Digital Commons Network^™

The Integration Of Catholic Mission And Ethics In Contributing To A Good Death, Noah Dimas

Electronic Theses and Dissertations

Catholic healthcare ethics exists within a morality that is under regular heavy scrutiny. This is furthered by the healthcare space itself becoming more secular as the greater society itself moves beyond the religious origins of healthcare. However, this does not have to be relegated to a negative. Rather, this can become a strong call to action for Catholic healthcare to rally together and advocate for itself in the wider healthcare space. This is especially true as these challenges to the Catholic moral-ethical framework begin to question the presence of both Catholic and religious healthcare as whole. These challenges, if left …

Exploring The Effects Of Psychosocial Factors And Relationships To Postpartum Depression Symptoms Among Iranian Immigrant Women Living In Canada: A Cross-Sectional Study, Monica Gola

Electronic Theses and Dissertations

Introduction: Immigrant women’s health garners attention as migration creates changes in social networks and parenting needs. The effect of psychosocial factors, such as maternal self-efficacy, measured by ability to manage parenting responsibilities, social support and cultural postpartum practices on postpartum depression symptoms are not well known in Canadian immigrant women. Methodology: A cross-sectional descriptive survey design guided by Bandura’s Reciprocal Determinism was used to explore the relationships between psychosocial factors including: maternal self-efficacy, social support, cultural postpartum practices; and symptoms of postpartum depression (PPD) among recent Iranian immigrant women living in Canada. Results: A total of 114 participants completed the …

The Ethics Of Governance Of Data Analytics In Healthcare, Andrew Harrington

Electronic Theses and Dissertations

Recent literature and studies on data governance usually focus on data ethics and governance from a specific country or industry, which has been mostly business, without considering the larger global impact that is affected. Data is a worldwide asset; thus, its implications and considerations should be viewed as such. Hence, this dissertation attempts to incorporate this view by weaving together topics in healthcare, such as the blending of finance and delivery, data governance at the micro and macro levels, data analytics in healthcare, ethics of AI and information management, and technology’s impact on end-of-life practices. Through highlighting these areas of …

3d Scanning And Characterization Of Skin Lesions, Amir Rastegar

Electronic Theses and Dissertations

Skin lesions, including burn wounds, are characterized by several key physical properties including the size, shape, and coloration of the wound. Assessing the state of the wound is critical to ensure the best chance of patient recovery. Initial assessments are typically done with visual inspection, which, given human eyes, is subjective and non-repeatable.

In this study, we investigated the feasibility of characterizing skin wound properties, such as surface area, based on the 3D model obtained with an iOS device, aiming for providing more accurate skin wound assessment than conventional 2D imaging based assessment. Since 2D images lack depth data, they …

The Ethical Contribution Of Cultural Diversity As A Social Determinant Of Health, Pooja Patel

Electronic Theses and Dissertations

The dissertation examines how cultural diversity as a social determinant of health, aligned with human life, human dignity, human rights, and human equity provides an ethical contribution. My explanation of the ethical contribution of cultural diversity as a SDOH refers to a quadrant of topics that expands the approach of the UNESCO Declaration of Bioethics and Human Rights. The UNESCO approach addresses cultural diversity in relation to human dignity and human rights. I adopt a quadrant of topics that aligns human dignity with human life and human rights with equity. Aligning these topics in the quadrant (dignity/life and rights/equity) explains …

Embodied Fatness In Boys: A Critical Phenomenological Study, Sean Leadem

Electronic Theses and Dissertations

This dissertation was an exploratory study of experiences of fatness in boyhood using a hermeneutic phenomenological qualitative method. The author conducted in-depth, open-ended interviews with participants who identify as men and for whom fatness or related body-difference was an issue in childhood or adolescence to gather data on the meanings of fatness for boys and the men they become. Data analysis was organized around the existential dimensions of embodiment, temporality, and relationality. Themes emerging from this analysis included a) the discovery of fatness as ambiguous meanings mediated by others, b) fatness as a problem in a horizon that does not …

A Qualitative Study Of Leadership Tools And Traits That Foster Effective Relationships In Rural School Communities, Julie Boyer

