Digital Commons Network^™

Tuberculosis In Jim Crow Virginia, 1900-1972, Elizabeth Dooley

Theses and Dissertations

Tuberculosis (TB) was a major public health concern in the United States, especially in the first half of the twentieth century. Transmission and treatment of the disease, which is spread between humans through close contact, was complicated by racial segregation laws in the South known as Jim Crow laws. Virginia subscribed to these laws, which played a role in how and where Black Virginians with TB could be treated. Segregated treatment facilities with an inadequate number of beds for the number of infected people and deaths in the state added to these complications of disease control and plan for eradication. …

Early Math Readiness And Later Achievement: A Longitudinal Study, Bailey Bontrager

Theses and Dissertations

The current body of literature provides much evidence that mathematics skills at the start of kindergarten are predictive of later mathematics achievement, and that students enrolled in early childhood education (ECE) programs are better prepared for mathematics at the start of kindergarten. However, the potential for children to develop mathematical skills prior to entering kindergarten relies on access to ECE programs and resources in families’ surrounding communities. Recent use of geospatial data collection techniques and measures of community resource availability have enabled researchers to examine specific localities for the ways in which community organizations and institutions support residents in particular …

Comparison Of Artificial Intelligence Vs Human Observer For Periapical Radiolucency Detection, Adam J. Pink

Theses and Dissertations

Objective: The aim of this study was to assess the performance of an Artificial Intelligence (AI) program (OverJet AI) with that of experienced endodontic residents, endodontists, a radiologist, and dental students in detecting periapical radiolucencies using radiographic images.

Methods: One hundred and fifty periapical radiographic images were analyzed using the OverJet AI software to determine the presence/absence of a periapical radiolucency as well as the size (small 1-3mm, medium 4-6mm, and large 6+mm). The unaltered images were also evaluated by two endodontic residents, two practicing endodontists, an oral radiologist and two 4th year dental students.

Results: Agreement between the AI …

Endodontic Access Through Zirconia Crowns: A Comparative Evaluation Of 3d Guided Versus Free-Handed Techniques, Maryam Alrughaib

Theses and Dissertations

Objective:

Accessing canals through full-coverage zirconia crowns is challenging and may increase the risk of misdirection, excessive dentin removal, and prolonged chair time. Guided endodontic access has been proposed to improve efficiency and precision. This study compared the accuracy and time efficiency of guided versus free-hand endodontic access through zirconia restorations. The hypothesis was that guided access would enhance canal localization precision and significantly reduce access time.

Methods:

Thirty-two extracted maxillary premolars were restored with 1-mm–reduced monolithic zirconia crowns (3Y-TZP, Katana HTML, Kuraray, Japan) and mounted in Modupro models. Teeth were assigned to two groups (n = 16 each): guided …

Use Of Transcranial Magnetic Stimulation As An Assessment Of Corticospinal Excitability In Individuals With Persistent Postural Perceptual Dizziness, Elizabeth Cornforth

Theses and Dissertations

Persistent postural-perceptual dizziness (PPPD) is a common, disabling, chronic vestibular disorder whereby individuals experience symptoms of non-vertiginous dizziness, unsteadiness, and sway or rocking that are present most hours of the day, most days of the week. Individuals with PPPD have been noted to have an increased burden of dizziness and reduced quality of life compared to other dizziness diagnoses. The cause of PPPD is not well understood which can lead to years of diagnostic testing, failed therapies, and poor symptom management. It is important to understand PPPD pathophysiology so that optimal treatment interventions can be developed for this disorder to …

Class-Aware Early-Exit Networks For Efficient And Secure Edge Deployment, Mohammed Ayyat

Theses and Dissertations

Edge devices increasingly run high-stakes machine learning workloads under strict latency, power, memory, and communication constraints. Deep neural networks provide the accuracy needed for tasks such as network intrusion detection, health monitoring, autonomous sensing, and human activity recognition, but conventional inference executes the same computational path for every input. Early-exit neural networks reduce average inference cost by allowing confident samples to terminate before the final layer. However, existing early-exit systems are largely class-agnostic: they allocate computation according to confidence or uncertainty, without considering that different output classes may carry different operational urgency. This dissertation develops class-aware early-exit inference, a framework …

Local Lung Delivery Of Ginkgetin For Therapeutic Intervention In Lung Fibrosis, Cimone L. Richardson

