piano …

Seeking Solutions: The Impact Of State Policies On Mental And Behavioral Health, Angela Shoulders

Theses and Dissertations

This dissertation examines the impact of state-level policies aimed at improving access to mental and behavioral health treatment in the United States. Using rigorous quasi-experimental methods and a variety of data sources, the three manuscripts analyze the effects of distinct but related policies: naloxone co-prescription laws, psychologist prescription privileges, and mental health parity laws mandating timely access to care. The findings suggest that naloxone co-prescription laws lead to unintended consequences, including an increase in opioid overdose deaths among certain demographics. The analyses of psychologist prescribing privileges show expanding prescribing privileges to psychologists increases the availability of mental health providers without …

The Effects Of Guided Induction Completed Individually And In Groups On The Development Of Negation In Palestinian Arabic An Analysis Of Accuracy, Processing, And Rule Structure, Hana Baalousha

Theses and Dissertations

The effectiveness of different instructional interventions and the various ways such interventions promote L2 learning and processing has been the topic of recent research in the subfield of Instructed Second Language Acquisition (ISLA). Previous research on the effects of guided inductive instruction (GI) in the second language classroom has left various lacunae to be addressed, such as the effect(s) of linguistic complexity, proficiency level, modality of instruction, and the target language (Ranta, 2022). A plethora of studies in the current literature compares the efficacy of GI to deductive instruction as students work individually in computer-assisted language learning contexts (CALL) revealing …

Improving Collaborative Lesson Planning By Implementing Design Thinking In A Professional Learning Community, Kelli Jo Bellant

Theses and Dissertations

This research analyzes the effects of incorporating design thinking processes in implementing Professional Learning Communities (PLCs) towards collective lesson planning practices among elementary teachers. This study occurred at Forest Creek Elementary School (FCES), indicating a need to improve collaborative lesson planning. The study sought to determine how using a design thinking protocol in a PLC impacted teachers' views about collaborative lesson planning and whether participating in a PLC to co-create lesson plans impacted teachers' views of efficacy. The framework of the study was based on the social constructivism perspective and the design thinking model. This action research was conducted with …

“They’Re Just Kinda Fun”: Action Research Evaluating The Impact Of Gamification Tools On Secondary Social Studies Students’ Academic Self-Efficacy, Motivation, And Perceptions Of Learning, Anthony Wayne Blair Jr.

Theses and Dissertations

This action research study evaluated the implementation of a gamification strategy to improve academic self-efficacy and motivation in social studies students at Azul Mountain High School (a pseudonym). Keeping students engaged in school is a top priority for educators at all levels. However, students’ lack of engagement at the high-school level has become more detrimental. Improving self-efficacy has been linked to increased motivation, academic achievement, and improved learning outcomes. By making the learning experience more engaging for students, gamification may be a viable approach to the challenge of keeping students in high school. This study addressed three research questions: (a) …

"I Don't Want To Be Anywhere Near That Word!": The Experiences Of Jewish College Students Navigating Antisemitism, Sandra Greene

Theses and Dissertations

This comics-based research study was guided by HebCrit (Rubin, 2020) and explored the experiences of eight Jewish college students navigating antisemitism. This study was guided by four research questions including, (1) What are Jewish college students’ experiences with antisemitism?, (2) How do Jewish college students respond to personal experiences with antisemitism?, (3) How do Jewish college students respond to rising rates of antisemitism?, and (4) How does antisemitism intersect with other forms of oppression (e.g., racism, misogyny, etc.) for Jewish college students?

This study was conducted at a predominantly white and Christian university in the Southeastern United States with a …

Assessing The Accuracy, Validity, And Application Of A New Method For Sex Estimation Using Isotopic Ratios Of Fe, Cu, And Zn In Human Bone, Elizabeth Anne Wakefield

Theses and Dissertations

This dissertation evaluates the accuracy, validity, and application of a novel sex determination method based on isotopic variations in copper (Cu) and iron (Fe) within human bone, initially developed by Jaouen et al. (2012). The primary aim of this research was to test the reproducibility of the method, expand the sample to include a broader age range and ethnically diverse groups, and assess its applicability in forensic contexts using contemporary skeletal samples. Bone samples were collected from 60 individuals across two curated skeletal collections: the George S. Huntington Skeletal Collection and the Texas State Forensic Anthropology Donated Skeletal Collection. The …