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Graduate Theses, Dissertations, and Problem Reports (ETD)

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Three Essays On “Energy , Environment, And Developmental Economics”, Bolarinwa Ajanaku Jan 2021

Three Essays On “Energy , Environment, And Developmental Economics”, Bolarinwa Ajanaku

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation examines topics related to renewable energy development and investment planning, energy markets, environment degradation and economic development. The substantial ecological costs of deforestation are well known and considered globally important due to biodiversity loss, land degradation, soil erosion, and contributions to climate change. The first essay focuses upon understanding the tradeoff between development and deforestation in Africa. In the second essay, spatial analysis and Geographic Information System (GIS) are applied to determine potential locations for wind farms development in the state of West Virginia. Lastly, the third essay examines the role of wind power penetration on wholesale electricity …


Quantifying The Impact Of Load-Following On Gas-Fired Power Plants, Yifan Wang Jan 2021

Quantifying The Impact Of Load-Following On Gas-Fired Power Plants, Yifan Wang

Graduate Theses, Dissertations, and Problem Reports (ETD)

Due to rapid penetration of renewables into the grid, natural gas combined cycle (NGCC) power plants are being forced to cycle their loads more frequently and rapidly than for which they were designed. However, the impact of load-following operation on plant efficiency and equipment health are currently poorly understood. The objective of this work is to quantify the impact of load-following on the gas-fired plants by developing high-fidelity multi-scale dynamic models. There are four main tasks in this project. First, dynamic model of an NGCC power plant has been developed. The main components of the NGCC plants are the gas …


Effects Of Acute And Chronic Nicotine Administration On Choice Of Probabilistic Outcomes, Katya A. Nolder Jan 2021

Effects Of Acute And Chronic Nicotine Administration On Choice Of Probabilistic Outcomes, Katya A. Nolder

Graduate Theses, Dissertations, and Problem Reports (ETD)

Risky choice can be operationally defined as the choice for a larger, uncertain reinforcer over a smaller, certain reinforcer. Research suggests smokers engage in more risky or maladaptive decisions when compared to nonsmokers. The relation between nicotine and risky choice could benefit from further investigation, since nicotine is the active substance of tobacco products that maintains tobacco addiction. Acute nicotine administration has shown to alter risky choice; however, since the everyday smoker uses nicotine repeatedly, more research on chronic administration is warranted and would allow for assessment of tolerance or sensitization of these effects. The present study investigated effects of …


Financial Literacy, Experience, And Age Differences In Monetary Sequence Preferences, Jenna M. Wilson Jan 2021

Financial Literacy, Experience, And Age Differences In Monetary Sequence Preferences, Jenna M. Wilson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The emerging research on age differences in monetary sequence preferences suggests that older adults make decisions that are normatively correct from the standpoint of economic theory when choosing to receive larger versus smaller amounts of money sooner than later, but make non-optimal decisions about paying money. In an adult life-span sample (N = 594, aged 20-88, Mage = 46.48, SD= 15.16) recruited through MTurk, the present study examined age differences in monetary sequence preferences. Participants received eight hypothetical scenarios that described monetary events, and completed measures of financial literacy and financial experience. Older age was associated with …


The Joyful Path Of Lifelong Mastery Of The Piano, John Alan Rose Jan 2021

The Joyful Path Of Lifelong Mastery Of The Piano, John Alan Rose

Graduate Theses, Dissertations, and Problem Reports (ETD)

Designed to function as a handbook for pianists, this research project is written in a friendly manner. Organized by theme, it contains a multiplicity of approaches that pianists at all levels can apply to their daily piano practice to help deepen the meaning and efficacy of their work. No matter what role the piano plays in your life, there is much in this document that will help you find joy as you discover new things about yourself through practicing the piano. From methods of practice to philosophies by established performers, this project has enough material to be kept within arm’s …


Evaluation Of Various Separation Techniques For The Removal Of Actinides From A Rare Earth-Containing Solution Generated From Coarse Coal Refuse, Deniz Talan Jan 2021

