Digital Commons Network^™

Communicating In Crisis: Rhetorical (De)Stabilization During The Covid-19 Pandemic., Brittany Nicole Smart

Electronic Theses and Dissertations

This project explores the role of rhetoric in crisis—how rhetoric can contribute to both the stabilization and destabilization of a worldwide health emergency. Specifically, I utilize the COVID-19 pandemic as a case study to investigate how institutional rhetorics exacerbated the ongoing burnout epidemic amongst healthcare workers. Through a feminist, materialist take on institutional ethnography (Fullagar & Pavlidis, 2021; Griffith & Smith, 2014), I show how, while institutions like the CDC were under pressure to contain the spread of the virus, in the chaos of communicating safety regulations to healthcare professionals, they inadvertently subverted clinician autonomy and expertise by “coordinating” (LaFrance, …

Environmental Exposures And Male Reproductive Outcomes., Damilola Rukayat Owoade

Electronic Theses and Dissertations

Male sexual dysfunction comprises various conditions, including erectile dysfunction (ED) and ejaculatory dysfunction. Testosterone deficiency (TD), which has been linked to some of these sexual dysfunctions, is characterized by low production of testosterone by the testes. These male reproductive outcomes may develop due to exposure to various risk factors, including environmental exposures. These environmental exposures may include volatile organic compounds (VOCs) and tear gas. This dissertation aims to examine the effects of tear gas exposure and VOCs on male reproductive outcomes. The association between tear gas exposure and male reproductive outcomes was assessed using data obtained from an online anonymous …

“I Became Myself”: Exploring Cultural Learning Through Stories And Storytelling., Leah Halliday-Johnson

Electronic Theses and Dissertations

Despite broad acknowledgement in education that culturally responsive teaching is essential to meeting learners’ needs, defining and operationalizing culturally responsive teaching remains a challenge. Along with being designed to meet the needs of students from diverse racial and cultural backgrounds who have traditionally been underserved, one commonly identified feature of culturally responsive teaching is building on students’ cultural assets to promote their learning. And while stories and storytelling are among the most common teaching tools, storytelling pedagogies tend to use stories to deliver content or to assess student learning. This dissertation explores collaborative story sharing as an approach to helping …

Organizational Change In Saudi Healthcare Settings: Evaluating Organizational And Individual Readiness For Change, And The Mediating Role Of Readiness For Change Between Management Support And Commitment To Change., Sultan Alsaif

Electronic Theses and Dissertations

BACKGROUND: To respond to the constantly changing environment and developments of healthcare, leaders of healthcare organizations have been trying to introduce and implement transformations that allow their organizations to be able to operate effectively and efficiently to meet the shifts in healthcare demand and to deal with new patterns of health issues, comply with the new policies, and to enhance their present in the market. Thus, it is important for managers to determine the level of readiness for implementing organizational changes from to perspectives. These perspectives include organizational readiness for change and individual readiness for change. METHOD: This first manuscript …

Exploring Burnout And Work Engagement In The United States Refugee Resettlement Policy-Practice Domain: A Qualitatively Driven Mixed-Method Study., Eva X. Nyerges

Electronic Theses and Dissertations

Refugee resettlement workers are crucial actors within refugee resettlement, supporting newcomers’ acculturation into a new society. Little is known about the comprehensive range of organizational characteristics that impact workers’ experiences of burnout and work engagement. This qualitatively driven mixed-method study using Constructivist Grounded Theory analytic techniques aimed to develop a holistic understanding of the organizational elements influencing burnout and work engagement among refugee resettlement workers. Further, the study aimed to illuminate the mechanisms by which job demands and resources influence burnout and work engagement. In-depth qualitative interviews with 22 refugee resettlement workers operating in a southeastern state of the United …

Investigation Of Heterocyclic Amines And N-Acetyltransferase 2 Genetic Polymorphism In The Dysregulation Of Hepatic Energy Homeostasis: A Gene-Environment Approach., Kennedy M Walls

