Digital Commons Network^™

“Buying Time Or Doing Harm?”: Tracing Contestation And Consensus In Debates On Puberty Blockers For Trans Youth, Dana R. Lavergne

Dissertations

The use of hormone blockers and other forms of gender affirming medical care for trans youth has emerged as a site of medical and political contestation, with 26 states passing legislation outlawing their use (Movement Advancement Project, 2024). Drawing from a multiple-methods approach, this dissertation examines the ways in which this contestation emerged and has been framed both in political case law and digital spaces, which a specific attunement toward how medical discourse is used to support arguments calling for either the allowance or ban of hormone blockers. This dissertation highlights the ways in which the families of trans youth …

Drawing The Curtain: A Grounded Theory Analysis Of The Conceptualizations Of Culture, Ethnicity And Race In Professional Training Materials For Child Life Certification, Kia Lee Ferrer

Dissertations

Objectives: Certified Child Life Specialists (CCLS) are pediatric healthcare professionals primarily working in hospital settings to support children and families in navigating the developmental challenges of hospitalization, illness, and enduring medical treatment. Recognizing the presence of racial and ethnic health disparities, coupled with the field’s notable lack of diversity (98% White female), the child life workforce is increasingly acknowledging the undeniable evidence that discriminatory behaviors adversely affect a child’s life and well-being. As advances in the social sciences increasingly reveal that discrimination functions as a "socially transmitted disease" in a child's life, I predict that the failure of child life …

Forgive As We Are Forgiven: Reframing A Trinitarian Model Of Forgiveness In A Post-Genocide Rwanda, Deogratias Mbonyumugenzi

Dissertations

This dissertation seeks to develop a theological model of forgiveness rooted in a relational conception of the Trinity. The central argument of this dissertation is that the model of forgiveness practiced in post-genocide Rwanda and the forgiveness modeled by Jesus, and testified to in the New Testament and developed in the Christian tradition, are good, but not sufficient to address the kind of trauma and human disrepair, as well as the devastation of communities, inflicted by genocide. Rather, a theology of forgiveness modeled on a relational conception of the Trinity and its practical implications for a Trinitarian ecclesiology and anthropology …

Youth And Parent Knowledge And Perceptions Of Spina Bifida: Associations With Neurocognitive Factors, Self-Management, And Quality Of Life, Olivia Emery Clark

Dissertations

Spina bifida (SB) is a common congenital birth defect with multiple and varied medical, physical, and psychological impacts. The objective of these studies is to examine youth and parent condition-related knowledge in the context of SB and associations with executive function, quality of life, and medical self-management. Collectively, these studies examine both qualitative and quantitative multi-informant data from youth with SB, their parents, and their teachers. The first study used growth analyses to examine changes in condition-related knowledge over time, predicted by executive dysfunction and inattention, and predictive of medical self-management skills. The second study used qualitative coding methods to …

Effectiveness Of A Classroom-Based Stress Awareness And Coping Skills Program Among Adolescents From Diverse Backgrounds, Adriane Van Zwoll

Dissertations

The ongoing youth mental health crisis in the United States, worsened by the COVID-19 pandemic, has highlighted the urgent need for accessible and effective school-based interventions. This dissertation evaluates the effectiveness of Stress Less: Resilience for Success™, a single-session, classroom-based stress awareness and coping skills program implemented by NAMI Metro Suburban in diverse middle and high schools in the western suburbs of Chicago from 2018 to 2024. Using the CDC’s Framework for Program Evaluation, this study analyzes secondary data from 7,225 pre-test and post-test surveys and is complemented by qualitative informational interviews with current and former NAMI staff and volunteers …

Situational Safety: Exploring The Relationship Of Environmental Change & Sense Of Belonging For Gsm Students In Academic-Required Internships, Nancy Goldberger

Dissertations

This research focused on recently enrolled undergraduates in programs including an academically required internship that bridges the transition between being a student at an IHE to being a professional in the field. Students who identify as LGBTQIA+ comprise a group referred to as Gender and Sexual Minorities (GSM) (Smalley, et al., 2018). The purpose of this research is to explore differences in the sense of belonging between students who identify as GSM their IHE versus experiences during their internship. The conceptual framework for this study draws on Maslow’s hierarchy of needs (1943), Chickering’s seven vectors of student development (1969), and …

