Digital Commons Network^™

Exploring The Correlates And Predictors Of Covid-19 Vaccine Hesitancy And Uptake Among People Living With Hiv/Aids In Tennessee, Charles Olomofe

Electronic Theses and Dissertations

Background

The administration of the COVID-19 vaccines has met with resistance and hesitance from different population groups including people living with HIV/AIDS (PLWHA). It is concerning to know that PLWHAs are showing a higher rate of COVID-19 vaccine hesitancy than the general population. The objective of this study is to synthesize the literature and determine the correlates and predictors of COVID-19 vaccine hesitancy among PLWHA using primary and secondary data.

Methods

A scoping review was conducted to identify and summarize studies on COVID-19 vaccine hesitancy among PLWHA using the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) Extension for …

Design And Validation Of A Test For Teachers: Measuring Knowledge Of Trauma, Jennifer B. Bilbrey

Electronic Theses and Dissertations

Research and interest in trauma-informed pedagogy have grown substantially. Trauma-informed pedagogy includes knowledge of trauma symptoms, associated behaviors, and environmental and instructional trauma-informed strategies. Various scales measure attitudes and experiences with trauma-informed practices; however, the literature suggests a lack of validated tests measuring teachers' knowledge of trauma. Reliable and valid tests measuring knowledge are critical when determining the professional development needs of both pre-service and in-service teachers. This multi-phase study aimed to fulfill this need by creating the Teachers’ Knowledge of Trauma (TKOT) test. With the guidance of literature and qualitative data from eight early childhood professional peers, a 50-item …

Exploring Spatiotemporal Patterns In Hazardous Hydrologic Events: Assessment, Communication, And Mitigation Through Geospatial Technologies, Emmanuel Afriyie

Electronic Theses and Dissertations

Tennessee has a long history of meteorological hazards that have caused property damage and loss of life. Given climate change and variability, it is imperative to look at trends to ascertain changes spatiotemporally. Space-time cubes, a novel geographic tool, were used to analyze historical heavy precipitation (1-, 2-, and 5-year returns), floods, and flash flood data in Tennessee counties to assess the trends, identify emerging hotspots/cold spots and display changes over space and time. For all return periods, trends analysis revealed that heavy precipitation events are increasing in several counties across the state, with middle Tennessee identified as a hotspot. …

Familial Sex Trafficking In East Tennessee, Mary K. Brannock

Electronic Theses and Dissertations

This dissertation was completed in partial fulfillment of the Doctor of Public Health program at East Tennessee State University. The dissertation follows the Manuscript Format which includes three manuscripts, these manuscripts regard familial sex trafficking and are as follows, a scoping review, an empirical study on regional familial sex trafficking, and a policy implications paper on criminal record relief for survivors of familial sex trafficking.

The scoping review includes eight peer reviewed studies on familial sex trafficking and a summary of grey literature. Thematic analysis was used to map the existing literature onto the Three Ps of human trafficking: Prevention, …

The Association Between Prenatal Care And Postpartum Depression: Current State And Future Directions, Esther Adebayo-Abikoye

Electronic Theses and Dissertations

Background

Postpartum depression (PPD) is a major public health challenge and associated with poor maternal and infant health outcomes. Quality prenatal care decreases adverse outcomes in pregnancy and may reduce PPD risk factors. This study critically reviews the evidence about the role of prenatal care practices in reducing PPD prevalence across population groups and examines the association between prenatal care timing and counseling content with PPD prevalence.

Methods

A scoping review was completed across eight databases to synthesize evidence about prenatal care and PPD across different contextual settings. National data from the Pregnancy Risk Assessment Monitoring System (PRAMS) was used …

Radon Environmental Health Literacy In Northeast Tennessee, Kawther Al Ksir

Electronic Theses and Dissertations

This dissertation explored the multifaceted issue of radon exposure and its connection to lung cancer, focusing on knowledge gaps and proposing mitigation strategies. Despite extensive research, inconsistencies persist in understanding the health impacts, public awareness, and effective mitigation of radon, particularly in regions like Tennessee that are disproportionately burdened by high radon levels. This work addresses this gap by integrating findings from three distinct studies: a scoping review, a cross-sectional survey, and a policy analysis.

