Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Electronic Theses and Dissertations

Discipline
Institution
Keyword
Publication Year

Articles 601 - 630 of 9652

Full-Text Articles in Entire DC Network

Homophobia: How Straight People Define It, Shirk Responsibility For It, And Abstain From Confronting It In Mississippi, Madeline Burdine May 2024

Homophobia: How Straight People Define It, Shirk Responsibility For It, And Abstain From Confronting It In Mississippi, Madeline Burdine

Electronic Theses and Dissertations

Drawing upon 12 in-depth qualitative interviews, this research examines how straight-presenting people in Mississippi define what it means to be supportive of queer people in their own words. It also shows how they distinguish what is (and is not) homophobic and what their understanding of homophobia does (or does not do) for them or the queer people in their lives. Whether they were raised within a homophobic home or a more open-minded home, interviewees use their upbringings to frame their current support for queer people. Interviewees also work to establish themselves as open-minded towards queer people by distancing themselves from …


Development Of A Rapid Bacterial Quantification Method Based On Droplet Microfluidics, Shawn Bliss May 2024

Development Of A Rapid Bacterial Quantification Method Based On Droplet Microfluidics, Shawn Bliss

Electronic Theses and Dissertations

The capacity to identify bacteria quickly and accurately is critical for applications such as medical diagnosis, environmental monitoring, and food safety. For instance, sepsis diagnosis requires blood cultures that take as long as 1-5 days, preventing timely intervention and increasing mortality rate. Here, we propose the joint use of microfluidics and a machine learning algorithm for rapid bacterial cell capture and quantification. The combination of high-throughput droplet microfluidics and a support vector machine (SVM) enables analysis and quantification of bacterial samples within as short as 4 hours. We have performed successful encapsulation of pathogenic bacteria such as E. coli, …


The Contribution Of Pope Francis’ Integral Ecology To Global Ethics, Salvatore Enzo Del Brocco May 2024

The Contribution Of Pope Francis’ Integral Ecology To Global Ethics, Salvatore Enzo Del Brocco

Electronic Theses and Dissertations

The defense of the dignity and inviolability of human life has always gained prominence in the doctrine of the Catholic Church. With Pope Francis' concept of integral ecology, Catholic bioethics is expanded to a broader understanding. His vision of integral ecology, global bioethics, and solidarity emphasizes the interconnectedness of all things and the importance of caring for one another and the planet. It calls us to recognize our common humanity and to work together for the common good by facing the numerous emerging problems of our times, which threaten the dignity of human life and the future life of the …


The Moral Legitimacy Of Ethics Consultation, Jason Lesandrini May 2024

The Moral Legitimacy Of Ethics Consultation, Jason Lesandrini

Electronic Theses and Dissertations

This dissertation examines the moral legitimacy of ethics consultation in healthcare. It delves into the historical development of ethics committees and the shift towards ethics programs, addressing clinical and organizational ethics challenges. The work explores the field of clinical ethics, its professionalization, and the role of ethics consultation services, highlighting their expanding scope and complexity. The discussion includes the formation of professional standards for ethicists and the development of graduate programs in bioethics. Central to the dissertation is the question of whether ethics consultation is morally legitimate, a query yet to be adequately answered. The text scrutinizes various models and …


Transforming Chaplain Ethics: The Clinical Ethics Of Spiritual Care In A Pluralistic Healthcare Environment In The United States, Robert Alan Price May 2024

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 May 2024

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), …


A Critique Of The Pivotal Ethical Issues In Organ/Tissue Donation & Transplantation, Francis Sarpong May 2024

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 …


Modes In Heavy Metal Music, Richard W. Young Jr. May 2024

Modes In Heavy Metal Music, Richard W. Young Jr.

