Digital Commons Network^™

From Suicidal Ideation To Suicide Attempt: Clarifying The Role Of Painful And Provocative Events, Mallory Stephenson

Theses and Dissertations

The Interpersonal-Psychological Theory of Suicide hypothesizes that capability for suicide is acquired in part through exposure to physically painful and/or fear-inducing experiences, referred to as painful and provocative events (PPEs). Studies of PPE exposure offer an opportunity to characterize potential targets for suicide prevention and inform efforts to identify individuals at elevated suicide risk. However, the literature on PPE exposure and risk for suicidality has been limited by a reliance on cross-sectional designs, lack of genetically informed research, inclusion of risk-taking behaviors as potential PPEs, and focus on risk over resilience. In this dissertation, we aimed to address these knowledge …

Penalized Interpolating B-Splines And Their Applications, Kylee L. Hartman-Caballero

Theses and Dissertations

One of the most studied data analysis techniques in Numerical Analysis is interpolation. Interpolation is used in a variety of fields, namely computer graphic design and biomedical research. Among interpolation techniques, cubic splines have been viewed as the standard since at least the 1960s, due to their ease of computation, numerical stability, and the relative smoothness of the interpolating curve. However, cubic splines have notable drawbacks, such as their lack of local control and necessary knowledge of boundary conditions. Arguably a more versatile interpolation technique is the use of B-splines. B-splines, a relative of Bézier curves, allow local control through …

Implications Of Extremity: The Digital Nexus Between Black Metal Subculture And Right-Wing Extremism, Samuel G. Crawford

Theses and Dissertations

This study seeks to examine and offer potential explanatory frameworks for the apparent phenomenon of right-wing and similar extreme ideologies in the context of the musical subgenre of black metal and its corresponding subculture. Using Robinson’s (2007) analysis of classical symbolic interactionist theorists (Goffman, Cooley, Mead) in the context of digital spaces, this study conducted digital ethnography and discourse analysis of various online forums dealing with black metal and its subculture. In addition to this qualitative work, descriptive quantitative analysis of frequencies and proportions of thematic variables coded for extremity indicate that black metal does appear to have high instances …

A Radiographic Analysis Of Teeth With Carrier-Based Obturation Requiring Retreatment, Robert W. Rudnicki

Theses and Dissertations

Objective: The purpose of this study was to determine observer accuracy and agreement in detecting carriers using preoperative radiographs, as well as to identify potential radiographic indicators for the presence of carriers.

Methods: A chart review was conducted for patients seen at the VCU graduate endodontic clinic. Eligible cases included previously treated teeth that were nonsurgically retreated, with and without identified carriers. 100 cases were identified, including 61 carrier and 39 non-carrier cases. Preoperative radiographs were randomized, and evaluators assessed each case for the presence of carrier-based obturation. Evaluators included three endodontists, one general dentist, and four endodontic residents. Statistical …

Investigating Black Emerging Adult Health And Model Of Care Choices, Alexandra Wynn

Theses and Dissertations

This mixed methods study aimed to analyze the health profiles of Black emerging adults (who do not seek medical care for chronic condition management) college students to identify factors influencing their use of preventive services and their choices in healthcare plans. The study revealed distinct profiles of Black emerging adults based on patterns of factors related to their engagement with healthcare, such as barriers to care, insurance access, usual source of care, self-rated health, intention to seek care, discrimination, trust in physician, medical mistrust, and sex-assigned at birth. Interviews were conducted to investigate the similarities and differences among all participants …

Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson

Theses and Dissertations

Traumatic brain injury (TBI) disproportionately affects minoritized populations within the U.S., especially Native Americans who are more likely to experience a more severe or fatal TBI than White individuals. The current study used a subsample of 63 Native Americans with TBI from the TBI Model Systems (TBIMS) database matched by age, sex, and injury severity to 63 White individuals to examine disparities in community participation, as measured by the Participation Assessment with Recombined Tools—Objective (PART-O), over the five years following TBI. Analysis of variance (ANOVA) and chi-square tests revealed Native Americans were less likely to be employed prior to injury, …

