Digital Commons Network^™

Health Professions Education And Critical Action Engagement: A Mixed Method Analysis., Leonda Richardson

Electronic Theses and Dissertations

Poorer health outcomes disproportionately impact racial/ethnically minoritized (e.g., Black Indigenous People of Color, or BIPOC) populations in the U.S. One plausible reason for the persistence of poorer health outcomes among this population is the teaching of racialized curricular content within academic health professions programs. This includes the absence of appropriate context through explicit socio-political curricular content (SPC) and critical pedagogy (i.e., social and structural determinants of health, history of racism in health care, social justice concepts; dialogue and reflective writing). Racialized curriculum is thought to initiate and/or exacerbate existing racial biases, cultural incompetence, and perpetuate dominant medical ideologies and myths …

Examination Of Model Minority Myth, Mentorship, University Environment, And Sense Of Belonging On The Well-Being Of Asian American Undergraduate And Graduate Students., Stephanie Chin, Stephanie Chin

Electronic Theses and Dissertations

Even though Asian Americans continue to demonstrate academic excellence and have the highest rates of completion in higher education, their psychological well-being and the factors impacting it are often overlooked due to the model minority myth (Poon et al., 2016; Mahalingham, 2013). Higher education research mainly focuses on academic outcomes (e.g., persistence and retention) and less so on psychological outcomes. This study explored and examined psychosociocultural factors, specifically internalization of the model minority myth stereotype, mentorship, university environment, and sense of belonging on psychological (eudaimonic) well-being, in order to provide a more holistic and contextualized perspective of Asian American students’ …

Molecular Mechanisms Of Exercise-Stimulated Resolution Of Inflammation And Its Dietary Dependence., Ernesto H. Pena Calderin

Electronic Theses and Dissertations

Diet-induced obesity and adipose tissue (AT) inflammation that ensues sets the stage for systemic metabolic inflammation, disrupted insulin signaling, and eventual type 2 diabetes (T2D) development. At the center of this pathology lies a disruption in endogenous inflammation resolution pathways characterized by an imbalance in lipid mediator production (greater abundance of pro-inflammatory to pro-resolving lipids). Additionally, obese states are characterized by adrenergic deficiency, especially in response to physical activity. Inflammatory processes have been experimentally mitigated by either the pharmacological inhibition of pro-inflammatory signals (i.e., Leukotriene B₄ (LTB₄) and its receptor BLT1, which establishes a potent chemotactic stimulus …

Unveiling Emergency Psychiatric Healthcare Disparities: An Analysis Of U.S. Emergency Department Encounters., Anna Elizabeth Kelecy

Electronic Theses and Dissertations

This thesis seeks to uncover emergency psychiatric healthcare disparities by examining data of emergency departments from the National Hospital Ambulatory Medical Care Surveys, years 2020 and 2021. The two outcome variables are the length of stay in the emergency department and the urgency with which a patient should be seen. There are multiple independent variables that are analyzed, including age, residence, sex, race/ethnicity, pay type, region, and metropolitan statistical area status. The results indicate that there are disparities, especially in terms of race/ethnicity, region, and metropolitan statistical area status for each dependent variable. These findings indicate that there may be …

Epidural Stimulation For Urogenital Dysfunction In The Spinal Cord Injured Rat., Natasha Lorraine Wilkins

Electronic Theses and Dissertations

Spinal cord injury (SCI) is a devastating, life changing event that greatly impacts quality of life. SCI can have body-wide, multi-system consequences including dysfunction within the urogenital system. Challenges with the urinary system include urinary incontinence, urine retention, and detrusor-sphincter dyssynergia all of which require maintenance through the regular use of catheters. Sexual dysfunction in men, who comprise nearly 80% of the SCI population, includes erectile dysfunction, anejaculation, retrograde ejaculation, poor expulsive force during ejaculation, and poor sperm quality. The treatment for sexual function in SCI men is focused more on fertility through the collection of sperm for insemination procedures …

Associations Of Natural Vegetation In Relation To Colorectal Cancer Hotspots And Colorectal Cancer Survival., Johnnie Newton

