Digital Commons Network^™

From Surface To Subtext: Portrayals Of Success In Superfund Remediation., Haley Metcalf-Wade

Electronic Theses and Dissertations

Superfund sites represent some of the most contaminated and environmentally sensitive areas in the United States. How these sites are portrayed can significantly influence public perception of environmental risks, the effectiveness of remediation efforts, and the overall state of environmental health. Regulatory agencies like the Environmental Protection Agency (EPA) are entrusted with safeguarding public health and the environment. How they communicate about their actions, successes, and challenges directly impacts public trust and perceptions of their accountability. This dissertation examines the manifest and latent metrics used by the Environmental Protection Agency (EPA) to determine success in Superfund remediation by focusing on …

Testing The Feasibility And Acceptability Of A Mindful Self-Compassion Group Workshop Among Individuals With Eating Disorders: A Pilot Study., Brenna Mary Williams

Electronic Theses and Dissertations

Background. Shame and self-criticism are mechanisms shown to influence eating disorders (EDs). Self-compassion has been theorized to target shame and self-criticism and is a protective factor against EDs. One intervention shown to increase self-compassion and reduce shame and self-criticism is the Mindful Self-Compassion program (MSC). However, MSC has yet to be tested among individuals with an ED diagnosis. The current study investigated the feasibility, acceptability, and preliminary outcomes of MSC delivered in a live, online format among individuals with an ED. Methods. Sixty-one participants completed baseline questionnaires measuring ED symptoms, trait self-compassion, self-criticism, and shame. Participants also answered questionnaires at …

Relation Between The Negative Cognitive Triad, Perceived Everyday Discrimination, Depressive Symptoms, And Tnf-A In Adolescents., Ashley Ann Marshall Dondanville

Electronic Theses and Dissertations

This study is based on Beck's cognitive stress-vulnerability model of depression and previous research on (a) the increased risk for severe illnesses associated with TNF-⍺ (i.e., an inflammatory cytokine), (b) the effect of perceived everyday discrimination (PED) on depressive symptoms and TNF-⍺, (c) the association between depressive symptoms and TNF-⍺, (d) and findings that the negative cognitive triad (i.e., negative views of the self, world, and future) serves as a partial mediator between PED and depressive symptoms. The purpose of this study is to integrate Beck’s model and these different research lines by inspecting the associations between the stressor PED …

Bayesian Approaches In Multi-State Markov Models And High Dimensional Time-To-Event Data., Yuchen Han

Electronic Theses and Dissertations

This dissertation consists of two projects. The first one involves nonparametric methods on Continuous Time Markov Chains (CTMCs). The second one is centered around Bayesian shrinkage models for detecting prognostic and predictive biomarkers in high-dimensional clinical data. Both these projects build on methods from across the frequentist and Bayesian paradigm to offer novel solutions. In the first project, we aim to model the nonlinear effects of continuous variables within multistate framework in a non-parametrically by appealing to the rich mathematical framework of Reproducing Kernel Hilbert Spaces (RKHS). Then we adapted the classical Representer Theorem to penalized (squared norm) log-likelihood which …

Exploring Medicaid Stigma In Kentucky., Malea Hoepf Young

Electronic Theses and Dissertations

Health insurance is only one of many factors involved in becoming and staying healthy, but the importance of having coverage in the U.S. cannot be overstated. Medicaid provides health care coverage for millions of Americans, with enrollment increasing dramatically after the Affordable Care Act allowed states to expand eligibility. While there is a great deal of research on the impacts of Medicaid expansion on newly eligible adults, there is little research on negative attitudes towards people using Medicaid, or on Medicaid stigma. This study used qualitative methods to conceptualize stigma around Medicaid through discussions with individuals using Medicaid and enrollment …

Denoising And Super-Resolution Of In-Vitro 4e Flow Mri In A Stenotic Phantom Model Using Physics-Informed Neural Networks., Shrouk M. Wally

Electronic Theses and Dissertations

In recent years, the use of 4D flow MRI has revolutionized cardiovascular imag- ing by providing comprehensive data on blood flow dynamics over time. However, the limited spatial and temporal resolution of this imaging modality can hinder the accurate assessment of complex hemodynamic phenomena. This thesis explores the application of Physics-Informed Neural Networks (PINNs) to enhance the resolution of 4D flow MRI data, thereby improving its clinical utility. PINNs are a class of neural networks that integrate physical laws into their training process. By embedding these physics equations, PINNs can discover the underlying physics of fluid dynamics to produce more …

