Digital Commons Network^™

Weathering The Divide: Social Determinants, Neighborhood Context, And Systemic Lupus Erythematosus Among African American Women, Vanessa Cl Morman

Electronic Theses and Dissertations

Background: Systemic lupus erythematosus (SLE) disproportionately affects African American women and contributes to racial health disparities in the United States. Although genetic susceptibility influences disease risk, growing evidence suggests that social determinants of health (SDOH), including neighborhood conditions, structural racism, and socioeconomic disadvantage, contribute to disease development and progression. Epigenetic mechanisms may provide a biological pathway linking adverse social conditions to chronic disease disparities. This dissertation examined the influence of SDOH on SLE disparities through evidence synthesis and empirical investigation to inform public health practice and policy.

Methods: This integrated learning experience consisted of three complementary manuscripts. Aim 1 was …

Leveraging Mammal Mycophagy To Determine Environmental Drivers Of Truffle Diversity, Brittany Hartsock

Electronic Theses and Dissertations

Many mycorrhizal fungi are hypogeous (truffle-forming), producing underground fruiting bodies. Studying truffles is inherently challenging due to their hidden nature. However, mycophagous mammals provide a unique opportunity to study hypogeous fungi because they rely on truffles as a food source. Although several truffle species have recently been described in the southern Appalachian region, their fruiting patterns remain poorly understood. To address this, we quantified truffle richness and spore loads from 670 Peromyscus scat samples collected across 42 sites spanning an environmental gradient during 2024 in the Blue Ridge Mountains of East Tennessee. We found that truffle richness and spore abundance …

The Person As Foundation Of Responsibility: The Insufficiency Of Rights-Based Human Development Approaches, Jaclyn Berg

Electronic Theses and Dissertations

Building on the plethora of research that demonstrates the way rights language has been more useful for those with wealth and power to further expand capitalist markets, this text extends that criticism to human development programs and institutions. While they claim to be directed towards addressing global issues of poverty and hunger as well as climate crises, they continue to treat the symptoms without accurately diagnosing the disease. Approaches to development that rely on rights without questioning the way rights have been influenced by neoliberal capitalists or without questioning the capitalist global economic system will never be able to achieve …

Impact Of Taped Problems Intervention Modification On Children With Deafness, Clyniece Hodge

Electronic Theses and Dissertations

Children with hearing loss are at an increased risk of experiencing setbacks in various areas of life, including academic performance and employment opportunities. Academically, they are likely to experience poor academic achievement in reading, as well as in mathematics (ASHA, 2013). In comparison to gifted hearing students and average-ability hearing students, students with hearing loss are at a higher risk of low mathematics performance (Hassan & Mohammed, 2019). Despite these known challenges and risk factors, limited research has been conducted to identify effective intervention strategies for improving mathematical outcomes among this population. As such, this study aimed to evaluate the …

A Mixed-Methods Pilot Study Of A 10-Week Wellness Program For Resident Assistants, Emily L. Lee-Chong

Electronic Theses and Dissertations

This mixed-methods pilot study used semi-structured interviews with 15 resident assistants (RAs), complemented by descriptive pre- and post-test data from the Five Factor Wellness Inventory (FFWEL), to explore their lived experiences of participating in a 10-week wellness program grounded in the Indivisible Self Model of Wellness (IS-WEL). The purpose of this study was to examine the program's perceived influence on wellness practices and to explore the feasibility of implementing wellness-focused programming. Using a hermeneutic inquiry approach, the study identified four themes reflecting participants’ experiences throughout the program. Themes highlighted the importance of self-awareness through the IS-WEL model, the value of …

Characterization Of Catechol-Type Siderophore(S) From P. Mosselii Cfml 90-83, Kemper R. Rasnake

Electronic Theses and Dissertations

Iron is essential for many biological processes, where it is used as a cofactor. Even though it is abundant in the Earth’s crust, it is in an insoluble form unavailable to microorganisms in the soil. To overcome this, bacteria produce siderophores, which are secondary metabolites that have a high affinity for iron. This allows bacterial cells to obtain insoluble iron that is essential for survival. Pseudomonas mosselii, a Gram negative bacterium, was isolated from soil. It was selected for further analysis as it was found to produce siderophore(s) under iron-limited conditions, which have not been characterized previously. Therefore, we aimed …

Health Professions Students’ Perceptions Of Medical Laboratory Scientists: Professional Practice And Scope Of Practice, Thomas W. Williamson