Electronic Theses and Dissertations

Heterocyclic amines (HCAs) are mutagens generated when cooking meat for prolonged periods of time or until well-done. Recent epidemiological studies reported significant associations between dietary HCA exposure and insulin resistance and type II diabetes. However, no previous studies have examined if HCAs, independent of meat consumption, contributes to pathogenesis of insulin resistance or metabolic disease. It is well known that HCAs require hepatic bioactivation by cytochrome P450 1A2 (CYP1A2) and N-acetyltransferase 2 (NAT2). NAT2 expresses a well-defined genetic polymorphism in humans that, depending on the combination of NAT2 alleles, correlate to rapid, intermediate, or slow acetylator phenotypes that exhibit differential …

Bayesian Strategies For Propensity Score Estimation In Causal Inference., Uthpala I. Wanigasekara

Electronic Theses and Dissertations

Causal inference is a method used in various fields to draw causal conclusions based on data. It involves using assumptions, study designs, and estimation strategies to minimize the impact of confounding variables. Propensity scores are used to estimate outcome effects, through matching methods, stratification, weighting methods, and the Covariate Balancing Propensity Score method. However, they can be sensitive to estimation techniques and can lead to unstable findings. Researchers have proposed integrating weighing with regression adjustment in parametric models to improve causal inference validity. The first project focuses on Bayesian joint and two-stage methods for propensity score analysis. Propensity score modeling …

Agency In Learning And E-Learning Through The Lens Of Disability And Inclusivity., Marta Martin

Electronic Theses and Dissertations

Through the analysis of ethnographic, qualitative data collected from students and their stakeholders at the University of Louisville, this thesis examines the experiences of students with disabilities in spaces of higher education, particularly virtual learning spaces. This research has illuminated systemic gaps in disability resources and accessibility within the landscape of higher education, restricting the agency of students with disabilities and their stakeholders.

Critical Regionality & Alternative Pedagogies In Eastern Kentucky., Zachary Shelton

Electronic Theses and Dissertations

This study examines the history of several Appalachian educational institutions, their approaches, and how that may influence contemporary Eastern Kentucky students (the Appalachian region in Kentucky). Eastern Kentucky today suffers from high rates of poverty and low rates of educational attainment, with a postsecondary attainment rate less than half of the nation’s average. This study proposes looking at Eastern Kentucky’s educational history and proposing ways to alter the current standardized pedagogies in secondary schools to cultivate higher rates of academic interest and motivation. I approach Eastern Kentucky’s complex history with the institution of education and its contemporary implications through a …

Causal Inference For The Effect Of Continuous Treatment On Time-To-Event Outcomes And Mediation Analysis On Health Disparities In Observational Studies., Triparna Poddar

Electronic Theses and Dissertations

The dissertation comprises two projects related to causal inference based on observational data. In healthcare research, where abundant observational data such as claims data and electronic records are available, researchers often aim to study the treatment effect and the pathway of that effect. However, estimating treatment effects in observational data presents challenges due to confounding factors. The first project focuses on estimating continuous treatment effects for survival outcomes, while the second concentrates on mediation analysis, allowing the exploration of the pathway of the causal effect. Both projects involve addressing confounding variables. In the first project, I investigate estimation of the …

Design, Fabrication, And Integration Of Robotic Skin Sensors For Human Robot Interaction., Olalekan Olakitan Olowo

Electronic Theses and Dissertations

Enhancing physical human-robot interaction in modern robotics relies on refining the tactile perception of robot skin sensors. This research focuses on crucial aspects of the development process, including fabrication techniques, miniaturization, and integration for a more efficient collaborative human-robot interface. The fabrication process of robot skin sensors, designed to mimic human skin, is explored both within and outside cleanroom environments. An enhanced technique is presented to increase fabrication yield and create more miniaturized sensor designs with feature sizes in the tens of microns. These sensors function as piezoresistive arrays using organic polymers like PEDOT: PSS as the pressure-sensing medium. Various …

Special Education Teachers’ Emotional Well-Being And Work-Related Stressors In The School Environment, Mallory J. Laravie

Electronic Theses and Dissertations

There is little to no research regarding novice elementary special education teachers (SETs) and their emotional well-being while in the school environment. The goal of this work is to illuminate special education teacher’s voices missing in previous research. Additionally, this research examines the impact of work-related stressors on novice elementary SETs' emotional well-being in the school environment. The theoretical perspective of heuristics is used to illuminate a problem or answer a question about the lived experience of the researcher. Lazarus and Folkman’s (1984) transactional theory of stress and coping framework guided the research question development, data analysis, and presentation of …

