Digital Commons Network^™

An Evaluation Of Hospital-Based Health Technology Assessment Processes In The United States., Scott Skinner

Electronic Theses and Dissertations

This research study explored the practices of hospital-based health technology assessment (HTA) in the U.S., as experienced by healthcare technology management (HTM) professionals. HTA can play an important role in helping to evaluate health technologies at both the macro (e.g., policy) level as well as at the micro (e.g., institutional) level of the public health ecosystem (C. S. Goodman, 2004). HTA seeks to broadly evaluate the effects, properties, and other impacts of various health technologies (C. S. Goodman, 2004). Common goals of HTA are to evaluate the safety, effectiveness, and cost-benefit of health technologies. A primarily phenomenological approach was used …

“The Urgent Necessity For More Original Creative Works By Transgender And Gender Expansive Artists" Is Not The Title Of My Thesis., Alicia Fireel

Electronic Theses and Dissertations

This thesis is a mix of personal reflection, academic research, and an examination of The Girl Crazy Queer and Other Fairy Tales, a play I wrote and performed in October of 2023, co-produced by The University of Louisville’s Department of Theatre Arts and Pandora Productions, a Louisville-based theatre company dedicated to Queer theatre. This thesis and the play mirror each other; both contemplate Queer experiences, Queer histories, Queer trauma, and Queer stories. In the thesis I accomplish this through examining four subjects: myself, my play, the connection between modes of storytelling and aspects of transgender Queerness, and the perils that …

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

Electronic Theses and Dissertations

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

An Investigation Into Structural Plasticity In Peripheral Taste Neurons Associated With Taste Cell Turnover., Zachary Whiddon

Electronic Theses and Dissertations

The continual replacement of taste cells creates interesting questions regarding how the innervating neurons are impacted during this process. Here we ask how innervation within taste buds is affected when taste cell entry is inhibited and reestablished. Inhibition of sonic hedgehog signaling (Shh) is thought to inhibit taste cell turnover. Consistently, fewer new cells were added to individual taste buds after treatment with a Shh-inhibitor compared to vehicle treatment, and taste bud volume decreased after 16 days of treatment. We next examined how taste nerve fiber extension into the gustatory epithelium is affected by preventing taste cell turnover. Ten days …

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

Electronic Theses and Dissertations

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

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

Electronic Theses and Dissertations

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

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

Electronic Theses and Dissertations

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

Microgenerations: Bridging The Generation Gap In Workplace Values., Melissa Kempf Taylor

Electronic Theses and Dissertations

Generational differences are a popular topic, and attention to them is heightened each time a new generational cohort comes of age. This trend continues with increasing interest in the Homelander generation that is now entering the workforce. Differences in values are often blamed for tensions in generationally diverse organizations. Past generational research has reported mixed results and acquired many critics. This study aimed to address common challenges with generational research and assist in distinguishing between truly valid and simply popular information. This study’s purpose was to identify differences in values between members of major generational cohorts and individuals in microgenerations …

Second Nature: Impressions Of Place., Trish Korte

Electronic Theses and Dissertations

For my art practice, I grow and forage my art materials for eco printing, a direct contact printing method that reveals leaf shapes and hidden imagery through heat and pressure. I take specific cues from surrounding materials, objects, and environments. Tree systems and compelling textures of fungus are interpreted through ceramic and fiber. With an ongoing collaboration of natural materials and eco printing processes, my art speaks symbolically and metaphorically through imagery and materials. This thesis and accompanying exhibition present an examination of current work in context with an ongoing investigation of natural materials and eco printing.

Postpartum Depression In Jamaica: Exploring The Lived Experiences., Shakeyrah Elmore

Electronic Theses and Dissertations

The purpose of this study was to explore the lived experiences of Jamaican women with postpartum depression (PPD). It is estimated globally, postpartum depression impacts 10-20% of women. In Jamaica, rates exceed global averages, with 26-60% of women experiencing PPD. Untreated maternal depression poses a significant physical, social, and economic threat to Jamaican women, children, and society as a whole. This study affirms that maternal mental health and postpartum depression are global public health concerns. There are limited studies that have examined PPD in Jamaican women, especially qualitatively. This research study utilized a qualitative descriptive approach to examine PPD experiences …