Evaluation Of Various Separation Techniques For The Removal Of Actinides From A Rare Earth-Containing Solution Generated From Coarse Coal Refuse, Deniz Talan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Rare earth elements have emerged as a vital commodity due to their significance in the production of high-tech devices as well as their utilization in defense and military systems. They are deemed critical due to potential scarcity, supply constraints, and the lack of minable concentrations. Therefore, alternative sources are needed to meet the demand and continue manufacturing rare earth-required products. Coal and coal by-products, in that regard, have presented a significant opportunity and proven to contain a considerable amount of rare earths. However, toxic elements such as thorium and uranium are frequently seen in the same mineralization as rare earths. …


The Effect Of Natural Fractures On The Mechanical Behavior Of Limestone Pillars: A Synthetic Rock Mass Approach Application, Mustafa Can Süner Jan 2021

The Effect Of Natural Fractures On The Mechanical Behavior Of Limestone Pillars: A Synthetic Rock Mass Approach Application, Mustafa Can Süner

Graduate Theses, Dissertations, and Problem Reports (ETD)

In general, underground limestone mines have inherently strong rock and experience good ground stability. Also, modern pillar design guidelines developed by National Institute for Occupational Safety and Health (NIOSH) have improved the design of stable layouts for modern limestone mines. However, ground control-related incidents are still an important problem. In underground limestone mines, previously mined sections stay open for the life of the mine which may be many years, and it is possible for travel ways to working faces to pass through these old sections. In a recent massive pillar collapse in an old section of a mine in Pennsylvania …


“Sir, We Have The Honour Most Respectfully To Submit Our Humble Petition”: Voices In Ink And The Politics Of Petitions In Colonial Igboland, Nigeria, 1892-1960, Bright Chiazam Alozie Jan 2021

“Sir, We Have The Honour Most Respectfully To Submit Our Humble Petition”: Voices In Ink And The Politics Of Petitions In Colonial Igboland, Nigeria, 1892-1960, Bright Chiazam Alozie

Graduate Theses, Dissertations, and Problem Reports (ETD)

With limited access to the traditional sources that historians typically use to document their work, it has become necessary to find new ways to explore the voices of local peoples who have been historically “denied a voice.” One way is through the study of petitions. Indeed, scholars of history have sparingly used petitions in some way while few have made systematic use of them. Even so, historians of colonial Africa have largely overlooked petitions in their studies, despite the important role that these sources played in negotiating African-European relations. This dissertation revolves around the hundreds of selected petitions, dubbed “voices …


Effects Of Multiple Stressors On Aquatic Macroinvertebrate Communities In A Mixed-Land-Use Watershed, Joellen Stivala Jan 2021

Effects Of Multiple Stressors On Aquatic Macroinvertebrate Communities In A Mixed-Land-Use Watershed, Joellen Stivala

Graduate Theses, Dissertations, and Problem Reports (ETD)

As urbanization continues, there is a need to identify and understand environmental stressors that impact stream condition in mixed-land-use watersheds. This study analyzed four years of aquatic macroinvertebrate community and environmental data collected from ten sites located at the mouths of first-order tributaries and along the main stem creek of a 23-km2, mixed-land-use watershed in central Appalachia. The main objectives were to 1) determine stream ecological integrity by analyzing stream macroinvertebrate taxonomic and trait-based composition and 2) assess which of 23 environmental variables explained significant variability in common community composition metrics (WVSCI, GLIMPSS, Biotic Index, % clingers, etc.). …


Exploring Early Signaling Associated With Complex Stressors, Julia A. Penatzer Jan 2021

Exploring Early Signaling Associated With Complex Stressors, Julia A. Penatzer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Humans are constantly exposed to a vast number of stressors in our everyday lives from social interactions to physical activity to chemical exposures, to name a few. These stressors have significant impacts on an individual, from the cellular to whole organismal level. The body contains an intricate communication system that elicits a number of both biological and physiological responses as it attempts to maintain homeostasis. Observing these responses to stressors, can offer insight into a number of outcomes, which can be beneficial (increasing life longevity) or detrimental (leading to a disease state). By measuring specific biological adaptations at particular time …


Covid-19 Vaccine Rollout: Examining Covid-19 Vaccination Perceptions And Intention Among Nurses, Emilee T. Austin Jan 2021

