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Transforming Chaplain Ethics: The Clinical Ethics Of Spiritual Care In A Pluralistic Healthcare Environment In The United States, Robert Alan Price

Electronic Theses and Dissertations

This dissertation, “Transforming Chaplain Ethics: The Clinical Ethics of Spiritual Care in a Pluralistic Healthcare Environment in the United States,” aims to examine the clinical ethics of religious and spiritual care provided by clinical chaplains for patients and families receiving treatment in a pluralistic healthcare context in the United States.

Clinical chaplains are more than clergypersons and they are more than clinicians; they are a highly specialized marriage of both worlds. There is a fundamental asymmetry between functioning as a leader in a local religious community or faith tradition and providing clinical spiritual care in a pluralistic healthcare environment. This …

The Distinctive Contribution Of The Catholic Tradition On Emerging Ethical Issues Around Embryos., Michael Donkor

Electronic Theses and Dissertations

This dissertation considered the distinctive contribution of the Catholic Church surrounding emerging ethical issues around embryos. In many Catholic doctrines, the church has stated that the embryo must be treated as if it were a human person with (soul) and must be protected. The embryo is considered an individual with relational qualities worthy of all the rights given all humans per the natural law.

The Church continues to oppose all forms of assisted reproduction that eliminates the unitive and procreative nature of marriage as it violates the dignity of the child and marriage. Technologies such as lower tubal ovum transfer(LTOT), …

The Contributions Of Philosophical Anthropology To Healthcare Ethics, Bura Koroba

Electronic Theses and Dissertations

The first principles of bioethics, autonomy, beneficence, nonmaleficence, and justice have contributed immensely to healthcare ethics. The procedural approach streamlines the decision-making process, protects vulnerable subjects, and fosters stability and trust in the patient-caregiver relationship. Yet, the principles are demonstrably insufficient, riddled with limitations and loopholes that could stand in the way of care.[i] Several recommendations have been proffered to remedy the deficiencies. Value ethics, for instance, has been touted as a proficient addendum to the foundations established by the principles. Still, these have not sufficiently addressed all arising issues in bioethics. Besides the challenges encountered in decision-making, opposing …

A Critique Of The Pivotal Ethical Issues In Organ/Tissue Donation & Transplantation, Francis Sarpong

Electronic Theses and Dissertations

Organ or tissue donation has proven to be a lifesaving intervention for patients battling failing or failed organs or tissues. However, scholars have raised concerns about just and rational procurement and transplantation in a global shortage. This dissertation addresses normative approaches for organ/tissue procurement, allocation and transplantation to highlight the related pivotal ethical issues. It defends normative approaches such as queuing and nudging, and upholds their universal obligatoriness. It provides illumination about the demands of an effective solution to who shall receive or give organs when not all can. The introductory chapter employs common morality as a principal source of …

The Ethical Connection Between Patient Care And Patient Safety, Caitlin Walsh

Electronic Theses and Dissertations

This dissertation uses the care ethics framework to describe potential solutions to patient safety issues seen across different areas in healthcare. Many of the works already published on Care Ethics apply the theory to only one aspect of relationships in healthcare. This dissertation uses Care Ethics to describe different levels of relationships in the various tiers and domains of healthcare in the United States. It first will describe the relationship between patients and their healthcare teams, then it describes the relationship between society and patient’s access to care. There are many barriers in society that prevent patients from accessing care …

Structure-Based Design And Semi-Synthesis Of Kratom-Derived Mu-Opioid Receptor Agonists With Varying Intrinsic Efficacy, Emily Wells

Electronic Theses and Dissertations

No abstract provided.

Design And Synthesis Of Novel Mitochondrial Pyruvate Carrier Inhibitors For The Treatment Of Metabolic Disorders, Henry Politte

Electronic Theses and Dissertations

No abstract provided.

Design Of Fxr Agonists For The Treatment Of Non-Alcoholic Steatohepatitis, Amanda Morrison

Electronic Theses and Dissertations

No abstract provided.