Electronic Theses and Dissertations

Modality is quite commonplace in heavy metal music, including some of the less common modes such as Phrygian and Locrian. This thesis provides musical examples and analyses of heavy metal music based on theories of scholars such as Brett Clement and Nicole Biamonte and demonstrates how modes are used in conjunction with other musical elements such as meter, tempo, instrumentation, and timbre to paint the text and color the sound. The primary focus of repertoire is selected works from the 1970s and early ’80s by early metal pioneers Black Sabbath, Ozzy Osbourne, and Scorpions. Other brief examples from Metallica, Yngwie …


Dredging The Wetlands, Tilling The Field: Ecotonal Poetics Of The Anthropocene, Stacey Balkun May 2024

Dredging The Wetlands, Tilling The Field: Ecotonal Poetics Of The Anthropocene, Stacey Balkun

Electronic Theses and Dissertations

This dissertation interrogates the use of poetic fragmentation as a tool of ecological representation and coins the term “ecotonal poetics.” Ecotonal poesis, this dissertation explains, is the stretching of lyric across the field of the page, using space, sound, language, and parataxis in its attempt to not only represent but create ecotonal ecologies through text, sound, and visual cues. This dissertation puts forth four case studies of contemporary American women poets turning the space of the page into an ecotone where text, white space, author, reader, body, and environment meet. The poets studied here rely heavily on textual experimentation, suggesting …


The Role Of Impulsivity In Relation To The Co-Occurrence Of Binge Eating And Binge Drinking, Hannah Holst May 2024

The Role Of Impulsivity In Relation To The Co-Occurrence Of Binge Eating And Binge Drinking, Hannah Holst

Electronic Theses and Dissertations

Binge eating and binge drinking often co-occur, but the role of impulsivity in accounting for this relationship is under-investigated. Existing research acknowledges shared risk factors, yet the specific impact of impulsivity is a critical gap. Impulsivity, characterized by impulsive decision-making, is known in addictive behaviors. This research with a sample of college and community participants assessed binge eating, binge drinking, and impulsivity. Overall, binge eating and binge drinking were uncorrelated, contrary to previous research. However, impulsivity was associated with both binge eating and binge drinking. Gender differences were also noted, along with differences between the community and college samples. The …


“Vacation, All I Ever Wanted?” A Qualitative Analysis Of Travel Narratives From Interabled Families, Mary Heather Johnson May 2024

“Vacation, All I Ever Wanted?” A Qualitative Analysis Of Travel Narratives From Interabled Families, Mary Heather Johnson

Electronic Theses and Dissertations

The present study researched and investigated the travel narratives of 13 interabled families through qualitative research methods of thematic and contrapuntal analysis. Participants were parents who have at least one dependent with a disability in their family unit. Theories used to guide this study include narrative theory, family systems theory, and relational dialectics theory. Narrative theory laid the groundwork for understanding how stories function to communicate and construct identity. Family systems theory provided definitions and terms for how to understand dynamics within families. Relational dialectics theory guided the understanding for what tensions are at play for interabled families and how …


Preventing The Violent (Re)Victimization Of Sexual Minority Populations: The Role Of Social Support Networks., Bryan Charles Moore May 2024

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 May 2024

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 …


Authentic Fake: Authenticity And Authentication., Suyun Son May 2024

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 …


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 May 2024

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 May 2024

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 …


Exploring Influencing Factors On The Adoption Of Non-Pharmaceutical Interventions During Pandemics: Covid-19 As An Example., Ahmed Abdulmohsen I Alobaydullah May 2024

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 May 2024

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 May 2024

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 …


Educating For Diversity Through A Global Citizenship Education Framework: A Phenomenological Investigation Of Practice., Andrew Alexander Terry May 2024

Educating For Diversity Through A Global Citizenship Education Framework: A Phenomenological Investigation Of Practice., Andrew Alexander Terry

Electronic Theses and Dissertations

With 7.8 billion people in the world, there is a vast array of races, cultures, and languages creating an incredibly diverse globe. Along with the diverse population, we have a world that is also incredibly interconnected. As businesses begin crisscrossing the globe due to global corporations, and advancements in technology we find it more important than ever before to understand all people groups across the globe. So, what does this mean for education in the United States as we become more interconnected with countries all over? Our students need to be better prepared with global competencies that will allow them …


“I’M Going To Have To Be Far More Prepared": A Critical Discourse Analysis Of Teacher Candidate Discussion And Projected Teaching Of Literature., Taylor Rose-Dougherty May 2024

“I’M Going To Have To Be Far More Prepared": A Critical Discourse Analysis Of Teacher Candidate Discussion And Projected Teaching Of Literature., Taylor Rose-Dougherty