Covid-19 Vaccine Rollout: Examining Covid-19 Vaccination Perceptions And Intention Among Nurses, Emilee T. Austin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Nurses’ COVID-19 vaccination rates have been reportedly low for being among the first prioritized for vaccination. To understand and potentially explain uptake barriers, this thesis utilized the 5c Model, the Integrative Model, the Extended Parallel Process Model, Uncertainty Management Theory, and the Theory of Motivated Information Management. This project used an online survey with a convenience sample recruited through the WV Nurses Association. Specifically, there were 328 nurses recruited, then screened for fully vaccinated participants leaving an analytic sample of 174 West Virginia nurses who had not yet been vaccinated. Participants were asked about their nursing role, threat perceptions, susceptibility …


Independent, Semi-Automated Classification Of Petrographic Features In Volcanic Rocks Using Fiji And Weka, Holly Danielle Pettus Jan 2021

Independent, Semi-Automated Classification Of Petrographic Features In Volcanic Rocks Using Fiji And Weka, Holly Danielle Pettus

Graduate Theses, Dissertations, and Problem Reports (ETD)

Traditional methods of collecting quantitative petrographic data from thin sections (modal mineralogy, size distribution, shapes, etc.) are time- and labor-intensive, and rarely have sample sizes adequate to statistically describe complex rocks (i.e. volcanic rocks). Although manual counting and measurements are now routinely supplemented by digital image analysis, the majority of quantitative petrographic studies still go through a manual digitization stage where object classes are traced before further analyses. This is a major rate-limiting step that reproduces the same problems of small n-values resulting from significant effort. We have valuated the potential and limitations of using the Trainable Weka Segmentation (TWS) …


Investigating Nox Vs Co2 Tradeoff In Heavy Duty Emissions Through The Years Under The Scope Of Carb’S 3-Bin Moving Average Window Method, Ghadi Sadek Jan 2021

Investigating Nox Vs Co2 Tradeoff In Heavy Duty Emissions Through The Years Under The Scope Of Carb’S 3-Bin Moving Average Window Method, Ghadi Sadek

Graduate Theses, Dissertations, and Problem Reports (ETD)

With the rise in urban pollution level over the last few years, regulatory agencies around the world have taken multiple steps to ensure engine exhaust pollutant are well monitored and properly regulated. Yet there exists a significant difference in emissions rates in various operating conditions between US and European products which currently uses a Moving average window (MAW) approach for their in-use compliance testing and certification program. Using WVU’s vehicle data collected using PEMS devices, this study aims at investigating the NOx versus CO2 tradeoff found in heavy duty diesel engines equipped with different aftertreatment technologies, under the scope of …


Nitrite Supplementation Restores Aortic Health In Chronically Stressed Mice, Tyler Coblentz Jan 2021

Nitrite Supplementation Restores Aortic Health In Chronically Stressed Mice, Tyler Coblentz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Chronic stress increases the risk of developing cardiovascular disease potentially via increases in elastic artery stiffness and endothelial dysfunction. Decreased bioavailability of the potent vasodilator nitric oxide (NO) describes a hallmark of endothelial dysfunction. Nitrite reduces into active NO, providing an alternative pathway of NO restoration. The effect of nitrite supplementation on aortic endothelial function has yet to be determined in chronically stressed mice. We hypothesized that nitrite supplementation would rescue chronic stress-attributed impairments in aortic endothelial function.

Mice at 18 weeks of age underwent an unpredictable chronic mild stress (UCMS; 5 days/week for 7 hrs/day) paradigm to elicit a …


Three Essays In Applied Urban Economics, Alexander Cardazzi Jan 2021

Three Essays In Applied Urban Economics, Alexander Cardazzi

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter examines the effect of policing strategies on housing prices. Crime has been shown to negatively affect housing values. However, there is not much empirical evidence documenting the amenity value of how people are policed. Stop & Frisk was a particularly salient policing tactic employed in New York City until a judge ruled it to be unconstitutional. This chapter uses exogenous variation in Stop & Frisk behavior resulting from landmark events in a federal class action lawsuit as well as exposure to Operation Impact, a high intensity policing strategy, to explain variation in property sales. Results indicate a …


Getting Connected: Exploring The Role Of Sustainability Labels In Tourism Marketing Communications, Elvira Kizilova Jan 2021

Getting Connected: Exploring The Role Of Sustainability Labels In Tourism Marketing Communications, Elvira Kizilova

Graduate Theses, Dissertations, and Problem Reports (ETD)

While sustainability has become an important brand differentiator in many industries, current research suggests that tourism businesses rarely use sustainability labels in their communications, e.g., on their websites or other types of advertisements.

