Digital Commons Network^™

Reclaiming The Appropriated Space Through Care, William P. Glaser

Theses and Dissertations

This thesis navigates the complex and (at times) frustrating experience of balancing caregiving and art making while attempting to converge both practices into one. The collaboration of caregiving and art making serves as a potential solution for those that struggle with the seemingly unreconcilable stratification of both activities.

Empowerment In Adolescents And Young Adults With Cystic Fibrosis, Rachel Holder

Theses and Dissertations

Adolescence and young adulthood is a pivotal time for individuals with cystic fibrosis (CF) that is characterized by increased self-management, transition to adult-oriented healthcare, and often a decline in treatment adherence and health-related quality of life (HRQoL) (Abbott et al., 2015; Modi et al., 2008). The literature regarding which factors are important for readiness to transition, treatment adherence, and HRQoL is limited in this population. However, empowerment has emerged as a salient construct in other disease groups (Acuña Mora et al., 2019; Burström et al., 2019; Kaal et al., 2017). As such, this thesis determined the convergent validity of the …

The Role Of Mindfulness And Compassion In Parochial Empathy And Prosocial Behavior Toward Out-Groups, Denise Zheng

Theses and Dissertations

As opposed to the tendency to empathize with and help one’s in-group members, there are often barriers to responding altruistically toward out-group members. Little is known about people’s capacity to cultivate intergroup prosocial responses through contemplative practices. This experiment examined the role of mindfulness instruction in parochial empathy and prosocial behavior toward an out-group, relative to compassion and relaxation instruction. A national sample of U.S. residents (N = 450) was recruited online through the on-line Prolific platform. Participants were randomly assigned to one of the three brief, structurally equivalent instruction conditions: mindfulness meditation, compassion meditation, or progressive muscle relaxation. …

Detection And Reporting Of Child Abuse And Neglect: A Survey Amongst Pediatric Dental Care Providers In The United States, Daniel J. Lander

Theses and Dissertations

Purpose: The purpose of this study is to survey pediatric dental care providers in the United States to evaluate their knowledge in the detection and reporting of child abuse and neglect (CAN). Methods: This study has been modeled as a cross sectional- survey based research study. Email invitations were sent to pediatric dentists, orthodontists, and others who work in pediatric dental practices in the United States through email lists of the American Association of Pediatric Dentists (AAPD) and the American Association of Orthodontists (AAO). The survey completion page included sample text and the public survey link for providers to use …

Flourish: Exploring Healing Environments In A Residential Treatment Setting, Emily D. Kalafian

Theses and Dissertations

The following project explores the ways in which our environments promote healing and support recovery through the design of a residential center for eating disorder recovery. The center will serve 8-10 young women as they seek recovery from restrictive forms of eating disorders. The center will accommodate the necessary staff personnel as well as spaces for supporting activities and wraparound services. The project intends to create a place for healing that feels safe, warm, and considers patients’ needs for autonomy, dignity, and a sense of control amidst disorder. This is a place to create meaningful relationships and to participate in …

She: Performing Biography As A Dramatic Narrative, Ashley J. Love

Theses and Dissertations

Abstract

SHE: PERFORMING BIOGRAPHY AS DRAMATIC NARRATIVE

By Ashley Love, Master of Fine Arts at Virginia Commonwealth University

Partial Fulfillment Statement:

Thesis submitted in partial fulfillment of the requirement for a Master of Fine Arts in Theatre Pedagogy at Virginia Commonwealth University.

Director: Dr. Aaron Anderson

Interim Director of Graduate Studies, Theatre Department

Amid the current wave of feminism, women continue to strive for equal ground within societal constructs. Progress is being made in the workplace, the arts, and media presence, but why does it seem that women’s stories of the past continue to be overlooked as if insignificant? This …

Wet, Flowering, Dry, Caroline A. Minchew

Theses and Dissertations

Wet, flowering, dry is a series of photographic works that explore how vernal pools are a macrocosm for holding memory and a site of omnipresent solitude and decay. This installation distills an embodied and ephemeral experience of how we are grounded in a network of invisible connections with our surroundings. This network becomes evident through biological, historical, and field research conducted at the vernal pools for over a year. Through slow observation and consideration of how multiple stories of place can weave together into a larger parable, Wet, flowering, dry reveals how the life cycle of a vernal pool is …

