Digital Commons Network^™

Divided We Fall: Gender-Based Occupational Segregation In Kentucky’S Executive Branch 2012-2020., Hillary Mcgoodwin Abbott

Electronic Theses and Dissertations

Fifty-eight years have passed since the Title VII of the Civil Rights Bill of 1964 was signed into law, yet discrimination in employment still occurs; the Kentucky Executive Branch is no exception. This paper will use Theodore Lowi’s agency typology and EEOC categorical data from the 2012 and 2020 Kentucky Office of Diversity and Employment Training Semi-Annual Report on Female and Minority Employment (SAR) to identify gendered occupational segregation in three distinct Executive Branch agencies, address potential contributing factors and areas of change (Alkadry & Tower, 2006; Lowi, 1985; Newman, 1994; Escriche, 2007). Addressing any underlying discriminatory practices that may …

The Effect Of Telepractice On Vocal Interaction Between Provider, Deaf And Hard-Of-Hearing Pediatric Patients, And Caregivers., Abigail Betts

Electronic Theses and Dissertations

The purpose of this thesis is to examine how telepractice affects a vocal interaction between a speech-language pathologist (SLP), deaf and hard-of-hearing children who received cochlear implants (n = 7), and caregivers as they engage in speech-language interventions conducted in-person and via telepractice (tele). Frequency of vocalizations, vocal turns, pause duration, fundamental frequency (F0) mean and range, utterance duration, syllable rate per utterance duration, and mean length of utterance (MLU) were examined. The SLP vocalized more during in-person than tele-sessions, opposite result for the mother. There were more SLP-child turns during in-person sessions than tele-sessions; opposite result for mother-child turns. …

The Impact Of Volume Of Tissue Activation On Cortical-Striatal Networks And Verbal Fluency Declines In Post-Deep Brain Stimulation Parkinson's Disease Patients., Alexander Luke Alley

Electronic Theses and Dissertations

This study investigated the cortical-striatal networks of verbal fluency declines in 6-month, post-operative, deep brain stimulation Parkinson’s Disease patients. Nine Parkinson’s disease participants with implanted STN or GPi DBS systems were recruited for this study. Verbal fluency data was obtained from each patient preoperatively and 6- months post implantation. The stimulation-based volume of tissue activated area (VTA) of each target site (STN or GPi) was analyzed using Lead-DBS and Lead-Group. The white matter tracks intersecting each patient’s VTA, terminating in the pre-SMA, SMA, caudate nucleus, and anterior cingulate were investigated and correlated with verbal fluency declines. We found statistically significant …

Machine Learning Analysis Of Acoustic Attenuation Measurements For Cellular Characterization., John T. Moore

Electronic Theses and Dissertations

T-cell therapies have been gaining popularity in recent years due to their cancer fighting potential. With remission rates improving in this field of immunotherapy, the demand for T-cell therapies has also increased; however, the cell processing techniques for these therapeutic products have yet to rise to the level of demand. The manufacturing process takes too long and a significant amount of processed cell batches can fail to meet safety requirements. These limitations of cell processing can be detrimental to patients seeking T-cell therapies. While current products have improved the time it takes to manufacture these therapeutic products, there is still …

Covid-19’S Effects On Mortality Salience, Death Anxiety, And Worldview Defense, Sahvannah K. Shavers

Electronic Theses and Dissertations

Since late-2019, the world has been trying to overcome an invisible killer: COVID-19. With near constant reminders of the virus the knowledge that a tiny viral particle has potential to harm or even kill has become overwhelming for many. Terror Management Theory (TMT) suggests that when individuals are reminded of their own death people take part in culturally appropriate activities and defend their own culture as ways to alleviate this increased death anxiety. The current study aims to identify whether 1) reminders of COVID-19 prime death thoughts, 2) reminders of COVID-19 increase death anxiety, and 3) increased death anxiety from …

Effect Of Chemical And Physical Enhancers On The Skin Permeation Of Cromolyn Sodium, Miranda Holman