The Evaluation Of Acute: Chronic Workload Ratios For Integration Into The Injury Mitigation Strategy Of A Sport Organization., Matthew K. Daunis

Electronic Theses and Dissertations

The use of the acute:chronic workload ratio (ACWR) is a strategy presented as a means of mitigating the injury risk athletes are exposed to from their regular participation in sport. However, the current literature is inconclusive towards its effectiveness at actually mitigating injuries. The purpose of this dissertation was to determine if ACWR should be integrated into an injury mitigation strategy of a sport organization and, if so, what input, computation, and injury-related methodologies should be used with it. Retrospective injury data and velocity-based distances from training and competition demands from collegiate women’s field hockey athletes were used to investigate …

Preventing The Violent (Re)Victimization Of Sexual Minority Populations: The Role Of Social Support Networks., Bryan Charles Moore

Electronic Theses and Dissertations

Every year, interpersonal violence affects an important segment of the world population, having deleterious effects on the victims, their families, and societies. Recent scholarship indicates that sexual and gender minority population groups are overrepresented among those who experience or have experienced verbal, psychological, physical, and/or sexual violence. Using an integrative approach, the current study links the past and the present to identify the contextual factors that may increase or decrease the sexual minorities’ risk of violent victimization during adulthood. This dissertation uses as a theoretical framework Bronfenbrenner’s (1977, 1979, 1994) social ecological model of human development as well as its …

Still I Rise: A Critical Utopian Action Research Study On Black Femme-Identifying And Gender Expansive Emerging Adults In Technology Leadership., Alisia Mcclain

Electronic Theses and Dissertations

This Critical Utopian Action Research (CUAR) study delves into the intersection of authentic leadership, Black Feminist Thought (BFT), and technology leadership development, focusing on the perspectives of emerging adult Black femme-identifying or gender-expansive individuals. Addressing two primary research questions, the study investigates their idealized visions for technology leadership programs and discerns key factors differentiating authentic leadership from models incorporating BFT. Through qualitative analysis of Future-Creating Workshop outputs and participant narratives, the study unveils multifaceted themes. Participants articulate a vision of technology leadership development rooted in authenticity, intersectionality, and inclusivity. Their ideal programs prioritize celebrating complex identities, engaging through technology, and …

You Don’T Look Sick: Epistemic Injustice, Ethos, And Embodied Expertise In Narratives Of Chronic Illness., Caitlin Burns Allen

Electronic Theses and Dissertations

This dissertation project emerges at a cultural moment when diagnoses of chronic illness are increasing, and heightened attention is being paid to gendered medical bias and chronically ill women’s negative experiences both within and outside of the medical system. Analysis of personal narratives written by women and nonbinary people with chronic illnesses revealed deeply entrenched cultural logics related to health and gender and the significant affective and material consequences for the mobilization of those logics. Chapter One of the dissertation describes the exigence of the project in more detail, provides a robust overview of the dissertation’s methods, and reviews related …

Authentic Fake: Authenticity And Authentication., Suyun Son

Electronic Theses and Dissertations

My thesis exhibition questions the modern sanctification of authenticity. No longer believing in objective truths, the postmodern society seeks epistemic grounding on being true to oneself. The categories of authentic-or-fake replaced the binary of true-or-false. But authenticity is a trojan horse for authentication. As a Korean American artist, I'm encouraged to express my “authentic” Korean identity. This encouragement can also imply my works will receive recognition as authentic and meaningful only when they embody Korean cultural expression. Authenticity becomes a performance for the sake of authentication. Ironically, authenticity turns into an act of conformity/confirmation. Authenticity demands you stay true to …

Exploring Resilience With Neuroimaging: Moderators Of The Impacts Of Childhood Traumatic Stress On Fear Processing., Karisa June Hunt

Electronic Theses and Dissertations

Childhood trauma is an alarming public health crisis, and the field of trauma research is relatively underdeveloped given population rates of childhood trauma and post-trauma pathology. Even less studied than the impacts of trauma are the impacts of resilience, and the protective factors that foster it. It is widely acknowledged that an investigation of trauma is incomplete without an investigation of its impacts on fear processing. Understanding the neural underpinnings of resilience to childhood trauma during fear conditioning is vital to the development of therapeutic interventions able to moderate its devastating impacts. The present study investigated the complex neurobiological interplay …