Challenges In Providing Equitable Education For Primary School Students With Learning Disabilities In Zimbabwe: Teachers’ Experiences., Joyce Madzinga

Dissertations

This study examines the challenges primary school teachers in Zimbabwe face when supporting students with learning disabilities (LDs). Many learners with LDs are excluded from adequate classroom support due to systemic, cultural, and resource limitations. Learning disabilities are often under-recognized as compared to other disabilities because they are invisible. Raising awareness and empowering educators are crucial steps toward addressing these hidden needs and ensuring they are recognized and met. Six teachers were interviewed using a qualitative ethnographic approach. Findings reveal obstacles, including insufficient training in special education, limited teaching resources, high pupil-teacher ratios, negative societal attitudes, and poverty-related constraints. Additional …

Appearance Over Function - The Impact Of Long-Term Oral Contraceptive Use On Brain Development, Breast Tissue Composition, And Future Lactation Outcomes, Fiona M. Wang

Dissertations

This integrative review examines the long-term effects of combined oral contraceptive (COC) use beginning in puberty on brain development, breast tissue composition, and future breastfeeding outcomes. Puberty is a critical developmental stage during which hormonal changes significantly impact the neurological and reproductive systems. The introduction of synthetic estrogen and progestin through COC use during this time may disrupt natural hormonal pathways, potentially altering neuroendocrine signaling and breast tissue maturation. Such changes may have lasting consequences, including impaired milk production, a weakened milk ejection reflex, disrupted maternal-infant bonding, and reduced overall breastfeeding success. The review synthesizes findings from endocrinology, neuroscience, and …

Optimizing Hip And Knee Assistance For Walking And Sit-To-Stand Transitions: An Intrinsic Muscle Mechanics Based Predictive Approach, Neethan Ratnakumar

Dissertations

As the global population ages, the demand for wearable assistive technologies continues to rise, driven by their potential to enhance mobility and independence in older adults. Effectively designed controllers for lower-limb exoskeletons to assist sit-to-stand (STS) and walking are crucial for delivering efficient, safe, and comfortable assistance during daily activities. Traditionally, controller optimization involves biomechanical modeling and user-specific customization. Musculoskeletal simulations play a central role in this process by providing insights into human-exoskeleton interaction dynamics, thereby informing and refining control strategies.

This work presents a simulation-driven approach for developing exoskeleton controllers for walking and STS using two distinct methods: optimal …

Development And Implementation Of Novel Mass Spectrometric Methods For Metabolism Studies In Drug Discoveries, Huifang Yao

Dissertations

The field of drug discovery has evolved significantly over the past few decades, with a growing emphasis on understanding the metabolic pathways and biotransformation processes that influence the pharmacokinetics and pharmacodynamics of drug candidates. Novel mass spectrometric methods have emerged as powerful tools in this domain, facilitating the comprehensive analysis of metabolic profiles and enabling the identification of metabolites with implications for safety, efficacy, and overall drug development. However, challenges remain in quantifying metabolic flux—an essential aspect of understanding drug action—particularly due to the limitations of traditional isotope kinetic assays, which often involve lengthy sample preparation and the use of …

2+2 Doesn't Always Equal 4: A Mixed Methods Approach To U.S.-Born Children Of Immigrants' Cultural Identities And Belonging, Teriin Lee

Dissertations

Within the next generation, one in five adults born in the United States will be a child of immigrants. Despite this, research on children of immigrants is limited. Specifically, the scholarship on this growing demographic limited their experiences to cultural identity, as it pertains to belonging. Simply put, the literature supposes that children of immigrants’ cultural identities define their sense of belonging. Moreover, the literature lacks insight into the lived experiences of children of immigrants, despite the increasing prevalence of this population.

