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16th Annual Higher Ground Women's Leadership Conference, Grace E. Harris Leadership Institute, Virginia Commonwealth University, Kiara S. Faulks, Sianna Westley, Nakeina E. Douglas-Glenn

The Grace E. Harris Leadership Institute Publications

"Seizing Tomorrow, Today," challenges participants to develop a practice of Prospective Reflection- a deliberate practice of strategic foresight to aid in facing the challenges and opportunities that exist beyond us. Prospective reflection is unique because it forces us to capitalize on this time of era-defining moments and to imagine what is possible. Today's conference will aid you in translating your values into actions, your dreams into reality, and your hopes into happens. Delivered through a high-impact combination of short, narrative-driven lectures, interactive panels, and individualized strategic reflection activities, the day will culminate in an action plan for moving your leadership …

The Examination Of Health Care System Distrust As A Barrier To Utilization And Engagement Of Preventive Services In The Health Care System In Black Emerging Adults, With A Special Focus On Insurance Status And Usual Source Of Care., Alexandra Wynn

Theses and Dissertations

Health care system distrust is a well-known barrier to health utilization and engagement in older African Americans. However, it has not been explored in Black emerging adults, individuals 18- 26. It is important to explore the social and psychological effects of systemic barriers, such as health care system distrust, in this developmental period as emerging adults undergo unique demographic shifts, changes in sense of self, and identity exploration. Due to emerging adulthood being an exploratory and challenging transitionary phase, emerging adults have an increased susceptibility to preventable morbidity and mortality issues and decreased access to important preventive services. Thus, health …

Trajectories Of Medication Non-Adherence With Time-Varying Predictors And Association With Health Outcomes: A Comparison Of Classical Statistical Methods With Machine Learning Algorithms, Vasco Pontinha

Theses and Dissertations

Background: Medication adherence is a major obstacle to improving health care outcomes in long-term therapies for chronic diseases. According to the World Health Organization, interventions for improving medication adherence can have a higher impact on the health of the population than any other advance in medical treatments. Approximately 125,000 individuals die every year in the U.S. because of non-adherence to medication, representing societal costs of $100-289 billion. Previous research has successfully used group-based trajectories methods to identify similar longitudinal medication adherence trajectories. However, medication adherence is not an isolated behavior and is influenced by many factors that current interventions fail …

The Compass, Summer 2022

The Compass, 2018-

The Compass is an annual orientation guide for VCU students produced by the Student Media Collective in the VCU Student Media Centered. The guide is distributed physically during summer orientation sessions for new and transfer students. The publication includes short articles, illustrations, letters of welcome from students and administrators, comics, and advertisements from VCU and Richmond organizations.

Comparison Of Peak Skin Dose Calculated By Patient Radiation Dose Monitoring And Tracking Systems Versus Solid-State Detector Measurements, Vincent D. Gargaro

Theses and Dissertations

This study aims to compare the Peak Skin Dose (PSD) that patients obtain from fluoroscopy procedures. The study will show the differences between the PSD measured and calculated from a solid-state detector and the values the unit is displaying. Also, the study will compare PSD measurements from Patient Radiation Dose Monitoring and Tracking Systems (PRDMT). Numerous parameters need to be obtained to depict the PSD that a patient is receiving accurately. The PSD is crucial in assessing the potential biological effects of radiation.

The formalization used to derive the calculated PSD in this study has been established by Jones, A. …

Rational Design Of Metal-Organic Frameworks (Mofs)-Based Functional Materials Towards Better Air Quality, Zan Zhu

Theses and Dissertations

Air pollution is a major threat to environmental safety and public health. Volatile organic compounds (VOCs), particulate matter (PM), and airborne microorganisms are three typical air pollutants. Conventional strategies to prevent and mitigate air pollution have been employed, which, however, are generally passive. For instance, VOC sensing through solid-state devices is a conventional approach, which, however, is not capable of capturing and removing VOCs. On the other hand, air filters and face masks are useful equipment to protect people from inhaling PM and airborne microorganisms. But most commercial filters can only capture them on the surfaces, which may cause secondary …

Design And Exploration Of New Models For Security And Privacy-Sensitive Collaboration Systems, Ramandeep Kaur Sandhu

Theses and Dissertations

Collaboration has been an area of interest in many domains including education, research, healthcare supply chain, Internet of things, and music etc. It enhances problem solving through expertise sharing, ideas sharing, learning and resource sharing, and improved decision making.