Exploring Chronic Stress, Avoidance Coping, And Diurnal Cortisol In Head And Neck Cancer Patients: A Pilot Study Of Best Practices In Diurnal Cortisol Sampling., Brooks R. Harbison

Electronic Theses and Dissertations

Cancer patients are vulnerable to the deleterious effects of chronic stress, especially those prone to avoidance coping. Research in the general population has linked these effects to aberrant diurnal cortisol. However, the current literature on cancer patients has shown inconsistent results in associations between chronic stress, avoidance coping, and diurnal cortisol, possibly due to inconsistent cortisol sampling practices. This pilot study of head and neck cancer patients aimed to address this gap in the literature by implementing best cortisol sampling practices to investigate the links among chronic stress, avoidance coping, and diurnal cortisol slope, average bedtime cortisol, and average wake …

Enriching The Pcos Lifestyle, Callie Coleman

Electronic Theses and Dissertations

Polycystic Ovary Syndrome (PCOS) is an endocrine disorder affecting approximately 4 – 20% of women worldwide. It is associated with insulin resistance, fertility problems, and an increased susceptibility to chronic conditions through multiple inflammatory pathways. Women with PCOS are also at increased risk for disordered eating. The Mediterranean diet is associated with decreased inflammation and risk of chronic conditions, and intuitive eating principles are associated with decreased disordered eating patterns. The purpose of this study was to determine if a six-week nutrition education workshop incorporating information and skills related to both the Mediterranean lifestyle and intuitive eating principles can improve …

Outside The Box: Examining The School Experience From The Perspectives Of Early Leavers, Caitlin Armstrong

Electronic Theses and Dissertations

Public schools in America are experiencing a massive decline in student enrollment, resulting in school consolidations and closures across the nation. (Dee, 2023). This decline has many implications, particularly in rural areas, such as Northeast Tennessee. These implications and the public pressure to maintain high graduation rates and academic outcomes, require school leaders and policymakers to reflect on who is leaving public schools and why. This phenomenological study explored the school experiences and perceptions of individuals who left the traditional high school prior to graduation. In-depth interviews were conducted one-on-one with 13 participants via an online video conferencing platform who …

Analysis Of The Relationship Between Flow Patterns In The Post-Stenotic Region Of Model Arteries And Stenosis Severity., Michael Laroche

Electronic Theses and Dissertations

In this study, contour fields of mean age and turbulence kinetic energy (TKE) in the post-stenotic region of model arteries were analyzed to explore their correlation with FFR. While both high and low FFR cases exhibited similarities with an inner low-age region and an outer high-age region, low FFR cases displayed asymmetry in their low-age regions due to eccentric stenosis. Moreover, gradients of age across the artery diameter were more pronounced for low FFR cases. Additionally, low FFR cases demonstrated significantly higher TKE in the post-stenotic blood jet stream compared to high FFR cases that are reflected in low-age boundary …

Carboxen Micropreconcentrator Performance For Analyzing Btex In Air., Raymond Daniel Spargo

Electronic Theses and Dissertations

Volatile Organic Compounds (VOCs) are a class of toxic chemicals in environmental air associated with several serious health risks. Some of the most common and concerning VOCs are Benzene, Toluene, Ethyl Benzene, and Xylene (BTEX). To maintain healthy air quality in these environments, researchers pursue instruments and processes to quickly and accurately predict sub-ppb concentrations of BTEX in indoor and outdoor air. By employing a micropreconcentrator (μPC) to combine Solid-Phase Micro-Extraction (SPME) with Gas Chromatography Mass Spectrometry (GC-MS) analysis, trace BTEX content in air samples can be captured, extracted and analyzed. In this thesis, a dual-compartment μPC with Carboxen 1000 …

Patterns Of The Use And Perception Of Cannabis Among College Students In Tennessee, Jayla Ruffus-Milner

Electronic Theses and Dissertations

Cannabis has been historically difficult to research due to its federal scheduling. However, as legalization of cannabis medically, recreationally, or both in states across the country has increased, so has the need to address the research gaps that persist. The purpose of this study was to explore the patterns of cannabis use and perceptions of college students in Tennessee, which encompass a demographic of mainly young adults who are typically associated with high usage patterns. The study uses quantitative data collected from an online survey sent to a university in East Tennessee to evaluate associations between students’ age, gender, race/ethnicity, …