Using A Toxic Aging Coin To Assess Hexavalent Chromium-Induced Neurotoxicity., Samuel Thomas Vielee

Electronic Theses and Dissertations

We are facing an aging crisis, with 20% of the U.S. population projected to be geriatric (65+) by 2030 and live another 40+ years. Age-related diseases accompany a growing geriatric population, emphasizing the need to understand their etiology. Environmental pollutants compound this crisis by: 1) geriatrics are more susceptible, exacerbating age-related diseases and comorbidities, and 2) they accelerate biological aging, inducing age-related diseases at younger ages. We address this crisis using a ‘toxic aging coin’ approach; heads examines how age impacts toxicity, tails examines how chemicals accelerate aging. This thesis applies the heads side for Cr(VI)-induced neurotoxicity across ages. We …

Formalizing The Faustian Bargain Within The Healthcare Domain: An End-Of-Life Approach., Rachel Appel

Electronic Theses and Dissertations

A Faustian Bargain refers to an individual making a “deal with the devil,” exchanging something moral or sacred for an unattainable earthly good. The Faustian Bargain has been used to describe a ubiquitous social dilemma inherent to human civilization: exchanging individual liberty for public goods (e.g., security) provided by societal leaders and governments (Ostrom, 1980). Research on Faustian Bargains often examines tradeoffs between outcome utility (i.e., value derived from the outcomes of a decision) and procedural utility (i.e., value derived from being involved in the decision process (e.g., Frey et al., 2004). Much of the research on Faustian Bargains has …

The Experiences Of Leaders Who Transitioned To Leading A Virtual Team During The Covid-19 Pandemic: A Phenomenological Study., Jason W. Oliver

Electronic Theses and Dissertations

The COVID-19 pandemic led to organizations rapidly transitioning their workforces to virtual work settings. This sudden shift brought about many challenges to organizations and their employees. In this study, a phenomenological research approach was used to describe the lived experiences of leaders who transitioned to managing a virtual team during the COVID-19 pandemic. The study also explored how leaders adapted their leadership practices and leveraged people and technology when transitioning to managing a virtual team. The findings revealed seven themes that highlighted both benefits and challenges of virtual leadership and work. Leaders recognized the need for intentionality in their actions …

Educator Perceptions Of The Care And Instruction Of Trauma Exposed Students In A Small, Urban, Christian School., Mitzi L. Phelan

Electronic Theses and Dissertations

It is the endeavor of this research project to investigate how a gap in understanding and communication of an advisory program’s fundamental purpose could potentially impact the thoughts and beliefs of teachers in shaping their perceptions of an advisory program’s efficacy. To this end, the purpose of this phenomenological study is to explore the lived experiences of twelve teacher-advisors in two high schools in Shelby County, Kentucky to understand their concepts of an advisory program’s efficacy. Using convenience sampling, twelve teacher-advisors participated in semi-structured interviews, providing insight into three research questions regarding teachers’ beliefs, intentionality, and challenges of implementing a …

A Study Of Group Effectiveness In A Virtual Reality Environment., Dalton Clay Sparks

Electronic Theses and Dissertations

Virtual Reality (VR) technology has revolutionized the study of team effectiveness, yet many studies in this domain lack a comprehensive approach, focusing narrowly on performance metrics. This thesis investigates VR team effectiveness by integrating traditional Team Effectiveness frameworks with VR-specific dynamics. Utilizing Data Envelopment Analysis (DEA) and Group Style Inventory (GSI), this study assesses teams within a VR environment, specifically a multiplayer submarine simulation game, IronWolfVR. Fifteen groups, totaling 45 participants, were observed for their collaborative gameplay, incorporating physiological measures (Heart Rate and Electrodermal Activity), team coordination dynamics, and various survey-based assessments (demographics, System Usability Scale, Simulator Sickness Questionnaire, and …

From "Smart Talk" To "Living Well": Commonplaces And Their Role In Narratives Of Rare Disease., Caitlin E. Ray