Associations Between Childhood Trauma And Tobacco Dependence Among Latine Adults: Testing The Protective Effects Of Compassion For Self And Others, Camila Tirado

Theses and Dissertations

Tobacco dependence has posed a significant public health challenge in the United States and disproportionately affects Latine adults' risk of developing a variety of adverse health conditions. Childhood trauma is a recognized risk factor for dependence, overall health, and mental health concerns. Still, the influence of compassion for self or compassion for others in this context remains unclear. This cross-sectional study investigated the moderating effects of self-compassion and compassion for others on the relationship between childhood trauma and cigarette dependence among Latine adults. Data was collected through questionnaires assessing childhood trauma, self-compassion, cultural values and factors, compassion for others, and …

From Temporary Nurse Aide To Certified Nurse Aide: Examining Temporary Nurse Aides’ Perceptions Of Situated Learning As Preparation For The National Nurse Aide Assessment Program Examination, Amy Taloma

Theses and Dissertations

The Covid-19 pandemic exacerbated Certified Nurse Aide (CNA) staffing shortages in Long Term Care (LTC) facilities. To address these shortages, the Centers for Medicare and Medicaid Services (CMS) authorized LTC facilities to employ Temporary Nurse Aides (TNA). The American Health Care Association (AHCA) and the National Center for Assisted Living (NCAL) developed free online training for individuals which is much shorter than traditional nurse aide training and does not require hands-on skill training or a clinical practicum. The Federal Public Health Emergency (PHE) ended in October 2022. As a result, TNAs are no longer authorized to work in LTC Facilities …

“Black Wom(B)Anhood”: An Explorative Analysis Of Black Women's Narratives Of Healthcare Encounters During And After Pregnancy, Janae A. Baker

Theses and Dissertations

This qualitative study explores the intricate dynamics of patient-provider relationships within the context of prenatal care among Black women and how these experiences may affect their perinatal mental health. The study was conducted using a methodology consisting of structured interviews with 12 participants, snowball sampling facilitated recruitment. Thematic analysis revealed six prominent themes encapsulating the multifaceted interactions between Black women and their healthcare providers during the perinatal period. The findings illuminate nuanced aspects of the patient-provider relationship, shedding light on issues such as: (a) Anticipation of Low Quality Care, (b) Lack of Communication, (c) Listening, (d) Stereotype Threat, (e) Colorism, …

Online Racism And Mental Health Symptomatology Among Black Adolescents: A Longitudinal Examination, Stephen M. Gibson

Theses and Dissertations

Online racism (i.e., racism perpetrated and embedded within media and platforms on the Internet) is increasingly becoming a public health concern. Recent empirical evidence demonstrates that over a three year period, Black adolescents reported experiencing at least one online racial discriminatory incident, including exposure to racist images or videos within digital spaces (Tynes et al., 2020). One way in which Black adolescents are exposed to online racism is through the consumption of digital news media on the coverage of racially traumatic events (e.g., murders of Black men and women by police officers, racial hate crimes committed against Black people) and …

Fitbit Engagement In An Health Physical Activity Intervention For Young Adult Cancer Survivors: A Secondary Analysis Of The Impact Randomized Controlled Trial, Jessica Gomez Smith

Theses and Dissertations

Wearable devices allow for objective remote and real-time data collection and have been increasingly popular among the general public and in mHealth activity (PA) interventions. Despite this, our knowledge of feasibility and efficacy for using wearable devices to increase PA among a particularly vulnerable population—young adult cancer survivors age 18-39 (YACS)—is limited. Engaging in physical activity while undergoing cancer treatment contributes to reduced risk for recurrence and secondary cancers, and can also help to manage treatment side effects. However, there are a multitude of barriers to PA engagement among cancer survivors, with YACS in particular demonstrating low rates of PA. …

Community Informant And Mental Health Provider Perspectives On Access To Mental Healthcare For Lgbtqia+ Communities In Virginia, Chariz Seijo