Electronic Theses and Dissertations

Cromolyn sodium (CS) has clinically shown to be an effective topical remedy for atopic dermatitis, however its physiochemical properties prevent efficient passive drug delivery beyond the outermost skin layer. This project aimed to optimize CS gel formulations and applications to improve drug delivery to the dermis of skin by examining various topical enhancement strategies. Oleic acid, salcaprozate sodium, and microneedles were investigated as enhancers for their effect on skin permeation of CS. In vitro permeation studies across dermatomed porcine ear skin tested CS gels to determine 24-hour drug permeation profiles and skin layer distribution of drug. Further, extraction method efficiency, …

Organizational Communication In Community Colleges: Staff Members’ Perspectives, Sinthea Reynolds

Electronic Theses and Dissertations

The purpose of this research was to determine if there was a significant relationship between scores on the Communication Satisfaction Questionnaire (CSQ) scale of effective managerial communication and scores on the Job Descriptive Index (JDI) scale of job satisfaction for non-faculty staff members at the participating community college.

A total of 75 non-faculty staff members from three separate community colleges in East Tennessee participated in the study. A modified version of the Communication Satisfaction Questionnaire (CSQ) developed by Downs and Hazen (1977) was used to collect data. The instrument used a Likert-type scale with a 7-point scale with eight dimensions …

Perceptions, Knowledge, And Attitudes About Long-Acting Reversible Contraceptives (Larcs) Among Women In Appalachian Tennessee, Fenose Osedeme

Electronic Theses and Dissertations

In Tennessee (TN), the rate of unintended pregnancies remains higher than the national rate (32.4% vs. 30.3%). Although long-acting reversible contraceptives (LARCs) are 99% effective in preventing undesired pregnancies; uptake remains low in rural and underserved communities. Previous research has provided some insight into women’s perceptions of LARCs; however, those guided by conceptual frameworks to understand the multiple influences that impact perceptions towards LARCs, especially among rural regions, are scarce. This multimethod qualitative study explored multiple influences that impact northeast Tennessee women’s perceptions and attitudes toward LARCs using the Socio-ecological Model (SEM) as a guiding framework.

The study comprised six …

Self-Measured Blood Pressure Monitoring In Hypertension Control: The Role Of Social Determinants Of Health, Current State In The United States, And Future Directions, Adekunle Oke

Electronic Theses and Dissertations

Hypertension, a medical condition, predisposes to other cardiovascular diseases, and can be impacted by the social determinants of health (SDOH). Self-measured blood pressure monitoring (SMBP) is an evidence-based approach to hypertension control, but not much is known about the influence of SDOH on SMBP. This dissertation aims to: 1) highlight the SDOH factors whose relationship with SMBP have been explored in research studies; 2) examine the relationship between SDOH and SMBP among United States (U.S.) adults with high blood pressure; and 3) examine the current state of SMBP in the U.S., highlight policy implications from the empirical study and provide …

Using Peer-Models And Aac To Increase Expressive Vocabulary In Preschool Children With Developmental Delays, Jazmine Wiles

Electronic Theses and Dissertations

The purpose of this study was to examine the effects of training peer models to implement the system of least prompts and model augmentative and alternative communication (AAC) on expressive language in children with developmental delays. Using a multiple probe across participants design, 4 students with developmental delays were trained to use a language output app on the iPad to communicate five common phrases. Results for 3 participants indicated a functional relation between the peer modeling and expressive language. One student did not complete the intervention due to excessive absences. In most cases, students increased verbal language. Two participants made …

The Effects Of Rejection Sensitivity On Attention And Performance Monitoring Event-Related Potentials, Elizabeth Ridley