Enabling Iov Communication Through Secure Decentralized Clustering Using Federated Deep Reinforcement Learning, Chandler Scott

Electronic Theses and Dissertations

The Internet of Vehicles (IoV) holds immense potential for revolutionizing transporta- tion systems by facilitating seamless vehicle-to-vehicle and vehicle-to-infrastructure communication. However, challenges such as congestion, pollution, and security per- sist, particularly in rural areas with limited infrastructure. Existing centralized solu- tions are impractical in such environments due to latency and privacy concerns. To address these challenges, we propose a decentralized clustering algorithm enhanced with Federated Deep Reinforcement Learning (FDRL). Our approach enables low- latency communication, competitive packet delivery ratios, and cluster stability while preserving data privacy. Additionally, we introduce a trust-based security framework for IoV environments, integrating a central authority …

Application Of Functionalized Organosilicas In Adsorption Of Nitrates, Stephen Amoako

Electronic Theses and Dissertations

This study addresses the critical environmental issue of elevated nitrate levels in water bodies, primarily due to excessive use of nitrogenous fertilizers and improper waste disposal. It focuses on reducing nitrate concentrations in polluted water to permissible levels through the effectiveness of hybrid materials in nitrate adsorption. We synthesized nine amino-functionalized adsorbents using grafting and sol-gel techniques. Batch adsorption tests confirmed the high nitrate adsorption capacities of these adsorbents, with sol-gel materials showing the highest efficiency due to their abundant amino group contents. Among these, the surfactant-free, sol-gel adsorbent was the most effective, combining ease of synthesis with cost-efficiency. Our …

Consultation Versus Direct Special Education Services And Postschool Outcomes For Individuals With Disabilities As Assessed By Indicator 14 Data, Callie Welch

Electronic Theses and Dissertations

There is abundant research relating to transition supports and services for students with disabilities as they move out of high school into adulthood; however, relatively little is known about the relationship between the type of special education services they received and their postschool outcomes. Guided by the Social Cognitive Career Theory (SCCT) and Tennessee’s Indicator 14 survey, I sought to better understand the relationship between the type of special education services received in high school and student further schooling or employability after graduation. Data were drawn from Indicator 14 surveys from 2021 and 2024 conducted by a rural school district …

Moral Disengagement And The Tendency To Engage In Academic Dishonesty In Prelicensure Nursing Students, Sarah Guimaraes

Electronic Theses and Dissertations

Despite decades of research, academic dishonesty remains a significant concern in nursing education. The connection of academic dishonesty to dishonest clinical practice presents a moral imperative for nurse researchers to find new facets of understanding these phenomena. Literature regarding moral disengagement in health care is minimal and is even less prevalent in the context of nursing education. The purpose of this study was to determine the effects of moral disengagement on prelicensure nursing students’ tendencies to engage in academic dishonesty in their last or next to last semester of a nursing program. A correlational design via survey method was used. …

Exploring The Diagnostic Potential Of Radiomics-Based Pet Image Analysis For T-Stage Tumor Diagnosis, Victor Aderanti

Electronic Theses and Dissertations

Cancer is a leading cause of death globally, and early detection is crucial for better

outcomes. This research aims to improve Region Of Interest (ROI) segmentation

and feature extraction in medical image analysis using Radiomics techniques

with 3D Slicer, Pyradiomics, and Python. Dimension reduction methods, including

PCA, K-means, t-SNE, ISOMAP, and Hierarchical Clustering, were applied to highdimensional features to enhance interpretability and efficiency. The study assessed the ability of the reduced feature set to predict T-staging, an essential component of the TNM system for cancer diagnosis. Multinomial logistic regression models were developed and evaluated using MSE, AIC, BIC, and Deviance …

Soreness And Perceptual Responses From The Combined Use Of Accentuated Eccentric Loading And Cluster Sets During A Strength-Endurance Training Block, Ryan Lis

Electronic Theses and Dissertations

The first purpose of the current study was to analyze palpation and movement soreness via the visual analog scale (PVAS and MVAS, respectively) between accentuated eccentric loading (AEL) and traditional resistance training (TRAD) during a month of strength-endurance training. This was measured at the lower body (LB: gluteus maximus and vastus lateralis) and the upper body (UB: pectoralis major, anterior deltoid, and triceps brachii) every day of training (1-20 days) immediately before warming up and after finishing the training session. The MVAS was conducted at a self-selected fast speed. The second purpose was to measure perceptual responses between AEL and …