Theses and Dissertations

Lung fibrosis (LF) is a progressive, irreversible pathological condition in the lungs that is ultimately fatal. Current drug treatments (nintedanib, pirfenidone, and nerandomilast) slow disease progression but cause significant systemic adverse effects due to oral administration. Transient receptor potential vanilloid 4 (TRPV4), a mechanosensitive ion channel, may play a role in LF progression and represent a novel anti-LF target. Ginkgetin (GKT), a natural biflavonoid, is a potent TRPV4 inhibitor with anti-inflammatory and antioxidative properties. Local lung delivery could achieve high local lung concentrations while minimizing systemic exposure. Accordingly, this project evaluates GKT's therapeutic intervention efficacy in LF via local lung …

Managing Identity, Claiming Expertise, And Emotional Labor: A Constructivist Grounded Theory Of The Experience Of People With Serious Mental Illnesses In Primary Care, Jeffrey Ciak

Theses and Dissertations

People with serious mental illnesses (SMI) die 15 to 20 years before their peers without mental illness primarily due to chronic physical health conditions. Preventative care and treatment for chronic physical health conditions primarily occurs through primary care, but the experience of people with SMI in primary care is understudied. This constructivist grounded theory dissertation explored the experiences of people with SMI in primary care. Theoretical sampling resulted in 19 participants who were adults with SMI and long-term anti-psychotic use. Data was collected through one-to-two-hour long intensive interviews. The analytical process occurred concurrently with data collection. The abductive analytical process …

Real-Life Health Applications Of Wireless Sensing Using Edge Devices, Md Touhiduzzaman

Theses and Dissertations

Wireless sensing has emerged as a transformative paradigm that leverages ubiquitous radio-frequency signals for environmental perception and human activity recognition beyond their primary role in data communication. Unlike wearable sensors and camera-based systems, wireless sensing offers a non-intrusive, privacy-preserving, and cost-effective alternative that operates seamlessly under low-lighting conditions, through walls, and in non-line-of-sight (NLoS) scenarios. The growing availability of edge computing devices further enables real-time on-device data processing, making wireless sensing solutions highly suitable for in-home health monitoring and smart living applications. This dissertation investigates real-life health applications of wireless sensing through four completed systems, each addressing a distinct challenge …

Positive Body Image In Postpartum Women: A Psychometric Evaluation Of The Body Appreciation Scale-2 And A Phenomenological Exploration, Taylor Vashro

Theses and Dissertations

Postpartum women appear particularly vulnerable to body dissatisfaction due to the rapid physiological, emotional, and environmental changes that occur across the perinatal experience (Baskin et al., 2021; Nippert et al., 2021). Recent studies have demonstrated the experience of both negative and positive body image during postpartum (Rodgers et al., 2024; Watson et al., 2016). However, there is limited research regarding the measurement and exploration of positive body image in postpartum women. The current study aimed to: 1) evaluate the factor structure and psychometric properties of the Body Appreciation Scale-2 (BAS-2), a widely used measure of positive body image in postpartum …

The Development And Initial Validation Of A Measure Of Professional Mentoring Engagement Among School Counselors, Emily Kitching

Theses and Dissertations

This study describes the development and initial validation of the Mentoring Engagement Scale (MES), a self-report instrument designed to measure a person’s level of engagement in professional mentoring. Despite emerging evidence that professional mentoring may serve as a protective factor against the burnout and stress associated with school counselors’ roles and responsibilities, existing measures of mentoring are limited by weak documentation of development procedures, mixed psychometric support, and limited practical applicability. In two phases, the present study aimed to (1) evaluate content validity and systematically refine items grounded in Kahn’s (1990) theory of engagement and (2) investigate the preliminary psychometric …

Implementation Of Tg-351 Reference Dosimetry For A 6 Mv Photon Beam In An Mr-Guided Radiotherapy System, Nicholas A. Castellano Jr.