Electronic Theses and Dissertations

Medical Laboratory Scientists (MLSs) are vital yet often overlooked members of the healthcare team. This study investigated perceptions of MLSs among students in medicine, pharmacy, and nursing programs. Grounded in professional identity theory and literature on interprofessional stereotypes, the study utilized a quantitative survey distributed to 1,113 students, with 71 responses analyzed. Nine research questions explored differences in perceptions of MLSs’ professional practice, scope of practice, entry requirements, value as team members, and consultative roles. Results indicate students generally value MLSs as members of the healthcare team and acknowledge their contributions to patient care; however, their understanding is frequently restricted …

A Correlational Study Exploring The Influence Of Organizational Climate On Job Satisfaction Of Non-Faculty Staff At Texas Community Colleges, Tamesha M. Hilliard-Daniels

Electronic Theses and Dissertations

As U.S. higher education institutions face increasing challenges related to employee morale and retention, understanding the drivers of workplace satisfaction is critical for institutional stability. This research investigates the relationships between organizational climate factors and job satisfaction among staff within Texas community colleges, applying Maslow’s hierarchy of needs and Herzberg’s motivator-hygiene as the theoretical framework. Specifically, this study explores the influence of institutional communication, employee well-being, and organizational mission and pride on staff job satisfaction. Utilizing a quantitative correlational design, the study analyzed secondary data from ModernThink’s Higher Education Insight Survey©. The sample consisted of 2,265 higher education professionals collected …

Voices Of The Homeless: Phenomenological Portraits Of Parental Engagement Among Parents Experiencing Homelessness, Geneva Marie Winterbottom

Electronic Theses and Dissertations

Family homelessness is a widespread crisis that disrupts the educational experiences of thousands of children, including South Carolina where rates of family homelessness continue to grow. Although research has explored families and homelessness, limited research has focused on the parental engagement of homeless parents. This study explored the parental engagement among homeless parents in South Carolina.

Guided by van Manen’s (1990) interpretive phenomenology, four parents residing in a South Carolina homeless shelter participated in semi-structured interviews and created self portraits, which were analyzed using the hermeneutic circle to derive phenomenological insight.

Findings revealed that parental engagement while homeless was like …

The Palm Farm Next-Door: Land Concessions, Livelihoods, And Nutrition In Plantation-Adjacent Communities, Julia Entwistle

Electronic Theses and Dissertations

Large-scale land concessions have reshaped agrarian landscapes globally, yet their implications for community land tenure, livelihoods, and nutrition remain unevenly understood. This dissertation examines how plantation agriculture and foreign investment have transformed land access, labor relations, and food systems in Liberia, a country with one of the highest proportions of land under concession globally. Guided by a political ecology framework, the study employs a mixed-methods design integrating policy analysis, in-depth interviews, and household surveys across two palm oil concession sites. The findings show that ambiguous land policies historically facilitated dispossession, while recent legal reforms have enabled communities to strategically mobilize …

Reseeding Relations: Comparing Museum And Indigenous Seed Sharing & Rematriation Protocols In The Midwestern United States, Madeline G. Anderson

Electronic Theses and Dissertations

While the Native American Graves Protection and Repatriation Act (NAGPRA) paved the way for the repatriation of ancestors and certain cultural objects to Indigenous communities, museums still struggle to address other forms of cultural returns. Heritage seeds, those which hold cultural significance to Indigenous peoples, held within museum collections perpetuates the colonization of Indigenous lifeways. This research examines rematriation as an Indigenous form of cultural return better suited to address these needs than limited repatriation models. I analyze how museums are working to create rematriation processes for their collections which reflect diverse Indigenous epistemologies and ontologies through a three-tiered approach: …

Youth Worker Perspectives On The Measures Most Descriptive Of Student Progress In Philadelphia-Based Out-Of-School Time Programs, Jamillia Kamara Covington

Electronic Theses and Dissertations

For marginalized students, out-of-school time programs offer a host of academic and positive youth development benefits. However, perspectives from youth workers, front line staff who form trusted relationships with out-of-school time program participants and the Executive Directors that lead their organizations, are absent from the last three years of evaluation reports for the Pennsylvania Nita M. Lowry 21st Century Learning Center (21st CCLC) program. This missing perspective renders the observations, challenges and improvements youth workers may experience and desire invisible at a time when their labor is counted upon to supplement inequitable education opportunities due to systemic factors. This study …

Technology In Waldorf Education: Benefits, Challenges, And The Teacher's Role, Jennifer C. Larson

Electronic Theses and Dissertations

Historically considered a screen-free education, Waldorf pedagogy has gradually begun to integrate digital technology into the middle and upper grades over the last two decades. Research on the implications of extended screen time for children has driven this pedagogical decision alongside foundational commitments to relational practices, experiential learning, and imaginative artistry.