Electronic Theses and Dissertations

This qualitative dissertation study contributes to conversations around the practical knowledge gap–professional behaviors or practices which are underdeveloped in available research–between critically oriented literacy teacher preparation programs and praxis in early career classrooms. Critical literacy, or engaging with major texts, discourses, and ways of communicating in a culture or context, attempts to locate and disrupt power imbalances and encourage justice-oriented activism. While teacher candidates (TCs) often practice critical literacy in their training programs, they often struggle to facilitate critical literacy instruction in their own classrooms. Using Thematic Analysis (TA) for data reduction and Critical Discourse Analysis (CDA) for data analysis, …


Are The Good Times Really Over For Good? American Political Nostalgia's Relationship With Rurality, Authoritarianism, And Victimhood., Chancellor R. Peterson May 2024

Are The Good Times Really Over For Good? American Political Nostalgia's Relationship With Rurality, Authoritarianism, And Victimhood., Chancellor R. Peterson

Electronic Theses and Dissertations

There are many discussions about why rural and urban Americans exhibit different attitudes about politics, partisan loyalties, and ideologies. Some of these differences can be explained by psychological processes and traits. People act differently and influence (or are influenced by) political processes differently based on their perceptions of and emotions regarding the past, present, and future states of the world. The same is true with rural and urban Americans. This research will investigate the effects of one potent emotion on political attitudes: nostalgia. Prior research has indicated that political nostalgia can be harnessed as a strong political tool. This thesis …


Synthesis, Electrical Conductivity, Electrocatalytic Activity For Water Splitting, And Pseudocapacitive Properties Of Perovskite Oxide Derivatives., Kinithi Meththa Kumari Wickramaratne May 2024

Synthesis, Electrical Conductivity, Electrocatalytic Activity For Water Splitting, And Pseudocapacitive Properties Of Perovskite Oxide Derivatives., Kinithi Meththa Kumari Wickramaratne

Electronic Theses and Dissertations

Developing green and sustainable energy solutions is crucial to addressing the energy and environmental challenges. Hydrogen is an attractive candidate given its high energy density and low carbon emission compared to gasoline and coal. Electrochemical water splitting through a water electrolyzer is recognized as a green method for generating hydrogen and oxygen gases. Developing cost-effective electrocatalysts to reduce overpotential in hydrogen and oxygen generation is essential for the overall process. The growing interest in perovskite oxides as versatile and sustainable catalysts is driven by their compositional flexibility, tunable electronic structure, earth abundance, and inherent catalytic performance. In our research, we …


W.E. B. Du Bois And Audre Lorde's Pan-African Development: Remedies For The Problem Of Othering., J.E. Young May 2024

W.E. B. Du Bois And Audre Lorde's Pan-African Development: Remedies For The Problem Of Othering., J.E. Young

Electronic Theses and Dissertations

W.E.B. Du Bois and Audre Lorde’s Pan-African Development: Remedies for the Problem of Othering is an Afrocentric reading of Black U.S intellectual traditions of self-definition from the late 19th to early 21st century. I argue that W.E.B. Du Bois and Audre Lorde adhered to two major Afrocentric principles: balance and justice. At the root of these principles is the understanding that binaries constructed as oppositions create unjust hierarchies. My theoretical approach is attuned to the distinct ways that Du Bois and Lorde communicated the importance of self-definition and Africana spirituality in relationship to other Black intellectual thought. Placing them in …


Investigation Of Avaren-Fc's Therapeutic Potential Against Ovarian Cancer., Katarina Lee Mayer May 2024

Investigation Of Avaren-Fc's Therapeutic Potential Against Ovarian Cancer., Katarina Lee Mayer

Electronic Theses and Dissertations

This thesis describes the investigation of Avaren-Fc (AvFc), a novel lectin-based therapeutic fusion protein consisting of the recombinant Avaren lectin and the Fc region of human IgG1, against ovarian cancer. AvFc possesses selectivity toward tumor associated N-linked high-mannose-type glycans. The present study demonstrates AvFc’s in vitro activity against OVCA cell lines via antibody-dependent cell-mediated cytotoxicity and its ability to extend the survival of mice challenged with murine ID8 OVCA cells after repeated systemic administration. Furthermore, AvFc treatment in this model was found to increase the presence of peritoneal leukocytes, suggesting a shift toward an improved antitumor immune response. Another key …