Burnout In Rural Special Education Teachers Of Students With Low Incidence Disabilities: A Mixed Methods Study On The Fall Of The Dedicated And Committed., Kristie N. Jones

Electronic Theses and Dissertations

The purpose of this explanatory sequential mixed methods study was to examine the phenomenon of burnout in rural special education teachers of students with low incidence disabilities. For the quantitative phase, the Maslach Burnout Inventory- Educator Survey (MBI-ES, Maslach et al., 1986) was administered to 23 participants from geographically rural areas of one southern state in the United States. Descriptive analysis found that 92% of participants were experiencing high or moderate levels of burnout. Pearson correlation coefficient determined a statistically significant positive correlation between emotional exhaustion and depersonalization. A negative correlation was found between teachers’ age and depersonalization. Six participants …

Dementia Of The Alzheimer’S Type In Adults With Down Syndrome: Knowledge Among Graduate Students In Physical Therapy, Occupational Therapy, And Speech-Language Pathology., Abigail Regan Donaway

Electronic Theses and Dissertations

This non-experimental study utilized a convenience sample (N = 322) to investigate graduate students in physical therapy (PT), occupational therapy (OT), and speech-language pathology’ s (SLP) knowledge of the connection between Down syndrome and dementia of the Alzheimer's type (DAT). Ninety-two-point-five percent of participants were female, and 79.80% were white. All participants completed a survey comprised of items relating to information about general knowledge (i.e. facts) of the association between DS and DAT, the signs/symptoms that occur in each stage of dementia of the Alzheimer’s type for people with Down syndrome, and familiarity regarding the diagnosis and care. Descriptive and …

Sustainable Methodologies For Synthesis Of Small Organic Molecules Using Micellar Catalysis., Deborah Sam Ogulu

Electronic Theses and Dissertations

Organic synthesis is a critical process in the creation of small molecule pharmaceuticals and agrochemicals. However, most methods for synthesizing these small molecules rely on toxic organic solvents as the reaction medium which account for approximately 80% of pharmaceutical waste. Moreover, many catalytic reactions require expensive endangered precious metals like palladium and costly metals. This dissertation presents research that aims to develop sustainable, eco-friendly reaction conditions to address these issues. We developed a ligand-free bimetallic nanocatalyst for the hydrogenation of unsaturated enones. This ligand-free nanocatalyst was prepared from nickel and ppm loading of palladium and was stabilized by harnessing the …

Tongue-Tie: Impact On Oropharyngeal Function During Swallow., Kolbie A. Vincent

Electronic Theses and Dissertations

Swallowing is an intricate process involving over 50 muscle pairs and numerous nerves, with dysphagia resulting from deficits in various stages (Hennessy & Goldenberg, 2016). Lingual restriction may adversely impact swallowing function, affecting bolus preparation, size, and overall efficiency. Tongue-tie can pose challenges to speech, chewing, and swallowing (Becker & Mendez, 2022; Chaubal et al, 2011; García-Pola, M. J., et al., 2002). This pilot study seeks to determine how tongue-tie affects swallowing function in an adult male, and whether surgical revision of a submucosal lingual tether leads to measurable changes in oropharyngeal swallow function. Results showed inconsistent changes in diameter …

Evaluating The Effectiveness Of Computer-Based Instruction For Training Pre-Service Teachers In Simultaneous Prompting., Mary P. Elliott

Electronic Theses and Dissertations

There has been a significant increase in the use of distance education (DE) in institutions of higher education (IHEs) that is leading to a shift in pedagogy and practices. In the fall of 2021, approximately 61% of undergraduate students nationally were enrolled in at least one online course. A growing number of teacher preparation programs, including special education programs, are utilizing asynchronous course and program designs to combat the critical shortage of certified teachers, yet little research has examined which asynchronous teaching methods are effective for the development of critical teaching skills such as evidence-based practices. One asynchronous teaching method …