Electronic Theses and Dissertations

Rejection sensitivity (RS) can have significant effects on interpersonal relationships. Previous research has shown the negative social effects of RS, but less is known about the cognitive implications of having high levels of RS. The current study examined the effect of RS on various event-related potential (ERP) components associated with performance monitoring (error-related negativity, ERN; feedback-related negativity, FRN) and attention (P300; late positive potential, LPP). Participants completed a social or nonsocial Flanker task and an emotional Stroop task. Results showed an increased ERN on error trials for individuals with higher RS. Although the FRN, P300, and LPP were not influenced …

Characterizing The Interaction Between Candida Albicans And Two Enterobacter Species, Abigail Cornett

Electronic Theses and Dissertations

Candida albicans is the most common human fungal pathogen. The relationship between C. albicans and Enterobacter bacteria have yet to be explored. The hypothesis of this study is that C. albicans and both E. aerogenes and E. cloacae have a positive relationship and work together to infect the host. In this study, the physical cell-to-cell interaction, molecular components of said interaction, and the impact of the interaction on a live organism were explored. Results indicate that Enterobacter adheres to C. albicans and inhibits growth with unidentified secreted molecules. Als1p has potential involvement in the attachment of E. cloacae to C. …

The Effects Of Schema-Based Instruction On Students At Risk For Or With Learning Disabilities, Molly Daniels

Electronic Theses and Dissertations

The purpose of this study was to examine the effects of schema-based instruction (SBI) on the correct response of 2 second-grade students at risk for or already determined to have a learning disability (LD) of comparison difference word problems. The study was a multiple probe across participants. Although the students did not use the RUN Strategy, one student’s ability to solve the word problems improved significantly after learning the strategy. Even though time was a factor in completing everything, the other student’s score did begin to improve after learning the RUN Strategy.

At What Price: Insidious Hegemony And Character Archetypes Woven Into Until Dawn, Courtney Harvey

Electronic Theses and Dissertations

Supermassive Games’s Until Dawn tasks its players with helping eight teenagers survive a night of terror. All eight playable characters may live or die depending on the player’s choices and gameplay proficiency. Despite its intricacies, the game still relies heavily on horror movie tropes, which the characters embody, and they face different treatment based on their gender, race, and sanity. Particularly, the weapons available to them and the scenarios for their deaths and survival contribute to trapping the characters within their given characteristics and forcing them into a role that they cannot ever fully break free from. While the branching …

Gratitude, Spirituality, And Attachment To God, Jessica Guajardo

Electronic Theses and Dissertations

Aspects of positive psychology, such as gratitude, have been widely studied to show improvements in one’s overall perception of their well-being. Similarly, religion/spirituality is a common avenue that is sought to find peace and comfort during difficult circumstances in the hope of increasing their subjective well-being and perceived meaning in life. This study seeks to explore if gratitude to God could affect one’s spiritual well-being in a similar fashion to how gratitude may improve other aspects of an individual’s well-being. Particularly, this study explores if divine gratitude mediates the relationship between spiritual well-being and attachment to God. Although most initial …

Adults With Disabilities: What Factors Create A Successful Transition From Higher Education To The Workforce?, Tiffany Elaine Brown

Electronic Theses and Dissertations

Individuals with disabilities face difficulties in both higher education and the workforce. While it would seem that they would be equipped to deal with these difficulties, high levels of college dropouts as well as pay gaps and high levels of underemployment suggest otherwise. Although there are many studies on disabilities and its relationship to singular factors, there is a lack of empirical study on the holistic relationship between disabilities and multiple factors. The purpose of this study is to explore how environmental factors, individual-external factors, and individual-internal factors are related to a successful transition from higher education to the workforce …

Bedside Shift Report And Patient Satisfaction, Kasandra R. Johnson

Electronic Theses and Dissertations

Each year, millions of deaths worldwide are caused by medication errors in hospitals. Some of these errors are accounted for through miscommunication during the change of the nurse shift report. One of the Joint Commission’s 2019 national patient safety goals for hospital programs was to improve communication effectiveness among caregivers since mistakes in a caregiver’s communication accounted for 37% of severe patient injuries. Safety is threatened by patients not being included. Therefore, adopting the bedside shift report allows patients to be actively engaged, reinforcing nurse-patient communication. The bedside shift report enables nurses to provide safe, high-quality, patient-centered care at the …

