Digital Commons Network^™

Knowledge And Perceptions About Feeding And Growth In Infants And Young Children Among Early Interventionists, Kayla Chambers

Electronic Theses and Dissertations

Nutrition plays a vital role in early childhood, where rapid growth and development occur. This study investigates Early Interventionists’ (EIs) nutrition knowledge and perceptions of nutrition-related concerns in children receiving services through the Tennessee Early Intervention System (TEIS). An electronic survey was distributed to EIs in Tennessee to assess their nutrition knowledge and perceptions and to identify nutrition concerns. Findings revealed that most EIs have never received any nutrition education, despite being asked for nutrition guidance by families and being open to nutrition-related training. The EIs reported seeing nutrition concerns such as growth delays, food refusal, and picky eating, but …

Peer-Led Support Groups For People With Early Onset Parkinson's Disease, Linnea Tabaka

Electronic Theses and Dissertations

Introduction: Early onset Parkinson’s Disease (EOPD) is a diagnosis of Parkinson’s Disease when diagnosed between the ages of 21 and 50. This population faces unique challenges due to family, social, and career demands that correlate with the age of diagnosis. Support groups have been utilized frequently for people with traditional PD and their caregivers but may not meet the unique needs people with EOPD face. This study explores the existing benefits of a peer-led support group (group led by members of the group) for persons with EOPD. Methodology: This is a qualitative case study of an established support …

Beyond Stereotypes: Exploring The Intersection Of Feminist Identity And Societal Expectations In Ama Ata Aidoo’S Changes: A Love Story (1991), Grace Adutwum

Electronic Theses and Dissertations

Changes: A Love Story by Ama Ata Aidoo explores the intersection of feminist identity and societal expectations of African women, specifically Ghanaian women. This work examines how Esi and other characters struggle for love, autonomy, and independence, and reveals how tradition often limits African women’s choices and agency. This research also highlights how Aidoo presents a distinct, context-specific approach to gender roles and pressure from society, rather than viewing feminism as a strict opposition to patriarchy. By using African feminism as a theoretical framework, this work analyzes how marriage, career, and independence shape Esi’s identity. The depiction of polygamy, independence, …

Disability Inclusion In Local Public Health Community Health Assessments And Community Health Improvement Plans, Haleigh Leslie

Electronic Theses and Dissertations

Introduction: Local health departments (LHDs) use community health assessments (CHAs) and community health improvement plans (CHIPs) to identify and address health needs of the populations they serve. People with disabilities experience health disparities, and there is limited information about how the health needs of people with disabilities are included in CHAs and CHIPs. The purpose of this study was to describe and quantify disability inclusion in LHD CHAs and CHIPs.

Methods: This cross-sectional, mixed methods study used the CHAs and CHIPs of accredited local health departments, data about LHDs and populations served, and interviews with LHD staff and community partners …

Racial And Geographic Disparities In Primary Care Transitions For Postpartum Women With Gestational Diabetes And Hypertension In South Carolina, Kajol Dahal

Electronic Theses and Dissertations

Introduction Gestational diabetes (GDM) and gestational hypertension (GH) are significant public health issues with lasting implications for maternal and child health (MCH). Despite clinical guidelines recommending postpartum care for all women, especially those with chronic conditions, less than 50% receive a visit within 12 months of childbirth. Recent policy changes extend postpartum Medicaid coverage from 60 days to 12 months. This study assessed differences in postpartum care visits by race/ethnicity and geography after the extension of postpartum coverage in South Carolina. Methods A retrospective cohort of 27,056 women (aged 20-44) who gave birth in 2021 were analyzed using Medicaid claims …

The Forest Through The Trees: Modeling The Ecological Niche And Potential Assemblage Distribution Of Oak-Hickory Forests Across The Eastern U.S., Elijah Worley

Electronic Theses and Dissertations

Understanding how tree species’ ranges and populations may shift by the end of the 21^st Century is critical for effective conservation and forest management. Ecological niche models are widely used to predict species distributions by modeling the relationships between environmental variables and species presence. While numerous models have been developed for individual tree species across the USA, there is limited research on how tree species assemblages, such as oak-hickory forests, will respond to changes in climate over time. Maxent modeling software was used to predict potential shifts in suitable habitat for the oak-hickory forest type, based on environmental variables …

Brand Media And Health Perceptions: A Thematic Analysis Of Generational Differences, Julie Irene Diaz