To address the limitations in the existing literature, this dissertation presents a design science artifact and a conceptual model for collaborative environment. The first artifact is a blockchain based collaborative information exchange system that utilizes blockchain technology and semi-automated ontology mappings to enable secure and interoperable health information exchange among different health care institutions. The conceptual model proposed in this dissertation …

Clear Aligner Therapy In The Mixed Dentition: Indications And Practitioner Perspectives, Nicholas M. Lynch

Theses and Dissertations

Introduction: This study evaluated current trends and perspectives among orthodontists regarding clear aligner therapy in the mixed dentition (CAMD), including insights into perceived indications, compliance, oral hygiene, and other factors.

Methods: An original, 22-item survey was mailed to both a randomized, nationally representative sample of practicing orthodontic specialists (n = 800) and to a specific, randomized sub-sample of high-aligner-prescribing orthodontists (n = 200). Questions assessed respondents’ demographic information, experience with clear aligner therapy, and perceived advantages/disadvantages of CAMD compared to fixed appliance therapy (FA). Responses were compared using McNemar’s chi-squared and paired t-tests to assess CAMD versus FA. …

Varied Levels Of Fructose Consumption Induce Physiological, Cognitive, And Mitochondrial Alterations In Aged Female Rats, Emilie L. Bjerring

Theses and Dissertations

Since the 1970s, fructose consumption has dramatically increased within the United States, as well as the world. While adolescents tend to be the largest consumer of fructose, mostly seen in the form of sugary beverages, the consequences of a high fructose diet started in adulthood can also have severe implications on physiological parameters as well as cognition. Several studies have linked fructose consumption to metabolic syndrome, a clustering of symptoms related to overall health, with particular emphasis placed on obesity, type II diabetes, and the relationship with Alzheimer’s Disease. These findings largely stem from the outcomes of studies on cognition, …

Parental Attitudes Regarding The Primary Dentition, Dental Decay, And Trauma, Kathryn Dundervill

Theses and Dissertations

Purpose: The purpose of this study is to identify the ability of parents in the VCU Pediatric Dental Clinic to recognize signs of decay and trauma and to determine their knowledge regarding the primary dentition.

Methods: This is a cross-sectional study that determined parental attitude and knowledge toward the function of primary teeth, childhood dental decay and dental trauma. Study data was collected through REDCap, a secure web-based survey application. Parents who brought their child to the VCU Pediatric Dental Clinic for a new patient examination or a recall examination were included in the study. The survey was only formatted …

Direction Modulated Brachytherapy For The Treatment Of Cervical Cancer, Dylan Richeson

Theses and Dissertations

Purpose: To evaluate and compare the performance of 9 experimental DMBT tandem models of varying physical dimensions in relation to 24 previously planned HDR cervical cancer treatment plans from multiple institutions that used conventional tandem and rings or ovoid applicators.

Methods and Materials: The DMBT tandem is designed to be used concurrently with IGABT and is made from an MRI-compatible tungsten-alloy rod with 6 channels grooved out of its periphery. 9 experimental DMBT tandem prototypes were provided. Each of the models was of equal lengths but varied in thickness, channel diameter size, and circle channel diameter size. Replanning …

Investigating The Effects Of Psilocybin On Models Of Anxiety, Recognition Memory, And Depression-Like Behavior And The Role Of The 5-Ht2a Receptor In Mediating Psilocybin’S Impact On Behavioral Despair, Nikita Thakur

Theses and Dissertations

Psychedelics are a class of hallucinogenic substances that exert their effects through serotonin (5-HT) receptor agonism, particularly at the 5-HT₂ receptor, which is further characterized into the 2A, 2B, and 2C subtypes. While some research studies indicate that psychedelics mediate their effects via 5-HT_2A receptor agonism, others show that it is not necessary to induce these effects. Recently, there has been a growing interest in psychedelic-assisted therapy as a promising alternative for treatment of anxiety and depression, two of the most common psychiatric disorders worldwide associated with significant morbidity. Although antidepressants and pharmacological interventions for anxiety have revolutionized …

The Interaction Of Moral Identity And Recognition On Fundraising Behavior, Craig O. Fulton