Associative Stigma Among Criminal Legal Staff: Measurement And Relation To Job Factors, Shania Siebert

Electronic Theses and Dissertations

A sizeable portion of the United States (U.S.) population works within the criminal legal system, and individuals who have legal involvement are a highly stigmatized population. Research suggests working with stigmatized populations can result in the transfer of stigma to professionals, referred to as associative stigma. While qualitative studies indicate there are negative perceptions related to working in criminal legal settings, there is no quantitative research on criminal legal staff’s experience with associative stigma and how it impacts job-related factors. The purpose of this study was to 1) examine the psychometrics of an adapted measure to quantitatively assess associative stigma …

Stigma Reduction And Resiliency Training For First Responders (Srrt-Fr): A Feasibility And Initial Efficacy Evaluation, Thalia P. Nicholson

Electronic Theses and Dissertations

First responders, especially law enforcement, frequently encounter individuals experiencing substance use concerns. Previous research has documented that a greater understanding of substance use disorders promotes a decrease in stigmatizing perspectives. We present a novel approach to training law enforcement officers to improve their interactions with community members exhibiting substance use disorders, while also promoting their professional well-being. The present study sought to evaluate the feasibility and acceptability of the Stigma Reduction and Resiliency Training for First Responders (SRRT-FR) in a sample of law enforcement officers, as well as its efficacy in decreasing stigmatizing perspectives towards substance use disorders and increasing …

Adjunct Faculty Experiences During The Covid-19 Pandemic: A Narrative Analysis, James Bernard

Electronic Theses and Dissertations

The purpose of this research was to explore the impacts of the COVID-19 pandemic on the experiences of adjunct faculty. The COVID-19 pandemic resulted in unparalleled disruption around the globe. Challenges that were faced in higher education included health and safety protocols, social distancing, emergency remote teaching, and closing campuses while trying to maintain quality of the education and perceived value for the student.

Adjunct faculty play a significant role in higher education, teaching and supporting academic programs. Given the reliance on the use of adjunct faculty and recognizing the link between job satisfaction and performance, the experiences of adjunct …

An Application Of An In-Depth Advanced Statistical Analysis In Exploring The Dynamics Of Depression, Sleep Deprivation, And Self-Esteem, Muslihat Gaffari

Electronic Theses and Dissertations

Depression, intertwined with sleep deprivation and self-esteem, presents a significant challenge to mental health worldwide. The research shown in this paper employs advanced statistical methodologies to unravel the complex interactions among these factors. Through log-linear homogeneous association, multinomial logistic regression, and generalized linear models, the study scrutinizes large datasets to uncover nuanced patterns and relationships. By elucidating how depression, sleep disturbances, and self-esteem intersect, the research aims to deepen understanding of mental health phenomena. The study clarifies the relationship between these variables and explores reasons for prioritizing depression research. It evaluates how statistical models, such as log-linear, multinomial logistic regression, …

The Functional Role Of The Dynorphin-Kappa Opioid Receptor System In Cocaine-Dependent Male Rats, Jessica Lord

Electronic Theses and Dissertations

Activation of the dynorphin-kappa opioid receptor (KOR) system produces a negative emotional state during drug withdrawal, thereby motivating continued cocaine-seeking behaviors. However, it is not clear whether dynorphin plays a functional role in the onset of compulsive cocaine-taking. Here, escalation of cocaine self-administration was significantly attenuated by pretreatment of a long-acting KOR antagonist, norbinaltorphimine (NBI), in long access (LgA; 6-hours) male rats, whereas there was no effect of NBI on short access (ShA; 1-hour) rats on a fixed or progressive ratio schedule of reinforcement. Additionally, optical density of prodynorphin was increased in the nucleus accumbens (NAc) core and shell, bed …

Evaluating The Impact Of An Experimental Intervention On Reducing Social Anxiety Through Impression Efficacy Changes, Alexandria Dismuke

Electronic Theses and Dissertations

Social anxiety is a prevalent and harmful experience, predicting negative outcomes even for those not reaching clinical levels. While evidence-based treatments are well-documented for Social Anxiety Disorder, simple and accessible interventions for subclinical samples are a valuable endeavor for research. The current study aimed to test an experimental task for reducing social anxiety through increasing participants’ impression self-efficacy. A secondary goal was to explore the impacts of and responses to positive and neutral feedback. The primary hypothesis was that condition would predict changes in social anxiety indirectly through changes in impression self-efficacy. Participants (n=127) completed a structured interaction with a …