This dissertation examines the role of sustainability labels in increasing consumer preferences for sustainable travel destinations. Drawing on social exchange theory and anthropomorphism framework, we propose that sustainability labels increase consumer visit intentions, willingness to recommend a destination to someone else, and willingness to pay price premium for the sustainable offer. These effects are mediated by perception of goal congruence and connectedness with a destination. We further …


Sexual And Place-Based Identity: A Life Course Analysis Of Lgbtq+ Undergraduate Understandings Of Climate Change In Appalachia, Brandon Anthony Rothrock Jan 2021

Sexual And Place-Based Identity: A Life Course Analysis Of Lgbtq+ Undergraduate Understandings Of Climate Change In Appalachia, Brandon Anthony Rothrock

Graduate Theses, Dissertations, and Problem Reports (ETD)

LGBTQ+ persons face heightened vulnerability to climate change-induced disasters due to their sexual orientation, gender identity, and gender expression. Yet, there are limited studies that examine how LGBTQ+ students, particularly in a higher-education setting, understand climate change in relation to their sexuality. With a majority of studies on LGBTQ+ persons and climate change focusing on LGBTQ+ experience during and after disaster, there is a gap in understanding LGBTQ+ perceptions of climate change in the day-to-day. Particularly in Appalachia, a region characterized by a strong place-attachment to and a collective identity with the natural environment, studies of marginalized groups’ perceptions of …


Analyzing Safety Audits To Improve Logging Safety Performance, George Daniel Nolan Jr Jan 2021

Analyzing Safety Audits To Improve Logging Safety Performance, George Daniel Nolan Jr

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines logging safety audits to determine how different variables, and differing amounts of time between audits, affect the outcome of safety score performance. To collect the data for this study a three-page paper audit was used that examined five areas of the logging site which include: Personal protective equipment (PPE), general, felling, mobile equipment and, landing and loading.

The study analyzed 3 aspects of the audit which were the total score and the sub-categories of PPE and felling since they were the two heaviest weighted sections. The analysis only included audits that had a 5 percent or greater …


Geology Oriented Loading Approach For Underground Coal Mines, Deniz Tuncay Jan 2021

Geology Oriented Loading Approach For Underground Coal Mines, Deniz Tuncay

Graduate Theses, Dissertations, and Problem Reports (ETD)

Mining-induced stresses in underground coal mines play a significant role in pillar and support design, hence in the safety of mining operations. Adequate design of pillars and roof control plans rely on the accurate assessment of the mining-induced loads, as well as the load-bearing capacities of the supports. In pillar design tools frequently used by the underground coal mining industry and Mine Safety and Health Administration (MSHA), overburden loading is estimated by geometric concepts such as the tributary area and the abutment angle method. These methods do not explicitly consider important mechanical responses such as specific overall ground behavior. The …


Mitochondrial Aspects Of Neuronal Pathology In Triple-Transgenic Alzheimer’S Disease Mice, John Zachary Cavendish Jan 2021

Mitochondrial Aspects Of Neuronal Pathology In Triple-Transgenic Alzheimer’S Disease Mice, John Zachary Cavendish

Graduate Theses, Dissertations, and Problem Reports (ETD)

Alzheimer’s disease (AD) is a fatal, progressive neurodegenerative disease afflicting millions of people in the United States alone and is the only one of the top leading causes of morbidity and mortality with no effective disease-modifying therapies. It is the most common form of dementia, affecting one in three people over the age of 85. While the hallmarks of the disease include accumulation of beta-amyloid-based extracellular plaques and hyperphosphorylated tau-based intracellular neurofibrillary tangles, treatment strategies centered on removing or mitigating these components of AD have all failed in humans. Mitochondrial dysfunction has been increasingly recognized as an early and consistent …