Theses and Dissertations

The research examined the role of moral identity in motivating prosocial behavior, specifically volunteer fundraising measured in dollars via Facebook fundraisers for the Spina Bifida Association, a national nonprofit organization. I predicted a three-way interaction of moral identity symbolization, internalization, and recognition (i.e., public acknowledgment of the gift by the organization) to predict prosocial behavior. When moral identity internalization is low, I hypothesized that high moral identity symbolization will motivate recognized prosocial behavior due to the opportunity to have one’s prosocial behavior in a public venue. In contrast, when moral identity internalization is high, prosocial behavior would be motivated regardless …

Exosomal Mirnas As Biomarkers For Radiation Toxicity In Breast Cancer Patients, Mina V. Mcginn

Theses and Dissertations

Radiotherapy (RT) is a standard treatment for most breast cancer patients (BCPs), but is often accompanied by acute and late toxic effects in normal tissue. Exosomes are nano vesicles about 30-150nm in size that originate from the endosomal network and are found in most body fluids. Exosomes are a fundamental driver of intercellular communication by transferring proteins, lipids and microRNA (miRNA). Exosomal miRNA (Exo-miRNA) signatures may serve as non-invasive prediction biomarkers of post-radiation toxicities of BCPs. Eighty six BCPs treated in the Radiation Oncology Department were enrolled in an IRB approved study. BCPs were evaluated weekly during RT and at …

Theta Burst Brain Stimulation In Painful Diabetic Neuropathy Patients: Investigating Neural Mechanisms, Bhushan Thakkar

Theses and Dissertations

Chronic pain (CP) is a significant contributor to disability and disease burden globally. In 2019, approximately 50.2 million adults (20.4% of the US population) experienced chronic pain, contributing to $560-635 billion in direct medical costs. In addition, the worldwide prevalence of diabetes mellitus has reached epidemic proportions and is set to increase to 629 million by 2045. Almost 50% of patients with diabetes present with diabetic neuropathy (DN), and one in five patients with diabetes presents with painful DN (pDN) which is the most common cause of neuropathic pain (NP) in the US. Symptomatic treatment is the mainstay of management …

Anthracyclines Attenuate The Nrf1-Mediated Bounce-Back Response, Bader Albalawi

Theses and Dissertations

Proteasome inhibitors, such as carfilzomib, are FDA-approved to treat multiple myeloma and mantle cell lymphoma. Unfortunately, proteasome inhibitors have only produced clinically significant results in patients with hematologic cancers, despite their predicted pan-cancer utility, and even hematologic cancer types frequently show intrinsic and acquired resistance.

One proposed mechanism responsible for the proteasome inhibitors' shortcomings is the NRF1-mediated bounce-back response. Identification of drugs that can potentiate the action of proteasome inhibitors could overcome resistance in patients with hematologic cancers and expand proteasome inhibitors' use to treat solid tumors. Our previous studies have identified anthracyclines as potential compounds that interfere with the …

Low Loss Plasmon-Assisted Integrated Photonics, Dhruv Fomra

Theses and Dissertations

Photonic integrated circuits (PICs), semiconductor chips with both photonic and electronic elements, are seeing rapid development and have the potential to transform several industries, such as autonomous driving, computing, telecommunication and quantum networks. However, realization and wide adoption of PICs across the various fields faces a key challenge – soze disparity between electronic (~0.01 um) and photonic components (~100’s of um). Plasmonics, a technology which confines light to the interface of metals and dielectrics, has a potential to address challenges. In particular, it has been shown to led to smaller devices (~10 um or less), enabling higher density optical circuits …

Examining Ayahuasca Constituents At 5-Ht2a Receptors In Search Of Antidepressant Action, Jeremy D. Rolquin

Theses and Dissertations

Recently, it has been reported that ligands of the 5-HT_2A receptor can have drastic and fast-acting efficacy towards a number of different mental health disorders, such as depression and anxiety. A mixture of Amazonian plants calledayahuasca contains multiple compounds which have been shown to interact with the serotonergic system, and the 5-HT_2Areceptor in particular.