The review examined national literature about residential radon exposure, revealing variations in exposure levels and conflicting evidence regarding the risk of lung cancer. The cross-sectional …

Role Of Arabidopsis Ltp12 In Environmental Stress Response, Bikram Giri

Electronic Theses and Dissertations

Lipid transfer proteins (LTPs) constitute a pervasive class of small proteins implicated in many biological and physiological processes, including seed development, germination, cuticle formation, and abiotic stress responses. In this study, we explored the role of Arabidopsis LTP12 protein in mitigating environmental stresses. To address this, we analyzed the T-DNA knockout mutant ltp12, focusing on its responses to salinity and osmotic stress. Utilizing antioxidant enzyme assays, phenotypic analyses (including water loss, chlorophyll content, seed germination rates, root length, and relative water content), and lipid profile analysis via Thin Layer Chromatography (TLC), we found that ltp12 mutants showed reduced catalase and …

Characterization Of The Role Of Tobacco Deacetylase Enzyme Sip-428 In Mediating Environmental Stress, Zahra Barati

Electronic Theses and Dissertations

Abiotic stress poses a significant threat to crop productivity and food security. In this study, we focused on understanding the role of SIP-428, a SABP2-interacting protein, in mediating plant responses to environmental stresses. Transgenic tobacco plants overexpressing SIP-428 were subjected to salinity and drought stress. The overexpression of SIP-428 led to diminished growth under both stress conditions, indicating a negative impact on stress tolerance. Specifically, SIP-428 overexpression resulted in a reduction in catalase activity, while peroxidase activity remained unaffected. These findings suggest that SIP-428 plays a negative regulatory role on the catalase activity during abiotic stress, which may contribute to …

Internship Experiences For Aspiring Educational Leaders: Student Understanding And Effectiveness, Adam Douglas

Electronic Theses and Dissertations

The purpose of this study was to investigate East Tennessee State University alumni's perceptions of the effectiveness of internship experiences as students learned the PSEL and TILS standards and the role of mentor support as they prepared for principalship. The participants obtained their administrative license and worked currently with an administrative license that is current in the state they reside. This research focused on the perception of the PESL and TILS standards, the effectiveness of the 540-hour internship experience, and the value of the site based and university mentor as the participants completed their activities in multiple settings.

Findings supported …

No Tolerance For Zero Tolerance: Teacher Perceptions Of Restorative Practices, Meghann Ramsey

Electronic Theses and Dissertations

The original design of zero-tolerance policies was meant to support school safety through an anti-drug and violence campaign but in the years following their implementation, school districts have employed them repeatedly without merit. Exclusionary practices have become controversial, leading to high rates of recidivism, imbalanced implementation toward minority groups, and the loss of learning while suspended or expelled. Just as effective educators respond and intervene to instructional practices that are not proving successful, an overhaul of disciplinary practices was necessary for academic and emotional health. Restorative practices have emerged in recent years as an alternative process to the antiquated system …

An Exploratory Study Of The Southern Subculture Of Honor In East Tennessee, Rachel Cohen

Electronic Theses and Dissertations

The culture of honor theory proposed by Nisbett and Cohen (1996) addresses the historically higher rates of violent crime in the Southern United States, as well as the disparities that can be observed in the laws, beliefs, and social expectations between the South and other regions. Previous research has reported significant differences between the beliefs of acceptable violence among Southerners compared to non-Southerners; however, no research has been conducted comparing different demographic groups of Southerners. The current study sought to evaluate whether there were observable differences between various demographic attributes such as gender, race, age, educational attainment, political affiliation, prior …

The Neoliberal Noirs Of Gary Indiana, Carson Morgan

Electronic Theses and Dissertations

This thesis is concerned with the two AIDS-era novels of Gary Indiana, a long-neglected yet essential literary figure who, as the critic Christian Lorentzen has argued, “connects the twentieth and twenty-first centuries in ways readers and critics are only beginning to apprehend” (xii). Beginning chronologically with a study of Indiana’s first two novels, Horse Crazy (1989) and Gone Tomorrow (1993), this thesis attempts to realize Lorentzen’s call to action, attending particularly to the ways in which Indiana’s novels write the neoliberal subject. More than exploring life under the AIDS crisis and embodying a radical queer approach to narrative, I contend, …