Theses and Dissertations

The existing literature on mental health disparities for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) populations suggests members of LGBTQIA+ populations are at greater risk of mental health disorders than cisgender and heterosexual individuals. The COVID-19 pandemic has also exacerbated mental health disparities for many, including LGBTQIA+ populations. Combined with mental health provider shortages and anti- LGBTQIA+ bills across the country, inequities in mental healthcare are a significant concern. This qualitative study was designed to gather unique perspectives of key community informants and mental health providers on their experiences with mental healthcare provision to LGBTQIA+ communities in Virginia. …

Expect: A Speculative Documentary Filmed In Vr Utilizing The Role-Playing Method To Explore Disabilities And Ableism In Science Fiction, Leilei Xia

Theses and Dissertations

Expect is a speculative documentary filmed in Virtual Reality (VR) that features Chinese actors with disabilities to explore, challenge and reimagine the conventional ableist Sci-Fi tropes and the transhumanistic tendency to “fix” or eradicate disabilities through technological enhancement. I invited people with disabilities who are interested in Sci-Fi to do a Role-Playing with me in Virtual Reality (VR), in which they imagine themselves to be living in a future civilization, an alien planet, or an alternate universe. The participants came up with their own fictional characters and built their own world views. I interacted with them by asking questions and …

The Collection: A Third-Place Community Library Design, Camille Rovani

Theses and Dissertations

TOPIC

This project explores the significance of “third places”— informal public gathering spaces like cafés, parks, and libraries — and how design strategies in these spaces can help foster community connection and enhance well-being in a modern context.

PERSONAL RELEVANCE

While working a remote job during the pandemic, I experienced an overwhelming disconnect from the people around me. Like many people during that time, I was depressed. I then took an interest in the positive impacts of community connection on our health and well-being. I became fascinated by the concept of “third places,” a term coined by sociologist Ray Oldenburg …

Inspiring A Ripple: A Case For Evidence-Based, Biophilic Design For Affordable Housing, Chelcey A. Dunham

Theses and Dissertations

ABSTRACT

RELEVANCE

Currently in the US, 4 million families in need of affordable housing are not housed in affordable units and are spending 30-50% of their monthly income toward rent (Aurand, 2023.) Due to this shortage of affordable housing and the trajectory of its growth, advocacy groups and policy makers are making a push to fund more affordable housing projects. What if the designs of these projects were informed in such a way that individual and community mental health and wellness could be addressed in addition to meeting the demand for affordable, safe shelter? In this way, the return on …

Dune Dynamics- A Nature-Based Preschool, Aseel Alhaidari

Theses and Dissertations

Sustainability is a global issue that requires collaborative efforts. Environmental values and attitudes are shaped in adults by early exposure to nature. During the COVID-19 pandemic, remote learning increased the attention to nature-based learning from families and the press (Prochner, 2021).

Although many early childhood education approaches for the age group of 3-5 years recognize the importance of holistic development and focus on tailoring the learning experience to the developmental stage of young children, few emphasize the importance of integrating nature as one of the learning tools. Nature-deficit disorder in children means that children spend less time outdoors and in …

Dynamic Mathematical Approaches To Understanding Pain In Sickle Cell Disease, Quindel Jones

Theses and Dissertations

In the last 50 years, pain in Sickle Cell Disease (SCD) has become more widely studied thanks to advancements in technology and awareness. Clinical studies, population surveys, pharmaceutical trials, and computational models have been created and conducted to elucidate the mechanisms, treatments, and prediction of Sickle Cell disease pain episodes. Computational models have become quite useful in unraveling disease pathology with the rise in data collection accessibility and advanced computational power. In particular, dynamic mathematical models have been used to investigate Sickle Cell disease pathology and treatment. In this work we conduct a literature review of mathematical models used in …

Exposing The Camera: The Pedagogical Possibilities Of Critical Camera-Based Arts Curriculum, Oscar Keyes

Theses and Dissertations

Cameras are a ubiquitous part of our everyday lives, especially in schools, found in students’ smartphones and state-of-the-art surveillance systems. This research project emerged from an iterative redesign process of a Photography for Art Education course, structured around the camera’s dual nature as a tool for creative expression and social control. While cameras have long been used to address social issues through documentary techniques; this critical eye can be turned onto the apparatus itself. This study drew heavily upon the historical work of Allan Sekula (1986), who observed how easier access to cameras resulted in both democratization (for the People) …