The structurally similar compounds (DMT, harmine, harmaline, and tetrahydroharmine) found in ayahuasca were examined for differences in their physiochemical properties that might contribute to their binding affinity for the 5-HT_2Areceptor. 3D Molecular modeling and docking studies of these compounds were …

Intergenerational Transmission Of Alexithymia As A Predictor Of Child Posttraumatic Stress Outcomes During Covid-19, Casey Burton

Theses and Dissertations

The objective of this study was to test the role of parent alexithymia in explaining why some children are functioning relatively well during the COVID-19 pandemic while others are experiencing poor mental health. Participants were 88 U.S. children (M_age = 9.94 years; 54.5% female; 59.1% White) and their parents/caregivers (68.2% female; 59.1% White). Two models were tested: a path model in which the association between parent alexithymia symptoms and child COVID-19-related posttraumatic stress symptoms (PTSS) was mediated by child alexithymia symptoms, and a moderator model in which the association between parent alexithymia symptoms and child PTSS was moderated …

The Role Of Human Dopamine Transporter Threonine 261 And Serine 262 In Amphetamine Regulation Of Transporter Function And Surface Expression, Sina Abdollahi

Theses and Dissertations

Amphetamine (AMPH) has been used clinically and recreationally around the world for years. A 2021 study reports a 67.5% rise in AMPH use from 2010-2017 across all fifty states. Study also shows that 30% of patients with AMPH-induced psychosis end up with primary psychosis over time. AMPH works by inhibiting monoamine (Norepinephrine (NE), Serotonin (5-HT), and Dopamine (DA) reuptake followed by triggering transporter mediated monoamine release and consequently increases monoamine concentrations in extracellular synaptic space. AMPH also works as a substrate for monoamine transporters, enters the neuron, and once its inside the neuron, it will prevent the storage of monoamines …

A Method For Predicting Dose Changes For Hn Treatment Using Surface Imaging, Sarah E. Holler

Theses and Dissertations

Head and neck cancer is commonly treated with a six- to seven-week course of radiotherapy, during which a patient’s anatomy may change substantially, due to target reduction or weight loss. Anatomical changes lead to reduction in treatment quality due to decreased setup reproducibility and altered dose deposition compared to the original plan. Few clinics have developed a standard method for triggering resimulation and replan due to anatomic changes. This work investigates a new method for determining when to resimulate and replan HNC patients by utilizing their topographic anatomical changes to predict differences in planned versus delivered dose distributions. The first …

Identification Of The New Synthetic Opioid Bucinnazine And Its Metabolites Using Liquid Chromatography Tandem Mass Spectrometry (Lc-Ms/Ms), Karissa N. Resnik

Master of Science in Forensic Science Directed Research Projects

In the past 20 years, the rate of opioid use increased drastically in the United States. The country has experienced an enormous number of deaths caused by opioid overdose, opioid use disorder (OUD), as well as other harms as a consequence of the high numbers of opioid prescriptions. Fentanyl, a well-known synthetic opioid, has been a contributor to the opioid crisis since 2013 due to its popularity in clinical and illicit use. It has a high potency, which makes it an effective analgesic but a dangerous illicit substance. A new synthetic opioid, bucinnazine, has recently become a new black-market opioid …

The Analysis Of Commercially Available Kratom Products In Richmond, Virginia, James H. Fleming Jr

Master of Science in Forensic Science Directed Research Projects

Kratom is a novel psychoactive substance that has gained popularity within the past ten years. Originating from Southeast Asia, the leaves of the Mitragyna speciosa tree contain two principal alkaloids, mitragynine and 7-hydroxymitragynine, that play a key role in opioid-like effects. Twenty-nine kratom products were obtained from tobacco shops in the Richmond, Virginia area, including powders, teas, capsules, extracts, and a carbonated beverage. Samples were analyzed using Direct Analysis in Real Time-Mass Spectrometry (DART-MS) for kratom alkaloids, labeled ingredients, and other possible organic compounds. Inductively Coupled Plasma-Optical Emission Spectroscopy (ICP-OES) was used to quantitate aluminum, arsenic, copper, iron, magnesium, nickel, …

Development Of A Loop-Mediated Isothermal Amplification (Lamp) Assay For Detection Of Mirnas, Alisha B. Whelan

Master of Science in Forensic Science Directed Research Projects

Body fluid identification serves a vital role in contextualizing biological evidence received in forensic laboratories. While several fluids can be presumptively detected using immunological or catalytic tests, these tests are susceptible to false results and have limited sensitivity. True confirmatory testing is still somewhat limited in forensic laboratories. With the advancement of DNA typing technologies, laboratories can develop DNA profiles from trace amounts of sample, increasing the demand for sensitive and accurate body fluid detection. This project proposes using loop-mediated isothermal amplification (LAMP) as a method to rapidly detect microRNAs (miRNAs) that are differentially expressed in various body fluids with …