City Revitalization Through Adaptive Reuse And The Arts, Patricia D. Lamb

Theses and Dissertations

This study focuses on the stabilization and revitalization of two Historic Districts, in the City of Hopewell, Virginia. With artists as first stage revitalizers, an emphasis was put on bringing the arts to the area. Four vacant buildings in these districts were reinvented rather than removed. Three of the buildings are located in close proximity in the historic neighborhood of City Point. These vacant buildings, a church, a school, and a tavern, are destabilizing factors in a residential area. Focus was placed on the repurposing and modernization of the three buildings for today’s living, as artists' homes. Reuse of the …

Traumatic Brain Injury-Induced Changes Of Immune/Inflammatory Response In The Context Of Predisposition Of Alzheimer’S Disease, Alexandra Pedin

Theses and Dissertations

Alzheimer’s Disease (AD) is a progressive neurogenerative disease that affects millions globally. At this time there are no effective treatment options as the primary cause for AD is not fully understood. In addition to old age, genetic predisposition, and certain health conditions, traumatic brain injury (TBI) has been identified as a risk factor for AD. While the pathway that links TBI to AD is still largely unknown, the neuroinflammatory response to both conditions has been connected to the NLRP3 inflammasome. Due to its role in the innate immune system and proinflammatory cytokine mediation, the NLRP3 inflammasome could be a potential …

Defiantly Childlike: Using Aesthetic Resistance To Heal, Sarah K. Reagan

Theses and Dissertations

This thesis examines an alternative processing mechanism surrounding the act of healing after traumatic experiences in life. Using a methodology of iterative patterning and tool-pathing, a collection of inflatable garments and wooden mannequins analyzes defense mechanisms learned in early childhood development. This work highlights an essential body of recent scholarship that takes cuteification seriously to restore a childlike approach to mastering fear. This paper will review the definitions of cuteness and childlike humor and then describe how visual culture has implemented these components to subvert established power.

A Gun For Every Woman, Gentë Retkoceri

Theses and Dissertations

Six centuries ago in Kosova, my home country, unmarried women known as sworn virgins, were forced to adopt a male persona and carry a gun to protect themselves. But today, guns have become tools of oppression and violence against women. And while the legal system carries penalties for domestic violence, marital rape is excluded. To shine a light on, and expose the topic of hidden violence, my thesis uses artivism to address a sensitive but provocative issue, exhibiting a large-scale sculpture of a gun, designed to provoke raw emotions; to challenge visitors to consider the terror felt by women threatened …

Characterization Of Piezo2 Involvement In Stress-Induced Alterations To Gi Function And Nociception, Cristina Smith

Theses and Dissertations

Irritable Bowel Syndrome (IBS) is a functional gastrointestinal (GI) disorder marked by visceral hypersensitivity and changes in bowel function.Visceral sensation is initiated in the dorsal root ganglia (DRG) by primary afferent nerves that detect and transduce chemical and mechanical stimuli into electrical signals which relay to the central nervous system (CNS). The aim of this investigation was to characterize the role of Piezo2, a mechanically sensitive ion channel, located in nociceptive sensory afferents in the regulation of GI function in mice subjected to Water Avoidance Stress (WAS). Initially, body weight growth, colonic transit time, and somatic von Frey filament testing …

Viral Injection Of Rna Polymerase Ii-Interacting Protein Rprd2 In The Nucleus Accumbens Induces Anxiety-Like Behavior In Mice, Hannah E. Woolard

Theses and Dissertations

Anxiety and its related disorders have become increasingly prevalent as more awareness and acceptance of mental illnesses have come to fruition, especially in the light of the ongoing COVID-19 pandemic. Anxiety can affect anyone regardless of their age, sex, or social status and is currently the most commonly diagnosed mental illness worldwide (Bandelow & Michaelis, 2015). While there are several effective treatments available, the underlying brain mechanisms that cause anxiety are still largely unknown and further research continues to piece together the complex pathophysiology behind this disease. The use of laboratory animal models, such as mice, to induce and observe …