Electronic Theses and Dissertations

This thesis explores the influence of brand identity and media on shaping evolving perceptions of health across generations. The three generations considered are Generation X, Millennials, and Generation Z. The initial hypothesis predicted the popular media and brands that each generation interacts with are most likely to influence their perception. Additionally, the health brands most popular with each generation would influence their overall health perception, based on the identity and values of the brand. A qualitative study was conducted using focus groups to gather data about health perceptions, brand identity, media influence, and holistic health. The findings suggest that individuals …

Ai For Sustainability In Appalachian Businesses: Challenges And Successes, Mariatu Mahmoud

Electronic Theses and Dissertations

This qualitative study examines the perception of Artificial Intelligence (AI) and how this technology can advance sustainable development in small businesses in Central Appalachia. Participants described how they leveraged AI-enabled technologies to address economic challenges as well as how they overcame the technological barriers often associated with emerging technologies. Findings reveal that AI can significantly improve efficiency, streamline workflows, and enhance visibility for Appalachian entrepreneurs. However, the research also highlights challenges, including trust issues, limited resources, and resistance to change, which hinder adoption. Results from this study produce strategies for adopting AI that enable small businesses to integrate innovation while …

Drinking Out Of The Fire Hydrant: Educators’ Perceptions Of Well-Being In A Teacher Preparation Program, Corey P. Wolfe

Electronic Theses and Dissertations

The process of becoming a teacher is complex, multi-layered, and often high-stakes. Teacher preparation programs are designed to equip prospective teachers with the foundational skills and knowledge needed for a successful teaching career. In addition to pursuing the academic degree in education, future teachers must meet credentialing and licensure expectations. Because of these expectations, novice teachers are often met with profound feelings of stress and anxiety. The purpose of this research exploration was designed to investigate elementary educators’ perceptions of well-being during their senior year in a pre-service teacher preparation program. Using a qualitative research design, six educators were interviewed …

Investigation Into Mycorrhizae Associated With Native Venus' Flytrap Root Tissue, Anna Carnaggio

Electronic Theses and Dissertations

Dionaea muscipula, a plant commonly known as the Venus' flytrap, is found native to the southeast corner of North Carolina and the northeast corner of South Carolina. Several populations of native Venus' flytraps are known to exist in the nutrient-poor peat bog conditions in and around Lewis Ocean Bay Heritage Preserve (LOBHP) in Northeastern South Carolina. Anthropogenic pressures in Horry County, specifically surrounding LOBHP, have resulted in a loss of habitat for several native and endangered species. As a result, conservation efforts are focused on relocating native Venus' flytraps into adjacent habitats to ensure survival. This is only a temporary …

Social Identity And Eating Behaviors: How Cultural Norms Impact Disordered Eating, Cierrah J. Fulenwider

Electronic Theses and Dissertations

Disordered eating behaviors (DEBs), such as frequent dieting, emotional eating, and obsessive “clean eating,” are increasingly prevalent in our society and have been linked to significant physical and psychological health risks. However, the role of sociocultural influences, such as discrimination and social media, are often overlooked. This study examined the relationship between disordered eating behaviors and perceived discriminatory experiences, social media use, physical self-description, and attitudes toward eating among undergraduate college students. The sample consisted of 110 undergraduate students. Participants completed an electronic survey comprised of the Everyday Discrimination Scale-S (EDS-S), Social Media Usage Scale (SMUS), Eating Attitudes Test-26 (EAT-26), …

The Relationship Between Anxiety, Self-Esteem, And Religiosity Among College Students At A Private Christian University, Maximo Fuentes Rojo Jr

Electronic Theses and Dissertations

ABSTRACT This study investigates the relationships among anxiety, self-esteem, and religiosity in a sample of 131 college students attending a private Christian university. Anxiety is a prevalent mental health concern for college students, often leading to detrimental effects on academic performance and overall well-being (Center for Collegiate Mental Health, 2020, 2022, as cited in Tan et al., 2023). Self-esteem, a critical component of self-concept, plays a significant role in mental health outcomes, with lower self-esteem linked to higher levels of anxiety (Baumeister et al., 2003; Beck, 1967). Religiosity has been identified as a potential coping mechanism, offering emotional support and …

An Interdisciplinary Approach To The Investigation Of Consciousness, James Guy Lundie