Electronic Theses and Dissertations

Background: Across Kentucky, county-level geographic disparities in colorectal cancer (CRC) incidence and outcomes exist. Given the heterogeneity of lifestyle, socioeconomic (SES), and environmental factors within a county, more granular approaches should be used to identify local areas with a high CRC burden and identify the area-level factors that may contribute to geographic disparities. Studies reported that living in greener areas is associated with beneficial health outcomes, including lower mortality. Despite growing evidence that natural vegetation (greenness) exposure is associated with increased physical activity and obesity, two well-known CRC risk factors, epidemiological studies investigating the association of residential greenness exposure with …

The Architect Of The Past: Heinrich Himmler's Remaking Of Germany's History., Chad M. White

Electronic Theses and Dissertations

This thesis explores the complex interplay between historical narratives, ideological manipulation, and cultural artifacts in Heinrich Himmler’s efforts to reshape Germany’s history during the Nazi regime. The study shows how Himmler used historical revisionism to mythologize Germanic history to support Nazi ideology. Himmler used the Ahnenerbe, an SS organization, to research and propagate distorted narratives, fabricating artifacts to legitimize the Aryan myth and assert Germanic superiority. Influenced by movements like the Völkisch Movement, Himmler's ideology relied on pseudo-historical narratives to shape public perception and Nazi policies. The study analyzes Himmler's writings and the spatial transformation of sites like Wewelsburg Castle …

Housing Policy And Eviction: An Iterative Process., Oleksandra Maksymivna Belinova

Electronic Theses and Dissertations

Previously, eviction has been perceived as a legal problem rather than a social issue. Previous literature examines eviction as a social problem and the role of program administrators in policy implementation. Through a mixed-methods study of in-depth semi structured interviews and secondary descriptive analysis of eviction data, this study serves explores program administrators’ perspectives on housing policy and eviction practices and the impact these perspectives have on policy implementation and eviction prevention. The results indicate that program administrators view eviction as a legal phenomenon influenced by housing market dynamics with eviction prevention efforts limited by data collection and the lack …

Covid-19 Infection And Mortality, Patient Comorbidities, Social Determinants Of Health, And Environmental Influences In Kentucky., Shaminul Hoque Shakib

Electronic Theses and Dissertations

OBJECTIVES: To investigate patient- and county-level disparities in COVID-19-related mechanical ventilation use and mortality by SDOH factors and comorbidities among Medicaid non-pregnant adult beneficiaries in Kentucky. Additionally, to compare the association of COVID-19-related infections and mortality with social mobility and weather between Indiana and Kentucky during the stay-at-home period (March 1 to May 15, 2020). METHODS: In chapter 2, an administrative claims-based retrospective cohort study was conducted using the Kentucky Health Facility and Services database. Medicaid beneficiaries who were hospitalized during 2020–2021 in Kentucky were considered in the logistic regression and the Cox regression model to estimate the risk of …

Understanding Barriers To Effective And Equitable Covid-19 Response Through The Evaluation Of Essential Needs Program In Jefferson County, Ky., Haritha Pallam

Electronic Theses and Dissertations

This study utilized a multi-method study approach to assess the effectiveness of the Essential Needs Program (ENP), aimed at aiding priority groups in successfully completing isolation or quarantine (I/Q) during the COVID-19 pandemic. It commences with an overview of the COVID-19 pandemic's history and the role of ENP as a local emergency response strategy to mitigate community spread. Chaos and systems theories were employed to comprehensively understand disaster phenomena and factors influencing individual adoption of protective measures during the pandemic. Additionally, institutional decision-making models and implementation science were utilized to elucidate how public health stakeholders coordinated ENP services provision and …

Figure Worlds: An Analysis Of The Untold Stories Of Female Teachers Of Color., Anetria B. Swanson

Electronic Theses and Dissertations

This dissertation explores the lived experiences of Black female teachers in a large urban school district, focusing on how these experiences shape their identities, influence their professional practices, and affect their retention in the profession. Despite the growing recognition of the importance of teacher diversity, Black female teachers often encounter unique challenges, including systemic racism, microaggressions, and a lack of support and resources. Through a narrative inquiry approach, this study amplifies the voices of nine Black female teachers, uncovering their stories and the complexities of their professional lives. Guided by Critical Race Theory and the concept of figured worlds, this …

Examining Associations Between Parental Meta-Emotion, Child Adhd Symptoms, And Socioemotional Impairments., Meaghan Flynn