Shared Decision Making In Adolescence: The Role Of Race And Health Status, Mona L. Quarless

Theses and Dissertations

Youth participation in Shared Decision Making (SDM) is still a novel clinical practice with unique considerations. Moreover, though SDM has been touted as an effective model for patient-centered care it has largely been underutilized and under-researched in Black and Latinx adolescent populations. The current study examined the association of health factors that may relate to Black and Latinx adolescents, their families, and HCPs engaging in SDM. Specifically, I examined within-group racial differences in relation to health conditions (i.e., pain, obesity, mental health status) and SDM during adolescence. Measures of adolescent chronic pain, BMI status (overweight/obese), mental health symptoms (depression/anxiety), SDM …

Mindfulness Training To Enhance Emotion Regulation In A Polarizing Political Context: A Multimethod Investigation, Hadley Rahrig

Theses and Dissertations

The U.S. continues to show an upward trend in political polarization, perceived as a moral divide between liberal and conservative ideological groups. This moralization of political identity has contributed to the escalation of negative emotions (e.g., fear, anger, and hatred) directed towards political outgroup members. Although negative emotions are potent motivators of political intolerance, these emotions are nevertheless subject to regulation. Mindfulness offers a promising yet understudied emotion regulation strategy which may facilitate open receptivity towards opposing partisans. The present randomized controlled trial (RCT) examines the effects of short-term mindfulness training (MT) vs structurally equivalent Cognitive Reappraisal training (CT) on …

Exploring Predictors In The Receipt Of Patient/Family-Centered Care, Arami Anwell

Theses and Dissertations

Study 1

OBJECTIVES: The research aim of this study was to identify predictors associated with the receipt of PFCC among U.S. children/families

METHODS: Caregivers of 38,803 non-institutionalized children, aged 0 to 17 years, were surveyed by the National Survey of Children’s Health (NSCH) 2018–20019. Patient/family-centered care (PFCC) was measured using five components of health care delivery that were answered on a 4-point Likert scale. Logistic regression models were analyzed for the overall receipt of PFCC and each component of PFCC, with survey weighting added to adjust for complex sampling design.

RESULTS: Many predictors were associated with the receipt of PFCC. …

Chronic Adolescent Stress As A Predictive Factor For The Risk Of Developing Ptsd-Like Symptoms In Adulthood, Grace K. Young

Theses and Dissertations

Post-traumatic stress disorder is a stress and trauma based psychological disorder that is defined by the DSM-IV as an anxiety disorder that affects approximately 7.8% of people in the United States. PTSD is when those who suffer a traumatic event have intense and distressing feelings, emotions, and memories for a prolonged period of time after the event. A prominent feature of PTSD is the impaired ability to properly extinguish a fear response after a dangerous trigger or stressor is no longer present, also known as safety learning. Stressors are threats perceived within the environment that activate a response within the …

Evaluating Long-Range Transportation Plans For Mainstreaming Of Climate Adaptation Among Virginia Mpos, Sebastian L. Shetty

Theses and Dissertations

Despite the strides made towards addressing climate change through greenhouse gas (GHG) emissions reduction strategies, it has become increasingly apparent that attempting to mitigate the crisis in such a manner alone is insufficient. This thesis joins a growing body of research on how our societies must adapt to a changing climate, contributing more evidence on common barriers to adaptation and how they might be overcome. Through an attempt to evaluate the progress made towards mainstreaming, or integrating, climate change concerns into five Virginia MPOs’ long-range transportation plans (LRTPs), this study provides support for prior hypotheses around the potential for MPOs …

Dungeons And Devised Theatre: A Study Of Tabletop Gaming And Its Application In Playwriting And Character Development, Sabrina E. Becker

Theses and Dissertations

This thesis is an exploration of the connections and application of tabletop gaming in theatre. It looks at the initial process that was used in devising a play from tabletop gaming and also the applications of using tabletop gaming to further character development. This paper serves as a journal of first-hand accounts and interviews during this process so you may be inspired to build your own process either based in what you read here or discovering your own. There is a sample excerpt of the play to show what can be accomplished as well as other artistic works that came …

It Takes A Muscle: Wholes, Holes, And Other Voids, Saar Shemesh

Theses and Dissertations

IT TAKES A MUSCLE¹

In the BELLY of the BEAST, the HUMAN

in the deep end of a SWIMMING POOL

in a GRAVE, looking up/out from within

at the base of a CRATER, ABYSS, PIT

the room as a CRADLE, INCUBATOR

architecture as MOTHER MOULD.²

____________________________

¹ Title is borrowed and abbreviated: Spectral Display, “It Takes A Muscle To Fall In Love,” 1982.