Assessing Sustainability Within The Brewing Industry: A Literature Review And Benchmarking Analysis., Elijah Thomas Miller

Electronic Theses and Dissertations

The goals of this study were twofold: to further examine sustainability within the brewing industry through a literature analysis across four academic journals, and a benchmarking analysis of a Louisville, Kentucky brewery’s resource consumption and emissions production. Publications related to the brewing industry were examined for the presence of sustainability keywords: “efficiency, sustainability, carbon footprint, climate change and greenhouse gas”. Benchmarking examined the local brewery’s primary production facility to determine their performance compared to other surveyed breweries pursuing sustainability across the country. Literature examination found noticeable discrepancies between the appearance of sustainability topics within article abstracts and their discussion within …

Exploring Influencing Factors On The Adoption Of Non-Pharmaceutical Interventions During Pandemics: Covid-19 As An Example., Ahmed Abdulmohsen I Alobaydullah

Electronic Theses and Dissertations

Background: Pandemics are associated with loss of life, hospitalizations, and disruption to people’s social and economic lives. As the 2019 pandemic illustrates, COVID-19 can be prevented by pharmaceutical and non-pharmaceutical interventions (NPIs). Recommended measures such as wearing a mask, washing hands, social distancing, and self-quarantine have been proven to curb the spread of the coronavirus. Identifying the factors associated with adherence to NPIs is the first step in understanding which levers of change to pull when designing health promotion interventions such as health communication campaigns. This dissertation explores these factors and proposes a health communication framework during pandemics. Research Questions: …

Porphyromonas Gingivalis Inactivates Anti-Viral Immunity At The Oral And Respiratory Epithelium., Carlos J. Rodriguez Hernandez

Electronic Theses and Dissertations

The host microbiome plays an important role in fine-tuning host immune responses in a manner that ultimately impacts outcomes in viral infection. Symbiotic relationships between commensal bacteria and host epithelial and immune cells prime interferon (IFN) signaling, modulating the nature and intensity of the immune response to viral infections at mucosal barrier surfaces. In this doctoral thesis, I explore how dysbiotic shifts in the oral microbial communities modulate antiviral responses at the oral and oro-respiratory mucosal barriers. I identified that in response to a viral challenge, gingival epithelial cells (GECs) preferentially induced type III IFNs (IFN-λ), a newly described family …

Electrokinetic Particle Trapping Performance Of Conductive Nanofiber Mats In Microfluidic Wells., Jacob Hunter West

Electronic Theses and Dissertations

The frequency dependence of electrokinetic particle trapping using large-area (>mm²) conductive carbon nanofiber (CNF) mat electrodes is investigated. The fibers provide nanoscale geometric features for the generation of high electric field gradients, which is necessary for particle trapping via dielectrophoresis (DEP). A device was fabricated with an array of microfluidic wells for repeated experiments; each well included a CNF mat electrode opposing an aluminum electrode. Fluorescent microspheres (1 µm) were trapped at various electric field frequencies between 30 kHz – 1 MHz. Digital images of each well were analyzed to quantify particle trapping. DEP trapping by the …

Predicting The Effects Of Precipitation On Groundwater Contamination Near Capped And Uncapped Coal Ash Storage Facilities In Louisville, Kentucky., Daryl Jialiang Chen

Electronic Theses and Dissertations

This study examines the impact of rainfall event characteristics and water table elevations on arsenic and boron contamination in groundwater near two coal ash ponds in Louisville, Kentucky. Utilizing data from 2011 to 2019, the research focuses on both capped and uncapped ponds at Mill Creek and Cane Run sites, employing Threshold Analysis, Regularized Discriminant Analysis (RDA) and Random Forest (RF) to assess contamination levels in groundwater. Analysis shows that capped ponds generally exhibit reduced arsenic levels, though variations exist depending on the contaminant and site. Key predictors such as maximum precipitation and river height were identified, highlighting their significant …