Theses and Dissertations

Magnetic resonance guided radiation therapy (MRgRT) combines magnetic resonance imaging (MRI) and radiation therapy to enable the visualization of anatomy in real time during treatment. The presence of a magnetic field in MRgRT affects charged particle radiation and detector responses, necessitating changes to traditional reference dosimetry procedures. The American Association of Physicists in Medicine (AAPM) Task Group 351 (TG-351) provides a formalism for reference dosimetry in MRgRT. In this study, the TG 351 formalism is used to perform reference dosimetry for a 6 MV flattening filter-free (FFF) photon beam from a Viewray MRIdian MR-Linac radiation therapy system. Beam quality determination, …

Dodgeballs And Dragons: Gamified Live Theatre In The Service Of Community Betterment, Teddy Mcpherson

Theses and Dissertations

This thesis qualifies and documents a new genre of interdisciplinary, interactive theatre called Dodgeballs and Dragons. It covers a brief history of Dungeons and Dragons and Theatre of the Oppressed (the two foundational works for the new genre) as well as previous uses of D&D as a form of theatrical entertainment. After establishing the precedence used to create this product, the rest of the thesis breaks down how to write, lead, and play these shows on a regular basis. The document culminates in collected data providing concrete evidence for the future of the form and its many applications.

Conceptual Concerns Regarding The Content Validity Of The Construct Of Gender Dysphoria In The Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition, Text Revision, Waverley Vesely

Theses and Dissertations

The diagnostic classification of gender dysphoria in the DSM-5-TR elicits a number of clinical, political, and philosophical concerns, ranging from those that are diagnostic and taxonomical in nature to those that fall within the domains of ontology, phenomenology, and hermeneutics. Part of the reason for the complexity of studying the diagnostic and nosological validity of gender dysphoria as an extant diagnostic classification is that, unlike many disorders, gender dysphoria is inextricably tethered to identity. While the recent change from gender identity disorder to gender dysphoria has nominally removed the status of disorder, in practice, both clinicians and the general population …

The Relationship Between Symptom Catastrophizing And Sociocultural Factors Among Adults With Persistent Sympathetic Activation Syndromes, Whitney M. Redemer

Theses and Dissertations

Persistent Sympathetic Activation (PSA) has emerged as a potential unifying mechanism underlying a range of complex chronic health conditions yet remains poorly characterized within biomedical and psychosocial research. Limited research has delineated how PSA manifests across diverse populations or how diagnostic and sociocultural factors shape lived experiences of this phenomenon; thus, the objective of the present study was to examine whether diagnostic certainty – operationalized as provider-confirmed versus self-suspected PSA-related diagnoses – is associated with symptom catastrophizing, and whether this relationship varies as a function of sociocultural factors. Drawing on data from a larger study aimed at characterizing the lived …

Foreign-National Families, Education, And Parenting: Unpacking The Influence Of Cultural Transitions On Child-Rearing And Expectations, Yuqi Zhang

Theses and Dissertations

This qualitative study examines how highly skilled foreign-national parents navigate parenting and educational decision-making within the context of cultural transition in the United States. While existing research on foreign-national parenting has largely focused on socioeconomically disadvantaged populations, less is known about families who possess substantial educational and professional capital. Despite these advantages, these parents encounter unique challenges related to institutional navigation, identity negotiation, and social constraints. Guided by Bronfenbrenner’s bioecological theory, Coleman’s social capital theory, Berry’s acculturation framework, and Yosso’s community cultural wealth model, this study explores how cultural background and migration experiences shape highly skilled foreign-national families’ parenting beliefs …

The Unexpected Day, Daniel Minninger

Mighty Pen Project Anthology & Archive

An ordinary morning at an Air Force detachment takes an unexpected turn when an Airman is called to recover the remains of a deadly aircraft crash. What he finds in the field will follow him for years.

Articles, stories, and other compositions in this archive were written by participants in the Mighty Pen Project. The program, developed by author David L. Robbins, and in partnership with Virginia Commonwealth University and the Virginia War Memorial in Richmond, Virginia, offers veterans and their family members a customized twelve-week writing class, free of charge. The program encourages, supports, and assists participants in sharing …

Resilience By Design: Evidence From The Richmond Resilience Initiative, Research Institute For Social Equity Rise, Morgan Woodle Phd, Albert Okwei, Yali Pang, Nakeina E. Douglas-Glenn

Research Institute for Social Equity

This report presents a programmatic evaluation of the Richmond Resilience Initiative (RRI), a guaranteed income program designed to support economic stability among Richmond Residents experiencing financial hardship. The evaluation focuses on participants in Cohort Two and Cohort Three, examining program impacts over the two-year periods during which participants received cash transfers. Guaranteed income (GI), the provision of recurring, unconditional cash transfers, has grown in popularity as a significant policy innovation for addressing economic insecurity and inequality in the United States.