² For what American-English delineates as ‘mold,’ British-English uses ‘mould’ and is more specific in its technicality. The former doesn’t distinguish in spelling between mold (fungus) and mold (mould). I’m not particularly a fan of …

Plan Quality And Isotoxic Dose Escalation Investigation Using A 0.35t Mr-Linac System In Ablative 5-Fraction Stereotactic Magnetic Resonance-Guided Radiation Therapy (Mrgrt) For Primary Pancreatic Cancer, Robert Eric Hawranko

Theses and Dissertations

This study investigates plan quality generated by an MR-Linac (MRL) treatment planning system (TPS) for 5-fraction stereotactic body radiation therapy (SBRT) of primary pancreatic cancer (PCa). In addition, an isotoxic dose escalation was investigated with the MRL TPS based on the stereotactic MR-guided adaptive radiation therapy (SMART) trial constraints. A clinical workflow was developed for adaptive and non-adaptive treatments with the MRL, on which a time-driven activity-based costing (TDABC) analysis was performed to quantify clinical efficacy. Fifteen Pca patients previously treated with a conventional Linac were retrospectively re-planned for this study. Three plans were generated for each patient: using the …

Effects Of Additive Manufacturing Techniques On The Magnetocaloric Properties And Chemical Stability Of Lafexcoysi13-X-Y Alloys, Binyam Wodajo

Theses and Dissertations

Additive manufacturing (AM) is an emerging process to fabricate net shape, intricate, engineering components with minimal material waste; however, traditionally it has been largely applied to structural materials. AM of functional materials, such as magnetic materials, has received much less attention and the field is still in its infancy. To date, AM of magnetocaloric regenerators for magnetic refrigeration (an energy-efficient alternative to the conventional vapor-compression cooling technology), remains a challenge. There are several magnetic refrigerator device designs in existence today that are predicted to be highly energy-efficient, on condition that suitable working materials can be developed. This challenge in manufacturing …

Multi-Modality Automatic Lung Tumor Segmentation Method Using Deep Learning And Radiomics, Siqiu Wang

Theses and Dissertations

Delineation of the tumor volume is the initial and fundamental step in the radiotherapy planning process. The current clinical practice of manual delineation is time-consuming and suffers from observer variability. This work seeks to develop an effective automatic framework to produce clinically usable lung tumor segmentations. First, to facilitate the development and validation of our methodology, an expansive database of planning CTs, diagnostic PETs, and manual tumor segmentations was curated, and an image registration and preprocessing pipeline was established. Then a deep learning neural network was constructed and optimized to utilize dual-modality PET and CT images for lung tumor segmentation. …

Using Molecularly Imprinted Polymers For The Selective Extraction Of Analytes, Haley A. Mulder

Theses and Dissertations

Sample preparation is a critical steps in bioanalysis. Traditional methods such as solid-phase extraction and liquid-liquid extraction are laborious and ultimately incapable of properly separating target analytes from matrix and interferents. The co-extraction of these components interferes with the analytical instrument’s ability to properly detect and quantitate analytes. Molecularly imprinted polymers (MIPs) are synthetic polymers that have been “imprinted” with a template analyte in a co-polymer system. MIPs are capable of selectively extracting analytes from complex biological matrices and can be employed in off-line, benchtop extractions or for on/in-line instrument extractions. MIPs offer faster and more selective sample preparation, leading …

Rational Design Of Flexible And Stretchable Electronics Based On 3d Printing, Yuanhang Yang

Theses and Dissertations

Flexible and stretchable electronics have been considered as the key component for the next generation of flexible devices. There are many approaches to prepare the devices, such as dip coating, spin coating, Mayer bar coating, filtration and transfer, and printing, etc. The effectiveness of these methods has been proven, but some drawbacks cannot be ignored, such as lacking pattern control, labor consuming, requiring complex pretreatment, wasting conductive materials, etc.