Origin Stories., Danielle Deeley

Electronic Theses and Dissertations

This thesis is an investigation into the Peruvian pre-Columbian collection at the Speed Art Museum in Louisville, Kentucky. The Speed Art Museum acquired this collection in 1934 and it has largely remained unresearched for nearly a century after acquisition into the museum’s collection. This investigation is not an attempt to make broad characterizations of pre-Columbian ceramics. Nor is its goal to fill in all the gaps of the collection’s history. Instead, this thesis follows the evidence the collection presents: the physical attributes of the ceramics, the donor’s history, U.S. history, and information from the collection file provided by the Speed …

Children's Beliefs About Search Engines., Lauren N. Girouard-Hallam

Electronic Theses and Dissertations

Children rely on information from other sources to think and learn about the world around them. As the world around them digitizes, their options for where to seek new information have expanded to include technological sources like Google Search. This dissertation examines what factors impact children’s trust in search engines, particularly Google. In the first set of studies, 4- to 8-year old children were asked whether technological informants and a teacher could answer stable and changing questions, and which informant would have the better answer. With age, children endorsed the Google search engine at higher rates and the teacher at …

Control Of Muscle Activation In The Lower Limbs During Leg Cycling After A Motor Complete Spinal Cord Injury., Jae Fish

Electronic Theses and Dissertations

Spinal cord injury (SCI) affects the central nervous system (CNS) causing muscle paralysis and autonomic dysfunctions throughout the body. Muscle activation after SCI is essential to facilitate functional recovery and may be produced via remaining input from supraspinal centers, the central pattern generators (CPG), or muscle stretch reflex responses. In this study, assisted leg cycling is evaluated as a tool to identify the neural structure control of muscle activation after motor complete SCI. Eight individuals with a complete or sensory incomplete SCI between C2 and T5 participated in the study. Participants completed leg cycling trials with and without supraspinal intention …

The Utilization Of Grassroots Organizing By Black Women Pioneers To Achieve Reproductive Justice., Madison Ruth Ellsworth

Electronic Theses and Dissertations

Since enslavement in the United States Black women have cultivated different ways to fight for their Reproductive Justice. After emancipation Black women have continued to utilize the practices learned from our ancestors to obtain Reproductive Justice. Despite the women’s movement becoming mainstream in the 1960s many Black women continued to grassroots organize to adequately address the issues that were unique to them. The efforts of various Black women organizers tend to go unacknowledged because the mainstream women’s movement attracts the attention of most. In my research I focused on Byllye Avery, Loretta Ross, and Toni Bond to explore and showcase …

Modifiers Of The Effects Of Different Dimensions Of Social Support On Cardiac Rehabilitation Adherence., Melissa Amraotkar

Electronic Theses and Dissertations

Introduction: Cardiovascular disease (CVD) is a leading cause of mortality worldwide. Cardiac Rehabilitation (CR) is a Class I, level A indication for treatment and prevention further complications of CVD. The attendance rate for CR in the U.S. is very low, especially among female patients. Dimensions of social support, sex of the support provider, and the quality of primary intimate relationship are associated with health-promoting behavior and may influence CR adherence in patients. Purpose: The purpose of this study was to examine the relationship between dimensions of social support and CR adherence, and whether these relationships were moderated by factors such …

Anthropogenic Litter In Urban Waterways: An Analysis Of Litter, Urbanization, And The Emerging Role Of Citizen Science In Beargrass Creek, Louisville, Ky., Ella Swigler

Electronic Theses and Dissertations

This thesis addressed the ever growing presence and persistence of anthropogenic litter (AL) in urban waterways. AL has been studied in marine environments, but research gaps exist in riverine ecosystems. Most of the AL that reaches the Earth’s oceans is carried by urban rivers, so understanding the relationship between these waterways and AL is critical in effectively fighting AL accumulation, especially for legacy plastic pollutants. The study explored fifteen sites throughout Beargrass Creek and recorded the quantity and type of AL present throughout the summer and fall of 2023. The National Geographic Marine Debris Tracker App was employed to successfully …