At the same time, recent years have marked an acceleration in digital expansion in education. COVID-19 normalized teaching and learning through remote learning platforms, and digital access is now an expected feature of daily life.  As Waldorf education seeks to offer holistic education in the context of this societal …

Health And Care: Childhood Among The Classic Period Maya At Buenavista Del Cayo, Belize, Lindsey Hall

Electronic Theses and Dissertations

Three deposits of perinates, infants, and young children within two non-residential superstructures of Buenavista del Cayo, Belize, display evidence of daily maintenance and care. A total of ten subadult individuals, aged 39.4 weeks gestation to 3 years, from the archaeological site of Buenavista were recovered during 2018 excavations. Signs of care and daily maintenance include survivorship through the vulnerable neonatal period (first twenty-eight days) and transition into infancy, survivorship with potential pinprick lesions on external and internal zygomatic, parietal, and pars basilaris, and intentional maintenance of the body after death. Identification of care and daily maintenance at Buenavista informs the …

Resource Allocation Trade-Offs Between Longevity And Reproduction In Daphnia Magna, Amelia Pearson

Electronic Theses and Dissertations

Although trade-offs between longevity and reproduction have been described for a long time, the genetic mechanisms by which organisms modulate allocation of resources between these two essential processes remain poorly understood, due to their complex nature and their modification by existing nutritional states and environmental cues. Daphnia magna represents a valuable model for investigation in this area due to their moderate lifespan and cyclic parthenogenetic mode of reproduction, allowing for the easy study of gene by environment interactions. This dissertation first investigates the change in mortality, reproduction, activity, and gene expression when fully fed Daphnia and calorically restricted Daphnia are …

Attendance Matters: Incentive Programs And Chronic Absenteeism In Elementary Schools, Aubryn Street

Electronic Theses and Dissertations

Chronic absenteeism is a common challenge in elementary education. Schools often use attendance incentive programs, such as rewards or recognition, to encourage students to attend regularly. However, it is not always clear whether these programs actually improve attendance. This study examined whether attendance incentive programs are effective and how school staff view and use these programs.

This mixed-methods study used both school attendance data and interviews with school personnel. Attendance data from two school years showed that schools with incentive programs did not have lower absenteeism rates than schools without them. However, attendance improved overall from one year to the …

Malnutrition And Frailty Risk Among Community Dwelling Older Adults In Northeast Tennessee, Shreeyesha Pradhan

Electronic Theses and Dissertations

Frailty and malnutrition are prevalent conditions among community-dwelling older adults, affecting approximately 10% and 25% of this population, respectively. Despite overlapping symptoms such as functional decline, their relationship remains underexplored in community dwelling older adults. This cross-sectional feasibility study examined the association between frailty and nutritional status among 47 older adults in the East Tennessee Tri-Cities area using the Fried’s Frailty Phenotype (FFP) and the Mini Nutritional Assessment-Long Form (MNA-LF®). Results indicated 13% were pre-frail, 24% were frail, 21% were at risk for malnutrition, and 2% were malnourished. Regression analyses revealed that self-perceived nutritional status (37.6%), daily meal frequency (29.0%), …

Feasibility Of Assessing Dietary Patterns And Anxiety In College Students: A Pilot Study Using Nutrition Questionnaires, Gad-7, And Asq, Kylie Ford

Electronic Theses and Dissertations

Anxiety is highly prevalent among college students representing a significant public health concern. Research indicates that dietary patterns may influence mental health outcomes; however, the practicality of collecting comprehensive dietary and psychological data in college populations remains unclear. This pilot study assessed the feasibility of evaluating dietary patterns and anxiety using self-report instruments. Participants completed the Nutrition and Eating Habit questionnaire, the Generalized Anxiety Disorder-7 (GAD-7), and the Anxiety Sensitivity Questionnaire (ASQ). Although twenty-one students were recruited, survey completion rates were low, with only seven participants completing the nutrition questionnaire necessary to calculate the Dietary Inflammatory Index (DII). Descriptive analyses …

Ontogeny And The Effects Of Perinatal Stress In The First Immature Skeleton Of Teleoceras Aepysoma (Perissodactyla, Rhinocerotidae), Joe Gajewski