"Our House There Is Ugly But Still We Happy": An Ethnographic Study With Women Navigating Displacement And Resettlement., Bridget Kearney

Electronic Theses and Dissertations

In academic and public discourse, narratives surrounding refugee camps and the conditions within them typically depict experiences of sorrow and hardship. And, although the stories of struggle are certainly a part of the refugee experience, they are not the only part. This dissertation is a critical ethnographic study with a participatory research lens that focuses on the life experiences and storytelling practices of women in a resettled Sudanese family. It investigates the action of storytelling within displaced groups, the link between stories and community, and the importance of materiality and relationships in storytelling. This dissertation finds that storytelling can be …

Impact Of Employee-Supervisor Attachment Styles On The Prevalence And Symptomatic Expression Of Secondary Traumatic Stress In Public Child Welfare Workers., Lisa Purdy

Electronic Theses and Dissertations

Child welfare organizations throughout the nation grapple with turnover rates estimated to be as high as 65% (e.g., CWLA, 2016; Edwards & Wideman, 2018). Turnover contributes negatively to client outcomes, organizational financial shortages, and to perpetuating stressful conditions for the child welfare workforce. One factor found to contribute to turnover within child welfare is that of secondary traumatic stress (STS). Child welfare workers are known to experience higher rates of STS than any other helping professional (Brady, 2017). However, while many risk and protective factors for secondary traumatic stress have been evaluated, there remains a gap in the literature as …

Chloramine Devulcanization Of Waste Rubber., Patrick Kroeger

Electronic Theses and Dissertations

The disposal of waste rubber, particularly tire rubber, continues to pose a challenge in the 21st century. As a result, most end-of-life tires (ELTs) are either dumped in landfills or burned as tire-derived fuel. Chloramine devulcanization may offer a viable solution to this problem. Chloramine devulcanization is a low-temperature, low-pressure, process that selectively breaks sulfur crosslinks while preserving the polymer backbone. Chloramine devulcanization enables the recovery of chloramine recovered carbon black (CrCB) and devulcanized rubber (CdR) as separate products. Initial analysis of CdR revealed that it was formable and malleable, suggesting that crosslinking was absent. Spectroscopy showed that CdR contained …

Working For Yourself: A Guide For Performers With Learning Difference., Sa'id "Nxttime" Kelly

Electronic Theses and Dissertations

Working For Yourself a Guide For Performers with Learning Differences is a combination of advice and tips that are intended to help performers especially those living with learning differences. The thesis helps performers find ways to work with their true selves on stage as well as in preparation for a role. There is no final result to this process, just multiple ways to be more confident with the choice you’ll make while performing and preparing for a role.

Transmission And The Evolution Of Diseases Caused By Chlamydia Trachomatis, Sars-Cov-2, And Plasmodium Species., Nathan Steffens

Electronic Theses and Dissertations

Principles of natural selection have proven valuable for explaining why pathogens cause the diseases that they do. In theory, the evolved level of host exploitation should reflect how dependent a pathogen is on host health for transmission. This dependency is shaped by transmission mode and transmission opportunity, which should therefore be predictors of disease manifestations. In this dissertation, I apply these principles to investigations of depression in Chlamydia trachomatis and virulence of SARS-COV-2 and Plasmodium species. This dissertation has five chapters. In chapter I, I describe the theoretical foundation of my dissertation research. I also briefly introduce each study system. …

Social Ecological Resilience, Social Capital, Anomie And The Impact Of Covid-19., Kevin Pacifico Gonzaga

Electronic Theses and Dissertations

From climate change to racial tension and income inequality, many difficulties face the United States and those who live within its borders. The extreme and increasing political polarization in the United States as well as the impact of the COVID-19 pandemic have only made these challenges more difficult to address. In this complex web of adversity, the concept of resilience is important to study. Resilience may be broadly defined as the ability to “bounce back” or return to adaptive functioning after experiencing significant adversity or challenges (Smith et al., 2008). Better understanding how resilience functions and the general state of …

Improving The Performance Of Automatic Target Recognition Using Data Augmentation., Rolando Holmes

Electronic Theses and Dissertations

Automatic Target Recognition (ATR) is a task that aims to recognize targets based on data obtained from visual sensors such as Infrared cameras. Machine learning, in particular Deep Learning, has been the dominate approach to solve this task. However, in order to achieve high performance, Deep Learning requires a large amount of data that may not be available, which poses an issue when developing robust models. In this thesis, we propose the use of data augmentation from an automatic detector as an alternative source to supplement the need for more training data. We use a two stage approach to develop …