Electronic Theses and Dissertations

Children with elevated attention-deficit/hyperactivity disorder (ADHD) symptoms are at increased risk for social and emotional problems compared to typically developing peers. Emerging research has suggested targeting parental emotion socialization practices to enhance socioemotional development among this population. Interventions have explored how targeting specific emotion socialization behaviors may promote emotional and social functioning for youth with ADHD; however, little research has evaluated how underlying parental attitudes may influence these behaviors and outcomes. Parental meta-emotion philosophy (PMEP) refers to an organized set of thoughts and beliefs on how parents view the purpose of emotions, expression of emotions, and how these beliefs are …

A Study Of Post-Quantum Cryptographic Schemes., Max Cartor

Electronic Theses and Dissertations

As the world edges closer to widespread quantum computing, cryptosystems need to be able to withstand attacks from new adversaries. Classical public key cryptosystems that currently protect the digital world will no longer be secure in the post-quantum setting. Two of the leading options for public key post-quantum cryptography are multivariate and lattice-based cryptography. One goal of this work is to introduce and classify the security of the multivariate cryptosystems from the C∗ and Oil and Vinegar families, and attacks that have proven successful against them. We begin by outlining the growth of multivariate cryptography from C∗ and its linage. …

Risk Perception, Diabetes Risk Knowledge, And Fatalism In Adults At Risk For Type 2 Diabetes: A Self-Determination Theory Perspective., Cassandra M. Gonzalez

Electronic Theses and Dissertations

Introduction: Rising rates of diabetes in the U.S. indicate an urgent need to explore and understand factors that elucidate individual diabetes risk. Research of fatalism, the belief that events are predetermined, suggests that fatalistic beliefs influence, shape, and potentially determine health behavior and decision-making. The Theory of Self-Determination posits the importance of motivation and competence in health behavior outcomes. The present study aimed to expand fatalism research by examining associations among fatalism and diabetes-related beliefs and knowledge, including perceived risk and risk knowledge, within the Self-Determination theoretical framework. Methods: Participants were 130 adults aged 26 to 64 without diabetes at …

Coproduction Revisited: From Theory To Practice., Brenton Clarke Hereford

Electronic Theses and Dissertations

Coproduction, or the interaction of citizens with their public service provider, has been used in policy responses to a myriad of service delivery problems, especially policing. This dissertation uses a three-manuscript approach to revisit coproduction both as a theory and a practice. The first manuscript tracks the evolution of coproduction as a theory from three different disciplines: economics, urban theory, and public administration. In addressing the three disciplines, the manuscript explains what broadly united the coproduction literature and the differences that hindered the early development of the concept. It concludes with how the concept is used today, and how future …

Enhancing The Anticancer Effects Of Apiaceae Spice Phytochemicals., Jared Lee Scott

Electronic Theses and Dissertations

Breast cancer (BC) is a leading contributor to the death of women and is the most common type of cancer. Many chemotherapy drugs are developed from plants, and some plant extracts can exhibit significant anticancer activities while also having less toxic side effects. The Apiaceae plant family consists of several species that are used as culinarily spices which have demonstrated antioxidant, chemopreventive, and anticancer activities. The encapsulation of anticancer phytochemicals into naturally produced membrane-bound nanoparticles known as exosomes could improve their systemic distribution and efficacy. Exosomes are involved in cell-to-cell communication through the delivery of proteins, nucleic acids, and small …

Furthering Ascidian Taxonomy Using Molecular Biology, Nicholas Gulnick

Electronic Theses and Dissertations

Ascidians are our closest invertebrate relatives and comprise nearly 3,000 species separated into three orders: Aplousobranchia (most speciose), Stolidobranchia, and Phlebobranchia (least speciose). Ascidians can be classified as either solitary or colonial organisms. Species delimitation using morphological characters alone has had varied results. Well known, widely distributed, morphological species have turned out to be catch all species comprised of several cryptic species. Molecular markers can help mitigate some of the issues presented by strictly using morphological observations, including resolving the status of cryptic species, and accessing the expert knowledge required to identify a species. By incorporating molecular markers and pairing …

An Exploration Of The Lived Experiences And Decision-Making Processes Of Alternative Education Teachers Using An Interpretive Phenomenological Analysis, Ashley Irene Zehner