Effects Of Changes In Land Use Land Cover And Climate On Long-Term Total Dissolved Solids Trends In The Mid-Atlantic Region Of The United States, Melaine Edouard Kolimedje Jan 2021

Effects Of Changes In Land Use Land Cover And Climate On Long-Term Total Dissolved Solids Trends In The Mid-Atlantic Region Of The United States, Melaine Edouard Kolimedje

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Mid-Atlantic region (MAR) of the U.S. is subjected to a variety of stressors that affect the headwaters of the major rivers. Some of these stressors are abandoned mine drainage, agriculture, municipal point sources, urban areas, out-of-basin diversions, competing water uses, rapid population growths in the lowlands, alterations in water availability due to climate change and habitat alteration. In addition to these regional stressors, the rapid population growths and energy sources shifting have resulted in changes in land use and land cover (LULC) over the last few decades. The interactive effects of LULC and interannual/long-term climate changes have resulted in …


Effect Of Pad Design And Bracket Manufacturing Method On Bracket Bond Strength, Dustin Osborne Jan 2021

Effect Of Pad Design And Bracket Manufacturing Method On Bracket Bond Strength, Dustin Osborne

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objective: The objective is to determine if there is a significant difference in shear bond strength and debonding characteristics between one-piece metal brackets made by metal injection molding (MIM) and multi-piece metal brackets made by machining then soldering/brazing with differing pad designs. Methods: A total of thirteen metal orthodontic brackets manufactured by 8 different companies were divided into two groups: one-piece MIM and multi-piece brackets. Each group consisted of 10 brackets for a total of 130 brackets. Brackets were bonded to stainless steel tubes with a universal bonding technique. Samples were tested on the universal Instron testing machine to measure …


A Deeper Inquiry Into The Transitional Needs Of Student Veterans, Nathan Calvin Bridendolph Jr Jan 2021

A Deeper Inquiry Into The Transitional Needs Of Student Veterans, Nathan Calvin Bridendolph Jr

Graduate Theses, Dissertations, and Problem Reports (ETD)

Previous research revealed that veterans transitioning to post-secondary institutions have unique characteristics (PNPI, 2018; Wurster et al., 2013) and may suffer from a constellation of physical, psychological, and social problems that can impact their ability to perform to their full potential on campus (Ackerman et al., 2009; Alschuler & Yarab, 2016; Igielnik, 2019). Despite knowing the struggles student veterans (SVs) face when transitioning to campus, no studies were found that directly gain SVs’ input on what they believe will help their transition. The current study sought to gain a holistic perspective of SV needs by using the biopsychosocial model and …


A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms Jan 2021

A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms

Graduate Theses, Dissertations, and Problem Reports (ETD)

Chronic pain affects one in every four persons (NIH, 2010). For individuals residing in rural communities where chronic pain treatment is often not accessible (Artnak et al., 2011), a one-session brief mental health intervention is a critical healthcare need. More specifically, acceptance and commitment therapy (ACT) for chronic pain is a novel treatment approach in need of more research (Society of Clinical Psychology, 2016). This current study contributes to the gap in the literature by implementing an ACT workshop in a rural healthcare setting for individuals with chronic pain. It was hypothesized that the workshop would increase adaptive coping mechanisms …


Hearing Ourselves Speak: Finding The Trans Sound In The Ohio River Valley, Gwendolyn Patricia Saporito-Emler Jan 2021

Hearing Ourselves Speak: Finding The Trans Sound In The Ohio River Valley, Gwendolyn Patricia Saporito-Emler

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis discusses at length the experiences of four interviewees, selected for being both musicians as well as transgender people. From the author’s shared perspective as a trans woman, this work addresses the issues and boons of being trans musicians. It reflects their experiences, both positive and negative, as well as provides conjectural analyses of the respondents’ shared stories. It identifies common themes, issues regularly experienced by trans people, and offers arguments on why ending this hate is so vitally essential.