Detection Of Toxic Aldehydes In Aerosols Of Electronic Cigarettes., Ellie Bess Reed

Electronic Theses and Dissertations

Over the past decade, use of electronic cigarettes (e-cigarettes) has increased in the younger generations of the United States. With the broad range of flavors and devices distributed on the market, American youth are prime marketing targets for the e-cigarette industry. To create a more regulated market, research of this thesis has been conducted on newer generations of e-cigarette “MOD” devices to examine how e-cigarette battery power output and coil temperature, concentrations of propylene glycol and vegetable glycerin, added flavorings (strawberry, mango, and menthol), and the presence of nicotine affect generation of aerosol particles and aldehydes in aerosols emitted by …

The Medicine Of Memes: An Exploration Of Humor Styles, Memes, And Dark Humor, Theodor Napp

Electronic Theses and Dissertations

The usage of humor as a coping strategy is one that has been well-studied in the realm of psychology (Abel, 2002). However, research into the usage of dark humor as a coping mechanism, as well as dark humor expressed in memes, is not nearly as well-studied. This study (N = 50) replicated previous findings on humor and personality and expanded the research on self-directed humor and dark humor by comparing it to humor styles outlined by Martin et al. (2003) and Tsukawaki and Imura (2020). Replication results were mixed, with some findings supporting previous research between the Big Five personality …

The Effects Of Personal Growth Initiative, Grit, And Spirituality On Competition Anxiety In Student Athletes, Taylor Smith

Electronic Theses and Dissertations

Personal growth initiative (PGI) is an intrinsically motivated engagement in growth processes that contribute to their ability to excel in sporting performance (Robitschek, 1998), and PGI may also predict their grit as well. Like PGI, team cohesion influences both performance and well-being in athletes, and little research has explored how spiritually oriented coaching influences team cohesion. This study explored PGI, grit, competition anxiety, intrinsic motivation, and the impact of spiritual involvement in sports on team cohesion. A sample (N = 45) of collegiate athletes at private Christian universities completed self-report measures in a survey. PGI was not a significant predictor …

Impact Of Community-Based Care Model On Child Welfare Professionals: A Study Of Workload, Job Satisfaction, And Turnover Intent, Kerri Taylor

Electronic Theses and Dissertations

Much of the research on child welfare workers is in a traditional service model. However, there is a lack of empirical studies regarding childcare workers in a community-based care model. This study examines whether transitioning to the community-based model has positively impacted workers’ perspectives regarding turnover intention, job satisfaction, and workload manageability. A cross-sectional survey design was used with convenient sampling from a Texas Department of Family Protective Service Region that transitioned to the CBC model. The single source continuum contractor employed a sample of 125 potential respondents in the selected region. A total of 43 permanency workers responded to …

Special Education Teacher Attrition: K-12 Administrator Perspectives, Tia Alove Stevens-Hicks

Electronic Theses and Dissertations

Abstract

Teacher attrition is a significant contributor to the teacher shortages, with preretirement attrition accounting for two thirds of all attrition. Special education teachers leave teaching at significantly higher rates than their general education peers. In addition, there is a greater demand for special education teachers due to the increase in public school students requiring special education services. As a result, many K–12 administrators and other educational leaders often fill vacant positions with unqualified or new teachers with less experience than their predecessors. Special education teachers have reported that teachers who remained in their positions reported high levels of administrative …

Professional Learning Community Conflicts And Teacher Leader Conflict Management From Multiple Stakeholder Perspectives, Amanda B. Dunn

Electronic Theses and Dissertations

This qualitative, phenomenological study examined the nature of conflict within professional learning community (PLC) collaborative groups and the teacher leader’s management of the conflict from the teacher, teacher leader, and administrator perspective at suburban secondary schools. Purposive, criterion sampling based on job title and having at least one year of experience at a PLC campus qualified participants to capture the phenomenon’s characteristics. Semistructured interviews of three administrators, four teacher leaders, and two teachers were recorded and transcribed before an initial round of open coding. After analyzing open codes, the data were analyzed using closed coding, which established common themes. The …