Electronic Theses and Dissertations

Recovery of an immature fossil rhinoceros (Teleoceras aepysoma) skeleton (ETMNH 32999) from the Gray Fossil Site in Tennessee offers the first insights into the ontogeny of the species. ETMNH 32999 is interpreted to be a subadult male in an age class equivalent to ~17-20% of potential lifespan. Comparative analyses support the hypothesis that subadults of related taxa are typically ~91% of average adult size in most dimensions. However, certain cranial dimensions are substantially lower than expected in ETMNH 32999, averaging only ~74% of the average conspecific adult. Such departure from typical growth rates is suggested to be attributable …

Implementing Hypertension Guidelines Into Clinical Practice, Misti Michele Mays

Electronic Theses and Dissertations

Hypertension is a complex chronic disease process, and it is essential to educate the patient on the disease process, as well as on all aspects of self-management. It is essential that providers choose an evidence-based guideline by which they will manage their hypertensive patients. In addition, providers must schedule regular follow-up appointments with their patients, along with a wide variety of other multifactorial components in regard to the management of patients diagnosed with hypertension. In addition, providers have a responsibility to stay informed on new approaches to blood pressure management by reviewing the professional literature on a regular basis. Much …

Impact Of The Lace Index Scoring Tool On Sepsis Readmissions, Tabitha M. Keaty Sheppard

Electronic Theses and Dissertations

Sepsis is a life-threatening medical emergency that negatively affects patients and healthcare organizations worldwide. Consequently, sepsis survivors are presented with even greater health risks following acute hospitalizations, and the financial implications on healthcare organizations increase with each patient readmission. This quality improvement project studied the impact of the LACE Index Scoring Tool on sepsis readmissions within a single healthcare organization in the southern region of the United States. Per quality metric data, sepsis readmissions have remained a prevalent issue at the project site. The purpose of this doctoral project was to reduce 30-day sepsis readmissions following the implementation of the …

An Integrated Evaluation Of Trace Mineral Status, Regional Variation, And Supplementation Effects On Circulating Mineral And Reproductive Performance In American Plains Bison, Bailey M. Rodriguez

Electronic Theses and Dissertations

The continued expansion of the American Plains Bison (Bison bison) industry has increased the need for science-based nutritional recommendations tailored specifically to the species, due to limited species-specific research. Because trace minerals influence immune function, growth, and reproductive performance, establishing baseline mineral status and evaluating responses to supplementation are critical for advancing bison production and conservation efforts. This thesis integrates two complementary investigations to evaluate trace mineral status in American Plains bison at both regional and herd management levels. First, a herd level comparison evaluated the influence of differing mineral supplementation strategies on circulating mineral concentrations, herd performance, and reproductive …

Winter-Feeding High Forage Vs. High Concentrate Diets To Beef Cows: Effects On Placental Transcriptomics, Lactation Capacity, And Enteric Methane Emissions, Megan Ann Wehrbein

Electronic Theses and Dissertations

Nutritional management and lactation performance are critical factors influencing productivity in cattle. This research includes two complementary studies. The first study was a meta-analysis to develop a lactation curve for Bos taurus cattle in North America using data from machine or hand milked cows. Data from 7 studies were used resulting in 1340 cow-day observations. Milk yield was analyzed by parity (primiparous or multiparous) and feeding management (non-nutrient restricted or nutrient restricted), revealing that primiparous cattle peaked earlier and at lower yields than multiparous cattle, and nutrient restriction reduced peak milk yield. Overall, Bos taurus cattle followed lactation trends similar …

Evaluating Methodologies For Estimating Enteric Emissions And Modeling Greenfeed Technology Utilization In Extensive Beef And Bison Grazing Systems, Aletta Laura Husmann

Electronic Theses and Dissertations

Greenhouse gas (GHG) emissions from grazing ruminants represent a significant component of U.S. agricultural emissions. However, enteric methane (CH4) from cow– calf systems on extensive rangelands pose substantial measurement and management challenges. The Northern Great Plains (NGP) supports nearly one-quarter of the U.S. beef cow population, yet regionally representative, herd-level enteric emission data from commercial ranches remain limited. This thesis integrates empirical field measurements with modeling approaches to evaluate the feasibility of quantifying enteric emissions on extensive rangelands and to examine system-level drivers influencing data yield, costs, and operational performance. Enteric methane and carbon dioxide (CO2) emissions were measured from …

Production Of Fungal Biomass And Crude Chitin From Cheese Whey: Effects Of Whey Type And Lactose Hydrolysis On Aspergillus Niger And Trichoderma Reesei, Anye Catharine Nora Drum