Electronic Theses and Dissertations

Questions of phenomenal consciousness have troubled intellectuals for millennia. Theologians, philosophers, and scientists continue to grapple with the problem of how our minds interact with our brains and bodies. From Anaxagoras and Aristotle, Augustine and Aquinas, Nagel and Goff, and Koch and Hameroff, the brightest among us have been unable to solve the riddle of how we are conscious, unique, self-aware thinking beings. Uniting our efforts by considering the reasoning of interdisciplinary scholars and integrating the thoughts of others with our own can only enhance our chances of success. This paper offers a pathway toward a multidisciplinary theory of consciousness …

The Relationship Between Stress, Burnout, Attendance, And Methods Of Self-Care Among Teachers, Jennifer M. Sturm

Electronic Theses and Dissertations

Teachers exposed to prolonged stress have been documented at higher risk for poor physical and mental health, including high blood pressure, anxiety, and depression. To ameliorate the effects of prolonged stress, teachers have employed a variety of coping strategies, and some sought medical care. To date, little research exists regarding absenteeism and medication usage among teachers. This study sought to determine the relationship between stress, burnout, and medication usage in relation to absenteeism. This study also sought to determine the role of thriving in the above relationships. An internet-based survey was distributed to U.S. teachers via social media and email. …

Effects Of Storage Conditions On The Composition, Physical Properties, And Functionalities Of Peas And Lentils, Fatimah Alsaeed

Electronic Theses and Dissertations

Peas (Pisum sativum L.) and lentils (Lens culinaris) are nutritionally rich pulses valued for their high protein, fiber, and starch content. Although their composition and health advantages are widely known, little is known about the effects of long-term storage on their functional qualities and nutritional value. The purpose of this study was to investigate the impact of storage conditions and duration on the proximate composition, physical attributes, and techno-functional traits of lentils and peas. Storage conditions included bin (BIN; -30 to 41°C, 20–98% RH), non-environmentally controlled warehouse (NECW; -23 to 32°C, 25–84% RH), and environmentally controlled warehouse (ECW; 19–21°C, 50–53% …

Innovative Approaches To Enhancing The Functional Properties Of Dairy Products: Evaluating Water Hydration Effects On Fat-Free Mozzarella Baking Performance And Impact Of Hyaluronic Acid On The Functional Properties Of Milk, Suresh Ganpatbhai Sutariya

Electronic Theses and Dissertations

In recent years, the dairy sector has experienced a significant rise in the healthy eating trend, with consumers increasingly seeking products that are fat-free, free from added sugars, and high in protein. Additionally, specialized health dairy items enriched with functional ingredients such as probiotics, prebiotics, and bioactive peptides are gaining traction for their added health benefits. This dissertation covers three studies in two domains: the first on water hydration's impact on fat-free mozzarella baking, and the second on the influence of hyaluronic acid, and its combination with kappa-carrageenan, on the physical properties of milk. One such product, Fat-free mozzarella is …

Evaluating The Success Of The Rev It Up! Curriculum Training On The Self-Efficacy Of Sdsu Extension Expanded Food And Nutrition Education Program (Efnep) & Supplemental Nutrition Assistance Program - Education (Snap-Ed) Paraprofessional Educators In Teaching Adolescents, Oluwatemilorun Akinsanya

Electronic Theses and Dissertations

Objective: Evaluate self-efficacy changes among Extension paraprofessional nutrition educators after receiving an adolescent curriculum (Rev It Up!) training. Methods: Paired t-tests on three adapted scales measured changes at pre- (T1), post- (T2), and 1 yr post-intervention (T3): the Teacher Interpersonal Self-Efficacy Scale (TISS), Nutrition Teaching Self-Efficacy Scale (NTSES), and Self-Efficacy and Nutrition Teaching Methods scale (SNTMS). Results: Six educators completed the TISS and NTSES; 5 completed the SNTMS. The TISS showed significant improvement from T1 to T2 only (p= 0.03); the NTSES showed improvement between T1 and T2 (p= 0.01) and T1 and T3 (0.01); and there were no significant …

Access To Pharmacies: Implications For Theory, Outcomes, And Policy, Emily Gravlee

Electronic Theses and Dissertations

This dissertation achieved the following objectives: (1) developed a patient-centered access to pharmacies framework; (2) evaluated the impact of pharmacy closures on immunization rates among Medicare beneficiaries; and (3) examined the influence of state-level pharmacy benefit manager (PBM) regulations on rates of pharmacy closures.