Exploring The Indicators Of The Two Social And Emotional Learning Competencies And Their Relationship To Community College Grade Point Average, Arvinder Kaur Gill

Electronic Theses and Dissertations

This study was done to help understand how social emotional learning impacts student academics and performance for incoming freshmen college students. The study looks at students who have had some social-emotional learning versus those who have not had any social-emotional learning skills and if impacts them at a community college setting. Also, this study looked at the relationship between instructors and students and how instructors can play a positive role in student success. A student survey on incoming freshmen entering a community college was recorded along with instructor/professor interviews to get a better idea of student experiences and outcomes. The …

Authentic Narratives Of Successful Pathways To Undergraduate Completion For Black Men, Tara M. Jones

Electronic Theses and Dissertations

This qualitative narrative study examined the authentic lived experiences of eight Black male participants who successfully completed their college undergraduate degree at a private college in the southeast United States. The participants were recruited via LinkedIn, a professional social media, networking site. It explored family, K-12, co-curricular, and community factors that contributed to the academic success of the participants throughout their educational journey. This study drew upon Harper’s (2012) antideficit theory framing the study from the lens of the positive aspects of their academic experiences rather than focusing on the negative aspects of Black men that graduate college at the …

Effective Cte Program Administration: Assumed Or Developed?, Adrian L. Eaglin

Electronic Theses and Dissertations

The recognition of the potentially transformative effects of having a quality career and technical education program has grown exponentially over the past two decades in the United States. As such, it is paramount that those serving as administrators of this co-curricular content area be prepared, trained, and developed to effectively lead these important programs at the campus level. This qualitative action research is a case study, using two types of interviews of 38 specific personnel within the career and technical education departments and leadership in that district to determine whether effective career and technical education administration is assumed or developed …

A Phenomenological Study Of The Underrepresentation Of Division I Minority Women Athletic Directors, Jacquelyn K. Timmons

Electronic Theses and Dissertations

The purpose of this phenomenological study was to investigate the factors women of color in athletic administration perceive to be contributors to the underrepresentation of minority women in Division I athletic director leadership positions. The study sought to identify and understand barriers that ostensibly impact women of color. Moreover, it serves current and future minority women to overcome similar trials to advance their collegiate athletic careers. Furthermore, the study sought to provide a lexicon of strategies that minority women regard as bridges to the racial and gender leadership gaps within the National Collegiate Athletic Association (NCAA) organization. Previous studies are …

An Examination Of The Relationships Between Campus Administrators And Special Education Teachers And Its Influence On Teacher Retention, Tai Lea Peacock

Electronic Theses and Dissertations

Teacher shortages have plagued U.S. school districts for many years now as special education and other high-need fields struggle to retain highly qualified teachers. School leaders must gain a better understanding of why special education teachers are leaving at such alarming rates in order to formulate a plan for improving retention. The purpose of this qualitative descriptive study was to examine how campus administrators’ relationships influence the retention of special education teachers. Leader-member exchange theory, which contends that the relationships between leaders and followers impact our work environment and job satisfaction, served as the theoretical framework of this study. A …

Exploring The Lived Experiences Of Black Women Athletic Directors At Ncaa Institutions, Niya N. Blair Hackworth

Electronic Theses and Dissertations

Historically, college athletics have advanced men over women in top leadership roles, sustaining gender hierarchy. Senior leadership positions within intercollegiate athletics, such as the athletic director or associate athletic director, are mainly held by White men. Women and racial minorities are considerably unrepresented in athletic director roles. In 2021, the National Collegiate Athletic Association reported that Black men held 13% of athletic director positions, whereas the role was held by 3% of Black women. Research indicated there are unique barriers that women of color experience as they strive to obtain the athletic director title. The barriers women of color experience …

A Par Reflection: The Power Of Teacher Voice, Anna Marie Warren

Electronic Theses and Dissertations

Teacher voice is missing in systemic change. This PAR study explored some of the barriers in education today that prevent teachers from using their voices and the leadership skills needed to empower teachers to use their voices in change processes. The study was implemented on two secondary school campuses with two teams of PAR researchers. Data were collected using a triangulation of PAR forms, journal reflections, and Likert surveys. While identifying barriers hindering teachers from using their voice, the qualitative study also aimed to provide a platform where teachers could express and use their voice to cause change in their …