Establishing A Nonmedical Cannabis Market In Virginia: Implications For Equity, Craig Dearield Phd, Anna Grace Causey, Rowan Baylosis, Nakeina E. Douglas-Glenn Phd

Research Institute for Social Equity

Virginia passed an adult-use (recreational; non-medical) cannabis law that went into effect on July 1, 2021. Allowing adult possession of cannabis requires the passage of laws and regulations that govern this market (often similar to tobacco or alcohol) due to the intoxicating nature of cannabis and to ensuring the safety of the production processes. Establishing a formal retail market can also address harms related to public health and criminal justice, and benefit state agencies and residents. In order to maximize benefits, Virginia must implement the market with an equity perspective to ensure just treatment for all residents and organizations.

From Custody To Care: Understanding Mental Health And Recidivism In The Criminal Justice System, India Cox

UROP Posters

Previous studies on genetic influences in mental health disorders have been shown to correlate with incarceration rates in families. Consequently, there are individuals within the criminal justice system under the clinical threshold of a mental health diagnosis; it has been found that almost half of the incarcerated population was arrested due to acting upon their mental health disorder, while 27 to 38 percent developed PTSD while imprisoned. Furthermore, the serious and exhausting cycle of recidivism within the criminal justice system highlights the failure to provide the necessary mental health treatment required to support rehabilitation while incarcerated and prevent reoffending upon …

Racism And Health In America: How Segregationist Policies Guided Tuberculosis Treatment In Virginia, Regina E. Mcrae

UROP Posters

Racial inequality has shaped many aspects of American life, with health care among the most devastatingly affected. Structural racism has long driven disparities in housing, education, employment, the justice system, and, most critically, health care. Environmental racism, food deserts, inadequate medical access, and racial stressors have contributed to worse health outcomes, as seen during COVID-19. Chronic conditions like hypertension, asthma, and heart disease disproportionately affect Black communities, increasing morbidity and mortality.

In the early 20th century, these inequities were even starker as tuberculosis ravaged the Black population. While public health measures were implemented, it took decades before sanatoriums were built …

Identifying Rna Splicing Changes During Alcohol Withdrawal Using An Optimized Rna-Seq Analysis Pipeline, Yasaswi Veera, Luana Martins De Carvalho, Amy Lasek

UROP Posters

Alcohol use disorder (AUD) causes long-lasting changes in brain gene expression and RNA splicing, particularly in the ventral hippocampus. This study analyzes RNA-Seq data from rats exposed to chronic alcohol and withdrawal to identify transcript-level and splicing alterations. An optimized RNA-Seq pipeline using STAR, FeatureCounts, edgeR, and WGCNA improved efficiency by 25-40% while maintaining consistency across 25 datasets. Results reveal changes in neural signaling and stress-response pathways associated with withdrawal. This work provides both biological insight into AUD and a reproducible computational framework for transcriptomic analysis.

Investigation Of Differences Between Perception Of Cell Phone Usage And Actual Cell Phone Usage Among Adolescents In Senior And Freshman Grade Levels, Benjamin Bouffard

UROP Posters

This study investigates the difference between the perception of cell phone usage and actual cell phone usage among teenagers in the ninth and twelfth grade levels. Existing literature focuses largely on the effect of screen usage on different aspects of health, including mental health and developmental changes in children. However, the relationship between the perception of screen time and actual screen time use has not been extensively studied. In this study, 111 freshmen and seniors at the Woodbridge Academy Magnet School in Woodbridge, New Jersey completed two online surveys. The first asked for their estimation of daily screen time over …

Victimization Trauma And Eating Pathology; A Global Perspective, Madisyn E. Feliciano, Cate Morales, Kelsey Hagan

UROP Posters

Introduction: Exposure to traumatic events is a well-established risk factor for eating pathology, including binge eating, purging, restricting, and excessive exercise. This association has been primarily explored in higher-income countries, like the United States. The goal of this study was to elucidate the associations among victimization trauma (physical assault, sexual assault, and other unwanted sexual experience assessed) exposure and (binge eating, purging, restriction and excessive exercise) in a global sample of women.