This study aimed to address how children of immigrants experience cultural identity and belonging. A mixed methods research …

Racial Identity And Belonging Among Asian American Undergraduate Students In The Midwest, Seema M. Dahlheimer

Dissertations

Asian American students are often deemed overrepresented in higher education, leading to inequities in admissions, scholarships, and student support. This perception feeds and is fed by the model minority stereotype, which characterizes Asian Americans as hard-working and high-achieving and creates intense pressure to succeed academically (Poon et al., 2016). In addition, Asian American college students often experience racism and xenophobia, which can undermine their sense of belonging on campus. However, in the Midwest, where their immigration is more recent and conversations about race are often framed in terms of Black and white, Asian Americans often feel invisible and othered (Lee, …

Can We All Get Along? Assessing Interdisciplinary Collaborations At A School Of Health Sciences, Merly Thomas

Dissertations

This study explores the process, conceptualization, and understanding interdisciplinary collaborations through a lens of organizational learning. More specifically, this research focuses on the barriers, challenges, definitions, and self-constructed metrics with a health sciences campus, situated in a religious institution in the Midwest. Through a single institution qualitative case study, this research interviews 16 participants, spanning across program coordinators, directors, and individuals in both operations and administration, to examine how a school of health sciences housed at an academic medical campus, operates across disciplines and departments, to advance interdisciplinary collaborations that foster a more productive and engaged workforce. Findings illuminate the …

Comprehending Students' Experiences With A Language Learning Resource Center: A Descriptive Phenomenological Study Of College Life And Belonging, Paulina Dzieza

Dissertations

This study explores the impact of Language Learning Resource Center (LLRC) services on college students' overall college experience and their sense of belonging on campus. In the constantly evolving world of higher education, higher education institutions work to provide welcoming spaces where students can flourish academically and socially. In higher education, where there is a growing focus on student support services, the LLRC is essential for promoting academic achievement, cross-cultural interaction, and social integration for foreign language learners. This qualitative study, guided by a combined theoretical framework of Community of Practice and Ethics of Care, aims to advance knowledge of …

The Residual Impact Of Slavery On How Enslaved Black Females Defined And Made Meaning Of Sexual Violence: A Content Analysis, Suzanne R. Bates

Dissertations

Thompson-Miller & Picca (2016) and Feimster (2023) argued that enslaved African American women, and even free African Americans after the Civil War were victims of non-consensual sexual activity and rape. The NISVS report revealed that before the age of 18 years old, 35.5% of African American women experienced contact sexual violence, 29.5% experienced non-contact unwanted sexual encounters, and 20.7% experienced rape (Basile et al., 2022). Researchers of slave scholarship have made the case for the importance of including discourse on slavery and enslaved Black females’ experiences when discussing present day sexual violence among Black women in the US today (Balfour, …

The American Politics Of Firearms - The Case Between Illinois And Missouri, Michael J. Thompson

Dissertations

The issue of gun control is a hot topic in the field of American politics. It is a huge issue in the field of political science and in American public policy. In 2023, there were 18,874 firearm deaths in the United States, excluding suicides. The highest was in 2021 with the firearm related deaths at 21,068. One side argues that firearms can cause serious harm and death while the other side argues they can also reduce the rates of gun violence. There are different opinions on how to resolve the issue of mass shootings across the country. According to prior …

Muscarinic Acetylcholine Receptor 1: Implications For Precision Medicine And Rett Syndrome Therapeutics, Mackenzie Smith

Dissertations

Rett syndrome (RTT) is a rare neurodevelopmental disorder caused by mutations in the gene coding for methyl-CpG binding protein 2 (MeCP2). Currently, there is no cure for RTT and few effective treatment options to address the social, cognitive, motor, and respiratory symptoms that patients face. With the goal of identifying novel targets, our lab performed RNA-sequencing experiments in human autopsy samples and found decreased levels of the M1 muscarinic acetylcholine receptor. We have established that potentiation of this receptor in a Mecp2+/- mouse model of RTT rescues social, cognitive, and respiratory phenotypes, providing support for using drugs that act on …

Biophysical Effects Of Altered Myosin Binding Protein Stoichiometry In Atrial Myofilaments, Kelly N. Araujo

Dissertations

Cardiomyopathies, such as hypertrophic and dilated subtypes, are leading causes of heart failure and are often driven by genetic mutations that disrupt the structure and function of the cardiac sarcomere. While much of the research has focused on ventricular involvement, the role of atrial sarcomere dysfunction remains unexplored. The regulation of contractile function by sarcomeric proteins in the atria remains poorly understood, especially the impact of protein stoichiometry among myosin binding proteins. Cardiac myosin binding protein-C (cMyBP-C) and its atrial paralog, myosin binding protein H-like (MyBP-HL), have been shown to have a stoichiometric relationship within the atrial sarcomere. These two …