For objective 1, a grounded theory methodology was used to identify a patient-centered access to pharmacies framework (PcAP). This framework asserts that patients determine whether they have access to a pharmacy through evaluation of their characteristics, the characteristics of pharmacies, and their own needs or values within the context of a health-related need. This evaluation of …

Exploring Aging And Bone Health In Normal Weight Obesity And The Prevalence Of Unhealthy Lean Phenotypes, Pouria Sefidmooye Azar

Electronic Theses and Dissertations

Obesity is a complex chronic condition characterized by the excessive accumulation of body fat. While numerous studies have highlighted the risks of adverse complications associated with obesity, limited research has explored the relationship of body composition phenotypes, more specifically normal weight obesity with aging, and bone health. Also, the prevalence of unhealthy lean phenotypes in adults in the U.S. is not clear. A secondary-data analysis of the National Health and Nutrition Examination Survey (NHANES) 1999-2002 were performed to further examine the relationship between body composition phenotypes—normal weight lean (NWL), overweight/obesity with normal body fat percentage (OBL), normal weight obesity (NWO), …

Human Papillomavirus Knowledge, Beliefs, And Behaviors Among Community College Students: Why Should It Matter?, Eric Pittman

Electronic Theses and Dissertations

Background: Human Papillomavirus (HPV) is the most common sexually transmitted infection in the United States (U.S.). Approximately 42.5 million individuals in the U.S. are infected with disease-associated HPV, and 13 million new cases occur every year. It is estimated that 85% of sexually active adults will be infected with HPV at some point during their lifetime. Most individuals infected with HPV are asymptomatic and clear the virus without any complications. However, in some individuals, the virus persists. Prolonged HPV infection has been associated with six different types of cancer and genital warts. There are approximately 37,000 cases of HPV-associated cancers …

Beliefs And Factors That Influence Female College Students’ Decision To Consume Weight Loss Products, Cynthia Ummay Siddiqua

Electronic Theses and Dissertations

Background: Rising societal pressures, body image concerns, and the increasing accessibility of commercial weight loss products (WLPs) have led to heightened use among young women, particularly college students. Female undergraduates are especially vulnerable due to social media influence, peer comparison, and transitioning lifestyles. Despite the popularity of WLPs, concerns persist regarding their safety, efficacy, and the psychosocial beliefs driving their use. This study seeks to understand the beliefs and factors influencing WLP consumption among female college students using Social Cognitive Theory (SCT) and the Health Belief Model (HBM).

Methods: A cross-sectional, exploratory survey was conducted among female undergraduate students aged …

Underrepresented Medical Students: Perceptions Of Academic Persistence And Successful Completion Of Medical School, Nicholas Dakota Bibbs

Electronic Theses and Dissertations

Less than one percent of the United States population’s workforce are physicians. The road to becoming a medical doctor is long, complex, and taxing. Individuals desiring to become physicians must have large amounts of grit, persistence, patience, and a hard work ethic just to get to medical school. The students who are accepted into medical school come from various backgrounds with differing degrees of access to resources and opportunities to prepare them before and during their medical education. Studies show that students who are categorized as underrepresented in medicine often face the most challenges to achieving academic success. Understanding what …

The Influence Of Pressure, Intensity, And Amount Of Muscle Mass Exercised On Changes In Muscle Size, Strength, And Endurance: A Methodological Investigation, Ryo Kataoka

Electronic Theses and Dissertations

Purpose: To 1) examine the effects of low-load submaximal resistance exercise with blood flow restriction (BFR) on muscle size, strength, cross-education, and local muscular endurance while accounting for proximity to failure under restriction, and 2) determine whether changes in muscle size and strength differ based on the amount of muscle recruited during the exercise bout.

Methods: A total of 177 (18–35 years) participants were randomly assigned to one of five groups: unilateral low-load submaximal elbow flexion exercise 1) with BFR (LL+BFR, n=35), 2) without BFR (i.e., matched for a % of repetition-to-failure under restriction) (LL, n=37), 3) to failure (LL-Failure, …

Mental Health Literacy: What’S The Value Of Youth Engagement In Intervention Development?, Teresa Johnson

Electronic Theses and Dissertations

Background: One in five youth experience a mental health challenge each year (CDC, 2021). Mental Health Literacy (MHL) is vital for addressing this crisis as it involves the knowledge, attitudes, and skills necessary to promote mental well-being, understand mental health conditions, and seek appropriate help. MHL interventions for adolescents have been developed; however, recent reviews indicate research is needed in school settings with community input. Youth Participatory Action Research (YPAR) places youth as co-researchers in intervention development. This methodology aligns with Bartholomew’s Intervention Mapping (IM) framework, which ensures interventions are theoretically grounded. Utilizing these two frameworks, this study aimed to …