Changes In Young Adults’ Perspective On Ageism After Participating In A Virtual Nutrition Education Program With Older Adults, Julianne Hensley

Electronic Theses and Dissertations

The growing older adult population has led to increased ageist tendencies among younger generations. Previous research suggests that ageism is associated with cognitive and physical decline among older adults. This mixed-methods research project examined changes in ageist perceptions among graduate student facilitators and undergraduate nutrition ambassadors after participating in a training that included information about healthy aging, addressing ageism, and communicating with older adults. Results from a secondary data analysis of pre-test/post-test data and thematic analysis of semi-structured interviews with facilitators of Socially Nutritious, a virtual nutrition education program for older adults, indicate that ageist perceptions decreased after the …

Optimization Of Vagus Nerve Stimulation (Vns) And The Use Of Cervical Vns As A Treatment For Heart Failure With Reduced Ejection Fraction, Misty Owens

Electronic Theses and Dissertations

Vagus nerve stimulation (VNS) is a promising neuromodulatory therapy under investigation for a range of disorders, including heart failure, gastric dysmotility, and migraine. Two primary forms of VNS are currently investigated: cervical VNS (cVNS), involving surgically implantation to activate vagal afferents in the cervical branch in the neck and transcutaneous auricular VNS (taVNS) which subcutaneously stimulates the auricular branch in the outer ear. The nucleus of the solitary tract (NTS) serves as a relay-station receiving 90% of vagal afferents, enabling connections with higher-order brain regions and other brainstem nuclei like the spinal trigeminal nucleus (Sp5) and locus coeruleus (LC), facilitating …

Structural Changes After Coming Out In A Christian Family, Ying Zou

Electronic Theses and Dissertations

Over the last decade, societal attention towards the LGBTQ community has grown significantly through social media and political movements. While research indicates increased acceptance and awareness, LGBTQ individuals and their families still face challenges, with “coming out” being a pivotal and ongoing difficulty. This study adopts a structural family therapy lens to investigate how the process of coming out impacts family dynamics, boundaries, and roles within Christian families. Existing literature underscores the role of religion, particularly Christianity, in causing stress for LGBTQ individuals. Although some families initially react negatively to disclosure, many eventually report improvement. However, there is limited research …

Physiological Adaptations Following A Strength Endurance Training Block Performed With Accentuated Eccentric Loading Or Traditional Resistance Training, Alex Long

Electronic Theses and Dissertations

Physiological adaptations were investigated following a strength-endurance (S-E) block prescribed with accentuated eccentric loading (AEL) or traditional resistance training (TRAD). Recreationally trained participants (n = 11 males, 6 females, age = 23.2 ± 4.2 yrs, body mass (BM) = 81.3 ± 22.2 kg, height = 172.1 ± 10 cm) completed a four-week block of concurrent resistance, sprint, and change of direction training. Participants were assigned one of two training conditions, AEL (n = 9) or TRAD (n = 8). Training was identical, except AEL performed 110% eccentric overloading every 1^st, 3^rd, 5^th, 7^{th …}

P300 Event-Related Potential Responses To Self-Relevant Stimuli, Jordan Razzak

Electronic Theses and Dissertations

Previous literature has suggested an apparent P300 sensitivity to self-relevant stimuli. To further explore this relationship, we asked participants to submit 10 photos, each of a particular category (e.g. footwear, plants), to be used as either targets or distractors in a given condition of an oddball task. Furthermore, we attempted to see whether the effect of self-relevance on the P300 could be induced in a participant by allowing them to study a set of unique photos which would then be used as targets. Our analysis suggested that P300 amplitude elicited in response to self-relevant stimuli used as targets was statistically …

Investigating Self-Perception Of Speech And Motivation For Return To Intervention For Post Cochlear Implantation In Young Adults, Madison Henry

Electronic Theses and Dissertations

Introduction: Cochlear Implants (CI) are designed to address severe to profound hearing loss. When implantation occurs after language develops, it is referred to as post-lingual (PL) implantation. Currently, no interventions have been identified to address the communication challenges that young adults with PL-CIs may face after they complete post-CI rehabilitation services. This study analyzes if an individualized intervention plan is beneficial for a person with PL-CIs when experiencing changing communication demands in the transition to college or the workforce. Methodology: Baseline assessments were conducted; the results of which allowed for the establishment of four co-constructed goals. These goals were targeted …