Precarious Privilege: Exploring The Intersection Of White Teacher Habitus And Social Justice In International Schools, Kevin L. Workman

Dissertations

This qualitative study explored the underresearched phenomenon of White teacher allyship within an emergent diversity, equity, inclusion, and justice (DEIJ) movement in international schools. Gaining momentum in 2020 as a digital, postcolonial counterstory, the movement exposed structural inequities and racism across the international school ecosystem. Applying an antiracist reading of Bourdieu’s (1977) theory of practice, the study analyzes how White teachers (n = 8) from diverse international contexts understand, experience, and assess their participation in DEIJ activities. Thematic analysis of interview data corroborated the digital voices, explicitly identifying White supremacy as a key force shaping the field’s doxa. The study …

Archival Articulations Of Belonging: Resistance, Reimagination, And Resilience In School And In Incarceration, Caroline Hastings

Dissertations

Belonging is a universal desire, providing purpose and comfort, that supports our ability to survive and triumph through difficulty. A lack of belonging can impact one’s likelihood of becoming incarcerated. In turn, incarceration stigmatizes individuals and disrupts connections with family, friends, and community members. This study of individual’s experiences of belonging analyzed reflective written accounts created during incarceration. This phenomenological qualitative examination of belonging for formerly and currently incarcerated individuals, disproportionately people of color and individuals with disabilities, sought to deepen our understanding of belonging as a force in their lives. In the United States, high rates of incarceration impact …

Adapting To Change: Adn Faculty Perspectives About The Future Of Adn Education: A Qualitative Case Study, Linda D. John

Dissertations

The purpose of this qualitative single case study was to offer more insight into how the adoption of the BSN as the entry-level for nursing practice affects the future ADN education and what the change means for ADN faculty at multiple programs throughout regions of the United States. Eleven ADN faculty were sampled to acquire their perspective about this phenomenon.

Joint Kinematics And Kinetics During Vertical Jump Landings With Progressively Increasing External Loads, Darcie L. Yount

Dissertations

This study examined sagittal and frontal plane kinematics and kinetics during countermovement jump (CMJ) landings performed with either a traditional barbell (BB) or a hexagonal bar (HEX) across increasing submaximal loads in recreationally active males. Generally, hip and knee flexion angles and joint mean angular velocities decreased as loads increased. Hip extension and knee flexion moments increased as load increased up to 20 kg, at which point these values decreased. Performing the CMJ with the HEX exhibited increased frontal plane stability compared with the BB group. Additionally, the BB group exhibited stiffer landing strategies, with decreased sagittal plane joint angles …

Elizabeth Female Academy: A Historical Case Study Revealing Antebellum Mississippi's Role In Shaping The Southern Belle, Summer Cutrer Tierno

Dissertations

Historians and educational scholars have extensively examined the subject of women's education, resulting in a rich body of literature that traces its evolution over the centuries. Moreover, this body of work encompasses significant movements advocating for women's rights to education and the establishment of colleges specifically for women. Scholars have also analyzed the challenges women encounter in accessing educational opportunities, including societal norms, economic barriers, and institutional discrimination. Notable works highlight the contributions of key figures, such as Mary Wollstonecraft, who advocated for women's education in both historical and contemporary contexts. Overall, this comprehensive scholarship not only documents the advancement …

Exploring The Connection Between Emotional Intelligence And Academic Achievement In Senior Nursing Students, Kimberly Smith

Dissertations

The need for nurses is now greater than ever, with a projected shortage of nearly five million nurses by 2030. Several factors exist that hinder the number of practice-ready nurses, causing nursing programs worldwide to explore and re-examine admission practices and increase student retention rates. The American Association of Colleges of Nursing (AACN, 2024) reported that over 100,000 students were denied enrollment in baccalaureate and graduate nursing programs in 2024, indicating that maximizing admission processes is crucial in addressing the current nursing shortage. This emphasizes the need for greater participation to ensure that all students have access to the educational …

Applying Transcriptomics For Technology Development And Conservation In North American Marine Organisms, Cory Von Eiff