In this investigation, we propose to adopt 3D printing technology to design flexible and stretchable electronics. The objective is to rationally design flexible and stretchable sensors, simplify the preparation process, form …

A Case Study Exploring How The Zero Barriers In Stem Education Professional Development Program Affects Attitudes And Confidence Toward Teaching Stem Content To Students With Disabilities, Alison Dossick

Theses and Dissertations

This study was designed to assess how the Zero Barriers in STEM Education professional development (PD) course affected teacher attitudes and confidence in teaching science, technology, engineering, and mathematics (STEM) content to students with disabilities. A convergent mixed-methods case study analysis was used. The research questions were devised by examining answers on a pre-survey and post-survey. Documentation included a full analysis of two pre- and post-surveys, teacher implementation logs, team action plans, program evaluations, and semi-structured interviews. Barriers included time to plan and implement the outlined strategies and administrative and colleague support. This research uncovered some of the difficulties of …

Development Of Novel Intracavitary Intensity Modulated Brachytherapy Applicators For Optimizing The Target Coverage In Gynecologic Malignancies, Monte Carlo Simulation Dosimetry, Moeen Meftahi

Theses and Dissertations

Gynecologic brachytherapy (GYN-BT) is essential for treating cervical and endometrial cancers, the most prevalent female reproductive cancers. This technique enables high radiation doses to a target with rapid dose fall-off to protect adjacent healthy organs. This dissertation aims to address some of the limitations of intracavitary GYN-BT using an intensity modulated brachytherapy (IMBT) technique and Monte Carlo (MC) simulations.

First, a novel non-invasive shielded vaginal cylinder (VC) applicator was designed to provide optimized radiation coverage for the target volume at vaginal apex, site of most recurrences without BT, for endometrial cancer BT. Physical limitations of current applicators and their resulting …

Connected: Exploring Automation To Activate Aging In Place Success, Hallie W. Gillespie

Theses and Dissertations

MOTIVATION: There’s no place like home. Technological advances are now allowing us to live and work from anywhere. Spatial divides are disappearing through remote connections, creating a dispersion of the nuclear family, traditionally the prevailing caregivers for seniors. Older adults are projected to outnumber children under eighteen by 2034, a first in U.S. history (Census Bureau, 2019). This is not specific to America; “globally the population is aging. Since 1980, the number of people aged over 60 has more than doubled in size and is projected to do so again by 2050 to 2.1 billion” (United Nations, 2017).

ISSUE: There …

Supported Employment Services And Employment Outcomes For Low-Income Youth With Intellectual And Developmental Disabilities: A Case Control Study, Hannah Seward Phd

Theses and Dissertations

Transition-age youth, ages 14-24 years old, with intellectual and developmental disabilities (IDD) face unique barriers to entering the labor force when exiting high school. These barriers can be even more severe if the youth is from a low-income background. Supported employment (SE) services may help this population overcome these barriers and be employed in competitive integrated employment (CIE) settings. SE provides an employment specialist to guide them through obtaining and retaining a job (McDonough & Whittenburg, 2020; Wehman et al., 2007). However, limited research has been done on the SE experiences and outcomes of transition-age youth with IDD (Wehman et …

Academic Health Science Centers And Health Disparities: A Qualitative Review Of The Intervening Role Of The Electronic Health Record And Social Determinants Of Health, Wies Rafi

Theses and Dissertations

Literature on the magnitude of negative health outcomes from health disparities is voluminous. Defined as the health effects of racism, environmental injustice, forms of discrimination, biases in science, and sociological or socioeconomic predictors across populations, health disparities are part of an ongoing and complicated national problem that health equity programs are specifically designed to address. Academic Health Science Centers (AHC) institutions are a complex and unique educational-healthcare ecosystem that often serves as a safety net for patients in vulnerable and lower-income communities. These institutions are often viewed as one of the most uniquely positioned entities in the U.S. with an …