Positive Behavior Interventions And Supports Effectiveness In Southeastern Ohio, Kacey Ryan Cottrill

Electronic Theses and Dissertations

Abstract

The purpose of this study was to determine how leadership implemented the positive behavioral interventions and supports (PBIS) framework and what conclusions could be ascertained from implementing it. Leadership in southeastern Ohio districts was examined to understand how they used PBIS and if PBIS made significant differences before and after implementation. The comparison included demographically diverse areas (urban, suburban, rural) in southeastern Ohio. PBIS implementation was measured with the School-wide Evaluation Tool (SET) administered to district administrators. The resulting data from the SET and Ohio assessment scores showed no significant difference in PBIS implementation and fourth-grade reading scores of …

Stigma As A Barrier To Military Mental Health Services, Alicea Gray

Electronic Theses and Dissertations

A psychiatric disorder is perhaps an uncomfortable topic that isn’t discussed enough in the military. However, the nature of the profession (i.e., the possibility of combat exposure) increases the risk of mental health disorders in the military. Despite the increasing awareness of the effects of untreated mental health conditions, a treatment gap still exists within the military culture. The present study aims to describe the prevalence of stigma in the military, as well as examine related factors, such as leadership behaviors and the associations between endorsed and anticipated stigma and treatment seeking intentions. Utilizing a questionnaire, this study investigated the …

Revision Of A Nurse Residency Program, Atalie Y. Henderson

Electronic Theses and Dissertations

The organization that served as the study site for this project has two nurse residency programs that compete for resource allocation, space, informational materials, and human resources. The DNP project was conducted to combine the programs to eliminate waste and ensure the combined program met the Commission on Collegiate Nursing Education standards for accreditation of entry-to-practice nurse residency programs. A literature review was used to evaluate practice themes for a formal residency program, and Benner’s novice to expert theory was chosen to guide the program development. A team of nurse educators and managers met via teleconferencing to review the curricula …

Embodied Cognition In The Music Theory And Aural Skills Classrooms, Leslie Thompson

Electronic Theses and Dissertations

Applying concepts of embodied cognition positively impacts pedagogy in the theory and aural skills classrooms. This thesis defines a holistic view of the student and identifies how classroom instruction from that perspective can benefit student learning as well as overall well-being. The opening chapters provide a brief scientific background and connect concepts of embodied cognition with specific music theory and aural skills examples from an interview. A select survey of the music theory pedagogy literature also illustrates principles of embodied cognition. Based on this background, the final chapter presents new sample lesson plans and discusses how to adapt to student …

Development Of A Rating Scale For The Measurement Of Adult Social Skills, Jessica Cuitareo

Electronic Theses and Dissertations

Social skills are a person’s ability to adapt to the environment appropriately utilizing verbal and nonverbal communication (Matson et al., 2007). In accordance with the Diagnostic and Statistical Manual of Mental Disorders – fifth edition (DSM-5), individuals diagnosed with Autism demonstrate social skills deficits (APA, 2013). Such deficits may impact an individual negatively in developing and maintaining relationships, as well as occupational skills. However, assessments for adults are few and far between, as assessment has primarily focused on children. Therefore, the purpose of this dissertation was to create and pilot a measure of adult social skills, with the intention of …

Utilizing Prams And Healthy People 2020 To Examine Black Women’S Breastfeeding Behavior In Louisiana Prior To The Onset Of The Covid-19 Pandemic, Almetra Amayá Granger

Electronic Theses and Dissertations

No abstract provided.