Dissertations

RNA biology is a rapidly expanding field, with many avenues of discovery among marine organisms. In this study, we analyze both mollusks and sawfish. First, we perform an evaluation of sRNA biogenesis pathways throughout Mollusca, with emphasis on the easter oyster, Crassostrea virginica. Understanding these molecules prescribes RNAi-based gene silencing approaches, benefiting genetic investigation and biotechnology. Similar to other animal groups, mollusks have conserved microRNAs (miRNAs), with some shared with ecdysozoans and deuterostomes; however, there is no evidence of an endogenous small interfering RNA (siRNA) pathway. These results suggest that long double-stranded RNA (dsRNA)-based RNAi is not appropriate for gene …

Examining Nonprofit Social Service Sector Burnout And Turnover: Trait Mindfulness As A Moderator Of Work-Life Balance And Compassion Fatigue, Melissa L. Brown

Dissertations

Nonprofit burnout and turnover surpass all national industries, specifically in the social services subsector. In contrast to their for-profit counterparts, nonprofit turnover rates remain on the rise. While literature indicates that one of the primary drivers of nonprofit turnover is burnout, more granular research proposes that nonprofit social service employees encounter a distinct form of burnout generated by the exposure to secondary traumatic distress known as compassion fatigue. This study investigated the antecedents of this phenomenon by examining trait mindfulness as a moderator of work-life balance and compassion fatigue among nonprofit social service providers. To sustain a workforce that provides …

Adolescent Students’ Adaptability During The Covid-19 Pandemic Impacting Their Academic Preparedness In College: A Qualitative Exploration Of Resilience In Secondary School Disruptions, Nicole Tyanne Jameson

Dissertations

This study, conducted several years after the onset of the COVID-19 pandemic, takes a unique approach to investigating the long-term effects of the pandemic-induced disruptions on adolescents during secondary schooling and their academic preparedness in college. The study combined a descriptive qualitative analysis of academic routine data with quantifiable resilience scores, providing a comprehensive understanding of the challenges students faced, their adaptability and resilience, and the overall impact on their education journey into college. This comprehensive descriptive qualitative study utilizes triangulation of quantitative data and qualitative approaches to understand the subject matter thoroughly. The quantitative scores meticulously analyzed resiliency and …

Establishment Of Neonatal Sepsis Predictors Utilizing Non-Invasive Monitoring Techniques, Dalton Janssen

Dissertations

Neonatal sepsis remains one of the leading causes of global neonatal mortality. Reactionary approaches for diagnosis and treatment have dominated the tactics in addressing neonatal sepsis but clinical intuition is an untapped resource that could lead to earlier prediction of sepsis onset. Nurses and other staff with specialized training and experience who have served as routine caregivers for a specific patient are able to identify when the patient’s status is altered. This clinical intuition may be substantiated by referencing specific patient trends in non-invasive measures over time. This retrospective, exploratory study examined whether variation in non-invasive monitoring variables could serve …

Investigating The Use And Acceptance Of Information And Communication Technologies By University Faculty In Liberia And Its Implications To Sub-Saharan Africa, Michael K. Gray

Dissertations

This descriptive, non-experimental, correlational quantitative study examines the relationship between components of the Technology Acceptance Model (TAM), the Unified Theory of Acceptance and Use of Technology (UTAUT), and Human Capital Development (HCD) in determining the use of Information and Communication Technology (ICT) among university faculty in sub-Saharan Africa (SSA). With the increasing importance of ICT in educational transformation across developing regions like SSA, understanding the underlying factors that influence ICT acceptance is essential for effective policy and implementation strategies. The researcher surveyed 336 university faculty in Liberia using a questionnaire designed to capture perceptions related to TAM constructs (perceived usefulness …

An Application Of Vocal Pedagogy For Thai Singers, Phitchaya Klimov

Dissertations

Vocal pedagogy incorporates diverse techniques and methodologies that aim to maintain longevity of the voice and to improve vocal performance, range, and tone. While vocal pedagogy has been extensively studied in Western music traditions, its application in the context of Thai singers remains unfamiliar. This dissertation will investigate the application of vocal pedagogy for Thai singers, with a focus on understanding the unique challenges faced by them. It will outline pedagogical approaches to address these challenges and will therefore lead to more authentic performances. “Complete mastery of the voice as an instrument is an idea toward which every singer must …