Electronic Theses and Dissertations

Chitin is a biodegradable and biocompatible biopolymer with broad applications in the food, biomedical, pharmaceutical, and packaging industries. Conventional chitin production from crustacean shells is associated with seasonal availability, intensive chemical processing, and environmental concerns, creating interest in more sustainable alternatives. Filamentous fungi represent a promising source of chitin because of their rapid growth and ability to utilize low cost agro-industrial residues. This study evaluated the feasibility of producing fungal biomass and crude chitin from cheese whey through submerged fermentation while investigating the effects of whey type and enzymatic lactose hydrolysis on fungal growth, substrate utilization, and wastewater remediation. Aspergillus …

Effect Of Corn Processing Methods On Growth Performance, Carcass Characteristics, And Gastrointestinal Health In Ruminants Fed Finishing Diets, Reanna Rae Byrnes-Schoen

Electronic Theses and Dissertations

The objective of this work was to evaluate different feed processing techniques and their impacts on growth performance, carcass traits, and gastrointestinal health in ruminant animals fed in confinement during the finishing phase. Two studies were conducted. The first study evaluated the effect of kernel processing high moisture ear corn (HMEC) on growth performance and carcass characteristics of finishing beef steers. The second study used feeder lambs to evaluate the effect of steam-flaking corn in a finishing diet on growth performance, carcass characteristics, and gastrointestinal tract (GIT) health. The results from the first study using steers demonstrated that feeding kernel …

Investigating The Cumulative Effect Of Nutrition Education And Nutrition Assistance On Measures Of Participant Health, Adity Chowdhury Kankon

Electronic Theses and Dissertations

This study examined the individual and combined associations of participation in the Expanded Food and Nutrition Education Program (EFNEP) and nutrition assistance programs with diet quality and biomarkers of chronic disease risk. Multistate longitudinal data were analyzed using triple difference-in-differences regression models for body mass index (BMI), systolic and diastolic blood pressure, hemoglobin A1c (HbA1c), and Diet Quality Index (DQI). EFNEP participation was associated with a reduction in BMI over time among participants not receiving nutrition assistance, but this association was attenuated among assistance participants. A similar differential pattern was observed for HbA1c. No significant differential changes were found for …

Primary Avian Tracheal Cell Models For The Isolation Of Emerging Avian Metapneumovirus Strains, Tricia Serrao

Electronic Theses and Dissertations

The emergence of avian metapneumovirus (aMPV) subgroups A and B in the United States poultry industry has created an urgent need for standardized, host-specific diagnostic platforms. Historically, reliance on continuous, multi-species cell lines has limited the primary isolation of field strains and introduced potential adaptation artifacts. To address these challenges, this research first established and characterized a reproducible primary cell culture system derived from the tracheal tissues of 1-day-old turkey poults. This system was maintained in an optimized DMEM/F-12 formulation supplemented with 5% FBS, EGF, and ITS, with early-passage cultures achieving 90% confluence within 24 to 48 hours. Morphological and …

Enzyme Susceptibility And Functionality Of High Protein Retentates And Reconstituted Ingredients, Khushi Dubey

Electronic Theses and Dissertations

This thesis explores the effects of processing history on the enzymatic susceptibility and functional properties of high-protein dairy ingredients, with a specific focus on ultrafiltered (UF) and microfiltered (MF) retentates and spray-dried powders. While retentates and powders are often used interchangeably in industrial applications, processing steps, such as drying, can induce structural and physicochemical changes that affect protein functionality and enzyme accessibility. Milk protein concentrates (MPC) and micellar casein concentrates (MCC) were standardized to 10% protein and subjected to enzymatic treatments, including proteolysis (Alcalase and rennet) and crosslinking (transglutaminase and laccase). Structural modifications were evaluated using capillary gel electrophoresis, non-protein …

Evaluating The Potential Of Genomic Selection For Grain Yield And Yield Component Traits In South Dakota Winter Wheat, Dante Koupal

Electronic Theses and Dissertations

Wheat (Triticum aestivum L.) is a major cereal crop worldwide, but recent gains in grain yield (GY) have not kept pace with projected demand. GY is a highly quantitative trait with low heritability that requires multi-year, multi-location phenotyping, limiting selection efficiency. Targeting higher heritability yield component traits, such as kernel size and weight, and incorporating them into the genomic selection (GS) pipeline has the potential to accelerate genetic gain for GY. The objectives of this study were to (i) understand the relationship between GY and the kernel-size traits, including thousand kernel weight (TKW), kernel length (KL), kernel width (KW), and …