The Role Of Cardiac Mitochondria In Arrhythmias And Sudden Unexpected Death In Epilepsy In Models Of Dravet Syndrome, Jessa L. Aldridge

Electronic Theses and Dissertations

Dravet Syndrome (DS) is a pediatric epilepsy disorder. Individuals with DS are at increased risk of Sudden Unexpected Death in Epilepsy (SUDEP). One mechanism implicated in the pathology of SUDEP is cardiac arrhythmias. A central element involved in cardiac regulation is mitochondria. In the heart, mitochondria maintain cardiomyocyte energy (ATP) generation and ion homeostasis but also produce harmful reactive oxygen species (ROS) byproducts. We hypothesized that deficits in cardiac mitochondria could underlie arrhythmias and SUDEP in two independent mouse models of DS. Mitochondria produce ATP through the mitochondrial respiratory chain, also called electron transport chain, comprised of a series of …

A Comparison Of Maxent Models For Aedes Aegypti Species Distribution In South America Utilizing Different Bioclimatic And Environmental Variables, Matthew Beer

Electronic Theses and Dissertations

Aedes aegypti is the principal vector for dengue transmission across large areas of the world. Understanding where this critically important vector lives is paramount to preventing the continued expansion of dengue globally. Using 1981-2010 bioclimatic (bioclim) variables, as well as additional environmental variables and elevation data, multiple MaxEnt models were constructed for Ae. aegypti within the South American continent to identify ecologically important variables and areas of persistent high suitability. All models had acceptable AUC scores (> 0.70), indicating accurate model fitting. Annual mean precipitation and temperature were found to be important model variables; however, when added, humidity became the …

Student Achievement In The State Of Tennessee Through Virtual Learning In Asynchronous, Bisynchronous, And Hybrid Approaches, Lindsey Weeden

Electronic Theses and Dissertations

This study was used to investigate the differences in asynchronous, bisynchronous, and hybrid learning environments in student achievement in online schools. Utilizing quantitative data analysis, the research examines student growth data, chronic absenteeism, graduation rates, and ACT scores across these modalities. The research holds significant implications for educators, policymakers, and stakeholders in enhancing the quality of online education. The results may contribute to the ongoing dialogue surrounding effective pedagogical practices in the digital age by providing evidence-based insights into the strengths and weaknesses of each instructional mode. By addressing the challenges of the digital divide, the results may be used …

Enhancing Ethical Competency: A Review Of Ethical Instruction For Law Enforcement, Alexis Turner

Electronic Theses and Dissertations

As public confidence in policing has dropped, demand for ethical behavior from law enforcement officers has grown, and correspondingly, a better understanding of ethics training and ethical acquisition processes has become paramount. Though much literature exists on related topics, understanding of the ethics training for law enforcement officers as it currently exists, has remained murky. This research aimed to gain a better understanding of ethics training for law enforcement in the United States, and as such, to fill the aforementioned gap in the literature. Four research questions were explored in this study including the understanding of current pre-service and in-service …

Food Insecurity And Self-Rated Health Of Older Adults In Appalachia, Sarah Kelley

Electronic Theses and Dissertations

Food insecurity is prevalent in the United States. Although older adults experience food insecurity at lower-than-average rates, this population is vulnerable to the nutrition and health related implications. Food insecurity is tied to both a diminishment of diet quantity and quality, and is associated with incidence of chronic disease, loss of functional status, and quality of life. This survey seeks to fill a gap in research by looking into the prevalence of food insecurity among older adults in Northeast Tennessee, associations between food insecurity and self-rated health, and associations between food insecurity and geographical limitations.

The Effects Of A Period Of Match Congestion On Countermovement Jump Height And Match Performance Variables In Ncaa Division I Female Soccer Players, Fiona Dodge

Electronic Theses and Dissertations

Effects of a congested match period on countermovement jump height (CMJ) and match performance variables were examined over the course of a D-I female soccer season. Twenty-one female collegiate soccer players (20.3 ± 1.8 yrs, body mass (kg): 62.3 ± 7.3, height (cm): 168.9 ± 6.1, body fat (%): 23.0 ± 3.7. performed CMJ testing prior to regular season matches. Global Positioning System (GPS) was used to assess physical match performance, while pre- and post-season lab and field-based testing was also performed. Analysis of variance trend analyses (ANOVA) were conducted using a linear mixed-effects model (LMM) to examine trends in …