Electronic Theses and Dissertations

The purpose of this qualitative study was to identify leadership qualities and practices that nurture relationships in school settings. The central question framing this study was: What leadership tools and traits foster effective relationships in rural school communities? I conducted semi-structured interviews in a small Northwestern school district. Non-classroom leaders and classroom leaders, who will be referred to using pseudonyms, were recruited from the elementary, middle, and high schools based on recommendations from the district’s superintendent. Prior to conducting interviews, participants were provided with a framework based on Kouzes and Posner’s (2017) exemplary leadership practices and asked to choose five …

Dolphin Behavioral Responses To Uncrewed Aerial Systems As A Function Of Exposure, Height, And Type, Savannah Damiano

Electronic Theses and Dissertations

Uncrewed aerial systems (UAS) are becoming a standard tool in the study of cetaceans, however, a comparative assessment of animal responses to UAS has not been established to gauge the most effective systems for cetacean study. We utilized Dolphin Quest Bermuda’s eleven bottlenose dolphins as subjects for such an investigation taking place over five weeks in 2022 and five weeks in 2023. The dolphins were evaluated for investigative behavioral responses to six off-the-shelf UAS types and a custom fixed wing system. Each UAS was flown in decreasing height vertically above the main dolphin lagoon to evaluate dolphin behavioral responses in …

Peer Perceptions Of Parent-Students Seeking Higher Education, Alexandria Wall

Electronic Theses and Dissertations

With a growing number of parents pursuing academia, it is imperative that researchers understand the social environment in which parent-students function. Stereotypes of parent-students may be held by peers, faculty, and other educational supervisors. Across two previous independent studies, evidence and rationale were provided to suggest that both positive and negative perceptions of parent-students exist, with noted differences between gender. The purpose of the current 2x2x2 between-subjects study was to analyze the social perceptions of students enrolled in higher education as varied by parenthood status, age, and gender. The social perceptions included measures accounting for perceptions of intelligence and academic …

Novel Microdevices To Analyze Toxic Volatile Organic Compounds., Sujoy Halder

Electronic Theses and Dissertations

There has been a growing interest to measure volatile organic compounds (VOCs) in a range of environmental applications. The presence of toxic VOCs in the air has been associated with serious health problems including asthma, central nervous system dysfunction, cardiovascular disease and cancer, etc. Different analytical instruments such as gas chromatography-mass spectrometry (GC-MS) and sensor systems, such as metal oxide sensors are used to analyze VOCs. However, challenges still exist in the detection of airborne VOCs because of their trace concentration and interference with complex gas mixtures. In this dissertation, two microfabricated devices, a sensor array and a micropreconcentrator were …

Evidence-Informed In-Service Professional Development To Support Keis Providers' Sustained Fidelity To Caregiver Coaching., Serena Wheeler

Electronic Theses and Dissertations

Part C early intervention (EI) providers are expected to implement family-centered, capacity-building practices with the increasing number of caregivers of eligible infants and toddlers with or at risk of developmental delays or disabilities. There is a current knowledge to practice gap in service provision, establishing the need for evidence-informed professional development. The Coaching in Early Intervention Training and Mentorship Program (CEITMP) was developed to expand the professional knowledge and skills of Kentucky’s cross-disciplinary (i.e., developmental interventionists, occupational therapists, physical therapists, and speech-language pathologists) EI providers to coach caregivers to promote their increased confidence and competence to support their child’s development …

The Impact Of Kentucky’S Medicaid Expansion On Adult Coverage And Diagnosis Of Type 2 Diabetes Mellitus And Diabetic Peripheral Neuropathy, The Use Of Antihyperglycemics And The Role Of Social Determinants Of Health 2011-2018., Brian Mcroberts

Electronic Theses and Dissertations

Objectives: This study analyzed the impact of Medicaid expansion in Kentucky on coverage of adults aged 19-64 and the diagnosis of type 2 diabetes mellitus (T2DM) and diabetic peripheral neuropathy (DPN) and the use of antidiabetic medications or insulin (antihyperglycemics) for T2DM, controlling for Social Determinants of Health (SDOH). Method: This study assembled ICD-based claims and prescription drug NDC claims from all adult residents of Kentucky enrolled in Medicaid from 2011 to 2018. Three-digit zip code (Zip-3) data was appended to each case from the American Community Survey to provide SDOH variables. Tests performed included ANOVA, decision trees, varimax rotated …