Electronic Theses and Dissertations

Students with behavioral challenges and mental health concerns have unique academic, behavioral, and emotional needs. Due to high student to teacher ratio and lack of mental health and behavioral resources, some students may not have their needs met in a public school general education setting. An option that can be a better solution for these students due to lower student to teacher ratio, mental health resources, and behavioral support is schooling in alternative schools. This study explored the daily routines and the decision-making process of alternative educators as they work to meet the multifaceted needs of their students. Using an …

Environmental Factors (Rurality, Distribution Of Prescribers, And Altitude) Of People Who Died By Suicide In Montana, 2013- 2022, Anne N. Brown

Electronic Theses and Dissertations

Introduction: Suicide is increasingly prevalent in rural areas across the United States, especially in the western Rocky Mountain states. The connection between suicide and rural residency is not well understood, nor is the relationship between the distribution of prescribers, altitude, and suicide. Purpose: This retrospective quantitative study aimed to describe the characteristics of individuals who died by suicide in Montana and investigate the associations among rurality, distribution of prescribers, altitude, and suicide rate. Methods: Montana suicide mortality data for 2013-22 was used to describe individual characteristics. A second dataset was created for each Zip Code Tabulation Area (ZCTA) level in …

South Carolina Instructional Leaders’ Conceptualization And Perception Of Learning Thrill: An Exploratory Interview Study, David Paul Cupolo

Electronic Theses and Dissertations

Numerous students across the United States are observed as being disengaged and bored in several of their learning experiences. Similarly, innumerable students also self-report being bored and disengaged. Over 40% of South Carolina (SC) students in Grades 3–8 report being compliant, disengaged, or mixed in all three domains (behaviorally, cognitively, and emotionally). Hattie and Donoghue propose a new conceptual learning model—skill, will, and thrill. They suggest that this model will improve student learning experiences to the transfer level, which is thrill. At the thrill level, students can then apply their learning to similar or different contexts. As the concept of …

Navigating The Black Student First-Year Experience: Exploring Ways Peer Mentoring Can Enhance Engagement And Belonging At A Pwi, Richard V. Frazier Iii

Electronic Theses and Dissertations

Studies indicate that minoritized students attending Predominantly White Institutions (PWI) may struggle with engagement and establishing a sense of belonging. Peer mentoring may play a role in enhancing these opportunities to foster academic performance and retention. The sense of belonging and engagement for minoritized students at a PWI is essential to their academic sustainability. This qualitative narrative analysis study uses Strayhorn’s (2012) theory of college students’ sense of belonging as the theoretical framework to explore the peer mentoring experiences of 10 Black first-year students participating in a stand-alone model. Interviews were used to acquire insight into peer mentoring’s influence on …

Exploring The Community Standards Review For College Admission: A Comparative Case Study, Kayla E. Johnson

Electronic Theses and Dissertations

Many higher education institutions review the disciplinary and criminal history of applicants to assess potential threats and ensure a safe learning community in the college admissions process. This review is often criticized for exacerbating the opportunity gap and racial disparities for marginalized populations and creating barriers to college admission. This study explores the institutional processes for community standards review at four public regionally accredited 4-year institutions and how diversity, equity, and inclusion (DEI) influence the community standards review process. Three research questions guided the study: How do college administrators at 4-year public universities describe their perceptions of the community standards …

Removing The Deficit Lens: Determining Support For Hispanic Newcomer Families In Public School Based On Their Unique Needs And Experiences, Shauna Schubiger

Electronic Theses and Dissertations

The purpose of this mixed methods study is to better understand the diverse needs of Latine newcomer families relocating to the United States and enrolling in a southeastern elementary school. Specifically, this study gathered and analyzed the unique experiences of these families immigrating into the U.S. to fully comprehend what they have been through to arrive here and how schools can help their families become involved in their children’s education. In K-12 education, there is a void which exists regarding who these families are and the need to humanize their journeys. This lack of research can be exacerbated by the …

A Descriptive Study: Aging In Place In The Rural Southeastern United States, Dama G. Cooley

Electronic Theses and Dissertations

Older Americans will soon outnumber children and younger adults. In 2022, there were 58 million older adults. By 2050, older adult numbers will grow to 82 million, and by 2060, 100 million. The National Institute on Aging calls for ongoing research on the impact that a historically large aging population will have on health, well-being, and quality of life. A key concern is how to meet needs while decreasing costs associated with institutional long-term care.