Opportunity Restored: Using Creative Measures To Provide Students With Academic Advancement Opportunities Lost During Covid-19, Randal Clint Jordan

Electronic Theses and Dissertations

This mixed-methods action research study examines the Fast Track and Graduation Path (FTGP) programs—equity-focused interventions developed to offer opportunity to students who experienced academic disruption during COVID-19 emergency schooling (Creswell & Plano Clark, 2018). The programs targeted students retained due to socioeconomic status, learned helplessness, or the technology learning gap, rather than a lack of ability or low prior performance (Jenson, 2013; Maier & Seligman, 1976; Bower, 2019). FTGP provided structured academic pathways, daily facilitation, technology-based instruction, and character education to rebuild learner confidence and achievement (Reimer & Hill, 2022).

Quantitative data from the Edgenuity© learning platform revealed the program’s …

Quantification Of Auxin-Cytokinin Response During Primary Root And Lateral Root Development In Common Bean, Gurdeep Singh

Electronic Theses and Dissertations

Roots support water and nutrient uptake, anchorage, and soil interactions through continuous growth at the primary root tip (PRT). In common bean (Phaseolus vulgaris), new cells are produced in an open root apical meristem and subsequently elongate in the elongation zone, and together these processes drive root tip progression through the soil. Lateral roots (LRs) arise in the differentiation zone, where pairs of pericycle founder cells dedifferentiate, divide asymmetrically, and form lateral root primordia (LRP) that pass through defined developmental stages before emergence. Auxin and cytokinin (CK) are central regulators of both primary root growth and LR development, yet their …

Programming Carcass Composition Through Gestational Nutrition, Sydni Elise Borders

Electronic Theses and Dissertations

The objective of this study was to evaluate the influence of maternal nutrient restriction during mid-gestation on the performance of the dam, feeding performance, carcass composition, and genetic expression in the offspring. Cows (n = 46) were randomly assigned to one of two treatments based on global nutrient intake: 1) fed to achieve and/or maintain a BCS of 5 or 6 (Positive Energy Status [PES]; n = 24) or 2) fed to lose one BCS during 99 days of mid-gestation (Negative Energy Status [NES]; n = 22). Cows in NES had greater decreases (P < 0.05) in body fat stores and muscle mass, elevated NEFA concentrations, and displayed decreased (P < 0.05) DMI, HP, and GHG emissions. There were no differences in milk components or volume produced between treatments (P > 0.05). There were no differences in …

Impact Of Minimally Processed Red Meat On Biomarkers Of Cognitive Decline, Saba Vaezi

Electronic Theses and Dissertations

No abstract provided.

Evaluation Of High-Moisture Ear Corn As A Roughage Source In Finishing Diets Fed To Beef Steers, Riley J. Leeson

Electronic Theses and Dissertations

The objective of this study was to evaluate the feedlot performance, rumination activity, and carcass characteristics of high moisture ear corn (HMEC) as a roughage source in finishing diets fed to beef steers. Backgrounded steers (n = 191; initial shrunk weight [4% BW] = 449 kg  23.9 kg) were assigned randomly to 1 of 24 pens (8 steers/pen) with pens randomly assigned to one of four dietary treatments (6 pens/treatment): control diet with hay fed at 10% roughage equivalency (RE; HAY10), or HMEC at either 14% (EAR14), 10% (EAR10), or 6% (EAR6) RE. High-moisture ear corn was assumed to …

Finishing Location And Forage Diversity Influences Carcass Characteristics, Meat Quality Attributes, Terroir, And Color Stability Of Grass-Finished Bison Bulls, Garrett Tyler Weldy

Electronic Theses and Dissertations

The overall objective of this thesis is to determine the influence of finishing location and forage diversity on carcass characteristics, meat quality, terroir, and color stability of grass-finished bison bulls. The specific objectives were 1) Determine the effect of finishing location on carcass characteristics, meat quality attributes, and terroir of grass-finished bison bulls, 2) Investigate the effect of forage diversity on the carcass characteristics, meat quality attributes, and terroir of grass-finished bison bulls, and 3) Determine the effect of finishing location on the meat color stability of grass-finished bison bulls. Overall, results indicate that finishing location influenced carcass characteristics, objective …