Engineering 3d Architected Metamaterials For Enhanced Mechanical Properties And Functionalities., Huan Jiang

Electronic Theses and Dissertations

Compared with conventional materials, architected metamaterials have shown unprecedented mechanical properties and functionalities applications. Featured with controlled introduction of porosity and different composition, architected metamaterials have demonstrated unprecedent properties not found in natural materials. Such design strategies enable researchers to tailor materials and structures with multifunctionalies and satisfy conflicting design requirements, such as high stiffness and toughness; high strength with vibration mitigation properties, etc. Furthermore, with the booming advancement of 3D printing technologies, architected materials with precisely defined complex topologies can be fabricated effortlessly, which in turn promotes the research significantly. The research objectives of this dissertation are to achieve …

Perceptions Of Student Loan Debt: A Phenomenological Study Exploring Black Undergraduate Students' Experiences., Pilar Prather

Electronic Theses and Dissertations

The rising cost of higher education concerns many families in the United States, especially those from historically underrepresented backgrounds. The purpose of this study is to explore the phenomenon of Black students' perception of their student loan debt and how their financial knowledge influences their decisions at a public institution. This qualitative research provides space to empower individuals to share their stories through semi-structured interviews to get an account of their experiences. Grounded in Yosso's (2005) Community Cultural Wealth Theory, the study seeks to capture the unique ways Black students make financial decisions. The dissertation is divided into five chapters: …

The Alphaviral Capsid Protein Inhibits Irak1-Dependent Tlr Signaling To Promote Pathogenesis., V. "Trey" Landers

Electronic Theses and Dissertations

Alphaviruses are positive-sense RNA viruses spread by mosquitos. They can cause a severe multi-joint febrile arthritis or encephalitis resulting in death or life-long cognitive impairments. To date there are no approved antiviral therapeutics or vaccine strategies for the treatment of alphaviruses creating a critical need to better understand the host pathogen interactions of alphaviruses that enable pathogenesis. It is known that alphaviruses evade innate immune responses by shutting down host transcription and translation, but these methods are dependent on viral gene expression and leave a critical time frame during early infection before viral gene expression has begun that the virus …

Lung Cancer-Kidney Crosstalk Enhances Cisplatin-Induced Nephrotoxicity., Andrew Orwick

Electronic Theses and Dissertations

Cancer patients represent a unique patient population with increased susceptibility to kidney disease. Drug-induced acute kidney injury (AKI) in cancer patients is a common problem. Cisplatin is a highly effective treatment used in many solid organ cancers. However, cisplatin causes AKI in 30% of patients, increasing the risk of chronic kidney disease (CKD) development. The kidneys maintain homeostasis of the body’s extracellular fluids and removing waste products. The kidneys filter nearly 170 liters of fluid a day and must reabsorb over 99% of the filtrate. The reabsorption occurs in tubule cells throughout the nephron, which are highly enriched in mitochondria …

Regeneration: Restorative Theatre Practice In Theatre Education., Sarah Elston

Electronic Theses and Dissertations

Regeneration: Restorative Theatre Practice in Theatre Education aims to harness the holistic benefits of theatre as a discipline and create an intentional restorative practice for performers. This thesis serves as a proposal; an attempt to prioritize restorative and self-care practices within the theatre industry, specifically pre-professional training programs. This proposal takes the form of a curriculum that builds upon the current model of theatre training (Voice, Movement, Acting) with the addition of Regeneration. Regeneration provides theatre artists with specific areas of study to offer the psychosocial support a theatre artist may need during their pre-professional training. This thesis will discuss …

An Analysis Of The Effects Of Certified Electronic Health Records On Organizations And Patients., Picandra Elzie

Electronic Theses and Dissertations

The growing technological advancement of electronic health records can become an issue with quality and electronic patient information exchange if hospitals do not adhere to federal guidelines. It is recommended that hospitals utilize certified electronic health records (EHRs) to receive financial incentives. This certification is supposedly also associated with the quality of the EHR itself. The certification process is criticized for allowing EHR vendors to meet a set of limited functions known in advance. EHRs can affect healthcare quality and electronic health information exchange. This dissertation explored what is known about the effects of certified EHRs on length of stay …