Determination Of Cotinine Concentration In Urine By Liquid Chromatography Tandem Mass Spectrometry, Allison Beckett

Master of Science in Forensic Science Directed Research Projects

Tobacco use can cause lasting health conditions which can lead to death. Tobacco exposure comes from obvious sources like smoking or chewing tobacco, however these are not the only administration methods. Secondhand smoke exposure can affect even those who choose not to expose themselves to tobacco, which also opens them to the health issues that come along with tobacco use. Tobacco contains many different compounds, one of which is nicotine (Kataoka, 2009). Although nicotine is the most abundant compound in tobacco, it does not stay in the body for long periods of time. Nicotine metabolizes into cotinine which is more …

Assessing The Detectability Of Cannabinoid Analogs (Delta-8 Thc, Delta-10 Thc And Cbd) And Their Major Metabolites In Six Commercial Cannabinoid Urine Screening Kits, Ashley A. Pokhai

Master of Science in Forensic Science Directed Research Projects

Background:

There has been an exponential surge in the presence and use of cannabinoids since the federal legalization of hemp (Agricultural Improvement Act of 2018), which involves the legalization of medical use, adult recreational use, and decriminalization of cannabis in several states. This growth is not only attributed to ∆9-tetrahydrocannabinol (∆9-THC) and cannabidiol (CBD), the most abundant phytocannabinoid components of cannabis and hemp, respectively, but with many other emerging THC analogs. Structurally, these analogs are similar to ∆9-THC, yet very little information is available about their potency and even less information is available regarding their detectability using commercially available cannabinoid …

A Blueprint For The Charles City Public School’S “Community Den”, Lisa M. Cooper, Larry L. Frazier, Ian B. Kunkes, Adrienne D. Quarles-Smith

Doctor of Education Capstones

Charles City County Public Schools (CCPS) submitted a Request for Assistance to work with a capstone team that would conduct a thorough analysis of the Community Den program and offer a blueprint that would sustain the Den’s efforts well into the future. To address this request, a doctoral Capstone team primarily utilized qualitative methods of data collection in a 3-phrase approach, including, an extensive process of literature review, asset mapping, which is a strength-based approach of connecting communities with resources, document analysis, site visits, interviews, and focus groups. These approaches allowed the capstone team to gain a better understanding of …

Facilitating Equitable Access And Retention For Underrepresented Students At The University Of Mary Washington, Michael K. Abelson, Alvin R. Bryant, Marra Hvozdovic

Doctor of Education Capstones

Higher education institutions are facing increasing pressure to find new ways to attract, retain, and graduate the diverse populations of college students. As a result, colleges and universities need to adapt to the changing demographics of students who benefit from more sustained and engaged forms of support that are responsive to their specific social, cultural, and economic backgrounds. This sequential mixed methods study seeks to understand the ways in which the University of Mary Washington serves its underrepresented students in order to develop strategies to enhance the recruitment and retention of Black, Hispanic/Latinx, low-income, and first-generation college students. Building on …

Bowling Green Main Street Revitalization Plan, Amy Guzulaitis

Master of Urban and Regional Planning Capstone Projects

The Town of Bowling Green is a historic, rural community located in Caroline County, Virginia. The Town is the pride of residents who enjoy the community and small town nature of the area. The Town currently has a small arts business cluster and sought ways to use that, as well as the Main Street Method, as a basis for spurring revitalization in the Town. Research Methods & Findings Today, the Town of Bowling Green faces challenges to its future growth and development due in part to the small market size available. Demographic indicators from ESRI Business Analyst show that Bowling …

Spatial Disparities Analysis Of The City Of Richmond, Virginia's Neighborhood Park Amenities, Molly Mallow

Master of Urban and Regional Planning Capstone Projects

Spatial disparities analysis of the City of Richmond, Virginia's neighborhood park amenities. Using both demographic data and in-person assessment data, neighborhood park amenities in 11 neighborhood park sites throughout the City of Richmond, VA were assessed to identify potential spatial disparities in the quality, quantity, and types of park amenities available throughout the city.