Healthcare Provider’S Perceptions On Feeding Difficulties And Educational Practices In Infants With Neonatal Opioid Withdrawal Syndrome (Nows), Katelyn White

Electronic Theses and Dissertations

This study examined healthcare professionals’ perceptions on feeding difficulties experienced by infants with NOWS, the involvement of SLP in care, knowledge and experience levels of professionals, and trends in education and follow up care. A 34-question survey was developed to obtain data from participants involved in the care of exposed infants using the secure webbased RedCap™ platform. Nonparametric inferential statistics and descriptive analysis were used to interpret data. Feeding difficulties in infants exposed were reported by all respondents with SLP involvement reported by 42.2%. Results found that 51.9% of respondents were confident in their ability to educate families about feeding …

Regulation Of Cd4 T Cell Functions By Ncrna-Mediated Signaling Pathways During Chronic Viral Infections, Lam Nguyen

Electronic Theses and Dissertations

CD4 T cell homeostasis and competency are critical for the effectiveness of antiviral immunity. However, CD4 T cells derived from people living with HIV (PLWH) and individuals with chronic HCV infection often exhibit an inflammaging phenotype, evidenced by persistent inflammation, immune activation, exhaustion, senescence, and cellular apoptosis. Despite intensive investigations, the molecular mechanisms underlying CD4 T cell dysfunction in antiretroviral therapy (ART)-controlled PLWH and HCV-infected patients remain poorly understood. By investigating the roles of non-coding (nc)RNA transcripts in regulating the functions of CD4 T cells derived from PLWH and HCV-infected patients, we demonstrated that long non-coding (lnc)RNA - growth arrest-specific …

Covid 19 And Classroom Instruction: A Comparison Of Synchronous In-Person And Virtual Student Learning, Jason Brown

Electronic Theses and Dissertations

The purpose of this ex-post facto quantitative study was to compare English Language Arts (ELA) and math Tennessee Compressive Assessment Program (TCAP) scores of students in grades four through eight who attended school virtually or in-person during the 2020-2021 school year. Due to the COVID-19 pandemic, the school district in this study allowed parents to choose to send their children to traditional in-person classes or attend school virtually. In-person and virtual students engaged synchronous classroom instruction through Google Meets. All virtual students were instructed by the teachers they would have had if their parents had chosen to send them for …

Exploring Available Information On The Gut-Brain Axis And Alzheimer’S Disease For Clinicians Making Dietary Recommendations: A Scoping Review, Megan Gibson

Electronic Theses and Dissertations

Abstract: Alzheimer’s Disease (AD) is a complex neurodegenerative disease that requires interprofessional collaboration. Pharmacological options are currently ineffective, increasing the need for preventative strategies to combat the rise of AD. Considerations of gut-targeted interventions have increased as a key component in the prevention of AD, based on the understanding that the state of the gut microbiome can impact cognitive function through the pathway known as the gut-brain axis.

Methods: This scoping review explored information on the gut-brain axis in persons with AD. A comprehensive search was conducted in November 2023. Forty reviews and 13 human studies were analyzed.

Results: There …

Beyond The Screen: Understanding College Students’ Perspectives On Cyberstalking, Gabrielle Jackson

Electronic Theses and Dissertations

Previous research regarding the victimization of college students is primarily geared toward physical or sexual encounters. There is a limited scope of research regarding the online victimization of college students, specifically those involved in Greek life organizations. Furthermore, there is a misinterpretation of the definition of cyberstalking among college students, as many students are unaware that they have been personally victimized (Cass, 2011). This study seeks to examine college students’ perceptions of online victimization and how they may vary. The different student impressions and the prevalence of online victimization were examined using self-reported data from students enrolled in a university …

Evaluating A Current Athlete Assessment Program, David Fish

Electronic Theses and Dissertations

The primary purpose of this dissertation is to evaluate the effectiveness of a questionnaire designed to assess coaches’ perceptions of an athlete monitoring program. There are four reasons for this examination of perceptions: 1) it may serve as a check for understanding of how the coach takes in the information presented to them, 2) identify any gaps in the knowledge of the coach which the sport scientist may help to fill, 3) can serve to open a dialog with the coach for ways in which the information may be better tailored to help them improve their decision-making, and 4) the …