Measuring The Properties Of Rod-Shaped Bacteria By Single-Entity Electrochemistry, Ashley Tubbs

Theses and Dissertations

Antibiotic-resistant bacteria pose a significant and escalating threat to hospitals around the world, necessitating the development of rapid and sensitive detection methods. Single-entity electrochemistry has emerged as a promising approach for detecting and identifying such bacteria, and monitoring the efficacy of antibiotics in real-time. Herein, we employ the translational diffusion equation for circular cylinders to predict the collision frequency of rod-shaped bacteria, informing our experimental setup. Our work demonstrates that lab-fabricated Pt ultramicroelectrodes can sensitively detect bacteria at femtomolar concentrations under migration-controlled conditions. Further, we present a method implemented in MatLab to automate the analysis of step-like signals observed in …

African American Adolescents' Exposure To Community Firearm Violence And Associated Factors, Colleen S. Walsh

Theses and Dissertations

Firearm violence is a public health crisis in the United States that disproportionately impacts African American adolescents and families living in economically marginalized communities. The current firearm violence exposure literature includes a limited focus on the (a) the identification of risk and promotive factors that influence the likelihood of exposure to community firearm violence, (b) is cross-sectional, (c) focuses on outcomes of firearm violence exposure, and (d) does not examine bi-directional relations to determine if risk and promotive factors are causes and/or consequences of firearm violence exposure. This gap in research is further exacerbated by the limited focus on African …

Double Jointed: Gendered Flexibility And The Overextended Self, Grace A. Bromley

Theses and Dissertations

This thesis explores compulsory domesticity and the impulse to overextend oneself, both pressures often associated with the construct of femininity. Through diving into my personal history, which includes growing up in a three-generational home of women, I explore mimesis as it functions in both the replication of identity and in terms of pictorial representation; specifically I address its relationship to gender, manifestation within the body, and the search for subjectivity through the process of making and thinking. In various forms of material explorations, I play with ideas of malleability, mimicry and “embedded” behaviors that are passed down and embodied in …

Investigating The Protein Interactome Of Escherichia Coli To Understand Metabolic Regulation When Proteins Bind: A Systems Biology Study., Shomeek Chowdhury

Theses and Dissertations

Proteins bind other proteins and work together as machines to perform many biological functions. Metabolic enzymes governing the life-sustaining metabolic reactions and therefore, metabolism are proteins which also binds other proteins. In this dissertation work, I have explored proteins when they interact with metabolic enzymes, play any role in regulating the cell’s metabolism. I study this phenomenon in Escherichia coli whose protein-protein interaction data is readily available in public databases with proper reference to the experimental study. Another good reason is the predictions we make in this computational study can be tested and validated in E. coli as it is …

Age Of First Dental Visit And Early Childhood Oral Health Quality Of Life, Richard Greene

Theses and Dissertations

Objective: This project aims to examine the association between the age of a child's first dental visit and their Early Childhood Oral Health Impact Scale (ECOHIS) score.

Methods: A 22-item cross-sectional survey was distributed to caregivers of healthy children aged 5 years and younger with an American Society of Anesthesiology (ASA) I and II status who presented for new patient exams.

Results: In total, 117 caregivers participated in the survey. The ECOHIS was assessed on a 5-point Likert scale and scores ranged from 0-52; higher values indicate poor oral health having a greater impact on the child and family. Those …

The Value Of Educating Teachers, Coaches, And Athletic Trainers On The Management Of Dental Trauma., Darlene W. Jean

Theses and Dissertations

Purpose: To investigate the benefit of educating teachers, coaches, and athletic trainers about dental trauma to prevent incidents and improve the management of students/athletes with dental trauma.

Methods: Teachers, coaches, and athletic trainers throughout the greater Richmond metro area were recruited via email. Participants answered a pre-seminar survey to evaluate their baseline knowledge and determine whether they have experienced dental trauma with their students/athletes previously. The participants were given the option to attend an in-person or virtual seminar educating them on the basic management of traumatic dental injuries and how to guide affected students/athletes and their families to obtain optimal …

Zaytouna: Rooted Histories In Uprooted Memories, Naima M. Almajdobah

Theses and Dissertations

Palestinians, whether living under occupation or—like myself—in the diaspora, experience a complex journey of displacement and dispossession stemming from the Nakba of 1948. This reality shapes our collective identity, rooted in our connection to our homeland.