Inside The Dojo Of Digital Media: What Marginalized Student Perspectives Reveal About Multiliteracy Center Practices., Lauren Fusilier May 2024

Inside The Dojo Of Digital Media: What Marginalized Student Perspectives Reveal About Multiliteracy Center Practices., Lauren Fusilier

Electronic Theses and Dissertations

Multiliteracy centers serve as vital hubs for supporting students' digital media composing needs, especially those pertaining to digital literacy. This qualitative interview case study evaluates the efficacy of standard practices established by multiliteracy center scholarship, focusing on spatial design, tutor preparedness, and student engagement at the University of Louisville’s Digital Media Suite (DMS). Recognizing the significance of multiliteracy centers as sites of social and material access for marginalized students, this project gathers the experiences of first-generation and post-traditional student participants to inform recommendations for expanding practices to better accommodate diverse student demographics on university campuses. Informed by Black feminist research …


Life Beyond The Port Of Beirut, Album & Drum Triggering System., Ayman Abi Kheir May 2024

Life Beyond The Port Of Beirut, Album & Drum Triggering System., Ayman Abi Kheir

Electronic Theses and Dissertations

Life Beyond the Port of Beirut is a project of two parts: an album of 8 instrumental tracks and a drum triggering system. The title is in dedication to my country, Lebanon, and specifically to its main historical seaport in the capital, Beirut. This port is the historical starting point of the Lebanese diaspora who have spread their culture across the globe and contributed to the world culture. The drum triggering system is a “do-it-yourself” system that enables drummers to trigger samples and virtual instruments through acoustic drum set and percussion. It was designed in Max for Live and Ableton …


Preserving Archaeology In The Digital Age: Evaluating Strategies For Effective Curation And Database Management., Cenetria Leshun Crockett May 2024

Preserving Archaeology In The Digital Age: Evaluating Strategies For Effective Curation And Database Management., Cenetria Leshun Crockett

Electronic Theses and Dissertations

The “curation crisis” is a dark cloud that consistently looms over the archaeological discipline, affecting the ways we plan, execute, and curate research projects. It is especially prominent within curation facilities and institutions that have the duty to preserve archaeological collections. The development of digital curation presents an avenue through which curators and collection managers can combat the crisis. Digital curation grants collection managers the ability to manage and ensure archaeological collection accessibility. Digital collection databases, particularly, have grown to become a significant component of collection management as it permits collections to be easily preserved, managed, saved, and accessible at …


Suspension Of The Scoundrel: Applying Mental Health Strategies To The Acting Process., Nicholas Wills May 2024

Suspension Of The Scoundrel: Applying Mental Health Strategies To The Acting Process., Nicholas Wills

Electronic Theses and Dissertations

In this thesis, the benefits of having mental health resources, practices and/or coordinators on set or available to help mitigate the mental health challenges that actors may face when portraying complex characters or engaging in emotional experiences while acting, are examined. Actors are required to fully immerse themselves into characters to ensure a full embodiment of the role being played. Without appropriate measures in place to address the actors’ feelings, emotions, and psychological state before, during, and after a production, the actor stands the risk of absorbing the impact of the character with no strategy for how to address the …


Socioecological Factors Associated With The Timing Of Prenatal Care Initiation In Kentucky And Beyond: An Exploratory Study., Melissa B. Eggen May 2024

Socioecological Factors Associated With The Timing Of Prenatal Care Initiation In Kentucky And Beyond: An Exploratory Study., Melissa B. Eggen

Electronic Theses and Dissertations

Objectives: Early prenatal care is initiated in the first twelve weeks of pregnancy and is a known contributor to improved short- and long-term outcomes for women and infants. Despite its known benefits, many women do not initiate early prenatal care. The purpose of this dissertation was to explore the socioecological factors associated with the timing of prenatal care initiation in the United States and in Kentucky. Methods: Chapter Two of this dissertation used a scoping review methodology to identify barriers and facilitators related to first-trimester prenatal care initiation among women in the United States. Chapter Three of this dissertation used …