Electronic Theses and Dissertations

As healthcare becomes more complex, automated, and bureaucratic, patients often suffer from a lack of resources, agency, and visibility when seeking medical care. Rhetoric and Composition, specifically the subfield of Rhetoric of Health and Medicine (RHM), is interested in studying and intervening into such issues. One way to challenge our current understanding of healthcare is to consider how the rare disease patient experience reveals the gaps, limitations, and assumptions of illness and health. I argue here that through rare diseases, rhetoricians of health and medicine can better understand the representation, advocacy, and patient experience within healthcare, and potentially lead to …

Isotopic Ecology Of Bison And Bootherium At Big Bone Lick, Kentucky, Frances Stephenson

Electronic Theses and Dissertations

Big Bone Lick (BBL) is a late Pleistocene and Holocene fossil locality in the Ohio River valley of Kentucky. This study utilized stable isotopes (δ¹³C, δ¹⁸O, and ⁸⁷Sr/⁸⁶Sr) in tooth enamel to reconstruct mobility and diet in Bison, as well as diet in Bootherium bombifrons. Isotopic results from seven Bison and two B. bombifrons are reported. Results suggest Pleistocene Bison and Bootherium occupied different dietary niches. Although both had C3-dominated diets, Bison occupied more open environments than B. bombifrons. Two bison from the late Holocene deposit had diets that consisted …

Perceptions Of Educators On Motivational Strategies Influencing Middle School Students In Mathematics Courses, Amy Rigsby

Electronic Theses and Dissertations

This qualitative study examined educators' perceptions of motivational strategies influencing and motivating middle school students to comprehend and perform in mathematics courses. This study used interview data from 15 participants with 2 to 30 years of teaching experience. Educators may utilize this information in multiple settings within the classroom to influence and motivate students in mathematics courses.

Data collection strategies included one-on-one semi-structured middle school educator interviews. Analysis of data occurred in three phases: (a) categorization of data under the five organizational factors, (b) building the explanation in narrative form, and (c) re-examination of the data. The analysis of the …

Building Efficacy In Special Educators: An Examination Of Basic Readiness Factors, Clarice Wright Edwards

Electronic Theses and Dissertations

This phenomenological study examined the perceptions of self-efficacy of elementary special education teachers (SETs) providing services for students with disabilities (SWD) in the general education classroom setting. Additionally, this study explored the effect of job-embedded supports and the skill sets deemed essential to meet the needs of SWDs. Understanding methods that can enhance the skill sets and pedagogical knowledge of SETs beyond teacher preparation can provide schools and school districts with opportunities to build highly efficacious teachers and improve student outcomes. Participants were asked about the perceived impact of teacher preparation programs on the self-efficacy of practicing SETs and about …

Synthesis Of Bacterial Glycerophospholipids For Biomembrane Model Studies: A Means To Advanced Biofuels, Felix Adulley

Electronic Theses and Dissertations

To reduce reliance on fossil fuels, sustainable biofuels are being pursued, especially advanced biofuels like 1-butanol that have higher energy content and greater compatibility with existing infrastructure than ethanol. A persistent challenge is the yield-limiting toxicity of biofuels and process solvents, such as tetrahydrofuran, to the microbes that ferment biomass into biofuel. The cell membrane is a focal point of toxicity, and understanding how it interacts with fuels and solvents is key to improving yield. Phospholipid bilayers are the core of biomembranes, and model biomembranes of defined composition provide the ideal platform for biophysical studies. To this end, glycerophospholipids characteristic …

Once Upon Online: Conversations With Professional Storytellers About Adapting From In-Person To Virtual Storytelling Performance, Leticia Pizzino

Electronic Theses and Dissertations

This study examines how professional storytellers negotiated a new storytelling stage—the videoconference platform—as they pivoted their careers during mandated shutdowns due to COVID-19. An examination of the literature reveals extremely limited research involving either professional storytellers or live virtual storytelling. After interviewing five professional storytellers, I analyzed their stories through narrative inquiry. Analysis revealed that the storytellers negotiated the limitations and affordances of Zoom and adapted their storytelling to successfully connect with their audiences. Through crafting a narrative of their stories, I was able to represent their emotions, unique experiences, and abilities to adapt to the online environment. Their stories …

Strategic Blended Learning: 9-12 Teacher Perceptions Of Digital Engagement Post Covid-19, Brandon D. Weaver

Electronic Theses and Dissertations

This quantitative study examined teacher perceptions on the relationship between technology, student academic behaviors, and performance in blended 9^th-12^th grade settings through pre-COVID-19 Pandemic and post-COVID-19 Pandemic learning experiences. This replicate study explored the relationship between teacher perceptions of student motivation and student autonomy and their relation to technology implementation in face-to-face instruction and blended learning environments. Particularly, this study analyzed how student motivation and student autonomy were affected by blended learning technologies and teaching strategies introduced after the onset of the COVID-19 Pandemic.