A Road Grade Based Weighting System For Calculating On-Road Distance-Specific Oxides Of Nitrogen Emissions Of Light-Duty Diesel Vehicles, Jason D. Bolyard Jan 2021

A Road Grade Based Weighting System For Calculating On-Road Distance-Specific Oxides Of Nitrogen Emissions Of Light-Duty Diesel Vehicles, Jason D. Bolyard

Graduate Theses, Dissertations, and Problem Reports (ETD)

Light-duty diesel vehicles have received significant public and governmental scrutiny recently for violating emissions regulations. Similar to the heavy-duty diesel manufacturers during the late 1990’s, some light-duty manufacturers were implementing different control strategies between laboratory certification tests and customer on-road operation. These devices allowed the vehicle to pass certification tests but then use alternative operation on the road during normal use. The alternative operation would allow for better fuel economy but higher oxides of nitrogen (NOx) emissions. Light-duty vehicles are currently certified in the US using chassis dynamometer testing. The effects of all on-road driving conditions are not mimicked in …


Improving Microbial Safety Of Locally Grown Produce In West Virginia Area, Kawang Li Jan 2021

Improving Microbial Safety Of Locally Grown Produce In West Virginia Area, Kawang Li

Graduate Theses, Dissertations, and Problem Reports (ETD)

There is a growing concern regarding the microbial safety of farmers’ markets as fresh produce consumption in the United States is gaining popularity. The CDC reported 46% of foodborne illnesses are related to fresh produce. Consuming fresh produce raw removes a processing step, increasing the risk of cross-contamination, leading to illness. However, this risk can be mitigated by washing produce with antimicrobial solutions during post-harvest processes. To reduce the microbial load on fresh produce, the triple-wash process, where the produce is rinsed with water twice and lastly an antimicrobial solution (WWA). WWA is recommended by the WVU Extension Service Small …


Utilizing The Coughing Rat Model Of Pertussis To Improve Vaccine Efficacy, Jesse M. Hall Jan 2021

Utilizing The Coughing Rat Model Of Pertussis To Improve Vaccine Efficacy, Jesse M. Hall

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pertussis, also known as whooping cough, is a respiratory disease caused by the highly contagious, Gram-negative pathogen Bordetella pertussis (Bp). Infection occurs through inhalation of aerosolized droplets containing Bp, which then colonizes ciliated epithelial cells of the respiratory tract. Here, Bp expresses toxins and virulence factors that lead to leukocyte recruitment, paroxysmal cough, and impairment of host innate responses. Currently, in developed countries, acellular pertussis vaccines (aP; DTaP; Tdap) are used to prevent Bp infection and whooping cough disease. However, we currently realize that the aP vaccine efficacy quickly wanes resulting in a reemergence of pertussis. Recent …


Language Choice On Psychological Reactance In Instructor/Student Email Exchanges, Christiana Robey Jan 2021

Language Choice On Psychological Reactance In Instructor/Student Email Exchanges, Christiana Robey

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis investigated undergraduate students’ perceptions and interpretations of language cues used within instructor email requests. Guided by Psychological Reactance Theory (PRT; Brehm, 1966; Brehm & Brehm, 1981), this thesis examined whether instructor email requests, containing different levels of powerful language and verbal immediacy cues, would impact students’ willingness to follow through with instructor requests. Two hundred thirty-four undergraduate students participated in the four-condition experiment which consisted of the email manipulation conditions containing varying levels of an instructors’ powerful language (e.g. “must;” Miller et al., 2007) and verbal immediacy (e.g., “our class;” Witt & Wheeless, 2001) cues. After reading an …


Economic Burden Of Low-Value Healthcare On Patients With Localized Prostate Cancer: Statistical & Machine Learning Approaches, Ryan Fiano Jan 2021

Economic Burden Of Low-Value Healthcare On Patients With Localized Prostate Cancer: Statistical & Machine Learning Approaches, Ryan Fiano

Graduate Theses, Dissertations, and Problem Reports (ETD)

Adults with incident localized prostate cancer represent a large, medically complex population at risk for low-value care. Evidence-based guidelines recommend conservative management (CM) for localized prostate cancer patients with multimorbidity and limited life expectancy, however, 2 in 3 still choose treatment. This dissertation pursued three Aims to address research gaps related to healthcare practices associated with significant morbidity and economic burden on older men with incident localized prostate cancer: 1) examine the leading predictors of low-value healthcare practice of prostate cancer treatment for low-risk prostate cancer; 2) assess the role of patient‐reported experience with care on high-value prostate cancer management; …