Effects Of Pyramidal Behavior Skills Training On The Procedural Integrity Of School Staff When Delivering Functional Communication Training To Students., Erica Mcclure

Electronic Theses and Dissertations

Behavioral skills training (BST) is a commonly used, well-researched method for delivering training that has been shown to generate mastery and fidelity across multiple populations and skills. Despite the evidence supporting its use across multiple settings with a variety of populations, few studies have examined the use of pyramidal BST to train educators in a public school setting in the implementation of functional communication training (FCT). This study utilized a concurrent multiple probe across participants design to examine the effects of pyramidal BST on the procedural integrity of general education teachers providing FCT as part of an intervention plan. BST …

Soluble Epoxide Hydrolase Inhibition: A Novel Therapeutic Strategy For Alcohol-Associated Liver Disease., Jeffrey Warner

Electronic Theses and Dissertations

Introduction Alcohol-associated liver disease (ALD) is a common chronic liver disease and healthcare burden, and a spectrum of pathologies ranging from steatosis to steatohepatitis, fibrosis, and alcohol-associated hepatitis (AH). Despite its prevalence, there are limited effective therapeutic options for the treatment of ALD/AH. Previous evidence suggested that inhibition of soluble epoxide hydrolase (sEH), a lipid metabolism enzyme which degrades beneficial metabolites of dietary polyunsaturated fatty acids, may be a beneficial strategy. The central hypothesis of the current dissertation is that sEH inhibition will ameliorate alcohol-associated liver injury and inflammation in mouse models of ALD. Methods To determine the efficacy of …

Clustering And Analysis Of G Quadruplex Sequences., Aryan Neupane

Electronic Theses and Dissertations

G quadruplex structures are secondary structures located throughout the genome of various organisms with involvement in regulatory functions in different transcription, translation, genome stability, epigenetic regulation as well as cell division. Even with the diverse acknowledgement of G4 structure in vivo, there are no current search tools for G quadruplexes based on already identified G quadruplexes and identified families across different genomes based on sequence diversity. Construction of families of G4 sequences and identifying their polymorphisms within disease and disorders will lead to a better understanding of their functional roles and will further research into the biophysical modeling of interactions …

Someone, Stop Her! The Musical (The Gallery Show): The Thesis Document., Hannah Dewitt

Electronic Theses and Dissertations

This thesis document accompanies a body of work that is radically vulnerable, personally political, and emotionally complex. Through my work, I challenge myself and my audience to sit with discomfort and create an environment suitable to generate a nuanced appreciation of pain that approaches its acceptance through humor, confessionalism, and the subversion of tropes against themselves as an act of counter-mimicry. This document situates my work within art-historical context with a primary focus on performance art and applies insight from each artwork referenced to further analyze and defend my own work. Additionally, I use texts relating to Camp sensibility, binary …

Chemosensory Processing By The Mediodorsal Thalamus., Kelly Fredericksen

Electronic Theses and Dissertations

The mediodorsal thalamus (MD) is thought to be key component of the network that processes chemosensory information to guide our consummatory choices. Previous studies show that the mediodorsal thalamus receives projections from both the piriform cortex (PC) and gustatory cortex (GC), suggesting that it may process chemosensory information from both areas. Although the mediodorsal thalamus has been shown to respond to odors detected by sniffing, it remains unknown how its neurons represent experienced odors, tastes, and odor-taste mixtures originating from the mouth. Importantly, humans and animals with mediodorsal thalamic lesions do not suffer from anosmia, but experience deficits in odor …

Supraspinal Reorganization After Pediatric-Onset Spinal Cord Injury., Luis Alvarado

Electronic Theses and Dissertations

Pediatric spinal cord injury (SCI) disrupts the efferent and afferent flow of the developing brain, leading to devastating functional impairments below the injury site, yet our understanding of its impact on the brain remains limited. This study examines supraspinal reorganization in children with SCI using electrophysiology and neuroimaging techniques to understand the relationship between residual spinal transmission and supraspinal reorganization. Chapter 2 discusses the development of a child-centric approach using ‘learn, play, and practice’ to foster a trusting relationship with each child and increase compliance with experimental protocols. Chapter 3 evaluates the residual neural transmission of three spinal pathways in …