Most of these elders reside in the community and wish to live in their homes throughout their lives, but they will experience an increased need …

Exploring Early Childhood Teachers’ Experiences In Teaching Multilingual Children In Public Mainstream Schools In Tennessee, Maria Dias

Electronic Theses and Dissertations

This qualitative study, grounded in a phenomenological perspective, delves into the lived experiences of early childhood teachers who teach multilingual children in mainstream classrooms in Tennessee. Amidst the rising number of multilingual learners in mainstream educational settings and the dearth of adequate teacher training to address their needs, this research illuminates the experiences of these teachers. Furthermore, it seeks to advocate for the integration of translanguaging pedagogy into teacher training programs and state policies. This study employed a qualitative study using the three-in-depth-interview series from a phenomenological perspective (Seidman, 2019). The first interview focused on participants’ overall teaching experiences and …

Enriching The Pcos Lifestyle, Callie Coleman

Electronic Theses and Dissertations

Polycystic Ovary Syndrome (PCOS) is an endocrine disorder affecting approximately 4 – 20% of women worldwide. It is associated with insulin resistance, fertility problems, and an increased susceptibility to chronic conditions through multiple inflammatory pathways. Women with PCOS are also at increased risk for disordered eating. The Mediterranean diet is associated with decreased inflammation and risk of chronic conditions, and intuitive eating principles are associated with decreased disordered eating patterns. The purpose of this study was to determine if a six-week nutrition education workshop incorporating information and skills related to both the Mediterranean lifestyle and intuitive eating principles can improve …

Outside The Box: Examining The School Experience From The Perspectives Of Early Leavers, Caitlin Armstrong

Electronic Theses and Dissertations

Public schools in America are experiencing a massive decline in student enrollment, resulting in school consolidations and closures across the nation. (Dee, 2023). This decline has many implications, particularly in rural areas, such as Northeast Tennessee. These implications and the public pressure to maintain high graduation rates and academic outcomes, require school leaders and policymakers to reflect on who is leaving public schools and why. This phenomenological study explored the school experiences and perceptions of individuals who left the traditional high school prior to graduation. In-depth interviews were conducted one-on-one with 13 participants via an online video conferencing platform who …

Emotionality Stigma Scale: Measurement Development, Reliability, And Validity., Hayley D. Seely

Electronic Theses and Dissertations

Emotions are biological responses to stimuli that allow individuals to derive meaning, appraise experiences, and prepare to respond. However, individuals perceive emotions differently based on emotion socialization which not only dictates the way emotions are viewed and managed but also has been directly linked with mental health outcomes. Furthermore, research shows emotion socialization is informed by demographic variables such as gender such that the expectations of emotionality differ; where women are taught to express emotions, men are taught to conceal. Given the societal rules regarding emotionality, it is possible that emotionality stigma – the stigma around the experience and expression …

From Surface To Subtext: Portrayals Of Success In Superfund Remediation., Haley Metcalf-Wade

Electronic Theses and Dissertations

Superfund sites represent some of the most contaminated and environmentally sensitive areas in the United States. How these sites are portrayed can significantly influence public perception of environmental risks, the effectiveness of remediation efforts, and the overall state of environmental health. Regulatory agencies like the Environmental Protection Agency (EPA) are entrusted with safeguarding public health and the environment. How they communicate about their actions, successes, and challenges directly impacts public trust and perceptions of their accountability. This dissertation examines the manifest and latent metrics used by the Environmental Protection Agency (EPA) to determine success in Superfund remediation by focusing on …

Relation Between The Negative Cognitive Triad, Perceived Everyday Discrimination, Depressive Symptoms, And Tnf-A In Adolescents., Ashley Ann Marshall Dondanville

Electronic Theses and Dissertations

This study is based on Beck's cognitive stress-vulnerability model of depression and previous research on (a) the increased risk for severe illnesses associated with TNF-⍺ (i.e., an inflammatory cytokine), (b) the effect of perceived everyday discrimination (PED) on depressive symptoms and TNF-⍺, (c) the association between depressive symptoms and TNF-⍺, (d) and findings that the negative cognitive triad (i.e., negative views of the self, world, and future) serves as a partial mediator between PED and depressive symptoms. The purpose of this study is to integrate Beck’s model and these different research lines by inspecting the associations between the stressor PED …