Methods: Participants were 2,458 women attending universities across seven countries (US, UK, Canada, Germany, Iran, Turkey, Colombia) who were recruited through their undergraduate participant pool. Students who completed …

A Sustainable & Universal Redesign Of Hickory Hill Park In Richmond, Virginia, Ren Hollis, Cynthia Lin, Kira Miller, Jackson Nivera, Patrick O’Shea, Corinne Tsou, Hayston Wines

UROP Posters

Urban green spaces provide essential environmental, psychological, and physical benefits, yet access to these resources is often inequitable. Cities are increasingly vulnerable to climate change, highlighting the need for adaptive design. This study focuses on the redesign of Hickory Hill Park in Southside Richmond, selected through a combination of site suitability analysis and qualitative survey. The guiding research question is: How can a park in Richmond be designed to optimize environmental resilience, accessibility, and community benefits?

The selection of a research location and scope used a mixed-methods approach integrating spatial analysis, environmental assessment, and community engagement. A site suitability analysis …

Postpartum Depression Screening Among Hispanic Women: Insights From Epds Literature, Gabriella A. Irizarry Negron, Sara Moyer

UROP Posters

Postpartum depression screening among Hispanic women remains an important but complicated issue, as differences in how the EPDS is used and current barriers to care may affect early identification and treatment. This poster, Postpartum Depression Screening Among Hispanic Women: Insights from EPDS Literature, explores how the Edinburgh Postnatal Depression Scale (EPDS) has been evaluated across studies involving Hispanic populations. Using a literature review approach, eight peer-reviewed articles were organized into an annotated bibliography and matrix to identify key trends in screening practices and outcomes.

Findings revealed three major themes: (1) EPDS cut-off scores for postpartum depression vary widely across …

The Myopia Epidemic: Integrating Genetic, Environmental, And Epigenetic Pathways To Define A Critical Window For Intervention, Pranavika Balaji

UROP Posters

Myopia, or nearsightedness, has increased rapidly worldwide and is now a major public health concern caused by both genetic and environmental factors. Current understanding shows that too much near work, limited time spent outdoors, and prolonged screen use contribute to abnormal eye growth in individuals who may already have a genetic predisposition. At the molecular level, epigenetic changes and shifts in DNA activity, often influenced by environmental conditions, affect the signaling pathways that regulate eye development and may help explain why myopia is increasingly common among children. This paper synthesizes recent environmental, genetic, and epigenetic research to explain how these …

East To West: Cultural Attitudes And The Perceptions Of Death, Hannah F. Ahmed

UROP Posters

Death is a universal human experience, but cultures teach people to interpret it in different ways. These interpretations influence how individuals understand dying, how they cope with loss, what support looks like, and what meaning death makes in their lives. Eastern, spiritual, and religious traditions emphasize death as a natural transition or return to divinity rather than an endpoint, and as something one must prepare for. In these contexts, people often grow up hearing stories, prayers, and teachings that situate death within a broader journey. Because of this, death becomes something familiar and speakable rather than distant or frightening (Naderi-Afif …

The Importance Of Hippotherapy: Improving The Lives Of The Disabled Through Alternative Therapy, Jennifer N. Stapleton

UROP Posters

For centuries, horses have been suggested as “healers” and “helpers,” although it wasn’t until the 1900s that horseback riding was scientifically proven as a treatment and rehabilitation method. The exploitation of hippotherapy, the implementation of the three-dimensional pelvic movement stimulated by the oscillation and gait of the horse to combat symptoms of diseases and disorders, has since become a flourishing field of study, but one that is often overlooked. Benefits of hippotherapy often include increased motor neuron function, facilitating proper anatomical alignment, and reducing spasticity. This research analyzes the diverse and dynamic nature of treatment that hippotherapy facilitates, exploring the …

Promoting Early Literacy: Engaging Communities To Empower Young Learners, Alexis I. Dillahunt

UROP Posters

Promoting Early Literacy: Engaging Communities to Empower Young Learners

Miles Dillahunt

Abstract

Early reading is a fundamental component of academic achievement, establishing a strong foundation for future learning outcomes. This poster examines the crucial relationship between early literacy skills and student success, supported by a comprehensive review of existing literature and empirical studies. Research consistently shows that children who engage in reading before age five are more likely to excel in elementary and secondary education, demonstrating enhanced vocabulary, comprehension, and overall academic performance.

A critical aspect of promoting early literacy lies in effective community engagement. Collaborative partnerships between schools, libraries, …