Establishing “The Fossil Record”: A Database Of Vertebrate Paleontological Sites Across The State Of Tennessee, Sarah Mclaurine

Electronic Theses and Dissertations

Fossil localities across the state of Tennessee and the data related to those sites were compiled from Tennessee Division of Geology Bulletin 84, titled “Tennessee’s Prehistoric Vertebrates,” and stored in a Microsoft Access geodatabase housed by the Department of Collections at the East Tennessee State University Museum of Natural History located at the Gray Fossil Site. Included in the database are forms to enter new site localities, view information about those already entered, view and add data to a master faunal list for the state, view sites repository information and store and add documents that are key-word searchable from the …

The Women’S Renaissance: An Analysis Of Gender Expectations And Experiences In Early Modern Europe, Taryn Shelnutt-Beam

Electronic Theses and Dissertations

In 1976 Joan Kelly released her influential article “Did Women have a Renaissance?” Kelly argued that women did not enjoy any of the benefits of the period. Rather, she claimed, the lives of women were actually worse after the 1400s than they had been before. Since 1976, new primary documents authored by women have been discovered. Moreover, new access to relevant writings by authors like Francesco Barbaro, Pier Vergerio, Leonardo Bruni, Juan Luis Vives, and Erasmus make revisiting Kelly’s arguments possible. This thesis uses a sample of these texts to explore women’s experiences and create innovative avenues to explore in …

Endo/Exo, Delaney Rogers

Electronic Theses and Dissertations

The artist, Delaney Shae Rogers, discusses her Master of Fine Arts exhibition, Endo / Exo, held at the Tipton Gallery in downtown Johnson City, TN. The exhibition dates are from March 25th through April 5th, 2024, with a public reception held April 5th, 2024. The author provides insight into the concept behind the work in the exhibition and shares how the making process and specific materials impact the work. This body of work explores coping with grief, anxiety, and the state of the world through the process of making and communicating otherwise difficult topics through visually digestible symbolic language.

Queer Student Or Student Who Is Also Queer? A Mixed Methods Study Of Competing Master Statuses In Higher Education, Kayla Densberger

Electronic Theses and Dissertations

People pursuing LGBTQ+ rights in the United States have faced triumphs and setbacks over time but now face equality-restricting legislation in several regions. Previous researchers have studied LGBTQ+ college students and LGBTQ+ identity as a master status, but less on how queer identity competes for salience with other identities. This study uses qualitative and quantitative secondary data on student responses to a university-wide climate survey (n=1699) conducted in the Fall semester of 2022. I analyze LGBTQ+ and non-LGBTQ+ student experiences and satisfaction with their school. The quantitative results of this research find that LGBTQ+ students have a markedly different campus …

Developing A Suitability Model And Feasibility Report For The Tennessee Mesonet, Tristan Holmes

Electronic Theses and Dissertations

Mesoscale networks, also known as Mesonets, are advanced environmental monitoring systems that consist of multiple high-quality weather stations that collect meteorological data at frequent intervals (5 minutes or less). Tennessee currently lacks a Mesonet system, and this study identifies suitable and feasible locations for stations in all 95 counties. Layers needed to develop the suitability model included land cover, road centerlines, elevation, flood zones, building footprints, and hydrologic soil types. Geospatial analysis techniques were used to process and combine these layers to identify suitable areas. Once suitable areas were determined, a feasibility assessment that examined land ownership, accessibility, and cell …

Ìlànà Òrí-Òkè Àtiyanrìn: T(H)Reading Sands And Mountains, Akintayo Akintobi

Electronic Theses and Dissertations

The artist presents his Master of Fine Arts exhibition, entitled Ìlànà Òrí-òkè Àtiyanrìn: T(h)reading Sands and Mountains. The exhibit was mounted in Tipton Gallery in downtown Johnson City, TN, from February 1 to February 9, 2024. The exhibition consisted of 13 artworks, including mixed media paintings, fibers, sculptures, and installations. In this thesis, Akintobi discusses his life experiences growing up in Nigeria and traveling to the United States for his MFA, and how these experiences have affected his art over the past three years.

Through the exhibition, the artist delves into the intersection and variances of cultural perspectives, exploring …