A Meta-Analysis Of The Academic Achievement Of Students With Emotional/Behavioral Disorders In Traditional Public Schools In The United States., Dana Page

Electronic Theses and Dissertations

Extensive research has been conducted on students with emotional and behavioral disorders (EBD) and their rates of challenging behavior. Less attention has been given to their academic achievement and outcomes. Recent research examining outcomes for students with EBD has indicated that these students receive lower grades, are less likely to pass classes, and experience higher rates of school dropout than students without disabilities and students with other high incidence disabilities. Given that between 2% and 20% of the school-age population is likely to have EBD (though many may not be identified as such), this is no small problem. Despite the …

The Evolution Of Empathy: Through The Lens Of A Rodent Model., Caroline Driscoll-Braden

Electronic Theses and Dissertations

Empathy is the capacity to be affected by and share the emotions of others, to discern the circumstances prompting another’s emotional state, and to identify with another by adopting their perspective. Research investigating the empathically motivated behavior of rats can help inform the evolutionary history of empathy and provide additional support of the continuity of empathy in animals and humans. In this dissertation, I examine the helping behavior of rats to explore the complexities of rodent empathy. In Chapter I, I review the multiple layers of empathy and describe both historical and contemporary research examining empathy in non-humans. I explain …

Adverse Birth Outcomes: Investigating The Role Of Nativity And Perceived Racial Discrimination Among Black Mothers Enrolled In Des Moines, Iowa Healthy Start., Kendria Kelly-Taylor

Electronic Theses and Dissertations

Birth outcomes for Black women in the United States (US) are disproportionately worse in comparison to non-Black women, even when controlling for potential confounders. Existing studies suggest foreign-born (FB) Black women present better birth outcomes in comparison to US-born (USB) Black women. Also, the longer FB Black women live in the US, the more their perinatal health advantage diminishes. Racial discrimination has been hypothesized as a potential reason for this decline. This dissertation investigates the relationship between nativity and adverse birth outcomes while also exploring how the reporting of racial discrimination impacts birth outcomes among FB and USB Black mothers …

Factors Associated With Skin Cancer Prevention: Primary And Secondary Behaviors., Jeanne Ward

Electronic Theses and Dissertations

Skin cancer, seemingly more innocuous than other cancers, maintains the highest incidence among cancers in the United States. While it is treatable early, metastasized melanoma or other carcinomas present severe illness with high mortality rates and disproportionate 5-year survival rates among ethnic/racial groups. Fortunately, most skin cancer is highly treatable when found in the early stages. However, this necessitates prevention tactics to avoid the causative agent, ultraviolet radiation, and regular skin screening to catch the disease in earlier stages. Unfortunately, these tactics are not widely conducted by adults, despite substantial skin cancer awareness. Therefore, motivating people to perform these health …

Identification Of A Role Beyond Iron Acquisition For Yersiniabactin During Yersinia Pestis Infection., Sarah Price

Electronic Theses and Dissertations

Yersinia pestis is a Gram-negative re-emerging bacterial pathogen that is responsible for bubonic, septicemic, and pneumonic plague. Y. pestis and other bacteria require transition metals, such as iron, zinc, and manganese, to maintain intermediary metabolism, transcriptional regulation, and virulence. To inhibit infection, eukaryotic organisms have developed distinct mechanisms, called nutritional immunity, to sequester these important nutrients from invading bacteria. For pathogens to colonize the vertebrate host, they have evolved dedicated acquisition systems for transition metals. During infection, Y. pestis overcomes iron limitation by secreting the siderophore yersiniabactin. Additionally, Y. pestis requires zinc for infection and utilizes high affinity transporters to …

Barriers And Facilitators Of Dairy Consumption Among Individuals With Metabolic Syndrome., Kofi Amoh-Mensah

Electronic Theses and Dissertations

About 35% of the United States adult population meets the criteria for metabolic syndrome, representing about 85 million individuals. Consuming dairy products protects against the development of the metabolic syndrome and protects against the development of complications associated with it. However, approximately 10% of the U.S. population meets the daily recommendation for dairy products. Information about the use of dairy products among people living with metabolic syndrome is relatively unknown, even though it will benefit them the most. About 49% of respondents met the guidance of three servings per day, and the most common facilitator was access to dairy products.