The Understanding Of Risk Culture Among Risk Management Practitioners, William L. Raab

Electronic Theses and Dissertations

The study of risk culture is a recent phenomenon focusing on its impact on risk management programs after organizations continue to experience adverse events when implementing risk management programs. This interpretive phenomenological analysis aims to understand whether risk managers understand the impact of risk culture on their risk management programs through their lived experience. Semi-structured interviews of ten risk managers with at least ten years of experience in the risk management profession provided a rich context to support the findings of this study. Risk managers can identify aspects of risk culture, but they struggle to identify ways to change the …

Title Ix: Girls Call Foul, Robert Marcus Canonico

Electronic Theses and Dissertations

Few pieces of legislation have had more of an effect on public education in recent years than Title IX of the 1972 Education Amendments. Female athlete participation has increased considerably as a result of this regulation. The purpose of this study, which was conducted in the state of Texas, was to find out how athletic directors—male and female head coaches—felt about their campuses’ compliance with Title IX components. The study focused on the results of a survey instrument that included 14 Likert-scale items and a number of demographic questions. The goal of this study was to (a) look at how …

Understanding How To Promote Healthy Dietary Habits Among Parents Of Adolescents, Jazmine D. Collins

Electronic Theses and Dissertations

Adolescents in the United States today have record-high prevalence rates for childhood obesity and overweight, which are conditions that have lifelong negative health consequences for individuals, and also carry high financial and social costs for the entire nation. The disproportionate burden of obesity and associated health conditions falls on adolescents of racial and ethnic minority group identities and from lower-income households. The increased risk that adolescents have for developing conditions like childhood obesity is closely associated with youth having diets that are unhealthier than in the past. Parents have a large influence on the eating habits and preferences of their …

How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark

Electronic Theses and Dissertations

Abstract

Although there is a great deal of research on the causes of compassion fatigue, there is little research on prevention techniques or ways to combat compassion fatigue. The purpose of this qualitative phenomenological study was to discover if nurses are prepared to cope with occupational stress and compassion fatigue. A secondary purpose was to examine the perceived benefit that pet therapy can have as a possible stress reduction technique to decrease the effects of compassion fatigue. This research was conducted by gathering data via semistructured interviews. The researcher interviewed nurses who were currently practicing patient care and scored as …

Four-Day Modified School Systems In Rural Oklahoma, Bryan D. Akins

Electronic Theses and Dissertations

Over the past 40 years, school districts in rural areas have been forced to move to a modified four-day school schedule. As of 2019, 650 schools in over 25 states operate on a four-day modified school model. The purpose of this qualitative case study was to explore teachers’ and administrators’ perceptions of the four-day school week. Four research questions guided the study: (a) How do teachers and administrators perceive the four-day school system in Oklahoma?, (b) Why do teachers and administrators support or not support a four-day school system in Oklahoma?, (c) How do teachers and administrators perceive the impact …

Multi-Agent Pathfinding In Mixed Discrete-Continuous Time And Space, Thayne T. Walker

Electronic Theses and Dissertations

In the multi-agent pathfinding (MAPF) problem, agents must move from their current locations to their individual destinations while avoiding collisions. Ideally, agents move to their destinations as quickly and efficiently as possible. MAPF has many real-world applications such as navigation, warehouse automation, package delivery and games. Coordination of agents is necessary in order to avoid conflicts, however, it can be very computationally expensive to find mutually conflict-free paths for multiple agents – especially as the number of agents is increased. Existing state-ofthe- art algorithms have been focused on simplified problems on grids where agents have no shape or volume, and …

Effects Of Dissociation And Hyperarousal On Item And Association Memory, Naomi M. Wright

Electronic Theses and Dissertations

Dual representation theory (DRT) asserts that when an individual experiences an acutely stressful or traumatic event, encoding of memory of individual parts of an event (i.e., items) is enhanced, while connections between parts of an event (i.e., associations) is impaired due to peritraumatic changes in cognitive functioning. The current project sought to refine understanding of DRT by examining the differential effect of dissociation and hyperarousal, two common peritraumatic cognitive reactions, on memory for item and association information. Method: Using experimental methods from the cognitive study of memory, two studies evaluated how individual differences in cognitive states (Study 1) and experimentally …