Data were examined to investigate teacher perceptions on the relationship between technology, student …

Intestinal Microbiome, Fecal Fermentation Profile, And Health Indices In Hiv Infected Men Versus Non-Infected Controls, Mary Andreae, Mary C. Andreae Mrs

Electronic Theses and Dissertations

Many HIV-positive (HIV+) males on Highly Active Anti-Retroviral Therapy (HAART) experience metabolic abnormalities, including Non-Alcoholic Fatty Liver Disease (NAFLD) and lipodystrophy. The intestinal microbiota and short chain fatty acids (SCFA), participate in bidirectional communication with their host. Dysbiosis in HIV+ males on HAART demonstrate a Prevotella-rich enterotype shaped by multiple factors including, medications, adiposity, diet, intestinal permeability, and lifestyle; our objective was to investigate these factors. 19 HIV+ and 21 HIV- males were enrolled. BMI and hip-to-waist ratio (H:W) were obtained, and FibroScan for liver health. Intestinal permeability markers Claudin-21, flagellin, and intestinal fatty acid binding protein (IFABP) in …

School Nurses And The Sexual Health And Education Of Public-School Students In Tennessee, Amy Wake

Electronic Theses and Dissertations

Tennesseans have been experiencing increasing rates of sexually transmitted diseases since the year 2000. Those rates are highest among those 15- to 24-year-olds. At the same time, Tennessee policy requires the teaching of abstinence as the primary form of sexual health education and emphasized the use of abstinence-only curriculum. The school nurse represents an available resource in the Tennessee public schools. The purpose of the qualitative study was to explore, describe, and interpret the perceptions and experiences of public-school nurses from rural, suburban, and urban areas of Tennessee related to the sexual health and sexual health education of students. School …

What Discrimination? Christian Microaggression Rhetoric Against Nontheists, Nicole Dolfi Hall

Electronic Theses and Dissertations

Theories of microaggressions have been used in the last decade as a framework for studying subtle forms of discrimination against racial minorities and other marginalized groups. However, there is a dearth of research on the scope and types of microaggressions nontheists face. This qualitative study examines microaggressions against nontheists by interviewing 16 religious Christians on their experiences and opinions of the discrimination Christians and nontheists face. The narratives were analyzed for thematic patterns between the rhetoric used and the type of microaggressions employed. The study revealed nine categories of microaggressions. The findings also showed how experiences of discrimination, political viewpoint, …

Community College Students' Perceptions Of Sense Of Community And Instructor Presence In The Online Classroom, Marla Cartwright

Electronic Theses and Dissertations

The purpose of this non-experimental, comparative, quantitative study was to determine if there were significant differences between the perceptions of male and female community college students about the importance of sense of community (SoC) in online classes and sense of instructor presence (IP) at eight southern, public, community colleges using survey data. It was the intent of the study to determine if there were significant relationships of students’ perceptions of the presence of sense of community in online classes among factors of age, race, grade point average, cumulative credit hours, credential type, major area of study, and number of previous …

Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …

Administrators’ Perceptions Of Alternatives To Suspension In Virginia Urban Public Schools, Hayley Poland

Electronic Theses and Dissertations

The purpose of this phenomenological study was to examine the perceptions of the use of alternatives to suspension of high school administrators in Virginia urban public schools. The phenomenological research design allowed better understanding of the participant’s view and perception of their use of alternatives to suspension. While there is research focusing on the use of alternatives to suspension, there has been little research in Virginia urban public schools on the perceptions of administrators on the use of alternatives to suspension. The framework this research study utilized to focus the data analysis was Social Learning Theory.

Data collection strategies included …