Zaytouna explores an under-researched topic: the relationship between the olive tree and uprooted Palestinians. It reveals a rich tapestry of narratives that encompass the quintessential and everlasting relationship between a land and its people. The resulting interactive archival installation consists of two parts: audio recordings from Palestinians in the diaspora, which capture their memories and voices; and visuals, which represent the storytellers’ places of …

Clinical Outcomes Of Primary Anterior Esthetic Crowns In Pediatric Dentistry, Jenan Alahmad

Theses and Dissertations

Clinical Outcomes of Primary Anterior Esthetic Crowns in Pediatric Dentistry - A Prospective Cohort Study

By: Jenan Alahmad, BDS

A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University.

Virginia Commonwealth University, 2024

Thesis Advisor: Parthasarathy Madurantakam, DDS, MDS, PhD

Department of Pediatric Dentistry

BODY

Purpose: This prospective cohort study aimed to compare the effectiveness of restoring maxillary anterior teeth in children (aged 3-6 years) with three different materials: Zirconia Crowns (ZC), Resin Composite Crowns (RC), and Pre-veneered Stainless-Steel Crowns (PVSSC). The study aims to assess the Oral …

Fear Of God: Exploring Transformative Potential, Misunderstanding, Systemic Challenges, And The Future., Jermaine Ollivierre

Theses and Dissertations

This personal journey is a testament to the transformative power of play within my practice. It is a love story between me and the institution, sparked by my fervor for communal creativity in a graduate school environment. Through creative endeavors like public art installations and silent artist talks, I confront racial dynamics and institutional reluctance to engage with complex issues like Black Lives Matter. My personal experiences of alienation are woven into the broader themes of community building, communication, and systemic change. I navigate the complexities of group mentality and exclusion by deliberately using unconventional forms of expression, such as …

Asymmetric Cuh-Catalyzed Reductive Coupling Of Allenamides With Carbonyl And Imine Electrophiles, Stephen Collins

Theses and Dissertations

The carbon scaffold of many drugs and natural products contain multiple stereogenic centers bearing heteroatoms. As a result of this, chemists have long sought methods to efficiently install these multi-heteroatom functionalities. Reductive coupling reactions have been extensively studied over the past decades, and the allylation of carbonyls via the reductive coupling approach has been a key method for generating chiral allylic alcohols. This work utilizes inexpensive Cu for the asymmetric reductive coupling of allenamides with carbonyls or imines to simultaneously install two heteroatoms (either oxygen and nitrogen or nitrogen and nitrogen, respectively) onto the product. These molecules have a polarity …

Modeling Of Macroscopic Melt Splashing On Beryllium First Wall Panels Of Fusion Tokamaks Under Off-Normal Events, Cheng Zhang

Theses and Dissertations

Beryllium (Be) is a material which is used as a plasma facing component in tokamak reactors due to its unique properties of high thermal conductivity, low density, and high strength. However, under extreme conditions of high temperature and pressure, Be can melt on the surface of armor tiles and molten droplets can be ejected into the reactor chamber leading to disruption of fusion plasma. The variations of pressure, mass density, velocity, and temperature of Be vapor on the surface of melt layer as well as magnetic field strength and direction can influence the splashing of Be melt and their effects …

Paley Graphs, Prime Graphs, And Crossword Puzzles, Robert D. Jacobs Jr.

Theses and Dissertations

In this paper, we will talk about many different mathematical concepts. We will prove theorems about Paley graphs, prime graphs, and crossword puzzles. It will be very fun.

The results in the section about Paley graphs include structure theorems about the subgraph induced by the quadratic residues, the subgraph induced by the non-residues and a few related subgraphs. The main is to better understand the “independence structure” of the Paley graph itself. No good upper bound on the independence number of Paley graphs is known. Theorems about these subgraphs, and various counts aim at future improvement of upper bounds for …